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1.
Nurs Res ; 73(3): 203-215, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38652692

RESUMO

BACKGROUND: Health disparities in osteoarthritis (OA) outcomes exist both in the occurrence and treatment of functional limitation and disability for Mexican Americans. Although the effect of self-management of chronic illness is well established, studies demonstrate little attention to self-management of function or disability, despite the strong potential effect on both and, consequently, on patients' lives. OBJECTIVE: The purpose of this study pilot was to develop and test key variable relationships for a measure of disability self-management among Mexican Americans. METHODS: In this sequential, two-phased, mixed-methods, biobehavioral pilot study of Mexican American women and men with OA, a culturally tailored measure of disability self-management was created, and initial relationships among key variables were explored. RESULTS: First, a qualitative study of 19 adults of Mexican American descent born in Texas (United States) or Mexico was conducted. The Mexican American Disability Self-Management Scale was created using a descriptive content analysis of interview data. The scale was tested and refined, resulting in 18 items and a descriptive frequency of therapeutic management efforts. Second, correlations between study variables were estimated: Disability and function were negatively correlated. Disability correlated positively with social support and activity effort. Disability correlated negatively with disability self-management, pain, and C-reactive protein. Function was positively correlated with age, pain, and depression. Liver enzymes (alanine transaminase) correlated positively with pain and anxiety. DISCUSSION: This mixed-methods study indicates directions for further testing and interventions for disability outcomes among Mexican Americans.


Assuntos
Pessoas com Deficiência , Americanos Mexicanos , Osteoartrite , Autogestão , Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Pessoas com Deficiência/estatística & dados numéricos , Pessoas com Deficiência/reabilitação , Americanos Mexicanos/estatística & dados numéricos , Americanos Mexicanos/psicologia , Osteoartrite/etnologia , Osteoartrite/terapia , Projetos Piloto , Pesquisa Qualitativa , Autocuidado/estatística & dados numéricos , Autocuidado/métodos , Autocuidado/psicologia , Autogestão/métodos , Texas
2.
Pediatr Allergy Immunol ; 34(6): e13979, 2023 06.
Artigo em Inglês | MEDLINE | ID: mdl-37366203

RESUMO

BACKGROUND: Fucoxanthin, a marine xanthophyll carotenoid, has been shown to exert beneficial health effects. Cell-based and animal-based experimental studies have shown that fucoxanthin has the potential to mitigate eczema symptoms. Hence, we sought to assess whether fucoxanthinol 3-arachidate, a fucoxanthin metabolite, measured in maternal serum at birth is associated with eczema development during early childhood. METHODS: Data from the 1989/1990 Isle of Wight birth cohort were analyzed. We focused on data obtained from the 1, 2, and 4 years follow-ups. Fucoxanthinol 3-arachidate was measured in maternal serum at the child's birth as abundance relative to the reference lipids. Eczema was ascertained according to parent-reported clinical history and characteristic morphology and distribution. Log-binomial regression models were used to estimate adjusted risk ratios (aRR) and their 95% confidence intervals (CI). RESULTS: A total of 592 subjects (49.2% males and 50.8% females) were included in the current analysis. Associations between fucoxanthinol 3-arachidate levels and eczema risk during the first 4 years of life (longitudinal analysis) were evaluated using four modeling approaches, which showed higher fucoxanthinol 3-arachidate levels were associated with reduced eczema risk: (i) aRRper 10 unit increase = 0.88, 95% CI: 0.76-1.03; (ii) aRR>0 vs. =0 = 0.67, 0.45-0.99; (iii) aRR≥2.3 vs. <2.3 = 0.66, 0.44-0.98; and (iv) aRRtertile 3 vs. tertile 1 = 0.65, 0.42-0.99. CONCLUSION: Our findings suggest that increased fucoxanthinol 3-arachidate levels measured in maternal serum at the child's birth is associated with reduced eczema risk during the first 4 years of the offspring life.


Assuntos
Eczema , Xantofilas , Masculino , Feminino , Animais , Pré-Escolar , Humanos , Estudos de Coortes , Xantofilas/metabolismo , Eczema/epidemiologia
3.
J Phys Chem A ; 127(2): 418-438, 2023 Jan 19.
Artigo em Inglês | MEDLINE | ID: mdl-36602238

RESUMO

The amount of information that can be obtained from a scattering experiment depends upon the precision with which the quantum states are defined in the incoming channel. By precisely defining the incoming states and measuring the outgoing states in a scattering experiment, we set up the boundary condition for experimentally solving the Schrödinger equation. In this Perspective we discuss cold inelastic scattering experiments using the most theoretically tractable H2 and its isotopologues as the target. We prepare the target in a precisely defined rovibrational (v, j, m) quantum state using a special coherent optical technique called the Stark-induced adiabatic Raman passage (SARP). v and j represent the quantum numbers of the vibrational and rotational energy levels, and m refers to the projection of the rotational angular momentum vector j on a suitable quantization axis in the laboratory frame. Selection of the m quantum numbers defines the alignment of the molecular frame, which is necessary to probe the anisotropic interactions. For us to achieve the collision temperature in the range of a few degrees Kelvin, we co-expand the colliding partners in a mixed supersonic beam that is collimated to define a direction for the collision velocity. When the bond axis is aligned with respect to a well-defined collision velocity, SARP achieves stereodynamic control at the quantum scale. Through various examples of rotationally inelastic cold scattering experiments, we show how SARP coherently controls the dynamics of anisotropic interactions by preparing quantum superpositions of the orientational m states within a single rovibrational (v, j) energy state. A partial wave analysis, which has been developed for the cold scattering experiments, shows dominance of a resonant orbital that leaves its mark in the scattering angular distribution. These highly controlled cold collision experiments at the single partial wave limit allow the most direct comparison with the results of theoretical computations, necessary for accurate modeling of the molecular interaction potential.

4.
Cluster Comput ; : 1-18, 2023 Apr 08.
Artigo em Inglês | MEDLINE | ID: mdl-37359058

RESUMO

With the advent of ICT-based healthcare applications, various formats of health data are generated every day in huge volume. Such data, consisting of unstructured, semi-structured and structured data, has every characteristic of Big data. NoSQL databases are generally preferred for storing such type of health data with the objective of improving query performance. However, for efficient retrieval and processing of Big Health Data and for resource optimization, suitable data models and design of the NoSQL databases are important requirements. Unlike relational databases, no standard methods or tools exist for NoSQL database design. In this work, we adopt an ontology-based schema design approach. We propose that an ontology, which captures the domain knowledge, be used for developing a health data model. An ontology for primary healthcare is described in this paper. We also propose an algorithm for designing the schema of a NoSQL database, keeping in mind the characteristics of the target NoSQL store, using a related ontology, a sample query set, some statistical information of the queries, and performance requirements of the query set. The ontology proposed by us for primary healthcare domain and the above mentioned algorithm along with a set of queries are used for generating a schema targeting MongoDB datastore. The performance of the proposed design is compared with a relational model developed for the same primary healthcare data and the effectiveness of our proposed approach is demonstrated. The entire experiment has been carried out on MongoDB cloud platform.

5.
Clin Exp Allergy ; 52(3): 416-425, 2022 03.
Artigo em Inglês | MEDLINE | ID: mdl-34854146

RESUMO

BACKGROUND: Eczema is a common inflammatory skin disease with varying developmental trajectories/patterns that are influenced by different risk factors. The aim of this study was to investigate eczema development from infancy to early adulthood by identifying distinct developmental trajectories that describe disease patterns over time and evaluate the role of prenatal and early-life risk factors. METHODS: The Isle of Wight Birth Cohort (n = 1456) was prospectively assessed at birth, 1, 2, 4, 10, 18 and 26 years. In all assessments, eczema was defined as chronic or chronically relapsing itchy dermatitis lasting >6 weeks with characteristic morphology and distribution in the past 12 months. Developmental trajectories of eczema between 1 or 2 and 26 years were identified separately for males and females by applying semiparametric mixture models. Associations were assessed by applying a modified Poisson regression to estimate adjusted risk ratios (aRR) and 95% confidence intervals (CI). RESULTS: In both males and females, the following eczema developmental trajectories were identified: unaffected/transient (males: 77.7% vs. females: 73.0%), mid-onset late-resolving (males: 7.8% vs. females: 4.4%), late-onset (males: 5.2% vs. females: 9.5%) and early-onset persistent (males: 9.3% vs. females: 5.4%). In females, an additional trajectory was identified as follows: early-onset early-resolving (7.7%). Among males, filaggrin gene (FLG) variants (aRR = 2.45, 95% CI: 1.34-4.46) and paternal eczema (2.66, 1.39-5.08) were associated with the early-onset persistent trajectory. Among females, maternal eczema (2.84, 1.42-5.70) and high birthweight (2.25, 1.08-4.69) were associated with the early-onset persistent trajectory. CONCLUSIONS: Four and five trajectories represented eczema development among males and females, respectively, with different predisposing risk factors. Our results indicate that males and females may experience a different course of eczema.


Assuntos
Coorte de Nascimento , Eczema , Adulto , Estudos de Coortes , Eczema/etiologia , Feminino , Humanos , Recém-Nascido , Masculino , Razão de Chances , Fatores de Risco
6.
Nature ; 593(7859): 344-345, 2021 05.
Artigo em Inglês | MEDLINE | ID: mdl-34012078

Assuntos
Teoria Quântica
7.
J Chem Phys ; 157(14): 144301, 2022 Oct 14.
Artigo em Inglês | MEDLINE | ID: mdl-36243531

RESUMO

To accurately map weak D2-Ne long-range interactions, we have studied rotationally inelastic cold scattering of D2 prepared in the vibrationally excited (v = 4) and rotationally aligned (j = 2, m) quantum state within the moving frame of a supersonically expanded mixed molecular beam. In contrast to earlier high energy D2-Ne collision experiments, the (j = 2 → j' = 0) cold scattering produced highly symmetric angular distributions that strongly suggest a resonant quasi-bound collision complex that lives long enough to make a few rotations. Our partial wave analysis indicates that the scattering dynamics is dominated by a single resonant l = 2 orbital, even in the presence of a broad temperature (0-5 K) distribution that allows incoming orbitals up to l = 5. The dominance of a single orbital suggests that the resonant complex stabilizes through the coupling of the internal (j = 2) and orbital (l = 2) angular momentum to produce a total angular momentum of J = 0 for the D2-Ne complex.

8.
Eur Respir J ; 57(4)2021 04.
Artigo em Inglês | MEDLINE | ID: mdl-33214203

RESUMO

Little is known about whether DNA methylation (DNAm) of cytosine-phosphate-guanine (CpG) sites at birth predicts patterns of lung function development. We used heel prick DNAm from the F1-generation of Isle of Wight birth cohort (IOWBC-F1) for discovery of CpGs associated with lung function trajectories (forced expiratory volume in 1 s, forced vital capacity, their ratio, and forced expiratory flow at 25-75% of forced vital capacity) over the first 26 years, stratified by sex. We replicated the findings in the Avon Longitudinal Study of Parents and Children (ALSPAC) using cord blood DNAm.Epigenome-wide screening was applied to identify CpGs associated with lung function trajectories in 396 boys and 390 girls of IOWBC-F1. Replication in ALSPAC focussed on lung function at ages 8, 15 and 24 years. Statistically significantly replicated CpGs were investigated for consistency in direction of association between cohorts, stability of DNAm over time in IOWBC-F1, relevant biological processes and for association with gene expression (n=161) in IOWBC F2-generation (IOWBC-F2).Differential DNAm of eight CpGs on genes GLUL, MYCN, HLX, LHX1, COBL, COL18A1, STRA6, and WNT11 involved in developmental processes, were significantly associated with lung function in the same direction in IOWBC-F1 and ALSPAC, and showed stable patterns at birth, aged 10 and 18 years between high and low lung function trajectories in IOWBC-F1. CpGs on LHX1 and COL18A1 were linked to gene expression in IOWBC-F2.In two large cohorts, novel DNAm at birth were associated with patterns of lung function in adolescence and early adulthood providing possible targets for preventative interventions against adverse pulmonary function development.


Assuntos
Metilação de DNA , Epigênese Genética , Adolescente , Adulto , Criança , Feminino , Humanos , Recém-Nascido , Estudos Longitudinais , Pulmão , Masculino , Fenômenos Fisiológicos Respiratórios , Adulto Jovem
9.
J Chem Phys ; 154(10): 104309, 2021 Mar 14.
Artigo em Inglês | MEDLINE | ID: mdl-33722006

RESUMO

We find an l = 2 shape resonance fingerprinted in the angular distribution of the cold (∼1 K) Δj = 2 rotationally inelastic collision of D2 with He in a single supersonic expansion. The Stark-induced adiabatic Raman passage is used to prepare D2 in the (v = 2, j = 2) rovibrational level with control of the spatial distribution of the bond axis of the molecule by magnetic sublevel selection. We show that the rate of Δj = 2 D2-D2 relaxation is nearly two orders of magnitude weaker than that of D2-He. This suggests that the strong D2-He scattering is caused by an orbiting resonance that is highly sensitive to the shape of the long-range potential.

10.
Phys Rev Lett ; 124(16): 163202, 2020 Apr 24.
Artigo em Inglês | MEDLINE | ID: mdl-32383909

RESUMO

A large ensemble of ∼10^{9} H_{2} (v=7, j=0) molecules is prepared in the collision-free environment of a supersonic beam by transferring nearly the entire H_{2} (v=0, j=0) ground-state population, where v and j are the vibrational and rotational quantum numbers, respectively. This is accomplished by controlling the crossing of the optically dressed adiabatic states using a pair of phase coherent laser pulses. The preparation of highly vibrationally excited H_{2} molecules opens new opportunities to test fundamental physical principles using two loosely bound yet entangled H atoms.

11.
J Biomed Inform ; 110: 103549, 2020 10.
Artigo em Inglês | MEDLINE | ID: mdl-32871286

RESUMO

In healthcare applications, developing a data model for storing patient-doctor relationships is important. Though relational models are popular for many commercial and business applications, they may not be appropriate for modeling patient-doctor relationships due to their inherent irregular nature and complexities. In this paper, as a case study, we propose to build a doctor recommendation system for the patients. The recommendation system is built on top of a multilayer graph data model. Contemporary research papers have already shown that multilayer graph data models can be efficiently used in many applications where large, heterogeneous data are to be modeled. As part of the recommendation system, the paper also introduces a concept of trust which is one important ingredient of any kind of recommendation. The trust factor introduced in the paper exploits certain characteristics of the multilayer graph model. The paper also presents some analysis to demonstrate the efficiency of the graph data model in comparison with relational data model.


Assuntos
Relações Médico-Paciente , Confiança , Bases de Dados Factuais , Humanos
12.
Respir Res ; 20(1): 98, 2019 May 22.
Artigo em Inglês | MEDLINE | ID: mdl-31118050

RESUMO

Pre-bronchodilator lung function including forced vital capacity (FVC), forced expiratory flow in 1 second (FEV1), their ratio (FEV1/FVC), and forced expiratory flow 25-75% (FEF25-75) measured at age 10, 18, and 26 years in the Isle of Wight birth cohort was analyzed for developmental patterns (trajectories). Early life risk factors before the age of 10 years were assessed for the trajectories. METHOD: Members of the birth cohort (1989/90) were followed at age 1, 2, 4, 10, 18, and 26 years. Allergic sensitization and questionnaire data were collected. Spirometry tests were performed and evaluated according to the American Thoracic Society (ATS) criteria at 10, 18, and 26 years. To identify developmental trajectories for FVC, FEV1, FEV1/FVC, and FEF25-75 from 10 to 26 years, a finite mixture model was applied to the longitudinal lung function data, separately for males and females. Associations of early life factors with the respective lung function trajectories were assessed using log-linear and logistic regression analyses. RESULTS: Both high and low lung function trajectories were observed in men and women. FVC continued to grow beyond 18 years in men and women, whereas FEV1 peaked at age 18 years in female trajectories and in one male trajectory. For the FEV1/FVC ratios and FEF25-75 most trajectories appeared highest at age 18 and declined thereafter. However, the low FEV1/FVC trajectory in both sexes showed an early decline at 10 years. Lower birth weight was linked with lower lung function trajectories in males and females. Eczema in the first year of life was a risk factor for later lung function deficits in females, whereas the occurrence of asthma at 4 years of age was a risk factor for later lung function deficits in males. A positive skin prick test at age four was a risk for the low FEV1 trajectory in females and for the low FEV1/FVC trajectory in males. CONCLUSION: Men and women showed distinctive lung function trajectories and associated risk factors. Lower lung function trajectories can be explained by not achieving maximally attainable function at age 18 years and by a function decline from 18 to 26 years.


Assuntos
Pulmão/fisiologia , Fluxo Expiratório Máximo/fisiologia , Capacidade Vital/fisiologia , Adolescente , Adulto , Fatores Etários , Asma/diagnóstico , Asma/epidemiologia , Asma/fisiopatologia , Criança , Estudos de Coortes , Feminino , Seguimentos , Humanos , Estudos Longitudinais , Pulmão/crescimento & desenvolvimento , Masculino , Testes de Função Respiratória/tendências , Fatores de Risco , Adulto Jovem
13.
J Biomed Inform ; 94: 103171, 2019 06.
Artigo em Inglês | MEDLINE | ID: mdl-31004797

RESUMO

We propose a Disease-Symptom graph database for our mobile-assisted e-healthcare application. A large Disease-Symptom graph is stored in the cloud and accessed using mobile devices over the Internet. Query and search are the fundamental operations of graph databases. However, while searching the Disease-Symptom graph for making preliminary diagnosis of diseases, queries become complex due to the complex structure of data and also queries are too hard to write and interpret. Moreover, it is not possible to access the graph frequently due to limited bandwidth of the network, transmission delay, and higher cost. Subgraph generation or pruning algorithm for appropriate inputs is one of the solutions to this problem. In this paper, we propose an efficient pruning algorithm by introducing a new approach to decompose the Disease-Symptom graph into a series of symptom trees (ST). All the Symptom trees are merged to build a pruned subgraph which is our requirement. We demonstrate the efficiency and effectiveness of our pruning algorithm both analytically and empirically and validate on Disease-Symptom graph database, as well as other real graph databases. Also a comparison is done with an efficient existing reachability based Chain Cover algorithm after modifying it ChainCoverPrune as pruning algorithm. These two algorithms are tested for storage and access parametric measures for querying the synthetic and real directed databases to show the efficiency of the proposed algorithm.


Assuntos
Algoritmos , Telemedicina , Conjuntos de Dados como Assunto
14.
J Chem Phys ; 150(17): 174301, 2019 May 07.
Artigo em Inglês | MEDLINE | ID: mdl-31067864

RESUMO

To investigate how molecular orientations affect low energy scattering, we have studied the rotational relaxation of HD (v = 1, j = 2, m) → (v' = 1, j' = 0) by collision with ground-state He, where v, j, and m designate the vibrational, rotational, and magnetic quantum numbers, respectively. We experimentally probed different collision geometries by preparing three specific m sublevels, including an m entangled sublevel, belonging to a single rovibrational (v = 1, j = 2) energy level within the ground electronic state of HD using Stark-induced adiabatic Raman passage. Low collision energies (0-5 K) were achieved by coexpanding a 1:19 HD:He mixture in a highly collimated supersonic beam, which has defined the direction of the collision velocity and restricted the incoming orbital angular momentum states, defined by the quantum number l, to l ≤ 2. Partial wave analysis of experimental data shows that a single l = 2 input orbital dominates the scattered angular distribution, implying the presence of a collisional resonance. The differential scattering angular distribution exhibits a greater than fourfold stereodynamic preference for the m = 0 input state vs m = ±2, when the quantization axis is oriented parallel to the collision velocity.

15.
J Chem Phys ; 150(23): 234201, 2019 Jun 21.
Artigo em Inglês | MEDLINE | ID: mdl-31228886

RESUMO

We study the conditions that must be met for successful preparation of a large ensemble in a specific target quantum state using Stark-induced adiabatic Raman passage (SARP). In particular, we show that the threshold condition depends on the relative magnitudes of the Raman polarizability (r0v) and the difference of the optical polarizabilities (Δα00→vj) of the initial (v = 0, j = 0) and the target (v, j) rovibrational levels. Here, v and j are the vibrational and rotational quantum numbers, respectively. To illustrate how the operation of SARP is controlled by these two parameters, we experimentally prepared D2 (v = 2, j = 0) and D2 (v = 2, j = 2, m = 0) in a beam of D2 (v = 0, j = 0) molecules using a sequence of partially overlapping pump and Stokes laser pulses. By comparing theory and experiment, we were able to determine the Raman polarizability r02 ≈ 0.3 × 10-41 Cm/(V/m) and the difference polarizabilities Δα00→20 ≈ 1.4 × 10-41 Cm/(V/m) and Δα00→22 ≈ 3.4 × 10-41 Cm/(V/m) for the two Raman transitions. Our experimental data and theoretical calculations show that because the ratio r/Δα is larger for the (0,0) → (2,0) transition than the (0,0) → (2,2) transition, much less optical power is required to transfer a large population to the (v = 2, j = 0) level. Nonetheless, our experiment demonstrates that substantial population transfer to both the D2 (v = 2, j = 0) and D2 (v = 2, j = 2, m = 0) is achieved using appropriate laser fluences. Our derived threshold condition demonstrates that with increasing vibrational quantum number, it becomes more difficult to achieve large amounts of population transfer.

16.
Clin Exp Allergy ; 48(12): 1688-1697, 2018 12.
Artigo em Inglês | MEDLINE | ID: mdl-30311981

RESUMO

BACKGROUND: Cigarette smoke contains compounds similar to coal tar, an ancient remedy of eczema. Some studies have reported protective effects of maternal gestational smoking on offspring eczema; however, others have shown no or increased risks. Similarly, studies linking breastfeeding duration and eczema have demonstrated contradictory findings. No study has yet investigated combined effects of these two factors on eczema. OBJECTIVE: Since tobacco compounds can pass to offspring via breast milk, we investigated their combined effects on eczema development from childhood to adolescence. METHODS: We obtained information regarding gestational smoking, exclusive breastfeeding duration, and eczema at ages 1-or-2, 4, 10, and 18 years from the Isle of Wight (IOW) birth cohort, UK. Using generalized estimating equations, we assessed the interaction of gestational smoking and residual exclusive breastfeeding duration (Resid-BF-duration, obtained by regressing the latter on maternal smoking) on eczema over time adjusting for confounders. For the three transition periods of 1-or-2 to 4 years, 4-10, and 10-18 years, we estimated risks of persistent, incident, and remitting eczema associated with the interaction using repeated measurements. RESULTS: If the mother smoked during gestation, longer Resid-BF-duration was associated with a lower risk of eczema, compared to if she did not smoke. The risk ratios (95% CI) if the mother smoked during gestation and exclusively breastfed for at least 3, 9, 15, 21 weeks are 0.7 (0.6, 1.7), 0.6 (0. 4, 0.9), 0.5 (0.3, 0.8), and 0.4 (0.2, 0. 8), respectively. Additionally, in all three transition periods, the risk of persistent eczema was lower with longer Resid-BF-duration if the mother smoked during gestation. CONCLUSIONS AND CLINICAL RELEVANCE: Results suggest a protective effect of gestational smoking combined with longer duration of exclusive breastfeeding on early-onset persistent eczema. Future studies should examine underlying biological mechanisms. Prolonged breastfeeding should be encouraged even if the mother smoked during gestation.


Assuntos
Aleitamento Materno , Eczema/epidemiologia , Eczema/etiologia , Exposição Materna , Efeitos Tardios da Exposição Pré-Natal , Fumar , Adolescente , Fatores Etários , Biomarcadores , Criança , Pré-Escolar , Feminino , Predisposição Genética para Doença , Humanos , Lactente , Masculino , Gravidez , Vigilância em Saúde Pública , Medição de Risco , Fumar/efeitos adversos
17.
Respir Res ; 19(1): 179, 2018 Sep 19.
Artigo em Inglês | MEDLINE | ID: mdl-30231898

RESUMO

BACKGROUND: Epidemiologic studies have demonstrated associations between acetaminophen use and asthma. This investigation sought to determine whether sex modifies the acetaminophen-asthma association and whether leptin (LEP) and leptin receptor (LEPR) gene polymorphisms modulate the sex-specific associations. METHODS: Data from the Isle of Wight birth cohort (IOW; n = 1456, aged 18 years) and Kuwait University Allergy (KUA; n = 1154, aged 18-26 years) studies were analyzed. Acetaminophen use and current asthma were self-reported. Genotype information for eighteen polymorphisms in LEP and LEPR genes were available in the IOW study. Associations between acetaminophen use and asthma were stratified by sex and genotype. Poisson regression models with robust variance estimation were evaluated to estimate adjusted prevalence ratios (aPR) and 95% confidence intervals (CI). RESULTS: Acetaminophen use was dose-dependently associated with an increased prevalence of current asthma in the IOW and KUA studies. In both studies, sex-stratified analysis showed that acetaminophen use was associated with asthma among males, but not in females (Pinteraction <  0.05). Moreover, a sex- and genotype-stratified analysis of the IOW data indicated that acetaminophen was associated with asthma to a similar extent among males and females carrying two common alleles of LEPR polymorphisms. In contrast, among those carrying at least one copy of the minor allele of LEPR polymorphisms, the magnitude of association between acetaminophen use and asthma was pronounced among males (aPR = 6.83, 95% CI: 2.87-16.24), but not among females (aPR = 1.22, 95% CI: 0.61-2.45). CONCLUSIONS: The identified sex-related effect modification of the acetaminophen-asthma association varied across LEPR genotypes, indicating that the sex-specific association was confined to individuals with certain genetic susceptibility. If the acetaminophen-asthma association is causal, then our findings will aid susceptibility-based stratification of at-risk individuals and augment preventive public health efforts.


Assuntos
Acetaminofen/uso terapêutico , Analgésicos não Narcóticos/uso terapêutico , Asma/genética , Polimorfismo de Nucleotídeo Único/genética , Receptores para Leptina/genética , Caracteres Sexuais , Adolescente , Adulto , Asma/tratamento farmacológico , Asma/epidemiologia , Estudos de Coortes , Estudos Transversais , Inglaterra/epidemiologia , Feminino , Seguimentos , Humanos , Kuweit/epidemiologia , Masculino , Adulto Jovem
18.
Int J Mol Sci ; 19(2)2018 Feb 06.
Artigo em Inglês | MEDLINE | ID: mdl-29415463

RESUMO

To succeed, pregnancies need to initiate immune biases towards T helper 2 (Th2) responses, yet little is known about what establishes this bias. Using the Illumina 450 K platform, we explored changes in DNA methylation (DNAm) of Th1, Th2, Th17, and regulatory T cell pathway genes before and during pregnancy. Female participants were recruited at birth (1989), and followed through age 18 years and their pregnancy (2011-2015). Peripheral blood DNAm was measured in 245 girls at 18 years; from among these girls, the DNAm of 54 women was repeatedly measured in the first (weeks 8-21, n = 39) and second (weeks 22-38, n = 35) halves of pregnancy, respectively. M-values (logit-transformed ß-values of DNAm) were analyzed: First, with repeated measurement models, cytosine-phosphate-guanine sites (CpGs) of pathway genes in pregnancy and at age 18 (nonpregnant) were compared for changes (p ≤ 0.05). Second, we tested how many of the 348 pathway-related CpGs changed compared to 10 randomly selected subsets of all other CpGs and compared to 10 randomly selected subsets of other CD4+-related CpGs (348 in each subset). Contrasted to the nonpregnant state, 27.7% of Th1-related CpGs changed in the first and 36.1% in the second half of pregnancy. Among the Th2 pathway CpGs, proportions of changes were 35.1% (first) and 33.8% (second half). The methylation changes suggest involvement of both Th1 and Th2 pathway CpGs in the immune bias during pregnancy. Changes in regulatory T cell and Th17 pathways need further exploration.


Assuntos
Metilação de DNA , Regulação da Expressão Gênica , Transdução de Sinais , Subpopulações de Linfócitos T/imunologia , Subpopulações de Linfócitos T/metabolismo , Linfócitos T Auxiliares-Indutores/imunologia , Linfócitos T Auxiliares-Indutores/metabolismo , Adolescente , Adulto , Alelos , Ilhas de CpG , Feminino , Perfilação da Expressão Gênica , Idade Gestacional , Humanos , Gravidez , Linfócitos T Reguladores/imunologia , Linfócitos T Reguladores/metabolismo , Células Th1/imunologia , Células Th1/metabolismo , Células Th17/imunologia , Células Th17/metabolismo , Células Th2/imunologia , Células Th2/metabolismo , Adulto Jovem
19.
J Chem Phys ; 144(21): 214201, 2016 Jun 07.
Artigo em Inglês | MEDLINE | ID: mdl-27276949

RESUMO

We report direct measurement of the anisotropy parameter ß for the angular distribution of the photoelectron and photoion in (2 + 1) resonance enhanced multiphoton ionization process of H2 X (1)Σg (+) (v = 0, J = 0) molecules through the intermediate H2 E,F (1)Σg (+) (v' = 0, J' = 0) level (λ = 201.684 nm) using a time-of-flight mass spectrometer. The time-of-flight spectra were recorded as the direction of polarization of the ionizing laser was varied with respect to the flight axis of the H2 molecular beam and were fitted to an angular distribution in an appropriately rotated coordinate system with the z-axis oriented along the time-of-flight axis. The anisotropy parameter ß was found to be 1.72 ± 0.13 by fitting the time-of-flight spectra and agreed with previous measurements. Using secondary ionization with a delayed laser pulse of different wavelength, we also determined the vibrational energy distribution of the ions, showing that 98% ± 4% of the ions are generated in their ground vibrational state, in agreement with the calculated Franck-Condon factors between the H2 E,F (1)Σg (+) (v' = 0) and H2 (+) X (1)Σg (+) (v″) vibrational levels.

20.
J Chem Phys ; 145(15): 154203, 2016 Oct 21.
Artigo em Inglês | MEDLINE | ID: mdl-27782486

RESUMO

Stark induced adiabatic Raman passage (SARP) allows us to prepare an appreciable concentration of isolated molecules in a specific, high-lying vibrational level. The process has general applicability, and, as a demonstration, we transfer nearly 100 percent of the HD (v = 0, J = 0) in a supersonically expanded molecular beam of HD molecules to HD (v = 4, J = 0). This is achieved with a sequence of partially overlapping nanosecond pump (355 nm) and Stokes (680 nm) single-mode laser pulses of unequal intensities. By comparing our experimental data with our theoretical calculations, we are able to draw two important conclusions: (1) using SARP a large population (>1010 molecules per laser pulse) is prepared in the (v = 4, J = 0) level of HD and (2) the polarizability α00,40 (≅0.6 × 10-41 C m2 V-1) for the (v = 0, J = 0) to (v = 4, J = 0) Raman overtone transition is only about five times smaller than α00,10 for the (v = 0, J = 0) to (v = 1, J = 0) fundamental Raman transition. Moreover, the SARP process selects a specific rotational level in the vibrational manifold and can prepare one or a phased linear combination of magnetic sublevels (M states) within the selected vibrational-rotational level. This capability of preparing selected, highly excited vibrational levels of molecules under collision-free conditions opens new opportunities for fundamental scattering experiments.

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