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1.
Nature ; 628(8009): 788-794, 2024 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-38538788

RESUMEN

Biodiversity faces unprecedented threats from rapid global change1. Signals of biodiversity change come from time-series abundance datasets for thousands of species over large geographic and temporal scales. Analyses of these biodiversity datasets have pointed to varied trends in abundance, including increases and decreases. However, these analyses have not fully accounted for spatial, temporal and phylogenetic structures in the data. Here, using a new statistical framework, we show across ten high-profile biodiversity datasets2-11 that increases and decreases under existing approaches vanish once spatial, temporal and phylogenetic structures are accounted for. This is a consequence of existing approaches severely underestimating trend uncertainty and sometimes misestimating the trend direction. Under our revised average abundance trends that appropriately recognize uncertainty, we failed to observe a single increasing or decreasing trend at 95% credible intervals in our ten datasets. This emphasizes how little is known about biodiversity change across vast spatial and taxonomic scales. Despite this uncertainty at vast scales, we reveal improved local-scale prediction accuracy by accounting for spatial, temporal and phylogenetic structures. Improved prediction offers hope of estimating biodiversity change at policy-relevant scales, guiding adaptive conservation responses.


Asunto(s)
Biodiversidad , Incertidumbre , Animales , Conservación de los Recursos Naturales/métodos , Conservación de los Recursos Naturales/tendencias , Conjuntos de Datos como Asunto , Filogenia , Análisis Espacio-Temporal , Factores de Tiempo
2.
J Neurosci ; 44(2)2024 Jan 10.
Artículo en Inglés | MEDLINE | ID: mdl-37968116

RESUMEN

Reversal learning measures the ability to form flexible associations between choice outcomes with stimuli and actions that precede them. This type of learning is thought to rely on several cortical and subcortical areas, including the highly interconnected orbitofrontal cortex (OFC) and basolateral amygdala (BLA), and is often impaired in various neuropsychiatric and substance use disorders. However, the unique contributions of these regions to stimulus- and action-based reversal learning have not been systematically compared using a chemogenetic approach particularly before and after the first reversal that introduces new uncertainty. Here, we examined the roles of ventrolateral OFC (vlOFC) and BLA during reversal learning. Male and female rats were prepared with inhibitory designer receptors exclusively activated by designer drugs targeting projection neurons in these regions and tested on a series of deterministic and probabilistic reversals during which they learned about stimulus identity or side (left or right) associated with different reward probabilities. Using a counterbalanced within-subject design, we inhibited these regions prior to reversal sessions. We assessed initial and pre-/post-reversal changes in performance to measure learning and adjustments to reversals, respectively. We found that inhibition of the ventrolateral orbitofrontal cortex (vlOFC), but not BLA, eliminated adjustments to stimulus-based reversals. Inhibition of BLA, but not vlOFC, selectively impaired action-based probabilistic reversal learning, leaving deterministic reversal learning intact. vlOFC exhibited a sex-dependent role in early adjustment to action-based reversals, but not in overall learning. These results reveal dissociable roles for BLA and vlOFC in flexible learning and highlight a more crucial role for BLA in learning meaningful changes in the reward environment.


Asunto(s)
Complejo Nuclear Basolateral , Ratas , Masculino , Femenino , Animales , Incertidumbre , Complejo Nuclear Basolateral/fisiología , Ratas Long-Evans , Corteza Prefrontal/fisiología , Aprendizaje Inverso/fisiología
3.
Antimicrob Agents Chemother ; 68(3): e0127923, 2024 Mar 06.
Artículo en Inglés | MEDLINE | ID: mdl-38299818

RESUMEN

Invasive primary Candida surgical site infections (IP-SSIs) are a common complication of liver transplantation, and targeted antifungal prophylaxis is an efficient strategy to limit their occurrence. We performed a retrospective single-center cohort study among adult single liver transplant recipients at Duke University Hospital in the period between 1 January 2015 and 31 December 2020. The study aimed to determine the rate of Candida IP-SSI according to the peri-transplant antifungal prophylaxis received. Of 470 adult single liver transplant recipients, 53 (11.3%) received micafungin prophylaxis, 100 (21.3%) received fluconazole prophylaxis, and 317 (67.4%) did not receive systemic antifungal prophylaxis in the peri-transplant period. Ten Candida IP-SSIs occurred among 5 of 53 (9.4%) micafungin recipients, 1 of 100 (1.0%) fluconazole recipients, and 4 of 317 (1.3%) recipients who did not receive antifungal prophylaxis. Our study highlights the limitations of antifungal prophylaxis in preventing invasive Candida IP-SSI after liver transplant surgery. We hypothesize that pathogen, host, and pharmacokinetic-related factors contributed to the occurrence of Candida IP-SSI despite antifungal prophylaxis. Our study reinforces the need for a risk-based, multi-pronged approach to fungal prevention, including targeted antifungal administration in patients with risks for invasive candidiasis and close monitoring, especially among patients with surgically complex procedures, with timely control of surgical leaks.


Asunto(s)
Candidiasis Invasiva , Candidiasis , Trasplante de Hígado , Adulto , Humanos , Antifúngicos/uso terapéutico , Fluconazol/uso terapéutico , Trasplante de Hígado/efectos adversos , Micafungina/uso terapéutico , Estudios Retrospectivos , Estudios de Cohortes , Infección de la Herida Quirúrgica/prevención & control , Infección de la Herida Quirúrgica/tratamiento farmacológico , Candidiasis Invasiva/tratamiento farmacológico , Candidiasis Invasiva/prevención & control , Candida
4.
Conserv Biol ; : e14373, 2024 Sep 10.
Artículo en Inglés | MEDLINE | ID: mdl-39252543

RESUMEN

The effectiveness of strategic psychology-based marketing techniques for increasing public support for conservation is poorly understood. We assessed how such techniques affect support for tropical rainforest restoration with a controlled online experiment with 1166 nationally representative residents of the United Kingdom. We tested whether support increased when adding ecosystem service (ES) framings to typical nongovernmental organizations' (NGOs) biodiversity-focused messages that emphasize benefits to UK residents or people living near the tropical restoration site and a dynamic social norm nudge that emphasized increasing popularity of environmental restoration. We considered how respondents' psychological traits (nature connection, self-efficacy, psychological benefits of supporting charities, awareness of environmental degradation in the Global South, and climate change skepticism) influenced responses. Outcomes included respondents' reported advertisement sufficiency, sympathetic attitudes, behavioral support, and financial support. The study population typically found advertisements sufficient and exhibited sympathetic attitudes and financial, but not behavioral, support. Younger people exhibited greater conservation support than older respondents. Messages framed solely on biodiversity conservation were as effective as those highlighting additional ES benefits received by UK residents and people near the tropical restoration site. This suggests that framing around ESs, rather than nature's intrinsic value, may not strengthen public support for conservation. The dynamic social norm nudge had perverse effects. It reduced perceived social norms and most outcome variables. Alternative dynamic norm nudges warrant testing, but our results support research suggesting dynamic norm nudges can be ineffective when associated with activism, challenging their use by conservation NGOs. Psychological benefits of supporting charities and perceived self-efficacy increased support for advertisements, highlighting the benefits of including impact statements relating respondents' support to specific outcomes. Climate change skepticism decreased support, whereas nature connection and perceived static social norms increased it, highlighting the need to increase nature connection and pro-environmental social norms to elevate public support for conservation.


Impactos del encuadre de los mensajes sobre servicios ambientales y las normas sociales dinámicas sobre el apoyo público hacia la restauración de bosques tropicales Resumen Sabemos poco sobre la eficiencia de las técnicas de mercadotecnia basadas en la psicología estratégica para aumentar el apoyo público a la conservación. Evaluamos cómo afectan dichas técnicas al apoyo a la restauración de la selva tropical mediante un experimento controlado en línea con 1,166 residentes del Reino Unido representativos a nivel nacional. Comprobamos si el apoyo aumentaba al añadir marcos de servicios ambientales a los mensajes típicos de las organizaciones no gubernamentales (ONG) centrados en la biodiversidad, que hacen hincapié en los beneficios para los residentes del Reino Unido o las personas que viven cerca del lugar de restauración tropical y un empuje dinámico de normas sociales que hacía hincapié en la creciente popularidad de la restauración ecológica. Analizamos la influencia de los rasgos psicológicos de los encuestados (conexión con la naturaleza, autoeficacia, beneficios psicológicos de apoyar a organizaciones benéficas, experiencia de degradación ambiental en el Sur Global y escepticismo ante el cambio climático) sobre las respuestas. Los resultados fueron la suficiencia de los anuncios, las actitudes de simpatía, el apoyo conductual y el apoyo económico. En general, la población del estudio consideró que los anuncios eran suficientes y mostró actitudes de simpatía y apoyo económico, pero no conductuales. La población más joven mostró un mayor apoyo a la conservación que los encuestados de más edad. Los mensajes centrados únicamente en la conservación de la biodiversidad fueron tan eficaces como los que destacaban los beneficios adicionales de los servicios ambientales recibidos por los residentes del Reino Unido y las personas cercanas al lugar de restauración tropical. Esto sugiere que el encuadre en torno a los servicios ambientales, en lugar del valor intrínseco de la naturaleza, puede no reforzar el apoyo público a la conservación. El empuje dinámico de la norma social tuvo efectos perversos ya que redujo las normas sociales percibidas y la mayoría de las variables de resultado. Es necesario probar otros incentivos dinámicos, pero nuestros resultados corroboran las investigaciones que sugieren que los incentivos dinámicos pueden ser ineficaces cuando se asocian con el activismo, lo que cuestiona su uso por parte de las ONG de la conservación. Los beneficios psicológicos por apoyar a organizaciones benéficas y la autoeficacia percibida aumentaron el apoyo a los anuncios, lo que resalta las ventajas de incluir declaraciones de impacto que relacionen el apoyo de los encuestados con resultados específicos. El escepticismo ante el cambio climático redujo el apoyo, mientras que la conexión con la naturaleza y las normas sociales estáticas percibidas lo aumentaron, lo que destaca la necesidad de aumentar la conexión con la naturaleza y las normas sociales proambientales para elevar el apoyo público a la conservación.

5.
Artículo en Inglés | MEDLINE | ID: mdl-38511615

RESUMEN

Cellulose was isolated from recycled pulp and paper sludge and used to synthesize cellulose nanocrystals. Response surface methodology and Box-Behnken design model were used to predict, improve, and optimize the cellulose isolation process. The optimal conditions were a reaction temperature of 87.5 °C, 180 min with 4% sodium hydroxide. SEM and TEM results revealed that the isolated cellulose had long rod-like structures of different dimensions than CNCs with short rod-like structures. The crystallinity index from XRD significantly increased from 41.33%, 63.7%, and 75.6% for Kimberly mill pulp sludge (KMRPPS), chemically purified cellulose and cellulose nanocrystals, respectively. The TGA/DTG analysis showed that the isolated cellulosic materials possessed higher thermal stability. FTIR analysis suggested that the chemical structures of cellulose and CNCs were modified by chemical treatment. The cellulose surface was highly hydrophilic compared to the CNCs based on the high water holding capacity of 65.31 ± 0.98% and 83.14 ± 1.22%, respectively. The synthesized cellulosic materials portrayed excellent properties for high-end industrial applications like biomedical engineering, advanced materials, nanotechnology, sustainable packaging, personal care products, environmental remediation, additive manufacturing, etc.


Asunto(s)
Nanopartículas , Aguas del Alcantarillado , Celulosa/química , Temperatura , Agua/química , Nanotecnología , Nanopartículas/química
6.
Clin Infect Dis ; 75(11): 1950-1961, 2022 11 30.
Artículo en Inglés | MEDLINE | ID: mdl-36130257

RESUMEN

BACKGROUND: Few data are available on COVID-19 outcomes among pregnant women in sub-Saharan Africa (SSA), where high-risk comorbidities are prevalent. We investigated the impact of pregnancy on SARS-CoV-2 infection and of SARS-CoV-2 infection on pregnancy to generate evidence for health policy and clinical practice. METHODS: We conducted a 6-country retrospective cohort study among hospitalized women of childbearing age between 1 March 2020 and 31 March 2021. Exposures were (1) pregnancy and (2) a positive SARS-CoV-2 RT-PCR test. The primary outcome for both analyses was intensive care unit (ICU) admission. Secondary outcomes included supplemental oxygen requirement, mechanical ventilation, adverse birth outcomes, and in-hospital mortality. We used log-binomial regression to estimate the effect between pregnancy and SARS-CoV-2 infection. Factors associated with mortality were evaluated using competing-risk proportional subdistribution hazards models. RESULTS: Our analyses included 1315 hospitalized women: 510 pregnant women with SARS-CoV-2, 403 nonpregnant women with SARS-CoV-2, and 402 pregnant women without SARS-CoV-2 infection. Among women with SARS-CoV-2 infection, pregnancy was associated with increased risk for ICU admission (adjusted risk ratio [aRR]: 2.38; 95% CI: 1.42-4.01), oxygen supplementation (aRR: 1.86; 95% CI: 1.44-2.42), and hazard of in-hospital death (adjusted sub-hazard ratio [aSHR]: 2.00; 95% CI: 1.08-3.70). Among pregnant women, SARS-CoV-2 infection increased the risk of ICU admission (aRR: 2.0; 95% CI: 1.20-3.35), oxygen supplementation (aRR: 1.57; 95% CI: 1.17-2.11), and hazard of in-hospital death (aSHR: 5.03; 95% CI: 1.79-14.13). CONCLUSIONS: Among hospitalized women in SSA, both SARS-CoV-2 infection and pregnancy independently increased risks of ICU admission, oxygen supplementation, and death. These data support international recommendations to prioritize COVID-19 vaccination among pregnant women.


Asunto(s)
COVID-19 , Complicaciones Infecciosas del Embarazo , Femenino , Embarazo , Humanos , Lactante , COVID-19/epidemiología , SARS-CoV-2 , Estudios Retrospectivos , Mortalidad Hospitalaria , Vacunas contra la COVID-19 , Estudios de Cohortes , África del Sur del Sahara/epidemiología
7.
Annu Rev Public Health ; 43: 235-254, 2022 04 05.
Artículo en Inglés | MEDLINE | ID: mdl-35380065

RESUMEN

Longstanding racial/ethnic inequalities in morbidity and mortality persist in the United States. Although the determinants of health inequalities are complex, social and structural factors produced by inequitable and racialized systems are recognized as contributing sources. Social epigenetics is an emerging area of research that aims to uncover biological pathways through which social experiences affect health outcomes. A growing body of literature links adverse social exposures to epigenetic mechanisms, namely DNA methylation, offering a plausible pathway through which health inequalities may arise. This review provides an overview of social epigenetics and highlights existing literature linking social exposures-i.e., psychosocial stressors, racism, discrimination, socioeconomic position, and neighborhood social environment-to DNA methylation in humans. We conclude with a discussion of social epigenetics as a mechanistic link to health inequalities and provide suggestions for future social epigenetics research on health inequalities.


Asunto(s)
Epigenómica , Disparidades en el Estado de Salud , Metilación de ADN , Epigénesis Genética , Humanos , Grupos Raciales , Estados Unidos
8.
Genet Sel Evol ; 54(1): 17, 2022 Feb 19.
Artículo en Inglés | MEDLINE | ID: mdl-35183109

RESUMEN

BACKGROUND: Heat tolerance is a trait of economic importance in the context of warm climates and the effects of global warming on livestock production, reproduction, health, and well-being. This study investigated the improvement in prediction accuracy for heat tolerance when selected sets of sequence variants from a large genome-wide association study (GWAS) were combined with a standard 50k single nucleotide polymorphism (SNP) panel used by the dairy industry. METHODS: Over 40,000 dairy cattle with genotype and phenotype data were analysed. The phenotypes used to measure an individual's heat tolerance were defined as the rate of decline in milk production traits with rising temperature and humidity. We used Holstein and Jersey cows to select sequence variants linked to heat tolerance. The prioritised sequence variants were the most significant SNPs passing a GWAS p-value threshold selected based on sliding 100-kb windows along each chromosome. We used a bull reference set to develop the genomic prediction equations, which were then validated in an independent set of Holstein, Jersey, and crossbred cows. Prediction analyses were performed using the BayesR, BayesRC, and GBLUP methods. RESULTS: The accuracy of genomic prediction for heat tolerance improved by up to 0.07, 0.05, and 0.10 units in Holstein, Jersey, and crossbred cows, respectively, when sets of selected sequence markers from Holstein cows were added to the 50k SNP panel. However, in some scenarios, the prediction accuracy decreased unexpectedly with the largest drop of - 0.10 units for the heat tolerance fat yield trait observed in Jersey cows when 50k plus pre-selected SNPs from Holstein cows were used. Using pre-selected SNPs discovered on a combined set of Holstein and Jersey cows generally improved the accuracy, especially in the Jersey validation. In addition, combining Holstein and Jersey bulls in the reference set generally improved prediction accuracy in most scenarios compared to using only Holstein bulls as the reference set. CONCLUSIONS: Informative sequence markers can be prioritised to improve the genomic prediction of heat tolerance in different breeds. In addition to providing biological insight, these variants could also have a direct application for developing customized SNP arrays or can be used via imputation in current industry SNP panels.


Asunto(s)
Estudio de Asociación del Genoma Completo , Termotolerancia , Animales , Bovinos/genética , Femenino , Genoma , Genómica/métodos , Genotipo , Masculino , Fenotipo , Polimorfismo de Nucleótido Simple
9.
Clin Infect Dis ; 73(10): 1913-1919, 2021 11 16.
Artículo en Inglés | MEDLINE | ID: mdl-33580256

RESUMEN

Globally, there are prevailing knowledge gaps in the epidemiology, clinical manifestations, and outcomes of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection among children and adolescents; and these gaps are especially wide in African countries. The availability of robust age-disaggregated data is a critical first step in improving knowledge on disease burden and manifestations of coronavirus disease 2019 (COVID-19) among children. Furthermore, it is essential to improve understanding of SARS-CoV-2 interactions with comorbidities and coinfections such as human immunodeficiency virus (HIV), tuberculosis, malaria, sickle cell disease, and malnutrition, which are highly prevalent among children in sub-Saharan Africa. The African Forum for Research and Education in Health (AFREhealth) COVID-19 Research Collaboration on Children and Adolescents is conducting studies across Western, Central, Eastern, and Southern Africa to address existing knowledge gaps. This consortium is expected to generate key evidence to inform clinical practice and public health policy-making for COVID-19 while concurrently addressing other major diseases affecting children in African countries.


Asunto(s)
COVID-19 , Coinfección , Tuberculosis , Adolescente , África del Sur del Sahara/epidemiología , Niño , Humanos , SARS-CoV-2
10.
Malar J ; 20(1): 125, 2021 Mar 02.
Artículo en Inglés | MEDLINE | ID: mdl-33653356

RESUMEN

BACKGROUND: The Alere™ Malaria Ag P.f Ultra-sensitive RDT (UsmRDT) kit is an HRP2-based malaria rapid diagnostic test (RDT) with enhanced sensitivity relative to the SD Bioline Malaria Ag P.f RDT (mRDT) kit. However, the diagnostic performance of the UsmRDT kit has not been evaluated in Ghana. METHODS: A total of 740 afebrile participants aged between 3 and 88 years old were recruited from the Central and Greater Accra Regions of Ghana during the off-peak malaria season. Axillary body temperature was measured, and a volume of 1 ml venous blood was drawn from each participant. Prior to separating the blood into plasma and packed cell pellets via centrifugation, the blood was spotted onto one UsmRDT and one mRDT kit and also used to prepare thick and thin blood smears as well as filter paper blood spots. Plasmodium falciparum specific polymerase chain reaction (PCR) was performed on gDNA extracted from 100 µl of the whole blood. RESULTS: The overall positivity rate for microscopy, PCR, UsmRDT and mRDT kit were 20.4%, 40.8%, 31.3% and 30.8%, respectively. Overall, the UsmRDT identified 9.3% (28/302) more PCR positive samples than the mRDT kits. All samples that were negative by the UsmRDT kit were also negative by the mRDT kit. Overall, the sensitivity and specificity of the UsmRDT was 73% (221/302) and 89% (388/436), respectively, while that for the mRDT kit was 58% and 90%, respectively. CONCLUSION: Although the UsmRDT kit was not as sensitive as PCR at detecting asymptomatic P. falciparum carriage, it correctly identified P. falciparum in 9.3% of the study participants that were not captured by the mRDT kit. In malaria endemic settings, the UsmRDT would provide an added advantage by identifying more asymptomatic P. falciparum carriers than the mRDT kit for targeted treatment interventions.


Asunto(s)
Malaria Falciparum/diagnóstico , Plasmodium falciparum/aislamiento & purificación , Juego de Reactivos para Diagnóstico/estadística & datos numéricos , Adolescente , Adulto , Anciano , Niño , Preescolar , Ghana , Humanos , Persona de Mediana Edad , Sensibilidad y Especificidad , Adulto Joven
11.
BMC Infect Dis ; 21(1): 577, 2021 Jun 15.
Artículo en Inglés | MEDLINE | ID: mdl-34130652

RESUMEN

BACKGROUND: During outbreaks of emerging and re-emerging infections, the lack of effective drugs and vaccines increases reliance on non-pharmacologic public health interventions and behavior change to limit human-to-human transmission. Interventions that increase the speed with which infected individuals remove themselves from the susceptible population are paramount, particularly isolation and hospitalization. Ebola virus disease (EVD), Severe Acute Respiratory Syndrome (SARS), and Middle East Respiratory Syndrome (MERS) are zoonotic viruses that have caused significant recent outbreaks with sustained human-to-human transmission. METHODS: This investigation quantified changing mean removal rates (MRR) and days from symptom onset to hospitalization (DSOH) of infected individuals from the population in seven different outbreaks of EVD, SARS, and MERS, to test for statistically significant differences in these metrics between outbreaks. RESULTS: We found that epidemic week and viral serial interval were correlated with the speed with which populations developed and maintained health behaviors in each outbreak. CONCLUSIONS: These findings highlight intrinsic population-level changes in isolation rates in multiple epidemics of three zoonotic infections with established human-to-human transmission and significant morbidity and mortality. These data are particularly useful for disease modelers seeking to forecast the spread of emerging pathogens.


Asunto(s)
Control de Enfermedades Transmisibles/métodos , Enfermedades Transmisibles Emergentes/epidemiología , Enfermedades Transmisibles Emergentes/prevención & control , Brotes de Enfermedades , Conductas Relacionadas con la Salud , Animales , Infecciones por Coronavirus/epidemiología , Infecciones por Coronavirus/prevención & control , Epidemias/prevención & control , Predicción , Fiebre Hemorrágica Ebola/epidemiología , Fiebre Hemorrágica Ebola/prevención & control , Humanos , Salud Pública , Síndrome Respiratorio Agudo Grave/epidemiología , Síndrome Respiratorio Agudo Grave/prevención & control , Zoonosis/epidemiología , Zoonosis/prevención & control
12.
BMC Public Health ; 21(1): 1078, 2021 06 05.
Artículo en Inglés | MEDLINE | ID: mdl-34098923

RESUMEN

BACKGROUND: Police-reported crime data (hereafter "crime") is routinely used as a psychosocial stressor in public health research, yet few studies have jointly examined (a) differences in crime exposure based on participant race and ethnicity, (b) differences in measures of crime exposure, and (c) considerations for how exposure to police is captured in police-recorded crime data. We estimate neighborhood exposure to crime and discuss the implications of structural differences in exposure to crime and police based on race and ethnicity. METHODS: Using GPS coordinates from 1188 participants in the Newborn Epigenetics Study, we estimated gestational exposure to crime provided by the Durham, North Carolina, Police Department within (a) 800 m and (b) the Census block group of residence. We controlled for non-overlapping spatial boundaries in crime, Census, residential, and police data to report crime spatial (crime per km2) and population (crime per 1000 people per km2) density. RESULTS: We demonstrate dramatic disparities in exposure to crime based on participant race and ethnicity and highlight variability in these disparities based on the type of crime and crime measurement method chosen. CONCLUSIONS: Public health researchers should give thoughtful consideration when using police-reported crime data to measure and model exposure to crime in the United States, as police-reported data encompasses joint exposure to police and crime in the neighborhood setting.


Asunto(s)
Etnicidad , Salud Pública , Crimen , Humanos , Recién Nacido , North Carolina/epidemiología , Policia , Características de la Residencia , Estados Unidos
13.
BMC Public Health ; 21(1): 2064, 2021 11 10.
Artículo en Inglés | MEDLINE | ID: mdl-34758813

RESUMEN

BACKGROUND: United States (US) Hispanic/Latinos experience a disproportionate burden of obesity, which may in part be related to demographic or sociocultural factors, including acculturation to an US diet or inactive lifestyle. Therefore, we sought to describe the association between adulthood weight histories and demographic and sociocultural factors in a large diverse community-based cohort of US Hispanic/Latinos. METHODS: We estimated the effect of several factors on weight gain across adulthood, using multivariable linear mixed models to leverage 38,759 self-reported current body weights and weight histories recalled for 21, 45 and 65 years of age, from 15,203 adults at least 21 years of age at the baseline visit of the Hispanic Community Health Study/Study of Latinos (2008-2011). RESULTS: The average rate of weight gain was nearly 10 kg per decade in early adulthood, but slowed to < 5 kg a decade among individuals 60+ years of age. Birth cohort, gender, nativity or age at immigration, Hispanic/Latino background, and study site each significantly modified the form of the predicted adulthood weight trajectory. Among immigrants, weight gain during the 5 years post-migration was on average 0.88 kg (95% CI: 0.04, 1.72) greater than the weight gain during the 5 years prior. The rate of weight gain appeared to slow after 15 years post-migration. CONCLUSIONS: Using self-reported and weight history data in a diverse sample of US Hispanic/Latinos, we revealed that both demographic and sociocultural factors were associated with the patterning of adulthood weight gain in this sample. Given the steep rate of weight gain in this population and the fact that many Hispanic/Latinos living in the US immigrated as adults, efforts to promote weight maintenance across the life course, including after immigration, should be a top priority for promoting Hispanic/Latino health and addressing US health disparities more broadly.


Asunto(s)
Cohorte de Nacimiento , Hispánicos o Latinos , Adulto , Humanos , Prevalencia , Factores de Riesgo , Autoinforme , Estados Unidos/epidemiología , Aumento de Peso , Adulto Joven
14.
Malar J ; 19(1): 217, 2020 Jun 23.
Artículo en Inglés | MEDLINE | ID: mdl-32576186

RESUMEN

BACKGROUND: The ABO and the Rhesus blood group systems, as well as various abnormal haemoglobin (Hb) variants (haemoglobinopathies) are known to influence malaria parasite carriage and disease severity in individuals living in malaria endemic areas. This study identified the blood group and Hb variant distribution and Plasmodium falciparum infection status of afebrile individuals living in southern Ghana. METHODS: Afebrile participants were recruited from Obom (358) in the Greater Accra Region and Ewim (100) and Simiw (329) in the Central Region of Ghana. Venous blood (1 ml) was collected into EDTA vacutainer tubes. Three 20 µl drops of blood were used for blood group analysis using the tile method. Another 500 µl aliquot was used for the qualitative sickling test using sodium metabisulphite and haemoglobin electrophoresis. Genomic DNA was extracted from 100 µl of whole blood and used in P. falciparum species-specific PCR. RESULTS: The most abundant blood group and abnormal haemoglobin variant in both sites was blood group O + (47.4%) and HbAS (15.8%). A total of 13 (1.7%) of the participants had full haemoglobinopathies (SS, SC and CC), whilst 196 (25.4%) were carriers (AS and AC). Although there was a significantly higher prevalence of sickling positive participants from the Central Region, genotyping identified a similar prevalence of each of the abnormal haemoglobin genes in both sites. Asymptomatic parasite carriage estimated by PCR was 40.9% in the Central Region and 41.8% in the Greater Accra Region. CONCLUSIONS: Asymptomatic carriage of P. falciparum parasite in the study population was not associated with any particular blood group variant or haemoglobin genotype.


Asunto(s)
Antígenos de Grupos Sanguíneos/análisis , Portador Sano/epidemiología , Genotipo , Hemoglobinas/genética , Malaria Falciparum/epidemiología , Adolescente , Adulto , Anciano , Anciano de 80 o más Años , Portador Sano/parasitología , Niño , Preescolar , Estudios Transversales , Femenino , Ghana/epidemiología , Humanos , Lactante , Recién Nacido , Malaria Falciparum/parasitología , Masculino , Persona de Mediana Edad , Plasmodium falciparum/aislamiento & purificación , Prevalencia , Adulto Joven
15.
Ecol Appl ; 30(7): e02144, 2020 10.
Artículo en Inglés | MEDLINE | ID: mdl-32338806

RESUMEN

Heterogeneity in quantity and quality of resources provided in the urban matrix may mitigate adverse effects of urbanization intensity on the structure of biotic communities. To assess this we quantified the spatial variation in butterfly richness and abundance along an impervious surface gradient using three measures of urban matrix quality: floral resource availability and origin (native vs. exotic plants), tree cover, and the occurrence of remnant habitat patches. Butterfly richness and abundance were surveyed in 100 cells (500 × 500 m), selected using a random-stratified sampling design, across a continuous gradient of imperviousness in Melbourne, Australia. Sampling occurred twice during the butterfly flight season. Occurrence data were analyzed using generalized linear models at local and mesoscales. Despite high sampling completeness, we did not detect 75% of species from the regional species pool in the urban area, suggesting that urbanization has caused a large proportion of the region's butterflies to become absent or extremely rare within Melbourne's metro-area. Those species that do remain are largely very generalist in their choice of larval host plants. Butterfly species richness and abundance declined with increasing impervious surface cover and, contrary to evidence for other taxa, there was no evidence that richness peaked at intermediate levels of urbanization. Declines in abundance appeared to be more noticeable when impervious surface cover exceeded 25%, while richness declined linearly with increasing impervious surface cover. We find evidence that the quality of the urban matrix (floral resources and remnant vegetation) influenced butterfly richness and abundance although the effects were small. Total butterfly abundance responded negatively to exotic floral abundance early in the sampling season and positively to total floral abundance later in the sampling season. Butterfly species richness increased with tree cover. Negative impacts of increased urbanization intensity on butterfly species richness and abundance may be mitigated to some extent by improving the quality of the urban matrix by enhancing tree cover and the provision of floral resources, with some evidence that native plants are more effective.


Asunto(s)
Mariposas Diurnas , Animales , Australia , Biodiversidad , Ecosistema , Plantas , Urbanización
16.
Rev Sci Tech ; 39(2): 445-450, 2020 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-33046931

RESUMEN

Technological disasters present a unique set of requirements for national Veterinary Services, encompassing complex issues of risk to human health, animal health and the environment. Cooperation among agencies and Ministries that do not routinely coordinate with one another during transboundary animal disease incidents or natural disaster responses may be required in technological disasters. Effective preparedness and response requires additional planning, training, exercises, and equipping to safely and efficiently provide the necessary services in a technological disaster.


En cas de catastrophes technologiques, les Services vétérinaires doivent répondre à un ensemble unique d'exigences qui recouvrent des problématiques complexes en termes de risques pour la santé humaine, la santé animale et l'environnement. Les catastrophes technologiques peuvent nécessiter une coopération entre des agences et des ministères qui habituellement n'ont pas à coordonner leur action, que ce soit lors d'incidents liés à des maladies animales transfrontalières ou pour répondre à une catastrophe naturelle. Une préparation et une réponse efficaces demandent une planification et une formation spécifiques, ainsi qu'un entraînement et des équipements supplémentaires afin que les services requis suite à une catastrophe technologique puissent être fournis en toute sécurité et de manière efficiente.


Los desastres tecnológicos plantean un conjunto único de exigencias a los Servicios Veterinarios nacionales, en las que concurren complejas cuestiones ligadas al riego sanitario, zoosanitario y ambiental. Un desastre de este tipo puede exigir la cooperación entre organismos y ministerios que habitualmente no se coordinan entre sí a la hora de responder a incidentes zoosanitarios transfronterizos o a desastres naturales. Una eficaz labor de preparación y respuesta exige un mayor esfuerzo de planificación y formación, más ejercicios y equipo complementario para prestar con eficacia y seguridad los servicios necesarios en caso de desastre tecnológico.


Asunto(s)
Planificación en Desastres , Desastres , Animales , Humanos
17.
Mol Psychiatry ; 23(5): 1270-1277, 2018 05.
Artículo en Inglés | MEDLINE | ID: mdl-28630456

RESUMEN

Schizophrenia (SCZ), bipolar disorder (BD) and recurrent major depressive disorder (rMDD) are common psychiatric illnesses. All have been associated with lower cognitive ability, and show evidence of genetic overlap and substantial evidence of pleiotropy with cognitive function and neuroticism. Disrupted in schizophrenia 1 (DISC1) protein directly interacts with a large set of proteins (DISC1 Interactome) that are involved in brain development and signaling. Modulation of DISC1 expression alters the expression of a circumscribed set of genes (DISC1 Regulome) that are also implicated in brain biology and disorder. Here we report targeted sequencing of 59 DISC1 Interactome genes and 154 Regulome genes in 654 psychiatric patients and 889 cognitively-phenotyped control subjects, on whom we previously reported evidence for trait association from complete sequencing of the DISC1 locus. Burden analyses of rare and singleton variants predicted to be damaging were performed for psychiatric disorders, cognitive variables and personality traits. The DISC1 Interactome and Regulome showed differential association across the phenotypes tested. After family-wise error correction across all traits (FWERacross), an increased burden of singleton disruptive variants in the Regulome was associated with SCZ (FWERacross P=0.0339). The burden of singleton disruptive variants in the DISC1 Interactome was associated with low cognitive ability at age 11 (FWERacross P=0.0043). These results identify altered regulation of schizophrenia candidate genes by DISC1 and its core Interactome as an alternate pathway for schizophrenia risk, consistent with the emerging effects of rare copy number variants associated with intellectual disability.


Asunto(s)
Disfunción Cognitiva/genética , Proteínas del Tejido Nervioso/genética , Esquizofrenia/genética , Adulto , Anciano , Trastorno Bipolar/genética , Encéfalo/metabolismo , Estudios de Casos y Controles , Trastorno Depresivo Mayor/genética , Femenino , Predisposición Genética a la Enfermedad , Humanos , Masculino , Persona de Mediana Edad , Polimorfismo de Nucleótido Simple , Mapas de Interacción de Proteínas
18.
J Theor Biol ; 460: 37-55, 2019 01 07.
Artículo en Inglés | MEDLINE | ID: mdl-30296448

RESUMEN

The cancer stem cell hypothesis has gained currency in recent times but concerns remain about its scientific foundations because of significant gaps that exist between research findings and comprehensive knowledge about cancer stem cells (CSCs). In this light, a mathematical model that considers hematopoietic dynamics in the diseased state of the bone marrow and peripheral blood is proposed and used to address findings about CSCs. The ensuing model, resulting from a modification and refinement of a recent model, develops out of the position that mathematical models of CSC development, that are few at this time, are needed to provide insightful underpinnings for biomedical findings about CSCs as the CSC idea gains traction. Accordingly, the mathematical challenges brought on by the model that mirror general challenges in dealing with nonlinear phenomena are discussed and placed in context. The proposed model describes the logical occurrence of discrete time delays, that by themselves present mathematical challenges, in the evolving cell populations under consideration. Under the challenging circumstances, the steady state properties of the model system of delay differential equations are obtained, analyzed, and the resulting mathematical predictions arising therefrom are interpreted and placed within the framework of findings regarding CSCs. Simulations of the model are carried out by considering various parameter scenarios that reflect different experimental situations involving disease evolution in human hosts. Model analyses and simulations suggest that the emergence of the cancer stem cell population alongside other malignant cells engenders higher dimensions of complexity in the evolution of malignancy in the bone marrow and peripheral blood at the expense of healthy hematopoietic development. The model predicts the evolution of an aberrant environment in which the malignant population particularly in the bone marrow shows tendencies of reaching an uncontrollable equilibrium state. Essentially, the model shows that a structural relationship exists between CSCs and non-stem malignant cells that confers on CSCs the role of temporally enhancing and stimulating the expansion of non-stem malignant cells while also benefitting from increases in their own population and these CSCs may be the main protagonists that drive the ultimate evolution of the uncontrollable equilibrium state of such malignant cells and these may have implications for treatment.


Asunto(s)
Médula Ósea/patología , Modelos Teóricos , Células Madre Neoplásicas/patología , Proliferación Celular , Simulación por Computador , Hematopoyesis , Humanos , Modelos Biológicos
19.
Ultrasound Obstet Gynecol ; 53(3): 309-313, 2019 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-30663167

RESUMEN

OBJECTIVE: Parents faced with the choice between postnatal management and prenatal surgery for spina bifida need to have up-to-date information on the expected outcomes. The aim of this study was to report the long-term physical and neurological outcomes of infants with prenatally diagnosed isolated spina bifida that underwent postnatal surgical repair and were managed by a multidisciplinary team from a large tertiary center. METHODS: This was a retrospective cohort study of all cases of fetal spina bifida managed in a tertiary unit between October 1999 and January 2018. All cases of fetal spina bifida from the local health region were routinely referred to the tertiary unit for further perinatal management. Details on surgical procedures and neonatal neurological outcomes were obtained from institutional case records. Ambulatory status, bladder and bowel continence and neurodevelopment were assessed at a minimum of 3 years. RESULTS: During the study period, 241 pregnancies with isolated spina bifida were seen in the unit. Of these, 84 (34.9%) women opted to continue with the pregnancy after multidisciplinary counseling by clinicians. Sixty-seven infants underwent postnatal repair of spina bifida aperta and were included in the analysis. After birth, hindbrain herniation was observed in 91.5% of infants with only seven requiring surgical decompression. Ventriculoperitoneal shunt placement was needed in 64.2% of infants, while normal cognitive development or mild impairment was demonstrated in 85.4% of cases with data for this outcome available, at a mean age of 8 years. Cumulatively, 40% of infants were walking independently or using minor support, and normal or mild impairment of bladder and bowel function was reported in 45.5% and 44.4% of infants, respectively. CONCLUSIONS: Neurodevelopmental and neurological outcomes between prenatal and postnatal repair are similar. As with fetal surgery, conventional postnatal surgery is associated with the reversal of hindbrain herniation. Similarly, postnatal ventriculoperitoneal shunt placement appears to be required mainly in fetuses without evidence of significant fetal ventriculomegaly. Copyright © 2019 ISUOG. Published by John Wiley & Sons Ltd.


Asunto(s)
Espina Bífida Quística , Disrafia Espinal , Niño , Femenino , Feto , Edad Gestacional , Humanos , Lactante , Neuroimagen , Embarazo , Estudios Retrospectivos
20.
BMC Public Health ; 19(1): 1483, 2019 Nov 08.
Artículo en Inglés | MEDLINE | ID: mdl-31703650

RESUMEN

BACKGROUND: The purpose of this study was to examine the role of low self-control as a mediator or moderator between early age at sexual debut and risky sexual behavior in young adulthood. METHODS: Data on 5734 male and female Add Health participants were used. Self-control (waves 1 & 3), age at sexual debut (wave 3) and risky sexual behavior (wave 4) were used in a structural equation modeling framework to assess the relationships of interest. RESULTS: Approximately 17% of respondents were < 15 years at first sexual intercourse. Among females only, both early age at first intercourse (Parent-report: z = 5.08, p < .001; Self-report: z = 2.05, p < .05) and low self-control at wave 3 (Parent-report: z = 2.30, p < .05; Self-report: z = 2.31, p < .05) mediated the relationship between low self-control at wave 1 and risky sexual behaviors in young adulthood. Similarly in the male-only model, both early age at first intercourse (Parent-report: z = 2.92, p < .01; Self-report: z = 3.04, p < .01) and low self-control at wave 3 (Parent-report: z = 1.99, p < .05; Self-report: z = 3.15, p < .01) mediated the relationship between low self-control and risky sexual behaviors in young adulthood. There was evidence of moderation in the male-only model (- 0.26, p < .01), such that lower impulsivity strengthened the relationship between early sex and risky sex. CONCLUSIONS: This study confirms the role of executive functions in sexual behaviors and suggests that interventions aimed at improving self-control may be beneficial in reducing risky sexual behavior.


Asunto(s)
Coito/psicología , Función Ejecutiva , Asunción de Riesgos , Autocontrol/psicología , Adolescente , Adulto , Femenino , Humanos , Conducta Impulsiva , Masculino , Autoinforme , Adulto Joven
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