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1.
Pediatr Dermatol ; 41(1): 112-114, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-37571861

RESUMEN

A 3-week-old baby with hydrops fetalis, acute respiratory failure, and shock of unknown etiology developed a diffuse, pustular rash with worsening inflammatory markers and respiratory status despite antimicrobials. Whole exome sequencing revealed a de novo, frameshift mutation in the SAM9DL gene, leading to the diagnosis of SAMD9L-associated autoinflammatory disease.


Asunto(s)
Enfermedades Autoinflamatorias Hereditarias , Recién Nacido , Humanos , Femenino , Síndrome , Enfermedades Autoinflamatorias Hereditarias/diagnóstico , Enfermedades Autoinflamatorias Hereditarias/genética , Enfermedades Autoinflamatorias Hereditarias/complicaciones , Hidropesía Fetal
2.
Proc Natl Acad Sci U S A ; 118(49)2021 12 07.
Artículo en Inglés | MEDLINE | ID: mdl-34845028

RESUMEN

The Lake Titicaca basin was one of the major centers for cultural development in the ancient world. This lacustrine environment is unique in the high, dry Andean altiplano, and its aquatic and terrestrial resources are thought to have contributed to the florescence of complex societies in this region. Nevertheless, it remains unclear to what extent local aquatic resources, particularly fish, and the introduced crop, maize, which can be grown in regions along the lakeshores, contributed to facilitating sustained food production and population growth, which underpinned increasing social political complexity starting in the Formative Period (1400 BCE to 500 CE) and culminating with the Tiwanaku state (500 to 1100 CE). Here, we present direct dietary evidence from stable isotope analysis of human skeletal remains spanning over two millennia, together with faunal and floral reference materials, to reconstruct foodways and ecological interactions in southern Lake Titicaca over time. Bulk stable isotope analysis, coupled with compound-specific amino acid stable isotope analysis, allows better discrimination between resources consumed across aquatic and terrestrial environments. Together, this evidence demonstrates that human diets predominantly relied on C3 plants, particularly quinoa and tubers, along with terrestrial animals, notably domestic camelids. Surprisingly, fish were not a significant source of animal protein, but a slight increase in C4 plant consumption verifies the increasing importance of maize in the Middle Horizon. These results underscore the primary role of local terrestrial food resources in securing a nutritious diet that allowed for sustained population growth, even in the face of documented climate and political change across these periods.


Asunto(s)
Agricultura/tendencias , Dieta/tendencias , Condiciones Sociales/tendencias , Agricultura/historia , Animales , Antropología Física , Arqueología/métodos , Restos Mortales/química , Bolivia/etnología , Huesos/química , Camélidos del Nuevo Mundo , Isótopos de Carbono/análisis , Chenopodium quinoa , Alimentos , Historia Antigua , Historia Medieval , Humanos , Lagos , Isótopos de Nitrógeno/análisis , Perú/etnología , Tubérculos de la Planta , Condiciones Sociales/historia , Factores Socioeconómicos/historia , Solanum tuberosum
3.
Alzheimers Dement ; 2024 Sep 05.
Artículo en Inglés | MEDLINE | ID: mdl-39234647

RESUMEN

INTRODUCTION: Speech-based testing shows promise for sensitive and scalable objective screening for Alzheimer's disease (AD), but research to date offers limited evidence of generalizability. METHODS: Data were taken from the AMYPRED (Amyloid Prediction in Early Stage Alzheimer's Disease from Acoustic and Linguistic Patterns of Speech) studies (N = 101, N = 46 mild cognitive impairment [MCI]) and Alzheimer's Disease Neuroimaging Initiative 4 (ADNI4) remote digital (N = 426, N = 58 self-reported MCI, mild AD or dementia) and in-clinic (N = 57, N = 13 MCI) cohorts, in which participants provided audio-recorded responses to automated remote story recall tasks in the Storyteller test battery. Text similarity, lexical, temporal, and acoustic speech feature sets were extracted. Models predicting early AD were developed in AMYPRED and tested out of sample in the demographically more diverse cohorts in ADNI4 (> 33% from historically underrepresented populations). RESULTS: Speech models generalized well to unseen data in ADNI4 remote and in-clinic cohorts. The best-performing models evaluated text-based metrics (text similarity, lexical features: area under the curve 0.71-0.84 across cohorts). DISCUSSION: Speech-based predictions of early AD from Storyteller generalize across diverse samples. HIGHLIGHTS: The Storyteller speech-based test is an objective digital prescreener for Alzheimer's Disease Neuroimaging Initiative 4 (ADNI4). Speech-based models predictive of Alzheimer's disease (AD) were developed in the AMYPRED (Amyloid Prediction in Early Stage Alzheimer's Disease from Acoustic and Linguistic Patterns of Speech) sample (N = 101). Models were tested out of sample in ADNI4 in-clinic (N = 57) and remote (N = 426) cohorts. Models showed good generalization out of sample. Models evaluating text matching and lexical features were most predictive of early AD.

4.
Alzheimers Dement ; 20(1): 652-694, 2024 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-37698424

RESUMEN

The Alzheimer's Disease Neuroimaging Initiative (ADNI) aims to improve Alzheimer's disease (AD) clinical trials. Since 2006, ADNI has shared clinical, neuroimaging, and cognitive data, and biofluid samples. We used conventional search methods to identify 1459 publications from 2021 to 2022 using ADNI data/samples and reviewed 291 impactful studies. This review details how ADNI studies improved disease progression understanding and clinical trial efficiency. Advances in subject selection, detection of treatment effects, harmonization, and modeling improved clinical trials and plasma biomarkers like phosphorylated tau showed promise for clinical use. Biomarkers of amyloid beta, tau, neurodegeneration, inflammation, and others were prognostic with individualized prediction algorithms available online. Studies supported the amyloid cascade, emphasized the importance of neuroinflammation, and detailed widespread heterogeneity in disease, linked to genetic and vascular risk, co-pathologies, sex, and resilience. Biological subtypes were consistently observed. Generalizability of ADNI results is limited by lack of cohort diversity, an issue ADNI-4 aims to address by enrolling a diverse cohort.


Asunto(s)
Enfermedad de Alzheimer , Disfunción Cognitiva , Humanos , Enfermedad de Alzheimer/diagnóstico por imagen , Enfermedad de Alzheimer/terapia , Péptidos beta-Amiloides , Neuroimagen/métodos , Biomarcadores , Progresión de la Enfermedad , Proteínas tau , Disfunción Cognitiva/diagnóstico por imagen
5.
Alzheimers Dement ; 2024 Sep 01.
Artículo en Inglés | MEDLINE | ID: mdl-39219153

RESUMEN

INTRODUCTION: We evaluated preliminary feasibility of a digital, culturally-informed approach to recruit and screen participants for the Alzheimer's Disease Neuroimaging Initiative (ADNI4). METHODS: Participants were recruited using digital advertising and completed digital surveys (e.g., demographics, medical exclusion criteria, 12-item Everyday Cognition Scale [ECog-12]), Novoic Storyteller speech-based cognitive test). Completion rates and assessment performance were compared between underrepresented populations (URPs: individuals from ethnoculturally minoritized or low education backgrounds) and non-URPs. RESULTS: Of 3099 participants who provided contact information, 654 enrolled in the cohort, and 595 completed at least one assessment. Two hundred forty-seven participants were from URPs. Of those enrolled, 465 met ADNI4 inclusion criteria and 237 evidenced possible cognitive impairment from ECog-12 or Storyteller performance. URPs had lower ECog and Storyteller completion rates. Scores varied by ethnocultural group and educational level. DISCUSSION: Preliminary results demonstrate digital recruitment and screening assessment of an older diverse cohort, including those with possible cognitive impairment, are feasible. Improving engagement and achieving educational diversity are key challenges. HIGHLIGHTS: A total of 654 participants enrolled in a digital cohort to facilitate ADNI4 recruitment. Culturally-informed digital ads aided enrollment of underrepresented populations. From those enrolled, 42% were from underrepresented ethnocultural and educational groups. Digital screening tools indicate > 50% of participants likely cognitively impaired. Completion rates and assessment performance vary by ethnocultural group and education.

6.
Alzheimers Dement ; 19(1): 307-317, 2023 01.
Artículo en Inglés | MEDLINE | ID: mdl-36209495

RESUMEN

INTRODUCTION: The Alzheimer's Disease Neuroimaging Initiative (ADNI) aims to validate biomarkers for Alzheimer's disease (AD) clinical trials. To improve generalizability, ADNI4 aims to enroll 50-60% of its new participants from underrepresented populations (URPs) using new biofluid and digital technologies. ADNI4 has received funding from the National Institute on Aging beginning September 2022. METHODS: ADNI4 will recruit URPs using community-engaged approaches. An online portal will screen 20,000 participants, 4000 of whom (50-60% URPs) will be tested for plasma biomarkers and APOE. From this, 500 new participants will undergo in-clinic assessment joining 500 ADNI3 rollover participants. Remaining participants (∼3500) will undergo longitudinal plasma and digital cognitive testing. ADNI4 will add MRI sequences and new PET tracers. Project 1 will optimize biomarkers in AD clinical trials. RESULTS AND DISCUSSION: ADNI4 will improve generalizability of results, use remote digital and blood screening, and continue providing longitudinal clinical, biomarker, and autopsy data to investigators.


Asunto(s)
Enfermedad de Alzheimer , Disfunción Cognitiva , Humanos , Enfermedad de Alzheimer/diagnóstico por imagen , Participación de la Comunidad , Participación de los Interesados , Neuroimagen/métodos , Biomarcadores , Disfunción Cognitiva/diagnóstico por imagen , Péptidos beta-Amiloides
7.
Angew Chem Int Ed Engl ; 62(20): e202215894, 2023 May 08.
Artículo en Inglés | MEDLINE | ID: mdl-36888559

RESUMEN

Formate production via both CO2 reduction and cellulose oxidation in a solar-driven process is achieved by a semi-artificial biohybrid photocatalyst consisting of immobilized formate dehydrogenase on titanium dioxide (TiO2 |FDH) producing up to 1.16±0.04 mmolformate g TiO 2 ${{_{\ {\rm TiO}{_{2}}}}}$ -1 in 24 hours at 30 °C and 101 kPa under anaerobic conditions. Isotopic labeling experiments with 13 C-labeled substrates support the mechanism of stoichiometric formate formation through both redox half-reactions. TiO2 |FDH was further immobilized on hollow glass microspheres to perform more practical floating photoreforming allowing vertical solar light illumination with optimal light exposure of the photocatalyst to real sunlight. Enzymatic cellulose depolymerization coupled to the floating photoreforming catalyst generates 0.36±0.04 mmolformate per m2 irradiation area after 24 hours. This work demonstrates the synergistic solar-driven valorization of solid and gaseous waste streams using a biohybrid photoreforming catalyst in aqueous solution and will thus provide inspiration for the development of future semi-artificial waste-to-chemical conversion strategies.

8.
J Am Chem Soc ; 144(31): 14207-14216, 2022 08 10.
Artículo en Inglés | MEDLINE | ID: mdl-35900819

RESUMEN

Semiartificial approaches to renewable fuel synthesis exploit the integration of enzymes with synthetic materials for kinetically efficient fuel production. Here, a CO2 reductase, formate dehydrogenase (FDH) from Desulfovibrio vulgaris Hildenborough, is interfaced with carbon nanotubes (CNTs) and amorphous carbon dots (a-CDs). Each carbon substrate, tailored for electro- and photocatalysis, is functionalized with positive (-NHMe2+) and negative (-COO-) chemical surface groups to understand and optimize the electrostatic effect of protein association and orientation on CO2 reduction. Immobilization of FDH on positively charged CNT electrodes results in efficient and reversible electrochemical CO2 reduction via direct electron transfer with >90% Faradaic efficiency and -250 µA cm-2 at -0.6 V vs SHE (pH 6.7 and 25 °C) for formate production. In contrast, negatively charged CNTs only result in marginal currents with immobilized FDH. Quartz crystal microbalance analysis and attenuated total reflection infrared spectroscopy confirm the high binding affinity of active FDH to CNTs. FDH has subsequently been coupled to a-CDs, where the benefits of the positive charge (-NHMe2+-terminated a-CDs) were translated to a functional CD-FDH hybrid photocatalyst. High rates of photocatalytic CO2 reduction (turnover frequency: 3.5 × 103 h-1; AM 1.5G) with dl-dithiothreitol as the sacrificial electron donor were obtained after 6 h, providing benchmark rates for homogeneous photocatalytic CO2 reduction with metal-free light absorbers. This work provides a rational basis to understand interfacial surface/enzyme interactions at electrodes and photosensitizers to guide improvements with catalytic biohybrid materials.


Asunto(s)
Formiato Deshidrogenasas , Nanotubos de Carbono , Dióxido de Carbono/química , Catálisis , Electrodos , Formiato Deshidrogenasas/química
9.
Proc Natl Acad Sci U S A ; 116(23): 11207-11212, 2019 06 04.
Artículo en Inglés | MEDLINE | ID: mdl-31061128

RESUMEN

Over several millennia, various native plant species in South America have been used for their healing and psychoactive properties. Chemical analysis of archaeological artifacts provides an opportunity to study the use of psychoactive plants in the past and to better understand ancient botanical knowledge systems. Liquid chromatography tandem mass spectrometry (LC-MS/MS) was used to analyze organic residues from a ritual bundle, radiocarbon dated to approximately 1,000 C.E., recovered from archaeological excavations in a rock shelter located in the Lípez Altiplano of southwestern Bolivia. The site is located at an elevation of ∼3,900 m above sea level and contains evidence of intermittent human occupations during the last 4,000 years. Chemical traces of bufotenine, dimethyltryptamine, harmine, and cocaine, including its degradation product benzoylecgonine, were identified, suggesting that at least three plants containing these compounds were part of the shamanic paraphernalia dating back 1,000 years ago, the largest number of compounds recovered from a single artifact from this area of the world, to date. This is also a documented case of a ritual bundle containing both harmine and dimethyltryptamine, the two primary ingredients of ayahuasca. The presence of multiple plants that come from disparate and distant ecological areas in South America suggests that hallucinogenic plants moved across significant distances and that an intricate botanical knowledge was intrinsic to pre-Columbian ritual practices.


Asunto(s)
Plantas Medicinales/química , Psicotrópicos/química , Arqueología/métodos , Banisteriopsis/química , Bolivia , Cromatografía de Gases y Espectrometría de Masas/métodos , Alucinógenos/química , Humanos , América del Sur , Espectrometría de Masas en Tándem/métodos
10.
Angew Chem Int Ed Engl ; 61(45): e202211057, 2022 11 07.
Artículo en Inglés | MEDLINE | ID: mdl-36103351

RESUMEN

Ideonella sakaiensis (I. sakaiensis) can grow on polyethylene terephthalate (PET) as the major carbon and energy source. Previous work has shown that PET conversion in the presence of oxygen released carbon dioxide and water while yielding adenosine triphosphate (ATP) through oxidative phosphorylation. This study demonstrates that I. sakaiensis is a facultative anaerobe that ferments PET to the feedstock chemicals acetate and ethanol in the absence of oxygen. In addition to PET, the pure monomer ethylene glycol (EG), the intermediate product ethanol, and the carbohydrate fermentation test substance maltose can also serve as fermenting substrates. Co-culturing of I. sakaiensis with the electrogenic and acetate-consuming Geobacter sulfurreducens produced electricity from PET or EG. This newly identified plastic fermentation process by I. sakaiensis provides thus a novel biosynthetic route to produce high-value chemicals or electricity from plastic waste streams.


Asunto(s)
Plásticos , Tereftalatos Polietilenos , Tereftalatos Polietilenos/química , Plásticos/química , Fermentación , Electricidad , Oxígeno , Etanol , Hidrolasas/metabolismo
11.
J Ment Health ; 30(3): 284-291, 2021 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-31661997

RESUMEN

BACKGROUND: Researchers have identified a two-factor structure of self-compassion (i.e. self-compassion and self-coldness). To date, no research has examined each of these constructs' role in collegian professional help-seeking intention. AIM: The current study sought to assess the role of self-compassion and self-coldness in collegian professional help-seeking intention, accounting for other theoretically and empirically-supported help-seeking constructs. METHOD: Participants included 9349 collegians recruited as part of the national 2015-2016 Healthy Minds Study archival dataset. A logistic regression was conducted to examine the unique contributions of self-compassion and self-coldness in predicting professional help-seeking intention, controlling for key help-seeking variables. RESULTS: A test of the full model against a constant only model was statistically significant, which indicated that the predictors collectively distinguished between collegians who intended to seek help from a professional clinician compared to those who did not. The Wald criterion indicated that both self-compassion and self-coldness were uniquely associated with intention to seek professional help. Self-compassion increased and self-coldness decreased the probability of seeking professional help. CONCLUSIONS: The study highlights the importance of self-compassion and self-coldness in collegian help-seeking intention. These findings can inform specific outreach efforts targeting both self-compassion and self-coldness.


Asunto(s)
Empatía , Aceptación de la Atención de Salud , Humanos , Intención , Estigma Social
12.
Am J Phys Anthropol ; 172(4): 567-585, 2020 08.
Artículo en Inglés | MEDLINE | ID: mdl-32141612

RESUMEN

OBJECTIVES: Using stable isotope analysis of incremental dentin segments, we reconstruct breastfeeding, weaning, and childhood dietary patterns of Eastern Zhou period (771-221 BC) individuals from the Central Plains of China. Previous isotopic research on the Eastern Zhou demonstrated dietary difference between male and female diets in adulthood via bone collagen analysis. To understand the development of gendered dietary patterns we must examine the early life period. We aim to identify the timing of the weaning process, whether childhood diets were the same as adulthood diets, and if there were differences between the diets of boys and girls during childhood. MATERIALS AND METHODS: We present incremental dentin and bone collagen δ13 C and δ15 N isotope data from 23 individuals from two Eastern Zhou archaeological sites (Xiyasi and Changxinyuan ). RESULTS: Weaning was completed between ages 2.5 and 4 years. Females were weaned slightly earlier than males. Early childhood diets show significant incorporation of C3 foods, such as wheat and soybean, for almost all children, while later adulthood diets indicate greater incorporation of C4 foods (millets), particularly for males. DISCUSSION: Childhood diets included greater amounts of C3 foods than expected, suggesting that grains such as wheat may have been adopted in these communities as foods for children. Nevertheless, dietary differentiation between females and males began in childhood, with boys eating more millets (C4 foods) than girls. The findings suggest that feeding children was a significant aspect of socialization and cultural gendering of individuals in ancient China.


Asunto(s)
Dieta/etnología , Conducta Alimentaria/fisiología , Caracteres Sexuales , Destete/etnología , Antropología Física , Isótopos de Carbono/análisis , Niño , Preescolar , China/etnología , Colágeno/química , Dentina/química , Grano Comestible , Femenino , Humanos , Lactante , Masculino , Isótopos de Nitrógeno/análisis
13.
Am J Emerg Med ; 38(12): 2761.e1-2761.e3, 2020 12.
Artículo en Inglés | MEDLINE | ID: mdl-32518024

RESUMEN

BACKGROUND: Erythema multiforme (EM), an acute dermatologic condition frequently encountered in the Emergency Department, classically presents with a targetoid rash. We reviewed all recent EM cases seen at the LAC-USC County Hospital in order to ascertain the proportion of Herpes associated EM (HAEM) cases and to inform the diagnostic workup of these patients. METHODS: ICD-9 and ICD-10 codes were used to extract a list of EM cases at our institution from 2013 to 2019. Two non-blinded abstractors screened records to confirm an EM diagnosis and entered patient data utilizing a standardized data abstraction form. Cohen's kappa statistic was used to measure inter-rater reliability on various variables. Kappa (κ) values ranged from 0.803 to 1.0. RESULTS: 70 pediatric and 56 adult EM patients were included in the study. A likely etiology was ascribed to 63% of pediatric and adult EM cases. Pediatric EM was most commonly attributed to upper respiratory infection (URI) (n = 23; 33%), Mycoplasma pneumoniae infection (n = 5; 7%), and medications (n = 4; 6%). Adult EM was most commonly attributed to HSV infection (n = 11; 20%), medications (n = 5; 9%), URIs (n = 4; 7%), and other infections (n = 4; 7%). CONCLUSION: HSV-1/2 serologic testing should be considered in most EM patients to potentially prevent repeated ED visits. In EM cases not clearly attributable to herpes or drug exposure, physicians can consider further workup: Mycoplasma serology, nasal PCR, and a respiratory viral panel in pediatric patients. Identification of an etiologic cause may suggest a different treatment approach and prevent mislabeling of medication allergies in patient charts.


Asunto(s)
Eritema Multiforme/etiología , Herpes Simple/complicaciones , Adulto , Anticuerpos Antivirales , Niño , Preescolar , Erupciones por Medicamentos/complicaciones , Eritema Multiforme/fisiopatología , Femenino , Herpes Simple/diagnóstico , Humanos , Lactante , Masculino , Persona de Mediana Edad , Neumonía por Mycoplasma/complicaciones , Infecciones del Sistema Respiratorio/complicaciones , Estudios Retrospectivos , Pruebas Serológicas , Adulto Joven
14.
Am J Community Psychol ; 65(3-4): 397-406, 2020 06.
Artículo en Inglés | MEDLINE | ID: mdl-31792989

RESUMEN

This study explores connections between inward-directed violence and outward-directed violence using data from the Reach for Health sample, which was originally recruited in the 1990s from three middle schools in economically distressed, predominantly African American neighborhoods of New York City. Now in their thirties, participants (N = 595) completed surveys assessing current suicidal thoughts and behaviors as well as other violence involvements, including intimate partner violence victimization and perpetration. About 10% of males and females reported any suicidal ideation or attempt in the past 12 months. In logistic regression analyses adjusting for sociodemographics, prior reports of feeling blue in middle school (OR: 1.12, CI: 1.02-4.39) and young adult suicidality (OR: 2.54, CI: 1.30-4.95) are significantly related to later suicidality. So are concurrent aggressive behaviors, including reports of physical fighting outside the home (OR: 2.70, CI: 1.29-5.67) and IPV perpetration (OR: 2.09, CI: 1.11-3.94). Neither IPV victimization nor witnessing neighborhood violence is correlated. Findings shed light on the persistence of suicidality in the lives of those who come of age, and often remain, in communities with high levels of poverty, and confirm linkages of suicidality with externally directed aggression. Life-stage interventions are needed to counter the interwoven causes and consequences of multiple forms of violence.


Asunto(s)
Víctimas de Crimen/psicología , Ideación Suicida , Violencia/psicología , Adolescente , Adulto , Negro o Afroamericano/psicología , Agresión , Niño , Femenino , Humanos , Estudios Longitudinales , Masculino , Ciudad de Nueva York , Pobreza , Factores de Riesgo , Instituciones Académicas , Estudiantes , Encuestas y Cuestionarios , Población Urbana , Adulto Joven
15.
Fam Process ; 58(1): 247-265, 2019 03.
Artículo en Inglés | MEDLINE | ID: mdl-30311218

RESUMEN

Couples with the greatest need for relationship health maintenance and intervention are often least able to afford and access it; therefore, accessible, affordable, effective, and brief interventions are needed to improve relationship health for those who need it most. Consequently, this paper examined whether a brief relationship intervention could be effectively implemented with a low-income, underserved population. All enrolled participants (N = 1,312) received the Relationship Checkup, which consists of an assessment and a feedback session delivered in their homes or at a local clinic at their request. Measures assessed relationship satisfaction, communication, psychological and physical aggression, and intimacy at baseline and 1-month follow-up, and program and relationship satisfaction at 6-month follow-up. All participants reported significant improvements on all outcomes with small effect sizes. However, moderation analyses suggested that distressed couples reported significantly larger effects across the board. Overall, participants reported that they were highly satisfied with the intervention both immediately after its delivery and 6 months later. Findings provide preliminary support for the effectiveness of this brief checkup and point to the utility of offering these kinds of low-cost brief interventions in flexible formats for those who might have the most difficulty accessing them.


Las parejas más necesitadas de mantenimiento e intervención para la salud de sus relaciones son con frecuencia las menos equipadas para costear y obtenerlos; por lo tanto, las intervenciones accesibles, asequibles, efectivas y breves son necesarias para mejorar la salud de las relaciones de aquéllos que más lo necesitan. Por consiguiente, este artículo examinó si sería posible implementar una intervención breve para relaciones con una población subatendida de bajo ingreso. Todos los participantes inscritos (N = 1312) recibieron un Control de Relación, que consiste en una evaluación y una sesión de comentarios realizadas en sus hogares o en una clínica local a petición de ellos. Las medidas evaluaron la satisfacción en la relación, comunicación, agresión psicológica y física, e intimidad en la línea de base y en un seguimiento después de un mes, así como satisfacción con el programa y con la relación en un seguimiento después de seis meses. Todos los participantes informaron mejoras sustanciales en todos los resultados con tamaños de efecto pequeños. Sin embargo, análisis de moderación sugirieron que las parejas angustiadas informaron efectos considerablemente mayores en todos los renglones. En general, los participantes informaron que estaban sumamente satisfechos con la intervención tanto inmediatamente después de realizarse como seis meses después. Los hallazgos proporcionan apoyo preliminar a la efectividad de este control breve y señalan la utilidad de ofrecer estos tipos de intervenciones breves de bajo costo en formatos flexibles para aquéllos que podrían tener mayores dificultades para obtenerlos.


Asunto(s)
Terapia de Parejas/métodos , Visita Domiciliaria , Pobreza/psicología , Psicoterapia Breve/métodos , Parejas Sexuales/psicología , Adulto , Comunicación , Femenino , Implementación de Plan de Salud , Humanos , Relaciones Interpersonales , Masculino , Satisfacción del Paciente
16.
Angew Chem Int Ed Engl ; 58(14): 4601-4605, 2019 03 26.
Artículo en Inglés | MEDLINE | ID: mdl-30724432

RESUMEN

The integration of enzymes with synthetic materials allows efficient electrocatalysis and production of solar fuels. Here, we couple formate dehydrogenase (FDH) from Desulfovibrio vulgaris Hildenborough (DvH) to metal oxides for catalytic CO2 reduction and report an in-depth study of the resulting enzyme-material interface. Protein film voltammetry (PFV) demonstrates the stable binding of FDH on metal-oxide electrodes and reveals the reversible and selective reduction of CO2 to formate. Quartz crystal microbalance (QCM) and attenuated total reflection infrared (ATR-IR) spectroscopy confirm a high binding affinity for FDH to the TiO2 surface. Adsorption of FDH on dye-sensitized TiO2 allows for visible-light-driven CO2 reduction to formate in the absence of a soluble redox mediator with a turnover frequency (TOF) of 11±1 s-1 . The strong coupling of the enzyme to the semiconductor gives rise to a new benchmark in the selective photoreduction of aqueous CO2 to formate.


Asunto(s)
Dióxido de Carbono/química , Formiato Deshidrogenasas/química , Titanio/química , Dióxido de Carbono/metabolismo , Catálisis , Electrodos , Formiato Deshidrogenasas/metabolismo , Formiatos/química , Formiatos/metabolismo , Modelos Moleculares , Estructura Molecular , Oxidación-Reducción , Procesos Fotoquímicos , Tecnicas de Microbalanza del Cristal de Cuarzo , Semiconductores , Espectrofotometría Infrarroja , Titanio/metabolismo
17.
Expert Opin Emerg Drugs ; 23(3): 223-230, 2018 09.
Artículo en Inglés | MEDLINE | ID: mdl-30251897

RESUMEN

INTRODUCTION: Female sexual dysfunction (FSD) is a highly prevalent, yet commonly underdiagnosed and undertreated condition. This paper reviews the diagnostic terminology for FSD, and basic sexual physiology in women. The Food and Drug Administration (FDA) approved drugs for FSD are discussed, followed by investigational drugs for FSD currently in phase 2 or 3 clinical trials, reasons for failure of drug development, and potential future drug targets. Areas covered: A literature review was conducted for available treatments for FSD: flibanserin, estrogen, ospemifene and prasterone. Potential treatments are assessed, as was the Pharmaprojects database which includes clinical trial information. Testosterone, bremelanotide, bupropion-trazodone, PDE-5 inhibitors, prostaglandins, tibolone and combination therapies, and the theoretical basis of potential drug targets are discussed. Expert opinion: The lack of established endpoints for phase 3 studies of FSD has impeded approval of new treatments, and required additional studies for validation, resulting in proposed changes to the FDA draft guidance for FSD clinical trials in October 2016. Current DSM-5 diagnostic nosology also fails to capture the full range of symptomology. Several promising compounds have shown no movement for several years limiting women's options. Overcoming socio-cultural bias against women's sexual and reproductive health will be critical in the approval of new treatments for FSD.


Asunto(s)
Drogas en Investigación/uso terapéutico , Disfunciones Sexuales Fisiológicas/tratamiento farmacológico , Disfunciones Sexuales Psicológicas/tratamiento farmacológico , Animales , Aprobación de Drogas , Diseño de Fármacos , Drogas en Investigación/farmacología , Femenino , Humanos , Disfunciones Sexuales Fisiológicas/diagnóstico , Disfunciones Sexuales Fisiológicas/fisiopatología , Disfunciones Sexuales Psicológicas/diagnóstico , Disfunciones Sexuales Psicológicas/fisiopatología , Estados Unidos , United States Food and Drug Administration
18.
Am J Phys Anthropol ; 167(2): 311-326, 2018 10.
Artículo en Inglés | MEDLINE | ID: mdl-30192371

RESUMEN

OBJECTIVES: Daily activities involve biomechanical strains acting on skeletal structures. This study identifies differences in activity patterns between males and females, and between young, middle, and older aged individuals within an excavated Muisca skeletal sample from the Eastern Andes region of Northern South America. MATERIALS AND METHODS: The Tibanica archaeological site (AD 1000-1400) is located at 2600 masl on the Sabana de Bogotá, Colombia. Cross-sectional geometric analysis of femurs from 63 individuals and paired-humerii from 33 individuals was used to examine bone size (TA), strength (J) and diaphyseal shape (Imax /Imin , Ix /Iy ). RESULTS: The findings indicate both age- and sex-related differences in activity patterns. An emphasis on upper body strength and robusticity was observed in the females, while males performed more strenuous work using their lower bodies, suggesting gender-based differences in labor. Men showed significant asymmetry in their humerii, with most showing right-hand dominance for upper body activities, while females showed high levels of humeral symmetry indicating similar levels of biomechanical stress for both arms. Female femoral diaphyseal shape changes with age, suggesting more mobility in youth and decreased mobility in middle and older ages. DISCUSSION: These results suggest that daily life may have been structured through patterns of routine labor that united and divided particular age and sex groups. Cross-sectional geometry data indicate women likely spent significant time and energy preparing food, especially grinding maize or other foods, while men may have done more long-distance walking potentially to work in agricultural fields or procure other resources.


Asunto(s)
Fenómenos Biomecánicos/fisiología , Diáfisis/anatomía & histología , Fémur/anatomía & histología , Húmero/anatomía & histología , Indígenas Sudamericanos/historia , Adolescente , Adulto , Anatomía Transversal , Antropología Física , Colombia , Diáfisis/fisiología , Femenino , Fémur/fisiología , Historia Medieval , Humanos , Húmero/fisiología , Masculino , Persona de Mediana Edad , Factores Sexuales , Adulto Joven
19.
Langmuir ; 33(47): 13615-13624, 2017 11 28.
Artículo en Inglés | MEDLINE | ID: mdl-29083194

RESUMEN

The reduction of metal precursors during the polyol synthesis of metal nanoparticles was monitored by ex situ ionic conductivity measurements. Using commonly used platinum precursors (K2PtCl6, H2PtCl6, and K2PtCl4) as well as iridium and ruthenium precursors (IrCl3 and RuCl3), we demonstrate that their reduction in ethylene glycol at elevated temperatures is accompanied by a predictable change in ionic conductivity, enabling a precise quantification of the onset temperature for their reduction. This method also allows detecting the onset temperature for the further reaction of ethylene glycol with HCl produced by the reduction of chloride-containing metal precursors (at ≈120 °C). On the basis of these findings, we show that the conversion of the metal precursor to reduced metal atoms/clusters can be precisely quantified, if the reaction occurs below 120 °C, which also enables a distinction between the stages of metal particle nucleation and growth. The latter is demonstrated by the reduction of H2PtCl6 in ethylene glycol, comparing ionic conductivity measurements with transmission electron microscopy analysis. In summary, ionic conductivity measurements are a simple and straightforward tool to quantify the reduction kinetics of commonly used metal precursors in the polyol synthesis.

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