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1.
Proc Natl Acad Sci U S A ; 117(38): 23960-23969, 2020 09 22.
Artigo em Inglês | MEDLINE | ID: mdl-32900926

RESUMO

Many organisms enter a dormant state in their life cycle to deal with predictable changes in environments over the course of a year. The timing of dormancy is therefore a key seasonal adaptation, and it evolves rapidly with changing environments. We tested the hypothesis that differences in the timing of seasonal activity are driven by differences in the rate of development during diapause in Rhagoletis pomonella, a fly specialized to feed on fruits of seasonally limited host plants. Transcriptomes from the central nervous system across a time series during diapause show consistent and progressive changes in transcripts participating in diverse developmental processes, despite a lack of gross morphological change. Moreover, population genomic analyses suggested that many genes of small effect enriched in developmental functional categories underlie variation in dormancy timing and overlap with gene sets associated with development rate in Drosophila melanogaster Our transcriptional data also suggested that a recent evolutionary shift from a seasonally late to a seasonally early host plant drove more rapid development during diapause in the early fly population. Moreover, genetic variants that diverged during the evolutionary shift were also enriched in putative cis regulatory regions of genes differentially expressed during diapause development. Overall, our data suggest polygenic variation in the rate of developmental progression during diapause contributes to the evolution of seasonality in R. pomonella We further discuss patterns that suggest hourglass-like developmental divergence early and late in diapause development and an important role for hub genes in the evolution of transcriptional divergence.


Assuntos
Adaptação Fisiológica/genética , Diapausa/genética , Tephritidae , Transcriptoma/genética , Animais , Drosophila melanogaster/genética , Estudo de Associação Genômica Ampla , Estações do Ano , Tephritidae/genética , Tephritidae/crescimento & desenvolvimento
2.
J Evol Biol ; 35(1): 146-163, 2022 01.
Artigo em Inglês | MEDLINE | ID: mdl-34670006

RESUMO

Adaptation to novel environments can result in unanticipated genomic responses to selection. Here, we illustrate how multifarious, correlational selection helps explain a counterintuitive pattern of genetic divergence between the recently derived apple- and ancestral hawthorn-infesting host races of Rhagoletis pomonella (Diptera: Tephritidae). The apple host race terminates diapause and emerges as adults earlier in the season than the hawthorn host race, to coincide with the earlier fruiting phenology of their apple hosts. However, alleles at many loci associated with later emergence paradoxically occur at higher frequencies in sympatric populations of the apple compared to the hawthorn race. We present genomic evidence that historical selection over geographically varying environmental gradients across North America generated genetic correlations between two life history traits, diapause intensity and diapause termination, in the hawthorn host race. Moreover, the loci associated with these life history traits are concentrated in genomic regions in high linkage disequilibrium (LD). These genetic correlations are antagonistic to contemporary selection on local apple host race populations that favours increased initial diapause depth and earlier, not later, diapause termination. Thus, the paradox of apple flies appears due, in part, to pleiotropy or linkage of alleles associated with later adult emergence and increased initial diapause intensity, the latter trait strongly selected for by the earlier phenology of apples. Our results demonstrate how understanding of multivariate trait combinations and the correlative nature of selective forces acting on them can improve predictions concerning adaptive evolution and help explain seemingly counterintuitive patterns of genetic diversity in nature.


Assuntos
Crataegus , Diapausa , Características de História de Vida , Tephritidae , Animais , Crataegus/genética , Desequilíbrio de Ligação , Tephritidae/genética
3.
Science ; 279(5358): 1910-3, 1998 Mar 20.
Artigo em Inglês | MEDLINE | ID: mdl-9506936

RESUMO

The molecular ion H3+ is considered the cornerstone of interstellar chemistry because it initiates the reactions responsible for the production of many larger molecules. Recently discovered in dense molecular clouds, H3+ has now been observed in the diffuse interstellar medium toward Cygnus OB2 No. 12. Analysis of H3+ chemistry suggests that the high H3+ column density (3.8 x 10(14) per square centimeter) is due not to a high H3+ concentration but to a long absorption path. This and other work demonstrate the ubiquity of H3+ and its potential as a probe of the physical and chemical conditions in the interstellar medium.


Assuntos
Astronomia , Poeira Cósmica , Meio Ambiente Extraterreno , Trítio , Fenômenos Astronômicos , Monóxido de Carbono , Cátions Monovalentes , Radiação Cósmica , Matemática , Temperatura
4.
Inj Prev ; 15(3): 176-82, 2009 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-19494097

RESUMO

BACKGROUND: Occupational eye injuries are a significant source of injury in the workplace. Little population-based research in the area has been conducted, and is necessary for developing and prioritizing effective interventions. METHODS: Workers' compensation data from the state of Kentucky for the years 1994-2003 were analysed by demographics, injury nature and cause, cost, and occupational and industrial characteristics. The US Bureau of Labor Statistics' Current Population Survey was utilised to compute injury rates for demographic and occupational groups. RESULTS: There were 10,545 claims of ocular injury, representing 6.29 claims per 10,000 workers on average annually. A substantial drop in the claim rate was found after the state passed monetary penalties for injuries caused by employer negligence or OSHA violations. Claims by men were over three times more likely than those by women to have associated claim costs (OR 0.52; 95% CI 0.32 to 0.85; p = 0.009). The highest eye injury rates per 10,000 of 13.46 (95% CI 12.86 to 14.07) were found for the helpers/labourers occupation, and of 19.95 (95% CI 18.73 to 21.17) for the construction industry. The total cost of claim payments over the period was over $3,480,000, and average cost per claim approximated $331. CONCLUSIONS: Eye injuries remain a significant risk to worker health, especially among men in jobs requiring intensive manual labour. Evidence showed that increased legislative regulation led to a decline in eye injuries, which was consistent with other recent findings in the area. Additionally, targeting groups most at risk, increasing worker training, providing effective eye protection equipment, and developing workplace safety cultures may together reduce occupational eye injuries.


Assuntos
Acidentes de Trabalho/estatística & dados numéricos , Traumatismos Oculares/epidemiologia , Indenização aos Trabalhadores/estatística & dados numéricos , Acidentes por Quedas/prevenção & controle , Acidentes por Quedas/estatística & dados numéricos , Acidentes de Trabalho/economia , Acidentes de Trabalho/prevenção & controle , Adolescente , Adulto , Idoso , Emprego/legislação & jurisprudência , Emprego/estatística & dados numéricos , Traumatismos Oculares/economia , Traumatismos Oculares/etiologia , Feminino , Inquéritos Epidemiológicos , Humanos , Incidência , Indústrias/estatística & dados numéricos , Kentucky/epidemiologia , Masculino , Pessoa de Meia-Idade , Ocupações/estatística & dados numéricos , Medição de Risco , Fatores de Risco , Indenização aos Trabalhadores/economia , Adulto Jovem
5.
Oncotarget ; 10(4): 449-479, 2019 Jan 11.
Artigo em Inglês | MEDLINE | ID: mdl-30728898

RESUMO

Tumor heterogeneity may arise through genetic drift and environmentally driven clonal selection for metabolic fitness. This would promote subpopulations derived from single cancer cells that exhibit distinct phenotypes while conserving vital pro-survival pathways. We aimed to identify significant drivers of cell fitness in pancreatic adenocarcinoma (PDAC) creating subclones in different nutrient formulations to encourage differential metabolic reprogramming. The genetic and phenotypic expression profiles of each subclone were analyzed relative to a healthy control cell line (hTert-HPNE). The subclones exhibited distinct variations in protein expression and lipid metabolism. Relative to hTert-HPNE, PSN-1 subclones uniformly maintained modified sphingolipid signaling and specifically retained elevated sphingosine-1-phosphate (S1P) relative to C16 ceramide (C16 Cer) ratios. Each clone utilized a different perturbation to this pathway, but maintained this modified signaling to preserve cancerous phenotypes, such as rapid proliferation and defense against mitochondria-mediated apoptosis. Although the subclones were unique in their sensitivity, inhibition of S1P synthesis significantly reduced the ratio of S1P/C16 Cer, slowed cell proliferation, and enhanced sensitivity to apoptotic signals. This reliance on S1P signaling identifies this pathway as a promising drug-sensitizing target that may be used to eliminate cancerous cells consistently across uniquely reprogrammed PDAC clones.

6.
Zoonoses Public Health ; 65(1): e237-e242, 2018 02.
Artigo em Inglês | MEDLINE | ID: mdl-29218847

RESUMO

Despite ongoing public health messages about the risks associated with bat contact, the number of potential exposures to Australian bat lyssavirus (ABLV) due to intentional handling by members of the general public in Queensland has remained high. We sought to better understand the reasons for intentional handling among these members of the public who reported their potential exposure to inform future public health messages. We interviewed adults who resided in a defined geographic area in South East Queensland and notified potential exposure to ABLV due to intentional handling of bats by telephone between 1 January 2012 and 31 December 2013. The participation rate was 54%. Adults who reported they had intentionally handled bats in South East Queensland indicated high levels of knowledge and perception of a moderately high risk associated with bats with overall low intentions to handle bats in the future. However, substantial proportions of people would attempt to handle bats again in some circumstances, particularly to protect their children or pets. Fifty-two percent indicated that they would handle a bat if a child was about to pick up or touch a live bat, and 49% would intervene if a pet was interacting with a bat. Future public health communications should recognize the situations in which even people with highrisk perceptions of bats will attempt to handle them. Public health messages currently focus on avoidance of bats in all circumstances and recommend calling in a trained vaccinated handler, but messaging directed at adults for circumstances where children or pets may be potentially exposed should provide safe immediate management options.


Assuntos
Lyssavirus , Infecções por Rhabdoviridae/transmissão , Zoonoses/transmissão , Animais , Quirópteros , Notificação de Doenças , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Queensland/epidemiologia , Infecções por Rhabdoviridae/epidemiologia
7.
Cancer Res ; 38(7): 1885-8, 1978 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-207414

RESUMO

Adult rat liver contained variant forms of thioredoxin reductase with isoelectric points at pH 4.9 and at approximately pH 4.7 compared to pH 5.1 for the enzyme from Novikoff ascites hepatoma. Fetal and regenerating liver contained only the form with the isoelectric point at pH 4.9. All three enzymes precipitated with and were inhibited by a rabbit antibody to purified enzyme from Novikoff tumor.


Assuntos
Carcinoma Hepatocelular/enzimologia , Isoenzimas/metabolismo , Neoplasias Hepáticas/enzimologia , Fígado/enzimologia , NADH NADPH Oxirredutases/metabolismo , Tiorredoxina Dissulfeto Redutase/metabolismo , Animais , Imunoeletroforese , Peso Molecular , Neoplasias Experimentais/enzimologia , Ratos , Tiorredoxina Dissulfeto Redutase/imunologia
8.
Br J Pharmacol ; 62(2): 159-64, 1978 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-623932

RESUMO

1 Chloroquine, primaquine and ethidium inhibitied thymidine incorporation into deoxyribonucleic acid of rat tissues when administered concurrently with the labelled precursor. 2 Chloroquine and primaquine inhibited the incorporation of uridine and adenine, but not orotate, into various ribonucleic acid fractions of liver of rats and mice. These drugs had no effect on leucine incorporation into hepatic protein in rats or mice. 3 Although chloroquine and primaquine are active against different stages in the life cycle of the malarial parasites, the two aminoquinolines exert similar effects in rodent tissues.


Assuntos
Cloroquina/farmacologia , DNA/biossíntese , Primaquina/farmacologia , RNA/biossíntese , Animais , Cromatografia em Camada Fina , Depressão Química , Técnicas In Vitro , Fígado/efeitos dos fármacos , Fígado/metabolismo , Masculino , Camundongos , Biossíntese de Proteínas , Ratos
9.
Infect Control Hosp Epidemiol ; 20(1): 55-6, 1999 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-9927267

RESUMO

An outbreak of Salmonella typhimurium infection in December 1996 affected 52 patients, relatives, and staff of a large teaching hospital in southeast Queensland. Assorted sandwiches were identified as the vehicle of transmission. This article describes the outbreak investigation and demonstrates the importance of food hygiene and timely public health interventions.


Assuntos
Surtos de Doenças , Intoxicação Alimentar por Salmonella/epidemiologia , Salmonella typhimurium/patogenicidade , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Estudos de Casos e Controles , Feminino , Contaminação de Alimentos , Hospitais de Ensino , Humanos , Controle de Infecções , Masculino , Pessoa de Meia-Idade
10.
Am J Infect Control ; 28(1): 54-7, 2000 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-10679138

RESUMO

BACKGROUND: Nosocomial outbreaks of Salmonella infections in Australia are an infrequent but significant source of morbidity and mortality. Such an outbreak results in direct, measurable expenses for acute care management, as well as numerous indirect (and less quantifiable) costs to those affected, the hospital, and the wider community. This article describes the significant direct costs incurred as a result of a nosocomial outbreak of Salmonella infection involving patients and staff. METHOD: Information on costs incurred by the hospital was gathered from a number of sources. The data were grouped into 4 sections (medical costs, investigative costs, lost productivity costs, and miscellaneous) with use of an existing tool for calculating the economic impact of foodborne illness. RESULTS: The outbreak cost the hospital more than AU $120, 000. (US $95,000). This amount is independent of more substantial indirect costs. CONCLUSION: Salmonella infections are preventable. Measures to aid the prevention of costly outbreaks of nosocomial salmonellosis, although available, require an investment of both time and money. We suggest that dedication of limited resources toward such preventive strategies as education is a practical and cost-effective option for health care facilities.


Assuntos
Infecção Hospitalar/economia , Infecção Hospitalar/prevenção & controle , Custos Diretos de Serviços/estatística & dados numéricos , Surtos de Doenças/economia , Surtos de Doenças/prevenção & controle , Intoxicação Alimentar por Salmonella/economia , Intoxicação Alimentar por Salmonella/prevenção & controle , Salmonella typhimurium , Infecção Hospitalar/microbiologia , Eficiência Organizacional , Manipulação de Alimentos/economia , Manipulação de Alimentos/normas , Serviço Hospitalar de Nutrição/economia , Serviço Hospitalar de Nutrição/normas , Humanos , Controle de Infecções/economia , Controle de Infecções/métodos , Prevenção Primária/economia , Prevenção Primária/métodos , Queensland , Intoxicação Alimentar por Salmonella/microbiologia
11.
J Occup Environ Med ; 42(9): 882-91, 2000 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-10998763

RESUMO

Few panel studies have investigated the relationships between air pollutants and air spora and lung function change in asthmatic subjects. This article examines the association of outdoor air pollutant concentrations and air spora with the decrease in lung function (measured by morning peak expiratory flow) of two groups of asthmatic subjects in the subtropical environment of South East Queensland, Australia. Lung function responses were stratified by age, allergy status, and location, and seasonal effects were examined. Allergy status and age were found to be important, with air pollutants such as ozone and particles associated with decreases in lung function in allergic individuals older than 15 years. Fungal spore counts were strongly associated with a decrease in lung function in allergic adults, especially in those over 54 years, only in seasons when these air spora peak. Analysis for the entire study period indicates that the effect of ozone on peak expiratory flow in the allergic group can sometimes be confounded by air spora effects, indicating that in a subtropical climate the impact of ozone on asthma severity can be accurately estimated only when the confounding effects of air spora are included.


Assuntos
Poluentes Atmosféricos/efeitos adversos , Asma/etiologia , Fungos/isolamento & purificação , Ozônio/efeitos adversos , Adolescente , Adulto , Distribuição por Idade , Poluentes Atmosféricos/análise , Asma/epidemiologia , Feminino , Humanos , Pulmão/efeitos dos fármacos , Masculino , Pessoa de Meia-Idade , Ozônio/análise , Pico do Fluxo Expiratório , Pólen/efeitos adversos , Prevalência , Queensland/epidemiologia , Análise de Regressão , Estações do Ano
12.
Minn Med ; 84(3): 47-50, 2001 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-11269840

RESUMO

Latex allergies among health care workers have garnered considerable attention from medical researchers and practitioners. However, the majority of research on natural rubber latex allergy has focused on clinical methodologies and emphasized the quantification of employee sensitization rates as opposed to actual incidents of reactivity. Workers' compensation data provide information on the number and impact of reactions to latex use. This article presents an analysis of health care workers' compensation data from North Dakota to estimate the prevalence, costs, and nature of claims associated with latex allergic reaction. The results show an annual average claim rate of 1.52 per 10,000 health care workers employed in the state, and annual costs averaging about $.08 per health care worker. Skin disorders were the most commonly reported condition. These findings are compared with previous studies of Minnesota and Rhode Island and demonstrate similar results.


Assuntos
Pessoal de Saúde/estatística & dados numéricos , Hipersensibilidade ao Látex/epidemiologia , Doenças Profissionais/epidemiologia , Estudos Transversais , Humanos , Incidência , North Dakota , Indenização aos Trabalhadores/estatística & dados numéricos
14.
J Labor Econ ; 5(4 Pt. 1): 452-76, 1987 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-12146388

RESUMO

"This paper designs a multiarmed bandit (MAB) sequential model for the analysis of the migration-job search process. The implications either are compatible with well-known migration behavior or, when novel, are also plausible. For example, regions with large wage variability attract migrants, and regions with large nonpecuniary returns increase both in migration and out migration. A major advantage of this approach is the relative ease with which martingale estimators can be derived from the martingale structure of the model. These martingale methods are exemplified for the return migration phenomenon."


Assuntos
Emigração e Imigração , Emprego , Renda , Modelos Teóricos , Demografia , Economia , População , Dinâmica Populacional , Pesquisa , Fatores Socioeconômicos
15.
Occup Med (Lond) ; 54(8): 556-63, 2004 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-15385648

RESUMO

BACKGROUND: While past research on health care workers has found that shift work can lead to negative physiological and psychological consequences, few studies have assessed the extent to which it increases the risk of specific work-related injuries, nor quantified and compared associated types, severity and costs. AIMS: This study aimed to derive and compare the rates, typologies, costs and disability time of injuries for various hospital worker occupations by day, evening and night shift. METHODS: This study used Oregon workers' compensation claim data from 1990 to 1997 to examine the differences in hospital employee claims (n = 7717) by shift and occupation. Oregon hospital employee claim data, hospital employment data from Oregon's Labor Market Information System and shift proportion estimates derived from the Current Population Survey (CPS) were used to calculate injury rate estimates. RESULTS: The injury rate for day shift per 10,000 employees was estimated to be 176 (95% CI 172-180), as compared with injury rate estimates of 324 (95% CI 311-337) for evening shift and 279 (95% CI 257-302), night shift workers. The average number of days taken off for injury disability was longer for injured night shift workers (46) than for day (38) or evening (39) shift workers. CONCLUSION: Evening and night shift hospital employees were found to be at greater risk of sustaining an occupational injury than day shift workers, with those on the night shift reporting injuries of the greatest severity as measured by disability leave. Staffing levels and task differences between shifts may also affect injury risk.


Assuntos
Pessoal de Saúde , Hospitais , Doenças Profissionais/etiologia , Tolerância ao Trabalho Programado , Ferimentos e Lesões/etiologia , Adulto , Distribuição por Idade , Idoso , Estudos Transversais , Feminino , Humanos , Incidência , Masculino , Pessoa de Meia-Idade , Doenças Profissionais/economia , Doenças Profissionais/epidemiologia , Oregon/epidemiologia , Fatores de Risco , Índice de Gravidade de Doença , Distribuição por Sexo , Indenização aos Trabalhadores , Ferimentos e Lesões/economia , Ferimentos e Lesões/epidemiologia
16.
Emerg Infect Dis ; 5(3): 438-40, 1999.
Artigo em Inglês | MEDLINE | ID: mdl-10341182

RESUMO

The newly emerging Australian bat lyssavirus causes rabieslike disease in bats and humans. A captive juvenile black flying fox exhibited progressive neurologic signs, including sudden aggression, vocalization, dysphagia, and paresis over 9 days and then died. At necropsy, lyssavirus infection was diagnosed by fluorescent antibody test, immunoperoxidase staining, polymerase chain reaction, and virus isolation. Eight human contacts received postexposure vaccination.


Assuntos
Quirópteros/virologia , Lyssavirus/isolamento & purificação , Infecções por Rhabdoviridae/veterinária , Infecções por Rhabdoviridae/virologia , Animais , Austrália , Encéfalo/virologia , Imunofluorescência , Humanos , Técnicas Imunoenzimáticas , Reação em Cadeia da Polimerase/métodos , Vacina Antirrábica/administração & dosagem , Infecções por Rhabdoviridae/patologia , Infecções por Rhabdoviridae/prevenção & controle , Zoonoses
17.
Med J Aust ; 161(4): 259-62, 1994 Aug 15.
Artigo em Inglês | MEDLINE | ID: mdl-8047033

RESUMO

OBJECTIVE: To investigate treatment patterns for malaria and the use of Australian guidelines which were then current for the treatment of malaria in Queensland in 1992. DESIGN AND PARTICIPANTS: A review of patient treatment and demographic details, obtained from the treating doctor by questionnaire, for all cases of malaria in Queensland in 1992 which were reported to Queensland Health (316 people treated for 341 episodes of malaria). RESULTS: Plasmodium falciparum infections were treated according to the recommendations in the guidelines in 20% of cases. Thirty-five per cent of infections were treated with chloroquine, even though most of these were acquired in countries where chloroquine or chloroquine/antifolate-resistant P. falciparum malaria existed. Plasmodium vivax infections were treated with the recommended course of chloroquine in 58% of cases. Fifty per cent of patients with P. vivax infection were treated with primaquine, but only 57% of these received the dose recommended in the guidelines for the eradication of hypnozoites. Patterns of malaria treatment were basically similar in the malaria-receptive zone and elsewhere in Queensland, although P. falciparum infections in the receptive zone were treated according to the guidelines at a higher rate (32%) than in the rest of Queensland (13%). CONCLUSION: In 1992, many cases of malaria in Queensland were not treated according to the recommendations in the Australian malaria treatment guidelines. We suggest that improved distribution of simple but comprehensive guidelines for malaria treatment may assist medical practitioners in the provision of prompt, effective treatment, and help prevent the reestablishment of endemic malaria in Australia.


Assuntos
Antimaláricos/uso terapêutico , Malária/terapia , Guias de Prática Clínica como Assunto , Adolescente , Adulto , Idoso , Criança , Pré-Escolar , Humanos , Lactente , Malária/epidemiologia , Malária/prevenção & controle , Malária Falciparum/epidemiologia , Malária Falciparum/terapia , Malária Vivax/epidemiologia , Malária Vivax/terapia , Pessoa de Meia-Idade , Queensland/epidemiologia
18.
J Viral Hepat ; 5(4): 277-83, 1998 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-9751015

RESUMO

In September 1997, a multicentre outbreak of hepatitis A virus (HAV) infection occurred in the Queensland prison system following a prolonged community-based HAV epidemic among illicit drug users. As part of the public health response, a cross-sectional survey was undertaken to estimate the sero-prevalence of, and identify the determinants for, recent and past HAV infection among the incoming male prisoner population. Exposure data were collected through face-to-face interviews with 214 consenting inmates, whose sera were screened for immunoglobulin G (IgG) and immunoglobulin M (IgM) antibodies to HAV. Overall, 81 (37.9%) inmates were HAV-IgG seropositive, and four inmates were HAV-IgM seropositive, HAV-IgG seropositivity was strongly associated with year of birth (age) (Ptrend < 0.0001), being born outside Australia (relative risk (RR) 1.9, 95% CI 1.4-2.7) and being of a non-English speaking background (RR 2.5, 95% CI 1.7-3.7). Lifestyle exposures (such as occupation, overseas travel and illict drug use) were not associated with an increased risk of HAV-IgG seropositivity. In contrast, all four HAV-IgM seropositive inmates were English-speaking, Australian-born males who used illicit drugs. These findings suggest that the risk factors for recent and past HAV infections among prisoners differ, with implications for HAV control in correctional settings. Strategies for HAV prevention, including routine screening of inmates and vaccination of susceptibles, are considered in the context of current models of disease transmission.


Assuntos
Hepatite A/sangue , Anticorpos Anti-Hepatite/sangue , Hepatovirus/imunologia , Prisioneiros , Adulto , Fatores Etários , Estudos Transversais , Hepatite A/epidemiologia , Hepatite A/imunologia , Anticorpos Anti-Hepatite A , Humanos , Masculino , Pessoa de Meia-Idade , Prevalência , Estudos Prospectivos , Saúde Pública , Queensland/epidemiologia , Fatores de Risco
19.
Intern Med J ; 34(8): 464-8, 2004 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-15317544

RESUMO

AIM: The aim of this paper is to describe the risk factors for invasive meningococcal disease (IMD) in southern Queensland. METHODS: A case control study during the calendar years 2000-2001 was undertaken. RESULTS: Eighty-four laboratory-confirmed cases of IMD were notified. Four patients died and were excluded from the present study. Sixty-two (78%) eligible cases and 79 controls selected from the same age group and medical practice as cases, were interviewed. Univariate analysis found that IMD was associated with sharing bedrooms with two or more people (odds ratio (OR) 4.3; 95% confidence interval (CI) 1.2-17.0, P = 0.01), any exposure to tobacco smoke (smoker or passive exposure; OR 2.3; 95% CI 1.1-4.8, P = 0.02), passive exposure to tobacco smoke (OR 2.4; 95% CI 1.0-5.6, P = 0.03) and recent upper respiratory tract infection (OR 1.9, 95% CI 0.9-4.1, P = 0.06). Children who were breast-fed were less likely to develop IMD (OR 0.3; 95% CI 0.1-1.1, P = 0.04). Attendance at a childcare centre was not associated with an increased risk of IMD. In multivariate analysis, IMD was associated with children under 6 years of age who shared a bedroom with two or more people (OR 7.4; 95% CI 1.5-36.1, P = 0.01) or who had a primary carer who smoked (OR 9.1; 95% CI 2.1-39.9, P = 0.003). DISCUSSION: This is the second Australian study that identifies links between risk of IMD and exposure to cigarette smoke. The risk of IMD in young children could be further reduced if primary caregivers did not smoke. This information may contribute a new perspective to antismoking campaigns.


Assuntos
Infecções Meningocócicas/epidemiologia , Neisseria meningitidis/isolamento & purificação , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Estudos de Casos e Controles , Criança , Pré-Escolar , Feminino , Humanos , Lactente , Recém-Nascido , Modelos Logísticos , Masculino , Infecções Meningocócicas/diagnóstico , Pessoa de Meia-Idade , Razão de Chances , Queensland/epidemiologia , Fatores de Risco , Fumar
20.
Commun Dis Intell Q Rep ; 25(4): 281-2, 2001 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-11806667

RESUMO

We describe our experience with a hotline which was set up to deal with enquiries relating to a secondary school mass vaccination campaign against meningococcal disease. Three thousand, three hundred calls were received over 6 days, mostly from the general public but also from contacts of the school and health practitioners. The hotline served as an important means of providing consistent advice and reassurance to the public and reduced the burden of calls to hospitals and public health units.


Assuntos
Linhas Diretas , Programas de Imunização , Infecções Meningocócicas/prevenção & controle , Vacinas Meningocócicas/administração & dosagem , Austrália/epidemiologia , Criança , Humanos , Infecções Meningocócicas/epidemiologia , Prática de Saúde Pública , Serviços de Saúde Escolar
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