463 research outputs found

    Metabolic Profile and Cardiovascular Risk in a Population of Renal transplant recipients

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    Introduction. Cardiovascular disease is more common in renal transplant recipients (RTRs) than in the general population, and is the major cause of both graft loss and patient death in RTRs. Objectives. This study aimed to characterize the cardiovascular risk factors, calculate the 7-year risk for major adverse cardiac events and the 7-year risk for death in a population of RTRs using a cardiovascular risk calculator, and determine the main cardiovascular risk factors associated with increased prediction of major adverse cardiac event (MACE) and death. Patients. This is a retrospective review of clinical data from 121 RTRs who are in follow-up programs at our institution, and who had a functioning and stable graft for longer than 6 months. Results. Among 121 adult patients followed at our institution (59.5% males, mean age of 49.6 13.8 years, mean times for functioning grafts were 105 73.5 mo), 86.8% had hypertension, 19.8% had diabetes, 24.8% were current or former smokers, 61.9% had increased body mass index, and 71% had dyslipidemia. The 7-year risk for MACE was more than 10% in 38 (31.4%) patients with age, diabetes, and smoke being independent risk predictors. The 7-year risk for death was more than 10% in 56 (46.3%) patients with age, diabetes, blood pressure, smoking, and male gender being independent risk predictors. Conclusion. There is a high prevalence of cardiovascular risk factors in a population of RTRs, and there is increased risk for MACE and death. Accurate risk prediction is important for physician decision support and patient education, promoting improved cardiovascular health of RTRs, and thus prolonging the survival of both patients and graft.info:eu-repo/semantics/publishedVersio

    Fructooligosaccharides production from agro-wastes as alternative low-cost source

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    Background The prebiotic properties of fructooligosaccharides (FOS) are well documented. The high demand of functional food by the food, pharmaceutical and biotechnology industries have lead researchers to explore new and more feasible processes to produce FOS. Not only economical substrates are being exploited to reduce costs, but also, seeking to attend a global problem, the excessive generation of agro-industrial wastes that are polluting the earth, which are not being completely exploited, have been a concern. Scope and approach The purpose of this review is to present a concise (but wide-ranging) appraisal on the latest advances in fructooligosaccharides production from agro-wastes, as alternative low-cost source. Emphasis is placed on the examination, analysis and discussion of the prospects for using different agro-industrial waste bioresources for the production of FOS and FOS-producing enzymes. Key findings and conclusions The food, agro-industrial and forestry industries generate large volumes of waste, that are mainly composed of complex carbohydrates and crude proteins, that can be useful as nutrients for microbial growth, and enzymes or other metabolites production. Agro-industrial wastes are discarded, and its accumulation generates a severe environmental impact. The development of value-added processes using agro-industrial wastes is very attractive and becomes an environmentally friendly waste management method.Authors thank to National Council of Science and Technology (CONACYT, México) for the financial support (CVU 860996) given to the Master Program in Food Science and Technology offered by the Autonomous University of Coahuila, Mexico. This study was also supported by the Portuguese Foundation for Science and Technology under the scope of the strategic funding of UID/BIO/04469/2019 unit and BioTecNorte operation (NORTE-01-0145-FEDER-000004) funded by the European Regional Development Fund under the scope of Norte2020 - Programa Operacional Regional do Norte also, Project ColOsH02/SAICT/2017(POCI-01-0145-FEDER-030071).info:eu-repo/semantics/publishedVersio

    Perceções dos líderes sobre o papel da humildade no desempenho: Um estudo empírico em Portugal

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    Entrevistou-se 19 líderes em Portugal para se analisar as perceções dos mesmos sobre o impacto que os três comportamentos associados à humildade (segundo Owens et al., 2013) têm no desempenho, as noções de humildade e a perceção dos entrevistados sobre o impacto que líderes humildes têm no desempenho das organizações. O primeiro comportamento foi aquele considerado pelos entrevistados como de menor relevância para um desempenho positivo das equipas tendo sido associado, por alguns, a desempenhos negativos. Sobre os outros dois comportamentos, a perceção geral foi positiva, ainda que a eficácia de todos os comportamentos seja tida como condicionada a certas situações. Verificou-se ainda uma grande dispersão na interpretação do conceito de humildade e a perceção de que líderes humildes não obtêm melhores desempenhos em certos contextos.info:eu-repo/semantics/publishedVersio

    Doença Renal na Região Autónoma da Madeira: Experiência de Vinte e Sete Anos de Biópsias de Rim Nativo

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    Introduction: Renal biopsy plays an essential role either in the diagnosis or in the prognosis of patients with renal disease. In order to assess its epidemiology and evolution in Madeira Islands, we analysed twenty-seven years of native kidney biopsies. Methods: We performed a retrospective analysis of clinical records, including histological revision from 1986 to 2012, totalling 315 native kidney biopsies. They were assessed regarding the temporal evolution both for the quality/indications for renal biopsy and for the patterns of kidney disease. Results: A total of 315 native kidney biopsies were analysed. The patients’ mean age was of 40.8 ± 18.4 years and 50.5%(n = 159) were males. The most common indications for renal biopsy were nephrotic syndrome (36.2%, n = 114) and acute kidney injury (20.0%, n = 63). Among primary glomerular diseases (41.5%, n = 115) the most common were IgA nephropathy (26.1%, n = 30) and focal-segmental glomerulosclerosis (17.4%, n = 20) and among secondary glomerular diseases (31.4%, n = 87), lupus nephritis (51.7%, n = 45) and amyloidosis (20.7%, n = 18). Statistical analysis revealed significant correlation between gender and major pathological diagnosis (Fisher’s exact test, p <.01) and between indications for renal biopsy and major pathological diagnosis (χ2, p <.01). Regarding the temporal evolution, no statistically significant differences were found in the number of renal biopsies (χ2, p =.193), number of glomeruli per sample (Fisher’s exact test, p =.669), age (Kruskal-Wallis, p =.216), indications for renal biopsy (χ2, p =.106) or major pathological diagnosis groups (χ2,p =.649). However, considering the specific clinico-pathological diagnoses and their temporal variation, a statistically significant difference (Fisher’s exact test, p <.05) was found for lupus nephritis and membranous nephropathy with an increasing incidence and for amyloidosis with an opposite tendency. Discussion: The review of the native kidney biopsies from a population with particular characteristics, geographically isolated, such as those from Madeira Islands, showed parallel between epidemiological numbers referring to other European subpopulations, allowing simultaneously a comprehensive approach to our renal biopsy policies

    Soil Fungal Diversity and Ecology Assessed Using DNA Metabarcoding along a Deglaciated Chronosequence at Clearwater Mesa, James Ross Island, Antarctic Peninsula

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    We studied the fungal diversity present in soils sampled along a deglaciated chronosequence from para- to periglacial conditions on James Ross Island, north-east Antarctic Peninsula, using DNA metabarcoding. A total of 88 amplicon sequence variants (ASVs) were detected, dominated by the phyla Ascomycota, Basidiomycota and Mortierellomycota. The uncommon phyla Chytridiomycota, Rozellomycota, Monoblepharomycota, Zoopagomycota and Basidiobolomycota were detected. Unknown fungi identified at higher hierarchical taxonomic levels (Fungal sp. 1, Fungal sp. 2, Spizellomycetales sp. and Rozellomycotina sp.) and taxa identified at generic and specific levels (Mortierella sp., Pseudogymnoascus sp., Mortierella alpina, M. turficola, Neoascochyta paspali, Penicillium sp. and Betamyces sp.) dominated the assemblages. In general, the assemblages displayed high diversity and richness, and moderate dominance. Only 12 of the fungal ASVs were detected in all chronosequence soils sampled. Sequences representing saprophytic, pathogenic and symbiotic fungi were detected. Based on the sequence diversity obtained, Clearwater Mesa soils contain a complex fungal community, including the presence of fungal groups generally considered rare in Antarctica, with dominant taxa recognized as cold-adapted cosmopolitan, endemic, saprotrophic and phytopathogenic fungi. Clearwater Mesa ecosystems are impacted by the effects of regional climatic changes, and may provide a natural observatory to understand climate change effects over time

    Potential geographic distribution of Hantavirus reservoirs in Brazil

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    Hantavirus cardiopulmonary syndrome is an emerging zoonosis in Brazil. Human infections occur via inhalation of aerosolized viral particles from excreta of infected wild rodents. Necromys lasiurus and Oligoryzomys nigripes appear to be the main reservoirs of hantavirus in the Atlantic Forest and Cerrado biomes. We estimated and compared ecological niches of the two rodent species, and analyzed environmental factors influencing their occurrence, to understand the geography of hantavirus transmission. N. lasiurus showed a wide potential distribution in Brazil, in the Cerrado, Caatinga, and Atlantic Forest biomes. Highest climate suitability for O. nigripes was observed along the Brazilian Atlantic coast. Maximum temperature in the warmest months and annual precipitation were the variables that most influence the distributions of N. lasiurus and O. nigripes, respectively. Models based on occurrences of infected rodents estimated a broader area of risk for hantavirus transmission in southeastern and southern Brazil, coinciding with the distribution of human cases of hantavirus cardiopulmonary syndrome. We found no demonstrable environmental differences among occurrence sites for the rodents and for human cases of hantavirus. However, areas of northern and northeastern Brazil are also apparently suitable for the two species, without broad coincidence with human cases. Modeling of niches and distributions of rodent reservoirs indicates potential for transmission of hantavirus across virtually all of Brazil outside the Amazon Basin

    Variations in Amazonian forest canopy structure and light environments across environmental and disturbance gradients.

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    A critical problem in tropical forest ecology is understanding how vegetation structure and function vary over environmental gradients. The degree to which forest structure changes across the Amazon basin and the role of environmental variability in shaping forest structure and dynamics are poorly characterised, despite the importance of these forests for regional and global climate. To address these challenges, we connected 10 years of investigations to amass a large database of ground-based profiling canopy lidar (PCL) data from 297 Amazon forest plots across large-scale environmental and disturbance gradients. Mean annual precipitation varied from 1,963 to 3,159 mm, number of dry season months from 0 to 5, and plot soil types covered about half of the variation in phosphorus, exchangeable cation, and soil physical property values observed in Amazonia. We quantified detailed metrics of vertical and horizontal structure and canopy light environments. Forest structure varied considerably across plots; maximum canopy height ranged from 6.1 to 35.7 m, gap fraction from 0.00 to 0.36, LAI from 0.5 to 7.3, rugosity from 1.5 to 7.5 m, and the relative height of 50% light transmission from 0.3 to 0.8. Disturbed sites exhibited almost twice the level of variation (SD) to non-disturbed sites for many metrics. Vertical leaf area density (LAD) profiles also showed high between plot variability, especially at low and high relative canopy heights. Plots with similar LAD profiles sometimes exhibited different distributions of ?canopy photic environment layers??where canopy leaf area is separated into photic environment layers by depth from canopy surface. This demonstrates that LAD profiles alone are insufficient for characterising canopy environments, essential to light-driven regeneration and carbon cycle processes. In addition, we evaluated relationships between lidar metrics and environmental variables extracted from geospatial layers. Our dataset allows a unique and detailed multi-site analysis of canopy structure and environments across the Amazon, including regions with little or no lidar sampling. Examining how structural attributes alter across environmental gradients is critical to understanding how current and future climate influences Amazonian forest structure, function, and dynamics.Paper 499657
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