Urbanisation is associated with prevalence of childhood asthma in diverse, small rural communities in Ecuador

BACKGROUND: Studies conducted in transitional communities from Africa and Asia have pointed to the process of urbanisation as being responsible for the increase in asthma prevalence in developing regions. In Latin America, there are few published data available on the potential impact of urbanisation on asthma prevalence. The aim of the present study was to explore how the process of urbanisation may explain differences in asthma prevalence in transitional communities in north-eastern Ecuador. METHODOLOGY/PRINCIPAL FINDINGS: An ecological study was conducted in 59 communities in Esmeraldas Province, Ecuador. Indicators of urbanisation were grouped into three indices representing the processes associated with urbanisation: socioeconomic, lifestyle and urban infrastructure. Categorical principal components analysis was used to generate scores for each index and a fourth index--a summary urbanisation index--was derived from the most representative variables in each of the three indices. The authors analysed the associations between community asthma prevalence and the indices, as well as with each indicator variable of every group. The overall prevalence of asthma was 10.1% (range 0-31.4% between communities). Three of the four indices presented significant associations with community asthma prevalence: socioeconomic (r = 0.295, p = 0.023), lifestyle (r = 0.342, p = 0.008) and summary urbanisation index (r = 0.355, p = 0.006). Variables reflecting better socioeconomic status and a more urban lifestyle were associated with greater asthma prevalence. CONCLUSIONS: These data provide evidence that the prevalence of asthma increases with increasing levels of urbanisation in transitional communities, and factors associated with greater socioeconomic level and changes towards a more urban lifestyle may be particularly important

Sustainability assessment of half-sandwich panels based on alkali-activated ceramic/slag wastes cement versus conventional building solutions

This study assessed the sustainability of two partition walls and intended to contribute to the Circular Economy in the construction sector. A life cycle approach and a multi-criteria decision support method were applied to know the environmental, functional, and economic performances of the production process of half-sandwich panels based on alkali-activated ceramic/slag waste cement, choosing as system boundary the method “cradle to gate”. The proposed building solutions differ from each other in the type of insulating material used, either extruded polystyrene foam (APXPS) or expanded cork agglomerate board (APICB). Besides, a comparative analysis of the developed building solutions versus three reference constructive solutions: i) a conventional heavyweight partition wall, ii) a lightweight gypsum wall panel, and iii) a conceptual lightweight sandwich membrane building solution was performed. Results showed that the two proposed half-sandwich wall panels (APXPS and APICB) resulted in the most sustainable alternatives, of which the APXPS obtained the best overall results since it combined the best environmental, functional, and economic behavior. Besides, the environmental contribution analysis determined that the greatest environmental burden to the Global Warming Potential (GWP), in the case of the APXPS was associated with the XPS (57%), being the alkali activator (23%) placed as the second major contributor. When the ICB was used as the insulation layer, the energy used (nearly 38%) and the sodium silicate (about 17%) were the larger contributors to CO2 emissions. It is worth mentioning that the use of ICB represented a negative contribution (of about −34%) to the GWP category.This work was partly financed by FCT/MCTES through national funds (PIDDAC) under the R&D Unit Institute for Sustainability and Innovation in Structural Engineering (ISISE), under reference UIDB/ 04029/2020, and the research project “CirMat: CIRcular aggregates for sustainable road and building MATerials”(ref. 16_Call#2)is funded by Iceland, Liechtenstein and Norway through the EEA Grants and Norway Grants, operationalized by the Portuguese Office of the Secretary of State for the Environment. RENEw, POCI-01-0247-FEDER-033834, that was co-funded by Fundo Europeu de Desenvolvimento Regional (FEDER), with Programa Operacional da Competitividade e Internacionalizaçao ˜ do Portugal 2020 (COMPETE 2020) The authors acknowledge the support of the DST group construction company for funding the project Chair DST/IB-S: Smart Systems for Construction

Alcohol, Tobacco, and Other Drugs: Future Directions for Screening and Intervention in the Emergency Department

This article is a product of a breakout session on injury prevention from the 2009 Academic Emergency Medicine consensus conference on “Public Health in the ED: Screening, Surveillance, and Intervention.” The emergency department (ED) is an important entry portal into the medical care system. Given the epidemiology of substance use among ED patients, the delivery of effective brief interventions (BIs) for alcohol, drug, and tobacco use in the ED has the potential to have a large public health impact. To date, the results of randomized controlled trials of interventional studies in the ED setting for substance use have been mixed in regard to alcohol and understudied in the area of tobacco and other drugs. As a result, there are more questions remaining than answered. The work group developed the following research recommendations that are essential for the field of screening and BI for alcohol, tobacco, and other drugs in the ED. 1) Screening—develop and validate brief and practical screening instruments for ED patients and determine the optimal method for the administration of screening instruments. 2) Key components and delivery methods for intervention—conduct research on the effectiveness of screening, brief intervention, and referral to treatment (SBIRT) in the ED on outcomes (e.g., consumption, associated risk behaviors, and medical psychosocial consequences) including minimum dose needed, key components, optimal delivery method, interventions focused on multiple risk behaviors and tailored based on assessment, and strategies for addressing polysubstance use. 3) Effectiveness among patient subgroups—conduct research to determine which patients are most likely to benefit from a BI for substance use, including research on moderators and mediators of intervention effectiveness, and examine special populations using culturally and developmentally appropriate interventions. 4) Referral strategies—a) promote prospective effectiveness trials to test best strategies to facilitate referrals and access from the ED to preventive services, community resources, and substance abuse and mental health treatment; b) examine impact of available community services; c) examine the role of stigma of referral and follow-up; and d) examine alternatives to specialized treatment referral. 5) Translation—conduct translational and cost-effectiveness research of proven efficacious interventions, with attention to fidelity, to move ED SBIRT from research to practice.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/78664/1/j.1553-2712.2009.00552.x.pd

Migration and allergic diseases in a rural area of a developing country.

Submitted by Ana Maria Fiscina Sampaio ([email protected]) on 2017-02-10T17:02:09Z No. of bitstreams: 1 Rodriguez A Migration and allergic....pdf: 149809 bytes, checksum: dd2e77d239dd95d5fbf01198a195d13a (MD5)Approved for entry into archive by Ana Maria Fiscina Sampaio ([email protected]) on 2017-02-10T17:40:30Z (GMT) No. of bitstreams: 1 Rodriguez A Migration and allergic....pdf: 149809 bytes, checksum: dd2e77d239dd95d5fbf01198a195d13a (MD5)Made available in DSpace on 2017-02-10T17:40:30Z (GMT). No. of bitstreams: 1 Rodriguez A Migration and allergic....pdf: 149809 bytes, checksum: dd2e77d239dd95d5fbf01198a195d13a (MD5) Previous issue date: 2016Wellcome Trust (grant nos. 072405/Z/03/Z and 088862/Z/09/Z).Laboratorio de Investigaci on FEPIS. Quinind e, Esmeraldas Province, Ecuador / Faculty of Epidemiology and Population Health. London School of Hygiene and Tropical Medicine. London, United Kingdom / Universidad Internacional del Ecuador. Facultad de Ciencias Medicas de la Salud y la Vida. Quito, EcuadorLaboratorio de Investigaci on FEPIS. Quinind e, Esmeraldas Province, EcuadorLaboratorio de Investigaci on FEPIS. Quinind e, Esmeraldas Province, EcuadorFaculty of Epidemiology and Population Health. London School of Hygiene and Tropical Medicine. London, United KingdomFundação Oswaldo Cruz. Centro de Pesquisas Gonçalo Moniz. Salvador, BA, Brasil / Universidade Federal da Bahia. Instituto de Saúde Coletiva. Salvador, BA, BrasilLaboratorio de Investigaci on FEPIS. Quinind e, Esmeraldas Province, Ecuador / Universidad Internacional del Ecuador. Facultad de Ciencias Medicas de la Salud y la Vida. Quito, Ecuador / St George’s University of London. Institute of Infection and Immunity. London, United Kingdo

SK channels contribution to ventricular electrophysiology in heart failure patients

Heart failure (HF) is characterized by deterioration of the electrical and contractile function of the heart due to structural and functional remodelling, leading to development of arrhythmias and increased sudden cardiac death risk. SK channels are a type of calcium-activated potassium channels that do not play a relevant role in normal ventricular electrophysiology. However, it has been hypothesized that these channels become more relevant in pathologies such as HF. Nontheless, their role in human ventricular electrophysiology is not fully characterized

Injury Due to Mechanical Falls: Future Directions in Gender-specific Surveillance, Screening, and Interventions in Emergency Department Patients.

The Centers for Disease Control and Prevention report that among older adults (≥65 years), falls are the leading cause of injury-related death. Fall-related fractures among older women are more than twice as frequent as those for men. Gender-specific evidence-based fall prevention strategy and intervention studies show that improved patient-centered outcomes are elusive. There is a paucity of emergency medicine literature on the topic. As part of the 2014 Academic Emergency Medicine (AEM) consensus conference on Gender-Specific Research in Emergency Care: Investigate, Understand, and Translate How Gender Affects Patient Outcomes, a breakout group convened to generate a research agenda on priority questions to be answered on this topic. The consensus-based priority research agenda is presented in this article

Nicotinamide alone accelerates the conversion of mouse embryonic stem cells into mature neuronal populations.

Vitamin B3 has been shown to play an important role during embryogenesis. Specifically, there is growing evidence that nicotinamide, the biologically active form of vitamin B3, plays a critical role as a morphogen in the differentiation of stem cells to mature cell phenotypes, including those of the central nervous system (CNS). Detailed knowledge of the action of small molecules during neuronal differentiation is not only critical for uncovering mechanisms underlying lineage-specification, but also to establish more effective differentiation protocols to obtain clinically relevant cells for regenerative therapies for neurodegenerative conditions such as Huntington's disease (HD). Thus, this study aimed to investigate the potential of nicotinamide to promote the conversion of stem cells to mature CNS neurons. METHODS: Nicotinamide was applied to differentiating mouse embryonic stem cells (mESC; Sox1GFP knock-in 46C cell line) during their conversion towards a neural fate. Cells were assessed for changes in their proliferation, differentiation and maturation; using immunocytochemistry and morphometric analysis methods. RESULTS: Results presented indicate that 10 mM nicotinamide, when added at the initial stages of differentiation, promoted accelerated progression of ESCs to a neural lineage in adherent monolayer cultures. By 14 days in vitro (DIV), early exposure to nicotinamide was shown to increase the numbers of differentiated βIII-tubulin-positive neurons. Nicotinamide decreased the proportion of pluripotent stem cells, concomitantly increasing numbers of neural progenitors at 4 DIV. These progenitors then underwent rapid conversion to neurons, observed by a reduction in Sox 1 expression and decreased numbers of neural progenitors in the cultures at 14 DIV. Furthermore, GABAergic neurons generated in the presence of nicotinamide showed increased maturity and complexity of neurites at 14 DIV. Therefore, addition of nicotinamide alone caused an accelerated passage of pluripotent cells through lineage specification and further to non-dividing mature neurons. CONCLUSIONS: Our results show that, within an optimal dose range, nicotinamide is able to singly and selectively direct the conversion of embryonic stem cells to mature neurons, and therefore may be a critical factor for normal brain development, thus supporting previous evidence of the fundamental role of vitamins and their metabolites during early CNS development. In addition, nicotinamide may offer a simple effective supplement to enhance the conversion of stem cells to clinically relevant neurons