2,205 research outputs found

    Association Of Nitric Oxide Synthase And Matrix Metalloprotease Single Nucleotide Polymorphisms With Preeclampsia And Its Complications.

    Get PDF
    Preeclampsia is one of the leading causes of maternal and neonatal morbidity and mortality in the world, but its appearance is still unpredictable and its pathophysiology has not been entirely elucidated. Genetic studies have associated single nucleotide polymorphisms in genes encoding nitric oxide synthase and matrix metalloproteases with preeclampsia, but the results are largely inconclusive across different populations. To investigate the association of single nucleotide polymorphisms (SNPs) in NOS3 (G894T, T-786C, and a variable number of tandem repetitions VNTR in intron 4), MMP2 (C-1306T), and MMP9 (C-1562T) genes with preeclampsia in patients from Southeastern Brazil. This prospective case-control study enrolled 77 women with preeclampsia and 266 control pregnant women. Clinical data were collected to assess risk factors and the presence of severe complications, such as eclampsia and HELLP (hemolysis, elevated liver enzymes, and low platelets) syndrome. We found a significant association between the single nucleotide polymorphism NOS3 T-786C and preeclampsia, independently from age, height, weight, or the other SNPs studied, and no association was found with the other polymorphisms. Age and history of preeclampsia were also identified as risk factors. The presence of at least one polymorphic allele for NOS3 T-786C was also associated with the occurrence of eclampsia or HELLP syndrome among preeclamptic women. Our data support that the NOS3 T-786C SNP is associated with preeclampsia and the severity of its complications.10e013669

    The potential of a multimodal digital care program in addressing healthcare inequities in musculoskeletal pain management

    Get PDF
    Digital interventions have emerged as a solution for time and geographical barriers, however, their potential to target other social determinants of health is largely unexplored. In this post-hoc analysis, we report the impact of social deprivation on engagement and clinical outcomes after a completely remote multimodal musculoskeletal (MSK) digital care program managed by a culturally-sensitive clinical team. Patients were stratified in five categories according to their social deprivation index, and cross-referenced with their race/ethnicity, rurality and distance to healthcare facilities. From a total of 12,062 patients from all U.S. states, 8569 completed the program. Higher social deprivation was associated with greater baseline disease burden. We observed that all categories reported pain improvements (ranging from -2.0 95%CI -2.1, -1.9 to -2.1 95%CI -2.3, -1.9, p < 0.001) without intergroup differences in mean changes or responder rates (from 59.9% (420/701) to 66.6% (780/1172), p = 0.067), alongside reduction in analgesic consumption. We observed significant improvements in mental health and productivity across all categories, with productivity and non-work-related functional recovery being greater within the most deprived group. Engagement was high but varied slightly across categories. Together these findings highlight the importance of a patient-centered digital care program as a tool to address health inequities in musculoskeletal pain management. The idea of investigating social deprivation within a digital program provides a foundation for future work in this field to identify areas of improvement.info:eu-repo/semantics/publishedVersio

    Environmental Fate of Zinc Oxide Nanoparticles: Risks and Benefits

    Get PDF
    Zinc oxide nanoparticles (ZnO-NPs) are among nanoscale materials displaying exponentially growing production due to their applications in the field of cosmetology, medicine, as antibacterial agent and catalyst. The ZnO nanomaterials release into the aquatic ecosystems through domestic and industrial wastewaters has the potential to induce pernicious effects on fish and other organisms. Increasing concerns on the environmental hazard to aquatic biota have been highlighted by the toxic potential of some metal-based nanomaterials. Several characteristics of ZnO-NPs (e.g. size, shape, surface charge and agglomeration state) play a central role in biological effects such as genotoxic, mutagenic or cytotoxic effects. Overall, Zn bioaccumulation, histopathological, and hematological changes with oxidative and cellular stress have been reported in ZnO-NPs exposed animals

    Utilização de serviços de saúde por adultos da coorte de nascimentos de 1982 a 2004-5, Pelotas, RS

    Get PDF
    OBJECTIVE: To describe the pattern of health services utilization by young adults. METHODS: Longitudinal study in Pelotas (Southern Brazil), in which the individuals were identified at birth in 1982 and followed up until 23 years of age. The outcome was defined by information collected about visits to health professionals that were attended in the year before the interview, between 2004 and 2005. The places where the visits occurred were categorized as public, private or belonging to health plan systems. Descriptive analyses were carried out for utilization and type of health service. Poisson Regression was employed in the adjusted analysis. RESULTS: Of the interviewees, 72.0% visited health professionals in the year before the interview; 86.2% (95% CI 84.7;87.7) of the women and 59.3% (95% CI 57.3;61.3) of the men. Even when gynecological visits were excluded, the women still attended more visits than the men, 68.4% (95% CI 66.4;70.4). Health services utilization was more frequent among interviewees of better socioeconomic level. A difference of lower use in relation to non-white skin color was observed only among male youths. There were differences regarding the type of professional visited by men and women and also according to family income. Men and women used more frequently the public system, the health plan system and, in a smaller proportion, the private system. CONCLUSIONS: The socioeconomic situation influenced the utilization and the type of health service, with men and women classified as "poor at the moment", which indicates lower utilization of services. Such socioeconomic differences may indicate difficulties in the access to the health system.OBJETIVO: Describir el patrón de utilización de servicios de salud por adultos jóvenes. MÉTODOS: Estudio longitudinal en Pelotas (Sur de Brasil), en que los individuos fueron localizados en su nacimiento en 1982 y acompañados hasta los 23 años. El desenlace fue definido por informaciones colectadas sobre consultas con profesionales de la salud realizadas en el año anterior a la entrevista entre 2004 y 2005. Los locales de consulta fueron clasificados como públicos, privados o seguros de salud. Los análisis descriptivos fueron realizados para utilización y tipo de servicio de salud. Regresión de Poisson fue utilizada en el análisis ajustado. RESULTADOS: De los entrevistados, 72,0% tuvieron consulta con profesionales de la salud en el año anterior a la entrevista; 86,2% (IC 95% 84,7;87,7) de las mujeres y 59,3% (IC 95% 57,3;61,3) de los hombres. A pesar de que se excluyeron las consultas con ginecólogos, las mujeres continuaban más consultas que los hombres, 68,4% (IC 95% 66,4;70,4). La utilización de los servicios de salud fue más frecuente entre los entrevistados de mejor nivel socioeconómico. Diferencia de menor uso en relación al color de piel no blanca fue observada solamente entre los jóvenes del sexo masculino. Hubo diferencias en relación al tipo de profesional consultado por hombres y mujeres y también conforme a la renta familiar. Hombres y mujeres consultaron más frecuentemente el sistema público, los servicios por convenio y en menor proporción el sistema privado. CONCLUSIONES: La situación socioeconómica influencio la utilización y el tipo de servicio de salud, con hombres y mujeres clasificados como "pobres en el momento", indicando menor utilización de servicios. Tales diferencias socioeconómicas pueden ser indicativas de dificultades de acceso al sistema de salud.OBJETIVO: Descrever o padrão de utilização de serviços de saúde por adultos jovens. MÉTODOS: Estudo longitudinal em Pelotas (RS), em que os indivíduos foram localizados no seu nascimento em 1982 e acompanhados até os 23 anos. O desfecho foi definido por informações coletadas sobre consultas com profissionais de saúde realizadas no ano anterior à entrevista entre 2004 e 2005. Os locais de consulta foram categorizados como públicos, privados ou planos de saúde. Análises descritivas foram realizadas para utilização e tipo de serviço de saúde. Regressão de Poisson foi utilizada na análise ajustada. RESULTADOS: Dos entrevistados, 72,0% tiveram consulta com profissionais de saúde no ano anterior à entrevista; 86,2% (IC 95% 84,7;87,7) das mulheres e 59,3% (IC 95% 57,3;61,3) dos homens. Mesmo quando excluídas as consultas com ginecologista, as mulheres continuavam tendo mais consultas do que os homens, 68,4% (IC 95% 66,4;70,4). A utilização dos serviços de saúde foi mais freqüente entre os entrevistados de melhor nível socioeconômico. Diferença de menor uso em relação à cor da pele não branca foi observada somente entre os jovens do sexo masculino. Houve diferenças em relação ao tipo de profissional consultado por homens e mulheres e também conforme a renda familiar. Homens e mulheres consultaram mais freqüentemente o sistema público, os serviços conveniados e em menor proporção o sistema privado. CONCLUSÕES: A situação socioeconômica influenciou a utilização e o tipo de serviço de saúde, com homens e mulheres classificados como "pobres no momento", indicando menor utilização de serviços. Tais diferenças socioeconômicas podem ser indicativas de dificuldades de acesso ao sistema de saúde

    Amino Acid for Japanese Quails: Methodologies and Nutritional Requirement

    Get PDF
    The methodologies applied to chickens and laying hens, to determine the digestibility and requirement of protein and amino acids are used with quails, however, they need a more careful evaluation due to peculiarities inherent to the Coturnix genus, in order to provide consistent results. The nutritional requirements of the birds are determinate using the dose-response and the factorial method. Several mathematical models and techniques of diet formulation are allied to the dose-response method in determining nutritional requirements. The curvilinear (hyperbolic) models better portray population behaviour in response to increasing nutrient doses in diets. The reading model, allow a better estimation of the requirement, in relation to the mathematical models used in the dose-response method. The techniques of comparative slaughter and nitrogen balance are effective in determining the nutritional requirements of quails, however, the latter need to be corrected by the loss of nitrogen in the feathers in determining the requirements of crude protein and amino acids for maintenance. The protein-free diet, coupled with the industrial amino acid supplementation, provides more robust digestibility values, since it more effectively predicts the endogenous excretion pattern

    Tricritical Points in the Sherrington-Kirkpatrick Model in the Presence of Discrete Random Fields

    Full text link
    The infinite-range-interaction Ising spin glass is considered in the presence of an external random magnetic field following a trimodal (three-peak) distribution. The model is studied through the replica method and phase diagrams are obtained within the replica-symmetry approximation. It is shown that the border of the ferromagnetic phase may present first-order phase transitions, as well as tricritical points at finite temperatures. Analogous to what happens for the Ising ferromagnet under a trimodal random field, it is verified that the first-order phase transitions are directly related to the dilution in the fields (represented by p0p_{0}). The ferromagnetic boundary at zero temperature also exhibits an interesting behavior: for 0<p0<p00.308560<p_{0}<p_{0}^{*} \approx 0.30856, a single tricritical point occurs, whereas if p0>p0p_{0}>p_{0}^{*} the critical frontier is completely continuous; however, for p0=p0p_{0}=p_{0}^{*}, a fourth-order critical point appears. The stability analysis of the replica-symmetric solution is performed and the regions of validity of such a solution are identified; in particular, the Almeida-Thouless line in the plane field versus temperature is shown to depend on the weight p0p_{0}.Comment: 23pages, 7 ps figure

    Ameliorating Systematic Uncertainties in the Angular Clustering of Galaxies: A Study using SDSS-III

    Get PDF
    We investigate the effects of potential sources of systematic error on the angular and photometric redshift, z_phot, distributions of a sample of redshift 0.4 < z < 0.7 massive galaxies whose selection matches that of the Baryon Oscillation Spectroscopic Survey (BOSS) constant mass sample. Utilizing over 112,778 BOSS spectra as a training sample, we produce a photometric redshift catalog for the galaxies in the SDSS DR8 imaging area that, after masking, covers nearly one quarter of the sky (9,913 square degrees). We investigate fluctuations in the number density of objects in this sample as a function of Galactic extinction, seeing, stellar density, sky background, airmass, photometric offset, and North/South Galactic hemisphere. We find that the presence of stars of comparable magnitudes to our galaxies (which are not traditionally masked) effectively remove area. Failing to correct for such stars can produce systematic errors on the measured angular auto-correlation function, w, that are larger than its statistical uncertainty. We describe how one can effectively mask for the presence of the stars, without removing any galaxies from the sample, and minimize the systematic error. Additionally, we apply two separate methods that can be used to correct the systematic errors imparted by any parameter that can be turned into a map on the sky. We find that failing to properly account for varying sky background introduces a systematic error on w. We measure w, in four z_phot slices of width 0.05 between 0.45 < z_phot < 0.65 and find that the measurements, after correcting for the systematic effects of stars and sky background, are generally consistent with a generic LambdaCDM model, at scales up to 60 degrees. At scales greater than 3 degrees and z_phot > 0.5, the magnitude of the corrections we apply are greater than the statistical uncertainty in w.Comment: Accepted by MNRA

    The Second Transmembrane Domain of P2X7 Contributes to Dilated Pore Formation

    Get PDF
    Activation of the purinergic receptor P2X7 leads to the cellular permeability of low molecular weight cations. To determine which domains of P2X7 are necessary for this permeability, we exchanged either the C-terminus or portions of the second transmembrane domain (TM2) with those in P2X1 or P2X4. Replacement of the C-terminus of P2X7 with either P2X1 or P2X4 prevented surface expression of the chimeric receptor. Similarly, chimeric P2X7 containing TM2 from P2X1 or P2X4 had reduced surface expression and no permeability to cationic dyes. Exchanging the N-terminal 10 residues or C-terminal 14 residues of the P2X7 TM2 with the corresponding region of P2X1 TM2 partially restored surface expression and limited pore permeability. To further probe TM2 structure, we replaced single residues in P2X7 TM2 with those in P2X1 or P2X4. We identified multiple substitutions that drastically changed pore permeability without altering surface expression. Three substitutions (Q332P, Y336T, and Y343L) individually reduced pore formation as indicated by decreased dye uptake and also reduced membrane blebbing in response to ATP exposure. Three others substitutions, V335T, S342G, and S342A each enhanced dye uptake, membrane blebbing and cell death. Our results demonstrate a critical role for the TM2 domain of P2X7 in receptor function, and provide a structural basis for differences between purinergic receptors. © 2013 Sun et al

    Expanding the knowledge on lignocellulolytic and redox enzymes of worker and soldier castes from the lower termite coptotermes gestroi

    Get PDF
    Termites are considered one of the most efficient decomposers of lignocelluloses on Earth due to their ability to produce, along with its microbial symbionts, a repertoire of carbohydrate-active enzymes (CAZymes). Recently, a set of Pro-oxidant, Antioxidant, and Detoxification enzymes (PAD) were also correlated with the metabolism of carbohydrates and lignin in termites. The lower termite Coptotermes gestroi is considered the main urban pest in Brazil, causing damage to wood constructions. Recently, analysis of the enzymatic repertoire of C. gestroi unveiled the presence of different CAZymes. Because the gene profile of CAZy/PAD enzymes endogenously synthesized by C. gestroi and also by their symbiotic protists remains unclear, the aim of this study was to explore the eukaryotic repertoire of these enzymes in worker and soldier castes of C. gestroi. Our findings showed that worker and soldier castes present similar repertoires of CAZy/PAD enzymes, and also confirmed that endo-glucanases (GH9) and beta-glucosidases (GH1) were the most important glycoside hydrolase families related to lignocellulose degradation in both castes. Classical cellulases such as exo-glucanases (GH7) and endo-glucanases (GH5 and GH45), as well as classical xylanases (GH10 and GH11), were found in both castes only taxonomically related to protists, highlighting the importance of symbiosis in C. gestroi. Moreover, our analysis revealed the presence of Auxiliary Activity enzyme families (AAs), which could be related to lignin modifications in termite digestomes. In conclusion, this report expanded the knowledge on genes and proteins related to CAZy/PAD enzymes from worker and soldier castes of lower termites, revealing new potential enzyme candidates for second-generation biofuel processes7CONSELHO NACIONAL DE DESENVOLVIMENTO CIENTÍFICO E TECNOLÓGICO - CNPQFUNDAÇÃO DE AMPARO À PESQUISA DO ESTADO DE SÃO PAULO - FAPESP140796/2013-4; 310186/2014-5; 442333/2014-511/20977-3; 15/06971-3; 12/19040-0; 14/10351-8; 06/59086-8; 14/20576- 7; 13/03061-0; 10/11469-1; 08/58037-9; 14/50371-8; 08/50114-
    corecore