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1.
Biomed Phys Eng Express ; 8(2)2022 01 05.
Artigo em Inglês | MEDLINE | ID: mdl-34933285

RESUMO

Diabetic peripheral neuropathy (DPN) is associated with loss of motor units (MUs), which can cause changes in the activation pattern of muscle fibres. This study investigated the pattern of muscle activation using high-density surface electromyography (HD-sEMG) signals from subjects with type 2 diabetes mellitus (T2DM) and DPN. Thirty-five adults participated in the study: 12 healthy subjects (HV), 12 patients with T2DM without DPN (No-DPN) and 11 patients with T2DM with DPN (DPN). HD-sEMG signals were recorded in the tibialis anterior muscle during an isometric contraction of ankle dorsiflexion at 50% of the maximum voluntary isometric contraction (MVIC) during 30-s. The calculated HD-sEMG signals parameters were the normalised root mean square (RMS), normalised median frequency (MDF), coefficient of variation (CoV) and modified entropy (ME). The RMS increased significantly (p = 0.001) with time only for the DPN group, while the MDF decreased significantly (p < 0.01) with time for the three groups. Moreover, the ME was significantly lower (p = 0.005), and CoV was significantly higher (p = 0.003) for the DPN group than the HV group. Using HD-sEMG, we have demonstrated a reduction in the number of MU recruited by individuals with DPN. This study provides proof of concept for the clinical utility of this technique for identifying neuromuscular impairment caused by DPN.


Assuntos
Diabetes Mellitus Tipo 2 , Neuropatias Diabéticas , Músculo Esquelético/fisiopatologia , Adulto , Diabetes Mellitus Tipo 2/complicações , Diabetes Mellitus Tipo 2/fisiopatologia , Neuropatias Diabéticas/diagnóstico , Neuropatias Diabéticas/fisiopatologia , Humanos , Contração Isométrica
2.
Diabetes Metab ; 47(5): 101237, 2021 09.
Artigo em Inglês | MEDLINE | ID: mdl-33647473

RESUMO

AIM: We examined the effect of spontaneous hyperglycaemia in adults with type 1 diabetes mellitus (T1DM) and without history of cardiovascular disease on heart rate variability (HRV), cardiac repolarisation and incidence of cardiac arrhythmias. METHODS: Thirty-seven individuals with T1DM (age 17-50 years, 19 males, mean duration of diabetes 19.3 SD(9.6) years) underwent 96 h of simultaneous ambulatory 12-lead Holter ECG and blinded continuous interstitial glucose (IG) monitoring (CGM). HRV, QT interval and cardiac repolarisation were assessed during hyperglycaemia (IG ≥ 15 mmol/l) and compared with matched euglycaemia (IG 5-10 mmol/l) on a different day, separately during the day and night. Rates of arrhythmias were assessed by calculating incidence rate differences. RESULTS: Simultaneous ECG and CGM data were recorded for 2395 hours. During daytime hyperglycaemia vs euglycaemia the mean QTc interval duration was 404 SD(21)ms vs 407 SD(20)ms, P = 0.263. T-peak to T-end interval duration corrected for heart rate (TpTendc) shortened: 74.8 SD(16.1)ms vs 79.0 SD(14.8)ms, P = 0.033 and T-wave symmetry increased: 1.62 SD(0.33) vs 1.50 SD(0.39), P = 0.02. During night-time hyperglycaemia vs euglycaemia, the mean QTc interval duration was 401 SD(26)ms vs 404 SD(27)ms, P = 0.13 and TpTend shortened: 62.4 SD(12.0)ms vs 67.1 SD(11.8)ms, P = 0.003. The number of cardiac arrhythmias was low and confined to bradycardia and isolated ectopic beats. A considerable inter-subject and diurnal variability was observed. CONCLUSIONS: Hyperglycaemia in individuals with T1DM without known cardiovascular disease was not associated with clinically important cardiac arrhythmias.


Assuntos
Doenças Cardiovasculares , Diabetes Mellitus Tipo 1 , Hiperglicemia , Adolescente , Adulto , Arritmias Cardíacas/epidemiologia , Diabetes Mellitus Tipo 1/complicações , Eletrocardiografia , Frequência Cardíaca , Humanos , Hiperglicemia/epidemiologia , Masculino , Pessoa de Meia-Idade , Adulto Jovem
3.
Eur J Sport Sci ; 20(6): 831-838, 2020 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-31526174

RESUMO

Cycling ergometer protocols are commonly integrated with a virtual reality environment (VRE), especially because of its static position that also allows multiple exercise experiments. Concerning VRE scenarios, visually delayed situations like the ones produced at excessive low update rates can also affect the sense of presence and physiological responses. However, the main interface between the subject and a cycling VRE is the power applied over the crank, and there are only a few experiments to evaluate the effect of delayed situations on this particular interface. Thus, this work aims to investigate the effects of the power update rate (PUR) over the subject`s performance on an avatar-based simulator during a drafting task. A custom cycling VRE was built, and 21 male recreational cyclists (175.9 ± 7.5 cm; 76.5 ± 13.9 kg) were tested at six different PUR levels from 100 to 3000 ms. As a result, PUR affects performance scores (virtual distance, efficiency, and heart rate, p < 0.01) at the given VRE conditions. The case-by-case analysis of the groups reveals that higher update rates always lead to a statistical equivalent or superior performance. Nevertheless, no parameter shows any group difference between 500 ms and lower PUR. These results suggest that virtual cycling protocols should consider PUR and other delay-related mechanisms as possible intervening factors over physiological responses and performance scores.


Assuntos
Desempenho Atlético/fisiologia , Ciclismo/fisiologia , Ergometria , Realidade Virtual , Retroalimentação Sensorial/fisiologia , Frequência Cardíaca/fisiologia , Humanos , Masculino , Força Muscular/fisiologia
4.
Int J Biol Macromol ; 120(Pt B): 1667-1673, 2018 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-30257182

RESUMO

Adsorption of Al (III) and Fe (III) onto chitosan films from individual and binary systems were investigated. The matrix effect was evaluated using an industrial effluent of the scrubber of gases from the production process of Al2(SO4)3. The adsorption study was carried out by response surface methodology to optimize the adsorption operation as a function of pH (3, 4.5 and 6) and film dosage (FD) (100, 200 and 300 mg L-1).The possible interactions film-ions were investigated by thermal analysis, X-ray diffraction, scanning electron microscopy and dispersive energy X-ray spectroscopy. The more suitable conditions for all experimental designs were the FD values in 100 mg L-1and pH 4.5.The adsorption capacity of Fe (III) in the individual and binary systems were 140.2 mg g-1 and 132.3 mg g-1 respectively; however, in the experiment conducted on the real effluent, the adsorption capacity was reduced to 66.30 mg g-1.Already to Al (III), the adsorption capacities in the individual and binary systems were 665.5 mg g-1 to 621.2 mg g-1 respectively, and when the operation was performed using real effluent the adsorption capacity was reduced to 275.7 mg g-1.


Assuntos
Alumínio/química , Alumínio/isolamento & purificação , Quitosana/química , Resíduos Industriais/análise , Ferro/química , Ferro/isolamento & purificação , Adsorção , Concentração de Íons de Hidrogênio , Cinética , Poluentes Químicos da Água/química , Poluentes Químicos da Água/isolamento & purificação
5.
Diabet Med ; 2018 Apr 23.
Artigo em Inglês | MEDLINE | ID: mdl-29682793

RESUMO

AIMS: Hypoglycaemia causes QT-interval prolongation and appears pro-arrhythmogenic. Salbutamol, a ß2 -adrenoreceptor agonist also causes QT-interval prolongation. We hypothesized that the magnitude of electrophysiological changes induced by salbutamol and hypoglycaemia might relate to each other and that salbutamol could be used as a non-invasive screening tool for predicting an individual's electrophysiological response to hypoglycaemia. METHODS: Eighteen individuals with Type 1 diabetes were administered 2.5 mg of nebulized salbutamol. Participants then underwent a hyperinsulinaemic-hypoglycaemic clamp (2.5 mmol/l for 1 h). During both experiments, heart rate and serum potassium (and catecholamines during the clamp) were measured and a high-resolution electrocardiogram (ECG) was recorded at pre-set time points. Cardiac repolarization was measured by QT-interval duration adjusted for heart rate (QTc ), T-wave amplitude (Tamp ), T-peak to T-end interval duration (Tp Tend ) and T-wave area symmetry (Tsym ). The maximum changes vs. baseline in both experiments were assessed for their linear dependence. RESULTS: Salbutamol administration caused QTc and Tp Tend prolongation and a decrease in Tamp and Tsym . Hypoglycaemia caused increased plasma catecholamines, hypokalaemia, QTc and Tp Tend prolongation, and a decrease in Tamp and Tsym . No significant correlations were found between maximum changes in QTc [r = 0.15, 95% confidence interval (95% CI) -0.341 to 0.576; P = 0.553), Tp Tend (r = 0.075, 95% CI -0.406 to 0.524; P = 0.767), Tsym (r = 0.355, 95% CI -0.132 to 0.706; P = 0.149) or Tamp (r = 0.148, 95% CI -0.347 to 0.572; P = 0.558) in either experiment. CONCLUSIONS: Both hypoglycaemia and salbutamol caused pro-arrhythmogenic electrophysiological changes in people with Type 1 diabetes but were not related in any given individual. Salbutamol does not appear useful in assessing an individual's electrophysiological response to hypoglycaemia.

6.
Br Poult Sci ; 53(1): 71-6, 2012.
Artigo em Inglês | MEDLINE | ID: mdl-22404807

RESUMO

1. The objective was to evaluate the occurrence of cultivable components of the Bacteroides fragilis group in faeces of broiler chickens and their antimicrobial susceptibility patterns. 2. Faecal samples of 36 × 45-d-old Cobb broilers of both sexes from 15 different flocks on one farm were diluted 10-fold and plated on to Bacteroides-bile-esculin agar for colony count and isolation. Identification was by molecular methods and antimicrobial susceptibility in the agar dilution assay. 3. A total of 236 isolates was recovered from a mean population of 3·32 × 10(7 )colony-forming units/g of faeces. B. fragilis was shown to be the predominant Bacteroides species (45·3%), followed by B. distasonis (35·6%), B. vulgatus (8·9%), B. ovatus (2·5%) and B. stercoris (1·3%). 4. Among 204 bacterial isolates tested, high resistance to ampicillin (98·5%), norfloxacin (95·1%) and tetracycline (88·2%) were observed. High (89·7%) multi-drug resistance was observed to 3-7 of the tested drugs. 5. Components of the B. fragilis group were sub-dominant in broiler faecal microbiota, with a different species pattern compared with human and high antimicrobial multi-drug resistance.


Assuntos
Antibacterianos/farmacologia , Bacteroides/classificação , Bacteroides/efeitos dos fármacos , Galinhas , Farmacorresistência Bacteriana Múltipla , Fezes/microbiologia , Animais , Bacteroides/isolamento & purificação , Feminino , Masculino
7.
Bioelectrochemistry ; 68(2): 213-7, 2006 May.
Artigo em Inglês | MEDLINE | ID: mdl-16256446

RESUMO

The spatial distribution of electrical potential and current in a suspension of spherical cells under an applied electric field was numerically obtained using the equivalent circuit method (ECM). The effect of the proximity of the cells was studied in a set of simulations where the volumetric fraction varied from 0.24 to 0.66. The results show that the transmembrane potential for cells in the suspension is lower than the theoretically predicted value for a single dielectric membrane under a uniform electric field. It was also observed that as the volumetric fraction is increased, the transmembrane potential on the pole of the cells decreases linearly. Furthermore, the conductivity of the suspension was also observed to be a function of the volumetric fraction and this result is in a good agreement with the Maxwell's model for spherical particles suspended in a volume conductor.


Assuntos
Membrana Celular/fisiologia , Membrana Celular/efeitos da radiação , Campos Eletromagnéticos , Modelos Biológicos , Esferoides Celulares/fisiologia , Esferoides Celulares/efeitos da radiação , Animais , Polaridade Celular/efeitos da radiação , Tamanho Celular/efeitos da radiação , Simulação por Computador , Condutividade Elétrica , Humanos , Potenciais da Membrana/fisiologia , Potenciais da Membrana/efeitos da radiação , Doses de Radiação , Esferoides Celulares/citologia
8.
Med Biol Eng Comput ; 43(4): 501-7, 2005 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-16255433

RESUMO

Hypoglycaemia (blood glucose level below 3.8 mmol l(-1)) is the most common complication in the treatment of diabetes with insulin and can cause a number of problems. Previous works have shown that hypoglycaemia causes changes in the electroencephalogram (EEG) signal. In this investigation, portable apparatus was developed to record the EEG, and a methodology was implemented, using digital signal processing and artificial neural networks (ANNs), to detect hypoglycaemia. Sixteen EEG recordings were made on eight subjects with diabetes (five male, three female), aged 35 +/- 13.5 years (mean +/- SD), during the day, over periods of 5.7 +/- 2 min. Ten of these recordings (in seven subjects) included periods of normoglycaemia and spontaneous hypoglycaemia. The result of the off-line ANN classification for each of these ten recordings was an overall accuracy rate of 71.3%, sensitivity of 71.1% and specificity of 71.5%. In the classification using four recordings from a single subject, the accuracy was 80.6%, with a sensitivity of 77.8% and a specificity of 83.9%. In the classification using recordings from five different subjects to train the ANN, the obtained accuracy rate was 49.2%, with a sensitivity of 76% and a specificity of 32.5%. The result of the classification in real time, for one subject, was an accuracy rate of 85.2%, with a sensitivity of 60% and a specificity of 100%. In conclusion, the methodology proposed and implemented justifies further studies with the objective of constructing a hypoglycaemia detector system based on the processing and classification of the EEG.


Assuntos
Hipoglicemia/diagnóstico , Processamento de Sinais Assistido por Computador , Adulto , Diabetes Mellitus Tipo 1/tratamento farmacológico , Eletroencefalografia/métodos , Eletrônica Médica , Feminino , Humanos , Hipoglicemia/induzido quimicamente , Insulina/efeitos adversos , Masculino , Pessoa de Meia-Idade , Sensibilidade e Especificidade
9.
J Clin Laser Med Surg ; 22(2): 129-39, 2004 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-15165388

RESUMO

Failure of apicectomies is generally attributed to dentine surface permeability as well as to the lack of an adequate marginal sealing of the retrofilling material, which allows the percolation of microorganisms and their products from the root canal system to the periodontal region, thus compromising periapical healing. The purpose of this study was to evaluate dentine and the marginal permeability after apicectomy and surface treatment with 9.6 micro m TEA CO(2) or Er:YAG 2.94 micro m laser irradiation. Sixty-five single rooted human endodontically treated teeth were divided into five experimental groups: group I (control), apicectomy with high speed bur; group II, similar procedure to that of group I, followed by dentinal surface treatment with 9.6 micro m CO(2) laser; group III, similar procedure to group I followed by dentinal surface treatment with Er:YAG laser 2.94 micro m; group IV, apicectomy and surface treatment with CO(2) 9.6 micro m laser; and group V, apicectomy and surface treatment with Er:YAG laser 2.94 micro m. The analysis of methylene blue dye infiltration through the dentinal surface and the retrofilling material demonstrated that the samples from the groups that were irradiated with the lasers showed significantly lower infiltration indexes than the ones from the control group. These results were compatible with the structural morphological changes evidenced through SEM analysis. Samples from groups II and IV (9.6 micro m CO(2)) showed clean smooth surfaces, fusion, and recrystallized dentine distributed homogeneously throughout the irradiated area sealing the dentinal tubules. Samples from groups III and V (Er:YAG 2.94 micro m) also presented clean surfaces, without smear layer, but roughly compatible to the ablationed dentine and without evidence of dentinal tubules. Through the conditions of this study, the Er:YAG 2.94 micro m and the 9.6 micro m CO(2) laser used for root canal resection and dentine surface treatment showed a reduction of permeability to methylene blue dye.


Assuntos
Apicectomia , Permeabilidade da Dentina/efeitos da radiação , Terapia a Laser , Dióxido de Carbono , Corantes/farmacocinética , Dentina/ultraestrutura , Humanos , Incisivo/ultraestrutura , Azul de Metileno/farmacocinética
10.
In. III Congresso Latino Americano de Engenharia Biomédica - CLAEB / International Federation for Medical and Biological Engineering - IFMBE Proceedings. Anais. João Pessoa, SBEB, 2004. p.899-903, 1 CD-ROM - III Congresso Latino Americano de Engenharia Biomédica - CLAEB / International Federation for Medical and Biological Engineering - IFMBE Proceedings, ilus.
Monografia em Português | LILACS | ID: lil-540470

RESUMO

This paper presents the development of an expert system in urological area to support the detection of prostate cancer...


Assuntos
Processamento Eletrônico de Dados , Sistemas de Informação , Neoplasias da Próstata/diagnóstico
11.
J Immunol Methods ; 253(1-2): 23-36, 2001 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-11384666

RESUMO

BACKGROUND AND OBJECTIVES: Immunophenotyping has become a useful tool for the differential diagnosis of chronic B-cell lymphoproliferative disorders. The aim of this work was to determine reference values of normal B-cell subpopulations. MATERIAL AND METHODS: Blood samples from 38 healthy volunteers were analyzed by multidimensional flow cytometry, using a panel of directly conjugated antibodies. Results were expressed as percent of positive B cells and as median fluorescence intensity, an indirect assessment of the expression level. RESULTS: CD20, CD22, CD24, CD40, CD79a, CD79b, FMC7, CD11a, CD18, CD44 were positive in the whole B cell population, whereas CD10, CD86, CD103, CD154 and FasL were almost absent from the B-lymphocyte population. 75% were IgD positive. The kappa/lambda ratio was 1.5. CD5, CD23, CD25, CD38, CD43, CD54, CD62L, CD80 and CD95 were positive in different B-cell subpopulations. The utility of all these markers in the differential diagnosis of chronic B-cell lymphoproliferative disorders is discussed. CONCLUSION: In order to interpret a pathological immunophenotype, it is necessary to refer to quantitative and qualitative values of normal B-cell subpopulations.


Assuntos
Subpopulações de Linfócitos B/classificação , Imunofenotipagem/métodos , Leucemia Linfocítica Crônica de Células B/classificação , Linfoma de Células B/classificação , Adulto , Antígenos de Diferenciação de Linfócitos B/análise , Diagnóstico Diferencial , Feminino , Citometria de Fluxo , Fluorescência , Humanos , Leucemia Linfocítica Crônica de Células B/diagnóstico , Contagem de Linfócitos , Linfoma de Células B/diagnóstico , Masculino , Pessoa de Meia-Idade , Valores de Referência
13.
Physiol Meas ; 21(2): 295-303, 2000 May.
Artigo em Inglês | MEDLINE | ID: mdl-10847196

RESUMO

During hypoglycaemia, typically there is a change in the surface ECG characterized by a flattened and prolonged T wave, often accompanied by a fused U wave. The QT interval is a useful parameter for quantifying the ECG morphology. However, reliable measurement of QT is not straightforward, particularly for hypoglycaemic ECG morphology. The objective of this study was to compare the ability of two methods of QT measurement to distinguish between ECGs recorded during euglycaemia and hypoglycaemia. The first method involves manually setting the intersection of the isoelectric line and the T wave or, where this is not possible, the nadir between the T and U wave. The second method is semi-automatic and fits a tangent to the point of maximum gradient on the downward slope of the T wave. Two independent observers used both methods to measure the QT for high resolution ECG data recorded during a study of 17 non-diabetic subjects undergoing controlled euglycaemia and hypoglycaemia. Using the mean results of the two observers, the mean +/- SD increase in heart rate corrected QT, QTc, for ECGs recorded during euglycaemia and hypoglycaemia was 32 +/- 25 ms for the non-tangent method and 60 +/- 24 ms for the tangent method. Therefore, the tangent method provides greater distinction between ECGs recorded during euglycaemia and hypoglycaemia than the non-tangent method. A potential clinical application could be the non-invasive detection of impending hypoglycaemia at night, which would be of significant benefit to adults and young children with diabetes.


Assuntos
Arritmias Cardíacas/diagnóstico , Eletrocardiografia/métodos , Hipoglicemia/complicações , Adulto , Arritmias Cardíacas/fisiopatologia , Glicemia/fisiologia , Diabetes Mellitus Tipo 1/complicações , Diabetes Mellitus Tipo 1/fisiopatologia , Eletrocardiografia/estatística & dados numéricos , Técnica Clamp de Glucose , Frequência Cardíaca/fisiologia , Humanos , Hipoglicemia/fisiopatologia , Masculino , Variações Dependentes do Observador
14.
Diabetes Care ; 20(8): 1293-8, 1997 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-9250457

RESUMO

OBJECTIVE: To assess the effects of short-term antecedent hypoglycemia on responses to further hypoglycemia 2 days later in patients with IDDM. RESEARCH DESIGN AND METHODS: We studied eight type I diabetic patients without hypoglycemia unawareness or autonomic neuropathy during two periods at least 4 weeks apart. On day 1, 2 h of either clamped hyperinsulinemic (60 mU.m-2.min-1) hypoglycemia at 2.8 mmol/l or euglycemia at 5.0 mmol/l were induced. Hyperinsulinemic hypoglycemia was induced 2 days later with 40 min glucose steps of 5.0, 4.0, 3.5, 3.0, and 2.5 mmol/l. Catecholamine levels and symptomatic and physiological responses were measured every 10-20 min. RESULTS: When compared with the responses measured following euglycemia, the responses of norepinephrine 2 days after hypoglycemia were reduced (peak, 1.4 +/- 0.4 [mean +/- SE] vs.1.0 +/- 0.3 nmol/l [P < 0.05]; threshold, 3.4 +/- 0.1 vs. 2.9 +/- 0.1 mmol/l glucose [P < 0.01]). The responses of epinephrine (peak, 4.0 +/- 1.4 vs. 3.5 +/- 0.8 nmol/l [P = 0.84]; threshold, 3.8 +/- 0.1 vs. 3.6 +/- 0.1 mmol/l glucose [P = 0.38]), water loss (peak, 194 +/- 34 vs. 179 +/- 47 g-1.m-2.h-1 [P = 0.73]; threshold, 2.9 +/- 0.2 vs. 2.9 +/- 0.2 mmol/l glucose [P = 0.90]), tremor (peak, 0.28 +/- 0.05 vs. 0.37 +/- 0.06 root mean square volts (RMS V) [P = 0.19]; threshold, 3.2 +/- 0.2 vs. 3.1 +/- 0.2 mmol/l glucose [P = 0.70]), total symptom scores (peak, 10.6 +/- 2.1 vs. 10.8 +/- 1.9 [P = 0.95]; threshold, 3.3 +/- 0.2 vs. 3.6 +/0 0.1 mmol/l glucose [P = 0.15]), and cognitive function (four-choice reaction time: threshold, 2.9 +/- 0.2 vs. 3.0 +/- 0.2 mmol/l glucose [P = 0.69]) were unaffected. CONCLUSIONS: The effect on hypoglycemic physiological responses of 2 h of experimental hypoglycemia lasts for 1-2 days in these patients with IDDM . The pathophysiological effect of antecedent hypoglycemia may be of shorter duration in IDDM patients, compared with nondiabetic subjects.


Assuntos
Catecolaminas/sangue , Diabetes Mellitus Tipo 1/sangue , Hemodinâmica/fisiologia , Hipoglicemia/fisiopatologia , Adulto , Glicemia/metabolismo , Diabetes Mellitus Tipo 1/tratamento farmacológico , Diabetes Mellitus Tipo 1/fisiopatologia , Relação Dose-Resposta a Droga , Feminino , Seguimentos , Técnica Clamp de Glucose , Humanos , Hipoglicemia/sangue , Hipoglicemia/induzido quimicamente , Hipoglicemiantes/administração & dosagem , Hipoglicemiantes/uso terapêutico , Insulina/administração & dosagem , Insulina/uso terapêutico , Masculino , Percepção
15.
Diabet Med ; 14(8): 648-54, 1997 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-9272590

RESUMO

There is circumstantial evidence implicating hypoglycaemia in the sudden overnight death of young patients with insulin-dependent (Type 1) diabetes mellitus (IDDM), the mechanism of which is unknown. We have investigated the effects of hypoglycaemia on the electrocardiogram in 15 patients with diabetes (8 with IDDM and 7 with NIDDM) using a high resolution computer-based system. Patients were randomized to either 2 h of euglycaemia or hypoglycaemia (at around 3 mmol l(-1)) during the afternoon, using hyperinsulinaemic glucose clamps, the two visits separated by a period of at least 4 weeks. Corrected QT interval (QTc), plasma potassium, and adrenaline were measured at baseline and at 0, 60, and 120 min. The degree of QTc lengthening (from baseline) during clamped hypoglycaemia was greater compared to the euglycaemic control period in patients with IDDM (median[range] at 60 min, 156[8 to 258] vs 6[-3 to 28] ms, p <0.02) and NIDDM (120 min, 128[16 to 166] vs 4[-3 to 169] ms, p <0.05). The fall in plasma potassium was greater during clamped hypoglycaemia compared to euglycaemia in those with NIDDM (p <0.03) but not in those with IDDM (p> 0.06). The rise in plasma adrenaline was greater during clamped hypoglycaemia in both groups (IDDM p <0.02, NIDDM p <0.02) and there was a strong relationship between the rise in adrenaline and increase in QTc (r = 0.73, p <0.0001). These data demonstrate alteration of ventricular repolarization with lengthening of the QT interval during hypoglycaemia and suggest a possible mechanism by which hypoglycaemia could cause ventricular arrhythmias.


Assuntos
Diabetes Mellitus Tipo 1/complicações , Diabetes Mellitus Tipo 2/complicações , Ventrículos do Coração/fisiopatologia , Hipoglicemia/fisiopatologia , Adulto , Glicemia/metabolismo , Diabetes Mellitus Tipo 1/sangue , Diabetes Mellitus Tipo 1/fisiopatologia , Diabetes Mellitus Tipo 2/sangue , Diabetes Mellitus Tipo 2/fisiopatologia , Eletrocardiografia , Epinefrina/sangue , Feminino , Técnica Clamp de Glucose , Frequência Cardíaca , Humanos , Hipoglicemia/sangue , Hipoglicemia/complicações , Insulina/sangue , Masculino , Pessoa de Meia-Idade , Potássio/sangue , Taquicardia Ventricular/etiologia , Taquicardia Ventricular/fisiopatologia
16.
J Med Eng Technol ; 20(6): 196-202, 1996.
Artigo em Inglês | MEDLINE | ID: mdl-9029391

RESUMO

Hypoglycaemia is the most common complication affecting people with Type 1 insulin dependent diabetes mellitus. Its onset is characterized by symptoms which include sweating, tremor, palpitations, loss of concentration and tiredness. As part of a research project to investigate the mechanisms of hypoglycaemia we have developed an ambulatory system to monitor and record pulsatile changes in blood flow, pulse interval, body temperature and skin impedance. The system uses a pocket computer (Atari Portfolio) to collect and store the data on a memory card. The analogue system consists of two thermocouples, an infrared photoplethysmograph and skin impedance monitoring circuit. To conserve power the system is programmed to make measurements for 2 min every 10 min: using this regimen over 16 h of data can be stored. Data collected during a spontaneous overnight hypoglycaemic episode are presented and also a comparison between continuous and intermittent data collection during a period of induced hypoglycaemia. The system is being used to investigate the physiological responses to hypoglycaemia but could easily be adapted for monitoring other physiological signals.


Assuntos
Hipoglicemia/fisiopatologia , Monitorização Ambulatorial/instrumentação , Arritmias Cardíacas/fisiopatologia , Atenção/fisiologia , Temperatura Corporal/fisiologia , Sistemas Computacionais , Coleta de Dados , Diabetes Mellitus Tipo 1/sangue , Diabetes Mellitus Tipo 1/fisiopatologia , Desenho de Equipamento , Fadiga/fisiopatologia , Resposta Galvânica da Pele/fisiologia , Humanos , Armazenamento e Recuperação da Informação , Microcomputadores , Fotopletismografia/instrumentação , Fluxo Pulsátil/fisiologia , Pulso Arterial/fisiologia , Software , Sudorese/fisiologia , Termômetros , Tremor/fisiopatologia
17.
Arq. bras. med. vet. zootec ; 45(3): 297-304, jun. 1993. ilus
Artigo em Português | LILACS | ID: lil-240117

RESUMO

Foram estudados dois surtos de enterite hemorrágica em leitöes desmamados, de um sistema de criaçäo de suínos ao ar livre, instalado no sul do Brasil. Colheu-se material para exames parasitológico, bacteriológico, anátomo e histopatológico e histoquímico utilizando-se a técnica de imunoperoxidase de animais clinicamente examinados. Nos surtos identificou-se Escherichia coli como agente causador da enterite. As amostras de E. coli isoladas foram soroagrupadas como 0141:K85ab, K88ab e 045:K"E65" (primeiro surto) e 0138:81, 0141:K85ab e 0115:K"V165" (segundo surto). Em cortes histológicos de várias partes do intestino delgado dos leitöes, onde se isolou 0141:K85ab, K88ab; 0141:K85ab e 0138:K81, examinados pela técnica de imunoperoxidase, observaram-se bactérias especificamente coradas e aderidas ao epitélio intestinal


Assuntos
Animais , Enterite , Escherichia coli , Suínos/microbiologia , Desmame , Doenças dos Suínos , Técnicas Imunoenzimáticas/veterinária
18.
Braz Dent J ; 3(2): 95-8, 1993.
Artigo em Inglês | MEDLINE | ID: mdl-8241764

RESUMO

The oral environment is one of the most complex systems of the human body. It is populated by a variety of microorganisms, with some of the species still not classified. Tissue adhesives, such as cyanoacrylates, have been used in dentistry and in medicine because of their adhesiveness potential to the human tissue, even in the presence of moisture, their biological compatibility, surface isolation, hemostatic properties and bacteriostatic features. Based on these observations, the authors investigated the use of a tissue adhesive (Histoacryl; Laboratório Braun, RJ, Brazil) with the purpose of sealing the remaining dentin, especially in endodontically treated molars and premolars. The results strongly suggest that Histoacryl controls micro-leakage of oral fluids at the filling/tooth interface.


Assuntos
Embucrilato/análogos & derivados , Materiais Restauradores do Canal Radicular , Adesivos Teciduais , Infiltração Dentária/prevenção & controle , Humanos
19.
Braz. j. med. biol. res ; 24(1): 99-106, jan.-mar. 1991. tab
Artigo em Inglês | LILACS | ID: lil-99587

RESUMO

The Bartha-K and NIA-4 strain of Aujeszky's disease virus (ADV) were readily isolated from oropharyngeal swabs up to 7 days after intranasal vaccination of young piglets. Neither strain could be reisolated 14 days after starting treatment with 10 mg of the corticosteroid isoflupredone acetate per kg of body weight, administered intramuscularly for 4 consecutive days when pigs were 7-9 months of age. Similar treatment with corticosteroid pigs infected with two virulent ADV strains resulted in the reactivation of infection and recovery of ADV from oropharyngeal swabs. Serum neutralizing antibodies were present in all pigles vaccinated twice (2 week interval) intranasally with the attenuated ADV strains, 4 weeks after primary vaccination. However, these antibodies were no longer detectable in some pigs at 12(NIA-4) and 20(Bartha-K) weeks of age even in undilluted sera. Neutralizing antibodies resulting from infection virulent ADV were always detectable, were higher in titer than those produced by the vaccine strains and did not vary in a clear pattern after corticosteroid treatment. These results indicated that the Bartha-K and NIA-4 strains undergo little or no latency in swine and confirm the latency of virulent strains of ADV


Assuntos
Animais , Corticosteroides/farmacologia , Herpesvirus Suídeo 1/efeitos dos fármacos , Imunização , Anticorpos Antivirais/análise , Herpesvirus Suídeo 1/imunologia , Herpesvirus Suídeo 1/isolamento & purificação , Suínos
20.
Braz J Med Biol Res ; 24(1): 99-106, 1991.
Artigo em Inglês | MEDLINE | ID: mdl-1668397

RESUMO

1. The Bartha-K and NIA-4 strains of Aujeszky's disease virus (ADV) were readily isolated from oropharyngeal swabs up to 7 days after intranasal vaccination of young piglets. 2. Neither strain could be reisolated 14 days after starting treatment with 10 mg of the corticosteroid isoflupredone acetate per kg of body weight, administered intramuscularly for 4 consecutive days when pigs were 7-9 months of age. 3. Similar treatment with corticosteroid pigs infected with two virulent ADV strains resulted in the reactivation of infection and recovery of ADV from oropharyngeal swabs. 4. Serum neutralizing antibodies were present in all piglets vaccinated twice (2 week interval) intranasally with the attenuated ADV strains, 4 weeks after primary vaccination. However, these antibodies were no longer detectable in some pigs at 12 (NIA-4) and 20 (Bartha-K) weeks of age even in undiluted sera. 5. Neutralizing antibodies resulting from infection with virulent ADV were always detectable, were higher in titer than those produced by the vaccine strains and did not vary in a clear pattern after corticosteroid treatment. 6. These results indicate that the Bartha-K and NIA-4 strains undergo little or no latency in swine and confirm the latency of virulent strains of ADV.


Assuntos
Corticosteroides/farmacologia , Herpesvirus Suídeo 1/crescimento & desenvolvimento , Ativação Viral/efeitos dos fármacos , Animais , Anticorpos Antivirais/análise , Herpesvirus Suídeo 1/imunologia , Herpesvirus Suídeo 1/isolamento & purificação , Imunização , Orofaringe/microbiologia , Suínos
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