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1.
bioRxiv ; 2024 May 12.
Article in English | MEDLINE | ID: mdl-38765986

ABSTRACT

Background: Striatal Cholinergic Interneurons (CIN) are drivers of L-Dopa induced Dyskinesias (LID). However, what signaling pathways elicit aberrant CIN activity remains unclear. CIN express D2 and D5 receptors suggesting repeated activation of these receptors in response to L-Dopa could promote LID. While the role of D5 in this process has recently been probed, little is known about the role of D2. Method: Mice with CIN-specific D2 ablation (D2 CIN KO) underwent unilateral 6-OHDA lesion and chronic L-Dopa dosing, throughout which LID severity was quantified. The effect of D2 CIN KO on histological markers of LID severity and CIN activity were also quantified postmortem. Results: D2 CIN KO attenuated LID across L-Dopa doses, reduced expression of histological LID marker p-ERK, and prevented L-Dopa-induced increases in CIN activity marker p-rpS6 in the dorsolateral striatum. Conclusion: The activation of D2 specifically on CIN is a key driver of LID.

2.
Pathogens ; 12(12)2023 Dec 08.
Article in English | MEDLINE | ID: mdl-38133313

ABSTRACT

Toxoplasmosis has a major impact on animal and public health. Information regarding the seroprevalence of human Toxoplasma gondii infections from a European perspective has not yet been compiled to date. Thus, the present review summarized available resident data from the period 2000-2020. The overall seroprevalence of anti-T. gondii IgG was 32.1%, with great variability between countries (n = 30). The subgroup analysis identified different pooled prevalence data depending on the geographic area (p < 0.0001), target population (p = 0.0147), and serological diagnosis assays used (p = 0.0059). A high heterogeneity (I2 = 100%, p < 0.001; Q = 3.5e+05, d.f. = 135, p < 0.001) and degree of publication bias (Egger's test = 6.14, p < 0.001) were observed among the 134 studies considered. The occurrence of anti-T. gondii IgM, which was reported in 64.7% of studies, reached a pooled seroprevalence of 0.6%. In addition, among the eight main risk factors identified, "contact with soil", "consumption of undercooked beef", and "intake of unwashed vegetables" were the most significantly associated with infections. The fact that one-third of the European population has been exposed to T. gondii justifies extra efforts to harmonize surveillance systems and develop additional risk-factor analyses based on detailed source attribution assessment.

3.
Front Vet Sci ; 10: 1249410, 2023.
Article in English | MEDLINE | ID: mdl-37841464

ABSTRACT

The aim of the present systematic review and meta-analysis was to identify the main infectious agents related to bovine abortion worldwide in the period between 2000 and 2022. First, we investigated the global prevalence of infectious agents related to bovine abortion. For this analysis, only 27 articles detected of a wide panel of agents were included. The random effects model revealed that the estimated prevalence of the abortifacient agents in bovine abortion was 45.7%. The heterogeneity among studies was high, but Egger's test showed that there was no publication bias, even though the total number of samples analyzed in these articles was variable. There was no significant effect of the year of the study publication on the estimated prevalence, although an increasing trend was observed over time, possibly due to the implementation of new diagnostic techniques. Then, we analyzed the prevalence of the main transmissible agents in bovine abortion. For this analysis, 76 studies that analyzed 19,070 cases were included. Some infectious agent was detected in 7,319 specimens, and a final diagnosis was reached in 3,977 of these, when both the infectious agent and compatible histopathological changes were detected. We found that Neospora caninum was the most detected agent (22.2%), followed by opportunistic bacteria (21.4%), Chlamydiaceae family (10.9%) and Coxiella burnetii (9.5%). Regarding viral agents, bovine herpes virus type 1 and bovine viral diarrhea displayed similar prevalence rates (approximately 5%). After considering the description of specific histopathological changes, our analyzes showed that N. caninum was a confirmed cause of abortion in 16.7% of the analyzed cases, followed by opportunistic bacteria (12.6%) and Chlamydia spp. (6.8%); however, C. burnetii was only confirmed as a cause of abortion in 1.1% of the cases. For all agents, the heterogeneity among studies was high, and the subgroup analyzes discarded the diagnostic method as the cause of such heterogeneity. This study provides knowledge about the global prevalence of the different infectious agents related to bovine abortion, the most coming of which is N. caninum. In addition, this review reveals the existing deficiencies in the diagnosis of bovine abortion that must be addressed in the future.

4.
Investig. desar ; 31(1)jun. 2023.
Article in Spanish | LILACS-Express | LILACS | ID: biblio-1534737

ABSTRACT

Este artículo tiene como objetivo comprender las creencias sociales y orientaciones emocionales colectivas sobre la protesta social en el proceso de construcción de paz en Colombia. Se utilizó una metodología cualitativa con enfoque hermenéutico y se realizó un análisis de contenido sobre lo expresado en entrevistas semiestructuradas por 18 participantes, ciudadanos del común, quienes se asumieron "a favor de la protesta social", "en contra de la protesta social" y "ambivalentes". Como resultados, se contrastaron creencias y orientaciones emocionales colectivas favorables, como empatía y comprensión, con prejuicios y estigmas. Emergieron creencias sobre el "otro" opositor, como enemigo, expresiones de distancia social, discriminación, exclusión y odio. Los medios de comunicación como mecanismos de configuración de estas creencias y orientaciones emocionales colectivas, asociadas al rechazo a los movimientos sociales, por parte de algunos participantes, alimentaron un ambiente de polarización y redujeron las posibilidades del reconocimiento del otro como ser humano.


This research tries to comprehend the societal beliefs and the collective emotions about the social protest in the context of peacebuilding. It was used a qualitative methodology with hermeneutical approach, and it was made an analysis of content about what was said in the semi-structured interviews of 18 participants that were classified in three groups according to their position about the social protest: a group in favor, a group against it, and a third one with an ambivalent position. As a result, there were contrasted the positive societal beliefs and the collective as empathy, understanding against prejudices and stigmata. There were emerged beliefs about the "other" as an opponent and enemy, expressions of social distance between groups, discrimination, exclusion, and hate. The mass media were identified as configuration mechanisms of these societal beliefs and collective emotions, associated to rejection of social movements that feeds the political polarization and reduces the possibility to recognize the other as a human being.

5.
Polymers (Basel) ; 14(22)2022 Nov 16.
Article in English | MEDLINE | ID: mdl-36433087

ABSTRACT

This work aims to better understand the type of thermoplastic binders required to produce highly loaded copper filaments that can be successfully printed via low-cost filament-based material extrusion (MEX). Compounding feedstock material with 55 vol.% of copper and three multi-component binder systems has been performed. The MEX behavior of these feedstocks was evaluated by depositing material at different speeds and appropriately selecting the extrusion temperature depending on the binder composition. The rest of the MEX parameters remained constant to evaluate the printing quality for the different feedstocks. Printable filaments were produced with low ovality and good surface quality. The filaments showed good dispersion of the powder and polymeric binder system in SEM analysis. The feedstock mechanical properties, i.e., the tensile strength of the filament, were sufficient to ensure proper feeding in the MEX machine. The viscosity of the feedstock systems at the adjusted printing temperatures lies in the range of 102-103 Pa·s at the shear rate of 100-1000 s-1, which appears to be sufficient to guarantee the correct flowability and continuous extrusion. The tensile properties vary greatly (e.g., ultimate tensile strength 3-9.8 MPa, elongation at break 1.5-40.5%), and the most fragile filament could not be reliably printed at higher speeds. Micrographs of the cross-section of printed parts revealed that as the printing speed increased, the porosity was minimized because the volumetric flow of the feedstock material increased, which can help to fill pores. This study offers new insights into the feedstock requirements needed to produce low-cost intricate copper components of high quality in a reliable and efficient manner. Such components can find many applications in the electronics, biomedical, and many other industries.

6.
Polymers (Basel) ; 14(17)2022 Sep 02.
Article in English | MEDLINE | ID: mdl-36080728

ABSTRACT

The good interaction between the ceramic powder and the binder system is vital for ceramic injection molding and prevents the phase separation during processing. Due to the non-polar structure of polyolefins such as high-density polyethylene (HDPE) and the polar surface of ceramics such as zirconia, there is not appropriate adhesion between them. In this study, the effect of adding high-density polyethylene grafted with acrylic acid (AAHDPE), with high polarity and strong adhesion to the powder, on the rheological, thermal and chemical properties of polymer composites highly filled with zirconia and feedstocks was evaluated. To gain a deeper understanding of the effect of each component, formulations containing different amounts of HDPE and or AAHDPE, zirconia and paraffin wax (PW) were prepared. Attenuated total reflection spectroscopy (ATR), scanning electron microscopy (SEM), differential scanning calorimetry (DSC) and rotational and capillary rheology were used for the characterization of the different formulations. The ATR analysis revealed the formation of hydrogen bonds between the hydroxyl groups on the zirconia surface and AAHDPE. The improved powder-binder adhesion in the formulations with more AAHDPE resulted in a better powder dispersion and homogeneous mixtures, as observed by SEM. DSC results revealed that the addition of AAHDPE, PW and zirconia effect the melting and crystallization temperature and crystallinity of the binder, the polymer-filled system and feedstocks. The better powder--binder adhesion and powder dispersion effectively decreased the viscosity of the highly filled polymer composites and feedstocks with AAHDPE; this showed the potential of grafted polymers as binders for ceramic injection molding.

7.
Commun Biol ; 4(1): 1071, 2021 09 22.
Article in English | MEDLINE | ID: mdl-34552196

ABSTRACT

L-Dopa induced dyskinesia (LID) is a debilitating side effect of dopamine replacement therapy for Parkinson's Disease. The mechanistic underpinnings of LID remain obscure. Here we report that diminished sonic hedgehog (Shh) signaling in the basal ganglia caused by the degeneration of midbrain dopamine neurons facilitates the formation and expression of LID. We find that the pharmacological activation of Smoothened, a downstream effector of Shh, attenuates LID in the neurotoxic 6-OHDA- and genetic aphakia mouse models of Parkinson's Disease. Employing conditional genetic loss-of-function approaches, we show that reducing Shh secretion from dopamine neurons or Smoothened activity in cholinergic interneurons promotes LID. Conversely, the selective expression of constitutively active Smoothened in cholinergic interneurons is sufficient to render the sensitized aphakia model of Parkinson's Disease resistant to LID. Furthermore, acute depletion of Shh from dopamine neurons through prolonged optogenetic stimulation in otherwise intact mice and in the absence of L-Dopa produces LID-like involuntary movements. These findings indicate that augmenting Shh signaling in the L-Dopa treated brain may be a promising therapeutic approach for mitigating the dyskinetic side effects of long-term treatment with L-Dopa.


Subject(s)
Dopamine/metabolism , Dyskinesias/prevention & control , Hedgehog Proteins/metabolism , Levodopa/adverse effects , Parkinson Disease/physiopathology , Animals , Disease Models, Animal , Female , Male , Mice
8.
Environ Pollut ; 284: 117453, 2021 Sep 01.
Article in English | MEDLINE | ID: mdl-34090252

ABSTRACT

Antimicrobial resistance has become one of the main public health threats worldwide with anthropogenic activities driving the spread of resistance. Understanding and combatting the spread of resistant bacteria is a top priority for global health institutions, and it is included as one of the main goals of the One Health initiative. Giant tortoises (Chelonoidis spp.), some of the most iconic species on Earth, are widely distributed across the Galapagos archipelago and are thus perfect candidates to test the hypothesis that wildlife species in the Galapagos carry antimicrobial resistant genes (ARGs) associated with human activities. We sampled a total of 200 free-living Galapagos tortoises from western Santa Cruz Island (C. porteri), the most human-populated island of the archipelago, and 70 tortoises (C. vandenburghi) from the isolated Alcedo Volcano on Isabela Island, a natural area with minimal human presence. Fecal samples were analyzed by quantitative PCR for a panel of 21 ARGs conferring resistance for eight antimicrobial classes. We found ARGs in both Santa Cruz and Alcedo Volcano giant tortoises; however, both qualitative and quantitative results showed higher loads of ARGs in tortoises inhabiting the human modified environments of Santa Cruz. Moreover, Santa Cruz tortoises sampled in higher human-modified landscapes (i.e., farmlands and urban areas) presented a higher number of ARGs, antimicrobial classes, and multi-resistant microbiomes than those from less anthropized areas within the same island. Our findings suggest that human activities in Galapagos have a negative impact on ecosystem health through ARG dispersal. This research highlights a new threat for the health and conservation of the unique wildlife of the Galapagos, their ecosystems, and the humans inhabiting this World Heritage Site. Our recommendation to local policy makers is to control and reduce the use of antibiotics in both human and animal health, thus helping enforce antimicrobial regulations.


Subject(s)
Microbiota , Turtles , Animals , Animals, Wild , Anti-Bacterial Agents , Drug Resistance, Bacterial , Ecuador , Humans
9.
J Nephrol ; 34(6): 1819-1832, 2021 Dec.
Article in English | MEDLINE | ID: mdl-33847920

ABSTRACT

BACKGROUND: Growth Differentiation Factor-15 (GDF15) is a member of the TGF-ß superfamily. Increased serum GDF15 has been associated with increased risk of chronic kidney disease (CKD) progression. However, no prior studies have addressed the significance of urinary GDF15 in adult CKD. METHODS: We measured serum and urinary GDF15 in a prospective cohort of 84 patients who underwent kidney biopsy and assessed their association with outcomes (survival, kidney replacement therapy) during a follow-up of 29 ± 17 months. RESULTS: There was a statistically significant correlation between serum and urine GDF15 values. However, while serum GDF15 values increased with decreasing glomerular filtration rate, urinary GDF15 did not. Immunohistochemistry located kidney GDF15 expression mainly in tubular cells, and kidney GDF15 staining correlated with urinary GDF15 values. Urine GDF15 was significantly higher in patients with a histologic diagnosis of diabetic nephropathy than in diabetic patients without diabetic nephropathy. This was not the case for serum GDF15. Both serum and urine GDF15 were negatively associated with patient survival in multivariate models. However, when both urine and serum GDF15 were present in the model, lower urine GDF15 predicted patient survival [B coefficient (SEM) - 0.395 (0.182) p 0.03], and higher urine GDF15 predicted a composite of mortality or kidney replacement therapy [0.191 (0.06) p 0.002], while serum GDF15 was not predictive. Decision tree analysis yielded similar results. The area under the curve (AUC) of the receiver operating curve (ROC) for urine GDF15 as a predictor of mortality was 0.95 (95% CI 0.89-1.00, p < 0.001). CONCLUSIONS: In conclusion, urinary GDF15 is associated with kidney histology patterns, mortality and the need for renal replacement therapy (RRT) in CKD patients who underwent a kidney biopsy.


Subject(s)
Renal Insufficiency, Chronic , Biomarkers , Biopsy , Glomerular Filtration Rate , Growth Differentiation Factor 15 , Humans , Prospective Studies , Renal Insufficiency, Chronic/diagnosis
10.
Genes (Basel) ; 12(2)2021 02 16.
Article in English | MEDLINE | ID: mdl-33669344

ABSTRACT

In yeast and higher eukaryotes, transcription factor TFIIIB is required for accurate initiation of transcription by RNA Polymerase III (Pol III), which synthesizes transfer RNAs (tRNAs), 5S ribosomal RNA (rRNA), and other essential RNA molecules. TFIIIB is composed of three subunits: B double prime 1 (Bdp1), TATA-binding protein (TBP), and TFIIB-related factor 1 (Brf1). Here, we report the molecular characterization of Brf1 in Leishmania major (LmBrf1), a parasitic protozoan that shows distinctive transcription characteristics, including the apparent absence of Pol III general transcription factors TFIIIA and TFIIIC. Although single-knockout parasites of LmBrf1 were obtained, attempts to generate LmBrf1-null mutants were unsuccessful, which suggests that LmBrf1 is essential in promastigotes of L. major. Notably, Northern blot analyses showed that the half-lives of the messenger RNAs (mRNAs) from LmBrf1 and other components of the Pol III transcription machinery (Bdp1 and Pol III subunit RPC1) are very similar (~40 min). Stabilization of these transcripts was observed in stationary-phase parasites. Chromatin immunoprecipitation (ChIP) experiments showed that LmBrf1 binds to tRNA, small nuclear RNA (snRNA), and 5S rRNA genes. Unexpectedly, the results also indicated that LmBrf1 associates to the promoter region of the 18S rRNA genes and to three Pol II-dependent regions here analyzed. Tandem affinity purification and mass spectrometry analyses allowed the identification of a putative TFIIIC subunit. Moreover, several proteins involved in transcription by all three RNA polymerases co-purified with the tagged version of LmBrf1.


Subject(s)
Leishmania major/genetics , Leishmaniasis, Cutaneous/genetics , TATA-Binding Protein Associated Factors/genetics , Transcription Factor TFIIIB/genetics , Animals , Gene Expression Regulation/genetics , Humans , Leishmania major/pathogenicity , Leishmaniasis, Cutaneous/parasitology , Promoter Regions, Genetic/genetics , RNA Polymerase III/genetics , RNA, Ribosomal, 18S/genetics , RNA, Ribosomal, 5S/genetics , RNA, Small Nuclear/genetics , Saccharomyces cerevisiae/genetics , Transcription, Genetic
11.
Materials (Basel) ; 13(14)2020 Jul 15.
Article in English | MEDLINE | ID: mdl-32679838

ABSTRACT

The fused filament fabrication (FFF) of ceramics enables the additive manufacturing of components with complex geometries for many applications like tooling or prototyping. Nevertheless, due to the many factors involved in the process, it is difficult to separate the effect of the different parameters on the final properties of the FFF parts, which hinders the expansion of the technology. In this paper, the effect of the fill pattern used during FFF on the defects and the mechanical properties of zirconia components is evaluated. The zirconia-filled filaments were produced from scratch, characterized by different methods and used in the FFF of bending bars with infill orientations of 0°, ±45° and 90° with respect to the longest dimension of the specimens. Three-point bending tests were conducted on the specimens with the side in contact with the build platform under tensile loads. Next, the defects were identified with cuts in different sections. During the shaping by FFF, pores appeared inside the extruded roads due to binder degradation and or moisture evaporation. The changes in the fill pattern resulted in different types of porosity and defects in the first layer, with the latter leading to earlier fracture of the components. Due to these variations, the specimens with the 0° infill orientation had the lowest porosity and the highest bending strength, followed by the specimens with ±45° infill orientation and finally by those with 90° infill orientation.

12.
Materials (Basel) ; 13(3)2020 Feb 08.
Article in English | MEDLINE | ID: mdl-32046236

ABSTRACT

Fused filament fabrication (FFF) combined with debinding and sintering could be an economical process for three-dimensional (3D) printing of metal parts. In this paper, compounding, filament making, and FFF processing of feedstock material with 55% vol. of 17-4PH stainless steel powder in a multicomponent binder system are presented. The experimental part of the paper encompasses central composite design for optimization of the most significant 3D printing parameters (extrusion temperature, flow rate multiplier, and layer thickness) to obtain maximum tensile strength of the 3D-printed specimens. Here, only green specimens were examined in order to be able to determine the optimal parameters for 3D printing. The results show that the factor with the biggest influence on the tensile properties was flow rate multiplier, followed by the layer thickness and finally the extrusion temperature. Maximizing all three parameters led to the highest tensile properties of the green parts.

13.
J Vis Exp ; (143)2019 01 11.
Article in English | MEDLINE | ID: mdl-30688295

ABSTRACT

Technical ceramics are widely used for industrial and research applications, as well as for consumer goods. Today, the demand for complex geometries with diverse customization options and favorable production methods is increasing continuously. With fused filament fabrication (FFF), it is possible to produce large and complex components quickly with high material efficiency. In FFF, a continuous thermoplastic filament is melted in a heated nozzle and deposited below. The computer-controlled print head is moved in order to build up the desired shape layer by layer. Investigations regarding printing of metals or ceramics are increasing more and more in research and industry. This study focuses on additive manufacturing (AM) with a multi-material approach to combine a metal (stainless steel) with a technical ceramic (zirconia: ZrO2). Combining these materials offers a broad variety of applications due to their different electrical and mechanical properties. The paper shows the main issues in preparation of the material and feedstock, device development, and printing of these composites.


Subject(s)
Ceramics/chemistry , Metals/chemistry , Printing, Three-Dimensional , Computer-Aided Design , Imaging, Three-Dimensional , Stainless Steel/chemistry , Zirconium/chemistry
14.
Materials (Basel) ; 11(5)2018 May 18.
Article in English | MEDLINE | ID: mdl-29783705

ABSTRACT

Additive manufacturing (AM) is the fabrication of real three-dimensional objects from metals, ceramics, or plastics by adding material, usually as layers. There are several variants of AM; among them material extrusion (ME) is one of the most versatile and widely used. In MEAM, molten or viscous materials are pushed through an orifice and are selectively deposited as strands to form stacked layers and subsequently a three-dimensional object. The commonly used materials for MEAM are thermoplastic polymers and particulate composites; however, recently innovative formulations of highly-filled polymers (HP) with metals or ceramics have also been made available. MEAM with HP is an indirect process, which uses sacrificial polymeric binders to shape metallic and ceramic components. After removing the binder, the powder particles are fused together in a conventional sintering step. In this review the different types of MEAM techniques and relevant industrial approaches for the fabrication of metallic and ceramic components are described. The composition of certain HP binder systems and powders are presented; the methods of compounding and filament making HP are explained; the stages of shaping, debinding, and sintering are discussed; and finally a comparison of the parts produced via MEAM-HP with those produced via other manufacturing techniques is presented.

15.
J Dairy Res ; 80(4): 439-47, 2013 Nov.
Article in English | MEDLINE | ID: mdl-24000902

ABSTRACT

This study investigated factors affecting milk production and lactation curves from complete lactations of Lacaune dairy sheep. Animals were part of a single flock under intensive management and were milked twice daily starting at lambing. The results of the analyses of 7788 complete lactations showed an average total milk yield of 434±183 l from lactations 234±63 d long, with an average lambing interval of 302±65 d. A Pollott additive mathematical model was used to estimate complete lactation curves. Clustering analysis identified four lactation types among Lacaune dairy sheep differing mainly in productivity i.e. milk yield per lactation (MY) and length of lactation (DIM). The so-called SL type involved short, less productive lactations (n=2137; 27·4%; MY=222±75·5 l and DIM=182±52·9 d). The SN type involved short lactations of normal productivity (n=2039; 26·2%; MY=396±73·7 l and DIM=205±33·1 d). The LP type involved long and productive lactations (n=2169; 27·9%; MY=487±70·5 l and DIM=265±40·7 d), while the LVP type included long and extremely productive lactations (n=1443; 18·5%; MY=694±114·0 l and DIM=295±54·7 d). Sheep showing the best lactation curves were usually younger than other sheep, and they had higher yield during the previous lactation, a shorter previous dry period (55±50·4 for LP and 61±55·0 d for LVP types) and longer lambing intervals. In addition, they tended to be born in September and to lamb in March, October and December. Sheep were remarkably stable in their lactation curve behaviour: the curve type observed for the first lactation was highly likely to persist in subsequent lactations (P<0·0001). These results suggest that farmers can use the shape of the first lactation curve to guide their selection of ewes for breeding and retention on the farm, thereby improving flock productivity.


Subject(s)
Animal Husbandry/methods , Lactation/physiology , Sheep/physiology , Animals , Cluster Analysis , Female , Models, Biological , Pregnancy
16.
Ther Drug Monit ; 35(1): 71-7, 2013 Feb.
Article in English | MEDLINE | ID: mdl-23188184

ABSTRACT

BACKGROUND: Therapeutic drug monitoring (TDM) of antiretroviral drugs (ARVs) is used to improve the efficacy and safety of ARVs, but there is little interest for the systematic or random TDM of ARVs in the medical management of patients with acquired immune deficiency syndrome. This study aimed to evaluate a different approach and test the potential advantages of TDM as part of medical treatments when clinical problems are identified in human immunodeficiency virus-infected patients. METHODS: The authors conducted a prospective, noncontrolled, cohort study on 544 human immunodeficiency virus-positive patients treated either with a protease inhibitor (PI), atazanavir/lopinavir, or with a nonnucleoside reverse transcriptase inhibitor (NNRTI), efavirenz/nevirapine. Patients who had virological failure, clinical signs of toxicity, or a risk of pharmacokinetic interactions were identified as having medication-related problems (MRPs), and they were scheduled for TDM of the PIs or NNRTIs. Cases with drug levels outside the range were subjected to intervention, and a second determination of plasma levels and viral load was scheduled to assess their response to the intervention. RESULTS: Of the 521 treatment courses analyzed, 173 (32.4%) presented at least 1 MRP during the study. The TDM yielded abnormal results in 52.5% of the 198 identified MRP cases (95% CI: 45%-59%). The patients treated with PIs had an increased risk for having drug plasma levels that fell outside the normal range compared to those treated with NNRTIs (relative risk =1.36, 95% CI: 1.04-1.79). The TDM-guided interventions contributed to the resolution of 52.1% of the cases that involved treatment courses with MRPs and abnormal drug plasma levels. CONCLUSIONS: MRPs, including therapeutic failure, were common in the patients who were included in the study. A high proportion of the treatment courses involving such MRPs also presented abnormal plasma drug levels. The TDM-guided interventions are advantageous under these situations because they allow the continuation of treatments that would otherwise be substituted by more complex and costly alternatives.


Subject(s)
Anti-HIV Agents/adverse effects , Anti-HIV Agents/analysis , Antiretroviral Therapy, Highly Active/methods , Drug Monitoring/methods , HIV Infections/drug therapy , Alkynes , Anti-HIV Agents/blood , Anti-HIV Agents/therapeutic use , Antiretroviral Therapy, Highly Active/adverse effects , Atazanavir Sulfate , Benzoxazines/adverse effects , Benzoxazines/blood , Benzoxazines/therapeutic use , Cohort Studies , Cyclopropanes , HIV Infections/blood , HIV Protease Inhibitors/adverse effects , HIV Protease Inhibitors/blood , HIV Protease Inhibitors/therapeutic use , Humans , Lopinavir/adverse effects , Lopinavir/blood , Lopinavir/therapeutic use , Nevirapine/adverse effects , Nevirapine/blood , Nevirapine/therapeutic use , Oligopeptides/adverse effects , Oligopeptides/blood , Oligopeptides/therapeutic use , Prospective Studies , Pyridines/adverse effects , Pyridines/blood , Pyridines/therapeutic use , Reverse Transcriptase Inhibitors/adverse effects , Reverse Transcriptase Inhibitors/blood , Reverse Transcriptase Inhibitors/therapeutic use
18.
Salud trab. (Maracay) ; 19(2): 123-133, dic. 2011. graf, tab
Article in Spanish | LILACS | ID: lil-659267

ABSTRACT

Se presenta el estudio de diagnóstico y seguimiento de los niveles de mercurio en ambiente y en fluidos biológicos de los trabajadores de la metalurgia de Minas de Almadén (España) con el fin de aportar los insumos necesarios para que el Área de Prevención de Riesgos Laborales implantara un método que permitiera establecer unos “niveles críticos” para adoptar acciones preventivas en base a éstos. El estudio se enmarcó dentro de un programa de recolección de datos sobre 15 puestos de trabajo (hasta 70 operarios) como condiciones de vida del trabajador, niveles de exposición al mercurio mediante muestreos ambientales y personales, horarios y turnos de trabajo, reconocimientos médicos, profesiogramas, controles biológicos mensuales en condiciones basales (utilizando el Análisis por Espectrofotometría de Absorción Atómica en Vapor Frío) y valores biológicos máximos permisibles. Se analizaron los niveles de mercurio en la instalación, considerada globalmente, en puestos de trabajo con jornada continua y jornada alterna y, finalmente, en el puesto de trabajo como unidad operativa. Los resultados arrojaron que, a partir de la automatización de la planta en 1997, la mejora de los niveles de mercurio en ambiente de trabajo fue evidente y que la reducción de jornada, considerándola desde la perspectiva del riesgo al mercurio, no estaba justificada. Estableciendo dos periodos (1986-1997 y 1998-2001), los indicadores de mercurio, obtenidos en relación al puesto de trabajo como unidad operativa, experimentaron una notable disminución y evidenció que era necesario prestar especial atención a los puestos de trabajo de operador de hollines y peón de servicios varios.


This paper presents the monitoring and follow-up of environmental and biological mercury levels among metallurgy workers of the Almadén Mines in Spain, which provided the foundation for the mine’s occupational health department to implement a method that allowed establishment of "critical levels" that would trigger specific preventive interventions.The study was part of an information-gathering project targeting 15 jobs (up to 70 workers), focused on worker living conditions, environmental and personal mercury concentrations, job schedules and shifts, medical surveillance, job profiles, monthly baseline biological controls (using Cold Vapor Atomic Absorption Spectrophotometry) and maximum allowable biological exposure levels. Mercury levels were analyzed at several levels: facility-wide, in workplaces with continuous and alternating shifts, and, lastly, at the job level. Results showed that, since plant processes were automated in 1997, there had been a definite improvement in workplace mercury levels, and that a reduction of shifts, from the standpoint of the risk posed by exposure to mercury, was not justified. Between two periods (1986-1997 and 1998-2001), mercury exposures at the job level decreased significantly, although a closer evaluation of the soot operator and miscellaneous laborer jobs was warranted.


Subject(s)
Humans , Male , Spectrophotometry , Mercury Poisoning , Mercury , Metallurgy , Occupational Risks , Occupational Health , Working Conditions , Risk Factors
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