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1.
Ann Burns Fire Disasters ; 36(4): 276-280, 2023 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-38680239

RESUMO

A review of paediatric burns in our burns facility in the United Kingdom demonstrated variable accuracy of size, and a majority documented as <1% total body surface area (TBSA). Accurate assessment is important for medical records, clinical management and non-accidental injuries. We propose to assess burn size with a coin-based system, where small burns are described by single/multiple sterling coins. Participants were asked about their confidence in evaluating small paediatric burns. Participants were given ten scenarios which included photographs of paediatric patients with small burns. They were asked to assess burn size in their normal manner (TBSA, measurement) and with a coin-based system. The 'burns' were drawn on children based on a given coin size and percentage so that the accuracy of the participant's answer was quantifiable. Participants provided qualitative feedback in a questionnaire on the coin-based system. Thirty nurses and medical staff of varying seniority actively involved in referral/management of paediatric burns took part, creating over 300 responses. In preliminary questions, 66% of participants did not feel confident in estimating paediatric burns and 83% needed to refer to a paediatric burns chart. Accuracy of burn size using TBSA and the coin-based system was 45% and 67%, respectively. The majority (97%) stated estimating size was easier, and 93% found it more accurate. A total of 87% found communication between colleagues easier. Results highlight the improved assessment of small burns in our hospital using a coin-based approach in comparison to TBSA, and could facilitate accurate communication between health care professionals.


En revoyant les évaluations de SB des brûlures pédiatrique dans notre centre du Royaume Uni, nous avons constaté une grande variabilité quant à leur exactitude, avec une majorité d'entre elles touchant moins de 1%. Hors, une évaluation exacte est nécessaire pour la stratégie thérapeutique, la bonne tenue du dossier et sur le plan légal (en particulier après brûlure non accidentelle). Nous proposons, pour ces petites brûlures, une évaluation utilisant la taille d'une pièce de monnaie. Les volontaires à cette étude se sont vus remettre 10 scenarii de petites brûlures, photos à l'appui. Il leur était demandé d'évaluer la SB comme à leur habitude et en utilisant le système de taille de pièce (avec multiples si nécessaire), et d'estimer l'intérêt de l'évaluation « à la pièce ¼. Trente personnels (médecins et infirmières) expérimentés ont participé, générant réponses. En préambule, 66% des participants s'estimaient peu fiables quand à l'évaluation des SB de l'enfant et 83% utilisaient des tables spécifiques. L'exactitude de l'évaluation était de 45% avec les techniques habituelles et 67% à la pièce. La grande majorité estimait que la mesure à la pièce facilitait l'évaluation (97%), la rendait plus précise (93%) et facilitait les transmissions (87%). L'évaluation à la pièce des brûlures pédiatriques pourrait la rendre plus précise et faciliter la communication entre professionnels.

2.
Bull Entomol Res ; 108(6): 792-799, 2018 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-29441836

RESUMO

Arthropod communities in the tropics are increasingly impacted by rapid changes in land use. Because species showing distinct seasonal patterns of activity are thought to be at higher risk of climate-related extirpation, global warming is generally considered a lower threat to arthropod biodiversity in the tropics than in temperate regions. To examine changes associated with land use and weather variables in tropical arthropod communities, we deployed Malaise traps at three major anthropogenic forests (secondary reserve forest, oil palm forest, and urban ornamental forest (UOF)) in Peninsular Malaysia and collected arthropods continuously for 12 months. We used metabarcoding protocols to characterize the diversity within weekly samples. We found that changes in the composition of arthropod communities were significantly associated with maximum temperature in all the three forests, but shifts were reversed in the UOF compared with the other forests. This suggests arthropods in forests in Peninsular Malaysia face a double threat: community shifts and biodiversity loss due to exploitation and disturbance of forests which consequently put species at further risk related to global warming. We highlight the positive feedback mechanism of land use and temperature, which pose threats to the arthropod communities and further implicates ecosystem functioning and human well-being. Consequently, conservation and mitigation plans are urgently needed.


Assuntos
Artrópodes/fisiologia , Biodiversidade , Florestas , Chuva , Animais , Arecaceae/crescimento & desenvolvimento , Malásia , Dinâmica Populacional , Estações do Ano , Temperatura
3.
Trop Biomed ; 35(2): 501-510, 2018 Jun 01.
Artigo em Inglês | MEDLINE | ID: mdl-33601825

RESUMO

Blastocystis sp. is ubiquitous in avian, mammalian and human hosts and propagates in either neutral or slightly alkaline conditions within the host's gastro-intestinal tract. Of the few previous studies on this enteric protozoan parasite in feline and canine hosts, prevalence values have been shown to range between 0 to 70.8%. In view of the close association between humans, and canine and feline hosts as companion animals, faecal samples of 180 Felis catus and 82 Canis lupus, collected from Penang and Kuala Lumpur, Malaysia, were initially screened by in vitro cultivation followed by molecular characterization. No positive isolates were identified in culture but in 12 feline samples DNA barcoding detected a zoonotic subtype Blastocystis ST1 for the first time. Consequently, avian and human isolates, which had previously been successfully cultured, were used to investigate the impact of pH on the viability and morphology of Blastocystis sp. The use of Trypan blue showed that the number of viable cells increased when exposed to pH 4 and a significant increase in viability occurred in pH values of 5 to 7. Development of Blastocystis cells in both isolates was suppressed in media less than pH 5 followed by the disappearance of viable cells from avian isolates in more acidic media below pH 4. Morphologically at pH 4 cells from avian isolates were less rounded, and with wrinkled / shrunken surfaces, than the more normal rounded cells from human isolates. On the other hand, at values below pH 3, no viable cells in human isolates were visible. The present findings therefore confirm that gastro-intestinal pH is an important determinant of Blastocystis viability and consequently influences the epidemiology of infection within avian, mammalian and human hosts.

4.
Acta Trop ; 171: 138-140, 2017 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-28359829

RESUMO

Mosquitoes are vectors of various human diseases in the tropics including yellow fever, dengue, malaria and West Nile virus. Mosquitoes can act as vectors between wildlife and humans, which is particularly important for diseases where wild animals serve as reservoirs of parasites in the absence of human infections. Research has mainly focused on the medical impacts of Anopheles, Aedes, Mansonia and Culex, however, very little attention has been directed towards other mosquito genera, especially those which act as vectors of diseases of wildlife. We have observed adults of Mimomyia (Etorleptiomyia) luzonensis (Ludlow, 1905) feeding on a toad, Ingerophrynus parvus, near an oil palm plantation settlement in Setia Alam, Selangor state, Peninsular Malaysia. Mimomyia is known to feed on reptiles and amphibians, and is a documented vector of several arboviruses, including West Nile virus. The observation of Mimomyia feeding on a common toad near a human settlement highlights a need to understand the relationships between mosquitoes, toads and humans from an ecological perspective. We report on-site observations of the feeding habit of Mimomyia; the first records from Malaysia.


Assuntos
Culicidae/fisiologia , Comportamento Alimentar/fisiologia , Animais , Bufonidae , Culicidae/virologia , Humanos , Malásia
5.
Respir Res ; 18(1): 16, 2017 01 14.
Artigo em Inglês | MEDLINE | ID: mdl-28088206

RESUMO

BACKGROUND: There are challenges for researchers and clinicians to select the most appropriate physical activity tool, and a balance between precision and feasibility is needed. Currently it is unclear which physical activity tool should be used to assess physical activity in Bronchiectasis. The aim of this research is to compare assessment methods (pedometer and IPAQ) to our criterion method (ActiGraph) for the measurement of physical activity dimensions in Bronchiectasis (BE), and to assess their feasibility and acceptability. METHODS: Patients in this analysis were enrolled in a cross-sectional study. The ActiGraph and pedometer were worn for seven consecutive days and the IPAQ was completed for the same period. Statistical analyses were performed using SPSS 20 (IBM). Descriptive statistics were used; the percentage agreement between ActiGraph and the other measures were calculated using limits of agreement. Feedback about the feasibility of the activity monitors and the IPAQ was obtained. RESULTS: There were 55 (22 male) data sets available. For step count there was no significant difference between the ActiGraph and Pedometer, however, total physical activity time (mins) as recorded by the ActiGraph was significantly higher than the pedometer (mean ± SD, 232 (75) vs. 63 (32)). Levels of agreement between the two devices was very good for step count (97% agreement); and variation in the levels of agreement were within accepted limits of ±2 standard deviations from the mean value. IPAQ reported more bouted- moderate - vigorous physical activity (MVPA) [mean, SD; 167(170) vs 6(9) mins/day], and significantly less sedentary time than ActiGraph [mean, SD; 362(115) vs 634(76) vmins/day]. There were low levels of agreement between the two tools (57% sedentary behaviour; 0% MVPA10+), with IPAQ under-reporting sedentary behaviour and over-reporting MVPA10+ compared to ActiGraph. The monitors were found to be feasible and acceptable by participants and researchers; while the IPAQ was accepta ble to use, most patients required assistance to complete it. CONCLUSIONS: Accurate measurement of physical activity is feasible in BE and will be valuable for future trials of therapeutic interventions. ActiGraph or pedometer could be used to measure simple daily step counts, but ActiGraph was superior as it measured intensity of physical activity and was a more precise measure of time spent walking. The IPAQ does not appear to represent an accurate measure of physical activity in this population. TRIAL REGISTRATION: Clinical Trials Registration Number NCT01569009 : Physical Activity in Bronchiectasis.


Assuntos
Acelerometria/instrumentação , Actigrafia/instrumentação , Bronquiectasia/diagnóstico , Bronquiectasia/fisiopatologia , Exercício Físico , Inquéritos e Questionários , Acelerometria/métodos , Actigrafia/métodos , Desenho de Equipamento , Análise de Falha de Equipamento , Estudos de Viabilidade , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Monitorização Ambulatorial/instrumentação , Monitorização Ambulatorial/métodos , Irlanda do Norte , Reprodutibilidade dos Testes , Sensibilidade e Especificidade
6.
Bull Entomol Res ; 105(6): 717-27, 2015 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-26344799

RESUMO

Metabarcoding, the coupling of DNA-based species identification and high-throughput sequencing, offers enormous promise for arthropod biodiversity studies but factors such as cost, speed and ease-of-use of bioinformatic pipelines, crucial for making the leapt from demonstration studies to a real-world application, have not yet been adequately addressed. Here, four published and one newly designed primer sets were tested across a diverse set of 80 arthropod species, representing 11 orders, to establish optimal protocols for Illumina-based metabarcoding of tropical Malaise trap samples. Two primer sets which showed the highest amplification success with individual specimen polymerase chain reaction (PCR, 98%) were used for bulk PCR and Illumina MiSeq sequencing. The sequencing outputs were subjected to both manual and simple metagenomics quality control and filtering pipelines. We obtained acceptable detection rates after bulk PCR and high-throughput sequencing (80-90% of input species) but analyses were complicated by putative heteroplasmic sequences and contamination. The manual pipeline produced similar or better outputs to the simple metagenomics pipeline (1.4 compared with 0.5 expected:unexpected Operational Taxonomic Units). Our study suggests that metabarcoding is slowly becoming as cheap, fast and easy as conventional DNA barcoding, and that Malaise trap metabarcoding may soon fulfill its potential, providing a thermometer for biodiversity.


Assuntos
Artrópodes/genética , Código de Barras de DNA Taxonômico/métodos , Primers do DNA , Animais , Biodiversidade , DNA Mitocondrial/química , Complexo IV da Cadeia de Transporte de Elétrons/química , Complexo IV da Cadeia de Transporte de Elétrons/genética , Sequenciamento de Nucleotídeos em Larga Escala , Metagenômica , Técnicas de Amplificação de Ácido Nucleico , Reação em Cadeia da Polimerase
7.
Bull Entomol Res ; 105(4): 515-20, 2015 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-25913190

RESUMO

Chinese knotweed (Persicaria chinensis) is of ecological and economic importance as a high-risk invasive species and a traditional medicinal herb. However, the insects associated with P. chinensis pollination have received scant attention. As a widespread invasive plant we would expect P. chinensis to be associated with a diverse group of insect pollinators, but lack of taxonomic identification capacity is an impediment to confirm this expectation. In the present study we aimed to elucidate the insect pollinators of P. chinensis in peninsular Malaysia using DNA barcoding. Forty flower visitors, representing the range of morphological diversity observed, were captured at flowers at Ulu Kali, Pahang, Malaysia. Using Automated Barcode Gap Discovery, 17 morphospecies were assigned to 23 species representing at least ten families and four orders. Using the DNA barcode library (BOLD) 30% of the species could be assigned a species name, and 70% could be assigned a genus name. The insects visiting P. chinensis were broadly similar to those previously reported as visiting Persicaria japonica, including honey bees (Apis), droneflies (Eristalis), blowflies (Lucilia) and potter wasps (Eumedes), but also included thrips and ants.


Assuntos
Código de Barras de DNA Taxonômico , Insetos/genética , Polinização/fisiologia , Polygonaceae/fisiologia , Animais , Insetos/classificação , Insetos/fisiologia , Malásia
8.
J Chromatogr A ; 1380: 55-63, 2015 Feb 06.
Artigo em Inglês | MEDLINE | ID: mdl-25596759

RESUMO

Actinium-225 (t1/2=9.92d) is an α-emitting radionuclide with nuclear properties well-suited for use in targeted alpha therapy (TAT), a powerful treatment method for malignant tumors. Actinium-225 can also be utilized as a generator for (213)Bi (t1/2 45.6 min), which is another valuable candidate for TAT. Actinium-225 can be produced via proton irradiation of thorium metal; however, long-lived (227)Ac (t1/2=21.8a, 99% ß(-), 1% α) is co-produced during this process and will impact the quality of the final product. Thus, accurate assays are needed to determine the (225)Ac/(227)Ac ratio, which is dependent on beam energy, irradiation time and target design. Accurate actinium assays, in turn, require efficient separation of actinium isotopes from both the Th matrix and highly radioactive activation by-products, especially radiolanthanides formed from proton-induced fission. In this study, we introduce a novel, selective chromatographic technique for the recovery and purification of actinium isotopes from irradiated Th matrices. A two-step sequence of cation exchange and extraction chromatography was implemented. Radiolanthanides were quantitatively removed from Ac, and no non-Ac radionuclidic impurities were detected in the final Ac fraction. An (225)Ac spike added prior to separation was recovered at ≥ 98%, and Ac decontamination from Th was found to be ≥ 10(6). The purified actinium fraction allowed for highly accurate (227)Ac determination at analytical scales, i.e., at (227)Ac activities of 1-100 kBq (27 nCi to 2.7 µCi).


Assuntos
Actínio/isolamento & purificação , Prótons , Tório/isolamento & purificação , Cromatografia por Troca Iônica , Humanos , Extração Líquido-Líquido , Tório/efeitos da radiação
9.
Osteoarthritis Cartilage ; 22(10): 1568-76, 2014 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-25278066

RESUMO

OBJECTIVE: To compare quantitative magnetization transfer (qMT) parameters of patellar cartilage measured using cross-relaxation imaging (CRI) in asymptomatic volunteers and patients with osteoarthritis. DESIGN: The study was performed with Institutional Review Board approval and with all subjects signing informed consent. CRI of the knee joint was performed at 3.0T on 20 asymptomatic volunteers and 11 patients with osteoarthritis. The fraction of macromolecular bound protons (f), the exchange rate constant between macromolecular bound protons and free water protons (k), and the T2 relaxation time of macromolecular bound protons (T2(B)) of patellar cartilage were measured. Mann-Whitney-Wilcoxon rank-sum tests were used to compare qMT parameters between asymptomatic volunteers and patients with osteoarthritis. RESULTS: Average f, k, and T2(B) of patellar cartilage was 12.46%, 7.22 s(-1), and 6.49 µs respectively for asymptomatic volunteers and 12.80%, 6.13 s(-1), and 6.80 µs respectively for patients with osteoarthritis. There were statistically significant differences between groups of subjects for k (P < 0.01) and T2(B) (P < 0.0001) but not f (P = 0.38) of patellar cartilage. CONCLUSION: Patients with osteoarthritis had significantly lower k and significantly higher T2(B) of patellar cartilage than asymptomatic volunteers which suggests that qMT parameters can detect changes in the macromolecular matrix of degenerative cartilage.


Assuntos
Cartilagem Articular/patologia , Imageamento por Ressonância Magnética/métodos , Osteoartrite do Joelho/patologia , Patela/patologia , Articulação Patelofemoral/patologia , Adulto , Estudos de Casos e Controles , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Razão Sinal-Ruído , Adulto Jovem
10.
Genet Mol Res ; 13(1): 920-5, 2014 Feb 19.
Artigo em Inglês | MEDLINE | ID: mdl-24634112

RESUMO

Bats are important flagship species for biodiversity research; however, diversity in Southeast Asia is considerably underestimated in the current checklists and field guides. Incorporation of DNA barcoding into surveys has revealed numerous species-level taxa overlooked by conventional methods. Inclusion of these taxa in inventories provides a more informative record of diversity, but is problematic as these species lack formal description. We investigated how frequently documented, but undescribed, bat taxa are encountered in Peninsular Malaysia. We discuss whether a barcode library provides a means of recognizing and recording these taxa across biodiversity inventories. Tissue was sampled from bats trapped at Pasir Raja, Dungun Terengganu, Peninsular Malaysia. The DNA was extracted and the COI barcode region amplified and sequenced. We identified 9 species-level taxa within our samples, based on analysis of the DNA barcodes. Six specimens matched to four previously documented taxa considered candidate species but currently lacking formal taxonomic status. This study confirms the high diversity of bats within Peninsular Malaysia (9 species in 13 samples) and demonstrates how DNA barcoding allows for inventory and documentation of known taxa lacking formal taxonomic status.


Assuntos
Biodiversidade , Quirópteros/classificação , Quirópteros/genética , Código de Barras de DNA Taxonômico , Animais , Evolução Molecular , Malásia , Filogenia
11.
Curr Psychiatry Rep ; 3(6): 497-506, 2001 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-11707164

RESUMO

Attention deficit hyperactivity disorder (ADHD) is a common childhood disorder that often continues to manifest symptoms into adulthood. In children and adults, this condition may contribute to addictive vulnerability. Several factors are common to the developmental psychopathology of these conditions, suggesting an underlying deficit in behavioral regulation as an explanation for this comorbidity. Developmentally, faulty learning processes or attempts to self-medicate dysfunctional behavior may contribute to the pathogenesis of substance use disorders. Substance abuse itself also may contribute to the development of attentional deficits and behavioral dysregulation through direct (eg, prenatal or self-inflicted exposures to neurotoxic substances) and indirect (eg, poverty, neglect, abuse) mechanisms. Because ADHD can be identified prior to the peak onset of substance use, effective treatment of this common disorder may reduce the development of substance use disorders. Adult ADHD may also contribute to the development and maintenance of substance use disorders Substance abuse patients may particularly benefit from treatment of this comorbidity.


Assuntos
Transtorno do Deficit de Atenção com Hiperatividade/epidemiologia , Transtornos Relacionados ao Uso de Substâncias/epidemiologia , Adulto , Transtorno do Deficit de Atenção com Hiperatividade/diagnóstico , Transtorno do Deficit de Atenção com Hiperatividade/terapia , Estimulantes do Sistema Nervoso Central/uso terapêutico , Criança , Comorbidade , Manual Diagnóstico e Estatístico de Transtornos Mentais , Humanos , Psicoterapia/métodos
12.
J Virol Methods ; 96(1): 5-16, 2001 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-11516484

RESUMO

Hepatitis C virus (HCV) infection is very common among chronic hemodialysis patients. In the past, blood transfusion appeared to be the primary risk factor; however evidence of nosocomial HCV transmission in the hemodialysis setting has recently been reported. This report describes a molecular investigation of HCV isolates obtained from a population of 670 patients attending six different Seattle-King County based hemodialysis centers in order to identify potential common source infections. 733 serum specimens were collected from hemodialysis patients in 1992 and 1996, and were tested for HCV antibodies and RNA. Overall, 115 of 670 (17%) patients were positive for HCV RNA, and thus were considered actively infected by HCV. HCV genotype was determined in all cases by restriction fragment length polymorphism, and 93 patients were found to be infected by HCV genotype 1. HCV envelope genes were amplified from the 93 patients with genotype 1 infection, and were studied in further detail by heteroduplex tracking analysis (HTA) using genotype 1a and 1b specific probes derived from the envelope 1 (E1) and envelope 2 (E2) genes. Genetic relatedness between pairs of HCV envelope genes was estimated by calculating the degree of gel shift relative to homoduplex controls. Nucleotide sequencing and phylogenetic analysis was used to confirm genetic relatedness detected by HTA. When HTA was performed using the E1 gene probe, 12 apparently related infections were detected; 10 of 12 (83%) of these infections were confirmed as truly related using the gold standard method of nucleotide sequencing plus phylogenetic analysis. Using an E2 gene probe, 24 infections were apparently related, but only six (25%) were confirmed by sequencing. As a control, 41 envelope genes, which were unrelated by HTA, were sequenced; 0 of 41 (0%) were truly related. In summary, HTA provides a rapid and effective molecular technique for screening HCV genetic relatedness in population-based studies, and should prove valuable in future studies of HCV molecular epidemiology.


Assuntos
Variação Genética , Hepacivirus/genética , Hepatite C/epidemiologia , Análise Heteroduplex , Diálise Renal/efeitos adversos , Hepacivirus/classificação , Hepatite C/virologia , Humanos , Epidemiologia Molecular , Filogenia , Prevalência , RNA Viral/sangue , Análise de Sequência de DNA
13.
Child Psychiatry Hum Dev ; 31(4): 297-312, 2001.
Artigo em Inglês | MEDLINE | ID: mdl-11227989

RESUMO

Studies of substance abuse among delinquents have shown mixed results on criminal recidivism. The present study evaluates personality traits associated with substance abuse and recidivism among delinquent boys, and prospectively determines the extent to which these factors are predictive of criminal recidivism. 134 incarcerated boys (x = 15.9 +/- 1.1) completed the Weinberger Adjustment Inventory and the Substance Abuse Screening Inventory. Youth were prospectively followed for up to 4.5 years following release. Among incarcerated delinquents, personality traits are predictive of a positive substance abuse screen and recidivism. A trend indicating a possible interaction between personality and treatment is observed. If these findings are replicated, personality traits may play a role in predicting substance abuse as well as individual delinquent responses to treatment.


Assuntos
Delinquência Juvenil/reabilitação , Transtornos da Personalidade/psicologia , Transtornos Relacionados ao Uso de Substâncias/diagnóstico , Transtornos Relacionados ao Uso de Substâncias/terapia , Adolescente , California , Seguimentos , Humanos , Delinquência Juvenil/psicologia , Masculino , Determinação da Personalidade , Transtornos da Personalidade/diagnóstico , Estudos Prospectivos , Estudos de Amostragem , Prevenção Secundária , Transtornos Relacionados ao Uso de Substâncias/epidemiologia , Transtornos Relacionados ao Uso de Substâncias/psicologia , Resultado do Tratamento
14.
Br J Pharmacol ; 129(3): 465-70, 2000 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-10711344

RESUMO

1. This study examined the role of [Ca2+]I and Ca(2+)-dependent kinases in the modulation of high-affinity, mammalian brain-specific L-proline transporter (PROT). 2. beta-PMA (phorbol 12-myristate 13-acetate), an activator of protein kinase C (PKC), inhibits PRO uptake, and bisindolymalemide I (BIM), a potent PKC inhibitor, prevents beta-PMA inhibition. Down-regulation of PKC by chronic treatment with beta-PMA enhances PROT function indicating PROT regulation by tonic activity of PKC. 3. Thapsigargin, which increases [Ca2+]I levels by inhibiting Ca(2+)-ATPase, inhibits PROT and exhibits additive inhibition when co-treated with beta-PMA. KN-62, a Ca2+/calmodulin-dependent kinase II (CaMK II) inhibitor, but not BIM (a PKC inhibitor) prevents the inhibition by thapsigargin. These data suggest that PKC and CaMK II modulate PROT and that thapsigargin mediates its effect via CaMK II. 4. Thapsigargin raises [Ca2+]I and increases PRO-induced current on a second time scale, whereas the inhibitory effect of thapsigargin occurs only after 10 min of treatment. These data suggest that Ca2+ differentially regulate PROT: Ca2+ initially enhances PRO transport but eventually inhibits transport function through CaMK II pathway. 5. Ca(2+)-induced stimulation exemplifies the acute regulation of a neurotransmitter transporter, which may play a critical role in the profile of neurotransmitters during synaptic transmission.


Assuntos
Sistemas de Transporte de Aminoácidos Neutros , Química Encefálica/fisiologia , Proteínas Quinases Dependentes de Cálcio-Calmodulina/fisiologia , Cálcio/fisiologia , Proteínas de Membrana Transportadoras/metabolismo , Química Encefálica/genética , Proteínas Quinases Dependentes de Cálcio-Calmodulina/antagonistas & inibidores , Linhagem Celular , DNA Complementar/genética , Regulação para Baixo/efeitos dos fármacos , Ativadores de Enzimas , Inibidores Enzimáticos/farmacologia , Humanos , Indicadores e Reagentes , Rim/efeitos dos fármacos , Rim/metabolismo , Proteínas de Membrana Transportadoras/genética , Transmissão Sináptica/fisiologia , Acetato de Tetradecanoilforbol/farmacologia , Tapsigargina/farmacologia , Transfecção
15.
J Clin Gastroenterol ; 29(4): 322-6, 1999 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-10599634

RESUMO

Patients with chronic hepatitis C virus (HCV) infection frequently have increased hepatic iron stores. The role of hepatitis C in hepatic iron deposition is unknown. The authors examined whether there is a relation between hepatitis C virus level in liver tissue and hepatic iron concentration. Forty-two paired samples obtained from the liver explants of five patients who underwent transplantation for liver disease due to hepatitis C were studied. Hepatitis C virus levels were measured at multiple sites within each liver by a branched deoxyribonucleic assay. Measurements of hepatic iron concentration were made at adjacent sites by a colorimetric assay. Random effects modeling showed wide intrahepatic variation in hepatic HCV ribonucleic acid (RNA) concentration (variance = 1.2 x 10(4) [mEq/g]2) and hepatic iron concentration (variance = 1.3 x 10(6) [microg/g]2). There was, however, a trend toward an association between the mean HCV level and the mean hepatic iron concentration for each liver (r = 0.30, p = 0.05). In conclusion, HCV level and iron concentration varied within and between cirrhotic livers. Variability in intrahepatic iron concentration was not related to variability in intrahepatic HCV RNA concentration. More studies are needed to determine the cause of variability in hepatic iron and HCV RNA concentration within and between livers in patients with chronic hepatitis C.


Assuntos
Hepacivirus , Hepatite C Crônica/metabolismo , Ferro/análise , Fígado/química , Fígado/virologia , RNA Viral/análise , Humanos , Hepatopatias/etiologia , Hepatopatias/metabolismo , Hepatopatias/cirurgia , Transplante de Fígado
16.
Phys Med Rehabil Clin N Am ; 10(3): 705-27, x, 1999 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-10516986

RESUMO

Rehabilitationists must be able to assess not only the diagnostic entity, but also the person who is sick. The rehabilitation community's understanding of the holism involved in healing and the limitations of conventional therapies creates an openness to consider the usefulness of unconventional therapies. This article explores the role of homeopathy in rehabilitation medicine.


Assuntos
Homeopatia/métodos , Homeopatia/normas , Ferimentos e Lesões/reabilitação , Feminino , Previsões , Homeopatia/tendências , Humanos , Masculino , Medicina Física e Reabilitação/métodos , Sensibilidade e Especificidade , Estados Unidos
17.
J Virol ; 72(12): 10036-43, 1998 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-9811742

RESUMO

To investigate the role of hepatitis C virus (HCV) quasispecies mutation in the pathogenesis of HCV infection, we analyzed changes in the genetic diversity of HCV genomes in 22 patients before and after liver transplantation by using heteroduplex mobility assay (HMA) technology. All patients were infected with HCV genotype 1 and developed high-titer posttransplant viremia. Each patient was classified according to the severity of posttransplant hepatitis, as assessed by standard biochemical and histological criteria. HCV quasispecies were characterized by HMA analysis of eight separate subgenomic regions of HCV, which collectively comprise 44% of the entire genome. The glycoprotein genes E1 and E2, as well as the nonstructural protein genes NS2 and NS3, had the greatest genetic divergence after liver transplantation (the change in the heteroduplex mobility ratio [HMR] ranged from 2.5 to 7.0%). In contrast, genes encoding the core, NS4, and NS5b proteins had the least amount of genetic divergence after liver transplantation (range, 0.3 to 1.2%). The E1/E2 region showed the greatest change in genetic diversity after liver transplantation, and the change in HMRs was 2.5- to 3.3-fold greater in patients with asymptomatic or moderate disease than in those with severe disease. The E1-5' region of HCV quasispecies isolated from patients in the asymptomatic group had a significantly greater degree of diversification after liver transplantation than the same regions of HCV quasispecies isolated from patients in the severe disease group (P = 0.05). While changes in the genetic diversity of some nonstructural genes were also greater in asymptomatic patients or in patients with mild disease than in patients with severe disease, the results were not significant. Data from this cohort demonstrate that greater rates of HCV quasispecies diversification are associated with mild or moderate liver disease activity in this immunosuppressed population.


Assuntos
Genes env , Variação Genética , Genoma Viral , Hepacivirus/genética , Hepacivirus/patogenicidade , Hepatite C/transmissão , Transplante de Fígado/efeitos adversos , Sequência de Bases , Primers do DNA/genética , Hepacivirus/isolamento & purificação , Hepatite C/etiologia , Hepatite C/virologia , Humanos , Mutação , Prognóstico , Proteínas não Estruturais Virais/genética , Viremia/etiologia
18.
Comp Biochem Physiol B Biochem Mol Biol ; 120(1): 165-74, 1998 May.
Artigo em Inglês | MEDLINE | ID: mdl-9787785

RESUMO

The primary objective of this study was to document the effects of starvation on acylglycerol biosynthesis in homogenates of intramuscular and subcutaneous adipose tissues. Adipose tissue samples were obtained from 8th-13th thoracic rib sections from 12 Angus cattle (six steers plus six heifers). Three steers and three heifers were starved for 72 h prior to slaughter while the remainder were slaughtered 4 h after food was withheld. Fat-free 700 x g centrifugal fractions were used to measure the esterification of radiolabeled sn-glycerol 3-phosphate (G-3-P) into acylglycerols at 1.0 mM palmitic or stearic acid, or 0.2 mM oleic, linoleic, or alpha-linolenic acid. There were significant tissue x fatty acid interactions for rates of incorporation into diacylglycerols and triacylglycerols; in subcutaneous, but not intramuscular homogenates, palmitic > stearic = oleic = linoleic = alpha-linolenic acid. Subcutaneous homogenates incorporated a greater percentage of G-3-P into triacylglycerols, and a lesser percentage into phospholipid, than intramuscular homogenates (P < 0.05). In intramuscular homogenates, the primary product of G-3-P esterification to saturated fatty acids was phospholipids. When unsaturated fatty acid served as substrates, triacylglycerols and phospholipids were produced in equal proportions in intramuscular homogenates, and triacylglycerols were the predominant product in subcutaneous homogenates. Intramuscular adipose tissue homogenates exhibited no response to starvation, whereas triacylglycerol and diacylglycerol synthesis was depressed by approximately 50% in subcutaneous adipose tissue homogenates. Similarly, phosphatidic phosphohydrolase activity, initially greater in subcutaneous than in intramuscular adipose tissue, was decreased by approximately 50% by starvation in subcutaneous adipose tissue, but not in intramuscular adipose tissue. We conclude that differences in rates of diacylglycerol and triacylglycerol biosynthesis, and response to starvation, between intramuscular and subcutaneous adipose tissues were due to dissimilarities in the activity of phosphatidic phosphohydrolase.


Assuntos
Tecido Adiposo/metabolismo , Glicerídeos/biossíntese , Músculos/metabolismo , Pele/metabolismo , Inanição/fisiopatologia , Animais , Bovinos , Esterificação , Ácidos Graxos/metabolismo , Feminino , Glicerofosfatos/metabolismo , Masculino , Fosfatidato Fosfatase/metabolismo , Fosfolipídeos/biossíntese , Triglicerídeos/biossíntese
19.
J Membr Biol ; 165(3): 275-82, 1998 Oct 01.
Artigo em Inglês | MEDLINE | ID: mdl-9767681

RESUMO

Analysis of the mechanistic basis by which sodium-coupled transport systems respond to changes in membrane potential is inherently complex. Algebraic expressions for the primary kinetic parameters (Km and Vmax) consist of multiple terms that encompass most rate constants in the transport cycle. Even for a relatively simple cotransport system such as the Na+/alanine cotransporter in LLC-PK1 cells (1:1 Na+ to substrate coupling, and an ordered binding sequence), the algebraic expressions for Km for either substrate includes ten of the twelve rate constants necessary for modeling the full transport cycle. We show here that the expression of Km of the first-bound substrate (Na+) simplifies markedly if the second-bound substrate (alanine) is held at a low concentration so that its' binding becomes the rate limiting step. Under these conditions, the expression for the KNam includes rate constants for only two steps in the full cycle: (i) binding/dissociation of Na+, and (ii) conformational 'translocation' of the substrate-free protein. The influence of imposed changes in membrane potential on the apparent KNam for the LLC-PK1 alanine cotransporter at low alanine thus provides insight to potential dependence at these sites. The data show no potential dependence for KNam at 5 micron alanine, despite marked potential dependence at 2 mm alanine when the full algebraic expression applies. The results suggest that neither translocation of the substrate-free form of the transporter nor binding/dissociation of extracellular sodium are potential dependent events for this transport system.


Assuntos
Alanina/metabolismo , Sistemas de Transporte de Aminoácidos , Proteínas de Transporte/metabolismo , Potenciais da Membrana/fisiologia , Sódio/metabolismo , Simportadores , Trifosfato de Adenosina/metabolismo , Alanina/farmacologia , Sistemas de Transporte de Aminoácidos Neutros , Animais , Transporte Biológico/efeitos dos fármacos , Cinética , Células LLC-PK1 , Matemática , Potenciais da Membrana/efeitos dos fármacos , Modelos Biológicos , Nigericina/farmacologia , Ouabaína/farmacologia , Suínos , Valinomicina/farmacologia
20.
Appl Opt ; 37(15): 3105-12, 1998 May 20.
Artigo em Inglês | MEDLINE | ID: mdl-18273257

RESUMO

We measured the attenuation coefficient of the National Oceanic and Atmospheric Administration lidar from a ship in the Southern California Bight in September 1995. The region from approximately 5 to 30 m in depth was covered. The laser was linearly polarized, and the receiver was operated with the same polarization and the orthogonal polarization. The measured values were between 0.08 and 0.12 m(-1) and were highly correlated with in situ measurements of the beam attenuation coefficient. Fluctuations of the lidar signal were found to be induced primarily by surface waves whose wavelengths are approximately three times the lidar spot size at the surface.

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