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[PMID]:29195525
[Au] Autor:Metcalfe S
[Ad] Endereço:Western Carolina University, School of Nursing, College of Health and Human Sciences, Cullowhee, North Carolina, USA.
[Ti] Título:Second Life Patient Scenarios: Enhancing the Diversity of the Nursing Profession.
[So] Source:Creat Nurs;22(3):166-170, 2016 Aug 01.
[Is] ISSN:1078-4535
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Despite the current transformation of the U.S. population to one of increased diversity, the majority of nurses employed are from White backgrounds. In addition, few secondary school students from ethnically diverse backgrounds or from rural regions in the nation are encouraged to pursue a collegiate education or to consider nursing as a career. This article describes an innovative 3-year program in which one rural university in the southeast used a virtual environment, Second Life, to expose secondary students to nursing through role-playing as avatars interacting with patient case scenarios. Secondary school science and health occupations teachers developed patient and environmental scenarios under the direction of the nursing program director and the information technology director from the university. Throughout the 3 years, 300 rural and multicultural students were exposed to virtual world health care learning through quizzes with five patient case and environmental scenarios. Student and teacher evaluations were positive about their interest in learning obtained through the patient case examinations. Technical difficulties during Year 1 were eliminated by Year 3. This program demonstrates that use of virtual technologies such as Second Life may increase the interest of secondary rural and multicultural students in careers in nursing and in pursuing a collegiate education.
[Mh] Termos MeSH primário: Escolha da Profissão
Instrução por Computador/métodos
Diversidade Cultural
Currículo
Bacharelado em Enfermagem/organização & administração
Grupos Étnicos/educação
Realidade Virtual
[Mh] Termos MeSH secundário: Adulto
Feminino
Seres Humanos
Masculino
População Rural
Sudeste dos Estados Unidos
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180220
[Lr] Data última revisão:
180220
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:171203
[St] Status:MEDLINE
[do] DOI:10.1891/1078-4535.22.3.166


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[PMID]:28456465
[Au] Autor:McClure LA; Loop MS; Crosson W; Kleindorfer D; Kissela B; Al-Hamdan M
[Ad] Endereço:Department of Epidemiology and Biostatistics, Drexel University, Philadelphia, Pennsylvania. Electronic address: lam439@drexel.edu.
[Ti] Título:Fine Particulate Matter (PM ) and the Risk of Stroke in the REGARDS Cohort.
[So] Source:J Stroke Cerebrovasc Dis;26(8):1739-1744, 2017 Aug.
[Is] ISSN:1532-8511
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Ambient particulate matter has been shown to be associated with declining human health, although the association between fine particulate matter (PM ) and stroke is uncertain. METHODS: We utilized satellite-derived measures of PM to examine the association between exposure and stroke in the REasons for Geographic And Racial Differences in Stroke (REGARDS) study. We used a time-stratified case-crossover design, with exposure lags of 1 day, 2 days, and 3 days. We examined all strokes, as well as ischemic and hemorrhagic strokes separately. RESULTS: Among 30,239 participants in the REGARDS study, 746 incident events were observed: 72 hemorrhagic, 617 ischemic, and 57 of unknown type. Participants exposed to higher levels of PM more often resided in urban areas compared to rural, and in the southeastern United States. After adjustment for temperature and relative humidity, no association was observed between PM exposure and stroke, regardless of the lag (1-day lag OR = .99, 95% CI: .83-1.19; 2-day lag OR = .95, 95% CI: .80-1.14; 3-day lag OR = .95, 95% CI = .79-1.13). Similar results were observed for the stroke subtypes. CONCLUSIONS: In this large cohort of African-Americans and whites, no association was observed between PM and stroke. The ability to examine this association with a large number of outcomes and by stroke subtype helps fill a gap in the literature examining the association between PM and stroke.
[Mh] Termos MeSH primário: Afroamericanos
Isquemia Encefálica/etnologia
Grupo com Ancestrais do Continente Europeu
Exposição por Inalação/efeitos adversos
Hemorragias Intracranianas/etnologia
Material Particulado/efeitos adversos
Acidente Vascular Cerebral/etnologia
[Mh] Termos MeSH secundário: Idoso
Isquemia Encefálica/diagnóstico
Comorbidade
Estudos Cross-Over
Feminino
Inquéritos Epidemiológicos
Seres Humanos
Incidência
Hemorragias Intracranianas/diagnóstico
Modelos Logísticos
Masculino
Meia-Idade
Razão de Chances
Tamanho da Partícula
Estudos Prospectivos
Medição de Risco
Fatores de Risco
Saúde da População Rural
Fatores Socioeconômicos
Sudeste dos Estados Unidos/epidemiologia
Acidente Vascular Cerebral/diagnóstico
Fatores de Tempo
Saúde da População Urbana
Tempo (Meteorologia)
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE; MULTICENTER STUDY
[Nm] Nome de substância:
0 (Particulate Matter)
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180109
[Lr] Data última revisão:
180109
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170501
[St] Status:MEDLINE


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[PMID]:29186200
[Au] Autor:Anderson DG; Bissett TG; Yerka SJ; Wells JJ; Kansa EC; Kansa SW; Myers KN; DeMuth RC; White DA
[Ad] Endereço:Department of Anthropology, University of Tennessee, Knoxville, Tennessee, United States of America.
[Ti] Título:Sea-level rise and archaeological site destruction: An example from the southeastern United States using DINAA (Digital Index of North American Archaeology).
[So] Source:PLoS One;12(11):e0188142, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The impact of changing climate on terrestrial and underwater archaeological sites, historic buildings, and cultural landscapes can be examined through quantitatively-based analyses encompassing large data samples and broad geographic and temporal scales. The Digital Index of North American Archaeology (DINAA) is a multi-institutional collaboration that allows researchers online access to linked heritage data from multiple sources and data sets. The effects of sea-level rise and concomitant human population relocation is examined using a sample from nine states encompassing much of the Gulf and Atlantic coasts of the southeastern United States. A 1 m rise in sea-level will result in the loss of over >13,000 recorded historic and prehistoric archaeological sites, as well as over 1000 locations currently eligible for inclusion on the National Register of Historic Places (NRHP), encompassing archaeological sites, standing structures, and other cultural properties. These numbers increase substantially with each additional 1 m rise in sea level, with >32,000 archaeological sites and >2400 NRHP properties lost should a 5 m rise occur. Many more unrecorded archaeological and historic sites will also be lost as large areas of the landscape are flooded. The displacement of millions of people due to rising seas will cause additional impacts where these populations resettle. Sea level rise will thus result in the loss of much of the record of human habitation of the coastal margin in the Southeast within the next one to two centuries, and the numbers indicate the magnitude of the impact on the archaeological record globally. Construction of large linked data sets is essential to developing procedures for sampling, triage, and mitigation of these impacts.
[Mh] Termos MeSH primário: Arqueologia
Mudança Climática
[Mh] Termos MeSH secundário: Oceanos e Mares
Sudeste dos Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171226
[Lr] Data última revisão:
171226
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171130
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0188142


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[PMID]:28457689
[Au] Autor:Brissie MA; Zomorodi M; Soares-Sardinha S; Jordan JD
[Ad] Endereço:Acute Care Nurse Practitioner, UNC Health Care, Neuroscience Intensive Care Unit, Department of Neurology, 170 Manning Drive, Campus Box 7025, Chapel Hill, NC 27599-7025, United States. Electronic address: Megan.Brissie@unchealth.unc.edu.
[Ti] Título:Development of a neuro early mobilisation protocol for use in a neuroscience intensive care unit.
[So] Source:Intensive Crit Care Nurs;42:30-35, 2017 Oct.
[Is] ISSN:1532-4036
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: Through evaluation of the literature and working with a team of multidisciplinary healthcare providers, our objective was to refine an interprofessional Neuro Early Mobilisation Protocol for complex patients in the Neuroscience Intensive Care Unit. RESEARCH METHODOLOGY: Using the literature as a guide, key stakeholders, from multiple professions, designed and refined a Neuro Early Mobilisation Protocol. SETTING: This project took place at a large academic medical center in the southeast United States classified as both a Level I Trauma Center and Comprehensive Stroke Center. MAIN OUTCOME MEASURES: Goals for protocol development were to: (1) simplify the protocol to allow for ease of use, (2) make the protocol more generalizable to the patient population cared for in the Neuroscience Intensive Care Unit, (3) receive feedback from those using the original protocol on ways to improve the protocol and (4) ensure patients were properly screened for inclusion and exclusion in the protocol. RESULTS: Using expert feedback and the evidence, an evidence-based Neuro Early Mobilisation Protocol was created for use with all patients in the Neuroscience Intensive Care Unit. CONCLUSION: Future work will consist of protocol implementation and evaluation in order to increase patient mobilisation in the Neuroscience Intensive Care Unit.
[Mh] Termos MeSH primário: Deambulação Precoce/métodos
Guias como Assunto/normas
Enfermeiras e Enfermeiros/psicologia
Desenvolvimento de Programas/métodos
[Mh] Termos MeSH secundário: Lista de Checagem/instrumentação
Enfermagem de Cuidados Críticos/tendências
Seres Humanos
Unidades de Terapia Intensiva/organização & administração
Doenças do Sistema Nervoso/enfermagem
Sudeste dos Estados Unidos
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171128
[Lr] Data última revisão:
171128
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:170502
[St] Status:MEDLINE


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[PMID]:28910414
[Au] Autor:Shrestha SK; Lamour K; Young-Kelly H
[Ad] Endereço:Department of Entomology and Plant Pathology, The University of Tennessee, Knoxville, TN, United States of America.
[Ti] Título:Genome sequences and SNP analyses of Corynespora cassiicola from cotton and soybean in the southeastern United States reveal limited diversity.
[So] Source:PLoS One;12(9):e0184908, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Corynespora cassiicola attackes diverse agriculturally important plants, including soybean and cotton, in the US. It is a reemerge pathogen on cotton in southeastern US. Whole genome sequences of four cotton and one soybean isolate from Tennessee were used to develop single nucleotide polymorphism markers for cotton isolates. Cotton isolates had little diversity at the genome level and very little differentiation from the soybean isolate. Analysis of 75 isolates from cotton and soybean, using targeted-sequencing of 22 polymorphic SNP sites, revealed eight multi-locus genotypes and it appears a single clonal lineage predominates across the southeastern region. The cotton and soybean genome sequences were significantly different from the public reference genome derived from a rubber isolate and the utility of these novel resources will be discussed.
[Mh] Termos MeSH primário: Ascomicetos/genética
Gossypium/microbiologia
Hevea/microbiologia
Análise de Sequência de DNA/métodos
Feijão de Soja/microbiologia
[Mh] Termos MeSH secundário: Ascomicetos/classificação
Ascomicetos/isolamento & purificação
Variação Genética
Genoma Fúngico
Genótipo
Polimorfismo de Nucleotídeo Único
Sudeste dos Estados Unidos
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171012
[Lr] Data última revisão:
171012
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170915
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0184908


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[PMID]:28854655
[Au] Autor:Camacho ER; Chong JH; Braman SK; Frank SD; Schultz PB
[Ad] Endereço:Clemson University, Pee Dee Research and Education Center, 2200 Pocket Rd., Florence, SC 29506.
[Ti] Título:Life History of Parthenolecanium spp. (Hemiptera: Coccidae) in Urban Landscapes of the Southeastern United States.
[So] Source:J Econ Entomol;110(4):1668-1675, 2017 Aug 01.
[Is] ISSN:1938-291X
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:This study was conducted to better understand the life history of Parthenolecanium corni (Bouché) and Parthenolecanium quercifex (Fitch) (Hemiptera: Coccidae), and to develop degree-day models for crawler emergence of the two soft scale species in Georgia, North Carolina, South Carolina, and Virginia. Both species were univoltine in the southeastern United States. In South Carolina, eggs hatched from mid-April to early June; second instars began to appear in September and migrated to twigs to overwinter in October; and third instars and adults appeared in mid-March to early April. Each parthenogenetic female produced on average 1,026 ± 52 eggs. Fecundity was positively correlated to the fresh weight, length, width, and height of gravid females. Gross reproductive rate (GRR) was 695.98 ± 79.34 ♀/♀, net reproductive rate (Rº) was 126.36 ± 19.03 ♀/♀, mean generation time (TG) was 52.61 ± 0.05 wk, intrinsic rate of increase (rm) was 0.04 ♀/♀/wk, and finite rate of increase (λ) was 1.04 times per week. Crawlers first occurred across Georgia, North Carolina, South Carolina, and Virginia in 2011-2013 when 524-596 Celsius-degree-days (DDC) had been accumulated with the single sine estimation method, or 411-479 DDC with the simple average method, at the base temperature of 12.8 °C and the start date of 1 January. These regional models accurately predicted the date of crawler emergence within 1 wk of the actual emergence in 2014.
[Mh] Termos MeSH primário: Hemípteros/fisiologia
Traços de História de Vida
[Mh] Termos MeSH secundário: Animais
Tamanho Corporal
Feminino
Fertilidade
Longevidade
Modelos Biológicos
Estações do Ano
Sudeste dos Estados Unidos
Especificidade da Espécie
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170922
[Lr] Data última revisão:
170922
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170901
[St] Status:MEDLINE
[do] DOI:10.1093/jee/tox170


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[PMID]:28822561
[Au] Autor:Soliman EZ; Zhang ZM; Judd S; Howard VJ; Howard G
[Ad] Endereço:Epidemiological Cardiology Research Center (EPICARE), Department of Epidemiology and Prevention, Wake Forest School of Medicine, Winston-Salem, North Carolina; Department of Internal Medicine, Section on Cardiology, Wake Forest School of Medicine, Winston-Salem, North Carolina. Electronic address: e
[Ti] Título:Comparison of Risk of Atrial Fibrillation Among Employed Versus Unemployed (from the REasons for Geographic and Racial Differences in Stroke Study).
[So] Source:Am J Cardiol;120(8):1298-1301, 2017 Oct 15.
[Is] ISSN:1879-1913
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Involuntary unemployment due to job loss has been associated with increased risk of cardiovascular events. Whether it also is associated with increased risk of atrial fibrillation (AF) is currently unknown. Therefore, we examined this association in 8,812 participants residing mainly in the Southeastern United States (mean age 58.1 ± 7.8 years; 63.2%; women; 43.2% black) with data on employment status who were enrolled in the REasons for Geographic And Racial Differences in Stroke study between 2003 and 2007 after excluding those with voluntary unemployment (retiree, homemakers, and students). AF was identified by electrocardiogram and past medical history at the same period. The cross-sectional association between status and type of unemployment with AF was examined in multivariable logistic regression models. Additional analysis in 4,273 participants without baseline AF and with data on incident AF collected in a follow-up visit occurred after a median of 9.4 years from baseline was also conducted. In a model adjusted for socio-demographics, health insurance, income, perceived stress, and cardiovascular risk factors, unemployment was associated with 60% increased odds of AF (odds ratio [95% confidence interval] 1.60 (1.24, 2.07)). This association was consistent in subgroups stratified by median age, gender, race, education, income, and health insurance status. Similarly, unemployment was associated with AF in those without AF at baseline who developed incident AF (odds ratio [95% confidence interval] 1.54 (1.04, 2.37)). In conclusion, involuntary unemployment is associated with increased risk of AF. This may call for considering socioeconomic determinants such as unemployment as part of the preventive strategies for AF.
[Mh] Termos MeSH primário: Fibrilação Atrial/etnologia
Grupos de Populações Continentais
Renda/estatística & dados numéricos
Medição de Risco/métodos
Estresse Psicológico/etnologia
Acidente Vascular Cerebral/etiologia
Desemprego/estatística & dados numéricos
[Mh] Termos MeSH secundário: Fibrilação Atrial/complicações
Fibrilação Atrial/psicologia
Estudos Transversais
Feminino
Seguimentos
Seres Humanos
Incidência
Masculino
Prevalência
Prognóstico
Estudos Retrospectivos
Fatores de Risco
Distribuição por Sexo
Fatores Socioeconômicos
Sudeste dos Estados Unidos/epidemiologia
Estresse Psicológico/complicações
Acidente Vascular Cerebral/etnologia
Taxa de Sobrevida/tendências
Fatores de Tempo
[Pt] Tipo de publicação:JOURNAL ARTICLE; MULTICENTER STUDY
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171003
[Lr] Data última revisão:
171003
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170821
[St] Status:MEDLINE


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[PMID]:28815552
[Au] Autor:Toles M; Colón-Emeric C; Naylor MD; Asafu-Adjei J; Hanson LC
[Ad] Endereço:University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
[Ti] Título:Connect-Home: Transitional Care of Skilled Nursing Facility Patients and their Caregivers.
[So] Source:J Am Geriatr Soc;65(10):2322-2328, 2017 Oct.
[Is] ISSN:1532-5415
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Older adults that transfer from skilled nursing facilities (SNF) to home have significant risk for poor outcomes. Transitional care of SNF patients (i.e., time-limited services to ensure coordination and continuity of care) is poorly understood. OBJECTIVE: To determine the feasibility and relevance of the Connect-Home transitional care intervention, and to compare preparedness for discharge between comparison and intervention dyads. DESIGN: A non-randomized, historically controlled design-enrolling dyads of SNF patients and their family caregivers. SETTING: Three SNFs in the Southeastern United States. PARTICIPANTS: Intervention dyads received Connect-Home; comparison dyads received usual discharge planning. Of 173 recruited dyads, 145 transferred to home, and 133 completed surveys within 3 days of discharge. INTERVENTION: The Connect-Home intervention consisted of tools and training for existing SNF staff to deliver transitional care of patient and caregiver dyads. MEASUREMENTS: Feasibility was assessed with a chart review. Relevance was assessed with a survey of staff experiences using the intervention. Preparedness for discharge, the primary outcome, was assessed with Care-Transitions Measure-15 (CTM-15). RESULTS: The intervention was feasible and relevant to SNF staff (i.e., 96.9% of staff recommended intervention use in the future). Intervention dyads, compared to comparison dyads, were more prepared for discharge (CTM-15 score 74.7 vs 65.3, mean ratio 1.16, 95% CI: 1.08, 1.24). CONCLUSION: Connect-Home is a promising transitional care intervention for older patients discharged from SNF care. The next step will be to test the intervention using a cluster randomized trial, with patient outcomes including re-hospitalization.
[Mh] Termos MeSH primário: Cuidadores
Serviços de Assistência Domiciliar
Alta do Paciente
Instituições de Cuidados Especializados de Enfermagem
Cuidado Transicional
[Mh] Termos MeSH secundário: Idoso
Idoso de 80 Anos ou mais
Estudos de Viabilidade
Feminino
Seres Humanos
Masculino
Sudeste dos Estados Unidos
[Pt] Tipo de publicação:CLINICAL TRIAL; JOURNAL ARTICLE; MULTICENTER STUDY
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171103
[Lr] Data última revisão:
171103
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170818
[St] Status:MEDLINE
[do] DOI:10.1111/jgs.15015


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[PMID]:28759663
[Au] Autor:Gilsanz P; Mayeda ER; Glymour MM; Quesenberry CP; Whitmer RA
[Ad] Endereço:Division of Research, Kaiser Permanente, Oakland, California.
[Ti] Título:Association Between Birth in a High Stroke Mortality State, Race, and Risk of Dementia.
[So] Source:JAMA Neurol;74(9):1056-1062, 2017 Sep 01.
[Is] ISSN:2168-6157
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Importance: Birth in a group of predominantly southern US states is robustly linked to increased stroke risk. Given the role of cerebrovascular disease in dementia risk, geographic patterning may also occur for dementia incidence. Objective: To determine whether birth in 9 high stroke mortality states (HSMSs) is associated with dementia in a diverse cohort of individuals living in Northern California. Design, Setting, and Participants: An observational cohort study included 7423 members of Kaiser Permanente Northern California (KPNC), an integrated health care delivery system, with health survey and clinical examination data available. Data were collected between 1964 and 1973 when the individuals were middle-aged and 1996 and 2015 when participants were in later life. Exposures: Self-reported state of birth in an HSMS (top quintile of states for stroke mortality). Main Outcomes and Measures: Dementia diagnoses obtained from electronic health records from January 1, 1996, to October 15, 2015. Place of birth, race, educational level, and midlife vascular risk factors data were collected between 1964 and 1973. Results: Of the 7423 persons included in the analysis, 4049 (54.5%) were women; 1354 (18.2%) were black. The mean (SD) age of study participants at their first visit between 1963 and 1974 was 42.94 (1.73) years and mean (SD) age at the beginning of follow-up for dementia in 1996 was 71.14 (2.72) years. Dementia was diagnosed in 2254 (30.4%) of the participants and was more common among those born in an HSMS than those born outside of one (455 [39.0%] vs 1799 [28.8%]). Birth in an HSMS was 9.6 times more common for black participants (795 [58.7%]) than nonblack participants (371 [6.1%]). Overall, birth in an HSMS was associated with a 28% higher risk of dementia (adjusted hazard ratio [aHR], 1.28; 95% CI, 1.13-1.46) adjusted for age, sex, and race. Compared with nonblack persons born outside of an HSMS, black individuals born in an HSMS had the highest dementia risk (aHR, 1.67; 95% CI, 1.48-1.88), followed by black individuals not born in an HSMS (aHR, 1.48; 95% CI, 1.28-1.72), and nonblack persons born in an HSMS had a 46% increased risk (aHR, 1.46; 95% CI, 1.23-1.74). Cumulative 20-year dementia risks at age 65 years were 30.13% (95% CI, 26.87%-32.93%) and 21.80% (95% CI, 20.51%-22.91%) for individuals born in and outside an HSMS, respectively. Conclusions and Relevance: To our knowledge, this is the first study to date of place of birth and incident dementia and shows increased risk for individuals born in an HSMS, even though all participants subsequently resided in California. Birth in an HSMS was common among black participants. Place of birth has enduring consequences for dementia risk and may be a major contributor to racial disparities in dementia.
[Mh] Termos MeSH primário: Afroamericanos/etnologia
Demência/epidemiologia
Distribuição Espacial da População/estatística & dados numéricos
Acidente Vascular Cerebral/epidemiologia
[Mh] Termos MeSH secundário: Adulto
Idoso
California/epidemiologia
Estudos de Coortes
Demência/etnologia
Feminino
Seres Humanos
Incidência
Masculino
Meia-Idade
Risco
Sudeste dos Estados Unidos/epidemiologia
Acidente Vascular Cerebral/etnologia
Acidente Vascular Cerebral/mortalidade
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171004
[Lr] Data última revisão:
171004
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170801
[St] Status:MEDLINE
[do] DOI:10.1001/jamaneurol.2017.1553


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[PMID]:28737160
[Au] Autor:Reif JS; Schaefer AM; Bossart GD; Fair PA
[Ad] Endereço:Department of Environmental and Radiological Health Sciences, College of Veterinary Medicine and Biomedical Sciences, Colorado State University, Fort Collins, Colorado 80523, USA.
[Ti] Título:Health and Environmental Risk Assessment Project for bottlenose dolphins Tursiops truncatus from the southeastern USA. II. Environmental aspects.
[So] Source:Dis Aquat Organ;125(2):155-166, 2017 Jul 24.
[Is] ISSN:0177-5103
[Cp] País de publicação:Germany
[La] Idioma:eng
[Ab] Resumo:Bottlenose dolphins Tursiops truncatus are the most common apex predators found in coastal and estuarine ecosystems along the southeastern coast of the USA, where these animals are exposed to multiple chemical pollutants and microbial agents. In this review, we summarize the results of investigations of environmental exposures evaluated in 360 free-ranging dolphins between 2003 and 2015. Bottlenose dolphins inhabiting the Indian River Lagoon, Florida (IRL, n = 246), and coastal waters of Charleston, South Carolina (CHS, n = 114), were captured, given comprehensive health examinations, and released as part of a multidisciplinary and multi-institutional study of individual and population health. High concentrations of persistent organic pollutants including legacy contaminants (DDT and other pesticides, polychlorinated biphenyl compounds) as well as 'emerging' contaminants (polybrominated diphenyl ethers, perfluorinated compounds) were detected in dolphins from CHS, with lower concentrations in the IRL. Conversely, the concentrations of mercury in the blood and skin of IRL dolphins were among the highest reported worldwide and approximately 5 times as high as those found in CHS dolphins. A high prevalence of resistance to antibiotics commonly used in humans and animals was detected in bacteria isolated from fecal, blowhole, and/or gastric samples at both sites, including methicillin-resistant Staphylococcus aureus (MRSA) at CHS. Collectively, these studies illustrate the importance of long-term surveillance of estuarine populations of bottlenose dolphins and reaffirm their important role as sentinels for marine ecosystems and public health.
[Mh] Termos MeSH primário: Golfinho Nariz-de-Garrafa
Monitoramento Ambiental
[Mh] Termos MeSH secundário: Animais
Medição de Risco
Sudeste dos Estados Unidos/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171013
[Lr] Data última revisão:
171013
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170725
[St] Status:MEDLINE
[do] DOI:10.3354/dao03143



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