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1.
Expert Rev Mol Med ; 23: e11, 2021 09 01.
Artigo em Inglês | MEDLINE | ID: mdl-34470679

RESUMO

Epigenetic modifications have been well documented in autoimmune diseases. MicroRNAs (miRNAs), in particular, have long intrigued scientists in the field of autoimmunity. Owing to its central role in the development of the immune system, microRNA-155 (miR-155) is deeply involved in systemic lupus erythematosus (SLE). Despite the advancements made in treating SLE, the disease still remains incurable. Therefore, recent attention has been drawn to the manipulation of epigenetics in the development of curative treatments. In fact, it is a widely held view that miRNA-targeted therapy is a new glimmer of hope in the treatment of autoimmune diseases. However, the duplicity of miRNAs should not be overlooked. A single miRNA can target several mRNAs, and some mRNAs may possess opposing functions. In this review, we highlight the role of miR-155 as a biomarker and review its functions in SLE patients and animal models while discussing possible reasons behind inconsistencies across studies.


Assuntos
Doenças Autoimunes , Lúpus Eritematoso Sistêmico , MicroRNAs , Animais , Biomarcadores , Humanos , Lúpus Eritematoso Sistêmico/genética , Lúpus Eritematoso Sistêmico/terapia , MicroRNAs/genética
2.
Br J Dermatol ; 184(6): 1113-1122, 2021 06.
Artigo em Inglês | MEDLINE | ID: mdl-33236347

RESUMO

BACKGROUND: The lack of uniformity in the outcomes reported in clinical studies of the treatment of cutaneous squamous cell carcinoma (cSCC) complicates efforts to compare treatment effectiveness across trials. OBJECTIVES: To develop a core outcome set (COS), a minimum set of agreed-upon outcomes to be measured in all clinical trials of a given disease or outcome, for the treatment of cSCC. METHODS: One hundred and nine outcomes were identified via a systematic literature review and interviews with 28 stakeholders. After consolidation of this long list, 55 candidate outcomes were rated by 19 physician and 10 patient stakeholders, in two rounds of Delphi exercises. Outcomes scored 'critically important' (score of 7, 8 or 9) by ≥ 70% of patients and ≥ 70% of physicians were provisionally included. At the consensus meeting, after discussion and voting of 44 international experts and patients, the provisional list was reduced to a final core set, for which consensus was achieved among all meeting participants. RESULTS: A core set of seven outcomes was finalized at the consensus meeting: (i) serious or persistent adverse events, (ii) patient-reported quality of life, (iii) complete response, (iv) partial response, (v) recurrence-free survival, (vi) progression-free survival and (vii) disease-specific survival. CONCLUSIONS: In order to increase the comparability of results across trials and to reduce selective reporting bias, cSCC researchers should consider reporting these core outcomes. Further work needs to be performed to identify the measures that should be reported for each of these outcomes.


Assuntos
Carcinoma de Células Escamosas , Neoplasias Cutâneas , Carcinoma de Células Escamosas/terapia , Técnica Delphi , Humanos , Qualidade de Vida , Projetos de Pesquisa , Neoplasias Cutâneas/terapia , Resultado do Tratamento
3.
Osteoarthritis Cartilage ; 27(7): 1018-1025, 2019 07.
Artigo em Inglês | MEDLINE | ID: mdl-30716537

RESUMO

OBJECTIVE: Determine modifiable social and psychological health factors that are associated with use of oral opioid and non-opioid medications for OA. METHODS: Patients were categorized based on use of the following oral medications: opioids (with/without other oral analgesic treatments), non-opioid analgesics, and no oral analgesic treatment. We used multinomial logistic regression models to estimate adjusted relative risk ratios (RRRs) of using an opioid or a non-opioid analgesic (vs. no oral analgesic treatment), comparing patients by levels of social support (Medical Outcomes Study scale), health literacy ("How confident are you filling out medical forms by yourself?"), and depressive symptoms (Patient Health Questionnaire-8). Models were adjusted for demographic and clinical characteristics. RESULTS: In this sample (mean age 64.2 years, 23.6% women), 30.6% (n = 110) reported taking opioid analgesics for OA, 54.2% (n = 195) reported non-opioid use, and 15.3% (n = 55) reported no oral analgesic use. Opioid users had lower mean social support scores (10.0 vs 10.5 vs 11.9, P = 0.007) and were more likely to have moderate-severe depressive symptoms (42.7% vs 24.1% vs 14.5%, P < 0.001). Health literacy did not differ by treatment group type. Having moderate-severe depression was associated with higher risk of opioid analgesic use compared to no oral analgesic use (RRR 2.96, 95%CI 1.08-8.07) when adjusted for sociodemographic and clinical factors. Neither social support nor health literacy was associated with opioid or non-opioid oral analgesic use in fully adjusted models. CONCLUSIONS: Knee OA patients with more severe depression symptoms, compared to those without, were more likely to report using opioid analgesics for OA.


Assuntos
Analgésicos não Narcóticos/uso terapêutico , Analgésicos Opioides/uso terapêutico , Osteoartrite do Joelho/tratamento farmacológico , Osteoartrite do Joelho/psicologia , Manejo da Dor/métodos , Administração Oral , Idoso , Análise de Variância , Anti-Inflamatórios não Esteroides/uso terapêutico , Estudos Transversais , Feminino , Seguimentos , Humanos , Modelos Logísticos , Masculino , Pessoa de Meia-Idade , Análise Multivariada , Psicologia , Índice de Gravidade de Doença , Resultado do Tratamento
4.
J Anim Physiol Anim Nutr (Berl) ; 102(1): 268-275, 2018 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-28295656

RESUMO

In this study, we examined the effect of dietary supplementation with grape seed (GS) on the performance, carcass traits, plasma biochemistry, antioxidant status and ileal microflora in broilers. Experiment diets included a control diet (without additive) and three levels of GS powder (10, 20 and 40 g/kg of diet). Each diet was fed to a total of 300 one-day-old Cobb-500 chicks for 42 days. The addition of 20 g/kg of GS to the basal diet increased final body weight and body weight gain, improved the feed conversion ratio and did not affect feed intake. Dietary 20 g GS significantly increased (p < .05) the percentage of carcass yield %, dressing % and gizzard. However, the addition of 40 g/kg of GS significantly reduced the percentage of abdominal fat in the birds. Diets supplemented with GS showed the lowest content of ether extract compared with the control group (p < .05). The physical characteristics of meat and the chemical composition of DM, CP and ash were not significantly influenced by treatments. In the GS groups, plasma protein, albumin, globulin, aspartate aminotransferase and alanine aminotransferase concentrations showed no significant change compared with the control group. Broilers fed a diet supplemented with GS had lower levels of plasma glucose, total lipids, triglycerides and cholesterol compared with the control birds (p < .05). The addition of 40 g of GS significantly (p < .05) enhanced the activity of reduced glutathione, catalase, superoxide dismutase, glutathione peroxidase and GST, and correlated with significantly decreased thiobarbituric acid-reactive substances levels compared with the control group. The value of ileal pH was not significantly affected by the GS levels. Broilers fed diets supplemented with GS had lower ileal Streptococcus spp. and Escherichia coli populations but higher Lactobacillus spp. populations (p < .05). No adverse effects on birds' health were detected due to the use of GS. Thus, GS could be recommended as an herbal supplement in the diet of broiler chickens to improve performance, reduce blood lipids, enhance antioxidant capacity and decrease detrimental bacteria in the ileum.


Assuntos
Ração Animal/análise , Galinhas/crescimento & desenvolvimento , Íleo/microbiologia , Polifenóis/farmacologia , Sementes/química , Vitis/química , Fenômenos Fisiológicos da Nutrição Animal , Animais , Antioxidantes/metabolismo , Composição Corporal , Dieta/veterinária , Feminino , Masculino , Polifenóis/química
6.
Br Poult Sci ; 58(5): 536-543, 2017 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-28547997

RESUMO

1. This study was conducted to evaluate the effects of purine nucleosides on performance, gut morphology, intestinal enzymes and immunity functions in broiler chickens from 0 to 21 d of age. 2. A total of 360 1-d-old male chickens (Cobb 500) were randomly assigned to 4 treatments with 6 replications. Experimental diets consisted of a control without any additives and diets containing 0.1% pure adenosine, 0.1% pure guanosine and 0.1% equal aliquots of pure adenosine and guanosine. Two birds per cage (12 birds per treatment) were killed on d 11 and 21 in order to obtain serum samples for lipid profile, jejunal samples for morphology and mucosal immunity, digestive enzymes for epithelial maturation, and bursa and spleen samples for relative weight of immune organs to live body weight. 3. Birds receiving adenosine in their diets showed a significant increase in body weight and average daily gain and a significantly lower feed conversion ratio compared to the control birds. Villus height and width in jejunal samples also increased significantly in birds supplemented with adenosine. Although maltase was not affected by the experimental diets, adenosine increased alkaline phosphatase and aminopeptidase. Adenosine and its combination with guanosine boosted mucosal immunity as a result of increased IgA production. While there was no significant difference among treatments regarding the relative weight of the spleen, adenosine increased the relative weight of the bursa of Fabricius. Present results also showed that adding guanosine to broiler diets had no significant effects on growth, gut morphology, enzymes activity and immunological indices. 4. In conclusion, the improvement in growth performance, gut morphology and immunity in birds receiving adenosine demonstrated that pure adenosine could be a beneficial feed additive for the poultry industry, while guanosine showed no significant improvement.


Assuntos
Galinhas/fisiologia , Imunidade nas Mucosas/efeitos dos fármacos , Intestinos/fisiologia , Nucleosídeos de Purina/metabolismo , Ração Animal/análise , Fenômenos Fisiológicos da Nutrição Animal , Animais , Bolsa de Fabricius/fisiologia , Galinhas/anatomia & histologia , Galinhas/crescimento & desenvolvimento , Galinhas/imunologia , Dieta/veterinária , Suplementos Nutricionais/análise , Mucosa Intestinal/imunologia , Intestinos/enzimologia , Intestinos/crescimento & desenvolvimento , Masculino , Tamanho do Órgão , Nucleosídeos de Purina/administração & dosagem , Distribuição Aleatória , Baço/fisiologia
7.
J Anim Physiol Anim Nutr (Berl) ; 101(6): 1307-1315, 2017 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-28133861

RESUMO

The objective of this study was to evaluate carob pods and their effect on growth performance, antioxidant activities, carcass and caecal characteristics and equilibrium modification of the caecal microbiota population of growing NZW rabbits. Eighty weaned rabbits (initial body weight: 625.00 ± 26.46 g) were randomly allocated into four dietary groups of 20 rabbits each until 90 days of age. Dietary groups were as follows: C (basal diet with no supplementation), CP1 (basal diet + 2.5% carob pods), CP2 (basal diet + 5% carob pods) and CP3 (basal diet + 10% carob pods). Rabbits given the CP2 diet had significantly higher daily and final body weights compared with the other experimental groups. The increase in inclusion rate of carob pods significantly decreased feed intake, whereas carob pods at 5% in the CP2 group recorded the best value of feed conversion ratio. Rabbits in the CP3 group showed the worst slaughter weight and carcass dressing percentage weight. No significant effect was found on meat protein and ash contents. Cholesterol, low-density lipoprotein, high-density lipoprotein and triglycerides decreased significantly (p < 0.05) in rabbits treated with carob pods compared with the control. Because of high content of the antioxidant compounds in CP2 and CP3 groups, the activities of glutathione peroxidase, glutathione S-transferase, catalase and superoxide dismutase increased, whereas the concentration of thiobarbituric acid-reactive substance decreased significantly. Rabbits given the CP2 diet had a significantly higher volatile fatty acid concentration and a lower pH in content of the caecum compared to the other groups. The data of microbial analysis for C group showed a significant increase in Escherichia coli and Clostridium counts. Lactobacillus and Bacillus counts increased significantly more in the CP2 and CP3 groups than in the other groups. In conclusion, 5% of carob pods in the diet stimulated the performance of growing rabbits, and thus, it has potential as an unconventional feed resource for rabbits without any adverse effects.


Assuntos
Ração Animal/análise , Antioxidantes/metabolismo , Ceco/fisiologia , Dieta/veterinária , Fabaceae , Coelhos/fisiologia , Fenômenos Fisiológicos da Nutrição Animal , Animais , Composição Corporal , Ceco/microbiologia
8.
J Anim Physiol Anim Nutr (Berl) ; 101(1): 10-14, 2017 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-27445232

RESUMO

The objective of this study was to investigate the effect of in ovo injection of threonine (THR) on immunoglobulin A (IgA) gene expression of Japanese quail on hatch day. A total of 540 Japanese quail eggs were assigned into nine groups of 60 each and were set in a single-stage incubator. Treatments were as follows: non-injected (control), two diluent levels (0.05 or 0.1 ml saline), two sites of injection (in or under the air sac) and with or without nutrients (0.5 mg/ml THR). Eggs were injected on d 11 of incubation. On hatch day, after euthanizing hatched quail chicks, the intestine was removed and the jejunum was separated. The relative mRNA expression of jejunal IgA increased (p < 0.05) by the injection of 0.05 ml THR under the air sac when compared to the control group or other treatments of injection. Compared to the control group, no differences were imputable to treatments of 0.1-ml injections on IgA gene expression. Differences with other injected groups were not significant. It was concluded that injection of 0.05 ml saline containing 0.5 mg THR/ml under the air sac can improve jejunal IgA mRNA expression in newly hatched Japanese quail chicks.


Assuntos
Coturnix/embriologia , Regulação da Expressão Gênica/efeitos dos fármacos , Imunoglobulina A/metabolismo , Mucosa Intestinal/metabolismo , Treonina/farmacologia , Animais , Imunoglobulina A/genética , Óvulo , Treonina/administração & dosagem
9.
Opt Express ; 23(3): 2837-45, 2015 Feb 09.
Artigo em Inglês | MEDLINE | ID: mdl-25836144

RESUMO

We demonstrate an ammonia sensor composed of a tapered multimode fiber coated with polyaniline nanofibers that operates at room temperature (26°C). The optical properties of the polyaniline layer changes when it is exposed to ammonia, leading to a change in the absorption of evanescent field. The fiber sensor was tested by exposing it to ammonia at different concentrations and the absorbance is measured using a spectrophotometer system. Measured response and recovery times are about 2.27 minutes and 9.73 minutes, respectively. The sensor sensitivity can be controlled by adjusting the tapered fiber diameter and the highest sensitivity is achieved when the diameter is reduced to 20 µm.

10.
Biomed Phys Eng Express ; 10(5)2024 Aug 28.
Artigo em Inglês | MEDLINE | ID: mdl-39142303

RESUMO

Radiation therapy plays a pivotal role in modern cancer treatment, demanding precise and accurate dose delivery to tumor sites while minimizing harm to surrounding healthy tissues. Monte Carlo simulations have emerged as indispensable tools for achieving this precision, offering detailed insights into radiation transport and interaction at the subatomic level. As the use of scintillation and luminescence dosimetry becomes increasingly prevalent in radiation therapy, there arises a need for validated Monte Carlo tools tailored to optical photon transport applications. In this paper, an evaluation process of the TOPAS (TOol for PArticle Simulation) Monte Carlo tool for Cerenkov light generation, optical photon transport and radioluminescence based dosimetry is presented. Three distinct sources of validation data are utilized: one from a published set of experimental results and two others from simulations performed with the Geant4 code. The methodology employed for evaluation includes the selection of benchmark experiments, making use of opt3 and opt4 Geant4 physics models and simulation setup, with observed slight discrepancies within the calculation uncertainties. Additionally, the complexities and challenges associated with modeling optical photons generation through luminescence or Cerenkov radiation and their transport are discussed. The results of our evaluation suggests that TOPAS can be used to reliably predict Cerenkov generation, luminescence phenomenon and the behavior of optical photons in common dosimetry scenarios.


Assuntos
Simulação por Computador , Método de Monte Carlo , Fótons , Radiometria , Radiometria/métodos , Humanos , Luminescência , Medições Luminescentes/métodos , Algoritmos , Software
11.
East Mediterr Health J ; 19(10): 843-6, 2013 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-24313147

RESUMO

This study was conducted during the 2004-2006 epidemic of meningitis in Sudan to follow-up the frequency of disease outbreak or endemic waves and to evaluate the new quadrivalent vaccine for actual application. Samples were collected from Darfur, El Gedaref, Kassala and Khartoum States and transported to the National Health Central Laboratory in Khartoum. Of 196 patients with clinical symptoms and signs of meningitis, conventional culture identified Neisseria meningitidis in 37 (189%), confirmed by polymerase chain reaction. N. meningitidis type A was identified in 29 (78.4%) patients, type C in 3 (8.1%) and N. meningitidis W135 in 5 (15.5%). The serotyping and molecular diagnosis patterns of N. meningitidis showed the emergence of the new strain, W135, in 5 (15.5%). The patients from the borders of Sudan, 3 from the West Darfur, and 1 each from El Gedaref and Kassala. These could be related to the movement of pilgrims through the borders to Saudi Arabia in the Hajj season. Serious consideration may be needed for quadrivalent vaccination to prevent seasonal and Hajj season outbreaks.


Assuntos
Meningite Meningocócica/epidemiologia , Feminino , Humanos , Masculino , Meningite Meningocócica/microbiologia , Meningite Meningocócica/prevenção & controle , Vacinas Meningocócicas/administração & dosagem , Neisseria meningitidis Sorogrupo A , Neisseria meningitidis Sorogrupo C , Reação em Cadeia da Polimerase , Estações do Ano , Sudão/epidemiologia
12.
Sci Rep ; 13(1): 11918, 2023 Jul 24.
Artigo em Inglês | MEDLINE | ID: mdl-37488183

RESUMO

We have developed a radioluminescence-based survey meter for use in industries in which there is involvement in naturally occurring radioactive material (NORM), also in support of those needing to detect other weak emitters of radiation. The functionality of the system confronts particular shortcomings of the handheld survey meters that are currently being made use of. The device couples a LYSO:Ce scintillator with a photodetector via a polymer optical fibre waveguide, allowing for "intrinsically safe" inspection within pipework, separators, valves and other such component pieces. The small-diameter optical fibre probe is electrically passive, immune to electromagnetic interference, and chemically inert. The readout circuit is entirely incorporated within a handheld casing housing a silicon photomultiplier (SiPM) detection circuit and a microprocessor circuit connected to an LCD display. A 15 m long flexible PMMA optical fibre waveguide is butt coupled to an ABS plastic probe that retains the LYSO:Ce scintillator. Initial tests have included the use of lab-based mixed gamma-ray sources, measurements being made in concert with a reference conventional GM survey-meter. Characterization, via NORM sources at a decontamination facility, has shown useful sensitivity, covering the dose-rate range 0.10- to 28 µSv h-1 (R-squared 0.966), extending to 80 µSv/h as demonstrated in use of a Cs-137 source. The system is shown to provide an effective tool for detection of radioactivity within hard to access locations, in particular for sources emitting at low radiation levels, down to values that approach background.

14.
Arch Razi Inst ; 77(2): 703-707, 2022 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-36284976

RESUMO

Obesity is one of the most important global health problems causing serious health risks and early death in human. It is also associated with disturbance of homeostasis of hormones and immunological biochemical factors inside the human body. This study aimed to evaluate the serum level of inhibin B and kisspeptin among Iraqi obese adult people and other biochemical parameters correlated with obesity. Inhibin B and levels of kisspeptin were evaluated in the samples of serum from 40 Iraqi obese adult patients and 30 healthy non-obese individuals. A significant decrease (P<0.0001) was observed in the kisspeptin level in both males and females, compared to the control group. Moreover, inhibin B decreased significantly in obese females only (P<0.001), while there was no differences between males and the control group in this regard. Finally, body mass index, serum glutamic pyruvic transaminase (SGPT), and leptin showed negative correlation with kisspeptin (0.01, 0.5, and 0.01), respectively. However, a positive association was observed with the level of Ca in the serum. On the other hand, inhibin B confirmed a positive correlation with SGPT. The present study revealed a significant increase in inhibin B and kisspeptin, with SGPT and Ca in the serum of obese patients, which could lead to complications and health problems among these patients.


Assuntos
Kisspeptinas , Leptina , Feminino , Humanos , Masculino , Alanina Transaminase , Obesidade
15.
Br J Biomed Sci ; 79: 10207, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35996508

RESUMO

Background: While different studies have investigated the association of SNPs with female reproductive disorders, a limited number of studies have investigated the effect of microRNAs variants in endometriosis. In this study, we evaluated the prevalence and the association of three different miRNAs variants including, miR-27a rs895819, miR-124-1 rs531564, and miR-423 rs6505162 with endometriosis to help further elucidate the importance of these variants in female reproductive disorders. Methods: A total number of 440 women (220 cases and 220 controls) were included. DNA was extracted and genotyping of the SNPs was carried out by PCR. Results: The results showed that rs895819 and rs6505162 had a significant association with endometriosis under the dominant, recessive, co-dominant, and allelic model, but rs531564 was not linked to endometriosis. Our results also imply a protective effect on endometriosis severity for AG genotype and G allele in rs895819 (p < 0.001), and also for AA and AC genotypes in rs6505162 with severity in endometriosis (p < 0.001). Moreover, Hardy-Weinberg equilibrium, haplotype frequency, and linkage disequilibrium between SNPs were performed. Conclusion: miR-27a rs895819 and miR-423 rs6505162, but not miR-124-1 rs531564, are linked to endometriosis.


Assuntos
Endometriose , MicroRNAs , Estudos de Casos e Controles , Endometriose/genética , Feminino , Predisposição Genética para Doença , Humanos , MicroRNAs/genética , Polimorfismo de Nucleotídeo Único , Fatores de Risco
16.
Sci Rep ; 12(1): 12843, 2022 07 27.
Artigo em Inglês | MEDLINE | ID: mdl-35902676

RESUMO

In the present study, a method for the synthesis of gelatin-stabilized copper oxide nanoparticles was developed. Synthesis was carried out by direct chemical precipitation. Copper sulfate, chloride, and acetate were used as precursors for the copper oxide synthesis. Gelatin was used as a stabilizer. It was found that the formation of monophase copper oxide II only occurred when copper acetate was used as a precursor. Our results showed that particles of the smallest diameter are formed in an aqueous medium (18 ± 6 nm), and those of th largest diameter-in an isobutanol medium (370 ± 131 nm). According to the photon correlation spectroscopy data, copper oxide nanoparticles synthesized in an aqueous medium were highly stable and had a monomodal size distribution with an average hydrodynamic radius of 61 nm. The study of the pH effect on the colloidal stability of copper oxide nanoparticles showed that the sample was stable in the pH range of 6.8 to 11.98. A possible mechanism for the pH influence on the stability of copper oxide nanoparticles is described. The effect of the ionic strength of the solution on the stability of the CuO nanoparticles sol was also studied, and the results showed that Ca2+ ions had the greatest effect on the sample stability. IR spectroscopy showed that the interaction of CuO nanoparticles with gelatin occurred through the hydroxyl group. It was found that CuO nanoparticles stabilized with gelatin have a fungicidal activity at concentration equivalent 2.5 · 10-3 mol/L and as a material for food nanopackaging can provide an increase in the shelf life of products on the example of strawberries and tomatoes. We investigated the possibility of using methylcellulose films modified with CuO nanoparticles for packaging and storage of hard cheese "Holland". The distribution of CuO nanoparticles in the methylcellulose film was uniform. We found that methylcellulose films modified with CuO nanoparticles inhibited the growth and development of QMAFAM, coliforms, yeast and mold in experimental cheese sa mples. Our research has shown that during the cheese storage in thermostat at 35 ± 1 °C for 7 days, CuO nanoparticles migrated to the product from the film. Nevertheless, it is worth noting that the maximum change in the concentration of copper in the experimental samples was only 0.12 µg/mg, which is not a toxic concentration. In general, the small value of migration of CuO nanoparticles confirms the high stability of the developed preparation. Our results indicated that the CuO nanoparticles stabilized with gelatin have a high potential for use in food packaging - both as an independent nanofilm and as part of other packaging materials.


Assuntos
Nanopartículas Metálicas , Nanopartículas , Cobre/química , Embalagem de Alimentos , Gelatina , Nanopartículas Metálicas/química , Metilcelulose , Óxidos
17.
BJOG ; 118(13): 1608-16, 2011 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-21917111

RESUMO

OBJECTIVE: To present 50 years of hospital-based maternal and perinatal outcomes in Sudan, and the role of an international collaboration with an Irish maternity hospital, over the period 2002-2009, in recent health-indicator improvements. DESIGN: Retrospective descriptive study. SETTING: Omdurman Maternity Hospital, Sudan. POPULATION: All women who delivered at Omdurman Maternity Hospital, and their newborn infants, from July 1957 to October 2007, comprising 339 448 births. METHODS: The original logbook data was extracted. Infant and maternal health indicators were calculated according to World Health Organization definitions. MAIN OUTCOMES MEASURES: Total annual births, maternal mortality ratio and maternal complications, neonatal mortality and stillbirth rates, and rates of delivery methods. RESULTS: Total births increased 50-fold from 499 in 1958 to 24 913 in 2007. Significant reductions in morbidity and mortality began in the mid-1990s. From 2001 to 2007, maternal mortality fell from 329 to 36 per 100 000 live births: an 85% reduction. Stillbirth rates almost halved, from 35 to 19 per 1000 births in 2001 and 2007, respectively. Neonatal mortality rates remained largely static, at 24 per 1000 live births in 2007, but there is recent evidence of a decline. CONCLUSION: This hospital-based data offers a unique historical portrait of health outcomes in one of the largest maternity hospitals in Africa, and shows steady, sustained improvements in maternal, stillbirth and neonatal mortality rates since the 1990s. The partnership was associated with a number of positive infrastructural, educational, and staffing achievements. Whether it directly contributed to improved health outcomes has not been established.


Assuntos
Maternidades/estatística & dados numéricos , Complicações na Gravidez/epidemiologia , Resultado da Gravidez/epidemiologia , Parto Obstétrico/estatística & dados numéricos , Feminino , Humanos , Mortalidade Infantil , Recém-Nascido , Cooperação Internacional , Irlanda , Mortalidade Materna , Gravidez , Estudos Retrospectivos , Sudão/epidemiologia
18.
J Anim Physiol Anim Nutr (Berl) ; 95(3): 313-9, 2011 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-20880288

RESUMO

The effects of substituting corn with glycerol on DNA concentration of selected ruminal bacteria were investigated using continuous fermenters. Four continuous culture fermenters were used in a 4 × 4 Latin Square design with four 10 days consecutive periods. Treatment diets (60:40 forage to concentrate) were fed at 45 g/day dry matter (DM) in three equal portions. Glycerol (0.995 g/g glycerol) was used to replace corn in a grain mix at proportions of 0% (T0; control), 15% (T15), 30% (T30) and 45% (T45). On day 10 of each period, samples were collected from each fermenter 3 h after the morning feeding and analysed for volatile fatty acid and bacterial DNA concentration. Glycerol substitution was related to significantly higher butyrate, valerate and isovalerate concentrations. Compared with the T0 diet, acetate concentration was significantly lower with the T30 and T45 diets whilst propionate concentration was higher only with the T45 diet. The DNA concentrations for Butyrivibrio fibrisolvens and Selenomonas ruminantium decreased with the T30 and T45 diets compared with the T0 diet. No differences in the DNA concentrations for Ruminococcus albus and Succinivibrio dextrinosolvens amongst diets were observed. The findings show that substituting 15% of the dietary corn with glycerol had no substantive effects on fermentation processing or ruminal bacteria. Higher substitution levels, however, may adversely affect ruminal bacteria and negatively impact acetate production.


Assuntos
Bactérias/efeitos dos fármacos , Bactérias/metabolismo , Reatores Biológicos , Glicerol/metabolismo , Glicerol/farmacologia , Zea mays/metabolismo , DNA Bacteriano/genética , DNA Bacteriano/metabolismo , Fermentação/fisiologia , Regulação Bacteriana da Expressão Gênica/efeitos dos fármacos
19.
Afr J Reprod Health ; 15(4): 33-41, 2011 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-22571103

RESUMO

Anaemia in pregnancy still causes significant maternal morbidity and mortality in the developing countries including Nigeria. The burden and underlying factors are varied even within countries. We studied the prevalence of anaemia at booking and underlying factors in a teaching hospital in northern Nigeria. Using the capillary technique and blood film, the packed cell volume (PCV) and red cell morphology of 300 pregnant women was determined. Additional information was obtained on sociodemographic characteristics, obstetric and past medical history using an interviewer administered questionnaire. Of the 300 pregnant women studied, 51 (17%) [95% Confidence Interval (CI)=12.9%-21.7%] were anaemic. Specifically, 12.7% and 4.3% of the women had mild and moderate anaemia respectively. Blood film of 74.5%, 15.7% and 11.8% anaemic women showed normochromic normocytic, haemolytic and microcytic hypochromic pictures respectively. Low educational attainment [Adjusted Odds Ratio (AOR)=2.13], being single or divorced [AOR=2.02], high parity [AOR=2.06], late booking [AOR=2.71] and short intervals between pregnancies [AOR=2.37] were significant predictors of anaemia in pregnancy. The high prevalence of anaemia in pregnancy related to low educational and economic status especially among women with background obstetric risk factors calls for vigilance, sustained health education and chemoprophylaxis for pregnant women.


Assuntos
Anemia/epidemiologia , Complicações Hematológicas na Gravidez/epidemiologia , Adolescente , Adulto , Estudos Transversais , Feminino , Hospitais de Ensino/estatística & dados numéricos , Humanos , Pessoa de Meia-Idade , Nigéria/epidemiologia , Paridade , Gravidez , Cuidado Pré-Natal/estatística & dados numéricos , Prevalência , Índice de Gravidade de Doença , Fatores Socioeconômicos , Adulto Jovem
20.
East Mediterr Health J ; 17(8): 687-93, 2011 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-21977572

RESUMO

Little is known about bone mass acquisition among stunted adolescents who did not achieve their growth in height. A national survey was made of bone mineral density among stunted adolescents and adults. A multistage stratified random sample of 2500 families (8476 adolescents and their parents) was selected from 6 governorates in different geographical areas of Egypt. Clinical history, anthropometry and measurement of bone mineral density using dual energy X-ray absorptiometry was done. Mean T-scores were significantly lower among both adults and adolescents with short stature compared with those of normal height. The predictors of bone status among adolescent boys were age, body mass index (BMI), height attained (z-score) and maternal T-score and for girls were BMI, age at menarche, paternal T-score and z-score. Stunted adolescents suffered from low bone mass density and low stature adults suffered a high prevalence of osteoporosis.


Assuntos
Densidade Óssea , Transtornos do Crescimento/epidemiologia , Desnutrição/epidemiologia , Osteoporose/epidemiologia , Absorciometria de Fóton , Adolescente , Adulto , Estudos de Casos e Controles , Criança , Egito/epidemiologia , Feminino , Transtornos do Crescimento/fisiopatologia , Inquéritos Epidemiológicos , Humanos , Masculino
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