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BACKGROUND AND AIMS: Lolium perenne (perennial ryegrass) is the most widely cultivated forage and amenity grass species in temperate areas worldwide and there is a need to understand the genetic architectures of key agricultural traits and crop characteristics that deliver wider environmental services. Our aim was to identify genomic regions associated with agriculturally important traits by integrating a bacterial artificial chromosome (BAC)-based physical map with a genome-wide association study (GWAS). METHODS: BAC-based physical maps for L. perenne were constructed from ~212 000 high-information-content fingerprints using Fingerprint Contig and Linear Topology Contig software. BAC clones were associated with both BAC-end sequences and a partial minimum tiling path sequence. A panel of 716 L. perenne diploid genotypes from 90 European accessions was assessed in the field over 2 years, and genotyped using a Lolium Infinium SNP array. The GWAS was carried out using a linear mixed model implemented in TASSEL, and extended genomic regions associated with significant markers were identified through integration with the physical map. KEY RESULTS: Between ~3600 and 7500 physical map contigs were derived, depending on the software and probability thresholds used, and integrated with ~35 k sequenced BAC clones to develop a resource predicted to span the majority of the L. perenne genome. From the GWAS, eight different loci were significantly associated with heading date, plant width, plant biomass and water-soluble carbohydrate accumulation, seven of which could be associated with physical map contigs. This allowed the identification of a number of candidate genes. CONCLUSIONS: Combining the physical mapping resource with the GWAS has allowed us to extend the search for candidate genes across larger regions of the L. perenne genome and identified a number of interesting gene model annotations. These physical maps will aid in validating future sequence-based assemblies of the L. perenne genome.
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Lolium , Cromossomos Artificiais Bacterianos , Ecótipo , Estudo de Associação Genômica Ampla , GenômicaRESUMO
This study investigated ball release speed and performance kinematics between elite male and female cricket fast bowlers. Fifty-five kinematic parameters were collected for 20 male and 20 female elite fast bowlers. Group means were analysed statistically using an independent samples approach to identify differences. Significant differences were found between: ball release speed; run-up speed; the kinematics at back foot contact (BFC), front foot contact (FFC), and ball release (BR); and the timings between these key instants. These results indicate that the female bowlers generated less whole body linear momentum during the run-up than the males. The male bowlers also utilised a technique between BFC and FFC which more efficiently maintained linear momentum compared to the females. As a consequence of this difference in linear momentum at FFC, the females typically adopted a technique more akin to throwing where ball release speed was contributed to by both the whole body angular momentum and the large rotator muscles used to rotate the pelvis and torso segments about the longitudinal axis. This knowledge is likely to be useful in the coaching of female fast bowlers although future studies are required to understand the effects of anthropometric and strength constraints on fast bowling performance.
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Fenômenos Biomecânicos , Fatores Sexuais , Esportes/fisiologia , Adolescente , Atletas , Feminino , Pé , Humanos , Masculino , Tronco , Adulto JovemRESUMO
AIMS: To assess the cost-effectiveness of dapagliflozin, a sodium-glucose co-transporter-2 (SGLT-2) inhibitor, compared with a sulfonylurea, when added to metformin for treatment of UK people with Type 2 diabetes mellitus inadequately controlled on metformin alone. METHODS: Clinical inputs sourced from a head-to-head randomized controlled trial (RCT) informed the Cardiff diabetes decision model. Risk equations developed from the United Kingdom Prospective Diabetes Study (UKPDS) were used in conjunction with the clinical inputs to predict disease progression and the incidence of micro- and macrovascular complications over a lifetime horizon. Cost and utility data were generated to present the incremental cost-effectiveness ratio (ICER) for both treatment arms, and sensitivity and scenario analyses were conducted to assess the impact of uncertainty on the final model results. RESULTS: The dapagliflozin treatment arm was associated with a mean incremental benefit of 0.467 quality-adjusted life years (QALYs) [95% confidence interval (CI): 0.420; 0.665], with an incremental cost of £1246 (95% CI: £613; £1637). This resulted in an ICER point estimate of £2671 per QALY gained. Incremental costs were shown to be insensitive to parameter variation, with only treatment-related weight change having a significant impact on the incremental QALYs. Probabilistic sensitivity analysis determined that dapagliflozin had a 100% probability of being cost-effective at a willingness-to-pay threshold of £20,000 per QALY. CONCLUSIONS: Dapagliflozin in combination with metformin was shown to be a cost-effective treatment option compared with sulfonylurea from a UK healthcare perspective for people with Type 2 diabetes mellitus who are inadequately controlled on metformin monotherapy.
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Compostos Benzidrílicos/uso terapêutico , Diabetes Mellitus Tipo 2/tratamento farmacológico , Glucosídeos/uso terapêutico , Hiperglicemia/prevenção & controle , Hipoglicemia/prevenção & controle , Hipoglicemiantes/uso terapêutico , Metformina/uso terapêutico , Proteínas de Transporte de Sódio-Glucose/antagonistas & inibidores , Compostos Benzidrílicos/efeitos adversos , Compostos Benzidrílicos/economia , Estudos de Coortes , Análise Custo-Benefício , Complicações do Diabetes/economia , Complicações do Diabetes/epidemiologia , Complicações do Diabetes/prevenção & controle , Complicações do Diabetes/terapia , Diabetes Mellitus Tipo 2/complicações , Diabetes Mellitus Tipo 2/economia , Diabetes Mellitus Tipo 2/metabolismo , Resistência a Medicamentos , Quimioterapia Combinada/efeitos adversos , Quimioterapia Combinada/economia , Feminino , Glucosídeos/efeitos adversos , Glucosídeos/economia , Custos de Cuidados de Saúde , Humanos , Hiperglicemia/economia , Hiperglicemia/terapia , Hipoglicemia/induzido quimicamente , Hipoglicemia/economia , Hipoglicemia/terapia , Hipoglicemiantes/efeitos adversos , Hipoglicemiantes/economia , Masculino , Metformina/efeitos adversos , Metformina/economia , Pessoa de Meia-Idade , Sobrepeso/economia , Sobrepeso/epidemiologia , Sobrepeso/prevenção & controle , Sobrepeso/terapia , Anos de Vida Ajustados por Qualidade de Vida , Risco , Proteínas de Transporte de Sódio-Glucose/metabolismo , Compostos de Sulfonilureia/efeitos adversos , Compostos de Sulfonilureia/economia , Compostos de Sulfonilureia/uso terapêutico , Reino Unido/epidemiologia , Redução de Peso/efeitos dos fármacosRESUMO
BACKGROUND: Type 2 diabetes mellitus (T2DM) is a chronic, progressive condition where the primary treatment goal is to maintain control of glycated haemoglobin (HbA1c). In order for healthcare decision makers to ensure patients receive the highest standard of care within the available budget, the clinical benefits of each treatment option must be balanced against the economic consequences. The aim of this study was to assess the cost-effectiveness of dapagliflozin, the first-in-class sodium-glucose co-transporter 2 (SGLT2) inhibitor, compared with a dipeptidyl peptidase-4 inhibitor (DPP-4i), when added to metformin for the treatment of patients with T2DM inadequately controlled on metformin alone. METHODS: The previously published and validated Cardiff diabetes model was used as the basis for this economic evaluation, with treatment effect parameters sourced from a systematic review and network meta-analysis. Costs, derived from a UK healthcare system perspective, and quality-adjusted life years (QALYs), were used to present the final outcome as an incremental cost-effectiveness ratio (ICER) over a lifetime horizon. Univariate and probabilistic sensitivity analyses (PSA) were carried out to assess uncertainty in the model results. RESULTS: Compared with DPP-4i, dapagliflozin was associated with a mean incremental benefit of 0.032 QALYs (95% confidence interval [CI]: -0.022, 0.140) and with an incremental cost of £216 (95% CI: £-258, £795). This resulted in an ICER point estimate of £6,761 per QALY gained. Sensitivity analysis determined incremental costs to be insensitive to variation in most parameters, with only the treatment effect on weight having a notable impact on the incremental QALYs; however, there were no scenarios which raised the ICER above £15,000 per QALY. The PSA estimated that dapagliflozin had an 85% probability of being cost-effective at a willingness-to-pay threshold of £20,000 per QALY gained. CONCLUSIONS: Dapagliflozin in combination with metformin was shown to be a cost-effective treatment option from a UK healthcare system perspective for patients with T2DM who are inadequately controlled on metformin alone.
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Compostos Benzidrílicos/economia , Diabetes Mellitus Tipo 2/tratamento farmacológico , Inibidores da Dipeptidil Peptidase IV/economia , Glucosídeos/economia , Hipoglicemiantes/economia , Metformina/uso terapêutico , Proteínas de Transporte de Sódio-Glucose/antagonistas & inibidores , Compostos Benzidrílicos/uso terapêutico , Análise Custo-Benefício , Inibidores da Dipeptidil Peptidase IV/uso terapêutico , Quimioterapia Combinada , Glucosídeos/uso terapêutico , Humanos , Hipoglicemiantes/uso terapêutico , Modelos Econômicos , Qualidade de Vida , Anos de Vida Ajustados por Qualidade de Vida , Medicina Estatal , Reino UnidoRESUMO
OBJECTIVES: To review and synthesize the existing literature on the experience of living with a diagnosis of hip and/or knee osteoarthritis (OA). METHOD: A systematic review was undertaken using meta-ethnography. A search of both published (AMED, CINAHL, EMBASE, PsychINFO, SportsDisc, MEDLINE, Cochrane Clinical Trials Registry, PubMed) and unpublished/trial registry databases [World Health Organization (WHO) International Clinical Trials Registry Platform, Current Controlled Trials, the United States National Institute of Health Trials Registry, National Institute for Health Research (NIHR) Clinical Research Portfolio Database] was undertaken from their inception to 5 June 2013. RESULTS: Thirty-two studies formed the meta-ethnography of the lived experiences of people with OA. In total, 1643 people with OA were sampled, the majority diagnosed with knee OA. The evidence base was weak to moderate in quality. The majority of studies indicated that people viewed living with OA negatively. Four key factors influenced their attitudes to the condition: the severity of their symptoms; the impact of these symptoms on their functional capability; their attitude towards understanding their disease; and their perceptions of other people's beliefs towards their disease. CONCLUSIONS: The current literature suggests that greater knowledge of the pathology of OA, management of symptoms, promotion of functional activity for patients and their family/friends networks, and understanding to better inform OA patient's role in society are all important elements that affect a person's attitude to OA. By better understanding these factors during future consultations, clinicians may forge stronger relationships with their patients to more effectively manage this long-term disabling condition.
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Osteoartrite do Quadril/psicologia , Osteoartrite do Joelho/psicologia , Adulto , Idoso , Antropologia Cultural , Atitude , Humanos , Pessoa de Meia-Idade , Educação de Pacientes como Assunto , AutoimagemRESUMO
Muon-spin rotation measurements, performed on the mixed state of the classic anisotropic superconductor Bi(2.15)Sr(1.85)CaCu(2)O(8+δ), obtain quantities directly related to two- and three-body correlations of vortices in space. A novel phase diagram emerges from such local probe measurements of the bulk, revealing an unusual glassy state at intermediate fields which appears to freeze continuously from the equilibrium vortex liquid but differs both from the lattice and the conventional high-field vortex glass state in its structure.
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Coxofemoral denervation has success rates of 90-96% reported retrospectively for palliative treatment of hip dysplasia. The aim of this study was to objectively evaluate ground reaction forces (GRF) in dysplastic dogs after unilateral denervation. Unilateral coxofemoral denervation was performed by means of a previously reported technique on 10 dogs with asymmetric gait. GRF were measured at zero, one and three months. Statistical analysis was performed using repeated measures analysis of variance and paired t-tests, with p< or =0.05. There was a lack of significant difference in mean peak vertical force (PVF) or vertical impulse (VI) in the operated limb (TX) over time. For the unoperated limb (UnTX), mean PVF and VI significantly decreased over time. The dogs were significantly more lame in the TX limb initially and at one month, however, there was no significant difference between limbs by three months. In the UnTX limb, 40% of dogs decreased PVF by >5%, by three months. Over time, there was no significant difference in mean average rise or mean average fall for TX or UnTX limbs. Between limbs, mean rise in the TX limb was significantly less at zero months, but not at one or three months. Decreased compensatory load shifting to the UnTX limb due to procedural efficacy could explain decreases in the UnTX limb. Worsening disease could also explain decreases in the UnTX limb, and may indicate a protective effect denoted by a lack of change in the TX limb. Longer follow-up would be required in improved dogs in order to document continued efficacy.
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Denervação/veterinária , Displasia Pélvica Canina/cirurgia , Quadril/inervação , Animais , Fenômenos Biomecânicos , Denervação/métodos , Cães , Membro Posterior , Displasia Pélvica Canina/fisiopatologia , Locomoção , Cuidados Paliativos , Índice de Gravidade de Doença , Resultado do TratamentoRESUMO
Pre-operative digital radiographs from 50 dogs undergoing a tibial plateau leveling osteotomy were evaluated. Tibial plateau angles were measured directly on printed films and measured on digital images using two different commercial DICOM viewers. The radiographs were scored for osteoarthritis and positioning. Using pooled results, the mean TPA from the digital images employing Web1000 (26.47 degrees +/- 3.90) was significantly higher then the mean TPA using film radiographs (25.41 degrees +/- 3.51), or IQ-View Pro (25.48 degrees +/- 3.89). There was not a significant difference between mean TPA using radiographs or IQ-view. Digital TPA measurement using built-in angle calipers in the clinical setting is a valid technique compared to measurements from film radiographs, and produces reproducible results. However, before changing to digital measurements, the chosen software programme should be validated against measurements using film radiographs to determine the magnitude of differences.
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Intensificação de Imagem Radiográfica/métodos , Radiografia/veterinária , Tíbia/diagnóstico por imagem , Tíbia/cirurgia , Animais , Doenças do Cão/diagnóstico por imagem , Doenças do Cão/patologia , Cães , Feminino , Masculino , Variações Dependentes do Observador , Osteoartrite/diagnóstico por imagem , Osteoartrite/patologia , Osteoartrite/veterinária , Osteotomia/métodos , Osteotomia/veterinária , Radiografia/métodos , Sensibilidade e Especificidade , SoftwareRESUMO
Small doses of clonidine produce hypoactivity in mice and rats, probably by stimulating pre-synaptic alpha 2-adrenoceptors in the brain. When mice were injected with desmethylimipramine (DMI, 5 mg/kg) before clonidine it attenuated the hypoactivity, while pretreatment with amitriptyline (5 mg/kg) or mianserin (5 mg/kg) potentiated this behaviour. In rats, desmethylimipramine (20 mg/kg) inhibited and mianserin (5 mg/kg) potentiated the clonidine-induced hypoactivity. Amitriptyline (20 mg/kg), however, had no effect on this behaviour in rats. Mice were also given repeated injections of these 3 antidepressant drugs (5 mg/kg twice daily for 14 days) and were tested with clonidine 12 and 60 hr after the final treatment. At 12 hr desmethylimipramine and amitriptyline both attenuated the hypoactivity responses while the reduction by mianserin was marginal (potency DMI greater than amitriptyline greater than mianserin). At 60 hr, however, amitriptyline and mianserin both decreased the clonidine-induced responses while the attenuation by desmethylimipramine was slight (potency amitriptyline congruent to mianserin greater than DMI). In rats, repeated injections of desmethylimipramine (20 mg/kg), administered twice daily for 14 days, attenuated the clonidine-induced hypoactivity 12 hr after the final treatment and this effect persisted for at least 72 hr. Furthermore, the degree of inhibition of the behavioural responses did not correlate with plasma concentrations of desmethylimipramine and persisted after disappearance of the drug from plasma. In conclusion, these data suggest that after repeated injection, desmethylimipramine, amitriptyline and mianserin all produce an adaptive decrease in the function of central alpha 2-adrenoceptors but the time course of this change differs with the individual antidepressant drug administered.
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Antidepressivos/farmacologia , Clonidina/farmacologia , Atividade Motora/efeitos dos fármacos , Amitriptilina/farmacologia , Animais , Desipramina/farmacologia , Masculino , Mianserina/farmacologia , Camundongos , Camundongos Endogâmicos C57BL , Ratos , Ratos Endogâmicos , Receptores Adrenérgicos alfa/efeitos dos fármacosRESUMO
We have investigated whether peptides representing the HIV-1 principal neutralization domain (V3) can be used as antigens in antibody-binding assays to predict the genotypes of the subjects' virus. Serum samples collected from HIV-1-infected subjects from the four WHO-sponsored vaccine evaluation sites (Uganda, Rwanda, Thailand, and Brazil) were characterized by antibody binding to a panel of synthetic V3 peptides that were derived from the consensus sequences of the V3 region of the HIV-1 subgroups according to the env phylogenetic analysis (A-E). An indirect V3 peptide-binding assay was used for primary screening, and a V3 peptide antigen-limiting ELISA was then used as a secondary assay to discriminate cross-reactivity if the screening assay was equivocal. In general, V3 peptide serology could predict HIV-1 genotypes. In sera for which the genotype of the virus was known, peptide assays could predict the correct genotype in approximately 90% of cases for genotypes A, B, C, and E; Ugandan sera of genotype D were more broadly reactive. There was considerable serological cross-reactivity between some HIV-1 genotypes, in particular between A and C, and, to a lesser extent, B and D subtypes. Owing to polymorphism at the crown of the V3 loop, an additional B peptide (B') was required to type Brazilian B genotype sera. These simple assays may help facilitate the determination and distribution of HIV-1 genotypes circulating in populations.
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Proteína gp120 do Envelope de HIV/imunologia , HIV-1/classificação , Fragmentos de Peptídeos/imunologia , Sorotipagem/métodos , Vacinas contra a AIDS/farmacologia , Sequência de Aminoácidos , Animais , Variação Antigênica , Brasil/epidemiologia , Reações Cruzadas , Ensaio de Imunoadsorção Enzimática , Genótipo , Anticorpos Anti-HIV , Antígenos HIV/genética , Proteína gp120 do Envelope de HIV/genética , Infecções por HIV/epidemiologia , Infecções por HIV/virologia , HIV-1/genética , HIV-1/imunologia , Humanos , Dados de Sequência Molecular , Fragmentos de Peptídeos/genética , Coelhos , Ruanda/epidemiologia , Tailândia/epidemiologia , Uganda/epidemiologia , Organização Mundial da SaúdeRESUMO
V3 serotyping refers to a system based on binding of antibody in patient sera to V3-loop peptides derived from HIV-1 env genetic subtypes. The V3x serotype represents reactivity of serum from an HIV-1-infected patient (regardless of viral genetic subtype), which reacts preferentially to a V3 peptide derived from the X subtype sequence. We have classified HIV-1 serotypes, determined the relationship between the HIV-1 V3 serotypes and viral genetic subtypes in a large study (n = 125), and evaluated the performance of three different V3 peptide-binding assays. Seven HIV-1 V3 serotypes were identified: A, B, B-Br, B-Th, C, D, and E. Serotypes B-Br and B-Th represent sera that react specifically to peptides derived from Brazilian B (B-Br, GWGR) and Thai B (B-Th, GPGQ) strains. The HIV-1 V3 B, C, and E serotypes correlated closely with their viral env genetic subtypes; 19-26 of 32 B sera (59-79%), 3-4 of 4 C sera (75-100%), and 19-22 of 23 E sera (83-96%) were identified as serotypes B, C, and E, respectively. In contrast, two major V3 serotypes were classified in A sera: A (14-18 of 36 [40-50%]) and C (12-19 of 36 [33-54%]). Similarly, two major V3 serotypes were classified in D sera: B (6-10 of 20 [30-50%]) and D (9-12 of 20 [45-60%]). Serotyping of subtype E sera showed the best concordance with genetic subtypes by all assays. Overall, HIV-1 V3 serotyping produced consistent results among three laboratories. However, HIV-1 V3 serotypes do not distinguish all HIV-1 genetic subtypes. The relative biological significance of the V3 serotypes remains to be elucidated.
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Infecções por HIV/imunologia , Infecções por HIV/virologia , HIV-1/classificação , HIV-1/imunologia , Sequência de Aminoácidos , Genes env , Anticorpos Anti-HIV/sangue , Antígenos HIV/classificação , Antígenos HIV/genética , Proteína gp120 do Envelope de HIV/classificação , Proteína gp120 do Envelope de HIV/genética , Proteína gp120 do Envelope de HIV/imunologia , HIV-1/genética , Humanos , Dados de Sequência Molecular , Fragmentos de Peptídeos/classificação , Fragmentos de Peptídeos/genética , Fragmentos de Peptídeos/imunologia , SorotipagemRESUMO
Latent inhibition (LI), a measure of the ability to learn to ignore irrelevant stimuli, is disrupted in acute schizophrenics and in rats treated with amphetamine; antipsychotics prevent amphetamine disruption of LI in rats. The 5-HT2A/C agonist 1-(2,5-dimethoxy-4-iodophenyl)-2-aminopropane (DOI) has hallucinogenic properties in humans, and evidence suggests that 5-HT2 antagonism is an important component of atypical antipsychotic activity. Therefore, the ability of DOI to disrupt LI in rats was tested, and the ability of clinically-used and putative antipsychotics to reverse DOI disruption of LI was assessed. The method consisted of four phases. After habituation to the apparatus, thirsty rats underwent preexposure to a tone stimulus 24 h prior to two tone-shock conditioning trials. LI was demonstrated at testing (an additional 24 h later) by reduced lick suppression during tone presentation. When administered at the preexposure phase only, DOI disrupted LI. However, when administered at both preexposure and conditioning phases, DOI did not disrupt LI except at the highest dose, where lick suppression itself was also disrupted. Therefore, disruptive effects of DOI on LI are not easily dissociated from state-dependent learning effects. Additional experiments demonstrated that haloperidol, clozapine, risperidone, and the selective 5-HT2A antagonist MDL 100,907 prevented the disruptive effects of DOI on LI when administered at preexposure only. These results agree with findings that these compounds can also prevent other behavioral effects of DOI. Further experiments will be required to explore the possible involvement of state-dependent learning effects in the present results. However, if the disruptive effects of DOI on LI are due to an influence on attentional processes rather than state-dependent learning, this procedure may have potential as a method for detection of antipsychotic activity.
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Anfetaminas/farmacologia , Condicionamento Operante/efeitos dos fármacos , Reforço Psicológico , Agonistas do Receptor de Serotonina/farmacologia , Animais , Antipsicóticos/farmacologia , Clozapina/farmacologia , Fluorbenzenos/farmacologia , Haloperidol/farmacologia , Masculino , Piperidinas/farmacologia , Ratos , Ratos Sprague-Dawley , Reflexo de Sobressalto/efeitos dos fármacos , Risperidona/farmacologia , Antagonistas da Serotonina/farmacologiaRESUMO
Recent epidemiological studies have reported an increased risk of suicide in patients with panic disorder, raising the possibility that there may be a unique relationship between panic and suicide. However, other studies, such as large chart reviews, have not found a meaningful increase in suicidal behavior among panic patients, except in these patients with comorbid borderline personality diagnoses. The present study examined nonclinical panickers to explore the specificity of the relationship between panic and suicide. Six hundred and twenty-seven undergraduates were surveyed to assess experiences of panic, suicidal behavior in relation to panic and general levels of pathology. Forty-two percent of the sample had experienced at least one panic attack in the past year, and of those 18% had considered suicide and 2.65% had made a suicide attempt in relation to their panic attacks. In comparison to nonclinical panickers who did not consider suicide, ideating nonclinical panickers had more frequent attacks, considered their attacks to be more severe, and viewed themselves as more fearful and in less control of their attacks. They also endorsed significantly higher levels of pathology across every dimension assessed. Results are discussed in terms of the prevalence of suicidal ideation among nonclinical samples, associated psychopathology, and extrapolation of the findings to clinical samples allowing development of models to understand the relationship between panic and suicide.
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Transtorno de Pânico/psicologia , Pânico , Suicídio/psicologia , Adolescente , Adulto , Estudos Transversais , Feminino , Humanos , Incidência , Masculino , Transtorno de Pânico/epidemiologia , Determinação da Personalidade/estatística & dados numéricos , Psicometria , Psicopatologia , Estudantes/psicologia , Suicídio/estatística & dados numéricosRESUMO
The aim of this study was to develop and evaluate a simple V3 peptide-based enzyme immunoassay (PEIA) for large-scale serotyping of HIV-1 specimens derived from injecting drug users (IDUs) in the Russian Federation. Two synthetic peptides were evaluated, named P1 (RKSIHIGPGRAFYATGD) and P2 (RTSVRIGPGQVFYKTGD), in an PEIA on 63 HIV-1 IDUs sera for which genotypes had been determined by heteroduplex mobility assay (HMA) and sequencing. The sensitivities of P1 (subtype B) and P2 (subtype A) were 87% and 75% respectively. Specificity of the assay was 100% for both peptides, with 100% predictive values of a monoreactive positive test for both peptides. Using the PEIA with peptides P1 and P2, we have serotyped 375 of 477 serum samples derived from IDUs in 4 main sites of the HIV-1 epidemic in Russia. The results demonstrated a high level of subtype homogeneity in all regions studied. In 3 of 4 territories, Tver' (n=345), and Rostov-on-Don (n=61) regions, and Krasnodar Kray (n=27), 100% of typable sera were found to belong to env subtype A. On the other hand, all specimens serotyped in the Kaliningrad region (n=38) belonged to env subtype B, and there is strong evidence that the recombinant gagAenvB virus which has caused the largest outbreak of HIV-1 in Russia is located in this region. At the present time another parental strain with gagBenvB genotype is of minor importance in the IDUs HIV-1 epidemic in Russia.
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Infecções por HIV/virologia , HIV-1/classificação , Abuso de Substâncias por Via Intravenosa/virologia , Sequência de Aminoácidos , Genótipo , Proteína gp120 do Envelope de HIV/genética , Infecções por HIV/epidemiologia , HIV-1/genética , HIV-1/imunologia , Humanos , Técnicas Imunoenzimáticas , Dados de Sequência Molecular , Ácidos Nucleicos Heteroduplexes , Fragmentos de Peptídeos/genética , Fragmentos de Peptídeos/imunologia , Proteínas Recombinantes/imunologia , Federação Russa/epidemiologia , Sorotipagem , Abuso de Substâncias por Via Intravenosa/epidemiologiaRESUMO
OBJECTIVE: This study investigated the associations between parental smoking and respiratory infections in Australian children aged 0-4 years. METHODS: Data from the ABS 1989-90 National Health Survey were used. The exposure variables examined were maternal, paternal and combined family smoking. Outcome variables were parent-reported chronic or recent asthma, asthma wheeze, bronchitis, influenza, common cold, cough, otitis media and other respiratory conditions. Logistic regression techniques were used to control for confounding by socio-economic status, child's sex, maternal education, place of residence, ethnicity and family size. RESULTS: Of the 4,281 children in the sample, 45% lived in households with one or more current smokers and 29% had a mother who smoked. Maternal (but not paternal) smoking was significantly associated with asthma (OR 1.52, 95% CI 1.19-1.94) and asthma wheeze (OR 1.51, 95% CI 1.26-1.80). No other significant associations were observed. Positive and significant dose response relationships were found between the amount of maternal smoking and both asthma variables. Population attributable risks were calculated and almost 13% of asthma and asthma wheeze in 0-4 year old Australian children in 1989-90 was estimated to be due to maternal smoking. CONCLUSION: Large numbers of Australian children live in households with smokers. This study, like others, has shown an association between maternal smoking and respiratory illnesses in young children. Further strategies are needed to prevent or reduce young children's exposure to environmental tobacco smoke in their homes.
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Doenças Respiratórias/etiologia , Poluição por Fumaça de Tabaco/efeitos adversos , Asma/epidemiologia , Asma/etiologia , Austrália/epidemiologia , Pré-Escolar , Feminino , Inquéritos Epidemiológicos , Humanos , Lactente , Modelos Logísticos , Masculino , Razão de Chances , Pais , Doenças Respiratórias/epidemiologiaRESUMO
OBJECTIVES: To investigate individual factors associated with an asthma outbreak among children aged one to 14 years in Sydney in February 1999. METHODS: A case control study was undertaken with cases (n=92) defined as all children admitted to Sydney Children's Hospital for asthma in February 1999. Unmatched controls (n=76) were all children admitted for asthma in the previous three months. We obtained information by a structured telephone survey of parents. Logistic regression analyses were used to determine odds ratios for risk factors for hospital admission. RESULTS: Mean age for hospital admission of 4.7 years for cases and 4.4 years for controls. The presence of one or more siblings reduced the risk of admission during an asthma outbreak (OR=0.59, 95% CI 0.37 to 0.93). Children with older siblings aged 10 to 14 years were also less likely to be admitted (OR=0.3, 95% CI 0.12 to 0.74). An age effect was observed. Other demographic, clinical and environmental characteristics, including smoking, were not associated with admission during the outbreak. CONCLUSIONS: The main findings of this study are the protective effect of siblings and an age-dependent effect in risk of hospital admission during an asthma outbreak. These findings are consistent with an infective cause of the outbreak. IMPLICATIONS: Children without siblings, particularly older siblings, appear to be at highest risk of hospital admission during an asthma outbreak. Environmental and other factors need to be examined to further explain the episodicity of such outbreaks and to determine means of predicting and preventing future episodes.
Assuntos
Asma/epidemiologia , Surtos de Doenças , Admissão do Paciente/estatística & dados numéricos , Adolescente , Antiasmáticos/uso terapêutico , Asma/tratamento farmacológico , Asma/fisiopatologia , Estudos de Casos e Controles , Criança , Pré-Escolar , Hospitais Pediátricos/estatística & dados numéricos , Humanos , Lactente , Modelos Logísticos , New South Wales/epidemiologia , Núcleo Familiar , Fatores de RiscoRESUMO
The adsorption of cadmium, copper(II), lead and zinc ions from aqueous solution by sewage sludge, paper mill waste (PMW) and composted PMW was investigated along with the influence of pre-treatment on composted PMW. Langmuir adsorption isotherms were fitted where appropriate. Sewage sludge was the most effective biosorbent of the waste products for all metal ions examined, adsorbing, for example, up to 39.3 mg/g of Pb at an initial concentration of 77.8 mg/l. PMW was a less effective biosorbent than sewage sludge. However, it was found that composting the PMW resulted in an increase in metal uptake capacity and both sewage sludge and composted PMW have potential for low-cost remediation of high leachate wastewaters. The desorption of metal ions from PMW compost was most effective using 0.1 N H2SO4 and 1 mM nitrilotriacetic acid (NTA).
Assuntos
Resíduos Industriais , Metais Pesados , Papel , Esgotos , Eliminação de Resíduos Líquidos/métodos , Poluentes da Água , AdsorçãoRESUMO
The established calculation of ruminal extent of degradation using the polyester bag method overestimates extent. The wash fraction, at least in part, is subject to losses from the rumen due to passage. Four formulae are proposed to minimize this risk of overestimation. Four options are considered: 1) passage losses for particulate matter escaping from the bag at zero time are according to the particulate fractional passage rate, 2) the liquid rate, and 3) the average of the two, and additionally 4) there is no instantly degradable fraction. The established and proposed formulae were examined using polyester bag data for six forages: grass silage, fresh ryegrass, fresh white clover, alfalfa hay, mixed grasses hay, and hay from a permanent mountain meadow. The established formula gave appreciably higher estimates of extent of degradation in all cases. Overestimation was at least 6.9, 4.9, 2.9, 2.1, 2.4, and 4.5%, respectively, for the six forages.
Assuntos
Ração Animal , Modelos Biológicos , Rúmen/metabolismo , Animais , Matemática , PoliésteresRESUMO
The neurotropic disease of pigeons caused by a variant avian paramyxovirus type 1 virus was confirmed in 866 lofts in Great Britain during 1984, in comparison with 192 lofts during July to December 1983. The 1984 outbreaks were spread over 48 counties in England and Wales and three regions in Scotland. The main methods of spread of disease in the 1984 outbreaks appeared to be similar to 1983 with 574 of 866 probably resulting from contact with infected birds at, or travelling to, races or shows. In 791 of 866 (92.5 per cent) outbreaks in 1984 disease was seen only in unvaccinated birds. A further 61 (7 per cent) occurred in inadequately vaccinated birds or birds vaccinated after clinical signs appeared.
Assuntos
Doenças das Aves/epidemiologia , Columbidae , Surtos de Doenças/veterinária , Infecções por Respirovirus/veterinária , Animais , Doenças das Aves/prevenção & controle , Galinhas , Paramyxoviridae/patogenicidade , Infecções por Respirovirus/epidemiologia , Infecções por Respirovirus/prevenção & controle , Estações do Ano , Reino Unido , Vacinação/veterináriaRESUMO
During the period July 1983 to June 1985, 76 submissions of material from feral pigeons were received. Five separate submissions resulted in the isolation of an avian paramyxovirus type 1 (A/PMV-1) variant indistinguishable from the virus responsible for the 1058 disease outbreaks confirmed in racing pigeons up to the end of 1984. In addition 11 separate submissions of pigeon sera had haemagglutination inhibition titres of log(2)4 or greater to A/PMV-1 antigen. Feral pigeons from six sites widely distributed throughout England had evidence of A/PMV-1 infection.