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1.
Poult Sci ; 98(2): 712-716, 2019 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-30289527

RESUMO

Villus to crypt ratio (VCR) is used to quantify the microanatomical response of the intestine to various treatments. In early age chickens, comparative effects of the in ovo (i.o.) and s.c. methods of administration (moa) of the Marek's disease (MD) vaccine on 2 types of measurement of small intestinal VCR at 0 and 4 h post-hatch (poh) were investigated. The effects of moa and 4 and 18 h pre-placement holding times (pht) on the VCR measurements at 168 h (7 d) poh were also investigated. In the jejunum of the small intestine, a standard method for VCR determination, based on 10 villus and crypt length measurements, was utilized for the calculation of villus to crypt length ratio (VCLR). In that same region, a single histomorphometric determination of the crypt and total mucosa areas using image analysis software was also used. Subtraction of the crypt area from the total mucosa area provided the villus area, allowing for calculation of the villus to crypt area ratio (VCAR). Across 0, 4, and 18 h of poh bird age, the VCLR of birds that received an s.c. vaccination was higher in comparison to that of those that received an i.o. vaccination. The highest and lowest VCAR values were observed in the s.c. treatment at 0 h poh and in the i.o. treatment at 4 h poh, respectively. Furthermore, at 168 h poh, VCLR values in the 18 h pht and s.c. vaccination group were higher than those in the 4 h pht and s.c. vaccination or 18 h and i.o. vaccination groups. In conclusion, the effects of pht and MD vaccine moa on VCR were dependent on the use of either the VCLR or VCAR method of measurement. However, regardless of method, s.c. injection overall led to a higher VCR through 4 h poh in Ross 708 broilers, and the effects of moa on VCLR at 168 h were influenced by pht.


Assuntos
Injeções/veterinária , Vacinas contra Doença de Marek/administração & dosagem , Doença de Marek/prevenção & controle , Animais , Galinhas , Injeções Subcutâneas/veterinária , Mucosa Intestinal/imunologia , Jejuno/imunologia , Masculino , Óvulo
2.
Curr Med Res Opin ; 35(1): 117-125, 2019 01.
Artigo em Inglês | MEDLINE | ID: mdl-30378450

RESUMO

Objective: To evaluate the risk of chronic kidney disease (CKD), cardiovascular disease (CVD), and osteoporotic fractures in human immunodeficiency virus (HIV) patients utilizing data within the Veteran's Affairs (VA) Administration system.Methods: A retrospective cohort study utilizing VA system claims (January 2000-December 2016) were extracted from the VA Informatics and Computing Infrastructure (VINCI). Cases included Veterans with an ICD-9/10 for HIV who had at least one prescription for a complete antiretroviral therapy (ART) regimen. Two non-HIV controls were exactly matched on race, sex, month, and year of birth. All patients were followed until the earliest of the following: first incidence of the outcome (identified based on diagnosis codes or laboratory data), last date of VA activity, death, or December 31, 2016. Relative risks (RR) and odds ratios (ORs) were estimated from multivariable Poisson regression models (CVD and osteoporotic fractures) and multivariable logistic regression models (CKD), respectively. Models were adjusted for demographic factors/comorbidities.Results: A total of 79,578 patients (26,526 HIV and 53,052 non-HIV) met all study criteria. The average age was 49.3 years, 38% were black, 32% were white, and 97% were male for both the HIV and control cohorts. The adjusted models demonstrated that HIV was associated with a 78% increased rate of CKD (OR = 1.78, 95% CI = 1.68-1.89), a 32% increased risk of CVD (RR = 1.32, 95% CI = 1.28-1.37), and a 38% increased risk of fractures (RR = 1.38, 95% CI = 1.23-1.56) compared to non-HIV controls.Conclusions: The risk/rate of the three outcomes were significantly higher in HIV patients compared to controls.


Assuntos
Doenças Cardiovasculares/epidemiologia , Infecções por HIV/epidemiologia , Fraturas por Osteoporose/epidemiologia , Insuficiência Renal Crônica/epidemiologia , Adulto , Estudos de Coortes , Comorbidade , Feminino , Humanos , Incidência , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos , Veteranos
3.
West Indian med. j ; 67(1): 84-88, Jan.-Mar. 2018. graf
Artigo em Inglês | LILACS | ID: biblio-1045805

RESUMO

ABSTRACT Non-compaction cardiomyopathy is a rare form of cardiac disease that presents with symptoms of congestive heart failure, ventricular arrhythmias or thromboembolism. Within the Caribbean setting, there are limited data regarding its existence. We present a case of non-compaction cardiomyopathy, diagnosed by transthoracic echocardiogram and cardiac magnetic resonance imaging, with the use of established criteria. It is interesting to highlight such a condition within the small Caribbean population, especially given its link to heritability and the ease with which it can be mistaken for a dilated cardiomyopathy.


RESUMEN La miocardiopatía no compactada o espongiforme es una forma rara de enfermedad cardíaca que se presenta con síntomas de insuficiencia cardíaca congestiva, arritmias ventriculares o tromboembolismos. En el entorno caribeño, hay datos limitados sobre su existencia. Presentamos un caso de cardiomiopatía no compactada, diagnosticada mediante ecocardiograma transtorácico y resonancia magnética cardíaca, con el uso de criterios establecidos. Es interesante destacar tal condición dentro de la pequeña población caribeña, especialmente dada su relación con la heredabilidad y la facilidad con la que se le puede confundir con una miocardiopatía dilatada.


Assuntos
Humanos , Masculino , Pessoa de Meia-Idade , Miocárdio Ventricular não Compactado Isolado/diagnóstico por imagem , Arritmias Cardíacas/etiologia , Tromboembolia/etiologia , Imageamento por Ressonância Magnética , Ecocardiografia , Miocárdio Ventricular não Compactado Isolado/complicações , Insuficiência Cardíaca/etiologia
4.
Poult Sci ; 97(6): 1891-1898, 2018 Jun 01.
Artigo em Inglês | MEDLINE | ID: mdl-29462434

RESUMO

Inovocox EM1 vaccine (EM1) is hatchery-applied via in ovo injection for the control of coccidiosis in broiler chickens. Effects of 3 in ovo injection treatments (INT) and 2 turn-out times (TOT) on the hatching chick quality variables and 35 d posthatch performance of Ross × Ross 708 broilers were investigated. In a single-stage incubator, 1,440 hatching eggs were randomly distributed among 3 INT groups on each of 8 tray levels. At 19 d of incubation (doi), embryonated eggs were subjected to one of the following INT by in ovo injection: noninjected control; 1 × dose of EM1; 10 × dose of EM1. On 21 doi, hatchability of injected eggs (HI), hatching body weight (HBW), and hatching chick quality variables were determined. Additionally, for the grow-out phase, birds belonging to each INT were randomly subjected to a 7 or 10 d TOT. Twenty chicks were initially placed in each of 48 floor pens (6 INT × TOT combination groups × 8 replications) for growth performance evaluation from 0 to 35 d posthatch. The main effect of INT on hatching chick quality variables, as well as the main and interactive effects of INT and TOT on various grow-out performance variables were determined. Although there was no significant INT effect on HI or HBW, significant INT effects on chick total BW, yolk-free BW, and yolk sac weight were observed. There were significant INT effects on BWG and FCR in the 21- to 28-d posthatch interval, as well as on BWG and FCR in the 0- to 35-d posthatch interval. There was no main effect of TOT or interactive effect of INT and TOT on BW and other performance variables from 0 to 35 d posthatch. There was a significant main effect of INT on relative intestine weight at 28 d posthatch. In conclusion, the injection of EM1 vaccine at a 10 × dose may affect hatching chick quality variables and growth performance up to 35 d posthatch.


Assuntos
Galinhas , Coccidiose/veterinária , Doenças das Aves Domésticas/imunologia , Vacinas Protozoárias/efeitos adversos , Animais , Embrião de Galinha , Coccidiose/imunologia , Relação Dose-Resposta a Droga , Injeções/veterinária , Óvulo
5.
Poult Sci ; 97(5): 1757-1761, 2018 May 01.
Artigo em Inglês | MEDLINE | ID: mdl-29351670

RESUMO

The determination of intestinal villus to crypt ratios (VCR) is a common method utilized to evaluate effects of various diet regimens on gut microanatomy and for the histologic quantification of intestinal responses to disease processes. Two methods for the determination of small intestinal VCR were compared in early age chickens. A standard method for VCR determination based on 10 villus and crypt length measurements in the jejunal region of the small intestine was employed for the calculation of villus to crypt length ratio (VCLR). That method was compared to a new approach based on a single histomorphometric determination of the crypt and total mucosal areas using image analysis software. Subtraction of the crypt area from the total area provided the villus area and allowed for the subsequent calculation of villus to crypt area ratio (VCAR). At 4 and 18 h posthatch, VCLR was higher than that of VCAR, but there was no significant difference between VCLR and VCAR at 0 h (hatch) and at 168 h (d 7) posthatch. Nevertheless, the pattern of age-associated changes for VCLR and VCAR were comparable throughout the early posthatch period. Furthermore, the new method used in determining VCAR is subject to less human error, allows for an appreciable reduction in the number of measurements required, and facilitates a larger intestinal segment evaluation. Standard linear measurements require the selection of variable numbers of villi and crypts, whereas the area method only requires selection of a single region that incorporates numerous villi and crypts of variable sizes in providing a less subjective approach. This is particularly advantageous in studies on intestinal disease conditions resulting in marked multifocal variation in villus stature. This study further documented age-associated changes occurring in the VCR of the small intestine during the early posthatch period. Across the 2 methods used for VCR determination, a major and highly significant reduction in the VCR was observed to occur between 18 h and 168 h posthatch.


Assuntos
Criação de Animais Domésticos/métodos , Galinhas/fisiologia , Duodeno/fisiologia , Mucosa Intestinal/fisiologia , Fatores Etários , Animais , Masculino , Distribuição Aleatória
6.
Poult Sci ; 96(11): 3944-3948, 2017 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-29050405

RESUMO

Effects of the in ovo (i.o.) or subcutaneous (s.c.) method of administration (moa) of the Marek's disease (MD) vaccine and 4 or 18 h pre-placement holding time (pht) on the processing yield of male broilers through 49 d of age (doa) were investigated. Ross 708 broiler hatching eggs (3,900) were either i.o.-vaccinated at 18 d of incubation or chicks from eggs that were not i.o.-vaccinated were s.c.-vaccinated at hatch. The i.o. injections (50 µL) were delivered by a commercial multi-egg injector and s.c. injections (200 µL) were delivered by an automatic pneumatic s.c. injector. The pht was imposed on chicks after vaccination. Sixteen birds were initially assigned to each of 15 replicate floor pens belonging to each of the moa and pht combination groups and were grown out through 48 doa. At 48 doa, 6 birds were randomly selected from each replicate pen and were weighed and fasted for 16 h before being processed. At 49 doa, whole carcass, fat pad, breast muscle, and tenders muscles weights were recorded. Whole carcass weight as a percentage of live BW, and fat pad, breast muscle, and tenders muscles weights as percentages of both live and whole carcass weights were calculated. Upon subjection of the data to a 2 × 2 factorial analysis, only a main effect due to moa was observed for tenders muscles weight as a percentage of live and whole carcass weights. Tenders muscles weight as a percentage of both live (P ≤ 0.010) and whole carcass (P ≤ 0.004) weight was higher in birds hatched from eggs that received i.o. rather than s.c. vaccinations. In conclusion, in comparison to s.c. vaccination, i.o. vaccination increased relative tenders weight yield, whether or not broilers were held for 4 or 18 h prior to placement. Therefore, with regard to broiler processing yield, i.o. and s.c. vaccinations were safe for the administration of the MD vaccine, with i.o. vaccination displaying a slight potential advantage.


Assuntos
Galinhas , Vacinas contra Doença de Marek/administração & dosagem , Doença de Marek/prevenção & controle , Doenças das Aves Domésticas/prevenção & controle , Vacinação/veterinária , Animais , Injeções/métodos , Injeções/veterinária , Injeções Subcutâneas/veterinária , Masculino , Óvulo , Vacinação/métodos
7.
Plant Dis ; 101(8): 1500-1506, 2017 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-30678582

RESUMO

Verticillium wilt, caused by Verticillium dahliae, is a disease of dicotyledonous crops such as potato and has a wide host range and persistent, long-term survival structures called microsclerotia that can persist in soil for up to 14 years. Some V. dahliae isolates are particularly aggressive on a specific plant host while retaining the ability to infect a wide range of other hosts. Weeds can serve as hosts for V. dahliae but whether they serve as sources of inoculum for aggressive isolates of V. dahliae to crop hosts is unknown. The goal of this research was to quantify V. dahliae microsclerotia obtained from 16 weeds which were grown in the greenhouse. Potting medium was infested with one of eight V. dahliae isolates from potato, mint, sugar beet, sunflower, tomato, and watermelon. The isolates from mint and potato were aggressive on the host from which they were originally isolated. All 16 weeds were infected by at least one V. dahliae isolate, although the number of microsclerotia produced from some infections was relatively low (≤5 microsclerotia/g of dry plant). Black nightshade yielded greater numbers of microsclerotia of the V. dahliae potato isolate than any other isolate in three of four trials in the greenhouse (second trial false discovery rate, adjusted P ≤ 0.0158; third trial, P ≤ 0.0264; and fourth trial, P ≤ 0.0193). Litchi tomato yielded greater numbers of microsclerotia of the V. dahliae potato isolate than any other isolate in one of four trials (first trial, P ≤ 0.0149). A V. dahliae isolate from tomato yielded greater numbers of microsclerotia in large crabgrass and wild oat in a second trial (P ≤ 0.0158). Weeds, depending on the species, grown during and between potato crop rotations may increase the number of microsclerotia of the potato-aggressive isolates of V. dahliae.


Assuntos
Produtos Agrícolas , Solanum tuberosum , Verticillium , Produtos Agrícolas/microbiologia , Noroeste dos Estados Unidos , Solanum tuberosum/microbiologia , Verticillium/patogenicidade
8.
Plant Dis ; 101(7): 1300-1305, 2017 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-30682946

RESUMO

Solanum sisymbriifolium, the litchi tomato, is a perennial herbaceous plant from South America that is used as a trap crop to reduce soilborne populations of the pale cyst nematode Globodera pallida, an important potato pathogen. Possible interactions of soilborne potato pathogens Verticillium dahliae and Colletotrichum coccodes with litchi tomato are unknown, yet important for potato production if litchi tomato is to be planted as a trap crop. The goal of this research was to quantitatively assess if litchi tomato is a potential inoculum source for C. coccodes and V. dahliae by comparing colony forming units (CFU) observed in litchi tomato to susceptible and resistant potato cultivars. The potato cvs. Alturas (P = 0.0003), Ranger Russet (P = 0.0193), and Russet Norkotah (P = 0.0022) produced more CFUs of the potato pathotype of V. dahliae than litchi tomato the first of two years of greenhouse trials. Significantly more CFUs of the potato pathotype of V. dahliae were quantified from stems and roots of only cv. Russet Norkotah compared with litchi tomato (P = 0.0001) in the second year. The CFUs for C. coccodes varied between litchi tomato and the potato cvs., perhaps due to varying levels of resistance since litchi tomato is from a selected intermated seed source. Based on these data, the effect of litchi tomato in rotation with potato is likely to have limited effect on the proliferation of V. dahliae or C. coccodes populations in the soil when compared with a susceptible potato cultivar.

9.
Poult Sci ; 96(5): 1071-1077, 2017 May 01.
Artigo em Inglês | MEDLINE | ID: mdl-27794051

RESUMO

Effects of 2 types of methods of administration (moa; in ovo or s.c.) of the Marek's disease (MD) vaccine and 4 and 18 h pre-placement holding times (pht) on the performance of male broilers through 48 d of age were investigated. Ross 708 broiler hatching eggs (3,900) were either in ovo-vaccinated at 18 d of incubation or chicks from eggs that were not in ovo-injected were vaccinated s.c. at hatch, and chicks from each moa group were held for one of the 2 pht. In ovo injections (50 µL) were delivered by a commercial multi-egg injector and s.c. injections (0.2 mL) were delivered by an automatic pneumatic s.c. injector. Sixteen birds were assigned to each of 15 replicate floor pens belonging to each of the 4 moa and pht combination groups. Mortality and BW gain were determined at weekly intervals, and feed consumption and conversion were determined in the zero to 14, 14 to 28, 28 to 42, and 42 to 48 d age intervals. No interactive effects between moa and pht were observed for any variable, and mortality was not significantly affected by moa or pht. The 14 to 28 d feed consumption and 14 to 21 d BW gain of s.c.-vaccinated birds were lower than that of in ovo-vaccinated birds, and the increase in pht from 4 to 18 h decreased feed consumption through 28 d post hatch and BW gain through 35 d post hatch. Overall, the performances of male Ross 708 broilers through 48 d of age in response to in ovo and s.c. injections of the MD vaccine were comparable, and delays in hatchling placement should be less that 18 h in duration. Furthermore, despite the decrease in BW gain through 35 d associated with the reduction in feed consumption through 28 d in response to the 14 h increase in pht, in ovo injection did not exacerbate the effect of the increase in pht.


Assuntos
Galinhas/crescimento & desenvolvimento , Vacinas contra Doença de Marek/administração & dosagem , Animais , Injeções/veterinária , Injeções Subcutâneas/veterinária , Masculino , Vacinas contra Doença de Marek/efeitos adversos , Óvulo , Aumento de Peso
10.
Poult Sci ; 95(9): 2038-44, 2016 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-27143771

RESUMO

Effects of method of administration [moa; in ovo (i.o.) or s.c.] of the Marek's disease vaccine and pre-placement holding time (pht) on early post-hatch male broiler chick quality was investigated. Sixty-five Ross × Ross 708 broiler hatching eggs were randomly set in each of 15 replicate trays (blocks) belonging to each of 4 pre-assigned moa and pht treatment combinations (3,900 total eggs) in a single stage Jamesway incubator. Eggs that were i.o.-vaccinated received injections at 18 d of incubation and male chicks from eggs that were not i.o.-injected were vaccinated by s.c. injection at hatch. The i.o. injections (50 µL) were delivered by a commercial multi-egg injector and the s.c. injections (200 µL) were delivered by an automatic pneumatic s.c. injector. Male chicks from each moa group also were subjected to either a 4 or 18 h pht. At hatch and placement total and yolk-free BW; body length; body mass index; yolk sac weight; yolk-free body and yolk sac weights as percentages of total BW; and yolk-free body and yolk moisture concentrations were determined. Chick BW also was determined at 7 d of age. Hatchability of fertile eggs was not affected by i.o. injection. However, at hatch, body length was increased and body mass index was decreased in response to i.o. injection. No main effect of moa or an interactive effect with pht was observed for the above variables at placement. However, body length was longer and body mass was lower in the 18 h than in the 4 h pht chicks. Placement yolk sac and body weights, and the 7 d BW of 18 h pht chicks was also lower than that of 4 h pht chicks. In conclusion, prolonging pht for 14 h adversely affected early chick quality, whereas i.o. injection did not negatively affect the early post-hatch quality of Ross × Ross 708 broiler chicks whether or not they were held for 4 or 18 h prior to placement.


Assuntos
Galinhas/fisiologia , Vacinas contra Doença de Marek/administração & dosagem , Animais , Peso Corporal , Galinhas/crescimento & desenvolvimento , Feminino , Injeções/veterinária , Injeções Subcutâneas/veterinária , Masculino , Vacinas contra Doença de Marek/efeitos adversos , Distribuição Aleatória
11.
West Indian Med J ; 65(1): 52-59, 2015 May 12.
Artigo em Inglês | MEDLINE | ID: mdl-26645591

RESUMO

OBJECTIVE: To determine whether risk stratification using the Global Registry of Acute Coronary Events (GRACE) risk score is a predictor of in-hospital mortality for patients with acute coronary syndrome (ACS) in a multi-ethnic Caribbean population. METHOD: During a six-month period, all patients meeting the GRACE diagnostic criteria for one of the acute coronary syndromes were entered into a prospective single-centre study at one of the major public hospitals in Trinidad and Tobago. Clinical data, the GRACE risk score and in-hospital morbidity and mortality were recorded. Patients were placed into three GRACE risk categories: low, intermediate or high risk. RESULTS: There were 372 patients (mean age 63 years; males 56% and females 44%; hypertension 69%, diabetes mellitus 58%, positive smoking history 43%, previous myocardial infarction 34%), of which 25% were ST-segment elevation myocardial infarction, 56% non-ST-segment myocardial infarction and 19% unstable angina pectoris. In-hospital mortality was 8.3%. There were 35%, 33% and 32% of patients in the high, intermediate and low GRACE risk categories, respectively. The GRACE risk score demonstrated good discrimination (C statistic 0.82, 95% CI 0.755, 0879; p < 0.001) and good calibration (Hosmer-Lemeshow; p = 0.096) for in-hospital mortality in this ACS cohort. CONCLUSION: The GRACE risk score was found to be a reliable predictor of in-hospital mortality in this ACS population and therefore can be used to identify those high-risk patients who may benefit from aggressive management strategies, thereby allowing for more effective use of limited resources.

12.
Caribbean medical journal ; 74(1): 22-26, June 2012.
Artigo em Inglês | MedCarib | ID: med-18192

RESUMO

On 13 May 2012, the Quarterly Cardiology Conference program was organized by the Trinidad and Tobago Medical Association and The University of the West Indies, St. Augustine. The program provided a forum for discussion of issues related to the implementation of best practices in the management of patients requiring cardiac catheterization laboratory (Cathe Lab ) procedures. The participants who were stakeholders in the management of patients referred for catheter-based procedures reviewed best practice guidelines for patients, identified local barriers to the implementation of these best practices and made recommendations for the implementation of these best practice guidelines


Assuntos
Cateterismo Cardíaco
13.
Clin Neuropathol ; 30(2): 75-9, 2011.
Artigo em Inglês | MEDLINE | ID: mdl-21329616

RESUMO

OBJECTIVE: To report a case of primary intracerebral Hodgkin lymphoma with disease recurrence. METHODS: Case report and review of the literature. RESULTS: A 58-year-old immunocompetent male presented with aphasia. Neuroimaging revealed a left temporal lobe lesion. A craniotomy and resection were performed, and the diagnosis of classical Hodgkin lymphoma was made. Systemic work-up for lymphoma was negative. Postoperatively, the patient was treated with whole brain irradiation. 14 months later, the patient developed an enhancing lesion in his pons and received combination chemotherapy and radiation therapy. Repeat imaging demonstrated leptomeningeal enhancement and multiple lesions throughout the cerebral hemispheres, cerebellum and brainstem. COMMENT: We report what appears to be the first case of a patient with aggressive primary intracerebral Hodgkin lymphoma with disease recurrence.


Assuntos
Neoplasias Encefálicas/patologia , Doença de Hodgkin/patologia , Recidiva Local de Neoplasia/patologia , Protocolos de Quimioterapia Combinada Antineoplásica/uso terapêutico , Neoplasias Encefálicas/radioterapia , Neoplasias Encefálicas/cirurgia , Irradiação Craniana , Evolução Fatal , Doença de Hodgkin/radioterapia , Doença de Hodgkin/cirurgia , Humanos , Masculino , Pessoa de Meia-Idade , Recidiva Local de Neoplasia/tratamento farmacológico , Recidiva Local de Neoplasia/radioterapia , Procedimentos Neurocirúrgicos
14.
West Indian Med J ; 59(6): 680-5, 2010 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-21702242

RESUMO

OBJECTIVE: To determine the door to thrombolysis time of patients who presented to the Adult Priority Care Facility of the Eric Williams Medical Sciences Complex from February 1-May 31, 2008. METHOD: The patients who presented to the Adult Priority Care Facility of the Eric Williams Medical Sciences Complex with cardiac type chest pain and ST segment elevation that met the international criteria and had positive troponin test were interviewed and their notes reviewed to obtain the relevant information. RESULTS: Fifty-one patients were treated with ST segment elevation myocardial infarctions; 78.4% were thrombolysed. Patients were: 59.75 years old, 68.6% male and 66.7% were of East Indian extraction The average time to thrombolysis was 5 hours and 31 minutes from the onset of chest pain. The average door to thrombolysis time was 2 hours and 7 minutes with 20% of patients having a door to thrombolysis time of 30 minutes. The time to thrombolysis from the onset of chest pain and the door to thrombolysis times were adversely affected by the health facility to which the patient first presented CONCLUSION: The majority of patients presented within the thrombolysis window. Early recognition of symptoms of myocardial infarction and arrival at a healthcare facility is not being achieved by the majority of patients. The systems that are responsible for the transport, triage and treatment of patients who present with chest pain are inadequate and require urgent review and overhaul to achieve the goals outlined by the American Heart Association and the American College of Cardiologist.


Assuntos
Infarto do Miocárdio/tratamento farmacológico , Terapia Trombolítica , Biomarcadores/sangue , Distribuição de Qui-Quadrado , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Fatores de Tempo , Resultado do Tratamento , Trinidad e Tobago , Troponina/sangue
15.
J Food Sci ; 74(5): S198-204, 2009 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-19646057

RESUMO

This article reports the perception of cooked, nitrite-cured sheepmeat sausage that included 1.5% glucose, sucrose, xylose, or no sugar addition. The 4 sugar treatments were dry-cooked, vacuum packed, and stored chilled, and were hedonically assessed after 0, 1, and 2 mo. Consumers were advised that they could be eating any 1 of beef, chicken, lamb, pork, or turkey, in a salted cured preparation. Three-way analysis of variance (ANOVA) showed that liking of appearance, color, and texture were unaffected by sugar treatment, whereas liking of aroma, flavor, sweetness, and overall liking were markedly and significantly increased by xylose. Storage time as a factor had minimal effects on liking. In contrast, all attributes were liked more by male consumers (57%, P < 0.001). When asked to identify the meat species, lamb was correctly identified 50% of the time. With xylose, the observed frequency of lamb's misidentification as beef increased by 50% above the expected Chi-square frequency. This was largely at the expense of observed lamb selection frequency, which was 18% below expectation. When data were segregated by gender, the misidentification remained significant for males (P = 0.002), but was not significant for females (P = 0.32). The misidentification of beef for lamb may be due to the generation of Strecker aldehydes in the Maillard reaction between xylose and meat amino acids, which were shown to be greatly increased in the headspace above xylose-treated sausage. The restriction of significant misidentification to males is less easy to explain but may be associated with the possible greater sensitivity of females to volatile fatty acids, which are components of sweat.


Assuntos
Carboidratos/farmacologia , Comportamento do Consumidor/estatística & dados numéricos , Manipulação de Alimentos/métodos , Conservação de Alimentos/métodos , Carne/análise , Percepção/fisiologia , Análise de Variância , Animais , Percepção de Cores/fisiologia , Feminino , Manipulação de Alimentos/estatística & dados numéricos , Preferências Alimentares/fisiologia , Glucose/farmacologia , Humanos , Masculino , Nitritos , Odorantes , Distribuição por Sexo , Ovinos , Sacarose/farmacologia , Paladar/fisiologia , Fatores de Tempo , Xilose/farmacologia
17.
Eur J Pain ; 13(1): 3-10, 2009 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-18395479

RESUMO

Pain from myofascial trigger points is often treated by needling, with or without injection, although evidence is inconclusive on whether this is effective. We aimed to review the current evidence on needling without injection, by conducting a systematic literature review. We searched electronic databases to identify relevant randomised controlled trials, and included studies where at least one group were treated by needling directly into the myofascial trigger points, and where the control was either no treatment, or usual care; indirect local dry needling or some form of placebo intervention. We extracted data on pain, using VAS scores as the standard. Seven studies were included. One study concluded that direct dry needling was superior to no intervention. Two studies, comparing direct dry needling to needling elsewhere in the muscle, produced contradictory results. Four studies used a placebo control and were included in a meta-analysis. Combining these studies (n=134), needling was not found to be significantly superior to placebo (standardised mean difference, 14.9 [95%CI, -5.81 to 33.99]), however marked statistical heterogeneity was present (I(2)=88%). In conclusion, there is limited evidence deriving from one study that deep needling directly into myofascial trigger points has an overall treatment effect when compared with standardised care. Whilst the result of the meta-analysis of needling compared with placebo controls does not attain statistically significant, the overall direction could be compatible with a treatment effect of dry needling on myofascial trigger point pain. However, the limited sample size and poor quality of these studies highlights and supports the need for large scale, good quality placebo controlled trials in this area.


Assuntos
Terapia por Acupuntura , Síndromes da Dor Miofascial/terapia , Interpretação Estatística de Dados , Humanos , Agulhas , Medição da Dor , Ensaios Clínicos Controlados Aleatórios como Assunto/normas , Reprodutibilidade dos Testes
18.
J Food Sci ; 73(6): S308-13, 2008 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-19241575

RESUMO

Five-carbon sugars affect cooked meat flavor by the Maillard reaction. This research extends to the effects ofpH and cooking temperature on meaty and species flavor, sweetness, barnyard, and rancid flavor in sheep-meat. Glucose and xylose were each blended into ground longissimus meat to 0%, 0.5%, or 1% and heated to 75 degrees C. Xylose treatments browned more than glucose treatments, and xylose flavor effects were more marked. With xylose, sheepmeat flavor declined significantly, but meaty flavor also declined. Differences were marked between pH 5.93 and 6.52, but pH effects at lower pHs were more subtle. Sweetness increased in many treatments, suggesting that 75 degrees C did not fully exploit the Maillard reaction. Therefore, pressure-cooked casserole treatments, chilled and frozen, were used to study the effects ofxylose, packaging, and storage time on flavor. There were no flavor differences due to chill packaging (foil laminate compared with barrier bag) (not significant). Xylose addition reduced sheepmeat flavor by 24% on the 1 to 9 intensity scale (P<0.001), while meaty flavor and sweetness were unaffected. Rancid flavor was reduced by xylose addition (P<0.01), and the reduction in barnyard flavor approached significance (P=0.07). Chilled storage time to 29 d did not affect any attribute. In the frozen casserole trial (stored exposed to air), xylose had no significant flavor effects (all P > or = 0.38). However, storage to 71 d increased the rancid flavor score from a negligible 0.06 to 0.60 (P=0.04), suggesting that rancidity development swamped more subtle effects.


Assuntos
Culinária/métodos , Conservação de Alimentos/métodos , Carne/análise , Paladar , Xilose/farmacologia , Animais , Relação Dose-Resposta a Droga , Manipulação de Alimentos/métodos , Embalagem de Alimentos/métodos , Humanos , Concentração de Íons de Hidrogênio , Reação de Maillard , Carne/normas , Ovinos , Paladar/efeitos dos fármacos , Paladar/fisiologia , Temperatura , Fatores de Tempo
19.
Meat Sci ; 80(1): 110-22, 2008 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-22063176

RESUMO

The mechanisms by which electrical stimulation (ES) of carcasses can be used to modulate meat quality are reviewed. Evidence to support an effect of ES on tenderness (and other meat quality attributes) based solely on changes in the pH/temperature profile within carcass muscles are presented. The interactions between electrical parameters and the contraction responses of carcass muscles are described to provide generalised principles to guide the design of electrical stimulation technology. The commercial risks to meat quality of inappropriate use of electrical stimulation, particularly excessive stimulation to produce PSE-like conditions, are considered.

20.
Plant Dis ; 90(7): 964-968, 2006 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-30781038

RESUMO

Potato tuber infection was assessed under greenhouse and outdoor conditions when late blight foliar fungicides were applied to soil 24 h prior to soil infestation with a suspension of zoospores and sporangia of Phytophthora infestans. Spore viability of P. infestans in soil treated with various fungicides was determined using buried healthy whole tubers and by assaying infested soil applied to freshly cut tuber disks. Protection of tubers and tuber disks from infection was more effective when soil was treated with mancozeb, metiram, and cyazofamid than with other fungicides. Whole tuber infections were significantly less in soils treated with mancozeb, metiram, fluazinam, and fenamidone than when treated with distilled water. Infection of buried tubers and tuber disks was prevented for 3 to 5 days following a single soil application of mancozeb or metiram under outdoor conditions. The tuber disk method was more sensitive in determining the efficacy of a fungicide in inhibiting infection and spore viability than using whole buried tubers. However, both methods of determining viability may determine different modes of action of some fungicides that inhibit infection since whole tubers were not infected when protected by some fungicides but tuber disks were infected.

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