RESUMO
Magnetic nanocrystals embedded in a semiconducting matrix are gaining increasing attention for potential applications in spintronic devices. We report about the magnetic behavior of Fe and Mn doped GaN samples, fabricated by means of metal organic vapor phase epitaxy, featuring a planar array of γ'-GaxFe4-xN nanocrystals embedded in the GaN matrix. We consider a set of three samples grown with the same nominal Fe content and different Mn concentration, including one with no Mn. In the sample with the highest Mn content, we detect Mn in the γ'-GaxFe4-xN lattice and also the presence of ε-Fe3N nanocrystals. The samples exhibit a paramagnetic signal, ascribed to the GaN matrix, and a ferromagnetic one given by the nanocrystals: the former increases on increasing the Mn co-doping whereas the latter decreases. In the three samples, magnetically relaxing nanocrystals coexist with non-relaxing ones and dipolar magnetic interactions strongly affect the magnetothermal behavior. The analysis of these complex magnetic phenomena is correlated to the structural and compositional properties of the nanocrystals and to their arrangement into the GaN matrix, opening new perspectives for tuning on demand the magnetic response of this relevant system.
RESUMO
We studied (i) a set of three Co : Au continuous films, grown by sputtering co-deposition (â¼80 nm thick) with concentration ratios of 2 : 1, 1 : 1 and 1 : 0 (i.e., a pure Co film was also included), and (ii) a corresponding set of antidot arrays, produced by nanosphere lithography with the same hexagonal pattern (nominal lattice periodicity â¼520 nm). The samples were investigated by atomic and magnetic force microscopy and SQUID magnetometry. A twofold aim was fulfilled: to gain information on the magnetism of the CoAu compound (saturation magnetization, effective in-plane and out-of-plane anisotropy, exchange stiffness constant and magnetostrictive behavior) and to compare the magnetic behavior of the continuous and patterned samples. The continuous films exhibited a variety of hysteretic behaviours and magnetic configurations, ruled by the interplay between different magnetic anisotropy terms (magnetocrystalline, magnetoelastic and shape). The Co1Au1 film was anisotropic in the plane, whereas Co2Au1 and Co were isotropic and had an out-of-plane magnetization component; stripe domains were observed in Co2Au1, resulting in a transcritical hysteresis loop. A key role in determining these properties was ascribed to the magnetoelastic anisotropy term. Unlike the continuous films, the antidot arrays showed a similar hysteretic behavior and important similarities in the spin configuration were pointed out, despite the different compositions. We argue, also based on micromagnetic simulations, that this occurred because the nanopatterning enabled a local modification of the shape anisotropy, thus smoothing out the differences observed in the continuous films.
RESUMO
Sunn hemp (Crotalaria juncea L., Fabaceae) is widely used as a cover crop in sugar cane and citrus plantations in Brazil. C. juncea has been reported in São Paulo State (SPS) by Wulff et al. (3) as a host of the phytoplasma associated with symptoms of huanglongbing (HLB) in citrus, a member of group 16SrIX, that induces witches'-broom in sunn hemp (3). In studying the distribution of group 16SrIX phytoplasma in C. juncea in SPS, we identified this species as a new host of two phytoplasmas. Sunn hemp fields were inspected for symptoms usually associated with phytoplasma infections, such as leaf yellowing, shoot proliferation, witches'-brooms, and virescence. Ninety-nine plant samples were collected and DNA was extracted with the CTAB protocol from stems. Nested PCR was carried out with primers P1/P7, followed by amplification with primers fU3/rU5 (2), both sets being universal for phytoplasma. Asymptomatic sunn hemp samples were used as negative controls and were negative in PCR reactions. PCR products were directly sequenced with primers P1/P7 and fU3/rU5 and phytoplasma identification was conducted with BLASTn and in silico RFLP analysis for delineation of subgroups (4). Plants showing leaf yellowing (three plants; Catanduva County), shoot proliferation (one plant; Ibirá County), or witches'-brooms (one plant; Promissão County) symptoms were found to be infected with the 16SrI phytoplasma group, subgroup S. The 16S rDNA sequence (GenBank Accession No. KF878383) showed 99% identity (E value 0.0) with Candidatus Phytoplasma asteris, Onion yellows phytoplasma OY-M (AP006628), Mulberry yellow dwarf phytoplasma (GQ249410), and Ash witches'-broom phytoplasma (AY566302), among other phytoplasmas from the same group. Sunn hemp plants with shoot proliferation (three plants) carried the 16SrXV phytoplasma group, subgroup A, found in Ibirá (two plants) and Catanduva (one plant) counties, SPS. This sequence (GenBank Accession No. KF878382) displayed 99% identity (E value 0.0) with Ca. P. brasiliense, Hibiscus witches'-broom phytoplasma (AF147708), Guazuma ulmifolia witches'-broom phytoplasma (HQ258882, HQ258883), and Cauliflower stunt phytoplasma (JN818845). Both phytoplasma groups described in this report, 16SrI and 16SrXV, were collected in May 2010 and both have limited geographic distribution and occurred at low incidence. Phytoplasma of group 16SrI (Ca. P. asteris) was identified in C. spectabilis in India (1). To our knowledge, this is the first report of phytoplasmas groups 16SrI and 16SrXV in sunn hemp. References: (1) S. Kumar et al. Plant Dis. 94:1265, 2010. (2) E. Seemüller et al. Int. J. Syst. Bacteriol. 44:440, 1994. (3) N. A. Wulff et al. Tropical Plant Pathol. 34:S7, 2009. (4) Y. Zhao et al. Int. J. Syst. Evol. Microbiol. 59:2582, 2009.
RESUMO
BACKGROUND: Emotion dysregulation is a key feature of schizophrenia, a brain disorder strongly associated with genetic risk and aberrant dopamine signalling. Dopamine is inactivated by catechol-O-methyltransferase (COMT), whose gene contains a functional polymorphism (COMT Val158Met) associated with differential activity of the enzyme and with brain physiology of emotion processing. The aim of the present study was to investigate whether genetic risk for schizophrenia and COMT Val158Met genotype interact on brain activity during implicit and explicit emotion processing. METHOD: A total of 25 patients with schizophrenia, 23 healthy siblings of patients and 24 comparison subjects genotyped for COMT Val158Met underwent functional magnetic resonance imaging during implicit and explicit processing of facial stimuli with negative emotional valence. RESULTS: We found a main effect of diagnosis in the right amygdala, with decreased activity in patients and siblings compared with control subjects. Furthermore, a genotype × diagnosis interaction was found in the left middle frontal gyrus, such that the effect of genetic risk for schizophrenia was evident in the context of the Val/Val genotype only, i.e. the phenotype of reduced activity was present especially in Val/Val patients and siblings. Finally, a complete inversion of the COMT effect between patients and healthy subjects was found in the left striatum during explicit processing. CONCLUSIONS: Overall, these results suggest complex interactions between genetically determined dopamine signalling and risk for schizophrenia on brain activity in the prefrontal cortex during emotion processing. On the other hand, the effects in the striatum may represent state-related epiphenomena of the disorder itself.
Assuntos
Catecol O-Metiltransferase/genética , Emoções/fisiologia , Córtex Pré-Frontal/fisiopatologia , Esquizofrenia/genética , Adulto , Tonsila do Cerebelo/metabolismo , Tonsila do Cerebelo/fisiopatologia , Análise de Variância , Mapeamento Encefálico , Estudos de Casos e Controles , Catecol O-Metiltransferase/metabolismo , Dopamina/metabolismo , Expressão Facial , Feminino , Lateralidade Funcional , Predisposição Genética para Doença , Genótipo , Humanos , Processamento de Imagem Assistida por Computador , Imageamento por Ressonância Magnética/métodos , Masculino , Estimulação Luminosa , Polimorfismo de Nucleotídeo Único/fisiologia , Córtex Pré-Frontal/metabolismo , Escalas de Graduação Psiquiátrica , Esquizofrenia/metabolismo , Esquizofrenia/fisiopatologia , IrmãosRESUMO
BACKGROUND: Abnormalities in hippocampal-parahippocampal (H-PH) function are prominent features of schizophrenia and have been associated with deficits in episodic memory. However, it remains unclear whether these abnormalities represent a phenotype related to genetic risk for schizophrenia or whether they are related to disease state. METHOD: We investigated H-PH-mediated behavior and physiology, using blood oxygenation level-dependent functional magnetic resonance imaging (BOLD fMRI), during episodic memory in a sample of patients with schizophrenia, clinically unaffected siblings and healthy subjects. RESULTS: Patients with schizophrenia and unaffected siblings displayed abnormalities in episodic memory performance. During an fMRI memory encoding task, both patients and siblings demonstrated a similar pattern of reduced H-PH engagement compared with healthy subjects. CONCLUSIONS: Our findings suggest that the pathophysiological mechanism underlying the inability of patients with schizophrenia to properly engage the H-PH during episodic memory is related to genetic risk for the disorder. Therefore, H-PH dysfunction can be assumed as a schizophrenia susceptibility-related phenotype.
Assuntos
Predisposição Genética para Doença , Hipocampo/fisiopatologia , Imageamento por Ressonância Magnética/métodos , Giro Para-Hipocampal/fisiologia , Esquizofrenia/fisiopatologia , Adulto , Mapeamento Encefálico , Feminino , Humanos , Masculino , Memória Episódica , Pessoa de Meia-Idade , Fenótipo , Esquizofrenia/genética , IrmãosRESUMO
BACKGROUND: Catechol-O-methyltransferase (COMT) Val158Met has been associated with activity of the mesial temporal lobe during episodic memory and it may weakly increase risk for schizophrenia. However, how this variant affects parahippocampal and hippocampal physiology when dopamine transmission is perturbed is unclear. The aim of the present study was to compare the effects of the COMT Val158Met genotype on parahippocampal and hippocampal physiology during encoding of recognition memory in patients with schizophrenia and in healthy subjects. METHOD: Using blood oxygen level-dependent (BOLD) functional magnetic resonance imaging (fMRI), we studied 28 patients with schizophrenia and 33 healthy subjects matched for a series of sociodemographic and genetic variables while they performed a recognition memory task. RESULTS: We found that healthy subjects had greater parahippocampal and hippocampal activity during memory encoding compared to patients with schizophrenia. We also found different activity of the parahippocampal region between healthy subjects and patients with schizophrenia as a function of the COMT genotype, in that the predicted COMT Met allele dose effect had an opposite direction in controls and patients. CONCLUSIONS: Our results demonstrate a COMT Val158Met genotype by diagnosis interaction in parahippocampal activity during memory encoding and may suggest that modulation of dopamine signaling interacts with other disease-related processes in determining the phenotype of parahippocampal physiology in schizophrenia.
Assuntos
Catecol O-Metiltransferase/genética , Rememoração Mental/fisiologia , Giro Para-Hipocampal/fisiologia , Polimorfismo de Nucleotídeo Único/genética , Esquizofrenia/genética , Adulto , Análise de Variância , Estudos de Casos e Controles , Catecol O-Metiltransferase/fisiologia , Distribuição de Qui-Quadrado , Feminino , Genótipo , Hipocampo/fisiologia , Humanos , Imageamento por Ressonância Magnética , Masculino , Giro Para-Hipocampal/enzimologia , Polimorfismo de Nucleotídeo Único/fisiologia , Esquizofrenia/enzimologia , Esquizofrenia/fisiopatologia , Fatores SocioeconômicosRESUMO
The aim of this paper is to clarify two important aspects about patients affected by congenital heart disease. Their functional status plays a dominant role in the definition of quality of life related to health status, because of its implication in working and recreational activities. In the first part, we explain their cardiovascular adaptation on exercise, based on pathology (Tetralogy of Fallot, transposition of great arteries, univentricular heart). In the second part, we explain the risk of sudden death from congenital heart disease due to exercise, because of electrical cardiac instability and/or the structural abnormalities of the cardiovascular parietal walls.
Assuntos
Morte Súbita Cardíaca/etiologia , Exercício Físico , Cardiopatias Congênitas/fisiopatologia , Adolescente , Morte Súbita Cardíaca/prevenção & controle , Cardiopatias Congênitas/mortalidade , Cardiopatias Congênitas/cirurgia , Comunicação Interventricular/fisiopatologia , Ventrículos do Coração/fisiopatologia , Humanos , Qualidade de Vida , Medição de Risco , Fatores de Risco , Taxa de Sobrevida , Tetralogia de Fallot/fisiopatologia , Transposição dos Grandes Vasos/fisiopatologiaRESUMO
Almond is appreciated for its nutraceutical value and for the aromatic profile of the kernels. In this work, an almond collection composed of 96 Sicilian accessions complemented with 10 widely cultivated cultivars was phenotyped for the production of volatile organic compounds using a proton-transfer time-of-flight mass spectrometer and genotyped using the Illumina Infinium®18 K Peach SNP array. The profiling of the aroma was carried out on fresh and roasted kernels enabling the detection of 150 mass peaks. Sixty eight, for the most related with sulfur compounds, furan containing compounds, and aldehydes formed by Strecker degradation, significantly increased during roasting, while the concentration of fifty-four mass peaks, for the most belonging to alcohols and terpenes, significantly decreased. Four hundred and seventy-one robust SNPs were selected and employed for population genetic studies. Structure analysis detected three subpopulations with the Sicilian accessions characterized by a different genetic stratification compared to those collected in Apulia (South Italy) and the International cultivars. The linkage-disequilibrium (LD) decay across the genome was equal to r2 = 0.083. Furthermore, a high level of collinearity (r2 = 0.96) between almond and peach was registered confirming the high synteny between the two genomes. A preliminary application of a genome-wide association analysis allowed the detection of significant marker-trait associations for 31 fresh and 33 roasted almond mass peaks respectively. An accurate genetic and phenotypic characterization of novel germplasm can represent a valuable tool for the set-up of marker-assisted selection of novel cultivars with an enhanced aromatic profile.
RESUMO
In nanoscale magnetic systems, the possible coexistence of structural disorder and competing magnetic interactions may determine the appearance of a glassy magnetic behavior, implying the onset of a low-temperature disordered collective state of frozen magnetic moments. This phenomenology is the object of an intense research activity, stimulated by a fundamental scientific interest and by the need to clarify how disordered magnetism effects may affect the performance of magnetic devices (e.g., sensors and data storage media). We report the results of a magnetic study that aims to broaden the basic knowledge of glassy magnetic systems and concerns the comparison between two samples, prepared by a polyol method. The first can be described as a nanogranular spinel Fe-oxide phase composed of ultrafine nanocrystallites (size of the order of 1 nm); in the second, the Fe-oxide phase incorporated non-magnetic Au nanoparticles (10-20 nm in size). In both samples, the Fe-oxide phase exhibits a glassy magnetic behavior and the nanocrystallite moments undergo a very similar freezing process. However, in the frozen regime, the Au/Fe-oxide composite sample is magnetically softer. This effect is explained by considering that the Au nanoparticles constitute physical constraints that limit the length of magnetic correlation between the frozen Fe-oxide moments.
RESUMO
We study the mechanism of heat generation, induced by an alternating magnetic field, in magnetite nanoparticles doped with manganese, produced by thermal decomposition from organometallic precursors. We investigate a set of four samples obtained by varying the duration of the reflux treatment carried out at a temperature of 300 °C during the synthetic procedure. On increasing this parameter from 60 to 180 minutes, the mean size of the nanoparticles increases, though remaining below 10 nm, as well as the saturation magnetization, which in all the samples, thanks to the Mn doping, is higher than that in magnetite nanoparticles taken as a reference. The combination of these two events has two main consequences. First, it determines the intensity of dipolar interactions between the nanoparticles, thus influencing their magnetic relaxing behavior, which, in turn, is closely related to the heating efficiency. Secondly, in a heating test, it is possible to operate in the regime of non-linear magnetic response of the nanoparticles at values of amplitude and frequency of the alternating field usually employed for biomedical applications. We show that, in this regime, the Specific Absorption Rate (SAR) in each sample depends linearly on the fraction of nanoparticles that are not superparamagnetic. This opens the possibility of modulating the heating capacity of the produced nanoparticles, so as to match specific needs, changing only a single synthesis parameter and opportunely exploiting the strict connection between structural features, magnetic properties and measurement conditions.
RESUMO
A prospective observational study was conducted during a two-year period to evaluate the prevalence of hospitalized pneumonia in six hospital units of the Bologna S.Orsola-Malpighi hospital (Italy). The selected units were: general surgery, general medicine, internal medicine, geriatrics, respiratory physiopathology and pneumology, with a total of 205 beds and around 4,800 admissions per year. Data were collected from the clinical cards and cases of pneumonia were distinguished by origin (community-acquired or hospital-acquired according to CDC definition), individual and clinical characteristics, and aetiology. The study involved 486 cases of pneumonia: 75 hospital-acquired and 411 community-acquired (84.6%). Patients affected by hospital-acquired pneumonia were older (average age 77 years) compared to community-acquired cases (74 years) and show a more homogeneous gender distribution (males: 48.0% vs 59.4%). Hospital stays (42 vs 21 days) and mortality rates (24.0% vs 11.7%) were significantly higher in hospital-acquired pneumonia. The incidence rate of nosocomial pneumonia was 7.4 per 1000 hospitalized patients and increased to 17-23 per 1000 in the pneumology and respiratory physiopathology units. Only 16.9% of cases had an aetiological diagnosis (14.1% community-acquired; 31.8% hospital-acquired); the most common isolates were S. aureus and P. aeruginosa. The hospital-acquired cases were caused by Gram-negative bacilli more often than the community-acquired cases, and infections were more frequently polymicrobial (37.5% vs 3.4%). In order to reduce morbidity and mortality due to pneumonia it is important to implement prevention measures in the community (i.e. specific vaccination campaigns), improve clinical protocols for aetiological diagnosis in hospitalised patients and increase epidemiological surveillance of hospital-acquired infections.
Assuntos
Infecções Comunitárias Adquiridas/epidemiologia , Infecção Hospitalar/epidemiologia , Hospitais Urbanos/estatística & dados numéricos , Pneumonia Bacteriana/epidemiologia , Distribuição por Idade , Idoso , Infecções Comunitárias Adquiridas/microbiologia , Infecções Comunitárias Adquiridas/prevenção & controle , Infecção Hospitalar/microbiologia , Infecção Hospitalar/prevenção & controle , Feminino , Humanos , Incidência , Itália/epidemiologia , Tempo de Internação/estatística & dados numéricos , Masculino , Prontuários Médicos , Pneumonia Bacteriana/microbiologia , Pneumonia Bacteriana/prevenção & controle , Prevalência , Estudos Prospectivos , Fatores de Risco , Taxa de SobrevidaRESUMO
A randomized stratified sample of 522 children attending the third class of primary schools within the area of Bologna Local Health Unit was analysed for physical activity and sports practice. Information about the children's habits and availability of facilities for physical and sports activities were collected by means of structured questionnaires completed by children (507 respondents), parents (491), reference teachers for physical education (26) and class teachers (46) during the school year 2006-07. At the same time, the children's heights and weights were measured in order to calculate BMI values. Regular sports activity is practised by 80.1% of children (males: 82.4%, females: 77.6%), with significant diferences between genders only in children with at least one non-Italian parent (M>F, p < 0.05); the practice of sports is influenced by the area of residence (metropolitan > plain and hills, p < 0.05) and nationality (Italians > non-Italians, p < 0.01). Children with at least one actively sports practising parent are involved more frequently in sports activities (p < 0.001). In free time, sedentary activities are prevalent for both sports-practising children and not. However children not involved in regular sports activities tend to practise outdoor physical activities with a frequency significantly higher than children involved in sports (17.3% vs 10.4% of respondents). The percentage of completely sedentary children, who stated that they practise neither sports nor physical activity in their free time, is 7.3% (metropolitan area: 4.5%, hills: 8.7%, plain: 10.6%). The prevalence of overweight is 24.4%, of obesity 9.7%, with a better distribution of BMI values in the metropolitan area where there is the highest occurrence of positive conditions and behaviours: availability of sports facilities, the highest prevalence of sports practice, and the lowest prevalence of completely sedentary children.
Assuntos
Exercício Físico/fisiologia , Esportes/estatística & dados numéricos , Fatores Etários , Índice de Massa Corporal , Criança , Interpretação Estatística de Dados , Feminino , Humanos , Itália , Estilo de Vida , Masculino , Obesidade/epidemiologia , Sobrepeso/epidemiologia , Pais , Prevalência , Estudos de Amostragem , Fatores Sexuais , Inquéritos e QuestionáriosRESUMO
Brain-derived neurotrophic factor (BDNF) regulates monoamine neuronal growth, survival and function in development and throughout adulthood. At 18 months of age, mice with constitutive reductions in BDNF expression show decreased serotonin innervation in the hippocampus compared with age-matched wildtype mice. It is not known, however, whether age-accelerated loss of serotonergic innervation in BDNF(+/-) mice occurs in other brain regions, advances beyond 18 months or is associated with alterations in other neurotransmitter systems. In this study, immunocytochemistry was used to assess serotonergic and catecholaminergic innervation in 26-month-old BDNF(+/-) mice. Age-related loss of serotonin axons in the hippocampus was potentiated in BDNF(+/-) mice compared with wildtype mice at this late age, particularly in the CA1 subregion. By contrast, aging BDNF(+/-) mice showed increased serotonin innervation of the basomedial nucleus of the amygdala. In the noradrenergic system, BDNF(+/-) mice showed reduced numbers of cell bodies and fibers in the locus coeruleus compared with age-matched wildtype mice, whereas no changes were observed in dopaminergic innervation with respect to genotype. In vivo zero net flux microdialysis in awake mice showed a significant decrease in extracellular serotonin levels in the hippocampus in BDNF(+/-) mice at 20 months of age. Thus, reduced BDNF is associated with altered serotonergic and noradrenergic innervation in aging mice and, in particular, with accelerated loss of serotonergic innervation to the hippocampus that is manifest as a decrease in basal neurotransmission.
Assuntos
Envelhecimento/metabolismo , Fator Neurotrófico Derivado do Encéfalo/metabolismo , Hipocampo/metabolismo , Vias Neurais/metabolismo , Norepinefrina/metabolismo , Serotonina/metabolismo , Tonsila do Cerebelo/metabolismo , Animais , Fator Neurotrófico Derivado do Encéfalo/genética , Dopamina/metabolismo , Heterozigoto , Hipocampo/citologia , Masculino , Camundongos , Camundongos Endogâmicos C57BL , Camundongos Knockout , Microdiálise , Fibras Nervosas/metabolismo , Vias Neurais/citologiaRESUMO
The cultivated strawberry, Fragaria×ananassa possesses a genetically complex allo-octoploid genome. Advances in genomics research in Fragaria, including the release of a genome sequence for F. vesca, have permitted the development of a high throughput whole genome genotyping array for strawberry, which promises to facilitate genetics and genomics research. In this investigation, we used the Axiom® IStraw90®)array for linkage map development, and produced a linkage map containing 8,407 SNP markers spanning 1,820cM. Whilst the linkage map provides good coverage of the genome of both parental genotypes, the map of 'Monterey' contained significantly fewer mapped markers than did that of 'Darselect'. The array contains a novel marker class known as haploSNPs, which exploit homoeologous sequence variants as probe destabilization sites to effectively reduce marker ploidy. We examined these sites as potential indicators of subgenomic identities by using comparisons to allele states in two ancestral diploids. On this basis, haploSNP loci could be inferred to be derived from F. vesca, F. iinumae, or from an unknown source. When the identity classifications of haploSNPs were considered in conjunction with their respective linkage map positions, it was possible to define two discrete subgenomes, while the remaining homoeologues of each chromosome could not be partitioned into two discrete subgenomic groupings. These findings suggested a novel hypothesis regarding octoploid strawberry subgenome structure and evolutionary origins.
Assuntos
Mapeamento Cromossômico/métodos , Fragaria/genética , Genoma de Planta/genética , Polimorfismo de Nucleotídeo Único , Poliploidia , Alelos , Sequência de Bases , Cromossomos de Plantas/genética , Diploide , Evolução Molecular , Ligação Genética , Genótipo , Haplótipos , Homologia de Sequência do Ácido NucleicoRESUMO
OBJECTIVES: To compare the efficiency and cost of two distinct but complementary recruitment strategies for a clinical trial of physically frail, community-living persons, age 75 and older. DESIGN: In the first recruitment strategy, potential participants were identified and screened for physical frailty during office visits to their primary care physicians; in the second, potential participants were identified from the patient rosters of primary care physicians and were screened for physical frailty in their home. Physical frailty was defined on the basis of slow gait speed and inability to stand from a chair with one's arms folded. SETTING: General community in greater Bridgeport, Connecticut. PARTICIPANTS: Community-living persons, age 75 and older, who met criteria for physical frailty. MEASUREMENTS: Measures of efficiency included the number of persons screened for each participant randomized, the number of persons eligible for each participant randomized, and the refusal rate. Costs were calculated per randomized participant. RESULTS: One hundred eighty-eight participants, with a mean age of 83.2 years, were enrolled over 22 months. One hundred and one participants were enrolled via the office-based strategy; 87 were enrolled via the roster-based strategy. Participants in each group had considerable quadriceps weakness and performed poorly on objective measures of gait and upper- and lower-extremity function. For each participant randomized, the number of persons screened, number of persons eligible, and cost were 15.2, 1.2, and $868, respectively, for the office-based strategy and 11.6, 1.1, and $764, respectively, for the roster-based strategy. The corresponding refusal rates for the two strategies were 14.9% and 10.1%, respectively (P < .001). CONCLUSIONS: Although each recruitment strategy successfully identified older persons who were physically frail, the roster-based strategy was less expensive and performed modestly better on each measure of efficiency than the office-based strategy.
Assuntos
Ensaios Clínicos como Assunto , Idoso Fragilizado , Avaliação Geriátrica , Seleção de Pacientes , Idoso , Idoso de 80 Anos ou mais , Ensaios Clínicos como Assunto/economia , Connecticut , Análise Custo-Benefício , Eficiência Organizacional , Feminino , Humanos , MasculinoRESUMO
The effects of two standard meals (meal A: 20 g proteins, 20 g lipids, 80 g maltodextrin; meal B: meal A plus 52 g lipids) on insulin and C-peptide secretion and on plasma levels of glucose and free fatty acids (FFA) was studied in 12 obese women separated into two groups according to the onset of obesity. One group (n = 6) developed into obesity after puberty (OP), the other (n = 6) became obese after pregnancy (OG). Meals A.--In OP women, the maximum insulin response was reached at 30 min after meal (141.8 +/- 14.2 microU/ml) and insulinaemia fell to the basal values at 180 min; in OG women the insulin response was linear in the interval 30-150 min after meal. The maximum secretion of C-peptide occurred between 30 min and 90 min in OP and between 60 min and 120 min in OG; the secretion rate was similar in the two groups. Blood glucose levels returned to the basal values at 120 min after meal in OP and at 180 min in OG. FFA levels significantly decreased after meal in both groups (p less than 0.01 vs basal values). Meal B.--Insulin secretion was decreased at 30 min after meal in OP and at 150 min in OG and the levels of C-peptide was not modified in both groups. The glycaemic response was unchanged in OP, but was lower in OG women (p less than 0.02). These results show that OP women present stronger and more rapid insulin response to meals than the OG women; this conclusion is supported by the analysis of the secretion of C-peptide. Blood glucose levels return to basal values faster in OP than in OG women. The blood level of FFA after the standard meals A and B are normal both in OP and OG women.
Assuntos
Alimentos , Insulina/sangue , Obesidade/sangue , Adulto , Glicemia/metabolismo , Ácidos Graxos não Esterificados/sangue , Feminino , Humanos , Peptídeos/sangueRESUMO
To find a better method for predicting the biological behavior of certain oral cavity lesions, the expression of nucleolar protein p120 and nucleolar organizer region counts (AgNOR) was compared with that of nuclear proliferation markers MIB-1 and PCNA in 10 cases of keratotic epithelial hyperplasia (KEH), 10 cases of epithelial dysplasia (ED), and 15 cases of squamous cell carcinoma (SCC). Significant differences in p120 and AgNOR mean area values and PCNA labeling index (LI) were recorded between KEH and ED, as well as ED and SCC (Student-Neumann-Keuls test). All markers significantly differed between SCC grades I and III. Significant differences were also noted in AgNOR mean area values between grade I and II SCC and in p120 mean area values. MIB-1 and PCNA LI differed significantly when grade II and III SCC were compared (SNK test). There were significant correlations between p120 and AgNOR (Pearson correlation coefficients) and between both of them and the proliferative indexes. AgNOR correlated with tumor grade, stage, and lymph node status (Spearman correlation coefficients), suggesting a prognostic role for that marker.
Assuntos
Biomarcadores Tumorais/análise , Doenças da Boca/imunologia , Neoplasias Bucais/imunologia , Região Organizadora do Nucléolo/patologia , Análise de Variância , Antígenos de Neoplasias/análise , Antígenos Nucleares , Humanos , Hiperplasia/imunologia , Antígeno Ki-67 , Proteínas Nucleares/análise , Região Organizadora do Nucléolo/química , Prognóstico , Antígeno Nuclear de Célula em Proliferação/análise , Estudos Retrospectivos , Coloração pela Prata , Estatísticas não Paramétricas , tRNA MetiltransferasesRESUMO
It is widely held that obesity may be due to alterations in the total caloric intake, the distribution of nutrient intake and the number of meals; widely spaced out meals of large proportions may be associated with metabolic dysfunctions. An observational study was performed in a random sample (80 males and 183 females) of moderately obese adults (IMC > 30 and < 40) attending the dietary unit of our hospital to evaluate spontaneous breakfast eating habits (understood as caloric contribution > 10% of daily caloric intake) in relation to: working activity, region of origin, possible influence on daily intake of energy and nutrients and on common clinical and anthropometric variables (arterial pressure, glycemia, cholesterolemia, triglyceridemia, IMC, WHR). Following the subdivision of patients into breakfast eaters (SC = 26 males, 52 females) and non-breakfast eaters (NC = 54 males and 131 females), no significant differences emerged between sexes with regard to region of origin, working activity, IMC, WHR, total kcal, distribution of nutrients, glycemia, cholesterolemia, triglyceridemia, arterial pressure. The only significant difference between SC and NC concerns alcohol consumption which was inversely correlated to breakfast eating in both males and females (males: r = -0.225, p < 0.05; females: r = -0.157, p < 0.05). No significant differences appear between wine consumers (SE = 29) and abstemious males (NE = 51), except for daily caloric consumption (kcal/die), triglycerides and arterial pressure, which were higher in SE (p < 0.05, p < 0.01, p < 0.05 respectively).(ABSTRACT TRUNCATED AT 250 WORDS)
Assuntos
Consumo de Bebidas Alcoólicas , Dieta , Ingestão de Energia , Comportamento Alimentar , Obesidade , Adulto , Idoso , Antropometria , Feminino , Humanos , Masculino , Pessoa de Meia-IdadeRESUMO
UNLABELLED: 50 patients suffering from dysphagia and oesophageal stenosis were treated in the period 1975-77. Of these 31 had renutrition of longer than two weeks and are the subject of the present study. Three nutrition systems were employed: 1) total parenteral feeding (7 patients), 2) feeding by naso-gastric tube or gastric fistula (15 patients), 3) feeding per os with semiliquid foods (9 patients). The patients were suffering from benign cicatricial stenosis (5), tumours of the cardia (7), tumours of the oesophagus (19). Short-term survival, weight behaviour and the course of certain blood parameters (Hb, GR, cholesterol, albumin, total proteins) are reported. CONCLUSIONS: --in benign cicatricial stenosis and tumours of the cardia, a normal protein-caloric amount (2000-3500 KCal., 80-120 g/24 h of proteins) is sufficient to obtain weight increase and stabilization of blood examinations. The administration route is unimportant; --in malignant stenosis, 4000-6000 KCal. and 100-130 g of protein/24 h must be provided to obtain the same result. In patients treated with total parenteral nutrition the weight loss persists. The reason for this behaviour is not known; it is likely that enzymatic blocks exist in substrate utilization; --further study is needed to improve results obtained and to clarify the reasons for such behaviour.
Assuntos
Estenose Esofágica/cirurgia , Nutrição Parenteral , Adulto , Idoso , Queimaduras Químicas/complicações , Criança , Nutrição Enteral , Neoplasias Esofágicas/complicações , Estenose Esofágica/induzido quimicamente , Estenose Esofágica/etiologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Nutrição Parenteral Total , Cuidados Pré-Operatórios , Neoplasias Gástricas/complicaçõesRESUMO
In brief: Fifty-one female professional golfers and 142 female amateur golfers were evaluated for skin cancer and skin cancer risk. The professionals were considerably younger than the amateurs (average of 28.4 vs 54.5 years) and received five times as much sun exposure as the amateurs. Four of the professionals had already developed basal cell carcinoma (BCC). Their average age was 25.5 years. Eleven amateurs also developed BCC, but their average age was 51.4 years. This study suggests that skin cancer can develop at earlier ages when sun exposure has been heavy. The likelihood of developing a skin I cancer also was related to eye and hair color.