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Análise do proteoma e do sistema antioxidante de cana-de-açúcar em resposta à colonização por Leifsonia xyli subsp. xyli, agente causal do raquitismo-das-soqueiras / Proteome and antioxidant system analysis of sugarcane in response to Leifsonia xyli subsp. xyli, causal agent of ratoon stunting diseaseGiselle de Carvalho 17 August 2012 (has links)
A cana-de-açúcar, é atualmente a cultura mais plantada no estado de São Paulo, apresentando grande importância no setor agrícola. Assim como qualquer outra cultura, é hospedeira de uma série de patógenos que podem limitar sua produção. A bactéria fastidiosa Leifsonia xyli subsp. xyli (Lxx) é o agente causal do raquistismo-das-soqueiras (RSD) em canade- açúcar cujo o principal sintoma é a redução acentuada do crescimento observada em plantas adultas. Essa doença é de difícil diagnose pois a evolução dos sintomas é lenta devido à natureza fastidiosa da bactéria. Lxx pode ser considerada como um endófíto obrigatório que cresce a níveis patogênicos nos tecidos da planta dependendo de estímulos bióticos e abióticos. Devido à importância da cultura e aos danosoCasionados pela Lxx, este trabalho apresentou dois enfoques principais: o primeiro foi o desenvolvimento de um protocolo para quantificação de Lxx em tecido de cana-de-açúcar por meio da técnica de PCR quantitativo em tempo real; o segundo foi o estudo da interação entre cana-de-açúcar e Lxx, em busca de uma melhor compreensão da evolução desse processo através da identificação de proteínas que apresentaram alteração em abundância ao longo do tempo em função da colonização pela bactéria em duas variedades de cana (RB835486 e SP80-3280) e em seguida enfatizando o sistema antioxidante nesta relação. Para isso, foram desenvolvidos primers específicos para detecção de Lxx que permitiram quantificar baixos níveis bacterianos em tecido foliar, revelando diferenças entre variedades segundo a cinética do crescimento bacteriano. Plantas com diferentes títulos bacterianos obtidas mediante inoculação artificial ou não foram submetidas à análise proteômica por meio da técnica de 2D-DIGE, uma vez que para o RSD, os danos estão relacionados à alta colonização de Lxx em seus tecidos. Os resultados alcançados com o sequenciamento de proteínas que apresentaram alteração em abundância revelaram que, em plantas da variedade RB835486 observou-se repressão de proteínas da via de estresse oxidativo e metabolismo primário, em contraste com a variedade SP80-3280, que apresentou aumento da abundância de proteínas relacionadas à via de estresse oxidativo, ambas para o mesmo tratamento, em plantas não inoculadas artificialmente. Já em plantas inoculadas com Lxx foram identificadas alteração na abundância de proteínas relacionadas ao crescimento da planta, ciclo celular, vias de sinalização celular e hormonal, esses resultados são consistentes com o principal sintoma da doença, o raquitismo, pois indica que as alterações temporais observadas na expressão de proteínas relacionadas com o aumento do título de Lxx in planta podem resultar em alterações do equilíbrio hormonal e menor crescimento da planta. Alguns resultados observados com a análise bioquímica corroboram com os dados acima descritos, pois a variedade RB835486 apresentou uma resposta precoce ao estresse oxidativo e mostrou maior controle do crescimento bacteriano, o que pode estar relacionado ao balanço de ERO\'s (espécies reativas de oxigênio) utilizadas pelo metabolismo como sinalizador celular na interação planta-patógeno. Em contraste, a variedade SP80-3280, em sua maioria, apresentou indução da atividade de enzimas antioxidantes mais tardiamente, momento em que a bactéria Lxx apresentou os maiores títulos de crescimento. / Sugarcane is currently the most grown crop in the state of São Paulo, with great importance in the agricultural sector. Like every crop, sugarcane is host to a number of pathogens that may limit its production. The fastidious bacterium Leifsonia xyli subsp. xyli (Lxx) is the causal agent of ratoon stunting in sugarcane (RSD), which the main symptom is a sharp reduction in growth observed in adult plants, this disease is difficult to diagnose because the evolution is slow due to nature of fastidious bacteria. Lxx can be considered as an obligatory endophyte that grows at pathogen levels in plant tissues depending on biotic and abiotic stimuli. Due to the importance of culture and the damage caused by the Lxx, this work presents two main approaches: the first one was the development of a protocol for the quantification of Lxx in sugarcane tissue by quantitative real time PCR; the second one was to study the interaction between sugarcane and Leifsonia xyli subsp. xyli aiming to a better understanding of the evolution of this process, identifying alterations in abundance of proteins over time depending on the bacterial colonization in the two varieties of sugarcane (RB835486 and SP80-3280) and then, emphasizing the antioxidant system in this relationship. Thus, we developed specific primers that enabled Lxx quantification at low bacterial levels in leaf tissue. The assay showed differences among sugarcane varieties according to the kinetics of bacterial growth. Plants that presented different titers of bacteria were obtained by artificial inoculum or not were selected to proteomic analysis by 2D-DIGE technique, since for RSD, the damage is related to high colonization in plant tissues. The identification of sugarcane proteins revealed that for variety RB835486 were observed a repression of stress proteins and proteins related to primary metabolism, in contrast with SP80-3280 variety, which it was identified high abundance of proteins of oxidative stress pathway, in not inoculated plants, for both varieties. However in inoculated plants it was identified a change in the abundance of proteins related to plant growth, cell cycle, cell signaling and hormonal pathways. These results corroborate with the main symptom of the disease, ratton, and suggest that temporal changes in expression of sugarcane cited proteins by increasing title of Lxx can result in hormonal imbalance and the decrease of plant growth. The major part of biochemistry analyzes corroborate with previous data obtained in proteomic approach. The RB835486 variety showed an early response to oxidative stress and suggests a greater control of bacterial growth in its tissues, which may be related to the balance of ERO\'s in signaling metabolism in plant pathogen interaction. While the SP80-3280, showed a later induction of antioxidant enzymes, when the bacterium Lxx had the highest titer of bacteria.
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Fatores associados ao estado nutricional dos estudantes da 4ª à 9ª série do ensino fundamental de 3 regiões administrativas do município de Vitória / Factors associated with the nutritional status of 4th to 9th grade Elementary to Middle School students in 3 administrative regions of the County of VitoriaCristina Carpentieri Zollner Salvador 10 November 2008 (has links)
RESUMO Introdução- A prevalência de sobrepeso já ultrapassa 40% entre os adultos brasileiros. Isso justifica o monitoramento da obesidade entre crianças e adolescentes, concomitantemente com os déficits nutricionais que acometem as crianças de baixa renda, ainda que hoje se apresentem em patamares menores do que nas décadas anteriores. Objetivo- Descrever as prevalências e os fatores associados ao estado nutricional dos estudantes da 4ª à 9ª série do ensino fundamental de 3 regiões administrativas do município de Vitória. Método. Avaliouse o estado nutricional e o estágio de maturação sexual de 400 alunos de escolas públicas e privadas. Considerou-se em déficit de estatura os indivíduos com índice estatura/idade abaixo de -2 escores z do valor mediano da população de referência, em déficit de peso aqueles com Índice de Massa Corporal (IMC) abaixo do percentil 5 e com sobrepeso/obesidade o IMC ao percentil 85. Para o perímetro da cintura, adotou-se como referência o percentil 90 da população britânica. Resultados- Encontrou-se baixa prevalência de déficit de estatura (4,0%) e de déficit de peso (4,8%) e alta prevalência de sobrepeso/obesidade (21,3%) e de acúmulo de gordura na região da cintura (27,3%). No modelo de regressão linear geral múltipla, as variáveis associadas ao déficit de estatura foram: maturação sexual em estágio inicial (RP-14,84), faixa etária 14 anos (RP-5,08) e número de irmãos 2 (RP-4,52). Para déficit de peso: peso ao nascer 2500g (RP-0,23), IMC materno 25 (RP-0,19) e número de irmãos 2 (RP-2,76). Para sobrepeso/obesidade: maturação sexual em estágio inicial e intermediário (RP-2,19 e RP-2,13), IMC materno 25 (RP-2,04) e renda no nível mais alto (RP-1,78). Para acúmulo de gordura na região da cintura: IMC materno 25 (RP-1,75), renda no nível mais alto (RP- 1,88), faixa etária 14 anos (RP-0,50) e sedentarismo 28 horas/semana (RP-1,66). Conclusões- Ações de saúde pública são necessárias para o combate ao sobrepeso/obesidade e ao acúmulo de gordura na região da cintura, apresentando maior prevalência os indivíduos nos estágios iniciais e intermediários de maturação sexual, menores de 14 anos, de maior renda, cujas as mães apresentaram IMC 25 e sedentários. / Abstract Introduction: The overweight prevalence already exceeds 40% among Brazilian\'s adults. This justifies the monitoring of obesity among children and adolescents, as well as the nutritional deficits that affect children of low income, even though today it is present in levels lower than in previous decades. Objective: To describe the prevalence and the factors associated with the nutritional status of 4th to 9th grade Elementary to Middle School students in 3 administrative regions of the County of Vitória. Method: The nutritional status and sexual maturation stage of 400 private and public school individuals were evaluated. It was considered stunting those individuals with height-for-age below -2 Z-scores of median value for the reference population; wasting those with body mass index (BMI) below the percentile 5th and as overweight/obesity the BMI of percentile 85th. For waist circumference was adopted the percentile 90 of the British population. Results: There was a low prevalence of stunting (4.0%) and wasting (4.8%) and high prevalence of overweight/obesity (21.3%) and fat accumulation in the waist area (27.3%). In the multiple generalized linear model the variables associated with stunting were: initial stages of sexual maturation (PR-14.84), age >14 (PR-5.08), number of siblings >2 (PR-4.52). For wasting: birth weight > 2500g (PR- 0.23), maternal BMI >25 (PR-0.19), number of siblings >2 (PR-2.76). For overweight/obesity: initial and intermediate stages of sexual maturation (PR-2.19 and PR- 2.13), maternal BMI >25 (PR-1.75), high income level (PR-1.78). For fat accumulation in the waist area: maternal BMI >25 (PR-1.75), high income level (PR-1.87), age >14 (PR- 0.50), sedentary > 28 hours/week (PR-1.66). Conclusions: Public health action is needed to combat overweight/obesity and fat accumulation in the waist area, presenting higher prevalence the individuals in initial and intermediate sexual maturation stages, below age 14, higher income levels, whose mothers present BMI 25 and sedentary.
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Complementary Infant Feeding Practices in AfghanistanNiayesh, Hasibullah NA 01 January 2018 (has links)
Children are at greater risk of malnutrition in Afghanistan than they are in many other countries. Malnutrition impairs the mental and physical growth of more than 50% of children in Afghanistan. It also exacerbates the risks of mortality by 45% in infants and children in Afghanistan. The purpose of this study was to determine the association between mothers' knowledge, attitudes, and practices regarding complementary feeding and malnutrition in children in Afghanistan. The precaution adoption process model served as a theoretical framework in this quantitative cross-sectional research study. Data analyzed were collected from 306 mothers and children at 6 randomly selected hospitals in Kabul Province. The results of logistic regression models indicated that mothers' knowledge, attitudes, and practices regarding complementary feeding were statistically significant predictors of stunting in children, Ï?2 (9, N = 306) = 45.33, p < .001; Ï?2 (9, N = 306) = 26.71, p < .01; and Ï?2 (9, N = 306) = 56.97, p < .001 respectively. The strongest predictor was mothers' practicing responsive feeding, where mothers who did not practice responsive feeding were 7.1 times more likely to have stunted children than mothers who practiced responsive feeding. Moreover, the results indicated that mothers' knowledge, attitudes, and practices of complementary feeding were statistically significant predictors of underweight in children, Ï?2 (9, N = 306) = 37.49, p < .001; Ï?2 (9, N = 306) = 41.15, p < .001; and Ï?2 (9, N = 306) = 44.64, p < .001. The implications for positive social change include reviewing nutrition policies, investing in nutrition programs, and operationalizing nutrition education and behavior change interventions for promoting appropriate complementary infant feeding practices in Afghanistan.
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Nutrition, Childhood Development and Prevalence of Anemia in Ghanaian Children: Analysis of Health SurveyEwusie, Joycelyne E. 04 1900 (has links)
<p>Malnutrition and Anemia in children continue to be major public health challenges in most developing countries, particularly in Africa. Malnutrition and Anemia pervade all aspects of their health, growth, cognitive and social development. They lead to irreversible and lifelong effects that prevent children from realising their full potential. This study was designed to examine the prevalence and determinants of malnutrition and anemia in children under 5 years of age in the Ghanaian population. This research is based on data from the Ghana Demographic and Health Survey (GDHS) 2008, obtained from the Ghana Statistical Service (GSS). The survey is an extensive survey conducted using a stratified, two-stage cluster sampling design. The GDHS data contains a wealth of information on health, demographic, as well as socio-economic factors but is underutilised due to the complexity of the survey data. This study therefore stands out as one of the few that use the GDHS to investigate aspects of child health in Ghana. In this study, we perform subgroup analysis by disaggregating the data by age and gender specific subgroups and then by place of residence and region. This was in order to identify sub level estimates as national estimates have a high tendency of concealing true values and deviations from general trends. Also, subgroup analysis is very significant especially for resource allocation so as to minimize the likelihood of missing the target populations. We investigated associations between the three measurements of malnutrition; stunting, underweight and wasting and anemia (assessed by haemoglobin concentration) and the various risk factors using chi-square test to examine bivariate associations and chi-square trend test to examine linear trends in association. We identified the following variables to be significantly associated with all forms of malnutrition and/or anemia: age of child, mother’s education, financial status and place of residence. Other factors that were identified to be associated with some form of malnutrition and/or anemia include duration of breastfeeding, source of drinking water, mother’s occupation and currently breastfeeding. In view of the high rate of malnutrition, approximately 36% (33.6−37.6) and the alarming prevalence of anemia, 78% (76.7 − 80.2) in children in Ghana, particularly among those less than 2 years old, and the grave consequences on their cognitive and behavioral development even in later years, there is an urgent need for effective and efficient public health interventions.</p> / Master of Science (MSc)
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Impacto de la educación de la madre sobre la desnutrición crónica infantil para los años 2002 al 2016 en Perú / Impact of maternal education and household wealth on stunted children for 2002 – 2016 in PeruRengifo Calmet, Jessica Alexandra 19 November 2020 (has links)
El presente trabajo estudia el impacto de la educación de la madre sobre la desnutrición crónica infantil para los años 2002 al 2016 en Perú. Este estudio se realizó mediante un análisis por diversos métodos del modelo econométrico de Variables Instrumentales. Se presentan los resultados para Mínimos Cuadrados en dos Etapas y Método Generalizado del Momento. También se realizan los modelos econométricos de Inclusión Residual en Dos Etapas y Probit para datos de panel. En la presente investigación se utilizó la Base de Datos Niños del Milenio. Se obtiene como resultado principal que la educación de la madre tiene un impacto negativo sobre la desnutrición crónica infantil por cada modelo econométrico para los años 2002 al 2016 en Perú.
Palabras clave: Mínimos Cuadrados en dos Etapas; Método Generalizado del Momento; Modelo de Inclusión Residual en Dos Etapas; Probit Panel; Salud; Desnutrición Crónica Infantil; Riqueza; Logro Educativo; Perú; Niños del Milenio. / The document studies the impact of maternal education on stunted children from 2002 to 2016 in Peru. It is analyzed by two different Instrumental Variables Methods, Two-Stage Least Squares and General Method of Moments. Also, the document uses Two-Stage Residual Inclusion Model, and Dynamic Probit Model for panel data. The present investigation uses the Young Lives data base. The main result is that the mother's education has a negative impact on stunted children for each model from 2002 to 2016 in Peru.
Keywords: Two-Stage Least Squares; General Method of Moments; Two-Stage Residual Inclusion; Panel Probit; Health; Wealth; Stunting; Education Attainment; Young Lives; Peru / Tesis
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La gratuité des soins associée à l’amélioration de la qualité des soins est-elle efficace pour maintenir l’utilisation des services à long terme et améliorer la santé infantile au Burkina Faso ?Zombré, David 02 1900 (has links)
Problématique : L’amélioration de l’accessibilité financière aux soins de santé est essentielle pour réduire la morbidité et de la mortalité infantile dans les pays à ressources limitées. Cependant, les preuves disponibles sur la relation entre un accès accru aux soins et l’amélioration la santé infantile, dans le long terme, demeurent insuffisantes et parfois inconnues. Dans le contexte spécifique de la région du Sahel au Burkina Faso où les niveaux élevés de morbidité et de malnutrition coïncident avec un faible recours aux soins, une intervention de santé publique associant la gratuité des soins à l’amélioration de la qualité des soins et à la prise en charge de la malnutrition dans la communauté a été mise en œuvre en septembre 2008.
Objectifs : En utilisant des approches statistiques et épidémiologiques appliquées aux données transversales et de séries chronologiques, cette thèse vise à apporter une meilleure compréhension de la façon dont la présence de l’intervention dans les communautés peut augmenter et maintenir l’utilisation des services de santé à long terme et améliorer la santé des enfants de moins de cinq ans. Les objectifs spécifiques sont : 1) évaluer le maintien à long terme des effets de l’intervention sur l’utilisation des services de santé chez les enfants de moins de cinq ans, 2) évaluer l’effet contextuel de l’intervention, quatre ans après le début de sa mise en œuvre, sur la probabilité de survenue d’une maladie et sur la probabilité d’utilisation des services de santé chez les enfants de moins de cinq ans, et 3) évaluer l’effet contextuel de l’intervention, quatre ans après le début de sa mise en œuvre, sur le retard de croissance chez les enfants de moins de cinq ans.
Méthodes : Les données proviennent du système national d’information sanitaire, d’une enquête rétrospective sur les services de santé ainsi que d’une enquête de ménages réalisée quatre ans après le début de l’intervention dans 41 villages du district d’intervention et 51 villages du district de comparaison. Nous avons utilisé un plan quasi expérimental à séries temporelles interrompues avec groupe de comparaison pour évaluer les effets immédiats et à long terme de l’intervention sur les taux d’utilisation des services de santé. Ensuite, un plan d’étude transversale post-intervention avec un groupe de comparaison nous a permis d’évaluer l’effet contextuel de l’intervention sur la probabilité de survenue d’une maladie, sur la probabilité d’utilisation des services de santé et sur le retard de croissance chez les enfants de moins de cinq ans. La stratégie analytique a combiné la méthode de pondération par les scores de propension pour équilibrer les covariables entre les deux groupes, la modélisation binomiale négative à effets mixtes, les régressions linéaire et logistique multiniveaux.
Résultats : L’intervention de gratuité des soins associée à l’amélioration de la qualité des soins et à la prise en charge de la malnutrition dans la communauté était associée à l’augmentation et au maintien de l’utilisation des services de santé au-delà de quatre ans (ratio des taux d’incidence = 2,33 ; IC 95 % = 1,98 – 2,67). En outre, comparativement aux enfants vivant dans le district de contrôle, la probabilité d’utiliser les services de santé était de 17,2 % plus élevée chez les enfants vivant dans le district d’intervention (IC 95 % = 15,01–26,6) ; et de 20,7 % plus élevée lorsque l’épisode de maladie était sévère (IC 95 % = 9,9–31,5). Ces associations étaient significatives, quels que soient la distance par rapport aux centres de santé et le statut socio-économique du ménage. Par ailleurs, alors que le contexte de résidence expliquait 9,36 % de la variance du retard de croissance (corrélation intraclasse = 9,36 % ; IC 95 % = 6,45–13,38), la présence de l’intervention dans les villages n’explique que 2 % de la variance du retard de croissance. Cependant, nous n’avons pas pu démontrer que la présence de l’intervention dans les communautés était associée à une réduction de la probabilité de survenue d’un épisode de maladie (Différentiel des probabilités = 4.4 ; IC 95% = -1.0 – 9.8), ni à une amélioration significative de l’état nutritionnel des enfants de moins de cinq ans (RC = 1,13 ; IC 95 % = 0,83–1,54).
Conclusion : Cette thèse souligne que la gratuité des soins associée à l’amélioration de la qualité des soins et à la prise en charge de la malnutrition dans la communauté est efficace pour augmenter et maintenir l’utilisation des services de santé et réduire les inégalités géographiques de recours aux soins. Cependant, cette intervention n’était pas associée à une amélioration des résultats de santé infantile. Bien que des études longitudinales rigoureuses soient nécessaires pour comprendre pleinement l’influence potentielle de cette intervention sur la morbidité, cette thèse plaide pour la nécessité d’agir simultanément sur les autres déterminants sociaux de la santé et d’intégrer, de manière synergique, des interventions spécifiques à la nutrition pour plus d’impact sur la santé infantile. / Introduction: Improving financial access to health care is believed to be essential for reducing the burden of child morbidity and mortality in resource-limited settings, but the available evidence on the relationship between increased access and health remains scarce and the long-term issues are still unknown. In the specific context of the Sahel region in Burkina Faso where high levels of morbidity and malnutrition coincide with low health care use, a pilot intervention for free health care including quality of care improvement and management of malnutrition at the community level was implemented in September 2008.
Objectives:
Using statistical and epidemiological approaches applied to cross-sectional and time series data, this thesis aims to provide a better understanding of how the presence of intervention in communities can increase and maintain long-term use of health services and improve the health of children under five years. The specific objectives are: 1) to evaluate the long-term effects of the intervention on the use of health services in children under the age of five, 2) to estimate the contextual effect of intervention on the probability of occurrence of and the likelihood of health services being used by children under five, four years after the start of its implementation, and 3) to evaluate the contextual effect of the intervention on stunting in children under five, four years after the start of its implementation.
Methods: The data for the analyses were provided from a variety of sources including the national health information system, a retrospective health services survey, and a household survey conducted four years after the intervention onset in 41 villages in the intervention district and 51 villages in the comparison district. We used a quasi-experimental controlled interrupted time-series design group to analyze the immediate and long-term effects of the intervention on the rate of health services utilization in children under five. Then, a quasi-experimental post-test-only design that included a control group allowed us to evaluate the contextual effect of the intervention on the probability of occurrence of a disease, on the probability of use of health services, and stunting in children under five. The analytic strategy combined the propensity score weighting method to balance the covariates between the two groups, two-level mixed-effects negative binomial, and linear and logistic regression models to account for the hierarchical structure of data.
Results: The intervention for free health care including quality of care improvement and management of malnutrition at the community level was associated with an increased and maintained use of health services beyond four years after the onset of intervention (incidence rate ratio = 2.33; 95% CI = 1.98–2.67). In addition, compared to children living in the comparison district, the probability of using health services was 17.2% higher among those living in the intervention district (95% CI = 15.0–26.6); and 20.7% higher when the illness episode was severe (95% CI = 9.9–31.5). These associations were significant regardless of the distance to health centers and the socio-economic status of households. In addition, inequalities in the use of care were less pronounced in the intervention villages compared to those in the control village. Finally, the results also showed that the residence context accounted for 9.36% of the variance in stunting (intra-class correlation = 9.36% ; 95% CI = 6.45–13.38), and only 2% of the variance in stunting was explained by the intervention. However, we could not demonstrate that the intervention in these communities was associated with a reduced probability of an illness occurring (AME=4.4 (95% CI: -1.0 – 9.8), nor with a significant improvement in the nutritional status among children under five (OR = 1.13; 95% CI = 0.83–1.54).
Conclusion: This thesis underlines the importance that affordable health care, including quality of care, as well as improving the management of malnutrition at the community level, are effective in increasing and maintaining the use of health services and reduce geographical inequalities in the use of care. However, this intervention was not associated with improved child health outcomes. Although rigorous longitudinal studies are necessary to fully understand the potential influence of this intervention on morbidity, this thesis highlights the need to simultaneously act on other social determinants of health and to synergistically integrate nutrition-specific interventions for greater impact on child health.
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