ABSTRACT
BACKGROUND AND AIMS: Transcriptome sequencing is a cost-effective approach that allows researchers to study a broad range of questions. However, to preserve RNA for transcriptome sequencing, tissue is often kept in special conditions, such as immediate ultracold freezing. Here, we demonstrate that RNA can be obtained from 6-month-old, field-collected samples stored in silica gel at room temperature. Using these transcriptomes, we explore the evolutionary relationships of the genus Pitcairnia (Bromeliaceae) in the Dominican Republic and infer barriers to gene flow. METHODS: We extracted RNA from silica-dried leaf tissue from 19 Pitcairnia individuals collected across the Dominican Republic. We used a series of macro- and micro-evolutionary approaches to examine the relationships and patterns of gene flow among individuals. KEY RESULTS: We produced high-quality transcriptomes from silica-dried material and demonstrated that evolutionary relationships on the island match geography more closely than species delimitation methods. A population genetic examination indicates that a combination of ecological and geographical features presents barriers to gene flow in Pitcairnia. CONCLUSIONS: Transcriptomes can be obtained from silica-preserved tissue. The genetic diversity among Pitcairnia populations does not warrant classification as separate species, but the Dominican Republic contains several barriers to gene flow, notably the Cordillera Central mountain range.
Subject(s)
Gene Flow , Transcriptome , Humans , Transcriptome/genetics , Caribbean Region , Plant Leaves/genetics , RNAABSTRACT
Cardiac dysfunctions dramatically increase with age. Revealing a currently unknown contributor to cardiac ageing, we report the age-dependent, cardiac-specific accumulation of the lysosphingolipid sphinganine (dihydrosphingosine, DHS) as an evolutionarily conserved hallmark of the aged vertebrate heart. Mechanistically, the DHS-derivative sphinganine-1-phosphate (DHS1P) directly inhibits HDAC1, causing an aberrant elevation in histone acetylation and transcription levels, leading to DNA damage. Accordingly, the pharmacological interventions, preventing (i) the accumulation of DHS1P using SPHK2 inhibitors, (ii) the aberrant increase in histone acetylation using histone acetyltransferase (HAT) inhibitors, (iii) the DHS1P-dependent increase in transcription using an RNA polymerase II inhibitor, block DHS-induced DNA damage in human cardiomyocytes. Importantly, an increase in DHS levels in the hearts of healthy young adult mice leads to an impairment in cardiac functionality indicated by a significant reduction in left ventricular fractional shortening and ejection fraction, mimicking the functional deterioration of aged hearts. These molecular and functional defects can be partially prevented in vivo using HAT inhibitors. Together, we report an evolutionarily conserved mechanism by which increased DHS levels drive the decline in cardiac health.
Subject(s)
Aging/genetics , Aging/metabolism , Genetic Variation , Genomic Instability , Myocardium/metabolism , Sphingolipids/metabolism , Animals , Curcumin/chemistry , Curcumin/pharmacology , DNA Damage/drug effects , Energy Metabolism , Epigenesis, Genetic , Evolution, Molecular , Fundulidae , Gene Expression Profiling , Gene Expression Regulation , Genomics/methods , Histone Acetyltransferases/chemistry , Histone Acetyltransferases/metabolism , Histone Deacetylase Inhibitors/chemistry , Histone Deacetylase Inhibitors/pharmacology , Histones/metabolism , Humans , Models, Molecular , Myocytes, Cardiac/metabolism , Sphingosine/analogs & derivatives , Sphingosine/metabolism , Structure-Activity Relationship , Vertebrates/genetics , Vertebrates/metabolismABSTRACT
The effects of different drying temperatures between 40 and 80 °C on bioactive constituents and antioxidant activity of edible sub Antarctic brown seaweed, Durvillaea antarctica were studied. Dietary fibre, amino acids profile, pigments (chlorophyll and carotenoids), vitamin E, total phenolics and total flavonoids as well as antioxidant activity were determined, beside a measurement of the chromatic coordinates. The brown seaweed D. antarctica had a high content of dietary fibre and was rich in essential amino acids and drying between 40 and 80 °C did not influence significantly dietary fibre content nor the level of essential amino acids that remained around 44%. However, a significant degradation of the chlorophyll pigments was observed with the lowest level of the initial chlorophyll content occurring at 60 °C (59%). Total carotenoids content was stable during drying between 50 and 70 °C. Vitamin E showed no significant loss during drying at any of the assayed temperatures, which could be due to its occurrence within the lipid fraction. Drying at 40 °C imparted a darker brown colour to the seaweed, while a lighter brown colour was acquired as drying temperature increased. The greatest loss in total phenolics content occurred at 60 °C, while total flavonoids content showed a significant reduction, which declined as drying temperature increased. According to the experimental results, phenolics and flavonoids could be considered as an important source of bioactive compounds with relatively high antioxidant activity. Thus D. antarctica may satisfy the requirements for development of functional foods.
ABSTRACT
Amanita is a worldwide-distributed fungal genus, with approximately 600 known species. Most species within the genus are ectomycorrhizal (ECM), with some saprotrophic representatives. In this study, we constructed the first comprehensive phylogeny including ECM species from Colombia collected in native Quercus humboldtii forests and in introduced Pinus patula plantations. We included 8 species (A. brunneolocularis, A. colombiana, A. flavoconia, A. fuligineodisca, A. muscaria, A. rubescens, A. sororcula, and A. xylinivolva) out of 16 species reported for the country, two new reports: A. citrina and A. virosa, and a new variety A. brunneolocularis var. pallida. Morphological taxonomic keys together with a phylogenetic approach using three nuclear gene regions: partial nuc rDNA 28S nuc rDNA internal transcribed spacers ITS1 and ITS2 and partial translation elongation factor 1-α gene (TEF1), were used to classify the specimens. Several highly supported clades were obtained from the phylogenetic hypotheses obtained by Bayesian inference and maximum likelihood approaches, allowing us to position the Colombian collections in a coherent infrageneric level and to contribute to the knowledge of local Amanita diversity.
Subject(s)
Amanita/classification , Phylogeny , Amanita/isolation & purification , Biodiversity , Colombia , DNA, Fungal/genetics , DNA, Ribosomal/genetics , DNA, Ribosomal Spacer/genetics , Mycological Typing Techniques , Mycorrhizae/classification , Mycorrhizae/isolation & purification , Peptide Elongation Factor 1/genetics , Pinus/microbiology , Quercus/microbiologyABSTRACT
Tissue-engineered vascular grafts (TEVGs) poised for regenerative applications are central to effective vascular repair, with their efficacy being significantly influenced by scaffold architecture and the strategic distribution of bioactive molecules either embedded within the scaffold or elicited from responsive tissues. Despite substantial advancements over recent decades, a thorough understanding of the critical cellular dynamics for clinical success remains to be fully elucidated. Graft failure, often ascribed to thrombogenesis, intimal hyperplasia, or calcification, is predominantly linked to improperly modulated inflammatory reactions. The orchestrated behavior of repopulating cells is crucial for both initial endothelialization and the subsequent differentiation of vascular wall stem cells into functional phenotypes. This necessitates the TEVG to provide an optimal milieu wherein immune cells can promote early angiogenesis and cell recruitment, all while averting persistent inflammation. In this study, we present an innovative TEVG designed to enhance cellular responses by integrating a physicochemical gradient through a multilayered structure utilizing synthetic (poly (ester urethane urea), PEUU) and natural polymers (Gelatin B), thereby modulating inflammatory reactions. The luminal surface is functionalized with a four-arm polyethylene glycol (P4A) to mitigate thrombogenesis, while the incorporation of adhesive peptides (RGD/SV) fosters the adhesion and maturation of functional endothelial cells. The resultant multilayered TEVG, with a diameter of 3.0 cm and a length of 11 cm, exhibits differential porosity along its layers and mechanical properties commensurate with those of native porcine carotid arteries. Analyses indicate high biocompatibility and low thrombogenicity while enabling luminal endothelialization and functional phenotypic behavior, thus limiting inflammation in in-vitro models. The vascular wall demonstrated low immunogenicity with an initial acute inflammatory phase, transitioning towards a pro-regenerative M2 macrophage-predominant phase. These findings underscore the potential of the designed TEVG in inducing favorable immunomodulatory and pro-regenerative environments, thus holding promise for future clinical applications in vascular tissue engineering.
ABSTRACT
OBJECTIVE: The aim of this 2-arm parallel study was to evaluate the alignment efficiency of heat-activated nickel-titanium (NiTi-TE) and superelastic nickel titanium (NiTi-PSE) archwires over the first 3 months of orthodontic treatment and compare these groups. SETTING AND SAMPLE POPULATION: Randomized, double-blind, controlled, single-center trial in 52 patients with fixed orthodontic appliances from an orthodontic graduate program in the permanent dentition and moderate crowding in the lower arch. MATERIAL AND METHODS: Patients were randomly allocated to one of two interventions: NiTi-TE and NiTi-PSE archwires, 0.014-inch (3M Unitek™, CA, USA) with a follow-up period of 3 months. The primary outcome was the alignment efficiency determined by the reduction in Little's irregularity index (mm), measured in three points, T0: before the start of orthodontic treatment, T1: 1 month later, T2: 2 months later, T3: 3 months later. Data were analyzed using independent sample t tests and repeated measures ANOVA. RESULTS: 52 patients (NiTi-TE n = 26; NiTi-PSE n = 26) were randomized and analyzed (average age: 21.73; standard deviation (SD): 6.07; average lower anterior irregularity: 5.20; SD: 0.76) for intention-to-treat (ITT) analysis. No statistically significant differences between the groups were found (mean of the differences: T1: 0.20; 95% CI: -0.558; 0.958; T2: 0.49: 95% CI: -0.339; 1.319; T3: 0.33; 95% CI: -0.308; 0.968). The resolution of crowding with each of the wires was significant (P < 0.0001) at all times. Twelve participants (2 treated with NiTi-TE and 10 treated with NiTi-PSE) lost follow-up due to face-to-face dental-procedures restrictions during the COVID-19 pandemic, the missing data was imputed. CONCLUSIONS: NiTi-TE and NiTi-PSE wires of 0.014-inch were similar in their clinical efficiency for the resolution of crowding during the first 3 months of orthodontic treatment. REGISTRATION: Clinical Trials NCT03256279.
ABSTRACT
Introduction: Thrombogenesis, a major cause of implantable cardiovascular device failure, can be addressed through the use of biodegradable polymers modified with anticoagulating moieties. This study introduces a novel polyester urethane urea (PEUU) functionalized with various anti-platelet deposition molecules for enhanced antiplatelet performance in regenerative cardiovascular devices. Methods: PEUU, synthesized from poly-caprolactone, 1,4-diisocyanatobutane, and putrescine, was chemically oxidized to introduce carboxyl groups, creating PEUU-COOH. This polymer was functionalized in situ with polyethyleneimine, 4-arm polyethylene glycol, seleno-L-cystine, heparin sodium, and fondaparinux. Functionalization was confirmed using Fourier-transformed infrared spectroscopy and X-ray photoelectron spectroscopy. Bio-compatibility and hemocompatibility were validated through metabolic activity and hemolysis assays. The anti-thrombotic activity was assessed using platelet aggregation, lactate dehydrogenase activation assays, and scanning electron microscopy surface imaging. The whole-blood clotting time quantification assay was employed to evaluate anticoagulation properties. Results: Results demonstrated high biocompatibility and hemocompatibility, with the most potent anti-thrombotic activity observed on pegylated surfaces. However, seleno-L-cystine and fondaparinux exhibited no anti-platelet activity. Discussion: The findings highlight the importance of balancing various factors and addressing challenges associated with different approaches when developing innovative surface modifications for cardiovascular devices.
ABSTRACT
The purpose of this study was to identify the barriers and benefits to human papillomavirus (HPV) vaccination in a low-income, Latina farmworker population in central Florida. This study reports on formative qualitative research conducted on perceptions of benefits, barriers, costs, place, and promotion related to the HPV vaccine from surveys and interviews with a sample of 46 low-income, Latina farm workers and 19 health care workers serving this population. It was found that Latina farmworkers hold many misperceptions about the HPV vaccine and the potential links between HPV infection and cervical cancer. In addition, it was observed that HPV vaccination intention was inversely related to concerns about adolescent sexual behavior and low perceived risk of infection but might be positively influenced by belief in illness prevention and physician recommendation. These findings add to the growing research on HPV vaccine acceptability among Latina subgroups to inform intervention development, marketing materials, education, and policy.
Subject(s)
Agriculture , Health Promotion/organization & administration , Hispanic or Latino/psychology , Papillomavirus Vaccines/administration & dosage , Uterine Cervical Neoplasms/prevention & control , Adult , Female , Florida , Health Education/organization & administration , Health Services Accessibility , Humans , Middle Aged , Papillomavirus Vaccines/adverse effects , Perception , Qualitative Research , Risk Factors , Sexual Behavior , Socioeconomic Factors , Uterine Cervical Neoplasms/ethnologyABSTRACT
Tissue-engineered vascular grafts (TEVGs) are a promising alternative to treat vascular disease under complex hemodynamic conditions. However, despite efforts from the tissue engineering and regenerative medicine fields, the interactions between the material and the biological and hemodynamic environment are still to be understood, and optimization of the rational design of vascular grafts is an open challenge. This is of special importance as TEVGs not only have to overcome the surgical requirements upon implantation, they also need to withhold the inflammatory response and sustain remodeling of the tissue. This work aims to analyze and evaluate the bio-molecular interactions and hemodynamic phenomena between blood components, cells and materials that have been reported to be related to the failure of the TEVGs during the regeneration process once the initial stages of preimplantation have been resolved, in order to tailor and refine the needed criteria for the optimal design of TEVGs.
Subject(s)
Blood Vessel Prosthesis Implantation , Blood Vessel Prosthesis , Tissue EngineeringABSTRACT
Engineered models have emerged as relevant in vitro tools to foresee the translational potential of new therapies from the bench to the bedside in a fast and cost-effective fashion. The principles applied to the development of tissue-engineered constructs bring the foundation concepts to engineer relevant in vitro models. Engineered models often face scepticism, because regularly these do not include the extreme complexity of nature, but rather a simplification of a phenomenon. While engineering in vitro models, a hypothesis is imposed towards which defined parameters are included to assess the degree of similarity between the in vitro model and the native phenomenon, keeping in mind their intrinsic limitations. The development of in vitro models has been highly supported and disseminated by different regulatory agencies. This review aims at defining and exploring the multifaceted potential of tangible, not theoretical, models within the biomedical field to represent physiological tissues and organ-related phenomena.
Subject(s)
Tissue EngineeringABSTRACT
Vascular grafts (VG) are medical devices intended to replace the function of a diseased vessel. Current approaches use non-biodegradable materials that struggle to maintain patency under complex hemodynamic conditions. Even with the current advances in tissue engineering and regenerative medicine with the tissue engineered vascular grafts (TEVGs), the cellular response is not yet close to mimicking the biological function of native vessels, and the understanding of the interactions between cells from the blood and the vascular wall with the material in operative conditions is much needed. These interactions change over time after the implantation of the graft. Here we aim to analyze the current knowledge in bio-molecular interactions between blood components, cells and materials that lead either to an early failure or to the stabilization of the vascular graft before the wall regeneration begins.
Subject(s)
Blood Vessel Prosthesis , Blood/immunology , Immunity , Animals , Biocompatible Materials/pharmacology , Blood Coagulation/drug effects , Humans , Treatment FailureABSTRACT
The ongoing pandemic caused by the novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), necessitates strategies to identify prophylactic and therapeutic drug candidates for rapid clinical deployment. Here, we describe a screening pipeline for the discovery of efficacious SARS-CoV-2 inhibitors. We screen a best-in-class drug repurposing library, ReFRAME, against two high-throughput, high-content imaging infection assays: one using HeLa cells expressing SARS-CoV-2 receptor ACE2 and the other using lung epithelial Calu-3 cells. From nearly 12,000 compounds, we identify 49 (in HeLa-ACE2) and 41 (in Calu-3) compounds capable of selectively inhibiting SARS-CoV-2 replication. Notably, most screen hits are cell-line specific, likely due to different virus entry mechanisms or host cell-specific sensitivities to modulators. Among these promising hits, the antivirals nelfinavir and the parent of prodrug MK-4482 possess desirable in vitro activity, pharmacokinetic and human safety profiles, and both reduce SARS-CoV-2 replication in an orthogonal human differentiated primary cell model. Furthermore, MK-4482 effectively blocks SARS-CoV-2 infection in a hamster model. Overall, we identify direct-acting antivirals as the most promising compounds for drug repurposing, additional compounds that may have value in combination therapies, and tool compounds for identification of viral host cell targets.
Subject(s)
Antiviral Agents/pharmacology , COVID-19 Drug Treatment , Drug Repositioning/methods , Pandemics , SARS-CoV-2 , Animals , COVID-19/prevention & control , COVID-19/virology , Cell Line , Cytidine/administration & dosage , Cytidine/analogs & derivatives , Cytidine/pharmacology , Databases, Pharmaceutical , Drug Discovery/methods , Drug Evaluation, Preclinical/methods , HeLa Cells , High-Throughput Screening Assays/methods , Humans , Hydroxylamines/administration & dosage , Hydroxylamines/pharmacology , Mesocricetus , Nelfinavir/pharmacology , SARS-CoV-2/drug effects , SARS-CoV-2/physiology , Virus Replication/drug effectsABSTRACT
OBJECTIVE: Selective IgA deficiency (sIgAD) is the most common primary immunodeficiency in Western countries. Patients can suffer from recurrent infections and autoimmune diseases because of a largely unknown aetiology. To increase insights into the pathophysiology of the disease, we studied memory B and T cells and cytokine concentrations in peripheral blood. METHODS: We analysed 30 sIgAD patients (12 children, 18 adults) through detailed phenotyping of peripheral B-cell, CD8+ T-cell and CD4+ T-cell subsets, sequence analysis of IGA and IGG transcripts, in vitro B-cell activation and blood cytokine measurements. RESULTS: All patients had significantly decreased numbers of T-cell-dependent (TD; CD27+) and T-cell-independent (TI; CD27-) IgA memory B cells and increased CD21low B-cell numbers. IgM+IgD- memory B cells were decreased in children and normal in adult patients. IGA and IGG transcripts contained normal SHM levels. In sIgAD children, IGA transcripts more frequently used IGA2 than controls (58.5% vs. 25.1%), but not in adult patients. B-cell activation after in vitro stimulation was normal. However, adult sIgAD patients exhibited increased blood levels of TGF-ß1, BAFF and APRIL, whereas they had decreased Th1 and Th17 cell numbers. CONCLUSION: Impaired IgA memory formation in sIgAD patients is not due to a B-cell activation defect. Instead, decreased Th1 and Th17 cell numbers and high blood levels of BAFF, APRIL and TGF-ß1 might reflect disturbed regulation of IgA responses in vivo.These insights into B-cell extrinsic immune defects suggest the need for a broader immunological focus on genomics and functional analyses to unravel the pathogenesis of sIgAD.
ABSTRACT
To meet a global demand for timber, tree plantations were established in South America during the first half of the 20th century. Extensive plantings of non-native species now are found in Brazil, Chile, Argentina, and Uruguay. In Colombia, miscellaneous plantations were established in the 1950s, during a period of intensive local logging, when policies to limit deforestation in native Quercus humboldtii forests were established. One unforeseen consequence of planting non-native trees was the simultaneous introduction and subsequent persistence of ectomycorrhizal fungi. We sought to document the origins and spread of the introduced Amanita muscaria found in Colombian plantations of the Mexican species Pinus patula, North American species P. taeda, and Australian species Acacia melanoxylon and Eucalyptus globulus. In Colombia, Amanita muscaria is establishing a novel association with native Q. humboldtii and has spread to local Q. humboldtii forests. According to a Bayesian phylogeny and haplotype analysis based on the nuclear rDNA internal transcribed spacer region ITS1-5.8-ITS2 (ITS barcode), A. muscaria individuals found in four exotic plant species, and those colonizing Q. humboldtii roots, have a Eurasian origin and belong to two Eurasian haplotypes. This is the first time the spread of an introduced mutualist fungus into native Colombian Q. humboldtii forests is reported. To arrest its spread, we suggest the use of local inocula made up of native fungi, instead of inocula of introduced fungi.
Subject(s)
Amanita/growth & development , Amanita/isolation & purification , Host Specificity , Quercus/microbiology , Acacia/microbiology , Amanita/genetics , Cluster Analysis , Colombia , DNA, Fungal/chemistry , DNA, Fungal/genetics , DNA, Ribosomal/chemistry , DNA, Ribosomal/genetics , DNA, Ribosomal Spacer/chemistry , DNA, Ribosomal Spacer/genetics , Eucalyptus/microbiology , Forests , Phylogeny , Pinus/microbiology , RNA, Ribosomal, 5.8S/genetics , Sequence Analysis, DNAABSTRACT
Human protein-coding genes are often accompanied by divergently transcribed non-coding RNAs whose functions, especially in cell fate decisions, are poorly understood. Using an hESC-based cardiac differentiation model, we define a class of divergent lncRNAs, termed yin yang lncRNAs (yylncRNAs), that mirror the cell-type-specific expression pattern of their protein-coding counterparts. yylncRNAs are preferentially encoded from the genomic loci of key developmental cell fate regulators. Most yylncRNAs are spliced polyadenylated transcripts showing comparable expression patterns in vivo in mouse and in human embryos. Signifying their developmental function, the key mesoderm specifier BRACHYURY (T) is accompanied by yylncT, which localizes to the active T locus during mesoderm commitment. yylncT binds the de novo DNA methyltransferase DNMT3B, and its transcript is required for activation of the T locus, with yylncT depletion specifically abolishing mesodermal commitment. Collectively, we report a lncRNA-mediated regulatory layer safeguarding embryonic cell fate transitions.
Subject(s)
Cell Lineage/genetics , Fetal Proteins/metabolism , Mesoderm/metabolism , Pluripotent Stem Cells/metabolism , RNA, Long Noncoding/genetics , T-Box Domain Proteins/metabolism , Transcription, Genetic , Animals , Cell Differentiation , Cell Line , DNA (Cytosine-5-)-Methyltransferases/metabolism , Genetic Loci , Human Embryonic Stem Cells/cytology , Human Embryonic Stem Cells/metabolism , Humans , Mice , RNA, Long Noncoding/metabolism , RNA, Messenger/genetics , RNA, Messenger/metabolism , DNA Methyltransferase 3BABSTRACT
Cordyceps tenuipes is an entomopathogenic fungus that infects mostly pupae of several lepidopteran families. In Colombia the species has been reported in non-disturbed tropical rain forests and more recently in butterfly gardens. The aim of this study was to assess the genetic diversity in populations of C. tenuipes present in natural (forests) and artificial (e.g. butterfly gardens) environments in the department of Quindío, Colombia, using three molecular nuclear markers ITS, TEF-1α and RPB1. All the samples evaluated corresponded morphologically and phylogenetically to C. tenuipes. The butterfly garden of Quindio Botanical Garden (QBG) showed the highest genetic diversity among all sampling localities and was very similar to that of its adjacent forest. The Amaranta Butterfly Garden (ABG), located north of QBG, showed lower genetic diversity as well as little genetic differentiation with QBG, consistent with the hypothesis of a pathogen transfer from QBG to ABG. Higher FST values were observed for TEF-1α and ITS, revealing genetic differentiation between all demes and the southern forest population. Our research constitutes the first study of the intraspecific diversity of C. tenuipes in Colombia and can serve as the first step in identifying diversity reservoirs and management of epizootic episodes caused by this fungal species.
Subject(s)
Butterflies/microbiology , Cordyceps/genetics , Cordyceps/pathogenicity , Forests , Gardens , Animals , Colombia , Genetic Variation , PhylogenyABSTRACT
BACKGROUND: Safety-net populations are underrepresented in health research networks. To address this deficit, the Community Health Applied Research Network (CHARN) was created to promote integration of research in health centers (HCs). CHARN embodies a learning health system (LHS) model to advance the evidence base for improved care in safety-net settings. OBJECTIVES: We sought to identify lessons learned from the development of research infrastructure to promote the inclusion of safety-net populations in research. METHODS: We conducted nine qualitative interviews with a purposive sample of CHARN members, as well as content analysis of work plans and project reports, and identified barriers and facilitators to building research capacity in HCs. RESULTS: Lessons learned include the importance of linking research to the HC mission, encouraging mentoring, and investing in data infrastructure at HCs to tailor health services to communities. CONCLUSIONS: Findings can inform safety-net providers on the process of building research infrastructure and capacity.
Subject(s)
Community Networks/organization & administration , Community-Based Participatory Research , Safety-net Providers , Vulnerable Populations , Capacity Building , Humans , Medically Underserved Area , Program Development , Program Evaluation , Qualitative Research , United StatesABSTRACT
Learning collaboratives are increasingly used as mechanisms to support and hasten the diffusion and implementation of innovation, clinical evidence, and effective models of care. Factors contributing to the collaboratives' success or failure are poorly understood. The Agency for Healthcare Research and Quality (AHRQ) has sponsored collaboratives for nearly two decades to support improvements in health care quality and value by accelerating the diffusion and implementation of innovation. We examined AHRQ's experience with these collaboratives to characterize their attributes, identify factors that might contribute to their success or failure, and assess the challenges they encountered. Building on the literature and insights from AHRQ's experience, we propose a taxonomy that can offer guidance to decision makers and funders about the factors they should consider in developing collaboratives and planning their evaluation, as well as to researchers who seek to conduct research that will ultimately help decision makers make better investments in diffusing innovation and evidence.
Subject(s)
Cooperative Behavior , Diffusion of Innovation , Quality Improvement , United States Agency for Healthcare Research and Quality/classification , Humans , United StatesABSTRACT
Objetivo: Conhecer o que vem sendo descrito sobre a saúde, sustentabilidade e meio ambiente. Métodos: Revisão integrativa realizada de março a abril de 2019. Os termos: saúde, sustentabilidade e meio ambiente. Os filtros: ser editado nos últimos 5 anos; estar relacionado com a conservação de recursos naturais; estar disponibilizado na íntegra e ser artigo científico. Análise utilizada foi de conteúdo, orientada por Bardim. Resultados: Foram selecionados 13 artigos, com seu conteúdo organizado nas categorias: Abrangência da saúde, que retrata a multiplicidade de fatores que interferem na saúde. Olhando para a sustentabilidade, que traz a perspectiva do desenvolvimento social a partir da reutilização dos recursos. E, Questões que influenciam o meio ambiente, apresentando o indivíduo como parte da natureza. Conclusão: Foi demostrando a importância de cada tema, a ligação natural dos mesmos, e como se cuidando de um, automaticamente se tem o reflexo nos outros
Objective:This research aims at knowing what has been described about health, sustainability and environment. Method:This integrative review was conducted from March to April 2019. The terms selected according the DeCS: health, sustainability and environment. The filters used are the following: have been edited in the last 5 years; have been related with the conservation of natural resources; have been available entirely and have been scientific article. Results: It has been found 13 articles, been its content organized in the following categories: Range of health, which describes the multiplicity of factors that interfere in health. Looking at the sustainability, which brings the perspective of social development from the reutilization of the resources. In addition, Issues which influence the environment, presenting the individual as part of nature. Conclusion: The results have allowed the constitution of a framework of knowledge about health, sustainability and environment
Objetivo: conocer lo que viene siendo descripto sobre la salud, sustentabilidad y medio ambiente. Métodos: Esta revisión integrativa fue realizada de marzo a abril de 2019. Los términos seleccionados conforme el DeCS: salud, sustentabilidad y medio ambiente. Los filtros utilizados: ser editado en los últimos 5 años; estar relacionado con la conservación de recursos naturales; estar disponible en la íntegra y ser artículo científico. Resultados: Fueron encontrados 13 artículos, siendo su contenido organizado en las categorías: Inclusión de la salud, que retrata la multiplicidad de factores que interfieren en la salud. Mirando hacia la sustentabilidad, que trae la perspectiva del desarrollo social a partir de la reutilización de los recursos. Y, cuestiones que influencian el medio ambiente, presentando el individuo como parte de la naturaleza.
Subject(s)
Humans , Male , Female , Social Conditions , Health/trends , Nature , Environment , Sustainable Development/trends , Quality of Life , Conservation of Natural Resources/trends , Health ResourcesABSTRACT
Introducción. El perifiton se entiende como una comunidad compleja de microorganismos entre los cuales se encuentran principalmente organismos fotosintéticos y zooplancton adheridos a sustratos, su estudio permite conocer el funcionamiento de los ecosistemas acuáticos, así como el estado y ecología de las comunidades presentes. Objetivo. Evaluar la calidad de agua a partir de la diversidad de perifiton del caño Barandas en la Reserva Natural El Diamante de Las Aguas, en el departamento de Guaviare. Metodología. se midieron las variables fisicoquímicas pH, oxígeno disuelto y temperatura en 5 estaciones a lo largo de 200 metros del cuerpo de agua, se tomaron muestras de perifiton sobrepuesto en superficies de roca, tronco y hojarasca, por medio de un raspado en el interior de un marco de 2x2 cm con 3 repeticiones; para la identificación de los organismos se observaron 25 alícuotas durante 5 minutos por alicuota; para evaluar la calidad de agua, se realizaron índices de diversidad de Shannon-Wiener, Simpson, Menhinick, análisis de correspondencia canónica y el índice biológico de contaminación (IBC). Resultados. Se obtuvieron 465 registros, distribuidos en 82 géneros, los más representativos fueron Campylodiscus (5.81%), Tribonema (8.60%), Ophyoctium (10.75%) y Microspora (11.40%). El BCI arrojó como resultado 11,7 lo cual indica que es una zona de agua limpia. Conclusión. Las variables evaluadas presentaron una relación directa con las comunidades de perifiton encontradas en las estaciones. Los índices de diversidad mostraron que en este caño hay una alta diversidad en las comunidades de perifiton, lo cual indica una buena calidad de agua.
Introduction. The periphyton is understood as a complex community of microorganisms among which are mainly photosynthetic organisms and zooplankton adhered to substrates, its study allows to know the functioning of aquatic ecosystems, as well as the state and ecology of the communities present. Objetive. To evaluate the water quality from the diversity of periphyton of Caño Barandas in the El Diamante de Las Aguas, Natural Reserve in the department of Guaviare. Methodology. The physicochemical variables pH, dissolved oxygen and temperature were measured in 5 stations along 200 meters in the water-body, followed by samples of the periphyton superimposed on rock surfaces, trunk and litter, by means of a scraping inside a 2x2 cm frame, with 3 repetitions, subsequently, for the identification of the organisms, 25 aliquots were observed for 5 minutes per aliquot. to evaluate the water quality. Shannon-Wiener, Simpson, Menhinick diversity indices, canonical correspondence analysis and the biological contamination index, Results. A total of 465 records were obtained, distributed in 82 genera, the most representative were Campylodiscus (5.81%), Tribonema (8.60%), Ophyoctium (10.75%) and Microspora (11.40%). The latter gave 11.7 as a result, which indicates that it is a clean water area. Conclusion. The evaluated variables presented a direct relationship with the periphyton communities found in the stations. The diversity indices showed that in this area there is a high diversity in the periphyton communities, which indicates a good water quality.