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1.
Cell ; 187(17): 4656-4673.e28, 2024 Aug 22.
Artigo em Inglês | MEDLINE | ID: mdl-38942013

RESUMO

The ability of proteins and RNA to coalesce into phase-separated assemblies, such as the nucleolus and stress granules, is a basic principle in organizing membraneless cellular compartments. While the constituents of biomolecular condensates are generally well documented, the mechanisms underlying their formation under stress are only partially understood. Here, we show in yeast that covalent modification with the ubiquitin-like modifier Urm1 promotes the phase separation of a wide range of proteins. We find that the drop in cellular pH induced by stress triggers Urm1 self-association and its interaction with both target proteins and the Urm1-conjugating enzyme Uba4. Urmylation of stress-sensitive proteins promotes their deposition into stress granules and nuclear condensates. Yeast cells lacking Urm1 exhibit condensate defects that manifest in reduced stress resilience. We propose that Urm1 acts as a reversible molecular "adhesive" to drive protective phase separation of functionally critical proteins under cellular stress.


Assuntos
Proteínas de Saccharomyces cerevisiae , Saccharomyces cerevisiae , Estresse Fisiológico , Ubiquitinas , Proteínas de Saccharomyces cerevisiae/metabolismo , Saccharomyces cerevisiae/metabolismo , Ubiquitinas/metabolismo , Condensados Biomoleculares/metabolismo , Enzimas de Conjugação de Ubiquitina/metabolismo , Concentração de Íons de Hidrogênio , Grânulos de Estresse/metabolismo
2.
Cell ; 186(15): 3227-3244.e20, 2023 07 20.
Artigo em Inglês | MEDLINE | ID: mdl-37339632

RESUMO

Readthrough into the 3' untranslated region (3' UTR) of the mRNA results in the production of aberrant proteins. Metazoans efficiently clear readthrough proteins, but the underlying mechanisms remain unknown. Here, we show in Caenorhabditis elegans and mammalian cells that readthrough proteins are targeted by a coupled, two-level quality control pathway involving the BAG6 chaperone complex and the ribosome-collision-sensing protein GCN1. Readthrough proteins with hydrophobic C-terminal extensions (CTEs) are recognized by SGTA-BAG6 and ubiquitylated by RNF126 for proteasomal degradation. Additionally, cotranslational mRNA decay initiated by GCN1 and CCR4/NOT limits the accumulation of readthrough products. Unexpectedly, selective ribosome profiling uncovered a general role of GCN1 in regulating translation dynamics when ribosomes collide at nonoptimal codons, enriched in 3' UTRs, transmembrane proteins, and collagens. GCN1 dysfunction increasingly perturbs these protein classes during aging, resulting in mRNA and proteome imbalance. Our results define GCN1 as a key factor acting during translation in maintaining protein homeostasis.


Assuntos
Biossíntese de Proteínas , Ribossomos , Animais , Ribossomos/metabolismo , Proteínas/metabolismo , RNA Mensageiro/genética , RNA Mensageiro/metabolismo , Códon de Terminação/metabolismo , Mamíferos/metabolismo
3.
Proc Natl Acad Sci U S A ; 114(6): E1009-E1017, 2017 02 07.
Artigo em Inglês | MEDLINE | ID: mdl-28096355

RESUMO

The self-assembly of α-synuclein is closely associated with Parkinson's disease and related syndromes. We show that squalamine, a natural product with known anticancer and antiviral activity, dramatically affects α-synuclein aggregation in vitro and in vivo. We elucidate the mechanism of action of squalamine by investigating its interaction with lipid vesicles, which are known to stimulate nucleation, and find that this compound displaces α-synuclein from the surfaces of such vesicles, thereby blocking the first steps in its aggregation process. We also show that squalamine almost completely suppresses the toxicity of α-synuclein oligomers in human neuroblastoma cells by inhibiting their interactions with lipid membranes. We further examine the effects of squalamine in a Caenorhabditis elegans strain overexpressing α-synuclein, observing a dramatic reduction of α-synuclein aggregation and an almost complete elimination of muscle paralysis. These findings suggest that squalamine could be a means of therapeutic intervention in Parkinson's disease and related conditions.


Assuntos
Agregados Proteicos/efeitos dos fármacos , Agregação Patológica de Proteínas/prevenção & controle , alfa-Sinucleína/química , Algoritmos , Sequência de Aminoácidos , Animais , Animais Geneticamente Modificados , Produtos Biológicos/química , Produtos Biológicos/farmacologia , Caenorhabditis elegans/genética , Caenorhabditis elegans/metabolismo , Linhagem Celular Tumoral , Colestanóis/química , Colestanóis/farmacologia , Humanos , Lipídeos de Membrana/química , Lipídeos de Membrana/metabolismo , Estrutura Molecular , Neuroblastoma/metabolismo , Neuroblastoma/patologia , Paresia/genética , Paresia/metabolismo , Paresia/prevenção & controle , Doença de Parkinson/metabolismo , Ligação Proteica/efeitos dos fármacos , Multimerização Proteica/efeitos dos fármacos , alfa-Sinucleína/genética , alfa-Sinucleína/metabolismo
4.
Environ Technol ; 36(1-4): 178-87, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-25413112

RESUMO

In this study, online Fourier transform infrared (FTIR) spectroscopy has been used to generate the first comprehensive characterization of full-scale carbon contactors for siloxane removal from biogas. Using FTIR, two clear operational regions within the exhaustion cycle were evidenced: an initial period of pseudo-steady state where the outlet siloxane concentration was consistently below the proposed siloxane limits; and a second period characterized by a progressive rise in outlet siloxane concentration during and after breakthrough. Due to the sharp breakthrough front identified, existing detection methods (which comprise field sampling coupled with laboratory-based chromatographic determination) are insufficiently responsive to define breakthrough, thus carbon contactors currently remain in service while providing limited protection to the combined heat and power engine. Integration of the exhaustion cycle to breakthrough identified average specific media capacities of 8.5-21.5 gsiloxane kg(-1)GAC, which are lower than that has been reported for vapour phase granular activated carbon (GAC). Further speciation of the biogas phase identified co-separation of organic compounds (alkanes and aromatics), which will inevitably reduce siloxane capacity. However, comparison of the five full-scale contactors identified that greater media capacity was accessible through operating contactors at velocities sufficient to diminish axial dispersion effects. In addition to enabling significant insight into gas phase GAC contactors, the use of FTIR for online control of GAC for siloxane removal is also presented.


Assuntos
Biocombustíveis/análise , Carvão Vegetal/química , Siloxanas/química , Siloxanas/isolamento & purificação , Espectroscopia de Infravermelho com Transformada de Fourier/métodos , Ultrafiltração/métodos , Adsorção , Poluentes Atmosféricos/química , Poluentes Atmosféricos/isolamento & purificação , Carvão Vegetal/análise , Recuperação e Remediação Ambiental/métodos
5.
Zootaxa ; (3797): 169-93, 2014 May 21.
Artigo em Inglês | MEDLINE | ID: mdl-24870863

RESUMO

The African genus Otomantis Bolivar, 1890, is taxonomically treated via the re-description of its species on the basis of new morphological features (pronotum and male genitalia). Five new species, O. centralis sp. n. from D. R. of Congo and Angola, O. gracilis sp. n. from D. R. of Congo, O. trimacula sp. n. from Zambia and Malawi, O. bolivari sp. n. from Kenya and Tanzania and O. minima sp. n. from South Africa are described. The taxonomic position of the syntypes of O. capirica Giglio-Tos is revised. A lectotype is designated for the female of O. capirica. The female of O. rendalli (Kirby) and the male of O. aurita (Saussure & Zehntner) are described for the first time. Also provided are many new localities for all nominal species.  A key to the species of Otomantis is included for both male and female, each key fully illustrated. Finally, observations on species distributions and relationships are presented.


Assuntos
Mantódeos/anatomia & histologia , Mantódeos/classificação , África Subsaariana , Animais , Demografia , Feminino , Masculino , Mantódeos/fisiologia , Especificidade da Espécie
6.
Rural Remote Health ; 11(2): 1646, 2011.
Artigo em Inglês | MEDLINE | ID: mdl-21615195

RESUMO

In an external review of the admissions process for the Faculty of Medicine, University of Manitoba, Canada, it was suggested that admissions policies be modified to increase the enrolment of students more likely to practise in rural locations, by selecting a cohort of students with attributes reflecting potential for rural practice. A broad-based Working Group devised a framework for scoring personal attributes reflecting a potential for living and working in rural areas. This framework, based on established characteristics reported in the literature, valued applicants who had rural connections, a history of rural employment, a history of rural community service, or a combination of these attributes. Relative weights for the attributes were determined using a priority matrix approach. Historic admissions data, comprising applicants' rural origin (defined only by location of high school graduation), composite scores, and ranking, were reanalyzed to identify the magnitude of numerical constants that, when applied to composite scores, enhanced the relative ranking of eligible rural-origin applicants. This resulted in a hypothetical 29%-33% increase in the number of rural-origin students in incoming classes in those years. In the inaugural year of implementation of the policy and methodology, 60 admission offers (44.1%) were made to applicants with one or more rural attributes. Without adjustments, only 49 applicants with rural attributes (36%) would have been offered admission. This methodology resulted in a 22.4% increase in admission offers to applicants with rural attributes, and ushered in an incoming class that was more representative of the province's rural-urban demographics than in previous years. This methodology, although focused on rurality, could be equally applicable to any attribute, and to achieve greater diversity and equity among medical school applicants.


Assuntos
Diversidade Cultural , Serviços de Saúde Rural , Critérios de Admissão Escolar , Faculdades de Medicina , Estudantes de Medicina/classificação , Escolha da Profissão , Emprego , Humanos , Manitoba , Área Carente de Assistência Médica , Política Organizacional , Seleção de Pessoal , Médicos/provisão & distribuição , População Rural , Seguridade Social , Recursos Humanos
7.
Front Cell Dev Biol ; 9: 552549, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33829010

RESUMO

The aggregation of α-synuclein is a hallmark of Parkinson's disease (PD) and a variety of related neurological disorders. A number of mutations in this protein, including A30P and A53T, are associated with familial forms of the disease. Patients carrying the A30P mutation typically exhibit a similar age of onset and symptoms as sporadic PD, while those carrying the A53T mutation generally have an earlier age of onset and an accelerated progression. We report two C. elegans models of PD (PDA30P and PDA53T), which express these mutational variants in the muscle cells, and probed their behavior relative to animals expressing the wild-type protein (PDWT). PDA30P worms showed a reduced speed of movement and an increased paralysis rate, control worms, but no change in the frequency of body bends. By contrast, in PDA53T worms both speed and frequency of body bends were significantly decreased, and paralysis rate was increased. α-Synuclein was also observed to be less well localized into aggregates in PDA30P worms compared to PDA53T and PDWT worms, and amyloid-like features were evident later in the life of the animals, despite comparable levels of expression of α-synuclein. Furthermore, squalamine, a natural product currently in clinical trials for treating symptomatic aspects of PD, was found to reduce significantly the aggregation of α-synuclein and its associated toxicity in PDA53T and PDWT worms, but had less marked effects in PDA30P. In addition, using an antibody that targets the N-terminal region of α-synuclein, we observed a suppression of toxicity in PDA30P, PDA53T and PDWT worms. These results illustrate the use of these two C. elegans models in fundamental and applied PD research.

8.
Zootaxa ; 4824(1): zootaxa.4824.1.1, 2020 Aug 10.
Artigo em Inglês | MEDLINE | ID: mdl-33056263

RESUMO

We present here the first illustrated checklist of the praying mantids (Mantodea) collected at the Panguana Field Station in Central Peru over the course of 50 years. The examination of over 430 specimens obtained mainly by light-trapping, but also other methods, revealed 44 species in 28 genera. Mantoida brunneriana, Mantoida cf. argentinae, Pseudomiopteryx cf. decipiens, Angela trifasciata, Liturgusa neblina, Cardioptera squalodon, Metriomantis cf. pilosella, Acontista festae, and Heterovates pardalina are new Peruvian records. Microphotina panguanensis n. sp. is new to science and the first species of the genus Microphotina described from the Western Amazon. The checklist of confirmed Peruvian Mantodea species is raised to 80. Thus, more than half of the currently known Peruvian Mantodea species is found at Panguana. We discuss the reasons for this diversity and comment on putative additional species which might be sampled if collection efforts are intensified. The results highlight the Conservation value of ACP Panguana for Western Amazonian Mantodea.


Assuntos
Mantódeos , Animais
9.
Water Sci Technol ; 60(10): 2637-45, 2009.
Artigo em Inglês | MEDLINE | ID: mdl-19923770

RESUMO

A new type of ion exchange media which is highly selective for phosphate, and can be easily regenerated has been investigated. The media consists of hydrated ferric oxide nanoparticles dispersed within the pore structures of polymeric anion exchanger beads. The media combines the durability and mechanical strength of ion exchange resins with the high sorption capacity of ferric oxide for phosphate. The media was trialled in fixed bed mini column experiments with real final effluent from two UK sewage treatment works, one with treatment based on chemical precipitation with iron chloride salts into an activated sludge process (population >250,000), and one based on trickling filter treatment with no specific phosphorus removal process (population <10,000). Results show that the media has high capacity for removing phosphate, reaching capacity at 4000 and 1300 bed volumes for the chemical precipitation and trickling filter works respectively, with performance greatly exceeding that of a standard anion exchanger, Amberlite IRA-410. Also trialled was the media's ability to elute the phosphorus after breakthrough, with the aim of recovering and processing it into a useful product. A one step regenerative process using a single solution containing 4% NaOH and 2% NaCl was passed through the resin bed and the phosphorus concentration of each bed volume leaving the column analysed. 80% of the phosphorus was eluted in the first bed volume. Subsequent tests investigated the performance of the media after successive partial regenerations of one bed volume of the NaOH/NaCl solution. There was no loss of performance observed after ten regeneration cycles, and levels of eluted phosphate were consistently high. These results suggest that the media has high potential for the removal and recovery of phosphate from wastewater streams. Additionally, the small volume of regenerant required translates to a very small operational footprint.


Assuntos
Resinas de Troca Aniônica/química , Compostos Férricos/química , Fosfatos/química , Poluentes Químicos da Água/química , Purificação da Água/métodos , Troca Iônica , Nanopartículas Metálicas/química , Polímeros/química , Eliminação de Resíduos Líquidos/economia , Eliminação de Resíduos Líquidos/métodos , Purificação da Água/economia
10.
Zootaxa ; 4105(2): 198-200, 2016 Apr 20.
Artigo em Inglês | MEDLINE | ID: mdl-27394773

RESUMO

Reversal of male genitalia are known in various insect orders, such as in Odonata, Orthoptera, Dermaptera, Hemiptera and Trichoptera (Schilthuizen 2007) and, within the Dictyoptera, in several species of Ectobiinae (Blattodea) (Bohn 1987), and Mantodea. Balderson (1978) first described reversal of the phallic complex in Stenomantis Saussure and Ciulfina Giglio-Tos, reporting this condition in eleven of 17 specimens representing two species of the latter-informally named as "Ciulfina sp.2" and "Ciulfina sp.7" (see Balderson 1978: 238). Subsequently, Anisyutkin & Gorochov (2004) reported the same condition at the time of describing Haania doroshenkoi from Cambodia. The male external genitalia within the Mantodea ("praying mantises") are markedly asymmetrical and generally develop in a single orientation (Klass 1997; Huber et al. 2007). Typically, the phallic complex consists of three phallic lobes surrounding the gonopore, all contained in a genital chamber between the ninth sternite and the paraprocts. Two of the three phallic lobes (phallomeres of La Greca 1955) are situated above the gonopore-one to the left and one to the right-while the third lies ventral to the genital opening. The right phallomere (RP) (Fig.1) ("right epiphallus" of Beier 1964) is usually dorsally positioned and its base extends almost completely across the wall of the genital chamber. The left phallomere (LP) (Fig.1) ("left epiphallus" of Beier 1964) is the most complex of the three lobes and it lies above the ventral phallomere (VP) (Fig.1) (hypophallus of Beier 1964).


Assuntos
Genitália Masculina/anatomia & histologia , Mantódeos/anatomia & histologia , Animais , Tamanho Corporal , Genitália Masculina/crescimento & desenvolvimento , Masculino , Mantódeos/classificação , Mantódeos/crescimento & desenvolvimento , Tamanho do Órgão
11.
Sci Adv ; 2(2): e1501244, 2016 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-26933687

RESUMO

The conversion of the ß-amyloid (Aß) peptide into pathogenic aggregates is linked to the onset and progression of Alzheimer's disease. Although this observation has prompted an extensive search for therapeutic agents to modulate the concentration of Aß or inhibit its aggregation, all clinical trials with these objectives have so far failed, at least in part because of a lack of understanding of the molecular mechanisms underlying the process of aggregation and its inhibition. To address this problem, we describe a chemical kinetics approach for rational drug discovery, in which the effects of small molecules on the rates of specific microscopic steps in the self-assembly of Aß42, the most aggregation-prone variant of Aß, are analyzed quantitatively. By applying this approach, we report that bexarotene, an anticancer drug approved by the U.S. Food and Drug Administration, selectively targets the primary nucleation step in Aß42 aggregation, delays the formation of toxic species in neuroblastoma cells, and completely suppresses Aß42 deposition and its consequences in a Caenorhabditis elegans model of Aß42-mediated toxicity. These results suggest that the prevention of the primary nucleation of Aß42 by compounds such as bexarotene could potentially reduce the risk of onset of Alzheimer's disease and, more generally, that our strategy provides a general framework for the rational identification of a range of candidate drugs directed against neurodegenerative disorders.


Assuntos
Doença de Alzheimer/tratamento farmacológico , Doença de Alzheimer/metabolismo , Peptídeos beta-Amiloides/efeitos dos fármacos , Peptídeos beta-Amiloides/metabolismo , Antineoplásicos/farmacologia , Fragmentos de Peptídeos/efeitos dos fármacos , Fragmentos de Peptídeos/metabolismo , Tetra-Hidronaftalenos/farmacologia , Sequência de Aminoácidos , Peptídeos beta-Amiloides/química , Animais , Animais Geneticamente Modificados , Bexaroteno , Caenorhabditis elegans/efeitos dos fármacos , Caenorhabditis elegans/genética , Caenorhabditis elegans/metabolismo , Descoberta de Drogas/métodos , Humanos , Técnicas In Vitro , Cinética , Modelos Animais , Dados de Sequência Molecular , Fragmentos de Peptídeos/química , Multimerização Proteica/efeitos dos fármacos , Proteínas Recombinantes/química , Proteínas Recombinantes/efeitos dos fármacos , Proteínas Recombinantes/metabolismo , Taurina/análogos & derivados , Taurina/farmacologia
12.
Curr Opin Biotechnol ; 3(2): 124-9, 1992 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-1368287

RESUMO

Over the past year, an important area of research has been directed towards the fundamental aspects of enzymes and new applications of enzymology in monophasic organic media. Much of this research has focused on the factors that influence enzymatic catalysis in monophasic organic solvents, including the importance of enzyme-associated water, and the effect of organic solvents on enzyme structure and thermodynamic features. From an applications perspective, new advances in the use of enzymes in organic and polymer syntheses and optical resolutions have been made.


Assuntos
Biotecnologia/métodos , Ativação Enzimática , Catálise , Solventes
13.
Biomaterials ; 19(1-3): 69-76, 1998.
Artigo em Inglês | MEDLINE | ID: mdl-9678852

RESUMO

High swelling galactose-based hydrogels have been prepared using a chemoenzymatic procedure. Regioselective acylation of beta-O-methyl-galactopyranoside in nearly anhydrous pyridine with lipase from Pseudomonas cepacia yields the 6-acryloyl derivative (Compound I). Further lipase-catalysed acylation of the monoacrylate derivative in nearly anhydrous acetone yielded 2,6-diacryloyl-beta-O-methyl galactopyranoside (Compound II) that can act as a cross-linker with a structure similar to that of the sugar-based monomer. The high selectivity of enzyme catalysis yielded apparently highly regular hydrogel networks with swelling ratios at equilibrium ranging from 170 to 1100. elastic moduli ranging from 0.005 to 0.088 MPa and calculated mesh sizes ranging from 1160 to 6600 A. These values are far higher than conventional uncharged or lightly charged hydrogels at similar elastic moduli. Gel swelling was fast, with 75% of the equilibrium swelling value reached in a fractional time of 0.17. Non-selective chemical acryloylation of beta-O-methyl galactopyranoside followed by polymerization yielded a far lower-swelling hydrogel than that obtained using selective enzyme catalysis. These results indicate that the highly regular polymer structure achieved by regioselective enzyme-catalysed acylation yields relatively strong and highly swellable materials. Sugar-based hydrogels, such as those described herein, may find particular use as biomaterials because of their high water content, homogeneity, stability and expected non-toxicity. A wide range of pore sizes can be attained, suggesting that they may also be especially useful as matrices for enzyme immobilization and controlled delivery of biological macromolecules.


Assuntos
Resinas Acrílicas/química , Resinas Acrílicas/síntese química , Materiais Biocompatíveis/química , Materiais Biocompatíveis/síntese química , Galactose/análogos & derivados , Galactose/química , Polietilenoglicóis/química , Polietilenoglicóis/síntese química , Absorção , Fenômenos Químicos , Físico-Química , Reagentes de Ligações Cruzadas/síntese química , Reagentes de Ligações Cruzadas/química , Hidrogel de Polietilenoglicol-Dimetacrilato , Cinética , Lipase/química , Metilgalactosídeos/química , Água/química
14.
J Inorg Biochem ; 40(1): 19-22, 1990 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-2283507

RESUMO

Comparison of the 25 degrees C Co-C bond homolysis rate constant of adenosyl-cobalamin (coenzyme B12) vs that for electrochemically reduced adenosyl-cobalamin radical anion indicates a rate enhancement of at least 10(12 +/- 2) upon the addition of one antibonding electron. Even though electrochemical reduction promotes Co-C homolysis by virtually the same amount as the 10(12 +/- 1) enzymic activation seen for adenosylcobalamin, electron-transfer activation of the Co-C homolysis in adenosylcobalamin-dependent enzyme reactions is considered unlikely, based on four lines of evidence.


Assuntos
Cobamidas/metabolismo , Vitamina B 12/metabolismo , Cobamidas/química , Transporte de Elétrons , Cinética , Vitamina B 12/química
15.
Appl Biochem Biotechnol ; 68(1-2): 57-68, 1997.
Artigo em Inglês | MEDLINE | ID: mdl-9373930

RESUMO

Diffusion of antibody protein from hydrogel films and hydrogel encapsulated in a microcapillary was studied. Thin hydrogel films were formed by crosslinking 6-acryloyl-B-O-methylgalactoside with N,N'-methylene-bis-acrylamide and the diffusive transport of monoclonal antimouse IgG-FITC into and out of the hydrate films was measured. Diffusion coefficients in 2 and 4% crosslinked hydrogel films were measured. The measured diffusion constants determined for IgG in both the 2 and 4% hydrogel films were comparable to the free diffusion of IgG in bulk water (Dmean approximately 10(-7) cm2/s). In addition, 2% crosslinked hydrogels were prepared in a capillary tube and the transport of antimouse IgG-FITC into and out of the hydrated hydrogel was measured. Kinetic analysis indicated that the protein transport through the capillary hydrogel was faster than would be expected for a simple diffusion process. Finally, by utilizing the diffusion of antibody from the capillary hydrogel, transfer of antibody to a silica surface was demonstrated. A capillary hydrogel loaded with antimouse IgG-FITC was used to transfer the protein to a silica surface forming a 30-micron spot of antibody, which was imaged using fluorescence microscopy. These results may lead to the development of a nonlithographic method of patterning antibodies on surfaces for use in integrated microimmunosensors.


Assuntos
Acrilamidas , Anticorpos Monoclonais/metabolismo , Metilgalactosídeos , Animais , Ação Capilar , Reagentes de Ligações Cruzadas , Difusão , Fluoresceína-5-Isotiocianato , Corantes Fluorescentes , Concentração de Íons de Hidrogênio , Imunoglobulina G/metabolismo , Camundongos , Microscopia de Fluorescência , Polímeros
16.
Int J Circumpolar Health ; 57 Suppl 1: 268-75, 1998.
Artigo em Inglês | MEDLINE | ID: mdl-10093288

RESUMO

Middle ear disease represents a continuing burden of illness for children of circumpolar regions. Uncertainty in management has been shown to create a barrier to timely and adequate treatment. Consistent intervention strategies were sought for the management of middle ear disease in children of the central Canadian Arctic. The current literature was reviewed using MEDLINE. A consensus document was established in consultation with specialists in community medicine, infectious disease, otolaryngology, pediatrics, and community-based care providers. Definitive recommendations and supportive algorithms have been established for management of middle ear disease in Inuit children.


Assuntos
Serviços de Saúde da Criança/normas , Otite Média/terapia , Guias de Prática Clínica como Assunto , Doença Aguda , Adolescente , Regiões Árticas , Canadá , Criança , Serviços de Saúde da Criança/organização & administração , Pré-Escolar , Doença Crônica , Feminino , Humanos , Inuíte , Masculino , Otite Média/diagnóstico , Otite Média com Derrame/diagnóstico , Otite Média com Derrame/terapia , Otite Média Supurativa/diagnóstico , Otite Média Supurativa/terapia , Prognóstico , Recidiva
17.
Int J Circumpolar Health ; 57 Suppl 1: 691-3, 1998.
Artigo em Inglês | MEDLINE | ID: mdl-10093370

RESUMO

Diagnostic ultrasound in remote sites is limited by attendant delay in interpretation and reporting. Technology advances were incorporated in an ultrasound program based in Churchill, Manitoba, and designed to meet the needs of the Central Canadian Arctic. Still-frame ultrasound images are digitized via a sonographer's picture archiving and communications system (PACS) workstation, and as they are collected they are transmitted over a dial-up Internet protocol network in Dicom 3.0 format to a tertiary care center. Received images are routed to a physician's PACS workstation, where they can be reviewed prior to the patient leaving the remote clinic. The impact of existing technology on a northern ultrasound program is discussed. The implications of technology enhancement are reviewed, with specific reference to remote low bandwidth sites.


Assuntos
Aumento da Imagem/métodos , Telemedicina/organização & administração , Ultrassonografia/métodos , Previsões , Humanos , Manitoba , Desenvolvimento de Programas , Consulta Remota , Telemedicina/tendências
18.
Int J Circumpolar Health ; 57 Suppl 1: 340-7, 1998.
Artigo em Inglês | MEDLINE | ID: mdl-10093303

RESUMO

Through a medical chart review, the prevalence of diagnosed diabetes mellitus in Inuit of the Keewatin District of the Canadian Northwest Territories was determined to be 0.27%. All cases were in adults, and no cases of gestational diabetes were noted. The prevalence and pattern of obesity were determined from measurements of body mass index (BMI), skinfold thickness, and waist-hip ratio obtained during the 1990-91 Keewatin Health Assessment Study. Thirty-one percent of 414 randomly identified adults (29% of men, 37% of women) were overweight (BMI > 27). Central fat patterning was more prevalent in women and less prevalent in men from the Keewatin compared to the general Canadian population. Comparison of skinfold thickness values to published measurements obtained from earlier arctic surveys supports the hypothesis that changes in diet and activity levels associated with urbanization have resulted in increased obesity in the Inuit.


Assuntos
Diabetes Mellitus/epidemiologia , Obesidade/epidemiologia , Adolescente , Adulto , Distribuição por Idade , Idoso , Regiões Árticas/epidemiologia , Índice de Massa Corporal , Canadá/epidemiologia , Distribuição de Qui-Quadrado , Comorbidade , Diabetes Mellitus/diagnóstico , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Obesidade/diagnóstico , Prevalência , Fatores de Risco , População Rural/estatística & dados numéricos , Distribuição por Sexo , Dobras Cutâneas
19.
Int J Circumpolar Health ; 57 Suppl 1: 406-9, 1998.
Artigo em Inglês | MEDLINE | ID: mdl-10093315

RESUMO

Cervical intraepithelial neoplasia (CIN) is the second leading cause of cancer in Canadian Inuit women, and the incidence ratio in this population is 3.1 times the Canadian average. In 1993 a program was developed in a regional northern health center (Churchill) to provide colposcopy and loop electrosurgery for women in the Keewatin District of the central Canadian Arctic. Data collected prospectively over the following 2.5 years are presented. One hundred and forty-six women were seen in 341 visits. Indication for referral included CIN I on Pap smear (54.1%), CIN II (34.9%), CIN III (9.6%), and carcinoma of the cervix (1.4%). Large loop excision of the transformation zone was performed at a rate of 9.7 procedures per 100 patient visits. Estimated travel cost-savings attributable to this northern program are $299,200 (Canadian). Use of portable colposcopy in patients' home communities is presently being considered in order to provide enhanced accessibility and further cost-effectiveness.


Assuntos
Carcinoma in Situ/patologia , Carcinoma in Situ/cirurgia , Colposcopia , Programas Nacionais de Saúde/organização & administração , Neoplasias do Colo do Útero/patologia , Neoplasias do Colo do Útero/cirurgia , Regiões Árticas , Canadá , Feminino , Seguimentos , Humanos , Manitoba , Avaliação de Programas e Projetos de Saúde , Estudos Prospectivos , Estudos de Amostragem
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