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1.
Transl Psychiatry ; 14(1): 181, 2024 Apr 05.
Artigo em Inglês | MEDLINE | ID: mdl-38580654

RESUMO

The endogenous opioid system is thought to play an important role in mother-infant attachment. In infant rhesus macaques, variation in the µ-opioid receptor gene (OPRM1) is related to differences in attachment behavior that emerges following repeated separation from the mother; specifically, infants carrying at least one copy of the minor G allele of the OPRM1 C77G polymorphism show heightened and more persistent separation distress, as well as a pattern of increased contact-seeking behavior directed towards the mother during reunions (at the expense of affiliation with other group members). Research in adult humans has also linked the minor G allele of the analogous OPRM1 A118G polymorphism with greater interpersonal sensitivity. Adopting an interactionist approach, we examined whether OPRM1 A118G genotype and maternal (in)sensitivity are associated with child attachment style, predicting that children carrying the G allele may be more likely to develop an ambivalent attachment pattern in response to less sensitive maternal care. The sample consisted of 191 mothers participating with their children (n = 223) in the Maternal Adversity, Vulnerability and Neurodevelopment (MAVAN) project, a community-based, birth cohort study of Canadian mothers and their children assessed longitudinally across the child's development. Maternal sensitivity was coded from at-home mother-child interactions videotaped when the child was 18 months of age. Child attachment was assessed at 36 months using the Strange Situation paradigm. As predicted, G allele carriers, but not AA homozygotes, showed increasing odds of being classified as ambivalently attached with decreasing levels of maternal sensitivity. Paralleling earlier non-human animal research, this work provides support for the theory that endogenous opioids contribute to the expression of attachment behaviors in humans.


Assuntos
Relações Mãe-Filho , Polimorfismo Genético , Adulto , Feminino , Humanos , Canadá , Estudos de Coortes , Genótipo , Polimorfismo de Nucleotídeo Único , Receptores Opioides mu/genética
2.
Acta Diabetol ; 61(3): 323-331, 2024 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-37907768

RESUMO

AIMS: The most common pathogenic mitochondrial mutation associated with mitochondrial disease is m.3243A>G. Increased obstetric complications, such as spontaneous abortion, gestational diabetes (GDM), preterm delivery, and preeclampsia, have been reported in women carrying this mutation. We aimed to determine the fetal and maternal outcomes in pregnant women with mitochondrial disease. METHODS: We retrospectively studied the obstetric and perinatal outcomes in 88 pregnancies of 26 women with genetically confirmed mitochondrial disease (m.3243A>G in the MTTL1 gene (n = 25); m.12258C>A in the MT-TS2 gene (n = 1)). Outcomes included pregnancy related complications, mode of delivery, gestational age at delivery and birthweight. RESULTS: Mean heteroplasmy rate was 18%. The miscarriage rate was higher than background at 25%. 21 pregnancies (24%) were complicated by GDM; 9 pregnancies (13.6%) had a preterm delivery and 2 of them (3%) an extreme premature delivery < 32 weeks. One woman had preeclampsia and one had a postpartum hemorrhage. The caesarean section (CS) rate was 20%. For every unit increase in maternal heteroplasmy levels there was a 26% increased risk of undergoing an assisted operative vaginal delivery (OR 1.26, 95% CI 1.04-1.53, P = 0.002, Bonferroni corrected P = 0.005) and an 18% increased risk of undergoing a CS (OR 1.18, 95% CI 1.01-1.39, P = 0.01, Bonferroni corrected P = 0.03) compared to a spontaneous vaginal delivery. There was a statistical significant correlation between maternal and offspring heteroplasmy levels. Spearman correlation rho = 0.96, 95% CI 0.78-0.99, P = 0.0002. CONCLUSION: Women with mitochondrial disease appear to have more frequent obstetric complications including miscarriage and GDM. Pre-pregnancy diagnosis of m.3243A>G will enable the counseling of women and increase awareness of possible obstetric complications.


Assuntos
Aborto Espontâneo , Diabetes Gestacional , Doenças Mitocondriais , Pré-Eclâmpsia , Complicações na Gravidez , Nascimento Prematuro , Recém-Nascido , Gravidez , Feminino , Humanos , Resultado da Gravidez , Estudos Retrospectivos , Pré-Eclâmpsia/epidemiologia , Pré-Eclâmpsia/genética , Pré-Eclâmpsia/diagnóstico , Nascimento Prematuro/epidemiologia , Aborto Espontâneo/etiologia , Aborto Espontâneo/genética , Cesárea , Diabetes Gestacional/epidemiologia , Diabetes Gestacional/genética , Diabetes Gestacional/diagnóstico , Complicações na Gravidez/epidemiologia , Doenças Mitocondriais/genética
3.
Ned Tijdschr Tandheelkd ; 130(11): 451-455, 2023 Nov.
Artigo em Holandês | MEDLINE | ID: mdl-37933722

RESUMO

In every dental practice, patients present with persistent physical symptoms. Such complaints can significantly complicate dental treatment, especially if they are not acknowledged, or if the patient feels they are not being taken seriously. For this reason, it is important to increase oral care providers' knowledge and expertise concerning persistent physical symptoms in a broader sense and in the head and neck area in particular, with the aim of improving the treatment alliance and to increase the effectiveness of dental treatment.


Assuntos
Cabeça , Cervicalgia , Dor , Humanos
4.
Ned Tijdschr Tandheelkd ; 130(7-8): 336-339, 2023 Jul.
Artigo em Holandês | MEDLINE | ID: mdl-37428462

RESUMO

Only too often, it is automatically assumed that dental checkups or treatments are avoided by a subset of the patient population out of fear. To put it more correctly: to avoid the anxiety associated with dental appointments - anxiety believed to be based on fear of pain and pain increase. Following this assumption, three other subtypes of avoidant patients are being overlooked. These are care-avoiders with fear caused by trauma, self-effacing behavior or depression. Well-informed questions can initiate an understanding conversation which can break and stop this care-avoiding behavior. Patients can be referred to the general practitioner (formental health care), or to special dentistry, in more complex cases.


Assuntos
Ansiedade , Medo , Humanos , Ansiedade/etiologia , Ansiedade/psicologia , Medo/psicologia , Dor , Assistência Odontológica , Pacientes , Ansiedade ao Tratamento Odontológico/prevenção & controle , Ansiedade ao Tratamento Odontológico/psicologia
5.
Hum Mol Genet ; 32(14): 2269-2291, 2023 07 04.
Artigo em Inglês | MEDLINE | ID: mdl-36971475

RESUMO

Conformational diseases, such as Alzheimer, Parkinson and Huntington diseases, are part of a common class of neurological disorders characterized by the aggregation and progressive accumulation of proteins bearing aberrant conformations. Huntington disease (HD) has autosomal dominant inheritance and is caused by mutations leading to an abnormal expansion in the polyglutamine (polyQ) tract of the huntingtin (HTT) protein, leading to the formation of HTT inclusion bodies in neurons of affected patients. Interestingly, recent experimental evidence is challenging the conventional view by which the disease pathogenesis is solely a consequence of the intracellular accumulation of mutant protein aggregates. These studies reveal that transcellular transfer of mutated huntingtin protein is able to seed oligomers involving even the wild-type (WT) forms of the protein. To date, there is still no successful strategy to treat HD. Here, we describe a novel functional role for the HSPB1-p62/SQSTM1 complex, which acts as a cargo loading platform, allowing the unconventional secretion of mutant HTT by extracellular vesicles. HSPB1 interacts preferentially with polyQ-expanded HTT compared with the WT protein and affects its aggregation. Furthermore, HSPB1 levels correlate with the rate of mutant HTT secretion, which is controlled by the activity of the PI3K/AKT/mTOR signalling pathway. Finally, we show that these HTT-containing vesicular structures are biologically active and able to be internalized by recipient cells, therefore providing an additional mechanism to explain the prion-like spreading properties of mutant HTT. These findings might also have implications for the turn-over of other disease-associated, aggregation-prone proteins.


Assuntos
Proteína Huntingtina , Doença de Huntington , Fosfatidilinositol 3-Quinases , Humanos , Proteínas de Choque Térmico/genética , Proteínas de Choque Térmico/metabolismo , Proteína Huntingtina/metabolismo , Doença de Huntington/metabolismo , Chaperonas Moleculares/genética , Mutação , Neurônios/metabolismo , Fosfatidilinositol 3-Quinases/genética , Proteína Sequestossoma-1/genética , Transdução de Sinais
6.
J Antimicrob Chemother ; 78(5): 1270-1277, 2023 05 03.
Artigo em Inglês | MEDLINE | ID: mdl-36974983

RESUMO

BACKGROUND: Respiratory tract infections (RTIs) are the most common reason for prescribing antibiotics in general practice. The COVID-19 pandemic has impacted on antibiotic prescribing and delivery of primary care in Ireland. OBJECTIVES: To assess the quality of antibiotic prescribing, the impact of the COVID-19 pandemic and identify opportunities for antimicrobial stewardship (AMS) in Ireland. METHODS: Point prevalence audit surveys for RTI consultations were conducted as part of a European study at three time periods: January-February 2020, March-May 2020 and March-May 2021. Antibiotic prescribing was assessed and comparisons made between the three time periods. RESULTS: In total, 765 consultations were recorded, which were mainly face to face before the pandemic, but changed to predominantly remote consultations during the pandemic surveys in 2020 and 2021 (82% and 75%). Antibiotics were prescribed in 54% of RTI consultations before the pandemic. During pandemic surveys, this dropped to 23% in 2020 and 21% in 2021. There was a decrease in prescribing of Red (reserve) agents in 2021. Assessment against indication-specific quality indicators showed a high proportion of consultations for bronchitis and tonsillitis resulting in an antibiotic prescription (67% and 85%). Point-of-care testing (POCT) to aid diagnosis of RTIs were utilized in less than 1% of consultations. CONCLUSIONS: During the COVID-19 pandemic, there was a reduction in antibiotic prescribing. Opportunities identified to support AMS in primary care in Ireland are targeted initiatives to reduce antibiotic prescribing for bronchitis and tonsillitis and introducing POCT to support appropriate antibiotic prescribing.


Assuntos
Bronquite , COVID-19 , Infecções Respiratórias , Tonsilite , Humanos , COVID-19/epidemiologia , Pandemias , Irlanda/epidemiologia , Prevalência , Infecções Respiratórias/tratamento farmacológico , Infecções Respiratórias/epidemiologia , Encaminhamento e Consulta , Antibacterianos/uso terapêutico , Atenção Primária à Saúde , Padrões de Prática Médica , Prescrição Inadequada
7.
Biodivers Data J ; 11: e103667, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-38327385

RESUMO

Background: This revision is part of a continuing series of taxonomic work aimed at the description of new taxa and the redescription of known taxa of the Tachinidae of Area de Conservación Guanacaste in northwestern Costa Rica. Here we describe 33 new species in the genus Belvosia Robineau-Desvoidy, 1830 (Diptera: Tachinidae). All species described here were reared from this ongoing inventory of wild-caught caterpillars spanning a variety of families (Lepidoptera: Erebidae, Eupterotidae, Noctuidae, Notodontidae, Saturniidae, and Sphingidae). We provide a morphological description of each species with limited information on life history, molecular data, and photographic documentation. In addition to the new species, the authors provide a redescription of the genus Belvosia, as well as provide a key to the identification of the species present in the Meso- and North-American fauna. New information: The following 33 new species of Belvosia Robineau-Desvoidy, 1830, all authored by Fleming & Woodley, are described: Belvosiaadrianguadamuzi Fleming & Woodley sp. n., Belvosiaanacarballoae Fleming & Woodley sp. n., Belvosiaangelhernandezi Fleming & Woodley sp. n., Belvosiabrigittevilchezae Fleming & Woodley sp. n., Belvosiaalixtomoragai Fleming & Woodley sp. n., Belvosiacarolinacanoae Fleming & Woodley sp. n., Belvosiaciriloumanai Fleming & Woodley sp. n., Belvosiadiniamartinezae Fleming & Woodley sp. n., Belvosiaduniagarciae Fleming & Woodley sp. n., Belvosiaduvalierbricenoi Fleming & Woodley sp. n., Belvosiaeldaarayae Fleming & Woodley sp. n., Belvosiaeliethcantillanoae Fleming & Woodley sp. n., Belvosiafreddyquesadai Fleming & Woodley sp. n., Belvosiagloriasihezarae Fleming & Woodley sp. n., Belvosiaguillermopereirai Fleming & Woodley sp. n., Belvosiaharryramirezi Fleming & Woodley sp. n., Belvosiahazelcambroneroae Fleming & Woodley sp. n., Belvosiajorgehernandezi Fleming & Woodley sp. n., Belvosiajosecortezi Fleming & Woodley sp. n., Belvosiajoseperezi Fleming & Woodley sp. n., Belvosiakeinoraragoni Fleming & Woodley sp. n., Belvosialuciariosae Fleming & Woodley sp. n., Belvosiamanuelpereirai Fleming & Woodley sp. n., Belvosiamanuelriosi Fleming & Woodley sp. n., Belvosiaminorcarmonai Fleming & Woodley sp. n., Belvosiaosvaldoespinozai Fleming & Woodley sp. n., Belvosiapabloumanai Fleming & Woodley sp. n., Belvosiapetronariosae Fleming & Woodley sp. n., Belvosiaricardocaleroi Fleming & Woodley sp. n., Belvosiarobertoespinozai Fleming & Woodley sp. n., Belvosiarostermoragai Fleming & Woodley sp. n., Belvosiaruthfrancoae Fleming & Woodley sp. n., Belvosiasergioriosi Fleming & Woodley sp. n.Belvosiacanalis Aldrich, 1928 is reared and recorded from the inventory; new information relative to host is provided and the species is rediscribed.The following are proposed by Fleming & Woodley as new synonyms of Belvosia Robineau-Desvoidy, 1830: Brachybelvosia Townsend, 1927 syn. n., Belvosiomimops Townsend, 1935 syn. n.The following three new combinations are proposed as a result of the new synonymies: Belvosiabrasilensis (Townsend, 1927), comb. n.; and Belvosiabarbiellinii (Townsend, 1935), comb. n.The authors also propose the following new synonymies: Belvosiabrasilensis (Townsend, 1927) = Belvosiaaurulenta (Bigot, 1888), syn. n.; Belvosiapollinosa Rowe, 1933 = Belvosiaborealis Aldrich, 1928 syn. n.; Belvosiaweyenberghiana (Wulp, 1883) = Belvosiafuliginosa (Walker, 1853) syn. n.; Belvosiabrasiliensis Townsend, 1927 = Belvosiafuliginosa (Walker, 1853) syn. n.; Belvosialuteola Coquillett, 1900 = Belvosiaochriventris (Wulp, 1890) syn. n.; Belvosiasocia (Walker, 1853) = Belvosiaproxima (Walker, 1853) syn. n.; Belvosiachrysopyga (Bigot, 1887) = Belvosiaunifasciata (Robineau-Desvoidy, 1830) syn. n.; Belvosiachrysopygata (Bigot, 1888) = Belvosiaunifasciata (Robineau-Desvoidy, 1830) syn. n.

8.
Int J Clin Pharm ; 44(3): 630-640, 2022 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-35124762

RESUMO

Background The protected or restricted supply of certain antimicrobials such as linezolid, caspofungin, aztreonam, in the acute hospital setting is an important element of Antimicrobial Stewardship (AMS) programmes to address the growing problem of antimicrobial resistance. This process involves submitting an application for use to be reviewed typically by a Consultant Microbiologist, Infectious Disease Consultant or Antimicrobial Pharmacist. Aim To investigate healthcare professionals' knowledge, experiences, and attitudes towards the protected/restricted antimicrobials process in order to identify possible methods of optimisation and improvement. Method Semi-structured interviews with stakeholders involved in the protected/restricted antimicrobial prescribing, dispensing and administration process were conducted in September-October 2019 in a 350-bed voluntary, general, acute hospital in Ireland. Interviews were analysed by the Framework method and mapped to the Theoretical Domains Framework (TDF). Results Interviews were conducted with 8 Doctors, 4 Pharmacists and 3 Nurses. TDF domains identified included: 'Knowledge'; 'Social/professional role and identity'; 'Social influences'; 'Memory, attention and decision processes'; 'Beliefs about consequences'; 'Environmental contexts and resources'. The relationship between prescribers and the AMS Team was reported as a facilitator of the process, whereas the inconsistency of the filing and versions of forms on the wards were seen as challenges. Conclusion The results of this study have shown that the existing protected/restricted antimicrobial process is a multi-disciplinary effort with barriers that require attention in order to make future improvements. Standardization of the form across all wards, an electronic version of the form, and structured education around AMS were suggested to optimize the process.


Assuntos
Anti-Infecciosos , Conhecimentos, Atitudes e Prática em Saúde , Antibacterianos/uso terapêutico , Anti-Infecciosos/uso terapêutico , Hospitais de Ensino , Humanos , Pesquisa Qualitativa , Universidades
9.
Rev Fish Biol Fish ; 32(1): 101-121, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-34092936

RESUMO

Food from the sea can make a larger contribution to healthy and sustainable diets, and to addressing hunger and malnutrition, through improvements in production, distribution and equitable access to wild harvest and mariculture resources and products. The supply and consumption of seafood is influenced by a range of 'drivers' including ecosystem change and ocean regulation, the influence of corporations and evolving consumer demand, as well as the growing focus on the importance of seafood for meeting nutritional needs. These drivers need to be examined in a holistic way to develop an informed understanding of the needs, potential impacts and solutions that align seafood production and consumption with relevant 2030 Sustainable Development Goals (SDGs). This paper uses an evidence-based narrative approach to examine how the anticipated global trends for seafood might be experienced by people in different social, geographical and economic situations over the next ten years. Key drivers influencing seafood within the global food system are identified and used to construct a future scenario based on our current trajectory (Business-as-usual 2030). Descriptive pathways and actions are then presented for a more sustainable future scenario that strives towards achieving the SDGs as far as technically possible (More sustainable 2030). Prioritising actions that not only sustainably produce more seafood, but consider aspects of access and utilisation, particularly for people affected by food insecurity and malnutrition, is an essential part of designing sustainable and secure future seafood systems. Supplementary Information: The online version contains supplementary material available at 10.1007/s11160-021-09663-x.

10.
J Hosp Infect ; 120: 57-64, 2022 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-34780809

RESUMO

BACKGROUND: Irish and European antimicrobial resistance (AMR) surveillance data have highlighted increasing AMR in Enterobacterales and vancomycin resistance in Enterococcus faecium (VRE). Antimicrobial consumption (AC) in Irish hospital settings is also increasing. METHODS: A retrospective time series analysis (TSA) was conducted to evaluate the trends and possible relationship between AC of selected antimicrobials and AMR in Enterobacterales and vancomycin resistance in E. faecium, from January 2017 to December 2020. RESULTS: Increased AC was seen with ceftriaxone (P = 0.0006), piperacillin/tazobactam (P = 0.03) and meropenem (P = 0.054), while ciprofloxacin and gentamicin use trended downwards. AMR rates in Escherichia coli, Klebsiella pneumoniae and other Enterobacterales were largely stable or decreasing, an increase in ertapenem resistance in the latter from 0.58% in 2017 to 5.19% in 2020 (P = 0.003) being the main concern. The proportion of E. faecium that was VRE did not changed significantly (64% in 2017; 53% in 2020, P = 0.1). TSA identified a correlation between piperacillin/tazobactam use and the decreasing rate of ceftriaxone resistance in E. coli. CONCLUSION: Our data suggest that the hospital antimicrobial stewardship programme is largely containing, but not reducing AMR in key nosocomial pathogens. An increase in AC following the COVID-19 pandemic appears as yet to have had no impact on AMR rates.


Assuntos
Anti-Infecciosos , COVID-19 , Enterococcus faecium , Antibacterianos/farmacologia , Antibacterianos/uso terapêutico , Farmacorresistência Bacteriana , Escherichia coli , Humanos , Testes de Sensibilidade Microbiana , Pandemias , Estudos Retrospectivos , SARS-CoV-2 , Fatores de Tempo
11.
Biodivers Data J ; 9: e68598, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34393585

RESUMO

BACKGROUND: We revise the genus Metaplagia Coquillett, 1895 and describe five new species from Area de Conservación Guanacaste (ACG) in northwestern Costa Rica. All new species were reared from an ongoing inventory of wild-caught caterpillars spanning a variety of species within the family Sphingidae (Lepidoptera: Sphingidae). Our study provides a concise description of each new species using morphology, life history, molecular data and photographic documentation. In addition to the new species, the authors provide a re-description of the genus and a revised key to the species of Metaplagia. NEW INFORMATION: The following five new species of Metaplagia are described: Metaplagia leahdennisae Fleming & Wood sp. n., Metaplagia lindarobinsonae Fleming & Wood sp. n., Metaplagia paulinesaribasae Fleming & Wood sp. n., Metaplagia robinsherwoodae Fleming & Wood sp. n. and Metaplagia svetlanakozikae Fleming & Wood sp. n.The following is proposed by Fleming & Wood as new combination of Plagiomima Brauer & Bergenstamm, 1891: Plagiomima latifrons (Reinhard, 1956) comb. n.

12.
J Dairy Sci ; 104(7): 7696-7710, 2021 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-33865586

RESUMO

Fodder beet (FB) is a source of readily fermentable carbohydrate that can mitigate early spring herbage deficits and correct the negative energy balance experienced during early lactation in pastoral dairy systems of New Zealand. However, the low-fiber and high-soluble carbohydrate content of both FB bulb and spring herbage are factors that promote subacute ruminal acidosis, impairing rumen function and limiting the marginal milk production response to supplement. In a crossover experiment, 8 Holstein Friesian × Jersey early-lactation dairy cows were used to test the effect of supplementing 16 kg of dry matter (DM) of a grazed perennial ryegrass herbage with 6 kg of DM/d of FB bulb (FBH) versus herbage only (HO) on changes in rumen function and grazing behavior. Following 20 d of adaptation to diets, DM disappearance (%) of FB bulb (FBH cows only) and herbage were measured in sacco, separately. Cows were fasted overnight, and the ruminal contents were bailed the following morning (~0930 h) again to determine the pool size of volatile fatty acids, ammonia, and particle size of digesta, as well as to estimate the rate of ruminal outflow and degradation of neutral detergent fiber. The FBH diet did not alter DM intake, milk yield, or milk solid (fat + protein) production compared with HO. Supplementation of herbage with FB reduced ruminal pH compared with HO between ~0800 h and 1300 h each day. During each period, 1 cow experienced severe subacute ruminal acidosis (pH <5.6 for >180 min/d) during final adaptation to the target FB allocation. The FBH diet reduced the ruminal pool of acetate and ammonia, but increased the ruminal pool of butyrate and lactate compared with HO. When fed FB, rumination and grazing time increased and grazing intensity declined compared with cows fed HO. Despite increased rumination, the comminution of large particles declined 28% between the first and second rumen bailing when cows were fed FB, and in sacco DM disappearance of perennial ryegrass declined 18% compared with cows fed HO. These results indicate that grazing dairy cows supplemented with FB (40% of daily intake) increase rumination and mastication intensity to counteract reduced ruminal degradation of ryegrass herbage due to low ruminal fluid pH.


Assuntos
Beta vulgaris , Rúmen , Ração Animal/análise , Animais , Bovinos , Dieta/veterinária , Suplementos Nutricionais , Digestão , Feminino , Fermentação , Lactação , Leite , Nova Zelândia , Rúmen/metabolismo
13.
J Antimicrob Chemother ; 76(6): 1406-1419, 2021 05 12.
Artigo em Inglês | MEDLINE | ID: mdl-33787876

RESUMO

BACKGROUND: Measuring the quality and effectiveness of antimicrobial stewardship (AMS) programmes with quality indicators (QIs) is an area of increasing interest. We conducted a systematic review to identify QIs of AMS programmes in the hospital setting and critically appraise their methodological quality. METHODS: We searched the Cochrane Library, PubMed, MEDLINE, EMBASE, CINAHL, Scopus/web of science databases and the grey literature for studies that defined and/or described the development process and characteristics of the QIs developed. The Appraisal of Indicators through Research and Evaluation (AIRE) instrument was used to critically appraise the methodological quality of the QI sets. RESULTS: We identified 16 studies of QI sets consisting of 229 QIs. The QI sets addressed a broad range of areas of AMS in the hospital setting and consisted of 75% process indicators, 24% structural indicators and 1% outcome indicators. There was a wide variation in the information and level of detail presented describing the methodological characteristics of the QI sets identified. CONCLUSIONS: The QIs identified in this study focused on process and structural indicators with few outcome indicators developed-a major deficiency in this area. Future research should focus on the development of outcome indicators or the use of process or structural indicators linked to outcomes to assess AMS. Testing of the QIs in practice is an essential methodological element of the QI development process and should be included in the QI development study or as planned validation work.


Assuntos
Gestão de Antimicrobianos , Indicadores de Qualidade em Assistência à Saúde , Bases de Dados Factuais , Hospitais
14.
Int J Clin Pharm ; 43(3): 532-540, 2021 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-33001314

RESUMO

Background Successful antimicrobial stewardship interventions are imperative in today's environment of antimicrobial resistance. New antimicrobial stewardship interventions should include qualitative analysis such as a process evaluation to determine which elements within an intervention are effective and provide insight into the context in which the intervention is introduced. Objective To assess the implementation process and explore the contextual factors which influenced implementation. Setting An academic teaching hospital in Cork, Ireland. Methods A process evaluation was conducted on completion of a feasibility study of the introduction of a procalcitonin antimicrobial stewardship intervention. The process evaluation consisted of semi-structured face-to-face interviews of key stakeholders including participating (senior) doctors (5), medical laboratory scientists (3) and a hospital administrator. The Consolidated Framework for Implementation Research was used to guide data collection, analysis, and interpretation. Main outcome measures Qualitative assessment of the intervention implementation process, the contextual factors which influenced implementation and identification of improvements to the intervention and its implementation and determine if proceeding to a randomised controlled trial would be appropriate. Results Analysis of the interviews identified three main themes. (1) The procalcitonin intervention and implementation process was viewed positively to support prescribing decisions. Participants identified modifications to procalcitonin processing and availability to improve implementation and allow procalcitonin to be "more of a clinical influence". (2) In the antimicrobial stewardship context the concept of fear of missing an infection and risks of potentially serious outcomes for patients emerged. (3) The hospital context consisted of barriers such as available resources and facilitators including the hospital culture of quality improvement. Conclusion This process evaluation provides a detailed analysis of the implementation of procalcitonin testing as an antimicrobial stewardship intervention. The positive findings of this process evaluation and feasibility study should be built upon and a full randomised controlled trial and economic evaluation should be conducted in a variety of hospital settings to confirm the effectiveness of procalcitonin as an antimicrobial stewardship intervention.


Assuntos
Gestão de Antimicrobianos , Médicos , Estudos de Viabilidade , Hospitais , Humanos , Pró-Calcitonina
15.
Biodivers Data J ; 8: e47157, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32390755

RESUMO

BACKGROUND: We describe 25 new species in the genus Telothyria van der Wulp, 1890 from Area de Conservación Guanacaste (ACG) in northwestern Costa Rica. All species herein described were reared from an ongoing inventory of wild-caught caterpillars spanning two families (Lepidoptera: Crambidae, and Tortricidae). Our study provides a concise description of each new species using morphology, life history, molecular data, and photographic documentation; a redescription of the genus, and its type species as well as a revised key to species of Telothyria occurring in the Mesoamerican region. We also suggest seven new synonymies resulting in 11 new combinations. NEW INFORMATION: The following 25 new species of Telothyria are described: T. aidani sp. n., T. alexanderi sp. n., T. auranticrus sp. n., T. auriolus sp. n., T. bicuspidata sp. n., T. carolinacanoae sp. n., T. clavata sp. n., T. cristata sp. n., T. diniamartinezae sp. n., T. duniagarciae sp. n., T. duvalierbricenoi sp. n., T. eldaarayae sp. n., T. erythropyga sp. n., T. fimbriata sp. n., T. fulgida sp. n., T. gloriashihezarae sp. n., T. grisea sp. n., T. harryramirezi sp. n., T. incisa sp. n., T. manuelpereirai sp. n., T. obscura sp. n., T. omissa sp. n., T. osvaldoespinozai sp. n., T. peltata sp. n., and T. ricardocaleroi sp. n.The following are proposed by Fleming & Wood as new generic synonyms of Telothyria: Comatacta Coquillett Syn. n., Floradalia Thompson Syn. n., Ptilomyia Curran Syn. n., Ptilomyiopsis Townsend Syn. n., Ptilomyoides Curran Syn. n., Euptilomyia Syn. n., Eutelothyria Townsend Syn. n.The following new combinations are proposed as a result of the new synonymies: Telothyria bequaerti (Curran, 1925) Comb. n., Telothyria cruenta (Giglio-Tos, 1893) Comb. n., Telothyria frontalis (Townsend, 1939) Comb. n., Telothyria insularis (Curran, 1927) Comb. n., Telothyria itaquaquecetubae (Townsend, 1931) Comb. n., Telothyria major (Thompson, 1963) Comb. n., Telothyria micropalpus (Curran, 1925) Comb. n., Telothyria minor (Thompson, 1963) Comb. n., Telothyria nautlana (Townsend, 1908) Comb. n., Telothyria plumata (Curran, 1925) Comb. n., Telothyria trinitatis (Thompson, 1963) Comb. n., Telothyria variegata (Fabricius, 1805) Comb. n. Musca tricincta Fabricius is synonymized under Telothyria variegata Fabricius, Syn. n. Telothyria schineri Fleming & Wood nom. n. is proposed as a replacement name for Miltogramma brevipennis Schiner.Additionally we provide redescriptions of two previously named species: the type species Telothyria cupreiventris (van der Wulp) due to its being the type species, and Telothyria relicta (van der Wulp) due to its having been reared as an outcome of the inventory.

16.
J Dairy Sci ; 103(7): 6318-6331, 2020 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-32418690

RESUMO

Milk fat composition has important implications in the nutritional and processing properties of milk. Additionally, milk fat composition is associated with cow physiological and health status. The main objectives of this study were (1) to estimate genetic parameters for 5 milk fatty acid (FA) groups (i.e., short-chain, medium-chain, long-chain, saturated, and unsaturated) predicted from milk infrared spectra using a large data set; (2) to predict genomic breeding values using a longitudinal single-step genomic BLUP approach; and (3) to conduct a single-step GWAS aiming to identify genomic regions, candidate genes, and metabolic pathways associated with milk FA, and consequently, to understand the underlying biology of these traits. We used 629,769 test-day records of 201,465 first-parity Holstein cows from 6,105 herds. A total of 8,865 genotyped (Illumina BovineSNP50K BeadChip, Illumina, San Diego, CA) animals were considered for the genomic analyses. The average daily heritability ranged from 0.24 (unsaturated FA) to 0.47 (medium-chain and saturated FA). The reliability of the genomic breeding values ranged from 0.56 (long-chain fatty acid) to 0.74 (medium-chain fatty acid) when using the default τ and ω scaling parameters, whereas it ranged from 0.58 (long-chain fatty acid) to 0.73 (short-chain fatty acid) when using the optimal τ and ω values (i.e., τ = 1.5 and ω = 0.6), as defined in a previous study in the same population. Relevant chromosomal regions were identified in Bos taurus autosomes 5 and 14. The proportion of the variance explained by 20 adjacent single nucleotide polymorphisms ranged from 0.71% (saturated FA) to 15.12% (long-chain FA). Important candidate genes and pathways were also identified. In summary, our results contribute to a better understanding of the genetic architecture of predicted milk FA in dairy cattle and reinforce the relevance of using genomic information for genetic analyses of these traits.


Assuntos
Bovinos/genética , Ácidos Graxos/metabolismo , Leite/química , Animais , Bovinos/fisiologia , Ácidos Graxos Insaturados/metabolismo , Feminino , Genômica , Genótipo , Lactação/genética , América do Norte , Paridade , Polimorfismo de Nucleotídeo Único , Gravidez , Reprodutibilidade dos Testes , Seleção Artificial
17.
J Dairy Sci ; 103(6): 5263-5269, 2020 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-32307163

RESUMO

Milk fat content and fatty acid (FA) composition have great economic value to the dairy industry as they are directly associated with taste and chemical-physical characteristics of milk and dairy products. In addition, consumers' choices are not only based on the nutritional aspects of food, but also on products known to promote better health. Milk FA composition is also related to the metabolic status and physiological stages of cows and thus can also be used as indicator for other novel traits of interest (e.g., metabolic diseases and methane yield). Genetic selection is a promising alternative to manipulate milk FA composition. In this study, we aimed to (1) estimate time-dependent genetic parameters for 5 milk FA groups (i.e., short-chain, medium-chain, long-chain, saturated, and unsaturated) predicted based on milk mid-infrared spectroscopy, for Canadian Ayrshire and Jersey breeds, and (2) conduct a time-dependent, single-step genome-wide association study to identify genomic regions, candidate genes, and metabolic pathways associated with milk FA. We analyzed 31,709 test-day records of 9,648 Ayrshire cows from 268 herds, and 34,341 records of 11,479 Jersey cows from 883 herds. The genomic database contained a total of 2,330 Ayrshire and 1,019 Jersey animals. The average daily heritability ranged from 0.18 (long-chain FA) to 0.34 (medium-chain FA) in Ayrshire, and from 0.25 (long-chain and unsaturated FA) to 0.52 (medium-chain and saturated FA) in Jersey. Important genomic regions were identified in Bos taurus autosomes BTA3, BTA5, BTA12, BTA13, BTA14, BTA16, BTA18, BTA20, and BTA21. The proportion of the variance explained by 20 adjacent SNP ranged from 0.71% (saturated FA) to 1.11% (long-chain FA) in Ayrshire, and from 0.70% (unsaturated FA) to 3.09% (medium-chain FA) in Jersey cattle. Important candidate genes and pathways were also identified, such as the PTK2 and TRAPPC9 genes, associated with milk fat percentage, and HMGCS, FGF10, and C6 genes, associated with fertility traits and immune response. Our findings on the genetic parameters and candidate genes contribute to a better understanding of the genetic architecture of milk FA composition in Ayrshire and Jersey dairy cattle.


Assuntos
Cruzamento , Bovinos/genética , Ácidos Graxos/análise , Estudo de Associação Genômica Ampla/veterinária , Leite/química , Seleção Genética , Animais , Indústria de Laticínios , Feminino , Fenótipo , Espectrofotometria Infravermelho
18.
J Dairy Sci ; 103(6): 5346-5353, 2020 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-32331881

RESUMO

Hoof lesions represent an important issue in modern dairy herds, with reported prevalence in different countries ranging from 40 to 70%. This high prevalence of hoof lesions has both economic and social consequences, resulting in increased labor expenses and decreasing animal production, longevity, reproduction, health, and welfare. Therefore, a key goal of dairy herds is to reduce the incidence of hoof lesions, which can be achieved both by improving management practices and through genetic selection. The Canadian dairy industry has recently released a hoof health sub-index. This national genetic evaluation program for hoof health was achieved by creating a centralized data collection system that routinely transfers data recorded by hoof trimmers into a coherent and sustainable national database. The 8 most prevalent lesions (digital dermatitis, interdigital dermatitis, interdigital hyperplasia, heel horn erosion, sole hemorrhage, sole ulcer, toe ulcer, and white line lesion) in Canada are analyzed with a multiple-trait model using a single-step genomic BLUP method. Estimated genomic breeding values for each lesion are combined into a sub-index according to their economic value and prevalence. In addition, data recorded within this system were used to create an interactive management report for dairy producers by Canadian DHI, including the prevalence of lesions on farm, their trends over time, and benchmarks with provincial and national averages.


Assuntos
Doenças dos Bovinos/genética , Doenças do Pé/veterinária , Casco e Garras , Seleção Genética , Animais , Cruzamento , Canadá , Bovinos , Doenças dos Bovinos/epidemiologia , Indústria de Laticínios , Fazendas , Feminino , Doenças do Pé/diagnóstico , Doenças do Pé/genética , Fenótipo , Prevalência
19.
Biodivers Data J ; 8: e48907, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32148433

RESUMO

BACKGROUND: We describe one new genus and its one new species from Area de Conservación Guanacaste (ACG) in northwestern Costa Rica. Our study provides a concise description of this new species using morphology, life history, molecular data and photographic documentation. NEW INFORMATION: Chorotegamyia gen. n. is described, along with its type species, Chorotegamyia aureofacies sp. n. A modified key to the Uramyini is given to further elucidate the tribe.

20.
J Dairy Sci ; 102(12): 10947-10963, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-31704011

RESUMO

The objective of this work was to update and evaluate predictions of essential AA (EAA) outflows from the rumen. The model was constructed based on previously derived equations for rumen-undegradable (RUP), microbial (MiCP), and endogenous (EndCP) protein outflows from the rumen, and revised estimates of ingredient composition and EAA composition of the protein fractions. Corrections were adopted to account for incomplete recovery of EAA during 24-h acid hydrolysis. The predicted ruminal protein and EAA outflows were evaluated against a data set of observed values from the literature. Initial evaluations indicated a minor mean bias for non-ammonia, non-microbial nitrogen flow ([RUP + EndCP]/6.25) of 16 g of N per day. Root mean squared errors (RMSE) of EAA predictions ranged from 26.8 to 40.6% of observed mean values. Concordance correlation coefficients (CCC) of EAA predictions ranged from 0.34 to 0.55. Except for Leu, all ruminal EAA outflows were overpredicted by 3.0 to 32 g/d. In addition, small but significant slope biases were present for Arg [2.2% mean squared error (MSE)] and Lys (3.2% MSE). The overpredictions may suggest that the mean recovery of AA from acid hydrolysis across laboratories was less than estimates encompassed in the recovery factors. To test this hypothesis, several regression approaches were undertaken to identify potential causes of the bias. These included regressions of (1) residual errors for predicted EAA flows on each of the 3 protein-driven EA flows, (2) observed EAA flows on each protein-driven EAA flow, including an intercept, (3) observed EAA flows on the protein-driven EAA flows, excluding an intercept term, and (4) observed EAA flows on RUP and MiCP. However, these equations were deemed unsatisfactory for bias adjustment, as they generated biologically unfeasible predictions for some entities. Future work should focus on identifying the cause of the observed prediction bias.


Assuntos
Aminoácidos Essenciais/metabolismo , Bovinos/metabolismo , Rúmen/metabolismo , Animais , Dieta/veterinária , Proteínas Alimentares/metabolismo , Feminino , Lactação , Modelos Biológicos , Nitrogênio/metabolismo
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