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1.
J Agric Food Chem ; 64(44): 8454-8462, 2016 Nov 09.
Artigo em Inglês | MEDLINE | ID: mdl-27791367

RESUMO

When ready-to-eat salami was treated in a closed system with 36Cl-labeled ClO2 (5.5 mg/100 g of salami), essentially all radioactivity was deposited onto the salami. Administered 36ClO2 was converted to 36Cl-chloride ion (>97%), trace levels of chlorate (<2%), and detectable levels of chlorite. In residue studies conducted with nonlabeled ClO2, sodium perchlorate residues (LOQ, 4 ng/g) were not formed when reactions were protected from light. Sodium chlorate residues were present in control (39.2 ± 4.8 ng/g) and chlorine dioxide treated (128 ± 31.2 ng/g) salami. If sanitation occurred under conditions of illumination, detectable levels (3.7 ± 1.5 ng/g) of perchlorate were formed along with greater quantities of sodium chlorate (183.6 ± 75.4 ng/g). Collectively, these data suggest that ClO2 is chemically reduced by salami and that slow-release formulations might be appropriate for applications involving the sanitation of ready-to-eat meat products.


Assuntos
Compostos Clorados/química , Manipulação de Alimentos/métodos , Produtos da Carne , Óxidos/química , Cloratos/análise , Cloro/análise , Marcação por Isótopo , Percloratos/análise , Radioisótopos/análise , Compostos de Sódio/análise
2.
J Agric Food Chem ; 62(48): 11756-66, 2014 Dec 03.
Artigo em Inglês | MEDLINE | ID: mdl-25409284

RESUMO

The distribution and chemical fate of (36)Cl-ClO2 gas subsequent to fumigation of tomatoes or cantaloupe was investigated as were major factors that affect the formation of chloroxyanion byproducts. Approximately 22% of the generated (36)Cl-ClO2 was present on fumigated tomatoes after a 2 h exposure to approximately 5 mg of (36)Cl-ClO2. A water rinse removed 14% of the radiochlorine while tomato homogenate contained ∼63% of the tomato radioactivity; 24% of the radiochlorine was present in the tomato stem scar area. Radioactivity in tomato homogenate consisted of (36)Cl-chloride (≥80%), (36)Cl-chlorate (5 to 19%), and perchlorate (0.5 to 1.4%). In cantaloupe, 55% of the generated (36)Cl-ClO2 was present on melons fumigated with 100 mg of (36)Cl-ClO2 for a 2 h period. Edible cantaloupe flesh contained no detectable radioactive residue (LOQ = 0.3 to 0.4 µg/g); >99.9% of radioactivity associated with cantaloupe was on the inedible rind, with <0.1% associated with the seed bed. Rind radioactivity was present as (36)Cl-chloride (∼86%), chlorate (∼13%), and perchlorate (∼0.6%). Absent from tomatoes and cantaloupe were (36)Cl-chlorite residues. Follow-up studies have shown that chlorate and perchlorate formation can be completely eliminated by protecting fumigation chambers from light sources.


Assuntos
Compostos Clorados/análise , Cucumis melo/química , Óxidos/análise , Solanum lycopersicum/química , Cloratos/análise , Cloro/análise , Cucumis melo/crescimento & desenvolvimento , Fumigação , Gases/análise , Isótopos/análise , Solanum lycopersicum/crescimento & desenvolvimento , Percloratos/análise
3.
Top Curr Chem ; 314: 137-65, 2012.
Artigo em Inglês | MEDLINE | ID: mdl-22025065

RESUMO

In this chapter we review the ecotoxicology of the synthetic pyrethroids (SPs). SPs are potent, broad-spectrum insecticides. Their effects on a wide range of nontarget species have been broadly studied, and there is an extensive database available to evaluate their effects. SPs are highly toxic to fish and aquatic invertebrates in the laboratory, but effects in the field are mitigated by rapid dissipation and degradation. Due to their highly lipophilic nature, SPs partition extensively into sediments. Recent studies have shown that toxicity in sediment can be predicted on the basis of equilibrium partitioning, and whilst other factors can influence this, organic carbon content is a key determining variable. At present for SPs, there is no clear evidence for adverse population-relevant effects with an underlying endocrine mode of action. SPs have been studied intensively in aquatic field studies, and their effects under field conditions are mitigated from those measured in the laboratory by their rapid dissipation and degradation. Studies with a range of test systems have shown consistent aquatic field endpoints across a variety of geographies and trophic states. SPs are also highly toxic to bees and other nontarget arthropods in the laboratory. These effects are mitigated in the field through repellency and dissipation of residues, and recovery from any adverse effects tends to be rapid.


Assuntos
Ecotoxicologia , Inseticidas/toxicidade , Piretrinas/toxicidade , Animais , Abelhas , Sistema Endócrino/efeitos dos fármacos , Sedimentos Geológicos
4.
Nanotechnology ; 21(11): 115201, 2010 Mar 19.
Artigo em Inglês | MEDLINE | ID: mdl-20173237

RESUMO

We examine the optical properties of nanostructures comprised of titanium nitride, TiN, an electrically conducting intermetallic-like compound. This material can be deposited in the form of durable films by physical vapor deposition. Use of nanosphere templating techniques extends the range of nanostructures that can be produced to include the versatile semi-shell motif. The dielectric properties of TiN(1-x) depend upon stoichiometry and are favorable for plasmon resonance phenomena in the mid-visible to near-infrared range of the spectrum and for x approximately 0. We analyze the optical phenomena operating in such structures using a combination of experiment and simulation and show that semi-shells of TiN exhibit a tunable localized plasmon resonance with light. The material is, however, unsuitable for applications in which a long-distance surface plasmon polariton is desired.

5.
Thromb Res ; 125(3): 246-52, 2010 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-20005558

RESUMO

UNLABELLED: We have investigated the effects of differential aspirin doses on atherogenesis. Aspirin was given to homozygous, apoE(-/-) and LDLR(-/-) double deficient mice for 12 weeks. The development of arteriosclerosis was determined morphologically by image analysis and endothelial cell function was assessed by measurement of peripheral nitric oxide (NO). METHODS: ApoE(-/-) LDLR(-/-)double knockout mice were bred and maintained with a high fat diet containing aspirin (4 and 40 mg/kg B.W. /day) for twelve weeks. The development of arteriosclerosis was monitored by estimating the total area of atherosclerotic lesions in the entire aorta. Acetylcholine-induced NO release was measured in vivo using electrochemical sensors. The expression of eNOS on the endothelial surface was determined by immuno-staining. Plasma prostaglandin F1alpha (PGF(1 alpha)), serum thromboxian B(2) (TXB(2)) and total cholesterol were measured using enzymatic assay. Bleeding time was measured by tail cut method. RESULTS: Arteriosclerosis in the 4 mg/kg/day aspirin group was decreased significantly compared with the placebo group, but not in the 40 mg/kg/day aspirin group. Acetylcholine-induced NO release was significantly depressed in the 40 mg/kg/day aspirin group. Immunochemical analysis with anti-eNOS antibody supported these findings. In the 4 mg/kg/day aspirin group, the severe suppression of PGI(2) production was not confirmed in spite of decreasing TXB(2) production, but not in the 40 mg/kg/day aspirin group. CONCLUSION: Our results suggest that endothelial dysfunction with low dose aspirin improved, reduced progression of atherosclerosis in apoE(-/-) and LDLR(-/-) double deficient mice and provides a pathophysiological basis for the beneficial effects of aspirin in atherosclerosis, and low doses appeared to be more efficient than high doses.


Assuntos
Anti-Inflamatórios não Esteroides/farmacologia , Apolipoproteínas E/deficiência , Aspirina/farmacologia , Aterosclerose/patologia , Acetilcolina/farmacologia , Animais , Aorta/patologia , Dieta Aterogênica , Relação Dose-Resposta a Droga , Células Endoteliais/metabolismo , Endotélio Vascular/metabolismo , Homozigoto , Imuno-Histoquímica , Masculino , Camundongos , Camundongos Knockout , Óxido Nítrico/análise , Óxido Nítrico/metabolismo , Óxido Nítrico Sintase Tipo III/análise , Óxido Nítrico Sintase Tipo III/metabolismo , Fatores de Tempo
6.
Pulm Pharmacol Ther ; 20(4): 325-33, 2007.
Artigo em Inglês | MEDLINE | ID: mdl-17240178

RESUMO

A wealth of literature describes the approaches that investigators have used to develop animal models of cough. The relevance of the models to cough in man and disease is still unknown. Furthermore, the choice of animal model that is used will depend on the purpose of the investigation and what questions are being asked. Cigarette smoke is known to cause COPD and cough is a principle symptom where patients demonstrate an increased cough response to citric acid or capsaicin. This paper describes the development of exacerbated cough to these agents in the guinea-pig following cigarette smoke exposure and pharmacological profiling of these models. Male Dunkin-Hartley guinea-pigs were exposed to air or cigarette smoke (4 or 5 research cigarettes daily for the capsaicin and citric acid studies, respectively) for a 3 s puff every 30 s, for up to 10 days. At selected time points conscious, unrestrained animals were placed in a plethysmograph chamber and challenged with an aerosol of 0.3 M citric acid (10 min) or 10 microM capsaicin (7 min). Cough and Penh area under the curve (AUC) were recorded during the exposure and for a further 10 min (citric acid) or 8 min (capsaicin) after exposure. Compounds were administered on day 3 or 11 for citric acid or capsaicin, respectively. Significant enhancement of citric acid-induced cough was evident 24 h (12+/-2 to 24+/-4* coughs) after a single exposure and further enhanced after 2 days (13+/-3 to 36+/-4* coughs). Enhanced cough to capsaicin was not reliable until after 10 days of cigarette smoke exposure (2+/-1 to 14+/-3** coughs). Data are expressed as mean+/-s.e.mean (n=10), *p<0.05, **p<0.01 vs. air-exposed animals (Mann-Whitney rank-sum test). The minimum effective doses to inhibit citric acid-induced cough were 10, 10, 3 and 0.3 mg/kg for codeine (p.o. -30 min), a selective NK(1)/NK(2) antagonist, DNK333 (p.o. -2 h), terbutaline (s.c. -1 h) and atropine (s.c. -1 h), respectively. The minimum effective doses to inhibit capsaicin-induced cough were 3, 1, 0.3 and 0.3 mg/kg for codeine, DNK333, terbutaline (p.o. -2 h) and atropine, respectively. The VR1 antagonists capsazepine and iodo-resiniferatoxin (IRTX) did not inhibit cough in either model. Differences in sensitivity between citric acid and capsaicin to pharmacological agents may be partly explained by the difference in magnitude of response to these agents. Clinically used compounds such as codeine and terbutaline have shown activity in both models, however the relevance of the models to cough in man and disease for potential new therapies is unknown.


Assuntos
Antitussígenos/farmacologia , Tosse/induzido quimicamente , Modelos Animais de Doenças , Fumaça/efeitos adversos , Animais , Área Sob a Curva , Atropina/farmacologia , Capsaicina/farmacologia , Ácido Cítrico/farmacologia , Codeína/farmacologia , Tosse/fisiopatologia , Relação Dose-Resposta a Droga , Cobaias , Exposição por Inalação/efeitos adversos , Masculino , Pletismografia Total , Reflexo/fisiologia , Terbutalina/farmacologia
7.
Platelets ; 17(3): 201-6, 2006 May.
Artigo em Inglês | MEDLINE | ID: mdl-16702048

RESUMO

In vitro and in vivo experimental models have demonstrated that vascular endothelial function is significantly impaired as a result of oxidative stress, mediated by the generation of oxygen-derived free radicals in response to chronic or acute inflammation. In particular, super-oxide () at specific concentrations leads to the impairment of nitric oxide (NO) bioactivity, and it is known that NO plays a fundamental role in the maintenance of vascular homeostasis. The relationship between reactive oxygen species (ROS) and NO release in thrombosis-related endothelial damage in the peripheral microvasculature remains unclear, however. The purpose of the present study was to investigate the effect of the free-radical scavenger, edaravone, on NO synthesis and thrombotic potential in arterioles after exposure to laser irradiation. Highly sensitive electrochemical NO microsensors were positioned in femoral arterioles of mice, and the kinetics of NO release were recorded in response to standardized laser irradiation in vivo. In addition, images of NO release from damaged vascular cells were investigated in a similar rat model using the NO-sensitive dye 4,5-diaminofluorescein diacetate (DAF-2DA). Thrombogenesis was assessed in carotid arterioles by continuous video microscopy using image analysis software. Laser irradiation led to NO release from perturbed endothelial cells and from platelet-rich thrombi. Edaravone had no significant effect on NO release in non-laser treated, intact endothelium compared with placebo. In contrast, edaravone demonstrated a dose-dependent effect on NO release and thrombogenicity. At a concentration of 10.5 mg/kg per h, edaravone promoted a 5-fold increase in NO and a reduction in platelet-rich thrombus volume to 58% of the placebo values. Our data provide direct evidence to confirm that acute endothelial damage in peripheral microvessels initially induces NO release and that the free-radical scavenger, edaravone, augments NO synthesis leading to suppression of platelet thrombus formation.


Assuntos
Antipirina/análogos & derivados , Endotélio Vascular/efeitos dos fármacos , Sequestradores de Radicais Livres/farmacologia , Óxido Nítrico/biossíntese , Estresse Oxidativo/fisiologia , Animais , Antipirina/farmacologia , Edaravone , Eletroquímica/métodos , Endotélio Vascular/metabolismo , Endotélio Vascular/efeitos da radiação , Fluoresceína , Processamento de Imagem Assistida por Computador , Indicadores e Reagentes , Lasers , Veias Mesentéricas/efeitos da radiação , Camundongos , Camundongos Endogâmicos C57BL , Microscopia Confocal , Óxido Nítrico/química , Ratos , Ratos Wistar , Trombose/etiologia , Trombose/metabolismo , Trombose/prevenção & controle , Doenças Vasculares/fisiopatologia , Trombose Venosa/fisiopatologia
9.
Thromb Res ; 116(5): 393-401, 2005.
Artigo em Inglês | MEDLINE | ID: mdl-16122552

RESUMO

We have investigated the influence of dietary n-6/n-3 (ù-6/ù-3) polyunsaturated fatty acid-balance on the tendency to arterial thrombosis and the progress of atherosclerosis in apoE-/- LDLR-/- double knockout mouse. Homozygous apoE-/- LDLR-/- double knockout mouse (DKO mice, 129XC57BL/6J background) and male C57BL/6 mice aged 6 weeks were divided into four groups. Each group was fed a diet containing a different n-6/n-3 ratio (Group l: 0.29; Group 2: 1.43; Group 3: 5.00; Group 4: 8), prepared with high linolenic (LNA) flaxseed oil (n-3 rich) and high linoleic (LA) safflower oil (n-6 rich). There were no statistical differences in the gain in body weight between the four groups. After 16 weeks, plasma triglyceride and LDL levels in Group 1 were significantly lower than in the other groups. Conversely, HDL was the highest. After 8 and 16 weeks, the tendency to arterial thrombosis was assessed using a He-Ne laser-induced thrombosis model. The degree of atherosclerosis was measured using the entire aorta method employing image analysis software. The n-6/n-3 ratio had a dose-dependent antithrombotic effect (thrombus volume decreased 23%, Group 1 vs. Group 4), In addition, the extent of atherosclerosis was less in the animals fed a low n-6/n-3 ratio compared with the high n-6/n-3 ratio group (atherosclerotic area decreased 40%, Group 1 vs. Group 4). The lowest n-6/n-3 ratio tested (0.29) was the most effective in suppressing the thrombotic and atherosclerotic parameters in these DKO mice.


Assuntos
Aterosclerose/prevenção & controle , Ácidos Graxos Ômega-3/administração & dosagem , Ácidos Graxos Ômega-6/administração & dosagem , Trombose/prevenção & controle , Animais , Apolipoproteínas E/deficiência , Apolipoproteínas E/genética , Aterosclerose/sangue , Aterosclerose/dietoterapia , Gorduras Insaturadas na Dieta/administração & dosagem , Lipoproteínas HDL/sangue , Lipoproteínas LDL/sangue , Masculino , Camundongos , Camundongos Endogâmicos C57BL , Camundongos Knockout , Receptores de LDL/deficiência , Receptores de LDL/genética , Trombose/sangue , Trombose/dietoterapia , Triglicerídeos/sangue
10.
Biochem Soc Trans ; 33(Pt 2): 406-8, 2005 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-15787616

RESUMO

For many years the vascular endothelium was believed simply to provide a passive lining between circulating blood and extravascular tissue. It is now clear, however, that this monolayer of cells on the luminal surface of all blood vessels, provides a selective barrier that responds dynamically to various stimuli, and controls a complex series of cellular reactions and interactions. The current presentation describes the use of computer enhanced video recording to study interactions between endothelial cells and circulating blood cells, especially leucocytes. Subsequently, modern assays for soluble cell adhesion molecules and other cell receptors were assessed for potential use in routine clinical practice. The results demonstrated that adhesive mechanisms involving leucocytes and endothelial cells involve a range of interrelationships that cut across conventional views of haemostasis and leucocyte function. The findings also suggest that interplay between the vascular lumen and circulating blood cells might be vitally important in clinically demanding pathologies, such as life-threatening sepsis, ischaemic heart disease, atherosclerosis and cancer. The concepts provide challenging strategies for further investigation.


Assuntos
Moléculas de Adesão Celular/metabolismo , Doenças Vasculares/metabolismo , Animais , Humanos , Inflamação/metabolismo , Solubilidade
11.
Clin Lab Haematol ; 26(4): 269-73, 2004 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-15279664

RESUMO

Intermittent pneumatic compression (IPC) is known to provide effective prophylaxis against post-surgical deep-vein thrombosis (DVT), and other procedures based on reducing venous stasis have been promoted recently to minimize the risk of thromboembolism after long-haul travel ('travellers thrombosis'). This study sought to measure the effects of IPC on systemic haemostasis, which are currently disputed. IPC was applied for 120 min on 21 male, non-smoking volunteers ranging in age from 19 to 47 years. IPC promoted a significant increase in global fibrinolytic potential. Levels of urokinase plasminogen activator activity (uPA) measured using an amidolytic assay were raised after IPC. However, enzyme-linked immunosorbent assays (ELISA) of uPA antigen, and the activities of tissue plasminogen activator (tPA) and plasminogen activator inhibitor 1 (PAI-1) were not statistically different from those in control experiments. IPC led to highly significant falls in factor VIIa, associated with increased levels of tissue factor pathway inhibitor (TFPI). IPC enhances fibrinolysis and suppresses procoagulant activation. Measurements of specific fibrinolytic components do not reflect overall fibrinolytic activity and are highly dependent on the method of assay. The results provide important clues for detailed studies of the effects of haemodynamics on systemic haemostasis.


Assuntos
Trajes Gravitacionais/estatística & dados numéricos , Hemodinâmica , Hemostasia , Tromboembolia/prevenção & controle , Trombose Venosa/prevenção & controle , Adulto , Ensaio de Imunoadsorção Enzimática , Fator VIIa/análise , Produtos de Degradação da Fibrina e do Fibrinogênio/análise , Humanos , Lipoproteínas/sangue , Masculino , Pessoa de Meia-Idade , Inibidor 1 de Ativador de Plasminogênio/sangue , Pressão , Valores de Referência , Fatores de Risco , Tromboembolia/etiologia , Fatores de Tempo , Ativador de Plasminogênio Tecidual/sangue , Viagem , Ativador de Plasminogênio Tipo Uroquinase/sangue , Trombose Venosa/etiologia
12.
Haemophilia ; 10(4): 397-400, 2004 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-15230956

RESUMO

We report a case of haemophilia A with a high responding inhibitor of factor VIII (FVIII) who had a serious retroperitoneal haematoma caused by penetration of a duodenal ulcer. Inhibitor-bypassing therapy was commenced immediately on admission. On the 17th day of treatment with activated prothrombin complex concentrate (APCC; FEIBA, re-bleeding occurred and thrombelastography (TEG) demonstrated resistance to therapy. Treatment was changed to recombinant activated factor VII (rFVIIa; NovoSeven and resulted in clinical improvement together with an improvement in TEG parameters. On the 10th day of continuous infusion with NovoSeven, however, TEG again showed resistance to therapy. FEIBA infusions were re-introduced and TEG results remained satisfactory for 7 days. On day 34, however, further retroperitoneal bleeding was evident and a decline in the haemostatic efficiency of FEIBA was recorded by TEG. NovoSeven was again successfully administered for 7 days. There were no laboratory findings to indicate disseminated intravascular coagulation (DIC), hypercoagulability or abnormal fibrinolysis. The plasma-based clotting tests did not show any additional prolongation on the occasions when the TEG demonstrated unresponsiveness to FEIBA or NovoSeven. These findings suggested that some component of whole blood, other than plasma might have governed the TEG data. The long-term use of APCC such as FEIBA or rFVIIa, requires careful monitoring in terms of FVIII inhibitor bypassing activity as well as the tendency to DIC.


Assuntos
Fator VIII/uso terapêutico , Hemofilia A/tratamento farmacológico , Hemostáticos/uso terapêutico , Adolescente , Tempo de Sangramento , Fator VII/uso terapêutico , Fator VIII/antagonistas & inibidores , Fator VIIa , Humanos , Masculino , Proteínas Recombinantes/uso terapêutico , Falha de Tratamento
13.
J Colloid Interface Sci ; 266(2): 366-76, 2003 Oct 15.
Artigo em Inglês | MEDLINE | ID: mdl-14527460

RESUMO

In this paper we provide experimental evidence showing that various types of submicrometer-sized particles (latexes, inorganic, and metallic), suspended in either aqueous or nonaqueous carrier liquids to which a temperature gradient dT/dx is applied, experience a force in the direction opposite to that of dT/dx. This behavior is similar to that of small particles such as soot, aerosols, and small bubbles suspended in stagnant gases across which temperature gradients are applied, a phenomenon known as "thermophoresis in gases." We report the use of a thermal field-flow fractionation (ThFFF) apparatus in two different configurations to establish the direction of particle motion subject to a temperature gradient. The first approach employed the conventional horizontal ThFFF channel orientation. In this case, small electrical potentials were applied across the narrow channel thickness either to augment or to act in opposition to the applied thermal gradient, depending on whether the accumulation wall was maintained at a positive or negative potential relative to the depletion wall. Thus, by observing the changes in the retention behavior of surface-charged latices or silica particles with changes in potential difference across the channel thickness, we were able to ascertain the direction of migration of the particles in the thermal gradient. The second approach involved the use of a ThFFF column oriented vertically in an implementation of a technique known as thermogravitational FFF. In this approach, the convective flow along the channel length (due to density gradients associated with the temperature gradient) couples with the thermal diffusion effect across the channel thickness to result in a combined particle retention mechanism. A retarded upward migration rate is indicative of accumulation of particles at the cold wall, while enhanced upward migration would indicate a hot-wall accumulation. From the results of our investigations, we conclude that submicrometer-sized particles suspended in either aqueous or nonaqueous carrier liquids and subjected to a temperature gradient migrate from the hot wall toward the cold wall of a ThFFF channel.

14.
Heart ; 89(9): 1055-61, 2003 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-12923026

RESUMO

BACKGROUND: Silver coating of the sewing ring (Silzone) was introduced as a modification of the St Jude Medical standard valve to provide antibacterial protection, but the valve has recently been withdrawn. OBJECTIVE: To study patients with these prostheses to assess possible adverse effects, and to guide their follow up. DESIGN: Prospective observational study of risk factors for stroke after valve replacement. SETTING: Cardiology and cardiac surgery departments in a tertiary centre. PATIENTS: There were 51 patients with Silzone and 116 with St Jude Medical standard valves. Patients undergoing aortic valve replacement were well matched for stroke risk factors. Silzone patients with mitral valve replacement were younger (mean (SD) age 61 (10) v 66 (7) years), more likely to be female (95% v 65%), and had more pulmonary arterial hypertension (100% v 78%), but fewer coronary artery bypass grafts (5% v 33%) than patients with standard mitral valve replacements (all p < 0.05). RESULTS: Follow up was 100% in the Silzone group (mean duration 3.0 (0.9) years) and 97.4% in the standard group (4.7 (1.4) years). Survival, morbidity, and anticoagulant control were documented over 682 follow up years (153 for Silzone and 529 for standard). There were six embolic strokes and one peripheral embolism in the Silzone group, all within three months after operation, and five embolic strokes and one peripheral embolism in the standard group. Freedom from major thromboembolism at three months was 65% in the Silzone mitral valve replacement group and 100% in the standard mitral valve replacement group (difference 35%, 95% confidence interval 8% to 62%). There was one reoperation for paravalvar leak in the standard group, but none in the Silzone group (NS). Anticoagulant control in the two groups was similar. CONCLUSIONS: Patients with Silzone mitral valves had a high rate of early postoperative embolism but no excess paravalvar leak.


Assuntos
Valva Aórtica , Próteses Valvulares Cardíacas/efeitos adversos , Valva Mitral , Complicações Pós-Operatórias/etiologia , Acidente Vascular Cerebral/etiologia , Tromboembolia/etiologia , Adulto , Idoso , Idoso de 80 Anos ou mais , Anticoagulantes/uso terapêutico , Feminino , Seguimentos , Doenças das Valvas Cardíacas/cirurgia , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Prospectivos , Fatores de Risco , Prata/sangue , Acidente Vascular Cerebral/sangue , Análise de Sobrevida , Tromboembolia/sangue , Tromboembolia/prevenção & controle
15.
Haemophilia ; 9(3): 269-71, 2003 May.
Artigo em Inglês | MEDLINE | ID: mdl-12694516

RESUMO

Allergic reactions to concentrates containing factor IX (FIX) are serious complications in the treatment of haemophilia B patients with inhibitor. We have established a therapeutic protocol for such cases using an initial skin test followed by step-wise infusions of FIX concentrates under hydrocortisone cover. We have successfully treated three patients whose treatment with FIX had been suspended.


Assuntos
Anafilaxia/induzido quimicamente , Fator IX/efeitos adversos , Hemofilia B/tratamento farmacológico , Anti-Inflamatórios/uso terapêutico , Criança , Protocolos Clínicos , Esquema de Medicação , Toxidermias/etiologia , Fator IX/antagonistas & inibidores , Fator IX/uso terapêutico , Humanos , Hidrocortisona/uso terapêutico , Testes Cutâneos
16.
Pathophysiol Haemost Thromb ; 33(3): 138-43, 2003.
Artigo em Inglês | MEDLINE | ID: mdl-15170394

RESUMO

The influence of dietary bacillus natto productive protein (BNPP) on endogenous thrombolysis was investigated in the rat. Animals were given a standard feed for 14 weeks, to which 0.2 or 1% BNPP was added. Thrombolysis was evaluated using an He-Ne laser-induced thrombosis model in mesenteric microvessels. Changes in thrombus volume, reflecting thrombolysis, decreased to 82% of the initial value in the control group. In contrast, the thrombus volume decreased to 67% in the animals fed 0.2% BNPP, and decreased to 51% in the group given 1% BNPP. The extent of thrombolysis in the 1% BNPP group was equivalent to that seen in animals treated with a bolus intravenous infusion of 0.2 mg/kg tissue plasminogen activator. The results demonstrated that the dietary administration of BNPP enhanced endogenous thrombolysis in a dose-dependent manner. Argatroban (2 mg/kg/h) enhanced endogenous fibrinolysis only in control animals, but not in the BNPP groups. The results support the suggestion that dietary supplementation with BNPP may provide a simple means to promote fibrinolysis not only in the treatment of thromboembolism but also in the prevention of venous occlusion.


Assuntos
Proteínas de Bactérias/uso terapêutico , Suplementos Nutricionais , Trombose/prevenção & controle , Animais , Arginina/análogos & derivados , Bacillus , Proteínas de Bactérias/administração & dosagem , Proteínas de Bactérias/farmacologia , Modelos Animais de Doenças , Relação Dose-Resposta a Droga , Fibrinólise/efeitos dos fármacos , Masculino , Microcirculação , Ácidos Pipecólicos/administração & dosagem , Ácidos Pipecólicos/farmacologia , Ratos , Ratos Wistar , Circulação Esplâncnica , Sulfonamidas , Equivalência Terapêutica , Terapia Trombolítica , Trombose/tratamento farmacológico
18.
Clin Exp Pharmacol Physiol ; 29(1-2): 73-8, 2002.
Artigo em Inglês | MEDLINE | ID: mdl-11906462

RESUMO

1. The effects of oestrogen on thrombogenesis and the cerebral microcirculation of the female rat were studied during the oestrous cycle and after ovariectomy. 2. Serum levels of oestradiol (E2) and plasma concentrations of nitric oxide (NO) metabolites were significantly greater at pro-oestrus than at dioestrus. Blood vessel diameter, mean red cell velocity, wall shear rate and blood flow at pro-oestrus were significantly higher than at dioestrus. Thrombotic tendency, assessed using a He-Ne laser-induced thrombosis model, was significantly decreased at pro-oestrus compared with dioestrus. 3. The long-term deprivation of oestrogen by ovariectomy significantly depressed serum levels of E2 and plasma concentrations of NO metabolites. Thrombotic tendency was significantly increased 4 weeks after ovariectomy. Vessel diameter, mean red cell velocity, wall shear rate and blood flow in pial arterioles were significantly reduced after ovariectomy. 4. Exogenous administration of oestrogen (17 beta-oestradiol) after surgery reversed the increased thrombotic tendency mediated by ovariectomy. 5. These results strongly indicate that oestrogen mediates beneficial effects on the cerebral microcirculation and moderates cerebral thrombotic mechanisms in the female rat.


Assuntos
Circulação Cerebrovascular/fisiologia , Ciclo Estral/fisiologia , Trombose Intracraniana/fisiopatologia , Ovariectomia , Animais , Arteríolas/efeitos dos fármacos , Arteríolas/fisiologia , Velocidade do Fluxo Sanguíneo/efeitos dos fármacos , Velocidade do Fluxo Sanguíneo/fisiologia , Artérias Cerebrais/efeitos dos fármacos , Artérias Cerebrais/fisiologia , Circulação Cerebrovascular/efeitos dos fármacos , Estradiol/farmacologia , Estradiol/uso terapêutico , Ciclo Estral/efeitos dos fármacos , Feminino , Trombose Intracraniana/tratamento farmacológico , Trombose Intracraniana/metabolismo , Microcirculação/efeitos dos fármacos , Microcirculação/fisiologia , Ovariectomia/estatística & dados numéricos , Ratos , Ratos Wistar
19.
Haemostasis ; 31(2): 80-9, 2001.
Artigo em Inglês | MEDLINE | ID: mdl-11684863

RESUMO

Successful administration of thrombolytic agents is associated with vessel reocclusion in a high proportion of cases. We have previously established an animal model to investigate platelet-rich thrombolytic mechanisms in vivo and demonstrated that recombinant staphylokinase (rSAK)-induced thrombolysis was enhanced by the concomitant administration of the direct thrombin inhibitor argatroban. The present study expanded the use of this model by comparing arterial and venous thrombolysis using advanced image analysis software. Mural thrombi were formed by Helium-Neon laser irradiation in mesenteric arterioles and were shown to be lysed, dose-dependently, by smaller amounts of rSAK than those required in venules. Activated protein C (APC), as well as argatroban, enhanced the rSAK-induced thrombolysis. APC or argatroban also induced thrombolysis in the absence of rSAK, and the effect was inhibited by tranexamic acid. The enhanced thrombolysis induced by APC or argatroban in the presence or absence of rSAK may be due to increased endogenous thrombolysis mediated by the inhibition of thrombin activity or delayed thrombin generation.


Assuntos
Fibrinolíticos/farmacologia , Terapia Trombolítica/métodos , Animais , Arginina/análogos & derivados , Arteríolas , Modelos Animais de Doenças , Quimioterapia Combinada , Fibrinolíticos/administração & dosagem , Processamento de Imagem Assistida por Computador/métodos , Cinética , Lasers , Masculino , Metaloendopeptidases/administração & dosagem , Metaloendopeptidases/farmacologia , Ácidos Pipecólicos/administração & dosagem , Ácidos Pipecólicos/farmacologia , Ativadores de Plasminogênio/farmacologia , Proteína C/administração & dosagem , Proteína C/farmacologia , Ratos , Ratos Wistar , Circulação Esplâncnica , Sulfonamidas , Trombose/tratamento farmacológico , Trombose/patologia
20.
Haemostasis ; 31(2): 106-12, 2001.
Artigo em Inglês | MEDLINE | ID: mdl-11684866

RESUMO

We report the arthroscopic treatment of pigmented villonodular synovitis (PVNS) in a 13-year-old Japanese boy with congenital partial deficiency of plasminogen activator inhibitor-1 (PAI-1). He was admitted to our hospital with recurrent haemarthrosis of his right knee. Characteristic abnormalities of fibrinolysis included shortened euglobulin lysis time, low PAI-1 activity and low PAI-1 antigen levels. In addition, levels of "active PAI" in the plasma, which is a measure of total PAI bound to exogenous plasminogen activator, were very low. These parameters remained low after venous occlusion. The diagnosis of PVNS was established by synovial membrane biopsy, and arthroscopic synovectomy was performed with adjuvant administration of intravenous tranexamic acid. Subsequent bleeding episodes have been well controlled by oral administration of tranexamic acid on demand.


Assuntos
Hemartrose/cirurgia , Articulação do Joelho/patologia , Inibidor 1 de Ativador de Plasminogênio/deficiência , Sinovite Pigmentada Vilonodular/cirurgia , Adolescente , Artroscopia/métodos , Saúde da Família , Hemartrose/etiologia , Hemartrose/patologia , Humanos , Articulação do Joelho/cirurgia , Masculino , Recidiva , Sinovite Pigmentada Vilonodular/complicações , Sinovite Pigmentada Vilonodular/diagnóstico , Ácido Tranexâmico/administração & dosagem
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