Plasma concentrations of thyroid hormones in dogs: influence of sampling hour, breed and age

Thyroxine (T4) and triiodothyronine (T3) plasma concentrations have been determined during 24-hr sampling periods in six mongrels (age 12-36 months), six beagles (age 35-37 months), three labradors (age 3.5 months) and three beagles (age 5 months). The mean T4 levels of the labradors were significantly lower than the values found for mongrels or older beagles (P less than 0.05), whereas T3 was higher in the 5 month old beagles compared to the mongrels (P less than 0.001), young beagles (P less than 0.05) or labradors (P less than 0.01). Circadian and ultradian rhythmicities have been evaluated by cosinor and Fourier analysis. Mongrels and older beagles did have a 12-hr rhythmicity in plasma T4 (P less than 0.05), whereas 5 month old beagles had a circadian one (P less than 0.01). A 12-hr rhythmicity was also found for T3 in the older Beagles (P less than 0.05). However, Fourier analysis indicated that the daily variation in T4 and T3 plasma levels was inadequately mathematically described by single sinusoidal rhythm and that more harmonic components are to be taken into account. The obtained data during a 24-hr period indicate that T4 and T3 concentrations in plasma may vary according to breed, age and sampling hour.     

Age-related changes and circadian variations in peripheral levels of thyroid hormones in Murrah buffaloes

The aim of this study was to investigate the variations in plasma triiodothyronine (T₃) and thyroxine (T₄) with the advancement of age and to determine their circadian patterns in prepubertal and pubertal Murrah buffaloes. The variations in plasma T₃ and T₄ with the advancement of age were observed from day 1 to 24 months of age. Significant higher levels of T₃ and T₄ were observed after birth and a gradual decrease in their concentrations occurred until 15 days of age. The mean plasma T₃ and T₄ ranged between 1.26–3.79 and 60.7–166 ng/ml, respectively, during 1–30 days of age. During 1–24 months of age, the variations in plasma T₃ did not differ (p > 0.05) with the advancement of age, whereas significant (p < 0.0001) changes were observed in plasma T₄. The circadian patterns of T₃ and T₄ were evaluated in prepubertal Murrah buffaloes (n = 8) aged between 14 and 16 months. The mean plasma T₃ and T₄ ranged between 1.04–1.85 and 43.0–76.1 ng/ml, respectively. Significant (p > 0.0001) changes in the secretory pattern of T₃ were observed, whereas the secretory pattern of T₄ did not differ significantly (p > 0.05). In addition, the circadian patterns of T₃ and T₄ in pubertal buffaloes (n = 4) aged between 28 and 30 months were observed and compared to that of prepubertal group (n = 4). The prepubertal group showed significant (p < 0.001) higher plasma T₃ concentrations over 24 h than the pubertal group.     

Effect of ovine TSH, thiourea, ovine prolactin and bovine growth hormone on plasma thyroxine and tri-iodothyronine levels in rainbow trout,Salmo gairdneri

Summary A single injection of ovine TSH (1.1 g or 2.2 g/g body weight) effected a significant (P<0.01) increase in plasma T₄ levels in rainbow trout within 9 h and 1 h respectively. In fish given the higher dose the T₄ levels were still significantly higher (P<0.01) than in the controls 24 h after the injection. Ovine TSH had no significant effect on plasma T₃ levels. Plasma T₃/T₄ ratios in fish given the higher TSH dose were significantly lower than the controls at 3 h (P<0.01), 6 h (P=0.01), 9 h and 24 h (P<0.05) while in fish given the lower dose they were significantly lower than in controls at 3 h (P<0.01), 6 h (P=0.01) and 9 h (P<0.05).T₄ levels in TSH-injected fish were significantly higher (P<0.05) than in controls after 3 and 11 injections but were not significantly different after 16 injections. Plasma T₃ and T₃/T₄ ratios did not differ significantly in fish given multiple injections of either TSH or saline.Plasma T₄ levels in fish treated with thiourea were significantly lower (Pº0.01) than in comparable controls after 6, 9 and 15 days and plasma T₃ levels were lower (P<0.05) after 15 days treatment. T₃/T₄ ratios did not differ significantly at any time period.A single injection of bovine STH (10 g/g body weight) effect a significant rise in plasma T₄ levels 9 h (P=0.05) and 24 h (P<0.01) after the injection while ovine prolactin in a similar dose was without effect. Plasma T₃ levels in saline injected fish showed a steady decline over the 24 h following the injection whereas levels in prolactin and STH injected animals tended to rise. T₃ levels in the saline-injected fish were significantly higher (P<0.01) than in prolactin and STH injected animals 1 h after the injection but were significantly lower (P<0.01) than in the hormone-treated fish 24 h after the injection. There were no significant differences in T₃/T₄ ratios in any of the groups. Multiple injections of STH effected a significant increase (P<0.05) in plasma T₄ compared with the controls; prolactin had no significant effect. There was no significant differences in plasma T₃ concentration or T₃/T₄ ratios in any of the groups.     

Relationships between Thyroid Hormones, Blood Rheology, and Lipid Profile in Athletes

The interrelation of thyroid hormones with blood rheology and lipid profile was studied in athletes (N = 12). A decrease in blood viscosity in the athletes was caused by a lower erythrocyte rigidity index, which correlated with an increased reticulocyte count (P = 0.022), a decreased mean concentration of hemoglobin per cell (MCHC) (P = 0.006), and an increased level of thyrotropin (TTH) (P = 0.040). By multiple regression analysis, MCHC was found to be the primary correlate of the erythrocyte rigidity index (P = 0.044). The interrelation of TTH with the rigidity index was explained by a positive correlation of TTH with the reticulocyte count (P = 0.022). The level of triiodothyronine (T₃) was similar in the athletes and the control subjects and negatively correlated with total cholesterol (Ch) (P = 0.033) and low-density lipoprotein cholesterol (LDL Ch) (P = 0.048), which both correlated positively with blood and plasma viscosity and erythrocyte aggregation (P < 0.05 or 0.01). Thus, the decrease in LDL Ch in the athletes, which was closely related with the higher blood and plasma fluidities and with erythrocyte aggregation, was at least partly due to the effect of T₃.     

Effects of combined exenatide and pioglitazone therapy on hepatic fat content in type 2 diabetes

We examined the effects of combined pioglitazone (peroxisome proliferator‐activated receptor‐γ (PPAR‐γ) agonist) and exenatide (GLP‐1 receptor agonist) therapy on hepatic fat content and plasma adiponectin levels in patients with type 2 diabetes (T2DM). Twenty‐one T2DM patients (age = 52 ± 3 years, BMI = 32.0 ± 1.5, hemoglobin A_1c (HbA_1c) = 8.2 ± 0.4%) on diet and/or metformin received additional treatment with either pioglitazone 45 mg/day for 12 months (n = 10) or combined therapy with pioglitazone (45 mg/day) and exenatide (10 µg subcutaneously twice daily) for 12 months (n = 11). At baseline, hepatic fat content and plasma adiponectin levels were similar between the two treatment groups. Pioglitazone reduced fasting plasma glucose (FPG) (P < 0.05), fasting free fatty acid (FFA) (P < 0.05), and HbA_1c (Δ = 1.0%, P < 0.01), while increasing plasma adiponectin concentration by 86% (P < 0.05). Hepatic fat (magnetic resonance spectroscopy (MRS)) was significantly reduced following pioglitazone treatment (11.0 ± 3.1 to 6.5 ± 1.9%, P < 0.05). Plasma triglyceride concentration decreased by 14% (P < 0.05) and body weight increased significantly (Δ = 3.7 kg). Combined pioglitazone and exenatide therapy was associated with a significantly greater increase in plasma adiponectin (Δ = 193%) and a significantly greater decrease in hepatic fat (12.1 ± 1.7 to 4.7 ± 1.3%) and plasma triglyceride (38%) vs. pioglitazone therapy despite the lack of a significant change in body weight (Δ = 0.2 kg). Hepatic injury biomarkers aspartate aminotransferase and alanine aminotransferase (ALT) were significantly decreased by both treatments; however, the reduction in ALT was significantly greater following combined pioglitazone and exenatide therapy. We conclude that combined in patients with T2DM, pioglitazone and exenatide therapy is associated with a greater reduction in hepatic fat content as compared to the addition of pioglitazone therapy (Δ = 61% vs. 41%, P < 0.05).     

Gestational and early life influences on infant body composition at 1 year

Excess weight gain during both pre‐ and postnatal life increases risk for obesity in later life. Although a number of gestational and early life contributors to this effect have been identified, there is a dearth of research to examine whether gestational factors and weight gain velocity in infancy exert independent effects on subsequent body composition and fat distribution.

Objective:

To test the hypothesis that birth weight, as a proxy of prenatal weight gain, and rate of weight gain before 6 months would be associated with total and truncal adiposity at 12 months of age.

Design and Methods:

Healthy, term infants (N = 47) were enrolled in the study and rate of weight gain (g/day) was assessed at 0‐3 months, 3‐6 months, and 6‐12 months.

Results:

Total and regional body composition were measured by dual‐energy X‐ray absorptiometry (DXA) at 12 months. Stepwise linear regression modeling indicated that lean mass at 12 months, after adjusting for child length, was predicted by rate of weight gain during each discrete period of infancy (P < 0.05), and by maternal pre‐pregnancy BMI (P < 0.05). Total fat mass at 12 months was predicted by rate of weight gain during each discrete period (P < 0.01), and by older maternal age at delivery (P < 0.05). Trunk fat mass at 12 months, after adjusting for leg fat mass, was predicted by rate of weight gain from 0‐3 months and 3‐6 months (P < 0.05).

Conclusion:

Results suggest that growth during early infancy may be a critical predictor of subsequent body composition and truncal fat distribution.     

Selenium,zinc, and thyroid hormones in healthy subjects

Iodothyronine 5′ deiodinase, which is mainly responsible for peripheral T₃ production, has recently been demonstrated to be a selenium (Se)-containing enzyme. The structure of nuclear thyroid hormone receptors contains Zinc (Zn) ions, crucial for the functional properties of the protein. In the elderly, reduced peripheral conversion of T₄ to T₃ with a lower T₃/T₄ ratio and overt hypothyroidism are frequently observed. We measured serum Se and RBC GSH-Px (as indices of Se status), circulating and RBC Zinc (as indices of Zn status), thyroid hormones and TSH in 109 healthy euthyroid subjects (52 women, 57 men), carefully selected to avoid abnormally low thyroid hormone levels induced by acute or chronic diseases or calorie restriction. The subjects were subdivided into three age groups. To avoid under- or malnutrition conditions, dietary records were obtained for a sample of 24 subjects, randomly selected and representative of the whole population for age and sex. Low T₃/T₄ ratios and reduced Se and RBC GSH-Px activity were observed only in the older group. A highly significant linear correlation between the T₃/T₄ ratio and indices of Se status was observed in the older group of subjects (r=0.54;p<0.002, for Se;r=0.50;p<0.002, for RBC GSH-Px). Indices of Zn status did not correlate with thyroid hormones, but RBC Zn was decreased in older as compared with younger subjects. We concluded that reduced peripheral T₄ conversion is related to impaired Se status in the elderly.     

Effects of exercise cessation on lipids and lipoproteins in distance runners and power athletes

The purpose of this study was to determine the effects of short-term exercise cessation on lipid and lipoprotein profile and insulin sensitivity in highly trained runners (n=12; mean age 19.9 years) and power athletes (n=12; mean age 24.4 years). Following 14 days of exercise cessation, running time to exhaustion and maximal oxygen uptake decreased by 9.2% and 4.8% (P < 0.05) in the runners, while in the power athletes one repetition maximum squat and bench press did not change (P>0.05). No changes occurred in body composition. Data from a 2-h oral glucose tolerance test revealed an impairment of the glycemic state in all athletes (P<0.05). In contrast, exercise cessation did not significantly (P>0.05) alter plasma levels of cholesterol, triglycerides, and low density (LDL) and high density lipoprotein (HDL). No changes were observed in HDL₂, HDL_2b, and HDL₃ subfractions, LDL diameter, and qualitative LDL pattern (P>0.05). These data thus suggest that despite a decrease in insulin sensitivity, short-term exercise cessation, independent of exercise mode, was insufficient to alter plasma lipid and lipoprotein profiles in well-trained athletes.     

Age-related and seasonal variations in plasma uncarboxylated osteocalcin in male Murrah buffaloes

The present study aims to investigate the age-related and seasonal variations in plasma uncarboxylated osteocalcin (UcOCN) in male Murrah buffaloes. In experiment 1, body weight, body dimensions and plasma UcOCN levels were estimated in 120 male Murrah buffaloes aged between 18 days and 8 years. We observed a significant (p < 0.0001) decrease in plasma UcOCN with age and their levels ranged between 0.25 and 9.25 ng/ml. In experiment 2, the plasma UcOCN, cortisol, triiodothyronine (T₃), thyroxine (T₄) and prolactin levels were determined during spring and summer in 6–34 months (n = 24) old male Murrah buffaloes. Significant (p < 0.0001) higher plasma UcOCN levels were observed in spring than in summer. The plasma T₃ and T₄ levels were positively correlated with plasma UcOCN, whereas the plasma cortisol and prolactin were negatively correlated. Further, to observe the effect of season on temporal variations of UcOCN, Murrah buffaloes aged between 4–6 (n = 5), 14–16 (n = 5) and 28–30 (n = 5) months were bled at an interval of 30 min, between 0700 and 01030 h, during both the seasons. We observed significant effects of season (p < 0.0001), age (p < 0.0001) and season-by-age interaction (p < 0.01) on plasma UcOCN. The reasons for variations in plasma UcOCN with age and season will be discussed.     

Changes in magnetic resonance images in human skeletal muscle after eccentric exercise

To investigate the time-course of changes in transverse relaxation time (T₂) and cross-sectional area (CSA) of the quadriceps muscle after a single session of eccentric exercise, magnetic resonance imaging was performed on six healthy male volunteers before and at 0, 7, 15, 20, 30 and 60 min and 12, 24, 36, 48, 72 and 168 h after exercise. Although there was almost no muscle soreness immediately after exercise, it started to increase 1 day after, peaking 1–2 days after the exercise (P<0.01). Immediately after exercise, T₂ increased significantly in the rectus femoris, vastus lateralis and intermedius muscles (P<0.05) and decreased quickly continuing until 60 min after exercise. At and after the 12th h, a significant increase was perceived again in the T₂ values of the vastus lateralis and intermedius muscles (P<0.01) [maximum 9.3 (SEM 2.8)% and 10.9 (SEM 2.2)%, respectively]. The maximal values were exhibited at 24–36 h after exercise. In contrast, the rectus femoris muscle showed no delayed-stage increase. Also, in CSA, an increase after 12 h was observed in addition to the one immediately after exercise in the vastus lateralis, intermedius and medialis and quadriceps muscles as a whole (P < 0.01), reaching the maximal values at 12–24 h after exercise. The plasma creative kinase activity remained unchanged up to 24 h after and then increased significantly 48 h after exercise (P < 0.05). Beginning 12 h after exercise, the subjects whose T₂ and CSA increased less than the others displayed a faster decrease in muscle soreness. These results suggested that T₂ and CSA displayed bimodal responses after eccentric exercise and the time-courses of changes in them were similar to those in muscle soreness.     

Non-Circadian Periodicity in the Duration of the Cell Cycle and the G1 Phase in the Hindlimb Epidermis of the Anuran Tadpole,Rana Pipiens

Using the percentage labeled mitoses method, seven cell cycle determinations were initiated at 6-hr intervals over a 36-hr span in order to see if the cell cycle in the tadpole hindlimb epidermis varied with time or showed rhythmicity. There was a pattern of two long cell cycles followed by a shorter one. Total cell cycle length (Tc) and the length of the G₁ phase plus one-half of the mitotic time (TG₁+½M) fluctuated the most, although only TG₁+½M varied significantly with the Chi-square test. The proportion of TC spent in each phase was also calculated. Only TG₁+½M/Tc had statistically significant fluctuations with time.

Rhythmicity was analyzed by a computer program using the method of least squares for cosine curve fitting. Statistically significant ultradian rhythms of 18.4 hr in TC, 18.5 hr in TG₁+½M and 18.6 hr in TG₁+½M/TC and the length of the DNA synthetic phase/total cell cycle length (TS/TC) were found. Circadian rhythmicity was not observed. The acrophases of the ultradian rhythms of TC and TG₁+½M coincided, suggesting that the rhythm of TC was due mainly to variation in TG₁+½M. In the absence of significant variation in TS, the longest phase of the cell cycle, whenever G₁+½M was short, TS/TC increased, so that the 18.6 hr rhythm in TS/TC was also a result of the periodicity in TG₁+½M.     

Clothing microclimate temperatures during thermal comfort in boys,young and older men

To examine the effects of age-related differences in thermoregulatory function on the clothing microclimate temperature (T _m) andT _m fluctuations while maintaining thermal comfort in daily life, 5 boys (group B, 10–11 years), 5 young men (group Y, 20–21 years) and 5 older men (group O, 60–65 years) volunteered to take part in this study. The subjects were asked to maintain thermal comfort as closely as possible in their daily lives.T _m (temperatures between the skin surface and the innermost garment) at four sites (chest, back, upper arm, and thigh), skin temperature on the chest (T _chest) and ambient temperature (T _a) were measured over a period of 8–12 h from morning to evening on one day in each of the seasons, spring, summer, autumn, and winter. Records of ability to maintain thermal comfort and of adjustment of their clothes were kept by each subject.T _a during periods of thermal comfort did not differ among the groups in any of the seasons. In group Y,T _m was significantly lower at the thigh than at the other sites in spring, autumn, and winter (P<0.05) and fluctuations (CV) ofT _m were significantly larger at the thigh than at other sites in autumn and winter (P<0.05). Similar tendencies were observed forT _m and CV ofT _m in group B. However,T _m and CV ofT _m in group O did not differ by site except for the autumnT _m. Group O had a smaller CV at the thigh in winter (P<0.05), compared to groups B and Y, suggesting a smaller regional difference inT _m fluctuation in group O. Group O adjusted their clothes even on the lower limbs (together with upper body) in order to maintain thermal comfort in accordance with changes inT _a, while groups B and Y did so only on their upper bodies. These results sugest that compared to boys and young men, lower thermoregulatory function in older men may affectT _m and CV ofT _m as a result of clothing on lower limbs being adjusted differently in order to maintain thermal comfort.     

Seasonal variation in physiological responses to mild cold air in young and older men

Eight men aged 60–65 years and six men aged 20–25 years, wearing only swimming trunks, were exposed to an air temperature of 17° C and 45% R.H. in each of the four seasons. The increase in the rate of metabolic heat production for the older group in the cold test was significantly higher in summer and autumn than in winter and spring (P<0.05), but did not differ in the young group between seasons. Compared to the young group the was significantly greater for the older group (due to a marked increase in four individuals) in summer and autumn (P<0.04). At the end of the period of cold exposure, the decrements of rectal temperature (T _re), mean skin temperature ( ; due to a marked decrease in four individuals) and foot skin temperature (T _foot) were significantly greater for the older group compared to the young group at all times of the year (P<0.003). Seasonal variations in the two groups were similar, e.g., theT_re gradually became smaller from summer to winter (P<0.05) and then increased slightly in the spring (P=0.07).T _foot for both groups decreased from summer to autumn (P<0.01) and remained unchanged subsequently. No seasonal variations were observed for in either group. The increase in diastolic blood pressure (BP_d) during the test was significantly smaller in winter in both groups (P<0.05). BP_d became larger again during spring in the older group (P<0.01), but remained low in the young group. The BP_d was significantly greater for the older group than the young group in winter and spring (P<0.05). Compared to young men these results suggest that older men may lose the tolerance acquired by earlier cold acclimatization as seen by the BP_d responses, and have a somewhat lower thermoregulatory capability in coping with mild cold air in all seasons.     

Effects of interval training at the ventilatory threshold on clinical and cardiorespiratory responses in elderly humans

This study assessed clinical and cardiorespiratory responses after an interval training programme in sedentary elderly adults using the ventilatory threshold (V _th) as the index of exercise training intensity. A selection of 22 subjects were randomized into two groups: 11 subjects served as the training group (TG) and the others as controls (CG). Maximal exercise tests were performed on a treadmill before (T₀), each month (T₁, T₂) and after the 3-month interval training programme period (T₃). The TG subjects were individually trained at the heart rate corresponding to V _th measured at T₀, T₁ and T₂ as the breakpoint in the oxygen uptake-carbon dioxide production relationship. Their training programme consisted of walking/jogging sessions on a running track twice a week. The sessions consisted of varying durations of exercise alternating with active recovery in such a way that the subjects slowly increased their total exercise time from an initial duration of 30 min to a final duration of 1 h. During training the heart rate was continuously monitored by a cardiofrequency meter. Compared with the daily activities of the controls, no training programme-related injuries were observed in TG. Moreover, programme adherence (73%) and attendance (97.3%) were high. The maximal oxygen uptake and V _th were increased in TG, by 20% (P<0.05) and 26% (P<0.01), respectively. Interval training at V _th also significantly increased maximal O₂ pulse (P<0.05) and maximal ventilation (P<0.01). A significant decrease in submaximal ventilation (P<0.05) and heart rate (P<0.01) was also noted. These results would suggest that for untrained elderly adults, an interval training programme at the intensity of V _th may be well-tolerated clinically and may significantly improve both maximal aerobic power and submaximal exercise tolerance. Accepted: 6 January 1998     

艾司氯胺酮联合舒芬太尼对剖宫产围手术期镇痛、应激指标及抑郁评分的影响

摘要 目的：探究艾司氯胺酮联合舒芬太尼对剖宫产围手术期镇痛、应激指标及抑郁评分的影响。方法：选取2021年1月~2021年10月期间我院收治的行剖宫产手术的180例产妇,采用随机数字表法分为A组、B组、C组各60例。A组胎儿娩出后即刻静脉输注艾司氯胺酮,术后艾司氯胺酮联合舒芬太尼静脉自控镇痛;B组和C组胎儿娩出后不给予艾司氯胺酮,用生理盐水代替;B组术后静脉自控镇痛与A组相同,C组术后给予舒芬太尼静脉自控镇痛。比较三组产妇术后4 h（T₁）、8 h（T₂）、12 h（T₃）、24 h（T₄）、48 h（T₅）疼痛程度[简化McGill疼痛问卷（SF-MPQ）评分]、镇静程度（Ramsay镇静评分）,记录三组术前1 d和术后1 d的应激指标[去甲肾上腺素（NE）、皮质醇（Cor）、促肾上腺皮质激素（ACTH）]水平,比较三组术前1 d和术后3、7 d抑郁程度[爱丁堡产后抑郁量表（EPDS）],比较三组不良反应发生情况。结果：T₁、T₂、T₃时A组视觉模拟评分（VAS）明显低于B、C组（P均<0.05）,T₁、T₂时A组痛分级指数（PRI）感觉分明显低于B、C组（P均<0.05）,T₁、T₂、T₃、T₄、T₅时A组PRI情感分明显低于B、C组（P均<0.05）,T₁时A组现时疼痛强度（PPI）评分明显低于B、C组（P均<0.05）。T₁、T₂、T₃、T₄、T₅时,三组Ramsay镇静评分比较差异均无统计学意义（P均>0.05）。术后1 d,三组NE、Cor、ACTH水平均较术前1 d显著升高（P均<0.05）,术前1 d和术后1 d,三组NE、Cor、ACTH水平比较差异均无统计学意义（P均>0.05）;术后3、7 d时A组EPDS评分明显低于术前1 d和同时间B、C组（P均<0.05）;三组不良反应发生情况对比无显著性差异（P均>0.05）。结论：艾司氯胺酮联合舒芬太尼在剖宫产围术期镇痛中应用效果良好,能够减轻产妇术后早期抑郁程度。     

Daily rhythmicity and hibernation in the Anatolian ground squirrel under natural and laboratory conditions

We studied daily rhythmicity of body temperature (T _b) before and during hibernation in Anatolian ground squirrels (Spermophilus xanthoprymnus) under natural and laboratory conditions using surgically implanted temperature loggers. Under both conditions, robust daily T _b rhythmicity with parameters comparable to those of other ground squirrel species was observed before but not during hibernation. Euthermic animals had robust daily T _b rhythms with a mean of 37.0°C and a range of excursion of approximately 4°C. No T _b rhythm was detected during torpor bouts, either because T _b rhythmicity was absent or because the daily range of excursion was smaller than 0.2°C. The general patterns of hibernation that we observed in Anatolian ground squirrels were similar to those previously observed by other investigators in other species of ground squirrels.     

Circadian variations in serum thyroid hormones inMacaca fascicularis

Serum triiodothyronine (T₃) and thyroxine (T₄) concentrations inMacaca fascicularis were determined at 4-hr interval for 24 hr using commercial radioimmunoassay kits. It was found that the highest concentrations of T₃ and T₄ in the animals were in the serum sample taken at 10:00. The lowest values of T₃ and T₄ were found in the blood sampled at 02:00 and 22:00, respectively.     

臂丛神经阻滞复合静脉全麻进行锁骨骨折手术对患者疼痛阈值和术后谵妄的影响

摘要 目的：探讨臂丛神经阻滞复合静脉全麻进行锁骨骨折手术对患者疼痛阈值和术后谵妄的影响。方法：选取本院2018年4月-2021年5月收治的100例锁骨骨折患者作为研究对象,随机将其分为观察组（n=50）和对照组（n=50）。观察组采用臂丛神经阻滞复合静脉全麻进行手术,对照组单独采用静脉全麻进行手术,对比两组患者手术时间、住院时间以及唤醒时间;不同时间生命体征;麻醉效果和术后疼痛阈值;术后谵妄发生率、谵妄持续时间以及每天睡眠时间。结果：观察组患者的术后住院时长以及唤醒时间明显低于对照组（P＜0.05）。观察组T₁到T₄时间血氧饱和度（SPO₂）、收缩压（SBP）、舒张压（DBP）、平均动脉压（MAP）、心率（HR）无明显波动,对照组T₁到T₄时间上述指标波动明显,且两组患者T₂、T₃时间SPO₂、SBP、DBP、MAP、HR对比差异显著（P＜0.05）;观察组患者的COR、NE在T₂、T3明显下降,而对照组的COR在T₂、T₃呈上升趋势（P＜0.05）。观察组运动神经阻滞时间以及感觉神经阻滞时间明显高于对照组（P＜0.05）,术后2 h、12 h、24 h疼痛阈值明显低于对照组（P＜0.05）。观察组术后谵妄发生率和谵妄持续时间明显低于对照组（P＜0.05）。结论：对锁骨骨折手术患者进行臂丛神经阻滞复合静脉全麻,有效降低患者手术时间、住院时间以及唤醒时间,同时稳定患者生命体征,提升麻醉效果,降低术后疼痛阈,并且谵妄发生率、谵妄持续时间以及每天睡眠时间相对较低。     

Effect of Boron as an Antidote on Dry Matter Intake,Nutrient Utilization and Fluorine Balance in Buffalo (<Emphasis Type="Italic">Bubalus bubalis</Emphasis>) Exposed to High Fluoride Ration

Twenty male buffalo calves (8–9 months, 112.1 ± 7.69 kg) were divided into four groups of five animals in each and fed diets without (T1) or supplemented with 0.3 ppm selenium (Se) (T2), 0.3 ppm Se + 10 ppm copper (Cu) (T3), and 10 ppm Cu (T4) for 120 days during which blood samples were collected on day 0, 40, 80, and 120. Concentrations of glucose, total protein, urea, uric acid, and creatinine were similar in all the four groups, but the level of globulin was significantly (P < 0.01) increased in groups T2 and T3, leading to reduced levels of albumin and A:G ratio (P < 0.01) in these groups. The level of different serum enzymes viz. lactate dehydrogenase (LDH), alkaline phosphatase (ALP), glutamate pyruvate transaminase (SGPT), and glutamate oxaloacetate transaminase (SGOT) and hormones viz. T₃, T₄, testosterone and insulin and T₄:T₃ ratio were similar (P > 0.05) among the four groups. It was deduced that supplementation of 0.3 ppm Se and/or 10.0 ppm of Cu had no effect on blood metabolic profile in buffalo calves, except for an increased globulin level, indicating improved immunity status of these animals.     

Weight loss therapy improves pancreatic endocrine function in obese older adults

Objective: Obesity and aging increase the risk of type 2 diabetes (T2D). We evaluated whether weight loss therapy improves pancreatic endocrine function and insulin sensitivity in obese older adults. Methods and Procedures: Twenty‐four obese (BMI: 38 ± 2 kg/m²) older (age: 70 ± 2 years) adults completed a 6‐month randomized, controlled trial. Participants were randomized to diet and exercise (treatment group) or no therapy (control group). β‐Cell function (assessed using the C‐peptide minimal model), α‐cell function (assessed by the glucagon response to an oral glucose load), insulin sensitivity (assessed using the glucose minimal model), and insulin clearance rate were evaluated using a 5‐h modified oral glucose tolerance test. Results: Body weight decreased in the treatment group, but did not change in the control group (?9 ± 1% vs. 0 ± 1%; P < 0.001). Insulin sensitivity doubled in the treatment group and did not change in the control group (116 ± 49% vs. ?11 ± 13%; P < 0.05). Even though indices of β‐cell responsivity to glucose did not change (P > 0.05), the disposition index (DI), which adjusts β‐cell insulin response to changes in insulin sensitivity, improved in the treatment group compared with the control group (100 ± 47% vs. ?22 ± 9%; P < 0.05). The glucagon response decreased in the treatment but not in the control group (?5 ± 2% vs. 4 ± 4%; P < 0.05). Insulin secretion rate did not change (P > 0.05), but insulin clearance rate increased (51 ± 25%; P < 0.05), resulting in lower plasma insulin concentrations. Discussion: Weight loss therapy concomitantly improves β‐cell function, lowers plasma glucagon concentrations, and improves insulin action in obese older adults. These metabolic effects are likely to reduce the risk of developing T2D in this population.