2,092 research outputs found

    Tuberculosis treatment outcome by age group in Spain. Risk factors for potentially unsuccessful results

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    [ES] En este trabajo se analizaron los factores que influyen en los resultados potencialmente insatisfactorios (RPI) del tratamiento antituberculoso por grupos de edad a partir de los casos de tuberculosis declarados a la Red Nacional de Vigilancia Epidemiológica (RENAVE) en 2012. Se consideraron RPI a los fracasos terapéuticos, traslados, defunciones, abandonos, tratamientos prolongados y desconocidos; y satisfactorios (RS) a la curación y tratamiento completo. Los casos se clasificaron en cuatro grupos de edad (0-14 años, 15-44, 45-64 y mayores de 65). Se analizó la asociación del RPI vs. RS con las variables de la declaración en cada uno de los grupos de edad, calculándose las OR crudas (ORc) y ajustadas (ORa) mediante un análisis bivariado y por regresión logística. De los 5.880 casos incluidos en el estudio el 80% tenían un RS. Por grupos de edad, los RS fueron 90, 83, 80 y 70% en los grupos de 0-14, 15-44, 45-64 y >65 respectivamente. En adultos de 45 a 64 años los principales riesgos de RPI (p<0,05) fueron ser hombre (ORc=1,47, ORa=1,39), tener un tratamiento previo (ORc=2,29, ORa=1,94) y ser VIH positivo (ORc=1,99, ORa=1,98), y en adultos jóvenes (15-44 años), además de los anteriores, el ser de origen extranjero (ORc=1,84, ORa=1,84). El 19% de los casos mayores de 65 años fallecieron durante el tratamiento. Es necesario mejorar el manejo de los casos VIH positivos y tratados previamente, así como el seguimiento de los casos en extranjeros. [EN] In this article the risk factors for unsuccessful completion of treatment by age group are analyzed. The source of data is tuberculosis (TB) cases reported to the Spanish Surveillance Epidemiological Network in 2012. Outcomes were classified as: successful (S: cured and treatment completed) and potentially unsuccessful (PU: failed, transferred, deaths, defaulted, still on treatment and unknown). Age groups used for the analysis were: 0-14, 15-44, 45-64 and >65 years. Bivariate (crude Odds Ratio, cOR) and multivariate analysis (adjusted Odds Ratio, aOR) by logistic regression was used to explore the association between epidemiological and clinical factors with PU as outcome variable. The study included 5,880 TB cases. Successful outcome was 80% for the total and 90, 83, 80 and 70% in 0-14, 15-44, 45-64 and >65 age groups respectively. Risk factors (p<0.05) for PU in 45-64 age group were: male sex (cOR=1.47, aOR=1.39), previous treatment (cOR=2.29, aOR=1.94), HIV coinfection (cOR=1.99, aOR=1.98) and additionally foreign origin in 15-44 age group (cOR=1.84, aOR=1.84). Mortality rate in over 65 group was 19%. Improvements in the management of HIV co-infected and previously treated cases and better follow-up in foreigners are needed in Spain.N

    The enhancement of phase separation aspect in electron doped manganite Ca0.8Sm0.16Nd0.04MnO3

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    The complex lanthanide doping of electron manganites results in enhancement of various phase separation effects in physical properties of these compounds. Selecting Ca0.8Sm0.16Nd0.04MnO3 as a model case we show that the first order structural phase transition from paramagnetic semi-metallic phase into anti-ferromagnetic semi-metallic phase at TS ~ 158 +- 4 K is marked by an abrupt decrease in magnetization, a step like anomaly DL/L = 10-4 in thermal expansion and large latent heat DQ = 610 J/mol. In a certain temperature range below TS, the high field magnetization exhibits hysteretic metamagnetic behavior due to field-induced first order transformation. ac-susceptibility, magnetization and resistivity data suggest rather a non-uniform state in Ca0.8Sm0.16Nd0.04MnO3 at low temperatures. The metal - insulator transition occurs at TMI ~112 +- 3 K, accompanied by a step-like increase in magnetization. These features could be ascribed to "sponging" of electrons from neighboring anti-ferromagnetic matrix by clusters undergoing the ferromagnetic ordering.Comment: submitted to J.Phys. Cond. Matte

    T helper cell subsets specific for pseudomonas aeruginosa in healthy individuals and patients with cystic fibrosis

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    Background: We set out to determine the magnitude of antigen-specific memory T helper cell responses to Pseudomonas aeruginosa in healthy humans and patients with cystic fibrosis. Methods: Peripheral blood human memory CD4+ T cells were co-cultured with dendritic cells that had been infected with different strains of Pseudomonas aeruginosa. The T helper response was determined by measuring proliferation, immunoassay of cytokine output, and immunostaining of intracellular cytokines. Results: Healthy individuals and patients with cystic fibrosis had robust antigen-specific memory CD4+ T cell responses to Pseudomonas aeruginosa that not only contained a Th1 and Th17 component but also Th22 cells. In contrast to previous descriptions of human Th22 cells, these Pseudomonal-specific Th22 cells lacked the skin homing markers CCR4 or CCR10, although were CCR6+. Healthy individuals and patients with cystic fibrosis had similar levels of Th22 cells, but the patient group had significantly fewer Th17 cells in peripheral blood. Conclusions: Th22 cells specific to Pseudomonas aeruginosa are induced in both healthy individuals and patients with cystic fibrosis. Along with Th17 cells, they may play an important role in the pulmonary response to this microbe in patients with cystic fibrosis and other conditions

    Phytoestrogen consumption from foods and supplements and epithelial ovarian cancer risk: a population-based case control study

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    BACKGROUND: While there is extensive literature evaluating the impact of phytoestrogen consumption on breast cancer risk, its role on ovarian cancer has received little attention. METHODS: We conducted a population-based case-control study to evaluate phytoestrogen intake from foods and supplements and epithelial ovarian cancer risk. Cases were identified in six counties in New Jersey through the New Jersey State Cancer Registry. Controls were identified by random digit dialing, CMS (Centers for Medicare and Medicaid Service) lists, and area sampling. A total of 205 cases and 390 controls were included in analyses. Unconditional logistic regression analyses were conducted to examine associations with total phytoestrogens, as well as isoflavones (daidzein, genistein, formononetin, and glycitein), lignans (matairesinol, lariciresinol, pinoresinol, secoisolariciresinol), and coumestrol. RESULTS: No statistically significant associations were found with any of the phytoestrogens under evaluation. However, there was a suggestion of an inverse association with total phytoestrogen consumption (from foods and supplements), with an odds ratio (OR) of 0.62 (95% CI: 0.38-1.00; p for trend: 0.04) for the highest vs. lowest tertile of consumption, after adjusting for reproductive covariates, age, race, education, BMI, and total energy. Further adjustment for smoking and physical activity attenuated risk estimates (OR: 0.66; 95% CI: 0.41-1.08). There was little evidence of an inverse association for isoflavones, lignans, or coumestrol. CONCLUSIONS: This study provided some suggestion that phytoestrogen consumption may decrease ovarian cancer risk, although results did not reach statistical significance

    Planetary Dynamics and Habitable Planet Formation In Binary Star Systems

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    Whether binaries can harbor potentially habitable planets depends on several factors including the physical properties and the orbital characteristics of the binary system. While the former determines the location of the habitable zone (HZ), the latter affects the dynamics of the material from which terrestrial planets are formed (i.e., planetesimals and planetary embryos), and drives the final architecture of the planets assembly. In order for a habitable planet to form in a binary star system, these two factors have to work in harmony. That is, the orbital dynamics of the two stars and their interactions with the planet-forming material have to allow terrestrial planet formation in the habitable zone, and ensure that the orbit of a potentially habitable planet will be stable for long times. We have organized this chapter with the same order in mind. We begin by presenting a general discussion on the motion of planets in binary stars and their stability. We then discuss the stability of terrestrial planets, and the formation of potentially habitable planets in a binary-planetary system.Comment: 56 pages, 29 figures, chapter to appear in the book: Planets in Binary Star Systems (Ed. N. Haghighipour, Springer publishing company

    Frontally mediated inhibitory processing and white matter microstructure: age and alcoholism effects

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    RationaleThe NOGO P3 event-related potential is a sensitive marker of alcoholism, relates to EEG oscillation in the δ and θ frequency ranges, and reflects activation of an inhibitory processing network. Degradation of white matter tracts related to age or alcoholism should negatively affect the oscillatory activity within the network.ObjectiveThis study aims to evaluate the effect of alcoholism and age on δ and θ oscillations and the relationship between these oscillations and measures of white matter microstructural integrity.MethodsData from ten long-term alcoholics to 25 nonalcoholic controls were used to derive P3 from Fz, Cz, and Pz using a visual GO/NOGO protocol. Total power and across trial phase synchrony measures were calculated for δ and θ frequencies. DTI, 1.5 T, data formed the basis of quantitative fiber tracking in the left and right cingulate bundles and the genu and splenium of the corpus callosum. Fractional anisotropy and diffusivity (λL and λT) measures were calculated from each tract.ResultsNOGO P3 amplitude and δ power at Cz were smaller in alcoholics than controls. Lower δ total power was related to higher λT in the left and right cingulate bundles. GO P3 amplitude was lower and GO P3 latency was longer with advancing age, but none of the time-frequency analysis measures displayed significant age or diagnosis effects.ConclusionsThe relation of δ total power at CZ with λT in the cingulate bundles provides correlational evidence for a functional role of fronto-parietal white matter tracts in inhibitory processing

    Galectins as immunoregulators during infectious processes: from microbial invasion to the resolution of the disease

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    Recent evidence has implicated galectins, a family of evolutionarily conserved carbohydrate-binding proteins, as regulators of immune cell homeostasis and host-pathogen interactions. Galectins operate at different levels of innate and adaptive immune responses, by modulating cell survival and cell activation or by influencing the Th1/Th2 cytokine balance. Furthermore, galectins may contribute to host-pathogen recognition and may serve as receptors for specific interactions of pathogens with their insect vectors. Here we will explore the influence of galectins in immunological processes relevant to microbial infection and will summarize exciting recent work related to the specific interactions between galectins and their glycoconjugate ligands as critical determinants of pathogen recognition. Understanding the role of galectin-sugar interactions during the course of microbial infections might contribute to defining novel targets for disease prevention and immune intervention.Fil: Rabinovich, Gabriel Adrián. Universidad de Buenos Aires. Facultad de Medicina. Hospital de Clínicas General San Martín; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas. Instituto de Biología y Medicina Experimental. Fundación de Instituto de Biología y Medicina Experimental. Instituto de Biología y Medicina Experimental; ArgentinaFil: Gruppi, Adriana. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Córdoba. Centro de Investigaciones en Bioquímica Clínica e Inmunología; Argentin

    GC-1 mRHBDD1 knockdown spermatogonia cells lose their spermatogenic capacity in mouse seminiferous tubules

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    <p>Abstract</p> <p>Background</p> <p>Apoptosis is important for regulating spermatogenesis. The protein mRHBDD1 (mouse homolog of human RHBDD1)/rRHBDD1 (rat homolog of human RHBDD1) is highly expressed in the testis and is involved in apoptosis of spermatogonia. GC-1, a spermatogonia cell line, has the capacity to differentiate into spermatids within the seminiferous tubules. We constructed mRHBDD1 knockdown GC-1 cells and evaluated their capacity to differentiate into spermatids in mouse seminiferous tubules.</p> <p>Results</p> <p>Stable mRHBDD1 knockdown GC-1 cells were sensitive to apoptotic stimuli, PS341 and UV irradiation. <it>In vitro</it>, they survived and proliferated normally. However, they lost the ability to survive and differentiate in mouse seminiferous tubules.</p> <p>Conclusion</p> <p>Our findings suggest that mRHBDD1 may be associated with mammalian spermatogenesis.</p
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