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1.
Animal ; 18(6): 101164, 2024 Jun.
Article in English | MEDLINE | ID: mdl-38761440

ABSTRACT

The development of fear and stress responses in animals can be influenced by early life experiences, including interactions with humans, maternal care, and the physical surroundings. This paper is the first of three reporting on a large experiment examining the effects of the early housing environment and early positive human contact on stress resilience in pigs. This first paper reports on the responses of pigs to humans, novelty, and social isolation. Using a 2 × 2 factorial design, 48 litters of pigs were reared in either a conventional farrowing crate (FC) where the sow was confined or a loose farrowing pen (LP; PigSAFE pen) which was larger, more physically complex and allowed the sow to move freely throughout the farrowing and lactation period. Piglets were provided with either routine contact from stockpeople (C), or routine contact plus regular opportunities for positive human contact (+HC) involving 5 min of scratching, patting and stroking imposed to the litter 5 days/week from 0-4 weeks of age. The positive handling treatment was highly effective in reducing piglets' fear of humans, based on +HC piglets showing greater approach and less avoidance of an unfamiliar person at 3 weeks of age. There was evidence that this reduction in fear of humans lasted well beyond when the treatment was applied (lactation), with +HC pigs showing greater approach and less avoidance of humans in tests at 6, 9 and 14 weeks of age. The +HC treatment also reduced piglets' fear of a novel object at 3 weeks of age, and for pigs in FC, the cortisol response after social isolation at 7 weeks of age. Rearing in FC compared to LP reduced piglets' fear of novelty at 3 weeks of age, as well as their vocalisations and cortisol response to isolation at 7 weeks of age. The FC pigs showed greater approach and less avoidance of humans compared to LP pigs at 3, 4 and 6 weeks of age, but not at 9 and 14 weeks of age. These results show that positive handling early in life can reduce pigs' fear of humans, fear of novelty and physiological stress response to social isolation. The LP pigs were reared in a more isolated environment with less overall contact with stockpeople and other pigs, which may have increased their fear responses to humans and novel situations, suggesting that different housing systems can modulate these pigs' responses.


Subject(s)
Housing, Animal , Social Isolation , Animals , Social Isolation/psychology , Female , Humans , Swine/physiology , Behavior, Animal , Fear , Male , Animal Husbandry/methods , Hydrocortisone/analysis , Stress, Psychological , Human-Animal Interaction
2.
Animal ; 18(6): 101166, 2024 Jun.
Article in English | MEDLINE | ID: mdl-38772077

ABSTRACT

Early experiences can have long-term impacts on stress adaptability. This paper is the last of three in a series on early experiences and stress in pigs, and reports on the effects of early human contact and housing on the ability of pigs to cope with their general environment. Using a 2 × 2 factorial design, 48 litters of pigs were reared in either a farrowing crate (FC) or a loose farrowing pen (LP; PigSAFE pen) which was larger, more physically complex and allowed the sow to move freely. Piglets were provided with either routine contact from stockpeople (C), or routine contact plus regular opportunities for positive human contact (+HC) involving 5 min of scratching, patting and stroking imposed to the litter 5 days/week from 0 to 4 weeks of age. At 4 weeks of age (preweaning), C piglets that were reared in FC had considerably lower concentrations of serum brain-derived neurotrophic factor (BDNF) than piglets from the other treatment combinations. Compared to C pigs, +HC pigs had fewer injuries at 4 weeks of age. There were no clear effects of human contact on BDNF concentrations or injuries after weaning, or on basal cortisol or immunoglobulin-A concentrations, behavioural time budgets, tear staining, growth, or piglet survival. Compared to FC piglets, LP piglets showed more play behaviour and interactions with the dam and less repetitive nosing towards pen mates during lactation. There was no evidence that early housing affected pigs' behavioural time budgets or physiology after weaning. Tear staining severity was greater in LP piglets at 4 weeks of age, but this may have been associated with the higher growth rates of LP piglets preweaning. There was no effect of lactation housing on growth after weaning. Preweaning piglet mortality was higher in the loose system. The findings on BDNF concentrations, injuries and play behaviour suggest improved welfare during the treatment period in +HC and LP piglets compared to C and FC piglets, respectively. These results together with those from the other papers in this series indicate that positive human interaction early in life promotes stress adaptability in pigs. Furthermore, while the farrowing crate environment deprives piglets of opportunities for play behaviour and sow interaction, there was no evidence that rearing in crates negatively affected pig welfare or stress resilience after weaning. Whether these findings are specific to the two housing systems studied here, or can be generalised to other housing designs, warrants further research.


Subject(s)
Housing, Animal , Animals , Female , Humans , Swine/physiology , Brain-Derived Neurotrophic Factor/metabolism , Behavior, Animal/physiology , Animal Husbandry/methods , Weaning , Male , Hydrocortisone/analysis , Hydrocortisone/blood , Animal Welfare
3.
Animal ; 18(6): 101165, 2024 Jun.
Article in English | MEDLINE | ID: mdl-38776694

ABSTRACT

The ability of pigs to cope with routine farming practices can affect their welfare. This paper is part of a series on early experiences and stress, and reports on the effects of early human contact and housing on the responses of pigs to routine husbandry practices. Using a 2 × 2 factorial design, 48 litters of pigs were raised in either a conventional farrowing crate (FC) or a loose farrowing pen (LP; PigSAFE pen) which was larger, more physically complex and allowed the sow to move freely. Piglets were provided with either routine contact from stockpeople (C), or routine contact plus regular opportunities for positive human contact (+HC) involving 5 min of scratching, patting and stroking imposed to the litter 5 days/week from 0 to 4 weeks of age. At 4 weeks of age, piglets were weaned and re-housed with controlled mixing of litters within treatment. At 4 days of age, after only 3 bouts of the handling treatment, +HC pigs showed less escape behaviour than C pigs after capture by a stockperson for vaccinations and tail docking, and shorter durations of vocalisations throughout the procedures. The  +HC pigs also showed less escape behaviour when captured by a stockperson at 3 weeks of age. The FC pigs showed less escape behaviour than LP pigs after capture by a stockperson at 4 days of age but not at 3 weeks of age. Serum cortisol concentrations were lower in FC pigs than LP pigs 2 h after weaning but not at 49 h after weaning, whereas serum cortisol concentrations were lower in  +HC pigs than C pigs at 49 h after weaning but not at 2 h after weaning. In the period from 0 to 1 h after weaning, C pigs from LP performed the most escape attempts, although escape attempts were rare overall. When being moved out of the home pen by a stockperson at 21 weeks of age, FC pigs showed less baulking than LP pigs, but there were no detected effects of human contact treatment. In conclusion, both housing system and human contact during lactation affected the stress responses of pigs to routine husbandry practices. The +HC and FC pigs appeared to cope better than C and LP pigs, based on lower responses indicative of stress including escape behaviour, vocalisations and cortisol concentrations. These findings are consistent with corresponding reductions in fear that were reported in Part 1 of this series of papers.


Subject(s)
Animal Husbandry , Animal Welfare , Behavior, Animal , Housing, Animal , Animals , Animal Husbandry/methods , Female , Humans , Swine/physiology , Weaning , Hydrocortisone/blood , Hydrocortisone/analysis , Male , Stress, Psychological , Sus scrofa/physiology
4.
Prev Vet Med ; 223: 106098, 2024 Feb.
Article in English | MEDLINE | ID: mdl-38176152

ABSTRACT

Since the early 2000 s the practice of free-range egg production has increased in developed countries, partly driven by consumer perception that free-range housing is better for hen welfare. While poultry in free-range systems have more behavioural opportunities compared with poultry in caged systems, free-range systems are associated with greater frequencies of infectious disease, predation and 'smothering', a condition where birds pile on top of one another with death occurring due to suffocation. Although the frequency of smothering deaths in Australian free-range layer poultry is anecdotally high, there is a lack of empirical evidence quantifying smothering cause-specific mortality rates and identifying factors that place birds at higher risk of death from smothering. This was a prospective cohort study of poultry flocks managed by three commercial free-range layer organisations in Eastern Australia. Flocks were enrolled into the study from 1 January 2019 to 29 March 2021 and were followed until the end of lay or until the end of the study on 31 March 2022, whichever occurred first. Throughout the follow-up period flock managers provided production details for each flock and details of smothering events using custom-designed logbooks.A total of 84 flocks were enrolled in the study: 32 from Organisation 1, 35 from Organisation 2 and 17 from Organisation 3. The number of birds per flock ranged from 16,000 to 45,000. The total mortality rate was 1131 deaths per 10,000 bird-years. Smothering mortality rate across the three organisations was 183 (minimum 133, maximum 223) deaths per 10,000 bird-years at risk. Smothering accounted for around 16% (minimum 9%, maximum 22%) of all deaths.We identified no distinctive temporal pattern in daily smothering risk as a function of either the number of days since placement or calendar date. The locations of smothering events in sheds and in the outdoor range were not consistent, with relatively large numbers of smothering events occurring in specific locations for some sheds but not others. To the best of our knowledge, this study is the largest prospective study of smothering mortality in commercial free-range layer flocks conducted to date. Estimates of smothering incidence rate and how that varies within and between flocks and organisations over time provides a critically important benchmark for further investigations into this substantial area of productivity loss.


Subject(s)
Chickens , Poultry Diseases , Humans , Animals , Female , Prospective Studies , Farms , Animal Husbandry , Asphyxia/epidemiology , Asphyxia/veterinary , Australia/epidemiology , Poultry , Poultry Diseases/epidemiology
5.
Appl Radiat Isot ; 204: 111109, 2024 Feb.
Article in English | MEDLINE | ID: mdl-38029636

ABSTRACT

The goal of this study is to provide a benchmark for the use of Monte Carlo simulation when applied to coincidence summing corrections. The examples are based on simple geometries: two types of germanium detectors and four kinds of sources, to mimic eight typical measurement conditions. The coincidence corrective factors are computed for four radionuclides. The exercise input files and calculation results with practical recommendations are made available for new users on a dedicated webpage.

6.
Appl Radiat Isot ; 154: 108896, 2019 Dec.
Article in English | MEDLINE | ID: mdl-31581061

ABSTRACT

The National Research Council (NRC) of Canada's primary method for emission rate for radionuclide neutron sources utilizes a manganese salt bath which was last calibrated in the 1960s. At that time, an NRC RaBe neutron source was used to irradiate a solution of calcium permanganate to take advantage of the Szilard-Chalmers effect in producing the bulk 56Mn material for standardization and calibration of the bath. When attempting to repeat this exercise, a small amount (~100 kBq) was produced. This amount was sufficient for the standardization process but did not yield enough material to calibrate the bath to a sufficient level of precision. Improvements upon the previous separation scheme adopted at NRC for the separation of the 56Mn from the bulk irradiated material included the rinsing of the 56Mn dioxide precipitate using a mixture of sulfuric acid and hydrogen peroxide. While these improvements made in the separation chemistry improved the yield of 56Mn extraction from 60% to above 95% the maximum amount of activity was still quite low. Hence in March of 2018, the SLOWPOKE-2 Facility at the Royal Military College in Kingston, ON, was used to irradiate three vials of KMnO4 in solution. An estimated 2 GBq was produced and sent to NRC, from which the extraction procedure recovered essentially all of the available 56Mn. The 56Mn was standardized using the 4πß-γ anti-coincidence counting system and confirmed using the CIEMAT/NIST primary method. The resulting bulk material was certified with an uncertainty of 0.8% (k = 2). Minor quantities of 65Zn, 69mZn and 42K were unexpectedly observed but were in minute quantities so as not to affect the results of the standardization or calibration. The standardized 56Mn artifact was used to calibrate the Secondary Standard Ionizing Radiation Chamber System (SSIRCS) for a more rapid deployment of the calibrant in the future.

7.
Appl Radiat Isot ; 154: 108834, 2019 Dec.
Article in English | MEDLINE | ID: mdl-31536910

ABSTRACT

In the summer of 2017, the Système International de Référence Transfer Instrument (SIRTI) of the Bureau International des Poids et Mesures (BIPM) was hosted by the National Research Council of Canada (NRC) in Ottawa, Canada. This SIRTI visit was unique in many aspects. It was the first visit of the SIRTI to Canada. NRC was the first National Metrological Institute (NMI) to perform comparisons of four isotopes (99mTc, 18F, 64Cu and 11C) during a single two-week period. Finally, this was the first official measurement of 11C in the SIRTI. The NRC had performed a primary standardization of 11C in February of 2017 and calibrated its Secondary Standard Ionizing Radiation Chamber System (SSIRCS) in preparation for the SIRTI comparison. Two primary Liquid Scintillation methods (CIEMAT/NIST and TDCR) were employed and the results agreed. The stock material was received from a local cyclotron in the form of a 11C-labelled sodium acetate (NaC2H3O2). Three ampoules were prepared for the purposes of comparison; one concentrated from the bulk material and two derived from a single dilution. Some inconsistency was evident due to a weighing problem for one of the ampoules containing the diluted solution, whose measurements were excluded from the analysis. The other two ampoules' results were consistent within their respective uncertainties. The SIRTI was very stable and the final BIPM report will detail the stability checks, performance and behaviour of the SIRTI during its measurement campaign in Canada. There is still no Key Comparison Reference Value (KCRV) for 11C as NRC is the first participant. However, during a test of the SIRTI at NPL in 2014, an equivalent SIRTI activity was measured as 9.87(5) kBq which was consistent with MonteCarlo predictions for 11C in the SIRTI of 9.867(15) kBq. The NRC SIRTI equivalent activity for 11C agrees within uncertainty with these results. This offers encouragement to other NMIs to request a 11C comparison given the consistency of experimental results from NRC and test results from the National Physical Laboratory, UK (NPL) and the BIPM. Finally a half-life measurement was determined from the NRC measurement of multiple half-lives of a 11C ampoule and was found to be 20.332(40)min. From the SIRTI measurements at NRC, the half-life was derived as 20.328(13) min. This is smaller but consistent with the DDEP recommended value of 20.361(23)min.

8.
Appl Radiat Isot ; 154: 108850, 2019 Dec.
Article in English | MEDLINE | ID: mdl-31476556

ABSTRACT

Monte Carlo (MC) simulation is widely used in gamma-ray spectrometry, however, its implementation is not always easy and can provide erroneous results. The present action provides a benchmark for several MC software for selected cases. The examples are based on simple geometries, two types of germanium detectors and four kinds of sources, to mimic eight typical measurement conditions. The action outputs (input files and efficiency calculation results, including practical recommendations for new users) are made available on a dedicated webpage.

9.
Appl Radiat Isot ; 134: 100-104, 2018 Apr.
Article in English | MEDLINE | ID: mdl-29042149

ABSTRACT

The National Physical Laboratory Vinten 671 chamber was selected as a proving ground for a new radionuclide source model in the EGSnrc software. The computational Vinten model is validated against measurements of radionuclide artifacts whose activities were determined by absolute methods. The response of the Vinten chamber is first calculated as a function of gamma energy, but more strikingly, an explicit simulation of radionuclide decay was implemented and now permits the direct determination of a calibration factor, including additional effects due to all decay paths of the radionuclide. The Monte Carlo and experimental calibration factors are found to agree at the percent level, in absolute terms.

10.
Phys Lett B ; 761: 281-286, 2016 10.
Article in English | MEDLINE | ID: mdl-28057978

ABSTRACT

The hypothesis that proximity to the Sun causes variation of decay constants at permille level has been tested and disproved. Repeated activity measurements of mono-radionuclide sources were performed over periods from 200 days up to four decades at 14 laboratories across the globe. Residuals from the exponential nuclear decay curves were inspected for annual oscillations. Systematic deviations from a purely exponential decay curve differ from one data set to another and are attributable to instabilities in the instrumentation and measurement conditions. The most stable activity measurements of alpha, beta-minus, electron capture, and beta-plus decaying sources set an upper limit of 0.0006% to 0.008% to the amplitude of annual oscillations in the decay rate. Oscillations in phase with Earth's orbital distance to the Sun could not be observed within a 10-6 to 10-5 range of precision. There are also no apparent modulations over periods of weeks or months. Consequently, there is no indication of a natural impediment against sub-permille accuracy in half-life determinations, renormalisation of activity to a distant reference date, application of nuclear dating for archaeology, geo- and cosmochronology, nor in establishing the SI unit becquerel and seeking international equivalence of activity standards.

11.
Appl Radiat Isot ; 109: 254-256, 2016 Mar.
Article in English | MEDLINE | ID: mdl-26653214

ABSTRACT

From 1986 to 2000, a fraction of the Canadian nuclear medicine community participated in a service offered by the National Research Council (NRC) of Canada to check the accuracy of administered doses of radiopharmaceuticals. The NRC renewed this service in recent years with a revalidation and reviving of the Secondary Standard Ionizing Radiation Chamber System (SSIRCS). The NRC conducted mock services for (99m)Tc, in varying geometries (syringes and serum vials), on two NRC commercial radionuclide calibrators, and at a nuclear medicine department in Canada. These tests showed the measured doses to be within 10% of the prepared standard but in some cases were sufficiently different from unity to warrant specific geometry factors to be derived.


Subject(s)
Calibration/standards , Certification/standards , Nuclear Medicine/standards , Radiation Dosimeters/standards , Technetium/analysis , Technetium/standards , Canada , Equipment Design , Equipment Failure Analysis , Quality Control , Reproducibility of Results , Sensitivity and Specificity
12.
Appl Radiat Isot ; 87: 148-51, 2014 May.
Article in English | MEDLINE | ID: mdl-24332878

ABSTRACT

Due to the unforeseen maintenance issues at the National Research Universal (NRU) reactor at Chalk River and coincidental shutdowns of other international reactors, a global shortage of medical isotopes (in particular technetium-99m, Tc-99m) occurred in 2009. The operation of these research reactors is expensive, their age creates concerns about their continued maintenance and the process results in a large amount of long-lived nuclear waste, whose storage cost has been subsidized by governments. While the NRU has since revived its operations, it is scheduled to cease isotope production in 2016. The Canadian government created the Non-reactor based medical Isotope Supply Program (NISP) to promote research into alternative methods for producing medical isotopes. The NRC was a member of a collaboration looking into the use of electron linear accelerators (LINAC) to produce molybdenum-99 (Mo-99), the parent isotope of Tc-99m. This paper outlines NRC's involvement in every step of this process, from the production, chemical processing, recycling and preliminary animal studies to demonstrate the equivalence of LINAC Tc-99m with the existing supply. This process stems from reusing an old idea, reduces the nuclear waste to virtually zero and recycles material to create a green solution to Canada's medical isotope shortage.


Subject(s)
Radiopharmaceuticals/supply & distribution , Recycling , Animals , Canada
13.
Phys Med Biol ; 58(9): 2737-50, 2013 May 07.
Article in English | MEDLINE | ID: mdl-23552053

ABSTRACT

Recent shortages of molybdenum-99 ((99)Mo) have led to an examination of alternate production methods that could contribute to a more robust supply. An electron accelerator and the photoneutron reaction were used to produce (99)Mo from which technetium-99m ((99m)Tc) is extracted. SPECT images of rat anatomy obtained using the accelerator-produced (99m)Tc with those obtained using (99m)Tc from a commercial generator were compared. Disks of (100)Mo were irradiated with x-rays produced by a 35 MeV electron beam to generate about 1110 MBq (30 mCi) of (99)Mo per disk. After target dissolution, a NorthStar ARSII unit was used to separate the (99m)Tc, which was subsequently used to tag pharmaceuticals suitable for cardiac and bone imaging. SPECT images were acquired for three rats and compared to images for the same three rats obtained using (99m)Tc from a standard reactor (99)Mo generator. The efficiency of (99)Mo-(99m)Tc separation was typically greater than 90%. This study demonstrated the delivery of (99m)Tc from the end of beam to the end user of approximately 30 h. Images obtained using the heart and bone scanning agents using reactor and linac-produced (99m)Tc were comparable. High-power electron accelerators are an attractive option for producing (99)Mo on a national scale.


Subject(s)
Molybdenum/chemistry , Radioisotopes/chemistry , Technetium/chemistry , Tomography, Emission-Computed, Single-Photon/methods , Animals , Bone and Bones/diagnostic imaging , Electrons , Heart/diagnostic imaging , Image Processing, Computer-Assisted , Male , Organotechnetium Compounds/chemistry , Particle Accelerators , Rats , Rats, Sprague-Dawley
14.
Rev Esp Anestesiol Reanim ; 57(2): 103-8, 2010 Feb.
Article in Spanish | MEDLINE | ID: mdl-20337002
15.
Oncogene ; 27(55): 6888-907, 2008 Nov 24.
Article in English | MEDLINE | ID: mdl-19029932

ABSTRACT

The neoplastic tumour suppressors, Scribble, Dlg and Lgl, originally discovered in the vinegar fly Drosophila melanogaster, are currently being actively studied for their potential role in mammalian tumourigenesis. In Drosophila, these tumour suppressors function in a common genetic pathway to regulate apicobasal cell polarity and also play important roles in the control of cell proliferation, survival, differentiation and in cell migration/invasion. The precise mechanism by which Scribble, Dlg and Lgl function is not clear; however, they have been implicated in the regulation of signalling pathways, vesicle trafficking and in the Myosin II-actin cytoskeleton. We review the evidence for the involvement of Scribble, Dlg, and Lgl in cancer, and how the various functions ascribed to these tumour suppressors in Drosophila and mammalian systems may impact on the process of tumourigenesis.


Subject(s)
Cell Polarity/genetics , Drosophila Proteins/physiology , Membrane Proteins/physiology , Neoplasms/genetics , Tumor Suppressor Proteins/physiology , Animals , Cell Adhesion/genetics , Cell Adhesion/physiology , Disease Progression , Drosophila/genetics , Drosophila Proteins/genetics , Humans , Membrane Proteins/genetics , Models, Biological , Neoplasm Metastasis/genetics , Neoplasms/pathology , Tumor Suppressor Proteins/genetics
16.
Climacteric ; 10(4): 314-9, 2007 Aug.
Article in English | MEDLINE | ID: mdl-17653958

ABSTRACT

OBJECTIVE: To assess the intervertebral disc height in postmenopausal women with osteoporotic vertebral fractures. METHODS: A total of 203 women were recruited from a bone densitometer directory. The disc heights measured were those between the 12th thoracic and 3rd lumbar vertebrae. The discs were assigned the symbols D, whereby D(1) refers to the disc between the 12th thoracic and 1st lumbar vertebrae. The disc height of the group of women (n = 38) with osteoporotic vertebral fractures was compared to the disc heights of hormone-treated women (n = 47), untreated postmenopausal women (n = 77) and another group of premenopausal women (n = 41). RESULTS: The total disc height (D(1) - D(3)) (mean +/- standard deviation) in the fracture group was 1.58 +/- 0.1 cm, significantly lower (p < 0.0001) than in the untreated group (1.82 +/- 0.06 cm), which in turn was significantly (p < 0.0001) lower than in the hormone-treated group (2.15 +/- 0.08 cm) and in the premenopausal group (2.01 +/- 0.09 cm). CONCLUSION: The fracture group was noted to have the lowest intervertebral disc height compared to the other three groups. The hormone-treated and the premenopausal women had the highest disc heights recorded. These results may be due to the effect that the menopause and senescence have on the discal connective tissue components. This may lead to loss of the shock-absorbing properties of the intervertebral disc and an altered discoid shape, influencing the occurrence of osteoporotic vertebral body fractures.


Subject(s)
Intervertebral Disc/diagnostic imaging , Osteoporosis, Postmenopausal/physiopathology , Postmenopause/physiology , Premenopause/physiology , Spinal Fractures/physiopathology , Absorptiometry, Photon , Aged , Body Weight/physiology , Female , Hormone Replacement Therapy , Humans , Intervertebral Disc/physiopathology , Lumbar Vertebrae/diagnostic imaging , Lumbar Vertebrae/physiopathology , Middle Aged , Thoracic Vertebrae/diagnostic imaging , Thoracic Vertebrae/physiopathology
17.
Climacteric ; 8(2): 110-23, 2005 Jun.
Article in English | MEDLINE | ID: mdl-16096167

ABSTRACT

OBJECTIVE: A review of the medical literature concerning the effect of the menopause and its hormonal treatment on the skin. METHODS: An extensive Medline and Pubmed internet search utilizing the key words: collagen, elastin, estrogen, hormone replacement therapy, skin and aging. RESULTS: The literature review demonstrated a wide array of research ranging from basic science work to clinical implications of the effects of the menopause and its treatment on the skin. CONCLUSION: Estrogen loss at menopause has a profound influence on skin. Estrogen treatment in postmenopausal women has been repeatedly shown to increase collagen content, dermal thickness and elasticity, and data on the effect of estrogen on skin water content are also promising. Further, physiologic studies on estrogen and wound healing suggest that hormone replacement therapy (HRT) may play a beneficial role in cutaneous injury repair. Results on the effect of HRT on other physiologic characteristics of skin, such as elastin content, sebaceous secretions, wrinkling and blood flow, are discordant. Given the responsiveness of skin to estrogen, the effects of HRT on aging skin require further examination, and careful molecular studies will likely clarify estrogen's effects at the cellular level.


Subject(s)
Estrogen Replacement Therapy/methods , Estrogens/pharmacology , Menopause/physiology , Skin Aging/physiology , Skin/drug effects , Wound Healing/drug effects , Acne Vulgaris , Collagen/drug effects , Collagen/physiology , Elasticity , Elastin/drug effects , Elastin/physiology , Estrogens/administration & dosage , Female , Humans , Receptors, Estrogen/physiology , Skin/blood supply , Skin Aging/drug effects , Skin Neoplasms/metabolism , Skin Physiological Phenomena/drug effects , Treatment Outcome
18.
Ann N Y Acad Sci ; 997: 158-62, 2003 Nov.
Article in English | MEDLINE | ID: mdl-14644822

ABSTRACT

Since the early 1960s the side effects of oral contraceptives have been known to be related to the high doses (50 micro g) of ethinyl estradiol used. Research has focused on reducing the dose of both the estrogen and progestin components to reduce these side effects. While reducing the dose of both components, the contraceptive efficacy has to be maintained so as to retain a satisfactory Pearl index. These requirements appear to have been attained with 24-day regimen of a low-dose pill (15 microg of ethinyl estradiol and 60 microg of gestedone) as one part of an open-label noncomparative multicenter study. This paper reports our unit's results, which indicate that the low-dose pill promises to reduce contraceptive-related side effects, to encourage better compliance, and as corollary, to retain a satisfactory Pearl index.


Subject(s)
Contraceptives, Oral, Combined/administration & dosage , Ethinyl Estradiol/administration & dosage , Progestins/administration & dosage , Adult , Contraception/methods , Contraceptives, Oral, Combined/adverse effects , Controlled Clinical Trials as Topic , Dose-Response Relationship, Drug , Ethinyl Estradiol/adverse effects , Female , Follow-Up Studies , Humans , Menstrual Cycle/drug effects , Middle Aged , Multicenter Studies as Topic , Progestins/adverse effects , Risk Assessment , Sensitivity and Specificity
19.
Adv Exp Med Biol ; 455: 429-36, 1999.
Article in English | MEDLINE | ID: mdl-10599380

ABSTRACT

BACKGROUND: Long term steroid therapy is complicated by osteoporosis and generalised thinning of the skin. These two complications of long term corticosteroid therapy were routinely assessed at the Menopause Clinic of St. Luke's Hospital, Medical School, University of Malta. METHODS: A cross sectional study was performed on 64 postmenopausal women who had been on long term corticosteroids. Each woman had her skin thickness measured using high resolution ultrasound (22 mhz) and their bone density measured using a DEXA Norland. These measurements were compared to a control group (n = 557), a group of women who had sustained osteoporotic fractures (n = 180), and a group of women on hormone replacement therapy (HRT) (n = 399). A longitudinal study on 29 postmenopausal women on corticosteroids was also performed. In this study results were compared between women who in addition to their corticosteroids were on HRT and those who were on corticosteroids alone. RESULTS: The cross sectional study showed the corticosteroid therapy was associated with the thinnest skin thickness measurements mean 0.83 mm. Similarly, low bone density measurements lumbar spine mean 0.81 g/cm2 and left hip mean 0.71 g/cm2 were obtained for this group. The skin thickness in controls and in the HRT groups had a mean thickness of 0.93 mm while that of the osteoporotic fracture group was 0.88 mm. The bone density of the osteoporotic fractures in the fracture group was similar to that of group of women on long term corticosteroids. The lumbar spine had a mean density of 0.81 g/cm2 and left hip that of 0.71 g/cm2. The bone density of the control group and HRT group was significantly higher. The lumbar spine had a mean density of 0.93 g/cm2 and that of left hip was 0.82 g/cm2. The small longitudinal study compared postmenopausal women on long term corticosteroid therapy on HRT to another group who was not on HRT. The longitudinal study over four years revealed a constant increase in skin thickness (mean 6% per year) and bone density (left hip mean 5% per year, lumbar spine mean 5% per year). CONCLUSION: In postmenopausal women on long term corticosteroids, skin thickness and bone density were both decreased, but the addition of HRT as add back improved the situation dramatically. Skin thickness and bone density level in women on long term corticosteroids were comparable to that of women who had sustained osteoporotic fractures. It is therefore suggested that HRT be used as add back therapy in postmenopausal women on long term corticosteroid therapy.


Subject(s)
Adrenal Cortex Hormones/pharmacology , Bone Density/drug effects , Estrogens/pharmacology , Skin/drug effects , Adrenal Cortex Hormones/adverse effects , Aged , Cross-Sectional Studies , Drug Interactions , Estrogens/therapeutic use , Female , Fractures, Bone/prevention & control , Hormone Replacement Therapy , Humans , Longitudinal Studies , Middle Aged , Osteoporosis/chemically induced , Postmenopause
20.
Rev Chir Orthop Reparatrice Appar Mot ; 85(3): 302-5, 1999 Jun.
Article in French | MEDLINE | ID: mdl-10422137

ABSTRACT

We report a case of dissociation between polyethylene and metal-backing of the acetabular component of a total hip prosthesis after reduction of a late dislocation. We refer to advantages and disadvantages of an elevated-rim acetabular liner in total hip arthroplasty. The position of the metallic markers of the polyethylene and/or excentric situation of the neck-head complex from the metal-back allowed us to diagnose it. An appropriate surgical technique avoiding the joint laxity, firm assembly of the modular components when they are implanted, gentle reduction of an eventual dislocation and fluoroscopic control, are factors which can avoid this rare complication.


Subject(s)
Hip Prosthesis/adverse effects , Joint Instability/diagnostic imaging , Joint Instability/etiology , Prosthesis Failure , Female , Fluoroscopy , Humans , Intraoperative Care/methods , Joint Instability/prevention & control , Manipulation, Orthopedic/methods , Middle Aged , Polyethylenes , Prosthesis Design
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