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Sample records for clinic effect em

  1. Isojacareubin from the Chinese Herb <em>Hypericum japonicumem>: Potent Antibacterial and Synergistic Effects on Clinical Methicillin-Resistant <em>Staphylococcus aureusem> (MRSA

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    Gen-Chun Wang

    2012-07-01

    Full Text Available Through bioassay-guided fractionation of the extracts from the aerial parts of the Chinese herb <em>Hypericum japonicumem> Thunb. Murray, Isojacareubin (ISJ was characterized as a potent antibacterial compound against the clinical methicillin-resistant S<em>taphylococcus aureusem> (MRSA. The broth microdilution assay was used to determine the minimal inhibitory concentrations (MICs and minimal bactericidal concentrations (MBCs of ISJ alone. The results showed that its MICs/MBCs ranged from 4/16 to 16/64 μg/mL, with the concentrations required to inhibit or kill 50% of the strains (MIC50/MBC50 at 8/16 μg/mL. Synergistic evaluations of this compound with four conventional antibacterial agents representing different types were performed by the chequerboard and time-kill tests. The chequerboard method showed significant synergy effects when ISJ was combined with Ceftazidime (CAZ, Levofloxacin (LEV and Ampicillin (AMP, with the values of 50% of the fractional inhibitory concentration indices (FICI50 at 0.25, 0.37 and 0.37, respectively. Combined bactericidal activities were also observed in the time-kill dynamic assay. The results showed the ability of ISJ to reduce MRSA viable counts by log10CFU/mL at 24 h of incubation at a concentration of 1 × MIC were 1.5 (LEV, additivity, 0.92 (CAZ, indifference and 0.82 (AMP, indifference, respectively. These <em>in vitroem> anti-MRSA activities of ISJ alone and its synergy with conventional antibacterial agents demonstrated that ISJ enhanced their efficacy, which is of potential use for single and combinatory therapy of patients infected with MRSA.

  2. Quantificação do stone clinic effect em pacientes com nefrolitíase Quantification of the stone clinic effect in patients with nephrolithiasis

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    Maurício de Carvalho; Ana Claudia H. Ferrari; Luciana O. Renner; Marcos A. Vieira; Miguel Carlos Riella

    2004-01-01

    O termo stone clinic effect refere-se ao efeito do aumento da ingestão hídrica e aconselhamento dietético na evolução clínica da doença calculosa renal. OBJETIVO: O nosso objetivo foi quantificar esta variável em pacientes portadores de nefrolitíase. MÉTODOS: Vinte e cinco pacientes (11 mulheres e 14 homens; 47,64±10,55 anos) com nefrolitíase recorrente foram acompanhados com consultas trimestrais por um ano. Orientações sobre aumento da ingestão hídrica, diminuição do consumo de sal e proteí...

  3. Quantificação do stone clinic effect em pacientes com nefrolitíase Quantification of the stone clinic effect in patients with nephrolithiasis

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    Maurício Carvalho

    2004-01-01

    Full Text Available O termo stone clinic effect refere-se ao efeito do aumento da ingestão hídrica e aconselhamento dietético na evolução clínica da doença calculosa renal. OBJETIVO: O nosso objetivo foi quantificar esta variável em pacientes portadores de nefrolitíase. MÉTODOS: Vinte e cinco pacientes (11 mulheres e 14 homens; 47,64±10,55 anos com nefrolitíase recorrente foram acompanhados com consultas trimestrais por um ano. Orientações sobre aumento da ingestão hídrica, diminuição do consumo de sal e proteína foram rotineiramente fornecidas. Nenhum paciente foi submetido à terapia farmacológica. Foram coletados no início (S1 e no final do seguimento (S2 os seguintes parâmetros: atividade clínica e radiológica da doença litiásica, urina de 24 horas com dosagem de creatinina, cálcio, sódio, ácido úrico, citrato, oxalato e magnésio. A supersaturação (SS para o oxalato de cálcio foi calculada pelo índice de Tiselius. RESULTADOS: Onze (44% pacientes apresentaram hipocitratúria, nove (36% hipercalciúria e cinco (20% hiperuricosúria. Houve aumento do volume urinário (1903±811 vs 2381±919 ml/dia, pBACKGROUND: The ''stone clinic effect'' refers to the effect of encouraging a high intake of fluid and diet counseling in the clinical evolution of kidney stone disease. Objective: Our objective was to determine the extent of this variable in patients with nephrolithiasis. METHODS: Twenty-five patients (11 female and 14 male; 47.64±10.55 years old with recurrent nephrolithiasis were prospectively followed for one year, with 3-month interval medical evaluation. Patients were advised to increase the fluid intake, and to limit the intake of salt and protein. No patient was submitted to pharmacological therapy. Two 24-hour urine samples were collected at baseline (S1 and in the end of follow-up (S2 for the measurement of creatinine, calcium, sodium, uric acid, citrate, oxalate and magnesium. Metabolic and radiological activity was also

  4. Efeito clínico do uso do parecoxib em modelo de sinovite induzida em pôneis Clinical effect of parecoxib in induced synovitis in horses

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    R. Pozzobon

    2008-08-01

    Full Text Available Um modelo experimental de sinovite em pôneis foi usado para avaliar o efeito do parecoxib, um antiinflamatório não-esteroidal (AINE seletivo injetável. Cinco dias após indução da sinovite, três pôneis foram tratados com 0,55mg/kg/dia (IV de parecoxib e três receberam solução salina 0,9% (IV por cinco dias. A avaliação de parâmetros clínicos dos animais e físico-químicos do líquido sinovial foi realizada antes da indução de sinovite, antes e 12, 24, 48, 72, 96 e 120 horas após o início do tratamento. A injeção intra-articular com adjuvante completo de Freund induziu sinovite de intensidade moderada a grave. Os pôneis tratados com parecoxib apresentaram diminuição do grau de claudicação; manutenção da flexão articular, do comprimento do passo, da temperatura retal e da freqüência cardíaca; e atenuação do grau de efusão articular. Embora o parecoxib, na dose utilizada, não tenha apresentado efeito sobre os parâmetros do líquido sinovial das articulações com sinovite, sua ação antipirética, antiinflamatória e principalmente analgésica foi observada.An experimental synovitis model was used in ponies to evaluate the effect of parecoxib, a selective non steroidal anti-inflammatory drug (NSAID. Five days after synovitis induction, three ponies received parecoxib (IV 0.55mg/kg/day and three ponies received sterile 0.9% saline solution (IV for five days. Clinical parameters and synovial fluid were evaluated before synovitis induction, prior treatment and 12, 24, 48, 96, and 120 hours after the first treatment. The intra-articular injection of Freund's complete adjuvant induced a moderate to severe synovitis. The parecoxib treated ponies showed lameness reduction; maintenance of stride length, articular flexion, temperature, and heart rate; and attenuation of articular effusion. Although the used dosage of parecoxib had no effect on evaluated synovial fluid parameters, antipyretic, anti-inflammatory, and

  5. Evaluation of the clinical and cardiorespiratory effects of propofol microemulsion in dogs Efeitos clínicos e cardiorespiratórios do propofol em microemulsão em cães

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    André Luís Corrêa

    2013-06-01

    Full Text Available This research aimed to evaluate the clinical and cardiorespiratory effects of a propofol formulation with nanometer droplet diameter in dogs. Six adult healthy female dogs weighing 14.8±1.2kg were used in this study. Each dog received two treatments with a 15-day washout period. A microemulsion (MICRO or lipid emulsion (EMU of propofol was administered intravenously (IV for induction and maintenance of anesthesia. Anesthesia was maintained with a constant rate infusion of propofol (0.4mg kg-1 minute-1. Cardiorespiratory variables were recorded before induction (baseline, immediately after and at 15-minute intervals for 90 minutes after treatment. Arterial blood samples were also taken for blood gas analysis, except at 45 and 75 minutes after induction. The mean arterial pressure decreased significantly during both treatments, while the cardiac index decreased significantly only in MICRO treatment. The time to extubation, sternal recumbency, ambulation and total recovery was similar in both treatments. Opisthotonos was observed in 33% of the animals in each treatment. The propofol microemulsion presented clinical and respiratory parameters similar to those obtained with the lipid emulsion commercially available, but had some significantly different hemodynamic characteristics when used for inducing and maintaining anesthesia. Based only in these results, no advantages are seen in the use of this new microemulsion.Este estudo tem o objetivo de avaliar os efeitos clínicos e cardiorrespiratórios de uma formulação de propofol formada por nanopartículas, em cães. Para esse propósito, seis cães hígidos, adultos, fêmeas, com peso médio de 14,8±1,2kg foram utilizados. Cada cão recebeu dois tratamentos, sendo que entre estes foi permitido aos animais um período de washout de 15 dias. Os animais receberam propofol em microemulsão (MICRO ou em emulsão lipídica (EMU por via intravenosa (IV para a indução e manutenção da anestesia. A

  6. Short and Long-Term Effects of <em>Baccharis articulataem> on Glucose Homeostasis

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    Flávio H. Reginatto

    2012-06-01

    Full Text Available In this study, the<em> in vivoem> effect of the crude extract and <em>n>-butanol and aqueous residual fractions of <em>Baccharis articulataem> (Lam. Pers. on serum glucose levels, insulin secretion and liver and muscle glycogen content, as well as<em> in vitroem> action on serum intestinal disaccharidase activity and albumin glycation were investigated. Oral administration of the extract and fractions reduced glycemia in hyperglycemic rats. Additionally, the <em>n>-butanol fraction, which has high flavonoids content, stimulated insulin secretion, exhibiting an insulinogenic index similar to that of glipizide. Also, the <em>n>-butanol fraction treatment significantly increased glycogen content in both liver and muscle tissue. <em>In vitroem> incubation with the crude extract and <em>n>-butanol and aqueous residual fractions inhibited maltase activity and the formation of advanced glycation end-products (AGEs. Thus, the results demonstrated that <em>B. articulataem> exhibits a significant antihyperglycemic and insulin-secretagogue role. These effects on the regulation of glucose homeostasis observed for <em>B. articulataem> indicate potential anti-diabetic properties.

  7. Injeção epidural preventiva de xilazina ou amitraz em eqüinos: efeitos clínicos e comportamentais Pre-emptive epidural injection of xylazine or amitraz, in horses: clinical and behavioral effects

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    Erica Cristina Bueno do Prado Guirro

    2009-04-01

    Full Text Available A xilazina é o fármaco agonista adrenérgico α2 mais utilizado pela via epidural de eqüinos e sabe-se que o amitraz tem ação sobre esses receptores. Assim, foram avaliados os efeitos clínicos e comportamentais causados pela injeção epidural de 0,17mg kg-1 de xilazina (GX ou de 0,1mg kg-1 de amitraz diluído em emulsão lipídica (GA durante 24 horas, em doze eqüinos. A freqüência cardíaca e a altura de cabeça mantiveram-se inalteradas; a freqüência respiratória aumentou de T105 a T360 no GX; a temperatura retal elevou-se de T120 a T720 em GA e de T360 a T720 em GX. Não houve diferença no tempo de latência para urinar ou defecar em ambos os grupos. Em relação às alterações comportamentais, o amitraz provocou sedação (50%, ptose labial (33,4% e palpebral (16,7%, enquanto que a xilazina promoveu ataxia (50%, sudorese perineal (33,4%, ptose palpebral (16,6% e relaxamento do esfíncter anal (16,6%. Considera-se segura a injeção epidural de xilazina ou amitraz em eqüinos, pois as alterações clínicas e comportamentais promovidas são leves e não limitam seu uso.Xylazine is the α2-adrenergic agonist more employed by epidural route in horses and it is known that amitraz acts on these receptors. So, clinical and behavioral effects caused by epidural injection of 0.17mg kg-1 xylazine (GX or 0.1mg.kg-1 amitraz diluted in lipidic emulsion (GA were evaluated in 12 horses. Heart rate and height of the head didn't change; respiratory rate increased from T105 to T360 in GX; rectal temperature increased from T120 to T720 in GA and from T360 to T720 in GX. There is no difference in latency to urine or defecate in both groups. Concerning behavioral changes, amitraz promoted sedation (50%, lip (33.4% and eye (16.6% dropping, while xylazine caused ataxia (50%, perineal sweating (33.4%, eye dropping (16.6% and anal sphincter relaxation (16.6%. So, epidural injection of xylazine or amitraz was considered safe because the clinical and

  8. Effects of <em>Citrus aurantiumem> (Bitter Orange Fruit Extracts and <em>p>-Synephrine on Metabolic Fluxes in the Rat Liver

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    Rosane Marina Peralta

    2012-05-01

    Full Text Available The fruit extracts of <em>Citrus aurantiumem> (bitter orange are traditionally used as weight-loss products and as appetite supressants. An important fruit component is <em>p>-synephrine, which is structurally similar to the adrenergic agents. Weight-loss and adrenergic actions are always related to metabolic changes and this work was designed to investigate a possible action of the <em>C. aurantiumem> extract on liver metabolism. The isolated perfused rat liver was used to measure catabolic and anabolic pathways, including oxygen uptake and perfusion pressure. The <em>C. aurantiumem> extract and <em>p>-synephrine increased glycogenolysis, glycolysis, oxygen uptake and perfusion pressure. These changes were partly sensitive to a- and b-adrenergic antagonists. <em>p>-Synephrine (200 mM produced an increase in glucose output that was only 15% smaller than the increment caused by the extract containing 196 mM <em>p>-synephrine. At low concentrations the <em>C. aurantiumem> extract tended to increase gluconeogenesis, but at high concentrations it was inhibitory, opposite to what happened with <em>p>-synephrine. The action of the <em>C. aurantiumem> extract on liver metabolism is similar to the well known actions of adrenergic agents and can be partly attributed to its content in <em>p>-synephrine. Many of these actions are catabolic and compatible with the weight-loss effects usually attributed to <em>C. aurantiumem>.

  9. The Effect of Diluted Penetration Enhancer in Nebulized Mist <em>versus> Liquid Drop Preparation Forms on Retrobulbar Blood Flow in Healthy Human Subjects

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    Ruta Barsauskaite

    2012-08-01

    Full Text Available The aim of this study was to compare the effects of nebulized mist and liquid drop applications on retrobulbar blood flow. A prospective, non-randomized clinical trial was used to collect data from 40 healthy human eyes. Color Doppler Imaging determined peak systolic (PSV and end diastolic (EDV blood flow velocities and resistance index (RI in the ophthalmic artery after both applications. Measurements were taken at baseline and at 1 min post-treatment in both eyes with 5 min measurements in the treatment eye only. <em>p> values ≤ 0.05 were considered statistically significant. Mist application to treatment eye produced an increase in 1 min and 5 min PSV and EDV (0.001 < <em>p em>< 0.03 and a decrease in 5 min RI (<em>p> em>= 0.01, with no significant changes in PSV, EDV or RI of control eye or in treatment eye 1 min RI (<em>p> > 0.05. Drop application to treatment eye produced an increase in PSV (<em>p> < 0.001 and EDV (<em>p> = 0.01 at 1 min, with an increase in control eye 1 min PSV and EDV (<em>p> = 0.03. There were no statistically significant changes in treatment eye PSV, EDV and RI after 5 min (<em>p> > 0.05. The use of nebulized mist may provide an effective alternative to liquid drop medication application.

  10. Fluorescent Nanoprobes Dedicated to <em>in Vivo em>Imaging: From Preclinical Validations to Clinical Translation

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    Isabelle Texier

    2012-05-01

    Full Text Available With the fast development, in the last ten years, of a large choice of set-ups dedicated to routine <em>in vivoem> measurements in rodents, fluorescence imaging techniques are becoming essential tools in preclinical studies. Human clinical uses for diagnostic and image-guided surgery are also emerging. In comparison to low-molecular weight organic dyes, the use of fluorescent nanoprobes can improve both the signal sensitivity (better <em>in vivoem> optical properties and the fluorescence biodistribution (passive “nano” uptake in tumours for instance. A wide range of fluorescent nanoprobes have been designed and tested in preclinical studies for the last few years. They will be reviewed and discussed considering the obstacles that need to be overcome for their potential everyday use in clinics. The conjugation of fluorescence imaging with the benefits of nanotechnology should open the way to new medical applications in the near future.

  11. Effects of Cyanobacterial Lipopolysaccharides from <em>Microcystis em>on Glutathione-Based Detoxification Pathways in the Zebrafish (<em>Danio rerioem> Embryo

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    John P. Berry

    2012-05-01

    Full Text Available Cyanobacteria (“blue-green algae” are recognized producers of a diverse array of toxic secondary metabolites. Of these, the lipopolysaccharides (LPS, produced by all cyanobacteria, remain to be well investigated. In the current study, we specifically employed the zebrafish (<em>Danio rerioem> embryo to investigate the effects of LPS from geographically diverse strains of the widespread cyanobacterial genus, <em>Microcystis>, on several detoxifying enzymes/pathways, including glutathione-S-transferase (GST, glutathione peroxidase (GPx/glutathione reductase (GR, superoxide dismutase (SOD, and catalase (CAT, and compared observed effects to those of heterotrophic bacterial (<em>i.e.>, <em>E. coliem> LPS. In agreement with previous studies, cyanobacterial<em> em>LPS significantly reduced GST in embryos exposed to LPS in all treatments. In contrast, GPx moderately increased in embryos exposed to LPS, with no effect on reciprocal GR activity. Interestingly, total glutathione levels were elevated in embryos exposed to <em>Microcystis> LPS, but the relative levels of reduced and oxidized glutathione (<em>i.e.>, GSH/GSSG were, likewise, elevated suggesting that oxidative stress is not involved in the observed effects as typical of heterotrophic bacterial LPS in mammalian systems. In further support of this, no effect was observed with respect to CAT or SOD activity. These findings demonstrate that <em>Microcystis> LPS affects glutathione-based detoxification pathways in the zebrafish embryo, and more generally, that this model is well suited for investigating the apparent toxicophore of cyanobacterial LPS, including possible differences in structure-activity relationships between heterotrophic and cyanobacterial LPS, and teleost fish <em>versus> mammalian systems.

  12. Saponins with Neuroprotective Effects from the Roots of <em>Pulsatilla cernuaem>

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    Wen-Hao Fan; Zong-Gui Yu; Hui Zhang; Yong-Nan Xu; Li-Bo Zou; Yi-Xia Gong; Hui-Ming Hua; Jian-Yu Liu; Ying-Li Guan

    2012-01-01

    Four new oleanene-type triterpenoid saponins together with six known saponins were isolated from the roots of <em>P>ulsatilla cernuaem> and their structures were elucidated on the basis of spectroscopic data, including 2D NMR spectra and chemical evidence. Among these one of the aglycones (gypsogenin) is reported for the first time from this genus. Some of these compounds showed significant neuroprotective effects against the

  13. Clinical evaluation of the effects of low-intensity laser (GaAlAs on wound healing after gingivoplasty in humans Avaliação clínica dos efeitos do laser em baixa intensidade (GaAlAs na cicatrização de gengivoplastia em humanos

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    Carla Andreotti Damante

    2004-06-01

    Full Text Available Low-intensity laser therapy aims at pain suppression, edema reduction and acceleration of wound healing. The main goal of this study was to clinically evaluate the effects of Aluminum Gallium Arsenate laser - 670nm in wound healing after gingivoplasty in 11 patients. Surgery was performed in anterior superior and/or inferior regions. The right side of the patient (test group received a laser energy density of 4J/cm², in a 48-hour interval, during one week, totalizing four sessions. The irradiation was punctual in a contact mode in three points. The left side did not receive irradiation (control group. Clinical evaluation was performed by five specialists in periodontology through photography of the treated areas at post-surgical periods of 7, 15, 21,30,60 days. The observers pointed the best healed side. The Sign test was used for statistical analysis with a confidence level of 5% (P0.05. These results have shown that low-intensity laser therapy did not accelerate oral mucosa healing after gingivoplasty.A terapia com laser em baixa intensidade visa a biomodulação dos tecidos para se obter supressão da dor, redução do edema, e aceleração da cicatrização. O objetivo deste estudo foi avaliar, clinicamente, os efeitos do laser diodo de arseneto de gálio e alumínio (GaAlAs - 670nm- na cicatrização de gengivoplastias em 11 pacientes. As cirurgias foram realizadas nas regiões anteriores superior e/ou inferior. O lado direito (teste foi irradiado, na forma pontual, com 4J/cm² por ponto, em três locais diferentes. A aplicação do laser foi feita a cada 48h, durante uma semana, totalizando quatro sessões. O lado esquerdo (controle não foi irradiado. A avaliação clínica foi feita por cinco periodontistas, através de fotografias dos períodos pós-operatórios de 7,15,21, 30 e 60 dias. Os examinadores apontaram o lado mais bem cicatrizado ou se ambos estavam iguais. Para análise estatística dos dados clínicos, foi utilizado o

  14. Effect Size in Clinical Phonology

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    Gierut, Judith A.; Morrisette, Michele L.

    2011-01-01

    The purpose of this article is to motivate the use of effect size (ES) for single-subject research in clinical phonology, with an eye towards meta-analyses of treatment effects for children with phonological disorders. Standard mean difference (SMD) is introduced and illustrated as one ES well suited to the multiple baseline (MBL) design and…

  15. Effect of sociodemographic, clinical-prophylactic and therapeutic procedures on survival of AIDS patients assisted in a Brazilian outpatient clinic Efeitos de fatores sociodemográficos, clínico-profiláticos e terapêuticos na sobrevida de pacientes com aids acompanhados em uma unidade ambulatorial brasileira

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    Dario José Hart Pontes Signorini

    2005-09-01

    Full Text Available The Brazilian AIDS Program offers free and universal access to antiretroviral therapy. This study investigates the influence of sociodemographic, clinical-prophylactic and therapeutic factors on survival, after AIDS diagnosis, in an open cohort of 1,420 patients assisted in a university hospital in the city of Rio de Janeiro (1995 _ 2002. Kaplan-Meier and Cox proportional hazards models were used to estimate the effect of variables in the three dimensions studied. The overall survival time of the upper quartile was 24 months (CI95%= 20.5-27.5, increasing from 14 months, in 1995, to 46 months, in 1998. We found a protective effect of heterosexual behavior against death that could be attributed to the increasing female-to-male sex ratio in the cohort, which coincided with the time of therapy introduction. Low schooling, hospital admission and lack of follow-up were identified as risk factors for death; PCP and Toxoplasmosis prophylaxis were protective. The number of attempts required to consolidate the antiretroviral therapy showed no significant effect on survival. The full model, which includes the number of antiretroviral drugs in the regimen, confirmed the triple therapy as the best regimen. This study brings important information for designing guidelines to deal with different aspects related to the practical management of patients and their behavior, thus contributing to the success of the program of free access to antiretroviral therapy implemented in Brazil.O programa Brasileiro de DST/AIDS oferece acesso livre e universal à terapia anti-retroviral. Este estudo investiga a influência dos fatores sociodemográficos, clínico-profiláticos e terapêuticos na sobrevida, após o diagnóstico de AIDS, em uma coorte aberta de 1.420 pacientes atendida em hospital universitário na Cidade do Rio de Janeiro (1995-2002. Kaplan-Meier e modelo de risco proporcional de Cox foram usados para estimar os efeitos das variáveis nas três dimens

  16. Anti-Hyperglycemic Effect of Chebulagic Acid from the Fruits of<em> Terminalia chebulaem> Retz

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    Yan Zhang

    2012-05-01

    Full Text Available In the present study, we firstly compared rat intestinal α-glucosidase inhibitory activity by different ethanol-aqueous extractions from the dried fruits of <em>Terminalia chebulaem> Retz. The enzymatic assay showed that the 80% ethanol extract was more potent against maltase activity than both 50% and 100% ethanol extracts. By HPLC analysis, it was determined that the 80% ethanol extract had a higher content of chebulagic acid than each of 50% or 100% ethanol extract. Next, we investigated how efficiently chebulagic acid could inhibit sugar digestion by determining the glucose level on the apical side of the Caco-2 cell monolayer. The result showed that the maltose-hydrolysis activity was down-regulated by chebulagic acid, which proved to be a reversible inhibitor of maltase in Caco-2 cells. On the other hand, chebulagic acid showed a weak inhibition of sucrose-hydrolysis activity. Meanwhile, chebulagic acid did not have an obvious influence on intestinal glucose uptake and was not effective on glucose transporters. Further animal studies revealed that the oral administration of chebulagic acid (100 mg/kg body weight significantly reduced postprandial blood glucose levels by 11.1% in maltose-loaded Sprague-Dawley (SD rats compared with the control group, whereas the oral administration of chebulagic acid did not show a suppressive effect on postprandial hyperglycemia in sucrose- or glucose-loaded SD-rats. The results presented here suggest that chebulagic acid from <em>T>. <em>chebula> can be used to control blood glucose and manage type 2 diabetes, although clinical trials are needed.

  17. Is There an `EMS' Effect in European Labour Markets?

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    Artis, Michael J; Ormerod, Paul

    1991-01-01

    It is claimed that membership of the exchange rate mechanism (ERM) of the European Monetary System (EMS) gives countries a credibility bonus which reduces the output and employment costs of disinflation. Within the EMS this arises because of the commitment of participants in the ERM to maintain their parities against the Deutschmark, with Germany acting as a low-inflation anchor. The paper finds evidence of such a credibility effect: during `the EMS period' (flexibly dated) German inflation e...

  18. Validade da versão em português da Clinical Dementia Rating

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    Macedo Montaño Maria Beatriz M

    2005-01-01

    Full Text Available OBJETIVO: Analisar a validade da versão em português da Clinical Dementia Rating para classificar a função cognitiva de idosos. MÉTODOS: Utilizou-se o instrumento Mini-Mental State Examination para rastreamento de déficit cognitivo em coorte composta por 424 idosos. Foram selecionados todos que obtiveram escores 26. Os 156 idosos selecionados foram submetidos a uma avaliação clínica e testes neuropsicológicos para diagnóstico de casos de demência. Tanto os casos como os não-casos foram classificados segundo a versão em português da Clinical Dementia Rating em: normais, casos questionáveis e casos de demência leve, moderada ou grave. RESULTADOS: Entre os 156 avaliados, 122 eram não-casos, destes 62 (51% foram classificados como normais (CDR=0 e questionáveis 60 (49% (CDR=0,5. Entre os 34 casos de demência, 17 (50% foram classificados como demência leve (CDR=1, 8 (23% moderada (CDR=2 e 6 (18% grave (CDR=3. Apenas três (9% dos casos foram considerados questionáveis pelo Clinical Dementia Rating. Sua sensibilidade foi de 91,2% e a especificidade de 100%, com valor preditivo positivo de 100% e negativo de 97,6%. As pontuações no Mini-Mental State Examination declinaram significativamente conforme o grau de demência. CONCLUSÕES: O Clinical Dementia Rating mostrou ser instrumento válido para classificar o grau de demência entre idosos. Quase metade dos não-casos foram casos questionáveis pelo Clinical Dementia Rating e podem corresponder a casos de transtorno cognitivo leve, com maior risco de conversão em demência.

  19. Fluid heating system (SAF®: effects on clinical and biochemistry parameters in dogs submitted to inhalatory anesthesia Sistema de aquecimento de fluidos (SAF®: efeitos sobre parâmetros clínicos e bioquímica sérica em cadelas sob anestesia inalatória

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    Ingrid Bueno Atayde

    2009-04-01

    Full Text Available PURPOSE: To evaluate and describe immediate effects of the infusion of saline solution heated by SAF® in bitches submitted to halothane anesthesia. METHODS: Thirteen bitches were employed and submitted to elective ovariohysterectomy in acclimatized operating room at 22ºC, allocated in two groups: GI, which received non-heated fluid and GII, which received fluid heated at 37ºC by SAF®. The following parameters were evaluated in 30-minutes intervals (M0, M30, M60 and M90: rectal and cutaneous temperatures (TR and TC, cardiac and respiratory frequencies (HR and ƒ, mean arterial blood pressure (MAP, serum concentration of urea, creatinin, serum activities of alanin aminotranspherasis (ALT, alkaline phosphatasis (ALP and also hypnosis parameters. RESULTS: There were no significant alterations on clinical and biochemical, but there was group effect on mean arterial blood pressure, urea, ALT, ALP and hypnosis parameters. CONCLUSION: The isolated use of Fluid Heating System (SAF® was not enough to avoid hypothermia or lead to significant clinical and biochemical alterations in bitches submitted to halothane anesthesia.OBJETIVO: Avaliar e descrever os efeitos imediatos da infusão de solução salina 0,9% aquecida pelo SAF® sobre cadelas sob anestesia inalatória. MÉTODOS: Foram utilizadas 13 cadelas submetidas a ovariohisterectomia eletiva em centro cirúrgico climatizado a 22ºC, divididas em dois grupos: GI, que recebeu fluido em temperatura ambiente e GII, que recebeu fluido aquecido a 37ºC pelo SAF®. Os parâmetros clínicos avaliados em intervalos de 30 minutos (M0, M30, M60 e M90 foram: temperatura retal (TR e cutânea (TC, freqüências cardíaca (FR e respiratória (ƒ, pressão arterial média (PAM, tempo de hipnose, concentrações séricas de uréia e creatinina e atividades das enzimas séricas alanina aminotransferase (ALT e fosfatase alcalina (ALP. RESULTADOS: Não foram evidenciadas alterações clínicas e bioqu

  20. Taxonomy and antifungal susceptibility of clinically important <em>Rasamsonia> species

    DEFF Research Database (Denmark)

    Houbraken, J.; Giraud, S.; Meijer, M.;

    2013-01-01

    set of Rasamsonia argillacea strains, including 28 clinical strains, was studied, and antifungal susceptibility profiles were generated. Data obtained from morphological studies and from phylogenetic analyses of internal transcribed spacer (ITS) and partial _-tubulin and calmodulin sequences revealed...... recently reported clinical isolates from animal or human patients. Susceptibility tests showed that the antifungal susceptibility profiles of the four members of the R. argillacea complex are similar, and caspofungin showed significant activity in vitro, followed by amphotericin B and posaconazole...

  1. Efetividade e segurança dos stents farmacológicos em um serviço de cardiologia em Curitiba-PR Efectividad y seguridad de los Stents farmacológicos en un servicio de cardiología en Curitiba-PR Effectiveness and safety of drug-eluting stents in a cardiology clinic in Curitiba, PR, Brazil

    Directory of Open Access Journals (Sweden)

    Chiu Yun Yu Braga

    2010-07-01

    . De esos pacientes, 85 (41,87% eran asintomáticos, y 146 (71,92%, multiarteriales. En las características de las lesiones, 77,45% fueron B2/C (AHA/ACC. Taxus fue implantado en 73,62% de los pacientes. En 381 (81,96%, se constataron stents con diámetro > 2,5 mm. El largo del stent era de BACKGROUND: The effectiveness and safety of drug-eluting stents (DES have still been questioned. OBJECTIVE: The objective of this study was to evaluate the effectiveness and safety of these stents, as well as the incidence of target lesion revascularization (TLR, in addition to identifying possible variables influencing the need for TLR. METHODS: A total of 203 patients from Hospital Costantini who were clinically followed up for one to 3 years were selected. RESULTS: The sample characteristics were as follows: 470 lesions; 171 (84.24% male patients; 54 (26.6% had diabetes; 131 (64.35% had hypertension; 127 (62.56%, dyslipidemia; 40 (19.70% were smokers; and 79 (38.92% had a family history of coronary artery disease. Also: 49 (24.14% patients presented with stable angina; 58 (28.57%, unstable angina; and 6 (2.96%, myocardial infarction. Eighty five (41.87% patients were asymptomatic, and 146 (71.92%, had multivessel disease. As for the characteristics of the lesions, 77.45% were B2/C (AHA/ACC. Taxus was implanted in 73.62% of the patients. Stents with diameter > 2.5 mm were used in 381 (81.96% patients. The stent length was < 30 mm in 67.87% of the lesions, with a mean of 2.3 stents per patient. After follow-up, 19 patients (9.3% underwent TLR. Four patients died (1.97%, two of them of MI (0.98%, one of stroke (0.49%, and one of abdominal aneurysm (0.49%. Also, one patient died of late thrombosis (0.49%, and one of reinfarction (0.49%. In the statistical analysis carried out, only the bifurcation lesions variable reached values close to the statistical significance level, with p < 0.06. CONCLUSION: In conclusion, drug-eluting stents have good effectiveness and safety profiles; the

  2. Avaliação dos efeitos adversos clínicos e alterações laboratoriais em pacientes com acne vulgar tratados com isotretinoína oral Evaluation of clinical adverse effects and laboratory alterations in patients with acne vulgaris treated with oral isotretinoin

    Directory of Open Access Journals (Sweden)

    Maria de Fátima de Medeiros Brito

    2010-06-01

    Full Text Available FUNDAMENTOS: A isotretinoína oral revolucionou o manejo da acne. Os efeitos adversos observados, durante o tratamento, são divididos em dois grupos: mucocutâneos e sistêmicos. Anormalidades laboratoriais, principalmente, as dislipidemias e aumento das enzimas hepáticas são relatados. OBJETIVO: Avaliar a tolerabilidade da isotretinoína oral, com atenção, no metabolismo lipídico, função hepática e reações adversas clínicas. MÉTODOS: Foram incluídos 150 pacientes com diagnóstico clínico de acne submetidos a tratamento com isotretinoína oral. Avaliações clínicas e laboratoriais foram feitas, após um mês e a cada três meses, até completar o tratamento. RESULTADOS: Dos 150 pacientes 48% eram do sexo feminino e 52% do sexo masculino. A idade variou de 15 a 32 anos. Quanto aos efeitos adversos cutâneos e mucosos da isotretinoína, queilite foi o mais frequente, ocorrendo em 94% pacientes. Efeitos clínicos sistêmicos foram bem menos comuns. Os níveis de colesterol, triglicerídeos, transaminases, foram avaliados e não mostraram alterações significativas, ao longo do tratamento. CONCLUSÃO: Os pacientes apresentaram efeitos adversos, compatíveis com os da literatura, e, em sua maioria, controlados com medicações sintomáticas. Podemos concluir que a isotretinoína é uma droga segura, em relação a seus efeitos adversos, tanto clínicos como laboratoriais.BACKGROUND: Oral isotretinoin therapy has completely changed the treatment of acne. The clinical adverse effects of isotretinoin are classified into two groups: mucocutaneous and systemic toxic. Laboratory alterations such as dyslipidemia and increase of hepatic enzymes are reported. OBJECTIVES: To evaluate the tolerability of oral isotretinoin with special attention to lipid metabolism, hepatic function, and clinical adverse reactions. METHODS: 150 patients clinically diagnosed with acne being treated with oral isotretinoin were included in the study. Clinical and

  3. Antioxidative Characteristics of <em>Anisomeles indicaem> Extract and Inhibitory Effect of Ovatodiolide on Melanogenesis

    Directory of Open Access Journals (Sweden)

    Li-Ling Chang

    2012-05-01

    Full Text Available The purpose of the study was to investigate the antioxidant characteristics of <em>Anisomeles indicaem> methanol extract and the inhibitory effect of ovatodiolide on melanogenesis. In the study, the antioxidant capacities of <em>A. indicaem> methanol extract such as DPPH assay, ABTS radical scavenging assay, reducing capacity and metal ion chelating capacity as well as total phenolic content of the extract were investigated. In addition, the inhibitory effects of ovatodiolide on mushroom tyrosinase, B16F10 intracellular tyrosinase and melanin content were determined spectrophotometrically. Our results revealed that the antioxidant capacities of <em>A. indicaem> methanol extract increased in a dose-dependent pattern. The purified ovatodiolide inhibited mushroom tyrosinase activity (IC50 = 0.253 mM, the compound also effectively suppressed intracellular tyrosinase activity (IC50 = 0.469 mM and decreased the amount of melanin (IC50 = 0.435 mM in a dose-dependent manner in B16F10 cells. Our results concluded that <em>A. indicaem> methanol extract displays antioxidant capacities and ovatodiolide purified from the extract inhibited melanogenesis in B16F10 cells. Hence, <em>A. indicaem> methanol extract and ovatodiolide could be applied as a type of dermatological whitening agent in skin care products.

  4. Protective Effect of <em>T. violaceaem> Rhizome Extract Against Hypercholesterolemia-Induced Oxidative Stress in Wistar Rats

    Directory of Open Access Journals (Sweden)

    Olorunnisola Sinbad Olorunnisola

    2012-05-01

    Full Text Available The present study examines the effect of methanolic extract of <em>T. violaceaem> rhizomes on high cholesterol (2% diet fed rats (HCD. At the end of 4 weeks, serum total protein, albumin, reduced glutathione (GSH, and markers of oxidative stress viz., catalase (CAT, superoxide dismutase (SOD, thiobarbituric acid reactive substances (TBARS—a marker of lipid peroxidation, glutathione-S-transferase (GST and glutathione peroxidase (GPx in the serum, aorta, liver and heart of HCD and normal rats were assessed and compared. A significant (<em>p> < 0.05 elevation in TBARS, and a reduction (<em>p> < 0.05 in serum total protein, albumin, GSH and antioxidant enzyme activities was observed in tissues of HCD fed rats compared with the normal group. Co-administration of crude extracts of <em>T. violaceaem> rhizomes protected the liver, heart, serum and aorta against HCD-induced lipid peroxidation in a dose dependant manner. The activities of the extract (500 mg/kg compared favorably with gemfibrozil. The extracts also protected against HCD-induced reduction in serum total protein, GSH and restored the activities of antioxidant tissues (liver, heart and aorta enzymes to near normal values. This result suggested that consumption of <em>T. violaceaem> rhizome may help to protect against hypercholesterolemia- induced oxidative stress diseases in the heart and liver.

  5. Antibacterial and Synergy of Berberines with Antibacterial Agents against Clinical Multi-Drug Resistant Isolates of Methicillin-Resistant <em>Staphylococcus aureus em>(MRSA

    Directory of Open Access Journals (Sweden)

    Zhong-Qi Bian

    2012-08-01

    Full Text Available Antibacterial activity of berberine (Ber and 8-acetonyl-dihydroberberine (A-Ber alone and combined uses with antibacterial agents ampicillin (AMP, azithromycin (AZM, cefazolin (CFZ and levofloxacin (LEV was studied on 10 clinical isolates of SCCmec III type methicillin-resistant <em>Staphylococcus aureus em>(MRSA. Susceptibility to each agent alone was tested using a broth microdilution method and the chequerboard and time-kill tests for the combined evaluations, respectively.<em> em>The alone MICs/MBCs (mg/mL ranges were 32–128/64–256 (Ber and 32-128/128-512 (A-Ber. Significant synergies were observed for the Ber (A-Ber/AZM and Ber (A-Ber/LEV combinations against 90% of the tested MRSA strains, with fractional inhibitory concentration indices (FICIs values ranged  from 0.188 to 0.500. An additivity result was also observed for the Ber/AZM combination by time-kill curves. These results demonstrated for the first time that Ber and A-Ber enhanced the <em>in vitroem> inhibitory efficacy of AZM and LEV to a same extent, which had potential for further investigation in combinatory therapeutic applications of patients infected with MRSA.

  6. Effects of the low-intensity red laser radiation on the fluoride uptake in enamel. A clinical trial; Avaliacao dos efeitos da radiacao laser de emissao vermelha em baixa intensidade na incorporacao de fluor no esmalte. Estudo clinico

    Energy Technology Data Exchange (ETDEWEB)

    Nakasone, Regina Keiko

    2004-07-01

    Fluoride has been the most important preventive method on development of the caries. This in vivo study evaluated the effects of low-intensity red laser radiation on the fluoride uptake in enamel. Ten healthy participants were recruited for this study. The two maxillary central incisors of each volunteer to be biopsied were used and divided into 4 groups: group G{sub C} (control, which was untreated; group G{sub F} (fluoride), which received topical acidulated phosphate fluoride (APF) 1,23% treatment for 4 minutes; group G{sub LF} (laser + fluoride), which was irradiated with a low-intensity diode laser ({lambda}= 660 nm and dose= 6 J/cm{sup 2}) with APF application after irradiation and group G{sub FL} (fluoride + laser), which received APF before irradiation using the same parameters as G{sub LF}. The determination of fluoride was performed using a fluoride ion electrode after an acid-etch enamel biopsy. The results show a significant increase of the fluoride uptake in enamel for groups G{sub F}, G{sub LF} and G{sub FL} when compared to control group. Although a percentage increase of 57% was observed for G{sub LF} with respect to G{sub F}, there were no statistical differences among treated groups. These findings suggest that low-intensity laser radiation used before APF could be employed in the clinical practice to prevent dental caries. (author)

  7. Effects of Yeast Polysaccharide on Growth and Flavonoid Accumulation in <em>Fagopyrum tataricumem> Sprout Cultures

    Directory of Open Access Journals (Sweden)

    Gang Zhao

    2012-09-01

    Full Text Available The purpose of this study was to investigate the effects of yeast polysaccharide (YPS on growth and flavonoid accumulation in sprout cultures of <em>Fagopyrum tataricum em>(tartary buckwheat. Without obvious change in the appearance of the sprouts, the exogenous YPS notably stimulated the production of functional metabolites in <em>F. tataricum em>sprouts, and the stimulation effect was concentration-dependent. With 400 mg/L of YPS applied to the sprout cultures on day 6, the total rutin and quercentin content was effectively increased to 42.8 mg/gdw, or about 1.4-fold in comparison with the control of 31.2 mg/gdw. Feeding with 800 mg/L of YPS on day 9, the sprouts biomass was increased by about 8% compared to the control culture (0.99 gdw/100 sprouts <em>versus em>0.92 gdw/100 sprouts. Moreover, the present study revealed that the accumulation of these bioactive metabolites resulted from the stimulation of the phenylpropanoid pathway by YPS treatment. It could be an effective strategy for improving the functional quality of the <em>F. tataricum em>sprouts provided with YPS.

  8. Immediate effect of nonspecific mandibular mobilization on postural control in subjects with temporomandibular disorder: a single-blind, randomized, controlled clinical trial Efeito imediato da mobilização mandibular inespecífica sobre o controle postural em indivíduos com disfunção temporomandibular: ensaio clínico controlado, randomizado, simples cego

    Directory of Open Access Journals (Sweden)

    Ana P. Amaral

    2013-04-01

    Full Text Available BACKGROUND: Temporomandibular disorder (TMD is considered multifactorial and is defined as a group of pain conditions characterized by functional stomatognathic system alterations, which may be affected by or related disrupted postural control. OBJECTIVE: Assess the immediate effect of nonspecific mandibular mobilization (NMM on the postural control of subjects diagnosed or not with TMD. METHOD: A simple-blind, randomized, controlled clinical trial was performed involving 50 subjects of both genders assigned to two groups: the TMD group and the control group. TMD was diagnosed according to the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD. A stabilometric assessment was performed by testing subjects in a quiet stance on a dual force platform under two visual conditions (eyes open and eyes closed. The Center of Pressure (CoP-related variables analyzed were displacement, amplitude, speed of anterior-posterior (AP and medial-lateral (ML displacements and CoP sway area. The mean values of each variable were compared, considering the accepted significance value of p CONTEXTUALIZAÇÃO: A disfunção temporomandibular (DTM é considerada multifatorial e se define como um grupo de condições dolorosas que se caracteriza por apresentar alterações funcionais do sistema estomatognático que podem estar relacionadas à perturbação ou a uma contribuição em relação ao controle da postura. OBJETIVO: Verificar o efeito imediato da mobilização mandibular inespecífica (MMI sobre o controle postural em indivíduos com e sem diagnóstico de DTM. MÉTODO: Realizou-se um ensaio clinico controlado, randomizado, simples cego, com 50 indivíduos de ambos os gêneros, alocados em dois grupos: grupo DTM e grupo controle, diagnosticados segundo o RDC/TMD. Realizou-se uma avaliação estabilométrica com os indivíduos sobre uma plataforma de força, em duas condições visuais: olhos abertos e fechados. As variáveis referentes ao

  9. Placebo interventions, placebo effects and clinical practice

    OpenAIRE

    Linde, Klaus; Fässler, Margrit; Meissner, Karin

    2011-01-01

    This article reviews the role of placebo interventions and placebo effects in clinical practice. We first describe the relevance of different perspectives among scientists, physicians and patients on what is considered a placebo intervention in clinical practice. We then summarize how placebo effects have been investigated in randomized controlled trials under the questionable premise that such effects are produced by placebo interventions. We further discuss why a shift of focus from the pla...

  10. Avaliação da efetividade da rede municipal pública de apoio diagnóstico em patologia clínica: o caso de Belo Horizonte (MG Effectiveness assessment of public clinical laboratories: the case of Belo Horizonte, Minas Gerais State

    Directory of Open Access Journals (Sweden)

    Leyla Gomes Sancho

    2011-01-01

    Full Text Available Importantes mudanças na organização de redes de laboratórios públicos de patologia clínica vêm ocorrendo sem, no entanto, uma decorrente avaliação de sua efetividade organizacional. O estudo pretendeu determinar um parâmetro da efetividade da rede pública de apoio diagnóstico em patologia clínica do município de Belo Horizonte e determinar os seus pontos de corte para as seções desses laboratórios. Para tanto, se consolidou por seção e pelo conjunto dos laboratórios da rede a produção total realizada e o número de horas trabalhadas durante um período de sete meses no ano de 2008. Foi observada nas seções do conjunto dos laboratórios da rede, decorrente da inscrição dos trabalhadores no modo de produção do setor, uma variabilidade em relação ao desempenho do conjunto dos trabalhadores. O parâmetro de efetividade da rede foi estabelecido em 29,90 exames por hora e o ponto de corte assumido para as seções, como consequência da primeira análise, ficou assim estabelecido: 15,50 para hematologia, 67,29 para bioquímica, 6,45 para parasitologia, 11,35 para urinálise, 4,94 para microbiologia e 19,03 para sorologia. Concluiu-se que o processo de trabalho nos laboratórios pode gerar uma diminuição na sua efetividade, assim como, por decorrência, suscitou a necessidade da implementação da avaliação como um instrumento de gestão no setor.The organization of public clinical laboratories is experiencing changes without, however, an organizational assessment of its effectiveness. The study aimed to determine a parameter of effectiveness for public clinical laboratories of Belo Horizonte, Minas Gerais State, and set cut-off points for the sections of these laboratories. In order to do so, the total production and number of hours worked during a period of 7 months in the year 2008 were consolidated. Due to the entrance of the workers in the mode of production in the laboratories network, it could be observed a

  11. Effect of sociodemographic, clinical-prophylactic and therapeutic procedures on survival of AIDS patients assisted in a Brazilian outpatient clinic Efeitos de fatores sociodemográficos, clínico-profiláticos e terapêuticos na sobrevida de pacientes com aids acompanhados em uma unidade ambulatorial brasileira

    OpenAIRE

    Dario José Hart Pontes Signorini; Claudia Torres Codeço; Marilia Sá Carvalho; Dayse Pereira Campos; Michelle Carreira Miranda Monteiro; Marion de Fátima Castro de Andrade; Jorge Francisco da Cunha Pinto; Carlos Alberto Morais de Sá

    2005-01-01

    The Brazilian AIDS Program offers free and universal access to antiretroviral therapy. This study investigates the influence of sociodemographic, clinical-prophylactic and therapeutic factors on survival, after AIDS diagnosis, in an open cohort of 1,420 patients assisted in a university hospital in the city of Rio de Janeiro (1995 _ 2002). Kaplan-Meier and Cox proportional hazards models were used to estimate the effect of variables in the three dimensions studied. The overall survival time o...

  12. Effect of Calcium and Potassium on Antioxidant System of <em>Vicia fabaem> L. Under Cadmium Stress

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    Hayssam M. Ali

    2012-05-01

    Full Text Available Cadmium (Cd in soil poses a major threat to plant growth and productivity. In the present experiment, we studied the effect of calcium (Ca2+ and/or potassium (K+ on the antioxidant system, accumulation of proline (Pro, malondialdehyde (MDA, and content of photosynthetic pigments, cadmium (Cd and nutrients, <em>i.e.>, Ca2+ and K+ in leaf of <em>Vicia faba em>L. (cv. TARA under Cd stress. Plants grown in the presence of Cd exhibited reduced growth traits [root length (RL plant−1, shoot length (SL plant−1, root fresh weight (RFW plant−1, shoot fresh weight (SFW plant−1, root dry weight (RDW plant−1 and shoot dry weight (SDW plant−1] and concentration of Ca2+, K+, Chlorophyll (Chl <em>a> and Chl <em>b em>content, except content of MDA, Cd and (Pro. The antioxidant enzymes [peroxidase (POD and superoxide dismutase (SOD] slightly increased as compared to control under Cd stress. However, a significant improvement was observed in all growth traits and content of Ca2+, K+, Chl <em>a>, Chl <em>b em>,Pro and activity of antioxidant enzymes catalase (CAT, POD and SOD in plants subjected to Ca2+ and/or K+. The maximum alleviating effect was recorded in the plants grown in medium containing Ca2+ and K+ together. This study indicates that the application of Ca2+ and/or K+ had a significant and synergistic effect on plant growth. Also, application of Ca2+ and/or K+ was highly effective against the toxicity of Cd by improving activity of antioxidant enzymes and solute that led to the enhanced plant growth of faba bean plants.

  13. Three New Myrsinol Diterpenes from <em>Euphorbia proliferaem> and Their Neuroprotective Activities

    Directory of Open Access Journals (Sweden)

    Yuanqiang Guo

    2012-08-01

    Full Text Available Three new myrsinol diterpenes were isolated from the roots of<em> em>>Euphorbia proliferaem>. Their structures were elucidated as 2<em>α-O>-isobutyryl-3<em>β>,5<em>α>,7<em>β>,10,15<em>β-penta-O>-acetyl-14<em>α-O>-benzoyl-10,18-dihydromyrsinol (1, 2<em>α-O>-isobutyryl-3<em>β-O>-propion-yl-5<em>α>,7<em>β>,10,15<em>β-tetra-O>-acetyl-10,18-dihydromyrsinol (2, and 2<em>α>,14<em>α-di-O>-benzoyl-3<em>β>,5<em>α>,7<em>β>,10,15<em>β-penta-O>-acetyl-10,18-dihydromyrsinol (3 on the basis of spectroscopic data analyses (IR, ESI-MS, HR-ESI-MS, and 1D and 2D NMR. Their neuroprotective activities were evaluated and compounds 1 and 2 showed neuroprotective effects against MPP+-induced neuronal cell death in SH-SY5Y cells.

  14. Chick Chorioallantoic Membrane (CAM Assay as an <em>In Vivem>>o em>Model to Study the Effect of Newly Identified Molecules on Ovarian Cancer Invasion and Metastasis

    Directory of Open Access Journals (Sweden)

    Carmela Ricciardelli

    2012-08-01

    Full Text Available The majority of ovarian cancer patients present with advanced disease and despite aggressive treatment, prognosis remains poor. Significant improvement in ovarian cancer survival will require the development of more effective molecularly targeted therapeutics. Commonly, mouse models are used for the <em>in vivo em>assessment of potential new therapeutic targets in ovarian cancer. However, animal models are costly and time consuming. Other models, such as the chick embryo chorioallantoic membrane (CAM assay, are therefore an attractive alternative. CAM assays have been widely used to study angiogenesis and tumor invasion of colorectal, prostate and brain cancers. However, there have been limited studies that have used CAM assays to assess ovarian cancer invasion and metastasis. We have therefore developed a CAM assay protocol to monitor the metastatic properties of ovarian cancer cells (OVCAR-3, SKOV-3 and OV-90 and to study the effect of potential therapeutic molecules <em>in vivoem>. The results from the CAM assay are consistent with cancer cell motility and invasion observed in <em>in vitro em>assays. Our results demonstrate that the CAM assay is a robust and cost effective model to study ovarian cancer cell metastasis. It is therefore a very useful <em>in vivoem> model for screening of potential novel therapeutics.

  15. Hadronic vacuum polarization effects in αem(MZ)

    International Nuclear Information System (INIS)

    Recent evaluations of the hadronic vacuum polarization contributions to the effective fine-structure constant αem(MZ) are summarized and commented. A new update based on corrected CMD-2 data is presented. My new estimates are Δαhad(5)(MZ2)=0.027773±0.000354 (e+e--data based) and Δαhad(5)(MZ2)=0.027664±0.000173 (via the Adler-function and extended use of pQCD). Prospects of further possible progress is discussed. (orig.)

  16. Short-term biological variation of clinical chemical values in dumeril's monitors (<em>Varanus dumeriliem>)

    DEFF Research Database (Denmark)

    Bertelsen, Mads Frost; Kjelgaard-Hansen, Mads Jens; Howell, Jennifer R.;

    2007-01-01

    Plasma biochemical values are routinely used in the medical management of ill reptiles, and for monitoring the health of clinically normal animals. Laboratory tests, including clinical biochemical values, are subject to biological and analytical variation, the magnitude of which determines the ut...

  17. final register SOLID FERMENTED MATERIAL (BOKASHI) AS A BIOFERTILIZER FOR POTTING MEDIA USING EFFECTIVE MICROORGANISMS (EM)

    OpenAIRE

    Jenkins, Tim A.; Daly, Mike

    2005-01-01

    Adding a solid fermentation product (bokashi) to potting media enhanced the growth of vegetable seedlings when the microbial inoculant Effective Micororganisms (EM) was used. There was a negative response to the inclusion of bokashi made without EM. The benefit to seedling growth from EM bokashi also improved crop performance post-transplanting. Effect on seedlings was further enhanced by the inclusion of fishmeal and, to a lesser extent, by adding trace elements in the bokashi fermentation. ...

  18. Standard errors for EM estimates in generalized linear models with random effects.

    Science.gov (United States)

    Friedl, H; Kauermann, G

    2000-09-01

    A procedure is derived for computing standard errors of EM estimates in generalized linear models with random effects. Quadrature formulas are used to approximate the integrals in the EM algorithm, where two different approaches are pursued, i.e., Gauss-Hermite quadrature in the case of Gaussian random effects and nonparametric maximum likelihood estimation for an unspecified random effect distribution. An approximation of the expected Fisher information matrix is derived from an expansion of the EM estimating equations. This allows for inferential arguments based on EM estimates, as demonstrated by an example and simulations. PMID:10985213

  19. In Vitro Antibacterial Effect of Effective Microorganisms( EM) on Aeromonas hydrophila

    Institute of Scientific and Technical Information of China (English)

    Zhu; Zhixiu; He; Houjun; Zhang; Wenbo; Wu; Xiangdong; Wan; Gen; Deng; Shunzhou; Liu; Songlin

    2014-01-01

    In order to understand in vitro antibacterial effect of antibiotics and EM on Aeromonas hydrophila,14 isolates of A. hydrophila were isolated from diseased fish and aquaculture in the study. PCR amplification results of aerolysin gene( Aero gene) of isolates indicated that 7 out of 14 isolates were pathogenic A.hydrophila. In vitro antibacterial test indicated that 14 isolates were resistance to penicillin G,ampicillin,cephradine,cefazolin,tetracycline,terimethoprim,lincomycin and cephalexin,but showed high sensitivity to cefotaxime and furazolidone. In vitro antibacterial effect of EM on 14 isolates of A. hydrophila was positively correlated with concentration,and EM with the concentration greater than 60% had antibacterial effect on 14 isolates.

  20. [Clinical application and therapeutic effects of elementalin].

    Science.gov (United States)

    Xu, Q S

    1990-12-01

    Elementalin, similar to Vivonex NH in composition. consisted of an amino acid mixture and many other essential nutrients. The amino acid mixture was extracted from swine blood and supplemented with some crystal L-amino acids. Animal experiment suggested that it have a better therapeutic effects than a domestic elemental diet. 86 malnourished patients with digestive tract diseases were selected to carry out its clinic evaluation. The results showed that it could maintain or increase body weight, improve nitrogen balance and elevate the level of plasma proteins postoperatively. The total effective rate was 94.2%. No obvious side effect was found. PMID:2128267

  1. Molecular epidemiology and antimicrobial susceptibility of clinical <em>Staphylococcus aureusem> from healthcare institutions in Ghana

    DEFF Research Database (Denmark)

    Egyir, Beverly; Guardabassi, Luca; Sørum, Marit;

    2014-01-01

    The objective of this study was to determine the antimicrobial susceptibility patterns and clonal diversity of clinical Staphylococcus aureus isolates from Ghana. A total of 308 S. aureus isolates from six healthcare institutions located across Northern, Central and Southern Ghana were characteri...

  2. What makes an effective clinical trainer?

    Directory of Open Access Journals (Sweden)

    Mohammed Alsultan

    2011-01-01

    Full Text Available This study aims at identifying characteristics and behavioral patterns associated with the ideal tutor in different medical fields. This study is expected to answer two questions, first is effective supervision and how can this be determined? And secondly, what skills and qualities do effective supervisors need? An English limited search was performed in many databases including MEDLINE, BEI, and International ERIC for the last 20 years using many search items to identify characteristics cited in the literature as being important for effective clinical teaching. One hundred thirty two articles identified the review excluded literature relating to research supervision. Findings revealed that some of these investigations relied on the tutor′s point of view, others on a resident′s or a student′s opinion or both. Descriptors for effective clinical teachers were categorized into three main classes: (a teaching skills (i.e. well-prepared, practices evidence-based medicine and believes in its principles and applications, effective, accessible, and provides and accepts both positive and negative feedback, (b personality (i.e. enthusiastic, respectable, sincere, confident, humanitarian, and compassionate, and (c attitude (i.e. health advocate, good role-model, encouraging, non-judgmental, aware of learners′ growth, well-groomed, and appropriately dressed. Other factors such as the trainer′s health (i.e. professional, personal, and spiritual fulfillment and his/her scholarly activities were also identified.

  3. Vincamina em pacientes com insuficiencia vascular cerebral Effects of vincamine in patients with cerebrovascular insufficiency

    Directory of Open Access Journals (Sweden)

    Sérgio Pereira Novis

    1975-03-01

    Full Text Available Foram estudados, em 20 casos de pacientes com insuficiência vascular cerebral, os efeitos do tratamento com a vincamina. Os doentes foram previamente submetidos a exames neurológico, eletrencefalográfico, laboratoriais, psicométricos (teste de memória, teste de capacidade intelectiva, teste de atenção concentrada, raciocínio abstrato e de personalidade. Os pacientes foram medicados com vincamina na dose de 40 mg nas 24 horas durante o período aproximado de 150 dias, após o que foram novamente submetidos à análise idêntica. Os resultados obtidos, apresentados em tabelas, revelam que, em razoável percentual, foi a vincamina medicamento útil no controle das manifestações clínicas da insuficiência vascular cerebral, sendo evidenciada melhora nos índices de déficit de memória retrógrada e anterógrada observados nos testes objetivos. Houve também melhora no padrão eletrencefalográfico de alguns pacientes.The effects of the treatment with vincamine in 20 patients with cerebral vascular insufficiency are reported. The patients were previously submitted to the following tests: neurologic examination, electroencephalography, laboratory tests, psychometry (memory, intellective capability, concentrated attention, abstract reasoning and personality tests. Patients were medicated with vincamin in a 40 mg dose within 24 hours during approximately a 150 days period, after which were again submitted to an identical analysis. The results obtained revealed that in a reasonable percentage of the cases vincamin is an useful medication in controlling the clinical manifestations of the cerebral vascular insufficiency, an improvement being demonstrated in the retrograde and anterograde deficit rate observed in objective tests. An improvement was also noticed in the electroencephalograpric pattern of a few patients.

  4. Clinical disease, immunity and protection against <em>Plasmodium falciparumem> malaria in populations living in endemic areas

    DEFF Research Database (Denmark)

    Hviid, L

    1998-01-01

    and mortality in an endemic setting (malaria is regularly found) is concentrated in children below the age of five years, and the increasing resistance to infection and disease with age is conventionally thought to reflect a slow and gradual acquisition of protective immunity. Many recent and...... comprehensive reviews of malarial immunity exist; rather than attempting to add another, this review summarises some of the recent evidence on how protective immunity is acquired in humans and what precipitates clinical disease, specifically as it relates to populations living in areas where the disease is...... endemic. It is becoming increasingly clear that naturally acquired protective immunity depends largely on responses directed against highly variable parasite antigens. This implies that a successful blood-stage vaccine against this disease must be able to either induce protective responses against many of...

  5. Clinical Impact of <em>TP53em> Gene Mutations in Diffuse Large B-Cell Lymphoma (DLBCL)

    DEFF Research Database (Denmark)

    Young, Ken H; Patten, Nancy; Truong, Sim;

    2009-01-01

    mutations) had significantly decreased median OS (17 months) when compared to patients with Loop L2 (16% of all mutations) or loop-sheet-helix motifs (Loop L1-S10-H2, 20% of all mutations) with median OS of 49 and 50 months, respectively. In contrast to our previous CHOP series study, median survival was...... ratio of 0.69 (GCB vs ABC, 95% CI 0.49-0.98) and 1.60 (TP53 vs wt-TP53, 95% CI 1.10-2.31), respectively. Similar to our previous CHOP study, the TP53 mutation profile, regardless of location, was found to stratify GCB-DLBCL, but not ABC-DLBCL, into molecularly distinct subsets with different clinical...... either the CHOP or Rituxan-CHOP regimen. These findings also provide the rationale and strategies for p53 targeted therapeutic intervention in DLBCL patients. Disclosures: Kahl: Milllennium: Consultancy, Research Funding; Cephalon: Consultancy, Research Funding....

  6. EFEITO DA SUPLEMENTAÇÃO PROTÉICA SOBRE OS PARÂMETROS CLÍNICOS E PARASITOLÓGICOS DE OVINOS MANTIDOS EM PASTAGEM DE TIFTON 85 EFFECT OF PROTEIN SUPPLEMENTATION ON THE CLINICAL AND PARASITOLOGICAL PARAMETERS OF LAMBS UNDER PASTURE OF TIFTON 85

    Directory of Open Access Journals (Sweden)

    Daniel Maia Nogueira

    2009-12-01

    Full Text Available

    A suplementação proteica pode ser uma importante ferramenta para os sistemas de produção de ovinos em pastagens tropicais. Objetivou-se com este trabalho avaliar os parâmetros clínicos e parasitológicos de ovinos mantidos em pastagem de Tifton 85 (Cynodon dactylon irrigada, recebendo suplementos com diferentes fontes proteicas. Foram utilizados 28 ovinos castrados e mestiços, distribuídos homogeneamente em quatro tratamentos. Além do controle não suplementado, os tratamentos avaliados foram: farelo de soja, ureia e torta de algodão. Realizou-se a vermifugação dos animais de acordo com o método Famacha©. Não houve diferença significativa (P>0,05 entre os tratamentos para o consumo de matéria seca total, ganho médio diário e ganho de peso total. Foi observado maior consumo de forragem (P<0,05 para os animais mantidos exclusivamente em pastagem. Estes animais também apresentaram maior contagem de ovos por grama de fezes (OPG (P<0,05 em comparação aos suplementados com ureia ou com torta de algodão. Não houve diferença significativa (P>0,05 para os diferentes tons de coloração da conjuntiva nem para o número de animais vermifugados. Observou-se uma prevalência de 72,0% a 83,0% de larvas de Trichostrongylus sp. As diferentes suplementações proteicas não influenciaram as características clínicas nem produtivas dos animais.

    PALAVRAS-CHAVES: Cynodon dactylon, endoparasitas, Famacha©, farelo de soja, torta de algodão, ureia.
    The protein supplementation may be an important tool for sheep production systems in tropical grazing. This work aimed to evaluate parasitological and clinical aspects of lambs under irrigated pasture of Tifton 85 (Cynodon dactylon and receiving supplementation from different protein sources. Twenty-eight, castrated and crossbreed lambs, were used as animal testers and allocated into four treatments. Besides the control with exclusively use of pasture

  7. Effect of EM Bokashi application on control of secondary soil salinization

    Directory of Open Access Journals (Sweden)

    Shao Xiaohou

    2008-12-01

    Full Text Available Abstract: In order to ameliorate saline-alkaline soil, EM Bokashi has been applied to rice production in conjunction with subdrainage in Ningxia Autonomous Region and Zhejiang Province. The preliminary results can be summarized as follows: EM Bokashi can increase soil organic matter content, improve soil porosity and permeability, and raise the soil’s levels of available nutrients; and EM Bokashi combined with subdrainage treatment is more effective in controlling secondary soil salinization and raising the grain yield and quality than other treatments. The results suggest that EM Bokashi can reduce the necessary amount of chemical fertilizer application, thereby improving the agricultural environment, and that the introduction of EM Bokashi into systems of secondary soil salinization control systems has resulted in significant benefits.

  8. Effect of EM Bokashi application on control of secondary soil salinization

    Institute of Scientific and Technical Information of China (English)

    Shao Xiaohou; Tan Min; Jiang Ping; Cao Weiling

    2008-01-01

    In order to ameliorate saline-alkaline soil, EM Bokashi has been applied to rice production in conjunction with subdrainage in Ningxia Autonomous Region and Zhejiang Province. The preliminary results can be summarized as follows: EM Bokashi can increase soil organic matter content, improve soil porosity and permeability, and raise the soil's levels of available nutrients; and EM Bokashi combined with subdrainage treatment is more effective in controlling secondary soil salinization and raising the grain yield and quality than other treatments. The results suggest that EM Bokashi can reduce the necessary amount of chemical fertilizer application, thereby improving the agricultural environment, and that the introduction of EM Bokashi into systems of secondary soil salinization control systems has resulted in significant benefits.

  9. 200 city survey. JEMS 2001 annual report on EMS operational & clinical trends in large, urban areas.

    Science.gov (United States)

    Cady, Geoff

    2002-02-01

    This year's survey offered examples of evolving partnerships between the public and EMS providers with a growing number of systems implementing PAD programs. The apparent influence of a communication center's managing agency on prioritization strategies is concerning. However, further study is needed. EMS managers must pay careful attention to comm center practices and technology to ensure their ability to support response prioritization and the efficient management of EMS resources. The small reduction in the use of hot response (lights and siren) to every request for service is disappointing in light of medical literature and position statements that condemn this practice. Resource response can be safely prioritized using today's EMD protocol systems. Prioritization and changing response [figure: see text] time requirements to address impending revenue and service demand changes will require additional standardization of methodologies and reporting of response times to relate this measure to other system performance indicators (e.g., patient morbidity/mortality, cost, customer satisfaction, etc.). The future presents a difficult road for system administrators. However, the adoption of a growing number of information-management tools and changes in procedures and dispatch processes offer potential solutions. The increased use of hand-held computers or personal digital assistant (PDAs) to gather and provide information and the almost universal use of CAD will aid providers in performing the research necessary to change response time performance requirements, improving EMS system efficiency. Use of this technology will also likely improve patient care and reimbursement through more timely and accurate reporting and analysis. The medical director's role will be critical to ensuring potential changes don't compromise patient care. Obtaining a better understanding of how much time can safely elapse between the time of the 9-1-1 call and when patient-care activities

  10. Contrast media: Biologic effects and clinical application

    International Nuclear Information System (INIS)

    An overview is presented of the recent developments in contrast media and their clinical applications, plus the current state-of-the-art in computerized tomography, digital subtraction angiography, ultrasound and magnetic resonance imaging (MRI). Contents of these volumes include: an in-depth review of the historical development, modern perspectives in structure-function relationships, biologic effects on hemostats, gastrointestinal, cardiovascular systems and drug interactions. Critical and basic issues, including cellular toxicity, mutagenesis, synergism between radiation and contrast agents, mechanisms in contrast-induced reactions, and the management of such reactions in high-risk patients are also presented. Specific applications of paramagnetic compounds in MRI and the recent concept of liposome-encapsulated and particulate suspension of contrast materials in diagnostic imaging are thoroughly discussed

  11. Contrast media: Biologic effects and clinical application

    Energy Technology Data Exchange (ETDEWEB)

    Parvez, Z.; Moncada, R.; Sovak, M.

    1987-01-01

    An overview is presented of the recent developments in contrast media and their clinical applications, plus the current state-of-the-art in computerized tomography, digital subtraction angiography, ultrasound and magnetic resonance imaging (MRI). Contents of these volumes include: an in-depth review of the historical development, modern perspectives in structure-function relationships, biologic effects on hemostats, gastrointestinal, cardiovascular systems and drug interactions. Critical and basic issues, including cellular toxicity, mutagenesis, synergism between radiation and contrast agents, mechanisms in contrast-induced reactions, and the management of such reactions in high-risk patients are also presented. Specific applications of paramagnetic compounds in MRI and the recent concept of liposome-encapsulated and particulate suspension of contrast materials in diagnostic imaging are thoroughly discussed.

  12. Effective Mentoring in the Clinical Setting.

    Science.gov (United States)

    Shellenbarger, Teresa; Robb, Meigan

    2016-04-01

    This article is one in a series on the roles of adjunct clinical faculty and preceptors, who teach nursing students and new graduates to apply knowledge in clinical settings. This article describes mentoring strategies clinical instructors and preceptors can use to help ease novice nurses' transition to practice. PMID:27011145

  13. Caracterização microbiológica e clínica de surtos de "red leg" em Minas Gerais e avaliação do efeito bactericida in vitro do Vantocil IB® para Aeromonas hydrophila Microbiological and clinical characterization of "red leg" outbreaks in Minas Gerais, Brazil, and evaluation of in vitro bacterial effects of Vantocil IB® for Aeromonas hydrophila

    Directory of Open Access Journals (Sweden)

    Anna Christina de Almeida

    2000-08-01

    Full Text Available Com o objetivo da caracterização da ocorrência de "red leg" em Minas Gerais, avaliaram-se rãs jovens e adultas que apresentavam úlceras nas patas e dedos, derrame hemorrágico na pele da região ventral, incoordenação motora, altas taxas de mortalidade em adultos e abscessos hepáticos à necropsia. No cultivo de fragmentos de pele lesada e abscessos, foi isolado e identificado Aeromonas hydrophila. O efeito bactericida do VANTOCIL IB® foi superior ao permanganato de potássio, determinado pela concentração inibitória mínima para colónias isoladas.With the objective of characterizating lhe ocurrence of "red leg" in Minas Gerais, Brazill, young and adult frogs which presented in theirpads and limbs hemorragie in the skin of the ventral region, incordination, high death rate in adults and hepatic abscess at necropsy, have been evaluated. In fragment culture ofdamage skin and abscess, Aeromonas. hydrophila hás been isolated and identified. The bactericidal effect of VANTOCIL IB® was higher than that of potassium permanganate, as determinated by the minimal inhibitory concentration for isolated colonies.

  14. Regulation EM-ER-6. Requirements for the realization of clinical essays to the medical equipments

    International Nuclear Information System (INIS)

    This regulation applies to the medical equipment that become incorporated to the stage of clinical trial required for its evaluation and record, for which they are subdued to clinical investigation for the sake of verifying, in conditions specified of use, its functioning, identifying besides any undesirable defect. It extends to manufacturers of medical equipments, Public Health's units where the clinical investigations with those equipments take place and to the rest of the entities of the MINSAP . Its objective is to protect the participating subjects in the clinical investigations; Assuring the conduction of the clinical investigation and specifying the requirements for the conduction of the clinical investigations and the documentation required for it.

  15. Dispositivos clínicos em hospital geral Clinical dispositives in the general hospital

    OpenAIRE

    Ana Cleide Guedes Moreira; Cassandra Regina de Amorim Pamplona

    2006-01-01

    Este trabalho participa de investigação sobre a inserção da Psicanálise no campo institucional e hospitalar de saúde, objetivando formular contribuições, a partir da clínica da melancolia e dos estados depressivos, para a construção de dispositivos clínicos em hospital geral do Sistema Único de Saúde.This paper is a part of a research project that investigates the insertion of Psychoanalysis into the health institutional field and hospitals; the objective is to formulate contributions from th...

  16. Evaluation of Antioxidant and Antiproliferative Properties of Three <em>Actinidia> (<em>Actinidia> <em>kolomikta>, <em>Actinidia argutaem>, <em>Actinidia> <em>chinensis> Extracts <em>in Vitroem>

    Directory of Open Access Journals (Sweden)

    Jia-Ren Liu

    2012-05-01

    Full Text Available The total phenolic content, total flavonoid content, vitamin C content, and antioxidant activities of ethanol extracts from different kiwifruit varieties (<em>Actinidia> <em>kolomikta>, <em>Actinidia argutaem>, <em>Actinidia> <em>chinensis> were determined in this study. Multiple scavenging activity assays including the hydroxyl radical, O2·radical, DPPH, and the ABTS+ radical scavenging activity assays were used to identify the antioxidant activities of <em>Actinidia> extracts. The cell viability of HepG2 and HT-29 cells was also examined in this study. The results demonstrated that the <em>Actinidia kolomiktaem> extract had a higher antioxidant activity than the other two <em>Actinidia> extracts. There is a positive correlation between antioxidant activity and the polyphenols and vitamin C content in all three extracts (<em>R>2 ≥ 0.712, <em>p> em>< 0.05. The <em>Actinidia argutaem> extract had the highest inhibitory effect on HepG2 and HT-29 cell growth. These results provide new insight into the health functions of fruit and demonstrate that <em>Actinidia> extracts can potentially have health benefits.

  17. Evaluation of Pseudopteroxazole and Pseudopterosin Derivatives against <em>Mycobacterium> <em>tuberculosis> and Other Pathogens

    Directory of Open Access Journals (Sweden)

    Malcolm W. B. McCulloch

    2012-08-01

    Full Text Available Pseudopterosins and pseudopteroxazole are intriguing marine natural products that possess notable antimicrobial activity with a commensurate lack of cytotoxicity. New semi-synthetic pseudopteroxazoles, pseudopteroquinoxalines and pseudopterosin congeners along with simple synthetic mimics of the terpene skeleton were synthesized. In order to build structure-activity relationships, a set of 29 new and previously reported compounds was assessed for <em>in> <em>vitro> antimicrobial and cytotoxic activities. A number of congeners exhibited antimicrobial activity against a range of Gram-positive bacteria including <em>Mycobacterium> <em>tuberculosis> H37Rv, with four displaying notable antitubercular activity against both replicating and non-replicating persistent forms of <em>M.> <em>tuberculosis>. One new semi-synthetic compound, 21-((1<em>H>-imidazol-5-ylmethyl-pseudopteroxazole (7a, was more potent than the natural products pseudopterosin and pseudopteroxazole and exhibited equipotent activity against both replicating and non-replicating persistent forms of <em>M.> <em>tuberculosis> with a near absence of <em>in> <em>vitro> cytotoxicity. Pseudopteroxazole also exhibited activity against strains of <em>M.> <em>tuberculosis> H37Rv resistant to six clinically used antibiotics.

  18. Magnetic field effects on endcap EM calorimetry in SDC

    International Nuclear Information System (INIS)

    The SDC calorimeter will be immersed in a strong magnetic field in the endcap region because of the solenoid which supplies the SDC tracking field. This flux must be returned through the endcap region of the electromagnetic (EM) and hadronic (HAD) calorimeters. Since magnetic fields are known to induce changes in the light output of plastic scintillator, the endcap will need to be recalibrated once the solenoid is energized. In addition, gradients in the field will create nonuniformities in the calorimetric response. The ''induced constant term'' in the EM and HAD calorimeters due to the inhomogeneities induced by the magnetic field are here evaluated in order to see that SDC performance specifications are not compromised

  19. Clinical side effects during aerosol therapy: cutaneous and ocular effects.

    Science.gov (United States)

    Geller, David E

    2007-01-01

    Aerosolized medications maximize clinical benefit by targeting the airways and minimize side effects by reducing (though not eliminating) systemic exposure. Aerosolized drugs delivered with a facemask may inadvertently deposit on the face and in the eyes, raising concerns about cutaneous and ocular side effects with these drugs. Cases of anisocoria have been reported from exposure of the eyes to aerosol bronchodilators. Whether inhaled corticosteroids (ICS) can cause skin and eye problems like those seen with systemic or topical steroids is more difficult to answer. Patients who take ICS may have other corticosteroid exposures, or have other conditions that predispose them to side effects, making the analysis of the ICS risk challenging. Also, many studies were not designed to search for cutaneous or ocular effects, or may have been too short to detect these effects. Nevertheless, ICS have been associated with an increased risk of skin thinning, bruising, cataracts and possibly glaucoma in adults, but not in children. The risks increase with advanced age, higher doses, and longer duration of use. In children, the risks of cataracts and glaucoma were negligible with ICS, whether a mouthpiece or a mask interface was used. Side effects like skin rash and conjunctivitis occurred at low frequencies similar to placebo or comparator drugs. We do not know whether exposed children will have increased risks from ICS later in life. Therefore, it is wise to avoid face and eye deposition when possible, and to use the minimally effective dose. PMID:17411401

  20. Providing effective supervision in clinical neuropsychology.

    Science.gov (United States)

    Stucky, Kirk J; Bush, Shane; Donders, Jacobus

    2010-01-01

    A specialty like clinical neuropsychology is shaped by its selection of trainees, educational standards, expected competencies, and the structure of its training programs. The development of individual competency in this specialty is dependent to a considerable degree on the provision of competent supervision to its trainees. In clinical neuropsychology, as in other areas of professional health-service psychology, supervision is the most frequently used method for teaching a variety of skills, including assessment, report writing, differential diagnosis, and treatment. Although much has been written about the provision of quality supervision in clinical and counseling psychology, very little published guidance is available regarding the teaching and provision of supervision in clinical neuropsychology. The primary focus of this article is to provide a framework and guidance for the development of suggested competency standards for training of neuropsychological supervisors, particularly at the residency level. In this paper we outline important components of supervision for neuropsychology trainees and suggest ways in which clinicians can prepare for supervisory roles. Similar to Falender and Shafranske (2004), we propose a competency-based approach to supervision that advocates for a science-informed, formalized, and objective process that clearly delineates the competencies required for good supervisory practice. As much as possible, supervisory competencies are related to foundational and functional competencies in professional psychology, as well as recent legislative initiatives mandating training in supervision. It is our hope that this article will foster further discussion regarding this complex topic, and eventually enhance training in clinical neuropsychology. PMID:20582855

  1. Effects of Sorafenib on <em>C>-Terminally Truncated Androgen Receptor Variants in Human Prostate Cancer Cells

    Directory of Open Access Journals (Sweden)

    Mark Schrader

    2012-09-01

    Full Text Available Recent evidence suggests that the development of castration resistant prostate cancer (CRPCa is commonly associated with an aberrant, ligand-independent activation of the androgen receptor (AR. A putative mechanism allowing prostate cancer (PCa cells to grow under low levels of androgens, is the expression of constitutively active, <em>C>-terminally truncated AR lacking the AR-ligand binding domain (LBD. Due to the absence of a LBD, these receptors, termed ARΔLBD, are unable to respond to any form of anti-hormonal therapies. In this study we demonstrate that the multikinase inhibitor sorafenib inhibits AR as well as ARΔLBD-signalling in CRPCa cells. This inhibition was paralleled by proteasomal degradation of the AR- and ARΔLBD-molecules. In line with these observations, maximal antiproliferative effects of sorafenib were achieved in AR and ARΔLBD-positive PCa cells. The present findings warrant further investigations on sorafenib as an option for the treatment of advanced AR-positive PCa.

  2. Urticária pigmentosa em adulto com apresentação clínica exuberante Clinically exuberant urticaria pigmentosa in an adult patient

    Directory of Open Access Journals (Sweden)

    Josemir Belo dos Santos

    2006-10-01

    Full Text Available A mastocitose é afecção rara e heterogênea, caracterizada por aumento da densidade dos mastócitos na pele e em outros órgãos, para a qual não há tratamento específico. Descreve-se um caso de urticária pigmentosa em paciente adulta com quadro clínico exuberante.Mastocytosis is a rare, heterogeneous disorder characterized by marked increase in mast cell density in the skin and other organs. A clinically exuberant case of urticaria pigmentosa in an adult woman is presented.

  3. High diversity of plasmids harbouring <em>bla>CMY-2 among clinical <em>Escherichia coli em>isolates from humans and companion animals in the upper Midwestern USA

    DEFF Research Database (Denmark)

    Bortolaia, Valeria; Hansen, Katrine Hartung; Nielsen, Christine;

    2014-01-01

    To determine the population structure and genetic relatedness of plasmids encoding CMY-2 β-lactamase in clinical Escherichia coli from humans and companion animals within a defined geographical area.......To determine the population structure and genetic relatedness of plasmids encoding CMY-2 β-lactamase in clinical Escherichia coli from humans and companion animals within a defined geographical area....

  4. Efeitos clínicos e microbiológicos do óleo de copaíba (Copaifera officinalis sobre bactérias formadoras de placa dental em cães Clinical and microbiological effects of copaiba oil (Copaifera officinalis on dental plaque forming bacteria in dogs

    Directory of Open Access Journals (Sweden)

    F.A. Pieri

    2010-06-01

    Full Text Available O potencial de uso do óleo de copaíba (Copaifera officinalis na prevenção da doença periodontal, eliminando seu agente etiológico, foi avaliado em 18 cães sem raça definida, distribuídos homogeneamente em três grupos: teste, (contendo óleo de copaíba controle positivo e controle negativo. Os tratamentos ocorreram três vezes ao dia, durante oito dias. Ao nono dia, os animais receberam aplicação tópica de fucsina básica 0,5% para evidenciação do biofilme. Mudanças na halitose e gengivite foram avaliadas diariamente por inspeção visual. Adicionalmente, foram realizados testes laboratoriais de inibição de aderência de Streptococcus mutans e ensaio antimicrobiano de difusão em ágar, sobre bactérias formadoras de placa dental. Os resultados da placa evidenciada apontaram áreas de cobertura microbiana nos dentes de 53,4±8,8%, 28,5±5,4%, e 22,3±5,3% para os grupos negativo, positivo e teste, respectivamente, indicando diferença entre o controle negativo e os demais grupos (PThe copaiba oil (Copaifera officinalis potential was evaluated in preventing periodontal disease and reducing its etiology. For that 18 mongrel dogs were homogeneously distributed in three groups: test (copaiba oil, positive control (chlorexidine and negative control. The treatments were carried out three times a day, during eight days. On the 9th day, the animals were tested with a 0.5% basic solution of fuchsin for the detection of biofilm. Changes in halitosis and gingivitis were daily observed. In addition, the following laboratory tests were done: inhibition of the adherence of Streptococcus mutans, and plaque forming bacteria antimicrobial assays by the agar diffusion method. The results of the fuchsin test showed that dental plaque reached areas of 53.4±8.8%, 28.5±5.4%, and 22.3±5.3% in the negative control, positive control, and test groups, respectively, showing differences between dogs from the negative control group and dogs from the

  5. <em>Hedyotis diffusaem> Willd Inhibits Colorectal Cancer Growth <em>in Vivoem> via Inhibition of STAT3 Signaling Pathway

    Directory of Open Access Journals (Sweden)

    Jun Peng

    2012-05-01

    Full Text Available Signal Transducer and Activator of Transcription 3 (STAT3, a common oncogenic mediator, is constitutively activated in many types of human cancers; therefore it is a major focus in the development of novel anti-cancer agents. <em>Hedyotis diffusaem> Willd has been used as a major component in several Chinese medicine formulas for the clinical treatment of colorectal cancer (CRC. However, the precise mechanism of its anti-tumor activity remains largely unclear. Using a CRC mouse xenograft model, in the present study we evaluated the effect of the ethanol extract of<em> Hedyotis diffusaem> Willd (EEHDW on tumor growth <em>in vivoem> and investigated the underlying molecular mechanisms. We found that EEHDW reduced tumor volume and tumor weight, but had no effect on body weight gain in CRC mice, demonstrating that EEHDW can inhibit CRC growth <em>in vivoem> without apparent adverse effect. In addition, EEHDW treatment suppressed STAT3 phosphorylation in tumor tissues, which in turn resulted in the promotion of cancer cell apoptosis and inhibition of proliferation. Moreover, EEHDW treatment altered the expression pattern of several important target genes of the STAT3 signaling pathway, <em>i.e.>, decreased expression of Cyclin D1, CDK4 and Bcl-2 as well as up-regulated p21 and Bax. These results suggest that suppression of the STAT3 pathway might be one of the mechanisms by which EEHDW treats colorectal cancer.

  6. Anoftalmia clínica bilateral associada à hidrocefalia congênita em cão Bilateral clinical anophthalmia associated with congenital hydrocephalus in the dog

    Directory of Open Access Journals (Sweden)

    Mariana Isa Poci Palumbo

    2011-07-01

    Full Text Available A ausência completa do bulbo ocular é muito rara em cães e gatos, enquanto a hidrocefalia é comumente observada como distúrbio congênito em cães de raças miniatura ou braquicefálicas, com menos de um ano de idade. O presente trabalho relata a ocorrência de anoftalmia clínica bilateral associada à hidrocefalia congênita em um cão da raça poodle, sendo este o primeiro relato de caso da associação dessas alterações no Brasil.The complete absence of the eyeball is rare in dogs and cats, and hydrocephalus is commonly seen as a congenital disorder in toy or brachycephalic dogs before one year old. This paper describes for the first time in Brazil the occurrence of bilateral clinical anophthalmia associated to congenital hydrocephalus in a dog.

  7. Cost-effectiveness of malaria microscopy and rapid diagnostic tests <em>versus> presumptive diagnosis

    DEFF Research Database (Denmark)

    Batwala, Vincent; Magnussen, Pascal; Hansen, Kristian S.;

    2011-01-01

    ABSTRACT: BACKGROUND: Current Uganda National Malaria treatment guidelines recommend parasitological confirmation either by microscopy or rapid diagnostic test (RDT) before treatment with artemether-lumefantrine (AL). However, the cost-effectiveness of these strategies has not been assessed at...

  8. Clinical guidelines and their civil law effects.

    Science.gov (United States)

    Hulst, E

    2002-01-01

    The number of clinical guidelines or protocols for medical treatment is growing. Considered as an important instrument for increasing the quality of medicine, these originally intended technical guidelines turn out to influence doctor's civil liability. Ignoring those guidelines in itself may cause a breach of a doctor's duty of care according to civil law and he may be charged to produce evidence that his medical treatment was correct. This development is taking place in several countries as France, Germany, United Kingdom and the Netherlands. PMID:15795994

  9. Flavonoids - Clinical effects and applications in dentistry: A review

    Directory of Open Access Journals (Sweden)

    S Leena Sankari

    2014-01-01

    Full Text Available Flavonoids include a huge group of naturally occurring organic compounds. It is found in a large variety of plants including fruits, seeds, grains, tea vegetables, nuts, and wine. Many studies have shown that there is a strong association between flavonoid intake and the long-term effects on mortality. It is widely used in dentistry and it has many clinical effects. This article summarizes the effects of flavonoids to humankind and its clinical applications in dentistry.

  10. Anticonvulsant effects of <em>Searsia dentataem> (Anacardiaceae) leaf extract in rats

    DEFF Research Database (Denmark)

    Pedersen, Mikael Egebjerg; Baldwin, Roger A; Niquet, Jerome;

    2010-01-01

    Searsia species are used in South Africa to treat epilepsy. Previous studies have demonstrated an in vitro N-methyl-D-aspartic acid (NMDA) receptor antagonistic effect of the ethanolic leaf extract. The aim of this study was to evaluate the potential anticonvulsant properties of the ethanolic ext...

  11. Effects of shading on <em>Vallisneria natansem> (Lour.) H. Hara growth

    DEFF Research Database (Denmark)

    Fox, Anthony David; Meng, F; Shen, X;

    2013-01-01

    Effects of surface shading were measured on above- and below-ground biomass and fruit production of Vallisneria natans (Lour.) H. Hara plants grown from seed in replicated microcosm experiments, based on a control (no shading) and four treatments (25%, 50%, 75% and 90% shading). Above- and below-...... Trapa spp. at seasonally inundated wetlands in the Yangtze River floodplain could, by shading, have contributed to the reduction in annual biomass and seed production of V. natans, contributing to declines in distribution and abundance....

  12. Effect of <em>Legionella pneumophilaem> cytotoxic protease on human neutrophil and monocyte function

    DEFF Research Database (Denmark)

    Rechnitzer, C; Kharazmi, A

    1992-01-01

    protease on the chemotactic activity of neutrophils was demonstrated by the continued inhibition of neutrophil chemotaxis when the protease was removed following pre-incubation of the cells. In contrast, the enzyme had no effect on monocyte chemotaxis. The protease inhibited, also in a concentration...... activity of L. pneumophila protease on neutrophil chemotaxis and on the listericidal activity of human neutrophils and monocytes demonstrated in this study provides evidence for a role of this enzyme in the pathogenesis of Legionnaires' disease....

  13. Influence of motivations for seeking ISO 14001 certification on perceptions of EMS effectiveness in China.

    Science.gov (United States)

    Fryxell, Gerald E; Lo, Carlos Wing-Hung; Chung, Shan Shan

    2004-02-01

    This study examines the motivations of mainland Chinese facilities in seeking ISO 14001 certification and examines the linkages between these motivations and self-reports of the effectiveness of major environmental management system (EMS) components. In a sample of 128 facilities in Beijing, Shanghai, and Guangzhou, the main drivers for certification were reported to be to ensure regulatory compliance, to enhance the firm's reputation, and to improve environmental performance, in that order. Although motivation to achieve cost reductions were least emphasized, a broad range of motivations appears to be considered in the decision to seek certification to ISO 14001. Regression models linking these motivations to the EMS components suggests that internal motivations have an influence on most EMS components. One interesting exception to this, however, is that no significant relationship was observed between internal motivations and the promulgation of environmental objectives and targets. The relationships associated with external motivations for certification (i.e., those in response to customer and other stakeholder pressures) and EMS components, on the other hand, are weaker and tend to occur earlier in the process cycle. No significant relationships were found between motivations to reduce costs and perceptions of the effectiveness of EMS components. Overall, these findings suggest that ISO 14001, as currently being implemented in mainland China, may have a modestly useful role when used in combination with other policy mechanisms to move the Chinese economy toward more sustainable practices. It is asserted that the ISO standard could provide even greater benefits if Chinese registrars were more proactive in developing EMS in conjunction with even more rigorous third-party audits. PMID:15285401

  14. Importance of placebo effect in cough clinical trials.

    Science.gov (United States)

    Eccles, Ron

    2010-01-01

    Cough is a unique symptom because, unlike sneeze and other symptoms, it can be under voluntary control and this complicates clinical trials on cough medicines. All over-the-counter cough medicines (OTC) are very effective treatments because of their placebo effect. The placebo effect is enhanced by expectancy related to advertising, brand, packaging, and formulation. This placebo effect creates a problem for the conduct of clinical trials on OTC cough medicines that attempt to demonstrate the efficacy of a pharmacological agent above that of any placebo effect. Up to 85% of the efficacy of some cough medicines can be attributed to a placebo effect. The placebo effect apparent in clinical trials consists of several components: natural recovery, regression of cough response toward mean, demulcent effect, effect of sweetness, voluntary control, and effects related to expectancy and meaning of the treatment. The placebo effect has been studied most in the pain model, and placebo analgesia is reported to depend on the activation of endogenous opioid systems in the brain; this model may be applicable to cough. A balanced placebo design may help to control for the placebo effect, but this trial design may not be acceptable due to deception of patients. The placebo effect in clinical trials may be controlled by use of a crossover design, where feasible, and the changes in the magnitude of the placebo effect in this study design are discussed. PMID:19760296

  15. Effects of artemisinin and <em>Artemisia annuaem> extracts on xenic bacteria isolated from clonal cultures of <em>Histomonas meleagridisem>

    DEFF Research Database (Denmark)

    Thøfner, Ida; Hess, Claudia; Liebhart, Dieter;

    O78). Streptococcus spp. (5/19) or Proteus spp. (5/19) were isolated from four protozoal cultures. Staphylococcus sp. was isolated once. No antibacterial effect was noticed with compound concentrations identical to the antihistomonal screening. Combining the results of the antiprotozoal screening......Infection with the protozoa Histomonas meleagridis in poultry has re-emerged since the ban of effective drugs. Consequently efforts are set to find alternatives to chemotherapeutics to combat histomonosis. At present histomonads need accompanying bacteria when cultured in vitro, probably serving...... nutrient supply due to their appearance in parasitic food vacuoles. However, the relationship of the parasite and the bacteria is not fully clear. Six previously established clonal cultures of H. meleagridis were used to evaluate the effect of five Artemisia annua derived materials (i.e. dry leaves...

  16. Effect of praziquantel on human lymphocyte proliferation <em>in vitroem>

    DEFF Research Database (Denmark)

    Odum, Niels; Theander, T G; Bygbjerg, I C

    1984-01-01

    The antischistosomal drugs tartar emetic and niridazole exert immunosuppression both in vitro and in vivo. In the present study the influence of praziquantel (Biltricide), a potent schistosomicidal drug, on human lymphocyte proliferation in vitro was investigated. Praziquantel 80 micrograms....../ml significantly reduced thymidine incorporation by human blood mononuclear cells stimulated with mitogens and antigens, whereas no effect could be detected in concentrations below 40 micrograms/ml. Thus, praziquantel, in concentrations as high as 30 times the peak serum concentration during therapy, has no...

  17. Effects of <em>Nereis diversicolor em>on the transformation of 1-Methylpyrene and Pyrene

    DEFF Research Database (Denmark)

    Malmquist, Linus Mattias Valdemar; Christensen, Jan H.; Selck, Henriette

    2013-01-01

    -glucuronide as the most prominent metabolite. Transformation of 1-methylpyrene (21% transformed) was more than 3 times as efficient as pyrene transformation (5.6% transformed). Because crude oils contain larger amounts of C1−C4-substituted PAHs than nonsubstituted PAHs, the rapid and efficient transformation...... of sediment-associated 1-methylpyrene may result in a high exposure of water-living organisms to metabolites of alkyl-substituted PAHs, whose toxicities are unknown. This study demonstrates the need to consider fate and effects of substituted PAHs and their metabolites in risk assessments....

  18. Modeling the effect of direct and indirect contamination of on-farm bulk tank milk with <em>Mycobacterium aviumem> subsp. <em>paratuberculosis>

    DEFF Research Database (Denmark)

    Okura, Hisako; Nielsen, Søren Saxmose; Toft, Nils

    2013-01-01

    in farm bulk tank milk and simulating the effect of direct and indirect contamination with MAP. The effect of discarding milk from test-positive cows at different prevalences was assessed. The concentration of MAP in milk was estimated using a simulation model, while taking direct and indirect...... milk from test positive cows would result in discarding 11% of milk and reduce the MAP level by 80%. Due to poor sensitivity of the diagnostic test, removing test-positive cows would not further reduce the already low concentration of MAP and it would not guarantee the milk as MAP-free. The model was...

  19. Isolation and Characterization of a Lycopene ε-Cyclase Gene of <em>Chlorella em>(Chromochloris> <em>zofingiensis>. Regulation of the Carotenogenic Pathway by Nitrogen and Light

    Directory of Open Access Journals (Sweden)

    Maria Angeles Vargas

    2012-09-01

    Full Text Available The isolation and characterization of the lycopene ε-cyclase gene from the green microalga <em>Chlorella em>(Chromochloris> <em>zofingiensis> (<em>Czlcy-e> was performed. This gene is involved in the formation of the carotenoids α-carotene and lutein. <em>Czlcy-e> gene encoded a polypeptide of 654 amino acids. A single copy of <em>Czlcy-e> was found in <em>C. zofingiensisem>. Functional analysis by heterologous complementation in <em>Escherichia coliem> showed the ability of this protein to convert lycopene to δ-carotene. In addition, the regulation of the carotenogenic pathway by light and nitrogen was also studied in <em>C. zofingiensisem>. High irradiance stress did not increase mRNA levels of neither lycopene β<em>->cyclase gene (<em>lcy-b> nor lycopene ε-cyclase gene<em> em>(lcy-e> as compared with low irradiance conditions, whereas the transcript levels of <em>psy>, <em>pds>, <em>chyB> and <em>bkt> genes were enhanced, nevertheless triggering the synthesis of the secondary carotenoids astaxanthin, canthaxanthin and zeaxanthin and decreasing the levels of the primary carotenoids α-carotene, lutein, violaxanthin and β-carotene. Nitrogen starvation <em>per seem> enhanced mRNA levels of all genes considered, except <em>lcy-e and pdsem>, but did not trigger the synthesis of astaxanthin, canthaxanthin nor zeaxanthin. The combined effect of both high light and nitrogen starvation stresses enhanced significantly the accumulation of these carotenoids as well as the transcript levels of <em>bkt> gene, as compared with the effect of only high irradiance stress.

  20. Matrizes clínicas e ética em Freud Clinical matrices and ethics in Freud

    Directory of Open Access Journals (Sweden)

    Marina de Andrade Vahle

    2011-01-01

    Full Text Available O presente estudo hipotetiza que as diferentes matrizes clínicas que Freud encontrava em sua prática, e que lhe possibilitavam acréscimos teóricos, direcionaram seus distintos olhares sobre a cultura, fazendo-o privilegiar alguns elementos éticos em detrimento de outros. Desse modo, indicaremos: (1 como a histeria gerou a questão do conflito entre sexualidade e moral na civilização; (2 como a neurose obsessiva possibilitou a entrada dos temas da agressividade e do ódio como entraves contra os quais a cultura se esforça por lutar, assim como a presença marcante no psiquismo da consciência moral e do sentimento de culpa; (3 por fim, como as ditas afecções narcísicas trouxeram a Freud o papel do egoísmo e da destrutividade como inimigos da cultura. Nesse percurso nos aproximaremos das questões ligadas à problematização ética na "psicologia" freudiana e, a partir daí, do destaque que terá a dimensão moral na concepção freudiana do sujeito.The present study is guided by the hypothesis that the different clinical matrices found by Freud in his practice, which provided him theoretical additions, directed his different perspectives about culture, making him privilege some ethical elements over others. Therefore, we will indicate: (1 how hysteria was responsible for bringing Freud the issue of conflict between sexuality and morality in civilization; (2 the obsessive neurosis enabled the entering of the aggressiveness and hate themes as obstacles against which the culture strives to fight, as well as the outstanding presence in the psyche of the moral conscience and the sentiment of guilt; (3 at last, the so called narcissistic conditions brought to Freud the role of selfishness and destructiveness as enemies of culture. In this way we will approach the issues related to the ethical problematization in Freudian "psychology" and, thereafter, the prominence that the moral dimension will have in Freudian conception of the subject.

  1. Orienting Nursing Students to Cost Effective Clinical Practice.

    Science.gov (United States)

    Lessner, Muriel W.; And Others

    1994-01-01

    Describes five principles for cost-effective clinical practice: efficient use of self, efficient use of equipment and supplies, delegation of work, critical path method, and organization of the environment. (SK)

  2. Minor effects of long-term ozone exposure on boreal peatland species <em>Eriophorum vaginatumem> and <em>Sphagnum papillosumem>

    DEFF Research Database (Denmark)

    Mörsky, SK; Haapala, JK; Rinnan, Riikka;

    2011-01-01

    The effects of long-term ozone fumigation on two common peatland plant species, a sedge Eriophorum vaginatum L. and a moss Sphagnum papillosum Lindb., were studied applying peatland microcosms. The peat cores with intact vegetation were cored from an oligotrophic pine fen and partially embedded...

  3. Allelopathy in agroforestry systems: the effects of leaf extracts of<em>Cupressus lusitanicaem> and three<em>Eucalyptus> spp. on four Ethiopian crops

    DEFF Research Database (Denmark)

    Lisanework N.; Michelsen, Anders

    1993-01-01

    The potential allelopathic effect ofCupressus lusitanica, Eucalyptus globulus, E. camaldulensis andE. saligna on seed germination, radicle and seedling growth was investigated with four crops:Cicer arietinum (chickpea),Zea mays (maize),Pisum sativum (pea) andEragrostis tef (teff). Aqueous leaf...

  4. Pseudocapacitive Effects of <em>N>-Doped Carbon Nanotube Electrodes in Supercapacitors

    Directory of Open Access Journals (Sweden)

    Hyun Ho Park

    2012-07-01

    Full Text Available Nitrogen- and micropore-containing carbon nanotubes (NMCNTs were prepared by carbonization of nitrogen-enriched, polymer-coated carbon nanotubes (CNTs, and the electrochemical performances of the NMCNTs with different heteroatom contents were investigated. NMCNTs-700 containing 9.1 wt% nitrogen atoms had a capacitance of 190.8 F/g, which was much higher than that of pristine CNTs (48.4 F/g, despite the similar surface area of the two CNTs, and was also higher than that of activated CNTs (151.7 F/g with a surface area of 778 m2/g and a nitrogen atom content of 1.2 wt%. These results showed that pseudocapacitive effects play an important role in the electrochemical performance of supercapacitor electrodes.

  5. Effects of the polychaetes <em>Arenicola marinaem> and <em>Nereis diversicolorem> on microbial pyrene mineralization

    DEFF Research Database (Denmark)

    Timmermann, Karen; Banta, Gary T.; Johnsen, Anders R.;

    2008-01-01

    mineralization potential in bulk (reduced and presumably anoxic) sediment was significantly lower than for surface and burrow sediments. However, when the bulk sediments were oxidized, mineralization rates increased rapidly. Collectively, these data indicate that oxygen availability controlled pyrene......The effects of 2 polychaetes, Nereis diversicolor and Arenicola marina, on the microbial mineralization of the organic contaminant pyrene, a polycyclic aromatic hydrocarbon (PAH), were followed over 44 d. We also examined whether the effect of the polychaetes was caused by enhanced oxygen supply......, altered pyrene bioavailability and/or a changed abundance or activity of pyrenedegrading bacteria. The presence of polychaetes enhanced microbial pyrene mineralization by 180 to 200% compared with defaunated sediment. Collectively, the replicates of the different treatments showed that mineralization...

  6. Effect of Sodium Cyanide on Wheat (<em>Triticum durumem> cv. Altar and <em>T. aestivumem> cv. Cumhuriyet)

    DEFF Research Database (Denmark)

    Gemici, Meliha; Karshenass, A.M.; Tan, Kit

    2008-01-01

    The effect of sodium cyanide on the morphology of stem, leaves and grain yields of Triticum durum cv. Altar and Triticum aestivum cv. Cumhuriyet grown under glass was studied. Seeds were planted in six different sets of pots containing ordinary garden soil. After formation of the first leaves, the...... individual plants was monitored until grain production. It was found that the sodium cyanide concentrations in the feed solutions affected plant stature, with the plants becoming progressively dwarfed with increasing dosage. Anomalies in the morphological and anatomical structure of the plant were also noted...

  7. Efeito dos fungicidas Fosetil-Al e Metalaxil na colonização de mudas de <em>Citrus sinensisem> (L.) Osbeck enxertadas em <em>C. limonem> (L.) Burmf Effect of the fungicides Fosetyl-Al and Metalaxyl on arbuscular mycorrhizal colonization of seedlings of <em>Citrus sinensisem> (L.) Osbeck grafted onto <em>C. limonem> (L.) Burmf

    OpenAIRE

    Luiz Antônio Graciolli; Vera Lúcia Ramos Bononin; Rosilaine Carrenho

    2000-01-01

    O efeito dos fungicidas Fosetil-Al e Metalaxil, recomendados para prevenção e controle da gomose, sobre o desenvolvimento de fungos micorrízicos arbusculares (FMA) em Citrus sinensis Osbeck enxertado em C. limon Burmf foi investigado. Três experimentos foram realizados em 1990 e 1992, em Casa Branca e Ilha Solteira, estado de São Paulo, Brasil, respectivamente. Coletas de raízes foram feitas após a aplicação dos fungicidas, em intervalos mensais e semanais em Casa Branca, e a cada três dias e...

  8. Every plant for himself; the effect of a phenolic monoterpene on germination and biomass of <em>Thymus pulegioidesem> and <em>T. serpyllum.em>

    DEFF Research Database (Denmark)

    Jensen, Catrine Grønberg; Ehlers, Bodil

    2009-01-01

    thyme plants is found both within and among species. In Denmark two thyme species (Thymus pulegioides and T. serpyllum) are naturally occurring. The essential oil of T. pulegioides in Denmark is mainly dominated by one monoterpene; 'carvacrol'. In contrast, the essential oil of T. serpyllum constitutes...... a mix of two-four different types of terpenes, both mono- and sesqui-terpenes. As the effects of terpenes on plant performance can vary with the type of terpene, and in order to study species-specific responses, we examined how the dominating T. pulegioides monoterpene 'carvacrol' affected......Thyme plants are known for their production of aromatic oils, whose main component is terpenes. The plants leach terpenes to their surroundings and thereby affect the seed germination and biomass of associated plants, but also potentially themselves. A variation in the dominant terpenes produced by...

  9. Anti-Platelet Aggregation and Vasorelaxing Effects of the Constituents of the Rhizomes of<em> Zingiber officinaleem>

    Directory of Open Access Journals (Sweden)

    Tian-Shung Wu

    2012-07-01

    Full Text Available In the present study, the chemical investigation of the bioactive fractions of the rhizomes of <em>Zingiber officinaleem> has resulted in the identification of twenty-nine compounds including one new compound, <em>O>-methyldehydrogingerol (1. Some of the isolates were subjected into the evaluation of their antiplatelet aggregation and vasorelaxing bioactivities. Among the tested compounds, [6]-gingerol (13 and [6]-shogaol (17 exhibited potent anti-platelet aggregation bioactivity. In addition, [10]-gingerol (15 inhibited the Ca2+-dependent contractions in high K+ medium. According to the results in the present research, the bioactivity of ginger could be related to the anti-platelet aggregation and vasorelaxing mechanism.

  10. The Antimicrobial Efficacy of <em>Elaeis guineensisem>: Characterization, <em>in Vitroem> and <em>in Vivoem> Studies

    Directory of Open Access Journals (Sweden)

    Sreenivasan Sasidharan

    2012-04-01

    Full Text Available The urgent need to treat multi-drug resistant pathogenic microorganisms in chronically infected patients has given rise to the development of new antimicrobials from natural resources. We have tested <em>Elaeis guineensis em>Jacq> em>(Arecaceae methanol extract against a variety of bacterial, fungal and yeast strains associated with infections. Our studies have demonstrated that <em>E. guineensisem> exhibits excellent antimicrobial activity <em>in vitroem> and <em>in vivoem> against the bacterial and fungal strains tested. A marked inhibitory effect of the <em>E. guineensisem> extracts was observed against <em>C. albicansem> whereby <em>E. guineensisem> extract at ½, 1, or 2 times the MIC significantly inhibited <em>C. albicansem> growth with a noticeable drop in optical density (OD of the bacterial culture. This finding confirmed the anticandidal activity of the extract on <em>C. albicansem>. Imaging using scanning (SEM and transmission (TEM electron microscopy was done to determine the major alterations in the microstructure of the extract-treated <em>C. albicansem>. The main abnormalities noted via SEM and TEM studies were the alteration in morphology of the yeast cells. <em>In vivoem> antimicrobial activity was studies in mice that had been inoculated with <em>C. albicansem> and exhibited good anticandidal activity. The authors conclude that the extract may be used as a candidate for the development of anticandidal agent.<em> em>

  11. Schizonticidal effect of a combination of <em>Amaranthus spinosus Lem>. and <em>Andrographis paniculataem> Burm. f./Nees extracts in <em>Plasmodium bergheiem>-infected mice

    OpenAIRE

    Tiwuk Susantiningsih; Rahmawati Ridwan; Ani R. Prijanti; Mohamad Sadikin; Hans-Joachim Freisleben

    2012-01-01

    Background: Amaranthus spinosus and Andrographis paniculata are traditionally used as antimalarial herbs, but the combination of both has not yet been tested. The aim of this study was to determine the schizonticidal anti-malaria effect of a combination in Plasmodium berghei-infected mice.Methods: Male mice (Balb/c strain) weighing 28-30 g, 7-8 weeks old, were randomly devided into 5 groups of 4 animals each. Group A: controls (nil) and 4 treatment groups (B, C, D, and E). Group B: Amarathus ...

  12. Teaching Effectiveness: Preparing Occupational Therapy Students for Clinical Practice

    Directory of Open Access Journals (Sweden)

    Jane C. OBrien PhD, MS.MEdL, OTR/L

    2013-06-01

    Full Text Available Medical educators must examine the ability of teaching methodologies to prepare students for clinical practice. Two types of assessment methods commonly used in medical education include the Short Objective Structured Clinical Examination (OSCE and the Integrated Performance Procedural Instrument (IPPI. The use of these methods in occupational therapy (OT education is less understood. With the increasing number of students enrolled in programs, faculty face challenges to examine how clinical competence is established using data to determine teaching effectiveness. This study examines two educational methodologies used in OT curriculum: the long written case study (IPPI and short performance-based OSCE. The authors describe the effectiveness of each examination as it relates to student performance in clinical practice (as measured by the Fieldwork Performance Evaluation [FWPE]. The findings obtained from separate focus group sessions with faculty and students further provide insight into the advantages and disadvantages of the educational methodologies.

  13. Mitigating the Effects of Nonadherence in Clinical Trials.

    Science.gov (United States)

    Shiovitz, Thomas M; Bain, Earle E; McCann, David J; Skolnick, Phil; Laughren, Thomas; Hanina, Adam; Burch, Daniel

    2016-09-01

    Accounting for subject nonadherence and eliminating inappropriate subjects in clinical trials are critical elements of a successful study. Nonadherence can increase variance, lower study power, and reduce the magnitude of treatment effects. Inappropriate subjects (including those who do not have the illness under study, fail to report exclusionary conditions, falsely report medication adherence, or participate in concurrent trials) confound safety and efficacy signals. This paper, a product of the International Society for CNS Clinical Trial Methodology (ISCTM) Working Group on Nonadherence in Clinical Trials, explores and models nonadherence in clinical trials and puts forth specific recommendations to identify and mitigate its negative effects. These include statistical analyses of nonadherence data, novel protocol design, and the use of biomarkers, subject registries, and/or medication adherence technologies. PMID:26634893

  14. Efeitos clínicos e microbiológicos do óleo de copaíba (Copaifera officinalis) sobre bactérias formadoras de placa dental em cães Clinical and microbiological effects of copaiba oil (Copaifera officinalis) on dental plaque forming bacteria in dogs

    OpenAIRE

    F.A. Pieri; M.C. Mussi; J.E. Fiorini; J.M. Schneedorf

    2010-01-01

    O potencial de uso do óleo de copaíba (Copaifera officinalis) na prevenção da doença periodontal, eliminando seu agente etiológico, foi avaliado em 18 cães sem raça definida, distribuídos homogeneamente em três grupos: teste, (contendo óleo de copaíba) controle positivo e controle negativo. Os tratamentos ocorreram três vezes ao dia, durante oito dias. Ao nono dia, os animais receberam aplicação tópica de fucsina básica 0,5% para evidenciação do biofilme. Mudanças na halitose e gengivite fora...

  15. Clinical effects of Garcinia kola in knee osteoarthritis

    OpenAIRE

    Oyelami Oyesiku A; Okimi Oluwakemi C; Idowu Thomas O; Adesanya Saburi A; Adegbehingbe Olayinka O; Iwalewa Ezekiel O

    2008-01-01

    Abstract Objectives Over the past years, there has been a growing number of knee osteoarthritis (KOA) patients who are not willing to comply with long-term non-steroidal anti-inflammatory drugs (NSAID) treatment and wish to use herbal anti- rheumatic medicine. This study assessed the clinical effects of Garcinia kola (GK) in KOA patients. Patients and methods Prospective randomized, placebo controlled, double blind, clinical trial approved by the institutional medical ethics review board and ...

  16. Aloe vera: a systematic review of its clinical effectiveness.

    OpenAIRE

    Vogler, B K; Ernst, E.

    1999-01-01

    BACKGROUND: The use of aloe vera is being promoted for a large variety of conditions. Often general practitioners seem to know less than their patients about its alleged benefits. AIM: To define the clinical effectiveness of aloe vera, a popular herbal remedy in the United Kingdom. METHOD: Four independent literature searches were conducted in MEDLINE, EMBASE, Biosis, and the Cochrane Library. Only controlled clinical trials (on any indication) were included. There were no restrictions on the...

  17. Research and clinical aspects of the late effects of poliomyelitis

    Energy Technology Data Exchange (ETDEWEB)

    Halstead, L.S.; Wiechers, D.O.

    1986-01-01

    This book contains 32 selections. Some of the titles are: Late effects of Polio: Historical Perspectives; Sleep-Disordered Breathing as a Late Effect of Poliomyelitis; Clinical Subtypes, DNA Repair Efficiency, and Therapeutic Trials in the Post-Polio Syndromes; and Post-Polio Muscle Function.

  18. Fibras reforçadas por resina (FRC em Ortodontia. Versatilidade clínica: parte 2 Fiber reinforced composite (FRC in Orthodontic. Clinical versatility: part II

    Directory of Open Access Journals (Sweden)

    Daniel Ianni Filho

    2005-06-01

    Full Text Available As fibras de vidro e de polietileno podem ser utilizadas na prática ortodôntica em diversas situações clínicas, nos casos com ou sem extrações dentárias. Este artigo tem como objetivo mostrar algumas das aplicações clínicas nas quais as fibras contribuíram de forma significativa para a realização dos tratamentos ortodônticos, simplificando-os e aumentando a eficiência clínica. As fibras foram utilizadas principalmente em segmentos de ancoragem e na substituição da banda pela colagem da associação fibra/tubo nos molares.Glass and polyethylene fibers can be used in orthodontic practice on several clinical(s situations, in cases with or without teeth extraction. The objective of this article is to show some of the clinical applications in which the fibers contributed in a positive way to improve the performance of orthodontic treatments, simplifying and raiseing the clinical efficiency. These fibers were mainly used on anchorage segments, and as a substitute for the band by bonding the fiber/tube association in molars.

  19. Effect of streptokinase on human neutrophil function <em>in vitroem> and in patients with acute myocardial infarction

    DEFF Research Database (Denmark)

    Hansen, P R; Kharazmi, A

    1994-01-01

    The clinical benefit of streptokinase (SK) in the treatment of patients with acute myocardial infarction may be influenced by effects other than myocardial reperfusion per se. Polymorphonuclear leucocytes (PMNs) have been hypothesized to participate in the process of reperfusion injury in the...... postischemic myocardium. The purpose of the present study was therefore to investigate the effect of SK on human PMN function in vitro, and ex vivo in patients with acute myocardial infarction. SK was not in itself chemotactic to PMNs, and preincubation with SK did not alter the chemotactic response of PMNs to...... formyl-Met-Leu-Phe (FMLP) or zymosan-activated serum. However, incubation of fresh citrated plasma with SK resulted in the generation of chemotactic activity, and this effect was dependent on complement activation by SK. In experiments with PMNs from 20 health donors, preincubation of plasma and SK...

  20. Effects of dry period length on clinical mastitis and other major clinical health disorders

    DEFF Research Database (Denmark)

    Enevoldsen, Carsten; Sørensen, J.T.

    1992-01-01

    Four, 7-, and 10-wk dry periods were randomly assigned to 366 dairy cows in eight herds. A multiple polytomous logistic regression analysis was conducted with the objective to reveal possible important effects of the dry period on the risk of contracting major clinical health disorders. Several...... calving intervals, the risk of occurrence of complications at calving decreased with the length of the dry period. This relation was reversed at longer calving intervals. Dry period lengths of approximately 7 wk appear to be associated with the lowest risk of clinical health disorders, but other factors...... like milk yield at drying off and previous mastitis are much more important predisposing factors....

  1. Comparison of the effects of sample preparation temperature, milling time, and carbon content on soft ferrite, hard ferrite, and Alnico magnet EM wave absorbers

    International Nuclear Information System (INIS)

    We compared the effects of sample preparation temperature, milling time, and carbon content on Mn-Zn ferrite (soft ferrite), Ba ferrite and Sr ferrite (hard ferrite), and Alnico magnet EM wave absorbers for preparing superior EM wave absorbers. The reflectivity of the EM wave absorbers depended on the particle size and the particle shape of ferrites. In the manufacturing process of the EM wave absorbers, the preparation temperature played a very important role in deciding the EM wave absorption properties. We confirmed that carbon strongly affects on the reflectivity of hard ferrite and Alnico magnet EM wave absorbers.

  2. EM-GE-5 Regulation. Standard for the first-rate application clinical practices in the execution of the clinical investigations for medical teams' evaluation

    International Nuclear Information System (INIS)

    This guide has the following objectives: a) To guide methodologically the implementation of Good Clinical Practice for the execution of clinical research with medical devices that need to be evaluated, in addition to the Regulation ER-6. Requirements for the Conduct of Clinical Trials for Medical Devices , b) Provide the fundamental aspects to be taken into count for quality control to clinical investigations.

  3. Clinical, behavioral and antinociceptive effects of crotalphine in horses

    Directory of Open Access Journals (Sweden)

    Erica Cristina Bueno do Prado Guirro

    2015-01-01

    Full Text Available ABSTRACT: Crotalphine is a novel analgesic peptide that acts on kappa opioid and delta receptors, causing powerful analgesia in rats submitted to inflammatory, neuropathic or oncologic models of pain. This study evaluated clinical, behavioral and antinociceptive effects caused by crotalphine in horses, employing 18 Arabian horses and it was divided in three phases. In Phase I, "clinical and behavioral effects", crotalphine did not change the latency to urinate and defecate; did not modify the values of cardiac or respiratory rates, intestinal motility and rectal temperature; and did not cause significant ataxia, head, eye and lip ptosis. In Phase II, "antinociceptive effect on intact skin at scapular or ischial region", crotalphine did not cause significant analgesia. In Phase III, "antinociceptive effect on incised skin at scapular or ischial region", crotalphine promoted effective antinociceptive effects for six hours and inhibited hyperalgesia state for three days in the ischial region of horses submitted to incisional model of inflammatory pain, but crotalphine did not evoke relevant analgesic effect on the scapular region. Concluding, intravenous injection of a single dose of crotalphine (3.8ngkg-1 did not cause important clinical or behavioral changes and promotes antinociceptive effect on incised ischial region for seven days in horses. Moreover, crotalphine did not evoke relevant anti nociceptive effect on the scapular region or in intact skin of horses.

  4. Effects of healing touch in clinical practice: a systematic review of randomized clinical trials.

    Science.gov (United States)

    Anderson, Joel G; Taylor, Ann Gill

    2011-09-01

    Hands-on healing and energy-based interventions have been found in cultures throughout history around the world. These complementary therapies, rooted in ancient Eastern healing practices, are becoming mainstream. Healing Touch, a biofield therapy that arose in the nursing field in the late 1980s, is used in a variety of settings (i.e., pain centers, surgical settings, and private practices) with reported benefits (i.e., decreased anxiety, pain, and depressive behaviors; increased relaxation and a sense of well-being). However, clinical trial data concerning the effectiveness of Healing Touch have not been evaluated using a systematic, evidence-based approach. Thus, this systematic review is aimed at critically evaluating the data from randomized clinical trials examining the clinical efficacy of Healing Touch as a supportive care modality for any medical condition. PMID:21228402

  5. Guillain-Barré syndrome in children: clinic, laboratorial and epidemiologic study of 61 patients Síndrome de Guillain-Barré em crianças: estudo clínico, laboratorial e epidemiologico em 61 pacientes

    Directory of Open Access Journals (Sweden)

    Vanessa van der Linden

    2010-02-01

    Full Text Available The aim of the study was to analyze the epidemiologic, clinical, laboratory and development profile of Guillain-Barré syndrome series studied at the Child Institute, between 1989 and 2000. From the 61 patients that fulfilled the selection criteria, aged between 7 months and 13 years old, no sexual or seasonal variation was observed. Clinical events prior to neurological symptoms (with an average time gap of 20.7 days were observed in 62.3%, 55% had cranial nerve disturbances, 27.9% dysautonomic symptoms, and 27.9% respiratory dysfunction. Installation time varied from 2-40 days, plateau from 0-28 days and recuperation from 30-480 days; 94% of patients had a complete clinical recuperation. Electrophysiology in 20 patients disclosed an abnormal demyelination pattern in 15, an exclusively motor axonal pattern in 4 and a mixed pattern in 1 patient. The results obtained did not differ from those in the literature but it was observed that boys and older children had a longer recuperation time. It was not possible to correlate electroneurography with clinical abnormalities and evolution due to the reduced number of patients.O objetivo do estudo foi analisar retrospectivamente, quanto ao perfil clínico, laboratorial, epidemiológico e evolutivo a casuística da síndrome de Guillain-Barré no Instituto da Criança, entre 1989 e 2000. Preencheram os critérios de seleção 61 pacientes, com idades entre 7 meses e 13 anos, e não se observou variação entre sexos nem sazonal. Em 62,3% houve uma afecção precedendo o quadro neurológico, num tempo médio de 20,7 dias; 55% apresentaram acometimento de nervos cranianos, 27,9% distúrbios disautonômicos e 27,9% comprometimento respiratório. A fase de progressão variou de 2 a 40 dias, a de platô de 0 a 28 dias e a de recuperação de 30 a 480 dias e 94% tiveram recuperação total. A eletroneurografia, em 20 pacientes, mostrou padrão desmielinizante em 15, padrão axonal puramente motor em 4 e padr

  6. The study of using effective microorganisms (EM on health and performance of broiler chicks

    Directory of Open Access Journals (Sweden)

    Dh.M.T. Jwher

    2013-12-01

    Full Text Available The objective of this study was to evaluate the effect of aqueous EM supplementation to broilers on the performance, immunological and histological status of broilers. A total of 60 unsexed day old broilers (Ross 308 were assigned randomly in two equal groups (treated and control groups 30 birds 15/each replicate reared on controlled system for 5 weeks. Ten ml/ liter of EM solution was only added to drinking water of the treated group (T2. Blood and performance parameters included body weight gain, feed consumption and feed conversion ratio. As well as estimation of differential leucocyte count. Immunologic criteria involved measurement of relative weights of spleen, thymus and bursa of Fabricius of necropsied birds. The results showed a positive significant effect of EM on the body weight of the treated group which was clear during the 3rd to the 5th week of the trial. There was significant difference in feed consumption and feed conversion efficiency between the two groups. However, the latter parameter had the most notable significance. Increased lymphocyte percentage, increased jejunal villus height and crypt depth as well as increase in goblet cell count were observed in the treated group.

  7. Aspectos clínicos e funcionais do equilíbrio corporal em idosos com vertigem posicional paroxística benigna Clinical and functional aspects of body balance in elderly subjects with benign paroxysmal positional vertigo

    Directory of Open Access Journals (Sweden)

    Daniela Patricia Vaz

    2013-04-01

    Full Text Available Vertigem Posicional Paroxística Benigna (VPPB pode alterar o equilíbrio corporal em pacientes idosos. OBJETIVO: Observar os efeitos da manobra de Epley em idosos com VPPB, avaliando os aspectos clínicos e funcionais do equilíbrio corporal. Forma de estudo: clínico e prospectivo. MÉTODO: Após o diagnóstico da doença (teste de DixHallpike, os testes Time Up and Go (TUGT, Clinical test of Sensory Interaction and Balance (CTSIB e o teste de membros inferiores (MMI foram realizados antes e após a manobra de reposicionamento de Epley modificada. RESULTADOS: O gênero feminino foi o mais prevalente e a média etária foi de 70,10 anos (DP = 7,00. Todos os pacientes apresentaram ductolitíase de canal posterior. Os seguintes sintomas melhoraram após a manobra: a instabilidade postural (p = 0,006, náusea e vômito (p = 0,021 e zumbido (p = 0,003. Em relação ao TUGT e o escore do teste de MMII, observou-se diminuição significante do tempo pós-manobra de Epley (p Benign paroxysmal positional vertigo (BPPV may compromise the balance of elderly subjects. OBJECTIVE: To observe the effects of the Epley maneuver in elderly subjects with BPPV and assess clinical and functional aspects of body balance. METHOD: This is a prospective clinical study. Patients diagnosed with BPPV (Dix-Hallpike test were submitted to the Timed Up & Go (TUG test, the Clinical Test of Sensory Interaction and Balance (CTSIB, and lower limb testing before and after they were repositioned using the modified Epley maneuver. RESULTS: Most subjects were females, and the group's mean age was 70.10 years (SD = 7.00. All patients had canalithiasis of the posterior canal. The following symptoms improved after the maneuver: postural instability (p = 0.006, nausea and vomiting (p = 0.021, and tinnitus (p = 0.003. Subjects improved their times significantly in the TUG and lower limb tests after the Epley maneuver (p < 0.001. Patients performed better on the CTSIB after the Epley

  8. Competing risk and heterogeneity of treatment effect in clinical trials

    Directory of Open Access Journals (Sweden)

    Alsheikh-Ali Alawi

    2008-05-01

    Full Text Available Abstract It has been demonstrated that patients enrolled in clinical trials frequently have a large degree of variation in their baseline risk for the outcome of interest. Thus, some have suggested that clinical trial results should routinely be stratified by outcome risk using risk models, since the summary results may otherwise be misleading. However, variation in competing risk is another dimension of risk heterogeneity that may also underlie treatment effect heterogeneity. Understanding the effects of competing risk heterogeneity may be especially important for pragmatic comparative effectiveness trials, which seek to include traditionally excluded patients, such as the elderly or complex patients with multiple comorbidities. Indeed, the observed effect of an intervention is dependent on the ratio of outcome risk to competing risk, and these risks – which may or may not be correlated – may vary considerably in patients enrolled in a trial. Further, the effects of competing risk on treatment effect heterogeneity can be amplified by even a small degree of treatment related harm. Stratification of trial results along both the competing and the outcome risk dimensions may be necessary if pragmatic comparative effectiveness trials are to provide the clinically useful information their advocates intend.

  9. Confounding Effect in Clinical Research of Otolaryngology and Its Control

    Institute of Scientific and Technical Information of China (English)

    Yong-qiang Yu; Ming Zhang; Dong-yan Huang; Susan Armijo Olivo; Huai-an Yang; Yagesh Bambanini; Lyn Sonnenberg; renda Clark; Gabriela Constantinescu; Jason Qian Yu

    2015-01-01

    Confounding effect is a critical issue in clinical research of otolaryngology because it can distort the research’s conclusion. In this review, we introduce the definition of confounding effect, the methods of verifying and controlling the effect. Confounding effect can be prevented by research’s design, and adjusted by data analysis. Clinicians would be aware and cautious about confounding effect in their research. They would be able to set up a research’s design in which appropriate methods have been applied to prevent this effect. They would know how to adjust confounding effect after data collection. It is important to remember that sometimes it is impossible to eliminate confounding effect completely, and statistical method is not a master key. Solid research knowledge and critical thinking of our brain are the most important in controlling confounding effect.

  10. Ensaio clínico com novo psicotrópico (P-4657B em pacientes hospitalizados Clinical essay with P-46657B in in-patients

    Directory of Open Access Journals (Sweden)

    Jamil Signorini

    1967-06-01

    Full Text Available É experimentado um novo psicotrópico — o P-4657B (Thiothixene — em 14 doentes mentais crônicos (12 esquizofrênicos, um débil mental e um com depressão involutiva. O medicamento foi utilizado em doses que variaram entre 20 e 75 mg/dia, em período que oscilou entre 22 e 130 dias. Em um caso houve piora da sintomatologia; melhoras ocorreram em 5 casos, dois dos quais obtiveram alta experimental. No que se refere aos sintomas, melhores resultados foram obtidos em relação ao contato e à capacidade pragmática. Não foram notados efeitos colaterais severos, tendo sido verificadas manifestações neurodislépticas, discretas, em apenas três casos, sem relação com a dose empregada. Os autores concluem ser o Thiothixene um psicotrópico útil na terapêutica de doentes mentais crônicos, especialmente de esquizofrênicos nos quais predominem a deficiência de contato e o apragmatismo e sugerem a experimentação desse medicamento em psicoses agudas.A new psychotropic drug (P-4657B, Thiothixene was tried in 14 patients with chronic syndromes (12 schizophrenics, one oligophrenic with psychotic reaction and one with involutional depression. The dosis varied between a minimal of 20 mg to a maximal of 75 mg per dien, per os, for 22 to 130 days. The results were as follows: very good improvement in two cases; three cases with good results; 8 cases remained unchanged and one case impaired. The best results, on account of the symptoms, were observed on the interpersonal communication and on pragmatism. Severe side effects were not present. Neurodisleptic manifestations, in mild degree, were observed only in three cases. The authors concluded that the Thiothixene is a useful neuroleptic in the treatment of chronic mental syndroms, specially in schizophrenics with bad personal communication and apragmatism. They also suggest the trial in acute psychosis.

  11. Effect of Different Purification Techniques on the Characteristics of Heteropolysaccharide-Protein Biopolymer from Durian (<em>Durio zibethinusem> Seed

    Directory of Open Access Journals (Sweden)

    Hamed Mirhosseini

    2012-09-01

    Full Text Available Natural biopolymers from plant sources contain many impurities (e.g., fat, protein, fiber, natural pigment and endogenous enzymes, therefore, an efficient purification process is recommended to minimize these impurities and consequently improve the functional properties of the biopolymer. The main objective of the present study was to investigate the effect of different purification techniques on the yield, protein content, solubility, water- and oil-holding capacity of a heteropolysaccharide-protein biopolymer obtained from durian seed. Four different purification methods using different chemicals and solvents (<em>i.e.>, A (isopropanol and ethanol, B (isopropanol and acetone, C (saturated barium hydroxide, and D (Fehling solution] to liberate the purified biopolymer from its crude form were compared. In most cases, the purification process significantly (<em>p> < 0.05 improved the physicochemical properties of heteropolysaccharide-protein biopolymer from durian fruit seed. The present work showed that the precipitation using isopropanol and acetone (Method B resulted in the highest purification yield among all the tested purification techniques. The precipitation using saturated barium hydroxide (Method C led to induce the highest solubility and relatively high capacity of water absorption. The current study reveals that the precipitation using Fehling solution (Method D most efficiently eliminates the protein fraction, thus providing more pure biopolymer suitable for biological applications.

  12. On the origin of intermediate effects in clinical case recall

    NARCIS (Netherlands)

    H.G. Schmidt (Henk); H.P.A. Boshuizen (Henny)

    1993-01-01

    textabstractIn two experiments, the effects of level of medical expertise and study time on free recall of a clinical case were assessed. In Experiment 1, a nonmonotonic relationship between level of expertise and recall was found: Subjects of intermediate levels of expertise remembered more informa

  13. Clinical Supervision in Treatment Transport: Effects on Adherence and Outcomes

    Science.gov (United States)

    Schoenwald, Sonja K.; Sheidow, Ashli J.; Chapman, Jason E.

    2009-01-01

    This nonexperimental study used mixed-effects regression models to examine relations among supervisor adherence to a clinical supervision protocol, therapist adherence, and changes in the behavior and functioning of youths with serious antisocial behavior treated with an empirically supported treatment (i.e., multisystemic therapy [MST]) 1 year…

  14. Exploring Clinical Supervision as Instrument for Effective Teacher Supervision

    Science.gov (United States)

    Ibara, E. C.

    2013-01-01

    This paper examines clinical supervision approaches that have the potential to promote and implement effective teacher supervision in Nigeria. The various approaches have been analysed based on the conceptual framework of instructional supervisory behavior. The findings suggest that a clear distinction can be made between the prescriptive and…

  15. Serum concentrations of paliperidone versus risperidone and clinical effects

    OpenAIRE

    Nazirizadeh, Yasmin; Vogel, Friederike; Bader, Wolfgang; Haen, Ekkehard; Pfuhlmann, Bruno; Gründer, Gerhard; Paulzen, Michael; Schwarz, Markus; Zernig, Gerald; Hiemke, Christoph

    2010-01-01

    Abstract Purpose The major aim of this multicenter retrospective analysis was to examine the relationship between paliperidone serum concentrations and clinical effects in patients treated with this new antipsychotic drug. Intra-individual variability in trough serum concentrations was also analyzed in patients under treatment with either the paliperidone-extended release (ER) formulation or the risperidone immediate-release formulation. ...

  16. On the origin of intermediate effects in clinical case recall

    OpenAIRE

    Schmidt, Henk; Boshuizen, Henny

    1993-01-01

    textabstractIn two experiments, the effects of level of medical expertise and study time on free recall of a clinical case were assessed. In Experiment 1, a nonmonotonic relationship between level of expertise and recall was found: Subjects of intermediate levels of expertise remembered more information from the case than both experts and novices. This "intermediate effect" disappeared, however, when study time was restricted. Analysis of post hoc acquired protocols of pathophysiological know...

  17. Clinical Effectiveness of Hyperbaric Oxygen Therapy in Complex Wounds

    OpenAIRE

    Opasanon, Supaporn; PONGSAPICH, WARUT; Taweepraditpol, Sitthichoke; Suktitipat, Bhoom; Chuangsuwanich, Apirag

    2015-01-01

    Hyperbaric Oxygen (HBO, HBO2) Therapy is a non-invasive therapy. It has been applied as adjuvant treatment in many medical conditions over the past 50 years. Different treatment protocols have been proven effective for specifically indicated conditions. To evaluate the clinical effectiveness of Hyperbaric Oxygen (HBO) Therapy as an adjunctive treatment for patients with complex wounds. In this prospective cohort study, 40 patients with complex wounds were included. All patients received HBO. ...

  18. Documentation of functional and clinical effects of infant nutrition

    DEFF Research Database (Denmark)

    Koletzko, Berthold; Szajewska, Hania; Ashwell, Margaret;

    2012-01-01

    The Early Nutrition Academy and the Child Health Foundation, in collaboration with the Committee on Nutrition, European Society for Paediatric Gastroenterology, Hepatology and Nutrition, held a workshop in March 2011 to explore guidance on acquiring evidence on the effects of nutritional interven...... interventions in infants and young children. The four objectives were to (1) provide guidance on the quality and quantity of evidence needed to justify conclusions on functional and clinical effects of nutrition in infants and young children aged...

  19. Clinical Trials: Spline Modeling is Wonderful for Nonlinear Effects.

    Science.gov (United States)

    Cleophas, Ton J

    2016-01-01

    Traditionally, nonlinear relationships like the smooth shapes of airplanes, boats, and motor cars were constructed from scale models using stretched thin wooden strips, otherwise called splines. In the past decades, mechanical spline methods have been replaced with their mathematical counterparts. The objective of the study was to study whether spline modeling can adequately assess the relationships between exposure and outcome variables in a clinical trial and also to study whether it can detect patterns in a trial that are relevant but go unobserved with simpler regression models. A clinical trial assessing the effect of quantity of care on quality of care was used as an example. Spline curves consistent of 4 or 5 cubic functions were applied. SPSS statistical software was used for analysis. The spline curves of our data outperformed the traditional curves because (1) unlike the traditional curves, they did not miss the top quality of care given in either subgroup, (2) unlike the traditional curves, they, rightly, did not produce sinusoidal patterns, and (3) unlike the traditional curves, they provided a virtually 100% match of the original values. We conclude that (1) spline modeling can adequately assess the relationships between exposure and outcome variables in a clinical trial; (2) spline modeling can detect patterns in a trial that are relevant but may go unobserved with simpler regression models; (3) in clinical research, spline modeling has great potential given the presence of many nonlinear effects in this field of research and given its sophisticated mathematical refinement to fit any nonlinear effect in the mostly accurate way; and (4) spline modeling should enable to improve making predictions from clinical research for the benefit of health decisions and health care. We hope that this brief introduction to spline modeling will stimulate clinical investigators to start using this wonderful method. PMID:23689089

  20. Antibodies to the N-terminal block 2 of <em>Plasmodium falciparumem> merozoite surface protein 1 are associated with protection against clinical malaria

    DEFF Research Database (Denmark)

    Cavanagh, David R; Dodoo, Daniel; Hviid, Lars; Kurtzhals, Jørgen; Theander, Thor G; Akanmori, Bartholomew D; Polley, Spencer; Conway, David J; Koram, Kojo; McBride, Jana S

    2004-01-01

    This longitudinal prospective study shows that antibodies to the N-terminal block 2 region of the Plasmodium falciparum merozoite surface protein 1 (MSP-1) are associated with protection against clinical malaria in an area of stable but seasonal malaria transmission of Ghana. Antibodies to the bl....... falciparum and, thus, a promising new candidate for the development of a malaria vaccine.......This longitudinal prospective study shows that antibodies to the N-terminal block 2 region of the Plasmodium falciparum merozoite surface protein 1 (MSP-1) are associated with protection against clinical malaria in an area of stable but seasonal malaria transmission of Ghana. Antibodies to the...... block 2 region of MSP-1 were measured in a cohort of 280 children before the beginning of the major malaria transmission season. The cohort was then actively monitored for malaria, clinically and parasitologically, over a period of 17 months. Evidence is presented for an association between antibody...

  1. Clinical features of <em>Clostridium difficile em>infection and molecular characterization of the isolated strains in a cohort of Danish hospitalized patients

    DEFF Research Database (Denmark)

    Søes, Lillian Marie; Brock, Inger; Persson, Søren;

    2012-01-01

    The purpose of this study was to compare clinical features of Clostridium difficile infection (CDI) to toxin gene profiles of the strains isolated from Danish hospitalized patients. C. difficile isolates were characterized by PCR based molecular typing methods including toxin gene profiling and...... analysis of deletions and truncating mutations in the toxin regulating gene tcdC. Clinical features were obtained by questionnaire. Thirty percent of the CDI cases were classified as community-acquired. Infection by C. difficile with genes encoding both toxin A, toxin B and the binary toxin was...... significantly associated with hospital-acquired/healthcare-associated CDI compared to community-acquired CDI. Significantly higher leukocyte counts and more severe clinical manifestations were observed in patients infected by C. difficile containing genes also encoding the binary toxin together with toxin A and...

  2. Avaliação dos efeitos adversos clínicos e alterações laboratoriais em pacientes com acne vulgar tratados com isotretinoína oral Evaluation of clinical adverse effects and laboratory alterations in patients with acne vulgaris treated with oral isotretinoin

    OpenAIRE

    Maria de Fátima de Medeiros Brito; Iara Pessoa Sant'Anna; Juliana Cordeiro Souza Galindo; Lígia Helena Pessoa de Melo Rosendo; Josemir Belo dos Santos

    2010-01-01

    FUNDAMENTOS: A isotretinoína oral revolucionou o manejo da acne. Os efeitos adversos observados, durante o tratamento, são divididos em dois grupos: mucocutâneos e sistêmicos. Anormalidades laboratoriais, principalmente, as dislipidemias e aumento das enzimas hepáticas são relatados. OBJETIVO: Avaliar a tolerabilidade da isotretinoína oral, com atenção, no metabolismo lipídico, função hepática e reações adversas clínicas. MÉTODOS: Foram incluídos 150 pacientes com diagnóstico clínico de acne ...

  3. Mutagenic effectiveness and efficiency of gamma rays, EMS and their combination in Indian mustard

    International Nuclear Information System (INIS)

    Rapeseed-mustard, the second most important oilseed crop after groundnut has shown considerable progress in terms of productivity. However, the potential yield still could not be realised due to susceptibility of released varieties to Alternaria blight. Mutation breeding is an important means for developing resistance as well as for extending the range of plant architecture. Four varieties of Indian mustard viz.. RH 30, RH 819, Varuna and Kranti were exposed to four doses of gamma rays, four doses of EMS and four doses of both gamma rays and EMS. Pollen sterility was estimated in the M1 generation and was used to calculate the mutagenic efficiency. The chlorophyll mutation frequency in M2 was highest in variety RH 819 and among the treatments it was maximum in 80 kR of gamma ray. Total mutation frequency was highest in the combination treatments. Over the varieties 60 kR of gamma rays was most effective and EMS was more efficient than gamma rays and combination treatment. RH 819 and Varuna appeared to be suitable base for improvement in quantitative traits where as Kranti and RH 30 are better bases for induction of Alternaria blight resistance through mutations. (author)

  4. Aspectos clínicos da depressão em crianças e adolescentes: clinical features Depression in childhood and adolescence

    Directory of Open Access Journals (Sweden)

    Saint-Clair Bahls

    2002-10-01

    Full Text Available Objetivo: apresentar uma revisão sobre o quadro clínico, a evolução, a comorbidade e o comportamento suicida na depressão em crianças e adolescentes, com o objetivo de contribuir com o esclarecimento desta patologia grave, comum e ainda pouco reconhecida. Fontes dos dados: foram realizados levantamento no sistema Medline no período de 1991 a 2000, e levantamento manual da literatura. Síntese dos dados: o interesse científico pela depressão em crianças e adolescentes é bastante recente, pois até a década de 70 acreditava-se que fosse rara ou inexistente. Os sistemas diagnósticos atuais definem que os sintomas básicos de um episódio depressivo maior são os mesmos em crianças, adolescentes e adultos; entretanto, os pesquisadores destacam a importância do processo de maturação na apresentação sintomatológica da depressão, com características predominantes em cada fase do desenvolvimento. Conclusões: atualmente a depressão maior em crianças e adolescentes é considerada comum, debilitante e recorrente, envolvendo um alto grau de morbidade e mortalidade, representando um sério problema de saúde pública.Objective: this study reviews clinical features, evolution, comorbidity and suicidal behavior in childhood and adolescence depression. Its objective is to provide clear information on this common, severe and not very easily recognized pathology. Sources: literature searches were performed through Medline (1991-2000, with secondary-source follow-up. Summary of the findings: scientific concern about depression in childhood and adolescence is recent and up to the 70's depression was considered rare or inexistent in this period. Current diagnostic systems define as basic features of depression in children and adolescents are the same ones found in adults for major depression episodes; however, researches emphasize the significance of the developmental process in the clinical manifestations, with predominant features in each

  5. Gamma ray, EMS and sodium azide induced effectiveness and efficiency of chlorophyll mutations in basmati rice (Oryza sativa L.)

    International Nuclear Information System (INIS)

    The effectiveness and efficiency of gamma ray, EMS, sodium azide alone or in combination in relation to chlorophyll mutations in two varieties of Basmati rice (Oryza sativa L.) in M2 generation were studied. The chlorophyll mutations were induced by all the doses of mutagens alone or in combination relatively at a fair frequency in both the varieties in M2 generation. In general, it was found that combination treatments of gamma rays and EMS were observed to be more efficient in Taraori Basmati, while EMS alone and combination treatment of gamma rays and EMS were more efficient in Pusa Basmati 1 on sterility and growth injury basis both. Sodium azide at 0.5 mM was found as the most effective dose in both Taraori Basmati and Pusa Basmati 1 cultivars. (author)

  6. Efetividade do Toque Terapêutico sobre a dor, depressão e sono em pacientes com dor crônica: ensaio clínico Efectividad del Toque Terapéutico en dolor, depresión y sueño en pacientes con dolor crónica: ensayo clínico The effectiveness of Therapeutic Touch on pain, depression and sleep in patients with chronic pain: clinical trial

    Directory of Open Access Journals (Sweden)

    Ilda Estefani Ribeiro Marta

    2010-12-01

    Full Text Available Este estudo teve como objetivo verificar a efetividade do Toque Terapêutico na diminuição da intensidade da dor, escores de auto-avaliação de depressão e melhora da qualidade do sono. Consiste em um ensaio clínico do tipo antes e depois, realizado com 30 idosos com dor crônica não-oncológica que receberam 8 sessões de Toque Terapêutico Método Krieger-Kunz na Unidade Básica de Saúde de Fernandópolis (SP, Brasil. A Escala Analógica Visual para dor foi aplicada antes e após cada sessão, o Inventário de Depressão de Beck e o Índice de Qualidade do Sono de Pittsburgh, antes da primeira e após a última. A análise dos dados demonstrou diminuição significativa (pEste estudio tuvo como objetivo verificar la efectividad del Tacto Terapéutico en la disminución de la intensidad del dolor, puntajes de autoevaluación de depresión y mejora de la calidad del sueño. Consistió en un ensayo clínico del tipo antes y después, realizado en una Unidad Básica de Salud de Fernandópolis - SP - Brasil, con 30 ancianos con dolor crónico no oncológico que recibieron 8 sesiones de Tacto Terapéutico Método Krieger-Kunz. La Escala Analógica Visual para dolor fue aplicada antes y después de cada sesión, el Inventario de Depresión de Beck y el Índice de Calidad del Sueño de Pittsburgh antes de la primera y luego de la última. El análisis de los datos demostró una disminución significativa (pThis research aimed to check the effectiveness of Therapeutic Touch on decreased pain intensity, depression self-assessment scores and improved sleep quality. A clinical before-after trial is presented. The study was carried out at a Basic Health Unit in Fernandópolis, SP-Brazil, involving 30 elderly patients with chronic non-oncologic pain who received 8 sessions of Therapeutic Touch in accordance with the Krieger-Kunz method. The Visual Analogue Scale for pain was applied before and after each session, and Beck Depression Inventory and the

  7. [Placebo effect: clinical, biological and therapeutical involvements in depression].

    Science.gov (United States)

    Gourion, D; Mouchabac, S

    2016-02-01

    The placebo effect is an excellent model for understanding the mechanisms underlying the interaction between a subjective and complex mental activity (beliefs, expectations, hopes, learning, patient-physician relationship, socio-cultural context .) with different neural and biological systems. Initially, research on the placebo effect has focused on the mechanisms of pain and analgesia. The cognitive processes of conditioning and reward anticipation (hope of a relief) were highlighted. The involvement of different neurobiological pathways has been clearly shown: endogenous opioids, CCK, dopaminergic pathways, endocannabinoids, immunological factors… More recently, the field has open towards new perspectives: depression and anxiety, motor disorders, immune system, endocrine system. Intensive research in the field emerges because of its fundamental implications in neuroscience research but also because of the ethical, clinical and therapeutical issues. Moreover, the placebo effect is considered as a main methodological mean issue in clinical trials that allows the demonstration of the efficacy and tolerance of new drugs. In the field of psychiatry, depression is a placebo highly-sensitive disorder: placebo response rates in clinical trials are of the order of 30 % to 40 %. The identification of biological markers of placebo response, such as neuroimaging and quantitative electroencephalography may lead to develop more efficient models in clinical research. PMID:26879253

  8. Alterações gastrointestinais em pacientes com câncer colorretal em ensaio clínico com fungos Agaricus sylvaticus Gastrointestinal alterations in patients with colorectal cancer on clinical trial supplemented with Agaricus sylvaticus fungus

    Directory of Open Access Journals (Sweden)

    Renata Costa Fortes

    2010-03-01

    Full Text Available INTRODUÇÃO: Fungos medicinais podem normalizar a função intestinal, aumentar o apetite e reduzir os efeitos adversos do tratamento convencional do câncer. OBJETIVO: Avaliar as alterações gastrointestinais de pacientes com câncer colorretal em fase pós-operatória após suplementação dietética com fungos Agaricus sylvaticus. METODOLOGIA: Ensaio clínico randomizado, duplo-cego, placebo-controlado, realizado no Hospital de Base do Distrito Federal. Amostra constituída de 56 pacientes (24 homens e 32 mulheres, estádios I, II e III, seguindo determinados critérios de inclusão e exclusão, separados em grupos placebo e Agaricus sylvaticus (30mg/kg/dia e acompanhados por um período de seis meses. Para avaliar as alterações gastrointestinais foram utilizados um formulário-padrão e uma anamnese dirigida-padrão. O método de análise dos resultados foi qualitativo e descritivo, utilizando os programas Microsoft Excel 2003 e Epi Info 2004 para Windows, versão 3.3.2. RESULTADOS: Após seis meses de tratamento, observou-se, no grupo Agaricus sylvaticus, aumento do apetite e redução da constipação, diarréia, diarréia alternada com constipação, flatulência, retenção de flatos, pirose, plenitude pós-prandial, náuseas, distensão e dor abdominais, fatos não observados no grupo placebo. CONCLUSÃO: Os resultados sugerem que a suplementação dietética com fungos Agaricus sylvaticus é capaz de melhorar as alterações gastrointestinais de pacientes no pós-operatório de câncer colorretal, promovendo melhoria na qualidade de vida desses pacientes.INTRODUCTION: Medicinal fungus may normalize intestinal function, increase appetite and reduce adverse effects caused by conventional cancer treatment. OBJECTIVE: To evaluate the gastrointestinal alterations of patients with colorectal cancer in post-operative phase after dietary supplementation with Agaricus sylvaticus fungus. METHODOLOGY: Randomized, double-blind, placebo

  9. Transtornos alimentares em homens: um desafio diagnóstico Diagnosing eating disorders in men: a clinical challenge

    Directory of Open Access Journals (Sweden)

    Paula Melin

    2002-12-01

    Full Text Available Poucos transtornos na medicina em geral e na psiquiatria em particular têm uma distribuição por gênero tão assimétrica quanto os transtornos alimentares (TA, com apenas 10% dos casos ocorrendo no sexo masculino. Esta disparidade pode ser atribuída a fatores biológicos e culturais, mas também indica a existência de dificuldades no diagnóstico dos TA em homens. Embora tenha crescido o interesse pelos TA nas últimas décadas, seu reconhecimento no sexo masculino ainda é pobre e limitado por estereótipos. O presente estudo tem como objetivo discutir as semelhanças e diferenças dos TA em homens e mulheres, enfatizando os tópicos que têm implicações práticas para os profissionais de saúde mental.Eating disorders are far more prevalent in women than men, with only 10% of cases occurring in males. This discrepancy may be partially explained by biological and cultural factors, but it also suggests diagnostic difficulties. This article compares diagnostic features of eating disorders in both genders, emphasizing the most common pitfalls to its recognition in men, in order to reduce the number of undiagnosed cases.

  10. Ultra-som pulsado de baixa intensidade em fraturas diafisárias: aplicação clínica em cães Low-intensity pulsed ultrasound in diaphyseal fractures: clinical application in dogs

    Directory of Open Access Journals (Sweden)

    Valéria Lima de Sousa

    2008-08-01

    Full Text Available Os efeitos da estimulação ultra-sônica sobre a consolidação óssea têm sido demonstrados por trabalhos experimentais e clínicos. Este estudo teve por objetivo investigar a aplicação clínica do ultra-som pulsado de baixa intensidade como tratamento adjuvante de fraturas diafisárias em cães. Foram utilizados 16 cães de raças variadas, com faixa etária entre sete meses e seis anos, peso corpóreo entre 2,5 e 43kg, portadores de fraturas diafisárias fechadas recentes localizadas no rádio e ulna, fêmur ou tíbia e fíbula, estabilizadas por procedimentos de osteossíntese (fixação esquelética externa, pinos intramedulares ou a associação desses métodos. Os cães foram divididos em dois grupos: fraturas estabilizadas tratadas por ultra-som de baixa intensidade (grupo tratado, n=8; fraturas estabilizadas, não tratadas por estimulação ultra-sônica, (grupo controle, n=8. Os animais foram avaliados por exames clínicos e radiográficos nos períodos pré-operatório, pós-operatório imediato e a cada 30 dias posteriores aos procedimentos cirúrgicos. Realizou-se tratamento com ultra-som pulsado (sinal senoidal com freqüência de 1,5MHz, largura de pulso de 200µs e freqüência de repetição de 1kHz de baixa intensidade (30mW cm-2, aplicado de modo estacionário no foco de fratura. A terapia ultra-sônica foi realizada 20 minutos por dia, durante 21 dias consecutivos, a partir do período compreendido entre o 1° e o 9° dia pós-operatório. O teste t de Student, empregado na análise estatística, mostrou diferença significante (PThe effects of ultrasound stimulation on bone healing have been demonstrated in experimental and clinical studies. The purpose of this study was to investigate the clinical application of low-intensity pulsed ultrasound as an adjuvant for the treatment of diaphyseal fractures in dogs. Sixteen dogs of different breeds, ages ranging from seven months to six years, weighing from 2.5 to 43kg, were

  11. Levels of antibody to conserved parts of <em>Plasmodium falciparumem> merozoite surface protein 1 in Ghanaian children are not associated with protection from clinical malaria

    DEFF Research Database (Denmark)

    Dodoo, D; Theander, T G; Kurtzhals, J A;

    1999-01-01

    The 19-kDa conserved C-terminal part of the Plasmodium falciparum merozoite surface protein 1 (PfMSP119) is a malaria vaccine candidate antigen, and human antibody responses to PfMSP119 have been associated with protection against clinical malaria. In this longitudinal study carried out in an are...

  12. The incidence and clinical symptomatology of <em>Clostridium difficile em>infections in a community setting in a cohort of Danish patients attending general practice

    DEFF Research Database (Denmark)

    Søes, Lillian Marie; Holt, H M; Böttiger, B;

    2014-01-01

    Clostridium difficile infection (CDI) is gradually being recognised as a cause of morbidity in the community. We investigated the incidence and clinical characteristics of CDI in a community setting and characterised the C. difficile strains by toxin gene profiling and polymerase chain reaction...

  13. Aleitamento materno em prematuros: manejo clínico hospitalar Breastfeeding in premature infants: in-hospital clinical management

    Directory of Open Access Journals (Sweden)

    Maria Beatriz R. do Nascimento

    2004-11-01

    Full Text Available OBJETIVO: Abordar a importância do aleitamento materno e sua promoção no manejo clínico-hospitalar de recém-nascidos pré-termo. FONTE DOS DADOS: Foi realizada extensa revisão bibliográfica sobre o tópico, sendo selecionado material oriundo de livros-texto, teses, publicações de organismos nacionais e internacionais e artigos publicados selecionados a partir de pesquisa na base de dados MEDLINE referente ao período de 1990 a 2003, utilizando as palavras-chave breastfeeding and low birth weight e breastfeeding and preterm infant. Algumas referências relevantes dos trabalhos selecionados também foram utilizadas. SÍNTESE DOS DADOS: A partir da literatura levantada, verifica-se que vários aspectos tornam o leite materno particularmente adequado para a alimentação do recém-nascido prematuro. No entanto, observa-se, de modo geral, uma baixa incidência de êxito na amamentação de prematuros, especialmente em unidades neonatais de risco, apesar de haver evidências de que uma postura hospitalar favorável possibilite o aleitamento nessas crianças. CONCLUSÕES: Amamentar prematuros ainda é um desafio, mas é factível desde que haja apoio e suporte apropriados, principalmente pelos profissionais de saúde. As mães de prematuros necessitam de mais informações sobre a importância da amamentação para que possam tomar decisões sobre a nutrição dos seus filhos.OBJECTIVE: To describe the importance of breastfeeding and its promotion in the in-hospital clinical management of premature newborns. SOURCE OF DATA: The authors made an extensive literature review on the topic, including technical books, theses, publications of national and international organizations, and search on MEDLINE database (1990 to 2003, using the following key words and boolean operators: "breastfeeding AND low birth weight" and "breastfeeding AND preterm infant". Some significant references cited in the reviewed publications were used as well. SUMMARY OF THE

  14. Developing an instrument to measure effective factors on clinical learning

    Directory of Open Access Journals (Sweden)

    IDEH DADGARAN

    2016-07-01

    Full Text Available Introduction: Although nursing students spend a large part of their learning period in the clinical environment, clinical learning has not been perceived by its nature yet. To develop an instrument to measure effective factors on clinical learning in nursing students. Methods: This is a mixed methods study performed in 2 steps. First, the researchers defined “clinical learning” in nursing students through qualitative content analysis and designed items of the questionnaire based on semi-structured individual interviews with nursing students. Then, as the second step, psychometric properties of the questionnaire were evaluated using the face validity, content validity, construct validity, and internal consistency evaluated on 227 students from fourth or higher semesters. All the interviews were recorded and transcribed, and then, they were analyzed using Max Qualitative Data Analysis and all of qualitative data were analyzed using SPSS 14. Results: To do the study, we constructed the preliminary questionnaire containing 102 expressions. After determination of face and content validities by qualitative and quantitative approaches, the expressions of the questionnaire were reduced to 45. To determine the construct validity, exploratory factor analysis was applied. The results indicated that the maximum variance percentage (40.55% was defined by the first 3 factors while the rest of the total variance percentage (59.45% was determined by the other 42 factors. Results of exploratory factor analysis of this questionnaire indicated the presence of 3 instructor-staff, students, and educational related factors. Finally, 41 expressions were kept in 3 factor groups. The α-Cronbach coefficient (0.93 confirmed the high internal consistency of the questionnaire. Conclusion: Results indicated that the prepared questionnaire was an efficient instrument in the study of the effective factors on clinical learning as viewed by nursing students since it

  15. Developing an instrument to measure effective factors on Clinical Learning

    Science.gov (United States)

    DADGARAN, IDEH; SHIRAZI, MANDANA; MOHAMMADI, AEEN; RAVARI, ALI

    2016-01-01

    Introduction Although nursing students spend a large part of their learning period in the clinical environment, clinical learning has not been perceived by its nature yet. To develop an instrument to measure effective factors on clinical learning in nursing students. Methods This is a mixed methods study performed in 2 steps. First, the researchers defined “clinical learning” in nursing students through qualitative content analysis and designed items of the questionnaire based on semi-structured individual interviews with nursing students. Then, as the second step, psychometric properties of the questionnaire were evaluated using the face validity, content validity, construct validity, and internal consistency evaluated on 227 students from fourth or higher semesters. All the interviews were recorded and transcribed, and then, they were analyzed using Max Qualitative Data Analysis and all of qualitative data were analyzed using SPSS 14. Results To do the study, we constructed the preliminary questionnaire containing 102 expressions. After determination of face and content validities by qualitative and quantitative approaches, the expressions of the questionnaire were reduced to 45. To determine the construct validity, exploratory factor analysis was applied. The results indicated that the maximum variance percentage (40.55%) was defined by the first 3 factors while the rest of the total variance percentage (59.45%) was determined by the other 42 factors. Results of exploratory factor analysis of this questionnaire indicated the presence of 3 instructor-staff, students, and educational related factors. Finally, 41 expressions were kept in 3 factor groups. The α-Cronbach coefficient (0.93) confirmed the high internal consistency of the questionnaire. Conclusion Results indicated that the prepared questionnaire was an efficient instrument in the study of the effective factors on clinical learning as viewed by nursing students since it involves 41 expressions and

  16. 'Effective' rapidity stopping in Au+Em interactions at 10.6 A GeV

    International Nuclear Information System (INIS)

    The class of events with 'effective' rapidity stopping in which particle rapidity distribution has pronounced narrow peak in the middle of the central region caused by the presence of non-stochastic dynamics in particles production process was found in Au+Em interactions at 10.6 AGeV. The exceeding of experimental particle density in the middle of rapidity distribution induced by non-stochastic process is Δρ = 36±9. Some characteristics of this class of events are studied. (author)

  17. Ten tips for receiving feedback effectively in clinical practice

    Directory of Open Access Journals (Sweden)

    Ali H. Algiraigri

    2014-07-01

    Full Text Available Background: Despite being recognized as a fundamental part of the educational process and emphasized for several decades in medical education, the influence of the feedback process is still suboptimal. This may not be surprising, because the focus is primarily centered on only one half of the process – the teachers. The learners are the targets of the feedback process and improvement needs to be shifted. Learners need to be empowered with the skills needed to receive and utilize feedback and compensate for less than ideal feedback delivery due to the busy clinical environment. Methods: Based on the available feedback literature and clinical experience regarding feedback, the author developed 10 tips to empower learners with the necessary skills to seek, receive, and handle feedback effectively, regardless of how it is delivered. Although, most of the tips are directed at the individual clinical trainee, this model can be utilized by clinical educators involved in learner development and serve as a framework for educational workshops or curriculum. Results: Ten practical tips are identified that specifically address the learner's role in the feedback process. These tips not only help the learner to ask, receive, and handle the feedback, but will also ease the process for the teachers. Collectively, these tips help to overcome most, if not all, of the barriers to feedback and bridge the gaps in busy clinical practices. Conclusions: Feedback is a crucial element in the educational process and it is shown that we are still behind in the optimal use of it; thus, learners need to be taught how to better receive and utilize feedback. The focus in medical education needs to balance the two sides of the feedback process. It is time now to invest on the learner's development of skills that can be utilized in a busy day-to-day clinical practice.

  18. Clinical Supervision in Treatment Transport: Effects on Adherence and Outcomes

    OpenAIRE

    Schoenwald, Sonja K.; Sheidow, Ashli J.; Chapman, Jason E.

    2009-01-01

    This non-experimental study used Mixed-Effects Regression Models (MRMs) to examine relations among supervisor adherence to a clinical supervision protocol, therapist adherence, and changes in the behavior and functioning of youth with serious antisocial behavior treated with an empirically supported treatment (i.e., Multisystemic Therapy), one-year post treatment. Participants were 1979 youth and families treated by 429 clinicians across 45 provider organizations in North America. Four dimens...

  19. Clinical and microbiological effects of commercially available dentifrice containing amine fluoride: A randomized controlled clinical trial

    Directory of Open Access Journals (Sweden)

    A R Pradeep

    2012-01-01

    Full Text Available Background: The inability of the normal adult population to perform adequate tooth brushing has led to the search for chemotherapeutic agents in order to improve plaque control. This 6 month, single center, randomized controlled clinical trial was conducted to assess the clinical and microbiological effects of a dentifrice containing only amine fluoride (AF as the active ingredient on gingivitis. Materials and Methods: Ninety subjects diagnosed with chronic generalized gingivitis were selected and randomly divided in three groups: Group 1 - placebo toothpaste, Group 2 - AF containing toothpaste, and Group 3 - triclosan containing toothpaste with polymer and fluoride. Clinical evaluation was undertaken using the gingival index of Loe and Silness and the plaque index and microbiological counts were assessed at baseline, 6 weeks, 12 weeks, and 24 weeks. A subjective evaluation was also undertaken by a questionnaire. Results: AF containing toothpaste showed significant improvement in gingival and plaque index scores as well as microbiologic counts compared with placebo dentifrice. These improvements were comparable to triclosan containing toothpaste. Conclusions: AF containing toothpaste may be a useful formulation for chemical plaque control agent and improvement in plaque and gingival status and add to the list of various therapeutic agents used for maintenance of gingival health.

  20. Avaliação da utilidade clínica de novos testes diagnósticos em tuberculose: o papel dos ensaios clínicos pragmáticos Evaluation of the clinical utility of new diagnostic tests for tuberculosis: the role of pragmatic clinical trials

    Directory of Open Access Journals (Sweden)

    Gisele Huf

    2012-04-01

    Full Text Available A tuberculose é uma das principais doenças infecciosas em países em desenvolvimento, e o tempo durante o qual a cadeia de transmissibilidade é mantida tem sido apontado como um dos principais fatores de perpetuação da doença. Nesse contexto, novas ferramentas para o diagnóstico têm sido aprovadas pelas agências regulamentadoras nesses países, e sua incorporação é quase imediatamente implementada pelos programas governamentais de controle da tuberculose. As intervenções na área da saúde têm sido cada vez mais investigadas em ensaios clínicos explanatórios (que avaliam seus efeitos benéficos e em ensaios clínicos pragmáticos (que auxiliam na tomada de decisão. Nós argumentamos que a avaliação de novas técnicas diagnósticas para a detecção da tuberculose não deveria escapar dessa mesma lógica de escrutínio.Tuberculosis is one of the major infectious diseases in developing countries, and the length of time for which the chain of transmission is maintained has been implicated as a major factor in the perpetuation of the disease. In this context, regulatory agencies in such countries have approved new diagnostic tools, which have been almost immediately incorporated into the national tuberculosis control programs. Health interventions have been increasingly investigated in clinical trials, including explanatory trials (in order to evaluate the beneficial effects of such interventions and pragmatic trials (in order to aid in the decision-making process. We argue that the evaluation of new diagnostic techniques for the detection of tuberculosis should not escape this same logic of evaluation.

  1. Effect of 5-Aminouracil on mitotic cell division in <em>Allium cepaem> Efeito de 5-Aminouracil na divisão mitótica de células de <em>Allium cepaem>

    OpenAIRE

    Veronica Elisa Pimenta Vicentini; Marcia Flores da Silva; Maria de Fátima Pires da Silva Machado

    1999-01-01

    A exposição de células meristemáticas de Allium cepa por dois ciclos de divisões (48 horas), em soluções contendo concentrações mais baixas de 5-aminouracil (50, 100 e 150μM) do que as usualmente empregadas para proceder à sincronização da proliferação celular, mostrou que as concentrações usadas causam anormalidades cromossômicas e formação de micronúcleos, mas não bloqueiam a entrada destas células em mitose. As células em mitose e com micronúcleos podem prosseguir em divisão e assim con...

  2. A prática clínica baseada em evidências: parte II - buscando as Evidências em Fontes de Informação Evidence based clinical practice: part II - searching evidence databases

    Directory of Open Access Journals (Sweden)

    Wanderley Marques Bernardo

    2004-12-01

    Full Text Available A busca da resposta a uma questão clínica bem construída pode ser realizada em inúmeras fontes de informação científica. Na dependência de onde obtemos a informação, a decisão clínica não será sustentada pelas melhores evidências disponíveis na atualidade, expondo o paciente a um risco desnecessário. A busca pode ser realizada em bases primárias, que disponibilizam os trabalhos originais, cabendo ao leitor o ônus de selecionar e analisar criticamente a validade de seus resultados. A busca pode também ser realizada em bases secundárias, que economizam o tempo do leitor na seleção metodológica e avaliação crítica. Entre as bases primárias, recomendamos o Medline e o SciELO, onde a busca pode ter início com a utilização das palavras-chaves, obtidas na construção da pergunta estruturada segundo o acrônimo P.I.C.O., em seguida, organizadas com a adição dos booleanos AND, OR ou NOT. Entre as bases secundárias que acrescem qualidade científica na seleção das evidências apresentadas, algumas fornecem respostas fundamentadas em trabalhos inviduais, como o ACPJournal Club, o Evidence Based Medicine e o InfoPoems, outras abordam questões clínicas organizadas em forma de livro, como o Clinical Evidence e o UpToDate. A Cochrane Review apresenta evidências de boa qualidade a partir de revisões sistemáticas de ensaios clínicos preferencialmente aleatorizados. A obtenção de estudos que respondem a uma questão clínica faz parte do atendimento que procura integrar a melhor evidência científica às necessidades de atendimento do paciente. Para tanto, conta com recursos tecnológicos, como os PDAs, Palmtops e Notebooks, cada vez mais adaptados para trazer a última informação divulgada pela Internet que auxilia na tomada de decisão clínica à beira do leito.The inadequacy of most of traditional sources for medical information, like textbook and review article, do not sustained the clinical decision based on

  3. A prática clínica baseada em evidências: parte II - buscando as evidências em fontes de informação Evidence based clinical practice: part II - searching evidence databases

    Directory of Open Access Journals (Sweden)

    Wanderley Marques Bernardo

    2004-01-01

    Full Text Available A busca da resposta a uma questão clínica bem construída pode ser realizada em inúmeras fontes de informação científica. Na dependência de onde obtemos a informação, a decisão clínica não será sustentada pelas melhores evidências disponíveis na atualidade, expondo o paciente a um risco desnecessário. A busca pode ser realizada em bases primárias, que disponibilizam os trabalhos originais, cabendo ao leitor o ônus de selecionar e analisar criticamente a validade de seus resultados. A busca pode também ser realizada em bases secundárias, que economizam o tempo do leitor na seleção metodológica e avaliação crítica. Entre as bases primárias, recomendamos o Medline e o SciELO, onde a busca pode ter início com a utilização das palavras-chaves, obtidas na construção da pergunta estruturada segundo o acrônimo P.I.C.O., em seguida, organizadas com a adição dos booleanos AND, OR ou NOT. Entre as bases secundárias que acrescem qualidade científica na seleção das evidências apresentadas, algumas fornecem respostas fundamentadas em trabalhos inviduais, como o ACP Journal Club, o Evidence Based Medicine e o InfoPoems, outras abordam questões clínicas organizadas em forma de livro, como o Clinical Evidence e o UpToDate. A Cochrane Review apresenta evidências de boa qualidade a partir de revisões sistemáticas de ensaios clínicos preferencialmente aleatorizados. A obtenção de estudos que respondem a uma questão clínica faz parte do atendimento que procura integrar a melhor evidência científica às necessidades de atendimento do paciente. Para tanto, conta com recursos tecnológicos, como os PDAs, Palmtops e Notebooks, cada vez mais adaptados para trazer a última informação divulgada pela Internet que auxilia na tomada de decisão clínica à beira do leito.The inadequacy of most of traditional sources for medical information, like textbook and review article, do not sustained the clinical decision based on

  4. Antibody responses to a panel of <em>Plasmodium falciparumem> malaria blood-stage antigens in relation to clinical disease outcome in Sudan

    DEFF Research Database (Denmark)

    Iriemenam, Nnaemeka C; Khirelsied, Atif H; Nasr, Amre; ElGhazali, Gehad; Giha, Haider A; Elhassan A-Elgadir, Thoraya M; Agab-Aldour, Ahmed A; Montgomery, Scott M; Anders, Robin F; Theisen, Michael; Troye-Blomberg, Marita; Elbashir, Mustafa I; Berzins, Klavs

    2009-01-01

    Despite many intervention programmes aimed at curtailing the scourge, malaria remains a formidable problem of human health. Immunity to asexual blood-stage of Plasmodium falciparum malaria is thought to be associated with protective antibodies of certain immunoglobulin classes and subclasses. We ...... were independently associated with protection from clinical malaria. The study provides further support for the potential importance of the studied merozoite vaccine candidate antigens as targets for parasite neutralizing antibody responses of the IgG1 and IgG3 subclasses.......Despite many intervention programmes aimed at curtailing the scourge, malaria remains a formidable problem of human health. Immunity to asexual blood-stage of Plasmodium falciparum malaria is thought to be associated with protective antibodies of certain immunoglobulin classes and subclasses. We...... have analysed immunoglobulin G profiles to six leading blood-stage antigens in relation to clinical malaria outcome in a hospital-based study in Sudan. Our results revealed a linear association with anti-AMA-1-IgG1 antibodies in children <5 years and reduced risk of severe malaria, while the responses...

  5. Avaliação clínica de novo agente inibidor da monaminoxidase em pacientes hospitalizados Clinical essay with a-methyl-benzylhydrazine in in-patients

    Directory of Open Access Journals (Sweden)

    Walter Stoiani

    1967-12-01

    Full Text Available É experimentado um novo agente inibidor da monaminoxidase, a a-metil-benzilidrazina. Foram estudados 20 pacientes com quadros depressivos (endógenos, involutivos, reativos, neuróticos e sintomáticos no curso de psicoses diversas. O medicamento foi utilizado em doses que variaram entre 10 e 20 mg/dia, por via oral, em período que oscilou de 20 a 90 dias. Foi adotado o método de observação clínico-analítica na avaliação dos resultados. As melhores respostas terapêuticas foram observadas nos pacientes com depressão reativa e, a seguir, nos casos de depressão involutiva e neurótica. As depressões surgidas no decurso de diferentes psicoses foram influenciadas de modo menos regular, sendo em geral pouco melhoradas ou não sofrendo qualquer influência.The results with a new monoamine oxidase inhibitor (a-methyl-benzylhydrazine on 20 depressed patients are reported. The doses used orally ranged from 10 to 20 mg/day, during 20 to 90 days. The evalutation was made on the basis of clinical analytic observation. The results were as follow: very good improvement in 5 cases; 7 cases with good results; 4 cases with moderate improvement; 4 cases remained unchanged. The best results were observed in patients with reactive depression. Good results were observed in involutional and neurotic depressions. The symptomatic depressions arisig in the course of various psychoses were hardly, or not at all, influenced by the drug. Severe side effects were not present, except transitory jaundice observed in one case. The authors concluded that a-methyl-benzylhydrazine is a useful antidepressant drug in the treitment of depression, specially in reactive psychoses.

  6. Positive expiratory pressure - Common clinical applications and physiological effects.

    Science.gov (United States)

    Fagevik Olsén, Monika; Lannefors, Louise; Westerdahl, Elisabeth

    2015-03-01

    Breathing out against resistance, in order to achieve positive expiratory pressure (PEP), is applied by many patient groups. Pursed lips breathing and a variety of devices can be used to create the resistance giving the increased expiratory pressure. Effects on pulmonary outcomes have been discussed in several publications, but the expected underlying physiology of the effect is seldom discussed. The aim of this article is to describe the purpose, performance, clinical application and underlying physiology of PEP when it is used to increase lung volumes, decrease hyperinflation or improve airway clearance. In clinical practice, the instruction how to use an expiratory resistance is of major importance since it varies. Different breathing patterns during PEP increase or reduce expiratory flow, result in movement of EPP centrally or peripherally and can increase or decrease lung volume. It is therefore necessary to give the right instructions to obtain the desired effects. As the different PEP techniques are being used by diverse patient groups it is not possible to give standard instructions. Based on the information given in this article the instructions have to be adjusted to give the optimal effect. There is no consensus regarding optimal treatment frequency and number of cycles included in each treatment session and must also be individualized. In future research, more precise descriptions are needed about physiological aims and specific instructions of how the treatments have been performed to assure as good treatment quality as possible and to be able to evaluate and compare treatment effects. PMID:25573419

  7. Clinical effect of venlafaxine combined with methylphenidate hydrochloride on narcolepsy

    Directory of Open Access Journals (Sweden)

    YAN Bin

    2013-11-01

    Full Text Available This study aims to explore the clinical effect of venlafaxine sustained-release capsules combined with methylphenidate hydrochloride tablets on narcolepsy. Thirty-eight cases of narcoleptic patients were randomly divided into venlafaxine combined with methylphenidate hydrochloride treatment group (observation group, N = 19 and methylphenidate hydrochloride and clomipramine treatment group (control group, N = 19. After a total of 12-week treatment, clinical curative effect and adverse drug reactions were observed in 2 groups of patients. The results showed that effective rate of the treatment for excessive daytime sleepiness (EDS in observation group was higher than that of the control group (15/19 vs 8/19, P = 0.044, and effective rate of the treatment for cataplexy in observation group was higher than that of the control group (13/19 vs 6/19, P = 0.048. The rate of adverse drug reactions in observation group was lower than that in the control group (χ2 = 8.889, P = 0.003. It was indicated that venlafaxine combined with methylphenidate had good curative effect on narcolepsy with EDS and cataplexy symptoms.

  8. Reabilitação vestibular: utilidade clínica em pacientes com esclerose múltipla Vestibular rehabilitation: clinical benefits to patients with multiple sclerosis

    Directory of Open Access Journals (Sweden)

    Bianca Simone Zeigelboim

    2010-01-01

    Full Text Available O objetivo desse estudo foi analisar a eficácia do exercício de reabilitação vestibular em dois casos de esclerose múltipla remitente-recorrente. Ambos os casos foram encaminhados do Hospital de Clínicas para o Laboratório de Otoneurologia de uma instituição de ensino e foram submetidos aos seguintes procedimentos: anamnese, inspeção otológica, avaliação vestibular e aplicação do Dizziness Handicap Inventory pré e pós reabilitação vestibular utilizando-se o protocolo de Cawthorne e Cooksey. No primeiro caso, gênero feminino, 35 anos, tempo de doença de seis anos, referiu tontura há três anos, de intensidade moderada de ocorrência frequente, cefaléia, quedas, desvio de marcha à direita e sensação de desmaio (sic. Apresentou no exame labiríntico, síndrome vestibular periférica deficitária bilateral. No segundo caso, gênero feminino, 49 anos, tempo de doença de dois anos, referiu desvio de marcha à direita, dificuldade e/ou dor ao movimento do pescoço, formigamento de extremidade e alteração vocal. Apresentou no exame labiríntico, síndrome vestibular periférica deficitária à direita. Houve melhora significativa em ambos os casos dos aspectos físico, funcional e emocional do Dizziness Handicap Inventory após a realização da reabilitação vestibular. O protocolo utilizado promoveu melhora na qualidade de vida e auxiliou no processo de compensação vestibular.The aim of the present study was to analyze the effectiveness of vestibular rehabilitation exercises in two cases of remittent-recurrent multiple sclerosis. Both cases were referred from the Clinics Hospital to the Laboratory of Otoneurology of the same institution and were submitted to the following procedures: anamnesis, otological inspection, vestibular evaluation, and application of the Dizziness Handicap Inventory before and after vestibular rehabilitation using the Cawthorne and Cooksey protocol. The first case was a 35-year-old female

  9. The Analysis of an End Effect according to the Input Frequency Change in the EM Pump

    International Nuclear Information System (INIS)

    In general, an electromagnetic (EM) pump is considered to circulate a liquid sodium coolant for a Sodium Fast Reactor (SFR). The EM pump has an end effect at both ends basically due to its finite core length. The generated magnetic field across the flow gap is distorted at both ends of the pump. Consequently, there arises reduction on the developed force by the vector product of that magnetic field and its perpendicular induced current. Especially, it experiences even the opposite pumping force near the pump inlet. That causes low efficiency of the pump and resultantly brings about bad performance of a pump. The present study theoretically shows that this end effect can be lessened by control of input frequency. It is predicted that pump operates much more efficiently in the range of low frequency around teen hertz than in that of high frequency over 60 Hz. The force density is investigated in the narrow annular channel of the pump with the length of 84cm according to pump axial coordinates at various frequency

  10. Aspectos clínicos e terapêuticos de prolactinomas em homens Clinical and therapeutic aspects of prolactinoma in men

    Directory of Open Access Journals (Sweden)

    Gisele Rieffel Braucks

    2003-12-01

    Full Text Available Em homens, macroprolactinomas predominam em relação aos microprolactinomas e têm maior invasividade que nas mulheres. O tratamento clínico é a primeira opção tanto em macro como em microadenomas, independente do sexo. Comparamos apresentação clínica, níveis de prolactina, invasividade neurorradiológica e resposta da prolactinemia em 42 homens com prolactinomas, 23 com terapia clínica (grupo 1 e 19 que também utilizaram tratamento cirúrgico e/ou radioterápico (grupo 2. Os dados obtidos foram submetidos a análise estatística utilizando-se os testes de qui-quadrado ou exato de Fisher para comparações de proporções. Para comparar médias foi aplicado o teste t de Student ou, na ausência de distribuição normal ou com número pequeno de eventos, o não paramétrico de Mann-Whitney. O nível de significância adotado foi de 5% (pMacroprolactinomas predominate in males in comparison to microprolactinomas, with greater trend to invasiveness than in females. The clinical treatment has been the first option to prolactinomas, in both macro and microadenomas, irrespective the sex. We compared clinical presentation, prolactin levels, neuroradiologic invasiveness and prolactinemia response of 23 men with prolactinomas subjected to clinical therapy (group 1 with 19 who went also through surgical and/or radiotherapic treatment (group 2. The statistical analysis was done by the tests of chi-square or exact of Fisher, in order to compare proportions, and by t of Student or Mann-Whitney, in order to compare means. The level of significance adopted was 5% (p<0.05. The two groups were similar regarding age (p=0.23, period between start of the first symptom and diagnosis (p=0.82, prolactin levels before treatment (p=0.41 and invasive macroadenomas proportion (p=0.096. There was significantly greater percentage of headache (p=0.009 and visual deficit (p=0.025 in group 2, as well as the drug usage (p=0.007 and observation (p=0.0005 periods were

  11. Qualidade de vida de pacientes hipertensos em tratamento ambulatorial Quality of life of hypertensive patients treated at an outpatient clinic

    OpenAIRE

    Margaret Assad Cavalcante; Maria Teresa Nogueira Bombig; Braulio Luna Filho; Antonio Carlos Camargo Carvalho; Angelo A. V. de Paola; Rui Póvoa

    2007-01-01

    FUNDAMENTO: As doenças cardiovasculares são principal causa de mortalidade na população brasileira, sendo a hipertensão arterial (HA) de maior prevalência. A terapêutica para o tratamento da HA é cada vez maior e sabe-se que melhora a sobrevida dos pacientes, porém questiona-se a melhora na qualidade de vida (QV) do paciente hipertenso após tratamento. OBJETIVO: Comparar aspectos relacionados à QV de pacientes hipertensos em tratamento. MÉTODOS: Foram estudados 100 pacientes hipertensos; 46 a...

  12. Aspectos clínicos da intoxicação experimental pelas favas de Stryphnodendron fissuratum (Leg. Mimosoideae em caprinos Clinical aspects of the experimental poisoning by the pods of Stryphnodendron fissuratum (Leg. Mimosoideae in goats

    Directory of Open Access Journals (Sweden)

    Fábio S. Mendonça

    2010-03-01

    Full Text Available Com o objetivo de caracterizar o quadro clínico da intoxicação por Stryphnodendron fissuratum Mart. (Leg. Mimosoideae em caprinos, administraram-se as favas dessa planta a oito caprinos, por via oral forçada em doses únicas e a outros dois caprinos, em doses fracionadas. A menor dose que causou sinais clínicos e morte foi a de 10g/kg. Doses de 20g/kg e 40g/kg causaram sinais acentuados e doses únicas de 5g/kg não provocaram sinais. Doses fracionadas de 5g/kg durante quatro dias, totalizando 20g/kg provocaram sinais acentuados e morte. Em ambos os grupos, os primeiros sinais de intoxicação foram observados a partir do primeiro dia de experimento e a evolução variou de 4-25 dias. A doença caracterizou-se principalmente por alterações digestórias e nervosas que consistiram em anorexia, desidratação, hipomotilidade e atonia ruminal, timpanismo, gemidos constantes, dor à percussão abdominal, fezes com muco, ranger de dentes, apatia, ataxia, dismetria, tremores de cabeça, tremores musculares, fraqueza com o andar cambaleante e trôpego, acentuada depressão e decúbito esternal ou lateral prolongado e morte. Alguns animais apresentaram acentuada queda de pêlos na região dorsal; apenas um caprino apresentou fezes líquidas, marrom-escuras e fétidas. Outros sinais incluíram perda de fluido ruminal durante a ruminação, sialorréia, exsudato nasal seroso e lacrimejamento. As provas de função hepática e renal revelaram alterações discretas. As concentrações séricas de aspartato aminotransferase encontraram-se levemente aumentadas e as de creatinofosfocinase muito aumentadas.In order to confirm the susceptibility of goats to the poisoning by Stryphnodendron fissuratum Mart. (Leg. Mimosoideae and to characterize the clinical disease, the pods of the plant were given orally to each of eight young goats and in fractioned doses to other two. The lowest lethal dose was 10g/kg. The same dose was the lowest that induced disease

  13. Weightbath hydrotraction treatment: application, biomechanics, and clinical effects

    Directory of Open Access Journals (Sweden)

    Márta Kurutz

    2010-04-01

    Full Text Available Márta Kurutz1, Tamás Bender21Department of Structural Mechanics, Budapest University of Technology and Economics, Hungary; 2Department of Physical Medicine, Polyclinic and Hospital of the Hospitaller Brothers of St. John of God, Budapest, Medical University of Szeged, HungaryBackground and purpose: Weightbath hydrotraction treatment (WHT is a simple noninvasive effective method of hydro- or balneotherapy to stretch the spine or lower limbs, applied successfully in hospitals and health resort sanitaria in Hungary for more than fifty years. This study aims to introduce WHT with its biomechanical and clinical effects. History, development, equipment, modes of application, biomechanics, spinal traction forces and elongations, indications and contraindications of WHT are precented.Subjects and methods: The calculation of traction forces acting along the spinal column during the treatment is described together with the mode of suspension and the position of extra weight loads applied. The biomechanics of the treatment are completed by in vivo measured elongations of lumbar segments using a special underwater ultrasound measuring method. The clinical effects, indications, and contraindications of the treatment are also presented.Results: In the underwater cervical suspension of a human body, approximately 25 N stretching load occurs in the cervical spine, and about 11 N occurs in the lumbar spine. By applying extra weights, the above tensile forces along the spinal column can be increased. Thus, the traction effect can be controlled by applying such loads during the treatment. Elongations of segments L3–L4, L4–L5, and L5–S1 were measured during the usual WHT of patients suspended cervically in water for 20 minutes, loaded by 20–20 N lead weights on the ankles. The mean initial elastic elongations of spinal segments were about 0.8 mm for patients aged under 40 years, 0.5 mm between 40–60 years, and 0.2 mm for patients over 60 years. The mean

  14. A comparison of DNA extraction procedures for the detection of <em>Mycobacterium ulceransem>, the causative agent of Buruli ulcer, in clinical and environmental specimens

    DEFF Research Database (Denmark)

    Durnez, Lies; Stragier, Pieter; Roebben, Karen;

    2008-01-01

    the moment, research is based on the detection by PCR of the insertion sequence IS2404 present in M. ulcerans and some closely related mycobacteria. In the present study, we compared four DNA extraction methods for detection of M. ulcerans DNA, namely the one tube cell lysis and DNA extraction...... purity of the extracted DNA and the time and effort needed were compared as well. All methods were performed on environmental specimens and the two best methods (MB and M16) were tested on clinical specimens for detection of M. ulcerans DNA. When comparing the DLs of the DNA extraction methods, the MB...... and M16 had a significantly lower DL than the OT and FP. For the different PCR targets, IS2404 showed a significantly lower DL than mlsA, MIRU1, MIRU5 and VNTR6. The FP and M16 were considerably faster than the MB and OT, while the purity of the DNA extracted with the MB was significantly higher than...

  15. Positive effects of electronic patient records on three clinical activities

    DEFF Research Database (Denmark)

    Hertzum, Morten; Simonsen, Jesper

    2008-01-01

     Purpose: To investigate the effects of a fully functional electronic patient record (EPR) system on clinicians' work during team conferences, ward rounds, and nursing handovers. Method: In collaboration with clinicians an EPR system was configured for a stroke unit and in trial use for five days......, 24 hours a day. During the trial period the EPR system was used by all clinicians at the stroke unit and it replaced all paper records. The EPR system simulated a fully integrated clinical process EPR where the clinicians experienced the system as if all transactions were IT supported. Such systems...... are not to be expected to be in operational use in Denmark until at least two years from now. The EPR system was evaluated with respect to its effects on clinicians' mental workload, overview, and need for exchanging information. Effects were measured by comparing the use of electronic records with...

  16. An Effective Math Model for Eliminating Interior Resonance Problems of EM Scattering

    Directory of Open Access Journals (Sweden)

    Zhang Yun-feng

    2015-01-01

    Full Text Available It is well-known that if an E-field integral equation or an H-field integral equation is applied alone in analysis of EM scattering from a conducting body, the solution to the equation will be either nonunique or unstable at the vicinity of a certain interior frequency. An effective math model is presented here, providing an easy way to deal with this situation. At the interior resonant frequencies, the surface current density is divided into two parts: an induced surface current caused by the incident field and a resonance surface current associated with the interior resonance mode. In this paper, the presented model, based on electric field integral equation and orthogonal modal theory, is used here to filter out resonant mode; therefore, unique and stable solution will be obtained. The proposed method possesses the merits of clarity in concept and simplicity in computation. A good agreement is achieved between the calculated results and those obtained by other methods in both 2D and 3D EM scattering.

  17. Study on the Clinical Effectiveness of Thymectomy for Myasthenia Gravis

    Institute of Scientific and Technical Information of China (English)

    PANTiecheng; YANHua; ZHANGNi; PANYouming; TANGYingxiong; WENXiang; SONGDingwei; HUMing; LIULigang; LIUZixiong; YANGMingshan; XUJinzhi; PUBitao; GAOBoting

    2002-01-01

    Objectiv:To investigate the theoretical basis and clinical significance of thymectomy in the treatment of myasthenia gravis (MG). Methods:Analyze the changes in the contents of serum AchRab and sIL-2R, lymphocyte subtypes in Peripheral blood lymphocytes before and after thymectomy in 69 patients. Results:In the study group significant changes were found in serum contents of AchRab and sIL-2R before and after operation and there was also remarkable change in the number and constitution of peripheral blood lymphocyte subtypes. Conclusion:Thymectomy is an effective therapy for MG.

  18. The Effect of Applying Direct Observation of Procedural Skills (DOPS) on Nursing Students’ Clinical Skills: A Randomized Clinical Trial

    OpenAIRE

    Hengameh, Habibi; Afsaneh, Raiesifar; Morteza, Khaghanizade; Hosein, Mahmudi; Marjan, Seyed Mazhari; Ebadi, Abbas

    2015-01-01

    Background: Remarkable advances in educational measurement have proved need to the implementation of modern and appropriate methods of clinical evaluation. This study was carried out to compare the effect of applying direct observation procedural skills and routine evaluation method on clinical skills of nursing students. Methods: This randomized clinical trial was conducted on students of Nursing Army College, Tehran, Iran. After obtaining approval from the Ethics Committee of the Baqiyatall...

  19. Clinical significance of combined detection of multiple serum antibodies (AsAb, EmAb, AcAb, AoAb, ToxAb) in infertile women

    International Nuclear Information System (INIS)

    Objective: To determine the clinical significance of combined detection of multiple serum antibodies in infertile women. Methods; Serum multiple antibodies were examined in 120 infertile women, including 88 failed to get pregnancy and 32 with repeated spontaneous abortion. The antibodies tested were: (1) anti-sperm antibody (AsAb) (2) endometrial antibody (EmAb) (3) anti-cardiophospholipid antibody (AcAb) (4) Anti-ovarian antibody (AoAb) and Toxoplasmosis antibody (ToxAb). Results: In 48 of the infertile women, none of the five antibodies were positive (40% of 120). The rest were: one antibody positive--38/120 or 31.6%; two antibodies positive--31/120 or 25.83%, three and four antibodies positive--4/120 or 3.33%. None of the women were positive with all five antibodies. Conclusion: Immune factor was the chief cause of infertility in women. (authors)

  20. Clinical predictors of abnormal esophageal pH monitoring in preterm infants Preditores clínicos para pHmetria esofágica anormal em prematuros

    Directory of Open Access Journals (Sweden)

    Maria Aparecida Mezzacappa

    2008-09-01

    Full Text Available BACKGROUND: Risk factors for gastroesophageal reflux disease in preterm neonates have not been yet clearly defined. AIM: To identify factors associated with increased esophageal acid exposition in preterm infants during the stay in the neonatal unit. METHODS: A case-control study in preterm infants who had undergone prolonged monitoring of distal esophageal pH, following clinical indication. Eighty-seven preterms with reflux index (percentage of total time of esophageal pHmetry >10% (cases and 87 unpaired preterms were selected with reflux index 10% in preterms were: vomiting, regurgitation, Apnea, female gender. The variables that were associated with a lower frequency of increased reflux index were: volume of enteral intake at the onset of symptoms >147 mL/kg/day, and postnatal corticoid use. CONCLUSIONS: Vomiting, regurgitation, apnea, female gender and acute respiratory distress during the first week of life were variables predictive of increased esophageal acid exposition in preterm infants with birthweight 10%.RACIONAL: Os fatores de risco para a doença pelo refluxo gastroesofágico em recém-nascidos prematuros não foram, até momento, claramente estabelecidos. OBJETIVO: Identificar fatores associados ao aumento da exposição ácida intra-esofágica em prematuros durante o período de internação em unidade neonatal. MÉTODOS: Realizou-se estudo de caso controle com prematuros que realizaram monitorização prolongada do pH esofágico por suspeita clínica de doença do refluxo. Foram selecionados 87 recém-nascidos com valor do índice de refluxo (percentual do tempo total do exame com pH abaixo de 4 >10% (casos e 87 recém-nascidos com índice de refluxo 10% foram: vômitos, regurgitações, apnéia, sexo feminino e insuficiência respiratória na 1ª semana de vida. As variáveis que se associaram a menor freqüência de índice de refluxo 147mL/kg/d e uso de corticóide pós-natal. CONCLUSÕES: Vômitos, regurgitações, apn

  1. Meningoencefalite por Herpesvirus bovino 5 em Minas Gerais: relato de caso clínico Meningoencephalitis by Bovine herpesvirus 5 in Minas Gerais state: clinical case report

    Directory of Open Access Journals (Sweden)

    H.M. Aquino Neto

    2009-02-01

    Full Text Available Relata-se um caso de meningoencefalite causada por Herpesvirus bovino 5 (BoHV-5 heritabilityem uma vaca com cinco anos de idade. O animal manifestou quadro clínico inicial de síndrome medular baixa, caracterizada por incoordenação dos membros pélvicos, sinais estes ainda não descritos para a enfermidade. Dentro de pouco tempo a doença evoluiu para síndrome cerebral, e o óbito ocorreu seis dias após o inicio dos sintomas. Na histopatologia, evidenciou-se meningoencefalite difusa, não supurada, e a confirmação do diagnóstico foi feita por reação em cadeia de polimerase e sequenciamento do segmento parcial da glicoproteína G do vírus. O trabalho confirma a presença do BoHV-5 em Minas Gerais, descreve características clínicas novas para a enfermidade e ressalta sua importância no diagnóstico diferencial das neuropatias bovinas.A clinical case of meningoencephalitis by Bovine herpesvirus 5 (BoHV-5 in a five-year-old cow was reported. The disease began with low spinal cord signs, characterized by incoordination, and these symptoms had never been related to this illness before. Signs of a brain syndrome were observed and the cow died in six days. At the histopathology, a spread non-supurative meningoencephalitis was diagnosed, and the virus identification was made by PCR and partial sequence of the glycoprotein G. This study confirm the BoHV-5 presence in the State of Minas Gerais, Brazil, describes new clinic characteristics, and show the importance of the disease in the differentiate diagnosis with others bovine central nervous system affections.

  2. Uso clínico do hormônio antimülleriano em ginecologia Clinical use for anti-mullerian hormone in gynecology

    Directory of Open Access Journals (Sweden)

    Gustavo Salata Romão

    2013-03-01

    Full Text Available O hormônio antimülleriano (AMH é uma glicoproteína produzida pelas células granulosas de folículos ovarianos primários, pré-antrais e pequenos folículos antrais e ultimamente sua aplicabilidade clínica tem sido demonstrada através de diversos estudos. A predição da resposta à estimulação ovariana para fertilização in vitro corresponde a sua mais frequente utilização na prática clínica, sendo rotineiramente realizada em muitos serviços para identificar subgrupos de mulheres suscetíveis a má resposta ou a Síndrome da Hiperestimulação Ovariana. Existem perspectivas de que o AMH possa ser aplicável na individualização do risco de injúria gonadal iatrogênica em mulheres portadoras de neoplasia que serão submetidas a quimioterapia. Também é provável que as dosagens de AMH sejam incluídas nos protocolos de investigação de amenorreias e oligomenorreias, uma vez que seus níveis encontram-se elevados em pacientes portadoras da Síndrome dos Ovários Policísticos, reduzidos em casos de falência ovariana prematura e normais em outras condições como a hiperprolactinemia e o hipogonadismo hipogonadotrófico. É possível que futuramente o AMH venha a ser utilizado na predição da idade de menopausa e do prognóstico reprodutivo da mulher, fornecendo bases sólidas ao aconselhamento conceptivo e contraceptivo.Anti-mullerian hormone (AMH is a glycoprotein produced by granulosa cells of primary, pre-antral and small antral ovarian follicles and its clinical applicability has been recently demonstrated by several studies. Prediction of the response to ovarian stimulation for in vitro fertilization corresponds to the most frequent utilization of AMH in clinical practice, being routinely assessed in many services to identify subgroups of women susceptible to a poor response or to Ovarian Hyperstimulation Syndrome. There are great perspectives that AMH may be applicable to the individual determination of risk for

  3. Berberine: metabolic and cardiovascular effects in preclinical and clinical trials

    Directory of Open Access Journals (Sweden)

    Arrigo FG Cicero

    2009-09-01

    Full Text Available Arrigo FG Cicero1, Sibel Ertek21Internal Medicine, Aging and Kidney Diseases Department, Sant’Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy; 2Ufuk University, Medical Faculty, Dr Ridvan Ege Hospital, Department of Endocrinology and Metabolic Diseases, Ankara, TurkeyAbstract: Berberine is a plant alkaloid with numerous biological activities. A large body of preclinical in vitro and in vivo studies support different pharmacological actions of berberine that could be potentially useful in the management of metabolic diseases associated with high cardiovascular disease risk, such as mixed hyperlipidemia, insulin resistance, metabolic syndrome, and type 2 diabetes. Moreover, it seems that berberine also exerts anti-inflammatory and antiproliferative effects that could play a role in the development of atherosclerosis and its clinical consequences. Recently, the metabolic effects of berberine have been demonstrated in humans, opening new perspectives for the use of this molecule in patient therapy. Larger and longer clinical studies need to be carried out to implement the definition of the therapeutic role of berberine in humans.Keywords: berberine, cardiovascular disease, diabetes, cholesterol

  4. Beecher as Clinical Investigator: Pain and the Placebo Effect.

    Science.gov (United States)

    Benedetti, Fabrizio

    2016-01-01

    Among the many contributions by Henry Beecher to science and clinical practice, pain and the placebo effect certainly represent two of the most important aspects. On the one hand, Beecher considered the pain experience not only as arising from the peripheral injured tissues, but also as an emotional experience that is capable of modulating the nociceptive input. On the other hand, he analyzed the placebo effect at an unprecedented level for that time. His ideas sparked from his work on wounded soldiers during World War II. In spite of the unusual situation and the lack of sophisticated experimental tools on the battlefield, Beecher succeeded in putting forward several important concepts, and his ideas still pervade modern health care and research. PMID:27499483

  5. Clinical Effects of Topical Tacrolimus on Fox-Fordyce Disease

    Directory of Open Access Journals (Sweden)

    Hilal Kaya Erdoğan

    2015-01-01

    Full Text Available Fox-Fordyce Disease (FFD is a rare, chronic, pruritic, inflammatory disorder of apocrine glands. It is characterized by dome-shaped, firm, discrete, skin-colored, and monomorphic perifollicular papules. The most common sites of involvement are axillae and anogenital and periareolar regions which are rich in apocrine sweat glands. Treatment is difficult. Topical, intralesional steroids, topical tretinoin, adapalene, clindamycin, benzoyl peroxide, oral contraceptives, isotretinoin, phototherapy, electrocauterisation, excision-liposuction and curettage, and fractional carbon dioxide laser are among the treatment options. In the literature, there are articles reporting beneficial effects of pimecrolimus in FFD. Nevertheless, there have not been any reports about the use of tacrolimus in FFD. We report two patients diagnosed with FFD by clinical and histopathologic examination and discussed therapeutic effects of topical tacrolimus on FFD in the light of literature.

  6. Aloe vera: A review of toxicity and adverse clinical effects.

    Science.gov (United States)

    Guo, Xiaoqing; Mei, Nan

    2016-04-01

    The Aloe plant is employed as a dietary supplement in a variety of foods and as an ingredient in cosmetic products. The widespread human exposure and its potential toxic and carcinogenic activities raise safety concerns. Chemical analysis reveals that the Aloe plant contains various polysaccharides and phenolic chemicals, notably anthraquinones. Ingestion of Aloe preparations is associated with diarrhea, hypokalemia, pseudomelanosis coli, kidney failure, as well as phototoxicity and hypersensitive reactions. Recently, Aloe vera whole leaf extract showed clear evidence of carcinogenic activity in rats, and was classified by the International Agency for Research on Cancer as a possible human carcinogen (Group 2B). This review presents updated information on the toxicological effects, including the cytotoxicity, genotoxicity, carcinogenicity, and adverse clinical effects of Aloe vera whole leaf extract, gel, and latex. PMID:26986231

  7. A prática clínica baseada em evidências. Parte I: questões clínicas bem construídas Evidence based clinical practice. Part 1: well structured clinical questions

    Directory of Open Access Journals (Sweden)

    Moacyr Roberto Cuce Nobre

    2003-01-01

    Full Text Available Na prática diária as decisões tomadas para resolver o problema do paciente são usualmente baseadas na aplicação consciente da informação avaliável por regras explicitamente definidas. A prática clínica baseada em evidências leva em consideração o reconhecimento dos conhecimentos explícitos e tácitos, entendendo que é impossível tornar explícito todos os aspectos da competência profissional. A dúvida passa a fazer parte do processo de decisão, inicialmente na identificação dos componentes inconscientes envolvidos, e em seguida na análise do conhecimento explícito utilizado nesse processo. Ao elaborarmos uma questão clínica estruturada e que possa ser respondida, devemos lembrar que essa dúvida pode estar relacionada a aspectos básicos e de definição da doença ou relacionada ao atendimento do paciente, como em diagnóstico, terapêutica ou prognóstico. Ao longo de nossa vida médica, ambos os tipos de questões estão presentes, variando na proporção em que nossa experiência aumenta à medida do tempo de prática clínica. O processo de encontrar resposta apropriada à dúvida surgida no atendimento depende da forma como estruturamos as partes deste processo. A forma preconizada é conhecida pela sigla PICO. formada por P de paciente ou população, I de intervenção ou indicador, C de comparação ou controle e O de "outcome", que na língua inglesa significa desfecho clínico, resultado, ou por fim, a resposta que se espera encontrar nas fontes de informação científica. Esta é a primeira condição básica para que a nossa busca possa ser bem sucedida, a segunda é encontrar as palavras-chaves que melhor descrevem cada uma destas quatro características da questão. Sem estes cuidados as pesquisas em bases de dados informatizadas costuma resultar em ausência de informação ou em quantidade muito grande de informação que não está relacionada com o nosso interesse.Clinical decisions in daily practice

  8. Marcadores sorológicos de hepatite B em indivíduos submetidos a exames de sangue em unidades de saúde Serological markers of hepatitis B in people submitted to blood testing in health care clinics

    Directory of Open Access Journals (Sweden)

    Lucia VG Miranda

    2000-06-01

    Full Text Available OBJETIVO: Estudar aspectos da epidemiologia da hepatite B em pessoas submetidas à coleta de sangue em unidades de saúde. MÉTODOS: Indivíduos dos quais se coletou sangue em unidades de saúde de Ribeirão Preto, independentemente do motivo, foram solicitados a fornecer uma quantidade adicional de material, obtida no momento da coleta e submetida à detecção de marcadores de hepatite B. Simultaneamente, por meio de questionário padronizado, foram obtidas informações de possíveis fatores de risco para a doença. Os dados foram analisados por meio de um modelo de regressão logística. RESULTADOS: As prevalências de HBsAg e de anti-HBcAg foram de 0,3% e 13,9%, respectivamente. Os fatores de risco associados à infecção foram: idade, residência na cidade há menos de um ano, antecedente de hepatite, exposição prévia a casas de correção e homo/bissexualismo masculino. CONCLUSÕES: Devido a dificuldades crescentes de obtenção de sangue de indivíduos sadios, essa pode ser uma alternativa para estudos que objetivem fornecer informações sobre a circulação de agentes infecciosos na população. Embora não se possa generalizar os dados obtidos pela metodologia usada, ela traz conhecimento referente à circulação do vírus de hepatite B.OBJECTIVE: To study some of the epidemiological aspects of hepatitis B in a non-representative sample of patients seen in health care clinics. METHODS: The study population comprised 632 patients who were seen at health care clinics in the city of Ribeirão Preto, Brazil, for the purpose of blood testing, regardless the reason. After signing a written consent, an additional amount of blood was drawn from the same venous puncture site used to collect the original sample for the testing assigned to the patient at the health care clinic. A questionnaire was applied to each participant, looking for the presence of risk factors for hepatitis B. The blood samples were tested for HBV markers, using

  9. Clinical effects of acupuncture therapy for vascular dementia

    Institute of Scientific and Technical Information of China (English)

    Lei Zhao; Yi Guo; Jun Xiong; Wei Wang; Yuanhao Du; Lijuan Yan

    2011-01-01

    revealed efficacy at different aspects of acupuncture and moxibustion, which was superior to the conventional body acupuncture group(risk ratio(RR)=0.03,95% CI: 0.01-0.18, P<0.01; RR=0.05, 95% CI: 0.07-0.13, P<0.05). One A-level evidence study demonstrated that acupuncture improved mental state, daily living activities, and efficacy and effect of cognitive aspects, which was superior to the drug group[cognitive effects(RR = 5.92, 95% CI:2.66-13.16, P<0.01); activities of daily living efficacy(RR= 3.00, 95% CI:1.57-5.75, P<0.01)].The Mini Mental State Examination score resulted in the following: WMD = 3.85, 95% CI:1.63-6.07,P<0.01. One B-grade evidence article revealed that laser irradiation combined with electro-acupuncture was more effective than simple drug treatment(RR = 10.43, 95% CI:1.22-89.46, P<0.05).CONCLUSION: The inclusion of limited clinical studies has verified the efficacy of acupuncture in vascular dementia treatment. Acupuncture or its combination with Chinese herbs provides certain advantages, but most clinical studies have a small sample size. Large sample size, randomized,controlled trials are needed in the future for more definitive results.

  10. A structural dynamic factor model for the effects of monetary policy estimated by the EM algorithm

    DEFF Research Database (Denmark)

    Bork, Lasse

    This paper applies the maximum likelihood based EM algorithm to a large-dimensional factor analysis of US monetary policy. Specifically, economy-wide effects of shocks to the US federal funds rate are estimated in a structural dynamic factor model in which 100+ US macroeconomic and financial time...... series are driven by the joint dynamics of the federal funds rate and a few correlated dynamic factors. This paper contains a number of methodological contributions to the existing literature on data-rich monetary policy analysis. Firstly, the identification scheme allows for correlated factor dynamics...... as opposed to the orthogonal factors resulting from the popular principal component approach to structural factor models. Correlated factors are economically more sensible and important for a richer monetary policy transmission mechanism. Secondly, I consider both static factor loadings as well as dynamic...

  11. Dimethylarginine Dimethylaminohydrolase/Nitric Oxide Synthase Pathway in Liver and Kidney: Protective Effect of Cyanidin 3-<em>O>-β-D-Glucoside on Ochratoxin-A Toxicity

    Directory of Open Access Journals (Sweden)

    Rosaria Acquaviva

    2012-05-01

    Full Text Available The aim of the present study was to evaluate the effect of long-term cyanidin 3-<em>O>-β-D-glucoside (C3G and/or Ochratoxin A (OTA-exposure on dimethylarginine dimethylamino hydrolase/nitric oxide synthase (DDAH/NOS pathway in rats. The experiments were performed in rats supplemented with C3G (1 g/kg feed, OTA (200 ppb, and OTA + C3G. After 4 weeks of daily treatment, liver and kidneys were processed for eNOS, iNOS and DDAH-1 Western blotting, nitrite levels evaluation and DDAH activity determination. Results show that OTA is able to induce iNOS both in kidney and liver, whereas OTA is able to induce eNOS and DDAH-1 overexpression and DDAH activation only in kidney, resulting in increased nitrite levels. In kidney of OTA + C3G fed rats, iNOS, eNOS and DDAH-1 expression were less pronounced compared with those observed in the OTA-treated group. Coherent with the decreased iNOS, eNOS and DDAH-1 expression a decrease in nitrite levels and DDAH activity was observed in the OTA + C3G group. Results demonstrate that C3G is able to counteract the deleterious effects of chronic consumption of OTA and also suggest a possible involvement of iNOS-eNOS-DDAH impairment in OTA nephrocarcinogenity.

  12. Pengaruh Pemberian EM-4 (Effective Microorganism-4) Pada Pakan Terhadap Pertumbuhan dan Kelangsungan Hidup Ikan Lele Sangkuriang (Clarias gariepinus)

    OpenAIRE

    Banjarnahor, Dwy M

    2016-01-01

    In the cultivation of fish consumption, the most important factors are the growth and survival. Catfish is a freshwater fish consumption is relatifely fast growth. This study was aimed to know the influence of EM-4 in feed to the growth and survival rate of catfish and to determine the amount of effective concentration of EM-4 to the growth and survival rate of catfish (Clarias gariepinus). Fish given 5 % of fish body weight per day. Feeding frequency of three times a day at 08.00,13.00 and...

  13. Proton therapy - A systematic review of clinical effectiveness

    International Nuclear Information System (INIS)

    Background and purpose: Proton therapy is an emerging treatment modality for cancer that may have distinct advantages over conventional radiotherapy. This relates to its ability to confine the high-dose treatment area to the tumour volume and thus minimizing radiation dose to surrounding normal tissue. Several proton facilities are currently operating or under planning world-wide - in the United States, Asia and Europe. Until now no systematic review assessing the clinical effectiveness of this treatment modality has been published. Materials and methods: A systematic review of published studies that investigated clinical efficacy of proton therapy of cancer. Results: We included 54 publications: 4 randomized controlled trials (RCTs) reported in 5 publications, 5 comparative studies and 44 case series. Two RCTs addressed proton irradiation as a boost following conventional radiation therapy for prostate cancer, where one demonstrated improved biochemical local control for the highest dose group without increased serious complication rates. Proton therapy has been used to treat a large number of patients with ocular tumours, but except for one low quality RCT, no proper comparison with other treatment alternatives has been undertaken. Proton therapy offers the option to deliver higher radiation doses and/or better confinement of the treatment of intracranial tumours in children and adults, but reported studies are heterogeneous in design and do not allow for strict conclusions. Conclusion: The evidence on clinical efficacy of proton therapy relies to a large extent on non-controlled studies, and thus is associated with low level of evidence according to standard heath technology assessment and evidence based medicine criteria

  14. Clinical effect of rhEGF on acute radiation stomatitis

    International Nuclear Information System (INIS)

    Objective: To evaluate the clinical effect of recombinant human epidermal growth factor (rhEGF) on acute radiation stomatitis (ARS). Methods: A total of 90 patients with head and neck malignant tumor going to receive radiotherapy were randomized into 3 groups: prophylactic application group (group A); therapeutic application group (group B) and the control group(group C). The irradiated mucous membrane was sprayed with rhEGF at the beginning of radiotherapy in group A and sprayed after grade I radiation stomatitis had appeared in group B. Comparison was made with control patients (group C) who received routine oral care with Dobell's solution. The rate of ARS and the clinical effect of rhEGF were evaluated. Results: The ARS appeared in 73% (22/30) of the patients after irradiated at a dose more than 10 Gy in group A, and appeared in 83% (25/30) of the patients irradiated at a dose less than 10 Gy in group C. In groups A and B, the rates of grades III and IV ARS were obviously lower than those in group C. The average curative time of the rhEGF treatment groups (group A or B) was less than 7 days whereas, that of the control group (group C) was more than 10 days. The total effective rate of the rhEGF treatment groups was significantly higher than that of the control group (P<0.01). Conclusion: Prophylactic application of rhEGF can postpone the development of ARS. rhEGF can reduce the incidence of grades III and IV of ARS and shorten the curative time of ARS by either prophylactic or therapeutic application. Therefore, it should be highly recommended and popularized. (authors)

  15. Insulin glargine: pharmacokinetic and pharmacodynamic basis of clinical effect

    Directory of Open Access Journals (Sweden)

    Vadim Valeryevich Klimontov

    2014-10-01

    Full Text Available Glargine became the first long-acting insulin analogue. Glargine was designed to meet basal insulin requirements throughout the day with a single injection. Pharmacokinetics of insulin glargine is characterized by biotransformation into metabolites M1 and M2 that transforms the B chain of glargine so it is similar to the B chain of human insulin. Plasma concentrations of active M1 and M2 metabolites have no pronounced peaks during the day, resulting in lower glucose variability and hypoglycaemia risk when compared with NPH insulin. The metabolic activities of M1 and M2 metabolites are similar to the effect of glargine, whereas the mitogenic effects of these metabolites do not exceed the effect of human insulin. Insulin glargine shows a higher affinity for the insulin-like growth factor-1 (IGF-1 receptor when compared with human insulin. Glargine has no proliferative effect in vivo owing to its rapid conversion into metabolites. Pharmacokinetic and pharmacodynamic variability of glargine is comparable to other insulins. These characteristics are important for the clinical efficacy and safety of glargine.

  16. PPARs: Interference with Warburg’ Effect and Clinical Anticancer Trials

    Directory of Open Access Journals (Sweden)

    Joseph Vamecq

    2012-01-01

    Full Text Available The metabolic/cell signaling basis of Warburg’s effect (“aerobic glycolysis” and the general metabolic phenotype adopted by cancer cells are first reviewed. Several bypasses are adopted to provide a panoramic integrated view of tumoral metabolism, by attributing a central signaling role to hypoxia-induced factor (HIF-1 in the expression of aerobic glycolysis. The cancer metabolic phenotype also results from alterations of other routes involving ras, myc, p53, and Akt signaling and the propensity of cancer cells to develop signaling aberrances (notably aberrant surface receptor expression which, when present, offer unique opportunities for therapeutic interventions. The rationale for various emerging strategies for cancer treatment is presented along with mechanisms by which PPAR ligands might interfere directly with tumoral metabolism and promote anticancer activity. Clinical trials using PPAR ligands are reviewed and followed by concluding remarks and perspectives for future studies. A therapeutic need to associate PPAR ligands with other anticancer agents is perhaps an important lesson to be learned from the results of the clinical trials conducted to date.

  17. Effects of low-energy laser irradiation on the distalization velocity during experimental canine tooth movement in humans: 'comparative clinical study'; Efeitos da irradiacao com laser em baixa intensidade na velocidade de distalizacao de caninos durante a movimentacao ortodontica: 'estudo clinico comparativo'

    Energy Technology Data Exchange (ETDEWEB)

    Cruz, Delma Rebelo

    2003-07-01

    This research investigated the effects of low level laser therapy (LLLT) upon the velocity of canine tooth movement and consequently bone remodeling. A total of eleven patients were treated with a 780 nm diode laser. One side of the upper arcade was considered control group and was not irradiated but received mechanical activation every thirty days. The opposite side received the same mechanical activation but was also irradiated at days 0, 3, 7 and 14 of each month. Data of the biometrical progress were taken on both sides on days 3,7,14,21 and 30 of each month. The results indicate that all patients showed significant acceleration of the distalization velocity on the side treated with LLLT when compared to the control. (author)

  18. Etiology of parkinsonism in a Brazilian movement disorders clinic Etiologia de parkinsonismo em uma clínica brasileira de distúrbios do movimento

    Directory of Open Access Journals (Sweden)

    FRANCISCO CARDOSO

    1998-06-01

    Full Text Available OBJECTIVE: The aim of the present study is to investigate whether there are geographic differences in the etiology of parkinsonism (PA. BACKGROUND: 72% of patients with PA evaluated at movement disorders clinics in the Northern Hemisphere are diagnosed with Parkinson's disease (PD. Data regarding other regions are not available. METHODS: We reviewed the charts of all patients with PA seen at the Federal University of Minas Gerais Movement Disorders Clinic from July 1993 through October 1995. PA was diagnosed by the presence of at least two of the following: rest tremor, bradykinesia, rigidity, and postural instability. The different etiologies were diagnosed based on standard clinical criteria RESULTS: During the period of the study, PA was recognized in 338 subjects. The following clinical diagnoses were made: PD (68.9%, drug-induced PA (DIP (13.3%, vascular PA (4.7%, Progressive supranuclear palsy (PSP (2%, multiple system atrophy (MSA (1.8%, others (9.7%. Cinnarizine, haloperidol and flunarizine were the commonest drugs related to DIP. CONCLUSIONS: Similarly to other studies, PD accounts for about 70% of PA patients. However, there are differences between our results and previous series. DIP is much more common in the present series. This may be accounted for a more liberal use of antidopaminergic drugs in our environment, especially Calcium channel blockers. The lower frequency of MSA and PSP in our study may reflect a short follow-up, since many patients initially diagnosed with PD later are found to have Parkinson-plus syndromes.OBJETIVO: O objetivo deste estudo é investigar se há diferenças geográficas na etiologia de parkinsonismo (PA. PANORAMA: 72% dos pacientes com PA avaliados em Clínicas de Distúrbios do Movimento no hemisfério norte são diagnosticados com doença de Parkinson (DP. Dados a respeito de outras regiões não se encontram disponíveis. MÉTODOS: Nós revisamos os prontuários de todos pacientes com PA vistos na

  19. Características clínicas e prognóstico em pacientes com asma quase fatal em Salvador, Bahia Clinical characteristics and prognosis in near-fatal asthma patients in Salvador, Brazil

    Directory of Open Access Journals (Sweden)

    Eduardo Vieira Ponte

    2011-08-01

    Full Text Available OBJETIVO: Determinar a frequência de asma quase fatal em um grupo de pacientes com asma grave, assim como as características clínicas e o prognóstico desses pacientes em um ano de seguimento. MÉTODOS: Estudo prospectivo envolvendo 731 pacientes de baixa renda com asma grave tratados em um ambulatório de referência para asma na cidade de Salvador (BA. Os pacientes realizaram espirometria na admissão do estudo, receberam medicações para asma e foram monitorizados quanto à frequência de exacerbações durante o seguimento. Uma subamostra de 511 pacientes também respondeu questionários de sintomas e de qualidade de vida relacionada a asma. RESULTADOS: Dos 731 pacientes estudados, 563 (77% eram do sexo feminino, com mediana de idade de 47 anos, e 12% não eram alfabetizados. A maioria dos pacientes apresentava rinite, e 70 (10% relataram asma quase fatal antes da admissão. Desses 70 pacientes, 41 (59% relataram terem sido intubados previamente. Os pacientes com asma quase fatal na admissão eram mais propensos a exacerbações de asma durante o acompanhamento e tiveram menor resposta ao tratamento do que aqueles sem asma quase fatal. Os resultados dos questionários no final do acompanhamento foram semelhantes nos dois grupos de pacientes. CONCLUSÕES: A frequência de asma quase fatal foi alta nesta população de pacientes com asma grave e de baixa renda. Os pacientes com histórico de asma quase fatal tiveram um pior prognóstico que aqueles sem esse histórico, embora tenham recebido o mesmo tratamento. Curiosamente, a intensidade dos sintomas e a qualidade de vida no final do estudo foram semelhantes entre os dois grupos de pacientes.OBJECTIVE: To determine the frequency of near-fatal asthma in a group of severe asthma patients, as well as the clinical characteristics and prognosis of these patients within a one-year follow-up period. METHODS: A prospective study involving 731 low-income patients with severe asthma treated at a

  20. Ensayo clinico para la enfermeria basada en evidencia: un desafio alcanzable Ensaios clínicos para Enfermagem-Baseada-em-Evidências: um desafio possível Clinical trials for Evidence-Based Nursing: a possible challenge

    Directory of Open Access Journals (Sweden)

    Eugenia Urra Medina

    2011-01-01

    Full Text Available El ensayo clínico aleatorio constituye el diseño de investigación más riguroso para estudios de intervenciones. En este tipo de estudios, el investigador está interesado en determinar si existe una relación causa-efecto entre un tratamiento y el resultado. Para ello debe comparar grupos de individuos que han sido asignados a recibir diferente nivel de exposición a la intervención, y así determinar si existe el efecto. Hoy en día, se reconoce como uno de los mejores estándares de evidencia para aplicar en la Enfermería Basada en Evidencia. En este contexto, este artículo plantea las principales características de los ensayos clínicos aleatorios, su aplicación, las consideraciones requeridas en su implementación así como sus limitaciones. Con esto se espera estimular su uso para las intervenciones de enfermería en que pueda ser aplicado, hecho relevante ya que desde una perspectiva empírica aportan las mejores pruebas para la Enfermería Basada en Evidencias.O ensaio clínico controlado randomizado é o mais rigoroso método de pesquisa para o estudo de intervenções. Nesses estudos, o pesquisador está interessado em determinar se existe uma relação causal entre a intervenção e o resultado, para o qual compara grupos de indivíduos que tiveram diferente exposição com a intervenção e, assim, avaliar se houve ou não efeito. Hoje é reconhecido como um dos melhores padrões de evidência para aplicar a Enfermagem Baseada em Evidências. Neste contexto, este artigo apresenta as principais características dos ensaios clínicos, sua prática, considerações necessárias para sua execução, bem como suas limitações. O objetivo é incentivar a sua utilização para as intervenções de enfermagem em que possa ser aplicada. Isso é um fato relevante, uma vez que do ponto de vista empírico, eles provêm as melhores evidências para a enfermagem baseada em evidências.The randomized controlled clinical trial is the most

  1. Effects of simvastatin in abdominal sepsis in rats Efeitos da sinvastatina na sepse abdominal em ratos

    Directory of Open Access Journals (Sweden)

    José Luiz de Souza Neto

    2006-01-01

    Full Text Available PURPOSE: Statins are widely recognized as hypolipemic drugs, but some studies have observed anti-inflammatory and immunomodulatory effects, known as pleiotropic. The aims of this work was to study possible anti-inflammatory effects of simvastatin in abdominal sepsis. Serum pro-inflammatory cytokines and leukocytes count were determined in an experimental model of abdominal sepsis, using cecal ligation and puncture (CLP in rats. METHODS: Twenty eigth Wistar rats weighing 285±12g were randomly divided in: CLP/Sinvastatin rats (n=7, treated with 10 mg/Kg of oral simvastatin 18 and 2 hs berofe CLP; CLP/Saline group rats (n=7, treated with oral saline; group Sham/Simvastatin (n=7, treated with simvastatin, and group Sham/Saline (n=7, treated with saline. Serum TNF-alpha, IL-1beta and IL-6 by ELISA and total leukocytes, neutrophils, lymphocytes, and eosinophils were determined 24 hs after CLP. ANOVA and Tukey test were used considering significant pOBJETIVO: As estatinas são agentes reconhecidamente hipolipemiantes. Vários estudos têm revelado que eles têm ações pleiotrópicas, como antiinflamatória e imunomoduladora. Tentando-se entender o papel antiinflamatório da sinvastatina na sepse, foram analisados os níveis de citocinas pró-inflamatórias e contagem de leucócitos em modelo de sepse abdominal por ligadura e punção do ceco (LPC em ratos. MÉTODOS: Foram utilizados 28 ratos Wistar pesando 285±12g, assim divididos: grupo sepse (n=14, submetidos a LPC e grupo sham (n=14, submetidos a laparotomia e manipulação suave do ceco. No grupo LPC/sinvastatina (n=7 os ratos receberam 10mg/kg de sinvastatina via oral 18 e 2 horas antes da LPC e no grupo LPC/salina (n=7 os ratos receberam injeção oral de solução salina 0,9 %. Os animais dos grupos sham/sinvastatina (n=7 e sham/salina (n=7 receberam o mesmo tratamento. Dosagem de TNF-alfa, IL-1beta e IL-6 por ELISA e contagem de leucócitos totais, neutrófilos, linfócitos e eosin

  2. Clinical, endocrinologic, and biochemical effects of zinc deficiency.

    Science.gov (United States)

    Prasad, A S

    1985-01-01

    The requirement of zinc for humans was recognized in the early 1960s. The causes of zinc deficiency include malnutrition, alcoholism, malabsorption, extensive burns, chronic debilitating disorders, and chronic renal diseases; use of certain drugs such as penicillamine and, in some cases, diuretics; and genetic disorders such as acrodermatitis enteropathica and sickle cell disease. The requirement of zinc is increased in pregnancy and during growth. The clinical manifestations of severe zinc deficiency include bullous-pustular dermatitis, alopecia, diarrhea, emotional disorder, weight loss, intercurrent infections, and hypogonadism in males; zinc deficiency can be fatal if unrecognized and untreated. A moderate deficiency of zinc is characterized by growth retardation and delayed puberty in adolescents, hypogonadism in males, rough skin, poor appetite, mental lethargy, delayed wound healing, taste abnormalities, and abnormal dark adaptation. In mild cases of zinc deficiency in human subjects, we have observed oligospermia, slight weight loss, and hyperammonemia. Zinc is a growth factor. As a result of its deficiency, growth is affected adversely in many animal species and humans, probably because zinc is needed for protein and DNA synthesis and cell division. The effects of zinc and growth hormone on growth appear to be independent of each other in experimental animals. Whether zinc is required for the metabolism of somatomedin needs further investigation. Thyroid and adrenal functions do not appear to change as a result of zinc deficiency. Glucocorticoids may have an effect on zinc metabolism, although the clinical relevance of this effect is not known at present. In contrast, testicular function is affected adversely as a result of zinc deficiency in both humans and experimental animals. The effect appears to be a direct one since the hypothalamic-pituitary axis is intact, and may relate to the reduction in testicular size as a result of the need for zinc in cell

  3. Iranian Effective Clinical Nurse Instructor evaluation tool: Development and psychometric testing

    OpenAIRE

    Shahsavari, Hooman; Yekta, Zohreh Parsa; Zare, Zahra; Sigaroodi, Abdolhossain Emami

    2014-01-01

    Background: Clinical education is the heart of the nursing education program. Effective nursing clinical instructors are needed for graduating the future qualified nurses. There is a well-developed body of knowledge about the effectiveness of clinical teaching and the instructors. However, translating this knowledge into a context-based evaluation tool for measuring the effectiveness of Iranian clinical nursing instructors remains a deficiency. The purpose of this study is to describe the dev...

  4. Observações clínicas e laboratoriais em cães com cinomose nervosa Clinical and laboratory findings in dogs with distemper encephalomyelitis

    Directory of Open Access Journals (Sweden)

    Eduardo Alberto Tudury

    1997-06-01

    Full Text Available Em 81 cães com sinais clínicos, lesões histológicas e corpúsculos de inclusão no sistema nervoso central característicos de cinomose nervosa foi constatada ocorrência freqüente de: alteração das reações posturais (87,65%, diminuição da secreção lacrimal (83,95%, presença de mioclonias (75,30%, paresias (69,12%, conjuntivite (56,79%, corioretinite/ hiperqueratose naso-digital (51,85%, linfopenia (51,85%, anemia (48,05%, principalmente microcítica hipocrômica, e discretas alterações liquóricas caracterizadas por aumento de proteínas totais (77,33% e pleocitose linfocítica (50,72%. A presença de corpúsculos de Lenz em tecidos extraneurais oscilou entre 30 e 45 %, com maior freqüência em linfonodos. Enquanto outras anormalidades clínicas, neurológicas e laboratoriais não tiveram freqüência expressiva para dar apoio ao diagnóstico, o incorreto programa de vacina��ão foi uma constante.Eighty-one dogs with clinical signs and histological lesions characteristic of distemper encephalomyelitis were evaluated. Only dogs with Lenz inclusion bodies in the central nervous system were included in the study. High prevalent findings included: changes in postural reactions (87.65%, decreased tear production (83.95%, myoclonus (75.30%, paresis (69.12%, conjunctivitis (56.79%, chorioretinitis/digital and nasal hyperkeratosis (51.85%. Anemia (48.05%, lymphopenia (51.95%, and mild changes in the cerebrospinal fluid characterized by increase in total protein (77.33% and lymphocytic pleocytosis (50.72% were common laboratorial findings. Presence of Lenz inclusions bodies in tissues other than nervous system varied from 30 to 45%, with a higher frequence in the limph nodes. Other abnormalities in physical, neurological and laboratorial examinations were not helpful in establishing the diagnosis. Most animals examined were not properly vaccinated.

  5. Efeito sedativo da romifidina em muares (Equus asinus caballus não domados Sedative effect of romifidine in unmated mules (Equus asinus caballus

    Directory of Open Access Journals (Sweden)

    Geraldo Eleno Silveira Alves

    1999-03-01

    Full Text Available Com o objetivo de verificar a viabilidade do uso da romifidina em muares e avaliar seus efeitos sedativos na espécie, utilizou-se essa droga para contenção farmacológica de burros não domados, submetidos à orquiectomia bilateral. Em uma primeira etapa, visando a verificar sua viabilidade, a romifidina foi aplicada por via intravenosa em oito animais nas doses de 0,04 e 0,08mg/kg. Já na Segunda etapa, compararam-se seus efeitos sedativos após a aplicação, por via intramuscular, das doses de 0,04, 0,08 e 0,12mg/kg, em três grupos de sete animais. Os sinais da sedação induzida pela romifidina foram semelhantes aos já descritos para eqüinos, porém, verificou-se menor intensidade, dentro das doses utilizadas. Apesar da via intravenosa ter produzido efeitos mais intensos, a via intramuscular foi a da escolha devido à facilidade e à segurança da aplicação, sendo a dose de 0,12mg/kg a que produziu melhores resultados. A romifidina foi considerada como uma opção viável para contenção de muares não domados.With the intetion to study the viability of the use and the sedative effects of the romifidine in mules, this drug was used for chemical restraint in untamed burros, that were subjected to bilateral orquiectomy. In a first fase, the viability was investigated in eight animals that were injected intravenously with 0.04 and 0.08mg/kg. In a second fase, the sedative effects were compared in three groups of seven animals that were injected with intramuscular doses of 0.04, 0.08 and 0.12mg/kg. The sedative signs of romifidine in mules were similar with that had been described for equine, however lower intensity were seen with same doses. Indeed the intravenous route produced effects more intense, the facility and safety made the intramuscular route better. By this route the 0.12mg/kg dose was the most efficient. The romifidine provided sedation which might be clinically useful in untamed mules.

  6. Efeito da Xylella fastidiosa em cafeeiros em diferentes regiões edafoclimáticas Effect of Xylella fastidiosa in coffee plants at different edaphoclimatic regions

    Directory of Open Access Journals (Sweden)

    Rachel Benetti Queiroz-Voltan

    2005-01-01

    Full Text Available A bactéria Xylella fastidiosa vem causando problemas para a cafeicultura, uma vez que sua presença, associada a diversos fatores de estresse, provoca um decréscimo na produção devido à diminuição no número e tamanho dos frutos e à morte de alguns ramos. Este trabalho objetiva avaliar o efeito da X. fastidiosa sobre cultivares de Coffea arabica (enxertados ou não através da quantificação da proporção de vasos do xilema obstruídos pela bactéria, nas diferentes partes da planta e entre ramos com e sem sintoma da doença, em experimentos desenvolvidos em diferentes regiões edafoclimáticas. Avaliou-se também a distribuição das classes de infecção nas diferentes partes da planta nos materiais genéticos estudados. Os experimentos foram instalados em 1986 em Mococa e Garça (SP e as amostras para o estudo anatômico, retiradas em abril de 1998 e 2000 (período de estresse hídrico, respectivamente, das plantas de cafeeiros dessas áreas. Na região de Mococa, observou-se que a nervura principal e o pecíolo foram os tecidos com proporção maior de vasos do xilema obstruídos pela X. fastidiosa; na região de Garça, foram o pecíolo e o caule. Não houve diferenças significativas na obstrução de elementos de vaso do xilema do cafeeiro ocasionado pela bactéria entre as duas regiões estudadas. Não houve tolerância à bactéria nos materiais genéticos, havendo no entanto variação dentro de cada um deles. Na região de Garça, nas plantas de café, observou-se alta proporção de vasos obstruídos nas raízes (3%, entretanto, não houve dano maior na parte aérea.The Xylella fastidiosa bacterium causes problems to coffee cultivation because of a relationship with various stress factors, leading to reduction on coffee production by decreasing fruit number and size, as well as senescence of branches. This research aimed to evaluate the effect of Xylella fastidiosa to Coffea arabica cultivars (grafted or not through the

  7. Proton Radiotherapy for Parameningeal Rhabdomyosarcoma: Clinical Outcomes and Late Effects

    International Nuclear Information System (INIS)

    Purpose: To report the clinical outcome and late side effect profile of proton radiotherapy in the treatment of children with parameningeal rhabdomyosarcoma (PM-RMS). Methods and Materials: Seventeen consecutive children with PM-RMS were treated with proton radiotherapy at Massachusetts General Hospital between 1996 and 2005. We reviewed the medical records of all patients and asked referring physicians to report specific side effects of interest. Results: Median patient age at diagnosis was 3.4 years (range, 0.4–17.6). Embryonal (n = 11), alveolar (n = 4), and undifferentiated (n = 2) histologies were represented. Ten patients (59%) had intracranial extension. Median prescribed dose was 50.4 cobalt gray equivalents (GyRBE) (range, 50.4–56.0 GyRBE) delivered in 1.8–2.0-GyRBE daily fractions. Median follow-up was 5.0 years for survivors. The 5-year failure-free survival estimate was 59% (95% confidence interval, 33–79%), and overall survival estimate was 64% (95% confidence interval, 37–82%). Among the 7 patients who failed, sites of first recurrence were local only (n = 2), regional only (n = 2), distant only (n = 2), and local and distant (n = 1). Late effects related to proton radiotherapy in the 10 recurrence-free patients (median follow-up, 5 years) include failure to maintain height velocity (n = 3), endocrinopathies (n = 2), mild facial hypoplasia (n = 7), failure of permanent tooth eruption (n = 3), dental caries (n = 5), and chronic nasal/sinus congestion (n = 2). Conclusions: Proton radiotherapy for patients with PM-RMS yields tumor control and survival comparable to that in historical controls with similar poor prognostic factors. Furthermore, rates of late effects from proton radiotherapy compare favorably to published reports of photon-treated cohorts.

  8. Proton Radiotherapy for Parameningeal Rhabdomyosarcoma: Clinical Outcomes and Late Effects

    Energy Technology Data Exchange (ETDEWEB)

    Childs, Stephanie K. [Department of Radiation Oncology, Massachusetts General Hospital, Harvard Medical School, Boston, MA (United States); Kozak, Kevin R. [Department of Radiation Oncology, University of Wisconsin Cancer Center Johnson Creek, Madison, WI (United States); Friedmann, Alison M. [Department of Pediatric Oncology, Massachusetts General Hospital, Harvard Medical School, Boston, MA (United States); Yeap, Beow Y. [Department of Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA (United States); Adams, Judith; MacDonald, Shannon M.; Liebsch, Norbert J.; Tarbell, Nancy J. [Department of Radiation Oncology, Massachusetts General Hospital, Harvard Medical School, Boston, MA (United States); Yock, Torunn I., E-mail: tyock@partners.org [Department of Radiation Oncology, Massachusetts General Hospital, Harvard Medical School, Boston, MA (United States)

    2012-02-01

    Purpose: To report the clinical outcome and late side effect profile of proton radiotherapy in the treatment of children with parameningeal rhabdomyosarcoma (PM-RMS). Methods and Materials: Seventeen consecutive children with PM-RMS were treated with proton radiotherapy at Massachusetts General Hospital between 1996 and 2005. We reviewed the medical records of all patients and asked referring physicians to report specific side effects of interest. Results: Median patient age at diagnosis was 3.4 years (range, 0.4-17.6). Embryonal (n = 11), alveolar (n = 4), and undifferentiated (n = 2) histologies were represented. Ten patients (59%) had intracranial extension. Median prescribed dose was 50.4 cobalt gray equivalents (GyRBE) (range, 50.4-56.0 GyRBE) delivered in 1.8-2.0-GyRBE daily fractions. Median follow-up was 5.0 years for survivors. The 5-year failure-free survival estimate was 59% (95% confidence interval, 33-79%), and overall survival estimate was 64% (95% confidence interval, 37-82%). Among the 7 patients who failed, sites of first recurrence were local only (n = 2), regional only (n = 2), distant only (n = 2), and local and distant (n = 1). Late effects related to proton radiotherapy in the 10 recurrence-free patients (median follow-up, 5 years) include failure to maintain height velocity (n = 3), endocrinopathies (n = 2), mild facial hypoplasia (n = 7), failure of permanent tooth eruption (n = 3), dental caries (n = 5), and chronic nasal/sinus congestion (n = 2). Conclusions: Proton radiotherapy for patients with PM-RMS yields tumor control and survival comparable to that in historical controls with similar poor prognostic factors. Furthermore, rates of late effects from proton radiotherapy compare favorably to published reports of photon-treated cohorts.

  9. How <em>Varroa> Parasitism Affects the Immunological and Nutritional Status of the Honey Bee, <em>Apis melliferaem>

    Directory of Open Access Journals (Sweden)

    Katherine A. Aronstein

    2012-06-01

    Full Text Available We investigated the effect of the parasitic mite <em>Varroa destructorem> on the immunological and nutritional condition of honey bees, <em>Apis melliferaem>, from the perspective of the individual bee and the colony. Pupae, newly-emerged adults and foraging adults were sampled from honey bee colonies at one site in S. Texas, USA. <em>Varroa>‑infested bees displayed elevated titer of Deformed Wing Virus (DWV, suggestive of depressed capacity to limit viral replication. Expression of genes coding three anti-microbial peptides (<em>defensin1, abaecin, hymenoptaecinem> was either not significantly different between <em>Varroa>-infested and uninfested bees or was significantly elevated in <em>Varroa>-infested bees, varying with sampling date and bee developmental age. The effect of <em>Varroa> on nutritional indices of the bees was complex, with protein, triglyceride, glycogen and sugar levels strongly influenced by life-stage of the bee and individual colony. Protein content was depressed and free amino acid content elevated in <em>Varroa>-infested pupae, suggesting that protein synthesis, and consequently growth, may be limited in these insects. No simple relationship between the values of nutritional and immune-related indices was observed, and colony-scale effects were indicated by the reduced weight of pupae in colonies with high <em>Varroa> abundance, irrespective of whether the individual pupa bore <em>Varroa>.

  10. Aspectos clínicos da fenilcetonúria em serviço de referência em triagem neonatal da Bahia Clinical aspects of phenylketonuria in a reference service for neonatal screening in Bahia

    Directory of Open Access Journals (Sweden)

    Tatiana Amorim

    2005-12-01

    Full Text Available OBJETIVOS: descrever as características clínicas dos pacientes com hiperfenilalaninemia acompanhados no Serviço de Referência em Triagem Neonatal (SRTN do estado da Bahia. MÉTODOS: estudo descritivo transversal, tendo como amostra todos os pacientes com diagnóstico conhecido de Hiperfenilalaninemia residentes no estado da Bahia e acompanhados no SRTN até setembro de 2005. Tal população é composta de 46 famílias, num total de 51 pacientes. A análise dos dados foi descritiva, incluindo medidas de tendência central e dispersão. RESULTADOS: houve discreto predomínio do gênero feminino (52,9%. A maioria dos pacientes (78,4% teve seu diagnóstico estabelecido através da triagem neonatal, tendo, portanto, tratamento precoce. Consangüinidade foi registrada em 32,6% das famílias. A média de início do tratamento entre os pacientes diagnosticados pela triagem neonatal foi de 56,6 37,8 dias, enquanto que entre os pacientes com diagnóstico tardio, foi de 7,1 anos. CONCLUSÕES: o estudo descreve um grupo de pacientes representativo de uma patologia incluída no Programa Nacional de Triagem Neonatal (PNTN, sendo, portanto, de relevância para a saúde pública. Entre os dados clínicos, chama a atenção a média de idade do início do tratamento, superior ao recomendado na literatura, alertando para a necessidade de um maior enfoque no diagnóstico precoce.OBJECTIVES: to describe clinical aspects of hyper-phenylalaninemia in patients followed up on the Reference Service for Neonatal Screening (SRTN in the state of Bahia. METHODS: cross-sectional study that enrolled all patients living in the state of Bahia and followed up on the SRTN who had a definite diagnosis of hyper-phenylalaninemia prior to September, 2005. That population was made up of 46 families, with 51 patients. The analysis of data was descriptive, using measures of central tendency and dispersion. RESULTS: a discrete predominance of females was found (52.9%. Most patients

  11. Effect of clinic related factors on continuation rates of IUDs.

    Science.gov (United States)

    Reading, A E; Goldstuck, N D

    1982-01-01

    This paper concerns factors relating to the clinic and the way in which the insertion of IUDs is managed from a psychological and technical standpoint. 3 aspects of clinical service are examined: 1) the influence of the psychological state at time of insertion, 2) individual differences in relation to side effects amongst users and the way in which those are influenced by managment techniques, and 3) technical aspects of the insertion of the device. Insertion pain and discomfort may influence subsequent tolerance of the IUD in 3 ways: 1) patient compliance may be enhanced by trouble-free insertion, 2) an unpleasant experience may influence attitudes towards the IUD, and 3) the experience of pain at insertion may reduce subsequent tolerance of discomfort. IUDs increase the amount of menstrual flow which, along with pain, constitute frequent requests for removal. Removal rates for pain and bleeding vary from 0-16.8/100 users. Removal rates for bleeding are also influenced by cultural attitudes. Insertion techniques influence acceptability of IUDs. Also, the incidence of expulsion, pregnancy, and removal declines with increasing age and parity. Discontinuation rates after 24 months were 91% for women below 2nd parity and only 37% for women of 6 or more parity. In the youngest age group the discontinuation rate was 76% compared with 35% in the oldest age group. The timing of IUD insertion and positioning of the IUD influence continuation rates. An implication of these concerns is that IUD insertion procedures may have to become more complex to achieve compatibility between IUD-uterine configurations. PMID:12264121

  12. <em>Caveat emptorem> NICE: biased use of cost-effectiveness is inefficient and inequitable

    DEFF Research Database (Denmark)

    Dowie, Jack; Kaltoft, Mette Kjer; Nielsen, Jesper Bo;

    2015-01-01

    considered. The underlying justification for the use of cost-effectiveness as a criterion, whatever the threshold adopted, is that decisions in a resource-constrained system have opportunity costs. Their existence rules out any restriction to those interventions that are 'incrementally cost-effective' at a...

  13. An Effective Implementation of <em>K>-opt Moves for the Lin-Kernighan TSP Heuristic

    DEFF Research Database (Denmark)

    Helsgaun, Keld

    Local search with k-change neighborhoods, k-opt, is the most widely used heuristic method for the traveling salesman problem (TSP). This report presents an effective implementation of k-opt for the Lin- Kernighan TSP heuristic. The effectiveness of the implementation is demonstrated with extensive...

  14. Levantamento de espécies de Odonata associadas à tanques de piscicultura e efeito de <em>Bacillus thuringiensisem> var. <em>israelensis> sobre ninfas de <em>Pantala flavescensem> (Fabricius, 1798) - DOI: 10.4025/actascibiolsci.v26i1.1655 Odonata species survey associated with psiculture tanks and <em>Bacillus thuringiensisem> var. <em>israelensis> effect on <em>Pantala flavescensem> (Fabricius, 1798) nymphs (Odonata: Libellulidae) - DOI: 10.4025/actascibiolsci.v26i1.1655

    OpenAIRE

    Douglas Moisés Quintilhiano; Eduardo Sérgio da Silva; Marisa Cristina da Fonseca; Newton Moreno Sanches; Alysson Rodrigo Fonseca

    2004-01-01

    Várias estações de piscicultura que trabalham com a produção de alevinos ou peixes ornamentais têm apresentado problemas relacionados à predação de larvas, pós-larvas e alevinos por ninfas de insetos da Ordem Odonata. Dessa forma, objetivou-se fazer um levantamento de espécies de odonatos presentes em tanques de criação de peixes em dois municípios da região centro-oeste de Minas Gerais, assim como avaliar o efeito de Bacillus thuringiensis var. israelensis de Barjac sobre ninfas de Pantala f...

  15. Avaliação dos resultados clínicos após cirurgia descompressiva em cães com doença de disco intervertebral Evaluation of clinical results of decompressive surgery in dogs with degenerative disk disease

    Directory of Open Access Journals (Sweden)

    M.V.B. Arias

    2007-12-01

    Full Text Available Avaliaram-se os resultados clínicos após realização de cirurgia descompressiva em 45 cães com doença do disco intervertebral cervical ou toracolombar. Após a cirurgia, 35 cães (77,8% recuperaram-se totalmente, oito (17,8% parcialmente e dois (4,4% não apresentaram alteração do quadro inicial. Em oito cães com paraplegia e perda da sensibilidade dolorosa profunda houve completa melhora do quadro clínico, com recuperação total em 62,5% dos casos. Em quatro cães com tetraparesia, a cirurgia foi eficaz. A cirurgia descompressiva (slot cervical e hemilaminectomia toracolombar, com a retirada do material do disco do interior do canal vertebral, foi uma forma efetiva de gerar melhora do quadro funcional.Clinical results after decompressive surgery were evaluated in 45 dogs with cervical or thoracolumbar intervertebral disk disease. After surgery, 35 dogs recovered totally, eight (17.8% partially, and two (4.4% did not present any change in clinical findings. Eight dogs with paraplegy and loss of deep pain perception showed improvement, with total recovering in 62.5% of cases. Surgery was effective in four dogs with tetraparesy. Decompressive surgery (cervical slot or hemilaminectomy, with removal of disk material from inside the vertebral canal, was an effective form to produce functional improvement in dogs with this disease.

  16. Avaliação dos efeitos a curto prazo de programas de conscientização e de terapia com pravastatina em indivíduos de alto risco para doença cardiovascular provenientes de consultórios particulares The evaluation of short term effects of awareness programs and pravastatin therapy on subjects from private clinics at high risk for cardiovascular disease

    Directory of Open Access Journals (Sweden)

    Raul D. Santos

    1997-10-01

    Full Text Available OBJETIVO: Avaliar a eficácia de programas de conscientização (PC sobre o controle de fatores de risco (FR para doença cardiovascular (DCV. MÉTODOS: Pacientes hipercolesterolêmicos de alto risco para DCV foram divididos em 2 grupos durante 16 semanas. O grupo A (n=417, 54,3±10,0 anos, 55% homens recebeu orientação verbal e escrita sobre controle de FR, e o grupo B (n=180, 54,4±10,9 anos, 45% homens apenas orientação verbal. Todos os participantes receberam 10mg/dia de pravastatina por 12 semanas. Avaliaram-se o peso, pressão arterial, o colesterol total (CT e frações, triglicérides, índices I e II de Castelli (CT/HDL-C e LDL-C/HDL-C e escores de Framingham. RESULTADOS: No basal, A diferiu de B no HDL-C (40,0±11,0 vs 43,0±11,0mg/dl, p=0,013 e no índice I (8,2±3,0 vs 7,6±2,3, p=0,008. Após 16 semanas as variações % foram maiores em A do que B no CT (-28,0 vs -25,0, pPURPOSE: To evaluate short-term efficacy of awareness programs (AP in reducing coronary heart disease risk factors (CHDRF. METHODS: High risk hypercholesterolemic patients were divided in 2 groups during 16 weeks. Group A (n=417, 54.3±10.0 years, 55% males received verbal and written orientation on CHDRF control, and group B (n=180, 54.4±10.9 years, 45% males received only verbal orientation. All participants received pravastatin 10mg q.d. for 12 weeks. The evolution of body weight, arterial pressure, lipid profile, Castelli's I and II indexes (TC/HDL and LDL/HDL, and Framingham scores were evaluated. RESULTS: At baseline, A had a lower HDL-C (40.0±11.0 vs 43.0±11.0mg/dl, p=0.013 and a higher index I (8.2±3.0 vs 7.6±2.3, p=0.008 than B. After 16 weeks, A had greater change than B in TC (-28.0 vs -25.0, p<0.05, LDL-C (-29.0 vs -27.6, p<0.05, HDL-C levels (+13.7 vs +10.8, p<0.05 and in the Castelli's Index (-39.0 vs -33.0; p<0.05. In both groups pravastatin use potentialized the effects of diet on the lipid profile. CONCLUSION: The AP seemed to be more

  17. Clinical research and medical care: towards effective and complete integration

    OpenAIRE

    Sacristán, José A.

    2015-01-01

    Background Despite their close relationship, clinical research and medical care have become separated by clear boundaries. The purpose of clinical research is to generate generalizable knowledge useful for future patients, whereas medical care aims to promote the well-being of individual patients. The evolution towards patient-centered medicine and patient-oriented research, and the gradual standardization of medicine are contributing to closer ties between clinical research and medical pract...

  18. Design and Effectiveness of a Required Pre-Clinical Simulation-based Curriculum for Fundamental Clinical Skills and Procedures

    Directory of Open Access Journals (Sweden)

    Daryl P. Lofaso

    2011-12-01

    Full Text Available For more than 20 years, medical literature has increasingly documented the need for students to learn, practice and demonstrate competence in basic clinical knowledge and skills. In 2001, the Louisiana State University Health Science Centers (LSUHSC School of Medicine – New Orleans replaced its traditional Introduction in to Clinical Medicine (ICM course with the Science and Practice of Medicine (SPM course. The main component within the SPM course is the Clinical Skills Lab (CSL. The CSL teaches 30 plus skills to all pre-clinical medical students (Years 1 and 2. Since 2002, an annual longitudinal evaluation questionnaire was distributed to all medical students targeting the skills taught in the CSL. Students were asked to rate their self- confidence (Dreyfus and Likert-type and estimate the number of times each clinical skill was performed (clinically/non-clinically. Of the 30 plus skills taught, 8 were selected for further evaluation. An analysis was performed on the eight skills selected to determine the effectiveness of the CSL. All students that participated in the CSL reported a significant improvement in self-confidence and in number performed in the clinically/non-clinically setting when compared to students that did not experience the CSL. For example, without CSL training, the percentage of students reported at the end of their second year self-perceived expertise as “novice” ranged from 21.4% (CPR to 84.7% (GU catheterization. Students who completed the two-years CSL, only 7.8% rated their self-perceived expertise at the end of the second year as “novice” and 18.8% for GU catheterization. The CSL design is not to replace real clinical patient experiences. It's to provide early exposure, medial knowledge, professionalism and opportunity to practice skills in a patient free environment.

  19. <em>Ipomoea aquaticaem> Extract Shows Protective Action Against Thioacetamide-Induced Hepatotoxicity

    OpenAIRE

    Hadi, A. Hamid A.; Siddig Ibrahim Abdelwahab; Suzy Munir Salama; Salim Said Alkiyumi; Mahmood Ameen Abdullah; Ahmed Salim Alrashdi

    2012-01-01

    In the Indian system of traditional medicine (Ayurveda) it is recommended to consume <em>Ipomoea em>aquatica> to mitigate disorders like jaundice. In this study, the protective effects of ethanol extract of <em>I. aquaticaem> against liver damage were evaluated in thioacetamide (TAA)-induced chronic hepatotoxicity in rats. There was no sign of toxicity in the acute toxicity study, in which Sprague-Dawley (SD) rats were orally fed with <em>...

  20. Effects of bioturbation on the fate of oil in coastal sandy sediments - An <em>in situem> experiment

    DEFF Research Database (Denmark)

    Timmermann, Karen; Banta, Gary T.; Klinge, Lars;

    2011-01-01

    Effects of bioturbation by the common lugworm Arenicola marina on the fate of oil hydrocarbons (alkanes and PAHs) were studied in situ during a simulated oil spill in a shallow coastal area of Roskilde fjord, Denmark. The fate of selected oil compounds was monitored during 120 d using GC–MS and...... bioturbation activity (feces production and irrigation) was measured regularly during the experiment and used as input parameters in a mechanistic model describing the effects of A. marina on the transport and degradation of oil compounds in the sediment. The chemical analytical data and model results...... indicated that A. marina had profound and predictable effects on the distribution, degradation and preservation of oil and that the net effect depended on the initial distribution of oil. In sediment with an oil contaminated subsurface-layer A. marina buried the layer deeper in the sediment which clearly...

  1. Cirurgia ambulatorial em proctologia: análise retrospectiva de 437 casos Outpatient surgery for anorectal diseases: the experience of the Clinics Hospital of the Medical School, Botucatu, SP, Brazil, in 437 cases

    Directory of Open Access Journals (Sweden)

    Rogério Saad-Hossne

    2005-09-01

    Full Text Available RACIONAL: O número de cirurgias ambulatoriais realizadas em hospitais, como em clínicas particulares, cresce a cada dia. Hoje, em alguns países, como a França, há predomínio das cirurgias ambulatoriais em relação às hospitalares. OBJETIVO: Avaliar retrospectivamente os pacientes operados no Serviço de Cirurgia Ambulatorial do Hospital das Clínicas da Faculdade de Medicina de Botucatu, SP. CASUÍSTICA E MÉTODO: Foram estudados retrospectivamente 437 casos clínicos de patologias orificiais, analisando a distribuição por faixa etária, por sexo, por patologias e as complicações pós-operatórias. RESULTADOS: Notou-se predomínio de pacientes com idade inferior a 45 anos (62,8%, prevalência do sexo feminino (56%, sendo a doença hemorroidária (45,1% a principal patologia e a dor e sangramento as complicações mais freqüentes (9,8% e 7,3%. CONCLUSÕES: Os resultados satisfatórios observados demonstram a possibilidade de realização, em ambulatório, de diversos procedimentos simples em patologias anorretais freqüentes, a baixo custo e poucas complicações, sendo estas não superiores às observadas em cirurgia hospitalar.BACKGROUND: The number of outpatient surgical procedures performed in hospitals, as well as in private clinics, increases daily. In some countries, such as France, outpatient operations outnumber inpatient operations. OBJECTIVE: To evaluate results obtained at the Surgical Outpatient Clinic of the Clinics Hospital of the Medical School, Botucatu, SP, Brazil. PATIENTS AND METHODS: A retrospective study of 437 clinical cases of anorectal anomalies, analyzing the variables age bracket, gender, pathology, and postoperative complications. RESULTS: We observed predominance of patients younger than 45 (62.8% and of females (56%. The most common ailment was hemorrhoids (45.1% and the most frequent postoperative complications were pain (9.8% and bleeding (7.3%. CONCLUSIONS: Our results demonstrate that it is possible

  2. Missing Clinical Information in NHS hospital outpatient clinics: prevalence, causes and effects on patient care

    Directory of Open Access Journals (Sweden)

    Moorthy Krishna

    2011-05-01

    Full Text Available Abstract Background In Britain over 39,000 reports were received by the National Patient Safety Agency relating to failures in documentation in 2007 and the UK Health Services Journal estimated in 2008 that over a million hospital outpatient visits each year might take place without the full record available. Despite these high numbers, the impact of missing clinical information has not been investigated for hospital outpatients in the UK. Studies in primary care in the USA have found 13.6% of patient consultations have missing clinical information, with this adversely affecting care in about half of cases, and in Australia 1.8% of medical errors were found to be due to the unavailability of clinical information. Our objectives were to assess the frequency, nature and potential impact on patient care of missing clinical information in NHS hospital outpatients and to assess the principal causes. This is the first study to present such figures for the UK and the first to look at how clinicians respond, including the associated impact on patient care. Methods Prospective descriptive study of missing information reported by surgeons, supplemented by interviews on the causes. Data were collected by surgeons in general, gastrointestinal, colorectal and vascular surgical clinics in three teaching hospitals across the UK for over a thousand outpatient appointments. Fifteen interviews were conducted with those involved in collating clinical information for these clinics. The study had ethics approval (Hammersmith and Queen Charlotte's & Chelsea Research Ethics Committee, reference number (09/H0707/27. Participants involved in the interviews signed a consent form and were offered the opportunity to review and agree the transcript of their interview before analysis. No patients were involved in this research. Results In 15% of outpatient consultations key items of clinical information were missing. Of these patients, 32% experienced a delay or disruption

  3. Achados clínicos e polissonográficos em pacientes com obesidade classe III Clinical and polysomnographic findings in class III obese patients

    Directory of Open Access Journals (Sweden)

    Rodrigo de Paiva Tangerina

    2008-08-01

    Full Text Available A Síndrome da apnéia/hipopnéia obstrutiva do sono (SAHOS apresenta estreita correlação com a obesidade, porém não está estabelecida uma relação linear de gravidade principalmente em relação aos extremos como na obesidade mórbida. OBJETIVO: Avaliar os achados clínicos e polissonográficos em pacientes com obesidade classe III e correlacionar esses achados com a presença da SAHOS. MATERIAIS E MÉTODOS: Foram selecionados consecutivamente 45 pacientes com índice de massa corpórea superior a 40Kg/m2. Todos foram submetidos a anamnese, exame físico antropométrico e polissonografia. Os achados foram comparados entre os pacientes com e sem SAHOS. RESULTADOS: 68,9% dos pacientes eram do sexo feminino e 31,1% do masculino. A idade média foi de 46,5 DP 10,8 anos, a média do IMC foi 49 DP 7Kg/m2 e a média da circunferência cervical foi 43,4 DP 5,1cm. Todos os pacientes eram roncadores habituais e 48,9% tinham queixa de hipersonolência diurna. Os achados polissonográficos mostraram que 77,8% apresentaram índice de apnéia/hipopnéia superior a cinco. Apresentaram correlação com a presença da SAHOS: idade mais jovem (p=0,02 e maior circunferência cervical (p=0,004. CONCLUSÃO: A prevalência de SAHOS foi elevada, ressaltando a importância da sua investigação em pacientes referenciados para cirurgia bariátrica. O principal marcador da SAHOS foi a circunferência cervical.The Obstructive Sleep Apnea/Hipopnea Syndrome (OSAHS is closely related to obesity; a linear relation, however, has not been established, particularly in morbid obesity patients. AIM: To evaluate clinical and polysomnographic findings in a group of class III obese patients, and to relate these findings with the presence or absence of OSAHS. MATERIAL AND METHOD: Forty five patients with body mass indexex (BMI over 40Kg/m2 were selected consecutively. A clinical history, the anthropometric examination and polysomnography were undertaken in all patients. The

  4. Valor prognóstico de dados clínicos em paralisia de Bell The value of prognostic clinical data in Bell's palsy

    Directory of Open Access Journals (Sweden)

    Cristiane A. Kasse

    2005-08-01

    Full Text Available Com o advento dos testes eletrofisiológicos, a avaliação clínica parece ter perdido interesse na paralisia de Bell. A eletroneuronografia (ENoG associada ao estadiamento clínico da doença é o método mais freqüentemente utilizado para mensurar o prognóstico da paralisia de Bell. Entretanto, a ENoG constitui-se em um teste eletrofisiológico ainda não universalmente disponível, especialmente nos serviços de emergência. OBJETIVO: Estudar a medida do prognóstico da paralisia de Bell com base nos dados clínicos e no teste de estimulação elétrica mínima, teste de Hilger, permitindo assim uma previsão de prognóstico segura e factível na maioria dos serviços. FORMA DE ESTUDO: coorte historica. MATERIAL E MÉTODO: Estudo coorte retrospectivo, analisando 1521 casos de paralisia de Bell, correlacionando-se os dados clínicos sexo, idade, lado da paralisia, modo de instalação, sintomas prévios, sintomas associados e os resultados do teste de estimulação elétrica mínima (Hilger, com a evolução da paralisia após 6 meses. RESULTADO: O estudo desses dados indicou que pacientes acima de 60 anos apresentaram prognóstico pior em comparação com pacientes com idade abaixo de 30 anos; o modo de instalação progressiva, a ausência de sintomas prévios, a presença de vertigem concomitante à paralisia e resposta acima de 3,5 mm no teste de Hilger estiveram relacionados com mau prognóstico. Por outro lado, a ausência de sintomas concomitantes, a diminuição do lacrimejamento e o início súbito foram relacionados com bom prognóstico. CONCLUSÃO: A análise de fatores clínicos, associada ao teste de Hilger, pode indicar o prognóstico da paralisia facial com reduzida margem de erro, sendo uma alternativa bastante interessante especialmente quando não há disponibilidade da ENoG.Electroneurography (ENoG and clinical staging are currently the methods of choice to indicate prognosis in Bell's palsy, although ENoG is an

  5. Barriers to Effective Deliberation in Clinical Research Oversight.

    Science.gov (United States)

    Wenner, Danielle M

    2016-09-01

    Ethical oversight of clinical research is one of the primary means of ensuring that human subjects are protected from the natural bias of researchers and research institutions in favor of experimentation. At a minimum, effective oversight should ensure that risks are minimized and reasonable in relation to anticipated benefits, protect vulnerable subjects from potential coercion or undue influence, ensure full and informed consent, and promote the equitable distribution of the risks and benefits of research. Because these assessments often involve value judgments for which there are no agreed-upon objective standards, we rely on deliberative procedures thought to have the greatest likelihood of producing the right or best outcomes. Concerns about the potential for improperly functioning IRBs to waste scarce human and institutional resources and impede biomedical progress have motivated a surge in empirical research assessing their procedures and outcomes. Yet within this literature, there has been minimal attention paid to the social scientific evidence regarding how individuals and deliberating groups make decisions, nor how those data might inform IRB practice. This essay seeks to fill that gap, locating recent empirical data on IRB composition and process within the context of data regarding what I call "deliberative pathologies," or instances when deliberation fails to live up to one or more aspect of the deliberative ideal because of systematic biases in the ways participants interact. The paper goes on to make evidence-based recommendations to reduce the vulnerability of IRB deliberations to the kinds of pathologies discussed and indicate directions for future research. PMID:26613717

  6. Práticas transversalizadas da clínica em saúde mental Cross sectional practices of mental health clinic

    Directory of Open Access Journals (Sweden)

    João Leite Ferreira Neto

    2008-01-01

    Full Text Available A pesquisa investiga as mudanças nas práticas em psicologia clínica no Brasil, no campo da Saúde Mental a partir de um estudo de caso de um Distrito Sanitário de Belo Horizonte, onde foram entrevistadas seis profissionais que atuam na atenção básica no Programa de Saúde Mental. Desenvolve um panorama histórico, uma investigação conceitual e uma reflexão sobre a relação entre essas práticas e o espaço urbano. Os dados apresentam mudanças nas práticas clínicas na saúde mental, que emergiram a partir do encontro das políticas públicas com os serviços locais, levando os profissionais a lidarem com esse entrecruzamento menos como um atravessamento dificultador e mais como fator potencializador da clínica. A expressão "clínica ampliada" designa aí o manejo produtivo da tensão entre clínica e política.The research investigates the changes in the practice of clinical psychology in Brazil, in the field of Mental Health by analyzing a case study of a Sanitary District in the city of Belo Horizonte, in which six professionals who work in primary health in the Mental Health Program were interviewed. It develops a historical panorama, a conceptual investigation and reflection about the connection between this sort of practice and the urban space. Data show changes in clinical practices in mental health which emerged from the confluence of public policies and local services, leading professionals to deal with these intersections not so much as a problem, but as an increase of the potential benefits of the clinic. The expression "extended clinic", in this context, designates the appropriate management of the tension between practice and politics.

  7. Effects of filamentous macroalgae mats on growth and survival of eelgrass, <em>Zostera marinaem>, seedlings

    DEFF Research Database (Denmark)

    Rasmussen, Jonas; Olesen, Birgit; Krause-Jensen, Dorte

    2012-01-01

    A laboratory experiment was conducted to assess the effect of filamentous algae mats on the performance of seedlings of the eelgrass, Zostera marina. The seedlings were covered by three levels (3, 6 and 9 cm) of natural (Chaetomorpha linum) and imitation algae mats and it was hypothesized that the...... effects of the natural algae on seedling growth may be more severe because of the metabolic demands of the algae. Results show that coverage by both C. linum and imitation algae significantly reduced seedling growth and increased allocation of resources to above ground tissues. No clear effects of algae...... type on seedling performance were found and since there were no differences in oxygen or sulphide concentrations between the treatments, we attribute the reductions in seedling growth to algal shading. In a comparison with other studies it is shown that lower turbulence, higher temperature, organically...

  8. Clinical use of growth hormone and glutamine in short bowel syndrome Uso clínico de hormônio de crescimento e glutamina em síndrome do intestino curto

    Directory of Open Access Journals (Sweden)

    Celso Cukier

    1999-02-01

    Full Text Available Growth hormone (GH and glutamine (GLN are considered bowel trophic factors and are used experimentally after bowel resection. Their clinical uses in short bowel syndrome (SBS are still not standardized. It is of interest to verify metabolic, nutritional and side effects of the association of GH and GLN in SBS. Three patients, 39 (A, 33 (B, and 01 years old (C underwent bowel resection with jejunum anastomosis 15 cm (A and 60 cm (B distant from the Treitz angle, and 40 cm (C preserving the ileo cecal valve. GH Saizen (Serono - A, Genotropin (Pharmacia - B, and Norditropin (Novonordisk C were administered in doses of 0.14 mg /kg/day. GLN (0.4 g/kg/day was given orally for 10 days (A, 30 days (B and 60 days to patient C (0.28 g/kg/day. Central TPN and adequate oral diet was administered according to the bowel adaptation phase. On the first day after beginning treatment patient A exhibited symptoms of hypoglycemia. There were no other side effects. After treatment, body weight was higher and analysis by bioelectrical impedance showed more lean mass and less fat mass compared to pre-treatment measurements. Nitrogen retention was progressively higher with treatment. Simultaneous treatment with GH and GLN does not cause significant side effects, and is associated with a favorable distribution of the body compartments and nitrogen retention in patients with the short bowel syndrome.Hormônio de crescimento (GH e glutamina (GLN são fatores tróficos da mucosa intestinal, utilizados experimentalmente pós ressecção intestinal maciça. O uso clinico de GH e GLN em síndrome do intestino curto (SIC ainda não está padronizado. Torna-se de interesse verificar os efeitos metabólicos, nutricionais e colaterais da associação do GH e GLN em SIC grave de origem recente. Três pacientes, com idades de 39 anos (A, 33 anos (B e 1 ano (C foram submetidos à enterectomia com anastomose do jejuno a 15 cm (A e 60 cm (B do angulo de Treitz com o cólon ascendente

  9. Hypoxic preconditioning: effect, mechanism and clinical implication (Part 1).

    Science.gov (United States)

    Lu, Guo-wei; Shao, Guo

    2014-11-01

    appliances and HPC medicines such as AHFs are encouraged based on our basic research on HPC. HPC may result in therapeutic augmentation of the endogenous cytoprotection in hypoxic-ischemic or suffering from other diseases' patients. Evolutionary consideration of HPC and clinical implications of HPC are both discussed to guide future research. The product of AHF is expected to be one of the most effective first aid medicines to rescue patients in critical condition. HPC is beginning to be used in surgery and is expected to be developed into a feasible adaptive medicine in the near future. PMID:26016357

  10. Adverse effects of beta-agonists: are they clinically relevant?

    Science.gov (United States)

    Abramson, Michael J; Walters, Julia; Walters, E Haydn

    2003-01-01

    than salmeterol, a partial agonist. Tachyphylaxis to protection against induced bronchospasm occurs with both full and partial beta(2)-agonists, and probably within a matter of days at most. Underlying airway responsiveness to directly acting bronchoconstricting agents is not increased when the bronchodilator effect of the regular beta(2)-agonist has been allowed to wear off, although there may be an increase in responsiveness to indirectly acting agents. While there has been speculation that underlying airway inflammation in asthma may be made worse by regular use of short-acting beta(2)-agonists, in contradistinction, a number of studies have shown that long-acting beta(2)-agonists have positive anti-inflammatory effects. An Australian Cochrane Airways Group systematic review of the randomized, controlled trials of short-acting beta-agonists found only minimal and clinically unimportant differences between regular use and use as needed. Regular short-acting treatment was better than placebo. However, a subsequent systematic review has found that regular use of long-acting beta-agonists had significant advantages over regular use of short-acting beta-agonists. More studies and data are needed on the regular use of beta(2)-agonists in patients not taking inhaled corticosteroids, and in potentially vulnerable groups, such as the elderly and those with particular genotypes for the beta-receptor, who might be more prone to adverse effects. PMID:14719995

  11. Effect of <em>trans> fatty acid intake on abdominal and liver fat deposition and blood lipids

    DEFF Research Database (Denmark)

    Bendsen, Nathalie Tommerup; Chabanova, E.; Thomsen, Henrik S.;

    2011-01-01

    abdominal and liver fat deposition.Objective:We examined the effect of a high intake of TFA as part of an isocaloric diet on whole-body, abdominal and hepatic fat deposition, and blood lipids in postmenopausal women.Methods:In a 16-week double-blind parallel intervention study, 52 healthy overweight...

  12. Post-translational modification of osteopontin: Effects on<em> in vitroem> hydroxyapatite formation and growth

    DEFF Research Database (Denmark)

    Boskey, Adele L.; Christensen, Brian Søndergaard; Taleb, Hayat;

    2012-01-01

    The manuscript tests the hypothesis that posttranslational modification of the SIBLING family of proteins in general and osteopontin in particular modify the abilities of these proteins to regulate in vitro hydroxyapatite (HA) formation. Osteopontin has diverse effects on hydroxyapatite (HA) mine...

  13. Exame clínico e radiológico do terceiro metacarpeano em potros Puro Sangue de Corrida em treinamento Clinical and radiographic evaluation of the third metacarpal bone in 2-year-old thoroughbred horses in raining

    Directory of Open Access Journals (Sweden)

    Flávio Gomes de Oliveira

    2007-12-01

    Full Text Available A avaliação clínica e radiológica do terceiro metacarpeano (McIII de 42 potros Puro Sangue de Corrida de dois anos de idade, em treinamento, realizou-se a cada 15 dias. Vinte e cinco potros foram acompanhados durante dois meses e 17 durante os quatro meses anteriores a sua participação na primeira corrida. Nas radiografias (projeção lateromedial, foram avaliadas o córtex dorsal (CD do McIII e a espessura do CD, do córtex palmar e da zona medular para determinação do índice radiológico (IR. Não foram observadas alterações radiológicas no CD do McIII nos potros que manifestaram periostite metacarpeana dorsal (PM aguda. O aumento tanto do CD, como do IR, entre as avaliações foi significativo (PThe third metacarpal bones (McIII of 42 2-year-old thoroughbreds in training were evaluated clinically and radiologically every 15 days. The evaluation was performed during 2 and 4 month, prior to the first race of 25 and17 horses, respectively. X-rays were taken using latero-medial projection. Dorsal cortex (DC was evaluated on the X-rays and DC, palmar cortex and medular zone were measured in order to determine the radiologic index (RI. No radiographic changes were observed on the DC of the McIII of horses clinically affected by dorsal metacarpal disease (DMD. There was a significant increase (P<0.05 in DC thickness and RI between evaluations of both, healthy and DMD affected McIII. DC thickness also showed a significant increase between affected and not affected McIII. A larger increase in DC thickness was observed at evaluation before the one in which DMD was diagnosed. In conclusion, the increase in DC thickness could be used as a diagnostic tool for early recognition of DMD allowing adoption of preventive measures.

  14. <em>Biomimetic studies of wood decay: Simulating the effect of low molecular weight compounds and fungal enzymesem>

    DEFF Research Database (Denmark)

    Hastrup, Anne Christine Steenkjær; Howell, Caitlin; Jellison, Jody

    The effect of FeCl3 (Fe3+), hydrogen peroxide (H2O2), a low molecular weight compound (2,3- Dihydroxybenzoic acid), and oxalic acid on wood were tested in a study designed to mimic wood degradation by brown rot fungi. Previous studies suggest that these components are involved in the early stages...... of brown rot decay where they catalyze the formation of hydroxyl radicals through the Fenton reaction or related mechanisms. However, the separate and combined effects of these individual chemical components on wood have not been thoroughly investigated. Tests were conducted in Erlenmeyer flasks...... crystallinity and crystallite size. Understanding how these chemicals modify wood will facilitate characterization of the mechanisms involved in wood biodegradation by brown rot fungi....

  15. Reductive Effect of Fly Screens on the <em>Campylobacter> Prevalence of Broiler Flocks in Summer

    DEFF Research Database (Denmark)

    Hald, Birthe; Sommer, Helle M.; Skovgård, Henrik

    Flies act as vectors in the introduction of Campylobacter from the environment to broiler flocks. We conducted a case-control study to evaluate the effect of fly screens on the prevalence of Campylobacter in broiler flocks. Cases were 52 broiler flocks reared in 20 houses on 11 farms between June...... and November 2006, where houses were equipped with fly screens made of glass fibre mesh. The controls consisted of 70 broiler flocks reared in 25 matched houses on 13 farms without screens. Other bio-security and management routines were strictly as before the study. All broiler houses were ventilated...... as the significant protective factor (P=0.0002). The fly screens were more effective towards the end of the rotations, where the influx of flies increases with increased need for ventilation. The statistical model predicts the prevalence of Campylobacter positive broiler flocks during summer in...

  16. In vitro effects of extracts and purified tannins of sainfoin (<em>Onobrychis viciifoliaem>) against two cattle nematodes

    DEFF Research Database (Denmark)

    Novobilský, A.; Stringano, E.; Hayot Carbonero, C.;

    2013-01-01

    .e. accessions) against larvae of Cooperia oncophora and Ostertagia ostertagi by applying the larval feeding inhibition assay (LFIA). Seven sainfoin accessions were extracted and tested with L1 larvae at 10 and 40 μg extract/ml. In addition, CT in extracts from 4 accessions were fractionated according to polymer...... size and tested by LFIA at two concentrations (2 and 10 μg CT fraction/ml). All sainfoin extracts caused significant inhibition of L1-feeding of both C. oncophora and O. ostertagi with varying intensity compared to the control (phosphate buffered saline). For both nematode species the in vitro effect...... was positively correlated with CT content in the extracts, but not with any of the structural CT parameters. In contrast, the 16 CT fractions revealed significant correlations between in vitro effect and CT content, polymer size (mean degree of polymerisation, mDP) and monomeric composition...

  17. Allelopathic effects of <em>Alexandrium tamarenseem> on other algae: evidence from mixed growth experiments

    DEFF Research Database (Denmark)

    Tillmann, Urban; Hansen, Per Juel

    2009-01-01

    . tamarense, similar in their cellular paralytic shellfish toxin (PST) content, were selected because of their fundamentally different lytic potencies. The Alex2 strain clearly affected all target algae while the Alex5 strain had no negative effect on the growth of any of the target species during the study...... period, even though cell concentrations of Alex5 became very high (2 × 104 cells ml-1). As both strains contained comparable amounts of PST, this confirmed previous suggestions that so far unidentified compounds are causing the negative effects on other algae. Sensitivity of the tested algae to Alex2...... differed considerably. The growth of some species was affected at very low Alex2 cell concentrations (<102 cells ml-1), while the growth of other algae was not affected until cell concentrations exceeded 103 cells ml-1. While a complete dieoff was the ultimate fate for almost all target species when grown...

  18. The Effects of Temperature, Hypoxia and Hypercapnia on the Metabolism of Atlantic Cod <em>Gadus morhuaem>

    DEFF Research Database (Denmark)

    Tirsgård, Bjørn

    thesis is a series of studies investigating how two of the most important abiotic environmental parameters, temperature and low oxygen levels (hypoxia) affect different aspects of larvae and juvenile Atlantic cod metabolism. The temperature studies were developed especially with the aim to be implemented...... aquaculture systems exposing fish to chronically elevated CO2 levels (Timmons et al., 2010) I also investigated the effect of elevated dissolved CO2 concentration (termed hypercapnia) on the metabolism and digestion in the Atlantic cod. Migration between water layers might change water temperature several...... important for bio-energetic models (Werner et al., 1996; Leising and Franks, 1999; Werner et al., 2001; Lough et al., 2005). The temperature effect on the metabolism of Atlantic cod larvae however have received little attention (Laurence, 1978; Finn et al., 2002; Peck and Buckley, 2008), likely due to...

  19. SAHOS em crianças: perfil clínico e respiratório polissonográfico OSAS in children: clinical and polysomnographic respiratory profile

    Directory of Open Access Journals (Sweden)

    Regina Terse Trindade Ramos

    2006-06-01

    Full Text Available A Síndrome da Apnéia e Hipopnéia Obstrutiva do Sono (SAHOS em crianças conta com uma prevalência estimada de 1-3% e poderá estar associada a alterações neurocognitivas, comportamentais e cardiovasculares. Entretanto, alguns pediatras desconhecem o problema e este estudo poderá facilitar o reconhecimento de SAHOS pelos mesmos. OBJETIVO: Descrever as características clínicas e os índices respiratórios polissonográficos de crianças com SAHOS, em um laboratório de sono, entre janeiro de 2002 a julho de 2003. FORMA DE ESTUDO: Série de casos. MATERIAL E MÉTODO: Avaliaram-se 93 crianças, de 2 a 10 anos de idade, com diagnóstico polissonográfico de SAHOS. Analisaram-se idade, gênero, grupo racial e dados referentes à saúde e sono das crianças. Os dados polissonográficos estudados foram índice de apnéia-hipopnéia, dessaturação da oxihemoglobina e índice de microdespertar. RESULTADOS: O gênero masculino correspondeu a 61,3% dos casos. A média da idade foi de 5,2 ± 2,1 anos. As queixas que mais motivaram a realização do exame foram roncos, em 24,7% e sono inquieto em 24,7%. Condições médicas mais associadas foram rinite alérgica (98,9% e hipertrofia de adenóides (50,6%. Apnéia leve ocorreu em 66% das crianças. A média e o desvio-padrão da saturação mínima de O2 foi de 89,1 ± 3,5 e a do número de microdespertares de 8,4 ± 3,5/hora de sono. CONCLUSÃO: Os resultados chamam atenção para a possibilidade de SAHOS em crianças com rinite alérgica e hipertrofia adenotonsilar, com queixas de ronco e sono inquieto.Obstructive sleep apnea and hypopnea syndrome in children (osas has an estimated prevalence of up to 3% and can be associated with neurocognitive and behavioural abnormalities, and also cardiovascular complications. This study may help pediatricians, who are unaware of the problem, to recognize osas. STUDY DESIGN: series of cases. AIM: to describe the clinical characteristics and polysomnographic

  20. Isotope effect in the carbonyl sulfide reaction with O(3<em>P>)

    DEFF Research Database (Denmark)

    Hattori, Shohei; Schmidt, Johan Albrecht; Mahler, Denise W.;

    2012-01-01

    The sulfur kinetic isotope effect (KIE) in the reaction of carbonyl sulfide (OCS) with O((3)P) was studied in relative rate experiments at 298 ± 2 K and 955 ± 10 mbar. The reaction was carried out in a photochemical reactor using long path FTIR detection, and data were analyzed using a nonlinear...... basis of isotopic analysis, OCS is an acceptable source of background stratospheric sulfate aerosol....

  1. Effects of high and low temperatures on thermal tolerance in <em>Folsomia candidaem> (Collembola)

    DEFF Research Database (Denmark)

    Jensen, Dorthe; Holmstrup, Martin; Bayley, Mark

    2008-01-01

    to a constant temperature (control) or exposure to a fluctuating temperature for between 4 and 24 h. Both ends of the thermal tolerance scale were tested. Temperature fluctuation between - 1 and 19.8 °C (± 0.1 °C) had no significant effect on the survival of F. candida after a 2-hour cold shock at...

  2. Clinical, endocrinological and biochemical effects of zinc deficiency.

    Science.gov (United States)

    Prasad, A S

    1985-08-01

    The essentiality of zinc for humans was recognized in the early 1960s. The causes of zinc deficiency include malnutrition, alcoholism, malabsorption, extensive burns, chronic debilitating disorders, chronic renal disease, certain diuretics, the use of chelating agents such as penicillamine for Wilson's disease, and genetic disorders such as acrodermatitis enteropathica and sickle cell disease. The requirement of zinc is increased in pregnancy and during the growing age period. The clinical manifestations in severe cases of zinc deficiency included bullous-pustular dermatitis, alopecia, diarrhoea, emotional disorder, weight loss, intercurrent infections, hypogonadism in males and it is fatal if untreated. A moderate deficiency of zinc is characterized by growth retardation and delayed puberty in adolescents, hypogonadism in males, rough skin, poor appetite, mental lethargy, delayed wound healing, taste abnormalities and abnormal dark adaptation. In mild cases of zinc deficiency in human subjects, we have observed oligospermia, slight weight loss and hyperammonaemia. Zinc is a growth factor. As a result of its deficiency, growth is affected adversely in many animal species and in man. Inasmuch as zinc is needed for protein and DNA synthesis and cell division, it is believed that the growth effect of zinc is related to its effect on protein synthesis. Testicular functions are affected adversely as a result of zinc deficiency in both humans and experimental animals. This effect of zinc is at the end organ level and the hypothalamic--pituitary axis is intact in zinc-deficient subjects. Inasmuch as zinc is intimately involved in a cell division, its deficiency may adversely affect testicular size and thus its function. In mice, the incidence of degenerate oocytes, and hypohaploidy and hyperhaploidy in metaphase II oocytes were increased due to zinc deficiency. Zinc at physiological concentrations reduced prolactin secretion from the pituitary in vitro and it has been

  3. Inconsistent effects of developmental temperatureacclimation on low-temperature performance andmetabolism in <em>Drosophila melanogasterem>

    DEFF Research Database (Denmark)

    Kristensen, Torsten Nygaard; Overgaard, Johannes; Hoffmann, Ary A;

    2012-01-01

    facilities at the Universityof Melbourne, Victoria, Australia.Methods: Adult females developed under four different constant or fluctuating thermalconditions were tested for their ability to locate food under cool conditions, recovery froma cold shock, or fecundity. Flies from the different acclimation...... conditions in the field, while constant cool rearingconditions led to high cold resistance. The fluctuating- and low-temperature rearing conditionsresulted in a similar metabolic profile, while the 24C rearing profile was distinct and showeda lack of plasticity. The effects of developmental acclimation on...

  4. Effects of algae-mat thickness on survival and growth of eelgrass (<em>Zostera marinaem>) seedlings

    DEFF Research Database (Denmark)

    Rasmussen, Jonas; Olesen, Birgit

    eelgrass even short periods of water column anoxia may have severe implications for growth and survival. In addition, excessive covering by macroalgal mats decrease the available light at leaf surface and may hamper the diffusive movement of oxygen, inorganic carbon and nutrients to and from the shoot thus......: Chaetomorpha linum and artificial macroalgae. The two types of mats were used to separate physical and metabolic effects of algal presence. During the growth period concentrations of oxygen and sulphide and their diurnal variations in the mats were measured using microelectrodes....

  5. The effect of extracts of <em>Searsia> species on epileptiform activity in slices of the mouse cerebral cortex

    DEFF Research Database (Denmark)

    Pedersen, Mikael Egebjerg; Vestergaard, Henrik Tang; Stafford, Gary Ivan; van Staden, Johannes; Jäger, Anna Katharina

    2008-01-01

    ETHNOPHARMACOLOGICAL RELEVANCE: Searsia dentata and Searsia pyroides are used in traditional South African medicine to treat convulsions and epilepsy. Previous studies have demonstrated that extracts of these plants comprise compounds that bind to the flumazenil-sensitive site on the GABA......(A) receptor. However, their use as anticonvulsant medicinal plants cannot be adequately explained by these findings. AIMS: The aim of this study was to examine the possible involvement of the glutamatergic system of extracts from the plants. MATERIALS AND METHODS: The mouse cortical wedge preparation was used...... effect of the crude ethanolic extracts of these two South African medicinal plants was demonstrated....

  6. Padrões clínicos de acne em mulheres de diferentes faixas etárias Acne in women: clinical patterns in different age-groups

    Directory of Open Access Journals (Sweden)

    Juliano Vilaverde Schmitt

    2009-08-01

    Full Text Available FUNDAMENTOS: Acne é dermatose comum que acomete ambos os gêneros e todas as faixas etárias. Mulheres apresentam diferentes padrões clínicos da doença, além de frequente persistência da acne após a adolescência. OBJETIVO: Analisar características clínicas e epidemiológicas associadas às diferentes faixas etárias acometidas por acne feminina. MÉTODOS: Estudo transversal envolvendo mulheres com diagnóstico de acne, atendidas em ambulatório de dermatologia geral. Variáveis relacionadas à doença e às pacientes foram avaliadas com o emprego de questionário padronizado. RESULTADOS: Avaliaram-se 103 pacientes, cuja idade média na época da consulta foi 21,7 ± 7,3 anos. Definiram-se dois subgrupos com idade de corte de 21 anos e idades médias de 15,8 ± 2,3 e 28,0 ± 5,1 anos. Houve correlação entre a duração do quadro e a idade das pacientes na consulta (R = 0,7. Observaram-se diferenças entre os grupos nas frequências de uso de contraceptivo oral combinado (OR = 48,1, lesões no colo (OR = 11,6, lesões no dorso (OR = 0,2, predominância na topografia superior da face (OR = 0,1 e idade de início das lesões (OR = 1,8. No grupo de mulheres adultas, 80% relataram início do quadro antes dos 20 anos. CONCLUSÕES: Identificaram-se padrões clínicos cronológicos e topográficos que caracterizaram a acne feminina em diferentes faixas etárias, alertando para a importância da abordagem diagnóstica e terapêutica individualizada.BACKGROUND: Acne is a frequent skin disease that occurs in both sexes and all age-groups. Women present several clinical disease patterns; moreover, persistence after adolescence is common. OBJECTIVE: To analyze clinical and epidemiological characteristics associated with different age-groups affected by acne in women. METHODS: Cross-sectional study involving female patients diagnosed with acne, at a general dermatology outpatient clinic. Variables related to disease and patients were assessed

  7. Clinical effectiveness and safety outcomes associated with prothrombin complex concentrates.

    Science.gov (United States)

    Hedges, Ashley; Coons, James C; Saul, Melissa; Smith, Roy E

    2016-07-01

    Prothrombin complex concentrates (PCCs) are indicated for urgent reversal of warfarin and used for reversal of novel oral anticoagulants, in patients with acute major bleeding or need for an urgent procedure. The research goal was to evaluate effectiveness and safety outcomes with PCC usage at our institution. A retrospective review of electronic medical records identified patients that received a PCC commercially available in the United States (KCentra(®) or Profilnine(®)) at twelve hospitals in a tertiary care health system from July 1, 2013 to April 30, 2014. A total of 193 patients received PCC, of which 184 patients received four-factor PCC. The patient population was 48 % male and 75 % Caucasian, with a mean age of 73 years old. Clinical outcomes of interest included time to achieve a target INR ≤1.3, time to Hgb >7 g/dL, and incidence of thromboembolism. A total of 143 patients were on warfarin (74.1 %) at baseline, whereas 18 patients (9.3 %) were taking a novel anticoagulant. Target INR of ≤1.3 was achieved in 125 patients (65.8 %), within a median time of 8.03 h (IQR 3.38-34.07). Among patients with a baseline Hgb 7 g/dL was 8.48 h (IQR 6.95-13.00). Eight patients (4.1 %) developed an acute venous thromboembolism following PCC administration. INR reversal was achieved in approximately two-thirds of patients, with a low incidence of venous thromboembolism. Four-factor PCC is a viable alternative to plasma. PMID:26685667

  8. The Effect of Peer-Mentoring Program on Nursing Students’ Clinical Environment Stressors

    Directory of Open Access Journals (Sweden)

    F Sardari Kashkooli

    2014-01-01

    Results: There was a significant difference between stress scores before and after of the intervention in both groups (p=0.00. Mean difference of clinical environment stress factors in two groups were not statistically significant (p=0.99. Conclusions: Peer-mentoring program is not significant effective on clinical environment stress reduction. Key Words: Nursing Education, Peer Mentoring, Clinical Environment Stressors

  9. Student and Faculty Perceptions of Effective Clinical Instructors in ADN Programs.

    Science.gov (United States)

    Gignac-Caille; Anne Marie; Oermann, Marilyn H.

    2001-01-01

    Associate degree nursing students (n=292) and faculty (n=59) agreed on 6 of 10 characteristics of effective clinical instructors. Effective instructors are clinically competent, use effective evaluation strategies, explain clearly, are approachable, are well prepared to teach, and communicate clear expectations. (Contains 28 references.) (SK)

  10. Effects of feedback of information on clinical practice: a review.

    OpenAIRE

    Mugford, M; Banfield, P; O'Hanlon, M

    1991-01-01

    OBJECTIVE--To establish what is known about the role of feedback of statistical information in changing clinical practice. DESIGN--Review of 36 studies of interventions entailing the use of statistical information for audit or practice review, which used a formal research design. SUBJECTS--Papers identified from computer searches of medical and health service management publications, of which 36 describing studies of interventions designed to influence clinical care and including information ...

  11. Sex specific effects of heat induced hormesis in Hsf-deficient <em>Drosophila melanogasterem>

    DEFF Research Database (Denmark)

    Sørensen, J G; Kristensen, Torsten Nygård; Kristensen, K V;

    2007-01-01

    In insects mild heat stress early in life has been reported to increase life span and heat resistance later in life, a phenomenon termed hormesis. Here, we test if the induction of the heat shock response by mild heat stress is mediating hormesis in longevity and heat resistance at older age. To...... test this hypothesis we used two heat shock transcription factor (Hsf) mutant stocks. One stock harbours a mutation giving rise to a heat sensitive Hsf which inactivates the heat shock response at high temperature and the other is a rescued mutant giving rise to a wild-type phenotype. We measured...... longevity, heat resistance and expression level of a heat shock protein, Hsp70, in controls and mildly heat treated flies. We found a marked difference between males and females with males showing a beneficial effect of the early heat treatment on longevity and heat resistance later in life in the rescued...

  12. Haematological and ion regulatory effects of nitrite in the air-breathing snakehead fish <em>Channa striataem>

    DEFF Research Database (Denmark)

    Lefevre, Sjannie; Jensen, Frank Bo; Huong, Do T.T.;

    2012-01-01

    The tolerance and effects of nitrite on ion balance and haematology were investigated in the striped snakehead, Channa striata Bloch 1793, which is an air-breathing fish with reduced gills of importance for aquaculture in South East Asia. C. striata was nitrite tolerant with a 96 h LC50 of 4.7 m...... 150 mM to 120 mM, while plasma chloride fell from 105 mM to 60 mM and plasma bicarbonate rose from 12 mM in controls to 20 mM in exposed fish. The extreme changes in ion balance in C. striata are different from the response reported in other fish, and further studies are needed to investigate the...

  13. Prey nutrient composition has different effects on <em>Pardosa em>wolf spiders with dissimilar life histories

    DEFF Research Database (Denmark)

    Jensen, Kim; Mayntz, David; Toft, Søren;

    2011-01-01

    amentata, which have a fixed annual life cycle, and Pardosa prativaga, which reproduce later and can extend development across 2 years. We fed juvenile spiders of the two species ad libitum diets of one of six Drosophila melanogaster fly types varying in lipid:protein composition during three instars, from......, but the two species responded differently to variation in prey lipid:protein ratio. Duration of the instars increased when feeding on protein-poor prey in P. amentata, but was unaffected by diet in P. prativaga. Likewise, the effect of diet on body composition was more pronounced in P. amentata than in P....... These can be seen as different consequences of a fixed annual and a plastic annual– biennial life cycle....

  14. Effects of two endocrine disruptors Prochloraz and Ethinylestradiol on development of <em>Rana Temporariaem>

    DEFF Research Database (Denmark)

    Brande-Lavridsen, Nanna; Christensen-Dalsgaard, Jakob; Korsgaard, Bodil

    2009-01-01

    effect of endocrine disruptors on the sexsteroid axis and reproductive function. However, another hormone system, the thyroid hormone axis may equally well be affected by xenobiotics. Thyroid hormones are essential in stimulating all aspects of amphibian metamorphosis and thyroid hormone disruptors may...... therefore severely affect this most critical process in amphibian life history. We found that exposure of tadpole Rana temporaria to the synthetic estrogen ethinylestradiol and the fungicide prochloraz caused delay of metamorphosis accompanied by changes in thyroid gland morphology....... phenotypic males. Moreover, ethinylestradiol caused estrogen-dependent induction of the egg yolk precursor protein vitellogenin. These results show that gonadal development and vitellogenin induction may be used as biomarkers for detection of endocrine disrupting chemicals. Most studies have focused on the...

  15. Effects of filamentous macroalgae on growth and survival of eelgrass, <em>Zostera marinaem>, seedlings

    DEFF Research Database (Denmark)

    Rasmussen, Jonas; Krause-Jensen, Dorte; Olesen, Birgit

    Seedling survival and patch establishment is a major bottle-neck for eelgrass (Zostera marina) re-colonization as mortality rates among the young seedlings are high, even in areas where conditions should support survival. We here focus on the potential negative effects of drifting macroalgal mats...... on eelgrass seedling performance. The covering of eelgrass shoots by algae decreases the light availability and may hamper the diffusive movement of oxygen, inorganic carbon and nutrients to and from the shoots. Moreover, the high productivity of the algae can result in large diurnal oxygen...... variations within the mat and periods of anoxia in the lower parts can possibly be followed by release of sulphide from the sediments. We assessed the impact of algae mats on seedling performance and evaluated the relative importance of light attenuation and low oxygen concentrations for seedling growth and...

  16. Mutações predisponentes à trombofilia em indivíduos de Minas Gerais - Brasil com suspeita clínica de trombose Predisposing thrombophilic mutations in individuals with clinical suspicion of thrombosis from Minas Gerais, Brazil

    Directory of Open Access Journals (Sweden)

    Sabrina P. Guimarães

    2009-02-01

    Full Text Available A trombose é reconhecidamente uma doença de caráter multifatorial. Sua ocorrência está intimamente relacionada à presença de fatores genéticos e adquiridos que concorrem isoladamente ou em associação para o seu desencadeamento. No entanto, a frequência dos fatores genéticos pode variar de acordo com a origem étnica e com outros aspectos epidemiológicos dos grupos de indivíduos e populações estudadas. No Brasil, dados referentes a indivíduos brasileiros e em especial do estado de Minas Gerais são escassos. O objetivo do presente estudo foi investigar a frequência das mutações fator V Leiden e G20210A no gene protrombina em 1.103 indivíduos com suspeita clínica de trombofilia, empregando a técnica da reação em cadeia da polimerase seguida de restrição enzimática (PCR-RFLP. Os dados foram analisados usando-se o programa Epi Info versão 6.04. A amostra consistiu de 76,16% mulheres e 23,84% homens, com média de idade de 43,06± 14,65. A mutação fator V Leiden foi observada em heterozigose em 7,52% dos indivíduos e em 0,36% em homozigose. A mutação G20210A no gene da protrombina apresentou-se em heterozigose em 5,90% dos indivíduos e em homozigose em 0,18%. O presente trabalho mostra a importância dos testes genéticos conforme o perfil da população analisada, ressaltando informações epidemiológicas da população brasileira e benefícios clínicos.Thrombosis is known to be a multifactorial disease. Its incidence is directly related to the presence of genetic and acquired factors that concur separately or in association to its appearance. However, the frequency of genetic factors can vary according to ethnic background and with other epidemiological aspects of populations. Data from Brazilian individuals and especially those from the State of Minas Gerais are scarce. The present study aims at investigating the frequencies of the factor v Leiden and the G20210G prothrombin gene mutations of 1103 individuals

  17. Criptorquismo em eqüinos: aspectos clínico-cirúrgicos e determinação da testosterona sérica Cryptorchism in horses: clinical and surgical aspects and serum testosterone determination

    Directory of Open Access Journals (Sweden)

    J.W. Cattelan

    2004-04-01

    Full Text Available Alguns aspectos clínico-cirúrgicos do criptorquismo foram investigados em 42 eqüinos. A freqüência da afecção foi elevada em cavalos Mangalarga, Quarto de Milha e sem raça definida que, em conjunto, totalizaram 73,8% dos casos. O criptorquismo abdominal (64,3% predominou sobre o inguinal (35,7%. A retenção unilateral ocorreu na maioria dos casos (95,2%, com prevalência do criptorquismo abdominal unilateral esquerdo (45,2%. Também foi determinada a concentração da testosterona sérica em seis garanhões normais (grupo I em plena atividade sexual (grupo-controle e em 10 criptórquios (grupos II e III, respectivamente, cinco abdominais e cinco inguinais. A dosagem da testosterona sérica não revelou diferença (P> 0,05 entre os três grupos. Os achados indicam que a produção desse hormônio permanece inalterada no criptórquio, justificando seu comportamento sexual, semelhante ao do garanhão normal.Some clinical and surgical aspects of the cryptorchism were investigated in 42 horses. Cryptorchism had a high frequency in Mangalarga, Quarter Horse, and mixed breed, 73.8% of the cases. Abdominal cryptorchism was more prevalent than the inguinal, 64.3% and 35.7%, respectively. The unilateral retention occurred in most cases (95.2%, with a high frequency of left abdominal cryptorchism (45.2%. The serum testosterone levels were also determined in six normal stallions (control group and 10 cryptorchid horses (five abdominals and five inguinals. Serum testosterone concentration showed no difference (P> 0.05 among groups. The production of this hormone did not change in the cryptorchism, therefore, justifying the similar sexual behavior of the cryptorchid horse and normal stallions.

  18. Correlation of the National Board of Medical Examiners Emergency Medicine Advanced Clinical Examination given in July to intern American Board of Emergency Medicine in-training examination scores, a predictor of performance?

    Directory of Open Access Journals (Sweden)

    Katherine Hiller

    2015-11-01

    Full Text Available Introduction: There is great variation in the knowledge base of Emergency Medicine (EM interns in July. The first objective knowledge assessment during residency does not occur until eight months later, in February, when the American Board of EM (ABEM administers the in-training examination (ITE. In 2013, the National Board of Medical Examiners (NBME released the EM Advanced Clinical Examination (EM-ACE, an assessment intended for fourth-year medical students. Administration of the EM-ACE to interns at the start of residency may provide an earlier opportunity to assess the new EM residents’ knowledge base. The primary objective of this study was to determine the correlation of the NBME EM-ACE, given early in residency, with the EM ITE. Secondary objectives included determination of the correlation of the United States Medical Licensing Examination (USMLE Step 1 or 2 scores with early intern EM-ACE and ITE scores and the effect, if any, of clinical EM experience on examination correlation. Methods: This was a multi-institutional, observational study. Entering EM interns at six residencies took the EM-ACE in July 2013 and the ABEM ITE in February 2014. We collected scores for the EMACE and ITE, age, gender, weeks of clinical EM experience in residency prior to the ITE, and USMLE Step 1 and 2 scores. Pearson’s correlation and linear regression were performed. Results: Sixty-two interns took the EM-ACE and the ITE. The Pearson’s correlation coefficient between the ITE and the EM-ACE was 0.62. R-squared was 0.5 (adjusted 0.4. The coefficient of determination was 0.41 (95% CI [0.3-0.8]. For every increase of one in the scaled EM-ACE score, we observed a 0.4% increase in the EM in-training score. In a linear regression model using all available variables (EM-ACE, gender, age, clinical exposure to EM, and USMLE Step 1 and Step 2 scores, only the EM-ACE score was significantly associated with the ITE (p<0.05. We observed significant colinearity

  19. Fatores associados à soropositividade para Babesia, Toxoplasma, Neospora e Leishmania em cães atendidos em nove clínicas veterinárias do município de Lavras, MG Factors associated the seropositivity for Babesia, Toxoplasma, Neospora e Leishmania in dogs attended at nine veterinary clinics in the municipality of Lavras, MG

    Directory of Open Access Journals (Sweden)

    Antônio Marcos Guimarães

    2009-12-01

    Full Text Available O objetivo deste estudo foi determinar a frequência e avaliar a influência da idade, sexo e raça na soropositividade anti-Babesia canis, Toxoplasma gondii, Leishmania (L. chagasi e Neospora caninum, por meio da reação de imunofluorescência indireta (RIFI, em amostras de soros coletadas de cães atendidos em nove clínicas veterinárias particulares do município de Lavras, MG, no período de agosto de 2000 a abril de 2002. De 300 cães, 73,3% foram soropositivos (RIFI > 1:80 para B. canis, e houve um aumento significativo de reagentes (p 1:40. Para T. gondii, de 218 cães, 60,7% foram positivos (RIFI > 1:16. Em 228 amostras de soros, 3,1% foram positivas (RIFI > 1:50 para N. caninum. Infecções por B. canis e T. gondii são endêmicas em cães atendidos em clínicas veterinárias particulares em Lavras. Não há evidências de casos autóctones de leishmaniose visceral canina em Lavras. Além disso, a infecção por N. caninum é pouco comum em cães criados na zona urbana do município.The aim of the present study was to determine the frequency and evaluate the influence of age, sex and breed in seropositivity anti-Babesia canis, Toxoplasma gondii, Leishmania (L. chagasi and Neospora caninum, by means of the indirect immunofluorescence antibody test (IFAT, in serum samples collected from dogs attended in nine private veterinary clinics in municipality of Lavras, Minas Gerais, Brazil, from August 2000 to April 2002. Of 300 dogs, 73.3% were seropositive (IFAT > 1:80 to B. canis, and there was a significant increase (p 1:40. T. gondii, of 218 dogs, 60.7% were positive (IFAT > 1:16. In 228 serum samples, 3.1% were positive (IFAT > 1:50 to N. caninum. Infections to B. canis and T. gondii occur as endemic form in dogs examined at private veterinary clinics in Lavras. There is no evidence that there are autochthonous cases of canine visceral leishmaniosis in Lavras. Besides this the infection by N. caninum is uncommon in dogs breed at the

  20. Cognitive Behavioral Therapy in Practice: Treatment Delivered by Trainees at an Outpatient Clinic Is Clinically Effective

    Science.gov (United States)

    Forand, Nicholas R.; Evans, Susan; Haglin, Dean; Fishman, Baruch

    2011-01-01

    Cognitive-behavioral therapy (CBT) is known to be effective for a number of disorders, and can be delivered effectively by trainees in controlled settings. However, the effectiveness of trainee therapists in general practice compared to that of more experienced therapists is unknown. In this study, the authors used a benchmarking strategy to…

  1. Efeito de fosfatos naturais em plantas de melão cultivadas em vasos Effect of natural phosphates on melon plants cultivated in pots

    Directory of Open Access Journals (Sweden)

    Clementino Marcos Batista de Faria

    2006-12-01

    Full Text Available Com o advento da agricultura orgânica no Vale do Submédio São Francisco, surge a demanda por técnicas que atendam aos princípios desse sistema de exploração agrícola. Dessa forma, realizou-se este trabalho com o objetivo de avaliar a eficiência de fosfatos naturais em três solos (Argissolo Acinzentado distrófico - PACd, Argissolo Amarelo eutrófico - PAe e Vertissolo - V da região, cultivados com melão (Cucumis melo em vasos, na Embrapa Semi-Árido. Os tratamentos constituíram um fatorial (3 x 4 + 1, sendo três doses de P (40, 80 e 160 mg dm-3 de P2O5, quatro fontes de P (superfosfato triplo-ST, termofosfato-TM, fosfato natural de Gafsa-FG e fosfato natural Fosbahia-FB e uma testemunha sem P, dispostos no delineamento experimental inteiramente casualizado, com três repetições. Cada solo constituiu um ensaio. Após 38 dias de cultivo do melão, avaliaram-se a produção de matéria seca (MS da parte aérea, o P absorvido pela planta e o P do solo extraído pelos métodos de Mehlich-1 e resina de troca aniônica (RTA. No V e PACd, os fosfatos apresentaram-se menos eficientes que no PAe. O TM foi a fonte de P que apresentou maior eficiência para produção de MS do melão nos três solos (56 a 100 % em relação ao superfosfato triplo. No PAe, o FG também mostrou boa eficiência, sendo equivalente a 80 % do superfosfato triplo. Os extratores Mehlich e RTA foram igualmente eficientes para avaliar a disponibilidade do P.Organic agriculture is an emerging activity in the upper mid São Francisco River Valley, requiring technologies that are in line with the principles of this agricultural system. A study was carried out at Embrapa Semi-Árido to evaluate the efficacy of natural phosphates applied to three regional soils (dystrophic Grey Argisol - PAGd, eutrophic Yellow Argisol - PAe and Vertisol - V planted with melon (Cucumis melo in pots accommodated on wooden benches. The factorial treatments (3 x 4 + 1 consisted of three

  2. Chemical Composition, Antimicrobial and Antitumor Activities of the Essential Oils and Crude Extracts of<em> Euphorbiaem>> macrorrhizaem>

    Directory of Open Access Journals (Sweden)

    Haji Akber Aisa

    2012-05-01

    Full Text Available The present study aimed to examine the chemical composition and biological activity of essential oils extracted from <em>Euphorbia macrorrhizaem> collected from Northwest China. The major constituents of the essential oils of aerial parts and roots of <em>E. macrorrhizaem> are acorenone B (16.72% and 25.80%, (+-cycloisosativene (14.94% and 12.40%, 3a-hydroxy-5b-androstane (10.62% and 5.52%, copaene (7.37% and 6.29%, l-calamenene (4.13% and 4.65% and β-cedrene (8.40% and 7.98%, respectively. The minor components of them are thymene, γ-terpinene, thymecamphor, α-cedrene, zingiberene, trans-caryophyllene, β-chamigrene, curcumene, pentadecane, (−-α-muurolene, cuparene, γ-cadinene, (<em>Z>-3-heptadecene, 1,3,7,7-tetramethyl-2-oxabicyclo(4.4.0dec-5-en-4-one, hexahydrofarnesyl acetone, γ-elixene and palmitinic acid. The antimicrobial and antitumor activitiy of the <em>E. macrorrhizaem> essential oil against <em>Staphyloccocus aureusem>, <em>Escherichia coliem>, <em>Canidia Albicansem> and Caco-2 cells were evaluated. Among all the tested microorganisms and Caco-2 cells, the essential oils showed the strongest inhibitory effect on <em>Staphyloccocus aureus em>(MIC = 2.8 μg/mL and Caco-2 cell (IC50 = 11.86 μg/mL, whereas no effect on <em>Escherichia coliem> and <em>Candida em>albicans>. The data of this study suggested that the <em>E. macrorrhizaem> essential oils have great potential as a natural medicine for microbial infections and cancers.

  3. Estágio curricular em enfermagem: transição de identidades Students clinical experience in nursing: transition of identities

    Directory of Open Access Journals (Sweden)

    Regina Szylit Bousso

    2000-06-01

    Full Text Available A experiência do "Estágio Curricular" no Departamento de Enfermagem Materno-Infantil e Psiquiátrica da Escola de Enfermagem da Universidade de São Paulo (EEUSP, é relatada não só como uma inovação para atender às exigências do Currículo Mínimo em Enfermagem, como para dar consistência à formação pretendida com o novo currículo da EEUSP. A proposta é de possibilitar ao aluno vivenciar um processo de transição do ser estudante para o ser profissional. As autoras fazem uma análise retrospectiva de como a experiência tem sido vivenciada pelos envolvidos - graduando, docente e enfermeiro assistencial, tecendo considerações acerca dos resultados que evidenciam indicadores de autonomia e de responsabilidade do futuro profissional.The purpose of this article is to describe nursing students clinical experience in the Maternal-Child and Psychiatric Nursing Department of the School of Nursing of the University of São Paulo (EEUSP. This activity has been implemented since 1996, not only to follow the demands of the Minimum Curriculum in Nursing, but also to give consistency to one of the purposes of the new curriculum of the EEUSP. This new purpose is concentrates on the facilitation of the transition process from being a student to being professional. The authors describe the experience of those involved in the process - Undergraduate student, faculty members and nurses making some considerations, regarding the results that demonstrate development of autonomy and responsibility in the future professional.

  4. Ensaio clínico placebo-controlado com isoflavonas da soja para sintomas depressivos em mulheres no climatério Placebo-controlled clinical trial with soy isoflavones for depressive symptoms in climacteric women

    Directory of Open Access Journals (Sweden)

    Rilva Lopes de Sousa

    2006-02-01

    depresion (QAEH-D was used in the pretreatment visit (VT1, and in the 8th (VT2 and 16th (VT3 week after treatment. The experimental group (GExp received soy extract with isoflavones, 120 mg per day, and the control group (GCont, placebo. The comparison of the scores of the QAEH-D between the VT1, VT2 and VT3 groups constituted the primary measure of efficacy (t test, p0.05. From VT1 to VT3, there was a significant difference (8.9% in the reduction of the scores between GExp and GCont (p=0.03. There was no correlation between the reduction of the depressive symptoms and alterations of the vasomotor symptoms (p>0.05. There was a reduction of FSH concentrations only in GExp (p=0.02, without estradiol modifications. Side effects were not clinically relevant. CONCLUSIONS: the effect of soy isoflavones was superior to the placebo, however, of small magnitude and only identified after 8 weeks of treatment. This small effect attributed to the experimental treatment, of good tolerability, may benefit patients who have side effects due to estradiol, or those who prefer not to use hormones.

  5. The Effect of Kinetin, Gibberellic Acid and Indole Acetic Acid on EMS-Induced Somatic Mutation and Recombination in Drosophila melanogaster

    OpenAIRE

    YEŞİLADA, Elif

    2000-01-01

    The effect of plant growth hormones (kinetin, gibberellic acid (GA 3) and indole acetic acid (IAA)) on EMS-induced mutant wing spots was studied with the somatic mutation and recombination test (SMART) in Drosophila melanogaster.GA 3 reduced all kinds of EMS-induced spot. While a 10 -3 M concentration of kinetin reduced only the number of EMS-induced twin spots, a 10 -4 M concentration was seen to increase the number of all types of spot. The same concentrations of IAA gave variable resu...

  6. EFFECTS OF SEPERATE AND COMBINED TREATMENTS OF DIFFERENT DOSES OF GAMMA RAYS AND EMS ON DURUM WHEAT (Tritium durum Desf.) IN M2 GENERATIONS

    OpenAIRE

    ÇİFTÇİ, Cemalettin Yaşar; ŞENAY, Ali

    2005-01-01

                  The aim of this research was to determine the separete and combine effects of different doses of gamma rays and EMS concentrations on some characteritics of M2 plants of durum wheat, cv. Kunduru 1149. The seeds of durum wheat, cv. Kunduru 1149 which were irradiated with 50 Gy, 150 Gy and 250 Gy gamma rays and / or treatedEMS for 6 hours at 30°C in 0.2 % and 0.4 % concentrated. The seeds were not presoaked before, they were treated for 6 hours withEMS. The seeds were washed in fl...

  7. Avaliação do índice de massa corpórea em mulheres atendidas em ambulatório geral de ginecologia Evaluation of body mass index of women from an outpatient gynecological general clinic

    Directory of Open Access Journals (Sweden)

    Arlete Maria dos Santos Fernandes

    2005-02-01

    Full Text Available OBJETIVO: verificar a freqüência de sobrepeso, obesidade e fatores associados entre mulheres de ambulatório de ginecologia geral em hospital secundário de referência. MÉTODOS: as variáveis estudadas foram idade, raça, escolaridade, renda familiar, trabalho com renda exercido pela mulher, tipo de trabalho da mulher, companheiro atual, característica do ciclo menstrual no momento da entrevista e índice de massa corpórea (IMC. Para análise as mulheres foram distribuídas em três grupos conforme o valor de IMC: 30 kg/m² (obesidade. Para os grupos de sobrepeso e obesidade foram calculados odds ratio e respectivo intervalo de confiança a 95% (IC 95% em cada variável, e posteriormente calculado OR ajustado. RESULTADOS: das 676 mulheres incluídas, 89,8% tinham até 8 anos de escolaridade, 83,0% tinham companheiro, 77,6% eram brancas, 61,4% referiram renda de até cinco salários mínimos e 36,0% estavam menopausadas. A freqüência de sobrepeso foi 35,6% e de obesidade 24,3%. O sobrepeso foi associado à faixa etária de 50-59 anos (OR: 3,22; IC 95%: 1,67-6,20 e à menopausa (OR: 1,52; IC 95%: 1,03-2,26; a obesidade foi associada à menopausa (OR: 2,57; IC 95%: 1,66-4,00 e às faixas etárias maiores de 40 anos (OR: 2,95; IC 95%: 1,37-6,37. Após análise de regressão múltipla, a obesidade manteve-se associada às faixas etárias de mais de 40 anos (OR: 2,51; IC 95%: 1,05-6,00. CONCLUSÕES: nesta amostra de mulheres com baixa escolaridade e nível socioeconômico, a prevalência de sobrepeso e obesidade foi alta. A obesidade foi associada a mulheres com mais de 40 anos. Esforços devem ser realizados para diminuir a freqüência de sobrepeso e obesidade entre mulheres.PURPOSE: to determine the prevalence of overweight, obesity, and associated factors among women who visited a general gynecologic clinic in a secondary hospital of reference. METHODS: the following variables were studied: age, race, educational level, family income, job

  8. Gender effect on clinical features of achalasia: a prospective study

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    Mahdavinia Mahboobeh

    2006-04-01

    Full Text Available Abstract Background Achalasia is a well-characterized esophageal motor disorder but the rarity of the disease limits performing large studies on its demographic and clinical features. Methods Prospectively, 213 achalasia patients (110 men and 103 women were enrolled in the study. The diagnosis established by clinical, radiographic, and endoscopic as well as manometry criteria. All patients underwent a pre-designed clinical evaluation before and within 6 months after the treatment. Results Solid dysphagia was the most common clinical symptom in men and women. Chest pain was the only symptom which was significantly different between two groups and was more complained by women than men (70.9% vs. 54.5% P value= 0.03. Although the occurrence of chest pain significantly reduced after treatment in both groups (P Conclusion It seems that chest pain is the distinct symptom of achalasia which is affected by sex as well as age and does not relate to the duration of illness, LESP and the type of treatment achalasia patients receive.

  9. Nevi and cutaneous hamartomas in dogs: retrospective clinical and epidemiologic study of 81 cases Nevus e hamartomas cutâneos em cães: estudo retrospectivo clínico e epidemiológico de 81 casos

    Directory of Open Access Journals (Sweden)

    Fabricia Hallack Loures

    2009-12-01

    Full Text Available In a period of eight years, nevic lesions were diagnosed in 81 cases. Fibroadnexal hamartoma (FH occurred in 53 animals (65.4%, and it was clinically characterized by firm nodules located mainly on the limbs and digits. No sexual predisposition was present. Mongrels, Boxers and Cocker Spaniels were the breeds most affected by FH. The average age at which lesions appeared was 6.3 years. The collagenous nevi was the second most prevalent lesion, occurring in 18 dogs (22.2%. The lesions were usually single, alopecic and hyperpigmented. The main affected places were the dorso and limbs. The average age at which lesions appeared was 4.7 years. Mongrels, Rottweilers and Labradors were the breeds most affected by the collagenous nevi. Nodular dermatofibrosis was diagnosed in one dog. In this dog, multiple collagenous nevi were present alongside unilateral papillary renal cystadenoma. Sebaceous, follicule-apocrine and fibrolipomatous nevi were less frequently found (10 cases - 12.3%.As lesões névicas foram diagnosticadas em 81 casos, em um período de oito anos. O Hamartoma fibroanexial (HF ocorreu em 53 animais (65,43% e caracterizou-se clinicamente por lesões nodulares, geralmente firmes, localizadas predominantemente nos membros e dígitos. Não houve predileção sexual. Os animais mestiços e os das raças Boxer e Cocker Spaniel foram os mais acometidos pelo HF. A idade média de aparecimento das lesões foi de 6,3 anos. O nevo colágeno foi a segunda lesão mais prevalente, ocorrendo em 18 cães (22,2%. As lesões foram, em geral, únicas, alopécicas e hiperpigmentadas, localizadas em sua maioria no tronco, no dorso e nos membros. A idade média de aparecimento das lesões foi de 4,7 anos. Os animais mestiços e os das raças Rottweiler e Labrador Retriever foram os mais acometidos. Em um dos cães, diagnosticou-se dermatofibrose nodular, onde foram observados múltiplos nevos colágenos em associação com cistadenoma renal papilar unilateral

  10. Pharmacogenomic and clinical data link non-pharmacokinetic metabolic dysregulation to drug side effect pathogenesis

    DEFF Research Database (Denmark)

    Zielinski, Daniel C.; Filipp, F. V.; Bordbar, A.;

    2015-01-01

    Drug side effects cause a significant clinical and economic burden. However, mechanisms of drug action underlying side effect pathogenesis remain largely unknown. Here, we integrate pharmacogenomic and clinical data with a human metabolic network and find that non-pharmacokinetic metabolic pathways...

  11. Emprego de mogadon endovenoso em pacientes epilépticos: estudo clínico e eletrencefalográfico Intravenous Mogadon in epileptic patients: clinical and etectrctencephalographic study

    Directory of Open Access Journals (Sweden)

    Michel Pierre Lison

    1968-12-01

    Full Text Available Mogadon endovenoso foi administrado a 12 pacientes com manifestações epilépticas freqüentes e/ou prolongadas, a 6 pacientes com encefalopatía epiléptica infantil com ponta-ondas difusas e a dois com epilepsia fotossensível. A droga mostrou-se eficaz no controle clínico e eletrencefalográfico dos diferentes tipos de crises em 11 dos 12 primeiros doentes, no controle clínico e eletrencefalográfico de 3 dos 6 pacientes com síndrome de Lennox e no controle das manifestações clínicas e eletrencefalográficas espontâneas e desencadeadas pela SLI nos dois últimos. O estudo limitou-se a pacientes com afecção cerebral crônica, desde que o mais freqüente efeito colateral da droga foi soñolencia. Os efeitos clínicos e eletrencefalográficos foram semelhantes àqueles obtidos com a administração parenteral do Valium. Aspectos particulares quanto à ação desta substância na síndrome de Lennox foram discutidos.Intravenous Mogadon was administred to 12 patients with frequent and/or prolonged seizures, to 6 patients with childhood epileptic encephalopathy with diffuse slow spike-waves, and to 2 with photic induced seizures. Clinically and electroencephalographically 11 of the first 12 patients were improved by the treatment; 3 of the 6 patients with Lennox syndrome were also improved, as well as the two with spontaneous and photic induced clinical and electroencephalographic disorders. Since drowsiness was the most frequent side effect of the drug, only patients with chronic cerebral disorders were used in this study. The clinical and electroencephalographic effects were similar to those of intravenous Valium. Some aspects of the action of this drug in the Lennox syndrome are discussed.

  12. Characterization of Isoforms of the Lectin Isolated from the Red Algae <em>Bryothamnion seaforthii em>and Its Pro-Healing Effect Characterization of Isoforms of the Lectin Isolated from the Red Algae <em style="mso-bidi-font-style: normal;">Bryothamnion seaforthii em>and Its Pro-Healing Effect

    Directory of Open Access Journals (Sweden)

    Edson Holanda Teixeira

    2012-09-01

    Full Text Available Lectins are a structurally heterogeneous group of proteins that have specific binding sites for carbohydrates and glycoconjugates. Because of their biotechnological potential, lectins are widely used in biomedical research. The present study aimed to evaluate the healing potential of the lectin isolated from the marine red alga <em>Bryothamnion seaforthiiem> (BSL. The lectin was purified using ion exchange chromatography with DEAE cellulose and characterized using tandem mass spectrometry. For healing tests, skin wounds were induced in the dorsal thoracic region of mice. These animals were randomly divided into three groups and subjected to topical treatment for 12 days with BSL, bovine serum albumin and 150 mM NaCl. To evaluate the potential of each treatment, the animals were anesthetized and sacrificed on days 2, 7 and 12, respectively. The parameters evaluated included the wound area, the proportion of wound closure and the histological diagnosis. The wound closure was more effective with BSL (Postoperative Day 7 and 12 than controls. The luminal epithelium was completely restructured; the presence of collagen in the dermis and the strongly active presence of young skin annexes demonstrate the potential of treatment with BSL compared with controls. Our findings suggest that BSL has pro-healing properties and can be a potential medical process in the treatment of acute wounds.

  13. Effects of clinical practice environments on clinical teacher and nursing student outcomes.

    Science.gov (United States)

    Babenko-Mould, Yolanda; Iwasiw, Carroll L; Andrusyszyn, Mary-Anne; Laschinger, Heather K S; Weston, Wayne

    2012-04-01

    The purpose of this study was to use a cross-sectional survey design, with an integrated theoretical perspective, to examine clinical teachers' (n = 64) and nursing students' (n = 352) empowerment, teachers' and students' perceptions of teachers' use of empowering teaching behaviors, students' perceptions of nurses' practice behaviors, and students' confidence for practice in acute care settings. In this study, teachers and students were moderately empowered. Teachers reported using a high level of empowering teaching behaviors, which corresponded with students' perceptions of teachers' use of such behaviors. Teachers' empowerment predicted 21% of their use of empowering teaching behaviors. Students reported nurses as using a high level of professional practice behaviors. Students felt confident for professional nursing practice. The findings have implications for practice contexts related to empowering teaching-learning environments and self-efficacy. PMID:22432538

  14. Fibrose cística em adultos: aspectos clínicos e espirométricos Cystic fibrosis in adults clinical and spirometric aspects

    Directory of Open Access Journals (Sweden)

    Antônio Carlos M. Lemos

    2004-02-01

    Full Text Available INTRODUÇÃO: A fibrose cística é diagnosticada usualmente na infância. No Brasil, poucos estudos abordam seu diagnóstico na idade adulta. OBJETIVO: Descrever as características demográficas, clínicas e os achados de espirometria dos pacientes com fibrose cística diagnosticados na idade adulta, na Bahia (Brasil. MÉTODO: Foram avaliados 28 pacientes com fibrose cística diagnosticada na idade adulta no Centro de Referência de Fibrose Cística do Estado da Bahia. As variáveis de interesse foram: idade, gênero, cor, índice de massa corpórea (IMC, cultivo do escarro, porcentagem do previsto da capacidade vital forçada (% CVF, porcentagem do previsto do volume expiratório forçado no primeiro segundo (% VEF1 e resposta ao broncodilatador. RESULTADOS: A média de idade dos pacientes foi de 31,1±12,4 anos. A proporção de negros e mulatos foi de 53,7%, e a média de IMC foi 18,7±3,0Kg/m2. Em doze pacientes (43% foi confirmada P. aeruginosa no escarro. As médias ±DP dos percentuais do previsto da CVF e do VEF1 foram de 58,9±21,6% e 44,1±23% respectivamente. No grupo colonizado por P. aeruginosa as médias dos parâmetros espirométricos foram inferiores às do grupo não colonizado. Entretanto, somente em relação à CVF esta diferença alcançou significância estatística (p= 0,007. CONCLUSÃO: Concordante com a literatura, este estudo reforça que o diagnóstico de fibrose cística deve ser investigado em pacientes com infecções respiratórias de repetição, sinusite e bronquiectasias, mesmo na idade adulta. Os valores dos percentuais da CVF e VEF1 em relação ao previsto foram menores nos pacientes colonizados por P aeruginosa, evidenciando uma maior deterioração da função pulmonar.INTRODUCTION: Cystic Fibrosis is usually diagnosed in childhood. In Brazil, few studies have approached CF diagnosed in adulthood. OBJECTIVE: The aim of this study was to describe demographic and clinical characteristics and spirometric

  15. Efeito terapêutico da música em crianças em pós-operatório de cirurgia cardíaca The therapeutic effects of music in children following cardiac surgery

    Directory of Open Access Journals (Sweden)

    Thamine P. Hatem

    2006-06-01

    Full Text Available OBJETIVO: Verificar de forma objetiva e subjetiva o efeito da música em crianças no pós-operatório de cirurgia cardíaca em uma unidade de terapia intensiva cardiopediátrica, em conjunto com ações da prática convencional. MÉTODOS: Ensaio clínico aleatorizado por placebo, no qual foram avaliadas 84 crianças, com faixa etária de 1 dia a 16 anos, nas primeiras 24 horas de pós-operatório, submetidas a sessão de 30 minutos de musicoterapia, utilizando música clássica e observadas no início e fim das sessões quanto às seguintes variáveis: freqüência cardíaca, pressão arterial, pressão arterial média, freqüência respiratória, temperatura, saturação de oxigênio, além de uma escala facial de dor. Foi considerado o nível de significância estatística de 5%. RESULTADOS: Dos 84 pacientes iniciais, cinco (5,9% recusaram participar do estudo. O grupo de cardiopatias mais comum foi o de congênitas acianogênicas com shunt E-D (41% intervenção: 44,4% controle. Quanto à avaliação subjetiva através da escala facial de dor e objetiva das freqüências cardíaca e respiratória, observou-se diferença estatisticamente significante entre os dois grupos após a intervenção (p OBJECTIVE: To investigate, both objectively and subjectively, the effect of music on children in a pediatric cardiac intensive care unit following heart surgery, in conjunction with standard care. METHODS: Randomized clinical trial with placebo, assessing 84 children, aged 1 day to 16 years, during the first 24 hours of the postoperative period, given a 30 minute music therapy session with classical music and observed at the start and end of the session, recording heart rate, blood pressure, mean blood pressure, respiratory rate, temperature and oxygen saturation, plus a facial pain score. Statistical significance was set at 5%. RESULTS: Five of the initial 84 patients (5.9% refused to participate. The most common type of heart disease was acyanotic

  16. Colite alérgica: características clínicas e morfológicas da mucosa retal em lactentes com enterorragia Allergic colitis: clinical and morphological aspects in infants with rectal bleeding

    Directory of Open Access Journals (Sweden)

    Norys Josefina Diaz

    2002-10-01

    Full Text Available RACIONAL: Recentes estudos indicam a importância do infiltrado eosinofílico na mucosa retal que, juntamente com os dados clínicos, pode servir para estabelecer o diagnóstico de colite alérgica. OBJETIVOS: Descrever, prospectivamente, as características clínicas e a morfologia da mucosa retal em pacientes com enterorragia e suspeita diagnóstica de alergia às proteínas do leite de vaca. MATERIAL E MÉTODOS: Foram estudados 20 pacientes, menores de 6 meses para descrever suas características clínicas e a histologia da mucosa retal que foi comparada com um grupo controle, com suspeita de megacólon congênito. RESULTADOS: A idade média dos pacientes foi 97 ± 47 dias; enterorragia teve início antes dos 120 dias em 85% deles; em vigência de aleitamento materno (40% artificial ou misto (60%. O achado histológico, estatisticamente significativo, foi o infiltrado aumentado de eosinófilos, na mucosa retal, em 18 pacientes. CONCLUSÃO: Pode-se afirmar que esses achados constituem, associados aos dados clínicos, os mais importantes elementos no diagnóstico de colite alérgica, em pacientes menores de 6 meses com enterorragia, que estejam recebendo aleitamento materno e/ou aleitamento artificial.BACKGROUND: Recent studies indicate the importance of eosinophilis infiltrated in the rectal mucous which jointly with the clinical features can serve to establish the diagnostic of allergic colitis. AIM: To describe prospectively, the clinical features and morphological abnormalities of the rectal mucosa in patients with rectal bleeding and clinical diagnosis of cow's milk allergy. METHODS: Clinical features of 20 infants under 6 months of age were described. Morphological findings in rectal mucosa were compared with control group, with suspicion of congenital megacolon. RESULTS: The mean age of the patients was 97 ± 47 days, rectal bleeding started before 120 days in 85% of them; 40% were breastfed, 60% cow's milk formula or both. The most

  17. Clinical psychology in haemoglobinopathies: cost effective pathways to funding

    OpenAIRE

    Lloyd, Joanne; das Nair, Roshan; Mackinlay, Dot

    2013-01-01

    This article describes a service evaluation which was used as evidence in a bidfor clinical psychology funding in haemoglobinopathies. We present the approach as a promising framework for securing funding in this difficult financial climate. SICKLE CELL DISEASE (SCD) and thalassaemia are inherited blood disorders that vary significantly in their presentation and treatment but are known collectively as `haemoglobinopathies'. SCD is characterised by an abnormality in the synthesis of normal hae...

  18. CLINICAL EFFECT OF TESTOSTERONE IN MEN WITH STABLE ANGINA

    OpenAIRE

    A. Ya. Kravchenko; V. M. Provotorov

    2016-01-01

    Aim. To study efficacy of testosterone undecanoate (TU) therapy in men with stable angina and androgen deficiency.Material and methods. The serum testosterone level was detected in 247 men (aged 51,6±1,8 y.o.) with stable effort angina. 60 patients with androgen deficiency additionally to basic angina therapy received TU (120-160 mg daily). 54 patients with androgen deficiency (control group) received only basic angina therapy. Dynamics of clinical and ECG manifestations of myocardial ischemi...

  19. Citalopram--a review of pharmacological and clinical effects.

    OpenAIRE

    Bezchlibnyk-Butler, K; Aleksic, I; Kennedy, S. H.

    2000-01-01

    OBJECTIVE: To provide clinicians with a critical evaluation of citalopram, a selective serotonin reuptake inhibitor (SSRI) that has been available in Canada since March 1999. DATA SOURCES: Commercial searches (MEDLINE and BiblioTech) and an "in-house" search (InfoDrug) were used to find published English-language references for clinical and preclinical publications. There was no restriction of publication dates. Primary index terms used were: pharmacological properties, receptors, pharmacolog...

  20. Effect of “diagnosis threat” in clinical setting

    OpenAIRE

    Fresson, Megan; Dardenne, Benoît; Meulemans, Thierry

    2014-01-01

    Objective. When reminded of their neurological history, mild traumatic brain injured (TBI) students underperform on neuropsychological tests (Suhr & Gunstad, 2002). To date, this “diagnosis threat” (DT) phenomenon has mainly been studied with a non-clinical and high-functioning population (university students). The aim of this study was twofold: to study this phenomenon with neurological patients and to examine the mechanisms responsible for underperformance. Method. Patients (18-55 years-old...

  1. Linking audit and clinical effectiveness in the lung tumour service

    LENUS (Irish Health Repository)

    Gorman, Sharon

    2009-05-28

    Clinical Audit plays an important role in the evaluation of care and clinical outcomes for all patients. In conjunction with the respiratory nurse specialist a retrospective chart audit of the regional lung cancer service was undertaken at the Midlands Regional Hospital Mullingar (MRHM). The lung cancer service has been established for four years and has set its standards in line with NICE guidelines and Irish guidelines for the clinical management of lung cancer. An audit tool was developed by the audit facilitator in conjunction with the respiratory nurse specialist and key department personnel. The tool aimed to measure length of time taken for key steps in the patients care pathway. A pilot audit was carried out and the tool was evaluated. The audit tool provided accurate recording of information at key points in the patient’s care which allows for a thorough service evaluation. The data collected and analysed gives vital information on the quality of service, and showed where there are deficits in service provision that need to be addressed.

  2. Vestibular rehabilitation: clinical benefits to patients with Parkinson's disease Reabilitação vestibular: utilidade clínica em pacientes com doença de Parkinson

    Directory of Open Access Journals (Sweden)

    Bianca Simone Zeigelboim

    2009-06-01

    Full Text Available OBJECTIVE: To evaluate the effectiveness of the vestibular rehabilitation (VR exercises by means of an assessment before and after the application of the Brazilian version of the Dizziness Handicap Inventory (DHI questionnaire. METHOD: Twelve patients were studied, the following procedures were carried out: anamnesis, otorhinolaryngological and vestibular evaluation, and the application of the DHI before and after the VR. RESULTS: Clinically resting tremors and subjective postural instability were the motor complaints most frequently associated with complaints of vertigo in 12 cases (100%; in the vestibular exam, all the patients presented abnormalities, frequently from the uni and bilateral peripheral vestibular deficiency syndromes in 10 cases (83.3%; there was significant improvement in the physical, functional and emotional aspects of the DHI after the completion of the VR. CONCLUSION: The VR following the Cawthorne and Cooksey protocol were shown to be useful in managing subjective complaints of several aspects evaluated in this protocol.OBJETIVO: Avaliar a eficácia dos exercícios de reabilitação vestibular (RV por meio de avaliação pré e pós-aplicação da versão brasileira do questionário Dizziness Handicap Inventory (DHI. MÉTODO: Estudou-se 12 pacientes e realizaram-se os seguintes procedimentos: anamnese, avaliação otorrinolaringológica, vestibular e aplicação do DHI pré e pós RV. RESULTADOS: Do ponto de vista clínico, o tremor de repouso e a instabilidade postural subjetiva foram às queixas motoras mais freqüentes associadas às queixas de vertigem em 12 casos (100%; no exame vestibular, todos os pacientes apresentaram anormalidades, com freqüência das síndromes vestibulares periféricas deficitárias uni e bilaterais em 10 casos (83,3%; houve melhora significativa dos aspectos físico, funcional e emocional do DHI após a realização da RV. CONCLUSÃO: A RV seguindo o protocolo de Cawthorne e Cooksey mostrou

  3. Doença de Kawasaki: experiência clínica em hospital universitário Kawasaki disease: clinical experience in a university hospital

    Directory of Open Access Journals (Sweden)

    Angela Esposito Ferronato

    2010-06-01

    Full Text Available OBJETIVO: A doença de Kawasaki é uma vasculite sistêmica aguda de etiologia desconhecida. Seu diagnóstico baseia-se em critérios clínicos. O objetivo deste estudo foi descrever os casos de pacientes com doença de Kawasaki internados no Hospital Universitário da Universidade de São Paulo entre janeiro/2000 e junho/2008. MÉTODOS: Dentre todos os pacientes internados na Enfermaria de Pediatria no período acima, foram selecionados aqueles cujo CID de alta foi doença de Kawasaki. Realizou-se estudo descritivo por meio da análise dos prontuários dessas crianças. RESULTADOS: Foram encontrados 18 casos. A média de internações foi de 2,1 casos/ano. A idade variou de três meses a nove anos. A proporção meninos:meninas foi 1:1,25. Receberam outros diagnósticos prévios 17 pacientes, sendo escarlatina em 2/3 dos casos. O tempo de febre antes do diagnóstico variou de cinco a 11 dias. Nove crianças apresentaram quatro sinais sugestivos de doença de Kawasaki; oito apresentaram cinco sinais e uma apresentou dois sinais, o que foi considerado doença de Kawasaki incompleta. Receberam gamaglobulina 15 crianças (entre o sexto e o décimo dias de evolução e 11 (73% ficaram afebris após infusão da medicação. Os demais tiveram febre até 24 horas após a administração. Todos os pacientes realizaram ecocardiograma e três apresentaram aneurisma leve da coronária. CONCLUSÕES: A doença de Kawasaki é habitualmente confundida com outras doenças, o que causa retardo no tratamento e aumento no risco de complicações cardíacas.OBJECTIVE: Kawasaki disease is an acute systemic vasculitis of unknown etiology. Its diagnosis is based on clinical criteria. This study aimed to describe Kawasaki disease cases treated at the University Hospital of Universidade de São Paulo, from January/2000 to June/2008. METHODS: Among all patients admitted to the pediatric ward during this period, patients whose discharge ICD was Kawasaki disease were

  4. Cerrobend collimation effect on electron beams; Efeito de colimacoes de cerrobend em feixes de eletrons

    Energy Technology Data Exchange (ETDEWEB)

    Furnari, Laura; Albino, Lucas D.; Ribeiro, Victor A.B.; Santos, Gabriela R., E-mail: laurafurnari@hotmail.com [Universidade de Sao Paulo (InRad/FM/USP), SP (Brazil). Faculdade de Medicina. Hospital das Clinicas. Instituto de Radiologia

    2012-12-15

    The aim of this work was to discuss about the cerrobend collimation effect on clinical electron beams. When a cerrobend collimation is used, both the percentage depth dose (PDD) and the absolute dose that is delivered to the patient changes. It was analyzed how those parameters change and it was evaluated in which cases a correction factor should be applied due to this collimation. It was founded that, when the smallest dimension of the collimation is smaller than the minimum radius to lateral scatter equilibrium, the collimation will change the PDD in such a way that it should take into account in the treatment planning. For one specific collimation usually applied in head and neck treatments, it was found that no correction factor is necessary. (author)

  5. Effect of nutrient solution, effective microorganisms (EM-A), and assimilation illumination of plants on the induction of the growth of lettuce (Lactuca sativa L.) in hydroponic cultivation

    OpenAIRE

    Tomasz Kleiber; Justyna Starzyk; Maciej Bosiacki

    2013-01-01

    The main aim of the present study was to evaluate the influence of the chemical composition of a nutrient solution (NS I, NS II), seed inoculation with Effective Microorganisms (EM), and assimilation illumination (AI) of plants on the growth, development and nutritional status of lettuce (Lactuca sativa L.) in hydroponic cultivation and microbiological changes in the medium. The measurements were as follows: quantity of leaves per plant (LQ), surface area of the biggest leaves of plants (SBL)...

  6. Efeito do exercício físico na percepção de satisfação de vida e função imunológica em pacientes infectados pelo HIV: Ensaio clínico não randomizado Effects of physical exercise in the perception of life satisfaction and immunological function in HIV-infected patients: Non-randomized clinical trial

    Directory of Open Access Journals (Sweden)

    Rodrigo D. Gomes

    2010-10-01

    Full Text Available CONTEXTUALIZAÇÃO: Os estudos sobre a relação entre prática de exercícios e bem-estar psicológico de pacientes com vírus da imunodeficiência humana (HIV são raros. OBJETIVO: Investigar a influência de programa de condicionamento físico sobre a satisfação com a própria vida e sobre a função imunológica. MÉTODOS: Para tal análise, 29 pacientes soropositivos (idade: 45±2 anos; índice de massa corporal (IMC: 22,8±1,0 kg/m2; TCD4: 20,5±2,0%, foram divididos em grupo controle (GC, n=10 e grupo experimental (GE, n=19. O GE participou durante 12 semanas de programa de exercícios que combinavam exercícios aeróbios, força e flexibilidade (três vezes/semana; aeróbio-30min: carga em watts equivalente a 150bpm-PWC150; força-50min: três séries de 12 repetições em cinco exercícios a 60-80% 12 RM; flexibilidade-10min: duas séries de 30s na máxima amplitude em oito exercícios. A função imunológica foi avaliada por contagem absoluta e relativa das células TCD4 (citometria de fluxo,e a satisfação de vida, por meio do Índice de Satisfação de Vida (ISV. RESULTADOS: A análise de variância (ANOVA não identificou alteração significativa para os linfócitos TCD4 em ambos os grupos, apesar da tendência à elevação no GE (16%, p=0,19. Houve melhora significativa no ISV (≈15%, PBACKGROUND: There is a lack of research about the relationship between exercise and the psychological well-being of HIV-infected (Human Immunodeficiency Virus patients. OBJECTIVE: The objective of this study was to investigate the influence of a physical training program on life satisfaction and on the immunological function in HIV-patients. METHODS: A total of 29 HIV-seropositive patients [age: 45±2 yrs; Body Mass Index (BMI: 22.8±1.0 kg/m² ; TCD4: 20.5±2.0%] were allocated to the control (CG, n=10 and to the experimental groups (EG, n=19. The EG participated in an exercise program combining aerobic, strength, and flexibility exercises

  7. Efeito de inseticidas em insetos predadores em culturas de algodão Effect of insecticides on predator insects associated with cotton

    Directory of Open Access Journals (Sweden)

    JOSÉ JANDUI SOARES

    2000-09-01

    Full Text Available Com o objetivo de verificar o efeito de inseticidas em insetos predadores em cultura de algodão (Gossypium hirsutum L., instalaram-se, em 1993-1994, dois experimentos, um no campo, e outro, em laboratório. No experimento realizado no campo, os tratamentos foram: Fipronil 200 SC (75 g/ha de i.a.; Fipronil 800 WDG (64, 80 e 100 g/ha de i.a.; Endosulfan 350 CE (700 g/ha de i.a.; e testemunha. Em laboratório, além das formulações à base de Fipronil foi utilizado o Paration metílico 600 CE (480 g/ha de i.a.. Fipronil foi seletivo para os artrópodes predadores (Scymnus sp., Geocoris ventralis, Cycloneda sanguinea e Doru lineare no campo, e a Cycloneda sanguinea (L., em laboratório, e pode ser recomendado em programas de manejo integrado de pragas na cultura do algodoeiro para o controle de Alabama argillacea (Rueb., e Anthonomus grandis Boh. Endosulfan foi seletivo em relação a Scymnus sp., Geocoris ventralis Thomazini e Doru lineare (Eschs no campo, com uma redução dos insetos inferior a 30%, e o Paration metílico não foi seletivo para C. sanguinea em laboratório.To assess the selectivity of insecticides to predator insects in cotton (Gossypium hirsutum L. crops two, trials, 1993-1994, under field and laboratory conditions were conducted. Under field conditions, the following treatments were compared: Fipronil 200 CS (75 g/ha of a.i.; Fipronil 800 WDG (64, 80 and 100 g/ha of a.i.; Endosulfan 350 EC (700 g/ha of a.i.; and control. Under laboratory conditions, in addition to Friponil, Methyl parathion 600 EC 480 g/ha of a.i. was also tested. Fipronil was selective to predators (Scymnus sp., Geocoris ventralis, Cycloneda sanguinea and Doru lineare under field condition and to Cycloneda sanguinea (L. under laboratory conditions. This product can be used in integrated pest management programs in cotton crops to control Alabama argillacea (Rueb., and Anthonomus grandis Boh. Endosulfan was selective to Scymnus sp., Geocoris ventralis

  8. Avaliação cognitiva breve de pacientes atendidos em ambulatórios de neurologia geral Brief cognitive evaluation of patients attended in a general neurological outpatient clinic

    Directory of Open Access Journals (Sweden)

    Ana Paula P. Vitiello

    2007-06-01

    Full Text Available INTRODUÇÃO: O exame das funções cognitivas é habitual na avaliação das demências, porém não é usualmente realizado em pacientes com outras doenças neurológicas. OBJETIVO: Investigar a relevância da semiologia cognitiva sistemática em pacientes com doenças neurológicas diversas. MÉTODO: Foram avaliados 105 pacientes consecutivamente atendidos no período de um ano em ambulatório de neurologia geral de hospital universitário público, sem queixas de alterações cognitivas. Os pacientes foram submetidos aos seguintes testes cognitivos: mini-exame do estado mental (MEEM, extensão de dígitos, testes de memória de figuras, fluência verbal e desenho do relógio. Sempre que possível as notas de corte foram corrigidas em função da escolaridade. RESULTADOS: Cerca de 2/3 dos pacientes apresentaram alterações do desempenho em pelo menos um teste. O MEEM mostrou-se alterado em 20% dos pacientes, o teste da extensão de dígitos apresentou alteração em 50,4% (29,5% na ordem direta e 20,9% na indireta. A evocação tardia esteve alterada em 14,2% dos casos, a fluência verbal esteve abaixo da nota de corte em 27,6% dos pacientes e o desenho do relógio, em 40,0%. CONCLUSÃO: Os dados obtidos comprovam a necessidade da inclusão da avaliação cognitiva como parte obrigatória do exame neurológico, mesmo em pacientes sem queixas relacionadas.INTRODUCTION: Cognitive evaluation is usually performed in the assessment of patients with suspected dementia, but is not generally performed in patients with other neurological diseases. OBJECTIVE: To investigate the relevance of a systematic cognitive examination in patients with different neurological conditions. METHOD: One-hundred and five patients consecutively attended over a one-year period in a general Neurology outpatient clinic from a public-affiliated hospital, with no complaints of cognitive changes, were submitted to the following cognitive tests: Mini-Mental State Examination

  9. Effect of hyaluronan on periodontitis: A clinical and histological study

    Directory of Open Access Journals (Sweden)

    Gauri Gontiya

    2012-01-01

    Full Text Available Background: Conventional, non-surgical periodontal therapy consists of supra- and subgingival tooth debridement. However, it is a technically demanding procedure and is not always efficient at eradicating all periodontal pathogens and in reducing inflammation. Therefore, local subgingival application of other chemotherapeutic agents may be used as an adjunct to non-surgical therapy. The aim of this study was to investigate the clinical and histological outcomes of local subgingival application of 0.2% hyaluronic acid gel (GENGIGEL® as an adjunct to scaling and root planing (SRP in chronic periodontitis patients. Materials and Methods: One hundred and twenty sites were chosen from 26 patients with chronic periodontitis (criteria being periodontal pockets ≥5mm. Experimental sites additionally received HA gel subgingivally at baseline, 1 st , 2 nd , and 3 rd week. Clinical parameters were re-assessed at 4 th , 6 th , and 12 th week. At 4 th week recall, a gingival biopsy was obtained from test and control site for histologic examination. Results: Intra-group analysis of all the clinical parameters at all sites from baseline to 4 th , 6 th , and 12 th week showed statistically significant changes. Experimental sites showed statistically significant improvement in Gingival index and Bleeding index at 6 th and 12 th week when compared with control sites. However, no statistically significant differences were observed in the PPD and RAL between control and experimental sites at 4 th , 6 th , and 12 th week time interval. No statistically significant association was found between the histological grading of the sites that received HA treatment. Conclusion: Subgingival placement of 0.2% HA gel along with SRP provided a significant improvement in gingival parameters. However, no additional benefit was found in periodontal parameters. Histologically, experimental sites showed reduced inflammatory infiltrate, but it was not statistically significant.

  10. Measuring Effects on the Clinical Practice from a Configured EHR

    DEFF Research Database (Denmark)

    Møller-Jensen, John; Simonsen, Jesper; K. Iversen, Rikke

    2006-01-01

    The objective of the project was to measure the clinical usability of an EHR configured by use of participatory design with clinicians from a neurological stroke unit in order to get input to the County’s future strategy for incremental implementation of EHR. The content of the EHR was defined...... from the project has been comparatively analysed by means of the TLX scores. The results show several significant results, for example, during ward rounds the physicians experienced a significant improvement of TLX. The experiment has proven it possible to configure the content of an EHR that...

  11. ALOE VERA: A REVIEW OF ITS CLINICAL EFFECTIVENESS

    Directory of Open Access Journals (Sweden)

    Malik Itrat

    2013-08-01

    Full Text Available Aloe vera has been used for over five thousand years. Throughout history, it has been considered a magical plant, almost a panacea, capable of remedying many of mankind’s ailments. It is only in the last 20 years, after a series of proven research, that we can highlight the characteristics of this plant, whose secrets have been hidden behind a blanket of botanical and pharmacological puzzles that only today begin to yield some answers. The Aloe vera plant and its clinical uses are briefly reviewed in this article.

  12. Aspectos epidemiológicos e clínico-patológicos comparados da intoxicação por Arrabidaea bilabiata (Bignoniaceae em búfalos e bovinos Comparative epidemiological, clinical and pathological aspects of poisoning by Arrabidaea bilabiata (Bignoniaceae in buffalo and cattle

    Directory of Open Access Journals (Sweden)

    Carlos Hubinger Tokarnia

    2004-06-01

    Full Text Available Através de estudo experimental, verificou-se que, embora o quadro clínico-patológico seja essencialmente o mesmo, o búfalo é pelo menos duas vezes mais resistente que o bovino à ação tóxica de Arrabidaea bilabiata (Sprague Sandw. Os experimentos demonstraram também, que as folhas novas desta planta são duas vezes (em outubro, fim da época de seca ou uma vez e meio (em maio, fim da época de chuva mais tóxicas do que as folhas maduras, e que a planta é mais tóxica em outubro. Esses dados indicam que a menor incidência de intoxicação por plantas do grupo das que causam morte súbita, em búfalos na Amazônia, deva-se, em parte, à maior resistência dessa espécie animal. Também parece importante a coincidência do habitat preferencial dos búfalos (várzea com o habitat de A. bilabiata, planta menos tóxica que Palicourea marcgravii St.Hil., encontrada em terra firme que é o habitat preferido pelos bovinos.Experiments showed that the clinical and pathological pictures were essentially the same, but the buffalo was at least twice more resistant than the bovine to the toxic effect of Arrabidaea bilabiata (Sprague Sandw. It was also shown that the young leaves are twice (October, end of the dry season or one and a half (May, end of the rainy season more toxic than the mature leaves, and that the plant is more toxic in October. These data indicate that the smaller incidence of poisoning by plants of the group that causes sudden death in buffaloes in the Amazon Region is, in part, due to the greater resistance of this animal species to the toxic action of the plant. Also important seems to be the coincidence of the preferential habitat of the buffalo (flooded areas with the habitat of A. bilabiata, less toxic than Palicourea marcgravii St.Hil. which is a plant of the non-flooded areas, the preferential habitat of cattle.

  13. Phytochemical and Biological Studies of <em>Agave em>attenuata>

    OpenAIRE

    Vincenzo De Feo; Muhammad Riaz; Nasir Rasool; Muhammad Zubair; Komal Rizwan; Muhammad Zia-Ul-Haq

    2012-01-01

    The present study was conducted to examine various biological activities of a methanol extract of <em>Agave attenuataem> leaves. GC-MS analysis of the <em>n>-hexane fraction from the extract revealed the presence of 31 compounds, with mono-2-ethylhexyl phthalate (11.37%), 1,2-benzenedicarboxylic acid (6.33%), <em>n>-docosane (6.30%) and eicosane (6.02%) as the major components. The leaves contained appreciable levels of total phenolic contents (10...

  14. Optomechanics of Nanoparticles: Effect of Quantum Fluctuations in Levitating EM Field on Cavity-assisted and Cavity-less Systems

    CERN Document Server

    Jazayeri, Amir M

    2016-01-01

    Optomechanics of nanoparticles purports to reach the quantum regime, but experimental evidence suggests otherwise. We believe that the discrepancy is due to the omission of the deleterious effects of the EM field levitating the particle. This letter focuses on quantum fluctuations in the levitating field. In a cavity-assisted system, they lead to fluctuations in the gradient force, and encourage escape of the particle. In a feedback system, they lead to the detector shot noise besides fluctuations in the gradient force and radiation pressure, and render the system very vulnerable to the thermal noise of the feedback circuit.

  15. Clinical and laboratory findings in patients with dengue associated with hepatopathy Achados clínicos e laboratoriais em pacientes com dengue associada à hepatopatia

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    Delso do Nascimento

    2011-12-01

    Full Text Available INTRODUCTION: Hepatic disorders caused by dengue infection may progress to severe manifestations, including mortality and morbidity. Cytokines are involved in it, such as the migration inhibitory factor of macrophages (MIF, tumor necrosis factor (TNF, natural killer cells (NK, B lymphocytes, and macrophages. METHODS: This study was carried out from January to April 2007 at a public hospital from the Federal University of Mato Grosso do Sul, Campo Grande, Brazil. Sixty-eight patients were studied concerning hepatic alterations, with 56 reported having classic dengue, 6 with hemorrhagic dengue grade I, and 6 with hemorrhagic dengue grade II. RESULTS: Among the 56 with classic dengue, 83.3% had aspartate aminotransferase (AST alterations, and 69.6% had altered alanine aminotransferase (ALT. For those with hemorrhagic dengue grade I, 100% had AST alterations, and 83.3% had altered ALT. All the patients with hemorrhagic dengue grade II had AST and ALT alterations. AST variations reached 22.0 and 907.0, with an average value of 164.6. For ALT, we found variations between 25.0 and 867.0, with an average value of 166.07. There had been statistical significance between dengue clinical shapes and hepatic function markers. CONCLUSIONS: We conclude that the infection was predominant in adults, females, and in those with low income and education. The liver enzymes were of larger amount in hemorrhagic dengue, but there was weak statistical evidence of the clinical manifestations and transaminases. Major signs and clinical symptoms were fever, headache, myalgia, arthralgia, weakness, severe pain behind the eyes, and rashes.INTRODUÇÃO: Afecções hepáticas causadas pela infecção da dengue podem evoluir para quadro grave, incluindo mortalidade e morbidade. O mecanismo de lesão do fígado está relacionado com a exacerbação da resposta imune. As citocinas estão envolvidas nele como fator inibidor da migração de macrófagos (MIF, fator de necrose

  16. Specialized inpatient treatment of adult anorexia nervosa: effectiveness and clinical significance of changes

    OpenAIRE

    Schlegl, Sandra; Quadflieg, Norbert; Löwe, Bernd; Cuntz, Ulrich; Voderholzer, Ulrich

    2014-01-01

    Background Previous studies have predominantly evaluated the effectiveness of inpatient treatment for anorexia nervosa at the group level. The aim of this study was to evaluate treatment outcomes at an individual level based on the clinical significance of improvement. Patients’ treatment outcomes were classified into four groups: deteriorated, unchanged, reliably improved and clinically significantly improved. Furthermore, the study set out to explore predictors of clinically significant cha...

  17. Effectiveness of dementia follow-up care by memory clinics or general practitioners: randomised controlled trial

    OpenAIRE

    2012-01-01

    Objective To examine the effectiveness of post-diagnosis dementia treatment and coordination of care by memory clinics compared with general practitioners. Design Multicentre randomised controlled trial. Setting Nine memory clinics and 159 general practitioners in the Netherlands. Participants 175 patients with a new diagnosis of mild to moderate dementia living in the community and their informal caregivers. Interventions Usual care provided by memory clinic or general practitioner. Main out...

  18. Effects of combining opioids and clinically available NMDA receptor antagonists in the treatment of pain

    OpenAIRE

    Snijdelaar, D.G.

    2005-01-01

    This thesis concerns the effects of combining opioids with clinically available NMDA receptor antagonists in the treatment of acute and chronic pain. There are a number of problems with the use of opioids, such as, the development of tolerance/hyperalgesia, the reduced effectiveness in (central) neuropathic pain, and troublesome adverse effects. These problems might be resolved by the combined use of opioids and clinically available drugs with N-methyl-D-aspartate (NMDA) receptor antagonist p...

  19. Probiotics supplementation for athletes - clinical and physiological effects.

    Science.gov (United States)

    Pyne, David B; West, Nicholas P; Cox, Amanda J; Cripps, Allan W

    2015-01-01

    Probiotic supplementation has traditionally focused on gut health. However, in recent years, the clinical applications of probiotics have broadened to allergic, metabolic, inflammatory, gastrointestinal and respiratory conditions. Gastrointestinal health is important for regulating adaptation to exercise and physical activity. Symptoms such as nausea, bloating, cramping, pain, diarrhoea and bleeding occur in some athletes, particularly during prolonged exhaustive events. Several studies conducted since 2006 examining probiotic supplementation in athletes or highly active individuals indicate modest clinical benefits in terms of reduced frequency, severity and/or duration of respiratory and gastrointestinal illness. The likely mechanisms of action for probiotics include direct interaction with the gut microbiota, interaction with the mucosal immune system and immune signalling to a variety of organs and systems. Practical issues to consider include medical and dietary screening of athletes, sourcing of recommended probiotics and formulations, dose-response requirements for different probiotic strains, storage, handling and transport of supplements and timing of supplementation in relation to travel and competition. PMID:25339255

  20. Clinical effects of laser immunotherapy on metastatic cancer patients

    Science.gov (United States)

    Naylor, Mark F.; Lam, Anh K.; Bahavar, Cody F.; Nordquist, Robert E.; Chen, Wei R.

    2016-03-01

    Clinical trials of late-stage breast cancer patients and late-stage melanoma patients treated by laser immunotherapy (LIT) have shown promising results. In a 2010 study of Li et al, eleven late-stage melanoma patients received LIT in one or multiple 6-week treatment cycles applied to a 200-cm2 treatment site, which usually contained multiple cutaneous metastases. Long-term, positive response was observed in six patients. All lesions in the treatment area of the patients responded to LIT, eight of which achieved complete local response (CLR). CLR was observed in the non-treatment site (regional) lesions in four patients. Five patients were still alive at the time of last follow-up. The probability of 12-month overall survival was 70%.2 In 2011, Li et al, treated ten late stage breast cancer patients with LIT.1 In 8 patients available for evaluation, the objective response rate was 62.5% and the clinical beneficial response rate was 75%.1 This review demonstrates that LIT is safe and well tolerated, so it can be easily applied on an outpatient basis and can be combined with other pharmaceutical modalities to improve the therapeutic response of metastatic cancers.

  1. Use of clinical practice as a motivating tool of radioprotection teaching and radiopharmacology in early semesters of pharmacy course; Uso da pratica clinica como ferramenta motivadora de ensino de radioprotecao e radiofarmacologia em semestres iniciais em cursos de farmacia

    Energy Technology Data Exchange (ETDEWEB)

    Andrighetto, Daniela; Lüdke, Everton, E-mail: daniela.andrighetto@hotmail.com, E-mail: evertonludke@gmail.com [Universidade Federal de Santa Maria (CCNE/DEFIS/UFSM), RS (Brazil). Departamento de Fisica

    2014-07-01

    The research teaching methods aimed at the success of the higher education student in pharmacology and medicine courses in technical expertise in the fields of radiological protection, radiopharmacology and interventional radiology is extremely important in view of the progress of these sectors. The objective of this work is to propose a methodological sequence of teaching work with first-year students of pharmacy and medicine courses within a biophysical discipline where the integrated knowledge to clinical practice can be used for this purpose. The methodology was to assess individual learning of a group of N = 49 students of the first half in the age group of 17-19 years through conceptual acquisition by the traditional method of 'blackboard and chalk' and developed method that includes four pedagogical moments focused on the area health. An analysis of the evaluation student performance through Variance Analysis of a pathway showed improved scores with respect to the performance of application issues of knowledge concerning radiation protection and biological mechanisms of radiation with respect to the method of 'blackboard and chalk' with p < 0.05. Therefore, work with students with respect to the content in the form of six steps of clinical interest are a promising technique for radiation protection education in the early grades of college courses with experimental effectiveness.

  2. Experimental lamellar keratoplasty in rabbits using microfibrilar cellulose membrane: clinical, morphological and immunohistochemical findings Ceratoplastia lamelar experimental em coelhos usando membrana microfibrilar de celulose: achados clínicos, morfológicos e imunoistoquímicos

    Directory of Open Access Journals (Sweden)

    Luciana Riacciardi Macedo

    2010-02-01

    Full Text Available The clinical, histopathological and immunohistochemical features of the cornea were investigated in adult male New Zealand rabbits submitted to lamellar keratoplasty with microfibrillar cellulose membrane. Thirty animals were divided into five groups (n=6 and evaluated up to 60 days after surgery. Clinical examination revealed moderate manifestations of edema, blepharospasm and photophobia on the second day, which became mild or disappeared after the seventh day. This period was characterized clinically by repair of the corneal defect. Histopathological analysis showed the presence of a thin layer of squamous cells covering the damaged area as early as 7th day, accompanied by a mild infiltrate of polymorphonuclear cells. Blood vessels were observed in the epithelium after the 15th day, which had regressed by day 48. Ki67 antibody labeling showed an increase of proliferating cells in the epithelium by the 15th day and in the stroma by day 30. Remodeling and epithelial adhesion were observed during this period. Microfibrillar cellulose membrane (Bionext® used for lamellar keratoplasty was found to yield good results considering the good integration of the implant.Avaliaram-se aspectos clínicos, histopatógicos e imunoistoquímicos da córnes de coelhos da raça Nova Zelândia adultos e machos em ceratoplastias lamelares com membrana de celulose microfibrilar. Trinta animais distribuídos em cinco grupos (n=6 foram estudados por até 60 dias de pós-operatório. A avaliação clínica revelou manifestações moderadas de edema, blefaroespasmo e fotofobia ao segundo dia, evoluindo para formas discretas ou ausentes a partir do sétimo dia, período em que se observou, clinicamente, reparo do defeito corneal. A histopatologia revelou uma fina camada de células escamosas, recobrindo a área lesada já aos sete dias, com discreto infiltrado de células polimorfonucleares. Observaram-se vasos no epitélio a partir do 15o dia, com regressão ao 48o dia

  3. Relevância clínica de pesadelos em pacientes com transtorno depressivo Clinical significance of nightmares in patients with depressive disorder

    Directory of Open Access Journals (Sweden)

    Sarah Laxhmi Chellappa

    2006-01-01

    Full Text Available INTRODUÇÃO: Diversos estudos sugerem uma estreita relação entre pesadelos e o transtorno depressivo. O objetivo deste estudo foi detectar a prevalência de pesadelos em pacientes com transtorno depressivo e observar sua relação com idade, sexo, tempo de doença, gravidade do quadro depressivo e ideação suicida. MÉTODOS: Sessenta pacientes foram entrevistados e avaliados por meio da escala de depressão de Beck (EDB e da escala de ideação suicida de Beck (EIS. Os pesadelos foram avaliados segundo os critérios da DSM-IV para transtorno de pesadelos. A análise dos dados foi realizada mediante a análise descritiva e o teste-t de Student, com nível de significância de 5%. RESULTADOS: Nesta amostra, houve prevalência de 60% de pesadelos nos pacientes, com predominância entre mulheres. Os pacientes deprimidos com pesadelos apresentaram significativamente (p INTRODUCTION: Several studies have suggested a strong association between nightmares and depressive disorder. The aim of this study was to detect the prevalence of nightmares among patients with depressive disorders and to observe its relationship with age, sex, duration of disease, severity of depression and suicidal ideation. METHODS: Sixty patients were interviewed and assessed by means of the Beck Depression Inventory (BDI and the Beck Scale for Suicidal Ideation (SSI. Nightmares were assessed according to the DSM-IV criteria for Nightmare Disorder. Data analyses were performed by Descriptive analyses and Students t-test with statistical significance at p<0.05. RESULTS: Prevalence of 60% of nightmares was encountered among patients, with predominance among women. Depressed patients with nightmares had significantly (p < 0.05 longer duration of depressive disease, higher mean scores in both scales and in the items related to failure, sleep disturbances and suicidal ideation of the BDI. DISCUSSION: In the study sample, nightmares were associated with the severity of depression

  4. Horizontal Transmission of the Entomopathogen Fungus <em>Metarhizium anisopliae em>in <em>Microcerotermes diversusem> Groups

    Directory of Open Access Journals (Sweden)

    Mohammad Saied Mossadegh

    2012-08-01

    Full Text Available An experiment was carried out in order to investigate fungal conidia transmission of <em>Metarhizium anisopliae em>(Metschnikoff> em>Sorokin from vector (donor to healthy <em>Microcerotermes diversusem> Silvestri (Iso.: Termitidae and determine the best donor/concentration ratio for transmission. After preliminary trials, concentrations of 3.1 × 104, 3.9 × 105, 3.2 × 106 and 3.5 × 108 conidia mL−1 were selected for testing. The experiment was performed at three donor : Recipient ratios of 10, 30 and 50%. The highest mortality of recipient workers was observed after 14 days at the concentration of 3.5 × 108 conidia mL−1 and donor ratio of 50%. The mortality of recipient workers was less than 20% at all concentrations at a donor ratio of 10%. Our observations indicate social behavior of <em>M. diversusem>, such as grooming, can be effective in promoting epizootic outbreaks in a colony. While the current results suggest good potential for efficacy, the use of <em>M. anisopliaeem> as a component of integrated pest management of <em>M. diversusem> still needs to be proven under field conditions.

  5. Biological and genetic effects of combined treatments of sodium azide, gamma rays and EMS in barley

    International Nuclear Information System (INIS)

    Dry seeds of diploid barley were subjected to mutagenic treatments of sodium azide, gamma rays and EMS alone or in combination. Damage (reduction in seedling height, plant height and fertility), the frequency of chimeras in the M1 generation, and the frequency of chlorophyll-deficient mutations as well as morphological mutations in the M2 generation induced by combined treatments were greater than those by either of the single treatments. Synergistic increase in the frequency of chimeras, chlorphyll-deficient mutations and morphological mutations were observed in both sodium azide post-irradiation treatments and pre-EMS treatments; interaction among the mutagens in the treatment combinations on M1 damage was generally subtractive. An 8- to 16-hr soaking period of irradiated seeds in distilled water prior to sodium azide treatment significantly increased chlorophyll mutation frequency, as compared to that from the non-soaking treatment. Damage and frequency of chimeras, chlorophyll mutations and morphological mutations were consistently reduced by the soaking treatment in sodium azide plus EMS treatments. (author)

  6. Mutagenic effects of gamma rays and EMS on frequency and spectrum of chlorophyll mutations in urdbean (Vigna mungo (L.) Hepper)

    International Nuclear Information System (INIS)

    Chlorophyll mutations act as a significant index in the judgment of induced genetic variations in mutagen treated populations. Different types of chlorophyll mutation have been observed in various crop plants. In the current study, the effect of different concentrations (40 kR, 50 kR and 60 kR) of gamma rays, Ethyl Methane Sulphonate (50 mM, 60 mM and 70 mM) in single and combination dose/concentration on the frequency and spectrum of chlorophyll mutation and the effect of VBN 4 urdbean variety to such irradiation dose was observed. Results showed induction of broad spectrum of chlorophyll mutations which included albina, xantha, chlorina and viridis. Among these chlorina type was predominant in all the mutagenic treatments. The albina type of chlorophyll mutants occurred very rarely and was found only at 60 mM of EMS treatment and at 40 kR + 50 mM, 60 kR + 70 mM of combination treatments. Based on the chlorophyll mutation frequency, gamma rays were most effective followed by EMS and combination of treatments. (author)

  7. Resposta a broncodilatador na espirometria: que parâmetros e valores são clinicamente relevantes em doenças obstrutivas? Spirometric response to bronchodilators: which parameters and values are clinically relevant in obstructive diseases?

    Directory of Open Access Journals (Sweden)

    ROBERTO RODRIGUES JR.

    2001-01-01

    Full Text Available Respostas estatísticas dos parâmetros funcionais são largamente utilizadas após administração de broncodilatador (Bd nos laboratórios de função pulmonar em doenças com obstrução ao fluxo aéreo. Sua relevância clínica é discutível. Objetivo: Determinar que parâmetros espirométricos refletem a melhora na tolerância ao exercício e na dispnéia em resposta a broncodilatador em doenças pulmonares obstrutivas. Métodos: 50 pacientes com DPOC e/ou asma (VEF1/CVF = 41 ± 11% realizaram manobras de CV lenta e forçada, VVM e um teste de caminhada em corredor de seis minutos após treinamento, antes e após salbutamol, 400mcg fornecido por spray com espaçador. As respostas a broncodilatador foram expressas em valores absolutos, como incremento em relação ao valor inicial e em relação aos valores previstos. Resposta após Bd foi considerada clinicamente significante quando a distância percorrida se elevou 30m ou mais e/ou a dispnéia foi reduzida dois ou mais pontos com qualquer aumento na caminhada. Resultados: 32 pacientes foram considerados respondedores (R e 18 não respondedores (NR. Como a distância caminhada em seis minutos se correlacionou com a idade (rs = --0,38; p 15% do inicial e 0,3L e da CV > 15% da inicial e 0,4L separaram os respondedores com valor preditivo positivo (VPP em torno de 90%. Conclusão: A melhora do VEF1, CVF e VVM não prediz melhora na capacidade de exercício após Bd. Esta é melhor refletida por aumentos na CI e/ou CV acima de 15% dos valores iniciais.In lung function laboratories, statistical responses after bronchodilators (Bd administration are widely used in patients with airflow limitation. However, their clinical relevance is debatable. Objective: To determine which spirometric parameters best reflect improvement in both exercise tolerance and exertional dyspnea in response to bronchodilators in obstructive lung diseases. Methods: Fifty patients with persistent asthma and/or COPD (FEV1

  8. Qualidade de sono e função pulmonar em adolescentes portadores de anemia falciforme clinicamente estáveis Quality of sleep and pulmonary function in clinically stable adolescents with sickle cell anemia

    Directory of Open Access Journals (Sweden)

    Lisliê Capoulade Nogueira Arrais de Souza

    2007-06-01

    Full Text Available OBJETIVO: Avaliar a qualidade de sono e função pulmonar em adolescentes portadores de anemia falciforme (AF, clinicamente estáveis. MÉTODOS: Estudo trasversal descritivo de 50 pacientes portadores de AF submetidos a polissonografia noturna e espirometria no Hospital Universitário de Brasília. Analisamos dados antropométricos, polissonográficos e de função pulmonar. Dividimos os pacientes em dois grupos segundo a saturação periférica de oxigênio (SpO2 em sono com movimentos oculares rápidos (MOR: SpO2 93%. Realizamos estatística descritiva, teste t de Student, qui-quadrado e correlação de Pearson. RESULTADOS: A média de idade foi de 13,9 ± 2,5 anos. O tempo total de sono e percentagem do sono em MOR estavam diminuídos; dois pacientes (4% não apresentaram sono MOR. Latência de sono MOR, número de despertares, movimentação em sono, mudança de estágio, índice de distúrbios respiratórios e índice de apnéia obstrutiva estavam aumentados. Entre os dois grupos, houve diferenças estatisticamente significativas na maioria das variáveis polissonográficas. A SpO2 em sono MOR correlacionou-se de forma forte e positiva com a SpO2 em vigília, bem como com a SpO2 em sono não-MOR; e correlacionou-se de forma forte e negativa com a percentagem do tempo total de sono em que a SPO2 foi OBJECTIVE: To evaluate quality of sleep and pulmonary function in clinically stable adolescents with sickle cell anemia (SCA. METHODS: A cross-sectional descriptive study involving 50 patients with SCA submitted to nocturnal polysomnography and spirometry at the Brasília University Hospital. Anthropometric, polysomnographic and pulmonary function data were analyzed. Patients were divided into two groups according to oxygen saturation by pulse oximetry (SpO2 during rapid eye movement (REM sleep: SpO2 93%. Descriptive statistics, Student's t-test, chi-square test and Pearson's correlation coefficient were used. RESULTS: Mean age was 13.9 ± 2

  9. Aspectos clínicos e histológicos da úlcera duodenal em crianças e adolescentes Clinical and histological features of duodenal ulcer in children and adolescents

    Directory of Open Access Journals (Sweden)

    Elisabete Kawakami

    2004-08-01

    Full Text Available OBJETIVO: Avaliar as características clínicas e histológicas de crian��as e adolescentes com úlcera duodenal. MÉTODOS: Foram avaliadas prospectiva e consecutivamente 43 pacientes com úlcera duodenal ao longo de 6 anos (7,2 pacientes por ano. A avaliação consistiu de questionário clínico de sintomas dispépticos, exame físico e endoscopia digestiva com biópsias gástricas para exame histológico e detecção do Helicobacter pylori. RESULTADOS: A idade no diagnóstico variou de 4 anos e 8 meses a 17 anos e 4 meses (mediana = 12 anos e 4 meses. O sintoma mais freqüente foi dor abdominal (39/43, 90,7%: no epigástrio em 31/39, periumbilical em 7/39 e noturna em 27/39. Outros sintomas freqüentes foram: diminuição do apetite (32/43, 74,4%, vômitos (30/43, 69,8%, plenitude pós-prandial (23/43, 53,5%, perda de peso (22/43, 51,2% e sensibilidade abdominal (19/43, 44,2%. Hemorragia digestiva alta ocorreu em 19/43 pacientes (44,2%, e anemia em 21/43 (48,8%. H. pylori foi detectado em 41/43 (95,3%, e todos esses pacientes apresentaram gastrite crônica ativa de antro, 92% deles com predomínio do infiltrado linfomononuclear. A erradicação da bactéria ocorreu em 68,3% dos pacientes infectados, mas houve cicatrização da lesão em 100% dos pacientes erradicados e em 89% dos não-erradicados. CONCLUSÃO: Úlcera duodenal foi associada à gastrite crônica por H. pylori na grande maioria dos pacientes. Houve grande freqüência de complicações, especialmente hemorragia digestiva alta.OBJECTIVE: To evaluate clinical and histological features of duodenal ulcer in children and adolescents. METHODS: Forty-three children with duodenal ulcer were prospectively and consecutively evaluated in a 6-year period (7.2 patients per year. Evaluation included clinical questionnaire focused on dyspeptic symptoms, physical examination, and digestive endoscopy with gastric biopsies for histological examination and Helicobacter pylori detection. RESULTS

  10. Biopharmaceutical industry-sponsored global clinical trials in emerging countries Ensaios clínicos globais patrocinados pela indústria biofarmacêutica em países emergentes

    Directory of Open Access Journals (Sweden)

    Lenio Souza Alvarenga

    2010-01-01

    Full Text Available OBJECTIVE: To evaluate biopharmaceutical industry-sponsored clinical trials placed in countries previously described as emerging regions for clinical research, and potential differences for those placed in Brazil. METHODS: Data regarding recruitment of subjects for clinical trials were retrieved from www.clinicaltrials.gov on February 2nd 2009. Proportions of sites in each country were compared among emerging countries. Multiple logistic regressions were performed to evaluate whether trial placement in Brazil could be predicted by trial location in other countries and/or by trial features. RESULTS: A total of 8,501 trials were then active and 1,170 (13.8% included sites in emerging countries (i.e., Argentina, Brazil, China, Czech Republic, Hungary, India, Mexico, Poland, Russia, South Korea, and South Africa. South Korea and China presented a significantly higher proportion of sites when compared to other countries (pOBJETIVO: Avaliar ensaios clínicos patrocinados pela indústria biofarmacêutica alocados em países previamente definidos como emergentes em pesquisa clínica e possíveis diferenças naqueles alocados no Brasil. MÉTODOS: Dados de ensaios clínicos recrutando pacientes foram obtidos (www.clinicaltrials.gov em 2 de fevereiro de 2009. As proporções de centros em cada país foram comparadas entre os países emergentes. Regressões logísticas múltiplas foram realizadas para avaliar a alocação do ensaio em outros países emergentes e as características do ensaio como preditores da presença de algum centro no Brasil RESULTADOS: No total, 8.501 ensaios clínicos estavam ativos à época, e 13,8% destes (N=1.170 incluíam centros em países emergentes (i.e., Argentina, Brasil, China, República Tcheca, Hungria, Índia, México, Polônia, Rússia, Coreia do Sul, e África do Sul. Coreia do Sul e China apresentaram uma proporção de centros significativamente superior aos outros países (p<0,05. Não se detectou correla

  11. Clinical and economic effectiveness of an inpatient anticoagulation service.

    Science.gov (United States)

    Mamdani, M M; Racine, E; McCreadie, S; Zimmerman, C; O'Sullivan, T L; Jensen, G; Ragatzki, P; Stevenson, J G

    1999-09-01

    We conducted a prospective cohort study to evaluate clinical and economic end points achieved by a pharmacist-managed anticoagulation service compared with usual care (50 patients/group). The primary therapeutic end point was the time between starting heparin therapy and surpassing the activated partial thromboplastin time therapeutic threshold. The primary economic end point was the direct variable cost of hospitalization from admission to discharge. No significant differences between groups were noted for the primary therapeutic end point. Total hospital costs were significantly lower for patients receiving pharmacist-managed care than for those receiving usual care ($1594 and $2014, respectively, 1997 dollars, p=0.04). Earlier start of warfarin (p=0.05) and shorter hospital stay (5 and 7 days, p=0.05) were associated with the pharmacist-managed group. PMID:10610013

  12. Effects of LifeSkills Training on Medical Students' Performance in Dealing with Complex Clinical Cases

    Science.gov (United States)

    Campo, Ana E.; Williams, Virginia; Williams, Redford B.; Segundo, Marisol A.; Lydston, David; Weiss, Stephen M.'

    2008-01-01

    Objective: Sound clinical judgment is the cornerstone of medical practice and begins early during medical education. The authors consider the effect of personality characteristics (hostility, anger, cynicism) on clinical judgment and whether a brief intervention can affect this process. Methods: Two sophomore medical classes (experimental,…

  13. Effects of early treatment with glatiramer acetate in patients with clinically isolated syndrome

    DEFF Research Database (Denmark)

    Comi, G.; Martinelli, V.; Rodegher, M.; Moiola, L.; Leocani, L.; Bajenaru, O.; Carra, A.; Elovaara, I.; Fazekas, F.; Hartung, H. P.; Hillert, J.; King, J.; Komoly, S.; Lubetzki, C.; Montalban, X.; Myhr, K. M.; Preziosa, P.; Ravnborg, M.; Rieckmann, P.; Rocca, M. A.; Wynn, D.; Young, C.; Filippi, M.

    2013-01-01

    Background: The placebo-controlled phase of the PreCISe study showed that glatiramer acetate delayed onset of clinically definite multiple sclerosis (CDMS) in patients with clinically isolated syndrome and brain lesions on MRI. Objective: To compare the effects of early versus delayed glatiramer ...

  14. Perfil de sujeitos de pesquisa clínica em um centro ambulatorial independente Profile of clinical research subjects in an independent outpatient center

    Directory of Open Access Journals (Sweden)

    Paulo Gustavo Sampaio Lacativa

    2008-06-01

    Full Text Available Este artigo tem como objetivos avaliar a qualidade de atendimento de um centro de pesquisa clínica e o entendimento do termo de consentimento informado (TCLE; determinar os motivos da participação e detalhar níveis socioeconômicos. Foi feito um estudo transversal em centro de pesquisa ambulatorial, através de questionário auto-explicativo. Dos cem questionários avaliados, todos os sujeitos de pesquisa consideraram o centro como ótimo (86% ou bom (9%. A quase totalidade foi bem informada do conteúdo do TCLE e o conhecimento do direito "confidencialidade", comum a todos os TCLEs, foi seis vezes maior que " acesso aos dados", que não faz parte. Os principais motivos para participarem foram para "saber mais sobre a sua saúde" (59% e para "beneficiar outras pessoas no futuro" (47%. A principal faixa de renda salarial dos participantes foi entre dois e cinco salários mínimos (48% e a maioria (66% concluiu pelo menos até a 4º série do ensino fundamental. A população possui o mesmo perfil econômico do Rio de Janeiro, nível de escolaridade suficiente para assinar e compreender o que está assinando, conhecendo não só a existência do TCLE, mas demonstrando conhecer seu conteúdo. O motivo principal para participação é para autobenefício e por atitude altruísta.This paper assesses the quality of assistance in a clinical trial outpatient center as well as the patients´understanding of the informed consent (IC; determine the reasons why they participate and detail socio-economic levels. A cross-sectional study was adopted in a clinical trial outpatient center using a self-explanatory questionnaire. All 100 respondents considered the assistance at the center excellent (86% or good (9%. Almost all of them were well informed about the content of the IC. Their knowledge about the right to "confidentiality", present in all ICs, was 6 times higher than their knowledge about their right to "access the results", generally not included

  15. Perfil de 300 trabalhadores expostos à sílica atendidos ambulatorialmente em Belo Horizonte Profile of 300 workers exposed to silica seen in an university outpatient clinic

    Directory of Open Access Journals (Sweden)

    ANA PAULA SCALIA CARNEIRO

    2002-11-01

    Full Text Available Introdução: A silicose é a pneumoconiose de maior prevalência no Brasil, sendo a maioria dos casos proveniente do Estado de Minas Gerais. Apesar de ser uma doença evitável, continuam ocorrendo epidemias localizadas. Objetivo: Descrever o perfil dos trabalhadores atendidos no Ambulatório de Doenças Profissionais do Hospital das Clínicas da Universidade Federal de Minas Gerais. Material e métodos: Foram estudados 300 prontuários de trabalhadores expostos à sílica em diversas atividades profissionais, atendidos no período de 1989 a 2000, sendo analisados dados clínico-ocupacionais, espirométricos e radiológicos. Realizaram-se análises univariadas, utilizando o teste do qui-quadrado e teste t. Resultados e conclusão: A média de idade dos pacientes expostos foi de 51 anos, com tempo médio de exposição de 15,6 anos. Diagnosticaram-se radiologicamente 126 (42% casos de silicose, constatando-se que, quanto mais avançada a categoria radiológica da doença, piores foram os resultados à espirometria e mais freqüentes as associações com tuberculose e com limitação crônica ao fluxo aéreo. O mercado de trabalho formal representou o principal vínculo empregatício, sendo a mineração a principal atividade exercida, responsável pela exposição de 197 indivíduos (66%. Os trabalhadores do mercado informal foram aqueles que apresentaram achados radiológicos indicativos de formas mais avançadas da doença, sugerindo piores condições de exposição à sílica, neste grupo de trabalhadores.Introduction: Silicosis is the most prevalent pneumoconiosis in Brazil, with most of the registered cases occurring in the State of Minas Gerais. Although it is a preventable disease, silicosis is still epidemic in some areas. Objective: To describe the profile of workers seen at the Clinics Hospital of the Federal University of Minas Gerais. Patients and methods: 300 medical records of silica-exposed workers in different occupations, seen

  16. Sustained effect of simulation-based ultrasound training on clinical performance

    DEFF Research Database (Denmark)

    Tolsgaard, M G; Ringsted, C; Dreisler, E;

    2015-01-01

    OBJECTIVE: The objective was to study the effect of initial simulation-based transvaginal ultrasound training compared to only clinical training on the clinical performances of residents in Obstetrics and Gynecology (OB-GYN) measured at two months into the residency. METHODS: In a randomized study......, new residents in OB-GYN (N = 33) without prior ultrasound experience were included from three teaching hospitals. Participants were allocated to simulation-based training and subsequent clinical training (n = 18) or only clinical training (n = 15). The simulation-based training was performed on a...

  17. Anoftalmia clínica bilateral associada à hidrocefalia congênita em cão Bilateral clinical anophthalmia associated with congenital hydrocephalus in the dog

    OpenAIRE

    Mariana Isa Poci Palumbo; Jorge Piovesan Conti; Danuta Pulz Doiche; Maria Jaqueline Mamprim; Maria Lúcia Gomes Lourenço; Luiz Henrique de Araújo Machado

    2011-01-01

    A ausência completa do bulbo ocular é muito rara em cães e gatos, enquanto a hidrocefalia é comumente observada como distúrbio congênito em cães de raças miniatura ou braquicefálicas, com menos de um ano de idade. O presente trabalho relata a ocorrência de anoftalmia clínica bilateral associada à hidrocefalia congênita em um cão da raça poodle, sendo este o primeiro relato de caso da associação dessas alterações no Brasil.The complete absence of the eyeball is rare in dogs and cats, and hydro...

  18. Efeitos da aplicação de bórax em cultura de batatinha, em várzea irrigada, no Vale do Paraíba Effects of addition of boron on potato plant production

    Directory of Open Access Journals (Sweden)

    Norberto Leite

    1970-01-01

    Full Text Available São relatados os efeitos produzidos pela aplicação de bórax na cultura da batatinha (Solatium tuberosum L., em solos de várzea irrigada do Vale do Paraíba. Quatro doses de bórax - 10, 20, 30 e 40 kg/ha - foram aplicadas de três maneiras distintas: no sulco de plantio, em cobertura (vinte dias após a germinação e parceladamente em 4 pulverizações foliares semanais. As melhores doses de bórax foram as de 10 e 20 kg/ha, aplicadas no sulco de plantio, em mistura com os demais adubos. As aplicações em pulverização provocaram sintomas de toxidez nas folhas, notadamente as de maiores doses.The production of potato plants (Solatium tuberosum L. grown in alluvial soils of the Rio Paraíba Valey in the State of São Paulo, is not always correlated with high N-P-K fertilization. This has been reported to be due to boron deficiency in these soils. The effect of addition of boron at different rates (10, 20, 30 and 40 kg of borax / ha applied in mixture with common NPK formulation in the furrow at planting time, as side dressing or by spraying, was studied in an area where symptoms of deficiency was observed in Aquila potato variety, in the previous year. An increase in the production of about 20 % was obtained with the addition of 10 or 20 kg of borax / ha in mixtures with NPK fertilizing formulation but not with the two higher doses. The same amount of borax applied by spraying also increased yield but at a lesser extent and the side dressing technique was less effective than the other two methods of application of borax.

  19. Physiological effects of ovarian hormones: clinical aspects and compliance

    DEFF Research Database (Denmark)

    Ottesen, B; Pedersen, A T

    Menopause is marked by the permanent cessation of menstrual bleeding. Deprivation of ovarian hormones due to decreasing ovarian activity causes widespread physiological effects. Disturbances in menstrual pattern and hot flashes are major reasons for hormone replacement therapy (HRT), but prevention...... of osteoporosis and cardiovascular disease are other considerations. Despite the large number of different hormone treatment regimens available, such problems as continued bleeding and concern about side effects engenders low compliance. To enhance compliance, it is important to ensure that post-menopausal...

  20. Adoptive cell transfer: a clinical path to effective cancer immunotherapy

    OpenAIRE

    Rosenberg, Steven A.; Restifo, Nicholas P; Yang, James C.; Morgan, Richard A.; Dudley, Mark E.

    2008-01-01

    Adoptive cell therapy (ACT) using autologous tumour-infiltrating lymphocytes has emerged as the most effective treatment for patients with metastatic melanoma and can mediate objective cancer regression in approximately 50% of patients. The use of donor lymphocytes for ACT is an effective treatment for immunosuppressed patients who develop post-transplant lymphomas. The ability to genetically engineer human lymphocytes and use them to mediate cancer regression in patients, which has recently ...

  1. Misuse of topical corticosteroids: A clinical study of adverse effects

    Directory of Open Access Journals (Sweden)

    Vivek Kumar Dey

    2014-01-01

    Full Text Available Background: Misuse of topical corticosteroids is a widespread phenomenon among young people in India, especially women. The practice is associated with significant adverse effects and poor awareness of these effects among the general public. Aim: This study was conducted to examine the misuse and adverse effects of topical corticosteroids among the people in Bastar region in Chhattisgarh state of India. Materials and Methods: Data collected from patients presenting with at least one of the adverse effects of topical corticosteroids as the chief complaint, from November 2010 to October 2011. Results: Out of the 6723 new patients, 379 (5.63% had presented with misuse and adverse effects of topical corticosteroids, of whom 78.89% were females. More than 65% of the patients were in the age group 10-29 years. The main reason for using the topical corticosteroids was to lighten skin colour and treat melasma and suntan. Acne (37.99% and telangiectasia (18.99% were the most common adverse effects noted. Conclusions: Misuse of topical corticosteroids has a huge impact on dermatological practice, leading to a significant proportion of visits to the dermatologist. This hydra-headed problem needs multi-dimensional interventions, involving educational, legal and managerial approaches with cooperation from different sectors of society.

  2. Effect of days in milk and milk yield on testing positive in milk antibody ELISA to <em>Mycobacterium aviumem> subsp. <em>paratuberculosis> in dairy cattle

    DEFF Research Database (Denmark)

    Nielsen, Søren Saxmose; Toft, Nils

    2012-01-01

    Milk samples are becoming more used as a diagnostic specimen for assessment of occurrence of antibodies to Mycobacterium avium subsp. paratuberculosis (MAP). This study assessed the effect of days in milk (DIM) and milk yield on testing positive in a commercial MAP specific milk antibody ELISA...... among 222,774 Danish Holstein cows. Results showed that odds of testing positive on 1-2 DIM were 9-27 times higher than the rest of lactation, where the chance of testing positive varied less. The reason is most likely a high concentration of non-specific antibodies in colostrum. Consequently, samples...... from the first couple of DIM should be excluded from MAP testing until further information on their significance is established. Milk yield also had a significant effect on odds of testing positive due to its diluting effect. Inclusion of milk yield in the interpretation of test results could improve...

  3. Efeito da autofecundação em cultivares de abacaxi Effects of self pollination in pineapple cultivars

    Directory of Open Access Journals (Sweden)

    José Renato Santos Cabral

    2003-04-01

    Full Text Available O elevado nível de heterozigose dos parentais utilizados em hibridações é a principal causa da baixa eficiência dos programas de melhoramento genético do abacaxizeiro em gerar novas cultivares. Por outro lado, os efeitos da autofecundação são pouco conhecidos em abacaxi, mas esta estratégia pode proporcionar avanços significativos no melhoramento desta planta. Assim, este trabalho teve como objetivo observar os efeitos da autofecundação em cultivares de abacaxi. Inflorescências das cultivares Primavera, Perolera, Roxo-de-Tefé, Pérola e Smooth Cayenne foram protegidas antes da antese para possibilitar a ocorrência de autofecundação. As sementes produzidas foram germinadas em câmara de crescimento, utilizando-se como substrato do meio de cultura MS, suplementado com 30 g.L-1 de sacarose e solidificado com 2 g.L-1 de "Phytagel. Durante a germinação, observou-se que cerca de 16% das sementes de 'Roxo-de-Tefé' produziram plântulas albinas. Foram obtidas 43 plantas a partir de 'Primavera', cinco de 'Perolera', onze de 'Roxo-de-Tefé' e nenhuma de 'Pérola' e 'Smooth Cayenne'. Todas as plantas da progênie de 'Primavera' apresentaram folhas sem espinhos nos bordos ("piping", evidenciando homozigose para esta característica, enquanto na progênie de 'Perolera' três plantas evidenciaram folhas sem espinhos nos bordos e duas com folhas espinhosas, segregando para o caráter espinescência. Na descendência de 'Roxo-de-Tefé', oito plantas apresentaram folhas de cor roxa e três com folhas verdes, com segregação para a cor da folha, mas todas evidenciaram folhas com espinhos no bordo. As baixas porcentagens de germinação, o crescimento lento e o baixo vigor observados nas plantas em casa de vegetação, viveiro e campo, evidenciaram a ocorrência de depressão por endogamia nestas fases de desenvolvimento.The high level of heterozygosis of parentals used to generate pineapple hybrids has resulted in low efficiency of the

  4. Aspectos clínicos da depressão em crianças e adolescentes: clinical features Depression in childhood and adolescence

    OpenAIRE

    Saint-Clair Bahls

    2002-01-01

    Objetivo: apresentar uma revisão sobre o quadro clínico, a evolução, a comorbidade e o comportamento suicida na depressão em crianças e adolescentes, com o objetivo de contribuir com o esclarecimento desta patologia grave, comum e ainda pouco reconhecida. Fontes dos dados: foram realizados levantamento no sistema Medline no período de 1991 a 2000, e levantamento manual da literatura. Síntese dos dados: o interesse científico pela depressão em crianças e adolescentes é bastante recente, pois a...

  5. The therapeutic effect of clinical trials: understanding placebo response rates in clinical trials – A secondary analysis

    Directory of Open Access Journals (Sweden)

    Walach Harald

    2005-08-01

    Full Text Available Abstract Background and purpose Placebo response rates in clinical trials vary considerably and are observed frequently. For new drugs it can be difficult to prove effectiveness superior to placebo. It is unclear what contributes to improvement in the placebo groups. We wanted to clarify, what elements of clinical trials determine placebo variability. Methods We analysed a representative sample of 141 published long-term trials (randomized, double-blind, placebo-controlled; duration > 12 weeks to find out what study characteristics predict placebo response rates in various diseases. Correlational and regression analyses with study characteristics and placebo response rates were carried out. Results We found a high and significant correlation between placebo and treatment response rate across diseases (r = .78; p Conclusion Medication response rates and placebo response rates in clinical trials are highly correlated. Trial characteristics can explain some portion of the variance in placebo healing rates in RCTs. Placebo response in trials is only partially due to methodological artefacts and only partially dependent on the diagnoses treated.

  6. Adenotonsillectomy in facial growing patients: spontaneous dental effects Adenotonsilectomia em pacientes na fase de crescimento facial: efeitos dentários espontâneos

    Directory of Open Access Journals (Sweden)

    Silvia Regina Amorim Pereira

    2011-10-01

    Full Text Available Children with hypertrophic tonsils and adenoids may have adverse effects on dental occlusion, which tend to worsen during the growth period. Diagnosis and early treatment is essential. AIM: Prospective clinical study to compare the cephalometric measurements before and after adenotonsillectomy in mouth breathing patients. MATERIAL AND METHOD: We had 38 patients of both genders, aged between 7 and 11 years in our sample, broken down into: oral group, 18 patients with obstructive hypertrophy of pharyngeal tonsil and/or palate grade 3 or 4; control group, 20 patients with normal breathing. Angular and linear dental measurements were compared between the groups in a 14 months interval. We used the "t" Student and Wilcoxon tests for unpaired samples, at 5% significance, for statistical purposes. RESULTS: The sagittal position and axial angle of the lower incisors increased significantly in the group with oral breathing, the sagittal position of the upper incisors increased significantly in the oral group, which still had a significant increase in overbite. CONCLUSION: Adenotonsillectomy was very effective in improving some dental measurements, with benefits to growing patients preventing malocclusions from becoming difficult to treat or permanent.Crianças com tonsilas e adenoides hipertróficas podem apresentar efeitos desfavoráveis na oclusão dentária, que tendem a agravar no período de crescimento, tornando imprescindível seu diagnóstico e tratamento precoce. OBJETIVO: Este estudo clínico prospectivo comparou medidas cefalométricas dos incisivos antes e após a adenotonsilectomia, em respiradores orais. MATERIAL E MÉTODO: A amostra foi de 38 pacientes de ambos os gêneros, entre 7 e 11 anos, dividida em: grupo oral, com 18 pacientes com hipertrofia obstrutiva da tonsila faríngea e/ou palatinas grau 3 ou 4; grupo controle, com 20 pacientes com respiração nasal. Medidas dentárias angulares e lineares foram comparadas entre os grupos

  7. Apresentação clínica da doença de Chagas crônica em indivíduos idosos Clinical presentation of chronic Chagas disease in elderly individuals

    Directory of Open Access Journals (Sweden)

    Eros Antonio de Almeida

    2007-06-01

    Full Text Available Com o objetivo de avaliar a apresentação clínica da doença de Chagas em idosos foi realizado estudo retrospectivo utilizando-se os prontuários de doentes atendidos em ambulatório de referência. A casuística foi dividida em idosos (> 60 anos e não idosos. Avaliou-se: sexo, co-morbidades, forma clínica, eletrocardiograma e títulos das sorologias. Idosos (61 casos: média de idade de 66,0 ± 5 anos, 67,2% do sexo feminino; comorbidades em 59%, mais freqüente a hipertensão arterial sistêmica (HAS= 39,3%; forma indeterminada= 1,6%, forma cardíaca= 88,5%, forma digestiva= 36,1%; alterações freqüentes no eletrocardiograma: bloqueio divisional ântero-superior esquerdo (BDASE= 41%, bloqueio completo de ramo direito (BCRD= 32,8%, extra-sístole ventricular (EV=22,9%. Não idosos (61 casos: média de idade: 39,30±8,36 anos, 54,1% do sexo feminino; comorbidades em 50,8%, mais freqüente a HAS (26,2%; forma indeterminada= 18% (pThis study had the aim of evaluating the clinical presentation of chronic Chagas disease among the elderly. It was a retrospective analysis of clinical records at an outpatient referral service. The sample was divided into two groups: elderly (> 60 years old and non-elderly. Sex, comorbidities, clinical form, electrocardiogram and serological titers were evaluated. In the elderly group (61 cases, the mean age was 66.03 ± 5 years; 67.2% were female; 59% presented comorbidities (most frequently systemic arterial hypertension, in 39.3%; 1.6% had the indeterminate clinical form, 88.5% the cardiac form and 36% the digestive form; and abnormalities were frequently found on electrocardiograms: 41% presented anterosuperior left bundle branch block (AS-LBBB, 32.8% presented right bundle branch block (RBBB and 22.9% presented ventricular ectopic beats (VEB. In the non-elderly group (61 cases, the mean age was 39.30 ± 8.36 years; 54.1% were female; 50.8% presented comorbidities (most frequently systemic arterial

  8. Effects of conventional and problem-based learning on clinical and general competencies and career development

    NARCIS (Netherlands)

    Cohen-Schotanus, Janke; Muijtjens, Arno M. M.; Schonrock-Adema, Johanna; Geertsma, Jelle; van der Vleuten, Cees P. M.

    2008-01-01

    OBJECTIVE: To test hypotheses regarding the longitudinal effects of problem-based learning (PBL) and conventional learning relating to students' appreciation of the curriculum, self-assessment of general competencies, summative assessment of clinical competence and indicators of career development.

  9. Evaluating the effectiveness of clinical medical librarian programs: a systematic review of the literature*

    OpenAIRE

    Wagner, Kay Cimpl; Byrd, Gary D.

    2004-01-01

    Objective: This study was undertaken to determine if a systematic review of the evidence from thirty years of literature evaluating clinical medical librarian (CML) programs could help clarify the effectiveness of this outreach service model.

  10. Clinical Course and Effective Factors of Primary Vesicoureteral Reflux.

    Directory of Open Access Journals (Sweden)

    Azar Nickavar

    2015-06-01

    Full Text Available Vesicoureteral reflux (VUR is one of the most important causes of urinary tract infection and renal failure in children. It is a potentially self-limited disease. The aim of this study was to evaluate the clinical course and significant factors in children with primary VUR. The medical charts of 125 infants and children (27.2 % males, 72.8% females with all grades of primary VUR were retrospectively reviewed. Mean age at diagnosis was 22.3 ± 22.9 months. 52% of patients had bilateral VUR. Mild reflux (Grade I, II was the most common initial grade. 53.6% of patients achieved spontaneous resolution. 30.1% of patients had decreased renal function on initial DMSA renal scan, significantly in males and severe VUR. Reflux nephropathy occurred in 17.6% of patients, especially in renal damage and male sex. No significant association was observed between recurrent urinary tract infection with the severity of VUR, and the presence of renal damage at admission. Age at diagnosis, gender, grade, laterality, the absence of recurrent urinary tract infection and renal damage had a significant correlation between spontaneous VUR resolution. Spontaneous resolution of primary VUR occurred significantly in female patients, age ≤ 30 months at diagnosis, mild-to-moderate VUR, unilateral reflux, the absence of recurrent urinary tract infection, and renal damage.

  11. Effect of staff attitudes on quality in clinical microbiology services.

    Science.gov (United States)

    Pitt, Sarah J; Sands, Richard L

    2002-01-01

    Technical quality of the work of clinical pathology laboratories is monitored regularly by both internal and external sources. Among the factors that might affect quality, laboratory staff attitudes are rarely considered. In this study, the psychological concepts of 'job satisfaction' and 'climate' are measured among microbiology biomedical scientists in the United Kingdom. A self-report questionnaire was developed and distributed (between November 1998 and February 1999) to biomedical scientists in 161 microbiology laboratories throughout the UK From 2415 questionnaires distributed, 931 replies were received--a response rate of 39%. A separate set of questions covering customer service and participation in internal and external quality assurance schemes was sent to laboratory managers. Biomedical scientists reported lower job satisfaction than did medical technologists in a previous study in the USA. Perception of climate was influenced by several demographic factors, the most important of which being the size of the laboratory. Optimal number of staff in a department was found to be less than 30. Aggregation of climate scores from members of the same department showed that a positive laboratory climate was important for good performance in internal and external measures of technical quality. For the best service, laboratory climate must be supported by a staff perception that the department is committed to enhancing quality--a climate for laboratory quality. PMID:12113406

  12. Effects of gonadal irradiation in clinical radiation therapy: a review

    International Nuclear Information System (INIS)

    Recent improvements in radiation therapy of some malignancies in lower abdominal sites are leading to prolongation of life in persons of child-bearing age. These successes require an evaluation of the possible undesirable consequences of the unavoidable gonadal irradiation that occurs in these cases. A review of radiobiological data from experimental animal studies and retrospective clinical studies suggests that in most instances human gonadal exposures in both sexes are insufficient to cause permanent sterility, because the exposures are fractionated and the total gonadal dose is much less than 600 rads. As a consequence, return of fertility must be anticipated, and the worrisome questions of radiation-induced genetic damage in subsequent pregnancies must be addressed. This review did not substantiate this fear, because no case reports could be found of malformed infants among the progency of previously irradiated parents. Some experimental studies suggest that radiation-damaged spermatogonia are self-destructive, but any evidence for this phenomenon in the ovary is nonexistent. We suggest that the difference between fact and theory here may be the mathematical result of the interplay of low probability for occurrences and the few patients who until now have survived long enough for study

  13. CLINICAL EFFECT OF TESTOSTERONE IN MEN WITH STABLE ANGINA

    Directory of Open Access Journals (Sweden)

    A. Ya. Kravchenko

    2016-01-01

    Full Text Available Aim. To study efficacy of testosterone undecanoate (TU therapy in men with stable angina and androgen deficiency.Material and methods. The serum testosterone level was detected in 247 men (aged 51,6±1,8 y.o. with stable effort angina. 60 patients with androgen deficiency additionally to basic angina therapy received TU (120-160 mg daily. 54 patients with androgen deficiency (control group received only basic angina therapy. Dynamics of clinical and ECG manifestations of myocardial ischemia and quality of life (QOL parameters was studied.Results. Androgen deficiency is revealed in 114 (46,2% of patients. Therapy with TU during 3 months resulted in reduction of angina attacks and extent of myocardial ischemia (according to Holter ECG monitoring and stress test as well as QOL improvement.Conclusion. Androgen deficiency is observed in 46,2% of men with stable angina. TU increases of antianginal therapy efficacy, improves QOL and is well tolerated. 

  14. Effects of structured written feedback by cards on medical students’ performance at mini clinical evaluation exercise (Mini-CEX) in an outpatient clinic

    OpenAIRE

    FARIBA HAGHANI; MOHAMMAD HATEF KHORAMI; MOHAMMAD FAKHARI

    2016-01-01

    Introduction: Feedback cards are recommended as a feasible tool for structured written feedback delivery in clinical education while effectiveness of this tool on the medical students’ performance is still questionable. The purpose of this study was to compare the effects of structured written feedback by cards as well as verbal feedback versus verbal feedback alone on the clinical performance of medical students at the Mini Clinical Evaluation Exercise (Mini-CEX) test in...

  15. Toxicologia do praguicida aldicarb ("chumbinho": aspectos gerais, clínicos e terapêuticos em cães e gatos Aldicarb toxicology: general, clinic and therapeutic features in dogs and cats

    Directory of Open Access Journals (Sweden)

    Fabiana Galtarossa Xavier

    2007-08-01

    Full Text Available O aldicarb (Temik®, um agente anticolinesterásico carbamato vulgarmente conhecido como "chumbinho", é considerado um dos praguicidas mais tóxicos disponíveis comercialmente. No Brasil, embora seja registrado para uso agrícola exclusivo, tem sido freqüentemente apontado como o responsável por diversos casos de intoxicação em seres humanos e em animais. Desta forma, o presente estudo faz uma abordagem da toxicologia deste agente, enfocando as propriedades químicas, a toxicocinética, a toxicodinâmica, o diagnóstico e os aspectos clínicos e terapêuticos da intoxicação em cães e gatos.Aldicarb (Temik®, an anticholinesterase inhibitor of the carbamate group known as ‘chumbinho’, is one of the most toxic of registered pesticides, and has its use restricted to agriculture in Brazil. In spite of it, aldicarb is being very often involved in severe intoxication in humans and animals. It is largely and illegally sold as rodenticide and often used in baits for intentional poisoning of companion animals. Because of this the aldicarb toxicology was reviewed empathizing its chemical properties, toxicokinetic, toxicodynamic, diagnostic and the clinical and therapeutics aspects in dogs and cats.

  16. THE USE OF AMIODARONE IN CLINICAL PRACTICE: THE PROBLEM OF SIDE EFFECTS

    Directory of Open Access Journals (Sweden)

    O. V. Gaisenok

    2016-01-01

    Full Text Available Characteristics of amiodarone in clinical practice are focused on. Amiodarone pharmacological mode of action and its pro-arrhythmic effect is presented. As well as various side effects that can happen in clinical practice. Special attention is paid to the problem of amiodarone-induced thyrotoxicosis, its classification, diagnosis and treatment. Prospects of new anti-arrhythmic drugs class III, in particular dronedaron are also discussed.

  17. A systematic review of evidence on the links between patient experience and clinical safety and effectiveness

    OpenAIRE

    Doyle, Cathal; Lennox, Laura; Bell, Derek

    2013-01-01

    Objective To explore evidence on the links between patient experience and clinical safety and effectiveness outcomes. Design Systematic review. Setting A wide range of settings within primary and secondary care including hospitals and primary care centres. Participants A wide range of demographic groups and age groups. Primary and secondary outcome measures A broad range of patient safety and clinical effectiveness outcomes including mortality, physical symptoms, length of stay and adherence ...

  18. Effect of nutrient solution, effective microorganisms (EM-A, and assimilation illumination of plants on the induction of the growth of lettuce (Lactuca sativa L. in hydroponic cultivation

    Directory of Open Access Journals (Sweden)

    Tomasz Kleiber

    2013-04-01

    Full Text Available The main aim of the present study was to evaluate the influence of the chemical composition of a nutrient solution (NS I, NS II, seed inoculation with Effective Microorganisms (EM, and assimilation illumination (AI of plants on the growth, development and nutritional status of lettuce (Lactuca sativa L. in hydroponic cultivation and microbiological changes in the medium. The measurements were as follows: quantity of leaves per plant (LQ, surface area of the biggest leaves of plants (SBL, relative chlorophyll content (SPAD units, total fresh weight (TFW, total dry weight (TDW, percentage (% of dry matter (% DM, chemical composition of leaves, nutrient uptake (N, P, K, Ca, Mg, Na of the aboveground parts of the plant. It was shown that the simultaneous inoculation of seeds with EM and application of NS II had an effect on improving seed germination (1st–5th day after sowing, but a significantly positive influence of NS I on seed germination was found from the 5th to 9th day. The application of NS II and EM-A had a positive influence on the development of leaves on the plant. The chemical composition of the nutrient solution was found to have a significant effect on the biometrical parameters of plants. The use of supplemental lighting in cultivation of lettuce affected positively both the growth and development of plants. The chemical composition of the nutrient solution significantly modified the macronutrient nutrition status of plants, while the illumination of plants only in case of phosphorus – but at the same time it had a significant influence on the uptake of all nutrients by the plant. The influence of EM was not proved. The microbiological analysis showed a significant influence of the chemical composition of nutrient solutions on the changes in the numbers of the analyzed groups of microorganisms, showing an increase in their numbers in nutrient solutions with higher contents of chemical elements. However, there were no significant

  19. Ética organizacional: um estudo em clínicas oftalmológicas Organizational ethics: a study in ophthalmologic clinics

    Directory of Open Access Journals (Sweden)

    Maria Aparecida Sanches

    2005-12-01

    Full Text Available OBJETIVO: Pesquisar no campo da ética organizacional para averiguar até que ponto as clínicas oftalmológicas, imersas no ambiente competitivo, na condição de organizações em busca de sobrevivência, subordinam a ética à competitividade na práxis gerencial, isto é, na esfera da administração. MÉTODOS: Toma Kohlberg como referencial teórico, abordando o tema da subordinação ética à competitividade. Aplicou instrumento para avaliar comportamentos morais das organizações, elaborado por Licht. Faz uso de método quantitativo, adotando instrumentos analíticos, tais como Q de Yule e testes não paramétricos, no tratamento dos dados de 41 clínicas oftalmológicas. RESULTADOS: Os resultados da pesquisa parecem indicar que administradores de clínicas oftalmológicas de maior desempenho, subjugam os princípios éticos à competitividade, com vistas a assegurar a sobrevivência da empresa e, quando aferidos pelo instrumento para avaliar seu comportamento moral, proposto por Kohlberg, têm presença significativamente menor no estágio pós-convencional do que administradores de clínicas oftalmológicas de menor desempenho. Pode-se afirmar, de acordo com os testes não paramétricos, que, ao nível de significância de 0,05, os níveis de desenvolvimento moral dos dois grupos diferem significativamente. CONCLUSÕES: Os resultados obtidos estão conforme a literatura, especialmente no tocante ao "paradoxo da subordinação ética e competitividade". Vão também ao encontro de que a garantia da sobrevivência da empresa tende a diminuir a percepção dos grupos no poder no que se refere aos problemas ocorridos na comunidade e que ocorre redução dos valores éticos subordinados à competição, redução esta que provoca sentimentos crescentes de disputas econômicas na esfera social.PURPOSE: Research on the field of organizational ethics to investigate to which extent ophthalmologic clinics, inserted in the competitive atmosphere

  20. What are the effective ways to translate clinical leadership into health care quality improvement?

    Directory of Open Access Journals (Sweden)

    McSherry R

    2016-02-01

    Full Text Available Robert McSherry,1 Paddy Pearce2 1School of Health and Social Care, University of Teesside, Middlesbrough, 2PKP Consulting, Yarm, United Kingdom Abstract: The presence and/or absence of effective leaders in health care can have a stark consequence on the quality and outcomes of care. The delivery of safe, quality, compassionate health care is dependent on having effective clinical leaders at the frontline. In light of the Kirkup and Francis reports, this article explores some ways of translating clinical leadership into health care quality improvement. This is achieved by exploring what is clinical leadership and why and how this is important to health care quality improvement, clinical leadership, and a duty of candor, along with the importance clinical leadership plays in the provision of quality care improvement and outcomes. Clinical leaders are not predefined roles but emerge from the complex clinical setting by gaining an acquired expertise and from how they then internalize this to develop and facilitate sound relationships within a team. Clinical leaders are effective in facilitating innovation and change through improvement. This is achieved by recognizing, influencing, and empowering individuals through effective communication in order to share and learn from and with each other in practice. The challenge for health care organizations in regard to creating organizational cultures where a duty of candor exists is not to reinvent the wheel by turning something that is simple into something complex, which can become confusing to health care workers, patients, and the public. By focusing on the clinical leader's role and responsibilities we would argue they play a crucial and pivotal role in influencing, facilitating, supporting, and monitoring that this duty of candor happens in practice. This may be possible by highlighting where and how the duty of candor can be aligned within existing clinical governance frameworks. Keywords: governance

  1. Aspectos clínicos e patogenéticos da intoxicação por abamectina em bezerros Clinical and pathogenetic aspects of abamectin poisoning in calves

    Directory of Open Access Journals (Sweden)

    Josilene N. Seixas

    2006-09-01

    Full Text Available Estudaram-se os aspectos clínico-patológicos e patogenéticos verificados após a administração experimental subcutânea de diferentes doses de abamectina em nove bezerros. Também são apresentados os dados clínico-patológicos sobre a ocorrência de intoxicação iatrogênica por essa droga que resultaram em 74 mortes em bovinos nos Estados do Rio Grande do Sul, Pará, Maranhão, Paraíba e Mato Grosso do Sul. No presente estudo, dos nove bezerros submetidos à administração experimental, cinco morreram (quatro que receberam doses únicas de 6-10 vezes superior à recomendada e um que recebeu diariamente a dose terapêutica durante 11 dias. A intoxicação por abamectina induz a disfunções neurológicas, caracterizadas por uma fase inicial de hiperexcitabilidade, seguida por hipotonia muscular generalizada e depressão progressiva. Nenhuma alteração macroscópica ou microscópica foi observada no sistema nervoso central ou em qualquer outro órgão. Conclui-se que a abamectina é um medicamento que deve ser utilizado com restrições, pois há riscos de morte quando utilizado em bezerros jovens, até mesmo na dose terapêutica.Clinic-pathological aspects and the pathogenesis of experimental abamectin poisoning were studied, after subcutaneous administration of different abamectin doses in 9 calves, as well as the clini-cal and pathological aspects of 74 cases of the iatrogenic poisoning with this drug in cattle, which occurred in the states of Rio Grande do Sul, Pará, Maranhão, Paraíba and Mato Grosso do Sul. From the 9 calves submitted to experimental administration of single doses, 5 calves died (4 calves received doses 6-10 times higher than recommended, and one received the therapeutic daily dose during 11 days. Abamectin poisoning induces neurological dysfunctions, characterized by an initial phase of hyperexcitability, followed by widespread muscular hypotony and progressive depression. No macroscopic or microscopic

  2. The attributes of an effective teacher differ between the classroom and the clinical setting.

    Science.gov (United States)

    Haws, Jolene; Rannelli, Luke; Schaefer, Jeffrey P; Zarnke, Kelly; Coderre, Sylvain; Ravani, Pietro; McLaughlin, Kevin

    2016-10-01

    Most training programs use learners' subjective ratings of their teachers as the primary measure of teaching effectiveness. In a recent study we found that preclinical medical students' ratings of classroom teachers were associated with perceived charisma and physical attractiveness of the teacher, but not intellect. Here we explored whether the relationship between these variables and teaching effectiveness ratings holds in the clinical setting. We asked 27 Internal Medicine residents to rate teaching effectiveness of ten teachers with whom they had worked on a clinical rotation, in addition to rating each teacher's clinical skills, physical attractiveness, and charisma. We used linear regression to study the association between these explanatory variables and teaching effectiveness ratings. We found no association between rating of physical attractiveness and teaching effectiveness. Clinical skill and charisma were independently associated with rating of teaching effectiveness (regression coefficients [95 % confidence interval] 0.73 [0.60, 0.85], p < 0.001 and 0.12 [0.01, 0.23], p = 0.03, respectively). The variables associated with effectiveness of classroom and clinical teachers differ, suggesting context specificity in teaching effectiveness ratings. Context specificity may be explained by differences in the exposure that learners have to teachers in the classroom versus clinical setting-so that raters in the clinical setting may base ratings upon observed behaviours rather than stereotype data. Alternatively, since subjective ratings of teaching effectiveness inevitably incorporate learners' context-specific needs, the attributes that make a teacher effective in one context may not meet the needs of learners in a different context. PMID:26891679

  3. Pharmacological effect on pyeloureteric dynamics with a clinical perspective

    DEFF Research Database (Denmark)

    Jung, Helene U; Frimodt-Møller, Poul C; Osther, Palle J;

    2006-01-01

    the existence of different receptors in the ureter and renal pelvis. The ureteric and pelvic responses to the corresponding neurotransmitters have been determined. It seems that alpha-adrenergic and cholinergic agents are stimulating whereas beta-adrenergic agents inhibit ureteric activity. The effect...

  4. Thermal dose requirement for tissue effect: experimental and clinical findings

    Science.gov (United States)

    Dewhirst, Mark; Viglianti, Benjamin L.; Lora-Michiels, Michael; Hoopes, P. Jack; Hanson, Margaret A.

    2003-06-01

    In this review we have summarized the basic principles that govern the relationships between thermal exposure (temperature and time of exposure) and thermal damage, with an emphasis on normal tissue effects. We have also attempted to identify specific thermal dose information (for safety and injury) for a variety of tissues in a variety of species. We address the use, accuracy and difficulty of conversion of an individual time and temperature (thermal dose) to a standardized value (eg equivalent minutes at 43degC) for comparison of thermal treatments. Although, the conversion algorithm appears to work well within a range of moderately elevated temperatures (2-15degC) above normal physiologic baseline (37-39degC) there is concern that conversion accuracy does not hold up for temperatures which are minimally or significantly above baseline. An extensive review of the literature suggests a comprehensive assessment of the "thermal dose-to-tissue effect" has not previously been assembled for most individual tissues and never been viewed in a semi-comprehensive (tissues and species) manner. Finally, we have addressed the relationship of thermal dose-to-effect vs. baseline temperature. This issues is important since much of the thermal dose-to-effect information has been accrued in animal models with baseline temperatures 1-2 deg higher than that of humans.

  5. Dried chicory root modifies the activity and expression of porcine hepatic CYP3A but not 2C – Effect of <em>in vitroem> and<em> in vivoem> exposure

    DEFF Research Database (Denmark)

    Rasmussen, Martin Krøyer; Zamaratskaia, Galia; Andersen, Bente;

    2012-01-01

    Hepatic cytochrome P450 expression and activity are dependent on many factors, including dietary ingredients. In the present study, we investigated the in vivo and in vitro effect of chicory root on hepatic CYP3A and 2C in male pigs. Chicory feeding increased the expression of CYP3A29 mRNA but not...... CYP2C33. Correspondingly, CYP3A activity was increased by chicory feeding, while CYP2C activity was not affected. Additionally, the in vitro effect of chicory extract on the CYP3A activity was investigated. It was shown that CYP3A activity in the microsomes from male pigs was inhibited, but this...... effect was eliminated by pre-incubation. In both male and female pigs the CYP3A activity was increased in the presence of chicory after pre-incubation. Furthermore, gender-related differences in mRNA expression and activity were observed. CYP3A mRNA expression was greater in female pigs; this was not...

  6. How can placebo effects best be applied in clinical practice? A narrative review

    Directory of Open Access Journals (Sweden)

    Bystad M

    2015-01-01

    Full Text Available Martin Bystad,1,2 Camilla Bystad,3 Rolf Wynn1,3 1Division of Addictions and Specialized Psychiatric Services, University Hospital of North Norway, 2Institute of Psychology, 3Institute of Clinical Medicine, Faculty of Health Sciences, Arctic University of Norway, Tromsø, Norway Abstract: Placebo effects are documented in a number of clinical and experimental studies. It is possible to benefit from placebo effects in clinical practice by using them as effects additive to those of documented and effective treatments. The purpose of this paper is to discuss how doctors and other health workers may benefit from placebo effects within an ethical framework. A narrative review of the literature relating to placebo effects in clinical practice was performed. We searched PubMed and selected textbooks on placebo effects for articles and book chapters relating to placebo effects in clinical practice. By drawing on placebo effects, doctors may access patients’ self-healing potentials. In practice, doctors may best benefit from placebo effects by influencing the patient’s expectations through communication. An important principle is to give the patient information stating that a particular treatment is effective, as long as this is based on realistic optimism. A patient-centered style involving elements such as developing trust and respect, exploring the patient’s values, speaking positively about treatments, and providing reassurance and encouragement might aid in activating placebo effects. The total effect of a documented treatment will partly depend on how well the placebo effects have been activated. Thus, placebo effects can be understood as a form of supplemental treatment. Keywords: placebo effects, doctor-patient communication, expectations, biopsychosocial model

  7. Effects of topical 2% cyclosporine A on the corneas of dogs subjected to lamellar keratoplasty with a graft of equine pericardium preserved in glycerin: clinical and morphological evaluation Efeitos da aplicação tópica da ciclosporina A a 2% sobre a córnea de cães submetidos à ceratoplastia lamelar com implante de pericárdio de eqüino preservado em glicerina: avaliação clínica e morfológica

    Directory of Open Access Journals (Sweden)

    Roseli Borges Teixeira

    2004-02-01

    Full Text Available The effects of topical 2% cyclosporine A on the cornea of dogs subjected to experimental lamellar keratoplasty with an equine pericardial graft were evaluated. Ten dogs were grouped to be evaluated 3, 7, 15, 30 and 60 days after surgery. Animals received bilateral grafts followed by the application of a 2% cyclosporine A ointment on the left eye (treated eye and the ointment base on the right eye (control eye twice a day. The ophthalmic evaluation showed profound bilateral blepharospasm, photophobia and a mucous secretion until the 7th day after surgery; corneal vascularization starting in the limbus was observed as early as the 3rd day in both eyes; opacification and vascularization were more intense in the treated cornea on days 15 and 30 after surgery. Vascularization was still evident on the 60th day, and looked similar in treated eyes and control eyes. The histologic evaluation showed a complete bilateral reepithelization and corneal vascularization three days after the surgery; intense vascularization in both eyes on days 15 and 30, that was much more pronounced in the treated cornea; and a bilateral predominance of polymorphonuclear cells until day 15, and mononuclear cells on day 30. Intact epithelium and stroma with new vessels, as well as graft absorption, in both eyes, were seen on the 60th day. The lamellar keratoplasty with equine pericardial graft was an effective model to study the inflammatory kinetics and corneal vascularization phenomenon. In this study, cyclosporine A did not inhibit corneal vascularization and it did not interfere in the corneal cicatricial process.Foram avaliados os efeitos da ciclosporina A a 2% sobre a córnea de cães submetidos à ceratoplastia lamelar experimental com implante de pericárdio de equino. Dez cães foram divididos em grupos para estudo aos três, sete, 15, 30 e 60 dias de pós-operatório, recebendo implantes bilaterais e em seguida aplicação da pomada com ciclosporina A a 2% no olho

  8. Are gender differences important for the clinical effects of antidepressants?

    DEFF Research Database (Denmark)

    Hildebrandt, Malene Grubbe; Steyerberg, Ewout Willem; Stage, Kurt Bjerregaard;

    2003-01-01

    OBJECTIVE: Gender differences in antidepressant treatment response, side effects, dropout rates, and plasma concentrations were examined in patients with major and predominantly melancholic depression. METHOD: The study included a subgroup of 292 inpatients (96 men, 196 women) from three Danish...... double-blind, randomized, controlled trials. All patients completed a 5-week treatment period and fulfilled the DSM-III or DSM-III-R criteria for major depression. Clomipramine (150 mg/day) was the reference treatment, and comparable treatments were citalopram (40 mg/day), paroxetine (30 mg/day), and...... moclobemide (400 mg/day). Assessments were performed by using the 17-item Hamilton Depression Rating Scale and the Udvalg for Kliniske Undersøgelser Side Effect Rating Scale. In a subgroup of 110 patients, weekly measurements of clomipramine plasma concentrations were obtained. Nonparametric statistical tests...

  9. Effects of protein restriction <em>in uteroem> on the metabolism of mink dams (<em>Neovison visonem>) and on mink kit survival as well as on postnatal growth

    DEFF Research Database (Denmark)

    Vesterdorf, Kristine Høvelt; Harrison, Adrian Paul; Matthiesen, Connie Marianne Frank;

    2012-01-01

    Protein restriction in utero may give rise to re-stricted growth as well as induce metabolically related diseases. In order to determine the suit-ability of mink as an animal model for metabolism studies, the effects of protein restriction during gestation on dam and kit performance must first be......, P < 0.001) and were shorter (6.2 vs 7.6 cm, P < 0.001) than AP fetuses, however, differences might have been due to different implantation times. LP kits weighed 8.5% less than AP kits at birth, and remained lighter until 21 days of age. The LP diet caused growth restriction and increased kit...

  10. Aspectos clínicos em 16 pacientes com diagnóstico tomográfico de esquizencefalia Clinical findings in 16 patients with tomographic diagnosis of schizencephaly

    Directory of Open Access Journals (Sweden)

    Maria do Carmo de Souza Rodrigues

    2006-10-01

    Full Text Available OBJETIVO: Correlacionar o quadro clínico de um grupo de crianças com diagnóstico tomográfico de esquizencefalia com a extensão e localização das fendas. MATERIAIS E MÉTODOS: Estudo retrospectivo de prontuários do arquivo dos serviços de Neurologia e Genética Médica do Instituto Fernandes Figueira e Hospital Municipal Jesus, Rio de Janeiro, RJ, Brasil, no período de 2000 a 2003. Foram incluídos 16 pacientes, nove do sexo feminino e sete do sexo masculino, com diagnóstico tomográfico de esquizencefalia e analisados quanto a aspectos da tomografia computadorizada, desenvolvimento neuropsicomotor, déficit motor e cognitivo e epilepsia. RESULTADOS: Predominaram as fendas bilaterais em 10:16 pacientes, lábios abertos em 23:27 fendas e pequenas em 11:27 fendas. Das anomalias associadas à esquizencefalia, a ausência de septo pelúcido foi a mais freqüente (10:16 pacientes. Dos aspectos clínicos, 15 pacientes apresentaram atraso do desenvolvimento e déficit motor; seis apresentaram déficit cognitivo e dez apresentaram epilepsia. Em três pacientes observamos discordância entre o quadro clínico e o tamanho das fendas: embora as fendas fossem pequenas, o quadro clínico foi intenso, em virtude de presença de outras anomalias cerebrais. CONCLUSÃO: O quadro clínico guarda relação com o tamanho das fendas, independentemente da lateralidade, sendo mais intenso quando há associação com outras anomalias cerebrais.OBJECTIVE: To establish a correlation between clinical features in a group of children with tomographic diagnosis of schizencephaly and clefts extent and localization. MATERIALS AND METHODS: Retrospective study of dossiers from the archives of Neurology and Medical Genetics Services at Instituto Fernandes Figueira/Fiocruz and Hospital Municipal Jesus, Rio de Janeiro, RJ, Brazil, in the period between 2000 and 2003. The study included 16 patients, nine female and seven male, with tomographic diagnosis of schizencephaly

  11. Effect of photodynamic therapy on clinical isolates of Staphylococcus spp

    OpenAIRE

    Michelle Miyabe; Juliana Campos Junqueira; Anna Carolina Borges Pereira da Costa; Antonio Olavo Cardoso Jorge; Martha Simões Ribeiro; Ilíria Salomão Feist

    2011-01-01

    Staphylococcus spp. are opportunistic microorganisms known for their capacity to develop resistance against antimicrobial agents. The objective of this study was to evaluate the effect of photodynamic therapy (PDT) on 20 Staphylococcus strains isolated from the human oral cavity, including S. aureus, S. schleiferi, S. epidermidis, S. capitis, S. haemolyticus, and S. lentus. A suspension of each Staphylococcus strain (10(6) cells/mL) was submitted to PDT using methylene blue and a low power la...

  12. Detecção de doenças sexualmente transmissíveis em ambientes clínicos e não clínicos na Cidade de Salvador, Bahia, Brasil Screening of sexually transmitted diseases in clinical and non-clinical settings in Salvador, Bahia, Brazil

    Directory of Open Access Journals (Sweden)

    José Santiago de Codes

    2006-02-01

    Full Text Available O objetivo deste trabalho foi avaliar (1 a aceitação de rastreamento para DST em ambientes não clínicos por indivíduos assintomáticos, (2 os fatores de risco e prevalência de DST em ambientes não clínicos e clínicos e (3 o rastreamento não clínico de populações assintomáticas como um método viável para controle das DST. Recrutamos 139 participantes masculinos e 486 femininos entre 18 e 30 anos em clínica de planejamento familiar, escolas e comunidades de baixa renda. Inquirimos os recrutados sobre sintomas de DST e comportamentos de risco para DST/HIV e os testamos para gonorréia, clamídia, sífilis e HIV. Exceto pelo HIV, as mulheres recrutadas diretamente da comunidade apresentavam maior prevalência de DST do que as que procuravam a clínica. O rastreamento das DST em ambientes não clínicos no Brasil é aceitável e vantajoso para jovens em comunidades de baixa renda. Participantes infectados provavelmente nunca teriam procurado assistência, sido testados ou tratados. Medidas para o controle das DST podem ser implementadas em qualquer lugar onde se alcancem as populações de risco e transformadas em rotina nos serviços de saúde, mesmo entre indivíduos com problemas não relacionados com DST.The objectives were to study: (1 acceptance of STD screening in non-clinical settings for asymptomatic individuals; (2 risk factors and STD prevalence among individuals in non-clinical and clinical settings; and (3 non-clinical screening of asymptomatic populations as a feasible method for STD control. We recruited 139 males and 486 females between 18 and 30 years of age from a family planning clinic, schools, and community centers in low-income neighborhoods. We asked about STD symptoms and STD/HIV risk behaviors and tested the individuals for gonorrhea, Chlamydia, syphilis, and HIV. Except for HIV, women recruited directly from the community had higher STD rates than those who came in for care at the clinic. Screening in non-clinical

  13. The effects of introducing a clinical pharmacist on orthopaedic wards in Denmark

    DEFF Research Database (Denmark)

    Buck, Thomas Croft; Brandstrup, Lene; Brandslund, Ivan;

    2007-01-01

    OBJECTIVE: To assess the effects and cost effects of introducing clinical pharmacists on hospital wards. METHODS: Comparative prospective study on four orthopaedic surgical wards in two hospitals. The primary effect variables were 10 target areas widely considered to be indicators of good...... sub-optimal prescriptions were changed, 43% resulted in cost reductions. The reductions achieved could cover 47% of the costs of clinical pharmacy service. CONCLUSION: Clinical pharmacy services offered to four orthopaedic surgical wards resulted in reduction of sub-optimal prescriptions. Every time...... the pharmacist screened seven patients one sub-optimal prescription was found and adjusted. The reduction in medicine costs due to adjusted sub-optimal prescriptions could not cover the whole cost of clinical pharmacy service....

  14. Efeito do adesivo butil-2-cianoacrilato em osteotomias e enxerto ósseo em coelhos: aspecto macroscópico e radiográfico The effect of 2-butyl-cyanoacrylate adhesive in osteotomies and bone grafts in rabbits: macroscopic and radiographic characteristics

    Directory of Open Access Journals (Sweden)

    Mário Sérgio Viana Xavier

    2012-10-01

    Full Text Available OBJETIVO: Avaliar o efeito do adesivo tecidual butil-2-cianoacrilato em osteotomias e enxerto ósseo (EO, sob o aspecto macroscópico e radiográfico. MÉTODOS: Foram utilizados 48 coelhos, divididos aleatoriamente em quatro grupos de 12 animais, com períodos de observação de duas, quatro, oito e 16 semanas. Foram operados os dois membros torácicos de cada animal e realizadas duas osteotomias em cada um dos rádios, com a retirada de um fragmento ósseo (EO de 1cm de comprimento. De um lado foi recolocado o EO no local e aplicada uma gota do adesivo em cada uma das osteotomias. No outro lado, foi realizado o mesmo procedimento sem a aplicação do adesivo. Fixou-se em 0,05 ou 5% o nível de rejeição da hipótese de nulidade. RESULTADOS: Presença de marcas azuis em todas as peças cirúrgicas em que foi utilizado o adesivo. A partir da quarta semana, ausência de movimento dos EO com adesivo e controle. No grupo A, nas osteotomias proximais com adesivo, ocorreu menos desvio do EO (p = 0,02. No grupo C, a união (p = 0,03 e a integração do EO (p = 0,02 foram melhores nas osteotomias proximais com adesivo. CONCLUSÕES: O adesivo não foi totalmente metabolizado com 16 semanas. Há consolidação clínica das osteotomias em quatro semanas. O adesivo estabilizou o EO nas primeiras semanas e não interferiu na consolidação das osteotomias, assim como na integração dos EO a observação radiográfica.OBJECTIVE: To evaluate the effect of butyl-2-cyanoacrylate tissue adhesive in osteotomies and bone grafts, with regard to macroscopic and radiographic characteristics. METHODS: Forty-eight rabbits were used, randomly divided into four groups of 12 animals, with observation periods of two, four, eight and 16 weeks. Both thoracic limbs were operated in each animal and two osteotomies were performed in each of the radii, withdrawing a bone fragment (bone graft of 1 cm in length. On one side, the bone graft was then replaced and a drop of adhesive

  15. Polioencefalomalacia em bovinos: epidemiologia, sinais clínicos e distribuição das lesões no encéfalo Bovine polioencephalomalacia: epidemiology, clinical signs and distribution of lesions in the brain

    Directory of Open Access Journals (Sweden)

    Fabiano J.F. de Sant'Ana

    2009-07-01

    -hemorrágicas leves ou moderadas foram observadas em 49% dos casos nos núcleos da base, em 39% dos casos no tronco encefálico e em 26% dos casos no tálamo. Lesões telencefálicas foram consistentemente observadas nas lâminas dos córtices dos lobos occipital, parietal e frontal. Nessas regiões as camadas granular externa e interna foram as mais afetadas tanto por neurônios necróticos quanto por edema em todas as regiões avaliadas. Tanto os giros quanto os sulcos foram afetados igualmente.Thirty one cases of polioencephalomalacia (PEM diagnosed from 1999-2008 in cattle from the Southern (13 cases and Midwestern (18 cases Brazil were studied. Morbidity (0.04%-6.66 %, mortality (0.04%-6.66 %, and lethality (50%-100% rates were similar in both regions studied. There was no clear association between PEM cases and age, sex or seasonality. Cases occurred mainly in cattle raised at pasture; in the Southern the disease affected mainly young cattle (one-year old or less while mainly older cattle (three-year-old or older were affected in the Midwest. Clinical signs more frequently observed included blindness, incoordination, circling, opisthotonus, recumbence and peddling movements. Clinical course varied from 12 hours to 8 days (average three days and a half. In 11 cases no gross changes were observed in the brain. Main gross findings in the brain of remaining cases included congestion with swelling and flattening of gyri, softening and yellow discoloration of cerebral cortex, hemorrhagic foci in the brain stem, cerebellum and telencephalon, and cerebellar herniation. The main histopathological changes were in the cortex of occipital, parietal and frontal telencephalic lobes; however less prominent and less frequently found lesions occurred in the hippocampus, basal nuclei, thalamus, midbrain, and cerebellum. The type of microscopic cortical lesions was consistent in all cases and included segmentar laminar neuronal necrosis (red neurons, spongiosis, swollen of vascular endothelial

  16. Water deficits and heat shock effects on photosynthesis of a transgenic <em>Arabidopsis thalianaem> constitutively expressing <em>ABP9em>, a bZIP transcription factor

    DEFF Research Database (Denmark)

    Zhang, Xia; Wollenweber, Bernd; Jiang, Dong;

    2008-01-01

    The effects of water deficits (WD), heat shock (HS), and both (HSWD) on photosynthetic carbon- and light-use efficiencies together with leaf ABA content, pigment composition and expressions of stress- and light harvesting-responsive genes were investigated in ABP9 [ABA-responsive-element (ABRE...... plants in response to WD and/or HS stresses suggest that declines in A and gs might have been due to ABA-induced stomatal closure. Moreover, compared with WT, 5P2 plants exhibited higher ABA content, instantaneous water use efficiency (IWUE), Chl a/b, NPQ, and lower Chl/carotenoid ratios. Finally......, altered expression of stress-regulated or light harvesting-responsive genes was observed. Collectively, our results indicate that constitutive expression of ABP9 improves the photosynthetic capacity of plants under stress by adjusting photosynthetic pigment composition, dissipating excess light energy...

  17. The effect of bacteriocin-producing <em>Lactobacillus plantarum em>strains on the intracellular pH of sessile and planktonic <em>Listeria monocytongenes em>single cells

    DEFF Research Database (Denmark)

    Nielsen, Dennis Sandris; Cho, Gyu-Sung; Hanak, Alexander;

    2010-01-01

    , but still notable. L. plantarum PCS 20 left both strains of L. monocytogenes virtually unaffected when co-cultured on a solid surface. In liquid, both L. plantarum strains strongly affected the physiological state of L. monocytogenes EGDe as judged by pHi, whereas L. monocytogenes N53-1 was left......A wide range of lactic acid bacteria (LAB) produce bacteriocins mainly active against other closely related LAB, but some bacteriocins are also active against the food-borne pathogen Listeria monocytogenes. With the aim of increasing food safety it has thus been considered to utilise bacteriocins...... and/or bacteriocin-producing LAB as “natural” food preservatives in foods such as cheese, meat and ready-to-eat products. Some strains of Lactobacillus plantarum produce bacteriocins termed plantaricins. Using a single-cell based approach, the effect on the intracellular pH as a measure of the...

  18. [Mechanism of effect and clinical use of antiandrogens].

    Science.gov (United States)

    Ulrich, F E; Schneyer, U

    1977-04-15

    It is reported on the possibilities of the application of anti-androgenics, especially of cyproterone acetate. The indication extends to hirsutism, sexual deviations, growth disturbances in pubertas praecox as well as diseases of the prostate. Particularly strong standard are to be applied in the treatment of fertile women, as there exists the danger of an intrauterine feminisation of male foetuses, when a pregnancy was not absolutely excluded. Side-effects and results of animal experiments are mentioned. The therapeutic mechanism of the anti-androgenics can be explained with the help of a concurrency mechanism at the androgen receptor or acceptor. PMID:70117

  19. Clinical effectiveness of a Pilates treatment for forward head posture.

    Science.gov (United States)

    Lee, Sun-Myung; Lee, Chang-Hyung; O'Sullivan, David; Jung, Joo-Ha; Park, Jung-Jun

    2016-07-01

    [Purpose] This study compared the effects of pilates and an exercise program on the craniovertebral angle, cervical range of motion, pain, and muscle fatigue in subjects with a forward head posture (FHP). [Subjects and Methods] A total of 28 sedentary females (age 20 to 39 years) with FHP were randomly assigned to pilates (n=14) and combined (n=14) exercise groups. The study was a randomized, controlled, double-blind study with the two groups performing exercise 50 min/day, 3 days/week, with an intensity of 11-15 rating of perceived exertion (RPE) for ten weeks. The main outcome measures were craniovertebral angle, cervical range of motion (ROM), pain levels assessed by visual analog scale (VAS), and neck disability index (NDI). Surface electromyography was also used to measure muscle fatigue. [Results] There were significant increases in craniovertebral angle and cervical ROM in the pilates group, but none in the control group. The only significant differences in muscle activity were recorded in the sternocleidomastoid muscle in the pilates group. Both exercise programs had positive effects on pain measures, as VAS and NDI were significantly decreased. [Conclusion] The results suggest that pilates could be recommended as an appropriate exercise for treatment of FHP in sedentary individuals. PMID:27512253

  20. Translating comparative effectiveness research into clinical practice: the UK experience.

    Science.gov (United States)

    Walley, Tom

    2012-01-22

    Comparative effectiveness research (CER) is not new but its potential to improve the effectiveness of healthcare has not yet been exploited in the US. Other countries such as the UK have more experience of this. Key points of the UK experience are summarized here and some possible pointers for the US are drawn. These include the following: how to go beyond the evidence and apply judgements to make recommendations with authority and in a timely manner; how to implement these recommendations; how to identify suitable topics; and how to be open and transparently fair to all stakeholders. The quality of the science of CER is key but this needs developing, and not just in biomedical or statistical terms but also in how to understand public expectations, and how to implement its recommendations. A key issue is the role of health economics, which seems to have been marginalized by the CER legislation, but perhaps this is more apparent than real. Clearly this is a matter for much further debate. It is hard to see how CER can deliver its potential without active consideration of both benefits and costs. Although other countries have more experience of this than does the US, the context for such work is always very specific and the US will have to find its own way, while trying to avoid some of the errors made elsewhere. PMID:22268389

  1. The Effect of Noise on Human Performance: A Clinical Trial

    Directory of Open Access Journals (Sweden)

    K Azam

    2013-04-01

    Full Text Available Background: Noise is defined as unwanted or meaningless sound that apart from auditory adverse health effects may distract attention from cues that are important for task performance. Human performance is influenced by many job-related factors and workplace conditions including noise level.Objective: To study the effect of noise on human performance.Methods: The participants included 40 healthy male university students. The experimental design consisted of 3 (sound pressure level x 3 (noise schedule x 2 (noise type factors. To investigate occupational skill performance, some specific test batteries were used: 1 steadiness test, 2 Minnesota manual dexterity test, 3 hand tool dexterity test, and 4 two-arm coordination test. Time duration of test completion was measured as speed response; to determine error response, the time taken during committing an error by participants while performing a task was measured.Results: Speed response obtained from the 4 tests in combined conditions of noise schedule, harmonic index, and sound pressure level was highest for (intermittent, treble, 95 dB, (continuous, treble, 95 dB, (continuous, treble, 85 dB and (intermittent, treble, 95 dB, respectively.Conclusion: Treble noise was found significant in reducing human performance; also, intermittent noise, especially at high pressure levels, was responsible for worsening environmental conditions during performing a task.

  2. Clinical effects of pranayama on performance of rifle shooters

    Directory of Open Access Journals (Sweden)

    Amte Snehal Shekhar, Mistry Hetal M

    2014-07-01

    Full Text Available Background: Yoga has an enormous scientifically proven effect on man’s physical and psychological functioning. Pranayama constitute the most vital aspects of yoga. Various methods of pranayama have a sound scientific basis and are traditionally believed to produce equilibrium between psychic and somatic aspects of bodily functions. The link between body and mind is obligatory for the better performance of sports persons. Aim: The aim of the study is to find out the effect of pranayama on the performance of Rifle shooters by measuring the parameters like-breath holding time, lung functional capacity and shooting performance. Method: 52 state level shooters subjects were chosen from 2 centres between the age group of 15-30years. Out of them, 26 shooters were given training in the techniques of pranayama for 3weeks.The other 26 subjects served as control i.e. with out Pranayama training. Variables like shooting performance, breath holding time (BHT, peak expiratory flow rate (PEFR, respiratory rate (RR and pulse rate (PR were measured in both the groups. Results: The study showed highly significant improvement in all the five variables shooting performance (in mm, BHT, PEFR, RR and PR with p value of 3.62E-05, 2.78E-07, 1.31E-09, 0.013, 3.40E-04respectively. Conclusion: So it can be concluded that pranayama is efficacious for better performance of Rifle shooters and should be included in their training practice.

  3. Alterações gastrointestinais em pacientes com câncer colorretal em ensaio clínico com fungos Agaricus sylvaticus Gastrointestinal alterations in patients with colorectal cancer on clinical trial supplemented with Agaricus sylvaticus fungus

    OpenAIRE

    Renata Costa Fortes; Viviane Lacorte Recôva; Andresa Lima Melo; Maria Rita Carvalho Garbi Novaes

    2010-01-01

    INTRODUÇÃO: Fungos medicinais podem normalizar a função intestinal, aumentar o apetite e reduzir os efeitos adversos do tratamento convencional do câncer. OBJETIVO: Avaliar as alterações gastrointestinais de pacientes com câncer colorretal em fase pós-operatória após suplementação dietética com fungos Agaricus sylvaticus. METODOLOGIA: Ensaio clínico randomizado, duplo-cego, placebo-controlado, realizado no Hospital de Base do Distrito Federal. Amostra constituída de 56 pacientes (24 homens e ...

  4. Aspectos clínicos da fenilcetonúria em serviço de referência em triagem neonatal da Bahia Clinical aspects of phenylketonuria in a reference service for neonatal screening in Bahia

    OpenAIRE

    Tatiana Amorim; Sara P.P. Gatto; Ney Boa-Sorte; Maria Efigênia Q. Leite; Maria Inês M. M. Fontes; Junaura Barretto; Angelina X. Acosta

    2005-01-01

    OBJETIVOS: descrever as características clínicas dos pacientes com hiperfenilalaninemia acompanhados no Serviço de Referência em Triagem Neonatal (SRTN) do estado da Bahia. MÉTODOS: estudo descritivo transversal, tendo como amostra todos os pacientes com diagnóstico conhecido de Hiperfenilalaninemia residentes no estado da Bahia e acompanhados no SRTN até setembro de 2005. Tal população é composta de 46 famílias, num total de 51 pacientes. A análise dos dados foi descritiva, incluindo medidas...

  5. Alterações lipídicas em pacientes com câncer colorretal em fase pós-operatória: ensaio clínico randomizado e duplo-cego com fungos Agaricus sylvaticus Lipidic alterations in patients with colorectal cancer in post-surgery phase: a randomized and double-blind clinical trial with Agaricus sylvaticus fungus

    Directory of Open Access Journals (Sweden)

    Renata Costa Fortes

    2008-09-01

    Full Text Available INTRODUÇÃO: Alterações no metabolismo lipídico são comuns em pacientes com câncer. Fungos medicinais podem exibir atividade hipolipidêmica. OBJETIVO: Avaliar os efeitos da suplementação dietética com fungos Agaricus sylvaticus no perfil lipídico de pacientes com câncer colorretal em fase pós-operatória. MÉTODOS: Ensaio clínico randomizado, duplo-cego, placebo-controlado, realizado no Hospital de Base do Distrito Federal por seis meses. Amostra constituída por 56 pacientes, estádios I, II e III, separados em dois grupos: placebo e suplementado com Agaricus sylvaticus (30mg/kg/dia. Resultados analisados pelos programas Microsoft Excel 2003 e SPSS 14.0 com p = 0.05. RESULTADOS: O grupo Agaricus sylvaticus apresentou níveis séricos iniciais de colesterol total de 207.36±52.67mg/dL, lipoproteína de baixa densidade de 120.79±44.02mg/dL e triglicérides de 181.64±187.52mg/dL. Após seis meses de suplementação, observou-se redução para 191.11±39.72mg/dL (p = 0.01, 103.08±39.20mg/dL (p = 0.0001 e 168.04±146.91mg/dL (p = 0.18, respectivamente. No grupo placebo, observou-se aumento não-significativo de colesterol total (p = 0.08 e aumento significativo de lipoproteína de baixa densidade (p = 0.01 e triglicérides (p = 0.0001. Não foram observadas, em ambos os grupos, alterações significantes nos níveis de lipoproteína de alta densidade e lipoproteína de muito baixa densidade. CONCLUSÃO: Os resultados sugerem que a suplementação dietética com Agaricus sylvaticus pode melhorar significativamente o perfil lipídico de pacientes com câncer colorretal em fase pós-operatória.INTRODUCTION: Alterations in the lipidic metabolism are common in patients with cancer. Medicinal fungus may show hypolipidemic activity. OBJECTIVE: To evaluate the effects of dietary supplementation with Agaricus sylvaticus fungus in lipidic profile of patients with colorectal cancer in post-surgery phase. MEHTODS: Randomized, double

  6. Clinical effectiveness of DSA-guided foam sclerotherapy for varicose veins of lower limbs

    International Nuclear Information System (INIS)

    Objective: To investigate the clinical effect of DSA-guided foam sclerotherapy for varicose veins of lower limbs. Methods: A total of 25 diseased limbs in 20 patients with varicose veins were treated with foam sclerotherapy. The patients were followed up for six months. Sodium morrhuate, used as the sclerosant, was foamed with air by using Tessari's method, with liquid-gas ratio of 1 : 4. The clinical effectiveness was estimated by CEAP, clinical signs and symptoms. Results: A total of 25 limbs in 20 patients with varicose veins were successfully treated with foam sclerotherapy. The technical success rate was 100%. No serious complications such as pulmonary embolism occurred. Phlebitis was observed in two cases at 2 days 4 days after foam sclerotherapy respectively which was relieved after anti-inflammatory medication for 3 days. At the time of discharge, excellent result was seen in 12 (48%) limbs, good effect in 13 (52%) limbs. The total effective rate was 100%. Six months after the treatment, excellent effect was obtained in 15 (60%) limbs and good effect was seen in 10 (40%) limbs. The total effective rate was 100%. Conclusion: DSA-guided foam sclerotherapy is a safe, effective and micro-invasive treatment for varicose veins of lower limbs with high technical success rate, although the long-term clinical effect needs to be further evaluated. (authors)

  7. Incense smoke: clinical, structural and molecular effects on airway disease

    Directory of Open Access Journals (Sweden)

    Krishnaswamy Guha

    2008-04-01

    Full Text Available Abstract In Asian countries where the Buddhism and Taoism are mainstream religions, incense burning is a daily practice. A typical composition of stick incense consists of 21% (by weight of herbal and wood powder, 35% of fragrance material, 11% of adhesive powder, and 33% of bamboo stick. Incense smoke (fumes contains particulate matter (PM, gas products and many organic compounds. On average, incense burning produces particulates greater than 45 mg/g burned as compared to 10 mg/g burned for cigarettes. The gas products from burning incense include CO, CO2, NO2, SO2, and others. Incense burning also produces volatile organic compounds, such as benzene, toluene, and xylenes, as well as aldehydes and polycyclic aromatic hydrocarbons (PAHs. The air pollution in and around various temples has been documented to have harmful effects on health. When incense smoke pollutants are inhaled, they cause respiratory system dysfunction. Incense smoke is a risk factor for elevated cord blood IgE levels and has been indicated to cause allergic contact dermatitis. Incense smoke also has been associated with neoplasm and extracts of particulate matter from incense smoke are found to be mutagenic in the Ames Salmonella test with TA98 and activation. In order to prevent airway disease and other health problem, it is advisable that people should reduce the exposure time when they worship at the temple with heavy incense smokes, and ventilate their house when they burn incense at home.

  8. Clinical effects of CO2 laser on equine diseases

    Science.gov (United States)

    Lindholm, Arne; Svensson, Ulf; Collinder, Eje

    2002-10-01

    CO2 lasers has been used for five years at Malaren Equine Hospital, as an alternative treatment of some equine diseases. The application of CO2 laser has been studied for evaluation of its appropriateness for treatment of the equine diseases sarcoids, lameness in fetlock joints or pulmonary haemorrhage. During the last five years, above 100 equine sarcoids have been removed by laser surgery (CO2 laser) and so far resulting in significantly few recurrences compared with results from usual excision surgery. In one study, acute traumatic arthritis in fetlock joints was treated three times every second day with defocalised CO2 laser. The therapeutic effectiveness of CO2 laser in this study was better than that of the customary therapy with betamethasone plus hyaluronan. During one year, chronic pulmonary bleeders, namely exercise induced pulmonary haemorrhage, has been treated with defocalised CO2 laser. Six race horses have been treated once daily during five days. Until now, three of these horses have subsequently been successfully racing and no symptoms of pulmonary haemorrhage have been observed. These studies indicate that CO2 laser might be an appropriate therapy on sarcoids and traumatic arthritis, and probably also on exercise induced pulmonary haemorrhage. Other treatments for this pulmonary disease are few.

  9. Effect of Sea buckthorn on liver fibrosis: A clinical study

    Institute of Scientific and Technical Information of China (English)

    Ze-Li Gao; Xiao-Hong Gu; Feng-Tao Cheng; Fo-Hu Jiang

    2003-01-01

    AIM: To appraise the effect of sea buckthorn (Hippophae rhamnoides) on cirrhotic patients.METHODS: Fifty cirrhotic patients of Child-Pugh grade A and B were randomly divided into two groups: Group A as the treated group (n=30), taking orally the sea buckthom extract, 15 g 3 times a day for 6 months. Group B as the control group (n=18), taking vitamin B complex one tablet,3 times a day for 6 months. The following tests were performed before and after the treatment in both groups to determine LN, HA, collagens types Ⅲ and IV, cytokines IL6 and TNFα, liver serum albumin, total bile acid, ALT, AST and prothrombin time.RESULTS: The serum levels of TNFα, IL-6, laminin and type IV collagen in group A were significantly higher than those in the control group. After a course of sea buckthorn treatment, the serum levels of LN, HA, collagen types Ⅲand IV, total bile acid (TBA) decreased significantly as compared with those before and after treatment in the control group. The sea buckthorn notably shortened the duration for normalization of aminotransferases.CONCLUSION: Sea buckthom may be a hopeful drug for prevention and treatment of liver fibrosis.

  10. Incense smoke: clinical, structural and molecular effects on airway disease.

    Science.gov (United States)

    Lin, Ta-Chang; Krishnaswamy, Guha; Chi, David S

    2008-01-01

    In Asian countries where the Buddhism and Taoism are mainstream religions, incense burning is a daily practice. A typical composition of stick incense consists of 21% (by weight) of herbal and wood powder, 35% of fragrance material, 11% of adhesive powder, and 33% of bamboo stick. Incense smoke (fumes) contains particulate matter (PM), gas products and many organic compounds. On average, incense burning produces particulates greater than 45 mg/g burned as compared to 10 mg/g burned for cigarettes. The gas products from burning incense include CO, CO2, NO2, SO2, and others. Incense burning also produces volatile organic compounds, such as benzene, toluene, and xylenes, as well as aldehydes and polycyclic aromatic hydrocarbons (PAHs). The air pollution in and around various temples has been documented to have harmful effects on health. When incense smoke pollutants are inhaled, they cause respiratory system dysfunction. Incense smoke is a risk factor for elevated cord blood IgE levels and has been indicated to cause allergic contact dermatitis. Incense smoke also has been associated with neoplasm and extracts of particulate matter from incense smoke are found to be mutagenic in the Ames Salmonella test with TA98 and activation. In order to prevent airway disease and other health problem, it is advisable that people should reduce the exposure time when they worship at the temple with heavy incense smokes, and ventilate their house when they burn incense at home. PMID:18439280

  11. Feline leukaemia virus and its clinical effects in cats.

    Science.gov (United States)

    Mackey, L

    1975-01-01

    Feline leukemia virus (FeLV) infection is common among cats where contact is high. The virus can be transmitted readily between cats. It causes a variety of haemopoietic and lymphoid neoplasms; the most common types are alimentary, multicentric and thymic lymphosarcoma and lymphatic leukaemia. The virus is involved in the aetiology of certain other diseases including anaemia, glomerulonephritis and an immunosuppressive syndrome which predisposes cats to intercurrent infections. Many infected cats mount an immune response and do not suffer from any of these. The immune status is shown by serum antibody levels to feline leukaemia virus associated cell membrane antigens. Cats with a titre of 32 or more are most unlikely to suffer any ill effects and may eliminate the virus infection. The outcome of infection in an individual cat depends on the immunological competence of the cat, the dose of virus received and its ability to induce immunosuppression. FeLV infection can be detected by examination of tissues by electron microscopy, and by culture of virus from plasma and other tissues. In the United States, a method is now in use for the detection of leukaemia virus antigen in peripheral blood leukocytes; this is carried out on ordinary blood films. Successful prototype vaccines have been developed against FeLV. This paper describes the natural history of the virus, the diseases in which it is implicated and discusses recently developed diagnostic methods. PMID:163515

  12. Effects of Dielectric Values and Substrate Materials on Electromagnetic (EM) Absorption in Human Head

    Science.gov (United States)

    Faruque, Mohammad Rashed Iqbal; Islam, Mohammad Tariqul; Misran, Norbahiah

    2012-03-01

    The aim of this study was to considered possible discrepancy in electromagnetic (EM) fascination in the human head. Commercially available software CST Microwave Studio based on the finite-difference time-domain (FDTD) method was adopted in this study. In this calculation, the conductivity and permittivity of all tissues were increased from 10 to 20% except using if not the same revelation conditions. Familiar cellular phone frequencies of 835, 900, and 1900 MHz were investigated in this research. The rise of up to 20% in conductivity, permittivity and varied substrate material always caused a SAR variation of 30.42% for SAR 1 g and 23.75% for SAR 10 g at 835 MHz, variation of 22.41% for SAR 1 g and 21.96% for SAR 10 g at 900 MHz and variation of 11.96% for SAR 1 g and 14.29% for SAR 10 g at 1900 MHz respectively.

  13. The Effect of Chewing Sugar Free Gum after Elective Cesarean-Delivery on Return of Bowel Function in Primiparous Women:

    OpenAIRE

    F Safdari Dehcheshmeh

    2012-01-01

    <em>Background and Objectives:em> An important cause of delayed recovery from abdominal surgery is delay in return of bowel Function. The aim of the present study was to assess the effects of chewing sugar free gum after elective Cesarean-delivery on return of bowel function in primiparous women in Hajar hospital of Shahrekord. <em>Methods:> In a randomized clinical trial, 120 patients, who were s...

  14. Dados clínicos e da audição em indivíduos com Síndrome de Alport Clinical data and hearing of individuals with Alport syndrome

    Directory of Open Access Journals (Sweden)

    Fatima Regina Abreu Alves

    2008-12-01

    Full Text Available A Síndrome de Alport (SA é uma desordem hereditária, caracterizada por nefropatia, muitas vezes, com perda auditiva sensorioneural e com defeitos oculares. OBJETIVO: Analisar os dados clínicos e da audição em indivíduos com SA, com ênfase na correlação entre alteração renal e perda auditiva (PA. FORMA DE ESTUDO: clínico prospectivo com coorte transversal. CASUÍSTICA E MÉTODO: 37 indivíduos realizaram avaliação otorrinolaringológica e testes audiológicos. Foram considerados para a análise estatística da PA os resultados das audiometrias de tons puros. RESULTADOS: Nos 28 indivíduos que apresentavam alterações clínicas foram encontrados 46,4% de DLX e 53,6% de AD. A PA ocorreu em 46,1% dos avaliados. 12 pacientes tinham PA no exame audiométrico 11,5%, leve e 34,6%, moderada. Comparados os familiares normais aos que tinham alteração renal, todos os que apresentavam PA mostravam comprometimento renal. Em 30,8% a configuração era descendente suave em agudos e em 11,5% era plana. CONCLUSÕES: A distribuição dos padrões de herança não coincide com o descrito na literatura. A PA é um achado extra-renal freqüente. Existe associação entre acometimento renal e PA (p= 0,009. As configurações mais freqüentes foram: descendente suave em agudos e plana. Não há associação entre a PA e a idade. Não existe correlação entre PA e sexo neste grupo.Alport Syndrome (AS is a hereditary disease, characterized by nephropathy, often times with sensorineural hearing loss and ocular defects. AIM: to analyze the clinical and hearing information from individuals with AS, more specifically the correlation between renal disorder and hearing loss (HL. STUDY DESIGN: clinical prospective with cross-sectional cohort. MATERIALS AND METHODS: 37 individuals underwent otorhinolaryngological evaluation and were submitted to audiologic tests. For HL statistical analysis we considered only the results from the pure tone audiometries

  15. The effect of in-training assessment on clinical confidence in postgraduate education

    DEFF Research Database (Denmark)

    Ringsted, Charlotte; Pallisgaard, Jane; Østergaard, Doris;

    2004-01-01

    through its content, format and programming. The aim of this study was to investigate the effect of introducing a structured ITA programme on junior doctors' clinical confidence. The programme was aimed at first year trainees in anaesthesiology. METHODS: The study involved a nationwide survey of junior...... doctors' self-confidence in clinical performance before (in 2001) and 2 years after (in 2003) the introduction of an ITA programme. Respondents indicated confidence on a 155-item questionnaire related to performance of clinical skills and tasks reflecting broad aspects of competence. A total of 23 of...... to the programme nor in those that were unrelated to the programme. DISCUSSION: This study demonstrates that the introduction of a structured ITA programme did not have any significant effect on trainees' mean level of confidence on a broad range of aspects of clinical competence. The importance of...

  16. Safety and effectiveness considerations for clinical studies of visual prosthetic devices

    Science.gov (United States)

    Cohen, Ethan D.

    2007-03-01

    With the advent of new designs of visual prostheses for the blind, FDA is faced with developing guidance for evaluating their engineering, safety and patient performance. Visual prostheses are considered significant risk medical devices, and their use in human clinical trials must be approved by FDA under an investigation device exemption (IDE). This paper contains a series of test topics and design issues that sponsors should consider in order to assess the safety and efficacy of their device. The IDE application includes a series of pre-clinical and clinical data sections. The pre-clinical section documents laboratory, animal and bench top performance tests of visual prostheses safety and reliability to support a human clinical trial. The materials used in constructing the implant should be biocompatible, sterile, corrosion resistant, and able to withstand any forces exerted on it during normal patient use. The clinical data section is composed of items related to patient-related evaluation of device performance. This section documents the implantation procedure, trial design, statistical analysis and how visual performance is assessed. Similar to cochlear implants, a visual prosthesis is expected to last in the body for many years, and good pre-clinical and clinical testing will help ensure its safety, durability and effectiveness.

  17. The effects of glutamine-supplemented diet on the intestinal mucosa of the malnourished growing rat Os efeitos de dieta com suplementação de glutamina sobre a mucosa intestinal do rato desnutrido em crescimento

    Directory of Open Access Journals (Sweden)

    Uenis Tannuri

    2000-06-01

    Full Text Available Glutamine is the most abundant amino acid in the blood and plays a key role in the response of the small intestine to systemic injuries. Mucosal atrophy is an important phenomenon that occurs in some types of clinical injury, such as states of severe undernutrition. Glutamine has been shown to exert powerful trophic effects on the gastrointestinal mucosa after small bowel resection or transplant, radiation injury, surgical trauma, ischemic injury and administration of cytotoxic drugs. Since no study has been performed on the malnourished animal, we examined whether glutamine exerts a trophic effect on the intestinal mucosa of the malnourished growing rat. Thirty-five growing female rats (aged 21 days were divided into 4 groups: control - chow diet; malnutrition diet; malnutrition+chow diet; and malnutrition+glutamine-enriched chow diet (2%. For the first 15 days of the experiment, animals in the test groups received a malnutrition diet, which was a lactose-enriched diet designed to induce diarrhea and malnutrition. For the next 15 days, these animals received either the lactose-enriched diet, a regular chow diet or a glutamine-enriched chow diet. After 30 days, the animals were weighed, sacrificed, and a section of the jejunum was taken and prepared for histological examination. All the animals had similar weights on day 1 of experiment, and feeding with the lactose-enriched diet promoted a significant decrease in body weight in comparison to the control group. Feeding with both experimental chow-based diets promoted significant body weight gains, although the glutamine-enriched diet was more effective. RESULTS: The morphological and morphometric analyses demonstrated that small intestinal villous height was significantly decreased in the malnourished group, and this change was partially corrected by the two types of chow-based diet. Crypt depth was significantly increased by malnutrition, and this parameter was partially corrected by the two

  18. Spatial based Expectation Maximizing (EM)

    OpenAIRE

    Balafar M A

    2011-01-01

    Abstract Background Expectation maximizing (EM) is one of the common approaches for image segmentation. Methods an improvement of the EM algorithm is proposed and its effectiveness for MRI brain image segmentation is investigated. In order to improve EM performance, the proposed algorithms incorporates neighbourhood information into the clustering process. At first, average image is obtained as neighbourhood information and then it is incorporated in clustering process. Also, as an option, us...

  19. Effect of prehospital ultrasound on clinical outcomes of non-trauma patients

    DEFF Research Database (Denmark)

    Rudolph, Søren Steemann; Sørensen, Martin Kryspin; Svane, Christian;

    2014-01-01

    BACKGROUND: Advances in technology have made prehospital ultrasound (US) examination available. Whether US in the prehospital setting can lead to improvement in clinical outcomes is yet unclear. OBJECTIVE: The aim of this systematic review was to assess whether prehospital US improves clinical...... studies were of large heterogeneity and all showed a high risk of bias. We were thus unable to assess the effect of prehospital US on clinical outcomes. However, consistent reports suggested that US may improve patient management with respect to diagnosis, treatment, and hospital referral....

  20. Measuring patient safety in a UK dental hospital: development of a dental clinical effectiveness dashboard.

    Science.gov (United States)

    Pemberton, M N; Ashley, M P; Shaw, A; Dickson, S; Saksena, A

    2014-10-01

    Patient safety is an important marker of quality for any healthcare organisation. In 2008, the British Government white paper entitled High quality care for all, resulting from a review led by Lord Darzi, identified patient safety as a key component of quality and discussed how it might be measured, analysed and acted upon. National and local clinically curated metrics were suggested, which could be displayed via a 'clinical dashboard'. This paper explains the development of a clinical effectiveness dashboard focused on patient safety in an English dental hospital and how it has helped us identify relevant patient safety issues in secondary dental care. PMID:25303591

  1. Fatores de risco, aspectos clínicos e laboratoriais da asma em crianças Risk factors, clinical and laboratory aspects of asthma in children

    Directory of Open Access Journals (Sweden)

    Líllian S.L. Moraes

    2001-12-01

    Full Text Available OBJETIVO: avaliar os aspectos clínicos, laboratoriais, e os fatores de risco associados à asma em crianças atendidas no Ambulatório de Pediatria, do Hospital Universitário Júlio Müller. Método: estudo de caso-controle, incluindo 59 crianças asmáticas (casos e 104 não-asmáticas (controles. Os seguintes fatores foram considerados para análise de risco: escolaridade dos pais, exposição aos alérgenos domiciliares, tabagismo passivo, aleitamento materno, renda e antecedentes familiares alérgicos. Foram coletadas amostras de sangue para hemograma e dosagem de IgE total e específica para alérgenos. Realizou-se teste cutâneo de hipersensibilidade imediata pelo método de puntura para os seguintes alérgenos: ácaros, animais, fungos e baratas com controles positivo (histamina e negativo (solução fisiológica.Um modelo de regressão logística foi usado para calcular odds ratio (OR e intervalo de confiança (IC 95% ajustado para outros fatores de risco e confundidores. RESULTADOS: dentre os fatores de risco estudados, sexo, baixa escolaridade, baixa renda, tempo de aleitamento materno e tabagismo passivo não estiveram associados à ocorrência de asma. A exposição aos alérgenos foi semelhante nos dois grupos, a não ser pela maior freqüência de animais nos domicílios dos controles (c²=16,9; P OBJECTIVE: to evaluate the clinical and laboratory aspects and the risk factors associated with asthma in children treated at the Pediatric Outpatient Clinic of Hospital Universitário Júlio Müller. METHODS: A case-control study including 59 asthmatic children (cases and 104 nonasthmatic children (controls. The following factors were considered for risk analysis: parents' level of education, domestic exposure to allergens, passive smoking, breast feeding, low income, and family history of allergy. Samples of blood were collected for hemogram and to determine the total serum IgE as well as the one specific to allergens. Immediate

  2. Efeito de doses reduzidas de oxyfluorfen em cultivares de algodoeiro Effect of reduced oxyfluorfen rates on cotton cultivars

    Directory of Open Access Journals (Sweden)

    O.M. Yamashita

    2008-01-01

    Full Text Available O agronegócio do algodão apresenta-se, no Brasil, como uma atividade de grande importância para a economia nacional, ocupando posição de destaque no processo produtivo do Estado do Mato Grosso. Para que a cultura possa expressar o máximo potencial produtivo, é necessária a adoção de técnicas de manejo e práticas agronômicas, visando o controle das plantas daninhas. A fim de que a lavoura se mantenha limpa e livre de matocompetição, o controle químico é o método mais utilizado. Os herbicidas registrados para algodão devem ser aplicados, quando do estabelecimento da cultura, em jato dirigido. O contato desses produtos, como o oxyfluorfen, nas folhas pode incorrer em fitointoxicação e prejuízos para o produtor. O objetivo do presente trabalho foi mensurar o potencial de danos provocados pelo oxyfluorfen, quando em contato com diferentes cultivares de algodoeiro em estádio inicial de desenvolvimento. Para isso, foram avaliados cinco cultivares, tratados com 90 e 180 g ha-1 do herbicida, aplicado em plantas com 15 e 30 dias de emergência. Quanto às variáveis analisadas (fitointoxicação, altura de planta, número de folhas, massa seca de planta, foi possível observar que não houve diferença entre cultivares e que as plantas menores foram mais afetadas que as mais velhas, havendo aumento dos danos à medida que as doses eram aumentadas.Cotton agribusiness is a very important economic activity in Brazil, occupying a prominent position in the productive process of the state of Mato Grosso. For cotton crop to express its maximum productive potential, it is necessary to adopt handling techniques and agronomic practices seeking the control of weeds. For farming to stay clean and free from weed competition, chemical control is the most frequently used method. The herbicides registered for cotton crop should be applied when the culture is established in driven jet. The contact of products, such as oxyfluorfen, on the leaves may

  3. Effective Strategies for Global Health Research, Training and Clinical Care: A Narrative Review

    OpenAIRE

    2014-01-01

    The purpose of this narrative review was to synthesize the evidence on effective strategies for global health research, training and clinical care in order to identify common structures that have been used to guide program development. A Medline search from 2001 to 2011 produced 951 articles, which were reviewed and categorized. Thirty articles met criteria to be included in this review. Eleven articles discussed recommendations for research, 8 discussed training and 11 discussed clinical car...

  4. Early seizures in patients with acute stroke: Frequency, predictive factors, and effect on clinical outcome

    OpenAIRE

    Andrea Alberti; Maurizio Paciaroni; Valeria Caso; Michele Venti; Francesco Palmerini; Giancarlo Agnelli

    2008-01-01

    Andrea Alberti, Maurizio Paciaroni, Valeria Caso, Michele Venti, Francesco Palmerini, Giancarlo AgnelliStroke Unit and Division of Internal and Cardiovascular Medicine, University of Perugia, Perugia, ItalyBackground: Early seizure (ES) may complicate the clinical course of patients with acute stroke. The aim of this study was to assess the rate of and the predictive factors for ES as well the effects of ES on the clinical outcome at hospital discharge in patients with first-ever stroke.Patie...

  5. Validating the effectiveness of Clinically Oriented Physiology Teaching (COPT) in undergraduate physiology curriculum

    OpenAIRE

    Ramnarayan Komattil; Abraham Reem; Kamath Asha

    2008-01-01

    Abstract Background It has been proved that basic science knowledge learned in the context of a clinical case is actually better comprehended and more easily applied by medical students than basic science knowledge learned in isolation. The present study intended to validate the effectiveness of Clinically Oriented Physiology Teaching (COPT) in undergraduate medical curriculum at Melaka Manipal Medical College (Manipal Campus), Manipal, India. Methods COPT was a teaching strategy wherein, stu...

  6. The effect of concept mapping on clinical decision making skills of ICU nurses

    OpenAIRE

    Fakhri Dokht Akbari; Malahat Nikravan Mofrad; Azam Dabirian

    2014-01-01

    Introduction: Concept mapping is an innovative tool that would help hospital educators and nurses to promote their knowledge and clinical decision making skills. The aim of this study was to investigate the effect of concept mapping on clinical decision making skills of nurses working in the intensive care unit (ICU). Methods: The quasi-experimental, non-equivalent control group, pretest-posttest design was conducted among baccalaureate nurses working in an intensive care unit. Forty two nur...

  7. Clinical teaching in restorative dentistry and the variation between students' and supervisors' perceptions of its effectiveness.

    LENUS (Irish Health Repository)

    Polyzois, I

    2010-05-01

    To investigate if there was an agreement between the students and supervisors on the quality of clinical teaching in Restorative Dentistry in the Dublin Dental School and Hospital and to identify differences on how effective clinical teaching is perceived between three academic years. In addition it aimed to identify the existence of any similarities between students\\' and supervisors\\' perceptions of specific teaching behaviours that are most and least helpful in learning.

  8. Clinical observation of the therapeutic effect of soybean isoflavone on high altitude polycythemia

    OpenAIRE

    Jian-hua CUI; Yang, Hai-Jun; Gao, Liang; Guang-quan MA; Sheng-hong YANG; Rong-cheng CAO; Hong-yun WANG; Dong-feng ZENG; Li, Jia-Li; Kong, Pei-Yan

    2014-01-01

    Objective To observe the therapeutic effect of soybean isoflavone on high altitude polycythemia (HAPC). Methods At an area of above 5000m altitude, 38 patients clinically diagnosed as HAPC were orally administered soybean isoflavone capsule in 20mg/time, 2 times/d for three months. Before and after administration, the clinical manifestations of all the patients were observed, and ultrasonic cardiography was used to evaluate right ventricular end-diastolic dimension (RVED), right ventricular a...

  9. Advazorb® foam range: providing clinical performance and cost-effectiveness

    OpenAIRE

    Cook, Leanne

    2011-01-01

    The use of advanced wound dressings currently presents a costly burden to the NHS. Subsequently, clinicians need to ensure that such dressings are used appropriately and are clinically effective. This article discusses the merits of foam dressings within wound care and describes three clinical case reports using Advazorb® foam dressings (Advancis Medical) in the treatment of acute/chronic wounds. These foam dressings include a range of wound care solutions, which have been found to be clinica...

  10. Prevalence of herpesviruses in gingivitis and chronic periodontitis: relationship to clinical parameters and effect of treatment

    OpenAIRE

    Rucha Shah; Dhoom Singh Mehta

    2016-01-01

    Background: Assess the prevalence of herpesviruses in healthy subjects, gingivitis, and chronic periodontitis patients, to assess the relationship between the prevalence of herpesviruses and periodontal clinical parameters, and to evaluate the effect of phase-I therapy on the level of viral detection. Materials and Methods: Hundred patients consisting of 20 healthy subjects, 40 gingivitis, and 40 chronic periodontitis were included in the study. Clinical parameters recorded included plaque in...

  11. Xylitol and its effect on oral ecology : clinical studies in children and adolescents

    OpenAIRE

    Lif Holgerson, Pernilla

    2007-01-01

    Xylitol, classified as a natural sugar substitute, has for about 35 years been known as an agent that may act against caries. The mechanism of action; how it inhibits mutans streptococci (MS) and the clinical dose-response relationship are not however fully investigated. The general aim of the investigations was to evaluate the effect of xylitol on oral ecology in children and adolescents. A series of experimental and controlled clinical trials were performed in which samples of saliva and pl...

  12. Effects of Vitamin D Intake on FEV1 and COPD Exacerbation: A Randomized Clinical Trial Study

    OpenAIRE

    2015-01-01

    Aim: This study aimed to evaluate the effects of vitamin D intake on COPD exacerbation and FEV1 in the patients with severe and very severe COPD. Methods: This double blind placebo control randomized clinical trial study was done in the Ashayer university hospital in Khorramabad in 2012. Eighty eight patients with severe and very severe COPD were randomly selected from those who recoursed to the internal medicine clinic of Ashayer hospital. They were randomly allocated to case and placebo gro...

  13. Effect of a cataract simulation on clinical and real world vision.

    OpenAIRE

    Elliott, D B; Bullimore, M A; Patla, A E; Whitaker, D

    1996-01-01

    AIMS/BACKGROUND: Many reports have indicated that some patients with cataract can retain good visual acuity but complain of significant visual problems. This is the first in a series of papers trying to determine what causes these symptoms and whether other clinical tests can predict the real world vision loss. METHODS: The effect of a cataract simulation with a similar angular distribution of light scatter as real cataract on clinical (visual acuity, contrast sensitivity, and disability glar...

  14. Effect of Compound Sulfadiazine Suspension on Growth Performance of Broiler in Clinical Efficacy Trial

    OpenAIRE

    Leilei Wang; Li Zhao; Zhihui Hao; Kefeng Xiao; Fenfang Yang; Zhaopeng Ding

    2014-01-01

    Compound Sulfadiazine suspension is used mainly to prevent and cure E. coli, Salmonella infection of chicken in veterinary clinical application. Effect of compound Sulfadiazine suspension on growth performance of broiler in clinical efficacy trial was studied in the study. One hundred eighty 15-day-old broilers were divided randomly into six groups, blank control group, negative control group, Trisulmixos gavage group, Trisulmixos drinking group, Sufuning gavage group and Sufuning drinking gr...

  15. Cost-effectiveness of HIV screening of patients attending clinics for sexually transmitted diseases in Amsterdam

    NARCIS (Netherlands)

    Bos, JM; Fennema, JSA; Postma, MJ

    2001-01-01

    Objective: To estimate the cost-effectiveness of universal HIV screening of patients attending a clinic for sexually transmitted diseases (STD) in Amsterdam. Design: Cost effectiveness analysis. Methods: A Bernoulli model for the secondary transmission of HIV was linked with epidemiological data on

  16. Clinical effects of proton pump inhibitors: Focus on pharmacogenetics, kinetics and dynamics

    NARCIS (Netherlands)

    N.G.M. Hunfeld (Nicole)

    2010-01-01

    textabstractThis thesis describes the clinical effects of proton pump inhibitors, with focus on pharmacogenetics, kinetics and dynamics. The aims were to investigate the occurence of Rebound Acid Hypersecretion and to investigate the speed of onset, the duration of effect and the difference in acid-

  17. Efeito da embalagem e temperatura de armazenamento em repolho minimamente processado Minimally processed cabbage: effects of packaging and storage temperature

    OpenAIRE

    Maria Madalena Rinaldi; Benedito Carlos Benedetti; Luciana Calore

    2005-01-01

    O objetivo deste trabalho foi avaliar as alterações no repolho minimamente processado quando armazenado em diferentes embalagens e temperaturas. O processamento mínimo consistiu em seleção, classificação e resfriamento da matéria-prima, seguido do processo de corte em tiras, enxágüe em água tratada para a remoção dos exudados celulares, sanitização em solução com 150mgL-1 de cloro ativo, enxágüe, centrifugação, pesagem, acondicionamento em bandejas de poliestireno expandido, revestidas com fi...

  18. Rapid serum agglutination and agar gel immunodiffusion tests associated to clinical signs in rams experimentally infected with Brucella ovis Teste de soro aglutinação rápida e do teste de imunodifusão em gel de ágar associados aos sinais clínicos em carneiros infectados experimentalmente com Brucella ovis

    Directory of Open Access Journals (Sweden)

    Cristiane Nakada Nozaki

    2011-08-01

    Full Text Available The purpose of this study was to evaluate the agar gel immunodiffusion and the rapid serum agglutination tests associated to clinical signs in rams experimentally infected with Brucella ovis. The serological profile during the 12 months of infection showed a large fluctuation of antibodies that favors the failure in the diagnostic. The evaluation of tests after the experimental infection allowed to suggest that none of the tests were able to detect the infection throughout the period of study. The study reinforces the importance of considering the clinical signs to support the diagnosis of Brucella ovis infection in rams.O objetivo deste estudo foi avaliar o uso do teste de imunodifusão em gel de ágar e o teste sorológico de aglutinação rápida comparados aos sinais clínicos em carneiros infectados experimentalmente com Brucella ovis para o diagnóstico confirmatório da brucelose ovina. O perfil sorológico durante os 12 meses pós-infecção mostrou flutuação da resposta por anticorpos, que favorece a falha no diagnóstico. A avaliação dos testes indicou que nenhum dos testes foi capaz de detectar a infecção durante todo o período de estudo. O estudo ressalta a importância de considerar os sinais clínicos para apoiar o diagnóstico confirmatório da infecção por Brucella ovis em carneiros.

  19. Comparison of FBP and ML-EM reconstruction used by simulation data. Effect of the projection number for the SPECT image

    International Nuclear Information System (INIS)

    The influence of the numbers of projection of single photon emission computed tomography (SPECT) exerting on a re-constructed image cannot be strictly evaluated by phantom studies. Therefore, we compared re-constructed images of the filtered back projection (FBP) method and the maximum likelihood-expectation maximization (ML-EM) method by using simulation data. Simulation data was entered in the image processing software, and the projection data that changed the numbers of projection was made. Afterwards, reconstructed images of the FBP and the ML-EM methods were compared with respect to contrast, %COV, and the normalized mean square error (NMSE) value. When the numbers of projection of the FBP and the ML-EM method were decreased, all of the contrast, %COV, and the NMSE value were more deteriorated than that of the ideal image. Therefore, the image quality of SPECT improves with both FBP and ML-EM methods when there are many numbers of projection. Moreover, the FBP method was excellent in a cold contrast, and the ML-EM method was uniformly excellent. Therefore, an understanding of features and their inspection are effective for the selection of each image reconstruction method. (author)

  20. Efeitos da calagem em semedura direta de milho Effect of lime application on no-tillage corn

    Directory of Open Access Journals (Sweden)

    Josinei Antonio Tissi

    2004-12-01

    Full Text Available As conseqüências das alterações químicas do solo, decorrentes da calagem na superfície, sobre o crescimento radicular e a nutrição do milho cultivado em semeadura direta são pouco conhecidas. Com o objetivo de avaliar os efeitos da aplicação superficial de calcário nos atributos químicos do solo, no crescimento de raízes e na nutrição da planta de milho, e seus reflexos sobre o rendimento de grãos, foi realizado um experimento em Latossolo Vermelho distrófico textura muito argilosa, manejado há seis anos em semeadura direta, em Tibagi (PR. Os tratamentos, aplicados em parcelas de 44,8 m², foram dispostos em blocos completos ao acaso com quatro repetições e constaram da aplicação de quatro doses de calcário dolomítico na superfície: 0, 1, 2 e 3 t.ha-1 (PRNT = 100%. As doses de calcário (27% de CaO, 20% de MgO e 85% de PRNT foram baseadas no requerimento de 1/3, 2/3 e na quantidade total calculada para elevar a saturação por bases do solo, na camada de 0-20 cm, a 70%. A calagem, após 22 meses, aumentou o pH em CaCl2 0,01 mol.L-1, os teores de Ca e Mg trocáveis e a saturação por bases, e reduziu os teores de H + Al e de Al trocável, na camada superficial do solo (0-10 cm, e ocasionou aumento de Ca trocável e redução de Al trocável no subsolo (20-40 cm. A aplicação superficial de doses de calcário não alterou o comprimento e a distribuição relativa de raízes de milho até a profundidade de 40 cm, reduziu o raio médio de raízes e aumentou a absorção de P, Ca, Mg e S pelas plantas, sem causar reflexos sobre o rendimento de grãos. Os teores de Cu, Fe, Mn e Zn no solo e no tecido foliar do milho, bem como sua absorção pelas plantas, não foram alterados com a aplicação de calcário na superfície.The effects of superficial lime application on chemical soil attributes under no-tillage systems and its influence on root growth and mineral nutrition in maize crops have not been thoroughly investigated

  1. Apoptotic effects of inositol hexaphosphate on biomarker Itpr3 in induced colon rat carcinogenesis Efeito de apoptose do inositol hexafosfato no marcador biológico Itpr3 em carcinogênese induzida de colo em ratos

    Directory of Open Access Journals (Sweden)

    Marks Guido

    2008-04-01

    Full Text Available PURPOSE: To study the effect of the modulation of inositol hexaphosphate (IP6 in the biological immunohistochemistry expression of cellular signaling marker apoptosis, in model of carcinogenesis of colon induced by azoxymethane (AOM. METHODS: Wistar rats (N=112 distributed in 4 groups (n=28: Control; B, AOM (5 mg kg-1, 2x, to break week 3; C, IP6 (in water 1%, six weeks; D, IP6+AOM. Weekly euthanasia (n=7, from week three. Immunohistochemistry of ascendant colon with biological marker inositol 1,4,5 triphosphate receptor type III (Itpr3. Quantification of the immune-expression with use of computer-assisted image processing. Analysis statistics of the means between groups, weeks in groups, groups in weeks, and established significance when pOBJETIVO: Estudar os efeitos da modulação do inositol hexafosfato (IP6 na expressão imunoistoquímica de marcador biológico de sinalização celular de apoptose, em modelo de carcinogênese induzida pelo azoximetano (AOM. MÉTODOS: Ratos Wistar (N=112 distribuídos em 4 grupos (n=28: A, controle; B, AOM (5 mg Kg-1, 2x, a partir semana 3; C, IP6 (em água a 1%, seis semanas; D, IP6+AOM. Eutanásia semanal (n=7, a partir de semana três. Imunoistoquímica de colo ascendente com marcador biológico inositol 1,4,5 trisphosphate receptor type III (Itpr3. Quantificação da imunoexpressão com uso de processamento imagem assistida computador. Análise estatística da expressão média entre grupos, semanas em grupos e grupos em semanas, e estabelecido significância quando p<0.05. RESULTADOS: Evidenciou-se diferença significante entre grupos na expressão de Itpr3, p<0.0001; com diminuição Itpr3 de grupo BxD, p<0.001. CONCLUSÃO: O inositol hexafostato promove a modulação de marcador biológico com diminuição Itpr3 em carcinogênese de colo.

  2. Efeito do cálcio no controle da Hypsipila grandella em mudas de mogno cultivadas em hidroponia Effect of the calcium in the control of the Hypsipila grandella in young mahogany cultivated in hidroponics system

    Directory of Open Access Journals (Sweden)

    Sandra Andréa Santos da Silva

    2009-01-01

    Full Text Available Este trabalho teve como objetivo avaliar o teor de cálcio e o efeito do ataque da lagarta H. grandella em plantas jovens de mogno (S. macrophylla, cultivadas em função de diferentes épocas de aplicação de doses crescentes de cálcio no substrato sílica moída, utilizando sistema hidropônico. O experimento foi instalado em casa de vegetação na Universidade Federal Rural da Amazônia (UFRA, Belém-PA, de setembro de 2004 a fevereiro de 2005. Utilizou-se cinco doses de cálcio (0, 80, 160, 240, 320 mg Ca.L-1, em solução nutritiva proposta por Hoagland & Arnon, modificada por Epstein (1975. O delineamento experimental foi inteiramente casualizado (DIC, as variáveis utilizadas para avaliação foram a susceptibilidade do mogno ao ataque da broca H. grandella, comprimento da galeria da broca e o teor de cálcio no caule. Foi realizado um DIC com cinco doses de cálcio, cinco repetições cada, e duas épocas de inoculação da broca. Utilizou-se regressões lineares simples para interpretação dos dados. Através da pesquisa, conclui-se que a aplicação de doses de cálcio, em solução nutritiva, reduziu o comprimento da galeria de infecção e exerce eficiente ação no controle do ataque da praga em plantas de mogno.The objective of this research was to evaluate the leaf level of calcium and the effect attack by caterpillar H. grandella to young mahogany (S. macrophylla plants cultivated in a nutritive solution. This solution was that proposed by Hoagland and Arnon modified by Epstein (1975. The experiment was carried out in the greenhouse of the Federal Rural University of Amazonas (UFRA, at Belem, Para, from September 2004 to February 2005. A split plot experimental desing with five replicates was used. The plots were five doses of calcium (0, 80, 160, 240, 320 mg Ca.L-1 and the subplots two times of harvesting the plants (189 e 211 days after planting for the variables sensitivity of mahogany seedlings to attack of the drill

  3. Epilepsia occipital benigna da infância de início precoce (tipo Panayiotopoulos: aspectos clínicos e eletrencefalográficos evolutivos em 14 crianças Early-onset benign childhood occipital epilepsy (Panayiotopoulos type: clinical and electroencephalographic features in 14 children

    Directory of Open Access Journals (Sweden)

    Lineu Correa Fonseca

    2005-06-01

    Full Text Available Foram estudadas as características evolutivas clínico-eletrencefalográficas de 14 crianças com epilepsia occipital benigna da infância de início precoce (tipo Panayiotopoulos. O tempo médio de segmento foi 50,5 meses. A idade média na primeira crise foi 3,7 anos. O número total de crises foi até 3 crises em 11 casos, numerosas em 3; o período médio entre a primeira e a última crise foi 14,5 meses. Em 4 casos as crises tiveram duração prolongada, constituindo estado de mal parcial. Atividade epileptiforme (AE occipital foi observada em todos os casos no primeiro EEG e, foi também, extra-occipital, em 3 casos. Houve bloqueio da AE occipital, pela abertura dos olhos, em 4 casos; em 3 casos foram observadas, também, pontas evocadas. O EEG normalizou-se em 9 casos, em um período médio de 29 meses.We studied clinical and electroencephalographic features of 14 children, age range of 2 -8 years, with no neurological or neuroradiological evidence of brain damage and with occipital epileptiform activity in the EEG. Seizures were numerous in 3 cases. Age at onset was between 1-7 years. In 4 cases the seizures last for more than 20 min. Spikes were observed in 6 cases and spike and slow-wave complex in 8. Discharges blocking by eyes opening were confirmed in 4 cases. Somatosensory evoked spikes by foot stimulation were observed in 2 cases. Autonomic and versive seizures are the main clinical manifestations of Panayiotopoulos syndrome. Discharges blocking by eyes opening are a less frequent feature.

  4. A framework for effective management of change in clinical practice: dissemination and implementation of clinical practice guidelines.

    Science.gov (United States)

    Moulding, N T; Silagy, C A; Weller, D P

    1999-09-01

    Theories from social and behavioural science can make an important contribution to the process of developing a conceptual framework for improving use of clinical practice guidelines and clinician performance. A conceptual framework for guideline dissemination and implementation is presented which draws on relevant concepts from diffusion of innovation theory, the transtheoretical model of behaviour change, health education theory, social influence theory, and social ecology, as well as evidence from systematic literature reviews on the effectiveness of various behaviour change strategies. The framework emphasises the need for preimplementation assessment of (a) readiness of clinicians to adopt guidelines into practice, (b) barriers to change as experienced by clinicians, and (c) the level at which interventions should be targeted. It also incorporates the need for multifaceted interventions, identifies the type of barriers which will be addressed by each strategy, and develops the concept of progression through stages of guideline adoption by clinicians, with the use of appropriately targeted support strategies. The potential value of the model is that it may enable those involved in the process of guideline dissemination and implementation to direct strategies to target groups more effectively. Clearly, the effectiveness and utility of the model in facilitating guideline dissemination and implementation requires validation by further empirical research. Until such research is available, it provides a theoretical framework that may assist in the selection of appropriate guideline dissemination and implementation strategies. PMID:10847875

  5. Estudo clínico e padrão de herança em pacientes com retinose pigmentar Clinical study and pattern of inheritance in patients with retinitis pigmentosa

    Directory of Open Access Journals (Sweden)

    Ana Cristina Cotta de Queiroz

    2013-02-01

    Full Text Available OBJETIVO: Realizar análise epidemiológica de pacientes com retinose pigmentar (RP, caracterizando aspectos clínicos da doença e o padrão de herança encontrado em nosso meio, de acordo com a presença ou não de síndrome de Usher. MÉTODOS: Foram estudados 155 pacientes com RP, tendo sido a amostra dividida em 2 grupos: grupo 1 (n=130, com pacientes diagnosticados com RP clássica, sem associação com alterações sistêmicas; e grupo 2 (n=25, com pacientes diagnosticados com Síndrome de Usher (USH. Foram caracterizados aspectos clínicos da doença (sexo, idade, sintomas oculares, acuidade visual, alterações do segmento anterior e posterior e alterações em exames complementares e o padrão de herança encontrado. Os dados foram obtidos através de anamnese, exame oftalmológico completo e exames subsidiários (campo visual manual, eletrorretinograma, retinografia simples e fluorescente, no período de fevereiro de 2003 a dezembro de 2009. Foi utilizado o programa SPSS versão 13.0 para análise dos dados estatísticos. RESULTADOS: A herança autossômica recessiva foi a forma mais comumente encontrada (76,2% no grupo 1, mas em proporção maior do que a de outros trabalhos da literatura. Um menor número de casos com padrão recessivo ligado ao X (1,5% também foi notado no grupo 1. Não houve diferença estatisticamente significante entre as características clínicas entre os dois grupos. CONCLUSÃO: O padrão de herança encontrado nos pacientes com RP clássica foi similar ao encontrado em outros trabalhos. As características clínicas foram semelhantes nos dois grupos estudados.OBJECTIVE: To make an epidemiological analysis of patients with retinitis pigmentosa (RP, characterizing clinical aspects of the disease and the pattern of inheritance found in the population studied, according to the presence or not of Usher Syndrome. METHODS: 155 patients with RP were studied and the sample was divided into two groups: group 1 (n

  6. Alterações clínicolaboratoriais em pacientes com malária por Plasmodium vivax e deficiência de glicose-6-fosfato desidrogenase tratados com 0,50mg/kg/dia de primaquina Clinical and laboratorial alterations in Plasmodium vivax malaria patients and glucose-6-phosphate dehydrogenase deficiency treated with primaquine at 0.50mg/kg/day

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    Mônica C.M. Silva

    2004-06-01

    Full Text Available O efeito adverso da primaquina na dose de 0,50mg/kg/dia foi investigado em onze pacientes com malária vivax (três com deficiência de glicose-6-fosfato desidrogenase. Alterações clínicas e laboratoriais indicaram hemólise aguda apenas nos enzimopênicos, o que fez com que o tratamento fosse interrompido. Nossos resultados sugerem a necessidade do emprego de um teste de triagem para a deficiência de G6PD em áreas endêmicas de malária vivax a fim de se evitar complicações causadas pelo uso da primaquina.The adverse effects of primaquine (0.50mg/kg/day were investigated in eleven patients with vivax malaria (three patients with glucose-6-phosphate dehydrogenase deficiency. Clinical and laboratorial alterations indicated acute hemolysis in only the enzymopenic patients and treatment was interrupted. Our results suggest that screening for G6PD deficiency should be carried out in patients with vivax malaria infection in order to avoid complications due to primaquine.

  7. Exame clínico e radiológico do terceiro metacarpeano em potros Puro Sangue de Corrida em treinamento Clinical and radiographic evaluation of the third metacarpal bone in 2-year-old thoroughbred horses in raining

    OpenAIRE

    Flávio Gomes de Oliveira; Karin Erica Brass; Flavio Desessards De La Corte; Carolina Roxana Greig; José Henrique Souza da Silva; Carlos Antonio Mondino Silva

    2007-01-01

    A avaliação clínica e radiológica do terceiro metacarpeano (McIII) de 42 potros Puro Sangue de Corrida de dois anos de idade, em treinamento, realizou-se a cada 15 dias. Vinte e cinco potros foram acompanhados durante dois meses e 17 durante os quatro meses anteriores a sua participação na primeira corrida. Nas radiografias (projeção lateromedial), foram avaliadas o córtex dorsal (CD) do McIII e a espessura do CD, do córtex palmar e da zona medular para determinação do índice radiológico (IR)...

  8. Prevalência de adoção intra e extrafamiliar em amostras clínica e não-clínica de crianças e adolescentes Prevalence of intrafamilial and extrafamilial adoption in a clinical and non-clinical setting samples of children and adolescents

    Directory of Open Access Journals (Sweden)

    Fu I Lee

    2001-09-01

    Full Text Available INTRODUÇÃO/OBJETIVOS: Estudos realizados em diferentes países demonstram que a proporção de crianças e adolescentes adotivos atendidos em clínicas psiquiátricas é maior em relação à verificada nas demais clínicas e na população em geral. O objetivo deste estudo é verificar a prevalência de adoção em amostra clínica e não-clínica, identificando possíveis associações entre tipos de adoção (extrafamiliar e intrafamiliar e procura de serviço psiquiátrico. MÉTODOS: Estudo de corte transversal, envolvendo crianças de seis a 14 anos: amostra clínica (G1 de um serviço de psiquiatria da infância e da adolescência de uma região da cidade de São Paulo (n=551 e amostra não-clínica (G2 de uma escola localizada na mesma região (n=365. RESULTADOS: A proporção de meninos foi significantemente maior no G1 que no G2 (pINTRODUCTION/OBJECTIVES: Researchers from different countries have reported a higher percentage of adopted children seen in psychiatric clinics when compared to other clinics and to the general population. The objective of this study was to verify the prevalence of adopted children in two different setting samples, a clinical and non-clinical one, identifying possible associations between the type of adoption (extrafamilial or intrafamilial and psychiatric assistance. METHODS: A cross-sectional study was carried out involving two groups of children aged six to 14 years: a clinical sample (G1 drawn from psychiatry service for children and adolescents located in a specific region of the city of São Paulo (N=551, and a non-clinical sample (G2 drawn from a school located in the same region (N=365. RESULTS: There was a greater proportion of boys in G1 (70% than in G2 (45%; p<0.001. It was observed a greater prevalence of adoption in G1 (7.4% when compared to G2 (4.1%; p=0.048. Among adopted children, extrafamilial adoption predominated in G1 (73.2%, and intrafamilial adoption predominated in G2 (60.0%; p=0

  9. The effect of nursing management development program on clinical competency in coronary care unit

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    Ali Akbar Vaezi

    2011-03-01

    Full Text Available Background: Nurses are the main members in nursing cares and nursing managers can improve their clinical competency by applying better leadership skills. This study carried out to determine the effect of nursing management program on clinical competency of nurses in a coronary care unit (CCU.Methods: A quasi-experimental study was carried out in two educational hospitals in Yazd- Iran. These hospitals were allocated randomly in case and control hospitals. 25 matched nurses were selected by convenience sampling from both case and control hospitals. The clinical competency of nurses was measured by related questioners consisted of two dimensions caring and care management behaviors by self-evaluation and head nurse evaluation in case and control groups. Then, the intervention was implemented in four stages including nurse's development, managers' development, adaptation and supervision period during four months in the case group. After intervention, clinical competency of nurses was measured in both groups.Results: The results showed that before intervention more than 80% of nurses in two groups was in the moderate clinical competency level and they were proficient based on Benner's skill acquisition model. After intervention, nurses' clinical competency improved to higher level in case group but it didn't change in control group (P<0.05. Conclusion: Creating necessary modifications in nursing environments through the management development program by head nurses may improve nurses' clinical competency.

  10. Intoxicação por Solanum fastigiatum (Solanaceae em bovinos: epidemiologia, sinais clínicos e morfometria das lesões cerebelares Poisoning by Solanum fastigiatum (Solanaceae in cattle: epidemiology, clinical signs and morphometry of cerebellar lesions

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    Raquel R. Rech

    2006-09-01

    Full Text Available Dezenove casos de intoxicação por Solanum fastigiatum são descritos em bovinos de três municípios do Rio Grande do Sul no período de 2003-2005. Os coeficientes de morbidade e mortalidade foram respectivamente de 6,7% e 3,4%. Os bovinos afetados tinham idade média de 5 anos (2-8 anos e a evolução clínica variou de 3-18 meses. Os sinais clínicos observados em todos os bovinos foram de disfunções cerebelares caracterizadas por hipermetria, incoordenação, quedas, tremores musculares, convulsões esporádicas e permanência em estação com os membros em base ampla. Em um bovino foi observada hemorragia traumática subdural no encéfalo e em outro, atrofia macroscópica do cerebelo. As lesões histológicas eram confinadas ao cerebelo e consistiram de vacuolização parcial ou total do pericário dos neurônios de Purkinje com ocasionais esferóides axonais na camada de células granulares e na substância branca cerebelar. Nos casos avançados, havia acentuada perda dos neurônios de Pukinje e proliferação dos astrócitos de Bergmann. O estudo morfométrico do número de neurônios de Purkinje e da espessura da camada molecular revelou um decréscimo no número de células de Purkinje que se correlacionou com conseqüente diminuição da espessura da camada molecular.Nineteen cases of Solanum fastigiatum (Solanaceae poisoning in cattle from three municipalites in the State of Rio Grande do Sul, Brazil, occurring from 2003 to 2005, are described. Morbidity and mortality rates were respectively 6.7% and 3.4%. Average age of affected cattle was five-year-old (2 to 8-year-old and duration of clinical courses was 3-18 months. Clinical signs observed in all affected cattle were cerebellar deficits characterized by hypermetry, incoordination, falls, muscle tremors, transitory seizures and wide base stance. One affected bovine had encephalic traumatic subdural hemorrhage and another had gross atrophy of the cerebellum. Histologically

  11. Projecte EM-Line!: programa de rehabilitación cognitiva para pacientes afectados de esclerosis múltiple

    OpenAIRE

    Gich Fullà, Jordi

    2013-01-01

    The clinical manifestations of Multiple Sclerosis are motor, sensitive, cerebellar and cognitive alterations. It evolves with a high degree of physical and cognitive disability. The “EM-line! Project” has its origins in the need to provide effective treatment for cognitive problems given that a gap in cognitive treatment was detected, especially at the onset of the disease. For this reason, the main objective of the “EM-line! Project” was: To supply free cognitive rehabilitation materials th...

  12. Depo Provera. Position paper on clinical use, effectiveness and side effects.

    Science.gov (United States)

    Bigrigg, A; Evans, M; Gbolade, B; Newton, J; Pollard, L; Szarewski, A; Thomas, C; Walling, M

    1999-07-01

    has an advantage over the combined oral contraceptive pill, and provides a simple, effective alternative for women who cannot use the pill for these reasons. Similarly, it has been suggested that women who suffer from focal migraine and are therefore advised against use of the combined oral contraceptive pill can still use progestogen-only contraceptives. Although the POP is medically safe in these circumstances, in young women it is less effective, and involves strict time keeping, which will be disadvantageous for some women. Side effects, long term use and schedules of administration are also discussed. The use of local protocols to allow nurse administration is to be supported both in general practice and the clinic situation. Perhaps the most important issue surrounding the use of DMPA is that of patient information. The method has had a particularly bad public image, which naturally makes potential users anxious and subject to misinformation from poorly informed or biased sources. Also, it is temporarily irreversible during its three months duration, so the duration of any problems or anxieties resulting from side effects may be longer than for other methods. It is of paramount importance that easily understood, accurate patient information leaflets are available, since biased and inaccurate information is readily available from women's magazines, perpetuating the myths surrounding the method. PMID:10454658

  13. Percepção dos efeitos do trabalho em turnos sobre a saúde e a vida social em funcionários da enfermagem em um hospital universitário do Estado de São Paulo Nursing staff perceptions of the effects of shift work on health and social life at the São Paulo State University hospital

    Directory of Open Access Journals (Sweden)

    Ester de S. Costa

    2000-06-01

    Full Text Available O trabalho em turnos existe desde o início da vida social dos homens, sendo utilizado em diferentes setores, como na indústria de produção de bens de consumo e de serviços. A área da saúde exige o sistema em turnos para manutenção de atividades durante 24 horas. Teve-se como objetivo identificar os sistemas de turnos em funcionários de enfermagem em um hospital universitário, avaliar a percepção sobre os prováveis efeitos do trabalho em turnos em sua saúde e vida social e o grau de participação desses funcionários na forma de organização de sua jornada. Trata-se de uma pesquisa descritiva e exploratória, cujos resultados foram obtidos mediante questionário aplicado a 348 funcionários da enfermagem do Hospital de Clínicas da Faculdade de Medicina de Botucatu, São Paulo. Dentre os resultados, observou-se que, em sua maioria, eles tinham menos de 40 anos, eram casados, do sexo feminino, com um filho pelo menos, cumprindo uma escala de turnos alternados, com freqüência de revezamento superior a quinze dias e referindo queixas de caráter neuro-psíquico, gastrintestinal e cardiovascular. Houve ainda queixas sobre relacionamento e tempo de convivência. Na maioria das vezes, era pouca a participação do funcionário na forma de organização de sua escala de trabalho.There is a relationship between shift work and the beginning of organized life. Health services require shift work to keep activities running twenty-four hours a day. This study thus aimed to identify nursing staff shift work systems in a university hospital, evaluate health workers' perceptions of the possible effects of shift work on their health and social life, and assess workers' participation in preparing nursing schedules. In terms of materials and methods, this was an exploratory and descriptive study with a sample of 348 nursing staff members, using an appropriate questionnaire. Most were married women under 40 with at least one child, working on

  14. Clínica complexa: a experiência clínica em um residencial terapêutico de caráter temporário = Complex clinic: the clinical experience in a temporary character therapeutic residential home

    Directory of Open Access Journals (Sweden)

    Leite, Loiva dos Santos et al.

    2012-01-01

    Full Text Available A partir da mudança do paradigma de cuidado em saúde mental, proposto pela Reforma Psiquiátrica, outros modos de atenção começam a instituir-se no cotidiano dos serviços substitutivos. A centralidade do atendimento é colocada nas demandas dos usuários e, em virtude desse modelo, a clínica desenvolvida pelos profissionais de saúde mental sofre alterações para que possa dar conta da diversidade dos processos que se apresentam. Nesse contexto de mudanças, buscamos refletir sobre o cotidiano da clínica que se realiza num residencial terapêutico de caráter temporário. Para além de uma clínica ampliada, acreditamos que é uma clínica complexa, cujos arranjos terapêuticos que se propõe a operar estão em permanente movimento e transformação.

  15. Behavior assessment of women attending a sexually transmitted disease clinic in Vitória, Brazil Práticas comportamentais em mulheres atendidas em clínica de doenças sexualmente transmissíveis em Vitória, Brasil

    Directory of Open Access Journals (Sweden)

    Angelica Espinosa Miranda

    2012-04-01

    Full Text Available BACKGROUND: Studies about sexual risk behaviors can provide information to support design strategies to control the spread of HIV infection. OBJECTIVE: To assess sexual risk behaviors among women attending a sexually transmitted diseases clinic in Vitória, Brazil. METHODS: A cross-sectional study was performed among women attending an STD/AIDS reference center. Enrolled participants were interviewed and provided a blood sample to determine HIV status. RESULTS: A total of 276 women participated. among 284 selected; 109 (39.5% were HIV-positive and 167 (60.5% HIV-negative. Median age was 31 years (interquartile range (IQR24-36 and 69% of women were between 18 and 34 years of age. Women reported high access to information about STD (87% and AIDS (90% but information about sexuality was less common (55%. HIV-positive women asked their partners to use condoms more often than HIV-negatives (31% vs. 5%, p=0.02, and were more likely to have used a condom at last intercourse (65% vs. 33%, pFUNDAMENTOS: Estudos sobre comportamentos sexuais de risco fornecem informações para programar estratégias para o controle da expansão da infecção pelo HIV/AIDS. OBJETIVO: Avaliar os comportamentos de risco sexual entre mulheres atendidas em clínica de doenças sexualmente transmissíveis em Vitória, Brazil. MÉTODOS: Estudo de corte-transversal foi realizado com mulheres atendidas no Centro de Referência para DST/Aids. As pacientes selecionadas foram entrevistadas e autorizaram a coleta de uma amostra de sangue para determinar sorologia para HIV. RESULTADOS: Um total de 276 mulheres participou, entre as 284 selecionadas; 109 (39,5% eram HIV-positivas e 167 (60,5% HIV-negativas. A mediana de idade foi 31 anos (distância interquartil 24-36 e 69% das mulheres tinham entre 18 e 34 anos de idade. As mulheres relataram alto grau de acesso a informações sobre doenças sexualmente transmissíveis (87% e Aids (90%, mas as informações sobre saúde sexual foram

  16. Effects of natural flavones on membrane properties and citotoxicity of HeLa cells Efeitos de flavonas naturais em propriedades de membranas e em citotoxicidade de células HeLa

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    Tatiana Herrerias

    2010-07-01

    Full Text Available The aim of this study was to determine whether eupafolin and hispidulin, flavones extracted from Eupatorium littorale Cabrera, Asteraceae, have the ability to change properties of biological membranes and promote cytotoxic effects. Eupafolin (50-200 µM decreased approximately 30% the rate and total amplitude of valinomycin induced swelling and 60-100% the energy-dependent mitochondrial swelling. Moreover, eupafolin (200 µM reduced 35% the mitochondrial permeability transition, and hispidulin did not change this parameter in any of the doses tested. The evaluation of phase transition of DMPC liposomes with the probe DPH demonstrated that hispidulin and eupafolin affect gel and fluid phase. With mitochondrial membrane as model, hispidulin increased the polarization of fluorescence when used DPH-PA probe. Eupafolin and hispidulin (100 µM promoted a reduction of 40% in cellular viability of HeLa cells in 24 h. Our results suggest that eupafolin and hispidulin have cytotoxic effects that can be explained, in part, by alterations promoted on biological membranes properties and mitochondrial bioenergetics.O objetivo deste estudo foi avaliar se eupafolina e hispidulina, flavonas extraídas do Eupatorium littorale Cabrera, Asteraceae, possuíam a capacidade de alterar propriedades das membranas biológicas e promover efeitos citotóxicos. Eupafolina (50-200 µM reduziu em aproximadamente 30% a velocidade e amplitude do inchamento mitocondrial induzido por valinomicina e 60-100% o inchamento mitocondrial dependente de substrato. Além disso, eupafolina na dose de 200 µM reduziu a transição de permeabilidade mitocondrial em 35% entretanto, a hispidulina não alterou este parâmetro em todas as doses testadas. A avaliação da transição de fase dos lipossomas de DMPC com a sonda DPH demonstrou que ambas as flavonas afetam a fase gel e fluida. Quando lipossomas de membranas mitocondriais e a sonda DPH-PA foram utilizados, houve aumento da polariza

  17. Clinical and biochemical features of autoimmune hepatitis in 36 pediatric patients Características clínicas e bioquímicas da hepatite autoimune em 36 pacientes pediátricos

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    Maria Angela Bellomo-Brandão

    2006-03-01

    Full Text Available BACKGROUND: Few studies on autoimmune hepatitis have enrolled non-Caucasian groups. AIMS: To evaluate Brazilian children with type 1 and 2 autoimmune hepatitis regarding outcome and clinical and biochemical parameters. PATIENTS AND METHODS: Thirty-six patients were submitted to a protocol that evaluated the clinical history, physical and biochemical data, and the course of the disease. Twenty-four children had type 1 autoimmune hepatitis, seven had type 2 and five had unclassified autoimmune hepatitis. Most patients were females (77%, with a median age at diagnosis of 11 years, and the median duration of symptoms was 5.5 and 8 months for types 1 and 2, respectively. Jaundice and choluria were the most common clinical manifestations. RESULTS: Treatment with azathioprine and prednisone was successful in patients with type 1 and 2 autoimmune hepatitis. AST and ALT decreased after 4 to 8 weeks of treatment compared to pretreatment levels in type 1 autoimmune hepatitis. Increased GGT values returned to pretreatment levels after 1 year in the two types. Three patients died and three other patients underwent liver transplantation. CONCLUSIONS: Non-Caucasian children had a similar disease when compared to Caucasian ones with autoimmune hepatitis. Increased levels of GGT during the first year of treatment should not be the only parameter for the indication of cholangiopathy.RACIONAL: Poucos estudos sobre hepatite autoimune têm sido conduzidos em pacientes não-caucasianos. OBJETIVOS: Avaliar crianças brasileiras com hepatite autoimune tipos 1 e 2 em relação à evolução clínica e parâmetros clínicos e bioquímicos. MÉTODOS: Trinta e seis pacientes foram incluídos em um protocolo que registrou os dados da história clínica, exame físico, dados bioquímicos e evolução da doença. Vinte e quatro crianças tinham hepatite autoimune tipo 1, sete pacientes hepatite autoimune tipo 2 e em cinco casos, a hepatite autoimune não pôde ser

  18. Aspiração de corpo estranho em crianças: aspectos clínicos, radiológicos e tratamento broncoscópico Foreign body aspiration in children: clinical aspects, radiological aspects and bronchoscopic treatment

    Directory of Open Access Journals (Sweden)

    Andrea de Melo Alexandre Fraga

    2008-02-01

    Full Text Available OBJETIVO: Descrever manifestações clínicas e tratamento broncoscópico da aspiração de corpo estranho em crianças menores de 14 anos de idade, correlacionando com achados broncoscópicos. MÉTODOS: Estudo retrospectivo, descritivo analisando prontuários de todas as crianças menores de 14 anos de idade atendidas no Hospital das Clinicas da Universidade Estadual de Campinas de janeiro de 2000 a dezembro de 2005, submetidas à broncoscopia por suspeita clínica de aspiração de corpo estranho. RESULTADOS: Foram analisados 69 pacientes, com idade entre 8 meses e 12 anos/7 meses (75,4% abaixo de 3 anos, dos quais 62,3% eram do sexo masculino. A principal queixa foi tosse súbita (75,4%. Em 74% dos casos houve alteração de ausculta pulmonar e dispnéia foi observada em 20 crianças (29%. Um total de 88% apresentou alteração radiológica. A aspiração ocorreu predominantemente em pulmão direito (54,8%, com material de origem vegetal, destacando feijão e amendoim (30,7%. Complicações ocorreram em 29% dos pacientes, sendo pneumonia a mais comum, e foram associadas ao tempo maior de aspiração (p = 0,03. Um total de 7 pacientes (10,1% necessitaram ventilação mecânica, e 5 (7,2% foram submetidos a mais de uma broncoscopia. CONCLUSÃO: História clínica com início súbito de engasgo e tosse, anormalidades na ausculta pulmonar e na radiografia de tórax caracterizam o quadro clínico de aspiração e são indicativas de broncoscopia. Quanto maior o tempo de aspiração, maior o risco de complicações. A alta prevalência de corpos estranhos de origem vegetal alerta para a necessidade de programas preventivos dirigidos aos menores de 3 anos.OBJECTIVE: To describe the clinical manifestations and bronchoscopic treatment of foreign body aspiration in children under 14 years of age, correlating the clinical aspects with the bronchoscopic findings. METHODS: A retrospective, descriptive study analyzing data related to children under 14

  19. Aspectos epidemiológicos, clínicos e parasitológicos da doença de Chagas em Mato Grosso do Sul Epidemiological, clinical and parasitological aspects of Chagas' disease in Mato Grosso do Sul State

    Directory of Open Access Journals (Sweden)

    Maurício Antonio Pompilio

    2005-12-01

    Full Text Available Com o objetivo de avaliar aspectos epidemiológicos, clínicos e parasitológicos da doença de Chagas crônica, em pacientes do Hospital Universitário da Universidade Federal de Mato Grosso do Sul, realizamos um estudo seccional envolvendo 120 chagásicos e 120 controles não-chagásicos, de ambos os sexos, com idades de 16 a 82 anos. Os aspectos epidemiológicos foram avaliados por questionário, a cardiopatia por exame clínico, eletrocardiograma convencional, radiologia e ecodopplercardiograma e a presença de Trypanosoma cruzi no sangue por xenodiagnóstico e teste da reação em cadeia da polimerase. Os resultados mostraram predominância de alóctones com baixa escolaridade e referência de contato prévio com triatomíneos entre os chagásicos. Abortamento espontâneo foi mais freqüente nas mulheres chagásicas. A cardiopatia devido ao componente chagásico foi estimada em 20,2%. Apresentou-se com 7,5% de cardiomegalia, 6,2% de aneurisma de ventrículo esquerdo e com predominância de dispnéia, palpitações e hipertensão arterial. O xenodiagnóstico foi positivo em 26,1% dos chagásicos enquanto a PCR foi positiva em 53,7%. A análise dos resultados indicou que a doença de Chagas no grupo estudado apresenta características clínicas e parasitológicas que revelam peculiaridades regionais.With the objective of evaluating epidemiologic, clinical and parasitologic aspects of chronic Chagas' disease in patients from the University Hospital of the Federal University of Mato Grosso do Sul, a cross-sectional study was performed with groups of 120 chagasic and non-chagasic patients aged from 16 to 82 years. Epidemiologic aspects were evaluated by means of a questionnaire, cardiopathy by clinical examination, conventional electrocardiogram, radiology and Doppler echocardiograms (only in chagasic patients and the presence of Trypanosoma cruzi in the blood stream by way of xenodiagnosis and polymerase chain reaction test. The results

  20. Incidência e aspectos clínico-laboratoriais do Lúpus eritematoso sistêmico em cidade do Sul do Brasil Incidence and clinical-laboratory aspects of systemic lupus erythematosus in a Southern brazilian city

    Directory of Open Access Journals (Sweden)

    Carlos Alberto Kenji Nakashima

    2011-06-01

    Full Text Available INTRODUÇÃO: Estudos epidemiológicos brasileiros sobre o lúpus eritematoso sistêmico (LES são bastante escassos e os dados existentes hoje são praticamente todos de literatura internacional. OBJETIVOS: Determinar a incidência e algumas características clínicas e laboratoriais de pacientes com LES em Cascavel, Paraná - Brasil. PACIENTES E MÉTODOS: Os dados foram coletados entre agosto de 2007 e julho de 2008 em todos os serviços de saúde do município que possuíam atendimentos na especialidade de Reumatologia: um hospital universitário, um ambulatório público e três clínicas privadas da cidade. RESULTADOS: Foram identificados 14 pacientes com diagnóstico de LES, resultando em uma incidência estimada de 4,8 casos/100.000 habitantes/ano. Todos os pacientes eram do sexo feminino, com média de idade de 41,5 anos. A faixa etária com maior incidência foi a de 30 - 39 anos e 92,8% apresentaram quatro ou mais dos 11 critérios do American College of Rheumatology (ACR para o diagnóstico de LES. O tratamento farmacológico dos pacientes também foi avaliado e mostrou estar de acordo com o Consenso Brasileiro para o tratamento de LES. CONCLUSÃO: A incidência obtida em Cascavel/PR está próxima das incidências observadas em estudos internacionais.INTRODUCTION: Brazilian epidemiological studies on systemic lupus erythematosus (SLE are scarce, and currently available data originate almost entirely from international literature. OBJECTIVES: To determine the incidence and some clinical and laboratory characteristics of patients with SLE in the municipality of Cascavel, state of Paraná, Brazil. PATIENTS AND METHODS: Data were collected from August 2007 to July 2008 in all health services of Cascavel providing health care in rheumatology: a university-affiliated hospital, a public outpatient clinic, and three private clinics. RESULTS: The study identified 14 patients diagnosed with SLE, which resulted in an estimated incidence of 4

  1. Doença de Kawasaki: experiência clínica em hospital universitário Kawasaki disease: clinical experience in a university hospital

    OpenAIRE

    Angela Esposito Ferronato; Selma Betta Ragazzi; Maki Hirose; Débora Morais Cardoso; Alfredo Elias Gilio

    2010-01-01

    OBJETIVO: A doença de Kawasaki é uma vasculite sistêmica aguda de etiologia desconhecida. Seu diagnóstico baseia-se em critérios clínicos. O objetivo deste estudo foi descrever os casos de pacientes com doença de Kawasaki internados no Hospital Universitário da Universidade de São Paulo entre janeiro/2000 e junho/2008. MÉTODOS: Dentre todos os pacientes internados na Enfermaria de Pediatria no período acima, foram selecionados aqueles cujo CID de alta foi doença de Kawasaki. Realizou-se estud...

  2. In vitro pharmacological profiling of R406 identifies molecular targets underlying the clinical effects of fostamatinib.

    Science.gov (United States)

    Rolf, Michael G; Curwen, Jon O; Veldman-Jones, Margaret; Eberlein, Cath; Wang, Jianyan; Harmer, Alex; Hellawell, Caroline J; Braddock, Martin

    2015-10-01

    Off-target pharmacology may contribute to both adverse and beneficial effects of a new drug. In vitro pharmacological profiling is often applied early in drug discovery; there are fewer reports addressing the relevance of broad profiles to clinical adverse effects. Here, we have characterized the pharmacological profile of the active metabolite of fostamatinib, R406, linking an understanding of drug selectivity to the increase in blood pressure observed in clinical studies. R406 was profiled in a broad range of in vitro assays to generate a comprehensive pharmacological profile and key targets were further investigated using functional and cellular assay systems. A combination of traditional literature searches and text-mining approaches established potential mechanistic links between the profile of R406 and clinical side effects. R406 was selective outside the kinase domain, with only antagonist activity at the adenosine A3 receptor in the range relevant to clinical effects. R406 was less selective in the kinase domain, having activity at many protein kinases at therapeutically relevant concentrations when tested in multiple in vitro systems. Systematic literature analyses identified KDR as the probable target underlying the blood pressure increase observed in patients. While the in vitro pharmacological profile of R406 suggests a lack of selectivity among kinases, a combination of classical searching and text-mining approaches rationalized the complex profile establishing linkage between off-target pharmacology and clinically observed effects. These results demonstrate the utility of in vitro pharmacological profiling for a compound in late-stage clinical development. PMID:26516587

  3. Guillain-Barré syndrome in children: clinic, laboratorial and epidemiologic study of 61 patients Síndrome de Guillain-Barré em crianças: estudo clínico, laboratorial e epidemiologico em 61 pacientes

    OpenAIRE

    Vanessa Van Der Linden; José Albino da Paz; Erasmo Barbante Casella; Maria Joaquina Marques-Dias

    2010-01-01

    The aim of the study was to analyze the epidemiologic, clinical, laboratory and development profile of Guillain-Barré syndrome series studied at the Child Institute, between 1989 and 2000. From the 61 patients that fulfilled the selection criteria, aged between 7 months and 13 years old, no sexual or seasonal variation was observed. Clinical events prior to neurological symptoms (with an average time gap of 20.7 days) were observed in 62.3%, 55% had cranial nerve disturbances, 27.9% dysautono...

  4. Clinical expression of obsessive-compulsive disorder in women with bipolar disorder Expressão clínica do transtorno obsessivo-compulsivo em uma amostra de mulheres com transtorno de humor bipolar

    Directory of Open Access Journals (Sweden)

    Cilly Klüger Issler

    2005-06-01

    Full Text Available OBJECTIVE: To study clinical and psychopathological features of obsessive-compulsive disorder (OCD in women with bipolar disorder (BD. METHODS: Fifteen outpatients with concurrent bipolar disorder I (80.0% or II (20.0% and obsessive-compulsive disorder were studied. Most of them (80.0% sought treatment for bipolar disorder. They were ascertained by means of the Structured Clinical Interview for DSM-IV (SCID/P, semi-structured interviews to investigate obsessions, compulsions and sensory phenomena that may precede compulsions and an additional module for the diagnosis of chronic motor and vocal tics. Severity of symptoms was assessed by the Yale-Brown Obsessive-Compulsive Rating Scale, Hamilton Depression Rating Scale and Young Mania Rating Scale. RESULTS: Obsessive-compulsive disorder presented early onset (before the age of 10 in 9 (60% cases, preceded bipolar disorder in 10 (66.7% and displayed chronic waxing and waning course in 13 (86.7% of them. There was wide overlap between types of obsessive-compulsive symptoms and all patients experienced sensory phenomena preceding the compulsions. There was no clear-cut impact of depressive and manic episodes on the intensity of obsessive-compulsive symptoms, which increased in depression and decreased in mania in 40.0% of the cases, had the opposite pattern in 26.7% of the patients and fluctuated inconsistently in the rest of them. Tics disorders were diagnosed in 5 (33.3% patients. CONCLUSIONS: Our results suggest that in women with comorbid bipolar disorder and obsessive-compulsive disorder the latter presents features that may be typical of the association of the two disorders, such as early onset and sensory phenomena preceding compulsions. A prospective controlled study is necessary to confirm these observations, due to some limitations of our study: small exclusively female sample, heterogeneity concerning the type of bipolar disorder and the disorder that determined sought of treatment and

  5. Clinical utility of the liposteroid therapy: Potential effects on the macrophage activation.

    Science.gov (United States)

    Wakiguchi, Hiroyuki; Ohga, Shouichi

    2016-01-01

      Liposteroid, a lipid emulsion containing dexamethasone, was developed in Japan. This drug is effective against rheumatoid arthritis, and has fewer side effects than dexamethasone. Moreover, at high dosage, liposteroid has been effectively used for the treatment of macrophage activation syndrome, because the lipid emulsions are easily taken up by phagocytes, and are retained in macrophages. Its anti-inflammatory effect was found to be 2-5 times higher than that of dexamethasone in arthritis and granuloma rat models. Japanese researchers have reported the clinical efficacy and utility of liposteroid in the treatment of diseases with macrophage activation. These include hemophagocytic lymphohistiocytosis, graft-versus-host disease, and pulmonary hemosiderosis. Here, we describe the clinical effects of liposteroid on macrophage activation syndrome and the hypothalamus-pituitary-adrenal axis in patients. PMID:27320934

  6. Deciphering the clinical effect of drugs through large-scale data integration

    DEFF Research Database (Denmark)

    Kjærulff, Sonny Kim

    -effect data have been implemented. Chapter 3 presents two articles that showcase the application of systems chemical biology approaches to understand and model drug side-effect data. The first approach applies machine learning methods to cluster side-effects, drugs, proteins and clinical outcomes in networks......This thesis presents the work carried out at the Center for Biological Sequence Analysis, Technical University of Denmark. The thesis includes four articles describing large-scale data integration and methods for the prediction of drug side-effects. Chapter 2 presents ChemProt, a novel disease....... This work demonstrates the power of a strategy that uses clinical data mining in association with chemical biology in order to reduce the search space and aid identification of novel drug actions. The second article described in chapter 3 outlines a high confidence side-effect-drug interaction dataset. We...

  7. Effect of organic-inorganic hybrid P123-em-SBA15 on lithium transport properties of composite polymer electrolyte

    Institute of Scientific and Technical Information of China (English)

    XI Jingyu; HUANG Xiaobin; TANG Xiaozhen

    2004-01-01

    A novel PEO-based composite polymer electrolyte by using organic-inorganic hybrid EO20PO70EO20-em- mesoporous silica (P123-em-SBA15) as the filler has been developed. The experiment results show that P123-em- SBA15 can enhance the lithium-ion transference number of the composite polymer electrolyte, which is induced by the special topology structure of P123 in P123-em-SBA15 hybrid. In addition, room temperature ionic conductivity of the composite polymer electrolyte can also be increased by about two orders of magnitude. The excellent lithium transport properties suggest that PEO-LiClO4-P123-em-SBA15 composite polymer electrolyte can be used as electrolyte materials for all solid-state rechargeable lithium polymer batteries.

  8. Prevalência da infecção pelo HIV em pacientes com tuberculose na atenção básica em Fortaleza, Ceará Prevalence of HIV infection in tuberculosis patients treated at primary health care clinics in the city of Fortaleza, Brazil

    Directory of Open Access Journals (Sweden)

    Helder Oliveira e Silva

    2012-06-01

    Full Text Available O objetivo deste trabalho foi determinar a prevalência da infecção pelo HIV em indivíduos com > 15 anos de idade e diagnóstico confirmado de tuberculose, acompanhados em Centros de Saúde da Família de Fortaleza (CE. Uma amostra aleatória de 110 pacientes com diagnóstico de tuberculose de 26 Centros de Saúde da Família foi incluída no estudo, realizado entre os meses de janeiro e maio de 2009. Todos os participantes responderam a um questionário com dados sociodemográficos e clínicos e realizaram sorologia para o HIV. Nesta amostra, a prevalência de coinfecção tuberculose/HIV foi de 3,6% (IC95%: 0,2-7,0.The objective of this study was to determine the prevalence of HIV infection among individuals > 15 years of age with a confirmed diagnosis of tuberculosis and treated at family health care clinics in the city of Fortaleza, Brazil. We evaluated a random sample of 110 patients with tuberculosis, treated at a total of 26 family health care clinics between January and May of 2009. All of the participants completed a questionnaire regarding sociodemographic and clinical data, and all underwent HIV testing. In this sample, the prevalence of tuberculosis/HIV co-infection was 3.6% (95% CI: 0.2-7.0.

  9. Efeitos do som basal em fendas glóticas Effects of vocal fry incomplete glottal closure

    Directory of Open Access Journals (Sweden)

    Geovana de Paula Bolzan

    2008-01-01

    Full Text Available TEMA: som basal em fendas glóticas. PROCEDIMENTOS: participaram desta pesquisa dois sujeitos do sexo feminino, com idades entre 20 e 40 anos e diagnóstico otorrinolaringológico de fenda em ampulheta. Houve gravação da emissão sustentada da vogal /a/ e exame videolaringoestroboscópico, imediatamente a seguir, os sujeitos realizaram o som basal em três séries de 15 repetições, e foram submetidos a novo exame laríngeo e gravação da vogal. Os dados pré e pós-realização do som basal foram submetidos às analises acústica, perceptivo-auditiva e videolaringoestroboscópica, realizadas por juízes (três fonoaudiólogas e três otorrinolaringologistas, respectivamente. RESULTADOS: em ambos os sujeitos, houve melhora no fechamento glótico e amplitude de vibração da mucosa das pregas vocais; piora no tipo de voz; aumento das medidas de ruído e de Jitter. CONCLUSÃO: o som basal promoveu redução das fendas glóticas e aumento da amplitude de vibração da mucosa das pregas vocais; piora do tipo de voz, que ficou mais ruidoso; aumento das medidas de ruído e de Jitter, sugerindo irregularidade vibratória, provavelmente devido ao efeito do ajuste do som basal ao mobilizar intensamente a mucosa.BACKGROUND: vocal fry in incomplete glottal closure. PROCEDURE: two individuals aged between 20 and 40 years old presenting an otolaryngological diagnosis of ampoule chink were part of the study. A recording of the sustained emission of /a/ vowel took place, as well as a videostroboscopic examination. Right after, the individuals completed the vocal fry in three series of 15 repetitions, being submitted to a new laryngeal examination and to the vowel’s recording. Both pre-vocal and post vocal fry data were assessed through acoustic, perceptive-auditive and videostroboscopic analysis, carried out by judges (three speech and language pathologists and three otolaryngologists, respectively. RESULTS: for both individuals, there was an improvement

  10. Design and Effectiveness of a Required Pre-Clinical Simulation-based Curriculum for Fundamental Clinical Skills and Procedures

    OpenAIRE

    Daryl P. Lofaso; Peter M. DeBlieux; DiCarlo, Richard P.; Hilton, Charles; Yang, Tong; Sheila W. Chauvin

    2011-01-01

    Background: For more than 20 years, medical literature has increasingly documented the need for students to learn, practice and demonstrate competence in basic clinical knowledge and skills. In 2001, the Louisiana State University Health Science Centers (LSUHSC) School of Medicine New Orleans replaced its traditional Introduction in to Clinical Medicine (ICM) course with the Science and Practice of Medicine (SPM) course. The main component within the SPM course is the Clinical Skills Lab (CS...

  11. Characterization of the Antibacterial Activity and the Chemical Components of the Volatile Oil of the Leaves of <em>Rubus parvifoliusem> L.

    Directory of Open Access Journals (Sweden)

    Yongqing Cai

    2012-06-01

    Full Text Available <em>Rubus parvifoliusem> L. (Rp is a medicinal herb that possesses antibacterial activity. In this study, we extracted the volatile oil from the leaves of Rp to assess its antibacterial activity and analyze its chemical composition. A uniform distribution design was used to optimize the extraction procedure, which yielded 0.36% (<em>w/w> of light yellowish oil from the water extract of Rp leaves. We found that the extracted oil effectively inhibited the growth of a wide range of Gram positive and negative bacteria, including <em>Staphylococcus aureusem>, <em>Staphylococcus epidermidisem>, <em>Enterococcus faecalisem>, <em>Escherichia coliem>, <em>Pseudomonas aeruginosaem>, <em>Acinetobacter baumaniiem>, <em>Bacillus cloacaeem>, and <em>Klebsiella pneumoniaeem>. We further analyzed the components contained in the hydro-distillated Rp volatile oil by gas chromatography-mass spectroscopy. Twenty nine compounds were identified, including 4-hydroxy-3-methoxystyrene (66%, 3,7,11,15-tetramethyl-2-hexadecen-1-ol (10% and 4-<em>tert>-butylbenzoic acid (2%. Our results suggest that one or multiple constituents contained in Rp volatile oil may account for its antibacterial activity.

  12. Prevalence of Neisseria gonorrhoeae and Chlamydia trachomatis infection in men attending STD clinics in Brazil Prevalência de Neisseria gonorrhoeae e infecção pela Chlamydia trachomatis em homens atendidos em clínicas de DST no Brasil

    Directory of Open Access Journals (Sweden)

    Marcelo Joaquim Barbosa

    2010-10-01

    Full Text Available INTRODUCTION: The study aimed to assess the prevalence of Neisseria gonorrhoeae and Chlamydia trachomatis infections and identify demographic, behavioral and clinical factors correlated withsuch infections in men attending six sexually transmitted disease clinics in Brazil. METHODS: Multicentric, cross-sectional study performed among men attending STD clinics in Brazil. The study included STD clinics in six cities distributed throughout the five geographic regions of Brazil in 2005. Patients provided 20 ml of first catch urine for testing for NG and CT by DNA-PCR. RESULTS: A total of 767 (92.9% men were included in the study. The mean age was 26.5 (SD 8.3 years-old. Prevalence of Chlamydia infection was 13.1% (95%CI 10.7%-15.5% and gonorrhea was 18.4% (95%CI 15.7%-21.1%. Coinfection prevalence was 4.4% (95%CI 2.95%-5.85% in men who sought attendance in STI clinics. Factors identified as associated with C. trachomatis were younger age (15-24 [OR=1.4 (95%CI 1.01-1.91], present urethral discharge [OR=4.8 (95%CI 1.52-15.05], genital warts [OR=3.0 (95%CI 1.49-5.92] and previous history of urethral discharge [OR=2.4 (95%CI 1.11-5.18]. Variables associated with gonorrhea were younger age (15 to 24 [OR=1.5 (95%CI 1.09-2.05], presence of urethral discharge [OR=9.9 (95%CI 5.53-17.79], genital warts [OR=18.3 (95%CI 8.03-41.60] and ulcer present upon clinical examination [OR=4.9 (95%CI 1.06-22.73]. CONCLUSIONS: These findings have important implications for education and prevention actions directed toward men at risk of HIV/STD. A venue-based approach to offer routine screening for young men in STD clinics should be stimulated.INTRODUÇÃO: Nosso objetivo foi acessar a prevalência de Neisseria gonorrhoeae e Chlamydia trachomatis e identificar fatores demográficos, comportamentais e clínicos correlacionados a essas infecções em homens atendidos em clínicas de doenças sexualmente transmissíveis no Brasil. MÉTODOS: Estudo multicêntrico, transversal

  13. Investigação clínica e genética em meninas com baixa estatura idiopática Clinical and genetic studies in girls with idiopathic short stature

    Directory of Open Access Journals (Sweden)

    Rosa R.S. Martins

    2003-12-01

    Full Text Available Em 10 meninas com diagnóstico de baixa estatura idiopática (BEI, realizamos avaliação citogenética após revisão clínica. Dois cariótipos foram anormais: mos 45,X/46,XX; mos 45,X/46,X,der(Xp/46,X,r(X, e para sua elucidação foram aplicadas técnicas de citogenética molecular e análise de microssatélites, incluindo SHOX CA repeat. Os resultados confirmaram a origem dos cromossomos anômalos e a identificação da haploinsuficiência do gene SHOX. Nos oito casos com cariótipo normal, a pesquisa de mosaicismos crípticos pela técnica FISH através da sonda centromérica (DXZ1 em células de mucosa oral (nuc ish evidenciou a presença de dois mosaicos verdadeiros (DXZ1x2/DXZ1x1. A revisão clínica da paciente com anomalia estrutural de X e das 2 meninas com mosaicismo detectados pelo nuc ish, mostrou a presença de 3 ou mais sinais clínicos observados na síndrome de Turner (ST. Estes resultados reafirmam a importância da análise citogenética em meninas com diagnóstico de BEI e sinais clínicos da ST. Os resultados do estudo molecular para o gene SHOX confirmam sua relação com estigmas da ST. Sendo normal o cariótipo, a pesquisa de mosaicismos crípticos em outros tecidos deve ser considerada. O diagnóstico mais preciso poderá modificar a conduta terapêutica, como indicação do GH nessas meninas.Ten girls with idiopathic short stature (ISS were clinically reviewed and cytogenetic analysis performed by GTG-banding. Two abnormal karyotypes were identified: mos 45,X/46,XX and mos 45,X/46,X, der(Xp/46,X,r(X. In the latter, FISH analysis and microsatellite investigation, including intragenic SHOX CA repeat, confirmed the origin of the abnormal structural chromosomes and revealed haploinsufficiency for the SHOX gene. In the remaining 8 patients with a normal lymphocyte karyotype FISH analysis using an alpha centromeric X probe (DXZ1 in buccal smear cells (nuc ish revealed two further cases of true X mosaicism (DXZ1x2/DXZ1x1

  14. Efeito de diferentes fertilizantes fosfatados, em diversas condições de acidez do solo, na produção do trigo em vasos Effect of phosphorus fertilizers on wheat production

    Directory of Open Access Journals (Sweden)

    Hermano Gargantini

    1972-01-01

    Full Text Available Em casa de vegetação conduziu-se um experimento com trigo, em vasos com Latossolo Vermelho Escuro orto, proveniente do município de Itapetininga, com o objetivo de verificar o comportamento de diversos adubos fosfatados, sob três condições de acidez do solo. Foram estudadas as adições de 0, 100 e 200 kg/ha de P(20(5, em presença e em ausência de calcário. Os fertilizantes usados foram superfosfatos simples e tripo, termofosfato, fosfato de diamônio e apatita-de-araxá, sempre em presença de nitrogênio e potássio. Os resultados mostraram efeito significativo para doses de calcário, tanto para peso seco de plantas como para peso seco de grãos. Entre os fertilizantes, o superfosfato simples e o termofosfato foram os que melhor se comportaram para peso de grãos. A seguir vêm o fosfato de diamônio e o superfosfato triplo, que não diferiram entre si, porém comportaram-se estatisticamente diferentes da apatita-de-araxá, tanto para peso seco de plantas como para grãos. Com a aplicação de calcário ao solo, para correção da acidez, todos os fosfatos solúveis apresentaram, igualmente, muito boa resposta na produção da planta, diferindo do fosfato tricálcico, que mostrou pequeno efeito.A pot experiment was carried out in greenhouse to study the influence of increasing doses of phosphorus fertilizers, at various levels of pH, and lime, on wheat production in soil of the "Latossolo Vermelho Escuro orto" Great Group. Superphosphate (simple and concentrated, thermophosphate, diammonium phosphate and rock phosphate were used at the rates of 0, 100, and 200 kg P2O5/ha in presence and absence of lime, and always in presence of nitrogen and potassium. The results showed a significant effect of lime on grain and dry matter production. In presence of lime all the phosphorus fertilizers, with exception of the rock phosphate, gave good results. In absence of lime the simple superphosphate and termophosphate were better than the others

  15. Joint Estimation of Treatment and Placebo Effects in Clinical Trials with Longitudinal Blinding Assessments

    Science.gov (United States)

    Liu, Wei; Zhang, Zhiwei; Schroeder, R. Jason; Ho, Martin; Zhang, Bo; Long, Cynthia; Zhang, Hui; Irony, Telba Z.

    2016-01-01

    In some therapeutic areas, treatment evaluation is frequently complicated by a possible placebo effect (i.e., the psychobiological effect of a patient’s knowledge or belief of being treated). When a substantial placebo effect is likely to exist, it is important to distinguish the treatment and placebo effects in quantifying the clinical benefit of a new treatment. These causal effects can be formally defined in a joint causal model that includes treatment (e.g., new versus placebo) and treatmentality (i.e., a patient’s belief or mentality about which treatment she or he has received) as separate exposures. Information about the treatmentality exposure can be obtained from blinding assessments, which are increasingly common in clinical trials where blinding success is in question. Assuming that treatmentality has a lagged effect and is measured at multiple time points, this article is concerned with joint evaluation of treatment and placebo effects in clinical trials with longitudinal follow-up, possibly with monotone missing data. We describe and discuss several methods adapted from the longitudinal causal inference literature, apply them to a weight loss study, and compare them in simulation experiments that mimic the weight loss study. PMID:27110045

  16. Effects of tissue handling and processing steps on PCR for detection of Mycobacterium tuberculosis in formalin-fixed paraffin-embedded samples Efeitos das etapas de tratamento e processamento do tecido na PCR para detecção de Mycobacterium tuberculosis em amostras fixadas em formalina e incluídas em parafina

    Directory of Open Access Journals (Sweden)

    Denise Barcelos

    2008-12-01

    Full Text Available Development and standardization of reliable methods for detection of Mycobacterium tuberculosis in clinical samples is an important goal in laboratories throughout the world. In this work, lung and spleen fragments from a patient who died with the diagnosis of miliary tuberculosis were used to evaluate the influence of the type of fixative as well as the fixation and paraffin inclusion protocols on PCR performance in paraffin embedded specimens. Tissue fragments were fixed for four h to 48 h, using either 10% non-buffered or 10% buffered formalin, and embedded in pure paraffin or paraffin mixed with bee wax. Specimens were submitted to PCR for amplification of the human beta-actin gene and separately for amplification of the insertion sequence IS6110, specific from the M. tuberculosis complex. Amplification of the beta-actin gene was positive in all samples. No amplicons were generated by PCR-IS6110 when lung tissue fragments were fixed using 10% non-buffered formalin and were embedded in paraffin containing bee wax. In conclusion, combined inhibitory factors interfere in the detection of M. tuberculosis in stored material. It is important to control these inhibitory factors in order to implement molecular diagnosis in pathology laboratories.O desenvolvimento e a padronização de métodos confiáveis para a detecção de Mycobacterium tuberculosis em amostras clínicas é um objetivo importante nos laboratórios de todo o mundo. Neste trabalho, fragmentos de pulmão e baço de paciente que morreu com o diagnóstico de tuberculose miliar foram usados para avaliar a influência do tipo de fixador e dos protocolos de fixação e inclusão em parafina na performance da PCR. Fragmentos de tecido foram fixados por quatro h a 48 h, usando formalina não tamponada a 10% ou formalina tamponada a 10% e incluídos em parafina pura ou misturada a cera de abelha. As amostras foram submetidas a PCR para amplificação do gene da beta-actina humana e

  17. Clinical effectiveness and safety of montelukast in asthma. What are the conclusions from clinical trials and meta-analyses?

    Directory of Open Access Journals (Sweden)

    Hon KLE

    2014-06-01

    Full Text Available Kam Lun Ellis Hon,1 Ting Fan Leung,1 Alexander KC Leung21Department of Paediatrics, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, Hong Kong; 2Department of Pediatrics, The University of Calgary, Calgary, AB, CanadaAbstract: Asthma is a common childhood atopic disease associated with chronicity and impaired quality of life. As there is no cure for this disease, treatment relies on avoidance of triggers such as food and aeroallergens, the use of inhaled bronchodilators/corticosteroids and antiallergic or immunomodulating therapies. Inhaled corticosteroids (ICSs and bronchodilators have been the mainstay. However, in Asia, myths and fallacies regarding Western medicine and corticosteroids are prevalent and lead to nonadherence to treatment. Also, use of traditional and proprietary herbal medicines is popular. In the past decades, a novel class of nonsteroidal immunomodulating montelukasts has become available. This article reviews the evidence for the effectiveness and clinical efficacy of these medications. A number of randomized and controlled trials have been performed over the years. The majority of studies confirm the usefulness of montelukast as monotherapy and add-on therapy to ICS in mild to moderate childhood asthma across all age groups. ICSs are generally superior to montelukasts for asthma management. However, montelukast has a place in the treatment of young children with viral-triggered wheezing diseases, exercise-induced asthma, and in children whose parents are steroid-phobic and find ICS unacceptable.Keywords: cysteinyl leukotriene receptor antagonist, inhaled corticosteroid, randomized control trial, meta analysis

  18. A predictive model of the effect of environmental factors on the occurrence of otters (<em>Lutra lutraem> L. in Hungary

    Directory of Open Access Journals (Sweden)

    Ildikó Kemenes

    1995-12-01

    Full Text Available Abstract A survey of the distribution of otters (<em>Lutra lutraem> L. in Hungary revealed that this species is common in most parts of the country where there appear to be suitable aquatic habitats. However, there were a large number of apparently "good" habitats where no otters were found. On the other hand, in some places where, based on a qualitative assessment, otters should not have been present, we still found signs of them. The only strictly and consistently limiting factor was heavy chemical pollution of the water which could not be assayed during the survey but was analysed based on data provided by the water authorities. These observations led us to employ a quantitative method which takes into account 3 scalable and 5 non-scalable variables of the environment and their relationships which might influence the occurrence of otters. The technique was based on a non-parametric multiple regression method specifically developed for use on PCs. This so called logistic regression model is useful for investigating the relationships between a binary dependent variable and a set of categorical independent variables. We recorded the presence (1 or absence (0 of signs of otters as well as the water depth, steepness of the bank, density of the bank vegetation and the presence or absence of various disturbance factors, such as agricultural use of the water bank, obvious signs of pollution of the water, etc., at 369 sites in Hungary. The three former environmental variables were scaled, whereas the disturbance factors were each assigned a value of either 0 or 1 (0 = absent, 1 = present. The analysis has shown that this method can be used to characterise particular combinations of factors at which otters were most likely to occur and even predictions can be made on the probability of finding otters at particular places with a known combination of these environmental factors. Besides its theoretical importance, this method is a very

  19. An Effective Model for a Comprehensive Performance Measurement of Clinical and Research Laboratory Centers

    OpenAIRE

    Ghazinoory S; Assadifard R; Ebrahimi A.; Dastmardi M

    2011-01-01

    Bachground and objectives: Improvement of the effectiveness of services isone of the most important strategies in many clinical and research laboratorycenters. The increased client satisfaction (researchers or patients), resourcedevelopment innovation, efficacy, continuity of services and income are alsothe important strategies of these centers. For achieving these strategies, wecombined the qualitative and the quantitative approaches to evaluate theeffective model based on frameworks of the ...

  20. The Effect of an Extramural Program on the Perceived Clinical Competence of Dental Hygiene Students.

    Science.gov (United States)

    Butters, Janice M.; Vaught, Randall L.

    1999-01-01

    A study investigated the effect of an extramural rotation on dental-hygiene students' self-perceptions of competence in specific clinical areas. Results indicate student perceptions of competence improved significantly on six of 19 dimensions of dental-hygiene practice over the course of the rotation, suggesting that rotation is a valuable…

  1. Moving from Efficacy to Effectiveness in Cognitive Behavioral Therapy for Psychosis: A Randomized Clinical Practice Trial

    Science.gov (United States)

    Lincoln, Tania M.; Ziegler, Michael; Mehl, Stephanie; Kesting, Marie-Luise; Lullmann, Eva; Westermann, Stefan; Rief, Winfried

    2012-01-01

    Objective: Randomized controlled trials have attested the efficacy of cognitive behavioral therapy (CBT) in reducing psychotic symptoms. Now, studies are needed to investigate its effectiveness in routine clinical practice settings. Method: Eighty patients with schizophrenia spectrum disorders who were seeking outpatient treatment were randomized…

  2. The effect of a clinical pharmacist discharge service on medication discrepancies in patients with heart failure

    NARCIS (Netherlands)

    R.N. Eggink; A.W. Lenderink (Albert); J.W. Widdershoven (Jos); P.M.L.A. van den Bemt (Patricia)

    2010-01-01

    textabstractObjective: Heart failure patients are regularly admitted to hospital and frequently use multiple medication. Besides intentional changes in pharmacotherapy, unintentional changes may occur during hospitalisation. The aim of this study was to investigate the effect of a clinical pharmacis

  3. Clinical effectiveness of first and repeat influenza vaccination in adult and elderly diabetic patients

    NARCIS (Netherlands)

    Looijmans-Van den Akker, I.; Verheij, T.J.M.; Buskens, E.; Nichol, K.L.; Rutten, G.E.H.M.; Hak, E.

    2006-01-01

    OBJECTIVE: Influenza vaccine uptake remains low among the high-risk group of patients with diabetes, partly because of conflicting evidence regarding its potential benefits. We assessed the clinical effectiveness of influenza vaccination in adults with diabetes and specifically examined potential mo

  4. Haloperidol Treatment with Chronically Medicated Residents: Dose Effects on Clinical Behavior and Reinforcement Contingencies.

    Science.gov (United States)

    Aman, Michael G.; And Others

    1989-01-01

    The study of effects of haloperidol drug therapy with 20 institutionalized mentally retarded persons found clinical changes confined to a slight reduction in stereotypic behavior and an increase in gross motor activity under the high dose condition. Subjects with high initial levels of stereotypy showed the best response to the drug. (Author/DB)

  5. Effectiveness of Computer-Based Treatment for Dyslexia in a Clinical Care Setting: Outcomes and Moderators

    Science.gov (United States)

    Tijms, Jurgen

    2011-01-01

    The clinical effectiveness of a treatment for children with dyslexia was examined, as well as the moderating impact of plausible cognitive and socio-economic factors on treatment success. Results revealed that the treatment group accrued significant greater gains than the control group in reading and spelling skills. The treatment group obtained a…

  6. Clinical effects of statins on benign prostatic hyperplasia complicating metabolic syndrome in elderly patients

    Institute of Scientific and Technical Information of China (English)

    曾小芳

    2014-01-01

    Objective To evaluate the effect of simvastatin and atorvastatin on clinical progression of benign prostatic hyperplasia(BPH)in elderly patients with metabolic syndrome(MS).Methods A total of 135 patients with BPH and MS aged 60 years and over were divided into three groups:simvastatin group(n=45,40 mg/d),atorvasta-

  7. Assistência em enfermagem na perspectiva da clínica ampliada em unidade de terapia intensiva Atención en enfermería en la perspectiva de clínica ampliada en la Unidad de Cuidados Intensivos Nursing care in the perspective of clinical enlarge in the Intensive Care Unit

    Directory of Open Access Journals (Sweden)

    Luciana de Freitas Campos

    2011-03-01

    Full Text Available Este artigo tem como objetivo refletir sobre a assistência em enfermagem na perspectiva da clínica ampliada em Unidade de Terapia Intensiva (UTI. O estudo caracteriza-se como reflexão. A ampliação da clínica prevê um olhar ao ser humano considerando seu aspecto biológico associado à subjetividade de cada caso em particular por meio de uma abordagem integral, interdisciplinar e compartilhada. Faz-se necessário que ações conjuntas de uma equipe interdisciplinar modifiquem o cenário da UTI, local onde o modelo hegemônico historicamente se perpetua. Na enfermagem a responsabilidade com o indivíduo, seu bem-estar e o ambiente fazem parte de sua prática sendo possível uma participação efetiva e uma mudança da prática hegemônica para uma clínica ampliada.En este artículo se pretende reflexionar sobre los cuidados de enfermeria a la vista de la clínica ampliada en la Unidad de Cuidados Intensivos (UCI. El estudio se caracteriza por la reflexión. La expansión de la clínica ofrece un vistazo a la hora de considerar su aspecto biológico humano de la subjetividad asociada a cada caso particular por un enfoque integral, interdisciplaria y compartida. Es necesario que los esfuerzos conjuntos de un equipo interdisciplinario para modificar la configuración de la UCI, donde históricamente se perpetúa el modelo hegemónico. En la enfermería la responsabilidad con el individuo, su bienestar y el medio ambiente son parte de su práctica puede ser una participación efectiva y una modificación de la práctica hegemónica de una clínica ampliada.This article aims to reflect on nursing care in view of the expanded clinic in the Intensive Care Unit (ICU. The study is characterized as a reflection. The expansion of the clinic provides a look at when considering their human biological aspect of subjectivity associated with each particular case by an integral approach, interdisciplinary and shared. It is necessary that joint efforts of

  8. Clinical effectiveness of primary and secondary headache treatment by transcranial direct current stimulation

    Directory of Open Access Journals (Sweden)

    Dmitry ePinchuk

    2013-03-01

    Full Text Available The clinical effectiveness of headache treatment by transcranial direct current stimulation with various locations of stimulating electrodes on the scalp was analyzed retrospectively. The results of the treatment were analyzed in 90 patients aged from 19 to 54 years (48 patients had migraine without aura, 32 – frequent episodic tension-type headaches, 10 – chronic tension-type headaches and in 44 adolescents aged 11 – 16 years with chronic posttraumatic headaches after a mild head injury. Clinical effectiveness of tDCS with 70 – 150 µA current for 30 – 45 minutes via 6.25 cm2 stimulating electrodes is comparable to that of modern pharmacological drugs, with no negative side effects. The obtained result has been maintained on average from 5 to 9 months. It has been demonstrated that effectiveness depends on localization of stimulating electrodes used for different types of headaches.

  9. Perceptions of nursing students on effective clinical preceptors in Phnom Penh National Hospitals, Cambodia

    Directory of Open Access Journals (Sweden)

    Virya Koy

    2015-07-01

    Full Text Available Background: Nursing education has evolved substantially in the last few decades. Preceptorship is important to nursing education for several reasons. The purpose of this study is to describe the effective nursing clinical preceptors in Phnom Penh National Hospitals. Both preceptors and students have reported experiencing constrained relationships, tension and anxiety, which led to failure result or frustrating experiences in clinical teaching and learning. Methods: The stratified sampling of 166 was invited. A cross-sectional design survey was used. The Cronbach's Alpha Coefficient for all items was 0.945. Results: The findings were given as effective clinical preceptorship had a moderate (3.02, 0.85. The interpersonal relationship (3.51, 0.88, evaluation (3.39, 0.93, personal traits (2.80, 0.83, nursing competencies (3.39, 0.93, and teaching ability (2.70, 0.81. Conclusion: Interpersonal relationship, formative evaluation, giving suggestions and correcting mistakes without belittling was perceived to be important characteristic. It is necessary to integrate clinical teaching skills to clinical preceptors. [Int J Res Med Sci 2015; 3(7.000: 1605-1610

  10. Ensaio clínico, aberto, controlado sobre a adição de brometo de ipratrópio ao fenoterol no tratamento da crise de asma em adultos Open, controlled clinical assay of the addition of ipratropium bromide to fenoterol in the treatment of acute asthma crisis in adults

    Directory of Open Access Journals (Sweden)

    Solange Diccini

    1999-12-01

    Full Text Available No tratamento da crise de asma, empregam-se doses repetidas de drogas b2-agonistas por via inalatória. O efeito da adição do brometo de ipratrópio (BI ao b2-agonistas é controverso em adultos. OBJETIVO: Avaliar se adição de BI ao fenoterol, em tratamentos inalatórios repetidos, induz a maior broncodilatação, com reversibilidade da crise e alta da emergência em pacientes em crise grave de asma. LOCAL DO ESTUDO: Serviço de Pronto-Atendimento de Pneumologia, Disciplina de Pneumologia da Unifesp-Hospital São Paulo, no período de julho de 1995 a fevereiro de 1997. TIPO DE ESTUDO: Aberto, randomizado, paralelo. Alta da emergência determinada pelo VEF1 e PFE > 60% do previsto. CASUÍSTICA E MÉTODOS: Cento e vinte pacientes em crise de asma foram divididos em dois grupos (N = 60: fenoterol (F e brometo de ipratrópio + fenoterol (BIF com VEF1 e PFE Repeated dosis of inhaled b2-agonists have been used in the treatment of acute asthma. The effect of added ipratropium bromide (IB to b2-agonist is controversial in adults. OBJECTIVE: To evaluate if addition of IB to fenoterol, in repeated doses, induces a greater bronchodilation, a greater reversion of the attack, and discharge from emergency unit in adults with acute severe asthma. SETTING: Pneumology Emergency Department, Unifesp-Hospital São Paulo, in the period from July 1995 to February 1997. TYPE OF STUDY: Open, randomized and parallel study. Discharge from the hospital: FEV1 and PEF > 60% of the predicted value. METHODS: 120 patients with FEV1 and PEF < 50% of the predicted value were divided into two groups (N = 60: fenoterol (F and ipratropium bromide + fenoterol (IBF. Each group received inhalation treatment through a metered-dose inhaler (MDI attached to a holding chamber, administered at 30-minute interval, for a total of three treatments. In the group F four puffs of fenoterol (400 mg were administered, and in the IBF group, 160 mg of BI and 400 mg of fenoterol (four puffs

  11. Effect of Situational Leadership in Clinical Education on Communication Competency of Nursing Students

    OpenAIRE

    * Z (MSc.) Pourfarzad; Z. Vanaki; *** R (Ph.D). Memarian

    2009-01-01

    Background & Aim: Communication is one of the basic concepts which nursing students must learn. Nurse instructors' behaviors have key role on effective clinical education. The aim of this study was to assess the effect of situational leadership model on nursing students' communication competency. Methods & Materials: In this before-after trial, we recruited the students who had medical & surgical practicum in the second semester and summer of 1385-86 in publi...

  12. What are the effective ways to translate clinical leadership into health care quality improvement?

    OpenAIRE

    McSherry, Robert

    2016-01-01

    Robert McSherry,1 Paddy Pearce2 1School of Health and Social Care, University of Teesside, Middlesbrough, 2PKP Consulting, Yarm, United Kingdom Abstract: The presence and/or absence of effective leaders in health care can have a stark consequence on the quality and outcomes of care. The delivery of safe, quality, compassionate health care is dependent on having effective clinical leaders at the frontline. In light of the Kirkup and Francis reports, this article explores some ways of translat...

  13. Researches and Application of the Emotional Stroop Effect in Clinical Psychology

    OpenAIRE

    Siyuan Chen

    2009-01-01

    As far as we know, Stroop effect was discovered by a American Psychologist named   John Riddley Stroop with a definition of interference between the color and the meaning of the same stimulus. It has been make good use in many fields, especially in clinical psychology. Emotional stroop effect which became the highlight during the past two decades. So its main researches and focus will be showed in details here, such as, social phobia, anxiety & anxiety disorders, alcohol dependence, heroin, g...

  14. Autoclaving and clinical recycling: Effects on mechanical properties of orthodontic wires

    OpenAIRE

    Oshagh, M.; M R Hematiyan; Y Mohandes; M R Oshagh; L Pishbin

    2012-01-01

    Background: About half of the orthodontists recycle and reuse orthodontic wires because of their costs. So when talking about reuse and sterilization of wires, their effects on mechanical properties of wires should be clarified. The purpose of this study was to assess the effects of sterilization and clinical use on mechanical properties of stainless steel wires. Materials and Methods: Thirty stainless steel orthodontic wires were divided into three equal groups of control, autoclave (ster...

  15. Effects of Saponins against Clinical E. coli Strains and Eukaryotic Cell Line

    OpenAIRE

    Michał Arabski; Aneta Węgierek-Ciuk; Grzegorz Czerwonka; Anna Lankoff; Wiesław Kaca

    2012-01-01

    Saponins are detergent-like substances showing antibacterial as well as anticancer potential. In this study, the effects of saponins from Quillaja saponaria were analyzed against prokaryotic and eukaryotic cells. Multidrug-resistant clinical E. coli strains were isolated from human urine. As eukaryotic cells, the CHO-K1 cell lines were applied. Antibacterial effect of ampicillin, streptomycin, and ciprofloxacin in the presence of saponins was measured by cultivation methods. Properties of sap...

  16. Microbiological effects and clinical use of xylitol in preventing acute otitis media

    OpenAIRE

    Tapiainen, T. (Terhi)

    2002-01-01

    Abstract The purpose was to evaluate the microbiological mechanism of action of xylitol and to assess its use in clinical practice for preventing acute otitis media (AOM). To test whether the effect of xylitol on S. pneumoniae is inhibited by fructose, a total of 20 strains of S. pneumoniae were exposed to xylitol in the presence of fructose and other carbon sources. Addition of 5% xylitol to the media resulted in marked growth inhibition, an effect which was totally el...

  17. Effectiveness of statins in Medicare-eligible patients and patients < 65 years using clinical practice data*

    OpenAIRE

    Fox, K M; Gandhi, S K; Ohsfeldt, R L; Blasetto, J W; Davidson, M H

    2007-01-01

    Summary Objective: This study compared effectiveness of rosuvastatin (RSV) with other statins on lowering LDL-C and LDL-C goal attainment among Medicare-eligible patients (age ≥ 65 years) and patients with age < 65 years treated in usual clinical practice to provide evidence of real-world effectiveness of statins. Methods: Retrospective cohort study was conducted in patients, newly prescribed statin therapy during August 2003 to May 2005. Patient inclusion criteria: no prior prescription for ...

  18. Clinical trial on the effect of regular tea drinking on iron accumulation in genetic haemochromatosis

    OpenAIRE

    Kaltwasser, J; Werner, E; Schalk, K; Hansen, C.; Gottschalk, R; Seidl, C.

    1998-01-01

    Background—Black tea is known to be a potent inhibitor of intestinal absorption of non-haem iron at least in healthy subjects. 
Aims—To investigate this effect in patients with genetic haemochromatosis, and, more importantly, the effect of regular tea drinking on the accumulation of storage iron in these patients over one year. 
Patients—Investigations were carried out on 18 patients with clinically proven genetic haemochromatosis. For the study of storage iron accumulation, th...

  19. Clinical Effects of Arsenic Trioxide by Slowing-intravenous Infusion on Acute Promyelocyte Leukemia

    Institute of Scientific and Technical Information of China (English)

    Jin Zhou; Ran Meng; Bao-feng Yang

    2005-01-01

    @@ Although As2O3 is effective in the treatment of acute promyelocytic leukemia (APL), some side effects, such as leukocytosis which can increase the incidence of cerebral hemorrhage and early death rate, often occur during the early stage of As2O3 treatment. In this paper, the advantages of continuously slow intravenous As2O3 infusion on relieving leukocytosis and decreasing the incidence of cerebral hemorrhage and early death rate were observed clinically.

  20. The effects of an enhanced simulation programme on medical students’ confidence responding to clinical deterioration

    OpenAIRE

    Hogg, George; Miller, David

    2016-01-01

    Background Clinical deterioration in adult hospital patients is an identified issue in healthcare practice globally. Teaching medical students to recognise and respond to the deteriorating patient is crucial if we are to address the issue in an effective way. The aim of this study was to evaluate the effects of an enhanced simulation exercise known as RADAR (Recognising Acute Deterioration: Active Response), on medical students’ confidence. Methods A questionnaire survey was conducted; the in...

  1. A critical analysis of EM based fusion of different polarization data for effect on land cover classification

    Science.gov (United States)

    Mittal, Vikas; Singh, D.; Saini, L. M.

    2015-09-01

    Land cover classification is an important activity in social, economical, geographical, ecological and risk planning of a country. Production of accurate land cover maps autonomously is still a challenging problem. It motivates the study and evolution of methods to tackle this problem. The purpose of the present study is to critically analyze the effects of image fusion on various land cover classification. The importance of using different polarizations of the single SAR data has been emphasized. A simplified EM algorithm for fusion of different permutations and combinations of multi-polarized PALSAR data is presented through modeling that is valid for Gaussian as well as non-Gaussian distortions. K-means unsupervised algorithm has been applied for the classification of various land cover i.e. water, urban, wetland, baresoil, short vegetation and tall vegetation. The proposed method is intuitive and simple in that it uses PALSAR data after pre-processing straightaway without any transformations and also estimates the missing information in each of the channel without any a priori knowledge. A critical analysis of fusion effects on different land covers is presented on the basis of various accuracies. This type of study will be helpful in further enhancing accuracy of land cover maps minimizing human intervention.

  2. Effectiveness of a combination of ML-EM and STIM-CT in PIXE-CT for biological specimen

    International Nuclear Information System (INIS)

    In this study, we applied ML-EM (maximum likelihood expectation maximization) iterative algorithm and STIM-CT to a three dimension imaging technique of PIXE-CT for cellular analysis using 3 MeV proton microbeam with a diameter of 1 μm at TIARA (Takasaki Ion Accelerators for Advanced Radiation Application). The algorithm had been applied to tomography such as SPECT (Single Photon Emission Computed Tomography). It is also possible and suitable to apply the algorithm to PIXE-CT because the algorithm can be used to project images taking into account errors due to rare events. Energy loss of incident particles and absorption of X-rays, however, affect quantitative values dramatically in the case of PIXE-CT. We estimated those effects from density distribution of major elements measured by STIM-CT in this work. In order to show the appropriateness of this method, X-ray yield and absorption were calculated using density distribution of two-dimensional Shepp phantom. The PIXE-CT experiments were carried out using a dried unicellulate as a test sample placed on an automatic rotation stage, which made a full turn by rotating 360deg at each step of 18deg in vacuum. The results of those simulation and experiments have proved that this method is effective. (author)

  3. Avaliação clínica e sistêmica em pacientes que procuram tratamento periodontal = Clinical and systemic evaluation of patients seeking periodontal treatment

    Directory of Open Access Journals (Sweden)

    Gusmão, Estela Santos

    2005-01-01

    Full Text Available Com o objetivo de estabelecer as condições clínicas e sistêmicas de pacientes portadores de doença periodontal atendidos na Escola de Aperfeiçoamento Profissional da Associação Brasileira de Odontologia Secção Pernambuco (EAP-ABO/PE nos anos de 2000-2001, foram levantados 249 prontuários dos quais, 65 foram desconsiderados por falta de preenchimento. Os dados de interesse foram anotados em ficha específica e trabalhados no programa SPSS versão 10. 0. Para análise estatística foram adotadas distribuições de freqüência, medidas de tendência central e teste do qui-quadrado (χ2. Dos 184 prontuários válidos, 61,4% eram de pacientes do sexo feminino. A idade média foi de 39,9 anos, o número médio de dentes presentes foi de 25,4 e o de dentes ausentes, foi de 6,7/pessoa. O χ2 mostrou significância entre idade e número de dentes presentes (P < 0,001. A gengivite foi a alteração periodontal mais freqüente e o diagnóstico de periodontite de progressão lenta prevaleceu em 38,6% das fichas analisadas. Envolvimento de furca grau III, mobilidade grau III e profundidade de sulco ≥ 8 mm foi observada em, respectivamente, 1,1%, 1,8% e 3,8% dos dentes. Alterações sistêmicas das mais diversas (úlcera, artrite, febre reumática, lúpus etc. atingiram 50% dos pacientes, 18,4% dos pacientes eram hipertensos. Não foi observada significância entre idade e diagnóstico periodontal (P = 0,672 e idade e condições sistêmicas (P = 0,586. O χ2 comprovou existir significância estatística entre condição sistêmica e diagnóstico periodontal (P < 0,001 sendo, portanto, sugestivo de que a condição sistêmica interfere no estado periodontal.

  4. Análise crítica de experiência com redesenho de processos em um laboratório clínico Critical analysis of processes redesign experience in a clinical laboratory

    Directory of Open Access Journals (Sweden)

    Fernando de Almeida Berlitz

    2011-06-01

    Full Text Available INTRODUÇÃO: Para competir no mercado atual de medicina laboratorial, há a necessidade de processos com elevado nível de agregação de valor aos clientes e alta flexibilidade para atender às modificações constantes nos requisitos de clientes e legais, bem como capacidade de se adaptar às modificações no ambiente competitivo. Esses desafios exigem uma adaptação global do laboratório para uma visão baseada em processos. OBJETIVO: Avaliar criticamente uma iniciativa de mapeamento e redesenho de processos desenvolvida em um laboratório clínico de grande porte. Nessa análise crítica, serão apresentados e avaliados os resultados de um projeto de redesenho realizado na área técnica da empresa, incluindo processos técnicos e de apoio. MATERIAIS E MÉTODOS: Foram mapeados 37 processos técnicos, utilizando metodologia adaptada e identificando as principais desconexões e oportunidades de melhoria. Cada processo foi sequencialmente analisado e redesenhado e um plano de ação foi gerado para a implementação de cada novo processo. Resultados: Após a implementação dos novos processos redesenhados, a produtividade de pessoal técnico aumentou em mais de 30%. Outro resultado importante foi obtido em termos de flexibilidade dos processos, principalmente em razão da nova estrutura de subáreas na área técnica. DISCUSSÃO: Os principais pontos críticos do projeto estiveram relacionados com a disponibilidade de recursos de tecnologia da informação (TI e a não priorização de medições nos processos no momento inicial do projeto. CONCLUSÃO: A iniciativa de redesenho de processos, se implementada com um roteiro planejado, orientada a resultados e alinhada à estratégia da organização, pode proporcionar resultados significativos para os laboratórios clínicos.INTRODUCTION: In order to ensure market competitiveness in laboratory medicine, there is a current demand for processes with high customer added value, high flexibility

  5. Fixação esquelética externa em cães: avaliação clínica e microbiológica External skeletal fixation in dogs: clinical and microbiological evaluation

    Directory of Open Access Journals (Sweden)

    L.P. Carneiro

    2001-08-01

    Full Text Available Eleven dogs, of both sexes, average weight of 12kg, with ages ranging from two to five years were used with the objective of evaluating two treatments of skin wounds produced after percutaneous bone transfixation of the tibia. In six animals, cotton swabs embedded in 0.2% iodine-alcohol were used to clean the areas of pin perforations. In five dogs, a 0.9% sodium chloride solution, under approximate 30 psi pulse pressure, was used. In both cases, and treatments were carried out every three to four days, during four weeks. Clinical specimens were collected under anaerobic conditions, immediately before the treatments, and on days 3, 7, 14 and 28 after surgery. Samples were cultured in specific media in order to allow isolation of aerobic and anaerobic bacteria and yeast. Dogs treated with sodium chloride solution showed little purulent exudation, while dogs treated with iodine-alcohol presented dry skin wounds with minimum blood-serous to serous exudation. The microbiological evaluation revealed predominance of Staphylococcus spp, but no differences were observed between the two treatments. The results allowed to conclude that both methods are efficient for post-surgical treatments of bone percutaneous transfixation in dogs.Foram utilizados 11 cães de ambos os sexos, sem raça definida, clinicamente sadios, com média de peso de 12kg e idade entre dois e cinco anos, para avaliação de dois métodos de tratamento da ferida cutânea produzida pela transfixação óssea percutânea da tíbia íntegra. Em seis animais empregou-se haste de polipropileno com ponta de algodão embebida em álcool iodado a 0,2% para limpeza dos orifícios de penetração dos pinos. Em cinco cães usou-se soro fisiológico sob pressão pulsátil (± 30 psi. Em ambos os casos, os tratamentos eram repetidos a cada três a quatro dias, por um período de quatro semanas. Espécimes clínicos foram colhidos em anaerobiose após 3, 7, 14 e 28 dias da cirurgia, imediatamente

  6. Clinical description of hemodialysis headache in end-stage renal disease patients Caracterização clínica da cefaléia da diálise em pacientes renais crônicos

    Directory of Open Access Journals (Sweden)

    Alan Chester Feitosa de Jesus

    2009-12-01

    Full Text Available BACKGROUND: Hemodialysis (HD-related headaches are a common complaint of patients undergoing this procedure. OBJECTIVE: To determine the frequency and clinical characteristics of headache in patients undergoing HD and to discuss their diagnostic criteria. METHOD: The present study assessed, in a prospective manner, a series of patients consulting at a HD center in Aracaju, Sergipe, Brazil, from November 2007 to January 2008. Only patients with HD-related headaches without previous history of primary headache were diagnosed as isolated HD headache (HDH. RESULTS: Headache was reported by 76.1% of the patients studied. Prior to beginning dialysis, 47.9% had migraine without aura, 6.7% migraine with aura, 0.6% hemiplegic migraine, 5% episodic tension-type headache, and 2.5% migraine and tension-type headache. HDH was diagnosed in 6.7% of the patients, the most prevalent features being diffuse or temporal region location, bilateral headache, throbbing nature, and moderate severity. Seven patients with headaches between the sessions were not classified. CONCLUSION: While the pathophysiology of HDH is unknown, to diagnose patients with HDH or other possible HD-related headaches remains a challenge.Cefaléias relacionadas ao programa de hemodiálise é uma queixa comum. OBJETIVO: Determinar freqüência e características clínicas das cefaléias em pacientes em regime de hemodiálise e discutir critérios diagnósticos. MÉTODO: Foi feita uma avaliação clínica prospectiva de pacientes cefalêicos em um serviço de hemodiálise em Aracaju, Sergipe, Brasil, de novembro de 2007 a janeiro de 2008. Apenas pacientes sem antecedente de cefaléia primária receberam diagnóstico de cefaléia da diálise isolada. RESULTADOS: Cefaléia esteve presente em 76,1% dos pacientes estudados. Como antecedente de cefaléia, 47,9% tinham migrânea sem aura, 6,7% migrânea com aura, 0,6% migrânea hemiplégica, 5,5% cefaléia tensional episódica, e 2,5% associação de

  7. Comparação da eficácia de doses iguais de acetaminofeno retal e oral em crianças Comparison of antipyretic effectiveness of equal doses of rectal and oral acetaminophen in children

    Directory of Open Access Journals (Sweden)

    Sedigha Akhavan Karbasi

    2010-06-01

    Full Text Available OBJETIVO: Comparar uma dose de acetaminofeno oral e retal e avaliar a aceitabilidade do acetaminofeno retal, uma vez que o acetaminofeno oral e retal é amplamente usado como agente antipirético em crianças com febre e a eficiência comparativa dessas duas preparações não está bem estabelecida. MÉTODOS: Neste estudo prospectivo de grupos paralelos, foram incluídas 60 crianças admitidas na emergência ou clínica ambulatorial pediátrica em um hospital terciário, com idade entre 6 meses e 6 anos e com temperatura retal acima de 39 °C. Os pacientes foram distribuídos aleatoriamente em dois grupos de mesmo tamanho. O grupo 1 recebeu 15 mg/kg de acetaminofeno retal, e o grupo 2 recebeu a mesma dose oralmente. A temperatura foi registrada no tempo zero e 1 e 3 horas após administração da droga. RESULTADOS: No primeiro grupo, a redução média de temperatura, 1 e 3 horas após administração do acetaminofeno, foi de 1,07±0,16 (p 0,05. CONCLUSÃO: As preparações oral e retal de acetaminofeno têm eficácia antipirética equivalente em crianças. A via retal mostrou ser tão aceitável quanto a oral entre os pais.OBJECTIVE: To compare a dose of oral and rectal acetaminophen and to evaluate acceptability of rectal acetaminophen, since oral and rectal acetaminophen is widely used as an antipyretic agent in febrile children and the comparative effectiveness of these two preparations is not well established. METHODS: In this prospective parallel group designed study, 60 children who presented to the emergency department or outpatient pediatric clinic at a tertiary hospital and aged from 6 months to 6 years with rectal temperature over 39 °C were enrolled. Patients were randomly assigned to two equal-sized groups. Group 1 received 15 mg/kg acetaminophen rectally and group 2 received the same dose orally. Temperature was recorded at baseline and 1 and 3 hours after drug administration. RESULTS: In the first group, mean decrease in

  8. Tuberculose do sistema nervoso central em crianças: 1. Apresentação clínica e laboratorial Central nervous system tuberculosis in children: 1. Clinical and laboratorial presentation

    Directory of Open Access Journals (Sweden)

    Fernando A. R. de Gusmão Filho

    2001-03-01

    Full Text Available A tuberculose ainda é um problema grave de saúde pública, principalmente em países emergentes, como o Brasil. O acometimento do sistema nervoso central (SNC pelo Mycobacterium tuberculosis é uma das formas da doença mais temidas na infância, devido à morbi-mortalidade alta que costuma causar. Este estudo teve como objetivo descrever aspectos epidemiológicos, clínicos e laboratoriais de 52 crianças com tuberculose do SNC em um hospital pediátrico terciário. A maioria dos pacientes apresentou idade baixa, estado nutricional precário, contato prévio com doentes, vacinação ausente ou tardia, comprometimento neurológico avançado, alterações quimiocitológicas de líquor compatíveis, assim como os achados de exames de imagem. A recuperação do agente no líquor e outros líquidos corpóreos por pesquisa direta ou cultura ocorreu em 40% dos pacientes. Apesar do perfil clínico-epidemiológico-laboratorial sugestivo e da viabilidade de acesso do paciente a serviço médico, na maioria dos casos o diagnostico foi tardio.Tuberculosis still occupies a remarkable place as a worldwide health problem, chiefly in emerging countries, like Brazil. The central nervous system (CNS involvement by Mycobacterium tuberculosis is one of the most feared features of disease, because of its high morbidity and mortality. This study aimed to describe some epidemiological, clinical and laboratorial aspects of 52 children in a tertiary pediatric hospital with CNS tuberculosis. At diagnosis, the majority of patients showed low age, compromised nutritional status, previous contact with bacillary individuals, delayed or absent immunization, advanced neurological signs and compatible abnormalities in cerebrospinal fluid (CSF analysis and in radiological findings. The etiologic agent was identified by staining methods or CSF and other fluids culturing in 40% of patients. In most cases, despite of suggestive clinical, epidemiological and laboratorial picture

  9. O Efeito da lateralidade em teste de fala no ruído em normo-ouvintes The handedness effect in speech test in noise in normal hearing subjects

    Directory of Open Access Journals (Sweden)

    Karine Thaís Becker

    2011-12-01

    Full Text Available OBJETIVO: verificar o efeito da lateralidade em teste monoaural, na presença de ruído competitivo, que utiliza sentenças como estímulo em indivíduos normo-ouvintes. MÉTODO: 81 indivíduos normo-ouvintes, com idades entre 18 e 44 anos, divididos em 2 grupos de acordo com a lateralidade - 45 indivíduos destros e 36 canhotos -, foram avaliados por meio do teste Listas de Sentenças em Português (LSP, e obtida a relação sinal-ruído (S/R para cada orelha. RESULTADOS: os valores médios obtidos para as relações S/R na orelha direita, para os indivíduos destros e canhotos, foram, respectivamente, -6,5 dB e -4,5 dB. Para a orelha esquerda, foram -7,0 dB e -7,5 dB. As orelhas direitas apresentaram resultados significantemente piores, tanto nos indivíduos destros, como nos canhotos. No entanto a orelha direita dos canhotos foi sensivelmente pior em comparação a dos destros. CONCLUSÃO: existe diferença quanto ao reconhecimento de fala, na presença de ruído competitivo, em indivíduos destros e canhotos. A orelha direita apresentou pior desempenho em ambos os grupos, sendo que esse resultado negativo é mais acentuado nos canhotos.PURPOSE: to check the handedness effects in monaural test using sentences as stimulus with background noise in adults with normal hearing. METHOD: 81 subjects, with age between 18 and 44, divided in two groups according to handedness - 45 right-handers and 36 left-handers, were evaluated through the Portuguese Sentences Lists test (PSL then we obtained the signal to noise ratio for each ear. RESULTS: the mean values obtained as for the signal to noise ratio on right ear for the right- and left -handed subjects were respectively -6.5 dB and -4.5 dB. On the left ear the computed results were -7.0 dB and -7.5 dB. The right ears showed significantly poor results in both right-handed subjects, as well as in left-handers. As left-handed subjects right ears was significantly poor compared to that of right

  10. Espasmos em flexão: estudo clínico e eletrencefalográfico de pacientes tratados com Ro 4-5360 Infantile spasms: clinical and electroencephalographic studies of patients treated with Mogadon (Ro 4-5360

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    P. Lison

    1967-06-01

    Full Text Available Sete pacientes com espasmos em flexão não controlados com medicações anticonvulsivas usuais foram submetidos a tratamento com Ro 4-5360 (Mogadon, à razão de 5 a 10 mg por dia. Foram discutidos os resultados clínicos e os achados eletrencefalográficos. Especial ênfase foi dedicada às correlações eletroclínicas. Os autores concluem: 1 Houve redução rápida e significativa na intensidade e na freqüência dos surtos de espasmos em flexão em todos os casos tratados com Mogadon. 2 Os melhores resultados foram observados em crianças que apresentavam desenvolvimento psicomotor normal até o aparecimento dos espasmos em flexão. 3 O intervalo entre o início dos espasmos em flexão e o início do tratamento com Mogadon e o insucesso de tratamentos anteriores com ACTH não foram fatores desfavoráveis quanto aos resultados da terapêutica benzcdiazepínica. 4 Houve ligeira regressão do retardo psicomotor, em 5 dos 7 casos, não acompanhando a nítida melhora das manifestações convulsivas, melhora cuja precocidade e intensidade foram mais acentuadas nas crianças em que o desenvolvimento psicomotor era inicialmente normal. 5 Nos casos que apresentavam hipsarritmia, houve desaparecimento da manifestação ao fim de uma semana de tratamento. 6 O aparecimento de sincronização rápida por espículas de amplitude uniforme e de topografia difusa no eletrencefalograma, dos pacientes tratados com Mogadon, parece ser função da incidência de elementos rápidos de tipo irritativo nos traçados realizados antes do tratamento. 7 Na vigência do aparecimento da sincronização por espículas difusas surgiram crises tônicas generalizadas em duas crianças que não apresentavam este tipo antes do tratamento, sendo de notar que essas manifestações eletrencefalográficas e clínicas diminuíram ulteriormente e desapareceram após três meses de tratamento. 8 Em três casos, passada a fase de alterações paroxisticas difusas, permaneceram

  11. Effect of protein coating of flocked swabs on the collection and release of clinically important bacteria

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    K H Harry

    2014-01-01

    Full Text Available Clinical swab heads are often coated with biopolymers to improve the recovery and survival of organisms. To assess the effect of swab head material coating, water absorption capacity and capture and release characteristics of four pathogenic bacteria from protein coated and uncoated flocked swabs were determined. Demonstration of no uniformly higher recovery of all test bacteria from coated swabs over their corresponding uncoated swabs suggest importance of physicochemical properties of swab tip material compared with biopolymer coating, for swab selection for clinical applications.

  12. Long-term clinical and bacterial effects of xylitol on patients with fixed orthodontic appliances

    OpenAIRE

    Masoud, Mohamed I; Allarakia, Reem; Alamoudi, Najlaa M.; Nalliah, Romesh; Allareddy, Veerasathpurush

    2015-01-01

    Background The objective of this study was to evaluate long-term clinical and bacterial effects of using 6 g of xylitol per day for 3 months on patients with full fixed orthodontic appliances. Methods The study was a pilot clinical trial that included 41 subjects who were undergoing orthodontic treatment. The subjects were randomly divided into three groups. Group A received xylitol chewing gum, group B received xylitol dissolvable chewable tablets, and Group C served as the control group and...

  13. Distonias: aspectos clínicos e terapêuticos em 64 pacientes Dystonias: clinical and therapeutic features in 64 patients

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    James Pitágoras de Mattos

    1996-03-01

    Full Text Available Os Autores apresentam a experiência em 64 pacientes, com as várias formas clínicas de apresentação de distonias, acompanhados no Setor de Doenças Extrapiramidais do Serviço de Neurologia do Hospital Universitário Clementino Fraga Filho da UFRJ, assim como, revisam a literatura, cotejando os resultados. O acompanhamento desses pacientes durante 5 anos e 6 meses resultou nas seguintes observações: 33 do sexo masculino e 31 do feminino; 48 brancos, 10 pardos e 6 negros; a média do tempo de doença foi 9 anos e 8 meses. Quanto à distribuição do movimento anormal, 30 (46,9% eram focais; 17 (26,6%, segmentares; 13 (20,3%, generalizadas; 3 (4,7%, hemidistonias; 1 (1,5%, multifocal. Quanto à idade de início, em 11 (17,2% se apresentou antes dos 12 anos; em 6 (9,4%, entre 13 e 20 anos; e em 47 (73,4%, após os 20 anos. Correspondiam à origem idiopática esporádica, 39 (60,9%; idiopática familiar, 6 (9,4%; sintomática, 19 (29,7%. No que se refere à abordagem terapêutica destes pacientes, destacamos o emprego de anticolinérgicos, de agonistas e antagonistas dopaminérgicos e do baclofen isolado ou associado aos anticolinérgicos para as formas generalizadas. Para as distonias focais, os Autores concluem ser a toxina botulínica do tipo A o agente terapêutico mais eficaz aconselhado atualmente.The experience with 64 patients with dystonia seen at the Extrapyramidal Diseases Sector of the Neurology Department of the Hospital Universitário Clementino Fraga Filho of the UFRJ is presented as well as the pertinent review of the literature. The five-and-a-half-year of follow-up showed that 33 were male and 31 female; 48 were white, 10 mulatto and 6 negro; the mean time of disease was 9 years and 8 months. According to the distribution of the movement disorder, 30 (46.9% were focal, 17 (26.6% segmental, 13 (20.3% generalized, 3 (4.7% hemidystonia and 1 (1.5% multifocal. In 11 (17.2% the age of onset was before 12 years old, in 6 (9

  14. Reabilitação vestibular: utilidade clínica em pacientes com esclerose múltipla Vestibular rehabilitation: clinical benefits to patients with multiple sclerosis

    OpenAIRE

    Bianca Simone Zeigelboim; Karlin Fabianne Klagenberg; Paulo Breno Noronha Liberalesso

    2010-01-01

    O objetivo desse estudo foi analisar a eficácia do exercício de reabilitação vestibular em dois casos de esclerose múltipla remitente-recorrente. Ambos os casos foram encaminhados do Hospital de Clínicas para o Laboratório de Otoneurologia de uma instituição de ensino e foram submetidos aos seguintes procedimentos: anamnese, inspeção otológica, avaliação vestibular e aplicação do Dizziness Handicap Inventory pré e pós reabilitação vestibular utilizando-se o protocolo de Cawthorne e Cooksey. N...

  15. Práticas transversalizadas da clínica em saúde mental Cross sectional practices of mental health clinic

    OpenAIRE

    João Leite Ferreira Neto

    2008-01-01

    A pesquisa investiga as mudanças nas práticas em psicologia clínica no Brasil, no campo da Saúde Mental a partir de um estudo de caso de um Distrito Sanitário de Belo Horizonte, onde foram entrevistadas seis profissionais que atuam na atenção básica no Programa de Saúde Mental. Desenvolve um panorama histórico, uma investigação conceitual e uma reflexão sobre a relação entre essas práticas e o espaço urbano. Os dados apresentam mudanças nas práticas clínicas na saúde mental, que emergiram a p...

  16. Aplicações das dosagens de inibinas em Ginecologia e Obstetrícia Clinical usefulness of inhibin assays in Gynecology and Obstetrics

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    Fernando Marcos dos Reis

    2009-12-01

    Full Text Available Na mulher, a principal fonte de inibina B são as células da granulosa de folículos em crescimento, enquanto a inibina A é secretada principalmente pelo corpo lúteo e pela placenta. Em mulheres inférteis submetidas a terapias de reprodução assistida, a inibina B se mostrou útil para predizer má resposta ovulatória, embora não tenha superado o desempenho de outros marcadores. No rastreamento pré-natal da síndrome de Down, a utilidade da inibina A foi repetidamente confirmada no segundo trimestre e começa a ser considerada também na bateria de testes do primeiro trimestre. Além das duas aplicações acima, a dosagem de inibina total pode contribuir para a identificação de casos de insuficiência ovariana autoimune. A inibina total também pode ser um marcador auxiliar no diagnóstico de tumores epiteliais do ovário, enquanto a dosagem de inibina B auxilia no diagnóstico de tumores de células da granulosa. O uso da inibina A pode se estender à avaliação de gestantes com ameaça de abortamento, com história de abortamento de repetição, com risco aumentado de pré-eclâmpsia, ou ainda nos primeiros dias de seguimento pós-esvaziamento de mola hidatiforme. Todas essas aplicações continuam em estudo, mas com possibilidade real de virem a ampliar o espectro diagnóstico das dosagens de inibinas em Ginecologia e Obstetrícia.The main source of inhibin B in women is the growing follicle granulosa cells, while inhibin A is mainly produced by the corpus luteum and the placenta. In infertile women submitted to therapies of assisted reproduction, inhibin B has shown to be useful to predict a poor ovulatory response, though it has not yet overcome the performance of other markers. In the pre-natal screening of the Down syndrome, inhibin A has been repeatedly confirmed as useful in the second trimester and has also started to be considered in the first trimester test battery. Besides the two applications above, the dosage of total

  17. Biomarkers for the assessment of chlorpyrifos effects on earthworms and on soil functional parameters Biomarcadores para a avaliação dos efeitos de clorpirifós em minhocas e em parâmetros funcionais do solo

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    Lucas Piola

    2009-08-01

    Full Text Available The objective of this work was to evaluate the effects of chlorpyrifos on earthworms and on soil functional parameters. An integrated laboratory-field study was performed in a wheat field in Argentina, sprayed with chlorpyrifos at two recommended application rates (240 or 960 g ha-1 style='vertical-align:baseline'> a.i.. Laboratory tests included neutral red retention time, comet assay (single cell gel electrophoresis, and avoidance behavior, each using the earthworm Eisenia andrei exposed in soil collected 1 or 14 days after pesticide application, and the bait-lamina test. Field tests assessed organic matter breakdown using the litterbag and bait-lamina assays. Earthworm populations in the field were assessed using formalin application and hand-sorting. The neutral red retention time and comet assays were sensitive biomarkers to the effects of chlorpyrifos on the earthworm E. andrei; however, the earthworm avoidance test was not sufficiently robust to assess these effects. Feeding activity of soil biota, assessed by the bait lamina test, was significantly inhibited by chlorpyrifos after 97 days, but recovered by the 118th day of the test. Litterbag test showed no significant differences in comparison to controls. Earthworm abundance in the field was too low to adequately test the sensitivity of this assessment endpoint.O objetivo deste trabalho foi avaliar os efeitos do clorpirifós sobre as minhocas e sobre parâmetros funcionais do solo. Foi executado um estudo integrado campo-laboratório, em uma plantação de trigo na Argentina, onde foi aplicado clorpirifós em duas doses recomendadas (240 ou 960 g ha-1 a.i.. Os ensaios laboratoriais incluíram tempo de retenção do vermelho-neutro, ensaio cometa (eletroforese em gel de célula única e teste de fuga, cada um com a minhoca Eisenia andrei exposta aos solos coletados 1 e 14 dias após tratamentos, e teste com a lâmina-isca. Nos bioensaios de campo, avaliou-se a decomposição da mat

  18. Improving Decision Making about Genetic Testing in the Clinic: An Overview of Effective Knowledge Translation Interventions

    Science.gov (United States)

    Légaré, France; Robitaille, Hubert; Gane, Claire; Hébert, Jessica; Labrecque, Michel; Rousseau, François

    2016-01-01

    Background Knowledge translation (KT) interventions are attempts to change behavior in keeping with scientific evidence. While genetic tests are increasingly available to healthcare consumers in the clinic, evidence about their benefits is unclear and decisions about genetic testing are thus difficult for all parties. Objective We sought to identify KT interventions that involved decisions about genetic testing in the clinical context and to assess their effectiveness for improving decision making in terms of behavior change, increased knowledge and wellbeing. Methods We searched for trials assessing KT interventions in the context of genetic testing up to March 2014 in all systematic reviews (n = 153) published by two Cochrane review groups: Effective Practice and Organisation of Care (EPOC) and Consumers and Communication. Results We retrieved 2473 unique trials of which we retained only 28 (1%). Two EPOC reviews yielded two trials of KT interventions: audit and feedback (n = 1) and educational outreach (n = 1). Both targeted health professionals and the KT intervention they assessed was found to be effective. Four Consumers and Communication reviews yielded 26 trials: decision aids (n = 15), communication of DNA-based disease risk estimates (n = 7), personalized risk communication (n = 3) and mobile phone messaging (n = 1). Among these, 25 trials targeted only health consumers or patients and the KT interventions were found to be effective in four trials, partly effective in seven, and ineffective in four. Lastly, only one trial targeted both physicians and patients and was found to be effective. Conclusions More research on the effectiveness of KT interventions regarding genetic testing in the clinical context may contribute to patients making informed value-based decisions and drawing the maximum benefit from clinical applications of genetic and genomic innovations. PMID:26938633

  19. What is an adverse effect? A possible resolution of clinical and epidemiological perspectives on neurobehavioral toxicity

    International Nuclear Information System (INIS)

    The sizes of the effects observed in studies that rely on neurobehavioral endpoints are often small. Because the mean deficits implied are more modest in magnitude than are those that correspond to the clinical criteria used to diagnose 'disease', some observers dismiss them as inconsequential. Other observers argue that the mean deficits take on greater import when viewed as effects on a population rather than on individual members of the population. Several considerations germane to an effort to reconcile these perspectives are discussed: (1) the relative sensitivity of clinical diagnoses and continuously distributed scores on neurobehavioral tests as indices of adverse effect, (2) the syndromal nature of many diagnoses in pediatric neurology and neuropsychology and the implications of shifting nosology, (3) neurobehavioral test-score changes as surrogates or as prodromes for clinically significant deficits, (4) the distinction between individual risk and population risk, and (5) the tendency of the distribution of a risk factor in a population to move up and down as a whole. The clinical and epidemiological perspectives are complementary rather than incompatible

  20. Assessing and reporting heterogeneity in treatment effects in clinical trials: a proposal

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    Kent David M

    2010-08-01

    Full Text Available Abstract Mounting evidence suggests that there is frequently considerable variation in the risk of the outcome of interest in clinical trial populations. These differences in risk will often cause clinically important heterogeneity in treatment effects (HTE across the trial population, such that the balance between treatment risks and benefits may differ substantially between large identifiable patient subgroups; the "average" benefit observed in the summary result may even be non-representative of the treatment effect for a typical patient in the trial. Conventional subgroup analyses, which examine whether specific patient characteristics modify the effects of treatment, are usually unable to detect even large variations in treatment benefit (and harm across risk groups because they do not account for the fact that patients have multiple characteristics simultaneously that affect the likelihood of treatment benefit. Based upon recent evidence on optimal statistical approaches to assessing HTE, we propose a framework that prioritizes the analysis and reporting of multivariate risk-based HTE and suggests that other subgroup analyses should be explicitly labeled either as primary subgroup analyses (well-motivated by prior evidence and intended to produce clinically actionable results or secondary (exploratory subgroup analyses (performed to inform future research. A standardized and transparent approach to HTE assessment and reporting could substantially improve clinical trial utility and interpretability.

  1. Ubiquitous Diabetes Management System via Interactive Communication Based on Information Technologies: Clinical Effects and Perspectives

    Science.gov (United States)

    Cho, Jae-Hyoung; Kim, Hun-Sung; Han, Jae-Hoon; Lee, Jin-Hee; Oh, Jeong-Ah; Choi, Yoon-Hee

    2010-01-01

    New diabetes management systems based on interactive communication have been introduced recently, accompanying rapid advances in information technology; these systems are referred to as "ubiquitous diabetes management systems." In such ubiquitous systems, patients and medical teams can communicate via Internet or telecommunications, with patients uploading their glucose data and personal information, and medical teams sending optimal feedback. Clinical evidence from both long-term and short-term trials has been reported by some researchers. Such systems appear to be effective not only in reducing the levels of HbA1c but also in stabilizing glucose control. However, most notably, evidence for the cost-effectiveness of such a system should be demonstrated before it can be propagated out to the general population in actual clinical practice. To establish a cost-effective model, various types of clinical decision supporting software designed to reduce the labor time of physicians must first be developed. A number of sensors and devices for monitoring patients' data are expected to be available in the near future; thus, methods for automatic interconnections between devices and web charts were also developed. Further investigations to demonstrate the clinical outcomes of such a system should be conducted, hopefully leading to a new paradigm of diabetes management. PMID:21076573

  2. Efeitos do ultrassom terapêutico em modelo experimental de ciatalgia Therapeutic ultrasound effects in a sciatica experimental model

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    Adriano Policam Ciena

    2009-12-01

    Full Text Available A ciática possui grande prevalência geral e seu tratamento tende a resolver as causas de compressão nervosa. A fisioterapia objetiva reduzir os sintomas causados pela compressão. O presente estudo teve como objetivo avaliar a eficácia do ultrassom terapêutico sobre a dor, em animais submetidos a modelo experimental de ciatalgia. Foram usados 18 ratos neste estudo, divididos em três grupos: GS (n = 4, submetido a modelo de ciatalgia e tratados com ultrassom desligado; GUP (n = 7, submetido à ciatalgia e tratados com ultrassom pulsado 2W/cm² (SATP; 0,4 - SATA; e grupo GUC (n = 7, submetido à ciática e ultrassom contínuo (0,4W/cm². O nervo ciático do membro posterior direito foi exposto à compressão com fio categute em quatro pontos. No 3º dia pós-operatório (PO, iniciou-se tratamento indireto por quatro dias. No 9º dia PO, o tratamento direto começou sobre a área do procedimento cirúrgico, por cinco dias consecutivos. O tempo de elevação da pata, durante a marcha, foi avaliado antes e após a ciatalgia, no 3º, 6º, 9º e 13º PO. Os resultados demonstraram que a aplicação do ultrassom reduziu a dor com ambos os tratamentos efetivos e tendeu a ser mais eficaz na forma pulsada.The sciatica possesses great general population prevalence, and its treatment tends to solve the nervous compression causes. Physiotherapy aims to reduce the symptoms caused by compression. This study aimed to evaluate the effectiveness of therapeutic ultrasound on pain in animals subjected to sciatica experimental model. Eighteen rats were used and they were divided in 3 groups: group SG (n=4 submitted to the sciatica and treated with the ultrasound off, group PUG (n=7 submitted to the sciatica and treated with pulsed ultrasound 2 W/cm² (SATP; 0,4 - SATA and group CUG (n=7 submitted to the sciatica and treated with continuous ultrasound (0,4 W/cm². The sciatic nerve of the posterior right limb was exposed to the compression with Catgut wire in 4

  3. Effect of Diets Supplemented with Different Sources of Astaxanthin on the Gonad of the Sea Urchin Anthocidaris crassispina

    OpenAIRE

    Jiang-Hai Wang; Jian-Ping Yuan; Juan Peng

    2012-01-01

    The effect of the microalgae <em>Haematococcus pluvialis em>and <em>Chorella zofingiensisem>, and synthetic astaxanthin on the gonad of the sea urchin<em> Anthocidaris crassispinaem> was studied. The basal diet was supplemented with <em>H. pluvialisem>, <em>C. zofingiensisem>, or synthetic astaxanthin, at two levels of <em>astaxanthin em>(>approximately 400 mg/kg and 100 mg/kg), to obtain t...

  4. Aspectos clínico-patológicos da intoxicação experimental por selenito de sódio em eqüinos Clinical and pathological aspects of experimental poisoning by sodium selenite in horses

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    Pedro Brandini Néspoli

    2001-09-01

    Full Text Available Dadas as controvérsias sobre a intoxicação por selênio, foram realizados nove experimentos com a administração de selenito de sódio, por via intramuscular, em eqüinos, com o intuito de estudar e melhor fundamentar os aspectos clínico-patológicos e toxicológicos sobre esse tema. Conseguiram-se produzir quadros com evoluções superaguda, aguda, subaguda e crônica; alguns sinais clínicos de origem nervosa observados nos quadros agudos foram similares aos descritos para "blind staggers"; a despeito disto, o carácter conflitante e duvidoso das descrições sobre essa pretensa entidade historicamente descrita, não permite uma comparação mais exata. O quadro crônico, por outro lado, configurou claramente a primeira reprodução de "alkali disease", por via parenteral, em eqüinos. Estabeleceu-se 1,49 mg/kg de selenito de sódio como a dose única letal para essa espécie. Descrevem-se diversos achados clínico-patológicos relativos aos sistemas cardiovascular e nervoso, antes não mencionados na literatura relativa aos eqüinos intoxicados por selênio. Entre eles, destacam-se, clinicamente, sopro e arritmia cardíacos, desdobramento de bulhas e convulsão. À necropsia, um animal apresentou nítido achatamento das circunvoluções cerebrais e, em relação à histopatologia, lise e necrose de neurônios do córtex, edema de astrócitos, bem como ativação endotelial e gliose. Em relação à patogênese, postula-se que as alterações degenerativo-necróticas observadas no sistema nervoso central, devam-se ao edema, por sua vez conseqüente ao aumento da permeabilidade vascular, determinada pelo selenito de sódio.Due to the numerous contradictions on selenium poisoining, and in order to improve knowledge about the clinical, pathological and toxicological aspects, experiments were performed with intramuscular injections of sodium selenite in 9 horses. Peracute, acute, subacute and chronic poisoning was reproduced; some nervous

  5. Perfil dos atendimentos ambulatoriais realizados em uma clínica de cirurgia plástica no sul do Brasil Outpatient service profile in a plastic surgery clinic in Southern Brazil

    Directory of Open Access Journals (Sweden)

    Everton Fernando Alves

    2010-07-01

    Full Text Available Objetivo: Descrever o perfil dos atendimentos ambulatoriais realizados em uma clínica de cirurgia plástica no sul do Brasil. Materiais e Métodos: Foi realizado um estudo descritivo, exploratório e de caráter quantitativo com o intuito de analisar a totalidade de atendimentos ambulatoriais (consultas e cirurgias realizadas em uma clínica privada de cirurgia plástica no período de 01 de janeiro a 31 de dezembro de 2010. Resultados: Observou-se que, das 671 (60,5% consultas novas, apenas 205 (18,5% cirurgias foram realizadas. Março foi o mês com mais consultas (10% e cirurgias (11,7%. Do total de consultas novas, as reparadoras foram predominantes em 55,6% dos casos seguidos das estéticas com 33,7%. A média etária foi de 37 anos e com predomínio de mulheres. A idade variou de 8 meses a 89 anos. Os pacientes casados representaram a maioria das cirurgias (49,8%; houve predomínio de pacientes na fase adulta (31 a 59 anos com 316 pacientes (47,1%. A Unimed foi o convênio mais atendido (49,3% nas consultas; os procedimentos cirúrgicos mais frequentes foram as exéreses e/ou raspagem de afecções de pele e anexos 70 (33,1%, seguido das mastoplastias (mastoplastia de aumento, mamopexia, ginecomastia. Conclusão: Apesar da maioria dos atendimentos cirúrgicos terem sido exéreses de deformidades congênitas e/ou adquiridas, o resultado não se distancia da realidade encontrada no restante do Brasil, com predomínio de mulheres e grande número de implantes mamários. A clínica em estudo é uma instituição que apresenta condições para a viabilização de atendimentos ambulatoriais, considerando-se as inúmeras vantagens proporcionadas por este método.Objective: To describe the outpatient service profile in a plastic surgery clinic in southern Brazil. Materials and Methods: It was conducted a descriptive, exploratory and quantitative study in order to analyze the total outpatient service (consultations and surgeries performed in a

  6. Microcefalia primária autossômica recessiva em três famílias pernambucanas: aspectos clínicos e moleculares Autosomal recessive primary microcephaly in three families from Pernambuco: clinical and molecular aspects

    Directory of Open Access Journals (Sweden)

    Gabriela F. Leal

    2005-06-01

    Full Text Available OBJETIVOS: descrever os aspectos clínicos de três famílias pernambucanas com microcefalia primária autossômica recessiva e as análises de ligação em uma delas (família 2. MÉTODOS: três famílias consangüíneas pernambucanas, não relacionadas biologicamente, com microcefalia primária, foram estudadas. Os heredogramas e a história clínica dos afetados foram construídos com base em informações obtidas de seus pais e outros parentes. O exame físico foi realizado em todos os afetados, seus genitores e na quase totalidade dos irmãos normais dos afetados. O DNA genômico dos afetados da família 2 e de seus pais foi usado em reações de PCR (polimerase chain reaction com primers elaborados para amplificar marcadores microssatélites ligados aos locos já conhecidos de microcefalia primária autossômica recessiva. Os marcadores amplificados foram submetidos a eletroforese e seus alelos analisados. RESULTADOS: nas três famílias, os afetados apresentavam perímetro cefálico muito reduzido acompanhado de retardo mental e apenas uma paciente (da família 3 manifestava outras alterações neurológicas, mas sem dismorfias associadas. Estudos moleculares demonstraram que a microcefalia, na família 2, não apresentava ligação com nenhum dos locos associados à microcefalia primária autossômica recessiva já conhecidos. CONCLUSÕES: pelo menos mais um gene associado à microcefalia primária autossômica recessiva existe e aguarda identificação.OBJECTIVES: to describe the clinical findings in three families from Pernambuco with autosomal recessive primary microcephaly, and the linkage analysis in one of them (family 2. METHODS: three consanguineous families from Pernambuco, not related one to another and with primary microcephaly, were studied. The genealogical data and the clinical history of the affected individuals were obtained from their parents and other family members. All the affected subjects, almost all their normal

  7. <em>Ipomoea aquaticaem> Extract Shows Protective Action Against Thioacetamide-Induced Hepatotoxicity

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    A. Hamid A. Hadi

    2012-05-01

    Full Text Available In the Indian system of traditional medicine (Ayurveda it is recommended to consume <em>Ipomoea em>aquatica> to mitigate disorders like jaundice. In this study, the protective effects of ethanol extract of <em>I. aquaticaem> against liver damage were evaluated in thioacetamide (TAA-induced chronic hepatotoxicity in rats. There was no sign of toxicity in the acute toxicity study, in which Sprague-Dawley (SD rats were orally fed with <em>I. aquaticaem> (250 and 500 mg/kg for two months along with administration of TAA (i.p injection 200 mg/kg three times a week for two months. The results showed that the treatment of <em>I. aquaticaem> significantly lowered the TAA-induced serum levels of hepatic enzyme markers (ALP, ALT, AST, protein, albumin, bilirubin and prothrombin time. The hepatic content of activities and expressions SOD and CAT that were reduced by TAA were brought back to control levels by the plant extract supplement. Meanwhile, the rise in MDA level in the TAA receiving groups also were significantly reduced by <em>I. aquaticaem> treatment. Histopathology of hepatic tissues by H&E and Masson trichrome stains displayed that <em>I. aquaticaem> has reduced the incidence of liver lesions, including hepatic cells cloudy swelling, infiltration, hepatic necrosis, and fibrous connective tissue proliferation induced by TAA in rats. Therefore, the results of this study show that the protective effect of <em>I. aquaticaem> in TAA-induced liver damage might be contributed to its modulation on detoxification enzymes and its antioxidant and free radical scavenger effects. Moreover, it confirms a scientific basis for the traditional use of <em>I. aquaticaem> for the treatment of liver disorders.

  8. Descrição morfológica e implicações clínicas de pontes miocárdicas: um estudo anatômico em colombianos Descripción morfológica e implicaciones clínicas de puentes miocárdicos: un estudio anatómico en colombianos Morphological description and clinical implications of myocardial bridges: an anatomical study in colombians

    Directory of Open Access Journals (Sweden)

    Luis Ernesto Ballesteros Acunã

    2009-04-01

    Full Text Available FUNDAMENTO: Pontes miocárdicas representam uma fonte de discussão em pesquisa. Pontes miocárdicas são consideradas uma variação cardíaca vascular devido à sua intermitente ou repetida redução do lúmen arterial, com um possível efeito isquêmico. OBJETIVO: O objetivo do presente estudo foi determinar a incidência de pontes miocárdicas na população miscigenada da Colômbia. MÉTODOS: 154 corações foram estudados, tendo sido extraídos em autópsias. As artérias coronárias foram injetadas com resina sintética e limpas através da extração da gordura pericárdica. RESULTADOS: 92 pontes miocárdicas foram observadas em 62 corações (40,3%. O comprimento médio das pontes era de 19,9 mm. As pontes miocárdicas variaram por artéria, de uma ponte em 42 corações (27,3%, duas pontes em 11 corações (7,2%, três pontes em oito corações (5,2% e quatro pontes em um coração (0,7%. A maioria das pontes encontrava-se com a artéria interventricular esquerda em seus segmentos proximal e intermediário em 61 casos (39,6% e com a artéria diagonal esquerda em 11 casos (7,2%. As artérias se exteriorizavam em porção anterior às pontes miocárdicas (segmento pré-ponte em 50 casos (54,3% da amostra, com uma média de 1,41 mm de calibre. Terceira artéria coronária estava presente em 46 casos (29,8% do total da amostra. Uma freqüência maior de pontes miocárdicas foi encontrada em corações com terceira artéria coronária. CONCLUSÃO: É necessário considerar a importância clínica das variações, tendo em vista a distribuição arterial e as implicações clínicas relacionadas.FUNDAMENTO: Puentes miocárdicos representan una fuente de discusión en investigación. Se consideran los puentes miocárdicos una variación cardiaca vascular en virtud de su intermitente o repetida reducción del lumen arterial, con un posible efecto isquémico. OBJETIVO: El objetivo del presente estudio fue determinar la incidencia de puentes

  9. Arriboflavinose clínica em pré-escolares, filhos de migrantes em trânsito pela Central de Triagem e Encaminhamento, na capital do Estado de São Paulo, Brasil Clinical riboflavin deficiency in pre-school age children of migrants in transit through Central de Triagem e Encaminhamento in the Capital of the State of S. Paulo, Brazil

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    Donald Wilson

    1978-09-01

    Full Text Available Foi realizado um levantamento clínico entre 109 pré-escolares, filhos de migrantes em trânsito pela Central de Triagem e Encaminhamento (CETREN, tendo-se constatado altíssima prevalência de arriboflavinose. A única medida factível foi a administração de riboflavina a todas as crianças examinadas.A clinical study was carried out on 109 pre-school age children of migrants in transit through Central de Triagem e Encaminhamento (CETREN. A very high prevalence rate regarding arriboflavinosis was found. The only feasible measure was administration of riboflavin in capsules to all children examined.

  10. Effects of clinical pathways in the joint replacement: a meta-analysis

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    Faggiano F

    2009-07-01

    Full Text Available Abstract Background A meta-analysis was performed to evaluate the use of clinical pathways for hip and knee joint replacements when compared with standard medical care. The impact of clinical pathways was evaluated assessing the major outcomes of in-hospital hip and knee joint replacement processes: postoperative complications, number of patients discharged at home, length of in-hospital stay and direct costs. Methods Medline, Cinahl, Embase and the Cochrane Central Register of Controlled Trials were searched. The search was performed from 1975 to 2007. Each study was assessed independently by two reviewers. The assessment of methodological quality of the included studies was based on the Jadad methodological approach and on the New Castle Ottawa Scale. Data analysis abided by the guidelines set out by The Cochrane Collaboration regarding statistical methods. Meta-analyses were performed using RevMan software, version 4.2. Results Twenty-two studies met the study inclusion criteria and were included in the meta-analysis for a total sample of 6,316 patients. The aggregate overall results showed significantly fewer patients suffering postoperative complications in the clinical pathways group when compared with the standard care group. A shorter length of stay in the clinical pathway group was also observed and lower costs during hospital stay were associated with the use of the clinical pathways. No significant differences were found in the rates of discharge to home. Conclusion The results of this meta-analysis show that clinical pathways can significantly improve the quality of care even if it is not possible to conclude that the implementation of clinical pathways is a cost-effective process, because none of the included studies analysed the cost of the development and implementation of the pathways. Based on the results we assume that pathways have impact on the organisation of care if the care process is structured in a standardised way

  11. Effectiveness of cognitive-behavioral treatment for major depressive disorder in a university psychology clinic.

    Science.gov (United States)

    Estupiñá Puig, Francisco José; Labrador Encinas, Francisco Javier

    2012-11-01

    Major Depressive Disorder (MDD) is the most prevalent mental disorder in our environment, and one of the main causes of disability. While several empirically supported treatments (ESTs) for MDD exist, some doubts have been cast on the applicability--in time, components, and effectiveness--of these ESTs in routine clinical practice. A few attempts have been made to contrast the effectiveness of ESTs, but usually the precise components of the treatment developed are not considered in detail. The purpose of this study is to analyze the components of an EST-based treatment on a sample of 69 MDD cases from a University Psychology Clinic, and to benchmark them against the results of published efficacy studies on ESTs (behavioral activation, cognitive therapy, interpersonal therapy). Results show that treatments delivered at this clinical facility are similar in components, length, and effectiveness (in effect size, completers and improved ratio) to the benchmarked studies. Cognitive restructuring is the most frequent component of the delivered treatments. Therapy results show a 3.12 effect size, and a 55.1% improved ratio over initial sample, an 80% of completers. Results and limitations of the current study, especially those related to sample and center characteristics, are discussed. PMID:23156941

  12. Efeito de extratos de plantas utilizadas na medicina popular no crescimento e diferenciação celular de <em>Herpetomonas samuelpessoaiem> (Kinetoplastida, Trypanosomatidae) cultivada em meio definido Effect of plant extracts used in folk medicine on cell growth and differentiation of <em>Herpetomonas samuelpessoaiem> (Kinetoplastida, Trypanosomatidae) cultivated in defined medium

    OpenAIRE

    Fabiola Barbieri Holetz; Tania Ueda Nakamura; Benedito Prado Dias Filho; Diogenes Aparicio Garcia Cortez; João Carlos Palazzo de Mello; Celso Vataru Nakamura

    2002-01-01

    Neste trabalho, verificou-se o efeito de 15 plantas medicinais no crescimento e diferenciação celular de Herpetomonas samuelpessoai, um tripanosomatídeo não patogênico utilizado como modelo biológico, que apresenta antígenos semelhantes aos do Trypanosoma cruzi. Extratos brutos (1.000 g/ml) ou óleo essencial (250 µg/ml) foram adicionados ao meio definido. O crescimento celular foi determinado pela contagem em câmara de Newbauer e a diferenciação celular examinada por microscopia ótica....

  13. Clinical and bacteriological study of the effect of Nd:YAG laser in gingivitis therapy

    Science.gov (United States)

    Colojoara, Carmen; Mavrantoni, Androniki; Miron, Mariana I.

    2000-06-01

    The relationship between dental plaque and gingivitis was verified. Nonspecific gingivitis is an inflammatory process, frequently caused by enzymes and toxins liberate by bacteria form dental plaque. Loose plaque has come under a great deal of investigation because of its role in attachment loss. The current methods used in the treatment of non specific gingivitis encompass the use of antibiotics and conventional surgical techniques. Treating gingivitis with laser energy may further reduce the gingival inflammation and decrease the wound healing time. The lack of correlation between the quantity of dental plaque and the intensity of gingivitis determined us to study the effect of Nd:YAG pulsed laser in reduction of gingival inflammation and wound healing. The aim of this work is to evaluate clinically the anti- inflammatory and wound healing effect of pulsed Nd:YAG laser and to compare the appearance and the levels of the bacteria in the supergingival and subgingival plaque in adolescents with tooth crowding after Nd:YAG laser. The experimental procedure consisted of a clinical and bacteriological study which was undertaken in 20 patients presenting moderate gingivitis. A group of 10 patients was the subject of a bacteriological study and the other group of 10 was used for clinical and histological examination. For each group the clinical criteria of evaluation were: the gingival index, papillary bleeding index, spontaneous aches. Each patient was tested before and after laser exposure or conventional therapy for bacteriological analyses. The results prove that early gingivitis exposure to laser registers a decrease of bacterial colony number and absence of loss of attachment as compared to the application of the conventional treatment. Clinical study has shown that the combination of scaling and root planning with laser therapy is enough to provide improvement in clinical indices and reduction in the number of bacterial colonies.

  14. The Effectiveness of Transcranial Brain Stimulation in Improving Clinical Signs of Hyperkinetic Movement Disorders

    Science.gov (United States)

    Obeso, Ignacio; Cerasa, Antonio; Quattrone, Aldo

    2016-01-01

    Repetitive transcranial magnetic stimulation (rTMS) is a safe and painless method for stimulating cortical neurons. In neurological realm, rTMS has prevalently been applied to understand pathophysiological mechanisms underlying movement disorders. However, this tool has also the potential to be translated into a clinically applicable therapeutic use. Several available studies supported this hypothesis, but differences in protocols, clinical enrollment, and variability of rTMS effects across individuals complicate better understanding of efficient clinical protocols. The aim of this present review is to discuss to what extent the evidence provided by the therapeutic use of rTMS may be generalized. In particular, we attempted to define optimal cortical regions and stimulation protocols that have been demonstrated to maximize the effectiveness seen in the actual literature for the three most prevalent hyperkinetic movement disorders: Parkinson's disease (PD) with levodopa-induced dyskinesias (LIDs), essential tremor (ET) and dystonia. A total of 28 rTMS studies met our search criteria. Despite clinical and methodological differences, overall these studies demonstrated that therapeutic applications of rTMS to “normalize” pathologically decreased or increased levels of cortical activity have given moderate progress in patient's quality of life. Moreover, the present literature suggests that altered pathophysiology in hyperkinetic movement disorders establishes motor, premotor or cerebellar structures as candidate regions to reset cortico-subcortical pathways back to normal. Although rTMS has the potential to become a powerful tool for ameliorating the clinical outcome of hyperkinetic neurological patients, until now there is not a clear consensus on optimal protocols for these motor disorders. Well-controlled multicenter randomized clinical trials with high numbers of patients are urgently required. PMID:26778947

  15. Brief motivational interview and educational brochure in emergency room settings for adolescents and young adults with alcohol related problems: a randomized single blind clinical trial Intervenção motivacional breve e brochura educacional em pronto-socorro para adolescentes e adultos jovens com problemas relacionados ao álcool: um ensaio clínico simples cego randomizado

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    Maria Luiza Segatto

    2011-01-01

    Full Text Available OBJECTIVE: To evaluate the effectiveness of brief motivational interviewing and an educational brochure when delivered in emergency room to reduce alcohol abuse and related problems among adolescents and young adults. METHOD: a randomized single blind clinical trial with a 3 month follow-up was carried out at three emergency rooms from October 2004 to November 2005; subjects assessed were 16-25 years old treated for alcohol related events up to 6 hours after consumption. Socio-demographic data, quantity, frequency and negative consequences of alcohol consumption, motivation to change habits and future risk preception were evaluated. Statistical analysis was performed on subjects who completed follow up (completers. ANCOVA model was used to analyze the difference between the intervention groups with statistical significance level α = 5% and Confidence Interval (CI 95%. RESULTS: 186 subjects formed the initial sample, being n = 175 included and randomized to educational brochure group (n = 88 or motivational interviewing group (n = 87. Follow-up assessment was performed in 85.2% sample. No significant difference between groups was observed. However, significant reductions (p OBJETIVO: Avaliar a efetividade da entrevista motivacional breve e de uma brochura educativa quando aplicadas em prontos-socorros para reduzir o abuso e problemas relacionados ao álcool entre os jovens. MÉTODO: Um ensaio clínico randomizado simples-cego com três meses de seguimento foi realizado em três prontos-socorros de outubro de 2004 a novembro de 2005, com indivíduos de 16-25 anos tratados por eventos relacionados ao álcool com até 6 horas após o consumo. Dados sociodemográficos, quantidade, frequência e consequências negativas, motivação para mudanças de hábitos e percepção para riscos do consumo de álcool foram avaliados. A análise estatística foi realizada em indivíduos que completaram o seguimento (completados. Modelo de ANCOVA foi utilizado

  16. Brief motivational interview and educational brochure in emergency room settings for adolescents and young adults with alcohol-related problems: a randomized single-blind clinical trial Intervenção motivacional breve e brochura educacional em pronto-socorro para adolescentes e adultos jovens com problemas relacionados ao álcool: um ensaio clínico simples-cego randomizado

    Directory of Open Access Journals (Sweden)

    Maria Luiza Segatto

    2011-09-01

    Full Text Available OBJECTIVE: To evaluate the effectiveness of brief motivational interviewing and an educational brochure when delivered in emergency room to reduce alcohol abuse and related problems among adolescents and young adults. METHOD: A randomized single-blind clinical trial with a three-month follow-up was carried out at three emergency rooms from October 2004 to November 2005; subjects assessed were 16-25 years old treated for alcohol related events up to 6 hours after consumption. Socio-demographic data, quantity, frequency and negative consequences of alcohol consumption, motivation to change habits and future risk perception were evaluated. Statistical analysis was performed on subjects who completed follow-up (completers. ANCOVA model was used to analyze the difference between the intervention groups with statistical significance level α = 5% and confidence interval (CI of 95%. RESULTS: 186 subjects formed the initial sample, being 175 included and randomized to the educational brochure group (n = 88 or motivational interviewing group (n = 87. Follow-up assessment was performed in 85.2% of the sample. No significant difference between groups was observed. However, significant reductions (p OBJETIVO: Avaliar a efetividade da entrevista motivacional breve e de uma brochura educativa quando aplicadas em prontos-socorros para reduzir o abuso e problemas relacionados ao álcool entre os jovens. MÉTODO: Um ensaio clínico randomizado simples-cego com três meses de seguimento foi realizado em três prontos-socorros de outubro de 2004 a novembro de 2005, com indivíduos de 16-25 anos tratados por eventos relacionados ao álcool com até 6 horas após o consumo. Dados sociodemográficos, quantidade, frequência e consequências negativas, motivação para mudanças de hábitos e percepção para riscos do consumo de álcool foram avaliados. A análise estatística foi realizada em indivíduos que completaram o seguimento (completados. Modelo de ANCOVA

  17. Aspectos clínico-patológicos e laboratoriais do envenenamento crotálico experimental em bovinos Clinical and pathological aspects of experimental Crotalus poisoning in cattle

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    Flávio A.S. Graça

    2008-06-01

    -americanas em bovinos não cursa com mioglobinúria e que o quadro marcado de paralisia flácida mimetiza o observado no botulismo. Adicionalmente foram feitas observações sobre o diagnóstico do envenenamento crotálico e sua diferenciação com enfermidades que cursam com paralisia e necrose muscular em bovinos do Brasil.Crotalus poisoning was experimentally reproduced by subcutaneous inoculation of Crotalus durissus terrificus (South American rattlesnake venom into 10 clinically healthy mixed bred 12 to 36-month-old cattle, weighing 125 to 449 kg. Two animals were used as controls. The animal that received a dose of 0.03mg/kg body weight died 7h40min after inoculation. A 0.015mg/kg dose provoked death in 4 out of 7 young oxen. Two animals given 0.0075mg/kg became slightly sick and recovered. Onset of symptoms occurred from 1h30min to 13h45min after inoculation. The clinical course varied from 5h25min to 45h for animals that died, and from 33h15min to 17 days for animals that recovered. The main nervous signs observed were diminished response to external stimuli, hypotonic reflexes, dragging of the hooves, apathy, difficulties in moving around obstacles, ocular globe paralysis, lateral and sternal decubitus, and tongue paralysis. Adipsia and sometimes petechiae in the conjunctival and vaginal mucosa were observed. A slight to moderate increase in bleeding time was noted in 6 animals, and a moderate increase in partial thromboplastin time was found in 7 others. Moderate leukocytosis with neutrophilia, relative lymphopenia, eosinopenia, and monocytosis was found. There was a significant increase in creatine kinase serum levels of a ten-fold order. No significant alterations were revealed by urinalysis. Necropsy revealed minimal edema at the inoculation site, few petechiae and equimoses in the epicardium, omentum, biliary vesicle and bladder mucosa of some animals. Histopathological examination revealed necrosis (hyalinization of groups or isolated myocytes in different

  18. Gingival healing after gingivectomy procedure and low intensity laser irradiation. A clinical and biometrical study in anima nobile; Reparacao gengival apos a tecnica de gengivectomia e aplicacao de laser em baixa intensidade. Avaliacao clinica e biometrica em humanos

    Energy Technology Data Exchange (ETDEWEB)

    Amorim, Jose Claudio Faria

    2001-07-01

    For the present study seven patients presenting periodontal disease were selected in a way that they required the performance of gingivectomy procedure in the region of premolars in both sides, being this in the upper or lower region. After the surgical procedure one side was submitted to low intensity laser radiation, wavelength 685 nm, power 50 mW and fluency of 4J/cm{sup 2}, contact mode. The other side was used as a control, not receiving any laser irradiation. Healing process for both sides, was clinically and biometrically evaluated and compared using photographs for the periods: pre-operative, immediate post-operative, 3, 7,14,21, 28 and 35 days. The analysis was performed by 3 specialists in Periodontology considering aspects of healing. Results were submitted to statistical analysis. Biometrical evaluation showed improvement of healing for the period of 21 and 28 days in the lased group. Clinical evaluation showed better reparation mainly after the third day for the active group. Laser group was considered to present an improved healing when compared to the control group. (author)

  19. Dietary effects on muscle fatty acid composition of finished heifers Efeitos de dietas sobre a composição em ácidos graxos de novilhas terminadas em confinamento

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    Regiane Gregório da Silva

    2002-01-01

    Full Text Available The effects of diet on Longissimus muscle fatty acid composition was determined using 24 crossbred heifers of Simmental vs. Nelore and Limousin vs. Nelore. The experimental diets were: 1 corn and yeast (CY; 2 corn, cottonseed meal + meat and bones meal (CMB; 3 cassava hull and yeast (CHY; 4 cassava hull, cottonseed meal + meat and bones meal (CHMB. Feeding CHMB diets resulted in lower lipid and higher cholesterol contents (PEfeitos de dietas sobre a composição em ácidos graxos no músculo Longissimus foram determinados, usando 24 novilhas mestiças Simmental vs. Nelore e Limousin vs. Nelore. As dietas experimentais foram: 1 milho e levedura (ML; 2 milho, farelo de algodão + farinha de carne e ossos (MiACO; 3 casca de mandioca e levedura (ML; 4 casca de mandioca, farelo de algodão + farinha de carne e ossos (MaACO. Dietas com a ração MaACO resultaram em carne com baixo teor de lipídios e alto teor de colesterol (P<0,05 em ambas as raças. A maioria dos ácidos graxos identificados foram monoinsaturados, com maior porcentagem para o ácido oléico (C18:1w9, com valores variando de 32,54 a 46,42%. Entre os ácidos graxos saturados, o palmítico (C16:0 mostrou a maior porcentagem, variando de 19,40 a 32,44%. A maior razão ácido graxo poliinsaturado/saturado foi de 0,30 (ML e a menor de 0,08 (MiACO. A carne de novilhas alimentadas com a dieta ML apresentou menor teor de colesterol e maior teor de ácidos graxos poliinsaturados.

  20. Efeitos das isoflavonas em altas doses sobre o útero da rata Effects of high-dose isoflavones on rat uterus

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    Adriana Aparecida Ferraz Carbonel

    2011-10-01

    Full Text Available OBJETIVO: Avaliar o efeito de altas doses de isoflavonas no útero de ratas adultas castradas. MÉTODOS: Ratas virgens ovariectomizadas (n = 40 foram tratadas por 30 dias consecutivos com veículo (GCtrl ou genisteína nas concentrações 42 (GES42, 125 (GES125 e 250 (GES250 µg/g de peso corporal ao dia. O extrato de soja e o veículo (propilenoglicol foram administrados por gavagem. Ao final do experimento, foi realizada dosagem sérica de 17 β-estradiol e progesterona, avaliou-se o peso dos animais e dos úteros e foi feito exame colpocitológico. Fragmentos do terço médio dos cornos uterinos foram fixados em formol a 10% e processados para inclusão em parafina para estudo histológico. Cortes de 5 µm de espessura foram corados pelo HE e destinados a estudo em microscopia de luz. Analisou-se a histomorfologia do endométrio, área endometrial, número e área ocupada pelas glândulas, assim como a concentração de eosinófilos presentes na lâmina própria. Os dados numéricos obtidos foram submetidos à análise de variância complementada pelo teste de Tukey-Kramer (p GES125 do que nos outros grupos (GES250 > GES125 > GES42 = GCtrl; p OBJECTIVE: To evaluate the effects of high-dose isoflavones on the uterus of castrated adult rats. METHODS: Adult, ovariectomized virgin rats (n = 40 were treated by gavage during 30 consecutive days with vehicle (propylene glycol, group GCtrl or different doses of genistein: 42 (group GES42, 125 (GES125, or 250 (GES250 µg/g body weight per day. Animals were killed, weighed, vaginal and uterine samples were taken for cytologic evaluation, and serum levels of 17 β-estradiol and progesterone were determined. The middle third of the uterine horns was dissected, fixed in 10% formaldehyde and processed for paraffin inclusion; 5-µm thick sections were obtained and stained with HE for further histological study under light microscopy. The endometrial morphology and area, number and area of glands, and number

  1. Transmissibilidade e efeito de Acremonium strictum em sementes de milho Transmissibility and effect of Acremonium strictum in maize seeds

    Directory of Open Access Journals (Sweden)

    Hudson Teixeira

    2003-10-01

    Full Text Available Acremonium strictum é patogênico ao milho e a outras culturas, podendo causar podridão de sementes, podridão de colmos e a morte de plântulas. Trata-se de um fungo que pode interferir no vigor, estande e produtividade final das plantas. Além disso, pode ser disseminado e transmitido à progênie via sementes, ainda que não sejam conhecidas as proporções reais em que isso ocorre. Neste trabalho, avaliou-se o efeito de A. strictum nas qualidades fisiológica e sanitária de sementes e plântulas, no crescimento vegetativo e na sanidade (taxas de infecção e de transmissão de plantas de milho em seu estádio inicial de desenvolvimento. As taxas de infecção e de transmissão do fungo foram avaliadas usando-se a técnica da restrição hídrica, previamente desenvolvida para infectar as sementes. O meio MA (extrato de malte-ágar, suplementado com manitol para obter o potencial de água de -1,4 MPa, foi o substrato utilizado na inoculação das sementes. Observou-se que a germinação das sementes de milho foi reduzida por A. strictum em períodos de contato com a colônia fúngica acima de 72 horas. O vigor e a viabilidade potenciais das sementes de milho não foram afetados pela presença de A. strictum. Após 28 dias da semeadura, a incidência de A. strictum reduziu o crescimento vegetativo de plantas de milho. O fungo A. strictum, oriundo de sementes inoculadas, foi transmitido às plantas jovens de milho.Acremonium strictum is pathogenic to seeds, stalk and seedlings of maize. It is a fungus that can interfere in the vigor, stand and final productivity of plants. In addition, it can be disseminated and transmitted through seeds to the progeny, although the real proportions of that are not well known. This study reports the effects of A. strictum on maize seeds and seedlings quality (germination, vigor, healthness, some vegetative growth parameters and also sanity (infection and transmission rates of young maize plants. The

  2. Effects of oral micellized natural vitamin E (D-<em>α>-tocopherol) <em>v>. syntheric vitamin E (DL-<em>α>-tocopherol) in feed on α-tocopherol levels, stereoisomer distribution, oxidative stress and the immune response in piglets

    DEFF Research Database (Denmark)

    Amazan, D; Cordero, G; López-Bote, C J;

    2014-01-01

    supplementation to sows or piglets did not increase the oxidative stress of piglets when compared with the use of the synthetic form in feed. Immunoglobulin levels in piglet serum at day 39 were not affected by natural vitamin E supplementation at low doses in drinking water of piglets or sows when compared with......This study evaluated the strategy of supplementing oral micellized natural vitamin E (d-α-tocopherol) to either piglets and/or sows on α-tocopherol concentrations in piglets serum and tissues after weaning. One first experiment tested the influence of the vitamin E supplementation source (natural...... form in water v. the synthetic form in feed) and dose administered to piglets and/or sows on serum α-tocopherol concentration, α-tocopherol stereoisomer accumulation, antioxidant capacity and immune response of weaned piglets. A second experiment studied the effect of sow source and dose vitamin E...

  3. Antioxidant Profile of <em>Trifolium pratenseem> L.

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    Heidy Schwartsova

    2012-09-01

    Full Text Available In order to examine the antioxidant properties of five different extracts of <em>Trifolium pratenseem> L. (Leguminosae leaves, various assays which measure free radical scavenging ability were carried out: 1,1-diphenyl-2-picrylhydrazyl, hydroxyl, superoxide anion and nitric oxide radical scavenger capacity tests and lipid peroxidation assay. In all of the tests, only the H2O and (to some extent the EtOAc extracts showed a potent antioxidant effect compared with BHT and BHA, well-known synthetic antioxidants. In addition, <em>in vivo em>experiments were conducted with antioxidant systems (activities of GSHPx, GSHR, Px, CAT, XOD, GSH content and intensity of LPx in liver homogenate and blood of mice after their treatment with extracts of <em>T. pratenseem> leaves, or in combination with CCl4. Besides, in the extracts examined the total phenolic and flavonoid amounts were also determined, together with presence of the selected flavonoids: quercetin, luteolin, apigenin, naringenin and kaempferol, which were studied using a HPLC-DAD technique. HPLC-DAD analysis showed a noticeable content of natural products according to which the examined <em>Trifolium pratenseem> species could well be regarded as a promising new source of bioactive natural compounds, which can be used both as a food supplement and a remedy.

  4. Functional Expression in <em>Esc>herichia coliem> of the Disulfide-Rich Sea Anemone Peptide APETx2, a Potent Blocker of Acid-Sensing Ion Channel 3

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    Glenn F. King

    2012-07-01

    Full Text Available Acid-sensing ion channels (ASICs are proton-gated sodium channels present in the central and peripheral nervous system of chordates. ASIC3 is highly expressed in sensory neurons and plays an important role in inflammatory and ischemic pain. Thus, specific inhibitors of ASIC3 have the potential to be developed as novel analgesics. APETx2, isolated from the sea anemone <em>Anthopleura elegantissimaem>,> em>is the most potent and selective inhibitor of ASIC3-containing channels<em>.> However, the mechanism of action of APETx2 and the molecular basis for its interaction with ASIC3 is not known. In order to assist in characterizing the ASIC3-APETx2 interaction, we developed an efficient and cost-effective <em>Escherichia coliem> periplasmic expression system for the production of APETx2. NMR studies on uniformly 13C/15N-labelled APETx2 produced in <em>E. coliem> showed that the recombinant peptide adopts the native conformation. Recombinant APETx2 is equipotent with synthetic APETx2 at inhibiting ASIC3 channels expressed in <em>Xenopus> oocytes. Using this system we mutated Phe15 to Ala, which caused a profound loss of APETx2’s activity on ASIC3. These findings suggest that this expression system can be used to produce mutant versions of APETx2 in order to facilitate structure-activity relationship studies.

  5. Síndrome metabólica em ambulatório cardiológico Síndrome metabólico en ambulatorio cardiológico Metabolic syndrome in outpatient cardiology clinics

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    José Bonifácio Barbosa

    2010-01-01

    Full Text Available FUNDAMENTO: No Brasil, a prevalência de síndrome metabólica (SM é pouco conhecida em várias regiões. OBJETIVO: Analisar a prevalência da SM, seus componentes e a concordância entre dois critérios diagnósticos numa população com idade > 13 anos. MÉTODOS: Estudo transversal, realizado de junho a outubro de 2007, em 719 pacientes, em ambulatórios cardiológicos de São Luís, MA. Mediu-se a pressão arterial (PA, peso, altura, circunferência abdominal e perfil lipídico. Avaliaram-se os fatores de risco para a SM segundo o critério da International Diabetes Federation (IDF. Razões de prevalência e intervalos de confiança de 95% foram estimados pela regressão de Poisson. RESULTADOS: A prevalência da SM foi maior em ambos os sexos pelo conceito da IDF (62,3% em homens e 64,6% em mulheres, em relação ao do National Cholesterol Education Program - Adult Treatment Prevention (NCEP ATPIII (48,9% em homens e 59% em mulheres. Os componentes da SM mais prevalentes foram: hipertensão arterial sistêmica HAS (87,2% e 86%; hipertrigliceridemia (84,4% e 82,5%; circunferência abdominal alterada (77,8% e 100%; HDL-c baixo (58,1% e 49,9%; e glicemia alterada (59,9% e 51,9%, pelos conceitos NCEP ATPIII e IDF, respectivamente. Após análise ajustada, idade > 60 anos e índice de massa corporal (IMC > 30 foram associados a um maior risco de SM (p FUNDAMENTO: En Brasil, la prevalencia de síndrome metabólico (SM es poco conocida en varias regiones. OBJETIVO: Analizar la prevalencia del SM, sus componentes y la concordancia entre dos criterios diagnósticos en una población con edad > 13 años. MÉTODOS: Estudio transversal, realizado de junio a octubre de 2007, en 719 pacientes, en ambulatorios cardiológicos de São Luís, MA. Se midió la presión arterial (PA, peso, altura, circunferencia abdominal y perfil lipídico. Se evaluaron los factores de riesgo para el SM según el criterio de la International Diabetes Federation (IDF. Razones

  6. Análise de um sistema de avaliação de aprendizagem para internato em pediatria baseado em exame clínico objetivo estruturado, observação de prática clínica e exame escrito Analysis of a learning assessment system for pediatric internship based upon objective structured clinical examination, clinical practice observation and written examination

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    Gloria E. Sandoval

    2010-04-01

    Full Text Available OBJETIVO: Descrever e analisar três ferramentas usadas no sistema de avaliação aplicado ao internato em pediatria por um período de 7 anos na Faculdade de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile. MÉTODOS: Pesquisa observacional retrospectiva projetada para as modalidades de avaliação usadas de 2001 a 2007 que foram implementadas no internato em pediatria. As ferramentas foram as seguintes: exame clínico objetivo estruturado (objective structured clinical examination, OSCE, exame escrito e diretrizes de observação de prática clínica diária (DOPCD. Os métodos de avaliação foram aplicados ao internato em pediatria do sexto ano, com um total de 697 alunos. A análise estatística incluiu uma avaliação descritiva, com correlação e regressões linear simples e múltipla (ANOVA, teste de Bonferroni e coeficiente alfa de Cronbach. O nível de significância foi de 5%. RESULTADOS: Escores de sucesso com a OSCE foram atingidos em 75,7±8%, com melhor média entre o sexo feminino (p OBJECTIVE: To describe and analyze three tools used in the assessment system applied to the pediatric internship over a 7-year period at the School of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile. METHODS: Retrospective observational research design for the assessment modalities implemented in the pediatric internship from 2001 through 2007. The tools were as follows: objective structured clinical examination (OSCE, written examination and daily clinical practice observation guidelines (DCPOG. The assessment methods were applied to the sixth-year pediatric internship with a total of 697 students. Statistical analysis included a descriptive assessment, with correlation and simple linear and multiple regressions (ANOVA, Bonferroni test and Cronbach's alpha coefficient. Significance level was set at p < 0.05. RESULTS: OSCE success scores were reached in 75.7±8%, with a better mean among females (p < 0

  7. Crotoxin in humans: analysis of the