يشكر المؤلفون الدكتور لي خاي دبوس، رئيس ومستشفى كبير المستشارين، والطوارئ للأطفال، المرأة والطفل، 100 Bukit Timah الطريق وسنغافورة للدعم الإداري بإنتاج المادة الفيديو. المادة المستنسخة بإذن من "يده المعدن كاشف المعدني الأجنبية الجسم الابتلاع في طب الطوارئ"؛ آب/أغسطس عام 2018:85 (8): 618-624؛ هازواني بينت حمزة، وجيمس فيجيل، مانيكام سراج، غاناباتي ساشيكومار: حقوق التأليف والنشر المجلة الهندية لطب الأطفال.

البروتوكول يتبع المبادئ التوجيهية للجنة "أخلاقيات البحوث البشرية المؤسسية". وقدم المجلس الاستعراض المؤسسي المركزي الأخلاقيات والموافقة على الدراسة.
1-فحص مشارك
<ol><li>تعيين المرضى الذين يتقدمون لطب الأطفال قسم الطوارئ مع التاريخ من ابتلاع جسم غريب.</li>
	<li>استبعاد المرضى الذين هم في الضائقة التنفسية وزرع الأجهزة مثل وتيرة صناع.</li>
</ol>2-إعداد المريض
<ol><li>فستان المريض في ثوب مستشفى.</li>
	<li>إزالة كافة العناصر التي قد تحتوي على أجسام معدنية مثل الملابس والنظارات وأقراط، المعلقات، والحلي قبل الفحص لتجنب التداخل مع فحص حمد.</li>
	<li>وضع المريض في وسط الغرفة بعيداً عن تداخلات المعدنية المحتملة الأخرى.</li>
</ol>3-إعداد ممتحن ومقدمي الرعاية
<ol><li>قم بإزالة كافة الملحقات المعدنية مثل المجوهرات ويشاهد.</li>
	<li>طلب لإزالة كافة الملحقات المعدنية مثل المجوهرات ويشاهد مقدمي الرعاية.</li>
</ol>4. الفحص للكشف عن المعادن
<ol><li>استخدم حمد (الشكل 1) لإجراء الفرز.</li>
	<li>تأكيد حالة العامل حمد بالتماس إشارة إيجابية السمعية-بصرية التي يلوح فوق قطعة معدنية.</li>
	<li>أداء حمد المسح في وظيفة دائمة للأطفال أكبر.</li>
	<li>أداء حمد المسح الضوئي في وضع منتصب للرضع بوجود عقد الرعاية المريض على نحو ملائم.</li>
	<li>عقد أيدي المريض لأعلى وبعيدا عن الجسم.</li>
	<li>وضع رأس المريض في ملحق لفضح الرقبة.</li>
	<li>المسح الضوئي من مستوى الذقن إلى مستوى الورك لتغطية المناطق التشريحية من الرقبة إلى الحوض.</li>
	<li>إجراء الفحص بطريقة التعرج عبر الجسم للتأكد من أنه تم تفحص كل منطقة.</li>
	<li>مسح كلا الأسفل والخلف كسمك المريض يجب أن تؤخذ في الاعتبار.</li>
	<li>ملاحظة الإشارات السمعية والبصرية الإيجابية بعناية أثناء المسح الضوئي لوجود مفبس.</li>
</ol>5-إجراء الأشعة ذات الصلة
<ol><li>النظام الأشعة ذات الصلة من الرقبة أو الصدر، أو البطن، وفقا لمجال الكشف عنها بواسطة فحص حمد مفبس.</li>
	<li>المضي قدما في كافة طرق العرض بالأشعة السينية (العنق والصدر والبطن) إذا مفب لم يتم الكشف عنه أثناء الفحص حمد والفهرس السريرية للاشتباه لابتلاع جسم غريب ارتفاع.</li>
</ol>6-تسجيل نتائج الاختبار
<ol><li>تسجيل نتائج الاختبار في السجل (الشكل 2) التي تم إنشاؤها على وجه التحديد على أساس سير العمل (الشكل 1).</li>
	<li>ربط الإشارة حمد السمعية والبصرية الإيجابية مع تاريخية عظمى الكامنة في الجسم، والتي بالباتينج معالم عظمى البارزة التالية-الشق القصية، إكسيفيستيرنوم والارتفاق العانة والثنائية الحرقفي.</li>
	<li>تسجيل المعلم في دفتر مرجع تشريحي المخطط قبل الشروع الفحص بالأشعة السينية.</li>
</ol>

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A., Forte, V., Papsin, B. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Use+of+a+commercially+available+metal+detector+for+the+localization+of+metallic+foreign+body+ingestion+in+children.">Use of a commercially available metal detector for the localization of metallic foreign body ingestion in children.</a> The Journal of Otolaryngology. 29 (4), 218-220 (2000).</li><li>Sacchetti, A., Carraccio, C., Lichenstein, R. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Hand-held+metal+detector+identification+of+ingested+foreign+bodies.">Hand-held metal detector identification of ingested foreign bodies.</a> Pediatric Emergency Care. 10 (4), 204-207 (1994).</li><li>Hamzah, H. B., James, V., Manickam, S., Ganapathy, S. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Handheld+Metal+Detector+for+Metallic+Foreign+Body+Ingestion+in+Pediatric+Emergency.">Handheld Metal Detector for Metallic Foreign Body Ingestion in Pediatric Emergency.</a> Indian Journal of Pediatrics. 85 (8), 618-624 (2018).</li><li>Doraiswamy, N. V., Baig, H., Hallam, L. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Metal+detector+and+swallowed+metal+foreign+bodies+in+children.">Metal detector and swallowed metal foreign bodies in children.</a> Journal of Accident &amp; Emergency Medicine. 16 (2), 123-125 (1999).</li><li>Seikel, K., Primm, P. A., Elizondo, B. J., Remley, K. 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الكتاب ليس لها علاقة بالكشف عن.

المعدنية الأجنبية ابتلاع الجسم في الأطفال مشكلة مشتركة وفي الغالبية العظمى من المرضى، وهذا إدارة متحفظ7،16. يمكن أن يعرض الصور الشعاعية واحدة أو المتكررة المراعية للإذاعة السكان طب الأطفال لخطر الإشعاع غير المرغوب فيها أثناء محاولة ترجمة الجسم المعدني بلع...

ابتلاع جسم غريب مشكلة واسعة انتشار بين الأطفال عرضه لقسم طب الطوارئ بسبب طبيعة فضولي الطبيعي للرضع والأطفال لاستكشاف الكائنات بتذوق وابتلاع منهم1،2. وأفادت الدراسات السابقة أن أجسام معدنية تشكل 85 في المائة من جميع إينجيستيونس جسم غريب في تلك الفئات من المرضى3،4. والهدف من هذا البروتوكول لتقييم دقة وجدوى استخدام جهاز الكشف عن معادن المحمولة للكشف عن أجسام أجنبية معدنية بلعها في الأطفال. ونحن نقترح أن يمكن أن يكون عدد الصور الشعاعية التي أمرت بتعريب الجسم المعدني بإدخال جهاز كشف المعادن يده فحص بروتوكول مبكرا في عملية الفرز للأطفال مع الشك عالية من ابتلاع جسم غريب المعدني، تخفيض في هذه الفئة من السكان حساسة للإذاعة.
محمول باليد للكشف عن المعادن (حمد) هو مساعد غير مكلفة ويسهل الوصول إليها يمكن أن تساعد في الإسراع بإدارة الهيئات الأجنبية معدنية بلعها. للكشف عن المعادن هو جهاز تردد المنخفض جداً، الذي لديه جهاز استقبال وجهاز إرسال يقوم بالكشف عن التغيير في هذا المجال الكهرومغناطيسي التي يسببها وجود جسم معدني في المنطقة المجاورة3. إذا كان كائن معدني داخل الحقل، الحقل الكهرمغنطيسي معطلة وأجهزة الاستشعار سوف انطلق إنذار سمعية-بصرية في الجهاز4. يمكن إجراء فحص للكشف عن المعادن تماما في أقل من دقيقتين5. ومن ثم، يمكن إدخال فحص حمد مبكرا في عملية الفرز للأطفال مع الشك عالية من ابتلاع جسم غريب المعدني للتعريب الطوبوغرافية.
القطع النقدية هي الأكثر شيوعاً ابتلع الهيئات الأجنبية معدنية1،4،،من67. بسبب عدم وجود حواف حادة وذات طابع عام غير سامة، تدار غالبية إينجيستيونس عمله متحفظ. وتشمل أنواع أخرى من المواد التي يشيع تناولها المغناطيس، بطاريات الزر، اللعب الصغيرة، الفول السوداني، مجوهرات، أزرار، والعظام والبذور والذرة الصفراء8،9. الأكثر شيوعاً حدوث انحشار للهيئات الأجنبية في المريء في المواقع الثلاثة، إلا وهي مصرة المريء العلوي، منتصف المريء في مستوى قوس الاورطي، و المصرة البلعوم السفلي10. هيئات أجنبية معدنية (MFBs) الواقعة في المريء قد تكون غير متناظرة في 40 في المائة من المرضى11،12 وعن انحشار طويلة يمكن أن تؤدي إلى مضاعفات مختلفة مثل انثقاب المريء، ميدياستينيتيس، ناسور الولادة تراتشيويسوفاجيل وتضيق الرغامى ناسور أورتو المريء1،13،،من1415. وتشمل المواقع الأخرى انحشار جسم غريب بواب، العفج، ومفرق عليو كاكل10.
إجراء الصور الشعاعية من العنق والصدر والبطن لتشخيص يشتبه في ابتلاع جسم غريب ممارسة شائعة في أقسام الطوارئ5. من بين جميع أنواع الهيئات الأجنبية بلعها، هي فقط 10% كامد راديو10. الاختبارات الإشعاعية هي مضيعة للوقت وخطر التعرض للإشعاع في الأطفال. التعريب الطوبوغرافية الدقيقة للأجسام المعدنية بلعها أمر حاسم جداً لتوجيه العلاج. إدخال همد الفحص المبكر في عملية الفرز يمكن أن تساعد على التخفيف من يأمر غريبة من الصور الشعاعية بإضفاء الطابع المحلي على طبوغرافيا الجسم المعدني بلعها.
تقييم دقة حمد لتعريب مفبس في طريقة طبوغرافية منهجية هذه الدراسة وتحديد فعالية وجدوى حمد في طب الأطفال السكان المحليين. كما درسنا جيدا كيف قبل هذا الإشعاع الحرة أداة فحص المرضى والآباء والأمهات. بين أيار/مايو وتموز/يوليه عام 2016، شملت جميع المرضى على التوالي الذي قدم إلى قسم الطوارئ طب الأطفال مع تاريخ من ابتلاع جسم غريب في الدراسة. تم الحصول على الموافقة المستنيرة من أحد الوالدين أو الوصي القانوني عليه. المرضى الذين يعانون من ابتلاع جسم غريب المزعومة كانت تفحص بانتظام باستخدام حمد. معيار الذهب من الرعاية لتحديد الهوية والتعريب بلعها الهيئات الأجنبية المعدني هو أداء الصور الشعاعية عادي لمنطقة عنق الرحم والصدر والبطن. تم إنشاء سير عمل موحدة لتيسير إجراء الدراسة، (الشكل 1). واستخدم كتاب سجل على وجه التحديد إنشاء استناداً إلى سير العمل لجمع البيانات الأولية، والتي تم نسخها لاحقاً إلى جدول بيانات (الشكل 2). البيانات الموجودة في المقطع نتيجة يصور كعدد حالات متبوعاً بالنسب المئوية.

<table>
	<tbody>
		<tr>
			<td>Hand held metal detector</td>
			<td>Garrett Super Scanner V</td>
			<td>NA</td>
			<td>NA</td>
		</tr>
	</tbody>
</table>

handheld metal detector screening for metallic foreign body ingestion in children

القطع النقدية هي هيئات أجنبية معدنية بلعها الأكثر شيوعاً بين الأطفال. والهدف من هذا البروتوكول لتقييم دقة وجدوى استخدام جهاز الكشف عن معادن المحمولة للكشف عن أجسام أجنبية معدنية بلعها في الأطفال. ونحن نقترح أن بالأخذ بيده للكشف عن المعادن الكشف مبكرا في عملية الفرز للأطفال مع الشك عالية من ابتلاع جسم غريب المعدني، ويمكن خفض عدد الصور الشعاعية التي أمرت بتعريب الجسم المعدني في هذا السكان حساسة للإذاعة. يتطلب بروتوكول الدراسة فحص المشاركين لتاريخ ابتلاع جسم غريب والاستبعاد للمرضى الذين يعانون من الضائقة التنفسية أو يزرع معدني. المريض يتغير إلى ثوب المستشفى والعناصر التي يمكن أن تحتوي على المعادن مثل النظارات الطبية، أقراط، المعلقات، وتتم إزالة الحلي. يتم وضع المريض في وسط الغرفة بعيداً عن تداخلات معدنية أخرى. وتؤكد حالة العامل يده للكشف عن المعادن أولاً الحصول على إشارة سمعية-بصرية إيجابية. ثم يتم الفرز في وضع منتصب مع الرأس في ملحق لفضح الرقبة، من مستوى الذقن إلى مستوى الورك، لتغطية المناطق التشريحية من الرقبة إلى الحوض بطريقة التعرج الأسفل والخلف على حد سواء. ويلاحظ إشارة سمعية-بصرية إيجابية بعناية أثناء المسح الضوئي لوجود جسم غريب المعدني. يتم ترتيب الصور الشعاعية ذات الصلة وفقا لمجال الكشف عن فحص للكشف عن المعادن. جهاز كشف المعادن يده كان قادراً على دقة تحديد جميع القطع النقدية فيما بين الهيئات الأجنبية المعدنية المستهلكة في دراستنا. جهاز كشف المعادن يده تعذر الكشف عن استمرار الهيئات الأجنبية معدنية غير عمله. هذا البروتوكول يوضح دقة يدوية للكشف عن المعادن في تحديد وتعريب النقود والعملة مثل الهيئات الأجنبية المعدني.

توظيف الباحثين 36 من المرضى لهذه الدراسة الرصدية. وقدم هؤلاء المرضى إلى قسم الطوارئ طب الأطفال مع تاريخ من ابتلاع جسم غريب. ومن بين هذه كان المرضى 28 هيئة أجنبية معدنية إينجيستيونس (الشكل 3). وكان بلعها المرضى 8 المتبقية الهيئات الأجنبية غير المعدنية مثل عظام...

Watch this Scientific Journal Video about Handheld Metal Detector Screening for Metallic Foreign Body Ingestion in Children at JoVE.com

Handheld Metal Detector Screening for Metallic Foreign Body Ingestion in Children

نقدم هنا، وضع بروتوكول لاستخدام جهاز كشف المعادن المحمولة، إلى الشاشة لوجود الهيئات الأجنبية معدنية بلعها في الأطفال الذين يتقدمون إلى قسم طب الطوارئ مع تاريخ من ابتلاع جسم غريب.

فرز يدوية للكشف عن المعادن لابتلاع جسم غريب المعدني في الأطفال

Coins are the most common ingested metallic foreign bodies among children. The goal of this protocol is to assess the accuracy and feasibility of using a ...

handheld-metal-detector-screening-for-metallic-foreign-body-ingestion

Research

JoVE Journal

Medicine

10.6K Views.  KK women's and Children's Hospital. نقدم هنا، وضع بروتوكول لاستخدام جهاز كشف المعادن المحمولة، إلى الشاشة لوجود الهيئات الأجنبية معدنية بلعها في الأطفال الذين يتقدمون إلى قسم طب الطوارئ مع تاريخ من ابتلاع جسم غريب.

Video: Handheld Metal Detector Screening for Metallic Foreign Body Ingestion in Children

Dissection of Human Vitreous Body Elements for Proteomic Analysis

The vitreous is an optically clear, collagenous extracellular matrix that fills the inside of the eye and overlies the retina. 1,2 Abnormal interactions between vitreous substructures and the retina underlie several vitreoretinal diseases, including retinal tear and detachment, macular pucker, macular hole, age-related macular degeneration, vitreomacular traction, proliferative vitreoretinopathy, proliferative diabetic retinopathy, and inherited vitreoretinopathies. 1,2 The molecular composition of the vitreous substructures is not known. Since the vitreous body is transparent with limited surgical access, it has been difficult to study its substructures at the molecular level. We developed a method to separate and preserve these tissues for proteomic and biochemical analysis. The dissection technique in this experimental video shows how to isolate vitreous base, anterior hyaloid, vitreous core, and vitreous cortex from postmortem human eyes. One-dimensional SDS-PAGE analyses of each vitreous component showed that our dissection technique resulted in four unique protein profiles corresponding to each substructure of the human vitreous body. Identification of differentially compartmentalized proteins will reveal candidate molecules underlying various vitreoretinal diseases.

This video shows an effective technique for differentiating and dissecting the various semi-transparent structures of the human vitreous body in post mortem eyes.

تشريح الإنسان عناصر الجسم الزجاجي لتحليل البروتين

The vitreous is an optically clear, collagenous extracellular matrix that fills the inside of the eye and overlies the retina. 1,2 Abnormal interactions ...

High Content Screening in Neurodegenerative Diseases

The functional annotation of genomes, construction of molecular networks and novel drug target identification, are important challenges that need to be addressed as a matter of great urgency1-4. Multiple complementary 'omics' approaches have provided clues as to the genetic risk factors and pathogenic mechanisms underlying numerous neurodegenerative diseases, but most findings still require functional validation5. For example, a recent genome wide association study for Parkinson's Disease (PD), identified many new loci as risk factors for the disease, but the underlying causative variant(s) or pathogenic mechanism is not known6, 7. As each associated region can contain several genes, the functional evaluation of each of the genes on phenotypes associated with the disease, using traditional cell biology techniques would take too long. 
	There is also a need to understand the molecular networks that link genetic mutations to the phenotypes they cause. It is expected that disease phenotypes are the result of multiple interactions that have been disrupted. Reconstruction of these networks using traditional molecular methods would be time consuming. Moreover, network predictions from independent studies of individual components, the reductionism approach, will probably underestimate the network complexity8. This underestimation could, in part, explain the low success rate of drug approval due to undesirable or toxic side effects. Gaining a network perspective of disease related pathways using HT/HC cellular screening approaches, and identifying key nodes within these pathways, could lead to the identification of targets that are more suited for therapeutic intervention.
	High-throughput screening (HTS) is an ideal methodology to address these issues9-12. but traditional methods were one dimensional whole-well cell assays, that used simplistic readouts for complex biological processes. They were unable to simultaneously quantify the many phenotypes observed in neurodegenerative diseases such as axonal transport deficits or alterations in morphology properties13, 14. This approach could not be used to investigate the dynamic nature of cellular processes or pathogenic events that occur in a subset of cells. To quantify such features one has to move to multi-dimensional phenotypes termed high-content screening (HCS)4, 15-17. HCS is the cell-based quantification of several processes simultaneously, which provides a more detailed representation of the cellular response to various perturbations compared to HTS. 
	HCS has many advantages over HTS18, 19, but conducting a high-throughput (HT)-high-content (HC) screen in neuronal models is problematic due to high cost, environmental variation and human error. In order to detect cellular responses on a 'phenomics' scale using HC imaging one has to reduce variation and error, while increasing sensitivity and reproducibility. 
	Herein we describe a method to accurately and reliably conduct shRNA screens using automated cell culturing20 and HC imaging in neuronal cellular models. We describe how we have used this methodology to identify modulators for one particular protein, DJ1, which when mutated causes autosomal recessive parkinsonism21. 
	Combining the versatility of HC imaging with HT methods, it is possible to accurately quantify a plethora of phenotypes. This could subsequently be utilized to advance our understanding of the genome, the pathways involved in disease pathogenesis as well as identify potential therapeutic targets.

We describe a methodology combining automated cell culturing with high-content imaging to visualize and quantify multiple cellular processes and structures, in a high-throughput manner. Such methods can aid in the further functional annotation of genomes as well as identify disease gene networks and potential drug targets.

فحص محتوى عالية في أمراض الاعصاب

The functional annotation of genomes, construction of molecular networks and novel drug target identification, are important challenges that need to be ...

Eye Tracking Young Children with Autism

The rise of accessible commercial eye-tracking systems has fueled a rapid increase in their use in psychological and psychiatric research. By providing a direct, detailed and objective measure of gaze behavior, eye-tracking has become a valuable tool for examining abnormal perceptual strategies in clinical populations and has been used to identify disorder-specific characteristics1, promote early identification2, and inform treatment3. In particular, investigators of autism spectrum disorders (ASD) have benefited from integrating eye-tracking into their research paradigms4-7. Eye-tracking has largely been used in these studies to reveal mechanisms underlying impaired task performance8 and abnormal brain functioning9, particularly during the processing of social information1,10-11. While older children and adults with ASD comprise the preponderance of research in this area, eye-tracking may be especially useful for studying young children with the disorder as it offers a non-invasive tool for assessing and quantifying early-emerging developmental abnormalities2,12-13. Implementing eye-tracking with young children with ASD, however, is associated with a number of unique challenges, including issues with compliant behavior resulting from specific task demands and disorder-related psychosocial considerations. In this protocol, we detail methodological considerations for optimizing research design, data acquisition and psychometric analysis while eye-tracking young children with ASD. The provided recommendations are also designed to be more broadly applicable for eye-tracking children with other developmental disabilities. By offering guidelines for best practices in these areas based upon lessons derived from our own work, we hope to help other investigators make sound research design and analysis choices while avoiding common pitfalls that can compromise data acquisition while eye-tracking young children with ASD or other developmental difficulties.

Eye tracking has long been used to study gaze patterns in typically-developing individuals, but recent technological advancements have made its use with clinical populations, including autism, more feasible. While eye-tracking young children with autism can offer insight into early symptom manifestations, it involves methodological challenges. Suggestions for best practices are provided.

العين تتبع الأطفال الصغار المصابين بالتوحد

The rise of accessible commercial eye-tracking systems has fueled a rapid increase in their use in psychological and psychiatric research. By providing a ...

Protocol for Long Duration Whole Body Hyperthermia in Mice

Hyperthermia is a general term used to define the increase in core body temperature above normal. It is often used to describe the increased core body temperature that is observed during fever. The use of hyperthermia as an adjuvant has emerged as a promising procedure for tumor regression in the field of cancer biology. For this purpose, the most important requirement is to have reliable and uniform heating protocols. We have developed a protocol for hyperthermia (whole body) in mice. In this protocol, animals are exposed to cycles of hyperthermia for 90 min followed by a rest period of 15 min. During this period mice have easy access to food and water. High body temperature spikes in the mice during first few hyperthermia exposure cycles are prevented by immobilizing the animal. Additionally, normal saline is administered in first few cycles to minimize the effects of dehydration. This protocol can simulate fever like conditions in mice up to 12-24 hr. We have used 8-12 weeks old BALB/Cj female mice to demonstrate the protocol.

This paper describes a protocol for whole body hyperthermia in mice that can stimulate fever like conditions up to 12-24 hr.

بروتوكول لونغ ارتفاع الحرارة المدة الجسم الجامع في الفئران

Hyperthermia is a general term used to define the increase in core body temperature above normal. It is often used to describe the increased core body ...

Measuring Cardiac Autonomic Nervous System (ANS) Activity in Children

The autonomic nervous system (ANS) controls mainly automatic bodily functions that are engaged in homeostasis, like heart rate, digestion, respiratory rate, salivation, perspiration and renal function. The ANS has two main branches: the sympathetic nervous system, preparing the human body for action in times of danger and stress, and the parasympathetic nervous system, which regulates the resting state of the body.
ANS activity can be measured invasively, for instance by radiotracer techniques or microelectrode recording from superficial nerves, or it can be measured non-invasively by using changes in an organ's response as a proxy for changes in ANS activity, for instance of the sweat glands or the heart. Invasive measurements have the highest validity but are very poorly feasible in large scale samples where non-invasive measures are the preferred approach. Autonomic effects on the heart can be reliably quantified by the recording of the electrocardiogram (ECG) in combination with the impedance cardiogram (ICG), which reflects the changes in thorax impedance in response to respiration and the ejection of blood from the ventricle into the aorta. From the respiration and ECG signals, respiratory sinus arrhythmia can be extracted as a measure of cardiac parasympathetic control. From the ECG and the left ventricular ejection signals, the preejection period can be extracted as a measure of cardiac sympathetic control. ECG and ICG recording is mostly done in laboratory settings. However, having the subjects report to a laboratory greatly reduces ecological validity, is not always doable in large scale epidemiological studies, and can be intimidating for young children. An ambulatory device for ECG and ICG simultaneously resolves these three problems.
Here, we present a study design for a minimally invasive and rapid assessment of cardiac autonomic control in children, using a validated ambulatory device 1-5, the VU University Ambulatory Monitoring System (VU-AMS, Amsterdam, the Netherlands,<a href="http://www.vu-ams.nl" target="_blank"> www.vu-ams.nl</a>).

Measuring Cardiac Autonomic Nervous System ANS Activity in Children

Measurement of autonomic nervous system activity usually confines the researcher and participant to the laboratory, which may provide an intimidating environment to children. The VU University Ambulatory Monitoring System (VU-AMS) device can record cardiac autonomic control in any setting. The VU-AMS proved very amenable to testing in children.

قياس القلب العصبي المستقل نظام (ANS) نشاط في الأطفال

The autonomic nervous system (ANS) controls mainly automatic bodily functions that are engaged in homeostasis, like heart rate, digestion, respiratory ...

Screening for Melanoma Modifiers using a Zebrafish Autochthonous Tumor Model

Genomic studies of human cancers have yielded a wealth of information about genes that are altered in tumors1,2,3. A challenge arising from these studies is that many genes are altered, and it can be difficult to distinguish genetic alterations that drove tumorigenesis from that those arose incidentally during transformation. To draw this distinction it is beneficial to have an assay that can quantitatively measure the effect of an altered gene on tumor initiation and other processes that enable tumors to persist and disseminate. Here we present a rapid means to screen large numbers of candidate melanoma modifiers in zebrafish using an autochthonous tumor model4 that encompasses steps required for melanoma initiation and maintenance. A key reagent in this assay is the miniCoopR vector, which couples a wild-type copy of the mitfa melanocyte specification factor to a Gateway recombination cassette into which candidate melanoma genes can be recombined5. The miniCoopR vector has a mitfa rescuing minigene which contains the promoter, open reading frame and 3'-untranslated region of the wild-type mitfa gene. It allows us to make constructs using full-length open reading frames of candidate melanoma modifiers. These individual clones can then be injected into single cell Tg(mitfa:BRAFV600E);p53(lf);mitfa(lf)zebrafish embryos. The miniCoopR vector gets integrated by Tol2-mediated transgenesis6 and rescues melanocytes. Because they are physically coupled to the mitfa rescuing minigene, candidate genes are expressed in rescued melanocytes, some of which will transform and develop into tumors. The effect of a candidate gene on melanoma initiation and melanoma cell properties can be measured using melanoma-free survival curves, invasion assays, antibody staining and transplantation assays.

A rapid way to screen for melanoma modifiers using a zebrafish autochthonous tumor model is presented. It takes advantage of the miniCoopR vector which allows for expression of candidate melanoma genes in melanocytes. A method to obtain melanoma-free survival curves, an invasion assay, a protocol for antibody staining of scale melanocytes and a melanoma transplantation assay are described.

الكشف عن سرطان الجلد باستخدام المعدلات اسماك الزرد الموديل ورم الأصليين

Genomic studies of  human cancers have yielded a wealth of information about genes that are altered  in tumors1,2,3. A challenge arising from these ...

A Novel in vivo Gene Transfer Technique and in vitro Cell Based Assays for the Study of Bone Loss in Musculoskeletal Disorders

Differentiation and activation of osteoclasts play a key role in the development of musculoskeletal diseases as these cells are primarily involved in bone resorption. Osteoclasts can be generated in vitro from monocyte/macrophage precursor cells in the presence of certain cytokines, which promote survival and differentiation. Here, both in vivo and in vitro techniques are demonstrated, which allow scientists to study different cytokine contributions towards osteoclast differentiation, signaling, and activation. The minicircle DNA delivery gene transfer system provides an alternative method to establish an osteoporosis-related model is particularly useful to study the efficacy of various pharmacological inhibitors in vivo. Similarly, in vitro culturing protocols for producing osteoclasts from human precursor cells in the presence of specific cytokines enables scientists to study osteoclastogenesis in human cells for translational applications. Combined, these techniques have the potential to accelerate drug discovery efforts for osteoclast-specific targeted therapeutics, which may benefit millions of osteoporosis and arthritis patients worldwide.

A Novel in vivo Gene Transfer Technique and in vitro Cell Based Assays for the Study of Bone Loss in Musculoskeletal Disorders

Differentiation of precursor cells into osteoclasts is regulated by cytokines and growth factors. Here, a novel gene transfer technique for differentiation of osteoclasts in vivo and cell culture protocols for differentiating precursor cells into osteoclasts in vitro as a method to study the effects of cytokines on osteoclastogenesis are described.

رواية<em&gt; في الجسم الحي</em&gt; تقنيات نقل الجينات و<em&gt; في المختبر</em&gt; فحوصات وبناء خلية لدراسة فقدان العظام في اضطرابات العضلات والعظام

Differentiation and activation of osteoclasts play a key role in the development of musculoskeletal diseases as these cells are primarily involved in bone ...

Calibrated Forceps Model of Spinal Cord Compression Injury

Compression injuries of the murine spinal cord are valuable animal models for the study of spinal cord injury (SCI) and spinal regenerative therapy. The calibrated forceps model of compression injury is a convenient, low cost, and very reproducible animal model for SCI. We used a pair of modified forceps in accordance with the method published by Plemel et al. (2008) to laterally compress the spinal cord to a distance of 0.35 mm. In this video, we will demonstrate a dorsal laminectomy to expose the spinal cord, followed by compression of the spinal cord with the modified forceps. In the video, we will also address issues related to the care of paraplegic laboratory animals. This injury model produces mice that exhibit impairment in sensation, as well as impaired hindlimb locomotor function. Furthermore, this method of injury produces consistent aberrations in the pathology of the SCI, as determined by immunohistochemical methods. After watching this video, viewers should be able to determine the necessary supplies and methods for producing SCI of various severities in the mouse for studies on SCI and/or treatments designed to mitigate impairment after injury.

Spinal cord injury models should be highly reproducible. We demonstrate that the calibrated forceps compression model of spinal cord injury is an easy to use surgical method for generating reproducible injuries to the murine spinal cord.

معايرة الملقط نموذج من الحبل الشوكي ضغط الإصابات

Compression injuries of the murine spinal cord are valuable animal models for the study of spinal cord injury (SCI) and spinal regenerative therapy. The ...

Normothermic Ex Vivo Kidney Perfusion for the Preservation of Kidney Grafts prior to Transplantation

Kidney transplantation has become a well-established treatment option for patients with end-stage renal failure. The persisting organ shortage remains a serious problem. Therefore, the acceptance criteria for organ donors have been extended leading to the usage of marginal kidney grafts. These marginal organs tolerate cold storage poorly resulting in increased preservation injury and higher rates of delayed graft function. To overcome the limitations of cold storage, extensive research is focused on alternative normothermic preservation methods.
Ex vivo normothermic organ perfusion is an innovative preservation technique. The first experimental and clinical trials for ex vivo lung, liver, and kidney perfusions demonstrated favorable outcomes.
In addition to the reduction of cold ischemic injury, the method of normothermic kidney storage offers the opportunity for organ assessment and repair. This manuscript provides information about kidney retrieval, organ preservation techniques, and isolated ex vivo normothermic kidney perfusion (NEVKP) in a porcine model. Surgical techniques, set up for the perfusion solution and the circuit, potential assessment options, and representative results are demonstrated.

Normothermic Ex Vivo Kidney Perfusion for the Preservation of Kidney Grafts prior to Transplantation

The severe organ shortage has resulted in increased use of marginal kidney grafts for transplantation. This has triggered interest in alternative storage methods, since marginal grafts especially tolerate cold storage poorly. The technique of normothermic ex vivo kidney perfusion (NEVKP) represents a novel preservation method for kidney grafts prior to &#160;transplantation.

سوي الحرارة<em&gt; السابقين فيفو</em&gt; الإرواء الكلى للحفاظ على الكلى الطعوم قبل الزرع

Kidney transplantation has become a well-established treatment option for patients with end-stage renal failure. The persisting organ shortage remains a ...

Heterotopic Renal Autotransplantation in a Porcine Model: A Step-by-Step Protocol

Kidney transplantation is the treatment of choice for patients suffering from end-stage renal disease. It offers better life expectancy and higher quality of life when compared to dialysis. Although the last few decades have seen major improvements in patient outcomes following kidney transplantation, the increasing shortage of available organs represents a severe problem worldwide. To expand the donor pool, marginal kidney grafts recovered from extended criteria donors (ECD) or donated after circulatory death (DCD) are now accepted for transplantation. To further improve the postoperative outcome of these marginal grafts, research must focus on new therapeutic approaches such as alternative preservation techniques, immunomodulation, gene transfer, and stem cell administration.
Experimental studies in animal models are the final step before newly developed techniques can be translated into clinical practice. Porcine kidney transplantation is an excellent model of human transplantation and allows investigation of novel approaches. The major advantage of the porcine model is its anatomical and physiological similarity to the human body, which facilitates the rapid translation of new findings to clinical trials. This article offers a surgical step-by-step protocol for an autotransplantation model and highlights key factors to ensure experimental success. Adequate pre- and postoperative housing, attentive anesthesia, and consistent surgical techniques result in favorable postoperative outcomes. Resection of the contralateral native kidney provides the opportunity to assess post-transplant graft function. The placement of venous and urinary catheters and the use of metabolic cages allow further detailed evaluation. For long-term follow-up studies and investigation of alternative graft preservation techniques, autotransplantation models are superior to allotransplantation models, as they avoid the confounding bias posed by rejection and immunosuppressive medication.

Porcine models of organ transplantation provide an important platform to study mechanisms of organ preservation. This article describes a heterotopic porcine renal autotransplantation model, which allows investigating new approaches to improve the outcome of transplantation using marginal kidney grafts.

منتبذ الكلوي الزرع الذاتي في لحم الخنزير نموذج: بروتوكول خطوة بخطوة

Kidney transplantation is the treatment of choice for patients suffering from end-stage renal disease. It offers better life expectancy and higher quality ...