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1.
Nutrients ; 16(17)2024 Sep 06.
Artigo em Inglês | MEDLINE | ID: mdl-39275336

RESUMO

Metabolic diseases result from interactions between genetic and lifestyle factors. Understanding the combined influences of single-nucleotide polymorphisms (SNPs) and lifestyle is crucial. This study employs genetic risk scores (GRS) to assess SNPs, providing insight beyond single gene/SNP studies by revealing synergistic effects. Here, we aim to investigate the association of a 23-SNP GRS with metabolic disease-related traits (obesity and type 2 diabetes) to understand if these associations are altered by lifestyle/dietary factors. For this study, 106 Minangkabau women were included and underwent physical, anthropometric, biochemical, dietary and genetic evaluations. The interaction of GRS with lifestyle factors was analyzed using linear regression models, adjusting for potential confounders. No statistically significant associations were observed between GRS and metabolic traits; however, this study demonstrates a novel interaction observed between 13-SNP GRS and monounsaturated fatty acid (MUFA) intake, and that it had an effect on HbA1c levels (p = 0.026). Minangkabau women with low MUFA intake (≤7.0 g/day) and >13 risk alleles had significantly higher HbA1c levels (p = 0.010). This finding has implications for public health, suggesting the need for large-scale studies to confirm our results before implementing dietary interventions in the Indonesian population. Identifying genetic influences on dietary response can inform personalized nutrition strategies to reduce the risk of metabolic disease.


Assuntos
Diabetes Mellitus Tipo 2 , Ácidos Graxos Monoinsaturados , Predisposição Genética para Doença , Hemoglobinas Glicadas , Adulto , Feminino , Humanos , Pessoa de Meia-Idade , Diabetes Mellitus Tipo 2/genética , Diabetes Mellitus Tipo 2/epidemiologia , Dieta , Ácidos Graxos Monoinsaturados/administração & dosagem , Estratificação de Risco Genético , Hemoglobinas Glicadas/análise , Indonésia/epidemiologia , Estilo de Vida , Obesidade/genética , Polimorfismo de Nucleotídeo Único , População do Sudeste Asiático/genética
2.
Am J Hematol ; 99(2): 223-235, 2024 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-38009287

RESUMO

Splenomegaly frequently occurs in patients with Plasmodium falciparum (Pf) or P. vivax (Pv) malarial anemia, but mechanisms underlying this co-occurrence are unclear. In malaria-endemic Papua, Indonesia, we prospectively analyzed red blood cell (RBC) concentrations in the spleen and spleen-mimetic retention in 37 subjects splenectomized for trauma or hyperreactive splenomegaly, most of whom were infected with Plasmodium. Splenomegaly (median 357 g [range: 80-1918 g]) was correlated positively with the proportion of red-pulp on histological sections (median 88.1% [range: 74%-99.4%]; r = .59, p = .0003) and correlated negatively with the proportion of white-pulp (median 8.3% [range: 0.4%-22.9%]; r = -.50, p = .002). The number of RBC per microscopic field (>95% uninfected) was correlated positively with spleen weight in both Pf-infected (r = .73; p = .017) and Pv-infected spleens (r = .94; p = .006). The median estimated proportion of total-body RBCs retained in Pf-infected spleens was 8.2% (range: 1.0%-33.6%), significantly higher than in Pv-infected (2.6% [range: 0.6%-23.8%]; p = .015) and PCR-negative subjects (2.5% [range: 1.0%-3.3%]; p = .006). Retained RBCs accounted for over half of circulating RBC loss seen in Pf infections. The proportion of total-body RBC retained in Pf- and Pv-infected spleens correlated negatively with hemoglobin concentrations (r = -.56, p = .0003), hematocrit (r = -.58, p = .0002), and circulating RBC counts (r = -.56, p = .0003). Splenic CD71-positive reticulocyte concentrations correlated with spleen weight in Pf (r = 1.0; p = .003). Retention rates of peripheral and splenic RBCs were correlated negatively with circulating RBC counts (r = -.69, p = .07 and r = -.83, p = .008, respectively). In conclusion, retention of mostly uninfected RBC in the spleen, leading to marked congestion of the red-pulp, was associated with splenomegaly and is the major mechanism of anemia in subjects infected with Plasmodium, particularly Pf.


Assuntos
Anemia , Malária Falciparum , Malária Vivax , Malária , Humanos , Esplenomegalia/etiologia , Eritrócitos , Anemia/complicações , Malária/complicações , Malária Falciparum/complicações , Plasmodium falciparum , Malária Vivax/complicações
3.
Sci Adv ; 8(18): eabl8929, 2022 May 06.
Artigo em Inglês | MEDLINE | ID: mdl-35507668

RESUMO

Accelerating ecosystem degradation has spurred proposals to vastly expand the extent of protected areas (PAs), potentially affecting the livelihoods and well-being of indigenous peoples and local communities (IPLCs) worldwide. The benefits of multiuse PAs that elevate the role of IPLCs in management have long been recognized. However, quantitative examinations of how resource governance and the distribution of management rights affect conservation outcomes are vital for long-term sustainability. Here, we use a long-term, quasi-experimental monitoring dataset from four Indonesian marine PAs that demonstrates that multiuse PAs can increase fish biomass, but incorporating multiple governance principles into management regimes and enforcing rules equitably are critical to achieve ecological benefits. Furthermore, we show that PAs predicated primarily on enforcing penalties can be less effective than those where IPLCs have the capacity to engage in management. Our results suggest that well-governed multiuse PAs can achieve conservation objectives without undermining the rights of IPLCs.

4.
Nutrients ; 13(7)2021 Jun 29.
Artigo em Inglês | MEDLINE | ID: mdl-34210072

RESUMO

The use of dietary supplements is prevalent among many groups worldwide. However, few studies have examined their use among government employees. The aim of this cross-sectional study was to determine the association among sociodemographic characteristics, body weight status, and energy intake with dietary supplement use among government employees in Putrajaya, Malaysia. Simple random sampling was used to select a sample of 460 government employees from six ministries in Putrajaya, Malaysia. The data used in this study were collected through anthropometric measurements (height, weight, % body fat, waist and hip circumferences), a self-administered questionnaire (sociodemographic characteristics and dietary supplements use), and an interviewer-administered questionnaire (24-hour dietary recall; fruit and vegetable intake). The results indicated that the prevalence of dietary supplement use was 55.4%, with vitamin C (38.4%) being the most popular type of dietary supplement. Health issues (80.8%) were the most common reason for usage, internet (59.2%) was the main source of information, and pharmacies (71.8%) were the most indicated places to purchase dietary supplements. A multivariate analysis showed that participants who were female, married, had better monthly income, lived within a smaller household size, had a normal body mass index, classified as having unhealthily high body fat percentage, did not skip breakfast, and consumed at least five servings of fruits and vegetables per day were significantly more likely to use dietary supplements. In conclusion, health-conscious groups were more prone to consume dietary supplements, and due to the high prevalence of dietary supplement use, dissemination of accurate scientific information regarding dietary supplements is highly recommended among government employees.


Assuntos
Peso Corporal , Dieta Saudável/estatística & dados numéricos , Suplementos Nutricionais/estatística & dados numéricos , Ingestão de Energia , Empregados do Governo/estatística & dados numéricos , Adulto , Antropometria , Estudos Transversais , Demografia , Dieta Saudável/psicologia , Comportamento Alimentar , Feminino , Empregados do Governo/psicologia , Humanos , Malásia , Masculino , Análise Multivariada , Inquéritos e Questionários
5.
PLoS Med ; 18(5): e1003632, 2021 05.
Artigo em Inglês | MEDLINE | ID: mdl-34038413

RESUMO

BACKGROUND: A very large biomass of intact asexual-stage malaria parasites accumulates in the spleen of asymptomatic human individuals infected with Plasmodium vivax. The mechanisms underlying this intense tropism are not clear. We hypothesised that immature reticulocytes, in which P. vivax develops, may display high densities in the spleen, thereby providing a niche for parasite survival. METHODS AND FINDINGS: We examined spleen tissue in 22 mostly untreated individuals naturally exposed to P. vivax and Plasmodium falciparum undergoing splenectomy for any clinical indication in malaria-endemic Papua, Indonesia (2015 to 2017). Infection, parasite and immature reticulocyte density, and splenic distribution were analysed by optical microscopy, flow cytometry, and molecular assays. Nine non-endemic control spleens from individuals undergoing spleno-pancreatectomy in France (2017 to 2020) were also examined for reticulocyte densities. There were no exclusion criteria or sample size considerations in both patient cohorts for this demanding approach. In Indonesia, 95.5% (21/22) of splenectomy patients had asymptomatic splenic Plasmodium infection (7 P. vivax, 13 P. falciparum, and 1 mixed infection). Significant splenic accumulation of immature CD71 intermediate- and high-expressing reticulocytes was seen, with concentrations 11 times greater than in peripheral blood. Accordingly, in France, reticulocyte concentrations in the splenic effluent were higher than in peripheral blood. Greater rigidity of reticulocytes in splenic than in peripheral blood, and their higher densities in splenic cords both suggest a mechanical retention process. Asexual-stage P. vivax-infected erythrocytes of all developmental stages accumulated in the spleen, with non-phagocytosed parasite densities 3,590 times (IQR: 2,600 to 4,130) higher than in circulating blood, and median total splenic parasite loads 81 (IQR: 14 to 205) times greater, accounting for 98.7% (IQR: 95.1% to 98.9%) of the estimated total-body P. vivax biomass. More reticulocytes were in contact with sinus lumen endothelial cells in P. vivax- than in P. falciparum-infected spleens. Histological analyses revealed 96% of P. vivax rings/trophozoites and 46% of schizonts colocalised with 92% of immature reticulocytes in the cords and sinus lumens of the red pulp. Larger splenic cohort studies and similar investigations in untreated symptomatic malaria are warranted. CONCLUSIONS: Immature CD71+ reticulocytes and splenic P. vivax-infected erythrocytes of all asexual stages accumulate in the same splenic compartments, suggesting the existence of a cryptic endosplenic lifecycle in chronic P. vivax infection. Findings provide insight into P. vivax-specific adaptions that have evolved to maximise survival and replication in the spleen.


Assuntos
Plasmodium vivax/fisiologia , Reticulócitos/metabolismo , Baço/metabolismo , Baço/parasitologia , Esplenectomia/estatística & dados numéricos , Adolescente , Adulto , Infecções Assintomáticas , Feminino , Humanos , Indonésia , Malária Vivax/parasitologia , Malária Vivax/fisiopatologia , Masculino , Pessoa de Meia-Idade , Nova Guiné , Estudos Prospectivos , Adulto Jovem
7.
Nutrients ; 13(2)2021 Jan 23.
Artigo em Inglês | MEDLINE | ID: mdl-33498618

RESUMO

Metabolic diseases have been shown to be associated with low vitamin D status; however, the findings have been inconsistent. Hence, the objective of our study was to investigate the relationship between vitamin D status and metabolic disease-related traits in healthy Southeast Asian women and examine whether this relationship was modified by dietary factors using a nutrigenetic study. The study included 110 Minangkabau women (age: 25-60 years) from Padang, Indonesia. Genetic risk scores (GRS) were constructed based on five vitamin D-related single nucleotide polymorphisms (SNPs) (vitamin D-GRS) and ten metabolic disease-associated SNPs (metabolic-GRS). The metabolic-GRS was significantly associated with lower 25-hydroxyvitamin D (25(OH)D) concentrations (p = 0.009) and higher body mass index (BMI) (p = 0.016). Even though the vitamin D-GRS had no effect on metabolic traits (p > 0.12), an interaction was observed between the vitamin D-GRS and carbohydrate intake (g) on body fat percentage (BFP) (pinteraction = 0.049), where those individuals who consumed a high carbohydrate diet (mean ± SD: 319 g/d ± 46) and carried >2 vitamin D-lowering risk alleles had significantly higher BFP (p = 0.016). In summary, we have replicated the association of metabolic-GRS with higher BMI and lower 25(OH)D concentrations and identified a novel interaction between vitamin D-GRS and carbohydrate intake on body fat composition.


Assuntos
Tecido Adiposo , Carboidratos da Dieta/administração & dosagem , Ingestão de Alimentos/fisiologia , Deficiência de Vitamina D/genética , Vitamina D/análogos & derivados , Adulto , Alelos , Povo Asiático , Composição Corporal , Índice de Massa Corporal , Feminino , Humanos , Indonésia , Modelos Lineares , Pessoa de Meia-Idade , Polimorfismo de Nucleotídeo Único , Fatores de Risco , Vitamina D/sangue
8.
Front Chem ; 6: 370, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30255010

RESUMO

The demonstration of the structure-properties relationship of shape-dependent photocatalysts remains a challenge today. Herein, one-dimensional (1-D)-like titania (TiO2), as a model photocatalyst, has been synthesized under a strong magnetic field in the presence of a magnetically responsive liquid crystal as the structure-aligning agent to demonstrate the relationship between a well-aligned structure and its photocatalytic properties. The importance of the 1-D-like TiO2 and its relationship with the electronic structures that affect the electron-hole recombination and the photocatalytic activity need to be clarified. The synthesis of 1-D-like TiO2 with liquid crystal as the structure-aligning agent was carried out using the sol-gel method under a magnetic field (0.3 T). The mixture of liquid crystal, 4'-pentyl-4-biphenylcarbonitrile (5CB), tetra-n-butyl orthotitanate (TBOT), 2-propanol, and water, was subjected to slow hydrolysis under a magnetic field. The TiO2-5CB took a well-aligned whiskerlike shape when the reaction mixture was placed under the magnetic field, while irregularly shaped TiO2-5CB particles were formed when no magnetic field was applied. It shows that the strong interaction between 5CB and TBOT during the hydrolysis process under a magnetic field controls the shape of titania. The intensity of the emission peaks in the photoluminescence spectrum of 1-D-like TiO2-5CB was lowered compared with the TiO2-5CB synthesized without the magnetic field, suggesting the occurrence of electron transfer from 5CB to the 1-D-like TiO2-5CB during ultraviolet irradiation. Apart from that, direct current electrical conductivity and Hall effect studies showed that the 1-D-like TiO2 composite enhanced electron mobility. Thus, the recombination of electrons and holes was delayed due to the increase in electron mobility; hence, the photocatalytic activity of the 1-D-like TiO2 composite in the oxidation of styrene in the presence of aqueous hydrogen peroxide under UV irradiation was enhanced. This suggests that the 1-D-like shape of TiO2 composite plays an important role in its photocatalytic activity.

9.
BMC Womens Health ; 17(1): 102, 2017 Nov 09.
Artigo em Inglês | MEDLINE | ID: mdl-29121896

RESUMO

BACKGROUND: Indonesia has a considerably high incidence of maternal and infant mortality. The country has however been experiencing a social and economic transition, influencing its general population demographics and nutritional status including the state of health and nutrition of pregnant women. This study aimed to explore body mass index (BMI) and gestational weight gain (GWG), and their relationship with pregnancy outcomes in a sample of Indonesian pregnant women. METHODS: This observational cohort study included a total of 607 pregnant women who were recruited in 2010 from maternity clinics in Western Sumatra, Indonesia. Multiple logistic and regression analyses were undertaken to compare pregnancy and birth outcomes for different BMI and GWG, using normal weight women and women with a recommended weight gain as the referent groups. RESULTS: The prevalence of underweight (BMI < 18.5 kg/m2) in pregnancy was high at 20.1%; while 21.7% of women were overweight (BMI: 23.0-27.4 kg/m2) and 5.3% obese (BMI ≥ 27.5 kg/m2) using the Asian BMI classifications. The incidence of overweight (BMI: 25.0-29.9 kg/m2) and obese (BMI ≥ 30.0 kg/m2) according to the international BMI classifications were 13.5% and 1.1% respectively. The majority of women gained inadequate weight in pregnancy compared to the Institute of Medicine (IOM) recommendations, especially those who had a normal BMI. Birthweight adjusted mean difference aMD (95% confidence interval) 205 (46,365) and the odds of macrosomia adjusted odds ratio aOR 13.46 (2.32-77.99) significantly increased in obese women compared to those with a normal BMI. Birthweight aMD -139 (-215, -64) significantly decreased in women with inadequate GWG compared to those with recommended GWG, while SGA aOR 5.44 (1.36, 21.77) and prematurity aOR 3.55 (1.23, 10.21) increased. CONCLUSIONS: Low nutritional status and inadequate GWG remain a cause for concern in these women. The higher odds of macrosomia with increasing maternal BMI and higher odds of prematurity and small for gestational age infants with inadequate weight gain also require attention. Research and practice recommendations: Urgent attention is required by researchers, policy makers and decision-makers to facilitate development of culturally sensitive interventions to enhance nutritional status and health of mothers and babies, in an area known for its high incidence of maternal and neonatal mortality.


Assuntos
Sobrepeso/epidemiologia , Complicações na Gravidez/epidemiologia , Resultado da Gravidez/epidemiologia , Magreza/epidemiologia , Adulto , Peso ao Nascer , Índice de Massa Corporal , Estudos de Coortes , Comorbidade , Feminino , Humanos , Indonésia , Estado Nutricional , Obesidade/epidemiologia , Razão de Chances , Gravidez , Prevalência , Fatores de Risco , Aumento de Peso , Adulto Jovem
10.
J Hypertens ; 30(8): 1552-5, 2012 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-22635140

RESUMO

OBJECTIVES: In this cross-sectional study we compared the central aortic systolic pressure (CASP), peripheral brachial systolic pressure (PSP), peripheral brachial diastolic pressure (PDP) and augmentation index (AIx) between normotensive offspring of nonhypertensive parents (ONT) and normotensive offspring with at least one hypertensive parent (OHT). METHODOLOGY: A total of 100 healthy ONT (mean age 20.95 ± 2.06) and 100 healthy OHT (mean age 20.89 ± 2.12) individuals were recruited. Parental history of hypertension was determined by detailed history taking. CASP, PSP, PDP and AIx were measured using the BPro device. All blood pressure (BP) measurements were calibrated using oscillometric BP readings. RESULTS: The OHT group had higher PSP (117.57 ± 10.06 versus 114.52 ± 8.94, P < 0.05), PDP (72.39 ± 7.28 versus 70.39 ± 6.50, P < 0.05) and CASP (103.72 ± 8.95 versus 101.37 ± 7.74, P < 0.05) compared to the ONT group. There was no significant difference in AIx in the ONT group (57.97 ± 11.02 versus 58.08 ± 12.16, P = 0.95) in comparison to the OHT group. However, following adjustments for certain cardiovascular risk factors, only PSP (117.33 versus 114.76, P < 0.05) remained significantly higher in the OHT group compared to the ONT group. Analysis of adjusted data within sex showed that CASP was higher in the female OHT group compared to the female ONT group, whereas PDP were higher in the male OHT group compared to the male ONT group. CONCLUSION: Alterations in PSP, PDP and CASP are already present in early life in normotensive offspring of hypertensive parents, with possible differences in mechanism between different sexes.


Assuntos
Filhos Adultos , Pressão Sanguínea/fisiologia , Predisposição Genética para Doença , Hipertensão/genética , Hipertensão/fisiopatologia , Índice Tornozelo-Braço , Estudos Transversais , Saúde da Família , Feminino , Humanos , Extremidade Inferior , Masculino , Adulto Jovem
11.
J Strength Cond Res ; 26(1): 73-9, 2012 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-22158141

RESUMO

It may be possible to enhance set and session kinematics and kinetics by engaging in low-intensity aerobic exercise during the interset rest period. The purpose of this study therefore was to quantify the change in session kinematics and kinetics of 35% 1RM and 70% 1RM loading schemes equated by volume, when aerobic exercise or passive rest was undertaken between sets. Twelve male student athletes were recruited for this study. Squat average force, peak force, average power, peak power, total work, and total impulse were quantified using a force plate and linear transducer. Blood lactate samples were taken before set 1, after set 1, after set 2, and after the last set performed. No significant (p < 0.05) differences (0.37-9.24%) were found in any of the kinematic and kinetic variables of interset after active or passive interset rest periods. Significant increases (64-76%) in blood lactate occurred from the inception of exercise to completion, for both the heavy and light loading schemes. However, no significant differences in lactate accumulation were noted, whether active or passive recovery was undertaken in the interest rest period. It was concluded that active recovery in the form of low-intensity cycling offered no additional benefits in terms of lactate clearance and enhancement of set and session kinematics and kinetics.


Assuntos
Exercício Físico/fisiologia , Lactatos/metabolismo , Treinamento Resistido , Adulto , Fenômenos Biomecânicos/fisiologia , Humanos , Lactatos/sangue , Masculino , Força Muscular/fisiologia , Treinamento Resistido/métodos
12.
N Z Med J ; 124(1336): 14-23, 2011 Jun 10.
Artigo em Inglês | MEDLINE | ID: mdl-21946740

RESUMO

AIM: To investigate staff perceptions of the burden of alcohol-related presentations on emergency departments (ED) in New Zealand and the impact on staff of alcohol-related ED presentations. METHODS: A survey of Wellington Regional Hospital ED staff was conducted using a written questionnaire to measure the impact of alcohol on: staff assault rates, perceived workload, quality of care, and staff mood. In addition, semi-structured interviews were conducted with six ED staff to further explore impacts of alcohol on ED, analysed using thematic analysis. RESULTS: Forty-seven staff members responded to the questionnaire. Assault rates from alcohol-affected patients were high, particularly amongst nurses. These were mostly verbal assaults. Staff mood was negatively affected and perceptions of workload increased by alcohol-related presentations. Views on whether quality of care of intoxicated patients was affected were mixed although most reported a negative impact on other patients. Interviews confirmed the survey results, confirming the negative impacts of alcohol-related presentations on staff and on the treatment of both intoxicated and non-intoxicated patients. CONCLUSION: This small exploratory study found that alcohol-related presentations have a negative impact on ED staff workload and safety, and may compromise treatment of all patients. More research is needed to corroborate these findings and to investigate policies to reduce the impacts of alcohol-related presentations in the ED.


Assuntos
Intoxicação Alcoólica/complicações , Atitude do Pessoal de Saúde , Serviço Hospitalar de Emergência , Recursos Humanos em Hospital , Adulto , Afeto , Feminino , Humanos , Entrevistas como Assunto , Masculino , Pessoa de Meia-Idade , Nova Zelândia , Qualidade da Assistência à Saúde , Inquéritos e Questionários , Triagem , Violência/estatística & dados numéricos , Carga de Trabalho
13.
Artigo em Inglês | MEDLINE | ID: mdl-18519215

RESUMO

The microwave dielectric properties of Ca(0.85)Nd(0.1)TiO(3) - LnAlO(3) (Ln = Sm, Gd, Dy, Er) ceramics are investigated in this paper. The structural characteristics of the specimens were evaluated by Rietveld refinement of Xray diffraction (XRD) patterns and high-resolution transmission electron microscopy (HRTEM). Solid solution limits were dependent on the ionic radius of Ln(3+) ions. With the decrease of the ionic radius of the Ln(3+) ions, the thermal stability of the resonant frequency decreases. This can be attributed to the increased level of oxygen octahedral distortion caused by the increase in the B-site bond valence in the ABO(3) perovskite structure. The dielectric constant (K) and the quality factor (Qf) of the specimens were dependent on the polarizability and grain size, respectively.


Assuntos
Cerâmica/química , Cristalização/métodos , Membranas Artificiais , Condutividade Elétrica , Teste de Materiais , Conformação Molecular
14.
Surg Endosc ; 21(10): 1750-9, 2007 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-17318690

RESUMO

BACKGROUND: Laparoscopic resections of parenchymal organs are increasingly performed. However, little is known about the effects of laparoscopic fibrin sealant spray applications on intraabdominal pressure (IAP) and hemodynamics. METHODS: Cardiac and pulmonary monitoring was performed via two central venous pressure lines in the thoracic and abdominal vena cava, a pulmonary artery catheter, and a peripheral artery line. Air was sprayed into the abdomen at pressures of 2, 3, and 4 bar for 30 s. According to the group, a valve on a trocar was open or closed. To optimize fibrin sealant application, the sealant was sprayed at three different application pressures (2, 2.5, and 3 bar) and distances (2, 3.5, and 5 cm). RESULTS: All spray simulations caused a significant increase in the IAP. During the first 10 s of spraying, the IAP increase was 5 mmHg or less, but rose rapidly during the last 20 s of spraying. The IAP increase resulted in decreased pulmonary compliance. Pulmonary resistance and the central venous pressures of both the thoracic and abdominal vena cava increased. At application pressures of 3 and 4 bar, the IAP increase was greater than 2 bar of pressure, reaching IAP values exceeding 35 mmHg. Spray mist formation was primarily dependent on application pressure, whereas clot formation and surface coverage depended on both application pressure and distance. The best results were achieved with an application pressure of 2.5 bar and a distance of 5 cm from the surface. CONCLUSIONS: This study shows that fibrin sealants can be used safely in laparoscopic procedures. Keeping the spray periods short and allowing air to escape from the abdomen can minimize the IAP increase. According to our results, a laparoscopic spray application of fibrin sealant should start with an insufflation pressure of 10 mmHg, an application pressure of 2.5 bar, and an application distance of 5 cm with a valve on the trocar left open.


Assuntos
Abdome/cirurgia , Pressão Sanguínea , Adesivo Tecidual de Fibrina/administração & dosagem , Laparoscopia , Nebulizadores e Vaporizadores , Animais , Pressão , Suínos
15.
Eur Surg Res ; 37(3): 159-65, 2005.
Artigo em Inglês | MEDLINE | ID: mdl-16088181

RESUMO

A rabbit partial liver resection model was used to determine the hemostatic effectiveness of a new fibrin sealant. Persistent bleeding, with a mean bleeding time of 372 s and blood loss of 18 ml, from a resected lobe of the liver was achieved after rabbits in the untreated control group had been infused continuously with unfractionated heparin over 20 min with 0.2 IU/ml at a rate of 1 ml/min. Spraying the resected surface with the new fibrin sealant, Quixil, reduced bleeding to < 1 ml and the post-resection bleeding times was 25 s. Bleeding time, blood loss and the volume of sealant used in the rabbit model were inversely correlated with the thrombin concentration in the sealant. In direct comparisons with Tissucol and Beriplast, Quixil was associated with the shortest bleeding times, the lowest volume of sealant used and the lowest score of abdominal adhesions.


Assuntos
Adesivo Tecidual de Fibrina/normas , Hemostasia Cirúrgica/normas , Hemostáticos/normas , Hepatectomia , Modelos Animais , Aderências Teciduais/prevenção & controle , Aerossóis , Animais , Perda Sanguínea Cirúrgica , Relação Dose-Resposta a Droga , Adesivo Tecidual de Fibrina/administração & dosagem , Adesivo Tecidual de Fibrina/química , Adesivo Tecidual de Fibrina/farmacologia , Hemostáticos/administração & dosagem , Hemostáticos/química , Hemostáticos/farmacologia , Heparina/administração & dosagem , Heparina/farmacologia , Hepatectomia/métodos , Concentração Osmolar , Tempo de Tromboplastina Parcial , Coelhos , Trombina/administração & dosagem , Trombina/farmacologia
16.
Asia Pac J Clin Nutr ; 13(4): 377-84, 2004.
Artigo em Inglês | MEDLINE | ID: mdl-15563444

RESUMO

Several nutrition and non-nutritional pathways are recognised in the development and occurrence of cardiovascular disease. In many populations, high intakes of saturated fat are associated with elevated serum cholesterol concentrations and increased coronary heart disease (CHD) mortality. However, several studies report that hyperlipidaemia and heart diseases are not common among populations who consume coconut, a source of saturated fat. A case-control study was conducted among the Minangkabau known to be high coconut consumers to examine the difference in food patterns and risk of coronary heart disease (CHD) between the coronary cases and their gender- and age-matched apparently healthy counterparts serving as controls. Eligible subjects with CHD were identified through the co-operation of five participating hospitals located in Padang and Bukittinggi in West Sumatra, Indonesia. A total of 93 eligible cases (62 men and 31 women) in the Case group and 189 subjects (113 men and 76 women) in the Control group were recruited. Information on the intakes of individual foods and dishes over the preceding 12 months was obtained using a semi-quantitative food frequency questionnaire. The Case groups had significantly higher intakes of meats, eggs, sugar, tea, coffee and fruits, but lower intakes of soy products, rice and cereals compared to the controls. Coconut consumption as flesh or milk was not different between cases and controls. The cases had significantly higher intakes of protein and cholesterol, but lower intake of carbohydrate. Similar intakes of saturated and unsaturated fatty acids between the cases and controls indicated that the consumption of total fat or saturated fat, including that from coconut, was not a predictor for CHD in this food culture. However, the intakes of animal foods, total protein, dietary cholesterol and less plant derived carbohydrates were predictors of CHD.


Assuntos
Cocos , Doença das Coronárias/epidemiologia , Gorduras na Dieta/administração & dosagem , Proteínas Alimentares/administração & dosagem , Ingestão de Alimentos , Ácidos Graxos/administração & dosagem , Estudos de Casos e Controles , Carboidratos da Dieta/administração & dosagem , Ingestão de Energia , Ácidos Graxos Insaturados/administração & dosagem , Comportamento Alimentar , Feminino , Humanos , Indonésia/epidemiologia , Masculino , Análise Multivariada , Estruturas Vegetais , Fatores de Risco , Inquéritos e Questionários
17.
Asia Pac J Clin Nutr ; 13(3): 312-6, 2004.
Artigo em Inglês | MEDLINE | ID: mdl-15331346

RESUMO

Indonesia, like many developing countries, is experiencing a rapid urbanisation characterised by double burden of disease in which non communicable diseases become more prevalent while infectious diseases remain undefeated. This report describes the nutrition transition which occurred to Indonesia after economic transformation in 1966, based on information gathered from published reports. The major sources of information used in this paper were: a) a series of Indonesian National Socio-Economic Surveys (SUSENAS) conducted regularly by Central Bureau of Statistics (which provided a coherent picture of the nutrition transition in Indonesia) and b) data collected from two relatively smaller surveys conducted in West Sumatra (which demonstrated the changes in food and nutrient intakes over the period 1983-1999). It was found that while Indonesia had a rapid economic growth since 1970s, major dietary changes included an increase in expenditure for meat, eggs, milk and prepared food, and a fall in expenditure in cereal products. Nutrient proportions had changed from carbohydrate to fat and protein but the proportions remained close to the ideal ratio. There was also a dramatic shift in causes of death from infectious to chronic diseases. It is concluded that the nutrition transition in Indonesia is similar to patterns in other developing countries. Although fat consumption increased slightly, there is movement to maintain the traditional diet.


Assuntos
Dieta/tendências , Transição Epidemiológica , Infecções/epidemiologia , Desnutrição/epidemiologia , Fenômenos Fisiológicos da Nutrição , Obesidade/epidemiologia , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Causas de Morte , Gorduras na Dieta/administração & dosagem , Comportamento Alimentar , Feminino , Humanos , Renda , Indonésia , Infecções/complicações , Infecções/mortalidade , Expectativa de Vida , Masculino , Desnutrição/complicações , Desnutrição/mortalidade , Pessoa de Meia-Idade , Inquéritos Nutricionais , Obesidade/complicações , Obesidade/mortalidade , Mudança Social , Fatores Socioeconômicos
18.
J Ethnopharmacol ; 84(1): 1-4, 2003 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-12499068

RESUMO

Crude ethanol and water extract of leaves and barks from Cassia alata were tested in vitro against fungi, (Aspergillus fumigatus and Microsporum canis), yeast (Candida albicans) and bacteria (Staphylococcus aereus and Escherichia coli). C. albicans showed concentration-dependent susceptibility towards both the ethanol and water extracts from the barks, but resistant towards the extracts of leaves. The degree of susceptibility varied, the water extract from barks showed bigger inhibition zone than the ethanol extracts (12-16 and 10-14 mm, diameter respectively). The growth of Aspergillus fumigatus and Microsporum canis were not affected by all types of the plant extracts. Results were comparable to standard antifungal drug Tioconazole (18 mm diameter) at equivalent concentration. The anti-bacterial activity of C. alata extracts on S. aureus was detected with only the leaves extracts using water and ethanol. The water extract exhibited higher antibacterial activity than the ethanol extract from leaves (inhibition zones of 11-14 and 9-11 mm, respectively). E. coli showed resistance to all types of extracts. Based on the current findings, it can be concluded that this plant has antimicrobial activity, which is as potent as standard antimicrobial drugs against certain microorganisms.


Assuntos
Anti-Infecciosos/farmacologia , Cassia/química , Extratos Vegetais/farmacologia , Antibacterianos , Aspergillus fumigatus/efeitos dos fármacos , Escherichia coli/efeitos dos fármacos , Etanol , Malásia , Medicina Tradicional , Microsporum/efeitos dos fármacos , Casca de Planta/química , Folhas de Planta/química , Staphylococcus aureus/efeitos dos fármacos , Água
19.
J Drug Target ; 8(4): 267-79, 2000.
Artigo em Inglês | MEDLINE | ID: mdl-11144237

RESUMO

Conventional large (500-800 nm) multilamellar liposomes encapsulating DNA have been used in vivo as gene vectors into rat and pig liver. By using the intraportal vein route, high dose DNA (10 mg/kg) provided low efficiency and transient luciferase gene expression in the liver. This gene expression was, however, increased by liver resection (> 50%), ischemia (20 min) or orthotopic transplantation. As evidenced by histochemical analysis of beta-galactosidase expression, the gene transfection mainly ensued in Kupffer cells, but spleen and lung were contaminated. In comparison, injection into the bile duct of even 25-fold lower dose of liposome-encapsulated DNA (0.4 mg/kg) produced higher (100-fold) and long-lasting (during 6 days, at least) luciferase expression in rat liver. The gene expression was restricted to the liver and enhanced by liver resection. By this route, transgene-expressing cells were mainly hepatocytes. A treatment with colchicine prior to the administration of the vector allowed the persistence of relative high gene expression for at least 7 days. In pigs, qualitatively similar, but quantitatively less efficient gene expression was obtained by either the portal vein or the bile duct route. These results indicate that intrabile duct route might render large non-viral vectors applicable to gene transfer into the hepatocytes. The efficiency of liposome-mediated gene transfer into the liver can be increased by liver resection, ischemia or transplantation performed before DNA injection.


Assuntos
DNA/administração & dosagem , Vetores Genéticos , Lipossomos , Fígado/fisiologia , Transfecção/métodos , Animais , Ânions , Ducto Cístico , DNA/genética , Vias de Administração de Medicamentos , Expressão Gênica , Hepatectomia , Injeções Intravenosas , Isquemia , Fígado/irrigação sanguínea , Fígado/cirurgia , Transplante de Fígado , Luciferases/genética , Luciferases/metabolismo , Masculino , Veia Porta , Ratos , Ratos Wistar , Reperfusão , Suínos , Transgenes
20.
Prehosp Disaster Med ; 14(2): 66-74, 1999.
Artigo em Inglês | MEDLINE | ID: mdl-10558319

RESUMO

The people oFf Africa are exposed to a wide range of disasters that seriously have aggravated the Continent's economic situation. Economic losses and human sufferings from drought, desertification, locust infestation, infectious diseases, epidemics, and armed conflicts are the dominant disasters that the people in the African countries face, and they have rendered the population utterly vulnerable. Disasters have aggravated Africa's economic situation. The cumulative effect of disasters include loss of property, injury, death, mounting food import bills, health hazards, environmental degradation, backward economic development, displaced people, refugees, and nutritional deficiency. Today, 175 million Africans out of a total population of 744 million people (23.5%) are suffering from chronic hunger; this is an increase of 50% from 25 years ago. In many African countries, up to half of the population suffers from absolute poverty. It is projected that Africa will be the only Continent to continue with the current level of poverty for another decade.


Assuntos
Planejamento em Desastres/organização & administração , Desastres/prevenção & controle , Desastres/estatística & dados numéricos , África/epidemiologia , Doenças Transmissíveis/epidemiologia , Desastres/classificação , Humanos , Pobreza/prevenção & controle , Pobreza/estatística & dados numéricos , Fatores de Risco , Inanição/epidemiologia , Inanição/prevenção & controle , Guerra
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