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1.
Sci Rep ; 10(1): 12970, 2020 Jul 31.
Artículo en Inglés | MEDLINE | ID: mdl-32737425

RESUMEN

Scalable heterojunctions based on two-dimensional transitional metal dichalcogenides are of great importance for their applications in the next generation of electronic and optoelectronic devices. However, reliable techniques for the fabrication of such heterojunctions are still at its infancy. Here we demonstrate a simple technique for the scalable fabrication of lateral heterojunctions via selective chemical doping of TMD thin films. We demonstrate that the resistance of large area MoS2 and MoSe2 thin film, prepared via low pressure chalcogenation of molybdenum film, decreases by up to two orders of magnitude upon doping using benzyl viologen (BV) molecule. X-ray photoelectron spectroscopy (XPS) measurements confirms n-doping of the films by BV molecules. Since thin films of MoS2 and MoSe2 are typically more resistive than their exfoliated and co-evaporation based CVD counterparts, the decrease in resistance by BV doping represents a significant step in the utilization of these samples in electronic devices. Using selective BV doping, we simultaneously fabricated many lateral heterojunctions in 1 cm2 MoS2 and 1 cm2 MoSe2 films. The electrical transport measurements performed across the heterojunctions exhibit current rectification behavior due to a band offset created between the doped and undoped regions of the material. Almost 84% of the fabricated devices showed rectification behavior demonstrating the scalability of this technique.

2.
J Dairy Sci ; 102(1): 690-695, 2019 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-30415860

RESUMEN

The measurement of the respiration rate (RR) in cattle is a valuable tool for monitoring health status. Thus, an RR sensor can be essential for stress detection, especially heat stress. Heat stress leads to a deviation of the normal RR and results in a decrease of milk production and fertility. Therefore, continuous monitoring of the RR can help early detection of heat stress and, thus, initiate timely counteractive actions to minimize physical stress. The most common method to measure the RR in cattle is to count the flank movement visually; however, this method is time-consuming and labor-intensive. In addition, the continuous measurement of the RR is difficult to implement and can be physically strenuous. Therefore, a device based on a differential pressure sensor that can record RR automatically has been developed to make continuous long-term studies possible. The aim of this study was to validate the data measured by the device with the help of a reference method. The reference method used was counting the flank movements of a total of 6 cows (Holstein-Friesian). The rear flank movements of each cow were recorded by a camera and counted independently of the device by an observer. Eight videos of 1 min each were recorded per cow. The data analysis was done with cows in 3 different body positions: dozing, lying, and standing. A total of 48 RR measurements of the device were compared with the counted RR frequencies of the video recording. The results were highly correlated during dozing [correlation coefficient (r) = 0.92, n = 13], lying (r = 0.98, n = 15), and standing (r = 0.99, n = 20). The evaluation showed that the device is suitable for automated RR counting. Further development of a marketable device is planned.


Asunto(s)
Enfermedades de los Bovinos/diagnóstico , Trastornos de Estrés por Calor/veterinaria , Monitoreo Fisiológico/veterinaria , Frecuencia Respiratoria , Animales , Bovinos , Enfermedades de los Bovinos/fisiopatología , Femenino , Trastornos de Estrés por Calor/diagnóstico , Trastornos de Estrés por Calor/fisiopatología , Respuesta al Choque Térmico/fisiología , Lactancia , Monitoreo Fisiológico/instrumentación , Movimiento , Grabación en Video
3.
Anim Reprod Sci ; 182: 138-145, 2017 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-28576677

RESUMEN

The dilution of ejaculates is a fundamental step for the production of liquid-preserved boar semen. For a long time, it has been recommended to add the extender to the ejaculate. The aim of the present study was to first compare the effect of the position ('center' vs. 'wall') where the extender is added to the semen-mixing cylinder (height 32.5cm; diameter 12.7cm) using an automatic dispenser (n=11). In experiment 2 (n=30), we analyzed the two main dilution methods (extender to the semen ('control') vs. 'reverse'). Experiment 3 was carried out to study the dilution effect on kinematics. In Experiments 1 and 2, the sperm distribution 10min after the dilution and the sperm quality parameters during long-term storage (d1, d3, d5, and d7) were evaluated. In Experiment 3, sperm quality was assessed during short-term storage at 0, 10, 20, 30 and 60min after semen dilution ('control' vs. 'reverse'; n=6). There were no significant differences (P>0.05) between the treatments in the specific response to bicarbonate, mitochondrial activity, membrane status, thermo-resistance or sperm motility immediately after dilution or long-term storage. The sperm distribution was significantly (P=0.029) affected by the dilution method in Experiment 2. In summary, treatment with the extender first, which is used by only a few European boar studs, leads to comparable results in sperm quality during storage and better results in sperm distribution after dilution. This procedure is also less time consuming, less foam formation occurs during the semen dilution and the procedure is more hygienic.


Asunto(s)
Inseminación Artificial/veterinaria , Análisis de Semen , Espermatozoides/fisiología , Porcinos/fisiología , Animales , Masculino
4.
Protein Eng Des Sel ; 30(5): 347-357, 2017 05 01.
Artículo en Inglés | MEDLINE | ID: mdl-28338893

RESUMEN

Powerful, facile new ways to create libraries of site-directed mutants are demonstrated. These include: (1) one-pot-PCR, (2) multi-pot-PCR, and (3) split-mix-PCR. One-pot-PCR uses mutant oligonucleotides to generate megaprimers in situ, and it was used to randomly incorporate 28 mutations in a gabT gene in a single reaction. In more difficult cases, multi-pot-PCR can be employed: mutant megaprimers are synthesized individually, then combined in a single mutagenesis PCR. This method was used to incorporate 14 out of 15 mutations in a pabB gene. Split-mix-PCR is a conceptually novel method for creation of site-directed mutant libraries. Separate PCRs for each mutant primer are performed, followed by pooling the products of the individual reactions. The pooled mixture is re-aliquoted into individual mutant oligonucleotide PCRs. These steps are repeated for each cycle. Split-mix-PCR results in a nearly random distribution of mutation sites, and a distribution of number-of-mutations per gene that is computable and narrow. Split-mix-PCR was applied to the directed evolution of aminodeoxychorismate synthase into anthranilate synthase, and easily allowed the determination of the fewest mutations required for introduction of novel activity.


Asunto(s)
Proteínas de Escherichia coli , Escherichia coli , Biblioteca de Genes , Mutagénesis Sitio-Dirigida/métodos , Mutación , Transaminasas , Escherichia coli/enzimología , Escherichia coli/genética , Proteínas de Escherichia coli/química , Proteínas de Escherichia coli/genética , Reacción en Cadena de la Polimerasa/métodos , Transaminasas/química , Transaminasas/genética
5.
Animal ; 10(9): 1542-6, 2016 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-26190139

RESUMEN

In this study, a video-based infrared camera (IRC) was investigated as a tool to monitor the body temperature of calves. Body surface temperatures were measured contactless using videos from an IRC fixed at a certain location in the calf feeder. The body surface temperatures were analysed retrospectively at three larger areas: the head area (in front of the forehead), the body area (behind forehead) and the area of the entire animal. The rectal temperature served as a reference temperature and was measured with a digital thermometer at the corresponding time point. A total of nine calves (Holstein-Friesians, 8 to 35 weeks old) were examined. The average maximum temperatures of the area of the entire animal (mean±SD: 37.66±0.90°C) and the head area (37.64±0.86°C) were always higher than that of the body area (36.75±1.06°C). The temperatures of the head area and of the entire animal were very similar. However, the maximum temperatures as measured using IRC increased with an increase in calf rectal temperature. The maximum temperatures of each video picture for the entire visible body area of the calves appeared to be sufficient to measure the superficial body temperature. The advantage of the video-based IRC over conventional IR single-picture cameras is that more than one picture per animal can be analysed in a short period of time. This technique provides more data for analysis. Thus, this system shows potential as an indicator for continuous temperature measurements in calves.


Asunto(s)
Bovinos/fisiología , Termografía/veterinaria , Grabación de Cinta de Video/métodos , Animales , Temperatura Corporal , Bovinos/crecimiento & desarrollo , Termografía/instrumentación , Termografía/métodos , Grabación de Cinta de Video/instrumentación
6.
Theriogenology ; 83(3): 430-7, 2015 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-25459424

RESUMEN

The present study addresses the microbiological results of a quality control audit in artificial insemination (AI) boar studs in Germany and Austria. The raw and processed semen of 344 boars in 24 AI boar studs were analyzed. Bacteria were found in 26% (88 of 344) of the extended ejaculates and 66.7% (18 of 24) of the boar studs. The bacterial species found in the AI dose were not cultured from the respective raw semen in 95.5% (84 of 88) of the positive samples. These data, together with the fact that in most cases all the samples from one stud were contaminated with identical bacteria (species and resistance profile), indicate contamination during processing. Microbiological investigations of the equipment and the laboratory environment during semen processing in 21 AI boar studs revealed nine hygienic critical control points (HCCP), which were addressed after the first audit. On the basis of the analysis of the contamination rates of the ejaculate samples, improvements in the hygiene status were already present in the second audit (P = 0.0343, F-test). Significant differences were observed for heating cabinets (improvement, P = 0.0388) and manual operating elements (improvement, P = 0.0002). The odds ratio of finding contaminated ejaculates in the first and second audit was 1.68 (with the 95% confidence interval ranging from 1.04 to 2.69). Furthermore, an overall good hygienic status was shown for extenders, the inner face of dilution tank lids, dyes, and ultrapure water treatment plants. Among the nine HCCP considered, the most heavily contaminated samples, as assessed by the median scores throughout all the studs, were found in the sinks and/or drains. High numbers (>10(3) colony-forming units/cm(2)) of bacteria were found in the heating cabinets, ejaculate transfer, manual operating elements, and laboratory surfaces. In conclusion, the present study emphasizes the need for both training of the laboratory staff in monitoring HCCP in routine semen production and audits in such AI centers for the external control of hygiene parameters.


Asunto(s)
Análisis de Semen/veterinaria , Semen/microbiología , Porcinos , Animales , Austria , Alemania , Higiene , Inseminación Artificial/métodos , Inseminación Artificial/veterinaria , Manejo de Especímenes/métodos , Manejo de Especímenes/veterinaria
7.
J Dairy Sci ; 97(6): 3689-93, 2014.
Artículo en Inglés | MEDLINE | ID: mdl-24746135

RESUMEN

Prototypes of the automatic-dipping system Apollo were tested with the IQ milking cluster (GEA Farm Technologies GmbH, Bönen, Germany) to determine the teat-dip residues in the milk and the dipping performance (number of dipped teats) of the system compared with manual (hand) dipping. A laboratory trial and a field trial at a dairy farm were performed to determine the iodine level in the milk when an iodine-based teat dip was used. In the laboratory trial, the mean difference between the 53 paired samples (sampling upstream and downstream of the cluster) was 18.9 ± 3.18 µg of iodine/kg. A field trial at a 300-cow commercial dairy farm consisted of taking 2 sets of individual cow milk samples 6 wk apart. Three weeks before the second test day, the iodine-based teat dip was replaced by an iodine-free teat dip. The mean difference between the 2 sets of 55 samples was 25.1 ± 5.22 µg/kg. Compared with manually applying an iodine-based teat dip, the increase in the iodine content resulting from the use of the tested cluster with automatic dipping was very low and would not be an issue of food safety. The dipping performance tests were completed on the same 300-cow commercial dairy farm as the field iodine level trial was performed. In total, 4,541 teats from 307 cows were observed on 4 consecutive days, showing a 91.6 ± 1.3% success rate.


Asunto(s)
Industria Lechera , Inocuidad de los Alimentos , Yodo/análisis , Leche/química , Animales , Bovinos , Industria Lechera/instrumentación , Desinfectantes/análisis , Femenino , Glándulas Mamarias Animales
8.
Prev Vet Med ; 113(4): 556-64, 2014 Mar 01.
Artículo en Inglés | MEDLINE | ID: mdl-24462192

RESUMEN

An on-farm experiment was performed to investigate the effects of two milking systems on teat condition. An auto-tandem milking parlor made by GEA(®) with a conventional milking cluster (CON) and a single tube milking system called MultiLactor(®) (MULTI) from Siliconform GmbH were tested. For both milking system, in total 73 animals were milked over a period of seven months. To assess the effect of milking on teat condition, each teat was scored according to teat-condition evaluation systems. To evaluate teat condition, the teat color, ring formation at the teat base and formation of teat hyperkeratosis were assessed. The evaluation was conducted once a month after milking. The collected data were then statistically analyzed with generalized linear mixed models. The only differences found between the two milking systems occurred with respect to their effect on teat color. MULTI showed significantly better scores compared to CON. There were no significant differences between the milking systems with regard to teat-end hyperkeratosis and ring formation at the teat base.


Asunto(s)
Bovinos/fisiología , Industria Lechera/métodos , Lactancia , Glándulas Mamarias Animales/fisiología , Animales , Femenino , Leche/metabolismo
9.
Sci Total Environ ; 468-469: 53-62, 2014 Jan 15.
Artículo en Inglés | MEDLINE | ID: mdl-24012895

RESUMEN

Understanding seasonal and diel variations of ammonia (NH3) and methane (CH4) emissions from a naturally ventilated dairy (NVD) building may lead to develop successful control strategies for reducing emissions throughout the year. The main objective of this study was to quantify seasonal and diel variations of NH3 and CH4 emissions together with associated factors influencing emissions. Measurements were carried out with identical experimental set-up to cover three winter, spring and summer seasons, and two autumn seasons in the years 2010, 2011, and 2012. The data from 2010 and 2011 were used for developing emission prediction models and the data from 2012 were used for model validation. The results showed that NH3 emission varied seasonally following outside temperature whereas CH4 emission did not show clear seasonal trend. Diel variation of CH4 emission was less pronounced than NH3. The average NH3 and CH4 emissions between 6a.m. and 6p.m. were 66% and 33% higher than the average NH3 and CH4 emissions between 6p.m. and 6a.m., respectively for all seasons. The significant relationships (P<0.0001) between NH3 and influencing factors were found including outside temperature, humidity, wind speed and direction, hour of the day and day of the year. The significant effect (P<0.0001) of climate factors, hours of the day and days of the year on CH4 emission might be directly related to activities of the cows.


Asunto(s)
Contaminantes Ocupacionales del Aire/análisis , Amoníaco/análisis , Industria Lechera/métodos , Metano/análisis , Estaciones del Año , Alemania , Humedad , Modelos Lineales , Temperatura , Factores de Tiempo , Ventilación/métodos
10.
Br Poult Sci ; 54(5): 553-61, 2013.
Artículo en Inglés | MEDLINE | ID: mdl-24066948

RESUMEN

1. The aim of this study was to assess the suitability of a dielectric measurement to evaluate the prevalence and severity of foot pad dermatitis (FPD) in broiler chickens. 2. The study focussed on surveying the occurrence of FPD during the growing period of one broiler chicken flock. A scoring system consisting of 5 categories was used to assess the prevalence and severity of FPD macroscopically. Additionally, the dielectric constant (DC) of both foot pads of 50 chickens was measured in a triple iteration with the MoistureMeter D (Delfin Technologies, Kuopio, Finland) on three different dates. 3. On all measurement days, DC and FPD score were negatively correlated. The severity of FPD increased during the growing period, and severe lesions occurred at an early stage. 4. Further research is necessary to develop an effective early warning system for FPD in poultry houses. However, the non-invasive measurement of DC provides a reliable method for the objective assessment of occurrence and severity of FPD.


Asunto(s)
Bienestar del Animal , Pollos , Radiación Electromagnética , Dermatosis del Pie/veterinaria , Enfermedades del Pie/veterinaria , Enfermedades de las Aves de Corral/patología , Animales , Simulación por Computador , Femenino , Pisos y Cubiertas de Piso , Dermatosis del Pie/diagnóstico , Dermatosis del Pie/epidemiología , Dermatosis del Pie/patología , Enfermedades del Pie/diagnóstico , Enfermedades del Pie/epidemiología , Enfermedades del Pie/patología , Vivienda para Animales , Modelos Lineales , Masculino , Enfermedades de las Aves de Corral/diagnóstico , Enfermedades de las Aves de Corral/epidemiología , Prevalencia
11.
Br J Anaesth ; 100(4): 509-16, 2008 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-18270231

RESUMEN

BACKGROUND: This study describes a pharmacodynamic model during general anaesthesia in children relating the bispectral index (BIS) response to the anaesthetic dosing of propofol, fentanyl, and remifentanil. METHODS: BIS, heart rate, mean arterial pressure, sedation scores, and anaesthetic protocols from 59 children aged 1-16 yr undergoing general surgery were considered for the study. Anaesthesia was performed with propofol, fentanyl, and remifentanil. A sigmoid model assuming additive interaction of propofol, fentanyl, and remifentanil was fitted to individual BIS as effect variable. The pharmacodynamic parameters were estimated by non-linear regression analysis. The ability of BIS to predict anaesthetic drug effect was quantified by the prediction probability Pk. RESULTS: BIS started at a baseline of 90 (9), decreased during induction to 30 (14) and remained at 57 (10) during anaesthesia. BIS predicted the anaesthetic drug effect with a Pk of 0.79 (0.08). The EC(50 Propofol) and the k(e0 Propofol) were 5.2 (2.7) microg ml(-1) and 0.60 (0.45) min(-1), respectively. The k(e0 Propofol) decreased from approximately 0.91 min(-1) at 1 yr to 0.15 min(-1) at 16 yr. The EC(50 Remifentanil), k(e0 Remifentanil), EC(50 Fentanyl), and the k(e0 Fentanyl) were 24.1 (13.0) ng ml(-1), 0.71 (0.32) min(-1), 8.6 (7.4) ng ml(-1), and 0.28 (0.46) min(-1), respectively. CONCLUSIONS: The effect equilibration half-time of propofol in children was age dependent. The pharmacodynamics of fentanyl and remifentanil in children were similar to those reported in adults. The BIS showed a close relationship to the modelled effect-site concentration, and therefore, it may serve as a measure of anaesthetic drug effect in children older than 1 yr.


Asunto(s)
Anestésicos Intravenosos/farmacología , Electroencefalografía/efectos de los fármacos , Propofol/farmacología , Adolescente , Envejecimiento/sangre , Anestesia Intravenosa/métodos , Anestésicos Combinados/farmacología , Anestésicos Intravenosos/sangre , Presión Sanguínea/efectos de los fármacos , Niño , Preescolar , Femenino , Fentanilo/sangre , Fentanilo/farmacología , Frecuencia Cardíaca/efectos de los fármacos , Humanos , Lactante , Masculino , Modelos Biológicos , Monitoreo Intraoperatorio/métodos , Piperidinas/sangre , Piperidinas/farmacología , Propofol/sangre , Remifentanilo
12.
Vaccine ; 24(44-46): 6747-50, 2006 Nov 10.
Artículo en Inglés | MEDLINE | ID: mdl-16782243

RESUMEN

The 1918 influenza pandemic known as the "Spanish Flu" has been the worst in recent history with estimated worldwide mortality ranging from 20 to 100 million deaths. Using epidemic modeling and hospital notification data during the 1918 influenza pandemic in the Canton of Geneva, Switzerland, we estimated the reproductive numbers of the first and second waves of influenza infection to be R(1)=1.49 (95% CI: 1.45-1.53) and R(2)=3.75 (95% CI: 3.57-3.93), respectively. Our estimates indicate that containment of the next influenza pandemic could require strict interventions that include effective isolation strategies in hospitals and reductions in the susceptibility of the general population.


Asunto(s)
Brotes de Enfermedades/estadística & datos numéricos , Gripe Humana/epidemiología , Brotes de Enfermedades/historia , Historia del Siglo XX , Humanos , Gripe Humana/historia , Gripe Humana/mortalidad , Gripe Humana/transmisión , Modelos Biológicos , Análisis de Supervivencia , Suiza
13.
J Theor Biol ; 241(2): 193-204, 2006 Jul 21.
Artículo en Inglés | MEDLINE | ID: mdl-16387331

RESUMEN

Recurrent outbreaks of the avian H5N1 influenza virus in Asia represent a constant global pandemic threat. We characterize and evaluate hypothetical public health measures during the 1918 influenza pandemic in the Canton of Geneva, Switzerland. The transmission rate, the recovery rate, the diagnostic rate, the relative infectiousness of asymptomatic cases, and the proportion of clinical cases are estimated through least-squares fitting of the model to epidemic curve data of the cumulative number of hospital notifications. The latent period and the case fatality proportion are taken from published literature. We determine the variance and identifiability of model parameters via a simulation study. Our epidemic model agrees well with the observed epidemic data. We estimate the basic reproductive number for the spring wave R1;=1.49 (95% CI: 1.45-1.53) and the reproductive number for the fall wave R2;=3.75 (95% CI: 3.57-3.93). In addition, we estimate the clinical reporting for these two waves to be 59.7% (95% CI: 55.7-63.7) and 83% (95% CI: 79-87). We surmise that the lower reporting in the first wave can be explained by a lack of initial awareness of the epidemic and the relative higher severity of the symptoms experienced during the fall wave. We found that effective isolation measures in hospital clinics at best would only ensure control with probability 0.87 while reducing the transmission rate by >76.5% guarantees stopping an epidemic.


Asunto(s)
Brotes de Enfermedades/historia , Gripe Humana/historia , Modelos Biológicos , Notificación de Enfermedades/historia , Brotes de Enfermedades/estadística & datos numéricos , Historia del Siglo XX , Humanos , Gripe Humana/epidemiología , Gripe Humana/prevención & control , Gripe Humana/transmisión , Suiza/epidemiología
14.
Arch Physiol Biochem ; 110(1-2): 137-45, 2002 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-11935411

RESUMEN

Although peptide hormone receptors commonly exert their actions at the plasma membrane the cellular mechanisms that route the receptor proteins to the cell surface during biosynthesis are not well characterized. Here we report on the identification of a plasma membrane targeting sequence of rat somatostatin receptor subtype 3. While type 3 somatostatin receptors are present almost exclusively at the cell surface, type 1 receptors localize in addition largely in intracellular vesicular compartments. Chimeric receptors were constructed between rat somatostatin receptors 3 and 1. They were tagged by recombinant DNA techniques with a herpes simplex virus glycoprotein D epitope at the carboxyl-termini to facilitate their detection using fluorescence microscopic methods. Following transfection of the constructs in human embryonic kidney and rat insulinoma cells the chimeric receptors were analyzed by indirect immunofluorescence using anti-epitope monoclonal antibody and confocal laser scanning microscopy. The results demonstrate that the amino-terminal domain of somatostatin receptor 3 suffices to guide chimeric receptors to the cell surface. In marked contrast, chimeric receptors that lack this sequence but contain instead the amino-terminus of somatostatin type 1 receptor localize in an intracellular vesicular compartment.


Asunto(s)
Membrana Celular/metabolismo , Señales de Clasificación de Proteína , Receptores de Somatostatina/metabolismo , Animales , Técnica del Anticuerpo Fluorescente Indirecta , Microscopía Confocal , Ratas , Receptores de Somatostatina/genética , Proteínas Recombinantes de Fusión/genética , Proteínas Recombinantes de Fusión/metabolismo , Células Tumorales Cultivadas
15.
Euro Surveill ; 7(12): 190-2, 2002 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-12631986

RESUMEN

In Geneva, Switzerland, the Spanish flu epidemic affected more than 50% of the population. The mortality was higher among those aged between 20-49 years and among men. The socioeconomic impact was very important, as the outbreak led to severe dysfunctions, including in health services. This epidemic shows the socio-economical burden that may be associated with influenza and highlights the need for pandemic preparedness.


Asunto(s)
Brotes de Enfermedades , Gripe Humana , Costo de Enfermedad , Epidemiología , Historia del Siglo XX , Hospitales , Humanos , Gripe Humana/epidemiología , Personal Militar , Tasa de Supervivencia , Suiza , Guerra
16.
Int J Epidemiol ; 29(5): 871-7, 2000 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-11034971

RESUMEN

BACKGROUND: Examining life expectancy and general mortality rates, the health of the population of Geneva can be described as one of the best in the world. However, in some areas Geneva fares worse than the rest of Switzerland or Europe. To re-appraise the current health priorities of the Genevan population, we analysed the relative importance of specific diseases and injuries calculating DALYs. METHODS: We followed the procedures developed for the Global Burden of Disease (GBD) study to ensure comparability. Some adaptations were made for mortality coding. Disability was estimated based on data for countries classified as Established Market Economies (EME) in the GBD study. RESULTS: Non-communicable diseases accounted for 79% of the disability adjusted life years (DALY), injuries represented 12%, and communicable diseases and other disorders 9%. Ischaemic heart disease was the largest single contributor to DALY, followed by unipolar major depression. Neuropsychiatric disorders and mental health accounted for more than 23% of DALY. CONCLUSIONS: Some of the most important problems identified-depression, osteoarthritis and alcohol abuse-would have been overlooked in an analysis based solely on mortality data. The most striking finding is the importance of mental health problems. The main limitation is the lack of morbidity data for Geneva.


Asunto(s)
Personas con Discapacidad/estadística & datos numéricos , Estado de Salud , Vigilancia de la Población/métodos , Años de Vida Ajustados por Calidad de Vida , Adolescente , Adulto , Distribución por Edad , Anciano , Anciano de 80 o más Años , Métodos Epidemiológicos , Femenino , Humanos , Masculino , Persona de Mediana Edad , Mortalidad , Distribución por Sexo , Suiza/epidemiología
17.
Soz Praventivmed ; 45(4): 182-7, 2000.
Artículo en Inglés | MEDLINE | ID: mdl-11008310

RESUMEN

In June 1998, a questionnaire was sent to evaluate the influenza vaccination practices in Switzerland: 429 health care institutions were to assess the level of influenza vaccination and the coverage of specific groups; each institution was required to specify whether vaccination coverage was known precisely (based on recorded data) or estimated. The response rate was 42.4%. Among institutions which responded, the mean accurate vaccination coverage rate for all patients was 40% and the estimated rate was 29%; these rates were slightly higher for people older than 65 years. For the entire staff, the accurate vaccination rate was 16% (14% estimated) whilst for the medical staff, the mean coverage was higher at 30% (measured) and 16% (estimated). The mean vaccination rate for patients and residents was 59% in the French speaking region of Switzerland, 54% in the Italian speaking canton, but only 37% in the German speaking region. The same ranking was found for vaccination coverage of medical staff: 21% in the French speaking region, 15% in the Italian speaking canton, and 13% in German speaking areas. These results suggest that cultural differences could play an important role in the attitudes and behaviour of the population regarding influenza vaccination programmes among the linguistic regions in Switzerland.


Asunto(s)
Instituciones de Salud , Vacunas contra la Influenza/administración & dosificación , Gripe Humana/prevención & control , Anciano , Encuestas Epidemiológicas , Humanos , Gripe Humana/transmisión , Suiza , Vacunación/estadística & datos numéricos
18.
Immunology ; 100(3): 364-9, 2000 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-10929059

RESUMEN

Both macrophages (MAC) and dendritic cells (DC) are members of the mononuclear phagocyte system (MPS) with monocytes (MO) as common precursor cells. Cells of the MPS are able to take up, process and present antigens to T lymphocytes, thereby inducing a primary or secondary immune response. Adhesion molecules are of crucial importance for the interaction of antigen-presenting cells with immune cells, especially T lymphocytes. By representational difference analysis, we identified CD49c (VLA-3), a member of the beta1-integrin family of adhesion receptors, as differentiation-associated antigen in MO-derived MAC. In contrast, MO-derived DC did not express CD49c mRNA. These data prompted us to compare the integrin expression pattern of MAC and DC. Both cell types showed a low expression of the alpha-chains of the beta1-integrins CD49a, CD49b, CD49d and CD49e, whereas a marked difference was observed for CD49c and CD49f. Expression of both integrins increased during MO to MAC differentiation, but was not detectable on DC. In parallel the beta1-chain (CD29) was clearly up-regulated during MO to MAC differentiation but was only weakly expressed on DC. On the other hand, the beta2-integrins CD11a, CD11b, CD11c and CD18 were all expressed on MAC and DC. Beside their role in cell-cell interaction and adhesion, beta2-integrins are also known as possible binding molecules for bacteria and lipopolysaccharide (LPS), especially for high LPS concentrations. Therefore we investigated the LPS response of MAC versus DC in terms of tumour necrosis factor-alpha (TNF-alpha) release. DC were less responsive to low doses of LPS, which can easily be explained by the very low CD14 expression on DC compared for MAC. In contrast, the TNF-alpha response was comparable to MAC when DC were stimulated with high LPS concentrations. Our results show a specific, differentiation-dependent pattern of beta1- and beta2-integrin expression on in vitro-generated MAC and DC. We suggest that the high expression of CD11/CD18 on DC could be involved in the LPS binding of DC. As LPS is not only an activation but also a differentiation stimulus for DC, the expression of CD11/CD18 on DC may be important for the successful maturation of DC and thereby the initiation of a primary immune response.


Asunto(s)
Células Dendríticas/inmunología , Integrinas/metabolismo , Macrófagos/inmunología , Antígenos CD18/metabolismo , Técnicas de Cultivo de Célula , Diferenciación Celular/inmunología , Expresión Génica , Humanos , Integrina alfa3beta1 , Integrina beta1/metabolismo , Integrinas/genética , Lipopolisacáridos/inmunología , Monocitos/citología , Monocitos/inmunología , ARN Mensajero/genética , Factor de Necrosis Tumoral alfa/biosíntesis
19.
Soc Sci Med ; 51(3): 335-42, 2000 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-10855921

RESUMEN

The Delphi method was used to determine the health priorities in one Swiss canton. The opinion of various groups concerned, either as health professionals or as representatives of the general population, was gathered to identify the health determinants and health problems perceived as most important, to clarify the reasons for these choices, and to recommend interventions to be undertaken in order to improve the situation in the identified priority areas. Five panels, including health professionals as well as selected leaders of community groups with no direct involvement in health, were given the opportunity to reply to two rounds of questionnaires. There was a high convergence of opinion on health determinants and problems to be given priority between panels and between the first and second round. Priorities identified are mainly physical problems (cardiovascular disease, respiratory and breast cancer, AIDS, injuries due to road accidents, chronic back pain), psychosocial disorders (depression, suicide, violence in the family, stress), and problems of substance abuse (alcohol and tobacco). Unemployment and social isolation were chosen because of their perceived impact on health. Very few interventions were proposed in the medical technical or research areas. This may be due partly to the fact that good quality care is widely available and accessible in Geneva, whereas preventive programmes have not received enough attention in the past. Through the identified priorities and the proposed activities, a new vision of health emerges which gives more importance to psychosocial problems and the social environment. In this context, health promotion is seen as essential, acknowledging that sustained change in individual behaviours can only occur if the social and cultural context is taken into consideration. In conclusion, the results of this survey show that the Delphi method is a useful tool to reach consensus on health priorities and corresponding activities among a variety of actors.


Asunto(s)
Técnica Delphi , Prioridades en Salud , Conductas Relacionadas con la Salud , Promoción de la Salud , Estado de Salud , Humanos , Suiza
20.
J Epidemiol Community Health ; 54(5): 388-93, 2000 May.
Artículo en Inglés | MEDLINE | ID: mdl-10814661

RESUMEN

STUDY OBJECTIVE: Despite excellent mortality indicators, there is clear evidence that the health status of the population of Geneva could be improved if more attention and resources were devoted to prevention strategies. To identify a set of robust health priorities an original approach was used triangulating results between three methods. METHODS: The study calculated potential years of life lost, disability adjusted years of life lost, and conducted a Delphi survey to gather the opinion of health professionals and the general public. MAIN RESULTS: Several health conditions were unanimously selected by all three methods as top priorities: cardiovascular diseases, AIDS, respiratory cancer, breast cancer for women, suicide and traffic accidents. In addition, two determinants-alcohol abuse and tobacco abuse-for which a clear conceptual link could be established between all methods were chosen. Connections between priorities identified through the DALY and the Delphi method lead to further inclusion of chronic back pain and depression. Some issues solely identified through the Delphi survey were included as they were consistently considered important by professionals and the lay public alike-violence in the family, unemployment, social exclusion. CONCLUSIONS: These results indicate that health priorities, and by extension health care priorities, would benefit from using a mix of quantitative and qualitative research methods. The triangulation of results allows for a broader perspective and makes results more acceptable.


Asunto(s)
Recolección de Datos/métodos , Prioridades en Salud/organización & administración , Estado de Salud , Salud Pública/métodos , Actitud , Actitud del Personal de Salud , Femenino , Encuestas Epidemiológicas , Humanos , Masculino , Suiza
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