Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 235
Filtrar
1.
Sci Total Environ ; 926: 171760, 2024 May 20.
Artículo en Inglés | MEDLINE | ID: mdl-38537830

RESUMEN

Ecosystems that offer carbon sequestration by leaching bicarbonate to groundwater are valuable natural capital. One region that may offer this service is the west coast of South Africa. Over 20 % is covered by soil mounds ("heuweltjies") up to 40 m diameter, 2 m high, inhabited by the southern harvester termite Microhodotermes viator and enriched in soil organic and inorganic carbon and soluble minerals. We aimed to generate radiogenic and stable isotope data for soils and groundwater in a region where these data are absent, to 1) verify the atmosphere-soil-groundwater link, and 2) resolve the timing and pattern of calcite dissolution and water infiltration in the landscape. Results show that soil and groundwater sulfate have the same marine aerosol source. Episodic calcite dissolution in mound centers, which increased during periods of global cooling, has been set against background input of marine aerosols since before the Last Glacial according to radiocarbon (14C) ages. Our data push back soil organic carbon 14C ages of inhabited termite mounds to 13-19 ka (kiloannum, thousand years before present), nest carbonate 14C ages to 33 ka, and mound soil carbonate 14C ages to 34 ka, making these the oldest active termite features ever dated. These ages are consistent with soil organic carbon and carbonate 14C ages of regional, non-mound, coastal petrocalcic horizons formed by accumulation of carbonate leached from their overlying aeolian dune fields. Harvesting activities of termites inject younger organic material around nests >1 m deep, leading to continuous renewal of important soil carbon reservoirs at depth. Termite bioturbation increases the system's ability to dissolve carbonate. The central, bioturbated part of the mounds have greater infiltration depths and greater calcite dissolution, whereas surrounding soils experienced more surface runoff. Calcareous termite mounds offer a mechanism to sequester CO2 through dissolution and leaching of soil carbonate-bicarbonate to groundwater.


Asunto(s)
Ecosistema , Isópteros , Animales , Suelo , Carbono , Bicarbonatos , Sudáfrica , Carbonatos , Carbonato de Calcio
2.
J Environ Radioact ; 256: 107051, 2023 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-36327526

RESUMEN

Despite being the busiest transient sea in the world due to the Suez Canal, radionuclide distribution studies in seawater and sediment of the Red Sea remain rare. A sampling expedition in the Red Sea was conducted from June 9 to July 6, 2021, visiting a transect of several deep sampling stations located along the central axis of the basin from the Gulf of Aqaba to the southern Red Sea (near Farasan Island, Saudi Arabia). The collected seawater profile samples were analyzed for tritium, radiocarbon and oxygen-18. The observed tritium levels in surface waters of the Red Sea peaked at 0.3-0.4 TU, similar to the values observed in the western Arabian Sea (decay corrected). The values observed at waters below 150 m were around 0.2 TU, however, at depths of 450 and 750 m, tritium minima (<0.2 TU) were observed, which could be associated with a partial return flow of bottom waters from the southern to the northern Red Sea. At two stations at the depth of about 550 m, deep Δ14C minima were observed as well (-4‰ and -10‰), documenting ongoing transport of carbon in the water column, important for sink of anthropogenic carbon.


Asunto(s)
Monitoreo de Radiación , Agua , Océano Índico , Tritio/análisis , Agua de Mar , Carbono
3.
Forensic Sci Int ; 335: 111281, 2022 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-35429777

RESUMEN

We discuss how different accelerator-based techniques can be employed synergistically as a powerful analytical tool for forensic studies of foodstuff. Brazilian and Jamaican coffees were chosen as a showcase due to its popularity and potential risk of adulteration and/or falsification. Comprehensive characterization of major and trace elements, age since production and compound contents were achieved using different techniques, including PIXE (Particle-Induced X-ray Emission), FTIR (Fourier Transform Infrared), and AMS-14C (Accelerator Mass Spectrometry - Radiocarbon Analysis). While PIXE provides information on the elements present in the samples, FTIR probes the types of compounds through their vibrational spectra. Finally, AMS-14C is capable of dating organic samples regarding their harvesting time. Five different laboratories from research institutions around the world took part in the experiments. The integration of the results obtained with different techniques provided multifaceted perspectives on the coffee under study, thus allowing a direct assessment of the material for forensic purposes such as authentication, determination of provenance, and combat counterfeiting.


Asunto(s)
Café , Oligoelementos , Brasil , Contaminación de Medicamentos , Espectrometría de Masas/métodos
4.
Respir Physiol Neurobiol ; 296: 103790, 2022 02.
Artículo en Inglés | MEDLINE | ID: mdl-34560293

RESUMEN

BACKGROUND: Cardiopulmonary exercise testing (CPET) is a method used to evaluate functional impairment of patients with various diseases. OBJECTIVE: The objective was to use CPET to estimate the usability of anthropometric index (AI) in patients with pectus excavatum (PE) as a marker of functional impairment caused by chest deformity. METHODS: The study included 32 paediatric patients (28 males) with PE. Patients underwent CPET using a breath-by-breath exhaled gas analysis method and continuous monitoring of cardiac parameters. RESULTS: In both groups, two (overall four) patients met criteria for cardiogenic limitation (low VO2 and low O2Pulse). Mean VO2/WR was below two standard deviations (2SD) in patients with less severe PE; other observed parameters were within normal limits (Z-score ± 2 SD). The AI had no observed correlation with peak ventilation, VO2peak and peak workload. CONCLUSION: The obtained CPET data do not correlate well with the severity of chest deformity expressed with AI. There were similar physical activity limitations in both examined groups of patients and they did not depend on the severity of the deformity.


Asunto(s)
Tórax en Embudo/diagnóstico , Tórax en Embudo/fisiopatología , Índice de Severidad de la Enfermedad , Antropometría , Niño , Prueba de Esfuerzo , Femenino , Humanos , Masculino
5.
Osteoporos Int ; 30(3): 611-620, 2019 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-30456573

RESUMEN

Chronic inflammation and protein energy wasting (PEW) syndrome are common in kidney transplant recipients (KTR). The presence of inflammation and PEW syndrome can directly affect bone resorption and bone formation, leading to bone loss and fractures. We showed PEW is independently associated with new clinically detected bone fractures in prevalent KTR. INTRODUCTION: Kidney transplant recipients (KTR) have a 4-fold higher risk of fracture compared to the general population. Chronic inflammation and PEW syndrome are common in KTR and are associated with poor outcomes. We hypothesized that the Malnutrition-Inflammation Score (MIS), a validated measure of PEW, is associated with higher risk of bone fractures in KTR. METHODS: This prospective cohort study included 839 prevalent KTR from a Central European academic center. MIS, a semiquantitative instrument of PEW, was calculated at the study entry. Self-reported history of fractures was recorded during the 2-year follow-up period. The association between MIS and bone fractures was examined in logistic regression analyses with adjustment for age, gender, eGFR, smoking habits, history of pre-transplant bone fractures, and acute rejection. RESULTS: Mean age was 51 ± 13 years, and 56% of patients were males with median (interquartile range) transplant vintage 69 (38-112) months, estimated glomerular filtration rate 55 ± 21 ml/min/1.73 m2, and calculated MIS 3 (2-4) at enrollment. Fifty-five (7%) patients experienced self-reported bone fractures during the 2-year follow-up period. Higher MIS score showed linear association with increased risk of fracture. Each one-point higher MIS was associated with 23% higher risk of bone fractures (odds ratio (OR) and 95% CI 1.23, 1.12-1.34), which remained significant after multivariable adjustments (OR 1.17, 95% CI 1.06-1.29). CONCLUSION: The MIS is independently associated with new clinically detected bone fractures in prevalent KTR.


Asunto(s)
Inflamación/complicaciones , Trasplante de Riñón/efectos adversos , Fracturas Osteoporóticas/etiología , Desnutrición Proteico-Calórica/complicaciones , Adulto , Anciano , Femenino , Humanos , Masculino , Persona de Mediana Edad , Complicaciones Posoperatorias/etiología , Estudios Prospectivos , Factores de Riesgo , Autoinforme , Índice de Severidad de la Enfermedad
6.
J Environ Radioact ; 166(Pt 1): 56-66, 2017 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-26997585

RESUMEN

Tritium, radiocarbon and radiocesium concentrations in water column samples in coastal waters offshore Fukushima and in the western North Pacific Ocean collected in 2011-2012 during the Ka'imikai-o-Kanaloa (KoK) cruise are compared with other published results. The highest levels in surface seawater were observed for 134Cs and 137Cs in seawater samples collected offshore Fukushima (up to 1.1 Bq L-1), which represent an increase by about three orders of magnitude when compared with the pre-Fukushima concentration. Tritium levels were much lower (up to 0.15 Bq L-1), representing an increase by about a factor of 6. The impact on the radiocarbon distribution was measurable, but the observed levels were only by about 9% above the global fallout background. The 137Cs (and similarly 134Cs) inventory in the water column of the investigated western North Pacific region was (2.7 ± 0.4) PBq, while for 3H it was only (0.3 ± 0.2) PBq. Direct releases of highly contaminated water from the damaged Fukushima NPP, as well as dry and wet depositions of these radionuclides over the western North Pacific considerably changed their distribution patterns in seawater. Presently we can distinguish Fukushima labeled waters from global fallout background thanks to short-lived 134Cs. However, in the long-term perspective when 134Cs will decay, new distribution patterns of 3H, 14C and 137Cs in the Pacific Ocean should be established for future oceanographic and climate change studies in the Pacific Ocean.


Asunto(s)
Radioisótopos de Carbono/análisis , Radioisótopos de Cesio/análisis , Accidente Nuclear de Fukushima , Tritio/análisis , Contaminantes Radiactivos del Agua/análisis , Océano Pacífico , Monitoreo de Radiación , Agua de Mar/química
7.
Folia Neuropathol ; 54(1): 9-22, 2016.
Artículo en Inglés | MEDLINE | ID: mdl-27179217

RESUMEN

Despite the current hypotheses about myelinic and astrocytic ion-dyshomeostasis underlying white (WM) and grey matter (GM) vacuolation in mitochondrial encephalopathies, there is a paucity of data on the exact mechanism of vacuole formation. To revisit the concepts of vacuole formation associated with mitochondrial dysfunction, we performed a comparative neuropathological analysis in Kearns-Sayre syndrome (KSS) and full-length peroxisome proliferator-activated receptor-g coactivator-1a (FL-PGC-1a)-deficient mice, a recently proposed morphological model of mitochondrial encephalopathies. Brain tissues from an individual with genetically proven KSS (22-year-old man) and aged FL-PGC-1a-deficient and wild-type (male, 70-75-week-old) mice were analysed using ultrastructural and immunohistochemical methods, with a specific focus on myelin-related, oligodendroglial, axonal and astrocytic pathologies. Besides demonstrating remarkable similarities in the lesion profile of KSS and FL-PGC-1a-deficient mice, this study first provides morphological evidence for the identical origin of WM and GM vacuolation as well as for the presence of intracytoplasmic oligodendroglial vacuoles in mitochondriopathies. Based on these observations, the paper proposes a theoretical model for the development of focal myelin vacuolation as opposed to the original concepts of intramyelin oedema. Placing oligodendrocytes in the centre of tissue lesioning in conditions related to defects in mitochondria, our observations support the rationale for cytoprotective targeting of oligodendrocytes in mitochondrial encephalopathies, and may also have implications in brain aging and multiple sclerosis, as discussed.


Asunto(s)
Síndrome de Kearns-Sayre/metabolismo , Síndrome de Kearns-Sayre/patología , Mitocondrias/metabolismo , Encefalomiopatías Mitocondriales/metabolismo , Encefalomiopatías Mitocondriales/patología , Coactivador 1-alfa del Receptor Activado por Proliferadores de Peroxisomas gamma/metabolismo , Vacuolas/patología , Animales , Humanos , Síndrome de Kearns-Sayre/genética , Masculino , Ratones Endogámicos C57BL , Ratones Transgénicos , Encefalomiopatías Mitocondriales/genética , Oligodendroglía/citología , Coactivador 1-alfa del Receptor Activado por Proliferadores de Peroxisomas gamma/deficiencia , Factores de Transcripción/metabolismo , Adulto Joven
8.
J Environ Radioact ; 153: 10-14, 2016 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-26704325

RESUMEN

Tree ring series were collected from the vicinity of a Hungarian radioactive waste treatment and disposal facility and from a distant control background site, which is not influenced by the radiocarbon discharge of the disposal facility but it represents the natural regional (14)C level. The (14)C concentration of the cellulose content of tree rings was measured by AMS. Data of the tree ring series from the disposal facility was compared to the control site for each year. The results were also compared to the (14)C data of the atmospheric (14)C monitoring stations at the disposal facility and to international background measurements. On the basis of the results, the excess radiocarbon of the disposal facility can unambiguously be detected in the tree from the repository site.


Asunto(s)
Radioisótopos de Carbono/análisis , Monitoreo de Radiación , Contaminantes Radiactivos/análisis , Residuos Radiactivos/análisis , Árboles/química , Hungría , Instalaciones de Eliminación de Residuos
9.
Neuroscience ; 273: 152-62, 2014 Jul 25.
Artículo en Inglés | MEDLINE | ID: mdl-24846615

RESUMEN

Frontal areas are thought to be the coordinators of working memory processes by controlling other brain areas reflected by oscillatory activities like frontal-midline theta (4-7 Hz). With aging substantial changes can be observed in the frontal brain areas, presumably leading to age-associated changes in cortical correlates of cognitive functioning. The present study aimed to test whether altered frontal-midline theta dynamics during working memory maintenance may underlie the capacity deficits observed in older adults. 33-channel EEG was recorded in young (18-26 years, N=20) and old (60-71 years, N=16) adults during the retention period of a visual delayed match-to-sample task, in which they had to maintain arrays of 3 or 5 colored squares. An additional visual odd-ball task was used to be able to measure the electrophysiological indices of sustained attentional processes. Old participants showed reduced frontal theta activity during both tasks compared to the young group. In the young memory maintenance-related frontal-midline theta activity was shown to be sensitive both to the increased memory demands and to efficient subsequent memory performance, whereas the old adults showed no such task-related difference in the frontal theta activity. The decrease of frontal-midline theta activity in the old group indicates that cerebral aging may alter the cortical circuitries of theta dynamics, thereby leading to age-associated decline of working memory maintenance function.


Asunto(s)
Envejecimiento/fisiología , Encéfalo/fisiología , Memoria/fisiología , Ritmo Teta/fisiología , Adolescente , Adulto , Anciano , Electroencefalografía , Humanos , Inteligencia , Persona de Mediana Edad , Pruebas Neuropsicológicas , Tiempo de Reacción/fisiología , Percepción Visual/fisiología , Adulto Joven
10.
Environ Sci Pollut Res Int ; 21(12): 7773-80, 2014 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-24638838

RESUMEN

An in vitro experiment was carried out to evaluate the phytoremediation potentials of two somatic embryo-derived ecotypes of Arundo donax-BL (American ecotype) and 20SZ (Hungarian ecotype)-of copper from synthetic wastewater. The two ecotypes were grown under sterile conditions in tubes containing a nutrient solution supplied with increasing doses of Cu (0, 1, 2, 3, 5, 10, and 26.8 mg L(-1)) for 6 weeks. The translocation and bioaccumulation factors and removal rate were estimated. In general, increasing Cu concentration in nutrient solution slightly decreased root, stem and leaf biomass without toxicity symptoms up to 26.8 mg L(-1). Moreover, both ecotypes showed high Cu removal efficiency from aqueous solution. However, Cu removal rate ranged between 96.6 to 98.8% for BL ecotype and 97 to 100% for 20SZ ecotype. Data illustrated that both BL and 20SZ ecotypes may be employed to treat Cu-contaminated water bodies up to 26.8 mg L(-1).


Asunto(s)
Biodegradación Ambiental , Cobre/metabolismo , Poaceae/metabolismo , Aguas Residuales/química , Contaminantes del Agua/metabolismo , Biomasa , Ecotipo , Técnicas In Vitro , Raíces de Plantas/metabolismo , Distribución Aleatoria , Plantones/metabolismo , Contaminantes del Agua/química
12.
Acta Anaesthesiol Scand ; 58(1): 106-13, 2014 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-24117011

RESUMEN

BACKGROUND: Hyperglycaemia is associated with aggravated ischaemic brain injury. The main objective of this study was to investigate the effects on cerebral perfusion of 5 min of cardiac arrest during hyperglycaemia and normoglycaemia. METHODS: Twenty triple-breed pigs (weight: 22-29 kg) were randomised and clamped at blood glucose levels of 8.5-10 mM [high (H)] or 4-5.5 mM [normal (N)] and thereafter subjected to alternating current-induced 5 min-cardiac arrest followed by 8 min of cardiopulmonary resuscitation and direct current shock to restore spontaneous circulation. RESULTS: Haemodynamics, laser Doppler measurements and regional venous oxygen saturation (HbO2) were monitored, and biochemical markers in blood [S100ß, interleukin (IL)-6 and tumour necrosis factor (TNF)] quantified throughout an observation period of 3 h. The haemodynamics and physiological measurements were similar in the two groups. S100ß increased over the experiment in the H compared with the N group (P < 0.05). IL-6 and TNF levels increased across the experiment, but no differences were seen between the groups. CONCLUSIONS: The enhanced S100ß response is compatible with increased cerebral injury by hyperglycaemic compared with normoglycaemic 5 min of cardiac arrest and resuscitation. The inflammatory cytokines were similar between groups.


Asunto(s)
Paro Cardíaco/sangre , Hiperglucemia/sangre , Subunidad beta de la Proteína de Unión al Calcio S100/sangre , Animales , Biomarcadores/sangre , Glucemia/fisiología , Cateterismo Cardíaco , Corteza Cerebral/irrigación sanguínea , Circulación Cerebrovascular/fisiología , Hemodinámica/fisiología , Interleucina-6/metabolismo , Oxígeno/sangre , Porcinos , Factor de Necrosis Tumoral alfa/metabolismo
13.
Clin Neurophysiol ; 124(10): 1986-94, 2013 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-23719386

RESUMEN

OBJECTIVE: To explore age-, and valence specific ERP-characteristics of word-discrimination processes. METHODS: A group of young (mean age: 21.26 yrs) and elderly (mean age: 65.73 yrs) individuals participated. The task was to respond to a word (target) with valence (neutral, negative, positive) and disregard others (non-target) with a different valence. Behavioral indices and the N4 and late positive complex (LPC) components were analyzed. RESULTS: For words with negative valence performance was better for non-target stimuli in the young. Higher N4 was elicited by negative non-target words in the fronto-central areas. Target words elicited a P3b-like LPC in the young while a P3a-like LPC was observed in the elderly. CONCLUSION: The findings indicate that inhibition elicited by aversive events is observed for word stimuli as well, and is most effective in the young. SIGNIFICANCE: The effect of valence during emotional word discrimination shows age-dependent differences reflected by ERPs.


Asunto(s)
Envejecimiento/fisiología , Emociones/fisiología , Percepción del Habla/fisiología , Adulto , Anciano , Electroencefalografía , Potenciales Evocados/fisiología , Femenino , Humanos , Tiempo de Reacción/fisiología , Adulto Joven
14.
Am J Transplant ; 13(1): 100-10, 2013 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-23025566

RESUMEN

Data on long-term outcomes of users of inhibitors of the mammalian target of rapamycin (mTORI) are lacking in kidney transplantation. In an analysis of 139 370 US kidney transplant recipients between 1999 through 2010, we compared clinical outcomes among users of mTORIs versus calcineurin inhibitors (CNI) in their primary immunosuppresive regimen. During the first 2 years posttransplantation, primary use of mTORIs without CNIs (N = 3237) was associated with greater risks of allograft failure and death compared with a CNI-based regimen (N = 125 623); the hazard ratio (HR) of the composite outcome ranged from 3.67 (95% confidence interval [CI], 3.12-4.32) after discharge to 1.40 (95% CI 1.26-1.57) by year 2. During years 2-8, primary use of mTORIs without CNIs was independently associated with greater risks of death (HR 1.25; 95% CI, 1.11-1.41) and the composite (HR 1.17; 95%CI, 1.08-1.27) in fully adjusted analyses. The results were qualitatively unchanged in subgroups defined by medical history, immunological risk and clinical course during the index transplant hospitalization. In a propensity-score matched cohort, use of mTORIs was associated with significantly worse outcomes during the first 2 years and greater risks of death (HR 1.21; 95% CI, 1.05-1.39) and the composite (HR 1.18; 95% CI, 1.08-1.30) in years 2-8. Compared with CNI-based regimens, use of an mTORI-based regimen for primary immunosuppression in kidney transplantation was associated with inferior recipient survival.


Asunto(s)
Rechazo de Injerto , Trasplante de Riñón , Serina-Treonina Quinasas TOR/antagonistas & inhibidores , Humanos , Factores de Riesgo , Estados Unidos
15.
Am J Transplant ; 12(2): 379-87, 2012 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-22054244

RESUMEN

Inhibitors of the mammalian target of rapamycin (mTOR), sirolimus and everolimus, reduce the incidence of acute rejection following kidney transplantation, but their impact on clinical outcomes beyond 2 years after transplantation is unknown. We examined risks of mortality and allograft loss in a prospective observational study of 993 prevalent kidney transplant recipients who enrolled a median of 72 months after transplantation. During a median follow-up of 37 months, 87 patients died and 102 suffered allograft loss. In the overall population, use of mTOR inhibitors at enrollment was not associated with altered risk of allograft loss, and their association with increased mortality was of borderline significance. However, history of malignancy was the strongest predictor of both mortality and therapy with an mTOR inhibitor. Among patients without a history of malignancy, use of mTOR inhibitors was associated with significantly increased risk of mortality in propensity score-adjusted (hazard ratio [HR] 2.6; 95% CI, 1.2, 5.5; p = 0.01), multivariable-adjusted (HR 3.2; 95% CI, 1.5, 6.5; p = 0.002) and one-to-one propensity score-matched analyses (HR 5.6; 95% CI 1.2, 25.7; p = 0.03). Additional studies are needed to examine the long-term safety of mTOR inhibitors in kidney transplantation, especially among recipients without a history of malignancy.


Asunto(s)
Rechazo de Injerto/prevención & control , Supervivencia de Injerto , Inmunosupresores/uso terapéutico , Trasplante de Riñón , Cuidados Posoperatorios/métodos , Serina-Treonina Quinasas TOR/antagonistas & inhibidores , Everolimus , Femenino , Estudios de Seguimiento , Rechazo de Injerto/epidemiología , Rechazo de Injerto/metabolismo , Humanos , Hungría/epidemiología , Incidencia , Masculino , Persona de Mediana Edad , Estudios Prospectivos , Factores de Riesgo , Sirolimus/análogos & derivados , Sirolimus/uso terapéutico , Tasa de Supervivencia/tendencias , Serina-Treonina Quinasas TOR/metabolismo , Factores de Tiempo , Trasplante Homólogo , Resultado del Tratamiento
16.
Clin Nephrol ; 76(6): 455-63, 2011 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-22105448

RESUMEN

AIMS: This survey was conducted to assess psychosocial problems and functional status among patients on maintenance dialysis in Hungary. METHODS: All adult patients (n = 4,321) receiving maintenance dialysis in the 56 dialysis centers in Hungary in 2006 were approached to participate in a national, cross-sectional survey. Patients completed a brief self-reported questionnaire. Socio-demographic parameters, disease-related information and data about functional status were collected. Self-rated health and depressive symptoms were also assessed. RESULTS: Mean age was 62 ± 14 y; 52% were males. The prevalence of diabetes was 30%. 46% of participants reported having depressive symptoms. Significant functional limitation was frequent. In multivariable regression models, female gender, poor self-reported finances, less education, history of acute myocardial infarction (AMI) or cerebrovascular disease, the presence of visual or hearing impairment and difficulties with basic activities of daily living were independently associated with the presence of depressive symptoms. In a separate model, age, dialysis vintage, history of AMI or cerebrovascular disease, the presence of visual or hearing impairments, difficulties with basic activities of daily living and also having depressive symptoms were independently associated with self-rated health score. CONCLUSIONS: Chronic dialysis patients in Hungary have disadvantaged socioeconomic status, frequent depressive symptoms and many functional limitations. Professional psychosocial help would be particularly important for this underprivileged patient population in addition to high quality dialysis to optimize outcomes.


Asunto(s)
Estado de Salud , Diálisis Renal/psicología , Anciano , Estudios Transversales , Depresión/epidemiología , Depresión/etiología , Femenino , Humanos , Hungría , Trasplante de Riñón , Masculino , Persona de Mediana Edad , Análisis Multivariante , Calidad de Vida , Clase Social , Listas de Espera
17.
Transplant Proc ; 43(4): 1244-6, 2011 May.
Artículo en Inglés | MEDLINE | ID: mdl-21620100

RESUMEN

BACKGROUND: Solid organ transplant recipients undergoing immunosuppressive therapy are considered to be at high risk of serious infectious complications. In 2009, a new influenza pandemic caused serious infections and deaths, especially among children and immunocompromised patients. Herein we have reported the safety and efficacy of a single-shot monovalent whole-virus vaccine against H1N1 infection in the pediatric renal transplant population. METHODS: In November and December 2009, we vaccinated 37 renal transplant children and adolescents and measured their antibody responses. Seroprotection, seroconversion, and seroconversion factors were analyzed at 21 days after vaccination. RESULTS: None of the vaccinated patients experienced vaccine-related side effects. None of the patients had an H1N1 influenza infection after vaccination. All of the patients showed elevations in antibody titer at 21 days after vaccination. In contrast, only 29.72% of the patients achieved a safe seroprotection level and only 18.75% a safe seroconversion rate. More intense immunosuppressive treatment displayed negative effect on seroprotection and seroconversion, and antibody production significantly increased with age. No other factor was observed to influence seroprotection. CONCLUSIONS: We recommend vaccination of children and adolescent renal transplant recipients against H1N1 virus. However, a single shot of vaccine may not be sufficient; to achieve seroprotection, a booster vaccination and measurement of the antibody response are needed to assure protection of our patients.


Asunto(s)
Inmunosupresores/efectos adversos , Subtipo H1N1 del Virus de la Influenza A/inmunología , Vacunas contra la Influenza/administración & dosificación , Gripe Humana/prevención & control , Trasplante de Riñón/efectos adversos , Adolescente , Anticuerpos Antivirales/sangre , Distribución de Chi-Cuadrado , Niño , Femenino , Humanos , Hungría , Inmunización Secundaria , Vacunas contra la Influenza/efectos adversos , Gripe Humana/inmunología , Gripe Humana/virología , Masculino , Medición de Riesgo , Factores de Riesgo , Factores de Tiempo , Resultado del Tratamiento , Adulto Joven
18.
Reprod Fertil Dev ; 23(4): 585-90, 2011.
Artículo en Inglés | MEDLINE | ID: mdl-21557925

RESUMEN

Sublethal stress treatment has been reported to enhance gametes' performance in subsequent procedures, such as cryopreservation. The aim of the present study was to evaluate the effect of different equilibration times between the termination of a sublethal hydrostatic pressure (HP) stress treatment and the initiation of vitrification on the post-thaw survival, continued in vitro development, hatching rate and gene expression of selected candidate genes of in vitro-produced (IVP) expanded bovine blastocysts. Day 7 IVP blastocysts were subjected to 600 bar pressure for 60 min at 32°C. Immediately after pressure treatment (HP0h) or after 1 or 2h incubation (HP1h and HP2h groups, respectively), embryos were either vitrified and warmed using the open pulled straw method, followed by 72 h in vitro culture or were stored at -80°C until gene expression analysis. Re-expansion and hatching rates after vitrification-warming were significantly (P<0.05) higher in the HP0h (88 and 76%, respectively) and HP1h (90 and 75%, respectively) groups than in the untreated (82 and 63%, respectively) and HP2h groups (79 and 70%, respectively). Moreover, the HP1h group showed further improvement in the speed of re-expansion and resumption of normal in vitro development. Cumulative analysis of all genes (SC4MOL, HSP1A1A, SOD2 and GPX4) revealed a similar pattern of expression, with a tendency for peak transcript abundance 1h after HP treatment. Application of HP stress treatment was found to be efficient in increasing the in vitro developmental competence of vitrified bovine embryos.


Asunto(s)
Blastocisto , Desarrollo Embrionario/fisiología , Expresión Génica , Estrés Mecánico , Vitrificación , Animales , Blastocisto/metabolismo , Blastocisto/fisiología , Bovinos/embriología , Supervivencia Celular , Células Cultivadas , Criopreservación/métodos , Técnicas de Cultivo de Embriones , Femenino , Fertilización In Vitro , Presión Hidrostática , Masculino
19.
Am J Transplant ; 11(5): 1006-15, 2011 May.
Artículo en Inglés | MEDLINE | ID: mdl-21449945

RESUMEN

The association between pretransplant serum albumin concentration and post-transplant outcomes in kidney transplant recipients is unclear. We hypothesized that in transplant-waitlisted hemodialysis patients, lower serum albumin concentrations are associated with worse post-transplant outcomes. Linking the 5-year patient data of a large dialysis organization (DaVita) to the Scientific Registry of Transplant Recipients, we identified 8961 hemodialysis patients who underwent first kidney transplantation. Mortality or graft failure and delayed graft function (DGF) risks were estimated by Cox regression (hazard ratio [HR]) and logistic regression (Odds ratio [OR]), respectively. Patients were 48 ± 13 years old and included 37% women and 27% diabetics. The higher pretransplant serum albumin was associated with lower mortality, graft failure and DGF risk even after multivariate adjustment for case-mix, malnutrition-inflammation complex and transplant related variable. Every 0.2 g/dL higher pretransplant serum albumin concentration was associated with 13% lower all-cause mortality (HR = 0.87 [95% confidence interval: 0.82-0.93]), 17% lower cardiovascular mortality (HR = 0.83[0.74-0.93]), 7% lower combined risk of death or graft failure (HR = 0.93[0.89-0.97]) and 4% lower DGF risk (OR = 0.96[0.93-0.99]). Hence, lower pretransplant serum albumin level is associated with worse post-transplant outcomes. Clinical trials to examine interventions to improve nutritional status in transplant-waitlisted hemodialysis patients and their impacts on post-transplant outcomes are indicated.


Asunto(s)
Fallo Renal Crónico/terapia , Trasplante de Riñón/métodos , Albúmina Sérica/metabolismo , Adulto , Estudios de Cohortes , Complicaciones de la Diabetes/terapia , Femenino , Rechazo de Injerto , Supervivencia de Injerto , Humanos , Inflamación , Fallo Renal Crónico/complicaciones , Fallo Renal Crónico/cirugía , Masculino , Persona de Mediana Edad , Oportunidad Relativa , Modelos de Riesgos Proporcionales , Sistema de Registros , Análisis de Regresión , Riesgo , Resultado del Tratamiento
20.
Am J Transplant ; 11(4): 725-36, 2011 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-21446975

RESUMEN

A body mass index (BMI) below morbid obesity range is often a requirement for kidney transplant wait-listing, but data linking BMI changes to mortality during the waitlist period are lacking. By linking the 6-year (7/2001-6/2007) national databases of a large dialysis organization and the Scientific Registry of Transplant Recipients, we identified 14 632 waitlisted hemodialysis patients without kidney transplantation. Time-dependent survival models examined the mortality predictability of 13-week-averaged BMI, pretransplant serum creatinine as a muscle mass surrogate and their changes over time. The patients were on average 52 ± 13 years old, 40% women and had a BMI of 26.9 ± 6.3 kg/m². Each kg/m² increase of BMI was associated with a death hazard ratio (HR) of 0.96 (95%CI: 0.95-0.97). Compared to the lowest creatinine quintile, the 4th and 5th quintiles had death HRs of 0.75 (0.66-0.86) and 0.57 (0.49-0.66), respectively. Compared to minimal (< ± 1 kg) weight change over 6 months, those with 3 kg- < 5 kg and ≥ 5 kg weight loss had death HRs of 1.31 (1.14-1.52) and 1.51 (1.30-1.75), respectively. Similar associations were observed with creatinine changes over time. Transplant-waitlisted hemodialysis patients with lower BMI or muscle mass and/or unintentional weight or muscle loss have higher mortality in this observational study. Impact of intentional weight change remains unclear.


Asunto(s)
Índice de Masa Corporal , Fallo Renal Crónico/mortalidad , Trasplante de Riñón/mortalidad , Diálisis Renal/mortalidad , Pérdida de Peso , Creatinina/sangre , Femenino , Humanos , Fallo Renal Crónico/complicaciones , Masculino , Persona de Mediana Edad , Obesidad , Tasa de Supervivencia , Listas de Espera
SELECCIÓN DE REFERENCIAS
DETALLE DE LA BÚSQUEDA
...