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1.
Parasitology ; 147(14): 1658-1664, 2020 12.
Artículo en Inglés | MEDLINE | ID: mdl-32907651

RESUMEN

Acanthocephalans are parasites with complex lifecycles that are important components of aquatic systems and are often model species for parasite-mediated host manipulation. Genetic characterization has recently resurrected Pomphorhynchus tereticollis as a distinct species from Pomphorhynchus laevis, with potential implications for fisheries management and host manipulation research. Morphological and molecular examinations of parasites from 7 English rivers across 9 fish species revealed that P. tereticollis was the only Pomphorhynchus parasite present in Britain, rather than P. laevis as previously recorded. Molecular analyses included two non-overlapping regions of the mitochondrial gene - cytochrome oxidase and generated 62 sequences for the shorter fragment (295 bp) and 74 for the larger fragment (583 bp). These were combined with 61 and 13 sequences respectively, from Genbank. A phylogenetic analysis using the two genetic regions and all the DNA sequences available for P. tereticollis identified two distinct genetic lineages in Britain. One lineage, possibly associated with cold water tolerant fish, potentially spread to the northern parts of Britain from the Baltic region via a northern route across the estuarine area of what is now the North Sea during the last Glaciation. The other lineage, associated with temperate freshwater fish, may have arrived later via the Rhine/Thames fluvial connection during the last glaciation or early Holocene when sea levels were low. These results raise important questions on this generalist parasite and its variously environmentally adapted hosts, and especially in relation to the consequences for parasite vicariance.


Asunto(s)
Acantocéfalos/fisiología , Distribución Animal , Clima , Peces/parasitología , Interacciones Huésped-Parásitos , Tolerancia a la Sal , Acantocéfalos/genética , Acantocéfalos/crecimiento & desarrollo , Animales , Inglaterra , Proteínas del Helminto/análisis , Larva/genética , Larva/crecimiento & desarrollo , Larva/fisiología , Filogenia , Ríos
2.
J Fish Biol ; 92(3): 579-592, 2018 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-29537082

RESUMEN

A general framework is presented that should enhance our understanding of how intrinsic factors, such as body size, and extrinsic factors, such as climate, affect the dynamics and demographics of fish populations. Effects of intrinsic factors, notably studies relating juvenile Atlantic salmon Salmo salar body size to their probability to return as an adult, are often context-dependent and anecdotal, due to data constraints. By merit of its flexible specification, this framework should admit datasets with a range of situation-specific nuances, collected using different approaches, and thereby deliver more general and robust findings for more effective population management.


Asunto(s)
Migración Animal , Salmo salar/anatomía & histología , Animales , Tamaño Corporal , Clima , Dinámica Poblacional , Ríos , Salmo salar/fisiología
3.
J Fish Biol ; 92(3): 804-827, 2018 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-29537086

RESUMEN

Populations of fishes provide valuable services for billions of people, but face diverse and interacting threats that jeopardize their sustainability. Human population growth and intensifying resource use for food, water, energy and goods are compromising fish populations through a variety of mechanisms, including overfishing, habitat degradation and declines in water quality. The important challenges raised by these issues have been recognized and have led to considerable advances over past decades in managing and mitigating threats to fishes worldwide. In this review, we identify the major threats faced by fish populations alongside recent advances that are helping to address these issues. There are very significant efforts worldwide directed towards ensuring a sustainable future for the world's fishes and fisheries and those who rely on them. Although considerable challenges remain, by drawing attention to successful mitigation of threats to fish and fisheries we hope to provide the encouragement and direction that will allow these challenges to be overcome in the future.


Asunto(s)
Conservación de los Recursos Naturales/métodos , Explotaciones Pesqueras , Peces/fisiología , Animales , Ecosistema , Peces/crecimiento & desarrollo , Dinámica Poblacional , Calidad del Agua
4.
Naturwissenschaften ; 104(3-4): 35, 2017 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-28357478

RESUMEN

Environmental DNA (eDNA) detection of non-native species has considerable potential to inform management decisions, including identifying the need for population control and/or eradication. An invasive species of European concern is the Asian cyprinid fish, topmouth gudgeon (Pseudorasbora parva). Here, eDNA analyses were applied at a commercial angling venue in southern England to inform operations aiming to eradicate P. parva, which had only ever been observed in one of the venue's seven unconnected angling ponds. Eradication of P. parva was initially attempted by repeated depletion of the population using fish traps (crayfish traps fitted with 5 mm mesh netting) and the introduction of native predators over a 4-year period. The very low number of P. parva captured following these eradication efforts suggested a possible population crash. Conventional PCR analysis of water samples using species-specific primers was applied to all seven ponds to confirm that P. parva was present in only one pond, that the eradication attempt had indeed failed and that the species' distribution in the pond appeared to be restricted to three bankside locations. The continued presence of P. parva at these locations was confirmed by subsequent trapping. Water samples from an adjacent, unconnected stream were also analysed using the eDNA methodology, but no DNA of P. parva was detected. The results suggest that further management action to eradicate P. parva be focused on the pond shown to contain the isolated P. parva population and thereby eliminate the risk of further dispersal. This study is the first to apply eDNA analysis to assess the efficacy of an eradication attempt and to provide evidence that the species was unlikely to be present in the other ponds, thus reducing the resources needed to control the species.


Asunto(s)
Conservación de los Recursos Naturales/métodos , Cyprinidae/genética , Monitoreo del Ambiente/métodos , Especies Introducidas , Animales , ADN/genética , Inglaterra , Reacción en Cadena de la Polimerasa
5.
Parasitology ; 144(7): 945-953, 2017 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-28270254

RESUMEN

Populations of generalist species often comprise of smaller sub-sets of relatively specialized individuals whose niches comprise small sub-sets of the overall population niche. Here, the role of parasite infections in trophic niche specialization was tested using five wild fish populations infected with the non-native parasite Ergasilus briani, a copepod parasite with a direct lifecycle that infects the gill tissues of fish hosts. Infected and uninfected fishes were sampled from the same habitats during sampling events. Prevalence in the host populations ranged between 16 and 67%, with parasite abundances of up to 66 parasites per fish. Although pathological impacts included hyperplasia and localized haemorrhaging of gill tissues, there were no significant differences in the length, weight and condition of infected and uninfected fishes. Stable isotope analyses (δ 13C, δ 15N) revealed that the trophic niche of infected fishes, measured as standard ellipse area (i.e. the isotopic niche), was consistently and significantly smaller compared with uninfected conspecifics. These niches of infected fishes always sat within that of uninfected fish, suggesting trophic specialization in hosts. These results suggested trophic specialization is a potentially important non-lethal consequence of parasite infection that results from impaired functional traits of the host.


Asunto(s)
Copépodos/fisiología , Cyprinidae , Enfermedades de los Peces/parasitología , Interacciones Huésped-Parásitos , Animales , Cyprinidae/fisiología , Ecosistema , Inglaterra/epidemiología , Enfermedades de los Peces/epidemiología , Especies Introducidas , Prevalencia , Especificidad de la Especie
6.
J Fish Biol ; 89(3): 1782-93, 2016 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-27465299

RESUMEN

This paper presents the first phase in the development and validation of a simple and reliable environmental (e)DNA method using conventional PCR to detect four species of non-native freshwater fish: pumpkinseed Lepomis gibbosus, sunbleak Leucaspius delineatus, fathead minnow Pimephales promelas and topmouth gudgeon Pseudorasbora parva. The efficacy of the approach was demonstrated in indoor tank (44 l) trials in which all four species were detected within 24 h. Validation was through two field trials, in which L. gibbosus was detected 6-12 h after its introduction into outdoor experimental ponds and P. parva was successfully detected in disused fish rearing ponds where the species was known to exist. Thus, the filtration of small (30 ml) volumes of pond water was sufficient to capture fish eDNA and the approach emphasised the importance of taking multiple water samples of sufficient spatial coverage for detecting species of random or patchy distribution.


Asunto(s)
Monitoreo del Ambiente/métodos , Peces/clasificación , Peces/genética , Especies Introducidas , Estanques/análisis , Animales , Cyprinidae/clasificación , Cyprinidae/genética , ADN/genética , Perciformes/clasificación , Perciformes/genética , Reproducibilidad de los Resultados , Especificidad de la Especie
7.
Parasitology ; 142(13): 1579-87, 2015 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-26394706

RESUMEN

In host-parasite relationships, parasite prevalence and abundance can vary over time, potentially impacting how hosts are affected by infection. Here, the pathology, growth, condition and diet of a juvenile Cyprinus carpio cohort infected with the non-native cestode Bothriocephalus acheilognathi was measured in October 2012 (end of their first summer of life), April 2013 (end of first winter) and October 2013 (end of second summer). Pathology revealed consistent impacts, including severe compression and architectural modification of the intestine. At the end of the first summer, there was no difference in lengths and condition of the infected and uninfected fish. However, at the end of the winter period, the condition of infected fish was significantly reduced and by the end of their second summer, the infected fish were significantly smaller and remained in significantly reduced condition. Their diets were significantly different over time; infected fish consumed significantly higher proportions of food items <53 µm than uninfected individuals, a likely consequence of impaired functional traits due to infection. Thus, the sub-lethal impacts of this parasite, namely changes in histopathology, growth and trophic niche were dependent on time and/or age of the fish.


Asunto(s)
Carpas/parasitología , Cestodos/patogenicidad , Infecciones por Cestodos/veterinaria , Enfermedades de los Peces/parasitología , Análisis de Varianza , Animales , Teorema de Bayes , Tamaño Corporal , Carpas/crecimiento & desarrollo , Carpas/fisiología , Cestodos/fisiología , Infecciones por Cestodos/epidemiología , Infecciones por Cestodos/parasitología , Infecciones por Cestodos/patología , Estudios de Cohortes , Dieta/veterinaria , Enfermedades de los Peces/epidemiología , Enfermedades de los Peces/patología , Interacciones Huésped-Parásitos , Intestinos/parasitología , Intestinos/patología , Estanques , Prevalencia , Estaciones del Año , Factores de Tiempo
8.
J Fish Biol ; 84(6): 1964-70, 2014 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-24787281

RESUMEN

The changes in the fish assemblage of the Capivara Reservoir, Brazil, were assessed over a 20 year period. Of 50 native fishes present in the initial samples, 27 were no longer present in the final samples, but there had been an addition of 11 invasive fishes, suggesting the occurrence of substantial shifts in fish diversity and abundance.


Asunto(s)
Biodiversidad , Peces , Animales , Tamaño Corporal , Brasil , Agua Dulce , Especies Introducidas , Dinámica Poblacional , Centrales Eléctricas
9.
J Fish Biol ; 84(6): 1926-39, 2014 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-24890409

RESUMEN

The effects of number of fish that are aged and scale sub-sampling strategies on the precision of estimates of mean age-length increments from populations of Rutilus rutilus, Leuciscus leuciscus and Leuciscus cephalus were tested. Analyses used data derived from river fish communities in eastern England, U.K.. Regarding the number of fishes analysed in each age group, for each species and mean fork-length increment at age, significant relationships were detected between sample size (n) and the coefficient of variation of the mean (Z) and mean length increment x‾ and measured variance (s(2)). This enabled calculation of the number of scales for producing a mean length increment at age according to n=ax‾(b(-2))Zx‾(-2). Outputs indicated that the number of scales requiring ageing increased substantially as precision increased, but with little variation between species per age category. Ageing between seven and 12 scales per age group would thus provide estimates at 10% precision. As the ages of fishes are not known in advance of scale ageing, the effect of scale sub-sampling regime on precision was also tested using randomized strategies of 10 fish per 5 mm, five per 5 mm, three per 5 mm, 10 per 10 mm, five per 10 mm and three per 10 mm. These were applied to the datasets and the consequences of their reduction in the number of scales for precision were determined using Z=a(0.5)x‾((b/2)(-1))n(-0.5). When compared to no sub-sampling, three per 10 mm always significantly reduced data precision, whereas 10 per 5 mm never significantly reduced precision. These outputs can thus be applied to the design of fish sampling protocols where age and growth estimates are required, with the randomized sub-sampling likely to be the most useful strategy.


Asunto(s)
Envejecimiento , Tamaño Corporal , Cyprinidae/fisiología , Animales , Inglaterra , Ríos
10.
J Helminthol ; 86(4): 510-3, 2012 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-22130112

RESUMEN

Despite growing concern of the ecological risks posed by the European catfish Siluris glanis L. in freshwater fisheries, little information exists on the parasite fauna of this silurid catfish in Britain. Parasitological examinations of released S. glanis from four still-water fisheries in England revealed the presence of Thaparocleidus vistulensis (Siwak, 1932) and Ergasilus sieboldi (Nordmann, 1832), both non-native parasites, the latter known to be an important fish pathogen. This represents the first record of T. vistulensis from British freshwater fish. The human-assisted movement of S. glanis between UK recreational still-water fisheries provides a clear avenue for the introduction and spread of non-native parasites.


Asunto(s)
Bagres/parasitología , Copépodos/patogenicidad , Explotaciones Pesqueras , Platelmintos/aislamiento & purificación , Animales , Copépodos/anatomía & histología , Microscopía , Platelmintos/anatomía & histología , Reino Unido
11.
Clin Exp Allergy ; 40(2): 299-306, 2010 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-20030661

RESUMEN

BACKGROUND: Epidemiological studies suggest that hookworm infection protects against asthma, and therefore that hookworm infection may have a direct or an indirect therapeutic potential in this disease. We now report the first clinical trial of experimental hookworm infection in people with allergic asthma. OBJECTIVES: To determine the effects of experimental hookworm infection in asthma. METHODS: Thirty-two individuals with asthma and measurable airway responsiveness to adenosine monophosphate (AMP) were randomized and double blinded to cutaneous administration of either ten Necator americanus larvae, or histamine solution (placebo), and followed for 16 weeks. The primary outcome was the change in provocation dose of inhaled AMP required to reduce forced expiratory volume in 1 s by 20% (PD(20)AMP) from baseline to week 16. Secondary outcomes included change in several measures of asthma control and allergen skin sensitivity and the occurrence of adverse effects. RESULTS: Mean PD(20)AMP improved in both groups, more in the hookworm [1.49 doubling doses (DD)] than the placebo group (0.98 DD), but the difference between groups was not significant (0.51 DD; 95% confidence interval: -1.79 to 2.80; P=0.65). There were no significant differences between the two groups for other measures of asthma control or allergen skin sensitization. Infection was generally well tolerated. CONCLUSIONS: Experimental infection with ten hookworm larvae in asthma did not result in significant improvement in bronchial responsiveness or other measures of asthma control in this study. However, infection was well tolerated and resulted in a non-significant improvement in airway responsiveness, indicating that further studies that mimic more closely natural infection are feasible and should be undertaken.


Asunto(s)
Asma/complicaciones , Asma/terapia , Necator americanus , Necatoriasis/complicaciones , Adenosina Monofosfato/administración & dosificación , Adenosina Monofosfato/efectos adversos , Administración por Inhalación , Adulto , Animales , Asma/inmunología , Asma/prevención & control , Pruebas de Provocación Bronquial , Método Doble Ciego , Femenino , Volumen Espiratorio Forzado , Humanos , Larva/inmunología , Larva/fisiología , Masculino , Necator americanus/crecimiento & desarrollo , Necator americanus/inmunología , Necator americanus/fisiología , Necatoriasis/diagnóstico , Necatoriasis/parasitología , Placebos , Seguridad , Pruebas Cutáneas
12.
J Fish Biol ; 77(10): 2454-9, 2010 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-21155794

RESUMEN

Hatchery-reared and wild roach Rutilus rutilus were correctly classified to their rearing environment in a discriminant function using data on their scale circuli patterns. The discriminant function was then used to classify recaptured R. rutilus by their origin (hatchery-reared and wild) during a riverine stocking evaluation. At 8 and 18 months post-stocking, 10 and 7% of fish captured in the vicinity of the stocking site were classified as hatchery-reared.


Asunto(s)
Acuicultura , Cyprinidae/anatomía & histología , Animales , Análisis Discriminante
13.
Thorax ; 64(7): 610-9, 2009 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-19406861

RESUMEN

BACKGROUND: Epidemiological studies suggest that dietary intake of vitamins A, C and E may be associated with the occurrence of asthma. A systematic review and meta-analysis was conducted in accordance with MOOSE guidelines to determine whether vitamins A, C and E, measured as dietary intakes or serum levels, are associated with asthma. METHODS: MEDLINE, EMBASE, CINAHL, CAB abstracts and AMED (up to November 2007), conference proceedings and bibliographies of papers were searched to identify studies of asthma, wheeze or airway responsiveness in relation to intakes and serum concentrations of vitamins A, C and E. Pooled odds ratios (OR) or mean differences (MD) with 95% confidence intervals (CI) were estimated using random effects models. RESULTS: A total of 40 studies were included. Dietary vitamin A intake was significantly lower in people with asthma than in those without asthma (MD -82 microg/day, 95% CI -288 to -75; 3 studies) and in people with severe asthma than in those with mild asthma (MD -344 microg/day; 2 studies). Lower quantile dietary intakes (OR 1.12, 95% CI 1.04 to 1.21; 9 studies) and serum levels of vitamin C were also associated with an increased odds of asthma. Vitamin E intake was generally unrelated to asthma status but was significantly lower in severe asthma than in mild asthma (MD -1.20 microg/day, 95% CI -2.3 to -0.1; 2 studies). CONCLUSIONS: Relatively low dietary intakes of vitamins A and C are associated with statistically significant increased odds of asthma and wheeze. Vitamin E intake does not appear to be related to asthma status.


Asunto(s)
Antioxidantes/administración & dosificación , Asma/etiología , Dieta/efectos adversos , Vitaminas/administración & dosificación , Ácido Ascórbico/administración & dosificación , Ácido Ascórbico/sangre , Asma/sangre , Humanos , Vitamina A/administración & dosificación , Vitamina A/sangre , Vitamina E/administración & dosificación , Vitamina E/sangre
14.
Eur Respir J ; 33(3): 481-5, 2009 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-19213783

RESUMEN

A high fruit intake may reduce the risk of asthma. The English National School Fruit Scheme was introduced in the East Midlands region of the UK in June 2003 and in the Eastern region in September 2004. Questionnaires were distributed to children aged 4-6 yrs in schools in May 2003. This was repeated in May 2004 when those in the East Midlands had received free fruit for 1 yr and those in the Eastern region had not. Responses were obtained in 2004 for 4,971 (53%) and 5,770 (54%) children in the intervention and control regions, respectively. Despite an increase in fruit consumption in the intervention compared with the control region between 2003 and 2004, there was no difference between the two regions in the prevalence or severity of asthma symptoms after 1 yr of fruit supplementation (odds ratio for wheeze in the past 12 months in intervention compared with control region 1.00, 95% confidence interval 0.88-1.14). Providing free fruit at school for 1 yr does not have any immediate effect on prevalence or severity of asthma in young children, although these data do not refute the hypothesis that a higher increase in fruit intake improves measures of asthma control.


Asunto(s)
Asma/prevención & control , Asma/terapia , Servicios de Alimentación/organización & administración , Frutas , Promoción de la Salud/métodos , Asma/epidemiología , Niño , Fenómenos Fisiológicos Nutricionales Infantiles , Preescolar , Dieta , Femenino , Humanos , Masculino , Prevalencia , Instituciones Académicas , Reino Unido
15.
Parasitology ; 136(11): 1367-73, 2009 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-19627635

RESUMEN

Within the distribution of Ligula intestinalis, a tapeworm affecting freshwater fishes, there are genetically distinct and well-separated phylogenetic clusters. East Africa is represented by a single monophyletic clade which is understudied compared with Euro-Mediterranean clades. The present field investigation in the Lake Baringo and Naivasha catchments, Kenya, revealed that this L. intestinalis clade was highly host-specific, present in only 2 of 12 fishes examined; Barbus paludinosus in Naivasha and Barbus lineomaculatus in Baringo. In infected fish, cestodes comprised up to 20% of body weight. Only 1 parasite was recorded per fish, a contrast to infected fishes in Europe where mixed infections are commonplace. In B. lineomaculatus in Baringo, only fish of greater than 64 mm in length were parasitized. The highest parasite prevalence was recorded in fish of 70-77 mm in length, and reduced for lengths of 78-84 mm. Parasitized fish were significantly associated with a particular type of habitat, occurring most frequently in shallow littoral areas, and being absent from open water and rocky shore habitats. Uninfected fish were present in all habitats. This relationship between spatial occupancy and parasite prevalence is suggested to arise from behavioural alterations induced by the parasite that promotes completion of the parasite life cycle.


Asunto(s)
Cestodos/fisiología , Cyprinidae/parasitología , Interacciones Huésped-Parásitos , Animales , Cestodos/clasificación , Cestodos/patogenicidad , Cyprinidae/clasificación , Cyprinidae/fisiología , Ecosistema , Enfermedades de los Peces/epidemiología , Enfermedades de los Peces/parasitología , Kenia/epidemiología , Prevalencia , Especificidad de la Especie
16.
Thorax ; 63(8): 717-24, 2008 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-18263663

RESUMEN

BACKGROUND: Varenicline, a new treatment for smoking cessation, has demonstrated significantly greater efficacy over placebo and sustained release bupropion (bupropion SR). A study was undertaken to compare a 12-week standard regimen of varenicline with a 10-week standard regimen of transdermal nicotine replacement therapy (NRT) for smoking cessation. METHODS: In this 52-week, open-label, randomised, multicentre, phase 3 trial conducted in Belgium, France, The Netherlands, UK and USA, participants were randomly assigned (1:1) to receive varenicline uptitrated to 1 mg twice daily for 12 weeks or transdermal NRT (21 mg/day reducing to 7 mg/day) for 10 weeks. Non-treatment follow-up continued to week 52. The primary outcome was the biochemically confirmed (exhaled carbon monoxide < or = 10 ppm) self-reported continuous abstinence rate (CAR) for the last 4 weeks of the treatment period in participants who had taken at least one dose of treatment. Secondary outcomes included CAR from the last 4 weeks of treatment through weeks 24 and 52, and measures of craving, withdrawal and smoking satisfaction. RESULTS: A total of 376 and 370 participants assigned to varenicline and NRT, respectively, were eligible for analysis. The CAR for the last 4 weeks of treatment was significantly greater for varenicline (55.9%) than NRT (43.2%; OR 1.70, 95% CI 1.26 to 2.28, p<0.001). The week 52 CAR (NRT, weeks 8-52; varenicline, weeks 9-52) was 26.1% for varenicline and 20.3% for NRT (OR 1.40, 95% CI 0.99 to 1.99, p = 0.056). Varenicline significantly reduced craving (p<0.001), withdrawal symptoms (p<0.001) and smoking satisfaction (p<0.001) compared with NRT. The most frequent adverse event was nausea (varenicline, 37.2%; NRT, 9.7%). CONCLUSIONS: The outcomes of this trial established that abstinence from smoking was greater and craving, withdrawal symptoms and smoking satisfaction were less at the end of treatment with varenicline than with transdermal NRT. TRIAL REGISTRATION NUMBER: NCT00143325.


Asunto(s)
Benzazepinas/administración & dosificación , Nicotina/administración & dosificación , Agonistas Nicotínicos/administración & dosificación , Quinoxalinas/administración & dosificación , Cese del Hábito de Fumar/métodos , Prevención del Hábito de Fumar , Administración Cutánea , Adolescente , Adulto , Anciano , Femenino , Humanos , Masculino , Persona de Mediana Edad , Cooperación del Paciente , Refuerzo en Psicología , Síndrome de Abstinencia a Sustancias/etiología , Resultado del Tratamiento , Vareniclina
17.
Eur J Obstet Gynecol Reprod Biol ; 141(1): 35-8, 2008 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-18760871

RESUMEN

OBJECTIVE: To test the hypothesis that obstructive sleep apnoea (OSA) is more common in pregnancies complicated by hypertensive disease and fetal growth restriction. STUDY DESIGN: An observational study comparing pregnant women with these two complications with normal pregnant women and non-pregnant women in two UK maternity hospitals. Each participant completed a sleep apnoea questionnaire and underwent nocturnal oxygen saturation monitoring. RESULTS: Using a strict definition of obstructive sleep apnoea confirmed by oxygen saturation monitoring only two mild cases were seen, 0/50 non-pregnant women, 1/69 of normal pregnant women, 0/48 women with various types of hypertensive disease, and 1/33 women carrying fetuses affected with fetal growth restriction. Even using less strict definitions and self-reported sleepiness scores there was no relation between sleep apnoea and either fetal growth restriction or hypertensive diseases. CONCLUSION: Obstructive sleep apnoea is at most a rare cause of either growth restriction or hypertensive disease in pregnancy.


Asunto(s)
Retardo del Crecimiento Fetal/etiología , Preeclampsia , Apnea Obstructiva del Sueño/complicaciones , Adulto , Estudios de Casos y Controles , Femenino , Humanos , Embarazo , Adulto Joven
18.
J Neonatal Perinatal Med ; 10(2): 157-161, 2017.
Artículo en Inglés | MEDLINE | ID: mdl-28409760

RESUMEN

OBJECTIVE: To assess the association between delivery room (DR) continuous positive airway pressure (CPAP) and pneumothorax (PT) in term newborns. METHODS: Two studies performed in community hospitals used data extracted from computerized records of term newborns. Infants receiving positive pressure ventilation in the DR were excluded. Tabulated data included receipt of DR CPAP, PT on the day of birth, and gestational age (GA). In a case-control study from 2001-2013, infants with PT were compared to controls without PT but with respiratory distress or hypoxia persisting from birth for receipt of DR CPAP. In a cohort study from 2014-2016, infants receiving and not receiving DR CPAP were compared for the incidence of PT. RESULTS: In the case-control study, data were obtained for 169 cases and 850 controls. Compared to controls, PT infants were more likely to have received DR CPAP (16.8% vs. 40.2%, respectively, P < 0.001). Logistic regression revealed DR CPAP (Adjusted Odds Ratio [AOR] = 3.30, 95% confidence interval [CI] = 2.31, 4.72, P < 0.001) and GA (AOR = 1.21, 95% CI = 1.05, 1.39, P = 0.009) to be independent predictors of early PT.In the cohort study, PT was observed in 0.1% of 9255 control infants not receiving DR CPAP and 4.8% of 228 infants receiving DR CPAP (P < 0.001). In logistic regression analyses, DR CPAP significantly predicted PT (OR = 59.59, 95% CI = 23.34, 147.12, P < 0.001) and remained a significant predictor of PT after controlling for gestational age. CONCLUSION: Respiratory conditions treated with CPAP in delivery rooms are associated with increased risk of PT. A cause-and-effect relationship between CPAP and PT cannot be claimed in this study. Further research is needed to better understand this relationship.


Asunto(s)
Presión de las Vías Aéreas Positiva Contínua/efectos adversos , Neumotórax/etiología , Síndrome de Dificultad Respiratoria del Recién Nacido/terapia , Estudios de Casos y Controles , Estudios de Cohortes , Colorado , Presión de las Vías Aéreas Positiva Contínua/métodos , Presión de las Vías Aéreas Positiva Contínua/enfermería , Salas de Parto , Femenino , Adhesión a Directriz , Humanos , Recién Nacido , Masculino , Profesionales de Enfermería Pediátrica , Neumotórax/enfermería , Guías de Práctica Clínica como Asunto , Síndrome de Dificultad Respiratoria del Recién Nacido/enfermería , Nacimiento a Término
19.
Respir Med ; 100(6): 1058-63, 2006 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-16257521

RESUMEN

Respiratory failure is an important terminal event in muscular dystrophy, but increasingly is effectively treated by non-invasive ventilation. This study was designed to assess mortality statistics in this patient group in order to get an indication of future demand. Mortality data for all deaths from muscular dystrophy registered by death certification in England and Wales between 1993 and 1999 were analysed. In total, 817 deaths from muscular dystrophy were registered between 1993 and 1999. Annual number of deaths was unchanged over this period. Median age at death (interquartile range) for all cause muscular dystrophy increased from 20 (17-42.5) years in 1993, to 26 (17.5-63) years in 1999. Respiratory failure was the primary or contributory cause of death in 82% of cases. Two thirds of these deaths were during acute infection. We can expect 100 patients with muscular dystrophy to develop respiratory failure in England and Wales each year, so non-invasive ventilation services probably need to be able to provide for 0.2 new patients per 100,000 population annually. Respiratory services also need to provide adequate monitoring and early treatment of infection in these patients.


Asunto(s)
Distrofias Musculares/mortalidad , Adolescente , Adulto , Causas de Muerte , Atención a la Salud/tendencias , Inglaterra/epidemiología , Femenino , Necesidades y Demandas de Servicios de Salud/organización & administración , Cardiopatías/complicaciones , Cardiopatías/mortalidad , Humanos , Modelos Logísticos , Masculino , Persona de Mediana Edad , Distrofias Musculares/complicaciones , Distrofias Musculares/terapia , Terapia Respiratoria/normas , Infecciones del Sistema Respiratorio/complicaciones , Infecciones del Sistema Respiratorio/mortalidad , Riesgo , Tasa de Supervivencia , Gales/epidemiología
20.
Sci Rep ; 6: 26316, 2016 05 20.
Artículo en Inglés | MEDLINE | ID: mdl-27199300

RESUMEN

Predicting regions at risk from introductions of non-native species and the subsequent invasions is a fundamental aspect of horizon scanning activities that enable the development of more effective preventative actions and planning of management measures. The Asian cyprinid fish topmouth gudgeon Pseudorasbora parva has proved highly invasive across Europe since its introduction in the 1960s. In addition to direct negative impacts on native fish populations, P. parva has potential for further damage through transmission of an emergent infectious disease, known to cause mortality in other species. To quantify its invasion risk, in regions where it has yet to be introduced, we trained 900 ecological niche models and constructed an Ensemble Model predicting suitability, then integrated a proxy for introduction likelihood. This revealed high potential for P. parva to invade regions well beyond its current invasive range. These included areas in all modelled continents, with several hotspots of climatic suitability and risk of introduction. We believe that these methods are easily adapted for a variety of other invasive species and that such risk maps could be used by policy-makers and managers in hotspots to formulate increased surveillance and early-warning systems that aim to prevent introductions and subsequent invasions.


Asunto(s)
Distribución Animal , Cyprinidae , Especies Introducidas , Animales , Acuicultura , Clima , Ecosistema , Predicción , Modelos Teóricos
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