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1.
Health Technol (Berl) ; 11(6): 1297-1304, 2021 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-35251887

RESUMEN

The challenges of reliably collecting, storing, organizing, and analyzing research data are critical in low- and middle-income countries (LMICs), particularly in Sub-Saharan Africa where several healthcare and biomedical research organizations have limited data infrastructure. The Research Electronic Data Capture (REDCap) System has been widely used by many institutions and hospitals in the USA for data collection, entry, and management and could help solve this problem. This study reports on the experiences, challenges, and lessons learned from establishing and applying REDCap for a large US-Nigeria research partnership that includes two sites in Nigeria, (the College of Medicine of the University of Lagos (CMUL) and Jos University Teaching Hospital (JUTH)) and Northwestern University (NU) in Chicago, Illinois in the United States. The largest challenges to this implementation were significant technical obstacles: the lack of REDCap-trained personnel, transient electrical power supply, and slow/intermittent internet connectivity. However, asynchronous communication and on-site hands-on collaboration between the Nigerian sites and NU led to the successful installation and configuration of REDCap to meet the needs of the Nigerian sites. An example of one lesson learned is the use of Virtual Private Network (VPN) as a solution to poor internet connectivity at one of the sites, and its adoption is underway at the other. Virtual Private Servers (VPS) or shared online hosting were also evaluated and offer alternative solutions. Installing and using REDCap in LMIC institutions for research data management is feasible; however, planning for trained personnel and addressing electrical and internet infrastructural requirements are essential to optimize its use. Building this fundamental research capacity within LMICs across Africa could substantially enhance the potential for more cross-institutional and cross-country collaboration in future research endeavors.

2.
Osteoarthritis Cartilage ; 27(2): 240-247, 2019 02.
Artículo en Inglés | MEDLINE | ID: mdl-30336210

RESUMEN

OBJECTIVE: To investigate individual preferences for physical activity (PA) attributes in adults with chronic knee pain, to identify clusters of individuals with similar preferences, and to identify whether individuals in these clusters differ by their demographic and health characteristics. DESIGN: An adaptive conjoint analysis (ACA) was conducted using the Potentially All Pairwise RanKings of all possible Alternatives (PAPRIKA) method to determine preference weights representing the relative importance of six PA attributes. Cluster analysis was performed to identify clusters of participants with similar weights. Chi-square and ANOVA were used to assess differences in individual characteristics by cluster. Multinomial logistic regression was used to assess associations between individual characteristics and cluster assignment. RESULTS: The study sample included 146 participants; mean age 65, 72% female, 47% white, non-Hispanic. The six attributes (mean weights in parentheses) are: health benefit (0.26), enjoyment (0.24), convenience (0.16), financial cost (0.13), effort (0.11) and time cost (0.10). Three clusters were identified: Cluster 1 (n = 33): for whom enjoyment (0.35) is twice as important as health benefit; Cluster 2 (n = 63): for whom health benefit (0.38) is most important; and Cluster 3 (n = 50): for whom cost (0.18), effort (0.18), health benefit (0.17) and enjoyment (0.18) are equally important. Cluster 1 was healthiest, Cluster 2 most self-efficacious, and Cluster 3 was in poorest health. CONCLUSIONS: Patients with chronic knee pain have preferences for PA that can be distinguished effectively using ACA methods. Adults with chronic knee pain, clustered by PA preferences, share distinguishing characteristics. Understanding preferences may help clinicians and researchers to better tailor PA interventions.


Asunto(s)
Dolor Crónico/psicología , Ejercicio Físico/fisiología , Articulación de la Rodilla , Prioridad del Paciente , Anciano , Chicago , Dolor Crónico/diagnóstico por imagen , Dolor Crónico/fisiopatología , Análisis por Conglomerados , Femenino , Conductas Relacionadas con la Salud , Humanos , Articulación de la Rodilla/diagnóstico por imagen , Masculino , Persona de Mediana Edad , Radiografía , Autoinforme
3.
J Pediatr Urol ; 13(4): 384.e1-384.e7, 2017 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-28579135

RESUMEN

BACKGROUND: Reported rates of post-procedural urinary tract infection (ppUTI) after voiding cystourethrogram (VCUG) are highly variable (0-42%). OBJECTIVE: This study aimed to determine the risk of ppUTI after cystogram, and evaluate predictors of ppUTI. STUDY DESIGN: A retrospective cohort study of children undergoing VCUG or radionuclide cystogram (henceforth 'cystogram') was conducted. Children with neurogenic bladder who underwent cystogram in the operating room and without follow-up at the study institution were excluded. Incidence of symptomatic ppUTI within 7 days after cystogram was recorded. Predictors of ppUTI were evaluated using univariate statistics. RESULTS: A total of 1108 children (54% female, median age 1.1 years) underwent 1203 cystograms: 51% were on periprocedural antibiotics, 75% had a pre-existing urologic diagnosis (i.e., vesicoureteral reflux (VUR) or hydronephrosis; not UTI alone), and 18% had a clinical UTI within 30 days before cystogram. Of the cystograms, 41% had an abnormal cystogram and findings included VUR (82%), ureterocele (6%), and diverticula (6%). Twelve children had a ppUTI (1.0%; four girls, five uncircumcised boys, three circumcised boys; median age 0.9 years). Factors significantly associated with diagnosis of a ppUTI (Summary fig.) included: pre-existing urologic diagnosis prior to cystogram (12/12, 100% of patients with ppUTI), abnormal cystogram results (11/12, 92%), and use of periprocedural antibiotics (11/12, 92%). All 11 children with an abnormal cystogram had VUR ≥ Grade III. However, among all children with VUR ≥ Grade III, 4% (11/254) had a ppUTI. DISCUSSION: This is the largest study to date that has examined incidence and risk factors for ppUTI after cystogram. The retrospective nature of the study limited capture of some clinical details. This study demonstrated that the risk of ppUTI after a cystogram is very low (1.0% in this cohort). Having a pre-existing urologic diagnosis such as VUR or hydronephrosis was associated with ppUTI; therefore, children with moderate or high-grade VUR on cystogram may be at highest risk. Development of ppUTI after cystogram also highlighted the potential for a delay in diagnosis or oversight of a healthcare-associated infection due to several factors: 1) cystograms may be ordered, performed/interpreted, and followed up by multiple different providers; and 2) such infections are not captured by traditional healthcare-associated infection surveillance strategies. CONCLUSIONS: The risk of ppUTI after a cystogram is very low. Only children with pre-existing urologic diagnoses developed ppUTI in this study. This study's findings suggest that children undergoing a cystogram should not be given peri-procedural antibiotic prophylaxis for the sole purpose of ppUTI prevention.


Asunto(s)
Cistografía/efectos adversos , Infecciones Urinarias/epidemiología , Enfermedades Urológicas/diagnóstico por imagen , Adolescente , Niño , Preescolar , Femenino , Humanos , Incidencia , Lactante , Recién Nacido , Masculino , Estudios Retrospectivos , Factores de Riesgo , Infecciones Urinarias/diagnóstico por imagen
4.
Am J Transplant ; 17(9): 2410-2419, 2017 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-28226199

RESUMEN

Although the Model for End-Stage Liver Disease sodium (MELD Na) score is now used for liver transplant allocation in the United States, mortality prediction may be underestimated by the score. Using aggregated electronic health record data from 7834 adult patients with cirrhosis, we determined whether the cause of cirrhosis or cirrhosis complications was associated with an increased risk of death among patients with a MELD Na score ≤15 and whether patients with the greatest risk of death could benefit from liver transplantation (LT). Over median follow-up of 2.3 years, 3715 patients had a maximum MELD Na score ≤15. Overall, 3.4% were waitlisted for LT. Severe hypoalbuminemia, hepatorenal syndrome, and hepatic hydrothorax conferred the greatest risk of death independent of MELD Na score with 1-year predicted mortality >14%. Approximately 10% possessed these risk factors. Of these high-risk patients, only 4% were waitlisted for LT, despite no difference in nonliver comorbidities between waitlisted patients and those not listed. In addition, risk factors for death among waitlisted patients were the same as those for patients not waitlisted, although the effect of malnutrition was significantly greater for waitlisted patients (hazard ratio 8.65 [95% CI 2.57-29.11] vs. 1.47 [95% CI 1.08-1.98]). Using the MELD Na score for allocation may continue to limit access to LT.


Asunto(s)
Registros Electrónicos de Salud , Enfermedad Hepática en Estado Terminal/mortalidad , Cirrosis Hepática/mortalidad , Trasplante de Hígado/mortalidad , Modelos Estadísticos , Asignación de Recursos , Listas de Espera/mortalidad , Enfermedad Hepática en Estado Terminal/cirugía , Femenino , Estudios de Seguimiento , Humanos , Cirrosis Hepática/cirugía , Masculino , Persona de Mediana Edad , Pronóstico , Estudios Retrospectivos , Medición de Riesgo , Índice de Severidad de la Enfermedad , Sodio/sangre , Obtención de Tejidos y Órganos/métodos , Estados Unidos
5.
Int J Qual Health Care ; 28(2): 166-74, 2016 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-26803539

RESUMEN

OBJECTIVE: Efforts to improve patient safety are challenged by the lack of universally agreed upon terms. The International Classification for Patient Safety (ICPS) was developed by the World Health Organization for this purpose. This study aimed to test the applicability of the ICPS to a surgical population. DESIGN: A web-based safety debriefing was sent to clinicians involved in surgical care of abdominal organ transplant patients. A multidisciplinary team of patient safety experts, surgeons and researchers used the data to develop a system of classification based on the ICPS. Disagreements were reconciled via consensus, and a codebook was developed for future use by researchers. RESULTS: A total of 320 debriefing responses were used for the initial review and codebook development. In total, the 320 debriefing responses contained 227 patient safety incidents (range: 0-7 per debriefing) and 156 contributing factors/hazards (0-5 per response). The most common severity classification was 'reportable circumstance,' followed by 'near miss.' The most common incident types were 'resources/organizational management,' followed by 'medical device/equipment.' Several aspects of surgical care were encompassed by more than one classification, including operating room scheduling, delays in care, trainee-related incidents, interruptions and handoffs. CONCLUSIONS: This study demonstrates that a framework for patient safety can be applied to facilitate the organization and analysis of surgical safety data. Several unique aspects of surgical care require consideration, and by using a standardized framework for describing concepts, research findings can be compared and disseminated across surgical specialties. The codebook is intended for use as a framework for other specialties and institutions.


Asunto(s)
Errores Médicos/clasificación , Seguridad del Paciente , Procedimientos Quirúrgicos Operativos/normas , Humanos , Trasplante de Riñón/efectos adversos , Trasplante de Riñón/normas , Trasplante de Hígado/efectos adversos , Trasplante de Hígado/normas , Errores Médicos/prevención & control , Modelos Teóricos , Seguridad del Paciente/normas , Procedimientos Quirúrgicos Operativos/efectos adversos , Organización Mundial de la Salud
6.
J Perinatol ; 35(8): 580-4, 2015 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-25789817

RESUMEN

OBJECTIVE: Racial differences in chronic maternal stress may contribute to disparities in pregnancy outcomes. The objective is to identify racial and ethnic differences in self-reported and biologic measures of stress between non-Hispanic black (NHB) and non-Hispanic white (NHW) pregnant women. STUDY DESIGN: NHB and NHW pregnant women were enrolled before 23 weeks of gestation in this prospective cohort study. Equal numbers of women were recruited with public vs private insurance in each racial group. Self-reported stress was measured and blood samples collected in the second and third trimesters were analyzed for serum Epstein-Barr virus antibody, C-reactive protein (CRP), corticotropin-releasing hormone (CRH) and adenocorticotropic hormone (ACTH). RESULTS: One hundred and twelve women were enrolled. NHW women reported more buffers against stress (P=0.04) and neighborhood satisfaction (P=0.02). NHB women reported more discrimination (P<0.001), food insecurity (P=0.04) and had significantly higher mean CRP levels and mean ACTH levels in the second and third trimesters. CONCLUSION: Significant differences in self-reported and biologic measures of chronic stress were identified between NHB and NHW pregnant women with similar economic characteristics. Future studies should investigate mechanisms underlying these differences and their relationship to pregnancy outcomes.


Asunto(s)
Biomarcadores/sangre , Complicaciones del Embarazo , Segundo Trimestre del Embarazo/sangre , Tercer Trimestre del Embarazo/sangre , Mujeres Embarazadas/psicología , Estrés Psicológico/etnología , Hormona Adrenocorticotrópica/sangre , Adulto , Negro o Afroamericano/etnología , Anticuerpos Antivirales/sangre , Proteína C-Reactiva/análisis , Hormona Liberadora de Corticotropina/sangre , Femenino , Humanos , Embarazo , Estudios Prospectivos , Escalas de Valoración Psiquiátrica , Autoinforme , Factores Socioeconómicos , Estrés Psicológico/diagnóstico , Estados Unidos/etnología , Población Blanca
7.
J Anim Sci ; 91(12): 5565-71, 2013 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-24146157

RESUMEN

Genetic parameters for birth weight (BWT), preweaning mortality (PWM), and HCW were estimated for a crossbred pig population to determine if BWT could be used as an early predictor for later performances. Sire genetic effects for those traits were estimated to determine if early selection of purebred sires used in crossbreeding could be improved. Data were recorded from 1 commercial farm between 2008 and 2010. Data were from 24,376 crossbred pigs from Duroc sires and crossbred Large White × Landrace dams and included 24,376 BWT and PWM records and 13,029 HCW records. For the analysis, PWM was considered as a binary trait (0 for live or 1 for dead piglet at weaning). A multitrait threshold-linear animal model was used, with animal effect divided into sire genetic and dam effects; the dam effects included both genetic and environmental variation due to the absence of pedigree information for crossbred dams. Fixed effects were sex and parity for all traits, contemporary groups for BWT and HCW, and age at slaughter as a linear covariable for HCW. Random effects were sire additive genetic, dam, litter, and residual effects for all traits and contemporary group for PWM. Heritability estimates were 0.04 for BWT, 0.02 for PWM, and 0.12 for HCW. The ratio between sire genetic and total estimated variances was 0.01 for BWT and PWM and 0.03 for HCW. Dam and litter variances explained, respectively, 14% and 15% of total variance for BWT, 2% and 10% for PWM, and 3% and 8% for HCW. Genetic correlations were -0.52 between BWT and PWM, 0.55 between BWT and HCW, and -0.13 between PWM and HCW. Selection of purebred sires for higher BWT of crossbreds may slightly improve survival until weaning and final market weight at the commercial level.


Asunto(s)
Peso Corporal/genética , Porcinos/crecimiento & desarrollo , Porcinos/genética , Animales , Composición Corporal , Longevidad
8.
Am J Transplant ; 12(9): 2307-12, 2012 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-22703471

RESUMEN

Several widely publicized errors in transplantation including a death due to ABO incompatibility, two HIV transmissions and two hepatitis C virus (HCV) transmissions have raised concerns about medical errors in organ transplantation. The root cause analysis of each of these events revealed preventable failures in the systems and processes of care as the underlying causes. In each event, no standardized system or redundant process was in place to mitigate the failures that led to the error. Additional system and process vulnerabilities such as poor clinician communication, erroneous data transcription and transmission were also identified. Organ transplantation, because it is highly complex, often stresses the systems and processes of care and, therefore, offers a unique opportunity to proactively identify vulnerabilities and potential failures. Initial steps have been taken to understand such issues through the OPTN/UNOS Operations and Safety Committee, the OPTN/UNOS Disease Transmission Advisory Committee (DTAC) and the current A2ALL ancillary Safety Study. However, to effectively improve patient safety in organ transplantation, the development of a process for reporting of preventable errors that affords protection and the support of empiric research is critical. Further, the transplant community needs to embrace the implementation of evidence-based system and process improvements that will mitigate existing safety vulnerabilities.


Asunto(s)
Errores Médicos/prevención & control , Trasplante de Órganos/efectos adversos , Seguridad , Prueba de Histocompatibilidad , Humanos
9.
Plant Biol (Stuttg) ; 14(2): 325-36, 2012 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-21972845

RESUMEN

Arabidopsis thaliana has seven genes for functionally active sucrose transporters. Together with sucrose transporters from other dicot and monocot plants, these proteins form four separate phylogenetic groups. Group-IV includes the Arabidopsis protein SUC4 (synonym SUT4) and related proteins from monocots and dicots. These Group-IV sucrose transporters were reported to be either tonoplast- or plasma membrane-localised, and in heterologous expression systems were shown to act as sucrose/H(+) symporters. Here, we present comparative analyses of the subcellular localisation of the Arabidopsis SUC4 protein and of several other Group-IV sucrose transporters, studies on tissue specificity of the Arabidopsis SUC4 promoter, phenotypic characterisations of Atsuc4.1 mutants and AtSUC4 overexpressing (AtSUC4-OX) plants, and functional comparisons of Atsuc4.1 and AtSUC4-OX vacuoles. Our data show that SUC4-type sucrose transporters from different plant families (Brassicaceae, Cucurbitaceae and Solanaceae) localise exclusively to the tonoplast, demonstrating that vacuolar sucrose transport is a common theme of all SUC4-type proteins. AtSUC4 expression is confined to the stele of Arabidopsis roots, developing anthers and meristematic tissues in all aerial parts. Analyses of the carbohydrate content of WT and mutant seedlings revealed reduced sucrose content in AtSUC4-OX seedlings. This is in line with patch-clamp analyses of AtSUC4-OX vacuoles that characterise AtSUC4 as a sucrose/H(+) symporter directly in the tonoplast membrane.


Asunto(s)
Proteínas de Arabidopsis/metabolismo , Arabidopsis/metabolismo , Proteínas de Transporte de Membrana/metabolismo , Sacarosa/metabolismo , Vacuolas/metabolismo , Arabidopsis/citología , Arabidopsis/genética , Proteínas de Arabidopsis/genética , Transporte Biológico , Flores/citología , Flores/genética , Flores/metabolismo , Regulación de la Expresión Génica de las Plantas/genética , Genes Reporteros , Hipocótilo/citología , Hipocótilo/genética , Hipocótilo/metabolismo , Proteínas de Transporte de Membrana/genética , Meristema/citología , Meristema/genética , Meristema/metabolismo , Mutagénesis Insercional , Especificidad de Órganos , Filogenia , Raíces de Plantas/citología , Raíces de Plantas/genética , Raíces de Plantas/metabolismo , Regiones Promotoras Genéticas/genética , Proteínas Recombinantes de Fusión , Plantones/citología , Plantones/genética , Plantones/metabolismo , Simportadores/genética , Simportadores/metabolismo , Nicotiana/genética , Nicotiana/metabolismo
10.
J Perinatol ; 31(4): 240-5, 2011 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-21183926

RESUMEN

OBJECTIVE: The objective of this study was to elicit and explore perceptions of barriers to optimal communication among clinicians on a labor and delivery unit, and to use this information to select and design approaches to improve communication. STUDY DESIGN: A qualitative research design using a focus group format was utilized. Attending and resident obstetricians and anesthesiologists, as well as staff nurses, pharmacists and unit secretaries participated in the focus groups, which were recorded and transcribed. Data were analyzed using a framework analysis approach. RESULT: In total, 18 focus groups with a total of 92 participants were conducted. Eight key themes emerged regarding specific barriers to effective communication among clinicians in the labor and delivery setting. The most prominent of these themes included issues with inter-departmental coordination, clinical accessibility (the ability to reach other clinicians), lack of a consistent approach for clinical documentation, and the involvement of multiple care providers. On the basis of these themes, multiple interventions were designed to enhance communication. CONCLUSION: Focus group methodology can be used to elicit a detailed description of communication practices of clinicians on a labor and delivery unit, permitting an exploration of specific barriers to communication and the identification of potential solutions to those barriers.


Asunto(s)
Barreras de Comunicación , Salas de Parto , Parto Obstétrico/normas , Cuerpo Médico de Hospitales , Grupo de Atención al Paciente/normas , Administración de Personal/normas , Femenino , Grupos Focales/métodos , Registros de Salud Personal , Humanos , Comunicación Interdisciplinaria , Masculino , Cuerpo Médico de Hospitales/psicología , Cuerpo Médico de Hospitales/normas , Servicio de Ginecología y Obstetricia en Hospital , Relaciones Médico-Enfermero , Embarazo , Investigación Cualitativa , Recursos Humanos
11.
J Anim Sci ; 88(12): 3800-8, 2010 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-20729281

RESUMEN

Estimates of genetic parameters for number of stillborns (NSB) in relation to litter size (LS) were obtained with random regression models (RRM). Data were collected from 4 purebred Duroc nucleus farms between 2004 and 2008. Two data sets with 6,575 litters for the first parity (P1) and 6,259 litters for the second to fifth parity (P2-5) with a total of 8,217 and 5,066 animals in the pedigree were analyzed separately. Number of stillborns was studied as a trait on sow level. Fixed effects were contemporary groups (farm-year-season) and fixed cubic regression coefficients on LS with Legendre polynomials. Models for P2-5 included the fixed effect of parity. Random effects were additive genetic effects for both data sets with permanent environmental effects included for P2-5. Random effects modeled with Legendre polynomials (RRM-L), linear splines (RRM-S), and degree 0 B-splines (RRM-BS) with regressions on LS were used. For P1, the order of polynomial, the number of knots, and the number of intervals used for respective models were quadratic, 3, and 3, respectively. For P2-5, the same parameters were linear, 2, and 2, respectively. Heterogeneous residual variances were considered in the models. For P1, estimates of heritability were 12 to 15%, 5 to 6%, and 6 to 7% in LS 5, 9, and 13, respectively. For P2-5, estimates were 15 to 17%, 4 to 5%, and 4 to 6% in LS 6, 9, and 12, respectively. For P1, average estimates of genetic correlations between LS 5 to 9, 5 to 13, and 9 to 13 were 0.53, -0.29, and 0.65, respectively. For P2-5, same estimates averaged for RRM-L and RRM-S were 0.75, -0.21, and 0.50, respectively. For RRM-BS with 2 intervals, the correlation was 0.66 between LS 5 to 7 and 8 to 13. Parameters obtained by 3 RRM revealed the nonlinear relationship between additive genetic effect of NSB and the environmental deviation of LS. The negative correlations between the 2 extreme LS might possibly indicate different genetic bases on incidence of stillbirth.


Asunto(s)
Tamaño de la Camada/genética , Modelos Genéticos , Mortinato/veterinaria , Porcinos/genética , Porcinos/fisiología , Animales , Femenino , Paridad , Linaje , Embarazo , Análisis de Regresión , Mortinato/genética
12.
J Anim Breed Genet ; 127(3): 230-4, 2010 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-20536640

RESUMEN

Genetic parameters for daily feed intake (DFI, g/day) and daily gain (DG, g/day) were estimated using records of 1916 Duroc boars from electronic feeder stations. Management was limited and resulted in varied ranges of age and weight on test. Boars were housed in 102 pens, each equipped with one feeder, and allowed ad libitum feeding. Weekly averages of DFI and DG were used due to large variation in daily records. Six traits were defined as DFI and DG during 85-106 (period 1), 107-128 (period 2) and 129-150 days of age (period 3). A six-trait model included age as a linear and a quadratic covariate for DFI and a linear covariate for DG with a fixed effect of year-week-pen and random effects of litter, additive genetic animal and permanent environmental animal. Variance components were estimated by a Bayesian approach using Gibbs sampling algorithm. Estimates of heritability for respective periods were 18%, 12% and 10% for DFI and 21%, 11% and 10% for DG. Genetic correlations between DFI and DG in the same period were 0.70, 0.73 and 0.32 for the respective periods. DFI and DG obtained from automatic feeders can be analysed to reveal variation across testing periods by using weekly averages when many monthly averages are incomplete.


Asunto(s)
Alimentación Animal/estadística & datos numéricos , Cruzamiento/métodos , Ingestión de Alimentos/fisiología , Sus scrofa/genética , Aumento de Peso/fisiología , Factores de Edad , Análisis de Varianza , Crianza de Animales Domésticos/instrumentación , Animales , Teorema de Bayes , Cruzamiento/estadística & datos numéricos , Modelos Genéticos , Análisis de Regresión , Sus scrofa/fisiología
13.
J Anim Breed Genet ; 127(2): 107-12, 2010 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-20433518

RESUMEN

Social genetic relationships among average daily gain (ADG, g) and feeding pattern as daily feed intake (DFI, g), daily feeder occupation time (DOT, min), and daily feeding rate (DFR, g/min) were examined using records of 547 Duroc boars. Single-trait animal models were fitted differently for traits, including or excluding social genetic effects, random or fixed pen effects, with covariates of pen sizes and initial age or weight. Genetic parameters for feeding pattern were estimated by restricted maximum likelihood. Six sets of parameters for ADG based on literature estimates were used due to difficulty in untangling confounded effects. Positive and negative signs of direct-social genetic covariances were interpreted as heritable cooperation and competition, respectively. Dominant and subordinate pigs were classified as pigs with higher direct and social genetic values, respectively. Correlations of estimated breeding values between ADG and DFI, DOT, and DFR were 0.46, 0.04 and 0.29 for dominant pigs. Given heritable cooperation, subordinate pigs tended to increase feed intake (r = 0.36) and eating rate (r = 0.25). Given heritable competition, subordinate pigs fail to compensate for the competition with decreased feed intake (r = -0.53). The slow eating rate (r = -0.31) was considered as a consequence of eating during less busy hour of feeding.


Asunto(s)
Peso Corporal/genética , Conducta Alimentaria/fisiología , Jerarquia Social , Animales , Masculino
14.
J Anim Sci ; 88(2): 455-9, 2010 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-19820051

RESUMEN

Genetic parameters for scale activity score (AS) were estimated from generations 5, 6, and 7 of a randomly selected, composite population composed of Duroc, Large White, and 2 sources of Landrace (n = 2,186). At approximately 156 d of age, pigs were weighed (BW) and ultrasound backfat measurements (BF1, BF2, and BF3) were done. While pigs were in the scale, an AS was assigned, which ranged from 1 (calm) to 5 (highly excited), where 58.1, 28.5, 8.9, 4.0, and 0.5% were scored as 1, 2, 3, 4, and 5, respectively. Statistical model effects were year-week of measurement, sex, covariates of age for AS and BW or BW for BF1, BF2, and BF3, and an animal direct genetic effect. A 5-trait linear mixed model was used. Estimated heritabilities were 0.23, 0.54, 0.56, 0.52, and 0.48 for AS, BW, BF1, BF2, and BF3, respectively. Estimated genetic correlations between AS and BW, AS and BF1, AS and BF2, and AS and BF3 were -0.38, -0.11, -0.12, and -0.16 respectively. Results indicated AS had a heritable genetic component and was genetically correlated with performance traits. Estimated genetic correlations between AS and backfat measurements adjusted to a common BW were negative, as was the genetic correlation of AS with BW. Therefore, selection for more docile animals would be expected to result in fatter, faster growing pigs.


Asunto(s)
Tejido Adiposo/crecimiento & desarrollo , Actividad Motora/genética , Porcinos/genética , Tejido Adiposo/anatomía & histología , Crianza de Animales Domésticos , Animales , Cruzamiento , Femenino , Masculino , Actividad Motora/efectos de la radiación , Fenotipo , Porcinos/crecimiento & desarrollo
15.
Qual Saf Health Care ; 18(6): 434-40, 2009 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-19955453

RESUMEN

BACKGROUND: Although 20% or more of healthcare-associated infections can be prevented, many hospitals have not implemented practices known to reduce infections. We explored the types and numbers of champions who lead efforts to implement best practices to prevent hospital-acquired infection in US hospitals. METHODS: Qualitative analyses were conducted within a multisite, sequential mixed methods study of infection prevention practices in Veteran Affairs and non-Veteran Affairs hospitals in the USA. The first phase included telephone interviews conducted in 2005-2006 with 38 individuals at 14 purposively selected hospitals. The second phase used findings from phase 1 to select six hospitals for site visits and interviews with another 48 individuals in 2006-2007. RESULTS: It was possible for a single well-placed champion to implement a new technology, but more than one champion was needed when an improvement required people to change behaviours. Although the behavioural change itself may appear to be an inexpensive and simple solution, implementation was often more complicated than changing technology because behavioural changes required interprofessional coalitions working together. Champions in hospitals with low-quality working relationships across units or professions had a particularly challenging time implementing behavioural change. Merely appointing champions is ineffective; rather, successful champions tended to be intrinsically motivated and enthusiastic about the practices they promoted. Even when broad implementation is stymied, champions can implement change within their own sphere of influence. CONCLUSIONS: The types and numbers of champions varied with the type of practice implemented and the effectiveness of champions was affected by the quality of organisational networks.


Asunto(s)
Infección Hospitalaria/prevención & control , Control de Infecciones/organización & administración , Liderazgo , Garantía de la Calidad de Atención de Salud/métodos , Actitud del Personal de Salud , Cateterismo Venoso Central/efectos adversos , Conducta Cooperativa , Administración Hospitalaria , Humanos , Innovación Organizacional , Estados Unidos
16.
Anim Genet ; 40(5): 713-21, 2009 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-19422367

RESUMEN

Genome scans in the pig have identified a region on chromosome 2 (SSC2) associated with tenderness. Calpastatin is a likely positional candidate gene in this region because of its inhibitory role in the calpain system that is involved in postmortem tenderization. Novel single nucleotide polymorphisms (SNP) in calpastatin were identified and used to genotype a population (n = 1042) of Duroc-Landrace-Yorkshire swine for association with longissimus lumborum slice shear force (SSF) measured at days 7 and 14 postmortem. Three genetic markers residing in the calpastatin gene were significantly associated with SSF (P < 0.0005). Haplotypes constructed from markers in the calpastatin gene were significantly associated with SSF (F-ratio = 3.93; P-value = 0.002). The levels of normalized mRNA expression of calpastatin in the longissimus lumborum of 162 animals also were evaluated by real-time RT-PCR and were associated with the genotype of the most significant marker for SSF (P < 0.02). This evidence suggests that the causative variation alters expression of calpastatin, thus affecting tenderness. In summary, these data provide evidence of several significant, publicly available SNP markers associated with SSF that may be useful to the swine industry for marker assisted selection of animals that have more tender meat.


Asunto(s)
Proteínas de Unión al Calcio/genética , Carne/normas , Músculo Esquelético/fisiología , Fenotipo , Polimorfismo de Nucleótido Simple/genética , Sus scrofa/genética , Animales , Proteínas de Unión al Calcio/metabolismo , Cromosomas Artificiales Bacterianos/genética , Cartilla de ADN/genética , Perfilación de la Expresión Génica/veterinaria , Estudio de Asociación del Genoma Completo/veterinaria , Genotipo , Desequilibrio de Ligamiento , Modelos Estadísticos , Resistencia al Corte
17.
J Anim Sci ; 86(9): 2076-81, 2008 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-18469056

RESUMEN

The objective of this study was to describe genetic variability of pig carcass weight as a function of heat stress. Data included carcass weights of 23,556 crossbred pigs [Duroc x (Landrace x Large White)] raised on 2 farms in North Carolina and harvested from May 2005 through December 2006. Weather data were obtained from a weather station located about 20 km from the furthest farm. Weekly heat load was calculated as degrees of average temperature-humidity index (THI) in excess of 18 degrees C. The total heat load (H) was the sum of heat loads for 10 wk before harvest. Variance components were estimated with 3 models: univariate (UNI)-not accounting for heat stress, 2-trait (MT2), and random regression (RR). In all of the models, effects included contemporary group, sex, age at harvest, sire, and litter. In MT2, observations in months in which heat stress was observed ("hot") and not observed ("cold") were treated as separate traits. Heat stress was observed in the months of August to November 2005, as well as July to October 2006. No heat stress was observed in the months of May to July 2005, January to June 2006, and November to December 2006. The RR model added a random regression on heat load for the sire effect. Heat load was adjusted to a scale ranging from 0 (no heat stress) to 5 (greatest heat stress). The heritability estimate +/- SE of carcass weight in UNI was 0.17 +/- 0.01. In MT2, the estimates were 0.14 +/- 0.01 for "cold" and 0.28 +/- 0.01 for "hot"; the genetic correlation between carcass weight in "hot" and "cold" months was 0.42 +/- 0.13. The heritability estimates obtained with RR were 0.20 +/- 0.11, 0.19 +/- 0.15, and 0.51 +/- 0.17 for H = 0, 2.5, and 5, respectively. The genetic correlation between the performance in "cold" months (H = 0), and performance under maximum heat load (H = 5) was 0.02, between H = 0 and intermediate heat load (H = 2.5) was 0.52, and between H = 2.5 and H = 5 was 0.86. Rank correlations between EPD derived from the different models ranged from 0.82 to 0.94 between carcass weights under similar H, 0.18 to 0.54 between carcass weights under high and low H, and 0.66 to 0.91 between carcass weights of intermediate and high/low H. Heritability for growth was greater under heat stress. Selection for crossbred performance would be optimal when data for periods both in the absence and presence of heat stress were considered.


Asunto(s)
Trastornos de Estrés por Calor/veterinaria , Carne , Porcinos/genética , Animales , Femenino , Variación Genética , Trastornos de Estrés por Calor/genética , Masculino , Carácter Cuantitativo Heredable , Análisis de Regresión , Porcinos/crecimiento & desarrollo
18.
J Anim Sci ; 86(9): 2082-8, 2008 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-18469060

RESUMEN

The objective of this study was to quantify the effect of heat stress during the life of a pig on its final weight, as a first step toward a genetic evaluation for heat tolerance. Data included carcass weights of 23,556 crossbred pigs [Duroc x (Landrace x Large White)] raised on 2 farms in North Carolina and slaughtered from May 2005 through December 2006. Weather data were available from a nearby weather station. Lifetime of a pig was assumed to be partitioned into 2 periods. During an initial period, the effect of heat stress was assumed to be negligible or compensated for later. During the second period ending in slaughtering, the ADG was assumed to be affected linearly by heat load. Weekly heat load was calculated as degrees of average temperature-humidity index in excess of a threshold (18 degrees C). The total heat load (H) was the sum of weekly heat loads during the second period. During the months of January to May H was 0; H reached a peak in September. The final BW during the peak of heat stress decreased about 6 kg compared with BW during months of non-heat stress. Weekly and monthly averages of carcass weight generally moved similarly to H. However, there were large fluctuations unrelated to H; the fluctuations were different on the 2 farms. The model included the effects of farm-year of slaughter, sex, age at slaughter, and H, where age at slaughter and H were linear regressions. In analyses, the threshold was varied from 16 to 20 degrees C, and the second period was varied from 8 to 16 wk. The greatest R(2) (10.4%) was at the threshold of temperature-humidity index = 18 degrees C for a period of 10 wk. Varying the threshold and the length of time reduced R(2) less than 1%. Least squares means of year-month and year-week of carcass weight were calculated using a model with the fixed effects farm-year-month or farm-year-week of slaughter, sex, and age at slaughter (linear covariate), and the random effect of birth litter. Changes in BW of finisher pigs due to heat stress can be quantified by H during the last 10 wk of the life of the pig.


Asunto(s)
Peso Corporal/genética , Trastornos de Estrés por Calor/veterinaria , Porcinos/genética , Animales , Femenino , Trastornos de Estrés por Calor/genética , Análisis de los Mínimos Cuadrados , Masculino , Carne , Estaciones del Año , Porcinos/crecimiento & desarrollo , Tiempo (Meteorología)
19.
J Anim Sci ; 86(8): 1765-9, 2008 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-18375662

RESUMEN

Genetic parameters for degree of kyphosis were estimated from a Duroc-Landrace F(2) population (n = 316) and from a composite population (line C) composed of Duroc, Large White, and 2 sources of Landrace (n = 1,552). Live presentation did not indicate kyphosis in pigs or sows. Degree of kyphosis was measured by scoring the shape of the vertebral column of split carcasses on a scale from 0 (normal) to 3 (severe). Of the animals slaughtered, 75.6 and 68.9% were normal, 11.1 and 23.3% were mild, 11.1 and 6.2% were moderate, and 2.2 and 1.5% were severe in F(2) and line C, respectively. Fixed effects of age, sex, number of ribs, number of lumbar vertebrae, number of nipples, carcass length, and HCW were not significantly associated (P > 0.10) with kyphosis score when using linear models. Estimated heritabilities for kyphosis score were 0.30 and 0.32 in F(2) and line C, respectively, when using an animal model. Estimated genetic correlations between kyphosis score and number of ribs, number of lumbar vertebrae, number of nipples, carcass length, and HCW were 0.05, -0.13, 0.00, 0.05, and 0.03, respectively. Selection to decrease kyphosis should be effective and would not be expected to affect the number of ribs, lumbar vertebrae, nipples, or carcass length. In addition, selection for growth should not affect the incidence of kyphosis.


Asunto(s)
Cifosis/veterinaria , Enfermedades de los Porcinos/genética , Animales , Femenino , Predisposición Genética a la Enfermedad , Cifosis/genética , Cifosis/patología , Modelos Lineales , Vértebras Lumbares , Masculino , Modelos Genéticos , Pezones , Costillas , Porcinos , Enfermedades de los Porcinos/patología
20.
J Anim Sci ; 85(4): 901-8, 2007 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-17178815

RESUMEN

The aim of this study was to estimate the genetic correlations between 2 purebred Duroc pig populations (P1 and P2) and their terminal crossbreds [C1 = P1 x (Landrace x Large White) and C2 = P2 x (Landrace x Large White)] raised in different production environments. The traits analyzed were backfat (BF), muscle depth (MD), BW at slaughter (WGT), and weight per day of age (WDA). Data sets from P1, P2, C1, and C2 included 26,674, 8,266, 16,806, and 12,350 animals, respectively. Two-trait models (nucleus and commercial crossbreds) for each group included fixed (contemporary group, sex, weight, and age), random additive (animal for P1 and P2 and sire for C1 and C2), random litter, and random dam (C1 and C2 only) effects. Heritability estimates (+/-SE) for BF were 0.46 +/- 0.04, 0.38 +/- 0.02, 0.32 +/- 0.02, and 0.33 +/- 0.02 for P1, P2, C1, and C2, respectively. Heritability estimates for MD were 0.31 +/- 0.01, 0.23 +/- 0.02, 0.19 +/- 0.01, and 0.12 +/- 0.01 for P1, P2, C1, and C2, respectively. The estimates for WGT and WDA were 0.31 +/- 0.01, 0.21 +/- 0.02, 0.16 +/- 0.01, and 0.18 +/- 0.01 and 0.32 +/- 0.01, 0.22 +/- 0.02, 0.16 +/- 0.01, and 0.19 +/- 0.01, respectively. Genetic correlations between purebreds and crossbreds for BF were 0.83 +/- 0.09 (P1 x C1) and 0.89 +/- 0.05 (P2 x C2), for MD 0.78 +/- 0.05 (P1 x C1) and 0.80 +/- 0.08 (P2 x C2). For WGT and WDA, the correlations were 0.53 +/- 0.08 (P1 x C1), 0.80 +/- 0.10 (P2 x C2), and 0.60 +/- 0.07 (P1 x C1) and 0.79 +/- 0.09 (P2 x C2), respectively. (Co)variances in crossbreds were adjusted to a live BW scale. Compared with purebreds, the genetic variances in crossbreds were lower, and the residual variances were greater. Sire variances in crossbreds were approximately 20 to 30% of the animal variances in purebreds for BF and MD but were 13 to 25% for WGT and WDA. The efficiency of purebred selection on crossbreds, assessed by EBV prediction weights, ranged from 0.43 to 0.91 for line 1 and 0.70 to 0.92 for line 2. When nucleus and commercial environments differ substantially, the efficiency of selection varies by line and traits, and selection strategies that include crossbred data from typical production environments may therefore be desirable.


Asunto(s)
Crianza de Animales Domésticos , Composición Corporal/genética , Porcinos/clasificación , Porcinos/genética , Animales , Peso Corporal/genética , Modelos Genéticos
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