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1.
Mol Psychiatry ; 28(1): 483-496, 2023 01.
Artigo em Inglês | MEDLINE | ID: mdl-36476733

RESUMO

Infant avoidance and aggression are promoted by activation of the Urocortin-3 expressing neurons of the perifornical area of hypothalamus (PeFAUcn3) in male and female mice. PeFAUcn3 neurons have been implicated in stress, and stress is known to reduce maternal behavior. We asked how chronic restraint stress (CRS) affects infant-directed behavior in virgin and lactating females and what role PeFAUcn3 neurons play in this process. Here we show that infant-directed behavior increases activity in the PeFAUcn3 neurons in virgin and lactating females. Chemogenetic inhibition of PeFAUcn3 neurons facilitates pup retrieval in virgin females. CRS reduces pup retrieval in virgin females and increases activity of PeFAUcn3 neurons, while CRS does not affect maternal behavior in lactating females. Inhibition of PeFAUcn3 neurons blocks stress-induced deficits in pup-directed behavior in virgin females. Together, these data illustrate the critical role for PeFAUcn3 neuronal activity in mediating the impact of chronic stress on female infant-directed behavior.


Assuntos
Lactação , Urocortinas , Animais , Feminino , Masculino , Camundongos , Agressão , Hipotálamo , Comportamento Materno , Neurônios
2.
BMC Plant Biol ; 22(1): 180, 2022 Apr 08.
Artigo em Inglês | MEDLINE | ID: mdl-35395721

RESUMO

Recent growth in crop genomic and trait data have opened opportunities for the application of novel approaches to accelerate crop improvement. Machine learning and deep learning are at the forefront of prediction-based data analysis. However, few approaches for genotype to phenotype prediction compare machine learning with deep learning and further interpret the models that support the predictions. This study uses genome wide molecular markers and traits across 1110 soybean individuals to develop accurate prediction models. For 13/14 sets of predictions, XGBoost or random forest outperformed deep learning models in prediction performance. Top ranked SNPs by F-score were identified from XGBoost, and with further investigation found overlap with significantly associated loci identified from GWAS and previous literature. Feature importance rankings were used to reduce marker input by up to 90%, and subsequent models maintained or improved their prediction performance. These findings support interpretable machine learning as an approach for genomic based prediction of traits in soybean and other crops.


Assuntos
Aprendizado Profundo , Glycine max , Genótipo , Aprendizado de Máquina , Fenótipo , Glycine max/genética
3.
Plant Biotechnol J ; 19(12): 2488-2500, 2021 12.
Artigo em Inglês | MEDLINE | ID: mdl-34310022

RESUMO

Plant genomes demonstrate significant presence/absence variation (PAV) within a species; however, the factors that lead to this variation have not been studied systematically in Brassica across diploids and polyploids. Here, we developed pangenomes of polyploid Brassica napus and its two diploid progenitor genomes B. rapa and B. oleracea to infer how PAV may differ between diploids and polyploids. Modelling of gene loss suggests that loss propensity is primarily associated with transposable elements in the diploids while in B. napus, gene loss propensity is associated with homoeologous recombination. We use these results to gain insights into the different causes of gene loss, both in diploids and following polyploidization, and pave the way for the application of machine learning methods to understanding the underlying biological and physical causes of gene presence/absence.


Assuntos
Brassica napus , Brassica , Brassica/genética , Brassica napus/genética , Diploide , Genoma de Planta/genética , Poliploidia
4.
Theor Appl Genet ; 134(10): 3123-3145, 2021 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-34104999

RESUMO

KEY MESSAGE: Quantitative resistance (QR) loci discovered through genetic and genomic analyses are abundant in the Brassica napus genome, providing an opportunity for their utilization in enhancing blackleg resistance. Quantitative resistance (QR) has long been utilized to manage blackleg in Brassica napus (canola, oilseed rape), even before major resistance genes (R-genes) were extensively explored in breeding programmes. In contrast to R-gene-mediated qualitative resistance, QR reduces blackleg symptoms rather than completely eliminating the disease. As a polygenic trait, QR is controlled by numerous genes with modest effects, which exerts less pressure on the pathogen to evolve; hence, its effectiveness is more durable compared to R-gene-mediated resistance. Furthermore, combining QR with major R-genes has been shown to enhance resistance against diseases in important crops, including oilseed rape. For these reasons, there has been a renewed interest among breeders in utilizing QR in crop improvement. However, the mechanisms governing QR are largely unknown, limiting its deployment. Advances in genomics are facilitating the dissection of the genetic and molecular underpinnings of QR, resulting in the discovery of several loci and genes that can be potentially deployed to enhance blackleg resistance. Here, we summarize the efforts undertaken to identify blackleg QR loci in oilseed rape using linkage and association analysis. We update the knowledge on the possible mechanisms governing QR and the advances in searching for the underlying genes. Lastly, we lay out strategies to accelerate the genetic improvement of blackleg QR in oilseed rape using improved phenotyping approaches and genomic prediction tools.


Assuntos
Brassica napus/genética , Mapeamento Cromossômico/métodos , Cromossomos de Plantas/genética , Resistência à Doença/imunologia , Leptosphaeria/fisiologia , Doenças das Plantas/imunologia , Locos de Características Quantitativas , Brassica napus/crescimento & desenvolvimento , Brassica napus/microbiologia , Resistência à Doença/genética , Genes de Plantas , Fenótipo , Melhoramento Vegetal , Doenças das Plantas/genética , Doenças das Plantas/microbiologia
6.
BMC Cancer ; 18(1): 412, 2018 04 12.
Artigo em Inglês | MEDLINE | ID: mdl-29649984

RESUMO

BACKGROUND: Mammary cancer is highly prevalent in dogs and cats and results in a poor prognosis due to critically lacking viable treatment options. Recent human and mouse studies have suggested that inhibiting peptidyl arginine deiminase enzymes (PAD) may be a novel breast cancer therapy. Based on the similarities between human breast cancer and mammary cancer in dogs and cats, we hypothesized that PAD inhibitors would also be an effective treatment for mammary cancer in these animals. METHODS: Canine and feline mammary cancer cell lines were treated with BB-Cl-Amidine (BB-CLA) and evaluated for viability and tumorigenicity. Endoplasmic reticulum stress was tested by western blot, immunofluorescence, and quantitative reverse transcriptase polymerase chain reaction (qRT-PCR). Canine and feline mammary cancer xenograft models were created using NOD scid gamma (NSG) mice, and were treated with BB-CLA for two weeks. RESULTS: We found that BB-CLA reduced viability and tumorigenicity of canine and feline mammary cancer cell lines in vitro. Additionally, we demonstrated that BB-CLA activates the endoplasmic reticulum stress pathway in these cells by downregulating 78 kDa Glucose-regulated Protein (GRP78), a potential target in breast cancer for molecular therapy, and upregulating the downstream target gene DNA Damage Inducible Transcript 3 (DDIT3). Finally, we established a mouse xenograft model of both canine and feline mammary cancer in which we preliminarily tested the effects of BB-CLA in vivo. CONCLUSION: We propose that our established mouse xenograft models will be useful for the study of mammary cancer in dogs and cats, and furthermore, that BB-CLA has potential as a novel therapeutic for mammary cancer in these species.


Assuntos
Amidinas/farmacologia , Estresse do Retículo Endoplasmático/efeitos dos fármacos , Neoplasias Mamárias Animais/metabolismo , Transdução de Sinais/efeitos dos fármacos , Amidinas/química , Animais , Gatos , Modelos Animais de Doenças , Cães , Chaperona BiP do Retículo Endoplasmático , Estresse do Retículo Endoplasmático/genética , Células Epiteliais/efeitos dos fármacos , Células Epiteliais/metabolismo , Feminino , Expressão Gênica , Neoplasias Mamárias Animais/tratamento farmacológico , Neoplasias Mamárias Animais/genética , Neoplasias Mamárias Animais/patologia , Desiminases de Arginina em Proteínas/genética , Desiminases de Arginina em Proteínas/metabolismo , Ensaios Antitumorais Modelo de Xenoenxerto
7.
Obes Surg ; 34(3): 850-854, 2024 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-38221566

RESUMO

BACKGROUND: Current recommendations advocate the achievement of an optimal glucose control (HbA1c < 69 mmol/mol) prior to elective surgery to reduce risks of peri- and post-operative complications, but the relevance for this glycaemic threshold prior to Bariatric Metabolic Surgery (BMS) following a specialist weight management programme remains unclear. METHODS: We undertook a retrospective cohort study of patients with type 2 diabetes mellitus (T2DM) who underwent BMS over a 6-year period (2016-2022) at a regional tertiary referral following completion of a specialist multidisciplinary weight management. Post-operative outcomes of interest included 30-day mortality, readmission rates, need for Intensive Care Unit (ICU) care and hospital length of stay (LOS) and were assessed according to HbA1c cut-off values of < 69 (N = 202) and > 69 mmol/mol (N = 67) as well as a continuous variable. RESULTS: A total of 269 patients with T2D were included in this study. Patients underwent primary Roux en-Y gastric bypass (RYGB, n = 136), Sleeve Gastrectomy (SG, n = 124), insertion of gastric band (n = 4) or one-anastomosis gastric bypass (OAGB, n = 4). No significant differences in the rates of complications were observed between the two groups of pre-operative HbA1c cut-off values. No HbA1c threshold was observed for glycaemic control that would affect the peri- and post-operative complications following BMS. CONCLUSIONS: We observed no associations between pre-operative HbA1C values and the risk of peri- and post-operative complications. In the context of a specialist multidisciplinary weight management programme, optimising pre-operative HbA1C to a recommended target value prior to BMS may not translate into reduced risks of peri- and post-operative complications.


Assuntos
Cirurgia Bariátrica , Diabetes Mellitus Tipo 2 , Derivação Gástrica , Obesidade Mórbida , Humanos , Obesidade Mórbida/cirurgia , Diabetes Mellitus Tipo 2/cirurgia , Diabetes Mellitus Tipo 2/complicações , Hemoglobinas Glicadas , Controle Glicêmico/efeitos adversos , Estudos Retrospectivos , Cirurgia Bariátrica/efeitos adversos , Derivação Gástrica/efeitos adversos , Complicações Pós-Operatórias/etiologia , Gastrectomia/efeitos adversos , Encaminhamento e Consulta , Reino Unido/epidemiologia , Resultado do Tratamento
8.
Front Plant Sci ; 14: 1051994, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-36866377

RESUMO

Utilising resistance (R) genes, such as LepR1, against Leptosphaeria maculans, the causal agent of blackleg in canola (Brassica napus), could help manage the disease in the field and increase crop yield. Here we present a genome wide association study (GWAS) in B. napus to identify LepR1 candidate genes. Disease phenotyping of 104 B. napus genotypes revealed 30 resistant and 74 susceptible lines. Whole genome re-sequencing of these cultivars yielded over 3 million high quality single nucleotide polymorphisms (SNPs). GWAS in mixed linear model (MLM) revealed a total of 2,166 significant SNPs associated with LepR1 resistance. Of these SNPs, 2108 (97%) were found on chromosome A02 of B. napus cv. Darmor bzh v9 with a delineated LepR1_mlm1 QTL at 15.11-26.08 Mb. In LepR1_mlm1, there are 30 resistance gene analogs (RGAs) (13 nucleotide-binding site-leucine rich repeats (NLRs), 12 receptor-like kinases (RLKs), and 5 transmembrane-coiled-coil (TM-CCs)). Sequence analysis of alleles in resistant and susceptible lines was undertaken to identify candidate genes. This research provides insights into blackleg resistance in B. napus and assists identification of the functional LepR1 blackleg resistance gene.

9.
Methods Mol Biol ; 2443: 161-180, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35037205

RESUMO

Use of the Bash command shell and language is one of the fundamental skills of a bioinformatician. This language is required for accessing high performance computing (HPC) services and effectively using these resources to improve your analyses. Bash is completely text based, which is different from many graphic based operating systems, but this language is also highly powerful, allowing for significant automation and reproducibility within analysis pipelines. This chapter aims to teach the fundamentals of Bash, including how to create files and folders, how to sort and search through files, and how to use pipes and loops to automate processes. By the end of this chapter, readers should be ready to undertake their first simple bioinformatics analysis.


Assuntos
Biologia Computacional , Software , Metodologias Computacionais , Reprodutibilidade dos Testes
10.
Front Genet ; 13: 822173, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35664329

RESUMO

Genomic prediction tools support crop breeding based on statistical methods, such as the genomic best linear unbiased prediction (GBLUP). However, these tools are not designed to capture non-linear relationships within multi-dimensional datasets, or deal with high dimension datasets such as imagery collected by unmanned aerial vehicles. Machine learning (ML) algorithms have the potential to surpass the prediction accuracy of current tools used for genotype to phenotype prediction, due to their capacity to autonomously extract data features and represent their relationships at multiple levels of abstraction. This review addresses the challenges of applying statistical and machine learning methods for predicting phenotypic traits based on genetic markers, environment data, and imagery for crop breeding. We present the advantages and disadvantages of explainable model structures, discuss the potential of machine learning models for genotype to phenotype prediction in crop breeding, and the challenges, including the scarcity of high-quality datasets, inconsistent metadata annotation and the requirements of ML models.

11.
Plant Genome ; 14(3): e20112, 2021 11.
Artigo em Inglês | MEDLINE | ID: mdl-34288550

RESUMO

Genomic selection approaches have increased the speed of plant breeding, leading to growing crop yields over the last decade. However, climate change is impacting current and future yields, resulting in the need to further accelerate breeding efforts to cope with these changing conditions. Here we present approaches to accelerate plant breeding and incorporate nonadditive effects in genomic selection by applying state-of-the-art machine learning approaches. These approaches are made more powerful by the inclusion of pangenomes, which represent the entire genome content of a species. Understanding the strengths and limitations of machine learning methods, compared with more traditional genomic selection efforts, is paramount to the successful application of these methods in crop breeding. We describe examples of genomic selection and pangenome-based approaches in crop breeding, discuss machine learning-specific challenges, and highlight the potential for the application of machine learning in genomic selection. We believe that careful implementation of machine learning approaches will support crop improvement to help counter the adverse outcomes of climate change on crop production.


Assuntos
Genoma de Planta , Genômica , Genômica/métodos , Aprendizado de Máquina , Melhoramento Vegetal/métodos
12.
Genes (Basel) ; 12(8)2021 08 11.
Artigo em Inglês | MEDLINE | ID: mdl-34440409

RESUMO

Rapeseed (Brassica napus L.) meal is an important source of protein, but the presence of anti-nutritional compounds, such as fibre and glucosinolates, still limits its use as a livestock feed. Understanding the genetic basis of seed fibre biosynthesis would help to manipulate its content in seeds of oilseed rape. Here, we applied high-resolution skim genotyping by sequencing (SkimGBS) and characterised 187,835 single-nucleotide polymorphism (SNP) markers across a mapping population subsequently used for a genetic mapping study (R/qtl). This approach allowed the identification of 11 stable QTL related to seed quality traits and led to the identification of potential functional genes underlying these traits. Among these, key genes with a known role in carbohydrate metabolic process, cell wall, lignin, and flavonoid biosynthesis, including cellulase GH5, TT10/LAC15, TT4, and SUC2, were found. This study furthers the understanding of the molecular mechanisms underlying seed fibre content and provides new markers for molecular breeding in B. napus.


Assuntos
Brassica napus/genética , Locos de Características Quantitativas , Brassica napus/metabolismo , Mapeamento Cromossômico , Genes de Plantas , Glucosinolatos/metabolismo , Polimorfismo de Nucleotídeo Único
13.
Curr Opin Plant Biol ; 56: 197-202, 2020 08.
Artigo em Inglês | MEDLINE | ID: mdl-32057694

RESUMO

Agriculture and food security are predicted to be significantly impacted by climate change, though the impact will vary by region and by crop. Combined with the increasing global population, there is an urgent need for agriculture to adapt to ensure future food security for this growing population. Adaptation strategies include changing land and cropping practices, the development of improved crop varieties and changing food consumption and waste. Recent advances in genomics and agronomy can help alleviate some of the impacts of climate change on food production; however, given the timeframe for crop improvement, significant investment is required to realise these changes. Ultimately, there is a limit as to how far agriculture can adapt to the changing climate, and a political will to reduce the impact of burning of fossil fuels on the global climate is essential for long term food security.


Assuntos
Agricultura , Mudança Climática , Aclimatação , Abastecimento de Alimentos
14.
Methods Mol Biol ; 2107: 147-158, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-31893446

RESUMO

Genome-wide association studies (GWAS) are a valuable approach to identify single nucleotide polymorphisms (SNPs) associated with a phenotype of interest. There are now a variety of R-packages and command line tools available to perform GWAS. Here, we provide an example downloading and filtering SNP data, followed by GWAS analysis using the R-package rMVP.


Assuntos
Estudo de Associação Genômica Ampla/métodos , Glycine max/genética , Polimorfismo de Nucleotídeo Único , Humanos , Desequilíbrio de Ligação , Fenótipo , Locos de Características Quantitativas , Software
16.
J Psychoactive Drugs ; 40(1): 41-54, 2008 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-18472664

RESUMO

While outreach and case management services have been shown to improve retention of at-risk youth in behavioral health treatment, these important support services are challenging to implement. The Hartford Youth Project (HYP), established by the Connecticut Department of Children and Families as a pilot for the state adolescent substance abuse treatment system, made outreach and engagement integral to its system of care. HYPbrought together a network of stakeholders: referral sources (juvenile justice, schools, community agencies, child welfare, and families); community-based outreach agencies; treatment providers; and an administrative service organization responsible for project coordination. Culturally competent Engagement Specialists located in community agencies were responsible for: cultivation of referral sources; community outreach; screening and assessment; engagement of youth and families in treatment; case management; service planning; recovery support; and advocacy. This article describes HYP's approach to identifying and engaging youth in treatment, as well as its challenges. Use of family-based treatment models, expectations of referral sources, limited service capacity, youth and family problems, and staff turnover were all factors that affected the outreach and engagement process. Process, baseline assessment and case study data are used to describe the needs and issues specific to Hartford's substance-abusing Latino and African-American youth.


Assuntos
Alcoolismo/reabilitação , Relações Comunidade-Instituição , Transtornos Relacionados ao Uso de Substâncias/reabilitação , Adolescente , Alcoolismo/epidemiologia , Administração de Caso/organização & administração , Transtornos do Comportamento Infantil/epidemiologia , Transtornos do Comportamento Infantil/reabilitação , Terapia Cognitivo-Comportamental/organização & administração , Terapia Combinada , Comorbidade , Connecticut , Estudos Transversais , Prestação Integrada de Cuidados de Saúde/organização & administração , Medicina Baseada em Evidências , Terapia Familiar/organização & administração , Feminino , Implementação de Plano de Saúde/organização & administração , Humanos , Controle Interno-Externo , Delinquência Juvenil/reabilitação , Delinquência Juvenil/estatística & dados numéricos , Masculino , Programas de Rastreamento/organização & administração , Avaliação de Processos e Resultados em Cuidados de Saúde , Equipe de Assistência ao Paciente/organização & administração , Projetos Piloto , Encaminhamento e Consulta , Transtornos Relacionados ao Uso de Substâncias/epidemiologia
17.
Oncotarget ; 9(67): 32761-32774, 2018 Aug 28.
Artigo em Inglês | MEDLINE | ID: mdl-30214683

RESUMO

A natural variation exists in the susceptibility to mammary cancer among wild and domestic mammalian species. Mammary stem/progenitor cells (MaSC) represent a primary target cell for transformation; however, little is known about the intrinsic response of these cells to carcinogenic insults. Polycyclic aromatic hydrocarbons (PAH), such as 7,12-dimethylbenz[a]anthracene (DMBA), are abundantly present in the environment and have been linked to the development of mammary cancer in humans and rodents. We treated MaSC from equine (mammary cancer-resistant) and canine (mammary cancer-susceptible) species with DMBA and assessed cytochrome P450 metabolic activity, DNA damage and viability. Our notable findings were that MaSC from both species showed DNA damage following DMBA treatment; however, equine MaSC initiated cell death whereas canine MaSC repaired this DNA damage. Follow-up studies, based on genome-wide transcriptome analyses, revealed that DMBA induced activation of both the intrinsic and extrinsic apoptotic pathways in equine, but not canine, MaSC. Based on these findings, we propose a hypothetical model in which undergoing apoptosis in response to an oncogenic event might contribute to a lower incidence of mammary cancer in certain mammalian species. Such a mechanism would allow for the elimination of DNA-damaged MaSC, and hence, reduce the risk of potential tumor-initiating mutations in these cells.

18.
Psychoneuroendocrinology ; 31(4): 543-7, 2006 May.
Artigo em Inglês | MEDLINE | ID: mdl-16356651

RESUMO

We tested and compared the use of two adjunctive hormonal agents, tamoxifen and medroxyprogesterone acetate (MPA), for the treatment of acute mania or hypomania. A total of 13 women with acute Bipolar Affective Disorder in the manic or hypomanic phase were recruited from a clinical population to participate in this 28-day, three-arm, double blind, placebo-controlled study. The women who received tamoxifen exhibited significant improvement in symptoms of mania from baseline to final assessment compared with the placebo group. The MPA group improved more than the placebo group. Further exploration of tamoxifen as a useful adjunct in the treatment of acute manic symptoms in women with Bipolar Affective Disorder is warranted.


Assuntos
Antimaníacos/uso terapêutico , Transtorno Bipolar/tratamento farmacológico , Medroxiprogesterona/uso terapêutico , Tamoxifeno/uso terapêutico , Doença Aguda , Adulto , Análise de Variância , Transtorno Bipolar/sangue , Método Duplo-Cego , Estradiol/sangue , Antagonistas de Estrogênios/uso terapêutico , Feminino , Humanos , Pessoa de Meia-Idade , Projetos Piloto , Congêneres da Progesterona/uso terapêutico , Escalas de Graduação Psiquiátrica , Estatísticas não Paramétricas , Resultado do Tratamento
19.
Diabetes Educ ; 32(4): 562-70, 2006.
Artigo em Inglês | MEDLINE | ID: mdl-16873594

RESUMO

PURPOSE: The purpose of this study was to evaluate the impact of a tobacco cessation intervention using motivational interviewing on smoking cessation rates during diabetes self-management training (DSMT). METHODS: A randomized controlled trial was conducted with subjects recruited from an ongoing type 2 diabetes adult education program at a large diabetes center. A total of 114 subjects were randomized to intervention (n = 57; face-to-face motivational interviewing plus telephone counseling and offering of medication) or standard care (n = 57). Outcome measures included tobacco cessation rates, mean number of cigarettes smoked, A1C, weight, blood pressure, and lipids. RESULTS: Intensive intervention using motivational interviewing integrated into a standard DSMT program resulted in a trend toward greater abstinence at 3 months of follow-up in those receiving the intervention. However, this same trend was not observed at 6 months. The addition of this structured smoking cessation intervention did not negatively affect either diabetes education or other measures of diabetes management, including A1C values. CONCLUSIONS: Structured tobacco cessation efforts can be readily integrated into established diabetes education programs without a negative impact on diabetes care or delivery of diabetes education. However, an intervention of moderate intensity for smoking cessation was no more effective than usual care in assisting patients with tobacco cessation after 6-month follow-up. Whether a more intensive intervention, targeting patients expressing a readiness to discontinue tobacco use, and/or a longer duration or a more cumulative effect of treatment will be more effective must be evaluated.


Assuntos
Aconselhamento , Diabetes Mellitus Tipo 2/reabilitação , Abandono do Hábito de Fumar/psicologia , Adulto , Diabetes Mellitus Tipo 2/sangue , Feminino , Hemoglobinas Glicadas/análise , Humanos , Masculino , Pessoa de Meia-Idade , Educação de Pacientes como Assunto , Autocuidado
20.
Diabetes Technol Ther ; 7(2): 241-7, 2005 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-15857225

RESUMO

BACKGROUND: Communication of blood glucose (BG) results between patients and health care providers (HCPs) is of established benefit and remains a critical part of the diabetes management process. Currently, HCPs typically receive BG data from patients at the time of clinic visits or by telephone. The Accu-Chek Acculink modem (Roche Diagnostics Corp., Indianapolis, IN) provides an additional and attractive option that can potentially facilitate this communication. METHODS: To assess the impact of modem transfer of BG, we studied 47 participants with diabetes enrolled in a diabetes education program. Subjects were randomized to weekly communication of BG data to their HCP by either telephone (n = 23) or modem (n = 24) for 4 weeks. Mean age (+/- SD) was 44 +/- 15 years, 62% were female, 74% used insulin, 53% had type 1 diabetes, and mean baseline glycosylated hemoglobin (A1C) was 8.8% (range 5.2-13.2%). RESULTS: There were no differences between groups in the amount of time the HCP spent analyzing BG data and communicating with patients (12.6 +/- 6.1 min/week in the telephone group and 11.5 +/- 5.1 min/week in the modem group) or in the number of patient and HCP attempts needed to make contact. There were similar improvements in A1C between groups (change of -0.4 +/- 0.7% in the telephone group and -0.9 +/- 1.4% in the modem group, P = 0.18). BG data provided by telephone had a 6% error rate, in contrast to modem-sent data, which were transmitted without error. CONCLUSIONS: Modem transfer of BG data can provide an accurate and clinically useful option for communication between patients and their HCP and has comparable effects on A1C.


Assuntos
Glicemia/análise , Diabetes Mellitus/sangue , Diabetes Mellitus/terapia , Modems , Telemedicina/métodos , Adulto , Automonitorização da Glicemia/estatística & dados numéricos , Diabetes Mellitus Tipo 1/sangue , Diabetes Mellitus Tipo 1/terapia , Diabetes Mellitus Tipo 2/sangue , Diabetes Mellitus Tipo 2/terapia , Eficiência , Feminino , Hemoglobinas Glicadas/metabolismo , Educação em Saúde , Humanos , Masculino , Pessoa de Meia-Idade , Monitorização Fisiológica , Enfermeiras e Enfermeiros , Médicos , Reprodutibilidade dos Testes
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