To determine to what extent exposure to high ambient temperature and feeding level affect tissue energy metabolism in piglets, regional blood flow and oxidative capacity of tissues were evaluated in sixteen 21.8 +/- 2.8 kg pigs. At 5 weeks of age, littermates were divided into three groups and acclimated to the treatment for 25 days. One group was reared at 33 degrees C and fed ad libitum (33AL, n = 6) while the other two groups were maintained at 23 degrees C and either pair-fed on the basis of the food consumption of their 33AL littermates (23PF, n = 5), or fed ad libitum (23AL, n = 5). Regional blood flow was determined in conscious pigs by injection of coloured microspheres, which were recovered in different tissues after slaughter. Activities of cytochrome oxidase and cytochrome aa(3) content were measured in tissue homogenates of heart, longissimus dorsi and rhomboideus muscles, liver and small intestine. There was decreased blood flow to internal adipose tissue (42 %) and increased blood flow to peripheral tissues (skin, 44 %) and tissues implicated in respiratory evaporative heat loss (diaphragm, 45 %, lungs, 59 %) at 33 degrees C compared to 23 degrees C, which can be viewed as an effective mechanism for increasing heat loss at high temperature. In addition, the concomitant decrease in blood flow (49 %) and slight reduction of oxidative capacities in both muscles at 33 degrees C might contribute to the reduction in thermogenesis, but these effects were also observed when the feeding level was reduced at thermal neutrality (23PF group). In the viscera (intestine, liver), blood flow was decreased in the two groups on a restricted food intake (about 50 % of 23AL), independently of environmental temperature. The results suggest that most of the mechanisms associated with the reduction in energy expenditure during warm acclimation are related to the adaptive reduction in food intake. Experimental Physiology (2001) 86.1, 83-91.
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We present the case of a 74-year-old female patient with a 50 mm ascending aortic aneurysm who underwent ascending aorta replacement. During routine open heart surgery, suboptimal flow in the cardiopulmonary bypass circuit, led to the discovery of a type B aortic dissection with substantial flow in the false lumen. Conservative management was chosen, focusing on blood pressure control in the ICU.
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Sotatercept binds free activins by mimicking the extracellular domain of the activin receptor type IIA (ACTRIIA). Additional ligands are BMP/TGF-beta, GDF8, GDF11 and BMP10. The binding with activins leads to the inhibition of the signalling pathway and the deactivation of the bone morphogenic protein (BMP) receptor type 2.
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Advancements in xenotransplantation intersecting with modern machine perfusion technology offer promising solutions to patients with liver failure providing a valuable bridge to transplantation and extending graft viability beyond current limitations. Patients facing acute or acute chronic liver failure, post-hepatectomy liver failure, or fulminant hepatic failure often require urgent liver transplants which are severely limited by organ shortage, emphasizing the importance of effective bridging approaches. Machine perfusion is now increasingly used to test and use genetically engineered porcine livers in translational studies, addressing the limitations and costs of non-human primate models.
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The brain, as a vital part of central nervous system, receives approximately 25% of body's blood supply, making accurate monitoring of cerebral blood flow essential. While fNIRS is widely used for measuring brain physiology, complex tissue structure affects light intensity, spot size, and detection accuracy. Many studies rely on simulations with limited experimental validation.
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