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1.
Sci Data ; 11(1): 274, 2024 Mar 06.
Artigo em Inglês | MEDLINE | ID: mdl-38448454

RESUMO

Forest biomass is an essential resource in relation to the green transition and its assessment is key for the sustainable management of forest resources. Here, we present a forest biomass dataset for Europe based on the best available inventory and satellite data, with a higher level of harmonisation and spatial resolution than other existing data. This database provides statistics and maps of the forest area, biomass stock and their share available for wood supply in the year 2020, and statistics on gross and net volume increment in 2010-2020, for 38 European countries. The statistics of most countries are available at a sub-national scale and are derived from National Forest Inventory data, harmonised using common reference definitions and estimation methodology, and updated to a common year using a modelling approach. For those counties without harmonised statistics, data were derived from the State of Europe's Forest 2020 Report at the national scale. The maps are coherent with the statistics and depict the spatial distribution of the forest variables at 100 m resolution.


Assuntos
Florestas , Madeira , Biomassa , Bases de Dados Factuais , Europa (Continente)
2.
Rev Sci Instrum ; 94(8)2023 Aug 01.
Artigo em Inglês | MEDLINE | ID: mdl-38065187

RESUMO

We report on the realization of a hemispherical optical cavity with a finesse of F = 13 000 and sustaining inter-cavity powers of 10 kW, which we operate in a closed-cycle cryostat vacuum system close to 4 K. This was designed and built with an integrated radio-frequency Paul trap in order to combine optical and radio-frequency trapping. The cavity provides a power build-up factor of 2300. We describe a number of aspects of the system's design and operation, including low-vibration mounting and locking and thermal effects at high powers. Thermal self-locking in the high intracavity power regime was observed to enhance passive stability below 1 kHz. Observations made over repeated cool-downs over the course of a year show a repeatable shift between the ion trap center and the cavity mode.

3.
J Environ Manage ; 302(Pt B): 114099, 2022 Jan 15.
Artigo em Inglês | MEDLINE | ID: mdl-34801867

RESUMO

Efficient forest operations are required for the provision of biodiversity and numerous ecosystem services, such as wood production, carbon sequestration, protection against natural hazards and recreation. In numerous countries, under difficult terrain conditions, the costs of forest management and harvesting are not covered by timber revenue. One possible option to increase the cost-effectiveness of the forestry sector is the application of state-of-the-art harvesting and extraction techniques, so-called best suitable harvesting methods. We present a case study from Switzerland, where a lack of competitiveness in the forestry sector is of particular interest, with the aim of quantifying the efficiency gains if estimated best suitable harvesting methods were to be rigorously applied instead of the currently applied harvesting methods. For this purpose, we developed a spatial decision support system to allocate estimated best suitable harvesting methods to plots, while concurrently considering hauling route limitations, extraction route properties and stand characteristics. Our approach was based on productivity models and supported with expert-defined decision trees. The evaluation of the estimated best suitable harvesting methods and the comparison with the currently applied harvesting methods were completed for all 6500 National Forest Inventory (NFI) plots in Switzerland. We draw the following three major conclusions from our study: First, our modeling approach is an effective method to allocate estimated best suitable harvesting methods to NFI plots. Second, applying estimated best suitable harvesting methods would lead to cost reductions, in particular in the regions that include steep terrain and where harvesting mainly relies on cable- and air based extraction methods. Third, assuming an average timber price of 75 CHF m -3, 64 % instead of 52 % of the forest area could be harvested economically over the whole country if estimated best suitable methods were applied. This advantage would mainly be caused by a shift towards more mechanized harvesting methods. Improving the cost-effectiveness of the forestry sector is of high global relevance, as the increased use of domestic timber resources is a cost-efficient way to reduce atmospheric carbon emissions. The methodological framework described here was developed for Switzerland in particular, but it could be applied to Central Europe and other parts of Europe with a large amount of mountain forests.


Assuntos
Conservação dos Recursos Naturais , Ecossistema , Biodiversidade , Agricultura Florestal , Florestas
4.
Physiol Meas ; 40(1): 014001, 2019 01 11.
Artigo em Inglês | MEDLINE | ID: mdl-30523856

RESUMO

OBJECTIVE: Cardiovascular diseases are the leading cause of death, whereas nocturnal ambulatory blood pressure (BP) is the most potent predictor for cardiovascular risk. The volume clamp and pulse transit time (PTT) are common methods for continuous non-invasive BP measurement, but have drawbacks during unsupervised ambulatory use and undisturbed sleep. The pulse propagation time (PPT), defined as the time between pulse wave systolic peak and diastolic peak, provides valid information about the pressure pulse waveform. However, the use of PPT for nocturnal BP variation determination and whether such variation is affected by BP or heart rate (i.e. RR-interval or RRI) has not been investigated. APPROACH: To assess whether the PPT method is suitable for ubiquitous nocturnal BP monitoring, we compared systolic blood pressure (SBP) estimates derived from PPT, PTT, and RRI signals with parallel recorded BP measurements. The RRI-derived SBP signals were used as a baseline for testing a potential heart rate dependency. This work provides an overview of BP measurements, presents the developed real-time signal analysis, and describes the performance assessment. The signal analysis was validated with data records from 42 subjects acquired from an ergometry and sleep laboratory in equal parts. MAIN RESULTS: The algorithms applied to the ergometry laboratory database achieved a correlation coefficient between reference SBP and estimated SBPPPT of 0.89 (p < 0.001) with bias 0.1 mmHg and limits of agreement (LoA) -29.8 to 30.0 mmHg, SBPPTT of 0.97 (p < 0.001) with bias 0.0 mmHg and LoA -15.2 to 15.3 mmHg, and SBPRRI of 0.96 (p < 0.001) with bias 0.0 mmHg and LoA -19.5 to 19.5 mmHg. For the sleep laboratory database, the correlation coefficient was 0.95 (p < 0.001) with bias 0.2 mmHg and LoA -18.3 to 18.8 mmHg for SBPPPT, 0.88 (p < 0.001) with bias 0.0 mmHg and LoA -25.0 to 24.9 mmHg for SBPPTT, and 0.88 (p < 0.001) with bias of 0.1 mmHg and LoA -23.6 to 23.7 mmHg for SBPRRI. A heart rate dependency of PPT or PTT could not be found. The analysis of variance shows no significant differences between the reference SBP values and the estimated values for either the ergometry (F(3, 627) = 2.27, p = 0.08) or the sleep laboratory (F(3, 327) = 2.28, p = 0.08). SIGNIFICANCE: In conclusion, the PPT method seems to be an interesting alternative for continuous determination of SBP during simplified cardiovascular monitoring and sleep screening compared to more expensive devices based on volume clamp or PTT methods.


Assuntos
Pressão Sanguínea , Frequência Cardíaca , Monitorização Fisiológica/métodos , Fotopletismografia , Análise de Onda de Pulso , Processamento de Sinais Assistido por Computador , Calibragem , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Análise de Regressão , Sono/fisiologia
5.
Nat Commun ; 9(1): 3159, 2018 08 08.
Artigo em Inglês | MEDLINE | ID: mdl-30089797

RESUMO

Lake Tanganyika is the oldest and phenotypically most diverse of the three East African cichlid fish adaptive radiations. It is also the cradle for the younger parallel haplochromine cichlid radiations in Lakes Malawi and Victoria. Despite its evolutionary significance, the relationships among the main Lake Tanganyika lineages remained unresolved, as did the general timescale of cichlid evolution. Here, we disentangle the deep phylogenetic structure of the Lake Tanganyika radiation using anchored phylogenomics and uncover hybridization at its base, as well as early in the haplochromine radiation. This suggests that hybridization might have facilitated these speciation bursts. Time-calibrated trees support that the radiation of Tanganyika cichlids coincided with lake formation and that Gondwanan vicariance concurred with the earliest splits in the cichlid family tree. Genes linked to key innovations show signals of introgression or positive selection following colonization of lake habitats and species' dietary adaptations are revealed as major drivers of colour vision evolution. These findings shed light onto the processes shaping the evolution of adaptive radiations.


Assuntos
Ciclídeos/classificação , Ciclídeos/genética , Evolução Molecular , Hibridização Genética/efeitos da radiação , Filogenia , Adaptação Biológica/efeitos da radiação , África Oriental , Animais , Biodiversidade , DNA Mitocondrial/genética , Dieta , Fósseis , Água Doce , Fluxo Gênico/efeitos da radiação , Marcadores Genéticos , Genótipo , Fenômenos Geológicos , Lagos , Modelos Genéticos , Fenótipo , Alinhamento de Sequência , Análise de Sequência de DNA , Especificidade da Espécie , Tanzânia
6.
IEEE J Biomed Health Inform ; 21(2): 372-381, 2017 03.
Artigo em Inglês | MEDLINE | ID: mdl-26780821

RESUMO

Photoplethysmography has been used in a wide range of medical devices for measuring oxygen saturation, cardiac output, assessing autonomic function, and detecting peripheral vascular disease. Artifacts can render the photoplethysmogram (PPG) useless. Thus, algorithms capable of identifying artifacts are critically important. However, the published PPG algorithms are limited in algorithm and study design. Therefore, the authors developed a novel embedded algorithm for real-time pulse waveform (PWF) segmentation and artifact detection based on a contour analysis in the time domain. This paper provides an overview about PWF and artifact classifications, presents the developed PWF analysis, and demonstrates the implementation on a 32-bit ARM core microcontroller. The PWF analysis was validated with data records from 63 subjects acquired in a sleep laboratory, ergometry laboratory, and intensive care unit in equal parts. The output of the algorithm was compared with harmonized experts' annotations of the PPG with a total duration of 31.5 h. The algorithm achieved a beat-to-beat comparison sensitivity of 99.6%, specificity of 90.5%, precision of 98.5%, and accuracy of 98.3%. The interrater agreement expressed as Cohen's kappa coefficient was 0.927 and as F-measure was 0.990. In conclusion, the PWF analysis seems to be a suitable method for PPG signal quality determination, real-time annotation, data compression, and calculation of additional pulse wave metrics such as amplitude, duration, and rise time.


Assuntos
Algoritmos , Reconhecimento Automatizado de Padrão/métodos , Fotopletismografia/métodos , Análise de Onda de Pulso/métodos , Processamento de Sinais Assistido por Computador , Idoso , Artefatos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Sono/fisiologia
7.
Biotechnol Bioeng ; 113(10): 2241-53, 2016 10.
Artigo em Inglês | MEDLINE | ID: mdl-27072894

RESUMO

The most striking characteristic of CHO cells is their adaptability, which enables efficient production of proteins as well as growth under a variety of culture conditions, but also results in genomic and phenotypic instability. To investigate the relative contribution of genomic and epigenetic modifications towards phenotype evolution, comprehensive genome and epigenome data are presented for six related CHO cell lines, both in response to perturbations (different culture conditions and media as well as selection of a specific phenotype with increased transient productivity) and in steady state (prolonged time in culture under constant conditions). Clear transitions were observed in DNA-methylation patterns upon each perturbation, while few changes occurred over time under constant conditions. Only minor DNA-methylation changes were observed between exponential and stationary growth phase; however, throughout a batch culture the histone modification pattern underwent continuous adaptation. Variation in genome sequence between the six cell lines on the level of SNPs, InDels, and structural variants is high, both upon perturbation and under constant conditions over time. The here presented comprehensive resource may open the door to improved control and manipulation of gene expression during industrial bioprocesses based on epigenetic mechanisms. Biotechnol. Bioeng. 2016;113: 2241-2253. © 2016 The Authors. Biotechnology and Bioengineering Published by Wiley Periodicals, Inc.


Assuntos
Células CHO/classificação , Células CHO/fisiologia , Epigênese Genética/genética , Evolução Molecular , Genoma/genética , Seleção Genética/genética , Adaptação Fisiológica/genética , Animais , Cricetulus , Variação Genética/genética , Instabilidade Genômica/genética , Polimorfismo de Nucleotídeo Único/genética , Fatores de Tempo
8.
Med Biol Eng Comput ; 54(7): 1111-21, 2016 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-26538425

RESUMO

Cardiovascular disease is the main cause of death in Europe, and early detection of increased cardiovascular risk (CR) is of clinical importance. Pulse wave analysis based on pulse oximetry has proven useful for the recognition of increased CR. The current study provides a detailed description of the pulse wave analysis technology and its clinical application. A novel matching pursuit-based feature extraction algorithm was applied for signal decomposition of the overnight photoplethysmographic pulse wave signals obtained by a single-pulse oximeter sensor. The algorithm computes nine parameters (pulse index, SpO2 index, pulse wave amplitude index, respiratory-related pulse oscillations, pulse propagation time, periodic and symmetric desaturations, time under 90 % SpO2, difference between pulse and SpO2 index, and arrhythmia). The technology was applied in 631 patients referred for a sleep study with suspected sleep apnea. The technical failure rate was 1.4 %. Anthropometric data like age and BMI correlated significantly with measures of vascular stiffness and pulse rate variability (PPT and age r = -0.54, p < 0.001, PR and age r = -0.36, p < 0.01). The composite biosignal risk score showed a dose-response relationship with the number of CR factors (p < 0.001) and was further elevated in patients with sleep apnea (AHI ≥ 15n/h; p < 0.001). The developed algorithm extracts meaningful parameters indicative of cardiorespiratory and autonomic nervous system function and dysfunction in patients suspected of SDB.


Assuntos
Algoritmos , Doenças Cardiovasculares/diagnóstico , Fotopletismografia/métodos , Processamento de Sinais Assistido por Computador , Síndromes da Apneia do Sono/fisiopatologia , Adulto , Idoso , Aterosclerose/fisiopatologia , Doenças Cardiovasculares/fisiopatologia , Feminino , Frequência Cardíaca , Humanos , Masculino , Pessoa de Meia-Idade , Fatores de Risco , Rigidez Vascular/fisiologia
9.
Blood Press ; : 1-8, 2015 Jul 31.
Artigo em Inglês | MEDLINE | ID: mdl-26230147

RESUMO

During physical exercise, pulse transit time (PTT), expressed as the interval between ventricular electrical activity and peripheral pulse wave, may provide a surrogate estimate for blood pressure by the use of specific calibration procedures. The objective of this study was to determine systolic blood pressure (SBP) values derived from the PTT method and from an established method of non-invasive continuous blood pressure measurement based on the volume clamp technique, and to compare their agreement with sphygmomanometry during exercise tests. In 18 subjects, electrocardiogram (ECG) and finger-photoplethysmography were continuously recorded during maximal cycle exercise tests. Intermittent and continuous blood pressure measurements were simultaneously taken using automated sphygmomanometry and a Portapres Model-2 device, respectively. PTT was calculated for each ECG R-wave and the corresponding steepest upstroke slope in the photoplethysmogram, and was transformed to a continuous blood pressure estimate using multipoint nonlinear regression calibration based on the individual subject's sphygmomanometer readings. Bland-Altman limits of agreement between PTT-derived SBP estimates and sphygmomanometer values were -24.7 to 24.1 mmHg, and between Portapres and sphygmomanometer SBP values were -42.0 to 70.1 mmHg. For beat-to-beat SBP estimation during exercise, PTT measurement combined with multipoint nonlinear regression calibration based on intermittent sphygmomanometry may be an alternative to volume clamp devices.

10.
Blood Press ; 24(6): 353-60, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-26286887

RESUMO

During physical exercise, pulse transit time (PTT), expressed as the interval between ventricular electrical activity and peripheral pulse wave, may provide a surrogate estimate for blood pressure by the use of specific calibration procedures. The objective of this study was to determine systolic blood pressure (SBP) values derived from the PTT method and from an established method of non-invasive continuous blood pressure measurement based on the volume clamp technique, and to compare their agreement with sphygmomanometry during exercise tests. In 18 subjects, electrocardiogram (ECG) and finger-photoplethysmography were continuously recorded during maximal cycle exercise tests. Intermittent and continuous blood pressure measurements were simultaneously taken using automated sphygmomanometry and a Portapres Model-2 device, respectively. PTT was calculated for each ECG R-wave and the corresponding steepest upstroke slope in the photoplethysmogram, and was transformed to a continuous blood pressure estimate using multipoint nonlinear regression calibration based on the individual subject's sphygmomanometer readings. Bland-Altman limits of agreement between PTT-derived SBP estimates and sphygmomanometer values were -24.7 to 24.1 mmHg, and between Portapres and sphygmomanometer SBP values were -42.0 to 70.1 mmHg. For beat-to-beat SBP estimation during exercise, PTT measurement combined with multipoint nonlinear regression calibration based on intermittent sphygmomanometry may be an alternative to volume clamp devices.


Assuntos
Monitores de Pressão Arterial , Pressão Sanguínea/fisiologia , Eletrocardiografia , Exercício Físico/fisiologia , Análise de Onda de Pulso , Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade
11.
Artigo em Inglês | MEDLINE | ID: mdl-24110805

RESUMO

The newest branch of the ISO/IEEE 11073 (X73) standard for Personal Health Devices (X73PHD), allow the development of interoperable personal health ecosystems. At the moment of this writing, more than 11 specializations have been successfully published by the Personal Health Device (PHD) Working Group (PHD WG). Nevertheless, some recent specializations at draft stage show the need for a procedure to control configuration parameters. As a solution, some ad-hoc methods have been elaborated to deal with it, but, the aim of the PHD WG is to standardize a general procedure, valid for longer term. Then it is needed to identify use cases requiring remote configuration services. This work identifies and studies new use cases that employ remote configuration services. The resulting use cases, discussed within the PHD WG to get the maximum consensus, are within the scope of the Basic Electrocardiograph (X73-10406), the Sleep Apnea Breathing Therapy Equipment (X73-10424), and the Medication Monitor (X73-10472) specializations. In addition, a classification of the findings is proposed for each use case. These findings could be the basis for the new remote configuration extension.


Assuntos
Eletrocardiografia , Equipamentos e Provisões , Telemedicina , Humanos , Respiração , Síndromes da Apneia do Sono/fisiopatologia , Síndromes da Apneia do Sono/terapia
12.
PLoS One ; 8(6): e67048, 2013.
Artigo em Inglês | MEDLINE | ID: mdl-23826193

RESUMO

The cichlid fishes of the East African Great Lakes represent a model especially suited to study adaptive radiation and speciation. With several African cichlid genome projects being in progress, a promising set of closely related genomes is emerging, which is expected to serve as a valuable data base to solve questions on genotype-phenotype relations. The mitochondrial (mt) genomes presented here are the first results of the assembly and annotation process for two closely related but eco-morphologically highly distinct Lake Tanganyika cichlids, Petrochromis trewavasae and Tropheus moorii. The genomic sequences comprise 16,588 bp (P. trewavasae) and 16,590 bp (T. moorii), and exhibit the typical mitochondrial structure, with 13 protein-coding genes, 2 rRNA genes, 22 tRNA genes, and a non-coding control region. Analyses confirmed that the two species are very closely related with an overall sequence similarity of 96%. We analyzed the newly generated sequences in the phylogenetic context of 21 published labroid fish mitochondrial genomes. Consistent with other vertebrates, the D-loop region was found to evolve faster than protein-coding genes, which in turn are followed by the rRNAs; the tRNAs vary greatly in the rate of sequence evolution, but on average evolve the slowest. Within the group of coding genes, ND6 evolves most rapidly. Codon usage is similar among examined cichlid tribes and labroid families; although a slight shift in usage patterns down the gene tree could be observed. Despite having a clearly different nucleotide composition, ND6 showed a similar codon usage. C-terminal ends of Cox1 exhibit variations, where the varying number of amino acids is related to the structure of the obtained phylogenetic tree. This variation may be of functional relevance for Cox1 synthesis.


Assuntos
Ciclídeos/genética , DNA Mitocondrial/genética , Evolução Molecular , Genoma Mitocondrial/genética , Sequência de Aminoácidos , Animais , Sequência de Bases , Códon/genética , Sequência Conservada/genética , DNA Intergênico/genética , Complexo IV da Cadeia de Transporte de Elétrons/química , Complexo IV da Cadeia de Transporte de Elétrons/genética , Dados de Sequência Molecular , Filogenia
13.
J Am Chem Soc ; 135(3): 1148-54, 2013 Jan 23.
Artigo em Inglês | MEDLINE | ID: mdl-23272736

RESUMO

Three-coordinate complexes (bromo)[4-(2,2-dimethyl-1,3-dioxolan-4-yl)-phenyl](tri-tert-butyl-phosphine)palladium (1) and (bromo){4-[(tetrahydro-2H-pyran-2-yloxy)methyl]phenyl}(tri-tert-butyl-phosphine)palladium (2) were used to initiate Suzuki-Miyaura chain growth polymerization of 7'-bromo-9',9'-dioctyl-fluoren-2'-yl-4,4,5,5-tetramethyl-[1,3,2]dioxaborolane (3). The polymerization was optionally terminated by end-capping with red-emitting N-(2-ethylhexyl)-1,6-bis(4-tert-octylphenoxy)-9-(4,4,5,5-tetramethyl-[1,3,2]dioxaborolan-2-yl)-perylene-3,4-dicarboximide. Heterodisubstituted polyfluorenes of adjustable molecular weights between 5 × 10(3) and 1.0 × 10(4) g mol(-1) and narrow molecular weight distribution (M(w)/M(n) < 1.2), bearing precisely one or two hydroxyl groups on one chain end and optionally a dye-label on the opposite end, were obtained virtually devoid of any side-products. Covalent attachment of polyethylene glycol (M(n) = 2 × 10(3) g mol(-1)) to the reactive end groups yielded amphiphilic block copolymer, which afforded stable nanoparticles with diameters in the range of 25-50 nm when dispersed in water. These particles exhibited a bright fluorescence emission with quantum yields as high as Φ = 84%, which could optionally be tuned to longer wavelengths by energy transfer to the perylene monoimide dye. The heterodifunctional nature of these polyfluorenes is crucial for a bright and enduring fluorescence brightness as revealed by comparison to nanoparticles containing physically mixed dye. Further addition of terrylene diimide dye to the nanoparticles of perylene-end-capped polyfluorene block copolymers allows for an energy cascade resulting in emission exclusively in the deep red and near-infrared regime.


Assuntos
Fluorenos/química , Nanopartículas/química , Estrutura Molecular , Compostos Organometálicos/síntese química , Compostos Organometálicos/química , Paládio/química
14.
Biochem Biophys Res Commun ; 390(2): 247-51, 2009 Dec 11.
Artigo em Inglês | MEDLINE | ID: mdl-19800867

RESUMO

Obesity has emerged as a global health problem with more than 1.1 billion adults to be classified as overweight or obese, and is associated with type 2 diabetes, cardiovascular disease, and several cancers. Since obesity is characterized by an increased size and/or number of adipocytes, elucidating the molecular events governing adipogenesis is of utmost importance. Recent findings indicate that microRNAs (miRNAs) - small non-protein-coding RNAs that function as post-transcriptional gene regulators - are involved in the regulatory network of adipogenesis. Whereas only a single human miRNA is known so far to be functional in adipogenesis as pro-adipogenic, several mouse miRNAs have been identified very recently as adipogenic regulators, thereby stimulating demand for studying the functional role of miRNAs during adipogenesis in human. Here, we demonstrate that miR-27b abundance decreased during adipogenesis of human multipotent adipose-derived stem (hMADS) cells. Overexpression of miR-27b blunted induction of PPARgamma and C/EBPalpha, two key regulators of adipogenesis, during early onset of adipogenesis and repressed adipogenic marker gene expression and triglyceride accumulation at late stages. PPARgamma has a predicted and highly conserved binding site in its 3'UTR and was indeed confirmed to be a direct target of miR-27b. Thus, these results suggest that the anti-adipogenic effect of miR-27b in hMADS cells is due, at least in part, to suppression of PPARgamma.


Assuntos
Adipócitos/fisiologia , Adipogenia/genética , Regulação da Expressão Gênica , MicroRNAs/metabolismo , PPAR gama/metabolismo , Regiões 3' não Traduzidas/metabolismo , Adipócitos/metabolismo , Animais , Sequência de Bases , Proteína alfa Estimuladora de Ligação a CCAAT/metabolismo , Humanos , Camundongos , PPAR gama/genética
15.
Nephrol Dial Transplant ; 22(8): 2224-9, 2007 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-17496115

RESUMO

BACKGROUND: Pentraxins are mediators of inflammation as well as markers of the acute-phase reaction. While elevation of C-reactive protein (CRP) in patients with renal failure and its association with cardiovascular disease is well described, there are no data on pentraxin 3 (PTX3) in this population. METHODS: Plasma was obtained from 44 chronic haemodialysis (HD) patients, 35 peritoneal dialysis (PD) patients, 39 patients with chronic renal failure (CRF) not on dialysis therapy and 14 age-matched normal subjects. PTX3 production in whole blood was also investigated in samples taken before and during HD. RESULTS: PTX3 plasma levels were significantly higher in HD patients (5.8 +/- 0.6 ng/ml) compared with the other three groups. There were no significant differences between PD patients (1.5 +/- 0.4 ng/ml), CRF patients (1.5 +/- 0.4 ng/ml) and normal subjects (0.76 +/- 0.2 ng/ml). In dialysis patients, PTX3 levels correlated significantly with time on renal replacement therapy (RRT) and with weekly erythropoietin dose. PTX3 levels were significantly higher in patients with coronary artery disease and peripheral artery disease compared with those without. During a single HD session, PTX3 production was higher in whole blood samples taken after 3 h HD compared with samples taken before HD. CONCLUSIONS: PTX3 levels are markedly elevated in HD patients. The increase in PTX3 production in whole blood after HD indicates that the HD procedure itself contributes to elevated PTX3 levels in HD patients. The association between PTX3 and cardiovascular morbidity suggests a possible connection of PTX3 with atherosclerosis and cardiovascular disease in HD patients.


Assuntos
Proteína C-Reativa/biossíntese , Doenças Cardiovasculares/sangue , Doenças Cardiovasculares/diagnóstico , Diálise Renal , Componente Amiloide P Sérico/biossíntese , Aterosclerose , Humanos , Inflamação , Interleucina-6/sangue , Modelos Estatísticos , Diálise Peritoneal
16.
Transplantation ; 78(12): 1802-8, 2004 Dec 27.
Artigo em Inglês | MEDLINE | ID: mdl-15614154

RESUMO

BACKGROUND: The objective of this study was to determine the long-term results after simultaneous pancreas-kidney transplantation (SPK) at a single-center institution in Europe. PATIENTS AND METHODS: Seventy-eight consecutive patients with insulin-dependent diabetes mellitus and end-stage nephropathy were followed for a median of 7 years after SPK. Immunosuppressive protocol consisted of cyclosporine A, azathioprine, prednisone, and antithymocyte globulin. Multivariate Cox proportional hazard model was used to investigate the impact of different putative risk factors on long-term patient survival. Health-related quality of life was assessed by a validated questionnaire (SF-36). RESULTS: Patient survival at 5 and 10 years was 81% and 67%, respectively. Pancreas function rate was 73% and 60% and kidney function 67% and 44%, respectively. In multivariate analysis, preexisting myocardial infarction (relative risk [RR] 5.1, 95% confidence interval [CI] 1.5-16.6) and amputation (RR 3.7, 95% CI 1.1-12.9) were strongly associated with a diminished long-term patient survival. Analysis of patients with long-term functioning pancreas and kidney grafts revealed excellent results for quality of life posttransplant that were comparable with average scores of the normal German population. CONCLUSIONS: This series representing the largest experience with long-term follow-up in Europe confirms an excellent long-term survival and an exceptional quality of life after SPK.


Assuntos
Transplante de Rim , Transplante de Pâncreas , Adulto , Doenças Cardiovasculares/etiologia , Doenças Cardiovasculares/mortalidade , Causas de Morte , Feminino , Seguimentos , Humanos , Incidência , Infecções/etiologia , Infecções/mortalidade , Rim/fisiopatologia , Transplante de Rim/mortalidade , Transtornos Linfoproliferativos/etiologia , Transtornos Linfoproliferativos/mortalidade , Masculino , Pessoa de Meia-Idade , Neoplasias/epidemiologia , Neoplasias/etiologia , Pâncreas/fisiopatologia , Transplante de Pâncreas/mortalidade , Complicações Pós-Operatórias , Qualidade de Vida , Análise de Sobrevida
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