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1.
Sci Rep ; 6: 39093, 2016 12 16.
Artículo en Inglés | MEDLINE | ID: mdl-27982057

RESUMEN

Cellular motility is essential for microscopic parasites, it is used to reach the host, migrate through tissues, or evade host immune reactions. Many cells employ an evolutionary conserved motor protein- actin, to crawl or glide along a substrate. We describe the peculiar movement of Sphaerospora molnari, a myxozoan parasite with proliferating blood stages in its host, common carp. Myxozoa are highly adapted parasitic cnidarians alternately infecting vertebrates and invertebrates. S. molnari blood stages (SMBS) have developed a unique "dancing" behaviour, using the external membrane as a motility effector to rotate and move the cell. SMBS movement is exceptionally fast compared to other myxozoans, non-directional and constant. The movement is based on two cytoplasmic actins that are highly divergent from those of other metazoans. We produced a specific polyclonal actin antibody for the staining and immunolabelling of S. molnari's microfilaments since we found that neither commercial antibodies nor phalloidin recognised the protein or microfilaments. We show the in situ localization of this actin in the parasite and discuss the importance of this motility for evasion from the cellular host immune response in vitro. This new type of motility holds key insights into the evolution of cellular motility and associated proteins.


Asunto(s)
Actinas/inmunología , Anticuerpos/metabolismo , Carpas/sangre , Myxozoa/fisiología , Animales , Carpas/parasitología , Movimiento Celular , Clonación Molecular , Citoplasma/metabolismo , Filogenia , Proteínas Protozoarias/inmunología
2.
Parasitology ; 143(6): 732-40, 2016 05.
Artículo en Inglés | MEDLINE | ID: mdl-26924550

RESUMEN

Myxozoans have been successfully used as tags for fish stock identification around the world. However, few studies using myxozoan tags have been carried out in the Southern Atlantic, a region with complex oceanography that constitutes a potentially suitable scenario for testing the utility of myxozoans as indicators. Its usefulness was tested using six samples of Merluccius hubbsi in two different regions of the Argentine Sea. Generalized linear models were performed to assess the effects of fish size and sex, and year and region of capture and selected using the Information Theoretic approach. Three myxozoan species were recorded: Kudoa rosenbuschi, Myxoproteus meridionalis and Fabespora sp. Results of modelling species individually showed differential capabilities for detecting geographical population structure at different spatial scales, with K. rosenbuschi and Fabespora sp. allowing the discrimination of northern and southern stocks, but Fabespora sp. also as a promissory indicator of intrapopulation sub-structure due to different migratory routes during non-reproductive periods. This work confirms that myxozoans offer a set of suitable markers at different spatial scales, which can be selected individually or in any combination, depending on the geographical extent of the study, constituting tools adaptable to the objectives of further research on fish population structure.


Asunto(s)
Sistemas de Identificación Animal/métodos , Explotaciones Pesqueras , Gadiformes/parasitología , Myxozoa/fisiología , Enfermedades Parasitarias en Animales/parasitología , Animales , Océano Atlántico , Modelos Biológicos , Myxozoa/clasificación , Myxozoa/aislamiento & purificación , Especificidad de la Especie
3.
Dis Aquat Organ ; 104(1): 59-67, 2013 Apr 29.
Artículo en Inglés | MEDLINE | ID: mdl-23670080

RESUMEN

Sphaerospora molnari Lom, Dyková, Pavlásková and Grupcheva, 1983 often causes severe infections in the gills and skin of common carp fingerlings Cyprinus carpio carpio in Central Europe. Although most Sphaerospora spp. are coelozoic and affect the excretory system of fish, S. molnari develops mature spores in the epithelia of gill filaments, making it a rare representative of histozoic freshwater species within the genus. On the basis of a partial 18S rDNA sequence assigned as belonging to S. molnari, previous phylogenetic studies located the species within the Myxobolus clade. In the present study, S. molnari isolates from Hungary and the Czech Republic were characterized based on morphology, DNA sequence analysis and phylogenetic comparison. The obtained 3714 bp final consensus 18S rDNA sequence of the parasite showed several, sometimes extremely long inserts in the variable regions of the gene and differed considerably from the one published in GenBank in 2002. In situ hybridization confirmed the validity of the obtained DNA sequence and detected pre-sporogonic blood stages in the interstitium and blood vessels of the kidney. Phylogenetic analysis showed that S. molnari clusters within the Sphaerospora sensu stricto clade with a high support, revealing it as the first known histozoic member of the Sphaerospora subclade comprising parasites of freshwater fish.


Asunto(s)
Carpas , Enfermedades de los Peces/parasitología , Infecciones/veterinaria , Myxozoa/genética , Animales , ADN/genética , Filogenia
4.
Orthopade ; 42(4): 220-31, 2013 Apr.
Artículo en Alemán | MEDLINE | ID: mdl-23519524

RESUMEN

Finite element analyses (FEA) as well as multibody system dynamics (MSD) are the main tools used for numerical simulation in the field of musculoskeletal research. While FEA is utilized for field problems, such as calculation of stress and strain distribution, MSD is applied for solving kinematic analyses, such as calculation of muscle and joint forces. Depending on the focus of investigation, modelling of biological tissue may vary from simple homogeneous behavior to modelling biochemical processes on the microscale and nanoscale. An important milestone in biomechanical research was the analysis of stress shielding, which led to further research on bone remodelling. Various models of implant-bone fixation used for the prediction of micromotion have been published. New possibilities for biomechanical analyses are achieved by consideration of complex muscle forces which are generated by MSD simulation and imported into FEA models as limiting conditions. A numerical model always requires experimental validation. If the results are confirmed experimentally, various advantages of numerical simulation apply and problems can be analysed isolated from many influencing factors. Therefore, straightforward parameter variation is possible, enabling studies which would be impossible in an experimental or clinical setup.


Asunto(s)
Investigación Biomédica/tendencias , Modelos Biológicos , Fenómenos Fisiológicos Musculoesqueléticos , Sistema Musculoesquelético/cirugía , Procedimientos Ortopédicos/tendencias , Cirugía Asistida por Computador/tendencias , Animales , Análisis de Elementos Finitos , Humanos , Análisis Numérico Asistido por Computador
5.
HNO ; 61(1): 25-9, 2013 Jan.
Artículo en Alemán | MEDLINE | ID: mdl-22915276

RESUMEN

BACKGROUND: A hearing screening among 14- to 15-year-old pupils was performed to estimate the number of hearing-impaired individuals in the adolescent population. MATERIALS AND METHODS: A total of 1,298 pupils from 30 schools in Tyrol (Austria) participated in the screening. Hearing tests were performed in a silent room at the school. Sinus tones at frequencies 0.5/1/2/4/6 kHz and at levels of 25/20/20/20/20 dB HL, respectively, were delivered via headphones to either ear. Failure of screening was defined as not hearing one or more frequencies in one or both ears. RESULTS: The screening was failed by 16.3% of the pupils. There was a small but not significant difference between males and females (17.0 vs. 15.2%). Most of the pupils failed at only one frequency (9.6%). Failing at two or more frequencies in the same ear occurred in 3.9% of the pupils, thereof in 1.1% bilaterally. CONCLUSION: As the specificity of our screening is limited, false-positive results may result. Thus, the rate of hearing deficits in our sample is probably a bit lower than indicated by the figures above. Most of the adolescents who failed the screen failed at only one frequency. These subjects have a small elevation of their hearing threshold, not a hearing loss in the sense of a raised averaged threshold. A hearing loss in the latter sense is supposed to be present in only very few percent of adolescents, a bilateral hearing loss in perhaps less than 1%.


Asunto(s)
Audiometría de Tonos Puros , Pérdida Auditiva Sensorineural/diagnóstico , Adolescente , Umbral Auditivo , Austria , Estudios Transversales , Femenino , Pérdida Auditiva Bilateral/diagnóstico , Pérdida Auditiva Bilateral/epidemiología , Pérdida Auditiva Sensorineural/epidemiología , Humanos , Masculino
6.
Vet Comp Orthop Traumatol ; 25(4): 301-6, 2012.
Artículo en Inglés | MEDLINE | ID: mdl-22534728

RESUMEN

OBJECTIVES: The ovine hip is often used as an experimental research model to simulate the human hip. However, little is known about the contact pressures on the femoral and acetabular cartilage in the ovine hip, and if those are representative for the human hip. METHODS: A model of the ovine hip, including the pelvis, femur, acetabular cartilage, femoral cartilage and ligamentum transversum, was built using computed tomography and micro-computed tomography. Using the finite element method, the peak forces were analysed during simulated walking. RESULTS: The evaluation revealed that the contact pressure distribution on the femoral cartilage is horseshoe-shaped and reaches a maximum value of approximately 6 MPa. The maximum contact pressure is located on the dorsal acetabular side and is predominantly aligned in the cranial-to-caudal direction. The surface stresses acting on the pelvic bone reach an average value of approximately 2 MPa. CONCLUSIONS: The contact pressure distribution, magnitude, and the mean surface stress in the ovine hip are similar to those described in the current literature for the human hip. This suggests that in terms of load distribution, the ovine hip is well suited for the preclinical testing of medical devices designed for the human hip.


Asunto(s)
Artrometría Articular/veterinaria , Análisis de Elementos Finitos , Articulación de la Cadera/anatomía & histología , Articulación de la Cadera/fisiología , Ovinos/anatomía & histología , Ovinos/fisiología , Animales , Fenómenos Biomecánicos , Simulación por Computador , Humanos , Modelos Anatómicos
7.
Dis Aquat Organ ; 94(2): 167-72, 2011 Apr 06.
Artículo en Inglés | MEDLINE | ID: mdl-21648246

RESUMEN

The ciliate protozoan Cryptocaryon irritans Brown, 1951, the 'marine white spot', causes one of the most important parasitic fish diseases, with extensive losses every year in mariculture and in the ornamental fish industry. In the present study, we explore the in vitro use of 8 different compounds against the theront (infective) stage of C. irritans; these compounds include extracts of natural products (epigallocatechin gallate (EGCG), L-DOPA, papain), peracetic acid-based compounds (Proxitane 5:23 and 15% peracetic acid, PAA), quinine-based compounds (quinacrine hydrochloride and chloroquine diphosphate) and hydrogen peroxide. All of these compounds had an effect on theront survival; however, only EGCG caused significant theront mortality when applied in doses > or =50 mg l(-1) and over a period of 3 h; papain caused a maximum theront mortality of <50%. We discuss the type of application and potential utility of the compounds tested as part of a management control strategy for C. irritans infections in marine aquaculture and the ornamental fish industry.


Asunto(s)
Antiprotozoarios/farmacología , Productos Biológicos/farmacología , Cilióforos/efectos de los fármacos , Animales , Cilióforos/fisiología , Enfermedades de los Peces/parasitología , Dorada
8.
Vet Parasitol ; 182(2-4): 181-92, 2011 Dec 15.
Artículo en Inglés | MEDLINE | ID: mdl-21680098

RESUMEN

Sparidae are economically important fishes to both, fisheries and aquaculture in the Mediterranean. Species diversification is an important strategy for the development of Mediterranean aquaculture. One of the species recently introduced is the sharpsnout seabream Diplodus puntazzo (Walbaum, 1792). During a parasitological study of fish from the Gulf of Valencia and the Mar Menor (Spain), myxozoan spores belonging to the genus Ceratomyxa were found in the gall bladder of D. puntazzo. A morphological description of the spores, which includes histology and transmission electron microscopy (TEM) as well as molecular (SSU ribosomal DNA) data resulted in the erection of a new species, Ceratomyxa puntazzi n. sp. A histopathological study of C. puntazzi n. sp. infection in D. puntazzo showed that the parasite causes necrosis and loss of epithelial cells in the gall bladder, and provokes a pericholangitis in the liver tissue surrounding the bile ducts. Furthermore, molecular data obtained from C. puntazzi n. sp. and three other ceratomyxids from the closely related fish species Diplodus annularis L. and Sparus aurata L. which share the same habitat suggest that the genus Ceratomyxa is host-specific in sparids, which agrees with data previously obtained from Serranidae, Labridae and Pomacentridae, and that ceratomyxid species from sparids in the Mediterranean originated from a common ancestor.


Asunto(s)
Enfermedades de los Peces/parasitología , Myxozoa/fisiología , Enfermedades Parasitarias en Animales/parasitología , Dorada , Animales , Enfermedades de los Peces/epidemiología , Interacciones Huésped-Parásitos , Mar Mediterráneo , Enfermedades Parasitarias en Animales/epidemiología , Filogenia
9.
Minerva Anestesiol ; 77(3): 298-304, 2011 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-21441884

RESUMEN

BACKGROUND: Acupuncture for postoperative pain remains controversial. Potential sources of bias are failures in patient-blinding and therapist-patient interactions. Our study investigates the effects of electrical auricular acupuncture (AA) on postoperative pain in patients undergoing laparoscopy with an emphasis on patient-blinding and the exclusion of therapist-patient interactions. METHODS: With institutional review board approval and written informed consent, we included 40 female patients undergoing laparoscopy. Patients were randomly assigned to receive AA (shen men, thalamus and one segmental organ-specific point) or electrodes only and an electrical stimulation device. All patients received this intervention under general anesthesia guaranteeing patient blinding and excluding therapist-patient interactions. Needles and devices were removed 72 hours postoperatively. Postoperatively, patients received 1,000 mg paracetamol every 6 hours. Additional piritramide was given on demand. A blinded observer obtained the VAS scores at 0, 2, 24, 48, and 72 hours as well as the postoperatively administered doses of piritramide. RESULTS: There was no difference in VAS scores or the consumption of piritramide during the first 72 hours postoperatively between groups (acupuncture versus placebo: 2.32 [1.40-3.25] versus 2.62 [1.89-3.36] average pain on VAS 0-10; 15.3 [12.0-18.6] mg versus 13.9 [10.5-17.3] mg piritramide). Values are expressed as mean [CI]. CONCLUSION: Our study shows no reduction in postoperative pain or an opioid sparing effect of auricular acupuncture in women undergoing laparoscopic procedures. Because we emphasized blinding of the patients and the exclusion of therapist-patient interactions, our study suggests that electrical auricular acupuncture has no effect on postoperative pain.


Asunto(s)
Acupuntura Auricular , Procedimientos Quirúrgicos Ginecológicos , Dolor Postoperatorio/terapia , Adulto , Analgésicos Opioides/uso terapéutico , Anestesia General , Método Doble Ciego , Terapia por Estimulación Eléctrica , Electroacupuntura/métodos , Femenino , Humanos , Persona de Mediana Edad , Dimensión del Dolor , Pirinitramida/uso terapéutico , Cuidados Posoperatorios , Método Simple Ciego , Adulto Joven
10.
Parasitology ; 137(10): 1501-13, 2010 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-20500915

RESUMEN

In order to study the infection dynamics of 2 renal myxozoans, Zschokkella hildae Auerbach, 1910 and Gadimyxa atlantica Køie, Karlsbakk and Nylund, 2007 in cultured Atlantic cod, Gadus morhua L. aged 3-19 months, a specific single-round PCR assay and a double-label in situ hybridization protocol were developed. The results demonstrated that the 2 myxozoans show spatial separation of their development with regard to spore formation inside the renal tubules versus the collecting ducts and ureters, as well as temporal separation with Z. hildae proliferating and developing spores only once the G. atlantica infection decreases, despite the presence of both myxozoans in the smallest fry studied. These results strongly suggest within-host competition of the 2 myxozoans with potential suppression of Z. hildae by G. atlantica until G. morhua acquires immunity against G. atlantica. The quantification of the G. atlantica infection inside the renal tubules before and after a 29-day experimental growth performance study using fry from hatcheries with differing filtration systems showed that the intensity of infection with G. atlantica seems to be controlled if prolonged exposure to the myxozoan transmission stages takes place from hatching onwards. Surprisingly, growth rates in the trial were inversely affected suggesting that G. atlantica does not negatively influence cod fry growth performance.


Asunto(s)
Conducta Competitiva , Enfermedades de los Peces/patología , Gadus morhua/parasitología , Riñón/parasitología , Myxozoa/crecimiento & desarrollo , Myxozoa/patogenicidad , Enfermedades Parasitarias en Animales/patología , Animales , Acuicultura , Enfermedades de los Peces/inmunología , Enfermedades de los Peces/parasitología , Gadus morhua/crecimiento & desarrollo , Interacciones Huésped-Parásitos , Hibridación in Situ , Myxozoa/genética , Myxozoa/aislamiento & purificación , Enfermedades Parasitarias en Animales/inmunología , Enfermedades Parasitarias en Animales/parasitología , Reacción en Cadena de la Polimerasa , Esporas Protozoarias/crecimiento & desarrollo
11.
J Fish Dis ; 32(4): 335-50, 2009 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-19236560

RESUMEN

Elongate plasmodia with myxosporean spores belonging to the genus Unicapsula, Davis, 1924 were found in the skeletal muscle of the striped seabream, Lithognathus mormyrus (L.), a candidate for the mediterranean aquaculture. The only species of Unicapsula described from the Mediterranean is Unicapsula pflugfelderi Schubert et al. 1975, which occurs in the picarel, Spicara smaris (L.). For morphological and molecular comparison of U. pflugfelderi from S. smaris with Unicapsula sp. from L. mormyrus measurements of plasmodia and spores, ultrastructural details and 18S and 28S rDNA sequences were analysed. Whereas plasmodia were 2-3 times larger in S. smaris than in L. mormyrus (length 2.47-0.81 mm; width 0.22-0.09 mm; P = 0.000), spore morphology showed minor differences and both 18S and 28S rDNA sequences were 100% identical identifying the myxozoan as U. pflugfelderi. Scanning electron microscopy of the spores revealed a different shell valve distribution than the one used for the diagnosis of the genus Unicapsula. This resulted in a review of the genus Unicapsula dividing it into two morphological groups of different spore valve arrangement. TEM revealed the presence of a yet undescribed crystalline structure in the sporoplasm of the spores.


Asunto(s)
Enfermedades de los Peces/parasitología , Myxozoa/clasificación , Enfermedades Parasitarias en Animales/parasitología , Perciformes/parasitología , Animales , Girasa de ADN/genética , Enfermedades de los Peces/patología , Mar Mediterráneo , Microscopía Electrónica de Rastreo , Microscopía Electrónica de Transmisión , Músculo Esquelético/parasitología , Músculo Esquelético/patología , Myxozoa/citología , Myxozoa/genética , Enfermedades Parasitarias en Animales/patología , Filogenia , ARN Ribosómico 18S/genética , ARN Ribosómico 28S/genética , ARN Ribosómico 28S/ultraestructura , Dorada/parasitología , Especificidad de la Especie
12.
Parasitol Int ; 57(4): 472-82, 2008 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-18639649

RESUMEN

A new sanguinicolid trematode, Cardicola aurata sp. n., is described from gilthead seabream Sparus aurata L., from off the Spanish Mediterranean coast. The morphology of C. aurata sp. n. generally agrees with the diagnosis of the genus, however, in contrast to all other reported Cardicola spp. the male pore is located sub-medially at the posterior end of the body instead of sinistrally before the posterior end of the body. Based on a comparison of the morphology as well as partial 28S and ITS2 rDNA sequence data from the present species with that from closely related species, it was decided to emend the diagnosis of Cardicola rather than create a new genus, as the aberrant position of the male pore is likely to be an autapomorphy. The phylogenetic analyses revealed a close relationship between Cardicola and Paradeontacylix, two genera with considerable morphological differences; C. aurata sp. n. occupies a position intermediate to these genera. Thus, a morphological comparison of Cardicola, Paradeontacylix and Braya, a genus which is morphologically similar to Cardicola but clusters basal to the Cardicola/Paradeontacylix clade, was conducted. The results of this comparison showed that despite large differences with regard to body shape, the organisation of the internal organs is very similar in species of Cardicola and Paradeontacylix. The synopsis of morphological data and molecular phylogeny allows for interpretations regarding the importance of different morphological features for the phylogenetic inference of the Sanguinicolidae.


Asunto(s)
Enfermedades de los Peces/parasitología , Filogenia , Dorada/parasitología , Trematodos/clasificación , Trematodos/genética , Infecciones por Trematodos/veterinaria , Animales , ADN de Helmintos/análisis , ADN de Helmintos/genética , ADN Espaciador Ribosómico/análisis , Femenino , Hígado/parasitología , Masculino , Mar Mediterráneo , ARN Ribosómico 28S/genética , Especificidad de la Especie , Trematodos/anatomía & histología , Trematodos/aislamiento & purificación , Infecciones por Trematodos/parasitología
13.
Parasitol Res ; 101(6): 1671-80, 2007 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-17846792

RESUMEN

A new multivalvulid myxozoan parasite, Kudoa unicapsula n. sp., is described from the intestinal mesentery, intestine and pyloric caeca of the thin-lipped grey mullet Liza ramada (Risso 1826) and the golden grey mullet L. aurata (Risso, 1810) from the Mediterranean coastal waters of Spain. It is characterized by the presence of elongated, rice corn-like white cysts of 0.47-0.56 x 0.18-0.38 mm, filled with tetracapsulate, slightly asymmetric spores, rectangular in apical view and tear-shaped in lateral view with four polar capsules of considerably different size and slightly unequal spore valves with rounded edges, overlapping each other on the apex of the spore. One large polar capsule includes a polar filament coiled in two to three turns, and the other three polar capsules, which are very small, posses only a rudimental filament. Both light and electron microscopy data showed that this species differs from all previously described Kudoa spp. with unequal polar capsules. The molecular analysis based on 18S and 28S ribosomal deoxyribonucleic acid DNA sequence data of K. unicapsula n. sp. indicates a close relationship and thus phylogenetic clustering together with K. trifolia, a myxozoan from the same host and the same geographical location.


Asunto(s)
Eucariontes/clasificación , Enfermedades de los Peces/parasitología , Smegmamorpha/parasitología , Animales , ADN Protozoario/análisis , Eucariontes/genética , Eucariontes/fisiología , Eucariontes/ultraestructura , Mar Mediterráneo , Datos de Secuencia Molecular , Filogenia , Infecciones Protozoarias en Animales/parasitología , ARN Ribosómico 18S/genética , ARN Ribosómico 28S/genética , Análisis de Secuencia de ADN , Esporas Protozoarias/ultraestructura
14.
J Fish Dis ; 29(12): 743-55, 2006 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-17169107

RESUMEN

A new species of myxozoan, Kudoa trifolia sp. n., was found in various organs of the golden grey mullet, Liza aurata (Risso), and the thinlip mullet, L. ramada (Risso), from the western Mediterranean. Spores developed in subspherical plasmodia of 0.28-1 mm diameter within connective tissue, predominantly in the spleen, the outer wall of the gall bladder and the gut, the mesenteries and occasionally also in the gills. The spores of K. trifolia differ from the commonly known shape of Kudoa by considerable enlargement of one of the four valve cells, thus forming a 'spore body', which contains the major part of the binucleate sporoplasm. Scanning electron microscopy of the spores revealed the presence of grape-like appendages, which occur in bundles terminally on the valve cells. Phylogenetic analysis based on the 18S rDNA sequence of K. trifolia showed that this species is deeply embedded in the genus Kudoa despite its aberrant morphology and host tissue location. This suggests important amendments to the morphological diagnosis of the genus Kudoa.


Asunto(s)
Eucariontes/fisiología , Enfermedades de los Peces/parasitología , Infecciones Protozoarias en Animales/patología , Smegmamorpha , Animales , ADN Protozoario/análisis , Eucariontes/clasificación , Eucariontes/genética , Enfermedades de los Peces/patología , Especiación Genética , Mar Mediterráneo , Microscopía Electrónica , Datos de Secuencia Molecular , Filogenia , Agua de Mar , Esporas Protozoarias/citología , Esporas Protozoarias/fisiología , Esporas Protozoarias/ultraestructura
15.
Anesth Analg ; 102(5): 1480-4, 2006 May.
Artículo en Inglés | MEDLINE | ID: mdl-16632830

RESUMEN

The advantages of laparoscopic over open surgery have been documented in nonblinded settings. Our prospective, double-blind setting evaluated pain scores 72 h after surgery by comparing patients who underwent laparoscopic myomectomy or with laparotomy. Forty women referred for conservative myomectomy were included in the study. After stratification (myoma size, number of myomas, and surgeon), patients were randomized to either laparoscopy (n = 19) or laparotomy (n = 21) and received a standardized anesthesia and patient-controlled analgesia for 24 h after surgery. Identical wound dressings were applied to blind the patient and the observer to the surgical approach. The postoperative pain scores were documented on a visual analog scale (VAS; 0 = no and 10 = unbearable pain) at 24, 48, and 72 h after surgery. As the primary outcome variable, we calculated the mean overall VAS-score at these time points. P < 0.05 (t-test and analysis of covariance) was considered statistically significant. There were no differences in patient characteristics among the groups. The mean overall VAS score at 24, 48, and 72 h was statistically significantly lower in the laparoscopic group compared with the laparotomy group (2.28 +/- 1.38 versus 4.03 +/- 1.63; P < 0.01). Our data demonstrate, for the first time in a double-blind setting, that laparoscopic myomectomy reduces postoperative pain for 72 h after surgery compared with laparotomy.


Asunto(s)
Laparoscopía/estadística & datos numéricos , Leiomioma/cirugía , Dimensión del Dolor/estadística & datos numéricos , Dolor Postoperatorio/epidemiología , Neoplasias Uterinas/cirugía , Adulto , Análisis de Varianza , Método Doble Ciego , Femenino , Procedimientos Quirúrgicos Ginecológicos/estadística & datos numéricos , Humanos , Laparoscopía/métodos , Leiomioma/epidemiología , Persona de Mediana Edad , Dolor Postoperatorio/prevención & control , Estudios Prospectivos , Estadísticas no Paramétricas , Neoplasias Uterinas/epidemiología
16.
Parasitology ; 132(Pt 2): 193-205, 2006 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-16216135

RESUMEN

Five myxozoan species, Tetracapsuloides bryosalmonae, Sphaerospora truttae, Chloromyxum schurovi, Chloromyxum truttae and a Myxobolus species were detected in farmed brown trout, Salmo trutta L. from Central Scotland. Using PCR and in situ hybridization, this study investigated the seasonal occurrence and tissue location of these species in young of the year brown trout. C. schurovi, C. truttae and Myxobolus sp. were first detected in brown trout in April, 2 months before T. bryosalmonae and S. truttae. T. bryosalmonae and S. truttae showed proliferation in the blood with intravascular stages of T. bryosalmonae accumulating in the heart. In contrast, only small amounts of PCR products of C. schurovi and C. truttae were obtained from the blood, suggesting that these species use the vascular system for transport but proliferate only in their target tissues from which large amounts of PCR product were obtained and where parasites were visible in histological sections. Large amounts of PCR product were obtained for T. bryosalmonae, S. truttae and both Chloromyxum species from the gills of brown trout, suggesting the gills as entry locus for these species. The neurotropic Myxobolus species formed plasmodia predominantly in the peripheral nerves, possibly indicating an entry route through the skin. Presporogonic stages of all other species had disappeared by September and mature spores were present from August onwards.


Asunto(s)
Eucariontes/crecimiento & desarrollo , Eucariontes/genética , Enfermedades de los Peces/parasitología , Estadios del Ciclo de Vida , Infecciones Protozoarias en Animales/parasitología , Trucha/parasitología , Animales , Secuencia de Bases , Cartilla de ADN/química , ADN Ribosómico/química , Eucariontes/aislamiento & purificación , Enfermedades de los Peces/epidemiología , Explotaciones Pesqueras , Corazón/parasitología , Hibridación in Situ/métodos , Hibridación in Situ/veterinaria , Riñón/parasitología , Datos de Secuencia Molecular , Reacción en Cadena de la Polimerasa/métodos , Reacción en Cadena de la Polimerasa/veterinaria , Prevalencia , Infecciones Protozoarias en Animales/epidemiología , ARN Ribosómico 18S/genética , Ríos , Escocia/epidemiología , Estaciones del Año , Esporas Protozoarias/citología
17.
Anesth Analg ; 96(6): 1772-1776, 2003 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-12761010

RESUMEN

UNLABELLED: The isolated effects of hypothermia on hemostasis have not been investigated in healthy humans. We cooled 16 anesthetized patients scheduled for elective intracranial surgery to 32 degrees C body core temperature and assessed prothrombin time (PT), activated partial thromboplastin time, thrombelastogram (TEG), closure time, and platelet count at 36 degrees C, 34 degrees C, and 32 degrees C body core temperature after the induction of anesthesia but before surgical intervention. Activated partial thromboplastin time, hematocrit, and closure time did not change, whereas PT and platelet count decreased during cooling. Platelet count decreased without a decrease in hematocrit; hence, a dilution by administered fluids seemed unlikely. The small decrease of platelet count is probably clinically irrelevant in patients with normal platelet count and function. The small decrease in PT indicates an alteration of the extrinsic pathway of coagulation. TEG measurements showed a delay of clot formation in temperature-adjusted measurements but showed no change if the test temperature was 37 degrees C. This indicates that hypothermia reduces plasmatic coagulation and platelet reactivity. However, the clot strength is not altered by hypothermia. All coagulation variables remained within the normal ranges. Our results may indicate that moderate short-term (4-h) hypothermia has only minor adverse effects in healthy humans. We can make no statement about the effects of hypothermia of longer duration. IMPLICATIONS: This study investigated the isolated effects of hypothermia in healthy anesthetized humans. We found only minor effects of body temperature reduction to 32 degrees C on assessed coagulation variables, indicating only minor effects in otherwise healthy humans.


Asunto(s)
Anestesia General , Hemostasis/fisiología , Hipotermia Inducida , Adulto , Temperatura Corporal/fisiología , Femenino , Hematócrito , Humanos , Masculino , Persona de Mediana Edad , Procedimientos Neuroquirúrgicos , Tiempo de Tromboplastina Parcial , Recuento de Plaquetas , Tiempo de Protrombina , Tromboelastografía
18.
Eur J Anaesthesiol ; 20(4): 282-8, 2003 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-12703832

RESUMEN

BACKGROUND AND OBJECTIVE: We ascertained whether dreams during short general anaesthesia influence subsequent patient satisfaction and anxiety. METHODS: Fifty female patients were randomized into two groups to test for a difference between intravenous and inhalational anaesthesias. In Group Propo, anaesthesia was induced and maintained with propofol; in Group Metho-Iso, anaesthesia was induced with methohexital and maintained with isoflurane. Satisfaction and anxiety with anaesthesia were evaluated using a visual analogue scale from 0 to 100. Dream incidence rate, satisfaction and anxiety were assessed from immediately after waking until 3 months later. RESULTS: Seventeen patients (34%) dreamed during anaesthesia. There were no significant differences in satisfaction or anxiety after anaesthesia between the dreaming and non-dreaming patients (satisfaction, 92.3 +/- 21.6 versus 92.1 +/- 21.6; anxiety, 21.1 +/- 21.1 versus 30.3 +/- 32.1), or between Group Propo and Group Metho-Iso (satisfaction, 94.4 +/- 19.3 versus 90.0 +/- 23.4; anxiety, 26.0 +/- 27.6 versus 28.4 +/- 30.7). There was no significant difference in the incidence rate of dreaming with the type of anaesthesia used (Group Propo, 11 patients; Group Metho-Iso, 6 patients). CONCLUSIONS: Dreaming during general anaesthesia is common but does not influence satisfaction or anxiety after anaesthesia.


Asunto(s)
Anestesia , Ansiedad/psicología , Sueños/psicología , Recuerdo Mental , Satisfacción del Paciente , Adulto , Anestésicos Intravenosos/sangre , Electroencefalografía , Femenino , Humanos , Masculino , Persona de Mediana Edad , Complicaciones Posoperatorias/epidemiología , Propofol/sangre
19.
Anaesthesia ; 58(3): 217-22, 2003 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-12603451

RESUMEN

We compared systemic (aortic) blood flow and cerebral blood flow velocity in 30 patients randomly allocated to receive either propofol or sevoflurane anaesthesia. Cerebral blood flow velocity (CBFv) was measured in the middle cerebral artery using transcranial Doppler. Systemic blood flow velocity (SBFv) was measured in the aorta using transthoracic Doppler sonography at the level of the aortic valve. Bispectral index (BIS) was used to measure the depth of anaesthesia. Measurements were made in the awake patient and repeated during propofol or sevoflurane anaesthesia, with BIS measurements of 40-50. The effects of SBFv on CBFv were estimated by calculating the cerebral/systemic blood flow velocity-index (CsvI). A CsvI value of 100 indicating a 1 : 1 relationship between CBFv and SBFv. The results demonstrated that propofol anaesthesia produced a significantly greater reduction in CsvI than did sevoflurane anaesthesia [propofol: 60 (19); sevoflurane: 83 (16), p = 0.009, t-test]. This suggests a direct reduction in CBFv independent of SBFv during propofol anaesthesia. The greater reduction of CBFv occurring during propofol anaesthesia may be due to lower cerebral metabolic demand compared with sevoflurane anaesthesia at comparable depths of anaesthesia.


Asunto(s)
Anestésicos por Inhalación , Anestésicos Intravenosos , Circulación Cerebrovascular/efectos de los fármacos , Éteres Metílicos , Propofol , Adulto , Anestesia/métodos , Aorta Torácica/fisiología , Velocidad del Flujo Sanguíneo/efectos de los fármacos , Velocidad del Flujo Sanguíneo/fisiología , Presión Sanguínea/efectos de los fármacos , Método Doble Ciego , Femenino , Frecuencia Cardíaca/efectos de los fármacos , Humanos , Masculino , Persona de Mediana Edad , Arteria Cerebral Media/fisiología , Estudios Prospectivos , Sevoflurano , Ultrasonografía Doppler/métodos
20.
J Fish Dis ; 26(11-12): 647-55, 2003.
Artículo en Inglés | MEDLINE | ID: mdl-14710757

RESUMEN

Sphaerospora truttae is an important pathogen of Atlantic salmon parr in Scottish aquaculture. To trace the early development of S. truttae and to overcome the common problem of detecting low numbers of cryptic, early myxosporean stages, a DNA-based approach was applied in this study. Specific primers were designed for S. truttae from Atlantic salmon, based on 18S rDNA sequences, obtained from isolated myxosporean spores. These were 5' biotin-labelled and used in an optimized and rapid in situ hybridization (ISH) protocol, which provided a strong and specific signal of the parasite within host tissue sections and, at the same time, minimized structural damage to tissues due to processing. This methodology provided a reliable tool enabling the detection of S. truttae stages down to single cell level. Using ISH the epithelium of the gills was identified as the predominant entry locus of the parasite. By 3 days after infection S. truttae had penetrated the vascular epithelia and thereafter proliferated in the blood for at least 10 days before exiting the vascular system through capillary walls. From day 12 post-infection onwards, the kidney, as well as the spleen and the liver, were invaded. Numbers of S. truttae invading the kidney (37.3%) differed little from numbers found in the spleen (35.3%) and the liver (27.4%). The latter organs represented a dead end in the development of S. truttae as all stages in these organs degenerated and sporogony was found to take place exclusively inside the renal tubules. Early sporogonic stages were found from day 25 post-infection but mature spores only developed after at least 15 days of proliferation within the tubules.


Asunto(s)
Eucariontes/genética , Eucariontes/fisiología , Enfermedades de los Peces/parasitología , Estadios del Ciclo de Vida , Infecciones Protozoarias en Animales/fisiopatología , Animales , Cartilla de ADN , ADN Ribosómico/genética , Enfermedades de los Peces/fisiopatología , Hibridación in Situ , Salmo salar
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