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1.
Can J Neurol Sci ; 50(5): 651-655, 2023 09.
Artigo em Inglês | MEDLINE | ID: mdl-36245094

RESUMO

BACKGROUND AND PURPOSE: Cerebral emboli are generated by every step of standard carotid angioplasty and stenting. Primary carotid stenting (PCS) is a technique in which the use of balloon angioplasty (BA) is minimized to decrease the embolic load. The primary aim of this study is to establish the number of emboli generated by each step of primary stenting and determine the relationship to new diffusion (DWI) lesions on subsequent magnetic resonance imaging (MRI). METHODS: Eighty-five patients with severe, symptomatic carotid stenosis were prospectively recruited and underwent carotid stenting. Intraoperative transcranial Doppler was performed in 77 patients. The number and size of microemboli for each of seven procedural steps were recorded. Correlation was made with the number and location of new DWI lesions. RESULTS: PCS was performed in 73 patients. BA was required in 12 patients. The mean number of microemboli was 114, and most microemboli were generated by stent deployment, followed by BA. Balloon techniques generated significantly more emboli than primary stenting (p = 0.017). There was a significant relationship between total microemboli and new DWI lesions (p = 0.009), and between new DWI lesions in multiple territories and the severity of pretreatment stenosis (p = 0.002). CONCLUSIONS: During PCS, more emboli are generated by stent deployment than during any other stage of the procedure. When BA is necessary, more malignant emboli are generated but total emboli are unchanged and there is no difference in new diffusion lesions on MRI. PCS is safe and is not inferior to historical controls for the generation of new DWI lesions.


Assuntos
Estenose das Carótidas , Embolia , Embolia Intracraniana , Humanos , Estenose das Carótidas/diagnóstico por imagem , Estenose das Carótidas/cirurgia , Artérias Carótidas/diagnóstico por imagem , Imageamento por Ressonância Magnética , Ultrassonografia Doppler Transcraniana , Stents , Imagem de Difusão por Ressonância Magnética , Embolia Intracraniana/diagnóstico por imagem , Embolia Intracraniana/etiologia , Embolia Intracraniana/patologia , Resultado do Tratamento
2.
Plant Mol Biol ; 91(1-2): 67-80, 2016 May.
Artigo em Inglês | MEDLINE | ID: mdl-26843119

RESUMO

Fruit size is a highly important trait for most fruit and vegetable crops. This trait has been a main selection target and could be involved in divergent selection processes leading to the differentiation between modern table and wine cultivars. Even though its determination is highly influenced by cultural practices, several regions within the grapevine genome have been identified affecting berry size, either directly or indirectly through their effect on seed content. Using grapevine seeded cultivars, we have analyzed the relationship between ovary cell number and the final size of ovaries and berry fruits. We also performed the characterization of the grapevine AINTEGUMENTA-LIKE family, since it is well reported in Arabidopsis that AINTEGUMENTA (ANT) regulates cell proliferation and organ growth in flower organ primordia by maintaining the meristematic competence of cells during organogenesis. Here we show that orthologous grapevine gene expression associate with flower developmental stages suggesting a similar biological role for this gene family in this species. Moreover, we detected a correlation between those organs size and the level of expression of VviANT1 the grapevine homolog of AtANT. This grapevine gene also co-localizes in linkage group 18 with the confidence interval of a previously detected QTL for berry size. Thus our results suggest the involvement of ANT in the regulation of berry size in grapevine.


Assuntos
Flores/crescimento & desenvolvimento , Frutas/crescimento & desenvolvimento , Regulação da Expressão Gênica de Plantas/fisiologia , Proteínas de Plantas/metabolismo , Proteínas de Ligação a RNA/metabolismo , Fatores de Transcrição/metabolismo , Vitis/metabolismo , Sequência de Bases , Mapeamento Cromossômico , Cromossomos de Plantas , Dados de Sequência Molecular , Filogenia , Proteínas de Plantas/genética , Proteínas de Ligação a RNA/genética , Especificidade da Espécie , Fatores de Transcrição/genética , Vitis/genética , Vitis/crescimento & desenvolvimento
3.
Am J Ind Med ; 59(10): 887-96, 2016 10.
Artigo em Inglês | MEDLINE | ID: mdl-27345600

RESUMO

OBJECTIVE: To evaluate indoor polycyclic aromatic hydrocarbon (PAH) concentrations in bars and restaurants and identify the main determinants of airborne PAH concentrations. METHODS: This study included 57 bars/restaurants in Santiago, Chile. PAH concentrations (ng/m(3) ) were measured using photoelectric aerosol sensor equipment (PAS 2000CE model). Nicotine concentrations (µg/m(3) ) were measured using active sampling pumps followed by gas-chromatography. Linear regression models were used to identify determinants of PAH concentrations. RESULTS: PAH concentrations were higher in venues that allowed smoking compared to smoke-free venues. After adjusting, the air PAH concentrations were 1.40 (0.64-3.10) and 3.34 (1.43-7.83) ng/m(3) higher for tertiles 2 and 3 of air nicotine compared to the lowest tertile. CONCLUSIONS: In hospitality venues where smoking is allowed, secondhand smoke exposure is a major source of PAHs in the environment. This research further supports the importance of implementing complete smoking bans to protect service industry workers from PAH exposure. Am. J. Ind. Med. 59:887-896, 2016. © 2016 Wiley Periodicals, Inc.


Assuntos
Poluição do Ar em Ambientes Fechados/análise , Nicotina/análise , Hidrocarbonetos Policíclicos Aromáticos/análise , Poluentes Atmosféricos/análise , Chile , Estudos Transversais , Monitoramento Ambiental , Humanos , Entrevistas como Assunto , Análise Multivariada , Exposição Ocupacional/análise , Restaurantes , Política Antifumo , Fumar , Poluição por Fumaça de Tabaco/análise
4.
Hortic Res ; 11(5): uhae080, 2024 May.
Artigo em Inglês | MEDLINE | ID: mdl-38766532

RESUMO

To preserve their varietal attributes, established grapevine cultivars (Vitis vinifera L. ssp. vinifera) must be clonally propagated, due to their highly heterozygous genomes. Malbec is a France-originated cultivar appreciated for producing high-quality wines and is the offspring of cultivars Prunelard and Magdeleine Noire des Charentes. Here, we have built a diploid genome assembly of Malbec, after trio binning of PacBio long reads into the two haploid complements inherited from either parent. After haplotype-aware deduplication and corrections, complete assemblies for the two haplophases were obtained with a very low haplotype switch-error rate (<0.025). The haplophase alignment identified > 25% of polymorphic regions. Gene annotation including RNA-seq transcriptome assembly and ab initio prediction evidence resulted in similar gene model numbers for both haplophases. The annotated diploid assembly was exploited in the transcriptomic comparison of four clonal accessions of Malbec that exhibited variation in berry composition traits. Analysis of the ripening pericarp transcriptome using either haplophases as a reference yielded similar results, although some differences were observed. Particularly, among the differentially expressed genes identified only with the Magdeleine-inherited haplotype as reference, we observed an over-representation of hypothetically hemizygous genes. The higher berry anthocyanin content of clonal accession 595 was associated with increased abscisic acid responses, possibly leading to the observed overexpression of phenylpropanoid metabolism genes and deregulation of genes associated with abiotic stress response. Overall, the results highlight the importance of producing diploid assemblies to fully represent the genomic diversity of highly heterozygous woody crop cultivars and unveil the molecular bases of clonal phenotypic variation.

5.
Can J Neurol Sci ; 40(2): 177-81, 2013 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-23419564

RESUMO

BACKGROUND: The risk of stroke in patients with asymptomatic carotid stenosis (ACS) is now so low that it is important to have methods to identify those patients most likely to benefit from intervention, or who may require special consideration in choice of medical therapy. We studied the prediction of stroke, death or transient ischemic attacks (stroke/death/TIA) in patients with ACS by intracranial arterial stenosis, and microemboli on transcranial Doppler (TCD), and the effect of diabetes mellitus on microemboli, intracranial stenosis and risk of events. METHODS: Patients with ACS > 60% by Doppler ultrasound were recruited from the Stroke Prevention Clinic of University Hospital, London, Canada. All 339 participants underwent TCD for detection of intracranial stenosis and detection of microemboli, and carotid ultrasound to measure extracranial stenosis and total carotid plaque area. Participants were followed for three years, to determine the risk of stroke/death/TIA. RESULTS: Stroke/death/TIA occurred in 38% of patients with microemboli versus 10% without (p=0.0001), and in 18% of patients with intracranial stenosis, versus 10% without (p=0.042). Diabetics were significantly more likely to have intracranial stenosis (45% vs. 29%, p =0.014), microemboli (38% vs. 10%, p <0.0001), and had significantly higher risk of stroke/death/TIA over three years (21% vs. 11% without; p=0.024). Survival free of stroke, TIA or death was significantly better without microemboli or intracranial stenosis (p<0.0001). CONCLUSIONS: Diabetes, microemboli and intracranial stenosis predicted higher risk of stroke, death or TIA than did extracranial stenosis or total plaque area; diabetics may need more intensive therapy.


Assuntos
Estenose das Carótidas/diagnóstico , Estenose das Carótidas/epidemiologia , Diabetes Mellitus/epidemiologia , Embolia/epidemiologia , Acidente Vascular Cerebral/epidemiologia , Idoso , Idoso de 80 Anos ou mais , Doenças Assintomáticas , Estenose das Carótidas/diagnóstico por imagem , Estenose das Carótidas/mortalidade , Constrição Patológica/diagnóstico , Constrição Patológica/diagnóstico por imagem , Constrição Patológica/epidemiologia , Diabetes Mellitus/diagnóstico , Diabetes Mellitus/diagnóstico por imagem , Embolia/diagnóstico por imagem , Feminino , Humanos , Estimativa de Kaplan-Meier , Masculino , Pessoa de Meia-Idade , Acidente Vascular Cerebral/diagnóstico , Acidente Vascular Cerebral/mortalidade , Ultrassonografia Doppler Transcraniana
6.
J Ind Microbiol Biotechnol ; 38(11): 1861-6, 2011 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-21523448

RESUMO

During tree growth, hardwoods can initiate the formation of tension wood, which is a strongly stressed wood on the upper side of the stem and branches. In Eucalyptus globulus, tension wood presents wider and thicker cell walls with low lignin, similar glucan and high xylan content, as compared to opposite wood. In this work, tension and opposite wood of E. globulus trees were separated and evaluated for the production of bioethanol using ethanol/water delignification as pretreatment followed by simultaneous saccharification and fermentation (SSF). Low residual lignin and high glucan retention was obtained in organosolv pulps of tension wood as compared to pulps from opposite wood at the same H-factor of reaction. The faster delignification was associated with the low lignin content in tension wood, which was 15% lower than in opposite wood. Organosolv pulps obtained at low and high H-factor (3,900 and 12,500, respectively) were saccharified by cellulases resulting in glucan-to-glucose yields up to 69 and 77%, respectively. SSF of the pulps resulted in bioethanol yields up to 35 g/l that corresponded to 85-95% of the maximum theoretical yield on wood basis, considering 51% the yield of glucose to ethanol conversion in fermentation, which could be considered a very satisfactory result compared to previous studies on the conversion of organosolv pulps from hardwoods to bioethanol. Both tension and opposite wood of E. globulus were suitable raw materials for organosolv pretreatment and bioethanol production with high conversion yields.


Assuntos
Etanol/metabolismo , Eucalyptus/metabolismo , Madeira/metabolismo , Biocombustíveis , Celulases/metabolismo , Eucalyptus/química , Fermentação , Glucanos/metabolismo , Lignina/metabolismo , Água/química , Madeira/química , Xilanos/análise
7.
Sci Rep ; 11(1): 7775, 2021 04 08.
Artigo em Inglês | MEDLINE | ID: mdl-33833358

RESUMO

Grapevine cultivars are clonally propagated to preserve their varietal attributes. However, genetic variations accumulate due to the occurrence of somatic mutations. This process is anthropically influenced through plant transportation, clonal propagation and selection. Malbec is a cultivar that is well-appreciated for the elaboration of red wine. It originated in Southwestern France and was introduced in Argentina during the 1850s. In order to study the clonal genetic diversity of Malbec grapevines, we generated whole-genome resequencing data for four accessions with different clonal propagation records. A stringent variant calling procedure was established to identify reliable polymorphisms among the analyzed accessions. The latter procedure retrieved 941 single nucleotide variants (SNVs). A reduced set of the detected SNVs was corroborated through Sanger sequencing, and employed to custom-design a genotyping experiment. We successfully genotyped 214 Malbec accessions using 41 SNVs, and identified 14 genotypes that clustered in two genetically divergent clonal lineages. These lineages were associated with the time span of clonal propagation of the analyzed accessions in Argentina and Europe. Our results show the usefulness of this approach for the study of the scarce intra-cultivar genetic diversity in grapevines. We also provide evidence on how human actions might have driven the accumulation of different somatic mutations, ultimately shaping the Malbec genetic diversity pattern.


Assuntos
Variação Genética , Genoma de Planta , Genótipo , Vitis/genética , Polimorfismo de Nucleotídeo Único
8.
Rev Chilena Infectol ; 38(1): 45-53, 2021 Feb.
Artigo em Espanhol | MEDLINE | ID: mdl-33844792

RESUMO

BACKGROUND: Congenital cytomegalovirus infection (cCMV) is the most frequent cause of congenital infection, 90% of affected newborn (NB) are asymptomatic at birth and 6-15% will develop long term sequalae. It is the main etiology of non-genetic sensorineural hearing loss. AIM: To determine prevalence of CMV in high risk NB. METHODS: Cohort prospective study, including inpatient NB with one or more of following criteria: birth weight < 1,500 g, < 32 weeks gestational age (GA), severe small for gestational age (SGA), suspected congenital infection or "refer" in newborn hearing test, also NB to HIV-infected mothers. Urine CMV polymerase chain reaction was performed within 21 day of life. RESULTS: 193 NB were enrolled. Global cCMV prevalence 2.6% (n: 5) and by risk group: one third (n: 1) in NB with suspected congenital infection, 8.3% in NB with "refer" result in hearing test, 4.9% in NB to HIV-infected mothers, 3.3% in severe SGA and 1.7% in < 1,500 g, none with significant association. Only one symptomatic cCMV was detected who died in neonatal period and the remaining (asymptomatic) cCMV patients have normal hearing follow-up. DISCUSSION: Reported prevalence was comparable to international reports. We recommend cCMV screening, at least in risk groups, being ideal the universal screening. This would allow timely treatment and active follow-up.


Assuntos
Infecções por Citomegalovirus , Perda Auditiva Neurossensorial , Doenças do Recém-Nascido , Infecções por Citomegalovirus/diagnóstico , Infecções por Citomegalovirus/epidemiologia , Humanos , Recém-Nascido , Reação em Cadeia da Polimerase , Estudos Prospectivos
9.
Rev Iberoam Micol ; 27(2): 66-70, 2010 Jun 30.
Artigo em Inglês | MEDLINE | ID: mdl-20346300

RESUMO

BACKGROUND: Botrytis cinerea is an ascomycete with a high genetic diversity and complex population structure, as reported from several hosts and sites. However, nothing is known about its genetic diversity in Argentina. AIMS: The aim of this work is to estimate the genetic diversity of a local population of B. cinerea isolates obtained from grapevine in Argentina. METHODS: In this work, 35 strains that had been isolated from grapevines were genotyped for the presence of transposable elements and PCR-based RFLP molecular markers. The obtained results were compared with those from a large French population of the fungus, and used to perform a population genetics analysis using the Genepop software. RESULTS: All the analysed isolates were classified as Group II (according to the most recent proposed classification) and showed a high degree of genetic diversity, with 14 different haplotypes. A significant difference in allele frequency was recorded between the local and French populations. CONCLUSIONS: These comparisons between fungal populations, led to the detection of a high level of diversity and the differentiation between local and French groups of isolates. This was confirmed by an Fst value of 0.3332, which was higher than that reported for other pairwise comparisons of populations. This work constitutes the first report on the genetic diversity of B. cinerea isolates and their population structure in Argentina.


Assuntos
Botrytis/genética , Doenças das Plantas/microbiologia , Vitis/microbiologia , Alelos , Argentina , Botrytis/isolamento & purificação , DNA Fúngico/análise , Genes de Plantas , Variação Genética , Reação em Cadeia da Polimerase , Polimorfismo de Fragmento de Restrição
10.
J Neurol Sci ; 275(1-2): 121-7, 2008 Dec 15.
Artigo em Inglês | MEDLINE | ID: mdl-18822432

RESUMO

BACKGROUND: Patent foramen ovale (PFO) is an independent risk factor for cerebral infarction. Since ~25% of the population have a PFO, the simple association of PFO with stroke is not enough to establish the diagnosis of paradoxical embolism. We evaluated possible clinical clues to the diagnosis of paradoxical embolism. METHODS: Among patients with cryptogenic ischemic stroke (CS) who were investigated for a right-to-left shunt (RLS), we compared clinical, coagulation and biochemical parameters in patients with PFO versus without PFO. RESULTS: Among 1689 new patients referred for TIA/non-disabling stroke between 2001 and 2007, 175 with cryptogenic stroke (CS) were investigated for RLS by transcranial Doppler (TCD) bubble studies; 89 (5.5%) with positive TCD had a PFO confirmed by TEE. In multivariate logistic regression, a history of DVT or pulmonary embolism (OR, 4.39; 95% CI, 1.23-15.69; p=0.023), prolonged travel (OR, 8.77; 95% CI, 1.775-43.3; p=0.008) , migraine (OR, 2.30: 95% CI, 1.07-4.92; p=0.031), a Valsalva maneuver preceding the onset of focal neurological symptoms (OR, 3.33; 95% CI, 1.15-9.64; p=0.026) and waking up with stroke/TIA (OR, 4.53, 95% CI, 1.26-16.2; p=0.018) were independently associated with PFO-associated cerebrovascular events. Patients with PFO had higher plasma total homocysteine levels than patients without PFO (8.9+/-3 versus 7.9+/-2.6 micromol/L respectively; p=0.021). CONCLUSIONS: A history of DVT or pulmonary embolism, migraine, recent prolonged travel, sleep apnea, waking up with TIA or stroke or a Valsalva maneuver preceding the event are clinical clues to the diagnosis of paradoxical embolism among patients with CS.


Assuntos
Embolia Paradoxal/complicações , Embolia Paradoxal/diagnóstico , Forame Oval Patente/complicações , Acidente Vascular Cerebral/complicações , Adulto , Testes de Coagulação Sanguínea/métodos , Embolia Paradoxal/diagnóstico por imagem , Feminino , Homocisteína/sangue , Humanos , Modelos Logísticos , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos , Fatores de Risco , Ultrassonografia Doppler Transcraniana , Vitamina B 12/sangue
11.
Rev Sci Instrum ; 79(4): 043903, 2008 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-18447531

RESUMO

A vacuum ellipsometer has been designed for probing the glass transition in thin supported polymer films. The device is based on the optics of a commercial spectroscopic phase-modulated ellipsometer. A custom-made vacuum chamber evacuated by oil-free pumps, variable temperature optical table, and computer-based data acquisition system was described. The performance of the tool has been demonstrated using 20-200 nm thick poly(methyl methacrylate) and polystyrene films coated on silicon substrates at 10(-6)-10(-8) torr residual gas pressure. Both polymers show pronounced glass transitions. The difficulties in assigning in the glass transition temperature are discussed with respect to the experimental challenges of the measurements in thin polymer films. It is found that the experimental curves can be significantly affected by a residual gas. This effect manifests itself at lower temperatures as a decreased or even negative apparent thermal coefficient of expansion, and is related to the uptake and desorption of water by the samples during temperature scans. It is also found that an ionization gauge--the standard accessory of any high vacuum system--can cause a number of spurious phenomena including drift in the experimental data, roughening of the polymer surface, and film dewetting.

12.
BMJ Open ; 7(10): e017811, 2017 Oct 06.
Artigo em Inglês | MEDLINE | ID: mdl-28988182

RESUMO

INTRODUCTION: The workplace remains a significant source of secondhand smoke (SHS) exposure. This pollutant is known to be associated with respiratory and cardiovascular problems, but its effects on specific pulmonary function parameters remain largely unexplored. The objectives of this study were to measure SHS exposure among non-smoking employees of bar and restaurants in Santiago, Chile and to evaluate the effects of such exposure on pulmonary function. METHODS: Cross-sectional design. The study sample included non-smoking workers from 57 restaurants and bars in Santiago, Chile. The outcome variable was pulmonary function and the exposure variables were urine cotinine concentration, a biomarker for current SHS exposure, and years of SHS exposure in the workplace as proxy of chronic exposure. Personal and occupational variables were also recorded. Data analysis was performed using linear regression models adjusted by confounders. RESULTS: The median age of the workers was 35 years and the median employment duration at the analysed venues was 1 year. Workers in smoking facilities reported greater SHS exposure (36 hours per week) than workers in smoke-free locations (4 hours per week). Urine cotinine levels were inversely correlated with forced vital capacity, but the finding was not statistically significant (ß=-0.0002; 95% CI -0.007 to 0.006). Years of exposure to SHS showed to be significantly associated with forced expiratory flow25/75 (ß=-0.006; 95% CI -0.010 to -0.0004). CONCLUSION: These findings suggest that cumulative exposure to SHS at work may contribute to deterioration of pulmonary function in non-smoking employees.


Assuntos
Poluentes Atmosféricos/efeitos adversos , Poluição do Ar em Ambientes Fechados/efeitos adversos , Pulmão/efeitos dos fármacos , Exposição Ocupacional , Restaurantes , Poluição por Fumaça de Tabaco/efeitos adversos , Local de Trabalho , Adulto , Chile , Cotinina/urina , Estudos Transversais , Feminino , Humanos , Pulmão/fisiologia , Pulmão/fisiopatologia , Masculino , Pessoa de Meia-Idade , Pico do Fluxo Expiratório , Testes de Função Respiratória , Fumaça/efeitos adversos , Nicotiana , Capacidade Vital , Adulto Jovem
13.
Stroke Vasc Neurol ; 2(4): 198-203, 2017 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-29507780

RESUMO

Objectives: Microembolic signals (MES) on transcranial Doppler (TCD) predict stroke and cognitive decline. Plasma levels of total homocysteine (tHcy), a prothrombotic factor, are higher in patients with microemboli in carotid stenosis and in patients with paradoxical embolism. In this study we assessed the association between the level of tHcy and the number of MES in patients with mechanical heart valves (MHVs). Methods: TCD monitoring was performed to detect MES before and after breathing 100% oxygen and repeated every 2-4 weeks up to six times. Results: Twenty-five patients with MHVs (mean age: 63.60±10.15 years) participated in this study; 15 were men (66.47±7.25 years) and 10 were women (59.30±12.60 years). In total, there were 126 study visits. In multiple regression, higher tHcy was associated with more MES in both preoxygenation (OR 1.34 (95% CI 1.07 to 1.68, P=0.009)) and postoxygenation (OR 1.40 (95% CI 1.07 to 1.83, P=0.01)) phases. Current smoking and the length of time between the operation and monitoring also correlated with a higher number of MES before and after breathing oxygen, particularly in women. Conclusions: Higher tHcy and smoking were associated with a higher MES count in both preoxygenation and postoxygenation phases. Because smoking can be stopped and hyperhomocysteinaemia is treatable, these are clinically important findings.


Assuntos
Implante de Prótese de Valva Cardíaca/instrumentação , Próteses Valvulares Cardíacas , Homocisteína/sangue , Hiper-Homocisteinemia/complicações , Embolia Intracraniana/diagnóstico por imagem , Fumar/efeitos adversos , Ultrassonografia Doppler Transcraniana , Idoso , Biomarcadores/sangue , Feminino , Implante de Prótese de Valva Cardíaca/efeitos adversos , Humanos , Hiper-Homocisteinemia/sangue , Hiper-Homocisteinemia/diagnóstico , Embolia Intracraniana/etiologia , Masculino , Pessoa de Meia-Idade , Valor Preditivo dos Testes , Sistema de Registros , Medição de Risco , Fatores de Risco , Fatores de Tempo , Resultado do Tratamento , Regulação para Cima
14.
Can J Cardiol ; 32(8): 986.e9-986.e16, 2016 08.
Artigo em Inglês | MEDLINE | ID: mdl-26952158

RESUMO

BACKGROUND: In patients with patent foramen ovale (PFO), strategies are needed to identify patients at higher risk, who might benefit from PFO closure. METHODS: We studied the frequency of detection of a right-to-left shunt (RLS) using transesophageal echocardiography (TEE) among patients with cryptogenic stroke and transcranial Doppler (TCD) to detect RLS, and analyzed the prediction of recurrent stroke according to TCD shunt grade, by detection of RLS on TEE, and by atrial septal aneurysm or mobility. RESULTS: Among 334 patients with TCD, 69.8% were female, with a mean (SD) age of 53 (14) years, with a median follow-up of 420 days. There were 284 cases with TCD and TEE; 54 (19%) had atrial septal aneurysm or mobility. Echocardiography failed to show a RLS in 43 (15.1%) of the patients who had TCD and TEE, even in some patients with high-grade shunts on TCD: 18 (42%) were grade 3 or higher on TCD. Survival free of stroke or transient ischemic attack was predicted significantly by TCD shunt grade < 2 (P = 0.028), shunt grade < 3 (P = 0.03), and shunt grade < 4 (P < 0.0001); this was attenuated by adjustment for risk factors in Cox regression (P = 0.08). Neither RLS on TEE (P = 0.47), or atrial septal aneurysm or mobility (P = 0.08), predicted events. CONCLUSIONS: Our findings suggest that TCD might be more sensitive than TEE for detection of RLS, which misses some cases with substantial RLS, and might be valuable for prediction of recurrent stroke or transient ischemic attack in patients with PFO. TCD complements TEE for management of suspected paradoxical embolism.


Assuntos
Ecocardiografia Transesofagiana , Embolia Paradoxal/etiologia , Forame Oval Patente/diagnóstico por imagem , Embolia Intracraniana/diagnóstico por imagem , Ultrassonografia Doppler Transcraniana , Feminino , Forame Oval Patente/complicações , Aneurisma Cardíaco/diagnóstico por imagem , Átrios do Coração/diagnóstico por imagem , Humanos , Embolia Intracraniana/etiologia , Ataque Isquêmico Transitório/etiologia , Ataque Isquêmico Transitório/prevenção & controle , Masculino , Microbolhas , Pessoa de Meia-Idade , Medição de Risco , Prevenção Secundária , Acidente Vascular Cerebral/etiologia , Acidente Vascular Cerebral/prevenção & controle , Manobra de Valsalva
15.
Rev. chil. infectol ; Rev. chil. infectol;38(1): 45-53, feb. 2021. ilus, tab
Artigo em Espanhol | LILACS | ID: biblio-1388206

RESUMO

INTRODUCCIÓN: La infección congénita por citomegalovirus (CMVc) es la causa más frecuente de infección intrauterina, 90% de los recién nacidos (RN) son asintomáticos al nacer y 6 a 15% desarrollarán secuelas a largo plazo, siendo la principal etiología de hipoacusia sensorio-neural no-genética. OBJETIVO: Determinar la prevalencia de CMVc en RN de alto riesgo. PACIENTES Y MÉTODO: Estudio de cohorte prospectivo, incluyó RN hospitalizados, con uno o más de los siguientes criterios: peso de nacimiento < 1.500 g, < 32 semanas edad gestacional (EG), pequeños para edad gestacional (PEG) severos, sospecha de infección congénita o que "no pasan" en estudio auditivo al nacer, además de hijos de madre con infección por VIH. Se realizó reacción de polimerasa en cadena para CMV en orina antes de 21 días de vida. RESULTADOS: Se enrolaron 193 RN. Prevalencia global CMVc 2,6% (n: 5) y por grupo de riesgo: 1/3 (n: 1) en RN con sospecha activa de infección congénita, 8,3% en RN con resultado "no pasa" en estudio auditivo, 4,9% en hijos de madre con infección por VIH, 3,3% en PEG severo y 1,7% < 1500 g, ninguno con asociación significativa. Sólo un paciente con CMVc fue sintomático, quien falleció en el período neonatal y los restantes RN con CMVc (asintomáticos) tienen seguimiento auditivo normal. DISCUSIÓN: La prevalencia reportada es comparable a las internacionales. Recomendamos cribado de CMVc, al menos en grupos de riesgo, siendo lo ideal el cribado universal. Esto permitiría su tratamiento oportuno y un seguimiento activo.


BACKGROUND: Congenital cytomegalovirus infection (cCMV) is the most frequent cause of congenital infection, 90% of affected newborn (NB) are asymptomatic at birth and 6-15% will develop long term sequalae. It is the main etiology of non-genetic sensorineural hearing loss. AIM: To determine prevalence of CMV in high risk NB. Methods: Cohort prospective study, including inpatient NB with one or more of following criteria: birth weight < 1,500 g, < 32 weeks gestational age (GA), severe small for gestational age (SGA), suspected congenital infection or "refer" in newborn hearing test, also NB to HIV-infected mothers. Urine CMV polymerase chain reaction was performed within 21 day of life. RESULTS: 193 NB were enrolled. Global cCMV prevalence 2.6% (n: 5) and by risk group: one third (n: 1) in NB with suspected congenital infection, 8.3% in NB with "refer" result in hearing test, 4.9% in NB to HIV-infected mothers, 3.3% in severe SGA and 1.7% in < 1,500 g, none with significant association. Only one symptomatic cCMV was detected who died in neonatal period and the remaining (asymptomatic) cCMV patients have normal hearing follow-up. DISCUSSION: Reported prevalence was comparable to international reports. We recommend cCMV screening, at least in risk groups, being ideal the universal screening. This would allow timely treatment and active follow-up.


Assuntos
Humanos , Recém-Nascido , Infecções por Citomegalovirus , Perda Auditiva Neurossensorial , Doenças do Recém-Nascido , Reação em Cadeia da Polimerase , Estudos Prospectivos , Infecções por Citomegalovirus/diagnóstico , Infecções por Citomegalovirus/epidemiologia
18.
Fractal rev. psicol ; 31(1): 35-42, jan.-abr. 2019.
Artigo em Português | LILACS, INDEXPSI | ID: biblio-989821

RESUMO

Este artigo tem por objetivo apresentar uma breve revisão teórica e alguns resultados parciais de uma dissertação de mestrado realizada no PPG em psicologia da Universidade Federal de Pernambuco (UFPE). De desenho qualitativo, o estudo visa analisar as práticas discursivas que constituem os modos de subjetivação de mulheres beneficiárias do Programa Bolsa Família (PBF) no contexto rural da Zona da Mata Sul Pernambucana. As referências teóricas consideram o enfoque da governamentalidade, entendendo que práticas de inclusão social, como o PBF, modificam as subjetividades de seus beneficiários. A população estudada é constituída de uma amostra não probabilística de seis mulheres. A coleta de dados foi realizada através de entrevista semiestruturada, e a análise dos dados se baseia na perspectiva de análise crítica do discurso. Os resultados obtidos questionam o potencial do PBF para gerar mudanças nas relações de gênero. Finalmente, interroga-se a evolução das políticas públicas de inclusão social na sociedade brasileira, abrindo perspectivas para novos estudos sobre as mudanças vivenciadas pela população beneficiária no contexto rural de Pernambuco.


This article aims to present a brief theoretical review and some partial results of a Master's dissertation held at the PPG in Psychology of the Federal University of Pernambuco (UFPE). With qualitative design, the study aims to analyze the discursive practices that constitute the modes of subjectivation of women beneficiaries of the Bolsa Família Program (PBF) in rural context of the Zona da Mata Sul Pernambucana. The theoretical references consider the approach of governmentality, understanding that practices of social inclusion, such as the PBF, modify the subjectivities of its beneficiaries. The study population consists of a non-probabilistic sample of six women. Data collection was performed through a semi-structured interview and data analysis is based on the perspective of critical discourse analysis. The results obtained question the potential of the PBF to generate changes in gender relations. Finally, we discuss the evolution of the public policies of social inclusion in the brazilian society, opening perspectives for new studies on the changes experienced by the beneficiary population in the rural context of Pernambuco.


Assuntos
Humanos , Feminino , População Rural , Identidade de Gênero
19.
Estud. psicol. (Natal) ; 24(1): 32-41, Jan.-Mar. 2019. tab
Artigo em Português | LILACS, INDEXPSI | ID: biblio-1090316

RESUMO

Este artigo apresenta as conclusões de uma pesquisa que interroga as repercussões de uma política pública brasileira de inclusão social nos modos de subjetivação de mulheres beneficiárias. A metodologia de base qualitativa consistiu na análise crítica do discurso obtido dos relatos de seis mulheres beneficiárias do Programa Bolsa Família (PBF) habitantes do contexto rural da Zona da Mata de Pernambuco. A fundamentação teórica privilegia o enfoque da governamentalidade e as críticas feministas ao PBF. Os resultados obtidos confirmam que normas sociais são incorporadas nas subjetividades das mulheres enquanto "mães pobres lutadoras". Concluiu-se que o PBF exerce uma função reforçadora de modos de subjetivação hegemônicos da sociedade neoliberal. Apesar das vantagens e mudanças produzidas pelo PBF, as mulheres beneficiárias enfrentam uma situação de inclusão social fragilizada, condição característica da pobreza nas sociedades capitalistas.


This article presents the conclusions of a research that questions the repercussions of a Brazilian public policy of social inclusion in the modes of subjectivation of beneficiary women. The qualitative methodology consisted of the critical analysis of the discourse obtained from the reports of six women beneficiaries of the Bolsa Família Program (PBF), habitants of the rural context of the Zona da Mata de Pernambuco. The theoretical foundation favors the focus of governmentality and feminist critiques of the PBF. The results obtained confirm that social norms are incorporated in the subjectivities of women as "poor fighter mothers". It was concluded that the PBF exerts a reinforcing function of hegemonic subjectivation modes of neoliberal society. Despite the advantages and changes produced by the PBF, women beneficiaries face a situation of fragile social inclusion, a characteristic condition of poverty in capitalist societies.


Este artículo presenta las conclusiones de una investigación que interroga las repercuciones de una política pública brasileña de inclusión social em los modos de subjetivación de mujeres beneficiarias. La metodología de base cualitativa consistió em el análisis crítico del discurso obtenido de los relatos de seis mujeres beneficiarias del Programa Bolsa Familia (PBF) habitantes del contexto rural de la Zona da Mata de Pernambuco. La fundamentación teórica privilegia el enfoque de la gubernamentalidad y las críticas feministas al PBF. Los resultados obtenidos confirman que normas sociales son incorporadas em las subjetividades de las mujeres em cuanto "madres pobres luchadoras". Se concluye que el PBF ejerce una función reforzadora de modos de subjetivación hegemónicos de la sociedad neoliberal. A pesar de las ventajas y cambios produzidos por el PBF, las mujeres beneficiarias enfrentan una situación de inclusión social fragilizada, condición característica de la pobreza em las sociedades capitalistas.


Assuntos
Humanos , Feminino , Adulto , Pessoa de Meia-Idade , Pobreza/psicologia , Mulheres/psicologia , Zona Rural , Programas Sociais/políticas , Política Pública , Brasil , Entrevista , Pesquisa Qualitativa
20.
J Agric Food Chem ; 62(28): 6716-25, 2014 Jul 16.
Artigo em Inglês | MEDLINE | ID: mdl-24983916

RESUMO

Anthocyanin profiles are commonly used for grapevine cultivar identification because it is currently accepted that this trait is closely related to their genetic characteristics. Nevertheless, the extent of the variation for the anthocyanin profiles among clones of the same cultivar has not yet been studied in depth. The relative concentration of anthocyanins of 131 Malbec clones grown in the same vineyard was investigated by HPLC-DAD and the use of comprehensive statistic procedures. Complementarily, the expression level of structural and regulatory genes was studied via real time polymerase chain reaction. Significant variation was identified among the profiles of the clones, mainly due to variations in the amounts of malvidin derivatives. Finally, the differential expression in F3'5'H, OMT1 and AM2 genes seems to be related to the malvidin content variation. This work shows the existence of variation for the anthocyanin profiles among clones from the same grapevine cultivar and the putative involvement of genes related to hydroxylation, methylation, and transport of anthocyanins on the basis of such variation.


Assuntos
Antocianinas/análise , Expressão Gênica , Vitis/química , Vitis/genética , Células Clonais , Frutas/química , Perfilação da Expressão Gênica , Regulação da Expressão Gênica de Plantas , Genes de Plantas/genética , Extratos Vegetais/química , Especificidade da Espécie , Vitis/classificação
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