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[PMID]: 29231018 [Au] Autor: Li R; Li CT; Zhao SM; Li HX; Li L; Wu RG; Zhang CC; Sun HY [Ad] Endereço: Department of Forensic Medicine, Zhongshan Medical College, Sun Yat-sen University, Guangzhou 510089, China. [Ti] Título: [Full Sibling Identification by IBS Scoring Method and Establishment of the Query Table of Its Critical Value]. [So] Source: Fa Yi Xue Za Zhi;33(2):136-140, 2017 Apr. [Is] ISSN: 1004-5619 [Cp] País de publicação: China [La] Idioma: chi [Ab] Resumo: OBJECTIVES: To establish a query table of IBS critical value and identification power for the detection systems with different numbers of STR loci under different false judgment standards. METHODS: Samples of 267 pairs of full siblings and 360 pairs of unrelated individuals were collected and 19 autosomal STR loci were genotyped by Golden ye™ 20A system. The full siblings were determined using IBS scoring method according to the 'Regulation for biological full sibling testing'. The critical values and identification power for the detection systems with different numbers of STR loci under different false judgment standards were calculated by theoretical methods. RESULTS: According to the formal IBS scoring criteria, the identification power of full siblings and unrelated individuals was 0.764 0 and the rate of false judgment was 0. The results of theoretical calculation were consistent with that of sample observation. The query table of IBS critical value for identification of full sibling detection systems with different numbers of STR loci was successfully established. CONCLUSIONS: The IBS scoring method defined by the regulation has high detection efficiency and low false judgment rate, which provides a relatively conservative result. The query table of IBS critical value for identification of full sibling detection systems with different numbers of STR loci provides an important reference data for the result judgment of full sibling testing and owns a considerable practical value. [Mh] Termos MeSH primário: Síndrome do Intestino Irritável/genética Irmãos [Mh] Termos MeSH secundário: Alelos Genótipo Seres Humanos Reprodutibilidade dos Testes Projetos de Pesquisa [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1803 [Cu] Atualização por classe: 180308 [Lr] Data última revisão: 180308 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 171213 [St] Status: MEDLINE [do] DOI: 10.3969/j.issn.1004-5619.2017.02.006

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[PMID]: 29205972 [Au] Autor: Su Q; Bu F; Chen C; Shi Y; Lu ZY; Liu YC [Ad] Endereço: Forensic Science Service of Beijing Public Security Bureau, Beijing 100192, China. [Ti] Título: [Microdeletion and Mutation of Y Chromosome in Full Sibling Identification]. [So] Source: Fa Yi Xue Za Zhi;32(6):438-440, 2016 Dec. [Is] ISSN: 1004-5619 [Cp] País de publicação: China [La] Idioma: chi [Ab] Resumo: OBJECTIVES: To explore the identification method of full sibling between two males with microdeletion and mutation of Y chromosome. METHODS: DNA were extracted from two samples. The type testing of Y-STR and autosomal STR were performed. Full sibling between two individuals was calculated by IBS, ITO and discriminant functions methods. RESULTS: There were 2 loci mutations existed in 33 Y-STR loci and one of the two samples had 19 loci deletions. The IBS of two samples was 53 and greater than the threshold which was 42; FSI was 1.36×10¹6 and far greater than 19. The discriminant function of full sibling-unrelated individual was greater than , which meant the two individuals tend to be full sibling. CONCLUSIONS: The methods of IBS, ITO and discriminant functions of full sibling-unrelated individual can be used comprehensively to provide more reliable expert opinion in microdeletion and mutation of Y chromosome in full sibling identification. [Mh] Termos MeSH primário: Aberrações Cromossômicas Cromossomos Humanos Y/genética Genética Forense Deleção de Sequência [Mh] Termos MeSH secundário: Alelos Análise Discriminante Seres Humanos Masculino Reação em Cadeia da Polimerase Irmãos [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1802 [Cu] Atualização por classe: 180308 [Lr] Data última revisão: 180308 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 171206 [St] Status: MEDLINE [do] DOI: 10.3969/j.issn.1004-5619.2016.06.011

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[PMID]: 28460445 [Au] Autor: Lv W; Fan Z; Huang F; Xu N; Xuan L; GuopanYu; Jiang Q; Zhou H; Lin R; Zhang X; Sun J; Liu Q [Ad] Endereço: Department of Hematology, Nanfang Hospital, Southern Medical University, Guangzhou 510515 China. [Ti] Título: Autoimmune hematological diseases following haploidentical donor hematopoietic stem cell Transplant compared with matched sibling and unrelated donor. [So] Source: Oncotarget;8(16):26505-26514, 2017 Apr 18. [Is] ISSN: 1949-2553 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: Autoimmune hematological diseases (AHDs) occur more frequently than other autoimmune complications after allogeneic hematopoietic stem cell transplantation (allo-HSCT) and are often refractory to treatment. This study was to analyze the incidence and risk factors of AHDs as well as their response to treatment . Four hundred and forty-five adult malignant hematopoietic disorders underwent allo-HSCT were enrolled in this retrospective study, including 124 haploidentical donor (HRD), 140 unrelated donor (MUD) and 181 HLA-matched sibling donor (MSD) transplants. Twelve patients developed AHDs, including 6 autoimmune hemolytic anemia and 6 Evans syndrome. Evans syndrome all occurred in HRD transplants. The 3-year cumulative incidence of AHDs was 4.0 ± 1.3%, and HRD had higher incidence than MUD (8.7 ± 3.0% vs 1.8 ± 1.2%, P = 0.012) and MSD (8.7 ± 3.0% vs 3.5 ± 2.6%, P = 0.004 ). The steroids combined with Cyclosporine A were acted as the first line treatment, and the response rate was 73%. No patients experienced recurrence at a median follow up of 313 days after stopping treatment. HRD transplants (vs MUD: HR, 5.87; CI, 1.24 to 27.73; p = 0.026 and vs MSD: HR, 7.70; CI, 1.63 to 36.44; P = 0.010) and concurrent chronic graft versus host disease (HR, 3.76; CI, 1.18 to 11.92; P = 0.025) were risk factors for AHDs. [Mh] Termos MeSH primário: Doenças Autoimunes/terapia Doenças Hematológicas/terapia Transplante de Células-Tronco Hematopoéticas Irmãos Doadores não Relacionados [Mh] Termos MeSH secundário: Adolescente Adulto Doenças Autoimunes/diagnóstico Doenças Autoimunes/mortalidade Feminino Doença Enxerto-Hospedeiro/diagnóstico Doença Enxerto-Hospedeiro/etiologia Antígenos HLA/genética Antígenos HLA/imunologia Doenças Hematológicas/diagnóstico Doenças Hematológicas/mortalidade Transplante de Células-Tronco Hematopoéticas/efeitos adversos Transplante de Células-Tronco Hematopoéticas/métodos Teste de Histocompatibilidade Seres Humanos Incidência Masculino Meia-Idade Transplante Homólogo Resultado do Tratamento Adulto Jovem [Pt] Tipo de publicação: JOURNAL ARTICLE [Nm] Nome de substância: 0 (HLA Antigens) [Em] Mês de entrada: 1803 [Cu] Atualização por classe: 180305 [Lr] Data última revisão: 180305 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170503 [St] Status: MEDLINE [do] DOI: 10.18632/oncotarget.15710

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[PMID]: 27776349 [Au] Autor: De Summa S; Guida M; Tommasi S; Strippoli S; Pellegrini C; Fargnoli MC; Pilato B; Natalicchio I; Guida G; Pinto R [Ad] Endereço: IRCCS Istituto Tumori "Giovanni Paolo II", Molecular Genetics Laboratory, Bari, Italy. [Ti] Título: Genetic profiling of a rare condition: co-occurrence of albinism and multiple primary melanoma in a Caucasian family. [So] Source: Oncotarget;8(18):29751-29759, 2017 May 02. [Is] ISSN: 1949-2553 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: Multiple primary melanoma (MPM) is a rare condition, whose genetic basis has not yet been clarified. Only 8-12% of MPM are due to germline mutations of CDKN2A. However, other genes (POT1, BRCA1/2, MC1R, MGMT) have been demonstrated to be involved in predisposition to this pathology.To our knowledge, this is the first family study based on two siblings with the rare coexistence of MPM and oculocutaneous albinism (OCA), an autosomal recessive disease characterized by the absence or decrease in pigmentation in the skin, hair, and eyes.In this study, we evaluated genes involved in melanoma predisposition (CDKN2A, CDK4, MC1R, MITF, POT1, RB1, MGMT, BRCA1, BRCA2), pathogenesis (BRAF, NRAS, PIK3CA, KIT, PTEN), skin/hair pigmentation (MC1R, MITF) and in immune pathways (CTLA4) to individuate alterations able to explain the rare onset of MPM and OCA in indexes and the transmission in their pedigree.From the analysis of the pedigree, we were able to identify a "protective" haplotype with respect to MPM, including MGMT p.I174V alteration. The second generation offspring is under strict follow up as some of them have a higher risk of developing MPM according to our model. [Mh] Termos MeSH primário: Albinismo/genética Estudos de Associação Genética Predisposição Genética para Doença Mutação em Linhagem Germinativa Melanoma/genética Mutação Neoplasias Primárias Múltiplas/genética [Mh] Termos MeSH secundário: Albinismo/diagnóstico Biomarcadores Biologia Computacional/métodos Metilação de DNA Metilases de Modificação do DNA/química Metilases de Modificação do DNA/genética Análise Mutacional de DNA Enzimas Reparadoras do DNA/química Enzimas Reparadoras do DNA/genética Família Feminino Genótipo Sequenciamento de Nucleotídeos em Larga Escala Seres Humanos Masculino Melanoma/diagnóstico Meia-Idade Modelos Moleculares Anotação de Sequência Molecular Neoplasias Primárias Múltiplas/diagnóstico Linhagem Filogenia Conformação Proteica Irmãos Proteínas Supressoras de Tumor/química Proteínas Supressoras de Tumor/genética [Pt] Tipo de publicação: JOURNAL ARTICLE [Nm] Nome de substância: 0 (Biomarkers); 0 (Tumor Suppressor Proteins); EC 2.1.1.- (DNA Modification Methylases); EC 2.1.1.63 (MGMT protein, human); EC 6.5.1.- (DNA Repair Enzymes) [Em] Mês de entrada: 1803 [Cu] Atualização por classe: 180305 [Lr] Data última revisão: 180305 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 161025 [St] Status: MEDLINE [do] DOI: 10.18632/oncotarget.12777

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[PMID]: 28749606 [Au] Autor: Michalski LJ; Demers CH; Baranger DAA; Barch DM; Harms MP; Burgess GC; Bogdan R [Ad] Endereço: BRAINLab, Department of Psychological and Brain Sciences, Washington University in St. Louis, St. Louis, MO, USA. [Ti] Título: Perceived stress is associated with increased rostral middle frontal gyrus cortical thickness: a family-based and discordant-sibling investigation. [So] Source: Genes Brain Behav;16(8):781-789, 2017 Nov. [Is] ISSN: 1601-183X [Cp] País de publicação: England [La] Idioma: eng [Ab] Resumo: Elevated stress perception and depression commonly co-occur, suggesting that they share a common neurobiology. Cortical thickness of the rostral middle frontal gyrus (RMFG), a region critical for executive function, has been associated with depression- and stress-related phenotypes. Here, we examined whether RMFG cortical thickness is associated with these phenotypes in a large family-based community sample. RMFG cortical thickness was estimated using FreeSurfer among participants (n = 879) who completed the ongoing Human Connectome Project. Depression-related phenotypes (i.e. sadness, positive affect) and perceived stress were assessed via self-report. After accounting for sex, age, ethnicity, average whole-brain cortical thickness, twin status and familial structure, RMFG thickness was positively associated with perceived stress and sadness and negatively associated with positive affect at small effect sizes (accounting for 0.2-2.4% of variance; p-fdr: 0.0051-0.1900). Perceived stress was uniquely associated with RMFG thickness after accounting for depression-related phenotypes. Further, among siblings discordant for perceived stress, those reporting higher perceived stress had increased RMFG thickness (P = 4 × 10 ). Lastly, RMFG thickness, perceived stress, depressive symptoms, and positive affect were all significantly heritable, with evidence of shared genetic and environmental contributions between self-report measures. Stress perception and depression share common genetic, environmental, and neural correlates. Variability in RMFG cortical thickness may play a role in stress-related depression, although effects may be small in magnitude. Prospective studies are required to examine whether variability in RMFG thickness may function as a risk factor for stress exposure and/or perception, and/or arises as a consequence of these phenotypes. [Mh] Termos MeSH primário: Depressão/diagnóstico por imagem Lobo Frontal/diagnóstico por imagem Percepção Estresse Psicológico/diagnóstico por imagem [Mh] Termos MeSH secundário: Adulto Depressão/psicologia Feminino Seres Humanos Imagem por Ressonância Magnética Masculino Irmãos Estresse Psicológico/psicologia [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1802 [Cu] Atualização por classe: 180222 [Lr] Data última revisão: 180222 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170728 [St] Status: MEDLINE [do] DOI: 10.1111/gbb.12404

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[PMID]: 28459275 [Au] Autor: Hallers-Haalboom ET; Groeneveld MG; van Berkel SR; Endendijk JJ; van der Pol LD; Linting M; Bakermans-Kranenburg MJ; Mesman J [Ad] Endereço: Centre for Child and Family Studies, Leiden University. [Ti] Título: Mothers' and fathers' sensitivity with their two children: A longitudinal study from infancy to early childhood. [So] Source: Dev Psychol;53(5):860-872, 2017 May. [Is] ISSN: 1939-0599 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: To examine the effects of child age and birth order on sensitive parenting, 364 families with 2 children were visited when the second-born children were 12, 24, and 36 months old, and their older siblings were on average 2 years older. Mothers showed higher levels of sensitivity than fathers at all assessments. Parental sensitivity increased from infancy to toddlerhood, and then decreased into early childhood. The changes in parental sensitivity with child age were similar for mothers and fathers, and mothers' and fathers' sensitivity levels were related over time. However, the changes in parental sensitivity toward the firstborn and second-born child were not related to each other, suggesting that parents' experiences with the firstborn child do not have implications for their sensitivity toward their second-born child. Instead, the child's own unique characteristics and developmental stage seem to play a more important role. These findings highlight the importance of considering developmental child characteristics in the study of parenting, and suggest that individual differences in attaining developmental milestones may affect parental sensitivity. (PsycINFO Database Record [Mh] Termos MeSH primário: Relações Pai-Filho Relações Mãe-Filho/psicologia Poder Familiar/psicologia [Mh] Termos MeSH secundário: Adulto Ordem de Nascimento Pré-Escolar Feminino Seres Humanos Lactente Estudos Longitudinais Masculino Irmãos [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1802 [Cu] Atualização por classe: 180222 [Lr] Data última revisão: 180222 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170502 [St] Status: MEDLINE [do] DOI: 10.1037/dev0000293

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[PMID]: 28464852 [Au] Autor: Al-Haidary AS; Alotaibi W; Alhaider SA; Al-Saleh S [Ad] Endereço: Department of Pediatrics, King Fahad Medical City, P.O. Box 59046, Riyadh, 11525, Saudi Arabia. adelsanhan@yahoo.com. [Ti] Título: A newly identified novel variant in the CSF2RA gene in a child with pulmonary alveolar proteinosis: a case report. [So] Source: J Med Case Rep;11(1):122, 2017 May 02. [Is] ISSN: 1752-1947 [Cp] País de publicação: England [La] Idioma: eng [Ab] Resumo: BACKGROUND: The congenital form of pulmonary alveolar proteinosis due to colony stimulating factor 2 receptor alpha gene mutations is a rare disease with only a few cases reported worldwide. In this study we report a new case of pulmonary alveolar proteinosis with a novel variant in colony stimulating factor 2 receptor alpha gene. CASE PRESENTATION: A 5-year-old Saudi boy presented with a history of progressive dyspnea over 6 months; he was diagnosed as having pulmonary alveolar proteinosis. A molecular study revealed a novel variation in colony stimulating factor 2 receptor alpha gene. His clinical condition showed significant improvement after whole lung lavage. CONCLUSIONS: This case has the typical presentation of congenital pulmonary alveolar proteinosis due to colony stimulating factor 2 receptor alpha defect with a novel variant in this gene likely to be pathogenic. [Mh] Termos MeSH primário: Lavagem Broncoalveolar Dispneia/fisiopatologia Fator Estimulador de Colônias de Granulócitos e Macrófagos/genética Mutação Proteinose Alveolar Pulmonar/congênito Receptores de Fator Estimulador das Colônias de Granulócitos e Macrófagos/genética [Mh] Termos MeSH secundário: Pré-Escolar Progressão da Doença Dispneia/etiologia Dispneia/terapia Marcadores Genéticos Fator Estimulador de Colônias de Granulócitos e Macrófagos/fisiologia Seres Humanos Masculino Linhagem Proteinose Alveolar Pulmonar/genética Proteinose Alveolar Pulmonar/fisiopatologia Proteinose Alveolar Pulmonar/terapia Irmãos Resultado do Tratamento [Pt] Tipo de publicação: CASE REPORTS; JOURNAL ARTICLE [Nm] Nome de substância: 0 (CSF2RA protein, human); 0 (Genetic Markers); 0 (Receptors, Granulocyte-Macrophage Colony-Stimulating Factor); 83869-56-1 (Granulocyte-Macrophage Colony-Stimulating Factor) [Em] Mês de entrada: 1802 [Cu] Atualização por classe: 180221 [Lr] Data última revisão: 180221 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170504 [St] Status: MEDLINE [do] DOI: 10.1186/s13256-017-1285-4

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[PMID]: 29248929 [Au] Autor: Amasdl S; Smaili W; Natiq A; Hassani A; Sbiti A; Agadr A; Sanlaville D; Sefiani A [Ad] Endereço: Centre de Génomique Humaine, Faculté de Médecine et de Pharmacie, Université Mohammed V Souissi, Rabat, Morocco. [Ti] Título: Familial X/Y Translocation Encompassing ARSE in Two Moroccan Siblings with Sensorineural Deafness. [So] Source: Cytogenet Genome Res;153(2):66-72, 2017. [Is] ISSN: 1424-859X [Cp] País de publicação: Switzerland [La] Idioma: eng [Ab] Resumo: Unbalanced translocations involving X and Y chromosomes are rare and associated with a contiguous gene syndrome. The clinical phenotype is heterogeneous including mainly short stature, chondrodysplasia punctata, ichthyosis, hypogonadism, and intellectual disability. Here, we report 2 brothers with peculiar gestalt, short stature, and hearing loss, who harbor an X/Y translocation. Physical examination, brainstem acoustic potential evaluation, bone age, hormonal assessment, and X-ray investigations were performed. Because of their dysmorphic features, karyotyping, FISH, and aCGH were carried out. The probands had short stature, hypertelorism, midface hypoplasia, sensorineural hearing loss, normal intelligence as well as slight radial and ulnar bowing with brachytelephalangy. R-banding identified a derivative X chromosome with an abnormally expanded short arm. The mother was detected as a carrier of the same aberrant X chromosome. aCGH disclosed a 3.1-Mb distal deletion of chromosome region Xp22.33pter. This interval encompasses several genes, especially the short stature homeobox (SHOX) and arylsulfatase (ARSE) genes. The final karyotype of the probands was: 46,Y,der(X),t(X;Y)(p22;q12).ish der(X)(DXYS129-,DXYS153-)mat.arr[hg19] Xp22.33(61091_2689408)×1mat,Xp22.33(2701273_3258404)×0mat,Yq11.222q12 (21412851_59310245)×2. Herein, we describe a Moroccan family with a maternally inherited X/Y translocation and discuss the genotype-phenotype correlations according to the deleted genes. [Mh] Termos MeSH primário: Anormalidades Múltiplas/genética Arilsulfatases/genética Cromossomos Humanos X/genética Cromossomos Humanos Y/genética Perda Auditiva Bilateral/genética Perda Auditiva Neurossensorial/genética Translocação Genética [Mh] Termos MeSH secundário: Arilsulfatases/deficiência Cromossomos Humanos X/ultraestrutura Cromossomos Humanos Y/ultraestrutura Consanguinidade Feminino Seres Humanos Hipertelorismo/genética Recém-Nascido Cariotipagem Masculino Meia-Idade Marrocos Linhagem Fenótipo Rádio (Anatomia)/anormalidades Escoliose/genética Irmãos Ulna/anormalidades Adulto Jovem [Pt] Tipo de publicação: CASE REPORTS; JOURNAL ARTICLE [Nm] Nome de substância: EC 3.1.6.- (ARSE protein, human); EC 3.1.6.1 (Arylsulfatases) [Em] Mês de entrada: 1802 [Cu] Atualização por classe: 180220 [Lr] Data última revisão: 180220 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 171218 [St] Status: MEDLINE [do] DOI: 10.1159/000485071

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[PMID]: 27773939 [Au] Autor: Wilson LE; Harlid S; Xu Z; Sandler DP; Taylor JA [Ad] Endereço: Epidemiology Branch, National Institute of Environmental Health Sciences, National Institutes of Health, Research Triangle Park, NC, USA. [Ti] Título: An epigenome-wide study of body mass index and DNA methylation in blood using participants from the Sister Study cohort. [So] Source: Int J Obes (Lond);41(1):194-199, 2017 Jan. [Is] ISSN: 1476-5497 [Cp] País de publicação: England [La] Idioma: eng [Ab] Resumo: BACKGROUND/OBJECTIVES: The relationship between obesity and chronic disease risk is well-established; the underlying biological mechanisms driving this risk increase may include obesity-related epigenetic modifications. To explore this hypothesis, we conducted a genome-wide analysis of DNA methylation and body mass index (BMI) using data from a subset of women in the Sister Study. SUBJECTS/METHODS: The Sister Study is a cohort of 50 884 US women who had a sister with breast cancer but were free of breast cancer themselves at enrollment. Study participants completed examinations which included measurements of height and weight, and provided blood samples. Blood DNA methylation data generated with the Illumina Infinium HumanMethylation27 BeadChip array covering 27,589 CpG sites was available for 871 women from a prior study of breast cancer and DNA methylation. To identify differentially methylated CpG sites associated with BMI, we analyzed this methylation data using robust linear regression with adjustment for age and case status. For those CpGs passing the false discovery rate significance level, we examined the association in a replication set comprised of a non-overlapping group of 187 women from the Sister Study who had DNA methylation data generated using the Infinium HumanMethylation450 BeadChip array. Analysis of this expanded 450 K array identified additional BMI-associated sites which were investigated with targeted pyrosequencing. RESULTS: Four CpG sites reached genome-wide significance (false discovery rate (FDR) q<0.05) in the discovery set and associations for all four were significant at strict Bonferroni correction in the replication set. An additional 23 sites passed FDR in the replication set and five were replicated by pyrosequencing in the discovery set. Several of the genes identified including ANGPT4, RORC, SOCS3, FSD2, XYLT1, ABCG1, STK39, ASB2 and CRHR2 have been linked to obesity and obesity-related chronic diseases. CONCLUSIONS: Our findings support the hypothesis that obesity-related epigenetic differences are detectable in blood and may be related to risk of chronic disease. [Mh] Termos MeSH primário: Índice de Massa Corporal Neoplasias da Mama/genética Metilação de DNA Epigênese Genética Obesidade/genética Irmãos [Mh] Termos MeSH secundário: Neoplasias da Mama/epidemiologia Estudos de Coortes Ilhas de CpG/genética Feminino Estudo de Associação Genômica Ampla Inquéritos Epidemiológicos Seres Humanos Meia-Idade Obesidade/epidemiologia Estudos Prospectivos Porto Rico/epidemiologia Estados Unidos/epidemiologia [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1802 [Cu] Atualização por classe: 180216 [Lr] Data última revisão: 180216 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 161025 [St] Status: MEDLINE [do] DOI: 10.1038/ijo.2016.184

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[PMID]: 29342157 [Au] Autor: Merdad L; Ali MM [Ad] Endereço: Department of Dental Public Health, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia. [Ti] Título: Timing of maternal death: Levels, trends, and ecological correlates using sibling data from 34 sub-Saharan African countries. [So] Source: PLoS One;13(1):e0189416, 2018. [Is] ISSN: 1932-6203 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: Millennium Development Goal 5 has not been universally achieved, particularly in sub-Saharan Africa. Understanding whether maternal deaths occur during pregnancy, childbirth, or puerperium is important to effectively plan maternal health programs and allocate resources. Our main research objectives are to (1) describe the proportions and rates of mortality for the antepartum, intrapartum, and postpartum periods; (2) document how these trends vary by sub-region; and (3) investigate ecological correlations between these rates and maternal care interventions. We used data from the Demographic and Health Survey program, which comprises 84 surveys from 34 sub-Saharan African countries conducted between 1990 and 2014. We calculated age-standardized maternal mortality rates and time-specific maternal mortality rates and proportions, and we assessed correlations with maternal care coverage. We found high levels of maternal mortality in all three periods. Time-specific maternal mortality rates varied by country and region, with some showing an orderly decline in all three periods and others exhibiting alarming increases in antepartum and postpartum mortality. Ecological analysis showed that antenatal care coverage was significantly associated with low antepartum mortality, whereas the presence of a skilled attendant at childbirth was significantly associated with low postpartum mortality. In sub-Saharan Africa, maternal deaths occur at high rates in all three risk periods, and vary substantially by country and region. The provision of maternal care is a predictor of time-specific maternal mortality. These results confirm the need for country-specific interventions during the continuum of care to achieve the global commitment to eliminating preventable maternal mortality. [Mh] Termos MeSH primário: Mortalidade Materna Irmãos [Mh] Termos MeSH secundário: Adolescente Adulto África ao Sul do Saara Feminino Seres Humanos Mortalidade Materna/tendências Meia-Idade Gravidez Adulto Jovem [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1801 [Cu] Atualização por classe: 180210 [Lr] Data última revisão: 180210 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 180118 [St] Status: MEDLINE [do] DOI: 10.1371/journal.pone.0189416

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1			PalavrasDescritor de assuntoDescritor de assunto primárioLimitesAutorPalavras do títuloPalavras do resumoIdiomaPaís de publicaçãoNome de substânciaNome de pessoa como assuntoRevistaAssunto de RevistaISSNTipo de publicaçãoIdentificador únicoMês de entradaAno de publicaçãoTexto completoAtualização por classeCategoria DeCSCategoria DeCS explodidaCategoria CID-10SubSetsPais de AfiliaçãoAfiliaçãoAfiliação 2
2	and or and not		PalavrasDescritor de assuntoDescritor de assunto primárioLimitesAutorPalavras do títuloPalavras do resumoIdiomaPaís de publicaçãoNome de substânciaNome de pessoa como assuntoRevistaAssunto de RevistaISSNTipo de publicaçãoIdentificador únicoMês de entradaAno de publicaçãoTexto completoAtualização por classeCategoria DeCSCategoria DeCS explodidaCategoria CID-10SubSetsPais de AfiliaçãoAfiliaçãoAfiliação 2
3	and or and not		PalavrasDescritor de assuntoDescritor de assunto primárioLimitesAutorPalavras do títuloPalavras do resumoIdiomaPaís de publicaçãoNome de substânciaNome de pessoa como assuntoRevistaAssunto de RevistaISSNTipo de publicaçãoIdentificador únicoMês de entradaAno de publicaçãoTexto completoAtualização por classeCategoria DeCSCategoria DeCS explodidaCategoria CID-10SubSetsPais de AfiliaçãoAfiliaçãoAfiliação 2

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