475 research outputs found

    Tics are caused by alterations in prefrontal areas, thalamus and putamen, while changes in the cingulate gyrus reflect secondary compensatory mechanisms

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    BACKGROUND: Despite strong evidence that the pathophysiology of Tourette syndrome (TS) involves structural and functional disturbances of the basal ganglia and cortical frontal areas, findings from in vivo imaging studies have provided conflicting results. In this study we used whole brain diffusion tensor imaging (DTI) to investigate the microstructural integrity of white matter pathways and brain tissue in 19 unmedicated, adult, male patients with TS “only” (without comorbid psychiatric disorders) and 20 age- and sex-matched control subjects. RESULTS: Compared to normal controls, TS patients showed a decrease in the fractional anisotropy index (FA) bilaterally in the medial frontal gyrus, the pars opercularis of the left inferior frontal gyrus, the middle occipital gyrus, the right cingulate gyrus, and the medial premotor cortex. Increased apparent diffusion coefficient (ADC) maps were detected in the left cingulate gyrus, prefrontal areas, left precentral gyrus, and left putamen. There was a negative correlation between tic severity and FA values in the left superior frontal gyrus, medial frontal gyrus bilaterally, cingulate gyrus bilaterally, and ventral posterior lateral nucleus of the right thalamus, and a positive correlation in the body of the corpus callosum, left thalamus, right superior temporal gyrus, and left parahippocampal gyrus. There was also a positive correlation between regional ADC values and tic severity in the left cingulate gyrus, putamen bilaterally, medial frontal gyrus bilaterally, left precentral gyrus, and ventral anterior nucleus of the left thalamus. CONCLUSIONS: Our results confirm prior studies suggesting that tics are caused by alterations in prefrontal areas, thalamus and putamen, while changes in the cingulate gyrus seem to reflect secondary compensatory mechanisms. Due to the study design, influences from comorbidities, gender, medication and age can be excluded

    Freezing Strip Loin and Top Round Steaks Improves Warner-Bratzler Shear Force

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    Postmortem aging of steaks is a common practice used to improve tenderness of beef steaks. The impact of proteolysis and improvement in tenderness due to aging varies among muscles. When designing research protocols, samples for Warner-Bratzler shear force (WBSF) are often frozen for later analysis because of convenience and time limitations. Freezing stops postmortem aging and allows for storage until meat can be cooked for WBSF and/or sensory analysis. However freezing meat may cause damage to cell membranes resulting in lower Warner-Bratzler shear force (improved mechanical tenderness), lower water holding capacity, and greater moisture loss during cooking. Several researchers have indicated that freezing strip loin (Longissimus muscle) steaks may lower Warner-Bratzler shear force (improve tenderness) compared with those not previously frozen and sheared fresh. However, these results have been inconclusive for steaks from other muscles. Therefore, the objective of this study was to determine the effects of postmortem aging time and freezing on Warner-Bratzler shear force of six muscles from the beef hindquarter

    Anomalous Origin and Retropulmonary Course of an Atherosclerotic Stenosed Left Circumflex Coronary Artery

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    We here present the case of a rarely seen anomalous origin and retropulmonary course of the left circumflex artery from the proximal right coronary artery. The patient suffered from coronary ischemia due to stenotic lesions both in the aberrant circumflex coronary artery and in the first and second diagonal branches. Coronary bypass operation was performed

    Relationship Between Trauma Sustained at Unloading and Carcass Bruise Prevalence in Finished Cattle at Commercial Slaughter Facilities

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    Bruising in cattle can be an indicator of poor animal welfare, as well as a significant cause of economic loss due to decreased carcass value. Previous literature suggests sources of trauma causing bruising in beef carcasses include horn prevalence, rough transport conditions, cattle handling techniques, cattle temperament, and vehicle design; however, evidence of correlations between such trauma and actual carcass bruising is limited. The objective of this study was to evaluate the relationship between trauma sustained at unloading and carcass bruise prevalence in finished cattle at commercial slaughter facilities

    High Energy Digestible Fiber-based Diets Improve Efficiency in Growing Heifers

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    An inherent challenge of long hauled, highly stressed calves is decreased feed intake upon destination arrival. Highly stressed, newly received stocker calves not consuming adequate amounts of energy are prone to a variety of disorders such as Bovine Respiratory Disease Complex and decreased performance throughout the feeding period. One mechanism that can be used to increase energy intake upon arrival is to make the diet more energy dense. Often times, this is accomplished by the addition of cereal grains high in fermentable carbohydrate including starch. Unfortunately, this has also been linked to increasing morbidity due to metabolic disorders. The goal of this study was to analyze the effects of limit-fed diets containing increasing amounts of energy from highly digestible fiber in by-product feeds on health and performance of newly received stocker calves

    Impact of the COVID-19 pandemic on interventional cardiology fellowship training in the New York metropolitan area: A perspective from the United States epicenter

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    © 2020 Wiley Periodicals, Inc. Background: The healthcare burden posed by the coronavirus disease 2019 (COVID-19) pandemic in the New York Metropolitan area has necessitated the postponement of elective procedures resulting in a marked reduction in cardiac catheterization laboratory (CCL) volumes with a potential to impact interventional cardiology (IC) fellowship training. Methods: We conducted a web-based survey sent electronically to 21 Accreditation Council for Graduate Medical Education accredited IC fellowship program directors (PDs) and their respective fellows. Results: Fourteen programs (67%) responded to the survey and all acknowledged a significant decrease in CCL procedural volumes. More than half of the PDs reported part of their CCL being converted to inpatient units and IC fellows being redeployed to COVID-19 related duties. More than two-thirds of PDs believed that the COVID-19 pandemic would have a moderate (57%) or severe (14%) adverse impact on IC fellowship training, and 21% of the PDs expected their current fellows\u27 average percutaneous coronary intervention (PCI) volume to be below 250. Of 25 IC fellow respondents, 95% expressed concern that the pandemic would have a moderate (72%) or severe (24%) adverse impact on their fellowship training, and nearly one-fourth of fellows reported performing fewer than 250 PCIs as of March 1st. Finally, roughly one-third of PDs and IC fellows felt that there should be consideration of an extension of fellowship training or a period of early career mentorship after fellowship. Conclusions: The COVID-19 pandemic has caused a significant reduction in CCL procedural volumes that is impacting IC fellowship training in the NY metropolitan area. These results should inform professional societies and accreditation bodies to offer tailored opportunities for remediation of affected trainees

    Evaluation of Calcium Hydroxide-Treated Stover (Second Crop) in Receiving and Growing Diets and Effects on Cattle Performance

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    Production of ethanol from corn as an alternative fuel source has significantly affected the pricing landscape for corn as an energy source for livestock. As ethanol usage has become more prevalent, corn prices have become more volatile, especially in critical corn-growing areas that have been affected by drought. Consequently, many beef cattle feeders have become interested in alternative energy sources in an effort to control cost of gain. Second Crop (ADM Corp., Decatur, IL) is a process in which calcium hydroxide is added to fibrous crop residues, such as wheat straw and corn stover. When applied to low-quality roughages, calcium hydroxide disrupts the chemical bonds between lignin and hemicellulose, thus improving digestibility of the fiber by ruminal microbes. Treatment of low-quality forage with the Second Crop process could improve the energy value of forages, effectively decreasing reliance on cereal grains as sources of supplemental energy
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