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1.
Nature ; 621(7979): 536-542, 2023 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-37558870

RESUMEN

Coral reef ecosystems are being fundamentally restructured by local human impacts and climate-driven marine heatwaves that trigger mass coral bleaching and mortality1. Reducing local impacts can increase reef resistance to and recovery from bleaching2. However, resource managers lack clear advice on targeted actions that best support coral reefs under climate change3 and sector-based governance means most land- and sea-based management efforts remain siloed4. Here we combine surveys of reef change with a unique 20-year time series of land-sea human impacts that encompassed an unprecedented marine heatwave in Hawai'i. Reefs with increased herbivorous fish populations and reduced land-based impacts, such as wastewater pollution and urban runoff, had positive coral cover trajectories predisturbance. These reefs also experienced a modest reduction in coral mortality following severe heat stress compared to reefs with reduced fish populations and enhanced land-based impacts. Scenario modelling indicated that simultaneously reducing land-sea human impacts results in a three- to sixfold greater probability of a reef having high reef-builder cover four years postdisturbance than if either occurred in isolation. International efforts to protect 30% of Earth's land and ocean ecosystems by 2030 are underway5. Our results reveal that integrated land-sea management could help achieve coastal ocean conservation goals and provide coral reefs with the best opportunity to persist in our changing climate.


Asunto(s)
Antozoos , Conservación de los Recursos Naturales , Arrecifes de Coral , Calor Extremo , Calentamiento Global , Océanos y Mares , Agua de Mar , Animales , Conservación de los Recursos Naturales/métodos , Calor Extremo/efectos adversos , Peces , Calentamiento Global/estadística & datos numéricos , Objetivos , Hawaii , Actividades Humanas , Cooperación Internacional , Agua de Mar/análisis , Agua de Mar/química , Aguas Residuales/análisis , Factores de Tiempo
2.
Development ; 149(8)2022 04 15.
Artículo en Inglés | MEDLINE | ID: mdl-35178561

RESUMEN

Tissue-resident macrophages are increasingly recognized as important determinants of organ homeostasis, tissue repair, remodeling and regeneration. Although the ontogeny and function of tissue-resident macrophages has been identified as distinct from postnatal hematopoiesis, the inability to specify, in vitro, similar populations that recapitulate these developmental waves has limited our ability to study their function and potential for regenerative applications. We took advantage of the concept that tissue-resident macrophages and monocyte-derived macrophages originate from distinct extra-embryonic and definitive hematopoietic lineages to devise a system to generate pure cultures of macrophages that resemble tissue-resident or monocyte-derived subsets. We demonstrate that human pluripotent stem cell-derived extra-embryonic-like and intra-embryonic-like hematopoietic progenitors differentiate into morphologically, transcriptionally and functionally distinct macrophage populations. Single-cell RNA sequencing of developing and mature cultures uncovered distinct developmental trajectories and gene expression programs of macrophages derived from extra-embryonic-like and intra-embryonic-like hematopoietic progenitors. These findings establish a resource for the generation of human tissue resident-like macrophages to study their specification and function under defined conditions and to explore their potential use in tissue engineering and regenerative medicine applications.


Asunto(s)
Macrófagos , Células Madre Pluripotentes , Diferenciación Celular/genética , Hematopoyesis , Homeostasis , Humanos , Macrófagos/metabolismo
3.
Proc Natl Acad Sci U S A ; 119(19): e2123331119, 2022 05 10.
Artículo en Inglés | MEDLINE | ID: mdl-35500122

RESUMEN

Corals are a major habitat-building life-form on tropical reefs that support a quarter of all species in the ocean and provide ecosystem services to millions of people. Marine heat waves continue to threaten and shape reef ecosystems by killing individual coral colonies and reducing their diversity. However, marine heat waves are spatially and temporally heterogeneous, and so too are the environmental and biological factors mediating coral resilience during and following thermal events. This combination results in highly variable outcomes at both the coral bleaching and mortality stages of every event. This, in turn, impedes the assessment of changing reef-scale patterns of thermal tolerance or places of resistance known as reef refugia. We developed a large-scale, high-resolution coral mortality monitoring capability based on airborne imaging spectroscopy and applied it to a major marine heat wave in the Hawaiian Islands. While water depth and thermal stress strongly mediated coral mortality, relative coral loss was also inversely correlated with preheat-wave coral cover, suggesting the existence of coral refugia. Subsequent mapping analyses indicated that potential reef refugia underwent up to 40% lower coral mortality compared with neighboring reefs, despite similar thermal stress. A combination of human and environmental factors, particularly coastal development and sedimentation levels, differentiated resilient reefs from other more vulnerable reefs. Our findings highlight the role that coral mortality mapping, rather than bleaching monitoring, can play for targeted conservation that protects more surviving corals in our changing climate.


Asunto(s)
Antozoos , Animales , Antozoos/fisiología , Conservación de los Recursos Naturales , Arrecifes de Coral , Ecosistema , Calor , Refugio de Fauna
4.
Proc Natl Acad Sci U S A ; 117(52): 33711-33718, 2020 12 29.
Artículo en Inglés | MEDLINE | ID: mdl-33318215

RESUMEN

Coral is the life-form that underpins the habitat of most tropical reef ecosystems, thereby supporting biological diversity throughout the marine realm. Coral reefs are undergoing rapid change from ocean warming and nearshore human activities, compromising a myriad of services provided to societies including coastal protection, fishing, and cultural practices. In the face of these challenges, large-scale operational mapping of live coral cover within and across reef ecosystems could provide more opportunities to address reef protection, resilience, and restoration at broad management- and policy-relevant scales. We developed an airborne mapping approach combining laser-guided imaging spectroscopy and deep learning models to quantify, at a large archipelago scale, the geographic distribution of live corals to 16-m water depth throughout the main Hawaiian islands. Airborne estimates of live coral cover were highly correlated with field-based estimates of live coral cover (R2 = 0.94). Our maps were used to assess the relative condition of reefs based on live coral, and to identify potential coral refugia in the face of human-driven stressors, including marine heat waves. Geospatial modeling revealed that water depth, wave power, and nearshore development accounted for the majority (>60%) of live coral cover variation, but other human-driven factors were also important. Mapped interisland and intraisland variation in live coral location improves our understanding of reef geography and its human impacts, thereby guiding environmental management for reef resiliency.


Asunto(s)
Antozoos/fisiología , Conservación de los Recursos Naturales , Arrecifes de Coral , Animales , Islas , Modelos Biológicos , Reproducibilidad de los Resultados
5.
Proc Natl Acad Sci U S A ; 116(48): 24143-24149, 2019 11 26.
Artículo en Inglés | MEDLINE | ID: mdl-31712423

RESUMEN

Life for many of the world's marine fish begins at the ocean surface. Ocean conditions dictate food availability and govern survivorship, yet little is known about the habitat preferences of larval fish during this highly vulnerable life-history stage. Here we show that surface slicks, a ubiquitous coastal ocean convergence feature, are important nurseries for larval fish from many ocean habitats at ecosystem scales. Slicks had higher densities of marine phytoplankton (1.7-fold), zooplankton (larval fish prey; 3.7-fold), and larval fish (8.1-fold) than nearby ambient waters across our study region in Hawai'i. Slicks contained larger, more well-developed individuals with competent swimming abilities compared to ambient waters, suggesting a physiological benefit to increased prey resources. Slicks also disproportionately accumulated prey-size plastics, resulting in a 60-fold higher ratio of plastics to larval fish prey than nearby waters. Dissections of hundreds of larval fish found that 8.6% of individuals in slicks had ingested plastics, a 2.3-fold higher occurrence than larval fish from ambient waters. Plastics were found in 7 of 8 families dissected, including swordfish (Xiphiidae), a commercially targeted species, and flying fish (Exocoetidae), a principal prey item for tuna and seabirds. Scaling up across an ∼1,000 km2 coastal ecosystem in Hawai'i revealed slicks occupied only 8.3% of ocean surface habitat but contained 42.3% of all neustonic larval fish and 91.8% of all floating plastics. The ingestion of plastics by larval fish could reduce survivorship, compounding threats to fisheries productivity posed by overfishing, climate change, and habitat loss.


Asunto(s)
Peces/fisiología , Larva , Plásticos/análisis , Contaminantes Químicos del Agua/análisis , Animales , Tamaño Corporal , Exposición Dietética/análisis , Ecotoxicología , Monitoreo del Ambiente/métodos , Explotaciones Pesqueras , Peces/crecimiento & desarrollo , Hawaii , Fitoplancton , Plásticos/toxicidad , Conducta Predatoria , Natación , Contaminantes Químicos del Agua/toxicidad , Zooplancton
6.
Proc Biol Sci ; 286(1896): 20182544, 2019 02 13.
Artículo en Inglés | MEDLINE | ID: mdl-30963937

RESUMEN

Coral reefs worldwide face unprecedented cumulative anthropogenic effects of interacting local human pressures, global climate change and distal social processes. Reefs are also bound by the natural biophysical environment within which they exist. In this context, a key challenge for effective management is understanding how anthropogenic and biophysical conditions interact to drive distinct coral reef configurations. Here, we use machine learning to conduct explanatory predictions on reef ecosystems defined by both fish and benthic communities. Drawing on the most spatially extensive dataset available across the Hawaiian archipelago-20 anthropogenic and biophysical predictors over 620 survey sites-we model the occurrence of four distinct reef regimes and provide a novel approach to quantify the relative influence of human and environmental variables in shaping reef ecosystems. Our findings highlight the nuances of what underpins different coral reef regimes, the overwhelming importance of biophysical predictors and how a reef's natural setting may either expand or narrow the opportunity space for management interventions. The methods developed through this study can help inform reef practitioners and hold promises for replication across a broad range of ecosystems.


Asunto(s)
Biodiversidad , Cambio Climático , Conservación de los Recursos Naturales/métodos , Arrecifes de Coral , Aprendizaje Automático , Biofisica , Hawaii , Modelos Biológicos
7.
Child Dev ; 90(2): e230-e245, 2019 03.
Artículo en Inglés | MEDLINE | ID: mdl-29516467

RESUMEN

Little research exists on how immigrant children develop their beliefs about school learning (BASLs) in their home and host cultures. We examined the BASLs and achievement children of Chinese immigrants' (CCI) and European American (EA) children. We followed longitudinally 120 middle-class children from age 4 to 5, balanced for gender. Children heard two story beginnings depicting a child eager to attend school and another not. Children completed the stories and were tested for math and literacy achievement. We found seven BASLs. CCIs and EAs showed similar BASLs. Awareness of parental involvement and intellectual benefit consistently explained their achievement, with CCIs showing greater achievement. CCIs' (but not EAs') valuation of learning explained their net academic growth. Implications on CCIs' development are discussed.


Asunto(s)
Éxito Académico , Actitud , Emigrantes e Inmigrantes , Aprendizaje , Alfabetización , Matemática , Padres , Asiático , Preescolar , China/etnología , Femenino , Humanos , Estudios Longitudinales , Masculino , Instituciones Académicas , Población Blanca
8.
J Neurovirol ; 23(2): 171-185, 2017 04.
Artículo en Inglés | MEDLINE | ID: mdl-27739035

RESUMEN

Strain-specific factors contribute in significant but undefined ways to the variable incidence of herpes simplex virus (HSV) recrudescence. Studies that investigate these strain-specific factors are needed. Here, we used qPCR, in vitro assays, and genomic sequencing to identify important relationships between in vitro and clinical phenotypes of unique HSV-1 clinical isolates. Nine HSV-1 isolates from individuals displaying varying reactivation patterns were studied. Isolates associated with frequent recurrent herpes labialis (RHL) (1) displayed higher rates of viral shedding in the oral cavity than those associated with rare RHL and (2) tended to replicate more efficiently at 33 °C than 39 °C. HSV-1 isolates also displayed a more stable phenotype during propagation in U2OS cells than in Vero cells. Draft genome sequences of four isolates and one variant spanning 95.6 to 97.2 % of the genome were achieved, and whole-genome alignment demonstrated that the majority of these isolates clustered with known North American/European isolates. These findings revealed procedures that could help identify unique genotypes and phenotypes associated with HSV-1 isolates, which can be important for determining viral factors critical for regulating HSV-1 reactivation.


Asunto(s)
Genoma Viral , Genotipo , Herpesvirus Humano 1/genética , Fenotipo , Filogenia , Polimorfismo de Nucleótido Simple , Adulto , Anciano , Animales , Secuencia de Bases , Línea Celular Tumoral , Chlorocebus aethiops , Femenino , Herpes Simple/virología , Herpesvirus Humano 1/clasificación , Herpesvirus Humano 1/crecimiento & desarrollo , Secuenciación de Nucleótidos de Alto Rendimiento , Humanos , Masculino , Persona de Mediana Edad , Osteoblastos/patología , Osteoblastos/virología , Alineación de Secuencia , Células Vero , Activación Viral
9.
Lasers Surg Med ; 49(10): 913-927, 2017 12.
Artículo en Inglés | MEDLINE | ID: mdl-28699676

RESUMEN

OBJECTIVE: Ultraviolet (UV) and infrared (IR) lasers can be used to specifically target protein, water, and mineral, respectively, in dental hard tissues to produce varying changes in surface morphology, permeability, reflectivity, and acid resistance. The purpose of this study was to explore the influence of laser irradiation and topical fluoride application on the surface morphology, permeability, reflectivity, and acid resistance of enamel and dentin to shed light on the mechanism of interaction and develop more effective treatments. METHODS: Twelve bovine enamel surfaces and twelve bovine dentin surfaces were irradiated with various combinations of lasers operating at 0.355 (Freq.-tripled Nd:YAG (UV) laser), 2.94 (Er:YAG laser), and 9.4 µm (CO2 laser), and surfaces were exposed to an acidulated phosphate fluoride gel and an acid challenge. Changes in the surface morphology, acid resistance, and permeability were measured using digital microscopy, polarized light microscopy, near-IR reflectance, fluorescence, polarization sensitive-optical coherence tomography (PS-OCT), and surface dehydration rate measurements. RESULTS: Different laser treatments dramatically influenced the surface morphology and permeability of both enamel and dentin. CO2 laser irradiation melted tooth surfaces. Er:YAG and UV lasers, while not melting tooth surfaces, showed markedly different surface roughness. Er:YAG irradiation led to significantly rougher enamel and dentin surfaces and led to higher permeability. There were significant differences in acid resistance among the various treatment groups. CONCLUSION: Surface dehydration measurements showed significant changes in permeability after laser treatments, application of fluoride and after exposure to demineralization. CO2 laser irradiation was most effective in inhibiting demineralization on enamel while topical fluoride was most effective for dentin surfaces. Lasers Surg. Med. 49:913-927, 2017. © 2017 Wiley Periodicals, Inc.


Asunto(s)
Ácidos/efectos adversos , Esmalte Dental/cirugía , Dentina/cirugía , Láseres de Gas/uso terapéutico , Láseres de Estado Sólido/uso terapéutico , Desmineralización Dental/prevención & control , Administración Tópica , Animales , Cariostáticos/administración & dosificación , Cariostáticos/farmacología , Bovinos , Terapia Combinada , Esmalte Dental/efectos de los fármacos , Esmalte Dental/metabolismo , Esmalte Dental/patología , Dentina/efectos de los fármacos , Dentina/metabolismo , Dentina/patología , Fluoruros/administración & dosificación , Fluoruros/farmacología , Técnicas In Vitro , Microscopía Electrónica de Rastreo , Microscopía de Polarización , Permeabilidad/efectos de los fármacos , Permeabilidad/efectos de la radiación , Fosfatos/administración & dosificación , Fosfatos/farmacología , Desmineralización Dental/inducido químicamente , Desmineralización Dental/metabolismo , Desmineralización Dental/patología
10.
Arthroscopy ; 33(1): 19-25, 2017 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-27659242

RESUMEN

PURPOSE: To compare patient-reported outcomes and healing rates after open subpectoral and all-arthroscopic suprapectoral biceps tenodesis without the use of interference screws in patients with more than 2 years of follow-up. METHODS: Patients with at least 2 years of follow-up who underwent open subpectoral biceps tenodesis or all-arthroscopic suprapectoral biceps tenodesis without concomitant rotator cuff repair, labral repair, or Mumford procedure were considered for enrollment in the study. They were evaluated for visual analog scale (VAS), American Shoulder and Elbow Surgeons (ASES) score, and satisfaction with function and biceps contour. Ultrasonography was performed to evaluate the integrity of the tenodesis site and measure biceps muscle diameters on each arm. RESULTS: Forty-nine patients were eligible for our study and of these, 38 were able to participate. Twenty-three patients had open subpectoral biceps tenodesis and 15 received all-arthroscopic suprapectoral biceps tenodesis. The average follow-up time was 4.5 years (range 2-9.1 years). There were no significant differences in anterior shoulder pain VAS, ASES scores, or satisfaction rates. The average anterior shoulder VAS was 0.7 ± 1.1 for the open group and 0.9 ± 1.8 for the arthroscopic group (P = .74). The mean ASES score for the open group was 90.6 ± 11.4 and 91.4 ± 13.9 for the arthroscopic group (P = .69). All patients had an intact tenodesis site on ultrasonography and the ratio of operative to nonoperative biceps diameters was 100.2% ± 12.8% for the open group and 99.1% ± 10.8% for the arthroscopic group (P = .66). There were no infections and no brachial plexus injuries in either group. CONCLUSIONS: Open subpectoral biceps tenodesis and all-arthroscopic suprapectoral biceps tenodesis are both successful surgeries with consistently positive outcomes. Tenodesis can be performed in either location without interference screw fixation with durable, reliable results. LEVEL OF EVIDENCE: Level III, retrospective comparative trial.


Asunto(s)
Brazo/cirugía , Tornillos Óseos , Tendones/cirugía , Tenodesis/métodos , Brazo/diagnóstico por imagen , Artroscopía/métodos , Femenino , Humanos , Masculino , Persona de Mediana Edad , Dimensión del Dolor , Satisfacción del Paciente , Procedimientos de Cirugía Plástica/métodos , Estudios Retrospectivos , Dolor de Hombro/etiología , Resultado del Tratamiento
11.
BMC Bioinformatics ; 15: 357, 2014 Nov 19.
Artículo en Inglés | MEDLINE | ID: mdl-25407910

RESUMEN

BACKGROUND: Deep shotgun sequencing on next generation sequencing (NGS) platforms has contributed significant amounts of data to enrich our understanding of genomes, transcriptomes, amplified single-cell genomes, and metagenomes. However, deep coverage variations in short-read data sets and high sequencing error rates of modern sequencers present new computational challenges in data interpretation, including mapping and de novo assembly. New lab techniques such as multiple displacement amplification (MDA) of single cells and sequence independent single primer amplification (SISPA) allow for sequencing of organisms that cannot be cultured, but generate highly variable coverage due to amplification biases. RESULTS: Here we introduce NeatFreq, a software tool that reduces a data set to more uniform coverage by clustering and selecting from reads binned by their median kmer frequency (RMKF) and uniqueness. Previous algorithms normalize read coverage based on RMKF, but do not include methods for the preferred selection of (1) extremely low coverage regions produced by extremely variable sequencing of random-primed products and (2) 2-sided paired-end sequences. The algorithm increases the incorporation of the most unique, lowest coverage, segments of a genome using an error-corrected data set. NeatFreq was applied to bacterial, viral plaque, and single-cell sequencing data. The algorithm showed an increase in the rate at which the most unique reads in a genome were included in the assembled consensus while also reducing the count of duplicative and erroneous contigs (strings of high confidence overlaps) in the deliverable consensus. The results obtained from conventional Overlap-Layout-Consensus (OLC) were compared to simulated multi-de Bruijn graph assembly alternatives trained for variable coverage input using sequence before and after normalization of coverage. Coverage reduction was shown to increase processing speed and reduce memory requirements when using conventional bacterial assembly algorithms. CONCLUSIONS: The normalization of deep coverage spikes, which would otherwise inhibit consensus resolution, enables High Throughput Sequencing (HTS) assembly projects to consistently run to completion with existing assembly software. The NeatFreq software package is free, open source and available at https://github.com/bioh4x/NeatFreq .


Asunto(s)
Secuenciación de Nucleótidos de Alto Rendimiento/métodos , Análisis de Secuencia de ADN/métodos , Programas Informáticos , Algoritmos , Genómica
12.
Proc Biol Sci ; 281(1778): 20133069, 2014 Mar 07.
Artículo en Inglés | MEDLINE | ID: mdl-24452029

RESUMEN

Diseases threaten the structure and function of marine ecosystems and are contributing to the global decline of coral reefs. We currently lack an understanding of how climate change stressors, such as ocean acidification (OA) and warming, may simultaneously affect coral reef disease dynamics, particularly diseases threatening key reef-building organisms, for example crustose coralline algae (CCA). Here, we use coralline fungal disease (CFD), a previously described CCA disease from the Pacific, to examine these simultaneous effects using both field observations and experimental manipulations. We identify the associated fungus as belonging to the subphylum Ustilaginomycetes and show linear lesion expansion rates on individual hosts can reach 6.5 mm per day. Further, we demonstrate for the first time, to our knowledge, that ocean-warming events could increase the frequency of CFD outbreaks on coral reefs, but that OA-induced lowering of pH may ameliorate outbreaks by slowing lesion expansion rates on individual hosts. Lowered pH may still reduce overall host survivorship, however, by reducing calcification and facilitating fungal bio-erosion. Such complex, interactive effects between simultaneous extrinsic environmental stressors on disease dynamics are important to consider if we are to accurately predict the response of coral reef communities to future climate change.


Asunto(s)
Organismos Acuáticos/microbiología , Agua de Mar/microbiología , Animales , Antozoos/microbiología , Cambio Climático , Arrecifes de Coral , Concentración de Iones de Hidrógeno , Océanos y Mares , Dinámica Poblacional , Agua de Mar/química
13.
Virol J ; 10: 181, 2013 Jun 06.
Artículo en Inglés | MEDLINE | ID: mdl-23742765

RESUMEN

BACKGROUND: Whole genome sequencing of viruses and bacteriophages is often hindered because of the need for large quantities of genomic material. A method is described that combines single plaque sequencing with an optimization of Sequence Independent Single Primer Amplification (SISPA). This method can be used for de novo whole genome next-generation sequencing of any cultivable virus without the need for large-scale production of viral stocks or viral purification using centrifugal techniques. METHODS: A single viral plaque of a variant of the 2009 pandemic H1N1 human Influenza A virus was isolated and amplified using the optimized SISPA protocol. The sensitivity of the SISPA protocol presented here was tested with bacteriophage F_HA0480sp/Pa1651 DNA. The amplified products were sequenced with 454 and Illumina HiSeq platforms. Mapping and de novo assemblies were performed to analyze the quality of data produced from this optimized method. RESULTS: Analysis of the sequence data demonstrated that from a single viral plaque of Influenza A, a mapping assembly with 3590-fold average coverage representing 100% of the genome could be produced. The de novo assembled data produced contigs with 30-fold average sequence coverage, representing 96.5% of the genome. Using only 10 pg of starting DNA from bacteriophage F_HA0480sp/Pa1651 in the SISPA protocol resulted in sequencing data that gave a mapping assembly with 3488-fold average sequence coverage, representing 99.9% of the reference and a de novo assembly with 45-fold average sequence coverage, representing 98.1% of the genome. CONCLUSIONS: The optimized SISPA protocol presented here produces amplified product that when sequenced will give high quality data that can be used for de novo assembly. The protocol requires only a single viral plaque or as little as 10 pg of DNA template, which will facilitate rapid identification of viruses during an outbreak and viruses that are difficult to propagate.


Asunto(s)
Bacteriófagos/genética , Genoma Viral , Análisis de Secuencia de ADN/métodos , Manejo de Especímenes/métodos , Ensayo de Placa Viral/métodos , Virus/genética
14.
Circ Cardiovasc Imaging ; 16(1): e014071, 2023 01.
Artículo en Inglés | MEDLINE | ID: mdl-36649453

RESUMEN

Heart failure involves a complex interplay between diverse populations of immune cells that dynamically shift across the natural history of disease. Within this context, the character of the immune response is a key determinant of clinical outcomes. Recent technological advances in single-cell transcriptomic, spatial, and proteomic technologies have fueled an explosion of new and clinically relevant insights into distinct immune cell populations that reside within the diseased heart including potential targets for molecular imaging and therapy. In this review, we will discuss the immune cell types and their respective functions with respect to myocardial infarction remodeling, dilated cardiomyopathy, and heart failure with preserved ejection fraction. In addition, we give a brief overview regarding myocarditis and cardiac sarcoidosis as inflammatory heart failure etiologies. We will highlight markers and cell populations as targets for molecular imaging to visualize inflammation and tissue healing and discuss clinical implications including the development and implementation of precision medicine approaches.


Asunto(s)
Insuficiencia Cardíaca , Miocarditis , Humanos , Proteómica , Corazón , Insuficiencia Cardíaca/diagnóstico por imagen , Miocarditis/tratamiento farmacológico , Inflamación
15.
Med J (Ft Sam Houst Tex) ; (Per 23-4/5/6): 31-38, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-37042504

RESUMEN

Creatine supplementation has not been researched for Traumatic Brain Injury (TBI) extensively, but studies suggest potential as a neuroprotective agent and potential treatment for brain-injury complications. Patients suffering from TBI experience mitochondrial dysfunction, neuropsychological burden, and deficits in cognitive performance due to malperformance of brain creatine levels, diminished brain Adenosine Triphosphate (ATP) levels, glutamate toxicity, and oxidative stress. In this systemic review, the current available research is reviewed to examine the effects of creatine on common sequalae of TBI within children, adolescents, and mice. Past and present data still lacks the knowledge of creatine supplementation for the adult population and military members during TBI. PubMed was searched for studies which assessed the correlation between creatine supplementation of TBI complications. The search strategy yielded 40 results, of which 15 articles were included in this systemic review. The results of the review supported an apparent understanding creatine does offer an obvious benefit to patients suffering from TBI and post-injury complications under specific guidelines. Time and dose dependent metabolic alterations seem to be only exceptionally prevalent when given as a prophylaxis or if given acutely. Results are only clinically significant after a month of supplementation. Although patients may need many therapeutic treatments to recover from TBI, especially in acute resuscitation, creatine shows superior efficacy as a neuroprotective agent in battling the chronic manifestations which lead to oxidative stress and cognitive function post brain injury.


Asunto(s)
Lesiones Traumáticas del Encéfalo , Lesiones Encefálicas , Fármacos Neuroprotectores , Animales , Ratones , Lesiones Encefálicas/complicaciones , Lesiones Encefálicas/tratamiento farmacológico , Lesiones Traumáticas del Encéfalo/complicaciones , Lesiones Traumáticas del Encéfalo/tratamiento farmacológico , Creatina/uso terapéutico , Suplementos Dietéticos , Neuroprotección , Fármacos Neuroprotectores/uso terapéutico
16.
Sci Adv ; 9(24): eadd5032, 2023 06 16.
Artículo en Inglés | MEDLINE | ID: mdl-37315146

RESUMEN

Marine heatwaves are triggering coral bleaching events and devastating coral populations globally, highlighting the need to identify processes promoting coral survival. Here, we show that acceleration of a major ocean current and shallowing of the surface mixed layer enhanced localized upwelling on a central Pacific coral reef during the three strongest El Niño-associated marine heatwaves of the past half century. These conditions mitigated regional declines in primary production and bolstered local supply of nutritional resources to corals during a bleaching event. The reefs subsequently suffered limited post-bleaching coral mortality. Our results reveal how large-scale ocean-climate interactions affect reef ecosystems thousands of kilometers away and provide a valuable framework for identifying reefs that may benefit from such biophysical linkages during future bleaching events.


Asunto(s)
Antozoos , Animales , El Niño Oscilación del Sur , Ecosistema , Arrecifes de Coral , Océanos y Mares
17.
Nat Ecol Evol ; 7(11): 1844-1855, 2023 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-37749400

RESUMEN

The influence of depth and associated gradients in light, nutrients and plankton on the ecological organization of tropical reef communities was first described over six decades ago but remains untested across broad geographies. During this time humans have become the dominant driver of planetary change, requiring that we revisit historic ecological paradigms to ensure they capture the dynamics of contemporary ecological systems. Analysing >5,500 in-water reef fish surveys between 0 and 30 m depth on reef slopes of 35 islands across the Pacific, we assess whether a depth gradient consistently predicts variation in reef fish biomass. We reveal predictable ecological organization at unpopulated locations, with increased biomass of planktivores and piscivores and decreased primary consumer biomass with increasing depth. Bathymetric steepness also had a striking influence on biomass patterns, primarily for planktivores, emphasizing potential links between local hydrodynamics and the upslope propagation of pelagic subsidies to the shallows. However, signals of resource-driven change in fish biomass with depth were altered or lost for populated islands, probably due to depleted fish biomass baselines. While principles of depth zonation broadly held, our findings expose limitations of the paradigm for predicting ecological dynamics where human impacts confound connections between ecological communities and their surrounding environment.


Asunto(s)
Efectos Antropogénicos , Arrecifes de Coral , Animales , Humanos , Ecosistema , Biomasa , Peces
18.
Creat Nurs ; 28(1): 69-73, 2022 Feb 01.
Artículo en Inglés | MEDLINE | ID: mdl-35173065

RESUMEN

Many professional medical and nursing organizations call for the reform and revision of formal nursing education. As nursing faculty work to prepare the next generations of nurses, the model of Relationship-Based Care is an ideal infrastructure for curriculum design. This paper responds to the call for transforming nursing education with a model that includes love, Relationship-Based Care, the I2E2 Model of Change, and an academic-practice partnership.


Asunto(s)
Bachillerato en Enfermería , Educación en Enfermería , Estudiantes de Enfermería , Curriculum , Docentes de Enfermería , Humanos , Amor
20.
PLoS One ; 16(5): e0251616, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33956878

RESUMEN

[This corrects the article DOI: 10.1371/journal.pone.0061974.].

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