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1.
Front Epidemiol ; 4: 1368675, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-38952354

RESUMEN

Background: Multiple Sclerosis (MS) is a common neurological disease among white populations of European origin. Frequencies among Latin Americans continue to be studied, however, epidemiologic, and clinical characterization studies lack from Central American and Caribbean countries. Ethnicity in these countries is uniformly similar with a prevalent Mestizo population. Methods and results: Data from January 2014 to December 2019 from Guatemala, El Salvador, Honduras, Nicaragua, Costa Rica, Panama, Dominican Republic, and Aruba on demographic, clinical, MRI and phenotypic traits were determined in coordinated studies: ENHANCE, a population-based, retrospective, observational study on incidence and clinical characteristics, and from the subgroup with MS national registries (Aruba, Dominican Republic, Honduras, and Panama), data on prevalence, phenotypes and demographics. Expanded Disability Status Scale (EDSS), and therapeutic schemes were included. ENHANCE data from 758 patients disclosed 79.8% of Mestizo ethnicity; 72.4% female; median age at onset 31.0 years and 33.2 at diagnosis. The highest incidence rate was from Aruba, 2.3-3.5 × 100,000 inhabitants, and the lowest, 0.07-0.15 × 100,000, from Honduras. Crude prevalence rates per 100,000 inhabitants fluctuated from 27.3 (Aruba) to 1.0 (Honduras). Relapsing MS accounted for 87.4% of cases; EDSS <3.0 determined in 66.6% (mean disease duration: 9.1 years, SD ± 5.0); CSF oligoclonal bands 85.7%, and 87% of subjects hydroxyvitamin D deficient. Common initial therapies were interferon and fingolimod. Switching from interferon to fingolimod was the most common escalation step. The COVID-19 pandemic affected follow-up aspects of these studies. Conclusion: This is the first study providing data on frequencies and clinical characteristics from 8 countries from the Central American and Caribbean region, addressing MS as an emergent epidemiologic disorder. More studies from these areas are encouraged.

2.
Artículo en Inglés | MEDLINE | ID: mdl-38597978

RESUMEN

PURPOSE: This study examined whether state-level racial disproportionality in homelessness is associated with racial disproportionality in overdose mortality. METHODS: Counts of individuals experiencing homelessness (2015-2017; by state and racial/ethnic group) were obtained from the US Department of Housing and Urban Development; population estimates and counts of drug overdose deaths (2018-2021; by state and racial/ethnic group) were obtained from the National Center for Health Statistics. Homelessness and overdose mortality disproportionality scores were calculated to indicate the extent to which each racial group was over- or under- represented among those experiencing homelessness, or among overdose deaths, respectively (relative to each racial group's proportional share in the general population). For each racial group examined, ordinary least squares regression models with robust standard errors (SEs) examined associations between state-level disproportionality in homelessness and disproportionality in overdose mortality, adjusting for percent aged 18-64 and US Census Region, as well as disproportionality in educational attainment and unemployment. RESULTS: State-level racial disproportionality in homelessness was significantly and positively associated with racial disproportionality in overdose mortality for Black (b = 0.16 [SE = 0.05]; p < .01), American Indian/Alaska Native (b = 0.71 [SE = 0.23]; p < .01), and Hispanic populations (b = 0.17 [SE = 0.05]; p < .01), in models adjusting for region and percent aged 18-64. The significant positive associations in these three populations persisted after adjusting for educational attainment disproportionality, yet the association was no longer significant in the Black population after adjusting for unemployment disproportionality. CONCLUSION: States with the highest levels of racial/ethnic minority overrepresentation in homelessness generally also had relatively higher levels of racial/ethnic minority overrepresentation in overdose deaths.

3.
Essays Biochem ; 68(1): 41-51, 2024 Apr 30.
Artículo en Inglés | MEDLINE | ID: mdl-38662439

RESUMEN

The expression of metabolic proteins is controlled by genetic circuits, matching metabolic demands and changing environmental conditions. Ideally, this regulation brings about a competitive level of metabolic fitness. Understanding how cells can achieve a robust (close-to-optimal) functioning of metabolism by appropriate control of gene expression aids synthetic biology by providing design criteria of synthetic circuits for biotechnological purposes. It also extends our understanding of the designs of genetic circuitry found in nature such as metabolite control of transcription factor activity, promoter architectures and transcription factor dependencies, and operon composition (in bacteria). Here, we review, explain and illustrate an approach that allows for the inference and design of genetic circuitry that steers metabolic networks to achieve a maximal flux per unit invested protein across dynamic conditions. We discuss how this approach and its understanding can be used to rationalize Escherichia coli's strategy to regulate the expression of its ribosomes and infer the design of circuitry controlling gene expression of amino-acid biosynthesis enzymes. The inferred regulation indeed resembles E. coli's circuits, suggesting that these have evolved to maximize amino-acid production fluxes per unit invested protein. We end by an outlook of the use of this approach in metabolic engineering applications.


Asunto(s)
Escherichia coli , Redes Reguladoras de Genes , Ingeniería Metabólica , Redes y Vías Metabólicas , Redes y Vías Metabólicas/genética , Escherichia coli/genética , Escherichia coli/metabolismo , Ingeniería Metabólica/métodos , Biología Sintética/métodos , Regulación Bacteriana de la Expresión Génica
4.
Sci Rep ; 13(1): 14465, 2023 Sep 02.
Artículo en Inglés | MEDLINE | ID: mdl-37660172

RESUMEN

Atmospheric longwave downward radiation (Ld) is one of the significant components of net radiation (Rn), and it drives several essential ecosystem processes. Ld can be estimated with simple empirical methods using atmospheric emissivity (εa) submodels. In this study, eight global models for εa were evaluated, and the best-performing model was calibrated on a global scale using a parametric instability analysis approach. The climatic data were obtained from a dynamically consistent scale resolution of basic atmospheric quantities and computed parameters known as NCEP/NCAR reanalysis (NNR) data. The performance model was evaluated with monthly average values from the NNR data. The Brutsaert equation demonstrated the best performance, and then it was calibrated. The seasonal global trend of the Brutsaert equation calibrated coefficient ranged between 1.2 and 1.4, and the K-means analysis identified five homogeneous zones (clusters) with similar behavior. Finally, the calibrated Brutsaert equation improved the Rn estimation, with an error reduction, at the worldwide scale, of 64%. Meanwhile, the error reduction for each cluster ranged from 18 to 77%. Hence, Brutsaert's equation coefficient should not be considered a constant value for use in εa estimation, nor in time or location.

5.
Int J Mol Sci ; 24(13)2023 Jun 29.
Artículo en Inglés | MEDLINE | ID: mdl-37446011

RESUMEN

Cutaneous cancers are, by far, the most common malignant neoplasms of the human being. Due to the great array of clinical conditions, their worldwide increasing incidence and the steady ageing of the population, non-invasive treatments modalities that show a good clinical response, a proper benefit-risk ratio and cosmetic results are becoming increasingly important in the clinical setting. Imiquimod is a topically applied immunomodulator which is often used in the management of several premalignant and malignant cutaneous disorders. This article is a review of the current literature on its mechanism of action, pharmacokinetics, and therapeutical effects.


Asunto(s)
Antineoplásicos , Lesiones Precancerosas , Neoplasias Cutáneas , Humanos , Imiquimod/uso terapéutico , Neoplasias Cutáneas/tratamiento farmacológico , Neoplasias Cutáneas/epidemiología , Adyuvantes Inmunológicos/uso terapéutico , Piel/patología , Lesiones Precancerosas/tratamiento farmacológico , Administración Cutánea , Inmunoterapia , Aminoquinolinas/farmacología , Aminoquinolinas/uso terapéutico , Antineoplásicos/farmacología , Antineoplásicos/uso terapéutico
6.
Nat Commun ; 14(1): 2791, 2023 05 16.
Artículo en Inglés | MEDLINE | ID: mdl-37188709

RESUMEN

Health care workers (HCWs) experienced greater risk of SARS-CoV-2 infection during the COVID-19 pandemic. This study applies a cost-of-illness (COI) approach to model the economic burden associated with SARS-CoV-2 infections among HCWs in five low- and middle-income sites (Kenya, Eswatini, Colombia, KwaZulu-Natal province, and Western Cape province of South Africa) during the first year of the pandemic. We find that not only did HCWs have a higher incidence of COVID-19 than the general population, but in all sites except Colombia, viral transmission from infected HCWs to close contacts resulted in substantial secondary SARS-CoV-2 infection and death. Disruption in health services as a result of HCW illness affected maternal and child deaths dramatically. Total economic losses attributable to SARS-CoV-2 infection among HCWs as a share of total health expenditure ranged from 1.51% in Colombia to 8.38% in Western Cape province, South Africa. This economic burden to society highlights the importance of adequate infection prevention and control measures to minimize the risk of SARS-CoV-2 infection in HCWs.


Asunto(s)
COVID-19 , Niño , Humanos , COVID-19/epidemiología , SARS-CoV-2 , Pandemias/prevención & control , Estrés Financiero , Sudáfrica/epidemiología , Personal de Salud
7.
Artículo en Español | LILACS, COLNAL | ID: biblio-1552753

RESUMEN

Introducción: El bienestar laboral es un tema importante en las organizaciones, pues con este se busca mejorar las condiciones laborales y sociales en los contextos de trabajo, motivar al trabajador y promover el desarrollo personal, con el fin de desarrollar la salud, generando como ganancia el compromiso de los trabajadores Objetivo: Establecer la correlación entre el bienestar laboral y el compromiso organizacional Metodología: Revisión de la literatura. La información se obtuvo en diferentes bases de datos, considerando los descriptores y la conjunción de estos con operadores booleanos; así como con criterios de inclusión y exclusión. La información se organizó en una matriz de Excel, y se utilizó un diagrama de procesos para su elección. El análisis se ejecutó mediante un resumen analítico de investigación. Desarrollo y discusión: Se converge en que para una organización es importante el bienestar de los trabajadores y las intervenciones que puede realizar la gerencia para desarrollarlo. El compromiso de los trabajadores con la organización permite el crecimiento productivo Conclusión: La correlación que se establece entre el bienestar laboral y el compromiso organizacional es de conse-cuencia y en ambas vías: si un trabajador goza de bienestar laboral, se siente comprometido con la organización y da lo mejor de sí mismo hacia el logro de los objetivos organizacionales. A su vez, se alcanzan las metas personales, porque la organización se centra en promover el bienestar de sus empleados. Palabras clave: calidad de vida; compromiso laboral; promoción de la salud; salud laboral; satisfacción en el trabajo


Introduction: Labor well-being is an important issue in organizations, with this it seeks to improve working and social conditions in work contexts, motivate the worker and promote personal develop-ment in order to develop health, generating as a profit the commitment of workers Objective: Establish the correlation between the well-being work and the organizational commitment Methodology: A review of the literature was carried out, the information was obtained in different databases, considering the descriptors and the conjunction of these with Boolean operators; inclusion and exclusion criteria, the information was organized in an Excel matrix, a process diagram was used for the choice. The analysis was executed using an analytical summary of research. Development and Discussion: It converges on the importance that the well-being of workers has for an organization and the interventions that management can carry out to develop it. Conclusion: The correlation that is established between work well-being and organizational commit-ment is consequential and in both ways, if a worker enjoys work well-being he feels committed to the organization, gives the best of himself, towards the achievement of organizational objectives, in turn personal goals are achieved, because the organization focuses on promoting the well-being of its employees.


Introdução: O bem-estar no local de trabalho é uma questão importante nas organizações, pois busca melhorar as condições de trabalho e sociais nos contextos de trabalho, motivar o trabalhador e promover o desenvolvimento pessoal, com o objetivo de desenvolver a saúde, gerando como ganho o comprometimento dos trabalhadores. Objetivo: Estabelecer a correlação entre bem-estar no trabalho e comprometimento organizacional. Metodologia: Revisão da literatura. As informações foram obtidas em diferentes bancos de dados, considerando os descritores e a conjugação desses com operadores booleanos, bem como os critérios de inclusão e exclusão. As informações foram organizadas em uma matriz do Excel, e um diagrama de processo foi usado para sua eleição. A análise foi realizada por meio de um resumo analítico de pesquisa. Desenvolvimento e discussão: Há uma convergência sobre a importância do bem-estar dos fun-cionários para uma organização e as intervenções que a gerência pode fazer para desenvolvê-lo. O compromisso dos funcionários com a organização possibilita o crescimento produtivo. Conclusão: A correlação entre bem-estar no trabalho e o comprometimento organizacional é bidi-recional: se um funcionário desfruta de bem-estar no trabalho, ele se sente comprometido com a organização e dá o melhor de si para atingir as metas organizacionais. Por sua vez, as metas pessoais são alcançadas, porque a organização se concentra em promover o bem-estar de seus funcionários.


Asunto(s)
Salud Laboral , Calidad de Vida , Compromiso Laboral , Promoción de la Salud , Satisfacción en el Trabajo
8.
Plants (Basel) ; 11(18)2022 Sep 08.
Artículo en Inglés | MEDLINE | ID: mdl-36145746

RESUMEN

Alien plant species are colonizing high-elevation areas along roadsides. In this study, we evaluated whether the distributions of alien plants in the central Chilean mountains have reached climatic equilibrium (i.e., upper distribution limits consistent with their climatic requirements). First, we evaluated whether the upper elevational limits of alien plants changed between 2008 and 2018 based on the Mountain Invasion Research Network (MIREN) database. Second, we compared the observed upper elevational limits with the upper limits predicted by each species' global climatic niche. On average across species, the upper elevation limit did not change between 2008 and 2018. However, most species maintained the same limit or shifted downward, while only 23% of the species shifted upwards. This lack of change does not mean that the species' distributions are in equilibrium with the climate, because the observed upper limit was lower than the limit predicted by the global niche model for 87% of species. Our results suggest that alien species in this study region may not only be climate-limited, but could also be limited by other local-scale factors, such as seed dispersal, intermittent disturbance rates, soil type and biotic interactions.

9.
Clin Transplant ; 36(6): e14667, 2022 06.
Artículo en Inglés | MEDLINE | ID: mdl-35435293

RESUMEN

Living donor liver transplantation was first developed to mitigate the limited access to deceased donor organs in Asia in the 1990s. This alternative liver transplantation option has become an established and widely practiced transplantation method for adult patients suffering from end-stage liver disease. It has successfully addressed the shortage of deceased donors. The Society for the Advancement of Transplant Anesthesia and the Korean Society of Transplant Anesthesia jointly reviewed published studies on the perioperative management of live donor liver transplant recipients. The review aims to offer transplant anesthesiologists and critical care physicians a comprehensive overview of the perioperative management of adult live liver transplantation recipients. We feature the status, outcomes, surgical procedure, portal venous decompression, anesthetic management, prevention of acute kidney injury, avoidance of blood transfusion, monitoring and therapeutic strategies of hemodynamic derangements, and Enhanced Recovery After Surgery protocols for liver transplant recipients.


Asunto(s)
Enfermedad Hepática en Estado Terminal , Trasplante de Hígado , Adulto , Transfusión Sanguínea , Enfermedad Hepática en Estado Terminal/cirugía , Humanos , Trasplante de Hígado/métodos , Donadores Vivos , Receptores de Trasplantes
10.
Neurol Int ; 14(1): 284-293, 2022 Mar 17.
Artículo en Inglés | MEDLINE | ID: mdl-35324579

RESUMEN

Here, a study of NMOSD in Central America and the Caribbean with a multinational collaborative, multicentric and descriptive approach involving 25 institutions from 9 countries is presented. Demographics, clinical manifestations, expanded disability scale status (EDSS), brain and spinal cord MRI, serological anti-AQP4-IgG and anti-MOG-IgG antibodies, and cerebrospinal fluid (CSF) oligoclonal bands were included. A central serological repository utilized the cell-based assay. The specimens outside of this network employed diverse methodologies. Data were collected at the Gorgas Commemorative Institute of Health Studies (ICGES), Panama, and included 186 subjects, of which 84% were females (sex ratio of 5.6:1). Mestizos constituted 72% of the study group. The median age was 42.5 years (IQR: 32.0-52.0). Associated autoimmune diseases (8.1%) were myasthenia gravis, Sjögren's syndrome and systemic lupus erythematosus. The most common manifestation was optic neuritis-transverse myelitis (42.5%). A relapsing course was described in 72.3% of cases. EDSS scores of 0-3.5 were reported in 57.2% of cases and higher than 7.0 in 14.5%. Positive anti-AQP4-IgG antibody occurred in 59.8% and anti-MOG-IgG antibody in 11.5% of individuals. Antibody testing was lacking for 13.4% of patients. The estimated crude prevalence of NMOSD from Panama and the Dominican Republic was 1.62/100,000 (incidence of 0.08-0.41) and 0.73/100,000 (incidence 0.02-0.14), respectively. This multinational study contributes additional insights and data on the understanding of NMOSD in this Latin American region.

11.
Sci Total Environ ; 811: 152452, 2022 Mar 10.
Artículo en Inglés | MEDLINE | ID: mdl-34933048

RESUMEN

The increase of vineyard's water consumption due to the Global Warming Phenomenon (GWP) has forced the winegrowers to strengthen their irrigation and water stewardship efforts, intended for maintaining this resource's long-term sustainable use. Due to water being a limited resource, implementing the Water Footprint (WF) concept in winegrapes production provides helpful information for sustainable water stewardship. Currently, an automated version of the satellite-based METRIC (Mapping Evapotranspiration with Internalized Calibration) model, the Google Earth Engine Evapotranspiration Flux (EEFlux) platform, has been suggested as an alternative to analyzing the spatial variability of an entire field's water consumption throughout the growing season. This work aimed to evaluate the potential application of the EEFlux satellite's actual evapotranspiration (ETa) products and ancillary field data to obtain the WF blue (WFb) and green (WFg) of six commercial vineyards placed in the Chilean central zone. Firstly, the reliability of the daily actual evapotranspiration data from EEFlux (ETa EEFlux) was assessed against measured ETa data, using an available database from previous studies. The results of ETa EEFlux estimations against measured ETa were impressive, presenting a root square error (RMSE) of 0.8 mm day-1. The satellite-derived crop coefficients (Kc Sat) allowed to estimate the total WF of each vineyard, in a range of 200 to 900 m3 t-1, showing an average relative error (RE) of 101%, between the satellite-based WFb (WFb Sat) and those calculated from irrigation records (WFb). These results reflected the particular conditions of each vineyard and can be considered reasonable since they were estimated from ancillary data and EEFlux products. This study provides new insights that may represent opportunities to sustainably managing the irrigation of vineyards.


Asunto(s)
Agua , Chile , Granjas , Reproducibilidad de los Resultados
12.
Mult Scler Relat Disord ; 51: 102886, 2021 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-33744758

RESUMEN

BACKGROUND: There is no data regarding COVID-19 in Multiple Sclerosis (MS) and neuromyelitis optica spectrum disorder (NMOSD) patients in Latin America. OBJECTIVE: The objective of this study was to describe the clinical characteristics and outcomes of patients included in RELACOEM, a LATAM registry of MS and NMOSD patients infected with COVID-19. METHODS: RELACOEM is a longitudinal, strictly observational registry of MS and NMOSD patients who suffer COVID-19 and Dengue in LATAM. Inclusion criteria to the registry were either: (1) a biologically confirmed COVID-19 diagnosis based on a positive result of a COVID-19 polymerase chain reaction (PCR) test on a nasopharyngeal swab; or (2) COVID-19-typical symptoms (triad of cough, fever, and asthenia) in an epidemic zone of COVID-19. Descriptive statistics were performed on demographic and clinical variables. The cohort was later stratified for MS and NMOSD and univariate and multivariate logistic regression analysis was performed to identify variables associated with hospitalizations/intensive critical units (ICU) admission. RESULTS: 145 patients were included in the registry from 15 countries and 51 treating physicians. A total of 129 (89%) were MS patients and 16 (11%) NMOSD. 81.4% patients had confirmed COVID-19 and 18.6% were suspected cases. 23 (15.8%) patients were hospitalized, 9 (6.2%) required ICU and 5 (3.4 %) died due to COVID-19. In MS patients, greater age (OR 1.17, 95% CI 1.05 - 1.25) and disease duration (OR 1.39, 95%CI 1.14-1.69) were associated with hospitalization/ICU. In NMOSD patients, a greater age (54.3 vs. 36 years, p=<0.001), increased EDSS (5.5 vs 2.9, p=0.0012) and disease duration (18.5 vs. 10.3 years, p=0.001) were significantly associated with hospitalization/ICU. CONCLUSION: we found that in MS patients, age and disease duration was associated with hospitalization and ICU admission requirement, while age, disease duration and EDSS was associated in NMOSD.


Asunto(s)
COVID-19 , Esclerosis Múltiple , Neuromielitis Óptica , Prueba de COVID-19 , Humanos , América Latina/epidemiología , Esclerosis Múltiple/complicaciones , Esclerosis Múltiple/epidemiología , Neuromielitis Óptica/epidemiología , SARS-CoV-2
13.
World J Surg ; 45(5): 1262-1271, 2021 05.
Artículo en Inglés | MEDLINE | ID: mdl-33620540

RESUMEN

INTRODUCTION: Enhanced recovery after surgery (ERAS) has been shown to facilitate discharge, decrease length of stay, improve outcomes and reduce costs. We used this concept to design a comprehensive fast-track pathway (OR-to-discharge) before starting our liver transplant activity and then applied this protocol prospectively to every patient undergoing liver transplantation at our institution, monitoring the results periodically. We now report our first six years results. PATIENTS AND METHODS: Prospective cohort study of all the liver transplants performed at our institution for the first six years. Balanced general anesthesia, fluid restriction, thromboelastometry, inferior vena cava preservation and temporary portocaval shunt were strategies common to all cases. Standard immunosuppression administered included steroids, tacrolimus (delayed in the setting of renal impairment, with basiliximab induction added) and mycophenolate mofetil. Tacrolimus dosing was adjusted using a Bayesian estimation methodology. Oral intake and ambulation were started early. RESULTS: A total of 240 transplants were performed in 236 patients (191♂/45♀) over 74 months, mean age 56.3±9.6 years, raw MELD score 15.5±7.7. Predominant etiologies were alcohol (n = 136) and HCV (n = 82), with hepatocellular carcinoma present in 129 (54.7%). Nine patients received combined liver and kidney transplants. The mean operating time was 315±64 min with cold ischemia times of 279±88 min. Thirty-one patients (13.1%) were transfused in the OR (2.4±1.2 units of PRBC). Extubation was immediate (< 30 min) in all but four patients. Median ICU length of stay was 12.7 hours, and median post-transplant hospital stay was 4 days (2-76) with 30 patients (13.8%) going home by day 2, 87 (39.9%) by day 3, and 133 (61%) by day 4, defining our fast-track group. Thirty-day-readmission rate (34.9%) was significantly lower (28.6% vs. 44.7% p=0.015) in the fast-track group. Patient survival was 86.8% at 1 year and 78.6% at five years. CONCLUSION: Fast-Tracking of Liver Transplant patients is feasible and can be applied as the standard of care.


Asunto(s)
Recuperación Mejorada Después de la Cirugía , Trasplante de Hígado , Anciano , Teorema de Bayes , Humanos , Tiempo de Internación , Persona de Mediana Edad , Estudios Prospectivos
14.
Int J Surg ; 85: 46-54, 2021 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-33338651

RESUMEN

BACKGROUND & AIMS: Few studies have fully applied an enhanced recovery after surgery (ERAS) protocol to liver transplantation (LT). Our aim was to assess the effects of a comprehensive ERAS protocol in our cohort of low- and medium-risk LT patients. METHODS: The ERAS protocol included pre-, intra-, and post-operative steps. During the five-year study period, 181 LT were performed in our institution. Two cohorts were identified: low risk patients (n = 101) had a laboratory model for end-stage liver disease (MELD) score of 20 points or less at the time of LT, received a liver from a donor after brain death, and had a balance of risk score of 9 points or less; medium-risk patients (n = 15) had identical characteristics except for a higher MELD score (21-30 points). In addition, we analyzed the remaining patients (n = 65) who were transplanted over the same study period separately using the ERAS protocol. RESULTS: The low-risk cohort showed a low need for packed red blood cells transfusion (median: 0 units) and renal replacement therapy (1%), as well as a short length of stay both in the intensive care unit (13 h) and in the hospital (4 days); morbidity during one-year follow-up, and probability of surviving to one year (89.30%) and five years (76.99%) were in line with well-established reference data. Similar findings were observed in the medium-risk cohort. CONCLUSIONS: This single-center prospective observational cohort study provides evidence that ERAS is feasible and safe for low- and medium-risk LT.


Asunto(s)
Recuperación Mejorada Después de la Cirugía , Trasplante de Hígado/efectos adversos , Anciano , Femenino , Humanos , Masculino , Persona de Mediana Edad , Estudios Prospectivos , Factores de Riesgo
15.
Animals (Basel) ; 10(8)2020 Aug 07.
Artículo en Inglés | MEDLINE | ID: mdl-32784781

RESUMEN

Spanish goat encephalitis virus (SGEV), a novel subtype of tick-borne flavivirus closely related to louping ill virus, causes a neurological disease in experimentally infected goats and lambs. Here, the distribution of microglia, T and B lymphocytes, and astrocytes was determined in the encephalon and spinal cord of eight Assaf lambs subcutaneously infected with SGEV. Cells were identified based on immunohistochemical staining against Iba1 (microglia), CD3 (T lymphocytes), CD20 (B lymphocytes), and glial fibrillary acidic protein (astrocytes). In glial foci and perivascular cuffing areas, microglia were the most abundant cell type (45.4% of immunostained cells), followed by T lymphocytes (18.6%) and B lymphocytes (4.4%). Thalamus, hypothalamus, corpus callosum, and medulla oblongata contained the largest areas occupied by glial foci. Reactive astrogliosis occurred to a greater extent in the lumbosacral spinal cord than in other regions of the central nervous system. Lesions were more frequent on the side of the animal experimentally infected with the virus. Lesions were more severe in lambs than in goats, suggesting that lambs may be more susceptible to SGEV, which may be due to species differences or to interindividual differences in the immune response, rather than to differences in the relative proportions of immune cells. Larger studies that monitor natural or experimental infections may help clarify local immune responses to this flavivirus subtype in the central nervous system.

16.
Fam Syst Health ; 38(2): 105-115, 2020 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-32525347

RESUMEN

INTRODUCTION: Chronic conditions, particularly diabetes, and related health conditions continue to be a major concern in the United States, especially in Hispanic populations. This study evaluated the effect of an integrated behavioral health care model, including promotoras(es), on a primarily Hispanic population living with diabetes. METHOD: Seven hundred fifty-six participants were enrolled in an intervention (n = 329) or comparison group (n = 427) and followed up for 12 months. We used a quasiexperimental design to compare participants who received coordinated integrated behavioral health care with those who received usual care from a federally qualified health center. The outcomes were HbA1c, blood pressure, body mass index, depressive symptoms (Patient Health Questionnaire-9), and quality of life (QoL). These outcomes were analyzed as continuous variables using linear regression with backward model selection. Longitudinal analyses were conducted using a likelihood-based approach to general linear mixed models. RESULTS: A total 563 intervention (n = 239) and comparison (n = 324) participants completed an end point assessment. After adjusting for important covariates, the intervention had a QoL score 5.36 points higher than the comparison participants on average after 12 months. The trajectories of QoL and Patient Health Questionnaire-9 scores differed over time, with intervention participants experiencing greater improvements. There were no statistically significant differences detected for other outcomes. DISCUSSION: Enabling access to services and providers to enhance participants' ability to manage their chronic disease led to positive impacts on mental health. The connection between QoL and diabetes has been of great interest to researchers, including the effects of relationships with promotoras(es). The impact of integrating care on QoL in this vulnerable population is discussed. (PsycInfo Database Record (c) 2020 APA, all rights reserved).


Asunto(s)
Prestación Integrada de Atención de Salud/normas , Emigración e Inmigración/tendencias , Área sin Atención Médica , Adulto , Anciano , Presión Sanguínea , Índice de Masa Corporal , Prestación Integrada de Atención de Salud/métodos , Prestación Integrada de Atención de Salud/tendencias , Depresión/epidemiología , Depresión/psicología , Depresión/terapia , Femenino , Hemoglobina Glucada/análisis , Humanos , Masculino , México , Persona de Mediana Edad , Evaluación de Resultado en la Atención de Salud , Cuestionario de Salud del Paciente , Estados Unidos
17.
Vet Immunol Immunopathol ; 220: 109978, 2020 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-31821945

RESUMEN

Spanish goat encephalitis virus (SGEV) is a novel tick-borne flavivirus subtype, closely related to the flavivirus louping ill virus (LIV). SGEV caused a severe, acute and mortal neurological disease outbreak in northern Spain in a goat herd. In order to characterize the cell population in lesions and to determine the distribution of the inflammatory cells, central nervous system (CNS) samples of nine female Alpine goats challenged subcutaneously with SGEV over the right thorax behind the elbow were evaluated using immunohistochemistry (microglia-Iba1, T lymphocytes-CD3, B lymphocytes-CD20 and astrocytes-GFAP). The number of microglia (37.8 %) and T lymphocytes (21.5 %) was greater than the number of B lymphocytes (16.8 %). Goats were classified into clusters based on the severity of histological lesions in CNS (A-mild to moderate lesions and B-severe lesions). Microglia was significantly more abundant than T and B lymphocytes in cluster B (severe lesions). The total area occupied by glial foci revealed that medulla oblongata and spinal cord were the most affected tissues. Astrogliosis (GFAP+) was present in the majority of the CNS sections being near to the pial surface. The lesion predominance on the right side of the medulla oblongata, which could be associated to the site of challenge suggestive of neurotropic route was also statistically confirmed. Results suggest that the cellular immune response would be the most important response to the SGEV infection.


Asunto(s)
Encéfalo/citología , Encéfalo/inmunología , Encefalitis/virología , Infecciones por Flavivirus/veterinaria , Enfermedades de las Cabras/virología , Inmunidad Celular , Animales , Encéfalo/virología , Encefalitis/inmunología , Virus de la Encefalitis Transmitidos por Garrapatas/inmunología , Femenino , Flavivirus/inmunología , Flavivirus/patogenicidad , Infecciones por Flavivirus/inmunología , Enfermedades de las Cabras/inmunología , Cabras , Microglía/virología , Fenotipo , España
18.
Toxicon ; 157: 8-11, 2019 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-30447273

RESUMEN

A disease characterized by ataxia, tremors and nystagmus had been observed in goats in Nicaragua. The main histologic lesions were loss and neuronal vacuolation of Purkinje cells and Wallerian-like degeneration mainly in the cerebellum, suggesting a glycoprotein storage disease. Ipomoea carnea and Ipomoea trifida found in the paddocks were negative for swainsonine, but contained calystegines at 0.02% and 0.06% suggesting that the disease was caused by these substances, which are competitive inhibitors of ß-glucosidase and α-galactosidase activities.


Asunto(s)
Enfermedades de las Cabras/etiología , Ipomoea/química , Intoxicación por Plantas/veterinaria , Tropanos/toxicidad , Animales , Ataxia/etiología , Cerebelo/patología , Dieta/veterinaria , Femenino , Cabras , Errores Innatos del Metabolismo/patología , Errores Innatos del Metabolismo/veterinaria , Nicaragua , Intoxicación por Plantas/patología , Células de Purkinje/patología , Temblor/etiología
19.
PLoS One ; 13(9): e0203116, 2018.
Artículo en Inglés | MEDLINE | ID: mdl-30208093

RESUMEN

From 2010 to 2014 two trials were performed to assess the effect of sowing date (SD1, SD2) and irrigation treatments (IT1, IT2) on the growth of chia in central Chile, measuring leaf area (LA) and dry matter (DM) as primary parameters and relative growth rate (RGR), net assimilation rate (NAR), leaf weight ratio (LWR), crop growth rate (CGR) and specific leaf weight (SLW) as secondary parameters. Both LA and DM reached maximum values between 640 and 1150 accumulated degree days (ADD). However, LA and DM were 25% greater for sowing dates than for available water. Flowering date was also not affected by sowing date or water availability; plants flowered at 1140 and 942 ADD in SD1 and SD2 respectively, and at 499 ADD in the water availability trial. Sowing date had a significant effect on RGR 0.15 g g-1 d-1 for SD1 and 0.12 g g-1 d-1 for SD2 at 410 ADD. Greater water availability increased RGR by 60% compared to stressed plants, however NAR was similar between sowing dates with a tendency to greater values in SD2 plants; maximum values were recorded at 514 ADD in IT1 and IT2, with a tendency toward higher values in IT1. Thus, the primary growth variables LA, DM and flowering are genetically determined. However, the derived growth variables RGR, LWR, NAR, CGR and SLW were affected by sowing date and water availability, with significant differences at p≤ 0.05. The results showed that the sowing date and water availability influence significantly the growth parameters. The physiological component (NAR) show a strong influence on the growth rate of the chia (RGR), above the morphological component (SLW and LAR).


Asunto(s)
Salvia/efectos de los fármacos , Salvia/crecimiento & desarrollo , Agua/farmacología , Chile , Modelos Estadísticos , Hojas de la Planta/efectos de los fármacos , Hojas de la Planta/crecimiento & desarrollo , Temperatura , Factores de Tiempo
20.
J Virol Methods ; 255: 98-100, 2018 05.
Artículo en Inglés | MEDLINE | ID: mdl-29481880

RESUMEN

Louping ill-like virus (LI) has been recently detected in two different locations in the north of Spain and separated by only around 400 km. Using molecular approaches, the viruses causing both outbreaks have been shown to be different to LI virus, but also different to each other. They have been called SSEV (Spanish sheep encephalitis virus) and SGEV (Spanish goat encephalitis virus) taking into account the species from which they were isolated. The aim of this paper was to design a quantitative TaqMan real-time RT-PCR protocol, for the specific diagnostic and quantitation of SGEV. Linearity, efficiency and dynamic range as well as reproducibility and specificity of the method has been tested and established. The method has proved to be valid for the specific detection and viral load quantitation of SGEV genome in virus isolates and tissue samples from infected animals. This assay will be a useful analytical tool in early diagnosis and epidemiological surveys.


Asunto(s)
Virus de la Encefalitis/genética , Encefalitis por Arbovirus/veterinaria , Enfermedades de las Cabras/diagnóstico , Enfermedades de las Cabras/virología , Reacción en Cadena en Tiempo Real de la Polimerasa , Secuencia de Aminoácidos , Animales , Cabras , Reacción en Cadena en Tiempo Real de la Polimerasa/métodos , España , Carga Viral , Proteínas no Estructurales Virales/química , Proteínas no Estructurales Virales/genética
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