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Pharmaceutical aerosols provide a number of advantages for treating respiratory diseases that include targeting high doses directly to the lungs and reducing exposure of other organs to the medication, which improve effectiveness and minimize side effects. However, difficulties associated with aerosolized drug delivery to the lungs include drug losses in delivery devices and in the extrathoracic region of human upper airways. Intersubject variability of extrathoracic and thoracic drug deposition is a key issue as well and should be minimized. Improvements to respiratory drug delivery efficiency have been recently proposed by Dr. P. Worth Longest and Dr. Michael Hindle through the use controlled condensational growth methods, which include enhanced condensational growth (ECG) and excipient enhanced growth (EEG). These methods reduce inhaled drug loss through the introduction of an aerosol with an initial submicrometer aerodynamic diameter, which then experiences condensational growth to increase droplet size and enhance thoracic deposition. Tracheobronchial and nasal human airway computational models were developed for this study to assess drug delivery using conventional and EEG methods. Computational versions of these models are used to assess drug delivery and variability with computational fluid dynamics (CFD) simulations, which are validated with experimental data where possible. Using CFD, steady state delivery of albuterol sulfate (AS) during high flow therapy (HFT) through a nasal cannula was characterized with four nasal models developed for this study, with results indicating an increase in average delivered dose from 24.0% with a conventional method to 82.2% with the EEG technique and an initially sized 0.9 µm aerosol, with a corresponding decrease in the coefficient of variation from 15% to 3%. Transient CFD simulations of nebulized AS administration through a mask during noninvasive positive pressure ventilation (NPPV) were performed and validated with experimental data, which resulted in 40.5% delivered dose with the EEG method as compared with 19.5% for a conventional method and a common inhalation profile. Using two newly created face-nose-mouth-throat models, dry powder delivery of ciprofloxacin during NPPV was assessed for the first time with steady state CFD predictions, which showed an increase in average delivered lung dose through a new mask design of 78.2% for the EEG method as compared with 36.2% for conventional delivery, while corresponding differences in delivered dose between the two models were reduced from 45.4% to 12.8% with EEG. In conclusion, results of this study demonstrate (i) the use of highly realistic in silico and in vitro models to predict the lung delivery of inhaled pharmaceutical aerosols, (ii) indicate that the EEG approach can reduce variability in nose-to-lung aerosol delivery through a nasal cannula by a factor of five, and (iii) introduce new high efficiency methods for administering aerosols during NPPV, which represents an area of current clinical need.

<p>An accurate understanding of the respiratory fluid dynamics is instrumental for medical applications, such as drug delivery system and treatment of diseases. Substantial research has been done to study such flow. However, a great number of these studies have the prevailing assumption of having a smooth wall, in despite the human trachea and bronchi is sustain by a series of cartilaginous rings, which creates height differences near the wall. To study the effect of including cartilaginous rings in the respiratory flow we developed two experiments, presenting a comparison between a smooth model and a model with cartilaginous rings. First, we present an experimental observation of a simplified Weibel-based model of the human trachea and bronchi with cartilaginous rings. The experiments were carried out with a flow rate comparable with a resting state (trachea-based Reynolds number of Re_D = 2650). In the second experiment, we developed a similar experiment but in a model with a tracheal stenosis (70% in the middle of the model) and no bronchi. In this case we increase the Reynolds number to Re_D= 3350, still a resting breathing state condition.</p> <p>For both experiments, we used transparent models and refractive index-matching methods were used to observe the flow, particularly near the wall. The flow was seeded with tracers to perform particle image velocimetry and particle tracking velocimetry to quantify the effect the rings have on the flow near the trachea and bronchi walls. From the results, we present a previously unknown phenomenon in the cavities between the cartilaginous rings: a small recirculation is observed in the upstream side of the cavities throughout the trachea. This recirculation is due to the adverse pressure gradient created by the expansion, which traps particles within the ring cavity. In addition, we found that the cartilaginous rings induce velocity fluctuations into the flow, which enhances the near-wall momentum of the flow reducing the separation after the stenosis. Size of the recirculation is reduced by 11% and the maximum upstream velocity is reduced by 38%, resulting in a much weaker recirculation because of the rings. Also noticed a delay in the separation from the trachea to bronchi bifurcation. </p> <p>The detection of recirculation zones in the cartilage ring cavities and the perturbation sheds light on the particle deposition mechanism and helps explain results from previous studies that have observed an enhancement of particle deposition in models with cartilage rings. The results highlight the importance to include the cartilaginous rings in respiratory flow studies. Finally, we compared the results from the stenotic case with Reynolds-averaged Navier-Stokes (RANS) models (k – ε, k – ε RNG, k – ω, k – ω SST, k – ω SST LRN and 4-equation Transition SST). In the results, indicate significant discrepancies between the experimental measurements and the simulations, mainly in the area with flow separation after the contraction. Therefore, RANS algorithms should not be considered reliable for research purposes in respiratory fluid dynamics without experimental validation. </p>

A hemorragia pulmonar induzida por esforço (HPIE) ocorre com freqüência em cavalos atletas acarretando prejuízo econômico já que estes deverão ficar temporariamente afastados dos treinamentos e provas, além de receber tratamento adequado. O Puro-Sangue Inglês (PSI) utilizado em provas de corrida é o animal mais afetado devido ao grande esforço ao qual é submetido, porém animais de outras raças utilizados em outras modalidades de esportes hípicos também podem apresentar HPIE. O presente estudo teve como objetivo quantificar a ocorrência de casos de HPIE em animais utilizados em provas de salto, através do exame endoscópico e da análise citológica de amostras do lavado traqueobrônquico (LTB). Para a realização do presente experimento foram utilizados 50 cavalos adultos residentes nos clubes hípicos de São Paulo, que foram divididos em dois grupos, A e B, conforme as diferentes alturas dos obstáculos utilizados nas provas em que participaram. No grupo A foram inseridos os cavalos que saltam obstáculos de 1,00m a 1,20m de altura, e no grupo B, os cavalos que saltam obstáculos de 1,30m a 1,50m de altura. Foram realizados exames físicos destes animais, antes e depois da participação em uma prova. Após 1 hora do final da prova, os mesmos foram submetidos a um exame endoscópico em que eram observadas as possíveis alterações do trato respiratório anterior do animal sendo a principal delas a hemorragia pulmonar induzida por esforço. Foi realizada citologia do lavado traqueobônquico (LTB) por microscopia após citocentrifugação das amostras e posterior confecção das lâminas que foram então coradas por Rosenfeld. A principal observação durante a leitura das lâminas foi à presença de hemossiderófagos. No trabalho realizado são apresentados além da citologia do trato respiratório dados como os valores médios de freqüência cardíaca, freqüência respiratória e temperatura corpórea dos animais após a participação em uma prova. Estes dados foram relacionados às alturas dos obstáculos existentes em cada prova realizada pelos animais. Em relação à ocorrência de HPIE observamos que no grupo A 50% dos animais apresentaram HPIE e no grupo B a ocorrência foi de 66,67%. Foram observados todos os graus de HPIE, porém somente no grupo B houve ocorrência de graus IV e V, demonstrando assim a correlação entre o nível de esforço realizado pelos cavalos de salto e o grau de HPIE apresentado por eles. / Effort induced pulmonary hemorrhage (EIPH) frequently occurs in athlete horses causing economic losses not only due to temporary removal from training and competition, but also due to the cost of adequate treatment. Thoroughbreds used in racing are the most frequently affected breed due to the great effort to which they are submitted; however other breeds and crossbred sport horses can also have EIPH. The present study´s objective is to quantify the occurrence of cases of EIPH in animals used in show jumping, through the endoscopic examination and cytological analysis of tracheobronchial lavage (TBL) samples. For the present experiment fifty adult horses, housed in maneges in the city of São Paulo, were used. Horses were divided into two groups, named A and B according to the different heights of the obstacles. Group A included horses that jump heights of 1.0 to 1.2 m and group B, obstacles of 1.3 to 1.5 m. Physical examinations of these animals were carried through, before and after participation in each test. One hour after the end of each series, the same ones had been submitted to an endoscopic examination where the possible alterations of previous the respiratory treatment of the animal were observed being main of them the induced pulmonary hemorrhage for effort. Cytology of tracheobronchial lavage (TBL) was performed in cytocentrifuge slides prepared on the same day, slides were stained using Rosenfeld Romanov and observed examined under light microscopy. The major focus during the observation of the slides was the presence of hemosiderophages and grading of EIPH intensity (I through V) Besides the cytological evaluation of the respiratory tract, this study includes clinical data such as the average values of cardiac frequency, respiratory frequency and body temperature of the animals after the each competition. These data were correlated with the heights of the existing obstacles jumped by each athlete horse. In relation to the EIPH occurrence we observed that in the group A 50% of the animals presented EIPH and in group B the occurrence was of 66,67%. All grades of EIPH were observed when both groups were considered, however only animals in group B showed intense hemorrhage levels (IV or V) thus demonstrating and the correlation between the levels of effort the intensity of EIPH in jumpers.

A hemorragia pulmonar induzida por esforço (HPIE) ocorre com freqüência em cavalos atletas acarretando prejuízo econômico já que estes deverão ficar temporariamente afastados dos treinamentos e provas, além de receber tratamento adequado. O Puro-Sangue Inglês (PSI) utilizado em provas de corrida é o animal mais afetado devido ao grande esforço ao qual é submetido, porém animais de outras raças utilizados em outras modalidades de esportes hípicos também podem apresentar HPIE. O presente estudo teve como objetivo quantificar a ocorrência de casos de HPIE em animais utilizados em provas de salto, através do exame endoscópico e da análise citológica de amostras do lavado traqueobrônquico (LTB). Para a realização do presente experimento foram utilizados 50 cavalos adultos residentes nos clubes hípicos de São Paulo, que foram divididos em dois grupos, A e B, conforme as diferentes alturas dos obstáculos utilizados nas provas em que participaram. No grupo A foram inseridos os cavalos que saltam obstáculos de 1,00m a 1,20m de altura, e no grupo B, os cavalos que saltam obstáculos de 1,30m a 1,50m de altura. Foram realizados exames físicos destes animais, antes e depois da participação em uma prova. Após 1 hora do final da prova, os mesmos foram submetidos a um exame endoscópico em que eram observadas as possíveis alterações do trato respiratório anterior do animal sendo a principal delas a hemorragia pulmonar induzida por esforço. Foi realizada citologia do lavado traqueobônquico (LTB) por microscopia após citocentrifugação das amostras e posterior confecção das lâminas que foram então coradas por Rosenfeld. A principal observação durante a leitura das lâminas foi à presença de hemossiderófagos. No trabalho realizado são apresentados além da citologia do trato respiratório dados como os valores médios de freqüência cardíaca, freqüência respiratória e temperatura corpórea dos animais após a participação em uma prova. Estes dados foram relacionados às alturas dos obstáculos existentes em cada prova realizada pelos animais. Em relação à ocorrência de HPIE observamos que no grupo A 50% dos animais apresentaram HPIE e no grupo B a ocorrência foi de 66,67%. Foram observados todos os graus de HPIE, porém somente no grupo B houve ocorrência de graus IV e V, demonstrando assim a correlação entre o nível de esforço realizado pelos cavalos de salto e o grau de HPIE apresentado por eles. / Effort induced pulmonary hemorrhage (EIPH) frequently occurs in athlete horses causing economic losses not only due to temporary removal from training and competition, but also due to the cost of adequate treatment. Thoroughbreds used in racing are the most frequently affected breed due to the great effort to which they are submitted; however other breeds and crossbred sport horses can also have EIPH. The present study´s objective is to quantify the occurrence of cases of EIPH in animals used in show jumping, through the endoscopic examination and cytological analysis of tracheobronchial lavage (TBL) samples. For the present experiment fifty adult horses, housed in maneges in the city of São Paulo, were used. Horses were divided into two groups, named A and B according to the different heights of the obstacles. Group A included horses that jump heights of 1.0 to 1.2 m and group B, obstacles of 1.3 to 1.5 m. Physical examinations of these animals were carried through, before and after participation in each test. One hour after the end of each series, the same ones had been submitted to an endoscopic examination where the possible alterations of previous the respiratory treatment of the animal were observed being main of them the induced pulmonary hemorrhage for effort. Cytology of tracheobronchial lavage (TBL) was performed in cytocentrifuge slides prepared on the same day, slides were stained using Rosenfeld Romanov and observed examined under light microscopy. The major focus during the observation of the slides was the presence of hemosiderophages and grading of EIPH intensity (I through V) Besides the cytological evaluation of the respiratory tract, this study includes clinical data such as the average values of cardiac frequency, respiratory frequency and body temperature of the animals after the each competition. These data were correlated with the heights of the existing obstacles jumped by each athlete horse. In relation to the EIPH occurrence we observed that in the group A 50% of the animals presented EIPH and in group B the occurrence was of 66,67%. All grades of EIPH were observed when both groups were considered, however only animals in group B showed intense hemorrhage levels (IV or V) thus demonstrating and the correlation between the levels of effort the intensity of EIPH in jumpers.

La Thérapie par Substitution de Surfactant (TSS), qui opère par instillation d’une solution de surfactant directement dans l’arbre bronchique, est un traitement essentiel chez les nouveau-nés souffrant de syndrome de détresse respiratoire (SDRN). Cette procédure s’est révélée remarquablement efficace chez les grands prématurés, contribuant à la division par cinq de leur mortalité depuis les années 1980. À l’inverse, son utilisation s’est avérée décevante chez l’adulte dans le traitement du syndrome de détresse respiratoire aigu (SDRA), se soldant par un échec après des premiers essais pourtant prometteurs.Dans cette thèse, nous présentons un modèle mathématique et numérique de la propagation de bouchons liquides dans le système pulmonaire aérien de mammifères. Dans ce but, nous commençons par créer des modèles d’arbres trachéobronchiques chez le rat, le cochon ou l’homme. Ces modèles sont définis non seulement par leurs propriétés d’échelle mais également par leur structure tridimensionnelle indispensable à la simulation du transport liquidien. Les géométries ainsi créées sont comparées aux données morphométriques de la littérature.Nous présentons ensuite le modèle mathématique du transport liquidien. La principale propriété de ce modèle réside dans la décomposition de la propagation de bouchons liquides en deux étapes élémentaires fondamentales : (1) le dépôt de liquide sur les parois bronchiques lors de la propagation d’un bouchon, et (2) la division du bouchon liquide à chaque bifurcation de l’arbre. Les équations du processus de séparation sont déduites de la conservation de l’impulsion, pour tout type de bifurcation asymétrique. Cette décomposition en deux étapes élémentaires nous permet de calculer de manière efficace et rapide la propagation du surfactant dans l’intégralité de l’arbre aérien, fournissant ainsi un véritable outil de conception en génie biomédical.Ce modèle numérique est tout d’abord exploité pour calculer l’administration de surfactant chez le rat. Les rôles respectifs du volume initial, du débit et de l’injection multiple sont examinés. Nos résultats de simulations se révèlent être en bon accord avec les données de la littérature. En particulier, nous mettons en évidence le rôle joué par l’architecture monopodiale du rat qui contribue à la faible homogénéité de la distribution finale de surfactant. On observe également la forte non linéarité de la quantité de surfactant distribuée dans les acini en fonction du volume initial, en raison du dépôt d’une fraction de ce volume sur les parois bronchiques (le coût de dépôt). Des simulations de l’administration chez le cochon font apparaître les mêmes propriétés, avec cette fois une sensibilité accrue à la taille du poumon. Les effets respectifs de la gravité et de la tension de surface ne varient en effet pas suivant les mêmes lois d’échelle, ce qui se traduit par une distribution extrêmement inhomogène à bas débit ou à faible volume.Enfin, chez l’homme, notre modèle montre que l’origine de l’échec de la TSS chez l’adulte est possiblement à chercher dans la mécanique des fluides, l’accroissement du coût de dépôt aggravant la non-linéarité de l’administration. Cet effet peut être contré soit en instillant le surfactant à plus faible débit (mais au prix d’une distribution finale fortement inhomogène), soit en augmentant le volume initial. Nos résultats montrent en outre que, même pour des tailles comparables, les géométries très différentes de l’homme et du cochon ne permettent pas de traduire directement pour le premier les résultats obtenus chez le second. Un modèle fiable de l’administration est donc indispensable pour prédire l’efficacité de la TSS à partir de modèles animaux.En conclusion, cette thèse propose un nouvel outil permettant de prédire l’administration de surfactant chez l’animal et chez l’homme, de comprendre le rôle éventuel des modèles animaux, et en définitive de concevoir et d’optimiser de manière individualisée la TSS pour le patient. / Surfactant Replacement Therapy (SRT), which involves instillation of a liquid-surfactant mixture directly into the lung airway tree, is a major therapeutic treatment in neonatal patients with respiratory distress syndrome (NRDS). This procedure has proved to be remarkably effective in premature newborns, contributing to a five-fold decrease of mortality since the 1980s. Disappointingly, its use in adults for treating acute respiratory distress syndrome (ARDS) experienced initial success followed by failures.In this PhD thesis, we present a mathematical and numerical model for the propagation of a liquid plug into the pulmonary airway system of mammals. To that intent, we first create realistic geometrical models of the tracheobronchial trees of mammals, rat, pig, and human, defined not only by their scaling properties but also by their 3D spatial embedding (i.e., branching and rotation angles), a description necessary for simulating liquid transport. The resulting geometries are compared with the available quantitative morphometric measurements found in the literature.We then introduce the mathematical model describing liquid plug transport. The main feature of this model is to decompose the propagation of liquid plugs in two fundamental elementary steps: (1) liquid deposition onto the airway walls during the propagation of a plug into a single airway, and (2) plug splitting at each bifurcation between two consecutive generations. The equations for the splitting process are derived from momentum conservation considerations, for any type of asymmetric bifurcation and any orientation with respect to gravity. The decomposition of the transport of liquid plugs into these essential steps allows us to compute efficiently and rapidly the propagation of surfactant into the entire airway tree, thus creating a truly biomedical engineering design tool.This mathematical and numerical model is first used to compute surfactant delivery into realistic asymmetric conducting airway trees of rat lung. The roles of dose volume, flow rate, and multiple aliquot deliveries are investigated. We find that our simulations of surfactant delivery in rat lungs are in good agreement with experimental data. In particular, we show that the monopodial architecture of the rat airway trees plays a major role in surfactant delivery, contributing to the poor homogeneity of the end distribution of surfactant. We also observe that increasing the initial dose volume increases in a nonlinear way the amount of surfactant delivered to the acini after losing a portion to coating the involved airways, the coating cost volume. Simulations of delivery in pig lungs exhibit the same general features, but our model demonstrates that SRT is very sensitive to the lung size. Surface tension and gravity effects do not scale similarly, and the end distribution can become highly nonhomogeneous at smaller flow rates or small dose volumes.Finally, in the human lung, our model shows that the failure of SRT in adults could, in fact, have a fluid mechanical origin that is potentially reversible. The coating cost is predicted to increase in adult lungs, enhancing the nonlinearity of the delivery process. This effect can be countered either by instilling the surfactant mixture at a smaller flow rate (but then the distribution is highly nonhomogeneous) or by using a larger dose volume. In addition, our results show that, even if sizes are comparable, the very different geometrical structures of pig and human lungs do not permit a direction translation of experimental results in pigs to humans, and that a reliable mathematical model of the delivery is absolutely crucial if one wants to predict the efficacy of SRT from animal models.In conclusion, this thesis provides a tool for predicting surfactant delivery in animals and humans, for understanding how to build animals models of SRT, and finally for engineering and optimizing patient-specific surfactant delivery in complex situations.

Iatrogenic tracheal ruptures are rare but severe complications of medical interventions. The main goal of this study was to explore prognostic factors for all-cause mortality and rupture-related (adjusted) mortality. We retrospectively analyzed patients admitted to an academic referral center over a 15-year period (2004–2018). Fifty-four patients met the inclusion criteria, of whom 36 patients underwent surgical repair and 18 patients were treated conservatively. In a 90-day follow-up, the all-cause mortality was 50%, while the adjusted mortality was 13%. Rupture length was identified as a predictor for all-cause mortality (area under the curve, 0.84; 95% confidence interval (CI) 0.74–0.94) with a cutoff rupture length of 4.5 cm (sensitivity, 0.70; specificity, 0.81). Multivariate analysis confirmed rupture length as a prognostic factor for all-cause mortality (adjusted hazard ratio (HR) 1.5; 95% CI 1.2–1.9; p = 0.001), but not for adjusted mortality (HR 1.5; 95% CI 0.97–2.3; p = 0.068), while mediastinitis predicted adjusted mortality (HR 5.8; 95% CI 1.1–31.7; p = 0.042), but not all-cause mortality (HR 1.6; 95% CI 0.7–3.5; p = 0.243). The extent of iatrogenic tracheal rupture and mediastinitis might be relevant prognostic factors for all-cause mortality and adjusted mortality, respectively.

O Brasil é o 18ª maior produtor de carne ovina e, apesar de ser em grande parte informal, é uma cultura crescente no país. Dentre as enfermidades infecciosas que acomete a ovinocultura a broncopneumonia é uma das mais recorrentes, no entanto, não há muitos estudos sobre esta enfermidade em pequenos ruminantes no Brasil. Por isso, esta pesquisa teve como objetivo verificar a ocorrência de doenças respiratórias no estado de São Paulo e Rio de Janeiro causadas por bactérias e vírus. Para a realização desse projeto foi utilizado a técnica de lavado traqueobrônquico transtraqueal e coleta de sangue total para obtenção do soro em 99 ovinos. Essas amostras foram submetidas a teste de virusneutralização para identificação de anticorpos contra vírus da Parainfluenza Tipo 3 (PI-3), Herpesvírus Bovino Tipo 1 (BoHV- 1), Vírus Sincicial Respiratório Bovino (BRSV) e Vírus da Diarreia Viral Bovina (VDVB). Utilização do teste de imunodifusão em gel de agarose e Eradikt&reg; para detectar a presença de anticorpos contra Lentivírus de Pequenos Ruminantes (LVPR). Isolamento e identificação bioquímica para M. haemolytica e Pasteurella multocida. Cultivo e isolamento, identificação bioquímica e PCR foram testes utilizados para identificação de micoplasmas (Mycoplasma bovis, M. agalactiae, M. mycoides subsp. capri). Das 99 amostras coletadas, 33 foram de ovinos doentes e 66 de ovinos sadios. Não houve identificação de M. haemolytica e P. multocida, nem presença de anticorpos contra BoHV-1 e VDVB. No entanto, observou-se a prevalência de 52,52%, 48,48% e 21,87% de PI-3, BRSV e LVPR respectivamente. Em relação as bactérias aeróbias, houve maior frequência de isolamento de Bacillus sp. e Gram-negativas não fermentadoras. Apesar de identificar bactérias da classe Mollicutes em colônias isoladas em 23,28% das amostras, houve apenas uma identificação com os oligonucleotídeos utilizados, o M. mycoides subsp. capri, primeiro isolamento em ovinos no estado de São Paulo e Rio de Janeiro. Houve diferença estatística significativa (p&lt;0,05) entre animais com broncopneumonia e manifestações clínicas como taquipneia, hipertermia, secreção nasal, tosse, dispneia, crepitação fina e ronco e entre animais com broncopneumonia e não realizam de quarentena e não separam animais doentes. A broncopneumonia envolve vários fatores, incluindo o manejo, agente infeccioso e a imunidade do animal. Por isso, é necessário conhecer todos esses aspectos e associá-los para uma melhor prevenção e tratamento. / Brazil is the 18th largest producer of sheep meat and, despite being largely informal, is a growing crop in the country. Among the infectious diseases that affect sheep production, bronchopneumonia is one of the most recurrent, however, there are not many studies on this disease in small ruminants in Brazil. Therefore, this research aimed to verify the occurrence of respiratory diseases in the state of São Paulo and Rio de Janeiro caused by bacteria and viruses. For the accomplishment of this project was used tracheobronchial lavage technique transtracheal and collection of whole blood to obtain serum in 99 sheep. These samples were submitted to virus neutralization test to identify antibodies against Parainfluenza Type 3 (PI-3), Bovine Herpesvirus Type 1 (BoHV-1), Bovine Respiratory Syncytial Virus (BRSV) and Bovine Viral Diarrhea Virus (BVDV). Use of the Eradikit &reg; and agarose gel immunodiffusion test to detect the presence of antibodies against Small Ruminant Lentiviruses (LVPR). Isolation and biochemical identification for M. haemolytica and Pasteurella multocida. Cultivation and isolation, biochemical identification and PCR were used to identify mycoplasmas (Mycoplasma bovis, M. agalactiae, M. mycoides subsp. Capri). Of the 99 samples collected, 33 were from diseased sheep and 66 from healthy sheep. There was no identification of M. haemolytica and P. multocida, nor presence of antibodies against BoHV-1 and BVDV. However, the prevalence of 52.52%, 48.48% and 21.87% of PI-3, BRSV and LVPR, respectively, was observed. In relation to aerobic bacteria, there was a higher frequency of isolation of Bacillus sp. and Gram-negative non-fermenters. Despite identifying Mollicute class bacteria in isolated colonies in 23.28% of the samples, there was only one identification with the oligonucleotides used, M. mycoides subsp. capri, first isolation in sheep in the state of São Paulo and Rio de Janeiro. There was a significant statistical difference (p &lt;0.05) between animals with bronchopneumonia and clinical manifestations such as tachypnea, hyperthermia, nasal secretion, cough, dyspnea, fine crackling and snoring, and between animals with bronchopneumonia and quarantine and separation of diseased animals. Bronchopneumonia involves several factors, including management, infectious agent and the immunity of the animal. Therefore, it is necessary to know all these aspects and to associate them for a better prevention and treatment.

Orientador: Roberto Calderon Gonçalves / Banca: Alice Maria Melville Paiva / Banca: Simone Biagio Chiacchio / Resumo: Os estudos das secreções traqueobrônquicas são amplamente utilizados nas pesquisas de condições patológicas pulmonares nas diversas espécies animais, inclusive no homem. Os objetivos desta pesquisa foram a viabilização da técnica de colheita de lavado traqueobrônquico na espécie ovina e o estudo da relação clínico-citológica do lavado de ovinos portadores de afecções respiratórias e clinicamente sadios. Foram utilizados neste estudo 19 ovinos sem sintomatologia respiratória e 23 portadores de enfermidade respiratória com sinais clínicos e envolvimento de vias aéreas, divididos nos respectivos grupos. Após o exame físico foi realizado o lavado traqueobrônquico por via nasotraqueal. A colheita do lavado foi feita com a inoculação e aspiração de solução fisiológica estéril. As amostras foram processadas citologicamente através de citocentrifugação e coradas pelos métodos Giemsa, Shorr e Gram. Nos animais sadios notou-se predomínio de macrófagos, seguido por células epiteliais cilíndricas, neutrófilos e linfócitos. No grupo de animais doentes notou-se redução no número de macrófagos e aumento da freqüência cardíaca. Embora não tenha ocorrido diferença estatística significativa entre os grupos avaliados, notou-se tendência ao aumento de neutrófilos nos animais doentes. A técnica estudada mostrou-se eficaz na obtenção de fluidos traqueobrônquicos, por ser de fácil realização por médicos veterinários no campo, pouco dispendiosa, e obter material representativo da região traqueobrônquica. / Abstract: The studies of the tracheobrochial secretions are very useful in the research of the lung pathological conditions in different animal's species and in humans. The purposes of this research are to enable the collection technique of the tracheobronchial lavage in ovine and the study of the clinical cytology relationship of the lavage in ovines with respiratory disease and clinically healthy. In this study there were used 19 ovines without respiratory symptoms and 23 with respiratory disease with symptoms and airway involvement, separated in respective groups. After physical examination the tracheobronchial lavage was performed by nasotracheal via. The tracheobronchial lavage was performed by injection and aspiration of sterile saline. Cytology of the samples was proceeding by centrifugation and collored by Giemsa, Shorr and Gram methods. In the healthy animals was noted prevalence of macrophages, followed by cylindric epithelial cells, neutrophils and lymphocytes. In the ill animals group there was reduction in the macrophages and higher heart rate. Despite there was no considerable statistic difference between the analyzed groups, a tendency in the increase of the neutrophils number in the ill group was noted. The evaluated technical showed itself to be efficient to obtain tracheobronchial fluid, considering its easy proceeding by veterinarians in the field, no expensive and obtaining representative volume of the samples from the tracheobronchial region. / Mestre

Made available in DSpace on 2014-06-11T19:23:44Z (GMT). No. of bitstreams: 0 Previous issue date: 2007-02-22Bitstream added on 2014-06-13T19:30:12Z : No. of bitstreams: 1 marcondes_js_me_botfmvz.pdf: 567670 bytes, checksum: 1ff58f582a8a4a863c4ee08a32172d9a (MD5) / Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq) / Os estudos das secreções traqueobrônquicas são amplamente utilizados nas pesquisas de condições patológicas pulmonares nas diversas espécies animais, inclusive no homem. Os objetivos desta pesquisa foram a viabilização da técnica de colheita de lavado traqueobrônquico na espécie ovina e o estudo da relação clínico-citológica do lavado de ovinos portadores de afecções respiratórias e clinicamente sadios. Foram utilizados neste estudo 19 ovinos sem sintomatologia respiratória e 23 portadores de enfermidade respiratória com sinais clínicos e envolvimento de vias aéreas, divididos nos respectivos grupos. Após o exame físico foi realizado o lavado traqueobrônquico por via nasotraqueal. A colheita do lavado foi feita com a inoculação e aspiração de solução fisiológica estéril. As amostras foram processadas citologicamente através de citocentrifugação e coradas pelos métodos Giemsa, Shorr e Gram. Nos animais sadios notou-se predomínio de macrófagos, seguido por células epiteliais cilíndricas, neutrófilos e linfócitos. No grupo de animais doentes notou-se redução no número de macrófagos e aumento da freqüência cardíaca. Embora não tenha ocorrido diferença estatística significativa entre os grupos avaliados, notou-se tendência ao aumento de neutrófilos nos animais doentes. A técnica estudada mostrou-se eficaz na obtenção de fluidos traqueobrônquicos, por ser de fácil realização por médicos veterinários no campo, pouco dispendiosa, e obter material representativo da região traqueobrônquica. / The studies of the tracheobrochial secretions are very useful in the research of the lung pathological conditions in different animal's species and in humans. The purposes of this research are to enable the collection technique of the tracheobronchial lavage in ovine and the study of the clinical cytology relationship of the lavage in ovines with respiratory disease and clinically healthy. In this study there were used 19 ovines without respiratory symptoms and 23 with respiratory disease with symptoms and airway involvement, separated in respective groups. After physical examination the tracheobronchial lavage was performed by nasotracheal via. The tracheobronchial lavage was performed by injection and aspiration of sterile saline. Cytology of the samples was proceeding by centrifugation and collored by Giemsa, Shorr and Gram methods. In the healthy animals was noted prevalence of macrophages, followed by cylindric epithelial cells, neutrophils and lymphocytes. In the ill animals group there was reduction in the macrophages and higher heart rate. Despite there was no considerable statistic difference between the analyzed groups, a tendency in the increase of the neutrophils number in the ill group was noted. The evaluated technical showed itself to be efficient to obtain tracheobronchial fluid, considering its easy proceeding by veterinarians in the field, no expensive and obtaining representative volume of the samples from the tracheobronchial region.