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1.
Aquat Sci ; 85(1): 20, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-36474645

RESUMEN

Common carp, Cyprinus carpio, are a non-native species that established within the Laurentian Great Lakes more than a century ago and are abundant in some locations. Common carp have negatively impacted freshwater ecosystems, including in the Great Lakes, by increasing turbidity and uprooting vegetation through foraging and/or spawning activities. Knowledge of spatial ecology is necessary to effectively manage non-native species and aid in the development of remediation strategies. The aim of this study was to examine the spatial ecology of common carp across multiple spatial scales within Lake Ontario using passive acoustic telemetry. First, Residency Index (RI), as a metric for habitat preference, was calculated for common carp in Toronto Harbour (TH) and Hamilton Harbour (HH). Linear mixed modelling revealed that season, as well as the interaction between season and physical habitat conditions significantly affected RI. Specifically, during spring and summer common carp had significantly higher RI at sites with increased submerged aquatic vegetation, which could be associated with spawning activities. All common carp tagged in HH were resident, compared to half of individuals tagged in TH. Larger individuals tagged in TH were more likely to be absent from the array during summer. Non-resident common carp tagged at TH made extensive movements in spring and summer along the nearshore of Lake Ontario and were detected throughout the entire basin. Knowledge of spawning habitat could inform efforts to exclude common carp from these specific locations. Based on our findings, common carp should be managed at a regional level, as opposed to single sites, owing to their extensive movements. Supplementary Information: The online version contains supplementary material available at 10.1007/s00027-022-00917-9.

2.
J Fish Biol ; 83(4): 997-1018, 2013 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-24090559

RESUMEN

Generating awareness of environmental conservation issues among the public is essential if there is an expectation of them to alter their behaviour, facilitate informed decisions and engage governments or regulatory authorities to take action. There are, however, exceedingly few public engagement success stories related to inland fishes and fisheries policy and resource allocation decisions. Inland aquatic resources and their associated fisheries provide employment, recreation, culture and, in developing regions, a considerable proportion of human nutrition and food security. Freshwater fishes are incredibly diverse but are among the most endangered organisms globally. Many threats to inland fisheries are driven largely by externalities to inland fisheries. The purpose of this paper is to draw attention to the role and plight of inland fishes and fisheries, and the need to generate the public and political will necessary to promote meaningful conservation. With this paper, the extent to which the scientific and environmental management communities have failed to engage the public in issues related to inland fishes and fisheries is characterized. Next, the barriers or factors that serve as the basis for the problem with public engagement are identified. The paper concludes by identifying strategies, including those focused on environmental education initiatives, for building the public and political will necessary to promote meaningful conservation of inland fishes and fisheries in developed and developing countries. Scientists, environmental managers, non-governmental organizations, politicians, regulatory authorities and the media all have important roles to play in overcoming challenges to inland fisheries. Failure to engage the public in freshwater conservation and management issues will impede efforts to stem the loss of freshwater habitats, fisheries and aquatic biodiversity. Thankfully, there are opportunities to learn from success stories related to other environmental issues and initiatives that have been successful in marine fish conservation.


Asunto(s)
Participación de la Comunidad , Conservación de los Recursos Naturales/legislación & jurisprudencia , Política Ambiental , Explotaciones Pesqueras/legislación & jurisprudencia , Animales , Comunicación , Peces , Agua Dulce
3.
Pharmacogenomics J ; 13(6): 481-3, 2013 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-23999596

RESUMEN

Poor medication adherence is a well-known problem, particularly in patients with chronic conditions, and is associated with significant morbidity, mortality and health-care costs. Multi-faceted and personalized interventions have shown the greatest success. Pharmacogenetic (PGx) testing may serve as another tool to boost patients' confidence in the safety and efficacy of prescribed medications. Here, we consider the potential impact (positively or negatively) of PGx testing on medication-taking behavior.


Asunto(s)
Cooperación del Paciente , Farmacogenética , Enfermedad Crónica , Humanos
4.
Environ Manage ; 49(1): 82-95, 2012 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-22037614

RESUMEN

Lack of standard methods for quantifying impact has hindered risk assessments of high-impact invaders. To understand methodological strengths and weaknesses, we compared five approaches (in parentheses) for quantifying impact of nonnative fishes: reviewing documented impacts in a large-scale database (review); surveying fish biologists regarding three categories of impact (socioeconomic, ecological, abundance); and estimating frequency of occurrence from existing collection records (collection). In addition, we compared game and nongame biologists' ratings of game and nongame species. Although mean species ratings were generally correlated among approaches, we documented important discrepancies. The review approach required little effort but often inaccurately estimated impact in our study region (Mid-Atlantic United States). Game fishes received lower ratings from the socioeconomic approach, which yielded the greatest consistency among respondents. The ecological approach exhibited lower respondent bias but was sensitive to pre-existing perceptions of high-impact invaders. The abundance approach provided the least-biased assessment of region-specific impact but did not account for differences in per-capita effects among species. The collection approach required the most effort and did not provide reliable estimates of impact. Multiple approaches to assessing a species' impact are instructive, but impact ratings must be interpreted in the context of methodological strengths and weaknesses and key management issues. A combination of our ecological and abundance approaches may be most appropriate for assessing ecological impact, whereas our socioeconomic approach is more useful for understanding social dimensions. These approaches are readily transferrable to other regions and taxa; if refined, they can help standardize the assessment of impacts of nonnative species.


Asunto(s)
Conservación de los Recursos Naturales/métodos , Ambiente , Peces , Especies Introducidas , Animales , Mid-Atlantic Region , Dinámica Poblacional , Ríos , Sudeste de Estados Unidos
5.
J Fish Biol ; 76(3): 446-66, 2010 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-20666890

RESUMEN

Seasonal variation in large-scale habitat selection by fishes in shallow, Canadian waters of the Detroit River was examined. Fish communities were compared among three river segments (upstream, middle and downstream) consisting of areas of shallow water habitat separated by wide hydrologic barriers of deep, flowing water and between inshore and offshore areas. In spring, the most unique, diverse and abundant fish assemblages were found at inshore sites in the middle segment where the largest remaining wetland habitats are located. Fishes used inshore habitat to spawn and probably avoided offshore areas because macrophyte cover was not available in spring. In summer, juvenile gizzard shad Dorosoma cepedianum and white bass Morone chrysops were observed in high densities in the upstream segment, probably migrating downstream from Lake St Clair. There was little difference in the fish assemblage among macrohabitats in autumn. The upstream segment appeared to be the most degraded, because it contained no species that were not found in the other segments, had a paucity of uncommon species and had significantly more non-native species. This state was attributed to the infilling of coastal wetlands by urban land use and a resulting loss of habitat heterogeneity. The middle segment, with the only remaining wetland habitats, had the greatest occurrence of uncommon species and the only species at risk found in this study. Conservation and restoration efforts should be greatest for wetlands; however, shallow offshore areas provide important fish habitat in summer and autumn.


Asunto(s)
Ecosistema , Peces , Estaciones del Año , Animales , Canadá , Ríos
6.
Spinal Cord ; 48(10): 750-5, 2010 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-20177410

RESUMEN

STUDY DESIGN: Experiments in a mouse model of complete paraplegia. OBJECTIVES: To evaluate the effect of non-assisted treadmill training on motor recovery and body composition in completely spinal cord-transected mice. SETTINGS: Laval University Medical Center, Neuroscience Unit, Quebec City, Quebec, Canada. METHODS: Following a complete low-thoracic (Th9/10) spinal transection (Tx), mice were divided into two groups that were either untrained or trained with no assistance. Training consisted of placing the mice during 15 min with no further intervention (that is no tail pinching or body weight support) on a motorized treadmill (8-10 cm s(-1)) five times per week for 5 weeks. Locomotor performances were assessed weekly in both groups using two complementary locomotor rating scales. After 5 weeks, all mice were killed and adipose tissue, soleus, and extensor digitorum longus muscles were dissected for analyses. RESULTS: No significant difference in locomotor performances or in muscle fibre type conversion was found between trained and untrained mice. In contrast, body weight, adipose tissue, whole muscle, and individual fibre cross-sectional area (CSA) values were significantly lower in trained compared with untrained animals. CONCLUSIONS: Non-assisted treadmill training in these conditions did not improve motor performances and contributed to further accentuate body composition changes post-Tx, suggesting that assistance provided manually, robotically, or pharmacologically may be key to spinal learning and recovery of locomotor function and body composition.


Asunto(s)
Composición Corporal , Prueba de Esfuerzo/métodos , Terapia por Ejercicio/métodos , Locomoción/fisiología , Recuperación de la Función/fisiología , Traumatismos de la Médula Espinal/rehabilitación , Animales , Peso Corporal , Modelos Animales de Enfermedad , Miembro Posterior/metabolismo , Miembro Posterior/patología , Miembro Posterior/fisiopatología , Antígenos de Histocompatibilidad Clase I/metabolismo , Antígenos de Histocompatibilidad Clase II/metabolismo , Masculino , Ratones , Actividad Motora/fisiología , Músculo Esquelético/metabolismo , Músculo Esquelético/patología , Traumatismos de la Médula Espinal/patología , Traumatismos de la Médula Espinal/fisiopatología , Factores de Tiempo
7.
Spinal Cord ; 46(3): 176-80, 2008 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-17876343

RESUMEN

STUDY DESIGN: Literature review. OBJECTIVE: To describe quantitatively some of most important anatomic, systemic, and metabolic changes occurring soon (one month) after spinal cord trauma in mice. SETTING: University Laval Medical Center. RESULTS: Significant changes in weight, mechanical and contractile muscle properties, bone histomorphometry and biomechanics, deep-vein morphology, complete blood count, immune cell count, lipid metabolism and anabolic hormone levels were found occurring within 1 month in completely spinal cord transected (Th9/10) mice. CONCLUSION: These data reveal that many changes in mice and humans are comparable suggesting, in turn, that this model may be a valuable tool for neuroscientists to investigate the specific mechanisms associated with rapid health degradation post-SCI.


Asunto(s)
Modelos Animales de Enfermedad , Paraplejía/fisiopatología , Traumatismos de la Médula Espinal/fisiopatología , Animales , Peso Corporal/fisiología , Huesos/fisiopatología , Masculino , Ratones , Ratones Endogámicos , Músculo Esquelético/fisiopatología
8.
Spinal Cord ; 45(5): 367-79, 2007 May.
Artículo en Inglés | MEDLINE | ID: mdl-16955071

RESUMEN

STUDY DESIGN: To compare results obtained with a variety of locomotor rating scales in Th9/10 spinal cord transected (Tx) mice. OBJECTIVES: To assess spontaneous recovery with a variety of rating scales to find the most sensitive methods for assessing recovery levels in Tx mice and differences associated with gender and condition. SETTING: Laval University Medical Center, Neuroscience Unit & Laval University, Department of Anatomy and Physiology, Quebec City, Quebec, Canada. METHODS: Scales including the Basso, Beattie and Bresnahan (BBB), the Basso Mouse Score (BMS), the Antri, Orsal and Barthe (AOB), the Motor Function Score (MFS) and the Averaged Combined Score (ACOS) were used to assess, in open-field and treadmill conditions, spontaneous locomotor recovery in male and female Tx mice. RESULTS: The ACOS scale revealed a progressive increase of spontaneous recovery during 5-weeks post-Tx. The other methods detected a progressive increase for the first 2-3 weeks post-Tx without any significant progress in weeks 4 and 5. Generally, scores obtained with each method were nonsignificantly different between males and females or between open-field and treadmill conditions. CONCLUSION: These results further confirm the existence of a limited but significant increase of locomotor function recovery, occurring without intervention, in Tx animals. Although each method could detect small levels of recovery, the ACOS method was discriminative enough to detect progressive changes up to 5 weeks post-Tx. In conclusion, the ACOS rating scale was the most discriminative method for assessing the spontaneous return of hindlimb movements found in Tx mice, both in open-field and treadmill conditions.


Asunto(s)
Miembro Posterior/fisiología , Traumatismos de la Médula Espinal/fisiopatología , Animales , Femenino , Locomoción/fisiología , Masculino , Ratones , Plasticidad Neuronal/fisiología , Parálisis/fisiopatología , Caracteres Sexuales , Traumatismos de la Médula Espinal/diagnóstico , Caminata/fisiología , Soporte de Peso
9.
Biochemistry ; 42(27): 8325-31, 2003 Jul 15.
Artículo en Inglés | MEDLINE | ID: mdl-12846581

RESUMEN

Abnormal aggregation of the microtubule-associated protein, tau, occurs in many neurodegenerative diseases, making it important to understand the mechanisms of tau polymerization. Previous work has indicated that the C-terminal region of tau inhibits polymerization in vitro, and a growing body of evidence implicates caspase cleavage of tau at Asp 421 in the C-terminus as an important inducer of tau polymerization in Alzheimer's disease. In the present study, we provide evidence that the C-terminal peptide fragment produced by caspase cleavage inhibits tau polymerization, suggesting that caspase cleavage of tau enhances its polymerization by removing the inhibitory control element. Moreover, we provide evidence that the peptide assumes an alpha-helical configuration and inhibits tau assembly by interacting with residues 321-375 in the microtubule binding repeat region. These findings indicate that formation of the fibrillar pathologies during the course of Alzheimer's disease may be driven or sustained by apoptotic events leading to caspase activation.


Asunto(s)
Biopolímeros/metabolismo , Caspasas/metabolismo , Proteínas tau/metabolismo , Secuencia de Aminoácidos , Dicroismo Circular , Datos de Secuencia Molecular , Conformación Proteica , Proteínas Recombinantes/química , Proteínas Recombinantes/metabolismo , Proteínas tau/química
10.
J Immunol ; 171(1): 477-88, 2003 Jul 01.
Artículo en Inglés | MEDLINE | ID: mdl-12817033

RESUMEN

Both the magnitude and breadth of HIV-specific immunity were evaluated longitudinally on samples collected from six subjects starting highly active antiretroviral therapy (HAART) preseroconversion (group 1), 11 recently infected subjects starting HAART postseroconversion (group 2), five subjects starting HAART in the second half of the first year of infection (group 3), and six persons starting treatment in the chronic phase of infection (group 4). HIV-specific immunity was measured by IFN-gamma ELISPOT, detecting the frequency of cells responding to a panel of HLA-restricted HIV-1 peptides. Intracellular cytokine staining was used to detect the frequency of HIV-1 Gag p55-specific CD4(+) and CD8(+) T cells in a subset of participants. The magnitude and breadth of HIV-specific responses persisted in all group 1 subjects and in 5 of 11 (45%) group 2 subjects. Both of these parameters declined in 6 of 11 (55%) group 2 and in all group 3 and 4 individuals. All persons who maintained detectable numbers of HIV-1 Gag p55-specific CD4(+) and CD8(+) T cells after starting HAART preserved the intensity and breadth of their HIV-specific effector response. Our results show that HIV-specific immunity can be preserved even if HAART is initiated beyond the acute phase of infection.


Asunto(s)
Terapia Antirretroviral Altamente Activa , Infecciones por VIH/tratamiento farmacológico , Infecciones por VIH/inmunología , VIH-1/inmunología , Adulto , Factores de Edad , Secuencia de Aminoácidos , Relación CD4-CD8 , Linfocitos T CD4-Positivos/efectos de los fármacos , Linfocitos T CD4-Positivos/inmunología , Linfocitos T CD4-Positivos/metabolismo , Linfocitos T CD4-Positivos/virología , Linfocitos T CD8-positivos/efectos de los fármacos , Linfocitos T CD8-positivos/inmunología , Linfocitos T CD8-positivos/metabolismo , Linfocitos T CD8-positivos/virología , Línea Celular Transformada , Femenino , Infecciones por VIH/virología , Humanos , Interferón gamma/metabolismo , Estudios Longitudinales , Masculino , Persona de Mediana Edad , Datos de Secuencia Molecular , Estudios Retrospectivos , Carga Viral
11.
Am Heart J ; 145(5): 926-32, 2003 May.
Artículo en Inglés | MEDLINE | ID: mdl-12766756

RESUMEN

OBJECTIVES: The purpose of this study was to assess whether adrenolutin, the inert product of the highly reactive molecules aminochromes, is increased in severe chronic heart failure and whether it is associated with a poor prognosis. BACKGROUND: Experimental evidence suggests that oxidative products of catecholamines, aminochromes, are more cardiotoxic than unoxidized catecholamines and may be increased in heart failure. METHODS: Adrenolutin was measured at baseline and at 1 and 3 months in 263 patients with chronic New York Heart Association class III or IV heart failure and a left ventricular ejection fraction of 22% +/- 7%. Adrenolutin levels were compared with normal levels, and their relation to prognosis was evaluated. RESULTS: Baseline adrenolutin was increased (55 +/- 90 pg/mL vs 8.4 +/- 9.1 pg/mL for control, P <.02) and remained increased at 1 month (49 +/- 65 pg/mL). During a mean follow-up of 309 +/- 148 days (22-609 days), 57 patients died. Baseline adrenolutin levels correlated with mortality rates by univariate and multivariate analyses (relative risk 1.06, 95% CI 1.01-1.10 for each 17.9-pg/mL rise, P =.032). Left ventricular ejection fraction (P =.013) and New York Heart Association class (P =.009) were the only other variables associated with survival. Age, sex, plasma creatinine, plasma N-terminal atrial natriuretic peptide, and plasma norepinephrine levels were not retained in our model. Adrenolutin levels 1 month after random assignment were not significantly correlated with total mortality rate (P =.061) but were correlated with mortality rate from low output (relative risk 1.14, 95% CI 1.06-1.22, P =.002). CONCLUSIONS: Plasma adrenolutin is increased in patients with heart failure and correlates with a poor prognosis independent of other important predictors of survival. This finding has potentially important pathophysiologic, prognostic, and therapeutic implications.


Asunto(s)
Insuficiencia Cardíaca/sangre , Indoles/sangre , Anciano , Análisis de Varianza , Biomarcadores/sangre , Canadá , Catecolaminas/sangre , Enfermedad Crónica , Femenino , Insuficiencia Cardíaca/mortalidad , Insuficiencia Cardíaca/fisiopatología , Humanos , Masculino , Persona de Mediana Edad , Pronóstico , Quinolinas/uso terapéutico , Valores de Referencia , Volumen Sistólico , Vasodilatadores/uso terapéutico
12.
Bone Marrow Transplant ; 30(12): 979-81, 2002 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-12476295

RESUMEN

The severe form of leukocyte adhesion deficiency type I (LAD-I) usually leads to death early in life. Allogeneic haematopoietic transplantation is the only cure. Unrelated transplantation has been reported only once. We describe three children with LAD-I transplanted with T cell non-depleted bone marrow from unrelated HLA-matched donors. All patients engrafted, one of them at second transplant. One patient developed grade I and one grade II acute GVHD. Two patients are alive, one of them with a decrease in CD11/CD18 expression. Early referral for HLA-matched unrelated BMT is a reasonable option for patients with LAD-I lacking an HLA-matched related donor.


Asunto(s)
Trasplante de Médula Ósea , Síndrome de Deficiencia de Adhesión del Leucocito/terapia , Trasplante Homólogo , Infecciones Bacterianas/etiología , Trasplante de Médula Ósea/efectos adversos , Resultado Fatal , Femenino , Supervivencia de Injerto , Enfermedad Injerto contra Huésped/etiología , Hepatitis C Crónica/etiología , Humanos , Lactante , Recién Nacido , Masculino , Neumonía por Aspiración/etiología , Fístula Traqueoesofágica/etiología , Acondicionamiento Pretrasplante/efectos adversos , Trasplante Homólogo/efectos adversos
13.
Circulation ; 104(17): 2075-81, 2001 Oct 23.
Artículo en Inglés | MEDLINE | ID: mdl-11673349

RESUMEN

BACKGROUND: Some controversy exists as to the effects of endothelin (ET) receptor antagonism on long-term post-myocardial infarction (MI) evolution, particularly as it relates to the timing of the intervention after MI (<24 hours versus 10 days). METHODS AND RESULTS: Sham rats and rats surviving an acute MI for >20 hours (n=301) were assigned to treatment with saline or the nonselective ET(A) and ET(B) receptor antagonist LU 420627 (LU) started <24 hours (early) or 10 days (late) after MI and continued for 100 days. Long-term LU treatment led to increased mortality of rats with large MI, regardless of the timing of initiation of therapy. Early initiation of LU reduced survival from 61% to 16% (P<0.001 versus untreated), and later initiation reduced survival to 36% (P=0.012 versus untreated and P<0.001 versus early initiation). Early initiation of LU led to scar thinning, further left ventricular (LV) dilatation, LV dysfunction, and an excessive rise in right ventricular systolic pressure. Later initiation of LU did not modify scar formation but resulted in LV dilatation and dysfunction compared with the untreated group. Cardiac fibrosis tended to increase in the LU-treated MI groups. LU in the sham group reduced cardiac endothelial constitutive nitric oxide synthase but did not modify the changes that occurred with a large MI. CONCLUSIONS: The use of the nonselective ET(A) and ET(B) receptor antagonist LU results in reduced survival, ventricular dilatation, and dysfunction whether started early or late after MI. Early initiation of LU resulted in scar expansion and a particularly unfavorable outcome.


Asunto(s)
Antagonistas de los Receptores de Endotelina , Infarto del Miocardio/fisiopatología , Animales , Dilatación Patológica/inducido químicamente , Dilatación Patológica/fisiopatología , Modelos Animales de Enfermedad , Esquema de Medicación , Endotelinas/farmacología , Ligandos , Masculino , Infarto del Miocardio/tratamiento farmacológico , Fragmentos de Péptidos/farmacología , Ratas , Ratas Wistar , Receptor de Endotelina A , Receptor de Endotelina B , Receptores de Endotelina/agonistas , Tasa de Supervivencia , Tiempo , Disfunción Ventricular/inducido químicamente , Disfunción Ventricular/fisiopatología
14.
J Clin Microbiol ; 39(10): 3530-6, 2001 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-11574568

RESUMEN

We assessed the value of a new digoxigenin (DIG)-labeled generic probe mix in a PCR-enzyme-linked immunosorbent assay format to screen for the presence of human papillomavirus (HPV) DNA amplified from clinical specimens. After screening with this new generic assay is performed, HPV DNA-positive samples can be directly genotyped using a reverse blotting method with product from the same PCR amplification. DNA from 287 genital specimens was amplified via PCR using biotin-labeled consensus primers directed to the L1 gene. HPV amplicons were captured on a streptavidin-coated microwell plate (MWP) and detected with a DIG-labeled HPV generic probe mix consisting of nested L1 fragments from types 11, 16, 18, and 51. Coamplification and detection of human DNA with biotinylated beta-globin primers served as a control for both sample adequacy and PCR amplification. All specimens were genotyped using a reverse line blot assay (13). Results for the generic assay using MWPs and a DIG-labeled HPV generic probe mix (DIG-MWP generic probe assay) were compared with results from a previous analysis using dot blots with a radiolabeled nested generic probe mix and type-specific probes for genotyping. The DIG-MWP generic probe assay resulted in high intralaboratory concordance in genotyping results (88% versus 73% agreement using traditional methods). There were 207 HPV-positive results using the DIG-MWP method and 196 positives using the radiolabeled generic probe technique, suggesting slightly improved sensitivity. Only one sample failed to test positive with the DIG-MWP generic probe assay in spite of a positive genotyping result. Concordance between the two laboratories was nearly 87%. Approximately 6% of samples that were positive or borderline when tested with the DIG-MWP generic probe assay were not detected with the HPV type-specific panel, perhaps representing very rare or novel HPV types. This new method is easier to perform than traditional generic probe techniques and uses more objective interpretation criteria, making it useful in studies of HPV natural history.


Asunto(s)
ADN Viral/análisis , Papillomaviridae/aislamiento & purificación , Infecciones por Papillomavirus/virología , Reacción en Cadena de la Polimerasa/métodos , Infecciones Tumorales por Virus/virología , Cuello del Útero/virología , Sondas de ADN , ADN Viral/genética , Digoxigenina/metabolismo , Ensayo de Inmunoadsorción Enzimática/métodos , Femenino , Genotipo , Globinas/metabolismo , Humanos , Papillomaviridae/clasificación , Papillomaviridae/genética , Juego de Reactivos para Diagnóstico , Vagina/virología
15.
J Am Osteopath Assoc ; 101(9): 501-8, 2001 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-11575036

RESUMEN

A retrospective review of 115 randomly pulled hospital charts of patients admitted to the care of osteopathic physicians at an American Osteopathic Association-accredited primary care hospital revealed a significant decline in the frequency of structural examinations in history and physical examinations during a merger and relocation, as well as with increasing level of training of the examiner (chi 2 test, P < .001). Attending physicians completed fewer structural examinations (45% of their history and physical examinations) compared to house staff (70%) and students (92%). A follow-up anonymous survey of 100 osteopathic physicians and students (response rate, 58%) revealed that the low overall frequency of structural examination completion (60%) was due primarily to attending physicians who considered this examination less relevant or impractical for their hospitalized patients. These results indicate that education on relevance of structural examination and manipulative treatment for acutely ill patients needs to be directed not only to house staff and students but also to attending physicians to preserve and improve the use of osteopathic principles at osteopathic hospitals.


Asunto(s)
Adhesión a Directriz/estadística & datos numéricos , Registros Médicos/estadística & datos numéricos , Cuerpo Médico de Hospitales/estadística & datos numéricos , Medicina Osteopática/estadística & datos numéricos , Examen Físico/estadística & datos numéricos , Actitud del Personal de Salud , Competencia Clínica/estadística & datos numéricos , Escolaridad , Humanos , Cuerpo Médico de Hospitales/normas , Medicina Osteopática/educación , Medicina Osteopática/métodos , Examen Físico/métodos , Distribución Aleatoria , Estudios Retrospectivos , Estados Unidos
17.
Peptides ; 22(6): 953-62, 2001 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-11390026

RESUMEN

The purposes of this study were to evaluate and to compare the effects of simultaneous angiotensin-converting enzyme (ACE) and neutral endopeptidase 24.11 (NEP) inhibition by the vasopeptidase inhibitor omapatrilat (1 mg. kg(-1). day(-1)) with those of the selective ACE inhibitor enalapril (1 mg. kg(-1). day(-1)) on survival, cardiac hemodynamics, and bradykinin (BK) and des-Arg(9)-BK levels in cardiac tissues 24 h after myocardial infarction (MI) in rats. The effect of the co-administration of both B(1) and B(2) kinin receptor antagonists (2.5 mg. kg(-1). day(-1) each) with metallopeptidase inhibitors was also evaluated. The pharmacological treatments were infused subcutaneously using micro-osmotic pumps for 5 days starting 4 days before the ligation of the left coronary artery. Immunoreactive kinins were quantified by highly sensitive and specific competitive enzyme immunoassays. The post-MI mortality of untreated rats with a large MI was high; 74% of rats dying prior to the hemodynamic study. Mortality in the other MI groups was not significantly different from that of the untreated MI rats. Cardiac BK levels were not significantly different in the MI vehicle-treated group compared with the sham-operated rats. Both omapatrilat and enalapril treatments of MI rats significantly increased cardiac BK concentrations compared with the sham-operated group (P < 0.05). However, cardiac BK levels were significantly increased only in the MI omapatrilat-treated rats compared with the MI vehicle-treated group (P < 0.01). Cardiac des-Arg(9)-BK concentrations were not significantly modified by MI, and MI with omapatrilat or enalapril treatment compared with the sham-operated group. The co-administration of both kinin receptor antagonists with MI omapatrilat- and enalapril-treated rats had no significant effect on cardiac BK and des-Arg(9)-BK levels. Thus, the significant increase of cardiac BK concentrations by omapatrilat could be related to a biochemical or a cardiac hemodynamic parameter on early (24 h) post-MI state.


Asunto(s)
Inhibidores de la Enzima Convertidora de Angiotensina/farmacología , Inhibidores Enzimáticos/farmacología , Cininas/metabolismo , Infarto del Miocardio/metabolismo , Miocardio/metabolismo , Piridinas/farmacología , Tiazepinas/farmacología , Animales , Aspartato Aminotransferasas/biosíntesis , Antagonistas de los Receptores de Bradiquinina , Creatina Quinasa/biosíntesis , Hemodinámica , Técnicas para Inmunoenzimas , L-Lactato Deshidrogenasa/biosíntesis , Masculino , Metaloendopeptidasas/antagonistas & inhibidores , Neprilisina/antagonistas & inhibidores , Peptidil-Dipeptidasa A/metabolismo , Inhibidores de Proteasas/farmacología , Ratas , Ratas Wistar , Receptor de Bradiquinina B1 , Receptor de Bradiquinina B2 , Factores de Tiempo , Troponina T/biosíntesis
19.
J Clin Microbiol ; 38(9): 3388-93, 2000 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-10970388

RESUMEN

Persistent human papillomavirus (HPV) infection of the uterine cervix is a risk factor for progression to high-grade squamous intraepithelial lesions. Detection in consecutive genital samples of HPV-16 DNA, a frequently encountered HPV type, may represent persistent infection or reinfection. We undertook a study using PCR-single-strand conformation polymorphism (SSCP) analysis and sequencing of PCR products (PCR-sequencing) to determine if consecutive HPV-16-positive samples contained the same HPV-16 variant. Fifty women (36 human immunodeficiency virus [HIV] seropositive, 14 HIV seronegative) had at least two consecutive genital specimens obtained at 6-month intervals that contained HPV-16 DNA as determined by a consensus L1 PCR assay. A total of 144 samples were amplified with two primer pairs for SSCP analysis of the entire long control region. Fifteen different SSCP patterns were identified in our population, while 22 variants were identified by PCR-sequencing. The most frequent SSCP pattern was found in 75 (53%) samples from 27 (54%) women. The SSCP patterns obtained from consecutive specimens were identical for 46 (92%) of 50 women, suggesting persistent infection. Four women exhibited in consecutive specimens different HPV-16 SSCP patterns that were all confirmed by PCR-sequencing. The additional information on the nature of persistent infection provided by molecular variant analysis was useful for 6% of women, since three of the four women who did not have identical consecutive specimens would have been misclassified as having persistent HPV-16 infection on the basis of HPV typing.


Asunto(s)
ADN Viral/análisis , Variación Genética , Papillomaviridae/genética , Infecciones por Papillomavirus/virología , Infecciones Tumorales por Virus/virología , Adulto , Anciano , Secuencia de Bases , Cuello del Útero/virología , Femenino , Infecciones por VIH/complicaciones , Seronegatividad para VIH , Humanos , Persona de Mediana Edad , Datos de Secuencia Molecular , Papillomaviridae/clasificación , Papillomaviridae/crecimiento & desarrollo , Papillomaviridae/aislamiento & purificación , Infecciones por Papillomavirus/complicaciones , Infecciones por Papillomavirus/diagnóstico , Reacción en Cadena de la Polimerasa , Polimorfismo Conformacional Retorcido-Simple , Análisis de Secuencia de ADN , Irrigación Terapéutica , Infecciones Tumorales por Virus/complicaciones , Infecciones Tumorales por Virus/diagnóstico , Vagina/virología
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