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1.
Revista Digital de Postgrado ; 13(1): 388, abr. 2024. tab, graf
Artigo em Espanhol | LILACS, LIVECS | ID: biblio-1554963

RESUMO

La escoliosis idiopática del Adolescente (EIA) es una deformidad tridimensional de la columna vertebral que aqueja de diversas formas la condición de vida de quien la padece, afectando el desarrollo físico y psicológico del paciente. Proponemos evaluar el resultado clínico, radiológico y el componente de calidad de vida de pacientes tratados quirúrgicamente con EIA, en el servicio de Neurocirugía, Hospital Jesús Yerena del Lídice. Se evaluó patrón de la curva, clasificación según Lenke, ángulo de Cobb pre y postquirúrgico, edad de tratamiento quirúrgico, gradode corrección, calidad de vida según cuestionario SRS-22 pre y postquirúrgica, valoración funcional mediante la escala de discapacidad de Oswestry (ODI) y complicaciones postoperatorias. Se estudiaron 22 casos (95 % femenino), el principal grupo etario fue de 11-14 años (55 %), la escoliosis tipo 1 fue la predominante (60 %), el ángulo de Cobb inicial fue mayor a 50° (50 %) y la madurez esquelética principal fue Risser 3 (55 %). La edad de resolución quirúrgica predominante fue entre 15-18 años (60 %), el grado de corrección postoperatorio fue de 75-100 % (73 %) y la densidad de los tornillos pediculares fue de 1.4-1.7 (64 %). En el cuestionario SRS-22, hubo mayor afectación en las dimensiones de autoimagen con una media de 1.8 y la valoración por ODI mostró un índice de incapacidad mínima, que fue mejorando en los controles sucesivos. Nuestra principal complicación fueron las infecciones (36 %). Concluimos que la cirugía correctiva temprana en la EIA ofrece a una mejoría clínica, radiológica y de la calidadde vida de estos paciente(AU)


Adolescent idiopathic scoliosis (AIS) is a three-dimensional deformity of the spine that affects the living condition of those who suffer from it in various ways, affecting the physical and psychological development of the patient. We propose to evaluate the clinical and radiological outcome and the quality-of-life component of patients treated surgically with EIA, in the Neurosurgery Service, Hospital Jesús Yerena del Lídice. Curve pattern, Lenke classification, pre-and post-surgical Cobb angle, age at surgical treatment, degree of correction, quality of life according to pre-and post-surgical SRS-22 questionnaire, functional assessment using the Oswestry Disability Scale (ODI) and postoperative complications were evaluated. 22 cases were studied (95% female), the main age group was 11-14 years (55%), type 1 scoliosis was predominant (60%), the initial Cobb angle was greater than 50° (50%) and the main skeletal maturity was Risser 3 (55%). The predominant age of surgical resolution was between 15-18 years (60%), the degree of postoperative correction was 75-100% (73%) and the density of pedicle screws was 1.4-1.7 (64%). In the SRS-22 questionnaire, there was greater impairment in the self-image dimensions with a mean of 1.8 and the ODI assessment showed aminimal disability index, which improved in successive controls. Our main complication was infections (36%). We conclude that early corrective surgery in AIS offers clinical, radiological and quality of life improvement for these patient(AU)


Assuntos
Humanos , Masculino , Feminino , Criança , Adolescente , Escoliose
2.
Radiol Artif Intell ; 5(4): e220158, 2023 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-37529207

RESUMO

Scoliosis is a disease estimated to affect more than 8% of adults in the United States. It is diagnosed with use of radiography by means of manual measurement of the angle between maximally tilted vertebrae on a radiograph (ie, the Cobb angle). However, these measurements are time-consuming, limiting their use in scoliosis surgical planning and postoperative monitoring. In this retrospective study, a pipeline (using the SpineTK architecture) was developed that was trained, validated, and tested on 1310 anterior-posterior images obtained with a low-dose stereoradiographic scanning system and radiographs obtained in patients with suspected scoliosis to automatically measure Cobb angles. The images were obtained at six centers (2005-2020). The algorithm measured Cobb angles on hold-out internal (n = 460) and external (n = 161) test sets with less than 2° error (intraclass correlation coefficient, 0.96) compared with ground truth measurements by two experienced radiologists. Measurements, produced in less than 0.5 second, did not differ significantly (P = .05 cutoff) from ground truth measurements, regardless of the presence or absence of surgical hardware (P = .80), age (P = .58), sex (P = .83), body mass index (P = .63), scoliosis severity (P = .44), or image type (low-dose stereoradiographic image vs radiograph; P = .51) in the patient. These findings suggest that the algorithm is highly robust across different clinical characteristics. Given its automated, rapid, and accurate measurements, this network may be used for monitoring scoliosis progression in patients. Keywords: Cobb Angle, Convolutional Neural Network, Deep Learning Algorithms, Pediatrics, Machine Learning Algorithms, Scoliosis, Spine Supplemental material is available for this article. © RSNA, 2023.

3.
Rev. bras. ciênc. avic ; 25(2): eRBCA-2022-1722, 2023. tab
Artigo em Inglês | VETINDEX | ID: biblio-1427942

RESUMO

The knowledge of biological trace minerals and phytase requirements for modern broiler genotypes is not established and the pressure to reduce their usage in animal feeding due to environmental issues is increasing. Here, the alkaline phosphatase (ALP) and tartarate-resistant acid phosphatase (TRAP) of the tibia and serum of broilers fed with diets containing various levels of phytase and reduced levels of zinc, manganese, and copper was evaluated. The experiment was performed using 1,200 male Cobb broilers raised according to standard commercial husbandry techniques. Data were analyzed as a 4×3 factorial arrangement with four concentrations of zinc (0.34, 0.49, 0.64, and 0.79 ppm), manganese (0.18, 0.43, 0.68, and 0.93 ppm), or copper (0.09, 0.12, 0.15, and 0.18 ppm) and three concentrations of phytase (0, 500, and 1,000 FTU/kg) for age periods of 1-21 and 36-42 days. While the dietary supplementation with copper did not induce a significant effect in bone tissue biochemical markers, serum TRAP activity of 42-day old broilers increased with higher copper levels. Increasing dietary zinc levels linearly increased ALP activity in tibia growth, suggesting that zinc is essential for longitudinal bone growth. Phytase significantly promoted the increase of TRAP and ALP activities, suggesting that manganese increased growth plate activity, accelerated calcification, and remodeled the newly formed tissue into trabecular bone. Although not every enzymatic activity was affected by the treatments, the phytase use, along with trace minerals, improved the animal response to the rapid growth required nowadays and provided the nutrients for adequate bone metabolism.(AU)


Assuntos
Animais , Galinhas/fisiologia , Monoéster Fosfórico Hidrolases/síntese química , Zinco/efeitos adversos , Cobre/efeitos adversos , Manganês/efeitos adversos
4.
Br Poult Sci ; 61(3): 266-273, 2020 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-31986911

RESUMO

1. The potential growth of feathers and feather-free body and their chemical components was measured in two commercial broiler strains. 2. A total of 200 chicks of each sex x strain were fed adequate amounts of dietary protein using a four-phase feeding programme. Ten birds per genotype were sampled at 14, 28, 42, 56, 70, 84, 98 and 112 d of age. They were weighed before and after being dry-plucked to determine the weight of feathers, and the feather-free body was then minced and analysed for water, protein and lipid. 3. Body weights and chemical composition of males of the two strains were similar throughout the trial. Females of the two strains differed only in their body lipid contents, with mature Cobb females being higher than Ross (1371 vs. 1210 g). 4. Mature body weights of males and females from both strains averaged 8420 g and 6650 g; mature body protein weights averaged 1555 g and 1030 g; and mature body lipid contents averaged 908 and 1290 g, respectively. 5. Rates of maturing per day of body weights of males and females of both strains averaged 0.0385 and 0.0368; feather-free body protein was 0.0316 and 0.0348 and body lipid was 0.0503 and 0.0375, respectively. The rates for body lipid differed between Cobb and Ross females (0.0352 vs. 0.0397/d). Separate equations were required for males and females to describe the allometric relationship between lipid and protein in the feather-free body. 6. The rate of maturing of feathers in females was higher than in males (0.0526 vs. 0398/d) and the mature weight was lower (205 vs. 266 g), respectively. Mature body weights of broilers in this trial were considerably higher than those measured using the same protocol 24 years ago, whereas rates of maturing remained the same.


Assuntos
Composição Corporal , Galinhas , Animais , Peso Corporal , Proteínas Alimentares , Plumas , Feminino , Masculino
5.
J Biomed Phys Eng ; 9(5): 517-524, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31750265

RESUMO

BACKGROUND: Scoliosis is a health problem that causes a side-to-side curvature in the spine. The curvature may have an "S" or "C" shape. To evaluate scoliosis, the Cobb angle has been commonly used. However, digital image processing allows the Cobb angle to be obtained easily and quickly, several researchers have determined that Cobb angle contains high variations (errors) in the measurements. Therefore, a more reproducible computer aided-method to evaluate scoliosis is presented. MATERIAL AND METHODS: In this analytical study, several polynomial curves were fitted to the spine curvature (4th to 8th order) of thirty plain films of scoliosis patients to obtain the Curvature-Length of the spine. Each plain film was evaluated by 3 physician observers. Curvature was measured twice using the Cobb method and the proposed Curvature-Length Technique (CLT). Data were analyzed by a paired-sample Student t-test and Pearson correlation method using SPSS Statistics 25. RESULTS: The curve of 7th order polynomial had the best fit on the spine curvature and was also used for our proposed method (CLT) obtaining a significant positive correlation when compared to Cobb measurements (r=0.863, P<0.001). The Intraclass Correlation (ICC) was between 0.863 and 0.948 for Cobb method and0.974 to 0.984 for CLT method. In addition, mean measurement of the inter-observer COV (Coefficient of Variation) for Cobb method was of 0.185, that was significantly greater than the obtained with CLT method of 0.155, this means that CLT method is 16.2% more repeatable than Cobb Method. CONCLUSION: Based on results, it was concluded that CLT method is more reproducible than the Cobb method for measuring spinal curvature.

6.
Front Microbiol ; 9: 941, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-29875739

RESUMO

Background: While in eukaryotes acetylation/deacetylation regulation exerts multiple pleiotropic effects, in Escherichia coli it seems to be more limited and less known. Hence, we aimed to progress in the characterization of this regulation by dealing with three convergent aspects: the effector enzymes involved, the master regulator CRP, and the dependence on glucose availability. Methods: The transcriptional response of E. coli BW25113 was analyzed across 14 relevant scenarios. These conditions arise when the wild type and four isogenic mutants (defective in deacetylase CobB, defective in N(ε)-lysine acetyl transferase PatZ, Q- and R-type mutants of protein CRP) are studied under three levels of glucose availability (glucose-limited chemostat and glucose-excess or glucose-exhausted in batch culture). The Q-type emulates a permanent stage of CRPacetylated, whereas the R-type emulates a permanent stage of CRPdeacetylated. The data were analyzed by an optimized factorial microarray method (Q-GDEMAR). Results: (a) By analyzing one mutant against the other, we were able to unravel the true genes that participate in the interaction between ΔcobB/ΔpatZ mutations and glucose availability; (b) Increasing stages of glucose limitation appear to be associated with the up-regulation of specific sets of target genes rather than with the loss of genes present when glucose is in excess; (c) Both CRPdeacetylated and CRPacetylated produce extensive changes in specific subsets of genes, but their number and identity depend on the glucose availability; (d) In other sub-sets of genes, the transcriptional effect of CRP seems to be independent of its acetylation or deacetylation; (e) Some specific ontology functions can be associated with each of the different sets of genes detected herein. Conclusions: CRP cannot be thought of only as an effector of catabolite repression, because it acts along all the glucose conditions tested (excess, limited, and exhausted), exerting both positive and negative effects through different sets of genes. Acetylation of CRP does not seem to be a binary form of regulation, as there is not a univocal relationship between its activation/inhibitory effect and its acetylation/deacetylation stage. All the combinatorial possibilities are observed. During the exponential growth phase, CRP also exerts a very significant transcriptional effect, mainly on flagellar assembly and chemotaxis (FDR = 7.2 × 10-44).

9.
Arq. bras. med. vet. zootec. (Online) ; 69(5): 1311-1318, set.-out. 2017. tab
Artigo em Português | VETINDEX | ID: vti-13356

RESUMO

Este estudo teve como objetivo avaliar o desempenho e as características de carcaça de frangos de corte de três genótipos comerciais do nascimento aos 35 dias de idade. Utilizou-se um total de 2.970 pintos de três genótipos de aves comerciais (Cobb 500, Hubbard Flex e Ross 308). Os programas nutricionais foram dieta basal, dieta com 10% mais e 10% menos de aminoácidos do que a dieta basal. As aves foram distribuídas em delineamento inteiramente ao acaso, em esquema fatorial 3x3x2 (genótipo x dieta x sexo), com cinco repetições e 33 aves por unidade experimental. Conversão alimentar, ganho de peso diário, ingestão da dieta e peso corporal aos 35 dias de idade foram registrados. Duas aves de cada unidade experimental foram amostradas e abatidas aos 35 dias de idade para avaliar as seguintes características de carcaça: peso corporal no momento do abate, peso da carcaça e rendimento, e peso e rendimento dos cortes (peito, pernas e asas). Houve uma interação significativa entre o genótipo e sexo para GPD e PC35. Os machos apresentaram melhores desempenhos e características de carcaças do que as fêmeas.(AU)


This study aimed to evaluate performance and carcass traits of three commercial broiler genotypes from hatch to 35 days of age. A total of 2,970 sexed one day old chicks of three commercial broiler genotypes (Cobb 500, Hubbard Flex and Ross 308) were used. The nutritional programs were basal diet, diet with 10% more and 10% less amino acids than the basal diets. Birds were distributed in a completely randomized experimental design in a 3x3x2 (genotype x diet x sex) factorial scheme, with five replicates and 33 birds per experimental unit. Feed conversion, daily weight gain, diet intake and body weight at 35 days of age were recorded. Two birds from each experimental unit were sampled and slaughtered at 35 days of age to evaluate the following carcass traits: slaughter body weight, carcass weight and yield, and main cuts (breast, legs and wings) weight and yield. There was a significant interaction between genotype and sex for ADG and BW35. Males fed basal diets presented higher performance and carcass traits in comparison to females.(AU)


Assuntos
Animais , Galinhas/genética , Galinhas/crescimento & desenvolvimento , Dieta/veterinária , Aumento de Peso , Genótipo , Carne/análise
10.
Arq. bras. med. vet. zootec. (Online) ; 69(5): 1311-1318, set.-out. 2017. tab
Artigo em Português | LILACS, VETINDEX | ID: biblio-879224

RESUMO

Este estudo teve como objetivo avaliar o desempenho e as características de carcaça de frangos de corte de três genótipos comerciais do nascimento aos 35 dias de idade. Utilizou-se um total de 2.970 pintos de três genótipos de aves comerciais (Cobb 500, Hubbard Flex e Ross 308). Os programas nutricionais foram dieta basal, dieta com 10% mais e 10% menos de aminoácidos do que a dieta basal. As aves foram distribuídas em delineamento inteiramente ao acaso, em esquema fatorial 3x3x2 (genótipo x dieta x sexo), com cinco repetições e 33 aves por unidade experimental. Conversão alimentar, ganho de peso diário, ingestão da dieta e peso corporal aos 35 dias de idade foram registrados. Duas aves de cada unidade experimental foram amostradas e abatidas aos 35 dias de idade para avaliar as seguintes características de carcaça: peso corporal no momento do abate, peso da carcaça e rendimento, e peso e rendimento dos cortes (peito, pernas e asas). Houve uma interação significativa entre o genótipo e sexo para GPD e PC35. Os machos apresentaram melhores desempenhos e características de carcaças do que as fêmeas.(AU)


This study aimed to evaluate performance and carcass traits of three commercial broiler genotypes from hatch to 35 days of age. A total of 2,970 sexed one day old chicks of three commercial broiler genotypes (Cobb 500, Hubbard Flex and Ross 308) were used. The nutritional programs were basal diet, diet with 10% more and 10% less amino acids than the basal diets. Birds were distributed in a completely randomized experimental design in a 3x3x2 (genotype x diet x sex) factorial scheme, with five replicates and 33 birds per experimental unit. Feed conversion, daily weight gain, diet intake and body weight at 35 days of age were recorded. Two birds from each experimental unit were sampled and slaughtered at 35 days of age to evaluate the following carcass traits: slaughter body weight, carcass weight and yield, and main cuts (breast, legs and wings) weight and yield. There was a significant interaction between genotype and sex for ADG and BW35. Males fed basal diets presented higher performance and carcass traits in comparison to females.(AU)


Assuntos
Animais , Galinhas/genética , Galinhas/crescimento & desenvolvimento , Dieta/veterinária , Genótipo , Carne/análise , Aumento de Peso
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