Global prevalence of autism and other pervasive developmental disorders

We provide a systematic review of epidemiological surveys of autistic disorder and pervasive developmental disorders (PDDs) worldwide. A secondary aim was to consider the possible impact of geographic, cultural/ethnic, and socioeconomic factors on prevalence estimates and on clinical presentation of PDD. Based on the evidence reviewed, the median of prevalence estimates of autism spectrum disorders was 62/10 000. While existing estimates are variable, the evidence reviewed does not support differences in PDD prevalence by geographic region nor of a strong impact of ethnic/cultural or socioeconomic factors. However, power to detect such effects is seriously limited in existing data sets, particularly in low-income countries. While it is clear that prevalence estimates have increased over time and these vary in different neighboring and distant regions, these findings most likely represent broadening of the diagnostic concets, diagnostic switching from other developmental disabilities to PDD, service availability, and awareness of autistic spectrum disorders in both the lay and professional public. The lack of evidence from the majority of the world's population suggests a critical need for further research and capacity building in low- and middle-income countries

Outcome in patients perceived as receiving excessive care across different ethical climates: a prospective study in 68 intensive care units in Europe and the USA

Purpose: Whether the quality of the ethical climate in the intensive care unit (ICU) improves the identification of patients receiving excessive care and affects patient outcomes is unknown. Methods: In this prospective observational study, perceptions of excessive care (PECs) by clinicians working in 68 ICUs in Europe and the USA were collected daily during a 28-day period. The quality of the ethical climate in the ICUs was assessed via a validated questionnaire. We compared the combined endpoint (death, not at home or poor quality of life at 1 year) of patients with PECs and the time from PECs until written treatment-limitation decisions (TLDs) and death across the four climates defined via cluster analysis. Results: Of the 4747 eligible clinicians, 2992 (63%) evaluated the ethical climate in their ICU. Of the 321 and 623 patients not admitted for monitoring only in ICUs with a good (n = 12, 18%) and poor (n = 24, 35%) climate, 36 (11%) and 74 (12%), respectively were identified with PECs by at least two clinicians. Of the 35 and 71 identified patients with an available combined endpoint, 100% (95% CI 90.0–1.00) and 85.9% (75.4–92.0) (P = 0.02) attained that endpoint. The risk of death (HR 1.88, 95% CI 1.20–2.92) or receiving a written TLD (HR 2.32, CI 1.11–4.85) in patients with PECs by at least two clinicians was higher in ICUs with a good climate than in those with a poor one. The differences between ICUs with an average climate, with (n = 12, 18%) or without (n = 20, 29%) nursing involvement at the end of life, and ICUs with a poor climate were less obvious but still in favour of the former. Conclusion: Enhancing the quality of the ethical climate in the ICU may improve both the identification of patients receiving excessive care and the decision-making process at the end of life

Recent Advances in Drumstick (Moringa oleifera) Leaves Bioactive Compounds: Composition, Health Benefits, Bioaccessibility, and Dietary Applications

Based on the availability of many nutrients, Moringa oleifera tree leaves have been widely employed as nutrients and nutraceuticals in recent years. The leaves contain a small amount of anti-nutritional factors and are abundant in innumerable bioactive compounds. Recently, in several in vivo and in vitro investigations, moringa leaves’ bioactive components and functionality are highlighted. Moringa leaves provide several health advantages, including anti-diabetic, antibacterial, anti-cancer, and anti-inflammatory properties. The high content of phytochemicals, carotenoids, and glucosinolates is responsible for the majority of these activities as reported in the literature. Furthermore, there is growing interest in using moringa as a value-added ingredient in the development of functional foods. Despite substantial study into identifying and measuring these beneficial components from moringa leaves, bioaccessibility and bioavailability studies are lacking. This review emphasizes recent scientific evidence on the dietary and bioactive profiles of moringa leaves, bioavailability, health benefits, and applications in various food products. This study highlights new scientific data on the moringa leaves containing nutrient and bioactive profiles, bioavailability, health benefits, and uses in various food items. Moringa has been extensively used as a health-promoting food additive because of its potent protection against various diseases and the widespread presence of environmental toxins. More research is needed for utilization as well as to study medicinal effects and bioaccesibility of these leaves for development of various drugs and functional foods.info:eu-repo/semantics/publishedVersio

Relation between anabolic androgenic steroid administration, aerobic physical training and glycogen supercompensation

Glycogen supercompensation is one of the adaptations induced by physical training. To potentiate this phenomenon, many athletes use supraphysiological doses of anabolic androgenic steroids (AAS). The purpose of this study was to evaluate the effects of nandrolone and aerobic physical exercise in rats, on body weight, plasmatic triglycerides levels, blood glucose and glycogen content. Male Wistar rats were randomly divided into 4 groups: Sedentary + vehicle (SV), Trained + vehicle (TV), Sedentary + AAS (SAAS) and Trained + AAS (TAAS) (n = 7-14/group). They received i.m. injections of nandrolone or vehicle for 9 weeks, and during the same period trained rats were submitted to aerobic exercise. Data were analyzed by two-way ANOVA and Tukey tests (p (SV: 0,2 ± 0,02 = SAAS: 0,21 ± 0,02 mg/100 mg)]. Blood glucose and soleus glycogen reserves remained unaltered. The use of supraphysiological doses of nandrolone did not potentiate any of the effects obtained in response to aerobic physical training.A supercompensação do glicogênio é uma das adaptações induzidas pelo treinamento físico. Visando potencializar este fenômeno, muitos atletas utilizam doses suprafisiológicas de esteróides anabólicos androgênicos (EAA). O objetivo deste estudo foi avaliar em ratos os efeitos da nandrolona e do exercício aeróbio sobre o peso corporal, triglicerídeos, glicose e reservas de glicogênio. Ratos Wistar machos foram aleatoriamente divididos em quatro grupos: sedentário + veículo (SV), treinado + veículo (TV), sedentário + EAA (SEAA) e treinado + EAA (TEAA, n = 7-14/grupo). Receberam injeção i.m. de nandrolona ou veículo durante nove semanas e durante o mesmo período os animais treinados foram submetidos a exercício aeróbio. Os dados foram analisados por ANOVA bifatorial e Tukey (p (SV: 0,2 ± 0,02 = SEAA: 0,21 ± 0,02mg/100mg)]. A glicemia e as reservas de glicogênio do sóleo permaneceram inalteradas. O uso de doses suprafisiológicas de nandrolona não potencializou nenhum dos efeitos obtidos em resposta ao treinamento aeróbio.La supercompensación de glucógeno es una de las adaptaciones inducidas por el entrenamiento físico. Visualizando potencializar este fenómeno, muchos atletas utilizan dosis suprafisiológicas de estos esteroides anabólicos androgénicos (EAA). El objetivo de este estudio fue el de evaluar en ratas los efectos de nandrolona y del ejercicio aeróbico sobre el peso corporal, los triglicéridos, la gluclosa y las reservas de glucógeno. Ratas Wistar machos fueron aleatóriamente divididas en 4 grupos: sedentarios + vehículo (SV), entrenada + vehículo (EV), sedentario + EAA (SEAA) y entrenada + EAA (EEAA, n = 7-14/grupo). Recibieron una inyección intramuscular de nandrolona en vehículo durante dos semanas y durante este mismo período los animales entrenados fueron sometidos a ejercicio aeróbico. Los datos fueron analizados usando las pruebas estadísticas ANOVA bifactorial y Tukey (p (SV: 0,2 ± 0,02 = SEAA: 0,21 ± 0,02mg/100mg)]. La glucemia y las reservas de glucógeno del sóleo permanecieron inalteradas. El uso de dosis superfisiológicas de nandrona no potencializaron ninguno de los efectos obtenidos en respuesta al entrenamiento aeróbico.187192Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES

Analysis of the CcUNK8 orphan gene from Coffea canephora in Genetic Transformation of Setaria viridis

Like in many higher plants, bioinformatics analyses of coffee ESTs and gene sequences showed that around 30% of them are novel in the sense that their corresponding sequences (nucleic or putative translated protein) do not exhibit similarity with those already deposited in public databases. Recent concepts called such sequences as "no hits" or "orphan" genes, and postulate that they resulted of plant specific and adaptive responses regarding stresses and adverse environmental conditions that occurred during the evolution of species. Our work is focused on the identification and functional characterization of coffee orphan genes which may have a high potential for innovation and biotechnological applications either for coffee itself but also for other higher plants. In the frame of identifying candidate genes for drought-tolerance in coffee, several orphan genes (herein called Unk for Unknown) were previously identified. For example, this was the case of CcUNK8 gene that showed higher over-expression under drought in leaves of drought-tolerant clones of C. canephora than in those of the drought-susceptible clone. Aiming to identify the functions of CcUNK8 protein, this gene was cloned in an expression vector used to transformed embryogenic callus of Setaria viridis by Agrobacterium tumefaciens. Thirteen T0 transformed plants of S. viridis were selected and the presence of TDNA was confirmed by conventional PCR. For these plants, leaf CcUNK8 gene expression was analyzed by RT-qPCR and ranged from 1 to 20. In order to see if CcUNK8 over-expression enhances drought tolerance in S. viridis, physiological and phenological analyses of T2 plants grown under irrigated and non-irrigated conditions were carried out. For all transformed events of S. viridis grown under drought stress, we observed that accumulation of fresh biomass in roots and shoot was higher than in WT (untransformed) plants. These preliminary results, suggesting that CcUNK8 could play in protecting plant against drought, should be confirmed in homozygous T3 of S. viridis that are currently being analyzed. (Texte intégral

Microbial and fermentation profiles, losses and chemical composition of silages of buffel grass harvested at different cutting heights

The present study evaluated the microbial population, fermentation profile, losses and dry matter recovery, and chemical composition of silages of buffel grass at different cutting heights. To evaluate the microbial fermentation dynamics, the treatments resulted from a 4 × 5 factorial combination consisting of 4 cutting heights and 5 fermentation periods, in a completely randomized design with three replications. The fermentation was evaluated at the end of 1, 3, 7, 15 and 30 days. The other characteristics of silages with 30 days were evaluated following a completely randomized design with four treatments, consisting of 4 cutting heights (30, 40, 50 and 60 cm), and five replications. Fermentation period and cutting height effects and interaction between both factors were observed on the populations of lactic acid bacteria (LAB), enterobacteria and molds and yeasts. The peak of development of LAB populations was observed on the seventh day of fermentation for the heights of 40 and 50 cm, with 8.25 and 8.30 log cfu/g, respectively. The pH values of silages ranged with different cutting heights, in which at the height of 50 cm the decrease was most pronounced. However, the pH values were similar between the cutting heights at the end of 30 days of fermentation. Quadratic relationship was observed between lactic acid concentrations and cutting heights. The crude protein content behaved linearly, initially showing 128.5 g/kg DM at 30 cm, decreasing as the cutting heights increased. The neutral detergent fiber and ether extract contents increased linearly with the cutting heights. Based on microbial populations, fermentation, losses and chemical composition, it is recommended to harvest buffel grass for silage from 50 cm on