Tesi sul tema "Neuromuscular transmission"
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Carvalho, Vanessa Henriques 1974. "Ação dos anestésicos locais na transmissão neuromuscular e influência no bloqueio produzido pelo pancurônio : eficácia da neostigmina e da 4-aminopiridina na reversão do bloqueio neuromuscular: estudo experimental". [s.n.], 2013. http://repositorio.unicamp.br/jspui/handle/REPOSIP/312496.
Testo completoTese (doutorado) - Universidade Estadual de Campinas, Faculdade de Ciências Médicas
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Resumo: Os anestésicos locais (AL) podem interagir com os bloqueadores neuromusculares (BNM) e modificar as suas propriedades farmacocinéticas e farmacodinâmicas, no entanto o mecanismo dessa interação é controverso. Este estudo experimental, realizado em preparações nervo frênico - hemidiafragma de rato e músculo biventer cervicis de pintainho, teve por objetivo avaliar o efeito de diferentes AL na transmissão neuromuscular e sua influência no bloqueio produzido pelo pancurônio. Foram avaliados os seguintes parâmetros: efeito na transmissão neuromuscular dos AL (ropivacaína, levobupivacaína, mistura em excesso enantiomérico de bupivacaína) e do pancurônio empregados isoladamente; o bloqueio produzido pelo pancurônio em preparações previamente expostas aos AL; a eficácia da neostigmina e da 4-aminopiridina na reversão do bloqueio neuromuscular produzido pelo pancurônio isoladamente e em preparações previamente expostas aos AL; a ação dos AL na resposta contraturante à acetilcolina; seus efeitos nos potenciais de membrana e nos potenciais de placa terminal em miniatura. Os resultados foram expressos em médias e desvios padrão e analisados através dos testes t de Student, Wilcoxon, Anova, Kruskall-Wallis e Mann-Whitney. Adotou-se um nível de significância de 5% (p<0,05). Na preparação nervo frênico - hemidiafragma de rato, os AL nas concentrações empregadas, não alteraram a amplitude das respostas musculares mas, potencializaram o efeito do pancurônio. O bloqueio neuromuscular foi parcial e totalmente revertido com a neostigmina e com a 4-aminopiridina, respectivamente. Não causaram alteração significativa nos potenciais de membrana e produziram diminuição progressiva na amplitude e na frequência dos potenciais de placa terminal em miniatura. Na preparação biventer cervicis de pintainho os AL, com exceção da ropivacaína, promoveram diminuição na resposta contraturante da acetilcolina. Os resultados obtidos neste estudo demonstram um sinergismo entre os fármacos estudados, resultante das ações pré e pós-juncionais dos anestésicos locais
Abstract: Local anaesthetics (LA) may interact with neuromuscular blockers and modify their pharmacokinetic and pharmacodynamic properties. However, the mechanism of this interaction is controversial. This experimental study, conducted in rat phrenic nerve diaphragm preparations and chick biventer cervicis, aimed to evaluate the effect of different LA in neuromuscular transmission and its influence on pancuronium induced blockade. The following parameters were evaluated: the effect on neuromuscular transmission of LA (ropivacaine , levobupivacaine mixture enantiomeric excess bupivacaine) and pancuronium used in isolation; the blockade produced by pancuronium in preparations previously exposed to LA; the effectiveness of neostigmine and 4 - aminopyridine in the reversal of neuromuscular blockade produced by pancuronium alone and in preparations previously exposed to AL; the action of LA in the contractile response to acetylcholine; its effects on membrane potentials and miniature endplate potentials. The results were expressed as means and standard deviations and analyzed using Student's t, Wilcoxon, ANOVA, Kruskal-Wallis and Mann-Whitney tests. A significance level of 5 % (p < 0,05) was adopted . In the rat phrenic nerve diaphragm preparation the LA, in the concentrations used, did not alter the amplitude of muscle response but potentiated the effect of pancuronium. Neuromuscular blockade was partially and fully reversed with neostigmine and 4- aminopyridine, respectively. There was no significant change in membrane potential and a progressive decrease in the amplitude and frequency of miniature endplate potentials was produced. In the chick biventer cervicis preparation the LA, with the exception of ropivacaine, led to a decrease in the contractile response to acetylcholine. The results of this study demonstrate a synergistic effect between the drugs studied, resulting from prejunctional and postjunctional actions of LAs
Doutorado
Farmacologia
Doutora em Farmacologia
England, Adrian James. "The effect of moderate hypothermia on neuromuscular transmission and neuromuscular blockade". Thesis, Imperial College London, 1996. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.338687.
Testo completoKalliomäki, Jarkko. "Parallel processing of nociceptive information evidence for multiple reflex and ascending nociceptive pathways /". Lund : Dept. of Physiology and Biophysics, University of Lund, 1992. http://books.google.com/books?id=PMlqAAAAMAAJ.
Testo completoDusl, Marina. "Novel pathomechanisms implicated in defects of neuromuscular transmission". Diss., Ludwig-Maximilians-Universität München, 2015. http://nbn-resolving.de/urn:nbn:de:bvb:19-180274.
Testo completoBudd, Timothy Charles. "An immunological investigation of neuromuscular transmission in insects". Thesis, University of Nottingham, 1991. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.334782.
Testo completoLuheshi, G. N. "Diabetes in the rat and postganglionic neuromuscular transmission". Thesis, University of Newcastle Upon Tyne, 1990. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.287330.
Testo completoDissanayake, Kosala Nimanthi. "Evaluation of neuromuscular transmission in organophosphorus pesticide toxicity". Thesis, University of Edinburgh, 2015. http://hdl.handle.net/1842/15837.
Testo completoMorgan, Gareth P. "Neuromuscular transmission in murine muscular dystrophy (129 ReJ strain)". Thesis, Aston University, 1985. http://publications.aston.ac.uk/12486/.
Testo completoZhu, Chuan. "Src signaling in neuromuscular junction induction /". View abstract or full-text, 2010. http://library.ust.hk/cgi/db/thesis.pl?BIOL%202010%20ZHU.
Testo completoLoyola, Yolanda Christina de Sousa. "Influencia dos anestesicos locais no bloqueio neuromuscular produzido por diferentes bloqueadores neuromusculares : estudo experimental". [s.n.], 2006. http://repositorio.unicamp.br/jspui/handle/REPOSIP/310900.
Testo completoTese (doutorado) - Universidade Estadual de Campinas, Faculdade de Ciencias Medicas
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Resumo: Os anestésicos locais comumente empregados na prática clínica podem interagir com os bloqueadores neuromusculares e potencializar seus efeitos. Muitos autores estudaram esta interação mas o mecanismo envolvido na potencialização do bloqueio neuromuscular e a ação dos anestésicos locais nos sítios pré e pós juncionais não foram completamente elucidados. Neste trabalho através de experimentos específicos na junção neuromuscular foram estudados os seguintes parâmetros: o efeito dos anestésicos locais procaína e lidocaína na transmissão neuromuscular; a sua influência no bloqueio neuromuscular produzido pela d-tubocurarina e pelo rocurônio; a eficácia da neostigmina e da 4-aminopirídina na reversão do bloqueio produzido pela associação anestésicos locais - bloqueadores neuromusculares; os efeitos dos anestésicos locais nos potenciais de membrana e potenciais de placa terminal em miniatura. Avaliou-se também em preparações diafragma de rato cronicamente desnervado e biventer cervicis de pintainho os efeitos dos anestésicos locais na ação contraturante da acetilcolina. Os resultados foram expressos em médias e desvios padrão e analisados através dos testes de Wilcoxon e Mann-Witney, adotando-se um nível de significância de 5% (p < 0,05). Nas preparações nervo frênico - diafragma de rato, sob estimulação elétrica indireta, os anestésicos locais nas concentrações empregadas, não alteraram a amplitude das respostas musculares mas potencializaram os efeitos da d- tubocurarina e do rocurônio.. Este bloqueio foi parcialmente e totalmente revertido pela neostigmina e pela 4-aminopiridina, respectivamente. A procaína e a lidocaína não causaram alteração significativa nos potenciais de membrana, não demonstrando ação despolarizante na fibra muscular. A procaína causou diminuição na amplitude e na freqüência dos potenciais de placa terminal em miniatura (pptms) e a lidocaína, ao contrário, promoveu um aumento inicial na freqüência dos pptms seguida de bloqueio. Nas preparações biventer cervicis de pintainho e diafragma de rato cronicamente desnervado, a procaína e a lidocaína promoveram diminuição significativa na resposta contraturante da acetilcolina evidenciando um efeito pós-juncional. Os resultados obtidos demonstram um sinergismo entre as drogas devido principalmente a um efeito pós-juncional
Abstract: Local anesthetics commonly used in clinical practice can interact with neuromuscular blockers and potentiate their effects. Many authors studied this interaction, but the mechanism involved in the potentiation of neuromuscular blockers and the action of local anesthetics in the pre and postjunctional sites were not completely elucidated- In this study, in specific experiments in the neuromuscular junction the following parameters were studied: the effects of the local anesthetics procaine and lidocaine in the neuromuscular transmission; its influence on the neuromuscular blockade produced by d-tubocurarine and by rocuronium; the efficacy of neostigmine and of 4-aminopyhdine in the reversion of the blockade produced by the association of local anesthetics - neuromuscular blockers; the effects of local anesthetics on the membrane potentials and miniature end - plate potentials. It was also evaluated in chronically denervated rat diaphragm preparation and chick biventer cervicis preparation the effects of local anesthetics on acetylcholine contracture. The results were expressed in average and standard deviation and analyzed through the Wilcoxon and Mann-Witney tests, adopting a level of significance of 5% (p <0.05). In rat phrenic nerve diaphragm preparations under indirect electric stimulation, local anesthetics in the concentrations used did not change the amplitude of the muscle response but potentiated the effects of d-tubocurarine and of rocuronium. This blockade was partially and totally reverted by neostigmine and by 4-aminopyridine, respectively. Procaine and lidocaine caused no significant alteration in the membrane potentials, not demonstrating depolarizing action in the muscle fiber. Procaine caused a decrease in the amplitude and frequency of the miniature end - plate potentials {meps) and lidocaine, in contrast, promoted an initial increase in the frequency of meps followed by blockade. In chick biventer cervicis preparations and chronically denervated rat diaphragm, procaine and lidocaine promoted a significant decrease in the response to acetylcholine contracture evidencing a post-junctional effect. The results obtained demonstrate a synergism among the drugs mainly due to a postjunctional effect
Doutorado
Doutor em Farmacologia
Betty, Maria. "Molecular genetic studies in hereditary myasthenia". Thesis, University of Oxford, 1994. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.240536.
Testo completoSpillane, J. "Clinical and functional studies of autoimmune disorders of neuromuscular transmission". Thesis, University College London (University of London), 2015. http://discovery.ucl.ac.uk/1461232/.
Testo completoClaus, Gabriel Machado. "Drop jump promove melhora no desempenho de RSA, mas não em parâmetros neuromusculares em jogadores jovens de basquete /". Bauru, 2019. http://hdl.handle.net/11449/190777.
Testo completoBanca: Paulo Henrique Silva Marques de Azevedo
Banca: Julio Wilson dos Santos
Resumo: Em modalidades esportivas coletivas como o basquete, a aptidão em realizar sprints repetidos vem se demonstrando um fator físico determinante. A alta intensidade exigida durante toda a partida irá induzir uma incapacidade de manutenção dos níveis de velocidade/força iniciais, diminuindo o desempenho e, consequentemente, instaurando a fadiga muscular. Uma estratégia para o aumento do desempenho pode ser a potenciação pós ativação (PPA). A PPA consiste no aumento involuntário dos níveis de contração muscular em resposta a um estímulo voluntário anterior e vem sendo inserida na rotina de aquecimento levando a melhoria do desempenho. Ainda, a PPA vem sendo mais efetiva quanto maior a especificidade ao modo de exercício, em comparação a potenciação com atividades menos específicas a atividade requerida. Assim, o objetivo do presente estudo foi investigar o efeito de protocolos de esforços condicionantes específicos sobre o desempenho nos esforços de sprints repetidos (RSA) com mudanças de direção em atletas de basquete e sobre parâmetros da fadiga muscular. Participaram do estudo 10 atletas de basquete (idade: 17,5 ± 1,2 anos; estatura: 1,9 ± 0,1 m; peso: 87,2 ± 15,4 kg; experiência competitiva: 5,2 ± 1,5 anos), que realizaram os procedimentos experimentais de modo cruzado e randômico. Inicialmente os voluntários foram familiarizados com os procedimentos, nas demais visitas de avaliações os voluntários foram submetidos a um aquecimento padronizado, idênticos em todas as condições.... (Resumo completo, clicar acesso eletrônico abaixo)
Abstract: Repeated sprint efforts have been identified as a key component of physical fitness in team sports, such basketball. The high intensity efforts required throughout the game will generate fatigue, and the inability to maintain initial velocity/force levels, thus, decreasing performance and hence instituting muscle fatigue. A strategy to improve performance can be post-activation potentiation (PAP). PAP is defined as enhanced involuntary twitch in response of a prior voluntary contraction and has been inserted into the warm-up routine leading to improved performance. In addition, specific PAP application to mode of exercise showed better results than a PAP non-specific to sport. Therefore, the objective of this present study was to investigate the effect of two specifics PAP protocols on performance in repeated sprint efforts with changes on direction in basketball players and in fatigue manifestation. Ten basketball players (age: 17,5 ± 1,2 years; height: 1,9 ± 0,1 m; weight: 87,2 ± 15,4 kg; competitive experience: 5,2 ± 1,5 years) were selected and participated in randomized cross over mode experimental procedures. Initially, the volunteers were familiarized with the procedures, in the next visits of evaluations the volunteers were submitted to a standardized warm-up, identical in all the conditions. After warming up, neuromuscular measurements were performed, consisting of 2 contractions voluntary maximal isometric of knee extension with electrical stimuli and monitoring of ... (Complete abstract click electronic access below)
Mestre
Ferreira, Sandro Rostelato 1982. "Efeitos do veneno de Rhinella schneideri sobre a junção neuromuscular". [s.n.], 2012. http://repositorio.unicamp.br/jspui/handle/REPOSIP/308658.
Testo completoTese (doutorado) - Universidade Estadual de Campinas, Faculdade de Ciências Médicas
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Resumo: Rhinella schneideri, conhecido previamente como Bufo paracnemis, é um sapo comum em muitas regiões do Brasil. O veneno destas espécies exerce importante efeito cardiovascular em humanos e animais, mas pouco se sabe sobre sua atividade neuromuscular. Neste trabalho, nós avaliamos a neurotoxicidade do veneno de R. schneideri em preparações neuromusculares de pintainho e camundongo. Através da compressão manual das glândulas parótidas localizadas atrás dos olhos, coletou-se a secreção e então realizada a extração com metanol. O extrato metanólico foi liofilizado e testado em preparações biológicas. Preparações biventer cervicis (BC) de pintainho e nervo frênico diafragma (NFD) de camundongo foram utilizadas para o registro miográfico através de estimulação elétrica indireta para medidas eletrofisiológicas, análise morfológica e microscopia eletrônica de transmissão. Frações ativas do extrato metanólico foram obtidas submetendo-se à coluna de fase reversa Luna PFP (250 x 4,6 mm). O extrato metanólico (50 ?g/ml) causou somente facilitação da neurotransmissão em preparações NFD. Ao contrário, causou bloqueio neuromuscular significativo em preparações BC que foram concentração-dependente (3, 10 and 30 ?g/ml; a 37º C) com tempo para 50% de bloqueio, média ± erro padrão: 84±10, 51±3 e 12±0,8 min com 3, 10 e 30 ?g/ml, respectivamente; n=6-8 cada, precedido por facilitação da neurotransmissão. Não houve inibição significativa das respostas contraturantes à ACh (110 ?M) ou KCl (20 mM) após bloqueio completo em qualquer concentração testada. Em preparações BC incubadas com o extrato metanólico (10 ?g/ml) a 22º C por 70 min não observou-se qualquer alteração das respostas musculares (117±3%; n=5), mas quando a temperatura do banho foi elevada a 37º C, 50% de bloqueio ocorreu após 92±3 min (n=5; p<0.05). A incubação de preparações BC curarizadas (d-Tc, 1 ?g/ml) com o extrato metanólico (10 ?g/ml) resultou em completo e irreversível bloqueio enquanto que as preparações tratadas somente com curare mostraram a reversão completa da resposta contrátil após várias lavagens. Não houve aumento significativo nos níveis de liberação de creatinoquinase (90±21 vs. 80±15 U/l, antes e após 120 min de incubação com o extrato, respectivamente, n=5) além da ausência de alterações na morfologia das fibras musculares ou na porcentagem de danos na fibra (2.4±0.9 vs. 2.3±0.5 %, antes e após 120 min de incubação com o extrato, respectivamente, n=5). O extrato metanólico (50 ?g/ml) aumentou a resposta contrátil mas não alterou o potencial de membrana em repouso (-81±1 mV e -78±1 mV para controle e preparação tratada após 60 min). Registros eletrofisiológicos mostraram que houve um aumento progressive na frequência dos potenciais de placa terminal em miniatura (PPTM) de 34±3,5 (controle) para 88±15 (após 60 min de incubação com o extrato); houve também um aumento nos valores do conteúdo quântico, de 128±13 (controle) para 272±34 e 171±11 após 5 min e 60 min, respectivamente, em preparações tratadas com o extrato metanólico. A microscopia eletrônica de transmissão mostrou que o volume ocupado pelas vesículas sinápticas foi significativamente reduzida (32±5%; p<0.05) após 5 min mas este efeito foi reversível após 60 min de incubação para as preparações tratadas com 50 ?g/ml do extrato metanólico. Não houve dano estrutural distinguível na membrana do terminal nervoso e nas mitocôndrias das preparações tratadas com o extrato, quando comparada com as preparações controle. O pré-tratamento das preparações NFD com ouabaína (1 ?g/ml), um inibidor da bomba de Na+/K+-ATPase, por 5 min antes da incubação com o extrato, preveniu o aumento do conteúdo quântico comparado com preparações controle (118±18, 117±18 e 154±33 para preparações controle-ouabaína e tratadas com ouabaína e incubadas com o extrato por 5 min e 60 min, respectivamente). A cromatografia por HPLC do extrato metanólico resultou em 24 frações, das quais 4 (frações 20, 21, 22 e 24) causaram bloqueio neuromuscular em preparações BC. A fração 20 (3 ?g/ml) foi escolhida por ser 3 vezes mais potente que as demais e causou bloqueio neuromuscular significativo (p<0.05; tempo para 50% de bloqueio: 43±4 min; n=4) precedido por facilitação em preparações BC a 37º C. A fração 20 não inibiu as respostas contraturantes à ACh (110 ?M) ou KCl (20 mM) após completo bloqueio neuromuscular em preparações BC. Em preparações NFD, a fração (15 ?g/ml) aumentou significativamente os valores do conteúdo quântico de 117±18 (controle) para 236±44 após 5 min de incubação (n=4; p<0.05). Estes resultados indicam que o extrato metanólico do veneno de R. schneideri é capaz de interferir com a neurotransmissão por ativar e/ou bloquear a liberação da acetilcolina nos sítios pré-sinápticos, provavelmente envolvendo a bomba de Na+-K+-ATPase, sem causar qualquer dano à musculatura
Abstract: Rhinella schneideri, previously known as Bufo paracnemis, is a common toad in many regions of Brazil. The venom of this species exerts important cardiovascular effects in humans and animals, but little is known of its neuromuscular activity. In this work, we examined the neurotoxicity of R. schneideri venom in chick and mouse neuromuscular preparations. Venom was collected by manual compression of the large parotid glands behind the eyes and then extracted with methanol. The extract was lyophilized prior to testing in biological preparations. Chick biventer cervicis (BC) and mouse phrenic nerve-diaphragm (PND) preparations were mounted for conventional twitch-tension recording in response to indirect stimulation, for electrophysiological measurements, morphological analysis and transmission electronic microscope. Also, an active fraction of this methanolic extract obtained by reverse phase HPLC on a Luna PFP (250 x 4.6 mm) column. The methanolic extract (50 ?g/ml) caused facilitation but no neuromuscular blockade in PND preparations. In contrast, significant (p<0.05) concentration-dependent (3, 10 and 30 ?g/ml) neuromuscular blockade (time for 50% blockade, mean±S.E.M.: 84±10, 51±3 and 12±0.8 min with 3, 10 and 30 ?g/ml, respectively; n=6-8 each) preceded by facilitation was seen in BC preparations at 37oC. There was no inhibition of contractures to exogenous ACh (110 ?M) or KCl (20 mM) after complete blockade by any of the concentrations tested. Incubation of BC preparations with methanolic extract (10 ?g/ml) at 22oC for 70 min did not affect neuromuscular transmission (117±3%; n=5), but when the bath temperature was increased to 37oC, 50% blockade occurred within 92±3 min (n=5; p<0.05). Incubation of curarized (d-Tc, 1 ?g/ml) BC preparations with methanolic extract (10 ?g/ml) resulted in complete, irreversible blockade whereas preparations treated with curare alone showed complete reversion in the twitch-tension after washing. There was no significant increase in creatine kinase levels (90±21 vs. 80±15 U/l, before and after a 120 min incubation with extract, respectively; n=5) and no significant alterations in muscle fiber morphology or in the percentage of damaged fibers (2.4±0.9 vs. 2.3±0.5 % before and after a 120 min incubation with extract, respectively; n=5). The methanolic extract (50 ?g/ml) increased the twitch-tension but did not alter the membrane resting potential (-81±1 mV and -78±1 mV for control and poison-treated preparations after 60 min). Electrophysiological measurements showed that there was a progressive increase in the frequency of miniature end-plate potentials (MEPPs) from 34±3.5 (control) to 88±15 (after a 60 min incubation with extract); there was also an increase in the end-plate potentials (based on the quantal content) from 128±13 (control) to 272±34 and 171±11 after 5 min and 60 min, respectively, in extract-treated preparations. TEM showed that the fractional volume occupied by synaptic vesicles was significantly reduced (32±5%; p<0.05) after a 5 min but this effect was reversible after 60 min of incubation to 50 ?g/ml of methanolic extract. There was no structural damage to the membrane of the terminal boutons and the mitochondria of extract-treated preparations were indistinguishable from those of control preparations. Pretreatment of the preparations with ouabain (1 ?g/ml), a Na+/K+-ATPase pump inhibitor, for 5 min prior to incubation with methanolic extract prevented the increase in quantal content compared to preparations without extract (118±18, 117±18 and 154±33 for ouabain-treated controls and ouabain-treated preparations incubated with venom for 5 min and 60 min, respectively). HPLC of the methanolic extract resulted in 24 fractions, of which four (fractions 20, 21, 22 and 24) produced blockade in BC preparations. Fraction 20 (3 ?g/mL) was chosen because was the most potent of the four fractions and caused significant (p<0.05) neuromuscular blockade (time for 50% blockade: 43±4 min; n=4; mean±SEM) preceded by facilitation in BC preparations at 37oC. Fraction 20 did not inhibit contractures to exogenous ACh (110 ?M) or KCl (20 mM) after complete neuromuscular blockade in BC preparations. In PND preparations, fraction 20 (15 ?g/mL) significantly increased the quantal content value from 117±18 (control) to 236±44 after 5 min (n=4; p<0.05). These results indicate that the methanolic extract of R. schneideri is capable to interfere with the neurotransmission by activing and/or blocking the pre-synaptic acetylcholine release by an activity involving the Na+-K+-ATPase pump, without damaging the muscle membrane
Doutorado
Farmacologia
Doutor em Farmacologia
Henaghan, Sharon M. "The effects of moderate sleep loss on sleepiness levels and neuromuscular function in healthy males a thesis submitted to Auckland University of Technology in partial fulfillment of the degree of Master of Health Science, April 2004". Full thesis. Abstract, 2004. http://puka2.aut.ac.nz/ait/theses/HenaghanS.pdf.
Testo completoMañé, Reed Noemí. "Neuromuscular transmission in the gastrointestinal tract and its interaction with pacemakers". Doctoral thesis, Universitat Autònoma de Barcelona, 2016. http://hdl.handle.net/10803/393991.
Testo completoThe large intestine performs a variety of functions essential for an optimal use of food. Different types of motility patterns are needed to develop these functions and, in this thesis, our aim has been to increase the understanding of the mechanisms underlying their regulation. The temporal and spatial coordination of smooth muscle contractions and relaxations results in the different motor patterns. Smooth muscle is under the control of two systems: the Enteric Nervous System and the Interstitial Cells of Cajal (ICC) networks. The major transmitter substances released by enteric inhibitory motor neurons are ATP and nitric oxide (NO). In this work, we have described how different neuronal firing frequencies are responsible for the action of one or another co-transmitter. Short bursts or low frequencies cause mainly P2Y1 mediated purinergic responses (blocked by BPTU, a novel P2Y1 allosteric antagonist) while long bursts at high frequencies enhance nitrergic neurotransmission. This is due to the fact that purinergic neurotransmission attenuates with frequency-increase and therefore, this pathway is only able to cause transient relaxations. Nitrergic neurotransmission, in contrast, can relax colonic tissue in a sustained manner. Accordingly, nitrergic responses are predominant in the proximal colon where storage of ileal effluents and absorption of water and other substances take place. Contrarily, the gradient of purinergic neurotransmission is inverse and therefore, transient relaxations predominate in the distal colon. Inhibitory neurotransmission can modulate the myogenic rythmicity generated by ICCs. Whereas slow waves, originated in the colonic ICCs of the Submuscular Plexus (ICC-SMP), appear to be resistant to mild hyperpolarisations, cyclic depolarizations developed by the ICC of the Myenteric Plexus (ICC-MY) disappear when the membrane potential goes under -40 mV due to their dependence on L-type calcium channels. Therefore, in order to allow the development of this pacemaker, the resting membrane potential (RMP) in the area were cyclic depolarizations occur is around -40 mV. In contrast, smooth muscle cells near the submuscular plexus have a RMP of around -50 mV, i.e., a transwall gradient exists. In consequence, the amplitude of inhibitory responses is also graded. Slow waves can be recorded in vivo as “ripples”: high frequency contractions of relatively low amplitude; while cyclic depolarizations have been associated to propulsive contractions and we believe they are also the myogenic basis of neural induced high amplitude propagating contractions. In vitro, we have observed a third motor pattern that consists in a wax and wane of slow waves associated contractions. The wax and wane is very likely due to a modulation of the ICC-SMP pacemaker by the ICC-MY pacemaker. We believe this pattern is the basis of the single motor contractions observed with high resolution manometry. In conclusion, the relative contribution of ATP and NO to relaxation depends on the firing frequency of inhibitory motor neurons. They display different functional roles and are distributed along the colon accordingly. Although ICCs settle the rythmicity of contractions through their spontaneous cycling of the RMP, enteric neurons collect information of the luminal content and enhance or inhibit the pacemakers and/or produce relaxations or contractions in the different areas in order to optimize the processing of the content.
Bucher, Daniel. "An Electrophysiological Analysis of Synaptic Transmission at the Drosophila Larval Neuromuscular Junction". Doctoral thesis, kostenfrei, 2008. http://www.opus-bayern.de/uni-wuerzburg/volltexte/2008/2778/.
Testo completoEmhemmed, Yousef Mohammed. "Maximum likelihood analysis of neuronal spike trains". Thesis, University of Glasgow, 1995. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.326019.
Testo completoTrimble, Mark Herbert 1958. "EFFECTS OF ELECTRICAL STIMULATION ON THE RECRUITMENT ORDER OF MOTOR UNITS IN MAN: INDIRECT EXAMINATION BY ELECTRICALLY EVOKED MUSCLE RESPONSES". Thesis, The University of Arizona, 1987. http://hdl.handle.net/10150/276555.
Testo completoDusl, Marina [Verfasser], e Robert [Akademischer Betreuer] David. "Novel pathomechanisms implicated in defects of neuromuscular transmission / Marina Dusl. Betreuer: Robert David". München : Universitätsbibliothek der Ludwig-Maximilians-Universität, 2015. http://d-nb.info/1070762806/34.
Testo completoChapman, Andrew Robert. "Neuromuscular control of the leg during cycling and running in triathletes /". [St. Lucia, Qld.], 2005. http://www.library.uq.edu.au/pdfserve.php?image=thesisabs/absthe19326.pdf.
Testo completoZhao, Xiaotao. "The role of protein phosphatase signaling in the formation of the neuromuscular junction /". View abstract or full-text, 2004. http://library.ust.hk/cgi/db/thesis.pl?BIOL%202004%20ZHAO.
Testo completoClark, David Rodney. "Neuromuscular assessment of trunk muscle function in loaded, free barbell back squat : implications for development of trunk stability in dynamic athletic activity". Thesis, University of Stirling, 2018. http://hdl.handle.net/1893/28080.
Testo completoChen, Cheng. "Presynaptic differentiation at the neuromuscular junction : regulation by a novel bFGF-p120 catenin signaling pathway /". View abstract or full-text, 2007. http://library.ust.hk/cgi/db/thesis.pl?BIOL%202007%20CHEN.
Testo completoClark, Merry C. "Monoaminergic receptors in the stomatogastric nervous system characterization and localization in Panulirus interruptus /". unrestricted, 2008. http://etd.gsu.edu/theses/available/etd-04212008-151237/.
Testo completoTitle from file title page. Deborah Baro, committee chair; Paul Katz, Charles Derby, Susanna Greer, Teryl Frey, committee members. Electronic text (249 p. : col. ill.) : digital, PDF file. Description based on contents viewed August 8, 2008. Includes bibliographical references (p. 222-249).
Malfait, Nicole. "Characteristics of dynamics learning and generalization". Thesis, McGill University, 2004. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=85577.
Testo completoThe aim of the first study was to provide a clear and simple way to test whether dynamical information is coded by the nervous system in an extrinsic, Cartesian, versus intrinsic, muscle- or joint-based, system of coordinates. As a means to determine the frame for reference used by the motor system, we examined how adaptation to externally applied forces transfers across different arm configurations. We trained subjects to make reaching movements while holding a robotic arm that applied forces proportional and perpendicular to the tangential velocity of the hand. While in the first trials hand paths were substantially deviated, subjects rapidly adapted to the new dynamic condition; they learned to compensate for the forces in order to restore the kinematics observed in the absence of load. Learning of the new dynamics transferred across movements performed in different regions of the workspace when the relation between joint displacements and experienced torques remained unchanged, rather than when the mapping between hand displacements and forces was preserved. This provided support to the idea that dynamics are encoded in muscle- or joint-based coordinates.
The results of the first study described a process of generalization that relies on the invariance of the mapping between torques and joint displacements. While this clearly points to an intrinsic coding of dynamics, it does not explain whether or how generalization over the workspace occurs when the pattern of torques changes with the configuration of the arm. In the second study, subjects learned a force field in which the forces acted always in the same direction relative to an external frame of reference, which defines a mapping between joint displacements and torques that varies with the configuration of the arm. Our idea was to test if in the absence of invariance in the pattern of torques, generalization would occur on the basis of the invariance in the direction of the forces represented in an extrinsic system of coordinates. (Abstract shortened by UMI.)
Sawant, Anagha Chandrasekhar Anand. "Cellular behaviors regulating tangential migration of facial branchiomotor neurons in the zebrafish embryo". Diss., Columbia, Mo. : University of Missouri--Columbia, 2009. http://hdl.handle.net/10355/6541.
Testo completoSole, Gisela, e n/a. "Neuromuscular control of thigh and gluteal muscles following hamstring injuries". University of Otago. School of Physiotherapy, 2008. http://adt.otago.ac.nz./public/adt-NZDU20081103.100628.
Testo completoFong, Sitt Wai. "The effects of transforming growth factor-β2 on synaptic transmission at the mammalian neuromuscular junctions". Thesis, University of Aberdeen, 2009. http://digitool.abdn.ac.uk:80/webclient/DeliveryManager?pid=133996.
Testo completoChan, Chung-yan Tommy, e 陳頌恩. "Interconnections between the hand and face representations in the human motor system". Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2002. http://hub.hku.hk/bib/B31970369.
Testo completoChan, Chung-yan Tommy. "Interconnections between the hand and face representations in the human motor system". Hong Kong : University of Hong Kong, 2002. http://sunzi.lib.hku.hk/hkuto/record.jsp?B25100683.
Testo completoBan, Joanne. "Novel Effects of the MuSK System in Muscles of Wild-Type and mdx Mice". Thesis, The University of Sydney, 2018. http://hdl.handle.net/2123/18704.
Testo completoMachado, Flavia Costa Nunes. "Análise do jitter com agulha concêntrica em pacientes com miastenia gravis autoimune adquirida". Universidade de São Paulo, 2016. http://www.teses.usp.br/teses/disponiveis/5/5138/tde-22082016-145446/.
Testo completoINTRODUCTION: Single fiber electromyography (SFEMG) technique, through jitter analysis, is the most sensitive neurophysiological method for confirmation of neuromuscular junction disorder in myasthenia gravis (MG). Records are traditionally obtained with single fiber needle, which is reusable and has a high-cost. Due to the current need of using disposable material, concentric needle has been used to replace single fiber needle. The technique is similar, but the action potential for jitter analysis is obtained with concentric needle electrode (SFEMG - concentric needle jitter, SFEMG-CNJ). However, studies are scarce and methodologies used are heterogeneous with the use of this needle. OBJECTIVES: This study aims to measure jitter values obtained with concentric needle in the Orbicularis Occuli muscle in healthy subjects and in patients with autoimmune acquired MG and to assess the validity of the method in generalized and ocular forms of the disease. METHODS: 20 healthy subjects, 20 patients with generalized myasthenia gravis (GMG group) and 13 with the ocular form of the disease (OMG group) were studied. SFEMG-CNJ was performed on all participants, ideally with 20 jitter values in each study. Jitter was expressed as the mean consecutive difference (MCD). Repetitive nerve stimulation and serum acetylcholine receptor antibody (AChR-ab) were performed in all patients in the study, by the time of jitter analysis. Tyrosine kinase specific antibody muscle antibodies (MuSK-ab) were performed in AChR-ab negative patients. The upper limit of normality (ULN) for the mean MCD and for individual jitter values were defined. The abnormality criteria were: (1) mean MCD above ULN; or (2) more than 10% of individual jitter values above ULN. The definition of ULN for individual jitter values was based on the concept that two out of 20 jitter values above ULN are acceptable in a healthy muscle for voluntary contraction technique. Therefore, the ULN for the 18th highest jitter value (18 pair) was estimated. To analyze the method\'s accuracy, two ROC curves (Receiver Operating Characteristic) for the mean MCD and 18th pair in the group of patients (MGG and MGO) versus control were constructed. RESULTS: In the control group the mean of MCD means was (19.0 ± 2.4)us and the mean of the 18 highest value of each study was (24.5 ± 3.6)us. These values showed Gaussian distribution and the ULN was set as the mean of these values + 2 SD. The ULN for the mean MCD was 24us, and 32us for individual values of MCD. In GMG group, jitter analyses were abnormal in all 20 patients based on both abnormality criteria, except in one patient, who had abnormalities in only one of the criteria. In OMG group, only one patient from 13 met neither of the abnormality criteria. In patients, the positivity of SFEMG-CNJ was higher than repetitive nerve stimulation test and antibody detection. The ROC curve threshold showing the best sensitivity (93.9%) with no false positive results was 24.7Us for the mean MCD and 33.1us for individual pairs, respectively. CONCLUSIONS: SFEMG-CNJ has high sensitivity and specificity in identifying neuromuscular transmission disorder in patients with MG. The use of concentric needle is valid for jitter analysis as an alternative to single fiber needle
Giovannini, Federica. "Voltage-dependent calcium channel subtypes at the mouse neuromuscular junction : evidence for the role of a resistant component". Thesis, University of Oxford, 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.365445.
Testo completoPanchumarthi, Sarvari. "The Drosophila Serrate is Required for Synaptic Structure and Function at Larval Neuromuscular Junctions". Diss., The University of Arizona, 2010. http://hdl.handle.net/10150/194269.
Testo completoJonsson, Malin. "Nicotinic transmission and drugs in anesthesia : neuromuscular blocking agents and propofol : consequences for carotid body function /". Stockholm, 2006. http://diss.kib.ki.se/2006/91-7140-660-3/.
Testo completoMacLennan, Calman Alexander. "Acetylcholine receptor subunit gene expression in different muscle groups and the thymus : a study of healthy subjects and of those with disordered neuromuscular transmission". Thesis, University of Oxford, 1997. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.390531.
Testo completoCaudron, Audrey. "Molecular changes following genetic and physical disruption of neuromuscular synapses in developing and adult mice /". [St. Lucia, Qld.], 2006. http://www.library.uq.edu.au/pdfserve.php?image=thesisabs/absthe19325.pdf.
Testo completoSittaramane, Vinoth Chandrasekhar Anand. "Role of transmembrane protein strabismus in motor neuron migration in the zebrafish hindbrain". Diss., Columbia, Mo. : University of Missouri--Columbia, 2008. http://hdl.handle.net/10355/6623.
Testo completoMendez, Villanueva Alberto. "Mechanical power output and neuromuscular activity during and following recovery from repeated-sprint exercise in man". University of Western Australia. School of Human Movement and Exercise Science, 2005. http://theses.library.uwa.edu.au/adt-WU2005.0055.
Testo completoBruneteau, Gaëlle. "Etude de la jonction neuromusculaire dans la sclérose latérale amyotrophique". Thesis, Paris 6, 2014. http://www.theses.fr/2014PA066097/document.
Testo completoAmyotrophic Lateral Sclerosis (ALS) is a neurodegenerative disorder affecting motor neurons, usually leading to death in 3 to 5 years. The only treatment currently available, riluzole, has a modest effect on survival. Functional alterations of the neuromuscular junction (NMJ) have been reported in ALS, but their pathophysiological significance remains unknown. We studied the morphology of neuromuscular junctions in muscle samples collected from 11 ALS patients, using confocal and electron microscopy. Functional analysis of the NMJs was performed using surface-recording of compound motor action potentials after repetitive nerve stimulation at slow stimulus rate. A significant decrement (>10%), suggesting impairment of the neuromuscular transmission, was present in 45% of the patients. Morphological alterations of the NMJs were present in all ALS patients even at the early-stages. Beside denervation-induced morphological changes, one third of the NMJs showed abnormal spike-like areas of the outer edge of the postsynaptic primary gutter. A marked interposition of the terminal Schwann cell between the nerve terminal and the postsynaptic membrane, which was likely to alter synaptic transmission, was sometimes present. We found a significantly greater compensatory reinnervation in muscle from patients with slowly progressive ALS. Furthermore, we identified that the muscle molecular factor histone deacetylase 4 could play a key role in muscle reinnervation and disease progression in patients with ALS. This work has highlighted the presence of major morphological changes at the NMJs of ALS patients and identified potential new targets for future treatment
Halliez, Marius. "Le domaine riche en cystéine de MuSK dans la myasthénie auto-immune". Electronic Thesis or Diss., Sorbonne université, 2023. http://www.theses.fr/2023SORUS093.
Testo completoThe peripheral synapse established between the end terminal of a motor neuron and a skeletal muscle fiber is the neuromuscular junction (NMJ). Formation, maturation and maintenance of the NMJ are finely tuned in time and space. These processes require a dynamic communication between all the cellular compartments of the NMJ. Total or partial disruption of this trans-synaptic signaling result in morpho-functional defects responsible for neuromuscular disorders. These pathologies, including the congenital myasthenic syndromes and the auto-immune myasthenia gravis (MG), deeply impact motor function in patients and threaten their life. Even though diagnostic tools are well established, the cellular and molecular mechanisms are yet poorly understood and available treatments are limited. In order to develop new promising therapeutic strategies, it is critical to better characterize all the signaling pathways involved in neuromuscular connectivity. NMJ formation relies on the presence and activity of a complex of key receptors anchored in the muscle membrane. This complex is composed of the tyrosine kinase receptor MuSK (Muscle Specific Kinase) and its co-receptor Lrp4 (Low density lipoprotein receptor-related 4) and is activated by different ligands including the nerve-derived Agrin and Wnt glycoproteins. Activation of this complex leads to acetylcholine receptor (AChR) clustering in the muscle synaptic area, a hallmark of post-synaptic differentiation. Previous studies from our group showed the implication of a network of Wnt pathways at the NMJ, partly signaling through the Wnt-binding cysteine rich domain (CRD) of MuSK. Even if mouse model in which MuSK is deleted from its CRD (MuSKΔCRD) display important morphological and functional defects, this mutation is compatible with life as opposed to Lrp4, MuSK or Agrin deletion. MG is an auto-immune disorder caused by antibodies targeting, in 85% of cases, the AChR. A small percentage of patient harbor antibodies against MuSK, usually against its Ig1 domain, involved in Agrin signaling. Three recent studies revealed MG patients carrying MuSK CRD targeting antibodies but whether these antibodies are pathogenic remains unknown. Characterization of their pathogenicity remains crucial to better understand the pathophysiological mechanisms leading to MG. In this context, my thesis work aims at demonstrating the pathogenicity of CRD MuSK antibodies. My results showed that injection of antibodies targeting MuSK CRD leads to a myasthenic-like phenotype in mouse. Using a large array of cell biology, biochemistry and electrophysiological experiments, I showed that the clinical symptoms were accompanied by important structural and neurotransmission defects at the NMJ. Mechanistically, my work proved that antibodies against MuSK CRD are responsible for Lrp4-MuSK interaction disruption ultimately leading to inhibition of Agrin-induced AChR clustering. Altogether, this study unravels a new pathway affected in MG, participates to a better understanding of MuSK CRD implication in this pathology and helps treatment adaptation regarding patients etiology
Bingham, Stephanie. "Cellular and molecular analysis of motor neuron development in the zebrafish hindbrain /". free to MU campus, to others for purchase, 2003. http://wwwlib.umi.com/cr/mo/fullcit?p3115523.
Testo completoZhu, Yuechen. "THE EFFECT OF COLD ON THE PHYSIOLOGY OF DROSOPHILA LARVA HEART AND ON SYNAPTIC TRANSMISSION AT CRAYFISH NEUROMUSCULAR JUNCTIONS". UKnowledge, 2017. http://uknowledge.uky.edu/biology_etds/50.
Testo completoVitry, Florian. "Effets aigus et chroniques de l’électrostimulation appliquée au niveau du nerf moteur : importance du retour afférent". Thesis, Bourgogne Franche-Comté, 2019. http://www.theses.fr/2019UBFCK087.
Testo completoThe aim of this thesis was to investigate the effects of electrical stimulation protocols favouring an indirect motor units’ (MU) recruitment via sensory axons activation and giving rise to extra force development, on the neuromuscular system. These protocols use wide pulse duration, low stimulation intensity, low and high stimulation frequencies and are applied over the motor nerve. The aim of the first study was to examine the effects of these protocols on the extent and origin of neuromuscular fatigue during an acute application. Results showed that for a similar impact on maximal force generating capacity, low stimulation frequencies limit force decreases during the stimulation trains as compared to high stimulation frequencies. The aim of the second study was to investigate the effects of chronic application of these protocols. Results showed important torque gains after the training period despite the low stimulation intensity used, while the induced neural adaptations were frequency-dependent. Results of these two studies also highlighted the importance of the phenomenon of extra torque on induced adaptations. Thus, the aim of the third study was to determine the conditions permitting the occurrence of extra torque, by modulating the frequency and intensity of stimulation. Main results showed that when the initial MU recruitment was mostly indirect, the developed torque was higher than the one expected for the given stimulation parameters, independently of the stimulation frequency, suggesting that the indirect MU recruitment plays a preponderant role in the occurrence of extra torque. Moreover, a frequency-dependent impact on spinal excitability was observed, resulting in a decrease after the low stimulation frequency and an increase after the high frequency. Consequently, the last study investigated the mechanisms responsible for the distinct modulation of spinal excitability. Results showed that the decrease in spinal excitability observed after the low stimulation frequency could be attributed to increased homosynaptic post-activation depression, while this latter mechanism could have been compensated by an enhanced motoneuron excitability as a result of persistent inward currents after the high stimulation frequency. All these results underline the importance of the afferent volley to the induced neuromuscular adaptations after acute and chronic electrical stimulation application
Munhoz, Derli Conceição 1964. "Influencia da frequencia de estimulos sobre o bloqueio neuromuscular produzido pelo pancuronio e pelo rocuronio : um estudo clinico e experimental". [s.n.], 2003. http://repositorio.unicamp.br/jspui/handle/REPOSIP/313571.
Testo completoTese (doutorado) - Universidade Estadual de Campínas, Faculdade de Ciencias Medicas
Made available in DSpace on 2018-08-03T16:20:50Z (GMT). No. of bitstreams: 1 Munhoz_DerliConceicao_D.pdf: 15032169 bytes, checksum: 2cf164e00717816740722f20f7f288c8 (MD5) Previous issue date: 2003
Resumo: Além dos fatores relacionados ao paciente, ao bloqueador neuromuscular, fatores técnicos relacionados com a monitorização da função neuromuscular podem influenciara instalação do bloqueio neuromuscular. O objetivo do presente estudo foi avaliar a influência de duas diferentes freqüências de estúnulos sobre o tempo de instalação do bloqueio neuromuscular produzido pelo Pancurônio e pelo Rocurônio. Este estudo foi desenvolvidoem duas etapas: uma etapa clínica e uma experimental. No estudo clínico foram incluídos 120 pacientes, estado ASA I e lI, submetidos a cirurgias eletivas sob anestesia geral, distn"buídos aleatoriamente em dois grupos de acordo com a freqüência de estúnulos empregada: Grupo I - O,lHz (n=60) e Grupo II - 1Hz (n=60). Em cada grupo formaram-se dois subgrupos (n=30) de acordo com o bloqueador neuromuscular empregado: Subgrupo P (pancurônio - O,lmg.kg-l) e Subgrupo R (rocurônio - 0,6mg.kgO1). Após indução anestésica e injeção do bloqueador neuromuscular, os pacientes foram ventilados sob máscara com oxigênio a 100% até a obtenção de redução de 75% ou mais na amplitude da resposta do músculo adutor do polegar, quando foram realizadas as manobras de laringoscopia e intubação traqueal. A função neuromuscular foi monitorizada com aceleromiografia. Avaliaram-se: parâmetros neuromusculares (tempo de início de ação do bloqueador neuromuscular e tempo para bloqueio neuromuscular total) através da análise dos registros das respostas do músculo adutor do polegar obtidas por estimulação do nervo ulnar, com auxílio de estimulador de nervo periférico (TOF-GUARD); condições de intubação traqueal; pressão arterial média e fteqüência cardíaca. No grupo 1,subgrupos P e R, os tempos para início de ação foram, respectivamente, 159,33 :t 35,22 e 83,0 :t 17,25 segundos. No grupo lI, subgrupos P e R, foram 77,83 :t 9,52 e 48,96 :t 10,16 segundos, respectivamente. Os tempos para obtenção de bloqueio neuromuscular total foram 222,0 :t 46,56 e 125,33 :t 20,12, no Grupo 1,subgrupos P e R, respectivamente.No grupo lI, foram de 105,96:t 18,58 e 59,83 :t 10,36 segundos nos subgrupos P e R respectivamente. Nos dois subgrupos, os tempos de início de ação e para bloqueio neuromuscular total foram significativamente menores no Grupo II em relação ao Grupo I. As condições de intubação traqueal foram satisfatórias em 117 pacientes (97,5%) e insatisfatórias em 3 (2,5%). No estudo experimental foram utilizados ratos machos da linhagem Wistar, com peso entre 250 e 300g. As preparações foram montadas de acordo com a técnica descrita por BULBRING (1946). O diafTagma foi submetido à estimulação indireta de 0,1 e 1Hz de :freqüência (Grupos I e II, respectivamente) e as variações de tensão produzidas pelas contrações do diaftagma foram registradas em fisiógrafo Gould RS 3400. Formaram-se subgrupos (n=5) PE e RE de acordo com o bloqueador neuromuscular empregado (pancurônio-2J.1g/rnle rocurônio-4J.1g/rnl,respectivamente). O grau de bloqueio das respostas do músculo diaftagma foi avaliado em 5, 15 e 30 minutos após a adição do bloqueador neuromuscular. Nos dois grupos (Grupo I - O,lHz e Grupo II - 1Hz) e subgrupos PE (pancurônio) e RE (rocurônio), observou-se um aumento cumulativo nos graus de bloqueio das respostas musculares com diferença significativa entre os diferentes tempos estudados em relação à resposta muscular controle. Nos dois subgrupos, a comparação dos valores médios dos graus de bloqueio nos diferentes tempos estudados entre os dois grupos também mostrou diferença estatisticamente significante. Para as duas drogas, os graus de bloqueio neuromuscular para o Grupo II foram maiores do que para o Grupo I, em todos os instantes (p < 0,01). Concluímos que, tanto no estudo clínico como no experimenta~ a freqüência de estímulo empregada interfere no tempo de instalação do bloqueio neuromuscular: tempo de início de ação e de bloqueio neuromuscular total menores com a maior freqüência nos dois subgrupos
Abstract: In addition to factors related to patient and neuromuscular blocker, technical factors related to neuromuscular monitoring may also influencethe onset of neuromuscular blockade. The aim of the present study was to evaluate the influence of two different stimulation :&equencieson onset time of the neuromuscular blockade produced by Pancuronium and Rocuronium. This study was conducted in two stages: clinical and experimental. The clinical study included 120 patients, ASA I and II physical status, submitted to elective surgery under general anesthesia, random1y distributed into two groups according to the stimulation :&equencyused: GToup 1-0.1 Hz (n=60) and GToup lI-I Hz (n=60). In each group two subgroups were formed (n=30), according to the neuromuscular blocker used: Subgroup P (pancuronium-O.l mg.kg-l) and Subgroup R (rocuronium-0.6 mg.kg-l). Afier induction of anesthesia and injection of the neuromuscular blocker, the patients were ventilated by mask with 100% oxygen until achieving a 75% or more reduction in the amplitude of the abductor pollicis muscle response. That was the moment laryngoscopy and tracheal intubation were performed. Neuromuscular function was monitored by acceleromyography. Neuromuscular parameters were evaluated (the onset time of NMB action and time to maxima1 neuromuscular blockade) ana1yzingrecordings of adductorpollicis muscle response, obtained by stimulating the ulnar nerve with a neuromuscular transmission monitor (TOF-GUARD). Tracheal intubating conditions, mean arterialpressure and heart rate were also evaluated. In GToupI, onset times for subgroups P and R were 159.33 :i:35.22and 83.0 :i: 17.25 seconds, respectively. In GTouplI, onset times for subgroups P and R were 77.83 :i:9.52 and 48.96 :i: 10.16 seconds, respectively. Times to maxima1neuromuscularblockadein GToupI, subgroupsP and R were 222.0 :f: 46.56 and 125.33 :f: 20.12 seconds, respectively. In GTouplI, times to maxima1neuromuscular blockwere 105.96 :i: 15.58 and 59.83 :i: 10.36 for subgroups P and R, respectively. In both subgroups, onset times of action and times to maxima1 neuromuscular block were significant1yshorter in GToup II than in GToup I. Tracheal intubating conditions were suitable in 117 (97.5%) and unsuitable in 3 (2.5%) patients. In the experimental study, Wistar male rats, weighing between 250 and 300g were used. Microscope preparation was mounted according to the technique described by BULBRING (1946). An indirect stimulation of 0.1 to 1 Hz was applied to the diaphragm (GToupsI and lI, respectively) and tension variations produced by diaphragmatic contractions were recorded by a Gould RS 3400 physiographer. Subgroups PE and RA (n=5) were fonned, according to the neuromuscular blocker used (pancuronium-2 ~g/m1and rocuronium-4 ~g/m1,respective1y). The degree of diaphragmatic blockade was evaluated at 5, 15 and 30 minutes after adding the neuromuscular bIocker. In both groups (Group 1-0.1 Hz and Group 11-1 Hz) and subgroups RE (rocuronium) and PE (pancuronium), a cumulative increase in the degree of musc1eblockade was observed. There was a significant difrerence between difrerent times studied compared to controI musc1e response. In both subgroups, there was also a statistica11ysignificant difrerence when comparing the mean values of degrees of bIockade between both groups at difrerent times studied. For both drugs, the degree ofneuromuscular bIock for Group 11is greater than for Group I, at alI moments (p<0.01). We conc1ude that both in the clinical and experimental study the stimulation ftequency applied interfere with the onset time of neuromuscularbIockade
Doutorado
Medicina Interna
Doutor em Ciências Médicas
Patra, Kalicharan. "Modulation of Neuronal Functions : the Role of SLC10A4". Doctoral thesis, Uppsala universitet, Genetisk utvecklingsbiologi, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-214162.
Testo completoMegeath, Laura Jalso. "Characterization of the Molecular Mechanisms Regulating the Agrin Signaling Pathway: a Dissertation". eScholarship@UMMS, 1999. https://escholarship.umassmed.edu/gsbs_diss/29.
Testo completoFuentes, Medel Yuly F. "Role of Glia in Sculpting Synaptic Connections at the Drosophila Neuromuscular Junction: A Dissertation". eScholarship@UMMS, 2012. https://escholarship.umassmed.edu/gsbs_diss/580.
Testo completoSohn, Mark Hongchul. "Assessing functional stability of predicted muscle activation patterns for postural control using a neuromechanical model of the cat hindlimb". Thesis, Georgia Institute of Technology, 2011. http://hdl.handle.net/1853/42869.
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