RESUMO
BACKGROUND: Dental fluorosis (DF) is caused by excessive exposure to fluoride during odontogenesis and leads to various changes in the development of tooth enamel. Some regions in Mexico are considered endemic fluorosis zones due to the high fluoride content in drinking water. The objective of this study was to perform a systematic review and meta-analysis to identify the association between the concentration of fluoride in drinking water and the severity of dental fluorosis in northern and western Mexico. METHODS: This protocol was registered in the PROSPERO database (ID: CRD42023401519). The search for information was carried out in the PubMed/Medline, Scopus, SpringerLink, and Google Scholar databases between January 2015 and October 2023. The overall relative risk was calculated using the inverse of variance approach with the random effects method. The RoB 2.0 tool was used to construct risk plots. RESULTS: Eleven articles were analyzed qualitatively, and most of the included studies presented at least one level of DF severity; six articles were analyzed quantitatively, dividing them into two regions. In North region it was observed a higher prevalence of severe TF cases, corresponding to ≥ TF 5 category (4.78) [3.55, 6.42]. In the West region, most of the included studies presented a higher prevalence of less severe cases, corresponding to ≤ TF 4, in comparison with the North region (0.01) [0.00, 0.52], interpreted as a protective effect. CONCLUSION: The concentrations of fluorides in drinking water are reportedly high in these regions and are directly related to the severity of dental fluorosis experienced by the inhabitants. In the Northern region exists a major concentration of fluoride in drinking water compared with the Western region as well as a prevalence of higher severity cases of dental fluorosis.
Assuntos
Água Potável , Fluoretos , Fluorose Dentária , Fluorose Dentária/epidemiologia , Fluorose Dentária/etiologia , Humanos , México/epidemiologia , Fluoretos/análise , Fluoretos/efeitos adversos , Água Potável/química , Índice de Gravidade de Doença , PrevalênciaRESUMO
The massive influx of Sargassum natans and S. fluitans to the shores of the Mexican Caribbean has raised concerns regarding their potential impact on soil quality and health in coastal and agroecosystems. The effects of Sargassum accumulation remain largely unexplored. This study aimed to assess the impact of Sargassum on soil ecosystems by examining the behavior and survival of the epigean earthworm Eisenia fetida. The earthworm was exposed to varying concentrations of Sargassum (0, 25, 50, 75, and 100%) in two toxicological tests. Results from the avoidance test demonstrated that E. fetida exhibited strong aversion (> 80%) to a diet containing 100% Sargassum. Conversely, the acute test revealed minimal mortality, but growth decreased with increasing Sargassum concentrations. These findings can serve as early warning bioindicators for assessing the environmental risk posed by Sargassum in soil ecosystems.
Assuntos
Oligoquetos , Sargassum , Poluentes do Solo , Animais , Oligoquetos/fisiologia , Oligoquetos/efeitos dos fármacos , Sargassum/fisiologia , Poluentes do Solo/toxicidade , Solo/química , Comportamento Animal/efeitos dos fármacos , México , Monitoramento AmbientalRESUMO
Amendment tailing heaps with compost may deplete metal(loid)s concentration and improve the conditions for plant development. This research aimed to compare the Tecoma stans ability to grow on soil from the Sonora desert and mining waste (MW) after amendment with compost. Amendment the MW, with compost, decreased soluble As, Cd, Cu, Mn, Pb, and Zn up to 47, 33, 11, 34, 69, and 34%, respectively; increased ten times the leaves weight, and thirteen times the leaf area of the plants. Arsenic, Cd, Pb, Cu, and Zn in plants tissues decreased 27, 28, 27, 12, and 11%, respectively. The bioaccumulation and translocation factors were lower than one, so T. stans do not accumulate these elements. Polyunsaturated fatty acids 18:2ω6 and 18:3ω3 were increased, suggesting lower alteration of thylakoidal membrane integrity due to compost treatment. But, the amendment to the tailing was not enough to deplete the abiotic stress.
Amendment mine tailing with vermicompost depletes changes in polyunsaturated fatty acid of Tecoma stans.
Assuntos
Bignoniaceae , Compostagem , Metais Pesados , Poluentes do Solo , Poluentes do Solo/análise , Cádmio , Ácidos Graxos , Chumbo , Biodegradação Ambiental , Solo/química , Plantas , Metais Pesados/análiseRESUMO
The COVID-19 pandemic resulted in unprecedented disruption to everyday life, including widespread social distancing and self-quarantining aimed at reducing the virus spread. The Mental Health Checklist (MHCL) is a measure developed to assess psychological health during extended periods of isolation and confinement, and has shown strong psychometric properties in community samples and during Antarctic missions. This study validated the MHCL in a sample of 359 U.S. and U.K adults during the peak of the COVID-19 lockdown. Confirmatory factor analysis (CFA) tested model fit, and convergent validity analyses were conducted to compare the MHCL with validated measures of depression, anxiety and stress, as well as insomnia. The MHCL exhibited good model fit for most CFA indices, and showed strong convergent validity with other measures of psychological well-being. Findings suggest that the MHCL is useful for assessing mental health in a variety of environments and conditions.
Assuntos
COVID-19 , Adulto , Lista de Checagem , Controle de Doenças Transmissíveis , Humanos , Saúde Mental , Pandemias , SARS-CoV-2RESUMO
Mining Ag, Cu, Pb, and Zn sulfides by flotation produces great volume of residues, which oxidized through time and release acid solutions. Leachates from tailing heaps are a concern due to the risk of surface water pollution. Hydroxyapatite nanoparticles may remove trace elements from acid leachate collected from an oxidized tailing heap (pH ranged 1.69 ± 0.3 to 2.23 ± 0.16; [SO42-] = 58 ± 0.67 to 60.69 ± 0.39 mmol). Based on the batch experiments under standard conditions, the average removal efficiency was 96%, 92%, 86%, and 67% for Cd, Pb, Zn, and Cu, respectively. The Zn adsorption was modeled by the Freundlich equation, but Cd, Cu, and Pb isotherms do not fit to Freundlich nor Lagmuir equations. Adsorption and other mechanisms occur during trace elements removal by hydroxyapatite. In the polymetallic system, trace elements saturate the specific surface of hydroxyapatite in the following order Zn, Cd, Cu, and Pb. The pH values must be higher than 7.5 to adsorb trace elements. The dose of 3.8% of hydroxyapatite to acid mine drainage removed efficiently > 80% of the soluble Fe, Cu, Mn, Zn, Cd, Ni, and Pb: 4020.0, 37.3, 34.8, 432.0, 4.4, 0.7, and 0.11 mg L-1 from leachate A and 3357.1, 46.6, 27.8, 569.0, 4.7, 0.6, and 1.7 from leachate B, respectively. The application of 0.7% of hydroxyapatite decreased the extractable Pb in unoxidized tailing heaps from 272 to 100 mg kg-1. It is likely to use hydroxyapatite to control trace element mobility from mine residues to surrounding soils and surface water.
Assuntos
Metais Pesados , Poluentes do Solo , Oligoelementos , Adsorção , Durapatita , Monitoramento Ambiental , Metais Pesados/análise , Poluentes do Solo/análise , Oligoelementos/análiseRESUMO
BACKGROUND: Increased lipogenesis and lipid droplet accumulation are observed in diverse tumors, and these processes are associated with poor prognosis in several tumors, representing potential therapeutic targets. The presence of lipid droplets in odontogenic tissues and/or tumors is unknown. METHODS: Immunohistochemistry for perilipin 1 and adipophilin was performed in 12 human tooth germs (TG), 27 conventional ameloblastoma (AM), and 8 ameloblastic carcinoma (AC) samples. Cytoplasmic staining was analyzed using an immunoreactive score (IRS), and the results were compared for the TG, AM, and AC samples by Kruskal-Wallis test followed by Dunn's post-test and confirmed by Mann-Whitney U test. RESULTS: Perilipin 1 was negative in 91.7% of the TG samples, positive in 48.2% of the AM samples, and positive in 87.5% of the AC samples. Adipophilin was positive in 100% of the TG samples, 92.6% of the AM samples, and 100% of the AC samples. The perilipin 1 and adipophilin IRS revealed statistically significant differences between the TG, AM, and AC samples (p = .007 and p = .018, respectively). The perilipin 1 levels among the TG and AC samples were statically significant (**p = .0085), as well as the adipophilin levels when TG and AM samples were compared (**p < .0029). CONCLUSIONS: Adipophilin exhibits significant activity in human tooth development. The immunoexpression of perilipin 1 and adipophilin in the AM and AC samples suggests the presence of lipid droplets, providing further evidence of metabolic alterations in these tumors. Additional studies with larger samples and alternative techniques are necessary to confirm these findings.
Assuntos
Ameloblastoma , Carcinoma , Perilipina-1 , Perilipina-2 , Proteínas de Transporte , Humanos , Gotículas Lipídicas/metabolismo , Proteínas de Membrana/metabolismo , Perilipina-1/metabolismo , Perilipina-2/metabolismo , Germe de Dente/metabolismoRESUMO
A soil and plant survey was carried out in a tailing heap afforested 30 years ago to gain information about the changes in the tailing and metal uptake by plants. A poor development of Technosol was found. It was observed accumulation of OM spatio temporarily. Metal concentrations in the soil profile varied between plots. Extractable Pb concentrations ranged from 0.4 to 2.9%; extractable Cd varied 9.7-46% of the total concentration. PCA analysis shows DTPA-Zn and DTPA-Cu, Na, K, and OM have the widest concentrations range between soil layers. Casuarina equisetifolia and Pennisetum clandestinum formed a pristine uniform litter layer, whereas Eucalyptus camaldulensis did not form a litter layer. Casuarina equisetifolia has a higher population density (756 p ha-1) compared to Populus nigra (528 p ha-1) and E. camaldulensis (621 p ha-1). Pennisetum clandestinum grew successfully and covered the tailing, but Cd and Pb concentrations were above the domestic animal toxicity limits, 0.5 and 10 mg kg-1, respectively. Populus nigra absorbed more Zn than Casuarina equisetifolia and Eucalyptus camaldulensis. Trees species did not accumulate high foliar Cu and Zn concentrations, but Pb (47.7-124.3 mg kg-1) and Cd (5.7-26.8 mg kg-1) concentrations are over those reported for mature leaf tissues. HighlightsPennisetum clandestinum formed soil cover on remediated plots.Casuarina equisetifolia was efficient in forming a litter soil horizon.Trasdescantia fluminensis accumulated Pb.Populus nigra accumulated Zn and Cd from the tailing heap.
Assuntos
Metais Pesados , Populus , Poluentes do Solo , Biodegradação Ambiental , Metais , Metais Pesados/análise , Solo , Poluentes do Solo/análiseRESUMO
Phosphate-solubilizing bacteria can release phosphorus (P) from insoluble minerals and benefit either soil fitness or plant growth. Bulk sized P compounds have been suggested but little is known about solubilization of nanosized materials such as hydroxyapatite nanoparticles (HANP). A screening of the initial 43 strains from vanilla rhizospheres for phosphate solubilization with bulk Ca3(PO4)2 was carried out. Subsequently, 6 strains were selected on bulk rock phosphate (RP) and HANP. Two kinetics experiments were run out regarding evaluation at 5, 10 and 20 days after inoculation (dai). Bacterial biomass production was similar in both experiments; the lowest biomass was found at 20 dai. In all cases, bacteria reduced the original culture medium pH; which was related with phosphate solubilization from the production of organic acids. Citric acid was produced by all strains. Enterobacter cloacae CP 31 was the most interesting bacterium: produced the lowest culture pH at 20 dai (4) with both Ca3(PO4)2 and RP, and 3.7 at 10 dai with HANP correlating with high soluble P concentration (536, 64 and 13 mg L-1 with these P sources, respectively). This bacterium should be tested as an inoculant in plants to reveal its potential as plant promoter growth and HANP to suggest its role in the potential use of nano-P fertilizers.
Assuntos
Bactérias/química , Fosfatos de Cálcio/química , Durapatita/química , Programas de Rastreamento/métodos , Nanopartículas/química , Fosfatos/química , Fenômenos Fisiológicos Bacterianos , Técnicas Bacteriológicas , Biomassa , Concentração de Íons de Hidrogênio , Desenvolvimento Vegetal , Rizosfera , Solo/química , Microbiologia do Solo , SolubilidadeRESUMO
Amelogenesis imperfecta is a group of developmental disorders of the dental enamel that is mainly associated with mutations in the AMELX gene. Clinically, it presents different phenotypes that affect the structure and function of dental enamel both in primary and secondary dentition. The purpose of this study was to conduct a literature review on the AMELX functions and mutations that are related to amelogenesis imperfecta. A literature search was carried out in two databases: PubMed and Web of Science, using the keywords "AMELX", "amelogenin", "amelogenesis imperfecta" and "AMELX mutation". Forty articles were reviewed, with AMELX being found to be the predominant gene in the development of dental enamel and amelogenesis imperfecta by altering the structure of amelogenin. In the past few years, the characteristics of the amelogenesis imperfecta process have been described with different phenotypes of hypoplastic or hypo-mineralized enamel, and different mutations have been reported, by means of which the gene sequencing and the position of mutations have been determined.
La amelogénesis imperfecta es un grupo de trastornos de desarrollo del esmalte dental asociados principalmente con mutaciones en el gen AMELX. Clínicamente presenta diferentes fenotipos que afectan la estructura y función del esmalte, tanto de la dentición primaria como secundaria. El objetivo de este estudio fue realizar una revisión bibliográfica de las funciones y mutaciones de AMELX relacionadas con amelogénesis imperfecta. Se llevó a cabo una revisión bibliográfica en dos bases de datos: PubMed y Web of Science, usando las palabras clave "AMELX", "amelogenina", "amelogénesis imperfecta" y "mutación de AMELX". Fueron revisados 40 artículos y se encontró que AMELX es el gen predominante en el desarrollo del esmalte dental y de la amelogénesis imperfecta, alterando la estructura de la amelogenina. En los últimos años se han descrito las características en el proceso de amelogénesis imperfecta con diferentes fenotipos de esmalte hipoplásico o hipomineralizado y se han reportado diferentes mutaciones, con lo que se ha determinado la secuenciación del gen y las posiciones de las mutaciones.
Assuntos
Amelogênese Imperfeita/genética , Amelogenina/genética , Esmalte Dentário/patologia , Amelogênese Imperfeita/patologia , Humanos , Mutação , FenótipoRESUMO
Vanilla is an orchid of economic importance widely cultivated in tropical regions and native to Mexico. We sampled three species of Vanilla (V. planifolia, V. pompona, and V. insignis) in different crop systems. We studied the effect of crop system on the abundance, type of fungi, and quality of pelotons found in the roots using light and electron microscopy and direct sequencing of mycorrhizal structures. Fungi were identified directly from pelotons obtained from terrestrial roots of vanilla plants in the flowering stage. Root samples were collected from plants in crop systems located in the Totonacapan area in Mexico (states of Puebla and Veracruz). DNA was extracted directly from 40 pelotons and amplified using ITS rRNA sequencing. Peloton-like structures were observed, presenting a combination of active pelotons characterized by abundant hyphal coils and pelotons in various stages of degradation. The most active pelotons were observed in crop systems throughout living tutors (host tree) in comparison with roots collected from dead or artificial tutors. Fungi identified directly from pelotons included Scleroderma areolatum, a common ectomycorrhizal fungus that has not been reported as a mycorrhizal symbiont in orchids. Direct amplification of pelotons also yielded common plant pathogens, including Fusarium and Pyrenophora seminiperda, especially in those sites with low colonization rates, and where large numbers of degraded pelotons were observed. This research reports for the first time the potential colonization of Vanilla by Scleroderma, as a putative orchid mycorrhizal symbiont in four sites in Mexico and the influence of crop system on mycorrhizal colonization on this orchid.
Assuntos
Basidiomycota/fisiologia , Micorrizas/fisiologia , Vanilla/microbiologia , Basidiomycota/classificação , Produtos Agrícolas , DNA Fúngico/genética , DNA Intergênico/genética , México , Micorrizas/classificação , Filogenia , Análise de Sequência de DNARESUMO
Metal contaminated soils are increasing worldwide. Metal-tolerant plants growing on metalliferous soils are fascinating genetic and microbial resources. Seeds can vertically transmit endophytic microorganisms that can assist next generations to cope with environmental stresses, through yet poorly understood mechanisms. The aims of this study were to identify the core seed endophyte microbiome of the pioneer metallophyte Crotalaria pumila throughout three generations, and to better understand the plant colonisation of the seed endophyte Methylobacterium sp. Cp3. Strain Cp3 was detected in C. pumila seeds across three successive generations and showed the most dominant community member. When inoculated in the soil at the time of flowering, strain Cp3 migrated from soil to seeds. Using confocal microscopy, Cp3-mCherry was demonstrated to colonise the root cortex cells and xylem vessels of the stem under metal stress. Moreover, strain Cp3 showed genetic and in planta potential to promote seed germination and seedling development. We revealed, for the first time, that the seed microbiome of a pioneer plant growing in its natural environment, and the colonisation behaviour of an important plant growth promoting systemic seed endophyte. Future characterization of seed microbiota will lead to a better understanding of their functional contribution and the potential use for seed-fortification applications.
Assuntos
Crotalaria/microbiologia , Methylobacterium/metabolismo , Microbiota/genética , Sementes/microbiologia , Crotalaria/crescimento & desenvolvimento , Crotalaria/metabolismo , Endófitos/crescimento & desenvolvimento , Endófitos/metabolismo , Poluição Ambiental , Metais/metabolismo , Metais/toxicidade , Desenvolvimento Vegetal , Raízes de Plantas/química , Sementes/metabolismo , Microbiologia do Solo , Poluentes do Solo/metabolismo , Poluentes do Solo/toxicidade , SimbioseRESUMO
[This corrects the article DOI: 10.1371/journal.pmed.1002220.].
RESUMO
The essential GTPase Gpn1 mediates RNA polymerase II nuclear targeting and controls microtubule dynamics in yeast and human cells by molecular mechanisms still under investigation. Here, we purified human HisGpn1 expressed as a recombinant protein in bacteria E. coli BL-21 (DE3). Affinity purified HisGpn1 eluted from a size exclusion column as a protein dimer, a state conserved after removing the hexa-histidine tail and confirmed by separating HisGpn1 in native gels, and in dynamic light scattering experiments. Human HisGpn1 purity was higher than 95%, molecularly monodisperse and could be concentrated to more than 10 mg/mL without aggregating. Circular dichroism spectra showed that human HisGpn1 was properly folded and displayed a secondary structure rich in alpha helices. HisGpn1 effectively bound GDP and the non-hydrolyzable GTP analogue GMPPCP, and hydrolyzed GTP. We next tested the importance of the C-terminal tail, present in eukaryotic Gpn1 but not in the ancestral archaeal Gpn protein, on HisGpn1 dimer formation. C-terminal deleted human HisGpn1 (HisGpn1ΔC) was also purified as a protein dimer, indicating that the N-terminal GTPase domain contains the interaction surface needed for dimer formation. In contrast to HisGpn1, however, HisGpn1ΔC dimer spontaneously dissociated into monomers. In conclusion, we have developed a method to purify properly folded and functionally active human HisGpn1 from bacteria, and showed that the C-terminal tail, universally conserved in all eukaryotic Gpn1 orthologues, stabilizes the GTPase domain-mediated Gpn1 protein dimer. The availability of recombinant human Gpn1 will open new research avenues to unveil the molecular and pharmacological properties of this essential GTPase.
Assuntos
Proteínas de Ligação ao GTP/química , Proteínas de Ligação ao GTP/isolamento & purificação , Guanosina Trifosfato/química , Multimerização Proteica , Escherichia coli/genética , Escherichia coli/metabolismo , Proteínas de Ligação ao GTP/genética , Humanos , Hidrólise , Domínios Proteicos , Estrutura Quaternária de Proteína , Proteínas Recombinantes/química , Proteínas Recombinantes/genética , Proteínas Recombinantes/isolamento & purificaçãoAssuntos
Ageusia , COVID-19 , Transtornos do Olfato , Humanos , SARS-CoV-2 , Distúrbios do Paladar/etiologia , Causalidade , PaladarRESUMO
Soil pollution is an important ecological problem worldwide. Phytoremediation is an environmental-friendly option for reducing metal pollution. A greenhouse experiment was conducted to determine the growth and physiological response, metal uptake, and the phytostabilization potential of a nontoxic Jatropha curcas L. genotype when grown in multimetal-polluted conditions. Plants were established on a mine residue (MR) amended or not amended with corn biochar (B) and inoculated or not inoculated with the mycorrhizal fungus Acaulospora sp. (arbuscular mycorrhizal fungus, AMF). J. curcas was highly capable of growing in an MR and showed no phytotoxic symptoms. After J. curcas growth (105 days), B produced high desorption of Cd and Pb from the MR; however, no increases in metal shoot concentrations were observed. Therefore, Jatropha may be useful for phytostabilization of metals in mine tailings. The use of B is recommended because improved MR chemical properties conduced to plant growth (cation-exchange capacity, organic matter content, essential nutrients, electrical conductivity, water-holding capacity) and plant growth development (higher biomass, nutritional and physiological performance). Inoculation with an AMF did not improve any plant growth or physiological plant characteristic. Only higher Zn shoot concentration was observed, but it was not phytotoxic. Future studies of B use and its long-term effect on MR remediation should be conducted under field conditions.
Assuntos
Carvão Vegetal/análise , Glomeromycota/fisiologia , Jatropha/fisiologia , Metais Pesados/metabolismo , Micorrizas/fisiologia , Poluentes do Solo/metabolismo , Biodegradação Ambiental , Jatropha/efeitos dos fármacos , Jatropha/crescimento & desenvolvimento , Jatropha/microbiologia , MineraçãoRESUMO
Dispersion and runoff of mine tailings have serious implications for human and ecosystem health in the surroundings of mines. Water, soils and plants were sampled in transects perpendicular to the Santiago stream in Zimapan, Hidalgo, which receives runoff sediments from two acidic and one alkaline mine tailing. Concentrations of potentially toxic elements (PTE) were measured in water, soils (rhizosphere and non-rhizosphere) and plants. Using diethylenetriaminepentaacetic acid (DTPA) extractable concentrations of Cu, Zn, Ni, Cd and Pb in rhizosphere soil, the bioconcentration and translocation factors were calculated. Ruderal annuals formed the principal element of the herbaceous vegetation. Accumulation was the most frequent strategy to deal with high concentrations of Zn, Cu, Ni, Cd and Pb. The order of concentration in plant tissue was Zn>Pb>Cu>Ni>Cd. Most plants contained concentrations of PTE considered as phytotoxic and behaved as metal tolerant species. Rorippa nasturtium-aquaticum accumulated particularly high concentrations of Cu. Parietaria pensylvanica and Commelina diffusa, common tropical weeds, behaved as Zn hyperaccumulators and should be studied further.
Assuntos
Magnoliopsida/metabolismo , Metais Pesados/metabolismo , Poluentes do Solo/metabolismo , Poluentes Químicos da Água/metabolismo , Biodegradação Ambiental , Monitoramento Ambiental , Resíduos Industriais , México , Mineração , RizosferaRESUMO
BACKGROUND The objective of the present study was to determine the prevalence and severity of dental fluorosis and to evaluate exposure to fluoridated products in students in the southwest part of the Federal District (Mexico City). MATERIAL AND METHODS Students between 10 and 12 years of age who were born and raised in the study zone were evaluated. The level of dental fluorosis was determined using the modified Dean index (DI) using criteria recommended by the World Health Organization (WHO). A bivariate analysis was performed with the χ2 test, and odds ratios (OR) and 95% confidence intervals (CI) are presented. Logistic regression was performed to evaluate the association between dental fluorosis and the independent variables. RESULTS A total of 239 students were evaluated. Their mean age was 11±0.82 years, and there were 122 (51%) males. Overall, dental fluorosis was found in 59% of participants; 29.3% had very mild fluorosis, 20.9% had mild fluorosis, 6.7% had moderate fluorosis, and 2.1% had severe fluorosis. The mean fluorosis score was 0.887±0.956. In the final logistic regression model, dental fluorosis was significantly associated with frequency of brushing (OR: 0.444; 95% CI: 0.297-0.666) and with the absence of parental supervision (OR: 0.636; 95% CI: 0.525-0.771). CONCLUSIONS The association found with frequency of brushing and lack of parental supervision may be contributing to the prevalence and severity of dental fluorosis.
Assuntos
Fluoretos Tópicos/administração & dosagem , Fluorose Dentária/epidemiologia , Criança , Cárie Dentária/epidemiologia , Feminino , Fluoretação/efeitos adversos , Fluoretação/estatística & dados numéricos , Fluoretos Tópicos/efeitos adversos , Humanos , Masculino , México/epidemiologia , Razão de Chances , Prevalência , Inquéritos e Questionários , Escovação Dentária , Cremes DentaisRESUMO
BACKGROUND: Babies with low birthweight (<2500 g) are at increased risk of early mortality. However, low birthweight includes babies born preterm and with fetal growth restriction, and not all these infants have a birthweight less than 2500 g. We estimated the neonatal and infant mortality associated with these two characteristics in low-income and middle-income countries. METHODS: For this pooled analysis, we searched all available studies and identified 20 cohorts (providing data for 2,015,019 livebirths) from Asia, Africa, and Latin America that recorded data for birthweight, gestational age, and vital statistics through 28 days of life. Study dates ranged from 1982 through to 2010. We calculated relative risks (RR) and risk differences (RD) for mortality associated with preterm birth (<32 weeks, 32 weeks to <34 weeks, 34 weeks to <37 weeks), small-for-gestational-age (SGA; babies with birthweight in the lowest third percentile and between the third and tenth percentile of a US reference population), and preterm and SGA combinations. FINDINGS: Pooled overall RRs for preterm were 6·82 (95% CI 3·56-13·07) for neonatal mortality and 2·50 (1·48-4·22) for post-neonatal mortality. Pooled RRs for babies who were SGA (with birthweight in the lowest tenth percentile of the reference population) were 1·83 (95% CI 1·34-2·50) for neonatal mortality and 1·90 (1·32-2·73) for post-neonatal mortality. The neonatal mortality risk of babies who were both preterm and SGA was higher than that of babies with either characteristic alone (15·42; 9·11-26·12). INTERPRETATION: Many babies in low-income and middle-income countries are SGA. Preterm birth affects a smaller number of neonates than does SGA, but is associated with a higher mortality risk. The mortality risks associated with both characteristics extend beyond the neonatal period. Differentiation of the burden and risk of babies born preterm and SGA rather than with low birthweight could guide prevention and management strategies to speed progress towards Millennium Development Goal 4--the reduction of child mortality. FUNDING: Bill & Melinda Gates Foundation.
Assuntos
Renda/estatística & dados numéricos , Mortalidade Infantil , Recém-Nascido Prematuro , Recém-Nascido Pequeno para a Idade Gestacional , África Subsaariana/epidemiologia , Ásia/epidemiologia , Humanos , Lactente , Recém-Nascido , Prevalência , Fatores de Risco , América do Sul/epidemiologiaRESUMO
BACKGROUND: In 2006 WHO presented the infant and child growth charts suggested for universal application. However, major determinants for perinatal outcomes and postnatal growth are laid down during antenatal development. Accordingly, monitoring fetal growth in utero by ultrasonography is important both for clinical and scientific reasons. The currently used fetal growth references are derived mainly from North American and European population and may be inappropriate for international use, given possible variances in the growth rates of fetuses from different ethnic population groups. WHO has, therefore, made it a high priority to establish charts of optimal fetal growth that can be recommended worldwide. METHODS: This is a multi-national study for the development of fetal growth standards for international application by assessing fetal growth in populations of different ethnic and geographic backgrounds. The study will select pregnant women of high-middle socioeconomic status with no obvious environmental constraints on growth (adequate nutritional status, non-smoking), and normal pregnancy history with no complications likely to affect fetal growth. The study will be conducted in centres from ten developing and industrialized countries: Argentina, Brazil, Democratic Republic of Congo, Denmark, Egypt, France, Germany, India, Norway, and Thailand. At each centre, 140 pregnant women will be recruited between 8 + 0 and 12 + 6 weeks of gestation. Subsequently, visits for fetal biometry will be scheduled at 14, 18, 24, 28, 32, 36, and 40 weeks (+/- 1 week) to be performed by trained ultrasonographers.The main outcome of the proposed study will be the development of fetal growth standards (either global or population specific) for international applications. DISCUSSION: The data from this study will be incorporated into obstetric practice and national health policies at country level in coordination with the activities presently conducted by WHO to implement the use of the Child Growth Standards.
Assuntos
Desenvolvimento Fetal , Gráficos de Crescimento , Gravidez , Organização Mundial da Saúde , Adolescente , Adulto , Antropometria , Argentina , Biometria , Brasil , República Democrática do Congo , Dinamarca , Egito , Etnicidade , Feminino , França , Alemanha , Idade Gestacional , Humanos , Índia , Noruega , Valores de Referência , Projetos de Pesquisa , Classe Social , Tailândia , Ultrassonografia Pré-Natal , Adulto JovemRESUMO
Ameloblastoma is the most common odontogenic tumor of epithelial origin, and though it is of a benign nature, it frequently infiltrates the bone, has a high rate of recurrence and could potentially become malignant. Cellular adhesion potentially plays an important role in the manifestation of these characteristics and in the tumor biology of ameloblastomas. Losses of cell-cell and extracellular matrix adhesion and cohesion are among the first events that occur in the invasion and growth of tumors of epithelial origin. The present review includes a description of the molecules that are involved in cell adhesion as reported for various types of ameloblastomas and discusses the possible roles of these molecules in the biological behaviors of this odontogenic tumor. Knowledge of the complex mechanisms in which these molecules play a role is critical for the research and discovery of future therapeutic targets.