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Objective

To investigate whether pulse pressure variation (PPV) can predict fluid responsiveness in healthy dogs during clinical surgery.

Study design

Prospective clinical study.

Animals

Thirty-three isoflurane-anesthetized dogs with arterial hypotension during orthopedic surgery.

Methods

Fluid challenge with lactated Ringer's solution (15 mL kg?1 in 15 minutes) was administered in mechanically ventilated dogs (tidal volume 10 mL kg?1) with hypotension [mean arterial pressure (MAP) < 65 mmHg]. The volume expansion was considered effective if cardiac output (CO; transesophageal Doppler) increased by ≥ 15%. Cardiopulmonary data were analyzed using two-way ANOVA, receiver operating characteristics (ROC) curves and Spearman coefficient; p < 0.05 was considered significant.

Results

Effective volume expansion, mean ± standard deviation 42 ± 4% increase in CO (p < 0.0001) was observed in 76% of the dogs, resulting in a decrease in PPV (p < 0.0001) and increase in MAP (p < 0.0001), central venous pressure (CVP; p = 0.02) and ejection fraction (p < 0.0001) compared with before the fluid challenge. None of these changes occurred when volume expansion resulted in a nonsignificant CO increase of 4 ± 5%. No significant differences were observed in blood gas analysis between responsive and nonresponsive dogs. The increase in CO was correlated with the decrease in PPV (r = ?0.65; p < 0.0001) but absolute values of CO and PPV were not correlated. The PPV performance (ROC curve area: 0.89 ± 0.06, p = 0.0011) was better than that of CVP (ROC curve area: 0.54 ± 0.12) and MAP (ROC curve area: 0.59 ± 0.13) to predict fluid responsiveness. The best cut-off for PPV to distinguish responders and nonresponders was 15% (50% sensitivity and 96% specificity).

Conclusions and clinical relevance

In mechanically ventilated, healthy, isoflurane-anesthetized dogs, PPV predicted fluid responsiveness to volume expansion, and MAP and CVP did not show such applicability.  相似文献   
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Woody leguminous species are valuable crops because of their nutritional, economic, and ecological characteristics. Such crops have aided in the recovery of marginal lands for agricultural development due to their ability to fix nitrogen, control erosion, and act as a refuge for other species, in addition to their capacity to improve soil mineral composition and microbial biodiversity. Nevertheless, some leguminous trees are recognized to be one of the worst invasive species that affect negatively biodiversity and the entire ecosystem balance. In this study, we review new global uses for some woody leguminous crops, highlighting new nutraceutical and pharmacological properties, their uses as bioenergy sources, and their ecological uses for bioremediation opening new possibilities of management. We aim to bring knowledge on the multiple benefits that these woody plants continue to provide to humans from economic, social, and environmental standpoints.  相似文献   
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To try new acrosomal probes for assessing ram spermatozoa, we compared the LysoSensor? probe, which labels acidic organelles, with the frequently used peanut agglutinin acrosomal probe (PNA‐PE; phycoerythrin as fluorescent moiety). The previous microscopic observations showed a lack of relationship of LysoSensor? with acrosomal status. Semen was obtained from five rams and frozen in four pools. Each pool was analysed carrying out a triple staining propidium ioide/PNA‐PE/LysoSensor? Green DND‐189 to test acrosome labelling, and a double staining SYBR‐14/PI, to assess sperm viability. Stained samples were analysed by flow cytometry. All measurements were replicated. Data were processed using agreement and repeatability tests. LysoSensor? labelling did not agree with PNA (mean of differences: 30.8%; coefficient of agreement: 22.6%), confirming microscopic observations. Nevertheless, when LysoSensor? was compared with SYBR‐14/PI, the agreement was high (mean of differences: ?0.05%; coefficient of agreement: 5.07%). Repeatability of both methods was high and similar. LysoSensor? did not seem to specifically stain the acrosome, but it may accumulate in the cytoplasm and label viable spermatozoa. Therefore, LysoSensor? might not be used as an acrosomal probe in ram spermatozoa, but it could be used in other kind of studies, taking advantage of its pH sensitivity.  相似文献   
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The management of burnt wood after a fire may affect seed predation by vertebrates due to the change produced in habitat structure. We analyze the effect of burnt wood management on post-dispersal seed predation in the Holm oak. Three plots were established in a burnt forest, with three treatments per plot: (1) non-intervention (NI, all trees left standing), (2) “partial cut plus lopping” (PCL, felling 90% of trees, cutting their main branches, leaving all the biomass in situ), and (3) “salvage logging” (SL, felling the logs for their removal and masticating the woody debris). Acorns were buried to mimic dispersal by jays or rodents two and three years after fire, with two trials per year (7200 monitored acorns), and the predation rate was evaluated until the time of seedling emergence. The spatial patterns of acorn predation were assessed by computing a transformed-Ripley's K function and Moran's I correlograms. There was a large spatial and temporal variability in acorn predation, with differences among trials, plots, and replicates within treatments and plots. Overall, PCL showed the lowest predation values (83.0% versus 87.4 in NI and 88.0 in SL). Predator species (mice versus wild boar) also differed among treatments, wild boar having a negligible effect in PCL, presumably due to the physical barrier of felled logs and branches. The results support that: (1) salvage logging offers no advantage against predators and (2) that post-fire burnt wood management alters the guild of acorn predators and may reshape the pattern of seedling establishment.  相似文献   
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