Piacentini, Luis N
The lycosid genus Agalenocosa Mello-Leitão, 1944 comprises at least eight species from northern and eastern Argentina and neighbouring countries: Agalenocosa velox (Keyserling, 1891) comb. nov. (from southern Brazil and Argentina), transferred here from Pirata Sundevall, 1833, A. tricuspidata (Tullgren, 1905) comb. nov. (from northwestern Argentina), transferred here from Pardosa C.L. Koch, 1847, A. luteonigra (Mello-Leitão, 1945) (from Argentina and Uruguay), A. punctata Mello-Leitão, 1944 (from Buenos Aires and Entre Ríos, Argentina), A. gentilis Mello-Leitão, 1944 (from Buenos Aires, Argentina), and three new species: A. pirity sp. nov., A. gamas sp. nov. (from eastern Argentina), and A. grismadoi sp. nov. (from eastern Argentina and Paraguay). Agalenocosa singularis Mello-Leitão (type species of the genus) is considered a junior synonym of A. velox. Agalenocosa fimbriata Mello-Leitão, 1944 is considered species inquirenda; Agalenocosa bryantae (Roewer, 1951), A. chacoensis (Mello-Leitão, 1942), A. denisi (Caporiacco, 1947), A. kolbei (Dahl, 1908), A. melanotaenia (Mello-Leitão, 1941), A. pickeli (Mello-Leitão, 1937), A. yaucensis (Petrunkevitch, 1929), A. fallax (L. Koch, 1877), A. helvola (C. L. Koch, 1847), A. subinermis (Simon, 1897) are considered misplaced species. The subfamily placement of Agalenocosa is briefly discussed, and it could be placed in either Piratinae Zyuzin, 1993 or Venoniinae Lehtinen & Hippa, 1979.
Piacentini, Luis N; Laborda, Alvaro
The wolf spider genus Birabenia Mello-Leitão, 1941 is revalidated, comprising B. birabenae Mello-Leitão (type species) and B. vittata (Mello-Leitão) comb. n. The monotypic genus Melloicosa Roewer is synonymised with Birabenia by the transfer of its type species Gnatholycosa vittata Mello-Leitão. Three species, Hogna taeniata (Mello-Leitão), Geolycosa sanogastensis (Mello-Leitão) and Paratrochosina murina (Mello-Leitão) are considered junior synonyms of B. birabenae. Representatives of Birabenia show affinities with Trochosa C. L. Koch but can be distinguished by the presence of one pair of apical spines or none on the ventral side of tibia I of females, the presence of four teeth on the cheliceral retromargin, a shorter furrow on the prolateral side of the tegulum on the male bulb and by having more than seven macrosetae at the tip of cymbium. Birabenia is distributed from north-western Argentina to southern Uruguay.
Rubio, Gonzalo D; Lo-Man-Hung, Nancy F; Iuri, Hernán A
The Neotropical genus Austrohahnia Mello-Leitão, 1942 is revised, comprising four species from Argentina. The genus is here transferred to the subfamily Hahniinae Bertkau, 1878 from Cybaeolinae Lehtinen, 1967. Austrohahnia is diagnosed by a single synapomorphy, short setae ventrally on the abdomen, in immature as well as adult stages. The type species A. praestans Mello-Leitão, 1942 is redescribed. Austrohahnia catleyi new species is described and illustrated based both sexes from the alder forests of northwestern Argentina. Austrohahnia melloleitaoi (Schiapelli & Gerschman, 1942) new combination was transferred from Hahnia C.L. Koch, 1841, the male is described and illustrated for the first time, and the female is redescribed. Austrohahnia isophthalma (Mello-Leitão, 1941) new combination is also transferred from Hahnia and considered a nomen dubium. New geographic records of studied species are provided.
Rocha, Pedro Carvalho; Thompson, Julia Resende; Leite, Felipe Sá Fortes; Garcia, Paulo Christiano De Anchietta
Bokermannohyla Faivovich, Haddad, Garcia, Frost, Campbell & Wheeler (2005) is a Brazilian treefrog genus currently composed of 32 species (Brandão et al. 2012; Leite et al. 2012; Frost 2015). The genus comprehends four, putatively monophyletic, species groups: B. circumdata, B. claresignata, B. martinsi, and B. pseudopseudis (sensu Faivovich et al. 2005). The B. pseudopseudis group includes nine species: B. alvarengai (Bokermann 1956), B. flavopicta Leite et al. 2012, B. ibitiguara (Cardoso 1983), B. itapoty Lugli & Haddad 2006a, B. oxente Lugli & Haddad 2006b, B. pseudopseudis (Miranda-Ribeiro 1937), B. sagarana Leite et al. 2011, B. sapiranga Brandão et al. 2012, and B. saxicola (Bokermann 1964).
Horing, N. J. M.; Lei, X. L.; Cui, H. L.
A dielectric interpretation of the nonlinear Lei-Ting force-momentum-balance transport equation for steady-state dc current flow is developed here in correspondence with standard techniques for calculating fast-particle energy loss to a plasmalike medium. In conjunction with this we interpret the result to be an isothermal resistivity calculated to lowest order in the impurity scattering potentials, isothermal in the sense that all energy dissipated is removed from the system, essentially instantaneously as it is generated, by a heat bath in contact with the system which maintains it at constant temperature throughout the nonlinear dc conduction process. On the basis of its isothermal character, we argue that the Lei-Ting dc resistivity calculated to lowest order in the impurity scattering potentials-whose linear limit is significantly different from the corresponding linear resistivity of an adiabatic character (for a system admitting no drainoff of dissipated energy, developing under a purely mechanical Hamiltonian)-is immune to serious critical objections of the type brought by Argyres and Sigel against similar lowest-order adiabatic linear resistivity calculations some time ago. Moreover, we also show that a dielectric Lei-Ting type formulation of linearized ac resistivity leads to the standard high-frequency linear resistivity formula, and that its zero-frequency limit naturally yields the isothermal dc linear Lei-Ting resistivity.
Rubio, Gonzalo D.; Baigorria, Julián E.; Edwards, G. B.
Abstract The female of Balmaceda nigrosecta Mello-Leitão, 1945 is described and illustrated for the first time. In addition, this paper further illustrates the male, and provides the first known observations on the natural history of this species, including habitat, cohabitation, and prey capturedata. PMID:27047236
Rubio, Gonzalo D; Baigorria, Julián E; Edwards, G B
The female of Balmaceda nigrosecta Mello-Leitão, 1945 is described and illustrated for the first time. In addition, this paper further illustrates the male, and provides the first known observations on the natural history of this species, including habitat, cohabitation, and prey capturedata.
Pádua, Diego Galvão; Salvatierra, Lidianne; Sobczak, Jober Fernando; Oliveira, Marcio Luiz
Abstract Background A parasitoid wasp Hymenoepimecis manauara Pádua & Oliveira, 2015 was recorded parasitizing, for the first time, a female spider of Leucauge henryi Mello-Leitão, 1940 in the Amazon rainforest, Brazil. Images, description of the cocoon and comments about this interaction were added. New information First record of Hymenoepimecis manauara parasitizing Leucauge henryi with description of cocoon and comments about this interaction. PMID:28174511
Araújo, Magda H S; Ruiz, Gustavo R S
Four new species of Hypaeus Simon are described from the Brazilian Amazon, all based on both sexes: H. tridactylus sp. nov. and H. femoratus sp. nov. from Juruti, Pará, and H. poseidon sp. nov. and H. terraemediae sp. nov. from São Félix do Xingu, Pará. Additionally, Asaracus pauciaculeis Caporiacco, 1947 is transferred from Mago O.P.-Cambridge, resulting in Hypaeus pauciaculeis comb. nov. Both sexes of H. taczanowskii (Mello-Leitão, 1948), the type species of Hypaeus, are redescribed for comparisons.
Margraf, A; Costa-Ayub, C L S; Okada, M A; Gomes, J R; Ortolani-Machado, C F; Soares, M A M
We examined the post-embryonic development of the male and female genital apparatus of the brown spider, Loxosceles intermedia. The development of the genital apparatus for both sexes begins with the appearance of inner structures. In the male genital apparatus, formation of the testes occurs first, followed by differentiation of the duct, ampulla and vas deferens, and finally the formation of the genital opening and differentiation of the copulatory organ (secondary sexual characteristic). Similarly, the development of the female genital apparatus begins with the formation of the ovaries, followed by the appearance of oocytes in vitellogenesis, then the development of oviducts and uterus internus and, finally, the spermatheca. These data may be very important in further comparative studies on the development of the reproductive system of spiders.
Marassá, A M; Veiga-Barreiros, R M; Moraes, R H; de Andrade, R M; Castillo, A; Corrêa, F M
A laboratory study was carried out concerning the influence of two kinds of blood-meal on egg laying, egg hatching and life span of Triatoma matogrossensis. 68 couples in 4 different groups with 20, 12, 20 and 16 individuals of each sex per group were formed. Maintained under laboratory conditions groups A1 and A2 were fed on pigeons and groups C1 and C2 were fed on rabbits. In relation to egg laying the best results were found in group A1. No differences on egg hatching were found between the groups fed on rabbits and those fed on pigeons. Concerning the life span, no differences between males and females in the 4 groups were observed but group A1 presented the longest life span and group C2 the shortest.
Machado, Miguel; Teixeira, Renato Augusto; Lise, Arno Antonio
The males of Tobias caudatus Mello-Leitão, 1929 and Tobias pustulosus Simon, 1929 are described for the first time, females are redescribed and both sexes are illustrated. New distribution records are presented for both species. Tobias monstruosus Mello-Leitão, 1929 is considered a junior synonym of T. pustulosus. The types of Tobias albovittatus Caporiacco, 1954, and Tobias gradiens Mello-Leitão, 1929 are lost, and Tobias albicans Mello-Leitão, 1929 and Tobias corticatus Mello-Leitão, 1917 are known only from poorly preserved specimens, thus they all are considered nomina dubia.
Vaughan, O R; Fisher, H M; Dionelis, K N; Jefferies, E C; Higgins, J S; Musial, B; Sferruzzi-Perri, A N; Fowden, A L
Glucocorticoids affect glucose metabolism in adults and fetuses, although their effects on materno-fetal glucose partitioning remain unknown. The present study measured maternal hepatic glucose handling and placental glucose transport together with insulin signalling in these tissues in mice drinking corticosterone either from day (D) 11 to D16 or D14 to D19 of pregnancy (term = D21). On the final day of administration, corticosterone-treated mice were hyperinsulinaemic (P < 0.05) but normoglycaemic compared to untreated controls. In maternal liver, there was no change in glycogen content or glucose 6-phosphatase activity but increased Slc2a2 glucose transporter expression in corticosterone-treated mice, on D16 only (P < 0.05). On D19, but not D16, transplacental 3H-methyl-d-glucose clearance was reduced by 33% in corticosterone-treated dams (P < 0.05). However, when corticosterone-treated animals were pair-fed to control intake, aiming to prevent the corticosterone-induced increase in food consumption, 3H-methyl-d-glucose clearance was similar to the controls. Depending upon gestational age, corticosterone treatment increased phosphorylation of the insulin-signalling proteins, protein kinase B (Akt) and glycogen synthase-kinase 3β, in maternal liver (P < 0.05) but not placenta (P > 0.05). Insulin receptor and insulin-like growth factor type I receptor abundance did not differ with treatment in either tissue. Corticosterone upregulated the stress-inducible mechanistic target of rapamycin (mTOR) suppressor, Redd1, in liver (D16 and D19) and placenta (D19), in ad libitum fed animals (P < 0.05). Concomitantly, hepatic protein content and placental weight were reduced on D19 (P < 0.05), in association with altered abundance and/or phosphorylation of signalling proteins downstream of mTOR. Taken together, the data indicate that maternal glucocorticoid excess reduces fetal growth partially by altering placental glucose transport and mTOR signalling. Key
Guiraut, Clémence; Cauchon, Nicole; Lepage, Martin; Sébire, Guillaume
The medium-size intra-cranial arteries arising from the carotid bifurcation are prone to perinatal arterial ischemic strokes (PAIS). PAIS’ physiopathology needs to be better understood to develop preventive and therapeutic interventions that are currently missing. We hypothesized that materno-fetal inflammation leads to a vasculitis affecting selectively the carotidian tree and promoting a focal thrombosis and subsequent stroke. Dams were injected with saline or lipopolysaccharide (LPS) from Escherichia coli. A prothrombotic stress was applied on LPS-exposed vs. saline (S)-exposed middle cerebral arteries (MCA). Immunolabeling detected the inflammatory markers of interest. In S-exposed newborn pups, a constitutive higher density of macrophages combined to higher expressions of tumor necrosis factor-α (TNF-α), and interleukin 1β (IL-1β) was observed within the wall of intra- vs. extra-cranial cervicocephalic arteries. LPS-induced maternal and placental inflammatory responses mediated by IL-1β, TNF-α and monocyte chemotactic protein 1 (MCP-1) were associated with: (i) increased density of pro-inflammatory macrophages (M1 phenotype); and (ii) pro-inflammatory orientation of the IL-1 system (IL-1β/IL-1 receptor antagonist (IL-1Ra) ratio) within the wall of LPS-, vs. S-exposed, intra-cranial arteries susceptible to PAIS. LPS plus photothrombosis, but not sole photothrombosis, triggered ischemic strokes and subsequent motor impairments. Based on these preclinical results, the combination of pro-thrombotic stress and selective intra-cranial arteritis arising from end gestational maternal immune activation seem to play a role in the pathophysiology of human PAIS. PMID:27898024
Vaughan, O R; Fisher, H M; Dionelis, K N; Jefferies, E C; Higgins, J S; Musial, B; Sferruzzi-Perri, A N; Fowden, A L
Glucocorticoids affect glucose metabolism in adults and fetuses, although their effects on materno-fetal glucose partitioning remain unknown. The present study measured maternal hepatic glucose handling and placental glucose transport together with insulin signalling in these tissues in mice drinking corticosterone either from day (D) 11 to D16 or D14 to D19 of pregnancy (term = D21). On the final day of administration, corticosterone-treated mice were hyperinsulinaemic (P < 0.05) but normoglycaemic compared to untreated controls. In maternal liver, there was no change in glycogen content or glucose 6-phosphatase activity but increased Slc2a2 glucose transporter expression in corticosterone-treated mice, on D16 only (P < 0.05). On D19, but not D16, transplacental (3) H-methyl-d-glucose clearance was reduced by 33% in corticosterone-treated dams (P < 0.05). However, when corticosterone-treated animals were pair-fed to control intake, aiming to prevent the corticosterone-induced increase in food consumption, (3) H-methyl-d-glucose clearance was similar to the controls. Depending upon gestational age, corticosterone treatment increased phosphorylation of the insulin-signalling proteins, protein kinase B (Akt) and glycogen synthase-kinase 3β, in maternal liver (P < 0.05) but not placenta (P > 0.05). Insulin receptor and insulin-like growth factor type I receptor abundance did not differ with treatment in either tissue. Corticosterone upregulated the stress-inducible mechanistic target of rapamycin (mTOR) suppressor, Redd1, in liver (D16 and D19) and placenta (D19), in ad libitum fed animals (P < 0.05). Concomitantly, hepatic protein content and placental weight were reduced on D19 (P < 0.05), in association with altered abundance and/or phosphorylation of signalling proteins downstream of mTOR. Taken together, the data indicate that maternal glucocorticoid excess reduces fetal growth partially by altering placental glucose transport and mTOR signalling.
Torres, Diana; Cerón, Willy; Córdova, Belinda; Rodríguez, Ricardo; Cabrera, Efraín; Alegría, Raúl; Cóndor, José M
A cross-sectional study that included 100 units of umbilical cord blood (UCB) was conducted to evaluate the minimum criteria of cellularity in UCB units, according to NetCord standards at Instituto Nacional Materno Perinatal in Lima, Peru. The volume, total count of nucleated cells by hematological tests and total number of CD34+ as well as cell viability by flow cytometry were determined. The study revealed that 56% of UCB units do not fulfill the minimum criteria of cellularity to be cryopreserved in an umbilical cord blood bank. Furthermore, the UCB units of newborns who weighed more and were female had a higher volume and cell count. In conclusion, these variables must undoubtedly be considered to optimize the collection of UCB units and obtain greater cell counts that enable the storage of high-quality units in a future umbilical cord blood bank in Peru.
Medrano, Miguel; Kury, Adriano B
The genus Platymessa was originally described by Mello-Leitão and diagnosed following the Roewerian system. It originally included two species from the Colombian Andes. Subsequently, a third species was described: Platymessa transversalis Roewer, 1963, which is herein transferred to the genus Chusgonobius Roewer, 1952, forming the new combination Chusgonobius transversalis. Herein, an emended diagnosis is given to Platymessa, the type species, Platymessa h-inscriptum Mello-Leitão, 1941, is redescribed and P. nigrolimbata Mello-Leitão, 1941 is considered its junior subjective synonym. Brachylibitia Mello-Leitão, 1941, is herein considered a junior subjective synonym of Platymessa and its type species, Brachylibitia ectroxantha Mello-Leitão, 1941, considered a species inquirenda, forming the new combination Platymessa ectroxantha. Genital morphology of Platymessa h-inscriptum is described and some characters are discussed regarding their importance in cosmetid taxonomy. Novel forms of sexual dimorphism are described in coxa IV.
... K can change how these drugs work (Leite, Mar- tins, & Castilho, 2016). If you take an anticoagulant, ... diet, so supple- ments are usually not needed. Water-soluble forms of the vitamin are manufactured and ...
Kury, Adriano B; Carvalho, Rafael N
The genus Discocyrtanus Roewer, 1929, is herein revalidated from the synonymy of Discocyrtus Holmberg, 1878, to include besides the type species Discocyrtanus goyazius Roewer, 1929, four other Brazilian species, two of them new-Discocyrtanus bugre sp. nov. and Discocyrtanus tocantinensis sp. nov.-and two newly transferred from Discocyrtus: Discocyrtanus oliverioi (H. Soares, 1945) comb. nov., and Discocyrtanus pertenuis (Mello-Leitão, 1935) comb. nov. Three species, Discocyrtus pectinifemur Mello-Leitão, 1937, Discocyrtus fimbriatus Mello-Leitão, 1939, and Discocyrtus canalsi Roewer, 1943, are considered junior subjective synonyms of Discocyrtanus pertenuis comb. nov.. A mix-up between labeling of original illustrations of two species of Discocyrtus described by Mello-Leitão is noted.
an established government or an interim governing body”52 that scholars Nathan Leites and Charles Wolf, Jr. describe as having “a legal and...Campaigning, 24. 52 U. S. Depart. of the Army, FM 3-24, Counterinsurgency, 1-1. 53 Nathan Leites and Charles Wolf, Jr., Rebellion and Authority: An...normally chose suitable terrain for ambushes. Mountainous or hilly terrain with thick vegetation which provided easy concealment and safe withdrawal
handled personally by Avibras president Joao Verdi de Carvalho Leite , and signed by Minister of Defense Prince Sultan Bin- ’Abd-al-’Aziz, brother of...Riyadh by group president and engineer Joao Verdi de Carvalho Leite —as a significant factor in the recovery of the company, which has been operating... vegetable oil seeds, and other agricultural and dairy products. The economic bankruptcy of the country, in general, and the devastation of agriculture and
leaders. 84 Nathan Leites, and Charles Wolf Jr. Rebellion and Authority: An Analytic Essay on...87 Leites and Wolf , Rebellion and Authority, 35. 20 1. SEAL Teams and O-5 and O-6 Echelon Task Forces For simplicity, this...ltlls rosco:ch flludy Compeosatoonlor P8!1lcq)atlorl No compell$lltlon wolf 1>e glvon, VOiunlllry Nallne of lhe Stu<ly, Your palll<ipatl0r11h rhlutudy 1
Howell, J; Lemoine, M; Thursz, M
Hepatitis B (HBV) infection is highly endemic in sub-Saharan Africa (SSA), where more than 8% of the population remain chronic HBV carriers. SSA has one of the highest HBV-related liver cancer rates in the world (CA Cancer J Clin, 55, 2005, 74) and HBV-related liver cancer is the most common cause of premature death in West Africa (Lancet Oncol, 9, 2008, 683; Hepatology, 39, 2004, 211). As such, HBV represents a significant global threat to health in the African continent. Most SSA countries have elected to vaccinate all children against HBV through the WHO-sponsored Expanded Program of Immunization and the current recommendation from WHO-AFRO is for birth-dose HBV vaccination to prevent maternal/child transmission (MFT) and early horizontal transmission of HBV. However, in Africa, HBV vaccine coverage remains low and HBV birth-dose vaccination has not been implemented. HBV transmission from mother to child in the early perinatal period therefore remains a significant contributor to the burden of HBV-related disease in SSA. This review explores the evidence for materno-foetal transmission of HBV in SSA, outlining current practice for HBV MFT prevention and identifying the significant challenges to implementation of HBV prevention in SSA.
Rubio, Gonzalo D; Ramírez, Martín J
We review the American spider genus Arachosia O.P.-Cambridge, and present a descriptive taxonomic study with a comparative dichotomous key including 21 species, of which seven are newly described (A. avalosi sp. nov., A. carancho sp. nov., A. kapiipeoi sp. nov., A. magna sp. nov., A. monserrate sp. nov., A. pinhalito sp. nov. and A. tungurahua sp. nov.). Four species names are considered nomina dubia: Oxysoma dubium Berland, Gayenna duplovittata Mello-Leitão, Oxysoma polytrichium Mello-Leitão, and Arachosia sulfurea Mello-Leitão. Arachosia bonneti (Mello-Leitão) is newly synonymized with A. albiventris Mello-Leitão, and A. mezenioides Mello-Leitão with A. freiburgensis Keyserling. Previous problems with the identification of species in a species complex including A. cubana (Banks) are resolved. A disjunct distributional pattern is reported for A. kapiipeoi sp. nov.; a preliminary phylogenetic analysis based on mitochondrial COI sequences shows that these may correspond with two cryptic species. In this contribution, grassland and forests are discussed as the two main habitats inhabited by species of Arachosia. Finally, we propose a hypothesis of matching sexes based on functionality of some genital structures, involving sclerites of the male copulatory organ with structures of the epigyne: the prolateral projection on the primary conductor of the male would have a direct interaction with the lateral projections of the anterior pouch on the median epigynal field of females.
Silva-Moreira, Thiago Da; Machado, Miguel
All species of Epicadus Simon, 1895 are reviewed and redescribed, including the previously unknown males of E. rubripes Mello-Leitão, 1924 and E. planus Mello-Leitão, 1932. A new diagnosis based on morphological characters is proposed for the genus. Three valid species of Epicadus are recognized: E. heterogaster (Guérin-Méneville, 1829); E. rubripes and E. planus. The following taxonomic changes are proposed: E. granulatus Banks, 1909 is considered incertae sedis, most likely belonging to a new genus; E. h. scholagriculae Piza, 1933 is considered a junior subjective synonym of E. heterogaster; E. pallidus Mello-Leitão, 1929 is considered a junior subjective synonym of E. rubripes Mello-Leitão, 1924; E. nigronotatus Mello-Leitão, 1940 is considered junior subjective synonym of E. planus Mello-Leitão, 1932. Species distributions were updated with new records in the Neotropics, including Bolivia, Colombia, Ecuador, Mexico, Panama, Paraguay, Peru and Venezuela, which makes Epicadus a genus of Neotropical distribution.
Fische und Fischerzeugnisse lassen sich gemäß den "Leitsätzen für Fische, Krebs- und Weichtiere und Erzeugnisse daraus" des Deutschen Lebensmittelbuches einteilen. Tiefgefrorene Fische werden von den "Leitsätzen für tiefgefrorene Fische, Krebs- und Weichtiere und Erzeugnisse daraus" und Salate mit Fleisch von Fischen, Krebs- und/oder Weichtieren durch Abschnitt II.B. der "Leitsätze für Feinkostsalate" abgedeckt. Zu nennen sind: Frischfische, Getrocknete Fische, Räucherfische, Gesalzene Fische, Erzeugnisse aus gesalzenen Fischen, Anchosen, Marinaden, Bratfischwaren, Kochfischwaren, Fischerzeugnisse in Gelee, Pasteurisierte Fischerzeugnisse, Fischdauerkonserven, Erzeugnisse aus Surimi, Krebstiere und Krebstiererzeugnisse, Weichtiere und Weichtiererzeugnisse und tiefgekühlte Fischereierzeugnisse.
Drolshagen, Bastian; Bäckstam, Christian M.
Abstract Information on the genus Harmonicon F.O.P.-Cambridge, 1896, a key to the species and a new diagnosis differing from the one in Maréchal and Marty (1998) are provided. A new species is described: Harmonicon oiapoqueae differing from other species of the genus by the morphology of the posterior sternal sigilla, the more recurved, inverted U–shaped fovea, the amount and arrangement of maxillary cuspules, a single row of teeth on the claws of the palpal tarsus, longer and more slender legs III and IV in females, longer embolus, thinner bulb, and longer, more slender legs in males. The status of the putative junior synonyms of Harmonicon, Pseudohermachura Mello-Leitão, 1927 and Prosharmonicon Mello-Leitão, as well as the two species formerly assigned to Harmonicon, Harmonicon nigridorsi Mello-Leitão, 1924 and Harmonicon riveti Simon, 1903, is discussed. PMID:21976989
Simó, Miguel; Lise, Arno A; Pompozzi, Gabriel; Laborda, Álvaro
Three species of the genus Allocosa Banks, 1900 from southern South America are redescribed: Allocosa alticeps (Mello-Leitão, 1944), A. brasiliensis (Petrunkevitch, 1910) and A. senex (Mello-Leitão, 1945). The female of A. senex is described for the first time and the species is revalidated. A new species, A. marindia sp. nov. from southern Uruguay and southern Brazil is described. The new species is distinguished by the flattened terminal apophysis of the male bulb and the conspicuous pointed projections on the posterior margin of the female epigynum. The species inhabits in sandy estuarine and oceanic coasts with psammophile vegetation.
fish and chicken, vegetables and skim milk be. sides performing some physical activity like swimming, tennis or jogging to help relieve tension and...and allowing one;zzlf to b,..come totally involved in its exploration, REFERENCE%, Davis, Ejhelnan & McKay, 1988 #: 2.09 NAME: LEITING GO OF THOUGHTS
November 1969. RM-5486-1 Viet Cong Recruitment: Why and How Men Join, J. C. Donnell, December 1967. RM-5487-1 The Viet Cong Style of Politics, N. Leites ...devastation caused by B-52 attacks to VC underground strdctures and to vegetation was reported by interviewees to have made a profound impression on
provided plenty of wild game, thick overhead cover from vegetation , and a steady supply of water (James, 1968). Over the course of the next...A. J. (1999). The Stinger Missle and U.S. Intervention in Afghanistan. Political Science Quarterly, 219-263. Leites , W. (1970). Rebellion and
Origin and Flow of Support Model” by Nathan Leites and Charles Wolf Jr., it is necessary that the force must live and operate with the population...matter of time for them to run to the hills and join the NPA. Meanwhile, there abounds rugged terrain and lush vegetation where the guerillas hid to
1967. RM-5487-1 The Viet Cong Style of Politics, N. Leites , May 1969. RM-5522-1 Inducements and Deterrents to Defection: An Analysis of the... vegetation had completely covered the former home sites. During the next few years the village residents would be primarily concerned with the rebuilding
Banks-Leite et al. (Reports, 29 August 2014, p. 1041) conclude that a large-scale program to restore the Brazilian Atlantic Forest using payments for environmental services (PES) is economically feasible. They do not analyze transaction costs, which are quantified infrequently and incompletely in the literature. Transaction costs can exceed 20% of total project costs and should be included in future research.
Being challenged by opposing views in a controversial discussion can stimulate the production of more elaborate and sophisticated argumentations. According to the model of argument reappraisal (Leitão, 2000), such processes require transactivity, meaning that students do not only give reasons to support their own position (e.g., pro/contra…
Panahi, Soheila; Yunus, Aida Suraya Md; Roslan, Samsilah; Kadir, Rusnani Abdul; Jaafar, Wan Marzuki Wan; Panahi, Mohammad Saeed
Investigations in the field of psychology have traditionally paid attention to studying mental health problems and their prevention (Kaplan, Shema, & Leite, 2008; Kokko, Korkalainen, Lyyra, & Feldt, 2012). However, a lack of psychological problems is not necessarily an indicator of the psychological well-being of individuals. Therefore,…
Pinto-da-Rocha, Ricardo; Benedetti, Alípio Rezende; de Vasconcelos, Eduardo Gomes; Hara, Marcos Ryotaro
Abstract As part of an ongoing revision of the family Gonyleptidae, we have identified many species that are synonyms of previously described species or misplaced in this family. This article summarizes these findings, adding previously unavailable information or correcting imprecise observations to justify the presented taxonomic changes. The following new familial or subfamilial assignments are proposed: Nemastygnus Roewer, 1929 and Taulisa Roewer, 1956 are transferred to Agoristenidae, Agoristeninae; Napostygnus Roewer, 1929 to Cranaidae; Ceropachylinus peruvianus Roewer, 1956 and Pirunipygus Roewer, 1936 are transferred to Gonyleptidae, Ampycinae; Gyndesops Roewer, 1943, Haversia Roewer, 1913 and Oxapampeus Roewer, 1963 are transferred to Gonyleptidae, Pachylinae. The following generic synonymies are proposed for the family Gonyleptidae: Acanthogonyleptes Mello-Leitão, 1922 = Centroleptes Roewer, 1943; Acrographinotus Roewer, 1929 = Unduavius Roewer, 1929; Gonyleptes Kirby, 1819 = Collonychium Bertkau, 1880; Mischonyx Bertkau, 1880 = Eugonyleptes Roewer, 1913 and Gonazula Roewer, 1930; Parampheres Roewer, 1913 = Metapachyloides Roewer, 1917; Pseudopucrolia Roewer, 1912 = Meteusarcus Roewer, 1913; Haversia Roewer, 1913 = Hoggellula Roewer, 1930. The following specific synonymies are proposed for the family Gonyleptidae: Acanthogonyleptes singularis (Mello-Leitão, 1935) = Centroleptes flavus Roewer, 1943, syn. n.; Geraeocormobius sylvarum Holmberg, 1887 = Discocyrtus serrifemur Roewer, 1943, syn. n.; Gonyleptellus bimaculatus (Sørensen, 1884) = Gonyleptes cancellatus Roewer,1917, syn. n.; Gonyleptes atrus Mello-Leitão, 1923 = Weyhia brieni Giltay, 1928, syn. n.; Gonyleptes fragilis Mello-Leitão, 1923 = Gonyleptes banana Kury, 2003, syn. n.; Gonyleptes horridus Kirby, 1819 = Collonychium bicuspidatum Bertkau, 1880, syn. n., Gonyleptes borgmeyeri Mello-Leitão, 1932, syn. n., Gonyleptes curvicornis Mello-Leitão, 1932, syn. n., Metagonyleptes hamatus Roewer
Chambel-Leitao, P.; Brito, D.; Neves, R.
's widely used in the world. Watershed models can be characterized by the high number of processes associated simulated. The estimation of these processes is also data intensive, requiring data on topography, land use / land cover, agriculture practices, soil type, precipitation, temperature, relative humidity, wind and radiation. Every year new data is being made available namely by satellite, that has allow to improve the quality of model input and also the calibration of the models (Galvão et. al, 2004b). Tools to cope with the vast amount of data have been developed: data formatting, data retrieving, data bases, metadata bases. The high number of processes simulated in watershed models makes them very wide in terms of output. The SWAT model outputs were modified to produce MOHID compliant result files (time series and HDF). These changes maintained the integrity of the original model, thus guarantying that results remain equal to the original version of SWAT. This allowed to output results in MOHID format, thus making it possible to immediately process it with MOHID visualization and data analysis tools (Chambel-Leitão et. al 2007; Trancoso et. al, 2009). Besides SWAT was modified to produce results files in HDF5 format, this allows the visualization of watershed properties (modeled by SWAT) in animated maps using MOHID GIS. The modified version of SWAT described here has been applied to various national and European projects. Results of the application of this modified version of SWAT to estimate hydrology and nutrients loads to estuaries and water bodies will be shown (Chambel-Leitão, 2008; Yarrow & Chambel-Leitão 2008; Chambel-Leitão et. al 2008; Yarrow & P. Chambel-Leitão, 2007; Yarrow & P. Chambel-Leitão, 2007; Coelho et. al., 2008). Keywords: Watershed models, SWAT, MOHID LAND, Hydrology, Nutrient Loads Arnold, J. G. and Fohrer, N. (2005). SWAT2000: current capabilities and research opportunities in applied watershed modeling. Hydrol. Process. 19, 563
Guadanucci, José Paulo Leite; Weinmann, Dirk
The genus Euthycaelus Simon 1889 is diagnosed based on the examination of type-material and additional material from Venezuela and Colombia. The genus now includes: Euthycaelus colonicus Simon 1889, E. norae sp. nov., E. amandae sp. nov.; Euthycaelus steini Simon 1889 is transferred to Psalistops comb. nov. The genus Schismatothele Karsch 1879 is considered a senior synonym of Hemiercus Simon 1903. Schismatothele includes S. lineata Karsch 1879, S. inflata (Simon 1889) comb. nov., S. modesta (Simon 1889) comb. nov, and S. benedettii Panzera et al. 2011. Hemiercus proximus Mello-Leitão 1923, from Cubatão, São Paulo, Brazil, is transferred to Acanthoscurria proxima (Mello-Leitão 1923) comb. nov. Hemiercus kastoni Caporiacco 1955 is considered a species inquirenda pending the examination of the type material.
Assurance Displayed, by Antonio Pinto Leite 42 Victory Over PRD 43 Briefs Madeira-South Africa Cooperation in Health 45 TURKEY Prime Minister Ozal’s...Personalities, Activities, by Jean Qoaquen 82 Corbeville Central Laboratory 92 PORTUGAL Virgilio de Carvalho; DIARIO DE NOTICIAS, 14 Apr 87...Green Party), as well as a few notoriously critical party colleagues, among whom Wim Meijer, Jacques Wallage, Hedy d’Ancona and Hans Kombrink. It
attached to this ques- tion everywhere. Things are not well in the Ministry of the Fruit and Vegetable Industry where the fulfillment of deliveries during...debtors with regard to milk. The same thing can be cited regarding the procurement of cotton, vegetables , fruits and other products. Comrade Khayeyev...that the main slogans of the time, which must become the leit - motif of our pre-congress meetings and of all the preparations for the 27th party
Vieira Lopes Espinho to the rank of colonel. We promote the following majors to the rank of lieutenant colonel: (Bastos Leite Cafundana Manuel Fatia...was informed concerning the varied vegetable species being tested to ascertain their ability to withstand the hot season. Example of Laxity Prime...irrigation system can make it possible to grow all types of crops, such as rice, corn, wheat, beans and green vegetables . To enable the people to
and a host of half- imagined nameless terrors. They were unable to adapt themselves to a new way of life and a diet of rice and vegetables . In this...diet of rice and vegetables ”--security forces can successfully exploit the vulnerabilities of the LTTE insurgents. This operational- level analysis...insurgency, of which there are several. One superlative analysis by Nathan Leites and Charles Wolfe, Jr., Rebellion and Authority: An Analytic
leys (elevation about 1200 m) covered in a mo- saic of vegetation types, including unlogged ma- ture forest, former homesteads undergoing natural...2003; Aronsen and Teelen 2007). Tick infestation occurred during June 2008 fieldwork at the Mainaro site, while Aronsen was conducting vegetative ...A. P. da, A. C. P. de P. Bello, R. C. Leite , A. C. C. L. Ribeiro, C. M. V. de Freitas, E. Bastianetto and P. R. Oliveira. 2007. Efeito do controle
interplay between water supply and vegetation if the system definition is at the cellular level. APPLICATION TO RECEPTION PLANNING The first task facing...LENGTH DEVIATION LEIT - .-- -ITI TIE 1 28.2076 15.8294 lCJ 29.3621 2 AWAIT 49.2355 33.5638 3 AWAIT 0.0000 0.0000 4 AWAIT 0.0000 0.0000 1 0 0.0000 5 AWAIT
West Washington, D.C. 20008 8. Lt.Col. Jose Pedro P. Goncalves 5 EMFA la Divisio Av. Leite de Vasconcelos - Alfragide 2700 Amadora Portugal 9. Library...Master’s Thesis the Naval Postgraduate School December 1984 S. PERFORMING ORG. REPORT NUMBER 7. AUTHOR() S. CONTRACT OR GRANT NUMBER(e) Jose / Pedro Pereira...distribution is unlimited. International Students’ Perceptions of the Naval Postgraduate School - by Jose ’ Pedro Pereira Gongalves Lieutenant Colonel
of each one? f . What are the anticipated costs of each one? g. What are the relevant time horizons? (e.g., release dates, testing dates) 2. Formulate...Knauber, Peter; Bermejo , Jesus; Bockle, Gflnter; Leite, Julio; van der Linden, Frank; Northrop, Linda; Stark, Michael; & Weiss, David. "Quantifying...McGregor, John D. "Managing Metrics in an Iterative Environment." Object Magazine 5, 6 (1995): 65-7 1. [Mill 00] Mili, A.; Chmiel, S. F .; Gottumukkala, R
Article by Antonio Pinto Leite: "Exclusive Norma -SEMANARIO Poll Shows Gains for the PSD on the Right, None for the PS on the Left" first...were the 595 persons polled by Norma ?. For whom did they vote in the 1985 election? Here is the political profile of these poll subjects; it demon...p = 50 percent. 8. Institute in charge: The survey was conducted by Norma , Ltd, Portuguese member of Gallup International. [The Leaders of the
were o Margaret Beck (Boston University) o Maria Leite (University of Houston) o Maria Carmen Romano and Marco Thiel (University of Potsdam) o Yulia...Barbara Oreste Piro, Universidad de las Islas Baleares, Spain "o Dynamical Systems and Industry: Dynamic Interactions - Parts I and II Andrzej Banaszuk...Young, New Jersey Institute of Technology Maria Higuera, Universidad Polit6cnica de Madrid, Spain "o Reduced Neuronal Models and Complex Neurodynamics
meeting of the leadership, Antonio Bassolino announced that the PCI was proposing a reduction of the workweek to 35 hours (until then it had been...following: Manuel Azevedo Ruca, Jose Luis Missionario, Sousa Lara, and Antonio Pinto Leite. In its polling work, the institute is assisted by a group...Excerpt] in the first line of each item, or following the last line of a brief, indicate how the original information was processed. Where no processing
It is shown that the particular generalization of the de Rham complex to smooth Berezin-LeitesKostant supermanifolds proposed in Voronov and Zorich (1986, 1988) and Voronov (1991) is not self-consistent. Some additional conditions are needed in order to make it work. It is proved that when these conditions are taken into account the cohomology of the resultant complex is isomorphic to the usual de Rham cohomology of the underlying manifold.
Fukushima, Caroline Sayuri; Bertani, Rogério
The genus Avicularia Lamarck, 1818 is revised and all species are rediagnosed. The type species, described as Aranea avicularia Linnaeus, 1758, is the oldest mygalomorph species described and its taxonomic history is extensive and confusing. Cladistic analyses using both equal and implied weights were carried out with a matrix of 46 taxa from seven theraphosid subfamilies, and 71 morphological and ecological characters. The optimal cladogram found with Piwe and concavity = 6 suggests Avicularia and Aviculariinae are monophyletic. Subfamily Aviculariinae includes Avicularia Lamarck, 1818, Typhochlaena C. L. Koch, 1850, Tapinauchenius Ausserer, 1871, Stromatopelma Karsch, 1881, Ephebopus Simon, 1892, Psalmopoeus Pocock, 1895, Heteroscodra Pocock, 1899, Iridopelma Pocock, 1901, Pachistopelma Pocock, 1901, Ybyraporagen. n., Caribenagen. n., and Antillenagen. n. The clade is supported by well-developed scopulae on tarsi and metatarsi, greatly extended laterally. Avicularia synapomorphies are juveniles bearing black tarsi contrasting with other lighter articles; spermathecae with an accentuated outwards curvature medially, and male palpal bulb with embolus medial portion and tegulum's margin form an acute angle in retrolateral view. Avicularia is composed of twelve species, including three new species: Avicularia avicularia (Linnaeus, 1818), Avicularia glauca Simon, 1891, Avicularia variegata (F. O. Pickard-Cambridge, 1896) stat. n., Avicularia minatrix Pocock, 1903, Avicularia taunayi (Mello-Leitão, 1920), Avicularia juruensis Mello-Leitão, 1923, Avicularia rufa Schiapelli & Gerschman, 1945, Avicularia purpurea Kirk, 1990, Avicularia hirschii Bullmer et al. 2006, Avicularia merianaesp. n., Avicularia lynnaesp. n., and Avicularia caeisp. n.. Avicularia species are distributed throughout Mexico, Costa Rica, Panama, Trinidad and Tobago, Venezuela, Guyana, Suriname, French Guiana, Colombia, Ecuador, Peru, Bolivia, and Brazil. Three new genera are erected to accommodate
In the last days of 2011, President of Brazil Dilma Rousseff issued a provisional measure (or draft law) entitled "National Surveillance and Monitoring Registration System for the Prevention of Maternal Mortality" (MP 557), as part of a new maternal health programme. It was supposed to address the pressing issue of maternal morbidity and mortality in Brazil, but instead it caused an explosive controversy because it used terms such as nascituro (unborn child) and proposed the compulsory registration of every pregnancy. After intense protests by feminist and human rights groups that this law was unconstitutional, violated women's right to privacy and threatened our already limited reproductive rights, the measure was revised in January 2012, omitting "the unborn child" but not the mandatory registration of pregnancy. Unfortunately, neither version of the draft law addresses the two main problems with maternal health in Brazil: the over-medicalisation of childbirth and its adverse effects, and the need for safe, legal abortion. The content of this measure itself reflects the conflictive nature of public policies on reproductive health in Brazil and how they are shaped by close links between different levels of government and political parties, and religious and professional sectors.
under Microminua as Microminua flava (González-Sponga, 1987) new comb. (15) Niquitaia González-Sponga, 1999 (originally in Phalangodidae: Phalangodinae, currently in Zalmoxidae), monotypic from Venezuela, is newly transferred to Samoidae. (16) Heteroscotolemon Roewer, 1912 originally described in Phalangodidae: Phalangodinae, and currently in Grassatores incertae sedis is transferred to Zalmoxidae. (17) While the Australasian genus Zalmoxista Roewer, 1949 is currently in Samoidae and some of its former species have been transferred to Zalmoxis Sørensen, 1886, Zalmoxista americana Roewer, 1952 from Peru, is here newly transferred to Zalmoxidae into Minuides Sørensen, 1932, forming the combination Minuides americanus (Roewer, 1952) new comb. (specific name inflected to match the masculine gender). (18) Neobabrius Roewer, 1949 (currently in Phalangodidae), monotypic from Indonesia, is newly transferred to Zalmoxidae. (19) While Crosbyella Roewer, 1927, belongs to Phalangodidae, Crosbyella roraima Goodnight & Goodnight, 1943 (originally Phalangodinae, but currently Zalmoxidae without generic assignment) is here transferred to Soledadiella González-Sponga, 1987, as Soledadiella roraima new comb. (Zalmoxoidea: Zalmoxidae). (20) Zalmoxissus Roewer, 1949 is newly synonymized with Zalmoxis Sørensen, 1886 (Zalmoxidae). (21) The original spelling Zalmoxis sorenseni Simon, 1892 is restored from the unjustified emendation soerenseni. (22) The Neotropical genus Phalangodella Roewer, 1912 (originally in Phalangodidae: Tricommatinae, but currently in Grassatores incertae sedis) is newly transferred to Zalmoxoidea incertae sedis and (23-26) four other genera are newly synonymized with it: Phalangodella Roewer, 1912 = Exlineia Mello-Leitão, 1942 = Langodinus Mello-Leitão, 1949 = Cochirapha Roewer, 1949 = Phalpuna Roewer, 1949, generating the following new combinations (27-32): Phalangodella fulvescens (Mello-Leitão, 1943) new comb., Phalangodella milagroi (Mello-Leitão, 1942
AD-AO89 093 RAND CORP SANTA MONICA CA F/ B 5/3 TURKIS*4 DEVELOPMENT PROSPECTS AND POLICIES IN LIGHT OF EXPERtEM--ETC(U) A N 8 0 C W O LF NA OI-79 C...Mukkerem Hic, as well as to Bela Balassa, James Digby, Michael Kennedy, Margaret Krahenbuhl, Nathan Leites, and Orhan Yildiz. Of course, none of them is...hyperinflation; ( b ) reassessing foreign capital inflow with the aim of reducing Turkey’s debt service burden, through greater emphasis on long-term
opeoing* at top and holtomr of the hote will be approximately of to~ the am, dimn-on while the center will _l~isbe a liger diamoeeer Th.bolea which...head ) Hole quabty 7. narrow tolerance range, reamd, hote quahty I I: de toleracn range, dnlled with two-phase drill, 97 AGARO-Specimen LBF-Specimen Ng...yielda sceptkibilit t ess4 cnricraking, inoMdtT satisfactory Corrosion resistance p rformannce.hMost A201 ttmpr i ghssetib leit to str ss corrosion c akn
von Grabowski, Hans-Uwe; Rolfe, Birgit
Getreide und Getreideerzeugnisse sind ebenso wie Brot und Feine Backwaren nach dem Lebensmittel- und Futtermittel-Gesetzbuch (LFGB)  Lebensmittel im Sinne des Artikels 2 der VO (EG) Nr. 178/2002 (BasisVO) (s. auch Kap. 1.6/2.4.1/3.2). Gesetzlich festgelegte Begriffsbestimmungen gibt es für diese Lebensmittel nicht. Man muss sich daher allgemeiner Verkehrsauffassungen bedienen, wie sie von der Deutschen Lebensmittelbuch-Kommission in Form von Leitsätzen erarbeitet und veröffentlicht wurden . Der Gesundheitsschutz und der Schutz des Verbrauchers vor Täuschung sind in der Basis-VO und dem LFGB geregelt.
Guzzo, M. M.; Reggiani, N.
Mário Schenberg is considered one of the greatest theoretical physicists of Brazil. He worked in different fields of physics including thermodynamics, quantum mechanics, statistical mechanics, general relativity, astrophysics and mathematics. He was assistant of the Ukrainian naturalized Italian physicist Gleb Wataghin and worked with prestigious physicists like as the Brazilians José Leite Lopes and César Lattes, the Russian-born American George Gamow and the Indian astrophysicist Subrahmanyan Chandrasekhar. Besides, he was also an active politician and critic of art.
Guzzo, M. M.; Reggiani, N.
Mário Schenberg is considered one of the greatest theoretical physicists of Brazil. He worked in different fields of physics including thermodynamics, quantum mechanics, statistical mechanics, general relativity, astrophysics and mathematics. He was assistant of the Ukrainian naturalized Italian physicist Gleb Wataghin and worked with prestigious physicists like as the Brazilians José Leite Lopes and César Lattes, the Russian-born American George Gamow and the Indian astrophysicist Subrahmanyan Chandrasekhar. Besides, he was also an active politician and critic of art.
8217" Hi<ro 5~l 71)8 Stahl lty vAnd Cont rol MAJ .. Benson Aoigventitton Svster. )qli-- eltir ’f’’rt I’r.Iliml narv Airwiorthion,’ [In 19X’’ MA.I J3. In I F...Jun 1961 MA.I N. ’l.t I iller . Ie - I’rilIl narv "li.irlin I & II, G. Yarokiw ’i IM r,i leIt N. 4-h-1200-(12 HAA It. Ii I MAl Ii. Chambers
Colmenares, Pío A; Porto, Willians; Tourinho, Ana Lúcia
Among the Amazonian families of harvestmen the members of Stygnidae are better known due to the recent revision of the family and efforts of specialists describing new taxa in the last few years. Species of Amazonian genus Auranus Mello-Leitão, 1941, have been collected in several inventories that were carried out in different locations of the Amazon basin. In this paper we provide a new diagnosis for Auranus, and the description of two new species: Auranus leonidas sp. nov. and Auranus xerxes sp. nov. from the Brazilian states of Roraima and Amazonas, respectively. We also offer complementary genital descriptions of Auranus hehu Pinto-da-Rocha & Tourinho 2012, Auranus parvus Mello-Leitão, 1941, and Auranus tepui Pinto-da-Rocha & Tourinho 2012. Five species are recognized in Auranus, including the two new species described in this paper. The lamina parva modified into a calyx is proposed as putative synapomorphy for the genus Auranus. Therefore, A. hoeferscovitorum, which does not possess this character, is removed from Auranus. Instead we propose for it the new combination Verrucastygnus hoeferscovitorum comb. nov. We also provide a key to the males of Auranus, and a map with the distribution for all species examined in this work.
Abstract Three aviculariine genera endemic to Brazil are revised. Typhochlaena C. L. Koch, 1850 is resurrected, including five species; Pachistopelma Pocock, 1901 includes two species; and Iridopelma Pocock, 1901, six species. Nine species are newly described: Typhochlaena amma sp. n., Typhochlaena costae sp. n., Typhochlaena curumim sp. n., Typhochlaena paschoali sp. n., Pachistopelma bromelicola sp. n., Iridopelma katiae sp. n., Iridopelma marcoi sp. n., Iridopelma oliveirai sp. n. and Iridopelma vanini sp. n. Three new synonymies are established: Avicularia pulchra Mello-Leitão, 1933 and Avicularia recifiensis Struchen & Brändle, 1996 are junior synonyms of Pachistopelma rufonigrum Pocock, 1901 syn. n., and Avicularia palmicola Mello-Leitão, 1945 is a junior synonym of Iridopelma hirsutum Pocock, 1901 syn. n. Pachistopelma concolor Caporiacco, 1947 is transferred to Tapinauchenius Ausserer, 1871, making the new combination Tapinauchenius concolor (Caporiacco, 1947) comb. n. Lectotypes are newly designed for Pachistopelma rufonigrum Pocock, 1901 , Iridopelma hirsutum Pocock, 1901 and Pachistopelma concolor Caporiacco, 1947. Cladistic analyses using both equal and implied weights were carried out with a matrix comprising 62 characters and 38 terminal taxa. The chosen cladogram found with X-Pee-Wee and concavity 6 suggests they are monophyletic. All species are keyed and mapped and information on species habitat and area cladograms are presented. Discussion on biogeography and conservation is provided. PMID:23166476
Fukushima, Caroline Sayuri; Bertani, Rogério
Abstract The genus Avicularia Lamarck, 1818 is revised and all species are rediagnosed. The type species, described as Aranea avicularia Linnaeus, 1758, is the oldest mygalomorph species described and its taxonomic history is extensive and confusing. Cladistic analyses using both equal and implied weights were carried out with a matrix of 46 taxa from seven theraphosid subfamilies, and 71 morphological and ecological characters. The optimal cladogram found with Piwe and concavity = 6 suggests Avicularia and Aviculariinae are monophyletic. Subfamily Aviculariinae includes Avicularia Lamarck, 1818, Typhochlaena C. L. Koch, 1850, Tapinauchenius Ausserer, 1871, Stromatopelma Karsch, 1881, Ephebopus Simon, 1892, Psalmopoeus Pocock, 1895, Heteroscodra Pocock, 1899, Iridopelma Pocock, 1901, Pachistopelma Pocock, 1901, Ybyrapora gen. n., Caribena gen. n., and Antillena gen. n. The clade is supported by well-developed scopulae on tarsi and metatarsi, greatly extended laterally. Avicularia synapomorphies are juveniles bearing black tarsi contrasting with other lighter articles; spermathecae with an accentuated outwards curvature medially, and male palpal bulb with embolus medial portion and tegulum’s margin form an acute angle in retrolateral view. Avicularia is composed of twelve species, including three new species: Avicularia avicularia (Linnaeus, 1818), Avicularia glauca Simon, 1891, Avicularia variegata (F. O. Pickard-Cambridge, 1896) stat. n., Avicularia minatrix Pocock, 1903, Avicularia taunayi (Mello-Leitão, 1920), Avicularia juruensis Mello-Leitão, 1923, Avicularia rufa Schiapelli & Gerschman, 1945, Avicularia purpurea Kirk, 1990, Avicularia hirschii Bullmer et al. 2006, Avicularia merianae sp. n., Avicularia lynnae sp. n., and Avicularia caei sp. n.. Avicularia species are distributed throughout Mexico, Costa Rica, Panama, Trinidad and Tobago, Venezuela, Guyana, Suriname, French Guiana, Colombia, Ecuador, Peru, Bolivia, and Brazil. Three new genera are erected
Lopez-Tello, Jorge; Arias-Alvarez, Maria; Jimenez-Martinez, Maria Angeles; Garcia-Garcia, Rosa Maria; Rodriguez, Maria; Lorenzo Gonzalez, Pedro Luis; Bermejo-Poza, Ruben; Garcia Rebollar, Pilar
The major goal of animal production is to obtain abundant and healthy meat for consumers. Maternal food restriction (MFR) is often applied in farms to reduce production costs. However, the suitability of MFR in livestock animals is questionable, as this management may compromise maternal fitness due to a severe negative energetic balance and can induce Intrauterine Growth Restriction (IUGR) and prenatal programming in the offspring. Here, we sought to determine, using pregnant rabbits, the consequences of MFR on maternal endocrine and metabolic status and conceptus development. Pregnant dams were distributed into three groups: CONTROL (ad libitum feeding throughout the entire pregnancy; mean pregnancy length being around 31 days), UNDERFED (50% MFR during the entire pregnancy) and EARLY-UNDERFED (50% MFR only during the preimplantation period, Days 0–7). Maternal leptin concentrations and glycemic and lipid profiles were determined throughout pregnancy, whilst conceptus development was assessed ex-vivo at Day 28. Placental parameters were determined by macroscopic and histological evaluations and apoptotic assessments (TUNEL and Caspase-3). The main results of the study showed that, despite MFR altered maternal plasma lipid concentration (P<0.05), there were no effects on maternal bodyweight, plasma leptin concentration or glycemic profile. Fetal crown-rump lengths were reduced in both undernourished groups (P<0.001), but a significant reduction in fetal weight was only observed in the UNDERFED group (P<0.001). Growth in both undernourished groups was asymmetrical, with reduced liver weight (P<0.001) and significantly increased brain: fetal weight-ratio (P<0.001) and brain: liver weight-ratio (P<0.001) when compared to the CONTROL group. A significant reduction in placental weight was only observed in the UNDERFED group (P<0.001), despite both undernourished groups showing higher apoptotic rates at decidua and labyrinth zone (P<0.05) than the CONTROL group. Thus, these groups evidenced signs of placental degeneration, necrosis and stromal collapse. In summary, MFR may encourage the mother to make strategic decisions to safeguard her metabolic status and fitness at the expense of growth reduction in the litter, resulting in enhanced apoptotic and pathological processes at placental level and IUGR. PMID:28046002
Hazzi, Nicolás A; Valderrama-Ardila, Carlos; Brescovit, Antonio D; Polotow, Daniele; Simó, Miguel
This study provides new records, geographical distribution extensions and a checklist of the current ctenids species in Colombia based on the review of four arachnological collections and published literature. A total of 15 new records for Ctenidae in Colombia are reported; nine of these species are new records for the country and the distribution of the remaining six is expanded. The genus Centroctenus Mello-Leitão, 1929 (C. ocelliventer Strand, 1909) is recorded for first time in Colombia and Cupiennius coccineus (F.O. Pickard-Cambridge, 1901) for South America. Due to the strategic geographic position of Colombia, which is a transition zone between Southern and Central American biotas, species inventories in different localities are important to fill distributional gaps. The number of known species of ctenids in Colombia is increased from 16 to 25 and these data will be useful for future studies in taxonomy, systematics and biogeography of this family.
Russina, Olga; Macchiagodena, Marina; Kirchner, Barbara; Mariani, Alessandro; Aoun, Bachir; Russina, Margarita; Caminiti, Ruggero; Triolo, Alessandro
Here we report the first structural and dynamic investigation on ethylammonium nitrate, a representative protic Ionic liquid, and dimethylsulfoxide. By using joined x/ray and neutron diffraction, we exploit the EPSR approach to extract structural information at atomistic level. EAN/DMSO turns out to be homogeneous at microscopic scales and indications for the existence of a structural leit motiv with stoichiometric composition 2DMSO:1EAN are found. Dielectric spectroscopy is used to access the relaxation map of the DMSO:EAN = 60:40 mixture. No crystallisation is detected and three relaxation processes could be characterised. Overall this study provides new indications of strict analogies between water and ethylammonium nitrate. (c) 2014 Elsevier B.V. All rights reserved.
Magalhães, Ivan L F; Brescovit, Antonio D; Santos, Adalberto J
In this paper we revise the species of Sicarius (Araneae: Sicariidae) from the Brazilian Caatinga, the largest tropical dry forest nucleus in the world. We redescribe, designate a neotype and provide new records for Sicarius tropicus (Mello- Leitão, 1936), the only species previously known from the region, and describe three new species: S. cariri n. sp., S. diadorim n. sp. and S. ornatus n. sp. We report high intraspecific variation in the genitalic morphology of these species, especially in females. We also provide anecdotal observations on natural history and behavior of these species, including diet, mating behavior and clutch size. We include an identification key for Brazilian Caatinga species of Sicarius.
Tourinho, Ana Lúcia; Pinto-da-Rocha, Ricardo; Bragagnolo, Cibele
Three new Brazilian species of Holcobunus Roewer, 1910 are described, thus increasing the total number of species in the genus to five: Holcobunus bicornutus Mello-Leitão, 1940, H. nigripalpis Roewer, 1910, Holcobunus dissimilis sp. nov. (type locality: Espírito Santo, Santa Teresa, Reserva Biologia Augusto Ruschi), Holcobunus ibitirama sp. nov. (type locality: Espírito Santo, Ibitirama, Santa Marta, close to Parque Nacional Caparaó), and Holcobunus uaisoh sp. nov. (type locality: Minas Gerais, Fervedouro, Parque Estadual Serra do Brigadeiro). A new record for Holcobunus nigripalpis Roewer, 1910 from Minas Gerais is also provided and the morphological variation in both penis and somatic morphology in the genus are presented and discussed. These observations enhance our understanding of both the diversity and distribution of Holcobunus.
Santos, Adalberto J
The spider genus Oxyopes Latreille occurs throughout the world, but is insufficiently known in South America and the Caribbean. In this study, three apparently related species of this genus are reported from the region. Oxyopes salticus Hentz, 1845 is redescribed and illustrated, and extreme variation in colour pattern and in female genitalia is reported within this species. Oxyopes m-fasciatus Piza, 1938 and Oxyopes nigrolineatus Mello-Leitão, 1941 are both considered junior synonyms of O. salticus. The material examined in this study, together with information from the literature, show this species is widely distributed throughout the continental Americas and the Caribbean. Oxyopes crewi Bryant, 1948 is redescribed and illustrated, and its geographic distribution is extended to Bahamas, Cuba, Dominican Republic, Jamaica, and Saint Kitts. A new species, Oxyopes incantatus sp. nov., is described and illustrated for the first time based on specimens from the Galápagos Islands.
Yang, Hui; Sun, Cuiji; Fan, Zhenlin; Tian, Xin; Yan, Liang; Du, Libo; Liu, Yang; Chen, Chunying; Liang, Xing-Jie; Anderson, Gregory J.; Keelan, Jeffrey A.; Zhao, Yuliang; Nie, Guangjun
Nanoparticle exposure in pregnancy may result in placental damage and fetotoxicity; however, the factors that determine fetal nanoparticle exposure are unclear. Here we have assessed the effect of gestational age and nanoparticle composition on fetal accumulation of maternally-administered nanomaterials in mice. We determined the placental and fetal uptake of 13 nm gold nanoparticles with different surface modifications (ferritin, PEG and citrate) following intravenous administration at E5.5-15.5. We showed that prior to E11.5, all tested nanoparticles could be visualized and detected in fetal tissues in significant amounts; however, fetal gold levels declined dramatically post-E11.5. In contrast, Au-nanoparticle accumulation in the extraembryonic tissues (EET) increased 6-15 fold with gestational age. Fetal and EET accumulation of ferritin- and PEG-modified nanoparticles was considerably greater than citrate-capped nanoparticles. No signs of toxicity were observed. Fetal exposure to nanoparticles in murine pregnancy is, therefore, influenced by both stage of embryonic/placental maturation and nanoparticle surface composition.
Framenau, Volker W; Baehr, Barbara C
: Lycosa excusor L. Koch, 1867 and Lycosa infensa L. Koch, 1877. The type species of Orthocosa Roewer, 1960 is transferred to Tasmanicosa; however, in order to prevent some non-Australian wolf spiders in the genus Orthocosa to be transferred into Tasmanicosa, which is considered endemic to Australia, we here place these species into more appropriate genera based on their original descriptions pending a future revision of these species: Arctosa ambigua Denis, 1947 comb. reval.; Alopecosa orophila (Thorell, 1887) comb. nov.; Hygrolycosa tokinagai Saito, 1936 comb. reval. Orthocosa sternomaculata (Mello-Leitão, 1943) is considered a junior synonym of Hogna birabeni (Mello-Leitão, 1943) comb. nov.
Montero, P.; Leitao, P.; Penabad, E.; Balseiro, C. F.; Carracedo, P.; Braunschweig, F.; Fernandes, R.; Gomez, B.; Perez-Munuzuri, V.; Neves, R.
. Prego, J.J. Taboada, P. Leitão, M. Ruiz-Villarreal, R. Neves and V. Pérez-Villar. Oceanologica Acta 22(2), p.167-177, (1999). (2) A model for ocean circulation on the Iberian Coast. H.S. Coelho, R.J.J. Neves, M. White, P.C. Leitão and A.J. Santos. Journal of Marine Systems 32, 153-179 (2002). (3) Impact of Cloud Analysis on Numerical Weather Prediction in the Galician Region of Spain. M.J. Souto, C.F. Balseiro, V. Pérez-Muñuzuri, M. Xue and K. Brewster, Journal of Applied Meteorology (2003)
Neospora caninum is a major cause of abortion in cattle but the reasons why some animals abort and not others remain unclear. The immunological control of the parasite in the placenta or by the foetus could be the key to determining the mechanism of abortion and/or transplacental transmission to the...
Gu, Z.; Ban, S. L.; Jiang, D. D.; Qu, Y.
The two-mode property of bulk transverse optical (TO) phonons in ternary mixed crystals of wurtzite AlxGa1-xN has been investigated by introducing impurity modes in a modified random-element isodisplacement model. Based on the dielectric continuous model, the uniaxial model, and the Lei-Ting balance equation, the effects of the two-mode property on electrostatic potentials of interface optical and confined optical phonons in AlGaN/GaN quantum wells, as well as their influences on the electronic mobility (EM), are discussed by a component-dependent weight model. Our results indicate that the total EM decreases to a minimum at first and then increases slowly with x under the influences of the competitions from the eight branches of phonons. The further calculation shows that the total EM decreases with the increment of temperature in the range of 200 K < T < 400 K and reduction of well width d. As a comparison, the EM is calculated for an Al0.58Ga0.42N/GaN quantum well at room temperature, and our result is 1263.0 cm2/Vs, which is 1.44 times of the experiment value. Our result is expected since the difference between our theory and the experiment is mainly due to the neglect of interface-roughness and other secondary scattering mechanisms. Consequently, the two-mode property of bulk TO phonons in ternary mixed crystals does affect obviously on the electron transport in the quantum wells. And our component-dependent weight model could be extended to study the electric properties influenced by optical phonons in other related heterostructures.
Huber, Bernhard A; Colmenares, Pío A; Ramirez, Martin J
Between 1998 and 2011, the Venezuelan arachnologist Manuel Ángel González-Sponga (GS) published a series of taxonomic papers devoted to the Pholcidae of Venezuela. Of his 22 new genera, 20 were monotypic when described, suggesting a high percentage of synonyms. We studied his descriptions and as far as accessible his type specimens and propose the following new generic synonymies: Autana GS, 2011 = Mesabolivar GS, 1998; Ayomania GS, 2005 and Venezuela Koçak & Kemal, 2008 (new replacement names for Falconia GS, 2003) = Mecolaesthus Simon, 1893; Carbonaria GS, 2009 = Mecolaesthus Simon, 1893; Caruaya GS, 2011 = Mesabolivar GS, 1998; Coroia GS, 2005 = Artema Walckenaer, 1837; Maimire GS, 2009 = Mecolaesthus Simon, 1893; Moraia GS, 2011 = Mecolaesthus Simon, 1893; Nasuta GS, 2009 = Mecolaesthus Simon, 1893; Portena GS, 2011 = Metagonia Simon, 1893; Rioparaguanus GS, 2005 = Mesabolivar GS, 1998; Tonoro GS, 2009 = Litoporus Simon, 1893; Sanluisi GS, 2003 = Mecolaesthus Simon, 1893. Three of the type species are also specific synonyms: Autana autanensis GS, 2011 = Mesabolivar aurantiacus (Mello-Leitão, 1930); Coroia magna GS, 2005 = Artema atlanta Walckenaer, 1837; Tonoro multispinae GS, 2009 = Litoporus uncatus (Simon, 1893). Six species that González-Sponga described under Blechroscelis (a genus previously synonymized with Priscula Simon, 1893) are all synonyms of Mesabolivar eberhardi Huber, 2000 (B. acuoso GS, 2011; B. araguanus GS, 2011; B. blechroscelis GS, 2011; B. copeyensis GS, 2011; B. cordillerano GS, 2011; B. andinensis GS, 2011). In addition, and unrelated to González-Sponga's work, we synonymize the Central Asian monotypic genus Ceratopholcus Spassky, 1934 with Crossopriza Simon, 1893; we synonymize the Chinese species Pholcus acerosus Peng & Zhang, 2011 with Pholcus fragillimus Strand, 1907 and remove the Malaysian monotypic genus Mystes Bristowe, 1938, previously thought to be the only East Asian representative of the subfamily Ninetinae, to the
Obara, Marcos T; da Rosa, João A; da Silva, Nilza N; Ceretti, Walter; Urbinatti, Paulo R; Barata, José M S; Jurberg, José; Galvão, Cleber
The objective of this study was to analyze the morphological and histological characteristics of eggs from six triatomine species in order to obtain a generic and specific characterization of this group of Trypanosoma cruzi vectors and better understand their phylogenetic and taxonomic aspects. The eggs of the respective species came from the collection of the Laboratório de Triatomíneos e Culicídeos da Faculdade de Saúde Pública/USP, from the Insetário do Serviço Especial de Saúde de Araraquara - SESA and from the Triatomine insectary of the Laboratório Nacional e Internacional de Referência em Taxonomia de Triatomíneos (FIOCRUZ), in Rio de Janeiro. Morphological studies were done with optical microscopy and scanning electron microscopy. Histological analyses used only optical microscopy. All of the species analyzed showed a predominance of hexagonal cells. The exchorion of Triatoma breyeri Del Ponte, T. costalimai Verano Galvão, and T. tibiamaculata (Pinto) consists of unornamented cells, overlapping or slightly separated, with a smooth, padded appearance. Meanwhile, in T. matogrossensis Leite Barbosa, T. sherlocki Papa, Juberg, Carcavallo, Cerqueira Barata, and T. williami Galvão, Souza Lima, the exchorion cells are ornamented on their entire surface with perforations and fissures. Egg histology showed undulations, pores, and orifices. The study helps to expand the generic and specific knowledge of the Triatominae subfamily. The characteristics identified in the exchorion of the eggshells can help separate close species. These new parameters will back the elaboration of future dichotomous keys, help to determine each vector species role and expand knowledge of the various species.
Tennyson, Elizabeth; Garrett, Joseph; Frantz, Jesse A.; Myers, Jason D.; Bekele, Robel Y.; Sanghera, Jasbinder S.; Munday, Jeremy N.; Leite, Marina S.
The electrical characteristics of thin-film compound semiconductor solar cells have been successfully probed by scanning probe microscopy. Nevertheless, a direct relationship between the measured signals and the figures of merit that define the device performance is still missing. Here we present a novel method to image and spatially resolve the Voc of solar cells with truly nanoscale resolution (<100 nm), based on a variant of illuminated Kelvin probe force microscopy (KPFM) . We map the Voc by measuring the difference between the contact potential difference under illumination and in the dark, which is equal to the photo-generated voltage of the device (and is proportional to the Fermi level splitting). We complement our new metrology by applying scanning photocurrent microscopy using near-field scanning microscopy (NSOM) probes as a local source of excitation to image local variations in Jsc within the material, also with nanoscale resolution. Further, we spatially and spectrally resolve the external quantum efficiency (EQE) within the devices, also with nanoscale resolution, while mimicking the power density operation conditions of real devices . Combined, these new tools provide a complete picture of the local optoelectric characteristics of PV devices, including an indirect measurement of the centers for non-radiative recombination, and a direct mapping of the local collection properties of the material, respectively. We apply our novel metrology to polycrystalline solar cells, where we find Voc local variations of >200 mV.  E.M. Tennyson et al., Nature Commun., in review;  M.S. Leite et al., ACS Nano. 11, 11883 (2014).
Masnadi-Shirazi, Maryam; Maurya, Mano Ram; Subramaniam, Shankar
Cellular signaling circuitry in eukaryotes can be studied by analyzing the regulation of protein phosphorylation and its impact on downstream mechanisms leading to a pheno-type. A primary role of phosphorylation is to act as a switch to turn “on” or “off” a protein activity or a cellular pathway. Specifically, protein phosphorylation is a major leit motif for transducing molecular signals inside the cell. Errors in transferring cellular information can alter the normal function and may lead to diseases such as cancer; an accurate reconstruction of the “true” signaling network is essential for understanding the molecular machinery involved in normal and pathological function. In this study, we have developed a novel framework for time-dependent reconstruction of signaling networks involved in the activation of macrophage cells leading to an inflammatory response. Several signaling pathways have been identified in macrophage cells, but the time-varying causal relationship that can produce a dynamic directed graph of these molecules has not been explored in detail. Here, we use the notion of Granger causality, and apply a vector autoregressive model to phosphoprotein time-course data in RAW 264.7 macrophage cells. Through the reconstruction of the phosphoprotein network, we were able to estimate the directionality and the dynamics of information flow. Significant interactions were selected through statistical hypothesis testing (t-test) of the coefficients of a linear model and were used to reconstruct the phosphoprotein signaling network. Our approach results in a three-stage phosphoprotein network that represents the evolution of the causal interactions in the intracellular signaling pathways. PMID:24681921
Miele, Adriana Erica; Bellelli, Andrea; Brunori, Maurizio
Proteins are dynamic molecular machines whose structure and function are modulated by environmental perturbations and natural selection. Allosteric regulation, discovered in 1963 as a novel molecular mechanism of enzymatic adaptation [Monod, Changeux & Jacob (1963). J. Mol. Biol.6, 306-329], seems to be the leit motiv of enzymes and metabolic pathways, enabling fine and quick responses toward external perturbations. Hemoglobin (Hb), the oxygen transporter of all vertebrates, has been for decades the paradigmatic system to test the validity of the conformational selection mechanism, the conceptual innovation introduced by Monod, Wyman and Changeux. We present hereby the results of a comparative analysis of structure, function and thermodynamics of two extensively investigated hemoglobins: human HbA and trout HbI. They represent a unique and challenging comparison to test the general validity of the stereochemical model proposed by Perutz. Indeed both proteins are ideal for the purpose being very similar yet very different. In fact, T-HbI is a low-ligand-affinity cooperative tetrameric Hb, insensitive to all allosteric effectors. This remarkable feature, besides being physiologically sound, supports the stereochemical model, given that the six residues identified in HbA as responsible for the Bohr and the 2,3-di-phosphoglycerate effects are all mutated. Comparison of the three-dimensional structures of HbA and T-HbI allows unveiling the molecular mechanism whereby the latter has a lower O2 affinity. Moreover, the energetic balance sheet shows that the salt bridges breaking upon allosteric quaternary transition are important yet insufficient to account for the free energy of heme-heme interactions in both hemoglobins.
Di Domenico, Fabio; Tramutola, Antonella; Butterfield, D Allan
Oxidative stress is involved in various and numerous pathological states including several age-related neurodegenerative diseases. Peroxidation of the membrane lipid bilayer is one of the major sources of free radical-mediated injury that directly damages neurons causing increased membrane rigidity, decreased activity of membrane-bound enzymes, impairment of membrane receptors and altered membrane permeability and eventual cell death. Moreover, the peroxidation of polyunsaturated fatty acids leads to the formation of aldehydes, which can act as toxic by-products. One of the most abundant and cytotoxic lipid -derived aldehydes is 4-hydroxy 2-nonenal (HNE). HNE toxicity is mainly due to the alterations of cell functions by the formation of covalent adducts of HNE with proteins. A key marker of lipid peroxidation, HNE-protein adducts, were found to be elevated in brain tissues and body fluids of Alzheimer disease, Parkinson disease, Huntington disease and amyotrophic lateral sclerosis subjects and/or models of the respective age-related neurodegenerative diseases. Although only a few proteins were identified as common targets of HNE modification across all these listed disorders, a high overlap of these proteins occurs concerning the alteration of common pathways, such as glucose metabolism or mitochondrial function that are known to contribute to cognitive decline. Within this context, despite the different etiological and pathological mechanisms that lead to the onset of different neurodegenerative diseases, the formation of HNE-protein adducts might represent the shared leit-motif, which aggravates brain damage contributing to disease specific clinical presentation and decline in cognitive performance observed in each case.
Costa, R.; Pereira, M. G.; Caramelo, L.; Vega Orozco, C.; Kanevski, M.
Several studies have shown that wildfires in Portugal presenthigh temporal as well as high spatial variability (Pereira et al., 2005, 2011). The identification and characterization of spatio-temporal clusters contributes to a comprehensivecharacterization of the fire regime and to improve the efficiency of fire prevention and combat activities. The main goalsin this studyare: (i) to detect the spatio-temporal clusters of burned area; and, (ii) to characterize these clusters along with the role of human and environmental factors. The data were supplied by the National Forest Authority(AFN, 2011) and comprises: (a)the Portuguese Rural Fire Database, PRFD, (Pereira et al., 2011) for the 1980-2007period; and, (b) the national mapping burned areas between 1990 and 2009. In this work, in order to complement the more common cluster analysis algorithms, an alternative approach based onscan statistics and on the permutation modelwas used. This statistical methodallows the detection of local excess events and to test if such an excess can reasonably have occurred by chance.Results obtained for different simulations performed for different spatial and temporal windows are presented, compared and interpreted.The influence of several fire factors such as (climate, vegetation type, etc.) is also assessed. Pereira, M.G., Trigo, R.M., DaCamara, C.C., Pereira, J.M.C., Leite, S.M., 2005:"Synoptic patterns associated with large summer forest fires in Portugal".Agricultural and Forest Meteorology. 129, 11-25. Pereira, M. G., Malamud, B. D., Trigo, R. M., and Alves, P. I.: The history and characteristics of the 1980-2005 Portuguese rural fire database, Nat. Hazards Earth Syst. Sci., 11, 3343-3358, doi:10.5194/nhess-11-3343-2011, 2011 AFN, 2011: AutoridadeFlorestalNacional (National Forest Authority). Available at http://www.afn.min-agricultura.pt/portal.
Brescovit, Antonio D; Ruiz, Alexander Sánchez
The genus Caponina Simon, 1891 comprises eleven species of medium-sized, soil-dwelling caponiids. Most members of Caponina have six eyes, but some have five, four, three or two eyes (Brignoli 1977, Platnick 1994). The genus is widespread in South and Central America (Platnick 2012). To date, only three species have been recorded from Brazil: Caponina alegre Platnick, 1994 from the state of Rio Grande do Sul, C. notabilis (Mello-Leitão, 1939) from the states of Paraná and Rio Grande do Sul, and C. tijuca Platnick, 1994 from the state of Rio de Janeiro (Platnick 1994). In this paper we describe a new species from the state of Pará, in Brazilian Amazonia. Caponina papamanga new species was collected during the "Butantan na Amazonia" project, founded by the Instituto Butantan. The phylogenetic relationships of C. papamanga could not be studied, but the greatly elongated embolus, the dorsal tubercle on the palpal femur (Figs. 7, 9) and the massive epigynal sclerotizations (Fig. 10) suggest that this species belongs to the monophyletic Andean group proposed by Platnick (1994: 7). All morphological observations and illustrations were made using a Leica MZ12 stereomicroscope with camera lucida. The epigynum was dissected and immersed in clove oil for visualization of internal structures following Levi (1965). Descriptions and measurements follow Platnick (1994). Measurements are given in millimeters. Scanning electron microscope (SEM) images were taken using a Jeol-JSM-5200 with attached SLR digital camera. The material examined was deposited in the collections of the Instituto Butantan, Sgo Paulo (IBSP, curator: D.M. Barros Battesti) and the Museu Paraense Emílio Goeldi, Belém (MPEG, curator: A.B. Bonaldo).
There have been relatively few studies on sign language interaction carried out within the framework of conversation analysis (CA). Therefore, questions remain open about how the basic building blocks of social interaction such as turn, turn construction unit (TCU) and turn transition relevance place (TRP) can be understood and analyzed in sign language interaction. Recent studies have shown that signers regularly fine-tune their turn-beginnings to potential completion points of turns (Groeber, 2014; Groeber and Pochon-Berger, 2014; De Vos et al., 2015). Moreover, signers deploy practices for overlap resolution as in spoken interaction (McCleary and Leite, 2013). While these studies have highlighted the signers' orientation to the “one-at-a-time” principle described by Sacks et al. (1974), the present article adds to this line of research by investigating in more detail those sequential environments where overlaps occur. The contribution provides an overview of different types of overlap with a focus of the overlap's onset with regard to a current signer's turn. On the basis of a 33-min video-recording of a multi-party interaction between 4 female signers in Swiss German Sign Language (DSGS), the paper provides evidence for the orderliness of overlapping signing. Furthermore, the contribution demonstrates how participants collaborate in the situated construction of turns as a dynamic and emergent gestalt and how they interactionally achieve turn transition. Thereby the study adds to recent research in spoken and in signed interaction that proposes to rethink turn boundaries and turn transition as flexible and interactionally achieved. PMID:26150792
Costa, Ricardo; Caramelo, Liliana; Pereira, Mário
Several studies demonstrate that wildfires in Portugal present high temporal and spatial variability as well as cluster behavior (Pereira et al., 2005, 2011). This study aims to contribute to the characterization of the fire regime in Portugal with the multivariate statistical analysis of the time series of number of fires and area burned in Portugal during the 1980 - 2009 period. The data used in the analysis is an extended version of the Rural Fire Portuguese Database (PRFD) (Pereira et al, 2011), provided by the National Forest Authority (Autoridade Florestal Nacional, AFN), the Portuguese Forest Service, which includes information for more than 500,000 fire records. There are many multiple advanced techniques for examining the relationships among multiple time series at the same time (e.g., canonical correlation analysis, principal components analysis, factor analysis, path analysis, multiple analyses of variance, clustering systems). This study compares and discusses the results obtained with these different techniques. Pereira, M.G., Trigo, R.M., DaCamara, C.C., Pereira, J.M.C., Leite, S.M., 2005: "Synoptic patterns associated with large summer forest fires in Portugal". Agricultural and Forest Meteorology. 129, 11-25. Pereira, M. G., Malamud, B. D., Trigo, R. M., and Alves, P. I.: The history and characteristics of the 1980-2005 Portuguese rural fire database, Nat. Hazards Earth Syst. Sci., 11, 3343-3358, doi:10.5194/nhess-11-3343-2011, 2011 This work is supported by European Union Funds (FEDER/COMPETE - Operational Competitiveness Programme) and by national funds (FCT - Portuguese Foundation for Science and Technology) under the project FCOMP-01-0124-FEDER-022692, the project FLAIR (PTDC/AAC-AMB/104702/2008) and the EU 7th Framework Program through FUME (contract number 243888).
Costa-Schmidt, Luiz Ernesto; Carico, James Edwin; de Araújo, Aldo Mellender
Male delivering of a prey packed in silk as a nuptial gift is rare in spiders and restricted until now to Pisauridae. Here, we describe this behavioral pattern found in two Trechaleidae species, Paratrechalea azul Carico 2005, and Paratrechalea ornata (Mello-Leitão 1943), mainly based on field observations. We observed the following steps of sexual behavior: sperm induction, nuptial gift construction, mate searching, pre-copulatory courtship, copulation, and copulatory ending. In this group, a nuptial gift consists of a prey wrapped in silk, which appears as a white rounded shape. The male carries his nuptial gift in his chelicerae while searching for a female. When he finds a female, he shows a stereotyped courting behavior consisting of a hyperflexed posture that is also assumed by the receptive female while they face each other. The copulatory position and pattern is similar to that found in other Lycosoidea: the male mounts the female and makes a total of four palpal insertions while alternating sides. However, after each palpal insertion the male dismounts and returns to a frontal position while biting the gift. Copulatory courtship is evidenced by palpal and leg movements. The copulation ends by female initiative and she almost always retains the nuptial gift. No case of pre-copulatory or post-copulatory cannibalism has been recorded. Descriptions of nuptial gift construction by males and copulation in these species, as well as hypotheses about the origin of nuptial gift construction among spiders, are presented. These descriptions are the first records of such nuptial gift offering for Neotropical spiders and for non-Pisauridae species as well.
The following talk has been given in a special session dedicated to Professor Heinz-Dietrich Doebner at QTS in Prague in August 2011 on the occasion of his 80th birthday. It documents my journey from being a PhD student in Mathematical Physics at the Arnold Sommerfeld Institute in Clausthal under his supervision, to becoming a Professor of Mathematical Biology at the University of York in the UK. I am currently heading an interdisciplinary research group of eight PDRAs and PhDs, focussed on investigating the structures of viruses from a symmetry perspective and unravelling the implications of virus structure on how viruses form and infect their hosts. A central element in my research is my fascination with the development and application of symmetry techniques, which stems from my time in Clausthal when working with Professor Doebner and colleagues. I would like to thank Professor Doebner for these important formative years in Clausthal. Der folgende Vortrag war mein Beitrag zu einer Festsitzung fuer Herrn Professor Heinz-Dietrich Doebner auf der Tagung QTS im August 2011 anläßlich seines achzigsten Geburtstags. Dieser Beitrag dokumentiert, wie sich meine Forschungen aus der Zeit als Doktorandin von Herrn Professor Doebner in Mathematischer Physik am Arnold Sommerfeld Institut in Clausthal weiterentwickelt haben, und zu meiner Professur in Mathematischer Biologie an der Universität York geführt haben. Ich leite dort zur Zeit eine interdisziplinäre Forschungsgruppe von acht Postdocs und Doktoranden, die sich mit der Entwicklung und Anwendung von Symmetrie-Techniken in der Virologie beschäftigt, und insbesondere untersucht, wie sich die Symmetrie-Eigenschaften von Viren auf deren Entstehung und Funktionsweise auswirken. Eine wichtige Vorraussetzung für dieses Forschungsprogramm ist meine Faszination für die Modellierung von Symmetrie-Eigenschaften, die ich während meiner Zusammenarbeit mit Herrn Professor Doebner und Kollegen in Clausthal entwickelt habe
Leite, J. C.; Ferreira, A. J. D.; Esteves, T. C. J.; Bento, C. P. M.
José Carlos Leite1; António José Dinis Ferreira2; Tanya Cristina de Jesus Esteves2; Célia Patrícia Martins Bento2 1Universidade Federal de Mato Grosso, Brazil; 2IPC - Escola Superior Agrária de Coimbra, Portugal Over the last three decades, deforestation in Brazil occurred systematically in the area known as the "arc of deforestation", an extensive geographical area located in the interface of the Cerrado and the Amazon biomes. This work encompasses the reasons, causes and/or motivations of that recent deforestation, focusing on the Central-West and Northern regions. A number of reasons will be presented, seeking to build an approach able to identify the deepest roots of deforestation of those regions. Our actions over the environment are framed by our cultural matrix that stream from a western philosophic attitude. This way, to understand the framework where the deforestation actions are justified requires a multidisciplinary approach to understand the deforestation of the Cerrado and Amazon biomes, since the motivations for forest destruction in Brazil are complex and not entirely understood within the domains of a single disciplinary area. To search for an isolated cause to understand the recent deforestation can only be plausible if we ignore information on what actually happens. The methodology used in this work is based on a bibliographical revision, analysis of georeferrenced information, participative processes implementation and observation of stakeholder behavior, and field research. It departs from a general vision on deforestation that initially occurred at the littoral region, by the Atlantic Rainforest, right after the arrival of the Europeans, and throughout the centuries penetrates towards the interior, hitting the Cerrado and Amazon biomes. In this last case, we focused on the Vale do Alto Guaporé region, near Bolivia, where the intensity of the deforestation was verified from 1970 to 1990. Ultimately, the final result is a mosaic of reasons
Sousa-Neto, Eráclito; Ometto, Jean
The process of removing a forest to open new agricultural lands, which has been very intensive in developing countries like Brazil during the last decades (Lapola et al, 2014), contributes to about 12% of the global anthropogenic emissions (Le Quéré et al., 2009). Forest cover removal releases carbon dioxide (CO2) and other greenhouse gases (GEE) like methane (CH4) and nitrous oxide (N2O), as a result of burning trees, followed by gradual decomposition of the forest biomass left on the ground while pasture or crop plantations are being established (Ramankutty et al., 2007). In Brazil, the 2nd Brazilian National Communication to the United Nations Framework Convention on Climate Change (UNFCCC), presents the mean annual net CO2 emissions caused by changes in land use in each Brazilian biome and the first place in the ranking is occupied by the Amazon Rainforest Biome (860,874 Gg), followed by Savannah (302,715 Gg), Atlantic Forest (79,109 Gg), Caatinga (37,628 Gg), Pantanal (16,172 Gg) and Pampa (-102 Gg) (MCT 2010). Despite these results, the estimates of CO2 emissions caused by land use changes in the Brazilian semiarid region (Caatinga) are very limited and scarce, and associated to uncertainties which are directly related to the estimated biomass in different types of vegetation which are spatially distributed within the biome, as well as the correct representation of the dynamics of the deforestation process itself, and the more accurate mapping use and land cover. Based on such facts, this project is estimating the emissions of the main greenhouse gases (CO2, N2O and CH4) caused by land use changes in an area of Caatinga biome in Pernambuco State through the model INPE-EM. So far, it is known that from decades of 1940 up to 1995, Caatinga biome has contributed with about 3.2 % to total land use change emissions in the country (Leite et al, 2012), and recently (1990-2005), the contributions of Caatinga are even higher (over 30%), according to the 2nd
Ribeiro, Beatriz G; Morales, Anderson P; Sampaio-Jorge, Felipe; Barth, Thiago; de Oliveira, Marcio B C; Coelho, Gabriela M D O; Leite, Tiago C
Ribeiro, BG, Morales, AP, Sampaio-Jorge, F, Barth, T, de Oliveira, MBC, Coelho, GMdO, and Leite, TC. Caffeine attenuates decreases in leg power without increased muscle damage. J Strength Cond Res 30(8): 2354-2360, 2016-Caffeine ingestion has been shown to be an effective ergogenic aid in several sports. Caffeine administration may increase exercise capacity, which could lead to a greater degree of muscle damage after exercise. This was a randomized, double-blind, placebo-controlled crossover study. Six male handball athletes ingested placebo (PLA) or caffeine (CAF) (6 mg·kg body mass) capsules on 2 different occasions. Sixty minutes after ingestion of the capsules, serum CAF levels were evaluated. Thereafter, all participants performed a protocol of vertical jumps (VJs). The protocol consisted of 4 sets of 30 seconds of continuous VJs with 60 seconds of recovery between sets. Blood lactate (LAC) and creatine kinase (CK) levels were determined before and after the protocol. We found significant differences in serum CAF levels between PLA (0.09 ± 0.18 µg·ml) vs. CAF (6.59 ± 4.44 µg·ml) (p < 0.001). Caffeine elicited a 5.23% (p ≤ 0.05) improvement in the leg power compared with PLA. The CAF trial displayed higher LAC (p ≤ 0.05) compared with PLA (6.26 ± 2.01 vs. 4.39 ± 2.42 mmol·L, respectively) after protocol of VJs, whereas no difference in CK was observed between trials (p > 0.05). These results indicate that immediate ingestion of CAF (6 mg·kg body weight) can reduce the level of muscle fatigue and preserve leg power during the test, possibly resulting in increase in LAC. There was no increase in muscle damage, which indicates that immediate administration of (6 mg·kg body weight) CAF is safe. Thus, nutritional interventions with CAF could help athletes withstand a greater physiological overload during high-intensity training sessions. The results of this study would be applicable to sports and activities that require repetitive leg power.
Semedo, Diogo; Ladeiro, Filipa; Ruivo, Mariana; D'Oliveira, Carlos; De Sousa, Filipa; Gayo, Mariana; Lima, Clara; Magalhães, Frederico; Brandão, Rui; Branco, Maria; Da Silva, Isabel; Batista, Joana; Amado, João; Massa, António; Neves-Amado, João
Introdução: A acne, apesar de caraterística no adolescente, afeta frequentemente o adulto. Em Portugal, não são conhecidos estudos sobre a prevalência da acne no adulto, nomeadamente observada nos grandes centros populacionais. Os objetivos deste estudo foram estimar a prevalência da acne nos utentes dos serviços de cuidados de saúde primários, as suas características, incluindo fatores de risco para início e/ou agravamento, além de coletar informação relacionada com a automedicação e/ou tratamento prescrito. Material e Métodos: Aplicação de questionário e exame físico a amostra composta por adultos entre os 20 - 60 anos de idade que visitaram, em dias aleatórios, cinco centros de saúde da área do Grande Porto. Resultados: Dos 1 055 adultos avaliados, a prevalência estimada de acne foi de 61,5%. Apenas 36,8% dos portadores estavam cientes da sua condição e somente 25% afirmou ter procurado tratamento. Mais de metade dos fumadores (62,3%) apresentavam acne. A zona mais afetada foi a região malar, diferindo da forma adolescente da doença. Discussão: A prevalência encontrada de acne foi mais elevada do que em outros estudos. A acne aparentou estar relacionada com a ingestão calórica aumentada, tabagismo, consumo de leite gordo ou meio gordo, hirsutismo, alopécia e seborreia. Conclusão: No contexto dos cuidados de saúde primários, mais de metade dos adultos eram portadores de acne. Estes números demonstram o quão importante pode ser a prevenção e intervenção pelos profissionais dos cuidados de saúde primários, tanto para a redução de eventuais factores de risco como para a intervenção terapêutica e consequências psicossociais relacionadas com a acne. Palavras-chave: Acne Vulgaris/epidemiologia; Adulto; Cuidados de Saúde Primários; Portugal; Prevalência.
Nilfouroushan, Faramarz; Jivall, Lotti; Lilje, Christina; Steffen, Holger; Lidberg, Martin; Johansson, Jan; Jarlemark, Per
For about two decades, SWEPOS (the Swedish Permanent GNSS network) pillar stations have been used in different geodetic and geodynamic studies. To keep continuous measurements of these long lived pillar stations and at the same time modernizing the SWEPOS network, it has been decided to install new truss mast stations, equipped with modern and individually calibrated antennas and radomes, capable of tracking all new GNSS satellites. Installation of mast stations started in 2011. Today, each pillar station in the SWEPOS permanent GNSS network has a close-by truss mast station, mostly in 10 meters distance with individual calibrated Leica choke ring antenna and its attachment (LEIAR25.R3, LEIT). Due to their closeness to pillars, the modern mast stations may provide additional information for the analysis of ground movements in Sweden e.g. to distinguish between tectonic and geodynamic processes (e.g. land uplift in Sweden). In this study, we have used two datasets from two different seasons for 21 pillars and 21 mast stations and formed different networks. The mast network has been processed using both IGS standard (type) and individually calibrated PCV (Phase Center Variation) models and therefore the effect of these two different PCV models on height components has been investigated. In a combined network, we processed all 42 stations (21 pillars+21 mast) to see how this multi-baseline network (861 baselines) combination differs from independent mast or pillar networks with much less baselines (210 baselines). For our analysis, we used the GAMIT-GLOBK software and compared different networks. Ambiguity resolutions, daily coordinate repeatability and differences between height components in different solutions are presented. Moreover, the GAMIT and BERNESE solutions for combined mast and pillar networks are compared. Our results suggest that the SWEPOS truss mast stations can reliably be used for crustal deformation studies. The comparison between pillar and mast
Utilisation de l'echographie doppler couleur dans la localisation de l'insertion du cordon ombilical et le devenir materno-foetal à la maternité de l'hôpital central de Yaoundé : une étude descriptive et analytique
Fouedjio, Jeanne Hortence; Fouelifack, Florent Ymele; Deutcho, Maximilien; Njotang, Philip Nana; Enow, Robinson Mbu; Leke, Robert John Ivo
Introduction L'échographie doppler couleur permet d'étudier l'insertion du cordon ombilical sur le placenta. Les études américaines et asiatiques montrent que les insertions anormales telles les insertions vélamenteuses et marginales sont associées à une élévation de la morbidité et de la mortalité périnatales. En Afrique et plus particulièrement au Cameroun, aucune étude n'a été publiée sur le sujet. D'où notre motivation à mener ce travail. Méthodes Il s'agissait d'une étude descriptive et analytique qui s'est déroulée sur une période deux ans (2011-2012) à la maternité principale de l'Hôpital Central de Yaoundé. Cette étude a inclus 66 patientes qui ont subi chacune une échographie doppler couleur entre la 18ième et 30ième semaine de gestation, précisant le type d'insertion du cordon ombilical sur le placenta. A l'accouchement, un examen macroscopique du placenta a été réalisé afin de comparer le type d'insertion et réaliser les tests statistiques. Résultats Des 66 grossesses étudiées, nous avons eu un pourcentage de visualisation du type d'insertion de 100%. Toutes les insertions étaient normales à l'échographie soit 20 centrales et 46 latérales. A l'examen macroscopique du placenta, nous avons obtenu 19 (28,8%) insertions centrales, 47(71,2%) insertions latérales ; aucune insertion anormale n'ayant été objectivée. Les tests statistiques nous permettent d'avoir une sensibilité de 95%, une spécificité de 97,8%, une exactitude de 98%, une valeur prédictive positive de 95% et une valeur prédictive négative de 97,8%. Pour ces insertions, nous n'avons pas retrouvé d'association entre le mode d'accouchement, le poids de naissance, et le Score d'apgar avec le type d'insertion du cordon ombilical. Conclusion Nous avons conclu que l'échographie doppler couleur a une haute sensibilité et spécificité dans la détermination de l'insertion du cordon ombilical sur le placenta. Il n'y a pas d'association entre le type d'insertion et le devenir maternofoetal. PMID:25018816
Bateman, Amber; Lewandrowski, Wolfgang; Stevens, Jason; Muñoz-Rojas, Miriam
resulting in seedling mortality at less negative soil water potential. Finally, no significant differences in drought tolerance were observed between the two leaf stages across the four species tested. Analysis of plant desiccation curves found the advanced leaf stage to be less tolerant of drought as shown by a decrease in soil water potential at the time of stomatal closure. Species possess a range of morphological traits, some of which are associated with drought tolerance. However, these traits on their own may not be main drivers for drought resilience and other factors play a role, for example soil nutrient availability. Materials tested in this study that may be available to create novel restoration substrates hinder plant growth but not necessarily plant responses to drought. These findings go a long way to defining some of the limitations of seedling growth and the degree of drought tolerance which will assist in the management of post-mining restoration. References James, J.J., Sheley, R.L., Erickson,T., Rollins, K.S., Taylor, M.H., Dixon, K.W. (2013) A systems approach to restoring degraded drylands. Journal of Applied Ecology 50:730-739. Machado, N. A. M., Leite, M. G. P., Figueiredo, M. A., Kozovits, A. R. (2013) Growing Ereman-thus erythropappus in crushed laterite: A promising alternative to topsoil for baux¬ite-mine revegetation. Journal of Environmental Management 129: 149-156. Muñoz-Rojas, M., Erickson, T., Merritt, D., Dixon, K. (2014) Optimising post-mining soil conditions to maximise restoration success in a biodiverse semiarid environment. Geophysical Research. Abstracts Vol. 16, EGU2014-2069-1, EGU General Assembly. Muñoz-Rojas, M., Erickson, T., Merritt, D., Dixon, K. (2015) Applying soil science for restoration of post mining degraded landscapes in semi-arid Australia: challenges and opportunities. Geophysical Research. Abstracts Vol. 17, EGU2015-3967-1, EGU General Assembly.
Pimenta, F.; Ribeiro, N.; Silva, F.; Campion, N.; Joaquinito, A.; Tirapicos, L.
Culture was held in Évora, Portugal, from September 19th to 23th, 2011, and was attended by 85 participants from 29 countries. A total number of 71 talks and 4 posters were presented. Among them 20 invited lectures given by Michael Rappenglüück, José Manuel Malhão Pereira, Jarita Holbrook, Giulio Magli, Nicholas Campion, J. Kim Malville, David Pankenier, Alejandro Martín López, Ivan Sprajc, Mariusz Ziólkowski, Marciano da Silva, Lionel Sims, Emilia Pasztor, Frank Prendergast, Fernando Pimenta, A. César González-Garcia, Henrique Leitão, Shi Yunli and Stanislaw Iwaniszewski and 3 public lectures given by Luísa Pereira, Juan Belmonte Avilés and Clive Ruggles. Most of the contributions were submitted for publication and went through a peer-review process. The present volume is the result of this process, arranged in the same thematic sections as the Conference was organised.
application of the methodology to any diffusive wave, other than the thermal one, showed significant growth. In the applications field many expressive papers are analyzing environmental, dental and medical concerns besides those involving other industrial purposes.The Conference received financial support from various Brazilian institutions and agencies, specially the National Council for Scientific and Technological Development - CNPq and Research and Projects Financing - Brazilian innovation Agency - FINEP, and from United Nations Educational, Scientific and Cultural Organization - UNESCO, to whom the conference organizers are very grateful. We would like to thank greatly the colleagues that helped much with the refereeing tasks and for the stimulating discussions and suggestions during the conference organization and proceedings preparation. Besides we wish to thank the authors for the high quality of their contributions. In special it should be acknowledge the essential help of the people from State University of the North of Rio de Janeiro (Fluminense)- UENF, State University of Campinas - UNICAMP and National Institute for Space Research - INPE, and colleagues that chaired previous conferences. Finally, we are all grateful evious for the precious work of the conference secretary Nelia F. Leite. Helion Vargas Chairman of the 13th International Conference on Photoacoustic and Photothermal Phenomena
Sousa, P. M.; Trigo, R.; Pereira, M. G.; Rasilla, D.; Gouveia, C.
-conditioning climatic information. Nevertheless, the best results are attained when both synoptic and climatic predictors are used simultaneously as predictors, in particular for the two western clusters, where correlation coefficient values are higher than 0.7. Finally, we have used WTC composite maps to characterize the typical synoptic configurations that favor high values of BA. These patterns correspond to dry and warm fluxes, associated with anticyclonic regimes, which foster fire ignition (Pereira et al., 2005). Pereira, M.G., Trigo, R.M., DaCamara, C.C., Pereira, J.M.C., Leite, S.M., 2005: "Synoptic patterns associated with large summer forest fires in Portugal". Agricultural and Forest Meteorology. 129, 11-25. COST733, 2011: "COST 733 Wiki - Harmonisation and Applications of Weather Type Classifications for European regions or COST733 spatial domains for Europe". Available at http://geo21.geo.uni-augsburg.de/cost733wiki/Cost733_Wiki_Main [accessed 1 September 2011].
Dacamara, C. C.; Pereira, M. G.; Trigo, R. M.
steps; 1) a truncated Weibull distribution is fitted to the sample of burned areas and 2) the quality of the fitted statistical model is improved by incorporating components of the FWI System as covariates. Obtained model allows estimating on a daily basis the probability of occurrence of fires larger than a given threshold as well as producing maps of fire risk. Results as obtained from a prototype currently being developed will be presented and discussed. In particular, it will be shown that results provide additional evidence of the known fact that the extent of burned area in Portugal is controlled by two main atmospheric factors (Pereira et al. 2005): i) a long-term control related to the regime of temperature and precipitation in spring and ii) a short-term control exerted by the occurrence of very intense dry spells in days of extreme synoptic situations. Bovio, G., and A. Camia. 1998. An analysis of large forest fire danger conditions in Europe. In Proc. 3rd Int. Conf. on Forest Fire Research & 14th Conf. on Fire and Forest Meteorology, Viegas, D.X. (Ed.), Luso, 16-20 Nov., ADAI, 975-994. Cumming, S.G., 2001. Parametric models of the fire size distribution. Can J. For. Res., 31, 1297-1303. Pereira, M.G., Trigo, R.M., DaCamara, C.C., Pereira, J.M.C. and Leite, S.M., 2005. Synoptic patterns associated with large summer forest fires in Portugal. Agr. and For. Meteorol., 129 (1-2), 11-25. Uppala, S.M. et al., 2005: The ERA-40 re-analysis. Quart. J. R. Meteorol. Soc., 131, 2961-3012. Van Wagner, C.E., 1987. Development and structure of the Canadian forest fire weather index system. Canadian Forestry Service, Forest Technical Report 35, Ottawa, 37 pp.
Olama, Mohammed M; Djouadi, Seddik M; Kuruganti, Phani Teja
Access to the right information anytime, anywhere is becoming the new driving force for the information technology revolution. The 'right' information's relevance is based on the user's profile and his/her current geographical position and/or time. Location Based Service (LBS) is an innovative technology that provides information or makes information available based on the geographical location of the mobile user. Analysts predict that LBSs will lead to new applications, generating billions of US dollars worldwide (Leite, 2001; Searle, 2001). The need for an efficient and accurate mobile station (MS) positioning system is growing day by day. The ability to pinpoint the location of an individual has an obvious and vital value in the context of emergency services (Chan, 2003; Olama et al., 2008). Pinpointing the location of people and other valuable assets also opens the door to a new world of previously unimagined information services and m-commerce probabilities. For example, availability of services like 'Where is the nearest ATM?', 'Check traffic conditions on the highway on my route', 'Find a parking lot nearby', as well as answers to 'Where is my advisor?', and 'Where is my car?' will be an everyday rule in our lives (Charalambous & Panayiotou, 2004). A technology independent LBS architecture can be considered as comprised by three main parts (Girodon, 2002): A user requesting information, a mobile network operator and its partners, and several content providers (e.g. data, maps). The subscriber requests a personalized service dependant on his geographic location. The system will ask the Location Services Manager (which is in charge of handling requests, i.e., send/receive to the Location Calculator and the Content Providers) to pinpoint the location of the mobile. The Location Services Manager (LSM), using the Location Calculator, will ask the Content Provider (CP) to supply qualified information according to the mobile's geographical position. The LSM will
Ocejo-Vinyals, J G; Lozano, M J; Sánchez-Velasco, P; Escribano de Diego, J; Paz-Miguel, J E; Leyva-Cobián, F
We describe a girl with DiGeorge anomaly and normal cytogenetic and molecular studies, whose clinical course was complicated by graft versus host disease caused by intrauterine materno-fetal transfusion, and several immunohematological alterations including a monoclonal gammapathy of undetermined significance (first IgG, which subsequently changed to IgM). The main clinical features and pathological findings are discussed.
Laginha Silva, Patricia; Martins, Flávio A.; Boski, Tomász; Sampath, Dissanayake M. R.
-456. • Flemmings, P.B. and Jordan, T.E., 1989. A synthetic stratigraphic model of foreland basin development. J. Geophys. Res., 94, 3851-3866. • Miranda, R., Braunschweig, F., Leitão, P., Neves, R., Martins, F. & Santos A., 2000. MOHID 2000 - A coastal integrated object oriented model. Proc. Hydraulic Engineering Software VIII, Lisbon, 2000, 393-401, Ed. W.R. Blain & C.A. Brebbia, WITpress. • Paola, C., 2000. Quantitative models of sedimentary basin filing. Sedimentology, 47, 121-178. • Schwarzacher, W., 1966. Sedimentation in a subsiding basin. Nature, 5043, 1349-1350. ACKNOWLEDGMENTS This work was supported by the EVEDUS PTDC/CLI/68488/2006 Research Project
Dorn, Oliver; Lionheart, Bill
-source electromagnetic techniques for imaging the earth in a marine environment. It focuses in particular on taking into account anisotropy effects in the inversion. Results of this technique are demonstrated from simulated and from real field data. Furthermore, in the contribution Multiple level-sets for elliptic Cauchy problems in three-dimensional domains by A Leitão and M Marques Alves the authors consider a TV-H1regularization technique for multiple level-set inversion of elliptic Cauchy problems. Generalized minimizers are defined and convergence and stability results are provided for this method, in addition to several numerical experiments. Finally, in the paper Development of in-vivo fluorescence imaging with the matrix-free method, the authors A Zacharopoulos, A Garofalakis, J Ripoll and S Arridge address a recently developed non-contact fluorescence molecular tomography technique where the use of non-contact acquisition systems poses new challenges on computational efficiency during data processing. The matrix-free method is designed to reduce computational cost and memory requirements during the inversion. Reconstructions from a simulated mouse phantom are provided for demonstrating the performance of the proposed technique in realistic scenarios. We hope that this selection of strong and thought-provoking papers will help stimulating further cross-disciplinary research in the spirit of the workshop. We thank all authors for providing us with this excellent set of high-quality contributions. We also thank EPSRC for having provided funding for the workshop under grant EP/G065047/1. Oliver Dorn, Bill Lionheart School of Mathematics, University of Manchester, Alan Turing Building, Oxford Rd Manchester, M13 9PL, UK E-mail: firstname.lastname@example.org, email@example.com Guest Editors
He, Nannan; van Iperen, Liesbeth; de Jong, Danielle; Szuhai, Karoly; Helmerhorst, Frans M.; van der Westerlaken, Lucette A. J.; Chuva de Sousa Lopes, Susana M.
In humans, the defective invasion of the maternal endometrium by fetal extravillous trophoblasts (EVTs) can lead to insufficient perfusion of the placenta, resulting in pregnancy complications that can put both mother and baby at risk. To study the invasion of maternal endometrium between (W)5.5–12 weeks of gestation by EVTs, we combined fluorescence in situ hybridization, immunofluorescence and immunohistochemistry to determine the presence of (male) EVTs in the vasculature of the maternal decidua. We observed that interstitial mononuclear EVTs directly entered decidual veins and lymphatics from W5.5. This invasion of decidual veins and lymphatics occurred long before endovascular EVTs remodelled decidual spiral arteries. This unexpected early entrance of interstitial mononuclear EVTs in the maternal circulation does not seem to contribute to the materno-placental vascular connection directly, but rather to establish (and expand) the materno-fetal interface through an alternative vascular route. PMID:28081266
Suárez, Eduardo; Alonso-Vega, Cristina; Torrico, Faustino; Córdova, Marisol
We have analyzed the response to the treatment with benznidazol in newborns and nurslings in the Hospital Materno Infantil Germán Urquidi of Cochabamba, Bolivia, between 1999 and 2002. It is important an integral treatment of the nursling with a subsequent information directed to the family. The response was close to 100% when the treatment was correctly administrated. They were not adverse effects and the detected biochemical alterations did not present clinical significance.
Ocejo-Vinyals, J.; Lozano, M.; Sanchez-Velasco, P.; de Diego, J. E.; Paz-Miguel, J.; Leyva-Cobian, F.
We describe a girl with DiGeorge anomaly and normal cytogenetic and molecular studies, whose clinical course was complicated by graft versus host disease caused by intrauterine materno-fetal transfusion, and several immunohaematological alterations including a monoclonal gammapathy of undetermined significance (first IgG, which subsequently changed to IgM). The main clinical features and pathological findings are discussed. PMID:10906029
Vaughan, Owen R; Sferruzzi-Perri, Amanda N; Fowden, Abigail L
Stresses during pregnancy that increase maternal glucocorticoids reduce birth weight in several species. However, the role of natural glucocorticoids in the mother in fetal acquisition of nutrients for growth remains unknown. This study aimed to determine whether fetal growth was reduced as a consequence of altered amino acid supply when mice were given corticosterone in their drinking water for 5 day periods in mid to late pregnancy (day, D, 11-16 or D14-19). Compared to controls drinking tap water, fetal weight was always reduced by corticosterone. At D16, corticosterone had no effect on materno-fetal transfer of [(14)C]methylaminoisobutyric acid (MeAIB), although placental MeAIB accumulation and expression of the Slc38a1 and Slc38a2 transporters were increased. However, at D19, 3 days after treatment ended, materno-fetal transfer of MeAIB was increased by 37% (P < 0.04). During treatment at D19, placental accumulation and materno-fetal transfer of MeAIB were reduced by 40% (P < 0.01), although expression of Slc38a1 was again elevated. Permanent reductions in placental vascularity occurred during the earlier but not the later period of treatment. Placental Hsd11b2 expression, which regulates feto-placental glucocorticoid bioavailability, was also affected by treatment at D19 only. Maternal corticosterone concentrations inversely correlated with materno-fetal MeAIB clearance and fetal weight at D19 but not D16. On D19, weight gain of the maternal carcass was normal during corticosterone treatment but reduced in those mice treated from D11 to D16, in which corticosterone levels were lowest. Maternal corticosterone is, therefore, a physiological regulator of the amino acid supply for fetal growth via actions on placental phenotype.
Vaughan, Owen R; Sferruzzi-Perri, Amanda N; Fowden, Abigail L
Stresses during pregnancy that increase maternal glucocorticoids reduce birth weight in several species. However, the role of natural glucocorticoids in the mother in fetal acquisition of nutrients for growth remains unknown. This study aimed to determine whether fetal growth was reduced as a consequence of altered amino acid supply when mice were given corticosterone in their drinking water for 5 day periods in mid to late pregnancy (day, D, 11–16 or D14–19). Compared to controls drinking tap water, fetal weight was always reduced by corticosterone. At D16, corticosterone had no effect on materno-fetal transfer of [14C]methylaminoisobutyric acid (MeAIB), although placental MeAIB accumulation and expression of the Slc38a1 and Slc38a2 transporters were increased. However, at D19, 3 days after treatment ended, materno-fetal transfer of MeAIB was increased by 37% (P < 0.04). During treatment at D19, placental accumulation and materno-fetal transfer of MeAIB were reduced by 40% (P < 0.01), although expression of Slc38a1 was again elevated. Permanent reductions in placental vascularity occurred during the earlier but not the later period of treatment. Placental Hsd11b2 expression, which regulates feto-placental glucocorticoid bioavailability, was also affected by treatment at D19 only. Maternal corticosterone concentrations inversely correlated with materno-fetal MeAIB clearance and fetal weight at D19 but not D16. On D19, weight gain of the maternal carcass was normal during corticosterone treatment but reduced in those mice treated from D11 to D16, in which corticosterone levels were lowest. Maternal corticosterone is, therefore, a physiological regulator of the amino acid supply for fetal growth via actions on placental phenotype. PMID:22930269
Tremolada, Sara; Delbue, Serena; Ferrante, Pasquale
Riassunto Alcuni virus possono essere trasmessi verticalmente da madre a figlio in seguito allo sviluppo, da parte della madre, di un’infezione primaria, ricorrente o cronica. La trasmissione materno-fetale dei virus, che può avvenire in utero (infezione congenita), durante il travaglio del parto (infezione perinatale), oppure attraverso l’allattamento (infezione postnatale), può causare aborto spontaneo, morte fetale, ritardo di crescita intrauterino, anomalie congenite e patologie neonatali o postnatali di diversa entità. Alcuni fattori di rischio sembrano influenzare l’incidenza di trasmissione materno-fetale dei virus, come ad esempio la presenza di altre infezioni virali, la carica virale materna, il tipo di infezione (primaria o ricorrente), la durata della rottura delle membrane, la modalità con cui avviene il parto, le condizioni socio-economiche e l’allattamento. Oggi è possibile prevenire la trasmissione materno-fetale di molti virus grazie all’utilizzo di vaccini, immunizzazione passiva e farmaci antivirali. Il rischio di trasmissione delle infezioni perinatali e postnatali, inoltre, può essere diminuito evitando l’allattamento o ricorrendo ad un parto cesareo. PMID:19216201
Zhou, Wen-Hui; Dong, Lin; Du, Mei-Rong; Zhu, Xiao-Yong; Li, Da-Jin
Immune regulation during pregnancy is complex, and thus an optimal therapy for pregnancy complications is always a big challenge to reproductive medicine. Cyclosporin A (CsA), a potent immunosuppressant, prevents rejection of allografts by hosts, but little is known about the modulating effect of CsA on the materno-fetal relationship. Here, pregnant CBA/J females mated with DBA/2 males as an abortion-prone model were administered with CsA on day 4.5 of gestation, and the pregnant CBA/J females mated with BALB/c males were established as successful pregnancy control. It was demonstrated that administration of CsA at the window of implantation significantly up-regulated the expression of CTLA-4, while down-regulating the levels of CD80, CD86, and CD28 at the materno-fetal interface in the CBA/J x DBA/2 abortion-prone matings, and the embryo resorption rate of the abortion-prone matings reduced significantly after CsA treatment, implying that modulation of costimulatory molecule expression by CsA might contribute to preventing the fetus from maternal immune attack. In addition, treatment with CsA induced enhanced growth and reduced cell apoptosis of the murine trophoblast cells. Together, these findings indicate that CsA has a beneficial effect on the materno-fetal interface in abortion-prone matings, leading to a pregnancy outcome improvement, which might provide new therapeutics for spontaneous pregnancy wastage.
Macau, Elbert E. N.; Pereira, Tiago; Prado, Antonio F. B. A.; Turci, Luiz F. R.; Winter, Othon C.
number of attendees ever. Finally, we would like to express our gratitude to all the participants for their presentations, discussions, and remarkable interactions with one another. The tireless work undertaken by all the members of the International Advisory Committee and the Organizing Committee must also be recognized. We also wish to express our deep appreciation for the Scientific Societies and Research Support Agencies which supported the conference and provided all the resources which were necessary to make this idea of a South American Dynamics Days come true. Elbert E N Macau, Tiago Pereira, Antonio F B A Prado, Luiz F R Turci, and Othon C WinterEditors Conference photograph Conference photograph Conference photograph Conference photograph International Advisory Committee Adilson E MotterNorthwestern UniversityEvanston - IL - USA Alfredo OzorioCentro Brasileiro de Pesquisas FísicasRio de Janeiro - RJ - Brazil Celso Grebogi (Chair)University of AberdeenAberdeen - UK Ed OttUniversity of MarylandCollege Park - MD - USA Epaminondas Rosa JrIllinois State UniversityNormal - IL - USA Hans Ingo WeberPontifícia Universidade CatólicaRio de Janeiro - RJ - Brazil Holger KantzMax Planck Institute for the Physics of Complex SystemsDresden - Germany Jason Gallas (Co-chair)Universidade Federal do Rio Grande do SulPorto Alegre - RS - Brazil José Roberto Rios LeiteUniv. Federal de PernanbucoRecife - PE - Brazil Jürgen KurthsPotsdam Institute for climate Impact ResearchHumboldt University, Berlin - Germany Kenneth ShowalterWest Virginia UniversityMorgantown - WV - USA Lou PecoraNaval Research LabWashington - DC - USA Luis Antonio AguirreUniversidade Federal de Minas GeraisBelo Horizonte - MG - Brazil Marcelo VianaIMPA - Instituto Nacional de Matemática Pura e AplicadaRio de Janeiro - RJ - Brazil Miguel A F SanjuánUniversidad Rey Juan CarlosMadrid - Spain Paulo Roberto de Souza MendesPontifícia Universidade CatólicaRio de Janeiro - RJ - Brazil Roland KorbeleUniversidade de
Schuster, Thomas; Hofmann, Bernd; Kaltenbacher, Barbara
space framework. Systems of linear or nonlinear operators can be efficiently treated by cyclic iterations, thus several variants of gradient and Newton-type Kaczmarz methods have already been studied in the Hilbert space setting. Antonio Leitão and M Marques Alves in their paper On Landweber---Kaczmarz methods for regularizing systems of ill-posed equations in Banach spaces carry out an extension to Banach spaces for the fundamental Landweber version. The impact of perturbations in the evaluation of the forward operator and its derivative on the convergence behaviour of regularization methods is a practically and highly relevant issue. It is treated in the paper Convergence rates analysis of Tikhonov regularization for nonlinear ill-posed problems with noisy operators by Shuai Lu and Jens Flemming for variational regularization of nonlinear problems in Banach spaces. In The approximate inverse in action: IV. Semi-discrete equations in a Banach space setting, Thomas Schuster, Andreas Rieder and Frank Schöpfer extend the concept of approximate inverse to the practically and highly relevant situation of finitely many measurements and a general smooth and convex Banach space as preimage space. They devise two approaches for computing the reconstruction kernels required in the method and provide convergence and regularization results. Frank Werner and Thorsten Hohage in Convergence rates in expectation for Tikhonov-type regularization of inverse problems with Poisson data prove convergence rates results for variational regularization with general convex regularization term and the Kullback-Leibler distance as data fidelity term by combining a new result on Poisson distributed data with a deterministic rates analysis. Finally, we would like to thank the Inverse Problems team, especially Joanna Evangelides and Chris Wileman, for their extraordinary smooth and productive cooperation, as well as Alfred K Louis for his kind support of our initiative.
Argüello, Carolina E; Defagó, María D
Antecedentes: El nacimiento pretérmino es una emergencia nutricional y requiere consideraciones especiales. Objetivos: Se propuso evaluar el aporte de leche humana (LH) en el recién nacido prematuro hospitalizado de bajo peso (RNP-BP) y muy bajo peso (RNP-MBP), factores maternos y su relación con parámetros nutricionales. Materiales y métodos: Participaron 87 RNP-BP y 82 RNP-MBP admitidos en un hospital público en Córdoba, Argentina. Se registró la antropometría evolutiva, alimentación, parámetros bioquímicos, antecedentes del niño y maternos. Se calculó el aporte de LH. Se analizaron los valores antropométricos y bioquímicos, días de internación y factores maternos según aporte de LH. Resultados: El 36,36% de los RNP-MBP y el 31,02% de los RNP-BP cubrió más del 20% de su alimentación con LH. La hemoglobina sérica fue superior en RNP-MBP que recibieron más LH (p=0,01). Los RNP con menos del 20% de su alimentación con LH presentaron una asociación estadísticamente significativa entre la cantidad de LH y la talla al alta hospitalaria. Se observó una elevada prevalencia de cesáreas, asociada a un menor aporte de LH. Conclusiones: El aporte de LH contribuiría a estabilizar la hemoglobina en RNP. La presencia de cesárea podría asociarse a un menor aporte de LH a los RNP.
Restrepo-Mesa, Sandra Lucia; Zapata López, Natalia; Parra Sosa, Beatriz Elena; Escudero Vásquez, Luz Estela; Betancur Arrovaye, Laura
Introducción: en los países en vía de desarrollo, entre ellos Colombia, el embarazo adolescente es un problema de salud pública por sus consecuencias sociales, de salud y nutrición para el binomio madre-hijo. Objetivo: evaluar las características demográficas, socioeconómicas, de seguridad alimentaria, de salud y el estado nutricional en un grupo de gestantes adolescentes y sus recién nacidos. Métodos: se realizó un estudio analítico de corte transversal con 294 embarazadas adolescentes en el tercer trimestre de gestación del programa de control prenatal de la Red Pública Hospitalaria de Medellín-Colombia, durante 2011-2012. Se buscó la asociación del índice de masa corporal materno, estado nutritivo del hierro y peso al nacer del neonato con variables explicativas. Resultados: los ingresos económicos mensuales inferiores a un salario mínimo se asociaron con bajo peso materno y con recién nacidos pequeños para la edad gestacional. El bajo peso gestacional se presentó en mayor proporción en las gestantes de 15 años o menos y con una edad ginecológica inferior a cinco años. La prevalencia de anemia fue baja en el primer trimestre y aumentó significativamente al final del embarazo; 90% presentaron reservas inadecuadas de hierro. El bajo peso al nacer se asoció con la presencia de infecciones y el bajo peso materno en el tercer trimestre de gestación. Conclusión: la gestación adolescente es un problema complejo que se asocia con efectos negativos en el estado nutricional, de salud y social de la mujer y su recién nacido.
Zárate Campos, María Soledad; Godoy Catalán, Lorena
This description and exploration of the early years of Servicio Nacional de Salud, founded in 1952, analyzes the agency's progress and challenges, as well as the role of the Programa de Salud Materno-Infantil. The latter program lent continuity to a variety of sanitary protection policies for mothers and children dating to the 1920s, while also improving and expanding on existing policies and devising new ones within the framework of social medicine. The program recorded successes but also encountered limitations, which derived not only from agency-specific problems but also from the social and economic ills afflicting the country as a whole.
Barber, M A; Eguiluz, I; Martín, A; Plasencia, W; Valle, L; García, J A
Acute fatty liver of pregnancy is a rare cause of jaundice and liver failure associated with high maternal and fetal mortality. We analysed five consecutive cases of acute fatty liver of pregnancy, along with the associated morbidity, mortality and complications. Between January 1999 and January 2008, a total of 68,524 deliveries were assisted at the Obstetrics and Gynaecology Department of the Hospital Universitario Materno-Infantil de Canarias (Canaries University Hospital Maternity Ward); among them, five cases of acute fatty liver of pregnancy were identified.
Berveiller, P; Vandenbroucke, L; Popowski, T; Afriat, R; Sauvanet, E; Giovangrandi, Y
Hepatic subcapsular hematoma (HSH) is a rare complication of pregnancy that keeps a materno-fetal high mortality rate. Given this severity, HSH management requires a prompt diagnosis and an appropriate care. Before focusing on the current management strategy of HSH, we illustrate this article with a clinical case presenting an original method of abdominal exploration, which has not been described to our knowledge. Thus, taking into account the presence of a moderate hemoperitoneum during a caesarean section procedure for HSH, introduction of laparoscopy through the same incision allowed a satisfactory evaluation of the abdominal cavity and hepatic area without performing an invasive midline laparotomy.
Heredia-Olivera, Karen; Munares-García, Oscar
Introducción: En el Perú, el bajo peso al nacimiento es un indicador de riesgo de problemas perinatales y de la infancia, el objetivo del estudio fue determinar los factores maternos asociados al bajo peso al nacimiento. Métodos: Estudio de casos y controles, en 123 recién nacidos de bajo peso (casos) y 123 recién nacidos de peso normal (controles) pareados por fecha de nacimiento y distrito. Se indagaron factores maternos asociados al bajo peso al nacimiento y se comparó entre casos y controles. Se aplicó Chi cuadrada, Odds ratio (OR) con sus intervalos de confianza al 95% (IC 95%), regresión logística binaria y curva ROC. Resultados: Se encontraron asociaciones para antecedentes maternos de bajo peso (OR: 41.1; IC 95%: 5.5-306.7); prematuridad (OR: 12.0; IC 95%: 1.5-94.3), antecedente de eclampsia (OR: 5.8; IC 95%: 1.9-17.4), 1 a 3 controles prenatales (OR: 5.7; IC 95%: 2.6-12.3), gestación múltiple (OR: 4.7; IC 95%: 1.3-17.0) y consumo de tabaco (OR: 3.8; IC 95%: 1.5-9.8), el no ser adolescente (OR: 0.3; IC 95%: 0.1-0.6), y no tener un intervalo intergenésico corto (OR: 0.2; IC 95%: 0.1-0.7). El análisis multivariado nos indicó que el tener entre 1 a 3 controles prenatales, gestación múltiple, ser adolescente y un intervalo intergenésico corto se asocian al bajo peso al nacimiento, el modelo propuesto explicó el 18.6% del evento, el área bajo la curva fue 72.9% considerando que predice adecuadamente (p ˂ 0.001). Conclusiones: Existen factores de riesgo materno asociados al bajo peso al nacimiento en gestantes de zona urbana de la costa como el tener de 1 a 3 controles prenatales, gestación múltiple, ser adolescente y tener un periodo entre embarazos menor a dos años.
Corbel, T; Gayrard, V; Puel, S; Lacroix, M Z; Berrebi, A; Gil, S; Viguié, C; Toutain, P-L; Picard-Hagen, N
The widespread human exposure to Bisphenol A (BPA), an endocrine disruptor interfering with developmental processes, raises the question of the risk for human health of BPA fetal exposure. In humans, highly variable BPA concentrations have been reported in the feto-placental compartment. However the human fetal exposure to BPA still remains unclear. The aim of the study was to characterize placental exchanges of BPA and its main metabolite, Bisphenol A-Glucuronide (BPA-G) using the non-recirculating dual human placental perfusion. This high placental bidirectional permeability to the lipid soluble BPA strongly suggests a transport by passive diffusion in both materno-to-fetal and feto-to-maternal direction, leading to a calculated ratio between fetal and maternal free BPA concentrations of about 1. In contrast, BPA-G has limited placental permeability, particularly in the materno-to-fetal direction. Thus the fetal exposure to BPA conjugates could be explained mainly by its limited capacity to extrude BPA-G.
Sferruzzi-Perri, Amanda N; López-Tello, Jorge; Fowden, Abigail L; Constancia, Miguel
Pregnancy success and life-long health depend on a cooperative interaction between the mother and the fetus in the allocation of resources. As the site of materno-fetal nutrient transfer, the placenta is central to this interplay; however, the relative importance of the maternal versus fetal genotypes in modifying the allocation of resources to the fetus is unknown. Using genetic inactivation of the growth and metabolism regulator, Pik3ca (encoding PIK3CA also known as p110α, α/+), we examined the interplay between the maternal genome and the fetal genome on placental phenotype in litters of mixed genotype generated through reciprocal crosses of WT and α/+ mice. We demonstrate that placental growth and structure were impaired and associated with reduced growth of α/+ fetuses. Despite its defective development, the α/+ placenta adapted functionally to increase the supply of maternal glucose and amino acid to the fetus. The specific nature of these changes, however, depended on whether the mother was α/+ or WT and related to alterations in endocrine and metabolic profile induced by maternal p110α deficiency. Our findings thus show that the maternal genotype and environment programs placental growth and function and identify the placenta as critical in integrating both intrinsic and extrinsic signals governing materno-fetal resource allocation.
Costa, Ana; Policiano, Catarina; Clode, Nuno; Graça, Luís M
Introdução: Analisar a evolução da taxa de cesarianas e as principais indicações para cesariana num centro terciário.Material e Métodos: Estudo retrospectivo conduzido num hospital universitário que incluiu 5751 grávidas submetidas a cesariana entre 2005 e 2011. Analisaram-se as taxas de cesarianas, incluindo a taxa de primeiras cesarianas e de cesarianas repetidas. Para avaliar a contribuição relativa de cada uma das indicações na variação da taxa de primeiras cesarianas recorreu-se à regressão linear e determinou-se o valor do r2 ajustado.Resultados: Durante o período do estudo a taxa de cesarianas diminuiu de 30,9% para 27,6%. Esta descida deveu-se à diminuição da taxa de primeiras cesarianas (21,9% para 18,2%), apesar de se ter constatado um ligeiro aumento da taxa de cesarianas repetidas (9,0 para 9,4%). Entre as indicações para primeiras cesarianas, as causas materno-fetais e de apresentação anómala foram as que diminuiram mais, com valores de r2 ajustado de 0,70 e 0,55, respectivamente.Discussão: Os dados coligidos permitiram identificar a hipótese de que a diminuição da taxa de cesarianas se deveria a uma retração detectada sobretudo a nível das primeiras cesarianas, em particular as decorrentes de causas materno-fetais e apresentação anómala.Conclusão: A diminuição da taxa de primeiras cesarianas pode ser atribuída a várias modificações na prática clínica do Departamento, como a implementação da versão cefálica externa, a indução do trabalho de parto a partir das 41 semanas de gestação, em gravidezes de baixo risco e da realização de provas de trabalho de parto em casos de patologia materno-fetal. No entanto, indicações subjectivas, como a paragem de progressão do trabalho de parto e a suspeita de sofrimento fetal são ainda causas major de primeiras cesarianas.
Ceyssens, P. J.; Yde, M.; Dierick, K.; Boyen, F.; Vanderpas, J.; Vanhoof, R.; Mattheus, W.
Listeriosis is a rare but severe disease, mainly caused by Listeria monocytogenes. This study shows the results of the laboratory-based surveillance of Listeriosis in Belgium over the period 1985–2014. Besides the incidence and some demographic data we present also more detailed microbiological and molecular characteristics of human strains isolated since 2000. The strains from the latter period were compared to food and animal strains from the same period. Our study shows that different food matrices were commonly contaminated with L. monocytogenes presenting the same PFGE profile as in patient’s isolates. Since 1985, we observed a significant decrease in incidence of the Materno-Neonatal cases (from 0.15 to 0.04 cases /100,000 inhabitants-year), which is probably to be attributed to active prevention campaigns targeting pregnant women. Despite the strengthening of different control measures by the food industry, the incidence of non-Materno-Neonatal listeriosis increased in Belgium (from 0.3 to 0.7 cases /100,000 inhabitants-year), probably due to the rise of highly susceptible patients in an aging population. This significant increase found in non-Materno-Neonatal cases (slope coefficient 7.42%/year, P<0.0001) can be attributed to significant increase in incidence of isolates belonging to serovars 1/2a (n = 393, slope coefficient 6.62%/year, P<0.0001). Although resistance to antimicrobials is rare among L. monocytogenes isolates, a trend to increasing MIC values is evident with chloramphenicol, amoxicillin, tetracycline and ciprofloxacin. We show that fluoroquinolone resistance is not linked to chromosomal mutations, but caused by a variety of efflux pumps. Our study also shows that huge majority of known underlying pathologies (426 out of 785 cases) were cancers (185/426, 43.1%) and haematological malignancies (75/185, 40.5%). Moreover the risk population is susceptible to low levels of contamination in food stressing the need of prevention campaigns
Saavedra, Miguel A; Sánchez, Antonio; Bustamante, Reyna; Miranda-Hernández, Dafhne; Soliz-Antezana, Jimena; Cruz-Domínguez, Pilar; Morales, Sara; Jara, Luis J
Objetivo: reportar la experiencia en el desenlace materno-fetal de mujeres con artritis reumatoide en un centro médico nacional de referencia.Métodos: se realizó un análisis retrospectivo de los expedientes de mujeres embarazadas con artritis reumatoide que fueron atendidas en una clínica de embarazo y enfermedades reumáticas autoinmunes. Se estudió el desenlace materno-fetal considerado como: actividad de la enfermedad, preeclampsia/eclampsia, tasa de nacidos vivos, abortos, óbitos, parto pretérmino, semanas de gestación, peso al nacer, malformaciones congénitas y uso de fármacos antirreumáticos.Resultados: se incluyeron 73 embarazos en 72 pacientes. Se documentó actividad de la enfermedad en el 47.2 % de las pacientes durante el embarazo y/o posparto. El 87.7 % de las pacientes recibió algún fármaco antirreumático. Se desarrolló preeclampsia en el 8.2 % de los casos. La tasa de nacidos vivos fue de 98.6 %, con parto pretérmino en el 15.9 % y bajo peso a término en el 17.6 % de los casos. El 77.1 % de los productos nació vía cesárea. La actividad de la enfermedad no se asoció a un mayor porcentaje de complicaciones materno-fetales.Conclusiones: nuestro estudio mostró que la mayoría de las pacientes no experimenta actividad significativa de la AR durante el embarazo, el desenlace fetal es satisfactorio y la actividad de la enfermedad no influye de manera importante el desenlace obstétrico.
Mariani-Kurkdjian, P; Doit, C; Bingen, E
Extended-spectrum beta-lactamase (ESBLs) are defined as ß-lactamase able to hydrolyze all penicillins and cephalosporins with the exception of cephamycins (cefotixin, cefotetan), moxalactam and carbapenems and are encoded by mobile genes. The most frequently encountered ESBLs belong to the CTX-M, SHV, and TEM families. ESBLs were found first in Klebsiella pneumonia and then predominantly in E. coli. The incidence of patients with ESBLs E. coli increase since 2000 in Robert Debré Hospital in Paris. They were mainly implicated in urinary tract infections and less frequently in other infections such as materno-foetal infections or neonatal meningitis. An increase of consumption of carbapenems may lead to spread of carbapenem resistant organisms. Thus alternative to carbapenems for treatment of ESBL producers are needed.
Aloizos, S; Seretis, C; Liakos, N; Aravosita, P; Mystakelli, C; Kanna, E; Gourgiotis, S
HELLP, a syndrome characterised by haemolysis, elevated liver enzymes and low platelets, a variant of pre-eclampsia/eclampsia, is a multisystemic disorder with an incidence of up to 0.9% in all pregnancies and occurs in about one-quarter of pre-eclamptic patients. Most obstetricians presume that HELLP derives from an autoimmune reaction, leading to a materno- fetal imbalance, with accompanying aggregation of platelets, endothelial malfunction along with inborn errors of fatty acid oxidative metabolism. HELLP is characterised by high mortality and morbidity rates, leading to possibly life-threatening complications regarding both the mother and the fetus. Delivery is indicated if HELLP syndrome occurs after 34 gestational weeks or the fetal and/or maternal conditions deteriorate. Vaginal delivery is preferable. Standard corticosteroid treatment is of uncertain clinical value in maternal HELLP syndrome. Future observations and research results may shed more light on improving our understanding of the aspects of HELLP syndrome.
Khlebtsov, Nikolai; Bogatyrev, Vladimir; Dykman, Lev; Khlebtsov, Boris; Staroverov, Sergey; Shirokov, Alexander; Matora, Larisa; Khanadeev, Vitaly; Pylaev, Timofey; Tsyganova, Natalia; Terentyuk, Georgy
Gold nanoparticles (GNPs) and GNP-based multifunctional nanocomposites are the subject of intensive studies and biomedical applications. This minireview summarizes our recent efforts in analytical and theranostic applications of engineered GNPs and nanocomposites by using plasmonic properties of GNPs and various optical techniques. Specifically, we consider analytical biosensing; visualization and bioimaging of bacterial, mammalian, and plant cells; photodynamic treatment of pathogenic bacteria; and photothermal therapy of xenografted tumors. In addition to recently published reports, we discuss new data on dot immunoassay diagnostics of mycobacteria, multiplexed immunoelectron microscopy analysis of Azospirillum brasilense, materno-embryonic transfer of GNPs in pregnant rats, and combined photodynamic and photothermal treatment of rat xenografted tumors with gold nanorods covered by a mesoporous silica shell doped with hematoporphyrin. PMID:23471188
Dumas, J C; Giroux, M; Teixeira, M G; Puel, J; Waysbort, A; Berrebi, A; Houin, G; Grandjean, H
Interferon can be used for VIH+ pregnant women, to decrease materno-fetal contamination. Added to maternal circulation, its behaviour was studied by human placental cotyledon ex vivo perfusion. Human recombinant IFN 2a and reference substance 3H2O were injected in intervillous chamber and their behaviours in venous fetal and maternal circulations was followed. At steady state, in fetal circulation 3H2O concentration was 37% of injected rate whereas no IFN transfer rate was observed. In both venous circulations IFN amounts were lower than injected ones 56% versus of 82% for water (p < 0.05). IFN didn't cross placental filter and disappeared partially during placental contact.
Solecki, Roland; Rauch, Martina; Gall, Andrea; Buschmann, Jochen; Clark, Ruth; Fuchs, Antje; Kan, Haidong; Heinrich, Verena; Kellner, Rupert; Knudsen, Thomas B; Li, Weihua; Makris, Susan L; Ooshima, Yojiro; Paumgartten, Francisco; Piersma, Aldert H; Schönfelder, Gilbert; Oelgeschläger, Michael; Schaefer, Christof; Shiota, Kohei; Ulbrich, Beate; Ding, Xuncheng; Chahoud, Ibrahim
This article is a report of the 8th Berlin Workshop on Developmental Toxicity held in May 2014. The main aim of the workshop was the continuing harmonization of terminology and innovations for methodologies used in the assessment of embryo- and fetotoxic findings. The following main topics were discussed: harmonized categorization of external, skeletal, visceral and materno-fetal findings into malformations, variations and grey zone anomalies, aspects of developmental anomalies in humans and laboratory animals, and innovations for new methodologies in developmental toxicology. The application of Version 2 terminology in the DevTox database was considered as a useful improvement in the categorization of developmental anomalies. Participants concluded that initiation of a project for comparative assessments of developmental anomalies in humans and laboratory animals could support regulatory risk assessment and university-based training. Improvement of new methodological approaches for alternatives to animal testing should be triggered for a better understanding of developmental outcomes.
Blanchot, J; Poulain, P; Odent, S; Palaric, J C; Minet, J; Grall, J Y; Giraud, J R
The authors have evaluated the risk of neonatal infection (NNI) by materno-fetal contamination when a rise in temperature occurs in labour and they have worked out the prophylactic measures that should be taken. This has been the results of a prospective study carried out on 6305 deliveries. Any significant conditions associated with NNI are stained liquor and a low Apgar score at birth. When high temperature develops in labour it is important to deliver the infant as quickly as possible particularly if the labour is a premature one. Prevention carried out by very early diagnosis of amniotic fluid infection in pregnancy and by careful attention to the high risk conditions of: early rupture of the membranes, a high level of vaginal infection particularly with Beta streptococci.
Mamouni, Nisrine; Ghazal, Nabil; Erraghay, Sanaa; Bouchikhi, Chahrazed; Banani, Abdelaziz
La survenue d'une grossesse dans une corne utérine rudimentaire est une situation obstétricale extrêmement rare et potentiellement grave, menaçant le pronostic materno-fœtal. Les auteurs rapportent cinq observations de grossesse dans une corne utérine rudimentaire, à travers lesquelles, ils relatent les difficultés sur le plan diagnostique ainsi que la prise en charge thérapeutique de cette entité pathologique, soulignant l'intérêt de l’échographie endovaginale, de l'IRM pelvienne et de la cœlioscopie dans le diagnostic précoce de ce type de malformation uterine. PMID:27583078
Vila-Candel, R; Martin-Moreno, J M; Alamar, S; Soriano-Vidal, F J; Naranjo de la Puerta, F G; Murillo, M
Objectivo: construir un modelo predictivo que mejore la estimación del peso del recién nacido (PFE). Material y Métodos: Estudio observacional dónde 140 gestantes fueron estudiadas mediante un muestreo bietápico en un Departamento de Salud en España. Fueron clasificadas en cuatro grupos dependiendo del IMC pregestacional materno. El peso proyectado al nacer fue estimado por la ecografía realizada entre las 33-35 semanas de gestación (PP40s). Se construyó un modelo de regresión con las variables que se reaccionaban con el peso al nacer, altura uterina (AU), PP40s, edad gestacional (EG), nivel de ferritina y cigarillos consumidos. Resultados: Se construyó un modelo multivariante para el grupo Normo-peso para estimar el peso al nacer (PFm) obteniendo una R2=0,727 (p.
Aguilar Cordero, M J; Sánchez López, A M; Rodríguez Blanque, R; Noack Segovia, J P; Pozo Cano, M D; López-Contreras, G; Mur Villar, N
Introducción: Las múltiples ventajas que aporta a la salud la práctica de una actividad física de forma continuada son conocidas. Aunque es importante en todas las etapas de la vida, cuando llega la gestación aparecen algunas dudas sobre la conveniencia de realizar ejercicio físico, así como del tipo de actividad, de su frecuencia, intensidad y duración. Objetivo: Analizar los principales estudios sobre la influencia de la actividad física sobre los parámetros materno- fetales. Método: Revisión sistemática de programas de actividad física destinados a las mujeres embarazadas y sus resultados durante el embarazo, el parto y el postparto. Se identificaron 45 artículos a través de la búsqueda automatizada en las bases de datos PUBMED, Scopus y Google Scholar; se llevó a cabo entre los meses de octubre de 2013 y marzo de 2014. Para seleccionar los artículos fue preciso considerar la utilidad y la relevancia del tema estudiado y la credibilidad o experiencia de los autores en la temática. Se tuvo en cuenta la validez interna y externa de cada uno de los artículos revisados. Conclusiones: Los resultados de la revisión ponen de manifiesto la importancia de la actividad física durante el periodo gestacional y se constata que la información disponible en la actualidad puede servir de referente inicial para continuar profundizando en los resultados que sobre la salud materno fetal tiene la práctica de actividad física en el medio acuático.
[Comparing the Application of Hema-Obs RSS to 250 Pregnancies from Obstetrics/Hematology Consultation in Centro Hospitalar São João, Portugal with the Application of Galit Sarig RSS to 90 Pregnancies from Rambam Health Care Campus, Israel].
Salselas, Ana; Pestana, Inês; Bischoff, Francisco; Guimarães, Mariana; Andrade, Joaquim Aguiar
Introdução: Na consulta de Hematologia-Obstetrícia do Centro Hospitalar São João EPE, as grávidas com trombofilias, episódios trombóticos anteriores e/ou história familiar de trombofilia são avaliadas e medicadas, recorrendo a uma escala de estratificação de risco (EER Hema-Obs).Objectivos: Pretende-se, com este trabalho, avaliar a eficácia desta escala de estratificação de risco, comparando-a com uma escala semelhante, desenvolvida e publicada por Sarig (escala de estratificação de risco Sarig).Material e Métodos: Procedeu-se às seguintes comparações: distribuição, por grupos de risco, obtida pela aplicação das duas escalas, em simultâneo, a 250 grávidas seguidas, na consulta do Centro Hospitalar São João EPE; sensibilidade e especificidade para cada uma das escalas (teste DeLong aplicado às curvas Receiver Operating Characteristic); desfechos nas gestações seguidas no Centro Hospitalar São João EPE e pelo grupo de Sarig no Rambam Health Care Campus (Israel).Resultados: A estratificação de risco nas 250 grávidas foi: a) com a escala de estratificação de risco Hema-Obs - Risco Materno (29%), Alto Risco Materno-Fetal (47%), Muito Alto Risco Materno-Fetal (24%); b) com a escala de estratificação de risco Sarig - Baixo (24%), Intermédio (53%), Alto (16%), Muito Alto (7%). Aplicando as curvas Receiver Operating Characteristic a ambas as escalas, resultam áreas calculadas de 58,8% para a escala de estratificação de risco Hema-Obs e de 38,7% para a escala de estratificação de risco de Sarig, correspondendo a uma diferença estatisticamente significativa (p = 0,0006 pelo teste de DeLong). Nas gestações acompanhadas no Centro Hospitalar São João EPE verificaram-se 91% de gestações bem-sucedidas e 9% de abortamentos; nas gestações acompanhadas por Sarig verificaram-se 82% de gestações bem-sucedidas e 18% de abortamentos.Conclusões: Conclui-se que a escala de estratificação de risco Hema-Obs constitui um suporte
Bueno Vargas, Pilar; Manzano Martín, Manuel; López-Aliaga, Inmaculada; López Pedrosa, José M ª
Introducción: la gestación y lactancia están relacionadas con pérdidas temporales en la densidad mineral ósea (DMO) materna. Una suplementación con calcio podría resultar beneficiosa para evitar la pérdida de masa ósea del esqueleto materno. Otros nutrientes como los prebióticos han sido identificados como responsables de un incremento en la absorción de minerales, pudiendo condicionar la mineralización ósea.Objetivo: estudiar el efecto de la suplementación de la dieta materna con el prebiótico inulina enriquecida con oligofructosa, durante la gestación y la lactancia sobre el contenido mineral óseo (CMO) y la DMO al final del periodo de lactancia.Métodos: las ratas gestantes fueron alimentadas con dieta estándar (grupo CC), dieta fortificada en calcio (grupo Ca) o enriquecida con el prebiótico inulina enriquecida con oligofructosa (grupo Pre) hasta el final del periodo de lactancia. Posteriormente se evaluó el CMO y DMO por absorciometría de rayos X (DEXA) y el pH del contenido cecal.Resultados:en términos generales, el grupo Pre presenta los mayores valores absolutos de CMO y DMO de entre los tres grupos, siendo en la tibia significativamente diferentes en los grupos CC y Pre frente al grupo Ca. El pH del contenido cecal del grupo Pre es significativamente inferior al de los grupos CC y Ca.Conclusión:la suplementación con inulina enriquecida con oligofructosa, en condiciones nutricionales no deficientes en calcio, durante la gestación y la lactancia, ejerce una protección del esqueleto materno en las ratas y puede ser considerada como una estrategia nutricional para proteger la masa ósea materna en el periodo perinatal.
Severi, Cecilia; Hambidge, Michael; Krebs, Nancy; Alonso, Rafael; Atalah, Eduardo
Objetivo: Evaluar la edad como factor de riego para el déficit nutricional de zinc en el embarazo y en el posparto y la correlación entre la concentración de zinc plasmático y de la leche materna. Diseño: Estudio de cohorte de 151 embarazadas adolescentes y 161 adultas con < 14 semanas de gestación al primer control prenatal, seleccionadas en 16 centros públicos de salud de primer nivel de atención de Uruguay. Se obtuvieron datos socio demográficos y se determinó zinc plasmático al primer control prenatal y 4 meses posparto (± 1 mes). En el último control se midió también la concentración de zinc en la leche materna. Resultados: La media de concentración de zinc plasmático a las 14 semanas de gestación fue 84.4 ± 3.6 ug. /dl sin diferencias significativas con las adultas (85.2 ± 13.6 ug/dl). La prevalencia de hipozincemia fue relativamente baja, sin diferencias entre los grupos (14.6% en adolescentes y 12.3% en adultas). La concentración de zinc en la leche materna fue similar en adolescentes y adultas (1.2 CI 1.1-1.4 mg. /L en el grupo total). No se encontró correlación entre el nivel plasmático de zinc materno y la concentración en la leche en adultas y una débil correlación en el grupo de adolescentes (-0.27, P <0.05). Conclusión: La prevalencia de hipozincemia en el embarazo es relativamente baja y similar entre adultas y adolescentes. No se observó relación entre la edad materna y los niveles plasmáticos de zinc post parto en la madre ni en la leche materna. La concentración de zinc plasmático materno no se correlacionó con el zinc en la leche materna.
Herrera, Emilio A.; Krause, Bernardo; Ebensperger, German; Reyes, Roberto V.; Casanello, Paola; Parra-Cordero, Mauro; Llanos, Anibal J.
The placenta is the exchange organ that regulates metabolic processes between the mother and her developing fetus. The adequate function of this organ is clearly vital for a physiologic gestational process and a healthy baby as final outcome. The umbilico-placental vasculature has the capacity to respond to variations in the materno-fetal milieu. Depending on the intensity and the extensity of the insult, these responses may be immediate-, mediate-, and long-lasting, deriving in potential morphostructural and functional changes later in life. These adjustments usually compensate the initial insults, but occasionally may switch to long-lasting remodeling and dysfunctional processes, arising maladaptation. One of the most challenging conditions in modern perinatology is hypoxia and oxidative stress during development, both disorders occurring in high-altitude and in low-altitude placental insufficiency. Hypoxia and oxidative stress may induce endothelial dysfunction and thus, reduction in the perfusion of the placenta and restriction in the fetal growth and development. This Review will focus on placental responses to hypoxic conditions, usually related with high-altitude and placental insufficiency, deriving in oxidative stress and vascular disorders, altering fetal and maternal health. Although day-to-day clinical practice, basic and clinical research are clearly providing evidence of the severe impact of oxygen deficiency and oxidative stress establishment during pregnancy, further research on umbilical and placental vascular function under these conditions is badly needed to clarify the myriad of questions still unsettled. PMID:25009498
Kirkpatrick, C A
The HELLP syndrome is a serious complication in pregnancy characterized by haemolysis, elevated liver enzymes and low platelet count occurring in 0.5 to 0.9% of all pregnancies and in 10- 20% of cases with severe preeclampsia. The present review highlights occurrence, diagnosis, complications, surveillance, treatment, mode of delivery and risk of recurrence. Clinical reviews published between 2000 and 2009 were screened using PubMed and Cochrane databases. About 70% of cases develop before delivery, the majority in the third trimester of pregnancy; the remainder within 48 hours after delivery. The HELLP syndrome may be complete or incomplete. The syndrome is a progressive condition and serious complications are frequent. Conservative treatment (48 hours) is controversial. Delivery is indicated if the HELLP syndrome occurs after the 34th week or the foetal and/or maternal conditions deteriorate. Vaginal delivery is preferable. In gestational ages between 24 and 34 weeks, a single course of corticosteroid for foetal lung maturation is recommended. Standard corticosteroid treatment is, owever, of uncertain clinical value in the maternal HELLP syndrome. Close surveillance of the mother should be continued for at least 48 hours after delivery.The recognition of HELLP syndrome and an aggressive multidisciplinary approach and prompt transfer of these women to obstetric centres with expertise in this field are required for the improvement of materno-foetal prognosis.
Muñoz, Abián; Cabrera-López, José C; Santana-Rodríguez, Alfredo; Toledo-Bravo de Laguna, Laura; Santana-Artiles, Alexandre; Sebastián-García, Irma
Introduccion. La paraplejia espastica hereditaria (PEH) representa un conjunto de cuadros clinicos neurodegenerativos que se caracteriza por perdida progresiva de fuerza en los miembros inferiores con espasticidad. Esto se debe a una lesion axonal en los haces corticoespinales. La de tipo 1, conocida como SPG1, es la forma mas comun de PEH ligada al cromosoma X. Esta se produce por una mutacion en el gen de la molecula de adhesion celular L1 (L1CAM). La SPG1 se manifiesta con el sindrome CRASH (corpus callosum hypoplasia, retardation, adducted thumbs, spasticity and hydrocephalus). Casos clinicos. Tres varones, dos hermanos y un primo (materno), con un cuadro clinico de discapacidad intelectual, paraparesia espastica, piramidalismo, dismorfias faciales y pulgares en aduccion. La neuroimagen mostro agenesia del cuerpo calloso y ventriculomegalia en los tres. Los estudios neurofisiologico y metabolico fueron normales. El estudio genetico evidencio en todos ellos una mutacion concreta en el gen L1CAM (Xq28). Conclusion. Se describen los hallazgos clinicorradiologicos de tres varones afectos de sindrome CRASH por mutacion c.516G>A en el exon 5 del gen L1CAM. Estos parecen ser los primeros casos descritos en España segun la bibliografia actual. Recomendamos sospechar este sindrome cuando se asocian paraparesia espastica, discapacidad intelectual y pulgares aductos.
Silva, Maria Arleide da; Falbo Neto, Gilliatt Hanois; Figueiroa, José Natal; Cabral Filho, José Eulálio
The prevalence of and factors associated with violence against women attended as outpatients between October 2005 and January 2006 by the Instituto Materno Infantil Professor Fernando Figueira (IMIP), Recife, Pernambuco State, Brazil, were investigated using a cross-sectional type study. 619 women over the age of 18 were included in a systematic probabilistic sample. The modified Abuse Assessment Screen (AAS) was applied and the data were evaluated statistically by way of univariate and bivariate analyses, using the chi2 or Fischer's exact test and an adjusted multivariate logistic regression model. The prevalence of violence against women was 27.5% (95%CI: 24.0%-31.2%) in the twelve-month period prior to the consultation. The associated factors were low level of schooling (OR = 2.34), a history of domestic violence (OR = 2.21) the woman being mentally disturbed (OR = 2.35), and the partner's consumption of alcohol (OR = 1.77). The prevalence of violence was high in the group of women studied, indicating the need to broaden preventive measures and all-round health care for women.
Human placental syncytiotrophoblast (STB) is an epithelium responsible for materno-fetal exchange. Ions play multiple roles in STB, as in other transport epithelia. We have been interested in the character and functional expression of ion channels in STB membrane fractions. Characterization of ion channels and their relationship with different domains, subdomains and microdomains of STB membranes is important to explain the intracellular mechanisms operating in the placental barrier. The aim of this paper is to summarize our work on this subject. We isolated and purified basal membrane (BM) and two fractions from the apical membrane, a classical fraction (MVM) and a light fraction (LMVM). They were used either for reconstitution into giant liposomes or for transplantation into Xenopus oocyte membranes followed by electrophysiological recordings to characterize chloride and cationic channels in STB from term human placenta. In addition, Western blot analysis, using ion channel antibodies, was performed on purified apical and basal membrane fractions. We also reported the presence of two functional microdomains (lipid rafts) in LMVM and MVM, using detergent resistant membranes (DRMs) and cholesterol-sensitive depletion. Moreover we found evidence of cytoskeletal participation in lipid rafts of different composition. Our results contribute to knowledge of the ion channels present in STB membranes and their participation in the physiology of this epithelium in normal and pathological pregnancies.
Wynn, Adriane; Cabeza, Jeanne; Adachi, Kristina; Needleman, Jack; Garcia, Patricia J.; Klausner, Jeffrey D.
Objective This study describes the pregnancy and birth outcomes at two hospitals in Lima, Peru. The data collection and analysis is intended to inform patients, providers, and policy makers on Peru’s progress toward achieving the Millennium Development Goals and to help set priorities for action and further research. Methods Data were collected retrospectively from a sample of 237 women who delivered between December 2012 and September 2013 at the Instituto Nacional Materno Perinatal or the Hospital Nacional Arzobispo Loayza. The outcomes were recorded by a trained mid-wife through telephone interviews with patients and by review of hospital records. Associations between participant demographic characteristics and pregnancy outcomes were tested with Chi-squared, Fisher’s exact, or Student’s t-test. Results Over 37% of women experienced at least one maternal or perinatal complication, and the most frequent were hypertension/preeclampsia and macrosomia. The women in our sample had a cesarean section rate of 50.2%. Conclusion Maternal and perinatal complications are not uncommon among women in the lower socioeconomic strata of Lima. Also, the high cesarean rate underpins the need for a more comprehensive understanding of the indications for cesarean section deliveries, which could help reduce the number of unnecessary procedures and preventable complications. PMID:25806522
Elbahraoui, Houda; Bouziane, Hanane; Elghanmi, Adil; Lakhdar, Amina; Elhanchi, Zaki; Ferhati, Driss
L’embolie de liquide amniotique (ELA) est une complication imprévisible de l’accouchement, souvent fatale, associant un collapsus cardiovasculaire sévère, un syndrome de détresse respiratoire aiguë et une hémorragie avec coagulation intra vasculaire disséminée (CIVD). Dès l’évocation du diagnostic, la prise en charge doit être multidisciplinaire et intensive. ELA est responsable d’une mortalité maternelle et néonatale importante, son incidence est extrêmement variable selon les études et le taux de mortalité maternelle varie entre 26 et 86 % selon les études. Ces dix dernières années, le pronostic materno-fœtal semble en amélioration grâce aux progrès de prise en charge standardisée multidisciplinaire sur les lieux d’accouchement. Nous rapportons deux cas d’embolie de liquide amniotique. Le premier cas s’est manifesté au cours du travail et le deuxième cas est survenu dans les suites immédiates de l’accouchement. PMID:22655108
Hermanussen, Michael; Tresguerres, Jesus A F
The thrifty phenotype hypothesis proposes that the epidemiological associations between poor fetal and infant growth and the subsequent development of the metabolic syndrome, result from the effects of poor nutrition in early life. The present review however, considers an opposite explanation. We hypothesize that fetal over-nutrition plays a major role in the development of the metabolic syndrome. We found evidence that the thrifty phenotype may be the consequence of fetal hyperglutamatemia. Maternal glutamate (GLU) reaches the fetal circulation, as part of the materno-fetal glutamine-glutamate exchange. Glutamine is absorbed from the maternal circulation, and deaminated for nitrogen utilization, resulting in a fetal production of GLU. GLU is extracted as it returns to the placenta. When the umbilical plasma flow is low, GLU may be trapped in the fetal circulation, and reaches neurotoxic levels. Administering GLU to newborn rodents completely destructs arcuate nucleus neurons, and results in permanently elevated plasma leptin levels that fail to adequately counter-regulate food intake. Chronic fetal exposure to elevated levels of GLU may be caused by chronic maternal over-nutrition or by reduced umbilical plasma flow. We strongly suggest abandoing the flavoring agent monosodium glutamate and reconsidering the recommended daily allowances of protein and amino acids during pregnancy.
Brandt, Katia G; Silva, Giselia A P; Antunes, Margarida M C
To know the prevalence of celiac disease (CD) in a group of children and adolescents with type I diabetes mellitus. A cross sectional study was conducted at the Instituto Materno Infantil de Pernambuco (IMIP) in March 2000. The sample consisted of 19 children and adolescents with type I diabetes mellitus that had the human anti-tissue transglutaminase antibodies assessed using kits from the Eurospital Laboratory. In case of positive results it was realized small intestine biopsy to confirm the diagnosis. For the calculation of the prevalence of CD it was considered the number of patients with serum positive histological alterations of the mucous membrane of the small intestine compatible with CD. Four patients presented serum positivity for human anti-tissue transglutaminase antibodies with a serum prevalence of 21% (4/19). Out of these four subjects, three who accomplished small intestine biopsy presented histological alterations compatible with CD. The prevalence of CD in this group was 15.8% (3/19). The prevalence of CD in this study group was high, suggesting that those with type I diabetes mellitus should be led as a group of high risk to develop this disease.
Thornburg, Kent L; Louey, Samantha
Although blood flow in the placental vasculature is governed by the same physiological forces of shear, pressure and resistance as in other organs, it is also uniquely specialized on the maternal and fetal sides. At the materno-fetal interface, the independent uteroplacental and umbilicoplacental circulations must coordinate sufficiently to supply the fetus with the nutrients and substrates it needs to grow and develop. Uterine arterial flow must increase dramatically to accommodate the growing fetus. Recent evidence delineates the hormonal and endothelial mechanisms by which maternal vessels dilate and remodel during pregnancy. The umbilical circulation is established de novo during embryonic development but blood does not flow through the placenta until late in the first trimester. The umbilical circulation operates in the interest of maintaining fetal oxygenation over the course of pregnancy, and is affected differently by mechanical and chemical regulators of vascular tone compared to other organs. The processes that match placental vascular growth and fetal tissue growth are not understood, but studies of compromised pregnancies provide clues. The subtle changes that cause the failure of the normally regulated vascular processes during pregnancy have not been thoroughly identified. Likewise, practical and effective therapeutic strategies to reverse detrimental placental perfusion patterns have yet to be investigated.
Sferruzzi-Perri, Amanda N.; Camm, Emily J.
Size at birth is a critical determinant of life expectancy, and is dependent primarily on the placental supply of nutrients. However, the placenta is not just a passive organ for the materno-fetal transfer of nutrients and oxygen. Studies show that the placenta can adapt morphologically and functionally to optimize substrate supply, and thus fetal growth, under adverse intrauterine conditions. These adaptations help meet the fetal drive for growth, and their effectiveness will determine the amount and relative proportions of specific metabolic substrates supplied to the fetus at different stages of development. This flow of nutrients will ultimately program physiological systems at the gene, cell, tissue, organ, and system levels, and inadequacies can cause permanent structural and functional changes that lead to overt disease, particularly with increasing age. This review examines the environmental regulation of the placental phenotype with particular emphasis on the impact of maternal nutritional challenges and oxygen scarcity in mice, rats and guinea pigs. It also focuses on the effects of such conditions on fetal growth and the developmental programming of disease postnatally. A challenge for future research is to link placental structure and function with clinical phenotypes in the offspring. PMID:27014074
Esther Martínez-Pardo, María; Lourdes Reyes-Frías, Ma
The Instituto Nacional de Investigaciones Nucleares (ININ, The National Nuclear Research Institute) received during 1997-1998 strong support of the International Atomic Energy Agency (IAEA), to establish the first and only one tissue bank (BTR ININ tissue bank) in Mexico that uses ionising radiation as sterilising agent. In that time, the BTR staff was trained in different tissue banks in several countries. Basic equipment for tissue processing donated by the IAEA was received in 1998. In July, 1999 the Mexican Health Secretariat gave the Sanitary License No. 1062000001 to the BTR to operate as an official organ and tissue bank. In August, 2001 the ININ and the Hospital Materno Infantil (HMI-ISSEMYM) signed an agreement to collaborate in amnion processing. The hospital is responsible for donor selection, serology tests, tissue procurement and washing, since this hospital is the BTR amnion supplier. The tissues are collected by ININ weekly with complete documentation. The BTR is responsible for processing: cleaning, air drying, packaging, labelling, microbiological control and sterilisation by gamma irradiation. The sterilised tissue is kept under quarantine for 6 months to obtain the results of the donor second serology test. From March to June, 2002 the BTR has processed 347.86 units (50 cm(2) each), is say, 17,393 cm(2). In addition, the pig skin xenograft process has been implemented and a protocol for clinical applications of it is running at the Hospital Central Sur de Alta Especialidad (PEMEX). Also the ININ tissue bank present status and perspectives are described.
Huerta-Sáenz, Lina; Del Águila, Carlos; Espinoza, Oscar; Falen-Boggio, Juan; Mitre, Naim
Congenital hypothyroidism (CH) is the most important cause of preventable mental retardation. The prevalence of CH varies by geographic region, race and ethnicity. In the countries of the Northern hemisphere, the prevalence has been reported as 1:4,000 live newborns. The prevalence is remarkably different among the countries of Latin America not only because of their different races and ethnicities but also because of the heterogeneous social-economic development. The prevalence of CH in 1984 in Peru was reported as 1:1250. In 2007, the reported incidence by the Instituto Nacional Materno Perinatal was 1:1638. A recent retrospective study performed by the Instituto Nacional de Salud del Niño in Lima, Peru described the average age of diagnosis of CH as 5,9 months +/- 5,28. This late age of CH diagnosis certainly suggests the poor efficiency of the current neonatal CH screening programs in Peru. Every Peruvian infant deserves a timely newborn screening and treatment for CH. The Peruvian government is responsible for ensuring this mandatory goal is achieved promptly.
Lamounier, J A
In the study is analyzed and described the initiative called "Initiative Baby Friendly Hospitals", a program which started in Brazil, 1992. This initiative intends to support, to protect and to promote the breastfeeding as proposed in a meeting in 1990 in Florence, Italy, which was promoted by WHO and UNICEF. The basic goal of this initiative is to mobilize health professionals and hospital or maternity workers for changing their routines and conducts aiming to prevent the early wean. The health establishments are evaluated based on the "ten steps for success of breastfeeding, a group of goals created in the same meeting. In Brazil, the evaluation is coordinated by the Federal Government through the PNIAM (Programa Nacional de Incentivo ao Aleitamento Materno). A baby friendly hospital, if approved, receives from the Minister of Health, a Federal Governmental Agency (SUS) a differential payment for childbirth assistance and prenatal accompaniment, 10% and 40%, more respectively. Until 1998 year there were 103 baby friendly hospitals in Brazil, with the majority of them located in the northeast area (68.1%). However, taking in accounting the number of 5650 hospitals linked to SUS in the country, less than 2.0% are baby friendly hospitals. On the basis of the experience and according with PNIAM data the implementation of the ten steps and the incentive to breastfeeding through baby friendly hospitals have resulted in a significant increase of breastfeeding incidence and duration in Brazil.
Couvreur, J; Desmonts, G; Thulliez, P
The results of parasitological investigation of the placenta for toxoplasma in 223 cases with documented congenital toxoplasmosis were analysed according to whether the mother had been treated, or not, with spiramycin during pregnancy. The investigation was negative in 10-11% of the cases when the mother had not been treated or had been inadequately treated; in 25% of the cases with a treatment of 3 g spiramycin day; and in 50% with spiramycin plus the combination of pyrimethamine with sulphonamide. This series is compared with a previous group of 321 women whose placental investigation was negative in 50% of untreated cases and 81% of treated women. The treatment categories are not directly comparable, because it is not possible to have a randomly assigned 'no treatment' group, for ethical reasons. Correlation between spiramycin treatment and negative results of mouse inoculation of placental material suggests that spiramycin might decrease the risk of materno-fetal transmission of toxoplasma by reducing the severity and duration of toxoplasmic placentitis. Current use of spiramycin in infected pregnant women is recommended because of its activity and lack of side effects. The dosage must not be lower than 3 g/day. Additional pyrimethamine plus sulphonamide should be restricted to selected cases with fetal abnormality diagnosed during pregnancy. Some data on pharmacology of spiramycin in mothers, placentas and fetuses are reviewed. They suggest that monitoring of maternal serum antibody titres for a dosage more adapted to individual cases may be desirable.
Langley-Evans, Simon C
Nutritional programming is the process through which variation in the quality or quantity of nutrients consumed during pregnancy exerts permanent effects upon the developing fetus. Programming of fetal development is considered to be an important risk factor for non-communicable diseases of adulthood, including coronary heart disease and other disorders related to insulin resistance. The study of programming in relation to disease processes has been advanced by development of animal models, which have utilized restriction or over-feeding of specific nutrients in either rodents or sheep. These consistently demonstrate the biological plausibility of the nutritional programming hypothesis and, importantly, provide tools with which to examine the mechanisms through which programming may occur. Studies of animals subject to undernutrition in utero generally exhibit changes in the structure of key organs such as the kidney, heart and brain. These appear consistent with remodelling of development, associated with disruption of cellular proliferation and differentiation. Whilst the causal pathways which extend from this tissue remodelling to disease can be easily understood, the processes which lead to this disordered organ development are poorly defined. Even minor variation in maternal nutritional status is capable of producing important shifts in the fetal environment. It is suggested that these environmental changes are associated with altered expression of key genes, which are responsible for driving the tissue remodelling response and future disease risk. Nutrition-related factors may drive these processes by disturbing placental function, including control of materno-fetal endocrine exchanges, or the epigenetic regulation of gene expression. PMID:19175805
Bassir, Ahlam; Dhibou, Hanane; Farah, Majdi; Mohamed, Lharmis; Amal, Addebous; Nabila, Souraa; Abderahim, Aboulfalah; Asmouki, Hamid; Soummani, Abderraouf
Introduction Le streptocoque du groupe B est le principal agent impliqué dans les infections materno-fœtales, les septicémies et les méningites du nouveau-né à terme. L'objectif est de déterminer le taux de portage maternel du streptocoque du groupe B (SGB) à terme. Méthodes Un prélèvement vaginal a été réalisé de manière prospective chez 275 parturientes lors de l'entrée en salle d'accouchement sur une période de 06 mois. Résultats Le taux de portage était de 20,2%. Le portage était variable en fonction de l’âge gestationnel, il constitue 57.5% entre 37 et 38 semaines d'aménorrhée. Aucun des facteurs de risque n'a était statistiquement prédictif du portage maternel du SGB. Conclusion Le dépistage doit être réalisé à partir de 37 semaines d'aménorrhée, et comme le portage est intermittent, un prélèvement négatif ne garantirait pas que le portage soit négatif à l'accouchement. PMID:27222693
Somerset, David A; Zheng, Yong; Kilby, Mark D; Sansom, David M; Drayson, Mark T
Summary CD4+ CD25+ T regulatory cells (TReg), suppress antigen-specific immune responses and are important for allograft tolerance. During pregnancy the mother tolerates an allograft expressing paternal antigens (the fetus) requiring substantial changes in immune regulation over a programmed period of time. We analysed whether immune-suppressive TReg cells were altered during pregnancy and therefore might play a part in this tolerant state. The presence of TReg cells was assessed in the blood of 25 non-pregnant, 63 pregnant and seven postnatal healthy women by flow cytometry. We observed an increase in circulating TReg cells during early pregnancy, peaking during the second trimester and then a decline postpartum. Isolated CD25+ CD4+ cells expressed FoxP3 messenger RNA, a marker of TReg cells, and suppressed proliferative responses of autologous CD4+ CD25- T cells to allogeneic dendritic cells. These data support the concept that normal pregnancy is associated with an elevation in the number of TReg cells which may be important in maintaining materno-fetal tolerance.
Polanco, Nina; Manzi, Lorna
Diarrheal diseases with diarrhea are the most frequent cause of morbidity and mortality in children; however the causative agent cannot be identified always, which suggests the presence of unknown enteropathogens inducing diarrhea. The isolation of Acinetobacter sp. from feces of children with acute diarrhea, unrelated to known enteropathogens motivated this investigation to detect a possible enterotoxigenic effect on HT-29 cells. The study population comprised 150 children with an age range from 0 to 5 years old; 120 were assisted in the "Hospital Materno Infantil del Este'' with gastrointestinal syndrome and 30 healthy controls who went to the center for routine analysis. In 25% of symptomatic patients were diagnosed parasites and bacteria, identified routinely. From four symptomatic patients were isolated three Acinetobacter baumannii strains and two A. calcoaceticus strains. The strains were cultured in brain-heart infusion for 24 and 48 hrs, at 35 degrees C, and the supernatants were obtained by centrifugation and filtration and their activity tested on HT-29 cell monolayers. The supernatants of the three strains of A. baumannii induced alterations of the cell monolayer, showed by detachments of cell monolayers, cell segregation, cell rounding and swelling. These effects were more intense with the 48 h culture exoproducts of the 016 strain, which were higher than the positive control. This toxigenic effect of A. baumannii, could represent a pathogenic mechanism whose definition requires more studies to determine the possible role in the pathogenicity of this bacillus.
Kohl, T; Hering, R; Bauriedel, G; Van de Vondel, P; Heep, A; Keiner, S; Müller, A; Franz, A; Bartmann, P; Gembruch, U
Congenital high airway obstruction syndrome (CHAOS) from laryngeal atresia bears a poor prognosis for hydropic fetuses owing to cardiac failure. We attempted percutaneous fetoscopic and ultrasound-guided tracheal decompression in a hydropic human fetus with CHAOS associated with Fraser syndrome. Percutaneous fetoscopic and ultrasound-guided tracheal decompression was performed using three trocars under general materno-fetal anesthesia at 19 + 5 weeks of gestation. Abnormal fetoplacental blood flow normalized within hours as a result of the intervention. Furthermore, a normalization of lung : heart size and lung echogenicity was observed within days. Resolution of hydrops was complete within 3 weeks. Premature rupture of membranes and premature contractions prompted emergency delivery of the fetus by ex-utero intrapartum treatment (EXIT) at 28 + 2 weeks of gestation. Following delivery, the lungs could be ventilated at low pressures and ambient oxygen concentration. Weaning from ventilation was achieved at 18 days of postnatal life. Our experience indicated that percutaneous fetoscopic and ultrasound-guided decompression of the fetal trachea is feasible and may permit normalization of hemodynamics in hydropic human fetuses with CHAOS from laryngeal atresia. The procedure may also result in normalization of heart : lung size and provide the time needed to regain the function of the overstretched diaphragm in this grave fetal condition.
Gernand, Alison D.; Schulze, Kerry J.; Stewart, Christine P.; West, Keith P.; Christian, Parul
Micronutrients, vitamins and minerals accessible from the diet, are essential for biologic activity. Micronutrient status varies widely throughout pregnancy and across populations. Women in low-income countries often enter pregnancy malnourished, and the demands of gestation can exacerbate micronutrient deficiencies with health consequences to the fetus. Examples of efficacious single micronutrient interventions include folic acid to prevent neural tube defects, iodine to prevent cretinism, zinc to reduce of preterm birth, and iron to reduce the risk of low birth weight. Folic acid and vitamin D might also increase birth weight. While extensive mechanism and association research links antenatal multiple micronutrients to plausible materno-fetal health advantages, hypothesized benefits have often been absent, minimal or unexpected in trials. These findings suggest a role for population context in determining health responses and extensive gaps in knowledge. Multiple micronutrient supplements reduce risks of being born low birth weight, small for gestational age or stillborn in undernourished settings, and justify micronutrient interventions with antenatal care. Measurable health effects of gestational micronutrient exposure may persist into childhood but few data exists on potential long-term benefits. In this Review, we discuss micronutrient intake recommendations, risks and consequences of deficiencies, and the effects of interventions with a particular emphasis on offspring. PMID:27032981
Molina-Cabrillana, J; Dorta-Hung, M E; Otero Sanz, L; Henández Vera, J R; Martín-Rodríguez, M M; García de Carlos, P
In order to increase safety culture about hand hygiene by means of messages and reminders about its importance in preventing nosocomial infections, we developed a new set of materials in the Complejo Hospitalario Universitario Insular Materno-Infantil of Las Palmas, Gran Canaria, constitued by two centres with 450 beds each and acredited for medical internal residents training. We hired a well-known caricaturist, who adapted the messages to the local way of speaking, by using characters that used to appear in his artwork in the local newspaper. Also, we continued to work with other graphic design professionals. We monitored adherence and consumption of products for hand rubbing. We noted an increase in both indicators in the following months after the implementation of this strategy. Moreover, we revised the infrastructures for hand hygiene, and were able to demonstrate improvements in most of the patient care areas. The material was well accepted by professionals, patients and visitors. No other interventions were made, so we think improvements can be attributable to this strategy in our setting.
Quintanar, A; Jallu, V; Legros, Y; Kaplan, C
The typing of human platelet antigens (HPA) can be useful in many clinical situations such as neonatal alloimmune thrombocytopenia, post-transfusion purpura, and platelet transfusion refractoriness. The fluorescent-based single-strand conformation polymorphism (F-SSCP) technique is a fast and convenient way to perform HPA genotyping. Universal sequences from phage M13 were introduced at both ends of specific PCR-products by using 5'-tailed primers. A short second round of PCR with universal primers coupled to Cy-5 enabled the PCR-products to be fluorescently labelled. F-SSCP was performed by gel electrophoresis on an automated fluorescent DNA analyser. Genotyping of the three major HPA systems carried by the GP IIb-IIIa complex showed the F-SSCP technique to be accurate and reliable. A single gel procedure has been sufficient to detect HPA genetic polymorphisms tested to date. Neither restriction enzyme, radioactive material, nor any other hazardous chemicals such as ethidium bromide were required. This technique enabled us to genotype HPA-1, -3 and -4 alleles easily and to diagnose materno-fetal incompatibility in a rare alloantigenic system. F-SSCP is a promising technique for the detection of new mutations and/or DNA polymorphisms on a large scale.
Sala, Frédéric G; Del Moral, Pierre-Marie; Pizzato, Nathalie; Legrand-Abravanel, Florence; Le Bouteiller, Philippe; Lenfant, Françoise
HLA-G is a non-classical HLA class Ib molecule primarily expressed in trophoblast cells, and is thought to play a key role in the induction of materno-fetal tolerance during pregnancy. In addition, the HLA-G gene provides a suitable leader sequence peptide capable of binding to HLA-E. However, the existence of placentas homozygous for the HLA-G*0105N null allele suggests that HLA-G1 might not be essential for fetal survival. To investigate whether expression of the HLA-G*0105N allele supports HLA-E cell surface expression, we transfected the HLA-G*0105N gene into JAR trophoblast cells. Flow cytometry analysis showed that HLA-G*0105N-transfected cells express surface HLA-E to a similar extent as the unmutated HLA-G gene, whereas HLA-G1 cell surface expression was undetectable. Using the NKL cell line in a standard (51)Cr release assay, the HLA-E molecules were found to inhibit natural killer lysis, through a mechanism partially dependent on CD94/NKG2A-mediated recognition.
Bronchud, Miguel H; Tresserra, Francesc; Xu, Wenjie; Warren, Sarah; Cusido, Maite; Zantop, Bernat; Zenclussen, Ana Claudia; Cesano, Alessandra
The hypothesis of this work is that, in order to escape the natural immune surveillance mechanisms, cancer cells and the surrounding microenvironment might express ectopically genes that are physiologically present in the placenta to mediate fetal immune-tolerance. These natural "placental immune-editing switch" mechanisms (PIES) may represent the result of millions of years of mammalian evolution developed to allow materno-fetal tolerance. Here, we introduce genes of the immune regulatory pathways that are either similarly over- or under-expressed in tumor vs normal tissue. Our analysis was carried out in primary breast cancer with metastatic homolateral axillary lymph nodes as well as placenta tissue (both uterine decidual tissue and term placenta tissue) from a pregnant woman. Gene expression profiling of paired non-self and self tissues (i.e. placenta/uterus; breast cancer/normal breast tissue; metastatic lymphnode/normal lymphnode tissue) was performed using the PanCancer Immune gene panel, a 770 Nanostring gene expression panel. Our findings reveal overlapping in specific immune gene expression in placenta and cancer tissue, suggesting that these genes might play an important role in maintaining immune tolerance both physiologically (in the placenta) and pathologically (in the cancer setting).
Cemeli-Cano, Mercedes; Peña-Segura, José Luis; Fernando-Martínez, Ruth; Izquierdo-Álvarez, Silvia; Monge-Galindo, Lorena; López-Pisón, Javier
Introduccion. El sindrome de Legius es un trastorno autosomico dominante resultante de la mutacion del gen SPRED1, que implica perdida de funcion de una de las proteinas implicada en la via patogenica RAS-MAPK, similar a la neurofibromina y por ello muestra similitudes clinicas con la neurofibromatosis tipo 1 (NF1), pero con menor gravedad. Estos pacientes presentan multiples manchas cafe con leche y pueden asociar efelides, rasgos dismorficos, lipomas y trastornos del aprendizaje sin relacionarse con la aparicion de neurofibromas, gliomas opticos, nodulos de Lisch o predisposicion tumoral. Caso clinico. Niño de 10 meses, sin antecedentes personales de interes, que consulta por hipotonia de extremidades, manchas cafe con leche y leve retraso psicomotor. En los antecedentes familiares destaca una hermana de la madre y el abuelo materno con manchas cafe con leche. En nuestro paciente, el estudio genetico fue negativo para NF1, pero se hallo una mutacion en el gen SPRED1, compatible con el sindrome de Legius. La madre asintomatica presenta la misma mutacion en el gen SPRED1. Conclusion. Es de destacar la importancia del diagnostico diferencial de NF1, con las numerosas complicaciones que puede conllevar, con una entidad recientemente descrita de mejor pronostico como es el sindrome de Legius.
Godfrey, Keith M
The fetal origins hypothesis proposes that adult cardiovascular and metabolic disease originate through developmental plasticity and fetal adaptations arising from failure of the materno-placental supply of nutrients to match fetal requirements. The hypothesis is supported by experimental data in animals indicating that maternal nutrition can programme long term effects on the offspring without necessarily affecting size at birth. There is now evidence linking body composition in pregnant women and the balance of nutrient intake during pregnancy with raised levels of cardiovascular risk factors in the offspring. Maternal body composition and diet are thought to affect fetal development and programming as a result of both direct effects on substrate availability to the fetus and indirectly through changes in placental function and structure. Alterations in placental growth and vascular resistance, altered nutrient and hormone metabolism in the placenta, and changes in nutrient transfer and partitioning between mother, placenta and fetus all have important effects on the fetal adaptations thought to be central to programming. Future interventions to improve placental function are likely to have lifelong health benefits for the offspring.
Miranda-Ríos, L Lizette; Vásquez-Garibay, Edgar M; Romero-Velarde, Enrique; Nuño-Cosío, M Eugenia; Campos-Barrera, Liliana R
Objetivo: identificar la asociación entre el porcentaje de adecuación de energía y proteína y la distribución de macronutrientes y azúcar en la dieta de madres e hijos con sus respectivos índices de masa corporal. Material y métodos: en estudio transversal se seleccionaron de forma aleatoria 174 escolares de 5 a 12 años y sus madres. Se obtuvo el IMC y se aplicaron encuestas dietéticas por recordatorio de 24 h entre semana y en fin de semana. Se identificó la asociación de indicadores dietéticos en la díada madre-hijo y de los mismos con el IMC de madres e hijos. Se utilizó la prueba de ji cuadrada, regresión linear y razón de momios. Resultados: el consumo excesivo de energía en las madres incrementó 11 veces el riesgo de consumo excesivo de energía en sus hijas (p=0,04). El consumo materno de lípidos se asoció al consumo de estos en sus hijos e hijas (p.
Bronchud, Miguel H.; Tresserra, Francesc; Xu, Wenjie; Warren, Sarah; Cusido, Maite; Zantop, Bernat; Zenclussen, Ana Claudia; Cesano, Alessandra
The hypothesis of this work is that, in order to escape the natural immune surveillance mechanisms, cancer cells and the surrounding microenvironment might express ectopically genes that are physiologically present in the placenta to mediate fetal immune-tolerance. These natural “placental immune-editing switch” mechanisms (PIES) may represent the result of millions of years of mammalian evolution developed to allow materno-fetal tolerance. Here, we introduce genes of the immune regulatory pathways that are either similarly over- or under-expressed in tumor vs normal tissue. Our analysis was carried out in primary breast cancer with metastatic homolateral axillary lymph nodes as well as placenta tissue (both uterine decidual tissue and term placenta tissue) from a pregnant woman. Gene expression profiling of paired non-self and self tissues (i.e. placenta/uterus; breast cancer/normal breast tissue; metastatic lymphnode/normal lymphnode tissue) was performed using the PanCancer Immune gene panel, a 770 Nanostring gene expression panel. Our findings reveal overlapping in specific immune gene expression in placenta and cancer tissue, suggesting that these genes might play an important role in maintaining immune tolerance both physiologically (in the placenta) and pathologically (in the cancer setting). PMID:27852037
Salomon, Carlos; Torres, Maria Jose; Kobayashi, Miharu; Scholz-Romero, Katherin; Sobrevia, Luis; Dobierzewska, Aneta; Illanes, Sebastian E.; Mitchell, Murray D.; Rice, Gregory E.
Studies completed to date provide persuasive evidence that placental cell-derived exosomes play a significant role in intercellular communication pathways that potentially contribute to placentation and development of materno-fetal vascular circulation. The aim of this study was to establish the gestational-age release profile and bioactivity of placental cell-derived exosome in maternal plasma. Plasma samples (n = 20 per pregnant group) were obtained from non-pregnant and pregnant women in the first (FT, 6–12 weeks), second (ST, 22–24 weeks) and third (TT, 32–38 weeks) trimester. The number of exosomes and placental exosome contribution were determined by quantifying immunoreactive exosomal CD63 and placenta-specific marker (PLAP), respectively. The effect of exosomes isolated from FT, ST and TT on endothelial cell migration were established using a real-time, live-cell imaging system (Incucyte). Exosome plasma concentration was more than 50-fold greater in pregnant women than in non-pregnant women (p<0.001). During normal healthy pregnancy, the number of exosomes present in maternal plasma increased significantly with gestational age by more that two-fold (p<0.001). Exosomes isolated from FT, ST and TT increased endothelial cell migration by 1.9±0.1, 1.6±0.2 and 1.3±0.1-fold, respectively compared to the control. Pregnancy is associated with a dramatic increase in the number of exosomes present in plasma and maternal plasma exosomes are bioactive. While the role of placental cell-derived exosome in regulating maternal and/or fetal vascular responses remains to be elucidated, changes in exosome profile may be of clinical utility in the diagnosis of placental dysfunction. PMID:24905832
Salomon, Carlos; Kobayashi, Miharu; Ashman, Keith; Sobrevia, Luis; Mitchell, Murray D.; Rice, Gregory E.
Migration of extravillous trophoblasts (EVT) into decidua and myometrium is a critical process in the conversion of maternal spiral arterioles and establishing placenta perfusion. EVT migration is affected by cell-to-cell communication and oxygen tension. While the release of exosomes from placental cells has been identified as a significant pathway in materno-fetal communication, the role of placental-derived exosomes in placentation has yet to be established. The aim of this study was to establish the effect of oxygen tension on the release and bioactivity of cytotrophoblast (CT)-derived exosomes on EVT invasion and proliferation. CT were isolated from first trimester fetal tissue (n = 12) using a trypsin-deoxyribonuclease-dispase/Percoll method. CT were cultured under 8%, 3% or 1% O2 for 48 h. Exosomes from CT-conditioned media were isolated by differential and buoyant density centrifugation. The effect of oxygen tension on exosome release (µg exosomal protein/106cells/48 h) and bioactivity were established. HTR-8/SVneo (EVT) were used as target cells to establish the effect (bioactivity) of exosomes on invasion and proliferation as assessed by real-time, live-cell imaging (Incucyte™). The release and bioactivity of CT-derived exosomes were inversely correlated with oxygen tension (p<0.001). Under low oxygen tensions (i.e. 1% O2), CT-derived exosomes promoted EVT invasion and proliferation. Proteomic analysis of exosomes identified oxygen-dependent changes in protein content. We propose that in response to changes in oxygen tension, CTs modify the bioactivity of exosomes, thereby, regulating EVT phenotype. Exosomal induction of EVT migration may represent a normal process of placentation and/or an adaptive response to placental hypoxia. PMID:24244532
Garrabou, Glòria; Hernàndez, Ana-Sandra; Catalán García, Marc; Morén, Constanza; Tobías, Ester; Córdoba, Sarai; López, Marta; Figueras, Francesc; Grau, Josep M; Cardellach, Francesc
In utero exposure of fetuses to tobacco is associated with reduced birth weight. We hypothesized that this may be due to the toxic effect of carbon monoxide (CO) from tobacco, which has previously been described to damage mitochondria in non-pregnant adult smokers. Maternal peripheral blood mononuclear cells (PBMCs), newborn cord blood mononuclear cells (CBMCs) and placenta were collected from 30 smoking pregnant women and their newborns and classified as moderate and severe smoking groups, and compared to a cohort of 21 non-smoking controls. A biomarker for tobacco consumption (cotinine) was assessed by ELISA (enzyme-linked immunosorbent assay). The following parameters were measured in all tissues: mitochondrial chain complex IV [cytochrome c oxidase (COX)] activity by spectrophotometry, mitochondrial DNA levels by reverse transcription polymerase chain reaction, oxidative stress by spectrophotometric lipid peroxide quantification, mitochondrial mass through citrate synthase spectrophotometric activity and apoptosis by Western blot parallelly confirmed by TUNEL (terminal deoxynucleotidyl transferase dUTP nick end labelling) assay in placenta. Newborns from smoking pregnant women presented reduced birth weight by 10.75 percent. Materno-fetal mitochondrial and apoptotic PBMC and CBMC parameters showed altered and correlated values regarding COX activity, mitochondrial DNA, oxidative stress and apoptosis. Placenta partially compensated this dysfunction by increasing mitochondrial number; even so ratios of oxidative stress and apoptosis were increased. A CO-induced mitotoxic and apoptotic fingerprint is present in smoking pregnant women and their newborn, with a lack of filtering effect from the placenta. Tobacco consumption correlated with a reduction in birth weight and mitochondrial and apoptotic impairment, suggesting that both could be the cause of the reduced birth weight in smoking pregnant women.
The operations research and technical assistance (OR/TA) project in The Population Council has concentrated on fertility and infant mortality issues in Latin American and the Caribbean for more than a decade through INOPAL. INOPAL is an acronym for Investigacion Operacional en Planificacion Familiar y Atencion Materno-Infantil para America Latina y el Caribe (Operations Research in Family Planning and Maternal-Child Health in Latin America and the Caribbean). In March 1995, the project entered its third phase, INOPAL III, with the renewal of its contract from the United States Agency for International Development (USAID). To facilitate communication between INOPAL, collaborating agencies, and USAID, INOPAL Director James Foreit moved from Peru to a Council office in Washington, D.C. INOPAL has six objectives: 1) to test the integration of family planning and reproductive health services; 2) to increase access to family planning; 3) to develop strategies to reach special populations; 4) to improve the sustainability of family planning programs; 5) to improve service quality; and 6) to institutionalize operations research capability in the region. INOPAL II conducted 61 subprojects in 12 countries in collaboration with 24 USAID cooperating agencies and other international organizations. The project established new services for postpartum women, adolescents, and rural women; improved program quality and financial sustainability; increased vasectomy promotion and the range of available contraceptives; and developed new modes of service delivery. A key finding of INOPAL II operations research was the importance of increasing cost-effectiveness to ensure program sustainability. INOPAL III will work toward all six objectives, with an emphasis on integrating reproductive health and family planning services. Operations research and technical assistance (OR/TA) subprojects will focus on the prevention and treatment of sexually transmitted diseases, perinatal and postpartum
Salomon, Carlos; Torres, Maria Jose; Kobayashi, Miharu; Scholz-Romero, Katherin; Sobrevia, Luis; Dobierzewska, Aneta; Illanes, Sebastian E; Mitchell, Murray D; Rice, Gregory E
Studies completed to date provide persuasive evidence that placental cell-derived exosomes play a significant role in intercellular communication pathways that potentially contribute to placentation and development of materno-fetal vascular circulation. The aim of this study was to establish the gestational-age release profile and bioactivity of placental cell-derived exosome in maternal plasma. Plasma samples (n = 20 per pregnant group) were obtained from non-pregnant and pregnant women in the first (FT, 6-12 weeks), second (ST, 22-24 weeks) and third (TT, 32-38 weeks) trimester. The number of exosomes and placental exosome contribution were determined by quantifying immunoreactive exosomal CD63 and placenta-specific marker (PLAP), respectively. The effect of exosomes isolated from FT, ST and TT on endothelial cell migration were established using a real-time, live-cell imaging system (Incucyte). Exosome plasma concentration was more than 50-fold greater in pregnant women than in non-pregnant women (p<0.001). During normal healthy pregnancy, the number of exosomes present in maternal plasma increased significantly with gestational age by more that two-fold (p<0.001). Exosomes isolated from FT, ST and TT increased endothelial cell migration by 1.9±0.1, 1.6±0.2 and 1.3±0.1-fold, respectively compared to the control. Pregnancy is associated with a dramatic increase in the number of exosomes present in plasma and maternal plasma exosomes are bioactive. While the role of placental cell-derived exosome in regulating maternal and/or fetal vascular responses remains to be elucidated, changes in exosome profile may be of clinical utility in the diagnosis of placental dysfunction.
Zheng, M; Seidah, N G; Pintar, J E
Many peptides modulating cellular growth and differentiation in development are first synthesized as precursors that require proteolytic processing by the "prohormone convertase" (PC) family of endoproteases. Using in situ hybridization, we have here determined that two recently identified PC members, PC5 and PACE4, are expressed prenatally in spatial and temporal patterns that are each unique and distinct from those of previously characterized PCs. PC5 mRNA is first detected at e9 in highly restricted regions of the neural tube, in caudal myotomes, and at the materno-embryonic junction of the uterus. At e10, restricted PC5 mRNA expression is detected in the optic and otic vesicles, the roof of midbrain, and trunk myotomes. By midgestation (e13-e16), PC5 mRNA expression in the developing nervous system has expanded to multiple regions including hippocampus, thalamus, hypothalamus, brain stem, and spinal cord. By midgestational stages, PACE4 mRNA is expressed in multiple regions of the developing nervous system, generally distinct from PC5, and including a uniquely high level of expression in the ventricular zone of the hippocampus. In several peripheral organ systems, including lung and gut, we observed remarkably complementary patterns of PC5 and PACE4 expression. In addition, PACE4 transcripts are expressed in the heart and liver, whereas PC5 is expressed in the adrenal and kidney primordia. These results suggest that both PC5 and PACE4 may be involved in neuropeptide precursor processing in the developing nervous system and peripheral tissues with the general nonoverlapping expression patterns suggesting that PC5 and PACE4 may process distinct sets of proprotein substrates.
In 2005, OzFoodNet sites recorded 25,779 notifications of seven potentially foodborne diseases, which was 12.5 per cent higher than the mean for the previous five years. Diseases with significant increases in 2005, when compared to historical reports include: Shiga toxin-producing Escherichia coli, shigellosis, haemolytic uraemic syndrome, salmonellosis and campylobacteriosis. The most significant increases were those due to Salmonella (13.1%) and Campylobacter (5.1%) because of the frequency of these infections. Reports of listeriosis were lower than previous years and there were only four materno-foetal infections compared to seven in 2004. Sites reported 624 outbreaks of gastroenteritis and foodborne disease in 2005. One hundred and two of these were foodborne and affected 1,926 persons, hospitalised 187 and caused four deaths. Among foodborne outbreaks, Salmonella Typhimurium was the most common pathogen and restaurants were the most common place where food implicated in outbreaks was prepared. Outbreaks associated with fish, poultry meat, and mixed meat dishes were common. There were several large outbreaks of salmonellosis, including one associated with dips at a Turkish restaurant, one with alfalfa sprouts, and two due to egg-based dishes. In addition, there were several multi-state investigations of Salmonella infection during 2005, including one large outbreak of S. Typhimurium 135 implicating poultry meat from retail supermarkets. Sites identified a source of infection for 39 per cent (41/104) of investigations into clusters of salmonellosis. Overall, 97.4 per cent of Salmonella notifications on state and territory surveillance databases recorded complete information about serotype and phage type. This report highlights the considerable burden of disease from food sources in Australia and the need to continue to improve food safety.
Díaz, P; Vallejos, C; Guerrero, I; Riquelme, G
The human placental syncytiotrophoblast (hSTB) is a polarized epithelial structure, without paracellular routes, forming the main barrier for materno-fetal exchange. There is ample evidence suggesting the presence of potassium (K(+)) channels in the placental apical membrane; which could contribute to membrane potential and volume regulation. We have therefore examined the K(+) currents of isolated apical membranes from human term placenta using electrophysiological methods: reconstitution of ion channels from apical membranes into giant liposomes (single channel recordings, patch clamp method) or their functional transplantation into Xenopus laevis oocytes (total currents recording, voltage clamp method). Single channel recording experiments show the presence of K(+) channels in the hSTB microvillous membrane sensitive to Tetraethylammonium (TEA) and Barium (Ba(+2)). Patch current activity was diminished 50% and 70% by 20 mmol/L TEA and 5 mmol/L Ba(+2) respectively. The more frequent conductance was approximately 73pS, however several levels of current were detected suggesting the presence of more than one type of K(+) channel. In addition, sodium (Na(+)) sensitivity was detected in the patch current thus, over 10 mmol/L Na(+) reduced the seal current to 38%. These results were corroborated by the total current experiments where the K(+) current elicited in injected oocytes with apical purified membrane was blocked by Ba(+2) and TEA. The total current was also affected by Na(+), becoming larger when a Na(+)-free solution was used. Our results show the existence of at least two types of Ba(+2)-sensitive K(+) channels including a TEA sensitive sub-population, and some of them Na(+) sensitive K(+) channels. These channels could be the conductive pathways proposed previously for this cation in placental hSTB. Our novel contribution has been to successfully obtain K(+) channel recordings in systems suitable for electrophysiological studies of isolated apical membranes.
Winder, Nicola R.; Krishnaveni, Ghattu V.; Veena, Sargoor R.; Hill, Jacqueline C.; Karat, Chitra L.S.; Thornburg, Kent L.; Fall, Caroline H.D.; Barker, David J.P.
Background Studies have shown that the shape and size of the placenta at birth predict blood pressure in later life. The influences that determine placental morphology are largely unknown. We have examined the role of mother’s body size. Methods We studied 522 neonates who were born in a maternity hospital in Mysore, South India. The weight of the placenta and the length and breadth of its surface, were measured after delivery. Results Higher maternal fat mass predicted a larger placental surface (p=0.02), while larger maternal head circumference predicted a more oval placental surface (p=0.03). Higher maternal fat mass and larger maternal head circumference were associated with greater placental efficiency, indicated by lower ratios of the length (p=0.0003 and p=0.0001 respectively) and breadth (p=0.0002 and p<0.0001) of the surface to birthweight. In a sub-sample of 51 mothers whose own birthweight was available, higher maternal birthweight was related to lower ratios of the length and breadth of the surface to birthweight (p=0.01 and 0.002). Maternal height was unrelated to placental size or shape. Conclusions Higher maternal fat mass, reflecting the mother’s current nutritional state, and larger maternal head circumference, reflecting the mother’s fetal/infant growth, are associated with changes in the shape and size of the placental surface and greater placental efficiency. We suggest that these associations reflect effects of the mother’s nutrition at different stages of her lifecourse on the development of the placenta and on materno-placento-fetal transfer of nutrients. PMID:21924491
Flores-Peña, Yolanda; Acuña-Blanco, América; Cárdenas-Villarreal, Velia M; Amaro-Hinojosa, Marily D; Pérez-Campa, María E; Elenes-Rodríguez, Jesús R
Introducción: las madres no reconocen cuando su hijo presenta sobrepeso-obesidad (SP-OB) y existe evidencia de relación entre esta percepción (PMPH) no adecuada y el estilo materno de alimentación infantil (EMAI).Objetivos: a) evaluar la confiabilidad del Cuestionario Estilos de Alimentación del Cuidador (CFSQ); b) verificar la asociación entre la PMPH y el estado nutricio del hijo; c) describir el EMAI; d) verificar diferencias entre el EMAI y el IMC del hijo; e) verificar la asociación entre la PMPH y los EMAI.Métodos: participaron 566 diadas (madre/hijo preescolar). Las madres seleccionaron la imagen que representaba el peso del hijo (PMPH) y contestaron el CFSQ. Se calculó coeficiente alpha de Cronbach. Se aplicó V de Cramer, ANOVA y Chi-cuadrado. Resultados: la consistencia interna del CFSQ fue 0,88. El 8,4% (n = 12) de madres de hijos con SP-OB tuvieron PMPH adecuada (V = 0,26, p = 0,001). El EMAI más frecuente fue el autoritario (34,5%, n = 195), el EMAI no involucrado presentó IMC más alto del hijo (F = 3,91, p < 0,05). Cuando las madres perciben el SP-OB de sus hijos ejercen un EMAI no involucrado (χ2 = 15,384, gl = 6, p < 0,05).Conclusiones: las madres de hijos con SP-OB tienen una PMPH no adecuada y presentan con mayor frecuencia EMAI autoritario. Cuando perciben a sus hijos como con SP-OB tienen EMAI no involucrado. Se recomiendan intervenciones para reconocer el SP-OB del hijo y la enseñanza de estrategias que promuevan un EMAI con autoridad.
dos Santos Perez, Gabriela; Santana dos Santos, Lucimeire; dos Santos Cordeiro, Gabriele; Matos Paraguassú, Gardênia; Abensur Athanazio, Daniel; Couto, Ricardo David; Bonfim de Jesus Deiró, Tereza Cristina; Manhães de Castro, Raul; Barreto-Medeiros, Jairza Maria
Objetivo: teniendo en cuenta el consumo frecuente de dietas ricas en grasas por las mujeres en edad reproductiva, el objetivo del presente estudio fue investigar los efectos del consumo materno de una dieta alta en grasas durante el periodo perinatal y/o post-destete en el higado y el metabolismo de los lipidos en ratas jovenes. Métodos: ratas hembra Wistar fueron alimentadas durante el embarazo y la lactancia con un alto contenido de grasa (H) o de control (C). La descendencia se asigno a cuatro grupos: Control (CC, n = 11), descendencia alimentada con una dieta de control despues del destete; Control de dieta alta en grasa (CH, n = 10), crias alimentadas con una dieta alta en grasas despues del destete; Alta en grasas de alta en grasa (HH, n = 10), hijos de madres H alimentados con una dieta alta en grasas despues del destete; y Control de alta en grasa (HC, n = 9), hijos de madres H alimentados con dieta de control tras el destete. Resultados y discusión: la ingesta de alimentos no difirio entre los grupos; sin embargo, el peso relativo del tejido adiposo fue mayor en los animales de los grupos HC, HH y CH (p ≤ 0,005). La esteatosis hepatica se encontro en los CH y HH, que tambien presentaban hipercolesterolemia (p ≤ 0,05). Los niveles de las enzimas hepaticas alanina aminotransferasa (ALT) y gamma-glutamil transpeptidasa (GGT) fueron mayores en el grupo de HH, y el nivel de LDL fue mayor en el grupo CH en comparacion con el CC. El consumo de la dieta propicio la obesidad durante los periodos criticos del desarrollo y puede contribuir a la aparicion de obesidad visceral, esteatosis hepatica e hipercolesterolemia en ratas adultas, incluso en ausencia de cambios en la ingesta dietetica.
Jin, Li-Ping; Zhou, Yue-Hua; Wang, Ming-Yan; Zhu, Xiao-Yong; Li, Da-Jin
CD28/CTLA-4 interactions with their specific B7-ligands (CD80 and CD86) play a decisive role in antigenic and allogenic responses. Recently, experimental transplant studies demonstrated that donor-specific tolerance was achieved by blocking these interactions. However, the role of blockade of CD28/B7 costimulatory pathway in the maintenance of materno-fetal tolerance has received little attention. In the present study, abortion-prone CBA/J females mated with DBA/2 males were administered with anti-CD80 and anti-CD86 monoclonal antibodies (mAbs) on day 4 of gestation (time of murine implantation). We demonstrated that the combined use of anti-CD80 and anti-CD86 mAbs induced maternal tolerance to the fetus in the abortion-prone CBA/J mice, and displayed expansion of the maternal CD4(+)CD25+ regulatory T cell population and up-regulated expression of CTLA-4, suggesting an active mechanism of regulatory T cells in suppressing maternal rejection to the fetus. In addition, the anti-CD80/86 mAbs treatment enhanced Th2 and reduced Th1 cytokine production in mice, implying that the development of Th2 cells might contribute to maternal tolerance to her fetus. Together, these findings indicated that blocking CD80 and CD86 enhanced maternal tolerance to her fetus in mice by increasing regulatory T cell function and skewing toward a Th2 response. Our data might provide an enhanced understanding of the maternal-fetal immune relationship and be helpful in clinical trials for immunotherapy of recurrent spontaneous abortion.
Cifuentes, Yolanda; Murcia, Martha Isabel; Piar, Jorge; Pardo, Patricia
Tuberculosis is a serious public health problem worldwide. In 2012, the World Health Organization estimated 8.6 million new cases and 1.3 million deaths due to the disease. In 2011, the incidence in Colombia was 24 cases per 100,000 inhabitants. There is little information about tuberculosis in pregnant women, and congenital infection is considered a rare disease that is difficult to diagnose, leads to high mortality, and may be confused with tuberculosis acquired after birth. In addition, it has been associated with HIV infection in mothers and infants. Moreover, there is increasing incidence of congenital syphilis in the world. In Colombia, the prevalence is 2.5 cases per 1,000 births and its frequency in the Instituto Materno Infantil-Hospital La Victoria is one case per 57 births. We report the case of a newborn under treatment for congenital syphilis and in whom microcalcifications were found in a transfontanelar ultrasound. This finding warned about the existence of another infectious agent. PCR was negative for cytomegalovirus, and IgM titers for toxoplasma, rubella and herpes I and II were also negative. After learning about a history of incomplete treatment for tuberculosis in the mother, we suspected the presence of an infection by the tubercle bacillus in the newborn. No acid-fast bacilli were demonstrated in three gastric juice samples. The IS6110 PCR assay was found positive in cerebrospinal fluid and urine, but not in blood. The newborn was treated with crystalline penicillin for 10 days along with isoniazid, rifampicin, pyrazinamide and streptomycin. The patient is currently under clinical monitoring.
Taylor, Tory M.; Hembling, John; Bertrand, Jane T.
Objectives. To describe levels of risky sexual behaviour, HIV testing and HIV knowledge among men and women in Guatemala by ethnic group and to identify adjusted associations between ethnicity and these outcomes. Design. Data on 16,205 women aged 15–49 and 6822 men aged 15–59 from the 2008–2009 Encuesta Nacional de Salud Materno Infantil were used to describe ethnic group differences in sexual behaviour, HIV knowledge and testing. We then controlled for age, education, wealth and other socio-demographic factors in a multivariate logistic regression model to examine the effects of ethnicity on outcomes related to age at sexual debut, number of lifetime sex partners, comprehensive HIV knowledge, HIV testing and lifetime sex worker patronage (men only). Results. The data show low levels of risky sexual behaviour and low levels of HIV knowledge among indigenous women and men, compared to other respondents. Controlling for demographic factors, indigenous women were more likely than other women never to have been tested for HIV and to lack comprehensive HIV knowledge. They were less likely to report early sexual debut and three or more lifetime sexual partners. Indigenous men were more likely than other men to lack comprehensive HIV knowledge and demonstrated lower odds of early sexual debut, 10 or more lifetime sexual partners and sex worker patronage. Conclusions. The Mayan indigenous population in Guatemala, while broadly socially vulnerable, does not appear to be at elevated risk for HIV based on this analysis of selected risk factors. Nonetheless, low rates of HIV knowledge and testing may be cause for concern. Programmes working in indigenous communities should focus on HIV education and reducing barriers to testing. Further research into the factors that underlie ethnic self-identity and perceived ethnicity could help clarify the relative significance of these measures for HIV risk and other health outcomes. PMID:24834462
Sevilla, R; Sejas, E; Zalles, L; Belmonte, G; Chevalier, P; Parent, G; Katherine, H; Kolsteren, P
The "CLAPSEN" approach was developed at the Hospital Materno Infantil German Urquidi in Cochabamba, to provide a global response for the study and treatment of childhood malnutrition. "CLAPSEN" is short for Clinical, Laboratory, Anthropometry, Psychology, Sociology, Nursing (Enfermera in Spanish) and Nutritional care. Most of the malnourished children admitted to Cochabamba Hospital are from poor families, more than three quarters of whom have only recently arrived in the city. Acute malnutrition is just one of the manifestations of a generally unfavorable environment. Malnutrition should not be considered as a simple deficiency in energy, protein or micronutrients, but rather as a multi-deficiency syndrome, also involving a lack of basic health and social care. This study demonstrates that malnourished children display a considerable degree of psychological retardation and of immune system depression. After five weeks of rehabilitation, the children were considered to have recuperated physically, as assessed by anthropometry, but not psychologically, as assessed by the adapted Dewer Score, or immunologically, as shown by the size of the thymus or the extent of maturation of lymphocytes. This strategy was not designed as a long-term approach for treating malnutrition, but rather as a research project to characterize the children arriving at the hospital, to determine the reasons for their malnutrition and to identify strategies that could be implemented earlier by health centers of social services, to prevent deterioration in the condition of these children to severe malnutrition requiring hospital admission. We believe that, in this Latin American context, in which the rate of acute malnutrition is low, the hospital should continue to be involved in the treatment of severely malnourished children with associated diseases. The child's stay in hospital should be short and once the child has recovered clinically, he should be sent home. In light of the observed
Piñuñuri, Raúl; Mardones, Constanza; Valenzuela, Carina; Estay, Pamela; Llanos, Miguel
Introducción: Las consecuencias de la exposición fetal a drogas de abuso en niños han sido estudiadas extensamente. El presente estudio pretende describir la realidad chilena en esta materia, caracterizando el crecimiento de niños expuestos a drogas durante la vida fetal. Objetivo: Comparar la antropometría entre neonatos expuestos a drogas por consumo materno durante el embarazo y controles no expuestos, de los 0 a 6 meses de vida. Materiales y métodos: Se obtuvieron los datos antropométricos desde el nacimiento y hasta los 6 meses de vida de 74 individuos sanos atendidos en Centros de Salud de la comuna de Valparaíso, y de 61 individuos con antecedentes de consumo de drogas de la madre durante el embarazo, atendidos en la Corporación para la Nutrición Infantil (CONIN). Posteriormente se compararon las diferencias entre ambos grupos mediante (T-Student por grupos). Resultados: Según la edad gestacional hay diferencias en la proporción de individuos de pretérmino entre grupos de estudio, observándose una prevalencia de menos del 11% en el grupo no expuesto y superior al 25% en el grupo expuesto. En base a las curvas de los Dres. Pittaluga y Alarcón para crecimiento intrauterino, el grupo expuesto tuvo mayor cantidad de sujetos pequeños para la edad gestacional en ambos sexos, con 37% en CONIN y menos del 6% en el grupo no expuesto. El análisis estadístico muestra que existen diferencias significativas (p.
Sánchez-Martínez, Karla Lucía; Oseguera-Torres, Luis Fernando; Ávalos-Nuño, Joel
Introducción: la diabetes mellitus constituye la alteración metabólica más frecuentemente asociada al embarazo. A medida que se optimiza el manejo de la diabetes durante la gestación, disminuye la frecuencia y severidad de las complicaciones fetales y neonatales. El objetivo de este trabajo fue identificar la relación que existe entre el nivel de hemoglobina glucosilada materna y la cardiomiopatía hipertrófica fetal. Métodos: estudio transversal analítico de julio a noviembre del 2015. Se incluyeron pacientes con embarazo simple de las 28-37 semanas con diagnóstico de diabetes mellitus pregestacional o gestacional. Se les realizó un ecocardiograma fetal, asimismo se les efectuó la medición de hemoglobina glucosilada. Resultados: se incluyeron 104 pacientes embarazadas diabéticas en el estudio, 83 pacientes en el grupo con hemoglobina glucosilada normal y 21 con hemoglobina glucosilada alterada. De las 104 pacientes, 12 presentaron cardiomiopatía hipertrófica fetal; 5 del grupo con hemoglobina glucosilada normal y 7 del grupo con hemoglobina glucosilada alterada. Se identificó que existe una clara asociación reportada previamente entre el grado de descontrol metabólico materno y la presencia de complicaciones fetales y neonatales. Conclusiones: se observó una correlación positiva entre los valores de hemoglobina glucosilada materna elevada y el aumento del grosor del septum interventricular fetal. La evaluación ecocardiográfica fetal es recomendada en todas las embarazadas con diabetes mellitus gestacional y pregestacional.
Palacios de Franco, Ylbe; Velazquez, Karina; Segovia, Natalia; Acosta, Carolina; Yanosky, Deborah; Franco Palacios, Ylbe V; Ramos, Amanda; Franco Palacios, Carlos R
Background: Preeclampsia is associated with significant materno-fetal morbidity and mortality. Podocyturia due to podocyte damage seems to be associated with the disease. The objective of this study was to evaluate the usefulness of urinary podocalyxin as a marker of preeclampsia in a Hispanic population. Methods: 63 patients were studied. 25 patients had preeclampsia/eclampsia (PE-E). 38 patients had normal pregnancies and served as control group. 24 hour proteinuria, urine protein/creatinine (UPC), urinary podocalyxin and perinatal outcomes were measured. A Podocalyxin ELISA test was used to detect podocyturia. Results: Mean age (years), mean±SD was 30.5±5.4 in normal patients vs 30.6±5.8 in PE-E, p=0.98. Median gestational age (weeks) was, 38 (range 21-42) for normal pregnancies and 36 (range 24-40) for patients with PE-E, <0.001. Urine podocalyxin/creatinine on admission (ng/mg), median [IQR] in normal patients was 55.9 [29.4, 74.9] vs 109.7 [63.8, 234.1] in PE-E, p=0.001. After adjusting for admission proteinuria, urinary podocalyxin remained independently associated with preeclampsia: OR=1.0040 (95% CI 1.0003-1.0078), p=0.03. There was low to moderate correlation between UPC and urinary podocalyxin, Spearman’s =0.31, p=0.01. In PE-E, post-partum urine podocalyxin was lower, median [IQR]: 69.7 [32.7, 184.8] p=0.19 vs admission. There was a trend towards more podocyturia and proteinuria in patients with eclampsia, comparing to those with preeclampsia. There was no association observed between podocyturia and neonatal mortality, IUGR or Apgar scores. Conclusions: Significantly higher levels of urinary podocalyxin are seen in preeclampsia/eclampsia. They tend to normalize after delivery. PMID:25057338
Sam-Soto, Selene; Sámano, Reyna; Flores-Ramos, Mónica; Rodríguez-Bosch, Mario; García-Salazar, Danae; Hernández-Mohar, Gabriela; García-Espinosa, Verónica
Introducción: la mayoría de las adolescentes con antecedente de abuso sexual inician su control prenatal tardíamente, incrementando el riesgo de eventos perinatales adversos. Objetivo: analizar la ganancia de peso gestacional materna, peso y longitud neonatales de adolescentes con y sin el antecedente de abuso sexual. Métodos: estudio observacional, retrolectivo con adolescentes embarazadas, entre 10 y 16 años, primigestas, con embarazo único y con al menos tres consultas prenatales. Las adolescentes fueron divididas en dos grupos: 55 casos con antecedente de abuso sexual (AAS) y 110 sin antecedente de abuso sexual (SAAS). Se obtuvieron datos: sociodemográficos, presencia de infecciones de transmisión sexual, toxicomanías, índice de masa corporal pregestacional y ganancia de peso gestacional maternos, así como peso y longitud del neonato. Se calcularon pruebas de asociación y comparación de medias. Resultados: las adolescentes con AAS tuvieron mayor prevalencia de virus del papiloma humano. El peso y longitud de los neonatos del grupo SAAS fue mayor, con cerca de 200 g (p = 0,002) y 2 cm (p = 0,001) que el grupo con AAS. El aumento de peso gestacional fue 5 kg inferior en las adolescentes con AAS (p = 0,005). El consumo de drogas ilegales fue similar en ambos grupos y se asoció con menor peso de los recién nacidos. Conclusiones: el antecedente de abuso sexual en adolescentes embarazadas se asoció con mayor frecuencia al virus del papiloma humano, menor peso y longitud en los recién nacidos y menor aumento de peso gestacional en la madre. El uso de drogas ilícitas fue similar en ambos grupos y se asoció con menor peso al nacer.
Jauniaux, Eric; Poston, Lucilla; Burton, Graham J
Miscarriage and pre-eclampsia are the most common disorders of human pregnancy. Both are placental-related and exceptional in other mammalian species. Ultrasound imaging has enabled events during early pregnancy to be visualized in vivo for the first time. As a result, a new understanding of the early materno-fetal relationship has emerged and, with it, new insight into the pathogenesis of these disorders. Unifying the two is the concept of placental oxidative stress, with associated necrosis and apoptosis of the trophoblastic epithelium of the placental villous tree. In normal pregnancies, the earliest stages of development take place in a low oxygen (O2) environment. This physiological hypoxia of the early gestational sac protects the developing fetus against the deleterious and teratogenic effects of O2 free radicals (OFRs). In miscarriage, development of the placento-decidual interface is severely impaired leading to early and widespread onset of maternal blood flow and major oxidative degeneration. This mechanism is common to all miscarriages, with the time at which it occurs in the first trimester depending on the aetiology. In contrast, in pre-eclampsia the trophoblastic invasion is sufficient to allow early pregnancy phases of placentation but too shallow for complete transformation of the arterial utero-placental circulation, predisposing to a repetitive ischaemia-reperfusion (I/R) phenomenon. We suggest that pre-eclampsia is a three-stage disorder with the primary pathology being an excessive or atypical maternal immune response. This would impair the placentation process leading to chronic oxidative stress in the placenta and finally to diffuse maternal endothelial cell dysfunction.
Nehlig, A; Debry, G
The teratogenic effect of caffeine has been clearly demonstrated in rodents. The sensitivity of different animals species is variable. Malformations have been demonstrated in mice at 50-75 mg/kg of caffeine, whereas the lowest dose usually needed to induce malformations is 80 mg/kg in rats. However, when caffeine is administered in fractioned amounts during the day, 330 mg/kg/day are necessary to reach teratogenicity in rats. In rodents, the most frequently observed malformations are those of the limbs and digits, ectrodactyly, craniofacial malformations (labial and palatal clefts) and delays in ossification of limbs, jaw and sternum. Nevertheless, even in rodents, caffeine can be considered as a weak teratogenic agent, given the quite large quantities of caffeine necessary to induce malformations and the small number of animals affected. In humans, caffeine does not present any teratogenic risk. The increased risk of the most common congenital malformations entailed by moderate consumption of caffeine is very slight. However, caffeine potentiates the teratogenic effect of other substances, such as tobacco, alcohol, and acts synergistically with ergotamine and propranolol to induce materno-fetal vasoconstrictions leading to malformations induced by ischemia. Therefore, even though caffeine does not seem to be harmful to the human fetus when intake is moderate and spread out over the day, some associations, especially with alcohol, tobacco, and vasoconstrictive or anti-migraine medications should be avoided. Maternal consumption of caffeine affects brain composition, especially in case of a low-protein diet and also seems to interfere with zinc fixation in brain. Maternal exposure to caffeine induces also long-term consequences on sleep, locomotion, learning abilities, emotivity, and anxiety in rat offspring, whereas in humans, more studies are needed to ascertain long-term behavioral effects of caffeine ingestion by pregnant mothers.
Villagrán-García, Edna F; Hurtado-López, Erika F; Vasquez-Garibay, Edgar M; Troyo-Sanromán, Rogelio; Aguirre-Salas, Liuba M; Larrosa-Haro, Alfredo; León-Robles, Ruth V
Objetivo: demostrar que la diabetes mellitus tipo 1 (DMT1) en escolares y adolescentes se asocia a una temprana introducción de leche entera pasteurizada/no pasteurizada en el segundo semestre de vida. Material y métodos: en este estudio no probabilístico de casos y controles se incluyeron 150 participantes (75 pacientes y 75 controles), divididos de acuerdo a la edad y el sexo de 6 a 16 años de edad. Se consideró DMT1 como una variable independiente. El análisis estadístico incluyó la prueba de Ji cuadrada y razón de momios con su intervalo de confianza del 95% Resultados: los participantes fueron 51% varones, con edades de 11 ± 3.2 años y el 80% alimentados al pecho materno, 18% en forma exclusiva, y el 13% recibieron leche entera pasteurizada/no pasteurizada. Los niños que recibieron leche entera pasteurizada/no pasteurizada tuvieron un riesgo mayor de DMT1 [OR, 3,9 (1,2-12,8)]. La presencia de DMT1 fue tres veces más elevada en quienes consumieron leche entera pasteurizada/no pasteurizada que en aquellos que recibieron fórmula de seguimiento [RM, 3,2 (1,03-10,07)]. Conclusión: la introducción de leche entera pasteurizada/ no pasteurizada en el segundo semestre de vida incrementó cuatro veces la probabilidad de desarrollo de DMT1 en escolares y adolescentes.
Bamba, Sanata; Some, Der Adolphe; Chemla, Cathy; Geers, Régine; Guiguemde, Tinga Robert; Villena, Isabelle
Introduction La présente étude rapporte les données sérologiques de 306 sérums collectés chez des parturientes au CHU de Bobo Dioulasso et analysés rétrospectivement au CHU de Reims en 2011. Le but était de déterminer le statut sérologique de ces parturientes et d'en déduire la conduite à tenir. Méthodes La recherche des IgG et des IgM anti toxoplasmiques était systématique. Les techniques d'agglutination haute sensibilisée et celle d'Immunocapture M ont servi à la recherche respective des anticorps spécifiques IgG et des IgM. Résultats Sur 306 sérums analysés, 95 (31%) avaient des IgG positifs et aucun n'avait des IgM. Deux cent onze (211) sérums (69%) des sérums n'avaient ni IgG, ni IgM. Conclusion Nos résultats montrent que 31% des femmes en dehors d'une immunodépression sous jacente, possèdent une immunité résiduelle vis à vis de Toxoplasma gondii et n'ont pas la nécessité d'avoir une surveillance sérologique pendant la grossesse. Cependant, 69% (211) des parturientes sont à risque d'une séroconversion, et devraient bénéficier de conseils hygiéno diététiques, associés à une surveillance sérologique durant la grossesse. Ces résultats montrent l'intérêt de mettre en place des mesures de prévention contre la toxoplasmose congénitale, étant l'une des affections materno - foetales les plus fréquentes par la mise en place d'un diagnostic prénatal de la toxoplasmose en routine dans notre hôpital. PMID:22937183
Gomes da Costa, Ana; Vargas, Sara; Clode, Nuno; M Graça, Luís
Introdução: A anemia e a carência de ferro são problemas de saúde globais e são mais frequentes em grávidas, mulheres em idade reprodutiva e crianças. O objetivo deste trabalho consistiu na avaliação da prevalência de anemia ferropénica e dos fatores de risco associados à ferropénia, na primeira metade da gravidez, numa amostra da população portuguesa. Material e Métodos: Estudo prospetivo, conduzido num hospital terciário, que incluiu grávidas até à 20ª semana de gestação. Foram coletados dados demográficos, relativos à gravidez e foram determinados os níveis séricos de hemoglobina e de ferritina no sangue materno. Recorreu-se à análise de regressão logística de variáveis múltiplas para identificar potenciais fatores de risco para ferropénia. Resultados: Foram incluídas 201 grávidas, das quais cinco (2,49%) tinham anemia. Para além disso, 77 grávidas (38,3%) tinham carência de ferro e 22 (10,9%) apresentaram ferropénia grave. A idade materna foi o único fator de risco identificado. O odds ratio foi de 12,99 (95% IC 2,41 - 70,0) para grávidas com idade inferior a 20 anos e de 2,09 (95% IC 1,05 - 4,14), para grávidas com idade superior a 30 anos. Discussão e Conclusão: Na nossa amostra, a prevalência de anemia na primeira metade da gravidez foi inferior à reportada noutros estudos. No entanto, mais de 30% das grávidas apresentaram carência de ferro. A idade materna foi o único fator de risco identificado.
Gutiérrez-Adán, A; Rizos, D; Fair, T; Moreira, P N; Pintado, B; de la Fuente, J; Boland, M P; Lonergan, P
Recent data have demonstrated that fast-cleaving embryos produced in vitro are more likely to develop to blastocyst stage, and that the postfertilization culture system used impacts considerably on the mRNA expression and quality of blastocysts produced. The present study is the first to investigate the relationship between the developmental speed of embryos produced in vivo or in vitro and the temporal transcription pattern. Genes related to important preimplantation events are monitored during the first 4 days of embryo development in embryos with fast or slow development. The set of genes analyzed in the present study characterizes several important physiological processes including: transport and metabolism of fructose (Glut-5), stress (SOX), mitochondrial activity and detoxification of reactive oxygen species (MnSOD), cell communication (Cx43), maternal recognition of pregnancy (IFN-tau), imprinting (IGF-II), apoptosis (Bax), growth factor binding and metabolism (IGF-IR), and oxidative stress (G6PD). Using real time PCR, we have found that for all the genes analyzed there are differences in mRNA expression between embryos with fast and slow developmental speed produced both in vitro and in vivo. Frequently, genes that may be stress induced such as SOX, MnSOD, BAX, IFtau, and G6PD were highly transcribed in in vitro produced embryos and in embryos with slow developmental speed. On the other side, transcripts from genes related with metabolism, growth, and differentiation (Glut-5, Cx 43, IGF-II, and IGF-IR) were detected in higher amounts in in vivo produced embryos and in embryos with fast developmental speed. Moreover, it is interesting to stand out that for some genetic markers (such as SOX and G6PD) there are in vivo and in vitro differences that can be observed even before materno-zygotic transition, which probably reflects a differential mRNA degradation. These transcription patterns reflects the embryonic response to the adverse in vitro culture
Sichieri, Rosely; Pereira, Rosangela A
This work describes and comments on articles in the area of Public Health Nutrition published in Revista de Saúde Pública (RSP - Public Health Journal) from 1967 to 2016. We searched in the PubMed database restricted to the periodical "Revista de Saúde Pública" and using terms related to key topics in the area of Public Health Nutrition. We retrieved 742 articles and, after exclusion of duplicates and articles unrelated to the subject, we analyzed 441 articles, grouped according to subject: dental caries, anemia, hypovitaminosis A, macro/micronutrients, malnutrition, nutritional assessment, overweight/obesity, food consumption, low birthweight, and breastfeeding. We observed significant increase in the number of articles published and diversification of subjects addressed over the 50 years, representing the consistent development of the scientific field of Nutrition in Brazil. Since its inception, RSP has played an important role in the dissemination of knowledge about the main nutritional issues in Brazil. RESUMO Este trabalho descreve e comenta os artigos na área de Nutrição em Saúde Pública, publicados na Revista de Saúde Pública (RSP) de 1967 a 2016. Foi realizada busca na base de dados PubMed restrita ao periódico "Revista de Saúde Pública" e utilizando termos relacionados com temáticas chaves da área de Nutrição em Saúde Pública. Foram recuperados 742 artigos e, após as exclusões dos artigos repetidos e daqueles não relacionados com a temática, foram analisados 441 artigos, agrupados segundo o tema: cárie dental, anemia, hipovitaminose A, macro/micronutrientes, desnutrição, avaliação do estado nutricional, sobrepeso/obesidade, consumo de alimentos, baixo peso ao nascer, e aleitamento materno. Observou-se incremento significativo no número de artigos publicados e a diversificação dos temas tratados ao longo destes 50 anos, retratando o consistente desenvolvimento do campo científico da Nutrição no Brasil. Desde seu início, a
Martínez García, Rosa María
El embarazo representa un desafío desde el punto de vista nutricional, debido a que las necesidades de nutrientes están aumentadas y una alteración en su ingesta puede afectar la salud materno-fetal. Estados deficitarios en micronutrientes están relacionados con preeclampsia, retraso del crecimiento intrauterino, aborto y anomalías congénitas. Actualmente, la dieta de muchas madres gestantes es insuficiente en micronutrientes, siendo necesaria su suplementación. Se recomienda la suplementación con ácido fólico en dosis de 400 μg/día, y de 5 mg en embarazadas de riesgo, debiendo comenzar al menos 1 mes antes de la concepción y durante las primeras 12 semanas de gestación, y prolongarla durante todo el embarazo en madres con riesgo nutricional. Es importante vigilar la dosis adecuada de ácido fólico para prevenir los posibles efectos adversos derivados de su acumulación plasmática no metabolizada. Un elevado porcentaje de gestantes presenta anemia ferropénica, estando recomendado el uso intermitente de suplementos con hierro (menor alteración gastrointestinal y estrés oxidativo); no recomendándose en madres no anémicas (con hemoglobina > 13,5 g/L). Dado que la absorción de calcio está aumentada hasta un 40% en gestación, no se recomienda su suplementación en madres con ingestas adecuadas (3 lácteos/día), debiéndose reservar su uso a madres con ingestas insuficientes y/o que tengan alto riesgo de preeclampsia. Respecto al iodo, existen posicionamientos contradictorios por parte de distintos grupos de trabajo, estableciéndose la suplementación con yoduro potásico en mujeres que no alcanzan las ingestas recomendadas con su dieta (3 raciones de leche y derivados lácteos + 2 g de sal yodada). Dado que la vitamina A y D pueden ser tóxicas para la madre y el feto, no está recomendada su suplementación excepto en casos de deficiencia. Aunque la administración de suplementos con varios micronutrientes puede repercutir favorablemente en el
In 2003, OzFoodNet conducted enhanced surveillance of foodborne diseases across Australia, which covered all states and territories. During 2003, there were 23,250 notifications of eight potentially foodborne diseases, of which 67 per cent and 30 per cent were due to Campylobacter and Salmonella infections respectively. The most common Salmonella serotype was Typhimurium, as in previous years. Most S. Enteritidis were acquired overseas, except for Queensland where 52 per cent of infections were acquired locally. Locally acquired S. Enteritidis infections in Australia were predominantly due to phage type 26. The most common serotype of Shiga toxin producing E. coli was O157, although for 49 per cent of notified infections serotype was unknown due to the use of polymerase chain reaction based screening tests. There were 12 materno-foetal listeriosis infections in 2003, which was an increase compared to recent years. During 2003, there were 444 outbreaks of gastroenteritis and foodborne disease recorded. Ninety-nine of these were of foodborne origin affecting 1,686 persons, hospitalising 105 and causing six deaths. A wide range of agents and foods caused these outbreaks, with Salmonella Typhimurium being the most common pathogen. Outbreaks associated with fish and seafood dishes, poultry meat, and Asian style and imported foods were common. Four outbreaks with international implications were reported: an outbreak of Salmonella in Montevideo involving contaminated tahini from the Middle East and three outbreaks of norovirus infection associated with imported Japanese oysters. Outbreak data indicated a need to monitor food safety in aged care settings, restaurants and catering. Eighty-nine investigations into clusters of gastrointestinal illness where a source could not be identified were conducted, including multi-state outbreaks of salmonellosis. One multistate investigation of antibiotic resistant Salmonella Paratyphi b Java identified 18 cases who had recent
Active placental transport of maternal serum calcium (Ca2+) to the offspring is pivotal for proper development of the fetal skeleton as well as various organ systems. Moreover, extracellular Ca2+ levels impact on distinct processes in mammalian reproduction. The calcium-sensing receptor (CaSR) translates changes in extracellular Ca2+-concentrations into cellular reactions. This review summarizes current knowledge on the expression of CaSR and its putative functions in reproductive organs. CaSR was detected in placental cells mediating materno-fetal Ca2+-transport such as the murine intraplacental yolk sac (IPYS) and the human syncytiotrophoblast. As shown in casr knock-out mice, ablation of CaSR downregulates transplacental Ca2+-transport. Receptor expression was reported in human and rat ovarian surface epithelial (ROSE) cells, where CaSR activation stimulates cell proliferation. In follicles of various species a role of CaSR activation in oocyte maturation was suggested. Based on studies in avian follicles, the activation of CaSR expressed in granulosa cells may support the survival of follicles after their selection. CaSR in rat and equine sperms was functionally linked to sperm motility and sperm capacitation. Implantation involves complex interactions between the blastocyst and the uterine epithelium. During early pregnancy, CaSR expression at the implantation site as well as in decidual cells indicates that CaSR is important for blastocyst implantation and decidualization in the rat uterus. Localization of CaSR in human extravillous cytotrophoblasts suggests a role of CaSR in placentation. Overall, evidence for functional involvement of CaSR in physiologic mammalian reproductive processes exists. Moreover, several studies reported altered expression of CaSR in cells of reproductive tissues under pathologic conditions. However, in many tissues we still lack knowledge on physiological ligands activating CaSR, CaSR-linked G-proteins, activated intracellular
Gaxiola-Robles, Ramón; Zenteno-Savín, Tania; Labrada-Martagón, Vanessa; Celis de la Rosa, Alfredo de Jesús; Acosta Vargas, Baudillo; Méndez-Rodríguez, Lía Celina
Objetivo: Determinar los niveles de mercurio total (THg) en leche de mujeres del Noroeste de México y su posible asociación con factores maternos, la dieta y el tabaco. Método: El estudio se realizó en leches donadas por 108 mujeres de Baja California Sur. Se estratificaron en tres grupos de 36 donantes según el número de gesta. Se exploraron datos generales, hábito tabáquico, exposición al humo de tabaco ambiental, ingesta de mariscos y pescados. Los niveles de THg fueron cuantificados utilizando espectrofotometría de absorción atómica. La diferencia entres grupos se evaluó con estadística no paramétrica. Para explicar la posible asociación de las diferentes variables estudiadas y las concentraciones de THg en la leche, se realizaron modelos lineales generalizados. Resultados: Los niveles de THg fueron desde 1.23 ?g/L en las primigestas (GI) a 2,96 ?g/L para las mujeres con 3 o más gestas (GIII) (p = 0,07). En el grupo de GI encontramos una concentración del THg 175% mayor (p = 0,02) entre las mujeres que no comen pescado, en comparación con las que si comen pescado. En el modelo lineal generalizado ajustado por las concentraciones de THg, las variables fueron: edad, número de embarazos, duración de la lactancia y exposición al tabaco (p =?0,05). Conclusiones: El consumo de pescado fue el factor que mejor ajustó los modelos en relación a los niveles de THg. El aporte de Hg por la dieta que se pudo asociar fue bajo, por lo que el consumo de pescado de las costas de Baja California Sur es seguro. El tabaco, incrementa las concentraciones de Hg en la leche materna, por lo que debe de limitarse su hábito durante el embarazo y la lactancia.
Khemiri, Khaled; Jenayah, Amel Achour; Boudaya, Fethia; Hamdi, Asma; Meskhi, Souad; Sfar, Ezzeddine; Chelli, Dalenda
Nous rapportons dans ce travail, le profil épidémiologique des femmes enceintes porteuses d'une cardiopathie ayant accouché dans le service «A» du centre de maternité de Tunis. Il s'agit d'une étude rétrospective descriptive sur 3 ans, de janvier 2010 à décembre 2012, portant sur les dossiers des parturientes cardiaques suivies et ayant accouché dans notre service, à l'exclusion des cardiopathies hypertensives. Les paramètres analysés étaient la gestité et parité des parturientes, le type de la cardiopathie, le mode d'accouchement et le pronostic foetal. Cinquante six cas sur 19655 accouchements avaient été recrutés, soit une incidence de 1 pour 351 accouchements (0,285%). L’âge moyen de nos parturientes était de 30,89±5,3 ans avec des extrêmes allant de 21 à 42 ans. 23 (41,07%) avaient une cardiopathie congénitale, 35 (62,5%) une valvulopathie, 6 (10,71%) un trouble du rythme, 3 (5,35%) un trouble de la conduction à type de bloc auriculo-ventriculaire et 3 (5,35%) une cardiopathie ischémique. Cinquante deux parturientes (92,85%) avaient accouché à un terme dépassant les 37 semaines d'aménorrhée (SA). L'accouchement s'est déroulé par les voies naturelles chez 22 (39,28%) patientes et par césarienne chez 34 (60,71%). Le poids moyen des nouveaux nés à la naissance était de 3341,25 grammes. 3 transferts néonataux en unité de réanimation étaient réalisés avec un seul cas de décès néonatal. La grossesse et l'accouchement chez la femme cardiaque constituent un haut risque materno-foetal dépendant du type, mais surtout du stade de la cardiopathie, nécessitant une prise en charge précoce et multidisciplinaire de la parturiente. PMID:26327977
Doumiri, Mouhssine; Elombila, Marie; Oudghiri, Nezha; Saoud, Anas Tazi
L'hématome sous-capsulaire du foie est une complication rare de la grossesse, survenant le plus souvent dans le cadre d'une pré éclampsie ou d'un HELLP syndrome (Hemolysis, Elevated Liver enzymes, and Low Platelets Syndrome). Rare sont les cas décris au cours d'une stéatose hépatique aiguë gravidique. Nous rapportons le cas d'une parturiente de 33 ans, multipare, sans antécédents, admise aux urgences au terme d'une grossesse à 37 semaines d'aménorrhées, pour pré éclampsie compliquée d'une stéatose hépatique aiguë gravidique. L’échographie hépatique réalisée à l'admission était sans anomalie. Une césarienne a été réalisée en urgence devant une souffrance fœtale aiguë, au cours de laquelle a été mise en évidence une rupture de l'hématome sous capsulaire du foie s'accompagnant d'un état de choc hémorragique. La prise en charge a consisté à une polytransfusion et packing perihépatique. Le retrait du packing n'a été réalisé qu'au quatrième jour, après stabilisation clinicobiologique et régression de l'encéphalopathie hépatique. L’évolution en réanimation a été favorable avec sortie de la patiente au vingtième jour. La rupture de l'hématome sous-capsulaire du foie est extrêmement dangereuse et à haut risque materno-fœtal. L'association à la stéatose hépatique aggrave le pronostic. PMID:25667700
Grandi, Carlos; Dipierri, José; Luchtenberg, Guillermo; Moresco, Angélica; Alfaro, Emma
Introducción: existe poca información sobre la relación entre tamaño al nacer y altura geográfica ajustada para factores maternos y obstétricos potencialmente confusores. Objetivo: analizar la variación, en función de la altitud geográfica, del Peso al Nacimiento (PN) y resultados perinatales adversos, en dos poblaciones argentinas. Material y Métodos: 4000 registros de recién nacidos (RN) de Jujuy y 4000 de Buenos Aires (Maternidad Sardá) (1996-2000), seleccionados y aleatorizados del Sistema Informático Perinatal. Los datos provenían de la Maternidad Sarda (20 msnm) y las regiones jujeñas: Ramal (500 msnm), Valle (1200 msnm), Quebrada (2500 msnm) y Puna (3500 msnm). Variables resultado: PN >3000 g, PN <2500 g, Índice Ponderal (IP), prematurez, pequeño para edad gestacional (PEG) y restricción del crecimiento intrauterino (FGR). Variables confusoras: edad, tipo de pareja, educación, sobrepeso-obesidad, tabaquismo, hipertensión arterial, preeclampsia, infección urinaria, restricción del crecimiento y terminación cesárea. Resultados: Se observó un gradiente altitudinal creciente para madres adolescentes y decreciente para las variables obstétrico-maternas. El PN, PN >3000 g, PN <2500 g e Índice Ponderal se asociaron negativamente con altitud (p<0.001). La prevalencia de prematurez, PEG y FGR mostraron un comportamiento opuesto (p<0.001). Ajustados para variables confusoras el PN<3000 g, PEG, FGR < 0.90 e IP<2.53 mostraron mayor riesgo con la altitud geográfica (p<0.05). Conclusiones: La altitud se asoció independientemente con restricción del PN y resultados perinatales adversos. Dado el impacto de la reducción del PN en el riesgo de enfermedades crónicas no transmisibles, se debería evaluar esta relación en otras poblaciones, independientemente de su localización altitudinal.
Robalo, Raquel; Pedroso, Célia; Amaral, Njila; Soares, Clara
Introdução: A morte fetal tardia é um acontecimento que se mantém na prática diária, apesar de protocolos de vigilância pré-natal e intraparto. Objectivo: Análise dos factores que contribuíram para a causa principal ou condições associadas a morte fetal tardia num período de 10 anos Métodos: Coorte retrospectiva de 208 gestações tardias simples, cujo parto em unidade terciária de cuidados perinatais resultou no nascimento de um nado morto, num período de dez anos. Através de consulta de processo clínico foram analisados dados clínicos, laboratoriais e resultados de estudo anatomo-patológico feto-placentário. Resultados: A incidência de morte fetal tardia foi de 3,5 por cada 1000 nascimentos. Não foram encontradas quaisquer tendências na incidência de MF tardia ao longo do tempo de estudo. Em 12 (5,8%) casos a morte fetal foi um acontecimento intraparto e 72 (35%) eram gestações de termo. Em 14% a gravidez não foi vigiada. A IG média de diagnóstico foi 34 semanas. A principal causa de morte associou-se a patologia fetal, tendo sido identificados factores fetais em 59 casos, destes 25% foram considerados leves para a idade gestacional. Em 24.5% dos casos a causa de morte foi inexplicada. Identificaram-se factores de risco materno em 21% dos casos, a patologia hipertensiva foi frequente e foi associada a idade gestacional precoce (p = 0,028). Conclusões: Não houve oscilações na incidência de morte fetal tardia ao longo dos dez anos avaliados. A incidência foi de 3,5‰, idêntica à descrita em países desenvolvidos. Cerca de um quarto das mortes fetais foram inexplicadas. A patologia materna mais frequente foi a hipertensão crónica.
Sbiti, Mohammed; Khalki, Hanane; Benbella, Imane; louzi, Lhoussaine
La transmission materno-fœtale du virus de l'hépatite B (VHB) est un problème qui préoccupe toujours les autorités sanitaires à travers le monde et suscite la mise en place de mesures préventives renforcées. Le statut réplicatif du virus chez la mère séropositive, évalué par la positivité de l'AgHbe et le taux de la charge virale, conditionne le risque de contamination qui est plus important en période péri-natale. Les mères porteuses chroniques du VHB constituent un véritable réservoir de la transmission verticale de cette infection. Nous avons étudié, à travers cette enquête sur 1120 femmes enceintes Marocaines, la séroprévalence de l'AgHBs qui était de 2,35%, dans le but d'alimenter les données nationales sur ce sujet. Parmi ces femmes séropositives pour l'AgHBs, 79,1% avaient un AgHBe négatif et ont bénéficié d'une recherche moléculaire qui s'est révélée positive dans 89,4% des cas. La vaccination de la femme en âge de procréer est l'un des piliers majeurs de la prévention de la transmission verticale du VHB, seulement 2,4% de nos patientes étaient vaccinées. Ceci relève l'intérêt du dépistage au cours de la grossesse, qui doit se focaliser sur la sensibilisation à la vaccination de femmes séronégatives, et le suivi par biologie moléculaire des mères séropositives dans le but d'instaurer un traitement prophylactique adéquat. PMID:27795784
Mendes, Joana; Costa, Antónia
Introdução: Apesar da decidualização ectópica ser uma entidade frequentemente subdiagnosticada, pode ter impacto clínico adverso na morbimortalidade materno-fetal. O objetivo deste trabalho foi rever a evidência científica relativa a etiopatogenia, clínica, abordagem diagnóstica e terapêutica sobre esta temática. Material e Métodos: A pesquisa bibliográfica foi realizada na PubMed, Web of Science e Scopus, através da query ('deciduosis' OR 'ectopic decidualization' OR 'ectopic decidua' OR 'ectopic decidua reaction'), incluindo-se artigos publicados até 31/6/2014 e de todos os níveis de evidência. Resultados: A decidualização ectópica, geralmente, representa uma condição benigna, assintomática e sem necessidade de intervenção terapêutica. Encontra-se, maioritariamente, associada à gravidez, com regressão completa no período pós-parto. A frequência do seu diagnóstico depende da suspeição clínica, bem como do local onde surge, sendo o omento e o ovário os locais mais comuns. Quando sintomática, as principais manifestações clínicas são quadros hemorrágicos, nomeadamente hemorragia genital e hemoperitoneu. Os diagnósticos diferenciais incluem patologia maligna, sendo essencial, nestas situações, a confirmação histopatológica. O baixo índice de suspeição clínica pode levar à realização de biópsia, que pode acarretar impacto adverso grave devido à elevada friabilidade destas lesões. Discussão e Conclusão: O reconhecimento desta entidade e das suas características clínicas torna-se essencial na conduta destas doentes. Tal permite por um lado a abordagem médica precoce e adequada nos casos graves, e por outro lado (na maioria dos casos) manter a atitude expectante minimizando a iatrogenia, mantendo o desfecho favorável da decidualização ectópica.
Aguilar Cordero, María José; Sánchez López, Antonio Manuel; Madrid Baños, Nayra; Mur Villar, Norma; Expósito Ruiz, Manuela; Hermoso Rodríguez, Enrique
Introducción: La Lactancia materna es una práctica recomendada desde las instituciones nacionales e internacionales debido a los beneficios que reporta para la salud, tanto del lactante como de la madre. En la actualidad, el sobrepeso y la obesidad conllevan una mayor morbilidad en los diferentes períodos de la vida. Objetivo: El objetivo de esta revisión sistemática es conocer las características de la lactancia materna en la prevención del sobrepeso y la obesidad en la infancia. Método: Se ha efectuado una búsqueda sistemática y se han seleccionado 113 artículos: 20 meta-análisis y revisiones, 6 artículos originales de ensayos clínicos, 42 estudios de cohorte o longitudinales, 19 estudios correlaciónales de muestra amplia, 24 descriptivos y 2 libros. Resultados: Según los artículos analizados, existe una relación causal entre la lactancia materna y la prevención de la obesidad infantil. Discusión/conclusión: En los diferentes estudios se ha podido verificar que los máximos beneficios de la lactancia materna se obtienen cuando su duración es mayor de 6 meses y se prolonga hasta los dos años, apoyada con otros alimentos. Otros estudios muestran que la lactancia materna es eficaz en la prevención de la obesidad, aunque su duración sea breve. También es importante que la alimentación complementaria se introduzca pasados los 6 meses de vida, para disminuir el riesgo de alergia a los alimentos y prevenir así la obesidad. Igualmente, se han relacionado con la obesidad infantil el peso de la madre durante el embarazo, el peso del niño al nacer, el tabaquismo materno y el nivel socioeconómico.
Amourak, Sarah; Jayi, Sofia; Alaoui, Fatimazahra Fdili; Bouguern, Hakima; Chaara, Hikmat; Melhouf, Moulay Abdelilah
L'association pancréatite aigue et grossesse est rare mais non exceptionnelle, le diagnostic de la pancréatite au cours de la grossesse est difficile, vu la non spécificité de la symptomatologie et vu que très souvent les douleurs et les vomissements peuvent être rattachés à la grossesse elle-même pouvant ainsi être responsable du retard diagnostic L’échographie abdominale, qui est certes anodine pour le fœtus, ne permet pas de poser le diagnostic, par contre la TDM a une sensibilité, et une spécificité voisine de 100%, mais elle est irradiante elle n'est utilisable qu'au delà de 36SA et en post partum, et par conséquent l'IRM abdominale trouve tout son intérêt au 1er et au 2ème trimestre. Cependant la biologie reste plus spécifique et c'est essentiellement l’élévation de la lipasémie à partir de 3fois la normale, qui peut redresser le diagnostic. Le traitement consiste au 1er trimestre a une abstention thérapeutique et cholécystectomie au 2èmetrimestre, au 2ème trimestre: Cholécystectomie par cœlioscopie, au 3ème trimestre: Sphinctérotomie, et en post partum, la cholécystectomie s'impose. A travers nos 6 cas et une revue de la littérature nous soulignons les caractéristiques diagnostiques, thérapeutiques et pronostiques de cette affection et nous invitons les praticiens à penser à la pancréatite chez toute femme enceinte avec douleur abdominales ce qui permettrait d’éviter les retards du diagnostic et d'améliorer le pronostic materno fœtal. PMID:26430482
De Arruda Moreira, Marcella; Coelho Cabral, Poliana; Da Silva Ferreira, Haroldo; Cabral de Lira, Pedro Israel
Objetivo: Investigar la prevalencia y los factores asociados con el sobrepeso y la obesidad en niños menores de 5 años en el estado de Alagoas, al noreste de Brasil. Diseño: Estudio poblacional transversal. El estudio se basó en 1.115 niños con una edad promedio de 24,7 meses (DE ± 16,8), de los que el 51,7% eran niñas. El estado nutricional se clasificó según el IMC / edad. El score > + 1 and ≤+2 z identificaba a los niños con sobrepeso y aquellos con un score > + 2 z a aquellos con obesidad, en función de la referencia estándar de la Organización Mundial de la Salud. Para identificar las variables asociadas con el sobrepeso y la obesidad se realizó un análisis de regresión de Poisson. Resultados: La prevalencia de sobrepeso y obesidad fue del 23,9% y del 7,8%, respectivamente, del 33,8% en las niñas y del 29,4% en los niños. Tras el ajuste, la renta per cápita igual o superior a 2,5 veces el salario mínimo, la edad de 6 a 23 meses y el sobrepeso y la obesidad maternos seguían asociándose positivamente con el sobrepeso/obesidad. Por otro lado, se observó una asociación negativa entre el peso al nacimiento bajo o insuficiente con el sobrepeso/ obesidad infantil. Conclusiones: Los resultados muestran una prevalencia similar de sobrepeso y obesidad a la de otros estudios en este país para los niños menores de 5 años, alertando de una posible alteración del crecimiento y desarrollo del niño.
Fernández Alba, Juan Jesús; Paublete Herrera, María Del Carmen; González Macías, María Del Carmen; Carral San Laureano, Florentino; Carnicer Fuentes, Concepción; Vilar Sánchez, Ángel; Torrejón Cardoso, Rafael; Moreno Corral, Luis Javier
Introducción: el sobrepeso y la obesidad se asocian a una mayor probabilidad de que el parto finalice en cesárea. Dado que dicho incremento del riesgo podría estar sesgado por variables de confusión como la diabetes o la hipertensión, en el presente trabajo pretendemos determinar si este riesgo persiste tras ser ajustado por numerosas variables de control.Objetivo: determinar si el sobrepeso y/o la obesidad son factores de riesgo independientes para que el parto finalice en cesárea.Métodos: estudio de cohortes retrospectivo. Se han incluido gestantes adscritas al Hospital Universitario de Puerto Real. Periodo de estudio: 2002-2011. Se incluyeron dos grupos de estudio: sobrepeso al inicio de la gestación (IMC entre 25 y 29,9) y obesidad al inicio de la gestación (IMC ≥ 30). Grupo ontrol: IMC al inicio de la gestación normal (entre 18,5 y 24,9). El riesgo de cesárea fue analizado mediante un estudio de regresión logística múltiple incluyendo como covariables: edad materna, parto inducido, diabetes gestacional, diabetes pregestacional, macrosomía, hipertensión arterial, nuliparidad, cesárea anterior, parto pretérmino y parto postérmino.Resultados: de los 18.243 partos registrados, el IMC al inicio de la gestación constaba en 4.711 casos (25,8%). El 26,1% presentaban sobrepeso, el 12,4% obesidad y el 58,9% IMC normal. Sin ajustar por variables control, se asociaron a un incremento del riesgo de cesárea: sobrepeso (OR 1,48; IC95% 1,27-1,73); obesidad grado 1 (OR 2,09; IC95% 1,66-2,64); obesidad grado 2 (OR 3,23; IC95% 2,31-4,53); obesidad grado 3 (OR 2,57; IC95% 1,56-4,22). El riesgo aumentado se mantuvo significativo en el análisis multivariante: sobrepeso (OR 1,51; IC95% 1,24-1,84); obesidad (OR 2,15; IC95% 1,67-2,76).Conclusiones: encontramos una asociación significativa e independiente entre el sobrepeso/obesidad maternos y la finalización del parto mediante cesárea incluso ajustando por numerosas variables de control como: edad materna
Chávez, Natividad; Molina, Helfer; Sánchez, Jorge; Gelaye, Bizu; Sánchez, Sixto E.
Vaginosis bacteriana (VB) es una infección caracterizada por el cambio en la microflora de la vagina, asociándose a resultados adversos del embarazo y a la adquisición de infecciones de transmisión sexual (ITS), incluyendo el VIH. En este estudio se buscó la asociación entre el uso de duchas vaginales y otros factores de riesgos con VB. Se usó un diseño observacional descriptivo transversal prospectivo, en 1,252 mujeres que asistieron al servicio de planificación familiar de tres hospitales nacionales (Dos de Mayo, Arzobispo Loayza, San Bartolomé) y el Instituto Materno Perinatal, durante el año 1997. Se utilizó un cuestionario estructurado donde se registraron variables socio demográficas y características del estilo de vida de las participantes. VB fue diagnosticada mediante el puntaje de Nugent. Se empleó análisis de regresión logística para calcular odds ratio (OR) e intervalos de confianza al 95%. La edad promedio de las participantes fue 25.1 ± 4,7 años, el 23.4% tenían más de 11 años de educación. La prevalencía de VB fue 20,1%. Las mujeres que practicaban duchas vaginales tuvieron 2.28 veces (OR = 2.28, IC 95% [1.0–5.0]) mayor probabilidad de tener VB comparado con aquellas que no lo practicaban. Tener dos o más parejas sexuales estuvo asociado con 2.0 veces (OR =2.0, IC 95% [1.2–3.5]) mayor probabilidad de adquirir VB comparado con aquellas que habían tenido solo una pareja sexual. Las participantes que iniciaron una relación sexual a una edad temprana tuvieron 1.4 veces (OR=1.4, IC 95% [1.0 –1.9]) mayor probabilidad de adquirir VB. El uso de duchas vaginales es un factor de riesgo de VB. Los programas destinados a la salud de la mujer deben abordar las repercusiones perjudiciales para la salud asociados con las duchas vaginales. PMID:21132048
Winje, Brita Askeland; Roald, Borghild; Kristensen, Nina Petrov; Frøen, J. Frederik
Background Decreased fetal movements (DFM) are associated with fetal growth restriction and stillbirth, presumably linked through an underlying placental dysfunction. Yet, the role of placental pathology has received limited attention in DFM studies. Our main objective was to explore whether maternal perceptions of DFM were associated with placental pathology in pregnancies recruited from a low-risk total population. Methods/Principal Findings Placentas from 129 DFM and 191 non-DFM pregnancies were examined according to standardized macro- and microscopic protocols. DFM was defined as any maternal complaint of DFM leading to a hospital examination. Morphological findings were timed and graded according to their estimated onset and clinical importance, and classified in line with a newly constructed Norwegian classification system for reporting placental pathology. With our population-based approach we were unable to link DFM to an overall measure of all forms of placental pathology (OR 1.3, 95% CI 0.8–2.2, p = 0.249). However, placental pathology leading to imminent delivery could be a competing risk for DFM, making separate subgroup analyses more appropriate. Our study suggests a link between DFM and macroscopic placental pathology related to maternal, uteroplacental vessels, i.e. infarctions, placental lesions (intraplacental hematomas) and abruptions. Although not statistically significant separately, a compound measure showed a significant association with DFM (OR 2.4, 95%CI 1.1–5.0, p = 0.023). This association was strengthened when we accounted for relevant temporal aspects. More subtle microscopic materno-placental ischemic changes outside the areas of localized pathology showed no association with DFM (OR 0.5, 95%CI 0.2–1.4, p = 0.203). There was a strong association between placental pathology and neonatal complications (OR 2.9, 95% CI 1.6–5.1, p<0.001). Conclusions In our population-based study we were generally unable to link
Adams, Susan M; Lui, Sylvia; Jones, Susan M; Thompson, Michael B; Murphy, Christopher R
We used scanning electron microscopy (SEM) and transmission electron microscopy (TEM) to describe the complete ontogeny of simple placentation and the development of both the yolk sac placentae and chorioallantoic placentae from nonreproductive through postparturition phases in the maternal uterine epithelium of the Australian skink, Eulamprus tympanum. We chose E. tympanum, a species with a simple, noninvasive placenta, and which we know, has little net nutrient uptake during gestation to develop hypotheses about placental function and to identify any difference between the oviparous and viviparous conditions. Placental differentiation into the chorioallantoic placenta and yolk sac placenta occurs from embryonic Stage 29; both placentae are simple structures without specialized features for materno/fetal connection. The uterine epithelial cells are not squamous as previously described by Claire Weekes, but are columnar, becoming increasingly attenuated because of the pressure of the impinging underlying capillaries as gestation progresses. When the females are nonreproductive, the luminal uterine surface is flat and the microvillous cells that contain electron-dense vesicles partly obscure the ciliated cells. As vitellogenesis progresses, the microvillous cells are less hypertrophied than in nonreproductive females. After ovulation and fertilization, there is no regional differentiation of the uterine epithelium around the circumference of the egg. The first differentiation, associated with the chorioallantoic placentae and yolk sac placentae, occurs at embryonic Stage 29 and continues through to Stage 39. As gestation proceeds, the uterine chorioallantoic placenta forms ridges, the microvillous cells become less hypertrophied, ciliated cells are less abundant, the underlying blood vessels increase in size, and the gland openings at the uterine surface are more apparent. In contrast, the yolk sac placenta has no particular folding with cells having a random
Active placental transport of maternal serum calcium (Ca(2+)) to the offspring is pivotal for proper development of the fetal skeleton as well as various organ systems. Moreover, extracellular Ca(2+) levels impact on distinct processes in mammalian reproduction. The calcium-sensing receptor (CaSR) translates changes in extracellular Ca(2+)-concentrations into cellular reactions. This review summarizes current knowledge on the expression of CaSR and its putative functions in reproductive organs. CaSR was detected in placental cells mediating materno-fetal Ca(2+)-transport such as the murine intraplacental yolk sac (IPYS) and the human syncytiotrophoblast. As shown in casr knock-out mice, ablation of CaSR downregulates transplacental Ca(2+)-transport. Receptor expression was reported in human and rat ovarian surface epithelial (ROSE) cells, where CaSR activation stimulates cell proliferation. In follicles of various species a role of CaSR activation in oocyte maturation was suggested. Based on studies in avian follicles, the activation of CaSR expressed in granulosa cells may support the survival of follicles after their selection. CaSR in rat and equine sperms was functionally linked to sperm motility and sperm capacitation. Implantation involves complex interactions between the blastocyst and the uterine epithelium. During early pregnancy, CaSR expression at the implantation site as well as in decidual cells indicates that CaSR is important for blastocyst implantation and decidualization in the rat uterus. Localization of CaSR in human extravillous cytotrophoblasts suggests a role of CaSR in placentation. Overall, evidence for functional involvement of CaSR in physiologic mammalian reproductive processes exists. Moreover, several studies reported altered expression of CaSR in cells of reproductive tissues under pathologic conditions. However, in many tissues we still lack knowledge on physiological ligands activating CaSR, CaSR-linked G-proteins, activated
Giusti, Angela; Conti, Stefania; Di Lorenzo, Giuseppina; Donati, Serena; Perra, Alberto; Grandolfo, Michele
Social changes of the last century have increasingly transformed maternity and newborn care into a medical act and have greatly reduced the number of breastfeeding women. In Italy, the explicit aim of the Ministry of Health concerning mother and child health (Progetto-Obiettivo Materno-Infantile) is to bring this process back to a more natural activity. The prevalence of women who breastfed after the third month of life has been set as an indicator of the effectiveness of mother and child health services. However, the percentage of fully breastfeeding women at the fourth month of the newborn varies greatly among Italian regions, from 18 to 56%. As in many other Countries in the European Union, in Italy the initial education of the mother and child caregivers often lacks a specific formal training on breastfeeding promotion, as do academic midwife-training courses. In 2004 the Italian Federation of the Colleges of Midwives implemented a cascade training project in collaboration with the Istituto Superiore di Sanita, to train trainer-midwives who in turn would train midwives, either already working (Continuing Medical Education) or during their formal academic education. Contents, techniques and methods have been the same as those adopted for the World Health Organization's 40+40 hours course "Breastfeeding: counselling: a training course" for trainers. A total of 39 training coordinators and teachers of academic midwifery courses have participated, in two separate groups. In their turn, the trainers have trained 74 working midwives, from almost every Italian region. Throughout the training program, the trainers were supervised by two tutors who assessed their learning-teaching performance and provided a final certificate. The program allowed the trainers and the other participants to reach a standard level of knowledge on the issue, regardless of their initial knowledge. Moreover, it helped to build and share a common language and attitude on the protection
Background Vaccination centres in the Campania Region, southern Italy, vaccinate children with a hexavalent vaccine that contains the mandatory vaccines diphtheria, tetanus, poliomyelitis, and viral Hepatitis B. This vaccine also includes two non-mandatory vaccines, pertussis and Haemophilus influenzae type B. Information about these optional vaccines should be communicated to the parents, and informed consent should be obtained from parents before vaccination. We explored whether informed consent was delivered to the parents, whether they signed the consent form, and whether they read and acquired the information about the vaccination that their child would receive. Methods Childhood immunisations are provided at specific public health vaccination centres, "Unità Operative Materno-infantili’s" (UOMIs). We selected four UOMI from the Campania Region where we interviewed 1039 parents bringing their children for the 1st, 2nd, or 3rd doses of hexavalent vaccine. The consent forms were collected from the four vaccination centres and were analysed with respect to clarity and completeness. Results Most of the respondents (89.5%) were mothers between 20 and 39 years of age (80.4% vs 59.6% of the fathers), they were married (87.2% vs 93.5% of the fathers), and only one-half of them were employed (50.2% vs 92.6% of the fathers). The informed consent form was received from 58.1% of the parents and signed by 52.8%, but read by 35.0% of them. Only 1.5% of parents knew which vaccines were mandatory, and 25.0% of them believed that the entire hexavalent vaccine was mandatory. When we asked the parents which non-mandatory vaccinations were administered to their children, only 0.5% indicated the Haemophilus influenzae type B and none indicated the pertussis vaccine. Thirty-six per cent of the parents replied that their child had not received any non-mandatory vaccines. No parents were informed by the operators that their children would receive non-mandatory vaccines
Andrade, Cláudia; Santos, Joana; Rita Pinto, Ana; Manso, Pedro; Pereira, Susana
Introdução: Estudos anteriores mostram uma relação dos marcadores bioquímicos do 1º trimestre, proteína plasmática A associada à gravidez e subunidade β da gonadotrofina coriónica, com o nascimento de recém-nascidos com peso abaixo do percentil 10. O nosso objectivo foi descrever a relação entre estes marcadores bioquímicos com os recém-nascidos leves para a idade gestacional, na nossa população.Material e Métodos: Estudo retrospectivo analítico de 2 305 grávidas que realizaram o rastreio combinado do primeiro trimestre entre Março 2009 e Setembro de 2011. Comparação entre o grupo dos recém-nascidos abaixo do percentil 10 e o grupo controlo (recém-nascidos de termo com peso acima do percentil 10) e os recém-nascidos abaixo do percentil 3 e o grupo controlo. Foi realizado uma análise de regressão múltipla e logística com a utilização dos valores de proteína plasmática A associada à gravidez e subunidade β da gonadotrofina coriónica (em múltiplos da mediana) e as características demográficas maternas como etnia, peso e status tabágico.Resultados: O estudo revelou uma contribuição independente da proteína plasmática A associada à gravidez, do peso materno e dos hábitos tabágicos para os recém-nascidos abaixo do percentil 10. Na regressão logística para o marcador proteína plasmática A associada à gravidez, o risco relativo abaixo do percentil 10 foi de 2,41 e abaixo do percentil 3 de 3,41 (p < 0,01). No caso da subunidade β da gonadotrofina coriónica, o odds ratio determinado para percentil inferior a 10 foi de 1,70 (p = 0,03) e para o percentil inferior a 3 foi de 3,22 (p < 0,01). Conclusões: Baixos níveis da proteína plasmática A associada à gravidez e de subunidade β da gonadotrofina coriónica (valores inferiores ao percentil 5 da população estudada) estiveram relacionados com aumento do risco do nascimento de recém- nascidos leves para a idade gestacional na população de grávidas abrangidas pelo
Pereira-da-Silva, Luis; Pinto, Elisabete
Introdução: Tem havido baixa adesão ao padrão da dieta mediterrânica na população portuguesa. Nesta perspectiva, procedemos à revisão crítica do estado de nutrição das mulheres em idade fértil, grávidas e recém-nascidos, em Portugal. Material e Métodos: Realizámos uma revisão narrativa crítica de estudos recentes com qualidade e inquéritos nacionais oficiais, que tivessem avaliado a dieta e estado de nutrição de mulheres em idade fértil e de grávidas portuguesas e sua influência no estado de nutrição dos respetivos fetos e recém-nascidos. Resultados: Foram selecionados e analisados cinco estudos ecológicos multinacionais que incluíram Portugal, dois inquéritos oficiais nacionais sobre disponibilidade de alimentos, sete estudos nacionais sobre dieta e estado de nutrição de mulheres em idade fértil e grávidas e cinco estudos nacionais sobre a influência de fatores nutricionais maternos no crescimento dos fetos. A prevalência de excesso de peso/obesidade em mulheres em idade fértil e grávidas aumentou substancialmente associada à diminuição da adesão à dieta mediterrânica. As variações no consumo de energia e macronutrientes na gravidez parecem não ter impacto significativo no estado de nutrição dos fetos. Pelo contrário, o excesso de peso/obesidade pré-concecional associa-se a aumento de adiposidade ao nascer e o excessivo aumento de peso na gravidez associa-se ao excesso ponderal na infância. Os fatores potencialmente relacionados com a baixa adesão à dieta mediterrânica, merecendo futura investigação, incluem políticas agrícolas da União Europeia que promoveram a produção de grupos alimentares não tipicamente mediterrânicos a baixo preço e a pouca capacidade financeira referida pela população portuguesa para aquisição de alimentos de qualidade. Conclusão: A recuperação dos hábitos dietéticos mediterrânicos tradicionais deve ser incluída em estratégias de prevenção e tratamento do
Bello Lujan, Luis M; Saavedra Santana, Pedro; Gutiérrez García, Luisa Esther; García Hernández, José Angel; Serra Majem, Lluis
Introducción y objetivo: desde 1976, el término bajo peso al nacer (BPN) se aplica a todos los recién nacidos con un peso inferior a 2.500 g. y constituye el factor más importante que afecta a la mortalidad neonatal y a la morbilidad en la infancia. El objetivo de este trabajo es identificar las asociaciones entre los factores biológicos, socioeconómicos y sanitarios y el bajo peso en el recién nacido en las islas Canarias. Material y método: se realizó un estudio epidemiológico transversal, con los ficheros de las gestantes del 2011 y 2012 (n = 11,768) del Complejo Hospitalario Universitario Insular Materno de Gran Canaria, que representó el 66,3% de todos los partos de la provincia para esos años, excluyéndose del análisis los datos correspondientes a los embarazos múltiples (393) (3,3%). Se analizaron la distribución y la frecuencia del peso según características sociodemográficas; los porcentajes se compararon con el test de la 2, las medias con el t-test y las medianas con el test de Wilcoxon para datos independientes. Aquellas variables que mostraron asociación con el bajo peso en el análisis univariado fueron introducidas en un análisis logístico multidimensional. Resultados: en la distribución del peso al nacer se observó un exceso de niños con bajo peso (9,3%), de los cuales el 62,1% fueron pretérmino. Las madres de estos niños son más delgadas, de menor talla y tienen un IMC promedio de < 18,5 kg/m2, así como un promedio de edad de 31,5 años. Se observó igualmente que existe un incremento entre la edad de la madre y el bajo peso, aunque el efecto no es lineal; de hecho, los aumentos del riesgo de BPN se aceleran a medida que aumenta la edad. Cuando el IMC de la madre decrece, aproximadamente por debajo de 25, aumenta linealmente el riesgo de bajo peso. Las OR más elevadas corresponden al retraso fetal en el crecimiento intrauterino (CIR) (OR = 6,3; IC-95% = 5,3; 7,4), la hipertensión/eclampsia (OR = 3,2; IC-95% = 2
von Tempelhoff, Georg-Friedrich; Velten, Eva; Yilmaz, Asli; Hommel, Gerhard; Heilmann, Lothar; Koscielny, Jürgen
who did vs. did not receive iron supplementation during pregnancy had lower pv (p<0.0001) and higher E0 (p<0.01) while smokers vs. non-smokers had lower E0 (p=0.0002). There was a strong correlation between hemoglobin concentrations and pv at term (spearman r=0.15; p<0.0001). To our knowledge this is the largest trial that consecutively assessed blood rheological parameters in pregnant women at term. Distribution of pv and RBC aggregation was studied in women with normal and complicated pregnancy. We found lower pv and increased RBC aggregation in patients with different adverse outcome of pregnancy compared to normal pregnancy. Interestingly, in pre-eclampsia hemo concentration and increased fibrinogen turnover due to enhanced coagulation activation are weighty co factors of pv but were associated with lower pv in patients with pre-eclampsia. However, coincidental increased RBC aggregation and hemo concentration may potentially derogate blood flow in the materno-fetal unit that is commonly traceable using vessel duplex ultra sound in pre-eclampsia.
Vaz de Macedo, Carolina; Clode, Nuno; Mendes da Graça, Luís
Introdução: A versão cefálica externa é o procedimento de rotação fetal para uma apresentação cefálica através de manobras sobre o abdómen materno. Encontram-se descritos na literatura vários factores prognósticos para o sucesso da versão cefálica externa e foram propostos scores preditores, mas a sua verdadeira implicação para a prática clínica é controversa. Pretendemos identificar possíveis factores contributivos para o sucesso de uma tentativa de versão cefálica externa na nossa população. Material e Métodos: Examinámos retrospectivamente 207 tentativas consecutivas de versão cefálica externa sob tocólise conduzidas entre Janeiro de 1997 e Julho de 2012. Consultámos a base de dados do departamento para as seguintes variáveis: raça, idade, paridade, índice de massa corporal, idade gestacional, peso fetal estimado, categoria de apresentação, localização placentária e índice de líquido amniótico. Efectuámos avaliação estatística descritiva e analítica monovariada e regressão binária logística. Resultados: A versão cefálica externa foi bem-sucedida em 46,9% dos casos (97/207). Nenhuma das variáveis incluídas se associou com o desfecho da tentativa após ajuste para factores de confundimento.Discussão: Apresentamos uma taxa de sucesso semelhante ao descrito na literatura. No entanto, ao contrário de estudos anteriores, não associámos nenhuma das variáveis analisadas com o sucesso das tentativas de versão cefálica externa. Acreditamos que esta discrepância poderá ser parcialmente explicada pelo tipo de análise estatística efectuada. Conclusões: Apesar de terem sido identificados numerosos factores de prognóstico para o seu sucesso, o aconselhamento e selecção de grávidas para versão cefálica externa deverão ser cautelosos. Os dados obtidos sugerem que a versão cefálica externa deverá continuar a ser oferecida a todas as grávidas elegíveis independentemente de factores prognósticos de
Thiam, Ousmane; Mbaye, Magatte; Diouf, Abdou Aziz; Touré, Fode Baba; Gueye, Mamour; Niang, Mansour; Cissé, Mamadou Lamine; Dièye, Sidy; Moreau, Jean Charles
Introduction IL s'agira ici d’ identifier les particularités diagnostiques et la prise en charge de l'HRP au Centre Hospitalier de Ndioum au Sénégal. Méthodes Etude rétrospective descriptive menée à l'hôpital régional de Ndioum, durant la période allant du 1er Janvier 2009 au 31 Décembre 2011. Toutes les patientes qui avaient présenté un HRP étaient incluses. Pour chaque patiente, nous avions étudié les paramètres socio-démographiques et cliniques, les données thérapeutiques et le pronostic materno-foetal. Résultats La fréquence était de 6,05%. L’âge moyen de nos patientes était compris entre 29 et 84 ans et la parité moyenne de 4,92. Aucune consultation prénatale n’était effectuée chez 16% des patientes. Les évacuations représentaient 66% de cas. L’âge gestationnel moyen était de 36 semaines d'aménorrhées et la majorité des patientes (86%) était en travail. La gravite du tableau clinique était appréciée selon la classification de Sher avec 63% (114 cas) au grade 3. Une coagulopathie était observée chez 27,2% des patientes. Nous avions retrouvé une relation statistiquement significative entre la gravite du tableau clinique et le pronostic maternel (p = 0,026) et foetal (p = 0,0000). Une direction du travail était effectuée chez 109 patientes (60% des cas). L'expulsion foetale était obtenue par voie basse dans 49% des cas et une césarienne était effectuée dans 51% des cas. La morbidité maternelle était dominée par l'anémie secondaire à une hémorragie aigue dans 17,8% des cas et à l'insuffisance rénale aigue dans 6,1% des cas. Les éléments de mauvais pronostic étaient représentés par la gravité du tableau clinique (p = 0,03) et le mode d'admission dominé par les évacuations (p = 0,01), la relation était statistiquement significative. La voie d'accouchement n’était pas retrouvée comme élément de mauvais pronostic (p = 0,09). Nous avions noté douze cas de décès maternels soit 6,6% des
de Sá, Solange Augusta; Willner, Erica; Duraes Pereira, Tatiane Aguiar; de Souza, Vanessa Rosse; Teles Boaventura, Gilson; Blondet de Azeredo, Vilma
Introducción: la anemia gestacional todavía se considera un problema de salud pública en Brasil y se asocia con un mayor riesgo de morbilidad materno-fetal y el estado nutricional de los niños en el período posparto. Objetivo: evaluar la frecuencia de la anemia gestacional materna en recién nacidos y su relación con el estado nutricional del niño al nacer. Métodos: se obtuvieron datos antropométricos de las mujeres embarazadas y los recién nacidos. Se recogieron muestras de sangre de mujeres embarazadas y de cordón umbilical de los recién nacidos para su posterior análisis de hemoglobina, hematocrito, ADE, hierro, ferritina e índice de saturación de transferrina en dispositivos automatizados. Los resultados se presentan como media y la desviación estándar. Fue utilizado el software GraphPadinStat®, versión 3.0 y se aceptó un nivel de significación del 5%. Resultados: la frecuencia de anemia materna era de 53,7% y 32,6% en los recién nacidos. La mitad de los recién nacidos eran niños anémicos de madres anémicas. De las mujeres embarazadas con anemia, el 79,3% tenían anemia leve y el 20,7% moderada. La concentración media de hemoglobina y hematocrito fue menor en las mujeres embarazadas con anemia (9,7 ± 0,9 g/ dl y 29,8 ± 3,2%) en comparación con las no anémicas (11,9 ± 0,7 g/dl y 36,5 ± 2,7%), como se esperaba. El nivel de hierro de la madre se correlacionó positivamente con ferritina (r = 0,389; p = 0,01) a partir de la sangre del cordón umbilical. El peso, la longitud y la circunferencia de la cabeza de los niños nacidos de madres anémicas fueron: 3.375,9 ± 506,9 g, 51,2 ± 1,7 cm y 34,5 ± 1,5 cm, respectivamente, mientras que entre los recién nacidos de madres no anémicas fueron: 3.300,2 ± 458,4 g, 50,3 ± 2,0 cm y 34,2 ± 2,0 cm, respectivamente. No se encontraron correlaciones significativas entre la hemoglobina, el hierro y la ferritina de la madre, y el peso, la longitud y la circunferencia de la cabeza de los reci
Tornero, O. Berbel; García, J.A. Ortega; Tortajada, J. Ferrís i; Castell, J. García; Colomer, J. Donat i; Soldin, O.P.; Soler, J.L. Fuster
Introducción La asociación entre tumores y malformaciones congénitas está bien establecida, pero no existen datos exclusivos en el período neonatal y se desconocen los mecanismos subyacentes que generan dicha relación. Objetivos Este trabajo tiene dos objetivos: primero, analizar la frecuencia de los tumores neonatales asociados a malformaciones congénitas, y segundo, comentar las posibles hipótesis etiopatogénicas de la relación entre ambas entidades. Materiales y método Estudio retrospectivo de las historias clínicas de los tumores neonatales, en el Hospital Universitario Materno- Infantil La Fe de Valencia, desde enero de 1990 hasta diciembre de 1999. Selección y descripción de las variedades histológicas asociadas a malformaciones congénitas. Éstas se han agrupado siguiendo los criterios de la Clasificación Internacional de Enfermedades CIE-9, códigos 740.0–759.9. Revisión sistemática bibliográfica de los últimos 25 años, obtenida del Medline, Cancerlit, Index Citation Science y Embase. El perfil de búsqueda utilizado fue la combinación de “neonatal/congenital-tumors/cancer/neoplasms” y “congenital malformations/birth defects”. Resultados Se identificaron 72 tumores neonatales (2,8 % del total de tumores pediátricos diagnosticados en dichos años) y 15 de ellos (20,8 %) asociados a malformaciones congénitas, enfermedades o síndromes congénitos. Las asociaciones entre tumores neonatales y malformaciones congénitas fueron las siguientes: a) angioma en 3 pacientes: con dos cardiopatías congénitas y una atresia de coanas-laringomalacia; b) neuroblastoma en 2 pacientes: uno con riñón en herradura y anomalías vertebrales, y otro con cardiopatía congénita; c) teratoma en 2 pacientes: uno con fisura palatina y anomalías vertebrales, y otro con metatarso varo; d) tumor del sistema nervioso central en un paciente con hernia de Bochdaleck; e) tumor cardíaco en 4 pacientes con esclerosis tuberosa; f) leucemia aguda en un
Rebelo, Fernanda; Farias, Dayana Rodrigues; Mendes, Roberta Hack; Schlüssel, Michael Maia; Kac, Gilberto
Background: The maternal cardiovascular system undergoes progressive adaptations throughout pregnancy, causing blood pressure fluctuations. However, no consensus has been established on its normal variation in uncomplicated pregnancies. Objective: To describe the variation in systolic blood pressure (SBP) and diastolic blood pressure (DBP) levels during pregnancy according to early pregnancy body mass index (BMI). Methods: SBP and DBP were measured during the first, second and third trimesters and at 30-45 days postpartum in a prospective cohort of 189 women aged 20-40 years. BMI (kg/m2) was measured up to the 13th gestational week and classified as normal-weight (<25.0) or excessive weight (≥25.0). Longitudinal linear mixed-effects models were used for statistical analysis. Results: A decrease in SBP and DBP was observed from the first to the second trimester (βSBP=-0.394; 95%CI: -0.600- -0.188 and βDBP=-0.617; 95%CI: -0.780- -0.454), as was an increase in SBP and DBP up to 30-45 postpartum days (βSBP=0.010; 95%CI: 0.006-0.014 and βDBP=0.015; 95%CI: 0.012-0.018). Women with excessive weight at early pregnancy showed higher mean SBP in all gestational trimesters, and higher mean DBP in the first and third trimesters. Excessive early pregnancy BMI was positively associated with prospective changes in SBP (βSBP=7.055; 95%CI: 4.499-9.610) and in DBP (βDBP=3.201; 95%CI: 1.136-5.266). Conclusion: SBP and DBP decreased from the first to the second trimester and then increased up to the postpartum period. Women with excessive early pregnancy BMI had higher SBP and DBP than their normal-weight counterparts throughout pregnancy, but not in the postpartum period.Fundamento: O sistema cardiovascular materno sofre adaptações progressivas durante a gestação, acarretando flutuações da pressão arterial. Entretanto, não há consenso sobre a variação pressórica normal na gravidez saudável. Objetivo: Descrever a variação da pressão arterial sistólica (PAS) e