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1.
Environ Geochem Health ; 44(10): 3359-3376, 2022 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-34570292

RESUMO

Soil degradation, which is linked to poor nutrient management, remains a major constraint to sustained crop production in smallholder urban agriculture (UA) in sub-Saharan Africa (SSA). While organic nutrient resources are often used in UA to complement mineral fertilizers in soil fertility management, they are usually scarce and of poor quality to provide optimum nutrients for crop uptake. Alternative soil nutrient management options are required. This study, therefore, evaluates the short-term benefits of applying an aluminium-based water treatment residual (Al-WTR), in combination with compost and inorganic P fertilizer, on soil chemical properties, and maize (Zea mays L.) productivity and nutrient uptake. An eight-week greenhouse experiment was established with 12 treatments consisting of soil, Al-WTR and compost (with or without P fertilizer). The co-amendment (10% Al-WTR + 10% compost) produced maize shoot biomass of 3.92 ± 0.16 g at 5 weeks after emergence, significantly (p < 0.05) out-yielding the unamended control which yielded 1.33 ± 0.17 g. The addition of P fertilizer to the co-amendment further increased maize shoot yield by about twofold (7.23 ± 0.07 g). The co-amendment (10% Al-WTR + 10% C) with P increased maize uptake of zinc (Zn), copper (Cu) and manganese (Mn), compared with 10% C + P. Overall, the results demonstrate that combining Al-WTR, compost and P fertilizer increases maize productivity and micronutrient uptake in comparison with single amendments of compost and fertilizer. The enhanced micronutrient uptake can potentially improve maize grain quality, and subsequently human nutrition for the urban population of SSA, partly addressing the UN's Sustainable Development Goal number 3 of improving diets.


Assuntos
Oligoelementos , Purificação da Água , Agricultura/métodos , Alumínio , Cobre/metabolismo , Fertilizantes/análise , Humanos , Manganês , Micronutrientes , Minerais/metabolismo , Nitrogênio/análise , Solo/química , Zea mays/metabolismo , Zinco/metabolismo
2.
N Z Vet J ; 69(4): 247-254, 2021 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-33906586

RESUMO

CASE HISTORY: A kakapo (Strigops habroptilus) chick hatched on an off-shore island of New Zealand with a small white mass protruding through the cranial skin of the head. The chick's growth followed a normal pattern for kakapo but at 3 weeks of age the cranium mass was non-reducible and fixed in place and the chick was removed from the island for diagnostic imaging and hand-rearing. CLINICAL FINDINGS AND TREATMENT: A computed tomography (CT) examination revealed a full-thickness circular defect in the central cranium with suspected herniation of brain and dura. Surgery was performed at 37 days of age, and the herniated dura was dissected from the open fontanelle. Attempts to reduce the herniated tissue were unsuccessful, so the herniated dura and cortex were clamped and resected. The dura was closed and the periosteum of the skull was scarified and monofilament polypropylene mesh was secured tautly over the fontanelle. The mesh graft was infused with autologous bone marrow harvested from the ulna in an attempt to stimulate osteogenesis in the mesh repair. The skin flap was then closed. Post-operative recovery and healing were without complication. A CT examination 4 weeks after surgery showed no recurrence of the hernia, and a composite of mesh and scar over the open fontanelle which had reduced in diameter. The chick was released back onto an off-shore island with a radio transmitter and it continues to be monitored regularly. PATHOLOGICAL FINDINGS: The tissue resected at surgery consisted of a cylindrical core of cerebral parenchyma overlain by a mildly hyperplastic epidermis, and large amounts of oedematous fibrovascular tissue arising from the leptomeninges. DIAGNOSIS: Rostral parietal meningoencephalocoele. CLINICAL RELEVANCE: This is the first report of successful surgical resolution of a meningoencephalocoele in any bird. Techniques from human neurosurgery were adapted for the unique anatomical features of the avian skull. The risks of the procedure included increased intra-cranial pressure resulting in anaesthetic complications or death, cerebrospinal fluid leakage, meningitis or recurrence of the meningoencephalocoele. In the longer term, there was a risk of developmental deficits in cognition or behaviour. None of these complications eventuated in the short to medium term, probably due to the small size of the meningoencephalocoele.


Assuntos
Papagaios , Animais , Encéfalo , Nova Zelândia , Retalhos Cirúrgicos
3.
J Mech Behav Biomed Mater ; 119: 104400, 2021 07.
Artigo em Inglês | MEDLINE | ID: mdl-33893020

RESUMO

In this study, ram impacts at 5.5 m/s are simulated through finite element analysis in order to study the mechanical response of the brain. A calibrated internal state variable inelastic constitutive model was implemented into the finite element code to capture the brain behavior. Also, constitutive models for the horns were calibrated to experimental data from dry and wet horn keratin at low and high strain rates. By investigating responses in the different keratin material states that occur in nature, the bounds of the ram brain response are quantified. An acceleration as high as 607 g's was observed, which is an order of magnitude higher than predicted brain injury threshold values. In the most extreme case, the maximum tensile pressure and maximum shear strains in the ram brain were 245 kPa and 0.28, respectively. Because the rams do not appear to sustain injury, these impacts could give insight to the threshold limits of mechanical loading that can be applied to the brain. Following this motivation, the brain injury metric values found in this research could serve as true injury metrics for human head impacts.


Assuntos
Lesões Encefálicas , Encéfalo , Aceleração , Animais , Fenômenos Biomecânicos , Análise de Elementos Finitos , Cabeça , Humanos , Masculino , Ovinos , Estresse Mecânico
4.
Comput Methods Biomech Biomed Engin ; 24(11): 1169-1183, 2021 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-33635182

RESUMO

Chronic Traumatic Encephalopathy (CTE) affects a significant portion of athletes in contact sports but is difficult to quantify using clinical examinations and modeling approaches. We use an in silico approach to quantify CTE biomechanics using mesoscale Finite Element (FE) analysis that bridges with macroscale whole head FE analysis. The sulci geometry produces complex stress waves that interact with one another to create increased shear stresses at the sulci depth that are significantly larger than in analyses without sulci (from 0.5 to 18.0 kPa). Sulci peak stress concentration regions coincide with experimentally observed CTE sites documented in the literature. HighlightsSulci introduce stress localizations at their depth in the gray matterSulci stress fields interact to produce stress concentration sites in white matterDifferentiating brain tissue properties did not significantly affect peak stresses.


Assuntos
Encefalopatia Traumática Crônica , Esportes , Encéfalo , Análise de Elementos Finitos , Cabeça , Humanos
5.
Death Stud ; 43(1): 56-61, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-29394156

RESUMO

The current study examined the predictive value of cultural versus classic risk and protective factors for suicide in a community sample of 322 ethnic, sexual, and gender minority adults. Cultural factors played a significant and substantial role in predicting suicide attempts (explained 8% of variance in attempts and correctly classified 8.5% of attempters) over and above the classic factors of hopelessness, depression, and reason for living (which explained 17% of variance in attempts and correctly classified 14.1% of attempters). Findings suggest that cultural factors are important to include in standard suicide practice.


Assuntos
Comparação Transcultural , Prevenção do Suicídio , Suicídio/psicologia , Adulto , Etnicidade , Feminino , Humanos , Masculino , Fatores de Proteção , Fatores de Risco , Minorias Sexuais e de Gênero , Ideação Suicida , Tentativa de Suicídio/prevenção & controle , Tentativa de Suicídio/psicologia , Adulto Jovem
6.
J Gen Virol ; 100(1): 3-4, 2019 01.
Artigo em Inglês | MEDLINE | ID: mdl-30431412

RESUMO

The family Nodaviridae includes two genera, Alphanodavirus and Betanodavirus. The family name derives from the Japanese village of Nodamura where Nodamura virus was first isolated from Culex tritaeniorhynchus mosquitoes. Virions are non-enveloped and spherical in shape with icosahedral symmetry (T=3) and diameters ranging from 25 to 33 nm. The genome consists of two molecules of single-stranded positive-sense RNA: RNA1 and RNA2. The virion capsid consists of 180 protein subunits arranged on a T=3 surface lattice. Alphanodaviruses infect insects, whereas betanodaviruses are pathogens of fish. This is a summary of the International Committee on Taxonomy of Viruses (ICTV) Report on the taxonomy of the Nodaviridae, which is available at www.ictv.global/report/nodaviridae.


Assuntos
Nodaviridae/classificação , RNA Viral/genética , Proteínas Virais/análise , Vírion/ultraestrutura , Animais , Peixes/virologia , Insetos/virologia , Nodaviridae/genética , Nodaviridae/isolamento & purificação , Nodaviridae/ultraestrutura
7.
J Gen Virol ; 99(12): 1563-1564, 2018 12.
Artigo em Inglês | MEDLINE | ID: mdl-30507372

RESUMO

The family Sarthroviridae includes a single genus, Macronovirus, which in turn includes a single species, Macrobrachium satellite virus 1. Members of this species, named extra small virus, are satellite viruses of Macrobrachium rosenbergii nodavirus, an unclassified virus related to members of the family Nodaviridae. Both viruses have isometric, spherical virions, infect giant freshwater prawns and together cause white tail disease, which is responsible for mass mortalities and severe economic losses in hatcheries and farms. Infection is caused by both vertical and horizontal transmission of virus. Aquatic insects act as a carrier to transmit the disease in prawns. This is a summary of the International Committee on Taxonomy of Viruses (ICTV) Report on the taxonomy of the Sarthroviridae, which is available at www.ictv.global/report/sarthroviridae.


Assuntos
Nodaviridae/crescimento & desenvolvimento , Vírus de RNA/classificação , Vírus de RNA/genética , Vírus Satélites/classificação , Vírus Satélites/genética , Animais , Transmissão de Doença Infecciosa , Transmissão Vertical de Doenças Infecciosas , Insetos Vetores/virologia , Nodaviridae/ultraestrutura , Palaemonidae/virologia , Infecções por Vírus de RNA/transmissão , Infecções por Vírus de RNA/veterinária , Infecções por Vírus de RNA/virologia , Vírus de RNA/isolamento & purificação , Vírus de RNA/ultraestrutura , Vírus Satélites/isolamento & purificação , Vírus Satélites/ultraestrutura , Vírion/ultraestrutura
8.
Biotech Histochem ; 92(7): 459-466, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-28910197

RESUMO

It is difficult to identify reliable reference genes for transcriptomic analyses in biofluids such as saliva. This situation is particularly relevant for the newborn population, where rapid development is associated with dynamic changes in gene expression. Real-time gene expression monitoring holds great promise for elucidating disrupted pathways that result in morbidities unique to this population, such as retinopathy of prematurity, but its impact depends on identifying stable and consistently expressed genes across a wide range of gestational ages. We extracted total RNA from 400 neonatal saliva samples (postconceptional ages: 32 5/7 to 48 2/7 weeks), converted it to cDNA, and pre-amplified and analyzed it by qPCR for three commonly used reference genes, ACTB, GAPDH, and YWHAZ. Relative quantification was determined using the Δ Ct method. Data were analyzed as a whole and also stratified by age and sex. Descriptive statistics and homogeneity of variance were performed to identify optimal reference genes. Data analyzed from all ages and both sexes showed significant expression variation for ACTB, while GAPDH and YWHAZ showed greater stability. Male infants exhibited increased expression variation compared to females for ACTB, but neither GAPDH nor YWHAZ showed significant variance for either sex. We suggest that ACTB is an unreliable reference gene for the newborn population. Males showed significantly more variation in ACTB expression compared to females, which suggests a sex-specific developmental role for this biomarker. By contrast, GAPDH and YWHAZ were less variable and therefore preferable for use in neonates. Our findings may improve the use of reference genes for the RT-qPCR platform in the newborn over a wide range of gestational ages, thereby minimizing the likelihood of erroneous interpretation of gene expression during rapid growth, development, and differentiation.


Assuntos
Perfilação da Expressão Gênica , Reação em Cadeia da Polimerase em Tempo Real , Saliva/química , Proteínas 14-3-3 , Biomarcadores/química , Feminino , Expressão Gênica , Perfilação da Expressão Gênica/normas , Variação Genética , Gliceraldeído-3-Fosfato Desidrogenase (Fosforiladora) , Humanos , Recém-Nascido , Masculino , Padrões de Referência
9.
Psychol Med ; 47(7): 1179-1191, 2017 May.
Artigo em Inglês | MEDLINE | ID: mdl-27998319

RESUMO

BACKGROUND: The public health, public safety and clinical implications of violent events among adults with mental illness are significant; however, the causes and consequences of violence and victimization among adults with mental illness are complex and not well understood, which limits the effectiveness of clinical interventions and risk management strategies. This study examined interrelationships between violence, victimization, psychiatric symptoms, substance use, homelessness and in-patient treatment over time. METHOD: Available data were integrated from four longitudinal studies of adults with mental illness. Assessments took place at baseline, and at 1, 3, 6, 9, 12, 15, 18, 24, 30 and 36 months, depending on the parent studies' protocol. Data were analysed with the autoregressive cross-lag model. RESULTS: Violence and victimization were leading indicators of each other and affective symptoms were a leading indicator of both. Drug and alcohol use were leading indicators of violence and victimization, respectively. All psychiatric symptom clusters - affective, positive, negative, disorganized cognitive processing - increased the likelihood of experiencing at least one subsequent symptom cluster. Sensitivity analyses identified few group-based differences in the magnitude of effects in this heterogeneous sample. CONCLUSIONS: Violent events demonstrated unique and shared indicators and consequences over time. Findings indicate mechanisms for reducing violent events, including trauma-informed therapy, targeting internalizing and externalizing affective symptoms with cognitive-behavioral and psychopharmacological interventions, and integrating substance use and psychiatric care. Finally, mental illness and violence and victimization research should move beyond demonstrating concomitant relationships and instead focus on lagged effects with improved spatio-temporal contiguity.


Assuntos
Vítimas de Crime/estatística & dados numéricos , Hospitalização/estatística & dados numéricos , Pessoas Mal Alojadas/estatística & dados numéricos , Transtornos Mentais/epidemiologia , Violência/estatística & dados numéricos , Adulto , Humanos , Transtornos Mentais/terapia
10.
Acta Biomater ; 48: 300-308, 2017 01 15.
Artigo em Inglês | MEDLINE | ID: mdl-27793720

RESUMO

This paper investigates the effects of moisture, anisotropy, stress state, and strain rate on the mechanical properties of the bighorn sheep (Ovis Canadensis) horn keratin. The horns consist of fibrous keratin tubules extending along the length of the horn and are contained within an amorphous keratin matrix. Samples were tested in the rehydrated (35wt% water) and ambient dry (10wt% water) conditions along the longitudinal and radial directions under tension and compression. Increased moisture content was found to increase ductility and decrease strength, as well as alter the stress state dependent nature of the material. The horn keratin demonstrates a significant strain rate dependence in both tension and compression, and also showed increased energy absorption in the hydrated condition at high strain rates when compared to quasi-static data, with increases of 114% in tension and 192% in compression. Compressive failure occurred by lamellar buckling in the longitudinal orientation followed by shear delamination. Tensile failure in the longitudinal orientation occurred by lamellar delamination combined with tubule pullout and fracture. The structure-property relationships quantified here for bighorn sheep horn keratin can be used to help validate finite element simulations of ram's impacting each other as well as being useful for other analysis regarding horn keratin on other animals. STATEMENT OF SIGNIFICANCE: The horn of the bighorn sheep is an anisotropic composite composed of keratin that is highly sensitive to moisture content. Keratin is also found in many other animals in the form of hooves, claws, beaks, and feathers. Only one previous study contains high rate experimental data, which was performed in the dry condition and only in compression. Considering the bighorn sheep horns' protective role in high speed impacts along with the moisture and strain rate sensitivity, more high strain rate data is needed to fully characterize and model the material. This study provides high strain rate results demonstrating the effects of moisture, anisotropy, and stress state. As a result, the comprehensive data allows modeling efforts to be greatly improved.


Assuntos
Cornos/química , Umidade , Queratinas/química , Estresse Mecânico , Animais , Anisotropia , Fenômenos Biomecânicos , Força Compressiva , Cornos/ultraestrutura , Processamento de Imagem Assistida por Computador , Carneiro da Montanha , Estatística como Assunto , Resistência à Tração
11.
Biotech Histochem ; 90(8): 581-6, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-26052888

RESUMO

Analysis of saliva for clinical monitoring and biomarker detection holds great promise for improving health care. Commercially available assays are not intended for use with neonates, however, and collection and processing of saliva for subsequent transcriptomic analysis presents unique challenges in this population. We compared RNA yield, quality, stability and RT-qPCR performance for two commonly used commercial systems: the Qiagen RNeasy Protect Saliva Mini Kit(®) and the DNA Genotek Oragene•RNA(®) assay. Two 10 µl saliva samples were collected from ten newborns and stabilized for each assay. Total RNA was extracted following incubation for 3, 10, 15 or 20 days. Total RNA extracted from each assay was analyzed for integrity, quality and quantity using the Agilent BioAnalyzer 2100. RT-qPCR was performed for the reference gene, GAPDH, to assess subsequent performance of the extracted RNA. Although the DNA Genotek extraction protocol required nearly twice the time of the Qiagen protocol, RNA integrity did not differ between the kits. RNA concentration using the DNA Genotek assay, however, was 3,264 pg/µl (range: 262 - 10,336 pg/µl) compared to 822.4 pg/µl (range: 0 - 1,856 pg/µl) for the Qiagen protocol. Linear regression analysis showed a stronger correlation between the threshold cycle and RNA concentration using DNA Genotek (r(2) = 0.356) compared to Qiagen (r(2) = 0.0331). Our results suggest that although the Qiagen assay may reduce overall extraction time, RNA yield and performance in subsequent transcriptomic analysis is more robust using the DNA Genotek assay.


Assuntos
Testes Genéticos/métodos , Triagem Neonatal/métodos , RNA/genética , Saliva/química , Análise de Sequência de RNA/métodos , Manejo de Espécimes/métodos , Humanos , Recém-Nascido , Ácidos Nucleicos , RNA/química , RNA/isolamento & purificação , Reprodutibilidade dos Testes , Sensibilidade e Especificidade
12.
J Biomech Eng ; 136(2): 021023, 2014 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-24362893

RESUMO

The present study, through finite element simulations, shows the geometric effects of a bioinspired solid on pressure and impulse mitigation for an elastic, plastic, and viscoelastic material. Because of the bioinspired geometries, stress wave mitigation became apparent in a nonintuitive manner such that potential real-world applications in human protective gear designs are realizable. In nature, there are several toroidal designs that are employed for mitigating stress waves; examples include the hyoid bone on the back of a woodpecker's jaw that extends around the skull to its nose and a ram's horn. This study evaluates four different geometries with the same length and same initial cross-sectional diameter at the impact location in three-dimensional finite element analyses. The geometries in increasing complexity were the following: (1) a round cylinder, (2) a round cylinder that was tapered to a point, (3) a round cylinder that was spiraled in a two dimensional plane, and (4) a round cylinder that was tapered and spiraled in a two-dimensional plane. The results show that the tapered spiral geometry mitigated the greatest amount of pressure and impulse (approximately 98% mitigation) when compared to the cylinder regardless of material type (elastic, plastic, and viscoelastic) and regardless of input pressure signature. The specimen taper effectively mitigated the stress wave as a result of uniaxial deformational processes and an induced shear that arose from its geometry. Due to the decreasing cross-sectional area arising from the taper, the local uniaxial and shear stresses increased along the specimen length. The spiral induced even greater shear stresses that help mitigate the stress wave and also induced transverse displacements at the tip such that minimal wave reflections occurred. This phenomenon arose although only longitudinal waves were introduced as the initial boundary condition (BC). In nature, when shearing occurs within or between materials (friction), dissipation usually results helping the mitigation of the stress wave and is illustrated in this study with the taper and spiral geometries. The combined taper and spiral optimized stress wave mitigation in terms of the pressure and impulse; thus providing insight into the ram's horn design and woodpecker hyoid designs found in nature.


Assuntos
Transferência de Energia/fisiologia , Modelos Biológicos , Espalhamento de Radiação , Som , Vibração , Animais , Força Compressiva/fisiologia , Simulação por Computador , Módulo de Elasticidade/fisiologia , Humanos , Pressão , Resistência ao Cisalhamento/fisiologia , Estresse Mecânico , Resistência à Tração/fisiologia , Viscosidade
13.
Placenta ; 34(4): 385-7, 2013 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-23410722

RESUMO

Maspin is a serine protease inhibitor involved in regulating human placental trophoblast cell migration. Maspin has not been studied in preeclampsia (PE) or relative to the maternal-fetal immunological relationship, both of which may involve altered trophoblast migration. We examined maspin expression in placentas from in vitro fertilization (IVF) and egg donor (ED) pregnancies with and without PE. Exclusive to the chorionic plate, the number of maspin-positive extravillous trophoblasts was significantly decreased in IVF-PE vs. IVF (p = 0.005) and ED vs. IVF (p = 0.013). These data suggest maspin expression may be influenced by PE and/or the immunological dynamics of pregnancy.


Assuntos
Córion/metabolismo , Placenta/metabolismo , Pré-Eclâmpsia/fisiopatologia , Serpinas/biossíntese , Feminino , Fertilização in vitro , Humanos , Doação de Oócitos , Pré-Eclâmpsia/metabolismo , Gravidez/imunologia
15.
Placenta ; 32 Suppl 4: S298-303, 2011 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-21546085

RESUMO

Novel therapies are needed for the treatment of acute and chronic lung diseases, many of which are incurable. The use of exogenous stem cells has shown promise in both animal models and clinical trials. However, to date, the stem cell literature has under-recognized naturally acquired pregnancy-associated progenitor cells (PAPCs). These cells are found at sites of injury or disease in female tissues. They persist for decades after parturition in maternal blood and organs, with the largest number being found in the maternal lungs. Their presence there may be one explanation for the sex differences observed in the prevalence and prognosis of some lung diseases. Although the clinical significance of these cells is as yet unknown, the literature suggests that some of the PAPCs are stem cells or have stem cell-like properties. PAPCs harvested from the blood or organs of parous women could potentially be used as an alternate source of cells with regenerative properties for the woman herself or her children. Because PAPCs preferentially traffic to the maternal lung they may play a significant role in recovery or protection from lung disease. In this review article, we discuss ongoing research investigating the administration of both adult and placenta-derived stem cells to treat lung disease, and how PAPCs may also play an important future therapeutic role.


Assuntos
Células-Tronco Embrionárias/patologia , Pneumopatias/patologia , Placenta/patologia , Animais , Modelos Animais de Doenças , Feminino , Humanos , Pneumopatias/cirurgia , Masculino , Camundongos , Gravidez , Transplante de Células-Tronco/normas
16.
Plant Dis ; 95(6): 697-704, 2011 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-30731899

RESUMO

Bacterial fruit blotch (BFB), caused by the seedborne, gram-negative bacterium Acidovorax citrulli, is a serious threat to cucurbit seed and fruit production worldwide. Because of the lack of effective management strategies, we investigated the efficacy of a nonpathogenic A. citrulli strain as a biological control seed treatment for BFB. For this study, we generated a type III secretion system mutant of A. citrulli, AAC00-1ΔhrcC, that was nonpathogenic on watermelon but retained its ability to colonize germinating watermelon seed. With watermelon seed naturally infested with A. citrulli, AAC00-1ΔhrcC reduced BFB seedling transmission by 81.8% relative to control seed. In comparison, another A. citrulli antagonist, A. avenae strain AAA 99-2, reduced BFB seedling transmission by 74.6% for seed samples from the same lot. Additionally, when female watermelon blossoms were protected with AAC00-ΔhrcC and subsequently challenged with AAC00-1, the resulting seedlots displayed 8% BFB seedling transmission. This was not significantly different than seed from blossoms protected with AAA 99-2 (4%) but significantly less than those from blossoms protected with 0.1 M phosphate-buffered saline (36%). These results suggest that nonpathogenic A. citrulli has potential as a biological control seed treatment component in a comprehensive BFB management program.

17.
Mult Scler ; 14(8): 1127-30, 2008 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-18632776

RESUMO

BACKGROUND: Sleep disturbance in multiple sclerosis has received little research attention despite the potential influence it may have on disease impact. OBJECTIVE: To estimate the prevalence of sleep disorders in a large community sample of individuals with multiple sclerosis. METHODS: A cross-sectional self-report survey of 1063 persons with multiple sclerosis. Sleep was assessed using the Women's Health Initiative Insomnia Rating Scale and Medical Outcomes Study Sleep measure. RESULTS: The prevalence of sleep problems in multiple sclerosis is significantly higher than in the general population or other chronic diseases and may affect women with multiple sclerosis more than men. CONCLUSION: Sleep disturbance should routinely be evaluated in patients with multiple sclerosis and new interventions developed.


Assuntos
Esclerose Múltipla/complicações , Transtornos do Sono-Vigília/epidemiologia , Adulto , Doença Crônica , Estudos Transversais , Feminino , Inquéritos Epidemiológicos , Humanos , Masculino , Prevalência , Transtornos do Sono-Vigília/etiologia , Ronco/epidemiologia , Estados Unidos/epidemiologia , Washington/epidemiologia , Adulto Jovem
18.
Mult Scler ; 14(9): 1292-7, 2008 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-18632785

RESUMO

BACKGROUND: Recognizing the need for more evidence-based multiple sclerosis (MS) rehabilitation, in the mid-2000s several initiatives were undertaken to explore why there had been a paucity of such research and to determine strategies to reverse this pattern. EXPERT-OPINION-PAPER: In 2004 the National Multiple Sclerosis Society (NMSS) convened an expert opinion panel, reviewed evidence-based MS rehabilitation research, and published the paper on the web. It was concluded that much of the MS rehabilitation carried out was based on experience, with little research backing it up. INCREASING THE QUALITY AND QUANTITY OF MS REHABILITATION RESEARCH: Largely as a result of the conclusions of the Expert-Opinion-Paper, the NMSS convened a conference of a large number of MS and rehabilitation experts in New York in May, 2005. This conference made many recommendations of ways to increase the quantity and quality of MS research. STATE OF THE SCIENCE CONFERENCE: In September, 2006, a follow-up conference was held in Washington, D.C... This conference, primarily sponsored by the University of Washington Multiple Sclerosis Rehabilitation Research and Training Center (MS RRTC), focused on some of the under-studied "hidden" disabilities present in persons with MS. This paper discusses the details and recommendations of these latter two conferences.


Assuntos
Pesquisa Biomédica/normas , Pesquisa Biomédica/tendências , Esclerose Múltipla/reabilitação , Pesquisa/normas , Pesquisa/tendências , Medicina Baseada em Evidências , Humanos
19.
Clin Pharmacol Ther ; 82(6): 644-52, 2007 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-17971823

RESUMO

The development of new vaccines against pathogens is an important part of infectious disease control. In the last decade, a variety of proteins giving rise to naturally processed pathogen-derived antigenic peptides, representing B-cell and T-cell epitopes, have been characterized. Numerous candidate vaccines consisting of synthetic peptides are being designed and evaluated, with encouraging results. In this context, the application of mass spectrometry based on the isolation and identification of pathogen-derived peptides from the human leukocyte antigen (HLA) molecules is a major focus of peptide-based vaccine development. Dramatic improvements have been made in mass spectrometer performance for peptide sequencing in terms of increased sensitivity, the ability to rapidly obtain data-directed tandem mass spectra, and the accuracy of mass measurement. This review focuses on the efforts to identify T-cell epitopes for viral and microbial pathogens for directed vaccine development.


Assuntos
Epitopos de Linfócito T , Antígenos de Histocompatibilidade Classe II , Antígenos de Histocompatibilidade Classe I , Vírus do Sarampo , Espectrometria de Massas em Tandem , Vacinas , Vaccinia virus , Animais , Vacinas Bacterianas , Linfócitos T CD4-Positivos , Linfócitos T CD8-Positivos , Desenho de Fármacos , Antígenos HLA , Humanos , Isótopos , Vírus do Sarampo/imunologia , Peptídeos , Vaccinia virus/imunologia , Vacinas Virais
20.
Mult Scler ; 13(8): 1046-53, 2007 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-17623732

RESUMO

Depressive symptoms and disorders among individuals with multiple sclerosis (MS) are more common when compared to other chronic illnesses and the general population, but relatively little is known about the use of antidepressant medication in this population. In this cross-sectional study of 542 community-dwelling adults with MS, we examined the prevalence of antidepressant use and employed multivariate logistic regression modeling to identify factors significantly associated with antidepressant use. Thirty-five percent of the sample reported currently using at least one antidepressant medication. Gender, marital status, insurance status, fatigue, and use of disease modifying therapies were all significantly associated with antidepressant use. Just over half of the sample endorsed a clinically significant level of depressive symptoms, and the majority of this group was not currently taking an antidepressant. Conversely, 41% of those with depressive symptoms reported taking at least one antidepressant medication. More research is needed to better understand why people with MS and depressive symptoms use or do not use antidepressant medications and to further explore the possibility of an under-treatment of depressive disorder in this population. Rigorous studies testing the feasibility, acceptability, and efficacy of currently available therapies for depression in the MS population should also be conducted.


Assuntos
Antidepressivos/uso terapêutico , Nível de Saúde , Esclerose Múltipla/tratamento farmacológico , Esclerose Múltipla/psicologia , Idoso , Estudos Transversais , Escolaridade , Emprego , Feminino , Inquéritos Epidemiológicos , Humanos , Seguro Saúde , Masculino , Medicare , Pessoa de Meia-Idade , Sociedades Médicas , Estados Unidos , Washington
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