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1.
Neuroimage ; 228: 117692, 2021 03.
Artigo em Inglês | MEDLINE | ID: mdl-33385546

RESUMO

Diffusion MRI (dMRI) represents one of the few methods for mapping brain fiber orientations non-invasively. Unfortunately, dMRI fiber mapping is an indirect method that relies on inference from measured diffusion patterns. Comparing dMRI results with other modalities is a way to improve the interpretation of dMRI data and help advance dMRI technologies. Here, we present methods for comparing dMRI fiber orientation estimates with optical imaging of fluorescently labeled neurofilaments and vasculature in 3D human and primate brain tissue cuboids cleared using CLARITY. The recent advancements in tissue clearing provide a new opportunity to histologically map fibers projecting in 3D, which represents a captivating complement to dMRI measurements. In this work, we demonstrate the capability to directly compare dMRI and CLARITY in the same human brain tissue and assess multiple approaches for extracting fiber orientation estimates from CLARITY data. We estimate the three-dimensional neuronal fiber and vasculature orientations from neurofilament and vasculature stained CLARITY images by calculating the tertiary eigenvector of structure tensors. We then extend CLARITY orientation estimates to an orientation distribution function (ODF) formalism by summing multiple sub-voxel structure tensor orientation estimates. In a sample containing part of the human thalamus, there is a mean angular difference of 19o±15o between the primary eigenvectors of the dMRI tensors and the tertiary eigenvectors from the CLARITY neurofilament stain. We also demonstrate evidence that vascular compartments do not affect the dMRI orientation estimates by showing an apparent lack of correspondence (mean angular difference = 49o±23o) between the orientation of the dMRI tensors and the structure tensors in the vasculature stained CLARITY images. In a macaque brain dataset, we examine how the CLARITY feature extraction depends on the chosen feature extraction parameters. By varying the volume of tissue over which the structure tensor estimates are derived, we show that orientation estimates are noisier with more spurious ODF peaks for sub-voxels below 30 µm3 and that, for our data, the optimal gray matter sub-voxel size is between 62.5 µm3 and 125 µm3. The example experiments presented here represent an important advancement towards robust multi-modal MRI-CLARITY comparisons.


Assuntos
Encéfalo/anatomia & histologia , Substância Cinzenta/anatomia & histologia , Processamento de Imagem Assistida por Computador/métodos , Imagem Multimodal/métodos , Neuroimagem/métodos , Substância Branca/anatomia & histologia , Animais , Imagem de Difusão por Ressonância Magnética/métodos , Humanos , Imageamento Tridimensional/métodos , Macaca , Imagem Óptica/métodos
2.
Neuroimage ; 80: 220-33, 2013 Oct 15.
Artigo em Inglês | MEDLINE | ID: mdl-23707579

RESUMO

Perhaps more than any other "-omics" endeavor, the accuracy and level of detail obtained from mapping the major connection pathways in the living human brain with diffusion MRI depend on the capabilities of the imaging technology used. The current tools are remarkable; allowing the formation of an "image" of the water diffusion probability distribution in regions of complex crossing fibers at each of half a million voxels in the brain. Nonetheless our ability to map the connection pathways is limited by the image sensitivity and resolution, and also the contrast and resolution in encoding of the diffusion probability distribution. The goal of our Human Connectome Project (HCP) is to address these limiting factors by re-engineering the scanner from the ground up to optimize the high b-value, high angular resolution diffusion imaging needed for sensitive and accurate mapping of the brain's structural connections. Our efforts were directed based on the relative contributions of each scanner component. The gradient subsection was a major focus since gradient amplitude is central to determining the diffusion contrast, the amount of T2 signal loss, and the blurring of the water PDF over the course of the diffusion time. By implementing a novel 4-port drive geometry and optimizing size and linearity for the brain, we demonstrate a whole-body sized scanner with G(max) = 300 mT/m on each axis capable of the sustained duty cycle needed for diffusion imaging. The system is capable of slewing the gradient at a rate of 200 T/m/s as needed for the EPI image encoding. In order to enhance the efficiency of the diffusion sequence we implemented a FOV shifting approach to Simultaneous MultiSlice (SMS) EPI capable of unaliasing 3 slices excited simultaneously with a modest g-factor penalty allowing us to diffusion encode whole brain volumes with low TR and TE. Finally we combine the multi-slice approach with a compressive sampling reconstruction to sufficiently undersample q-space to achieve a DSI scan in less than 5 min. To augment this accelerated imaging approach we developed a 64-channel, tight-fitting brain array coil and show its performance benefit compared to a commercial 32-channel coil at all locations in the brain for these accelerated acquisitions. The technical challenges of developing the over-all system are discussed as well as results from SNR comparisons, ODF metrics and fiber tracking comparisons. The ultra-high gradients yielded substantial and immediate gains in the sensitivity through reduction of TE and improved signal detection and increased efficiency of the DSI or HARDI acquisition, accuracy and resolution of diffusion tractography, as defined by identification of known structure and fiber crossing.


Assuntos
Encéfalo/anatomia & histologia , Encéfalo/fisiologia , Conectoma/métodos , Imagem de Tensor de Difusão/métodos , Aumento da Imagem/métodos , Modelos Anatômicos , Modelos Neurológicos , Animais , Humanos , Rede Nervosa/anatomia & histologia , Rede Nervosa/fisiologia
3.
Neuroimage ; 62(3): 1529-36, 2012 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-22609793

RESUMO

An 8-channel receive coil array was constructed and implanted adjacent to the skull in a male rhesus monkey in order to improve the sensitivity of (functional) brain imaging. The permanent implant was part of an acrylic headpost assembly and only the coil element loop wires were implanted. The tuning, matching, and preamplifier circuitry was connected via a removable external assembly. Signal-to-noise ratio (SNR) and noise amplification for parallel imaging were compared to single-, 4-, and 8-channel external receive-only coils routinely used for macaque fMRI. In vivo measurements showed significantly improved SNR within the brain for the implanted versus the external coils. Within a region-of-interest covering the cerebral cortex, we observed a 5.4-, 3.6-fold, and 3.4-fold increase in SNR compared to the external single-, 4-, and 8-channel coils, respectively. In the center of the brain, the implanted array maintained a 2.4×, 2.5×, and 2.1× higher SNR, respectively compared to the external coils. The array performance was evaluated for anatomical, diffusion tensor and functional brain imaging. This study suggests that a stable implanted phased-array coil can be used in macaque MRI to substantially increase the spatial resolution for anatomical, diffusion tensor, and functional imaging.


Assuntos
Mapeamento Encefálico/instrumentação , Encéfalo/anatomia & histologia , Encéfalo/fisiologia , Imageamento por Ressonância Magnética/instrumentação , Animais , Eletrodos Implantados , Macaca mulatta , Masculino , Razão Sinal-Ruído
4.
Neuroimage ; 60(2): 1006-14, 2012 Apr 02.
Artigo em Inglês | MEDLINE | ID: mdl-22270354

RESUMO

Ultra-high field MRI (≥ 7 T) has recently shown great sensitivity to depict patterns of tissue microarchitecture. Moreover, recent studies have demonstrated a dependency between T2* and orientation of white matter fibers with respect to the main magnetic field B0. In this study we probed the potential of T2* mapping at 7 T to provide new markers of cortical architecture. We acquired multi-echo measurements at 7 T and mapped T2* over the entire cortex of eight healthy individuals using surface-based analysis. B0 dependence was tested by computing the angle θ(z) between the normal of the surface and the direction of B0, then fitting T2*(θ(z)) using model from the literature. Average T2* in the cortex was 32.20 +/- 1.35 ms. Patterns of lower T2* were detected in the sensorimotor, visual and auditory cortices, likely reflecting higher myelin content. Significantly lower T2* was detected in the left hemisphere of the auditory region (p<0.005), suggesting higher myelin content, in accordance with previous investigations. B0 orientation dependence was detected in some areas of the cortex, the strongest being in the primary motor cortex (∆R2*=4.10 Hz). This study demonstrates that quantitative T2* measures at 7 T MRI can reveal patterns of cytoarchitectural organization of the human cortex in vivo and that B0 orientation dependence can probe the coherency and orientation of gray matter fibers in the cortex, shedding light into the potential use of this type of contrast to characterize cyto-/myeloarchitecture and to understand the pathophysiology of diseases associated with changes in iron and/or myelin concentration.


Assuntos
Mapeamento Encefálico/métodos , Córtex Cerebral/anatomia & histologia , Imageamento por Ressonância Magnética/métodos , Adulto , Córtex Cerebral/citologia , Humanos
6.
Br Poult Sci ; 49(4): 463-74, 2008 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-18704793

RESUMO

1. A study of the relationship between specific weight (SW) and nutritive value of wheat in diets offered to broilers up to 4 weeks of age was carried out using 10 varieties of wheat grown at three different locations; this gave rise to a range of specific weights from 59 to 76 kg/hl. 2. Because five varieties contained the 1B1R translocation and 5 did not, this allowed the effects of 1B1R on the performance of birds given high concentrations of dietary wheat to be further investigated. 3. The diets, which contained wheat at 744 g/kg with casein (142 g/kg) as the sole protein supplement, were heat-treated and pelleted. They were fed ad libitum to male, Ross broiler chicks from 7 to 28 d, in individual cages in a controlled environment room. 4. A 7 d excreta collection was made from 14 to 21 d for determination of apparent metabolisable energy (AME) content and wheat AME was calculated from the diet values. A separate determination of true metabolisable energy (TME) was undertaken using the method of McNab and Blair (British Poultry Science, 29: 697-707, 1988). 5. Wheat samples were analysed for proximate constituents, starch, total and soluble non-starch polysaccharides (NSP), amino acid content and gross energy and specific weight, thousand grain weight and in vitro viscosity were recorded. They were also subjected to near infrared reflectance spectroscopy (NIRS) with a view to establishing relationships with chemical constituents and performance parameters. 6. At 28 d the birds were humanely killed and in vivo viscosity was determined on the jejunal digesta supernatant. 7. There was quite a narrow range of crude protein content (N x 5.83) across the 30 wheat samples, the means for the three locations (Crossnacreevy, Downpatrick and Limavady, respectively) being 112, 121 and 122 g/kg. Starch contents of individual samples ranged from 604 to 679 g/kg, total NSP from 92.1 to 122.6 g/kg, soluble NSP from 17.6 to 32.6 g/kg and in vitro viscosity from 10.6 to 26.3 cps. 8. There were no significant varietal effects for dry matter intake (DMI), live weight gain (LWG) or gain:feed ratio. Apparent metabolisability of energy (ME:GE) for the diets ranged from 0.738 (Hussar) to 0.778 (Harrier) the effect being significant (P < 0.05) and there was a significant (P < 0.001) relationship (r(2) = 0.46) between ME:GE and gain:feed ratios. Calculated wheat AME for individual varieties ranged from 14.1 to 15.0 MJ/kg DM (P > 0.05). TME values ranged from 16.3 to 16.6 MJ/kg DM (NS). 9. In vivo viscosity ranged from 12.3 (Ritmo) to 23.7 cps (Hussar), the varietal effects being significant (P < 0.001). Viscosity was significantly higher for the 1B1R varieties than for the non-1B1R (22.7 vs 16.3 cps) but there were no significant effects on mean DM intake, LWG, gain:feed, ME:GE, calculated wheat AME, ME:gain (MJ AME per kg gain) or TME. 10. Wheat AME was negatively correlated (P < 0.05) with total NSP (slope -0.035) but was significantly affected by variety, constants ranging from 16.74 to 17.79. For wheat TME there were significant variety*total NSP interactions with slopes ranging from 0.29 to -0.07. There was no significant relationship between wheat AME and soluble NSP and there were significant variety*soluble NSP interactions for TME with slopes ranging from 0.09 to -0.14. 11. Despite the relatively wide range of in vitro viscosity there was no significant correlation of either calculated wheat AME or wheat TME with in vitro viscosity. For TME there were significant variety*viscosity interactions with slopes ranging from 0.21 to -0.13 (P < 0.001). There was also no significant correlation between soluble NSP and in vivo viscosity. 12. AME values for the NIRS calibration set varied from 13.7 to 15.6 MJ/kg and averaged 14.6 MJ/kg, whereas for the validation set, the values ranged from 14.0 to 16.1 MJ/kg with the mean value being 14.7 MJ/kg. The best correlation coefficient (r(2)) of 0.90 was obtained when the calibration sample set was subjected to SMLR using the second-order derivatised data. However, moving to validation, the outcome was extremely poor with 1-VR values being 0.12 and 0.09, respectively, for the external validation and an internal validation subset. 13. In summary, none of the production characteristics showed a good correlation with specific weight. Using the linear estimates for wheat AME and TME the effect of a 10 kg/hl change in SW equates to a 3 or 1.4% change, respectively. The estimate for AME is likely to be a worst-case value due to the high inclusion level of wheat. The range of calculated wheat AME (approximately 1 MJ) across the 30 wheat samples is similar to that seen in previous studies for wheat grown in Northern Ireland and much lower than in some other studies. 14. None of the other parameters examined gave any better relationship with nutritive value (assessed as AME or TME) than SW. This is a disappointing outcome, particularly in view of some previous studies which suggested that in vitro viscosity provides a good prediction of nutritive value.


Assuntos
Galinhas/fisiologia , Triticum/genética , Triticum/fisiologia , Ração Animal , Fenômenos Fisiológicos da Nutrição Animal , Animais , Dieta/veterinária , Metabolismo Energético , Fezes/química , Masculino , Valor Nutritivo
7.
Poult Sci ; 83(12): 1992-6, 2004 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-15615012

RESUMO

An experiment was designed to assess the effects of graded levels of beta-mannanase on performance and body weight uniformity of male broilers provided with diets based on corn and soybean meal and devoid of antibiotic growth promoters or coccidiostats. Four dietary treatments contained 0, 50, 80, and 110 MU of Hemicell/ ton (where 1 MU = 10(6) enzyme activity units, 100 MU/ton is manufacturer's recommendation). Each treatment contained 15 pens with 40 birds/pen. Individual bird weights were determined on d 0, 21, and 42. From 21 to 42 d of age, feed intake for the 80 MU/ton treatment was significantly greater than the 50 MU/ton treatment. beta-Mannanase inclusion at 80 or 110 MU/ton induced improvements (P < 0.05) in weight gain (3.9 to 4.8%) and feed efficiency (3.5 to 3.8%) over the control, whereas inclusion of 50 MU/ton resulted in no significant benefit. There were no significant differences between 80 or 110 MU/ton. The experiment demonstrated that dietary inclusion of beta-mannanase at approximately 50 MU/ton is not sufficient for maximum response. Inclusion at 80 MU/ ton improved broiler gains and feed conversion and increasing to 110 MU/ton resulted in no significant additional response.


Assuntos
Peso Corporal/efeitos dos fármacos , Galinhas/crescimento & desenvolvimento , beta-Manosidase/administração & dosagem , beta-Manosidase/farmacologia , Ração Animal , Animais , Dieta , Relação Dose-Resposta a Droga , Comportamento Alimentar , Masculino , Aumento de Peso/efeitos dos fármacos
8.
MAGMA ; 17(3-6): 288-95, 2004 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-15605277

RESUMO

OBJECTIVES: To investigate changes in tumour tissue oxygenation throughout the tumour growth-regression-relapse cycle in an androgen-dependent animal tumour model. MATERIALS AND METHODS: 19F T1 relaxometry of Perfluoro-15-Crown-5-Ether was used to measure in vivo partial oxygen pressure (pO2) of Shionogi tumours on a 2.35-T MR scanner. Perfluoro-15-Crown-5-Ether was administered as an emulsion injected intravenously or as a neat compound injected directly into the tumour. Non-localized, tumour 19F T1 measurements, made at multiple time points throughout the tumour cycle, were translated into pO2 levels. RESULTS: No correlation between tumour size and pO2 values was found. Values of pO2 for growing tumours (50 +/- 30 torr) were significantly lower than for regressing and relapsing tumours after 9 days post-castration (70 +/- 10 torr, p<0.05). Maximum pO2 values (90 +/- 30 torr) were reached between fifth and eighth day post-castration, when tumour pO2 was significantly higher than both pre-castration (p<0.001) and after 9 days post-castration (p<0.05). CONCLUSION: We demonstrate that longitudinal pO2 measurements in vivo are feasible. Values of pO2 for growing androgen-dependent tumours were significantly lower than for regressing and relapsing androgen-independent tumours. These results have potential clinical importance in optimizing the timing of chemotherapy and/or radiotherapy of hormone dependent tumours.


Assuntos
Biomarcadores Tumorais/metabolismo , Interpretação de Imagem Assistida por Computador/métodos , Imageamento por Ressonância Magnética/métodos , Espectroscopia de Ressonância Magnética/métodos , Oxigênio/metabolismo , Neoplasias da Próstata/diagnóstico , Neoplasias da Próstata/metabolismo , Algoritmos , Animais , Flúor , Masculino , Camundongos , Neoplasias Experimentais , Reprodutibilidade dos Testes , Sensibilidade e Especificidade , Distribuição Tecidual
9.
Br Poult Sci ; 44(3): 458-63, 2003 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-12964630

RESUMO

1. The apparent ileal nitrogen (N) and amino acid digestibilities in chaya leaf meal (CLM) (Cnidoscolus aconitifolius) with added enzymes, and the same variables in diets containing different amounts of CLM were studied in chickens. 2. In the first experiment pectinase, beta-glucanase, and pectinase + beta-glucanase were added to CLM. In the second experiment, there were three diets based on maize and soybean: 0, 150 and 250 g/kg CLM. 3. Pectinase significantly increased both lysine and overall amino acid digestibilities in CLM. 4. In experiment 2, the amino acid digestibility in birds fed on CLM250 was lower than that from birds fed on either control or CLM150. Only the digestibilities of alanine, arginine and proline were lower in birds fed on CLM150 than in those fed on the control diet. Nitrogen digestibility was lower in birds fed on the CLM250 diet than on either control or CLM150 diets. These findings were attributed to the increasing concentration of fibre with increasing dietary CLM.


Assuntos
Aminoácidos/metabolismo , Galinhas/metabolismo , Dextranase/farmacologia , Digestão , Euphorbiaceae , Poligalacturonase/farmacologia , Ração Animal , Fenômenos Fisiológicos da Nutrição Animal , Animais , Relação Dose-Resposta a Droga , Masculino , Folhas de Planta/metabolismo , Distribuição Aleatória
10.
Br Poult Sci ; 43(4): 580-7, 2002 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-12365515

RESUMO

1. Nitrogen-corrected apparent and true metabolisable energy contents (AMEN and TMEN) of 12 diets, containing different amounts of maize, wheat, barley and rye, barley with beta-glucanase and maize with 0.05 g/kg guar gum were measured using 3-week-old male broilers. 2. The AMEN method involved: 4 d of dietary adaptation, 24 h of starvation, 54 h of ad libitum feeding, 24 h of starvation and daily total droppings collection. TMEN was measured after a 48 h starvation period followed by 2 d of tube-feeding two doses of 15 g of the diets and quantitatively collecting all the droppings after 48 h of starvation. The endogenous energy losses (EELN) were measured after tube-feeding 8 chickens with 30 g of glucose, also over 2 d. 3. The results show that a significant interaction exists between the nature of the diets and the method used to measure metabolisable energy. Differences between TMEN and AMEN values ranged from 1.03 to 1.98 MJ/kg dry matter. These differences were positively correlated with the total pentosan contents of the diet (r = 0.94), the natural logarithm of the viscosities of the water extracts (r = 0.87), the sum of the contents of total pentosans and total beta-glucan (r = 0.85), the calculated total non-starch polysaccharide contents (r = 0.79), the neutral detergent fibre contents (r = 0.76) and the total beta-glucan contents (r = 0.70). Furthermore, a significant interaction was found between diets and the method used to derive lipid digestibility. The differences between apparent and true lipid digestibility ranged from 0.05 percentage points for the wheat diet to 0.20 percentage points for the rye diet. 4. From the results of this trial, it appears that TMEN overestimates the energy value of high fibre diets.


Assuntos
Bioensaio/veterinária , Galinhas/metabolismo , Fibras na Dieta/metabolismo , Grão Comestível/metabolismo , Metabolismo Energético/fisiologia , Ração Animal , Animais , Bioensaio/métodos , Dieta/veterinária , Fibras na Dieta/administração & dosagem , Fezes/química , Privação de Alimentos , Masculino , Nitrogênio/metabolismo , Distribuição Aleatória , Reprodutibilidade dos Testes
11.
Trop Anim Health Prod ; 34(3): 257-69, 2002 May.
Artigo em Inglês | MEDLINE | ID: mdl-12094681

RESUMO

The performance and gut measurements of broilers fed on diets containing different amounts of chaya (Cnidoscolus aconitifolius) leaf meal (CLM) were examined in two experiments. In the first experiment, 60 Hubbard chickens (30 males and 30 females; 2 weeks old) were fed on five maize diets; these were formulated using 0, 150 (CLM150), 250 (CLM250) or 350 (CLM350) g CLM/kg, and the fifth diet contained soyabean. In the second experiment, 148 Ross male chicks, 1 day old, were fed on three isonitrogenous and isoenergetic maize-soyabean-based diets, which included 0 (control), 150 (C150) or 250 (C250) g CLM/kg. The diets were offered ad libitum for 2 or 3 weeks in the first and second experiments, respectively. Food intake, weight gain and the food:weight gain ratio were recorded. The weight of the gizzard and intestine and the weight and length of the caeca were also determined in the second experiment. In experiment 1, the birds fed on the maize-soyabean diet had a higher (p < 0.05) weight gain and final weight than birds fed on maize only or on the CLM150 diets. There were no differences for any of the variables studied between the birds fed on the maize-soyabean diet and those fed on the CLM250, nor between males and females. In the second experiment, weight gain, food intake and the food:weight gain ratio for birds fed on C250 were lower (p < 0.05) than those in birds fed on either the control or C150 diets. The weights of the gizzard and intestine were the lowest and the highest, respectively, in birds fed on C250 (p < 0.05). The length and weight of the caecum from birds fed on the control diet were lower (p < 0.05) than those of birds fed on either the C150 or C250 diets. The results from this study suggest that CLM may be included up to 150 g/kg in commercial diets without having an adverse effect on poultry performance, and may also be mixed with maize up to 250 g/kg to improve the performance of chickens fed on low-protein diets.


Assuntos
Ração Animal , Galinhas/metabolismo , Plantas Comestíveis/metabolismo , Fenômenos Fisiológicos da Nutrição Animal , Animais , Peso Corporal/fisiologia , Ceco/fisiologia , Galinhas/crescimento & desenvolvimento , Ingestão de Alimentos , Euphorbiaceae , Feminino , Masculino , México , Folhas de Planta/metabolismo , Distribuição Aleatória
12.
Br Poult Sci ; 41(5): 625-9, 2000 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-11201444

RESUMO

1. The yields of true metabolisable energy (TME) and net energy (NE) from chaya leaf meal and wheatfeed were mcasured in tube-fed cockerels. 2. TME, 5.76 MJ/kg, from chava leaf meal was lower than from wheatfeed, 8.39 MJ/kg. The total heat increment attributable to the feeding of chaya leaf meal was 1-7 times greater than that of wheatfeed. 3. The net efficiency of utilisation of ME (k) from chaya leaf meal was 0.64, while that from wheatfeed was 0.86. The role of different chemical composition, especially the high fibre content of the materials, is discussed. 4. The metabolisable energy and net energy values derived from chava leaf meal represented 0.34 and 0.23 respectively of its gross energy content. The combination of lower TME and lower net efficiency of utilisation led to chaya having a NE value, 3.86 MJ/kg, which was only 0.53 that of wheatfeed.


Assuntos
Galinhas/metabolismo , Fibras na Dieta/metabolismo , Metabolismo Energético/fisiologia , Termogênese/fisiologia , Ração Animal , Animais , Calorimetria/veterinária , Masculino , Valor Nutritivo , Folhas de Planta/metabolismo , Plantas Comestíveis , Triticum
13.
Air Med J ; 16(2): 48-50, 1997.
Artigo em Inglês | MEDLINE | ID: mdl-10167193

RESUMO

INTRODUCTION: The evaluation of the effectiveness of helicopter emergency medical services is currently a major focus of air transport research, and dispatch judgment likely will play a significant role in any research aimed at measuring outcome or impact. SETTING: Two rotor-wing programs in Alberta, Canada. METHODS: A panel of experts evaluated the effectiveness of a helicopter service in Canada. Four hundred sequential patient records were examined and categorized into four risk levels. Level 1 included patients who required critical intervention. Level 2 included patients in whom a major deterioration of vital signs could be expected. Level 3 patients were those for whom transport by an advanced life support ground unit would have been adequate. Level 4 was strictly for missions in which patient transport by any other means would have been impractical, such as remote locations (these cases were double-rated). RESULTS: Risk level 1 included 98 cases (24.5%); risk level 2, 266 cases (66.5%); risk level 3, 36 cases (9%); and risk level 4, 16 cases, two of which were rated level 1, 11 rated level 2, and three rated level 3. CONCLUSION: The results indicate that in 91% of the reviewed cases, helicopter transport was appropriate, representing a reasonable and judicious use of a helicopter emergency medical service.


Assuntos
Resgate Aéreo/estatística & dados numéricos , Morbidade , Mortalidade , Avaliação de Resultados em Cuidados de Saúde , Canadá/epidemiologia , Serviços Médicos de Emergência , Hospitais Urbanos , Avaliação de Programas e Projetos de Saúde
14.
Br Poult Sci ; 38(5): 603-6, 1997 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-9511008

RESUMO

1. A modified method for colostomy of turkeys was developed which allowed normal and consistent gains for 4 to 8 weeks. 2. Female Nicholas turkeys, 5 to 7 weeks of age and weighing 1.2 to 2.2 kg body weight, were subjects. Major adjustments in the technique included: transfixing of the peritoneum with 4 stay sutures prior to opening, suturing the peritoneum to the seromuscular coat of the colon, eversion of the end of the colon and joining of adjacent skin to the rim of the colon. 3. Urine was collected in a plastic bag attached around the vent with a urine collection fitting. Faeces passing through the colostomy were collected on a tray below the cage.


Assuntos
Colostomia/veterinária , Fezes , Manejo de Espécimes/veterinária , Perus , Urina , Animais , Colostomia/instrumentação , Colostomia/métodos , Feminino , Manejo de Espécimes/métodos , Aumento de Peso
15.
Cardiovasc Pathol ; 4(3): 155-62, 1995.
Artigo em Inglês | MEDLINE | ID: mdl-25851003

RESUMO

Structural deterioration is the major reason for reoperation in patients with valvular bioprostheses. We present findings on a mode of structural deterioration, the pathology of which has not yet been well characterized. Between January 1990 and December 1992, 39 Carpentier-Edwards standard valves (CESTD) and 50 Carpentier-Edwards supra-annular valves (CESAV) were operatively removed at St. Paul's Hospital. Of these, 14 bioprostheses (6 CESTD [15%] and 8 CESAV [16%]) showed dehiscence of a single commissural region from its stent post. Age at initial implantation was not significantly different between patients with CESAV (52.1 ± 5.4 years) and CESTD (45.5 ± 5.1 years, p = ns), but time from implantation to reoperation was shorter for CESAV as compared with CESTD (7.9 ± 0.5 vs. 13.3 ± 0.7 years, respectively, p < 0.01). The vast majority (12 14 ) of dehiscences were in mitral bioprostheses, and all patients presented with valvular regurgitation. Accompanying structural changes (calcification and cuspal tears/perforations), graded semiquantitatively (absent = 0, mild = 1, moderate = 2, and severe = 3), ranged from absent to severe in individual valves. Radiographically detected calcification was greater in CESTD compared with CESAV (CESTD 1.3 ± 0.3 vs. CESAV 0.5 ± 0.3, p < 0.05). Differences in severity of cuspal tears or perforations were not present. Thus, commissural region dehiscence from the stent post of Carpentier-Edwards porcine bioprosthetic valves in the mitral position is a relatively common form of structural deterioration associated with valvular incompetence. It may occur more readily in Carpentier-Edwards supra-annular valves.

16.
Br Poult Sci ; 35(4): 527-36, 1994 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-7828011

RESUMO

1. The chemical composition, and amino acid and starch bioavailabilities of 18 triticale varieties were studied. In addition, the water soluble pentosan (WSP) content of 8 varieties was determined. 2. A wide variation in protein (149 to 203 g/kg DM), starch (563 to 629 g/kg DM) and WSP (27.7 to 50.9 g/kg DM) was found between varieties. 3. The TMEn reproductibility was assessed in two laboratories, using Leghorn cockerels, Isabrown cockerels and 3-week-old chicks. There were no significant differences in the TMEn values (range 14.0 to 15.2 MJ/kg DM) between the two types of cockerel. The TMEn values of the varieties were similar for chicks (range 13.6 to 14.9 MJ/kg DM) and for cockerels, with the exception of one variety. 4. The bioavailability of starch (range 96.5 to 99.4%) of some varieties was higher for cockerels than for chicks. The mean bioavailability of amino acids for cockerels was 94.5%. 5. TMEn prediction equations were derived from the chemical composition of the varieties. Best-fit equations were obtained for starch (R2 = 0.62, RSD = 0.24), ash (R2 = 0.58, RSD = 0.25) and WSP (R2 = 0.52, RSD = 0.27).


Assuntos
Ração Animal , Galinhas , Grão Comestível , Valor Nutritivo , Aminoácidos , Animais , Disponibilidade Biológica , Proteínas Alimentares/análise , Feminino , Masculino , Reprodutibilidade dos Testes , Especificidade da Espécie , Amido
17.
Br Poult Sci ; 35(2): 281-6, 1994 May.
Artigo em Inglês | MEDLINE | ID: mdl-8062111

RESUMO

1. The effects of field bean tannin-containing hulls (T-hulls), non-tannin hulls (NT-hulls) and tannin extract on starch digestibilities and TMEn of triticale and semipurified starches from triticale and field beans were evaluated with adult cockerels and 3-week-old-chicks. 2. For both cockerels and chicks, the digestibility and TMEn of semipurified starches from triticale were higher than those from beans. Starch digestibilities of triticales (range 99.1 to 97.7%), of semipurified starches from triticales (range 96.5 to 89.9%) and from field beans (range 75.4 to 71.6%) were similar for both cockerels and chicks. 3. The addition of NT-hulls improved, in general, the digestibility of semipurified starches for both chicks and cockerels, which suggests that fibre improves the digestion of semipurified starches. 4. The effects of tannins of T-hulls on semipurified starch from beans and from triticale were different. Tannins always decreased the digestibility and TMEn of semipurified starch from field beans but only decreased the digestibility and TMEn of semipurified starch from triticale when fed to chicks, but not when fed to cockerels. 5. The addition of tannin extract always decreased the digestibility of semipurified starches by a greater amount than T-hulls, which supports the idea that the effect of tannins depends on the quantity of tannin ingested.


Assuntos
Ração Animal , Galinhas/crescimento & desenvolvimento , Digestão , Alimentos Fortificados , Amido , Taninos , Envelhecimento , Animais , Grão Comestível , Fabaceae , Feminino , Masculino , Plantas Medicinais
18.
Conn Med ; 58(1): 13-7, 1994 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-8181271

RESUMO

We report two cases of necrotizing bronchiolitis and bronchiolitis obliterans associated with the finding of the fungus aspergillus. One of the cases also showed bronchiolocentric granulomas and mucoid impaction of a segmental bronchus. Both patients were immunocompromised and had presented with dyspnea, cough, fever, and pulmonary infiltrates. Systemic antifungal therapy led to symptomatic and radiologic resolution. We surmise that these cases represent unusual examples of chronic necrotizing aspergillosis. The spectrum of pulmonary aspergillus diseases is reviewed.


Assuntos
Aspergilose/patologia , Bronquiolite Obliterante/microbiologia , Bronquiolite/microbiologia , Idoso , Bronquiolite/patologia , Bronquiolite Obliterante/patologia , Diagnóstico Diferencial , Feminino , Granuloma/patologia , Humanos , Hospedeiro Imunocomprometido , Masculino , Pessoa de Meia-Idade , Necrose
19.
Br J Nutr ; 70(1): 355-67, 1993 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-8399115

RESUMO

Cotyledons and hulls were prepared from twelve varieties of field beans (Vicia faba L.). Adult cockerels were tube-fed either beans, cotyledons or hull diets containing high or low levels of protein. Metabolizable energy coefficients and starch digestibility coefficients were determined for beans, cotyledons and hull diets. Lipid digestibility coefficients from hull diets were also determined. When cotyledons were fed there were no significant differences in the way in which adult cockerels metabolized energy or digested starch from the proanthocyanidin-free and proanthocyanidin-rich varieties (0.780, 0.908, 0.775 and 0.918 respectively). When beans were fed, however, both energy metabolizability and starch digestibility decreased due to the presence of hulls, with proanthocyanidin-rich hulls decreasing values the most to 0.660 and 0.819 respectively, and proanthocyanidin-free hulls decreasing values to a lesser extent to 0.709 and 0.886 respectively. Diets composed of proanthocyanidin-rich hulls depressed metabolizable energy and maize starch digestibility. Their effect on maize starch digestibility, however, was considerably less than that on bean starch. Lipid digestibility was enhanced by proanthocyanidins but only when the protein content of the diet was high. There was a significant correlation (P < 0.05) between the vanillin and anthocyanidin formation methods for the estimation of proanthocyanidins (r 0.779). There was also a highly significant regression of bean starch digestibility v. proanthocyanidin content of coloured-flowered bean hulls (P < 0.001). The regression of maize starch digestibility v. hull proanthocyanidins was also significant at P < 0.005.


Assuntos
Fenômenos Fisiológicos da Nutrição Animal , Antocianinas/farmacologia , Galinhas/fisiologia , Proteínas Alimentares/farmacologia , Fabaceae , Plantas Medicinais , Proantocianidinas , Animais , Digestão/efeitos dos fármacos , Metabolismo Energético/efeitos dos fármacos , Metabolismo dos Lipídeos , Masculino , Amido/metabolismo , Zea mays
20.
Nutr Res Rev ; 5(1): 45-60, 1992 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-19094312
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