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1.
Nucleic Acids Res ; 50(10): 5881-5898, 2022 06 10.
Artículo en Inglés | MEDLINE | ID: mdl-35639511

RESUMEN

Human Long Intergenic Noncoding RNA-p21 (LincRNA-p21) is a regulatory noncoding RNA that plays an important role in promoting apoptosis. LincRNA-p21 is also critical in down-regulating many p53 target genes through its interaction with a p53 repressive complex. The interaction between LincRNA-p21 and the repressive complex is likely dependent on the RNA tertiary structure. Previous studies have determined the two-dimensional secondary structures of the sense and antisense human LincRNA-p21 AluSx1 IRs using SHAPE. However, there were no insights into its three-dimensional structure. Therefore, we in vitro transcribed the sense and antisense regions of LincRNA-p21 AluSx1 Inverted Repeats (IRs) and performed analytical ultracentrifugation, size exclusion chromatography, light scattering, and small angle X-ray scattering (SAXS) studies. Based on these studies, we determined low-resolution, three-dimensional structures of sense and antisense LincRNA-p21. By adapting previously known two-dimensional information, we calculated their sense and antisense high-resolution models and determined that they agree with the low-resolution structures determined using SAXS. Thus, our integrated approach provides insights into the structure of LincRNA-p21 Alu IRs. Our study also offers a viable pipeline for combining the secondary structure information with biophysical and computational studies to obtain high-resolution atomistic models for long noncoding RNAs.


Asunto(s)
ARN Largo no Codificante , Apoptosis/genética , Humanos , ARN Largo no Codificante/genética , Dispersión del Ángulo Pequeño , Proteína p53 Supresora de Tumor/genética , Difracción de Rayos X
2.
J Comput Chem ; 43(5): 349-358, 2022 02 15.
Artículo en Inglés | MEDLINE | ID: mdl-34904248

RESUMEN

Due to the role of loops in protein function, loop modeling is an important problem in computational biology. We present a new approach to loop modeling based on a combinatorial version of distance geometry, where the search space of the associated problem is represented by a binary tree and a branch-and-prune method is defined to explore it, following an atomic ordering previously given. This ordering is used to calculate the coordinates of atoms from the positions of its predecessors. In addition to the theoretical development, computational results are presented to illustrate the advantage of the proposed method, compared with another approach of the literature. Our algorithm is freely available at https://github.com/michaelsouza/bpl.


Asunto(s)
Proteínas/química , Algoritmos , Biología Computacional , Modelos Moleculares , Conformación Proteica
3.
BMC Microbiol ; 22(1): 19, 2022 01 08.
Artículo en Inglés | MEDLINE | ID: mdl-34996347

RESUMEN

BACKGROUND: An increasing body of evidence implicates the resident gut microbiota as playing a critical role in type 2 diabetes (T2D) pathogenesis. We previously reported significant improvement in postprandial glucose control in human participants with T2D following 12-week administration of a 5-strain novel probiotic formulation ('WBF-011') in a double-blind, randomized, placebo controlled setting (NCT03893422). While the clinical endpoints were encouraging, additional exploratory measurements were needed in order to link the motivating mechanistic hypothesis - increased short-chain fatty acids - with markers of disease. RESULTS: Here we report targeted and untargeted metabolomic measurements on fasting plasma (n = 104) collected at baseline and end of intervention. Butyrate and ursodeoxycholate increased among participants randomized to WBF-011, along with compelling trends between butyrate and glycated haemoglobin (HbA1c). In vitro monoculture experiments demonstrated that the formulation's C. butyricum strain efficiently synthesizes ursodeoxycholate from the primary bile acid chenodeoxycholate during butyrogenic growth. Untargeted metabolomics also revealed coordinated decreases in intermediates of fatty acid oxidation and bilirubin, potential secondary signatures for metabolic improvement. Finally, improvement in HbA1c was limited almost entirely to participants not using sulfonylurea drugs. We show that these drugs can inhibit growth of formulation strains in vitro. CONCLUSION: To our knowledge, this is the first description of an increase in circulating butyrate or ursodeoxycholate following a probiotic intervention in humans with T2D, adding support for the possibility of a targeted microbiome-based approach to assist in the management of T2D. The efficient synthesis of UDCA by C. butyricum is also likely of interest to investigators of its use as a probiotic in other disease settings. The potential for inhibitory interaction between sulfonylurea drugs and gut microbiota should be considered carefully in the design of future studies.


Asunto(s)
Butiratos/sangre , Diabetes Mellitus Tipo 2/tratamiento farmacológico , Probióticos/uso terapéutico , Ácido Ursodesoxicólico/sangre , Ácidos y Sales Biliares/análisis , Ácidos y Sales Biliares/sangre , Ácidos y Sales Biliares/metabolismo , Glucemia/efectos de los fármacos , Butiratos/análisis , Butiratos/metabolismo , Clostridium butyricum/metabolismo , Diabetes Mellitus Tipo 2/sangre , Diabetes Mellitus Tipo 2/microbiología , Ácidos Grasos Volátiles/análisis , Ácidos Grasos Volátiles/sangre , Ácidos Grasos Volátiles/metabolismo , Heces/química , Microbioma Gastrointestinal/efectos de los fármacos , Hemoglobina Glucada/análisis , Humanos , Metabolómica , Probióticos/metabolismo , Compuestos de Sulfonilurea/uso terapéutico , Ácido Ursodesoxicólico/análisis , Ácido Ursodesoxicólico/metabolismo
4.
Nat Methods ; 10(3): 221-7, 2013 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-23353650

RESUMEN

Automated annotation of protein function is challenging. As the number of sequenced genomes rapidly grows, the overwhelming majority of protein products can only be annotated computationally. If computational predictions are to be relied upon, it is crucial that the accuracy of these methods be high. Here we report the results from the first large-scale community-based critical assessment of protein function annotation (CAFA) experiment. Fifty-four methods representing the state of the art for protein function prediction were evaluated on a target set of 866 proteins from 11 organisms. Two findings stand out: (i) today's best protein function prediction algorithms substantially outperform widely used first-generation methods, with large gains on all types of targets; and (ii) although the top methods perform well enough to guide experiments, there is considerable need for improvement of currently available tools.


Asunto(s)
Biología Computacional/métodos , Biología Molecular/métodos , Anotación de Secuencia Molecular , Proteínas/fisiología , Algoritmos , Animales , Bases de Datos de Proteínas , Exorribonucleasas/clasificación , Exorribonucleasas/genética , Exorribonucleasas/fisiología , Predicción , Humanos , Proteínas/química , Proteínas/clasificación , Proteínas/genética , Especificidad de la Especie
5.
Water Sci Technol ; 73(11): 2670-9, 2016.
Artículo en Inglés | MEDLINE | ID: mdl-27232403

RESUMEN

This study used two biosorbents obtained from the aquatic plants Salvinia sp. and Pistia stratiotes to establish a sustainable and alternative treatment for industrial wastewater and other water bodies that contain Pb(II). The biosorbent named Salvinia with NaOH (SOH) was obtained from Salvinia sp., and Salvinia and Pistia mixture with NaOH (SPOH) was obtained from a mixture of the two plants in a 1:1 ratio. The biosorbents were characterized by zeta potential, infrared (IR) spectroscopy, scanning electron microscopy (SEM), energy-dispersive spectroscopy and Boehm titration. The results of Boehm titration and IR analysis indicated the presence of basic functional groups, whereas those of SEM analysis indicated that the biosorbents have a structure conducive to adsorption. Batch adsorption experiments were performed to observe the effects of pH, contact time, initial lead concentration and temperature on the metal removal process. The results revealed that the biosorbents efficiently removed Pb(II) from aqueous solutions, with a maximum observed adsorption capacity (saturation limits, qmax) of 202 mg g(-1) and 210.1 mg g(-1) for SPOH and SOH, respectively. The Freundlich, Langmuir and Dubinin-Radushkevich models were applied to the data; these biosorbent studies did not satisfactorily adjust to either of the models, but the information obtained helped us understand the adsorption mechanism.


Asunto(s)
Araceae/química , Helechos/química , Plomo/aislamiento & purificación , Contaminantes Químicos del Agua/aislamiento & purificación , Adsorción , Biomasa , Fraccionamiento Químico , Estudios de Factibilidad , Concentración de Iones de Hidrógeno , Microscopía Electrónica de Rastreo , Espectrometría por Rayos X , Temperatura , Aguas Residuales/análisis
6.
J Comput Biol ; 31(6): 475-485, 2024 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-38775777

RESUMEN

The Discretizable Molecular Distance Geometry Problem (DMDGP) plays a key role in the construction of three-dimensional molecular structures from interatomic distances acquired through nuclear magnetic resonance (NMR) spectroscopy, with the primary objective of validating a sequence of distance constraints related to NMR data. This article addresses the escalating complexity of the DMDGP encountered with larger and more flexible molecules by introducing a novel strategy via the Molecular Ordered Covering Problem, which optimizes the ordering of distance constraints to improve computational efficiency in DMDGP resolution. This approach utilizes a specialized Branch-and-Bound (BB) algorithm, tested on both synthetic and actual protein structures from the protein data bank. Our analysis demonstrates the efficacy of the previously proposed greedy heuristic in managing complex molecular scenarios, highlighting the BB algorithm's utility as a validation mechanism. This research contributes to ongoing efforts in molecular structure analysis, with possible implications for areas such as protein folding, drug design, and molecular modeling.


Asunto(s)
Algoritmos , Bases de Datos de Proteínas , Modelos Moleculares , Proteínas , Proteínas/química , Conformación Proteica , Pliegue de Proteína , Biología Computacional/métodos , Resonancia Magnética Nuclear Biomolecular/métodos , Espectroscopía de Resonancia Magnética/métodos
7.
BMC Bioinformatics ; 14 Suppl 9: S7, 2013.
Artículo en Inglés | MEDLINE | ID: mdl-23901894

RESUMEN

We present a new iterative algorithm for the molecular distance geometry problem with inaccurate and sparse data, which is based on the solution of linear systems, maximum cliques, and a minimization of nonlinear least-squares function. Computational results with real protein structures are presented in order to validate our approach.


Asunto(s)
Algoritmos , Biología Computacional/métodos , Proteínas/química , Análisis de los Mínimos Cuadrados , Modelos Moleculares , Dinámicas no Lineales
8.
JMIR Form Res ; 5(3): e20175, 2021 Mar 04.
Artículo en Inglés | MEDLINE | ID: mdl-33661120

RESUMEN

BACKGROUND: Novel wearable biosensors, ubiquitous smartphone ownership, and telemedicine are converging to enable new paradigms of clinical research. A new generation of continuous glucose monitoring (CGM) devices provides access to clinical-grade measurement of interstitial glucose levels. Adoption of these sensors has become widespread for the management of type 1 diabetes and is accelerating in type 2 diabetes. In parallel, individuals are adopting health-related smartphone-based apps to monitor and manage care. OBJECTIVE: We conducted a proof-of-concept study to investigate the potential of collecting robust, annotated, real-time clinical study measures of glucose levels without clinic visits. METHODS: Self-administered meal-tolerance tests were conducted to assess the impact of a proprietary synbiotic medical food on glucose control in a 6-week, double-blind, placebo-controlled, 2×2 cross-over pilot study (n=6). The primary endpoint was incremental glucose measured using Abbott Freestyle Libre CGM devices associated with a smartphone app that provided a visual diet log. RESULTS: All subjects completed the study and mastered CGM device usage. Over 40 days, 3000 data points on average per subject were collected across three sensors. No adverse events were recorded, and subjects reported general satisfaction with sensor management, the study product, and the smartphone app, with an average self-reported satisfaction score of 8.25/10. Despite a lack of sufficient power to achieve statistical significance, we demonstrated that we can detect meaningful changes in the postprandial glucose response in real-world settings, pointing to the merits of larger studies in the future. CONCLUSIONS: We have shown that CGM devices can provide a comprehensive picture of glucose control without clinic visits. CGM device usage in conjunction with our custom smartphone app can lower the participation burden for subjects while reducing study costs, and allows for robust integration of multiple valuable data types with glucose levels remotely. TRIAL REGISTRATION: ClinicalTrials.gov NCT04424888; http://clinicaltrials.gov/ct2/show/NCT04424888.

9.
J Econ Entomol ; 114(4): 1631-1637, 2021 08 05.
Artículo en Inglés | MEDLINE | ID: mdl-33959766

RESUMEN

The microlepidoptera, Bedellia somnulentella (Zeller), is an important pest of sweetpotato, Ipomoea batatas (L.) Lam. Damage by B. somnulentella occurs in the larval stage and when consuming the foliar mesophyll of I. batatas make the leaves brown, wrinkled, and reducing the photosynthetic area and the yield. The detection and management of this pest depends on knowing its biological cycle and identifying its natural enemies. The objectives of this study were to determine the life history of B. somnulentella feeding on I. batatas leaves and to survey parasitoids of this pest in the field. The duration and viability of B. somnulentella egg, larva, prepupa, pupa, and adult stages were evaluated under laboratory conditions. Cephalic capsule width was measured to determine the number of B. somnulentella instars, based on the Dyar rule and analyzed by the Akaike statistical model (AIC). The developmental period of B. somnulentella was 32.5 ± 0. 21 d with a viability of 75, 84, 100, and 84% for the egg, larva, prepupa, and pupa stages, respectively. The identification of this pest on the plants is possible from the third instar and in the pupal and adult stages. The parasitoid Conura sp. (Hymenoptera: Chalcididae) was identified parasitizing pupae of B. somnulentella and could be considered a potential natural enemy for the integrated management of this pest.


Asunto(s)
Convolvulaceae , Ipomoea batatas , Lepidópteros , Animales , Brasil , Larva , Control Biológico de Vectores , Hojas de la Planta , Pupa , Solanales
10.
Artículo en Inglés | MEDLINE | ID: mdl-32850756

RESUMEN

Hantaviruses, part of the Bunyaviridae family, are a genus of negative-sense, single-stranded RNA viruses that cause two major diseases: New-World Hantavirus Cardiopulmonary Syndrome and Old-World Hemorrhagic Fever with Renal Syndrome. Hantaviruses generally are found worldwide with each disease corresponding to their respective hemispheres. New-World Hantaviruses spread by specific rodent-host reservoirs and are categorized as emerging viruses that pose a threat to global health and security due to their high mortality rate and ease of transmission. Incidentally, reports of Hantavirus categorization as a bioweapon are often contradicted as both US National Institute of Allergy and Infectious Diseases and the Centers for Disease Control and Prevention refer to them as Category A and C bioagents respectively, each retaining qualitative levels of importance and severity. Concerns of Hantavirus being engineered into a novel bioagent has been thwarted by Hantaviruses being difficult to culture, isolate, and purify limiting its ability to be weaponized. However, the natural properties of Hantaviruses pose a threat that can be exploited by conventional and unconventional forces. This review seeks to clarify the categorization of Hantaviruses as a bioweapon, whilst defining the practicality of employing New-World Hantaviruses and their effect on armies, infrastructure, and civilian targets.

11.
Artículo en Inglés | MEDLINE | ID: mdl-32675291

RESUMEN

INTRODUCTION: A growing body of evidence suggests that specific, naturally occurring gut bacteria are under-represented in the intestinal tracts of subjects with type 2 diabetes (T2D) and that their functions, like gut barrier stability and butyrate production, are important to glucose and insulin homeostasis. The objective of this study was to test the hypothesis that enteral exposure to microbes with these proposed functions can safely improve clinical measures of glycemic control and thereby play a role in the overall dietary management of diabetes. RESEARCH DESIGN AND METHODS: We evaluated whether a probiotic comprised of these anaerobic bacteria would enhance dietary management by (1) manufacturing two novel probiotic formulations containing three (WBF-010) or five (WBF-011) distinct strains in a Current Good Manufacturing Practice (cGMP) facility, (2) establishing consistent live-cell concentrations, (3) confirming safety at target concentrations dispensed in both animal and human studies and (4) conducting a 12-week parallel, double-blind, placebo-controlled, proof-of-concept study in which subjects previously diagnosed with T2D (n=76) were randomly assigned to a two times a day regimen of placebo, WBF-010 or WBF-011. RESULTS: No safety or tolerability issues were observed. Compared with the placebo group, subjects administered WBF-011 (which contains inulin, Akkermansia muciniphila, Clostridium beijerinckii, Clostridium butyricum, Bifidobacterium infantis and Anaerobutyricum hallii) significantly improved in the primary outcome, glucose total area under the curve (AUC): -36.1 mg/dL/180 min, p=0.0500 and also improved in secondary outcomes, glycated hemoglobin (A1c): -0.6, glucose incremental-AUC: -28.6 mg/dL/180 min. CONCLUSIONS: To our knowledge, this is the first randomized controlled trial to administer four of the five strains to human subjects with T2D. This proof-of-concept study (clinical trial number NCT03893422) shows that the intervention was safe and well tolerated and that supplementation with WBF-011 improves postprandial glucose control. The limited sample size and intersubject variability justifies future studies designed to confirm and expand on these observations.


Asunto(s)
Diabetes Mellitus Tipo 2 , Probióticos , Glucemia , Clostridiales , Diabetes Mellitus Tipo 2/tratamiento farmacológico , Humanos , Hipoglucemiantes/uso terapéutico , Probióticos/uso terapéutico
12.
Neuroimage ; 46(1): 299-307, 2009 May 15.
Artículo en Inglés | MEDLINE | ID: mdl-19457379

RESUMEN

Information from long-term memory is used to identify appropriate responses to cues in the environment. Left ventrolateral prefrontal cortex (VLPFC) has been implicated in the effortful retrieval of semantic representations, as well as in the goal-directed selection between such representations. It has also been suggested that left posterior middle temporal gyrus (pMTG) stores the rules which VLPFC accesses to guide behavior. In the present event-related fMRI study, we examined the contributions of left VLPFC and pMTG in the controlled retrieval and selection of action-relevant knowledge associated with road signs. Controlled retrieval demands were manipulated by varying how recently the sign meaning was learned, and selection demands were manipulated by varying the number of competing meanings associated with a sign. Activation in anterior VLPFC was consistent with controlled retrieval, activation in posterior VLPFC was consistent with selection, and activation in mid-VLPFC was sensitive to both manipulations. Left pMTG, while active, was not sensitive to these manipulations. These findings highlight the role of left VLPFC in accessing and maintaining goal-relevant information for the control of action.


Asunto(s)
Mapeo Encefálico , Aprendizaje/fisiología , Memoria/fisiología , Corteza Prefrontal/fisiología , Adolescente , Adulto , Femenino , Humanos , Interpretación de Imagen Asistida por Computador , Imagen por Resonancia Magnética , Masculino , Estimulación Luminosa , Adulto Joven
13.
Mar Pollut Bull ; 146: 552-561, 2019 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-31426193

RESUMEN

The present study intends to assess the metal pollution of a eutrophic coastal lagoon, analyzing the long-term and actual metal content in surface sediments, suspended particles, aquatic macrophyte and fish species, and the loads emitted from natural processes and anthropogenic sources, including the relative emission of domestic untreated sewage. Distribution indicated contamination of suspended particles with Cd and the predominance of Pb in the bioavailable form in surface sediments which may explain Cd and Pb contamination in fish. Domestic untreated sewage was an important source of Cu and due to the lagoon's management, this source may be increasing the metal content in the lagoon's surface sediments. Soil loss, atmospheric deposition and solid waste disposal also contributed to metal inputs to the lagoon. Extensive contamination has been prevented by the lagoon's management such as sandbar opening. Metal retention within the watershed soils reduce the effective metal transference and lagoon pollution.


Asunto(s)
Sedimentos Geológicos/análisis , Metales/análisis , Contaminantes Químicos del Agua/análisis , Animales , Disponibilidad Biológica , Brasil , Cadmio/análisis , Cadmio/farmacocinética , Ecotoxicología/métodos , Monitoreo del Ambiente , Peces , Plomo/análisis , Plomo/farmacocinética , Metales/farmacocinética , Metales/toxicidad , Aguas del Alcantarillado , Contaminantes del Suelo/análisis , Contaminantes Químicos del Agua/farmacocinética , Contaminantes Químicos del Agua/toxicidad
14.
Artículo en Inglés | MEDLINE | ID: mdl-26396556

RESUMEN

BACKGROUND: Sternal wound infection (SWI) in patients undergoing coronary artery bypass grafting (CABG) can carry a significant risk of morbidity and mortality. The objective of this work is to describe the methods used to identify cases of SWI in an administrative database and to demonstrate the effectiveness of using an International Classification of Diseases, Tenth Revision (ICD-10) coding algorithm for this purpose. METHODS: ICD-10 codes were used to identify cases of SWI within one year of CABG between April 2002 and November 2009. We randomly chose 200 charts for detailed chart review (100 from each of the groups coded as having SWI and not having SWI) to determine the utility of the ICD-10 coding algorithm. RESULTS: There were 2,820 patients undergoing CABG. Of these, 264 (9.4 percent) were coded as having SWI. Thirty-eight cases of SWI were identified by chart review. The ICD-10 coding algorithm of T81.3 or T81.4 was able to identify incident SWI with a positive predictive value of 35 percent and a negative predictive value of 97 percent. The agreement between the ICD-10 coding algorithm and presence of SWI remained fair, with an overall kappa coefficient of 0.32 (95 percent confidence interval, 0.22-0.43). The effectiveness of identifying deep SWI cases is also presented. CONCLUSIONS: This article describes an effective algorithm for identifying a cohort of patients with SWI following open sternotomy in large databases using ICD-10 coding. In addition, alternative search strategies are presented to suit researchers' needs.


Asunto(s)
Algoritmos , Puente de Arteria Coronaria/efectos adversos , Documentación/estadística & datos numéricos , Clasificación Internacional de Enfermedades/estadística & datos numéricos , Infección de la Herida Quirúrgica/epidemiología , Minería de Datos , Documentación/normas , Femenino , Humanos , Clasificación Internacional de Enfermedades/normas , Masculino , Alta del Paciente , Reproducibilidad de los Resultados
15.
Ann Thorac Surg ; 76(5): 1725-6, 2003 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-14602325

RESUMEN

Hypereosinophilia can cause severe endomyocardial fibrosis with subsequent restrictive cardiac disease and endocardial lesions. We present a case of a 37-year-old man with known hypereosinophilia, followed with yearly echocardiograms, who presented acutely with myocardial infarction and aortic outflow tract obstruction. At surgery, a broad based eosinophilic thrombus was found that had obstructed the aortic outflow tract. The possibility of the rapid emergence of such obstructive thrombotic lesions in hypereosinophilic syndromes warrants very close echocardiographic surveillance.


Asunto(s)
Estenosis de la Válvula Aórtica/cirugía , Síndrome Hipereosinofílico/complicaciones , Infarto del Miocardio/cirugía , Trombosis/cirugía , Adulto , Estenosis de la Válvula Aórtica/complicaciones , Estenosis de la Válvula Aórtica/diagnóstico , Procedimientos Quirúrgicos Cardíacos/métodos , Angiografía Coronaria , Ecocardiografía Transesofágica , Estudios de Seguimiento , Humanos , Síndrome Hipereosinofílico/diagnóstico , Masculino , Infarto del Miocardio/complicaciones , Infarto del Miocardio/diagnóstico , Medición de Riesgo , Índice de Severidad de la Enfermedad , Trombosis/complicaciones , Trombosis/diagnóstico , Tomografía Computarizada por Rayos X , Resultado del Tratamiento
16.
Plast Surg (Oakv) ; 22(3): 196-200, 2014.
Artículo en Inglés | MEDLINE | ID: mdl-25332650

RESUMEN

BACKGROUND: It appears that the medical profile of patients undergoing coronary artery bypass graft (CABG) surgery has changed. The impact of this demographic shift on CABG outcomes, such as sternal wound dehiscence, is unclear. OBJECTIVES: To quantify the incidence and trends of sternal wound dehiscence, quantify the demographic shift of those undergoing CABG and identify patient factors predictive of disease. METHODS: A prospective analysis was performed on a historical cohort of consecutive patients who underwent CABG (without valve replacement) in Alberta between April 1, 2002 and November 30, 2009. The incidence and trends of sternal wound dehiscence were determined. In addition, the trend of the mean Charlson index score and European System for Cardiac Operative Risk Evaluation (EuroSCORE) (capturing patient comorbidities) was analyzed. Univariable analysis and multivariable models were performed to determine factors predictive of wound dehiscence. RESULTS: A total of 5815 patients underwent CABG during the study period. The incidence proportion of sternal wound dehiscence in Alberta was 1.86% and the incidence rate was 1.98 cases per 100 person-years. Although both the EuroSCORE and Charlson scores significantly increased over the study period, the incidence of sternal wound dehiscence did not change significantly. Factors predictive of sternal wound dehiscence were diabetes (OR 2.97 [95% CI 1.73 to 5.10]), obesity (OR 1.55 [95% CI 1.05 to 2.27]) and female sex (OR 1.90 [95% CI 1.26 to 2.87]). CONCLUSIONS: The incidence proportion of sternal wound dehiscence in Alberta was comparable with the incidence previously published in the literature. While patients undergoing CABG had worsening medical profiles, the incidence of sternal wound dehiscence did not appear to be increasing significantly.


HISTORIQUE: Il semble que le profil médical des patients qui subisent un pontage aortocoronarien (PAC) a changé. On ne connaît pas les effets de ce changement démographique sur les résultats des PAC, tels que la déhiscence sternale. OBJECTIF: Quantifier l'incidence et les tendances de déhiscence sternale, quantifier le changement démographique des personnes qui subissent un PAC et cerner les facteurs liés aux patients qui sont prédictifs de maladie. MÉTHODOLOGIE: Les chercheurs ont effectué une analyse prospective auprès d'une cohorte historique de patients consécutifs qui avaient subi un PAC (sans remplacement valvulaire) en Alberta entre le 1er avril 2002 et le 30 novembre 2009. Ils ont déterminé l'incidence et les tendances des déhiscences sternales. Ils ont analysé la tendance de l'indice moyen de Charlson et de l'EuroSCORE (European System for Cardiac Operative Risk Evaluation) (qui saisit les comorbidités des patients). Ils ont utilisé des analyses univariables et des modèles multivariables pour déterminer les facteurs prédictifs d'une déhiscence de la plaie. RÉSULTATS: Au total, 5 815 patients ont subi un PAC pendant la période de l'étude. La proportion de déhiscence sternale en Alberta était de 1,86 % et le taux d'incidence, de 1,98 cas sur 100 personnes-année. Même si l'EuroSCORE et l'indice de Charlson ont augmenté considérablement pendant la période de l'étude, l'incidence de déhiscence sternale n'a pas changé de manière significative. Le diabète (RC 2,97 [95 % IC 1,73 à 5,10]), l'obésité (RC 1,55 [95 % IC 1,05 à 2,27]) et le sexe féminin (RC 1,90 [95 % IC 1,26 à 2,87]) étaient les facteurs prédictifs de déhiscence sternale. CONCLUSIONS: La proportion de déhiscence sternale en Alberta était comparable à celle publiée par le passé. Le profil médical des patients qui subissent un PAC s'aggravait, mais l'incidence de déhiscence sternale ne semblait pas augmenter de manière significative.

17.
Dev Cogn Neurosci ; 2(3): 329-39, 2012 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-22669034

RESUMEN

Flexible rule-guided behavior develops gradually, and requires the ability to remember the rules, switch between them as needed, and implement them in the face of competing information. Our goals for this study were twofold: first, to assess whether these components of rule-guided behavior are separable at the neural level, and second, to identify age-related differences in one or more component that could support the emergence of increasingly accurate and flexible rule use over development. We collected event-related fMRI data while 36 children aged 8-13 and adults aged 20-27 performed a task that manipulated rule representation, rule switching, and stimulus incongruency. Several regions - left dorsolateral prefrontal cortex (DLPFC), left posterior parietal cortex, and pre-supplementary motor area - were engaged by both the rule representation and the rule-switching manipulations. These regions were engaged similarly across age groups, though contrasting timecourses of activation in left DLPFC suggest that children updated task rules more slowly than did adults. These findings support the idea that common networks can contribute to a variety of executive functions, and that some developmental changes take the form of changes in temporal dynamics rather than qualitative changes in the network of brain regions engaged.


Asunto(s)
Cognición/fisiología , Función Ejecutiva/fisiología , Lóbulo Frontal/fisiología , Lóbulo Parietal/fisiología , Adolescente , Adulto , Factores de Edad , Análisis de Varianza , Aptitud , Niño , Señales (Psicología) , Femenino , Lóbulo Frontal/crecimiento & desarrollo , Humanos , Imagen por Resonancia Magnética , Masculino , Lóbulo Parietal/crecimiento & desarrollo , Desempeño Psicomotor/fisiología , Refuerzo en Psicología , Controles Informales de la Sociedad , Adulto Joven
18.
ACS Nano ; 6(1): 641-50, 2012 Jan 24.
Artículo en Inglés | MEDLINE | ID: mdl-22188516

RESUMEN

Silver nanoplates are introduced as a new photoacoustic contrast agent that can be easily functionalized for molecular photoacoustic imaging in vivo. Methods are described for synthesis, functionalization, and stabilization of silver nanoplates using biocompatible ("green") reagents. Directional antibody conjugation to the nanoplate surface is presented along with proof of molecular sensitivity in vitro with pancreatic cancer cells. Cell viability tests show the antibody-conjugated silver nanoplates to be nontoxic at concentrations up to 1 mg/mL. Furthermore, the silver nanoplates' potential for in vivo application as a molecularly sensitive photoacoustic contrast agent is demonstrated using an orthotopic mouse model of pancreatic cancer. Results of these studies suggest that the synthesized silver nanoplates are well suited for a host of biomedical imaging and sensing applications.


Asunto(s)
Diagnóstico por Imagen de Elasticidad/métodos , Nanopartículas , Neoplasias Pancreáticas/diagnóstico por imagen , Plata , Animales , Línea Celular Tumoral , Medios de Contraste/síntesis química , Aumento de la Imagen/métodos , Masculino , Ratones , Nanopartículas/química , Plata/química
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