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1.
Cureus ; 15(6): e40299, 2023 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-37448411

RESUMO

Inflammatory bowel disease (IBD) is a chronic disease connected to the immune system, with a predilection for the gastrointestinal tract. However, a large proportion of the patients have extraintestinal manifestations (EIM), and the ocular system is affected in some patients. The clinical presentation of ocular pathology is broad, ranging from asymptomatic cases to blindness, leading to high morbidity. Ocular complications can be primary and, in general, are associated with episodes of acute flare-ups that subside with immunological management of the digestive disease. Secondary complications arise from the primary ones and as adverse effects of immunological treatment. In addition, on many occasions, the ocular manifestation may appear prior to the presentation of digestive symptoms. The presence of a multidisciplinary team that includes a gastroenterologist and an ophthalmologist is important in order to achieve early diagnosis of ocular complications, thereby preventing, treating, and avoiding unfavorable and irreversible long-term ocular sequelae.

2.
Cancer ; 129(18): 2864-2870, 2023 09 15.
Artigo em Inglês | MEDLINE | ID: mdl-37424308

RESUMO

BACKGROUND: Indigenous Peoples have higher morbidity rates and lower life expectancies than non-Indigenous Canadians. Identification of disparities between Indigenous and non-Indigenous men regarding prostate cancer (PCa) screening, diagnoses, management, and outcomes was sought. METHODS: An observational cohort of men diagnosed with PCa between June 2014 and October 2022 was studied. Men were prospectively enrolled in the province-wide Alberta Prostate Cancer Research Initiative. The primary outcomes were tumor characteristics (stage, grade, and prostate-specific antigen [PSA]) at diagnosis. Secondary outcomes were PSA testing rates, time from diagnosis to treatment, treatment modality, and metastasis-free, cancer-specific, and overall survivals. RESULTS: Examination of 1,444,974 men for whom aggregate PSA testing data were available was performed. Men in Indigenous communities were less likely to have PSA testing performed than men outside of Indigenous communities (32 vs. 46 PSA tests per 100 men [aged 50-70 years] within 1 year; p < .001). Among 6049 men diagnosed with PCa, Indigenous men had higher risk disease characteristics: a higher proportion of Indigenous men had PSA ≥ 10 ng/mL (48% vs. 30%; p < .01), TNM stage ≥ T2 (65% vs. 47%; p < .01), and Gleason grade group ≥ 2 (79% vs. 64%; p < .01) compared to non-Indigenous men. With a median follow-up of 40 months (interquartile range, 25-65 months), Indigenous men were at higher risk of developing PCa metastases (hazard ratio, 2.3; 95% CI, 1.2-4.2; p < .01) than non-Indigenous men. CONCLUSIONS: Despite receiving care in a universal health care system, Indigenous men were less likely to receive PSA testing and more likely to be diagnosed with aggressive tumors and develop PCa metastases than non-Indigenous men.


Assuntos
Neoplasias da Próstata , Masculino , Humanos , Neoplasias da Próstata/diagnóstico , Neoplasias da Próstata/terapia , Neoplasias da Próstata/patologia , Antígeno Prostático Específico , Detecção Precoce de Câncer , Assistência de Saúde Universal , Canadá/epidemiologia
3.
Cancer Med ; 12(15): 15797-15808, 2023 08.
Artigo em Inglês | MEDLINE | ID: mdl-37329212

RESUMO

BACKGROUND: There is an unmet clinical need for minimally invasive diagnostic tests to improve the detection of grade group (GG) ≥3 prostate cancer relative to prostate antigen-specific risk calculators. We determined the accuracy of the blood-based extracellular vesicle (EV) biomarker assay (EV Fingerprint test) at the point of a prostate biopsy decision to predict GG ≥3 from GG ≤2 and avoid unnecessary biopsies. METHODS: This study analyzed 415 men referred to urology clinics and scheduled for a prostate biopsy, were recruited to the APCaRI 01 prospective cohort study. The EV machine learning analysis platform was used to generate predictive EV models from microflow data. Logistic regression was then used to analyze the combined EV models and patient clinical data and generate the patients' risk score for GG ≥3 prostate cancer. RESULTS: The EV-Fingerprint test was evaluated using the area under the curve (AUC) in discrimination of GG ≥3 from GG ≤2 and benign disease on initial biopsy. EV-Fingerprint identified GG ≥3 cancer patients with high accuracy (0.81 AUC) at 95% sensitivity and 97% negative predictive value. Using a 7.85% probability cutoff, 95% of men with GG ≥3 would have been recommended a biopsy while avoiding 144 unnecessary biopsies (35%) and missing four GG ≥3 cancers (5%). Conversely, a 5% cutoff would have avoided 31 unnecessary biopsies (7%), missing no GG ≥3 cancers (0%). CONCLUSIONS: EV-Fingerprint accurately predicted GG ≥3 prostate cancer and would have significantly reduced unnecessary prostate biopsies.


Assuntos
Vesículas Extracelulares , Neoplasias da Próstata , Masculino , Humanos , Próstata/patologia , Antígeno Prostático Específico , Estudos Prospectivos , Neoplasias da Próstata/diagnóstico , Neoplasias da Próstata/patologia , Biópsia , Vesículas Extracelulares/patologia
4.
Mol Oncol ; 17(3): 407-421, 2023 03.
Artigo em Inglês | MEDLINE | ID: mdl-36520580

RESUMO

Extracellular vesicles (EVs) are highly abundant in human biofluids, containing a repertoire of macromolecules and biomarkers representative of the tissue of origin. EVs released by tumours can communicate key signals both locally and to distant sites to promote growth and survival or impact invasive and metastatic progression. Microscale flow cytometry of circulating EVs is an emerging technology that is a promising alternative to biopsy for disease diagnosis. However, biofluid-derived EVs are highly heterogeneous in size and composition, making their analysis complex. To address this, we developed a machine learning approach combined with EV microscale cytometry using tissue- and disease-specific biomarkers to generate predictive models. We demonstrate the utility of this novel extracellular vesicle machine learning analysis platform (EVMAP) to predict disease from patient samples by developing a blood test to identify high-grade prostate cancer and validate its performance in a prospective 215 patient cohort. Models generated using the EVMAP approach significantly improved the prediction of high-risk prostate cancer, highlighting the clinical utility of this diagnostic platform for improved cancer prediction from a blood test.


Assuntos
Vesículas Extracelulares , Neoplasias da Próstata , Masculino , Humanos , Citometria de Fluxo , Estudos Prospectivos , Biomarcadores , Neoplasias da Próstata/patologia
5.
Rev. colomb. cancerol ; 26(1): 3-13, ene.-mar. 2022. tab
Artigo em Espanhol | LILACS | ID: biblio-1407967

RESUMO

Resumen Algunos pacientes con enfermedad terminal que están cerca del final de la vida pueden experimentar un sufrimiento intolerable dado por síntomas refractarios a las terapias paliativas específicas. La Sedación Paliativa (SP) se considera una modalidad de tratamiento eficaz para el manejo de estos síntomas refractarios cuando los esfuerzos agresivos no proporcionan alivio. La SP consiste en el uso de medicamentos que inducen sedación y disminución del nivel de conciencia con el objetivo de aliviar el sufrimiento intolerable en los últimos días de la vida. Los síntomas físicos refractarios más frecuentes son el dolor, delirium y disnea, sin embargo, la SP también se indica para tratar el sufrimiento existencial o la angustia psicológica, que es un problema extremadamente difícil y delicado. La SP ha sido ampliamente debatida por las obvias implicaciones éticas, socioculturales y de toma de decisiones. Se ha reportado que la SP se administra en una proporción que va del 2% al 52% de los pacientes con enfermedades terminales. Los estudios han sugerido que la SP es exitosa en el manejo de los síntomas intratables al final de la vida, no genera efectos perjudiciales sobre la supervivencia y es satisfactoria para los familiares.


Abstract Palliative sedation (PS) is frequently applied in some patients with terminal illness, who are near the end of life, to ameliorate unendurable and refractory distress; it is considered an effective treatment modality for the management of refractory symptoms when aggressive efforts do not provide relief. PS consists of the use of medications that induce sedation and decrease the level of consciousness with the aim of relieving intolerable suffering in the last days of life. The most frequent physical refractory symptoms are pain, delirium, and dyspnea, but PS is also indicated to treat existential suffering or psychological distress, which is an extremely difficult and delicate problem. PS has been widely debated given its obvious ethical, sociocultural, and decision-making implications. It has been reported that PS is given to 2-52% of patients with terminal illness; studies have suggested that PS is successful in managing intractable symptoms at the end of life, satisfactory for family members, and does not have detrimental effects on survival.


Assuntos
Humanos , Sinais e Sintomas , Morte , Tomada de Decisões , Sobrevida , Terapêutica , Sobrevivência
6.
Rev Bras Med Trab ; 19(1): 13-26, 2021 Apr 30.
Artigo em Inglês | MEDLINE | ID: mdl-33986776

RESUMO

INTRODUCTION: Occupational diseases are those that may have a causal relationship with occupational activity or environment. However, this definition does not specify how this disease would be identified and acknowledged for workers with subsistence jobs. OBJECTIVES: To determine sociodemographic, labor and environmental conditions that collaborate to explain the presence of eye and skin irritation among informal vendors in downtown Medellin. METHODS: Descriptive cross-sectional study with analytical intention, primary sources of information, and administration of assisted survey including self-reported eye and skin irritation in 686 workers. RESULTS: Predominantly male population with mean age of 50 (±11.8) years. A total of 23.5 % of workers had worked as vendors for their entire life; 37.5% had worked as vendors for 11 to 20 years as vendors; and 81.5%worked for more than 8 hours a day. According to 69.8% of the sample, poor air quality affected their work, and 80.0% believed that pollution was generated by vehicle fleet. The polluted areas generated unpleasant odors (50.2%) and air pollution (89.4%). The prevalence of eye and skin irritation was 65.4%. Not having working license and having fair, poor, or very poor job tenure significantly reduced the prevalence of eye and skin irritation. Conversely, exposure to polluted water, working in the professional for more than 30 years, male sex, and age older than 60 years were associated with increased prevalence of irritation. CONCLUSIONS: Eye and skin irritation was mainly explained by non-modifiable sociodemographic and labor conditions and by consumption of polluted water; however, implementing public health actions could reduce workers' socio-environmental and labor vulnerability.

8.
BMJ Open ; 10(10): e037222, 2020 10 16.
Artigo em Inglês | MEDLINE | ID: mdl-33067276

RESUMO

PURPOSE: The Alberta Prostate Cancer Research Initiative (APCaRI) Registry and Biorepository was established in 2014 by the APCaRI to facilitate the collection of clinical and patient-reported data, biospecimen, to measure prostate cancer outcomes and to support the development and clinical translation of innovative technologies to better diagnose and predict outcomes for patients with prostate cancer. PARTICIPANTS: Men suspected with prostate cancer and referred to Urology centres in Alberta were enrolled in the APCaRI 01 study, while men with a prior prostate cancer diagnosis participated in the APCaRI 03 study from 1 July 2014 to 30 June 2019. The APCaRI Registry and Biorepository links biospecimens and data from a wide representation of patients drawn from an Alberta population of more than 4 million. FINDINGS TO DATE: From 1 July 2014 to 30 June 2019, total APCaRI 01 and 03 study recruitment was 3754 men; 142 (4%) of these men withdrew in full, 65 men (2%) withdrew biospecimens and 123 men (3%) died of any cause. Over this same time, 8677 patient-reported outcome measure (PROM) surveys and 7368 biospecimens were collected and are available from the registry and biorepository, respectively. The data entry error rate was 0.8% and 0.95% for critical and non-critical values, respectively, and 1.8% for patient-reported surveys. FUTURE PLANS: The APCaRI Registry and Biorepository will collect longitudinal data and PROM surveys until 2024, patient outcomes up to 25 years after recruitment and biospecimen storage for up to 25 years. The APCaRI cohorts will continue to provide data and samples to researchers conducting retrospective studies. The richness of the data and biospecimens will complement many different research questions, ultimately to improve the quality of care for men with prostate cancer.


Assuntos
Neoplasias da Próstata , Alberta/epidemiologia , Humanos , Masculino , Medidas de Resultados Relatados pelo Paciente , Neoplasias da Próstata/diagnóstico , Neoplasias da Próstata/epidemiologia , Sistema de Registros , Estudos Retrospectivos , Tecnologia
9.
Matronas prof ; 20/21(4/1): 13-19, 2019-2020. tab
Artigo em Espanhol | IBECS | ID: ibc-192423

RESUMO

OBJETIVO: Conocer el significado de la experiencia del proceso de embarazo, parto y puerperio en mujeres inmigrantes afiliadas a centros de salud familiar de una comuna de la zona sur de la ciudad de Santiago de Chile. METODOLOGÍA: Estudio con metodología cualitativa con muestreo por avalancha o bola de nieve. Se aplicaron entrevistas semiestructuradas a 8 mujeres inmigrantes, que fueron transcritas verbatim. Se realizó un análisis de contenido, detallándose aspectos del fenómeno de estudio y buscando las categorías de significado que dieran respuesta a los objetivos de la investigación. RESULTADOS: Emergieron 4 unidades de significado: 1) necesidades percibidas durante el proceso de embarazo, parto y puerperio en condición de inmigrante; 2) barreras o dificultades vividas durante este proceso; 3) facilitadores percibidos, y 4) percepción de red de apoyo en su condición de migrante. CONCLUSIONES: La mujer inmigrante presenta grandes desafíos durante el proceso de embarazo, parto y puerperio en el país receptor. Vivir esta etapa en un país desconocido produce importantes diferencias en las condiciones de vida y riesgo de vulnerabilidad, determinando la forma en que la mujer lo experimenta, planteando, por ende, nuevos desafíos para los profesionales de la salud


OBJECTIVE: To know the meaning of the experience of the pregnancy, childbirth and postpartum process in immigrant women affiliated to family health centers of a commune of the south zone of the city of Santiago (Chile). METHODOLOGY: Qualitative case study with sampling like snowball. Semistructured interview was applied to 8 immigrant women, which were transcribed verbatim. Content analysis was carried out, detailing aspects of the study phenomenon and looking for categories of meaning that would respond to the research objectives. RESULTS: Four units of meaning emerged to respond to the phenomenon under study, these were: 1) perceived needs during the pregnancy, childbirth and postpartum process in immigrant status; 2) barriers or difficulties experienced during the pregnancy, childbirth and postpartum in immigrant status; 3) facilitators perceived, and 4) perception of support network in their migrant status. CONCLUSIONS: The immigrant woman presents great challenges during the process of pregnancy, childbirth and puerperium in the receiving country. Living this stage in an unknown country produces important differences in the living conditions and risk of vulnerability, determining the way in which the woman experiences this stage of her life, and posing, therefore, new challenges for health professionals


Assuntos
Humanos , Feminino , Gravidez , Adolescente , Adulto Jovem , Adulto , Emigrantes e Imigrantes/estatística & dados numéricos , Período Pós-Parto , Trabalho de Parto , Gestantes , Saúde Materno-Infantil , Chile , Centros de Assistência à Gravidez e ao Parto/estatística & dados numéricos , Pesquisa Qualitativa
10.
JCO Clin Cancer Inform ; 3: 1-12, 2019 05.
Artigo em Inglês | MEDLINE | ID: mdl-31116569

RESUMO

PURPOSE: An online clinical information system, called Predictive Research Online System Prostate Cancer Tasks (PROSPeCT), was developed to enable users to query the Alberta Prostate Cancer Registry database hosted by the Alberta Prostate Cancer Research Initiative. To deliver high-quality patient treatment, prostate cancer clinicians and researchers require a user-friendly system that offers an easy and efficient way to obtain relevant and accurate information about patients from a robust and expanding database. METHODS: PROSPeCT was designed and implemented to make it easy for users to query the prostate cancer patient database by creating, saving, and reusing simple and complex definitions. We describe its intuitive nature by exemplifying the creation and use of a complex definition to identify a "high-risk" patient cohort. RESULTS: PROSPeCT was made to minimize user error and to maximize efficiency without requiring the user to have programming skills. Thus, it provides tools that allow both novice and expert users to easily identify patient cohorts, manage individual patient care, perform Kaplan Meier estimates, plot aggregate PSA views, compute PSA-doubling time, and visualize results. CONCLUSION: This report provides an overview of PROSPeCT, a system that helps clinicians to identify appropriate patient treatments and researchers to develop prostate cancer hypotheses, with the overarching goal of improving the quality of life of patients with prostate cancer. We have made available the code for the PROSPeCT implementation at https://github.com/max-uhlich/e-PROSPeCT .


Assuntos
Bases de Dados Factuais , Sistemas de Apoio a Decisões Clínicas , Informática Médica/métodos , Sistemas On-Line , Neoplasias da Próstata , Ferramenta de Busca , Humanos , Masculino , Neoplasias da Próstata/terapia , Software , Interface Usuário-Computador , Navegador
11.
Plant Genome ; 11(3)2018 11.
Artigo em Inglês | MEDLINE | ID: mdl-30512038

RESUMO

White clover ( L.) is the most important grazing perennial forage legume in temperate climates. However, its limited capacity to survive and restore growth after low temperatures during winter constrains the productivity and wide adoption of the crop. Despite the importance of cold tolerance for white clover cultivar development, the genetic basis of this trait remains largely unknown. Hence, in this study, we performed the first genome-wide association study (GWAS) analyses in white clover to identify quantitative trait loci (QTL) for cold-tolerance-related traits. Seeds from 192 divergent genotypes from six populations in the Patagonia region of South America were collected and seed-derived plants were further clonally propagated. Clonal trials were established in three locations representing temperature gradient associated with elevation. Given the allotetraploid nature of the white clover genome, distinct genetic models (diploid and tetraploid) were tested. Only the tetraploid parameterization was able to detect the 53 loci associated with cold-tolerance traits. Out of the 53 single nucleotide polymorphism (SNP) trait associations, 17 controlled more than one trait or were stable across multiple sites. This work represents the first report of QTL for cold-tolerance-related traits, providing insights into its genetic basis and candidate genomic regions for further functional validation studies.


Assuntos
Aclimatação , Trifolium/fisiologia , Temperatura Baixa , Genes de Plantas , Marcadores Genéticos , Genética Populacional , Estudo de Associação Genômica Ampla , Genótipo , Desequilíbrio de Ligação , Fenótipo , Locos de Características Quantitativas , Trifolium/genética
12.
Pediatr Pulmonol ; 53(10): 1356-1361, 2018 10.
Artigo em Inglês | MEDLINE | ID: mdl-29938928

RESUMO

BACKGROUND: Some studies, mainly in Europe, have shown a low level of sensitization to house dust mite (HDM) allergens at high altitude (HA). Differently, some others in tropical countries have shown a higher level. The aim of this study was to evaluate allergens sensitization, including HDM, in children with severe asthma (SA), residents at HA in a tropical middle-income developing country. METHODS: Observational, analytical, cross-sectional study in children aged 6-15 years old with SA at HA (2640 m). Skin prick tests (SPT), serum IgE, exhaled fraction of nitric oxide (FENO ), spirometry, and asthma questionnaire (ACT) were performed. Associations were explored by Pearson or Spearman coefficients. RESULTS: We included 61 children. Most patients were male (61.3%), median age: 10 years (Interquartile range [IQR]: 8-12), median BMI: 17 kg/m2 (IQR: 16-20); Median of positive SPT: 2 (IQR: 2-3). At least one SPT was positive in 88.7% of patients and 87.9% were positive for at least one HDM. Serum IgE: 348 UI/mL (IQR: 154-760) and FENO : 22 ppb (IQR: 9-41). Prebronchodilator values were (% predicted): FVC: 109.7% (±15.5%), FEV1 : 98.4% (±16.3); FEV1 /FVC: 82% (±8%). SPT were inversely correlated with the FEV1 /FVC (Rho: -0.34; 95% CI: -0.55 a -0.09; P = 0.008). CONCLUSIONS: These children with SA living at HA in a tropical middle-income developing country have a high prevalence of HDM sensitization. One explanation for this might be that tropical conditions, such as temperature and humidity, could modify the effect of the altitude on asthma.


Assuntos
Altitude , Antígenos de Dermatophagoides/imunologia , Asma/epidemiologia , Asma/imunologia , Pyroglyphidae/imunologia , Clima Tropical , Adolescente , Animais , Criança , Colômbia/epidemiologia , Estudos Transversais , Expiração , Feminino , Humanos , Umidade , Imunoglobulina E/sangue , Masculino , Óxido Nítrico/análise , Prevalência , Fatores de Risco , Índice de Gravidade de Doença , Testes Cutâneos , Espirometria , Inquéritos e Questionários
13.
Mitochondrial DNA A DNA Mapp Seq Anal ; 27(4): 2334-42, 2016 07.
Artigo em Inglês | MEDLINE | ID: mdl-26000940

RESUMO

We sequenced the mitochondrial cytochrome b gene of 141 lowland tapirs (Tapirus terrestris) - representing the largest geographical distribution sample of this species studied across of South America to date. We compare our new data regard to two previous works on population structure and molecular systematics of T. terrestris. Our data agree with the Thoisy et al.'s work in (1) the Northern Western Amazon basin was the area with the highest gene diversity levels in T. terrestris, being probably the area of initial diversification; (2) there was no clear association between haplogroups and specific geographical areas; (3) there were clear population decreases during the last glacial maximum for the different haplogroups detected, followed by population expansions during the Holocene; and (4) our temporal splits among different T. terrestris haplogroups coincided with the first molecular clock approach carried out by these authors (fossil calibration). Nevertheless, our study disagreed regard to other aspects of the Thoisy et al.'s claims: (1) meanwhile, they detected four relevant clades in their data, we put forward six different relevant clades; (2) the Amazon River was not a strong barrier for haplotype dispersion in T. terrestris; and (3) we found reciprocal monophyly between T. terrestris and T. pinchaque. Additionally, we sequenced 42 individuals (T. terrestris, T. pinchaque, T. bairdii, and the alleged "new species", T. kabomani) for three concatenated mitochondrial genes (Cyt-b, COI, and COII) agreeing quite well with the view of Voss et al., and against of the claims of Cozzuol et al. Tapirus kabomani should be not considered as a full species with the results obtained throughout the mitochondrial sequences.


Assuntos
Variação Genética , Perissodáctilos/classificação , Perissodáctilos/genética , Filogenia , Filogeografia , Animais , Evolução Molecular , Genes Mitocondriais , Heterogeneidade Genética , Genética Populacional , Geografia , América do Sul
14.
Cancer Res ; 74(1): 173-87, 2014 Jan 01.
Artigo em Inglês | MEDLINE | ID: mdl-24220242

RESUMO

Normal physiology relies on the organization of transmembrane proteins by molecular scaffolds, such as tetraspanins. Oncogenesis frequently involves changes in their organization or expression. The tetraspanin CD151 is thought to contribute to cancer progression through direct interaction with the laminin-binding integrins α3ß1 and α6ß1. However, this interaction cannot explain the ability of CD151 to control migration in the absence of these integrins or on non-laminin substrates. We demonstrate that CD151 can regulate tumor cell migration without direct integrin binding and that integrin-free CD151 (CD151(free)) correlates clinically with tumor progression and metastasis. Clustering CD151(free) through its integrin-binding domain promotes accumulation in areas of cell-cell contact, leading to enhanced adhesion and inhibition of tumor cell motility in vitro and in vivo. CD151(free) clustering is a strong regulator of motility even in the absence of α3 expression but requires PKCα, suggesting that CD151 can control migration independent of its integrin associations. The histologic detection of CD151(free) in prostate cancer correlates with poor patient outcome. When CD151(free) is present, patients are more likely to recur after radical prostatectomy and progression to metastatic disease is accelerated. Multivariable analysis identifies CD151(free) as an independent predictor of survival. Moreover, the detection of CD151(free) can stratify survival among patients with elevated prostate-specific antigen levels. Cumulatively, these studies demonstrate that a subpopulation of CD151 exists on the surface of tumor cells that can regulate migration independent of its integrin partner. The clinical correlation of CD151(free) with prostate cancer progression suggests that it may contribute to the disease and predict cancer progression.


Assuntos
Movimento Celular/fisiologia , Neoplasias da Próstata/metabolismo , Neoplasias da Próstata/patologia , Tetraspanina 24/metabolismo , Tetraspaninas/metabolismo , Animais , Comunicação Celular/fisiologia , Linhagem Celular Tumoral , Embrião de Galinha , Estudos de Coortes , Progressão da Doença , Humanos , Imuno-Histoquímica , Integrina alfa3/metabolismo , Masculino , Camundongos , Células NIH 3T3 , Agregação Plaquetária , Neoplasias da Próstata/genética , Ligação Proteica , Estrutura Terciária de Proteína , RNA Mensageiro/biossíntese , RNA Mensageiro/genética , Estudos Retrospectivos , Tetraspanina 24/biossíntese , Tetraspanina 24/genética , Tetraspaninas/genética
15.
Int J Pediatr Otorhinolaryngol ; 76(4): 530-5, 2012 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-22301354

RESUMO

OBJECTIVE: Allergic rhinitis is one of the most frequent chronic diseases among children. The objective of the study was to assess the prevalence of rhinoconjunctivitis and determine clinical, social and environmental associated factors, among school children aged 6-7 years and adolescents aged 13-14 years in Bogotá, Colombia. METHODS: We used ISAAC (International Study of Asthma and Allergies in Childhood) phase III study methodology and questionnaire for design and data collection, and we did a secondary analysis of these data. The sample consisted of 3830 registers from adolescents between 13 and 14 years old and 3256 registers from children between 6 and 7 years. RESULTS: The prevalence of rhinoconjunctivitis symptoms in the last year was 17.2% (95% CI, 15.9-18.5) in children vs. 24.9% (95% CI, 23.6-26.3) in adolescents. In both groups there was a female predominance in children (17.8% vs. 16.5%), and in the teenagers group (28.0% vs. 21.4%), though the differences were not statistically significant. The factors associated with rhinoconjunctivitis in the group of 6-7 years where: asthma [OR 3.9; (95% CI, 2.8-5.4)], atopic dermatitis [OR 2.3; (95% CI, 1.7-3.1)], use of acetaminophen in the last year [OR 2.6; (95% CI, 1.4-4.9)], use of antibiotics in the first year of live [OR 1.7; (95% CI, 1.3-2.3)], higher maternal education [OR 1.5; (95% CI, 1.0-2.3)] and cesarean delivery [OR 1.6; (95% CI, 1.2-2.1)]. Among the 13-14 year age-group, factors associated with rhinoconjunctivitis included: asthma [OR 2.6; (95% CI, 2.0-3.4)], atopic dermatitis [OR 1.8; (95% CI, 1.4-2.3)], use of acetaminophen in the last year [OR 1.8; (95% CI, 1.4-2.4)], consumption of fast-food three times or more per week [OR 1.5; (95% CI, 1.2-2.0), ever smoked [OR 1.4; (95% CI, 1.2-1.7)] and meat consumption was protective factor [OR 0.7; (95% CI, 0.5-0.9)]. CONCLUSION: In both studied groups, the estimated prevalence of rhinoconjunctivitis symptoms was relatively high. Future in-depth research is needed to assess the complex interactions between allergic rhinoconjunctivitis symptoms and social and environmental factors.


Assuntos
Conjuntivite Alérgica/complicações , Conjuntivite Alérgica/epidemiologia , Rinite/complicações , Rinite/epidemiologia , Adolescente , Fatores Etários , Asma/complicações , Asma/diagnóstico , Criança , Estudos de Coortes , Colômbia , Conjuntivite Alérgica/diagnóstico , Estudos Transversais , Dermatite Atópica/complicações , Dermatite Atópica/diagnóstico , Feminino , Humanos , Masculino , Prevalência , Rinite/diagnóstico , Fatores de Risco
16.
Rev. biol. trop ; 58(3): 1049-1067, Sept. 2010. ilus, tab
Artigo em Espanhol | LILACS | ID: lil-637980

RESUMO

Genetic methods for the reintroduction of primates Saguinus, Aotus and Cebus (Primates: Cebidae) seized in Bogota, Colombia. Primates are one of more confiscated taxa by the environmental authorities in Bogota, Colombia. During 2008, 133 monkeys were confiscated; samples from 115 of them were sequenced by the mitochondrial cythocrome oxidase II gene (mtCOII) and 112 sequences obtained were of high quality. These sequences were compared with those obtained by our research group from individuals directly sampled in the field, with precise geographic origin. So, a more specific geographic area of the Colombian territory could be considered for a correct rehabilitation treatment during the reintroduction of these confiscated animals. The main results with five primate species were: 1- For all the specimens analyzed of Saguinus leucopus, they could be liberated in any geographical area of its distribution range, since only one gene pool was found. 2- For the 14 Aotus sp. individuals sequenced from the SDA (Environmental District Secretariat), one of them (A. vociferans) was coming from the Amazon, seven exemplars belonged to A. griseimembra from the Magdalena Valley and the Colombian Caribbean coasts, four individuals represented to A. brumbacki from the Colombian Eastern Llanos, and two were associated to A. azarae azarae from Northern Argentina and Paraguay (which means that illegal traffic of animals is arriving to Colombia from other South-American countries). 3-Out 14 Cebus albifrons sequenced, two belonged to the geographical area of C. a. versicolor, one to C. a. pleei, 10 to C. a. leucocephalus and one could be not assigned because its sequence yielded a great genetic divergence with respect to the other specimens sequenced of this species. 4- The two Cebus capucinus sequenced showed to be associated to a gene pool found in the Northern of Chocó, Sucre and Córdoba Departments. 5- Out 11 Cebus apella sequenced, 10 showed to belong to the gene pool presented in the Colombian Eastern Llanos and highly related (but differentiable) to Cebus apella apella from the French Guyana. It could be named C. a. fatuellus sensu Groves (2001). One exemplar sequenced could be not related with the other C. apella analyzed, nor the related taxa to the aforementioned species (C. a. paraguayanus =C. cay; C. xanthosternos; C. nigritus). Rev. Biol. Trop. 58 (3): 1049-1067. Epub 2010 September 01.


Los primates son uno de los grupos de mamíferos más decomisados por la autoridades ambientales (SDA) en Bogotá, Colombia. Un total de 133 primates fueron confiscados en Bogotá durante el año 2008 y mantenidos en las instalaciones de la SDA. De ellos, 115 fueron secuenciados para el gen mitocondrial citocromo oxidasa II (mtCOII) y en 112 ejemplares, las secuencias obtenidas fueron de alta calidad. Esas secuencias se compararon con las obtenidas para ejemplares muestreados directamente en campo por nuestro grupo de investigación y con origen geográfico conocido. De ese modo, se pudo determinar las áreas geográficas, en el territorio colombiano, donde pueden liberarse esos ejemplares después del tratamiento de rehabilitación oportuno. Los resultados principales para las cinco especies de primates fueron como siguen: 1- Para Saguinus leucopus, los animales analizados pueden ser liberados en cualquier área geográfica dentro del rango de distribución de la especie, ya que solo se detectó un acervo genético sin estructura espacial. 2- Para los 14 Aotus sp. secuenciados procedentes de la SDA, se determinó que: uno de ellos pertenecía a A. vociferans, propio de la Amazonía; siete ejemplares pertenecieron a A. griseimembra, propio del valle del Magdalena hasta la costa Caribe colombiana; cuatro ejemplares representaron a A. brumbacki, de los Llanos Orientales de Colombia; y dos ejemplares se asociaron con A. azarae azarae del norte de Argentina y Paraguay, con lo cual se muestra que en Colombia se está recibiendo fauna ilegal procedente de otros países. 3- De los 14 Cebus albifrons secuenciados, dos pertenecieron al área geográfica de distribución de C. a. versicolor; uno al de C. a. pleei, 10 al de C. a. leucocephalus, y uno no pudo ser asignado ya que su secuencia mostraba gran divergencia respecto a los otros ejemplares secuenciados de esta especie. 4- Los dos Cebus capucinus secuenciados mostraron estar asociados a un acervo genético encontrado en el norte del Chocó, Sucre y Córdoba. 5- De 11 Cebus apella secuenciados, 10 mostraron pertenecer al acervo genético que se encuentra en los Llanos Orientales de Colombia y altamente relacionado a Cebus apella apella de la Guyana Francesa, aunque podrían representar un acervo propio de Colombia, C. a. fatuellus sensu Groves (2001). Un individuo no pudo ser relacionado con ningún grupo de los otros C. apella estudiados, ni con los taxones relacionados a la especie mencionada, pero, probablemente, con su propio estatus taxonómico (C. a. paraguayanus = C. cay, C. xanthosternos, C. nigritus).


Assuntos
Animais , Aotidae/genética , Cebus/genética , DNA Mitocondrial/genética , Complexo IV da Cadeia de Transporte de Elétrons/genética , Saguinus/genética , Colômbia , Filogenia , Reação em Cadeia da Polimerase/veterinária
17.
Rev Biol Trop ; 58(3): 1049-67, 2010 Sep.
Artigo em Espanhol | MEDLINE | ID: mdl-20737854

RESUMO

Primates are one of more confiscated taxa by the environmental authorities in Bogota, Colombia. During 2008, 133 monkeys were confiscated; samples from 115 of them were sequenced by the mitochondrial cythocrome oxidase II gene (mtCOII) and 112 sequences obtained were of high quality. These sequences were compared with those obtained by our research group from individuals directly sampled in the field, with precise geographic origin. So, a more specific geographic area of the Colombian territory could be considered for a correct rehabilitation treatment during the reintroduction of these confiscated animals. The main results with five primate species were: 1--For all the specimens analyzed of Saguinus leucopus, they could be liberated in any geographical area of its distribution range, since only one gene pool was found. 2--For the 14 Aotus sp. individuals sequenced from the SDA (Environmental District Secretariat), one of them (A. vociferans) was coming from the Amazon, seven exemplars belonged to A. griseimembra from the Magdalena Valley and the Colombian Caribbean coasts, four individuals represented to A. brumbacki from the Colombian Eastern Llanos, and two were associated to A. azarae azarae from Northern Argentina and Paraguay (which means that illegal traffic of animals is arriving to Colombia from other South-American countries). 3--Out 14 Cebus albifrons sequenced, two belonged to the geographical area of C. a. versicolor, one to C. a. pleei, 10 to C a. leucocephalus and one could be not assigned because its sequence yielded a great genetic divergence with respect to the other specimens sequenced of this species. 4--The two Cebus capucinus sequenced showed to be associated to a gene pool found in the Northern of Chocó, Sucre and Córdoba Departments. 5--Out 11 Cebus apella sequenced, 10 showed to belong to the gene pool presented in the Colombian Eastern Llanos and highly related (but differentiable) to Cebus apella apella from the French Guyana. It could be named C. a. fatuellus sensu Groves (2001). One exemplar sequenced could be not related with the other C. apella analyzed, nor the related taxa to the aforementioned species (C. a. paraguayanus = C. cay; C. xanthosternos; C. nigritus).


Assuntos
Aotidae/genética , Cebus/genética , DNA Mitocondrial/genética , Complexo IV da Cadeia de Transporte de Elétrons/genética , Saguinus/genética , Animais , Colômbia , Filogenia , Reação em Cadeia da Polimerase/veterinária
18.
Pediatr Allergy Immunol ; 19(4): 307-14, 2008 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-18208464

RESUMO

This cross-sectional study of children aged 6-7 years and adolescents aged 13-14 years in Bogotá, Colombia, assessed the prevalence of asthma symptoms and their associations with dietary, health, and behavioral habits. This study is part of the International Study of Asthma and Allergies in Childhood (ISAAC)-phase III. Asthma prevalence among the children was assessed using a parental self-administered written questionnaire (WQ), and among adolescents using a WQ together with a video questionnaire (VQ). Associations were estimated with bivariate and multivariate analysis. The study found that the 6-7 year age-group were more likely to report current asthma symptoms than the 13-14 year age-group (10.4% [WQ] vs. 8.6% [WQ] and 8.0% [VQ], respectively). Factors associated with current asthma symptoms among the 6-7 year age-group included higher maternal education (OR = 1.7, [95% CI 1.2-2.6], p = 0.007), a cat in the home during the last year (OR = 1.5, [95% CI 1.0-2.3], p = 0.036), watching TV 1-2 hours/day (OR = 2.1, [95% CI 1.2-3.9], p = 0.013), and medication with acetaminophen in the first and most recent year of life (OR = 1.8, [95% CI 1.3-2.4], p < 0.001; OR = 2.2, [95% CI 1.7-2.8], p < 0.001, respectively) or antibiotics in the first year of life (OR = 1.9, [95% CI 1.4-2.5], p < 0.001). Among the 13-14 year age-group, factors associated with current asthma symptoms included medication with acetaminophen during the last year (OR = 1.8, [95% CI 1.4-2.3], p < 0.001); cereal, milk, and fruit consumption 3 or more times weekly (OR = 1.5, [95% CI 1.1-1.9], p = 0.010; OR = 0.8, [95% CI 0.6-1.0], p = 0.046; OR = 0.6, [95% CI 0.4-1.0], p = 0.031, respectively). Overall, compared with that in other Latin American centers, asthma prevalence in Bogotá is close the lower estimates. However, associations with dietary, health, and behavioral habits need further study to assess their complex relationship with asthma.


Assuntos
Asma/epidemiologia , Asma/fisiopatologia , Adolescente , Fatores Etários , Criança , Pré-Escolar , Colômbia , Estudos Transversais , Exposição Ambiental/efeitos adversos , Feminino , Humanos , Masculino , Fatores de Risco , Inquéritos e Questionários
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