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1.
J Econ Entomol ; 112(2): 712-719, 2019 03 21.
Artículo en Inglés | MEDLINE | ID: mdl-30715412

RESUMEN

Thiamethoxam, an insecticide used in soybean seed treatments, effectively suppresses soybean aphids (Aphis glycines) Matsumura (Hemiptera: Aphididae) for a short time after planting. However, exactly when and how quickly soybean aphid populations could increase is unknown. Likewise, we lack data on virulent soybean aphid biotypes (that can overcome soybean resistance) when fed on seed-treated soybean. Determining the survival of soybean aphids over time on insecticidal seed-treated soybean is critical for improving soybean aphid management and may provide insights to manage aphid virulence to aphid resistant-soybean. In greenhouse and field experiments, aphid-susceptible soybean plants (with and without an insecticidal seed treatment) were infested at 7, 14, 21, 28, 35, and 42 days after planting (DAP). We compared aphid survival among biotypes 1 (avirulent) and 4 (virulent) and insecticide treatment 72 h after infestation. We also measured thiamethoxam concentrations in plant tissue using liquid chromatography-tandem mass spectrometry. As expected, soybean aphid survival was significantly lower on seed-treated soybean up to 35 DAP for both biotypes, which correlates with the decrease of thiamethoxam in the plant over time. Moreover, we found no significant difference between avirulent and virulent biotype survivorship on insecticidal seed-treated soybean plants, although we did find significantly greater survival for the virulent biotype compared with the avirulent biotype on untreated soybean in the field. In conclusion, our study further characterized the relative short duration of seed treatment effectiveness on soybean aphid and showed that survivorship of virulent aphids on seed-treated soybean is similar to avirulent aphids.


Asunto(s)
Áfidos , Insecticidas , Animales , Semillas , Glycine max , Supervivencia
2.
J Hosp Infect ; 102(3): 311-316, 2019 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-30802526

RESUMEN

BACKGROUND: Pneumocystis pneumonia (PCP) is an opportunistic infection occurring in renal transplant patients. Over a 14-month period an increase in PCP cases was identified among our renal transplant cohort. AIM: The outbreak population was studied to identify potential risk factors for the development of PCP. METHODS: A retrospective analysis of hospital records was carried out, with each case being matched with two case-linked controls. Information was collected on patient demographics, laboratory tests, and hospital visits pre and post development of infection. FINDINGS: No patients were receiving PCP prophylaxis at the time of infection and mean time from transplantation to developing PCP was 4.7 years (range: 0.51-14.5). The PCP group had a significantly lower mean estimated glomerular filtration rate than the control group (29.3 mL/min/1.73 m2 vs 70 mL/min-1 (P = 0.0007)). Three patients were treated for active cytomegalovirus (CMV) infection prior to PCP diagnosis and two had active CMV at the time of diagnosis compared to none in the control group (P = 0.001). Those who developed PCP were more likely to have shared a hospital visit with another patient who went on to develop PCP; 37% of clinic visits vs 19% (P = 0.014). CONCLUSION: This study highlights the ongoing risk of opportunistic infection several years after transplantation and adds weight to potential person-to-person Pneumocystis jirovecii transmission. Risk factors have been identified which may highlight those most at risk, enabling targeted rather than blanket long-term PCP prophylaxis.


Asunto(s)
Infección Hospitalaria/epidemiología , Brotes de Enfermedades , Pneumocystis carinii/aislamiento & purificación , Neumonía por Pneumocystis/epidemiología , Receptores de Trasplantes , Adulto , Anciano , Anciano de 80 o más Años , Estudios de Casos y Controles , Infección Hospitalaria/transmisión , Transmisión de Enfermedad Infecciosa , Femenino , Humanos , Huésped Inmunocomprometido , Trasplante de Riñón , Masculino , Persona de Mediana Edad , Infecciones Oportunistas/epidemiología , Neumonía por Pneumocystis/transmisión , Estudios Retrospectivos , Factores de Riesgo , Escocia/epidemiología
4.
Vet Rec ; 175(15): 371, 2014 Oct 18.
Artículo en Inglés | MEDLINE | ID: mdl-25124886

RESUMEN

Fasciolosis caused by Fasciola hepatica is generally a subclinical infection of dairy cows and can result in marked economic losses on Irish dairy farms. This study investigated the exposure to F hepatica in 237 dairy cow herds, using an in-house antibody-detection ELISA applied to bulk tank milk (BTM) samples collected in the autumn of 2012. A total of 364 BTM samples were collected from 237 different herds, with 127 farmers submitting BTM samples in two consecutive months. Analysis of the BTM samples indicated that 67 per cent (n= 159) of the dairy herds had been exposed to F hepatica. Rainfall, temperature and soil types were significantly different between the exposed and non-exposed herds (P<0.05), highlighting the role of these variables to the exposure to F hepatica. Among the 127 herds that provided two monthly milk samples, 83 herds were exposed to F hepatica and 82 increased their F hepatica antibody levels at the later sampling time (P<0.01).The findings of this study confirm the high prevalence of F hepatica antibodies in Irish dairy herds and show the rise in antibody levels during autumn. This study is the first step towards assessing the spatiotemporal pattern of fasciolosis in dairy herds in Ireland.


Asunto(s)
Enfermedades de los Bovinos/epidemiología , Fascioliasis/veterinaria , Lluvia , Suelo/clasificación , Temperatura , Animales , Anticuerpos Antihelmínticos/análisis , Bovinos , Ensayo de Inmunoadsorción Enzimática/veterinaria , Fascioliasis/epidemiología , Femenino , Incidencia , Irlanda/epidemiología , Leche/química , Estaciones del Año
6.
J Dairy Sci ; 96(3): 1598-611, 2013 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-23332838

RESUMEN

White clover (Trifolium repens) is an important legume for grazed grassland that can increase the profitability and environmental sustainability of milk production. Previous experiments on mown grass-clover plots suggest that low postgrazing heights (PGH) can increase sward clover content and herbage production. However, this has not been tested in actual strip or rotational grazing systems with dairy cows. Furthermore, lowering PGH in grass-only swards (typically perennial ryegrass without white clover) has previously been associated with reduced milk yields per cow. The objective of this experiment was to investigate the effect of PGH by dairy cows on clover content, herbage production, and milk production from strip-grazed grass-white clover swards in Ireland. Three target PGH treatments of 4, 5, and 6 cm were in place for entire grazing seasons (February to November) for 3 consecutive years (2007 to 2009). Each treatment had a mean of 21 Holstein-Friesian dairy cows that strip-grazed a mean annual area of 10.2 ha. Postgrazing height was measured twice a day with a rising plate meter, and cows were moved to the next strip once the target PGH was reached. Annual fertilizer nitrogen input was 90 kg of N/ha for each treatment. The PGH treatment did not significantly affect annual milk yield (6,202 kg/cow), solids-corrected milk yield (6,148 kg/cow), fat, protein, or lactose yields (265, 222, and 289 kg/cow, respectively), cow liveweight (592 kg) or body condition score (3.01). The PGH treatment also had no significant effect on sward white clover content (196 g/kg). However, herbage production of both grass and clover were significantly higher with the 4-cm PGH treatment compared with the 6-cm treatment. Mean annual herbage yields were 11.1, 10.2, and 9.1 t of organic matter (OM)/ha for the 4-, 5-, and 6-cm PGH treatments, respectively. The lower herbage production in the 6-cm PGH treatment resulted in lower annual silage production, greater housing requirements, and a substantially higher net silage deficit (-1,917 kg of OM/cow) compared with the 5- or 4-cm treatments (-868 and -192 kg of OM/cow, respectively). Grazing to a PGH of 4 cm is therefore recommended for grass-white clover swards.


Asunto(s)
Alimentación Animal , Bovinos/fisiología , Industria Lechera/métodos , Trifolium , Fenómenos Fisiológicos Nutricionales de los Animales/fisiología , Animales , Femenino , Lactancia/fisiología , Lolium , Leche/química , Ensilaje
7.
Tree Physiol ; 32(12): 1522-32, 2012 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-23143945

RESUMEN

The emerald ash borer (Agrilus planipennis Fairmaire, EAB) is an alien, invasive wood-boring insect that is responsible for killing millions of ash trees since its discovery in North America in 2002. All North American ash species (Fraxinus spp.) that EAB has encountered have shown various degrees of susceptibility, while Manchurian ash (Fraxinus mandshurica Ruprecht), which shares a co-evolutionary history with this insect, is resistant. Recent studies have looked into constitutive resistance mechanisms in Manchurian ash, concentrating on the secondary phloem, which is the feeding substrate for the insect. In addition to specialized metabolism and defense-related components, primary metabolites and nutritional summaries can also be important to understand the feeding behavior of insect herbivores. Here, we have compared the nutritional characteristics (water content, total protein, free amino acids, total soluble sugars and starch, percent carbon and nitrogen, and macro- and micronutrients) of outer bark and phloem from black, green, white and Manchurian ash to determine their relevance to resistance or susceptibility to EAB. Water content and concentrations of Al, Ba, Cu, Fe, K, Li, tryptophan and an unknown compound were found to separate black and Manchurian ash from green and white ash in a principal component analysis (PCA), confirming their phylogenetic placements into two distinct clades. The traits that distinguished Manchurian ash from black ash in the PCA were water content and concentrations of total soluble sugars, histidine, lysine, methionine, ornithine, proline, sarcosine, tyramine, tyrosol, Al, Fe, K, Na, V and an unknown compound. However, only proline, tyramine and tyrosol were significantly different, and higher, in Manchurian ash than in black ash.


Asunto(s)
Escarabajos/fisiología , Fraxinus/química , Animales , Conducta Alimentaria , Cadena Alimentaria , Fraxinus/metabolismo , Análisis Multivariante , Floema/química , Floema/metabolismo , Corteza de la Planta/química , Corteza de la Planta/metabolismo , Análisis de Componente Principal , Especificidad de la Especie
8.
J Chem Ecol ; 38(7): 873-81, 2012 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-22711028

RESUMEN

A pentane extract of flowers of common milkweed, Asclepias syriaca (Asclepiadaceae), elicited significant orientation from both male and female Culex pipiens in a dual-port flight olfactometer. Analysis of the extract by gas chromatography-mass spectrometry revealed six major constituents in order of relative abundance: benzaldehyde, (E)-ß-ocimene, phenylacetaldehyde, benzyl alcohol, nonanal, and (E)-2-nonenal. Although not all were collected from the headspace profile of live flowers, a synthetic blend of these six compounds, when presented to mosquitoes in the same levels and proportions that occur in the extract, elicited a response comparable to the extract. Subtractive behavioral bioassays demonstrated that a three-component blend consisting of benzaldehyde, phenylacetaldehyde, and (E)-2-nonenal was as attractive as the full blend. These findings suggest the potential use of synthetic floral-odor blends for monitoring or control of both male and female disease-vectoring mosquitoes.


Asunto(s)
Conducta Apetitiva/efectos de los fármacos , Asclepias/química , Culex/efectos de los fármacos , Feromonas/análisis , Extractos Vegetales/farmacología , Animales , Femenino , Vuelo Animal , Flores/química , Insectos Vectores/efectos de los fármacos , Masculino , Feromonas/farmacología , Olfato
9.
J Chem Ecol ; 37(11): 1193-202, 2011 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-22012323

RESUMEN

Outbreaks of bronze birch borer (BBB) (Agrilus anxius), a wood-boring beetle endemic to North America, have been associated with widespread mortality of birch (Betula spp.). There is substantial inter- and intra-specific variation in birch resistance to BBB. Species endemic to North America, such as paper birch (B. papyrifera), have coevolved with BBB and are more resistant than European and Asian birch species, such as European white birch (B. pendula), which lack an evolutionary history with BBB. Borer larvae feed on stem phloem tissue. Therefore, in search of potential resistance mechanisms against BBB, we compared the constitutive phenolic profile of stem phloem tissue of paper birch with that of European white birch. We also analyzed intraspecific variation in phenolic composition among clones and/or half-siblings of both species. Three phenolics (coumaroylquinic acid, betuloside pentoside A, and a diarylheptanoid hexoside) were detected only in paper birch, and concentrations of six other phenolics were significantly higher in paper birch. These differences may contribute to the high resistance of paper birch to BBB relative to European white birch. There was significant intraspecific variation in four of 17 phenolics found in paper birch and in five of 14 found in European white birch, but clones and half-siblings within each species could not be distinguished by phenolic composition using multivariate analysis.


Asunto(s)
Betula/química , Fenoles/química , Floema/química , Tallos de la Planta/química , Animales , Betula/fisiología , Escarabajos/fisiología , Peso Molecular , Fenoles/análisis , Polímeros/química , Especificidad de la Especie
10.
J Virol ; 85(19): 10222-9, 2011 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-21813607

RESUMEN

Polydnaviruses are double-stranded DNA viruses associated with some subfamilies of ichneumonoid parasitoid wasps. Polydnavirus virions are delivered during wasp parasitization of a host, and virus gene expression in the host induces alterations of host physiology. Infection of susceptible host caterpillars by the polydnavirus Campoletis sonorensis ichnovirus (CsIV) leads to expression of virus genes, resulting in immune and developmental disruptions. CsIV carries four homologues of insect gap junction genes (innexins) termed vinnexins, which are expressed in multiple tissues of infected caterpillars. Previously, we demonstrated that two of these, VinnexinD and VinnexinG, form functional gap junctions in paired Xenopus oocytes. Here we show that VinnexinQ1 and VinnexinQ2, likewise, form junctions in this heterologous system. Moreover, we demonstrate that the vinnexins interact differentially with the Innexin2 orthologue of an ichnovirus host, Spodoptera frugiperda. Cell pairs coexpressing a vinnexin and Innexin2 or pairs in which one cell expresses a vinnexin and the neighboring cell Innexin2 assemble functional junctions with properties that differ from those of junctions composed of Innexin2 alone. These data suggest that altered gap junctional intercellular communication may underlie certain cellular pathologies associated with ichnovirus infection of caterpillar hosts.


Asunto(s)
Conexinas/metabolismo , Interacciones Huésped-Patógeno , Uniones Intercelulares/fisiología , Polydnaviridae/patogenicidad , Proteínas Virales/metabolismo , Animales , Uniones Intercelulares/virología , Oocitos/virología , Spodoptera , Xenopus
11.
Clin Nephrol ; 75(3): 204-11, 2011 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-21329630

RESUMEN

BACKGROUND: There is a paucity of data concerning the risks associated with warfarin in hemodialysis (HD) patients. We compared major bleeding episodes in this group with HD patients not receiving warfarin and with a cohort of non-HD patients receiving warfarin. METHODS: A retrospective review of 141 HD patients on warfarin (HDW), 704 HD patients not on warfarin (HDNW) and 3,266 non-dialysis warfarin patients (NDW) was performed. Hospital admissions for hemorrhagic events and ischemic strokes were examined as was hospital length of stay and blood product use. INR variability was also assessed. RESULTS: The incidence rates for major hemorrhage per 100 patient years was 10.8 in the HDW group as compared to 8.0 in the HDNW (p = 0.593) and 2.1 in the NDW (p < 0.001) groups. Mean units of red blood cell transfusions required was higher in patients on dialysis with no significant difference between HDW and HDNW groups. The risk of ischemic stroke per 100 patient years was 1.7 in the HDW group as compared to 0.7 in the HDNW groups (p = 0.636) and 0.4 in the NDW (p = 0.003). The HDW group had higher inter-measurement INR variability compared to the NDW group (p = 0.034). In patients with atrial fibrillation, HDW group had a higher incidence of ischemic stroke than the NDW group (2.2 versus 0.4 events per 100 patient years; p = 0.024). CONCLUSIONS: This study confirms the higher bleeding risk associated with HD/ESRD but suggests that warfarin use in these patients may not add significantly to this risk. We also demonstrated high rates of ischemic stroke in HD patients despite warfarin use. SUMMARY: Our study compares the frequency of major hemorrhage and secondarily, ischemic stroke in HD patients receiving or not receiving warfarin, with non-HD patients receiving warfarin. The major finding was that frequency of hemorrhage was higher in HD patients receiving warfarin than in non-HD patients receiving warfarin, but not different in HD patients with or without warfarin. A secondary finding was that INR variability was significantly higher in HD patients than non-HD patients on warfarin.


Asunto(s)
Anticoagulantes/efectos adversos , Fibrilación Atrial/tratamiento farmacológico , Coagulación Sanguínea/efectos de los fármacos , Isquemia Encefálica/prevención & control , Hemorragia/inducido químicamente , Diálisis Renal/efectos adversos , Accidente Cerebrovascular/prevención & control , Warfarina/efectos adversos , Anciano , Fibrilación Atrial/sangre , Fibrilación Atrial/complicaciones , Isquemia Encefálica/etiología , Transfusión de Eritrocitos , Femenino , Hemorragia/terapia , Hospitalización , Humanos , Relación Normalizada Internacional , Irlanda , Tiempo de Internación , Masculino , Estudios Retrospectivos , Medición de Riesgo , Factores de Riesgo , Accidente Cerebrovascular/etiología
12.
Ir J Med Sci ; 180(2): 429-33, 2011 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-21046471

RESUMEN

BACKGROUND: Steroid therapy is associated with significant morbidity in renal transplant recipients. However, there is concern that steroid withdrawal will adversely affect outcome. METHODS: We report on 241 renal transplant recipients on different doses of corticosteroids at 3 months (zero, ≤ 5 mg/day, > 5 mg/day). Parameters analysed included blood pressure, lipid profile, weight change, new onset diabetes after transplantation (NODAT), allograft survival and acute rejection. RESULTS: Elimination of corticosteroids had no impact on allograft survival at 1 year. There were no cases of NODAT in the steroid withdrawal group compared with over 7% in each of the steroid groups. There were no significant improvements in weight gain, blood pressure control or total cholesterol with withdrawal of steroids before 3 months. CONCLUSIONS: In renal transplant patients treated with tacrolimus and mycophenolate, early withdrawal of steroids does not appear to adversely affect allograft outcome at 1 year. It may result in less NODAT.


Asunto(s)
Corticoesteroides/administración & dosificación , Supervivencia de Injerto , Trasplante de Riñón/inmunología , Corticoesteroides/efectos adversos , Adulto , Diabetes Mellitus/etiología , Quimioterapia Combinada , Femenino , Estudios de Seguimiento , Humanos , Inmunosupresores/uso terapéutico , Irlanda , Masculino , Persona de Mediana Edad , Ácido Micofenólico/análogos & derivados , Ácido Micofenólico/uso terapéutico , Estudios Retrospectivos , Tacrolimus/uso terapéutico , Adulto Joven
13.
J Nanosci Nanotechnol ; 10(12): 8026-34, 2010 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-21121293

RESUMEN

Nanofluids have attracted wide attention because of their promising thermal applications. Compared with the base fluid, numerous experiments have generally indicated increases in effective thermal conductivity and convective heat transfer coefficient for suspensions having only a small amount of nanoparticles. It is also known that with the presence of nanoparticles, the viscosity of a nanofluid is greater than its base fluid and deviates from Einstein's classical prediction. However, only a few groups have reported nanofluid viscosity results to date. Therefore, relative viscosity data for gamma-Al2O3 nanoparticles in DI-water and propylene glycol/H2O mixtures are presented here based on pressure drop measurements of flowing nanofluids. Results indicate that with constant wall heat flux, the relative viscosities of nanofluid decrease with increasing volume flow rate. The results also show, based on Brenner's model, that the nanofluid viscosity can be explained in part by the aspect ratio of the aggregates.

14.
J Food Sci ; 75(4): M187-92, 2010 May.
Artículo en Inglés | MEDLINE | ID: mdl-20546408

RESUMEN

The survival of enteric pathogens on vegetable leaves improves due to presence of phytopathogens. Phytopathogen damage alters the microenvironment on the leaf surface. The objective of this study was to identify differences in sugar concentrations in tomato leaves damaged by biotropic plant pathogens and determine if these differences affect Escherichia coli O157:H7 survival. E. coli O157:H7 survived better on tomato plants damaged by Xanthomonas campestris than on healthy plants (P = 0.012). The most common sugars and sugar alcohols in the damaged leaf exudate were glucose, fructose, inositol, and sucrose. The abundance of sucrose and inositol differed between the healthy and infected plants (P < 0.05). In this study, it was found that phytopathogen damaged plants increased sugar availability on the leaf surface for E. coli O157:H7 to proliferate. Keeping plants free from biological damage can limit the amount of leaching of sugars that could allow human pathogens to proliferate. There is the possibility of increasing food safety of vegetable products by limiting phytopathogenic damage to plants.


Asunto(s)
Carbohidratos/análisis , Escherichia coli O157/crecimiento & desarrollo , Exudados de Plantas/química , Hojas de la Planta/química , Hojas de la Planta/microbiología , Solanum lycopersicum/química , Solanum lycopersicum/microbiología , Carbohidratos/química , Escherichia coli O157/aislamiento & purificación , Microbiología de Alimentos , Enfermedades Transmitidas por los Alimentos/prevención & control , Cromatografía de Gases y Espectrometría de Masas , Hexosas/análisis , Hexosas/química , Interacciones Huésped-Patógeno , Inositol/análisis , Inositol/química , Interacciones Microbianas , Viabilidad Microbiana , Modelos Estadísticos , Enfermedades de las Plantas/microbiología , Enfermedades de las Plantas/prevención & control , Pseudomonas syringae/fisiología , Sacarosa/análisis , Sacarosa/química , Propiedades de Superficie , Xanthomonas campestris/fisiología
15.
Ren Fail ; 32(4): 459-63, 2010 May.
Artículo en Inglés | MEDLINE | ID: mdl-20446784

RESUMEN

AIM: Encapsulating peritoneal sclerosis (EPS) is arguably the most serious complication of chronic peritoneal dialysis (PD) therapy with extremely high mortality rates. We aimed to establish the rates of EPS and factors associated with its development in a single center. METHODS: We retrospectively reviewed the records of all our PD patients from 1 January 1989 until 31 December 2008. All suspected cases were confirmed at laparotomy. Multifactorial models adjusted for potentially confounding variables such as age and sex. RESULTS: Eleven cases of EPS were identified giving a prevalence rate of 1.98%. Median duration on PD was substantially longer in affected versus unaffected patients (42.5 months versus 13.8 months; p = 0.0002). EPS patients had experienced a mean of 3.54 previous cases of peritonitis (1 infection per year versus 0.71 per year in unaffected patients; p = 0.075). Six patients died (54.5%) due to intra-abdominal sepsis including all five who presented with small bowel obstruction. Three patients had an omentectomy and adhesiolysis performed with a successful outcome. CONCLUSION: Our study reinforces the link between duration on PD and EPS. While mortality was high in our cohort, emerging surgical techniques demonstrate a favorable outcome that can be achieved even in severely affected cases.


Asunto(s)
Diálisis Peritoneal Ambulatoria Continua/efectos adversos , Fibrosis Peritoneal/etiología , Adulto , Femenino , Humanos , Irlanda/epidemiología , Fallo Renal Crónico/complicaciones , Fallo Renal Crónico/terapia , Modelos Logísticos , Masculino , Persona de Mediana Edad , Diálisis Peritoneal Ambulatoria Continua/mortalidad , Fibrosis Peritoneal/mortalidad , Fibrosis Peritoneal/terapia , Prevalencia , Estudios Retrospectivos , Factores de Riesgo , Estadísticas no Paramétricas
16.
Clin Transplant ; 24(3): 381-5, 2010.
Artículo en Inglés | MEDLINE | ID: mdl-19732098

RESUMEN

INTRODUCTION: A number of recipient variables have been identified which influence waiting list times for a renal allograft. The aim of this study was to evaluate these factors in the Irish population. METHODS: We examined patients accepted onto the transplant list from January 1, 2000 until December 31, 2005. Inclusion criteria were adults listed for kidney only, deceased donor transplants. We included patients previously transplanted. Patients were censored, but still included in the analysis, if they died while on the list, permanently withdrew from the list or if they were not transplanted at the time of the study. RESULTS: There were a total of 984 patients accepted onto the waiting list during the study period, of which 745 of these were transplanted. Factors significantly associated with longer waiting times included age above 50 yr, blood group O and high peak panel reactive antibodies level. Gender and patient body mass index were not associated with longer waiting times. CONCLUSION: We have identified factors associated with a longer waiting time on the Irish cadaveric renal transplant list. This information can help our patients make informed decisions regarding likely waiting times and the merits of living related transplantation.


Asunto(s)
Trasplante de Riñón , Selección de Paciente , Listas de Espera , Adulto , Anciano , Femenino , Humanos , Irlanda , Donadores Vivos , Masculino , Persona de Mediana Edad , Adulto Joven
17.
Ir J Med Sci ; 178(4): 407-12, 2009 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-19495831

RESUMEN

BACKGROUND: Renal transplantation remains the preferred method of renal replacement therapy in terms of patient survival, quality of life and cost. However, patients have a high risk of complications ranging from rejection episodes, infection and cancer, amongst others. AIMS AND METHODS: In this study, we sought to determine the long-term health outcomes and preventive health measures undertaken for the 1,536 living renal transplant patients in Ireland using a self-reported questionnaire. Outcomes were divided into categories, namely, general health information, allograft-related information, immunosuppression-related complications and preventive health measures. RESULTS: The results demonstrate a high rate of cardiovascular, neoplastic and infectious complications in our transplant patients. Moreover, preventive health measures are often not undertaken by patients and lifestyle choices can be poor. CONCLUSIONS: This study highlights the work needed by the transplantation community to improve patient education, adjust immunosuppression where necessary and aggressively manage patient risk factors.


Asunto(s)
Conductas Relacionadas con la Salud , Estado de Salud , Trasplante de Riñón/efectos adversos , Enfermedades Cardiovasculares/epidemiología , Femenino , Fertilidad , Encuestas Epidemiológicas , Humanos , Terapia de Inmunosupresión/efectos adversos , Infecciones/epidemiología , Irlanda/epidemiología , Trasplante de Riñón/inmunología , Masculino , Persona de Mediana Edad , Neoplasias/epidemiología , Osteoporosis/epidemiología , Medicamentos bajo Prescripción , Autoinforme , Factores de Tiempo
18.
Eye (Lond) ; 21(7): 921-4, 2007 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-16575409

RESUMEN

BACKGROUND/AIMS: Higher case volume has been associated with improved outcomes for a number of procedures. This study was designed to investigate whether this relationship existed for trabeculectomy. METHODS: The study was retrospective and conducted at an ophthalmic unit in the UK. All patients who had unenhanced trabeculectomy between 1996 and 2000 were identified. From their notes, the surgeon who performed the trabeculectomy was ascertained as were any unplanned interventions (eg conjunctival suturing, anterior chamber reformation, repeated attendances) within the first month of surgery. RESULTS: Two hundred and eleven trabeculectomies were performed over the study period. Twenty nine had unplanned interventions within the first postoperative month. Analysis of the data indicated that surgeons who performed less than eight operations per year had more complications than those who performed more than 10 per annum. This difference was only significant (chi(2)=4.0, P=0.045) when the data were aggregated. When separated per year, although not significant, the complication rate of the lower volume group was always higher than the group performing more than 10 per year. CONCLUSIONS: The results suggest that trabeculectomy can be added to the list of procedures in which larger case volume is associated with fewer early complications and potentially a better outcome. The findings, if replicated, tend to strengthen the argument for subspecialisation in glaucoma with its implications for training and revalidation.


Asunto(s)
Glaucoma de Ángulo Abierto/cirugía , Trabeculectomía/estadística & datos numéricos , Adulto , Anciano , Competencia Clínica , Investigación sobre Servicios de Salud , Humanos , Persona de Mediana Edad , Estudios Retrospectivos , Trabeculectomía/efectos adversos , Trabeculectomía/métodos , Resultado del Tratamiento
19.
Eye (Lond) ; 21(4): 472-5, 2007 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-16410808

RESUMEN

PURPOSE: To evaluate the safety and intraocular pressure (IOP) lowering effect of combined phacoemulsification and viscogonioplasty (Phaco-VGP) in managing primary acute closed-angle glaucoma (ACAG) unresponsive to conventional therapy (patent PI). PATIENT AND METHODS: In all, 15 consecutive eyes of patients with refractory ACAG and greater than 270 degrees peripheral anterior synechiae (PAS) underwent VGP. The technique of VGP involved routine phacoemulsification with intraocular lens implantation (Phaco/IOL) under topical anaesthetic. Following IOL implantation a heavy viscoelastic was used to deepen the anterior chamber and then injected near the angle for 360 degrees (without touching the trabecular meshwork) to break the PAS. No surgical instrument was used to physically break the PAS. Upon completion of VGP, automated irrigation with balanced salt solution to remove the viscoelastic was performed. RESULTS: Mean IOP reduced from 52.1 to 14.1 mmHg by Phaco-VGP at 6-months review. 14/15 patients were free of glaucoma medications at 6-month review. All angles showed exposure of the trabecular meshwork over 360 degrees postoperatively without evidence of residual synechiae. No untoward complications were observed in any patient. CONCLUSION: VGP may have a role in controlling IOP effectively and safely in patients with refractory ACAG. It produces a large drop in the IOP and opening of the angle. It is a relatively simple technique to learn and we would recommend its use in the eyes of all patients who have had ACAG and are undergoing cataract extraction.


Asunto(s)
Glaucoma de Ángulo Cerrado/cirugía , Presión Intraocular/fisiología , Procedimientos Quirúrgicos Oftalmológicos/métodos , Enfermedad Aguda , Adulto , Anciano , Córnea/cirugía , Elasticidad , Femenino , Glaucoma de Ángulo Cerrado/patología , Glaucoma de Ángulo Cerrado/fisiopatología , Gonioscopía/métodos , Humanos , Iris/cirugía , Implantación de Lentes Intraoculares/métodos , Masculino , Persona de Mediana Edad , Procedimientos Quirúrgicos Oftalmológicos/efectos adversos , Facoemulsificación/métodos , Resultado del Tratamiento , Viscosidad
20.
IEE Proc Nanobiotechnol ; 153(6): 145-50, 2006 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-17187446

RESUMEN

Novel biochemical sensors consisting of rotating chains of microscale paramagnetic particles have been proposed that would enable convenient, sensitive analyte detection. Predicting the dynamics of these particles is required to optimise their design. The results of lattice Boltzmann (LB) and particle dynamics (PD) simulations are reported, where the LB approach provides a verified solution of the complete Navier-Stokes equations, including the hydrodynamic interactions among the particles. On the other hand, the simpler PD approach neglects hydrodynamic interactions, and does not compute the fluid motion. It is shown that macroscopic properties, like the number of aggregated particles, depend only on the drag force and not on the total hydrodynamic force, making PD simulations yield reasonably accurate predictions. Relatively good agreement between the LB and PD simulations, and qualitative agreement with experimental data, are found for the number of aggregated particles as a function of the Mason number. The drag force on a rotating cylinder is significantly different from that on particle chains calculated from both simulations, demonstrating the different dynamics between the two cases. For microscopic quantities like the detailed force distributions on each particle, the complete Navier-Stokes solution, here represented by the LB simulation, is required.


Asunto(s)
Magnetismo , Microfluídica/métodos , Modelos Químicos , Modelos Moleculares , Nanopartículas/química , Simulación por Computador , Movimiento (Física) , Tamaño de la Partícula , Rotación
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