RESUMO
The aim of this study was to determine effects of parity (primiparous vs. multiparous), seasonal heat stress at calving (summer vs. winter), and time postpartum on some parameters associated with colostrum quality in Holstein cows reared in the Sonoran Desert ecosystem. Forty-seven cows (11 primiparous and 36 multiparous) expected to calve during summer, and 46 cows during winter (14 primiparous and 32 multiparous) were randomly selected. Management and feeding before and after parturition were similar for cows in both seasons. After parturition, colostrum from all cows was evaluated for volume, weight, temperature, density, and content of fat, protein, solids non-fat (SNF), and immunoglobulins (IGG). Data were analyzed with a model that included effects of parity status, calving season, and time postpartum, as well as all interactions. Colostrum produced in summer was warmer (P < 0.01) by almost 6 °C than winter colostrum, while colostrum from multiparous was warmer (P = 0.02) by 1.2 °C than that produced by primiparous cows. Colostrum volume and weight were not impacted by parity, calving season or time postpartum. Density, protein, and SNF content in colostrum were higher (P < 0.01) in multiparous vs. primiparous cows, as well as at parturition (0 h postpartum) than at 12 h postpartum (P < 0.01). At calving (0 h), spring colostrum had higher fat content (P < 0.01) and lower (P < 0.01) IGG concentration than that collected in summer, and no difference (P > 0.05) between seasons was observed for these components at 12 h postpartum. Multiparous cows produced colostrum with higher (P < 0.01) IGG concentrations than primiparous cows. In conclusion, only 0-h colostrum and that from multiparous cows was categorized as "Excellent," meanwhile the colostrum produced under summer heat stress was characterized as "Good" with reduced fat content. While the lacteal secretion collected at 12 post-partum still classified as colostrum, substantially lower contents of IGG, protein, fat, and SNF decreased its classification to "Poor" from the classification of "Excellent" at 0 h postpartum.
Assuntos
Colostro , Lactação , Gravidez , Feminino , Humanos , Bovinos , Animais , Estações do Ano , Leite , Ecossistema , Período Pós-Parto , Imunoglobulina GRESUMO
Rectal temperature (RT) is the foremost physiological variable indicating if an animal is suffering hyperthermia. However, this variable is traditionally measured by invasive methods, which may compromise animal welfare. Models to predict RT have been developed for growing pigs and lactating dairy cows, but not for pregnant heat-stressed ewes. Our aim was to develop a prediction equation for RT using non-invasive physiological variables in pregnant ewes under heat stress. A total of 192 records of respiratory frequency (RF) and hair coat temperature in various body regions (i.e., head, rump, flank, shoulder, and belly) obtained from 24 Katahdin × Pelibuey pregnant multiparous ewes were collected during the last third of gestation (i.e., d 100 to lambing) with a 15 d sampling interval. Hair coat temperatures were taken using infrared thermal imaging technology. Initially, a Pearson correlation analysis examined the relationship among variables, and then multiple linear regression analysis was used to develop the prediction equations. All predictor variables were positively correlated (P<0.01; r=0.59-0.67) with RT. The adjusted equation which best predicted RT (P<0.01; Radj(2)=56.15%; CV=0.65%) included as predictors RF and head and belly temperatures. Comparison of predicted and observed values for RT indicates a suitable agreement (P<0.01) between them with moderate accuracy (Radj(2)=56.15%) when RT was calculated with the adjusted equation. In general, the final equation does not violate any assumption of multiple regression analysis. The RT in heat-stressed pregnant ewes can be predicted with an adequate accuracy using non-invasive physiologic variables, and the final equation was: RT=35.57+0.004 (RF)+0.067 (heat temperature)+0.028 (belly temperature).
Assuntos
Temperatura Corporal , Resposta ao Choque Térmico , Modelos Biológicos , Reto/fisiologia , Termografia/métodos , Animais , Feminino , Cabelo , Temperatura Alta , Gravidez , Ovinos , Termografia/veterináriaRESUMO
Heat stress generates a significant economic impact for the dairy industry in arid and semi-arid regions of the world, so that heat abatement is an important issue for dairy producers. The objective of this study was to evaluate effects of two short-term cooling periods on physiological and productive status of lactating Holstein cows during hot ambient temperatures. Thirty-nine multiparous cows were blocked by milk yield and assigned to one of three treatments including: control group (C), cows cooled before milking time (0500 and 1700 h daily, 1 h cooling); AM group, cows cooled at 1000 h and before milking (2 h cooling); and AM + PM group, cows cooled at 1100, 1500 and 2200 h, as well as before milking (4 h cooling). The cooling system was placed in the holding pen which the cows were moved through for cooling. Respiratory rate, and temperatures of thurl and right flank, were lower (P < 0.05) in cows from the AM + PM group than AM and C cows during the morning and afternoon. However, udder temperature was higher in the AM + PM group compared to AM and C groups during the afternoon, although lower than the AM group during the morning. Rectal temperature was similar in all groups. Thyroxin concentrations tended (P < 0.10) to be lower in AM + PM relative to the AM and C groups. The AM + PM group had higher (P < 0.05) milk production than C (18.70 vs. 17.43 kg, respectively), and AM + PM cows had a trend (P < 0.10) to increased milk energy output vs. the C and AM groups (13.75 vs. 13.18 and 13.15 Mcal, respectively). Protein and fat in milk, body condition score, glucose, cholesterol, triglycerides and triiodothyronine were similar among the groups. Four hours of cooling with spray and fans during severe summer temperatures only modestly improved milk yield of lactating Holstein cows.
Assuntos
Bovinos/fisiologia , Resposta ao Choque Térmico/fisiologia , Lactação/fisiologia , Animais , Temperatura Corporal , Clima Desértico , Feminino , Lipídeos/análise , México , Leite/química , Proteínas do Leite/análise , Taxa Respiratória , Estações do Ano , Temperatura , Tiroxina/sangueRESUMO
AIM: To determine the prevalence of dental and oral lesions, as well as treatment need, in a group of HIV sero-positive Brazilians. In addition, to test the association between oral manifestation of HIV infection and age, sex, mode of transmission and drug therapy. METHOD: All HIV seropositive patients attending a dedicated dental clinic in Recife were invited to participate in the study. They were all examined by one trained and calibrated examiner and interviewed by one trained interviewer. RESULTS: 161 of 204 patients (78.9%) agreed to participate in this study. Most of the participants were male (76%), had acquired HIV sexually (74.5%), and were taking some form of antiretroviral therapy (70.8%). 33.5% had one or more oral manifestation of HIV. Candidiasis was the most common (28.6%), followed by hairy leukoplakia (9.3%), Kaposi sarcoma (2.5%), ulceration (2.5%), herpes simplex (1.2%), papiloma (0.6%), and 4.4% had periodontal disease. Only 1.2% reported xerostomia. There were no differences in the prevalence of oral manifestations of HIV infection between age groups, sexes, modes of transmission and types of drug therapy (P>0.05). The mean DMF-T score was 19 (SD 8) and 78.9% needed some form of dental treatment. CONCLUSIONS: While the prevalence of oral manifestations of HIV/AIDS was low in this sample of HIV seropositive Brazilians, dental status was poor and need for dental treatment was high.
Assuntos
Infecções por HIV/complicações , Doenças da Boca/complicações , Doenças Dentárias/complicações , Adulto , Fatores Etários , Fármacos Anti-HIV/uso terapêutico , Brasil , Candidíase Bucal/complicações , Índice CPO , Feminino , Infecções por HIV/tratamento farmacológico , Infecções por HIV/transmissão , Soropositividade para HIV/complicações , Humanos , Leucoplasia Pilosa/complicações , Masculino , Pessoa de Meia-Idade , Neoplasias Bucais/complicações , Avaliação das Necessidades , Úlceras Orais/complicações , Papiloma/complicações , Doenças Periodontais/complicações , Sarcoma de Kaposi/complicações , Fatores Sexuais , Estomatite Herpética/complicaçõesRESUMO
OBJECTIVE: Our objective was to determine whether long-term treatment of young patients with cystic fibrosis (CF) with dornase alfa maintains lung function and reduces respiratory tract exacerbations. STUDY DESIGN: This was a 96-week, randomized, double-blind, placebo-controlled trial involving 49 CF centers. Inclusion criteria were age 6 to 10 years and forced vital capacity > or = 85% predicted. Patients were excluded for hospitalization for complications of CF within 2 months and use of dornase alfa within 6 months. Patients were treated with dornase alfa 2.5 mg or placebo once daily with a jet nebulizer and a compressor. RESULTS: Patients were randomized, 239 to dornase alfa and 235 to placebo. At baseline the mean age was 8.4 years, the mean forced expiratory volume in 1 second 95% predicted, the mean forced expiratory flow, midexpiratory phase 85% predicted, and the mean forced vital capacity 102% predicted. At 96 weeks the treatment benefit for dornase alfa compared with placebo in percent predicted (mean +/- SE) was 3.2 +/- 1.2 for forced expiratory volume in 1 second (P =.006), 7.9 +/- 2.3 for forced expiratory flow between 25% and 75% of vital capacity (P =.0008), and 0.7 +/- 1.0 for forced vital capacity (P =.51). The risk of respiratory tract exacerbation was reduced by 34% in patients who received dornase alfa (relative risk 0.66, P =.048). There was no statistically significant difference between the groups in changes in weight-for-age percentile. Adverse event profiles for the treatment groups were similar. CONCLUSIONS: Treatment of young patients with CF with dornase alfa maintains lung function and reduces the risk of exacerbations over a 96-week period.
Assuntos
Fibrose Cística/tratamento farmacológico , Desoxirribonuclease I/uso terapêutico , Expectorantes/uso terapêutico , Pneumopatias/congênito , Pneumopatias/tratamento farmacológico , Pulmão/anormalidades , Proteínas Recombinantes/uso terapêutico , Fatores Etários , Peso Corporal/efeitos dos fármacos , Peso Corporal/fisiologia , Criança , Fibrose Cística/complicações , Fibrose Cística/fisiopatologia , Desoxirribonuclease I/administração & dosagem , Método Duplo-Cego , Expectorantes/administração & dosagem , Feminino , Humanos , Pulmão/efeitos dos fármacos , Pulmão/fisiopatologia , Pneumopatias/etiologia , Masculino , Proteínas Recombinantes/administração & dosagem , Testes de Função Respiratória , Sistema Respiratório/efeitos dos fármacos , Sistema Respiratório/fisiopatologia , Fatores de Tempo , Resultado do TratamentoRESUMO
INTRODUCTION: Multidisciplinary team interaction has become a commonplace phrase in the discussion of disaster response. Theme 6 explored multidisciplinary team interactions and attempted to identify some of the key issues and possible solutions to the seemingly intractable problems inherent in this endeavour. METHODS: Details of the methods used are provided in the introductory paper. The Cochairs moderated all presentations and produced a summary that was presented to an assembly of all of the delegates. The Cochairs then presided over a workshop that resulted in the generation of a set of Action Plans that then were reported to the collective group of all delegates. RESULTS: Main points developed during the presentations and discussion included: (1) promotion of multidisciplinary collaboration, (2) standardization, (3) the Incident Command System, (4) professionalism, (5) regional disparities, and (6) psychosocial impact. DISCUSSION: Action plans recommended: (1) a standardized template for Needs Assessment be developed, implemented, and applied using collaboration with international organizations, focusing on needs and criteria appropriate to each type of event, and (2) team needs assessments be recognized for local responses and for determination of when international assistance may be required, for planning a command system, and for evaluating the psychosocial impact. CONCLUSIONS: There is a clear need for the development of standardized methods for the assessment of needs, development and implementation of a command structure, and for appreciation of regional differences and the psychosocial impact of all interventions.
Assuntos
Comportamento Cooperativo , Planejamento em Desastres/organização & administração , Planejamento em Saúde/organização & administração , Relações Interprofissionais , Equipe de Assistência ao Paciente/organização & administração , Atitude do Pessoal de Saúde , Diretrizes para o Planejamento em Saúde , Pesquisa sobre Serviços de Saúde , Humanos , Descrição de Cargo , Liderança , Avaliação das Necessidades , Competência Profissional , Desenvolvimento de Programas/métodosRESUMO
OBJECTIVE: To compare the efficacy, safety, and tolerance of fluconazole suspension versus nystatin in the treatment of oropharyngeal thrush in immunocompromised children. DESIGN: Multicenter, randomized, observer-masked trial. SETTING: Thirty-two centers participated, including hospitals and ambulatory care clinics. PATIENTS: We enrolled 182 immunocompromised infants and children, ages 5 months to 14 years, with signs of oral thrush and presence of yeasts on potassium hydroxide- or gram-stained preparations. Subjects were randomly assigned to receive a single daily dose of fluconazole suspension, 2 to 3 mg/kg per day, or nystatin, 400,000 units four times daily for 14 days; 159 patients, who had culture confirmation of thrush and received at least 7 days of study drug, were evaluated for efficacy; all patients were evaluated for safety. RESULTS: Clinical cure was demonstrated in 91% of the subjects in the fluconazole group and 51% of the subjects in the nystatin group (p < 0.001), and eradication of the organism cultured at entry occurred in 76% and 11% (p < 0.001), respectively. Gastrointestinal conditions developed in six patients who received fluconazole and in three who received nystatin; two fluconazole recipients were subsequently withdrawn from the study. Laboratory abnormalities occurred with equal frequency in both groups. Clinical relapse rates were similar in both groups at 2 weeks (18% and 24% for fluconazole and nystatin, respectively) and 1 month (28% and 27%, respectively) after the completion of study drug. CONCLUSIONS: Fluconazole suspension is more effective than nystatin in the treatment of thrush in immunocompromised children. Both regimens were well tolerated.
Assuntos
Candidíase Bucal/tratamento farmacológico , Fluconazol/administração & dosagem , Hospedeiro Imunocomprometido , Nistatina/administração & dosagem , Administração Oral , Adolescente , Candidíase Bucal/imunologia , Criança , Pré-Escolar , Método Duplo-Cego , Esquema de Medicação , Fluconazol/efeitos adversos , Fluconazol/uso terapêutico , Infecções por HIV/imunologia , Humanos , Terapia de Imunossupressão/efeitos adversos , Lactente , Neoplasias/imunologia , Nistatina/efeitos adversos , Nistatina/uso terapêutico , RecidivaRESUMO
We have examined intracellular biochemical and metabolic changes induced by antibodies specific for glycosylphosphatidylinositol (GPI)-anchored cell surface molecules. In lymphoid cells the earliest detectable responses are phosphorylation of intracellular substrates. The GPI-linked target antigens are also rapidly redistributed into patches and caps on the cell surface and then internalised. Between two and five hours later, cytokine receptors are expressed. Later, cells become metabolically active and begin to proliferate and express endogenous cytokines, thus promoting autocrine growth. Very early events, such as kinase activity, are induced by antibody binding alone and are characteristic of the cell surface molecule recognised by antibodies. Thus, the initial events in the activation cascade are critical in selecting the metabolic route. Progression down the activation cascade requires further signals such as cross-linking antibodies, exogenous cytokines, phorbol esters, or accessory cells. Once in cycle, cells no longer display evidence of their original route of activation. Activated T lymphocytes acquire resistance to cleavage by GPI-specific phospholipase C, suggesting a possible feedback mechanism to limit cell proliferation.
Assuntos
Anticorpos/fisiologia , Glicosilfosfatidilinositóis/imunologia , Glicoproteínas de Membrana/metabolismo , Linfócitos T/metabolismo , Animais , Anticorpos/metabolismo , Western Blotting , Glicosilação , Humanos , Camundongos , Fosforilação , Receptores de Citocinas/metabolismo , Transdução de Sinais , Especificidade por Substrato , Tirosina/metabolismoRESUMO
We have examined intracellular biochemical and metabolic changes induced by antibodies specific for glycosylphosphatidylinositol (GPI)-anchored cell surface molecules. In lymphoid cells the earliest detectable responses are phosphorylation of intracellular substrates. The GPI-linked target antigens are also rapidly redistributed into patches and caps on the cell surface and then internalised. Between two and five hours later, cytokine receptors are expressed. Later, cells become metabolically active and begin to proliferate and express endogenous cytokines, thus promoting autocrine growth. Very early events, such as kinase activity, are induced by antibody binding alone and are characteristic of the cell surface molecule recognised by antibodies. Thus, the initial events in the activation cascade are critical in selecting the metabolic route. Progression down the activation cascade requires further signals such as cross-linking antibodies, exogenous cytokines, phorbol esters, or accessory cells. Once in cycle, cells no longer display evidence of their original route of activation. Activated T lymphocytes acquire resitance to cleavage by GPI-specific phospholipase C, suggesting a possible feedback mechanism to limit cell proliferation
Assuntos
Animais , Camundongos , Divisão Celular , Fosfatidilinositóis/metabolismo , Glicolipídeos/metabolismo , Fosfotransferases/metabolismo , Linfócitos T/metabolismo , Transdução de Sinais , Western Blotting , Citocinas , Fosforilação , TimoRESUMO
It was found that protective immunity in excess of 90% reduction in worm burden could be stimulated against Nippostrongylus brasiliensis in rats by using an extract of adult Nippostrongylus worms. The level of protection achieved was influenced by several factors. Thus, the use of Bordetella pertussis as adjuvant significantly increased the level of protection which, in addition, was shown to be influenced by the amount of worm antigen used. Furthermore, antigen administered in multiple doses was more effective than a single inoculum and, when using such a regime, the interval between doses was also found to be critical. The route of antigen administration was important and, while protection was achieved by subcutaneous and oral administration, the intraperitoneal route was the most effective. Using the optimal immunization regime of 3 doses of 5 mg worm protein and 4 x 10(10( B. pertussis organisms, as adjuvant, levels of protective immunity in excess of 90% reduction in worm burden were shown to exist for at least 60 days after the last dose. It was found that adult worm extracts did not stimulate any obvious immunity against larval forms of N. brasiliensis.