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1.
Med Phys ; 48(10): e886-e921, 2021 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-34101836

RESUMEN

Small-field dosimetry used in advance treatment technologies poses challenges due to loss of lateral charged particle equilibrium (LCPE), occlusion of the primary photon source, and the limited choice of suitable radiation detectors. These challenges greatly influence dosimetric accuracy. Many high-profile radiation incidents have demonstrated a poor understanding of appropriate methodology for small-field dosimetry. These incidents are a cause for concern because the use of small fields in various specialized radiation treatment techniques continues to grow rapidly. Reference and relative dosimetry in small and composite fields are the subject of the International Atomic Energy Agency (IAEA) dosimetry code of practice that has been published as TRS-483 and an AAPM summary publication (IAEA TRS 483; Dosimetry of small static fields used in external beam radiotherapy: An IAEA/AAPM International Code of Practice for reference and relative dose determination, Technical Report Series No. 483; Palmans et al., Med Phys 45(11):e1123, 2018). The charge of AAPM task group 155 (TG-155) is to summarize current knowledge on small-field dosimetry and to provide recommendations of best practices for relative dose determination in small megavoltage photon beams. An overview of the issue of LCPE and the changes in photon beam perturbations with decreasing field size is provided. Recommendations are included on appropriate detector systems and measurement methodologies. Existing published data on dosimetric parameters in small photon fields (e.g., percentage depth dose, tissue phantom ratio/tissue maximum ratio, off-axis ratios, and field output factors) together with the necessary perturbation corrections for various detectors are reviewed. A discussion on errors and an uncertainty analysis in measurements is provided. The design of beam models in treatment planning systems to simulate small fields necessitates special attention on the influence of the primary beam source and collimating devices in the computation of energy fluence and dose. The general requirements for fluence and dose calculation engines suitable for modeling dose in small fields are reviewed. Implementations in commercial treatment planning systems vary widely, and the aims of this report are to provide insight for the medical physicist and guidance to developers of beams models for radiotherapy treatment planning systems.


Asunto(s)
Fotones , Radiometría , Agencias Internacionales , Fantasmas de Imagen
2.
Orthod Craniofac Res ; 24(4): 536-542, 2021 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-33475228

RESUMEN

OBJECTIVE: The extent to which the modelling behaviour of the anterior alveolus limits tooth movement remains unclear. Will the labial and lingual cortical plates model as incisors retract, or will they remain unchanged, therefore limiting the extent of possible tooth movement? SETTING AND SAMPLE POPULATION: Pre- and post-treatment lateral cephalometric radiographs of 29 bimaxillary protrusive patients of South Korean descent were examined. Treatment consisted of two premolar extractions in one or both arches with en masse retraction of the incisors using miniscrew anchorage. MATERIALS AND METHODS: Pre- and post-treatment measurements of both tooth and cortical plate position were made at various increments along the length of the root and then compared using paired t tests. RESULTS: Despite the use of miniscrew anchorage, the incisors were retracted by controlled tipping. The labial cortical plates in both arches modelled to follow tooth movement. Following retraction of the incisors in the maxilla, the incisor root approached the lingual cortical plate, which remained unchanged. In the mandible, the lingual cortical plate position was unchanged except at the level closest to the cementoenamel junction. CONCLUSIONS: The maxillary and mandibular lingual cortical plates did not model to follow the incisor movement while the labial cortical plates did. These findings suggest that lingual cortical plates may act as limitations to planned orthodontic tooth movement.


Asunto(s)
Incisivo , Métodos de Anclaje en Ortodoncia , Cefalometría , Corteza Cerebral , Humanos , Maxilar/diagnóstico por imagen , Técnicas de Movimiento Dental
3.
Geophys Res Lett ; 47(20): e2020GL090181, 2020 Oct 28.
Artículo en Inglés | MEDLINE | ID: mdl-33281241

RESUMEN

We report the first simultaneous, common-volume lidar observations of thermosphere-ionosphere Fe (TIFe) and Na (TINa) layers in Antarctica. We also report the observational discovery of nearly one-to-one correspondence between TIFe and aurora activity, enhanced ionization layers, and converging electric fields. Distinctive TIFe layers have a peak density of ~384 cm-3 and the TIFe mixing ratio peaks around 123 km, ~5 times the mesospheric layer maximum. All evidence shows that Fe+ ion-neutralization is the major formation mechanism of TIFe layers. The TINa mixing ratio often exhibits a broad peak at TIFe altitudes, providing evidence for in situ production via Na+ neutralization. However, the tenuous TINa layers persist long beyond TIFe disappearance and reveal gravity wave perturbations, suggesting a dynamic background of neutral Na, but not Fe, above 110 km. The striking differences between distinct TIFe and diffuse TINa suggest differential transport between Fe and Na, possibly due to mass separation.

4.
Appl Opt ; 59(27): 8259-8271, 2020 Sep 20.
Artículo en Inglés | MEDLINE | ID: mdl-32976411

RESUMEN

The precision of lidar measurements is limited by noise associated with the optical detection process. Photon noise also introduces biases in the second-order statistics of the data, such as the variances and fluxes of the measured temperature, wind, and species variations, and establishes noise floors in the computed fluctuation spectra. When the signal-to-noise ratio is low, these biases and noise floors can completely obscure the atmospheric processes being observed. We describe a novel data processing technique for eliminating the biases and noise floors. The technique involves acquiring two statistically independent datasets, covering the same altitude range and time period, from which the various second-order statistics are computed. The efficacy of the technique is demonstrated using Na Doppler lidar observations of temperature in the upper mesosphere and lower thermosphere acquired recently at McMurdo Station, Antarctica. The results show that this new technique enables observations of key atmospheric parameters in regions where the signal-to-noise ratio is far too low to apply conventional processing approaches.

5.
Orthod Craniofac Res ; 23(2): 202-209, 2020 May.
Artículo en Inglés | MEDLINE | ID: mdl-31785070

RESUMEN

OBJECTIVE: Concurrent maxillary and mandibular expansion is a treatment option for patients with maxillary and mandibular transverse constriction. These patients do not present with crossbite but require expansion due to narrow arches and associated crowding, dark buccal corridors and decreased anterior arch contour. The objective of the study is to first establish Bimaxillary Transverse Constriction as an under-recognized malocclusion and second to evaluate whether in adults the maxillary and mandibular arches can be successfully and safely expanded. SETTING AND SAMPLE POPULATION: Pre- and post-treatment study models and lateral cephalograms of 31 adults with Bimaxillary Transverse Constriction expanded non-surgically were analysed. Thirty adult orthodontic patients who did not require expansion served as a control. Expanders were turned no more frequently than every other day in the maxilla and every third day in the mandible. MATERIALS AND METHODS: Measurements in both arches made on OrthoCAD models were transarch widths, molar and premolar axial angulation, clinical crown height of posterior teeth and cuspids, and mandibular divergence. Retrospective comparison of the 2 groups used independent Student's t tests for mean differences between groups. RESULTS: At pre-treatment, the expansion group demonstrated significant transverse constriction compared with the control. Increased widths were achieved in the expansion group (4 mm in the maxilla and 2.5 mm in the mandible), while the control group was unchanged. The mandibular plane was unchanged. There was no buccal attachment loss. CONCLUSION: Non-surgical expansion in the maxilla and mandible is a viable treatment option for adult patients with Bimaxillary Transverse Constriction.


Asunto(s)
Arco Dental , Maloclusión , Adulto , Cefalometría , Constricción , Estudios de Seguimiento , Humanos , Mandíbula , Maxilar , Técnica de Expansión Palatina , Estudios Retrospectivos
6.
Oral Maxillofac Surg Clin North Am ; 32(1): 105-116, 2020 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-31685348

RESUMEN

Idiopathic condylar resorption (ICR), alternatively called progressive condylar resorption, is an uncommon aggressive form of degenerative disease of the temporomandibular joint seen mostly in adolescent and young women. ICR occurring before the completion of growth results in a shorter mandibular condyloid process, ramus and body, compensatory growth at the gonial angle and coronoid process, as well as an increase in anterior facial vertical dimension. Management options discussed include oral appliances, orthodontics, medical management, orthognathic surgery with and without disc repositioning, and alloplastic temporomandibular joint replacement.


Asunto(s)
Resorción Ósea , Cóndilo Mandibular/cirugía , Ortodoncia Correctiva , Procedimientos Quirúrgicos Ortognáticos/métodos , Trastornos de la Articulación Temporomandibular/cirugía , Adolescente , Resorción Ósea/etiología , Femenino , Humanos , Cóndilo Mandibular/patología , Aparatos Ortopédicos , Articulación Temporomandibular
7.
Science ; 366(6468): 977-983, 2019 11 22.
Artículo en Inglés | MEDLINE | ID: mdl-31649141

RESUMEN

We report a time-calibrated stratigraphic section in Colorado that contains unusually complete fossils of mammals, reptiles, and plants and elucidates the drivers and tempo of biotic recovery during the poorly known first million years after the Cretaceous-Paleogene mass extinction (KPgE). Within ~100 thousand years (ka) post-KPgE, mammalian taxonomic richness doubled, and maximum mammalian body mass increased to near pre-KPgE levels. A threefold increase in maximum mammalian body mass and dietary niche specialization occurred at ~300 ka post-KPgE, concomitant with increased megafloral standing species richness. The appearance of additional large mammals occurred by ~700 ka post-KPgE, coincident with the first appearance of Leguminosae (the bean family). These concurrent plant and mammal originations and body-mass shifts coincide with warming intervals, suggesting that climate influenced post-KPgE biotic recovery.


Asunto(s)
Ecosistema , Extinción Biológica , Fósiles , Mamíferos , Plantas , Animales , Tamaño Corporal , Clima , Colorado , Mamíferos/anatomía & histología , Mamíferos/clasificación , Plantas/anatomía & histología , Plantas/clasificación , Reptiles/anatomía & histología , Reptiles/clasificación , Temperatura
8.
Parasit Vectors ; 11(1): 247, 2018 04 16.
Artículo en Inglés | MEDLINE | ID: mdl-29661207

RESUMEN

BACKGROUND: Lutzomyia longipalpis is the main vector of Leishmania infantum, the agent of canine and human visceral leishmaniosis in the Americas. Considering that the dog is the main domestic host of the parasite, repellent treatment is a measure that might contribute to the prevention of canine visceral leishmaniosis. The repellent efficacy of a single treatment of a new spot-on topical combination of fipronil and permethrin (Frontline Tri-Act®, Merial, now part of Boehringer-Ingelheim) to repel Lu. longipalpis sand flies was evaluated. METHODS: Sixteen healthy Beagle dogs, eight females and eight males, weighing 8.4-14.4 kg, and 2 to 4 years-old were included in the study. Animals were blocked on decreasing body weight and randomly allocated within the blocks to one of two treatment groups of eight animals each. Dogs in Group 1 were untreated and Dogs in Group 2 were treated with a combination containing 67.6 mg/ml fipronil + 504.8 mg/ml permethrin (Frontline Tri-Act®) once on Day 0. Sand fly exposures were performed on Days 1, 14, 21 and 30 with Lu. longipalpis female sand flies. After 65 (± 15 min), sand flies were assessed for engorgement status. RESULTS: The percent repellency of the treated group compared to the untreated control group was 95.7, 94.3, 81.7 and 72.2% for exposure days 1, 14, 21 and 30, respectively. The two treatment groups were significantly different for all exposure days (P ≤ 0.016 for days 1, 14, 21 and 30). No adverse reactions were observed during the study. CONCLUSION: A single topical administration of a new combination of fipronil and permethrin demonstrated a significant repellent effect against Lu. longipalpis bites as soon as it was applied on the dogs and its repellent efficacy lasted for 4 weeks with results greater than 80% for 3 weeks. The results suggest that in endemic areas the regular application of the new combination could contribute to protect dogs from Leishmania infection and therefore serve as an additional tool for the prevention of canine visceral leishmaniosis.


Asunto(s)
Repelentes de Insectos/administración & dosificación , Insectos Vectores/efectos de los fármacos , Permetrina/administración & dosificación , Psychodidae/efectos de los fármacos , Pirazoles/administración & dosificación , Administración Tópica , Animales , Perros , Femenino , Repelentes de Insectos/farmacología , Masculino , Permetrina/farmacología , Pirazoles/farmacología , Resultado del Tratamiento
9.
Prog Orthod ; 19(1): 5, 2018 Jan 29.
Artículo en Inglés | MEDLINE | ID: mdl-29376198

RESUMEN

BACKGROUND: Gingival recession in dentitions with otherwise healthy periodontium is a common occurrence in adults. Recession is clinically measured using a periodontal probe to the nearest millimeter. The aim of this study is to establish quantitative measures of recession, the clinical crown height, and a new measure the gingival margin-papillae measurement. The latter is seen as the shortest apico-coronal distance measured from the depth of the gingival margin to a line connecting the tips of the two adjacent papillae. METHODS: Measurements on all teeth up to and including the first molar were performed on pretreatment study models of 120 adult Caucasian and African-American subjects divided into four groups of 30 by gender and race. RESULTS: Both the clinical crown height and the gingival margin-papillae measurements gave a true positive result for changes associated with gingival recession. Tooth wear shortens the clinical crown, and therefore, the measure of clinical crown height can give a false negative result when gingival recession is present. However, the gingival margin-papillae measurement was not affected by tooth wear and gave a true positive result for gingival recession. Tooth wear (attrition) was not associated with an increase in gingival recession. These measures are also useful in detecting recession prior to cemental exposure. Measures for recession and tooth wear were different for the four demographic groups studied. CONCLUSIONS: These measures can be used as quantitative standards in both clinical dentistry, research, and epidemiological studies.


Asunto(s)
Recesión Gingival/patología , Adulto , Negro o Afroamericano/estadística & datos numéricos , Factores de Edad , Femenino , Recesión Gingival/etnología , Humanos , Masculino , Persona de Mediana Edad , Estudios Retrospectivos , Factores de Riesgo , Factores Sexuales , Población Blanca/estadística & datos numéricos
10.
Med Phys ; 44(10): 5367-5377, 2017 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-28703922

RESUMEN

PURPOSE: X-ray-induced luminescence (XIL) is a hybrid x-ray/optical imaging modality that employs nanophosphors that luminescence in response to x-ray irradiation. X-ray-activated phosphorescent nanoparticles have potential applications in radiation therapy as theranostics, nanodosimeters, or radiosensitizers. Extracting clinically relevant information from the luminescent signal requires the development of a robust imaging model that can determine nanophosphor distributions at depth in an optically scattering environment from surface radiance measurements. The applications of XIL in radiotherapy will be limited by the dose-dependent sensitivity at depth in tissue. We propose a novel geometry called selective plane XIL (SPXIL), and apply it to experimental measurements in optical gel phantoms and sensitivity simulations. METHODS: An imaging model is presented based on the selective plane geometry which can determine the detected diffuse optical signal for a given x-ray dose and nanophosphor distribution at depth in a semi-infinite, optically homogenous material. The surface radiance in the model is calculated using an analytical solution to the extrapolated boundary condition. Y2 O3 :Eu3+ nanoparticles are synthesized and inserted into various optical phantom in order to measure the luminescent output per unit dose for a given concentration of nanophosphors and calibrate an imaging model for XIL sensitivity simulations. SPXIL imaging with a dual-source optical gel phantom is performed, and an iterative Richardson-Lucy deconvolution using a shifted Poisson noise model is applied to the measurements in order to reconstruct the nanophosphor distribution. RESULTS: Nanophosphor characterizations showed a peak emission at 611 nm, a linear luminescent response to tube current and nanoparticle concentration, and a quadratic luminescent response to tube voltage. The luminescent efficiency calculation accomplished with calibrated bioluminescence mouse phantoms determines 1.06 photons were emitted per keV of x-ray radiation absorbed per g/mL of nanophosphor concentration. Sensitivity simulations determined that XIL could detect a concentration of 1 mg/mL of nanophosphors with a dose of 1 cGy at a depth ranging from 2 to 4 cm, depending on the optical parameters of the homogeneous diffuse optical environment. The deconvolution applied to the SPXIL measurements could resolve two sources 1 cm apart up to a depth of 1.75 cm in the diffuse phantom. CONCLUSIONS: We present a novel imaging geometry for XIL in a homogenous, diffuse optical environment. Basic characterization of Y2 O3 :Eu3+ nanophosphors are presented along with XIL/SPXIL measurements in optical gel phantoms. The diffuse optical imaging model is validated using these measurements and then calibrated in order to execute initial sensitivity simulations for the dose-depth limitations of XIL imaging. The SPXIL imaging model is used to perform a deconvolution on a dual-source phantom, which successfully reconstructs the nanophosphor distributions.


Asunto(s)
Luminiscencia , Imagen Óptica/métodos , Calibración , Nanopartículas , Fantasmas de Imagen , Relación Señal-Ruido , Rayos X
11.
Artículo en Inglés | MEDLINE | ID: mdl-27865266

RESUMEN

A randomized, blinded, negative controlled study was conducted to determine whether treatment with afoxolaner (NexGard®, Merial, Inc.) would prevent the transmission of Borrelia burgdorferi to dogs by wild caught Ixodes scapularis ticks. Twenty healthy dogs were randomly assigned to two groups of ten dogs each. Ten dogs were treated orally on Day 0 at a dose near the minimum recommended dose of afoxolaner of 2.5mg/kg (actual doses 2.5-3.1mg/kg) and ten control dogs were not treated. On Day 28, each dog was infested with approximately 50 adult unfed wild caught I. scapularis that had a 67% B. burgdorferi infection rate (determined by polymerase chain reaction). On Day 33, live ticks were counted and removed. No ticks were found on treated dogs while control dogs had an average of 21.4 ticks. To detect infection, the B. burgdorferi-specific C6 antibody SNAP® 4Dx® test (IDEXX) was performed on serum collected before infestation (all dogs seronegative on Days -6 and 27) and on Days 48, 63, 77 and 92. The ten treated dogs remained seronegative through the end of the study (Day 92), while nine out of the ten control dogs were infected, as demonstrated by their seroconversion to being positive for the presence of the B. burgdorferi-specific C6 antibody starting on Day 48. In this study, all dogs treated with NexGard® 28days prior to challenge with wild caught I. scapularis ticks were protected from B. burgdorferi infection, while nine out of the ten untreated control dogs were infected.


Asunto(s)
Acaricidas/administración & dosificación , Enfermedades de los Perros/prevención & control , Isoxazoles/administración & dosificación , Ixodes/microbiología , Enfermedad de Lyme/veterinaria , Naftalenos/administración & dosificación , Infestaciones por Garrapatas/veterinaria , Administración Oral , Animales , Anticuerpos Antibacterianos/sangre , Borrelia burgdorferi/genética , Borrelia burgdorferi/inmunología , Borrelia burgdorferi/aislamiento & purificación , Enfermedades de los Perros/microbiología , Perros , Enfermedad de Lyme/microbiología , Enfermedad de Lyme/prevención & control , Enfermedad de Lyme/transmisión , Infestaciones por Garrapatas/prevención & control
12.
Psychol Bull ; 142(11): 1227-1274, 2016 11.
Artículo en Inglés | MEDLINE | ID: mdl-27618543

RESUMEN

This meta-analysis of 260 independent samples assessed the effects of diversity training on 4 training outcomes over time and across characteristics of training context, design, and participants. Models from the training literature and psychological theory on diversity were used to generate theory-driven predictions. The results revealed an overall effect size (Hedges g) of .38 with the largest effect being for reactions to training and cognitive learning; smaller effects were found for behavioral and attitudinal/affective learning. Whereas the effects of diversity training on reactions and attitudinal/affective learning decayed over time, training effects on cognitive learning remained stable and even increased in some cases. While many of the diversity training programs fell short in demonstrating effectiveness on some training characteristics, our analysis does reveal that successful diversity training occurs. The positive effects of diversity training were greater when training was complemented by other diversity initiatives, targeted to both awareness and skills development, and conducted over a significant period of time. The proportion of women in a training group was associated with more favorable reactions to diversity training. Implications for policy and directions for future research on diversity training are discussed. (PsycINFO Database Record


Asunto(s)
Diversidad Cultural , Educación , Aprendizaje , Evaluación de Programas y Proyectos de Salud , Teoría Psicológica , Humanos
13.
Parasitol Res ; 115(7): 2679-84, 2016 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-27026504

RESUMEN

Cats are host to dipylidiid cestodes of the genera Diplopylidium, Dipylidium and Joyeuxiella. Broadline(®), a topical broad-spectrum combination parasiticide containing fipronil (8.3 % w/v), (S)-methoprene (10 % w/v), eprinomectin (0.4 % w/v) and the cestocide praziquantel (8.3 % w/v), has previously been shown to be efficacious against Dipylidium caninum and Diplopylidium spp. in cats. To evaluate its efficacy against Joyeuxiella species, a blinded clinical efficacy study was conducted according to GCP. All cats had evidence for naturally acquired dipylidiid cestode infection as confirmed by pre-treatment examination. Cats were allocated randomly to two groups of 13 cats each based on bodyweight: Control (untreated) and Broadline(®) at 0.12 mL/kg bodyweight administered once topically. Based on the comparison of helminth counts in the treated and untreated cats seven days post treatment, Broadline(®) demonstrated >99 % efficacy (p < 0.01) against mature J. fuhrmanni and J. pasqualei, with 11 and 13 of the untreated cats harbouring 1 to 102 or 2 to 95 cestodes, respectively. In addition, parasite counts indicated 95.9 % efficacy (p = 0.006) against the rictularoid nematode Pterygodermatites cahirensis.


Asunto(s)
Anticestodos/uso terapéutico , Enfermedades de los Gatos/tratamiento farmacológico , Infecciones por Cestodos/veterinaria , Ivermectina/análogos & derivados , Metopreno/uso terapéutico , Praziquantel/uso terapéutico , Pirazoles/uso terapéutico , Animales , Anticestodos/administración & dosificación , Enfermedades de los Gatos/parasitología , Gatos , Cestodos , Infecciones por Cestodos/tratamiento farmacológico , Quimioterapia Combinada , Femenino , Ivermectina/administración & dosificación , Ivermectina/uso terapéutico , Masculino , Metopreno/administración & dosificación , Praziquantel/administración & dosificación , Pirazoles/administración & dosificación
14.
Vet Parasitol ; 217: 29-35, 2016 Feb 15.
Artículo en Inglés | MEDLINE | ID: mdl-26827857

RESUMEN

The efficacy of oral afoxolaner plus milbemycin oxime combination chewable tablets (NexGard Spectra, Merial) against naturally acquired intestinal nematode infections in dogs was evaluated in six negative control, blinded studies including a total of 114 dogs. Dogs were selected based on a pre-treatment fecal examination indicating patent infections with hookworms (two studies), Toxocara or Toxascaris ascarids (one study each) or Trichuris whipworms (two studies). In each study, dogs were assigned to blocks of two animals each, based on decreasing pre-treatment body weight and were randomly allocated to one of two groups consisting of eight, nine or 10 dogs: untreated (control) or treated with the combination chewable tablet formulation. Chewable tablets were combined to provide doses of actives as close as possible to the minimum effective dose of afoxolaner and milbemycin oxime, i.e., 2.5 mg/kg body weight and 0.5 mg/kg body weight, respectively, once on Day 0. For parasite recovery and count, dogs were euthanized humanely and necropsied seven or eight days after treatment. A single treatment with afoxolaner plus milbemycin oxime chewable tablets provided 94.8% and 90.9% efficacy against adult Ancylostoma braziliense and A. caninum, respectively, 97.8% and 99.4% efficacy against adult Toxocara canis and Toxascaris leonina, respectively, and ≥98.3% efficacy against adult Trichuris vulpis. Compared to untreated controls, nematode counts of the treated dogs were significantly reduced (F-test; p<0.002). In addition, analysis of the pooled data across studies revealed that treatment with afoxolaner plus milbemycin oxime chewable tablets reduced adult Uncinaria stenocephala burdens by 74.9% (p=0.002). All dogs tolerated the treatment well based on clinical observations post-treatment and daily clinical observations. No adverse experiences or other clinical problems related to the treatment were observed throughout the studies. The results of this series of controlled studies demonstrated high efficacy and excellent acceptability and safety of the afoxolaner plus milbemycin oxime chewable tablets when administered for treatment of a broad range of canine intestinal nematode infections.


Asunto(s)
Enfermedades de los Perros/tratamiento farmacológico , Macrólidos/administración & dosificación , Infecciones por Nematodos/veterinaria , Administración Oral , Animales , Perros , Nematodos/fisiología , Infecciones por Nematodos/tratamiento farmacológico , Carga de Parásitos/veterinaria , Distribución Aleatoria , Comprimidos , Resultado del Tratamiento
15.
Antiviral Res ; 128: 28-35, 2016 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-26808479

RESUMEN

BACKGROUND: Monitoring influenza virus susceptibility to neuraminidase (NA) inhibitors (NAIs) is vital for detecting drug-resistant variants, and is primarily assessed using NA inhibition (NI) assays, supplemented by NA sequence analysis. However, differences in NI testing methodologies between surveillance laboratories results in variability of 50% inhibitory concentration (IC50) values, which impacts data sharing, reporting and interpretation. In 2011, the Centers for Disease Control and Prevention (CDC), in collaboration with the Association for Public Health Laboratories (APHL) spearheaded efforts to standardize fluorescence-based NI assay testing in the United States (U.S.), with the goal of achieving consistency of IC50 data. METHODS: For the standardization process, three participating state public health laboratories (PHLs), designated as National Surveillance Reference Centers for Influenza (NSRC-Is), assessed the NAI susceptibility of the 2011-12 CDC reference virus panel using stepwise procedures, with support from the CDC reference laboratory. Next, the NSRC-Is assessed the NAI susceptibility of season 2011-12 U.S. influenza surveillance isolates (n = 940), with a large subset (n = 742) tested in parallel by CDC. Subsequently, U.S. influenza surveillance isolates (n = 9629) circulating during the next three influenza seasons (2012-15), were independently tested by the three NSRC-Is (n = 7331) and CDC (n = 2298). RESULTS: The NI assay IC50s generated by respective NSRC-Is using viruses and drugs prepared by CDC were similar to those obtained with viruses and drugs prepared in-house, and were uniform between laboratories. IC50s for U.S. surveillance isolates tested during four consecutive influenza seasons (2011-15) were consistent from season to season, within and between laboratories. CONCLUSION: These results show that the NI assay is robust enough to be standardized, marking the first time IC50 data have been normalized across multiple laboratories, and used for U.S. national NAI susceptibility surveillance.


Asunto(s)
Farmacorresistencia Viral , Pruebas de Enzimas/normas , Gripe Humana/tratamiento farmacológico , Gripe Humana/enzimología , Neuraminidasa/antagonistas & inhibidores , Centers for Disease Control and Prevention, U.S. , Monitoreo Epidemiológico , Humanos , Gripe Humana/epidemiología , Concentración 50 Inhibidora , Estados Unidos/epidemiología
17.
J Appl Psychol ; 101(1): 86-107, 2016 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-26167645

RESUMEN

Integrating the literature on faultlines, conflict, and pay, we drew on the basic principles of multilevel theory and differentiated between group- and organizational-level faultlines to introduce a novel multilevel perspective on faultlines. Using multisource, multilevel data on 30 Major League Baseball (MLB) teams, we found that group-level faultlines were negatively associated with group performance, and that internally focused conflict exacerbated but externally focused conflict mitigated this effect. Organizational-level faultlines were negatively related to organizational performance, and were most harmful in organizations with high levels of compensation. Implications for groups and teams in the sports/entertainment and other industries are discussed.


Asunto(s)
Rendimiento Atlético/psicología , Béisbol/psicología , Conflicto Psicológico , Procesos de Grupo , Renta , Adolescente , Adulto , Humanos , Masculino , Adulto Joven
18.
Parasit Vectors ; 8: 61, 2015 Jan 26.
Artículo en Inglés | MEDLINE | ID: mdl-25627104

RESUMEN

BACKGROUND: A laboratory study was conducted to assess the repellent and insecticidal efficacy of a new combination of fipronil and permethrin (Frontline Tri- Act/Frontect Merial) against Stomoxys calcitrans (stable flies). METHODS: Sixteen dogs were allocated to two treatment groups. Eight dogs were treated with a new topical spot-on formulation containing 6.76% w/v fipronil + 50.48% w/v permethrin on Day 0 and eight dogs served as untreated controls. Each dog was exposed to approximately 100 stable flies on Days 1, 7, 14, 21, 28 and 35. After a one-hour exposure period, live flies were carefully aspirated into a vial, anesthetized with CO2 and crushed to determine feeding status (fed or unfed). Any dead flies remaining on the dog or in the cage were crushed to determine feeding status and counted as fed or unfed. Repellency was defined as the percent reduction in the number of fed flies in the treated group as compared to the untreated control group, and insecticidal efficacy was defined as the reduction in the number of live flies at the end of each exposure period in the treated group as compared to the control group. RESULTS: Percent repellency was ≥96.6% through Day 28, and 88.7% on Day 35. Percent insecticidal efficacy was ≥ 98.3% through Day 35. CONCLUSIONS: A single topical administration of a new combination of fipronil and permethrin provides protection (repellency and insecticidal efficacy) from S. calcitrans on dogs for at least 5 weeks.


Asunto(s)
Enfermedades de los Perros/prevención & control , Repelentes de Insectos/administración & dosificación , Insecticidas/administración & dosificación , Muscidae/efectos de los fármacos , Permetrina/administración & dosificación , Pirazoles/farmacología , Administración Tópica , Animales , Enfermedades de los Perros/parasitología , Perros , Quimioterapia Combinada , Femenino , Masculino , Muscidae/fisiología
19.
Parasit Vectors ; 8: 64, 2015 Jan 30.
Artículo en Inglés | MEDLINE | ID: mdl-25633963

RESUMEN

BACKGROUND: Three laboratory studies were conducted to assess the repellent and insecticidal efficacy of a combination of fipronil and permethrin (Frontline Tri- Act/Frontect) against three mosquito species (Aedes albopictus, Aedes aegypti and Culex pipiens) on dogs. METHODS: In each study, 16 healthy adult dogs were allocated to two groups. Eight dogs were treated with the new topical spot-on combination of fipronil and permethrin on Day 0 and the other eight dogs served as untreated controls. Each dog was exposed to mosquitoes on Days 1, 7, 14, 21 and 28 (and also on Day 35 in the A. aegypti study). After a 1-h exposure period, all mosquitoes were counted and categorized as live or dead and fed or non-fed. Live mosquitoes were kept in an insectary and observed for mortality counts 4, 24 and 48 h post-exposure (PE) for Aedes spp. and 24 and 48 h PE for C. pipiens. Repellency and insecticidal efficacies were defined as the percent reduction in the number of fed and live mosquitoes, respectively, in the treated group as compared to the untreated control group. RESULTS: Repellency against A. albopictus was ≥93.4% through Day 21 and 86.9% on Day 28. It was ≥91.0% through Day 35 against A. aegypti and ≥90.4% through Day 28 against C. pipiens. Insecticidal efficacy against A. albopictus was ≥97.1% at 24 h PE from Day 7 to Day 28. It was ≥98.0% for the first 3 weeks and still 75.7% on Day 35 against A. aegypti at 24 h PE. For C. pipiens, insecticidal efficacy ranged from 93.8% (Day 7) to 30.9% (Day 28) at 48 h PE. CONCLUSIONS: A single topical administration of the combination of fipronil and permethrin provides repellency against mosquitoes on dogs for at least 4 weeks. The product may therefore significantly reduce the potential for the transmission of vector-borne pathogens through the inhibition of mosquito feeding, as well as the discomfort associated with mosquito bites. Moreover, mosquito mortality was induced by contact with the treated dogs, which could aid in the control of mosquitoes, and hence the control of mosquito-borne diseases, in the local vicinity of treated dogs.


Asunto(s)
Aedes/efectos de los fármacos , Culex/efectos de los fármacos , Enfermedades de los Perros/prevención & control , Mordeduras y Picaduras de Insectos/veterinaria , Repelentes de Insectos/administración & dosificación , Insecticidas/administración & dosificación , Permetrina/administración & dosificación , Pirazoles/administración & dosificación , Aedes/fisiología , Animales , Culex/fisiología , Enfermedades de los Perros/parasitología , Perros , Evaluación de Medicamentos , Quimioterapia Combinada/veterinaria , Femenino , Mordeduras y Picaduras de Insectos/parasitología , Mordeduras y Picaduras de Insectos/prevención & control , Masculino , Control de Mosquitos/métodos
20.
Appl Opt ; 53(19): 4100-16, 2014 Jul 01.
Artículo en Inglés | MEDLINE | ID: mdl-25089967

RESUMEN

The measurement accuracies of three-frequency resonance fluorescence Doppler lidars are limited by photon noise and uncertainties in the laser frequency and line width. We analyze the performance of Na, Fe, and He lidars using a new technique, which incorporates precise information about the absorption spectrum of the species and the pulse spectrum of the lasers. We derive the measurement errors associated with photon noise, laser frequency errors, and laser line width errors. Optimizing the lidar design, based upon the measurement requirements, can improve system performance by reducing the required integration times, enabling measurements to be made in less time or at higher altitudes where the densities and signal levels are smaller. The optimum frequency shift for observing heat and constituent transport velocities is 689 MHz (580 MHz) at night (day) for Na lidars and 774 MHz (597 MHz) for Fe lidars. The optimum frequency shift for observing winds, temperature, and He densities is 3.66 GHz (3.16 GHz) at night (day) for He lidars.

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