78 research outputs found

    Indicators of dietary patterns in Danish infants at 9 months of age

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    Background: It is important to increase the awareness of indicators associated with adverse infant dietary patterns to be able to prevent or to improve dietary patterns early on. Objective: The aim of this study was to investigate the association between a wide range of possible family and child indicators and adherence to dietary patterns for infants aged 9 months. Design: The two dietary patterns ‘Family Food’ and ‘Health-Conscious Food’ were displayed by principal component analysis, and associations with possible indicators were analysed by multiple linear regressions in a pooled sample (n=374) of two comparable observational cohorts, SKOT I and SKOT II. These cohorts comprised infants with mainly non-obese mothers versus infants with obese mothers, respectively. Results: A lower Family Food score indicates a higher intake of liquid baby food, as this pattern shows transition from baby food towards the family's food. Infants, who were younger at diet registration and had higher body mass index (BMI) z-scores at 9 months, had lower Family Food pattern scores. A lower Family Food pattern score was also observed for infants with immigrant/descendant parents, parents who shared cooking responsibilities and fathers in the labour market compared to being a student, A lower Health-Conscious Food pattern score indicates a less healthy diet. A lower infant Health-Conscious Food pattern score was associated with a higher maternal BMI, a greater number of children in the household, a higher BMI z-score at 9 months, and a higher infant age at diet registration. Conclusions: Associations between infant dietary patterns and maternal, paternal, household, and child characteristics were identified. This may improve the possibility of identifying infants with an increased risk of developing unfavourable dietary patterns and potentially enable an early targeted preventive support

    Diabetes is a Risk Factor for Pulmonary Tuberculosis: A Case-Control Study from Mwanza, Tanzania.

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    Diabetes and TB are associated, and diabetes is increasingly common in low-income countries where tuberculosis (TB) is highly endemic. However, the role of diabetes for TB has not been assessed in populations where HIV is prevalent. A case-control study was conducted in an urban population in Tanzania among culture-confirmed pulmonary TB patients and non-TB neighbourhood controls. Participants were tested for diabetes according to WHO guidelines and serum concentrations of acute phase reactants were measured. The association between diabetes and TB, and the role of HIV as an effect modifier, were examined using logistic regression. Since blood glucose levels increase during the acute phase response, we adjusted for elevated serum acute phase reactants. Among 803 cases and 350 controls the mean (SD) age was 34.8 (11.9) and 33.8 (12.0) years, and the prevalence of diabetes was 16.7% (95% CI: 14.2; 19.4) and 9.4% (6.6; 13.0), respectively. Diabetes was associated with TB (OR 2.2, 95% CI: 1.5; 3.4, p<0.001). However, the association depended on HIV status (interaction, p = 0.01) due to a stronger association among HIV uninfected (OR 4.2, 95% CI: 1.5; 11.6, p = 0.01) compared to HIV infected (OR 0.1, 95% CI: 0.01; 1.8, p = 0.13) after adjusting for age, sex, demographic factors and elevated serum acute phase reactants. Diabetes is a risk factor for TB in HIV uninfected, whereas the association in HIV infected patients needs further study. The increasing diabetes prevalence may be a threat to TB control

    Rapid Molecular Assays for Specific Detection and Quantitation of Loa loa Microfilaremia

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    Loa loa is a filarial nematode that infects over 10 million people in Africa. Most infections cause no symptoms, but individuals with large numbers of blood-stage microfilariae are at risk for fatal reactions to ivermectin, an antiparasitic agent used to treat and prevent infections with Onchocerca volvulus, a related filarial parasite that may occur alongside L. loa. To address the urgent need for a point-of-care L. loa diagnostic assay, we screened a Loa microfilaria gene expression library and identified 18 Loa-specific DNA targets. From two targets, we developed a novel, rapid quantitative PCR assay for estimating L. loa microfilaria burden. The assay is highly sensitive (detects a single microfilaria in 20 µL of blood) and correlates well with microfilaria counts obtained with conventional microscopic techniques. The assay is species-specific for L. loa compared with related filarial parasites (including O. volvulus) and can be used in its current form in resource-rich areas as a diagnostic tool for L. loa infection. Although modifications will be required to make point-of-care use feasible, our assay provides a proof of concept for a potentially valuable tool to identify individuals at risk for adverse reactions to ivermectin and to facilitate the implementation of filarial control programs

    Sample introduction interface for on-chip nucleic acid-based analysis of Helicobacter pylori from stool samples.

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    Despite recent advances in microfluidic-based integrated diagnostic systems, the sample introduction interface, especially with regards to large volume samples, has often been neglected. We present a sample introduction interface that allows direct on-chip processing of crude stool samples for the detection of Helicobacter pylori (H. pylori). The principle of IFAST (immiscible filtration assisted by surface tension) was adapted to include a large volume sample chamber with a septum-based interface for stool sample introduction. Solid chaotropic salt and dry superparamagnetic particles (PMPs) could be stored on-chip and reconstituted upon sample addition, simplifying the process of release of DNA from H. pylori cells and its binding to the PMPs. Finally, the PMPs were pulled via a magnet through a washing chamber containing an immiscible oil solution and into an elution chamber where the DNA was released into aqueous media for subsequent analysis. The entire process required only 7 min while enabling a 40-fold reduction in working volume from crude biological samples. The combination of a real-world interface and rapid DNA extraction offers the potential for the methodology to be used in point-of-care (POC) devices

    Immobilization of antibodies in micropatterns for cell detection by optical diffraction

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    Optical diffraction at biochemically microstructured surfaces has been investigated for the label-free in situ detection of cells. The new sensor concept is based on regular arrays of covalently coupled antibodies, which selectively bind cells from solution. Due to the adsorption process, changes are imposed on the intensity distribution of the diffracted light, which can serve to quantify the amount of adsorbed cells. For the formation of such microstructures, different classical film preparation techniques were transferred to a mesoscopic scale by the use of microcontact printing (μCP). Alternatively, receptors were functionalized with thiol groups prior to the immobilization process and directly printed onto the gold surface. Compared to imprinting of non-functionalized proteins on gold, a better replication of the micropatterns could be obtained. Additionally, a significantly lower amount of defects was observed than for the classical coupling techniques. Using such microstructures, first experiments on the detection of Escherichia coli bacteria were performed. Diffraction patterns have been observed for concentrations equal or higher than 106 cells/ml. In time dependent experiments, diffraction spots occurred after 30 – 90 min or 10 – 20 min, depending on whether non-specific cell adsorption or specific binding to anti-E. coli IgG was studied. A first quantitative analysis of the diffraction patterns shows that the total amount of diffracted light increases with increasing incubation time

    Solvation of oligo(ethylene glycol)-terminated self-assembled monolayers studied by vibrational sum frequency spectroscopy

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    Self-assembled monolayers of methyl(1-mercaptoundec-11-yl)tri(ethylene glycol) (CH3O(C2H4O)3C11H22SH, EG3-OMe) adsorbed on gold were investigated by IR−vis sum frequency generation in the range of the C−H stretching vibrations. Comparison of the monolayers in ambient atmosphere, in contact with water, and in contact with carbon tetrachloride revealed that the film structure is strongly disturbed by the interaction of the liquid with the monolayer. The ordered structure found in air undergoes an amorphization upon exposure to the solvents. The experiments demonstrate that in situ analysis of the film structure is mandatory
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