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1.
Crit Rev Food Sci Nutr ; 63(32): 11370-11384, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-35758273

RESUMEN

At the beginning of the 21st century, many consumers show interest in purchasing safe, healthy, and nutritious foods. The intent requirement of end-users and many food product manufacturers are trying to feature a new processing technique for the healthy food supply. The non-thermal nature of cold plasma treatment is one of the leading breakthrough technologies for several food processing applications. The beneficial response of cold plasma processing on food quality characteristics is widely accepted as a substitution technique for new food manufacturing practices. This review aims to elaborate and offer crispy innovative ideas on cold plasma application in various food processing channels. It highlights the scientific approaches on the principle of generation and mechanism of cold plasma treatment on rheological properties of foods. It provides an overview of the behavior of cold plasma in terms of viscosity, crystallization, gelatinization, shear stress, and shear rate. Research reports highlighted that the cold plasma treated samples demonstrated a pseudoplastic behavior. The published literatures indicated that the cold plasma is a potential technology for modification of native starch to obtain desirable rheological properties. The adaptability and environmentally friendly nature of non-thermal cold plasma processing provide exclusive advantages compared to the traditional processing technique.


Asunto(s)
Gases em Plasma , Calidad de los Alimentos , Almidón/química , Viscosidad , Tecnología , Reología
2.
Compr Rev Food Sci Food Saf ; 22(6): 4925-4956, 2023 11.
Artículo en Inglés | MEDLINE | ID: mdl-37830874

RESUMEN

The perceptual behavior of consumers on a product displayed in the market has a vital role in analyzing the importance given to that product. Therefore, various strategies have been developed to understand this consumer behavior in the selection of products. Immersive technologies like virtual, augmented, and mixed reality are among them. With the foremost feature of immersion in the virtual world and interaction of users with virtual objects, virtual reality, and augmented reality have unlocked their potential in research and a user-friendly tool for analyzing consumer behavior. In addition to these technologies, mixed reality also has a significant role in investigating consumer behavior. Studies on immersive technologies in food applications are vast, hence this review focuses on the applications of virtual, augmented, and mixed reality in the food selection behavior of consumers. The behavioral studies are elicited to develop new products based on consumer needs, to understand the shopping behavior in supermarkets for real-time usage, and to know the influence of emotions in a selection of products. The findings suggest that virtual, augmented, and mixed reality induce immersion of the users in food selection behavioral studies. Information on the technological advancements in the tools used for bringing immersion and interaction are discussed for its futuristic applications in food. Though immersive technology gives users a realistic virtual environment experience, its application in food systems is in the budding stage. More research on human response studies would contribute to its innovative and inevitable application in the future.


Asunto(s)
Realidad Aumentada , Odorantes , Humanos , Comportamiento del Consumidor , Gusto , Alimentos
3.
Crit Rev Food Sci Nutr ; : 1-24, 2022 Nov 02.
Artículo en Inglés | MEDLINE | ID: mdl-36322685

RESUMEN

Starch is present in high amount in various cereals, fruits and roots & tubers which finds major application in industry. Commercially, starch is rarely consumed or processed in its native form, thus modification of starch is widely used method for increasing its application and process stability. Due to the high demand for starch in industrial applications, researchers were driven to hunt for new sources of starch, including modification of starch through green processing. Thermal properties are significant reference parameters for evaluating the quality of starch when it comes to cooking and processing. Modification of starches affects the thermal properties, which are widely studied using Differential scanning calorimeter or Thermogravimetric analysis. It could lead to a better understanding of starch's thermal properties including factors influencing and expand its commercial applications as a thickener, extender, fat replacer, etc. in more depth. Therefore, the review presents the classification of starches, factors influencing the thermal properties, measurement methods and thermal properties of starch in its native and modified form. Further, this review concludes that extensive research on the thermal properties of new sources of starch, as well as modified starch, is required to boost thermal stability and extend industrial applications.

4.
Eur J Neurol ; 26(9): 1153-1160, 2019 09.
Artículo en Inglés | MEDLINE | ID: mdl-30924985

RESUMEN

BACKGROUND AND PURPOSE: Prior literature on subjective cognitive decline (SCD) has mostly focused on memory complaints. It is uncertain whether the other non-memory complaints are equally relevant and can be used, alongside memory complaints, to identify populations at high risk of cognitive impairment. How the memory and non-memory complaints of SCD cluster with each other amongst community-dwelling individuals was investigated, and the differential utility of the symptom clusters of SCD in predicting objective cognitive performance was evaluated. METHODS: This study included 736 participants who were ≥60 years and had normal cognition, using the baseline data of an ongoing cohort study. Participants completed baseline assessments which comprised an SCD scale, a global cognitive measure and neuropsychological tests. Symptom clusters of SCD - as identified from exploratory and confirmatory factor analyses - were included in structural equation models to predict baseline changes in neuropsychological tests. RESULTS: The symptoms of SCD were split into two distinct factors, of which factor 1 was reported much more frequently than factor 2. Each standard deviation (SD) increment in factor 1 led to a 0.16-0.50 SD increase in global cognition, immediate memory, visuospatial abilities, language, attention and delayed memory (P < 0.05). In contrast, each SD increment in factor 2 worsened some of the cognitive domains by 0.18-0.37 SD. CONCLUSIONS: The various complaints of SCD can have different implications amongst cognitively normal older persons and may possibly be classified into age-related symptoms and pathological symptoms. The findings highlight the need for caution when selecting SCD measures, and illustrate the potential utility of SCD subtypes to inform on the underlying neurobiology.


Asunto(s)
Envejecimiento/fisiología , Cognición/fisiología , Disfunción Cognitiva/fisiopatología , Autoevaluación Diagnóstica , Función Ejecutiva/fisiología , Memoria/fisiología , Anciano , Anciano de 80 o más Años , Femenino , Humanos , Vida Independiente , Análisis de Clases Latentes , Estudios Longitudinales , Masculino , Persona de Mediana Edad , Pruebas Neuropsicológicas
5.
J Appl Microbiol ; 121(6): 1637-1652, 2016 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-27567126

RESUMEN

AIM: Aim of this study was isolation and screening of various secondary metabolites produced by indigenous isolates of soil Actinomycetes for human telomerase inhibitory activity. METHODS AND RESULTS: Extracellular extract from culture suspension of various soil Actinomycetes species were tested for telomerase inhibitory activity. The organism which produced telomerase inhibitor was identified by 16S rRNA gene sequencing. The active fraction was purified by HPLC and analysed by GC-MS to identify the compound. In GC-MS analysis, the active principle was identified as 3-[4'-(2″-chlorophenyl)-2'-thiazolyl]-2,4-dioxo-1,2,3,4-tetrahydro quinazoline. The G-quadruplex stabilizing ability of the compound was checked by molecular docking and simulation experiments with G-quadruplex model (PDB ID-1L1H). The selective binding ability of the compound with G-quadruplex over Dickerson-Drew dodecamer DNA structures showed that the compound possess high selectivity towards G-quadruplex. CONCLUSIONS: Quinazoline derivative isolated from an indigenous strain of Nocardiopsis alba inhibited telomerase. Molecular docking and simulation studies predicted that this compound is a strong stabilizer of G-quadruplex conformation. It also showed a preferable binding to G-quadruplex DNA over normal DNA duplex. SIGNIFICANCE AND IMPACT OF THE STUDY: This particular compound can be suggested as a suitable compound for developing a future anticancer drug. The selectivity towards G-quadruplex over normal DNA duplex gives a clue that it is likely to show lower cytotoxicity in normal cells.


Asunto(s)
Actinobacteria/metabolismo , Antineoplásicos/farmacología , Inhibidores Enzimáticos/farmacología , Quinazolinas/farmacología , Telomerasa/antagonistas & inhibidores , Actinobacteria/genética , Antineoplásicos/química , Antineoplásicos/aislamiento & purificación , Antineoplásicos/metabolismo , ADN/metabolismo , Inhibidores Enzimáticos/química , Inhibidores Enzimáticos/aislamiento & purificación , Inhibidores Enzimáticos/metabolismo , G-Cuádruplex , Humanos , Ligandos , Simulación del Acoplamiento Molecular , Quinazolinas/química , Quinazolinas/aislamiento & purificación , Quinazolinas/metabolismo
6.
Adv Food Nutr Res ; 108: 179-221, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-38460999

RESUMEN

The upcycling of seafood side streams emerges as a crucial facet in the quest for circularity within the food industry, surpassing other food sources in its significance. Seafood side stream plays an indispensable role in global food security and human nutrition. Nevertheless, losses ensue throughout the seafood supply chain, resulting in substantial waste generation. These underutilized seafood by-products contain valuable resources like edible proteins and nitrogenous compounds. Projections indicate that fishery products' utilization for human consumption will soar to 204 MT by 2030. Yet, the industry annually generates millions of tonnes of waste, predominantly from crab, shrimp, and lobster shells, leading to environmental impacts due to COD and BOD issues. A five-tier circular economic model offers a framework to manage seafood side-streams efficiently, with applications spanning pharmaceuticals, food production, animal feed, fertilizers, and energy fuel, thereby maximizing their potential and reducing waste in line with sustainability goals.


Asunto(s)
Industria de Alimentos , Ríos , Animales , Humanos , Industria de Procesamiento de Alimentos , Alimentos Marinos/análisis , Alimentación Animal
7.
Food Chem ; 405(Pt A): 134746, 2023 Mar 30.
Artículo en Inglés | MEDLINE | ID: mdl-36335730

RESUMEN

Cold plasma- the fourth state of matter generated at room temperature is composed of several reactive species that account for chemical and physical changes in biological materials. Applications of plasma in food include but are not limited to maintaining safety, quality, and property modification. However, plasma application in the food sector lacks a detailed understanding of the cause of alteration in food. While several plasma reactive species could potentially be involved in biomolecular interactions, only a few reactive oxygen and nitrogen species (RONS) have been examined in detail. The lack of identifying reactive species with respect to the changes in process parameters leads to misconceptions about the actual chemical reaction. Therefore, this review explores the possibility of using different feed gases to alter species composition and emphasizes that all reactive species are equally involved in modifying food components, alongside the futuristic means of using molecular dynamics simulation to fill the knowledge gap.


Asunto(s)
Gases em Plasma , Especies de Nitrógeno Reactivo , Especies Reactivas de Oxígeno , Alimentos , Simulación de Dinámica Molecular , Alérgenos
8.
J Food Sci ; 88(12): 5093-5107, 2023 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-37961005

RESUMEN

Allergens, antinutritional factors, and lipoxygenase (LOX) enzyme present in soymilk limit its consumption as vegan milk. Therefore, the present study focuses on reducing these limiting factors using pulsed electric field (PEF) treatment. In this regard, 20-40 kV/cm electric field was applied to soymilk for the effective treatment periods of 450, 1350, and 2250 ms. After the treatment, a reduction in pH (6.60 ± 0.10 to 6.47 ± 0.12) and an increase in the conductivity (173.03 ± 0.40 to 177.33 ± 0.72 µS) were observed. Furthermore, FTIR (Fourier Transform Infrared Spectroscopy), UV (Ultra Violet) intrinsic spectra, and CD (Circular Dichroism) spectra (α-helix reduction and ß-sheet increase) data indicated mild structural changes in the proteins of soymilk. As a result, PEF treatment reduced the soymilk allergenicity (67.33 ± 20.48%), LOX activity (69.45 ± 9.38%), and trypsin inhibitor activity (75.61 ± 4.04%). Apart from that, the color, viscosity, and volatiles of soymilk also had significant changes due to PEF treatment. The aroma changes in PEF-treated soymilk were highly influenced by two major principal component (PC1 & PC2) groups and they accounted for about 70% of the aroma variations. However, these changes were mild and did not induce any off-flavors and the treatment remained effective against the quality hazards like allergens, antinutritional factors, and LOX enzyme. PRACTICAL APPLICATION: PEF treatment of soymilk reduces the possible allergic reactions in human body at least by 30%. Further, it reduces the antinutritional factor and off-odor inducing compounds. Therefore, the PEF treatment can be used in industries as a pre-treatment to produce allergen and antinutritional compounds free protein isolates from soybeans.


Asunto(s)
Odorantes , Inhibidores de Tripsina , Humanos , Alérgenos , Glycine max , Electricidad , Lipooxigenasa
9.
Polymers (Basel) ; 14(21)2022 Nov 04.
Artículo en Inglés | MEDLINE | ID: mdl-36365720

RESUMEN

Increasing global environmental problems and awareness towards the utilization of eco-friendly resources enhanced the progress of research towards the development of next-generation biodegradable and environmentally friendly material. The development of natural-based composite material has led to various advantages such as a reduction in greenhouse gases and carbon footprints. In spite of the various advantages obtained from green materials, there are also a few disadvantages, such as poor interfacial compatibility between the polymer matrix and natural reinforcements and the high hydrophilicity of composites due to the reinforcement of hydrophilic natural fibers. This review focuses on various moisture-absorbing and sound-absorbing natural fiber polymer composites along with the synopsis of preparation methods of natural fiber polymer composites. It was stated in various studies that natural fibers are durable with a long life but their moisture absorption behavior depends on various factors. Such natural fibers possess different moisture absorption behavior rates and different moisture absorption behavior. The conversion of hydrophilic fibers into hydrophobic is deemed very important in improving the mechanical, thermal, and physical properties of the natural-fiber-reinforced polymer composites. One more physical property that requires the involvement of natural fibers in place of synthetic fibers is the sound absorption behavior. Various researchers have made experiments using natural-fiber-reinforced polymer composites as sound-absorbing materials. It was found from various studies that composites with higher thickness, porosity, and density behaved as better sound-absorbing materials.

10.
J Dermatolog Treat ; 30(7): 724-726, 2019 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-30646797

RESUMEN

Objective: Tap water iontophoresis as a treatment for focal hyperhidrosis is given as an initial series of treatments in hospital, followed by home maintenance treatments. Our study assessed quality of life and perception of hyperhidrosis with the use of iontophoresis. Materials and methods: All patients treated with iontophoresis at our hospital from 2012 to 2017 were retrospectively assessed (n = 82, mean age 34 years; 60% female). Fifty of the 82 patients (mean age 34 years; 60% female) had a pre-treatment DLQI (mean 12.6). Twenty-three of these patients (mean age 33 years; 60% female) had a paired pre- and post-treatment DLQI recorded. The average DLQI pre-treatment was 14.1 and post-treatment was 2.2. Therefore, the average reduction (improvement) was 11.9 (p < .05). Results: Thirty-eight of the 82 patients (46%) completed a telephone interview (mean age 35 years; 65% female). Of this cohort, 24 had an improvement in HDSS following treatment, and the remaining 14 patients had no change. Nine patients (24%) bought their own iontophoresis machine. In these patients, there was a higher average improvement in HDSS (1.8), compared to the total interviewed cohort (1.0). Conclusion: In conclusion, tap water iontophoresis can result in a significant improvement in perceived severity of hyperhidrosis and quality of life.


Asunto(s)
Hiperhidrosis/terapia , Iontoforesis/métodos , Adulto , Femenino , Hospitales Generales , Humanos , Hiperhidrosis/psicología , Masculino , Calidad de Vida , Estudios Retrospectivos , Agua
11.
Indian J Surg Oncol ; 10(1): 65-71, 2019 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-30948875

RESUMEN

Postoperative pancreatic fistula (POPF) is the most feared complication after pancreaticoduodenectomy (PD) that leads to intra-abdominal abscess, sepsis, or bleeding and remains the single most important source of morbidity and mortality after PD. To minimize this dreaded complication, various surgical techniques and modifications of pancreaticoenteric reconstruction have been proposed. However, still POPF does occur even in experienced hands. We herein describe the outcome of 150 post PD patients who underwent duct-to-mucosa (DM) pancreaticojejunostomy (PJ) using a special technique, Blumgart's "through & through" U transpancreatic sutures. The technique is described in detail. Postoperative octreotide and metoclopramide were used in all patients for 3 days. An enhanced recovery (ERAS) protocol was followed in a subset of patients. All patients were ASA grade 1 and had adenocarcinoma of the periampullary region/pancreatic head and underwent standard pylorus resecting PD after due optimization. Eighty-eight (58.7%) patients had pancreatic duct < 3 mm and pancreatic texture was soft to very soft in 112 (74.6%) patients. There was only one International Study Group of Pancreatic Surgery (ISGPS) grade C POPF with concomitant hemorrhage. Five patients developed ISGPS grade B and two grade C, delayed gastric emptying (DGE). There was no 30-day mortality. The average length of hospital stay was 7.3 ± 4.2 days with a median of 6 days in the ERAS subset of patients. Blumgart's "through & through" DMPJ technique is very helpful in reducing the POPF and other complications even in high-risk pancreas (i.e., soft with a small pancreatic duct) and is easy to learn and perform.

12.
J Prev Alzheimers Dis ; 5(1): 21-25, 2018.
Artículo en Inglés | MEDLINE | ID: mdl-29405228

RESUMEN

OBJECTIVE: To examine the association between long-term tea consumption and depressive and anxiety symptoms in community-living elderly. DESIGN: Community based cross-sectional study. SETTING: The Diet and Healthy Aging Study (DaHA), a prospective cohort study in Singapore. PARTICIPANTS: 614 elderly aged 60 years and above, who were free of dementia and cognitive impairment. MEASUREMENTS: Information on tea consumption was obtained through interviewer-administered questionnaire. Long-term tea drinking was defined as regular consumption for at least 15 years. Depressive and anxiety symptoms were measured using the 15-item Geriatric Depression Scale (GDS-15) and the 20-item Geriatric Anxiety Inventory (GAI), respectively. A generalized structural equation model (gSEM) was applied to ascertain the association between long-term tea consumption and depressive and anxiety symptoms. RESULTS: About 59% of the subjects had consumed tea for over 15 years. Long term tea consumption was significantly associated with a reduced odds of having depressive and anxiety symptoms, after adjusting for demographics (i.e., age, gender, education and ethnicity), comorbid conditions (i.e., heart disease, diabetes, stroke, hypertension and hyperlipidaemia) and long-term coffee consumption. CONCLUSION: There was evidence suggesting that long-term tea consumption was associated with reduced depressive and anxiety symptoms among community-living elderly. This suggests that it is worthwhile to further investigate the role of tea's bioactive compounds in promoting mental health in aging.


Asunto(s)
Ansiedad/prevención & control , Depresión/prevención & control , Conducta de Ingestión de Líquido , , Anciano , Estudios Transversales , Evaluación Geriátrica , Envejecimiento Saludable , Humanos , Vida Independiente , Persona de Mediana Edad , Escalas de Valoración Psiquiátrica , Encuestas y Cuestionarios
13.
Mol Cell Biol ; 18(12): 7521-7, 1998 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-9819437

RESUMEN

tRNAs encoded on the mitochondrial DNA of Physarum polycephalum and Didymium nigripes require insertional editing for their maturation. Editing consists of the specific insertion of a single cytidine or uridine relative to the mitochondrial DNA sequence encoding the tRNA. Editing sites are at 14 different locations in nine tRNAs. Cytidine insertion sites can be located in any of the four stems of the tRNA cloverleaf and usually create a G. C base pair. Uridine insertions have been identified in the T loop of tRNALys from Didymium and tRNAGlu from Physarum. In both tRNAs, the insertion creates the GUUC sequence, which is converted to GTPsiC (Psi = pseudouridine) in most tRNAs. This type of tRNA editing is different from other, previously described types of tRNA editing and resembles the mRNA and rRNA editing in Physarum and Didymium. Analogous tRNAs in Physarum and Didymium have editing sites at different locations, indicating that editing sites have been lost, gained, or both since the divergence of Physarum and Didymium. Although cDNAs derived from single tRNAs are generally fully edited, cDNAs derived from unprocessed polycistronic tRNA precursors often lack some of the editing site insertions. This enrichment of partially edited sequences in unprocessed tRNAs may indicate that editing is required for tRNA processing or at least that RNA editing occurs as an early event in tRNA synthesis.


Asunto(s)
Mixomicetos/genética , Physarum/genética , Edición de ARN/genética , ARN Protozoario/genética , ARN de Transferencia/genética , ARN/genética , Animales , Secuencia de Bases , Citidina/genética , ADN Complementario/genética , ADN Mitocondrial/genética , Datos de Secuencia Molecular , Conformación de Ácido Nucleico , ARN Mitocondrial , Alineación de Secuencia , Uridina/genética
14.
J Natl Cancer Inst ; 77(2): 343-9, 1986 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-2426509

RESUMEN

An immunohistological study in the human breast and the rodent breast (from inbred Ludwig/Wistar/Olac rats) was conducted with the use of a murine monoclonal antibody, which reacts with the common acute lymphoblastic antigen, a glycosylated polypeptide of a molecular weight of 100,000. The epitope, as recognized by this antibody, is expressed on myoepithelial cells of the normal human and rat breasts and was studied in the developing rodent mammary gland. Ultrastructural studies in the normal human breast clearly demonstrated the presence of the antigen on the lateral membrane of the myoepithelial cells with no staining of luminal cells, blood vessels, or stromal elements. The antigen survived prolonged enzymatic digestion of human breast tissue and could be demonstrated on myoepithelial cells in single-cell suspensions of human breast where it stained approximately 3-14% of the total cell population. The presence of this antigen on myoepithelial cells is discussed in the context of myoepithelial differentiation in the breast and the potential utility of the antibodies for cell separation.


Asunto(s)
Anticuerpos Monoclonales , Antígenos de Neoplasias/análisis , Neoplasias de la Mama/patología , Mama/citología , Glándulas Mamarias Animales/citología , Animales , Antígenos de Neoplasias/inmunología , Mama/inmunología , Neoplasias de la Mama/inmunología , Diferenciación Celular , Células Epiteliales , Epítopos/análisis , Femenino , Humanos , Glándulas Mamarias Animales/inmunología , Neprilisina , Embarazo , Ratas , Ratas Endogámicas
15.
Singapore Med J ; 47(11): 957-9, 2006 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-17075663

RESUMEN

INTRODUCTION: Co-sleeping or bed-sharing is a common practice that has been little researched. While often viewed as being "cultural" in nature, there is a suggestion that it may be a parental response to sleep problems. Some studies link co-sleeping with behavioural and temperamental difficulties. The objectives of the current study were to determine the prevalence of co-sleeping and how they relate to sleeping problems among a cohort of children and adolescents seen in a child guidance clinic. METHODS: Parents or guardians of all new patients seen at the child guidance clinic were asked to complete a questionnaire upon their consent to participate in the study. The questionnaire included socio-demographical data and frequency of sleep problems in the past six months. A list of nine common sleep problems was included. RESULTS: The prevalence of co-sleeping was found to be 72.7 percent. The children who co-sleep were significantly younger and there was a decrease in the practice with increasing age. Sleep starts and nightmares were significantly more among those sleeping alone. CONCLUSION: Co-sleeping was not associated with significant sleep problems in our cohort. Co-sleeping may have been initiated in response to an existing sleep problem but eventually resolved the problem. If co-sleeping is not permitted, the sleep problem could be compounded, giving rise to a higher prevalence of sleep starts and nightmares among those in our cohort who slept alone.


Asunto(s)
Lechos , Trastornos del Inicio y del Mantenimiento del Sueño/prevención & control , Adolescente , Adulto , Niño , Clínicas de Orientación Infantil , Crianza del Niño , Preescolar , Femenino , Humanos , Masculino , Singapur/epidemiología , Trastornos del Inicio y del Mantenimiento del Sueño/epidemiología , Encuestas y Cuestionarios
16.
Psychol Health ; 31(11): 1293-310, 2016 11.
Artículo en Inglés | MEDLINE | ID: mdl-27356241

RESUMEN

OBJECTIVE: This study explores (1) the motivations and challenges facing family caregiving for cancer in Singapore and (2) suggests a possible framework to guide culturally sensitive future work on caregivers. DESIGN: Twenty caregivers of patients being treated for cancer at a public hospital in Singapore were interviewed. A semi-structured interview format and inductive thematic analysis were used to analyse the data. Caregivers were asked about their motivations for caregiving and the challenges they faced. RESULTS: Caregivers' motivations grouped into three categories: personal value and fulfilment, giving care because of societal expectations such as filial piety, and practical need. Challenges were grouped into interpersonal challenges, disclosure and finding balance. Caregivers with different primary motivations varied in their responses to these challenges. More autonomous caregivers cited learning points and reprioritised more effectively than less autonomous caregivers, who reported more internal conflict and less control over their situation. CONCLUSIONS: In Singapore and Asia, sociocultural values of family caregiving are not uniformly experienced as positive, and may be burdensome for caregivers who give care primarily for extrinsic motivations. As family caregiving needs increase, targeted psychosocial support for caregivers with less autonomous behavioural orientations may pre-empt caregiver burnout and burden.


Asunto(s)
Cuidadores/psicología , Costo de Enfermedad , Motivación , Neoplasias/psicología , Adulto , Características Culturales , Femenino , Humanos , Masculino , Persona de Mediana Edad , Neoplasias/terapia , Investigación Cualitativa , Singapur , Valores Sociales , Adulto Joven
17.
East Asian Arch Psychiatry ; 26(1): 10-7, 2016 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-27086755

RESUMEN

OBJECTIVE: Pharmacotherapy of depression in children and adolescents is complex. In the absence of research into the efficacy and safety of antidepressants in this group of patients, their off-label prescription is common. This paper aimed to illustrate the prescription pattern of antidepressants in children and adolescents from major psychiatric centres in Asia. METHODS: The Research on Asia Psychotropic Prescription Pattern on Antidepressants worked collaboratively in 2013 to study the prescription pattern of antidepressants in Asia using a unified research protocol and questionnaire. Forty psychiatric centres from 10 Asian countries / regions participated and 2321 antidepressant prescriptions were analysed. RESULTS: A total of 4.7% antidepressant prescriptions were for children and adolescents. Fluoxetine, sertraline, and escitalopram were the most common antidepressants prescribed for children and adolescents. Almost one-third (30.3%) of prescriptions were for diagnoses other than depressive and anxiety disorders. There was less antidepressant polypharmacy and concomitant use of benzodiazepine, but more concomitant use of antipsychotics in children and adolescents compared with adults. CONCLUSION: Off-label use of antidepressants in children and adolescents was reported by 40 Asian psychiatric institutions that participated in the study. In-service education and regulatory mechanisms should be reinforced to ensure efficacy and safety of antidepressants in children and adolescents.


Asunto(s)
Antidepresivos/uso terapéutico , Trastornos de Ansiedad/tratamiento farmacológico , Trastorno Depresivo/tratamiento farmacológico , Pautas de la Práctica en Medicina/estadística & datos numéricos , Adolescente , Asia , Niño , Femenino , Humanos , Masculino
18.
Singapore Med J ; 46(11): 610-5, 2005 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-16228091

RESUMEN

The Ministry of Health Clinical Practice Guidelines for Depression were prepared and distributed to all doctors in Singapore in early 2004. This article highlights salient points and discusses pharmacotherapy, psychotherapy and psychoeducation in managing cases of depression. Assessment of suicide risk is elaborated upon, although this was not discussed in the guidelines. The learning points will be enhanced if this article is reviewed together with the Ministry of Health Clinical Practice Guidelines.


Asunto(s)
Antidepresivos/uso terapéutico , Trastorno Depresivo/tratamiento farmacológico , Servicios de Salud Mental/normas , Guías de Práctica Clínica como Asunto , Humanos , Administración en Salud Pública/normas , Medición de Riesgo , Singapur
19.
Biol Psychiatry ; 50(2): 144-7, 2001 Jul 15.
Artículo en Inglés | MEDLINE | ID: mdl-11526996

RESUMEN

BACKGROUND: Genetic factors have been implicated in the pathophysiology of the movement disorder tardive dyskinesia, which may involve dopamine-serotonin interaction. Case-control association studies have identified the T102C polymorphism of the 5-HT2A receptor gene as being associated with schizophrenia and responsiveness to clozapine. In this study, we examine the association of this polymorphism in the 5-HT2A receptor gene as a risk factor for developing schizophrenia and tardive dyskinesia from prolonged treatment with neuroleptics. METHODS: Ninety-seven healthy control subjects with no history of mental illness and 221 schizophrenic patients (87 with tardive dyskinesia, 134 without) were genotyped by PCR-RFLP. RESULTS: Comparison between cases and control subjects revealed no significant association between the C allele and schizophrenia. There was significant difference in allele frequency (p = .044, OR = 1.54 95% CI = 1.02-2.33) between patients who developed tardive dyskinesia and those who did not. Significant difference remains even after adjusting for age and neuroleptic dosage (p = .041) with the odds ratio at 1.64 (95% CI = 1.02-2.62). CONCLUSIONS: A genetic variant of the 5-HT2A receptor may be associated with neuroleptic-induced tardive dyskinesia in schizophrenia. Further studies are needed to replicate the finding. The role of 5-HT2A receptor in the etiology of tardive dyskinesia or treatment-resistant schizophrenia should be further investigated.


Asunto(s)
Antipsicóticos/efectos adversos , Discinesias/genética , Polimorfismo Genético , Receptores de Serotonina/genética , Esquizofrenia/tratamiento farmacológico , Dopamina/metabolismo , Femenino , Predisposición Genética a la Enfermedad , Genotipo , Humanos , Masculino , Persona de Mediana Edad , Factores de Riesgo , Esquizofrenia/genética , Serotonina/metabolismo
20.
Int Clin Psychopharmacol ; 7(2): 101-8, 1992 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-1487621

RESUMEN

Fifteen healthy male volunteers aged over 60 years received acute and repeated doses of paroxetine 20 mg or placebo, and acute doses of lorazepam 1 mg (as a positive internal control) with or without alcohol (0.6 g/kg of body weight) administered openly in a double blind balanced crossover study in which each subject acted as his own control. Psychomotor performance and cognitive function were assessed using a test battery which included critical flicker fusion, choice reaction time, compensatory tracking, Stroop and memory scanning tests. Subjective ratings of mood and sleep were recorded using line analogue rating scales. The pattern of results indicated that paroxetine had little or no effect on most of the test variables, and in some instances (critical flicker fusion thresholds) improved information processing ability. This was in marked contrast to the lorazepam verum which produced sedation and disruption of performance. Paroxetine had a slight antagonistic effect on alcohol induced sedation whereas impairment of performance with lorazepam was potentiated by co-administration of alcohol. The low behavioural toxicity of paroxetine in elderly volunteers has important implications for the pharmacotherapy of depression.


Asunto(s)
Cognición/efectos de los fármacos , Etanol/farmacología , Paroxetina/farmacología , Desempeño Psicomotor/efectos de los fármacos , Anciano , Anciano de 80 o más Años , Método Doble Ciego , Fusión de Flicker/efectos de los fármacos , Humanos , Lorazepam/farmacología , Masculino , Memoria a Corto Plazo/efectos de los fármacos , Persona de Mediana Edad , Tiempo de Reacción/efectos de los fármacos , Sueño/efectos de los fármacos
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