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  • About
  • The Global ETD Search service is a free service for researchers to find electronic theses and dissertations. This service is provided by the Networked Digital Library of Theses and Dissertations.
    Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.
31

Learning gene interactions from gene expression data dynamic Bayesian networks

Sigursteinsdottir, Gudrun January 2004 (has links)
Microarray experiments generate vast amounts of data that evidently reflect many aspects of the underlying biological processes. A major challenge in computational biology is to extract, from such data, significant information and knowledge about the complex interplay between genes/proteins. An analytical approach that has recently gained much interest is reverse engineering of genetic networks. This is a very challenging approach, primarily due to the dimensionality of the gene expression data (many genes, few time points) and the potentially low information content of the data. Bayesian networks (BNs) and its extension, dynamic Bayesian networks (DBNs) are statistical machine learning approaches that have become popular for reverse engineering. In the present study, a DBN learning algorithm was applied to gene expression data produced from experiments that aimed to study the etiology of necrotizing enterocolitis (NEC), a gastrointestinal inflammatory (GI) disease that is the most common GI emergency in neonates. The data sets were particularly challenging for the DBN learning algorithm in that they contain gene expression measurements for relatively few time points, between which the sampling intervals are long. The aim of this study was, therefore, to evaluate the applicability of DBNs when learning genetic networks for the NEC disease, i.e. from the above-mentioned data sets, and use biological knowledge to assess the hypothesized gene interactions. From the results, it was concluded that the NEC gene expression data sets were not informative enough for effective derivation of genetic networks for the NEC disease with DBNs and Bayesian learning.
32

Learning gene interactions from gene expression data dynamic Bayesian networks

Sigursteinsdottir, Gudrun January 2004 (has links)
<p>Microarray experiments generate vast amounts of data that evidently reflect many aspects of the underlying biological processes. A major challenge in computational biology is to extract, from such data, significant information and knowledge about the complex interplay between genes/proteins. An analytical approach that has recently gained much interest is reverse engineering of genetic networks. This is a very challenging approach, primarily due to the dimensionality of the gene expression data (many genes, few time points) and the potentially low information content of the data. Bayesian networks (BNs) and its extension, dynamic Bayesian networks (DBNs) are statistical machine learning approaches that have become popular for reverse engineering. In the present study, a DBN learning algorithm was applied to gene expression data produced from experiments that aimed to study the etiology of necrotizing enterocolitis (NEC), a gastrointestinal inflammatory (GI) disease that is the most common GI emergency in neonates. The data sets were particularly challenging for the DBN learning algorithm in that they contain gene expression measurements for relatively few time points, between which the sampling intervals are long. The aim of this study was, therefore, to evaluate the applicability of DBNs when learning genetic networks for the NEC disease, i.e. from the above-mentioned data sets, and use biological knowledge to assess the hypothesized gene interactions. From the results, it was concluded that the NEC gene expression data sets were not informative enough for effective derivation of genetic networks for the NEC disease with DBNs and Bayesian learning.</p>
33

Vaskuläres Regenerationspotential im Muskel und endotheliale Vorläuferzellen im Blut bei Patienten mit Myositis / Vascular Regeneration Potential in Muscle and Endothelial Progenitor Cells in Blood of Patients with Myositis

Lemmer, Dana 06 June 2018 (has links)
No description available.
34

Avaliação do efeito da virginiamicina na prevenção da doença periodontal bovina: monitoramento da microbiota oral associada à doença / Evaluation of the effect of virginamycin in the prevention of bovine periodontal disease: monitoring oral microbiota associated with disease

Ramos, Thamiris Naiasha Minari 28 February 2018 (has links)
Submitted by Thamiris Naiasha Minari Ramos (thami.naiasha@gmail.com) on 2018-04-12T12:40:16Z No. of bitstreams: 1 Thamiris Ramos Dissertação correto.pdf: 1558131 bytes, checksum: 1856f8c4c71c4a0070fe9f4a1e01e888 (MD5) / Approved for entry into archive by Alexandra Maria Donadon Lusser Segali null (alexmar@fcav.unesp.br) on 2018-04-12T13:28:40Z (GMT) No. of bitstreams: 1 ramos_tnm_me_jabo.pdf: 1558131 bytes, checksum: 1856f8c4c71c4a0070fe9f4a1e01e888 (MD5) / Made available in DSpace on 2018-04-12T13:28:40Z (GMT). No. of bitstreams: 1 ramos_tnm_me_jabo.pdf: 1558131 bytes, checksum: 1856f8c4c71c4a0070fe9f4a1e01e888 (MD5) Previous issue date: 2018-02-28 / Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq) / As doenças periodontais provocam inflamações dos tecidos de proteção e sustentação dos dentes. Na gengivite e gengivite necrosante, que são percursores da periodontite, a inflamação está associada à formação do biofilme bacteriano e à resposta imune do hospedeiro. O objetivo geral do presente trabalho foi avaliar a eficácia da virginiamicina no controle da gengivite e gengivite necrosante em bezerros, com destaque para o monitoramento da microbiota subgengival associada à doença e da condição periodontal que caracterizam essas enfermidades. Dez bezerros, randomizados e distribuídos em dois grupos, foram mantidos sob o mesmo manejo em pastejo rotacionado em área recém-reformada de Panicum maximum var. Massai e Mombaça. Por 18 semanas consecutivas, um dos grupos (Grupo Virginiamicina, n=5) recebeu via top-dressing, diariamente, 340 mg de Virginiamicina, enquanto o Grupo Controle (n=5) não recebeu o produto. A avaliação clínica da cavidade bucal do Grupo Controle (n=5) e do Grupo Virginiamicina (n=5), foi realizada semanalmente, enquanto que a coleta de material para a avaliação microbiológica foi quinzenal. Na avaliação microbiológica, pela reação da cadeia da polimerase (PCR) utilizou-se os iniciadores de vinte e cinco microrganismos: Actinomyces israelii, Actinomyces naeslundii, Archae, Eikenella corrodens, Campylobacter spp., Fusobacterium nucleatum, Fusobacterium necrophorum, Mollicutes, Parvimonas micra, Porphyromonas asaccharolytica, Porphyromonas endodontalis, Porphyromonas gingivalis, Porphyromonas gulae, Prevotella buccae, Prevotella loescheii, Prevotella intermedia, Prevotella melaninogenica, Prevotela nigrescens, Prevotella oralis, Selenomonas sputigena, Tannerella forsythia, Treponema amylovorum, Treponema denticola, Treponema maltophilum e Treponema pectinovorum. Após 1440 avaliações clínicas periodontais dos dentes incisivos verificou-se que o grupo controle apresentou maior ocorrência de gengivite (n=267) e gengivite necrosante (n=58) do que os animais que receberam tratamento, tanto em relação à gengivite (n=128) quanto à gengivite necrosante (n=31). Na comparação entre as médias dos grupos, o total de dentes com gengivite (p<0,01) e gengivite necrosante (p<0,01) no Grupo Controle, foi significamente superior ao de gengivite (p<0,01) e gengivite necrosante (p<0,05) do Grupo Virginiamicina, de acordo com o teste t (p<0,05). Pela PCR, foram detectados A. israelii (4,74%), Archae (1,58%), E. corrodens (1,05%), F. nucleatum (27,37%), Mollicutes spp. (5,26%), P. endodontalis (5,26%), P. gulae (0,53%), P. buccae (6,32%), P. loescheii (3,68%), P. nigrescens (8,42%), P. oralis (1,58%), T. forsythia (0,53%) e T. denticola (4,21%) no Grupo Controle. Já no Grupo Virginiamicina: A. israelii (3,41%), Archae (0,98%), F. nucleatum (9,27%), Mollicutes sp. (4,39%), P. endodontalis (4,39%), P. gulae (0,49%), P. buccae (8,29%), P. loescheii (6,83%), P. nigrescens (15,61%), P. oralis (1,46%), S. sputigena (0,49%), T. forsythia (0,49%) e T. denticola (2,44%). Nesse contexto, é possível afirmar que os bovinos apresentaram gengivite e gengivite necrosante quando mantidos em pasto recém-reformado, que existe uma microbiota bucal com micro-organismos potencialmente patogênicos e que a virginiamicina foi eficaz no controle dessas doenças periodontais. / Periodontal diseases cause inflammation of the protective and supporting tissues of the teeth. In gingivitis and necrotizing gingivitis, which are precursors of periodontitis, inflammation is associated with the formation of the bacterial biofilm and the immune response of the host. The general objective of the present study was to evaluate the efficacy of virginiamycin in the control of gingivitis and necrotizing gingivitis in calves, with emphasis on the monitoring of the subgengival microbiota associated with the disease and the periodontal condition that characterize these diseases. Ten calves, randomized and distributed in two groups, were kept under the same management in rotational grazing in a newly reformed area of Panicum maximum var. Massai and Mombasa. For 18 consecutive weeks, one of the groups (Virginiamycin group, n = 5) received topical dressing daily 340 mg of Virginiamycin, while the control group (n = 5) received no product. The clinical evaluation of the oral cavity of the Control Group (n = 5) and the Virginiamicina Group (n = 5) was performed weekly, while the material collection for the microbiological evaluation was biweekly. In the microbiological evaluation, primers of twenty-five microorganisms were used: Actinomyces israelii, Actinomyces naeslundii, Archae, Eikenella corrodens, Campylobacter spp., Fusobacterium nucleatum, Fusobacterium necrophorum, Mollicutes, Parvimonas micra, Porphyromonas asaccharolytica, Porphyromonas endodontalis, Porphyromonas gingivalis, Porphyromonas gulae, Prevotella buccae, Prevotella loescheii, Prevotella intermedia, Prevotella melaninogenica, Prevotella nigrescens, Prevotella oralis, Selenomonas sputigena, Tannerella forsythia, Treponema amylovorum, Treponema denticola, Treponema maltophilum and Treponema pectinovorum. After 1440 periodontal clinical evaluations of the incisor teeth, it was verified that the control group presented a higher occurrence of gingivitis (n = 267) and necrotizing gingivitis (n = 58) than the animals that received treatment, both in relation to gingivitis (n = 128) and for necrotizing gingivitis (n = 31). In the comparison between group means, the total number of teeth with gingivitis (p <0,01) and necrotizing gingivitis (p <0,01) in the Control Group was significantly higher than gingivitis (p<0,01) and necrotizing gingivitis (p<0,05) of the Virginiamycin Group, according to the t-test (p=0,05). In this study, A. israelii (4,74%), Archae (1,58%), E. corrodens (1,05%), F. nucleatum (27,37%) and Mollicutes spp. (5,26%), P. buccae (6,32%), P. loescheii (3,68%), P. nigrescens (8,42%), P. endodontalis (5,26%), P. oralis (1,58%), T. forsythia (0,53%) and T. denticola (4,21%) in the Control Group. In the Virginiamicina Group: A. israelii (3,41%), Archae (0,98%), F. nucleatum (9,27%), Mollicutes sp. (4,39%), P. endodontalis (4,39), P. gulae (0,49), P. buccae (8,29), P. loescheii (6,83%), P. nigrescens (15,61%), P. oralis (1,46%), S. sputigena (0,49%), T. forsythia (0,49%) and T. denticola (2,44%). In this context, it is possible to affirm that bovine presented gingivitis and necrotizing gingivitis when kept in freshly reformed pasture, that there is a buccal microbiota with potentially pathogenic microorganisms and that virginiamycin was effective in the control of these periodontal diseases. / CNPq: 143600/2016-8 / CNPq: 130297/2018-6
35

Caracterização histológica e imuno-histoquímica da Influenza A Suina, Brasil, 2009-2010 / Histopathological and immunohistochemical characterization of swine influenza a in Brazil, 2009-2010

Watanabe, Tatiane Terumi Negrão January 2012 (has links)
A influenza suína (IS) é uma doença altamente contagiosa, de curso rápido e pronta recuperação, causada pelo vírus Influenza tipo A (VIS). Os principais sinais clínicos são tosse, febre, anorexia e baixo desenvolvimento. A doença está presente em outros países e, geralmente, está associada com outros agentes infecciosos. Porém, no Brasil, a sua primeira descrição ocorreu em 2011 e foi associada ao vírus H1N1 pandêmico (pH1N1). O principal objetivo deste estudo foi caracterizar as alterações histológicas mais importantes em casos de doença respiratória suína sugestiva de IS e estudar a associação dessas alterações com os resultados de imuno-histoquímica (IHQ) anti-vírus da influenza A (VIA), anti-circovírus suíno tipo 2 (PVC2) e anti-vírus da síndrome reprodutiva e respiratória suína (PRRSV). Para tanto, foram estudadas 60 amostras de pulmões suínos selecionadas dos materiais do arquivo do Setor de Patologia Veterinária da Universidade Federal do Rio Grande do Sul (SPV-UFRGS), de casos de doença respiratória remetidos no período de 2009 a 2010 e que apresentavam alterações histopatológicas compatíveis com pneumonia viral causada pelo VIS. Trinta e uma amostras (52%) foram provenientes do estado do Rio Grande do Sul, 14 (23%) do Paraná, 11 (18%) de Santa Catarina e quatro (7%) do Mato Grosso do Sul. A IHQ para IA confirmou a presença do agente viral em 45% das amostras analisadas. Os achados histológicos mais significativos associados à IHQ positiva para IA foram bronquiolite necrótica, atelectasia, broncopneumonia purulenta e hiperemia. Por outro lado, as alterações histológicas dos pulmões estudados mais significativamente associadas à IHQ negativa para IA foram hiperplasia dos pneumócitos tipo II, estruturas alveolares e bronquiolares similares a pólipos, hiperplasia de tecido linfoide associado a brônquios (BALT) e pleurite, que são alterações associadas a processos crônicos. Somente dois casos apresentaram marcação positiva na IHQ para PCV2 e nenhum pulmão foi positivo para PRRSV. Esses resultados sugerem que as lesões histológicas encontradas no presente estudo foram compatíveis com as causadas pelo VIS. Os casos negativos de IHQ para IA (55%) podem ser explicados pela baixa frequência do antígeno viral nos tecidos estudados. Como o curso da doença é muito rápido, o teste de IHQ é mais indicado para diagnóstico no início da infecção. Este estudo evidenciou novas alterações em amostras de pulmões de suínos com problemas respiratórios enviadas para o SPV UFRGS a partir de 2009, com ênfase para bronquiolite necrótica, e reforça a importância do estudo histopatológico dos casos de campo para auxiliar na monitoria da sanidade dos rebanhos. / Swine influenza is caused by swine influenza type A virus (SIV). It is a highly contagious disease with a rapid course and recovery. The main clinical signs are cough, fever, anorexia and poor performance. Usually, it is associated with other infectious agents in many countries; however, it has not been described yet in Brazil. The first report of pandemic H1N1 influenza A virus in Brazilian swine herd occurred in 2011. The main aim of this study was to characterize histological features in association with immunohistochemical (IHC) results for influenza A (IA), porcine circovirus type 2 (PCV2) and porcine reproductive and respiratory syndrome virus (PRRSV) from lung samples from 60 pigs with lesions suggestive of viral pneumonia and collected during the period 2009-2010 and diagnosed at the Setor de Patologia Veterinária of Universidade Federal do Rio Grande do Sul (SPV-UFRGS), Brazil. All the pigs in this study had clinical respiratory disease. Sample distribution was 31 (52%) from Rio Grande do Sul, 14 (23%) Paraná, 11 (18%) from Santa Catarina State and four (7%) from Mato Grosso do Sul State. Positive anti-IA IHC was observed in 45% of the cases and was associated with necrotizing bronchiolitis, atelectasia, purulent bronchopneumonia and hyperemia. Moreover, type II pneumocyte hyperplasia, alveolar and bronchiole polyp-like structures, BALT (bronchus-associated lymphoid tissue) hyperplasia and pleuritis were the significant features of negative samples by anti-IA IHC, which were associated with chronic lesions. Only two cases were positive to PCV2 and none to PRRSV, supports the hypothesis that SIV was the viral agent infecting swine’s lungs. Negative IHC to IA (55%) cases could be explained due to the absence of viral antigens associated with the rapid progress of SI; hence, IHC should be requested in the beginning of the infection. This work has shown how important a careful histological evaluation should be done in order to give the diagnosis. Since 2009, a new histological feature of swine pneumonia from animals with respiratory clinical sign has been observed at samples submitted to SPV-UFRGS. In addition, these results described here proved the importance of histological evaluation in swine herd health management.
36

Alterações cardíacas na pancreatite aguda experimental / Myocardial alterations in experimental acute pancreatitis

Alberto Luiz Monteiro Meyer 01 August 2013 (has links)
Introdução: Vários são os mecanismos envolvidos no desenvolvimento da resposta local e sistêmico na pancreatite aguda. O sistema cardiovascular pode ser afetado durante todo o curso clínico da pancreatite aguda. O objetivo deste estudo foi avaliar a produção local de citocinas pelo miocárdio, assim como, as alterações funcionais e histológicas do miocárdio na pancreatite aguda grave. Métodos: Os animais foram divididos em três grupos: Grupo 1: controle; Grupo 2: controle operado; Grupo 3: pancreatite aguda grave. Foram medidos os níveis séricos de amilase e de citocinas (TNF-alfa IL-6 e IL-10), expressão de RNAm de TNF-alfa, IL-6 e TGF-beta e ecocardiograma com avaliação da função cardíaca. Alterações do tecido cardíaco foram analisadas pelo exame histológico. Resultados: Os níveis séricos de TNF-alfa e IL-10 foram significativamente maiores no grupo pancreatite aguda 2h. Os níveis de RNAm de IL-6 do grupo pancreatite aguda 2h foram estatisticamente superiores. Os níveis de RNAm do TNF-alfa do grupo controle operado e pancreatite aguda 2h foram estatisticamente menores. Mudanças significativas no diâmetro do ventrículo esquerdo foram encontradas nos grupos pancreatite aguda 2h e 12h. Houve alterações estatísticas para a degeneração vacuolar, picnose e perda de núcleo, e os linfócitos. Conclusão: Encontramos alterações cardíacas e histológicas compatíveis com o processo inflamatório desencadeado por pancreatite aguda grave com o incremento da produção de citocinas pelo miocárdio / Background: Several mechanisms are involved in the development of the local and systemic response in acute pancreatitis. Cardiovascular system may be affected throughout the clinical course of acute pancreatitis. The aim was to evaluate local myocardial cytokine production, as well as, functional and histological myocardial alterations in severe acute pancreatitis. Methods: The animals were divided into three groups: Group 1: control; Group 2: sham; Group 3: severe acute pancreatitis. Echocardiographic assessment of cardiac function, serum levels of amylase and cytokines (TNF-alfa, IL-6 and IL-10), and mRNA expression of TNF-alfa, IL-6 and TGF-beta were measured. Myocardial tissue alterations were analysed by histological examination. Results: The serum TNF-alfa, and IL-10 levels were significant higher in acute pancreatitis 2h group. The mRNA IL-6 levels from acute pancreatitis 2h group were statistically higher. The mRNA TNF-alfa levels from sham group and acute pancreatitis 2h group were statistically lower. Significant changes in the left ventricular diameter were found in acute pancreatitis 2h and 12h groups. There were statistical changes for vacuolar degeneration, picnosis and loss of nucleus, and lymphocytes. Conclusion: We found cardiac and histological changes compatible with the inflammatory process triggered by severe acute pancreatitis with the promotion of local myocardial cytokine production
37

Caracterização histológica e imuno-histoquímica da Influenza A Suina, Brasil, 2009-2010 / Histopathological and immunohistochemical characterization of swine influenza a in Brazil, 2009-2010

Watanabe, Tatiane Terumi Negrão January 2012 (has links)
A influenza suína (IS) é uma doença altamente contagiosa, de curso rápido e pronta recuperação, causada pelo vírus Influenza tipo A (VIS). Os principais sinais clínicos são tosse, febre, anorexia e baixo desenvolvimento. A doença está presente em outros países e, geralmente, está associada com outros agentes infecciosos. Porém, no Brasil, a sua primeira descrição ocorreu em 2011 e foi associada ao vírus H1N1 pandêmico (pH1N1). O principal objetivo deste estudo foi caracterizar as alterações histológicas mais importantes em casos de doença respiratória suína sugestiva de IS e estudar a associação dessas alterações com os resultados de imuno-histoquímica (IHQ) anti-vírus da influenza A (VIA), anti-circovírus suíno tipo 2 (PVC2) e anti-vírus da síndrome reprodutiva e respiratória suína (PRRSV). Para tanto, foram estudadas 60 amostras de pulmões suínos selecionadas dos materiais do arquivo do Setor de Patologia Veterinária da Universidade Federal do Rio Grande do Sul (SPV-UFRGS), de casos de doença respiratória remetidos no período de 2009 a 2010 e que apresentavam alterações histopatológicas compatíveis com pneumonia viral causada pelo VIS. Trinta e uma amostras (52%) foram provenientes do estado do Rio Grande do Sul, 14 (23%) do Paraná, 11 (18%) de Santa Catarina e quatro (7%) do Mato Grosso do Sul. A IHQ para IA confirmou a presença do agente viral em 45% das amostras analisadas. Os achados histológicos mais significativos associados à IHQ positiva para IA foram bronquiolite necrótica, atelectasia, broncopneumonia purulenta e hiperemia. Por outro lado, as alterações histológicas dos pulmões estudados mais significativamente associadas à IHQ negativa para IA foram hiperplasia dos pneumócitos tipo II, estruturas alveolares e bronquiolares similares a pólipos, hiperplasia de tecido linfoide associado a brônquios (BALT) e pleurite, que são alterações associadas a processos crônicos. Somente dois casos apresentaram marcação positiva na IHQ para PCV2 e nenhum pulmão foi positivo para PRRSV. Esses resultados sugerem que as lesões histológicas encontradas no presente estudo foram compatíveis com as causadas pelo VIS. Os casos negativos de IHQ para IA (55%) podem ser explicados pela baixa frequência do antígeno viral nos tecidos estudados. Como o curso da doença é muito rápido, o teste de IHQ é mais indicado para diagnóstico no início da infecção. Este estudo evidenciou novas alterações em amostras de pulmões de suínos com problemas respiratórios enviadas para o SPV UFRGS a partir de 2009, com ênfase para bronquiolite necrótica, e reforça a importância do estudo histopatológico dos casos de campo para auxiliar na monitoria da sanidade dos rebanhos. / Swine influenza is caused by swine influenza type A virus (SIV). It is a highly contagious disease with a rapid course and recovery. The main clinical signs are cough, fever, anorexia and poor performance. Usually, it is associated with other infectious agents in many countries; however, it has not been described yet in Brazil. The first report of pandemic H1N1 influenza A virus in Brazilian swine herd occurred in 2011. The main aim of this study was to characterize histological features in association with immunohistochemical (IHC) results for influenza A (IA), porcine circovirus type 2 (PCV2) and porcine reproductive and respiratory syndrome virus (PRRSV) from lung samples from 60 pigs with lesions suggestive of viral pneumonia and collected during the period 2009-2010 and diagnosed at the Setor de Patologia Veterinária of Universidade Federal do Rio Grande do Sul (SPV-UFRGS), Brazil. All the pigs in this study had clinical respiratory disease. Sample distribution was 31 (52%) from Rio Grande do Sul, 14 (23%) Paraná, 11 (18%) from Santa Catarina State and four (7%) from Mato Grosso do Sul State. Positive anti-IA IHC was observed in 45% of the cases and was associated with necrotizing bronchiolitis, atelectasia, purulent bronchopneumonia and hyperemia. Moreover, type II pneumocyte hyperplasia, alveolar and bronchiole polyp-like structures, BALT (bronchus-associated lymphoid tissue) hyperplasia and pleuritis were the significant features of negative samples by anti-IA IHC, which were associated with chronic lesions. Only two cases were positive to PCV2 and none to PRRSV, supports the hypothesis that SIV was the viral agent infecting swine’s lungs. Negative IHC to IA (55%) cases could be explained due to the absence of viral antigens associated with the rapid progress of SI; hence, IHC should be requested in the beginning of the infection. This work has shown how important a careful histological evaluation should be done in order to give the diagnosis. Since 2009, a new histological feature of swine pneumonia from animals with respiratory clinical sign has been observed at samples submitted to SPV-UFRGS. In addition, these results described here proved the importance of histological evaluation in swine herd health management.
38

Internal Hernia Masquerading As Necrotizing Enterocolitis

Kylat, Ranjit I. 31 October 2017 (has links)
In extremely preterm infants, acute abdominal emergencies are fortunately less common with improving care. Spontaneous intestinal perforation and necrotizing enterocolitis are conditions where emergency surgery is most often needed. Conservative medical management and placement of temporary drain are often used in the initial management. Internal hernia (IH) is an uncommon cause of bowel obstruction in neonates, is difficult to diagnose and unfortunately are found only at autopsy. The presentation in preterm infants, distinction between these conditions, and the need for early diagnosis of IH are discussed.
39

Caracterização histológica e imuno-histoquímica da Influenza A Suina, Brasil, 2009-2010 / Histopathological and immunohistochemical characterization of swine influenza a in Brazil, 2009-2010

Watanabe, Tatiane Terumi Negrão January 2012 (has links)
A influenza suína (IS) é uma doença altamente contagiosa, de curso rápido e pronta recuperação, causada pelo vírus Influenza tipo A (VIS). Os principais sinais clínicos são tosse, febre, anorexia e baixo desenvolvimento. A doença está presente em outros países e, geralmente, está associada com outros agentes infecciosos. Porém, no Brasil, a sua primeira descrição ocorreu em 2011 e foi associada ao vírus H1N1 pandêmico (pH1N1). O principal objetivo deste estudo foi caracterizar as alterações histológicas mais importantes em casos de doença respiratória suína sugestiva de IS e estudar a associação dessas alterações com os resultados de imuno-histoquímica (IHQ) anti-vírus da influenza A (VIA), anti-circovírus suíno tipo 2 (PVC2) e anti-vírus da síndrome reprodutiva e respiratória suína (PRRSV). Para tanto, foram estudadas 60 amostras de pulmões suínos selecionadas dos materiais do arquivo do Setor de Patologia Veterinária da Universidade Federal do Rio Grande do Sul (SPV-UFRGS), de casos de doença respiratória remetidos no período de 2009 a 2010 e que apresentavam alterações histopatológicas compatíveis com pneumonia viral causada pelo VIS. Trinta e uma amostras (52%) foram provenientes do estado do Rio Grande do Sul, 14 (23%) do Paraná, 11 (18%) de Santa Catarina e quatro (7%) do Mato Grosso do Sul. A IHQ para IA confirmou a presença do agente viral em 45% das amostras analisadas. Os achados histológicos mais significativos associados à IHQ positiva para IA foram bronquiolite necrótica, atelectasia, broncopneumonia purulenta e hiperemia. Por outro lado, as alterações histológicas dos pulmões estudados mais significativamente associadas à IHQ negativa para IA foram hiperplasia dos pneumócitos tipo II, estruturas alveolares e bronquiolares similares a pólipos, hiperplasia de tecido linfoide associado a brônquios (BALT) e pleurite, que são alterações associadas a processos crônicos. Somente dois casos apresentaram marcação positiva na IHQ para PCV2 e nenhum pulmão foi positivo para PRRSV. Esses resultados sugerem que as lesões histológicas encontradas no presente estudo foram compatíveis com as causadas pelo VIS. Os casos negativos de IHQ para IA (55%) podem ser explicados pela baixa frequência do antígeno viral nos tecidos estudados. Como o curso da doença é muito rápido, o teste de IHQ é mais indicado para diagnóstico no início da infecção. Este estudo evidenciou novas alterações em amostras de pulmões de suínos com problemas respiratórios enviadas para o SPV UFRGS a partir de 2009, com ênfase para bronquiolite necrótica, e reforça a importância do estudo histopatológico dos casos de campo para auxiliar na monitoria da sanidade dos rebanhos. / Swine influenza is caused by swine influenza type A virus (SIV). It is a highly contagious disease with a rapid course and recovery. The main clinical signs are cough, fever, anorexia and poor performance. Usually, it is associated with other infectious agents in many countries; however, it has not been described yet in Brazil. The first report of pandemic H1N1 influenza A virus in Brazilian swine herd occurred in 2011. The main aim of this study was to characterize histological features in association with immunohistochemical (IHC) results for influenza A (IA), porcine circovirus type 2 (PCV2) and porcine reproductive and respiratory syndrome virus (PRRSV) from lung samples from 60 pigs with lesions suggestive of viral pneumonia and collected during the period 2009-2010 and diagnosed at the Setor de Patologia Veterinária of Universidade Federal do Rio Grande do Sul (SPV-UFRGS), Brazil. All the pigs in this study had clinical respiratory disease. Sample distribution was 31 (52%) from Rio Grande do Sul, 14 (23%) Paraná, 11 (18%) from Santa Catarina State and four (7%) from Mato Grosso do Sul State. Positive anti-IA IHC was observed in 45% of the cases and was associated with necrotizing bronchiolitis, atelectasia, purulent bronchopneumonia and hyperemia. Moreover, type II pneumocyte hyperplasia, alveolar and bronchiole polyp-like structures, BALT (bronchus-associated lymphoid tissue) hyperplasia and pleuritis were the significant features of negative samples by anti-IA IHC, which were associated with chronic lesions. Only two cases were positive to PCV2 and none to PRRSV, supports the hypothesis that SIV was the viral agent infecting swine’s lungs. Negative IHC to IA (55%) cases could be explained due to the absence of viral antigens associated with the rapid progress of SI; hence, IHC should be requested in the beginning of the infection. This work has shown how important a careful histological evaluation should be done in order to give the diagnosis. Since 2009, a new histological feature of swine pneumonia from animals with respiratory clinical sign has been observed at samples submitted to SPV-UFRGS. In addition, these results described here proved the importance of histological evaluation in swine herd health management.
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Negative Pressure Wound Therapy in the Adjunctive Management of Necrotizing Fascitis: Examining Clinical Outcomes

Baharestani, Mona 01 April 2008 (has links)
Prompt diagnosis and treatment of necrotizing fascitis reduces the morbidity and mortality rates of this devastating disease. To examine the clinical outcomes of using negative pressure wound therapy in the adjunctive management of wounds secondary to necrotizing fascitis, a retrospective review of medical records was conducted. Participants included 11 consecutive patients (16 wounds) with a diagnosis of necrotizing fascitis admitted to a teaching hospital between 2000 and 2005 and treated on an inpatient basis with negative pressure wound therapy. The patients included seven men, four women (average age 54 years; range 18 to 82 years). Variables abstracted from the medical records and consultation notes included: demographic information, tissue and blood bacteriological data, wound history, wound healing outcomes, duration of negative pressure wound therapy, length of hospital stay, and mortality and morbidity information. Variables were entered into an electronic database and analyzed. Operative tissue biopsies were obtained and all participants received serial surgical debridements as well as infection, nutrition, and hemodynamic support. Negative pressure wound therapy was applied to the wound(s) at 125 mm Hg continuous negative pressure until reconstructive closure could be performed. Most wounds (10) were on lower extremities, seven patients presented with sepsis, and beta-hemolytic Streptococcus was identified in nine wounds. Mean number of negative pressure wound therapy treatment days was 25 (range: 7 to 74), mean length of stay was 67 days (range: 21 to 186). All wounds were successfully closed ĝ€" 73% received split-thickness skin grafts, 27% required flaps, 100% limb salvage was achieved, and all patients survived. No negative pressure wound therapy or dressing-associated complications were observed. Negative pressure wound therapy was found to be a viable adjunctive treatment in the management of wounds associated with necrotizing fascitis.

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