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1.
Biol Trace Elem Res ; 201(7): 3418-3427, 2023 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-36306052

RESUMO

This study aims to investigate the effects of nanoparticles of zinc oxide (Nano-ZnO) supplementation on productive performance, nutrient digestibility, mineral retention, and blood biochemistry of Californian male rabbits under hot climatic conditions. A total of 100 Californian male rabbits 90 days of age (BW: 1790 ± 13 g) were randomly assigned to one of five treatment diets: Nano-ZnO at 0, 25, 50, 75, or 100 mg/kg, respectively, for 90 days. The rabbits were raised in an open house system (average ambient temperature of 39 °C, relative humidity of 30-35%, and temperature-humidity index of 33.6-34.0). Each treatment had 20 rabbits, and each rabbit was considered as a replicate. During the entire study period, there were no significant differences (P > 0.05) in BW, BW gain, feed intake, or feed conversion ratio between the treatment groups. Nano-ZnO supplementation at 25, 50, 75, and 100 mg/kg enhanced the digestibility coefficient of crude protein (CP) and ether extract (EE) considerably (quadratically, P < 0.05) when compared to the control group. In addition, when Nano-ZnO was supplemented at 25, 50, 75, and 100 mg/kg, serum levels of creatinine, alanine aminotransferase (ALT), and aspartate aminotransferase (AST) were considerably lower than the non-supplemented control group. Furthermore, when comparing the control and Nano-ZnO-fed rabbits, serum testosterone concentrations increased significantly (P < 0.05) in the treated groups. In addition, compared to the other groups, the 50 mg/kg Nano-ZnO group had the highest cecal Lactobacilli spp. count. These findings suggest that supplementing Californian male rabbits with 50 mg/kg dietary Nano-ZnO enhanced CP and EE digestibility, cecal Lactobacilli spp., as well as serum testosterone levels, and decreased serum ALT and AST levels under hot climatic conditions.


Assuntos
Nanopartículas , Óxido de Zinco , Animais , Masculino , Coelhos , Ração Animal/análise , Fenômenos Fisiológicos da Nutrição Animal , Dieta , Suplementos Nutricionais , Testosterona , Óxido de Zinco/farmacologia
2.
J Dairy Sci ; 105(8): 6783-6794, 2022 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-35840403

RESUMO

Milk is a primary protein source that has always played a role in mammalian health. Despite the intensification of research projects on dromedary and the knowledge of the genetic diversity at the casein loci, the genetic structure of the Tunisian camel population still needs exploration. This study sought to determine the genetic diversity of 3 casein gene variants in 5 Tunisian camel ecotypes: c.150G>T at CSN1S1 (αS1-casein), g.2126A>G at CSN2 (ß-casein), and g.1029T>C at CSN3 (κ-casein). The obtained results were compared with data published on Sudanese and Nigerian camels to establish the level of differentiation within and between populations. A total of 159 blood samples were collected from 5 Tunisian camel ecotypes and the extracted DNA was genotyped by PCR-RFLP. A streamlined genotyping protocol was also developed for CSN3. Results indicated that allele T was quite rare (0.06) at CSN1S1 for all ecotypes. Minor allele frequency was found for G (0.462) in CSN2 except for Ardhaoui Medenine ecotype who deviated from the average CSN2 allele frequency of the total population. Allele C showed minor allele frequency of 0.384 in CSN3. Among the Tunisian population, GAT (0.343) was the most represented haplotype in all ecotypes except for Ardhaoui Medenine, where GGC (0.322) was the most frequent one. Significant differences in heterozygosity and local inbreeding were observed across the Tunisian, Sudanese, and Nigerian populations, although the global fixation index indicated that only 2.2% of the genetic variance is related to ecotype differences. Instead, phylogenetic analysis revealed a closer link between the Tunisian and Sudanese populations through a clade subdivision with 3 main branches among the ecotypes. This study represents the first attempt to understand casein gene variability in Tunisian camels; with further study, milk traits and genetic differentiation among populations can be associated with the history of camel domestication.


Assuntos
Camelus , Caseínas , Animais , Camelus/genética , Caseínas/análise , Caseínas/genética , Leite/química , Nigéria , Filogenia
3.
Cureus ; 14(2): e22686, 2022 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-35386145

RESUMO

Nocardiosis is a rare opportunistic disease that primarily affects patients with deficient immune systems. Nocardia otitidiscaviarum is one of the rare species of Nocardia and it represents less than 3% of all Nocardia cases. Clinical presentation can be varied according to the affected organ. This study describes a case of a breast cancer patient who is immunocompromised due to the chemotherapy. This patient presented with a feature of febrile neutropenia. Investigations of this case led to the diagnosis of Nocardia otitidiscaviarum . Treatment of this underlying infection required to hold the chemotherapy for good time and to adapt patient-specific cancer treatment according to the balance between both need of cancer control and infection treatment according to the susceptibility test as in our case.

4.
Animal ; 15(3): 100149, 2021 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-33573938

RESUMO

Currently, a trend toward the commercialization of dromedary milk associated with recent intensive rearing systems has starting worldwide which impose constraints on animals affecting their behavioral repertoires and welfare status. The aim of this study was to investigate the effects of dam parity and calf sex on parturition, neonatal, and maternal behaviors in stabled Maghrebi dairy camels (Camelus dromedarius). Thirty-six (primiparas N = 10; multiparas N = 26) periparturient females were kept under video surveillance using a digital IR camera and 24-h sessions were chosen to assess calving, maternal, and neonatal behaviors in calving pens. Duration of restlessness, process of giving birth, and expulsion of fetal membranes were assessed. After first suckling, dams and their calves were moved into an individual enclosure to assess maternal behavior at 12 h, 24 h, 48 h, 72 h, and 7d postpartum. Behavior was assessed using a camcorder for 30 min after 1 h of young separation in an adjacent enclosure. Results showed an effect of parity on the duration of the birth process which was longer for primiparous than multiparous camels (P = 0.034). During this stage, primiparous females tended to raise their tails more often (P = 0.054) and spent more time standing (P = 0.001) than multiparous camels. Neonatal behavior was affected by calf sex. Female newborns took less time to raise their heads (P = 0.041) and to stand up (P = 0.048) for the first time and were the earliest to suckle their dams (P = 0.032). Multiparous dams stood up sooner (P = 0.019) after calving and suckled their calves earlier (P = 0.043) than primiparous dams. They emitted more bleats and exhibited more sniffing during the first week postpartum than primiparas. During the first postpartum week, both primiparas and multiparas showed a decrease in the total number of bleats (P < 0.001), low-pitch bleats (P < 0.001), and high-pitch bleats (P < 0.001), in sniffing frequency (P < 0.001) and sniffing duration (P < 0.001). This is the first study to describe in detail the calving, maternal, and neonatal behaviors of dromedary camels and to show the influence of parity and calf sex. Maternal care toward the newborn calf exhibited by a high level of bleating and sniffing activities in the first 2 days suggest that they play an important role in the establishment of mother-young relationship.


Assuntos
Camelus , Período Pós-Parto , Animais , Feminino , Recém-Nascido , Comportamento Materno , Paridade , Parto , Gravidez
5.
Clin Biomech (Bristol, Avon) ; 53: 65-71, 2018 03.
Artigo em Inglês | MEDLINE | ID: mdl-29454150

RESUMO

BACKGROUND: Cervical stiffness is a clinical feature commonly appraised during the functional examination of cervical spine. Measurements of cervical stiffness in axial rotation have not been reported for patients with neck pain. The purpose of this study was to investigate cervical spine stiffness in axial rotation among neck pain patients and asymptomatic subjects, and to analyze the impact of osteopathic management. METHODS: Thirty-five individuals (17 patients) were enrolled. Measurements were carried out for left-right axial rotation using a torque meter device, prior and after intervention. Passive range of motion, stiffness, and elastic-and neutral zone magnitudes were analyzed. Pain intensity was also collected for patients. The intervention consisted in one single session of non-manipulative osteopathic treatment performed in both groups. FINDINGS: A significant main effect of intervention was found for total range of motion and neutral zone. Also, treatment by group interaction was demonstrated for neutral-, elastic zone, stiffness in right axial rotation, and for total neutral zone. Significant changes were observed in the clinical group after intervention, indicating elastic zone decrease and neutral zone increase. In contrast, no significant alteration was detected for the control group. INTERPRETATIONS: Stiffness characteristics of the cervical spine in axial rotation are prone to be altered in patients with neck pain, but seem to be relieved after a session of non-manipulative manual therapeutic techniques. Further investigations, including randomized clinical trials with various clinical populations and therapeutic modalities, are needed to confirm these preliminary findings.


Assuntos
Vértebras Cervicais/fisiopatologia , Dor Crônica/fisiopatologia , Cervicalgia/fisiopatologia , Adulto , Fenômenos Biomecânicos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Manipulações Musculoesqueléticas , Amplitude de Movimento Articular/fisiologia , Rotação
6.
Mol Ecol Resour ; 18(3): 620-638, 2018 May.
Artigo em Inglês | MEDLINE | ID: mdl-29405659

RESUMO

The Atlantic bluefin tuna is a highly migratory species emblematic of the challenges associated with shared fisheries management. In an effort to resolve the species' stock dynamics, a genomewide search for spatially informative single nucleotide polymorphisms (SNPs) was undertaken, by way of sequencing reduced representation libraries. An allele frequency approach to SNP discovery was used, combining the data of 555 larvae and young-of-the-year (LYOY) into pools representing major geographical areas and mapping against a newly assembled genomic reference. From a set of 184,895 candidate loci, 384 were selected for validation using 167 LYOY. A highly discriminatory genotyping panel of 95 SNPs was ultimately developed by selecting loci with the most pronounced differences between western Atlantic and Mediterranean Sea LYOY. The panel was evaluated by genotyping a different set of LYOY (n = 326), and from these, 77.8% and 82.1% were correctly assigned to western Atlantic and Mediterranean Sea origins, respectively. The panel revealed temporally persistent differentiation among LYOY from the western Atlantic and Mediterranean Sea (FST  = 0.008, p = .034). The composition of six mixed feeding aggregations in the Atlantic Ocean and Mediterranean Sea was characterized using genotypes from medium (n = 184) and large (n = 48) adults, applying population assignment and mixture analyses. The results provide evidence of persistent population structuring across broad geographic areas and extensive mixing in the Atlantic Ocean, particularly in the mid-Atlantic Bight and Gulf of St. Lawrence. The genomic reference and genotyping tools presented here constitute novel resources useful for future research and conservation efforts.


Assuntos
Polimorfismo de Nucleotídeo Único , Atum/genética , Migração Animal , Animais , Oceano Atlântico , Mapeamento Cromossômico , Frequência do Gene , Técnicas de Genotipagem , Mar Mediterrâneo , Dinâmica Populacional , Análise de Sequência de DNA , Atum/fisiologia
7.
Rev Med Liege ; 72(10): 436-438, 2017 Oct.
Artigo em Francês | MEDLINE | ID: mdl-29058834

RESUMO

The Erdheim Chester disease is a rare form of non Langerhans cell histiocytosis. Its rarity and its unspecific clinical presentation, make that its diagnosis is often delayed. We report the case of a 50 years old female who has an Erdheim Chester disease, revealed by a central diabetes insipidus with thickening of the pituitary stalk, with associated gonadotropin deficiency. The Erdheim Chester disease was suspected because of the association with other evocative systemic lesions: eyelid xanthelasmas and bone lesions in metaphyseal-diaphyseal region of the upper and lower ends of both femurs and tibias on bone scan. Confirmation of the diagnosis was initially difficult and delayed, with initially inconclusive cutaneous and bone biopsies. It is the histological re-reading with immunohistochemical study of the bone biopsies which allowed the diagnosis by showing histiocytes positive for the CD68 and negative for the CD1a and the protein S100. The diagnosis was made with a delay of 3 years. In conclusion, although rare, Erdheim Chester disease should be suspected in front of a set of clinical and radiological arguments. Diagnostic confirmation is based on histological and especially immunohistochemical studies.


La maladie d'Erdheim Chester est une forme rare d'histiocytose non langerhansienne. Par sa rareté et son tableau clinique peu spécifique, son diagnostic est souvent retardé. Nous rapportons le cas d'une patiente âgée de 50 ans ayant une maladie d'Erdheim Chester révélée par un diabète insipide central avec épaississement de la tige pituitaire à l'IRM cérébrale et insuffisance gonadotrope associée. Cette maladie a été suspectée devant l'association d'autres atteintes systémiques évocatrices : des lésions cutanées à type de xanthélasmas sus-palpébraux de couleur jaune-orange et une atteinte osseuse au niveau métaphyso-diaphysaire des extrémités supérieures et inférieures des deux fémurs et tibias objectivée à la scintigraphie osseuse. La confirmation du diagnostic était initialement difficile et retardée, avec des biopsies cutanée et osseuse initialement non concluantes. C'est la relecture histologique avec étude immuno-histochimique des biopsies osseuses qui ont permis le diagnostic en montrant des histiocytes positifs pour le CD68 et négatifs pour le CD1a et la protéine S100. Le diagnostic positif a été posé avec un retard de 3 ans par rapport à la première consultation. En conclusion, bien que rare, la maladie d'Erdheim Chester devrait être suspectée devant un faisceau d'arguments cliniques et radiologiques. La confirmation diagnostique repose sur l'étude histologique et, surtout, immuno-histochimique.


Assuntos
Diabetes Insípido Neurogênico/etiologia , Doença de Erdheim-Chester/diagnóstico , Feminino , Humanos , Pessoa de Meia-Idade
8.
J Water Health ; 15(4): 644-657, 2017 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-28771161

RESUMO

The northwestern coast of Sinai is home to many economic activities and development programs, thus evaluation of the potentiality and vulnerability of water resources is important. The present work has been conducted on the groundwater resources of this area for describing the major features of groundwater quality and the principal factors that control salinity evolution. The major ionic content of 39 groundwater samples collected from the Quaternary aquifer shows high coefficients of variation reflecting asymmetry of aquifer recharge. The groundwater samples have been classified into four clusters (using hierarchical cluster analysis), these match the variety of total dissolvable solids, water types and ionic orders. The principal component analysis combined the ionic parameters of the studied groundwater samples into two principal components. The first represents about 56% of the whole sample variance reflecting a salinization due to evaporation, leaching, dissolution of marine salts and/or seawater intrusion. The second represents about 15.8% reflecting dilution with rain water and the El-Salam Canal. Most groundwater samples were not suitable for human consumption and about 41% are suitable for irrigation. However, all groundwater samples are suitable for cattle, about 69% and 15% are suitable for horses and poultry, respectively.


Assuntos
Água Subterrânea/análise , Água Subterrânea/química , Qualidade da Água , Água Potável/análise , Água Potável/química , Egito , Monitoramento Ambiental , Análise Multivariada , Análise de Componente Principal , Salinidade
10.
J Assist Reprod Genet ; 34(5): 581-586, 2017 May.
Artigo em Inglês | MEDLINE | ID: mdl-28337714

RESUMO

PURPOSE: The objective of this study is to determine if IVF outcome disparities exist among MENA women in the USA in comparison to a control group of Caucasian women. METHODS: A retrospective cohort study comparing MENA (N = 190) and Caucasian (N = 200) women undergoing their first IVF cycle between 5/2006 and 5/2014 was carried out at an academically affiliated fertility practice. All MENA cycles during that time period undergoing IVF/ICSI using autologous embryos and blastocyst transfers were compared to a control group of Caucasian women. RESULTS: MENA women were significantly younger (32.9 vs 34.5, P < 0.005) and had a lower BMI (25.2 vs 27.1, P < 0.001). Male factor infertility was higher among partners of MENA women (62 vs 50%, P < 0.05). MENA women experienced decreased live birth rates per blastocyst transfer compared to Caucasian women after controlling for age and BMI (OR 0.55, 95% CI 0.35-0.85 P = 0.007). The odds of a miscarriage were also significantly higher among MENA women (OR 2.55, 95% CI 1.04-6.27 P = 0.036). CONCLUSION: Middle Eastern/North African women have worse IVF outcomes with decreased live birth rates per blastocyst transfer and increased miscarriage rates compared to Caucasian women.


Assuntos
Aborto Espontâneo/epidemiologia , Fertilização in vitro , Nascido Vivo/epidemiologia , Aborto Espontâneo/patologia , Adulto , África do Norte/epidemiologia , Transferência Embrionária , Etnicidade , Feminino , Humanos , Oriente Médio/epidemiologia , Indução da Ovulação , Gravidez , Taxa de Gravidez , Injeções de Esperma Intracitoplásmicas , População Branca
11.
Clin Biomech (Bristol, Avon) ; 42: 128-133, 2017 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-28157621

RESUMO

BACKGROUND: Many studies reported the implication of the cervical musculoskeletal system in patients with tension type headache and migraine. The objective of this study is to investigate the upper cervical spine stiffness features in axial rotation among headache patients in comparison with a healthy population. METHODS: 48 subjects including 30 migraine patients with/without aura and 18 patients with tension-type headache, aged between 18 and 60years (mean 36, SD 11years) have been evaluated. Stiffness measurements were carried out for passive axial rotation using a torque meter device. The flexion-rotation test was used to emphasize assessment of the upper cervical spine. FINDINGS: Neither the stiffness nor the neutral zone varies between different populations studied. Passive range of motion in axial rotation is unilaterally reduced in symptomatic subjects (p=0.001). Considering the elastic zone, right and left motion magnitude was significantly lower for clinical groups compared to the control group. INTERPRETATION: Stiffness seems not to be altered among tension type headache and migraine patients. However, patients seem prone to display a larger right-left asymmetry of axial rotation and a reduction in the motion range tolerance, emphasizing the likely link between the cervical discomfort and these pathologies. Any difference is observed in the elastic behavior of the upper cervical spine between the two primary headache populations. However, further investigations are needed to confirm these previous results taking various specific clinical characteristics into consideration.


Assuntos
Vértebras Cervicais/fisiopatologia , Transtornos de Enxaqueca/fisiopatologia , Cefaleia do Tipo Tensional/fisiopatologia , Adulto , Fenômenos Biomecânicos , Estudos de Casos e Controles , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Amplitude de Movimento Articular/fisiologia , Rotação , Adulto Jovem
12.
Facts Views Vis Obgyn ; 9(4): 195-206, 2017 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-30250653

RESUMO

OBJECTIVE: To determine if elective single blastocyst transfer (e-SBT) compromises pregnancy outcomes compared to double blastocyst transfer (DBT) in patients with favorable reproductive potential. METHODS: This Randomized Control Trial included 50 patients with SBT (Group 1) and 50 patients with DBT (Group 2). All women were <35 years and had favorable reproductive potential. Randomization criterion was two good quality blastocysts on day 5. Patients who did not get pregnant or who miscarried underwent subsequent frozen cycles with transfer of two blastocysts (if available) in both groups. RESULTS: No significant difference was observed in the majority of the demographic data, infertility etiology, ovarian stimulation characteristics and embryology data between the two groups. There was a significantly lower clinical pregnancy (61.2% vs 80.0%), and delivery (49.0% vs 70.0%) rates, but no difference in implantation (59.2% vs 54.0%), miscarriage, or ectopic pregnancy rates between Group 1 and Group 2, respectively. There was a significantly higher multiple pregnancy rate in Group 2 (35.0%) compared to Group 1 (0%) [P=0.000]. When fresh and first frozen cycles were combined, there was a significantly lower cumulative clinical pregnancy (77.6% vs 96.0%, P=0.007) and delivery (65.3% vs 86.0%, P=0.016) rates in Group 1 compared to Group 2 respectively. CONCLUSIONS: In patients with favorable reproductive potential, although e-SBT appears to reduce clinical pregnancy and live-birth rates, excellent pregnancy outcomes are achieved. Clinicians must weigh the benefits of DBT against the risk associated with multiple pregnancies in each specific patient before determining the number of blastocysts to be transferred.

13.
Ecotoxicol Environ Saf ; 119: 155-61, 2015 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-26004355

RESUMO

Cement kiln dust (CKD), a byproduct of cement manufacturing process, was collected from Misr Cement Co. at Qena, Egypt. CKD was characterized by X-ray diffraction and FTIR analysis. This byproduct was investigated for its physical-chemical characters, antibacterial activities on sewage water and the presence of nematode, parasites and algae in the treated water. The efficiency of CKD-treated water was also examined on Hibiscus sabdarriffa seed germination. Total bacteria, total and fecal coliform, as well as fecal streptococci were completely inhibited by CKD. Interestingly, zinc, manganese, iron, nickel and lead were completely absent from sewage water as these metals precipitated after treatment with 10gl(-1) CKD. On the other hand, among all the tested plant criteria, only root length was significantly reduced by 55% and 15% after zero and 3 days of CKD addition respectively compared to control. Furthermore, plant lipid peroxidation showed no significant differences between treated sewage water and control after zero and 3 days time addition of CKD. Catalase enzyme activity showed significant decrease by 56% and 64%, while peroxidase activity significantly increased up to 49% and 63% compared to untreated sewage after zero and 3 days of treatment, respectively. The absorption of lead, iron and copper by treated and untreated plants showed no significant differences. Chromium ions were highly absorbed (0.075mgl(-1)) by plants irrigated only with treated sewage water at zero time, and decreased gradually to 0.018mgl(-1) after 3 days of CKD addition. This study highlighted the efficiency of cement kiln dust as an antibacterial agent and its ability of scavenging heavy metals leading to the use of treated sewage water in activities such as crop irrigation.


Assuntos
Materiais de Construção/análise , Poeira/análise , Enterobacteriaceae/crescimento & desenvolvimento , Resíduos Industriais/análise , Esgotos , Streptococcaceae/crescimento & desenvolvimento , Eliminação de Resíduos Líquidos/métodos , Poluentes Químicos da Água/análise , Antibacterianos/farmacologia , Egito , Germinação/efeitos dos fármacos , Hibiscus/efeitos dos fármacos , Hibiscus/crescimento & desenvolvimento , Metais Pesados/análise , Esgotos/análise , Esgotos/microbiologia , Difração de Raios X
14.
PLoS One ; 8(6): e66765, 2013.
Artigo em Inglês | MEDLINE | ID: mdl-23826130

RESUMO

A stochastic advection-reaction-diffusion model with terms of multiplicative white Gaussian noise, valid for weakly mixed waters, is studied to obtain the vertical stationary spatial distributions of two groups of picophytoplankton, i.e., picoeukaryotes and Prochlorococcus, which account about for 60% of total chlorophyll on average in Mediterranean Sea. By numerically solving the equations of the model, we analyze the one-dimensional spatio-temporal dynamics of the total picophytoplankton biomass and nutrient concentration along the water column at different depths. In particular, we integrate the equations over a time interval long enough, obtaining the steady spatial distributions for the cell concentrations of the two picophytoplankton groups. The results are converted into chlorophyll a and divinil chlorophyll a concentrations and compared with experimental data collected in two different sites of the Sicily Channel (southern Mediterranean Sea). The comparison shows that real distributions are well reproduced by theoretical profiles. Specifically, position, shape and magnitude of the theoretical deep chlorophyll maximum exhibit a good agreement with the experimental values.


Assuntos
Clorofila/metabolismo , Fitoplâncton/metabolismo , Mar Mediterrâneo , Modelos Teóricos
15.
BJOG ; 119(3): 291-7, 2012 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-22004312

RESUMO

OBJECTIVE: Fetal growth during pregnancy may be affected by the metabolic activity and distribution of fat stores in women. This study investigates the association between waist to hip ratio (WHR) as a measure of the distribution of adiposity in primiparous mothers living in Avon, England, and macrosomia in their offspring. DESIGN: Prospective historical cohort study. SETTING: The Avon Longitudinal Study of Parents and Children (ALSPAC) prospective cohort study in Avon, UK. POPULATION: A cohort of 3083 primiparous women with a term singleton delivery with expected dates of delivery from 1 April 1991 to 31 December 1992. METHODS: The distribution of WHR was categorised into quartiles. We compared the second, third and fourth quartiles against the first (reference) quartile with respect to whether the mother delivered a macrosomic newborn. We controlled for maternal age, gestational age, body mass index (BMI), marital status and racial group using multivariate logistic regression. MAIN OUTCOME MEASURES: Macrosomia defined in three ways: birthweight ≥ 4000 g; birthweight ≥ 4500 g; large for gestational age (LGA: ≥ 95th percentile of birth weight adjusted for sex and gestational age). RESULTS: Waist to hip ratios in the third and fourth quartiles were associated with a higher odds of delivering a macrosomic infant, defined as a birthweight ≥ 4000 g (third quartile, OR 1.59, 95% CI 1.12-2.26; fourth quartile, OR 1.69, 95% CI 1.18-2.42) or as LGA (≥95th percentile of the cohort; third quartile, OR 1.77, 95% CI 1.10-2.85; fourth quartile, OR 1.78, 95% CI 1.09-2.91). When defined as a birthweight ≥ 4500 g, the fourth quartile was associated with increased odds of macrosomia (OR 2.74, 95% CI 1.05-7.16). Odds ratios after adjustment for confounding factors followed a similar pattern. CONCLUSION: Independent of confounding factors, women with increased WHRs were significantly more likely to give birth to macrosomic newborns.


Assuntos
Macrossomia Fetal/etiologia , Relação Cintura-Quadril/efeitos adversos , Adulto , Peso ao Nascer , Feminino , Humanos , Recém-Nascido , Modelos Logísticos , Análise Multivariada , Razão de Chances , Gravidez , Estudos Prospectivos , Fatores de Risco , Autorrelato
16.
Rev Med Brux ; 32(4): 369-74, 2011 Sep.
Artigo em Francês | MEDLINE | ID: mdl-22034767

RESUMO

Osteopathy is originated in the 19th century in the United States. Andrew Taylor Still seek for an alternative medical system to the orthodox medicine largely empirical and advocating bloodletting, calomel, etc., all of which was resumed with terms like" heroic medicine". Osteopathy as other alternative medical practices (homeopathy, eclecticism, etc.) based on rational and metaphysical postulates as vitalism or the fact that man is a divinely ordained machine. Still's approach was essentially manual and based on manipulation of the joints. Today osteopaths challenge these dogmas and seek to agree their practice within scientific biomedical standards. Even if strong randomized clinical trials are lacking, several surveys report how osteopathy gained public notoriety. Several recent meta-analyses pinpoint the benefit of the spinal manipulative treatment and even if there is no evidence that such an approach is superior to other advocated therapies there is no evidence that these therapies are more effective than the first one. The major indications for such a treatment are cervical and low back pain, either chronic or acute. The quality of the relationship between the practitioner and patient together with the placebo effect are important components of a treatment effect. Osteopathic education is an important aspect and only higher education institutions, i.e. universities can achieve and maintain adequate standards. Materia medica and surgery represent the two major therapeutic mainstreams in medicine; osteopathy considered as manual medicine could be the third one.


Assuntos
Medicina Osteopática/tendências , História do Século XIX , História do Século XX , História do Século XXI , Humanos , Medicina Osteopática/educação , Medicina Osteopática/história
17.
Environ Geochem Health ; 15(1): 37-49, 1993 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-24198080

RESUMO

Oxygen-18 ((18)0) and deuterium isotopes were used to estimate the evaporation from the Aswan High Dam Lake and to investigate the inter-relation between the lake water and adjacent groundwater.According to stable isotopic analysis of samples taken in 1988 and 1989, the lake can be divided into two sections. In the first section extending between Abu Simbel and a point between EI-Alaki and Krosko, a remarkable vertical gradient of (18)0 and deuterium isotopic composition was observed. The second northern sector extending to the High Dam is characterised by a lower vertical isotopic gradient. In this sector in general, higher values of (18)O and deuterium contents were found at the top and lower values at the bottom. Also a strong horizontal increase of the heavy isotope content was observed. Thus, in the northern section evaporation is of dominating influence on the isotopic composition of the lake water.With the help of an evaporation pan experiment it was possible to calibrate the evaporative isotope enrichment in the lake and to facilitate a preliminary estimate of evaporative losses of lake water. The evaporation from the lake was estimated to be about 19% of the input water flow rate.The groundwater around the lake was investigated and samples from production wells and piezometers were subjected to isotopic analysis. The results indicate that recent recharge to the groundwater aquifer is limited to wells near to the lake and up to a maximum distance of about 10 km. The contribution of recent Nile water to the groundwater in these wells was estimated to range between 23 and 70%. Beyond this distance, palaeowater was observed with highly depleted deuterium and (18)0 contents, which was also confirmed by 14c dating. The age of palaeo groundwater in this area can reach values of more than 26,000 years.Recommendations are given for efficient water management of the lake water.

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