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1.
Phys Rev Lett ; 131(4): 041002, 2023 Jul 28.
Artigo em Inglês | MEDLINE | ID: mdl-37566836

RESUMO

The LUX-ZEPLIN experiment is a dark matter detector centered on a dual-phase xenon time projection chamber operating at the Sanford Underground Research Facility in Lead, South Dakota, USA. This Letter reports results from LUX-ZEPLIN's first search for weakly interacting massive particles (WIMPs) with an exposure of 60 live days using a fiducial mass of 5.5 t. A profile-likelihood ratio analysis shows the data to be consistent with a background-only hypothesis, setting new limits on spin-independent WIMP-nucleon, spin-dependent WIMP-neutron, and spin-dependent WIMP-proton cross sections for WIMP masses above 9 GeV/c^{2}. The most stringent limit is set for spin-independent scattering at 36 GeV/c^{2}, rejecting cross sections above 9.2×10^{-48} cm at the 90% confidence level.

2.
Proc Natl Acad Sci U S A ; 116(33): 16186-16191, 2019 Aug 13.
Artigo em Inglês | MEDLINE | ID: mdl-31350347

RESUMO

Spin-orbit coupling (SOC), the interaction between the electron spin and the orbital angular momentum, can unlock rich phenomena at interfaces, in particular interconverting spin and charge currents. Conventional heavy metals have been extensively explored due to their strong SOC of conduction electrons. However, spin-orbit effects in classes of materials such as epitaxial 5d-electron transition-metal complex oxides, which also host strong SOC, remain largely unreported. In addition to strong SOC, these complex oxides can also provide the additional tuning knob of epitaxy to control the electronic structure and the engineering of spin-to-charge conversion by crystalline symmetry. Here, we demonstrate room-temperature generation of spin-orbit torque on a ferromagnet with extremely high efficiency via the spin-Hall effect in epitaxial metastable perovskite SrIrO3 We first predict a large intrinsic spin-Hall conductivity in orthorhombic bulk SrIrO3 arising from the Berry curvature in the electronic band structure. By manipulating the intricate interplay between SOC and crystalline symmetry, we control the spin-Hall torque ratio by engineering the tilt of the corner-sharing oxygen octahedra in perovskite SrIrO3 through epitaxial strain. This allows the presence of an anisotropic spin-Hall effect due to a characteristic structural anisotropy in SrIrO3 with orthorhombic symmetry. Our experimental findings demonstrate the heteroepitaxial symmetry design approach to engineer spin-orbit effects. We therefore anticipate that these epitaxial 5d transition-metal oxide thin films can be an ideal building block for low-power spintronics.

3.
J Neural Transm (Vienna) ; 121(4): 371-8, 2014 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-24306276

RESUMO

C-type natriuretic peptide (CNP) is a neurotrophic factor widely expressed in the central nervous system including the basal ganglia, limbic system and hypothalamus. Nothing is known of CNP's role in the human brain but in rodents CNP promotes axon growth and branching, and interacts with dopaminergic function in models of addiction. Because preliminary evidence showed reduced levels in Parkinson's disease (PD), we examined concentrations of CNP peptides in cerebrospinal fluid (CSF) in 146 PD patients from the DATATOP study to determine changes over time in relation to medication status and cognitive function. CNP and an aminoterminal product of proCNP (NTproCNP) were measured in extracts from stored CSF by radioimmunoassay. CSF samples were obtained twice-at enrolment and at the study's endpoint (requirement for levodopa treatment) after treatment with placebo or deprenyl. At enrolment, median baseline concentration of CSF NTproCNP (776 pmol/L, n = 146) was significantly lower than that in a reference group without neurological disorder (1,010 pmol/L, p < 0.001). Concentrations declined significantly during placebo (p = 0.02) and lower values at enrolment were associated with more rapid functional decline (p < 0.01). In contrast, deprenyl-a treatment which delayed the need for levodopa-nullified the time-dependent decline in CSF NTproCNP. In conclusion subnormal CSF NTproCNP which declines with time and associates with increasing functional disability implicates CNP in PD. Concordant clinical and peptide responses to deprenyl suggest that some of the benefits of monoamine oxidase inhibitors in PD are mediated by preserving tissue CNP activity.


Assuntos
Antiparkinsonianos/uso terapêutico , Peptídeo Natriurético Tipo C/líquido cefalorraquidiano , Doença de Parkinson/líquido cefalorraquidiano , Doença de Parkinson/tratamento farmacológico , Selegilina/uso terapêutico , Adulto , Idoso , Idoso de 80 Anos ou mais , Transtornos Cognitivos/etiologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Doença de Parkinson/complicações , Estudos Retrospectivos , Índice de Gravidade de Doença , Fatores de Tempo
4.
Diabetologia ; 56(7): 1494-502, 2013 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-23568273

RESUMO

AIMS/HYPOTHESIS: The aim of this work was to investigate whether measurement of the mean common carotid intima-media thickness (CIMT) improves cardiovascular risk prediction in individuals with diabetes. METHODS: We performed a subanalysis among 4,220 individuals with diabetes in a large ongoing individual participant data meta-analysis involving 56,194 subjects from 17 population-based cohorts worldwide. We first refitted the risk factors of the Framingham heart risk score on the individuals without previous cardiovascular disease (baseline model) and then expanded this model with the mean common CIMT (CIMT model). The absolute 10 year risk for developing a myocardial infarction or stroke was estimated from both models. In individuals with diabetes we compared discrimination and calibration of the two models. Reclassification of individuals with diabetes was based on allocation to another cardiovascular risk category when mean common CIMT was added. RESULTS: During a median follow-up of 8.7 years, 684 first-time cardiovascular events occurred among the population with diabetes. The C statistic was 0.67 for the Framingham model and 0.68 for the CIMT model. The absolute 10 year risk for developing a myocardial infarction or stroke was 16% in both models. There was no net reclassification improvement with the addition of mean common CIMT (1.7%; 95% CI -1.8, 3.8). There were no differences in the results between men and women. CONCLUSIONS/INTERPRETATION: There is no improvement in risk prediction in individuals with diabetes when measurement of the mean common CIMT is added to the Framingham risk score. Therefore, this measurement is not recommended for improving individual cardiovascular risk stratification in individuals with diabetes.


Assuntos
Doenças Cardiovasculares/epidemiologia , Espessura Intima-Media Carotídea , Diabetes Mellitus/epidemiologia , Humanos , Infarto do Miocárdio/epidemiologia , Fatores de Risco , Acidente Vascular Cerebral/epidemiologia
5.
Pharmacogenomics J ; 12(1): 10-21, 2012 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-20697427

RESUMO

The study aim was to identify early (within 14 days) and late changes (by 3 months) in breast cancer gene expression profiles associated with neoadjuvant therapy with letrozole. RNA from sequential tumour biopsies in 54 patients was analyzed on microarrays; changes were determined by frequency, magnitude and significance analyses. Substantially more genes were changed at 3 months (1503) than at 14 days (237). Early changed genes were associated with cell cycle (downregulation), blood vessel development and extracellular matrix (upregulation); late changes included 'cellular metabolic process', 'generation of precursor metabolites and energy' (decreased) and 'cell adhesion' 'biological adhesion' (increased). A striking difference between the early and late changes was the general location of downregulated genes-nuclear structures at 14 days and mitochondria after 3 months. These changes in gene expression profiles provide a new and important database by which to understand molecular mechanisms of letrozole in breast cancers.


Assuntos
Inibidores da Aromatase/uso terapêutico , Neoplasias da Mama/tratamento farmacológico , Neoplasias da Mama/genética , Regulação Neoplásica da Expressão Gênica , Nitrilas/uso terapêutico , Transcriptoma , Triazóis/uso terapêutico , Inibidores da Aromatase/farmacologia , Análise por Conglomerados , Feminino , Perfilação da Expressão Gênica , Regulação Neoplásica da Expressão Gênica/efeitos dos fármacos , Humanos , Letrozol , Nitrilas/farmacologia , Estudos Prospectivos , Fatores de Tempo , Resultado do Tratamento , Triazóis/farmacologia
6.
Parkinsonism Relat Disord ; 70: 36-41, 2020 01.
Artigo em Inglês | MEDLINE | ID: mdl-31809948

RESUMO

INTRODUCTION: Bi-allelic mutations in the gene for glucocerebrosidase (GBA) cause Gaucher disease, an autosomal recessive lysosomal storage disorder. Gaucher disease causing GBA mutations in the heterozygous state are also high risk factors for Parkinson's disease (PD). GBA analysis is challenging due to a related pseudogene and structural variations (SVs) that can occur at this locus. We have applied and refined a recently developed nanopore DNA sequencing method to analyze GBA variants in a clinically assessed New Zealand longitudinal cohort of PD. METHOD: We examined amplicons encompassing the coding region of GBA (8.9 kb) from 229 PD cases and 50 healthy controls using the GridION nanopore sequencing platform, and Sanger validation. RESULTS: We detected 23 variants in 21 PD cases (9.2% of patients). We detected modest PD risk variant p.N409S (rs76763715) in one case, p.E365K (rs2230288) in 12 cases, and p.T408 M (rs75548401) in seven cases, one of whom also had p.E365K. We additionally detected the possible risk variants p.R78C (rs146774384) in one case, p.D179H (rs147138516) in one case which occurred on the same haplotype as p.E365K, and one novel variant c.335C > T or p.(L335 = ), that potentially impacts splicing of GBA transcripts. Additionally, we found a higher prevalence of dementia among patients with GBA variants. CONCLUSION: This work confirmed the utility of nanopore sequencing as a high-throughput method to identify known and novel GBA variants, and to assign precise haplotypes. Our observations may contribute to improved understanding of the effects of variants on disease pathogenesis, and to the development of more targeted treatments.


Assuntos
Demência/genética , Glucosilceramidase/genética , Sequenciamento por Nanoporos/normas , Doença de Parkinson/genética , Idoso , Idoso de 80 Anos ou mais , Estudos de Coortes , Demência/etiologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Nova Zelândia , Doença de Parkinson/complicações , Reprodutibilidade dos Testes , Análise de Sequência de DNA
7.
J Cell Biol ; 158(4): 719-29, 2002 Aug 19.
Artigo em Inglês | MEDLINE | ID: mdl-12177040

RESUMO

Mutations in the X-linked Plp gene lead to dysmyelinating phenotypes and oligodendrocyte cell death. Here, we exploit the X inactivation phenomenon to show that a hierarchy exists in the influence of different mutant Plp alleles on oligodendrocyte survival. We used compound heterozygote mice to study the long-term fate of oligodendrocytes expressing either the jimpy or rumpshaker allele against a background of cells expressing a Plp-null allele. Although mutant and null oligodendrocytes were generated in equal numbers, the proportion expressing the mutant allele subsequently declined, but whereas those expressing the rumpshaker allele formed a reduced but stable population, the number of jimpy cells fell progressively. The age of decline in the jimpy cells in different regions of the CNS correlated with the temporal sequence of myelination. In compound heterozygotes expressing rumpshaker and jimpy alleles, oligodendrocytes expressing the former predominated and were more abundant than when the rumpshaker and null alleles were in competition. Thus, oligodendrocyte survival is not determined solely by cell intrinsic factors, such as the conformation of the misfolded PLP, but is influenced by neighboring cells, possibly competing for cell survival factors.


Assuntos
Comunicação Celular/fisiologia , Proteínas de Ligação a DNA/fisiologia , Bainha de Mielina/metabolismo , Oligodendroglia/fisiologia , Fatores de Transcrição/fisiologia , Alelos , Animais , Morte Celular/fisiologia , Sobrevivência Celular/fisiologia , Sistema Nervoso Central/fisiologia , Proteínas de Ligação a DNA/química , Proteínas de Ligação a DNA/genética , Camundongos , Mutação , Bainha de Mielina/genética , Fenótipo , Dobramento de Proteína , Fatores de Transcrição/química , Fatores de Transcrição/genética
8.
Heredity (Edinb) ; 102(4): 357-64, 2009 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-19142203

RESUMO

Aggregated distributions of macroparasites within their host populations are characteristic of most natural and experimental infections. We designed this study to measure the amount of variation that is attributable to host genetic factors in a pig-helminth system. In total, 195 piglets were produced after artificial insemination of 19 sows (Danish Landrace-Yorkshire crossbreds) with semen selected from 13 individual Duroc boars (1 or 2 sows per boar; mean litter size: 10.3; 5-14 piglets per litter). Starting at 10 weeks of age, piglets were repeatedly infected with the gastrointestinal helminths Trichuris suis and Ascaris suum by administering eggs in the feed for 14 weeks until necropsy. Faecal egg counts (FECs) were estimated regularly and A. suum worm burden was obtained at necropsy. Heritability calculations for log (FEC+1) at weeks 7-10 post-infection (p.i.) showed that 0.32-0.73 of the phenotypic variation for T. suis could be attributed to genetic factors. For A. suum, heritabilities of 0.29-0.31 were estimated for log (FEC+1) at weeks 7-14 p.i., whereas the heritability of log worm counts was 0.45. Strong positive genetic correlations (0.75-0.89) between T. suis and A. suum FECs suggest that resistance to both infections involves regulation by overlapping genes. Our data demonstrate that there is a strong genetic component in resistance to A. suum and T. suis infections in pigs. Identification of responsible genes would enhance our understanding of the host immune response to these common nematodes and for the closely related species (T. trichiura and A. lumbricoides) in man infecting more than a billion people.


Assuntos
Ascaríase/veterinária , Doenças dos Suínos/genética , Doenças dos Suínos/parasitologia , Tricuríase/veterinária , Criação de Animais Domésticos , Animais , Ascaríase/genética , Ascaríase/transmissão , Ascaris suum , Feminino , Genótipo , Interações Hospedeiro-Parasita/genética , Masculino , Fenótipo , Sus scrofa , Doenças dos Suínos/transmissão , Tricuríase/genética , Tricuríase/transmissão , Trichuris
9.
Parasitology ; 136(2): 193-201, 2009 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-19091154

RESUMO

SUMMARY: The genotypes of both host and parasite may influence the outcome of parasitic infections, but few attempts have been made to quantify the effect of parasite genotype on macroparasite infections of socio-economic importance. We examined variation in particular traits during the infection in pigs with the parasitic nematode Ascaris suum. We infected 26 pigs with mixtures of equal proportions of embryonated eggs from 4 single female worms each with a unique mtDNA haplotype--the eggs from each female worm were a mixture of siblings and half-siblings. Pigs were necropsied on days 14, 17 and 28 following inoculation, which corresponded to time-points before, during and after the main immune responses against the nematode. A total of approximately 11,000 worms were recovered at necropsy. The location in the small intestine was recorded for all worms and the length and mtDNA haplotype were determined for about 4200 individual worms. There were significant differences in the distribution and abundance of the 4 individual haplotypes among individual pigs demonstrating strong interactions between parasite and host. We found significant differences in the abundance and position in the small intestine as well as the size of worms among haplotypes. We conclude that both parasite and host effects as well as the interplay between them play important roles in determining the characteristics and outcome of infection.


Assuntos
Ascaríase/parasitologia , Ascaris suum/genética , Ascaris suum/patogenicidade , Enteropatias Parasitárias/parasitologia , Análise de Variância , Animais , Ascaríase/patologia , Ascaris suum/anatomia & histologia , Ascaris suum/isolamento & purificação , DNA Mitocondrial , Feminino , Haplótipos , Interações Hospedeiro-Parasita/genética , Enteropatias Parasitárias/patologia , Intestino Delgado/parasitologia , Intestino Delgado/patologia , Larva/genética , Fenótipo , Suínos
10.
J Parasitol ; 95(1): 253-5, 2009 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-18601578

RESUMO

Multiple displacement amplification (MDA) using Phi29 has proved to be an efficient, high-fidelity method for whole genome amplification in many organisms. This project was designed to evaluate this approach for use with the malaria parasite Plasmodium falciparum. In particular, we were concerned that the AT richness and presence of contaminating human DNA could limit efficiency of MDA in this system. We amplified 60 DNA samples using phi29 and scored 14 microsatellites, 9 single-nucleotide polymorphisms (SNPs), and gene copy number at GTP-cyclohydrolase I both before and after MDA. We observed 100% concordance in 829 microsatellite genotypes and in 499 SNP genotypes. Furthermore, copy number estimates for the GTP-cyclohydrolase I gene were correlated (r(2) = 0.67) in pre- and postamplification samples. These data confirm that MDA permits scoring of a range of different types of polymorphisms in P. falciparum malaria and can be used to extend the life of valuable DNA stocks.


Assuntos
DNA de Protozoário/química , Técnicas de Amplificação de Ácido Nucleico/métodos , Plasmodium falciparum/genética , Animais , DNA de Protozoário/sangue , Repetições de Dinucleotídeos/genética , GTP Cicloidrolase/genética , Genótipo , Humanos , Repetições de Microssatélites/genética , Técnicas de Amplificação de Ácido Nucleico/normas , Plasmodium falciparum/classificação , Plasmodium falciparum/enzimologia , Polimorfismo Genético/genética , Polimorfismo de Nucleotídeo Único/genética
11.
J Vet Intern Med ; 23(4): 862-70, 2009.
Artigo em Inglês | MEDLINE | ID: mdl-19566851

RESUMO

BACKGROUND: Previous multidrug studies have identified the value of prednisolone in treating steroid responsive meningitis-arteritis (SRMA) and the potential value of acute phase proteins (APPs) and immunoglobulin A (IgA) in diagnosis and monitoring. HYPOTHESIS: (1) Prednisolone monotherapy is a successful immunosuppressive modality in the treatment of SRMA; (2) protein markers are useful in identifying the potential for relapse. ANIMALS: Twenty client-owned dogs with SRMA presented to the University of Glasgow Small Animal Hospital between May 2006 and May 2008. METHODS: A prospective, observational study: CBC, biochemistry, and cerebrospinal fluid (CSF) analyses were performed. C-reactive protein (CRP), serum amyloid-A, alpha-1-acid glycoprotein, and haptoglobin (Hp) were assessed in the serum. IgA concentrations were determined in the serum and CSF. RESULTS: Clinical resolution of SRMA was achieved in all 20 dogs. Serum CRP concentration remained increased at remission in 16/20 dogs whereas CSF cytology was within normal limits in 20/20 dogs. Serum APPs decreased significantly on treatment (P<.05) except Hp, which remained unaltered. Serum and CSF IgA concentrations remained increased for the duration of treatment. CONCLUSIONS AND CLINICAL IMPORTANCE: The prednisolone regimen presented was successful in treating SRMA without the need for additional drugs. Serum APPs are of use in the diagnosis and management of SRMA, particularly in relation to identifying relapse. Serum and CSF IgA concentrations remain increased throughout disease, aiding in diagnosis but not contributing to the management of SRMA.


Assuntos
Arterite/veterinária , Biomarcadores , Doenças do Cão/tratamento farmacológico , Meningite/veterinária , Prednisolona/uso terapêutico , Algoritmos , Animais , Anti-Inflamatórios/uso terapêutico , Arterite/líquido cefalorraquidiano , Arterite/tratamento farmacológico , Doenças do Cão/líquido cefalorraquidiano , Cães , Feminino , Imunoglobulina A , Masculino , Meningite/líquido cefalorraquidiano , Meningite/tratamento farmacológico , Prednisolona/administração & dosagem
12.
Vet Rec ; 165(19): 556-8, 2009 Nov 07.
Artigo em Inglês | MEDLINE | ID: mdl-19897869

RESUMO

The laboratory records of 1427 client-owned dogs on chronic phenobarbitone treatment were analysed. They were divided into two groups: the 918 dogs from which blood samples were collected at the trough, that is, within two hours before the next dose of phenobarbitone, and the 509 dogs from which samples were taken during the non-trough period. There were no significant differences between the mean serum concentrations of phenobarbitone in the trough and non-trough samples from dogs receiving doses ranging from 2 mg/kg per day to more than 10 mg/kg per day. However, the higher doses of phenobarbitone were associated with progressively lower phenobarbitone concentrations in the trough group relative to the non-trough group, and this difference was significant at doses of more than 10 mg/kg per day.


Assuntos
Anticonvulsivantes/sangue , Anticonvulsivantes/farmacocinética , Doenças do Cão/tratamento farmacológico , Fenobarbital/sangue , Fenobarbital/farmacocinética , Animais , Doenças do Cão/sangue , Cães , Relação Dose-Resposta a Droga , Esquema de Medicação , Epilepsia/tratamento farmacológico , Epilepsia/veterinária , Fenobarbital/administração & dosagem , Estudos Retrospectivos
13.
Neuropsychologia ; 46(1): 384-9, 2008 Jan 15.
Artigo em Inglês | MEDLINE | ID: mdl-17928014

RESUMO

Although the Tower of London (TOL) has been extensively used to assess planning ability in patients with Parkinson's disease (PD), the reported presence or extent of any planning deficits has been inconsistent. This may partly be due to the heterogeneity of the TOL tasks used and a failure to consider how structural problem parameters may affect task complexity. In the present study, planning in PD patients was assessed by systematically manipulating TOL problem structure. Results clearly disprove the identity assumption of problems with an equal number of minimum moves. Instead, substantial parts of planning performance were related to more subtle aspects of problem structure, such as subgoaling patterns and goal hierarchy. Planning in PD patients was not impaired in general but was affected when the information provided by the problem states was ambiguous in terms of the sequential order of subgoals, but not by increases in search depth.


Assuntos
Cognição/fisiologia , Doença de Parkinson/fisiopatologia , Resolução de Problemas/fisiologia , Idoso , Idoso de 80 Anos ou mais , Análise de Variância , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Testes Neuropsicológicos , Tempo de Reação
14.
J Coord Chem ; 61(13): 2009-2016, 2008 Jan 01.
Artigo em Inglês | MEDLINE | ID: mdl-20016763

RESUMO

A series of mixed ligand complexes of ruthenium(II) complexes containing 5-methylphenanthroline and trimethylamino-5-methylphenanthroline have been synthesized to investigate the impact of the quaternary amine on the photophysical properties. Thermal stability studies indicate that the quaternary amine group is stable with respect to hydrolysis. Mass spectral analysis of the complexes revealed only fragments consistent with homolytic cleavage of the amines and no parent ions were observed. Both electrochemical and photophysical investigations indicate that the quaternary amine has little or no impact on the properties of the complex when compared to the complexes lacking the amine.

15.
J Small Anim Pract ; 49(4): 178-84, 2008 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-18339088

RESUMO

OBJECTIVES: To characterise the clinical presentation and neurological abnormalities in dogs affected by aortic thromboembolism. METHODS: The medical records of 13 dogs diagnosed with aortic thromboembolism as the cause of the clinical signs, and where a complete neurological examination was performed, were reviewed retrospectively. RESULTS: The onset was acute in only four dogs, chronic in five dogs (with all of these presenting as exercise intolerance) or chronic with acute deterioration in four dogs. Dogs with an acute onset of clinical signs were more severely affected exhibiting neurological deficits, while dogs with a chronic onset of disease predominantly presented with the exercise intolerance and minimal deficits. The locomotor deficits included exercise intolerance with pelvic limb weakness (five of 13), pelvic limb ataxia (one of 13), monoparesis (two of 13), paraparesis (two of 13), non-ambulatory paraparesis (two of 13) and paraplegia (one of 13). There was an apparent male predisposition and the cavalier King charles spaniel was overrepresented. CLINICAL SIGNIFICANCE: The rate of onset of clinical signs appears to segregate dogs affected by aortic thromboembolism into two groups, with different clinical characteristics and outcomes. Dogs with an acute onset of the clinical signs tend to be more severely affected, while dogs with a chronic onset predominantly present with exercise intolerance. It is therefore important to consider aortic thromboembolism as a differential diagnosis in dogs with an acute onset of pelvic limb neurological deficits and in dogs with longer standing exercise intolerance.


Assuntos
Doenças da Aorta/veterinária , Doenças do Cão/patologia , Tromboembolia/veterinária , Doença Aguda , Animais , Doenças da Aorta/mortalidade , Doenças da Aorta/patologia , Cruzamento , Doença Crônica , Doenças do Cão/mortalidade , Cães , Feminino , Masculino , Condicionamento Físico Animal , Prognóstico , Estudos Retrospectivos , Fatores de Risco , Fatores Sexuais , Tromboembolia/mortalidade , Tromboembolia/patologia
16.
Neuropsychologia ; 112: 66-76, 2018 04.
Artigo em Inglês | MEDLINE | ID: mdl-29522760

RESUMO

Recent animal studies have shown that stress can profoundly affect motor behaviour and worsen motor deficits associated with Parkinson's disease (PD) by acting on the dopaminergic system, possibly due to stress-associated emotional changes. However, systematic investigation of the influence of acute emotional stressors on motor function in PD is scarce. Here we examined the effect of repeated exposure to negative emotional stimuli on grip-force control in PD. Eighteen patients with idiopathic PD (tested off-medication) and 18 healthy controls produced an isometric precision grip contraction at 15% of maximum force while viewing a series of unpleasant, pleasant, or neutral emotional images (blocked presentation; without visual feedback of force output). Force output was continuously recorded together with change in forearm muscle activity using electromyography. While viewing unpleasant images, PD participants exhibited increased variability and 4-8 Hz oscillations of force output, and greater flexor muscle activity. With feedback occluded, the decay in force amplitude was pronounced, but not modulated by emotion. In contrast, in controls, the decay in force amplitude was attenuated while viewing unpleasant images compared with pleasant and neutral images. The findings in PD may reflect an increased number of motor units discharging and reduced ability to use sensory feedback to alter the descending drive. Modulation of synaptic input to the motoneuron pool could result from acute stress-induced enhancement of sympathetic activity and/or amplification of dopamine depletion. Corroborating previous findings in animal models of PD, exposure to stress-evoking emotional stimuli can exacerbate impairments in fine motor control in individuals with PD.


Assuntos
Emoções/fisiologia , Doença de Parkinson/fisiopatologia , Desempenho Psicomotor/fisiologia , Estresse Psicológico/fisiopatologia , Afeto/fisiologia , Idoso , Eletromiografia , Feminino , Força da Mão/fisiologia , Humanos , Masculino , Pessoa de Meia-Idade , Doença de Parkinson/psicologia , Tempo de Reação/fisiologia , Estresse Psicológico/psicologia
17.
Parkinsonism Relat Disord ; 42: 78-84, 2017 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-28693940

RESUMO

BACKGROUND: Traditionally the risk of Parkinson's has been considered to increase monotonically with age, although there is evidence that prevalence and incidence may decrease in the oldest old. To examine this further we estimated the national prevalence and incidence of Parkinson's in New Zealand, using drug-tracing methods, to examine the relationship of Parkinson's with sex and age up to 100+. METHODS: Information on Parkinson's-related medications was extracted from the national pharmaceutical database of community-dispensed medications from 2005 to 2014. Diagnoses for a large subset of individuals were independently determined through national mortality and hospital admissions datasets. We used a Bayesian model, accommodating diagnostic uncertainty and bias, to estimate the number of people with Parkinson's. RESULTS: The 2013 prevalence of Parkinson's in New Zealand was 210 per 100 000 population (95% uncertainty interval 208-212) with age-standardized prevalence rates higher for males (ratio 1.6:1). Incidence was 31 per 100 000 person-years (95% uncertainty interval 30-32), also higher in males (ratio 1.8:1). Incidence and prevalence by age increased exponentially until 75 years, peaked at 85 years, and then dropped sharply. CONCLUSIONS: The prevalence of Parkinson's in New Zealand is expected to double over a 25-year period but then increase at a slower rate due to the drop-off in prevalence and incidence in the oldest old. The findings suggest that Parkinson's disease is not an aging-dependent but an age-dependent disorder.


Assuntos
Envelhecimento , Doença de Parkinson/economia , Doença de Parkinson/epidemiologia , Idoso de 80 Anos ou mais , Algoritmos , Efeitos Psicossociais da Doença , Feminino , Humanos , Incidência , Estudos Longitudinais , Masculino , Nova Zelândia/epidemiologia , Doença de Parkinson/classificação , Prevalência , Características de Residência , Estudos Retrospectivos
18.
J Natl Cancer Inst ; 90(15): 1138-45, 1998 Aug 05.
Artigo em Inglês | MEDLINE | ID: mdl-9701363

RESUMO

BACKGROUND: We have previously demonstrated that breast cancers associated with inherited BRCA1 and BRCA2 gene mutations differ from each other in their histopathologic appearances and that each of these types differs from breast cancers in patients unselected for family history (i.e., sporadic cancers). We have now conducted a more detailed examination of cytologic and architectural features of these tumors. METHODS: Specimens of tumor tissue (5-microm-thick sections) were examined independently by two pathologists, who were unaware of the case or control subject status, for the presence of cell mitosis, lymphocytic infiltration, continuous pushing margins, and solid sheets of cancer cells; cell nuclei, cell nucleoli, cell necrosis, and cell borders were also evaluated. The resulting data were combined with previously available information on tumor type and tumor grade and further evaluated by multifactorial analysis. All statistical tests are two-sided. RESULTS: Cancers associated with BRCA1 mutations exhibited higher mitotic counts (P = .001), a greater proportion of the tumor with a continuous pushing margin (P<.0001), and more lymphocytic infiltration (P = .002) than sporadic (i.e., control) cancers. Cancers associated with BRCA2 mutations exhibited a higher score for tubule formation (fewer tubules) (P = .0002), a higher proportion of the tumor perimeter with a continuous pushing margin (P<.0001), and a lower mitotic count (P = .003) than control cancers. CONCLUSIONS: Our study has identified key features of the histologic phenotypes of breast cancers in carriers of mutant BRCA1 and BRCA2 genes. This information may improve the classification of breast cancers in individuals with a family history of the disease and may ultimately aid in the clinical management of patients.


Assuntos
Neoplasias da Mama/genética , Neoplasias da Mama/patologia , Genes BRCA1 , Mutação , Proteínas de Neoplasias/genética , Fatores de Transcrição/genética , Adulto , Fatores Etários , Idoso , Proteína BRCA2 , Feminino , Humanos , Pessoa de Meia-Idade , Análise Multivariada
19.
Vet Rec ; 159(4): 110-5, 2006 Jul 22.
Artigo em Inglês | MEDLINE | ID: mdl-16861389

RESUMO

The characteristics of magnetic resonance imaging (mri) of the brains and spinal cords of 11 dogs with histologically confirmed granulomatous meningoencephalomyelitis (gme) were determined. The lesions were in the brain of eight of the dogs, in the brain and spinal cord of two, and in the spinal cord alone in one dog. A single lesion was present in four of the dogs and multiple lesions were found in six. In one dog with intracranial signs, no visible lesions could be detected on mri. No meningeal enhancement was detected in T1-weighted images post-contrast, or in fluid attenuation inversion recovery (flair) images, but there were histological lesions in the meninges in nine of the dogs. The T2-weighted images and flair sequences were characterised in all cases by hyperintensity, whereas the signal intensity of the lesions on T1-weighted images was variable. After the administration of paramagnetic contrast, some of the lesions showed no enhancement, but others showed marked patterns of enhancement. The lesions in 10 of the dogs were easily identifiable by mri and the images had several unifying characteristics, but they could not be considered disease-specific.


Assuntos
Encéfalo/patologia , Doenças do Cão/diagnóstico , Encefalomielite/veterinária , Granuloma/veterinária , Meningoencefalite/veterinária , Medula Espinal/patologia , Animais , Doenças do Cão/patologia , Cães , Encefalomielite/diagnóstico , Encefalomielite/patologia , Feminino , Granuloma/diagnóstico , Granuloma/patologia , Imageamento por Ressonância Magnética/métodos , Imageamento por Ressonância Magnética/veterinária , Masculino , Meningoencefalite/diagnóstico , Meningoencefalite/patologia
20.
J Small Anim Pract ; 47(10): 574-81, 2006 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-17004949

RESUMO

OBJECTIVES: To explore seizure management from the perspective of the owners of dogs with idiopathic epilepsy. METHODS: Questionnaires were mailed to owners of 29 dogs under management for suspected or diagnosed idiopathic epilepsy through the clinics of the Small Animal Hospital of the University of Glasgow Veterinary School, using either phenobarbitone or potassium bromide alone or in combination. RESULTS: The postal survey had an 86 per cent response rate. Analysis of the responses demonstrated that "the dog's quality of life", "adequate seizure frequency" and "acceptable side effects of antiepileptic drugs" were the three greatest concerns for owners; 52 per cent of owners strongly agreed that the seizure management for their dog was adequate, though the seizure frequency reported varied within this group; the majority of owners did not consider the administration of medication a nuisance. However, approximately 60 per cent of owners reported that caring for an epileptic dog had an effect on the organisation of their free time, though this was not dependent on perception of seizure control. Opinions as to the value of further diagnostic procedures, in particular intracranial imaging, were significantly affected by having pet health insurance. CLINICAL SIGNIFICANCE: From the owners' perspective, adequacy of seizure control is determined by the balance between "the dog's quality of life", "adequate seizure frequency" and "acceptable side effects of antiepileptic drugs". A frequency of less than one seizure every three months is associated with the perception by owners of adequate seizure control.


Assuntos
Anticonvulsivantes/uso terapêutico , Brometos/uso terapêutico , Doenças do Cão/tratamento farmacológico , Epilepsia/veterinária , Fenobarbital/uso terapêutico , Compostos de Potássio/uso terapêutico , Convulsões/veterinária , Animais , Anticonvulsivantes/efeitos adversos , Brometos/efeitos adversos , Cães , Quimioterapia Combinada , Epilepsia/tratamento farmacológico , Fenobarbital/efeitos adversos , Compostos de Potássio/efeitos adversos , Qualidade de Vida , Convulsões/tratamento farmacológico , Inquéritos e Questionários , Resultado do Tratamento
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