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1.
Food Chem Toxicol ; 158: 112608, 2021 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-34656697

RESUMEN

Methylglyoxal (MG), a potent glycotoxin that can be found in the diet, is one of the main precursors of Advanced glycation end products (AGEs). It is well known that modifications in lifestyle such as nutritional interventions can be of great value for preventing brain deterioration. This study aimed to evaluate in vivo how an oral MG treatment, that mimics a high MG dietary intake, could affect brain health. From our results, we demonstrated that MG administration affected working memory, and induced neuroinflammation and oxidative stress by modulating the Receptor for Advanced glycation end products (RAGE). The gene and protein expressions of RAGE were increased in the hippocampus of MG mice, an area where the activity of glyoxalase 1, one of the main enzymes involved in MG detoxification, was found reduced. Furthermore, at hippocampus level, MG mice showed increased expression of proinflammatory cytokines and increased activities of NADPH oxidase and catalase. MG administration also increased the gene and protein expressions of Presenilin-1, a subunit of the gamma-secretase protein complex linked to Alzheimer's disease. These findings suggest that high MG oral intake induces alteration directly in the brain and might establish an environment predisposing to AD-like pathological conditions.


Asunto(s)
Encéfalo/efectos de los fármacos , Cognición/efectos de los fármacos , Dieta , Productos Finales de Glicación Avanzada/toxicidad , Presenilina-1/metabolismo , Piruvaldehído/toxicidad , Receptor para Productos Finales de Glicación Avanzada/metabolismo , Envejecimiento , Enfermedad de Alzheimer/etiología , Enfermedad de Alzheimer/metabolismo , Enfermedad de Alzheimer/patología , Animales , Encéfalo/metabolismo , Catalasa/metabolismo , Citocinas/metabolismo , Femenino , Hipocampo/efectos de los fármacos , Hipocampo/metabolismo , Inflamación/etiología , Inflamación/metabolismo , Lactoilglutatión Liasa/metabolismo , Masculino , Memoria/efectos de los fármacos , Ratones , NADPH Oxidasas/metabolismo , Enfermedades Neuroinflamatorias/etiología , Enfermedades Neuroinflamatorias/metabolismo , Enfermedades Neuroinflamatorias/patología , Estrés Oxidativo
2.
Heliyon ; 7(9): e07938, 2021 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-34553082

RESUMEN

A field experiment was carried out in Adiyo, Bonke, Chencha, Sodo zuriya, and North Ari districts, they are found in Southern Ethiopia, during the 2019 main production season. The objective of the experiment was to evaluate the effectiveness of the integrations of host resistance and application of fungicides with designated spray frequency on Fusarium head blight under natural epiphytotic conditions and to determine the management effects on yield and yield components of wheat. The treatments consisted of wheat cultivars (Shorima and Hidase) and fungicides (Propiconazole and Tebuconazole) with four spray frequencies, including an unsprayed one. The experiment was arranged in a split-split plot design with three replications. Wheat cultivars were assigned to the main plots and fungicides allotted to the sub-plots, while the spray frequencies were appointed to sub-sub plots. Results exhibited that integration of wheat cultivars and fungicides with spray frequencies significantly (p < 0.001) reduced disease pressure and increased grain yields across the locations. The highest disease severity (36.46%) and area under disease progress curve (AUDPC) (404.78%-day) and lowest grain yield (2.42 t ha-1) were recorded at North Ari. The lowest severity (7.70%), and AUDPC (130.26%-day), and the highest grain yield (6.68 t ha-1) were recorded in Bonke. The lowest severity (4.78 and 5.74%) and AUDPC (52.86 and 59.78%-day) were recorded from Shorima due to integrated use of Tebuconazole with three and two times spray frequencies, respectively. The highest grain yield of 5.30 t ha-1 was recorded on Shorima in combination with Tebuconazole with three times spray frequencies. The grain yield loss of 46.49% was computed on unsprayed plots of Hidase cultivar. Overall, the results exhibited a combination of moderately resistance wheat cultivars supplemented by fungicide with appropriate spray frequencies right at disease onset reduced disease pressure and increased grain yield. Planting of Shorima combined with Tebuconazole with three times spray frequencies was found effective in reducing FHB epidemics and increasing grain yield with the highest monetary advantage. Therefore, this could be recommended to growers in the study areas and similar agro-ecologies to manage F. graminearum causing FHB in wheat.

3.
Mech Ageing Dev ; 192: 111385, 2020 12.
Artículo en Inglés | MEDLINE | ID: mdl-33129798

RESUMEN

Several theories have been postulated, trying to explain why and how living organisms age. Despite some controversies and still huge open questions, a growing body of evidence suggest alterations of mitochondrial functionality and redox-homeostasis occur during the ageing process. Oxidative damage and mitochondrial dysfunction do not represent the cause of ageing per se but they have to be analyzed within the complexity of those series of processes occurring during lifespan. The establishment of a crosstalk among them is a shared common feature of many chronic age-related diseases, including neurodegenerative disorders, for which ageing is a major risk factor. The challenge is to understand when and how the interplay between these two systems move towards from normal ageing process to a pathological phenotype. Here in this review, we discuss the crosstalk between mitochondria and cytosolic-ROS. Furthermore, through a visual data mining approach, we attempt to describe the dynamic interplay between mitochondria and cellular redox state on the route from ageing to an AD phenotype.


Asunto(s)
Envejecimiento/fisiología , Enfermedad de Alzheimer/metabolismo , Homeostasis/fisiología , Mitocondrias/metabolismo , Especies Reactivas de Oxígeno/metabolismo , Humanos , Oxidación-Reducción , Estrés Oxidativo
4.
Biochim Biophys Acta Gen Subj ; 1863(5): 893-902, 2019 05.
Artículo en Inglés | MEDLINE | ID: mdl-30817979

RESUMEN

BACKGROUND: Colorectal adenocarcinoma cells (Caco-2) are a widely used model of intestinal barrier to study cancer development, toxicological assessments, absorption and metabolism in food science or drug discovery. Caco-2 spontaneously differentiate into a monolayer expressing several specific characteristics, typically showed by mature enterocytes. For in vitro experiments, it is crucial to identify non-invasive and non-destructive techniques able to evaluate the integrity and differentiation of the cells monolayer. Thus, we aimed to assess these properties by analyzing electrical impedance measurements. METHODS: Caco-2 cells were differentiated for 21 days. The monolayer integrity and differentiation were primarily evaluated by means of morphological, biochemical and molecular data. Impedance measurements in a range of frequencies from 400 Hz to 50 kHz were performed using a dedicated set up, including customized Aerosol Jet Printed carbon-based sensors. RESULTS: The trends of RI observed at three different frequencies were able to describe cell growth and differentiation. In order to evaluate which frequencies better correlate with cell differentiation, Principal Component Analysis have been employed and the concordance analysis between RI magnitude and morphological, biochemical and molecular data, highlighted 40 kHz as the optimal frequency to assess Caco-2 cells differentiation process. CONCLUSION: We demonstrated the feasibility and reliability of applying impedance-based measurements not only to provide information about the monolayer status, but also for cell differentiation monitoring. GENERAL SIGNIFICANCE: This study underlined the possibility to use a dedicated sensor to assess the integrity and differentiation of Caco-2 monolayer, as a reliable non-destructive alternative to conventional approaches.


Asunto(s)
Diferenciación Celular , Impedancia Eléctrica , Técnicas Electroquímicas , Impresión Tridimensional , Células CACO-2 , Proliferación Celular , Electrodos , Humanos
5.
Oxid Med Cell Longev ; 2018: 2987249, 2018.
Artículo en Inglés | MEDLINE | ID: mdl-29725495

RESUMEN

γ-Oryzanol (ORY) is well known for its antioxidant potential. However, the mechanism by which ORY exerts its antioxidant effect is still unclear. In this paper, the antioxidant properties of ORY were investigated for its potential effects as a reactive oxygen and nitrogen species (ROS/RNS) scavenger and in activating antioxidant-promoting intracellular pathways utilizing the human embryonic kidney cells (HEK-293). The 24 h ORY exposure significantly prevented hydrogen peroxide- (H2O2-) induced ROS/RNS production at 3 h, and this effect was sustained for at least 24 h. ORY pretreatment also enhanced the activity of antioxidant enzymes: superoxide dismutase (SOD) and glutathione peroxidase (GPX). Interestingly, ORY induced the nuclear factor (erythroid-derived 2)-like 2 (Nrf2) nuclear translocation and upregulation of Nrf2-dependent defensive genes such as NAD(P)H quinone reductase (NQO1), heme oxygenase-1 (HO-1), and glutathione synthetase (GSS) at mRNA and protein levels in both basal condition and after H2O2 insult. Thus, this study suggested an intriguing effect of ORY in modulating the Nrf2 pathway, which is also involved in regulating longevity as well as age-related diseases.


Asunto(s)
Factor 2 Relacionado con NF-E2/metabolismo , Fenilpropionatos/metabolismo , Antioxidantes , Humanos
6.
Oxid Med Cell Longev ; 2016: 5923938, 2016.
Artículo en Inglés | MEDLINE | ID: mdl-26881032

RESUMEN

It is well recognized that mitochondrial dysfunction contributes to neurodegeneration occurring in Alzheimer's disease (AD). However, evidences of mitochondrial defects in AD peripheral cells are still inconclusive. Here, some mitochondrial-encoded and nuclear-encoded proteins, involved in maintaining the correct mitochondria machine, were investigated in terms of protein expression and enzymatic activity in peripheral blood mononuclear cells (PBMCs) isolated from AD and Mild Cognitive Impairment (MCI) patients and healthy subjects. In addition mitochondrial DNA copy number was measured by real time PCR. We found some differences and some similarities between AD and MCI patients when compared with healthy subjects. For example, cytochrome C and cytochrome B were decreased in AD, while MCI showed only a statistical reduction of cytochrome C. On the other hand, both AD and MCI blood cells exhibited highly nitrated MnSOD, index of a prooxidant environment inside the mitochondria. TFAM, a regulator of mitochondrial genome replication and transcription, was decreased in both AD and MCI patients' blood cells. Moreover also the mitochondrial DNA amount was reduced in PBMCs from both patient groups. In conclusion these data confirmed peripheral mitochondria impairment in AD and demonstrated that TFAM and mtDNA amount reduction could be two features of early events occurring in AD pathogenesis.


Asunto(s)
Enfermedad de Alzheimer/sangre , Disfunción Cognitiva/sangre , Leucocitos Mononucleares/citología , Mitocondrias/patología , Anciano , Anciano de 80 o más Años , Estudios de Casos y Controles , Núcleo Celular/metabolismo , Citocromos b/metabolismo , Citocromos c/metabolismo , ADN Mitocondrial/metabolismo , Femenino , Dosificación de Gen , Humanos , Masculino , Persona de Mediana Edad , Mitocondrias/metabolismo , Oxidantes/metabolismo , Oxidación-Reducción , Reacción en Cadena en Tiempo Real de la Polimerasa , Superóxido Dismutasa/metabolismo
7.
Leuk Res ; 32(8): 1196-9, 2008 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-18262645

RESUMEN

Among histological aggressive non-Hodgkin lymphomas (NHL), the overall risk of central nervous system (CNS) relapse is approximately 5%, a figure which is too low to offer prophylaxis to all patients. The aim of this work is to demonstrate the utility of flow cytometry (FCM) in detecting occult leptomeningeal disease in this subtype of NHL. We studied cerebrospinal fluid (CSF) involvement in 42 newly diagnosed aggressive NHL patients at risk for CNS involvement. We used multicolour FCM to detect CSF infiltrating neoplastic cells. Among the 42 patients studied, 11 had CSF involvement as detected by FCM. Of these, only four were also positive for conventional morphology (p=0.046). These results designate that FCM as the first choice technique in NHL CSF clinical cell analysis.


Asunto(s)
Citometría de Flujo/métodos , Linfoma de Células B/líquido cefalorraquídeo , Neoplasias Meníngeas/líquido cefalorraquídeo , Citodiagnóstico , Humanos
8.
Eura Medicophys ; 43(3): 407-15, 2007 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-17117147

RESUMEN

Frailty may be considered as a vulnerable status, which can precede the onset of overt disability. Operational definitions of frailty vary widely according to the conceptual framework: some authors consider frailty in a broad sense, which encompasses the physical, social, cognitive, psychological dimensions and comorbidity, whereas others define the syndrome more restrictively, mainly on the basis of performance parameters, such as gait speed, grip strength and physical activity. All these definitions are provided of a high predictive value for adverse outcomes, such as disability, hospitalization and mortality. Sarcopenia (i.e. the reduction of muscular mass and function) plays a predominant role in the pathogenesis of frailty. Among the factors responsible for sarcopenia (such as proinflammatory cytokines, low growth hormone and testosterone levels, increased production of oxygen free radicals, malnutrition and reduced neurological drive), immobility and lack of exercise have a preponderant role. Therefore, the diagnosis of frailty is mandatory for the early identification of a subset of elderly subjects at high risk, which can receive benefit from rehabilitation. A self-report and objective evaluation of physical performance are the best indicators of frailty in elderly subjects, a poor performance suggesting the need of an early and proper intervention. Structured exercise programs are effective in contrasting the progression of frailty, but an healthy and active lifestyle may be sufficient for delaying the onset of disability. In conclusion, there is clear evidence for prescription of exercise within the mainstream of the medical practice, rather than as an optional adjunct to standard care of the oldest old, given the public health implication of frailty, whose prevalence is going to increase in western populations.


Asunto(s)
Anciano Frágil , Estado de Salud , Anciano , Tolerancia al Ejercicio , Femenino , Humanos , Masculino , Factores de Riesgo
9.
Int J Immunopathol Pharmacol ; 19(4): 703-19, 2006.
Artículo en Inglés | MEDLINE | ID: mdl-17166393

RESUMEN

Human aging is characterized by skeletal muscle wasting, a debilitating condition which sets the susceptibility for diseases that directly affect the quality of life and often limit life span. Sarcopenia, i.e. the reduction of muscle mass and/or function, is the consequence of a reduction of protein synthesis and an increase in muscle protein degradation. In addition, the capacity for muscle regeneration is severely impaired in aging and this can lead to disability, particularly in patients with other concomitant diseases or organ impairment. Immobility and lack of exercise, increased levels of proinflammatory cytokines, increased production of oxygen free radicals or impaired detoxification, low anabolic hormone output, malnutrition and reduced neurological drive have been advocated as being responsible for sarcopenia. It is intriguing to notice that multiple pathways converge on skeletal muscle dysfunction, but the factors involved sometimes diverge to different pathways, thus intersecting at critical points. It is reasonable to argue that the activity of these nodes results from the net balance of regulating mechanisms, as in the case of the GH/IGF-1 axis, the testosterone and cortisol functions, the pro- and anti-inflammatory cytokines and receptors. Both genetic and epigenetic mechanisms operate in regulating the final phenotype, the extent of muscle atrophy and reduction in strength and force generation. It is widely accepted that intervention on lifestyle habits represents an affordable and practical way to modify on a large scale some detrimental outcomes of aging, and particularly sarcopenia. The identification of the molecular chain able to reverse sarcopenia is a major goal of studies on human aging.


Asunto(s)
Envejecimiento/patología , Personas con Discapacidad , Músculo Esquelético/patología , Femenino , Humanos , Masculino , Músculo Esquelético/metabolismo , Especies Reactivas de Oxígeno/metabolismo
10.
Minerva Gastroenterol Dietol ; 52(3): 303-8, 2006 Sep.
Artículo en Inglés, Italiano | MEDLINE | ID: mdl-16971874

RESUMEN

AIM: Portal hypertensive gastropathy (PHG) defines a pathological endoscopic picture characterized by the presence of alterations of the gastric mucosa found in patients with hepatopathy associated to an initial or evident portal hypertension. Gastropathy appears with two forms of different seriousness: the mild form, characterized by diffused congestion, petechiae of gastric mucosa (scarlatina type rash) and by the presence of typical hyperemic and edematous polygonal areas, delimited by a thin snake skin reticulation. In the severe form, together with such aspects, mucosal erosion, red spots, or a diffused hemorrhagic gastropathy are added. The pre-eminent pathogenetic element of such lesions seems to be the pathological increase of the portal pressure. The role of the Helicobacter pylori (H. pylori) in the development of these alterations, in terms of prevalence of infection in hepatopathic subjects, is still controversial. The authors have performed a research to verify if the H. pylori infection is correlated to the presence and/or to the gravity of PHG. METHODS: One-hundred and nine patients, all suffering from hepatitis C virus (HCV)-correlated liver cirrhosis, with clinical and/or instrumental signs of portal hypertension have been analysed. RESULTS: The histological prevalence of the infection from H. pylori in our statistical analysis was of 23.8% (26/109 patients). CONCLUSIONS: The H. pylori infection appears to be not significant for the determination and the preservation of PHG.


Asunto(s)
Infecciones por Helicobacter/complicaciones , Helicobacter pylori , Hepatitis C/complicaciones , Hipertensión Portal/complicaciones , Cirrosis Hepática/complicaciones , Gastropatías/complicaciones , Anciano , Anciano de 80 o más Años , Femenino , Humanos , Masculino , Persona de Mediana Edad
11.
Curr Pharm Des ; 12(24): 3147-59, 2006.
Artículo en Inglés | MEDLINE | ID: mdl-16918440

RESUMEN

The so-called demographic transition has changed the age structure of the population worldwide, with profound effects on societal organization. The growing number and percentage of old and very old people has compelled the scientific community to focus on age related diseases and peculiar consequences of aging itself such as disability and frailty. Understanding the pathophysiology of frailty, a syndrome characterized by a reduced functional reserve and impaired adaptive capacity that results from cumulative declines of multiple subsystems, and causes increased vulnerability to adverse outcomes, is a major topic in aging research. Aging processes induce multiple changes in the hormones network (menopause, andropause, somatopause and adrenopause), in the immune system, and can modulate their efficiency and effectiveness in determining a response to stressors. These triggering events can unmask frailty in older people. Starting from these assumptions, we analyzed the relationship of the endocrine and immune networks in aging and in the different domains that are characteristically associated with the frailty syndrome, such as disability and sarcopenia, as well as in diseases related to aging such as Alzheimer's dementia and Congestive Heart Failure.


Asunto(s)
Envejecimiento/fisiología , Glándulas Endocrinas/fisiopatología , Anciano Frágil , Sistema Inmunológico/fisiopatología , Anciano , Susceptibilidad a Enfermedades/inmunología , Susceptibilidad a Enfermedades/fisiopatología , Femenino , Humanos , Masculino
12.
Infect Immun ; 73(10): 6711-20, 2005 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-16177348

RESUMEN

We investigated the ability of human antibodies induced by Mycobacterium bovis bacillus Calmette-Guérin (BCG) vaccination to protect against mycobacterial infections. Serum samples containing mycobacterium-specific antibodies were obtained from volunteers who had received two intradermal BCG vaccinations 6 months apart. Significant increases in lipoarabinomannan (LAM)-specific immunoglobulin G (IgG) were detected after both the primary and booster vaccinations. Effects of mycobacterium-specific antibodies on surface binding and internalization of BCG by neutrophils and monocytes/macrophages were studied, using green fluorescent protein (gfp)-expressing BCG. Surface-bound gfp-expressing BCG were distinguished from intracellular BCG by surface labeling with LAM-specific monoclonal antibody. Internalization of BCG by phagocytic cells was shown to be significantly enhanced in postvaccination serum samples. Furthermore, the inhibitory effects of neutrophils and monocytes/macrophages on mycobacterial growth were significantly enhanced by BCG-induced antibodies. The growth-inhibiting effects of postvaccination sera were reversed by preabsorption of IgG with Protein G. Finally, the helper effects of antimycobacterial antibodies for the induction of cell-mediated immune responses were investigated. BCG-induced antibodies significantly enhanced proliferation and gamma interferon production in mycobacterium-specific CD4(+) and CD8(+) T cells, as well as the proportion of proliferating and degranulating CD8(+) T cells. We conclude that mycobacterium-specific antibodies are capable of enhancing both innate and cell-mediated immune responses to mycobacteria.


Asunto(s)
Anticuerpos Antibacterianos/inmunología , Linfocitos T CD4-Positivos/inmunología , Linfocitos T CD8-positivos/inmunología , Inmunidad Innata , Inmunización Pasiva , Mycobacterium bovis/inmunología , Tuberculosis/prevención & control , Vacuna BCG/inmunología , Proteínas Fluorescentes Verdes/análisis , Proteínas Fluorescentes Verdes/genética , Humanos , Inmunidad Celular , Inmunoglobulina G/sangre , Inmunoglobulina G/inmunología , Lipopolisacáridos/inmunología , Macrófagos/química , Macrófagos/microbiología , Monocitos/química , Monocitos/microbiología , Mycobacterium bovis/genética , Neutrófilos/química , Neutrófilos/microbiología , Fagocitosis/inmunología , Tuberculosis/inmunología
13.
Psychopharmacology (Berl) ; 179(3): 700-4, 2005 May.
Artículo en Inglés | MEDLINE | ID: mdl-15806416

RESUMEN

RATIONALE: Buprenorphine may be a useful alternative option to methadone in addicts. Opioids can produce severe changes in the immune system. OBJECTIVES: The objectives of this study are to compare the effect of sublingual buprenorphine and methadone on the immune system and to compare the two substances on the drying-out program compliance. METHODS: We studied 62 randomized outpatients for a period of 12 months. Subjects (55 males and 7 females; mean age 25+/-4 years; average history of heroin abuse being 2 years) on maintenance treatment were assigned in two groups (A and B). Methadone chloride (medium dose 100 mg/day) was administered to group A, whereas group B received sublingual buprenorphine (32.40+/-2.8 mg/day). Urine toxicological screening, plasma levels of TNF-alpha interleukin-1, interleukin-beta, lymphocyte CD14 and a self-rating depression questionnaire were measured. RESULTS: Urine screening was negative for opiates in 17.6% of group A and in 10.7% of group B (p<0.001; r = 0.62). Depression score was 62+/-2 in group A and 55+/-3 in group B (p < 0.01). Cytokine and CD14 revealed higher concentrations both in groups A and B without significant differences (p > 0.05) between the two groups. CONCLUSIONS: The effects of buprenorphine and methadone tested on the immune system were overlapping in our patients. The elevated cytokine levels observed may suggest that the two drugs stimulate immunologic hyperactivation of an immune system that was formerly inhibited by heroin. Furthermore, our data suggest that buprenorphine can be a valid alternative to methadone in maintenance treatment of chronic heroin abuse and referred a marked decline in depression.


Asunto(s)
Buprenorfina/uso terapéutico , Metadona/uso terapéutico , Trastornos Relacionados con Sustancias/tratamiento farmacológico , Trastornos Relacionados con Sustancias/inmunología , Adulto , Citocinas/inmunología , Citocinas/metabolismo , Femenino , Humanos , Receptores de Lipopolisacáridos/inmunología , Receptores de Lipopolisacáridos/metabolismo , Masculino , Trastornos Relacionados con Sustancias/metabolismo
14.
J Intern Med ; 257(4): 346-51, 2005 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-15788004

RESUMEN

OBJECTIVES: We screened a cohort of subjects affected by various degree of dyspepsia to reveal if they presented a reduction of the aorto-mesenteric angle and to diagnose suspected cases of superior mesenteric artery (SMA) syndrome. DESIGN: Controlled, prospective, study. SETTING: Subjects were studied as outpatients. SUBJECTS: The study investigated a total of 3622 subjects referred to our department by their general practitioners for dyspepsia and/or abdominal pain. Interventions. Abdominal ultrasonography with power colour Doppler, gastroduodenoscopy, hypotonic duodenography, contrast-enhanced spiral computerized tomography were performed. MAIN OUTCOME MEASUREMENT AND RESULTS: Color Doppler revealed a significant reduction of the SMA angle in 29 of 950 subjects; gastroscopy showed duodenal compressive pulsation in 14 of 29 patients and X-ray revealed compression of the third segment of the duodenum in 28 of 29 patients. CT confirmed the presence of a reduced angle and various degrees of duodenal compression in all patients. Ultrasonography and CT examinations gave overlapping results (P > 0.05) in diagnosing pathological aorto-mesenteric angle. CONCLUSION: The authors believe that the incidence of reduced aorto-mesenteric angle and SMA syndrome might be underrated. Ultrasound power colour Doppler imaging is useful in epidemiological screening of reduced aorto-mesenteric angle to diagnose suspected cases of SMA syndrome.


Asunto(s)
Síndrome de la Arteria Mesentérica Superior/diagnóstico por imagen , Dolor Abdominal/diagnóstico por imagen , Adulto , Aorta/diagnóstico por imagen , Aorta/patología , Dispepsia/diagnóstico por imagen , Femenino , Gastroscopía , Humanos , Masculino , Arteria Mesentérica Superior/diagnóstico por imagen , Arteria Mesentérica Superior/patología , Postura , Estudios Prospectivos , Síndrome de la Arteria Mesentérica Superior/patología , Tomografía Computarizada Espiral , Ultrasonografía Doppler en Color
15.
Int J Geriatr Psychiatry ; 20(2): 168-74, 2005 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-15660409

RESUMEN

BACKGROUND: Considerable suffering is experienced by carers of patients with dementia. Most existing studies do not consider the coexistence of subjective and objective aspects that cause, interacting to each other, this suffering. OBJECTIVES: In this study we: (1) define the high-risk group of caregivers on the bases of the scores obtained on the four scales evaluating burden, distress, depression and anxiety (BDDA) taken into account simultaneously and (2) evaluate risk factors related to the high level of BDDA. SUBJECTS AND METHODS: 419 elderly outpatients with dementia and their caregivers were enrolled. Patients were evaluated for their cognitive, neuropsychological and functional impairment and for comorbidity. Caregivers were evaluated with four scales for the assessment of burden, distress related to neuropsychological disturbances, depression and anxiety. Cluster analysis was used to identify the group with the High level of BDDA (HBDDA). RESULTS: By multiple logistic analysis, disability, specific behavioural disturbances of the patients as well as caregiver's age, type of relationship and living in the south of Italy were observed to be a major risk factor for HBDDA. CONCLUSION: The targeted use of scales specifically assessing BDDA of the caregiver and the identification of particular patient and caregiver characteristics are able to allow a precise and early definition of caregivers at high risk of burden and distress. This might be helpful in planning the correct social/clinical/rehabilitative approach.


Asunto(s)
Enfermedad de Alzheimer , Cuidadores/psicología , Estrés Psicológico , Adolescente , Adulto , Anciano , Anciano de 80 o más Años , Enfermedad de Alzheimer/psicología , Análisis por Conglomerados , Femenino , Humanos , Italia , Modelos Logísticos , Masculino , Persona de Mediana Edad
16.
East Afr Med J ; 82(12): 625-30, 2005 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-16619706

RESUMEN

OBJECTIVE: To identify the factors associated with childhood under-nutrition in North Wollo, Ethiopia. DESIGN: A cross-sectional study. SETTING: Four purposefully selected rural villages (kebeles) in North Wollo zone of the Amhara Region, Ethiopia. SUBJECTS: One hundred-forty four sampled households with under five year old children (n=200) comprising of 96 male-headed, 24 female-headed and 24 landless with children aged between six and 59 months. MAIN OUTCOME MEASURES: Determinations of anthropometric measurements and various socio-economic factors. RESULTS: The overall prevalence rate of under nutrition as determined by stunting, underweight and wasting was 44.5%, 25.0% and 9.0% respectively with more preponderance among the toddlers. The proportion of under nutrition was higher in female-headed households. Shortage of farmland, lack of irrigation, dispossession of livestock, shortage of non-farm employment options, parental illiteracy, high number of children, water inadequacy, food taboos and wrong eating habits of families, poor child feeding practices, deprivation of health nutrition education as well as maternal attributes such as young motherhood, low body mass index and short stature of mothers influenced the nutritional status of the children. The prominent risk factors for undernutrition among children were dispossession of livestock, child food taboos and wrong eating habits of families, deprivation of health/nutrition education, short stature and early marriage of mothers. CONCLUSION: This study led to the conclusion that improvement of household resources through promotion of irrigation and initiation of income generating livelihood options can reverse the nutrition situation for better. Health and nutrition education focusing on appropriate child feeding, eradication of harmful traditional practices such as early marriage and inequitable intra-household food distribution, encouragement of family planning and nutrition interventions including food diversification is recommended.


Asunto(s)
Ciencias de la Nutrición del Niño/educación , Derechos Humanos/educación , Desnutrición/prevención & control , Preescolar , Etiopía/epidemiología , Composición Familiar , Femenino , Humanos , Lactante , Masculino , Desnutrición/epidemiología , Edad Materna , Conducta Materna , Factores de Riesgo , Población Rural
17.
Int J Tuberc Lung Dis ; 8(11): 1388-91, 2004 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-15581212

RESUMEN

From a prospective cohort study on tuberculosis/human immunodeficiency virus (TB/HIV) interaction in Addis Ababa, Ethiopia, drug susceptibility results were available for 94 TB patients (46% HIV-infected). Resistance to one or more drug(s) was detected in 21 (22.3%) and multidrug resistance in five (5.3%) patients. Occurrence of resistance was not related to HIV status or outcome after 24 months of follow-up. However, among HIV-infected TB patients who died during follow-up, survival time in those with a resistant Mycobacterium tuberculosis strain was significantly shorter compared to those with a sensitive strain (6 vs. 13 months). Early detection of drug resistance and timely treatment change can therefore have a positive impact on survival in HIV-infected TB patients.


Asunto(s)
Antituberculosos/uso terapéutico , Infecciones por VIH/complicaciones , Mycobacterium tuberculosis/efectos de los fármacos , Tuberculosis Pulmonar/tratamiento farmacológico , Adulto , Estudios de Casos y Controles , Farmacorresistencia Bacteriana , Etiopía , Femenino , Estudios de Seguimiento , Infecciones por VIH/mortalidad , Humanos , Masculino , Estudios Prospectivos , Factores de Tiempo , Resultado del Tratamiento , Tuberculosis Pulmonar/mortalidad , Tuberculosis Pulmonar/virología , Adulto Joven
18.
Eur Rev Med Pharmacol Sci ; 7(3): 81-7, 2003.
Artículo en Inglés | MEDLINE | ID: mdl-14650644

RESUMEN

Homocysteine levels have been determined with Chromatography on HPLC column, between the 20th and the 24th week of pregnancy, in women with analogous characteristics (a) normotensive, (b) with pregnancy-induced hypertension (PIH), low (LR), medium (MR), high risk (HR). The group they belonged to was confirmed after natural or caesarean delivery. All the patients were submitted to 24 hour blood pressure monitoring for the evaluation of further pressure risk parameters: mean arterial pressure (MAP), non dippers, percentages of pressure peaks. Homocysteine levels in normotensive pregnant women (5.8 +/- 1.7 microM) were low. Significant high levels of homocysteine were present proportionally to the risk degree of PIH. Higher levels of homocysteine statistically significant were present in non dippers of all groups (MR p < 0.05; HR p < 0.01). A direct correlation between plasmatic homocisteine levels and pressure profiles was found out in non dippers (r = 0.56, r = 0.55, r = 0.50 respectively) and in dippers (r = 0.7, r = 0.75, r = 0.60 respectively), and also between levels of homocysteine, MAP value, and pathological percentages of systolic and diastolic nocturnal peaks. In pregnant women presenting preeclampsia afterwards, high levels of homocysteine were not different from mean values present in high risk PIH pregnant women (13.3 +/- 1.9 vs. 16.4 +/- 1.7 microM). High levels of homocysteine early determined in the second trimester of PIH pregnancies seem to be associated to a pregnancy higher risk, coexisting with dangerous pressure profiles. High levels confirm a pregnant woman to belong to a higher or lower risk degree of vascular damage, but in the same group context high levels of homocisteine do not allow to identify those pregnant women who will develop eclampsia.


Asunto(s)
Homocisteína/sangre , Hiperhomocisteinemia/complicaciones , Preeclampsia/complicaciones , Preeclampsia/diagnóstico , Femenino , Humanos , Hiperhomocisteinemia/sangre , Preeclampsia/sangre , Embarazo , Complicaciones Cardiovasculares del Embarazo/sangre , Factores de Tiempo
19.
J Immunoassay Immunochem ; 24(1): 57-72, 2003.
Artículo en Inglés | MEDLINE | ID: mdl-12680607

RESUMEN

A cross-sectional study was conducted on extensively reared chickens of three selected agro-climatic zones in Central Ethiopia to examine the predisposing effect of gastro-intestinal helminthes to intestinal Mycobacterium avium when it occurs as co-infection. This was done through a Lymphocyte Stimulation Test (LST) using avian PPD on peripheral blood mononuclear cells obtained from the blood of chickens and gross examination of digestive tract for the presence of helminth parasites. Data were analyzed using the statistical softwares SAS (1994) and Intercooled STATA version 6. Fourteen (14.7%) out of the 95 examined chickens were positive in in vitro LST showing stimulation index (SI) > or = 2. There was a significant (chi2 = 9.93, P < 0.01) difference in prevalence of M. avium by altitude: highest in chickens from lowland (27.8%) areas, followed by 13.3% in chickens from mid altitude and none was reacted to LST from highland region. A significant relationship (chi2 = 9.58, P < 0.01) in cestode co-infection with M. avium was found. There was no significant (chi2 = 1.66, P > 0.05) relationship in nematode co-infection with M. avium.


Asunto(s)
Pollos , Helmintiasis Animal/inmunología , Mycobacterium avium/inmunología , Enfermedades de las Aves de Corral/inmunología , Linfocitos T/inmunología , Tuberculina/inmunología , Tuberculosis Aviar/inmunología , Altitud , Animales , Comorbilidad , Estudios Transversales , Etiopía/epidemiología , Análisis Factorial , Enfermedades Gastrointestinales/epidemiología , Enfermedades Gastrointestinales/parasitología , Helmintiasis Animal/epidemiología , Helmintiasis Animal/parasitología , Activación de Linfocitos , Enfermedades de las Aves de Corral/sangre , Encuestas y Cuestionarios , Tuberculosis Aviar/epidemiología
20.
Int J Tuberc Lung Dis ; 6(10): 933-5, 2002 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-12365582

RESUMEN

Thiacetazone, despite frequent side-effects, may still be considered for the treatment of new tuberculosis cases when there is a shortage of drugs and for the management of multidrug-resistant tuberculosis. Fifty-four strains of M. tuberculosis complex were characterised based on the minimum inhibitory concentration (MIC) of thiacetazone and the growth pattern in the presence of different concentrations of the drug. The results showed that the MIC of thiacetazone to type II M. africanum strains was significantly higher than for other strains in the study (P < 0.01). Thiacetazone showed a paradoxical effect on 63% of strains where lower concentrations exhibited a better inhibiting activity than higher concentrations.


Asunto(s)
Antituberculosos/farmacología , Mycobacterium tuberculosis/efectos de los fármacos , Mycobacterium/efectos de los fármacos , Tioacetazona/farmacología , Antituberculosos/administración & dosificación , Recuento de Colonia Microbiana , Relación Dosis-Respuesta a Droga , Humanos , Técnicas In Vitro , Pruebas de Sensibilidad Microbiana , Mycobacterium/crecimiento & desarrollo , Mycobacterium tuberculosis/crecimiento & desarrollo , Tioacetazona/administración & dosificación
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