O objetivo desse trabalho foi verificar os efeitos de choques elétricos, controláveis e incontroláveis, sobre o aumento temporário do consumo e preferência por álcool após um período de abstinência, efeito denominado Alcohol Deprivation Effect (ADE). Buscou ainda verificar se uma história de ingestão e privação de álcool pode afetar a aprendizagem de fuga, e, em direção oposta, se a exposição a uma contingência de fuga pode modificar o padrão inicial de consumo e preferência alcoólica. Vinte e quatro ratos foram treinados a consumir álcool em um esquema de livre escolha entre água e uma solução alcoólica (10%). Posteriormente foram colocados em privação de álcool por quatro dias, sendo que no último dia, eles receberam tratamento com choques controláveis (contingência de fuga), incontroláveis, ou nenhum choque (n=8 cada). Outros seis sujeitos não expostos previamente ao consumo de álcool foram submetidos à contingência de fuga. Após o tratamento, todos os animais tiveram livre acesso à solução alcoólica. Os resultados mostraram que: (1) o tratamento durante a privação com choques incontroláveis, mas não com choques controláveis, produziu um aumento significante na preferência por álcool, (2) a ingestão de álcool, seguido por três dias de privação, não interferiu na aprendizagem de fuga, e (3) a experiência prévia com uma contingência de fuga aumentou o consumo e a preferência inicial por álcool comparado com sujeitos ingênuos. Esses resultados são discutidos em termos da influência de diferentes histórias com estímulos aversivos sobre a auto-administração de álcool. / The objective of this study was to evaluate the effects of controllable and uncontrollable electric shocks on the temporary increase of alcohol consumption and preference after a period of abstinence, which is termed as Alcohol Deprivation Effect (ADE). It was also sought to determine whether a history of alcohol intake and deprivation could interfere with escape learning and, on opposite direction, if the exposure to an escape contingency could modify the initial pattern of alcohol consumption and preference. Twenty four rats were trained to consume alcohol in a period of free choice between water and an alcohol solution (10%) followed by alcohol deprivation for four days. The animals were exposed to controllable (escape contingency), uncontrollable or no shocks (each group, n = 8) on the fourth day. Another six subjects not previously exposed to alcohol were submitted to escape contingency. All animals had free access to the alcohol solution after treatment. The results revealed that (1) treatment during deprivation with uncontrollable, but not controllable, shocks produced a significant increase in preference for alcohol, (2) the alcohol intake, followed by three days of deprivation, did not interfere with escape learning and, (3) compared to naive subjects, previous experience with escape contingency has increased the initial consumption and preference for alcohol. These results are discussed in terms of the influence of different histories of exposure to aversive stimuli on alcohol self-administration.

Uma função autonômica adequada é essencial para a manutenção da estabilidade hemodinâmica durante a hemorragia. Diversos estudos tem demonstrado que a análise da variabilidade da frequência cardíaca (VFC) é uma técnica não-invasiva promissora para avaliação da modulação autonômica no trauma, mostrando haver uma associação entre a VFC e desfecho clínico. O objetivo deste estudo foi avaliar a VFC durante o choque hemorrágico e reposição volêmica, comparando a variáveis hemodinâmicas e metabólicas tradicionais. Vinte porcos anestesiados e ventilados mecanicamente foram submetidos ao choque hemorrágico (60% da volemia estimada) e avaliados durante 60 minutos sem reposição volêmica. Os animais sobreviventes foram tratados com solução de Ringer lactato e avaliados por mais 180 minutos. Medidas de VFC (no domínio do tempo e da frequência) e variáveis hemodinâmicas e metabólicas foram comparados entre animais sobreviventes e não sobreviventes. Sete dos 20 animais morreram durante o choque hemorrágico e reposição volêmica inicial. Todos os animais apresentaram diminuição do intervalo RR e aumento das medidas de VFC no domínio do tempo durante a hemorragia, sendo restaurados os valores basais após reposição volêmica. Embora não significante estatisticamente, foram observados diminuição de LF e LF/HF durante os estágios iniciais de sangramento, recuperação dos valores basais durante a manutenção do choque hemorrágico e aumento após reposição volêmica. Os animais não sobreviventes apresentaram valores significativamente menores de pressão arterial média (43 ± 7 vs 57 ± 9) e índice cardíaco (1,7 ± 0,2 vs 2,6 ± 0,5) e valores maiores de lactato (7,2 ± 2,4 vs 3,7 ± 1,4), excesso de base (-6,8 ± 3,3 vs -2,3 ± 2,8) e potássio sérico (5,3 ± 0,6 vs 4,2 ± 0,3), trinta minutos após indução do choque hemorrágico. Concluímos que as medidas de VFC não foram capazes de discriminar sobreviventes e não-sobreviventes durante choque hemorrágico. As variáveis metabólicas e hemodinâmicas foram melhores em refletir a gravidade do choque hemorrágico do que as medidas de VFC / An adequate autonomic function is essential for maintaining the hemodynamic stability during hemorrhage. The analysis of heart rate variability (HRV) has been shown as a promising non-invasive technique for assessing the cardiac autonomic modulation in trauma, and several studies have demonstrated the association between HRV and clinical outcome. The aim of this study was to evaluate HRV during hemorrhagic shock and fluid resuscitation, comparing to traditional hemodynamic and metabolic parameters. Twenty anesthetized and mechanically ventilated pigs were submitted to hemorrhagic shock (60% of estimated blood volume) and evaluated for 60 minutes without fluid replacement. Surviving animals were treated with Ringer solution and evaluated for an additional period of 180 minutes. HRV metrics (time domain and frequency domain) as well as hemodynamic and metabolic parameters were evaluated in survivors and non-survivors animals. Seven of the 20 animals died during hemorrhage and initial fluid resuscitation. All animals presented an increase in time-domain HRV measures during haemorrhage and fluid resuscitation restored baseline values. Although not significantly, normalized low-frequency and LF/HF ratio decreased during early stages of haemorrhage, recovering baseline values later during hemorrhagic shock and increased after fluid resuscitation. Non-surviving animals presented significantly lower mean arterial pressure (43 ± 7 vs 57 ± 9) and cardiac index (1.7 ± 0.2 vs 2.6 ± 0.5) and higher levels of plasma lactate (7.2 ± 2.4 vs 3.7 ± 1.4), base excess (-6.8 ± 3.3 vs -2.3±2.8) and potassium (5.3 ± 0.6 vs 4.2 ± 0.3), 30 minutes after hemorrhagic shock compared to surviving animals. Conclusions: The HRV metrics were not able to discriminate survivors from non-survivors during hemorrhagic shock. Moreover, metabolic and hemodynamic variables were more reliable to reflect hemorrhagic shock severity than HRV metrics

INTRODUÇÃO: Diferentes parâmetros hemodinâmicos, incluindo os indicadores estáticos de pré-carga cardíaca como o índice de volume diastólico final ventrículo direito (IVDFVD) e parâmetros dinâmicos como a variação de pressão de pulso (VPP) têm sido usados na tomada de decisão para considerar o processo da expansão volêmica em pacientes em estado grave. O objetivo deste estudo foi comparar a reanimação por fluidos guiados tanto por VPP ou IVDFVD após choque hemorrágico induzido experimentalmente. MÉTODO: vinte e seis suínos anestesiados e ventilados mecanicamente foram alocados em três grupos: controle (Grupo I), VPP (Grupo II) e IVDFVD (Grupo III). Foi induzido choque hemorrágico por retirada de sangue até atingir a pressão arterial média de 40mmhg, que foi mantida por 60 minutos. Parâmetros foram medidos no tempo basal (B), no tempo do choque (Choque 0), sessenta minutos depois do choque (Choque 60), imediatamente depois da ressuscitação com hidroxietilamido 6% (130/0. 4) (R0), uma hora (R60) e duas horas (R120) depois ressuscitação. Os pontos de avaliação da reanimação por fluidos foram determinados pelo retorno aos valores basais iniciais de VPP e IVDFVD. A análise estatística dos dados foi baseada em ANOVA para medidas repetidas seguidos pelo teste de Bonferroni (P<0.05%). RESULTADOS: O volume e tempo para ressuscitação foram maiores no grupo III do que no grupo II (Grupo III = 1305±331ml e Grupo II = 965±245ml; p<0.05 e Grupo III = 24.8± 4.7min e Grupo II = 8.8 ± 1.3 min, p<0.01, respectivamente). Todos os parâmetros estáticos e dinâmicos, bem como os biomarcadores de oxigenação tecidual foram afetados pelo choque hemorrágico e quase todos os parâmetros foram totalmente restaurados após a reanimação em ambos os grupos. CONCLUSÃO: Neste estudo em modelo de choque hemorrágico, a reanimação guiada pelo VPP utilizou menor quantidade de fluido e menor quantidade de tempo do que quando guiado por IVDFVD derivado de cateter de artéria pulmonar. / INTRODUCTION: Different hemodynamic parameters, including static indicators of cardiac preload as right ventricular end-diastolic volume index (RVEDVI) and dynamic parameters as pulse pressure variation (PPV) have been used in the decision-making process regarding volume expansion in critically ill patients. The objective of this study was to compare fluid resuscitation guided by either PPV or RVEDVI after experimentally-induced hemorrhagic shock. METHODS: 26 anesthetized and mechanically ventilated pigs were allocated into control (Group-I), PPV (Group-II) and RVEDVI (Group- III). Hemorrhagic shock was induced by blood withdrawal to target mean arterial pressure of 40mmHg, maintained for 60 minutes. Parameters were measured at baseline, time of shock, sixty minutes after shock, immediately after resuscitation with hydroxyethyl starch 6% (130/0.4), one hour and two hours thereafter. The endpoint of fluid resuscitation was determined as the baseline values of PPV and RVEDVI. Statistical analysis of data was based on ANOVA for repeated measures followed by the Bonferroni test (P<0.05). RESULTS: Volume and time to resuscitation were higher in Group-III than in Group-II (Group-III = 1305±331ml and Group-II = 965±245ml; p<0.05 and Group-IIII = 24.8±4.7min and Group-II = 8.8±1.3 min, p<0.05, respectively). All static and dynamic parameters and biomarkers of tissue oxygenation were affected by hemorrhagic shock and nearly all parameters were restored after resuscitation in both groups. CONCLUSION: In the proposed model of hemorrhagic shock, resuscitation to the established endpoints was achieved within a smaller amount of time and with less volume when guided by PPV than when guided by pulmonary artery catheter-derived RVEDVI.

Xie Chunjing. / Thesis (M.Phil.)--Chinese University of Hong Kong, 2004. / Includes bibliographical references (leaves 65-71). / Abstracts in English and Chinese. / Acknowledgments --- p.i / Abstract --- p.ii / Introduction --- p.3 / Chapter 1 --- Stability of Shock Waves in Viscous Conservation Laws --- p.10 / Chapter 1.1 --- Cauchy Problem for Scalar Viscous Conservation Laws and Viscous Shock Profiles --- p.10 / Chapter 1.2 --- Stability of Shock Waves by Energy Method --- p.15 / Chapter 1.3 --- Nonlinear Stability of Shock Waves by Spectrum Anal- ysis --- p.20 / Chapter 1.4 --- L1 Stability of Shock Waves in Scalar Viscous Con- servation Laws --- p.26 / Chapter 2 --- Propagation of a Viscous Shock in Bounded Domain and Half Space --- p.35 / Chapter 2.1 --- Slow Motion of a Viscous Shock in Bounded Domain --- p.36 / Chapter 2.1.1 --- Steady Problem and Projection Method --- p.36 / Chapter 2.1.2 --- Projection Method for Time-Dependent Prob- lem --- p.40 / Chapter 2.1.3 --- Super-Sensitivity of Boundary Conditions --- p.43 / Chapter 2.1.4 --- WKB Transformation Method --- p.45 / Chapter 2.2 --- Propagation of a Stationary Shock in Half Space --- p.50 / Chapter 2.2.1 --- Asymptotic Analysis --- p.50 / Chapter 2.2.2 --- Pointwise Estimate --- p.51 / Chapter 3 --- Nonlinear Stability of Viscous Transonic Flow Through a Nozzle --- p.58 / Chapter 3.1 --- Matched Asymptotic Analysis --- p.58 / Bibliography --- p.65

Zhang Hedan. / Thesis submitted in: September 2004. / Thesis (M.Phil.)--Chinese University of Hong Kong, 2005. / Includes bibliographical references (leaves 78-81). / Chapter 1 --- Introduction --- p.5 / Chapter 2 --- Convex Scalar Conservation Laws --- p.9 / Chapter 2.1 --- Cauchy Problems and Weak Solutions --- p.9 / Chapter 2.2 --- Rankine-Hugoniot Condition --- p.11 / Chapter 2.3 --- Entropy Condition --- p.13 / Chapter 2.4 --- Uniqueness of Weak Solution --- p.15 / Chapter 2.5 --- Riemann Problems --- p.17 / Chapter 3 --- General Scalar Conservation Laws --- p.21 / Chapter 3.1 --- Entropy-Entropy Flux Pairs --- p.21 / Chapter 3.2 --- Admissibility Conditions --- p.22 / Chapter 3.3 --- Kruzkov Theory --- p.23 / Chapter 4 --- Elementary waves and Riemann Problems for Nonconvex Scalar Conservation Laws --- p.35 / Chapter 4.1 --- Basic Facts --- p.35 / Chapter 4.2 --- Riemann Solutions --- p.36 / Chapter 5 --- Asymptotic Behavior --- p.46 / Chapter 5.1 --- Periodic Asymptotic Behavior --- p.46 / Chapter 5.2 --- Asymptotic Behavior of Convex Conservation Law --- p.49 / Chapter 5.3 --- Asymptotic Behavior of Non-convex case --- p.52 / Chapter 5.3.1 --- L∞ Behavior --- p.53 / Chapter 5.3.2 --- Wave-Interactions and Asymptotic Behavior Toward Shock Waves --- p.55 / Bibliography --- p.78

This thesis presents a combined numerical and experimental study on the response of kidney cells to shock waves. The motivation was to develop a mechanistic model of cell deformation in order to improve the clinical use of shock waves, by either enhancing their therapeutic action against target cells or minimising their impact on healthy cells. An ultra-high speed camera was used to visualise individual cells, embedded in tissue-mimicking gel, in order to measure their deformation when subject to a shock wave from a clinical shock wave source. Advanced image processing was employed to extract the contour of the cell from the images. The evolution of the observed cell contour revealed a relatively small deformation during the compressional phase and a much larger deformation during the tensile phases of a shock wave. The experimental observations were captured by a numerical model which describes the volumetric cell response with a bilinear Equation of State and the deviatoric cell response with a viscoelastic framework. Experiments using human kidney cancer cells (CAKI-2) and noncancerous kidney cells (HRE and HK-2) were compared to the model in order to determine their mechanical properties. The differences between cancerous and noncancerous cells were exploited to demonstrate a design process by which shock waves may be able to improve the specificity on targeted cancer cells while having minimal effect on normal cells. The cell response to shock waves was studied in a more biophysically realistic environment to include influence of cell size, shape and orientation, and the presence of neighbouring cells. The most significant difference was predicted when cells were in a cluster in which case the presence of neighbouring cells resulted in a four-fold increase on the von Mises stress and the membrane strain. Finally the numerical model was extended to capture the effect of cell damage using one of two paradigms. In the first paradigm the model captured microdamage during one shock wave but then assumed that the cell recovered by the time the next shock wave arrived. The second model allowed microdamage to accumulate with increasing number of shock waves. These models may be able to explain the strong effect that shock wave loading rate has on tissue damage. In conclusion a validated numerical model has been developed which provides a mechanistic understanding of how cells respond to shock waves. The model has application in suggesting improved strategies for current uses of shock waves, e.g., lithotripsy, as well as opening up new indications such as cancer treatment.

Also, the branchial hsp70 levels in fish following chronic salinity acclimation and abrupt hypo-osmotic exposure to 6 ppt were assessed by Western blotting. Upon chronic salinity acclimation, the lowest branchial hsp70 level was found in fish cultured in an iso-osmotic salinity of 12 ppt and the highest was in 50 ppt and 6 ppt environments. Freshwater acclimation resulted in return to lower hsp70 level. The results indicated that iso-osmotic salinity would bring about the least stress level while 50 ppt and 6 ppt were the most stressful salinities to Sparus sarba as indicated by using hsp70 expression as a biomarker of stress. Compared to 50 ppt and 6 ppt, the stress level of fish in fresh water was lower. On the other hand, Sparus sarba exhibited a significant increase in branchial hsp70 level immediately after abrupt hypo-osmotic exposure to 6 ppt when compared with seawater fish sampled at the same time point and increased hsp70 level was sustained throughout the sampling period, indicating the exposure was stressful to the fish. / In the present study, pituitary and serum levels of prolactin in a marine teleost, Sparus sarba, chronically acclimated to various salinities: fresh water (0 ppt), hypo-osmotic (6 ppt), iso-osmotic (12 ppt), normal seawater (33 ppt) and hypersaline (50 ppt) or abruptly exposed to a hypo-osmotic environment of 6 ppt were quantified by the developed peptide-based indirect ELISAs. Progressive increases in pituitary and serum prolactin were found as chronic salinity acclimation progressed from seawater to fresh water. Also, prolactin secretion was immediately induced by abrupt hypo-osmotic exposure to 6 ppt and remained significantly elevated up to 5 days post-exposure to 6 ppt. The results underline the importance of prolactin in marine teleosts kept in fresh water or waters of low salinity. However, there was no significant difference in pituitary prolactin during the course of the abrupt hypo-osmotic exposure experiment. The results may indicate that prolactin might be secreted rapidly from pituitary in large quantities to cope with abrupt exposure to a low-salinity environment. / In the present study, the effects of pharmacological drugs on prolactin levels in pituitary and serum of Sparus sarba were investigated. An increase in prolactin synthesis and release but a decrease in branchial hsp70 expression were found after treatment with sulpiride, a DA-D2 receptor antagonist. In contrast, a reduction in prolactin levels in pituitary and serum but an elevation in hsp70 level in gill were observed following administration of bromocriptine, a DA-D2 receptor agonist. Since hsp70 expression indicates the stress levels, the results of these studies supported the notion that increased prolactin synthesis and release might be related to a reduced stress state and prolactin might have a protective effect on stress tolerance in fish. / Lastly, the role of prolactin in regulating apoptosis in Sparus sarba branchial cells was examined. Successful induction of apoptosis was indicated by an increase in the apoptotic parameter caspase-3 activity in primary cultures of Sparus sarba branchial cells treated with camptothecin, a specific inducer of apoptosis. In this study, prolactin was shown to be anti-apoptotic in Sparus sarba branchial cells as co-treatment with ovine prolactin (oPRL) and camptothecin has been observed to attenuate the elevated caspase-3 activity in gill cell primary cultures. Also, prolactin was found to protect the branchial cells from apoptosis by maintaining the hsp70 level in the cells treated with camptothecin. / The objectives of the present study were to investigate the roles of prolactin in salinity adaptation, hsp70 expression and apoptosis in silver sea bream (Spaurs sarba). Firstly, specific peptide-based indirect ELISAs were developed for pituitary and serum prolactin of Sparus sarba. These assays had been validated by parallelism between the dilution response curves using serially diluted pituitary homogenate and serum sample with the standard curves of the synthetic peptide derived from the amino acid sequence of black sea bream (Acanthopagrus schlegelii ) prolactin. / Ng, Ho Yuen Andus. / "September 2007." / Adviser: N. Y. S. Woo. / Source: Dissertation Abstracts International, Volume: 69-08, Section: B, page: 4567. / Thesis (Ph.D.)--Chinese University of Hong Kong, 2007. / Includes bibliographical references (p. 143-189). / Electronic reproduction. Hong Kong : Chinese University of Hong Kong, [2012] System requirements: Adobe Acrobat Reader. Available via World Wide Web. / Electronic reproduction. [Ann Arbor, MI] : ProQuest Information and Learning, [200-] System requirements: Adobe Acrobat Reader. Available via World Wide Web. / Abstracts in English and Chinese. / School code: 1307.

Conclusion This series of investigations demonstrated how we can apply our knowledge to improve the treatment outcome of ESWL. Based on clinical information, such as age, suitable candidates for ESWL can be identified, and hence better application of ESWL can be achieved. With an understanding of the benefits and limitations of imaging (NCCT and intravenous urography), treatment success can be predicted, and better treatment plans for patients can be formulated. A policy of more liberal use of analgesia during ESWL can also help to improve the treatment outcomes of patients. Finally, with the use of different assessment methods, the true impact of various new technologies or treatment protocols can be assessed, and the results can lead to better understanding of ESWL and also improvement in the treatment outcomes. / Materials and Methods In a retrospective review of treatment information of 2192 patients, the effect of age on stone-free rates after ESWL was assessed. Next, in a prospective study, the role of stone parameter, measured using non-contrast computerized tomography (NCCT), in predicting the treatment outcomes of upper ureteric stones was examined. The general applicability of caliceal pelvic height (CPH) in determining the treatment outcomes for lower caliceal stones for three different lithotriptors was assessed in the third study. In another retrospective comparative study, the effect on treatment outcomes of additional usage of intravenous analgesic during ESWL, as compared to oral analgesic premedication alone, was analyzed. Finally, the feasibility of the use of two statistical methods, logistic regression and matched-pair analysis, in comparing the treatment results of different lithotriptors was investigated. / Objectives Despite the initial success of extracorporeal shock wave lithotripsy (ESWL), the performance of the contemporary machines has never been as good as that of the first-generation machine. Therefore, a series of studies was conducted to advance the current knowledge of ESWL and investigate possible ways to further optimize the treatment outcomes. / Results We found that the stone-free rate after ESWL for older patients with renal stones, but not for those with ureteric stones, was significantly lower than that of younger patients. Stone parameters measured using NCCT, namely, mean stone density, stone volume, and skin-to-stone distance, were significant predictive factors for successful ESWL for upper ureteric stones. However, caliceal pelvic height, measured by intravenous urography, was a significant predictor of treatment outcomes of lower caliceal stones for only the Piezolith 2300 lithotriptor, and not the other two types of lithotriptors. The additional usage of intravenous analgesic improved the effectiveness quotient and hence treatment outcomes of ESWL. Finally, both logistic regression and matched-pair analysis were found to be feasible approaches for the comparison of the performance of different lithotriptors. / Chi-Fai Ng. / Source: Dissertation Abstracts International, Volume: 73-02, Section: B, page: . / Thesis (M.D.)--Chinese University of Hong Kong, 2010. / Includes bibliographical references (leaves 224-243). / Electronic reproduction. Hong Kong : Chinese University of Hong Kong, [2012] System requirements: Adobe Acrobat Reader. Available via World Wide Web. / Electronic reproduction. [Ann Arbor, MI] : ProQuest Information and Learning, [201-] System requirements: Adobe Acrobat Reader. Available via World Wide Web.

First, we investigate the steady Euler flows through a general 3-D axially symmetric infinitely long nozzles without irrotationality. Global existence and uniqueness of subsonic solution are established, when the variation of Bernoulli's function in the upstream is sufficiently small and mass flux has an upper critical value. / Second, we concerns the following transonic shock phenomena in a class of de Laval nozzles with porous medium posed by Courant-Friedrichs: Given a appropriately large receiver pressure pr, if the upstream flow is still supersonic behind the throat of the nozzle, then at a certain place in the diverging part of the nozzle a shock front intervenes and the gas is compressed and slowed down to subsonic speed. The position and the strength of the shock front are automatically adjusted so that the end pressure at the exit becomes pr. We investigate this problem for the full Euler equations, the stability of the transonic shock is proved when the upstream supersonic flow is a small steady perturbation of the uniform supersonic flow and the corresponding pressure at the exit has a small perturbation. / Duan, Ben. / Adviser: Zhouping Xin. / Source: Dissertation Abstracts International, Volume: 73-01, Section: B, page: . / Thesis (Ph.D.)--Chinese University of Hong Kong, 2010. / Includes bibliographical references (leaves 125-137). / Electronic reproduction. Hong Kong : Chinese University of Hong Kong, [2012] System requirements: Adobe Acrobat Reader. Available via World Wide Web. / Electronic reproduction. [Ann Arbor, MI] : ProQuest Information and Learning, [201-] System requirements: Adobe Acrobat Reader. Available via World Wide Web. / Abstract also in Chinese.

Ye Mao. / "May 2002." / Thesis (Ph.D.)--Chinese University of Hong Kong, 2002. / Includes bibliographical references (p. 116-123). / Electronic reproduction. Hong Kong : Chinese University of Hong Kong, [2012] System requirements: Adobe Acrobat Reader. Available via World Wide Web. / Mode of access: World Wide Web. / Abstracts in English and Chinese.