Real time information about direction and type of blood flow can be obtained with Doppler ultrasound. In the literature it was not found data obtained with this method from celiac and cranial mesenteric artery in cats. Moreover, sedation of the animal is occasionally necessary to obtain more information on any blood vessel using this method. The purpose of this study was to evaluate the quantitative aspects of spectral waves formed from blood flow of the celiac, cranial mesenteric, renal, external iliac, femoral, and aortic arteries in healthy cats, and to compare them with the same animals when subjected to midazolam, ketamine, and butorphanol sedation. We also measured the heart rate. Twenty healthy adult cats were evaluated. The values obtained for resistivity index and pulsatility index from the celiac artery were 0.62 ± 0.10 and 1.29 ± 0.55, and those from the mesenteric artery were 0.68 ± 0.09 and 1.37 ± 0.39, respectively. Although heart rate was higher in sedated animals, no significant statistical difference was found in case of other parameters, except celiac artery end diastolic velocity and time averaged mean velocity and iliac artery resistivity and pulsatility index. Thus, we provide the Doppler velocimetry parameter from celiac and mesenteric arteries and conclude that this protocol does not alter the values of Doppler ultrasound in the selected vessels, except the celiac and iliac arteries. ResumoInformações em tempo real da direção e tipo de fluxo sanguíneo podem ser obtidas com ultrassonografia com Doppler. Existe na literatura dados relativos a esses parâmetros, em gatos não sedados, obtidos das artérias: aorta, renal, ilíaca e femoral; no entanto não foram encontrados na literatura dados relativos às artérias celíaca e mesentérica cranial. Além disso, ocasionalmente há necessidade de sedar animais inquietos ou agressivos, para que seja possível a realização deste exame. O objetivo do trabalho foi avaliar os aspectos quantitativos da onda espectral formada pelo fluxo sanguíneo das artérias: celíaca, mesentérica cranial, renal, ilíaca externa, femoral e aorta abdominal de gatos hígidos e comparálos aos obtidos dos mesmos animais submetidos à sedação com midazolam, cetamina e butorfanol. A frequência cardíaca também foi mensurada. Foram avaliados 20 gatos SRD adultos e saudáveis. Os valores encontrados em animais não sedados na artéria celíaca de índice de resistividade foi 0,62 ± 0,10 e índice de pulsatilidade 1,29 ± 0,55, enquanto da artéria mesentérica cranial, 0,68 ± 0,11 e 1,37 ± 0,39, respectivamente. Apesar da frequência cardíaca mais elevada nos animais sedados, não foram encontradas diferenças estatisticamente significativas dentre os demais parâmetros avaliados, exceto na velocidade diastólica final e velocidade média da artéria celíaca, e índice de resistividade e de pulsatilidade da artéria ilíaca. Dessa forma, foram fornecidos parâmetros dopplervelocimétricos da artéria celíaca e mesentérica cranial e conclui-se que o protocolo utilizado não alterou os valores encontrados por ultrass...
Background: Doppler ultrasound is a non-invasive diagnostic imaging technique that allows vascular anatomical and dynamics evaluation. Each artery has flow velocity profiles and different Doppler spectrum. The purpose of this study was to determine if sedation with acepromazine and butorphanol in dogs alters Doppler velocimetric values and diameter from abdominal aorta, celiac, mesenteric cranial, renal, external iliac and femoral arteries of healthy dogs.Materials, Methods & Results: Twenty healthy female dogs, aged 1 to 5 years, with body weight ranging from 10 to 25 kg, were evaluated with Doppler ultrasound in order to obtain: peak systolic velocity, end diastolic velocity, time average medium velocity, time average maximum velocity, resistive index, pulsatility index, and diameter from abdominal aorta, celiac, mesenteric cranial, renal, external iliac and femoral arteries. The same animals were sedated with acepromazine (0.02 mg/kg) and buthorphanol (0.4 mg/kg) and the same parameters were reevaluated. The heart rate was also measured. The study was approved by the Animal Ethics Committee of UFRGS, under the 25552 protocol, and the owners signed an informed consent form. Statistical analysis was performed with pared t test.The heart rate was statistically significant different, 98 ± 20.13 bpm before and 79 ± 17.74 after sedation. The exam was done before and after sedation in all selected vessels, except the celiac and cranial mesenteric artery, which were possible only in 35% and 45% respectively. All measured arteries exhibit difference in at least two of the analyzed parameters, except femoral artery, that only diameter was different.Discussion: Each vessel was selected because of its importance, and each of them has its own characteristic waveform. Changes in patterns of flow velocity of the celiac artery and mesenteric can help to determine the physiological condition of the gastrointestinal tract; in the case of renal arteries are associated with diseases involving parenchyma and; thrombosis in the aorta and the iliac and femoral arteries may be difficult to evaluate without the Doppler image. Examination of the AC and AMC before and after sedation not could be performed in all animals, maybe because the present work was carried out with only fasting requirement, without using dimethicone, and one of the difficulties encountered was the presence of gas in the gastrointestinal tract. Another factor that may have contributed to these findings is that the acute stress of containment and other environmental factors can cause release of vasopressin and leads to vasoconstriction of the splanchnic vascular bed. The dopplervelocimetric data found in celiac, mesenteric cranial, renal and femoral arteries in non-sedated animals was similar to what was described by other authors. Although all dogs demonstrated relaxation during the exam, this sedation protocol alters the values found with Doppler ultrasound in the selected vessels, except femoral artery, which caused only increase of diameter. The Doppler differences found can be a consequence of a decrease in heart rate associated with longer cycle length, and therefore, larger diastolic volume with vessels that stayed with same diameter, or in case of caudal abdominal aorta, that reduced the diameter. This study compared the dopplervelocimetric values to the ones described by other authors in non-sedated animals and demonstrated that although acepromazine and buthorphanol are a good option to sedate dogs to perform ultrasound exam, they alter the Doppler values from aorta abdominal, celiac, cranial mesenteric, renal, external iliac arteries and the femoral artery diameter.
Este artículo presenta los primeros avances de un proyecto de investigación encaminado a determinar y describir la manera como los tratados de libre comercio, suscritos por Colombia con Estados Unidos y Canadá, promueven la creación de prácticas de responsabilidad social en las grandes empresas, en particular, las ubicadas en el distrito de Barranquilla, que exportan hacia dichos países. El artículo examina el grado de vinculación legal que existe en los tratados, en términos de explicitud de referencias a prácticas de la responsabilidad social y analiza su contenido a partir de las categorías del principal instrumento internacional de
La neumonía intersticial linfoidea es una enfermedad intersticial pulmonar idiopática infrecuente. Es una entidad de diagnóstico difícil, donde los hallazgos radiológicos e histológicos son claves. Es frecuente su asociación con patologías autoinmunitarias como el síndrome de Sjögren o el lupus, inmunodeficiencia común variable y virus de inmunodeficiencia humana. El objetivo del presente trabajo es comunicar un caso de neumonía intersticial linfoidea excepcional por su presentación radiológica inusual, confirmada por biopsia pulmonar y asociada a inmunodeficiencia común variable.
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