105 research outputs found
Spatial and temporal variations of Cockle (Cerastoderma spp.) populations in two portuguese estuarine systems with low directed fishing pressure
Cockles are amongst the most exploited bivalve species in Portugal, playing an important ecological and socioeconomic role in coastal ecosystems. Two sympatric species of cockles, Cerastoderma edule (Linnaeus, 1758) and Cerastoderma glaucum (Bruguiere, 1789-1792) may co-occur in estuaries and coastal lagoons in mixed populations along the European Atlantic coast, namely in Portugal, France and the United Kingdom. The increasing importance of shellfish harvesting in Portugal requires a good knowledge of cockle stocks and temporal variability in stock levels to better inform sustainable management practices. Therefore, this study aimed at assessing spatial and temporal variations in cockle populations in two Portuguese estuarine systems where the species are exploited at low levels. Sampling was carried out using a clam dredge, covering the entire potential area of occurrence of cockles in the Tagus and Sado estuaries at around the same time of the year in each of the three sampling years (2015, 2018, and 2019). The abundance, spatial distribution and population structure of cockles were examined at each system. Moreover, several water and sediment parameters were measured to understand the influence of environmental conditions on the spatial distribution and abundance of cockles. The results obtained showed that cockles occur mostly in the intermediate areas of both estuarine systems and are more abundant in the Tagus estuary. Depth, average sediment grain size and the species Ruditapes philippinarum were the factors that better explained the probability of species occurrence. The population structure analysis indicated that natural mortality is constraining the cockle communities given the low abundance of adult individuals with marketable size in both estuaries. This study highlights the need for appropriate management measures to ensure the sustainability of these bivalve population stocks that have significant socioeconomic importance for local populations.info:eu-repo/semantics/publishedVersio
Immunocytochemical expression of p16 INK4A and Ki-67 in cytologically negative and equivocal pap smears positive for oncogenic human papillomavirus
This study was designed to analyze the cross-sectional comparison of the
p16
INK4A
and Ki-67 immunocytochemical expression in negative and equivocal (atyp-ical
squamous cells of undetermined significance (ASC-US)) liquid-based cytology
(LBC) samples testing positive for high-risk human papillomavirus (HPV) types with
HC2 assay or polymerase-chain reaction (PCR). A series of 199 consecutive LBC speci-mens
derived from the same number of women participating in the ongoing Latin American
Screening Study at Leonor Mendes de Barros Hospital, São Paulo, were analyzed
using immunocytochemistry for expression of p16
INK4A
and Ki-67 in negative and
equivocal LBC samples testing positive for high-risk HPV types with hybrid capture
II test (HC2) or PCR. All patients with at least one test positive (cytology, PCR, and/or
HC2) were followed each 6 months for 3 years. The follow-up procedure consisted of
visual examination, colposcopic inspection, cytology, and HC2 assay. Among the neg-ative
cytologic samples, 101 were HPV-positive and 55 HPV-negative. Of the HPV-pos-itive
group, 59 of 101 cases (58.4%) were positive for both p16 and Ki67
immunostaining, and 17 of 101 (16.8%) were negative for both. The proportion of
Ki-67-positivity increased almost in parallel with the increasing grade of p16-positivity
(p = 0.0001 for linear trend). In the HPV-negative group, both markers were negative in
41 of 55 cases (74.5%), and no statistical relationship was observed between the two
markers (Pearson, p = 0.595). HPV-positive ASC-US samples demonstrated a simulta-neous
positive immunoreaction for p16 and Ki67 in 11 of 16 cases (68.7%), whereas 3
(18.7%) were concurrently negative. The relationship between the two markers was of
borderline significance (Pearson, p = 0.053), but no linear relationship was found be-tween
the graded p16 and Ki-67 expression (p = 0.065 for linear trend). In the HPV-negative
ASC-US group, there was no statistical association between the graded p16
and Ki-67 positivity (Pearson, p = 0.281). After 36 months of follow-up of the ASC-US
patients, 6 women still displayed ASC-US smear, of which 4 of 6 were HPV-positive
and expressed both p16 and Ki-67 markers. Two of 43 ASC-US smears had high-grade squamous intraepithelial lesions diagnosed (4.6%), and 1 had low-grade squamous
intraepithelial lesion (2.3%). All of those were positive for HPV, p16 and Ki-67. Patients
with ASC-US diagnosis and positive high-risk HPV status and positive for p16
INK4A
Ki67 should be carefully observed to exclude occurrence of a squamous intraepithelial
lesion. The combination of these two markers can be a useful implement for manage-ment
of women with equivocal cytology.European Commission (EC) - INCO-DEV Programme - Project #ICA4-CT-2001-10013
Evaluation of the antioxidant and phototoxic potentials of Bauhinia microstachya var. massambabensis Vaz leaf extracts
Four different leaf extracts of B. microstachya var. massambabensis were studied to evaluate their antioxidant capacity by using three in vitro methods, with Ginkgo biloba and Trolox® as the standards. With the DPPH and ABTS·+ methods, the antioxidant activity of the extracts was in the following order, from maximum to minimum: AcEt > WAc > raw EtOH > EtOH CA > EGb, while with the ORAC method, it was as follows: EtOH CA > raw EtOH > AcEt > WAc > EGb. Phototoxic analysis was performed in yeast cultures of Saccharomyces cerevisiae. From the ethyl acetate extract, 2 flavonoids kaempferol-3-O-rhamnoside and astragalin-2”,6”-O-digallate were isolated and identified by HPLC and 1H- and 13C-NMR; to our knowledge, this is the first report of the occurrence of astragalin-2”,6”-O-digallate in the Bauhinia genus.Colegio de Farmacéuticos de la Provincia de Buenos Aire
Enfermedades crónicas
Adherencia al tratamiento farmacológico y relación con el control metabólico en pacientes con DM2Aluminio en pacientes con terapia de reemplazo renal crónico con hemodiálisis en Bogotá, ColombiaAmputación de extremidades inferiores: ¿están aumentando las tasas?Consumo de edulcorantes artificiales en jóvenes universitariosCómo crecen niños normales de 2 años que son sobrepeso a los 7 añosDiagnóstico con enfoque territorial de salud cardiovascular en la Región MetropolitanaEfecto a corto plazo de una intervención con ejercicio físico, en niños con sobrepesoEfectos de la cirugía bariátrica en pacientes con síndrome metabólico e IMC < 35 KG/M2Encuesta mundial de tabaquismo en estudiantes de profesiones de saludEnfermedades crónicas no transmisibles: Consecuencias sociales-sanitarias de comunidades rurales en ChileEpidemiología de las muertes hospitalarias por patologías relacionadas a muerte encefálica, Chile 2003-2007Estado nutricional y conductas alimentarias en adolescentes de 4º medio de la Región de CoquimboEstudio de calidad de vida en una muestra del plan piloto para hepatitis CEvaluación del proceso asistencial y de resultados de salud del GES de diabetes mellitus 2Factores de riesgo cardiovascular en población universitaria de la Facsal, universidad de TarapacáImplicancias psicosociales en la génesis, evolución y tratamiento de pacientes con hipertensión arterial esencialInfarto agudo al miocardio (IAM): Realidad en el Hospital de Puerto Natales, 2009-2010Introducción de nuevas TIC y mejoría de la asistencia a un programa de saludNiños obesos atendidos en el Cesfam de Puerto Natales y su entorno familiarPerfil de la mortalidad por cáncer de cuello uterino en Río de JaneiroPerfil del paciente primo-consultante del Programa de Salud Cardiovascular, Consultorio Cordillera Andina, Los AndesPrevalencia de automedicación en mujeres beneficiarias del Hospital Comunitario de Til-TiPrevalencia de caries en población preescolar y su relación con malnutrición por excesoPrevalencia de retinopatía diabética en comunas dependientes del Servicio de Salud Metropolitano Occidente (SSMOC)Problemas de adherencia farmacológica antihipertensiva en población mapuche: Un estudio cualitativoRol biológico de los antioxidantes innatos en pacientes portadores de VIH/SidaSobrepeso en empleados de un restaurante de una universidad pública del estado de São Paul
Hyperoxemia and excess oxygen use in early acute respiratory distress syndrome : Insights from the LUNG SAFE study
Publisher Copyright: © 2020 The Author(s). Copyright: Copyright 2020 Elsevier B.V., All rights reserved.Background: Concerns exist regarding the prevalence and impact of unnecessary oxygen use in patients with acute respiratory distress syndrome (ARDS). We examined this issue in patients with ARDS enrolled in the Large observational study to UNderstand the Global impact of Severe Acute respiratory FailurE (LUNG SAFE) study. Methods: In this secondary analysis of the LUNG SAFE study, we wished to determine the prevalence and the outcomes associated with hyperoxemia on day 1, sustained hyperoxemia, and excessive oxygen use in patients with early ARDS. Patients who fulfilled criteria of ARDS on day 1 and day 2 of acute hypoxemic respiratory failure were categorized based on the presence of hyperoxemia (PaO2 > 100 mmHg) on day 1, sustained (i.e., present on day 1 and day 2) hyperoxemia, or excessive oxygen use (FIO2 ≥ 0.60 during hyperoxemia). Results: Of 2005 patients that met the inclusion criteria, 131 (6.5%) were hypoxemic (PaO2 < 55 mmHg), 607 (30%) had hyperoxemia on day 1, and 250 (12%) had sustained hyperoxemia. Excess FIO2 use occurred in 400 (66%) out of 607 patients with hyperoxemia. Excess FIO2 use decreased from day 1 to day 2 of ARDS, with most hyperoxemic patients on day 2 receiving relatively low FIO2. Multivariate analyses found no independent relationship between day 1 hyperoxemia, sustained hyperoxemia, or excess FIO2 use and adverse clinical outcomes. Mortality was 42% in patients with excess FIO2 use, compared to 39% in a propensity-matched sample of normoxemic (PaO2 55-100 mmHg) patients (P = 0.47). Conclusions: Hyperoxemia and excess oxygen use are both prevalent in early ARDS but are most often non-sustained. No relationship was found between hyperoxemia or excessive oxygen use and patient outcome in this cohort. Trial registration: LUNG-SAFE is registered with ClinicalTrials.gov, NCT02010073publishersversionPeer 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
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
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