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1.
Fertil Steril ; 115(1): 180-190, 2021 01.
Artigo em Inglês | MEDLINE | ID: mdl-33272617

RESUMO

STUDY QUESTION: Can the priorities for future research in infertility be identified? SUMMARY ANSWER: The top 10 research priorities for the four areas of male infertility, female and unexplained infertility, medically assisted reproduction, and ethics, access, and organization of care for people with fertility problems were identified. WHAT IS KNOWN ALREADY: Many fundamental questions regarding the prevention, management, and consequences of infertility remain unanswered. This is a barrier to improving the care received by those people with fertility problems. STUDY DESIGN, SIZE, DURATION: Potential research questions were collated from an initial international survey, a systematic review of clinical practice guidelines, and Cochrane systematic reviews. A rationalized list of confirmed research uncertainties was prioritized in an interim international survey. Prioritized research uncertainties were discussed during a consensus development meeting. Using a formal consensus development method, the modified nominal group technique, diverse stakeholders identified the top 10 research priorities for each of the categories male infertility, female and unexplained infertility, medically assisted reproduction, and ethics, access, and organization of care. PARTICIPANTS/MATERIALS, SETTING, METHODS: Healthcare professionals, people with fertility problems, and others (healthcare funders, healthcare providers, healthcare regulators, research funding bodies and researchers) were brought together in an open and transparent process using formal consensus methods advocated by the James Lind Alliance. MAIN RESULTS AND THE ROLE OF CHANCE: The initial survey was completed by 388 participants from 40 countries, and 423 potential research questions were submitted. Fourteen clinical practice guidelines and 162 Cochrane systematic reviews identified a further 236 potential research questions. A rationalized list of 231 confirmed research uncertainties were entered into an interim prioritization survey completed by 317 respondents from 43 countries. The top 10 research priorities for each of the four categories male infertility, female and unexplained infertility (including age-related infertility, ovarian cysts, uterine cavity abnormalities, and tubal factor infertility), medically assisted reproduction (including ovarian stimulation, IUI, and IVF), and ethics, access, and organization of care, were identified during a consensus development meeting involving 41 participants from 11 countries. These research priorities were diverse and seek answers to questions regarding prevention, treatment, and the longer-term impact of infertility. They highlight the importance of pursuing research which has often been overlooked, including addressing the emotional and psychological impact of infertility, improving access to fertility treatment, particularly in lower resource settings, and securing appropriate regulation. Addressing these priorities will require diverse research methodologies, including laboratory-based science, qualitative and quantitative research, and population science. LIMITATIONS, REASONS FOR CAUTION: We used consensus development methods, which have inherent limitations, including the representativeness of the participant sample, methodological decisions informed by professional judgement, and arbitrary consensus definitions. WIDER IMPLICATIONS OF THE FINDINGS: We anticipate that identified research priorities, developed to specifically highlight the most pressing clinical needs as perceived by healthcare professionals, people with fertility problems, and others, will help research funding organizations and researchers to develop their future research agenda. STUDY FUNDING/ COMPETING INTEREST(S): The study was funded by the Auckland Medical Research Foundation, Catalyst Fund, Royal Society of New Zealand, and Maurice and Phyllis Paykel Trust. Geoffrey Adamson reports research sponsorship from Abbott, personal fees from Abbott and LabCorp, a financial interest in Advanced Reproductive Care, committee membership of the FIGO Committee on Reproductive Medicine, International Committee for Monitoring Assisted Reproductive Technologies, International Federation of Fertility Societies, and World Endometriosis Research Foundation, and research sponsorship of the International Committee for Monitoring Assisted Reproductive Technologies from Abbott and Ferring. Siladitya Bhattacharya reports being the Editor-in-Chief of Human Reproduction Open and editor for the Cochrane Gynaecology and Fertility Group. Hans Evers reports being the Editor Emeritus of Human Reproduction. Andrew Horne reports research sponsorship from the Chief Scientist's Office, Ferring, Medical Research Council, National Institute for Health Research, and Wellbeing of Women and consultancy fees from Abbvie, Ferring, Nordic Pharma, and Roche Diagnostics. M. Louise Hull reports grants from Merck, grants from Myovant, grants from Bayer, outside the submitted work and ownership in Embrace Fertility, a private fertility company. Neil Johnson reports research sponsorship from Abb-Vie and Myovant Sciences and consultancy fees from Guerbet, Myovant Sciences, Roche Diagnostics, and Vifor Pharma. José Knijnenburg reports research sponsorship from Ferring and Theramex. Richard Legro reports consultancy fees from Abbvie, Bayer, Ferring, Fractyl, Insud Pharma and Kindex and research sponsorship from Guerbet and Hass Avocado Board. Ben Mol reports consultancy fees from Guerbet, iGenomix, Merck, Merck KGaA and ObsEva. Ernest Ng reports research sponsorship from Merck. Craig Niederberger reports being the Co Editor-in-Chief of Fertility and Sterility and Section Editor of the Journal of Urology, research sponsorship from Ferring, and retains a financial interest in NexHand. Jane Stewart reports being employed by a National Health Service fertility clinic, consultancy fees from Merck for educational events, sponsorship to attend a fertility conference from Ferring, and being a clinical subeditor of Human Fertility. Annika Strandell reports consultancy fees from Guerbet. Jack Wilkinson reports being a statistical editor for the Cochrane Gynaecology and Fertility Group. Andy Vail reports that he is a Statistical Editor of the Cochrane Gynaecology & Fertility Review Group and of the journal Reproduction. His employing institution has received payment from HFEA for his advice on review of research evidence to inform their 'traffic light' system for infertility treatment 'add-ons'. Lan Vuong reports consultancy and conference fees from Ferring, Merck and Merck Sharp and Dohme. The remaining authors declare no competing interests in relation to the present work. All authors have completed the disclosure form. TRIAL REGISTRATION NUMBER: Not applicable.


Assuntos
Infertilidade , Medicina Reprodutiva/tendências , Pesquisa/tendências , Consenso , Técnica Delphi , Feminino , Clínicas de Fertilização/organização & administração , Clínicas de Fertilização/normas , Clínicas de Fertilização/tendências , Humanos , Infertilidade/etiologia , Infertilidade/terapia , Cooperação Internacional , Masculino , Guias de Prática Clínica como Assunto/normas , Gravidez , Medicina Reprodutiva/organização & administração , Medicina Reprodutiva/normas , Pesquisa/organização & administração , Pesquisa/normas
2.
Hum Reprod ; 35(12): 2715-2724, 2020 12 01.
Artigo em Inglês | MEDLINE | ID: mdl-33252677

RESUMO

STUDY QUESTION: Can the priorities for future research in infertility be identified? SUMMARY ANSWER: The top 10 research priorities for the four areas of male infertility, female and unexplained infertility, medically assisted reproduction and ethics, access and organization of care for people with fertility problems were identified. WHAT IS KNOWN ALREADY: Many fundamental questions regarding the prevention, management and consequences of infertility remain unanswered. This is a barrier to improving the care received by those people with fertility problems. STUDY DESIGN, SIZE, DURATION: Potential research questions were collated from an initial international survey, a systematic review of clinical practice guidelines and Cochrane systematic reviews. A rationalized list of confirmed research uncertainties was prioritized in an interim international survey. Prioritized research uncertainties were discussed during a consensus development meeting. Using a formal consensus development method, the modified nominal group technique, diverse stakeholders identified the top 10 research priorities for each of the categories male infertility, female and unexplained infertility, medically assisted reproduction and ethics, access and organization of care. PARTICIPANTS/MATERIALS, SETTING, METHODS: Healthcare professionals, people with fertility problems and others (healthcare funders, healthcare providers, healthcare regulators, research funding bodies and researchers) were brought together in an open and transparent process using formal consensus methods advocated by the James Lind Alliance. MAIN RESULTS AND THE ROLE OF CHANCE: The initial survey was completed by 388 participants from 40 countries, and 423 potential research questions were submitted. Fourteen clinical practice guidelines and 162 Cochrane systematic reviews identified a further 236 potential research questions. A rationalized list of 231 confirmed research uncertainties was entered into an interim prioritization survey completed by 317 respondents from 43 countries. The top 10 research priorities for each of the four categories male infertility, female and unexplained infertility (including age-related infertility, ovarian cysts, uterine cavity abnormalities and tubal factor infertility), medically assisted reproduction (including ovarian stimulation, IUI and IVF) and ethics, access and organization of care were identified during a consensus development meeting involving 41 participants from 11 countries. These research priorities were diverse and seek answers to questions regarding prevention, treatment and the longer-term impact of infertility. They highlight the importance of pursuing research which has often been overlooked, including addressing the emotional and psychological impact of infertility, improving access to fertility treatment, particularly in lower resource settings and securing appropriate regulation. Addressing these priorities will require diverse research methodologies, including laboratory-based science, qualitative and quantitative research and population science. LIMITATIONS, REASONS FOR CAUTION: We used consensus development methods, which have inherent limitations, including the representativeness of the participant sample, methodological decisions informed by professional judgment and arbitrary consensus definitions. WIDER IMPLICATIONS OF THE FINDINGS: We anticipate that identified research priorities, developed to specifically highlight the most pressing clinical needs as perceived by healthcare professionals, people with fertility problems and others, will help research funding organizations and researchers to develop their future research agenda. STUDY FUNDING/COMPETING INTEREST(S): The study was funded by the Auckland Medical Research Foundation, Catalyst Fund, Royal Society of New Zealand and Maurice and Phyllis Paykel Trust. G.D.A. reports research sponsorship from Abbott, personal fees from Abbott and LabCorp, a financial interest in Advanced Reproductive Care, committee membership of the FIGO Committee on Reproductive Medicine, International Committee for Monitoring Assisted Reproductive Technologies, International Federation of Fertility Societies and World Endometriosis Research Foundation, and research sponsorship of the International Committee for Monitoring Assisted Reproductive Technologies from Abbott and Ferring. Siladitya Bhattacharya reports being the Editor-in-Chief of Human Reproduction Open and editor for the Cochrane Gynaecology and Fertility Group. J.L.H.E. reports being the Editor Emeritus of Human Reproduction. A.W.H. reports research sponsorship from the Chief Scientist's Office, Ferring, Medical Research Council, National Institute for Health Research and Wellbeing of Women and consultancy fees from AbbVie, Ferring, Nordic Pharma and Roche Diagnostics. M.L.H. reports grants from Merck, grants from Myovant, grants from Bayer, outside the submitted work and ownership in Embrace Fertility, a private fertility company. N.P.J. reports research sponsorship from AbbVie and Myovant Sciences and consultancy fees from Guerbet, Myovant Sciences, Roche Diagnostics and Vifor Pharma. J.M.L.K. reports research sponsorship from Ferring and Theramex. R.S.L. reports consultancy fees from AbbVie, Bayer, Ferring, Fractyl, Insud Pharma and Kindex and research sponsorship from Guerbet and Hass Avocado Board. B.W.M. reports consultancy fees from Guerbet, iGenomix, Merck, Merck KGaA and ObsEva. E.H.Y.N. reports research sponsorship from Merck. C.N. reports being the Co Editor-in-Chief of Fertility and Sterility and Section Editor of the Journal of Urology, research sponsorship from Ferring and retains a financial interest in NexHand. J.S. reports being employed by a National Health Service fertility clinic, consultancy fees from Merck for educational events, sponsorship to attend a fertility conference from Ferring and being a clinical subeditor of Human Fertility. A.S. reports consultancy fees from Guerbet. J.W. reports being a statistical editor for the Cochrane Gynaecology and Fertility Group. A.V. reports that he is a Statistical Editor of the Cochrane Gynaecology & Fertility Review Group and the journal Reproduction. His employing institution has received payment from Human Fertilisation and Embryology Authority for his advice on review of research evidence to inform their 'traffic light' system for infertility treatment 'add-ons'. N.L.V. reports consultancy and conference fees from Ferring, Merck and Merck Sharp and Dohme. The remaining authors declare no competing interests in relation to the present work. All authors have completed the disclosure form. TRIAL REGISTRATION NUMBER: N/A.


Assuntos
Infertilidade , Medicina Estatal , Consenso , Feminino , Humanos , Infertilidade/terapia , Masculino , Nova Zelândia , Indução da Ovulação
3.
Plant Sci ; 285: 99-109, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-31203898

RESUMO

Seed development is a complex regulatory process that includes a transition from gametophytic to sporophytic program. The synchronized development of different seed compartments (seed coat, endosperm and embryo) depends on a balance in parental genome contributions. In the most severe cases, the disruption of the balance leads to seed abortion. This represents one of the main obstacles for the engineering of asexual reproduction through seeds (apomixis), and for generating new interspecies hybrids. The repression of auxin synthesis by the Polycomb Repressive Complex 2 (PRC2) is a major mechanism contributing to sensing genome balance. However, current efforts focusing on decreasing PRC2 or elevating auxin levels have not yet resulted in the production of apomictic seed. Here, we show that EMSY-Like Tudor/Agenet H3K36me3 histone readers EML1 and EML3 are necessary for early stages of seed development to proceed at a normal rate in Arabidopsis. We further demonstrate that both EML1 and EML3 are required to prevent the initiation of seed development in the absence of fertilization. Based on the whole genome expression analysis, we identify auxin transport and signaling genes as the most enriched downstream targets of EML1 and EML3. We hypothesize that EML1 and EML3 function to repress and soften paternal gene expression by fine-tuning auxin responses. Discovery of this pathway may contribute to the engineering of apomixis and interspecies hybrids.


Assuntos
Proteínas de Arabidopsis/fisiologia , Arabidopsis/crescimento & desenvolvimento , Proteínas do Citoesqueleto/fisiologia , Histonas/metabolismo , Proteínas Nucleares/fisiologia , Sementes/crescimento & desenvolvimento , Apomixia , Arabidopsis/genética , Arabidopsis/fisiologia , Proteínas de Arabidopsis/genética , Proteínas do Citoesqueleto/genética , Fertilização , Proteínas Nucleares/genética , Filogenia , Plantas Geneticamente Modificadas , Reação em Cadeia da Polimerase , Sementes/fisiologia
4.
Bot Rev ; 84(3): 295-314, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30174336

RESUMO

Cycads are the most endangered of plant groups based on IUCN Red List assessments; all are in Appendix I or II of CITES, about 40% are within biodiversity 'hotspots,' and the call for action to improve their protection is long-standing. We contend that progress in this direction will not be made until there is better understanding of cycad pollen, seed and tissue biology, which at the moment is limited to relatively few (<10%) species. We review what is known about germplasm (seed and pollen) storage and germination, together with recent developments in the application of contemporary technologies to tissues, such as isotype labelling, biomolecular markers and tissue culture. Whilst progress is being made, we conclude that an acceleration of comparative studies is needed to facilitate the integration of in situ and ex situ conservation programmes to better safeguard endangered cycads.

5.
Cryo Letters ; 39(1): 14-38, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-29734412

RESUMO

BACKGROUND: The development of encapsulation technologies has played an important role in improving cryopreservation outcomes for many cell and tissue types over the past 20 years. Alginate encapsulation cryopreservation (AECryo) has been incorporated into a range of applications in biotechnology, species conservation and clinical therapies, using cells from many different phyla, including higher plants, animal and human cells. This review describes the background to the origins of AECryo, the development of AECryo in higher plant tissues, broadening to current applications in algal conservation, the roles for AECryo in preserving phytodiversity, fungal species and in animal and human cells. OBJECTIVE: The main aims are to provide information resources on AECryo in different areas of biology and to stimulate new ideas for wider applications and future improvement. The translation of this useful biopreservation strategy into new opportunities for cell cryopreservation and storage at non-freezing temperatures are also discussed.


Assuntos
Alginatos/farmacologia , Criopreservação/métodos , Congelamento , Animais , Fungos/efeitos dos fármacos , Fungos/fisiologia , Ácido Glucurônico/farmacologia , Ácidos Hexurônicos/farmacologia , Humanos , Hidrogel de Polietilenoglicol-Dimetacrilato/farmacologia , Plantas/efeitos dos fármacos
6.
J Vis Exp ; (128)2017 10 17.
Artigo em Inglês | MEDLINE | ID: mdl-29155739

RESUMO

Arabidopsis thaliana (Arabidopsis) seedlings often need to be grown on sterile media. This requires prior seed sterilization to prevent the growth of microbial contaminants present on the seed surface. Currently, Arabidopsis seeds are sterilized using two distinct sterilization techniques in conditions that differ slightly between labs and have not been standardized, often resulting in only partially effective sterilization or in excessive seed mortality. Most of these methods are also not easily scalable to a large number of seed lines of diverse genotypes. As technologies for high-throughput analysis of Arabidopsis continue to proliferate, standardized techniques for sterilizing large numbers of seeds of different genotypes are becoming essential for conducting these types of experiments. The response of a number of Arabidopsis lines to two different sterilization techniques was evaluated based on seed germination rate and the level of seed contamination with microbes and other pathogens. The treatments included different concentrations of sterilizing agents and times of exposure, combined to determine optimal conditions for Arabidopsis seed sterilization. Optimized protocols have been developed for two different sterilization methods: bleach (liquid-phase) and chlorine (Cl2) gas (vapor-phase), both resulting in high seed germination rates and minimal microbial contamination. The utility of these protocols was illustrated through the testing of both wild type and mutant seeds with a range of germination potentials. Our results show that seeds can be effectively sterilized using either method without excessive seed mortality, although detrimental effects of sterilization were observed for seeds with lower than optimal germination potential. In addition, an equation was developed to enable researchers to apply the standardized chlorine gas sterilization conditions to airtight containers of different sizes. The protocols described here allow easy, efficient, and inexpensive seed sterilization for a large number of Arabidopsis lines.


Assuntos
Arabidopsis/efeitos dos fármacos , Sementes/efeitos dos fármacos , Esterilização/métodos , Arabidopsis/genética , Clareadores , Cloro
7.
Trop Med Int Health ; 22(1): 32-40, 2017 01.
Artigo em Inglês | MEDLINE | ID: mdl-27782349

RESUMO

OBJECTIVES: A central pillar in the response to the 2014 Ebola virus disease (EVD) epidemic in Sierra Leone was the role of Ebola Holding Units (EHUs). These units isolated patients meeting a suspect case definition, tested them for EVD, initiated appropriate early treatment and discharged negative patients to onward inpatient care or home. Positive patients were referred to Ebola Treatment Centres. We aimed to estimate the risk of nosocomial transmission within these EHUs. METHODS: We followed up a cohort of 543 patients discharged with a negative EVD test from five EHUs in the Western Area, Sierra Leone, and examined all line-listed subsequent EVD tests from any facility in the Western Area to see whether the patient was retested within 30 days, matching by name, age and address. We defined possible readmissions as having the same name and age but uncertain address, and confirmed readmissions where name, age and address matched. RESULTS: We found a positive readmission rate of 3.3% (18 cases), which included 1.5% confirmed readmissions (8 cases) and 1.8% possible readmissions (10 cases). This is lower than rates previously reported. We cannot ascertain whether EVD was acquired within the EHUs or from re-exposure in the community. No demographic or clinical variables were identified as risk factors for positive readmission, likely due to our small sample size. CONCLUSIONS: These findings support the EHU model as a safe method for isolation of suspect EVD patients and their role in limiting the spread of EVD.


Assuntos
Infecção Hospitalar/epidemiologia , Instalações de Saúde/estatística & dados numéricos , Doença pelo Vírus Ebola/epidemiologia , Readmissão do Paciente/estatística & dados numéricos , Adulto , Infecção Hospitalar/transmissão , Epidemias , Feminino , Doença pelo Vírus Ebola/transmissão , Humanos , Masculino , Estudos Retrospectivos , Medição de Risco , Serra Leoa/epidemiologia
8.
J Econ Entomol ; 109(6): 2495-2499, 2016 12.
Artigo em Inglês | MEDLINE | ID: mdl-27986941

RESUMO

Few studies have addressed the efficacy of insecticides used against eggs and first-instar nymphs of the bed bug, Cimex lectularius L. (Hemiptera: Cimicidae). Insect eggs are often resistant to insecticides; therefore, information on which products are effective is important. We evaluated the efficacy of four commonly used insecticide sprays applied directly to bed bug eggs. We also evaluated the efficacy of these insecticides to first-instar nymphs exposed to residuals resulting from directly spraying eggs. Temprid SC (beta-cyfluthrin, imidacloprid) was the most effective insecticide at preventing egg hatch (13% hatch rate) for pyrethroid-resistant, field-strain (Jersey City) bed bugs compared with a control (water [99% hatch rate]), Bedlam (MGK-264, sumithrin [84% hatch rate]), Demand CS (lambda-cyhalothrin [91% hatch rate]), and Phantom SC (chlorfenapyr [95% hatch rate]). Demand CS and Temprid SC were most effective at preventing egg hatch (0%) for an insecticide-susceptible (Harold Harlan) strain, followed by Bedlam (28%). Phantom SC produced a hatch rate similar to the control (97% and 96%, respectively). Harold Harlan-strain nymphs showed 100% survival for the control but 0% survival for Bedlam and Phantom SC. Jersey City-strain nymphs showed 100% survival for the control, 99% survival for Bedlam, 0% survival for Demand CS, 4% survival for Phantom SC, and 38% survival for Temprid SC. Demand CS was less effective at preventing hatch (91% hatch rate) of Jersey City-strain nymphs but was the only product to kill all nymphs (0% survival). One of the least effective products for preventing Jersey City-strain egg hatch (Phantom SC, 95% hatch rate) was the second most effective at killing nymphs, leaving only six of 141 alive. These findings indicate that survival of directly sprayed eggs and residually exposed, first-instar nymphs varies by strain, life stage, and product used.


Assuntos
Percevejos-de-Cama , Imidazóis , Resistência a Inseticidas , Inseticidas , Nitrocompostos , Piretrinas , Animais , Longevidade/efeitos dos fármacos , Neonicotinoides , Ninfa , Óvulo
9.
Artigo em Inglês | MEDLINE | ID: mdl-27694206

RESUMO

Genomic samples of non-model organisms are becoming increasingly important in a broad range of studies from developmental biology, biodiversity analyses, to conservation. Genomic sample definition, description, quality, voucher information and metadata all need to be digitized and disseminated across scientific communities. This information needs to be concise and consistent in today's ever-increasing bioinformatic era, for complementary data aggregators to easily map databases to one another. In order to facilitate exchange of information on genomic samples and their derived data, the Global Genome Biodiversity Network (GGBN) Data Standard is intended to provide a platform based on a documented agreement to promote the efficient sharing and usage of genomic sample material and associated specimen information in a consistent way. The new data standard presented here build upon existing standards commonly used within the community extending them with the capability to exchange data on tissue, environmental and DNA sample as well as sequences. The GGBN Data Standard will reveal and democratize the hidden contents of biodiversity biobanks, for the convenience of everyone in the wider biobanking community. Technical tools exist for data providers to easily map their databases to the standard.Database URL: http://terms.tdwg.org/wiki/GGBN_Data_Standard.


Assuntos
Biodiversidade , Bases de Dados de Ácidos Nucleicos , Genoma
10.
Radiat Prot Dosimetry ; 169(1-4): 92-9, 2016 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-27103646

RESUMO

The recent reintroduction of iterative reconstruction in computed tomography has facilitated the realisation of major dose saving. The aim of this article was to investigate the possibility of achieving further savings at a site with well-established Adaptive Statistical iterative Reconstruction (ASiR™) (GE Healthcare) brain protocols. An adult patient study was conducted with observers making visual grading assessments using image quality criteria, which were compared with the frequency domain metrics, noise power spectrum and modulation transfer function. Subjective image quality equivalency was found in the 40-70% ASiR™ range, leading to the proposal of ranges for the objective metrics defining acceptable image quality. Based on the findings of both the patient-based and objective studies of the ASiR™/tube-current combinations tested, 60%/305 mA was found to fall within all, but one, of these ranges. Therefore, it is recommended that an ASiR™ level of 60%, with a noise index of 12.20, is a viable alternative to the currently used protocol featuring a 40% ASiR™ level and a noise index of 11.20, potentially representing a 16% dose saving.


Assuntos
Algoritmos , Encéfalo/diagnóstico por imagem , Exposição à Radiação/prevenção & controle , Interpretação de Imagem Radiográfica Assistida por Computador/métodos , Tomografia Computadorizada por Raios X/métodos , Humanos , Imagens de Fantasmas , Exposição à Radiação/análise , Proteção Radiológica/métodos , Intensificação de Imagem Radiográfica/métodos , Reprodutibilidade dos Testes , Sensibilidade e Especificidade , Razão Sinal-Ruído
11.
Clin Pharmacol Ther ; 100(1): 63-6, 2016 07.
Artigo em Inglês | MEDLINE | ID: mdl-26850569

RESUMO

Hospital systems increasingly utilize pharmacogenomic testing to inform clinical prescribing. Successful implementation efforts have been modeled at many academic centers. In contrast, this report provides insights into the formation of a pharmacogenomics consultation service at a safety-net hospital, which predominantly serves low-income, uninsured, and vulnerable populations. The report describes the INdiana GENomics Implementation: an Opportunity for the UnderServed (INGENIOUS) trial and addresses concerns of adjudication, credentialing, and funding.


Assuntos
Farmacogenética/organização & administração , Provedores de Redes de Segurança/organização & administração , Populações Vulneráveis , Centros Médicos Acadêmicos/organização & administração , Humanos , Pessoas sem Cobertura de Seguro de Saúde , Pobreza
12.
Clin Pharmacol Ther ; 98(2): 205-15, 2015 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-25968989

RESUMO

Developmental changes in the liver can significantly impact drug disposition. Due to the emergence of microRNAs (miRNAs) as important regulators of drug disposition gene expression, we studied age-dependent changes in miRNA expression. Expression of 533 miRNAs was measured in 90 human liver tissues (fetal, pediatric [1-17 years], and adult [28-80 years]; n = 30 each). In all, 114 miRNAs were upregulated and 72 were downregulated from fetal to pediatric, and 2 and 3, respectively, from pediatric to adult. Among the developmentally changing miRNAs, 99 miRNA-mRNA interactions were predicted or experimentally validated (e.g., hsa-miR-125b-5p-CYP1A1; hsa-miR-34a-5p-HNF4A). In human liver samples (n = 10 each), analyzed by RNA-sequencing, significant negative correlations were observed between the expression of >1,000 miRNAs and mRNAs of drug disposition and regulatory genes. Our data suggest a mechanism for the marked changes in hepatic gene expression between the fetal and pediatric developmental periods, and support a role for these age-dependent miRNAs in regulating drug disposition.


Assuntos
Envelhecimento/genética , Fígado/metabolismo , MicroRNAs/genética , Farmacogenética , Adolescente , Adulto , Fatores Etários , Idoso , Idoso de 80 Anos ou mais , Envelhecimento/metabolismo , Biotransformação/genética , Criança , Pré-Escolar , Análise por Conglomerados , Biologia Computacional , Perfilação da Expressão Gênica/métodos , Regulação da Expressão Gênica no Desenvolvimento , Regulação Enzimológica da Expressão Gênica , Humanos , Lactente , MicroRNAs/metabolismo , Pessoa de Meia-Idade
13.
J Econ Entomol ; 107(3): 1201-5, 2014 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-25026683

RESUMO

A durable termite bait containing 0.5% noviflumuron was evaluated for physical durability, retention of active ingredient, consumption by termites, and toxicity to termites over 5 yr in field studies at locations in Indiana, Mississippi, and South Carolina. Plots in Indiana and Mississippi included both natural rainfall and irrigated plots, while plots in South Carolina received only natural rainfall. Samples collected every 3 mo for the first 4 yr were evaluated for consumption with a 7 d no-choice bioassay using Reticulitermes flavipes (Kollar). Consumption and toxicity of 5 yr samples were evaluated in similar bioassays conducted for 42 d. Durable baits received from field sites had some cracking, and a small amount of external flaking, but no major deterioration based on visual observation. There were no significant differences in noviflumuron concentration over the 5-yr period and no trend toward reduced concentrations of noviflumuron over time. Consumption of aged durable baits over 4 yr was variable, but termites usually consumed more aged durable bait than fresh durable bait and the differences were frequently significant. There were some exceptions, but termites consumed significantly more fresh durable bait than aged durable bait in only 4% of observations. When 5 yr samples were evaluated, consumption was lowest for fresh durable bait and termites consumed significantly more aged durable bait from irrigated plots in Indiana and from both natural and irrigated plots in Mississippi than fresh durable bait. Survival of termites fed blank durable bait was significantly higher than that for termites fed any of the baits containing noviflumuron and there were no significant differences in survival among the noviflumuron durable baits. Our results suggest that the bait would be durable for at least 5 yr and possibly longer under most environmental conditions.


Assuntos
Benzamidas , Hidrocarbonetos Fluorados , Controle de Insetos/métodos , Inseticidas , Isópteros , Animais , Celulose , Indiana , Controle de Insetos/instrumentação , Mississippi , Estações do Ano , Solo , South Carolina , Fatores de Tempo
14.
Res Vet Sci ; 97(1): 162-8, 2014 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-24934517

RESUMO

Stress in poultry can produce many undesirable effects on bird health and production performance. The objective of this study was to develop and evaluate a potential measure to assess stress through analysis of brain activity using electroencephalography (EEG). In two experiments, White Pekin ducks were implanted with EEG transmitters and treated with potential stressors in a chamber or in their pens. Electrocardiograms and blood corticosterone levels were collected as standard measures of stress. EEG analysis showed an increase in the relative delta frequency and a decrease in the relative alpha frequency during the treatment period for shock (P < 0.05). EEG analysis of the second experiment showed no differences between time periods for all frequencies for all treatments. Based on these results, EEG is currently not a viable technique for the measurement of acute stress in commercial poultry.


Assuntos
Patos/fisiologia , Eletroencefalografia/métodos , Eletroencefalografia/veterinária , Estresse Fisiológico/fisiologia , Tecnologia sem Fio/instrumentação , Análise de Variância , Animais , Encéfalo/fisiologia , Corticosterona/sangue , Estimulação Elétrica , Eletrocardiografia/veterinária , Eletroencefalografia/instrumentação , Estatísticas não Paramétricas
15.
Oncogene ; 33(30): 3959-69, 2014 Jul 24.
Artigo em Inglês | MEDLINE | ID: mdl-24096481

RESUMO

The p53 tumor suppressor protein is a major sensor of cellular stresses, and upon stabilization, activates or represses many genes that control cell fate decisions. While the mechanism of p53-mediated transactivation is well established, several mechanisms have been proposed for p53-mediated repression. Here, we demonstrate that the cyclin-dependent kinase inhibitor p21 is both necessary and sufficient for the downregulation of known p53-repression targets, including survivin, CDC25C, and CDC25B in response to p53 induction. These same targets are similarly repressed in response to p16 overexpression, implicating the involvement of the shared downstream retinoblastoma (RB)-E2F pathway. We further show that in response to either p53 or p21 induction, E2F4 complexes are specifically recruited onto the promoters of these p53-repression targets. Moreover, abrogation of E2F4 recruitment via the inactivation of RB pocket proteins, but not by RB loss of function alone, prevents the repression of these genes. Finally, our results indicate that E2F4 promoter occupancy is globally associated with p53-repression targets, but not with p53 activation targets, implicating E2F4 complexes as effectors of p21-dependent p53-mediated repression.


Assuntos
Inibidor de Quinase Dependente de Ciclina p21/fisiologia , Fator de Transcrição E2F4/metabolismo , Regulação Neoplásica da Expressão Gênica , Proteína Supressora de Tumor p53/fisiologia , Linhagem Celular Tumoral , Inibidor p16 de Quinase Dependente de Ciclina/genética , Inibidor p16 de Quinase Dependente de Ciclina/metabolismo , Inativação Gênica , Humanos , Regiões Promotoras Genéticas , Ligação Proteica , Transporte Proteico , Proteína do Retinoblastoma/metabolismo , Ativação Transcricional
17.
Poult Sci ; 92(12): 3144-8, 2013 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-24235223

RESUMO

Recommended response strategies for outbreaks of avian influenza and other highly contagious poultry diseases include surveillance, quarantine, depopulation, disposal, and decontamination. The best methods of emergency mass depopulation should maximize human health and safety while minimizing disease spread and animal welfare concerns. The goal of this project was to evaluate the effectiveness of 2 mass depopulation methods on adult tom turkeys. The methods tested were carbon dioxide gassing and water-based foam. The time to unconsciousness, motion cessation, brain death, and altered terminal cardiac activity were recorded for each bird through the use of an electroencephalogram, accelerometer, and electrocardiogram. Critical times for physiological events were extracted from sensor data and compiled in a spreadsheet for statistical analysis. A statistically significant difference was observed in time to brain death, with water-based foam resulting in faster brain death (µ = 190 s) than CO2 gas (µ = 242 s). Though not statistically significant, differences were found comparing the time to unconsciousness (foam: µ = 64 s; CO2 gas: µ = 90 s), motion cessation (foam: µ = 182 s; CO2 gas: µ = 153 s), and altered terminal cardiac activity (foam: µ = 208 s; CO2 gas µ = 242 s) between foam and CO2 depopulation treatments. The results of this study demonstrate that water-based foam can be used to effectively depopulate market size male turkeys.


Assuntos
Dióxido de Carbono/farmacologia , Controle de Doenças Transmissíveis/métodos , Eutanásia Animal/métodos , Perus/fisiologia , Acelerometria/veterinária , Criação de Animais Domésticos/métodos , Animais , Eletrocardiografia/veterinária , Eletroencefalografia/veterinária , Gases/farmacologia , Influenza Aviária/prevenção & controle , Masculino , Distribuição Aleatória , Água/farmacologia
18.
Cryo Letters ; 34(3): 277-312, 2013.
Artigo em Inglês | MEDLINE | ID: mdl-23812318

RESUMO

Low temperatures are used routinely to preserve diverse biospecimens, genetic resources and non-viable or viable biosamples for medical and clinical research in hospital-based biobanks and non-medical biorepositories, such as genebanks and culture, scientific, museum, and environmental collections. However, the basic knowledge underpinning preservation can sometimes be overlooked by practitioners who are unfamiliar with fundamental cryobiological principles which are more usually described in research literature rather than in quality and risk management documents. Whilst procedures vary, low temperature storage is a common requirement and reaching consensus as to how best it is applied could facilitate the entire biopreservation sector. This may be achieved by encouraging an understanding of cryoprotection theory and emphasizing the criticality of thermal events (glass transitions, ice nucleation, thawing) for sample integrity, functionality and stability. The objective of this paper is to inspire diverse biopreservation sectors to communicate more clearly about low temperature storage and, raise awareness of the importance of cryobiology principles to field newcomers and biopreservation practitioners, by considering how the principles may be translated into evidence-based guidelines for biobank and biorepository operations.


Assuntos
Bancos de Espécimes Biológicos , Preservação Biológica/métodos , Animais , Bancos de Espécimes Biológicos/normas , Humanos , Preservação Biológica/normas , Controle de Qualidade , Manejo de Espécimes
19.
Cryo Letters ; 34(1): 30-9, 2013.
Artigo em Inglês | MEDLINE | ID: mdl-23435708

RESUMO

Empirical testing of protocols and fundamental investigations are the approaches usually applied to study germplasm storage recalcitrance in temperate plants. However, they can fall short of practicable solutions, even after exhaustive experimentation, and the generation of negative survival data makes it difficult to plan further investigations. Picea sitchensis somatic embryos are amenable to cryopreservation whereas in vitro shoot meristems, although able to survive, are incapable of sustained recovery. Differential Scanning Calorimetry (DSC) revealed that these disparate responses could not be attributed to biophysical factors. A model is presented hypothesising that in some cases life cycle adaptations (cold hardening, dormancy) may have opposing influences on survival causing delayed-onset, cryogenically-induced loss of viability in temperate tree species.


Assuntos
Meristema/fisiologia , Picea/embriologia , Árvores/embriologia , Vitrificação , Aclimatação , Varredura Diferencial de Calorimetria , Criopreservação , Modelos Biológicos , Picea/fisiologia , Árvores/fisiologia
20.
Poult Sci ; 92(2): 412-7, 2013 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-23300308

RESUMO

The mass depopulation of production birds remains an effective means of controlling fast-moving, highly infectious diseases such as avian influenza and virulent Newcastle disease. Water-based fire-fighting foam is a conditionally approved method of depopulating floor-reared gallinaceous poultry such as chickens and turkeys; however, ducks have physiological mechanisms that may make them more resistant to this method of depopulation. The following experiment was designed to assess the physiological responses of White Pekin ducks to nonterminal submersion in water-based foam compared with water. The hypothesis of this experiment was that submersion of ducks in water or water-based foam would trigger the diving reflex and lead to bradycardia. All treatments led to pronounced bradycardia. Heart rate was not significantly different between treatments during the final 30 s of the 60-s treatment period. Heart rate dropped significantly faster for the water dip and foam dip treatments and rose significantly faster than the foam pour treatment after the termination of the 60-s treatment period. Duration of bradycardia approached significance for the foam pour treatment, leading to a longer duration of bradycardia compared with the water pour, water dip, and foam dip treatments. The results of this experiment demonstrated that apnea and bradycardia as a result of the diving reflex can occur as a result of submersion in foam, which may have an impact on the time it takes White Pekin ducks to reach unconsciousness and death during water-based foam depopulation.


Assuntos
Bem-Estar do Animal , Mergulho , Patos/fisiologia , Frequência Cardíaca , Reflexo , Criação de Animais Domésticos , Animais , Eletroencefalografia/veterinária , Imersão , Distribuição Aleatória , Água
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