Microscopic colitis may be defined as a clinical syndrome, of unknown etiology, consisting of chronic watery diarrhea, with no alterations in the large bowel at the endoscopic and radiologic evaluation. Therefore, a d...Microscopic colitis may be defined as a clinical syndrome, of unknown etiology, consisting of chronic watery diarrhea, with no alterations in the large bowel at the endoscopic and radiologic evaluation. Therefore, a definitive diagnosis is only possible by histological analysis. The epidemiological impact of this disease has become increasingly clear in the last years, with most data coming from Western countries. Microscopic colitis includes two histological subtypes [collagenous colitis (CC) and lymphocytic colitis (LC)] with no differences in clinical presentation and management. Collagenous colitis is characterized by a thickening of the subepithelial collagen layer that is absent in LC. The main feature of LC is an increase of the density of intra-epithelial lymphocytes in the surface epithelium. A number of pathogenetic theories have been proposed over the years, involving the role of luminal agents, autoimmunity, eosinophils, genetics (human leukocyte antigen), biliary acids, infections, alterations of pericryptal fibroblasts, and drug intake; drugs like ticlopidine, carbamazepine or ranitidine are especially associated with the development of LC, while CC is more frequently linked to cimetidine, non-steroidal antiinflammatory drugs and lansoprazole. Microscopic colitis typically presents as chronic or intermittent watery diarrhea, that may be accompanied by symptoms such as abdominal pain, weight loss and incontinence. Recent evidence has added new pharmacological options for the treatment of microscopic colitis:the role of steroidal therapy, especially oral budesonide, has gained relevance, as well as immunosuppressive agents such as azathioprine and 6-mercaptopurine. The use of anti-tumor necrosis factoragents, infliximab and adalimumab, constitutes a new, interesting tool for the treatment of microscopic colitis, but larger, adequately designed studies are needed to confirm existing data.展开更多
The significant influence of thermal acclimation on physiological and behavioral performance has been documented in many ectothermic animals, but such studies are still limited in turtle species. We acclimated hatchli...The significant influence of thermal acclimation on physiological and behavioral performance has been documented in many ectothermic animals, but such studies are still limited in turtle species. We acclimated hatchling soft-shelled turtles Pelodiscus sinensis under three thermal conditions （10, 20 and 30~C） for 4 weeks, and then measured selected body temperature （Tsel）, critical thermal minimum （CTMin） and maximum （CTM^x）, and locomotor performance at different body temperatures. Thermal acclimation significantly affected thermal preference and resistance of P sinensis hatchlings. Hatchling turtles accli- mated to 10~C selected relatively lower body temperatures and were less resistant to high temperatures than those acclimated to 20~C and 30~C. The turtles＇ resistance to low temperatures increased with a decreasing acclimation temperature. The thermal re- sistance range （i.e. the difference between CTM^x and CTMin, TRR） was widest in turtles acclimated to 20~C, and narrowest in those acclimated to 10~C. The locomotor performance of turtles was affected by both body temperature and acclimation tem- perature. Hatchling turtles acclimated to relatively higher temperatures swam faster than did those acclimated to lower temperatures. Accordingly, hatchling turtles acclimated to a particular temperature may not enhance the performance at that temperature. Instead, hatchlings acclimated to relatively warm temperatures have a better performance, supporting the ＂hotter is better＂ hypothesis.展开更多
文摘Microscopic colitis may be defined as a clinical syndrome, of unknown etiology, consisting of chronic watery diarrhea, with no alterations in the large bowel at the endoscopic and radiologic evaluation. Therefore, a definitive diagnosis is only possible by histological analysis. The epidemiological impact of this disease has become increasingly clear in the last years, with most data coming from Western countries. Microscopic colitis includes two histological subtypes [collagenous colitis (CC) and lymphocytic colitis (LC)] with no differences in clinical presentation and management. Collagenous colitis is characterized by a thickening of the subepithelial collagen layer that is absent in LC. The main feature of LC is an increase of the density of intra-epithelial lymphocytes in the surface epithelium. A number of pathogenetic theories have been proposed over the years, involving the role of luminal agents, autoimmunity, eosinophils, genetics (human leukocyte antigen), biliary acids, infections, alterations of pericryptal fibroblasts, and drug intake; drugs like ticlopidine, carbamazepine or ranitidine are especially associated with the development of LC, while CC is more frequently linked to cimetidine, non-steroidal antiinflammatory drugs and lansoprazole. Microscopic colitis typically presents as chronic or intermittent watery diarrhea, that may be accompanied by symptoms such as abdominal pain, weight loss and incontinence. Recent evidence has added new pharmacological options for the treatment of microscopic colitis:the role of steroidal therapy, especially oral budesonide, has gained relevance, as well as immunosuppressive agents such as azathioprine and 6-mercaptopurine. The use of anti-tumor necrosis factoragents, infliximab and adalimumab, constitutes a new, interesting tool for the treatment of microscopic colitis, but larger, adequately designed studies are needed to confirm existing data.
文摘The significant influence of thermal acclimation on physiological and behavioral performance has been documented in many ectothermic animals, but such studies are still limited in turtle species. We acclimated hatchling soft-shelled turtles Pelodiscus sinensis under three thermal conditions （10, 20 and 30~C） for 4 weeks, and then measured selected body temperature （Tsel）, critical thermal minimum （CTMin） and maximum （CTM^x）, and locomotor performance at different body temperatures. Thermal acclimation significantly affected thermal preference and resistance of P sinensis hatchlings. Hatchling turtles accli- mated to 10~C selected relatively lower body temperatures and were less resistant to high temperatures than those acclimated to 20~C and 30~C. The turtles＇ resistance to low temperatures increased with a decreasing acclimation temperature. The thermal re- sistance range （i.e. the difference between CTM^x and CTMin, TRR） was widest in turtles acclimated to 20~C, and narrowest in those acclimated to 10~C. The locomotor performance of turtles was affected by both body temperature and acclimation tem- perature. Hatchling turtles acclimated to relatively higher temperatures swam faster than did those acclimated to lower temperatures. Accordingly, hatchling turtles acclimated to a particular temperature may not enhance the performance at that temperature. Instead, hatchlings acclimated to relatively warm temperatures have a better performance, supporting the ＂hotter is better＂ hypothesis.
