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1.
Int Endod J ; 2024 Sep 12.
Artigo em Inglês | MEDLINE | ID: mdl-39264795

RESUMO

BACKGROUND: Pulpitis may be pain free or alternatively characterized by mild to severe pain and associated symptoms. Evidence has recently emerged that patients presenting with carious pulp exposure range of symptoms can be treated effectively with pulpotomy. OBJECTIVE: The current systematic review aimed to answer the following research question: "In patients with deep caries lesions in permanent teeth associated with no symptoms, reversible pulpitis or signs and symptoms indicative of irreversible pulpitis (P), is partial pulpotomy (I) as effective as full pulpotomy (C), in terms of a combination of patient and clinical reported outcomes (O), with "tooth survival" as the most critical outcome? METHODS: The systematic literature search was conducted in the following electronic databases: OVID, Scopus, PubMed (Including MEDLINE), and Cochrane Central Register of Controlled Trials (CENTRAL) supplemented with Grey literature and hand searching of relevant journals. The English language clinical trials comparing the patient and clinical reported outcomes between partial and full/complete were included. After a structured literature search, two authors independently performed study selection, extracted data and performed a risk of bias assessment; a third reviewer resolved disagreements. As there were only two studies with different exclusion criteria, no meta-analysis was performed and the quality of evidence was assessed by the GRADE approach. RESULTS: After study selection a total of two randomised clinical trials with a total of 156 teeth were included both for the management of teeth with irreversible pulpitis. There were no studies for asymptomatic teeth or teeth with reversible pulpitis. A "Low" risk of bias was noted for both studies with a high level of overall evidence. A meta-analysis was not carried out due to differences in inclusion criteria between the studies related principally to caries depth. Both studies reported a high rate of clinical success for pulpotomy with a pooled unadjusted success rate for full pulpotomy of 90% and 83% partial pulpotomy of at 1-year; however, no significant difference between the treatments was noted in either study. There was significantly reduced postoperative pain reported in the full pulpotomy group over 1-week compared with the partial pulpotomy in one but not in the other study. DISCUSSION: Pulpotomy as a definitive treatment modality is as effective in managing teeth exhibiting signs and symptoms indicative of irreversible pulpitis and challenges the established protocols to manage this condition. Although based on only two RCTs with a limited number of patients, no difference was shown in terms of clinical or radiographic outcome or postoperative pain between groups. Further well designed randomised clinical trials of longer duration are required in this area to improve the evidence available. CONCLUSION: There is no consistent difference in patient-reported pain between partial and full pulpotomy at day 7 postoperatively and the clinical success rate was similar after 1 year for both treatment modalities.

2.
Int Endod J ; 2024 Aug 27.
Artigo em Inglês | MEDLINE | ID: mdl-39189896

RESUMO

AIM: The aim of this study is to investigate the expression of inflammatory biomarkers (TNF-α, IL-10, IL-1ß) and the pulpitis-associated miRNA (miR-30a-5p and miR-128-3p) in pulp tissue samples from unrestored teeth with a vital normal pulp (NP), teeth with symptomatic irreversible pulpitis (IP) and in unrestored teeth with periodontal disease, unresponsive to periodontal therapy, and a vital pulp (EP). METHODOLOGY: Thirty patients were included in this observational study (10 teeth with NP, 10 teeth with IP, 10 teeth with EP). Dental pulp tissues samples were collected from patients during root canal treatment (RCT). RNA was extracted and qRT-PCR of target genes (tumour necrosis factor [TNF]-α, interleukin [IL]-1ß, IL-10) and miRNAs (has-miR-30a-5p, has-miR-128-3p) performed to assess the expression profile. Fold-change in expression was calculated using the formula 2-(ΔCt(Exp)-ΔCt(Ctrl)). One-way anova with post-hoc Tukey's was used to determine significant differences between groups. The significance level was set at 5% (p < .05). All teeth were also followed up clinically for 1 year and evaluated for a range of endodontic and periodontal-related outcomes. RESULTS: All investigated genes significantly increased in expression and miRNAs significantly decreased in expression in the IP and EP groups compared with the NP group (p < .05). With regards to TNF-α and IL-1ß there were no significant differences in expression between the IP and EP groups (p > .05), whereas IL-10 expression levels were significantly reduced in the EP compared with the IP group (p < .05). Both miR-30a-5p and miR-128-3p showed significantly reduced expression in both IP and EP lesions, compared with NP (p < .05); however, no significant differences in miRNA expression were observed between IP and EP groups (p > .05). One year after root canal treatment and periodontal maintenance, tooth mobility and probing depth were significantly reduced in the EP group (p < .05). CONCLUSION: Pulp tissues from teeth with IP and EP presented similar levels of altered inflammatory markers compared with NP. TNF-α, IL-10, IL-1ß cytokines and miRNAs (miR-30a-5p and miR-128-3p) are potential objective biomarkers to indicate pulpal inflammatory status, aiding diagnosis and directing clinical decision-making. RCT may be beneficial to improve stage III periodontitis unresponsive to non-surgical periodontal treatment, but further research is required.

3.
Int Endod J ; 2024 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-38949098

RESUMO

BACKGROUND: Bibliometric analysis is a critical indicator of the influence and relevance of scientific papers, whilst also highlighting key contributors and gaps in knowledge in a scientific field. OBJECTIVES: To update and analyse the 100 most-cited papers in regenerative endodontics from 2019 to 2023. METHODS: A search of the most-cited recent papers focusing on regenerative endodontics using journals included in the category, 'Dentistry, Oral Surgery & Medicine', in the Clarivate Web of Science database from 2019 to 2023 was performed. Three researchers conducted the study selection and data extraction. Data extraction included publication title and year, authors, number and mean number of citations, institution, country and continent, study design, journal title, keywords and research topic. Citation counts were also collected in Google Scholar and Scopus databases. Graphical bibliometric networks were created using VOSviewer software. RESULTS: The number of citations of the 100 most-cited articles ranged from 6 to 85. Most were published in 2020 (n = 48), principally in the Journal of Endodontics (47%), followed by International Endodontic Journal (13%), Journal of Dental Research (6%) and Dental Materials (6%). Laboratory study was the most common study design amongst the included papers (n = 47), followed by narrative reviews (n = 17) and observational studies (n = 16). The most frequent first author on the top three most-cited papers was Hacer Aksel, whilst Adham A. Azim (n = 6; 89 citations) contributed most to the top 100 articles. The institution from which most articles originated was the University of Hong Kong (China) (n = 5; 81 citations), whereas the corresponding authors were predominantly from the United States of America (USA) (n = 31; 560 citations). The VOSviewer map of co-authorship demonstrated research collaborative clusters. 'Regenerative endodontics' and 'stem-cells' were the most employed keywords (37 and 36 occurrences respectively). DISCUSSION: The current study was designed not only to showcase the most influential papers in regenerative endodontics since 2019 but also to provide a better understanding of global research in this area over the last five years. CONCLUSIONS: This bibliometric analysis highlighted papers, authors, institutions and keywords in regenerative endodontics. The 100 most-cited papers primarily consisted of laboratory studies published in the USA, focusing on evaluating biomaterials and scaffold design strategies in contact with stem cells. Clinical studies and systematic reviews representing higher levels of scientific evidence are currently not the most influential in the regenerative endodontic field.

4.
PLoS One ; 18(3): e0271477, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-36952444

RESUMO

Giant kelp and bull kelp forests are increasingly at risk from marine heatwave events, herbivore outbreaks, and the loss or alterations in the behavior of key herbivore predators. The dynamic floating canopy of these kelps is well-suited to study via satellite imagery, which provides high temporal and spatial resolution data of floating kelp canopy across the western United States and Mexico. However, the size and complexity of the satellite image dataset has made ecological analysis difficult for scientists and managers. To increase accessibility of this rich dataset, we created Kelpwatch, a web-based visualization and analysis tool. This tool allows researchers and managers to quantify kelp forest change in response to disturbances, assess historical trends, and allow for effective and actionable kelp forest management. Here, we demonstrate how Kelpwatch can be used to analyze long-term trends in kelp canopy across regions, quantify spatial variability in the response to and recovery from the 2014 to 2016 marine heatwave events, and provide a local analysis of kelp canopy status around the Monterey Peninsula, California. We found that 18.6% of regional sites displayed a significant trend in kelp canopy area over the past 38 years and that there was a latitudinal response to heatwave events for each kelp species. The recovery from heatwave events was more variable across space, with some local areas like Bahía Tortugas in Baja California Sur showing high recovery while kelp canopies around the Monterey Peninsula continued a slow decline and patchy recovery compared to the rest of the Central California region. Kelpwatch provides near real time spatial data and analysis support and makes complex earth observation data actionable for scientists and managers, which can help identify areas for research, monitoring, and management efforts.


Assuntos
Kelp , Macrocystis , Ecossistema , Kelp/fisiologia , México , Florestas
5.
Lancet Microbe ; 4(3): e159-e170, 2023 03.
Artigo em Inglês | MEDLINE | ID: mdl-36774938

RESUMO

BACKGROUND: Carbapenem-resistant Pseudomonas aeruginosa (CRPA) is a global threat, but the distribution and clinical significance of carbapenemases are unclear. The aim of this study was to define characteristics and outcomes of CRPA infections and the global frequency and clinical impact of carbapenemases harboured by CRPA. METHODS: We conducted an observational, prospective cohort study of CRPA isolated from bloodstream, respiratory, urine, or wound cultures of patients at 44 hospitals (10 countries) between Dec 1, 2018, and Nov 30, 2019. Clinical data were abstracted from health records and CRPA isolates were whole-genome sequenced. The primary outcome was 30-day mortality from the day the index culture was collected. We compared outcomes of patients with CRPA infections by infection type and across geographic regions and performed an inverse probability weighted analysis to assess the association between carbapenemase production and 30-day mortality. FINDINGS: We enrolled 972 patients (USA n=527, China n=171, south and central America n=127, Middle East n=91, Australia and Singapore n=56), of whom 581 (60%) had CRPA infections. 30-day mortality differed by infection type (bloodstream 21 [30%] of 69, respiratory 69 [19%] of 358, wound nine [14%] of 66, urine six [7%] of 88; p=0·0012) and geographical region (Middle East 15 [29%] of 52, south and central America 20 [27%] of 73, USA 60 [19%] of 308, Australia and Singapore three [11%] of 28, China seven [6%] of 120; p=0·0002). Prevalence of carbapenemase genes among CRPA isolates also varied by region (south and central America 88 [69%] of 127, Australia and Singapore 32 [57%] of 56, China 54 [32%] of 171, Middle East 27 [30%] of 91, USA ten [2%] of 527; p<0·0001). KPC-2 (n=103 [49%]) and VIM-2 (n=75 [36%]) were the most common carbapenemases in 211 carbapenemase-producing isolates. After excluding USA patients, because few US isolates had carbapenemases, patients with carbapenemase-producing CRPA infections had higher 30-day mortality than those with non-carbapenemase-producing CRPA infections in both unadjusted (26 [22%] of 120 vs 19 [12%] of 153; difference 9%, 95% CI 3-16) and adjusted (difference 7%, 95% CI 1-14) analyses. INTERPRETATION: The emergence of different carbapenemases among CRPA isolates in different geographical regions and the increased mortality associated with carbapenemase-producing CRPA infections highlight the therapeutic challenges posed by these organisms. FUNDING: National Institutes of Health.


Assuntos
Antibacterianos , Infecções por Pseudomonas , Estados Unidos , Humanos , Antibacterianos/uso terapêutico , Pseudomonas aeruginosa/genética , Estudos Prospectivos , Infecções por Pseudomonas/tratamento farmacológico , Infecções por Pseudomonas/epidemiologia , Carbapenêmicos/uso terapêutico
6.
J Phys Chem A ; 127(4): 956-965, 2023 Feb 02.
Artigo em Inglês | MEDLINE | ID: mdl-36689320

RESUMO

The synthesis of novel aluminyl anion complexes has been well exploited in recent years. Moreover, the elucidation of the structure and reactivity of these complexes opens the path toward a new understanding of low-valent aluminum complexes and their chemistry. This work computationally treats the substituent effect on aluminyl anions to discover suitable alternatives for H2 activation at a high level of theory utilizing coupled-cluster techniques extrapolated to the complete basis set. The results reveal that the simplest AlH2- system is the most reactive toward the activation of H2, but due to the low steric demand, severe difficulty in the stabilization of this system makes its use nonviable. However, the results indicate that, in principle, aluminyl systems with -C, -CN, -NC, and -N chelating centers would be the best choices of ligand toward the activation of molecular hydrogen by taking care of suitable steric demand to prevent dimerization of the catalysts. Furthermore, computations show that monosubstitution (besides -H) in aluminyl anions is preferred over disubstitution. So our predictions show that bidentate ligands may yield less reactive aluminyl anions to activate H2 than monodentate ones.

7.
Naturwissenschaften ; 109(1): 12, 2022 Jan 07.
Artigo em Inglês | MEDLINE | ID: mdl-34994866

RESUMO

Cities are home to several species of pollinators that play an important role in the reproductive success of wild and cultivated plants that grow in these ecosystems and their surroundings. Pollution is a main driver of pollinator decline. Light and noise pollution are more intense in cities than in any other ecosystem. Although nocturnal pollinators are heavily exposed to these pollutants, their effect on bat pollination is still unknown. Our goal was to assess the effect of light and noise pollution on the main pollination components (pollinator visits, pollen transfer, pollen germination, fruit, and seed set) of the tropical tree, Ceiba pentandra, in a heavily urbanized ecosystem. We measured these components in sites with contrasting intensities of artificial light and anthropogenic noise and statistically assessed the direct and indirect effect of pollutants on pollination components using structural equation modeling. We found that noise and light pollution negatively affected the visits by the bats that pollinate C. pentandra. However, these negative effects did not affect posterior pollination components. In fact, the direct effect of light pollution on reproductive success was positive and greater than the indirect effects via pollinator visits. We suggest that illuminated trees may be able to sustain a large quantity of fruits and seeds because they produce more photosynthates due to greater light radiation and delayed leaf abscission. We conclude that, despite the negative effect of light and noise on pollinator visits, these pollutants did not significantly impact the reproductive success of C. pentandra.


Assuntos
Quirópteros , Árvores , Animais , Ecossistema , Flores , Poluição Luminosa , Polinização , Reprodução
8.
Chemistry ; 27(69): 17369-17378, 2021 Dec 09.
Artigo em Inglês | MEDLINE | ID: mdl-34613646

RESUMO

Aluminyl anions are low-valent, anionic, and carbenoid aluminum species commonly found stabilized with potassium cations from the reaction of Al-halogen precursors and alkali compounds. These systems are very reactive toward the activation of σ-bonds and in reactions with electrophiles. Various research groups have detected that the potassium atoms play a stabilization role via electrostatic and cation ⋯ π interactions with nearby (aromatic)-carbocyclic rings from both the ligand and from the reaction with unsaturated substrates. Since stabilizing K⋯H bonds are witnessed in the activation of this class of molecules, we aim to unveil the role of these metals in the activation of the smaller and less polarizable H2 molecule, together with a comprehensive characterization of the reaction mechanism. In this work, the activation of H2 utilizing a NON-xanthene-Al dimer, [K{Al(NON)}]2 (D) and monomeric, [Al(NON)]- (M) complexes are studied using density functional theory and high-level coupled-cluster theory to reveal the potential role of K+ atoms during the activation of this gas. Furthermore, we aim to reveal whether D is more reactive than M (or vice versa), or if complicity between the two monomer units exits within the D complex toward the activation of H2 . The results suggest that activation energies using the dimeric and monomeric complexes were found to be very close (around 33 kcal mol-1 ). However, a partition of activation energies unveiled that the nature of the energy barriers for the monomeric and dimeric complexes are inherently different. The former is dominated by a more substantial distortion of the reactants (and increased interaction energies between them). Interestingly, during the oxidative addition, the distortion of the Al complex is minimal, while H2 distorts the most, usually over 0.77 Δ E d i s t ≠ . Overall, it is found here that electrostatic and induction energies between the complexes and H2 are the main stabilizing components up to the respective transition states. The results suggest that the K+ atoms act as stabilizers of the dimeric structure, and their cooperative role on the reaction mechanism may be negligible, acting as mere spectators in the activation of H2 . Cooperation between the two monomers in D is lacking, and therefore the subsequent activation of H2 is wholly disengaged.

9.
Data Brief ; 25: 104325, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-31440553

RESUMO

This article presents the experimental data on distillation of bio-oil obtained from thermal cracking of a mixture of castor oil and its methyl esters. The interpretation of the data can be found in Menshhein et al. (2019) available on https://doi.org/10.1016/j.renene.2019.04.136. Experiments were carried out using a simple distillation apparatus and the products were quantified and qualified from Gas Chromatography - Flame Ionization Detector (GC-FID) with standards compounds. Data were presented in terms of distillation equipment and distillation curve values of volume and temperature of the crude bio-oil sample. Information about GC-FID methods and chromatograms of from standard heptaldehyde and methyl undecenoate and their analytical curve. Carbon number data of crude bio-oil sample was also showed.

10.
Phys Chem Chem Phys ; 21(9): 5039-5048, 2019 Feb 27.
Artigo em Inglês | MEDLINE | ID: mdl-30762038

RESUMO

Fullerenes, in particular C60, are important molecular entities in many areas, ranging from material science to medicinal chemistry. However, chemical transformations have to be done in order to transform C60 in added-value compounds with increased applicability. The most common procedure corresponds to the classical Diels-Alder cycloaddition reaction. In this research, a comprehensive study of the electronic activity that takes place in the cycloaddition between C60 and cyclopentadiene toward the [5,6] and [6,6] reaction pathways is presented. These are competitive reaction mechanisms dominated by σ and π fluctuating activity. To better understand the electronic activity at each stage of the mechanism, the reaction force (RF) and the symmetry-adapted reaction electronic flux (SA-REF, JΓi(ξ)) have been used to elucidate whether π or σ bonding changes drive the reaction. Since the studied cycloaddition reaction proceeds through a Cs symmetry reaction path, two SA-REF emerge: JA'(ξ) and JA''(ξ). In particular, JA'(ξ) mainly accounts for bond transformations associated with π bonds, while JA''(ξ) is sensitive toward σ bonding changes. It was found that the [6,6] path is highly favored over the [5,6] with respect to activation energies. This difference is primarily due to the less intensive electronic reordering of the σ electrons in the [6,6] path, as a result of the pyramidalization of carbon atoms in C60 (sp2 → sp3 transition). Interestingly, no substantial differences in the π electronic activity from the reactant complex to the transition state structure were found when comparing the [5,6] and [6,6] paths. Partition of the kinetic energy into its symmetry contributions indicates that when a bond is being weakened/broken (formed/strengthened) non-spontaneous (spontaneous) changes in the electronic activity occur, thus prompting an increase (decrease) of the kinetic energy. Therefore, contraction (expansion) of the electronic density in the vicinity of the bonding change is expected to take place.

12.
Ecology ; 97(9): 2511-2517, 2016 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-27859068

RESUMO

Many large-seeded Neotropical trees depend on a limited guild of animals for seed dispersal. Fragmented landscapes reduce animal abundance and movement, limiting seed dispersal between distant forest remnants. In 2006, experimental plantings were established in pasture to determine whether plantings enhance seed dispersal and, ultimately, seedling recruitment. We examined patterns of naturally recruited seedlings of Ocotea uxpanapana, a large-seeded bird-dispersed tree endemic to southern Mexico that occurs in the surrounding landscape. We used GIS and least-cost path analysis to ask: (1) Do restoration efforts alter recruitment patterns? (2) What is the importance of canopy cover and likely dispersal pathways to establishment? Patterns of seedling establishment indicated that dispersal agents crossed open pastures to wooded plots. Recruitment was greatest under woody canopies. Also, by reducing movement cost or risk for seed dispersers, wooded canopies increased influx of large, animal-dispersed seeds, thereby restoring a degree of functional connectivity to the landscape. Together, canopy openness and path distance from potential parent trees in the surrounding landscape explained 73% of the variance in O. uxpanapana seedling distribution. Preliminary results suggest that strategic fenced plantings in pastures increase dispersal and establishment of large-seeded trees, thereby accelerating forest succession in restorations and contributing to greater connectivity among forest fragments.


Assuntos
Ecossistema , Árvores/fisiologia , Animais , Conservação dos Recursos Naturais , Florestas , México , Dispersão de Sementes , Plântula , Sementes , Clima Tropical
13.
Front Plant Sci ; 7: 1389, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-27721815

RESUMO

West Africa (WA) is among the most food insecure regions. Rapid human population growth and stagnating crop yields greatly contribute to this fact. Poor soil fertility, especially low plant available phosphorus (P) is constraining food production in the region. P-fertilizer use in WA is among the lowest in the world due to inaccessibility and high prices, often unaffordable to resource-poor subsistence farmers. This article provides an overview of soil P-deficiency in WA and opportunities to overcome it by exploiting sorghum and pearl millet genetic diversity. The topic is examined from the perspectives of plant breeding, soil science, plant physiology, plant nutrition, and agronomy, thereby referring to recent results obtained in a joint interdisciplinary research project, and reported literature. Specific objectives are to summarize: (1) The global problem of P scarcity and how it will affect WA farmers; (2) Soil P dynamics in WA soils; (3) Plant responses to P deficiency; (4) Opportunities to breed for improved crop adaptation to P-limited conditions; (5) Challenges and trade-offs for improving sorghum and pearl millet adaptation to low-P conditions in WA; and (6) Systems approaches to address soil P-deficiency in WA. Sorghum and pearl millet in WA exhibit highly significant genetic variation for P-uptake efficiency, P-utilization efficiency, and grain yield under P-limited conditions indicating the possibility of breeding P-efficient varieties. Direct selection under P-limited conditions was more efficient than indirect selection under high-P conditions. Combining P-uptake and P-utilization efficiency is recommendable for WA to avoid further soil mining. Genomic regions responsible for P-uptake, P-utilization efficiency, and grain yield under low-P have been identified in WA sorghum and pearl millet, and marker-assisted selection could be possible once these genomic regions are validated. Developing P-efficient genotypes may not, however, be a sustainable solution in itself in the long-term without replenishing the P removed from the system in harvested produce. We therefore propose the use of integrated soil fertility management and systems-oriented management such as enhanced crop-tree-livestock integration in combination with P-use-efficiency-improved varieties. Recycling P from animal bones, human excreta and urine are also possible approaches toward a partially closed and efficient P cycle in WA.

14.
Chemosphere ; 164: 508-515, 2016 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-27614986

RESUMO

This study evaluated the levels of As, Cd, and Pb in muscle and liver the cattle and chicken. The risk was estimated for the adult population of a midsized city in southeast Brazil, concerning the tolerable ingestion and cancer risk. Samples of muscle and liver (cattle and chicken) were collected (n = 250). Samples of mineral supplements for cattle (n = 4) and chicken feed samples (n = 4) were evaluated as one of many potential source of contamination. Muscle, liver, mineral supplement, and feed samples were dissolved in acid medium and analyzed by ICP-OES. Daily muscle and liver intake was estimated using a questionnaire (N = 427). Daily intake of trace elements by the population based on the consumption of cattle muscle, cattle liver, chicken muscle, and chicken liver was low, corresponding to 2.76%, 0.33%, 2.12%, and 0.22% of the Tolerable Intake defined by the WHO for As; 0.54%, 0.29% 0.55%, 0.01%, for Cd; and 0.80%, 0.07%, 0.62%, 0.02%, for Pb. The mean of total ingestion of As, Cd and Pb was 5.43%, 1.18% and 1.51%, respectively of Tolerable Intake defined by WHO. Cancer risk was lower than 5 × 10-5 year-1. The results indicate that the muscle and liver consumption is a source of As, Cd, and Pb. Consumers that ingest cattle and chicken muscle need attention in terms the risk of cancer related to intake of As and Cd. Feed and mineral supplementation remain as one of many sources of exposure of As, Cd, and Pb.


Assuntos
Arsênio/farmacocinética , Cádmio/farmacocinética , Contaminação de Alimentos/análise , Chumbo/farmacocinética , Fígado/metabolismo , Músculos/metabolismo , Neoplasias/epidemiologia , Adulto , Animais , Arsênio/análise , Arsênio/toxicidade , Intoxicação por Arsênico/epidemiologia , Intoxicação por Arsênico/etiologia , Brasil/epidemiologia , Cádmio/análise , Cádmio/toxicidade , Intoxicação por Cádmio/epidemiologia , Intoxicação por Cádmio/etiologia , Bovinos , Galinhas , Feminino , Humanos , Chumbo/análise , Chumbo/toxicidade , Intoxicação por Chumbo/epidemiologia , Intoxicação por Chumbo/etiologia , Masculino , Neoplasias/etiologia , Medição de Risco , Distribuição Tecidual
15.
Clin J Am Soc Nephrol ; 11(8): 1472-1483, 2016 08 08.
Artigo em Inglês | MEDLINE | ID: mdl-27151892

RESUMO

Climate change has led to significant rise of 0.8°C-0.9°C in global mean temperature over the last century and has been linked with significant increases in the frequency and severity of heat waves (extreme heat events). Climate change has also been increasingly connected to detrimental human health. One of the consequences of climate-related extreme heat exposure is dehydration and volume loss, leading to acute mortality from exacerbations of pre-existing chronic disease, as well as from outright heat exhaustion and heat stroke. Recent studies have also shown that recurrent heat exposure with physical exertion and inadequate hydration can lead to CKD that is distinct from that caused by diabetes, hypertension, or GN. Epidemics of CKD consistent with heat stress nephropathy are now occurring across the world. Here, we describe this disease, discuss the locations where it appears to be manifesting, link it with increasing temperatures, and discuss ongoing attempts to prevent the disease. Heat stress nephropathy may represent one of the first epidemics due to global warming. Government, industry, and health policy makers in the impacted regions should place greater emphasis on occupational and community interventions.


Assuntos
Mudança Climática , Epidemias , Calor Extremo/efeitos adversos , Transtornos de Estresse por Calor/epidemiologia , Insuficiência Renal Crônica/epidemiologia , América Central/epidemiologia , Desidratação/etiologia , Transtornos de Estresse por Calor/etiologia , Humanos , Índia/epidemiologia , América do Norte/epidemiologia , Esforço Físico , Insuficiência Renal Crônica/etiologia , América do Sul/epidemiologia , Sri Lanka/epidemiologia
16.
Philos Trans R Soc Lond B Biol Sci ; 370(1683): 20150009, 2015 Dec 05.
Artigo em Inglês | MEDLINE | ID: mdl-26503682

RESUMO

Reputations are a ubiquitous feature of human social life, and a large literature has been dedicated to explaining the relationship between prosocial reputations and cooperation in social dilemmas. However, humans form reputations in domains other than prosociality, such as economic competency that could affect cooperation. To date, no research has evaluated the relative effects of multiple reputation domains on cooperation. To bridge this gap, we analyse how prosocial and competency reputations affect cooperation in two Latin American communities (Bwa Mawego, Dominica, and Pucucanchita, Peru) across a number of social contexts (Dominica: labour contracting, labour exchange and conjugal partnership formation; Peru: agricultural and health advice network size). First, we examine the behavioural correlates of prosocial and competency reputations. Following, we analyse whether prosocial, competency, or both reputation domains explain the flow of cooperative benefits within the two communities. Our analyses suggest that (i) although some behaviours affect both reputation domains simultaneously, each reputation domain has a unique behavioural signature; and (ii) competency reputations affect cooperation across a greater number of social contexts compared to prosocial reputations. Results are contextualized with reference to the social markets in which behaviour is embedded and a call for greater theory development is stressed.


Assuntos
Comportamento Cooperativo , Relações Interpessoais , Características Culturais , Dominica , Feminino , Processos Grupais , Humanos , Masculino , Peru , População Rural , Fatores Sexuais , Desejabilidade Social
17.
West Indian Med J ; 64(3): 181-5, 2015 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-26426166

RESUMO

OBJECTIVE: This study was conducted to determine the importance of food cost in securing a healthy diet to combat non-communicable diseases. Several studies have evaluated whether healthier foods or diets cost more but a full range of health criteria has rarely been explored. Rather than merely comparing high and low energy dense foods, this study also included type of fat, vitamin, mineral and fibre content of foods in classifying them as healthy and less healthy. METHOD: Both 'commonly consumed' and 'all available' foods were ranked according to their nutritional value and potential positive or negative contribution to the development of major health problems in Jamaica such as obesity and chronic diseases. The costs of 158 food items were averaged from supermarkets, municipal markets and wholesale outlets in six parishes across Jamaica. Cost differentials were then assessed in comparing healthy and less healthy foods. RESULTS: The study found that among the commonly consumed foods in Jamaica, healthy options cost J$88 (US$0.78) more than less healthy ones. However, when all the available food items were considered, the less healthy options cost more. The cheapest daily cost of a nutritionally balanced diet in Jamaica varied considerably by parish but was on average J$269 (US$2.40) per person. For a family of three, this translates approximately to the total minimum wage per week. CONCLUSION: Eating healthy in Jamaica can be achieved at low cost if appropriate information on nutrient content/value for money is provided to consumers. Effective promotions by public and private sector agencies are essential for consumer choice to be optimal.

18.
West Indian Med J ; 63(1): 1-2, 2014 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-25303184
20.
PLoS One ; 9(8): e104656, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-25118608

RESUMO

Restoration of tropical forest depended in large part on seed dispersal by fruit-eating animals that transported seeds into planted forest patches. We tested effectiveness of dispersal agents as revealed by established recruits of tree and shrub species that bore seeds dispersed by birds, bats, or both. We documented restoration of dispersal processes over the first 76 months of experimental restoration in southern Mexico. Mixed-model repeated-measures randomized-block ANOVAs of seedlings recruited into experimental controls and mixed-species plantings from late-secondary and mature forest indicated that bats and birds played different roles in the first years of a restoration process. Bats dispersed pioneer tree and shrub species to slowly regenerating grassy areas, while birds mediated recruitment of later-successional species into planted stands of trees and to a lesser extent into controls. Of species of pioneer trees and shrubs established in plots, seven were primarily dispersed by birds, three by bats and four by both birds and bats. Of later-successional species recruited past the seedling stage, 13 were of species primarily dispersed by birds, and six were of species dispersed by both birds and bats. No later-successional species primarily dispersed by bats established in control or planted plots. Establishment of recruited seedlings was ten-fold higher under cover of planted trees than in grassy controls. Even pre-reproductive trees drew fruit-eating birds and the seeds that they carried from nearby forest, and provided conditions for establishment of shade-tolerant tree species. Overall, after 76 months of cattle exclusion, 94% of the recruited shrubs and trees in experimental plots were of species that we did not plant.


Assuntos
Aves/fisiologia , Quirópteros/fisiologia , Recuperação e Remediação Ambiental/métodos , Florestas , Dispersão de Sementes/fisiologia , Plântula/crescimento & desenvolvimento , Clima Tropical , Análise de Variância , Animais , México , Especificidade da Espécie
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