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1.
Mol Phylogenet Evol ; 115: 140-160, 2017 10.
Artigo em Inglês | MEDLINE | ID: mdl-28757445

RESUMO

This study investigated host-specificity and phylogenetic relationships in Australian galling flies, Fergusonina Malloch (Diptera: Fergusoninidae), in order to assess diversity and explore the evolutionary history of host plant affiliation and gall morphology. A DNA barcoding approach using COI data from 203 Fergusonina specimens from 5gall types on 56 host plant species indicated 85 presumptive fly species. These exhibited a high degree of host specificity; of the 40 species with multiple representatives, each fed only on a single host genus, 29 (72.5%) were strictly monophagous, and 11 (27.5%) were reared from multiple closely related hosts. COI variation within species was not correlated with either sample size or geographic distance. However variation was greater within oligophagous species, consistent with expectations of the initial stages of host-associated divergence during speciation. Phylogenetic analysis using both nuclear and mitochondrial genes revealed host genus-restricted clades but also clear evidence of multiple colonizations of both host plant genus and host species. With the exception of unilocular peagalls, evolution of gall type was somewhat constrained, but to a lesser degree than host plant association. Unilocular peagalls arose more often than any other gall type, were primarily located at the tips of the phylogeny, and did not form clades comprising more than a few species. For ecological reasons, species of this gall type are predicted to harbor substantially less genetic variation than others, possibly reducing evolutionary flexibility resulting in reduced diversification in unilocular gallers.


Assuntos
Dípteros/classificação , Tumores de Planta/classificação , Animais , Austrália , Evolução Biológica , Dípteros/genética , Complexo IV da Cadeia de Transporte de Elétrons/classificação , Complexo IV da Cadeia de Transporte de Elétrons/genética , Variação Genética , Especificidade de Hospedeiro , Interações Hospedeiro-Parasita/fisiologia , Myrtaceae/anatomia & histologia , Myrtaceae/metabolismo , Filogenia
2.
J Appl Microbiol ; 118(6): 1521-9, 2015 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-25766637

RESUMO

AIMS: (i) To study the effects of cold shock on Escherichia coli O157:H7 cells. (ii) To determine if cold-shocked E. coli O157:H7 cells at stationary and exponential phases are more pressure-resistant than their non-cold-shocked counterparts. (iii) To investigate the baro-protective role of growth media (0·1% peptone water, beef gravy and ground beef). METHODS AND RESULTS: Quantitative estimates of lethality and sublethal injury were made using the differential plating method. There were no significant differences (P > 0·05) in the number of cells killed; cold-shocked or non-cold-shocked. Cells grown in ground beef (stationary and exponential phases) experienced lowest death compared with peptone water and beef gravy. Cold-shock treatment increased the sublethal injury to cells cultured in peptone water (stationary and exponential phases) and ground beef (exponential phase), but decreased the sublethal injury to cells in beef gravy (stationary phase). CONCLUSIONS: Cold shock did not confer greater resistance to stationary or exponential phase cells pressurized in peptone water, beef gravy or ground beef. Ground beef had the greatest baro-protective effect. SIGNIFICANCE AND IMPACT OF THE STUDY: Real food systems should be used in establishing food safety parameters for high-pressure treatments; micro-organisms are less resistant in model food systems, the use of which may underestimate the organisms' resistance.


Assuntos
Escherichia coli O157/isolamento & purificação , Contaminação de Alimentos/análise , Água Doce/microbiologia , Produtos da Carne/microbiologia , Carne/microbiologia , Animais , Bovinos , Temperatura Baixa , Contagem de Colônia Microbiana , Meios de Cultura/farmacologia , Escherichia coli O157/química , Escherichia coli O157/classificação , Escherichia coli O157/genética , Escherichia coli O157/crescimento & desenvolvimento , Peptonas/análise , Pressão , Fatores de Tempo
3.
Oecologia ; 176(4): 1061-74, 2014 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-25241296

RESUMO

Some herbivores can modify the physiology of plant modules to meet their nutritional requirements. Induction of premature leaf senescence could benefit herbivores since it is associated with the mobilisation of nutrients. We compared the effects of nymphal feeding by Cardiaspina near densitexta on Eucalyptus moluccana with endogenous processes associated with senescence to assess the relative merits of an insect manipulation or plant defence interpretation of responses. Evidence supporting insect manipulation included increased size of fourth and fifth instar nymphs (in the latter the effect was restricted to forewing pad length of females) on leaves supporting high numbers of conspecifics and feeding preventing leaf necrosis. Intra-specific competition negated greater performance at very high densities. High and very high abundances of nymphs were associated with increased concentrations of amino acid N but only very high abundances of nymphs tended to be associated with increased concentrations of six essential amino acids. Contrary to the insect manipulation interpretation, feeding by very high abundances of nymphs was associated with significant reductions in chlorophyll, carotenoids and anthocyanins. Evidence supporting plant defence included the severity of chlorosis increasing with the abundance of nymphs. Leaf reddening did not develop because ambient conditions associated with photoinhibition (high irradiance and low temperature) were not experienced by leaves with chlorotic lesions. Leaf reddening (from anthocyanins) alone is not expected to adversely affect nymphal survival; only leaf necrosis would kill nymphs. For senescence-inducing psyllids, nutritional enhancement does not fit neatly into either an insect manipulation or plant defence interpretation.


Assuntos
Aminoácidos/metabolismo , Senescência Celular , Resistência à Doença/fisiologia , Eucalyptus/fisiologia , Hemípteros , Herbivoria , Folhas de Planta/metabolismo , Animais , Antocianinas/metabolismo , Comportamento Animal , Carotenoides/metabolismo , Clorofila/metabolismo , Eucalyptus/metabolismo , Feminino , Ninfa , Folhas de Planta/fisiologia
4.
Bull Entomol Res ; 104(2): 117-36, 2014 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-24280006

RESUMO

Many hemipteroids are major pests and vectors of microbial pathogens, infecting crops. Saliva of the hemipteroids is critical in enabling them to be voracious feeders on plants, including the economically important ones. A plethora of hemipteroid salivary enzymes is known to inflict stress in plants, either by degrading the plant tissue or by affecting their normal metabolism. Hemipteroids utilize one of the following three strategies of feeding behaviour: salivary sheath feeding, osmotic-pump feeding and cell-rupture feeding. The last strategy also includes several different tactics such as lacerate-and-flush, lacerate-and-sip and macerate-and-flush. Understanding hemipteroid feeding mechanisms is critical, since feeding behaviour directs salivary composition. Saliva of the Heteroptera that are specialized as fruit and seed feeders, includes cell-degrading enzymes, auchenorrhynchan salivary composition also predominantly consists of cell-degrading enzymes such as amylase and protease, whereas that of the Sternorhyncha includes a variety of allelochemical-detoxifying enzymes. Little is known about the salivary composition of the Thysanoptera. Cell-degrading proteins such as amylase, pectinase, cellulase and pectinesterase enable stylet entry into the plant tissue. In contrast, enzymes such as glutathione peroxidase, laccase and trehalase detoxify plant chemicals, enabling the circumvention of plant-defence mechanisms. Salivary enzymes such as M1-zinc metalloprotease and CLIP-domain serine protease as in Acyrthosiphon pisum (Aphididae), and non-enzymatic proteins such as apolipophorin, ficolin-3-like protein and 'lava-lamp' protein as in Diuraphis noxia (Aphididae) have the capacity to alter host-plant-defence mechanisms. A majority of the hemipteroids feed on phloem, hence Ca++-binding proteins such as C002 protein, calreticulin-like isoform 1 and calmodulin (critical for preventing sieve-plate occlusion) are increasingly being recognized in hemipteroid-plant interactions. Determination of a staggering variety of proteins shows the complexity of hemipteroid saliva: effector proteins localized in hemipteran saliva suggest a similarity to the physiology of pathogen-plant interactions.


Assuntos
Hemípteros/enzimologia , Proteínas e Peptídeos Salivares/metabolismo , Animais , Comportamento Alimentar
5.
J R Coll Physicians Edinb ; 39(1): 64-72, 2009 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-19831286

RESUMO

Once the germ theory had become generally accepted within medicine, the importance of experimental science to the improvement of medical practice could no longer be reasonably doubted. However, clinicians still sought to retain control of how knowledge that had originated in the laboratory was interpreted and applied within practical diagnostics and therapeutics. Thus how practitioners incorporated new scientific knowledge into their medical discourse and practice is a matter for careful empirical inquiry. James Sim Wallace, born in Renfrewshire in 1869 and a graduate in medicine from the University of Glasgow, was a leading figure in British dentistry throughout the first half of the twentieth century. Through an examination of his voluminous writings, we explore how the new 'chemico-parasitical' theory of dental caries was accommodated within dentists' understanding of oral hygiene. The paper also looks at the controversies that surrounded the application of the vitamin theory to the problems of rickets and dental caries, focusing on the contentious interaction between Sim Wallace and his colleagues, on the one hand, and the eminent physiologists May and Edward Mellanby, on the other.


Assuntos
Cárie Dentária/história , História da Odontologia , Bacteriologia/história , História do Século XIX , História do Século XX , Humanos , Conhecimento , Saúde Bucal , Raquitismo/história , Fatores de Risco , Ciência , Escócia
6.
Oncogene ; 27(8): 1079-86, 2008 Feb 14.
Artigo em Inglês | MEDLINE | ID: mdl-17704803

RESUMO

In human cancer, PTEN (Phosphatase and TENsin homolog on chromosome 10, also referred to as MMAC1 and TEP1) is a frequently mutated tumor suppressor gene. We have used the zebrafish as a model to investigate the role of Pten in embryonic development and tumorigenesis. The zebrafish genome encodes two pten genes, ptena and ptenb. Here, we report that both Pten gene products from zebrafish are functional. Target-selected inactivation of ptena and ptenb revealed that Ptena and Ptenb have redundant functions in embryonic development, in that ptena-/- and ptenb-/- mutants did not show embryonic phenotypes. Homozygous single mutants survived as adults and they were viable and fertile. Double homozygous ptena-/-ptenb-/- mutants died at 5 days post fertilization with pleiotropic defects. These defects were rescued by treatment with the phosphatidylinositol-3-kinase inhibitor, LY294002. Double homozygous embryos showed enhanced cellular proliferation. In addition, cell survival was dramatically enhanced in embryos that lack functional Pten upon gamma-irradiation. Surprisingly, adult ptenb-/- zebrafish developed ocular tumors later in life, despite the expression of ptena in adult eyes. We conclude that whereas Ptena and Ptenb have redundant functions in embryonic development, they apparently do not have completely overlapping functions later in life. These pten mutant zebrafish represent a unique model to screen for genetic and/or chemical suppressors of Pten loss-of-function.


Assuntos
Neoplasias/genética , PTEN Fosfo-Hidrolase/genética , Fosfoproteínas Fosfatases/genética , Proteínas de Peixe-Zebra/genética , Peixe-Zebra/genética , Adulto , Animais , Animais Geneticamente Modificados , Neoplasias Oculares/genética , Feminino , Genes Supressores de Tumor/fisiologia , Humanos , Isoenzimas/genética , Neoplasias/embriologia , PTEN Fosfo-Hidrolase/fisiologia , Fosfoproteínas Fosfatases/fisiologia , Gravidez , Peixe-Zebra/embriologia , Proteínas de Peixe-Zebra/fisiologia
7.
Stat Med ; 27(7): 1026-39, 2008 Mar 30.
Artigo em Inglês | MEDLINE | ID: mdl-17600855

RESUMO

Previous cross-platform reproducibility studies have compared consistency of intensities as well as consistency of fold changes across different platforms using Pearson's correlation coefficient. In this study, we propose the use of measurement error models for estimating gene-specific correlations. Additionally, gene-specific reliability estimates are shown to be useful in prioritizing clones for sequence verification rather than selecting clones using a simple random sample. The proposed 'disattenuated' correlation may prove useful in a wide variety of studies when both X and Y are measured with error, such as in confirmation studies of microarray gene expression values, wherein more reliable laboratory assays such as real-time polymerase chain reaction are used.


Assuntos
Calibragem , Bases de Dados Genéticas/estatística & dados numéricos , Análise de Sequência com Séries de Oligonucleotídeos/estatística & dados numéricos , Análise de Regressão , Neoplasias da Mama/genética , Simulação por Computador , Feminino , Humanos , Neoplasias Ovarianas/genética , Reprodutibilidade dos Testes
8.
J Virol ; 80(16): 8263-6, 2006 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-16873282

RESUMO

Epstein-Barr virus nuclear antigen EBNA1, the one viral protein uniformly expressed in nasopharyngeal carcinoma (NPC), represents a prime target for T-cell-based immunotherapy. However, little is known about the EBNA1 epitopes, particularly CD4 epitopes, presented by HLA alleles in Chinese people, the group at highest risk for NPC. We analyzed the CD4+ T-cell responses to EBNA1 in 78 healthy Chinese donors and found marked focusing on a small number of epitopes in the EBNA1 C-terminal region, including a DP5-restricted epitope that was recognized by almost half of the donors tested and elicited responses able to recognize EBNA1-expressing, DP5-positive target cells.


Assuntos
Linfócitos T CD4-Positivos/imunologia , Epitopos de Linfócito T/imunologia , Antígenos Nucleares do Vírus Epstein-Barr/imunologia , Sequência de Aminoácidos , Povo Asiático , China , Mapeamento de Epitopos , Antígenos Nucleares do Vírus Epstein-Barr/química , Antígenos HLA-DP/análise , Cadeias beta de HLA-DP , Antígenos de Histocompatibilidade Classe II/imunologia , Humanos , Dados de Sequência Molecular , Peptídeos/química , Estrutura Terciária de Proteína
9.
Protoplasma ; 225(1-2): 43-55, 2005 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-15868212

RESUMO

Nodulins encoding repetitive proline-rich cell wall proteins (PRPs) are induced during early interactions with rhizobia, suggesting a massive restructuring of the plant extracellular matrix during infection and nodulation. However, the proteins corresponding to these gene products have not been isolated or characterized, nor have cell wall localizations been confirmed. Posttranslational modifications, conformation, and interactions with other wall polymers are difficult to predict on the basis of only the deduced amino acid sequence of PRPs. PsENOD2 is expressed in nodule parenchyma tissue during nodule organogenesis and encodes a protein with distinctive PRP motifs that are rich in glutamate and basic amino acids. A database search for the ENOD2 signature motifs indicates that similar proteins may have a limited phylogenetic distribution, as they are presently only known from legumes. To determine the ultrastructural location of the proteins, antibodies were raised against unique motifs from the predicted ENOD2 sequence. The antibodies recognized nodule-specific proteins in pea (Pisum sativum), with a major band detected at 110 kDa, representing a subset of PRPs from nodules. The protein was detected specifically in organelles of the secretory pathway and intercellular spaces in the nodule parenchyma, but it was not abundant in primary walls. Similar proteins with an analogous distribution were detected in soybean (Glycine max). The use of polyclonal antibodies raised against signature motifs of extracellular matrix proteins thus appears to be an effective strategy to identify and isolate specific structural proteins for functional analysis.


Assuntos
Glycine max/metabolismo , Pisum sativum/metabolismo , Proteínas de Plantas/química , Proteínas de Plantas/metabolismo , Motivos de Aminoácidos , Sequência de Aminoácidos , Espaço Extracelular/metabolismo , Microscopia Imunoeletrônica , Dados de Sequência Molecular , Pisum sativum/genética , Pisum sativum/ultraestrutura , Proteínas de Plantas/genética , Prolina/química , Glycine max/genética , Glycine max/ultraestrutura
10.
J Virol ; 79(8): 4896-907, 2005 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-15795275

RESUMO

There is considerable interest in the potential of Epstein-Barr virus (EBV) latent antigen-specific CD4+ T cells to act as direct effectors controlling EBV-induced B lymphoproliferations. Such activity would require direct CD4+ T-cell recognition of latently infected cells through epitopes derived from endogenously expressed viral proteins and presented on the target cell surface in association with HLA class II molecules. It is therefore important to know how often these conditions are met. Here we provide CD4+ epitope maps for four EBV nuclear antigens, EBNA1, -2, -3A, and -3C, and establish CD4+ T-cell clones against 12 representative epitopes. For each epitope we identify the relevant HLA class II restricting allele and determine the efficiency with which epitope-specific effectors recognize the autologous EBV-transformed B-lymphoblastoid cell line (LCL). The level of recognition measured by gamma interferon release was consistent among clones to the same epitope but varied between epitopes, with values ranging from 0 to 35% of the maximum seen against the epitope peptide-loaded LCL. These epitope-specific differences, also apparent in short-term cytotoxicity and longer-term outgrowth assays on LCL targets, did not relate to the identity of the source antigen and could not be explained by the different functional avidities of the CD4+ clones; rather, they appeared to reflect different levels of epitope display at the LCL surface. Thus, while CD4+ T-cell responses are detectable against many epitopes in EBV latent proteins, only a minority of these responses are likely to have therapeutic potential as effectors directly recognizing latently infected target cells.


Assuntos
Antígenos Virais/imunologia , Linfócitos T CD4-Positivos/imunologia , Transformação Celular Viral , Herpesvirus Humano 4/imunologia , Especificidade de Anticorpos , Antígenos CD4/análise , Antígenos CD4/imunologia , Técnicas de Cultura de Células , Epitopos/análise , Epitopos/imunologia , Humanos , Linfócitos/citologia , Linfócitos/imunologia
11.
J Virol ; 78(2): 768-78, 2004 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-14694109

RESUMO

Virus-associated malignancies are potential targets for immunotherapeutic vaccines aiming to stimulate T-cell responses against viral antigens expressed in tumor cells. Epstein-Barr virus (EBV)-associated nasopharyngeal carcinoma, a high-incidence tumor in southern China, expresses a limited set of EBV proteins, including the nuclear antigen EBNA1, an abundant source of HLA class II-restricted CD4(+) T-cell epitopes, and the latent membrane protein LMP2, a source of subdominant CD8(+) T-cell epitopes presented by HLA class I alleles common in the Chinese population. We used appropriately modified gene sequences from a Chinese EBV strain to generate a modified vaccinia virus Ankara recombinant, MVA-EL, expressing the CD4 epitope-rich C-terminal domain of EBNA1 fused to full-length LMP2. The endogenously expressed fusion protein EL is efficiently processed via the HLA class I pathway, and MVA-EL-infected dendritic cells selectively reactivate LMP2-specific CD8(+) memory T-cell responses from immune donors in vitro. Surprisingly, endogenously expressed EL also directly accesses the HLA class II presentation pathway and, unlike endogenously expressed EBNA1 itself, efficiently reactivates CD4(+) memory T-cell responses in vitro. This unscheduled access to the HLA class II pathway is coincident with EL-mediated redirection of the EBNA1 domain from its native nuclear location to dense cytoplasmic patches. Given its immunogenicity to both CD4(+) and CD8(+) T cells, MVA-EL has potential as a therapeutic vaccine in the context of nasopharyngeal carcinoma.


Assuntos
Carcinoma/imunologia , Antígenos Nucleares do Vírus Epstein-Barr/imunologia , Herpesvirus Humano 4/imunologia , Neoplasias Nasofaríngeas/imunologia , Proteínas da Matriz Viral/imunologia , Vacinas Virais/imunologia , Linfócitos T CD4-Positivos/imunologia , Linfócitos T CD8-Positivos/imunologia , Carcinoma/prevenção & controle , Carcinoma/virologia , Linhagem Celular , Infecções por Vírus Epstein-Barr/imunologia , Infecções por Vírus Epstein-Barr/prevenção & controle , Antígenos Nucleares do Vírus Epstein-Barr/genética , Antígenos Nucleares do Vírus Epstein-Barr/metabolismo , Vetores Genéticos , Células HeLa , Humanos , Ativação Linfocitária/imunologia , Neoplasias Nasofaríngeas/prevenção & controle , Neoplasias Nasofaríngeas/virologia , Proteínas Recombinantes de Fusão/genética , Proteínas Recombinantes de Fusão/imunologia , Proteínas Recombinantes de Fusão/metabolismo , Vaccinia virus/genética , Proteínas da Matriz Viral/genética , Proteínas da Matriz Viral/metabolismo , Vacinas Virais/genética
12.
J Nematol ; 36(3): 249-62, 2004 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-19262813

RESUMO

The putative mutualism between different host-specific Fergusobia nematodes and Fergusonina flies is manifested in a variety of gall types involving shoot or inflorescence buds, individual flower buds, stems, or young leaves in the plant family Myrtaceae. Different types of galls in the early-to-middle stages of development, with host-specific species of Fergusobia/Fergusonina, were collected from Australian members of the subfamily Leptospermoideae (six species of Eucalyptus, two species of Corymbia, and seven species of broad-leaved Melaleuca). Galls were sectioned and histologically examined to assess morphological changes induced by nematode/fly mutualism. The different gall forms were characterized into four broad categories: (i) individual flower bud, (ii) terminal and axial bud, (iii) 'basal rosette' stem, and (iv) flat leaf. Gall morphology in all four types appeared to result from species-specific selection of the oviposition site and timing and number of eggs deposited in a particular plant host. In all cases, early parasitism by Fergusobia/Fergusonina involved several layers of uninucleate, hypertrophied cells lining the lumen of each locule (gall chamber where each fly larva and accompanying nematodes develop). Hypertrophied cells in galls were larger than normal epidermal cells, and each had an enlarged nucleus, nucleolus, and granular cytoplasm that resembled shoot bud gall cells induced by nematodes in the Anguinidae.

14.
Physiol Meas ; 24(1): 201-11, 2003 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-12636197

RESUMO

A prospective observational study was undertaken to examine time series ICU data of pressure variables (mean arterial pressure (MAP), intracranial pressure (ICP) and cerebral perfusion pressure (CPP)) and relate their variability (SD) to outcome, together with simple graphical displays which could be useful at the ICU bedspace. Forty-three children (aged < 1-15 years) were admitted to the intensive care unit for Regional Neurosurgical Service, Edinburgh, following traumatic brain injury (TBI). The standard deviations from 221,291 validated pressure data measurements (representing three variables) were calculated for the duration of ICP monitoring (and in 48 h epochs from the time of injury). Data were displayed on polygraphs, and several well-defined 'patterns' were described. The standard deviations of MAP, ICP and CPP for the total duration of monitoring were found to be significantly related to survival (p = 0.003, <0.001 and 0.005, respectively), while the SD of ICP alone was strongly related to global recovery (p = 0.008) in the first 48 h post-injury. Patterns in 104 epochs (each of 48 h) were identified. Ninety-two were of the type I (MAP > CPP > ICP) pattern and 12 were of the non-type I pattern. Glasgow Outcome Scale scores at 12 months were significantly related to the dichotomized pattern type (Fisher's exact test p < 0.001 for both alive versus dead and independent versus dependent outcomes). Only one patient with type I pattern died in this series. While variability of ICP during the first 48 h post-injury is predictive of the outcome, the pattern behaviour of three pressure signals gives useful outcome prediction information throughout monitoring. These displays may help interpret some of the plethora of data produced at the bedside.


Assuntos
Pressão Sanguínea/fisiologia , Lesões Encefálicas/fisiopatologia , Circulação Cerebrovascular/fisiologia , Pressão Intracraniana/fisiologia , Monitorização Fisiológica/métodos , Acidentes por Quedas , Acidentes de Trânsito , Adolescente , Lesões Encefálicas/diagnóstico por imagem , Lesões Encefálicas/mortalidade , Criança , Pré-Escolar , Cuidados Críticos , Feminino , Escala de Coma de Glasgow , Humanos , Lactente , Masculino , Análise de Sobrevida , Fatores de Tempo , Tomografia Computadorizada por Raios X
15.
BJOG ; 109(10): 1164-70, 2002 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-12387471

RESUMO

OBJECTIVES: To establish whether providing additional postnatal support during the early postnatal months influences women's physical and psychological health and to identify health service benefits. DESIGN: Pragmatic randomised controlled trial with a 2 x 2 factorial design with two interventions. SETTING: Community centres, Ayrshire and Grampian, Scotland. POPULATION: One thousand and four primiparous women, 83% completed the baseline questionnaire, 71% at six months. METHODS: (1) An invitation to a local postnatal support group run weekly with a facilitator, starting two weeks postpartum. (2) A postnatal support manual, posted two weeks postpartum. MAIN OUTCOME MEASURES: Data regarding primary outcome postnatal depression (Edinburgh Postnatal Depression Scale, EPDS), secondary outcomes, general health measures (SF-36), social support (SSQ6), use of health services and women's views of interventions were collected at two weeks postpartum and at three and six months. RESULTS: There were no significant differences in EPDS scores between the control and trial arms at three and six months, nor were there differences in the SF-36 and the SSQ6 scores. The 95% CI for the difference in EPDS effectively excluded a change in mean score of more than 10% with either intervention. There were no differences in health service attendances in primary or secondary care between the control and trial arms. Of those women who attended the groups, 40% attended six or more. Women reported favourably on the 'pack' with the majority reading it a few times and feeling that it was aimed at them. CONCLUSIONS: Wide-scale provision by the National Health Service of either support groups or self-help manuals is not appropriate if the aim is to improve measurable health outcomes.


Assuntos
Nível de Saúde , Saúde Mental , Cuidado Pós-Natal/métodos , Adulto , Análise de Variância , Depressão Pós-Parto/prevenção & controle , Feminino , Humanos , Gravidez , Escócia , Apoio Social , Design de Software , Inquéritos e Questionários , Resultado do Tratamento
17.
Br Poult Sci ; 43(2): 218-22, 2002 May.
Artigo em Inglês | MEDLINE | ID: mdl-12047085

RESUMO

1. Spent hens were slaughtered, hand deboned and then further processed into a surimi-like material, ayami, which was used to manufacture meatloaf and fresh sausage as value-added products. 2. Yields of deboned muscle and of ayami (% of deboned muscle) were 34.4 to 43.7% and 63.6%, respectively. 3. The ayami composition was: moisture 78.3%, ash 0.28%, fat 3.7%, protein 15.3% and carbohydrate 2.4%. Its pH value ranged from 5.65 to 6.10, and the water-holding capacity from 35.6 to 37.8. 4. Three formulations of meatloaf were prepared with 0, 7.5 and 15% chicken fat and with a blend of herbs and spices. The most acceptable of the three was used for the manufacture of meatloaf and fresh sausage. 5. Microbial testing was conducted on freshly prepared formulation of the meatloaf (15% fat) and sausage, and on frozen stored samples (-18 degrees C, 10 d). All had acceptable microbial quality. 6. Sensory analysis showed that the 15% fat formulation of the meatloaf was the most liked and the fresh sausage was consumer acceptable.


Assuntos
Manipulação de Alimentos/métodos , Produtos da Carne/análise , Animais , Galinhas , Comportamento do Consumidor , Microbiologia de Alimentos , Humanos , Concentração de Íons de Hidrogênio , Produtos da Carne/microbiologia , Músculo Esquelético , Valor Nutritivo , Reologia , Suínos , Paladar , Viscosidade
18.
Clin Nephrol ; 58(6): 445-50, 2002 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-12508967

RESUMO

INTRODUCTION: Malnutrition is a common problem in patients treated with continuous ambulatory peritoneal dialysis (CAPD). Hypoalbuminemia in CAPD patients is an independent risk factor for death and is associated with malnutrition. Previous short-term studies have examined the use of amino acid based PD solutions in terms of albumin levels and anthropometric changes, but not clinical outcome. We report on the extended use of 1.1% amino acid based peritoneal dialysis solution (Nutrineal) and have assessed clinical utility in terms of nutrition, biochemical indices, dialysis adequacy and clinical outcomes. METHODS: The effect of Nutrineal was studied retrospectively in 22 patients during the past 30 months. All patients had an albumin level of < 35 g/l prior to commencing Nutrineal, and had either a protein intake < 1.2 g/kg or weight loss of > 5% in the previous 3 months. 19 of the 22 patients underwent an 8-week trial of oral nutritional supplements with no improvement in serum albumin level. Albumin level, normalized protein catabolic rate, weight, Kt/V and creatinine clearance were assessed for all patients prior to Nutrineal and at the end of the study period. RESULTS: The mean time on Nutrineal therapy was 13.6 months (range 6-26 months). There were no reported side effects of the treatment. There was an average of 1 episode of peritonitis per 23 treatment months, and only 1 patient died (4% annually adjusted mortality cf 8.9% on the peritoneal dialysis program as a whole). There was a significant increase in albumin level from 22.45 +/- 0.97 range 14-33 g/l to 25.68 +/- 1.159 range 16-35 g/l (p = 0.0036). Normalized protein catabolic rate increased significantly, from 0.898 +/- 0.053 to 1.085 +/- 0.056 g/kg/day (p = 0.0057). Weight decreased slightly although this did not reach statistical significance. Kt/V and creatinine clearance both decreased significantly, but remained within the adequate range in > 80% of the patients. There was no significant change in residual renal function (mean residual creatinine clearance 3.8 +/- 0.59 ml/min at the start of the study period, cf 3.4 +/- 0.61 ml/min at the end). CONCLUSION: These data suggest that Nutrineal can be used safely and effectively for an extended period of time. Such use is associated with a low mortality rate and a low peritonitis rate, although dialysis adequacy is compromised to a degree.


Assuntos
Aminoácidos/administração & dosagem , Soluções para Diálise/química , Hipoalbuminemia/terapia , Falência Renal Crônica/terapia , Diálise Peritoneal Ambulatorial Contínua , Soluções para Diálise/administração & dosagem , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Peritonite/epidemiologia , Estudos Retrospectivos , Fatores de Tempo
19.
West Indian med. j ; 50(suppl 7): 24, Dec. 2001.
Artigo em Inglês | MedCarib | ID: med-75

RESUMO

Food safety pertains to the prevention, reduction or elimination of the risk of ill-health as a result of the consumption of foods whether fresh or processed, obtained through the domestic market or by international trade. Food saftey issues therefore impact on agricultural production and trade, as well as on the manufacture of processed foods and on the preparation and service of meals, whether these be in a hotel/restaurant environment or by itinerant street vendors. Agricultural production, trade and tourism are together significant contributors to the output of the open economies of the countries of the Caribbean Community. The discussion examines the findings of a recent assessment of the food safety status of Caribbean Community (CARICOM) Member States, which focussed on food safety in respect of plant, animal and human health systems in the various countries. The economic structure of selected countries is highlighted together with an indication of the trends in trade. The findings of the food safety assessment are then reviewed in the context of their possible impact on the economic output of the countries. The analysis showed that agricultural production and trade play a critical role in the economic output of many CARICOM States, Through their contribution to export earnings as well as employment. Tourism is also important in this regard. Inadequate attention to food safety issues can result in loss of market share either through a shift in purchasing patterns as experienced by other countries, or through detention by the regulatory agency of the importing country. Weak food safety policies could also jeopardize the tourism sector. Improvements in the food safety system and its infrastructure would serve to enhance the earning potential of the agricultural and tourism sectors and this should lead to greater economic output from those sectors. (AU)


Assuntos
21003 , Humanos , Qualidade de Produtos para o Consumidor , Abastecimento de Alimentos/economia , Região do Caribe , Meio Ambiente , Economia
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