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1.
Environ Monit Assess ; 195(12): 1436, 2023 Nov 09.
Artigo em Inglês | MEDLINE | ID: mdl-37940796

RESUMO

Soil microbes are microscopic organisms that inhabit the soil and play a significant role in various ecological processes. They are essential for nutrient cycling, carbon sequestration, and maintaining soil health. Importantly, soil microbes have the potential to sequester carbon dioxide (CO2) from the atmosphere through processes like carbon fixation and storage in organic matter. Unlocking the potential of microbial-driven carbon storage holds the key to revolutionizing climate-smart agricultural practices, paving the way for sustainable productivity and environmental conservation. A fascinating tale of nature's unsung heroes is revealed by delving into the realm of soil microbes. The guardians of the Earth are these tiny creatures that live beneath our feet and discreetly work their magic to fend off the effects of climate change. These microbes are also essential for plant growth enhancement through their roles in nutrient uptake, nitrogen fixation, and synthesis of growth-promoting chemicals. By understanding and managing soil microbial communities, it is possible to improve soil health, soil water-holding capacity, and promote plant growth in agricultural and natural ecosystems. Added to it, these microbes play an important role in biodegradation, bioremediation of heavy metals, and phytoremediation, which in turn helps in treating the contaminated soils. Unfortunately, climate change events affect the diversity, composition, and metabolism of these microbes. Unlocking the microbial potential demands an interdisciplinary endeavor spanning microbiology, ecology, agronomy, and climate science. It is a call to arms for the scientific community to recognize soil microbes as invaluable partners in the fight against climate change. By implementing data-driven land management strategies and pioneering interventions, we possess the means to harness their capabilities, paving the way for climate mitigation, sustainable agriculture, and promote ecosystem resilience in the imminent future.


Assuntos
Ecossistema , Solo , Solo/química , Mudança Climática , Microbiologia do Solo , Monitoramento Ambiental
2.
Med J Armed Forces India ; 79(4): 414-420, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37441290

RESUMO

Background: Carcinoma breast is the commonest cancer among women. Various authors have studied breast cancer with Contrast-Enhanced Ultrasound (CEUS) with promising results. Despite promising results, the additional cost of post-processing software limits its availability. In this study, we evaluated the utility of CEUS in differentiating malignant from benign breast lesions on regular ultrasound equipment without the use of dedicated software. Methods: We performed CEUS in 121 women with 121 breast lesions. CEUS was done by creating a custom preset on existing ultrasound equipment with the help of an application specialist authorized by the vendor. Lesions were evaluated qualitatively without the use of any commercial software. The pattern of enhancement i.e. homogenous, heterogeneous, peripheral, or no enhancement, and the number of penetrating vessels i.e., few or multiple were recorded. Results were compared with histopathological diagnosis. Results: There were a total of 121 breast lesions. The study showed sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) of 86.67 %, 54.10 %, 65 %, and 80.49% respectively for differentiating benign vs malignant lesions on the basis of the pattern of contrast enhancement. Using penetrating vessels for differentiating malignant lesions from benign lesions, the sensitivity, specificity, PPV, and NPV were found to be 64%, 67.86%, 78.05%, and 51.35% respectively. Conclusion: CEUS is useful in differentiating malignant from benign breast lesions. It can be easily performed by creating a custom preset on standard ultrasound equipment without the use of expensive software.

3.
Environ Res ; 215(Pt 2): 114287, 2022 12.
Artigo em Inglês | MEDLINE | ID: mdl-36087774

RESUMO

Peanut shell biomass was selected and utilized to produce biochar through pyrolysis under N2 atmosphere at 923 K. After studying various effects of experimental parameters and by statistical modeling and optimization by RSM using Box-Benken design, optimized conditions of pH 2.0 ± 0.1, temperature 303 K, and adsorbent dose used of 2.5 g L-1 were obtained giving almost 99.99% removal for Cr(VI) from the solution. FESEM, FTIR, XRD, XPS, EDX, elemental mapping, and pHzpc were used for the evaluation of the surface characteristics of peanut shell biochar (PSB). Studies revealed C-O, C-H, CO, and O-H functional groups' presence with the help of FTIR, majorly in control of adsorption mechanism and the EDX confirmed the presence of Cr(VI) onto peanut shell biochar (PSB). Further adsorption mechanism for Cr(VI) adsorption followed the pseudo-second-order rate with adsorption capacity of 29.38 mg g-1 given by the Langmuir isotherm. The thermodynamic study confirmed the exothermic and spontaneous nature of the process for Cr(VI) adsorption onto PSB. The adsorption mechanism showed electrostatic attraction, reduction, and complexation mainly responsible for Cr(VI) adsorption by PSB. Thus, PSB effectively removes Cr(VI) is confirmed by the present study.


Assuntos
Arachis , Poluentes Químicos da Água , Carvão Vegetal , Cromo , Água
4.
J Endocrinol Invest ; 44(9): 1961-1970, 2021 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-33502721

RESUMO

BACKGROUND: Post thyroidectomy hypocalcemia is a major sequel of thyroidectomy and continues to trouble the endocrinologists and the endocrine surgeons as there is no ideal predictive marker of hypocalcemia which has the potential to develop into a life-threatening complication. The role of early serum intact parathormone (iPTH) to predict post thyroidectomy hypocalcemia is becoming useful but the literature is still unclear regarding the optimal time of testing and the optimal cut-off value of serum iPTH. PATIENTS AND METHODS: This is a prospective cohort study of 111 patients who underwent total thyroidectomy in a tertiary care endocrine surgery referral unit. Serum iPTH was measured after 20 min and 4 h of surgery. Receiver-Operator characteristic Curve (ROC) was used to find out of the best cut-off value of S. iPTH 20 min and 4 h after surgery in predicting hypocalcemia. RESULTS: Hypocalcemia was noted in 60 (54%) out of 111 subjects who underwent total thyroidectomy. The best cut-off values of Serum iPTH to predict hypocalcemia was found to be 4.28 pmol/l at 20 min post total thyroidectomy with a sensitivity and specificity of 81.7% and 51%, respectively. In addition, patients with malignancy or central lymph nodal dissection were significantly over-represented in the hypocalcemia group with serum iPTH above the threshold level of 4.28 pmol/l. Below the cut off level, parenteral calcium supplementation was required in 23% (17/74) subjects while the rate was only 5.4% (2/37) patients when serum iPTH was above the cut-off level. CONCLUSIONS: The decline of serum iPTH below a specific level after surgery has predictive value together with other factors strictly related to patient, the thyroid disease itself and surgery. The risk of development of hypocalcemia and consequent need for calcium supplementation should be evaluated by clinical assessment along with serum PTH measurement.


Assuntos
Hipocalcemia/diagnóstico , Hipocalcemia/etiologia , Hormônio Paratireóideo/sangue , Complicações Pós-Operatórias/sangue , Tireoidectomia/efeitos adversos , Adolescente , Adulto , Idoso , Biomarcadores/sangue , Estudos de Coortes , Feminino , Humanos , Hipocalcemia/epidemiologia , Excisão de Linfonodo , Masculino , Pessoa de Meia-Idade , Valor Preditivo dos Testes , Estudos Prospectivos , Curva ROC , Valores de Referência , Sensibilidade e Especificidade , Neoplasias da Glândula Tireoide/complicações , Neoplasias da Glândula Tireoide/cirurgia , Adulto Jovem
5.
J Food Sci Technol ; 58(2): 797-804, 2021 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-33568873

RESUMO

Melamine adulteration in milk is a serious health concern for the consumers. A reliable and sensitive technique using silver nanoparticle (AgNPs) was developed for the detection of melamine in milk sample. The AgNPs was synthesized using culinary banana peel extract (BPE) where pH, temperature, the amount of concentration of BPE and concentration of AgNO3 was standardized. The effect of the parameters used for the synthesis of AgNPs was analyzed by observing the colour of reaction mixture and surface plasmon resonance. The AgNPs synthesized under optimum conditions were characterized by SEM-EDX, TEM and FTIR. FTIR studies reveal the effective conjugation between AgNPs and bioactive components of BPE and formation of spherical and regular shaped AgNPs were confirmed by TEM images. Presence of Ag as a dominating metal in AgNPs confirmed the formation of AgNPs. The level of melamine above 0.5 mg/L in milk could easily be detected through the interference synthesis of AgNPs.

6.
Anal Chem ; 92(3): 2527-2534, 2020 02 04.
Artigo em Inglês | MEDLINE | ID: mdl-31909593

RESUMO

Dengue is a serious global health concern especially in tropical and subtropical countries. About 2.5 billion of the world's population is at risk for dengue infection. Early diagnosis is the key to prevent the deterioration of health of the patient to severe illness. Laboratory diagnosis of dengue is essential for providing appropriate supportive treatment to dengue patients with febrile illness, which is difficult to diagnose clinically. Here, we demonstrate surface enhanced Raman scattering (SERS) based diagnosis of dengue virus in clinical blood samples collected from total of 102 subjects. All of the samples were well characterized by conventional NS1 antigen and IgM antibody ELISA kits. The silver nanorods array fabricated by glancing angle deposition technique were employed as SERS substrates. A small amount of patient blood serum (5 µL) was taken for analysis and the report was prepared within a minute. SERS spectra of pure NS1 protein as well as spiked in serum was also recorded separately. Principal component analysis (PCA) was employed as the statistical tool to differentiate dengue positive, dengue negative, and healthy subjects on the basis of their respective SERS spectra. This method provides a sensitive, rapid, and field deployable diagnosis of dengue at the early stage (within 5 days of the onset of symptoms).


Assuntos
Dengue/diagnóstico , Dengue/sangue , Humanos , Análise Espectral Raman , Proteínas não Estruturais Virais/análise
7.
J Chem Phys ; 153(18): 184305, 2020 Nov 14.
Artigo em Inglês | MEDLINE | ID: mdl-33187438

RESUMO

The A2Σ+-X2Π electronic transition of the nitrous oxide cation, N2O+, was measured via photodissociation spectroscopy in a cryogenic electrostatic ion storage ring. Rotationally resolved spectra of the N-O stretching vibrational sequence were obtained by detecting neutral N fragments produced via N2O+ → NO+ + N predissociation channels. A new set of molecular constants was determined for the high-lying vibrational levels of the A2Σ+ state.

8.
Public Health ; 179: 68-75, 2020 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-31733509

RESUMO

OBJECTIVES: For population-level screening of malnutrition among adults-especially in developing-country settings-the body mass index (BMI) can be impractical because of logistical requirements for weight and height measurement. We analyzed anthropometric data collected from a large-scale nutritional survey on women of rural Bihar to determine the mid-upper arm circumference (MUAC) cutoffs corresponding to standard BMI cutoffs and the predictive accuracies of the determined cutoffs. STUDY DESIGN: It was a cross-sectional study using multistage cluster sampling. METHODS: The current analysis used anthropometric data from a study on dietary practices of rural women (adolescents, lactating mothers, and women in the interpregnancy period). The MUAC (cm) cutoffs corresponding to four standard BMI (kg/m2) values were determined using receiver operating characteristic (ROC) curve analysis. RESULT: We detected a significant positive correlation between BMI and MUAC (r = 0.81, P < 0.0001). In ROC curve analysis, the MUAC cutoffs corresponding to BMI cutoffs of 18.5, 23, 25, and 30 kg/m2 were estimated to be 23.2, 26.0, 27.3, and 30.5 kg/m2, respectively. The predictive accuracy of the determined cutoffs was good, as indicated by the area under the ROC curve for the four different cutoffs-which ranged between 88% and 97%. Other than the cutoff for 'obese' (BMI, 30 kg/m2), the Kappa coefficients for the rest of the MUAC cutoffs showed 'substantial' agreement (>0.6) with their BMI counterparts. CONCLUSION: The results suggest that the cutoffs based on MUAC-a less resource-intensive measure than BMI-can be used for community-based screening of malnutrition among women of Bihar.


Assuntos
Antropometria/métodos , Braço/anatomia & histologia , Povo Asiático/estatística & dados numéricos , Estado Nutricional , Adolescente , Adulto , Braço/fisiologia , Índice de Massa Corporal , Peso Corporal , Estudos Transversais , Feminino , Humanos , Índia , Masculino , Pessoa de Meia-Idade , Obesidade , População Rural , Sensibilidade e Especificidade
9.
Pediatr Surg Int ; 36(8): 869-874, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-32436063

RESUMO

Recent reports have recommended laparoscopic diverticulectomy for symptomatic Meckel diverticulum (MD) rather than laparoscopic-assisted extracorporeal resection. This technique may risk leaving residual ectopic mucosa leading to complications. This systematic review attempts to quantify the relative risks of both approaches. A systematic review was conducted according to PRISMA guidelines. Articles were eligible for inclusion if they reported data on the laparoscopic management of symptomatic MD in children. Eleven reports were identified, all of which were institutional retrospective studies. Pooled outcome data on 248 children showed no statistically significant difference in complications between laparoscopic diverticulectomy (n = 133) and laparoscopic-assisted segmental resection (n = 115) (3% vs. 6.1%, p = 0.39). One patient from the diverticulectomy group re-presented with recurrent bleeding necessitating segmental small bowel resection. Conclusions are limited by the number of patients and variable follow up. Short, wide MD with a height:base ratio of < 2; diverticula with thickening or ischemia at the base and those complicated by volvulus or small bowel obstruction are probably best treated by laparoscopic-assisted extracorporeal resection. For other symptomatic diverticula laparoscopic diverticulectomy is a reasonable approach with a less than 1% risk of leaving residual ectopic gastric mucosa.


Assuntos
Diverticulite/cirurgia , Laparoscopia/métodos , Divertículo Ileal/cirurgia , Criança , Pré-Escolar , Feminino , Humanos , Íleo/cirurgia , Lactente , Masculino , Estudos Retrospectivos
10.
Int J Environ Sci Technol (Tehran) ; 17(10): 4265-4280, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32421070

RESUMO

Hydrophobic polyvinylidene fluoride membrane was reformed to the hydrophilic membrane by incorporating synthesized titanium dioxide nanoparticles using Cajanus cajan seed extract. Spectroscopic and microscopic techniques characterized the composite membrane. The X-ray diffraction confirms the anatase phase of titanium dioxide nanoparticles of crystalline size 15.89 nm. The effect of titanium dioxide concentration on the thermodynamical and rheological properties on the polyvinylidene fluoride casting solution was investigated by the triangle phase diagram and viscosity measurement. It was concluded that titanium dioxide introduction caused thermodynamic enhancement, but the impact of rheological hinderance was higher at high concentrations. The polyvinylidene fluoride/titanium dioxide membranes were used as a bi-functional membrane to evaluate the rejection of chromium (VI) from wastewater; then, they were applied as sunlight-active catalyst membrane to reduce the concentrated chromium (VI) to chromium (III) by reduction. It was concluded that at 0.02 wt% of titanium dioxide, the maximum rejection of 85.59% and a% reduction of 92% was achieved with enhanced flux.

11.
Neural Comput ; 31(10): 1915-1944, 2019 10.
Artigo em Inglês | MEDLINE | ID: mdl-31393827

RESUMO

In this letter, we propose two novel methods for four-class motor imagery (MI) classification using electroencephalography (EEG). Also, we developed a real-time health 4.0 (H4.0) architecture for brain-controlled internet of things (IoT) enabled environments (BCE), which uses the classified MI task to assist disabled persons in controlling IoT-enabled environments such as lighting and heating, ventilation, and air-conditioning (HVAC). The first method for classification involves a simple and low-complex classification framework using a combination of regularized Riemannian mean (RRM) and linear SVM. Although this method performs better compared to state-of-the-art techniques, it still suffers from a nonnegligible misclassification rate. Hence, to overcome this, the second method offers a persistent decision engine (PDE) for the MI classification, which improves classification accuracy (CA) significantly. The proposed methods are validated using an in-house recorded four-class MI data set (data set I, collected over 14 subjects), and a four-class MI data set 2a of BCI competition IV (data set II, collected over 9 subjects). The proposed RRM architecture obtained average CAs of 74.30% and 67.60% when validated using datasets I and II, respectively. When analyzed along with the proposed PDE classification framework, an average CA of 92.25% on 12 subjects of data set I and 82.54% on 7 subjects of data set II is obtained. The results show that the PDE algorithm is more reliable for the classification of four-class MI and is also feasible for BCE applications. The proposed low-complex BCE architecture is implemented in real time using Raspberry Pi 3 Model B+ along with the Virgo EEG data acquisition system. The hardware implementation results show that the proposed system architecture is well suited for body-wearable devices in the scenario of Health 4.0. We strongly feel that this study can aid in driving the future scope of BCE research.


Assuntos
Interfaces Cérebro-Computador , Eletroencefalografia , Imaginação , Internet das Coisas , Aprendizado de Máquina , Feminino , Humanos , Masculino , Processamento de Sinais Assistido por Computador , Adulto Jovem
12.
Biochemistry (Mosc) ; 84(5): 453-463, 2019 May.
Artigo em Inglês | MEDLINE | ID: mdl-31234761

RESUMO

Amino acids undergo many covalent modifications, but only few amino acid repair enzymes have been identified. Protein-L-isoaspartate (D-aspartate) O-methyltransferase (PIMT), also known as L-isoaspartyl/D-aspartyl protein carboxyl methyltransferase (PCMT), methylates covalently modified isoaspartate (isoAsp) residues accumulated in proteins via Asn deamidation and Asp hydrolysis. This cytoplasmic reaction occurs through the formation of succinimide cyclical intermediate and generates either isoAsp or Asp from succinimide. Succinimide conversion into Asp is spontaneous, while isoAsp is restored by PIMT using S-adenosylmethionine as a methyl donor. PIMT transforms isoAsp into succinimide, thereby creating an opportunity for the later to be converted into Asp. Apart from normal cell physiology, formation of isoAsp in proteins is promoted by various stress conditions. The resulting isoAsp can form a kink or bend in the protein backbone thus making the protein conformationally and functionally distorted. Many PIMT-interacting proteins (proteins with isoAsp residues) have been reported in eukaryotes, but only few of them have been found in prokaryotes. Extensive studies in mice have shown the importance of PIMT in neurodegeneration. Detail elucidation of PIMT function can create a platform for addressing various disorders such as Alzheimer's disease and cancer.


Assuntos
Proteína D-Aspartato-L-Isoaspartato Metiltransferase/metabolismo , Animais , Ácido Aspártico/metabolismo , Bactérias/metabolismo , Proteínas de Bactérias/química , Proteínas de Bactérias/metabolismo , Humanos , Ácido Isoaspártico/metabolismo , Doenças Neurodegenerativas/metabolismo , Doenças Neurodegenerativas/patologia , Proteína D-Aspartato-L-Isoaspartato Metiltransferase/química , Estrutura Quaternária de Proteína , S-Adenosilmetionina/metabolismo
13.
Pestic Biochem Physiol ; 158: 166-174, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-31378353

RESUMO

Pesticidal properties of Bacillus thuringiensis and its associated toxic proteins is an ever-growing science with potential implications in biological pest management. In the present study 80 Bacillus thuringiensis isolates native to Uttarakhand Himalayas were evaluated for chitinolytic activity and potent ones (11 isolates) were further subjected to multiphasic characterization for their antifungal, insecticidal and synergistic properties with selected chemical insecticides. Although all the 11 potent isolates were biologically active, only three isolates (VLBt27, VLBt109 and VLBt238) showed >90% inhibition in radial growth of 3 out of 4 tested plant pathogenic fungi (Rhizoctonia solani, Fusarium oxysporum, Alternaria pori and Pyricularia oryzae). The key antagonism was manifested in the form of disruptions in growing tips and uneven mycelial thickenings. In insect bioassays (against Helicoverpa armigera, Mythimna separata and Thysanoplusia orichalcea), no considerable direct mortality was observed. However, the larval weight reduction was prominent in four isolates (VLBt27, VLBt38, VLBt109 and VLBt135) which accounts to >75% in first instar larvae of H. armigera. Joint action of these four isolates with chemical insecticides showed an overall additive interaction against Brevicoryne brassicae and synergism against H. armigera. All the isolates were compatible with tested insecticides at their field recommended doses except for chlorpyriphos with around 130 kDa protein as chitinase. The study identified VLBt27 and VLBt109, two native isolates of B. thuringiensis with potential antagonistic activity and synergism as well. These isolates have possible implications as single strategy against two diverse pest problems (pathogenic fungi and phytophagous insect) of agriculture with a view of reduced pesticide application.


Assuntos
Bacillus thuringiensis/fisiologia , Inseticidas/farmacologia , Mariposas/efeitos dos fármacos , Animais , Quitinases/metabolismo , Controle Biológico de Vetores
14.
Osteoarthritis Cartilage ; 26(4): 480-484, 2018 04.
Artigo em Inglês | MEDLINE | ID: mdl-29269328

RESUMO

OBJECTIVES: We determined incremental health care resource utilization, incremental health care expenditures, incremental absenteeism, and incremental absenteeism costs associated with osteoarthritis. DESIGN: Medical Expenditure Panel Survey (MEPS) for 2011 was used as data source. Individuals 18 years or older and employed during 2011 were eligible for inclusion in the sample for analyses. Individuals with osteoarthritis were identified based on ICD-9-CM codes. Incremental health care resource utilization included annual hospitalization, hospital days, emergency room visits and outpatient visits. Incremental health expenditures included annual inpatient, outpatient, emergency room, medications, miscellaneous and annual total expenditures. RESULTS: Of the total sample, 1354 were diagnosed with osteoarthritis, and compared to non osteoarthritis individuals. Incremental resource utilization, expenditures, absenteeism and absenteeism costs were estimated using regression models, adjusting for age, gender, sex, region, marital status, insurance coverage, comorbidities, anxiety, asthma, hypertension and hyperlipidemia. Regression models revealed incremental mean annual resource use associated with osteoarthritis of 0.07 hospitalizations, equal to 70 additional hospitalizations per 100 osteoarthritic patients annually, and 3.63 outpatient visits, equal to 363 additional visits per 100 osteoarthritic patients annually. Mean annual incremental total expenditures associated with osteoarthritis were $2046. Annually, mean incremental expenditures were largest for inpatient expenditures at $826, followed by mean incremental outpatient expenditures of $659, and mean incremental medication expenditures of $325. Mean annual incremental absenteeism was 2.2 days and mean annual incremental absenteeism costs were $715.74. Total direct expenditures were estimated at $41.7 billion. CONCLUSION: Osteoarthritis was associated with significant incremental health care resource utilization, expenditures, absenteeism and absenteeism costs.


Assuntos
Absenteísmo , Atenção à Saúde/economia , Avaliação da Deficiência , Custos de Cuidados de Saúde , Gastos em Saúde/estatística & dados numéricos , Osteoartrite/economia , Adolescente , Adulto , Idoso , Feminino , Humanos , Incidência , Masculino , Pessoa de Meia-Idade , Osteoartrite/epidemiologia , Osteoartrite/reabilitação , Estados Unidos/epidemiologia , Adulto Jovem
15.
Diabet Med ; 35(12): 1655-1662, 2018 12.
Artigo em Inglês | MEDLINE | ID: mdl-30175870

RESUMO

AIMS: To examine the prevalence and person-level predictors of undiagnosed Type 2 diabetes among adults with elevated HbA1c values. METHODS: We identified adults without diabetes who had a first elevated HbA1c (index HbA1c ≥ 48 mmol/mol; ≥ 6.5%) between January 2014 and December 2015, and classified them by Type 2 diabetes diagnosis status at 1 year following this result. Multilevel modelling techniques were used to examine the association of individual demographic, clinical, and utilization characteristics with remaining undiagnosed. We quantified differences in early Type 2 diabetes care between diagnosed and undiagnosed individuals. RESULTS: Of the 18 356 adults with a first elevated index HbA1c , 30.2% remained undiagnosed with Type 2 diabetes 1 year later. Individuals with lower index HbA1c values [adjusted odds ratio (aOR) 5.95, 95% confidence interval (CI) 5.21-6.78 for 48 to <53 mmol/mol (6.5% to 7.0%); referent 53 to <64 mmol/mol (7.0% to <8.0%)], who were ≥ 70 years old (aOR 1.40, 95% CI 1.24-1.59; referent 50-59 years), and who had a prior prediabetes diagnosis (aOR 1.35, 95% CI 1.24-1.47; referent no prediabetes) had increased odds of remaining undiagnosed. After adjusting for age, race, and index HbA1c , remaining undiagnosed was associated with lower odds of initiating metformin (aOR 0.06, 95% CI 0.05-0.07). CONCLUSIONS: Almost one-third of adults with an elevated HbA1c value were not diagnosed with Type 2 diabetes within 1 year. Undiagnosed Type 2 diabetes, in turn, was associated with differences in early care. Strategies that leverage the electronic health record to facilitate earlier diagnosis may help reduce delays and allow for early intervention towards the goal of improved outcomes.


Assuntos
Diagnóstico Tardio/estatística & dados numéricos , Diabetes Mellitus Tipo 2/diagnóstico , Diabetes Mellitus Tipo 2/epidemiologia , Adulto , Idoso , Idoso de 80 Anos ou mais , Estudos de Coortes , Feminino , Humanos , Estudos Longitudinais , Masculino , Pessoa de Meia-Idade , Prevalência , Estudos Retrospectivos , Fatores de Risco , Adulto Jovem
16.
Public Health ; 164: 49-56, 2018 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-30189388

RESUMO

OBJECTIVES: To explore the vulnerabilities and risks of HIV infection among female migrants compared with male migrants in the Thane district of Maharashtra, India. STUDY DESIGN: This is a cross-sectional epidemiological study. METHODS: Data from 35,841 migrants (men 96.2% and women 3.8%) were collected using the web-based 'Migrant Service Delivery System.' The data were then analysed in SPSS, version 23.0. Statistical analysis, including Chi-squared test and multivariate logistic regression, was used to identify factors influencing HIV infection for both male and female migrants. RESULTS: It was observed that 2.96% of female migrants had HIV infection compared with 0.77% of male migrants. We found that 12.1% of women consumed alcohol compared with 41.9% of men, and access to bars was 1.5% among women and 3.5% in men. We observed an even larger difference between men and women in their previous history of using brothels for sex; only 5.9% of female migrants reported previously having used brothels for sex, compared with 62.9% of male migrants. Approximately 12.3% of married women and 93.6% of married men had sex with someone other than their spouse. We found that 67.0% of married women and 73.9% of married men reported using a condom during their last sexual act compared with 60.9% of unmarried women and 68.1% of unmarried men. CONCLUSIONS: In Thane, female migrants faced higher vulnerabilities and risks of HIV infection than male migrants. Consequently, innovative strategies are required to address these particular needs of female migrants.


Assuntos
Infecções por HIV/epidemiologia , Migrantes/estatística & dados numéricos , Populações Vulneráveis , Adolescente , Adulto , Estudos Transversais , Feminino , Humanos , Índia/epidemiologia , Masculino , Pessoa de Meia-Idade , Fatores de Risco , Fatores Socioeconômicos , Adulto Jovem
17.
Phys Rev Lett ; 119(2): 023202, 2017 Jul 14.
Artigo em Inglês | MEDLINE | ID: mdl-28753369

RESUMO

Photodetachment thermometry on a beam of OH^{-} in a cryogenic storage ring cooled to below 10 K is carried out using two-dimensional frequency- and time-dependent photodetachment spectroscopy over 20 min of ion storage. In equilibrium with the low-level blackbody field, we find an effective radiative temperature near 15 K with about 90% of all ions in the rotational ground state. We measure the J=1 natural lifetime (about 193 s) and determine the OH^{-} rotational transition dipole moment with 1.5% uncertainty. We also measure rotationally dependent relative near-threshold photodetachment cross sections for photodetachment thermometry.

18.
Bull Entomol Res ; 107(5): 676-688, 2017 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-28245893

RESUMO

The occurrence of pesticidal pollution in the environment and the resistance in the mosquito species makes an urge for the safer and an effective pesticide. Permethrin, a poorly water-soluble pyrethroid pesticide, was formulated into a hydrodispersible nanopowder through rapid solvent evaporation of pesticide-loaded oil in water microemulsion. Stability studies confirmed that the nanopermethrin dispersion was stable in paddy field water for 5 days with the mean particle sizes of 175.3 ± 0.75 nm and zeta potential of -30.6 ± 0.62 mV. The instability rate of the nanopermethrin particles was greater in alkaline (pH 10) medium when compared with the neutral (pH 7) and acidic (pH 4) dispersion medium. The colloidal dispersion at 45°C was found to be less stable compared with the dispersions at 25 and 5°C. The 12- and 24-h lethal indices (LC50) for nanopermethrin were found to be 0.057 and 0.014 mg l-1, respectively. These results were corroborative with the severity of damages observed in the mosquito larvae manifested in epithelial cells and the evacuation of the midgut contents. Further, the results were substantiated by the decrease in cellular biomolecules and biomarker enzyme activity in nanopermethrin treated larvae when compared to bulk and control treatment.


Assuntos
Culex , Inseticidas/administração & dosagem , Permetrina/administração & dosagem , Animais , Culex/enzimologia , Larva/enzimologia , Controle de Mosquitos
19.
J Postgrad Med ; 63(3): 200-202, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-28272067

RESUMO

Scedosporium apiospermum, an ubiquitous filamentous fungus, a known cause of mycetoma, is emerging as an opportunistic pathogen in immunocompromised individuals. We report a case of painful foot abscess in a renal allograft recipient on immunosuppressive therapy, which was clinically diagnosed as a suppurative bacterial abscess. Pus was aspirated, which showed septate, branching hyphal elements and culture on Sabouraud's dextrose agar yielded S. apiospermum, which was identified based on its macroscopic and microscopic features. There are very few reports of scedosporiasis from India. High index of suspicion for unusual fungal infection helps in prompt etiological diagnosis in a transplant recipient and rapid management prevents further dissemination.


Assuntos
Micetoma/diagnóstico , Micoses/diagnóstico , Scedosporium/isolamento & purificação , Staphylococcus aureus/isolamento & purificação , Transplantados , Adulto , Antifúngicos/uso terapêutico , Feminino , Humanos , Hospedeiro Imunocomprometido , Transplante de Rim , Micetoma/tratamento farmacológico , Micoses/tratamento farmacológico , Resultado do Tratamento , Voriconazol/uso terapêutico
20.
Trop Anim Health Prod ; 49(2): 259-263, 2017 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-27888394

RESUMO

A total of 60 animals (38 cows, 22 heifers) were selected and were divided into three groups of 20 animals each (containing both anoestrus and repeat breeder) in which treatment was performed for 60 days. Group I: control (farmer practice), T1 group: group I + hormone (double synch), and T2 group: group I + hormone (Estra double synch). The growth performances were measured in terms of body weight and average daily gain (ADG). Blood collection was done at the start and end of the experiment for assessment of blood biochemical, hematological, and reproductive status of the animals. Results revealed significant improvement in growth and reproductive performances in treatment group as compared to control group. Higher percentage of conception was achieved in group III (60%) followed by group II (55%). The least percentage was in group I (15%), i.e., in control group. So it was found that the effect of treating the reproductive-disordered animals with Estra double synch gave comparatively better result than double synch hormonal application.


Assuntos
Busserrelina/farmacologia , Bovinos/fisiologia , Indústria de Laticínios/métodos , Dinoprosta/análogos & derivados , Estradiol/análogos & derivados , Sincronização do Estro/efeitos dos fármacos , Substâncias para o Controle da Reprodução/farmacologia , Animais , Bovinos/crescimento & desenvolvimento , Dinoprosta/farmacologia , Estradiol/farmacologia , Feminino , Índia , Inseminação Artificial/veterinária , Reprodução
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