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The purpose of this study was to validate a new scale designed to measure individual motives for eating tasty foods and determine if any specific motive(s) are associated with obesity. The "Palatable Eating Motives Scale" (PEMS) is a self-report measure adapted from the Drinking Motives Questionnaire Revised (DMQ-R). N=150 racially-diverse college students (mean age: 24.4, BMI: 16-51kg/m(2)) were administered the PEMS along with the Binge-Eating Scale (BES) and the Yale Food Addiction Scale (YFAS) to test for convergent and incremental validity and the Sensitivity to Punishment and Reward Questionnaire (SPSRQ) for discriminant validity. The PEMS identified four motives for eating tasty food, the same ones found with the DMQ-R for alcohol intake: Social, Conformity, Enhancement, and Coping motives. The scales had good convergent validity with BES and YFAS scores but discriminated from the broader motivational constructs of inhibition and activation measured by the SPSRQ. Of the PEMS motives, Coping (eating tasty food to deal with problems and negative feelings) accounted for unique variance in BMI, and added to variance in BMI contributed by BES scores, showing incremental validity. YFAS scores did not contribute to BMI after controlling for binge-eating. Coping subscale scores were also significantly higher (p<0.001) among the severely obese (BMI>40). Motives behind palatable food intake are not homogenous and should be considered in personalized weight-loss strategies in future studies. In normal weight individuals, knowing one's dominant motive for eating tasty foods may help promote healthier food choices in times and places where they are most vulnerable to do otherwise.
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Dieta/psicología , Ingestión de Alimentos/psicología , Conducta Alimentaria , Preferencias Alimentarias , Motivación , Obesidad/psicología , Placer , Adaptación Psicológica , Adolescente , Adulto , Consumo de Bebidas Alcohólicas , Conducta Adictiva , Índice de Masa Corporal , Bulimia , Femenino , Humanos , Masculino , Persona de Mediana Edad , Grupos Raciales , Autoinforme , Conformidad Social , Estudiantes , Encuestas y Cuestionarios , Gusto , Adulto JovenRESUMEN
The aim of this study was to use the Palatable Eating Motives Scale (PEMS) to determine if and what motives for eating tasty foods (e.g., junk food, fast food, and desserts) are associated with binge-eating in two diverse populations. BMI and scores on the PEMS, Yale Food Addiction Scale (YFAS), and Binge-eating Scale (BES) were obtained from 247 undergraduates at the University of Alabama at Birmingham (UAB) and 249 weight-loss seeking patients at the UAB EatRight program. Regression analyses revealed that eating tasty foods to forget worries and problems and help alleviate negative feelings (i.e., the 4-item Coping motive) was associated with binge-eating independently of any variance in BES scores due to sex, age, ethnicity, BMI, other PEMS motives, and YFAS scores in both students (R² = .57) and patients (R² = .55). Coping also was associated with higher BMI in students (p < 0.01), and in patients despite their truncated BMI range (p < 0.05). Among students, the motives Conformity and Reward Enhancement were also independently associated with binge-eating. For this younger sample with a greater range of BES scores, eating for these motives, but not for Social ones, may indicate early maladaptive eating habits that could later develop into disorders characterized by binge-eating if predisposing factors are present. Thus, identifying one's tasty food motive or motives can potentially be used to thwart the development of BED and obesity, especially if the motive is Coping. Identifying one's PEMS motives should also help personalize conventional treatments for binge-eating and obesity toward improved outcomes.
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Bulimia/etiología , Dieta Reductora , Preferencias Alimentarias , Motivación , Sobrepeso/dietoterapia , Cooperación del Paciente , Estrés Psicológico/prevención & control , Adaptación Psicológica , Adolescente , Adulto , Anciano , Anciano de 80 o más Años , Alabama , Índice de Masa Corporal , Femenino , Humanos , Masculino , Persona de Mediana Edad , Sobrepeso/psicología , Aceptación de la Atención de Salud , Escalas de Valoración Psiquiátrica , Estrés Psicológico/fisiopatología , Estudiantes , Universidades , Adulto JovenRESUMEN
Four poly(ethylene glycol)-stabilized polyamine latexes, namely, poly(2-vinylpyridine) (P2VP), poly(2-(tert-butylamino)ethyl methacrylate) (PTBAEMA), poly(2-(diethylamino)ethyl methacrylate) (PDEA), and poly(2-(diisopropylamino)ethyl methacrylate) (PDPA) were prepared via emulsion copolymerization using divinylbenzene (DVB) as a cross-linker at 0.80 mol % for all formulations. According to dynamic light scattering studies, the resulting latexes were near-monodisperse and had approximately constant hydrodynamic diameters of 205-220 nm at pH 10; a latex-to-microgel transition was observed at around the respective pKa of each polyamine on addition of acid. The kinetics of swelling of each latex was investigated by the pH-jump method using a commercial stopped-flow instrument. The most rapid swelling was observed for the P2VP latex, which exhibited a characteristic swelling time (t*) of 5 ms. The corresponding t* values for PTBAEMA and PDEA were 25 and 35 ms, respectively, whereas the PDPA particles exhibited significantly slower swelling kinetics (t* = 180 ms). These t* values could not be correlated with either the latex Tg or the polyamine pKa. However, there is a positive correlation between t* and the repeat unit mass of the amine monomer, which suggests that the cationic charge density of the protonated polymer chains may influence the kinetics of swelling. Alternatively, the observed differences in swelling kinetics may simply reflect subtle differences in the DVB cross-link density, with more uniformly cross-linked latexes being capable of responding more quickly to a pH jump. The kinetics of deswelling for the corresponding microgel-to-latex transition was also briefly investigated for the PTBAEMA and P2VP particles. In both cases, much slower rates of deswelling were observed. This suggests that a latexlike "skin" is formed on the outer surface of the microgel particles during their deprotonation, which significantly retards the excretion of both salt and water.
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The emulsion copolymerization of 2-(diethylamino)ethyl methacrylate (DEA) with a divinylbenzene cross-linker in the presence of monomethoxy-capped poly(ethylene glycol) methacrylate (PEGMA) at 70 °C afforded near-monodisperse, sterically stabilized PEGMA-PDEA latexes at 10% solids. Dynamic light scattering studies indicated intensity-average diameters of 190 to 240 nm for these latexes at pH 9. A latex-to-microgel transition occurred on lowering the solution pH to below the latex pKa of 6.9. When dilute HCl/KOH was used to adjust the aqueous pH, a systematic reduction in the cationic microgel hydrodynamic diameter of 80 nm was observed over ten pH cycles as a result of the gradual buildup of background salt. However, no such size reduction was observed when using CO2/N2 gases to regulate the aqueous pH because this protocol does not generate background salt. Thus, the latter approach offers better reversibility, albeit at the cost of slower response times. PEGMA-PDEA microgel does not stabilize Pickering emulsions when homogenized at pH 3 with n-dodecane, sunflower oil, isononyl isononanoate, or isopropyl myristate. In contrast, PEGMA-PDEA latex proved to be a ubiquitous Pickering emulsifier at pH 10, forming stable oil-in-water emulsions with each of these four model oils. Lowering the solution pH from 10 to 3 resulted in demulsification within seconds. This is because these pH-responsive particles undergo a latex-to-microgel transition, which leads to their interfacial desorption. Six successive demulsification/emulsification cycles were performed on these Pickering emulsions using HCl/KOH to adjust the solution pH. Demulsification could also be achieved by purging the emulsion solution with CO2 gas to lower the aqueous pH to 4.8. However, complete phase separation required CO2 purging for 4 h at 20 °C. A subsequent N2 purge raised the aqueous pH sufficiently to induce a microgel-to-latex transition, but rehomogenization did not produce a stable Pickering emulsion. Presumably, a higher pH is required, which cannot be achieved by a N2 purge alone.
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Reactivos de Enlaces Cruzados/síntesis química , Emulsionantes/síntesis química , Metacrilatos/química , Nylons/química , Dióxido de Carbono/química , Reactivos de Enlaces Cruzados/química , Emulsionantes/química , Concentración de Iones de Hidrógeno , Nitrógeno/química , Tamaño de la Partícula , Polietilenglicoles/química , Propiedades de Superficie , Compuestos de Vinilo/químicaRESUMEN
Emulsion copolymerization of 2-(tert-butylamino)ethyl methacrylate in the presence of divinylbenzene (DVB) cross-linker and monomethoxy-capped poly(ethylene glycol) methacrylate (PEGMA) macromonomer at 70 °C afforded sterically-stabilized latexes at approximately 10% solids at pH 9. Dynamic light scattering and scanning electron microscopy (SEM) confirmed that relatively narrow size distributions were obtained. SEM confirmed the formation of spherical particles in the absence of any DVB cross-linker using a simple batch protocol, but in the presence of DVB it was necessary to use seeded emulsion polymerization under monomer-starved conditions to prevent the formation of latexes with ill-defined non-spherical morphologies. Lightly cross-linked latexes acquired cationic microgel character upon lowering the solution pH due to protonation of the secondary amine groups. Increasing the degree of cross-linking led to a progressively lower effective pK(a) of the copolymer chains from 8.0 to 7.3, which implies a gradual reduction in their basicity. Poly(tert-butylamino)ethyl methacrylate latex proved to be an effective Pickering emulsifier at pH 10, forming stable oil-in-water emulsions when homogenized with either n-dodecane or sunflower oil at 12,000 rpm for 2 min. These Pickering emulsions exhibited pH-responsive behavior: lowering the solution pH to 3 resulted in immediate demulsification due to the spontaneous desorption of the cationic microgels from the oil/water interface. Following rehomogenization at high pH, four successive demulsification/emulsification pH cycles could be achieved without a discernible loss in performance. However, no demulsification occurred on acidification of the fifth cycle, due to the progressive build-up of background salt.
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The control of epidemic malaria is a priority for the international health community and specific targets for the early detection and effective control of epidemics have been agreed. Interannual climate variability is an important determinant of epidemics in parts of Africa where climate drives both mosquito vector dynamics and parasite development rates. Hence, skilful seasonal climate forecasts may provide early warning of changes of risk in epidemic-prone regions. Here we discuss the development of a system to forecast probabilities of anomalously high and low malaria incidence with dynamically based, seasonal-timescale, multi-model ensemble predictions of climate, using leading global coupled ocean-atmosphere climate models developed in Europe. This forecast system is successfully applied to the prediction of malaria risk in Botswana, where links between malaria and climate variability are well established, adding up to four months lead time over malaria warnings issued with observed precipitation and having a comparably high level of probabilistic prediction skill. In years in which the forecast probability distribution is different from that of climatology, malaria decision-makers can use this information for improved resource allocation.
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Clima , Malaria/epidemiología , Modelos Biológicos , Estaciones del Año , Animales , Botswana/epidemiología , Culicidae/fisiología , Humanos , Incidencia , Malaria/parasitología , Malaria/prevención & control , Probabilidad , Lluvia , Factores de Riesgo , Temperatura , Factores de Tiempo , Tiempo (Meteorología)RESUMEN
Advancing wet peatland 'paludiculture' innovation present enormous potential to sustain carbon-cycles, reduce greenhouse-gas (GHG) gas emissions and to transition communities to low-carbon economies; however, there is limited scientific-evidence to support and enable direct commercial viability of eco-friendly products and services. This timely study reports on a novel, paludiculture-based, integrated-multi-trophic-aquaculture (IMTA) system for sustainable food production in the Irish midlands. This freshwater IMTA process relies on a naturally occurring ecosystem of microalgae, bacteria and duckweed in ponds for managing waste and water quality that is powered by wind turbines; however, as it is recirculating, it does not rely upon end-of-pipe solutions and does not discharge effluent to receiving waters. This constitutes the first report on the effects of extreme weather events on the performance of this IMTA system that produces European perch (Perca fluviatilis), rainbow trout (Oncorhynchus mykiis) during Spring 2020. Sampling coincided with lockdown periods of worker mobility restriction due to COVID-19 pandemic. Observations revealed that the frequency and intensity of storms generated high levels of rainfall that disrupted the algal and bacterial ecosystem in the IMTA leading to the emergence and predominance of toxic cyanobacteria that caused fish mortality. There is a pressing need for international agreement on standardized set of environmental indicators to advance paludiculture innovation that addresses climate-change and sustainability. This study describes important technical parameters for advancing freshwater aquaculture (IMTA), which can be future refined using real-time monitoring-tools at farm level to inform management decision-making based on evaluating environmental indicators and weather data. The relevance of these findings to informing global sustaining and disruptive research and innovation in paludiculture is presented, along with alignment with UN Sustainable Development goals. This study also addresses global challenges and opportunities highlighting a commensurate need for international agreement on resilient indicators encompassing linked ecological, societal, cultural, economic and cultural domains.
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Acuicultura , Clima , Percas , Animales , COVID-19 , Control de Enfermedades Transmisibles , Ambiente , Humanos , Pandemias , HumedalesRESUMEN
On the 23 March 2020, a country-wide COVID-19 lockdown was imposed on the UK. The following 100 days saw anthropogenic movements quickly halt, before slowly easing back to a "new" normality. In this short communication, we use data from official UK air-quality sensors (DEFRA AURN) and the UK Met Office stations to show how lockdown measures affected air quality in the UK. We compare the 100 days post-lockdown (23 March to 30 June 2020) with the same period from the previous 7 years. We find, as shown in numerous studies of other countries, the nitrogen oxides levels across the country dropped substantially (â¼ 50%). However, we also find the ozone levels increased (â¼ 10%), and the levels of sulphur dioxide more than doubled across the country. These changes, driven by a complex balance in the air chemistry near the surface, may reflect the influence of low humidity as suggested by Met Office data, and potentially, the reduction of nitrogen oxides and their interactions with multiple pollutants.
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INTRODUCTION: Vitamin D catabolizing enzymes, along with vitamin D receptor (VDR) and vitamin D binding protein (DBP) are expressed in the decidua and placenta during pregnancy and capable of synthesizing active vitamin D. Vitamin D plays roles in immunoregulation and trophoblast invasion, key features of a successful pregnancy. Epidemiological data suggests that vitamin D deficiency is associated with both spontaneous and recurrent miscarriage but few studies have investigated the expression of the key vitamin D catabolizing enzymes in miscarriage. METHODS: Placenta and decidua were collected after termination of apparently normal pregnancies (controls, n = 22) or spontaneous miscarriage (n = 20). Immunohistochemical staining, Western Blot and qRT-PCR were performed for CYP27B1, CYP24A1, CYP2R1, VDR and DBP (not qRT-PCR). HTR-8/SVneo cells were cultured in CoCL2 (hypoxic mimetic) or LPS (bacterial infection mimetic) for 24 h, RNA extracted and qRT-PCR performed for CYP27B1, CYP24A1, CYP2R1 and VDR. RESULTS: In spontaneous miscarriage, placental and decidual expression of CYP27B1 was reduced, while expression of CYP24A1, VDR and DBP was increased. When a trophoblast cell line was treated with CoCL2 expression of CYP27B1 was increased and CYP24A1 was reduced, while LPS induced expression of VDR. DISCUSSION: This is the first report of altered utero-placental vitamin D catabolism in spontaneous miscarriage. It is becoming accepted that women who are undergoing assisted reproductive technologies should ensure they have sufficient vitamin D levels prior to pregnancy, these data support that all women should ensure they are vitamin D replete before planning to get pregnant.
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Aborto Espontáneo/etiología , Sistema Enzimático del Citocromo P-450/metabolismo , Decidua/enzimología , Receptores de Calcitriol/metabolismo , Proteína de Unión a Vitamina D/metabolismo , Vitamina D/metabolismo , 25-Hidroxivitamina D3 1-alfa-Hidroxilasa/metabolismo , Aborto Espontáneo/sangre , Aborto Espontáneo/enzimología , Estudios de Casos y Controles , Colestanotriol 26-Monooxigenasa/metabolismo , Familia 2 del Citocromo P450/metabolismo , Femenino , Humanos , Embarazo , Vitamina D3 24-Hidroxilasa/metabolismoRESUMEN
Addition of hydrogen peroxide to seawater causes synchronous spawning in gravid male and female abalones, and certain other mollusks as well. This effect is blocked by exposure of the animals to aspirin, an inhibitor of the enzyme catalyzing oxidative synthesis of prostaglandin endoperoxide. Hydrogen peroxide activates this enzymatic reaction in cell-free extracts prepared from abalone eggs (a very rich source of the prostaglandin endoperoxide synthetase); this effect appears to reveal a fundamental property of prostaglandin endoperoxide synthesis. Applicability of these findings to both mariculture and medical purposes is suggested.
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Peróxido de Hidrógeno/farmacología , Oxigenasas de Función Mixta/metabolismo , Prostaglandina-Endoperóxido Sintasas/metabolismo , Reproducción/efectos de los fármacos , Caracoles/efectos de los fármacos , Animales , Aspirina/farmacología , Inhibidores de la Ciclooxigenasa , Activación Enzimática , Femenino , Peróxido de Hidrógeno/antagonistas & inhibidores , Masculino , Óvulo/enzimología , PeróxidosRESUMEN
This research is a preliminary study conducted to determine the effects of aspirin (acetyl-salicylic acid) and salicylic acid (analgesics and their derivatives) on the antibiotic resistance of ammonia oxidizing bacterium (AOB) (a non-pathogenic environmental microbe) cultured from the Texas Tech University-Water Recovery System that treats a space related wastewater for NASA. The effect of salicylic acid was investigated by obtaining the minimal inhibition concentration (MIC) of antibiotics (amoxicillin, ciprofloxacin, and nalidixic acid) in the presence of aspirin and salicylic acid. The possibility of transfer of resistance genes between unrelated species was investigated by analyzing the similarity of the AcrA protein (a multi-drug efflux protein) in Nitrosomonas europaea, Escherichia coli and Salmonella enterica. The protein alignment analysis was done using ExPASy, a proteomics tool. The results of this preliminary study indicated that the antibiotic resistance of AOBs increased in the presence of aspirin and salicylic acid and similarities in the AcrA protein of different species indicated the likelihood of possible resistance transfer between the species. This paper high lights the importance of research and further investigation on antibiotic resistance and resistance transfer, highlighting the number of parameters that should be considered while assessing antibiotic resistance in environmental samples.
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Analgésicos/farmacología , Antibacterianos/farmacología , Farmacorresistencia Microbiana , Secuencia de Aminoácidos , Aspirina/farmacología , Proteínas Bacterianas/química , Proteínas Bacterianas/metabolismo , Ciprofloxacina/farmacología , Escherichia coli/crecimiento & desarrollo , Escherichia coli/metabolismo , Proteínas de Escherichia coli/química , Proteínas de Escherichia coli/metabolismo , Lipoproteínas/química , Lipoproteínas/metabolismo , Proteínas de Transporte de Membrana/química , Proteínas de Transporte de Membrana/metabolismo , Pruebas de Sensibilidad Microbiana , Datos de Secuencia Molecular , Ácido Nalidíxico/farmacología , Nitrosomonas europaea/efectos de los fármacos , Nitrosomonas europaea/metabolismo , Ácido Salicílico/farmacología , Salmonella enterica/efectos de los fármacos , Salmonella enterica/metabolismo , Homología de Secuencia de AminoácidoRESUMEN
The Asian tiger mosquito Aedes albopictus is able to transmit various pathogens to humans and animals and it has already caused minor outbreaks of dengue and chikungunya in southern Europe. Alarmingly, it is spreading northwards and its eggs have been found in the UK in 2016 and 2017. Climate-driven models can help to analyse whether this originally subtropical species could become established in northern Europe. But so far, these models have not considered the impact of the diurnal temperature range (DTR) experienced by mosquitoes in the field. Here, we describe a dynamical model for the life cycle of Ae. albopictus, taking into account the DTR, rainfall, photoperiod and human population density. We develop a new metric for habitat suitability and drive our model with different climate data sets to analyse the UK's suitability for this species. For now, most of the UK seems to be rather unsuitable, except for some densely populated and high importation risk areas in southeast England. But this picture changes in the next 50 years: future scenarios suggest that Ae. albopictus could become established over almost all of England and Wales, indicating the need for continued mosquito surveillance.
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Aedes/fisiología , Cambio Climático , Ecosistema , Modelos Biológicos , Mosquitos Vectores/fisiología , Animales , Fiebre Chikungunya/epidemiología , Fiebre Chikungunya/transmisión , Dengue/epidemiología , Dengue/transmisión , Inglaterra/epidemiología , Humanos , Gales/epidemiologíaRESUMEN
Early warning systems to predict infectious disease outbreaks have been identified as a key adaptive response to climate change. Warming, climate variability and extreme weather events associated with climate change are expected to drive an increase in frequency and intensity of mosquito-borne disease (MBD) outbreaks globally. In Canada, this will mean an increased risk of endemic and emerging MBD outbreaks such as West Nile virus and other MBDs. The availability of timely information on the risk of impending MBD outbreaks has important public health implications, by allowing implementation of mosquito control measures and targeted communications regarding the need for increased personal protective measures-before an outbreak occurs. In Canada, both mechanistic and statistical weather-based models have been developed to predict West Nile virus outbreaks. These include models for different species of mosquitoes that transmit West Nile virus in different geographical areas of Canada. Although initial results have been promising, further validation and assessment of forecasting skill are needed before wide scale implementation. Weather-based forecasting for other emerging MBDs in Canada, such as Eastern equine encephalitis, may also be feasible.
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In 2006, bluetongue (BT), a disease of ruminants, was introduced into northern Europe for the first time and more than two thousand farms across five countries were affected. In 2007, BT affected more than 35,000 farms in France and Germany alone. By contrast, the UK outbreak beginning in 2007 was relatively small, with only 135 farms in southeast England affected. We use a model to investigate the effects of three factors on the scale of BT outbreaks in the UK: (1) place of introduction; (2) temperature; and (3) animal movement restrictions. Our results suggest that the UK outbreak could have been much larger had the infection been introduced into the west of England either directly or as a result of the movement of infected animals from southeast England before the first case was detected. The fact that air temperatures in the UK in 2007 were marginally lower than average probably contributed to the UK outbreak being relatively small. Finally, our results indicate that BT movement restrictions are effective at controlling the spread of infection. However, foot-and-mouth disease restrictions in place before the detection and control of BT in 2007 almost certainly helped to limit BT spread prior to its detection.
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Lengua Azul/epidemiología , Enfermedades de los Bovinos/epidemiología , Brotes de Enfermedades/veterinaria , Fiebre Aftosa/epidemiología , Animales , Bovinos , Frío , Granjas/tendencias , Modelos Biológicos , Ovinos , Reino UnidoRESUMEN
Infection of plants by necrotizing pathogens can induce broad-spectrum resistance to subsequent pathogen infection. This systemic acquired resistance (SAR) is thought to be triggered by a vascular-mobile signal that moves throughout the plant from the infected leaves. A considerable amount of evidence suggests that salicylic acid (SA) is involved in the induction of SAR. Because SA is found in phloem exudate of infected cucumber and tobacco plants, it has been proposed as a candidate for the translocated signal. To determine if SA is the mobile signal, grafting experiments were performed using transgenic plants that express a bacterial SA-degrading enzyme. We show that transgenic tobacco root-stocks, although unable to accumulate SA, were fully capable of delivering a signal that renders nontransgenic scions resistant to further pathogen infection. This result indicated that the translocating, SAR-inducing signal is not SA. Reciprocal grafts demonstrated that the signal requires the presence of SA in tissues distant from the infection site to induce systemic resistance.
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The Ptolemy instrument on the Philae lander (of the Rosetta space mission) was able to make measurements of the major volatiles, water, carbon monoxide and carbon dioxide, directly at the surface of comet 67P/Churyumov-Gerasimenko. We give some background to the mission and highlight those instruments that have already given insights into the notion of water in comets, and which will continue to do so as more results are either acquired or more fully interpreted. On the basis of our results, we show how comets may in fact be heterogeneous over their surface, and how surface measurements can be used in a quest to comprehend the daily cycles of processes that affect the evolution of comets.This article is part of the themed issue 'The origin, history and role of water in the evolution of the inner Solar System'.
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SETTING: Persons infected with human immunodeficiency virus (HIV) are at risk for developing tuberculosis (TB) if latent TB infection remains untreated. OBJECTIVE: To assess missed opportunities for preventing TB by selecting a population-based sample of 1093 persons diagnosed with HIV from June 1995 to June 1997 in Seattle, WA, New Orleans, LA, and Jersey City, NJ. DESIGN: To determine the proportion of persons receiving a tuberculin skin test (TST) following HIV diagnosis, we conducted record reviews at providers and local TB control. RESULTS: An estimated 53.7% (95% CI 49.9-57.4) had a TST following HIV diagnosis; 6.6% (95% CI 4.3-8.9%) of TST-tested patients were reactive. Median time between HIV diagnosis and TST was 1 month (mean 5.7 months, 95% CI 4.8-6.5). Factors associated with TST included additional risk factors for TB (OR 1.76, 95% CI 1.17-2.63), history of HIV-related preventive treatment (OR 5.84, 95% CI 3.74-8.75), higher number of clinic visits (OR 4.16, 95% CI 2.01-8.02), and attendance at facilities with a written policy to provide TST for all persons with HIV (OR 2.54, 95% CI 1.28-4.88). CONCLUSION: About half of persons newly diagnosed with HIV infection had a TST following HIV diagnosis, with little variation by demographics, signaling a general need to improve interventions to prevent TB.
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Adhesión a Directriz , Infecciones por VIH/diagnóstico , Tuberculosis/prevención & control , Femenino , VIH , Infecciones por VIH/complicaciones , Infecciones por VIH/epidemiología , Humanos , Incidencia , Masculino , Estudios Retrospectivos , Factores de Riesgo , Prueba de Tuberculina , Tuberculosis/complicaciones , Tuberculosis/epidemiología , Estados Unidos/epidemiologíaRESUMEN
BACKGROUND: Falls are common among older adults and can lead to serious injuries, including fractures. We aimed to determine associations between anxiety disorders and falls in older adults. METHODS: Participants were 487 men and 376 women aged ≥60 years enrolled in the Geelong Osteoporosis Study, Australia. Using the Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Non-patient edition (SCID-I/NP), lifetime history of anxiety disorders was determined. Falls were determined by self-report. In men, a falls-risk score (Elderly Falls Screening Test (EFST)) was also calculated. RESULTS: Among fallers, 24 of 299 (8.0%) had a lifetime history of anxiety disorder compared to 36 of 634 (5.7%) non-fallers (p=0.014). Examination of the association between anxiety and falls suggested differential relationships for men and women. In men, following adjustment for psychotropic medications, mobility and blood pressure, lifetime anxiety disorder was associated with falling (OR 2.96; 95%CI 1.07-8.21) and with EFST score (OR 3.46; 95%CI 1.13-10.6). In women, an association between lifetime anxiety disorder and falls was explained by psychotropic medication use, poor mobility and socioeconomic status. LIMITATIONS: Sub-group analyses involving types of anxiety and anxiety disorders over the past 12-months were not performed due to power limitations. CONCLUSION: Although anxiety disorders were independently associated with a 3-fold increase in likelihood of reported falls and high falls risk among men, an independent association was not detected among women. These results may aid in prevention of falls through specific interventions aimed at reducing anxiety, particularly in men.
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Accidentes por Caídas/estadística & datos numéricos , Trastornos de Ansiedad/epidemiología , Limitación de la Movilidad , Psicotrópicos/uso terapéutico , Clase Social , Anciano , Anciano de 80 o más Años , Australia/epidemiología , Manual Diagnóstico y Estadístico de los Trastornos Mentales , Femenino , Fracturas Óseas , Humanos , Vida Independiente , Modelos Logísticos , Masculino , Persona de Mediana Edad , Análisis Multivariante , Factores de Riesgo , Autoinforme , Factores SexualesRESUMEN
Spatial activation patterns within the olfactory bulb are believed to contribute to the neural representation of odorants. In this study, we attempted to predict the perceptions of odorants from their evoked patterns of neural activity in the olfactory bulb. We first describe the glomerular activation patterns evoked by pairs of odorant enantiomers based on the uptake of [(14)C]2-deoxyglucose in the olfactory bulb glomerular layer. Using a standardized data matrix enabling the systematic comparison of these spatial odorant representations, we hypothesized that the degree of similarity among these representations would predict their perceptual similarity. The two enantiomers of carvone evoked overlapping but significantly distinct regions of glomerular activity; however, the activity patterns evoked by the enantiomers of limonene and of terpinen-4-ol were not statistically different from one another. Commensurate with these data, rats spontaneously discriminated between the enantiomers of carvone, but not between the enantiomers of limonene or terpinen-4-ol, in an olfactory habituation task designed to probe differences in olfactory perception.
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Neuronas/metabolismo , Percepción/fisiología , Olfato/fisiología , Animales , Conducta Animal/efectos de los fármacos , Monoterpenos Ciclohexánicos , Ciclohexenos , Desoxiglucosa/metabolismo , Desoxiglucosa/farmacocinética , Aprendizaje Discriminativo/fisiología , Habituación Psicofisiológica/efectos de los fármacos , Habituación Psicofisiológica/fisiología , Limoneno , Masculino , Monoterpenos , Neuronas/efectos de los fármacos , Bulbo Olfatorio/metabolismo , Percepción/efectos de los fármacos , Ratas , Ratas Wistar , Refuerzo en Psicología , Olfato/efectos de los fármacos , Estereoisomerismo , Estimulación Química , Relación Estructura-Actividad , Terpenos/química , Terpenos/farmacologíaRESUMEN
We investigated endothelin-1 (ET-1) receptor expression on normal human keratinocytes (HK). We show that HK express the ETB receptor isoform and respond to ET-1 with a 2.7-fold increase in intracellular free calcium. HK did not respond to ET-1 with increased proliferation; however, 30 nM ET-1 caused a 51.7% decrease in ET-1 accumulation in HK-conditioned medium. We propose that HK ET-1 receptors function in autocrine regulation of ET-1 secretion.