Piedra

Piedra
  • 文章类型: Journal Article
    分散驱动了种群的灭绝-重新定殖动力学,对于濒危物种重新定殖以前的范围是必要的。然而,很少有研究量化分散,甚至很少研究多年来分散的一致性。北象海豹(Miroungaangustirostris)提供了扩散重要性的例子。在19世纪的狩猎几乎灭绝后,它迅速重新定殖了它的全部范围,虽然观察到分散,但没有量化。在这里,我们列举了1994-2010年期间在两个殖民地标记为幼崽的雌性中的终生扩散事件,然后校正检测偏差以估计双向扩散率。在PiedrasBlancas殖民地出生的雌性中,平均有16%向北分散了200公里,在AñoNuevo繁殖,而在AñoNuevo出生的人中,有8.0%向南分散到PiedrasBlancas。在17个队列中的15个中,北向率波动很大,但高于南向。在研究期间,PiedrasBlancas的人口增加了15倍,而AñoNuevo则略有下降,但是海豹会从高密度殖民地移民的期望没有得到支持。在1990年代,从小殖民地向大殖民地的扩散更高。此外,后来在PiedrasBlancas出生的同伙,当殖民地长大后,分散不超过早期队列。北象海豹的高出生散布意味着,就对环境变化的响应而言,必须将人口视为一个大单位。该物种过去的恢复是偶然的,继续扩散意味着象海豹可能会进一步扩大它们的范围。
    Dispersal drives extinction-recolonization dynamics of metapopulations and is necessary for endangered species to recolonize former ranges. Yet few studies quantify dispersal and even fewer examine consistency of dispersal over many years. The northern elephant seal (Mirounga angustirostris) provides an example of the importance of dispersal. It quickly recolonized its full range after near extirpation by 19th century hunting, and though dispersal was observed it was not quantified. Here we enumerate lifetime dispersal events among females marked as pups at two colonies during 1994-2010, then correct for detection biases to estimate bidirectional dispersal rates. An average of 16% of females born at the Piedras Blancas colony dispersed northward 200 km to breed at Año Nuevo, while 8.0% of those born at Año Nuevo dispersed southward to Piedras Blancas. The northward rate fluctuated considerably but was higher than southward in 15 of 17 cohorts. The population at Piedras Blancas expanded 15-fold during the study, while Año Nuevo\'s declined slightly, but the expectation that seals would emigrate away from high density colonies was not supported. During the 1990s, dispersal was higher away from the small colony toward the large. Moreover, cohorts born later at Piedras Blancas, when the colony had grown, dispersed no more than early cohorts. Consistently high natal dispersal in northern elephant seals means the population must be considered a single large unit in terms of response to environmental change. High dispersal was fortuitous to the past recovery of the species, and continued dispersal means elephant seals will likely expand their range further.
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  • 文章类型: Observational Study
    在拉丁美洲(LA),到2050年,痴呆症的患病率预计将增加两倍,达到1.5亿人。2020年柳叶刀委员会的报告确定了几个可改变的痴呆症风险因素,然而,社会和环境因素很少,与洛杉矶的脆弱地区最相关,在这份报告中得到了强调。我们试图评估PuentePiedra的神经认知障碍(NCD)的流行病学,利马社会和经济上最脆弱的地区之一,秘鲁首都。
    这是一项横截面的门到门观察性研究,使用了两阶段的家庭采样。每个家庭登记一名年轻成年人(30-59岁)和一名年长成年人(>60岁)。我们收集了人口统计,临床,和神经认知数据。使用Addenbrooke的认知检查(年轻人)和RUDAS-PE(老年人),将参与者分类为认知正常,可能是轻度NCD,或可能的主要NCD。
    我们招募了247名参与者(平均年龄46岁;67%为女性)。四分之一的人没有完成中学学业,超过50%的人只完成中学学业。大多数参与者是家庭主妇(46%),21%没有医疗保险。可能的非传染性疾病的总体患病率为30%(年轻人和老年人分别为25.6%和41.8%,分别)。在年轻人中,与年龄较小的人群相比,55-59岁的人群发生NCD的频率更高(70%).在老年人中,只有3名受试者(4.5%)有严重NCD。
    我们发现,在利马的一个社会和经济脆弱的社区中,可能发生的非传染性疾病的频率很高,秘鲁,年轻人的非传染性疾病水平高于预期。我们的发现支持卫生系统需要纳入针对年轻人群的非传染性疾病的认知筛查计划。未来关于非传染性疾病的研究将包括年轻人群,特别是在脆弱的社区。
    In Latin America (LA), the prevalence of dementia is expected to triple to 150 million people by 2050. The 2020 Lancet Commission report identified several modifiable dementia risk factors, yet few social and environmental factors, most relevant to vulnerable regions of LA, were highlighted in this report. We sought to assess the epidemiology of neurocognitive disorders (NCD) in Puente Piedra, one of the most socially and economically vulnerable districts of Lima, the capital of Peru.
    This was a cross-sectional door-to-door observational study that used two-stage household sampling. One young adult (30-59 years) and one older adult (>60 years) per household were enrolled. We collected demographic, clinical, and neurocognitive data. Addenbrooke\'s Cognitive Examination (young adults) and the RUDAS-PE (older adults) were used, classifying participants as cognitively normal, possible mild NCD, or possible major NCD.
    We enrolled 247 participants (median age 46 years; 67% female). One-fourth had not completed secondary school and more than 50% completed only secondary school. Most participants were housewives (46%) and 21% did not have health insurance. The overall prevalence of possible NCD was 30% (25.6 and 41.8% among younger adults and older adults, respectively). Among younger adults, those ages 55-59 years more frequently had NCD (70%) compared to younger age ranges. Among older adults, only 3 subjects (4.5%) had major NCD.
    We found a high frequency of possible NCDs in a socially and economically vulnerable community in Lima, Peru, with younger adults showing levels of NCD higher than expected. Our findings support the need for health systems to incorporate cognitive screenings programs for NCD in younger ages. Future research on NCD would include younger populations, particularly in vulnerable communities.
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  • 文章类型: Systematic Review
    本研究通过对文献中的病例进行系统回顾,分析了确诊为WhitePiedra的患者的临床特征。考虑了131名受试者的样本,其中91.6%为女性,大多数为18岁或以下。大多数研究是在巴西进行的,其次是印度,和墨西哥。发现的最常见的病原体是毛孢菌属(34.3%)。大多数受影响的患者无症状(94.6%),诱发因素包括长发,使用发带或发饰,和湿头发。最常见的临床特征是结节的存在。在大多数研究中,随访信息的缺乏阻碍了对治疗有效性的评估。结论白皮德拉感染多见于年轻女性,且与毛发相关因素有关。
    This study analyzes the clinical characteristics of patients diagnosed with White Piedra through a systematic review of cases in the literature. A sample of 131 subjects was considered, of which 91.6% were female and most were 18 years of age or younger. Most studies were conducted in Brazil, followed by India, and Mexico. The most common etiologic agent found was Trichosporon spp (34.3%). Most affected patients were asymptomatic (94.6%) and predisposing factors included long hair, use of a hair band or hair accessories, and wet hair. The most common clinical feature was the presence of nodules. The evaluation of treatment effectiveness was hindered by the scarcity of follow-up information in the majority of the studies. It is concluded that White Piedra infection is more common in young women and is associated with hair-related factors.
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  • 文章类型: Journal Article
    未经评估:与庇护所中COVID-19传染风险因素增加相关的因素包括人员流动和人满为患,在公共区域度过的时间,日常供应需求,水供应,和卫生水平。关于COVID-19大流行对移民和难民影响的报告,“表明,诸如粮食短缺等因素,用品,水,消毒材料,健康距离的空间,租金和基本服务的财政资源,以及缺乏医疗或心理护理使为寻求国际保护的移民和申请人提供护理变得更加复杂。
    UNASSIGNED:我们描述了在边境城市居住的移民人口中发现和追踪可疑和确诊的COVID-19病例的庇护所行动,这些病例表现出轻度症状。
    未经评估:我们进行了半结构化,对研究对象(负责人,经理,协调员,庇护所主管)来自22个移民庇护所,和30个关键线人。我们研究了蒂华纳(下加利福尼亚州)的城市,诺加莱斯(索诺拉),华雷斯城(奇瓦瓦州),PiedrasNegras(Coahuila),和HeroicaMatamoros(塔毛利帕斯)。该研究基于人种学方法的定性方法设计。收集的信息被转录和系统化成两个表格或分析模板,一个用于采访研究对象,另一个是对关键演员的采访。
    未经评估:总的来说,在研究重点关注的五个城市中,有78个注册的庇护所为移民提供了住宿服务:蒂华纳的37个,五个在诺加莱斯,22人在华雷斯城,八个在PiedrasNegras,和五个加一个营地(总共六个)在马塔莫罗斯。避难所的主要集中在蒂华纳(47.4%)和华雷斯城(28.2%)。在大流行开始时,只有少数避难所设施符合检疫和隔离准则,例如有单独的浴室和足够的空间来隔离“无症状”和“确认”与密切的“接触者”。缺乏隔离空间和无法支持对COVID-19患者的监测对那些住在避难所的人构成了挑战,迫使许多庇护所关闭或继续闭门造车,以避免在大流行期间成为感染源。
    未经批准:与猜测相反,大流行爆发期间,北部边境移民收容所并未成为COVID-19感染源.根据从78个收容所分析的数据,只有7个确诊病例,“爆发”的分类仅适用于两个设施。由于遵循预防性遏制逻辑,感染控制或遏制成功,包括隔离所有可疑但未经证实的病例,没有清楚了解维持隔离区所需的人力和财力。然而,研究中的庇护所实施了流行病学监测方案,control,用干扰监测空间的元素进行预防,以及导致疏忽导致低估案件数量的过程。
    UNASSIGNED:由于为预防和遏制冠状病毒感染而施加的旅行限制,因此无法在所研究的城市中停留现场,除了蒂华纳,或在庇护所中记录移民的观点。
    Elements associated with an increased risk factor for the contagion of COVID-19 in shelters include the turnover and overcrowding of people, time spent in communal areas, daily supply needs, water availability, and sanitation levels. The \"Report on the Effects of the COVID-19 Pandemic on Migrants and Refugees,\" shows that factors such as the shortage of food, supplies, water, sanitizing materials, spaces for healthy distancing, financial resources for rent and essential services, and the lack of medical or psychological care complicated providing care for migrants and applicants seeking international protection.
    We describe shelter operations regarding the detection and follow-up of suspected and confirmed COVID-19 cases showing mild symptoms among the migrant population housed in the border cities under study.
    We conducted semi-structured, in-depth interviews with study subjects (people in charge, managers, coordinators, shelter directors) from 22 migrant shelters, and 30 with key informants. We studied the cities of Tijuana (Baja California), Nogales (Sonora), Ciudad Juárez (Chihuahua), Piedras Negras (Coahuila), and Heroica Matamoros (Tamaulipas). The research was based on a qualitative methodological design with an ethnographic approach. The information collected was transcribed and systematized into two tables or analytical templates, one for interviews with study subjects, and another for interviews with key actors.
    Overall, seventy-eight registered shelters provided accommodation services for migrants in the five cities the study focused on: thirty-seven in Tijuana, five in Nogales, twenty-two in Ciudad Juárez, eight in Piedras Negras, and five plus a camp (six in total) in Matamoros. The major concentration of shelters was in Tijuana (47.4%) and Ciudad Juárez (28.2%). At the beginning of the pandemic, only a few shelter facilities met quarantine and isolation guidelines, such as having separate bathrooms and sufficient space to isolate the \"asymptomatic\" and \"confirmed\" from close \"contacts\". The lack of isolation space and the inability to support the monitoring of patients with COVID-19 posed a challenge for those housed in shelters, forcing many shelters to close or continue operating behind closed doors to avoid becoming a source of infection during the pandemic.
    Contrary to speculation, during the onset of the pandemic northern border migrant shelters did not become sources of COVID-19 infection. According to the data analyzed from 78 shelters only seven had confirmed cases, and the classification of \"outbreak\" was applied only in two facilities. Contagion control or containment was successful as the result of following a preventive containment logic, including the isolation of all suspected but unconfirmed cases, without a clear understanding of the human and financial resources required to maintain isolation areas. However, shelters in the study implemented protocols for epidemiological surveillance, control, and prevention with elements that interfered with monitoring spaces, and processes that caused oversights that resulted in underestimating the number of cases.
    Due to travel restrictions imposed to prevent and contain coronavirus infections it was impossible to stay on-site in the cities studied, except for Tijuana, or carry-out recordings of migrants\' views in shelters.
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  • 文章类型: Journal Article
    这项研究的目的是在小的空间尺度上分析寄生虫组合的变异性,通过检查考古遗址CampoMoncada2(CM2)的食肉动物coprolites,PiedraParada地区,丘布特省,阿根廷,并将结果与先前从考古遗址CampoCerda1(CCe1)获得的结果进行比较,位于同一地区。分析了来自CM2的六个食肉动物共矿岩:在2a子级获得4个,在2a子级获得2个。与共矿物相关的两个放射性碳年代将样品按时间顺序放置在存在前780±80和860±80年之间。将再水合的沉积物过筛,然后使其自发沉积。沉积物用于光学显微镜下的寄生虫学检查。对总寄生虫丰富度的保守估计导致21个寄生类群。粪便患病率最高(>50%)的分类单元对应于现代食肉动物中普遍存在的寄生虫(Alariasp。,弓形虫cf.Canis,弓形虫sp.,Eucoleuscf.嗜气菌,Trichurissp.和环孢科。sp.).假设狐狸coprolites是同时代的,CM2和之前CCe1估计的粪便寄生虫总丰富度相似.发现的高寄生虫总丰富度表明存在一个宿主-寄生虫关系网络,其中可能包括区域狩猎-采集者。在食肉动物中获得的结果使我们能够推断PiedraParada地区非常多样化的生物群落,因此,区域性洞穴和岩石庇护所可以作为寄生虫交换节点具有一定的流行病学重要性。
    The aim of this research was to analyse the variability of parasite assemblages on a small spatial scale, by examining carnivore coprolites from the archaeological site Campo Moncada 2 (CM2), Piedra Parada area, Chubut province, Argentina, and comparing the results with those previously obtained from the archaeological site Campo Cerda 1 (CCe1), located in the same area. Six carnivore coprolites from CM2 were analysed: 4 obtained in sub-level 2a and 2 obtained in sub-level 2a/b. Two radiocarbon dates associated with the coprolites placed the samples chronologically between 780 ± 80 and 860 ± 80 years before present. The rehydrated sediments were sieved and then allowed to sediment spontaneously. The sediment was used for parasitological examination under light microscopy. Conservative estimation of total parasite richness resulted in 21 parasitic taxa. The taxa with the highest fecal prevalence (>50%) corresponded to parasites prevalent in modern carnivores (Alaria sp., Toxocara cf. canis, Toxascaris sp., Eucoleus cf. aerophila, Trichuris sp. and Ancylostomatidae gen. sp.). Assuming that the fox coprolites are contemporaneous, the total fecal parasite richness estimated for CM2 and previously for CCe1 was similar. The high total parasite richness found suggests a network of host–parasite relationships that could include regional hunter-gatherers. The results obtained in carnivore coprolites allow us to infer a very diverse biological community in Piedra Parada area, so the regional caves and rockshelters could have a proportional epidemiological importance as parasite exchange nodes.
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  • 文章类型: Case Reports
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  • 文章类型: Letter
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  • 文章类型: Journal Article
    BACKGROUND: Topical antifungals are the most commonly used therapy in white piedra of the scalp. However, persistence and relapse of infection still pose a significant challenge. Systemic antifungals have been recommended to enhance the therapeutic response.
    OBJECTIVE: To compare the efficacy of topical antifungal alone versus combined topical and oral antifungals in the treatment of white piedra of the scalp.
    METHODS: Sixty patients with white piedra of the scalp were divided into 3 groups, each containing 20 patients. Group A received topical clotrimazole, group B received combined topical clotrimazole and oral itraconazole, and group C received combined topical clotrimazole and oral terbinafine. The treatment was continued until clearance of infection was confirmed by dermoscopic and mycological examination. Positive responders were followed up for 3 months after treatment.
    RESULTS: All the patients achieved complete clearance of infection. The median treatment time in group B was significantly shorter than group A (P < .001) and group C (P < .001), respectively. In addition, the median treatment time in group C was significantly shorter than group A (P = .002). No recurrence of infection was noted during follow-up period.
    CONCLUSIONS: The three modalities were effective in the treatment of white piedra of the scalp. The most rapid response was observed with the combined use of topical and oral azoles.
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  • 文章类型: Journal Article
    秘鲁北部的PiedraChamana化石森林是被子植物树林和叶子的组合,保存在火山碎屑岩中,可追溯到39Mya(中始新世)。我们分析了化石的解剖和形态特征,以重建全球温暖时期的古环境,利用木材和树叶的共存来比较不同的代理和分析方法。
    分析的木材特征包括与血管相关的功能性状,与Baileyan趋势相关的特征,以及血管直径和密度等定量特征。直径分布和直径和位置图用于表示血管直径和排列。叶缘和面积分析提供了额外的气候估计。
    化石木材与现代热带森林木材和热带化石木材组合显示出许多相似之处;新热带地区内最接近的对应是降水适中(〜1000-1200毫米)的半落叶低地热带森林。现代南美热带地区不寻常的特征主要是与船只有关的特征(半环孔隙度,分组血管,螺旋血管增厚,短容器元素)与水压力或季节性水供应有关。叶片分析表明,年平均温度为31°C(n=19,100%全边缘),年平均降水量为1290mm(n=22,主要是小叶和小叶)。
    古植被明显是低地热带森林,表面干燥,但是木材解剖结构的异常方面与叶子所指示的高温一致,并且可能是由于与当今的新热带相比,季节性和水分胁迫的差异所解释的。一个接近的现代模拟可能是在亚洲的季节性地区。季风(夏季降雨)条件可能与近赤道热带地区以外的位置(13°S的古纬度)有关。
    The Piedra Chamana fossil forest in northern Peru is an assemblage of angiosperm woods and leaves preserved in volcaniclastic rocks dated to 39 Mya (late Middle Eocene). We analysed the anatomical and morphological features of the fossils to reconstruct the palaeoenvironment during this time of global warmth, taking advantage of the co-occurrence of woods and leaves to compare different proxies and analytical approaches.
    Wood characters analysed include vessel-related functional traits, traits linked to Baileyan trends, and quantitative features such as vessel diameter and density. Diameter-distribution and diameter and position plots are used to represent vessel diameter and arrangement. Leaf margin and area analysis provides additional climate estimates.
    The fossil woods show many similarities with modern tropical-forest woods and tropical fossil-wood assemblages; closest correspondence within the Neotropics is to semi-deciduous lowland tropical forest with moderate precipitation (~1000-1200 mm). Features unusual for the modern South American tropics are mainly vessel-related characters (semi-ring porosity, grouped vessels, helical vessel thickenings, short vessel elements) linked to water stress or seasonal water availability. Leaf analysis indicates mean annual temperature of 31 °C (n = 19, 100 % entire-margined) and mean annual precipitation of 1290 mm (n = 22, predominantly microphylls and notophylls).
    The palaeovegetation was clearly lowland tropical forest with a dry aspect, but anomalous aspects of the wood anatomy are consistent with the high temperatures indicated by the leaves and are probably explained by differences in seasonality and water stress compared to the present-day Neotropics. A close modern analogue may be in very seasonal regions of Asia. Pronounced monsoonal (summer-rain) conditions may relate to a location (palaeolatitude of 13°S) outside the near-equatorial tropics.
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  • 文章类型: Letter
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