Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “World”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 505 records · Page 28Linked to original sources

Identification of New World monkey MHC-DRB alleles using PCR, DGGE and direct sequencing.

Identification of New World monkey MHC-DRB alleles has previously relied upon labor-intensive cloning and sequencing techniques. Here we describe a rapid and unambiguous way to distinguish DRB alleles in New World monkeys using the polymerase chain reaction (PCR), denaturing gradient gel electrophoresis (DGGE), and direct sequencing. The highly variable second exon of New World monkey DRB alleles was amplified using generic DRB primers and alleles were separated by DGGE. DNA was then reamplified from plugs removed from the gel and alleles were determined using fluorescent-based sequencing. The validity of this typing procedure was confirmed by the identification of all DRB alleles previously characterized by cloning and sequencing techniques from an individual cotton-top tamarin. Importantly, our analysis revealed DRB alleles not previously identified in this reference animal. Following validation of our technique, the protocol was employed for the characterization of MHC-DRB alleles in four other species of New World monkey: the pygmy marmoset, white-faced saki monkey, long-haired spider monkey and owl monkey. Using this technique, we identified five alleles from the cotton-top tamarin, five alleles from the owl monkey, three alleles from the long-haired spider monkey, three alleles from the white-faced saki monkey and two alleles from the pygmy marmoset. On the basis of phylogenetic tree analyses, 13 new DRB alleles were assigned to eight different MHC-DRB lineages. Whereas traditional DRB typing via cloning and sequencing provides limited information, our new technique provides a simple and relatively rapid way of identifying New World monkey MHC-DRB alleles.

Animals↗

Obstetric and gynecological care for Third World women.

The particular characteristics required for women's health care in the Third World are compared with these in developed countries. Women of the Third World present a different prevalence of specific diseases and give less attention to symptoms and to preventive measures. The health system is usually not well adapted to respond to these problems. Examples of the differences between the needs of health care of Third World women and those of developed countries are taken from certain aspects of pre-natal care, from the prevention of cancer of the cervix and from family planning. A critical analysis of the prevalent characteristics of women's care in the Third World was undertaken. As a result some basic points to be considered in the implementation of women's health care for the Third World were proposed: (1) avoid the uncritical simple replication of developed country's models; (2) application of a larger proportion of the resources to primary health care; (3) a more aggressive attitude to improve preventive measures; (4) efforts to maintain a continuous and non-sporadic contact between the health system and the target population: (5) greater attention to reference and contra-reference to improve the integration of the various levels of the health system; (6) delegation of functions from physicians to paramedical personnel; (7) emphasis on health education, both formal and in the day-to-day contact between health agents and target population.

Delivery of Health Care↗

Obstetric and gynecological care for Third World women.

The particular characteristics which women's health care in the Third World should have as compared with the situation in developed countries is discussed. Women in the Third World present a different prevalence of specific pathologies, give less attention to symptoms and to preventive measures, and the health system is usually not well adapted to respond to those characteristics. Examples of the difference between the needs of health care of Third World women compared to developed countries are taken from pre-natal care, prevention of cancer of the cervix and family planning. A critical analysis of the prevalent characteristics of present women's care in the Third World was done. Accordingly, some basic points to be considered in the implementation of women's health care for the Third World were proposed: avoid the uncritical replication of developed country's models to solve developing countries' health problems; application of a larger proportion of the resources to primary health care; a more aggressive attitude to increase preventive behavior, trying to maintain a continuous and not sporadic contact between the health system and the target population; great attention to reference and contra-reference to improve the integration of the various levels of the health system; delegation of functions from physicians to paramedical personnel; emphasis on health education, both formal and in the day-to-day contact between health agents and target population.

Delivery of Health Care↗

International stratification and the health of women: an empirical comparison of alternative models of world-system position.

Women's health status is investigated in the context of stratification in the world-system. We investigate three alternative conceptualizations of the world-system for their effects on women's health status, using country-level data. The models investigate the effects of world-system position, military expenditures, and health resources on women's health status. Comparison of the alternative conceptualizations of world-system position indicate that a continuous model is only negligibly better than three- or five-block models at explaining women's health status. Regardless of how it is measured, world-system position has dramatic effects on women's health.

Economics↗

Can mushrooms help save the world? Interview by Bonnie J. Horrigan.

Paul Stamets, founder and director of Fungi Perfecti, LLC., and director of the Fungi Perfecti Research Laboratories (www.fungi.com), has been a mycologist and mushroom enthusiast for more than 30 years. A pioneer in the cultivation of edible and medicinal mushrooms, he is credited with the discovery of four new mushroom species. Stamets is the author of five books on mushroom cultivation, use, and identification, including MycoMedicinals: An Informational Treatise on Mushrooms; Psilocybin Mushrooms of the World; Growing Gourmet and Medicinal Mushrooms; Mushroom Cultivator; Psilocybe Mushrooms & Their Allies; and his most recent one Mycelium Running: How Mushrooms Can Help Save the World. Stamets holds a vision of a deeply interconnected world environment and firmly believes that a greater knowledge of fungi can solve many of the world's pollution problems as well as some of the world's health problems. He has a strong interest in saving the old growth forests of the Pacific Northwest where many ancient species of mushrooms can be found. A dedicated explorer with a passion to preserve, protect, and clone as many ancestral strains of mushrooms as possible, he was the 1998 recipient of the Collective Heritage Institute's Bioneers Award and the 1999 recipient of the Founder of a New Northwest Award from the Pacific Rim Association of Resource Conservation and Development Councils. EXPLORE interviewed Stamets at his home and mushroom farms near Seattle, Washington, in the summer of 2005.

Agaricales↗

World assumptions and the role of trauma in borderline personality disorder.

The present study tested whether borderline personality disorder (BPD) is characterized by specific worldviews as hypothesized by cognitive models, using Janoff-Bulman's [(1989) Social Cognition, 7, 113-136] world assumptive model of negative effects of trauma. A second aim of this study was to investigate the role of trauma in the content of worldviews of BPD patients. Fifteen BPD patients, 14 patients with Cluster C personality disorders (PD), 19 patients with axis-I psychopathology and 21 non-patients filled out the World Assumptions Scale, the Personality Disorder Belief Questionnaire, a childhood trauma checklist (assessing physical, emotional and sexual abuse) and the BPD Checklist (severity of BPD psychopathology). BPD patients appear to view the world as malevolent and perceive less luck independent of trauma but dependent of BPD psychopathology. Furthermore, BPD patients have low self-worth and persist in specific beliefs independent of trauma or severity of BPD psychopathology. Pretzer's theory of BPD can be largely supported through Janoff-Bulman's world assumptive model. World assumptions of BPD patients can better be explained by the severity of BPD psychopathology than by the presence of trauma.

Adult↗

Revisiting Freund's incomplete adjuvant for vaccines in the developing world.

The rightful emphasis on collaboration between the public and private sectors in solving the world's health problems, especially those of the poor in the developing world, relies on industry developing new technologies with the support of government and foundations. However, certain products, despite their potential to have a great impact on disease in the developing world, will not be developed by industry because they carry the risk of lawsuits owing to possible severe adverse reactions--risks that are not counterbalanced by potential profit of products that are of limited use in the developed world. Freund's incomplete adjuvant (FIA) is one such example that is better developed in the public sector. In this article, we present the evidence that has led to our interest in FIA, evidence of its potential benefit in vaccines against blood-stage malaria, and the way forward to make safe, effective and affordable vaccines for malaria and other serious diseases in the developing world.

Animals↗

Phenotypic and genotypic heterogeneity in Gaucher disease type 1: a comparison between Brazil and the rest of the world.

Type 1 Gaucher disease, the most common lysosomal storage disorder, results from deficiency of glucocerebrosidase causing pathologic accumulation of glucocerebroside. The disease is characterized by marked variation in age of onset and degree of anemia, thrombocytopenia, hepatosplenomegaly, and skeletal disease. Most published data on Gaucher disease come from populations with large proportions of Ashkenazi-Jewish patients, who tend to have less severe disease. We compared selected demographic, clinical, and genetic parameters for Brazilian (N = 221) and rest-of-world (N = 1477) type 1 Gaucher disease patients entered into the ICGG Gaucher Registry since 1991. We also compared Brazilian patients to non-Ashkenazi rest-of-world patients (N = 692) to determine if differences were the result of fewer Brazilian Ashkenazi-Jewish patients (0.5% vs 45.0%). The Brazilian cohort differed significantly (p < 0.05) from the rest-of-world and rest-of-world non-Ashkenazi cohort, respectively, in the following measures: higher proportion of females (59.7% vs 50.4% and 49.7%), lower mean age at diagnosis (17.1 vs 24.1 and 18.8), and higher proportions of patients with anemia (55.5% vs 29.9% and 35.7%), bone pain (57.7% vs 33.7% and 35%), bone crises (16.1% vs 6.5% and 7.4%), and lytic lesions (17.0% vs 7.6% and 7.4%). The most common genotype in Brazil was N370S/L444P (c1448T-->C/c1226A-->C) (46.8% versus 16.3% and 25.7%). These data highlight the genetic and phenotypic heterogeneity among geographic populations of type 1 Gaucher patients and suggest that as a group, Brazilian patients may have a more aggressive form of the disease than rest-of-world patients. The findings also emphasize the need for caution in making generalizations about Gaucher disease across demographic groups.

Adolescent↗

Molecular systematics of New World suboscine birds.

Phylogenetic relationships among New World suboscine birds were studied using nuclear and mitochondrial DNA sequences. New World suboscines were shown to constitute two distinct lineages, one apparently consisting of the single species Sapayoa aenigma, the other made up of the remaining 1000+ species of New World suboscines. With the exception of Sapayoa, monophyly of New World suboscines was strongly corroborated, and monophyly within New World suboscines of a tyrannoid clade and a furnarioid clade was likewise strongly supported. Relationships among families and subfamilies within these clades, however, differed in several respects from current classifications of suboscines. Noteworthy results included: (1) monophyly of the tyrant-flycatchers (traditional family Tyrannidae), but only if the tityrines (see below) are excluded; (2) monophyly of the pipromorphine flycatchers (Pipromorphinae of ) as one of two primary divisions of a monophyletic restricted Tyrannidae; (3) monophyly of the tityrines, consisting of the genus Tityra plus all sampled species of the Schiffornis group (), as sister group to the manakins (traditional family Pipridae); (4) paraphyly of the ovenbirds (traditional family Furnariidae), if woodcreepers (traditional family Dendrocolaptidae) are excluded; and (5) polyphyly of the antbirds (traditional family Formicariidae) and paraphyly of the ground antbirds (Formicariidae sensu stricto). Genus Melanopareia (the crescent-chests), although clearly furnarioid, was found to be distant from other furnarioids and of uncertain affinities within the Furnarii. Likewise, the species Oxyruncus cristatus (the Sharpbill), although clearly tyrannoid, was distantly related to other tyrannoids and of uncertain affinities within the Tyranni. Results of this study provide support for some of the more novel features of the suboscine phylogeny of, but also reveal key differences, especially regarding relationships among suboscine families and subfamilies. The results of this study have potentially important implications for the reconstruction of character evolution in the suboscines, especially because the behavioral evolution of many suboscine groups (e.g., Furnariidae) is of great interest.

Animals↗

Hepatocellular carcinoma in the developing world.

There has recently been an observable increase in some forms of cancer the world over. This is attributable in large part to the introduction of acquired immunodeficiency syndrome (AIDS)-related malignancies into the world of medicine and it is interesting that most of these cases are seen in the developing world, which proportionately leads with the number of AIDS cases. Despite this, some more traditional cancers remain the big killers in these areas of the world, except that in some countries definitive interventions have yielded excellent results in reducing disease burden. In Africa and the developing world, hepatocellular carcinoma (HCC) is the leading cause of cancer death, having some clearly established etiologic factors. This review describes the current status of each of these known etiologic factors in the various areas and, using available evidence, suggests options that may be employed to further stem the incidence of HCC and improve on survival in these populations. Semin Oncol 28:179-187.

Adolescent↗

Insulin for the world's poorest countries.

In the industrialised world, type 1 diabetes rarely results in death from ketoacidosis. The same is not true in many countries in the developing world where insulin availability is intermittent, and insulin may not even be included on national formularies of essential drugs. The life expectancy for a newly diagnosed patient with type 1 diabetes in some parts of Africa may be as short as 1 year. The World Bank has identified 40 highly indebted poor countries (HIPCs) whose national debt substantially exceeds any possibility of repayment without heavy impact on health and social programmes. Incidence and prognosis of type 1 diabetes in HIPCs are lower than in most industrialised countries, and 0.48% of the world's current use of insulin is estimated to be sufficient to treat all type 1 diabetic patients in these countries. A proposal is made for the major insulin manufacturers to donate insulin, at an estimated cost of US$3-5 million per year, as part of a distribution and education initiative for type 1 diabetic patients in the HIPCs. No type 1 diabetic patient in the world's poorest countries need then die because they, or their government, cannot afford insulin.

Africa↗

The disease profile of hospitalized Third World urban black adolescents.

Our study evaluates the patients admitted to Baragwanath Hospital, which serves the city of Soweto, South Africa. A 5,175-patient sample (i.e., 50% of all adolescents admitted in 1980) was analyzed to determine the disease profile. The study population comprised 5,175 patients. Pregnancy and related states proved to be by far the commonest diagnosis (42.5%). These conditions were followed by trauma resulting from assault and violence (7.8%), epilepsy (3.6%), and minor surgical procedures for localized purulent infections (2.6%). Whereas rheumatic fever, chronic rheumatic heart disease, and tuberculosis are rare conditions among teenagers of the first world, they proved to be not uncommon in this study. Emotional disturbances, including attempted suicide, were as prominent in Third World adolescents as in their peers in the first world. It appears that apart from some important differences, the problems of urban adolescents in the first and Third World are remarkably similar. It is hoped that by highlighting these problems attention will be focused on the Third World adolescent and the further planning of adolescent units in hospitals in developing countries.

Adolescent↗

Eating behavior: lessons from the real world of humans.

Food intake by normal humans has been investigated both in the laboratory and under free-living conditions in the natural environment. For measurement of real-world intake, the diet-diary technique is imperfect and tends to underestimate actual intakes but it appears to be sensitive, can detect subtle influences on eating behavior, and produces reliable and valid measures. Research studies in the real world show the multivariate richness of the natural environment, which allows investigation of the complexities of intake regulation, and even causation can be investigated. Real-world research can overcome some of the weaknesses of laboratory studies, where constraints on eating are often removed or missing, facilitatory influences on eating are often controlled or eliminated, the importance of variables can be overestimated, and important influences can be missed because of the short durations of the studies. Real-world studies have shown a wide array of physiologic, psychological, and social variables that can have potent and immediate effects on intake. Compensatory mechanisms, including some that operate with a 2- to 3-d delay, adjust for prior excesses. Heredity affects all aspect of food-intake regulation, from the determination of body size to the subtleties of the individual preferences and social proclivities and the extent to which environmental factors affect the individual. Hence, real-world research teaches valuable lessons, and much more is needed to complement laboratory studies.

Appetite Regulation↗

What makes an endurance athlete world-class? Not simply a physiological conundrum.

Inter-individual variation in endurance performance capacity is a characteristic, not only of the general population, but also in trained athletes. The ability of sport scientists to predict which athletes amongst an elite group will become world-class is limited. We do not fully understand the interactions between biological factors, training, recovery and competitive performance. Assessment methods and interpretation of results do not take into account the facts that most research is not done on elite athletes and performances of world-class endurance athletes cannot be attributed to aerobic capacity alone. Many lines of evidence suggest that there is a limit to adaptation in aerobic capacity. Recent advances in molecular biology and genetics should be harnessed by exercise biologists in conjunction with previously used physiological, histological and biochemical techniques to study elite athletes and their responses to different training and recovery regimens. Technological advances should be harnessed to study world-class athletes to determine optimal training and competition strategies. In summary, it is likely that multiple factors are essential contributors to world-class endurance performance and that it is only by using a multidisciplinary approach that we will come closer to solving the conundrum: 'What makes an endurance athlete world class?'

Adaptation, Physiological↗

The morphology and distribution of horizontal cells in the retina of a New World monkey, the marmoset Callithrix jacchus: a comparison with macaque monkey.

The morphology and distribution of horizontal cells was studied in the retina of a New World monkey, the marmoset, Callithrix jacchus, and compared with that of the Old World macaque monkey. Horizontal cells in macaque and marmoset were either labelled with the carbocyanine dye, DiI, and then photoconverted, or were labelled by intracellular injection with Neurobiotin. The marmoset has two types of horizontal cell, H1 and H2, which have dendritic and axonal morphology similar to their counterparts in Old World monkeys and human. The dendritic-field size of both cell types increases with distance from the fovca. Both types make contact with the vast majority of the cones within their dendritic field. The dendrites of H1 cells in marmoset contact almost twice as many cones as H1 cells in macaque at an equivalent eccentricity. With increasing distance from the fovea, H1 cells make contact with more cones but have, on average, fewer terminal knobs inserted in each cone. The increase in dendritic-field area of H1 cells is balanced by a decrease in spatial density (from 4500 cells/mm2 at 25 deg eccentricity to 1000 cells/mm2 in far peripheral retina), so coverage of the retina remains fairly constant, between 5 and 8. Overall, the results show that the qualitative morphological properties, as well as quantitative population properties of horizontal cells, are common to both New World and Old World primates.

Animals↗

Impairments of emotion and real-world complex behavior following childhood- or adult-onset damage to ventromedial prefrontal cortex.

The behavioral syndrome resulting from damage to the ventromedial prefrontal (VM) region presents major challenges for clinical assessment and management, stemming from the absence of reliable neurologic or psychometric markers, coupled with often debilitating impairments of decision-making and behavior regulation. Damage to this region disrupts neural circuitry critical for emotion, which in turn may contribute to impairments in real-world competencies. Here we present findings from patients with focal lesions in the VM region acquired either in childhood or adulthood, and show that there is a relationship between emotional dysfunction and impairments in real-world behavioral competencies. Emotion was rated by participants' relatives on dimensions including frustration tolerance, lability, anxiety, and blunted affect. Real-world competencies were rated by the relatives on dimensions including judgment, planning, and initiation, and were evaluated by clinician ratings in areas including social, financial, and occupational function. VM damage resulted in severe disruption of emotion, and this emotional dysfunction accounted for a significant portion of impaired real-world competencies. The long-term impairments associated with childhood-onset lesions were at least as severe as those resulting from adult-onset damage. Greater focus on the contribution of emotional dysfunction to the real-world competencies of patients with damage in the VM region may sharpen their neuropsychological assessment and facilitate rehabilitation efforts.

Adult↗

Solution structure of an insect-specific neurotoxin from the New World scorpion Centruroides sculpturatus Ewing.

We report the high-resolution solution structure of the 6.3 kDa neurotoxic protein CsE-v5 from the scorpion Centruroides sculpturatus Ewing (CsE, range southwestern U.S.). This protein is the second example of an Old World-like neurotoxin isolated from the venom of this New World scorpion. However, unlike CsE-V, which is the first Old World-like toxin isolated and shows both anti-insect and anti-mammal activity, CsE-v5 shows high specificity for insect sodium channels. Sequence-specific proton NMR assignments and distance and angle constraints were obtained from 600 MHz 2D-NMR data. Distance geometry and dynamical simulated annealing refinements were performed to produce a final family of 20 structures without constraint violations, along with an energy-minimized average structure. The protein structure is well-defined (0.66 and 0.97 D rmsd for backbone and all heavy atoms, respectively) with a compact hydrophobic core and several extending loops. A large hydrophobic patch, containing four aromatic rings and other aliphatic residues, makes up a large area of one side of the protein. CsE-v5 shows secondary structural features characteristic of long-chain scorpion toxins: a two and a half-turn alpha-helix, a three-strand antiparallel beta-sheet, and four beta-turns. Among the proteins studied to date from the CsE venom, CsE-v5 is the most compact protein with nearly 50% of the amide protons having long exchange lifetimes, but CsE-v5 is unusual in that it has loop structures similar to both Old and New World toxins. Further, it also lacks prolines in its C-terminal 14 residues. It shows some important differences with respect to CsE-V not only in its primary sequence, but also in its electrostatic potential surface, especially around areas in register with residues 8, 9, 17, 18, 32, 43, and 57. The loss of anti-mammal activity in CsE-v5 and the differences in its anti-insect activity compared to that of other proteins such as CsE-V, v1, and v3 from this New World scorpion may be related to residue variations at these locations.

Amino Acid Sequence↗

Practical implications of imposing a new world standard population.

OBJECTIVE: The World Health Organization (WHO) has recently introduced a new world standard population for the production of age-standardized rates. In this study we compare cancer rates standardized to this population with those computed using reference populations in current practice, particularly the world standard of Segi (1960), in order to evaluate their adequacy as estimators of relative risk in diverse population groups and over time. METHODS: Incidence and mortality rates standardized using these reference populations were calculated and compared for various cancers. Standardized rate ratios were compared with more efficient methods of approximating relative risk, the Mantel & Haenszel and maximum-likelihood estimators. The differences were tested by taking a synthesis of the relative risks and by taking into account whether effects were homogeneous across age strata or not. RESULTS: There were no statistically significant differences between the relative risk estimates based on direct standardization and those obtained using Mantel & Haenszel (p < 0.99), or maximum-likelihood techniques (p > 0.99), regardless of whether the Segi or the WHO world population was used as the standard. CONCLUSIONS: Ratios of rates age-standardized using the world standard of Segi approximate relative risk as precisely as the WHO standard. For this, and important practical reasons, it is considered unnecessary to replace the Segi standard population for comparisons between cancer rates.

Adolescent↗