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1.
Prev Med Rep ; 39: 102655, 2024 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-38390312

RESUMO

Objectives: Family-based programs may be a strategy to prevent health conditions with hereditary risk such as diabetes. This review examined the state of the science regarding interventions that adapted the Diabetes Prevention Program (DPP) lifestyle change curriculum to include family members. Methods: CINAHL, Cochrane Central, PsycINFO, PubMed, and Scopus were searched for reports that were peer reviewed, written in English, evaluated interventions that adapted the DPP lifestyle change curriculum to be family-based, reported diabetes risk related outcomes, and published between 2002 and August 2023. Records were reviewed, data extracted, and quality assessed by two researchers working independently. A narrative synthesis was completed. Meta-analysis was not completed due to the small number of studies and the heterogeneity of the study characteristics. Results: 2177 records were identified with four meeting inclusion criteria. Primary participants for three studies were adults and one study focused on youth. Family participants were adult family members, children of the primary participant, or caregivers of the enrolled youth. For primary participants, two studies found significant intervention effects on weight-related outcomes. Of the studies with no intervention effects, one was a pilot feasibility study that was not powered to detect changes in weight outcomes. Three studies assessed outcomes in family participants with one finding significant intervention effects on weight. Conclusions: While DPP interventions adapted to include family showed promising or similar results as individual-based DPP interventions, additional studies are needed to better understand the mechanisms of action and the most effective methods to engage family members in the programs.

2.
Women Health ; 64(3): 235-249, 2024 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-38273717

RESUMO

Gender gaps in physical activity (PA) exist with women being less active than men. Multiple cultural and psychosocial factors influence women's ability to successfully negotiate barriers to PA and other health promoting behaviors. The goal of this exploratory descriptive study was to better understand the daily experiences of mothers in making health promoting decisions for themselves and their families. Semi-structured interviews (N = 17) were conducted with rural dwelling mothers who were the primary caregivers of children in the home. Participants were asked to share their experiences with PA and other health behaviors, focusing on their motivators, barriers, and facilitators. Interviews were audio-recorded, transcribed verbatim, and analyzed using thematic content analysis. Emerging themes focused on 1) feeling internal and external pressures to prioritize family's needs over one's health, 2) family exerting both positive and negative influences on health choices, and 3) living in a rural community often resulting in a lack of opportunities to engage in physical activity and feelings of being isolated from social networks. To close the gender gap in PA, interventions should support mothers in navigating their multiple roles and competing demands while engaging in health promoting behaviors such as physical activity.


Assuntos
Exercício Físico , População Rural , Masculino , Criança , Feminino , Humanos , Exercício Físico/psicologia , Mães , Comportamentos Relacionados com a Saúde , Tomada de Decisões
3.
Health Secur ; 15(4): 384-391, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-28805472

RESUMO

The Swedish Forum for Biopreparedness Diagnostics (FBD) is a network that fosters collaboration among the 4 agencies with responsibility for the laboratory diagnostics of high-consequence pathogens, covering animal health and feed safety, food safety, public health and biodefense, and security. The aim of the network is to strengthen capabilities and capacities for diagnostics at the national biosafety level-3 (BSL-3) laboratories to improve Sweden's biopreparedness, in line with recommendations from the EU and WHO. Since forming in 2007, the FBD network has contributed to the harmonization of diagnostic methods, equipment, quality assurance protocols, and biosafety practices among the national BSL-3 laboratories. Lessons learned from the network include: (1) conducting joint projects with activities such as method development and validation, ring trials, exercises, and audits has helped to build trust and improve communication among participating agencies; (2) rotating the presidency of the network steering committee has fostered trust and commitment from all agencies involved; and (3) planning for the implementation of project outcomes is important to maintain gained competencies in the agencies over time. Contacts have now been established with national agencies of the other Nordic countries, with an aim to expanding the collaboration, broadening the network, finding synergies in new areas, strengthening the ability to share resources, and consolidating long-term financing in the context of harmonized European biopreparedness.


Assuntos
Doenças dos Animais/diagnóstico , Bioterrorismo , Qualidade de Produtos para o Consumidor , Laboratórios/normas , Segurança/normas , Doenças dos Animais/prevenção & controle , Doenças dos Animais/transmissão , Animais , Comportamento Cooperativo , Europa (Continente) , Recursos em Saúde , Humanos , Garantia da Qualidade dos Cuidados de Saúde , Países Escandinavos e Nórdicos , Suécia , Estados Unidos , Organização Mundial da Saúde
5.
Health Secur ; 13(3): 174-83, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-26042861

RESUMO

A "plausible worst-case scenario" of a gradually increasing level of multidrug-resistant bacteria (carbapenem-resistant E. coli) in the human population was developed and used to study how Swedish authorities would manage this situation and to identify preventive measures that could be taken. Key findings include: (1) a scenario in which 5% of the population in southern Sweden become carriers of carbapenem-resistant E. coli is possible or even likely in 10 to 15 years; (2) it is not clear when and how the increase of E. coli resistant to carbapenems as in the scenario would be detected in the general human population; (3) identified negative consequences of the scenario on society were primarily due to increased demands on the healthcare system and potential consequences for food-producing animals, food safety, and environmental health; and (4) a number of preventive and mitigation measures were suggested, including initiating long-term screening programs for public and animal health as well as for food and water production to monitor increasing levels of carbapenem resistance. Strategies and plans to prevent and handle future increasing prevalence of multidrug-resistant bacteria need to be developed.


Assuntos
Antibacterianos/uso terapêutico , Carbapenêmicos/uso terapêutico , Farmacorresistência Bacteriana Múltipla , Escherichia coli/efeitos dos fármacos , Administração em Saúde Pública , Saúde Pública/métodos , Proteínas de Bactérias/metabolismo , Portador Sadio/epidemiologia , Congressos como Assunto , Escherichia coli/enzimologia , Previsões , Humanos , Modelos Teóricos , Medição de Risco/métodos , Suécia/epidemiologia , beta-Lactamases/metabolismo
6.
Anaerobe ; 26: 20-3, 2014 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-24418766

RESUMO

Avian botulism is a paralytic disease caused by Clostridium botulinum-produced botulinum neurotoxins (BoNTs), most commonly of type C/D. It is a serious disease of waterbirds and poultry flocks in many countries in Europe. The objective of this study was to compare the genetic relatedness of avian C. botulinum strains isolated in Spain with strains isolated in Sweden using pulsed-field gel electrophoresis (PFGE). Fifteen strains were isolated from Spanish waterbirds using an immunomagnetic separation technique. Isolates were characterized by PCR, and all were identified as the genospecies Clostridium novyi sensu lato and eight harboured the gene coding for the BoNT type C/D. PFGE analysis of the strains revealed four highly similar pulsotypes, out of which two contained strains from both countries. It also showed that outbreaks in wild and domestic birds can be caused by the same strains. These results support a clonal spreading of the mosaic C. botulinum type C/D through Europe and give relevant information for future epidemiological studies.


Assuntos
Doenças das Aves/epidemiologia , Doenças das Aves/microbiologia , Botulismo/veterinária , Clostridium botulinum/classificação , Clostridium botulinum/isolamento & purificação , Surtos de Doenças , Animais , Aves , Botulismo/epidemiologia , Botulismo/microbiologia , Clostridium botulinum/genética , Análise por Conglomerados , Eletroforese em Gel de Campo Pulsado , Genótipo , Epidemiologia Molecular , Tipagem Molecular , Espanha/epidemiologia , Suécia/epidemiologia
7.
Environ Res ; 111(8): 1271-9, 2011 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-21962832

RESUMO

BACKGROUND: Little is known about the variation in exposure to toxic metals by age and gender and other potential modifying factors. We evaluated age and gender differences by measurements of metal/element concentrations in urine in a rural population in Matlab, Bangladesh, in three age groups: 8-12 (N=238), 14-15 (N=107) and 30-88 (N=710) years of age, living in an area with no point sources of metal exposure but where elevated water arsenic concentrations are prevalent. RESULTS: We found marked differences in urine concentrations of metals and trace elements by gender, age, tobacco use, socioeconomic and nutritional status. Besides a clearly elevated urinary arsenic concentration in all age groups (medians 63-85 µg As/L), and despite the low degree of contamination from industries and traffic, the urine concentrations of toxic metals such as cadmium and lead were clearly elevated, especially in children (median 0.31 µg Cd/L and 2.9 µg Pb/L, respectively). In general, women had higher urinary concentrations of toxic metals, especially Cd (median 0.81 µg/L) compared to men (0.66 µg/L) and U (median 10 ng/L in women, compared to 6.4 ng/L in men), while men had higher urinary concentrations of the basic and essential elements Ca (69 mg/L in men, 30-50 years, compared to 52 mg/L in women), Mg (58 mg/L in men compared to 50 mg/L in women), Zn (182 µg/L in men compared to 117 µg/L in women) and Se (9.9 µg/L in men compared to 8.7 µg/L in women). Manganese was consistently higher in females than in males in all age groups, suggesting a biological difference between females and males in Mn metabolism. Increasing socioeconomic status decreased the toxic metal exposure significantly in children and especially in men. Poor iron status was detected in 17% of children, adolescents and women, but only in 6% of men. Also zinc deficiency was more prevalent in females than in males. CONCLUSIONS: Women and children seemed to be more at risk for toxic metal exposure than men and at the same time more vulnerable to micronutrient deficiency. Higher concentrations of the toxic metals in urine in women are likely to reflect an increased gastrointestinal absorption of these metals at micronutrient deficiency, such as low body iron stores and Zn deficiency. Higher urinary concentrations of the essential elements in men likely reflect a better nutritional status. There is a need for information on exposure, lifestyle and socioeconomic factors, stratified by gender and age, for the purpose of conducting balanced risk assessment and management that considers such differences.


Assuntos
Metais/toxicidade , Poluentes Químicos da Água/toxicidade , Adolescente , Adulto , Fatores Etários , Idoso , Idoso de 80 Anos ou mais , Bangladesh , Índice de Massa Corporal , Criança , Feminino , Humanos , Masculino , Metais/urina , Pessoa de Meia-Idade , Fatores Sexuais , Classe Social , Poluentes Químicos da Água/urina
8.
Avian Pathol ; 39(6): 511-8, 2010 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-21154062

RESUMO

Type C botulinum neurotoxin (BoNT/C)-producing Clostridium botulinum causes animal botulism worldwide and has become a serious problem in poultry flocks and waterfowl in Sweden. The objectives of the present study were to isolate, characterize and subtype C. botulinum type C avian isolates in order to increase the knowledge of the genetic diversity. Isolates from 13 birds were identified by 16S rRNA sequencing and BoNT/C gene detection by real-time polymerase chain reaction (PCR). Conventional PCR was used to distinguish a chimeric BoNTC/D gene, often associated with avian botulism, from the BoNT/C gene. The isolates analysed all contained the gene coding for a chimeric toxin type C/D. Two fingerprinting techniques, pulsed-field gel electrophoresis (PFGE) and randomly amplified polymorphic DNA analysis (RAPD), were optimized and used to investigate the epidemiological relatedness among the strains. The isolates were divided into three different pulsotypes based upon their restriction profiles for SmaI and SalI. The RAPD system proved to be as discriminative as PFGE. This study reveals a small genetic diversity among Swedish type C strains, with a high similarity between strains from broilers and herring gulls.


Assuntos
Doenças das Aves/microbiologia , Botulismo/veterinária , Charadriiformes/microbiologia , Clostridium botulinum tipo C/genética , Clostridium botulinum tipo C/isolamento & purificação , Doenças das Aves Domésticas/microbiologia , Sequência de Aminoácidos , Animais , Proteínas de Bactérias/química , Proteínas de Bactérias/genética , Sequência de Bases , Botulismo/microbiologia , Proteínas de Transporte/química , Proteínas de Transporte/genética , Galinhas , Clostridium botulinum tipo C/classificação , DNA Bacteriano/genética , Eletroforese em Gel de Campo Pulsado/métodos , Variação Genética , Peptídeos e Proteínas de Sinalização Intracelular , Dados de Sequência Molecular , Filogenia , Reação em Cadeia da Polimerase/métodos , RNA Ribossômico 16S/química , RNA Ribossômico 16S/genética , Técnica de Amplificação ao Acaso de DNA Polimórfico/métodos , Análise de Sequência de DNA , Suécia
9.
Environ Health Perspect ; 118(4): 533-8, 2010 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-20064784

RESUMO

BACKGROUND: We recently reported that the main reason for the documented higher prevalence of arsenic-related skin lesions among men than among women is the result of less efficient arsenic metabolism. OBJECTIVE: Because smoking has been associated with less efficient arsenic methylation, we aimed to elucidate interactions between tobacco use and arsenic metabolism for the risk of developing skin lesions. METHODS: We used a population-based case-referent study that showed increased risk for skin lesions in relation to chronic arsenic exposure via drinking water in Bangladesh and randomly selected 526 of the referents (random sample of inhabitants > 4 years old; 47% male) and all 504 cases (54% male) with arsenic-related skin lesions to measure arsenic metabolites [methylarsonic acid (MA) and dimethylarsinic acid (DMA)] in urine using high-performance liquid chromatography (HPLC) and inductively coupled plasma mass spectrometry (ICPMS). RESULTS: The odds ratio for skin lesions was almost three times higher in the highest tertile of urinary %MA than in the lowest tertile. Men who smoked cigarettes and bidis (locally produced cigarettes; 33% of referents, 58% of cases) had a significantly higher risk for skin lesions than did nonsmoking men; this association decreased slightly after accounting for arsenic metabolism. Only two women smoked, but women who chewed tobacco (21% of referents, 43% of cases) had a considerably higher risk of skin lesions than did women who did not use tobacco. The odds ratio (OR) for women who chewed tobacco and who had < or = 7.9%MA was 3.8 [95% confidence interval (CI), 1.4-10] compared with women in the same MA tertile who did not use tobacco. In the highest tertile of %MA or %inorganic arsenic (iAs), women who chewed tobacco had ORs of 7.3 and 7.5, respectively, compared with women in the lowest tertiles who did not use tobacco. CONCLUSION: The increased risk of arsenic-related skin lesions in male smokers compared with nonsmokers appears to be partly explained by impaired arsenic methylation, while there seemed to be an excess risk due to interaction between chewing tobacco and arsenic metabolism in women.


Assuntos
Arsênio/toxicidade , Dermatopatias/induzido quimicamente , Fumar/efeitos adversos , Tabaco sem Fumaça/efeitos adversos , Adulto , Arsenicais/urina , Ácido Cacodílico/urina , Feminino , Humanos , Masculino , Razão de Chances , Análise de Regressão , Dermatopatias/epidemiologia , Dermatopatias/urina , Adulto Jovem
10.
J Lipid Res ; 51(6): 1535-45, 2010 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-20026666

RESUMO

We investigated a family from northern Sweden in which three of four siblings have congenital chylomicronemia. LPL activity and mass in pre- and postheparin plasma were low, and LPL release into plasma after heparin injection was delayed. LPL activity and mass in adipose tissue biopsies appeared normal. [(35)S]Methionine incorporation studies on adipose tissue showed that newly synthesized LPL was normal in size and normally glycosylated. Breast milk from the affected female subjects contained normal to elevated LPL mass and activity levels. The milk had a lower than normal milk lipid content, and the fatty acid composition was compatible with the milk lipids being derived from de novo lipogenesis, rather than from the plasma lipoproteins. Given the delayed release of LPL into the plasma after heparin, we suspected that the chylomicronemia might be caused by mutations in GPIHBP1. Indeed, all three affected siblings were compound heterozygotes for missense mutations involving highly conserved cysteines in the Ly6 domain of GPIHBP1 (C65S and C68G). The mutant GPIHBP1 proteins reached the surface of transfected Chinese hamster ovary cells but were defective in their ability to bind LPL (as judged by both cell-based and cell-free LPL binding assays). Thus, the conserved cysteines in the Ly6 domain are crucial for GPIHBP1 function.


Assuntos
Proteínas de Transporte/química , Proteínas de Transporte/genética , Quilomícrons/metabolismo , Sequência Conservada , Cisteína , Transtornos do Metabolismo dos Lipídeos/genética , Mutação , Tecido Adiposo/enzimologia , Tecido Adiposo/patologia , Adolescente , Adulto , Alelos , Animais , Apolipoproteína C-II/deficiência , Sequência de Bases , Células CHO , Proteínas de Transporte/metabolismo , Pré-Escolar , Cricetinae , Cricetulus , Feminino , Regulação da Expressão Gênica , Heparina/administração & dosagem , Heparina/farmacologia , Heterozigoto , Humanos , Transtornos do Metabolismo dos Lipídeos/enzimologia , Transtornos do Metabolismo dos Lipídeos/metabolismo , Transtornos do Metabolismo dos Lipídeos/patologia , Lipase Lipoproteica/sangue , Lipase Lipoproteica/genética , Lipase Lipoproteica/metabolismo , Masculino , Pessoa de Meia-Idade , Leite Humano/enzimologia , Mutação de Sentido Incorreto , Estrutura Terciária de Proteína , Receptores de Lipoproteínas , Irmãos , Transfecção
11.
Toxicol Appl Pharmacol ; 230(1): 9-16, 2008 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-18336856

RESUMO

It is known that a high fraction of methylarsonate (MA) in urine is a risk modifying factor for several arsenic induced health effects, including skin lesions, and that men are more susceptible for developing skin lesions than women. Thus, we aimed at elucidating the interaction between gender and arsenic metabolism for the risk of developing skin lesions. This study is part of a population-based case-referent study concerning the risk for skin lesions in relation to arsenic exposure via drinking water carried out in Matlab, a rural area 53 km south-east of Dhaka, Bangladesh. We randomly selected 526 from 1579 referents and all 504 cases for analysis of arsenic metabolites in urine using HPLC coupled to inductively coupled plasma mass spectrometry (HPLC-HG-ICPMS). The present study confirm previous studies, with the risk for skin lesions being almost three times higher in the highest tertile of %MA (adjusted OR 2.8, 95% CI: 1.9-4.2, p < 0.001) compared to the lowest tertile. The present study is the first to show that the well documented higher risk for men to develop arsenic-related skin lesions compared to women is mainly explained by the less efficient methylation of arsenic, as defined by a higher fraction of MA and lower fraction of DMA in the urine, among men. Our previously documented lower risk for skin lesions in individuals exposed since infancy, or before, was found to be independent of the observed arsenic methylation efficiency. Thus, it can be speculated that this is due to a programming effect of arsenic in utero.


Assuntos
Arsênio/efeitos adversos , Arsênio/metabolismo , Dermatopatias/induzido quimicamente , Adolescente , Adulto , Distribuição por Idade , Arsênio/análise , Arsenicais/urina , Bangladesh/epidemiologia , Criança , Pré-Escolar , Feminino , Humanos , Lactente , Masculino , Metilação , Fatores de Risco , População Rural , Distribuição por Sexo , Dermatopatias/epidemiologia , Classe Social , Poluentes Químicos da Água/efeitos adversos , Poluentes Químicos da Água/análise
12.
Environ Res ; 106(2): 212-8, 2008 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-17900556

RESUMO

This study aims at evaluating the suitability of adjusting urinary concentrations of arsenic, or any other urinary biomarker, for variations in urine dilution by creatinine and specific gravity in a malnourished population. We measured the concentrations of metabolites of inorganic arsenic, creatinine and specific gravity in spot urine samples collected from 1466 individuals, 5-88 years of age, in Matlab, rural Bangladesh, where arsenic-contaminated drinking water and malnutrition are prevalent (about 30% of the adults had body mass index (BMI) below 18.5 kg/m(2)). The urinary concentrations of creatinine were low; on average 0.55 g/L in the adolescents and adults and about 0.35 g/L in the 5-12 years old children. Therefore, adjustment by creatinine gave much higher numerical values for the urinary arsenic concentrations than did the corresponding data expressed as microg/L, adjusted by specific gravity. As evaluated by multiple regression analyses, urinary creatinine, adjusted by specific gravity, was more affected by body size, age, gender and season than was specific gravity. Furthermore, urinary creatinine was found to be significantly associated with urinary arsenic, which further disqualifies the creatinine adjustment.


Assuntos
Arsênio/urina , Desnutrição , Urinálise/normas , Poluentes Químicos da Água/urina , Abastecimento de Água , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Bangladesh/epidemiologia , Biomarcadores/urina , Criança , Pré-Escolar , Creatinina/urina , Monitoramento Ambiental/métodos , Monitoramento Epidemiológico , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Valor Preditivo dos Testes , Fatores Socioeconômicos , Gravidade Específica
13.
Environ Res ; 106(1): 110-20, 2008 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-17900557

RESUMO

Although genetic polymorphisms have been shown to explain some of the large variation observed in the metabolism of inorganic arsenic there may be several other factors playing an important role, e.g. nutrition. The objective of this study was to elucidate the influence of various factors on current arsenic exposure and metabolism in Matlab, a rural area in Bangladesh, where elevated water arsenic concentrations and malnutrition are prevalent. In total 1571 individuals, randomly selected from all inhabitants above 5 years of age, were investigated by measuring arsenic in urine and drinking water. In a subset of 526 randomly selected individuals, arsenic metabolites were speciated using HPLC coupled to inductively coupled plasma mass spectrometry (HPLC-HG-ICPMS). A significant association was observed between arsenic in urine and drinking water (R2=0.41). The contribution to urinary arsenic from arsenic exposure from food and other water sources was calculated to be almost 50microg/L. The individuals in the present study had remarkably efficient methylation, in spite of high exposure and prevalence of malnutrition. Gender and age were major factors influencing arsenic metabolism in this population with a median of 77microg/L of arsenic in urine (range: 0.5-1994microg/L). Women had higher arsenic methylation efficiency than men, but only in childbearing age, supporting an influence of sex hormones. Overall, exposure level of arsenic, gender and age explained at most 30% of the variation in the present study, indicating that genetic polymorphisms are the most important factor influencing the metabolism of inorganic arsenic.


Assuntos
Arsenicais , Exposição Ambiental/análise , População Rural , Poluentes Químicos da Água , Adolescente , Adulto , Fatores Etários , Idoso , Arsenicais/análise , Arsenicais/metabolismo , Arsenicais/urina , Bangladesh , Criança , Monitoramento Ambiental , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Fatores Sexuais , Poluentes Químicos da Água/análise , Poluentes Químicos da Água/metabolismo , Poluentes Químicos da Água/urina
14.
APMIS ; 116(10): 888-95, 2008 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-19132982

RESUMO

Heat shock proteins (HSPs) protect cells against stress-associated injury and are overexpressed in several malignant tumors. We aimed to investigate their value as prognostic markers in prostate cancer. A tissue microarray (TMA) was constructed of 289 prostate cancers from radical prostatectomy (RP) specimens with median follow-up of 48.9 months. Slides were immunostained for HSP27, HSP60 and HSP70. Intensity and extent of immunoreactivity (IR) and their product (IRp) was evaluated by two observers. The IRp of HSP27 and HSP60, but not of HSP70, significantly predicted biochemical recurrence (p=0.014, 0.034 and 0.160, respectively). Recurrence-free survival in patients with strong HSP27 and HSP60 staining was shorter than in those with weak expression (p=0.019 and 0.001, respectively). IRp of HSP27 and HSP60 correlated with Gleason score (p<0.01). HSP60 was an independent predictor of biochemical recurrence in multivariate analysis, including extraprostatic extension, margin status, seminal vesicle invasion and Gleason score. Weighted kappa for interobserver agreement of HSP27, HSP60 and HSP70 IR was 0.613-0.823 for intensity and 0.584-0.719 for IRp, but only 0.036-0.244 for extent, raising the question whether staining extent should be estimated on TMA. We conclude that HSP27 and HSP60 are predictors of biochemical recurrence after RP.


Assuntos
Biomarcadores Tumorais/metabolismo , Chaperonina 60/metabolismo , Proteínas de Choque Térmico HSP27/metabolismo , Proteínas de Choque Térmico HSP70/metabolismo , Recidiva Local de Neoplasia/diagnóstico , Neoplasias da Próstata/patologia , Idoso , Chaperonina 60/análise , Intervalo Livre de Doença , Proteínas de Choque Térmico HSP27/análise , Proteínas de Choque Térmico HSP70/análise , Humanos , Imuno-Histoquímica , Masculino , Análise em Microsséries , Pessoa de Meia-Idade , Recidiva Local de Neoplasia/metabolismo , Recidiva Local de Neoplasia/patologia , Prognóstico , Antígeno Prostático Específico/sangue , Prostatectomia , Neoplasias da Próstata/metabolismo , Neoplasias da Próstata/cirurgia
15.
Environ Health Perspect ; 115(7): 1081-6, 2007 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-17637926

RESUMO

BACKGROUND: There is a wide variation in susceptibility to health effects of arsenic, which, in part, may be due to differences in arsenic metabolism. Arsenic is metabolized by reduction and methylation reactions, catalyzed by reductases and methyltransferases. OBJECTIVES: Our goal in this study was to elucidate the influence of various demographic and genetic factors on the metabolism of arsenic. METHODS: We studied 415 individuals from Hungary, Romania, and Slovakia by measuring arsenic metabolites in urine using liquid chromatography with hydride generation and inductively coupled plasma mass spectrometry (HPLC-HG-ICPMS). We performed genotyping of arsenic (+III) methyltransferase (AS3MT), glutathione S-transferase omega 1 (GSTO1), and methylene-tetrahydrofolate reductase (MTHFR). RESULTS: The results show that the M287T (T-->C) polymorphism in the AS3MT gene, the A222V (C-->T) polymorphism in the MTHFR gene, body mass index, and sex are major factors that influence arsenic metabolism in this population, with a median of 8.0 microg/L arsenic in urine. Females < 60 years of age had, in general, higher methylation efficiency than males, indicating an influence of sex steroids. That might also explain the observed better methylation in overweight or obese women, compared with normal weight men. The influence of the M287T (T-->C) polymorphism in the AS3MT gene on the methylation capacity was much more pronounced in men than in women. CONCLUSIONS: The factors investigated explained almost 20% of the variation seen in the metabolism of arsenic among men and only around 4% of the variation among women. The rest of the variation is probably explained by other methyltransferases backing up the methylation of arsenic.


Assuntos
Arsênio/metabolismo , Polimorfismo Genético , Fatores Sexuais , Sequência de Bases , Cromatografia Líquida de Alta Pressão , Primers do DNA , Relação Dose-Resposta a Droga , Europa (Continente) , Feminino , Humanos , Masculino , Espectrometria de Massas , Metilenotetra-Hidrofolato Redutase (NADPH2)/genética , Pessoa de Meia-Idade
16.
Biotechnol Bioeng ; 97(5): 1039-52, 2007 Aug 01.
Artigo em Inglês | MEDLINE | ID: mdl-17238205

RESUMO

In situ methane enrichment in anaerobic digestion of sewage sludge has been investigated by experiments and by modelling. Sludge from a full scale digester was fed to a pilot scale bubble column having 0.3 m diameter for preferential desorption of carbon dioxide. In this second part, a model describing the steady-state performance of the bubble column for desorption of carbon dioxide and methane has been developed. The column is assumed to operate in the homogeneous flow regime, and with respect to carbon dioxide and methane both phases are described by the axial dispersion model. The model treats the chemical reaction equilibrium between carbon dioxide and bicarbonate as being slow and the bicarbonate concentration as being constant. The model is correlated to previously reported experimental results to determine the liquid side mass transfer coefficient in each experiment. A simple power law model is used to correlate the mass transfer coefficient to the gas flow rate. In general, the model allows for a reasonable qualitative description of the behaviour of the bubble column performance but the quantitative agreement with experimental results is not satisfactory. It is believed, though that the main problem is actually not in the model but is related to experimental uncertainties concerning inlet concentrations of liquid phase methane and bicarbonate.


Assuntos
Bactérias Anaeróbias/metabolismo , Reatores Biológicos/microbiologia , Dióxido de Carbono/isolamento & purificação , Dióxido de Carbono/metabolismo , Metano/metabolismo , Modelos Biológicos , Esgotos/microbiologia , Biodegradação Ambiental , Simulação por Computador , Projetos Piloto , Eliminação de Resíduos/métodos
17.
Toxicol Lett ; 168(3): 310-8, 2007 Feb 05.
Artigo em Inglês | MEDLINE | ID: mdl-17174488

RESUMO

This work compares the three most common analytical methods for determination of inorganic arsenic and its metabolites in urine: high performance liquid chromatography coupled to either inductively coupled plasma mass spectrometry or atomic fluorescence spectrometry via hydride generation (high performance liquid chromatography-hydride generation-inductively coupled plasma mass spectrometry (HPLC-HG-ICPMS) and HPLC-HG-atomic fluorescence spectrometry (AFS), respectively) and atomic absorption spectrometry coupled to HG (HG-atomic absorption spectrometry (AAS)). This was done with the focus to find alternatives to ICPMS, the investment and running costs of which are rather high. Between-laboratory comparison of HPLC-HG-ICPMS and HPLC-HG-AFS showed good agreement for inorganic arsenic, methylarsonate (MA) and dimethylarsinate (DMA) (R(2)=0.91, R(2)=0.92 and R(2)=0.90, respectively, N=86). Within-laboratory comparisons of HPLC-HG-AFS, HPLC-HG-ICPMS and HG-AAS showed good agreement for all arsenic species and the sum of inorganic arsenic and its metabolites in urine (HPLC-HG-ICPMS versus HPLC-HG-AFS: R(2)=0.95; HG-AAS versus HPLC-HG-AFS: R(2)=0.95 and HPLC-HG-ICPMS versus HG-AAS: R(2)=0.97; N=89). HPLC-HG-AFS was found to be a simple, but high quality alternative to HPLC-HG-ICPMS for the speciation and quantification of inorganic arsenic and its metabolites in urine at arsenic concentrations above 10microgL(-1). Because of its considerably lower costs compared to HPLC-HG-ICPMS, it may be a good alternative in laboratories where the high cost of ICPMS is not justified in relation to the intended use of the instrument.


Assuntos
Arsênio/urina , Arsenicais/urina , Ácido Cacodílico/urina , Cromatografia Líquida de Alta Pressão , Poluentes Ambientais/urina , Humanos , Espectrometria de Massas , Reprodutibilidade dos Testes , Espectrometria de Fluorescência , Espectrofotometria Atômica
18.
Biotechnol Bioeng ; 95(5): 794-803, 2006 Dec 05.
Artigo em Inglês | MEDLINE | ID: mdl-16933333

RESUMO

In situ methane enrichment in anaerobic digestion of sewage sludge has been investigated by experiments and by modeling. In this first part, the experimental work on the desorption of carbon dioxide and methane from sewage sludge is reported. The bubble column, had a diameter of 0.3 m and a variable height up to 1.8 m. At operation the dispersion height in the column was between 1 and 1.3 m. Outdoor air was used. The column was placed close to a full-scale sewage sludge digester, at a municipal wastewater treatment plant. The digester was operated at mesophilic conditions with a hydraulic retention time of about 20 days. The bubble column was operated to steady-state, at which carbon dioxide concentration and alkalinity were determined on the liquid side, and the concentration of carbon dioxide and methane on the gas side. Thirty-eight experiments were performed at various liquid and gas flow rates. The experimental results show that the desorption rates achieved for carbon dioxide ranges from 0.07 to 0.25 m(3) CO(2)/m(3) sludge per day, which is comparable to the rate of generation by the anaerobic digestion. With increasing liquid flow rate and decreasing gas flow rate the amount of methane desorbed per amount of carbon dioxide desorbed increases. The lowest methane loss achieved is approximately 2% of the estimated methane production in the digestion process.


Assuntos
Reatores Biológicos/microbiologia , Dióxido de Carbono/química , Conservação dos Recursos Naturais , Metano/química , Esgotos/microbiologia , Anaerobiose , Fermentação
19.
Virchows Arch ; 449(3): 297-301, 2006 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-16909262

RESUMO

Prostate cancer volume correlates with stage, grade, and progression after prostatectomy. When tumor volume is measured planimetrically, results are multiplied by a correction factor to compensate for tissue shrinkage caused by processing. Injection of formalin into prostatectomy specimens was suggested for improved fixation. Our aim was to investigate how this affects the prostate volume. We studied 142 radical prostatectomy specimens. All prostates were immersed in 10% formalin. In 84 prostates (59%) we also injected 20 ml of formalin before routine fixation. The prostates were weighed unfixed after injection and after final fixation. The specimens were sliced and totally embedded. The transverse diameters of the prostates were measured on unfixed specimens and microscopic sections. The average weight loss after final fixation was 5.8 and 8.6% for formalin-injected specimens and standard-fixed specimens, respectively (p<0.001). However, when total shrinkage was estimated from the transverse diameters, there was no difference related to fixation technique (p=0.59). The average linear shrinkage was 4.5%, corresponding to a volume correction factor of 1.15. We conclude that formalin injection for fixation of prostate tissue does not influence tumor volume calculation compared to conventional fixation.


Assuntos
Artefatos , Fixadores , Formaldeído , Prostatectomia , Neoplasias da Próstata/patologia , Fixação de Tecidos/métodos , Humanos , Masculino , Tamanho do Órgão , Neoplasias da Próstata/cirurgia
20.
Comp Med ; 56(2): 110-3, 2006 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-16639977

RESUMO

The aim of this study was to determine which Helicobacter species other than H. hepaticus colonize laboratory mice and rats in Sweden. We analyzed 63 intestinal samples from mice and 42 intestinal samples from rats by partial 16S rDNA sequence analysis. Previously these samples had been found positive for Helicobacter species but negative for H. hepaticus in a polymerase chain reaction screening assay at the National Veterinary Institute in Sweden. H. ganmani, H. typhlonius, H. rodentium, an uncharacterized Helicobacter species ('hamster B'), and a possibly novel species were detected in mice. The possibly novel species was most closely related to H. apodemus strain YMRC 000216 (98.3% sequence similarity). Two different Helicobacter species were detected in rats: H. ganmani and H. rodentium. H. ganmani colonization of rats has not previously been reported.


Assuntos
Helicobacter/isolamento & purificação , Camundongos Endogâmicos/microbiologia , Ratos Endogâmicos/microbiologia , Animais , DNA Ribossômico , Helicobacter/classificação , Helicobacter/genética , Helicobacter hepaticus/classificação , Helicobacter hepaticus/isolamento & purificação , Intestinos/microbiologia , Camundongos , Filogenia , Ratos , Análise de Sequência de DNA , Suécia
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