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1.
Curr Issues Mol Biol ; 46(8): 8752-8766, 2024 Aug 12.
Artigo em Inglês | MEDLINE | ID: mdl-39194734

RESUMO

Hypertrophic cardiomyopathy (HCM) is a common cardiovascular condition in cats, affecting yth males and females of all ages. Some breeds, such as Ragdolls and Maine Coons, can develop HCM at a young age. The disease has a wide range of progression and severity, characterized by various pathological changes in the heart, including arteritis, fibrous tissue deposition, and myocardial cell hypertrophy. Left ventricular hypertrophy, which can restrict blood flow, is a common feature of HCM. The disease may persist into old age and eventually lead to heart failure and increased diastolic pressure. The basis of HCM in cats is thought to be genetic, although the exact mechanisms are not fully understood. Mutations in sarcomeric proteins, in particular myosin-binding protein C (MYBPC3), have been identified in cats with HCM. Two specific mutations, MYBPC3 [R818W] and MYBPC3 [A31P], have been classified as 'pathogenic'. Other variants in genes such as MYBPC3, TNNT2, ALMS1, and MYH7 are also associated with HCM. However, there are cases where cats without known genetic mutations still develop HCM, suggesting the presence of unknown genetic factors contributing to the disease. This work aims to summarise the new knowledge of HCM in cats and the alterations in cardiac tissue as a result of genetic variants.

2.
Environ Sci Technol ; 2024 Feb 07.
Artigo em Inglês | MEDLINE | ID: mdl-38324705

RESUMO

A significant amount of organic carbon is transported in dissolved form from soils to coastal oceans via inland water systems, bridging land and ocean carbon reservoirs. However, it has been discovered that the presence of terrigenous dissolved organic carbon (tDOC) in oceans is relatively limited. Therefore, understanding the fates of tDOC in coastal oceans is essential to account for carbon sequestration through land ecosystems and ensure accurate regional carbon budgeting. In this study, we developed a state-of-the-art modeling approach by coupling a land-to-ocean tDOC flux simulation model and a coastal tDOC tracking model to determine the potential fates of tDOC exported from three primary drainage basins in the Gulf of Maine (GoM). According to our findings, over half a year in the GoM, 56.4% of tDOC was mineralized. Biomineralization was responsible for 90% of that amount, with the remainder attributed to photomineralization. Additionally, 37% of the tDOC remained suspended in the GoM, and 6.6% was buried in the marine sediment.

3.
Am J Ind Med ; 66(10): 866-875, 2023 10.
Artigo em Inglês | MEDLINE | ID: mdl-37488955

RESUMO

INTRODUCTION: Despite dramatic improvements in safety, logging remains one of the most dangerous industries in the United States. The purpose of this study was to explore longitudinal injury trends among Maine logging workers. METHODS: Loggers participated in seven quarterly surveys, over the course of 18 months. Categorical and free text data related to traumatic and acute injury, musculoskeletal disorders (MSD), and chronic pain were exported from REDCap into SAS 9.4, Excel, and NVivo, for quantitative and qualitative analysis, respectively. Time to injury was modeled using two different approaches: (1) time to the occurrence of first injury modeled by proportional hazard regression and (2) an intensity model for injury frequency. Two research team members also analyzed qualitative data using a content analysis approach. RESULTS: During the study, 204 injuries were reported. Of the 154 participants, 93 (60.4%) reported musculoskeletal pain on at least one survey. The majority of injuries were traumatic, including fractures, sprains, and strains. Lack of health insurance was found to be related to increased risk of first injury [HR = 1.41, 95% CI = 0.97-2.04, p = 0.069]. Variables found to be related to injury intensity at the univariate level were: (1) a lack of health insurance [HR = 1.51, 95% CI = 1.04-2.20, p = 0.030], (2) age [HR for 10-year age increase;= 1.12, 95% CI = 0.99-1.27, p = 0.082], and (3) years employed in logging industry [HR for 10-year increase = 1.12, 95% CI = 0.99-1.26, p = 0.052]. Seeking medical attention for injury was not a priority for this cohort, and narratives revealed a trend for self-assessment. A variety of barriers, including finances, prevented loggers from seeking medical attention. DISCUSSION: We found that loggers still experience serious, and sometimes disabling, injuries associated with their work. It was unsurprising that many injuries were due to slips, trips, and falls, along with contact with logging equipment and trees/logs. The narratives revealed various obstacles preventing loggers from achieving optimal health. Examples included geographic distance from healthcare, lack of time to access care, and entrenched values that prioritized independence and traditional masculinity. Financial considerations were also consistently cited as a primary barrier to adequate care. CONCLUSION: There is a continued need to emphasize occupational health and safety in the logging industry. Implementation of relevant safety programs is key, but it is likely that the benefits of these will not be fully realized until a cultural shift takes place within this industry.


Assuntos
Acidentes de Trabalho , Saúde Ocupacional , Masculino , Humanos , Estados Unidos , Criança , Maine/epidemiologia , Agricultura Florestal , Inquéritos e Questionários
4.
Oxf J Leg Stud ; 43(2): 322-349, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37287900

RESUMO

Philosophical accounts of status understand it either pejoratively, as social rank, or laudatorily, as the dignity possessed by all in virtue of our shared humanity. Status is considered to be something either we all have or no one should have. This article aims to show that there is a third, neglected, sense of status. It refers to the moral rights and duties one holds in virtue of one's social position or role. Employees, refugees, doctors, teachers and judges all hold social roles in virtue of which they have distinctive obligations, rights, privileges, powers and the like. This article aims to do two things: first, to distinguish the role-based notion of status from ideas of social rank, and to identify the various ways in which it constitutes a distinct category of moral wrongdoing; and second, to show that status, thus understood, is justified on egalitarian grounds even though, unlike dignity, not everyone has it. The moral point of status, I argue, is to regulate asymmetrical relations in which one of the parties suffers from background vulnerabilities and dependencies. Status as a moral idea vests both parties with a complex set of rights and duties, whose aim is to restore moral equality between the parties.

5.
Emerg Infect Dis ; 28(11): 2330-2333, 2022 11.
Artigo em Inglês | MEDLINE | ID: mdl-36286231

RESUMO

Jamestown Canyon virus (JCV) is a mosquito-borne arbovirus that circulates in North America. We detected JCV in 4 pools of mosquitoes collected from midcoastal Maine, USA, during 2017-2019. Phylogenetic analysis of a JCV sequence obtained from Aedes cantator mosquitoes clustered within clade A, which also circulates in Connecticut, USA.


Assuntos
Aedes , Arbovírus , Culicidae , Vírus da Encefalite da Califórnia , Animais , Vírus da Encefalite da Califórnia/genética , Filogenia , Maine/epidemiologia
6.
Glob Chang Biol ; 28(16): 4989-5005, 2022 08.
Artigo em Inglês | MEDLINE | ID: mdl-35672922

RESUMO

Species' response to rapid climate change can be measured through shifts in timing of recurring biological events, known as phenology. The Gulf of Maine is one of the most rapidly warming regions of the ocean, and thus an ideal system to study phenological and biological responses to climate change. A better understanding of climate-induced changes in phenology is needed to effectively and adaptively manage human-wildlife conflicts. Using data from a 20+ year marine mammal observation program, we tested the hypothesis that the phenology of large whale habitat use in Cape Cod Bay has changed and is related to regional-scale shifts in the thermal onset of spring. We used a multi-season occupancy model to measure phenological shifts and evaluate trends in the date of peak habitat use for North Atlantic right (Eubalaena glacialis), humpback (Megaptera novaeangliae), and fin (Balaenoptera physalus) whales. The date of peak habitat use shifted by +18.1 days (0.90 days/year) for right whales and +19.1 days (0.96 days/year) for humpback whales. We then evaluated interannual variability in peak habitat use relative to thermal spring transition dates (STD), and hypothesized that right whales, as planktivorous specialist feeders, would exhibit a stronger response to thermal phenology than fin and humpback whales, which are more generalist piscivorous feeders. There was a significant negative effect of western region STD on right whale habitat use, and a significant positive effect of eastern region STD on fin whale habitat use indicating differential responses to spatial seasonal conditions. Protections for threatened and endangered whales have been designed to align with expected phenology of habitat use. Our results show that whales are becoming mismatched with static seasonal management measures through shifts in their timing of habitat use, and they suggest that effective management strategies may need to alter protections as species adapt to climate change.


Assuntos
Baleia Comum , Jubarte , Infecções Sexualmente Transmissíveis , Animais , Ecossistema , Baleia Comum/fisiologia , Humanos , Jubarte/fisiologia , Estações do Ano
7.
Emerg Infect Dis ; 27(12): 3111-3114, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34465415

RESUMO

We used wastewater surveillance to identify 2 coronavirus disease outbreaks at a college in Maine, USA. Cumulative increases of >1 log10 severe acute respiratory syndrome coronavirus 2 RNA in consecutive 24-hour composite samples preceded the outbreaks. For 76% of cases, RNA was identified in grab samples from residence halls <7 days before case discovery.


Assuntos
COVID-19 , Águas Residuárias , Humanos , Maine , SARS-CoV-2 , Vigilância Epidemiológica Baseada em Águas Residuárias
8.
Cont Shelf Res ; 2282021 Oct 01.
Artigo em Inglês | MEDLINE | ID: mdl-36213213

RESUMO

In 2016, an unprecedented Pseudo-nitzschia australis bloom in the Gulf of Maine led to the first shellfishery closures due to domoic acid in the region's history. In this paper, potential introduction routes of P. australis are explored through observations, a hydrodynamic model, and a Lagrangian particle tracking model. Based on particle tracking experiments, the most likely source of P. australis to the Gulf of Maine was the Scotian Shelf. However, in 2016, connectivity between the Scotian Shelf and the bloom region was not significantly different from the other years between 2012 and 2019, nor were temperature conditions more favorable for P. australis growth. Observations indicated changes on the Scotian Shelf in 2016 preceded the introduction of P. australis: increased bottom salinity and decreased surface salinity. The increased bottom salinity on the shelf may be linked to anomalously saline water observed near the coast of Maine in 2016 via transport through Northeast Channel. The changes in upstream water mass properties may be related to the introduction of P. australis, and could be the result of either increased influence of the Labrador Current or increased outflow from the Gulf of St. Lawrence. The ultimate source of P. australis remains unknown, although the species has previously been observed in the eastern North Atlantic, and connectivity across the ocean is possible via a subpolar route. Continued and increased monitoring is warranted to track interannual Pseudo-nitzschia persistence in the Gulf of Maine, and sampling on the Scotian Shelf should be conducted to map upstream P. australis populations.

9.
Emerg Infect Dis ; 26(2): 327-331, 2020 02.
Artigo em Inglês | MEDLINE | ID: mdl-31961312

RESUMO

Incidence of human granulocytic anaplasmosis is rising in Maine, USA. This increase may be explained in part by adoption of tick panels as a frequent diagnostic test in persons with febrile illness and in part by range expansion of Ixodes scapularis ticks and zoonotic amplification of Anaplasma phagocytophilum.


Assuntos
Anaplasma phagocytophilum/isolamento & purificação , Anaplasmose/epidemiologia , Ixodes/microbiologia , Adolescente , Adulto , Idoso , Anaplasmose/etiologia , Animais , Criança , Feminino , Humanos , Maine/epidemiologia , Masculino , Pessoa de Meia-Idade , Adulto Jovem
10.
Am J Ind Med ; 63(10): 907-916, 2020 10.
Artigo em Inglês | MEDLINE | ID: mdl-32725891

RESUMO

BACKGROUND: Logging remains one of the most hazardous industries in the United States, despite many safety improvements made in the last decades. Currently, we know little about regional trends in health conditions of logging workers, especially in the Northeast. However, the forest products industry is a critical component of the Northeast's economy, especially in the State of Maine. METHODS: This paper reports on the baseline data of a longitudinal cohort study involving Maine loggers, aimed to assess the health and safety of the industry. RESULTS: Three hundred twenty-five are included in these analyses, 246 mechanized loggers, and 79 conventional. On average mechanized loggers worked longer days (11.8 vs 9.7 hours) and had longer commutes from home to the woodlot (72.6 vs 40.7 minutes) than conventional loggers. For health factors, mechanized and conventional loggers had similar responses. Nearly two-thirds of both mechanized and conventional loggers had an annual physical in the previous year, and 36.3% had seen a health specialist during that same time period. The overall work-related injury and illness rate is 6.8 of 100 workers for this cohort. CONCLUSIONS: These factors contribute to a need to work with the community on transforming logging into a safer and healthier profession for the current workforce, as well as the workforce of the future. This study provides the basis for an appropriate intervention, in collaboration with the loggers and industry stakeholders, to improve the lives of these vital workers.


Assuntos
Acidentes de Trabalho/estatística & dados numéricos , Agricultura Florestal/estatística & dados numéricos , Doenças Profissionais/epidemiologia , Saúde Ocupacional/estatística & dados numéricos , Recursos Humanos/estatística & dados numéricos , Adulto , Feminino , Humanos , Estudos Longitudinais , Maine/epidemiologia , Masculino , Pessoa de Meia-Idade , Doenças Profissionais/etiologia , Madeira , Recursos Humanos/organização & administração , Local de Trabalho/organização & administração , Local de Trabalho/estatística & dados numéricos
11.
Dis Aquat Organ ; 140(1): 109-118, 2020 Jul 23.
Artigo em Inglês | MEDLINE | ID: mdl-32701067

RESUMO

The Gulf of Maine northern shrimp Pandalus borealis population once supported a significant commercial winter fishery for the New England states. However, the fishery has been on moratorium since 2014 due to consecutive recruitment failures. The issue of parasite-infected eggs, so-called 'white eggs,' has long been identified for the Gulf of Maine northern shrimp, which makes shrimp eggs nonviable and subsequently hampers the recruitment potential. Furthermore, the proportion of infected females was observed to increase with water temperature. As Gulf of Maine temperatures have been increasing for decades, it is important to re-visit issues related to white eggs to evaluate possible impacts of climate-induced environmental changes on the white egg infection rates. We used biological samples collected by the Northeast Fisheries Science Center in 2012-2016 to evaluate the probability that a female shrimp was infected (Pinf) and the proportion of white eggs in an infected female shrimp (pwe). Although Pinf was high, with an average of 73.81% over the Gulf of Maine, pwe was mostly <5%. The variation in both Pinf and pwe examined in this study was not well explained by environmental factors or female body size. However, the average rates of both Pinf and pwe observed in this study were higher than those observed in the 1960s when the bottom temperatures were cooler. The results can be used to account for egg mortality and provide information on potential impacts of possible climate-induced variability on shrimp population dynamics.


Assuntos
Infecções/veterinária , Pandalidae , Animais , Feminino , Pesqueiros , Maine
12.
J Fish Dis ; 43(7): 775-778, 2020 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-32323326

RESUMO

In August 2019, visual inspection of intertidal zones of the Gulf of Maine (ME, USA) revealed young and adult wild blue mussels, Mytilus spp., in Alley Bay (Jonesport area) with the distinctive L-shaped shell deformity (LSSD) and green spots (GS) in the mantle and adductor muscle. LSSD is a characteristic sign of current or previous mussel infection by photosynthetic unicellular alga from the group Coccomyxa, while GS are algal colonies. Based on these findings, this study represents the first report of infection signs by pathogenic Coccomyxa-like algae in mussels from the coastal waters of the Northeastern United States, providing a base for future large scale monitoring of the alga in the region.


Assuntos
Clorofíceas/fisiologia , Mytilus/microbiologia , Animais , Maine
14.
Cancer Causes Control ; 30(3): 291-299, 2019 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-30729358

RESUMO

BACKGROUND: This study examines the epidemiological trends of oropharyngeal squamous cell carcinoma (OPSCC) and oral cavity squamous cell carcinoma (OCSCC) in Northern New England. METHODS: Data were obtained from the Maine, New Hampshire and Vermont cancer registries. The age-standardized incidence rates (ASIR), age-specific incidence rates, and annual percentage changes (APC) for OPSCC and OCSCC were calculated using Joinpoint regression. RESULTS: The overall ASIR for OPSCC in Northern New England increased by 54.2% from 2000 to 2013 with an increase of 61.5% and 27.3% in men and women, respectively. Overall ASIR for OCSCC, on the other hand, declined throughout 2000 to 2013 by 6% and among men by 11%. In joinpoint analyses, the overall ASIRs for OPSCC significantly increased at an APC of 3.15 from 2000 to 2013, whereas the ASIRs for OCSCC remained stable at an APC of - 0.26. In men, ASIRs for OPSCC significantly increased (APC: 3.46), while that of OCSCC remained stable at an APC of - 0.87. In women, the ASIRs remained stable for both OPSCC and OCSCC at an APC of 1.97 and 0.49, respectively. For patients in the 6th decade of life, the age-specific incidence rates for OPSCC increased significantly at an APC of 3.06, also among those in the 7th and 8th decade with a significant increase at an APC of 4.98 and 3.51 per year, respectively. There were no significant changes in the APC of patients with OCSCC with respect to age group. CONCLUSION: The overall incidence of OPSCC is increasing in Northern New England, specifically among men. Given the etiological association between OPSCC and HPV, vaccination against HPV should be effectively encouraged among the populace. The efforts on tobacco cessation, abstinence, and alcohol abuse control should be continually expanded in order to bring about a decreasing trend in OCSCC.


Assuntos
Neoplasias de Cabeça e Pescoço/epidemiologia , Neoplasias Bucais/epidemiologia , Neoplasias Orofaríngeas/epidemiologia , Carcinoma de Células Escamosas de Cabeça e Pescoço/epidemiologia , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Criança , Pré-Escolar , Feminino , Humanos , Incidência , Lactente , Masculino , Pessoa de Meia-Idade , New England/epidemiologia , New Hampshire/epidemiologia , Infecções por Papillomavirus/epidemiologia , Adulto Jovem
15.
J Exp Biol ; 222(Pt 17)2019 09 03.
Artigo em Inglês | MEDLINE | ID: mdl-31285243

RESUMO

Hybrid zones provide natural experiments in recombination within and between genomes that may have strong effects on organismal fitness. On the East Coast of North America, two distinct lineages of the European green crab (Carcinus maenas) have been introduced in the last two centuries. These two lineages with putatively different adaptive properties have hybridized along the coast of the eastern Gulf of Maine, producing new nuclear and mitochondrial combinations that show clinal variation correlated with water temperature. To test the hypothesis that mitochondrial or nuclear genes have effects on thermal tolerance, we first measured the response to cold stress in crabs collected throughout the hybrid zone, then sequenced the mitochondrial CO1 gene and two nuclear single nucleotide polymorphisms (SNPs) representative of nuclear genetic lineage. Mitochondrial haplotype had a strong association with the ability of crabs to right themselves at 4.5°C that was sex specific: haplotypes originally from northern Europe gave male crabs an advantage while there was no haplotype effect on righting in female crabs. By contrast, the two nuclear SNPs that were significant outliers in a comparison between northern and southern C. maenas populations had no effect on righting response at low temperature. These results add C. maenas to the shortlist of ectotherms in which mitochondrial variation has been shown to affect thermal tolerance, and suggest that natural selection is shaping the structure of the hybrid zone across the Gulf of Maine. Our limited genomic sampling does not eliminate the strong possibility that mito-nuclear co-adaptation may play a role in the differences in thermal phenotypes documented here. Linkage between mitochondrial genotype and thermal tolerance suggests a role for local adaptation in promoting the spread of invasive populations of C. maenas around the world.


Assuntos
Braquiúros/fisiologia , Resposta ao Choque Frio/genética , Genótipo , Mitocôndrias/genética , Polimorfismo de Nucleotídeo Único , Adaptação Biológica , Animais , Braquiúros/genética , Feminino , Espécies Introduzidas , Maine , Masculino , Novo Brunswick
16.
Ecol Appl ; 29(8): e02006, 2019 12.
Artigo em Inglês | MEDLINE | ID: mdl-31541510

RESUMO

Adding to the challenge of predicting fishery recruitment in a changing environment is downscaling predictions to capture locally divergent trends over a species' range. In recent decades, the American lobster (Homarus americanus) fishery has shifted poleward along the northwest Atlantic coast, one of the most rapidly warming regions of the world's oceans. Building on evidence that early post-settlement life stages predict future fishery recruitment, we describe enhancements to a forecasting model that predict landings using an annual larval settlement index from 62 fixed sites among 10 study areas from Rhode Island, USA to New Brunswick, Canada. The model is novel because it incorporates local bottom temperature and disease prevalence to scale spatial and temporal changes in growth and mortality. For nine of these areas, adding environmental predictors significantly improved model performance, capturing a landings surge in the eastern Gulf of Maine, and collapse in southern New England. On the strength of these analyses, we project landings within the next decade to decline to near historical levels in the Gulf of Maine and no recovery in the south. This approach is timely as downscaled ocean temperature projections enable decision makers to assess their options under future climate scenarios at finer spatial scales.


Assuntos
Mudança Climática , Nephropidae , Animais , Canadá , Larva , Maine , New England , Oceanos e Mares , Rhode Island , Temperatura
17.
Ecology ; 99(6): 1357-1369, 2018 06.
Artigo em Inglês | MEDLINE | ID: mdl-29604059

RESUMO

Understanding the role of larger-scale processes in modulating the assembly, structure, and dynamics of communities is critical for forecasting the effects of climate-change and managing ecosystems. Developing this comprehensive perspective is difficult though, because species interactions are complex, interdependent, and dynamic through space and time. Typically, experiments focus on tractable subsets of interactions that will be most critical to investigate and explain shifts in communities, but qualitatively base these choices on experience, natural history, and theory. One quantitative approach to identify the putative forces regulating communities, without reducing system complexity, is estimating transition probabilities among species occupying space (i.e., multispecies Markov chain models). Although not mechanistic, these models estimate the relative frequency and importance of ecological pathways in community assembly and dynamics, and can serve as a framework to identify how pathways change across large scales and which are most important to investigate further. Here, we demonstrate this method in the Gulf of Maine (GOM) intertidal zone, where research has largely focused on the local-scale processes that influence communities, while the mechanisms responsible for more regional shifts in communities are less clear. Transition probabilities of faunal elements were quantified bimonthly for ~2.5 yr in local intertidal communities at three replicate sites in the southern, mid-coast, and northern GOM. Transitions related to mortality, colonization, and replacement by mussels, barnacles, red algae, and encrusting corallines differed regionally, suggesting specific pathways related to consumer pressure and recruitment vary across the GOM with shifting intertidal community structure. Combined with species abundance data and insights from previous research, we develop and evaluate the pathways by which communities likely change in the GOM. Species interactions in local communities can be complex, and this complexity should be incorporated into hypothesis building, experiments, theory, interpretations, and forecasts in ecology. Such a comprehensive approach will be critical to understand how regional shifts in local interactions can drive large-scale community change.


Assuntos
Bivalves , Thoracica , Animais , Mudança Climática , Ecossistema , Probabilidade
18.
J Phycol ; 54(3): 419-422, 2018 06.
Artigo em Inglês | MEDLINE | ID: mdl-29455456

RESUMO

Mastocarpus stellatus and Chondrus crispus often co-occur in the lower intertidal of Northern Atlantic rocky shorelines. At our field site along the Maine coast (USA), Mastocarpus stellatus thalli possessed greater contents of proline when compared with thalli of Chondrus crispus. In addition, M. stellatus thalli acclimated to colder growth conditions in winter/early spring by increasing proline content several fold; no seasonal acclimation in proline content was observed in C. crispus. Proline accumulates in the tissues of a broad diversity of freezing-tolerant organisms and is among the most common cryoprotectant molecules. Thus, our observations provide a basis for the previously well-documented greater freezing tolerance of Mastocarpus stellatus when compared with Chondrus crispus.


Assuntos
Aclimatação , Congelamento , Prolina/metabolismo , Rodófitas/fisiologia , Chondrus/química , Chondrus/fisiologia , Maine , Rodófitas/química , Estações do Ano , Especificidade da Espécie
19.
BMC Public Health ; 18(1): 810, 2018 06 28.
Artigo em Inglês | MEDLINE | ID: mdl-29954350

RESUMO

BACKGROUND: Chronic pain is currently a significant health problem in the United States. A comprehensive strategy is needed to increase prevention of chronic pain and to improve care for chronic pain patients. However, development of a successful strategy relies, in part, on a better understanding of the demographics and socioeconomics of patients living with chronic pain conditions. The current study was designed to understand the burden of chronic pain in the state of Maine by identifying the prevalence of chronic pain and its relationship with selected demographic and socioeconomic factors in Maine. METHODS: The Maine All Payer Claims Database (MEAPCD) (2006-2011) was used in the secondary data analysis to assess the demographic characteristics (such as age, sex, insurance type, and county of residence) of chronic pain patients in Maine. Chronic pain patients were identified based on the presence of pre-identified chronic pain-associated ICD-9 code(s) and opioid prescription information. Potential associations between the prevalence of chronic pain and a number of socioeconomic factors were determined by comparisons to Maine Census data. RESULTS: More women in the state were identified as having chronic pain across all counties and all age groups (> 10 years old). Surprisingly, the majority of chronic pain patients were identified based on the diagnostic code criteria and not the opioid prescription criteria. A greater utilization of public health insurance was seen within the chronic pain patients. At the county level, although neither education level nor income were associated with the prevalence of chronic pain, these factors significantly correlated with the usage of public health insurance. CONCLUSIONS: Further detailed characterization of the chronic pain patient population in the state of Maine, using multiple data sources, can help design population-targeted strategies to prevent and manage chronic pain.


Assuntos
Dor Crônica/epidemiologia , Efeitos Psicossociais da Doença , Bases de Dados Factuais , Revisão da Utilização de Seguros , Adolescente , Adulto , Distribuição por Idade , Idoso , Idoso de 80 Anos ou mais , Analgésicos Opioides/uso terapêutico , Criança , Pré-Escolar , Dor Crônica/tratamento farmacológico , Feminino , Humanos , Lactente , Recém-Nascido , Seguro Saúde/estatística & dados numéricos , Classificação Internacional de Doenças , Maine/epidemiologia , Masculino , Pessoa de Meia-Idade , Características de Residência/estatística & dados numéricos , Distribuição por Sexo , Fatores Socioeconômicos , Adulto Jovem
20.
BMC Genomics ; 18(1): 271, 2017 03 31.
Artigo em Inglês | MEDLINE | ID: mdl-28359300

RESUMO

BACKGROUND: Atlantic cod (Gadus morhua), is known to vary genetically across the North Atlantic, Greenland, and Newfoundland. This genetic variation occurs both spatially and temporally through decades of heavy fishing, and is concentrated in three linkage disequilibrium blocks, previously defined by pedigreed linkage mapping analysis. Variation within these genomic regions is correlated with both seawater temperature and behavioral ecotype. The full extent and nature of these linkage groups is important information for interpreting cod genetic structure as a tool for future fisheries management. RESULTS: We conducted whole genome sequencing for 31 individual cod from three sub-populations in the Gulf of Maine. Across the genome, we found 3,390,654 intermediate to high frequency Single Nucleotide Polymorphisms (SNPs). We show that pairwise linkage analysis among these SNPs is a powerful tool to detect linkage disequilibrium clusters by recovering the three previously detected linkage groups and identifying the 1031 genes contained therein. Across these genes, we found significant population differentiation among spawning groups in the Gulf of Maine and between Georges Bank and Gulf of Maine. Coordinated divergence among these genes and their differentiation at both short and long spatial scales suggests that they are acting as linked supergenes in local adaptation of cod populations. CONCLUSIONS: Differentiation between SNPs in linkage disequilibrium blocks is the major signal of genetic differentiation between all groups tested within the Gulf of Maine. Our data provide a map of genes contained in these blocks, allowing an enhanced search for neutral genetic structure for demographic inference and fisheries modeling. Patterns of selection and the history of populations may be possible to identify in cod using this description of linkage disequilibrium blocks and future data sets to robustly separate neutral and selected genetic markers.


Assuntos
Gadus morhua/genética , Variação Genética , Animais , Mapeamento Cromossômico , Ligação Genética , Marcadores Genéticos , Genética Populacional , Genoma , Genômica , Geografia , Desequilíbrio de Ligação , Maine , Polimorfismo de Nucleotídeo Único
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