9 research outputs found
Non-anatomical colonic resections: splenic flexure and transverse colectomy. Central vascular ligation is crucial for survival
On what happens in gesture when communication is unsuccessful
Previous studies found that repeated references in successful communication are often reduced, not only at the acoustic level, but also in terms of words and manual co-speech gestures. In the present study, we investigated whether repeated references are still reduced in a situation when reduction would not be beneficial for the communicative situation, namely after the speaker receives negative feedback from the addressee. In a director–matcher task (experiment I), we studied gesture rate, as well as the general form of the gestures produced in initial and repeated references. In a separate experiment (experiment II) we studied whether there might (also) be more gradual differences in gesture form between gestures in initial and repeated references, by asking human judges which of two gestures (one from an initial and one from a repeated reference following negative feedback) they considered more precise. In both experiments, mutual visibility was added as a between subjects factor. Results showed that after negative feedback, gesture rate increased in a marginally significant way. With regard to gesture form, we found little evidence for changes in gesture form after negative feedback, except for a marginally significant increase of the number of repeated strokes within a gesture. Lack of mutual visibility only had a significant reducing effect on gesture size, and did not interact with repetition in any way. However, we did find gradual differences in gesture form, with gestures produced after negative feedback being judged as marginally more precise than initial gestures. The results from the present study suggest that in the production of unsuccessful repeated references, a process different from the reduction process as found in previous studies in repeated references takes place, with speakers appearing to put more effort into their gestures after negative feedback, as suggested by the data trending towards an increased gesture rate and towards gestures being judged as more precise after feedback
Cicatrização de anastomoses do cólon esquerdo com doença inflamatória: estudo experimental em ratos Healing of the left colon anastomosis with inflammatory bowel disease: experimental study in rats
Complicações relacionadas com a anastomose são descritas com freqüência nas cirurgias para o tratamento da doença inflamatória do cólon. Para conhecer a interferência da inflamação na cicatrização de anastomoses 40 ratos Wistar são utilizados e divididos em 2 grupos. Um deles serviu de controle e no outro induziu-se doença inflamatória com ácido acético 10% por sondagem retal. No sétimo dia procedeu-se à laparotomia em ambos os grupos, colotomia e anastomose término-terminal com pontos separados em plano único. Avaliadas no terceiro e sétimo dias, pode-se verificar que o número de complicações no grupo de animais com doença inflamatória foi maior assim como a mortalidade. As deiscências com peritonite foi a situação mais comum (p=0,0222). A capacidade de suportar pressão, nas anastomoses que evoluíram sem complicações foi menor nestes cólons, porém a diferença quando comparada ao controle não foi significante (p=0,0836). Verificou-se que as anastomoses construídas em cólons com doença inflamatória apresentavam maior concentração de colágeno total, com predomínio de colágeno imaturo (tipo III) (p=0,0000) enquanto que nas feitas em cólons normais predominava colágeno maduro (tipo I) (p=0,0102). Observou-se ainda que a organização do colágeno era menor, no terceiro dia, nas anastomoses com doença inflamatória. Entretando a análise da reação inflamatória ao nível da anastomose foi semelhante nos dois grupos. Estes resultados permitem sugerir que a doença inflamatória leva a aumento do número de deiscências provavelmente pelo atraso da maturação e ordenação do colágeno.<br>Complications related to anastomosis failure are frequently described in the surgery of inflammatory bowel disease. The aim of the present study was to evaluated colonic wound healing in an inflamed bowel. Forty Wistar rats were divided in 2 groups: the control and experimental groups. In the experimental group, colitis was induced by the infusion of 10% acetic acid per rectum to understand how inflammation interferes with the healing process of intestinal. On the7th post-operative day an end to end colonic anastomosis was performed with interrupted suture. On the 3rd and 7th post-operative days, the anastomosis were evaluated. We observed that mortality and the number of complications were greater in the group of animals with inflammatory bowel disease. Dehiscence with peritonitis was the most common complication(p=0.0222). The bursting strength in the colons without leakage was lesser than those in the control group, however this difference was not statistically significant (p=0,0836). It was verified that the anastomosis performed in colons with inflammatory bowel disease showed greater total collagen concentration, with a predominance of immature collagen (type III) (p=0.0000). The mature collagen (type I) was the predominant collagen in the wounds of normal colon. (p=0.0102). On the 3th post-operative day It was also observed that the organization of collagen was poorer on the third day in the colonic wounds with inflammatory bowel disease. Nevertheless, the analysis of the inflammatory reaction at the level of the anastomosis was similar in both groups. These results suggest that inflammatory bowel disease increases the risks of anastomosis dehiscence, probably because of the delay in the maturation and the organisation of collagen