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1.
Conserv Biol ; 38(4): e14266, 2024 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-38578127

RESUMO

Survival of the immobile embryo in response to rising temperature is important to determine a species' vulnerability to climate change. However, the collective effects of 2 key thermal characteristics associated with climate change (i.e., rising average temperature and acute heat events) on embryonic survival remain largely unexplored. We used empirical measurements and niche modeling to investigate how chronic and acute heat stress independently and collectively influence the embryonic survival of lizards across latitudes. We collected and bred lizards from 5 latitudes and incubated their eggs across a range of temperatures to quantify population-specific responses to chronic and acute heat stress. Using an embryonic development model parameterized with measured embryonic heat tolerances, we further identified a collective impact of embryonic chronic and acute heat tolerances on embryonic survival. We also incorporated embryonic chronic and acute heat tolerance in hybrid species distribution models to determine species' range shifts under climate change. Embryos' tolerance of chronic heat (T-chronic) remained consistent across latitudes, whereas their tolerance of acute heat (T-acute) was higher at high latitudes than at low latitudes. Tolerance of acute heat exerted a more pronounced influence than tolerance of chronic heat. In species distribution models, climate change led to the most significant habitat loss for each population and species in its low-latitude distribution. Consequently, habitat for populations across all latitudes will shift toward high latitudes. Our study also highlights the importance of considering embryonic survival under chronic and acute heat stresses to predict species' vulnerability to climate change.


Efectos colectivos del aumento de las temperaturas promedio y los eventos de calor en embriones ovíparos Resumen La supervivencia de los embriones inmóviles en respuesta al incremento de temperatura es importante para determinar la vulnerabilidad de las especies al cambio climático. Sin embargo, los efectos colectivos de dos características térmicas claves asociadas con el cambio climático (i. e., aumento de temperatura promedio y eventos de calor agudo) sobre la supervivencia embrionaria permanecen en gran parte inexplorados. Utilizamos mediciones empíricas y modelos de nicho para investigar cómo el estrés térmico crónico y agudo influye de forma independiente y colectiva en la supervivencia embrionaria de los lagartos en todas las latitudes. Recolectamos y criamos lagartos de cinco latitudes e incubamos sus huevos en un rango de temperaturas para cuantificar las respuestas específicas de la población al estrés por calor crónico y agudo. Posteriormente, mediante un modelo de desarrollo embrionario parametrizado con mediciones de tolerancia embrionaria al calor, identificamos un impacto colectivo de las tolerancias embrionarias al calor agudo y crónico en la supervivencia embrionaria. También incorporamos la tolerancia embrionaria crónica y aguda al calor en modelos de distribución de especies híbridas para determinar los cambios de distribución de las especies bajo el cambio climático. La tolerancia embrionaria al calor crónico (T­crónico) permaneció constante, mientras que la tolerancia al calor agudo (T­agudo) fue mayor en latitudes altas que en latitudes bajas. La tolerancia al calor agudo ejerció una influencia más pronunciada que la tolerancia al calor crónico. En los modelos de distribución de especies, el cambio climático provocó la pérdida de hábitat más significativa para cada población y especie en su distribución de latitudes bajas. En consecuencia, el hábitat para poblaciones en todas las latitudes se desplazará a latitudes altas. Nuestro estudio también resalta la importancia de considerar la supervivencia embrionaria bajo estrés térmico crónico y agudo para predecir la vulnerabilidad de las especies al cambio climático.


Assuntos
Mudança Climática , Embrião não Mamífero , Temperatura Alta , Lagartos , Animais , Lagartos/fisiologia , Lagartos/embriologia , Embrião não Mamífero/fisiologia , Oviparidade , Feminino , Modelos Biológicos , Desenvolvimento Embrionário , Termotolerância
2.
Conserv Biol ; 38(4): e14243, 2024 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-38433373

RESUMO

Wildlife conservation depends on supportive social as well as biophysical conditions. Social identities such as hunter and nonhunter are often associated with different attitudes toward wildlife. However, it is unknown whether dynamics within and among these identity groups explain how attitudes form and why they differ. To investigate how social identities help shape wildlife-related attitudes and the implications for wildlife policy and conservation, we built a structural equation model with survey data from Montana (USA) residents (n = 1758) that tested how social identities affect the relationship between experiences with grizzly bears (Ursus arctos horribilis) and attitudes toward the species. Model results (r2 = 0.51) demonstrated that the hunter identity magnified the negative effect of vicarious property damage on attitudes toward grizzly bears (ß = -0.381, 95% confidence interval [CI]: -0.584 to -0.178, p < 0.001), which in turn strongly influenced acceptance (ß = -0.571, 95% CI: -0.611 to -0.531, p < 0.001). Our findings suggested that hunters' attitudes toward grizzly bears likely become more negative primarily because of in-group social interactions about negative experiences, and similar group dynamics may lead nonhunters to disregard the negative experiences that out-group members have with grizzly bears. Given the profound influence of social identity on human cognitions and behaviors in myriad contexts, the patterns we observed are likely important in a variety of wildlife conservation situations. To foster positive conservation outcomes and minimize polarization, management strategies should account for these identity-driven perceptions while prioritizing conflict prevention and promoting positive wildlife narratives within and among identity groups. This study illustrates the utility of social identity theory for explaining and influencing human-wildlife interactions.


La influencia de la identidad social sobre la actitud hacia la fauna Resumen La conservación de la fauna depende de condiciones de apoyo tanto sociales como biofísicas. La identidad social, como ser cazador o no, con frecuencia está asociada a las diferentes actitudes hacia la fauna. Sin embargo, no sabemos si las dinámicas dentro y entre estos grupos de identidad explican cómo las actitudes se forman y porqué son diferentes. Construimos un modelo de ecuación estructural con información de encuestas realizadas a 1,758 residentes de Montana (Estados Unidos) para conocer cómo la identidad social ayuda a formar la actitud relacionada con la fauna y las implicaciones que tiene para la conservación y políticas de fauna. El modelo analizó cómo la identidad social afecta la relación entre las experiencias con osos pardos (Ursus arctos horribilis) y la actitud hacia la especie. Los resultados del modelo (r2 = 0.51) demostraron que la identidad de cazador aumentaba el efecto negativo del daño indirecto a la propiedad sobre la actitud hacia los osos (ß=­0.381, 95% CI ­0.584 a ­0.178, p<0.001), lo cual en cambio tenía una gran influencia sobre la aceptación (ß=­0.571, 95% CI ­0.611 a ­0.531, p<0.001). Nuestros descubrimientos sugieren que la actitud de los cazadores hacia los osos probablemente se vuelve más negativa principalmente debido a las interacciones sociales del endogrupo en torno a las experiencias negativas; las dinámicas similares pueden llevar a los no cazadores a menospreciar las experiencias negativas que los miembros del exogrupo han tenido con los osos. Dada la influencia profunda que tiene la identidad social sobre la cognición humana y el comportamiento en una miríada de contextos, los patrones que observamos probablemente sean importantes en una variedad de situaciones de conservación de fauna. Para promover los resultados positivos de conservación y minimizar la polarización, las estrategias de manejo deberían considerar estas percepciones influenciadas por la identidad mientras se prioriza la prevención de conflictos y se promueven narrativas positivas de fauna dentro y entre los grupos de identidad. Este estudio demuestra la utilidad que tiene la teoría de identidad social para explicar e influenciar las interacciones humano­fauna.


Assuntos
Atitude , Conservação dos Recursos Naturais , Identificação Social , Ursidae , Animais , Ursidae/psicologia , Ursidae/fisiologia , Montana , Humanos , Animais Selvagens/psicologia
3.
Conserv Biol ; 37(2): e14003, 2023 04.
Artigo em Inglês | MEDLINE | ID: mdl-36098633

RESUMO

As conservation scholars increasingly recognize the critical role of human thought and behavior in determining the persistence of biodiversity across the globe, a growing line of inquiry regarding the validity and comparability of previous applications of core psychological concepts has emerged. Specifically, inconsistent measurement and use of terms, such as attitudes and acceptance, reveal important questions about previous approaches. Given that these concepts differ by definition, yet have been used interchangeably, we explored what drives differences in people's responses when each concept is operationalized in the context of a contested wildlife species, the gray wolf (Canis lupus). To do so, we used data from a 2014 survey of U.S. residents (n = 1287) to test how measures of six concepts (i.e., acceptance, attitudes, benefits, risks, [prior] behavior, and behavioral intentions) often employed in the conservation social sciences were related with a broad set of possible explanatory variables. Despite moderate to strong correlations between all concepts measured (| Pearson's r | = 0.39-0.65, p < 0.001), results revealed considerable variation in their respective relationships with identical explanatory variables. Specifically, although wildlife value orientation (i.e., domination or mutualism) operated fairly consistently across cognitive and behavioral concepts, the relationship between the six concepts and other factors, such as social trust, identification with various interest groups (i.e., hunter, farmer, or rancher, environmentalist, and animal rights advocate), and political ideology (i.e., liberal vs. conservative), varied considerably. Our findings underscore that differences exist in these measures, which could have serious implications for conservationists integrating social science findings in their decision-making processes if they are unaware of the theoretical underpinnings of and distinctions between core psychological concepts.


Efectos de la semántica en los estudios de tolerancia a los lobos Resumen Los académicos dedicados a la conservación reconocen cada vez más lo importantes que son el pensamiento y el comportamiento humano para definir la persistencia de la biodiversidad a nivel mundial, por lo que ha emergido una creciente línea de indagación con respecto a la validez y la comparabilidad de las aplicaciones previas de conceptos psicológicos fundamentales. Más específicamente, las medidas incompatibles y el uso de términos como actitudes y aceptación revelan preguntas importantes sobre las estrategias anteriores. Ya que estos conceptos difieren por definición y aun así se han usado indistintamente, decidimos explorar qué impulsa las diferencias en las respuestas de las personas cuando cada concepto opera en el contexto de una especie de fauna controvertida: el lobo gris (Canis lupus). Para lograr esto, usamos datos de un censo de 2014 aplicado a residentes estadunidenses (n = 1,287) para analizar cómo la medida de seis conceptos usados frecuentemente en las ciencias sociales de la conservación (aceptación, actitudes, beneficios, riesgos comportamiento [previo] e intenciones conductuales) se relacionan con un amplio conjunto de variables explicativas posibles. A pesar de las correlaciones moderadas y fuertes entre todos los conceptos medidos (| Pearson's r | = 0.39 a 0.65, p < 0.001), los resultados revelaron una variación considerable en sus respectivas relaciones con las variables explicativas idénticas. De manera más precisa, aunque la orientación del valor de la fauna (es decir, dominancia y mutualismo) operó uniformemente en los conceptos cognitivos y conductuales, la relación entre los seis conceptos y otros factores, como la confianza social, identificación con varios grupos de interés (cazador, agricultor o ranchero, ambientalista, defensor de los derechos animales) e ideología política (liberal vs conservador) variaron considerablemente. Nuestros resultados destacan las diferencias que existen en estas medidas, las cuales podrían tener repercusiones serias para los conservacionistas que integran los resultados de las ciencias sociales dentro de sus procesos de toma de decisiones si no están concientes de las teorías fundamentales y las distinciones entre los conceptos psicológicos fundamentales.


Assuntos
Lobos , Animais , Humanos , Semântica , Conservação dos Recursos Naturais , Animais Selvagens , Atitude
4.
Conserv Biol ; 37(4): e14067, 2023 08.
Artigo em Inglês | MEDLINE | ID: mdl-36751965

RESUMO

Inner phenomena, such as personal motivations for pursuing sustainability, may be critical levers for improving conservation outcomes. Most conservation research and policies, however, focus on external phenomena (e.g., ecological change or economic processes). We explored the factors shaping 9 conservation attitudes toward forest and wildlife protection among colonist farmers around an Amazonian deforestation frontier. Our data comprised 241 face-to-face quantitative surveys, complemented with qualitative insights from open-ended questionnaire responses and opportunistic semistructured interviews. To account for the full spectrum of possible inner motivations, we employed measures of nature connection (indicating biospheric motivation) and personal values organized around the traditionalism (traditionalist through to high openness to change) and universalism dimensions (egoistic through to altruistic motivations). We used averaged beta-binomial generalized linear models to assess the role of external factors (socioeconomic, sociodemographic, and environmental) and personal (inner) motivations on the variation in attitudes. Each attitude was modeled separately. The relative importance of each predictor was judged by the proportion of models where it appeared as significant. Proconservation views were expressed by the majority (at least 65%) of the respondents in 7 out of the 9 attitude models. The most consistent predictors were emotional nature connection and personal values (significant in 4-6 out of 9 models), rather than external phenomena (significant in 0-5 models). However, the poorest farmers had lower scores on the agreement with prioritizing nature over development (𝛽 = -0.52, 95% CI: -0.96 to -0.07). Qualitative data also indicated that economic barriers hinder forest conservation on farms. These results suggest that biospheric, traditionalistic, and altruistic motivations promote people's proconservation attitudes, but nurturing these latent motivations is unlikely to improve conservation outcomes if material poverty remains unaddressed. Integrating the inner-outer perspective into conservation thinking and practical interventions could foster environmental stewardship and increase human well-being.


Evaluación de la influencia de la conexión y los valores naturales sobre las actitudes de conservación es una frontera tropical de deforestación Resumen Los fenómenos interiores, como los motivos personales para ser sustentables, pueden ser niveladores importantes para aumentar los resultados de conservación. Sin embargo, la mayor parte de la investigación y las políticas se enfocan en los fenómenos exteriores (cambios ecológicos o procesos económicos, por ejemplo). Exploramos los factores que moldean nueve actitudes de conservación relacionadas con la protección de los bosques y la fauna en un grupo de agricultores colonos cercanos a una frontera de deforestación en la Amazonía. Nuestros datos se obtuvieron de 241 encuestas presenciales cuantitativas complementadas con información cualitativa tomada de las respuestas en cuestionarios de preguntas abiertas y entrevistas oportunistas semiestructuradas. Para considerar el espectro completo de las posibles motivaciones interiores empleamos medidas de la conexión natural (lo que indica motivos relacionados a la biósfera) y valores personales organizados en torno a las dimensiones del tradicionalismo (del tradicionalista hasta una gran apertura al cambio) y el universalismo (del egoísta hasta los motivos altruistas). Usamos modelos lineales generalizados betabinomiales promediados para evaluar el papel que tienen los factores externos (socioeconómicos, sociodemográficos y ambientales) y los motivos personales (interiores) en la variación de las actitudes. Modelamos cada actitud por separado. Juzgamos la importancia relativa de cada predictor mediante la proporción de modelos en los que aparecían como significativos. La mayoría (al menos el 65%) de los respondientes expresó las opiniones en pro de la conservación en siete de los nueve modelos de actitud. Los predictores más uniformes fueron la conexión emocional natural y los valores personales (significativos en cuatro a seis de los nueve modelos), en lugar de los fenómenos externos (significativos en cero a cinco modelos). Sin embargo, los agricultores más pobres tuvieron un puntaje más bajo en cuanto a estar de acuerdo con la priorización de la naturaleza sobre el desarrollo (𝛽 = -0.52, 95% CI -0.96 a -0.07). Los datos cualitativos también indicaron que las barreras económicas impiden la conservación de los bosques en las fincas. Estos resultados sugieren que los motivos tradicionalistas, altruistas y aquellos relacionados con la biósfera promueven las actitudes en pro de la conservación de las personas, pero es poco probable que propiciar estos motivos latentes aumente los resultados de conservación si sigue sin solucionarse la pobreza material. La inclusión de las perspectivas internas y externas dentro del pensamiento de conservación y las intervenciones prácticas podría fomentar la administración ambiental e incrementar el bienestar humano.


Assuntos
Atitude , Conservação dos Recursos Naturais , Animais , Humanos , Conservação dos Recursos Naturais/métodos , Motivação , Animais Selvagens , Florestas
5.
Conserv Biol ; 36(5): e13974, 2022 10.
Artigo em Inglês | MEDLINE | ID: mdl-35796039

RESUMO

Fear-induced generalization of threats to noninimical stimuli is a behavioral tendency of humans to minimize exposure to potential threats. In human-carnivore conflict zones, people often generalize their fear of predation by obligate carnivores to nonobligate carnivores despite differences in species' predation rates. We investigated the effect of a perceived threat of large obligate carnivores to livestock on tolerance and perception of striped hyena (Hyaena hyaena) in an area of high human-carnivore conflict. We surveyed 197 households through asemistructured questionnaire to determine people's perception and tolerance of striped hyenas in Sathyamangalam and Mudumalai Tiger Reserves after identification of the current distribution range of hyena determined through camera trap and sign surveys. Through the random forest algorithm, we modeled the level of tolerance of striped hyena as a function of loss of livestock to predation and from disease, the perceived threat of predation by hyena, and other socioeconomic attributes. Animal husbandry was a major source of income but was severely affected by livestock loss due to predation and disease. Sixty-nine percent of people were uncertain about predatory behavior of hyena; out of that, 23% reported a negative conservation attitude. Only 6 instances of hyena depredation on livestock and 2 on dogs were reported. Our model confirmed that economic instability associated with increased loss to predation and disease, livestock dependency, and a decrease in family annual income negatively affected people's tolerance of hyena. Perceptual uncertainty related to predatory behavior of hyena also negatively affected people's tolerance. In our study area, economic instability and perceptual uncertainty led to generalization of fear of large carnivores to a nonobligate predator. Such generalization may affect the attitude of people toward many other species. Understanding the role of economic instability and perceptual uncertainty should facilitate conservation of species, such as the hyena, that are vulnerable to false generalization.


Generalización de las Amenazas Atribuidas a los Grandes Carnívoros en las Áreas con un Elevado Conflicto Humano-Fauna Resumen La generalización de las amenazas inducidas por el miedo a los estímulos no desfavorables es una tendencia del comportamiento humano para minimizar la exposición ante las amenazas potenciales. En las zonas de conflicto humano-carnívoros, las personas transfieren con frecuencia su miedo a los carnívoros obligados hacia los no obligados a pesar de las diferencias en las tasas de depredación de las espcies. Investigamos el efecto de la amenaza percibida que representan los grandes carnívoros obligados para el ganado sobre la tolerancia a y la percepción de la hiena rayada (Hyaena hyaena) en un área con un conflicto elevado entre humanos y carnívoros. Encuestamos a 197 hogares con un cuestionario semiestructurado para determinar la percepción y tolerancia que tienen las personas hacia la hiena rayada en las reservas de tigres de Satayamangalam y Mudumalai después de identificar la distribución actual de la hiena mediante cámaras trampa y censos de indicios. Modelamos el nivel de tolerancia a la hiena rayada con el algoritmo de bosque aleatorio como función de la pérdida de ganado por depredación o enfermedad, la amenaza percibida de la hiena como depredador y otros atributos socioeconómicos. La crianza de animales fue una gran fuente de ingresos aunque con severas afectaciones por la pérdida de ganado por depredación o enfermedad. El 69% de las personas tenían incertidumbre acerca del comportamiento de depredación de la hiena; de ese porcentaje, el 23% reportó una actitud negativa de conservación. En cuanto a las hienas, sólo se reportaron seis instancias de depredación de ganado y dos de perros. Nuestro modelo confirmó que la inestabilidad económica asociada con el incremento en las pérdidas por depredación y enfermedad, la dependencia por el ganado y una reducción en el ingreso anual familiar afectó negativamente la tolerancia que tienen las personas hacia las hienas. La incertidumbre percibida relacionada con el comportamiento de depredación de las hienas también afectó negativamente la tolerancia de las personas. La inestabilidad económica y la incertidumbre percibida derivaron en una transferencia del miedo a los grandes carnívoros hacia los depredadores no obligados en nuestra área de estudio. Dicha transferencia puede afectar la actitud de las personas hacia muchas otras especies. El conocimiento sobre el papel que tiene la inestabilidad económica y la incertidumbre percibida debería facilitar la conservación de especies que son vulnerables a las falsas generalizaciones, como es el caso de la hiena.


Assuntos
Carnívoros , Hyaenidae , Animais , Animais Selvagens , Conservação dos Recursos Naturais , Cães , Humanos , Gado , Comportamento Predatório
6.
Conserv Biol ; 36(2): e13832, 2022 04.
Artigo em Inglês | MEDLINE | ID: mdl-34476833

RESUMO

Species distribution data are an essential biodiversity variable requiring robust monitoring to inform wildlife conservation. Yet, such data remain inherently sparse because of the logistical challenges of monitoring biodiversity across broad geographic extents. Surveys of people knowledgeable about the occurrence of wildlife provide an opportunity to evaluate species distributions and the ecology of wildlife communities across large spatial scales. We analyzed detection histories of 30 vertebrate species across the Western Ghats biodiversity hotspot in India, obtained from a large-scale interview survey of 2318 people who live and work in the forests of this region. We developed a multispecies occupancy model that simultaneously corrected for false-negative (non-detection) and false-positive (misidentification) errors that interview surveys can be prone to. Using this model, we integrated data across species in composite analyses of the responses of functional species groups (based on disturbance tolerance, diet, and body mass traits) to spatial variation in environmental variables, protection, and anthropogenic pressures. We observed a positive association between forest cover and the occurrence of species with low tolerance of human disturbance. Protected areas were associated with higher occurrence for species across different functional groups compared with unprotected lands. We also observed the occurrence of species with low disturbance tolerance, herbivores, and large-bodied species was negatively associated with developmental pressures, such as human settlements, energy production and mining, and demographic pressures, such as biological resource extraction. For the conservation of threatened vertebrates, our work underscores the importance of maintaining forest cover and reducing deforestation within and outside protected areas, respectively. In addition, mitigating a suite of pervasive human pressures is also crucial for wildlife conservation in one of the world's most densely populated biodiversity hotspots.


Uso de Encuestas y Modelos de Ocupación Multiespecies para Orientar la Conservación de Vertebrados Resumen Los datos de distribución de especies son una variable esencial de la biodiversidad que requieren de un monitoreo sólido para orientar la conservación de la fauna. Aun así, dichos datos permanecen inherentemente escasos debido a los obstáculos logísticos del monitoreo de la biodiversidad a lo largo de extensiones geográficas generalizadas. Las encuestas realizadas a personas conocedoras de la incidencia de fauna proporcionan una oportunidad para evaluar la distribución de las especies y la ecología de las comunidades de fauna en escalas espaciales grandes. Analizamos las historias de detección de 30 especies de vertebrados en los Ghats Occidentales de la India obtenidos a partir de una encuesta a gran escala realizada por entrevistas a 2318 personas que viven y trabajan en los bosques de esta región. Desarrollamos un modelo de ocupación multiespecies que corrigió simultáneamente los errores falsos negativos (no detección) y los falsos positivos (identificación correcta) a los que están propensos las encuestas por entrevista. Con este modelo, integramos los datos de todas las especies a un análisis compuesto de las respuestas de los grupos funcionales de especies (con base en la tolerancia a la perturbación, dieta y características de masa corporal) para la variación espacial en las variables ambientales, protección y presiones antropogénicas. Observamos una asociación positiva entre la incidencia de especies con la baja tolerancia a la perturbación humana y a la cobertura forestal. Las áreas protegidas estuvieron asociadas con una incidencia mayor para las especies ubicadas en diferentes grupos funcionales comparadas con las áreas desprotegidas. También observamos que la incidencia de especies con una tolerancia baja a las perturbaciones, herbívoros y especies de mayor tamaño estaba asociada negativamente con las presiones de desarrollo, como los asentamientos humanos, la producción de energías y minería, y las presiones demográficas, como la extracción de recursos biológicos. Para la conservación de vertebrados amenazados, nuestro trabajo hace hincapié en la importancia de mantener la cobertura forestal y reducir la deforestación dentro y fuera de las áreas protegidas, respectivamente. Además, la mitigación de un conjunto de presiones humanas dominantes también es crucial para la conservación de la naturaleza en uno de los puntos calientes de biodiversidad con una de las mayores densidades poblacionales del mundo.


Assuntos
Conservação dos Recursos Naturais , Ecossistema , Animais , Animais Selvagens , Biodiversidade , Florestas , Humanos , Vertebrados
7.
Conserv Biol ; 34(4): 803-810, 2020 08.
Artigo em Inglês | MEDLINE | ID: mdl-32406972

RESUMO

Millennia of human conflict with wildlife have built a culture of intolerance toward wildlife among some stakeholders. We explored 2 key obstacles to improved human-wildlife coexistence: coexistence inequality (how the costs and benefits of coexisting with wildlife are unequally shared) and intolerance. The costs of coexisting with wildlife are often disproportionately borne by the so-called global south and rural communities, and the benefits often flow to the global north and urban dwellers. Attitudes and behaviors toward wildlife (tolerance versus intolerance) vary with social and cultural norms. We suggest more empathetic advocacy is needed that, for example, promotes conservation while appropriately considering those who bear the costs of conflict with wildlife. To achieve more equitable cost-sharing, we suggest limiting the costs incurred by those most affected or by sharing those costs more widely. For example, we advocate for the development of improved wildlife compensation schemes, increasing the scale of rewilding efforts, and preventing wildlife-derived revenue leaching out of the local communities bearing the costs of coexistence.


Soluciones para la Desigualdad y la Intolerancia en la Coexistencia Humano - Fauna Resumen Los milenios de conflicto entre los humanos y la fauna han construido una cultura de intolerancia hacia la fauna entre algunos actores. Exploramos dos obstáculos importantes para la mejora de la coexistencia humano - fauna: la desigualdad de coexistencia (cómo los costos y los beneficios de la coexistencia con la fauna están compartidos de una manera desigual) y la intolerancia. Los costos de coexistir con la fauna generalmente están asumidos de manera desproporcional por las llamadas comunidades del sur global o rurales, y los beneficios de convivir con la fauna generalmente fluyen hacia el norte mundial y hacia los habitantes de zonas urbanas. Las actitudes y comportamientos hacia la fauna (tolerancia versus intolerancia) varían con las normas culturales y sociales. Sugerimos la necesidad de una defensa más empática que, por ejemplo, promueva la conservación a la vez que considera de manera apropiada a aquellos que asumen los costos del conflicto con la fauna. Para lograr costos compartidos más equitativos sugerimos limitar los costos incurridos por aquellos más afectados o compartir los costos de manera más amplia. Por ejemplo, abogamos por el desarrollo de esquemas mejorados de compensación de fauna, el incremento de la escala de los esfuerzos por el retorno a la vida silvestre y la prevención del secuestro de ingresos derivados de la fauna fuera de las comunidades locales que asumen los costos de la coexistencia.


Assuntos
Animais Selvagens , Conservação dos Recursos Naturais , Animais , Atitude , Humanos , Fatores Socioeconômicos
8.
Rev Argent Microbiol ; 52(3): 221-230, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-31928836

RESUMO

The current agricultural system has led to the development of glyphosate (GP)-resistant weeds, causing an increase in GP doses and applications. Native mycota of pesticide-contaminated sites are the major source of pesticide-degrading microorganisms. The aims of the present study were to isolate the GP-tolerant culturable mycota in two soils with different pesticide exposure from Córdoba, Argentina, and to evaluate the growth parameters in native fungal isolates in the presence of GP and the effective dose that caused 50% growth reduction. The results showed that the genera Fusarium, Aspergillus, Mucor, Penicillium and Sterilia were the prevalent fungi isolated from soils both exposed and not-exposed to pesticides. The highest value (>100mM) of effective concentration of herbicide that caused 50% growth inhibition (EC50), was found for Trichoderma isolates. Sterilia spp. had EC50 values of 100mM, while Aspergillus spp. and Mucor had EC50 values between 50 and 100mM. The growth rate evaluation varied according to the isolates and GP concentrations. The data showed that all Aspergillus spp., Trichoderma spp., Mucor and three Sterilia spp. had the best growth performance in media supplied with GP after a variable acclimation period. This study provides valuable data for further studies that would allow to know the metabolic capacity of these fungal species that can be potential candidates for GP removal from contaminated environments.


Assuntos
Herbicidas , Praguicidas , Trichoderma , Fungos , Glicina/análogos & derivados , Herbicidas/farmacologia , Solo , Glifosato
9.
Gac Med Mex ; 155(Suppl 2): S1-S30, 2019.
Artigo em Espanhol | MEDLINE | ID: mdl-31907492

RESUMO

BACKGROUND: Soy infant formulas (SIF) have long been used as an alternative for infants with special nutritional requirements. However, the medical indications for their use, their allergenicity, safety and efficacy are still controversial. OBJECTIVE: To present recommendations for the use of SIF based on the existing literature. METHODS: We consulted systematic reviews and clinical practice guides, through validated search algorithms, and systems such as Appraisal of Guidelines for REsearch and Evaluation (AGREE)II and Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). For the elaboration of the clinical recommendations, the most important topics were analyzed and discussed by the responsible researchers and the group of experts in the development of a position paper. The quality of the evidence was evaluated using the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) system. RESULTS: Several reports with variable quality of evidence were found. They support SIF's efficacy in the management of cow's milk allergy and infant's digestive tolerance, as well as its low cross allergy compared to cow's milk and other formulas. We also found other studies that indicate the safety of SIFs on different nutritional, immune and developmental parameters. There is also evidence that demonstrates that SIFs have important advantages in terms of cost-benefit, palatability and effects on the intestinal microbiota, compared to other formulas. CONCLUSIONS: Although evidence to recommend its use in functional digestive disorders is limited, SIFs have an adequate safety profile and are still a valid option for infant feeding.


ANTECEDENTES: Las fórmulas a base de proteína de soya (FBPS) se han utilizado desde hace tiempo como una alternativa para lactantes con requerimientos nutricionales especiales. Sin embargo, las indicaciones médicas para su uso, su alergenicidad, seguridad y eficacia aún son controvertidas. OBJETIVO: Presentar recomendaciones del uso de FBPS basadas en la literatura existente. MÉTODOS: Se realizó la consulta de revisiones sistemáticas y guías de práctica clínica, por medio de algoritmos de búsqueda validados, y sistemas como AGREE (Appraisal of Guidelines for REsearch and Evaluation) II y PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses). Para la elaboración de las recomendaciones clínicas se analizaron y discutieron los tópicos de mayor importancia, por parte de los investigadores responsables y el grupo de expertos del desarrollo de un documento de posición. Se evaluó la calidad de la evidencia utilizando el sistema GRADE (Grading of Recommendations, Assessment, Development and Evaluation). RESULTADOS: Se encontraron distintos reportes con calidad de evidencia variable que sustentan la eficacia de las FBPS en el manejo de la alergia a la proteína de la leche de vaca y en la tolerancia digestiva del lactante, así como su baja alergia cruzada en comparación a la leche de vaca y otras fórmulas. También se encontraron otros estudios que indican la seguridad de las FBPS sobre distintos parámetros nutricionales, inmunitarios y de desarrollo. Existe además evidencia que demuestra que las FBPS tienen ventajas importantes en cuestión de costo-beneficio, palatabilidad y efectos sobre la microbiota intestinal, en comparación con otras fórmulas. CONCLUSIONES: Aunque existe evidencia limitada para recomendar su utilización en los trastornos digestivos funcionales, las FBPS tienen un perfil de seguridad adecuado y continúan siendo una opción válida para la alimentación del lactante.


Assuntos
Glycine max/química , Fórmulas Infantis/química , Fenômenos Fisiológicos da Nutrição do Lactente , Necessidades Nutricionais , Humanos , Lactente , Hipersensibilidade a Leite/imunologia , Proteínas de Soja/química
10.
Magy Seb ; 71(4): 149-154, 2018 12.
Artigo em Húngaro | MEDLINE | ID: mdl-30540513

RESUMO

INTRODUCTION: The incidence of acute mesenteric ischemia (AMI) appears to be increasing due to aging in the population with increasing prevalence of comorbidities. Despite the wide-scale availability of diagnostic technologies, the timely detection and correct treatment are not ensured. This is due to the fact that the required CT angiography is not immediately performed and that vascular surgical reconstruction can be performed within the short ischemic tolerance window of the bowels amounting 4-6 hours. METHOD: In our case report, we retrospectively analysed the time of the operation after the onset of the complaint, the types of occlusions, the surgical interventions that could be performed and the progress of the disease. RESULTS: Case 1: In the case of superior mesenteric artery (SMA) emboli, without bowel necrosis and ischemia, embolectomy is the treatment. Case 2: In the case of complete superior mesenteric artery occlusion, proper bowel circulation will not restore despite the delayed arterial reconstruction, as a result, the patient will not survive. Case 3: In the case of incomplete SMA occlusion, even if the diagnosis is confirmed several days after the onset of complaints and the patient has an acute abdomen, extensive bowel necrosis will not evolve in every case. Case 4: Acute complete occlusion on chronic mesenteric ischemia. The bowels were found macroscopically healthy during the operation. We performed vascular reconstruction. CONCLUSION: Acute mesenteric ischemia is a rare disease, which is recognised and treated mostly late. A proportion of patients can be saved, if vascular reconstruction and bowel resection can be performed at the same time at the first operation.


Assuntos
Procedimentos Endovasculares/métodos , Isquemia Mesentérica/cirurgia , Oclusão Vascular Mesentérica/cirurgia , Doença Aguda , Idoso de 80 Anos ou mais , Procedimentos Endovasculares/efeitos adversos , Feminino , Humanos , Masculino , Artéria Mesentérica Superior/cirurgia , Isquemia Mesentérica/diagnóstico , Isquemia Mesentérica/etiologia , Oclusão Vascular Mesentérica/complicações , Oclusão Vascular Mesentérica/diagnóstico , Estudos Retrospectivos , Índice de Gravidade de Doença , Tempo para o Tratamento , Resultado do Tratamento
11.
Conserv Biol ; 31(1): 96-105, 2017 02.
Artigo em Inglês | MEDLINE | ID: mdl-27254115

RESUMO

Land-cover and climate change are both expected to alter species distributions and contribute to future biodiversity loss. However, the combined effects of land-cover and climate change on assemblages, especially at the landscape scale, remain understudied. Lowland tropical amphibians may be particularly susceptible to changes in land cover and climate warming because many species have narrow thermal safety margins resulting from air and body temperatures that are close to their critical thermal maxima (CTmax ). We examined how changing thermal landscapes may alter the area of thermally suitable habitat (TSH) for tropical amphibians. We measured microclimates in 6 land-cover types and CTmax of 16 frog species in lowland northeastern Costa Rica. We used a biophysical model to estimate core body temperatures of frogs exposed to habitat-specific microclimates while accounting for evaporative cooling and behavior. Thermally suitable habitat area was estimated as the portion of the landscape where species CTmax exceeded their habitat-specific maximum body temperatures. We projected changes in TSH area 80 years into the future as a function of land-cover change only, climate change only, and combinations of land-cover and climate-change scenarios representing low and moderate rates of change. Projected decreases in TSH area ranged from 16% under low emissions and reduced forest loss to 30% under moderate emissions and business-as-usual land-cover change. Under a moderate emissions scenario (A1B), climate change alone contributed to 1.7- to 4.5-fold greater losses in TSH area than land-cover change only, suggesting that future decreases in TSH from climate change may outpace structural habitat loss. Forest-restricted species had lower mean CTmax than species that occurred in altered habitats, indicating that thermal tolerances will likely shape assemblages in changing thermal landscapes. In the face of ongoing land-cover and climate change, it will be critical to consider changing thermal landscapes in strategies to conserve ectotherm species.


Assuntos
Biodiversidade , Mudança Climática , Conservação dos Recursos Naturais , Animais , Costa Rica , Ecossistema , Clima Tropical
12.
Conserv Biol ; 29(2): 513-24, 2015 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-25327837

RESUMO

Conservation outcomes are uncertain. Agencies making decisions about what threat mitigation actions to take to save which species frequently face the dilemma of whether to invest in actions with high probability of success and guaranteed benefits or to choose projects with a greater risk of failure that might provide higher benefits if they succeed. The answer to this dilemma lies in the decision maker's aversion to risk--their unwillingness to accept uncertain outcomes. Little guidance exists on how risk preferences affect conservation investment priorities. Using a prioritization approach based on cost effectiveness, we compared 2 approaches: a conservative probability threshold approach that excludes investment in projects with a risk of management failure greater than a fixed level, and a variance-discounting heuristic used in economics that explicitly accounts for risk tolerance and the probabilities of management success and failure. We applied both approaches to prioritizing projects for 700 of New Zealand's threatened species across 8303 management actions. Both decision makers' risk tolerance and our choice of approach to dealing with risk preferences drove the prioritization solution (i.e., the species selected for management). Use of a probability threshold minimized uncertainty, but more expensive projects were selected than with variance discounting, which maximized expected benefits by selecting the management of species with higher extinction risk and higher conservation value. Explicitly incorporating risk preferences within the decision making process reduced the number of species expected to be safe from extinction because lower risk tolerance resulted in more species being excluded from management, but the approach allowed decision makers to choose a level of acceptable risk that fit with their ability to accommodate failure. We argue for transparency in risk tolerance and recommend that decision makers accept risk in an adaptive management framework to maximize benefits and avoid potential extinctions due to inefficient allocation of limited resources.


Assuntos
Conservação dos Recursos Naturais/economia , Conservação dos Recursos Naturais/métodos , Tomada de Decisões , Animais , Conservação dos Recursos Naturais/legislação & jurisprudência , Análise Custo-Benefício , Invertebrados , Nova Zelândia , Plantas , Risco , Incerteza , Vertebrados
13.
Conserv Biol ; 28(4): 924-38, 2014 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-24661270

RESUMO

Many populations of threatened mammals persist outside formally protected areas, and their survival depends on the willingness of communities to coexist with them. An understanding of the attitudes, and specifically the tolerance, of individuals and communities and the factors that determine these is therefore fundamental to designing strategies to alleviate human-wildlife conflict. We conducted a meta-analysis to identify factors that affected attitudes toward 4 groups of terrestrial mammals. Elephants (65%) elicited the most positive attitudes, followed by primates (55%), ungulates (53%), and carnivores (44%). Urban residents presented the most positive attitudes (80%), followed by commercial farmers (51%) and communal farmers (26%). A tolerance to damage index showed that human tolerance of ungulates and primates was proportional to the probability of experiencing damage while elephants elicited tolerance levels higher than anticipated and carnivores elicited tolerance levels lower than anticipated. Contrary to conventional wisdom, experiencing damage was not always the dominant factor determining attitudes. Communal farmers had a lower probability of being positive toward carnivores irrespective of probability of experiencing damage, while commercial farmers and urban residents were more likely to be positive toward carnivores irrespective of damage. Urban residents were more likely to be positive toward ungulates, elephants, and primates when probability of damage was low, but not when it was high. Commercial and communal farmers had a higher probability of being positive toward ungulates, primates, and elephants irrespective of probability of experiencing damage. Taxonomic bias may therefore be important. Identifying the distinct factors explaining these attitudes and the specific contexts in which they operate, inclusive of the species causing damage, will be essential for prioritizing conservation investments.


Assuntos
Atitude , Comportamento Animal , Conservação dos Recursos Naturais , Mamíferos/fisiologia , Animais , Países Desenvolvidos , Países em Desenvolvimento , Humanos , Análise Multivariada , Fatores Socioeconômicos
14.
Conserv Biol ; 28(3): 851-60, 2014 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-24527992

RESUMO

Lion (Panthera leo) populations are in decline throughout most of Africa. The problem is particularly acute in southern Kenya, where Maasai pastoralists have been spearing and poisoning lions at a rate that will ensure near term local extinction. We investigated 2 approaches for improving local tolerance of lions: compensation payments for livestock lost to predators and Lion Guardians, which draws on local cultural values and knowledge to mitigate livestock-carnivore conflict and monitor carnivores. To gauge the overall influence of conservation intervention, we combined both programs into a single conservation treatment variable. Using 8 years of lion killing data, we applied Manski's partial identification approach with bounded assumptions to investigate the effect of conservation treatment on lion killing in 4 contiguous areas. In 3 of the areas, conservation treatment was positively associated with a reduction in lion killing. We then applied a generalized linear model to assess the relative efficacy of the 2 interventions. The model estimated that compensation resulted in an 87-91% drop in the number of lions killed, whereas Lion Guardians (operating in combination with compensation and alone) resulted in a 99% drop in lion killing.


Assuntos
Conservação dos Recursos Naturais/métodos , Leões , Animais , Conservação dos Recursos Naturais/economia , Cultura , Quênia , Modelos Lineares
15.
Gastroenterol Hepatol ; 37 Suppl 2: 1-4, 2014 Jul.
Artigo em Espanhol | MEDLINE | ID: mdl-25087704

RESUMO

Chronic infection by the hepatitis B virus (HBV) is a dynamic process that results from the interaction between HBV replication and the host's immune response. In accordance with the consensus document of the European Association for the Study of the Liver, treatment is not indicated for the immune tolerant and inactive carrier phases. However, there are situations in the 2 phases (which we could call gray areas of chronic HBV infection) in which the correct categorization of patients is not easy and in which the start of treatment can be proposed. In the immune tolerant phase, treatment could be indicated for health professionals whose responsibilities require their participation in invasive procedures. Treatment could also be indicated for pregnant women who are HBeAg-positive, ALT normal and have high HBV DNA values and for whom oral antiviral treatment is indicated during the last trimester of pregnancy to reduce the risk of vertical HBV transmission from mother to child. For patients in the inactive carrier phase who are HBeAg-negative with persistent normal ALT levels and HBV DNA ≥ 2000 IU/mL, the intensity of the hepatic lesion will determine the indication for treatment. If these patients already have established cirrhosis then treatment is indicated if the HBV DNA is detectable, regardless of the ALT level.


Assuntos
Hepatite B Crônica , Antígenos E da Hepatite B/sangue , Hepatite B Crônica/sangue , Hepatite B Crônica/tratamento farmacológico , Hepatite B Crônica/imunologia , Humanos
16.
Rev Argent Microbiol ; 46(4): 348-57, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-25576420

RESUMO

The effect of atrazine concentrations on mycelial growth and ligninolytic enzyme activities of eight native ligninolytic macrofungi isolated in Veracruz, México, were evaluated in a semi-solid culture medium. Inhibition of mycelial growth and growth rates were significantly affected (p=0.05) by atrazine concentrations (468, 937, 1875, and 3750 mg/l). In accordance with the median effective concentration (EC50), Pleurotus sp. strain 1 proved to be the most tolerant isolate to atrazine (EC50=2281.0 mg/l), although its enzyme activity was not the highest. Pycnoporus sanguineus strain 2, Daedalea elegans and Trametes maxima showed high laccase activity (62.7, 31.9, 29.3 U mg/protein, respectively) without atrazine (control); however, this activity significantly increased (p<0.05) (to 191.1, 83.5 and 120.6 U mg/protein, respectively) owing to the effect of atrazine (937 mg/l) in the culture medium. Pleurotus sp. strain 2 and Cymatoderma elegans significantly increased (p<0.05) their manganese peroxidase (MnP) activities under atrazine stress at 468 mg/l. The isolates with high EC50 (Pleurotus sp. strain 1) and high enzymatic activity (P. sanguineus strain 2 and T. maxima) could be considered for future studies on atrazine mycodegradation. Furthermore, this study confirms that atrazine can increase laccase and MnP activities in ligninolytic macrofungi.


Assuntos
Atrazina/farmacologia , Fungos/efeitos dos fármacos , Herbicidas/farmacologia , Bioensaio , Relação Dose-Resposta a Droga , Fungos/metabolismo , Lignina/metabolismo
17.
Eur J Psychotraumatol ; 15(1): 2378642, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-39028641

RESUMO

Background: Although childhood maltreatment is associated with later self-harm, the mechanism through which it might lead to self-harm is not completely understood. The purpose of this study was to examine the roles of alexithymia, dissociation, internalizing and posttraumatic symptoms in the association between exposure to childhood maltreatment and subsequent self-harm.Methods: A total of 360 adolescents were asked to complete the Childhood Trauma Questionnaire, the Toronto Alexithymia Scale, the Dissociative Experience Scale, the Somatoform Dissociation Questionnaire-20, the Posttraumatic Stress Checklist for DSM-5, and the Deliberate Self-Harm Inventory.Results: Results of structural equation modelling analysis revealed the significant mediation effects of alexithymia and dissociative symptoms in the relationship between childhood maltreatment and self-harm, while internalizing and posttraumatic symptoms did not significantly mediate.Conclusion: The findings indicate that alexithymia and dissociative symptoms may be proximal mechanisms linking maltreatment exposure and adolescence self-harm.


Self-harm can be used as a maladaptive coping strategy in response to both hyper- and hypo-arousal symptoms.Alexithymia and dissociative symptoms may be proximal mechanisms linking maltreatment exposure and adolescent self-harm.Posttraumatic symptoms did not mediate the relationship between a history of childhood maltreatment and self-harm.


Assuntos
Sintomas Afetivos , Maus-Tratos Infantis , Transtornos Dissociativos , Comportamento Autodestrutivo , Transtornos de Estresse Pós-Traumáticos , Humanos , Sintomas Afetivos/psicologia , Feminino , Masculino , Comportamento Autodestrutivo/psicologia , Adolescente , Maus-Tratos Infantis/psicologia , Maus-Tratos Infantis/estatística & dados numéricos , Transtornos Dissociativos/psicologia , Transtornos de Estresse Pós-Traumáticos/psicologia , Inquéritos e Questionários , Criança , Escalas de Graduação Psiquiátrica
18.
Endocrinol Diabetes Nutr (Engl Ed) ; 71(3): 110-118, 2024 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-38555107

RESUMO

OBJECTIVES: To compare the performance of maternal body fat index (BFI) assessed during the first 20+6 weeks among 138 pregnant women in an ultrasound outpatient clinic as a predictor of gestational diabetes mellitus (GDM) later in pregnancy. METHOD: Maternal visceral and subcutaneous fat was measured with a convex ultrasound probe placed in two locations on the maternal abdominal surface: the first in the mid-sagittal epigastric region, visualising epigastric fat, and the second 2cm above the maternal umbilical scar, visualising periumbilical fat. Ultrasound callipers measured the distance from dermal edge to the linea alba and after from the linea alba to the anterior hepatic surface (epigastric fat). Periumbilical fat was measured from the dermal edge to the linea alba and after from the linea alba to the anterior aortic surface. The BFI formula was [visceral adipose tissue (mm)×subcutaneous adipose tissue (mm)]/maternal height (cm). RESULTS: The best thresholds for predicting GDM outcome for epigastric and periumbilical BFI were 1.2 and 4.8, respectively. Odds ratio, sensitivity and specificity were 5.88 (95% CI 1.86-18.6), 80.9%, 58.0% for the epigastric site and 6.31 (95% CI 1.73-22.94), 84.2%, 54.2% for the periumbilical site. Pre-pregnancy body mass index compatible with adult obesity shows inadequate predictive performance for GDM outcome. Only epigastric BFI above 1.2 maintained statistical significance for GDM in the logistic regression analysis, when compared to periumbilical BFI above 4.8. CONCLUSION: Epigastric BFI above 1.2 during the first half of pregnancy may help identify women at risk of developing GDM later in pregnancy.


Assuntos
Diabetes Gestacional , Adulto , Gravidez , Feminino , Humanos , Estudos de Coortes , Tecido Adiposo/diagnóstico por imagem , Obesidade , Primeiro Trimestre da Gravidez
19.
Rev Clin Esp (Barc) ; 224(1): 24-33, 2024 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-38142975

RESUMO

INTRODUCTION: In heart failure, cardiac rehabilitation has been recommended as an intervention strategy that improves functional capacity, health-related quality of life and survival. However, adherence to these programs is low. The objective was to determine the factors related to non-adherence to cardiac rehabilitation in patients with heart failure in Colombia. METHOD: Observational and retrospective study. Patients with heart failure were linked in a clinic in Colombia, adherence to cardiac rehabilitation was measured with ≥80% of scheduled sessions. Sociodemographic and clinical variables, functional aerobic capacity (Sit to Stand and 6-minute walk test), Duke Activity Status Index (DASI), quality of life Minnesota Living with Heart Failure Questionnaire (MLFHQ) and depression Patient health questionnaire 9 (PHQ-9) were taken into account. RESULTS: 300 patients were linked with heart failure with age 63.16 ± 12.87 men 194 (64.7%). adherence to cardiac rehabilitation was 66.67%, there were statistically significant differences between the groups in arterial hypertension, LVEF, cholesterol, LDL, Triglycerides, SBP, DBP, distance traveled, VO2e, METs, DASI and PHQ-9 p-value =<0.05. The logistic regression model adjusted for sex and age showed OR for non-adherence to CR arterial hypertension 2.23[1.22-4.07], LDL outside of goals 2.15[1.20-3.88], triglycerides outside goals 2.34[1.35-4.07], DASI<4METs 2.38 [1.04-5.45] and PHQ-9 1.06[1.00-1.12]. CONCLUSION: High blood pressure, LDL, triglycerides, DASI and depression with the PHQ-9 questionnaire are related factors for not having adherence to cardiac rehabilitation in patients with heart failure.


Assuntos
Reabilitação Cardíaca , Insuficiência Cardíaca , Hipertensão , Masculino , Humanos , Pessoa de Meia-Idade , Idoso , Qualidade de Vida , Estudos Retrospectivos , Triglicerídeos
20.
Gastroenterol Hepatol ; 36(7): 473-82, 2013.
Artigo em Espanhol | MEDLINE | ID: mdl-23628170

RESUMO

The prevalence of overt diabetes mellitus (DM) in liver cirrhosis is about 30%. However, DM or impaired glucose tolerance can be observed in 90% after an oral glucose tolerance test in patients with normal fasting plasma glucose. Type 2 DM may produce cirrhosis, whereas DM may be a complication of cirrhosis. The latter is known as «hepatogenous diabetes¼. Overt and subclinical DM is associated with liver complications and death in cirrhotic patients. Treating diabetes is difficult in cirrhotic patients because of the metabolic impairments due to liver disease and because the most appropriate pharmacologic treatment has not been defined. It is also unknown if glycemic control with hypoglycemic agents has any impact on the course of the liver disease.


Assuntos
Complicações do Diabetes/complicações , Cirrose Hepática/complicações , Complicações do Diabetes/terapia , Diabetes Mellitus Tipo 2/complicações , Humanos
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