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1.
J Dairy Sci ; 106(3): 1815-1825, 2023 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-36710185

RESUMO

The aim of the study was to determine the effect of a Bacillus-based direct-fed microbial on performance of mid-lactating Holstein dairy cows and on their milk fatty acid composition. Six multiparous cows fitted with a rumen cannula were used in a randomized replicated crossover design. Cows received 200 g/d of either whey powder as a control or BioPlus 2B (Chr. Hansen), a commercial direct-fed microbial providing Bacillus subtilis and Bacillus licheniformis, representing a daily dose of 6.4 × 1011 cfu, and using whey powder as a carrier. The 2 experimental periods lasted 14 d and were separated by a 7-d washout interval. Samples were collected on d 0, 13, and 14 of each period. Data from d 0 were used as covariate. Significance was declared at P ≤ 0.05 and tendency at 0.05


Assuntos
Bacillus licheniformis , Bacillus , Animais , Bovinos , Feminino , Ração Animal/análise , Bacillus subtilis , Dieta/veterinária , Ácidos Graxos/análise , Fermentação , Lactação , Leite/química , Pós/análise , Rúmen/metabolismo
2.
Sci Total Environ ; 792: 148146, 2021 Oct 20.
Artigo em Inglês | MEDLINE | ID: mdl-34146806

RESUMO

The use of willow plantations can be a sustainable approach for treating primary municipal wastewater, potentially reducing both the environmental and economic burdens associated with conventional treatment. However, the impact of wastewater irrigation upon the willow biorefinery potential has not yet been established. To investigate this effect, three-year-old field grown willows were harvested from plots kept as either controls or irrigated with primary municipal wastewater effluent at 29.5 million L ha-1 yr-1. Biomass compositional analysis, ionic liquid pretreatment and enzymatic saccharification were assessed and differential abundance of persistent extractable phytochemicals was evaluated using untargeted metabolite profiling. Glucan significantly increased by 8% in wastewater treated trees, arabinose and galactose were significantly decreased by 8 and 29%, respectively, while xylose, mannose and lignin content were unaltered. Ionic liquid pretreatment and enzymatic saccharification efficiencies did not vary significantly, releasing >95% of the cell wall glucose and recovering 35% of the lignin. From a total of 213 phytochemical features, 83 were significantly depleted and 14 were significantly enriched due to wastewater irrigation, including flavonoids and lignan derivatives. Considered alongside increased biomass yield from wastewater irrigation (+200%), lignocellulosic bioenergy yields increased to 8.87 t glucose ha-1 yr-1 and 1.89 t ha-1 yr-1 recovered lignin, while net extractives yields increased to 1.48 t ha-1 yr-1, including phytochemicals of interest. The maintenance of glucose accessibility after low-cost ionic liquid pretreatment is promising evidence that sustainable lignocellulose bioenergy production can complement wastewater treatment. Untargeted metabolite assessment revealed some of the phytochemical toolkit employed by wastewater irrigated willows, including accumulation of flooding and salinity tolerance associated flavonoids glabraoside A and glabrene. The extractable phytochemicals underpin a novel high biomass phenotype in willow and, alongside lignocellulosic yields, could help enhance the economic feasibility of this clean wastewater treatment biotechnology through integration with sustainable biorefinery.


Assuntos
Líquidos Iônicos , Salix , Purificação da Água , Biomassa , Águas Residuárias
4.
Nat Plants ; 5(12): 1222-1228, 2019 12.
Artigo em Inglês | MEDLINE | ID: mdl-31792395

RESUMO

Mast seeding is one of the most intriguing reproductive traits in nature. Despite its potential drawbacks in terms of fitness, the widespread existence of this phenomenon suggests that it should have evolutionary advantages under certain circumstances. Using a global dataset of seed production time series for 219 plant species from all of the continents, we tested whether masting behaviour appears predominantly in species with low foliar nitrogen and phosphorus concentrations when controlling for local climate and productivity. Here, we show that masting intensity is higher in species with low foliar N and P concentrations, and especially in those with imbalanced N/P ratios, and that the evolutionary history of masting behaviour has been linked to that of nutrient economy. Our results support the hypothesis that masting is stronger in species growing under limiting conditions and suggest that this reproductive behaviour might have evolved as an adaptation to nutrient limitations and imbalances.


Assuntos
Nitrogênio/metabolismo , Fósforo/metabolismo , Sementes/metabolismo , Evolução Biológica , Clima , Nutrientes/metabolismo , Estações do Ano , Sementes/crescimento & desenvolvimento
5.
Appl Radiat Isot ; 67(5): 696-700, 2009 May.
Artigo em Inglês | MEDLINE | ID: mdl-19230684

RESUMO

An analysis algorithm to correct for the gamma-ray true coincidence summing effects for radionuclides decay by cascading photons was developed and implemented in Canberra's Genie 2000 software in 2001. It has been extended to correct for true coincidence summing effects from low energy gamma-rays, KX-rays from electron capturing and internal conversion, and the 511 keV positron annihilation photons. Validation of these extensions shows significant improvement in Genie 2000's true coincidence summing correction capability and the accuracy of nuclide activity measurement.

6.
Diabetologia ; 49(9): 2120-30, 2006 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-16868750

RESUMO

AIMS/HYPOTHESIS: The aim of this study was to determine the role of fatty acid signalling in islet beta cell compensation for insulin resistance in the Zucker fatty fa/fa (ZF) rat, a genetic model of severe obesity, hyperlipidaemia and insulin resistance that does not develop diabetes. MATERIALS AND METHODS: NEFA augmentation of insulin secretion and fatty acid metabolism were studied in isolated islets from ZF and Zucker lean (ZL) control rats. RESULTS: Exogenous palmitate markedly potentiated glucose-stimulated insulin secretion (GSIS) in ZF islets, allowing robust secretion at physiological glucose levels (5-8 mmol/l). Exogenous palmitate also synergised with glucagon-like peptide-1 and the cyclic AMP-raising agent forskolin to enhance GSIS in ZF islets only. In assessing islet fatty acid metabolism, we found increased glucose-responsive palmitate esterification and lipolysis processes in ZF islets, suggestive of enhanced triglyceride-fatty acid cycling. Interruption of glucose-stimulated lipolysis by the lipase inhibitor Orlistat (tetrahydrolipstatin) blunted palmitate-augmented GSIS in ZF islets. Fatty acid oxidation was also higher at intermediate glucose levels in ZF islets and steatotic triglyceride accumulation was absent. CONCLUSIONS/INTERPRETATION: The results highlight the potential importance of NEFA and glucoincretin enhancement of insulin secretion in beta cell compensation for insulin resistance. We propose that coordinated glucose-responsive fatty acid esterification and lipolysis processes, suggestive of triglyceride-fatty acid cycling, play a role in the coupling mechanisms of glucose-induced insulin secretion as well as in beta cell compensation and the hypersecretion of insulin in obesity.


Assuntos
Resistência à Insulina , Células Secretoras de Insulina/metabolismo , Insulina/metabolismo , Ilhotas Pancreáticas/metabolismo , Animais , Sítios de Ligação , Colforsina/farmacologia , Ácidos Graxos não Esterificados/metabolismo , Ácidos Graxos não Esterificados/farmacologia , Regulação da Expressão Gênica/efeitos dos fármacos , Peptídeo 1 Semelhante ao Glucagon/farmacologia , Glucose/farmacologia , Técnicas In Vitro , Secreção de Insulina , Células Secretoras de Insulina/efeitos dos fármacos , Ilhotas Pancreáticas/citologia , Ilhotas Pancreáticas/efeitos dos fármacos , Lactonas/metabolismo , Lactonas/farmacologia , Lipase/metabolismo , Metabolismo dos Lipídeos/efeitos dos fármacos , Lipólise/efeitos dos fármacos , Modelos Biológicos , Orlistate , Oxirredução/efeitos dos fármacos , Ratos , Ratos Zucker , Reação em Cadeia da Polimerase Via Transcriptase Reversa , Transdução de Sinais/efeitos dos fármacos
7.
Antimicrob Agents Chemother ; 45(6): 1671-81, 2001 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-11353610

RESUMO

The microbicidal efficacies of two anionic surfactants, sodium lauryl sulfate (SLS) and n-lauroylsarcosine (LS), were evaluated in cultured cells and in a murine model of herpes simplex type 2 (HSV-2) intravaginal infection. In vitro studies showed that SLS and LS were potent inhibitors of the infectivity of HSV-2 strain 333. The concentrations of SLS which inhibit viral infectivity by 50% (50% inhibitory dose) and 90% (90% inhibitory dose) were 32.67 and 46.53 microM, respectively, whereas the corresponding values for LS were 141.76 and 225.30 microM. In addition, intravaginal pretreatment of mice with thermoreversible gel formulations containing 2.5% SLS or 2.5% LS prior to the inoculation of HSV-2 strain 333 completely prevented the development of genital herpetic lesions and the lethality associated with infection. Of prime interest, no infectious virus could be detected in mouse vaginal mucosa. Both formulations still provided significant protection when viral challenge was delayed until 1 h after pretreatment. Finally, intravaginal application of gel formulations containing 2.5% SLS or 2.5% LS once daily for 14 days to rabbits did not induce significant irritations to the genital mucosa, as demonstrated from macroscopic and histopathologic examinations. These results suggest that thermoreversible gel formulations containing SLS or LS could represent potent and safe topical microbicides for the prevention of HSV-2 and possibly other sexually transmitted pathogens, including human immunodeficiency virus.


Assuntos
Anti-Infecciosos/uso terapêutico , Detergentes/uso terapêutico , Herpes Genital/prevenção & controle , Sarcosina/análogos & derivados , Sarcosina/uso terapêutico , Infecções Sexualmente Transmissíveis/prevenção & controle , Dodecilsulfato de Sódio/uso terapêutico , Tensoativos/uso terapêutico , Administração Tópica , Análise de Variância , Animais , Anti-Infecciosos/farmacocinética , Área Sob a Curva , Química Farmacêutica , Chlorocebus aethiops , Detergentes/farmacocinética , Feminino , Géis , Herpesvirus Humano 2 , Camundongos , Camundongos Endogâmicos BALB C , Coelhos , Sarcosina/farmacocinética , Dodecilsulfato de Sódio/farmacocinética , Tensoativos/farmacocinética , Vagina/efeitos dos fármacos , Vagina/patologia , Células Vero
8.
Antimicrob Agents Chemother ; 45(4): 1030-6, 2001 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-11257012

RESUMO

The influence of sodium lauryl sulfate (SLS) on the efficacies of gel formulations of foscarnet against herpes simplex virus type 1 (HSV-1) cutaneous lesions and on the establishment and reactivation of latent virus has been evaluated in a murine model of orofacial infection. Topical treatments were given twice daily for 3 days and were initiated at 6, 24, and 48 h after virus inoculation. The gel formulation that contained both 3% foscarnet and 5% SLS and that was administered within 48 h postinfection reduced the rate of development of herpetic skin lesions. This formulation also significantly decreased the viral content in skin tissues and in ipsilateral trigeminal ganglia when it was given within 24 and 6 h postinfection, respectively. A lower level of efficacy was observed for the gel formulation containing 3% foscarnet alone. Of prime interest, the gel formulation containing 5% SLS reduced significantly the mortality rate among mice in a zosteriform model of infection. Both formulations of foscarnet had no effect on the mean titers of reactivated virus in explant cultures of ipsilateral and contralateral trigeminal ganglia from latently infected mice. The use of a gel formulation containing combinations of foscarnet and SLS could represent an attractive approach for the treatment of herpetic mucocutaneous infections.


Assuntos
Antivirais/administração & dosagem , Foscarnet/administração & dosagem , Herpes Simples/prevenção & controle , Herpesvirus Humano 1 , Dodecilsulfato de Sódio/administração & dosagem , Tensoativos/administração & dosagem , Administração Tópica , Animais , Combinação de Medicamentos , Géis/administração & dosagem , Herpes Simples/patologia , Herpes Simples/virologia , Herpesvirus Humano 1/isolamento & purificação , Herpesvirus Humano 1/fisiologia , Camundongos , Pele/patologia , Pele/virologia , Taxa de Sobrevida , Fatores de Tempo , Gânglio Trigeminal/virologia , Latência Viral
9.
Biol Bull ; 199(2): 95-9, 2000 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-11081707

RESUMO

Deep-sea hydrothermal-vent fauna live in a highly variable environment where oxygen levels can be very low, and carbon dioxide and sulfide can reach high concentrations (1). These conditions are harsh for most aerobic metazoans, yet copepods can be abundant at hydrothermal vents. Here we report the structure and functional properties of hemoglobin extracted from the copepod Benthoxynus spiculifer, which was found in large numbers in a paralvinellid/gastropod community collection made during a cruise to the Juan de Fuca Ridge in 1998. Although hemoglobin has been reported in some littoral copepods (2), this is the first study of the structure and functional properties of copepod hemoglobin. Hemoglobin represents about 60% of the total soluble proteins extracted from B. spiculifer, and although it imparts a red color to the copepod, it does not provide a significant storage pool of oxygen. It is a 208-kDa protein, composed of 14 globin chains--7 of 14.3 kDa and 7 of 15.2 kDa. The hemoglobin has a very high and temperature-sensitive oxygen affinity, with no cooperativity or Bohr effect. These properties are adaptive for an animal living in a low-oxygen environment in which the primary function of the hemoglobin is most likely oxygen acquisition to support aerobic respiration.


Assuntos
Crustáceos/química , Hemoglobinas/isolamento & purificação , Animais , Hemoglobinas/química , Água do Mar , Espectrofotometria
10.
Antimicrob Agents Chemother ; 44(9): 2263-70, 2000 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-10952566

RESUMO

The influence of sodium lauryl sulfate (SLS) on the efficacies of topical gel formulations of foscarnet against herpes simplex virus type 1 (HSV-1) cutaneous infection has been evaluated in mice. A single application of the gel formulation containing 3% foscarnet given 24 h postinfection exerted only a modest effect on the development of herpetic skin lesions. Of prime interest, the addition of 5% SLS to this gel formulation markedly reduced the mean lesion score. The improved efficacy of the foscarnet formulation containing SLS could be attributed to an increased penetration of the antiviral agent into the epidermis. In vitro, SLS decreased in a concentration-dependent manner the infectivities of herpesviruses for Vero cells. SLS also inhibited the HSV-1 strain F-induced cytopathic effect. Combinations of foscarnet and SLS resulted in subsynergistic to subantagonistic effects, depending on the concentration used. Foscarnet in phosphate-buffered saline decreased in a dose-dependent manner the viability of cultured human skin fibroblasts. This toxic effect was markedly decreased when foscarnet was incorporated into the polymer matrix. The presence of SLS in the gel formulations did not alter the viabilities of these cells. The use of gel formulations containing foscarnet and SLS could represent an attractive approach to the treatment of herpetic mucocutaneous lesions, especially those caused by acyclovir-resistant strains.


Assuntos
Antivirais/uso terapêutico , Foscarnet/uso terapêutico , Herpes Simples/tratamento farmacológico , Dermatopatias Virais/tratamento farmacológico , Dodecilsulfato de Sódio/uso terapêutico , Administração Tópica , Animais , Antivirais/farmacocinética , Sobrevivência Celular/efeitos dos fármacos , Química Farmacêutica , Chlorocebus aethiops , Modelos Animais de Doenças , Sinergismo Farmacológico , Feminino , Foscarnet/farmacocinética , Foscarnet/toxicidade , Herpes Simples/metabolismo , Herpesvirus Humano 1/efeitos dos fármacos , Humanos , Camundongos , Camundongos Pelados , Absorção Cutânea/efeitos dos fármacos , Dermatopatias Virais/metabolismo , Dodecilsulfato de Sódio/farmacocinética , Dodecilsulfato de Sódio/toxicidade , Tensoativos/farmacologia , Células Vero
11.
J Clin Microbiol ; 38(1): 110-9, 2000 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-10618073

RESUMO

The efficacy of sodium lauryl sulfate (SLS), a sulfated anionic chaotropic surfactant, and dextran sulfate (DS), a polysulfated carbohydrate, against herpes simplex virus (HSV) and human immunodeficiency virus (HIV) infections was evaluated in cultured cells and in different murine models of HSV infection. Results showed that both SLS and DS were potent inhibitors of the infectivities of various HSV-1 and HSV-2 strains. Pretreatment of HIV-1 (strain NL4-3) with SLS also reduced its infectivity to 1G5 cells. DS prevented the binding of HSV to cell surface receptors and therefore its entry into cells. Pretreatment of HSV-1 (strain F) with 50 microM SLS resulted in a complete loss of virus infectivity to Vero cells. However, viruses were able to enter into cells and to produce in the nuclei capsid shells devoid of a DNA core. The amount of the glycoprotein D gene produced in these cells remained unchanged compared to controls, suggesting that SLS could interfere with the maturation of the virus. At a higher SLS concentration (100 microM), HSV was highly damaged by SLS pretreatment and only a few viral particles could enter into cells to produce abnormal capsids. Although DS was a more potent inhibitor of HSV infectivity in vitro, it was unable to provide any protection in murine models of HSV infection. However, SLS conferred a complete protection of animals infected cutaneously with pretreated viruses. In addition, skin pretreatment of mice with a polymer formulation containing SLS completely prevented the development of cutaneous lesions. More interestingly, intravaginal pretreatment of mice with SLS in a buffered solution also completely protected against lethal HSV-2 infection. Taken together, our results suggest that SLS could thus represent a candidate of choice as a microbicide to prevent the sexual transmission of HIV, HSV, and possibly other pathogens that cause sexually transmitted diseases.


Assuntos
Antivirais/farmacologia , Sulfato de Dextrana/farmacologia , HIV-1/efeitos dos fármacos , Simplexvirus/efeitos dos fármacos , Dodecilsulfato de Sódio/farmacologia , Animais , Chlorocebus aethiops , Relação Dose-Resposta a Droga , Feminino , Genes Virais , Herpesvirus Humano 1/efeitos dos fármacos , Herpesvirus Humano 2/efeitos dos fármacos , Camundongos , Camundongos Pelados , Infecções Sexualmente Transmissíveis/prevenção & controle , Doenças Vaginais/virologia , Células Vero , Proteínas do Envelope Viral/genética , Ensaio de Placa Viral , Replicação Viral/efeitos dos fármacos
12.
J Biol Chem ; 274(10): 6602-9, 1999 Mar 05.
Artigo em Inglês | MEDLINE | ID: mdl-10037755

RESUMO

Leishmania cycles between the insect vector and its mammalian host undergoing several important changes mediated by the stage-specific expression of a number of genes. Using a genomic differential screening approach, we isolated differentially expressed cosmid clones carrying several copies of the mini-exon gene. We report that the spliced leader (SL) RNA, essential for the maturation of all pre-mRNAs by trans-splicing, is developmentally regulated in Leishmania donovani amastigotes and that this regulation is rapidly induced upon parasite growth under acidic conditions. Stage-specific regulation of the SL RNA is associated with the expression of a larger approximately 170-nucleotide transcript that bears an additional 15-nucleotide sequence at its 3'-end and is polyadenylated in contrast to the mature SL RNA. The poly(A)+ SL RNA represents 12-16% of the total SL transcript synthesized in amastigotes and is 2.5-3-fold more stable than the poly(A)- transcript. The poly(A)+ SL transcript is synthesized specifically from one class of the genomic mini-exon copies. Polyadenylation of the SL RNA may control the levels of the SL mature transcript under amastigote growth and may represent an additional step in the gene regulation process during parasite differentiation.


Assuntos
Regulação da Expressão Gênica no Desenvolvimento , Genes de Protozoários , Leishmania donovani/genética , RNA Mensageiro/genética , RNA Líder para Processamento/genética , Animais , Sequência de Bases , Leishmania donovani/crescimento & desenvolvimento , Dados de Sequência Molecular , Splicing de RNA , Alinhamento de Sequência
13.
Soc Sci Med ; 46(3): 403-14, 1998 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-9460821

RESUMO

Relationships among women's employment, child care strategies, and nutritional status of children 12-18 months of age were examined in 80 Nicaraguan households sampled by randomized block design in 10 low income urban communities. Multiple regression analyses showed that children of employed mothers (56%) fared better in weight/height than those whose mothers were not employed, with and without controlling for socioeconomic status and maternal education, paternal financial support, child care adequacy, and sex and age of the child. Children with inadequate alternate child care (care by a preteen or care at the work place) had lower height for age, even controlling for the same variables and for maternal employment. Differences in 10 caregiving behaviors between families as a function of work status of the mother and adequacy of child care were examined. In families with working mothers, caregivers were less likely to be observed washing their hands, suggesting that the positive associations of work for earnings might be due to income rather than improved care. Inadequate care was associated with less food variety, less use of health care, and marginally less hand-washing. Inadequate child care, which tends to be associated with informal work, nuclear families and poverty, should be a concern for child welfare.


Assuntos
Cuidado da Criança , Fenômenos Fisiológicos da Nutrição Infantil , Emprego , Mães , Pobreza , Adulto , Antropometria , Cuidadores , Proteção da Criança , Comportamento Alimentar , Feminino , Humanos , Lactente , Masculino , Nicarágua , Análise de Regressão , Fatores Socioeconômicos , Saúde da População Urbana , Mulheres Trabalhadoras
14.
J Trop Pediatr ; 38(5): 214-23, 1992 10.
Artigo em Inglês | MEDLINE | ID: mdl-1433446

RESUMO

The Tallstick is a new, simplified anthropometric field tool which allows immediate visual interpretation of height-for-age. This tool was field tested in community-based programmes in Managua, Nicaragua, and the rural community of Los Zarzales, screening 1004 children aged 0-60 months for nutritional stunting. Overall sensitivity and specificity analysis comparing HAZ scores and Tallstick results revealed that the Tallstick correctly identified 83-85 per cent of severely stunted children (HAZ < -2.5) and two-thirds of those with HAZ of -2 and below. It also had good positive predictive value for the mildly stunted. As a screening tool for low weight-for-age, the Tallstick performed better than arm circumference. The best of the community volunteers trained with the Tallstick could use it as well as their trainers. Progressive stunting was found in the 280 children in the sample who did not receive any form of milk. The advantages of the Tallstick for community-level screening and the importance of sustained linear growth are discussed.


Assuntos
Antropometria/instrumentação , Estatura , Fenômenos Fisiológicos da Nutrição Infantil , Animais , Transtornos da Nutrição Infantil/diagnóstico , Transtornos da Nutrição Infantil/epidemiologia , Pré-Escolar , Humanos , Lactente , Recém-Nascido , Leite , Nicarágua/epidemiologia , Inquéritos Nutricionais
15.
Arch Intern Med ; 148(3): 559-61, 1988 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-3341856

RESUMO

We observed an influenza epidemic caused by influenza A/Arizona/82 (H3N2) in a nursing home during 1982 to 1983. A survey indicated that 59% of the residents were immunized before the outbreak. The outbreak was observed to begin in November, peak in February, and disappear in April. A significant level of herd immunity may have accounted for the slow progression through the nursing home. In addition, serologic evidence of concurrent infection with respiratory syncytial virus, parainfluenza virus, and Mycoplasma pneumoniae was present in many residents. Epidemics of influenza in a closed, partially immunized population in a nursing home may proceed at a slower rate than in an open, largely unimmunized community. By monitoring for infection with other respiratory agents, the complex nature of the outbreak in this nursing home became evident.


Assuntos
Surtos de Doenças , Instituição de Longa Permanência para Idosos , Influenza Humana/epidemiologia , Casas de Saúde , Infecções Respiratórias/epidemiologia , Doença Aguda , Idoso , Idoso de 80 Anos ou mais , Anticorpos Antibacterianos/análise , Testes de Inibição da Hemaglutinação , Humanos , Influenza Humana/imunologia , Influenza Humana/prevenção & controle , Estudos Prospectivos , Vacinação
16.
Arch Intern Med ; 148(3): 562-5, 1988 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-3341857

RESUMO

We prospectively studied the efficacy of influenza vaccine during an influenza A/Arizona/80 (H3N2) outbreak at the Jewish Home and Hospital for the Aged in New York in the winter season of 1982 to 1983. All patients had been offered influenza vaccine before the outbreak; 181 chose to be vaccinated and 124 refused vaccination but agreed to participate in the study. Among those with serologic evidence of influenza infection, respiratory illness was significantly more common in the unvaccinated group (six of 14 vs one of 22). The overall mortality was 13 (7.2%) of 181 in the vaccinated group and 22 (17.7%) of 124 in the control group. The vaccinated and the control groups were examined for comparability. A logistic regression analysis, which controlled for differences in sex and level of nursing care, indicated that the difference in mortality was still significant, with a summary odds ratio of 2.7. The relative risk of death in the unvaccinated group was comparable at 2.18. Influenza vaccine reduced the mortality by 59% in the vaccinated group compared with the control group.


Assuntos
Surtos de Doenças , Imunização , Influenza Humana/mortalidade , Idoso , Idoso de 80 Anos ou mais , Anticorpos Antivirais/análise , Instituição de Longa Permanência para Idosos , Humanos , Influenza Humana/epidemiologia , Influenza Humana/imunologia , Influenza Humana/prevenção & controle , Casas de Saúde , Estudos Prospectivos
17.
N Engl J Med ; 313(14): 849-57, 1985 Oct 03.
Artigo em Inglês | MEDLINE | ID: mdl-4033715

RESUMO

Between February and May 1984, we conducted a pilot study to examine the methods for a larger study of a previously reported relation between Reye's syndrome and medications. Thirty patients with Reye's syndrome, whose diagnosis was confirmed by an expert panel, and 145 controls were matched for age, race (black or not black), and antecedent illness (respiratory infection, chickenpox, or diarrhea) and selected from the same hospital, emergency room, or school, or identified by random digit dialing. Significantly more cases (93 per cent, 28 of 30) than members of each of the four control groups or all controls combined (46 per cent, 66 of 145) had received salicylates during matched antecedent illnesses (odds ratio of all 30 cases vs. all controls = 16.1; lower 95 per cent confidence limit = 4.6). The prevalence and mean severity score of signs, symptoms, and selected events during the antecedent illness tended to be lower among cases than controls. Thus, differences in the severity of this illness between cases and controls did not explain differences in medication exposures. This pilot study suggests an association between Reye's syndrome and the use of salicylates during an antecedent illness.


Assuntos
Acetaminofen/efeitos adversos , Síndrome de Reye/induzido quimicamente , Salicilatos/efeitos adversos , Acetaminofen/uso terapêutico , Adolescente , Varicela/tratamento farmacológico , Criança , Pré-Escolar , Emergências , Feminino , Humanos , Lactente , Masculino , Projetos Piloto , Doenças Respiratórias/tratamento farmacológico , Salicilatos/uso terapêutico , Equivalência Terapêutica , Fatores de Tempo
18.
J Otolaryngol ; 13(2): 127-9, 1984 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-6726847

RESUMO

This is a case report of an infant born with nasal hypoplasia, stippling of epiphyses, and toe deformities. This embryopathy is due to maternal ingestion of Warfarin during pregnancy. Other defects including ophthalmologic and neurologic abnormalities also occur, but the nasal malformation is the only constant clinical feature.


Assuntos
Anormalidades Induzidas por Medicamentos/etiologia , Nariz/anormalidades , Dedos do Pé/anormalidades , Varfarina/efeitos adversos , Condrodisplasia Punctata/induzido quimicamente , Feminino , Humanos , Recém-Nascido
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