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1.
Phys Rev Lett ; 112(6): 061801, 2014 Feb 14.
Artículo en Inglés | MEDLINE | ID: mdl-24580686

RESUMEN

A measurement of the energy dependence of antineutrino disappearance at the Daya Bay reactor neutrino experiment is reported. Electron antineutrinos (ν¯(e)) from six 2.9 GW(th) reactors were detected with six detectors deployed in two near (effective baselines 512 and 561 m) and one far (1579 m) underground experimental halls. Using 217 days of data, 41 589 (203 809 and 92 912) antineutrino candidates were detected in the far hall (near halls). An improved measurement of the oscillation amplitude sin(2)2θ(13)=0.090(-0.009)(+0.008) and the first direct measurement of the ν¯(e) mass-squared difference |Δm(ee)2|=(2.59(-0.20)(+0.19))×10(-3) eV2 is obtained using the observed ν¯(e) rates and energy spectra in a three-neutrino framework. This value of |Δm(ee)2| is consistent with |Δm(µµ)2| measured by muon neutrino disappearance, supporting the three-flavor oscillation model.

2.
Phys Rev Lett ; 108(17): 171803, 2012 Apr 27.
Artículo en Inglés | MEDLINE | ID: mdl-22680853

RESUMEN

The Daya Bay Reactor Neutrino Experiment has measured a nonzero value for the neutrino mixing angle θ(13) with a significance of 5.2 standard deviations. Antineutrinos from six 2.9 GWth reactors were detected in six antineutrino detectors deployed in two near (flux-weighted baseline 470 m and 576 m) and one far (1648 m) underground experimental halls. With a 43,000 ton-GWth-day live-time exposure in 55 days, 10,416 (80,376) electron-antineutrino candidates were detected at the far hall (near halls). The ratio of the observed to expected number of antineutrinos at the far hall is R=0.940±0.011(stat.)±0.004(syst.). A rate-only analysis finds sin(2)2θ(13)=0.092±0.016(stat.)±0.005(syst.) in a three-neutrino framework.

3.
Environ Entomol ; 51(3): 578-585, 2022 06 17.
Artículo en Inglés | MEDLINE | ID: mdl-35452123

RESUMEN

Winter annual cover crops can be planted before soybean in Mississippi for many agronomic reasons. Incorporating winter annual cover crops into soybean production changes the seasonal hosts within fields. Some studies suggest that reducing tillage and using diverse species of cover crops can increase arthropod diversity and predator activity. Neonicotinoid seed treatments are often implemented to combat early season insect pests in soybean that follow cover crops, but negative effects on the environment such as reductions in biodiversity are often attributed to these compounds. We conducted an experiment to measure the effects on the diversity of the soybean epigeal and foliar communities when incorporating cover crops as well as insecticidal seed treatments into Mississippi soybean growing systems. Our results showed that legume cover crops had significant impacts on the epigeal community diversity of soybean planted behind them. These cover crops, especially hairy vetch, supported a more diverse foliar community before termination. To prevent increases in herbivorous arthropods, neonicotinoid seed treatments can be used without affecting epigeal predators such as beetles, ants, and spiders. The neonicotinoid seed treatments affected arthropod diversity, but the reductions were mainly caused by decreases in herbivorous pest insects that fed on treated soybean plants.


Asunto(s)
Artrópodos , Fabaceae , Animales , Productos Agrícolas , Insectos , Mississippi , Neonicotinoides , Estaciones del Año , Semillas , Glycine max
4.
Science ; 189(4208): 1090-1, 1975 Sep 26.
Artículo en Inglés | MEDLINE | ID: mdl-1162357

RESUMEN

Cytochemical data are presented to show that the histone fractions f1 and f2a are involved in the induction of chromosomal G bands, whereas the f2b and f3 fractions are not involved. Removal of the f1 and f2a fractions probably occurs during fixation and is necessary for the induction of G bands.


Asunto(s)
Colorantes Azulados , Cromosomas/metabolismo , Histonas/metabolismo , Fenotiazinas , Línea Celular , Cromosomas/ultraestructura , Relación Estructura-Actividad
5.
Science ; 286(5447): 2141-4, 1999 Dec 10.
Artículo en Inglés | MEDLINE | ID: mdl-10591642

RESUMEN

Data from ice 3590 meters below Vostok Station indicate that the ice was accreted from liquid water associated with Lake Vostok. Microbes were observed at concentrations ranging from 2.8 x 10(3) to 3.6 x 10(4) cells per milliliter; no biological incorporation of selected organic substrates or bicarbonate was detected. Bacterial 16S ribosomal DNA genes revealed low diversity in the gene population. The phylotypes were closely related to extant members of the alpha- and beta-Proteobacteria and the Actinomycetes. Extrapolation of the data from accretion ice to Lake Vostok implies that Lake Vostok may support a microbial population, despite more than 10(6) years of isolation from the atmosphere.


Asunto(s)
Bacterias/aislamiento & purificación , Agua Dulce/microbiología , Hielo , Regiones Antárticas , Bacterias/clasificación , Bacterias/genética , Fenómenos Fisiológicos Bacterianos , ADN Bacteriano/genética , ADN Bacteriano/aislamiento & purificación , ADN Ribosómico/genética , ADN Ribosómico/aislamiento & purificación , Agua Dulce/química , Genes de ARNr , Microscopía Electrónica de Rastreo , Microscopía Fluorescente , Minerales/análisis , Presión , Proteobacteria/clasificación , Proteobacteria/genética , Proteobacteria/aislamiento & purificación , Proteobacteria/fisiología , ARN Ribosómico 16S/genética , Temperatura , Microbiología del Agua
6.
J Food Prot ; 72(1): 120-7, 2009 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-19205472

RESUMEN

The filamentous fungus Aspergillus flavus causes an ear rot on maize and produces a mycotoxin (aflatoxin) in colonized maize kernels. Aflatoxins are carcinogenic to humans and animals upon ingestion. Aflatoxin contamination results in a large loss of profits and marketable yields for farmers each year. Several research groups have worked to pinpoint sources of resistance to A. flavus and the resulting aflatoxin contamination in maize. Some maize genotypes exhibit greater resistance than others. A proteomics approach has recently been used to identify endogenous maize proteins that may be associated with resistance to the fungus. Research has been conducted on cloning, expression, and partial characterization of one such protein, which has a sequence similar to that of cold-regulated proteins. The expressed protein, ZmCORp, exhibited lectin-like hemagglutination activity against fungal conidia and sheep erythrocytes. Quantitative real-time PCR assays revealed that ZmCOR is expressed 50% more in maize kernels from the Mp420 line, a type of maize resistant to A. flavus, compared with the expression level of the gene in the susceptible B73 line. ZmCORp exhibited fungistatic activity when conidia from A. flavus were exposed to the protein at a final concentration of 18 mM. ZmCORp inhibited the germination of conidia by 80%. A 50% decrease in mycelial growth resulted when germinated conidia were incubated with the protein. The partial characterization of ZmCORp suggests that this protein may play an important role in enhancing kernel resistance to A. flavus infection and aflatoxin accumulation.


Asunto(s)
Antifúngicos/farmacología , Aspergillus flavus/efectos de los fármacos , Contaminación de Alimentos/análisis , Proteínas de Plantas/farmacología , Zea mays , Aflatoxinas , Contaminación de Alimentos/prevención & control , Microbiología de Alimentos , Genotipo , Proteínas de Plantas/análisis , Reacción en Cadena de la Polimerasa de Transcriptasa Inversa/métodos , Zea mays/química , Zea mays/genética , Zea mays/microbiología
7.
J Food Prot ; 72(1): 185-8, 2009 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-19205484

RESUMEN

Infection of maize both pre- and postharvest by Aspergillus flavus is a severe agricultural problem in the southern United States. Aflatoxins are secondary metabolites produced by A. flavus and are carcinogenic to humans and animals upon ingestion. Extensive research has been conducted to identify sources of resistance to A. flavus in maize. Some maize genotypes exhibit greater resistance to A. flavus than others. Many research groups have validated the role of plant trypsin inhibitors (TIs) as a means of plant defense against fungal infection. Research consisting of the cloning, expression, and partial characterization of one previously uncharacterized TI protein has been conducted. The overexpressed protein displayed TI activity, as expected, and some ability to alter germination of conidia (8%) from several fungal pathogens and to inhibit hyphal growth (30%). This effect on fungal growth, although less than that of previously investigated TIs, marks this protein as a potential source of resistance to aflatoxin accumulation in maize.


Asunto(s)
Antifúngicos/farmacología , Aspergillus flavus/efectos de los fármacos , Clonación Molecular , Proteínas de Plantas/farmacología , Zea mays , Aflatoxinas/análisis , Aspergillus flavus/crecimiento & desarrollo , Secuencia de Bases , Genotipo , Humanos , Proteínas de Plantas/genética , Zea mays/química , Zea mays/genética , Zea mays/microbiología
8.
J Chromatogr A ; 1157(1-2): 414-21, 2007 Jul 20.
Artículo en Inglés | MEDLINE | ID: mdl-17543315

RESUMEN

A comprehensive database of gas chromatographic retention properties of chemical compounds has been developed using multiple literature sources. The National Institute of Standards and Technology (NIST) database of retention data for non-polar and polar stationary phases currently contains 292,924 data records for 42,888 compounds. The database includes data for Kováts indices, linear indices, Lee indices, retention times and retention volumes. The first release of this database for non-polar stationary phases is available with NIST/US Environmental Protection Agency (EPA)/National Institutes of Health (NIH) Mass Spectral Database (June 2005) and through the internet (NIST Chemistry WebBook). The paper describes the database and the process by which it has been compiled. The format of data presentation and the quality control procedures are described. Data sources of gas chromatographic retention data are also discussed.


Asunto(s)
Cromatografía de Gases/métodos , Sistemas de Administración de Bases de Datos , Compuestos Orgánicos/química
9.
Phytopathology ; 97(9): 1094-103, 2007 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-18944174

RESUMEN

ABSTRACT Aflatoxins are carcinogens produced mainly by Aspergillus flavus during infection of susceptible crops such as maize (Zea mays). Previously, embryo proteins from maize genotypes resistant or susceptible to A. flavus infection were compared using proteomics, and resistance-associated proteins were identified. Here, we report the comparison of maize endosperm proteins from five resistant and five susceptible genotypes, and the identification of additional resistance-associated proteins using the same approach. Ten protein spots were upregulated twofold or higher in resistant lines compared with susceptible ones. Peptide sequencing of these proteins identified them as a globulin-2 protein, late embryogenesis abundant proteins (LEA3 and LEA14), a stress-related peroxiredoxin antioxidant (PER1), heat-shock proteins (HSP17.2), a cold-regulated protein (COR), and an antifungal trypsin-inhibitor protein (TI). The gene encoding one such upregulated protein, PER1, was cloned and overexpressed in Escherichia coli. The overexpressed PER1 protein demonstrated peroxidase activity in vitro. In addition, per1 expression was significantly higher in the resistant genotype Mp420 than in the susceptible genotype B73 during the late stage of kernel development, and was significantly induced upon A. flavus infection, suggesting that it may play an important role in enhancing kernel stress tolerance and aflatoxin resistance. The significance of other identified proteins to host resistance and stress tolerance also is discussed.

10.
Phytopathology ; 96(1): 87-95, 2006 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-18944208

RESUMEN

ABSTRACT Aflatoxins are carcinogens produced by Aspergillus flavus and A. parasiticus during infection of susceptible crops such as maize. Several aflatoxin-resistant maize genotypes have been identified and kernel proteins have been suggested to play an important role in resistance. In the present study, one protein (#717), which was expressed fivefold higher in three resistant lines compared with three susceptible ones, was identified using proteomics. This protein was sequenced and identified as a pathogenesis-related protein (PR-10) based on its sequence homology. To assess the involvement of this PR-10 protein (ZmPR-10) in host resistance of maize against fungal infection and aflatoxin production, the corresponding cDNA (pr-10) was cloned. It encodes a protein of 160 amino acids with a predicted molecular mass of 16.9 kDa and an iso-electric point of 5.38. The expression of pr-10 during kernel development increased fivefold between 7 and 22 days after pollination, and was induced upon A. flavus infection in the resistant but not in the susceptible genotype. The ZmPR-10 overexpressed in Escherichia coli exhibited a ribonucleolytic and antifungal activities. Leaf extracts of transgenic tobacco plants expressing maize pr-10 also demonstrated RNase activity and inhibited the growth of A. flavus. This evidence suggests that ZmPR-10 plays a role in kernel resistance by inhibiting fungal growth of A. flavus.

11.
J Natl Cancer Inst ; 82(21): 1684-92, 1990 Nov 07.
Artículo en Inglés | MEDLINE | ID: mdl-2231755

RESUMEN

The effects of nutritional status on differences in the survival of black and white women with breast cancer were studied in a cohort of 1,960 Georgia women diagnosed during 1975-1979. After data were adjusted for stage of disease, socioeconomic status, and other prognostic factors, poorer survival rates were shown in black women. Within each stage classification, lower levels of serum albumin and hemoglobin and higher relative body weight were more common among blacks and were independently associated with poorer survival. Among women with stage 3 disease, adjustment for these variables substantially reduced the excess mortality rate among blacks, suggesting that racial differences in survival may be partly explained by differences in nutritional status or extent of disease within stage.


Asunto(s)
Población Negra , Neoplasias de la Mama/mortalidad , Estado Nutricional/fisiología , Población Blanca , Anciano , Peso Corporal/fisiología , Neoplasias de la Mama/epidemiología , Estudios de Cohortes , Demografía , Femenino , Humanos , Persona de Mediana Edad , Estadificación de Neoplasias , Pronóstico , Factores Socioeconómicos , Estados Unidos
12.
Diabetes ; 35(6): 712-6, 1986 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-3011574

RESUMEN

Cynomolgus, rhesus, and Cebus monkeys failed to show glucose tolerance or insulin secretion abnormalities after infection with encephalomyocarditis virus or Coxsackie virus B4. Patas monkeys also showed no abnormalities after infection with encephalomyocarditis virus. However, patas monkeys infected with Coxsackie virus B4 or treated first with a subdiabetogenic dose of streptozocin and then infected sequentially with Coxsackie viruses B4 and B3 showed transient elevation of glucose tolerance tests, depressed insulin secretion, and glucose in the urine. Our experiments in nonhuman primates support earlier studies in mice and humans that under certain circumstances, Coxsackie viruses can cause abnormalities in glucose homeostasis.


Asunto(s)
Infecciones por Coxsackievirus/complicaciones , Diabetes Mellitus Experimental/etiología , Diabetes Mellitus Tipo 1/etiología , Animales , Infecciones por Coxsackievirus/metabolismo , Enterovirus Humano B , Glucosa/metabolismo , Haplorrinos , Insulina/metabolismo , Secreción de Insulina , Especificidad de la Especie
13.
J Gen Physiol ; 107(2): 169-81, 1996 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-8833339

RESUMEN

Ion channels gated by the binding of multiple ligands play a critical role in synaptic transmission and sensory transduction. It has been difficult to resolve the contribution of individual binding events to channel gating because ligands are continuously binding and unbinding at each site. In examining the allosteric mechanism of retinal rod cGMP-gated channels, we have circumvented this problem by making use of a cGMP derivative, 8-p-azidophenacylthio-cGMP (APT-cGMP), that can be covalently tethered to the binding sites in the presence of long-wavelength UV light. In excised membrane patches, a population of channels was isolated that contained covalently-attached ligands at all but one site. Activation of these channels by cGMP revealed a previously unknown heterogeneity in the ligand-binding sites. The dose-response relations were much shallower than predicted by single-site activation models, but were well described by models in which there are two populations of sites, in roughly equal proportion, that bind cGMP with apparent affinities that differ by a factor of 25. The two apparent affinities, incorporated into a four-site model of the channel, provided an accurate description of the patch's original dose-response relation. A comparison of results on native and expressed channels suggests that the heterogeneity in the native channel arises at least in part from the presence of two different cGMP-binding subunits.


Asunto(s)
GMP Cíclico/fisiología , Activación del Canal Iónico/fisiología , Canales Iónicos/fisiología , Células Fotorreceptoras Retinianas Bastones/química , Ambystoma , Animales , Sitios de Unión/fisiología , GMP Cíclico/análogos & derivados , GMP Cíclico/farmacología , Relación Dosis-Respuesta a Droga , Femenino , Activación del Canal Iónico/efectos de los fármacos , Canales Iónicos/química , Cinética , Ligandos , Oocitos/fisiología , Técnicas de Placa-Clamp , Población , Rana pipiens , Células Fotorreceptoras Retinianas Bastones/fisiología , Factores de Tiempo , Xenopus
14.
J Gen Physiol ; 101(1): 1-25, 1993 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-7679715

RESUMEN

The effects of divalent cations on the gating of the cGMP-activated channel, and the effects of gating on the movement of divalent cations in and out of the channel's pore were studied by recording macroscopic currents in excised membrane patches from salamander retinal rods. The fractional block of cGMP-activated Na+ currents by internal and external Mg2+ as well as internal Ca2+ was nearly independent of cGMP concentration. This indicates that Mg2+ and Ca2+ bind with similar affinity to open and closed states of the channel. In contrast, the efficiency of block by internal Cd2+ or Zn2+ increased in proportion to the fraction of open channels, indicating that these ions preferentially occupy open channels. The kinetics of block by internal Ni2+, which competes with Mg2+ but blocks more slowly, were found to be unaffected by the fraction of channels open. External Ni2+, however, blocked and unblocked much more rapidly when channels were mostly open. This suggests that within the pore a gate is located between the binding site(s) for ions and the extracellular mouth of the channel. Micromolar concentrations of the transition metal divalent cations Ni2+, Cd2+, Zn2+, and Mn2+ applied to the cytoplasmic surface of a patch potentiated the response to subsaturating concentrations of cGMP without affecting the maximum current induced by saturating cGMP. The concentration of cGMP that opened half the channels was often lowered by a factor of three or more. Potentiation persisted after the experimental chamber was washed with divalent-free solution and fresh cGMP was applied, indicating that it does not result from an interaction between divalent cations and cGMP in solution; 1 mM EDTA or isotonic MgCl2 reversed potentiation. Voltage-jump experiments suggest that potentiation results from an increase in the rate of cGMP binding. Lowering the ionic strength of the bathing solution enhanced potentiation, suggesting that it involves electrostatic interactions. The strong electrostatic effect on cGMP binding and absence of effect on ion permeation through open channels implies that the cGMP binding sites on the channel are well separated from the permeation pathway.


Asunto(s)
Cationes Bivalentes/farmacología , Guanosina Monofosfato/farmacología , Activación del Canal Iónico/fisiología , Canales Iónicos/fisiología , Células Fotorreceptoras/fisiología , Urodelos/fisiología , Animales , Sitios de Unión , Cadmio/metabolismo , Cadmio/farmacología , Calcio/metabolismo , Calcio/farmacología , Relación Dosis-Respuesta a Droga , Activación del Canal Iónico/efectos de los fármacos , Canales Iónicos/efectos de los fármacos , Magnesio/metabolismo , Magnesio/farmacología , Manganeso/metabolismo , Manganeso/farmacología , Níquel/metabolismo , Níquel/farmacología , Células Fotorreceptoras/efectos de los fármacos , Células Fotorreceptoras/ultraestructura , Zinc/metabolismo , Zinc/farmacología
15.
J Mol Biol ; 241(2): 263-4, 1994 Aug 12.
Artículo en Inglés | MEDLINE | ID: mdl-8057364

RESUMEN

The cytosolic (Class 1) aldehyde dehydrogenase (AlDH) from sheep liver has been crystallized in a form suitable for X-ray diffraction studies. The crystals, grown by vapour diffusion using 6.5 to 7.5% methoxypolyethylene glycol 5000 as precipitant, at pH 6.5, are orthorhombic with cell dimensions a = 80.7, b = 92.5, c = 151.6 A, space-group P2(1)2(1)2(1), and one dimer in the asymmetric unit. The crystals diffract to at least 2.8 A resolution. Although unmodified AlDH crystallized readily, a key factor in obtaining diffraction-quality crystals was the covalent attachment of an active site reporter group, provided by 3,4-dihydro-3-methyl-6-nitro-2H-1,3-benzoxazin-2-one.


Asunto(s)
Aldehído Deshidrogenasa/química , Hígado/enzimología , Animales , Cristalización , Cristalografía por Rayos X , Citosol/enzimología , Isoenzimas/química , Ovinos
16.
J Med Genet ; 39(3): 170-7, 2002 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-11897815

RESUMEN

Clinical cytogenetic laboratories frequently identify an apparent duplication of proximal 15q that does not involve probes within the PWS/AS critical region and is not associated with any consistent phenotype. Previous mapping data placed several pseudogenes, NF1, IgH D/V, and GABRA5 in the pericentromeric region of proximal 15q. Recent studies have shown that these pseudogene sequences have increased copy numbers in subjects with apparent duplications of proximal 15q. To determine the extent of variation in a control population, we analysed NF1 and IgH D pseudogene copy number in interphase nuclei from 20 cytogenetically normal subjects by FISH. Both loci are polymorphic in controls, ranging from 1-4 signals for NF1 and 1-3 signals for IgH D. Eight subjects with apparent duplications, examined by the same method, showed significantly increased NF1 copy number (5-10 signals). IgH D copy number was also increased in 6/8 of these patients (4-9 signals). We identified a fourth pseudogene, BCL8A, which maps to the pericentromeric region and is coamplified along with the NF1 sequences. Interphase FISH ordering experiments show that IgH D lies closest to the centromere, while BCL8A is the most distal locus in this pseudogene array; the total size of the amplicon is estimated at approximately 1 Mb. The duplicated chromosome was inherited from either sex parent, indicating no parent of origin effect, and no consistent phenotype was present. FISH analysis with one or more of these probes is therefore useful in discriminating polymorphic amplification of proximal pseudogene sequences from clinically significant duplications of 15q.


Asunto(s)
Centrómero/genética , Cromosomas Humanos Par 15/genética , Duplicación de Gen , Genes Duplicados/genética , Adulto , Trastorno Autístico/genética , Niño , Preescolar , Femenino , Dosificación de Gen , Orden Génico/genética , Genes de Neurofibromatosis 1 , Humanos , Inmunoglobulina D/genética , Hibridación Fluorescente in Situ , Discapacidad Intelectual/genética , Masculino , Proteínas de Neoplasias/genética , Polimorfismo Genético/genética , Síndrome de Prader-Willi/genética , Seudogenes/genética
17.
Arch Intern Med ; 151(6): 1201-2, 1991 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-2043022

RESUMEN

The fourth documented survivor of primary amebic meningoencephalitis, a young man with a history of waterskiing in a stagnant freshwater lake in northeastern Pennsylvania, is presented. Early consideration of this unusual diagnosis, based on historical factors (recent contact with warm fresh water), coupled with prompt aggressive therapy with high-dose amphotericin B is emphasized in achieving a successful outcome.


Asunto(s)
Amebiasis/tratamiento farmacológico , Meningoencefalitis/tratamiento farmacológico , Naegleria/aislamiento & purificación , Adulto , Amebiasis/complicaciones , Anfotericina B/uso terapéutico , Animales , Humanos , Masculino , Meningoencefalitis/parasitología
18.
Arch Intern Med ; 158(11): 1238-44, 1998 Jun 08.
Artículo en Inglés | MEDLINE | ID: mdl-9625403

RESUMEN

BACKGROUND: Clinical trials demonstrate significant benefit from cholesterol management for patients with cardiovascular disease (CVD). National guidelines recommending goals for screening and treatment were published in 1993 and widely disseminated. This study examines cholesterol screening and management by primary care physicians after the guidelines were released. METHODS: Medical records and patient surveys provided data for 603 patients with CVD, aged 27 to 70 years, from 45 practices in 4 states during 1993 to 1995. Physician surveys measured estimated performance and other variables. Physician and patient factors associated with adherence, or lack of adherence, to national guidelines were examined using univariate and multivariate analyses. RESULTS: A total of 199 patients (33%) with CVD were not screened with lipid panels, 271 patients (45%) were not receiving dietary counseling, and 404 (67%) were not receiving cholesterol medication. Only 84 patients (14%) with CVD had achieved the recommended low-density lipoprotein level of less than 2.58 mmol/L (100 mg/dL) and 302 (50%) had triglyceride levels lower than 2.26 mmol/L (200 mg/dL). Patients with a revascularization history and higher low-density lipoprotein and/or triglyceride levels were more likely to receive treatment, but other patient factors, including CVD risk factors, did not predict treatment. Physician specialty was not associated with differences in treatment, but physicians in practice for fewer years ordered more lipid panels. CONCLUSIONS: Most patients with CVD in primary care were not receiving cholesterol screening and management as recommended by the National Cholesterol Education Program guidelines in the 2 years after their release. Increasing cholesterol screening and treatment should be a priority for practice quality improvement and could result in significant reductions in CVD events for high-risk patients.


Asunto(s)
Enfermedad Coronaria/terapia , Adhesión a Directriz , Educación del Paciente como Asunto/normas , Atención Primaria de Salud/normas , Adulto , Anciano , Anticolesterolemiantes/uso terapéutico , Enfermedad Coronaria/sangre , Enfermedad Coronaria/tratamiento farmacológico , Femenino , Guías como Asunto , Humanos , Iowa , Modelos Logísticos , Masculino , Persona de Mediana Edad , Minnesota , Pautas de la Práctica en Medicina , Wisconsin
19.
Arch Intern Med ; 153(18): 2113-7, 1993 Sep 27.
Artículo en Inglés | MEDLINE | ID: mdl-8379802

RESUMEN

BACKGROUND: Many studies reporting the frequency of breast cancer screening have been based only on physician and patient surveys or on data from quality assurance studies and do not assess the reliability of information obtained from these various sources. METHODS: To obtain more complete data we studied mammography performed in a 3-year period, 1988 through 1991, in 24 nonacademic primary care group practices by both auditing the medical records and obtaining questionnaire responses from 1819 women aged 53 to 62 years and from their 98 physicians in the nonmetropolitan Midwest. RESULTS: Medical record data indicated that mammography was performed in all 3 years in 16.7%, in at least two of 3 years in 49.8%, and in at least one of 3 years in 81.7% of women. While patient reports of a family history of breast cancer, health insurance coverage for mammography, and greater annual household income were each significant predictors, a patient report that a clinic staff member had discussed mammography was the strongest predictor of greater frequency of mammography. CONCLUSIONS: In this study of self-selected physicians and their patients, record-documented mammographic examinations were considerably more frequent than has been reported in some studies, but occurred at rates consistent with quality assurance data for the region. These data suggest that clinic staff initiatives with screening mammography have a large impact.


Asunto(s)
Neoplasias de la Mama/prevención & control , Medicina Familiar y Comunitaria , Práctica de Grupo , Mamografía/estadística & datos numéricos , Tamizaje Masivo/estadística & datos numéricos , Medicina Familiar y Comunitaria/estadística & datos numéricos , Femenino , Práctica de Grupo/estadística & datos numéricos , Investigación sobre Servicios de Salud/métodos , Humanos , Auditoría Médica , Persona de Mediana Edad , Medio Oeste de Estados Unidos , Estudios Retrospectivos , Factores Socioeconómicos , Encuestas y Cuestionarios
20.
Am J Psychiatry ; 147(5): 602-7, 1990 May.
Artículo en Inglés | MEDLINE | ID: mdl-2327487

RESUMEN

This article reports the analysis of prospectively gathered data on eight young adults who committed suicide during an ongoing longitudinal study of long-term treatment of schizophrenia in the community. Young adult men with an early onset of psychiatric illness were identified as a high-risk subgroup. At the time of admission to the study, the subjects who eventually committed suicide reported significantly more distress and tended to be less satisfied with their lives than the other subjects. Specifically, baseline measures of self-reported subjective distress were consistently predictive of later suicide, whereas interviewer-rated measures and postbaseline assessments were not.


Asunto(s)
Esquizofrenia/complicaciones , Psicología del Esquizofrénico , Suicidio/estadística & datos numéricos , Adolescente , Adulto , Factores de Edad , Servicios Comunitarios de Salud Mental , Femenino , Humanos , Masculino , Inventario de Personalidad , Estudios Prospectivos , Escalas de Valoración Psiquiátrica , Factores de Riesgo , Esquizofrenia/diagnóstico , Esquizofrenia/terapia , Factores Sexuales , Prevención del Suicidio
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