Thrombotic genetic risk factors and warfarin pharmacogenetic variants in São Miguel's healthy population (Azores)

<p>Summary</p> <p>Background</p> <p>The Azorean population presents the highest standardized mortality rate for cardiovascular diseases (CVD) when compared to mainland Portugal and other populations. Since thrombosis is a common cause of CVD, we assessed four polymorphisms in three thrombotic risk genes – <it>F5 </it>(G1691A), <it>F2 </it>(G20210A) and <it>MTHFR </it>(C677T, A1298C), in 469 healthy blood donors from São Miguel Island (Azores). We also analysed the <it>CYP2C9 </it>(C430T, A1075C) and <it>VKORC1 </it>(G1639A) variants in fifty-eight individuals with predisposition to thrombosis (possessing at least one variation in <it>F5 </it>or <it>F2 </it>genes and one in <it>MTHFR</it>) to evaluate their warfarin drug response genetic profiles.</p> <p>Results</p> <p>Among the 469 individuals, the data showed that thrombotic risk allele frequencies – 1691A (4.9%), 20210A (1.8%), 677T (41.7%) and 1298C (24.8%) – were similar to other Caucasians, but significantly different from mainland Portuguese (χ², <it>p </it>< 0.001). The combined analysis of these variants identified twenty-two different genetic profiles (genotype order: <it>F5</it>, <it>F2</it>, <it>MTHFR </it>C677T and A1298C). Complete homozygosity for all wild-type alleles (GG GG CC AA) was present in 11.7%, being GG GG CT AA (22.4%) the most frequent profile. The results also demonstrated that 12.4% (58 out of 469) of São Miguel islanders have increased genetic predisposition to thrombosis. Subsequently, we evaluated these individuals for their warfarin response genetic profiles. The data showed that seven out of fifty-eight individuals are poor metabolizers (two with <it>CYP2C9</it>*2/*2 and five with <it>CYP2C9</it>*2/*3 genotypes). <it>VKORC1 </it>polymorphism analysis identified twelve individuals (20.7%) with AA genotype, who probably will require lower doses of warfarin. The joint analysis of <it>CYP2C9 </it>and <it>VKORC1 </it>revealed that 79.3% (46 out of 58) of the individuals carry at least one polymorphism in these genes. Within these, twenty-five individuals (43.1%) need intermediate and/or low doses of warfarin, if treatment is started.</p> <p>Conclusion</p> <p>The present study demonstrated, for the first time, that São Miguel, and possibly the Azores population, shows significant differences on allele frequencies of thrombotic risk factors when compared to mainland Portugal. This research constitutes a primary approach for future studies on CVD, as well as for the implementation of warfarin dosing protocols using the patient's genotypic information.</p

EVALUACIÓN DE LA ANTIBIOSIS DE CUATRO VARIEDADES DE TOMATE Lycopersicon esculentum A LA PALOMILLA Tuta absoluta ( Lepidóptera: Gelechiidae)

El experimento fue realizado en el laboratorio de la División de Entomología del Departamento de Protección Vegetal, de la Facultad de Ciencias Agrarias, Universidad Nacional de Asunción, bajo condiciones controladas de temperatura: 25 ± 5ºC, humedad relativa de 70 ± 10% y fotoperiodo de 12 horas. El objetivo del trabajo fue evaluar la antibiosis de las variedades de tomate Santa Cruz Kada Gigante, Floradade y Jumbo, sobre la palomillaTuta absoluta. Los resultados indican que la fase larval más prolongada se observó en la variedad Jumbo, con una media de 9,636 ± 1,16 días y la fase pupal de mayor duración en Jumbo y Santa Cruz Kada Gigante. El menor peso de pupas hembras se registró en Floradade con 3,455 ± 0,99mg y el mayor porcentaje de deformación de pupas en Floradade y Santa Cruz Kada Gigante (6,7%). La menor longevidad se obtuvo en Santa Clara, con una duración de 22,2 ± 9,20 días. Las palomillas criadas con la variedad Floradade presentaron la menor fecundidad, con un total de 119,2 ± 82,99 huevos. Considerando los efectos de las diferentes variedades de tomate sobre la biología de la palomilla, se concluye que la Santa Cruz es la que presenta mayor antibiosis

Plants with potential use on obesity and its complications

Obesity is the most prevalent nutritional disease and a growing public health problem worldwide. This disease is a causal component of the metabolic syndrome related with abnormalities, including hyperglycemia, dyslipidemia, hypertension, inflammation, among others. There are anti-obesity drugs, affecting the fundamental processes of the weight regulation; however they have shown serious side effects, which outweigh their beneficial effects. Most recent studies on the treatment of obesity and its complications have focused on the potential role of different plants preparation that can exert a positive effect on the mechanisms involved in this pathology. For instance, anti-obesity effects of green tea and its isolated active principles have been reported in both in vitro (cell cultures) and in vivo (animal models) that possess healthy effects, decreasing adipose tissue through reduction of adipocytes differentiation and proliferation. A positive effect in lipid profile, and lipid and carbohydrates metabolisms were demonstrated as well. In addition, anti-inflammatory and antioxidant activities were studied. However, the consumption of green tea and its products is not that common in Western countries, where other plants with similar bioactivity predominate; nevertheless, the effect extension has not been analyzed in depth, despite of their potential as alternative treatment for obesity. In this review the anti-obesity potential and reported mechanisms of action of diverse plants such as: Camellia sinensis, Hibiscus sabdariffa, Hypericum perforatum, Persea americana, Phaseolus vulgaris, Capsicum annuum, Rosmarinus officinalis, Ilex paraguariensis, Citrus paradisi, Citrus limon, Punica granatum, Aloe vera, Taraxacum officinale and Arachis hypogaea is summarized. We consider the potential of these plants as natural alternative treatments of some metabolic alterations associated with obesity

Parasitismo Natural de Spodoptera frugiperda (Smith) (Lepidoptera: Noctuidae), en cuatro departamentos de Paraguay

&nbsp; The impact produced by natural enemies on culture pests is a very important factor to be taken into account when evaluating control methods. In this contaxt, the characteristic fauna of a region and its influence on a particular pest are very relevant data. This paper records the occurrence of parasitoids naturally associated with the fall army worm, Spodoptera frugiperda (Smith, 1797), in Paraguay, and their percentual impact, calculated from rearing larvae of the host collected during the period 2015 – 2016 in the departments of Caaguazú, Alto Paraná, Canindeyú and Itapúa. The parasitoids recorded were: Dissomphalus spp. (Hymenoptera: Bethylidae), Exasticolus fuscicornis Cameron (Hymenoptera: Braconidae), Ophion spp. (Hymenoptera: Ichneumonidae), Archytas spp. (Diptera: Tachinidae) and Winthenia spp. (Diptera: Tachinidae).&nbsp; El impacto que los enemigos naturales producen sobre las plagas de cultivos es un factor importante a tener en cuenta en el momento de evaluar los métodos de control a ser aplicados. En este contexto, la fauna propia de una región y su influencia sobre una plaga en particular son datos relevantes. Este articulo reporta la ocurrencia de parasitoides asociados de manera natural al gusano cogollero Spodoptera frugiperda (Smith, 1797), en el Paraguay, y su impacto porcentual, calculado en la base de cría de larvas del hospedero colectados durante el período 2015 - 2016 en los departamentos de Caaguazú, Alto Paraná, Canindeyú e Itapúa. Los parasitoides reportados fueron: Dissomphalus spp. (Hymenoptera: Bethylidae), Exasticolus fuscicornis Cameron (Hymenoptera: Braconidae), Ophion spp. (Hymenoptera: Ichneumonidae), Archytas spp. (Diptera: Tachinidae) y Winthenia spp. (Diptera: Tachinidae

Latin American Consensus Statement for the Use of Contrast-Enhanced Transcranial Ultrasound as a Diagnostic Test for Detection of Right-to-Left Shunt

Background: The role of patent foramen ovale is a field of debate and current publications have increasing controversies about the patients' management in young undetermined stroke. Work up with echocardiography and transcranial Doppler (TCD) can aid the decision with better anatomical and functional characterization of right-to-left shunt (RLS). Medical and interventional strategy may benefit from this information. Summary: a group of experts from the Latin American participants of the Neurosonology Research Group (NSRG) of World Federation of Neurology created a task force to review literature and describe the better methodology of contrast TCD (c-TCD). All signatories of the present consensus statement have published at least one study on TCD as an author or co-author in an indexed journal. Two meetings were held while the consensus statement was being drafted, during which controversial issues were discussed and voted on by the statement signatories. The statement paper was reviewed and approved by the Executive Committee of the NSRG of the World Federation of Neurology. The main objective of this consensus statement is to establish a standardization of the c-TCD technique and its interpretation, in order to improve the informative quality of the method, resulting in expanding the application of TCD in the clinical setting. These recommendations optimize the comparison of different diagnostic methods and encourage the use of c-TCD for RLS screening and complementary diagnosis in multicenter studies

What's in a Sign? Trademark Law and Economic Theory

Abstract: The aim of this paper is to summarise the extant theory as it relates to the economics of trademark, and to give some suggestions for further research with reference to distinct streams of literature. The proposed line of study inevitably looks at the complex relationship between signs and economics. Trademark is a sign introduced to remedy a market failure. It facilitates purchase decisions by indicating the provenance of the goods, so that consumers can identify specific quality attributes deriving from their own, or others&apos;, past experience. Trademark holders, on their part, have an incentive to invest in quality because they will be able to reap the benefits in terms of reputation. In other words, trademark law becomes an economic device which, opportunely designed, can produce incentives for maximising market efficiency. This role must, of course, be recognised, as a vast body of literature has done, with its many positive economic consequences. Nevertheless, trademark appears to have additional economic effects that should be properly recognized: it can determine the promotion of market power and the emergence of rent-seeking behaviours. It gives birth to an idiosyncratic economics of signs where very strong protection tends to be assured, even though the welfare effects are as yet poorly understood. In this domain much remains to be done and the challenge to researchers is open

Factors influencing physical functional status in intensive care unit survivors two years after discharge

BACKGROUND: Studies suggest that in patients admitted to intensive care units (ICU), physical functional status (PFS) improves over time, but does not return to the same level as before ICU admission. The goal of this study was to assess physical functional status two years after discharge from an ICU and to determine factors influencing physical status in this population. METHODS: The study reviewed all patients admitted to two non-trauma ICUs during a one-year period and included patients with age ≥ 18 yrs, ICU stay ≥ 24 h, and who were alive 24 months after ICU discharge. To assess PFS, Karnofsky Performance Status Scale scores and Lawton-Instrumental Activities of Daily Living (IADL) scores at ICU admission (K-ICU and L-ICU) were compared to the scores at the end of 24 months (K-24mo and L-24mo). Data at 24 months were obtained through telephone interviews. RESULTS: A total of 1,216 patients were eligible for the study. Twenty-four months after ICU discharge, 499 (41.6%) were alive, agreed to answer the interview, and had all hospital data available. PFS (K-ICU: 86.6 ± 13.8 vs. K-24mo: 77.1 ± 19.6, p < 0.001) and IADL (L-ICU: 27.0 ± 11.7 vs. L-24mo: 22.5 ± 11.5, p < 0.001) declined in patients with medical and unplanned surgical admissions. Most strikingly, the level of dependency increased in neurological patients (K-ICU: 86 ± 12 vs. K-24mo: 64 ± 21, relative risk [RR] 2.6, 95% CI, 1.8–3.6, p < 0.001) and trauma patients (K-ICU: 99 ± 2 vs. K-24mo: 83 ± 21, RR 2.7, 95% CI, 1.6–4.6, p < 0.001). The largest reduction in the ability to perform ADL occurred in neurological patients (L-ICU: 27 ± 7 vs. L-24mo: 15 ± 12, RR 3.3, 95% CI, 2.3–4.6 p < 0.001), trauma patients (L-ICU: 32 ± 0 vs. L-24mo: 25 ± 11, RR 2.8, 95% CI, 1.5–5.1, p < 0.001), patients aged ≥ 65 years (RR 1.4, 95% CI, 1.07–1.86, p = 0.01) and those who received mechanical ventilation for ≥ 8 days (RR 1.48, 95% CI, 1.02–2.15, p = 0.03). CONCLUSIONS: Twenty-four months after ICU discharge, PFS was significantly poorer in patients with neurological injury, trauma, age ≥ 65 tears, and mechanical ventilation ≥ 8 days. Future studies should focus on the relationship between PFS and health-related quality of life in this population