28 research outputs found

    Efficiency of sampling methods to monitor the bacterial contamination of pork carcasses before and after chilling

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    The aim of the study was to compare the efficiency of destructive (excision) and non-destructive (swabbing and sponging) sampling methods to enumerate aerobic mesophilic microorganisms, Enterobacteriaceae and to detect Salmonella on the surface of pork carcasses. In three slaughterhouses, a total of 720 half-carcasses were sampled before and after chilling. On each half-carcass, four sites were sampled by both destructive and non-destructive techniques, for a respective total surface of 25 and 400 cm2

    Comparative genetic analysis: the utility of mouse genetic systems for studying human monogenic disease

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    One of the long-term goals of mutagenesis programs in the mouse has been to generate mutant lines to facilitate the functional study of every mammalian gene. With a combination of complementary genetic approaches and advances in technology, this aim is slowly becoming a reality. One of the most important features of this strategy is the ability to identify and compare a number of mutations in the same gene, an allelic series. With the advent of gene-driven screening of mutant archives, the search for a specific series of interest is now a practical option. This review focuses on the analysis of multiple mutations from chemical mutagenesis projects in a wide variety of genes and the valuable functional information that has been obtained from these studies. Although gene knockouts and transgenics will continue to be an important resource to ascertain gene function, with a significant proportion of human diseases caused by point mutations, identifying an allelic series is becoming an equally efficient route to generating clinically relevant and functionally important mouse models

    Global variation in diabetes diagnosis and prevalence based on fasting glucose and hemoglobin A1c

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    Fasting plasma glucose (FPG) and hemoglobin A1c (HbA1c) are both used to diagnose diabetes, but these measurements can identify different people as having diabetes. We used data from 117 population-based studies and quantified, in different world regions, the prevalence of diagnosed diabetes, and whether those who were previously undiagnosed and detected as having diabetes in survey screening, had elevated FPG, HbA1c or both. We developed prediction equations for estimating the probability that a person without previously diagnosed diabetes, and at a specific level of FPG, had elevated HbA1c, and vice versa. The age-standardized proportion of diabetes that was previously undiagnosed and detected in survey screening ranged from 30% in the high-income western region to 66% in south Asia. Among those with screen-detected diabetes with either test, the age-standardized proportion who had elevated levels of both FPG and HbA1c was 29-39% across regions; the remainder had discordant elevation of FPG or HbA1c. In most low- and middle-income regions, isolated elevated HbA1c was more common than isolated elevated FPG. In these regions, the use of FPG alone may delay diabetes diagnosis and underestimate diabetes prevalence. Our prediction equations help allocate finite resources for measuring HbA1c to reduce the global shortfall in diabetes diagnosis and surveillance

    Worldwide trends in underweight and obesity from 1990 to 2022: a pooled analysis of 3663 population-representative studies with 222 million children, adolescents, and adults

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    Background Underweight and obesity are associated with adverse health outcomes throughout the life course. We estimated the individual and combined prevalence of underweight or thinness and obesity, and their changes, from 1990 to 2022 for adults and school-aged children and adolescents in 200 countries and territories. Methods We used data from 3663 population-based studies with 222 million participants that measured height and weight in representative samples of the general population. We used a Bayesian hierarchical model to estimate trends in the prevalence of different BMI categories, separately for adults (age ≄20 years) and school-aged children and adolescents (age 5–19 years), from 1990 to 2022 for 200 countries and territories. For adults, we report the individual and combined prevalence of underweight (BMI <18·5 kg/m2) and obesity (BMI ≄30 kg/m2). For schoolaged children and adolescents, we report thinness (BMI <2 SD below the median of the WHO growth reference) and obesity (BMI >2 SD above the median). Findings From 1990 to 2022, the combined prevalence of underweight and obesity in adults decreased in 11 countries (6%) for women and 17 (9%) for men with a posterior probability of at least 0·80 that the observed changes were true decreases. The combined prevalence increased in 162 countries (81%) for women and 140 countries (70%) for men with a posterior probability of at least 0·80. In 2022, the combined prevalence of underweight and obesity was highest in island nations in the Caribbean and Polynesia and Micronesia, and countries in the Middle East and north Africa. Obesity prevalence was higher than underweight with posterior probability of at least 0·80 in 177 countries (89%) for women and 145 (73%) for men in 2022, whereas the converse was true in 16 countries (8%) for women, and 39 (20%) for men. From 1990 to 2022, the combined prevalence of thinness and obesity decreased among girls in five countries (3%) and among boys in 15 countries (8%) with a posterior probability of at least 0·80, and increased among girls in 140 countries (70%) and boys in 137 countries (69%) with a posterior probability of at least 0·80. The countries with highest combined prevalence of thinness and obesity in school-aged children and adolescents in 2022 were in Polynesia and Micronesia and the Caribbean for both sexes, and Chile and Qatar for boys. Combined prevalence was also high in some countries in south Asia, such as India and Pakistan, where thinness remained prevalent despite having declined. In 2022, obesity in school-aged children and adolescents was more prevalent than thinness with a posterior probability of at least 0·80 among girls in 133 countries (67%) and boys in 125 countries (63%), whereas the converse was true in 35 countries (18%) and 42 countries (21%), respectively. In almost all countries for both adults and school-aged children and adolescents, the increases in double burden were driven by increases in obesity, and decreases in double burden by declining underweight or thinness. Interpretation The combined burden of underweight and obesity has increased in most countries, driven by an increase in obesity, while underweight and thinness remain prevalent in south Asia and parts of Africa. A healthy nutrition transition that enhances access to nutritious foods is needed to address the remaining burden of underweight while curbing and reversing the increase in obesit

    Global variations in diabetes mellitus based on fasting glucose and haemogloblin A1c

    Get PDF
    Fasting plasma glucose (FPG) and haemoglobin A1c (HbA1c) are both used to diagnose diabetes, but may identify different people as having diabetes. We used data from 117 population-based studies and quantified, in different world regions, the prevalence of diagnosed diabetes, and whether those who were previously undiagnosed and detected as having diabetes in survey screening had elevated FPG, HbA1c, or both. We developed prediction equations for estimating the probability that a person without previously diagnosed diabetes, and at a specific level of FPG, had elevated HbA1c, and vice versa. The age-standardised proportion of diabetes that was previously undiagnosed, and detected in survey screening, ranged from 30% in the high-income western region to 66% in south Asia. Among those with screen-detected diabetes with either test, the agestandardised proportion who had elevated levels of both FPG and HbA1c was 29-39% across regions; the remainder had discordant elevation of FPG or HbA1c. In most low- and middle-income regions, isolated elevated HbA1c more common than isolated elevated FPG. In these regions, the use of FPG alone may delay diabetes diagnosis and underestimate diabetes prevalence. Our prediction equations help allocate finite resources for measuring HbA1c to reduce the global gap in diabetes diagnosis and surveillance.peer-reviewe

    Worldwide trends in underweight and obesity from 1990 to 2022 : a pooled analysis of 3663 population-representative studies with 222 million children, adolescents, and adults

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    A list of authors and their affiliations appears online. A supplementary appendix is herewith attached.Background: Underweight and obesity are associated with adverse health outcomes throughout the life course. We estimated the individual and combined prevalence of underweight or thinness and obesity, and their changes, from 1990 to 2022 for adults and school-aged children and adolescents in 200 countries and territories. Methods: We used data from 3663 population-based studies with 222 million participants that measured height and weight in representative samples of the general population. We used a Bayesian hierarchical model to estimate trends in the prevalence of different BMI categories, separately for adults (age ≄20 years) and school-aged children and adolescents (age 5–19 years), from 1990 to 2022 for 200 countries and territories. For adults, we report the individual and combined prevalence of underweight (BMI 2 SD above the median). Findings: From 1990 to 2022, the combined prevalence of underweight and obesity in adults decreased in 11 countries (6%) for women and 17 (9%) for men with a posterior probability of at least 0·80 that the observed changes were true decreases. The combined prevalence increased in 162 countries (81%) for women and 140 countries (70%) for men with a posterior probability of at least 0·80. In 2022, the combined prevalence of underweight and obesity was highest in island nations in the Caribbean and Polynesia and Micronesia, and countries in the Middle East and north Africa. Obesity prevalence was higher than underweight with posterior probability of at least 0·80 in 177 countries (89%) for women and 145 (73%) for men in 2022, whereas the converse was true in 16 countries (8%) for women, and 39 (20%) for men. From 1990 to 2022, the combined prevalence of thinness and obesity decreased among girls in five countries (3%) and among boys in 15 countries (8%) with a posterior probability of at least 0·80, and increased among girls in 140 countries (70%) and boys in 137 countries (69%) with a posterior probability of at least 0·80. The countries with highest combined prevalence of thinness and obesity in school-aged children and adolescents in 2022 were in Polynesia and Micronesia and the Caribbean for both sexes, and Chile and Qatar for boys. Combined prevalence was also high in some countries in south Asia, such as India and Pakistan, where thinness remained prevalent despite having declined. In 2022, obesity in school-aged children and adolescents was more prevalent than thinness with a posterior probability of at least 0·80 among girls in 133 countries (67%) and boys in 125 countries (63%), whereas the converse was true in 35 countries (18%) and 42 countries (21%), respectively. In almost all countries for both adults and school-aged children and adolescents, the increases in double burden were driven by increases in obesity, and decreases in double burden by declining underweight or thinness. Interpretation: The combined burden of underweight and obesity has increased in most countries, driven by an increase in obesity, while underweight and thinness remain prevalent in south Asia and parts of Africa. A healthy nutrition transition that enhances access to nutritious foods is needed to address the remaining burden of underweight while curbing and reversing the increase in obesity.peer-reviewe

    Efficiency of sampling methods to monitor the bacterial contamination of pork carcasses before and after chilling

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    The aim of the study was to compare the efficiency of destructive (excision) and non-destructive (swabbing and sponging) sampling methods to enumerate aerobic mesophilic microorganisms, Enterobacteriaceae and to detect Salmonella on the surface of pork carcasses. In three slaughterhouses, a total of 720 half-carcasses were sampled before and after chilling. On each half-carcass, four sites were sampled by both destructive and non-destructive techniques, for a respective total surface of 25 and 400 cm2.</p

    AVIS du 16 dĂ©cembre 2016 rĂ©visĂ© le 14 mars 2017 de l’Agence nationale de sĂ©curitĂ© sanitaire de l’alimentation, de l’environnement et du travail relatif Ă  la contamination de produits de charcuterie crue par Trichinella spp.

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    Cet avis annule et remplace l’avis du 16 dĂ©cembre 2016. La recommandation relative Ă  l’étiquetage p 27 « cuire suffisamment les charcuteries Ă  base de foie de porc destinĂ©es Ă  ĂȘtre consommĂ©es cuites » est modifiĂ©e comme suit : « De façon plus gĂ©nĂ©rale, les experts recommandent un Ă©tiquetage mentionnant : « cuire Ă  cƓur » pour les produits Ă  base de porc destinĂ©s Ă  ĂȘtre consommĂ©s cuits.Citation suggĂ©rĂ©e : Anses. (2017). Avis du 16 dĂ©cembre 2016 rĂ©visĂ© le 14 mars 2017 de l’Agence nationale de sĂ©curitĂ© sanitaire de l’alimentation, de l’environnement et du travail relatif Ă  la contamination de produits de charcuterie crue par Trichinella spp. (saisine n°2016-SA-0040). Maisons-Alfort : Anses, 34 p. Saisines liĂ©es n°2007-SA-0025 et 2010-SA-0231Un Ă©pisode de toxi-infection alimentaire collective (TIAC) dĂ» Ă  Trichinella liĂ© Ă  la consommation de charcuterie crue de viande de porc (figatelles) est survenu en avril 2015. Cette toxi-infection a 27 entraĂźnĂ© trois cas confirmĂ©s pour 17 personnes exposĂ©es. Les analyses rĂ©alisĂ©es sur les figatelles par le laboratoire national de rĂ©fĂ©rence (LNR, Anses, Maisons-Alfort) ont permis d’identifier la prĂ©sence de Trichinella britovi. Les figatelles ont Ă©tĂ© retirĂ©es de la chaĂźne alimentaire et l’élevage des porcs incriminĂ©s dans leur fabrication a fait l’objet d’un arrĂȘtĂ© prĂ©fectoral de mise sous surveillance (APMS) en avril 2015. Le(s) porc(s) ayant Ă©tĂ© Ă  l’origine de la TIAC avai(en)t Ă©tĂ© abattu(s) clandestinement. Par la suite, les analyses conduites au laboratoire vĂ©tĂ©rinaire dĂ©partemental d'Ajaccio (LVD 2A), dans les conditions du diagnostic rĂ©glementaire, ont permis d'identifier deux porcs positifs avec prĂ©sence de deux larves de Trichinella dans des Ă©chantillons de diaphragme de masse ≄ 5 g. Ces porcs provenaient de l’élevage placĂ© sous APMS. Les analyses du laboratoire vĂ©tĂ©rinaire dĂ©partemental ont Ă©tĂ© confirmĂ©es par le LNR avec l'identification de l'espĂšce Trichinella britovi. Les rĂ©sultats des analyses montrent que les charges parasitaires sont trĂšs faibles puisqu'elles sont infĂ©rieures Ă  une larve/gramme (LPG). La dĂ©tection d’une charge parasitaire d’une LPG avec le test de digestion artificielle rĂ©glementaire nĂ©cessite l’analyse d’au moins trois Ă  cinq grammes de muscle (Forbes et Gajadhar 1999), cela constitue la limite de dĂ©tection du test officiel. Cette charge d’une LPG correspond Ă©galement Ă  la limite en-dessous de laquelle il a Ă©tĂ© jusqu’ici considĂ©rĂ© que l'individu qui ingĂšre de la viande contaminĂ©e n’exprimera pas de trichinellose symptomatique (OIE 2012). La rĂ©glementation communautaire relative aux contrĂŽles officiels et aux protocoles analytiques concernant la prĂ©sence de Trichinella dans les viandes a Ă©tĂ© rĂ©visĂ©e en aoĂ»t 2015 (rĂšglement d’exĂ©cution (UE) 2015/1375 de la Commission du 10 aoĂ»t 2015). Les questions instruites dans l’avis sont les suivantes : 1. Actualisation des connaissances relatives Ă  la contamination des porcs par Trichinella et au risque pour le consommateur, par rapport aux avis de l’Afssa de 2007 (Afssa 2007a, b, c, d, e) et Ă  la fiche de danger biologique transmissible par les aliments de 2011. Cette actualisation portera en particulier sur les nouvelles connaissances acquises relatives Ă  la relation dose-rĂ©ponse chez l’Homme. 2. Analyse de la probabilitĂ© de dĂ©tection de Trichinella dans la viande de porc. 3. Evaluation de l’adĂ©quation entre le systĂšme de surveillance actuel et le risque sanitaire pour le consommateur. Le pĂ©rimĂštre de l’expertise est limitĂ© aux Ă©levages corses de porcs en plein air
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