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1.
Genes (Basel) ; 15(3)2024 02 22.
Artículo en Inglés | MEDLINE | ID: mdl-38540332

RESUMEN

Soil rhizobia promote nitrogen fixation in legume hosts, maximizing their tolerance to different biotic stressors, plant biomass, crop growth, and yield. While the presence of soil rhizobia is considered beneficial for plants, few studies have assessed whether variation in rhizobia abundance affects the tolerance of legumes to stressors. To address this, we assessed the effects of variable soil rhizobia inoculum concentrations on interactions between a legume host (Pisum sativum), a vector insect (Acyrthosiphon pisum), and a virus (Pea enation mosaic virus, PEMV). We showed that increased rhizobia abundance reduces the inhibitory effects of PEMV on the nodule formation and root growth in 2-week-old plants. However, these trends were reversed in 4-week-old plants. Rhizobia abundance did not affect shoot growth or virus prevalence in 2- or 4-week-old plants. Our results show that rhizobia abundance may indirectly affect legume tolerance to a virus, but effects varied based on plant age. To assess the mechanisms that mediated interactions between rhizobia, plants, aphids, and PEMV, we measured the relative expression of gene transcripts related to plant defense signaling. Rhizobia concentrations did not strongly affect the expression of defense genes associated with phytohormone signaling. Our study shows that an abundance of soil rhizobia may impact a plant's ability to tolerate stressors such as vector-borne pathogens, as well as aid in developing sustainable pest and pathogen management systems for legume crops. More broadly, understanding how variable rhizobia concentrations can optimize legume-rhizobia symbiosis may enhance the productivity of legume crops.


Asunto(s)
Fabaceae , Rhizobium , Virus , Fabaceae/genética , Rhizobium/genética , Suelo , Pisum sativum
2.
Am J Physiol Heart Circ Physiol ; 325(4): H814-H821, 2023 10 01.
Artículo en Inglés | MEDLINE | ID: mdl-37566108

RESUMEN

Osteogenesis imperfecta (OI) is an extracellular matrix disorder characterized by defects in collagen-1 transport or synthesis, resulting in bone abnormalities. Although reduced collagen in OI hearts has been associated with reduced myocardial stiffness and left ventricular remodeling, its impact on cardiomyocyte (CM) function has not been studied. Here, we explore the tissue-level and CM-level properties of a heart from a deceased organ donor with OI type I. Proteomics and histology confirmed strikingly low expression of collagen 1. Trabecular stretch confirmed low stiffness on the tissue level. However, CMs retained normal viscoelastic properties as revealed by nanoindentation. Interestingly, OI CMs were hypercontractile relative to nonfailing controls after 24 h of culture. In response to 48 h of culture on surfaces with physiological (10 kPa) and pathological (50 kPa) stiffness, OI CMs demonstrated a greater reduction in contractility than nonfailing CMs, suggesting that OI CMs may have an impaired stress response. Levels of detyrosinated α-tubulin, known to be responsive to extracellular stiffness, were reduced in OI CMs. Together these data confirm multiple CM-level adaptations to low stiffness that extend our understanding of OI in the heart and how CMs respond to extracellular stiffness.NEW & NOTEWORTHY In a rare donation of a heart from an individual with osteogenesis imperfecta (OI), we explored cardiomyocyte (CM) adaptations to low stiffness. This represents the first assessment of cardiomyocyte mechanics in OI. The data reveal the hypercontractility of OI CMs with rapid rundown when exposed to acute stiffness challenges, extending our understanding of OI. These data demonstrate that the impact of OI on myocardial mechanics includes cardiomyocyte adaptations beyond known direct effects on the extracellular matrix.


Asunto(s)
Osteogénesis Imperfecta , Humanos , Adulto , Osteogénesis Imperfecta/metabolismo , Osteogénesis Imperfecta/patología , Miocitos Cardíacos/metabolismo , Colágeno/metabolismo , Colágeno Tipo I/metabolismo , Matriz Extracelular/metabolismo , Osteogénesis
4.
Plants (Basel) ; 12(12)2023 Jun 15.
Artículo en Inglés | MEDLINE | ID: mdl-37375959

RESUMEN

Vector-borne plant viruses are a diverse and dynamic threat to agriculture with hundreds of economically damaging viruses and insect vector species. Mathematical models have greatly increased our understanding of how alterations of vector life history and host-vector-pathogen interactions can affect virus transmission. However, insect vectors also interact with species such as predators and competitors in food webs, and these interactions affect vector population size and behaviors in ways that mediate virus transmission. Studies assessing how species' interactions affect vector-borne pathogen transmission are limited in both number and scale, hampering the development of models that appropriately capture community-level effects on virus prevalence. Here, we review vector traits and community factors that affect virus transmission, explore the existing models of vector-borne virus transmission and areas where the principles of community ecology could improve the models and management, and finally evaluate virus transmission in agricultural systems. We conclude that models have expanded our understanding of disease dynamics through simulations of transmission but are limited in their ability to reflect the complexity of ecological interactions in real systems. We also document a need for experiments in agroecosystems, where the high availability of historical and remote-sensing data could serve to validate and improve vector-borne virus transmission models.

5.
J Cardiovasc Transl Res ; 16(4): 828-841, 2023 08.
Artículo en Inglés | MEDLINE | ID: mdl-36877449

RESUMEN

Engineered cardiac microtissues were fabricated using pluripotent stem cells with a hypertrophic cardiomyopathy associated c. 2827 C>T; p.R943x truncation variant in myosin binding protein C (MYBPC3+/-). Microtissues were mounted on iron-incorporated cantilevers, allowing manipulations of cantilever stiffness using magnets, enabling examination of how in vitro afterload affects contractility. MYPBC3+/- microtissues developed augmented force, work, and power when cultured with increased in vitro afterload when compared with isogenic controls in which the MYBPC3 mutation had been corrected (MYPBC3+/+(ed)), but weaker contractility when cultured with lower in vitro afterload. After initial tissue maturation, MYPBC3+/- CMTs exhibited increased force, work, and power in response to both acute and sustained increases of in vitro afterload. Together, these studies demonstrate that extrinsic biomechanical challenges potentiate genetically-driven intrinsic increases in contractility that may contribute to clinical disease progression in patients with HCM due to hypercontractile MYBPC3 variants.


Asunto(s)
Cardiomiopatía Hipertrófica , Células Madre Pluripotentes , Humanos , Cardiomiopatía Hipertrófica/genética , Cardiomiopatía Hipertrófica/metabolismo , Mutación , Células Madre Pluripotentes/metabolismo , Corazón
6.
Oecologia ; 196(4): 1005-1015, 2021 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-34264386

RESUMEN

Herbivores assess predation risk in their environment by identifying visual, chemical, and tactile predator cues. Detection of predator cues can induce risk-avoidance behaviors in herbivores that affect feeding, dispersal, and host selection in ways that minimize mortality and reproductive costs. For herbivores that transmit plant pathogens, including many aphids, changes in herbivore behavior in response to predator cues may also affect pathogen spread. However, few studies have assessed how aphid behavioral responses to different types of predator cues affect pathogen transmission. Here, we conducted greenhouse experiments to assess whether responses of pea aphids (Acyrthosiphon pisum) to predation risk and alarm pheromone (E-ß-Farnesene), an aphid alarm signal released in response to predation risk, affected transmission of Pea enation mosaic virus (PEMV). We exposed A. pisum individuals to risk cues, and quantified viral titer in aphids and pea (Pisum sativum) host plants across several time periods. We also assessed how A. pisum responses to risk cues affected aphid nutrition, reproduction, and host selection. We show that exposure to predator cues and alarm pheromone significantly reduced PEMV acquisition and inoculation. Although vectors avoided hosts with predator cues, predator cues did not alter vector reproduction or reduce nutrient acquisition. Overall, these results suggest that non-consumptive effects of predators may indirectly decrease the spread of plant pathogens by altering vector behavior in ways that reduce vector competence and pathogen transmission efficiency.


Asunto(s)
Áfidos , Virus de Plantas , Animales , Señales (Psicología) , Humanos , Feromonas , Conducta Predatoria
7.
Insect Biochem Mol Biol ; 128: 103514, 2021 01.
Artículo en Inglés | MEDLINE | ID: mdl-33359575

RESUMEN

Insect alarm pheromones are chemical substances that are synthesized and released in response to predators to reduce predation risk. Alarm pheromones can also be perceived by predators, who take advantage of alarm cues to locate prey. While selection favors evolution of alarm pheromone signals that are not easily detectable by predators, predator evolution selects for better prey detection ability. Here, we review the diversity of alarm signals, and consider the behavioral and ecological conditions under which they have evolved. We show that components of alarm pheromones are similar across many insects, although aphids exhibit different behavioral responses to alarm cues compared to social insects. The effects of alarm pheromones on prey behavior depend on factors such as the concentration of pheromones and the density of conspecifics. We also discuss the molecular mechanisms of alarm pheromone perception underlying the evolutionary arms race between predators and prey, and the function of olfactory proteins and receptors in particular. Our review provides a novel synthesis of the diversity and function of insect alarm pheromones, while suggesting avenues that might better allow researchers to exploit population-level responses to alarm signaling for the sustainable management of pests and vector-borne pathogens.


Asunto(s)
Insectos/fisiología , Feromonas/metabolismo , Conducta Predatoria/fisiología , Animales , Hormigas/metabolismo , Áfidos/metabolismo , Abejas/metabolismo , Señales (Psicología) , Insectos/metabolismo , Olfato/fisiología
8.
J Insect Sci ; 20(5)2020 Sep 01.
Artículo en Inglés | MEDLINE | ID: mdl-33119749

RESUMEN

Every year, the Student Debates Subcommittee (SDS) of the Student Affairs Committee (SAC) for the annual Entomological Society of America (ESA) meeting organizes the Student Debates. This year, the SAC selected topics based on their synergistic effect or ability to ignite exponential positive change when addressed as a whole. For the 2019 Student Debates, the SAC SDS identified these topic areas for teams to debate and unbiased introduction speakers to address: 1) how to better communicate science to engage the public, particularly in the area of integrated pest management (IPM), 2) the influential impacts of climate change on agriculturally and medically relevant insect pests, and 3) sustainable agriculture techniques that promote the use of IPM to promote food security. Three unbiased introduction speakers gave a foundation for our audience to understand each debate topic, while each of six debate teams provided a strong case to support their stance or perspective on a topic. Debate teams submitted for a competitive spot for the annual ESA Student Debates and trained for the better part of a year to showcase their talents in presenting logical arguments for a particular topic. Both the debate teams and unbiased introduction speakers provided their insight toward a better understanding of the complexities of each topic and established a foundation to delve further into the topics of science advocacy and communication, climate change, and the many facets of integrated pest management.


Asunto(s)
Cambio Climático , Difusión de la Información , Control de Plagas , Comunicación
9.
Ecology ; 100(11): e02879, 2019 11.
Artículo en Inglés | MEDLINE | ID: mdl-31482568

RESUMEN

Many insect herbivores are vectors that transmit plant pathogens as they forage. Within food webs, vectors interact with a range of host plants, other herbivores, and predators. Yet, few studies have examined how tri-trophic interactions involving vectors affect the spread of pathogens. Here we assessed effects of food web structure on aphid vectors and the prevalence of an aphid-borne persistent pathogen (Pea enation mosaic virus, PEMV) in pea plants. We experimentally manipulated ladybird predators, alternative host plants, and non-vector herbivores and assessed responses of pea aphids and PEMV using structural equation models. We show that variation in bottom-up, top-down, and horizontal interactions mediated PEMV prevalence. Predators reduced PEMV prevalence by consuming aphids, but an alternative host plant (vetch) had the opposite effect by promoting aphid movement and abundance. Non-vector herbivores (pea leaf weevil) increased PEMV susceptibility in peas. In turn, weevils offset the positive effects of predators on PEMV, but increased the negative effects of vetch. Our results show that tri-trophic interactions within insect and plant food webs can mediate vector biology with synergistic and opposing effects on pathogens. Continuing to assess how community-wide interactions affect vectors will aid in our understanding of vector-borne pathosystems.


Asunto(s)
Áfidos , Animales , Cadena Alimentaria , Herbivoria , Insectos Vectores , Pisum sativum , Enfermedades de las Plantas
10.
J Insect Sci ; 19(4)2019 Jul 01.
Artículo en Inglés | MEDLINE | ID: mdl-31268545

RESUMEN

The 2018 student debates of the Entomological Society of America were held at the Joint Annual Meeting for the Entomological Societies of America, Canada, and British Columbia in Vancouver, BC. Three unbiased introductory speakers and six debate teams discussed and debated topics under the theme 'Entomology in the 21st Century: Tackling Insect Invasions, Promoting Advancements in Technology, and Using Effective Science Communication'. This year's debate topics included: 1) What is the most harmful invasive insect species in the world? 2) How can scientists diffuse the stigma or scare factor surrounding issues that become controversial such as genetically modified organisms, agricultural biotechnological developments, or pesticide chemicals? 3) What new/emerging technologies have the potential to revolutionize entomology (other than Clustered Regularly Interspaced Short Palindromic Repeats)? Introductory speakers and debate teams spent approximately 9 mo preparing their statements and arguments and had the opportunity to share this at the Joint Annual Meeting with an engaged audience.


Asunto(s)
Entomología/tendencias , Insectos , Animales , Biotecnología , Especies Introducidas
11.
Nat Biomed Eng ; 2(5): 293-303, 2018 May.
Artículo en Inglés | MEDLINE | ID: mdl-30271672

RESUMEN

The ability of extracellular vesicles (EVs) to regulate a broad range of cellular processes has recently been exploited for the treatment of diseases. For example, EVs secreted by stem cells injected into infarcted hearts can induce recovery through the delivery of stem-cell-specific miRNAs. However, the retention of the EVs and the therapeutic effects are short-lived. Here, we show that an engineered hydrogel patch capable of slowly releasing EVs secreted from cardiomyocytes derived from induced pluripotent stem (iPS) cells reduced arrhythmic burden, promoted ejection-fraction recovery, decreased cardiomyocyte apoptosis 24 hours after infarction, and reduced infarct size and cell hypertrophy 4 weeks post-infarction when implanted onto infarcted rat hearts. We also show that the EVs are enriched with cardiac-specific miRNAs known to modulate cardiomyocyte-specific processes. The extended delivery of EVs secreted from iPS-cell-derived cardiomyocytes into the heart may help understand heart recovery and treat heart injury.

12.
Environ Entomol ; 47(4): 1030-1038, 2018 08 11.
Artículo en Inglés | MEDLINE | ID: mdl-29846514

RESUMEN

Many lady beetles expel an autogenously produced alkaloid-rich 'reflex blood' as an antipredator defense. We conducted an experiment to determine whether there was a measurable fitness cost associated with the daily induction of this defensive behavior, and whether costs differed between native (Coccinella novemnotata Herbst (Coleoptera: Coccinellidae)) and invasive species (Coccinella septempunctata L. (Coleoptera: Coccinellidae) and Harmonia axyridis (Pallas) (Coleoptera: Coccinellidae)). Newly mated females were provided a restricted or unrestricted amount of aphids and were bled for 10 d. We measured the mass of reflex blood produced and the total number and viability of eggs laid per day. The amount of reflex blood released per day increased for C. septempunctata at the restricted level and did not change for any other species-diet level combination. We did not detect a significant cost of reflex bleeding on the quantity or viability of eggs laid by any species, even at the restricted aphid level. Remarkably, bled individuals at the ad libitum level laid significantly more viable eggs compared to controls. All species laid significantly fewer total eggs (49-69% fewer) at the low versus high aphid level. These results demonstrate that while resource scarcity has a negative impact on fecundity, repeated use of the reflex bleeding defense system does not. These results support the findings of other reports and strongly suggest that adult lady beetles incur no measurable physiological costs related to the induction of the reflex-bleeding defense.


Asunto(s)
Escarabajos/fisiología , Especies Introducidas , Conducta Predatoria , Animales , Dieta , Femenino , Reproducción , Especificidad de la Especie
13.
Sci Robot ; 2(2)2017 01 18.
Artículo en Inglés | MEDLINE | ID: mdl-31289767

RESUMEN

Implantable microdevices often have static components rather than moving parts, and exhibit limited biocompatibility. This paper demonstrates a fast manufacturing method which can produce features in biocompatible materials down to tens of microns in scale, with intricate and composite patterns in each layer. By exploiting unique mechanical properties of hydrogels, we developed a "locking mechanism" for precise actuation and movement of freely moving parts, which can provide functions such as valves, manifolds, rotors, pumps, and delivery of payloads. Hydrogel components could be tuned within a wide range of mechanical and diffusive properties, and can be controlled after implantation without a sustained power supply. In a mouse model of osteosarcoma, triggering of release of doxorubicin from the device over ten days showed high treatment efficacy and low toxicity, at one-tenth of a standard systemic chemotherapy dose. Overall, this platform, called "iMEMS", enables development of biocompatible implantable microdevices with a wide range of intricate moving components that can be wirelessly controlled on demand, in a manner that solves issues of device powering and biocompatibility.

14.
Theranostics ; 6(8): 1119-30, 2016.
Artículo en Inglés | MEDLINE | ID: mdl-27279906

RESUMEN

There is a growing interest in the pivotal role of exosomes in cancer and in their use as biomarkers. However, despite the importance of the microenvironment for cancer initiation and progression, monolayer cultures of tumor cells still represent the main in vitro source of exosomes. As a result, their environmental regulation remains largely unknown. Here, we report a three-dimensional tumor model for studying exosomes, using Ewing's sarcoma type 1 as a clinically relevant example. The bioengineered model was designed based on the hypothesis that the 3-dimensionality, composition and stiffness of the tumor matrix are the critical determinants of the size and cargo of exosomes released by the cancer cells. We analyzed the effects of the tumor microenvironment on exosomes, and the effects of exosomes on the non-cancer cells from the bone niche. Exosomes from the tissue-engineered tumor had similar size distribution as those in the patients' plasma, and were markedly smaller than those in monolayer cultures. Bioengineered tumors and the patients' plasma contained high levels of the Polycomb histone methyltransferase EZH2 mRNA relatively to their monolayer counterparts. Notably, EZH2 mRNA, a potential tumor biomarker detectable in blood plasma, could be transferred to the surrounding mesenchymal stem cells. This study provides the first evidence that an in vitro culture environment can recapitulate some properties of tumor exosomes.


Asunto(s)
Exosomas/química , Exosomas/ultraestructura , Sarcoma de Ewing/patología , Biomarcadores/análisis , Proteína Potenciadora del Homólogo Zeste 2/genética , Humanos , Modelos Biológicos , ARN Mensajero/análisis , Técnicas de Cultivo de Tejidos
15.
Adv Healthc Mater ; 5(8): 900-6, 2016 Apr 20.
Artículo en Inglés | MEDLINE | ID: mdl-26865105

RESUMEN

This modular assembly approach to microfabricate functional cardiovascular tissue composites enables quantitative assessment of the effects of microarchitecture on cellular function. Cardiac and endothelial modules are micromolded separately, designed to direct cardiomyocyte alignment and anisotropic contraction or vascular network formation. Assembled cardiovascular tissue composites contract synchronously, facilitating the use of this tissue-engineering platform to study structure-function relationships in the heart.


Asunto(s)
Corazón/anatomía & histología , Ingeniería de Tejidos/métodos , Animales , Anisotropía , Células Endoteliales/citología , Endotelio Vascular/fisiología , Microtecnología , Miocitos Cardíacos/citología , Neovascularización Fisiológica , Ratas
16.
Nat Commun ; 7: 10312, 2016 Jan 19.
Artículo en Inglés | MEDLINE | ID: mdl-26785135

RESUMEN

The therapeutic success of human stem cell-derived cardiomyocytes critically depends on their ability to respond to and integrate with the surrounding electromechanical environment. Currently, the immaturity of human cardiomyocytes derived from stem cells limits their utility for regenerative medicine and biological research. We hypothesize that biomimetic electrical signals regulate the intrinsic beating properties of cardiomyocytes. Here we show that electrical conditioning of human stem cell-derived cardiomyocytes in three-dimensional culture promotes cardiomyocyte maturation, alters their automaticity and enhances connexin expression. Cardiomyocytes adapt their autonomous beating rate to the frequency at which they were stimulated, an effect mediated by the emergence of a rapidly depolarizing cell population, and the expression of hERG. This rate-adaptive behaviour is long lasting and transferable to the surrounding cardiomyocytes. Thus, electrical conditioning may be used to promote cardiomyocyte maturation and establish their automaticity, with implications for cell-based reduction of arrhythmia during heart regeneration.


Asunto(s)
Canales de Potasio Éter-A-Go-Go/metabolismo , Miocitos Cardíacos/citología , Diferenciación Celular/fisiología , Conexinas/metabolismo , Canal de Potasio ERG1 , Estimulación Eléctrica , Canales de Potasio Éter-A-Go-Go/genética , Humanos , Microscopía Electrónica de Transmisión , Miocitos Cardíacos/metabolismo , Miocitos Cardíacos/ultraestructura , Células Madre Pluripotentes/citología
17.
Proc Natl Acad Sci U S A ; 110(12): 4551-6, 2013 Mar 19.
Artículo en Inglés | MEDLINE | ID: mdl-23487790

RESUMEN

Cellular communities in living tissues act in concert to establish intricate microenvironments, with complexity difficult to recapitulate in vitro. We report a method for docking numerous cellularized hydrogel shapes (100-1,000 µm in size) into hydrogel templates to construct 3D cellular microenvironments. Each shape can be uniquely designed to contain customizable concentrations of cells and molecular species, and can be placed into any spatial configuration, providing extensive compositional and geometric tunability of shape-coded patterns using a highly biocompatible hydrogel material. Using precisely arranged hydrogel shapes, we investigated migratory patterns of human mesenchymal stem cells and endothelial cells. We then developed a finite element gradient model predicting chemotactic directions of cell migration in micropatterned cocultures that were validated by tracking ∼2,500 individual cell trajectories. This simple yet robust hydrogel platform provides a comprehensive approach to the assembly of 3D cell environments.


Asunto(s)
Materiales Biocompatibles/química , Factores Quimiotácticos , Células Endoteliales de la Vena Umbilical Humana/citología , Hidrogeles/química , Células Madre Mesenquimatosas/citología , Nicho de Células Madre , Células Cultivadas , Técnicas de Cocultivo/métodos , Humanos
19.
Lab Chip ; 8(12): 2062-70, 2008 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-19023469

RESUMEN

Despite the prevalence of microfluidic-based heterogeneous immunoassays (where analytes in solution are captured on a solid surface functionalized with a capture molecule), there is incomplete understanding of how assay parameters influence the amount of captured analytes. This study presents computational results and corresponding experimental binding assays in which the capture of analytes is studied under variations in both mass transfer and surface binding, constrained by real-world assay conditions of finite sample volume, assay time, and capture area. Our results identify: 1) a "reagent-limited" regime which exists only under the constraints of finite sample volume and assay time; 2) a critical flow rate (e.g. 0.5 microL min(-1) under our assay conditions) to gain the maximum signal with the fastest assay time; 3) an increase in signal by using a short concentrated plug (e.g. 5 microL, 100 nM) rather than a long dilute plug (e.g. 50 microL, 10 nM) of sample; 4) the possibility of spending a considerable fraction of the assay time out of the reaction-limited regime. Overall, an improved understanding of fundamental physical processes may be particularly beneficial for the design of point-of-care assays, where volumes of reagents and available samples are limited, and the desired time-to-result short.


Asunto(s)
Técnicas de Química Analítica , Inmunoensayo , Microfluídica/instrumentación , Microfluídica/métodos , Modelos Químicos , Simulación por Computador , Propiedades de Superficie , Factores de Tiempo
20.
Int J Geriatr Psychiatry ; 23(12): 1276-82, 2008 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-18613268

RESUMEN

OBJECTIVE: To examine the association between major depression and emergency medical services (EMS) use by community-dwelling older adults with disabilities. METHODS: A prospective observational.study including 1,444 participants age 65+ in 19 counties in three US states that participated in the Medicare Primary and Consumer-Directed Care Demonstration. Eligibility criteria included needing or receiving help with either 2+ activities of daily living (ADLs) or 3+ instrumental ADLs, and having received recent significant healthcare services use. The presence of major depression was measured at baseline by the MINI Major Depressive Episode module. EMS utilization data for the following 2 years were obtained from a daily journal concurrently completed by each subject or a caregiver. RESULTS: More persons with major depression (43%) than without (35%) reported EMS use. When other factors were controlled in a logistic regression model, this effect was no longer statistically significant. However, of those with at least one episode of EMS transport, the depressed reported significantly (25%) more episodes (mean = 2.10) than the non-depressed (mean = 1.68). Major depression was significantly associated with more EMS episodes in both Poisson (Z = 1.99; p = 0.047) and ordinary least squares (t = 2.08; p = 0.038) regression models. CONCLUSIONS: Depressed disabled older adults who utilize EMS have more EMS episodes than those without depression. This higher use may be driven in part by affective illness. Research is needed to determine whether more EMS episodes are necessary to address symptoms of major depression, especially suicidal ideation, or whether they are due to other illnesses that are exacerbated by symptoms of major depression.


Asunto(s)
Trastorno Depresivo Mayor/epidemiología , Personas con Discapacidad/estadística & datos numéricos , Servicios Médicos de Urgencia/estadística & datos numéricos , Suicidio/psicología , Anciano , Anciano de 80 o más Años , Trastorno Depresivo Mayor/psicología , Trastorno Depresivo Mayor/terapia , Personas con Discapacidad/psicología , Femenino , Evaluación Geriátrica , Humanos , Modelos Logísticos , Masculino , Estudios Prospectivos , Calidad de Vida/psicología , Salud Urbana , Prevención del Suicidio
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