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1.
Funct Neurol ; 33(4): 206-212, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30663967

RESUMO

Individuals with Parkinson's disease (PD) and freezing of gait (FOG) have impaired postural control. Recent studies using foot sensory stimulation delivered by means of automated mechanical peripheral stimulation (AMPS) have demonstrated improvements of gait in individuals with PD. This study aimed to investigate the effects of AMPS on postural control in individuals with PD and FOG. Thirty-three subjects participated in this randomized controlled trial. Participants were allocated to two groups: AMPS and AMPS SHAM. Subjects underwent eight sessions of real (AMPS) or placebo AMPS (AMPS SHAM) once every three/four days. Postural control was assessed by means of posturography before the first and after the eighth session of treatment. We did not find positive effects of AMPS on center of pressure parameters. Thus, it seems that AMPS has no positive effect in terms of improving static postural control in individuals with PD and FOG.


Assuntos
Transtornos Neurológicos da Marcha/reabilitação , Reabilitação Neurológica/métodos , Avaliação de Resultados em Cuidados de Saúde , Doença de Parkinson/reabilitação , Equilíbrio Postural/fisiologia , Idoso , Feminino , Transtornos Neurológicos da Marcha/etiologia , Humanos , Masculino , Pessoa de Meia-Idade , Doença de Parkinson/complicações , Estimulação Física/métodos
2.
Arch Microbiol ; 196(4): 227-34, 2014 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-24531524

RESUMO

Despite the fact that Bacillus thuringiensis (Bt) is found in more than 90 % of the products used against insects, it has some difficulty reaching the internal regions where the larvae feed. To solve this problem, many genetically modified microorganisms that colonize the same pests have been developed. Thus, the endophytic bacterium Pantoea agglomerans (33.1), which has been recently described as a promising sugarcane growth promoter, was genetically modified with the pJTT vector (which carries the gene cry1Ac7) to control the sugarcane borer, Diatraea saccharalis. Firstly, the bioassays for D. saccharalis control by 33.1:pJTT were conducted with an artificial diet. A new in vivo methodology was also developed, which confirmed the partial control of larvae by 33.1:pJTT. The 33.1:pJTT strain was inoculated into sugarcane stalks containing the D. saccharalis larvae. In the sugarcane stalks, 33.1:pJTT was able to increase the mortality of D. saccharalis larvae, impair larval development and decrease larval weight. Sugarcane seedlings were inoculated with 33.1:pJTT, and re-isolation confirmed the capacity of 33.1:pJTT to continuously colonize the sugarcane. These results prove that P. agglomerans (33.1), a sugarcane growth promoter, can be improved by expressing the Cry protein, and the resulting strain is able to control the sugarcane borer.


Assuntos
Proteínas de Bactérias/genética , Endotoxinas/genética , Proteínas Hemolisinas/genética , Mariposas/microbiologia , Pantoea/genética , Controle Biológico de Vetores/normas , Animais , Bacillus thuringiensis/genética , Toxinas de Bacillus thuringiensis , Larva/crescimento & desenvolvimento , Mariposas/crescimento & desenvolvimento , Plasmídeos/genética , Saccharum
3.
Clin Exp Allergy ; 43(7): 762-74, 2013 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-23786283

RESUMO

BACKGROUND: Many studies report that damp housing conditions are associated with respiratory symptoms. Less is known about mechanisms and possible effect modifiers. Studies of dampness in relation to allergic sensitization and eczema are scarce. OBJECTIVE: We study the influence of damp housing conditions world-wide on symptoms and objective outcomes. METHODS: Cross-sectional studies of 8-12-year-old children in 20 countries used standardized methodology from Phase Two of the International Study of Asthma and Allergies in Childhood (ISAAC). Symptoms of asthma, rhinitis and eczema, plus residential exposure to dampness and moulds, were ascertained by parental questionnaires (n = 46 051). Skin examination, skin prick tests (n = 26 967) and hypertonic saline bronchial challenge (n = 5713) were performed. In subsamples stratified by wheeze (n = 1175), dust was sampled and analysed for house dust mite (HDM) allergens and endotoxin. RESULTS: Current exposure to dampness was more common for wheezy children (pooled odds ratio 1.58, 95% CI 1.40-1.79) and was associated with greater symptom severity among wheezers, irrespective of atopy. A significant (P < 0.01) adverse effect of dampness was also seen for cough and phlegm, rhinitis and reported eczema, but not for examined eczema, nor bronchial hyperresponsiveness. HDM sensitization was more common in damp homes (OR 1.16, 1.03-1.32). HDM-allergen levels were higher in damp homes and were positively associated with HDM-sensitization, but not wheeze. CONCLUSION: A consistent association of dampness with respiratory and other symptoms was found in both affluent and non-affluent countries, among both atopic and non-atopic children. HDM exposure and sensitization may contribute, but the link seems to be related principally to non-atopic mechanisms.


Assuntos
Asma/etiologia , Eczema/etiologia , Exposição Ambiental/efeitos adversos , Fungos , Umidade/efeitos adversos , Rinite Alérgica Perene/etiologia , Índice de Gravidade de Doença , Asma/imunologia , Asma/fisiopatologia , Testes de Provocação Brônquica , Criança , Estudos Transversais , Eczema/imunologia , Eczema/fisiopatologia , Feminino , Humanos , Masculino , Rinite Alérgica , Rinite Alérgica Perene/imunologia , Rinite Alérgica Perene/fisiopatologia , Testes Cutâneos
4.
Clin Exp Allergy ; 43(2): 223-32, 2013 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-23331563

RESUMO

BACKGROUND: Classification of respiratory symptoms may help to identify different underlying asthma phenotypes reflecting differences in aetiology and prognosis of wheezing disease among children. OBJECTIVE: To determine childhood asthma phenotypes based on respiratory symptoms from a widely used questionnaire to further classify phenotypes in international settings. METHODS: Between 2000 and 2002 cross-sectional studies were performed in four centres in Spain. Parental questionnaires were used to collect information on allergic diseases in more than 4000 children aged 8-12 years. In addition, objective markers for allergic sensitization and bronchial hyperresponsiveness (BHR) were measured. Latent class analyses (LCA) were applied to identify subgroups of children according to respiratory symptoms, and then the association of these groups with relevant clinical features such as concomitant allergic disease symptoms, atopy and BHR was studied. RESULTS: We found seven classes, one corresponding to healthy children, three classes related to wheeze and three other classes mainly related to congestion and coughed-up phlegm. These tentative phenotypes differed in severity of symptoms and also in clinical correlates such as BHR and allergic sensitization. Atopy was more predominant in the 'wheeze phenotypes' whereas concomitant 'allergic' symptoms were most frequent in two of the 'wheeze phenotypes' and one of the 'cough phenotypes'. CONCLUSIONS: LCA on reported symptoms in a cross-sectional survey allowed different subgroups with meaningful clinical correlates to be defined. It remains to be investigated to what extent these groups also have different aetiologies, prognoses and therapeutic needs.


Assuntos
Asma/diagnóstico , Fenótipo , Sons Respiratórios/diagnóstico , Antiasmáticos/administração & dosagem , Antiasmáticos/uso terapêutico , Asma/tratamento farmacológico , Asma/etiologia , Criança , Estudos Transversais , Feminino , Humanos , Masculino , Sons Respiratórios/efeitos dos fármacos , Sons Respiratórios/etiologia , Fatores de Risco , Espanha , Inquéritos e Questionários
5.
Appl Environ Microbiol ; 78(21): 7511-8, 2012 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-22865062

RESUMO

The promotion of sugarcane growth by the endophytic Pantoea agglomerans strain 33.1 was studied under gnotobiotic and greenhouse conditions. The green fluorescent protein (GFP)-tagged strain P. agglomerans 33.1::pNKGFP was monitored in vitro in sugarcane plants by microscopy, reisolation, and quantitative PCR (qPCR). Using qPCR and reisolation 4 and 15 days after inoculation, we observed that GFP-tagged strains reached similar density levels both in the rhizosphere and inside the roots and aerial plant tissues. Microscopic analysis was performed at 5, 10, and 18 days after inoculation. Under greenhouse conditions, P. agglomerans 33.1-inoculated sugarcane plants presented more dry mass 30 days after inoculation. Cross-colonization was confirmed by reisolation of the GFP-tagged strain. These data demonstrate that 33.1::pNKGFP is a superior colonizer of sugarcane due to its ability to colonize a number of different plant parts. The growth promotion observed in colonized plants may be related to the ability of P. agglomerans 33.1 to synthesize indoleacetic acid and solubilize phosphate. Additionally, this strain may trigger chitinase and cellulase production by plant roots, suggesting the induction of a plant defense system. However, levels of indigenous bacterial colonization did not vary between inoculated and noninoculated sugarcane plants under greenhouse conditions, suggesting that the presence of P. agglomerans 33.1 has no effect on these communities. In this study, different techniques were used to monitor 33.1::pNKGFP during sugarcane cross-colonization, and our results suggested that this plant growth promoter could be used with other crops. The interaction between sugarcane and P. agglomerans 33.1 has important benefits that promote the plant's growth and fitness.


Assuntos
Endófitos/crescimento & desenvolvimento , Pantoea/crescimento & desenvolvimento , Saccharum/crescimento & desenvolvimento , Saccharum/microbiologia , Biofilmes , Celulase/biossíntese , Quitinases/biossíntese , Endófitos/metabolismo , Proteínas de Fluorescência Verde , Ácidos Indolacéticos/metabolismo , Pantoea/genética , Pantoea/isolamento & purificação , Pantoea/metabolismo , Fosfatos/metabolismo , Raízes de Plantas/microbiologia , Rizosfera , Saccharum/metabolismo
6.
Genet Mol Res ; 11(3): 2021-34, 2012 Aug 06.
Artigo em Inglês | MEDLINE | ID: mdl-22911586

RESUMO

The herbicide propanil has long been used in rice production in southern Brazil. Bacteria isolated from contaminated soils in Massaranduba, Santa Catarina, Brazil, were found to be able to grow in the presence of propanil, using this compound as a carbon source. Thirty strains were identified as Pseudomonas (86.7%), Serratia (10.0%), and Acinetobacter (3.3%), based on phylogenetic analysis of 16S rDNA. Little genetic diversity was found within species, more than 95% homology, suggesting that there is selective pressure to metabolize propanil in the microbial community. Two strains of Pseudomonas (AF7 and AF1) were selected in bioreactor containing chemotactic growth medium, with the highest degradation activity of propanil exhibited by strain AF7, followed by AF1 (60 and 40%, respectively). These strains when encapsulated in alginate exhibited a high survival rate and were able to colonize the rice root surfaces. Inoculation with Pseudomonas strains AF7 and AF1 significantly improved the plant height of rice. Most of the Pseudomonas strains produced indoleacetic acid, soluble mineral phosphate, and fixed nitrogen. These bacterial strains could potentially be used for the bioremediation of propanil-contaminated soils and the promotion of plant growth.


Assuntos
Bactérias/genética , Bactérias/isolamento & purificação , Variação Genética , Oryza/crescimento & desenvolvimento , Oryza/microbiologia , Propanil/metabolismo , Rizosfera , Alginatos , Bactérias/metabolismo , Bactérias/ultraestrutura , Sequência de Bases , Biodegradação Ambiental/efeitos dos fármacos , Células Imobilizadas/citologia , Células Imobilizadas/efeitos dos fármacos , Células Imobilizadas/ultraestrutura , DNA Ribossômico/genética , Ácido Glucurônico , Ácidos Hexurônicos , Microesferas , Oryza/efeitos dos fármacos , Filogenia , Propanil/farmacologia , Pseudomonas/efeitos dos fármacos , Pseudomonas/genética , Pseudomonas/crescimento & desenvolvimento , Pseudomonas/ultraestrutura , Transformação Genética/efeitos dos fármacos
7.
Braz. j. med. biol. res ; 45(6): 537-545, June 2012. ilus, tab
Artigo em Inglês | LILACS | ID: lil-622780

RESUMO

The aim of this study was to analyze the alterations of arm and leg movements of patients during stroke gait. Joint angles of upper and lower limbs and spatiotemporal variables were evaluated in two groups: hemiparetic group (HG, 14 hemiparetic men, 53 ± 10 years) and control group (CG, 7 able-bodied men, 50 ± 4 years). The statistical analysis was based on the following comparisons (P ≤ 0.05): 1) right versus left sides of CG; 2) affected (AF) versus unaffected (UF) sides of HG; 3) CG versus both the affected and unaffected sides of HG, and 4) an intracycle comparison of the kinematic continuous angular variables between HG and CG. This study showed that the affected upper limb motion in stroke gait was characterized by a decreased range of motion of the glenohumeral (HG: 6.3 ± 4.5, CG: 20.1 ± 8.2) and elbow joints (AF: 8.4 ± 4.4, UF: 15.6 ± 7.6) on the sagittal plane and elbow joint flexion throughout the cycle (AF: 68.2 ± 0.4, CG: 46.8 ± 2.7). The glenohumeral joint presented a higher abduction angle (AF: 14.2 ± 1.6, CG: 11.5 ± 4.0) and a lower external rotation throughout the cycle (AF: 4.6 ± 1.2, CG: 22.0 ± 3.0). The lower limbs showed typical alterations of the stroke gait patterns. Thus, the changes in upper and lower limb motion of stroke gait were identified. The description of upper limb motion in stroke gait is new and complements gait analysis.


Assuntos
Adulto , Humanos , Masculino , Pessoa de Meia-Idade , Braço/fisiologia , Marcha/fisiologia , Perna (Membro)/fisiologia , Paresia/fisiopatologia , Acidente Vascular Cerebral/fisiopatologia , Pontos de Referência Anatômicos , Fenômenos Biomecânicos , Articulação do Cotovelo/fisiopatologia , Movimento/fisiologia , Amplitude de Movimento Articular , Estatísticas não Paramétricas , Articulação do Ombro/fisiopatologia
8.
Braz J Med Biol Res ; 45(6): 537-45, 2012 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-22473324

RESUMO

The aim of this study was to analyze the alterations of arm and leg movements of patients during stroke gait. Joint angles of upper and lower limbs and spatiotemporal variables were evaluated in two groups: hemiparetic group (HG, 14 hemiparetic men, 53 ± 10 years) and control group (CG, 7 able-bodied men, 50 ± 4 years). The statistical analysis was based on the following comparisons (P ≤ 0.05): 1) right versus left sides of CG; 2) affected (AF) versus unaffected (UF) sides of HG; 3) CG versus both the affected and unaffected sides of HG, and 4) an intracycle comparison of the kinematic continuous angular variables between HG and CG. This study showed that the affected upper limb motion in stroke gait was characterized by a decreased range of motion of the glenohumeral (HG: 6.3 ± 4.5, CG: 20.1 ± 8.2) and elbow joints (AF: 8.4 ± 4.4, UF: 15.6 ± 7.6) on the sagittal plane and elbow joint flexion throughout the cycle (AF: 68.2 ± 0.4, CG: 46.8 ± 2.7). The glenohumeral joint presented a higher abduction angle (AF: 14.2 ± 1.6, CG: 11.5 ± 4.0) and a lower external rotation throughout the cycle (AF: 4.6 ± 1.2, CG: 22.0 ± 3.0). The lower limbs showed typical alterations of the stroke gait patterns. Thus, the changes in upper and lower limb motion of stroke gait were identified. The description of upper limb motion in stroke gait is new and complements gait analysis.


Assuntos
Braço/fisiologia , Marcha/fisiologia , Perna (Membro)/fisiologia , Paresia/fisiopatologia , Acidente Vascular Cerebral/fisiopatologia , Adulto , Pontos de Referência Anatômicos , Fenômenos Biomecânicos , Articulação do Cotovelo/fisiopatologia , Humanos , Masculino , Pessoa de Meia-Idade , Movimento/fisiologia , Amplitude de Movimento Articular , Articulação do Ombro/fisiopatologia , Estatísticas não Paramétricas
9.
Br J Dermatol ; 167(1): 59-67, 2012 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-22530854

RESUMO

BACKGROUND: Little is known about the associations of metabolic aberrations with malignant melanoma (MM) and nonmelanoma skin cancer (NMSC). OBJECTIVES: To assess the associations between metabolic factors (both individually and combined) and the risk of skin cancer in the large prospective Metabolic Syndrome and Cancer Project (Me-Can). METHODS: During a mean follow-up of 12 years of the Me-Can cohort, 1728 (41% women) incident MM, 230 (23% women) fatal MM and 1145 (33% women) NMSC were identified. Most NMSC cases (76%) were squamous cell carcinoma (SCC) (873, 33% women). Hazard ratios (HRs) were estimated by Cox proportional hazards regression for quintiles and standardized z-scores (with a mean of 0 and SD of 1) of body mass index (BMI), blood pressure, glucose, cholesterol, triglycerides and for a combined metabolic syndrome score. Risk estimates were corrected for random error in the measurements. RESULTS: Blood pressure per unit increase of z-score was associated with an increased risk of incident MM cases in men and women [HR 1·17, 95% confidence interval (CI) 1·04-1·31 and HR 1·18, 95% CI 1·03-1·36, respectively] and fatal MM cases among women (HR 2·39, 95% CI 1·58-3·64). In men, all quintiles for BMI above the reference were associated with a higher risk of incident MM. In women, SCC NMSC risk increased across quintiles for glucose levels (P-trend 0·02) and there was a trend with triglyceride concentration (P-trend 0·09). CONCLUSION: These findings suggest that mechanisms linked to blood pressure may be involved in the pathogenesis of MM. SCC NMSC in women could be related to glucose and lipid metabolism.


Assuntos
Melanoma/etiologia , Síndrome Metabólica/complicações , Neoplasias Cutâneas/etiologia , Adulto , Austrália/epidemiologia , Estudos de Casos e Controles , Feminino , Humanos , Incidência , Masculino , Melanoma/epidemiologia , Melanoma/metabolismo , Síndrome Metabólica/epidemiologia , Pessoa de Meia-Idade , Noruega/epidemiologia , Estudos Prospectivos , Fatores de Risco , Neoplasias Cutâneas/epidemiologia , Neoplasias Cutâneas/metabolismo , Suécia/epidemiologia
10.
Br J Dermatol ; 165(6): 1280-9, 2011 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-21883137

RESUMO

BACKGROUND: Exclusive breastfeeding for at least 4 months is recommended by many governments and allergy organizations to prevent allergic disease. OBJECTIVES: To investigate whether exclusive breastfeeding protects against childhood eczema. METHODS: Study subjects comprised 51,119 randomly selected 8- to 12-year-old schoolchildren in 21 countries. Information on eczema and breastfeeding was gathered by parental questionnaire. Children were also examined for flexural eczema and underwent skin prick testing. Odds ratios (ORs) were calculated for each study centre and then pooled across populations. RESULTS: There was a small increase in the risk of reported 'eczema ever' in association with 'breastfeeding ever' and breastfeeding < 6 months [pooled adjusted OR 1·11, 95% confidence interval (CI) 1·00-1·22 and OR 1·10, 95% CI 1·02-1·20, respectively]. There was no significant association between reported 'eczema ever' and breastfeeding > 6 months (pooled adjusted OR 1·09, 95% CI 0·94-1·26). Risk estimates were very similar for exclusive breastfeeding < 2 months, 2-4 months and > 4 months and for eczema symptoms in the past 12 months and eczema on skin examination. As for more severe eczema, breastfeeding per se conveyed a risk reduction on sleep disturbed eczema (pooled adjusted OR 0·71, 95% CI 0·53-0·96), but this effect was lost where children had been exclusively breastfed for > 4 months (pooled adjusted OR 1·02, 95% CI 0·67-1·54). Allergic sensitization and a history of maternal allergic disease did not modify any of these findings. CONCLUSIONS: Although there was a protective effect of ever having been breastfed on more severe disease, we found no evidence that exclusive breastfeeding for 4 months or longer protects against eczema. Our results are consistent with findings from a recent systematic review of prospective studies. The U.K. breastfeeding guidelines with regard to eczema should be reviewed. Intervention studies are now required to explore how and when solids should be introduced alongside breastfeeding to aid protection against eczema and other allergic diseases.


Assuntos
Aleitamento Materno/estatística & dados numéricos , Eczema/prevenção & controle , Criança , Estudos Transversais , Eczema/epidemiologia , Escolaridade , Feminino , Humanos , Masculino , Fatores de Risco , Testes Cutâneos , Fatores de Tempo
11.
Osteoporos Int ; 22(5): 1593-8, 2011 May.
Artigo em Inglês | MEDLINE | ID: mdl-20683703

RESUMO

SUMMARY: Potential predictors of availability and use of hip protectors were studied in residents of 48 nursing homes. The likelihood of being offered a hip protector was reduced in men, in residents with very low or very high care needs, in residents with migration background, and in recipients of welfare aid. INTRODUCTION: The purpose of this study is to analyze potential predictors of availability and use of hip protectors in residents of nursing homes. METHODS: In 48 German nursing homes, individual information on availability and use of hip protectors was collected from all institutionalized residents (3,924 residents; 78.2% women). Information on nursing home characteristics was obtained by telephone interview. The effect of individual variables and of nursing home characteristics on hip protector availability and use was estimated using multilevel logistic regression analyses. RESULTS: The prevalence of hip protectors being made available was 10.0% in women and 6.2% in men. Sixty-four percent of those with a hip protector used it during the 4 weeks prior to the examination. The likelihood of being offered a hip protector was reduced in men (odds ratio (OR), 0.59; 95% confidence interval (CI), 0.43; 0.83), in residents with very low or very high care needs (OR, 0.32; 95% CI, 0.18; 0.56 and OR, 0.55; 95% CI, 0.38; 0.79, respectively), in residents with a migration background (OR, 0.30; 95% CI, 0.09; 0.99), and in recipients of welfare aid (OR, 0.60; 95% CI, 0.44; 0.81). Nursing home characteristics such as the size of the nursing home or staff participation rate in training measures had no effect on hip protector availability and use. CONCLUSION: Predictors of hip protector availability were sex, the degree of care need, migration status, and welfare aid. The lower availability of hip protectors in residents with welfare aid and migration status may be an indicator for health inequality in the German health system.


Assuntos
Fraturas do Quadril/prevenção & controle , Instituição de Longa Permanência para Idosos/estatística & dados numéricos , Casas de Saúde/estatística & dados numéricos , Equipamentos de Proteção/provisão & distribuição , Acidentes por Quedas , Idoso , Idoso de 80 Anos ou mais , Feminino , Alemanha , Acessibilidade aos Serviços de Saúde/estatística & dados numéricos , Humanos , Masculino , Avaliação de Programas e Projetos de Saúde , Equipamentos de Proteção/estatística & dados numéricos , Fatores Sexuais , Seguridade Social/estatística & dados numéricos
12.
Osteoporos Int ; 21(11): 1835-9, 2010 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-20057998

RESUMO

UNLABELLED: Mortality after pelvic fracture was calculated in residents of nursing homes. Compared with a matched comparison nonfracture group, excess mortality was found during the first 2 months after pelvic fracture. INTRODUCTION: Low energy pelvic fractures are mainly observed in people of advanced older age. The incidence of these fractures has increased considerably during the last decades. Information about excess mortality after pelvic fractures in older people is not available. METHODS: To calculate excess mortality, a retrospective cohort study was conducted. Data from residents institutionalized in Bavarian nursing homes between 2001 and 2006 were used. For each patient with a pelvic fracture (n=1,154), five residents without pelvic fracture (n=5,770) were matched by sex, age, date of admission to the nursing home, and level of care (measure for the need of care). Hazard regression models were applied. RESULTS: An excess mortality was found during the first months after pelvic fracture. In women, the increased mortality risk was limited to the first (hazard rate ratio (HR) 1.83, 95% confidence interval (CI) 1.42-2.37) and second (HR 1.52, 95% CI 1.13-2.04) months after the injury. In men, excess mortality was more pronounced (HR 2.95, 95% CI 1.57-5.54 for the first month) and appeared to last longer than in women. The majority of deaths due to pelvic fractures in the first 2 months after injury occurred following discharge from the hospital to the nursing home. CONCLUSION: Pelvic fractures are associated with an increased mortality. These results should encourage the development of preventive measures to reduce this excess mortality.


Assuntos
Fraturas Ósseas/mortalidade , Instituição de Longa Permanência para Idosos/estatística & dados numéricos , Casas de Saúde/estatística & dados numéricos , Ossos Pélvicos/lesões , Idoso , Idoso de 80 Anos ou mais , Métodos Epidemiológicos , Feminino , Alemanha/epidemiologia , Humanos , Masculino , Fatores Sexuais , Fatores de Tempo
13.
Osteoporos Int ; 20(10): 1775-83, 2009 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-19238306

RESUMO

SUMMARY: Fracture rates were examined in residents newly admitted to nursing homes. The risk of a fracture was highest during the first months after admission and declined thereafter. This risk pattern was observed independently of fracture site, gender or degree of care need. INTRODUCTION AND HYPOTHESIS: Residents of nursing homes are a high-risk group for fractures. The aim of the study was to analyse fracture rates as a function of time from admission to nursing home. METHODS: Fractures of the upper limb, femur, pelvis and lower leg, time to first and subsequent fractures, age, gender and care needs at admission were measured in 93,424 women and men aged 65 years and over and newly admitted to nursing homes in Bavaria between 2001 and 2006. RESULTS: Fracture incidence was highest during the first months after admission to nursing homes and declined thereafter. This pattern was observed for all fracture sites, in women and men and in residents with different care needs. For example, fracture rates of the upper limb declined from 30.0 to 13.5/1,000 person-years in the first 9 months after admission and for all fracture sites from 135.3 to 69.4/1,000 person-years in a corresponding time period. CONCLUSION: Newly admitted residents have the highest fracture risk. The pattern of risk is similar across all fractures, suggesting a generic causal pathway. Implementation of effective fracture prevention efforts should be a priority at the time of admission to nursing homes.


Assuntos
Fraturas Ósseas/epidemiologia , Instituição de Longa Permanência para Idosos/estatística & dados numéricos , Casas de Saúde/estatística & dados numéricos , Idoso , Idoso de 80 Anos ou mais , Feminino , Fraturas do Fêmur/epidemiologia , Alemanha/epidemiologia , Hospitalização/estatística & dados numéricos , Humanos , Incidência , Masculino , Admissão do Paciente , Medição de Risco/métodos , Distribuição por Sexo , Fatores de Tempo
14.
Stud Mycol ; 61: 137-44, 2008.
Artigo em Inglês | MEDLINE | ID: mdl-19287536

RESUMO

The present study focuses on potential agents of chromoblastomycosis and other endemic diseases in the state of Paraná, Southern Brazil. Using a highly selective protocol for chaetothyrialean black yeasts and relatives, environmental samples from the living area of symptomatic patients were analysed. Additional strains were isolated from creosote-treated wood and hydrocarbon-polluted environments, as such polluted sites have been supposed to enhance black yeast prevalence. Isolates showed morphologies compatible with the traditional etiological agents of chromoblastomycosis, e.g. Fonsecaea pedrosoi and Phialophora verrucosa, and of agents of subcutaneous or systemic infections like Cladophialophora bantiana and Exophiala jeanselmei. Some agents of mild disease were indeed encountered. However, molecular analysis proved that most environmental strains differed from known etiologic agents of pronounced disease syndromes: they belonged to the same order, but mostly were undescribed species. Agents of chromoblastomycosis and systemic disease thus far are prevalent on the human host. The hydrocarbon-polluted environments yielded yet another spectrum of chaetothyrialean fungi. These observations are of great relevance because they allow us to distinguish between categories of opportunists, indicating possible differences in pathogenicity and virulence.

15.
Lett Appl Microbiol ; 47(6): 486-91, 2008 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-19120915

RESUMO

AIMS: Biological sources for the control of plant pathogenic fungi remain an important objective for sustainable agricultural practices. Actinomycetes are used extensively in the pharmaceutical industry and agriculture owing to their great diversity in enzyme production. In the present study, therefore, we evaluated chitinase production by endophytic actinomycetes and the potential of this for control of phytopathogenic fungi. METHODS AND RESULTS: Endophytic Streptomyces were grown on minimum medium supplemented with chitin, and chitinase production was quantified. The strains were screened for any activity towards phytopathogenic fungi and oomycetes by a dual-culture in vitro assay. The correlation between chitinase production and pathogen inhibition was calculated and further confirmed on Colletotrichum sublineolum cell walls by scanning electron microscopy. CONCLUSIONS: This paper reports a genetic correlation between chitinase production and the biocontrol potential of endophytic actinomycetes in an antagonistic interaction with different phytopathogens, suggesting that this control could occur inside the host plant. SIGNIFICANCE AND IMPACT OF THE STUDY: A genetic correlation between chitinase production and pathogen inhibition was demonstrated. Our results provide an enhanced understanding of endophytic Streptomyces and its potential as a biocontrol agent. The implications and applications of these data for biocontrol are discussed.


Assuntos
Antibiose , Proteínas de Bactérias/metabolismo , Quitinases/metabolismo , Fungos/fisiologia , Doenças das Plantas/microbiologia , Plantas/microbiologia , Streptomyces/fisiologia , Proteínas de Bactérias/genética , Parede Celular/metabolismo , Quitina/metabolismo , Quitinases/genética , Streptomyces/enzimologia , Streptomyces/genética
16.
Ann Anat ; 186(2): 133-9, 2004 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-15125042

RESUMO

A human embryo at Carnegie stage 15 was serially sectioned and 3D computer aided reconstructions were made to demonstrate the cardiovascular system and cranial structures and to study developmental variations at this stage. The development of the heart and pharyngeal arteries was according to the existing literature. Differences were found in the development of the arterial circle of Willis and the central nervous system. The cranial venous system seemed to show great variability. Whereas the telencephalon was not developed according to the stage, the development of the hypophysis had occurred prior to stage 15. From the results we conclude that there are remarkable individual differences in embryological differentiation of structures which have to be taken into account during staging of human embryos.


Assuntos
Sistema Nervoso Central/embriologia , Coração/embriologia , Aborto Espontâneo , Artérias Cerebrais/embriologia , Veias Cerebrais/embriologia , Círculo Arterial do Cérebro/embriologia , Nervos Cranianos/embriologia , Feminino , Humanos , Processamento de Imagem Assistida por Computador , Gravidez
17.
Mol Gen Genet ; 264(5): 546-54, 2001 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-11212909

RESUMO

Wild-type Aspergillus nidulans conidia are uninucleate. The mutation bncA1 (binucleated conidia) was first described as a single mutation located on chromosome IV that caused formation of approximately 25% binucleate and 1% trinucleate conidia. In this study, we show that bncA1 conidia exit G1 arrest earlier than the wild type. Germlings have hyphal elements with abnormal morphology, elevated numbers of randomly distributed nuclei and an irregular septation pattern. Older hyphal elements undergo mitotic catastrophe, suggesting the nuclear division cycle of internal (nonterminal) elements is not arrested. The bncA1 mutation also causes aberrant morphogenesis of the asexual reproductive structure, the conidiophore. Metulae and phialides are elongated and have incorrect numbers of nuclei. Phialides also have internal septation that appears to delineate hyphal-like elements. Heterokaryon analysis using strains with contrasting auxotrophic markers showed that the bncA1 mutation resulted in a higher frequency of diploid and multinucleated prototrophic conidia than control heterokaryons. These results suggest that in bncA1 strains multiple nuclei can move from the conidiophore vesicle to the metulae and/or from the phialide to the conidium. The bncA1 mutant also showed hypersensitivity to the anti-microtubule drugs thiabendazole and nocodazole, which is consistent with the defects in cell cycle regulation and nuclear movement. We propose that bncA has an important role in correctly regulating both the cell division cycle and nuclear movement.


Assuntos
Aspergillus nidulans/crescimento & desenvolvimento , Aspergillus nidulans/genética , Ciclo Celular/genética , Núcleo Celular/metabolismo , Proteínas Fúngicas/genética , Mutação , Corantes Azur/farmacologia , Benzenossulfonatos/farmacologia , Divisão Celular/genética , Cromossomos/ultraestrutura , Corantes Fluorescentes/farmacologia , Genótipo , Indóis/farmacologia , Cinética , Microtúbulos/ultraestrutura , Mitose/genética , Fatores de Tempo
18.
Med Mycol ; 38 Suppl 1: 243-50, 2000.
Artigo em Inglês | MEDLINE | ID: mdl-11204152

RESUMO

Data are presented on the clinically relevant black yeasts and their relatives, i.e., members of the Ascomycete order Chaetothyriales. In order to understand the pathology of these fungi it is essential to know their natural ecological niche. From a relatively low degree of molecular variability of the black yeast Exophiala dermatitidis, potential agent of brain infections in patients from East Asia, it is concluded that this species is an emerging pathogen, currently going through a process of active speciation. It is found to be an oligotrophic fungus in hot, moist environments, such as steambaths. Cladophialophora-, Fonsecaea- and Ramichloridium-like strains, known in humans as agents of chromoblastomycosis, are frequently found on rotten plant material, but the fungal molecular diversity in the environment is much higher than that on the human patient, so that it is difficult to trace the etiological agents of the disease with precision. This approach has been successful with Cladophialophora carrionii, of which cells resembling muriform cells, the tissue form of chromoblastomycosis, were found to occur in drying spines of cacti. Phagocytosis assays provide a method to distinguish between pathogens and non-pathogens, as the killing rates of strict saprobes proved to be consistently higher than of those species frequently known as agents of disease. The therapeutic possibilities for patients with chromoblastomycosis are reviewed.


Assuntos
Ascomicetos/classificação , Ascomicetos/patogenicidade , Micoses/diagnóstico , Micoses/microbiologia , Antifúngicos/uso terapêutico , Cromoblastomicose/tratamento farmacológico , Cromoblastomicose/etiologia , Humanos , Micoses/tratamento farmacológico , Fagocitose
19.
Med Mycol ; 36(4): 219-25, 1998 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-9776838

RESUMO

Amplicons of SSU and ITS1+2 rDNA of 13 strains of Fonsecaea pedrosoi and three strains of F. compacta were digested with seven restriction enzymes. In addition, the ITS1 region of 14 strains was sequenced. With both methods significant variation was found which, however, did not coincide with established species limits based on morphology.


Assuntos
Ascomicetos/genética , Cromoblastomicose/microbiologia , DNA Ribossômico/genética , Polimorfismo de Fragmento de Restrição , Ascomicetos/classificação , Ascomicetos/ultraestrutura , Sequência de Bases , DNA Fúngico/genética , Humanos , Microscopia Eletrônica de Varredura , Dados de Sequência Molecular , Filogenia , Reação em Cadeia da Polimerase , Mapeamento por Restrição , Alinhamento de Sequência , Homologia de Sequência do Ácido Nucleico , Especificidade da Espécie
20.
Appl Environ Microbiol ; 64(5): 1924-8, 1998 May.
Artigo em Inglês | MEDLINE | ID: mdl-9572973

RESUMO

The transcripts of structurally related cellobiohydrolase genes in Phanerochaete chrysosporium-colonized wood chips were quantified. The transcript patterns obtained were dramatically different from the transcript patterns obtained previously in defined media. Cellobiose dehydrogenase transcripts were also detected, which is consistent with the hypothesis that such transcripts play an important role in cellulose degradation.


Assuntos
Basidiomycota/enzimologia , Desidrogenases de Carboidrato/genética , Celulase/genética , RNA Mensageiro/análise , Madeira , Sequência de Bases , Celulose/metabolismo , Celulose 1,4-beta-Celobiosidase , Dados de Sequência Molecular
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