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1.
Environ Geochem Health ; 46(6): 202, 2024 May 02.
Artigo em Inglês | MEDLINE | ID: mdl-38696051

RESUMO

Determining the origin and pathways of contaminants in the natural environment is key to informing any mitigation process. The mass magnetic susceptibility of soils allows a rapid method to measure the concentration of magnetic minerals, derived from anthropogenic activities such as mining or industrial processes, i.e., smelting metals (technogenic origin), or from the local bedrock (of geogenic origin). This is especially effective when combined with rapid geochemical analyses of soils. The use of multivariate analysis (MVA) elucidates complex multiple-component relationships between soil geochemistry and magnetic susceptibility. In the case of soil mining sites, X-ray fluorescence (XRF) spectroscopic data of soils contaminated by mine waste shows statistically significant relationships between magnetic susceptibility and some base metal species (e.g., Fe, Pb, Zn, etc.). Here, we show how qualitative and quantitative MVA methodologies can be used to assess soil contamination pathways using mass magnetic susceptibility and XRF spectra of soils near abandoned coal and W/Sn mines (NW Portugal). Principal component analysis (PCA) showed how the first two primary components (PC-1 + PC-2) explained 94% of the sample variability, grouped them according to their geochemistry and magnetic susceptibility in to geogenic and technogenic groups. Regression analyses showed a strong positive correlation (R2 > 0.95) between soil geochemistry and magnetic properties at the local scale. These parameters provided an insight into the multi-element variables that control magnetic susceptibility and indicated the possibility of efficient assessment of potentially contaminated sites through mass-specific soil magnetism.


Assuntos
Monitoramento Ambiental , Poluentes do Solo , Espectrometria por Raios X , Poluentes do Solo/análise , Espectrometria por Raios X/métodos , Análise Multivariada , Monitoramento Ambiental/métodos , Mineração , Portugal , Análise de Componente Principal , Solo/química , Estanho/análise , Fenômenos Magnéticos , Minas de Carvão , Carvão Mineral
2.
Sci Total Environ ; 837: 155792, 2022 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-35550892

RESUMO

Mining of deep-sea Fe-Mn deposits will remove crusts and nodules from the seafloor. The growth of these minerals takes millions of years, yet little is known about their microbiome. Besides being key elements of the biogeochemical cycles and essential links of food and energy to deep-sea, microbes have been identified to affect manganese oxide formation. In this study, we determined the composition and diversity of Bacteria and Archaea in deep-sea Fe-Mn crusts, nodules, and associated sediments from two areas in the Atlantic Ocean, the Tropic Seamount and the Rio Grande Rise. Samples were collected using ROV and dredge in 2016 and 2018 oceanographic campaigns, and the 16S rRNA gene was sequenced using Illumina platform. Additionally, we compared our results with microbiome data of Fe-Mn crusts, nodules, and sediments from Clarion-Clipperton Zone and Takuyo-Daigo Seamount in the Pacific Ocean. We found that Atlantic seamounts harbor an unusual and unknown Fe-Mn deposit microbiome with lower diversity and richness compared to Pacific areas. Crusts and nodules from Atlantic seamounts have unique taxa (Alteromonadales, Nitrospira, and Magnetospiraceae) and a higher abundance of potential metal-cycling bacteria, such as Betaproteobacteriales and Pseudomonadales. The microbial beta-diversity from Atlantic seamounts was clearly grouped into microhabitats according to sediments, crusts, nodules, and geochemistry. Despite the time scale of million years for these deposits to grow, a combination of environmental settings played a significant role in shaping the microbiome of crusts and nodules. Our results suggest that microbes of Fe-Mn deposits are key in biogeochemical reactions in deep-sea ecosystems. These findings demonstrate the importance of microbial community analysis in environmental baseline studies for areas within the potential of deep-sea mining.


Assuntos
Sedimentos Geológicos , Microbiota , Archaea , Bactérias , Sedimentos Geológicos/química , Oceano Pacífico , RNA Ribossômico 16S/genética
3.
Ann Biomed Eng ; 49(12): 3176-3188, 2021 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-34580782

RESUMO

Despite the potential for biomechanical conditioning with prosthetic use, the soft tissues of residual limbs following lower-limb amputation are vulnerable to damage. Imaging studies revealing morphological changes in these soft tissues have not distinguished between superficial and intramuscular adipose distribution, despite the recognition that intramuscular fat levels indicate reduced tolerance to mechanical loading. Furthermore, it is unclear how these changes may alter tissue tone and stiffness, which are key features in prosthetic socket design. This study was designed to compare the morphology and biomechanical response of limb tissues to mechanical loading in individuals with and without transtibial amputation, using magnetic resonance imaging in combination with tissue structural stiffness. The results revealed higher adipose infiltrating muscle in residual limbs than in intact limbs (residual: median 2.5% (range 0.2-8.9%); contralateral: 1.7% (0.1-5.1%); control: 0.9% (0.4-1.3%)), indicating muscle atrophy and adaptation post-amputation. The intramuscular adipose content correlated negatively with daily socket use, although there was no association with time post-amputation. Residual limbs were significantly stiffer than intact limbs at the patellar tendon site, which plays a key role in load transfer across the limb-prosthesis interface. The tissue changes following amputation have relevance in the clinical understanding of prosthetic socket design variables and soft tissue damage risk in this vulnerable group.


Assuntos
Adaptação Fisiológica , Cotos de Amputação , Tíbia/cirurgia , Membros Artificiais , Fenômenos Biomecânicos , Humanos , Pressão , Pele/lesões , Lesões dos Tecidos Moles/fisiopatologia , Estresse Mecânico
4.
Sci Total Environ ; 795: 148860, 2021 Nov 15.
Artigo em Inglês | MEDLINE | ID: mdl-34243007

RESUMO

This study examined the mechanism of incorporation of the rare earth elements (REEs), La, Ce, Nd, Eu, Gd, Tb, Yb, into green (Codium tomentosum, Ulva rigida), red (Gracilaria gracilis, Osmundea pinnatifida, Porphyra sp), and brown seaweeds (Saccorhiza polyschides, Undaria pinnatifida) collected from a single site near the coastline of the Cape Mondego, western Portugal. The concentrations of REEs, Mg, Ca, Al, Fe, Zn, and Cu in the biomasses were determined by inductively-coupled plasma mass spectrometry (ICP-MS). The species showed differences in their incorporation and fractionation of REEs from the same environment: the sum of REEs was higher in U. rigida, C. tomentosum, G. gracilis, and O. pinnatifida (0.7-1.7 µg g-1) than in Porphyra sp., S. polyschides, and U. pinnatifida (0.1-0.2 µg g-1). Ratios of Ce/Yb ranged from 13 (in S. polyschides) to 103 (in U. rigida), indicating different proportions of light and heavy REEs among species. Good correlations were found between Al and Fe (R2 = 0.98), and between these elements and La, Ce, Nd, Gd (R2 = 0.88-0.97) and Yb (R2 = 0.66-0.71) for all species except C. tomentosum and G. gracilis. Profiles of REE values normalised to average upper-continental crust composition indicated positive anomalies of Eu and Tb that reinforced the singularity of these elements in the REE group. Correlations between the REEs and Al or Fe suggest that detrital terrigenous particles, adhered to seaweed walls, may be an important mechanism for the incorporation of REEs by seaweeds. Different patterns for C. tomentosum and G. gracilis may also be indicative of the higher influence of cell wall composition on REE incorporation.


Assuntos
Metais Terras Raras , Rodófitas , Alga Marinha , Ulva , Metais Terras Raras/análise , Portugal
5.
Microb Ecol ; 82(2): 344-355, 2021 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-33452896

RESUMO

Seamounts are often covered with Fe and Mn oxides, known as ferromanganese (Fe-Mn) crusts. Future mining of these crusts is predicted to have significant effects on biodiversity in mined areas. Although microorganisms have been reported on Fe-Mn crusts, little is known about the role of crusts in shaping microbial communities. Here, we investigated microbial communities based on 16S rRNA gene sequences retrieved from Fe-Mn crusts, coral skeleton, calcarenite, and biofilm at crusts of the Rio Grande Rise (RGR). RGR is a prominent topographic feature in the deep southwestern Atlantic Ocean with Fe-Mn crusts. Our results revealed that crust field of the RGR harbors a usual deep-sea microbiome. No differences were observed on microbial community diversity among Fe-Mn substrates. Bacterial and archaeal groups related to oxidation of nitrogen compounds, such as Nitrospirae, Nitrospinae phyla, Candidatus Nitrosopumilus within Thaumarchaeota group, were present on those substrates. Additionally, we detected abundant assemblages belonging to methane oxidation, i.e., Methylomirabilales (NC10) and SAR324 (Deltaproteobacteria). The chemolithoautotrophs associated with ammonia-oxidizing archaea and nitrite-oxidizing bacteria potentially play an important role as primary producers in the Fe-Mn substrates from RGR. These results provide the first insights into the microbial diversity and potential ecological processes in Fe-Mn substrates from the Atlantic Ocean. This may also support draft regulations for deep-sea mining in the region.


Assuntos
Archaea , Manganês , Archaea/genética , Oceano Atlântico , Sedimentos Geológicos , Ferro , Filogenia , RNA Ribossômico 16S/genética
6.
Sci Rep ; 10(1): 4715, 2020 03 13.
Artigo em Inglês | MEDLINE | ID: mdl-32170218

RESUMO

Seamounts, often rising hundreds of metres above surrounding seafloor, obstruct the flow of deep-ocean water. While the retention of deep-water by seamounts is predicted from ocean circulation models, its empirical validation has been hampered by large scale and slow rate of the interaction. To overcome these limitations we use the growth of planktonic bacteria to assess the retention time of deep-ocean water by a seamount. The selected Tropic Seamount in the North-Eastern Atlantic is representative for the majority of isolated seamounts, which do not affect the surface ocean waters. We prove deep-water is retained by the seamount by measuring 2.4× higher bacterial concentrations in the seamount-associated or 'sheath'-water than in deep-ocean water unaffected by seamounts. Genomic analyses of flow-sorted, dominant sheath-water bacteria confirm their planktonic origin, whilst proteomic analyses of the sheath-water bacteria, isotopically labelled in situ, indicate their slow growth. According to our radiotracer experiments, it takes the sheath-water bacterioplankton 1.5 years to double their concentration. Therefore, the seamount should retain the deep-ocean water for 1.8 years for the deep-ocean bacterioplankton to grow to the 2.4× higher concentration in the sheath-water. We propose that turbulent mixing of the seamount sheath-water stimulates bacterioplankton growth by increasing cell encounter rate with ambient dissolved organic molecules.


Assuntos
Ecossistema , Plâncton/crescimento & desenvolvimento , Plâncton/genética , Água do Mar , Movimentos da Água , Oceano Atlântico , Metagenômica , Plâncton/citologia , Proteômica , Água do Mar/microbiologia , Fatores de Tempo
7.
Med Eng Phys ; 78: 39-47, 2020 04.
Artigo em Inglês | MEDLINE | ID: mdl-32035813

RESUMO

BACKGROUND: In the early stages of rehabilitation after primary amputation, residual limb soft tissues have not been mechanically conditioned to support load and are vulnerable to damage from prosthetic use. There is limited quantitative knowledge of skin and soft tissue response to prosthetic loading. METHODS: An in-vivo protocol was developed to establish suitable measures to assess tissue tolerance during loading representative of early prosthesis use. Ten participants without amputation one participant with trans-tibial amputation were recruited, and pressure applied to their calf in increments from 20 to 60 mmHg. Measurements were recorded at relevant skin sites including interface pressures, transcutaneous oxygen (TCPO2) and carbon dioxide (TCPCO2) tensions and inflammatory biomarkers. FINDINGS: At the maximum cuff pressure, mean interface pressures were between 66 and 74 mmHg, associated with decreased TCPO2 values. On the release of pressure, the ischaemic response was reversed. Significant upregulation (p < 0.05) in inflammatory biomarker IL-1α and its antagonist IL-1RA were observed at all sites immediately following loading. INTERPRETATION: The protocol was successful in applying representative prosthetic loads to lower limb tissues and monitoring the physiological response, both in terms of tissue ischemia and skin inflammation. Results indicated that the measurement approaches were sensitive to changes in interface conditions, offering a promising approach to monitor tissue status for people with amputation.


Assuntos
Testes Mecânicos/instrumentação , Próteses e Implantes , Adulto , Biomarcadores/metabolismo , Fenômenos Biomecânicos , Dióxido de Carbono/metabolismo , Estudos de Coortes , Feminino , Humanos , Masculino , Oxigênio/metabolismo , Pressão , Pele/metabolismo , Suporte de Carga , Adulto Jovem
8.
Mar Pollut Bull ; 146: 1002-1006, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31426135

RESUMO

Because ferromanganese polymetallic crusts can become a global resource of valuable elements the ecological impact of seafloor crust mining requires evaluation. Whilst the detrimental impact on deep-ocean benthos is established, experimental evidence about the mining hazard to surface-ocean is sparse. When retrieved, mined crusts can leach elements potentially harmfull to the core oceanic CO2-fixers - phytoplankton. To directly assess the magnitude of this potential hazard at ocean-basin scale, we examine the impact of ore slurry on phytoplankton CO2 fixation along a meridional transect through the South Atlantic Ocean. Within 12 h crust slurry additions caused a 25% decrease of CO2 fixation in the subtropical region and 15% in the temperate-polar region. Such moderate susceptibility of phytoplankton indicates limited release of harmful elements from tested polymetallic powder. Although this implies that environmentally sustainable seafloor mining could be feasible, longer-term complex studies of the mining impact on the surface ocean are required.


Assuntos
Ciclo do Carbono/efeitos dos fármacos , Ferro/toxicidade , Manganês/toxicidade , Mineração , Fitoplâncton/efeitos dos fármacos , Fitoplâncton/metabolismo , Poluentes Químicos da Água/toxicidade , Oceano Atlântico , Dióxido de Carbono/metabolismo , Água do Mar/química
9.
Sci Rep ; 9(1): 11830, 2019 Aug 14.
Artigo em Inglês | MEDLINE | ID: mdl-31413266

RESUMO

Spreading processes associated with slow-spreading ridges are a complex interplay of volcanic accretion and tectonic dismemberment of the oceanic crust, resulting in an irregular seafloor morphology made up of blocks created by episodes of intense volcanic activity or tectonic deformation. These blocks undergo highly variable evolution, such as tilts or dissection by renewed tectonic extension, depending on their positions with respect to the spreading axis, core complexes, detachment or transform faults. Here, we use near-seafloor magnetic and bathymetric data and seismic profiles collected over the TAG Segment of the Mid-Atlantic Ridge to constrain the tectonic evolution of these blocks. Our study reveals that the presence and evolution of oceanic core complexes play a key role in triggering block movements. The deep subvertical detachment fault roots on the plate boundary, marked by a thermal anomaly and transient magma bodies. Thermal and magmatic variations control the structure and morphology of the seafloor above the subhorizontal detachment surface, occasionally leading to relocating the detachment.

10.
Nat Commun ; 6: 10150, 2015 Dec 22.
Artigo em Inglês | MEDLINE | ID: mdl-26694142

RESUMO

The Von Damm Vent Field (VDVF) is located on the flanks of the Mid-Cayman Spreading Centre, 13 km west of the axial rift, within a gabbro and peridotite basement. Unlike any other active vent field, hydrothermal precipitates at the VDVF comprise 85-90% by volume of the magnesium silicate mineral, talc. Hydrothermal fluids vent from a 3-m high, 1-m diameter chimney and other orifices at up to 215 °C with low metal concentrations, intermediate pH (5.8) and high concentrations (667 mmol kg(-1)) of chloride relative to seawater. Here we show that the VDVF vent fluid is generated by interaction of seawater with a mafic and ultramafic basement which precipitates talc on mixing with seawater. The heat flux at the VDVF is measured at 487±101 MW, comparable to the most powerful magma-driven hydrothermal systems known, and may represent a significant mode of off-axis oceanic crustal cooling not previously recognized or accounted for in global models.

11.
Nat Commun ; 3: 620, 2012 Jan 10.
Artigo em Inglês | MEDLINE | ID: mdl-22233630

RESUMO

The Mid-Cayman spreading centre is an ultraslow-spreading ridge in the Caribbean Sea. Its extreme depth and geographic isolation from other mid-ocean ridges offer insights into the effects of pressure on hydrothermal venting, and the biogeography of vent fauna. Here we report the discovery of two hydrothermal vent fields on the Mid-Cayman spreading centre. The Von Damm Vent Field is located on the upper slopes of an oceanic core complex at a depth of 2,300 m. High-temperature venting in this off-axis setting suggests that the global incidence of vent fields may be underestimated. At a depth of 4,960 m on the Mid-Cayman spreading centre axis, the Beebe Vent Field emits copper-enriched fluids and a buoyant plume that rises 1,100 m, consistent with >400 °C venting from the world's deepest known hydrothermal system. At both sites, a new morphospecies of alvinocaridid shrimp dominates faunal assemblages, which exhibit similarities to those of Mid-Atlantic vents.


Assuntos
Fontes Hidrotermais , Microbiologia da Água , Animais , Biota , Região do Caribe , Decápodes , Ecossistema , Geografia , Temperatura Alta , Dados de Sequência Molecular , Oceanos e Mares , Filogenia , Reação em Cadeia da Polimerase , Água do Mar , Temperatura , Difração de Raios X
12.
Arch Dis Child ; 89(11): 1041-2, 2004 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-15499061

RESUMO

The UK is currently considering the introduction of universal hepatitis B vaccination. This study of determinants of vaccine uptake among school based adolescents shows that living in areas of high deprivation, commonly associated with injecting drug risk behaviours, was the most important factor, with statistically significant lower odds of receiving three doses. This was less pronounced for receipt of two doses. Thus, there are implications for future policy; if universal vaccination is approved, a licensed two dose schedule would be most appropriate in this setting.


Assuntos
Comportamento do Adolescente , Vacinas contra Hepatite B/administração & dosagem , Hepatite B/prevenção & controle , Aceitação pelo Paciente de Cuidados de Saúde/estatística & dados numéricos , Vacinação/estatística & dados numéricos , Adolescente , Feminino , Humanos , Esquemas de Imunização , Modelos Logísticos , Masculino , Pobreza , Fatores de Risco , Escócia
13.
Epidemiol Infect ; 128(2): 149-56, 2002 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-12002531

RESUMO

We examined the serological characteristics of 774 invasive meningococcal isolates collected through an active laboratory-based surveillance system in Scotland from 1994 to 1999. Of these, 72-73% of isolates were tested for susceptibility to several antimicrobial agents. Meningococci with high-level resistance to sulphadiazine had a prevalence of 10% and incidence of 0.22 per 100,000 population. High-level resistance to penicillin and other antibiotics was not detected. The prevalence of moderate penicillin resistant meningococci was 8.3%. There was no increase in moderate penicillin resistant meningococcal isolates during the study period, but there were temporal and geographic variations. The estimated incidence of moderate penicillin resistant meningococci was 0.15 per 100,000 population. High and low incidence of moderate penicillin resistant meningococci appeared to correlate with the number of doses of penicillin prescribed in some geographic locations. The majority of moderate penicillin resistant isolates belonged to serogroups B (52.2%) and C (39.2%). However, the prevalence of moderate penicillin resistance in serogroup W135 was substantially higher (51.7%) than serogroups B (7.8%) and C (7.6%). Serogroup W135 accounted for a higher proportion of moderate penicillin resistance (8.7%) than disease (1%). There was no predominant penicillin resistant serotype/subtype within any serogroup. Constant surveillance is necessary to monitor the emergence and spread of resistance and to guide appropriate public health interventions in preventing drug resistant meningococci.


Assuntos
Infecções Meningocócicas/tratamento farmacológico , Neisseria meningitidis/efeitos dos fármacos , Resistência às Penicilinas , Humanos , Infecções Meningocócicas/epidemiologia , Neisseria meningitidis/classificação , Neisseria meningitidis/patogenicidade , Prevalência , Saúde Pública , Escócia/epidemiologia , Sorotipagem
14.
J Public Health Med ; 24(3): 200-6, 2002 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-12831090

RESUMO

Pertussis is well controlled in the UK as a result of an effective vaccination programme. Nevertheless, the disease has not been eliminated, and cases still occur in the most vulnerable group of young infants. Erythromycin chemoprophylaxis has been advocated for use in contacts to prevent secondary cases but the evidence for its use is weak. These guidelines are based on a review of the evidence and aim to help clinicians make more rational decisions on the use of erythromycin chemoprophylaxis for pertussis. Erythromycin has well-established side effects and so its use should be limited to situations where it is likely to be of greatest benefit. If a clinically suspected or confirmed case of pertussis is identified who is also in household contact with someone at greatest risk from pertussis--young infants, especially neonates--then erythromycin chemoprophylaxis should be considered. The aim is to protect those at greatest risk from pertussis by offering chemoprophylaxis to them, to all their household contacts who are unimmunized and to contacts who are 5 years or older if they did not receive a pre-school pertussis booster (not given to those born before 1996 in the United Kingdom). There is no evidence of any benefit from chemoprophylaxis given more than 21 days from the date of onset of the primary case. Unimmunized or partially immunized cases and contacts should complete their course of vaccine.


Assuntos
Antibioticoprofilaxia/normas , Eritromicina/uso terapêutico , Guias de Prática Clínica como Assunto , Coqueluche/prevenção & controle , Criança , Pré-Escolar , Eritromicina/administração & dosagem , Feminino , Pesquisa sobre Serviços de Saúde , Humanos , Masculino , Fatores de Risco , Reino Unido/epidemiologia , Coqueluche/epidemiologia
15.
Commun Dis Public Health ; 5(4): 318-20, 2002 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-12564249

RESUMO

The feasibility of introducing universal hepatitis B immunisation was assessed by offering the vaccine to all 11-12 year old pupils in Greater Glasgow (approximately 10,800). Consent was received from 92% of the school roll, and 91.3%, 89.2% and 80.3% received at least 1, at least 2, and 3 doses respectively. The findings of this study constitute key evidence for the ongoing debate in the UK on hepatitis B vaccination.


Assuntos
Serviços de Saúde do Adolescente/organização & administração , Vacinas contra Hepatite B/administração & dosagem , Hepatite B/prevenção & controle , Programas de Imunização/organização & administração , Serviços de Saúde Escolar/organização & administração , Adolescente , Criança , Estudos de Viabilidade , Feminino , Humanos , Masculino , Avaliação de Programas e Projetos de Saúde , Reino Unido
16.
J Behav Health Serv Res ; 28(3): 235-46, 2001 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-11497020

RESUMO

The ethic of fairness in program evaluation requires that measures of behavioral health agency performance be sensitive to differences in those agencies' caseload composition. The authors describe two traditional approaches to the statistical risk adjustment of outcome measures (stratification weighting and pre-post measurement) that are designed to account for differences in caseload composition and introduce a method that incorporates the strengths of both approaches. Procedures for deriving each of these measures are described in detail and demonstrated in the evaluation of a statewide system of community-based behavioral health care programs. This evaluation examines the degree to which service recipients get into trouble with the law after treatment. Three measures are recommended for inclusion in outcome-oriented "report cards," and the interpretation of each measure is discussed. Finally, the authors suggest formats for graphic and tabular presentation of the risk-adjusted evaluation for sharing findings with diverse stakeholder groups.


Assuntos
Serviços Comunitários de Saúde Mental/normas , Crime/estatística & dados numéricos , Avaliação de Resultados em Cuidados de Saúde/métodos , Administração em Saúde Pública/normas , Risco Ajustado , Adulto , Serviços Comunitários de Saúde Mental/estatística & dados numéricos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Modelos Estatísticos , Avaliação de Programas e Projetos de Saúde , Indicadores de Qualidade em Assistência à Saúde , Estudos Retrospectivos , Estudos de Amostragem , Vermont/epidemiologia
17.
Commun Dis Public Health ; 4(1): 42-8, 2001 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-11467019

RESUMO

A cross sectional survey by postal questionnaire was carried out to examine general practitioners' (GPs) and hospital doctors' (HDs) knowledge, attitudes and practice (KAP) with regard to pneumococcal vaccination in primary and hospital care in Scotland. Most GPs and HDs considered patients with chronic medical conditions, as recommended by the Department of Health (DoH), to be candidates for pneumococcal vaccination. Although the DoH does not currently recommend the vaccine for all the elderly, 47% of GPs and 46% of HDs reported that the vaccine should be given to this group. GPs (61-85%) and HDs (48-55%) indicated that they considered the vaccine to be safe and effective. The acceptance of pneumococcal vaccine was much lower than for influenza vaccine however, and 79% of HDs and 17% of GPs had never used the vaccine. Documented policies (with or without set targets) for pneumococcal vaccine existed in only 14% of general practice and 3% of hospital settings. Over 70% of respondents indicated that GPs should take responsibility for pneumococcal vaccination. The main sources of knowledge about pneumococcal vaccines were stated to be discussion with colleagues, review of medical literature, past experience, and the DoH recommendations. A clear immunisation policy and financial support for vaccination were identified as important strategies to improve pneumococcal vaccine coverage. Strategies directed toward these factors could enhance vaccine delivery and coverage of vaccine in high-risk individuals.


Assuntos
Medicina de Família e Comunidade , Conhecimentos, Atitudes e Prática em Saúde , Médicos Hospitalares , Vacinas Pneumocócicas , Estudos Transversais , Humanos , Escócia , Inquéritos e Questionários
18.
Vaccine ; 19(20-22): 2924-31, 2001 Apr 06.
Artigo em Inglês | MEDLINE | ID: mdl-11282204

RESUMO

The reactogenicity and immunogenicity of meningococcal serogroup C conjugate (MenC) vaccine was assessed in 322 infants vaccinated at 2, 3, and 4 months of age, with concomitant administration of mixed diphtheria-tetanus-whole-cell pertussis vaccine and Haemophilus influenzae type b conjugate vaccine (DTwP-Hib) and oral polio vaccine. All infants in whom post-vaccination meningococcal C anticapsular IgG levels were assayed (n = 265) attained > or = 2 microg ml(-1). Serum bactericidal titres were assayed for a proportion of subjects (n = 171), 98% of whom obtained a reciprocal titres > or = 8. Local reactions were less frequent at the MenC injection site than at the DTP-Hib site. Systemic events were frequent, but consistent with established DTwP-Hib experience. The study demonstrates that MenC vaccine is immunogenic and well tolerated in infants at manufacturing scale production levels.


Assuntos
Vacinas Meningocócicas/imunologia , Neisseria meningitidis/imunologia , Vacinas Conjugadas/imunologia , Anticorpos Antibacterianos/sangue , Feminino , Humanos , Imunoglobulina G/sangue , Lactente , Masculino , Vacinas Meningocócicas/efeitos adversos , Neisseria meningitidis/classificação , Sorotipagem , Vacinas Conjugadas/efeitos adversos
19.
Commun Dis Public Health ; 3(4): 282-7, 2000 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-11280260

RESUMO

Scotland requires cases of chickenpox to be notified formally and maintains comprehensive data on general practice consultations, hospital admissions, abortions, laboratory reports, and mortality associated with the disease. These were used to investigate the age specific incidence of chickenpox for the years 1981 to 1998. The general trend was towards decreased age at infection: most infections now occur in the 1 to 4 year age group, rather than among schoolchildren. Hospital admissions for which a diagnosis of chickenpox was recorded increased, mainly in the under 5 and 25 to 34 year age groups. These data, which we believe to be among the most comprehensive available on current chickenpox epidemiology, may be used to inform preventative policy, particularly now that a live vaccine for the prevention of primary varicella infection is available. If vaccination against varicella is introduced in the United Kingdom, these data will provide a baseline against which to assess its impact on primary varicella infection.


Assuntos
Varicela/epidemiologia , Adolescente , Adulto , Distribuição por Idade , Idoso , Criança , Pré-Escolar , Notificação de Doenças , Medicina de Família e Comunidade , Feminino , Humanos , Lactente , Masculino , Pessoa de Meia-Idade , Escócia/epidemiologia
20.
Ultrasound Med Biol ; 25(6): 905-14, 1999 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-10461718

RESUMO

We have investigated the ability to quantitate atherosclerosis in the aortic arch of the Watanabe rabbit using noninvasive 3-D ultrasound. Our methodology utilizes postprocessing of videotaped freehand 2-D interrogations to form a compound 3-D data block. Structures may then be segmented on the attributed grey-scale level and volumes measured. Analysis of 3-D reconstructions revealed a low echo structure in the aortic arch of atherosclerotic rabbits, absent in nonatherosclerotic rabbits, at recognized sites of plaque predilection. This structure volume correlated closely with fatty streak volume determined from histology (r = 0.890). During a 30-week study, this structure volume increased in untreated animals, but was blocked by treatment with the antiatherosclerotic agent probucol. Thus, a new 3-D ultrasound methodology has been used noninvasively to detect and quantitate a low echo structure corresponding to fatty streaks in the Watanabe rabbit aortic arch. This new methodology could potentially aid plaque burden quantification in human peripheral arteries.


Assuntos
Doenças da Aorta/diagnóstico por imagem , Arteriosclerose/diagnóstico por imagem , Algoritmos , Animais , Anticolesterolemiantes/uso terapêutico , Aorta Torácica/diagnóstico por imagem , Aorta Torácica/patologia , Doenças da Aorta/tratamento farmacológico , Doenças da Aorta/patologia , Arteriosclerose/tratamento farmacológico , Arteriosclerose/patologia , Feminino , Humanos , Hiperlipidemias/patologia , Processamento de Imagem Assistida por Computador , Probucol/uso terapêutico , Coelhos , Fatores de Tempo , Ultrassonografia/métodos
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