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1.
Annu Rev Entomol ; 62: 323-342, 2017 01 31.
Artigo em Inglês | MEDLINE | ID: mdl-27860523

RESUMO

Processionary moths carry urticating setae, which cause health problems in humans and other warm-blooded animals. The pine processionary moth Thaumetopoea pityocampa has responded to global change (climate warming and increased global trade) by extending its distribution range. The subfamily Thaumetopoeinae consists of approximately 100 species. An important question is whether other processionary moth species will similarly respond to these specific dimensions of global change and thus introduce health hazards into new areas. We describe, for the first time, how setae are distributed on different life stages (adult, larva) of major groups within the subfamily. Using the available data, we conclude that there is little evidence that processionary moths as a group will behave like T. pityocampa and expand their distributional range. The health problems caused by setae strongly relate to population density, which may, or may not, be connected to global change.


Assuntos
Distribuição Animal , Mariposas/anatomia & histologia , Mariposas/fisiologia , Urticária/etiologia , Animais , Mudança Climática , Humanos , Larva/anatomia & histologia , Larva/classificação , Larva/fisiologia , Mariposas/classificação , Mariposas/crescimento & desenvolvimento
2.
Mol Ecol ; 22(12): 3362-75, 2013 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-23718200

RESUMO

It is challenging to unravel the history of organisms with highly scattered populations. Such species may have fragmented distributions because extant populations are remnants of a previously more continuous range, or because the species has narrow habitat requirements in combination with good dispersal capacity (naturally or vector borne). The northern pine processionary moth Thaumetopoea pinivora has a scattered distribution with fragmented populations in two separate regions, northern and south-western Europe. The aims of this study were to explore the glacial and postglacial history of T. pinivora, and add to the understanding of its current distribution and level of contemporary gene flow. We surveyed published records of its occurrence and analysed individuals from a representative subset of populations across the range. A 633 bp long fragment of the mtDNA COI gene was sequenced and nine polymorphic microsatellite loci were genotyped. Only nine nucleotide sites were polymorphic in the COI gene and 90% of the individuals from across its whole range shared the same haplotype. The microsatellite diversity gradually declined towards the north, and unique alleles were found in only three of the northern and three of southern sites. Genetic structuring did not indicate complete isolation among regions, but an increase of genetic isolation by geographic distance. Approximate Bayesian model choice suggested recent divergence during the postglacial period, but glacial refugia remain unidentified. The progressive reduction of suitable habitats is suggested to explain the genetic structure of the populations and we suggest that T. pinivora is a cold-tolerant relict species, with situation-dependent dispersal.


Assuntos
Fluxo Gênico , Genética Populacional , Mariposas/genética , Animais , Teorema de Bayes , Ecossistema , Europa (Continente) , Genes Mitocondriais , Variação Genética , Haplótipos , Repetições de Microssatélites , Modelos Genéticos , Dados de Sequência Molecular , Dinâmica Populacional , Análise de Sequência de DNA
3.
BMC Health Serv Res ; 12: 330, 2012 Sep 20.
Artigo em Inglês | MEDLINE | ID: mdl-22995203

RESUMO

BACKGROUND: Knowledge about the relation between user involvement in the provision of assistive technology and outcomes of assistive technology use is a prerequisite for the development of efficient service delivery strategies. However, current knowledge is limited, particularly from low-income countries where affordability is an issue. The objective was therefore to explore the relation between outcomes of assistive technology use and user involvement in the service delivery process in Bangladesh. METHODS: Using structured interviews, data from 136 users of hearing aids and 149 users of manual wheelchairs were collected. Outcomes were measured using the International Outcome Inventory for Hearing Aids (IOI-HA), which was adapted for wheelchair users. Predictors of user involvement included preference, measurement and training. RESULTS: Users reported outcomes comparable to those found in other high- and low-income countries. User involvement increased the likelihood for reporting better outcomes except for measurement among hearing aid users. CONCLUSIONS: The findings support the provision of assistive technology as a strategy to improve the participation of people with disabilities in society. They also support current policies and guidelines for user-involvement in the service delivery process. Simplified strategies for provision of hearing aids may be explored.


Assuntos
Atenção à Saúde/métodos , Auxiliares de Audição/estatística & dados numéricos , Avaliação de Resultados em Cuidados de Saúde/estatística & dados numéricos , Participação do Paciente/psicologia , Tecnologia Assistiva/estatística & dados numéricos , Cadeiras de Rodas/estatística & dados numéricos , Adolescente , Adulto , Bangladesh , Estudos Transversais , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Entrevistas como Assunto , Modelos Logísticos , Masculino , Pessoa de Meia-Idade , Razão de Chances , Educação de Pacientes como Assunto , Participação do Paciente/estatística & dados numéricos , Inquéritos e Questionários , Revisão da Utilização de Recursos de Saúde
4.
BMC Int Health Hum Rights ; 12: 18, 2012 Sep 19.
Artigo em Inglês | MEDLINE | ID: mdl-22992413

RESUMO

BACKGROUND: About half a billion people with disabilities in developing countries have limited access to assistive technology. The Convention on the Rights of persons with Disabilities requires governments to take measures to ensure provision of such technologies. To guide implementation of these measures there is a need for understanding health outcomes from a human rights perspective. The objective of this study was therefore to explore the relation between assistive technology use and enjoyment of human rights in a low-income country. METHODS: Data was collected in eight districts of Bangladesh through interviews of people with hearing impairments using and not using hearings aids, and people with ambulatory impairments using and not using manual wheelchairs (N = 583). Using logistic regression, self-reported outcomes on standard of living, health, education, work, receiving information and movement were analyzed. RESULTS: The adjusted likelihood of reporting greater enjoyment of human rights was significantly higher among people using hearing aids compared to non-users for all outcomes except working status. Compared to non-users, users of wheelchairs reported a significantly higher adjusted likelihood of good ambulatory performance and a significantly lower adjusted likelihood of reporting a positive working status. Further analyses indicated that physical accessibility to working places and duration of wheelchair use had a statistically significant impact on the likelihood of reporting positive work outcomes. CONCLUSIONS: The findings support the notion that assistive technology use increases the likelihood of human rights enjoyment, particularly hearing aid use. Physical accessibility should always be addressed in wheelchair provision.

5.
Annu Rev Entomol ; 56: 203-20, 2011.
Artigo em Inglês | MEDLINE | ID: mdl-20809805

RESUMO

The ecological phenomenon of arthropods with defensive hairs is widespread. These urticating hairs can be divided into three categories: true setae, which are detachable hairs in Lepidoptera and in New World tarantula spiders; modified setae, which are stiff hairs in lepidopteran larvae; and spines, which are complex and secretion-filled structures in lepidopteran larvae. This review focuses on the true setae because their high density on a large number of common arthropod species has great implications for human and animal health. Morphology and function, interactions with human tissues, epidemiology, and medical impact, including inflammation and allergy in relation to true setae, are addressed. Because data from epidemiological and other clinical studies are ambiguous with regard to frequencies of setae-caused allergic reactions, other mechanisms for setae-mediated disease are suggested. Finally, we briefly discuss current evidence for the adaptive and ecological significance of true setae.


Assuntos
Artrópodes/anatomia & histologia , Hipersensibilidade/fisiopatologia , Hipersensibilidade/veterinária , Animais , Humanos , Hipersensibilidade/epidemiologia , Hipersensibilidade/patologia
6.
Mol Ecol ; 20(22): 4606-17, 2011 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-22004127

RESUMO

Population density and individual dispersal behaviour affect species' distribution dynamics. Population densities vary over time, and some species occasionally increase to very high numbers, for example during outbreaks. In such situations, populations are expected to expand into new areas as a result of density-dependent dispersal which sometimes even results in range expansion. A local population of the northern pine processionary moth Thaumetopoea pinivora has recently reached outbreak densities at the edge of its northern range at the southern tip of Gotland Island in the Baltic Sea. We first investigated whether the outbreak had resulted in establishment of populations in suitable habitats on Gotland Island outside the outbreak area. Six small populations were found that could potentially have originated from the outbreak area. However, data from 12 microsatellite markers strongly suggest that these populations did not originate from the recent outbreak. Genetic variability was not reduced in these small, isolated populations, and there were several unique alleles, indicating instead a different population history and that there has been no recent range expansion. In addition, there was apparent genetic isolation by geographic distance, implying that despite the high density of the outbreak population, significant gene flow has not occurred.


Assuntos
Variação Genética , Genética Populacional , Mariposas/genética , Alelos , Animais , Ecossistema , Fluxo Gênico , Técnicas de Genotipagem , Geografia , Repetições de Microssatélites , Densidade Demográfica , Análise de Sequência de DNA , Suécia
7.
Eur J Nucl Med Mol Imaging ; 38(11): 2058-65, 2011 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-21732107

RESUMO

PURPOSE: [(18)F]FEDAA1106 is a recently developed positron emission tomography (PET) radioligand for in vivo quantification of the 18 kDa translocator protein [TSPO or, as earlier called, the peripheral benzodiazepine receptor (PBR)]. TSPO imaging is expected to be useful for the clinical evaluation of neuroinflammatory diseases. The aim of this study was to provide dosimetry estimates for [(18)F]FEDAA1106 based on human whole-body PET measurements. METHODS: PET scans were performed for a total of 6.6 h after the injection of 183.8 ± 9.1 MBq of [(18)F]FEDAA1106 in six healthy subjects. Regions of interest were drawn on coronal images. Estimates of the absorbed doses of radiation were calculated using the OLINDA software. RESULTS: Peak uptake was largest in lungs, followed by liver, small intestine, kidney, spleen and other organs. Peak values of the percent injected dose (%ID) at a time after radioligand injection were calculated for the lungs (27.1%ID at 0.2 h), liver (21.1%ID at 0.6 h), small intestine (10.4%ID at 6.3 h), kidney (4.9%ID at 1.8 h) and spleen (4.6%ID at 0.6 h). The largest absorbed dose was found in the spleen (0.12 mSv/MBq), followed by kidneys (0.094 mSv/MBq). The calculated mean effective dose was 0.036 mSv/MBq. CONCLUSION: Based on the distribution and dose estimates, the estimated radiation burden of [(18)F]FEDAA1106 is moderately higher than that of [(18)F]fluorodeoxyglucose (FDG). In clinical studies, the administered activity of this radioligand ought to be adjusted in line with regional regulations. This result would be helpful for further clinical TSPO imaging studies.


Assuntos
Acetamidas/metabolismo , Acetamidas/farmacocinética , Tomografia por Emissão de Pósitrons , Receptores de GABA/metabolismo , Imagem Corporal Total , Idoso , Feminino , Humanos , Ligantes , Masculino , Doses de Radiação , Radiometria
8.
Anesthesiology ; 112(3): 682-7, 2010 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-20179506

RESUMO

BACKGROUND: The literature on ventilation (V) and lung perfusion (Q) distributions during general anesthesia and controlled mechanical ventilation in supine and prone position is contradictory. The authors aimed to investigate whether V, Q, and ventilation to perfusion ratio (V/Q ratio) matching in anesthetized and mechanically ventilated volunteers are gravity dependent irrespective of posture. METHODS: Seven healthy volunteers were studied at two different occasions during general anesthesia and controlled mechanical ventilation. One occasion studied ventral to dorsal V and Q distributions in the supine posture and the other in the prone posture. Imaging was performed in supine posture at both occasions. A dual radiotracer technique and single photon emission computed tomography were used. V and Q were simultaneously tagged with Tc-Technegas (Tetley Manufacturing Ltd., Sydney, Australia) and In-labeled macroaggregates of human albumin (TechneScan LyoMAA, Mallinckrodt Medica, Petten, The Netherlands), respectively. RESULTS: No differences in V between postures were observed. Q differed between postures, being more uniform over different lung regions in prone posture and dependent in supine posture. The contribution of the vertical direction to the total V/Q ratio heterogeneity was larger in supine (31.4%) than in prone (16.4%) (P = 0.0639, two-tailed, paired t test) posture. CONCLUSIONS: During mechanical ventilation, prone posture favors a more evenly distributed Q between lung regions. V distribution is independent of posture. This results in a tendency toward lower V/Q gradients in the ventral to dorsal direction in prone compared with supine posture.


Assuntos
Anestesia Geral , Pulmão/fisiologia , Decúbito Ventral/fisiologia , Circulação Pulmonar/fisiologia , Respiração Artificial , Mecânica Respiratória/fisiologia , Decúbito Dorsal/fisiologia , Adulto , Feminino , Humanos , Radioisótopos de Índio , Pulmão/diagnóstico por imagem , Masculino , Oximetria , Oxigênio/sangue , Compostos Radiofarmacêuticos , Pertecnetato Tc 99m de Sódio , Tomografia Computadorizada de Emissão de Fóton Único
9.
Behav Brain Funct ; 5: 37, 2009 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-19723308

RESUMO

BACKGROUND: Comorbidity between Attention Deficit Hyperactivity Disorder (ADHD) and mood disorders is common. Alterations of the cerebellum and frontal regions have been reported in neuro-imaging studies of ADHD and major depression. METHODS: Thirty chronically depressed adult females of whom 16 had scores below, and 14 scores above, cut-offs on the 25-items Wender Utah Retrospective Scale (WURS-25) and the Wender-Reimherr Adult Attention Deficit Disorder Scale (WRAADDS) were divided into subgroups designated "Depression" and "Depression + ADHD", respectively. Twenty-one of the patients had some audiological symptom, tinnitus and/or hearing impairment. The patients were investigated with other rating scales and 99mTc-HMPAO SPECT. Controls for 99mTc-HMPAO SPECT were 16 healthy females. SPECT was analyzed by both statistical parametric mapping (SPM2) and the computerized brain atlas (CBA). Discriminant analysis was performed on the volumes of interest generated by the CBA, and on the scores from rating scales with the highest group differences. RESULTS: The mean score of a depression rating scale (MADRS-S) was significantly lower in the "Depression" subgroup compared to in the "Depression + ADHD" subgroup. There was significantly decreased tracer uptake within the bilateral cerebellum at both SPM and CBA in the "Depression + ADHD" subgroup compared to in the controls. No decrease of cerebellar tracer uptake was observed in "Depression". Significantly increased tracer uptake was found at SPM within some bilateral frontal regions (Brodmann areas 8, 9, 10, 32) in the "Depression + ADHD" subgroup compared to in "Depression". An accuracy of 100% was obtained for the discrimination between the patient groups when thalamic uptake was used in the analysis along with scores from Socialization and Impulsivity scales. CONCLUSION: The findings confirm the previous observation of a cerebellar involvement in ADHD. Higher bilateral frontal 99mTc-HMPAO uptake in "Depression + ADHD" compared to in "Depression" indicate a difference between these subgroups. 99mTc-HMPAO uptake mechanisms are discussed.

10.
Respir Physiol Neurobiol ; 166(1): 54-60, 2009 Mar 31.
Artigo em Inglês | MEDLINE | ID: mdl-19429519

RESUMO

We used quantitative Single Photon Emission Computed Tomography (SPECT) to study the effect of the upright posture on regional lung blood flow and ventilation. Nine (upright) plus seven (prone and supine) healthy volunteers were studied awake, breathing spontaneously. Regional blood flow and ventilation were marked in sitting upright, supine and prone postures using (113m)In-labeled macroaggregates and inhaled Technegas ((99m)Tc); both remain fixed in the lung after administration. All images were obtained while supine. In comparison with horizontal postures, both blood flow and ventilation were greater in caudal regions when upright. The redistribution was greater for blood flow than for ventilation, resulting in decreasing ventilation-to-perfusion ratios down the lung when upright. We conclude that gravity redistributes regional blood flow and ventilation in the upright posture, while the influence is much less in the supine and prone postures.


Assuntos
Pulmão/irrigação sanguínea , Pulmão/diagnóstico por imagem , Postura/fisiologia , Circulação Pulmonar/fisiologia , Mecânica Respiratória/fisiologia , Adulto , Feminino , Humanos , Modelos Lineares , Masculino , Fluxo Sanguíneo Regional/fisiologia , Tomografia Computadorizada de Emissão de Fóton Único/métodos , Adulto Jovem
11.
Lepr Rev ; 80(1): 13-21, 2009 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-19472849

RESUMO

OBJECTIVES: People affected by leprosy and their families face social and economic problems. The focus of interventions is often on prevention of disabilities and socioeconomic rehabilitation. The objective of this study was to explore to what extent the potential of assistive devices to facilitate activities and participation of people affected by leprosy has been utilised. DESIGN: Published literature was reviewed and the findings analysed. RESULTS: Considerable attention has been given to the protecting role of assistive devices. The focus of assistive devices facilitating functioning has been on mobility aspects of self-care and domestic life. CONCLUSIONS: The findings indicate that the potential of assistive devices to facilitate activities and participation in life areas such as work and employment is still waiting to be utilised on a broad scale.


Assuntos
Atividades Cotidianas , Hanseníase/reabilitação , Tecnologia Assistiva/estatística & dados numéricos , Ajustamento Social , Humanos , Hanseníase/complicações , Autocuidado/métodos , Fatores Socioeconômicos
12.
Ann Nucl Med ; 23(1): 59-64, 2009 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-19205839

RESUMO

OBJECTIVE: It has been shown that [(18)F]-fluorodeoxyglucose positron emission tomography/computed tomography (FDG-PET/CT) can identify macrophage-rich high-risk atherosclerotic plaques in animal models as well as in patients with atherosclerotic plaques in the carotid arteries. The development of inflamed macrophage-rich plaques over time is not well known. This study was performed to determine the variability of such FDG-accumulating plaques between consecutive PET/CT examinations. METHODS: Twenty-eight patients who underwent two whole-body FDG-PET/CT examinations within 7 months for malignant diseases were re-evaluated for atherosclerotic lesions in major arterial segments. The plaques were identified as active, inactive, or mixed depending on their appearance on PET and CT. Every identified plaque was compared with that of the other examination to evaluate the time-to-time correlation. RESULTS: The time-to-time correlation was close to 100% for calcified inactive plaques and about 50% for FDG-accumulating active plaques, with a high consistency between all examined arterial segments in this material. CONCLUSIONS: A large proportion of FDG-accumulating plaques can be identified on consecutive FDG-PET/CT examinations within 7 months.


Assuntos
Aterosclerose/diagnóstico , Calcinose/diagnóstico , Fluordesoxiglucose F18 , Tomografia por Emissão de Pósitrons/métodos , Tomografia Computadorizada por Raios X/métodos , Feminino , Humanos , Masculino , Compostos Radiofarmacêuticos , Reprodutibilidade dos Testes , Sensibilidade e Especificidade , Estatística como Assunto , Técnica de Subtração , Fatores de Tempo
13.
J Nucl Med ; 49(10): 1601-5, 2008 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-18794261

RESUMO

UNLABELLED: Graft infection is a serious complication to vascular surgery. The aim of this study was to assess (18)F-FDG uptake in vascular grafts in patients with or without symptoms of graft infection. METHODS: In all 2,045 patients examined by PET/CT at our clinic, 16 patients with synthetic aortic grafts were identified and reevaluated for (18)F-FDG accumulation. Clinical and biochemical data were obtained from patient records. RESULTS: High (18)F-FDG uptake was found in 10 of 12 grafts in the patients who underwent open surgery and in 1 of 4 grafts in patients who underwent endovascular aneurysm repair. On the basis of biochemical and clinical data, it was concluded that 1 of the 16 patients had a graft infection at the time of investigation. CONCLUSION: (18)F-FDG uptake in vascular grafts was found in the vast majority of patients without graft infection. The risk of a false-positive diagnosis of graft infection by (18)F-FDG PET/CT is evident.


Assuntos
Aorta/patologia , Prótese Vascular , Fluordesoxiglucose F18/farmacocinética , Tomografia por Emissão de Pósitrons/métodos , Tomografia Computadorizada por Raios X/métodos , Idoso , Idoso de 80 Anos ou mais , Aneurisma/terapia , Aorta/diagnóstico por imagem , Aneurisma da Aorta Abdominal/terapia , Diagnóstico por Imagem/métodos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Compostos Radiofarmacêuticos
14.
Ecology ; 89(5): 1388-98, 2008 May.
Artigo em Inglês | MEDLINE | ID: mdl-18543631

RESUMO

Herbivore populations may become adapted to the defenses of their local hosts, but the traits that maximize host exploitation may also carry ecological costs. We investigated the patterns and costs of local adaptation in the pine processionary moth, Thaumetopoea pityocampa, to its host plants, Pinus nigra and P. sylvestris. The two hosts differ in needle toughness, a major feeding impediment for leaf-eating insects. We observed a west-to-east gradient of increasing progeny size in the Italian Alps, matching the pattern in toughness of their respective local host plant. Eastern populations that feed on the native P. nigra with tough needles had larger eggs, and neonate larvae with larger head capsules, than western populations that feed on the native P. sylvestris and the introduced P. nigra with softer foliage. In a reciprocal transfer experiment that involved the eastern-most and the western-most populations of T. pityocampa from this region, and excluded natural enemies, we found evidence for local adaptation to the host plant. Specifically, larvae from the western population only performed well when raised on their local hosts with soft needles, and they suffered near-complete mortality on the tough foliage at the eastern site. In contrast, larvae from the eastern population survived equally well at both sites. Local adaptation involved a trade-off between progeny size and the number of offspring. We hypothesized that an additional cost, imposed by natural enemies, may be associated with increased egg size: we also observed a west-to-east gradient of increased egg parasitism. We tested this hypothesis in a common garden by exposing eggs of both populations to parasitism by two native egg parasitoids, Ooencyrtus pityocampae and Baryscapus servadeii. The eastern population suffered a higher level of parasitoid attack by O. pityocampae than the western population, and performance of hatched adults of both parasitoids was enhanced in large eggs. Thus, increased neonate quality (larger eggs yielding larger larvae) confers an advantage on tough foliage but incurs the ecological cost of increased parasitism, which may constrain further adaptation by this herbivore.


Assuntos
Adaptação Fisiológica/fisiologia , Ecossistema , Comportamento Alimentar/fisiologia , Mariposas/fisiologia , Pinus/fisiologia , Análise de Variância , Animais , Demografia , Feminino , Larva/fisiologia , Mariposas/parasitologia , Óvulo/parasitologia , Folhas de Planta/fisiologia , Vespas/fisiologia
15.
Eur J Nucl Med Mol Imaging ; 35(12): 2191-202, 2008 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-18648805

RESUMO

PURPOSE: The purpose of the study is to evaluate the combined accuracy of episodic memory performance and (18)F-FDG PET in identifying patients with amnestic mild cognitive impairment (aMCI) converting to Alzheimer's disease (AD), aMCI non-converters, and controls. METHODS: Thirty-three patients with aMCI and 15 controls (CTR) were followed up for a mean of 21 months. Eleven patients developed AD (MCI/AD) and 22 remained with aMCI (MCI/MCI). (18)F-FDG PET volumetric regions of interest underwent principal component analysis (PCA) that identified 12 principal components (PC), expressed by coarse component scores (CCS). Discriminant analysis was performed using the significant PCs and episodic memory scores. RESULTS: PCA highlighted relative hypometabolism in PC5, including bilateral posterior cingulate and left temporal pole, and in PC7, including the bilateral orbitofrontal cortex, both in MCI/MCI and MCI/AD vs CTR. PC5 itself plus PC12, including the left lateral frontal cortex (LFC: BAs 44, 45, 46, 47), were significantly different between MCI/AD and MCI/MCI. By a three-group discriminant analysis, CTR were more accurately identified by PET-CCS + delayed recall score (100%), MCI/MCI by PET-CCS + either immediate or delayed recall scores (91%), while MCI/AD was identified by PET-CCS alone (82%). PET increased by 25% the correct allocations achieved by memory scores, while memory scores increased by 15% the correct allocations achieved by PET. CONCLUSION: Combining memory performance and (18)F-FDG PET yielded a higher accuracy than each single tool in identifying CTR and MCI/MCI. The PC containing bilateral posterior cingulate and left temporal pole was the hallmark of MCI/MCI patients, while the PC including the left LFC was the hallmark of conversion to AD.


Assuntos
Amnésia/diagnóstico por imagem , Fluordesoxiglucose F18 , Análise de Componente Principal , Idoso , Doença de Alzheimer/diagnóstico , Amnésia/patologia , Amnésia/fisiopatologia , Estudos de Casos e Controles , Análise Discriminante , Feminino , Seguimentos , Humanos , Masculino , Memória , Tomografia por Emissão de Pósitrons , Sensibilidade e Especificidade
16.
CNS Spectr ; 13(9): 805-14, 2008 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-18849900

RESUMO

INTRODUCTION: 99mTc-d,l-hexamethylpropylene amine oxime (99mTc-HMPAO) retention in brain is proportional to cerebral blood flow and related to both the local hemodynamic state and to the cellular content of reduced glutathione. Alterations of the regional distribution of 99mTc-HMPAO retention, with discrepant results, have been reported at functional brain imaging of unipolar depression. Since mitochondrial involvement has been reported in depressed patients, the aim of the study was to explore whether the 99mTc-HMPAO retention at single-photon emission computed tomography in depressed patients may relate to different levels of mitochondrial function. METHODS: All patients had audiological and muscular symptoms, somatic symptoms that are common in depression. Citrate synthase (CS) activity assessed in muscle mitochondria correlated strongly with the activities of three mitochondrial respiratory chain enzymes and was used as a marker of mitochondrial function. K-means clustering performed on CS grouped eight patients with low and 11 patients with normal CS. Voxel-based analysis was performed on the two groups by statistical parametric mapping. RESULTS: Voxel-based analysis showed significantly higher 99mTc-HMPAO retention in the patients with low CS compared with the patients with normal CS in the posterior and inferior frontal cortex, the superior and posterior temporal cortex, the somato-sensory cortex, and the associative parietal cortex. CONCLUSION: Low muscle CS in depressed patients is related to higher regional 99mTc-HMPAO retention that may reflect cerebrovascular adaptation to impaired intracellular metabolism and/or intracellular enzymatic changes, as previously reported in mitochondrial disorder. Mitochondrial dysfunction in varying proportions of the subjects may explain some of the discrepant results for 99mTc-HMPAO retention in depression.


Assuntos
Encéfalo/diagnóstico por imagem , Citrato (si)-Sintase/metabolismo , Transtorno Depressivo/diagnóstico por imagem , Processamento de Imagem Assistida por Computador , Imageamento Tridimensional , Mitocôndrias Musculares/diagnóstico por imagem , Tomografia Computadorizada de Emissão de Fóton Único , Adulto , Mapeamento Encefálico , Córtex Cerebral/diagnóstico por imagem , Dominância Cerebral/fisiologia , Complexo I de Transporte de Elétrons/fisiologia , Feminino , Lobo Frontal/diagnóstico por imagem , Humanos , Masculino , Pessoa de Meia-Idade , Tecnécio Tc 99m Exametazima/farmacocinética
17.
Nucl Med Commun ; 29(2): 173-7, 2008 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-18094640

RESUMO

BACKGROUND: Single photon emission tomography (SPECT) of the lung is a well-established non-invasive technique for quantitative assessment of regional lung ventilation and perfusion distribution in children and in adults. However, its application in neonates as well as infants has been scarce because of several practical limitations, such as the trade off between image quality and restricted effective radiation doses and the lack of suitable inhalations agents and administration techniques. METHODS: In this paper, a new technique for quantitative regional lung SPECT based on a passive Technegas administration procedure is described and clinically applied. The first clinical findings in neonates are reported. RESULTS: This technique overcomes some of the limitations of commercial ventilation systems by making patient compliance unnecessary, avoiding difficult breathing manoeuvres and by minimizing both facemask dead space and inspiratory-expiratory resistance. CONCLUSION: This technique satisfies requirements for routine applications in neonates, infants and even older patients and has a potential use also for mechanically ventilated patients. It has the potential to allow a more precise functionally oriented diagnosis, which is of importance for treatment and follow-up in patients with severe lung diseases.


Assuntos
Pulmão/patologia , Respiração , Tomografia Computadorizada de Emissão de Fóton Único/métodos , Desenho de Equipamento , Humanos , Processamento de Imagem Assistida por Computador , Lactente , Recém-Nascido , Perfusão , Reprodutibilidade dos Testes , Mecânica Respiratória , Pertecnetato Tc 99m de Sódio , Técnica de Subtração , Fatores de Tempo , Tomografia Computadorizada por Raios X/instrumentação , Tomografia Computadorizada por Raios X/métodos
18.
Contact Dermatitis ; 59(5): 290-5, 2008 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-18976379

RESUMO

BACKGROUND: Moth larvae that carry noxious hairs (setae) are spread worldwide. A population of the northern pine processionary moth (Thaumetopoea pinivora, TP) is present on the island of Gotland in the Baltic Sea. This study aimed to evaluate the local skin reactions following experimental exposure to TP setae. SUBJECTS AND METHODS: A drop of setae suspension was applied on the volar forearm of six volunteers. The local skin reactions were studied by microscopy and skin perfusion using laser Doppler (LD) scanning. RESULTS: Setae penetrated into the skin, and LD scanning showed marked increase in blood perfusion in all subjects. In two, with a history of severe symptoms, microscopic vacuoles developed around setae, followed by desquamation and severe symptoms. Remaining individuals, with only light symptoms during previous exposure, exhibited only mild reactions that disappeared within 3 weeks. In none of the volunteers, immunoglobulin (Ig) E or IgG4 antibodies to larval antigens were found. CONCLUSION: Experimental skin exposure to TP setae induces local inflammatory reactions independent of earlier exposure to TP. The degree of reaction correlated well with the magnitude of symptoms during natural exposure. The initial reaction mimics a 'foreign body reaction' that varies depending on individual predisposition.


Assuntos
Alérgenos/efeitos adversos , Anticorpos Antinucleares/imunologia , Dermatite Alérgica de Contato/etiologia , Mariposas/imunologia , Idoso , Alérgenos/imunologia , Animais , Anticorpos Antinucleares/análise , Dermatite Alérgica de Contato/diagnóstico , Feminino , Humanos , Imunoglobulina E/imunologia , Imunoglobulina G/análise , Imunoglobulina G/imunologia , Larva/imunologia , Fluxometria por Laser-Doppler , Masculino , Microscopia , Fatores de Risco , Estudos de Amostragem , Sensibilidade e Especificidade , Testes Cutâneos , Suécia
19.
J Appl Physiol (1985) ; 102(1): 468-76, 2007 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-16990505

RESUMO

Emission tomography provides three-dimensional, quantitative images of the distribution of radiotracers used to mark physiological, metabolic, or pathological processes. Quantitative single photon emission computed tomography (SPECT) requires correction for the image-degrading effects due to photon attenuation and scatter. Phantom experiments have shown that radioactive concentrations can be assessed within some percentage of the true value when relevant corrections are applied. SPECT is widely spread, and radiotracers are available that are easy to use and comparably inexpensive. Compared with other methods, SPECT suffers from a lower spatial resolution, and the time required for image acquisition is longer than for some alternative methods. In contrast to some other methods, SPECT allows simultaneous imaging of more than one process, e.g., both regional blood flow and ventilation, for the whole lung. SPECT has been used to explore the influence of posture and clinical interventions on the spatial distribution of lung blood flow and ventilation. Lung blood flow is typically imaged using macroaggregates of albumin. Both radioactive gases and particulate aerosols labeled with radioactivity have been used for imaging of regional ventilation. However, all radiotracers are not equally suited for quantitative measurements; all have specific advantages and limitations. With SPECT, both blood flow and ventilation can be marked with radiotracers that remain fixed in the lung tissue, which allows tracer administration during conditions different from those at image registration. All SPECT methods have specific features that result from the used radiotracer, the manner in which it is administered, and how images are registered and analyzed.


Assuntos
Pulmão/diagnóstico por imagem , Pulmão/fisiologia , Tomografia Computadorizada de Emissão de Fóton Único/métodos , Animais , Humanos , Pulmão/irrigação sanguínea , Troca Gasosa Pulmonar/fisiologia , Ventilação Pulmonar/fisiologia , Fluxo Sanguíneo Regional/fisiologia , Fenômenos Fisiológicos Respiratórios , Relação Ventilação-Perfusão/fisiologia
20.
Ecol Appl ; 17(3): 900-9, 2007 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-17494405

RESUMO

Because of the dynamic nature of many managed habitats, proper evaluation of conservation efforts calls for models that take into account both spatial and temporal habitat dynamics. We develop a metapopulation model for successional-type systems, in which habitat quality changes over time in a predictable fashion. The occupancy and recruitment of the predatory saproxylic (dependent on dead wood) beetle Harminius undulatus was studied in a managed boreal forest landscape, covering 24,449 ha, in central Sweden. In a first step, we analyzed the beetle's occupancy pattern in relation to stand characteristics, and the amounts of present and past habitat in the surrounding landscape. Managed forest is suitable habitat when > or =60 years old, and immediately after cutting, but not between the ages of 10 and 60 years. The observed occupancy of H. undulatus was positively correlated with the stand's age as habitat. We used a metapopulation model to predict the current probability of occurrence in each forest stand, given the spatiotemporal distribution of suitable forest stands during the last 50 years. Metapopulation parameters were estimated by matching predicted spatial distributions with observed spatial distributions. The model predicted observed spatial distributions better than a similar model that assumed constant habitat quality of each forest stand. Thus, metapopulation models for successional-type systems, such as dead wood dependent organisms in managed forest landscapes, should include habitat dynamics. An estimated 82% of the landscape-wide recruitment took place in managed stands, which covered 87% of the forest area, in comparison with 18% in unmanaged stands, which covered 13% of the forest area. Among the managed stand types, > or =60-year-old stands and 3-7-year-old clear-cuttings contributed to 79% of the total recruitment while 8-59-year-old stands only contributed 3%. The results suggest the following guidelines to improve conditions for H. undulatus and other species with similar habitat requirements: (1) the proportion of the landscape constituted by younger stands should not be allowed to grow too large, (2) the rotation period of managed stands should not be allowed to be too short, and (3) dead wood should be retained and created at final cutting.


Assuntos
Besouros/fisiologia , Ecossistema , Agricultura Florestal , Modelos Teóricos , Árvores , Animais , Conservação dos Recursos Naturais , Larva/fisiologia , Casca de Planta/parasitologia , Densidade Demográfica , Suécia
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