Made available in DSpace on 2014-12-17T15:16:11Z (GMT). No. of bitstreams: 1 MabelAS_DISSERT.pdf: 327937 bytes, checksum: 9bb992974baca89174ee3b34adadd64c (MD5) Previous issue date: 2011-02-17 / Introduction: Radical prostatectomy surgery is the best treatment currently adopted by detecting prostate cancer. The urinary incontinence is one more common and difficult to treat postoperative complications, which causes a negative impact on quality of life of the individual prostatectomy . The surface electrical nerve stimulation involves the transmission of electrical impulses from an external stimulator for peripheral nerve through surface electrodes attached to skin. It is an easy and efficient technique, widely used for pain relief, rehabilitation and muscle strengthening. Objective: To analyze the effect of T10-L2 percutaneous electrical stimulation, in individuals with urinary incontinence who underwent radical prostatectomy by the laparoscopic technique. Methods: Six patients had previously undergone radical prostatectomy were submitted to 20 sections of surface electrical stimulation with frequency of 4 Hz, pulse width of 1ms during 20 minutes. All subjects fillid a quality of life - International Consultation on Incontinence Questionnaire- Short FormI - ICIQ-SF questionnaire evaluating. Results: Results showed reduction in the use of the number of pads, number of leaks before and after treatment, and reduced voiding frequency and consequent improvement in quality of life. No side effects were reported. Conclusion: Percutanous electrical stimulation in T10-L2 may be an effective technique to treat urinary incontinence (UI) after radical prostatectomy video laparoscopy / Introdu??o: A prostatectomia radical ? o tratamento mais adotado atualmente ao se detectar c?ncer de pr?stata, sendo a incontin?ncia urin?ria uma das complica??es p?soperat?rias mais comun, causando impacto negativo na qualidade de vida do individuo prostatectomizado. A estimula??o el?trica nervosa de superf?cie envolve a transmiss?o de impulsos el?tricos de um estimulador externo para o sistema nervoso perif?rico, atrav?s de eletrodos aderidos a pele sendo uma t?cnica simples e eficiente, muito utilizada para o al?vio da dor, reeduca??o e fortalecimento muscular. Objetivo: Analisar o efeito da eletroestimula??o percut?nea em T10-L2, em indiv?duos com incontin?ncia urin?ria, submetidos a prostatectomia radical pela t?cnica de videolaparoscopia. M?todos: Seis pacientes previamente submetidos a prostatectomia radical realizaram 20 atendimentos de eletroestimula??o de superf?cie a n?vel de T10-L2, com frequ?ncia de 4 Hz, largura de pulso de 1ms durante 20 minutos. Todos os sujeitos preencheram o question?rio de avalia??o da qualidade de vida - International Consultation on Incontinence Questionnaire- Short FormI ICIQ-SF. Resultados: Os resultados mostraram redu??o do uso do n?mero de protetores, de perdas urin?rias, antes e depois do tratamento, al?m da diminui??o da frequ?ncia miccional e consequente melhora da qualidade de vida. Nenhum efeito colateral foi registrado. Conclus?o: A eletroestimula??o de superf?cie a n?vel de T10-L2 pode ser uma t?cnica eficaz no tratamento da incontin?ncia urin?ria (IU) p?s prostatectomia radical por video laparoscopia

En metod för detektering och kvantifiering av gamma-hydroxysmörsyra (GHB) i urin med gaskromatografi (GC) är framtagen på Sahlgrenska universitetssjukhuset. Metoden är relativt unik då den inte kräver upparbetning i form av derivatisering, indunstning eller extraktion. Urinen surgörs med koncentrerad saltsyra och internstandard, gamma-valerolakton, tillsätts. GHB övergår då till laktonformen, gamma-butyrolakton (GBL). Därefter injiceras provet direkt på en GC-FID med en kapillärkolonn för glykoler och alkoholer. Detektion ner till 100 μmol/L är möjligt med en variationskoefficient mellan 6 och 12 %. Provsvar erhålls efter 6,5 minuter. Metoden är dock inte fullständig då en del frågetecken kvarstår. Bland annat bör det undersökas om andra föreningar, som kan förekomma i urin, kan eluera samtidigt som GHB. Om ja så bör vidare analyser genomföras för att separera GHB och den andra föreningen. Metoden kan däremot användas i nuläget som en screeninganalys för att snabbt få ett svar på om GHB finns närvarande eller inte. Verifiering kan sedan ske med GC-MS. / A method for determination and quantification of gamma-hydroxyburyric acid (GHB) in urine samples is developed at Sahlgrenska universitetssjukhus. No time consuming procedures as derivatization and exctration is required, which makes the method fairly unique. Hydrochloric acid and internal standard, gamma-valerolakton, is added to the urine sample before the sample is injected to a gas chromatograph with a flame ionization detector and a column for glycols and alcohols. The hydrochloric acid makes the GHB convert into gamma-butyrolactone (GBL) which is easier to separate in the gas chromatograph. Limit of detection was found to be 100 μmol/L and test result is received after 6,5 minutes. There are still some question marks around the method, for example, there is a possibility that another substance elute at the same time as GHB. More tests are required to determine whether or not it is so. For now the method can be used as a screening analysis to hastily detect GHB presence. Verification can be done with GC-MS.

Neuweltkameliden, Trächtigkeitsdiagnose, Hormone, Speichel, Milch, Urin Ziel der vorliegenden Arbeit war es, die trächtigkeitsassoziierten Hormone Progesteron (P4), Pregnanediol-Glucuronid (PdG), Östronsulfat (E1S) und Relaxin (RLN) in Spei-chel, Milch und Urin von tragenden und nicht tragenden Alpakas im Vergleich zur je-weiligen Blutkonzentration zu bestimmen, um ihre Eignung zur nicht invasiven Träch-tigkeitsdiagnostik zu untersuchen. Beprobt wurden, über einen Zeitraum von zwei Jahren, 36 Alpakastuten von sechs pri-vaten Züchtern in Sachsen jeweils vor der Bedeckung und in verschiedenen Stadien der Trächtigkeit (verifiziert durch eine transabdominale Ultraschalluntersuchung). Es wurden jeweils Serum-, Plasma-, Speichel-, Urin- und Milchproben gewonnen und die Hormonkonzentrationen mittels Enzymimmunoassay (EIA) bestimmt. Weiterhin wurden einige Milchproben in einem semiquantitativen Progesteron-Schnelltest für Rinder ein-gesetzt. P4-Konzentrationen steigen signifikant von Basalwerten beim nicht tragenden Tier von 0,35 ± 0,04 ng/ml auf 2,94 ± 0,11 ng/ml Plasma (bzw. von 0,26 ± 0,03 auf 2,87 ± 0,10 ng/ml Serum) bei tragenden Tieren an. Auch in Milch und im Urin tragender Alpakas sind signifikant höhere P4-Konzentrationen messbar: Sie steigen von basal 0,83 ± 0,06 ng/ml auf 4,09 ± 0,38 ng/ml Milch bzw. von 0,29 ± 0,04 ng P4/mg Krea auf 0,60 ± 0,06 ng P4/mg Krea im Urin. Die Urin-Konzentrationen von PdG sind signifikant höher bei graviden (152,73 ± 17,37 ng PdG/mg Krea) als bei ingraviden Alpakas (26,70 ± 2,80 ng PdG/mg Krea). Im Speichel sind weder von P4 noch von PdG Konzentrationsunterschiede zwischen den beiden Gruppen nachweisbar. Der P4-Schnelltest erkannte 28 von 31 Milchproben tragender Tiere richtig als tragend, was einem Prozentsatz von 90 % entspricht. Dage-gen wurden 22 von 32 Proben nicht tragender Tiere als nicht tragend identifiziert (69 %), wobei von den falsch positiven Milchproben jedoch 70% auch mit dem labor-gebundenen EIA falsch positive Ergebnisse lieferten. Während Blutkonzentrationen von RLN signifikant nach dem zweiten Trächtigkeitsmo-nat von basal 1,65 ± 0,56 ng/ml auf 11,69 ± 2,31 ng/ml (Plasma) bzw. von 0,95 ± 0,30 ng/ml auf 16,23 ± 3,05 ng/ml (Serum) ansteigen, sind keine Unterschiede in Milch, Speichel und Urin zwischen tragenden und nicht tragenden Tieren nachweisbar. Konzentrationen von E1S steigen erst im letzten Trächtigkeitsmonat signifikant an: Blutwerte steigen von basal 0,59 ± 0,07 ng/ml auf 3,43 ±0,55 ng/ml (Plasma) bzw. 0,32 ± 0,02 ng/ml auf 2,16 ± 0,43 ng/ml (Serum) und Urinwerte von basal 6,14 ± 0,53 ng E1S/mg Krea auf 104,03 ± 24,09 ng E1S/mg Krea. Speichel und Milchkonzentrationen unterscheiden sich nicht signifikant zwischen den beiden Gruppen. Die gemessenen Konzentrationen von P4, E1S und RLN im Blut bzw. PdG und E1S im Urin stimmen mit den Ergebnissen früherer Untersuchungen überein und können somit als Trächtigkeitsmarker bestätigt werden. Dies ist die erste Arbeit, die trächtigkeitsassoziierte Hormone in Speichel und Milch von Alpakas untersucht. Während die P4 Bestimmung in Milch sowie die Bestimmung von PdG und E1S in Urin geeignete Alternativen darstellen, ist Speichel für eine Trächtig-keitsdiagnostik beim Alpaka ungeeignet. Die Nutzung von Milch und Urin zur Trächtigkeitsdiagnose stellt insofern eine Vereinfa-chung der derzeitig gängigen Methoden (u. a. Blutprogesteron) dar, als dass der Besit-zer das Probenmaterial selbst gewinnen kann und dies mit erheblich weniger Stress für die Stuten verbunden ist. Die Bestimmung von P4 in Milch und PdG in Urin stellen so-mit geeignete Alternativen zur Frühdiagnostik im ersten Trächtigkeitsmonat dar, da zu diesem Zeitpunkt eine transabdominale Ultraschalluntersuchung noch nicht aussage-kräftig ist. Die vorliegende Arbeit leistet einen Beitrag, um die noch vergleichsweise kleine vor-handene Datenbank zur Endokrinologie der Reproduktion bei NWK zu erweitern. / Aims of the present study were the measurement of pregnancy-associated hormones progesterone (P4), pregnanediol-glucuronide (PdG), relaxin (RLN) and oestrone sul-phate (E1S) in saliva, milk and urine of pregnant and non-pregnant alpacas, to compare to their respective blood concentrations and to assess their potential use for pregnancy diagnosis. Samples were obtained over a course of two years from 36 female alpacas of 6 private alpaca breeders in Saxony (Germany) before mating and at different stages throughout pregnancy (confirmed by ultrasonography). Hormone concentrations in serum, plasma, saliva, urine and milk samples were determined using enzyme immunoassays (EIA). Some milk samples were also tested using a commercial on-farm P4 kit which is de-signed for dairy cattle. Concentrations of P4 increased significantly from basal values in non-pregnant alpacas of 0.35 ± 0.04 ng/ml to 2.94 ± 0.11 ng/ml in plasma (and from 0.26 ± 0.03 to 2.87 ± 0.10 ng/ml in serum) in pregnant animals. Milk and urine concentrations of P4 were sig-nificantly higher in pregnant alpacas: Values increased from basal 0.83 ± 0.06 ng/ml to 4.09 ± 0.38 ng/ml in milk and from 0.29 ± 0.04 ng P4/mg Cr to 0.60 ± 0.06 ng P4/mg Cr in urine. While PdG concentrations in urine were significantly higher in pregnant (152.73 ± 17.37 ng PdG/mg Cr) than in non-pregnant animals (26.70 ± 2.80 ng PdG/mg Cr), there were no differences in concentrations of P4 or PdG in saliva. The on-farm milk P4 test kit showed a sensitivity of 90% for diagnosis of pregnancy and a specificity of 69% for non-pregnancy. RLN concentrations in blood increased significantly after the 2nd month from basal 1.65 ± 0.56 ng/ml to 11.69 ± 2.31 ng/ml in plasma and from 0.95 ± 0.30 ng/ml to 16.23 ± 3.05 ng/ml in serum, whereas there were no differences in milk, saliva and urine between pregnant and non-pregnant animals. Hormone concentrations of E1S increase during the last month of pregnancy: Blood concentrations rise from basal values of 0.59 ± 0.07 ng/ml to 3.43 ± 0.55 ng/ml in plasma and from 0.32 ± 0.02 ng/ml to 2.16 ± 0.43 ng/ml in serum; urine concentrations from 6.14 ± 0.53 ng E1S/mg Cr to 104.03 ± 24.09 ng E1S/mg Cr. There were no sig-nificant differences in E1S concentrations in saliva and milk between pregnant and non-pregnant alpacas. Values of P4, E1S and RLN in blood as well as PdG and E1S in urine are comparable to previous reports in alpacas and therefore can be confirmed as an indicator for preg-nancy. This is the first study to include determination of pregnancy associated hormones in saliva and milk of alpacas. However, saliva seems to be unsuitable for pregnancy di-agnosis in alpacas, whereas P4 in milk, as well as PdG and E1S in urine seem to be adequate tools. The use of milk and urine would simplify pregnancy diagnosis in alpacas since, in con-trast to the current methods (e.g. blood P4 concentration and ultrasonography), the owners themselves can take the samples. The avoidance of blood sampling results in a considerable stress reduction for the animals and therefore reduces the risk for potential loss of pregnancies. The measurements of P4 in milk and PdG in urine are useful alternatives to pregnancy diagnosis, especially during the first month of pregnancy, when transcutaneous ultrasonography is not yet reliable. This work adds information to the comparatively small database for camelid reproduc-tive endocrinology.

The aim of this study was to assess the effect of composting process of cow manure and rice straw with application of cow urine and to evaluate the quality of composting products. There were two treatment piles, in which one pile was applied with cow urine every week and another pile without urine application. Each pile was set up by one tone cow manure and 500kg rice straw. The piles were half-covered by plastic foil to protect from rain and turned one a week. The composting duration lasted 8 weeks. The parameters such as temperature, pH, DM, density and nitrogen were monitored and observed during the 8-week period. The results showed that there was a significant difference in temperature, compost quality and duration between two piles with and without cow urine application. The application of cow urine increased significant nitrogen and phosphorous content and shortened the composting process. This study recommends that cow urine should be applied for composting process of cow manure and rice straw in order to increase the quality of compost. The final product was in the range of matured compost level and can be used directly for agriculture crop. / Mục tiêu của nghiên cứu nhằm đánh giá ảnh hưởng đến chất lượng phân compost của việc bổ sung nước tiểu vào trong quá trình ủ phân từ nguyên liệu phân bò và rơm rạ. Thí nghiệm được thực hiện trên hai đống ủ phân, một đống ủ được bổ sung nước tiểu bò hàng tuần và một đống ủ không bổ sung nước tiểu bò như là một nghiệm thức đối chứng. Mỗi đống ủ được trộn 1 tấn phân bò và 500kg rơm. Đống ủ phân được đậy kín một nửa phía trên nhằm ngăn cản ảnh hưởng của mưa và được đảo trộn một lần mỗi tuần. Quá trình thí nghiệm được tiến hành trong 8 tuần. Các chỉ tiêu như nhiệt độ, pH, DM, mật độ và chất dinh dưỡng Nitơ và Phốt Pho được quan trắc trong thời gian ủ. Kết quả cho thấy có sự khác biệt đáng kể giữa hai đống phân ủ đối với các chỉ tiêu như nhiệt độ, chất lượng phân compost và thời gian ủ. Đống ủ phân có bổ sung nước tiểu có hàm lượng Nitơ và Phốt pho cao hơn và thời gian ủ ngắn hơn. Kết quả nghiên cứu khuyến cáo nên bổ sung nước tiểu bò cho quá trình ủ phân compost nhằm tăng hàm lượng chất dinh dưỡng cho sản phẩm phân compost. Sản phẩm sau quá trình ủ đạt mức độ phân hữu cơ và có thể sử dụng cho cây trồng.

Urinary bladder cancer is a heterogeneous disease appearing in different forms, e.g. non-muscle invasive and muscle invasive. For all variants, the expression of proteins is interesting to analyze for diagnostic, predictive, prognostic and drug targeting purposes, since it reflects the altered gene expression causing the cancer. Since urothelial cells of the bladder are in direct contact with urine it is likely that this body fluid contains cancer-related proteins. In Paper I, unbiased analysis of proteins in urine from urinary bladder cancer patients and controls, using label-free quantification by mass spectrometry, was applied and four interesting proteins APOE, FGB, LRG and SERPINA1 were selected and further analyzed with western and dot blot. In Paper II, two more proteins, POLR1E and TOP2A, were validated as relevant proteins in bladder cancer urine. In Paper III and IV, the proteins GAL1 and STMN1 were investigated for their prognostic and therapeutic target potential in bladder cancer. In Paper II, III and IV, the expression of seven of the proteins were analyzed on tissue microarrays representing tumour tissue from 360 patients with different tumour stages. For the proteins identified by the urine screening approach, their protein expressions were confirmed in bladder cancer tissue. The expression level in tissue of five of the proteins, APOE, FGB, POLR1E (Paper II), GAL1 (Paper III) and STMN1 (Paper IV), increased with tumour stage, showing diagnostic relevance and three of the proteins, SERPINA1 (Paper II), STMN1 (Paper IV) and GAL1 (Paper III) had prognostic potential in urinary bladder cancer. In addition, GAL1 and STMN1 were demonstrated to be highly expressed in metastatic disease and inhibition of STMN1 reduced cell growth (Paper III and IV), indicating that these proteins are promising drug targets in urinary bladder cancer. In conclusion, the approach of this thesis has generated several candidate protein biomarkers in urine and tissue, validated with independent methods, which have the potential to improve the care for bladder cancer patients.

The reactive 1,2-dicarbonyl compound methylglyoxal (MGO) is consumed with food and its concentrations decrease during digestion. In the present paper, the reaction of MGO with creatine, arginine, and lysine during simulated digestion, and its reaction with creatine during the digestion in human volunteers, was studied. Therefore, simulated digestion experiments with a gastric and an intestinal phase were performed. Additionally, an intervention study with 12 subjects consuming MGO-containing Manuka honey and creatine simultaneously or separately was conducted. Derivatization with o-phenylenediamine and HPLC–UV was used to measure MGO, while creatine and glycated amino compounds were analyzed via HPLC–MS/MS. We show that MGO quickly reacts with creatine and arginine, but not lysine, during simulated digestion. Creatine reacts with 56% of MGO to form the hydroimidazolone MG-HCr, and arginine reacted with 4% of MGO to form the hydroimidazolone MG-H1. In the intervention study, urinary MG-HCr excretion is higher in subjects who consumed MGO and creatine simultaneously compared to subjects who ingested the substances separately. This demonstrates that the 1,2-dicarbonyl compound MGO reacts with amino compounds during human digestion, and glycated adducts are formed. These contribute to dietary glycation products consumed, and should be considered in studies investigating their physiological consequences.

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