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1.
J Sci Med Sport ; 26(11): 566-573, 2023 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-37777396

RESUMO

OBJECTIVES: To assess how biomarkers indicating central nervous system insult (neurobiomarkers) vary in peripheral blood with exertional-heat stress from prolonged endurance exercise. DESIGN: Observational study of changes in neuron specific enolase (NSE), S100 calcium-binding protein B (S100ß), Glial Fibrillary Acid Protein (GFAP) and Ubiquitin carboxyl-terminal hydrolase isozyme L1 (UCHL1) at Brighton Marathon 2022. METHODS: In 38 marathoners with in-race core temperature (Tc) monitoring, exposure (High, Intermediate or Low) was classified by cumulative hyperthermia - calculated as area under curve of Time × Tc > 38 °C - and also by running duration (finishing time). Blood was sampled for neurobiomarkers, cortisol and fluid-regulatory stress surrogates, including copeptin and creatinine (at rested baseline; within 30 min of finishing; and at 24 h). RESULTS: Finishing in 236 ±â€¯40 min, runners showed stable GFAP and UCH-L1 across the marathon and next-day. Significant (P < 0.05) increases from baseline were shown post-marathon and at 24 h for S100ß (8.52 [3.65, 22.95] vs 39.0 [26.48, 52.33] vs 80.3 [49.1, 99.7] ng·L-1) and post-marathon only for NSE (3.73 [3.30, 4.32] vs 4.85 [4.45, 5.80] µg·L-1, P < 0.0001). Whilst differential response to hyperthermia was observed for cortisol, copeptin and creatinine, neurobiomarker responses did not vary. Post-marathon, only NSE differed by exercise duration (High vs Low, 5.81 ±â€¯1.77 vs. 4.69 ±â€¯0.73 µg·L-1, adjusted P = 0.0358). CONCLUSIONS: Successful marathon performance did not associate with evidence for substantial neuronal insult. To account for variation in neurobiomarkers with prolonged endurance exercise, factors additional to hyperthermia, such as exercise duration and intensity, should be further investigated.


Assuntos
Temperatura Corporal , Corrida , Humanos , Corrida de Maratona , Creatinina , Hidrocortisona , Corrida/fisiologia , Biomarcadores
2.
Cephalalgia ; 31(13): 1359-67, 2011 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-21914734

RESUMO

OBJECTIVE: To assess validity of a self-administered web-based migraine-questionnaire in diagnosing migraine aura for the use of epidemiological and genetic studies. METHODS: Self-reported migraineurs enrolled via the LUMINA website and completed a web-based questionnaire on headache and aura symptoms, after fulfilling screening criteria. Diagnoses were calculated using an algorithm based on the International Classification of Headache Disorders (ICHD-2), and semi-structured telephone-interviews were performed for final diagnoses. Logistic regression generated a prediction rule for aura. Algorithm-based diagnoses and predicted diagnoses were subsequently compared to the interview-derived diagnoses. RESULTS: In 1 year, we recruited 2397 migraineurs, of which 1067 were included in the validation. A seven-question subset provided higher sensitivity (86% vs. 45%), slightly lower specificity (75% vs. 95%), and similar positive predictive value (86% vs. 88%) in assessing aura when comparing with the ICHD-2-based algorithm. CONCLUSIONS: This questionnaire is accurate and reliable in diagnosing migraine aura among self-reported migraineurs and enables detection of more aura cases with low false-positive rate.


Assuntos
Internet , Enxaqueca com Aura/diagnóstico , Seleção de Pacientes , Inquéritos e Questionários , Adolescente , Adulto , Idoso , Algoritmos , Área Sob a Curva , Estudos de Coortes , Feminino , Humanos , Classificação Internacional de Doenças , Entrevistas como Assunto , Masculino , Pessoa de Meia-Idade , Modelos Teóricos , Países Baixos , Valor Preditivo dos Testes , Curva ROC , Reprodutibilidade dos Testes , Estudos de Amostragem , Autorrelato , Adulto Jovem
3.
Int J Nurs Stud ; 113: 103774, 2021 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-33080480

RESUMO

BACKGROUND: Venous leg ulcers are the most common chronic wound seen in Australian primary care. Healing outcomes are protracted due to suboptimal use of clinical practice guideline recommendations. A better understanding of the differences between patients and clinicians may optimise management in primary care and improve healing and health outcomes for patients and healthcare spend in society. OBJECTIVE: We explored venous leg ulcer management from patients' and primary care clinicians' perspective, including assessment, diagnosis, treatment, referral, and health education as outlined in the clinical practice guidelines. DESIGN: We conducted a qualitative secondary analysis of data obtained from the qualitative face-to-face and telephone interviews with the primary care clinicians and telephone interviews with patients with venous leg ulcers. SETTING: Clinicians were recruited from urban and rural primary health practices across Victoria, Australia. Patients were recruited from two specialist care wound clinics in Victoria. PARTICIPANTS: We analysed data from interviews with 66 participants, including 31 patients with venous leg ulcers, 15 general practitioners and 20 practice nurses. METHODS: Secondary analysis of qualitative data was carried out using thematic analysis. Interview transcripts were coded and analysed for common themes. RESULTS: We found patients and clinicians reported differing perspectives related to venous leg ulcer management. Patients reported the need for earlier referral to specialist wound care clinics from primary care, emphasizing the need for vascular assessment and compression therapy. Clinicians discussed clinical judgements about when to refer rather than follow guideline recommendations. Clinicians frequently discussed managing venous leg ulcers using only topical dressing treatments, without compression therapy. Patients reported inadequate pain management for wound pain. Meanwhile, clinicians reported that they generally did not discuss wound pain management as part of overall venous leg ulcer management. Clinicians reported patients lacked an understanding about the role of compression in management of and subsequent healing outcomes. Patients stated they wanted more information about how to care for venous leg ulcers and how best to prevent recurrence, and needed more information than was already provided by clinicians. Conversely, clinicians reported less information is given to ensure patients were not overwhelmed with health information. CONCLUSION: There are discrepancies between what patients want and what clinicians do. These data suggest that patients' preferences are aligned with venous leg ulcer clinical practice guideline recommendations. Greater awareness of the guidelines by health professional may not only reduce discrepancies they may improve health and healing outcomes. Tweetable abstract: Patients and primary care clinicians have different perspectives about venous leg ulcer management.


Assuntos
Úlcera da Perna , Úlcera Varicosa , Bandagens , Humanos , Úlcera da Perna/terapia , Atenção Primária à Saúde , Úlcera Varicosa/terapia , Vitória , Cicatrização
4.
Syst Rev ; 10(1): 148, 2021 05 12.
Artigo em Inglês | MEDLINE | ID: mdl-33980324

RESUMO

BACKGROUND: Venous leg ulcers (VLUs) are chronic wounds characterized by slow healing and high recurrence. Information on prevalence and incidence is essential for ascertaining the burden of VLU on the health care system and to inform epidemiological research, priority setting, and health care planning. The objective of this protocol is to present a transparent process for how we plan to review the existing international literature on the prevalence and incidence of VLU as well as the characteristics of the population reported within these studies. METHODS: An exploratory search was performed using MEDLINE via PubMed and CINHAL via Ebsco to identify concepts, keywords, MeSH terms, and headings to identify study types looking at data of VLU prevalence and/or incidence and related patient characteristics. The findings of this exploratory search will determine the final search strategy. The titles and abstracts of the identified articles will be screened independently be two authors for relevance. Study which pass the quality assessment will be included. Data extraction will be performed independently by two authors and in accordance with a pre-designed data extraction form. If the data allows, a meta-analysis will be performed otherwise a descriptive summary of the findings will be conducted. DISCUSSION: The results of this review will contribute to the evidence base on VLU occurrence and may inform the decision making of healthcare professionals, policy-makers, and consumers. It will also inform future research in this area of VLU care. SYSTEMATIC REVIEW REGISTRATION: PROSPERO CRD42020205855.


Assuntos
Úlcera Varicosa , Estudos Epidemiológicos , Humanos , Incidência , Metanálise como Assunto , Prevalência , Revisões Sistemáticas como Assunto , Úlcera Varicosa/epidemiologia , Cicatrização
5.
BMJ Open ; 11(5): e044604, 2021 05 11.
Artigo em Inglês | MEDLINE | ID: mdl-33980525

RESUMO

INTRODUCTION: Chronic venous leg ulcer (VLU) healing is a complex clinical problem. It requires intervention from skilled, costly, multidisciplinary wound-care teams, working with patients to manage their care. Compression therapy has been shown to help heal venous ulcers and to reduce recurrence, with some evidence suggesting the value of exercise as well. These activities require health education and health literacy (HL) as patients must process, understand and consistently apply health information for successful self-management. Research suggests that those most vulnerable to VLUs also tend to have limited HL, but there have been no reviews examining the state of HL in patients with previous or active VLUs. This scoping review aims to examine the level of HL in VLU patients and how HL may link to self-management behaviours (particularly exercise and compression adherence), and their VLU healing generally. METHODS AND ANALYSIS: We will use Preferred Reporting Items for Systematic Reviews and Meta-Analyses Scoping Review guidelines and the Levac methodology framework to explore eligible papers that examine the effect of HL on their exercise and compression adherence. Electronic databases will be searched (MEDLINE, EMBASE, the Cochrane Library, PsycInfo and Health, OpenGray), examining for all papers on these subjects published between 2000 and 2020. All studies describing compression and or exercise during VLU management will be included. Study characteristics will be recorded; qualitative data will be extracted and evaluated. Quantitative data will be extracted and summarised. ETHICS AND DISSEMINATION: We will disseminate results through peer-reviewed publications. We will use data (ie, journal articles) from publicly available platforms; so, this study does not require ethical review. The consultation step will be carried out with patients, carers and health professionals as part of an established wound consumer group.


Assuntos
Letramento em Saúde , Úlcera Varicosa , Exercício Físico , Humanos , Recidiva , Literatura de Revisão como Assunto , Revisões Sistemáticas como Assunto , Úlcera Varicosa/terapia , Cicatrização
6.
J Wound Care ; 19(8): 347-53, 2010 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-20852507

RESUMO

There is a growing need to add to the evidence base in wound care. Randomised controlled trials (RCTs) are one methodological approach for this. The CONSORT statement, which provides guidance on how to conduct a rigorous RCT, was updated earlier this year. Implementation of the Consort statement will clarify to the reader what exactly was done in the RCT, to whom and when. In this way, practitioners and health-care providers can determine its validity. The Consort statement has the potential to play a crucial role in influencing the quality of research and clinical practice, and so to improve wound care. The benefits of Consort 2010 are clear; the challenge is for clinicians and researchers to use it.


Assuntos
Guias como Assunto , Ensaios Clínicos Controlados Aleatórios como Assunto , Projetos de Pesquisa/normas , Ferimentos e Lesões/terapia , Viés , Lista de Checagem , Interpretação Estatística de Dados , Políticas Editoriais , Prática Clínica Baseada em Evidências , Humanos , Avaliação de Resultados em Cuidados de Saúde , Publicações Periódicas como Assunto/normas , Editoração/normas , Qualidade da Assistência à Saúde , Ensaios Clínicos Controlados Aleatórios como Assunto/métodos , Ensaios Clínicos Controlados Aleatórios como Assunto/normas , Tamanho da Amostra , Meias de Compressão/normas
7.
J Wound Care ; 19(10): 417, 420-3, 2010 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-20948489

RESUMO

OBJECTIVE: To estimate the difference between mean interface sub-bandage pressures of two multilayer compression bandage systems in healthy volunteers when supine, standing, exercising and during recovery. METHOD: Inelastic and elastic compression bandages were randomised to opposite limbs of each participant. Sub-bandage interface pressures for both bandages were compared within person. Participants and study staff were aware of the treatment. A pressure transducer measured sub-bandage pressures on the medial aspect of the lower leg, at the transition of the gastrocnemius muscle into the Achilles tendon (B1). The difference in interface pressure for the two different compression bandages was measured at level B1 during supine resting, standing, exercise and recovery. We defined the pressure difference between active standing and lying as a measure of stiffness, and amplitude as the range of pressures during plantar flexion while standing. The two bandage systems (inelastic and elastic) were applied from the base of the toes to just below knee and remained in place for the duration of the experiment. Elastic bandage consisted of three layers of graduated tubular bandage (83% cotton, 9% Lycra, 8% polyamide). Inelastic or short-stretch bandage consisted of 100% cotton crepe bandage. RESULTS: Interface sub-bandage pressures varied during different activities, but the mean difference in interface pressures between inelastic and elastic bandages was consistently at least 13 mm Hg. Stiffness was 7.3 mm Hg higher in the inelastic group (95% CI 5.1-9.5). The estimated difference in amplitude of sub-bandage pressure between the bandages during exercise was 15.5 mm Hg (95% CI 12.2-18.9). CONCLUSION: We found in vivo interface sub-bandage pressures varied with the type of bandage and activity phase. Inelastic bandages resulted in an increased mean interface sub-bandage pressure when resting and recovering, which was further increased when standing or exercising. Bandage stiffness and amplitude were also greater for inelastic compared with elastic bandages. CONFLICT OF INTEREST: None.


Assuntos
Elasticidade , Pressão , Meias de Compressão/normas , Adulto , Idoso , Elasticidade/fisiologia , Desenho de Equipamento , Exercício Físico/fisiologia , Feminino , Humanos , Masculino , Teste de Materiais , Pessoa de Meia-Idade , Pressão/efeitos adversos , Descanso/fisiologia , Caracteres Sexuais , Meias de Compressão/efeitos adversos , Decúbito Dorsal/fisiologia
8.
Int J Nurs Stud ; 103: 103503, 2020 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-31931442

RESUMO

BACKGROUND: Venous leg ulcers represent the most common chronic wound problem managed in Australian primary care. Despite the prevalence of the condition, there is an evidence-practice gap in both diagnosis and management of venous leg ulcers. OBJECTIVE: We used the Theoretical Domains Framework to identify barriers and enablers perceived by primary care practitioners in implementing venous leg ulcer guidelines in clinical practice. DESIGN: We collected data to explore the experiences of practice nurses and general practitioners related to their use of clinical practice guidelines in management of venous leg ulcers. SETTING(S): We recruited participants from primary care settings located in metropolitan and rural areas across Victoria, Australia. PARTICIPANTS: We recruited general practitioners (15) and practice nurses (20). METHODS: We conducted 35 semi-structured face-to-face and telephone interviews. Content analysis of health practitioners' statements was performed and barriers to implementing clinical practice guidelines were mapped across the Theoretical Domains Framework theoretical domains. RESULTS: Six main domains from the Theoretical Domains Framework (Environmental context and resources, Knowledge, Skills, Social influences, Social/Professional Role and Identity and Belief about Capabilities) best explained these barriers and enablers. Many participants were not aware of venous leg ulcer clinical practice guidelines. Those that were aware, stated that finding and accessing guidelines was challenging and most participants relied on other sources of information. Venous leg ulcer management was greatly influenced by professional experience and suggestions from colleagues. Other barriers included busy clinical practice, absence of handheld Doppler ultrasonography, insufficient skills and a lack of confidence related to the use of technology to rule out arterial involvement prior to compression application, a particular skill related to venous leg ulcer management that will impact on healing outcomes. CONCLUSIONS: We identified a number of barriers and the lack of enablers that influence the uptake of venous leg ulcer clinical practice guidelines in primary care. This paper adds a theoretically sound, systematic approach for understanding and addressing the behaviour change required to improve translation of venous leg ulcer clinical practice guidelines in clinical practice. Tweetable abstract: The need to optimise venous leg ulcer clinical practice guidelines (CPG) has never been greater as the current estimate of health cost is AUD3billion and increasing due to rising epidemics of diabetes and obesity. We found most primary care health practitioners are unaware of CPG and this will impact on health and healing outcomes in Australian primary care.


Assuntos
Perna (Membro)/irrigação sanguínea , Guias de Prática Clínica como Assunto , Úlcera Varicosa/terapia , Austrália , Feminino , Humanos , Masculino , Úlcera Varicosa/diagnóstico
9.
Midwifery ; 90: 102818, 2020 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-32827841

RESUMO

OBJECTIVE: To critically appraise and synthesize the best available evidence on the effectiveness of massage to reduce antenatal women's anxiety and/ or depression. DESIGN: Systematic review with meta-analysis PARTICIPANTS, INTERVENTIONS: Pregnant women over the age of 18 years who receive massage interventions. MEASUREMENTS AND FINDINGS: Eight studies were included in the review; seven were randomized controlled trials. Data were collected via pregnant women's self-reported ratings of anxiety or depression using validated tools. Meta-analysis of four studies revealed a moderate effect of massage therapy on women's depressive symptoms as measured by the Center for Epidemiologic Studies Depression Scale (CES-D) (MD = -5.95, 95%CI = -8.11 to -3.80, I2 = 0%) compared with usual care. A moderate effect of massage interventions on women's anxiety were also found based on five studies using various measures (SMD = -0.59, 95%CI = -1.06 to -0.12, I2 = 75%) when compared with usual care. However, none of the trials had a low risk of bias. KEY CONCLUSIONS: Non-pharmacologic treatments for mental health symptoms are an important option for women to use during pregnancy. As shown in meta-analysed data, massage therapy might be more effective in reducing pregnant women's anxiety and depression than usual care, although the current results may be prone to bias. Further high-quality research is required to fully evaluate the impact of massage therapy on pregnant women's mental health symptoms in the immediate and also longer term. IMPLICATIONS FOR PRACTICE: Massage therapy may be an acceptable and feasible approach for pregnant women to employ to reduce their anxiety and depressive symptoms. More research evidence examining the safety and effectiveness of massage is required before practice recommendations can be made.


Assuntos
Ansiedade/terapia , Depressão/terapia , Massagem/normas , Gestantes/psicologia , Adulto , Ansiedade/psicologia , Depressão/psicologia , Feminino , Humanos , Massagem/métodos , Pessoa de Meia-Idade , Gravidez
10.
Vis Neurosci ; 26(2): 215-26, 2009.
Artigo em Inglês | MEDLINE | ID: mdl-19439107

RESUMO

The visual system of birds includes an efferent projection from a visual area, the isthmo-optic nucleus in the midbrain, back to the retina. Using a combination of anterograde labeling of efferent fibers, reconstruction of dye-filled neurons, NADPH-diaphorase staining, and transmission electron microscopy, we have examined the distribution of efferent fibers and their synaptic structures in the chicken retina. We show that efferent fibers terminate strictly within the ventral retina. In two completely mapped retinas, only 2 fibers from a total of 15,359 terminated in the dorsal retina. The major synapse made by each efferent fiber is with a single efferent target amacrine cell (TC). This synapse consists of 5-25 boutons of 2 microm diameter, each with multiple active zones, pressed into the TC soma or synapsing with a basketwork of rudimentary TC dendrites in the inner nuclear layer (INL). This basketwork, which is sheathed by Muller cell processes, defines a private neuropil in the INL within which TCs were also seen to receive input from retinal neurons. In addition to the major synapse, efferent fibers typically produce several very thin processes that terminate nearby in single small boutons and for which the soma of a local amacrine cell is one of the likely postsynaptic partners. A minority of efferent fibers also give rise to a thicker process, terminating in a strongly diaphorase-positive ball about 5 microm in diameter.


Assuntos
Neurônios Eferentes/ultraestrutura , Retina/ultraestrutura , Sinapses/ultraestrutura , Células Amácrinas/metabolismo , Células Amácrinas/ultraestrutura , Animais , Contagem de Células , Galinhas , Dendritos/ultraestrutura , Dextranos , Corantes Fluorescentes , Isoquinolinas , Microscopia de Fluorescência , NADPH Desidrogenase/biossíntese , Neurônios Eferentes/metabolismo , Neurópilo/ultraestrutura , Retina/metabolismo , Rodaminas , Coloração e Rotulagem
12.
Novartis Found Symp ; 279: 142-50; discussion 151-4, 216-9, 2006.
Artigo em Inglês | MEDLINE | ID: mdl-17278392

RESUMO

Mast cells are tissue-resident cells that are localized particularly in the skin, gastrointestinal tract and respiratory tract. They are mainly recognised for their role in adaptive immunity and allergy where cross-linking of surface-bound IgE results in acute mediator release giving early symptoms, and cytokine production contributing to chronic changes. The mast cell is now also increasingly recognized for its role in innate immunity conferred by its repertoire of complement and Toll receptors. Thus, mast cell deletion has been shown to suppress certain innate immune responses in murine models. Our interest is in the mechanisms involved in population of tissues by mast cells, particularly the airways. Mast cells are released from the bone marrow into the blood as committed precursors. These cells circulate in very low numbers and accumulate in tissues where they proliferate and mature under the influence of local cytokines and growth factors that define the mature phenotype appropriate for their location. Chemoattraction is important at critical phases in the life history of the mast cell, i.e. movement towards and through the bone marrow sinus endothelium, recruitment to tissues and movement within the tissues to the location of the mature cell. These phases are dependent on chemoattractants generated at specific locations acting on cell surface receptors whose repertoire evolves as the mast cell matures.


Assuntos
Pulmão/citologia , Pulmão/imunologia , Mastócitos/citologia , Mastócitos/imunologia , Animais , Humanos
13.
Methods Enzymol ; 574: 149-165, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-27423861

RESUMO

The density and diversity of posttranslational modifications (PTMs) observed in histone proteins typically limit their purification to homogeneity from biological sources. Access to quantities of uniformly modified histones is, however, critical for investigating the downstream effects of histone PTMs on chromatin-templated processes. Therefore, a number of semisynthetic methodologies have been developed to generate histones bearing precisely defined PTMs or close analogs thereof. In this chapter, we present two optimized and rapid strategies for generating functional analogs of site-specifically acetylated and sumoylated histones. First, we describe a convergent strategy to site-specifically attach the small ubiquitin-like modifier-3 (SUMO-3) protein to the site of Lys12 in histone H4 by means of a disulfide linkage. We then describe the generation of thialysine analogs of histone H3 acetylated at Lys14 or Lys56, using thiol-ene coupling chemistry. Both strategies afford multimilligram quantities of uniformly modified histones that are easily incorporated into mononucleosomes and nucleosome arrays for biophysical and biochemical investigations. These methods are readily extendable to any desired sites in the four core nucleosomal histones and their variant forms.


Assuntos
Histonas/química , Processamento de Proteína Pós-Traducional , Proteínas Modificadoras Pequenas Relacionadas à Ubiquitina/química , Acetilação , Animais , Clonagem Molecular/métodos , Cisteína/análogos & derivados , Cisteína/química , Dissulfetos/química , Histonas/genética , Humanos , Lisina/análogos & derivados , Lisina/química , Modelos Moleculares , Mutagênese Sítio-Dirigida/métodos , Proteínas Recombinantes/química , Proteínas Recombinantes/genética , Proteínas Modificadoras Pequenas Relacionadas à Ubiquitina/genética , Sumoilação , Ubiquitinas/síntese química , Ubiquitinas/química , Ubiquitinas/genética
14.
Int J Food Microbiol ; 101(2): 123-44, 2005 May 25.
Artigo em Inglês | MEDLINE | ID: mdl-15862875

RESUMO

Numerous small meat processors in the United States have difficulties complying with the stabilization performance standards for preventing growth of Clostridium perfringens by 1 log10 cycle during cooling of ready-to-eat (RTE) products. These standards were established by the Food Safety and Inspection Service (FSIS) of the US Department of Agriculture in 1999. In recent years, several attempts have been made to develop predictive models for growth of C. perfringens within the range of cooling temperatures included in the FSIS standards. Those studies mainly focused on microbiological aspects, using hypothesized cooling rates. Conversely, studies dealing with heat transfer models to predict cooling rates in meat products do not address microbial growth. Integration of heat transfer relationships with C. perfringens growth relationships during cooling of meat products has been very limited. Therefore, a computer simulation scheme was developed to analyze heat transfer phenomena and temperature-dependent C. perfringens growth during cooling of cooked boneless cured ham. The temperature history of ham was predicted using a finite element heat diffusion model. Validation of heat transfer predictions used experimental data collected in commercial meat-processing facilities. For C. perfringens growth, a dynamic model was developed using Baranyi's nonautonomous differential equation. The bacterium's growth model was integrated into the computer program using predicted temperature histories as input values. For cooling cooked hams from 66.6 degrees C to 4.4 degrees C using forced air, the maximum deviation between predicted and experimental core temperature data was 2.54 degrees C. Predicted C. perfringens growth curves obtained from dynamic modeling showed good agreement with validated results for three different cooling scenarios. Mean absolute values of relative errors were below 6%, and deviations between predicted and experimental cell counts were within 0.37 log10 CFU/g. For a cooling process which was in exact compliance with the FSIS stabilization performance standards, a mean net growth of 1.37 log10 CFU/g was predicted. This study introduced the combination of engineering modeling and microbiological modeling as a useful quantitative tool for general food safety applications, such as risk assessment and hazard analysis and critical control points (HACCP) plans.


Assuntos
Clostridium perfringens/crescimento & desenvolvimento , Manipulação de Alimentos/métodos , Produtos da Carne/microbiologia , Modelos Biológicos , Temperatura , Animais , Simulação por Computador , Qualidade de Produtos para o Consumidor , Análise de Elementos Finitos , Microbiologia de Alimentos , Temperatura Alta , Matemática , Valor Preditivo dos Testes , Medição de Risco , Células-Tronco , Suínos
15.
Aliment Pharmacol Ther ; 14(9): 1199-205, 2000 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-10971237

RESUMO

BACKGROUND: Parkinsonism is associated with prodromal peptic ulceration. Dopamine antagonists provoke experimental ulcer, dopaminergic agents protect, and might inhibit growth of Helicobacter pylori. OBJECTIVE: To describe the relationship between H. pylori serology and parkinsonism. METHODS: Serum H. pylori anti-urease-IgG antibody was measured in 105 people with (idiopathic) parkinsonism, 210 without, from same locality. None had received specific eradication therapy. RESULTS: Controls showed a birth-cohort effect: antibody titre rose from 30 to 90 years (P < 0. 001). Parkinsonism obliterated this (disease status. age interaction, P < 0.05), the differential age trend not being attributable to social class. Those with diagnosed parkinsonism were more likely to be seropositive (odds ratio 2.04 (95% CI: 1.04, 4.22) P < 0.04) before 72.5 years. Overall, titre fell (P=0.01) by 5 (1, 9)% per unit increase in a global, 30-point rating (median 14 (interquartile range 10.5, 17)) of disease severity. No individual category of anti-parkinsonian medication (92% taking) had a differential lowering effect. CONCLUSIONS: Higher prevalence of seropositivity in parkinsonism, before 8th decade, may be due to host susceptibility/reaction, or, conversely, infection with particular H. pylori strain(s) lowering dopaminergic status. Absence of a birth cohort effect in parkinsonism, despite similar social class representation, may be consequent on eradication, spontaneous (gastric atrophy) or by anti-parkinsonian medication.


Assuntos
Anticorpos Antibacterianos/sangue , Helicobacter pylori/imunologia , Doença de Parkinson/microbiologia , Adulto , Distribuição por Idade , Idoso , Idoso de 80 Anos ou mais , Estudos de Casos e Controles , Ensaio de Imunoadsorção Enzimática , Feminino , Humanos , Imunoglobulina G/sangue , Masculino , Pessoa de Meia-Idade , Modelos Estatísticos , Doença de Parkinson/sangue , Testes Sorológicos , Classe Social , Urease/imunologia
16.
Addiction ; 95(4): 601-12, 2000 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-10829335

RESUMO

AIMS: The treatment outcome of drug-abusing adolescents treated with a 12-Step approach. DESIGN: The study compares drug use outcome data at 6 and 12 months post-treatment among three groups of adolescents: those who completed treatment, those who did not and those on a waiting list. Also, among treatment completers, residential and outpatient samples were compared on outcome. SETTING: The treatment site is located in the Minneapolis/St Paul area of Minnesota. PARTICIPANTS: Two hundred and forty-five drug clinic-referred adolescents (12-18 years old), all of whom met at least one DSM-III-R substance dependence disorder. One hundred and seventy-nine subjects received either complete or incomplete 12-Step, Minnesota Model treatment and 66 were waiting list subjects. MEASUREMENTS: In addition to demographics and clinical background variables, measures included treatment involvement, treatment setting and drug use frequency at intake and follow-up. FINDINGS: Absolute and relative outcome analyses indicated that completing treatment was associated with far superior outcome compared to those who did not complete treatment or receive any at all. The percentage of treatment completers who reported either abstinence or a minor lapse for the 12 months following treatment was 53%, compared to 15 and 28% for the incompleter and waiting list groups, respectively. CONCLUSIONS: Favorable treatment outcome for drug abuse was about two to three times more likely if treatment was completed. Also, there were no outcome differences between residential and outpatient groups. Alcohol was the most common drug used during the follow-up period, despite cannabis being the preferred drug at intake.


Assuntos
Transtornos Relacionados ao Uso de Substâncias/reabilitação , Adolescente , Alcoolismo/reabilitação , Alcoolismo/urina , Assistência Ambulatorial , Criança , Terapia Familiar/métodos , Feminino , Humanos , Masculino , Abuso de Maconha/reabilitação , Abuso de Maconha/urina , Minnesota , Psicoterapia de Grupo/métodos , Tratamento Domiciliar , Centros de Tratamento de Abuso de Substâncias , Resultado do Tratamento
17.
J Infect ; 41(3): 240-4, 2000 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-11120611

RESUMO

OBJECTIVE: To determine whether Helicobacter pylori infection is associated with premature immune ageing, with respect to circulating immunoglobulins. METHODS: Serum immunoglobulin classes and H. pylori anti-urease antibody were measured in 205 subjects (aged 30-89 years), obeying inclusion/exclusion criteria. RESULTS: IgM decreased (P<0.001) by 0.9 (95% C.I. 0.3, 1.4)% per year, H. pylori seropositivity having an effect equivalent to 25 years of ageing (P<0.02). IgA increased by 0.5 (0.1, 0.8)% per year (P<0.007), IgG being unaffected by age. Seropositivity had no effect on IgA or IgG. CONCLUSIONS: Increasing age and H. pylori seropositivity are each associated with a downward shift in circulating IgM. If clinical extrapolation is justified, H. pylori eradication may be important in combating susceptibility to infection in old age.


Assuntos
Envelhecimento/imunologia , Anticorpos Antibacterianos/sangue , Infecções por Helicobacter/imunologia , Helicobacter pylori/imunologia , Imunoglobulina M/sangue , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Imunoglobulina A/sangue , Imunoglobulina G/sangue , Masculino , Pessoa de Meia-Idade
18.
Early Hum Dev ; 11(2): 179-90, 1985 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-4029054

RESUMO

In a first experiment a miniaturised radio hydrophone was implanted inside the amniotic sac in three pregnant ewes and recordings were made from 3 weeks before the lambs were born until they had emerged; these recordings showed that the sound of the mother's voice was slightly louder when picked up by the hydrophone inside the amniotic sac than when picked up by a microphone beside her flank and that sounds recorded during labour included long and loud low frequency sounds associated with contractions, and an increase, compared with before labour, in the incidence of sounds produced by the maternal cardiovascular system and by breathing. Over the last 3 weeks of gestation the attenuation of sounds from outside the mother decreased at frequencies between 500 and 4000 Hz, but not below or above those frequencies. In a second experiment the bleats of 23 pregnant ewes were recorded; their lambs were taken at birth and tested with the sound of either their own mother's bleats, or with bleats from an alien ewe. Heart rate changes which occurred during playback of maternal and alien bleats differed significantly, but only on the occasion when each lamb heard its first bleat, postnatally.


Assuntos
Percepção Auditiva , Feto/fisiologia , Ovinos/embriologia , Som , Vocalização Animal , Animais , Percepção Auditiva/fisiologia , Feminino , Idade Gestacional , Frequência Cardíaca , Trabalho de Parto , Gravidez , Ovinos/fisiologia
19.
J Agric Food Chem ; 47(5): 2103-8, 1999 May.
Artigo em Inglês | MEDLINE | ID: mdl-10552503

RESUMO

Aqueous ethanol solutions prepared with commercial zein exhibited Newtonian behavior. Temperature, zein concentration, and ratio of water to ethanol affected viscosity of the zein solutions. The influence of temperature on zein solution viscosity was expressed by an Arrhenius-type equation. As zein concentration increased, solution viscosity exponentially increased. Generally speaking, viscosity decreased when the ethanol concentration increased. Parameters were estimated for an Arrhenius-type equation to describe the viscosity as a function of temperature, zein concentration, and ethanol concentration.


Assuntos
Zeína/química , Etanol , Cinética , Reologia , Soluções , Estresse Mecânico , Água
20.
J Agric Food Chem ; 48(10): 4937-41, 2000 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-11052759

RESUMO

Protein solubility (PS) values of different soy protein isolate (SPI) films were determined in water, 0.01 N HCl, 0.01 N NaOH, 4 M urea, and 0.2 M 2-mercaptoethanol. Tensile and color (L, a, and b values) properties of films also were determined. Control films were cast from heated (70 degrees C for 20 min), alkaline (pH 10) aqueous solutions of SPI (5 g/100 mL of water) and glycerin (50% w/w of SPI). Additional films were cast after incorporation of dialdehyde starch (DAS) at 10% w/w of SPI or small amounts of formaldehyde in the film-forming solutions. Also, control film samples were subjected to heat curing (90 degrees C for 24 h), UV radiation (51.8 J/m(2)), or adsorption of formaldehyde vapors. PS of control films was highest (P < 0.05) in 2-mercaptoethanol, confirming the importance of disulfide bonds in SPI film formation. All treatments were effective in reducing (P < 0.05) film PS in all solvents. Both DAS and adsorbed formaldehyde rendered the protein in films practically insoluble in all solvents. Adsorption of formaldehyde vapors and heat curing also substantially increased (P < 0.05) film tensile strength from 8.2 to 15.8 or 14.7 MPa, respectively. However, heat curing decreased (P < 0.05) film elongation at break from 30 to 6%. Most treatments had small but significant (P < 0.05) effects on b color values, with DAS-containing films having the greatest (P < 0. 05) mean b value (most yellowish). Also, DAS-containing, heat-cured, and UV-irradiated films were darker, as evidenced by their lower (P < 0.05) L values, than control films. It was demonstrated that PS of SPI films can be notably modified through chemical or physical treatments prior to or after casting.


Assuntos
Proteínas de Soja/química , Cor , Solubilidade , Proteínas de Soja/efeitos da radiação , Resistência à Tração
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