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1.
ISME J ; 12(3): 791-801, 2018 03.
Article de Anglais | MEDLINE | ID: mdl-29305577

RÉSUMÉ

Many organisms benefit from being pre-adapted to niches shaped by human activity, and have successfully invaded man-made habitats. One such species is the dry rot fungus Serpula lacrymans, which has a wide distribution in buildings in temperate and boreal regions, where it decomposes coniferous construction wood. Comparative genomic analyses and growth experiments using this species and its wild relatives revealed that S. lacrymans evolved a very effective brown rot decay compared to its wild relatives, enabling an extremely rapid decay in buildings under suitable conditions. Adaptations in intracellular transport machineries promoting hyphal growth, and nutrient and water transport may explain why it is has become a successful invader of timber in houses. Further, we demonstrate that S. lacrymans has poor combative ability in our experimental setup, compared to other brown rot fungi. In sheltered indoor conditions, the dry rot fungus may have limited encounters with other wood decay fungi compared to its wild relatives. Overall, our analyses indicate that the dry rot fungus is an ecological specialist with poor combative ability against other fungi.


Sujet(s)
Adaptation biologique/génétique , Basidiomycota/physiologie , Matériaux de construction/microbiologie , Écosystème , Variation génétique , Bois/microbiologie , Basidiomycota/génétique , Humains , Analyse de séquence d'ADN
2.
Neth Heart J ; 25(6): 376-387, 2017 Jun.
Article de Anglais | MEDLINE | ID: mdl-28321775

RÉSUMÉ

BACKGROUND: In syncope patients, presence of coronary artery disease (CAD) is associated with poor prognosis. However, data concerning CAD prevalence in syncope patients without known cardiovascular disease are lacking. Therefore, the aim of this study was to investigate presence and extent of CAD in syncope patients. METHODS: We included 142 consecutive patients presenting with syncope at the outpatient cardiology clinic who underwent coronary computed tomography (CT) angiography. Syncope type was ascertained by two reviewers, blinded for coronary CT angiography results. Of the patients, 49 had cardiac syncope (arrhythmia or structural cardiopulmonary disease) and 93 had non-cardiac syncope (reflex [neurally-mediated], orthostatic or of unknown cause). Cardiac syncope patients were compared with matched stable chest pain patients regarding age, gender, smoking status, diabetes mellitus type 2 and systolic blood pressure. RESULTS: Distribution of CAD presence and extent in cardiac and non-cardiac syncope patients was as follows: 72% versus 48% any CAD; 31% versus 26% mild, 8% versus 14% moderate and 33% versus 7% severe CAD. Compared with non-cardiac syncope, patients with cardiac syncope had a significantly higher CAD presence and extent (p = 0.001). Coronary calcium score, segment involvement and stenosis score were also higher in cardiac syncope patients (p-values ≤0.004). Compared to the chest pain control group, patients with cardiac syncope showed a higher, however, non-significant, prevalence of any CAD (72% versus 63%) and severe CAD (33% versus 19%). CONCLUSION: Patients with cardiac syncope show a high presence and extent of CAD in contrast to non-cardiac syncope patients. These results suggest that CAD may play an important role in the occurrence of cardiac syncope.

3.
Phys Chem Chem Phys ; 18(29): 19526-30, 2016 Jul 20.
Article de Anglais | MEDLINE | ID: mdl-27383127

RÉSUMÉ

Iron released by steel corrosion was found to be a key impurity in reactions with dissolved oxygen in liquid lead-bismuth eutectic alloys. The iron-oxygen-magnetite equilibrium was characterized, allowing the quantification of phenomena that are important for long-term operation of lead-alloy based installations such as corrosion rate control and management of precipitates.

5.
J Radiol Prot ; 34(4): 931-56, 2014 Dec.
Article de Anglais | MEDLINE | ID: mdl-25431966

RÉSUMÉ

MELODI is the European platform dedicated to low-dose radiation risk research. From 7 October through 10 October 2013 the Fifth MELODI Workshop took place in Brussels, Belgium. The workshop offered the opportunity to 221 unique participants originating from 22 countries worldwide to update their knowledge and discuss radiation research issues through 118 oral and 44 poster presentations. In addition, the MELODI 2013 workshop was reaching out to the broader radiation protection community, rather than only the low-dose community, with contributions from the fields of radioecology, emergency and recovery preparedness, and dosimetry. In this review, we summarise the major scientific conclusions of the workshop, which are important to keep the MELODI strategic research agenda up-to-date and which will serve to establish a joint radiation protection research roadmap for the future.


Sujet(s)
Recherche biomédicale/tendances , Lésions radiques/prévention et contrôle , Contrôle des radiations/méthodes , Radioprotection/méthodes , Émission de source de risque radioactif/prévention et contrôle , Europe , Humains , Gestion du risque/méthodes
6.
Brain Lang ; 138: 19-26, 2014 Nov.
Article de Anglais | MEDLINE | ID: mdl-25265552

RÉSUMÉ

Phonological processing is usually associated with the activation of cortical areas, especially in the left cerebral hemisphere. This study examined if phonologically elicited evoked potentials can be recorded directly from the subthalamic nucleus in patients with Parkinson's Disease (PD). Seven PD patients who had undergone implantation of deep brain electrodes for the stimulation of the subthalamic nucleus were included. Local field potentials were recorded in a pre-attentive auditory phonological task, an attentive auditory phonological discrimination task, and a word recognition task. Auditory evoked potentials related to phonological, but not lexical processing, could be demonstrated in the subthalamic nucleus for all three tasks. Only minor changes were found after levodopa administration. This study demonstrates that the subthalamic nucleus is involved in early phonological perception, which puts the subthalamic nucleus in a position to modify phonological perception in a larger cortico-subcortical network.


Sujet(s)
Potentiels évoqués auditifs/physiologie , Maladie de Parkinson/physiopathologie , Perception de la parole/physiologie , Noyau subthalamique/physiopathologie , Sujet âgé , Antiparkinsoniens/pharmacologie , Antiparkinsoniens/usage thérapeutique , Stimulation cérébrale profonde , Femelle , Humains , Lévodopa/pharmacologie , Lévodopa/usage thérapeutique , Mâle , Adulte d'âge moyen
7.
Curr Pharm Des ; 20(32): 5218-44, 2014.
Article de Anglais | MEDLINE | ID: mdl-24606796

RÉSUMÉ

Many tumors express one or more proteins that are either absent or hardly present in normal tissues, and which can be targeted by radiopharmaceuticals for either visualization of tumor cells or for targeted therapy. Radiopharmaceuticals can consist of a radionuclide and a carrier molecule that interacts with the tumor target and as such guides the attached radionuclide to the right spot. Radiopharmaceuticals hold great promise for the future of oncology by providing early, precise diagnosis and better, personalized treatment. Most advanced developments with marketed products are based on whole antibodies or antibody fragments as carrier molecules. However, a substantial number of (pre)clinical studies indicate that radiopharmaceuticals based on other carrier molecules, such as peptides, nonimmunoglobulin scaffolds, or nucleic acids may be valuable alternatives. In this review, we discuss the biological molecules that can deliver radionuclide payloads to tumor cells in terms of their structure, the selection procedure, their (pre)clinical status, and advantages or obstacles to their use in a radiopharmaceutical design. We also consider the plethora of molecular targets existing on cancer cells that can be targeted by radiopharmaceuticals, as well as how to select a radionuclide for a given diagnostic or therapeutic product.


Sujet(s)
Conception de médicament , Tumeurs/imagerie diagnostique , Radiopharmaceutiques , Animaux , Systèmes de délivrance de médicaments , Humains , Thérapie moléculaire ciblée , Tumeurs/radiothérapie , Médecine de précision/méthodes , Scintigraphie/méthodes , Radiopharmaceutiques/usage thérapeutique
8.
Int J Clin Pract ; 65(1): 54-63, 2011 Jan.
Article de Anglais | MEDLINE | ID: mdl-21155943

RÉSUMÉ

AIMS: The 'DRIVER' study was designed to investigate the 'real-world' effectiveness of aliskiren-based treatment of hypertension. This article reports the 180-day blood pressure (BP) outcomes, and the multilevel (physician- and patient-level) determinants thereof. METHODS AND RESULTS: DRIVER was a prospective, observational, open-label, multi-centre, pharmaco-epidemiologic study of hypertensive patients treated with aliskiren in whom prior treatment failed or was not tolerated. 2070 patients (enrolled by 426 physicians) were enrolled; 1695 patients (81.9%) completed the 180-day aliskiren treatment period. Mean patient age was 64.2 ± 12.1 years; 53.7% were men, 25.3% diabetic and 40.7% had a high or very high cardiovascular (CV) risk. At 180 days, the mean ± SD reductions in systolic and diastolic BP were -22.9 ± 16.7 mmHg and -10.5 ± 10.9 mmHg respectively (both p < .001). 2007 and 2009 guideline-defined BP control was achieved in 36.4% and 56.3% of patients, respectively (both p < .001). 64.2% of eligible patients had a reduction in CV risk (p < .001). A physician-level class effect was responsible for 22.8% and 28.1% of variability in systolic and diastolic BP, respectively, for 20.1% of variability in BP control, and for 16.1% of variability in the reduction of CV risk. Both patient- (e.g. adherence) and physician-related factors (e.g. age and knowledge) were significant in profiling best response to treatment with aliskiren. Adverse events reported in this article were consistent with the aliskiren scientific leaflet. CONCLUSION: Aliskiren is safe and effective in reducing BP, improving BP control and reducing global CV risk in a 'real-world' setting and for patients in whom prior treatment failed or was not tolerated. Optimising treatment adherence and strategic medical education may be ways of improving BP outcomes in patients with hypertension.


Sujet(s)
Amides/usage thérapeutique , Antihypertenseurs/usage thérapeutique , Fumarates/usage thérapeutique , Hypertension artérielle/traitement médicamenteux , Adulte , Pression sanguine/effets des médicaments et des substances chimiques , Maladies cardiovasculaires/étiologie , Femelle , Humains , Mâle , Adulte d'âge moyen , Facteurs de risque , Résultat thérapeutique
9.
Phys Chem Chem Phys ; 10(36): 5574-83, 2008 Sep 28.
Article de Anglais | MEDLINE | ID: mdl-18956092

RÉSUMÉ

Clear solutions for colloidal Silicalite-1 synthesis were prepared by reacting tetraethylorthosilicate in aqueous tetrapropylammonium hydroxide solution. A dilution series with water resulting in clear solutions with a TEOS ratio TPAOH ratio H2O molar ratio of 25 : 9 : 152 up to 25 : 9 : 15,000 was analysed using liquid 29Si nuclear magnetic resonance (NMR), synchrotron small angle X-ray scattering (SAXS) and dynamic light scattering (DLS). Particle sizes were derived independently from DLS and from the combination of SAXS and NMR. NMR allowed quantitative characterization of silicon distributed over nanoparticles and dissolved oligomeric silicate polyanions. In all samples studied, the majority of silicon (78-90%) was incorporated in the nanoparticle fraction. In concentrated suspensions, silicate oligomers were mostly double-ring species (D3R, D4R, D5R, D6R). Dilution with water caused their depolymerisation. Contrarily, the internal condensation and size of nanoparticles increased with increasing dilution. SAXS revealed a decrease of effective nanoparticle surface charge upon dilution, reducing the effective particle interactions. With DLS, the reduction of nanoparticle interactions could be confirmed monitoring the collective diffusion mode. The observed evolution of nanoparticle characteristics provides insight in the acceleration of the Silicalite-1 crystallization upon dilution, in view of different crystallization models proposed in the literature.


Sujet(s)
Spectroscopie par résonance magnétique/méthodes , Nanoparticules métalliques/composition chimique , Silicates/synthèse chimique , Silicium/composition chimique , Zéolites/synthèse chimique , Colloïdes/synthèse chimique , Colloïdes/composition chimique , Isotopes , Lumière , Spectroscopie par résonance magnétique/normes , Taille de particule , Normes de référence , Diffusion de rayonnements , Diffusion aux petits angles , Silicates/composition chimique , Solutions/composition chimique , Facteurs temps , Diffraction des rayons X , Zéolites/composition chimique
10.
Cell Mol Life Sci ; 65(12): 1933-42, 2008 Jun.
Article de Anglais | MEDLINE | ID: mdl-18500447

RÉSUMÉ

Saccharomyces cerevisiae dihydroceramidase Ydc1p hydrolyzes ceramide, resulting in accumulation of free long-chain bases and their phosphates. Yeast mutants lacking YDC1 are characterized by increased chronological lifespan. Moreover, we found YDC1 up-regulated in a yeast mutant displaying reduced chronological lifespan. These data suggest an important role for Ydc1p in chronological lifespan determination in yeast. Mitochondria are known to play an important role in chronological lifespan and apoptosis. In this study we demonstrated that overexpression of YDC1 results in reduced chronological lifespan and increased apoptotic cell death. We found YDC1 overexpression to result in mitochondrial fragmentation and dysfunction. Interestingly, vacuoles also appeared to be fragmented and dysfunctional upon YDC1 overexpressing. Exogenous addition of ceramide to YDC1-overexpressing cultures increased chronological lifespan and restored organelle function. In conclusion, this study describes a direct link between ceramide metabolism in yeast and mitochondrial and vacuolar fragmentation and function, with consequences for chronological lifespan in yeast.


Sujet(s)
Amidohydrolases/métabolisme , Apoptose , Protéines de Saccharomyces cerevisiae/métabolisme , Saccharomyces cerevisiae/enzymologie , Ceramidases , Céramides/métabolisme , Céramides/pharmacologie , Mitochondries/effets des médicaments et des substances chimiques , Mitochondries/ultrastructure , Stress oxydatif , Saccharomyces cerevisiae/cytologie , Saccharomyces cerevisiae/ultrastructure , Vacuoles/effets des médicaments et des substances chimiques , Vacuoles/ultrastructure
11.
Nature ; 452(7183): 88-92, 2008 Mar 06.
Article de Anglais | MEDLINE | ID: mdl-18322534

RÉSUMÉ

Mycorrhizal symbioses--the union of roots and soil fungi--are universal in terrestrial ecosystems and may have been fundamental to land colonization by plants. Boreal, temperate and montane forests all depend on ectomycorrhizae. Identification of the primary factors that regulate symbiotic development and metabolic activity will therefore open the door to understanding the role of ectomycorrhizae in plant development and physiology, allowing the full ecological significance of this symbiosis to be explored. Here we report the genome sequence of the ectomycorrhizal basidiomycete Laccaria bicolor (Fig. 1) and highlight gene sets involved in rhizosphere colonization and symbiosis. This 65-megabase genome assembly contains approximately 20,000 predicted protein-encoding genes and a very large number of transposons and repeated sequences. We detected unexpected genomic features, most notably a battery of effector-type small secreted proteins (SSPs) with unknown function, several of which are only expressed in symbiotic tissues. The most highly expressed SSP accumulates in the proliferating hyphae colonizing the host root. The ectomycorrhizae-specific SSPs probably have a decisive role in the establishment of the symbiosis. The unexpected observation that the genome of L. bicolor lacks carbohydrate-active enzymes involved in degradation of plant cell walls, but maintains the ability to degrade non-plant cell wall polysaccharides, reveals the dual saprotrophic and biotrophic lifestyle of the mycorrhizal fungus that enables it to grow within both soil and living plant roots. The predicted gene inventory of the L. bicolor genome, therefore, points to previously unknown mechanisms of symbiosis operating in biotrophic mycorrhizal fungi. The availability of this genome provides an unparalleled opportunity to develop a deeper understanding of the processes by which symbionts interact with plants within their ecosystem to perform vital functions in the carbon and nitrogen cycles that are fundamental to sustainable plant productivity.


Sujet(s)
Basidiomycota/génétique , Basidiomycota/physiologie , Génome fongique/génétique , Mycorhizes/génétique , Mycorhizes/physiologie , Racines de plante/microbiologie , Symbiose/physiologie , Abies/microbiologie , Abies/physiologie , Basidiomycota/enzymologie , Protéines fongiques/classification , Protéines fongiques/génétique , Protéines fongiques/métabolisme , Régulation de l'expression des gènes , Gènes fongiques/génétique , Hyphae/génétique , Hyphae/métabolisme , Mycorhizes/enzymologie , Racines de plante/physiologie , Symbiose/génétique
12.
Cell Mol Life Sci ; 65(13): 2069-79, 2008 Jul.
Article de Anglais | MEDLINE | ID: mdl-18360739

RÉSUMÉ

Defensins are small (~5 kDa), basic, cysteine-rich antimicrobial peptides that fulfill an important role in the innate immunity of their host by combating pathogenic invading micro-organisms. Defensins can inhibit the growth or virulence of microorganisms directly or can do so indirectly by enhancing the host's immune system. Because of their wide distribution in nature, defensins are believed to be ancient molecules with a common ancestor that arose more than a billion years ago. This review summarizes current knowledge concerning the mode of antifungal action of plant, insect and human defensins.


Sujet(s)
Antifongiques/métabolisme , Défensines/métabolisme , Séquence d'acides aminés , Animaux , Antifongiques/composition chimique , Antifongiques/immunologie , Défensines/composition chimique , Défensines/génétique , Défensines/immunologie , Interactions hôte-pathogène/immunologie , Humains , Immunité innée , Protéines d'insecte/immunologie , Protéines d'insecte/métabolisme , Modèles moléculaires , Données de séquences moléculaires , Protéines végétales/composition chimique , Protéines végétales/génétique , Protéines végétales/immunologie , Protéines végétales/métabolisme
13.
Int J Tuberc Lung Dis ; 10(11): 1215-23, 2006 Nov.
Article de Anglais | MEDLINE | ID: mdl-17131779

RÉSUMÉ

OBJECTIVE: Correctional facilities have often been cited as reservoirs for tuberculosis (TB), presenting a potential threat to the general population. Although correctional facilities are recognised as ideal settings for interventions, little is known about the TB epidemiology within them. The purpose of our survey was to collect data on TB in prisons of the WHO European Region and on existing control measures. DESIGN: A questionnaire was sent to 52 EuroTB correspondents asking for 2002 data on the total number of inmates, number of prisoners with TB, resistance rates, screening strategies, monitoring and responsibilities. RESULTS: Twenty-two (42.3%) countries completed the questionnaire. The median TB notification rate was 232 per 100,000 inmates (0-17,808). Prisoners had up to 83.6 times more TB than civilians. The majority (90.9%) of the participating countries reported performing active screening for TB on entry into prison, with a median detection rate of 393/100,000 (42-2362). Of the respondent countries, 81.8% claimed to perform contact investigations and 86.4% to house infectious TB patients separately. CONCLUSION: Although response to this survey was only 42.3% and might be biased by a country's engagement in TB control in prisons, the results highlight the vulnerability of prisoners to TB and emphasise the need for adequate case-finding and containment strategies in prison.


Sujet(s)
Contrôle des maladies transmissibles/méthodes , Prisonniers/statistiques et données numériques , Prisons , Tuberculose/épidémiologie , Tuberculose/prévention et contrôle , Europe/épidémiologie , Humains , Incidence , Dépistage de masse , Études rétrospectives , Enquêtes et questionnaires
14.
Science ; 313(5793): 1596-604, 2006 Sep 15.
Article de Anglais | MEDLINE | ID: mdl-16973872

RÉSUMÉ

We report the draft genome of the black cottonwood tree, Populus trichocarpa. Integration of shotgun sequence assembly with genetic mapping enabled chromosome-scale reconstruction of the genome. More than 45,000 putative protein-coding genes were identified. Analysis of the assembled genome revealed a whole-genome duplication event; about 8000 pairs of duplicated genes from that event survived in the Populus genome. A second, older duplication event is indistinguishably coincident with the divergence of the Populus and Arabidopsis lineages. Nucleotide substitution, tandem gene duplication, and gross chromosomal rearrangement appear to proceed substantially more slowly in Populus than in Arabidopsis. Populus has more protein-coding genes than Arabidopsis, ranging on average from 1.4 to 1.6 putative Populus homologs for each Arabidopsis gene. However, the relative frequency of protein domains in the two genomes is similar. Overrepresented exceptions in Populus include genes associated with lignocellulosic wall biosynthesis, meristem development, disease resistance, and metabolite transport.


Sujet(s)
Duplication de gène , Génome végétal , Populus/génétique , Analyse de séquence d'ADN , Arabidopsis/génétique , Cartographie chromosomique , Biologie informatique , Évolution moléculaire , Étiquettes de séquences exprimées , Expression des gènes , Gènes de plante , Séquençage par oligonucléotides en batterie , Phylogenèse , Protéines végétales/composition chimique , Protéines végétales/génétique , Polymorphisme de nucléotide simple , Populus/croissance et développement , Populus/métabolisme , Structure tertiaire des protéines , ARN des plantes/analyse , ARN non traduit/analyse
15.
Curr Drug Targets ; 6(8): 923-8, 2005 Dec.
Article de Anglais | MEDLINE | ID: mdl-16375675

RÉSUMÉ

Sphingolipids are essential membrane components, present in all eukaryotic cells, but structurally distinct in mammalian and fungal cells. Therefore, they represent an attractive new target for the development of novel antimycotics. This review will briefly highlight sphingolipid biosynthesis and functions in the yeast Saccharomyces cerevisiae. In addition, naturally occurring antifungal compounds that interact with fungal-specific sphingolipids, resulting in fungal growth arrest, will be discussed regarding their mode of action, and therapeutic value. These compounds include plant and insect defensins, syringomycin E and antifungal antibodies to sphingolipids.


Sujet(s)
Antifongiques/synthèse chimique , Antifongiques/usage thérapeutique , Champignons/effets des médicaments et des substances chimiques , Champignons/métabolisme , Sphingolipides/métabolisme , Chimie pharmaceutique/méthodes , Chimie pharmaceutique/tendances , Champignons/composition chimique , Sphingolipides/composition chimique
17.
J Pharm Biomed Anal ; 32(2): 233-49, 2003 Jun 01.
Article de Anglais | MEDLINE | ID: mdl-12763533

RÉSUMÉ

Six separation methods, developed on conventional silica high performance liquid chromatography (HPLC) columns were transferred to monolithic silica columns of 5 and 10 cm length. The transferred methods include the separation of an alkylbenzene mixture, the separations of drugs from their impurities (nimesulide, tetracycline, phenoxymethylpenicillin and erythromycin) and the separation of a green tea extract. The transfer of the first three methods was successful while for the latter three it was not. Increasing the flow rate up to 9 ml/min (where possible) inversely decreased the analysis time of the successfully transferred methods to 48 s (alkylbenzene mixture) 1.8 min (nimesulide mixture) and 3 min (tetracycline mixture) while still reasonable well separated peaks were obtained. The robustness and repeatability of the transferred and accelerated separations was found to be acceptable. Despite the use of flow rates up to 9 ml/min and frequent mobile phase changes with pH values varying from 3.5 to 7, the column performance was found to be rather constant and the column ageing to be minimal.


Sujet(s)
Préparations pharmaceutiques/analyse , Silice/analyse , Chromatographie en phase liquide à haute performance/méthodes
18.
J Eur Acad Dermatol Venereol ; 17(3): 340-3, 2003 May.
Article de Anglais | MEDLINE | ID: mdl-12702082

RÉSUMÉ

We describe two patients in whom chronic radiodermatitis with therapy-resistant ulceration of the right scapular region developed, following percutaneous coronary intervention with fluoroscopic imaging. Contrary to most reported cases in the literature, which involve numerous cardiac catheterization procedures, in both patients described here the total radiation dose was given during two successive procedures, involving difficult and prolonged coronary intervention with stent implantation. In both cases, local treatment of the ulcerative lesions was insufficient, necessitating excision of the radiodermatitis area and replacement with a skin graft, with good therapeutic result. The incidence of radiodermatitis after percutaneous coronary interventions is rising with the increasing number and complexity of these procedures. The main risk factor is a long duration of fluoroscopy using the same incidence. The skin lesions encompass a wide spectrum, ranging from erythema, telangiectasia, atrophy, hyperpigmentation and hypopigmentation to necrosis, chronic ulceration and squamous cell carcinoma. The lesions can appear from 15 days to 10 years after the procedure. To prevent radiation-induced injury, the radiation dose has to be limited and monitored. Also, careful inspection of the skin at the site of exposure is necessary and the radiographic beam has to be restricted to the smallest field size. A good clinical follow-up at regular intervals is important after long and complicated procedures.


Sujet(s)
Coronarographie/effets indésirables , Radiodermite/diagnostic , Radiodermite/étiologie , Sujet âgé , Angioplastie coronaire par ballonnet/effets indésirables , Cathétérisme cardiaque/effets indésirables , Diagnostic différentiel , Femelle , Radioscopie/effets indésirables , Humains , Mâle , Radiodermite/anatomopathologie , Radiodermite/chirurgie , Scapula , Transplantation de peau , Endoprothèses , Lambeaux chirurgicaux
20.
Int J Tuberc Lung Dis ; 4(12): 1104-10, 2000 Dec.
Article de Anglais | MEDLINE | ID: mdl-11144451

RÉSUMÉ

SETTING: The penitentiary system of the ex-USSR state of Georgia. OBJECTIVES: To measure the prevalence of active pulmonary tuberculosis and drug-resistant disease among prisoners. To identify factors associated with active tuberculosis and multidrug resistance (MDR). DESIGN: A comprehensive multiphasic screening survey for tuberculosis. RESULTS: The prevalence of smear- or culture-positive tuberculosis was 5995 per 100,000 prisoners (n = 448 cases among 7473 inmates). Of all the strains, 215 (77.9%) were resistant to at least one drug and 37 (13.0%) were MDR. Independent risk markers associated smear- or culture-positive tuberculosis with included prison stay of 2 years or more, body mass index <20 kg/m2, accommodation in a large size prison, previous anti-tuberculosis treatment, cough of 2 weeks or more and loss of appetite. Risk markers associated with MDR were a prison stay of less than 2 years and being over 25 years of age. CONCLUSIONS: In Georgia, the excess risk for tuberculosis among prisoners is unprecedented, suggesting that prisons represent a significant reservoir of tuberculosis. Only a comprehensive strategy for tuberculosis control in prisons, including prison reform, control of anti-tuberculosis drugs, and prompt and efficient diagnosis and treatment of patients can have an impact on the tuberculosis burden in the prison system.


Sujet(s)
Prisonniers/statistiques et données numériques , Tuberculose pulmonaire/épidémiologie , Adulte , Multirésistance aux médicaments , Femelle , Géorgie (république)/épidémiologie , Humains , Mâle , Analyse multifactorielle , Prévalence , Analyse de régression , Facteurs de risque
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