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1.
J Exp Zool A Ecol Integr Physiol ; 335(9-10): 864-878, 2021 11.
Article in English | MEDLINE | ID: mdl-34435751

ABSTRACT

Previous studies have suggested that the capacity of natural dissolved organic carbon (DOC) molecules to interact with biological membranes is associated with their aromaticity (SAC340 ); origin (allochthonous versus autochthonous, FI); molecular weight (Abs254/365 ); and relative fluorescence of DOC moieties (PARAFAC analysis). These interactions may be especially important when fish are challenged by acidic waters, which are known to inhibit the active uptake of Na+ and Cl- , while stimulating diffusive ion losses in freshwater fishes. Therefore, zebrafish were acclimated (7 days, pH 7.0) to five natural DOC sources (10 mg C/L), two from the Amazon Basin and three from Canada, together with a "no-added DOC" control. After the acclimation, fish were challenged by exposure to acidic water (pH 4.0) for 3 h. Osmoregulatory parameters were measured at pH 7.0 and 4.0. Acclimation to the five DOC sources did not disturb Na+ , Cl- and ammonia net fluxes, but resulted in differential elevations in Na+ , K+ ATPase and v-type H+ ATPase activities in fish at pH 7.0. However, after transfer to pH.4.0, the control fish exhibited rapid increases in both enzymes. In contrast the DOC- acclimated animals exhibited unchanged (Na+ , K+ ATPase) or differentially increased (v-type H+ ATPase) activities. Na+ , Cl- and ammonia net fluxes remained unchanged in the control fish, but were differentially elevated in most of the DOC treatments at pH 4.0, relative to the same DOC treatments at pH 7.0. Correlations between the osmoregulatory data the DOCs properties highlight that the DOC properties drive different effects on gill physiology.


Subject(s)
Dissolved Organic Matter , Zebrafish , Ammonia , Animals , Gills , Sodium
2.
Plant Dis ; 104(10): 2541-2550, 2020 Oct.
Article in English | MEDLINE | ID: mdl-32762502

ABSTRACT

Tar spot of corn has been a major foliar disease in several Latin American countries since 1904. In 2015, tar spot was first documented in the United States and has led to significant yield losses of approximately 4.5 million t. Tar spot is caused by an obligate pathogen, Phyllachora maydis, and thus requires a living host to grow and reproduce. Due to its obligate nature, biological and epidemiological studies are limited and impact of disease in corn production has been understudied. Here we present the current literature and gaps in knowledge of tar spot of corn in the Americas, its etiology, distribution, impact and known management strategies as a resource for understanding the pathosystem. This will in tern guide current and future research and aid in the development of effective management strategies for this disease.


Subject(s)
Plant Diseases , Zea mays , Americas , United States
3.
Sci Total Environ ; 733: 139193, 2020 Sep 01.
Article in English | MEDLINE | ID: mdl-32442875

ABSTRACT

Systems rich in terrigenous dissolved organic carbon (DOC), like the Rio Negro, can contribute significant amounts of carbon dioxide back to the atmosphere and support important microbial communities. We investigated photo-oxidation in the Rio Negro: (1) the depth to which light causes complete photo-oxidation to CO2 and changes in DOC structure, (2) the daily rate of change of absorbance indices, (3) the relationship between sub-surface rates of photo-oxidation to CO2 and light exposure, (4) the areal rates of photo-oxidation, and (5) the stability of fluorophore signals. Experiments were run in an outdoor pool of Rio Negro water, under natural sunlight during the dry seasons of 2015 and 2018. In 2018, rates of complete photo-oxidation and changes in absorbance indices decayed exponentially, approaching their asymptotes between 9 and 15 cm depth. In 2015, direct absorbance indices ceased changing at 14 cm depth. Fluorescence of humic acid-like moieties continued to decrease, sometimes to 35-43 cm depth. This indicates that partial photo-oxidation of DOC, and thus interaction with the microbial community, occurs to greater depths than previously expected. Areal rates of CO2 production were 28.8 and 39.3 mg C m-2 d-1 (two experiments, October 2018). Sub-surface (1.1 cm) rates were strongly related to light levels, reaching a maximum of 0.68 mg C l-1 d-1 in September. Complete photo-oxidation ceased below 29.6 mW cm-2 d-1 UV radiation, providing a daily baseline for observable production of CO2. Absorbance indices changed by 9 to 14% d-1 at high light levels, except for R254/365 (4.4% d-1). Fluorophore emission ranges were stable between 2014 and 2018, indicating that emissions can be compared across time and space. This study contributes to better estimates and understanding of photo-oxidation in tropical, black-water rivers, which will be useful for carbon modelling.

4.
AIDS Behav ; 24(3): 839-846, 2020 Mar.
Article in English | MEDLINE | ID: mdl-30945030

ABSTRACT

To assess the potential for decreased condom use as pre-exposure prophylaxis (PrEP) is scaled-up in Latin America, we examined HIV prevention method preferences (neither PrEP nor condoms, condoms only, PrEP only, or PrEP with condoms) within 1302 sexual partnerships reported by 397 HIV-negative men who have sex with men (MSM) and transgender women (TW) in Tijuana, Mexico. Using PrEP with condoms (56%) was preferred to using condoms only (24%), using PrEP only (17%), and using neither PrEP nor condoms (3%). Compared to using condoms only, using PrEP only was preferred within primary (adjusted odds ratio [AOR] = 4.13, 95% confidence interval [CI] 1.92, 8.90) and condomless sex practicing (AOR = 6.97, 95% CI 3.92, 12.40) partnerships, suggesting PrEP use may not displace condom use among MSM and TW in Tijuana and other similar settings.


Subject(s)
Anti-HIV Agents/administration & dosage , HIV Infections/prevention & control , Homosexuality, Male/psychology , Patient Preference , Pre-Exposure Prophylaxis/methods , Transgender Persons/psychology , Adult , Anti-HIV Agents/therapeutic use , Condoms , Female , HIV Infections/epidemiology , Homosexuality, Male/statistics & numerical data , Humans , Male , Mexico , Middle Aged , Safe Sex , Sexual Behavior , Sexual Partners , Transgender Persons/statistics & numerical data
5.
Environ Toxicol Chem ; 38(12): 2708-2718, 2019 12.
Article in English | MEDLINE | ID: mdl-31499591

ABSTRACT

The aim of the present study was to characterize the effects of particles on metal aquatic toxicity in a tropical system. To this end, we investigated the effects of natural suspended solids on copper (Cu) geochemistry and acute toxicity to the cardinal tetra (Paracheirodon axelrodi), in 2 Amazonian rivers with different total suspended solids (TSS) levels: the Rio Negro (low TSS ~ 8 mg L-1 ) and the Rio Solimões (high TSS ~ 70 mg L-1 ). The effect of particles on Cu aqueous geochemistry was assessed by measuring total, dissolved, and free ionic Cu concentrations in filtered (<0.45 µm) and unfiltered waters. Furthermore, acute Cu toxicity to fish was assessed in both filtered and unfiltered waters, by measuring physiological net fluxes of Na+ , Cl- , K+ , and total ammonia (in both river waters) and 96-h fish mortality (in Rio Solimões only). The particles in the Rio Negro were not abundant enough to play a significant role in our study. On the other hand, the Rio Solimões particles bound approximately 70% of total aqueous Cu in our tests. In agreement with bioavailability-based models, this decrease in dissolved (and free ionic) Cu concentration decreased Cu lethality in the 96-h toxicity tests. In the physiological measurements, the best evidence of particle protection was the total alleviation of Cu-induced Cl- losses. These flux tests also suggested that the particles themselves may negatively affect Na+ balance in the fish. Overall, the present study supports the use of bioavailability concepts to account for the role of natural suspended solids on metal biological effects in the Amazon River basin. Environ Toxicol Chem 2019;38:2708-2718. © 2019 SETAC.


Subject(s)
Copper/toxicity , Rivers/chemistry , Ammonia/metabolism , Animals , Brazil , Chlorides/metabolism , Copper/chemistry , Fishes/growth & development , Ions/chemistry , Lethal Dose 50 , Potassium/metabolism , Sodium/metabolism , Toxicity Tests , Water Pollutants, Chemical/chemistry , Water Pollutants, Chemical/toxicity
6.
J Insect Sci ; 19(2)2019 Mar 01.
Article in English | MEDLINE | ID: mdl-31222324

ABSTRACT

Developments in understanding bee responses to habitat loss indicate that body size is a trait with important consequences for conservation. Stingless bees (Hymenoptera, Apidae, Meliponini) are a diverse group of eusocial bees providing pollination services in tropical landscapes, exhibiting a large range in body size across species. We tested the effects of deforestation on the body sizes of stingless bee communities by using museum specimens and revisiting a previous effort that sampled stingless bee communities across varying levels of deforestation at 183 sites in Rondônia, Brazil, in 1996-1997. Body size measurements (intertegular distance) from 72 species collected were included as dependent variables in response to forest area, forest edge, and connectivity of forest patches at several spatial scales. We find that stingless bee body size is negatively related to forest cover: mean community body size was larger in areas with greater amounts of deforestation, and smaller in areas with less deforestation. Second, stingless bee species richness was positively associated with forest edge regardless of body size. Lastly, we find that as forest patch isolation increased, the stingless bee community body size also increased. These findings support hypotheses that small stingless bee species might be more negatively affected by deforestation, adding to the growing body of evidence that stingless bees require areas of intact forest in near proximity to other forest patches to conserve these diverse pollinator communities.


Subject(s)
Bees , Body Size , Conservation of Natural Resources , Ecosystem , Animals , Brazil
7.
J Comp Physiol B ; 188(5): 793-807, 2018 09.
Article in English | MEDLINE | ID: mdl-29948161

ABSTRACT

Dissolved organic carbon (DOC) represents a heterogeneous group of naturally-occurring molecules in aquatic environments, and recent studies have evidenced that optically dark DOCs can exert some positive effects on ionoregulatory homeostasis of aquatic organisms in acidic waters. We investigated the effects of Luther Marsh DOC, a dark allochthonous DOC, on ion regulation and N-waste excretion of zebrafish acutely exposed to either neutral or low pH in ion-poor water. In the first experiment, simultaneous exposure to pH 4.0 and DOC greatly attenuated the stimulation of Na+ diffusive losses (J outNa ), and prevented the blockade of Na+ uptake (J inNa ) seen in zebrafish exposed to pH 4.0 alone, resulting in much smaller disturbances in Na+ net losses (J netNa ). DOC also attenuated the stimulation of net Cl- losses (J netCl ) and ammonia excretion (J netAmm ) during acidic challenge. In the second experiment, zebrafish acclimated to DOC displayed similar regulation of J inNa and J outNa , and, therefore, reduced J netNa at pH 4.0, effects which persisted even when DOC was no longer present. Protective effects of prior acclimation to DOC on J netCl and J netAmm at pH 4.0 also occurred, but were less marked than those on Na+ balance. Urea fluxes were unaffected by the experimental treatments. Overall, these effects were clearly beneficial to the ionoregulatory homeostasis of zebrafish at low pH, and were quite similar to those seen in a recent parallel study using darker DOC from the upper Rio Negro. This suggests that dark allochthonous DOCs share some chemical properties that render fish tolerant to ionoregulatory disturbances during acidic challenge.


Subject(s)
Carbon/pharmacology , Fresh Water/chemistry , Zebrafish/metabolism , Ammonia/metabolism , Animals , Chlorides/metabolism , Hydrogen-Ion Concentration , Sodium/metabolism , Urea/metabolism
11.
Int J Obes (Lond) ; 40(10): 1510-1514, 2016 10.
Article in English | MEDLINE | ID: mdl-27478923

ABSTRACT

STUDY OBJECTIVES: To investigate the potential association between snoring and other symptoms indicative of sleep-disordered breathing and metabolic syndrome (MetS) in Hispanic adolescents and younger adults using a large population-based survey. METHODS: Sleep-related information, anthropometric measurements and fasting blood samples markers of MetS were obtained from subjects aged 15-40 years collected through the 2nd Chilean Health Survey. Regression models were constructed to evaluate the associations of snoring with MetS, hypertension and serum cholesterol levels. The modulating effect of sleep duration was accounted for in the models. RESULTS: A total of 2147 subjects (42% males, mean age 27.9±7.6 years) were included. Snoring and short sleep duration were present in 43.5 and 25% of the entire population, respectively. MetS was detected in 19.5% of the subjects. In the adjusted regression model, the odds of MetS among snoring subjects were 2.13 times higher (95% confidence interval (CI): 1.52-2.99; P<0.01), and 1.53-fold higher odds of elevated cholesterol also emerged (95% CI: 1.12-2.10; P<0.01). However, the odds of hypertension were not increased by the presence of snoring after adjusting for confounders. In addition, snoring was associated with an increase of 7.26 and 6.56 mg dl-1 for total and low-density lipoprotein cholesterol, respectively, even after adjusting for age, sex and body mass index. Short sleep duration was associated with a small albeit significant risk increase for high systolic blood pressure. CONCLUSIONS: In this large population-based sample of young Hispanic adults and adolescents, snoring, but not sleep duration, emerged as an independent risk factor for dyslipidemia and MetS, but not for hypertension.


Subject(s)
Dyslipidemias/metabolism , Hypertension/metabolism , Metabolic Syndrome/metabolism , Overweight/metabolism , Sleep Apnea Syndromes/metabolism , Snoring/epidemiology , Snoring/metabolism , Adolescent , Adult , Age Factors , Blood Glucose , Chile/epidemiology , Dyslipidemias/blood , Dyslipidemias/epidemiology , Dyslipidemias/physiopathology , Female , Health Surveys , Humans , Hypertension/blood , Hypertension/epidemiology , Hypertension/physiopathology , Male , Metabolic Syndrome/blood , Metabolic Syndrome/epidemiology , Metabolic Syndrome/physiopathology , National Health Programs , Overweight/blood , Overweight/epidemiology , Overweight/physiopathology , Prevalence , Risk Factors , Sleep Apnea Syndromes/blood , Sleep Apnea Syndromes/epidemiology , Sleep Apnea Syndromes/physiopathology , Snoring/blood , Snoring/physiopathology , Young Adult
12.
Sci Rep ; 6: 20377, 2016 Feb 08.
Article in English | MEDLINE | ID: mdl-26853589

ABSTRACT

The so-called "blackwaters" of the Amazonian Rio Negro are rich in highly coloured dissolved organic carbon (DOC), but ion-poor and very acidic, conditions that would cause fatal ionoregulatory failure in most fish. However these blackwaters support 8% of the world's ichthyofauna. We tested the hypothesis that native DOC provides protection against ionoregulatory dysfunction in this extreme environment. DOCs were isolated by reverse-osmosis from two Rio Negro sites. Physico-chemical characterization clearly indicated a terrigenous origin, with a high proportion of hydroxyl and phenolic sites, high chemical reactivity to protons, and unusual proteinaceous fluorescence. When tested using zebrafish (a model organism), Rio Negro DOC provided almost perfect protection against ionoregulatory disturbances associated with acute exposure to pH 4.0 in ion-poor water. DOC reduced diffusive losses of Na(+) and Cl(-), and promoted a remarkable stimulation of Na(+) uptake that otherwise would have been completely inhibited. Additionally, prior acclimation to DOC at neutral pH reduced rates of branchial Na(+) turnover, and provided similar protection against acid-induced ionoregulatory disturbances, even if the DOC was no longer present. These results reinforce the important roles that DOC molecules can play in the regulation of gill functions in freshwater fish, particularly in ion-poor, acidic blackwaters.


Subject(s)
Carbon/pharmacology , Rivers/chemistry , Zebrafish/growth & development , Animals , Brazil , Calcium/analysis , Hydrogen-Ion Concentration , Ions/analysis , Sodium/analysis , Stress, Physiological
13.
Genet Mol Res ; 11(2): 1319-26, 2012 May 15.
Article in English | MEDLINE | ID: mdl-22653578

ABSTRACT

We developed molecular markers for cassava based on the microsatellite-amplified fragment length polymorphism (M-AFLP) technique. Twenty primer pairs were developed and used for the analysis of 48 samples of Manihot species, consisting of M. esculenta (33), M. esculenta ssp flabellifolia (3), M. chlorosticta (3), M. carthaginensis (3), M. filamentosa (3), and M. tristis (3). Nine microsatellite loci that were polymorphic among these Manihot species were identified, giving 32 polymorphic alleles and from two to seven alleles per locus. Unbiased and direct count heterozygosity varied from 0.0233 to 0.7924 and 0.0000 to 0.7083, respectively. There was significant deviation (P < 0.05) from Hardy-Weinberg equilibrium at five loci. Genotypic data from the Manihot species were subjected to genetic diversity analysis. We found that M. chlorosticta and M. esculenta ssp flabellifolia were the closest populations, while M. filamentosa and M. esculenta ssp flabellifolia were the most divergent. Considering within M. esculenta, the samples from Nigeria and Fiji were the most closely related, while those from Venezuela and of unknown origin were the most divergent. We conclude that the M-AFLP technique is an effective method for generating microsatellite markers that are useful for genetic diversity analysis in Manihot species.


Subject(s)
Amplified Fragment Length Polymorphism Analysis/methods , Manihot/genetics , Microsatellite Repeats/genetics , Alleles , Genotype , Polymorphism, Genetic/genetics
14.
Environ Sci Technol ; 46(3): 1849-58, 2012 Feb 07.
Article in English | MEDLINE | ID: mdl-22196476

ABSTRACT

This study investigates factors affecting reproduction in fish exposed to pulp and paper mill effluents by comparing effluents from countries with varying levels of documented effects. To explore the hypothesis of wood as a common source of endocrine disrupting compounds, feedstocks from each country were analyzed. Analyses included in vitro assays for androgenic activity (binding to goldfish testis androgen receptors), estrogenic activity (yeast estrogen screen), and neurotransmitter enzyme inhibition (monoamine oxidase and glutamic acid decarboxylase). Chemical analyses included conventional extractives, known androgens, and gas chromatograph index (GCI) profiles. All effluents and wood contained androgenic activity, particularly in nonpolar fractions, although known androgens were undetected. Effluents with low suspended solids, having undergone conventional biotreatment had lower androgenic activities. Estrogenic activity was only associated with Brazilian effluents and undetected in wood. All effluents and wood inhibited neurotransmitter enzymes, predominantly in polar fractions. Kraft elemental chlorine free mills were associated with the greatest neurotransmitter inhibition. Effluent and wood GCI profiles were correlated with androgenic activity and neurotransmitter enzyme inhibition. Differences in feedstock bioactivities were not reflected in effluents, implying mill factors mitigate bioactive wood components. No differences in bioactivities could be discerned on the basis of country of origin, thus we predict effluents in regions lacking monitoring would affect fish reproduction and therefore recommend implementing such programs.


Subject(s)
Endocrine Disruptors/toxicity , Estrogens/agonists , Paper , Receptors, Androgen/drug effects , Reproduction/drug effects , Waste Products/adverse effects , Water Pollutants, Chemical/toxicity , Analysis of Variance , Animals , Brazil , Canada , Chromatography, Gas , Glutamate Decarboxylase/metabolism , Goldfish , Monoamine Oxidase/metabolism , New Zealand , Receptors, Androgen/metabolism , Saccharomyces cerevisiae , Tandem Mass Spectrometry
16.
Caries Res ; 45(4): 377-85, 2011.
Article in English | MEDLINE | ID: mdl-21822016

ABSTRACT

We explored the association between caries development, colonization with caries-associated microflora, and immunity as children begin the transition to mixed dentition. Forty children received dental examinations at 3-4 years of age, repeated a year later. Children were grouped into caries-free (n = 23; CF) and caries-active (n = 17; CA ≥3 new lesions on follow-up). Salivary IgA and IgA antibody to Streptococcus mutans virulence epitopes were measured by Luminex assay. Mutans streptococci (MS), lactobacilli and total microorganisms were enumerated on selective media from plaque samples. There was no significant difference in baseline levels of MS or lactobacilli between CF and CA groups. However, both MS and lactobacilli levels were higher at follow-up in the CA group. Furthermore, children with detectable lactobacilli at baseline had significantly higher caries risk. Salivary IgA concentrations increased significantly in both groups during the study. Both CF and CA groups also displayed significant increases in salivary IgA antibody levels to glucosyltransferase, glucan-binding protein (Gbp) and antigen I/II salivary binding region. CF antibody levels to seven peptides associated with domains of biological importance increased at follow-up, in contrast to increases to only three peptides in CA saliva samples. Multivariate modeling showed that a lower baseline level of salivary IgA anti-GbpB was associated with higher caries risk. These data indicate that MS and lactobacilli are associated with caries in this population, that the secretory immune system is undergoing significant maturation during this period, and that the breadth of mucosal IgA response to epitopes of S. mutans virulence components may influence the degree to which these cariogenic microorganisms can cause disease.


Subject(s)
Dental Caries/immunology , Dental Caries/microbiology , Dental Plaque/microbiology , Lactobacillus/immunology , Saliva/immunology , Streptococcus mutans/immunology , Adhesins, Bacterial/immunology , Antibodies, Bacterial/analysis , Carrier Proteins/analysis , Child, Preschool , Dentition, Mixed , Humans , Immunity, Mucosal , Immunoglobulin A, Secretory/analysis , Lectins/analysis , Logistic Models , Multivariate Analysis , Statistics, Nonparametric , Virulence Factors/immunology
17.
West Indian med. j ; West Indian med. j;60(3): 293-297, June 2011. tab
Article in English | LILACS | ID: lil-672770

ABSTRACT

OBJECTIVE: To assess the level of satisfaction with pharmacy services and whether satisfaction/dissatisfaction had any effect on two common chronic diseases. Proper control of chronic diseases requires a management regime which includes promotive, preventive, curative and rehabilitative services through primary, secondary and tertiary preventive intervention measures and a wide range of support services. METHODS: A cross-sectional descriptive study with both quantitative and qualitative components was designed to collect data from among all diabetic and hypertensive patients (n = 150) attending 3 health centres in the parish of St Thomas on the days that data were being collected. The questionnaires were interviewer administered. Qualitative data were obtained from focus group discussions which explored themes related to the objectives. RESULTS: Though there was overall satisfaction with the pharmacy services studied, the level of control ofthe two diseases was unsatisfactory. There was no relationship between hypertension control and satisfaction with pharmacy services while the relationship with diabetes mellitus control was limited to a very weak negative association with the rating of the pharmacists' instructions on how to take the prescribed medications. CONCLUSION: "Satisfactory Pharmacy Services " could be improved by the employment of additional staff, improvement in how drugs are stocked, greater availability of generic drugs and more utilization ofhealth cards.


OBJETIVO: Evaluar el nivel de satisfacción con los servicios de farmacia, e investigar si la satisfacción o la insatisfacción tienen algún efecto en dos enfermedades crónicas comunes. El control apropiado de las enfermedades crónicas requiere un régimen de tratamiento que incluye servicios promovedores, preventivos, curativos y rehabilitadores a través de medidas de intervención preventiva primaria, secundaria y terciaria, así como una amplia variedad de servicios de apoyo. MÉTODOS: Se diseñó un estudio descriptivo transversal con componentes cuantitativos y cualitativos, a fin de recopilar datos de entre todos los pacientes diabéticos e hipertensos (n = 150) que asistían a 3 centros de salud en el distrito de Saint Thomas en los días en que se recogían los datos. Las encuestas fueron aplicadas por el entrevistado. Se obtuvieron datos cualitativos de discusiones de grupo focal, en las que se exploraban temas relacionados con los objetivos. RESULTADOS: Aunque había satisfacción global con los servicios de farmacia estudiados, el nivel de control de las dos enfermedades fue poco satisfactorio. No había ninguna relación entre el control de la hipertensión y la satisfacción con los servicios de farmacia, en tanto que la relación con el control de la diabetes mellitus se limitó a una asociación negativa muy débil con la evaluación de las instrucciones de los farmacéuticos sobre cómo tomar los medicamentos prescritos. CONCLUSIÓN: "Los Servicios Satisfactorios de Farmacia"podrían mejorar mediante la introducción de personal adicional, el mejoramiento en cuanto a cómo organizar el almacén de medicamentos, mayor disponibilidad mayor de medicamentos genéricos, y más utilización de tarjetas de salud.


Subject(s)
Aged , Aged, 80 and over , Female , Humans , Male , Middle Aged , Community Pharmacy Services , Diabetes Mellitus/prevention & control , Hypertension/prevention & control , Patient Satisfaction , Chronic Disease/prevention & control , Cross-Sectional Studies , Disease Management , Pharmacists , Professional-Patient Relations , United States Virgin Islands
18.
West Indian Med J ; 60(3): 293-7, 2011 Jun.
Article in English | MEDLINE | ID: mdl-22224341

ABSTRACT

OBJECTIVE: To assess the level of satisfaction with pharmacy services and whether satisfaction/dissatisfaction had any effect on two common chronic diseases. Proper control of chronic diseases requires a management regime which includes promotive, preventive, curative and rehabilitative services through primary, secondary and tertiary preventive intervention measures and a wide range of support services. METHODS: A cross-sectional descriptive study with both quantitative and qualitative components was designed to collect data from among all diabetic and hypertensive patients (n = 150) attending 3 health centres in the parish of St Thomas on the days that data were being collected. The questionnaires were interviewer administered. Qualitative data were obtained from focus group discussions which explored themes related to the objectives. RESULTS: Though there was overall satisfaction with the pharmacy services studied, the level of control of the two diseases was unsatisfactory. There was no relationship between hypertension control and satisfaction with pharmacy services while the relationship with diabetes mellitus control was limited to a very weak negative association with the rating of the pharmacists' instructions on how to take the prescribed medications. CONCLUSION: "Satisfactory Pharmacy Services" could be improved by the employment of additional staff improvement in how drugs are stocked, greater availability of generic drugs and more utilization of health cards.


Subject(s)
Community Pharmacy Services , Diabetes Mellitus/prevention & control , Hypertension/prevention & control , Patient Satisfaction , Aged , Aged, 80 and over , Chronic Disease/prevention & control , Cross-Sectional Studies , Disease Management , Female , Humans , Male , Middle Aged , Pharmacists , Professional-Patient Relations , United States Virgin Islands
19.
Oral Microbiol Immunol ; 23(6): 466-73, 2008 Dec.
Article in English | MEDLINE | ID: mdl-18954352

ABSTRACT

BACKGROUND: Streptococcus mutans, a major dental caries pathogen, expresses several virulence genes that mediate its growth, accumulation on tooth surfaces, and acid-mediated tooth demineralization. GtfB and GtfC catalyze the extracellular synthesis of water-insoluble glucan matrix from sucrose, and are essential for accumulation of bacteria in the dental biofilm. GbpB, an essential protein of S. mutans, might also mediate cell-surface interaction with glucan. AIM/METHODS: In this study, we determined the transcription levels of gtfB, gtfC, and gbpB, and several putative transcriptional response regulators (rr) at different phases of planktonic growth in 11 S. mutans strains. RESULTS: Activities of gtfB and gtfC were growth-phase dependent and assumed divergent patterns in several strains during specific phases of growth, while gbpB activities appeared to be under modest influence of the growth phase. Transcription patterns of the rr vicR, covR, comE, ciaR, and rr1 were growth-phase dependent and some of these genes were expressed in a highly coordinated way. Each rr, except comE, was expressed by all the strains. Patterns of virulence and regulatory genes were, however, strain-specific. CONCLUSIONS: The findings suggest that mechanisms controlling virulence gene expression are variable among genotypes, providing the notion that the genetic diversity of S. mutans may have important implications for understanding mechanisms that regulate the expression of virulence genes in this species.


Subject(s)
Bacterial Proteins/metabolism , Gene Expression Regulation, Bacterial , Glucans/metabolism , Streptococcus mutans/genetics , Transcription, Genetic , Bacterial Proteins/genetics , Gene Expression Profiling , Genes, Bacterial , Genes, Regulator , Genotype , RNA, Bacterial/genetics , Reverse Transcriptase Polymerase Chain Reaction , Streptococcus mutans/growth & development , Streptococcus mutans/metabolism , Virulence Factors/genetics , Virulence Factors/metabolism
20.
Infect Immun ; 76(8): 3606-13, 2008 Aug.
Article in English | MEDLINE | ID: mdl-18474645

ABSTRACT

The interplay between mucosal immune responses to natural exposure to mutans streptococci and the incorporation and accumulation of these cariogenic microorganisms in oral biofilms is unclear. An initial approach to explore this question would be to assess the native secretory immunity emerging as a consequence of Streptococcus mutans infection. To this end, we analyzed salivary immunoglobulin A (IgA) antibody to mutans streptococcal glucosyltransferase (Gtf) and glucan binding protein B (GbpB) and to domains associated with enzyme function and major histocompatibility complex (MHC) class II binding in two experiments. Salivas were collected from approximately 45-day-old Sprague-Dawley rats, which were then infected with S. mutans SJ32. Infection was verified and allowed to continue for 2 to 2.5 months. Salivas were again collected following the infection period. Pre- and postinfection salivas were then analyzed for IgA antibody activity using peptide- or protein-coated microsphere Luminex technology. S. mutans infection induced significant levels of salivary IgA antibody to Gtf (P < 0.002) and GbpB (P < 0.001) in both experiments, although the levels were usually far lower than the levels achieved when mucosal immunization is used. Significantly (P < 0.035 to P < 0.001) elevated levels of postinfection salivary IgA antibody to 6/10 Gtf peptides associated with either enzyme function or MHC binding were detected. The postinfection levels of antibody to two GbpB peptides in the N-terminal region of the six GbpB peptides assayed were also elevated (P < 0.031 and P < 0.001). Interestingly, the patterns of the rodent response to GbpB peptides were similar to the patterns seen in salivas from young children during their initial exposure to S. mutans. Thus, the presence of a detectable postinfection salivary IgA response to mutans streptococcal virulence-associated components, coupled with the correspondence between rat and human mucosal immune responsiveness to naturally presented Gtf and GbpB epitopes, suggests that the rat may be a useful model for defining mucosal responses that could be expected in humans. Under controlled infection conditions, such a model could prove to be helpful for unraveling relationships between the host response and oral biofilm development.


Subject(s)
Antibodies, Bacterial/immunology , Saliva/immunology , Streptococcus mutans/immunology , Virulence Factors/immunology , Animals , Antibodies, Bacterial/analysis , Antigens, Bacterial/immunology , Bacterial Proteins/immunology , Glucosyltransferases/immunology , Glycoproteins/immunology , Immunoglobulin A/analysis , Immunoglobulin A/immunology , Rats , Rats, Sprague-Dawley , Saliva/chemistry , Streptococcal Infections/immunology
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