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1.
Genesis ; 62(1): e23586, 2024 02.
Artigo em Inglês | MEDLINE | ID: mdl-38593162

RESUMO

Neural activity influences every aspect of nervous system development. In olfactory systems, sensory neurons expressing the same odorant receptor project their axons to stereotypically positioned glomeruli, forming a spatial map of odorant receptors in the olfactory bulb. As individual odors activate unique combinations of glomeruli, this map forms the basis for encoding olfactory information. The establishment of this stereotypical olfactory map requires coordinated regulation of axon guidance molecules instructed by spontaneous activity. Recent studies show that sensory experiences also modify innervation patterns in the olfactory bulb, especially during a critical period of the olfactory system development. This review examines evidence in the field to suggest potential mechanisms by which various aspects of neural activity regulate axon targeting. We also discuss the precise functions served by neural plasticity during the critical period.


Assuntos
Neurônios Receptores Olfatórios , Receptores Odorantes , Animais , Neurônios Receptores Olfatórios/metabolismo , Bulbo Olfatório/fisiologia , Receptores Odorantes/genética , Receptores Odorantes/metabolismo , Axônios/metabolismo , Mamíferos
2.
BMC Public Health ; 24(1): 1329, 2024 May 16.
Artigo em Inglês | MEDLINE | ID: mdl-38755544

RESUMO

INTRODUCTION: Even though childhood diarrhea is treated with a simple treatment solution, it continues to be one of the leading causes of under-five child mortality and malnutrition globally. In resource-limited settings such as Sub-Saharan Africa (SSA), the combination of oral rehydration salts (ORS) and zinc is regarded as an effective treatment for diarrhea; however, its utilization is very low. The purpose of this study was to determine the proportion and associated factors of co-utilization of ORS and zinc among under-five children with diarrhea in SSA. METHODS: The proportion and associated factors of co-utilization of ORS and zinc among under-five children with diarrhea in SSA were determined using secondary data analysis of recent Demographic and Health Surveys (DHS) of 35 SSA countries. The study included a total of 44,341 under-five children with diarrhea in weighted samples. A generalized linear mixed-effects model with robust error variance was used. For the variables included in the final model, adjusted prevalence ratios (aPR) with 95% confidence intervals (CI) were estimated. A model with the lowest deviance value were considered as the best-fitted model. RESULT: The pooled proportion of co-utilization of ORS and zinc for the treatment of diarrhea among under five children in SSA countries was 43.58% with a 95% CI (43.15%, 44.01%). Sex of the child, maternal age, residence, maternal educational and employment status, wealth index, media exposure, perceived distance to health facility and insurance coverage were statistically significant determinants of ORS and Zinc co-utilization for treating diarrhea among under five children in SSA. CONCLUSION: Only less than half of under-five children with diarrhea in SSA were treated with a combination of ORS and zinc. Thus, strengthening information dissemination through mass media, and community-level health education programs are important to scale up the utilization of the recommended combination treatment. Furthermore, increasing health insurance coverage, and establishing strategies to address the community with difficulty in accessing health facilities is also crucial in improving the use of the treatment.


Assuntos
Diarreia , Hidratação , Zinco , Humanos , Diarreia/terapia , Diarreia/epidemiologia , Diarreia/tratamento farmacológico , Lactente , África Subsaariana , Feminino , Masculino , Zinco/uso terapêutico , Pré-Escolar , Hidratação/estatística & dados numéricos , Soluções para Reidratação/uso terapêutico , Modelos Lineares , Recém-Nascido
3.
Insect Mol Biol ; 32(2): 118-131, 2023 04.
Artigo em Inglês | MEDLINE | ID: mdl-36366787

RESUMO

Termites (Insecta, Blattodea, Termitoidae) are a widespread and diverse group of eusocial insects known for their ability to digest wood matter. Herein, we report the draft genome of the subterranean termite Reticulitermes lucifugus, an economically important species and among the most studied taxa with respect to eusocial organization and mating system. The final assembly (~813 Mb) covered up to 88% of the estimated genome size and, in agreement with the Asexual Queen Succession Mating System, it was found completely homozygous. We predicted 16,349 highly supported gene models and 42% of repetitive DNA content. Transposable elements of R. lucifugus show similar evolutionary dynamics compared to that of other termites, with two main peaks of activity localized at 25% and 8% of Kimura divergence driven by DNA, LINE and SINE elements. Gene family turnover analyses identified multiple instances of gene duplication associated with R. lucifugus diversification, with significant lineage-specific gene family expansions related to development, perception and nutrient metabolism pathways. Finally, we analysed P450 and odourant receptor gene repertoires in detail, highlighting the large diversity and dynamical evolutionary history of these proteins in the R. lucifugus genome. This newly assembled genome will provide a valuable resource for further understanding the molecular basis of termites biology as well as for pest control.


Assuntos
Baratas , Isópteros , Animais , Isópteros/genética , Madeira , Evolução Biológica , Reprodução
4.
Int J Mol Sci ; 23(19)2022 Oct 05.
Artigo em Inglês | MEDLINE | ID: mdl-36233106

RESUMO

To develop potent and safer analgesics, we designed and synthesized a novel enantiomerically enriched ethereal analog of (R)-iso-moramide, namely 2-[(2R)-2-(morpholin-4-yl)propoxy]-2,2-diphenyl-1-(pyrrolidin-1-yl)ethan-1-one. The titled active agent can potentially serve as a powerful synthetic opiate with an improved affinity and selectivity toward opioid receptors (ORs). This hypothesis was postulated based on docking studies regarding the respective complexes between the designed ligand and µ-OR, δ-OR, and κ-OR. The key step of the elaborated asymmetric synthesis of novel analog involves lipase-catalyzed kinetic resolution of racemic 1-(morpholin-4-yl)propan-2-ol, which was accomplished on a 10 g scale via an enantioselective transesterification employing vinyl acetate as an irreversible acyl donor in tert-butyl methyl ether (MTBE) as the co-solvent. Next, the obtained homochiral (S)-(+)-morpholino-alcohol (>99% ee) was functionalized into corresponding chloro-derivative using thionyl chloride (SOCl2) or the Appel reaction conditions. Further transformation with N-diphenylacetyl-1-pyrrolidine under phase-transfer catalysis (PTC) conditions using O2-saturated DMSO/NaOH mixture as an oxidant furnished the desired levorotatory isomer of the title product isolated in 26% total yield after three steps, and with 89% ee. The absolute configuration of the key-intermediate of (R)-(−)-iso-moramide was determined using a modified form of Mosher's methodology. The preparation of the optically active dextrorotatory isomer of the titled product (87% ee) was carried out essentially by the same route, utilizing (R)-(−)-1-(morpholin-4-yl)propan-2-ol (98% ee) as a key intermediate. The spectroscopic characterization of the ethereal analog of iso-moramide and the enantioselective retention relationship of its enantiomers using HPLC on the cellulose-based chiral stationary phase were performed. Moreover, as a proof-of-principle, single-crystal X-ray diffraction (XRD) analysis of the synthesized 2-[(2R)-2-(morpholin-4-yl)propoxy]-2,2-diphenyl-1-(pyrrolidin-1-yl)ethan-1-one is reported.


Assuntos
Éteres , Alcaloides Opiáceos , Analgésicos , Compostos de Bifenilo , Celulose , Dimetil Sulfóxido , Etanol , Éter , Etil-Éteres , Ligantes , Lipase/química , Morfolinos , Oxidantes , Pirrolidinas , Receptores Opioides , Hidróxido de Sódio , Solventes , Estereoisomerismo
5.
J Pak Med Assoc ; 72(12): 2395-2398, 2022 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-37246655

RESUMO

OBJECTIVE: To determine the critical gaps in knowledge and practices of mothers/caregivers in the management of diarrhoea in children at home. METHODS: The descriptive cross-sectional study was conducted from September 2019 to August 2020 at primary health centres across Swabi district of the Khyber Pakhtunkhwa province of Pakistan, and comprised mothers/caregivers presenting with children aged <5 years suffering from diarrhoea. Barriers to childhood diarrhoea prevention and control were identified in accordance with the 7-point plan adopted by the federal government in 2009. Data was analysed using SPSS 23. RESULTS: There were 287 mothers with a mean age of 26.8±5.39 years (range: 17-42 years). The mean age of the children was 24.85±12.72 months (range: 2-55 months). Among the mothers, 145 (51.5%) had received no schooling, 83(29%) had primary level schooling, 56(19.5%) secondary level and 3(1%) had received higher-level education. Only 63(22%) were aware of the use of oral rehydration salts and 32(11%) knew about the need of using zinc in diarrhoea. Safe water was available in 14(5%) households. Hand hygiene awareness was low, as 169(59%) mothers were washing hands with soap. Household access to toilet facility was 247(86%). Preventive health services were good with overall breastfeeding practices 204(71%) and children vaccination 244(85%.). CONCLUSIONS: Majority of mothers were found to be well aware of breastfeeding practices and the children had adequate vaccination coverage. There was a wide gap in direct awareness and practices of mothers about sanitation and hygiene and also home-based management of diarrhoeal diseases in children.


Assuntos
Diarreia , Nações Unidas , Criança , Feminino , Humanos , Lactente , Adulto Jovem , Adulto , Pré-Escolar , Estudos Transversais , Paquistão , Diarreia/prevenção & controle , Organização Mundial da Saúde
6.
J Membr Biol ; 254(4): 343-352, 2021 08.
Artigo em Inglês | MEDLINE | ID: mdl-34173018

RESUMO

The Up-and-Coming-Scientist section of the current issue of the Journal of Membrane Biology features the invited essay by Dr. Mercedes Alfonso-Prieto, Assistant Professor at the Forschungszentrum Jülich (FZJ), Germany, and the Heinrich-Heine University Düsseldorf, Vogt Institute for Brain Research. Dr. Alfonso-Prieto completed her doctoral degree in chemistry at the Barcelona Science Park, Spain, in 2009, pursued post-doctoral research in computational molecular sciences at Temple University, USA, and then, as a Marie Curie post-doctoral fellow at the University of Barcelona, worked on computations of enzyme reactions and modeling of photoswitchable ligands targeting neuronal receptors. In 2016, she joined the Institute for Advanced Science and the Institute for Computational Biomedicine at the FZJ, where she pursues research on modeling and simulation of chemical senses. The invited essay by Dr. Alfonso-Prieto discusses state-of-the-art modeling of molecular receptors involved in chemical sensing - the senses of taste and smell. These receptors, and computational methods to study them, are the focus of Dr. Alfonso-Prieto's research. Recently, Dr. Alfonso-Prieto and colleagues have presented a new methodology to predict ligand binding poses for GPCRs, and extensive computations that deciphered the ligand selectivity determinants of bitter taste receptors. These developments inform our current understanding of how taste occurs at the molecular level.


Assuntos
Receptores Odorantes , Humanos , Ligantes , Receptores Acoplados a Proteínas G/metabolismo , Receptores Odorantes/metabolismo , Paladar/fisiologia , Língua/metabolismo
7.
Exp Dermatol ; 30(4): 457-471, 2021 04.
Artigo em Inglês | MEDLINE | ID: mdl-33319418

RESUMO

Multipotent bulge stem cells (SCs) fuel the hair follicle (HF) cyclic growth during adult skin homeostasis, but their intrinsic molecular heterogeneity is not well understood. These hair follicle stem cells (HFSCs) engage in bouts of self-renewal, migration and differentiation during the hair cycle. Here, we perform high-resolution single-cell RNA sequencing (scRNA-seq) of HFSCs sorted as CD34+ /K14-H2BGFP+ from mouse skin at mid-anagen, the self-renewal stage. We dissect the transcriptomic profiles and unravel population-specific transcriptional heterogeneity. Unsupervised clustering reveals five major HFSC populations, which distinguished by known markers associated with both the bulge and the outer root sheath (ORS) underneath. These populations include quiescent bulge, ORS cellular states and proliferative cells. Lineage trajectory analysis predicted the prospective differentiation path of these cellular states and their corresponding self-renewing subpopulations. The bulge population itself can be further sub-divided into distinct subpopulations that can be mapped to the upper, mid and lower bulge regions, and present a decreasing quiescence score. Gene set enrichment analysis (GSEA) revealed new markers and suggested potentially distinct functions of the ORS and bulge subpopulations. This included communications between the upper bulge subpopulation and sensory nerves and between the upper ORS and skin vasculature, as well as enrichment of a bulge subset in cell migratory functions. The lower ORS enriched genes may potentially enable nutrients passing from the surrounding fat and vasculature cells towards the proliferating hair matrix cells. Thus, we provide a comprehensive account of HFSC molecular heterogeneity during their self-renewing stage, which enables future HF functional studies.


Assuntos
Folículo Piloso/citologia , Fenômenos Fisiológicos da Pele , Pele/citologia , Células-Tronco/fisiologia , Animais , Antígenos CD34 , Masculino , Camundongos , Transcriptoma
8.
Int J Equity Health ; 20(1): 88, 2021 03 31.
Artigo em Inglês | MEDLINE | ID: mdl-33789694

RESUMO

BACKGROUND: Nearly 90,000 under-five children die from diarrhoea annually in Nigeria. Over 90% of the deaths can be prevented with oral rehydration salt (ORS) and zinc treatment but coverage nationally was less than 34% for ORS and 3% for zinc with wide inequities. A program was implemented in eight states to address critical barriers to the optimal functioning of the health care market to deliver these treatments. In this study, we examine changes in the inequities of coverage of ORS and zinc over the intervention period. METHODS: Baseline and endline household surveys were used to measure ORS and zinc coverage and household assets. Principal component analysis was used to construct wealth quintiles. We used multi-level logistic regression models to estimate predictive coverage of ORS and zinc by wealth and urbanicity at each survey period. Simple measures of disparity and concentration indices and curves were used to evaluate changes in ORS and zinc coverage inequities. RESULTS: At baseline, 28% (95% CI: 22-35%) of children with diarrhoea from the poorest wealth quintile received ORS compared to 50% (95% CI: 52-58%) from the richest. This inequality reduced at endline as ORS coverage increased by 21%-points (P <  0.001) for the poorest and 17%-points (P <  0.001) for the richest. Zinc coverage increased significantly for both quintiles at endline from an equally low baseline coverage level. Consistent with the findings of the pairwise comparison of the poorest and the richest, the summary measure of disparity across all wealth quintiles showed a narrowing of inequities from baseline to endline. Concentration curves shifted towards equality for both treatments, concentration indices declined from 0.1012 to 0.0480 for ORS and from 0.2640 to 0.0567 for zinc. Disparities in ORS and zinc coverage between rural and urban at both time points was insignificant except that the use of zinc in the rural at endline was significantly higher at 38% (95%CI: 35-41%) compared to 29% (95%CI, 25-33%) in the urban. CONCLUSION: The results show a pro-rural improvement in coverage and a reduction in coverage inequities across wealth quintiles from baseline to endline. This gives an indication that initiatives focused on shaping healthcare market systems may be effective in reducing health coverage gaps without detracting from equity as a health policy objective.


Assuntos
Diarreia/terapia , Setor de Assistência à Saúde , Disparidades nos Níveis de Saúde , Disparidades em Assistência à Saúde , Zinco/uso terapêutico , Criança , Saúde da Criança , Feminino , Hidratação , Humanos , Masculino , Nigéria , Pobreza , Classe Social , Fatores Socioeconômicos , Inquéritos e Questionários , Resultado do Tratamento , Zinco/administração & dosagem
9.
BMC Public Health ; 21(1): 1431, 2021 07 20.
Artigo em Inglês | MEDLINE | ID: mdl-34284738

RESUMO

BACKGROUND: In South Africa, there are limited data on the burden of diarrhoea at a community level, specifically in older children and adults. This community survey estimated rates of and factors associated with diarrhoea across all ages and determined the proportion of cases presenting to healthcare facilities. METHODS: Households were enrolled from an existing urban health and demographic surveillance site. A household representative was interviewed to determine associated factors and occurrence of diarrhoea in the household, for all household members, in the past 2 weeks (including symptoms and health seeking behaviour). Diarrhoeal rate of any severity was calculated for < 5 years, 5-15 years and > 15 years age groups. Factors associated with diarrhoea and health seeking behaviour were investigated using binomial logistic regression. RESULTS: Diarrhoeal rate among respondents (2.5 episodes/person-year (95% CI, 1.8-3.5)) was significantly higher than for other household members (1.0 episodes/person-year (95% CI, 0.8-1.4); IRR = 2.4 (95% CI, 1.5-3.7) p < 0.001). Diarrhoeal rates were similar between age groups, however younger children (< 5 years) were more likely to present to healthcare facilities than adults (OR = 5.9 (95% CI, 1.1-31.4), p = 0.039). Oral rehydration solution was used in 44.8% of cases. Having a child between 5 and 15 years in the household was associated with diarrhoea (OR = 2.3 (95% CI, 1.3-3.9), p = 0.003) and, while 26.4% of cases sought healthcare, only 4.6% were hospitalised and only 3.4% of cases had a stool specimen collected. While the majority of cases were mild, 13.8% of cases felt they required healthcare but were unable to access it. CONCLUSION: Diarrhoeal rate was high across all age groups in this community; however, older children and adults were less likely to present to healthcare, and are therefore underrepresented through facility-based clinical surveillance. Current diarrhoeal surveillance represents a fraction of the overall cases occurring in the community.


Assuntos
Diarreia , Comportamentos Relacionados com a Saúde , Adolescente , Adulto , Criança , Pré-Escolar , Estudos Transversais , Diarreia/epidemiologia , Humanos , Lactente , África do Sul/epidemiologia , Inquéritos e Questionários
10.
J Pak Med Assoc ; 71(3): 921-924, 2021 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-34057949

RESUMO

OBJECTIVE: To assess mothers' knowledge about the quantity of oral rehydration salt and zinc in the management of diarrhoea. METHODS: The cross-sectional study was conducted from May to August 2019 at The Children's Hospital, Lahore, Pakistan, and comprised mothers accompanying children aged <5 years admitted with diarrhoea complaints. Data was collected regarding demographics and mothers' awareness of signs of dehydration in diarrhoea, familiarity with the term oral rehydration salt, its correct preparation and administration and zinc supplementation. Data was analysed using SPSS 20. RESULTS: Of the 334 mothers interviewed, 154(46%) were able to identify the signs of dehydration. Maternal awareness regarding use of oral rehydration salt and zinc in diarrhoea were significantly associated with maternal education and socioeconomic status (p<0.05). CONCLUSIONS: There is a need to generate awareness among mothers about the use of oral rehydration salt and zinc in diarrhoea.


Assuntos
Mães , Zinco , Criança , Feminino , Humanos , Estudos Transversais , Diarreia/epidemiologia , Diarreia/terapia , Eletrólitos , Paquistão , Centros de Atenção Terciária , Zinco/uso terapêutico
11.
Funct Integr Genomics ; 20(5): 657-668, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32483723

RESUMO

AZC_2928 gene (GenBank accession no. BAF88926.1) of Azorhizobium caulinodans ORS571 has sequence homology to 2,3-aminomutases. However, its function is unknown. In this study, we are for the first time to knock out the gene completely in A. caulinodans ORS571 using the current advanced genome editing tool, CRISPR/Cas9. Our results show that the editing efficiency is 34% and AZC_2928 plays an extremely important role in regulating the formation of chemotaxis and biofilm. CRISPR/Cas9 knockout of AZC_2928 (△AZC_2928) significantly enhanced chemotaxis and biofilm formation. Both chemotaxis and biofilm formation play an important role in nitrogen-fixing bacteria and their interaction with their host plants. Interestingly, AZC_2928 did not affect the motility of A. caulinodans ORS571 and the nodulation formation in their natural host plant, Sesbania rostrata. Due to rhizobia needing to form bacteroids for symbiotic nitrogen fixation in mature nodules, AZC_2928 might have a direct influence on nitrogen fixation efficiency rather than the number of nodulations.


Assuntos
Azorhizobium caulinodans/genética , Proteínas de Bactérias/fisiologia , Sistemas CRISPR-Cas , Edição de Genes , Azorhizobium caulinodans/crescimento & desenvolvimento , Azorhizobium caulinodans/fisiologia , Proteínas de Bactérias/química , Proteínas de Bactérias/genética , Biofilmes , Quimiotaxia , Técnicas de Inativação de Genes , Genes Bacterianos , Fixação de Nitrogênio , Nodulação , Análise de Sequência de Proteína , Sesbania/microbiologia , Sesbania/fisiologia
12.
Dig Dis Sci ; 65(2): 355-360, 2020 02.
Artigo em Inglês | MEDLINE | ID: mdl-31797188

RESUMO

Termed by the Lancet, as "potentially the most important medical advance of the twentieth century," therapy with oral rehydration solutions (ORSs) has been essential to reducing mortality in children less than 5 years (under five) with infectious gastroenteritis and diarrhea. The target of the diarrhea-control programs in the 1990s was to achieve ORS use in 80% of diarrhea cases by the year 2000. Nevertheless, nearly 20 years later, global uptake remains limited to only a third of the cases. Our analysis shows that from 1990 to 2017, mean ORS coverage in Countdown countries [the 81 Countdown-to-2030 priority countries, which together account for 95% of maternal deaths and 90% of under-five deaths] increased from ~ 30% to nearly 40%. Flawed government policies, inadequate supplies, and lack of awareness among health workers and communities all contributed to this shortfall in coverage. Moreover, imperfect measurement methodology is implicated in questionable coverage data. A multipronged approach focusing on the manufacture, supply, training, and behavioral change is essential to ensure that ORS is used in all epidemic diarrhea cases globally, especially in the under-five population.


Assuntos
Disenteria/terapia , Hidratação , Gastroenterite/terapia , Fidelidade a Diretrizes , Acessibilidade aos Serviços de Saúde , Soluções para Reidratação/uso terapêutico , Criança , Saúde da Criança , Pré-Escolar , Conhecimentos, Atitudes e Prática em Saúde , Promoção da Saúde , Humanos , Lactente , Oligoelementos/uso terapêutico , Organização Mundial da Saúde , Zinco/uso terapêutico
13.
Appl Microbiol Biotechnol ; 104(6): 2715-2729, 2020 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-32002604

RESUMO

Establishment of the rhizobia-legume symbiosis is usually accompanied by hydrogen peroxide (H2O2) production by the legume host at the site of infection, a process detrimental to rhizobia. In Azorhizobium caulinodans ORS571, deletion of chp1, a gene encoding c-di-GMP phosphodiesterase, led to increased resistance against H2O2 and to elevated nodulation efficiency on its legume host Sesbania rostrata. Three domains were identified in the Chp1: a PAS domain, a degenerate GGDEF domain, and an EAL domain. An in vitro enzymatic activity assay showed that the degenerate GGDEF domain of Chp1 did not have diguanylate cyclase activity. The phosphodiesterase activity of Chp1 was attributed to its EAL domain which could hydrolyse c-di-GMP into pGpG. The PAS domain functioned as a regulatory domain by sensing oxygen. Deletion of Chp1 resulted in increased intracellular c-di-GMP level, decreased motility, increased aggregation, and increased EPS (extracellular polysaccharide) production. H2O2-sensitivity assay showed that increased EPS production could provide ORS571 with resistance against H2O2. Thus, the elevated nodulation efficiency of the ∆chp1 mutant could be correlated with a protective role of EPS in the nodulation process. These data suggest that c-di-GMP may modulate the A. caulinodans-S. rostrata nodulation process by regulating the production of EPS which could protect rhizobia against H2O2.


Assuntos
3',5'-GMP Cíclico Fosfodiesterases/metabolismo , Azorhizobium caulinodans/enzimologia , Proteínas de Bactérias/metabolismo , Nodulação , Polissacarídeos Bacterianos/biossíntese , Simbiose , 3',5'-GMP Cíclico Fosfodiesterases/genética , Azorhizobium caulinodans/efeitos dos fármacos , Proteínas de Bactérias/genética , Deleção de Genes , Interações entre Hospedeiro e Microrganismos , Peróxido de Hidrogênio/farmacologia , Movimento , Sesbania/microbiologia
14.
Eur J Clin Microbiol Infect Dis ; 37(10): 1923-1929, 2018 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-30097753

RESUMO

The study aims to find the factors hindering the implementation of surgical site infection control guidelines in the operating rooms of low-income countries. The design of the study is a mixed-method sequential explanatory study. The setting is Shifa International Hospital and Pakistan Institute of Medical Sciences, Islamabad, Pakistan. Participants are health care workers. A questionnaire and structured key informant interviews probed the perspectives and perceptions of different stakeholders regarding the factors which hinder the implementation of surgical site infection control guidelines. Two-hundred fifty-two health care workers took part in the survey. The response rate was 90%. The majority of the participants was based in private teaching hospitals (63.9%) and 36.1% in the public sector teaching hospitals. The factors of surveillance, knowledge, education, and culture had low scores. Qualitative data analysis revealed the hindering factors in the implementation of surgical site infection control guidelines in the operating rooms of low-income country. The important one are lack of a surveillance system, education, and culture of infection control. This study identified hindering factors regarding implementation of surgical site infection control guidelines in the operating rooms at the institutional and individual level involved in patient care. The identification of these hindering factors may help politicians, policy makers, and institutions to identify the strategies for overcoming these hindering factors. Education is the key factor for success. By offering training to health care workers, we significantly contribute to decrease the incidence of SSIs in the low-income country.


Assuntos
Fidelidade a Diretrizes , Controle de Infecções/organização & administração , Salas Cirúrgicas , Infecção da Ferida Cirúrgica/prevenção & controle , Países em Desenvolvimento , Feminino , Pessoal de Saúde , Hospitais de Ensino , Humanos , Controle de Infecções/métodos , Masculino , Paquistão , Guias de Prática Clínica como Assunto , Inquéritos e Questionários
15.
BMC Vet Res ; 14(1): 333, 2018 Nov 07.
Artigo em Inglês | MEDLINE | ID: mdl-30404648

RESUMO

BACKGROUND: Surgical treatment of ovarian remnant syndrome (ORS) in dogs usually necessitates large celiotomies and considerable manipulation of organs because of the relatively deep position of ovarian remnant tissue, large patient size, and often encountered adhesions. In women, laparoscopic treatment of ORS is successful and has significant advantages over laparotomy. Since laparoscopic ovariectomy has significant advantages over open ovariectomy in dogs, including reduced surgical stress and postoperative pain and shorter convalescence period, the rationale for a laparoscopic approach of canine ORS is evident. Feasibility and efficacy of a laparoscopic approach for treatment of ORS in dogs was prospectively evaluated using a standardized protocol for diagnosis, treatment, and follow-up. Treatment success was evaluated by histology of removed tissues, postoperative hormone testing, and long-term clinical follow-up. RESULTS: Thirty-two client-owned predominantly medium and large breed dogs diagnosed with ORS underwent abdominal ultrasound for ovarian remnant localization prior to laparoscopic surgery for removal of ovarian remnants. Tissue dissection and excision was performed using a vessel sealing forceps. Laparoscopy subjectively enabled detailed visibility and facilitated detection and removal of suspected ovarian tissue in all cases. Histology confirmed ovarian origin of removed tissue in all dogs. Additionally, a GnRH stimulation test was performed in fourteen dogs after a median follow-up of 10.5 months, which verified absence of residual functional ovarian remnant tissue in all dogs. Median surgery duration was 97.5 min and mean total convalescence duration, subjectively scored by owners, was 1.5 ± 0.7 days. No major complications occurred. Adhesions were observed in 79% of the dogs, complicated the surgical approach, and significantly affected surgery duration (85 versus 109 min; p = 0.03). Minor hemorrhage occurred in 12% and significantly increased surgery duration (95.5 versus 128 min; p = 0.02). Trendelenburg position and lateral tilting of the patient were essential for proper access to ovarian remnants. GnRH stimulation test results and/or absence of clinical signs indicative of ORS after a median follow-up period of 22.5 months confirmed treatment efficacy in all dogs. CONCLUSION: Laparoscopic surgery for ORS in dogs is effective with minimal complications and short convalescence and can successfully replace the conventional, more invasive open surgical procedure.


Assuntos
Doenças do Cão/cirurgia , Laparoscopia/veterinária , Doenças Ovarianas/veterinária , Ovariectomia/veterinária , Animais , Cães/cirurgia , Feminino , Laparoscopia/métodos , Doenças Ovarianas/diagnóstico por imagem , Doenças Ovarianas/cirurgia , Ovariectomia/efeitos adversos , Ovariectomia/métodos , Ovário/diagnóstico por imagem , Ovário/cirurgia , Ultrassonografia/veterinária
16.
BMC Public Health ; 18(1): 103, 2018 01 05.
Artigo em Inglês | MEDLINE | ID: mdl-29304779

RESUMO

BACKGROUND: Many interventions have attempted to increase vulnerable and remote populations' access to ORS and zinc to reduce child mortality from diarrhoea. However, the impact of these interventions is difficult to measure. From 2010 to 15, Micronutrient Initiative (MI), worked with the public sector in Bihar, India to enable community health workers to treat and report uncomplicated child diarrhoea with ORS and zinc. We describe how we estimated programme's impact on child mortality with Lives Saved Tool (LiST) modelling and data from MI's management information system (MIS). This study demonstrates that using LiST modelling and MIS data are viable options for evaluating programmes to reduce child mortality. METHODS: We used MI's programme monitoring data to estimate coverage rates and LiST modelling software to estimate programme impact on child mortality. Four scenarios estimated the effects of different rates of programme scale-up and programme coverage on estimated child mortality by measuring children's lives saved. RESULTS: The programme saved an estimated 806-975 children under-5 who had diarrhoea during five-year project phase. Increasing ORS and zinc coverage rates to 19.8% & 18.3% respectively under public sector coverage with effective treatment would have increased the programme's impact on child mortality and could have achieved the project goal of saving 4200 children's lives during the five-year programme. CONCLUSIONS: Programme monitoring data can be used with LiST modelling software to estimate coverage rates and programme impact on child mortality. This modelling approach may cost less and yield estimates sooner than directly measuring programme impact with population-based surveys. However, users must be cautious about relying on modelled estimates of impact and ensure that the programme monitoring data used is complete and precise about the programme aspects that are modelled. Otherwise, LiST may mis-estimate impact on child mortality. Further, LiST software may require modifications to its built-in assumptions to capture programmatic inputs. LiST assumes that mortality rates and cause of death structure change only in response to changes in programme coverage. In Bihar, overall child mortality has decreased and diarrhoea seems to be less lethal than previously, but at present LiST does not adjust its estimates for these sorts of changes.


Assuntos
Mortalidade da Criança/tendências , Diarreia/prevenção & controle , Soluções para Reidratação/uso terapêutico , Sais/uso terapêutico , Zinco/uso terapêutico , Administração Oral , Pré-Escolar , Diarreia/mortalidade , Humanos , Índia/epidemiologia , Lactente , Modelos Teóricos , Avaliação de Programas e Projetos de Saúde , Setor Público
17.
Sensors (Basel) ; 18(5)2018 May 12.
Artigo em Inglês | MEDLINE | ID: mdl-29757243

RESUMO

To achieve launch-on-demand for Operationally Responsive Space (ORS) missions, in this article, an intra-satellite wireless network (ISWN) is presented. It provides a wireless and modularized scheme for intra-spacecraft sensing and data buses. By removing the wired data bus, the commercial off-the-shelf (COTS) based wireless modular architecture will reduce both the volume and weight of the satellite platform, thus achieving rapid design and cost savings in development and launching. Based on the on-orbit data demand analysis, a hybrid time division multiple access/carrier sense multiple access (TDMA/CSMA) protocol is proposed. It includes an improved clear channel assessment (CCA) mechanism and a traffic adaptive slot allocation method. To analyze the access process, a Markov model is constructed. Then a detailed calculation is given in which the unsaturated cases are considered. Through simulations, the proposed protocol is proved to commendably satisfy the demands and performs better than existing schemes. It helps to build a full-wireless satellite instead of the current wired ones, and will contribute to provide dynamic space capabilities for ORS missions.

18.
Psychol Health Med ; 23(2): 141-153, 2018 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-28625072

RESUMO

Thousands of Nepalese women were widowed as a consequence of a decade (1996-2006) long civil war in Nepal. These women are at grave risk of mental health problems due to both traumatic experiences and violation of natural order of widowhood. The present study explores the depression and anxiety among war-widows. In 2012, a cross-sectional study was designed to interview 358 war-widows using validitated Beck Depression Inventory and Beck Anxiety Inventory in four districts of Nepal - Bardiya, Surkhet, Sindhupalchowk and Kavrepalanchowk with history of high conflict intensity. The prevalence of depression and anxiety was 53% and 63% respectively. Financial stress was significantly associated with depression (2.67, 95% CI: 1.40-5.07) and anxiety (2.37, 95% CI: 1.19-4.72). High autonomy of women as compared to low autonomy, high social support as compared to low social support and literacy as opposed to illiteracy was associated with less likelihood of depression and anxiety. Our results suggest high magnitude of depression and anxiety among war-widows in Nepal. Future policy efforts should be directed at providing mental health services to identify mental health issues among conflict affected individuals with focus on education, employment and activities to promote social support and autonomy at community.


Assuntos
Ansiedade/psicologia , Depressão/psicologia , Apoio Social , Guerra , Viuvez/psicologia , Adulto , Ansiedade/epidemiologia , Estudos Transversais , Depressão/epidemiologia , Feminino , Humanos , Pessoa de Meia-Idade , Nepal/epidemiologia
19.
Funct Integr Genomics ; 17(2-3): 311-319, 2017 May.
Artigo em Inglês | MEDLINE | ID: mdl-27858182

RESUMO

Azorhizobium caulinodans ORS571, a novel rhizobium, forms endosymbionts with its nature host Sesbania rostrata, a semi-aquatic leguminous tree. Recent studies showed that A. caulinodans ORS571, as endophytic rhizobium, disseminated and colonized inside of cereal plants. However, how this rhizobium infects monocot plants and the regulatory mechanism remains unknown. MicroRNAs (miRNAs) are small, endogenous RNAs that regulate gene expression at the post-transcriptional levels. In this study, we employed laser scanning confocal microscope to monitor the pathway that rhizobium invade wheat; we also investigated the potential role of miRNAs during A. caulinodans ORS571 infecting wheat. Our results showed that gfp-labeled A. caulinodans ORS571 infected wheat root hairs and emerged lateral roots, then disseminated and colonized within roots and migrated to other plant tissues, such as stems and leaves. Endophytic rhizobium induced the aberrant expression of miRNAs in wheat with a tissue- and time-dependent manner with a peak at 12-24 h after rhizobium infection. Some miRNAs, such as miR167 and miR393 responded more in roots than that in shoots. In contrast, miR171 responded higher in shoots than that in roots. These results suggested that miRNAs could be responsive to A. caulinodans ORS571 infection and played important role in plant growth, nutrient metabolisms, and wheat-rhizobium interactions.


Assuntos
Azorhizobium caulinodans/fisiologia , MicroRNAs/fisiologia , Triticum/fisiologia
20.
J Pak Med Assoc ; 67(2): 156-165, 2017 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-28138163

RESUMO

OBJECTIVE: To compare the effectiveness of zinc supplementation in tablet form with that of the suspension form in the treatment of acute diarrhoea. METHODS: A comparative study was carried out at the Liaquat University Hospital, Hyderabad, Pakistan from October 2008 to April 2009, and comprised children aged6-24 months suffering from acute diarrhoea. The patients were divided into two groups on the basis of even and odd numbers. Group A (even numbers) received dispersible zinc tablets, and group B (odd numbers) received zinc suspension. The patients were admitted for 3 days and improvement was checked at the end of 3rd day in terms of decrease in the frequency of stools/day. SPSS 15 was used for data analysis. RESULTS: The 88 patients were divided into two groups of 44(50%) each. Overall, 49(55.7%) patients were male and 39(44.3%) were female. At the end of the 3rd day 51(58%) patients improved, while 37(42%) did not. In the zinc tablet group, improvement was in 32(72%) patients compared to 19(43%) in the zinc suspension group (p<0.05).diarrhoea. CONCLUSIONS: The results of tablets preparation were clinically significant in reducing the duration and severity of diarrhoea.


Assuntos
Antidiarreicos/administração & dosagem , Antidiarreicos/uso terapêutico , Diarreia/tratamento farmacológico , Zinco/administração & dosagem , Zinco/uso terapêutico , Pré-Escolar , Suplementos Nutricionais , Feminino , Humanos , Lactente , Masculino , Suspensões , Comprimidos , Resultado do Tratamento
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