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1.
J Child Psychol Psychiatry ; 53(12): 1277-84, 2012 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-22978357

RESUMEN

BACKGROUND: Youths with coexisting learning disabilities (LD) and attention deficit hyperactivity disorder (ADHD) are at risk for poor academic and social outcomes. The underlying cognitive deficits, such as poor working memory (WM), are not well targeted by current treatments for either LD or ADHD. Emerging evidence suggests that WM might be improved by intensive and adaptive computerized training, but it remains unclear whether this intervention would be effective for adolescents with severe LD and comorbid ADHD. METHODS: A total of sixty 12- to 17-year olds with LD/ADHD (52 male, 8 female, IQ > 80) were randomized to one of two computerized intervention programs: working memory training (Cogmed RM) or math training (Academy of Math) and evaluated before and 3 weeks after completion. The criterion measures of WM included auditory-verbal and visual-spatial tasks. Near and far transfer measures included indices of cognitive and behavioral attention and academic achievement. RESULTS: Adolescents in the WM training group showed greater improvements in a subset of WM criterion measures compared with those in the math-training group, but no training effects were observed on the near or far measures. Those who showed the most improvement on the WM training tasks at school were rated as less inattentive/hyperactive at home by parents. CONCLUSIONS: Results suggest that WM training may enhance some aspects of WM in youths with LD/ADHD, but further development of the training program is required to promote transfer effects to other domains of function.


Asunto(s)
Trastorno por Déficit de Atención con Hiperactividad/terapia , Atención , Instrucción por Computador/métodos , Discapacidades para el Aprendizaje/terapia , Matemática , Memoria a Corto Plazo , Adolescente , Trastorno por Déficit de Atención con Hiperactividad/complicaciones , Niño , Femenino , Estudios de Seguimiento , Humanos , Discapacidades para el Aprendizaje/complicaciones , Masculino , Trastornos de la Memoria/complicaciones , Trastornos de la Memoria/terapia , Pruebas Neuropsicológicas/estadística & datos numéricos
2.
Emerg Med J ; 26(7): 501-5, 2009 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-19546271

RESUMEN

BACKGROUND: Advanced life support of patients contaminated with chemical, biological, radiological or nuclear (CBRN) substances requires adequate respiratory protection for medical first responders. Conventional and powered air-purifying respirators may exert a different impact during resuscitation and therefore require evaluation. This will help to improve major incident planning and measures for protecting medical staff. METHODS: A randomised crossover study was undertaken to investigate the influence of conventional negative pressure and powered air-purifying respirators on the simulated resuscitation of casualties contaminated with hazardous substances. Fourteen UK paramedics carried out a standardised resuscitation algorithm inside an ambulance vehicle, either unprotected or wearing a conventional or a powered respirator. Treatment times, wearer mobility, ease of communication and ease of breathing were determined and compared. RESULTS: In the questionnaire, volunteers stated that communication and mobility were similar in both respirator groups while breathing resistance was significantly lower in the powered respirator group. There was no difference in mean (SD) treatment times between the groups wearing respiratory protection and the controls (245 (19) s for controls, 247 (17) s for conventional respirators and 250 (12) s for powered respirators). CONCLUSIONS: Powered air-purifying respirators improve the ease of breathing and do not appear to reduce mobility or delay treatment during a simulated resuscitation scenario inside an ambulance vehicle with a single CBRN casualty.


Asunto(s)
Sustancias Peligrosas/toxicidad , Dispositivos de Protección Respiratoria , Resucitación/instrumentación , Técnicos Medios en Salud , Estudios Cruzados , Diseño de Equipo , Humanos , Simulación de Paciente , Ropa de Protección , Factores de Tiempo
3.
Prog Mol Biol Transl Sci ; 142: 291-315, 2016.
Artículo en Inglés | MEDLINE | ID: mdl-27571699

RESUMEN

There is an urgent need to develop new vaccines for tuberculosis, HIV/AIDS, and malaria, as well as for chronic and debilitating infections known as neglected tropical diseases (NTDs). The term "NTD" emerged at the beginning of the new millennium to describe a set of diseases that are characterized as (1) poverty related, (2) endemic to the tropics and subtropics, (3) lacking public health attention and inadequate industrial investment, (4) having poor research funding and a weak research and development (R&D) pipeline, (5) usually associated with high morbidity but low mortality, and (6) often having no safe and long-lasting treatment available. Many additional challenges to the current control and elimination programs for NTDs exist. These include inconsistent performance of diagnostic tests, regional differences in access to treatment and in treatment outcome, lack of integrated surveillance and vector/intermediate host control, and impact of ecological climatic changes particularly in regions where new cases are increasing in previously nonendemic areas. Moreover, the development of NTD vaccines, including those for schistosomiasis, leishmaniasis, leprosy, hookworm, and Chagas disease are being led by nonprofit product development partnerships (PDPs) working in partnership with academic and industrial partners, contract research organizations, and in some instances vaccine manufacturers in developing countries. In this review, we emphasize global efforts to fuel the development of NTD vaccines, the translational activities needed to effectively move promising vaccine candidates to Phase-I clinical trials and some of the hurdles to ensuring their availability to people in the poorest countries of Africa, Asia, Latin America, and the Caribbean.


Asunto(s)
Enfermedades Desatendidas/terapia , Investigación Biomédica Traslacional , Medicina Tropical , Antígenos/metabolismo , Enfermedades Desatendidas/economía , Medicina Tropical/economía , Vacunas/inmunología
4.
Endocrinology ; 136(5): 2060-5, 1995 May.
Artículo en Inglés | MEDLINE | ID: mdl-7720655

RESUMEN

The inhibins and activins are dimeric growth factors with important regulatory functions during development. In this study, changes in inhibin subunit messenger RNA (mRNA) levels were measured in the ovary during early postnatal development in the normal mouse and the hypogonadal (hpg) mouse, which lacks circulating gonadotropins. Levels of inhibin alpha-, beta A-, and beta B-subunit mRNAs were measured relative to beta-actin using a semiquantitative reverse transcription-polymerase chain reaction technique. Transcripts encoding all three subunits were present at birth; the alpha-subunit was the most abundant, followed by beta A-subunit (6% of alpha) and beta B-subunit (0.4% of alpha). After birth, levels of all three subunit transcripts increased between 6- and 10-fold. Changes in inhibin beta A- and beta B-subunit levels were most marked around 7 days, the period of secondary follicle development, whereas alpha-subunit transcript levels increased constantly after day 1 to reach a peak at 10 days, when mature secondary follicles are present. In hpg mice, levels of ovarian inhibin alpha-subunit mRNA levels were normal at all ages up to 15 days. In contrast, inhibin beta A-subunit mRNA levels were normal at birth in hpg mice, but did not increase after that up to day 15. Levels of beta B-subunit mRNA were significantly lower than normal on day 1 in hpg mice and also failed to show a significant increase up to 15 days. These results show that inhibin subunit mRNA levels are differentially regulated during ovarian development in the mouse. Normal expression of beta-subunits is completely gonadotropin dependent around the period of late primary to secondary follicle development. The inhibin alpha-subunit, in contrast, is expressed at a high level during development independent of gonadotropin stimulation.


Asunto(s)
Envejecimiento/metabolismo , Expresión Génica , Gonadotropinas/fisiología , Hipogonadismo/metabolismo , Inhibinas/biosíntesis , Ovario/metabolismo , Animales , Secuencia de Bases , Cartilla de ADN , Femenino , Sustancias Macromoleculares , Ratones , Ratones Mutantes , Datos de Secuencia Molecular , Ovario/crecimiento & desarrollo , Reacción en Cadena de la Polimerasa , ARN Mensajero/análisis , ARN Mensajero/biosíntesis , Especificidad de la Especie
5.
Gene ; 222(2): 177-85, 1998 Nov 19.
Artículo en Inglés | MEDLINE | ID: mdl-9831648

RESUMEN

Campylobacter jejuni and Campylobacter coli are common causes of gastrointestinal disease and a proportion of C. jejuni infections have been shown to be associated with the Guillain-Barré syndrome. The waaC gene from Campylobacter coli, involved in lipopolysaccharide core biosynthesis, was cloned by complementation of a heptose-deficient strain of Salmonella typhimurium, as judged by novobiocin sensitivity, lipopolysaccharide (LPS)-specific phage sensitivity, and polyacrylamide-resolved lipopolysaccharide profiles. The C. jejuni waaC gene was subsequently cloned using the waaC gene isolated from C. coli as a probe. The C. jejuni and C. coli waaC genes are capable of encoding proteins of 342 amino acids with calculated molecular masses of 39381Da and 39317Da, respectively. Sequence and in-vitro analyses suggested that the C. coli waaC gene may be transcribed from its own promoter. Translation of the C. coli waaC gene in a cell-free system yielded a protein with a Mr of 39000. The waaC gene was detected in every C. jejuni and C. coli isolate tested as judged by dot-blot hybridization analysis. Southern hybridization analysis indicated that both Campylobacter species contain a single copy of the waaC gene. Unlike Escherichia coli and S. typhimurium isolates, the waaC gene in C. jejuni and C. coli isolates does not appear to be linked to the waaF (rfaF) gene.


Asunto(s)
Campylobacter coli/enzimología , Campylobacter coli/genética , Campylobacter jejuni/enzimología , Campylobacter jejuni/genética , Genes Bacterianos , Glicosiltransferasas/genética , Secuencia de Bases , Campylobacter coli/patogenicidad , Campylobacter jejuni/patogenicidad , Clonación Molecular , Cartilla de ADN/genética , ADN Bacteriano/genética , Escherichia coli/enzimología , Escherichia coli/genética , Prueba de Complementación Genética , Glicosiltransferasas/metabolismo , Humanos , Lipopolisacáridos/biosíntesis , Datos de Secuencia Molecular , Mapeo Físico de Cromosoma , Reacción en Cadena de la Polimerasa , Salmonella typhimurium/enzimología , Salmonella typhimurium/genética , Especificidad de la Especie , Virulencia/genética
6.
J Mol Endocrinol ; 14(3): 295-301, 1995 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-7669221

RESUMEN

The cytochrome P450 aromatase (P450arom) enzyme is required for bioconversion of androgen to oestrogen. In this study ovarian P450arom mRNA and enzyme activity have been measured during development in normal mice and hypogondal (hpg) mice which lack circulating gonadotrophins. A semi-quantitative reverse transcription-PCR (RT-PCR) technique was used to measure cytochrome P450arom mRNA levels and aromatase enzyme activity was measured directly. Using RT-PCR, P450arom mRNA was detectable in the adult mouse ovary and also in the uterus, kidney, brain and skeletal muscle but not in cardiac smooth muscle. In the normal mouse, P450arom mRNA was detectable in the ovary on the day of birth (day 1) and levels increased significantly up to day 15 with the most marked changes seen between days 1 and 5. Aromatase activity was also detectable at all ages in the ovary and increased significantly between days 1 and 7. In ovaries from hpg mice, normal levels of P450arom mRNA were present on day 1 but there was no significant change in P450arom mRNA at later ages up to day 15. These results show that in the newborn mouse ovary, which contains only primordial follicles, there is a basal expression of P450arom mRNA which is not gonadotrophin-dependent. After 1 day, however, gonadotrophins are required for normal expression of ovarian P450arom and this coincides with development of primary and secondary follicles.


Asunto(s)
Aromatasa/genética , Regulación del Desarrollo de la Expresión Génica , Hormona Liberadora de Gonadotropina/fisiología , Hipogonadismo/enzimología , Ovario/enzimología , Animales , Aromatasa/biosíntesis , Secuencia de Bases , Retículo Endoplásmico/enzimología , Inducción Enzimática , Femenino , Hormona Liberadora de Gonadotropina/deficiencia , Hormona Liberadora de Gonadotropina/genética , Hipogonadismo/genética , Ratones , Ratones Mutantes , Datos de Secuencia Molecular , Especificidad de Órganos , Ovario/crecimiento & desarrollo , Reacción en Cadena de la Polimerasa , ARN Mensajero/biosíntesis , Maduración Sexual
7.
J Mol Endocrinol ; 17(1): 55-60, 1996 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-8863187

RESUMEN

The cytochrome P450 enzyme 17 alpha-hydroxylase (P450c17) is required for androgen synthesis and therefore regulates substrate supply for aromatization. In this study, changes in P450c17 activity and mRNA levels were measured during ovarian development in the normal mouse and in the hypogonadal (hpg) mouse which lacks circulating gonadotrophins. At birth, low levels of P450c17 activity and mRNA were detectable in normal ovaries. This basal level of expression did not change until after day 10 at which time both enzyme activity and mRNA levels increased by six- to eightfold. In the hpg mouse, levels of P450c17 mRNA were normal at birth but did not change significantly during subsequent development and were significantly less than normal by day 15. Results show that there is a low level of gonadotrophin-independent expression of P450c17 in the ovary at birth and that gonadotrophins are required for the subsequent increase in expression between days 10 and 15. In the ovary, P450c17 is expressed solely in the thecal/interstitial compartment and interstitial cells arise in the mouse ovary around day 11. Changes in P450c17 are likely, therefore, to be related to gonadotrophin-dependent development of the interstitial tissue in the mouse. Treatment of adult hpg mice with LH and FSH showed that both gonadotrophins can act to increase P450c17 activity. Since FSH acts only on the granulosa cell compartment of the ovary it is likely that FSH acts through a paracrine mechanism to regulate thecal/interstitial cell activity.


Asunto(s)
Hipogonadismo/enzimología , Ovario/enzimología , ARN Mensajero/genética , Esteroide 17-alfa-Hidroxilasa/genética , Animales , Activación Enzimática , Femenino , Hormona Folículo Estimulante/farmacología , Hormona Luteinizante/farmacología , Ratones , Ovario/efectos de los fármacos , Ovario/crecimiento & desarrollo , ARN Mensajero/metabolismo , Esteroide 17-alfa-Hidroxilasa/efectos de los fármacos , Esteroide 17-alfa-Hidroxilasa/metabolismo
8.
Biosens Bioelectron ; 16(7-8): 535-42, 2001 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-11544047

RESUMEN

Cell-based biosensors have the capacity to respond to a wide range of analytes in a physiologically relevant manner and appear well-suited for toxicity monitoring of both known and unknown analytes. One means of acquiring cellular functional information for biosensor applications involves extracellular recording from excitable cells, which can generate noninvasive and long-term measurements. Previous work from our laboratory described a prototype portable system capable of high signal-to-noise extracellular recordings, in spite of deficiencies in thermal control, fluidics handling, and absence of data acquisition (DAQ) capability. The present work describes a cell-based biosensor system that incorporates low noise amplifier and filter boards, a two-stage thermal control system with integrated fluidics and a flexible graphical user interface for DAQ and control implemented on a personal computer. Wherever possible, commercial off-the-shelf components have been utilized for system design and fabrication. The system exhibits input-referred noise levels of 5-10 microV(RMS), such that extracellular potentials exceeding 50-60 microV can be readily resolved. In addition, the biosensor system is capable of automated temperature and fluidics control. Flow rates can range from 0-2.5 ml/min, while the cell recording chamber temperature is maintained within a range of 36-37 degrees C. To demonstrate the capability of this system to resolve small extracellular potentials, recordings from embryonic chick cardiac myocytes have been performed.


Asunto(s)
Técnicas Biosensibles/instrumentación , Potenciales de Acción , Animales , Técnicas Biosensibles/estadística & datos numéricos , Células Cultivadas , Embrión de Pollo , Diseño de Equipo , Miocardio/citología , Miocardio/metabolismo , Programas Informáticos
9.
Int J Radiat Biol ; 62(4): 487-97, 1992 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-1357063

RESUMEN

With DTPA as a comparison, the siderophore analogue code named 3,4,3-LIHOPO has been tested for its ability to remove 238Pu and 241Am from rats after their inhalation or intravenous injection as nitrate. The most effective treatment regimen for inhaled Pu was the repeated administration of 30 mumol kg-1 3,4,3-LIHOPO. By 7 days after exposure, the Pu contents of the lungs and total body were reduced respectively to 2 and 4% of those in untreated animals. These values were six and three times less than when DTPA was administered using the same protocol. For inhaled Am, 3,4,3-LIHOPO and DTPA were considered equally effective, the lung and total body contents being reduced respectively to 13 and 10% of those in controls. Some animals showed slight degenerative changes in the liver and proximal tubules of the kidneys after the repeated administration of 30 mumol kg-1 of 3,4,3-LIHOPO; however these changes were less marked than after DTPA treatment. After the intravenous injection of Pu, the most effective regimen was the single administration of 3 mumol kg-1 3,4,3-LIHOPO. The body content at 7 days was reduced to 7% controls compared with 19% after the repeated administration of 30 mumol kg-1 DTPA. At a dosage of 30 mumol kg-1, 3,4,3-LIHOPO was less effective owing to the higher retention of Pu in the liver. With repeated dosages of 30 mumol kg-1 3,4,3-LIHOPO was more effective than DTPA for the decorporation of Am; the body contents were 16 and 31% of those in controls respectively. Importantly, the body content was still reduced to 28% of control after a single administration of 3 mumol kg-1. The ligand 3,4,3-LIHOPO, which is also superior to other siderophore analogues, could represent a most significant development in the decorporation of Pu and Am.


Asunto(s)
Americio/farmacocinética , Amidas/farmacología , Compuestos Aza/farmacología , Ácido Pentético/farmacología , Plutonio/farmacocinética , Piridonas/farmacología , Administración por Inhalación , Americio/administración & dosificación , Animales , Carga Corporal (Radioterapia) , Femenino , Inyecciones Intravenosas , Riñón/efectos de la radiación , Hígado/metabolismo , Hígado/efectos de la radiación , Plutonio/administración & dosificación , Ratas
10.
Int J Radiat Biol ; 64(1): 133-40, 1993 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-8102166

RESUMEN

With DTPA as a comparison, the siderophore analogue 3,4,3-LIHOPO has been examined for its ability to remove 238Pu and 241Am from the rat after subcutaneous (s.c.) and intramuscular (i.m.) injection of about 200 Bq of each actinide (0.3 ng Pu, 1.6 ng Am). After the s.c. deposition of 238Pu and 241Am, both ligands were more effective after local administration than (in decreasing order) their repeated interperitoneal (i.p.) injection, single i.p. injection and continuous infusion. Dosages of 3 mumol kg-1 of 3,4,3-LIHOPO were at least as effective as 30 mumol kg-1 DTPA after each mode of administration. The most effective regimen of those investigated for s.c. 238Pu and 241Am involved local administration of 30 mumol kg-1 of 3,4,3-LIHOPO at 30 min followed by i.p. injections at 6 h, 1, 2 and 3 day. By day 7 after exposure, the amounts of 238Pu and 241Am retained in the body were 2 and 7% of those in controls, respectively and 10 and four times less than when DTPA was administered using the same regimen. The ligand 3,4,3-LIHOPO was more effective for 238Pu and 241Am after their i.m. injection. This was attributed to the greater retention of these actinides at the wound site (97 versus 67%) when treatment commenced. After a single local injection of 30 mumol kg-1 at 30 min, the amounts of 238Pu and 241Am retained in the body at 7 day were 0.9 and 0.8% of controls. These values were 34 and 27 times less than after local and repeated i.p. injections of DTPA at dosages of 30 mumol kg-1. It is concluded that the administration of 3,4,3-LIHOPO represents potentially a most significant advance in the treatment of wound contamination by 238Pu and 241Am by chelating agents.


Asunto(s)
Americio/metabolismo , Compuestos Aza/uso terapéutico , Descontaminación , Ácido Pentético/uso terapéutico , Plutonio/metabolismo , Piridonas/uso terapéutico , Heridas y Lesiones/complicaciones , Animales , Compuestos Aza/administración & dosificación , Femenino , Inyecciones Intramusculares , Inyecciones Subcutáneas , Ácido Pentético/administración & dosificación , Piridonas/administración & dosificación , Ratas
11.
Int J Radiat Biol ; 59(5): 1269-77, 1991 May.
Artículo en Inglés | MEDLINE | ID: mdl-1675243

RESUMEN

A hydroxypridinone derivative of desferrioxamine (Na-DFO-HOPO), a dihydroxamic derivative of diethylenetriaminepenta-acetic acid (ZnNa-DTPA-DX), and DTPA (CaNa3- and ZnNa3-DTPA) were tested at dosages of 30 mumol kg-1 for their ability to remove 238Pu or 241Am from rats after their intravenous injection as citrate or inhalation as nitrate. The most effective treatment regimen for injected Pu was the repeated administration of DFO-HOPO; by 7 days the body content was reduced to 8% of that in untreated animals. Repeated dosages of 3 mumol kg-1 DFO-HOPO were as effective as those of 30 mumol kg-1 DTPA. After inhalation of Pu nitrate, repeated treatment with DTPA, DTPA-DX or DFO-HOPO reduced the body content by 7 days to, respectively, 10, 15 and 31% of those in untreated animals. After inhalation of Am, DTPA-DX and DTPA were equally effective, the body contents being reduced to 7% of control values with repeated treatment. Injection of DFO-HOPO was ineffective for enhancing the elimination of inhaled or injected Am. The results confirm the strategy of examining the use of siderophore analogues for the decorporation of Pu or Am. However, at present DTPA should remain the agent of choice, particularly after inhalation.


Asunto(s)
Americio/metabolismo , Quelantes/uso terapéutico , Descontaminación , Deferoxamina/uso terapéutico , Ácido Pentético/uso terapéutico , Plutonio/metabolismo , Piridonas/uso terapéutico , Administración por Inhalación , Animales , Quelantes/administración & dosificación , Deferoxamina/administración & dosificación , Femenino , Ácidos Hidroxámicos/administración & dosificación , Ácidos Hidroxámicos/uso terapéutico , Inyecciones Intravenosas , Ácido Pentético/administración & dosificación , Piridonas/administración & dosificación , Ratas
12.
Int J Radiat Biol ; 56(4): 503-14, 1989 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-2571662

RESUMEN

The pure carboxylated catechoyl amide LICAM(C) and the calcium and zinc salts of diethylenetriaminepenta-acetic acid (DTPA), were tested for efficacy for removing 238Pu and 241Am from rats after inhalation of the nitrate or intravenous injection of the citrate. The results were compared with the efficacy of methylated LICAM(C) used in previous experiments. It was shown that: (1) after inhalation of 238Pu nitrate, DTPA was far superior to pure LICAM(C); (2) after intravenous injection of 238Pu citrate, the infusion of DTPA plus LICAM(C) was only marginally more effective than DTPA alone; and (3) after inhalation or intravenous injection of 238Pu plus 241Am, the efficacy of pure LICAM(C) was only marginally more effective than the methylated form and neither form was effective for the decorporation of 241Am. It was concluded that DTPA, at present, remains the chelating agent of choice for treating persons accidentally contaminated with transportable forms of Pu and Am.


Asunto(s)
Americio/farmacocinética , Quelantes/uso terapéutico , Ácido Pentético/uso terapéutico , Plutonio/farmacocinética , Aerosoles , Americio/administración & dosificación , Animales , Cromatografía Líquida de Alta Presión , Femenino , Concentración de Iones de Hidrógeno , Inyecciones Intravenosas , Metilación , Nitratos , Plutonio/administración & dosificación , Ratas , Espermidina/uso terapéutico , Relación Estructura-Actividad , Distribución Tisular
13.
Oecologia ; 122(4): 545-555, 2000 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-28308348

RESUMEN

To examine the mechanisms underlying productivity-diversity relationships, we manipulated nutrient levels in replicate small-scale artificial habitat units in the marine subtidal zone and followed the process of community assembly. In contrast to most enrichment studies, algal diversity increased in enriched habitats relative to controls along with biomass - a result that may be explained by the low nutrient status of the region. Both the total number of faunal species and the total number of individuals were also significantly greater in enriched habitats, but the relationship between algal resources and faunal diversity did not support the resource heterogeneity hypothesis.

14.
J Heart Valve Dis ; 1(2): 152-9, 1992 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-1341622

RESUMEN

The United Kingdom Heart Valve Registry project began in 1986 following discussions between the Department of Health (DOH) and the Society of Cardiothoracic Surgeons of the United Kingdom and Ireland. The intention was to establish a computerized database for valve replacement operations carried out in the UK Health Service cardiac units. This paper describes the experience gained over the first five years of this project. Around 30,000 patients were entered in the registry between 1986 and 1990. All Uk Health Service cardiac surgical units contribute their data, which is processed by the central Registry Office. The accuracy of the mortality data is ensured by tracking the registered patients through the Office of Population Census and Surveys (OPCS). The pattern of valve replacement surgery over the period 1986-90 revealed several interesting trends. Although the number of procedures remained static at around 5,000 valve transplants per year, the number of aortic replacements increased and the number of mitrals decreased. The use of prosthetic valves increased from 54% in 1986 to over 70% in 1990. The mean age of the patients increased from 58.31 years in 1986 to 60.97 years in 1990, with over 22% of the valve replacement operations in 1990 being performed on patients over 70 years of age. The five year survival rate for patients over 70 years at the time of the valve implant is significantly lower than for patients under 70 years (p < 0.005).


Asunto(s)
Prótesis Valvulares Cardíacas/estadística & datos numéricos , Sistema de Registros , Anciano , Válvula Aórtica/cirugía , Causas de Muerte , Certificado de Defunción , Femenino , Enfermedades de las Válvulas Cardíacas/cirugía , Prótesis Valvulares Cardíacas/mortalidad , Prótesis Valvulares Cardíacas/tendencias , Humanos , Sistemas de Información , Masculino , Persona de Mediana Edad , Válvula Mitral/cirugía , Reoperación , Reino Unido
15.
Avian Dis ; 45(3): 549-57, 2001.
Artículo en Inglés | MEDLINE | ID: mdl-11569726

RESUMEN

Campylobacter jejuni, a common commensal in chickens, is one of the leading causes of bacterial gastroenteritis in humans worldwide. The aims of this investigation were twofold. First, we sought to determine whether mutations in the C. jejuni ciaB and pldA virulence-associated genes impaired the organism's ability to colonize chickens. Second, we sought to determine if inoculation of chicks with C. jejuni mutants could confer protection from subsequent challenge with the C. jejuni wild-type strain. The C. jejuni ciaB gene encodes a secreted protein necessary for the maximal invasion of C. jejuni into cultured epithelial cells, and the pldA gene encodes a protein with phospholipase activity. Also included in this study were two additional C. jejuni mutants, one harboring a mutation in cadF and the other in dnaJ, with which we have previously performed colonization studies. In contrast to results with the parental C. jejuni strain, viable organisms were not recovered from any of the chicks inoculated with the C. jejuni mutants. To determine if chicks inoculated with the C. jejuni mutants become resistant to colonization by the C. jejuni parental strain upon subsequent challenge, chicks were inoculated either intraperitoneally (i.p.) or both orally and i.p. with the C. jejuni mutants. Inoculated birds were then orally challenged with the parental strain. Inoculation with the C. jejuni mutants did not provide protection from subsequent challenge with the wild-type strain. In addition, neither the C. jejuni parental nor the mutant strains caused any apparent morbidity or mortality of the chicks. We conclude that mutations in genes cadF, dnaJ, pldA, and ciaB impair the ability of C. jejuni to colonize the cecum, that chicks tolerate massive inoculation with these mutant strains, and that such inoculations do not provide biologically significant protection against colonization by the parental strain.


Asunto(s)
Infecciones por Campylobacter/veterinaria , Campylobacter jejuni/patogenicidad , Ciego/microbiología , Pollos , Enfermedades de las Aves de Corral/microbiología , Administración Oral , Animales , Antígenos Bacterianos/genética , Proteínas de la Membrana Bacteriana Externa/genética , Infecciones por Campylobacter/microbiología , Infecciones por Campylobacter/prevención & control , Campylobacter jejuni/genética , Campylobacter jejuni/crecimiento & desarrollo , Recuento de Colonia Microbiana , Genes Bacterianos/fisiología , Inyecciones Intraperitoneales/veterinaria , Mutación , Fosfolipasas A/genética , Fosfolipasas A1 , Enfermedades de las Aves de Corral/prevención & control , Virulencia/genética
16.
Adv Exp Med Biol ; 473: 231-5, 1999.
Artículo en Inglés | MEDLINE | ID: mdl-10659363

RESUMEN

Campylobacter jejuni is a Gram negative, microaerophilic pathogen that causes gastroenteritis in humans. The genome of C. jejuni is AT-rich, with a mol% G + C of 30.4. This high AT content was hypothesized to result in unique codon usage. In the present study, we analyzed the codon usage of sixty-seven C. jejuni genes and generated a codon frequency table. As predicted, the codon usage of C. jejuni revealed a strong bias towards codons ending in A or U. In addition to determining codon usage frequencies, the relative synonymous codon usage values were calculated to identify rare and optimal codons. Seventeen codons were identified as optimal and twelve codons as rare. Thirty-two codons exhibited little or no bias. A plot of the effective number of codons versus the third position %G + C values for the sixty-seven genes revealed that C. jejuni uses an average of 39 of the 61 codons to encode proteins. These data will be useful for various molecular analyses including selection of degenerate primers to screen C. jejuni-genomic DNA libraries.


Asunto(s)
Campylobacter jejuni/genética , Codón , Genes Bacterianos , Adenina , Timina
17.
Hum Exp Toxicol ; 10(3): 195-8, 1991 May.
Artículo en Inglés | MEDLINE | ID: mdl-1678949

RESUMEN

Tiron (sodium 4,5-dihydroxybenzene-1,3-disulphonate) has been suggested as a possible antidote for acute uranium poisoning. In this study, the compound has been administered intraperitoneally to rats in dosages of 30, 300 or 1000 mumols kg-1 at 20, 60 and 180 min after the intratracheal instillation of uranyl nitrate. The amounts of uranium deposited in the lungs of rats were equivalent to intakes by workers of about 12 times the permitted daily limit of 2.5 mg. The average body content of uranium at 5 d after exposure were, respectively, about 100%, 78% and 65% of those in untreated animals. It is concluded that the administration of Tiron is of limited practical value for treatment of uranium exposures not greatly in excess of the permitted intake.


Asunto(s)
Sal Disódica del Ácido 1,2-Dihidroxibenceno-3,5-Disulfónico/farmacología , Uranio/orina , Animales , Etilenodiaminas/farmacología , Heces/química , Femenino , Ácido Pentético/farmacología , Ratas , Distribución Tisular , Uranio/farmacocinética
18.
Hum Exp Toxicol ; 14(11): 902-8, 1995 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-8588952

RESUMEN

1. The efficacy of ZnDTPA administered in drinking water has been investigated for removing 238Pu and 241Am from the rat after their simultaneous inhalation as nitrates. 2. The continual administration of ZnDTPA 95 mumol kg-1 d-1 over a 21 d interval commencing 1 h after exposure reduced the 238Pu content of the lungs and total body to 2% and 8% of those in untreated animals; the corresponding values for 241Am were 3% and 5%. 3. The continual intakes of 950 mumol kg-1 d-1, intermittent intakes of 3600 mumol kg-1 d-1 and the repeated injection of 30 mumol kg-1 body weight were considered no more effective. 4. All orally administered concentrations of ZnDTPA, commencing 7 d after exposure, reduced the total body contents of 238Pu and 241Am to 17% and 20% of controls by 28 d. 5. Histopathological examination of the kidneys, liver and gastrointestinal tract showed no apparent effects of these treatment protocols. 6. It is concluded that the oral administration of ZnDTPA could be an effective treatment for the removal of inhaled transportable forms of Pu and Am after human exposure.


Asunto(s)
Americio/metabolismo , Quelantes/farmacología , Ácido Pentético/farmacología , Plutonio/metabolismo , Administración por Inhalación , Administración Oral , Americio/administración & dosificación , Americio/toxicidad , Animales , Quelantes/administración & dosificación , Colon/efectos de los fármacos , Colon/patología , Ingestión de Líquidos , Duodeno/efectos de los fármacos , Duodeno/patología , Femenino , Íleon/efectos de los fármacos , Íleon/patología , Inyecciones Intraperitoneales , Riñón/efectos de los fármacos , Riñón/patología , Hígado/efectos de los fármacos , Hígado/patología , Pulmón/metabolismo , Ácido Pentético/administración & dosificación , Plutonio/administración & dosificación , Plutonio/toxicidad , Ratas , Zinc/farmacología
19.
Hum Exp Toxicol ; 10(1): 15-20, 1991 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-1673619

RESUMEN

The efficacy of CaDTPA and ZnDTPA, the chelating agents of choice for several actinide elements, have been evaluated after the deposition of thorium in the rat lung in widely different amounts. The results showed that: 1. When the initial mass concentration of thorium simulated human exposure to four times the annual limits on intake for 232Th, the prompt (300 or 1000 mumol kg-1 body weight at 0.02 d) or repeated (30 or 300 mumol kg-1 body weight at 0.02, 0.25, 1,2,3 d) administration of CaDTPA were at best only moderately successful for enhancing the elimination of thorium. By 7 d after exposure, the body contents of thorium were, respectively, about 74%, 65%, 90% and 74% of those present in untreated animals. 2. When the mass concentration simulated 1.7 x 10(-3) times the annual limits on intake for 232Th, the efficacy of treatment was not increased appreciably despite the substantial reduction in mass. After the repeated administration of CaDTPA at doses of 30 and 300 mumol kg-1 using the protocol above, the body contents of thorium by 7 d were, respectively, 69% and 51% of those in untreated animals. 3. Under comparable conditions, the efficacy of ZnDTPA was less than CaDTPA. The results suggest that more effective chelating agents are needed for the treatment of workers exposed to water soluble thorium compounds.


Asunto(s)
Pulmón/metabolismo , Ácido Pentético/uso terapéutico , Compuestos de Torio , Torio/envenenamiento , Administración por Inhalación , Animales , Femenino , Inyecciones Intravenosas , Instilación de Medicamentos , Pulmón/efectos de los fármacos , Ratas , Torio/farmacocinética , Distribución Tisular
20.
Hum Exp Toxicol ; 12(3): 233-9, 1993 May.
Artículo en Inglés | MEDLINE | ID: mdl-8100434

RESUMEN

This study has examined the efficacy of ZnDTPA administered in drinking water for removing 238Pu and 241Am from the rat after their simultaneous inhalation as nitrates; the dosage used was 95 mumol kg-1d-1. The continuous administration of ZnDTPA over a 14 d interval, commencing 1 h after exposure, reduced the lung and total body contents of 238Pu to, respectively, 11% and 18% of those in untreated rats; the corresponding values for 241Am were 11% and 14%. After the continuous administration of 95 mumol kg-1 from 4 d to 28 d post exposure, the lung and total body contents of 238Pu were, respectively, 5% and 16% of those in controls; the corresponding values for 241Am were 7% and 19%. Further reductions in the actinide contents of body tissues were found when treatment was extended to 52 d or 76 d. These regimens were as effective as twice weekly injections of 30 mumol kg-1 ZnDTPA commencing at 4 d. After the continuous administration of 95 mumol kg-1 d-1 for 72 d, some pathological changes to the gastrointestinal tract were observed but these were considered to be reparable. It was concluded that further work is required to evaluate the toxicity of the ligand and to establish the optimal treatment regimen.


Asunto(s)
Americio/farmacocinética , Quelantes/farmacología , Ácido Pentético/farmacología , Plutonio/farmacocinética , Administración por Inhalación , Administración Oral , Americio/administración & dosificación , Americio/sangre , Animales , Quelantes/administración & dosificación , Ingestión de Líquidos , Femenino , Inyecciones Intraperitoneales , Pulmón/efectos de los fármacos , Pulmón/metabolismo , Tasa de Depuración Metabólica/efectos de los fármacos , Ácido Pentético/administración & dosificación , Ácido Pentético/toxicidad , Plutonio/administración & dosificación , Plutonio/sangre , Ratas , Ratas Endogámicas
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