Urinary Sphincter Based on Electronics and Artificial Muscles

Objectives: The AMS 800 is the current artifi cial urinary sphincter (AUS) forincontinence due to intrinsic sphincter defi ciency. Despite good clinical results,technical failures inherent to the hydraulic mechanism or urethral ischemicinjury contribute to revisions up to 60%. We are developing an electronic AUS,called ARTUS to overcome the rigors of AMS. The objective of this study wasto evaluate the technical effi cacy and tissue tolerance of the ARTUS systemin an animal model.Methods: The ARTUS is composed by three parts: thecontractile unit, a series of rings and an integrated microprocessor. The contractileunit is made of Nitinol fi bers. The rings are placed around the urethrato control the fl ow of urine by squeezing the urethra. They work in a sequentialalternative mode and are controlled by a microprocessor. In the fi rst phase athree-rings device was used while in the second phase a two-rings ARTUS wasused. The device was implanted in 14 sheep divided in two groups of six andeight animals for study purpose. The fi rst group aimed at bladder leak pointpressure (BLPP) measurement and validation of the animal model; the secondgroup aimed at verifying midterm tissue tolerance by explants at twelve weeks.General animal tolerance was also evaluated.Results: The ARTUS systemimplantation was uneventful. When the system was activated, the BLPP wasmeasured at 1.038 ± 0.044 bar (mean ± SD). Urethral tissue analysis did notshow signifi cant morphological changes. No infection and no sign of discomfortwere noted in animals at 12 weeks.Conclusions: The ARTUS proved to beeffective in continence achievement in this study. Histological results supportour idea that a sequential alternative mode can avoid urethral atrophy andischemia. Further technical developments are needed to verify long-termoutcome and permit human use.

Neuronal nitric oxide synthase does not contribute to the modulation of pulmonary vascular tone in fetal lambs with congenital diaphragmatic hernia (nNOS in CDH lambs).

AIM: The aim of this study was to determine the presence of the neuronal nitric oxide synthase (nNOS) in near full-term lambs with congenital diaphragmatic hernia (CDH) and its role in the modulation of pulmonary vascular basal tone. METHODS: We surgically created diaphragmatic hernia on the 85th day of gestation. On the 135th, catheters were used to measure pulmonary pressure and blood flow. We tested the effects of 7-nitroindazole (7-NINA), a specific nNOS antagonist and of N-nitro-L-arginine (L-NNA), a nonspecific nitric oxide synthase antagonist. In vitro, we tested the effects of the same drugs on isolated pulmonary vessels. The presence of nNOS protein in the lungs was detected by Western blot analysis. RESULTS: Neither 7-NINA nor L-NNA modified pulmonary vascular basal tone in vivo. After L-NNA injection, acetylcholine (ACh) did not decrease significantly pulmonary vascular resistance (PVR). In vitro, L-NNA increased the cholinergic contractile-response elicited by electric field stimulation (EFS) of vascular rings from lambs with diaphragmatic hernia. CONCLUSION: We conclude that nNOS protein is present in the lungs and pulmonary artery of near full-term lamb fetuses with diaphragmatic hernia, but that it does not contribute to the reduction of pulmonary vascular tone at birth

COMPRESSIBLITY AND PENETRABILITY OF LATOSSOLO VERMELHO-AMARELO DISTRÓFICO (OXISOL) UNDER VARIED MANAGEMENT SYSTEMS AND LAND USES

Soil compaction is one of the main degradation causes, provoked by inappropriate agricultural practices that override the limitations of the soil physical properties. Preconsolidation pressure and penetration resistance have proved effective as alternative to assess and identify soil compaction. Based on the interpretation of these physico-mechanical parameters, compaction can be prevented with a better adjusted soil management. This study was performed to generate preconsolidation pressure and penetration resistance models for Latososlo Vermelho-Amarelo distrófico (Oxisol) under various managements and uses; and evaluate which of these would lead to degradation or degradation susceptibility. The study was carried out in Curvelo, MG. Two managements and one land use were evaluated: no-tillage, sheep grazing and natural forest. Undisturbed soil samples collected from the 0-5 cm layer were subjected to uniaxial compression and penetration resistance tests. Preconsolidation pressure models for forest and no-tillage soils were not statistically different, demonstrating a low degradation potential in no-tillage systems. Preconsolidation pressure was higher in soil under sheep grazing at all water retention tensions and penetration resistance values were higher than under native forest indicating animal trampling as a potential degradation factor. Neither management presented penetration resistance values above 2 MPa at field capacity moisture. Only under sheep grazing the soil penetrability was near 2 MPa at field capacity and values greater than 2 MPa at 0.2 kg kg-1.

The sheeping technique or how to avoid exchange maneuvers.

INTRODUCTION: The arteries of bifurcation aneurysms are sometimes so angulated or tortuous that an exchange maneuver is necessary to catheterize them with a balloon or stent delivery catheter. Because of the risk of distal wire perforation associated with exchange maneuvers, we sought to find an alternative technique. METHODS: Our experience shows that a microcatheter tends to preferentially follow a previously placed microcatheter, even if the initial catheterization might be challenging. Accessing an artery with two microcatheters simultaneously may thus be an alternative to an exchange maneuver. Because of this tendency for catheters to behave like sheep following one another, we named this method the sheeping technique (ST). The ST consists of (a) first placing a 1.7 French microcatheter into the division branch requiring balloon or stent protection to straighten the course of the arteries in order to facilitate and (b) positioning in the same artery of a larger and stiffer balloon or stent microcatheter. Once the second balloon or stent microcatheter is in place, the first microcatheter can be pulled back and used to coil the aneurysm. RESULTS: Between January 2009 and December 2012, The ST was successfully used in 208/246 procedures (85 %). Conversion to an exchange maneuver was necessary in 38/246 (15 %). There were no arterial perforations or ischemic events related to the handling of both microcatheters. CONCLUSION: The sheeping technique may improve safety by replacing the need for an exchange maneuver during difficult balloon- or stent-assisted coiling.

Role of ATP-dependent potassium channels in pulmonary vascular tone of fetal lambs with congenital diaphragmatic hernia.

High mortality in newborn babies with congenital diaphragmatic hernia (CDH) is principally due to persistent pulmonary hypertension. ATP-dependent potassium (K(ATP)) channels might modulate pulmonary vascular tone. We have assessed the effects of Pinacidil, a K(ATP) channel opener, and glibenclamide (GLI), a K(ATP) channel blocker, in near full-term lambs with and without CDH. In vivo, pulmonary hemodynamics were assessed by means of pressure and blood flow catheters. In vitro, we used isolated pulmonary vessels and immunohistochemistry to detect the presence of K(ATP) channels in pulmonary tissue. In vivo, pinacidil (2 mg) significantly reduced pulmonary vascular resistance (PVR) in both controls and CDH animals. GLI (30 mg) significantly increased pulmonary arterial pressure (PAP) and PVR in control animals only. In vitro, pinacidil (10 microM) relaxed, precontracted arteries from lambs with and without CDH. GLI (10(-5) microM) did not raise the basal tone of vessels. We conclude that activation of K(ATP) channels could be of interest to reduce pulmonary vascular tone in fetal lambs with CDH, a condition often associated with persistent pulmonary hypertension of the newborn.

Effect of selective phosphodiesterase inhibitors on response of ovine pulmonary arteries to prostaglandin E2.

Several adenosine 3',5'-cyclic monophosphate (cAMP)-hydrolyzing phosphodiesterase isozymes are present in the pulmonary vasculature. The present study was designed to determine the effect of selective inhibitors of phosphodiesterase subtypes on prostaglandin E2 (PGE2)-induced relaxation of isolated fourth-generation pulmonary arteries of newborn lambs. PGE2 and forskolin caused pulmonary arteries to relax and induced an increase in the intracellular cAMP content in the vessels. The relaxation and change in cAMP content were augmented by milrinone and rolipram, inhibitors of phosphodiesterase type 3 (PDE3) and type 4 (PDE4), respectively. The augmentation in relaxation and the increase in cAMP content caused by milrinone plus rolipram was greater than the sum of the responses caused by either of the inhibitors alone. 8-Methoxymethyl-1-methyl-3-(2-methylpropyl)xanthine, an inhibitor of phosphodiesterase type 1, had no effect on relaxation and change in cAMP induced by PGE2 and forskolin. Acetylcholine alone had no effect on cAMP content in the vessels but augmented the relaxation and the increase in cAMP induced by PGE2 and forskolin in arteries with endothelium. This effect was not observed in arteries without endothelium or in arteries with endothelium treated with NG-nitro-L-arginine. These results suggest that PDE3 and PDE4 are the primary enzymes hydrolyzing cAMP of pulmonary arteries of newborn lambs and that an inhibition of both PDE3 and PDE4 would result in a greater effect than that caused by inhibition of either one of the subtype isozymes alone. Furthermore, endothelium-derived nitric oxide may enhance cAMP-mediated relaxation by inhibition of PDE3.

A role for altered TLR gene expression in association with increased expression of CD200R in the induction of mucosal tissue CD4(+) Treg in aged mice following gavage with a liver extract along with intramuscular monophosphoryl lipid A (MPLA) injection.

Previous studies showed a fetal sheep liver extract (FSLE), in association with LPS, injected into aged (>20 months) mice reversed the altered polarization (increased IL-4 and IL-10 with decreased IL-2 and IFN-gamma) in cytokine production seen from ConA stimulated lymphoid cells of those mice. Aged mice show a >60% decline in numbers and suppressive function of both CD4(+)CD25(+)Foxp3(+)Treg and so-called Tr3 (CD4(+)TGFbeta(+)). Their number/function is restored to levels seen in control (8-week-old) mice by FSLE. We have reported at length on the ability of a novel pair of immunoregulatory molecules, members of the TREM family, namely CD200:CD200R, to control development of dendritic cells (DCs) which themselves regulate production of Foxp3(+) Treg. The latter express a distinct subset of TLRs which control their function. We report that a feature of the altered Treg expression following combined treatment with FSLE and monophosphoryl lipid A, MPLA (a bioactive component of lipid A of LPS) is the altered gene expression both of distinct subsets of TLRs and of CD200Rs. We speculate that this may represent one of the mechanisms by which FSLE and MPLA alter immunity in aged mice.

In vivo measurements of atrial repolarization alternans based on standard pacemaker technology

It has been shown that repolarization alternans, a beat-to-beat alternation in action potential duration, enhances dispersion of repolarization above a critical heart rate and promotes susceptibility to ventricular arrhythmias. It is unknown whether repolarization alternans is measurable in the atria using standard pacemakers and whether it plays a role in promoting atrial fibrillation. In this work, atrial repolarization alternans amplitude and periodicity are studied in a sheep model of pacing-induced atrial fibrillation. Two pacemakers, each with one right atrial and ventricular lead, were implanted in 4 male sheep after ablation of the atrioventricular junction. The first one was used to deliver rapid pacing for measurements of right atrial repolarization alternans and the second one to record a unipolar electrogram. Atrial repolarization alternans appeared rate-dependent and its amplitude increased as a function of pacing rate. Repolarization alternans was intermittent but no periodicity was detected. An increase of repolarization alternans preceding episodes of non-sustained atrial fibrillation suggests that repolarization alternans is a promising parameter for assessment of atrial fibrillation susceptibility.

The subantartic Nothofagus forests of Tierra del Fuego: distribution, structure and production

Evergreen Nothofagus betuloides and decidoues N. pumilo form the main forest types in Tierra del Fuego. These forest were sampled along two altitudinal gradients to study their structure and dynamics and assess the causes of their distribution.

Structure and spatial variability of Pinus uncinata Ram. growth forms at two contrasting treeline ecotones in the Spanish Pyrenees.

Describimos la distribución espacial de individuos de Pinus uncinata clasificados según su forma de crecimiento y tamaño en dos ecotonos poco perturbados del límite altitudinal del árbol situados en los Pirineos Centrales españoles (Ordesa, O; Tessó, T). En cada sitio situamos una parcela rectangular (30 140 m), que incluía los límites del árbol y del bosque, y cuyo lado mayor seguía el gradiente altitudinal. En ambos sitios, los individuos vivos eran más grandes y tenían un mayor número de cohortes de acículas pendiente abajo. La distribución de las clases de individuos según su forma de crecimiento y tamaño en el sitio O seguía una secuencia de mayor tamaño pendiente abajo, desde abundantes individuos policórmicos arbustivos (krummholz) con pocas cohortes de acículas (1-3) hasta individuos arbóreos mayores unicórmicos con varias cohortes de acículas (4-12). Por el contrario, los cambios estructurales en el ecotono del sitio T fueron graduales y no siguieron de forma tan clara dicha secuencia

Fenología del anillo de crecimiento de Pinus uncinata Ramond y Pinus sylvestris L. en un gradiente altitudinal en los Pirineos Centrales

En el presente trabajo, describimos el desarrollo y la estructura del anillo anual de crecimiento de Pinus uncinata Ramondy Pinus sylvestris L. en un gradiente altitudinal en los Pirineos centrales. Medimos mensualmente el aumento de la anchura del anillo y el número de traqueidas añadidas a lo largo de 1993. En ambas especies, la mayor parte del anillo se forma desde mediados de jimio hasta mediados de julio de 1993. El desarrollo de la madera tardía -formación, coloración y engrasamiento y lignificación de las paredes celulares- comienza en julio y acaba en octubre. El anillo comienza antes su formación en los bosques estudiados de P. sylvestris que en P. uncinata, el cual vive a mayor altitud. P. uncinata forma anillos más estrechos, con menor múmero de células y con mayor heterogeneidad de color de la madera tardía que P. sylvestris. Existe una gran variabilidad entre árboles en la posición de las células de las maderas temprana y tardía a lo largo del anillo de crecimiento. Los distintos patrones fenológicos en el crecimiento del anillo anual, a lo largo del gradiente altitudinal seleccionado, pueden explicarse en parte, por la influencia de distintas condiciones climáticas, principalmente térmicas.

Crecimiento estacional y caída de acículas en Pinus uncinata Ram. y Pinus sylvestris L.

En este trabajo se estudia la formación mensual del anillo del tronco, la caída de acículas y la elongación de las ramas en poblaciones de Pinus sylvestris L. y Pinus uncinata Ram. en el Pirineo Central Español durante 1993. La formación del anillo se produce de principios de junio hasta final de septiembre, si bien la mayoría de su crecimiento se lleva cabo de mediados de junio hasta mediados de julio. P. sylvestris comienza el desarrollo de su anillo antes que P. uncinata. El inicio del desarrollo de los brotes de P. uncinata se adelanta ligeramente al del crecimiento en grosor del tronco. La caída de acículas es máxima en el otoño y se produce más tarde en P. uncinata que en P. sylvestris. Este retraso, junto al mayor peso de las acículas y el menor diámetro de las traqueidas de P. uncinata, denotan su adaptación a un mayor estrés ambiental que P. sylvestris.

Estructura de un ecotono bosque Subalpino-pastos alpinos (Las Cutas, Ordesa, Pirineos Centrales)

Describimos la estructura de un ecotono bosque subalpino-pastos alpinos en los Pirineos Centrales, que incluye los límites altitudinales del bosque y del árbol y está dominado por Pinus uncinata Ram. Para cada individuo de P. uncinata situado dentro de una parcela rectangular paralela a la pendiente anotamos su localización y medimos diversas variables estructurales o deforma (número y tipo de pies por individuo). Estos individuos fueron clasificados según su tamaño (adultos, jóvenes, vastagos y plántulas) y forma («krummholz» ¿individuos arbustivos policórmicos¿, krummholz con pies verticales). La estructura del ecotono se describió mediante los cambios de tamaño y forma de los individuos de P. uncinata a lo largo del ecotono y en relación con el clima de la zona, que se caracteriza por espesores de nieve máximos en primavera (abril) y fuertes vientos del N-NW-W. La mayoría de los individuos vivos eran krummholz, situándose por encima del límite del bosque y mostrando proximidad espacial con las plántulas. Los individuos grandes, verticales y unicórmicos predominaban en el bosque. Los cambios estructurales o deforma de los individuos eran bruscos a lo largo del ecotono. Los daños de las copas debidos al viento eran evidentes en individuos arbustivos y predominaban en las direcciones de viento más fuertes durante todo el año. La interacción nieve-viento permite explicar en parte la localización de este límite del bosque que puede considerarse un fenómeno local. La situación espacial de las distintas clases de individuos, la interacción espacial entre plántulas y krummholz más los cambios deforma de crecimiento (de arbustiva a arbórea o viceversa) pueden modificar la respuesta de estas poblaciones de P uncinata a cambios climáticos.

Disturbance, age and size structure in stands of Pinus uncinata Ram

Las estructuras de tamaño y edad de dos bosques monoespecificos subalpinos de Pinus uncinata en el Pirineo, fueron estudiadas e interpretadas introduciendo una clasificación sencilla de los árboles según la exposición de su copa a la radiación solar directa. Ambas poblaciones muestran distribuciones de diámetro de J invertida irregulares, cuya Interpretación es incierta. Por el contrario, la estructura de edad en ambos bosques muestra picos visibles, los cuales, si se tienen en cuenta la exposición de la copa, indican que la regeneración se produce en claros del bosque. Se analizaron las series de anillos de crecimiento de los árboles de cada sitio para reconstruir su historia reciente de perturbaciones Identificando los incrementos bruscos del crecimiento. El régimen de perturbaciones en los dos bosques es diferente, y en ambos casos muestra un efecto madelador análogo sobre la estructura de edad. Se concluye que P. uncinata se comporta como una especie heliófila que puede formar bosques maduros o multicohorte bajo determinados regímenes de perturbaciones suaves, gracias a su capacidad para iniciar la regeneración en claros pequeños. Este proceso tiene lugar en un lapso de tiempo corto después de la incidencia de las perturbaciones.