12 research outputs found

    A century of trends in adult human height

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    Being taller is associated with enhanced longevity, and higher education and earnings. We reanalysed 1472 population-based studies, with measurement of height on more than 18.6 million participants to estimate mean height for people born between 1896 and 1996 in 200 countries. The largest gain in adult height over the past century has occurred in South Korean women and Iranian men, who became 20.2 cm (95% credible interval 17.5-22.7) and 16.5 cm (13.3-19.7) taller, respectively. In contrast, there was little change in adult height in some sub-Saharan African countries and in South Asia over the century of analysis. The tallest people over these 100 years are men born in the Netherlands in the last quarter of 20th century, whose average heights surpassed 182.5 cm, and the shortest were women born in Guatemala in 1896 (140.3 cm; 135.8-144.8). The height differential between the tallest and shortest populations was 19-20 cm a century ago, and has remained the same for women and increased for men a century later despite substantial changes in the ranking of countries

    Rising rural body-mass index is the main driver of the global obesity epidemic in adults

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    Body-mass index (BMI) has increased steadily in most countries in parallel with a rise in the proportion of the population who live in cities 1,2 . This has led to a widely reported view that urbanization is one of the most important drivers of the global rise in obesity 3�6 . Here we use 2,009 population-based studies, with measurements of height and weight in more than 112 million adults, to report national, regional and global trends in mean BMI segregated by place of residence (a rural or urban area) from 1985 to 2017. We show that, contrary to the dominant paradigm, more than 55 of the global rise in mean BMI from 1985 to 2017�and more than 80 in some low- and middle-income regions�was due to increases in BMI in rural areas. This large contribution stems from the fact that, with the exception of women in sub-Saharan Africa, BMI is increasing at the same rate or faster in rural areas than in cities in low- and middle-income regions. These trends have in turn resulted in a closing�and in some countries reversal�of the gap in BMI between urban and rural areas in low- and middle-income countries, especially for women. In high-income and industrialized countries, we noted a persistently higher rural BMI, especially for women. There is an urgent need for an integrated approach to rural nutrition that enhances financial and physical access to healthy foods, to avoid replacing the rural undernutrition disadvantage in poor countries with a more general malnutrition disadvantage that entails excessive consumption of low-quality calories. © 2019, The Author(s)

    Primeiro relato de Hysterothylacium deardorffoverstreetorum (Raphidascarididae) em bijupirá de criação, Rachycentron canadum (Linnaeus 1766), no Brasil

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    RESUMO O objetivo do presente estudo foi registrar a ocorrência de larva de nematoide da família Raphidascarididae, Hysterothylacium deardorffoverstreetorum, em bijupirá Rachycentron canadum (Linnaeus, 1766), criado e alimentado com ração e "trashfish" em fazendas marinhas localizadas no Rio de Janeiro, Brasil, alertando para possíveis riscos zoonóticos ao se usar esse tipo de alimentação para criação de peixes. Foram necropsiados 15 animais. Os parasitas encontrados foram coletados, fixados e, posteriormente, conservados em álcool a 70°GL, clarificados e identificados. Em todos os animais necropsiados, apenas um espécime estava parasitado com uma larva de Hysterothylacium deardorffoverstreetorum na serosa do fígado do peixe e conclui-se que a presença desse parasita em bijupirá de criação alimentado por "trashfish pode estar associada à alimentação, indicando, assim, um potencial risco zoonótico

    Substituição do leite de cabra por soro de queijo bovino para cabritos alpinos Replacement of goat milk for cattle cheese whey in artificial feeding of Alpine kids

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    O trabalho foi conduzido para avaliar a substituição do leite de cabra por soro de queijo bovino no aleitamento de cabritos alpinos. Os animais foram distribuídos em delineamento inteiramente casualizado, em arranjo fatorial 4 &#215; 2, composto de quatro níveis de substituição do leite de cabra por soro de queijo (0, 15, 30 e 45%) e dois sexos (três machos e quatro fêmeas por tratamento). A inclusão do soro de queijo na dieta não afetou o desenvolvimento ponderal dos cabritos dos 7 aos 42 dias de idade. Os cabritos alimentados com leite de cabra apresentaram maiores pesos finais, em torno de 13,0 kg; consumiram 70,0 litros/animal de leite de cabra, 172,0 g MS/animal/dia de concentrado e tiveram ganho médio de 137,5 g/dia. Nos cabritos alimentados com a dieta com 15, 30 e 45% de soro de queijo, os pesos finais foram de 11,1; 9,88 e 10,27 kg; o consumo de leite foi de 59,5; 49,0 e 38,4 litros/animal; e o de concentrado, 148,0; 117,0 e 135 g MS/animal/dia, com ganhos de 122,2; 99,5 e 100,8 g/dia, respectivamente. A conversão alimentar não diferiu entre as dietas. O efeito do sexo evidenciou-se a partir dos 21 dias de idade, mas não houve interação dieta &#215; sexo. Ao final do estudo, aos 70 dias de idade, o peso dos machos (12,4 kg) foi maior que o das fêmeas (10,6 kg). A maior rentabilidade média (168,15%) foi obtida com o fornecimento dos níveis mais altos de soro de leite. O aleitamento de cabritos com até 45% de soro de queijo é tecnicamente viável e proporciona melhor retorno econômico. O uso de leite integral de cabra para criação de cabritos em rebanhos leiteiros é economicamente inviável.<br>The objective of this work was to evaluate the replacement of whole goat milk for cattle cheese whey in the artificial nursing of alpine kids. The animals were distributed in a complete randomized design in a 4 &#215; 2 factorial arrangement made up with four levels of goat milk replacing for cheese whey (0, 15, 30 and 45%) and two sexes (three males and four females per treatment). The inclusion of cheese whey in the diet did not affect the growth of the kids from 7 to 42 days of age. Kids fed whole goat milk showed higher final weights, around 13.0 kg. They intaked 70.0 L/animal of whole goat milk, 172.0 g DM/animal/day of concentrate and they had an average gain of 137.5 g/day. For the kids fed with 15, 30, 45% cheese whey diet, the final weights were 11.1; 9.88 and 10.27 kg; the whole goat milk consumption was 59.5, 49.0 and 38.4 L/animal, the concentrate consumption was 148.0; 117.0 and 135 g DM/animal/day with gains of 122.2; 99.5 and 100.8 g/day, respectively. Food conversion did not differ among diets. The sex effect was evident from the age of 21 days but there was not a treatment &#215; sex interaction. At the end of the work, at 70 days of age, the weight of the males (12.4 kg) was higher than the female weights (10.6 kg). The highest average yield (168.15%) was obtained when the kids received maximum level of whey. Nursing kids with up to 45% of cattle cheese whey is technically viable and increases economic return. However, using whole milk goat for nursing kids in milk cattle is economically unviable

    Constituintes químicos fixos e voláteis dos talos e frutos de Piper tuberculatum Jacq. e das raízes de P. hispidum H. B. K. Fixed and volatile chemical constituents from stems and fruits of Piper tuberculatum Jacq. and from roots of P. hispidum H. B. K.

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    Os óleos essenciais dos frutos e talos finos de Piper tuberculatum e das raízes de P. hispidum, coletados no estado de Rondônia, foram obtidos por hidrodestilação e analisados por GC e GC-MS. Foram identificados como constituintes majoritários, nos óleos dos frutos e talos finos de P. tuberculatum, o óxido de cariofileno (32,1%) e (26,6%) e o (E)-cariofileno (17,7%) e (12,3%), respectivamente. No óleo essencial das raízes de P. hispidum, foram identificados, como constituintes majoritários, o dilapiol (57,5%), a elemicina (24,5%) e o apiol (10,2%). Do extrato etanólico dos frutos de P. tuberculatum, foram isolados os esteróides &#946;-sitosterol e estigmasterol, as amidas piplartina e dihidropiplartina e um derivado do ácido cinâmico, o ácido 3,4,5-trimetoxi-dihidrocinâmico.<br>The essential oils of the fruits and fine stems of Piper tuberculatum and of the roots of P. hispidum, collected in the state of Rondônia, had been gotten by hydrodistillation and analyzed by GC and GC-MS. Caryophyllene oxide - 32,1% in fruits and 26,6% in fine stem, and (E)-caryophyllene - 17,7% in fruits and 12,3% in fine stems, were identified as the major constituents in such parts of P. tuberculatum. In the essential oil of the roots of P. hispidum, dillapiol (57,5%), elemicine (24,5%) and apiole (10,2%) were identified as the most abundant constituents. From the ethanolic extract of the fruits of P. tuberculatum, the steroids &#946;-sitosterol and stigmasterol, the amides piplartine and dihidropiplartine and the derivative of the cinâmico acid 3,4,5-trimethoxy-dihidrocinâmic acid were isolated

    At-admission prediction of mortality and pulmonary embolism in an international cohort of hospitalised patients with COVID-19 using statistical and machine learning methods

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    By September 2022, more than 600 million cases of SARS-CoV-2 infection have been reported globally, resulting in over 6.5 million deaths. COVID-19 mortality risk estimators are often, however, developed with small unrepresentative samples and with methodological limitations. It is highly important to develop predictive tools for pulmonary embolism (PE) in COVID-19 patients as one of the most severe preventable complications of COVID-19. Early recognition can help provide life-saving targeted anti-coagulation therapy right at admission. Using a dataset of more than 800,000 COVID-19 patients from an international cohort, we propose a cost-sensitive gradient-boosted machine learning model that predicts occurrence of PE and death at admission. Logistic regression, Cox proportional hazards models, and Shapley values were used to identify key predictors for PE and death. Our prediction model had a test AUROC of 75.9% and 74.2%, and sensitivities of 67.5% and 72.7% for PE and all-cause mortality respectively on a highly diverse and held-out test set. The PE prediction model was also evaluated on patients in UK and Spain separately with test results of 74.5% AUROC, 63.5% sensitivity and 78.9% AUROC, 95.7% sensitivity. Age, sex, region of admission, comorbidities (chronic cardiac and pulmonary disease, dementia, diabetes, hypertension, cancer, obesity, smoking), and symptoms (any, confusion, chest pain, fatigue, headache, fever, muscle or joint pain, shortness of breath) were the most important clinical predictors at admission. Age, overall presence of symptoms, shortness of breath, and hypertension were found to be key predictors for PE using our extreme gradient boosted model. This analysis based on the, until now, largest global dataset for this set of problems can inform hospital prioritisation policy and guide long term clinical research and decision-making for COVID-19 patients globally. Our machine learning model developed from an international cohort can serve to better regulate hospital risk prioritisation of at-risk patients. © The Author(s) 2024
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