Your browser doesn't support javascript.
loading
Show: 20 | 50 | 100
Results 1 - 20 de 1.517
Filter
Add more filters

Publication year range
1.
Phys Rev Lett ; 132(26): 261001, 2024 Jun 28.
Article in English | MEDLINE | ID: mdl-38996294

ABSTRACT

Precision measurements by the Alpha Magnetic Spectrometer (AMS) on the International Space Station of the deuteron (D) flux are presented. The measurements are based on 21×10^{6} D nuclei in the rigidity range from 1.9 to 21 GV collected from May 2011 to April 2021. We observe that over the entire rigidity range the D flux exhibits nearly identical time variations with the p, ^{3}He, and ^{4}He fluxes. Above 4.5 GV, the D/^{4}He flux ratio is time independent and its rigidity dependence is well described by a single power law ∝R^{Δ} with Δ_{D/^{4}He}=-0.108±0.005. This is in contrast with the ^{3}He/^{4}He flux ratio for which we find Δ_{^{3}He/^{4}He}=-0.289±0.003. Above ∼13 GV we find a nearly identical rigidity dependence of the D and p fluxes with a D/p flux ratio of 0.027±0.001. These unexpected observations indicate that cosmic deuterons have a sizable primarylike component. With a method independent of cosmic ray propagation, we obtain the primary component of the D flux equal to 9.4±0.5% of the ^{4}He flux and the secondary component of the D flux equal to 58±5% of the ^{3}He flux.

2.
Biol Lett ; 20(9): 20240284, 2024 Sep.
Article in English | MEDLINE | ID: mdl-39319668

ABSTRACT

The degree to which within-population variation in sexual trait expression relates to resource heterogeneity remains poorly explored. This is particularly true in lek-mating species, where genetic explanations for male phenotypic variance and mating success are dominant. Here, we demonstrate a link between fine-scale fruit resource availability and indices of male mating success in the white-bearded manakin (Manacus manacus), a lek-mating frugivorous bird that produces energetically costly courtship displays. We used motion-activated camera traps to monitor male display behaviour and female visitation at male courts while concurrently conducting twice-monthly fruit surveys around courts. We observed significant variability in ripe fruit biomass among display courts and leks, and mean fruit biomass at courts significantly predicted male display rates. In turn, male display rate was the strongest predictor of female visitation to courts. Causal modelling supported the hypothesis that hyper-local fruit availability indirectly affects female visitation via its direct effects on male display rate. The demonstration that resource availability at fine spatial scales predicts display rate in a lekking organism-for which resource-related variables are typically not considered to play important roles in shaping male reproductive variance-has implications for the expression, honesty and maintenance of sexually selected traits under fluctuating ecological conditions.


Subject(s)
Fruit , Animals , Male , Female , Passeriformes/physiology , Mating Preference, Animal , Sexual Selection , Sexual Behavior, Animal/physiology
3.
J Chem Inf Model ; 64(7): 2368-2382, 2024 Apr 08.
Article in English | MEDLINE | ID: mdl-38054399

ABSTRACT

Peptides that pass through the blood-brain barrier (BBB) not only are implicated in brain-related pathologies but also are promising therapeutic tools for treating brain diseases, e.g., as shuttles carrying active medicines across the BBB. Computational prediction of BBB-penetrating peptides (B3PPs) has emerged as an interesting approach because of its ability to screen large peptide libraries in a cost-effective manner. In this study, we present BrainPepPass, a machine learning (ML) framework that utilizes supervised manifold dimensionality reduction and extreme gradient boosting (XGB) algorithms to predict natural and chemically modified B3PPs. The results indicate that the proposed tool outperforms other classifiers, with average accuracies exceeding 94% and 98% in 10-fold cross-validation and leave-one-out cross-validation (LOOCV), respectively. In addition, accuracy values ranging from 45% to 97.05% were achieved in the independent tests. The BrainPepPass tool is available in a public repository for academic use (https://github.com/ewerton-cristhian/BrainPepPass).


Subject(s)
Blood-Brain Barrier , Peptides , Blood-Brain Barrier/metabolism , Biological Transport , Peptides/metabolism , Algorithms , Machine Learning
4.
Vet Pathol ; 61(1): 88-94, 2024 01.
Article in English | MEDLINE | ID: mdl-37470276

ABSTRACT

This work aimed to characterize the clinic-pathological presentation of an outbreak of auricular and laryngeal chondritis in pigs. Visits were made to pig farms, where the clinical history was obtained, and clinical and postmortem examinations were performed. In those farms, 3% to 4% of pigs presented otohematomas, which started in the nursery and extended to the finishing phase. Moreover, some finishing pigs presented with respiratory distress, initially characterized as inspiratory dyspnea, associated by an uncommon respiratory stridor and culminating in death. Grossly, nursery piglets had enlarged ears, and on the cut surface, the cartilage was fragmented and associated with blood clots. In the finishing phase, in addition to auricular lesions, the epiglottis and arytenoid cartilages were thickened and distorted, which partially occluded the lumen. Microscopically, the laryngeal and auricular cartilages were fragmented, displayed a loss of matrix basophilia, and were surrounded by lymphohistiocytic inflammatory infiltrate, with occasional multinucleated giant cells and fibrosis. The lesions exclusively affected elastic cartilages. The disease in finishing pigs led to increased mortality and was a differential diagnosis to respiratory challenges. It was not possible to determine the factor that triggered this condition; however, a nutritional association is suspected. To the authors' knowledge, this is the first report of primary auricular and laryngeal chondritis in pigs.


Subject(s)
Bone Diseases , Cartilage Diseases , Swine Diseases , Animals , Swine , Cartilage Diseases/diagnosis , Cartilage Diseases/epidemiology , Cartilage Diseases/veterinary , Arytenoid Cartilage/pathology , Inflammation/pathology , Inflammation/veterinary , Bone Diseases/pathology , Bone Diseases/veterinary , Swine Diseases/diagnosis , Swine Diseases/epidemiology , Swine Diseases/pathology
5.
Vet Pathol ; : 3009858241273172, 2024 Aug 27.
Article in English | MEDLINE | ID: mdl-39189346

ABSTRACT

Splenic rupture in cattle is scarcely described in the literature. The aim of this work was to report the occurrence of splenic rupture in cattle in southern Brazil as well as to describe the causes of the condition. Between 2013 and 2022, 24 of the 1769 bovine necropsies performed in southern Brazil were due to splenic rupture, accounting for 1.36% of the diagnoses. Animals died due to hemoperitoneum caused by a rupture in the splenic capsule, typically associated with marked splenomegaly and a large hematoma between the capsule and the parenchyma. Clinical signs were described in a subset of cases (11 of 24 cases, 46%) and included apathy, abdominal pain, mucosal pallor, tachycardia, and respiratory distress. However, the majority (13 of 24 cases, 54%) presented as sudden death. The underlying cause of splenic rupture was established as follows: 16 cases (67%) secondary to babesiosis, 4 cases (17%) due to lymphoma, 1 case (4%) due to a thrombus, 1 case (4%) due to external trauma, 1 case due to a ruptured nodular lymphoid hyperplasia (4%), and 1 case of undetermined cause (4%). Hypovolemic shock caused by splenic rupture is an important cause of death of dairy cattle, and babesiosis and bovine leukemia virus-associated lymphoma are among the most common etiologic diagnoses (84% of cases). The description of the causes of this condition is important to clarify the pathogenesis and occurrence of splenic rupture in dairy cattle.

6.
Phys Rev Lett ; 131(15): 151002, 2023 Oct 13.
Article in English | MEDLINE | ID: mdl-37897756

ABSTRACT

We present the precision measurements of 11 years of daily cosmic positron fluxes in the rigidity range from 1.00 to 41.9 GV based on 3.4×10^{6} positrons collected with the Alpha Magnetic Spectrometer (AMS) aboard the International Space Station. The positron fluxes show distinctly different time variations from the electron fluxes at short and long timescales. A hysteresis between the electron fluxes and the positron fluxes is observed with a significance greater than 5σ at rigidities below 8.5 GV. On the contrary, the positron fluxes and the proton fluxes show similar time variation. Remarkably, we found that positron fluxes are modulated more than proton fluxes with a significance greater than 5σ for rigidities below 7 GV. These continuous daily positron fluxes, together with AMS daily electron, proton, and helium fluxes over an 11-year solar cycle, provide unique input to the understanding of both the charge-sign and mass dependencies of cosmic rays in the heliosphere.

7.
Neurochem Res ; 48(8): 2390-2405, 2023 Aug.
Article in English | MEDLINE | ID: mdl-36964823

ABSTRACT

Progressive neurodegenerative disorders such as Parkinson Disease (PD) lack curative or long-term treatments. At the same time, the increase of the worldwide elderly population and, consequently, the extension in the prevalence of age-related diseases have promoted research interest in neurodegenerative disorders. Caenorhabditis elegans is a free-living nematode widely used as an animal model in studies of human diseases. Here we evaluated cannabidiol (CBD) as a possible neuroprotective compound in PD using the C. elegans models exposed to reserpine. Our results demonstrated that CBD reversed the reserpine-induced locomotor alterations and this response was independent of the NPR-19 receptors, an orthologous receptor for central cannabinoid receptor type 1. Morphological alterations of cephalic sensilla (CEP) dopaminergic neurons indicated that CBD also protects neurons from reserpine-induced degeneration. That is, CBD attenuates the reserpine-induced increase of worms with shrunken soma and dendrites loss, increasing the number of worms with intact CEP neurons. Finally, we found that CBD also reduced ROS formation and α-syn protein accumulation in mutant worms. Our findings collectively provide new evidence that CBD acts as neuroprotector in dopaminergic neurons, reducing neurotoxicity and α-syn accumulation highlighting its potential in the treatment of PD.


Subject(s)
Caenorhabditis elegans Proteins , Cannabidiol , Neurodegenerative Diseases , Neuroprotective Agents , Parkinson Disease , Aged , Animals , Humans , Caenorhabditis elegans/metabolism , alpha-Synuclein/metabolism , Animals, Genetically Modified , Cannabidiol/pharmacology , Reserpine/toxicity , Reserpine/metabolism , Caenorhabditis elegans Proteins/metabolism , Dopaminergic Neurons/metabolism , Neuroprotective Agents/pharmacology , Neuroprotective Agents/metabolism , Parkinson Disease/metabolism , Neurodegenerative Diseases/metabolism , Disease Models, Animal , Receptors, G-Protein-Coupled/metabolism
8.
J Med Primatol ; 52(6): 392-399, 2023 12.
Article in English | MEDLINE | ID: mdl-37602976

ABSTRACT

BACKGROUND: Simplexvirus humanalpha1 (HuAHV-1) are common anthropozoonosis reported in marmosets but rare in howler monkeys (Alouatta sp.). METHODS: Necropsy of two brown-howler monkeys (A. caraya) and one red-howler monkey (A. guariba clamitans) from different zoo collections were performed. Fragments of all organs were examined through microscopy. Samples were submitted to IHC for Simplexvirus humanalpha 2 (HuAHV-2) [sin. Herpesvirus simplex type 2] and PCR. RESULTS: Grossly, only the A. guariba showed liver lesions characterized by multifocal, pinpoint white areas corresponding microscopically as random necrotizing herpetic hepatitis and ulcerative glossitis. Both A. caraya showed necrotizing meningoencephalitis with Cowdry A-type body inclusions within neurons and astrocytes. Immunolabeling for HuAHV-1/2 was observed in the tongue, liver, and brain. HuAHV-1 was confirmed in all samples by PCR, Sanger sequencing, and phylogenetic analyses. CONCLUSION: Necrotizing meningoencephalitis was appreciated in 2/3 of animals, and it is associated with neurologic signs. Along with ulcerative glossitis, a hallmark lesion in marmosets, it was present in one animal. Regarding herpetic hepatitis, it is not frequent in monkeys and occurs mainly in immunocompromised animals. HuAHV-1 infection was confirmed corroborating with a human source. This is the second report on captive black-howler monkeys and the first gross, histologic, immunohistochemical, and molecular description of herpetic hepatitis and ulcerative glossitis in red-howler monkeys (A. guariba).


Subject(s)
Alouatta caraya , Alouatta , Glossitis , Hepatitis , Meningoencephalitis , Humans , Animals , Simplexvirus , Callithrix , Phylogeny
9.
Behav Pharmacol ; 33(5): 322-332, 2022 08 01.
Article in English | MEDLINE | ID: mdl-35502955

ABSTRACT

Effects of acute ethanol (EtOH) on memory depend on several factors, including type of behavioral task. Sex differences in EtOH effects have been reported in humans and animals, and recognition memory can be influenced by circulating sex hormones. The aim of this study was to investigate the influence of sex and estrous cycle in the acute effects of EtOH on novel object recognition memory in rats. Male and female Wistar rats were part of one of the groups: control, 0.6-g/kg EtOH and 1.8-g/kg EtOH (administered intraperitoneally before the training session). The estrous cycle was evaluated by vaginal smear. The task was conducted in an open field arena. During training, animals were exposed to two identical objects, and test sessions were performed 1 h (short-term) and 24 h (long-term) later. One of the objects was changed in each test. Increased novel object exploration was shown by male and female controls in the short- and long-term tests, respectively. In the short-term test, females did not show preference for the novel object, and EtOH 1.8 g/kg impaired performance in males. In the long-term test, both sexes showed object discrimination, and 1.8-g/kg EtOH reduced preference for the new object in male rats. The phase of the cycle, the performance on proestrus was worse compared with other phases, and EtOH failed to impair performance mainly on estrous. In conclusion, while male rats displayed ethanol-induced recognition memory deficit, female rats were unaffected by EtOH impairing effects. In addition, the performance of female rats was influenced by the estrous cycle phases.


Subject(s)
Estrous Cycle , Sex Characteristics , Animals , Ethanol/pharmacology , Female , Humans , Male , Rats , Rats, Wistar , Recognition, Psychology
10.
Phys Chem Chem Phys ; 24(11): 7164, 2022 Mar 16.
Article in English | MEDLINE | ID: mdl-35260872

ABSTRACT

Correction for 'The molecular structure of the surface of water-ethanol mixtures' by Johannes Kirschner et al., Phys. Chem. Chem. Phys., 2021, 23, 11568-11578, DOI: 10.1039/D0CP06387H.

11.
Catheter Cardiovasc Interv ; 98(7): 1349-1357, 2021 12 01.
Article in English | MEDLINE | ID: mdl-34080774

ABSTRACT

The purpose of this position statement is to suggest ways in which future appropriate use criteria (AUC) for coronary revascularization might be restructured to: (1) incorporate improvement in quality of life and angina relief as primary goals of therapy, (2) integrate the findings of recent trials into quality appraisal, (3) employ the combined information of the coronary angiogram and invasive physiologic measurements together with the results of stress test imaging to assess risk, and (4) recognize the essential role that patient preference plays in making individualized therapeutic decisions. The AUC is a valuable tool within the quality assurance process; it is vital that interventionists ensure that percutaneous coronary intervention case selection is both evidence-based and patient oriented. Appropriate patient selection is an important quality indicator and adherence to evidence-based practice should be one metric in a portfolio of process and outcome indicators that measure quality.


Subject(s)
Coronary Artery Disease , Percutaneous Coronary Intervention , Coronary Angiography , Coronary Artery Disease/diagnostic imaging , Coronary Artery Disease/therapy , Humans , Patient Selection , Percutaneous Coronary Intervention/adverse effects , Quality of Life , Treatment Outcome
12.
Semin Neurol ; 41(3): 227-238, 2021 06.
Article in English | MEDLINE | ID: mdl-34010971

ABSTRACT

Multiple diverse pathologies result in the clinical presentation of myelopathy. The preferred way to image the spinal cord depends on clinical history, anatomic site of interest, and patient issues limiting certain imaging modalities. This radiology-focused article discusses pertinent physiological considerations, reviews basic and newer imaging techniques, and examines several distinct disease entities in order to highlight the key role of imaging in the work-up of myelopathy.


Subject(s)
Magnetic Resonance Imaging , Spinal Cord Diseases , Humans , Spinal Cord , Spinal Cord Diseases/diagnostic imaging
13.
Phys Chem Chem Phys ; 23(19): 11568-11578, 2021 May 21.
Article in English | MEDLINE | ID: mdl-33977931

ABSTRACT

Mixtures of water and alcohol exhibit an excess surface concentration of alcohol as a result of the amphiphilic nature of the alcohol molecule, which has important consequences for the physico-chemical properties of water-alcohol mixtures. Here we use a combination of intensity vibrational sum-frequency generation (VSFG) spectroscopy, heterodyne-detected VSFG (HD-VSFG), and core-level photoelectron spectroscopy (PES) to investigate the molecular properties of water-ethanol mixtures at the air-liquid interface. We find that increasing the ethanol concentration up to a molar fraction (MF) of 0.1 leads to a steep increase of the surface density of the ethanol molecules, and an increased ordering of the ethanol molecules at the surface. When the ethanol concentration is further increased, the surface density of ethanol remains more or less constant, while the orientation of the ethanol molecules becomes increasingly disordered. The used techniques of PES and VSFG provide complementary information on the density and orientation of ethanol molecules at the surface of water, thus providing new information on the molecular-scale properties of the surface of water-alcohol mixtures over a wide range of compositions. This information is invaluable in understanding the chemical and physical properties of water-alcohol mixtures.

14.
Anim Genet ; 52(5): 675-682, 2021 Oct.
Article in English | MEDLINE | ID: mdl-34143521

ABSTRACT

The domestic cat (Felis silvestris catus) is a valued companion animal throughout the world. Over 60 different cat breeds are accepted for competition by the cat fancy registries in different countries. Genetic markers, including short tandem repeats and SNPs, are available to evaluate and manage levels of inbreeding and genetic diversity, population and breed structure relationships, and individual identification for forensic and registration purposes. The International Society of Animal Genetics (ISAG) hosts the Applied Genetics in Companion Animals Workshop, which supports the standardization of genetic marker panels and genotyping for the identification of cats via comparison testing. SNP panels have been in development for many species, including the domestic cat. An ISAG approved core panel of SNPs for use in cat identification and parentage analyses is presented. SNPs (n = 121) were evaluated by different university-based and commercial laboratories using 20 DNA samples as part of the ISAG comparison testing procedures. Different SNP genotyping technologies were examined, including DNA arrays, genotyping-by-sequencing and mass spectroscopy, to select a robust and efficient panel of 101 SNPs as the ISAG core panel for cats. The SNPs are distributed across all chromosomes including two on the X chromosome and an XY pseudo-autosomal sexing marker (zinc-finger XY; ZFXY). A population study demonstrated that the markers have an average polymorphic information content of 0.354 and a power of exclusion greater than 0.9999. The SNP panel should keep testing affordable while also allowing for the development of additional panels to monitor health, phenotypic traits, hybrid cats and highly inbred cats.


Subject(s)
Cats/genetics , Genetic Markers , Genotyping Techniques , Polymorphism, Single Nucleotide , Animals , Breeding , Genetics, Population , Genotyping Techniques/standards , Oligonucleotide Array Sequence Analysis/standards
15.
Acta Endocrinol (Buchar) ; 17(3): 323-330, 2021.
Article in English | MEDLINE | ID: mdl-35342467

ABSTRACT

Background: Primary hyperparathyroidism is the third most common endocrine disorder, diagnosed by elevated parathyroid hormone (PTH) in hypercalcaemia. Several biochemical factors have been described to suggest severity of disease and may be correlated with preoperative imaging. Methods: This was a retrospective study of patients who underwent parathyroidectomy over a 3-year period. Preoperative calcium, PTH, vitamin D levels, ALP (alkaline phosphatase), vitamin D, serum phosphate and US and SPECT-CT positivity was noted. Results: 176 patients underwent parathyroidectomy and these were divided into 4 groups based on preoperative calcium. Overall, 61% of patients showed concordance between imaging and operative findings. Severe hypercalcaemia was associated with higher PTH levels, lower vitamin D levels, an increased rate of abnormal ALP levels, lower phosphate, male gender and highest rate of imaging concordance. Imaging positivity was associated with severe hypercalcaemia and elevated PTH levels. Level of PTH >125 pmol/L and hypercalcaemia >2.8 mmol/L are the most accurate cut-off levels for scan positivity. Conclusion: Biochemical factors associated with severity of the disease are directly correlated with positivity of preoperative imaging while ALP and vitamin D did not influence the preoperative imaging positivity but are associated with disease adversity. Serum phosphate level independently predicted results of parathyroid US.

16.
J Chem Inf Model ; 60(2): 738-746, 2020 02 24.
Article in English | MEDLINE | ID: mdl-31927962

ABSTRACT

The catalytic mechanism of SalL chlorinase has been investigated by combining quantum mechanical/molecular mechanical (QM/MM) techniques and umbrella sampling simulations to compute free energy profiles. Our results shed light on the interesting fact that the substitution of chloride with fluorine in SalL chlorinase leads to a loss of halogenase activity. The potential of mean force based on DFTB3/MM analysis shows that fluorination corresponds to a barrier 13.5 kcal·mol-1 higher than chlorination. Additionally, our results present a molecular description of SalL acting as a chlorinase instead of a methyl-halide transferase.


Subject(s)
Chlorides/chemistry , Chlorides/metabolism , Hydrolases/metabolism , Models, Molecular , Quantum Theory , Hydrolases/chemistry , Protein Conformation , Stereoisomerism , Substrate Specificity , Thermodynamics
17.
J Immunol ; 201(5): 1343-1351, 2018 09 01.
Article in English | MEDLINE | ID: mdl-30127064

ABSTRACT

The field of red cell biology is undergoing a quiet revolution. Long assumed to be inert oxygen carriers, RBCs are emerging as important modulators of the innate immune response. Erythrocytes bind and scavenge chemokines, nucleic acids, and pathogens in circulation. Depending on the conditions of the microenvironment, erythrocytes may either promote immune activation or maintain immune quiescence. We examine erythrocyte immune function through a comparative and evolutionary lens, as this framework may offer perspective into newly recognized roles of human RBCs. Next, we review the known immune roles of human RBCs and discuss their activity in the context of sepsis where erythrocyte function may prove important to disease pathogenesis. Given the limited success of immunomodulatory therapies in treating inflammatory diseases, we propose that the immunologic function of RBCs provides an understudied and potentially rich area of research that may yield novel insights into mechanisms of immune regulation.


Subject(s)
Erythrocytes/immunology , Immunity, Innate , Immunomodulation , Animals , Biological Evolution , Humans , Sepsis/immunology , Sepsis/pathology
18.
Pacing Clin Electrophysiol ; 43(5): 479-485, 2020 05.
Article in English | MEDLINE | ID: mdl-32270881

ABSTRACT

BACKGROUND: Transcatheter aortic valve replacement (TAVR) is being increasingly performed in patients with severe aortic stenosis. Despite newer generation valves, atrioventricular (AV) conduction disturbance is a common complication, necessitating permanent pacemaker (PPM) implantation in about 10% of patients. Hence, it is imperative to improve periprocedural risk stratification to predict PPM implantation after TAVR. The objective of this study was to externally validate a novel risk-stratification model derived from the National Inpatient Sample (NIS) database that predicts risk of PPM from TAVR. METHODS: Components of the score included pre-TAVR left and right bundle branch block, sinus bradycardia, second-degree AV block, and transfemoral approach. The scoring system was applied to 917 patients undergoing TAVR at our institution from November 2011 to February 2017. We assessed its predictive accuracy by looking at two components: discrimination using the C-statistic and calibration using the Hosmer-Lemeshow goodness of fit test. RESULTS: Ninety patients (9.8%) required PPM. The scoring system showed good discrimination with C-statistic score of 0.6743 (95% CI: 0.618-0.729). Higher scores suggested increased PPM risk, that is, 7.3% with score ⩽3, 19.23% with score 4-6, and 37.50% with score ≥7. Patients requiring PPM were older (81.4 versus 78.7 years, P = .002). Length of stay and in-hospital mortality was significantly higher in PPM group. CONCLUSIONS: The NIS database derived PPM risk prediction model was successfully validated in our database with acceptable discriminative and gradation capacity. It is a simple but valuable tool for patient counseling pre-TAVR and in identifying high-risk patients.


Subject(s)
Aortic Valve Stenosis/surgery , Bradycardia/etiology , Bradycardia/therapy , Heart Block/etiology , Heart Block/therapy , Pacemaker, Artificial , Transcatheter Aortic Valve Replacement , Aged , Aged, 80 and over , Aortic Valve Stenosis/mortality , Bradycardia/mortality , Electrocardiography , Female , Heart Block/mortality , Hospital Mortality , Humans , Length of Stay/statistics & numerical data , Male , Postoperative Complications/etiology , Postoperative Complications/mortality , Postoperative Complications/therapy , Predictive Value of Tests , Risk Assessment
19.
Am J Hum Biol ; 32(3): e23364, 2020 05.
Article in English | MEDLINE | ID: mdl-31769123

ABSTRACT

OBJECTIVES: To investigate the association between motor competence (MC) and central obesity in preschool children. METHODS: The sample comprised of 472 children aged 3 to 5 years (4.58 ± 0.70 years, 248 boys) from Recife, Brazil. MC was assessed using the Test of Gross Motor Development-2. Waist-to-height ratio (WHtR) was calculated and a cutoff of 0.5 was used to define central obesity. Logistic regression was used to examine the association between MC and WHtR ≥ 0.5. RESULTS: The prevalence of central obesity (WHtR) was 54.0% and 46.4% for boys and girls, respectively. Older children (OR = 0.61; CI = 0.44-0.84; P < .01) and those with higher MC in locomotor skills (OR = 0.96; CI = 0.93-0.99; P < .01) were less likely to present WHtR ≥ 0.5. Sex and object control skills were not associated with WHtR ≥ 0.5. CONCLUSIONS: To reduce the risks of central obesity in children, health practitioners should focus on increasing competence in locomotor skills since preschool years.


Subject(s)
Motor Activity , Obesity, Abdominal/epidemiology , Pediatric Obesity/epidemiology , Brazil/epidemiology , Child, Preschool , Cross-Sectional Studies , Female , Humans , Male , Obesity, Abdominal/etiology , Pediatric Obesity/etiology , Prevalence
20.
J Vasc Surg ; 70(1): 298-306.e6, 2019 Jul.
Article in English | MEDLINE | ID: mdl-30922763

ABSTRACT

BACKGROUND: Intravascular ballistic embolization is a rare complication of missile injury. Because of its rarity, much remains to be known about its presentation, pathophysiology, complications, and management. In this study, we analyze case reports of ballistic embolization in the last 30 years and available cases from our institution to determine the likely patient, the nature of the embolization, the possible complications, and a general management strategy. METHODS: A PubMed search was performed in search of missile embolization cases from 1988 to 2018 in the English language, including only cases of intravascular emboli. Cases resulting from combat and explosive devices were excluded. In addition, five cases from our institution were included in the analysis. RESULTS: A total of 261 cases were analyzed. The most common presentation was that of a young man (reflecting the demographics of those sustaining gunshot wound injuries) with injury to the anterior torso from a single gunshot wound. Venous entry was most common, most often through large-caliber vessels. There was roughly equal involvement of the right and left circulation. Left circulation emboli were frequently symptomatic, with ischemia being the most frequent sequela. In contrast, a right circulation embolus was rarely associated with significant complications. CONCLUSIONS: Despite its rarity, ballistic embolization should be considered in gunshot injury with known large-vessel injury when an exit wound is not identified. In particular, signs of ischemia distant from the injury site warrant timely investigation to maximize tissue salvageability. We present a management strategy model for consideration.


Subject(s)
Embolism/etiology , Foreign-Body Migration/etiology , Wounds, Gunshot/complications , Adult , Child , Embolism/diagnostic imaging , Embolism/therapy , Female , Foreign-Body Migration/diagnostic imaging , Foreign-Body Migration/therapy , Humans , Male , Middle Aged , Predictive Value of Tests , Risk Factors , Time Factors , Treatment Outcome , Wounds, Gunshot/diagnostic imaging , Wounds, Gunshot/therapy , Young Adult
SELECTION OF CITATIONS
SEARCH DETAIL