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<p>Vocal fold vibration results in voice production. Optimal hydration levels contribute to self-sustained vocal fold vibration and preservation of voice quality. Adequate hydration is implicated as a factor in maintaining voice and preventing voice problems. Voice problems affect up to one third of adults during their lifetime. But whether altered hydration state adversely affects vocal fold biology and biomechanics is still unclear. To untangle the effects of systemic dehydration on vocal fold biology, we developed a water restriction protocol on lab animals that can translate to humans. Our results showed that dehydration induced by restricted water access downregulated the gene expression of IL-1α and desmoglein-1, upregulated the gene expression level of hyaluronidase-2, and downregulated hyaluronic acid (HA).</p> <p>Clinically, hydration treatments are hypothesized to maintain the viscoelastic properties of vocal folds. However, our understanding of the relationship between vocal fold tissue hydration level and biomechanical properties is still evolving. To investigate the effects of dehydration on biomechanical properties we used an ex vivo experimental design. We hypothesized that the optimal stiffness of vocal folds would be impacted after dehydration via losing both water and HA, but that the stiffness properties would recover through rehydration. To test this hypothesis, we experimentally treated porcine vocal fold samples using two different approaches: 1) immersion in hypertonic solution (15% NaCl in ddH2O) and PBS sequentially to mimic dehydration and rehydration, and 2) incubation with hyaluronidase (Hyal) to mimic HA loss during dehydration. Our results showed that loss of water increased tissue stiffness and could be recovered through rehydration in a certain degree. In addition, loss of HA increased tissue stiffness. </p> <p>In While dehydration decreases total body blood volume, different tissues and organs of the body may be impacted in different ways from dehydration. Therefore, it is important to investigate the hemodynamic alterations during changes to hydration status. Magnetic resonance angiography (MRA) and ultrasound imaging were employed to identify the delicate vascular geometry and hemodynamics of the laryngeal blood supply. Animals underwent both MRA and ultrasound imaging at baseline, dehydration and rehydration time points. Our results showed that dehydration impacted the blood supply to larynx. This blood supply was restored through rehydration treatment.</p> <p>Overall, this research has been successful in establishing a mild dehydration animal model, providing evidence from gene and protein levels that dehydration affects cytokine production and extracellular matrix components (ECM) in vocal fold, demonstrating the vocal fold tissue biomechanical behavior after dehydration and loss of HA, and offering a combination application of MRA and ultrasound imaging to study vascular geometry and hemodynamics of the blood supply to the vocal fold region.</p>

Le but de cette thèse était d'étudier et de mieux comprendre les mécanismes d'interaction entre protéines laitières (caséines micellaires natives NMC et protéines de lactosérum natives WPI) sous forme de poudres dispersées (5% p/v) dans des milieux fortement ionisés par des sels (NaCl, CaCl2). D'une manière générale notre étude a été organisée en trois parties. Premièrement, nous avons étudié l'influence des milieux ioniques (eau distillé, solution de NaCl, solution de CaCl2) sur la réhydratation de protéines laitières. Dans une seconde partie nous avons caractérisé les dispersions en milieux ionisés par les études respectives de la structure secondaire des protéines, de la taille et de la morphologie des particules en cours de dispersion et de l'hydrophobicité des protéines. Dans la troisième et dernière partie nous nous sommes intéressés aux propriétés fonctionnelles des protéines du lactosérum par l'effet combiné de la température (30 - 90°C) et de la concentration en NaCl (0,75 - 3%). La réhydratation des protéines du lait a montré deux comportements distincts en fonction du type de sel d'une part (NaCl, CaCl2) et de la concentration d'autre part (0 - 12%). Dans les dispersions de NMC, avec l'ajout et l'augmentation de la concentration de NaCl on observe (DLS, TEM), une désintégration des micelles de taille 150 nm en petites micelles de 20-30 nm qui sont plus ou moins agrégées. En définitive, les propriétés fonctionnelles des protéines du WPI dépendent en même temps de la concentration en sel et de la température appliquée / The overall objective of this work was to investigate the mechanisms of protein-salt interactions and linkage between milk proteins powders and milk proteins dispersions (5% w/v) mainly NMC and WPI under various ranges of ionic environments (distilled water, NaCl solution and CaCl2 solution. In the first phase, we investigated the influence of the ionic environments on milk proteins powders rehydration profiles. The second phase of this study includes the characterization of milk proteins dispersions in an aqueous ionic environment regarding changes in the protein: secondary structure (ß-sheet, alpha-helix, ß-turns and unordered structures), size, morphological features and surface hydrophobicity by using FTIR, TEM, and DLS with other complimentary techniques. In the last part, the functionality of whey proteins was studied by the combined effect of heat and different ratios of salts. For this purpose, the study was exclusively focalized in an aqueous ionic medium composed of NaCl (0.75-3%) at different temperatures (30-90°C). The results obtained from the first part showed two distinct rehydration behaviors depending on the salts type and concentration. For the NMC dispersions under salt increase, spherical micelles with an average size around 150 nm disintegrated in sub-micelles around 20-30 nm and more or less aggregated were observed by DLS and TEM. WPI dispersions in water were composed of well separated proteins by a spherical shape with two populations around 6 and 70 nm. Salt increase resulted in an aggregation of the proteins and the formation of denser aggregates. Moreover, a combined salt/heat resulted showed a stabilizing effect on the secondary structural elements of both Amide I and III bands and higher denaturation temperatures observed by FTIR and µDSC respectively. A size and morphological investigation showed a transition from spherical/compact protein aggregates to linear ones. Finally, this work demonstrated that whey protein functional properties depend on both salt and how heat treatment is applied

O objetivo deste trabalho foi avaliar o efeito da utilização de sucedâneo lácteo com alto conteúdo proteico de origem vegetal no desempenho e saúde de bezerros, e avaliar métodos de reidratação para o tratamento de diarreias. No primeiro estudo foram utilizados 33 bezerros da raça Holandês distribuídos nos tratamentos: 1) Alto volume e baixa proteína (AV/BP): 8 litros, 21,4% PB; 2) Alto volume e alta proteína (AV/AP): 8 litros, 23,7% PB e 3) Baixo volume e alta proteína (BV/AP): 6 litros, 23,7% PB. Os bezerros foram alojados em abrigos individuais, com livre acesso a água e concentrado. Não houve efeito dos tratamentos para o desempenho animal (P>0,05). Os tratamentos AV/BP e AV/AP resultaram em maior consumo de sucedâneo (P<0,05), mas não afetaram o consumo de concentrado nem o consumo total (P>0,05). O escore fecal foi maior (P>0,05) para animais nos tratamentos AV/AP e BV/AP. Os animais nos tratamentos AV/BP permaneceram maior número de dias em diarreia (P<0,05), em comparação aqueles aleitados com BV/AP, os quais tiveram menos dias com vida (P<0,05). A concentração de lactato foi maior (P<0,05) para animais nos tratamentos AV/BP e AV/AP enquanto a concentração de proteína total foi maior (P<0,05) nos tratamentos AV/BP e BV/AP. Sucedâneos com elevado conteúdo de proteína de origem vegetal afetam negativamente o desempenho de bezerros podendo levar o animal a morte. No segundo estudo foram comparados três soluções de hidratação oral quanto a sua eficiência em repor eletrólitos e água, além de manter o desempenho de bezerros. Foram utilizados 42 bezerros mestiços Holandês-Jersey, distribuídos nos tratamentos: 1) Soro comum, 2) Glutellac&reg; e 3) Soro comum + Aminogut&reg;. Os animais foram aleitados com 4 L/d de sucedâneo lácteo até a oitava semana de vida quando foram desaleitados de forma abrupta. As terapias de reidratação foram oferecidas quando os animais apresentavam escore fecal >= 3 na escala de 1 a 5. Não houve efeito das terapias de reidratação no desempenho nem em metabólitos sanguíneos (P>0,05). O consumo voluntário de água foi maior para os animais reidratados com Glutellac&reg;, mas o consumo total maior para os animais reidratados com Soro comum. As concentrações de HCO3 e Na+ foram maiores para os animais no tratamento Glutellac&reg; (P=0,088 e P=0,073 respectivamente), sendo a concentração de glicose também afetada pelo protocolo de hidratação (P<0,05). A concentração de HCO3 aumentou do primeiro para o segundo dia, a de K+ e glicose diminuíram do primeiro para o segundo dia, enquanto que o Beecf teve um comportamento variável segundo a terapia de reidratação utilizada. Houve efeito da interação tratamento x dia de avaliação apenas para a concentração de BUN (P<0,05). O pH, a concentração de Na+ e Beecf foram maiores em animais mais velhos, enquanto K+, hematócrito e hemoglobina, foram menores (P<0,05). O consumo voluntário de água foi maior em animais reidratados com Glutellac&reg;, o que junto com a simplicidade de uso, representam as principais vantagens deste método de reidratação. / The objective of this study was to evaluate the effect of milk replacer with high inclusion of vegetable protein in regard to performance and health of dairy calves, and evaluate rehydration methods for the treatment of diarrhea. In the first study 33 Holstein calvesdistributed in the treatments: 1) High volume and low protein (HV/LP): 8L/d, 21.4% CP; 2) High volume and high protein (HV/HP): 8L/d, 23.7% CP and 3) low volume and high protein (LV/HP): 6L/d, 23.7% CP. The calves were housed in individual shelters, with free access to water and starter concentrate. There was no effect of the treatments for animal performance (P>0.05). The treatments HV/LP and HV/HP resulted in higher milk replacer intake (P<0.05), but did not affect concentrate intake, neither the total dry matter intake (P>0.05). The fecal score was higher (P>0.05) for animals in treatments HV/HP and LV/HP. The animals in the treatments HV/LP remained more days in diarrhea (P<0.05), compared to LV/HP animals, which had fewer days with life (P<0.05). Lactate concentration was higher (P<0.05) for animals in treatments HV/LP and HV/HP while the concentration of total protein was higher (P<0.05) in treatments HV/LP and LV/HP. The use of milk replacer with high contents of vegetal protein, negatively affects the performance of calves and could lead to animals´ death. In the second study, three oral rehydration protocols were compared in regard to their efficiency in replace electrolytes and water, and in the maintenance of calves performance. Forty-two crossbred calves were used Holstein-Jersey, distributed in the treatments: 1) Common electrolytes oral solution, 2) Glutellac&reg; and 3) Common electrolytes oral solution + Aminogut&reg;. Calves were feed with 4 L/d of milk replacer until the eighth week of life when they were abruptly weaned. The rehydration therapy were offered when the animals presented fecal score >= 3 in a scale of 1 to 5. There was no effect of rehydration therapies for the variables related to animal\'s performance neither for blood metabolites (P>0.05). Voluntary water intake was greater for the animals that were rehydrated with Glutellac&reg;, however total intake was higher for animals rehydrated with a common electrolytes oral solution. HCO3 and Na+ concentration were higher for the animals in the treatment Glutellac&reg; (P=0.088 and p=0.073, respectively) being the glucose concentration also affected by protocol of rehydration (P<0.05). The HCO3 was increased from the first to the second day, the K+ and glucose reduced from the first to the second day, while the Beecf was variable according to rehydration therapy used. There was a significant interaction treatment x day only for the concentration of BUN (P<0.05). pH, concentration of Na+ and Beecf, were higher for older animals, while K+, hematocrit and hemoglobin, were lower (P<0.05). The voluntary water intake was significantly greater in animals rehydrated with Glutellac&reg;, which together with simplicity of use, form the main advantages of this rehydrating.

This thesis aimed to, first, examine the effects of the addition of whey protein or casein protein to common carbohydrate-electrolyte (CE) solutions on post-exercise rehydration; second, examine the effects of various contents of whey protein in CE solutions on post-exercise rehydration; and third, investigate the mechanisms on the increased fluid retention after the ingestion of CE plus whey protein solutions. / The first study (Chapter 4) of this thesis examined the effects of CE solution added with a certain amount of whey or casein protein on post-exercise rehydration. Ten young healthy males (mean ± SEM, age: 20.7 ± 0.4 years; body weight (BW): 65.4 ± 2.0 kg; maximal oxygen uptake (VO₂ₘₐₓ): 60.7 ± 1.9 mL·kg⁻¹·min⁻¹) were recruited in this study. Three main experimental trials were conducted in a randomized single-blinded crossover design and separated by at least 7 days between any two of them. In each main trial, subjects ran for 60 min at 65% VO₂ₘₐₓ on a treadmill in a warm and humid environment (24 °C, 60% relative humidity (RH)), which was followed by a 4-hour recovery period. During recovery, the subjects were provided with either a common CE solution, or a CE with whey protein (CW) solution, or a CE with casein protein (CC) solution. The three solutions were matched for energy and electrolyte content and were provided in six equivalent volumes at 30 min intervals with a total volume equivalent to 150% of their BW loss. The nude BW, urine samples, and capillary blood samples were collected before and after exercise and at the end of each hour during recovery. After exercise, the subjects lost approximately 2.3% of their pre-exercise BW in all trials. Total urine volume after recovery was higher in the CE and CC trials than in the CW trial (CE vs. CW vs. CC: 1184 ± 120 mL vs. 1005 ± 68 mL vs. 1256 ± 130 mL, p < 0.05), which induced greater fluid retention in CW trial compared with both CE and CC trials (CE vs. CW vs. CC: 46.9 ± 5.2% vs. 54.9 ± 2.9% vs. 45.8 ± 5.5%, p < 0.05). By the end of recovery, the urine specific gravity (USG) was lower in the CE trial than in both CW and CC trials (CE vs. CW vs. CC: 1.002 ± 0.001 g·mL⁻¹ vs. 1.004 ± 0.001 g·mL⁻¹ vs. 1.004 ± 0.000 g·mL⁻¹, p < 0.05). In addition, the urine osmolality was lower in the CE trial than in both CW and CC trials after recovery (CE vs. CW vs. CC: 111 ± 18 mmol·kg⁻¹ vs. 181 ± 14 mmol·kg⁻¹ vs. 195 ± 23 mmol·kg⁻¹, p < 0.05). However, no difference was found in the changes of plasma volume among trials throughout recovery. These results suggested that during a 4-hour recovery after 60 min run which induced about 2% BW loss, the CE plus whey protein solution was more effective in fluid retention compared with the isocaloric CE or CE plus casein protein solution. / The second study (Chapter 5) was conducted to examine the effects of various contents of whey protein in CE solutions on post-exercise rehydration; meanwhile, the mechanisms on the greater fluid retention after the ingestion of CE plus whey protein solutions were investigated as well. Ten young healthy males (mean ± SEM, age: 22.0 ± 0.7 years; BW: 64.5 ± 1.9 kg; VO₂ₘₐₓ: 59.8 ± 1.9 mL·kg⁻¹·min⁻¹) finished five main experimental trials in a randomized single-blinded crossover manner and separated by at least 7 days. After a 60-min run at 65% VO₂ₘₐₓ on a treadmill in each main trial, a 4-hour recovery period was carried out. During recovery, five solutions of 1) a CE solution with high CHO content (CE-H); 2) a CE solution with low CHO content (CE-L); 3) a CE solution with high content of whey protein (CW-H); 4) a CE solution with medium content of whey protein (CW-M); and 5) a CE solution with low content of whey protein (CW-L) were consumed by the subjects randomly. The electrolyte content was matched, whereas CE-H, CW-H, CW-M, and CW-L solutions were matched for energy density, CE-L and CW-H solutions were matched for CHO content. The total volume consumed by subjects was 150% of the BW loss, and the solutions were provided in six equal volumes at 30 min intervals during recovery. The nude BW, urine samples, and capillary and venous blood samples were obtained before and after exercise and at the end of each hour during recovery. The results showed that the subjects lost about 2.2% of BW after exercise. By the end of the recovery, the total urine volume was smaller in the CW-M trial than in the CE-H trial (CE-H vs. CW-M: 1295 ± 103 mL vs. 1049 ± 130 mL, p < 0.05), whereas the CW-H trial was smaller than the CE-H, CE-L, and CW-L trials (CE-H vs. CE-L vs. CW-L vs. CW-H: 1295 ± 1033 mL vs. 1284 ± 90 mL vs. 1141 ± 58 mL vs. 891 ± 73 mL, p < 0.01). The less urine production in the CW-M and CW-H trials resulted in a greater fluid retention compared with CE-H, CE-L, and CW-L trials (CE-H vs. CE-L vs. CW-L vs. CW-M vs. CW-H: 38.4 ± 5.2% vs. 36.1 ± 4.3% vs. 43.0 ± 3.8% vs. 51.0 ± 5.7% vs. 55.4 ± 3.8%, p < 0.05). The CE-H and CE-L trials showed lower USG and urine osmolality compared with the CW-L, CW-M, and CW-H trials at the end of recovery (p < 0.05). In addition, the plasma osmolality of the CE-L trial was lower than that of the CW-L, CW-M, and CW-H trials at the 1st hour of recovery (CE-L vs. CW-L vs. CW-M vs. CW-H: 274 ± 4 mmol·kg⁻¹ vs. 291 ± 4 mmol·kg⁻¹ vs. 301 ± 6 mmol·kg⁻¹ vs. 293 ± 6 mmol·kg⁻¹, p < 0.05). The plasma volume was lower in the CE-L trial than that in the CW-H trial at the 2nd and 3rd hour, and the CE-L trial reached the lowest plasma volume than the other four trials by the end of recovery (p < 0.05). The aldosterone concentration was lower in both CE-H and CE-L trials compared with the CW-M and CW-H trials after recovery (CE-H vs. CE-L vs. CW-M vs. CW-H: 228 ± 100 pg·mL⁻¹ vs. 211 ± 51 pg·mL⁻¹ vs. 336 ± 85 pg·mL⁻¹ vs. 333 ± 70 pg·mL⁻¹, p < 0.05). The antidiuretic hormone (ADH) concentration was also found to be lower in the CE-L trial than in the CW-H trial at the 1st and 2nd hour of recovery (p < 0.05). However, no difference was found in plasma albumin concentrations among trials throughout recovery. The results indicated that the CE solutions with higher whey protein content retained more fluid compared with CE solutions with lower whey protein content or CE solution alone. The greater fluid retention was partly caused by the elevated aldosterone concentrations in the situations of current study. / In summary, the experimental results of this thesis found that the consumption of common CE solution plus whey protein can retain more fluid in body than isocaloric CE or CE plus casein protein solution during post-exercise recovery. CE solutions with relative higher whey protein content were more effective in fluid retention than CE solutions with lower whey protein content. Furthermore, the additive effects on fluid retention caused by whey protein supplementation were induced by the increased concentrations of plasma aldosterone. The elevated plasma osmolality and ADH concentrations maybe also played a role in the greater fluid retention. However, further studies are needed to clarify this issue. The current findings provided more evidences in this research topic and suggested some recommendations to athletes and sports enthusiasts to reach rehydration rapidly and effectively after exercise. / 本論文的研究目的包括：首先，研究在普通的碳水化合物-電解質（CE）飲料中添加乳清蛋白或酪蛋白對運動後復水的影響；其次，研究CE飲料中添加不同劑量的乳清蛋白對運動後復水的影響；再次，闡述飲用CE加乳清蛋白飲料後更能有效的將水分保留在人體內的機制。 / 實驗一（第四章）研究了在CE飲料中加入一定劑量的乳清蛋白或酪蛋白對運動後復水的影響。十位年輕、健康男性受試者（平均值 ± 標準誤，年齡: 20.7 ± 0.4 歲；體重: 65.4 ± 2.0 千克；最大攝氧量: 60.7 ± 1.9 mL·kg⁻¹·min⁻¹）自願參加本項測試。按照隨機單肓交叉設計，他們完成了三次主測試，期中任何兩次測試時間都相隔七天以上。在每一次主測試中，受試者首先在跑臺上以65%最大攝氧量的運動強度完成了60分鐘的跑步運動（運動環境控制在24攝氏度，60%相對濕度），隨後開始4小時的運動後恢復階段。在恢復過程中，受試者會分別飲用三種不同飲料中的一種。三種飲料包括：（1）普通CE飲料（CE組）；（2）普通CE飲料中添加乳清蛋白（CW 組）；（3）普通CE飲料中添加酪蛋白（CC 組）。三種飲料含有相同的能量密度及電解質濃度。受試者在每次主測試中飲用的總飲料體積為1.5倍的體重減少量，這些飲料分為6等份并每隔30分鐘由受試者飲用一份。運動前、後及在恢復階段每隔一小時收集受試者的體重（裸重）、尿液樣本、及血液樣本（指尖取血）。在三次主測試中，受試者在運動結束後減少的體重量約為運動前體重的2.3%。在4小時的恢復階段中，CE組和CC組受試者排出的尿液總體積大於CW組（CE vs. CW vs. CC: 1184 ± 120 mL vs. 1005 ± 68 mL vs. 1256 ± 130 mL, p < 0.05）。所以，恢復結束後，CW組的水分保持比例高於CE組及CC組（CE vs. CW vs. CC:46.9 ± 5.2% vs. 54.9 ± 2.9% vs. 45.8 ± 5.5%, p < 0.05）。在恢復結束時，CE組的尿比重低於CW組及CC組（CE vs. CW vs. CC: 1.002 ± 0.001 g·mL⁻¹ vs. 1.004 ± 0.001g·mL⁻¹ vs. 1.004 ± 0.000 g·mL⁻¹, p < 0.05）。另外，在恢復結束後，CE組尿滲透壓水平低於CW組及CC組（CE vs. CW vs. CC: 111 ± 18 mmol·kg⁻¹ vs. 181 ± 14mmol·kg⁻¹ vs. 195 ± 23 mmol·kg⁻¹, p < 0.05）。但是，在恢復階段，血漿容量的變化在三組中沒有顯著差異。本實驗的結果表明，完成60分鐘跑步後，受試者丟失掉約2%的體重，在之後4小時恢復階段中，飲用添加乳清蛋白的CE飲料比有相同能量密度的普通CE飲料或添加酪蛋白的CE飲料更能有效的將水分保留在體內。 / 實驗二（第五章）研究了在普通CE飲料中添加不同劑量的乳清蛋白對運動後復水的影響；同時，也研究了飲用CE加乳清蛋白飲料後更能有效的將水分保留在人體內的機制。十位年輕、健康男性受試者（平均值 ± 標準誤，年齡: 22.0 ± 0.7 歲；體重: 64.5 ± 1.9 千克；最大攝氧量: 59.8 ± 1.9 mL·kg⁻¹·min⁻¹）自願參加本項測試。按照隨機單肓交叉設計，他們完成了五次主測試，任何兩次測試的時間都相隔七天以上。在每一次主測試中，受試者首先在跑臺上以65%最大攝氧量的運動強度完成了60 分鐘的跑步運動，隨後開始4 小時的運動後恢復階段。在恢復過程中，受試者會飲用五種不同飲料中的一種。五種飲料包括：（1）普通CE飲料，含有較高的CHO濃度（CE-H組）；（2）普通CE飲料，含有較低的CHO濃度（CE-L組）；（3）普通CE飲料添加較高劑量的乳清蛋白（CW-H組）；（4）普通CE飲料添加中等劑量的乳清蛋白（CW-M組）；（5）普通CE飲料添加較低劑量的乳清蛋白（CW-L組）。五種飲料含有相同濃度的電解質，其中，CE-H，CW-H，CW-M，及CW-L組有相同的能量密度，CE-L 及CW-H 組有相同的CHO含量。在每次主測試的恢復階段，受試者飲用的飲料總體積為1.5倍的體重減少量，這些飲料分為6等份并每隔30分鐘由受試者飲用一份。運動前、後及在恢復階段每隔一小時收集受試者的體重（裸重）、尿液樣本、及血液樣本（指尖取血及靜脈取血）。運動結束後，受試者的體重減少量約為運動前體重的2.2%，五組測試中沒有顯著差異。在4小時的恢復階段後，CW-M 組受試者的尿液總體積小於CE-H組（CE-H vs. CW-M:1295 ± 103 mL vs. 1049 ± 130 mL, p < 0.05）；同時，CW-H組的尿量低於CE-H，CE-L，及CW-L組（CE-H vs. CE-L vs. CW-L vs. CW-H: 1295 ± 103 mL vs. 1284 ± 90mL vs. 1141 ± 58 mL vs. 891 ± 73 mL, p < 0.01）。相對於CE-H，CE-L，及CW-L組，較少的尿液排出量使CW-M及CW-H組能將更多的水分保留在體內（CE-H vs.CE-L vs. CW-L vs. CW-M vs. CW-H: 38.4 ± 5.2% vs. 36.1 ± 4.3% vs. 43.0 ± 3.8% vs.51.0 ± 5.7% vs. 55.4 ± 3.8%, p < 0.05）。在恢復結束後，CE-H及CE-L組的尿比重水平及尿滲透壓水平低於CW-L，CW-M，及CW-H組（p < 0.05）。另外，在恢復階段的第1小時，CE-L組的血漿滲透壓水平低於CW-L，CW-M，及CW-H組（CE-L vs. CW-L vs. CW-M vs. CW-H: 274 ± 4 mmol·kg⁻¹ vs. 291 ± 4 mmol·kg⁻¹ vs. 301 ± 6 mmol·kg⁻¹ vs. 293 ± 6 mmol·kg⁻¹, p < 0.05）。在恢復階段的第2及3小時，CE-L組的血漿容量低於CW-H組；在恢復結束時，CE-L組的血漿容量低於其它四組（p <0.05）。對于兩種體液平衡調節激素，在恢復結束時，CE-H及CE-L組的醛固酮水平低於CW-M及CW-H組（CE-H vs. CE-L vs. CW-M vs. CW-H: 228 ± 100 pg·mL⁻¹ vs. 211 ± 51 pg·mL⁻¹ vs. 336 ± 85 pg·mL⁻¹ vs. 333 ± 70 pg·mL⁻¹, p < 0.05）。在恢復階段的第1及2小時，CE-L組的抗利尿激素水平低於CW-H組（p < 0.05）。然而，五組測試中，血漿白蛋白水平在恢復階段沒有顯著差異。本實驗的研究結果表明，普通CE飲料中加入較高劑量的乳清蛋白比較低劑量的乳清蛋白更能有效的將水分保留在人體內。這種較高水平的水分保留能力與醛固酮激素水平的升高有關。 / 綜上所述，本論文的研究結果發現，在運動後的恢復階段飲用添加乳清蛋白的CE飲料比有相同能量密度的普通CE飲料或添加酪蛋白的CE飲料更能有效的將水分保留在人體內。並且，在CE飲料中加入較高劑量的乳清蛋白比較低劑量的乳清蛋白對人體內水分的保留更加有效。另外，這種較高水平的水分保留能力是由醛固酮激素水平的升高引起的。同時，較高的血漿滲透壓及抗利尿激素水平可能對這種高效的水分保留能力也有一定的促進作用，但需要更多的研究來闡述這一觀點。本論文的研究結果為運動後復水的相關研究提供了更多的理論證據，並且對運動員及運動愛好者在運動結束後如何進行快速有效的復水提出了指導及建議。 / Li, Liang. / Thesis (Ph.D.)--Chinese University of Hong Kong, 2014. / Includes bibliographical references (leaves 131-149). / Abstracts also in Chinese; appendixes includes Chinese. / Title from PDF title page (viewed on 01, November, 2016). / Detailed summary in vernacular field only. / Detailed summary in vernacular field only. / Detailed summary in vernacular field only. / Detailed summary in vernacular field only.

Orientador: Luiz Fernando Rolim de Almeida / Resumo: Plantas que presenciam a seca podem armazenar informações sobre esta experiência, tal como uma memória ao estresse. As informações adquiridas com a memória do estresse podem ser utilizadas para aumentar a tolerância a futuros eventos de défice hídrico, porém, o crescimento das plantas pode ser limitado. O objetivo deste estudo foi investigar as respostas fisiológicas, bioquímicas e epigenéticas de Sorghum bicolor (L.) Moench durante e após o primeiro e segundo evento de défice hídrico, bem como as vantagens e desvantagens de eventos recorrentes de seca para a tolerância e crescimento. Neste estudo foram utilizados quatro tratamentos que foram: Controle, onde a irrigação foi mantida, Défice Hídrico na Fase Juvenil, onde as plantas foram submetidas a desidratação na fase juvenil seguido de reidratação, Défice Hídrico na Fase Adulta, onde a irrigação foi suspensa na fase adulta seguido de reidratação e Défice Hídrico Recorrente, onde a irrigação foi suspensa na fase juvenil e adulta seguido de reidratação. Foram avaliadas as trocas gasosas, fluorescência da clorofila a, conteúdo relativo de água na folha, densidade estomática, crescimento, enzimas atioxidativas, conteúdo de açucares totais e sacarose e ocorrência da H3K4me3 no gene Sb04g038610. Mesmo com o intervalo entre o primeiro e o segundo evento de seca, o que poderia resultar na remoção da memória do estresse formada no primeiro evento, as respostas fotossintéticas, antioxidativas, morfo-anatomicas e de estado hídrico dem... (Resumo completo, clicar acesso eletrônico abaixo) / Abstract: Plants that experience drought can store information about this experience, such as a memory of stress. Information acquired with stress memory can be used to increase tolerance to future water deficit events, however, plant growth may be limited. The objective of this study was to investigate the physiological, biochemical and epigenetic responses of Sorghum bicolor (L.) Moench during and after the first and second water deficit event, as well as the advantages and disadvantages of recurrent drought events for tolerance and growth. Four treatments were used: Control, where irrigation was maintained, Water Deficit in the Juvenile Phase, where the plants were submitted to dehydration in the juvenile phase followed by rehydration, Water Deficit in the Adult Phase, where irrigation was suspended in the adult phase followed by rehydration and Recurrent Water Deficit, where irrigation was suspended in the juvenile and adult phases followed by rehydration. Gas exchanges, chlorophyll a fluorescence, relative leaf water content, stomatal density, plant growth, atioxidative enzymes, total sugar and sucrose content and the occurrence of H3K4me3 in the Sb04g038610 gene were evaluated. Even with the interval between the first and second drought events, which could result in the removal of the stress memory, the photosynthetic, antioxidative, morpho-anatomical and water status responses demonstrated that S. bicolor plants showed increased tolerance to drought during recurrent water defici... (Complete abstract click electronic access below) / Doutor

Ziele dieser Arbeit zum Tränkemanagement bei neonataler Kälberdiarrhoe waren, die Auswirkungen von oralen Rehydratationslösungen (ORL) auf die abomasale Milchgerinnung und den Labmagendurchmesser zu prüfen sowie die Wirksamkeit von unterschiedlich zubereiteten ORL bei bestehender Dehydratation zu vergleichen. Dazu wurden die folgenden zwei Untersuchungen durchgeführt: Die erste Untersuchung an gesunden und durchfallkranken Kälbern sollte mittels Ultraschall zeigen, ob die Einmischung eines bicarbonathaltigen Elektrolytpulvers in die Tränke deren abomasales Gerinnungsverhalten beeinträchtigt. Zeitgleich wurde der ventrodorsale Labmagendurchmesser erfasst, um daraus Rückschlüsse auf die abomasale Entleerung ziehen zu können. Diese Arbeit untersuchte erstmals die Milchgerinnung im Labmagen von spontan an Durchfall erkrankten Kälbern. In der zweiten Untersuchung sollten die Effekte der Fütterung von Milchaustauscher (MAT) sowie von in Wasser und in MAT zubereiteter ORL auf den Flüssigkeits- und Säuren-Basen-Haushalt experimentell dehydrierter Kälber ermittelt werden. Material und Methoden: Bei gesunden (n = 28) sowie durchfallkranken Kälbern (n = 15) wurde das abomasale Gerinnungsverhalten sowie der ventrodorsale Labmagendurchmesser (= Labmagenhöhe) vor und nach Fütterung von Milch bzw. MAT sowie nach Zusatz eines bicarbonathaltigen Elektrolytpulvers zur jeweiligen Tränke ultrasonografisch dargestellt. Im zweiten Untersuchungsteil wurden sechs Kälber nach einem modifizierten Protokoll von WALKER et al. (1998a) experimentell dehydriert. Im Anschluss wurden diese Tiere entweder mit MAT oder mit einer ORL, welche in Wasser (Wasser-ORL) oder MAT (MAT-ORL) zubereitet wurde, gefüttert. In einem weiteren Versuchsdurchlauf verblieben die mittel- bis hochgradig dehydrierten Probanden nüchtern. Nach einem definierten Schema wurden während der Versuchsphase venöse Blutproben vor und nach Induktion einer Dehydratation sowie vor und nach Fütterung entnommen. Es wurden Parameter des Flüssigkeits- und Säuren-Basen-Haushaltes zu den verschiedenen Untersuchungszeitpunkten bestimmt. Ergebnisse: Nach Gabe von Milch konnte mittels Ultraschall immer eine vollständige Zweiphasentrennung in Koagulum und Molke detektiert werden, wohingegen diese nach Fütterung des MAT nur unvollständig voneinander separiert waren. Die kombinierte Fütterung von Milch oder MAT und einer ORL, welche 62 bzw. 93 mmol/l Bicarbonat enthielt, führte zu keinen Unterschieden auf den ultrasonografischen Bildern des Labmageninhaltes im Vergleich zu denen der jeweiligen nativen Tränke. Des Weiteren war die abomasale Milchgerinnung nicht aufgrund eines Durchfallgeschehens gestört. Die unvollständige Gerinnung des MAT resultierte nicht in dessen schnellerer abomasaler Passage, sondern anhand des statistisch signifikant größeren Labmagendurchmessers ab vier Stunden nach MAT-Fütterung scheint es, dass die Entleerung des MAT aus dem Labmagen im Vergleich zu Milch leicht verzögert war. Innerhalb der beiden Versuchstiergruppen konnten keine statistisch signifikanten Unterschiede in Bezug auf den abomasalen Durchmesser zwischen den Tränken mit und ohne ORL-Zusatz festgestellt werden. Die statistisch signifikanten Differenzen des Labmagendurchmessers zwischen den gesunden und durchfallkranken Kälbern nach Fütterung der identischen Tränken weisen darauf hin, dass die Entleerung des Labmagens bei an Diarrhoe erkrankten Kälbern verzögert stattfindet. Bei den experimentell dehydrierten Probanden erhöhte sich das Plasmavolumen statistisch signifikant nach Aufnahme einer Tränkemahlzeit, wohingegen dieses ohne Behandlung konstant blieb. Die Rate der Plasmavolumenexpansion war nach Fütterung von MAT im Vergleich zu Wasser-ORL oder MAT-ORL vermindert. Die Zunahme des Plasmavolumens war bei den dehydrierten Kälbern nach Aufnahme von Wasser-ORL stärker ausgeprägt als nach Fütterung von MAT-ORL. Außerdem war nach Gabe der hypertonen MAT ORL die Plasmaosmolalität statistisch signifikant erhöht. Der Säuren-Basen-Status der Tiere verbesserte sich infolge der Absorption von Flüssigkeit. Dieser Effekt war allerdings weniger offensichtlich, da das Versuchsprotokoll eine hochgradige Dehydratation aber nur eine gering- bis maximal mittelgradige metabolische Azidose induzieren konnte. Schlussfolgerungen: Die unvollständige Gerinnung eines MAT im Labmagen scheint zu keiner schnelleren Entleerung zu führen. Die abomasale Milchgerinnung ist nicht beeinträchtigt, wenn die Milchfütterung mit einer 93 mmol/l Bicarbonat enthaltenden ORL kombiniert wird. Darüber hinaus resultiert aus einer Durchfallerkrankung keine Störung der Milchgerinnung im Labmagen. Die Einmischung eines bicarbonathaltigen Elektrolytpulvers in Milch oder MAT hat keine schnellere abomasale Passage der Ingesta zur Folge. Im Gegensatz zu gesunden Kälbern findet die Entleerung des Labmagens bei durchfallkranken Tieren verzögert statt. Es sind weitere Untersuchungen erforderlich, welche die Ursachen für die verlangsamte abomasale Passage bei an Durchfall leidenden Kälbern bestimmen. Aus den Ergebnissen der vorliegenden Arbeit kann geschlussfolgert werden, dass die gemeinsame Verabreichung von Milch bzw. MAT mit einem bicarbonathaltigen Elektrolytpulver weder die Milchgerinnung noch die abomasale Entleerung der Tränke bei durchfallkranken Kälbern beeinflusst. Folglich ist die Einmischung einer ORL in eine caseinhaltige Tränke möglich. Jedoch zeigen die Ergebnisse der zweiten Untersuchung, dass die Fütterung einer hypertonen MAT-ORL weniger effektiv bei der Erhöhung des Plasmavolumens dehydrierter Kälber ist als das in Wasser zubereitete Äquivalent (Wasser-ORL). Genau genommen erhöht die Verabreichung einer hypertonen MAT-ORL die Plasmaosmolalität bei dehydrierten Tieren, was möglicherweise bei durchfallkranken Kälbern zu einer akuten Kochsalzvergiftung führen könnte. In einer Folgeuntersuchung zu dieser Arbeit konnte gezeigt werden, dass die Gabe von hypertoner Milch-ORL in Kombination mit freiem Zugang zu Wasser eine effektive Behandlungsmaßnahme durchfallkranker Kälber darstellt, da die hohen Elektrolytgaben die Wasseraufnahme der Kälber stimulieren und keine Gefahr einer Hypernatriämie besteht (WENGE et al. 2014). Anhand der beiden Arbeiten kann geschlussfolgert werden, dass durchfallkranke Kälber, denen kein freier Zugang zu Wasser gewährt wird, wasserbasierte, isotone ORL erhalten sollten. / Aims of the present studies on oral rehydration management of calf diarrhoea were to reveal the effects of oral rehydration solutions (ORS) on abomasal milk clotting and abomasal diameter, as well as to compare the effectiveness of differently prepared ORS in calves with experimentally induced dehydration. For this purpose, two experiments were conducted: The first investigation in healthy and diarrhoeic calves should demonstrate via ultrasound whether the incorporation of bicarbonate-containing electrolyte powder into ‘milk meals’ impairs the abomasal coagulation of milk protein. At the same time, the ventrodorsal diameter of the abomasum was measured to outline abomasal emptying. This study is the first in which milk clotting in the abomasum of spontaneously diarrhoeic calves was investigated. The second investigation examined the effects of feeding milk replacer (MR), as well as ORS prepared in water or in MR on the fluid and acid-base balance of experimentally dehydrated calves. Materials and methods: Abomasal curd formation, as well as ventrodorsal diameter (= abomasal height), were ultrasonographically imaged in healthy (n = 28) and diarrhoeic calves (n = 15) before and after feeding milk, MR and ORS containing bicarbonate prepared in milk or MR, respectively. In the second investigation six calves were experimentally dehydrated according to a modified protocol of WALKER et al. (1998a). Subsequently, these calves were fed with either milk replacer (MR) or an ORS prepared in either water (water-ORS) or MR (MR-ORS). In one experiment, the dehydrated calves remained fasting. During the experimental period, venous blood samples were taken according to a defined schedule before and after induction of dehydration, as well as before and after feeding. Parameters of fluid and acid-base balance were determined at various timepoints. Results: After milk-feeding, a complete separation of curd and whey was always detected via ultrasound; whereas after MR-feeding, separation was incomplete. Feeding mixtures of milk or MR with ORS containing 62 - 93 mmol/L bicarbonate did not cause any differences in the ultrasonographic images of abomasal content compared to those of milk or MR. Moreover, abomasal milk clotting was not disturbed due to diarrhoea. Inadequate milk clotting of MR did not result in its faster abomasal passage but according to the significantly larger abomasal diameter starting from 4 h after MR-feeding gastric emptying of MR was slightly decreased when compared to milk. Within the two groups of experimental animals no statistically significant differences could be determined with respect to the abomasal diameter between the diets with and without addition of ORS. Statistically significant differences of abomasal diameter between healthy and diarrhoeic calves after feeding the same diet indicate that abomasal emptying is delayed in calves suffering from diarrhoea. Plasma volume increased significantly following the intake of a ‘fluid meal’ in experimentally dehydrated calves, whereas it remained constant in the absence of treatment. The rate of plasma volume expansion was reduced by feeding MR relative to water-ORS or MR-ORS. In dehydrated calves, the expansion of plasma volume was more pronounced following the intake of water-ORS compared to the feeding MR-ORS. Moreover, plasma osmolality increased significantly following the ingestion of hypertonic MR-ORS. The acid-base status of animals was corrected as a result of fluid absorption, but this effect was less obvious as the experimental protocol resulted in severe dehydration and only mild to moderate metabolic acidosis. Conclusions: Inadequate curd formation of an MR in the abomasum does not result in faster abomasal passage. Milk clotting in the abomasum is not affected when combining milk feeding with ORS containing 93 mmol/L of bicarbonate. Furthermore, abomasal curd formation is not disturbed due to diarrhoea. The addition of an bicarbonate-containing ORS in milk or MR does not result in faster abomasal passage of ingesta. In contrast to healthy calves, abomasal emptying is prolonged in diarrhoeic calves. Hence, further studies are needed to determine reasons for decelerated abomasal passage in calves suffering from diarrhoea. According to the results of the present study it can be concluded that combined feeding of milk/MR with an bicarbonate-containing ORS does not affect either milk clotting or abomasal emptying of the diet in diarrhoeic calves. Consequently, the addition of ORS to milk meal is possible. However, the results of the second investigation indicate that the feeding of hypertonic MR-ORS is less effective in increasing plasma volume of dehydrated calves than the water-based equivalent (water-ORS). In fact, administration of hypertonic MR-ORS increases plasma osmolality in dehydrated calves, potentially causing acute hypernatraemia in diarrhoeic calves. In a follow-up study to the present investigation, it could be demonstrated that feeding hypertonic milk-ORS combined with ad libitum access to water is an effective method of treating diarrhoeic calves because the high electrolyte content stimulates water intake of calves and there is no risk of hypernatraemia (WENGE et al. 2014). Based on these two studies, it can be concluded that diarrhoeic calves without free access to water should receive isotonic water-based ORS.

Abstract Objectives: Diarrheal disease is a global health challenge that assumes gigantic importance with regard to child health in developing countries like Pakistan. Prompt medical attention and proper use of Oral Re-hydration Therapy (ORT) by mothers helps prevent dehydration and secondary complications among affected children. However, ORT use among mothers in Pakistan is low. This study seeks to examine how various socio-demographic factors impact the use of ORT and dispensary treatment among mothers of children affected with diarrhea. Methods:Data from Pakistan Demographic Health Survey (2012-2013) was used for the study. The study sample consisted of women aged 15-49 years old resident in Punjab region (N= 505) with children under five years old who had diarrhea within two weeks of the survey. Chi-square tests and logistic regression analyses were used to determine relationships between maternal socio-demographic characteristics and use of ORT and dispensary care. P-values Results: After controlling for place of residence, educational level and frequency of watching television, caregivers whose children had fever with diarrheal episodes had nearly two-fold increased odds of using ORT treatment [OR= 1.9, (95% CI: 1.28-2.82)], compared to those whose children did not have fever. Similarly poor and middle class socioeconomic status (SES) participants had 3 times increased odds [OR= 2.76, [95% CI: 1.1 -6.89)] of using dispensary treatment when compared to upper class mothers. Place of residence was not a significant predictor of ORT or dispensary use. Discussion: These findings are consistent with other studies that show that mothers’ socioeconomic status are a good indicator of their knowledge about ORT use, and health care seeking behavior. On the other hand, maternal place of residence was not a significant predictor of ORT use, or consultation at a dispensary, even though other studies have found significant associations. Conclusion: Interventions aimed at improving low-income mothers’ knowledge about diarrhea management can include lay medical personnel, such as dispensers, who are often the easily accessible medical resource to this population. Therefore, dispensers should be provided with further training to increase their knowledge and skills in treating children with diarrhea. Future studies that are more rigorous should be conducted to examine this public health issue.

Background: In morbidly obese individuals (MO) cardiorespiratory comorbidities and body habitus challenge the perioperative management of anesthesia. To implement safe and reproducible routines for anesthesia and fluid therapy is the cornerstone in order to minimize anesthesia-related complications and to meet individual variability in rehydration needs. Methods: Paper I: Impact of rapid-weight-loss preparation prior to bariatric surgery was investigated. Prevalence of preoperative dehydration and cardiac function were assessed with transthoracic echocardiography (TTE). Paper II: The anesthetic technique for rapid sequence induction (RSI) in MO based on a combination of volatile and i.v. anesthetics was developed. Pre- and post-induction oxygenation, blood pressure levels and feasibility of the method was evaluated. Paper III: The preoperative ideal body weight based rehydration regime was evaluated by TTE. Paper IV: Need of rehydration during bariatric surgery was evaluated by comparing conventional monitoring to a more advanced approach (i.e. preoperative TTE and arterial pulse wave analysis). Results: Rapid-weight-loss preparation prior to bariatric surgery may expose MO to dehydration. TTE was shown to be a robust modality for preoperative screening of the level of venous return, assessment of filling pressures and biventricular function of the heart in MO. The combination of sevoflurane, propofol, alfentanil and suxamethonium was demonstrated to be a safe method for RSI regardless of BMI. The preoperative rehydration regime implemented by colloids 6 ml/kg IBW was an adequate treatment to obtain euvolemia. In addition, preoperative rehydration seems to increase hemodynamic stability during intravenous induction of anesthesia and even intraoperatively. Conclusion: This thesis describes a safe and comprehensive perioperative management of morbidly obese individuals scheduled for bariatric surgery. Hemodynamic and respiratory stability can be achieved by implementation of strict and proven methods of anesthesia and fluid therapy. Much focus should be placed on feasible monitoring and preoperative optimization in morbidly obese individuals for increased perioperative safety.

Orientador: Luiz Carlos Marques Vanderlei / Banca: Carlos Marcelo Pastre / Banca: Luiz Carlos de Abreu / Resumo: A necessidade de reposição das perdas hídricas decorrentes da atividade física tornou-se estabelecida e difundida em consensos internacionais. Entretanto, permanece pouco compreendida a influência da reposição de fluido quando administrada, igualmente, durante e após o exercício sobre parâmetros cardiorrespiratórios e sobre a modulação autonômica cardíaca. Objetivo: analisar os efeitos da reposição hidroeletrolítica na frequência cardíaca (FC), pressão arterial sistólica (PAS), pressão arterial diastólica (PAD), saturação parcial de oxigênio (SpO2), frequência respiratória (f) e nos índices de variabilidade da frequência cardíaca (VFC) calculados por métodos lineares [SDNN, RMSSD, LF(nu), HF(nu), LF(ms2), HF(ms2) e LF/HF] e não lineares (SD1, SD2, SD1/SD2, REC, DET, ApEn, DFA total, alfa-1, alfa-2) de jovens durante e após um exercício ... (Resumo completo, clicar acesso eletrônico abaixo) / Abstract: The reposition necessity of hydric loss from physical activity became well-known and established in international consensus. However, it is not well established the influence of fluid reposition, especially when administered equally during and after the physical activity, in cardiorespiratory parameters and autonomic cardiac modulation. Objective: analyze the effects of hydroelectrolyte reposition in heart rate (HR), systolic blood pressure (SBP), diastolic blood pressure (DBP), partial oxygen saturation (SpO2), respiratory rate (f) and heart rate variability indexes (HRV) calculated by linear methods [SDNN, RMSSD, LF(nu), HF(nu), LF(ms2), HF(ms2) and LF/HF] and nonlinear methods (SD1, SD2, SD1/SD2, REC, DET, ApEn, DFA, alpha- 1, alpha-2) in young during and after a long-term exercise ... (Complete abstract click electronic access below) / Mestre