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1.
Int J Hyg Environ Health ; 257: 114335, 2024 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-38330728

RESUMO

INTRODUCTION: Dental caries is the most common non-communicable human disease, yet little is known about the role of environmental metals, despite teeth consisting of a hard matrix of trace elements. We conducted a cross-sectional study of associations between environmental metals and objective assessment of dental caries and subjective assessments of oral health among a representative sample of U.S. children and adolescents. METHODS: Data were from the 2017-March 2020 pre-pandemic data file of the National Health and Nutrition Examination Survey (NHANES). To account for metal mixtures, we used weighted quantile sum (WQS) regression to estimate the joint impact of multiple trace elements assessed in blood and urine with oral disease outcomes. RESULTS: The blood metal mixture index was associated with a 32% (95% CI: 1.11, 1.56) increased risk of decayed surfaces while the urine metal mixture index was associated with a 106%, RR (95% CI = 2.06 (1.58, 2.70) increased caries risk. For both blood and urine, Mercury (Hg) had the largest contribution to the mixture index followed by Lead (Pb). The WQS blood metal mixture index was also significantly associated with poorer self-rated oral health, although the magnitude of the association was not as strong as for the objective oral disease measures, RR (95% CI) = 1.04 (1.02, 1.07). DISCUSSION: Increased exposure to a metal mixture was significantly related to poorer objective and subjective oral health outcomes among U.S. children and adolescents. These are among the first findings showing that metal mixtures are a significant contributor to poor oral health.


Assuntos
Cárie Dentária , Mercúrio , Oligoelementos , Criança , Humanos , Adolescente , Inquéritos Nutricionais , Saúde Bucal , Estudos Transversais , Cárie Dentária/epidemiologia , Metais
2.
Environ Int ; 156: 106750, 2021 11.
Artigo em Inglês | MEDLINE | ID: mdl-34256302

RESUMO

BACKGROUND: Birthweight is an indicator of fetal growth and environmental-related alterations of birthweight have been linked with multiple disorders and conditions progressing into adulthood. Although a few studies have assessed the association between birthweight and the totality of exogenous exposures and their downstream molecular responses in maternal urine and cord blood; no prior research has considered a) the maternal serum prenatal metabolome, which is enriched for hormones, and b) non-linear and synergistic associations among exposures. METHODS: We measured the maternal serum metabolome during pregnancy using an untargeted metabolomics approach and birthweight for gestational age (BWGA) z-score in 410 mother-child dyads enrolled in the PRogramming of Intergenerational Stress Mechanisms (PRISM) cohort. We leveraged a Bayesian factor analysis for interaction to select the most important metabolites associated with BWGA z-score and to evaluate their linear, non-linear and non-additive associations. We also assessed the primary biological functions of the identified proteins using the MetaboAnalyst, a centralized repository of curated functional information. We compared our findings with those of a traditional metabolite-wide association study (MWAS) in which metabolites are individually associated with BWGA z-score. RESULTS: Among 1110 metabolites, 46 showed evidence of U-shape associations with BWGA z-score. Most of the identified metabolites (85%) were lipids primarily enriched for pathways central to energy production, immune function, and androgen and estrogen metabolism, which are essential for pregnancy and parturition processes. Metabolites within the same class, i.e. steroids and phospholipids, showed synergistic relationships with each other. CONCLUSIONS: Our results support that the aspects of the maternal metabolome during pregnancy contribute linearly, non-linearly and synergistically to variation in newborn birthweight.


Assuntos
Desenvolvimento Fetal , Metaboloma , Adulto , Teorema de Bayes , Peso ao Nascer , Feminino , Idade Gestacional , Humanos , Recém-Nascido , Gravidez
3.
Environ Res ; 191: 110113, 2020 12.
Artigo em Inglês | MEDLINE | ID: mdl-32841635

RESUMO

BACKGROUND: Environmental exposures including air pollutants, toxic metals, and psychosocial stress have been associated with shorter telomere length (TL) in newborns. These exposures have in turn been linked to an enhanced inflammatory immune response. Increased inflammation during pregnancy may be a central biological pathway linking environmental factors with reduced TL at birth. Approaches that more comprehensively characterize the prenatal inflammatory milieu rather than targeting specific individual cytokines in relation to newborn TL may better elucidate inflammatory mechanisms. METHODS: Analyses included 129 mother-child dyads enrolled in the PRogramming of Intergenerational Stress Mechanisms (PRISM) pregnancy cohort. We measured 92 inflammation related proteins during pregnancy in maternal serum using the Olink protein array and quantified cord blood relative leukocyte TL (rLTL) via qPCR. We leveraged a tree-based machine learning algorithm to select the most important inflammatory related proteins jointly associated with rLTL. We then evaluated the combined association between the selected proteins with rLTL using Bayesian Weighted Quantile Sum (BWQS) Regression. Analyses were adjusted for gestational week of serum collection, maternal race/ethnicity, age, and education, and fetal sex. We evaluated major biological function of the identified proteins by using the UniProtKB, a centralized repository of curated functional information. RESULTS: Three proteins were negatively and linearly associated with rLTL (CASP8 ß: -0.22 p = 0.008, BNGF ß: -0.43 p = 0.033, TRANCE ß: 0.38 p = 0.004). Results from BWQS regression showed a significant overall decrease in rLTL (ß: -0.26 95%CrI: -0.43, -0.07) per quartile increase of the mixture, with CASP8 contributing the greatest weight (CASP8 50%; BNGF 27%, and TRANCE 23%). The identified proteins were involved in the regulation of apoptotic processes and cell proliferation. CONCLUSIONS: This proteomics approach identifies novel maternal prenatal inflammatory protein biomarkers associated with shortened rLTL in newborns.


Assuntos
Poluentes Atmosféricos , Sangue Fetal , Teorema de Bayes , Criança , Feminino , Humanos , Recém-Nascido , Leucócitos , Gravidez , Telômero/genética
4.
Science ; 366(6469): 1143-1149, 2019 11 29.
Artigo em Inglês | MEDLINE | ID: mdl-31780560

RESUMO

Disruption of intestinal microbial communities appears to underlie many human illnesses, but the mechanisms that promote this dysbiosis and its adverse consequences are poorly understood. In patients who received allogeneic hematopoietic cell transplantation (allo-HCT), we describe a high incidence of enterococcal expansion, which was associated with graft-versus-host disease (GVHD) and mortality. We found that Enterococcus also expands in the mouse gastrointestinal tract after allo-HCT and exacerbates disease severity in gnotobiotic models. Enterococcus growth is dependent on the disaccharide lactose, and dietary lactose depletion attenuates Enterococcus outgrowth and reduces the severity of GVHD in mice. Allo-HCT patients carrying lactose-nonabsorber genotypes showed compromised clearance of postantibiotic Enterococcus domination. We report lactose as a common nutrient that drives expansion of a commensal bacterium that exacerbates an intestinal and systemic inflammatory disease.


Assuntos
Enterococcus/crescimento & desenvolvimento , Microbioma Gastrointestinal , Doença Enxerto-Hospedeiro/microbiologia , Transplante de Células-Tronco Hematopoéticas , Lactose/metabolismo , Idoso , Animais , Disbiose , Enterococcus/genética , Enterococcus/metabolismo , Fezes/microbiologia , Feminino , Microbioma Gastrointestinal/genética , Humanos , Intestinos/microbiologia , Masculino , Camundongos , Microbiota , Pessoa de Meia-Idade , RNA Ribossômico 16S , Análise de Sequência de RNA , Transplante Homólogo
5.
Am J Surg ; 217(5): 986-989, 2019 05.
Artigo em Inglês | MEDLINE | ID: mdl-31000093

RESUMO

BACKGROUND: Surgical response of patients with symptomatic biliary colic but atypical findings of gallbladder polyps, hyper-dynamic gallbladder and otherwise negative biliary workup are underrepresented in the literature from community practice. METHODS: A clinical outcome study with a retrospective design compared the short term and long term symptomatic improvement reported by patients with pre-operatively diagnosed biliary dyskinesia to all other biliary colic patients with atypical pre-operative diagnoses. All patients underwent surgery at Meridian Surgery Center from the years 2010-2017.600 patients were reviewed for biliary dyskinesia, gallbladder polyps, hyper-dynamic gallbladder and negative workup. RESULTS: Short term and long term results were compiled from a total 182 patients. Short term response rates were assessed from 74 biliary dyskinesia, 40 hyperdynamic, 23 gallbladder polyps, and 45 negative workup patients. Long term responses were received from 19 biliary dyskinesia patients, 11 hyperdynamic patients, 9 polyp patients, and 7 negative workup patients. Long term improvement among biliary dyskinesia patients was 84%, and 83% among patients with atypical findings, representing a long term drop in symptoms. There is no significant difference between symptom recovery of patients with biliary dyskinesia and those with another atypical diagnosis: hyper-dynamic (82%), polyps (89%), negative workup (57%). CONCLUSION: These results allow us to conclude that there is a comparable biliary colic improvement between biliary dyskinesia, gallbladder polyps, hyper-dynamic gallbladder and negative workup patients after cholecystectomy in both short term and long term follow up.


Assuntos
Discinesia Biliar/cirurgia , Doenças Biliares/cirurgia , Colecistectomia Laparoscópica , Cólica/cirurgia , Adulto , Colecistite/cirurgia , Feminino , Doenças da Vesícula Biliar/cirurgia , Cálculos Biliares/cirurgia , Humanos , Masculino , Pólipos/cirurgia , Estudos Retrospectivos , Escala Visual Analógica
6.
J Dev Orig Health Dis ; 8(6): 638-648, 2017 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-28651674

RESUMO

Prenatal stress and prenatal nutrition each have demonstrable impact on fetal development, with implications for child neurodevelopment and behavior. However, few studies have examined their joint influences despite evidence of potential interactive effects. We examined associations among prenatal stress, prenatal antioxidant intakes, and child temperament in a sociodemographically diverse pregnancy cohort (N=137 mother-child dyads). In mid-pregnancy, mothers completed an assessment of recent negative life events as a measure of prenatal stress and an assessment of prenatal diet. When the children were 30 months of age, mothers completed the Early Childhood Behavior Questionnaire-Very Short form, which provides scores on child Negative Affectivity, Effortful Control, and Surgency/Extraversion. Linear regressions tested associations between maternal prenatal negative life events and child temperament, and effect modification by maternal prenatal antioxidant intakes (vitamins A, C, and E, magnesium, zinc, selenium, ß-carotene). Analyses revealed that increased maternal prenatal negative life events were associated with higher child Negative Affectivity (ß=0.08, P=0.009) but not with child Effortful Control (ß=-0.03, P=0.39) or Surgency/Extraversion (ß=0.04, P=0.14). Prenatal intakes of zinc and selenium modified this effect: Maternal exposure to prenatal negative life events was associated with higher child Negative Affectivity in the presence of lower intakes of zinc and selenium. Modification effects approached significance for vitamins A and C. The results suggest that the combination of elevated stress exposures and lower antioxidant intakes in pregnancy increases the likelihood of heightened child temperamental negative affectivity. Increased antioxidant intakes during pregnancy may protect against influences of prenatal stress on child temperament.


Assuntos
Antioxidantes/administração & dosagem , Desenvolvimento Infantil , Exposição Materna/efeitos adversos , Mães/psicologia , Complicações na Gravidez/psicologia , Efeitos Tardios da Exposição Pré-Natal/epidemiologia , Temperamento , Adulto , Pré-Escolar , Feminino , Humanos , Masculino , Gravidez , Complicações na Gravidez/epidemiologia , Complicações na Gravidez/etiologia , Fenômenos Fisiológicos da Nutrição Pré-Natal
7.
J Econ Entomol ; 108(4): 1728-38, 2015 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-26470314

RESUMO

Western bean cutworm, Striacosta albicosta (Smith) (Lepidoptera: Noctuidae), is a native, univoltine pest of corn and dry beans in North America. The current degree-day model for predicting a specified percentage of yearly moth flight involves heat unit accumulation above 10°C after 1 May. However, because the moth's observed range has expanded into the northern and eastern United States, there is concern that suitable temperatures before May could allow for significant S. albicosta development. Daily blacklight moth catch and temperature data from four Nebraska locations were used to construct degree-day models using simple or sine-wave methods, starting dates between 1 January and 1 May, and lower (-5 to 15°C) and upper (20 to 43.3°C) developmental thresholds. Predicted dates of flight from these models were compared with observed flight dates using independent datasets to assess model performance. Model performance was assessed with the concordance correlation coefficient to concurrently evaluate precision and accuracy. The best model for predicting timing of S. albicosta flight used simple degree-day calculations beginning on 1 March, a 3.3°C (38°F) lower threshold, and a 23.9°C (75°F) upper threshold. The revised cumulative flight model indicated field scouting to estimate moth egg density at the time of 25% flight should begin when 1,432 degree-days (2,577 degree-days °F) have accumulated. These results underscore the importance of assessing multiple parameters in phenological models and utilizing appropriate assessment methods, which in this case may allow for improved timing of field scouting for S. albicosta.


Assuntos
Voo Animal , Modelos Biológicos , Mariposas/fisiologia , Distribuição Animal , Animais , Feminino , Masculino , Nebraska
8.
J Econ Entomol ; 106(3): 1274-85, 2013 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-23865192

RESUMO

Western bean cutworm, Striacosta albicosta (Smith) (Lepidoptera: Noctuidae), is a native pest of dry beans (Phaseolus vulgaris L.) and corn (Zea mays L.). Historically, the western bean cutworm was distributed in the western United States, but since 1999 eastward expansion has been observed. In corn, economic impact is caused by larval ear feeding. Information on western bean cutworm biology, ecology, and economic impact is relatively limited, and the development of economic injury levels (EILs) and economic thresholds (ETs) is required for more effective management. Studies during 2008-2011, across three ecoregions of Nebraska, sought to characterize western bean cutworm survival and development of EILs and ETs. Calculations of EILs and ETs incorporated the dynamics of corn price, management cost, and pest survival. The results from the current study demonstrated low larval survival of this species (1.51-12.82%). The mean yield loss from one western bean cutworm larva per plant was 945.52 kg/ha (15.08 bu/acre), based on 74,100 plants per ha. Economic thresholds are expressed as a percentage of plants with at least one egg mass. This study is the first study that explicitly incorporates variable management costs and crop values into western bean cutworm EIL calculations, and larval survival into ET calculations.


Assuntos
Agricultura/economia , Controle de Insetos/métodos , Mariposas/fisiologia , Zea mays/crescimento & desenvolvimento , Animais , Ecossistema , Comportamento Alimentar , Herbivoria , Larva/crescimento & desenvolvimento , Larva/fisiologia , Mariposas/crescimento & desenvolvimento , Nebraska , Óvulo/crescimento & desenvolvimento , Óvulo/fisiologia
9.
Tob Control ; 22(3): 184-9, 2013 May.
Artigo em Inglês | MEDLINE | ID: mdl-22166267

RESUMO

OBJECTIVE: To estimate the association between local clean indoor air ordinances and prenatal maternal smoking across 351 municipalities in Massachusetts before the 2004 statewide ban and to test the effect of time since ordinance adoption on the association. METHODS: The authors linked 2002 birth certificate data of women who gave birth in the state and reported a Massachusetts residence (n=67,584) to a database of indoor smoking ordinances in all municipalities. Multilevel regression models accounting for individual- and municipality-level variables estimate the associations between the presence of local smoking ordinances, strength of the ordinances, time since ordinance adoption and prenatal smoking. RESULTS: Compared with those living in municipalities with no ordinances, women living in municipalities with a smoking ordinance had lower odds of prenatal smoking (OR=0.72, CI=0.53 to 0.98). No effect was found for 100% smoke-free ordinances. For the analyses testing the effect of time, pregnant women living in municipalities with ordinances enacted >2 years were less likely to smoke than those in municipalities with more recent (<1 year) ordinances. CONCLUSIONS: Preventing smoking among women of reproductive age is a public health priority. This study suggests that indoor smoking ordinances were associated with lower prenatal smoking prevalence and the favourable effect increased over time. Findings highlight the public health benefit of tobacco control policies.


Assuntos
Poluição do Ar em Ambientes Fechados/legislação & jurisprudência , Efeitos Tardios da Exposição Pré-Natal , Fumar/legislação & jurisprudência , Poluição por Fumaça de Tabaco/legislação & jurisprudência , Adulto , Poluição do Ar em Ambientes Fechados/prevenção & controle , Estudos Transversais , Feminino , Humanos , Massachusetts/epidemiologia , Análise Multinível , Gravidez , Política Antifumo/legislação & jurisprudência , Fumar/epidemiologia , Prevenção do Hábito de Fumar , Fatores de Tempo , Poluição por Fumaça de Tabaco/prevenção & controle , Adulto Jovem
10.
Allergy ; 67(4): 545-51, 2012 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-22309645

RESUMO

BACKGROUND: Prenatal exposure to both stress and aeroallergens (dust mite) may modulate the fetal immune system. These exposures may interact to affect the newborn immune response. We examined associations between prenatal maternal stress and cord blood total IgE in 403 predominately low-income minority infants enrolled in the Asthma Coalition on Community, Environment, and Social Stress (ACCESS) project. We also examined potential modifying effects of maternal atopy and maternal dust mite exposure. METHODS: The Crisis in Family Systems survey was administered to mothers prenatally, and a negative life event domain score was derived to characterize stress. Dust mite allergen was quantified in dust from pregnant mothers' bedrooms. Cord blood was analyzed for total IgE. Using linear regression, we modeled the relationship of stress with cord blood IgE and interactions of stress with dust mite and/or maternal atopy, adjusting for potential confounders. RESULTS: Higher prenatal maternal stress (ß = 0.09; P = 0.01) was associated with increased cord blood IgE. The interactive effects between stress and dust mite groups (high vs low) were significantly different for children of atopic vs nonatopic mothers (P for three-way interaction = 0.005). Among children of atopic mothers, the positive association between stress and IgE was stronger in the high dust mite group. In children of mothers without a history of atopy, the positive association between stress and IgE was most evident in the low allergen group. CONCLUSIONS: Prenatal stress was independently associated with elevated cord blood IgE. Mechanisms underlying stress effects on fetal immunomodulation may differ based on maternal atopic status.


Assuntos
Sangue Fetal/imunologia , Hipersensibilidade/imunologia , Imunoglobulina E/sangue , Efeitos Tardios da Exposição Pré-Natal/imunologia , Pyroglyphidae/imunologia , Estresse Psicológico/imunologia , Adulto , Animais , Antígenos de Dermatophagoides/imunologia , Proteínas de Artrópodes/imunologia , Cisteína Endopeptidases/imunologia , Exposição Ambiental/efeitos adversos , Feminino , Humanos , Hipersensibilidade/sangue , Imunoglobulina E/imunologia , Pobreza , Gravidez , Efeitos Tardios da Exposição Pré-Natal/sangue , Estresse Psicológico/sangue
11.
Environ Entomol ; 41(6): 1494-500, 2012 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-23321097

RESUMO

Western bean cutworm, Striacosta albicosta (Smith), has undergone a recent eastward expansion from the western U.S. Corn Belt to Pennsylvania and parts of Canada. Little is known about its ecology and behavior, particularly during the early instars, on corn (Zea mays L.). There is a narrow treatment window for larvae, and early detection of the pest in the field is essential. An understanding of western bean cutworm larval feeding and early-instar dispersal is essential to understand larval survival and establishment in corn. Studies were conducted in 2009 through 2011 in Nebraska to determine the feeding and dispersal of early-instar western bean cutworm on corn. The treatment design was a factorial with three corn stages (pretassel, tassel, and posttassel) and five corn plant zones (tassel, above ear, primary ear, secondary ear, and below ear) in a randomized complete block design. The effects of different corn tissues on larval survival and development were investigated in laboratory studies in a randomized complete block design during 2009 and 2011. Treatments were different corn tissues (leaf alone, leaf with developing tassel, pollen, pollen plus silk, and silk alone). Results demonstrated that neonate larvae move to the upper part of the plant, independent of corn stage. Larval growth was optimal when fed on tassel tissue. Overall results indicated a selective benefit for movement of the early instar to upper part of the plant.


Assuntos
Herbivoria , Mariposas/fisiologia , Zea mays/fisiologia , Distribuição Animal , Animais , Larva/fisiologia , Mariposas/crescimento & desenvolvimento , Zea mays/crescimento & desenvolvimento
12.
J Econ Entomol ; 104(6): 1900-8, 2011 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-22299351

RESUMO

Striacosta albicosta (Smith) (Lepidoptera: Noctuidae), is a native pest of dry beans (Phaseolus vulgaris L.) and corn (Zea mays L.). As a result of larval feeding damage on corn ears, S. albicosta has a narrow treatment window; thus, early detection of the pest in the field is essential, and egg mass sampling has become a popular monitoring tool. Three action thresholds for field and sweet corn currently are used by crop consultants, including 4% of plants infested with egg masses on sweet corn in the silking-tasseling stage, 8% of plants infested with egg masses on field corn with approximately 95% tasseled, and 20% of plants infested with egg masses on field corn during mid-milk-stage corn. The current monitoring recommendation is to sample 20 plants at each of five locations per field (100 plants total). In an effort to develop a more cost-effective sampling plan for S. albicosta egg masses, several alternative binomial sampling plans were developed using Wald's sequential probability ratio test, and validated using Resampling for Validation of Sampling Plans (RVSP) software. The benefit-cost ratio also was calculated and used to determine the final selection of sampling plans. Based on final sampling plans selected for each action threshold, the average sample number required to reach a treat or no-treat decision ranged from 38 to 41 plants per field. This represents a significant savings in sampling cost over the current recommendation of 100 plants.


Assuntos
Controle de Insetos/métodos , Mariposas/crescimento & desenvolvimento , Zea mays , Animais , Distribuição Binomial , Colorado , Controle de Insetos/economia , Nebraska , Óvulo/crescimento & desenvolvimento , Densidade Demográfica , Tamanho da Amostra , Estudos de Amostragem
13.
Science ; 330(6001): 222-5, 2010 Oct 08.
Artigo em Inglês | MEDLINE | ID: mdl-20929774

RESUMO

Transgenic maize engineered to express insecticidal proteins from the bacterium Bacillus thuringiensis (Bt) has become widely adopted in U.S. agriculture. In 2009, Bt maize was planted on more than 22.2 million hectares, constituting 63% of the U.S. crop. Using statistical analysis of per capita growth rate estimates, we found that areawide suppression of the primary pest Ostrinia nubilalis (European corn borer) is associated with Bt maize use. Cumulative benefits over 14 years are an estimated $3.2 billion for maize growers in Illinois, Minnesota, and Wisconsin, with more than $2.4 billion of this total accruing to non-Bt maize growers. Comparable estimates for Iowa and Nebraska are $3.6 billion in total, with $1.9 billion for non-Bt maize growers. These results affirm theoretical predictions of pest population suppression and highlight economic incentives for growers to maintain non-Bt maize refugia for sustainable insect resistance management.


Assuntos
Proteínas de Bactérias/genética , Produtos Agrícolas/economia , Endotoxinas/genética , Proteínas Hemolisinas/genética , Mariposas , Controle Biológico de Vetores , Zea mays/genética , Animais , Bacillus thuringiensis/genética , Toxinas de Bacillus thuringiensis , Produtos Agrícolas/crescimento & desenvolvimento , Resistência a Inseticidas , Meio-Oeste dos Estados Unidos , Mariposas/fisiologia , Controle Biológico de Vetores/economia , Controle Biológico de Vetores/métodos , Plantas Geneticamente Modificadas/crescimento & desenvolvimento , Densidade Demográfica , Dinâmica Populacional , Zea mays/crescimento & desenvolvimento
14.
J Epidemiol Community Health ; 64(5): 413-8, 2010 May.
Artigo em Inglês | MEDLINE | ID: mdl-20445210

RESUMO

BACKGROUND: Limited research has shown a possible association between exposure to physical or sexual abuse prior to age 18 and the risk of developing hypertension as an adult. The factors mediating this relationship are unknown. METHODS: Questionnaire data from 68 505 female participants in the Nurses' Health Study II were analysed regarding exposure to physical and sexual abuse prior to age 18. Cox proportional hazards regression was used to assess the relationship between abuse exposure and hypertension. RESULTS: 64% of the participants (n=41 792) reported physical and/or sexual abuse prior to age 18; 17% reported hypertension. All forms of abuse had a dose-response relationship with hypertension. Adjustments for smoking, alcohol, family history of hypertension, exercise and oral contraceptives did not alter risk estimates. Adjustment for body mass index (BMI) significantly attenuated the associations between abuse and risk of hypertension and accounted for approximately 50% of the observed association between abuse exposure and hypertension. Women experiencing forced sexual activity as a child and as an adolescent had a 20% increased risk for developing hypertension (95% CI 8% to 32%) that was independent of BMI. Similarly, women reporting severe physical abuse in childhood and/or adolescence had risk estimates ranging from 14% (95% CI 5% to 24%) to 22% (95% CI 11% to 33%). CONCLUSION: Early interpersonal violence may be a widespread risk factor for the development of hypertension in women. BMI is a significant mediator in the relationship between early abuse and adult hypertension.


Assuntos
Maus-Tratos Infantis/psicologia , Hipertensão/psicologia , Sobreviventes/psicologia , Adolescente , Adulto , Índice de Massa Corporal , Criança , Maus-Tratos Infantis/estatística & dados numéricos , Feminino , Humanos , Masculino , Pesquisa Metodológica em Enfermagem , Modelos de Riscos Proporcionais , Fatores de Risco , Inquéritos e Questionários , Sobreviventes/estatística & dados numéricos , Adulto Jovem
15.
Eur Respir J ; 36(6): 1400-9, 2010 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-20413538

RESUMO

We examined the association between community violence exposure and childhood asthma risk in a multilevel, multimethod, longitudinal study controlling for individual- and neighbourhood-level confounders and pathway variables. Analyses included 2,071 children aged 0-9 yrs at enrolment from the Project on Human Development in Chicago Neighborhoods. Multilevel logistic regression models estimated the likelihood of asthma, controlling for individual-level (child's age, sex, race/ethnicity, maternal asthma, socioeconomic status and family violence in the home) and neighbourhood-level confounders (concentrated disadvantage, collective efficacy and social disorder), and pathway variables (maternal smoking, breastfeeding). In adjusted analyses, medium (OR 1.60, 95% CI 1.17-2.19) and high levels (OR 1.56, 95% CI 1.12-2.18) of community violence were associated with increased asthma risk, relative to low levels. The increased asthma risk remained for African Americans when models included community violence and all other individual-level covariates, but attenuated to borderline nonsignificance when further adjusting for collective efficacy. Community violence is associated with asthma risk when controlling for individual- and neighborhood-level confounders. Neither community violence, nor the other individual-level factors, fully accounted for the excess asthma burden among African Americans. These data suggest that public health interventions outside the biomedical model may be needed to reduce asthma in disadvantaged populations.


Assuntos
Asma/epidemiologia , Características de Residência/estatística & dados numéricos , População Urbana/estatística & dados numéricos , Violência/estatística & dados numéricos , Negro ou Afro-Americano/estatística & dados numéricos , Asma/etnologia , Chicago/epidemiologia , Chicago/etnologia , Criança , Pré-Escolar , Estudos de Coortes , Fatores de Confusão Epidemiológicos , Feminino , Hispânico ou Latino/estatística & dados numéricos , Humanos , Lactente , Recém-Nascido , Estudos Longitudinais , Masculino , Estudos Prospectivos , Risco , Fatores Sexuais , Violência/etnologia , População Branca/estatística & dados numéricos
16.
J Epidemiol Community Health ; 64(7): 630-5, 2010 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-20231738

RESUMO

BACKGROUND: Contemporary warfare involving civilian populations is a growing public health concern. In addition to the psychological impact, war-related trauma may result in physiological alterations and even broader health effects. Associations were examined between war-related stressors and incident asthma in elderly Kuwaiti civilians following the Iraqi invasion. METHODS: A random sample of all Kuwaiti nationals aged 50-69 years on the day prior to the invasion were identified. Among the 7873 meeting eligibility criteria, 5567 (71%) agreed to participate and 5028 completed the questionnaire (91% of those eligible). Of these, 3759 were in Kuwait during the invasion, of whom 2294 were alive at follow-up. After exclusions for prevalent asthma or missingness on covariates, 2066 were available for analysis. War-related experiences were summarised into a continuous score using Rasch modelling. Relative Cox proportional hazard rates (HR) were calculated for asthma adjusting for covariates. RESULTS: Over 13 years of follow-up, physician-diagnosed asthma was reported by 66/996 (6.6%) men and 104/1070 (9.7%) women. In models adjusted for gender, socioeconomic status, smoking, BMI, and air pollution related to burning oil fires, those reporting highest stress exposure were more than twice as likely to report asthma (HR 2.3, 95% CI 1.3, 3.9) compared to civilians reporting no stressors. Experiences were more salient when anchored to fear for loss of life. CONCLUSIONS: War-related trauma is associated with increased asthma risk in these elderly civilians. Although prior research has documented the significant and persistent psychological toll of war, these findings implicate even broader health effects.


Assuntos
Asma/epidemiologia , Transtornos de Estresse Pós-Traumáticos/epidemiologia , Guerra , Idoso , Feminino , Seguimentos , Humanos , Iraque/epidemiologia , Kuweit/epidemiologia , Masculino , Pessoa de Meia-Idade , Prevalência , Modelos de Riscos Proporcionais , Fatores de Risco , Inquéritos e Questionários
17.
Environ Entomol ; 39(1): 202-9, 2010 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-20146858

RESUMO

The alfalfa weevil, Hypera postica (Gyllenhal), is a serious, yet sporadic defoliator of alfalfa, Medicago sativa L., in Nebraska. A 2-yr study was conducted in 2005 and 2006 to test for variation in degree-day requirements by location in eastern Nebraska. Sampling took place along a latitudinal gradient in three regions of eastern Nebraska. Three fields were sampled in each region during the 2 yr of the study. Alfalfa weevil larval degree-day requirements were found to vary by latitude in eastern Nebraska. Alfalfa weevil larvae were discovered in southern regions after fewer developmental degree-days had accumulated than in fields in the northern regions. Alfalfa weevils may be more damaging to alfalfa in southern regions than in northern regions of eastern Nebraska because they emerge earlier relative to alfalfa growth. Management implications of this shift in alfalfa weevil phenology are discussed.


Assuntos
Temperatura , Gorgulhos/crescimento & desenvolvimento , Animais , Medicago sativa/parasitologia , Nebraska
18.
Plant Dis ; 94(6): 792, 2010 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-30754341

RESUMO

During the past several years, canola (Brassica napus L.) has been grown experimentally in different areas of Texas to evaluate its potential as a crop, particularly for use as a biofuel source. In early April 2007, symptoms typical of Sclerotinia stem rot were observed in a canola variety trial that was flowering in Wharton County, Texas. Stems had white mycelia growing on the outside, or a bleached appearance, near the soil surface and plants were lodging. Inside bleached stems, there were spherical to cylindrical, black sclerotia that were 3 to 10 mm. Isolations from surface-disinfested stems onto potato dextrose agar (PDA) consistently yielded white, fluffy colonies with sclerotia typical of Sclerotinia sclerotiorum (Lib.) de Bary (1). Sequence analyses were conducted on two replicates of mycelium by extracting fungal DNA with the Qiagen DNeasy Plant Mini Kit (Valencia, CA). PCR amplification was performed using two primer sequences (92-4 AF377919: TCGCCTCAGAAGAATGTGC/AGCGGGTTACAAGGAGATGG; and 119-4 AF377925: GTAACAAGAGACCAAAATTCGG/TGAACGAGCTGTCATTCCC) (2) that have previously been used to characterize S. sclerotiorum (3). The BLAST search revealed that the sequences were 99 and 98% homologous with S. sclerotiorum Accession Nos. AF377919 and AF377925 over 376 and 377 bp of aligned sequence, respectively. Agar segments (1 cm2) from a 5-day-old culture grown on PDA were placed in the leaf axils of 15 2-month-old canola plants ('Wichita') growing in pots. Plants were placed in a humid chamber under fluorescent lights at 16 to 22°C. After 2 days, water soaking and necrosis occurred on petioles and stems adjacent to the inoculum, but not on plants treated with sterile PDA. S. sclerotiorum was consistently reisolated from symptomatic tissue plated on acidified PDA. The inoculations were repeated once with similar results. To our knowledge, this is the first report of Sclerotinia stem rot of canola in Texas. Currently, there is no significant canola production in Texas; however, interest in biofuels could lead to an increase in planted acres. Sclerotinia stem rot of canola could become a significant disease problem in areas of Texas where canola is planted as a winter crop. References: (1) L. M. Kohn. Phytopathology 69:881, 1979. (2) C. Sirjusingh and L. M. Kohn. Mol. Ecol. Notes 1:267, 2001. (3) J. E. Woodward et al. Plant Dis. 92:1468, 2008.

19.
Mol Psychiatry ; 15(9): 928-37, 2010 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-19255579

RESUMO

Genetic susceptibility to antisocial behavior may increase fetal sensitivity to prenatal exposure to cigarette smoke. Testing putative gene x exposure mechanisms requires precise measurement of exposure and outcomes. We tested whether a functional polymorphism in the gene encoding the enzyme monoamine oxidase A (MAOA) interacts with exposure to predict pathways to adolescent antisocial behavior. We assessed both clinical and information-processing outcomes. One hundred seventy-six adolescents and their mothers participated in a follow-up of a pregnancy cohort with well-characterized exposure. A sex-specific pattern of gene x exposure interaction was detected. Exposed boys with the low-activity MAOA 5' uVNTR (untranslated region variable number of tandem repeats) genotype were at increased risk for conduct disorder (CD) symptoms. In contrast, exposed girls with the high-activity MAOA uVNTR genotype were at increased risk for both CD symptoms and hostile attribution bias on a face-processing task. There was no evidence of a gene-environment correlation (rGE). Findings suggest that the MAOA uVNTR genotype, prenatal exposure to cigarettes and sex interact to predict antisocial behavior and related information-processing patterns. Future research to replicate and extend these findings should focus on elucidating how gene x exposure interactions may shape behavior through associated changes in brain function.


Assuntos
Monoaminoxidase/genética , Efeitos Tardios da Exposição Pré-Natal/genética , Fumar/efeitos adversos , Fumar/genética , Transtornos do Comportamento Social/genética , Adolescente , Comportamento do Adolescente/fisiologia , Adulto , Meio Ambiente , Feminino , Seguimentos , Predisposição Genética para Doença/epidemiologia , Genótipo , Humanos , Masculino , Fenótipo , Gravidez , Efeitos Tardios da Exposição Pré-Natal/epidemiologia , Fatores de Risco , Distribuição por Sexo , Fumar/epidemiologia , Transtornos do Comportamento Social/epidemiologia , Adulto Jovem
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