13 results on '"Riffo B"'
Search Results
2. Calidad de vida y función sexual en mujeres con disfunción del piso-pélvico del sur de Chile
- Author
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Bascur-Castillo, Carolina, Carrasco Portiño, Mercedes, Baeza, E., Jara, J., Lantaño, M.P., Riffo, B., Castro-Arias, Henry, Manríquez, C., Rivera, R., Universidad de Alicante. Departamento de Enfermería Comunitaria, Medicina Preventiva y Salud Pública e Historia de la Ciencia, and Salud Pública
- Subjects
Función sexual ,Calidad de vida ,Medicina Preventiva y Salud Pública ,Disfunción del piso pélvico ,Chile - Abstract
Antecedentes/Objetivos: La disfunción del piso pélvico (DPP) es muy prevalente, afectando a un tercio de las mujeres adultas. Estas patologías no suponen un riesgo vital, pero sus síntomas pueden interferir con las actividades de la vida diaria incluyendo aspectos físicos, sociales y sexuales. En el sur de Chile, en el Hospital de alta complejidad (Regional-Concepción), se ha implementado la Unidad de Piso Pélvico (UPP). No hay evidencia sobre el efecto que supone en la calidad de vida y la función sexual de las mujeres que la padecen Describir la calidad de vida y función sexual de mujeres controladas en la Unidad de Piso Pélvico de un Hospital de alta complejidad en Chile. Métodos: Estudio transversal. Población: usuarias con DPP de la UPP del H. Regional-Concepción. Muestra 173. Variables: Caract. sociodemográficas, antecedentes obstétricos, tipo de DPP, Variables de Calidad de Vida (percepción del estado de salud, limitación emocional, limitación de actividades cotidianas, alteraciones de actividades sociales) (Short Form-12 Health Survey) y función sexual (PISQ-12). Análisis: medidas de dispersión, frecuencia absoluta- relativa. Resultados: Edad media 57 años, 88% con ingreso menor a 357€. 91% con IMC-sobrepeso y obesidad, 64% ≥ 3 hijos. Tipos DPP: 53% incontinencia de orina (IO), 35% prolapso vaginal (Pp), 12% IO+Pp. Calidad de vida (n = 173): Mala percepción de salud: 95%. Limitación emocional: 37%. Limitación de actividades cotidianas: 67%. Alteraciones de actividades sociales: 57% Función sexual (n = 95): Disfunción alta: 8,4%, moderada: 41,1%, baja 50,5%. El 15% nunca tuvo deseo-sexual los últimos 6 meses. El 14% admite no haber alcanzado el orgasmo en los últimos 6 meses, el mismo porcentaje admite no sentir excitación en el mismo período. El 19% admite no estar satisfechas con las actividades sexuales actuales, el 15% siente dolor durante las relaciones sexuales, el 40% admite sufrir de pérdidas de orina durante la actividad sexual, y el mismo número admite restringir su vida sexual debido al miedo de pérdida de orina durante el acto sexual. El 27% admite tener reacciones emocionales negativas durante las relaciones sexuales. El 10% y el 13% admite que sus parejas sufrían de disfunción eréctil y eyaculación, respectivamente. Por último, el 42% de las mujeres admite que sus orgasmos en los últimos 6 meses son más intensos. Conclusiones: Las mujeres con DPP presentan una alteración negativa de su calidad de vida y de su función sexual, aunque existe cierta incongruencia al valorar positivamente la calidad de los orgasmos cuando los demás aspectos de la vida sexual son negativos.
- Published
- 2014
3. Calidad de vida y función sexual en mujeres con disfunción del piso-pélvico del sur de Chile
- Author
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Universidad de Alicante. Departamento de Enfermería Comunitaria, Medicina Preventiva y Salud Pública e Historia de la Ciencia, Bascur-Castillo, Carolina, Carrasco Portiño, Mercedes, Baeza, E., Jara, J., Lantaño, M.P., Riffo, B., Castro-Arias, Henry, Manríquez, C., Rivera, R., Universidad de Alicante. Departamento de Enfermería Comunitaria, Medicina Preventiva y Salud Pública e Historia de la Ciencia, Bascur-Castillo, Carolina, Carrasco Portiño, Mercedes, Baeza, E., Jara, J., Lantaño, M.P., Riffo, B., Castro-Arias, Henry, Manríquez, C., and Rivera, R.
- Abstract
Antecedentes/Objetivos: La disfunción del piso pélvico (DPP) es muy prevalente, afectando a un tercio de las mujeres adultas. Estas patologías no suponen un riesgo vital, pero sus síntomas pueden interferir con las actividades de la vida diaria incluyendo aspectos físicos, sociales y sexuales. En el sur de Chile, en el Hospital de alta complejidad (Regional-Concepción), se ha implementado la Unidad de Piso Pélvico (UPP). No hay evidencia sobre el efecto que supone en la calidad de vida y la función sexual de las mujeres que la padecen Describir la calidad de vida y función sexual de mujeres controladas en la Unidad de Piso Pélvico de un Hospital de alta complejidad en Chile. Métodos: Estudio transversal. Población: usuarias con DPP de la UPP del H. Regional-Concepción. Muestra 173. Variables: Caract. sociodemográficas, antecedentes obstétricos, tipo de DPP, Variables de Calidad de Vida (percepción del estado de salud, limitación emocional, limitación de actividades cotidianas, alteraciones de actividades sociales) (Short Form-12 Health Survey) y función sexual (PISQ-12). Análisis: medidas de dispersión, frecuencia absoluta- relativa. Resultados: Edad media 57 años, 88% con ingreso menor a 357€. 91% con IMC-sobrepeso y obesidad, 64% ≥ 3 hijos. Tipos DPP: 53% incontinencia de orina (IO), 35% prolapso vaginal (Pp), 12% IO+Pp. Calidad de vida (n = 173): Mala percepción de salud: 95%. Limitación emocional: 37%. Limitación de actividades cotidianas: 67%. Alteraciones de actividades sociales: 57% Función sexual (n = 95): Disfunción alta: 8,4%, moderada: 41,1%, baja 50,5%. El 15% nunca tuvo deseo-sexual los últimos 6 meses. El 14% admite no haber alcanzado el orgasmo en los últimos 6 meses, el mismo porcentaje admite no sentir excitación en el mismo período. El 19% admite no estar satisfechas con las actividades sexuales actuales, el 15% siente dolor durante las relaciones sexuales, el 40% admite sufrir de pérdidas de orina durante la actividad sexual, y el mismo número adm
- Published
- 2014
4. Clinical and pulmonary function analysis in long-COVID revealed that long-term pulmonary dysfunction is associated with vascular inflammation pathways and metabolic syndrome.
- Author
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Sanhueza S, Vidal MA, Hernandez MA, Henriquez-Beltran ME, Cabrera C, Quiroga R, Antilef BE, Aguilar KP, Castillo DA, Llerena FJ, Fraga Figueroa M, Nazal M, Castro E, Lagos P, Moreno A, Lastra JJ, Gajardo J, Garcés P, Riffo B, Buchert J, Sanhueza R, Ormazába V, Saldivia P, Vargas C, Nourdin G, Koch E, Zuñiga FA, Lamperti L, Bustos P, Guzmán-Gutiérrez E, Tapia CA, Ferrada L, Cerda G, Woehlbier U, Riquelme E, Yuseff MI, Muñoz Ramirez BA, Lombardi G, De Gonzalo-Calvo D, Salomon C, Verdugo RA, Quiñones LA, Colombo A, Barría MI, Labarca G, and Nova-Lamperti E
- Abstract
Introduction: Long-term pulmonary dysfunction (L-TPD) is one of the most critical manifestations of long-COVID. This lung affection has been associated with disease severity during the acute phase and the presence of previous comorbidities, however, the clinical manifestations, the concomitant consequences and the molecular pathways supporting this clinical condition remain unknown. The aim of this study was to identify and characterize L-TPD in patients with long-COVID and elucidate the main pathways and long-term consequences attributed to this condition by analyzing clinical parameters and functional tests supported by machine learning and serum proteome profiling., Methods: Patients with L-TPD were classified according to the results of their computer-tomography (CT) scan and diffusing capacity of the lungs for carbon monoxide adjusted for hemoglobin (DLCOc) tests at 4 and 12-months post-infection., Results: Regarding the acute phase, our data showed that L-TPD was favored in elderly patients with hypertension or insulin resistance, supported by pathways associated with vascular inflammation and chemotaxis of phagocytes, according to computer proteomics. Then, at 4-months post-infection, clinical and functional tests revealed that L-TPD patients exhibited a restrictive lung condition, impaired aerobic capacity and reduced muscular strength. At this time point, high circulating levels of platelets and CXCL9, and an inhibited FCgamma-receptor-mediated-phagocytosis due to reduced FcγRIII (CD16) expression in CD14+ monocytes was observed in patients with L-TPD. Finally, 1-year post infection, patients with L-TPD worsened metabolic syndrome and augmented body mass index in comparison with other patient groups., Discussion: Overall, our data demonstrated that CT scan and DLCOc identified patients with L-TPD after COVID-19. This condition was associated with vascular inflammation and impair phagocytosis of virus-antibody immune complexes by reduced FcγRIII expression. In addition, we conclude that COVID-19 survivors required a personalized follow-up and adequate intervention to reduce long-term sequelae and the appearance of further metabolic diseases., Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. The author(s) declared that they were an editorial board member of Frontiers, at the time of submission. This had no impact on the peer review process and the final decision., (Copyright © 2023 Sanhueza, Vidal, Hernandez, Henriquez-Beltran, Cabrera, Quiroga, Antilef, Aguilar, Castillo, Llerena, Fraga Figueroa, Nazal, Castro, Lagos, Moreno, Lastra, Gajardo, Garcés, Riffo, Buchert, Sanhueza, Ormazába, Saldivia, Vargas, Nourdin, Koch, Zuñiga, Lamperti, Bustos, Guzmán-Gutiérrez, Tapia, Ferrada, Cerda, Woehlbier, Riquelme, Yuseff, Muñoz Ramirez, Lombardi, De Gonzalo-Calvo, Salomon, Verdugo, Quiñones, Colombo, Barría, Labarca and Nova-Lamperti.)
- Published
- 2023
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5. Lexical Access Restrictions after the Age of 80.
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Rojas C, Riffo B, San Martín M, and Guerra E
- Abstract
Background: During the fourth age (80+ years), cognitive difficulties increase. Although language seems to resist the advancement of age, an older person without pathological developments in cognition may exhibit deficits in lexical access. This study examines the restrictions on lexical access in people aged 80 and older in word recognition and retrieval modalities through four lexical tasks., Method: The effect of aging on response time and accuracy was measured using recognition (lexical decision/naming/priming) and retrieval (picture naming) tasks. A fourth age group (>80) and two third age groups (60-69/70-79) were compared according to lexical access modality and type of task employed through linear regression models., Results: People aged 80 and older exhibit a strong lexical access constraint, as they are slower and less accurate in recognizing and retrieving words than both third age groups. These restrictions are more profound for the word retrieval modality, especially in the picture naming task., Conclusion: Impaired fluid intelligence and internode transmission deficits during advanced aging could further reduce the ability to recognize and/or retrieve words, having an impact on access speed and accuracy. Furthermore, the idea that crystallized intelligence could strengthen the accuracy of lexical access during aging is supported, specifically in word recognition modality.
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- 2023
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6. Visual word recognition among oldest old people: The effect of age and cognitive load.
- Author
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Rojas C, Riffo B, and Guerra E
- Abstract
During the fourth age, a marked physiological deterioration and critical points of dysfunction are observed, during which cognitive performance exhibits a marked decline in certain skills (fluid intelligence) but good performance of others (crystallized intelligence). Experimental evidence describes important constraints on word production during old age, accompanied by a relative stabilization of speech comprehension. However, cognitive changes associated with advanced aging could also affect comprehension, particularly word recognition. The present study examines how the visual recognition of words is affected during the fourth age when tasks involving different cognitive loads are applied. Through linear regression models, performance was compared between two third-age groups and a fourth-age group on reaction time (RT) and accuracy in naming, priming and lexical decision experiments. The fourth-age group showed a significant RT increase in all experiments. In contrast, accuracy was good when the task involved a low cognitive demand (Experiments 1 and 2); however, when a decisional cognitive factor was included (Experiment 3), the fourth-age group performed significantly worse than the younger third-age group. We argue that the behavior observed among fourth-age individuals is consistent with an unbalanced cognitive configuration, in which the fluid intelligence deficit significantly reduces the speed necessary to recognize words, independent of the cognitive load associated with the test. In contrast, the maintenance in crystallized intelligence improves the accuracy of the process, strengthening linguistic functionality in the advanced stages of old age., Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest., (Copyright © 2022 Rojas, Riffo and Guerra.)
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- 2022
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7. Undiagnosed sleep disorder breathing as a risk factor for critical COVID-19 and pulmonary consequences at the midterm follow-up.
- Author
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Labarca G, Henriquez-Beltran M, Llerena F, Erices G, Lastra J, Enos D, Castillo D, Fraga M, Lamperti L, Ormazabal V, Riffo B, Rubilar D, Sanhueza R, Vasquez J, Villanueva C, Horta G, Sanhueza F, Melo P, Dreyse J, Jorquera J, Fernandez-Bussy S, Gonzalez J, Barbe F, and Nova-Lamperti E
- Subjects
- Follow-Up Studies, Humans, Lung diagnostic imaging, Male, Prospective Studies, Risk Factors, SARS-CoV-2, COVID-19 complications, COVID-19 epidemiology, Respiratory Distress Syndrome diagnosis, Respiratory Distress Syndrome epidemiology, Respiratory Distress Syndrome etiology, Sleep Apnea Syndromes diagnosis, Sleep Apnea Syndromes epidemiology
- Abstract
Introduction: Patients with severe COVID-19 develops an acute respiratory distress syndrome (ARDS), requiring admission to the intensive care unit. COVID-19 also reports an increased prevalence of comorbidities, similar to patients with Sleep disorder breathing (SDB)., Objectives: To evaluate the association between undiagnosed SDB and the risk of ARDS and pulmonary abnormalities in a cohort of patients' survivors of COVID-19 between 3 and 6 months after diagnosis., Methods: Prospective cohort study of patients who developed ARDS during hospitalization due to COVID-19 compared with a control group of patients who had COVID-19 with mild to moderate symptoms. All patients were evaluated between the 12th and 24th week after SARS-CoV-2 infection. The evaluation includes persistent symptoms, lung diffusing capacity of carbon monoxide (DLCO), chest CT scan and home sleep apnea test. SDB was diagnosed by the respiratory disturbance index ≥5 ev/h. The association between SDB and ARDS, the hazards of lung impairment and the hazard ratios (HR) were analyzed., Results: A total of 60 patients were included (ARDS: 34 patients, Control: 26 patients). The mean follow-up was 16 weeks (range 12-24). ARDS reported a high prevalence of SDB (79% vs. 38% in control group). A total of 35% reported DLCO impairment, and 67.6% abnormal chest CT. SDB was independently associated to ARDS, OR 6.72 (CI, 1.56-28.93), p < 0.01, and abnormal Chest CT, HR 17.2 (CI, 1.68-177.4, p = 0.01). Besides, ARDS, days in mechanical ventilation, male gender were also associated with an increased risk of abnormal chest CT., Conclusion: Undiagnosed SDB is prevalent and independently associated with ARDS. In addition, undiagnosed SDB increased the hazard of abnormal Chest CT in the midterm., Study Register: ISRCTN16865246., Competing Interests: Conflict of interest The ICMJE Uniform Disclosure Form for Potential Conflicts of Interest associated with this article can be viewed by clicking on the following link: https://doi.org/10.1016/j.sleep.2021.02.029. Authors declare no conflict of interest., (Copyright © 2021 Elsevier B.V. All rights reserved.)
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- 2022
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8. Nonionizing Electromagnetic Field: A Promising Alternative for Growing Control Yeast.
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Riffo B, Henríquez C, Chávez R, Peña R, Sangorrín M, Gil-Duran C, Rodríguez A, and Ganga MA
- Abstract
In the food industry, some fungi are considered to be common spoilage microorganisms which reduce the shelf life of products. To avoid this outcome, different technologies are being developed to control their growth. Electromagnetic fields (EMF) have been used to combat bacterial growth, but there are few studies on yeasts and their possible action mechanisms. For this reason, we studied the effect of EMF between 1 to 5.9 GHz bands on the growth of Saccharomyces cerevisiae yeast and observed that all the frequencies of the band used cause the reduction of the viability of this yeast. In addition, we observed that the distance between the antenna and the sample is an important factor to consider to control the growing yeast. By using transmission electron microscopy, we found that the EMF caused a loss of continuity of the yeast cell membrane. Therefore, EMF may be used as a control method for yeast growth.
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- 2021
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9. Strategic Spatial Anchoring as Cognitive Compensation During Word Categorization in Parkinson's Disease: Evidence from Eye Movements.
- Author
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Riffo B, Guerra E, Rojas C, Novoa A, and Veliz M
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- Adult, Attention physiology, Cues, Female, Humans, Male, Cognition physiology, Eye Movements physiology, Language, Parkinson Disease physiopathology
- Abstract
The association between a word and typical location (e.g., cloud-up) appears to modulate healthy individuals' response times and visual attention. This study examined whether similar effects can be observed in a clinical population characterized by difficulties in both spatial representation and lexical processing. In an eye-tracking experiment, participants categorized spoken words as either up-associated or down-associated. Parkinson's disease patients exhibited a tendency to maintain their visual attention in the upper half of the screen, however, this tendency was significantly lower when participants categorized concepts as down-associated. Instead, the control group showed no preference for either the upper or lower half of the screen. We argue that Parkinson's disease patients present an over-reliance on space during word categorization as a form of cognitive compensation. Such compensation reveals that this clinical population may use spatial anchoring when categorizing words with a spatial association, even in the absence of explicit spatial cues.
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- 2020
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10. [Association between FTO gene rs9939609 and adiposity markers in Chilean children].
- Author
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Ulloa N, Villagrán M, Riffo B, Gleisner A, Petermann-Rocha F, Mardones L, Leiva AM, Martínez-Sanguinetti MA, and Celis-Morales C
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- Child, Chile, Cross-Sectional Studies, Female, Genetic Markers, Humans, Linear Models, Male, Pediatric Obesity diagnosis, Pediatric Obesity pathology, Adiposity genetics, Alpha-Ketoglutarate-Dependent Dioxygenase FTO genetics, Genetic Predisposition to Disease, Pediatric Obesity genetics, Polymorphism, Single Nucleotide
- Abstract
Introduction: Obesity is considered a chronic inflammatory disease with an important genetic component. Although several studies have reported an association between the FTO (fat-mass associated gene) and adiposity in children, there is limited evidence in the Chilean population., Objective: To deter mine the association between the polymorphism rs9939609 of the FTO gene and markers of adipo sity in Chilean children., Patients and Method: Cross-sectional study which included 361 children aged between 6 and 11 years (50% were girls). Between March and June 2008, clinical data and blood sample collection was carried out. The rs9939609 single-nucleotide polymorphism (SNP) of the FTO gene, was determined using the genomic DNA extracted from leukocytes, using the QIAamp DNA Blood Mini Kit (Qiagen GmbH, Hilden, Germany).The adiposity markers included were body mass index (BMI), waist circumference (WC), body fat, and WC/H index; which were later compared adjusted by sex, age, and Tanner stage. Linear regression analyses were conducted to detect the association between the polymorphism and obesity markers., Results: After adjusting the models by age, sex, and Tanner stage, we found a significant association between the polymorphism and markers of adiposity. For each extra copy of the risk allele, we found an increase of 2.47 kg body weight (95% CI: 1.39-3.55); 1.06 kg/m2 BMI (95% CI: 0.56-1.54); 2.55 cm WC, (95% CI: 1.26-3.85); and 1.98% body fat (95% CI: 0.78-3.19). When converting adiposity markers to z-score, we found that WC/height index shows the strongest association with the risk allele FTO., Conclusion: This study supports the association between the rs9939609 SNP of the FTO gene and overall and central adiposity markers in Chilean children.
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- 2020
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11. [Association between adiponectin gene polymorphisms and obesity in school age children from Hualpén, Chile].
- Author
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Orellana G, Sapunar J, Sáez K, Aguayo C, Calvo C, Radojkovic C, Riffo B, Gleisner A, Asenjo S, and Ulloa N
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- Case-Control Studies, Child, Chile, Female, Gene Frequency, Genetic Predisposition to Disease, Genotype, Humans, Odds Ratio, Risk Factors, Adiponectin genetics, Nutritional Status physiology, Obesity genetics, Polymorphism, Single Nucleotide
- Abstract
Background: Several genetic polymorphisms of adiponectin have been associated to metabolic diseases as obesity and co-morbidities., Aim: To investigate if there are associations between +45TG, +276GT, -11,377CG y -11,391GA adiponectin SNPs (single nucleotide polymorphism) with obesity in a Chilean children population., Material and Methods: A case-control study was performed in 241 obese and 126 normal weight children (7-11 years old) from the urban community of Hualpén, Biobío region. Children were classified as normal or obese, according to age and gender-specificpercentiles defined by Centerfor Disease Control and Prevention (CDC). The analysis of serum markers was carried out using commercial kits. Adiponectin polymorphisms were determined through a High Resolution Melting (HRM)-enabled real time PCR and by DNA fragment sequencing., Results: The observed allelic frequencies of the studied SNPs were over 11%. The 11,377CG polymorphism was associated with a high risk of obesity, calculated by the additive inheritance model (odds ratio = 1.389, 95% confidence interval: 1.001-1.929,p = 0.049)., Conclusions: Obese school children of the Biobío Region, have an increased risk of carrying the susceptibility allele polymorphism 11377CG of adiponectin gene.
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- 2012
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12. FTO gene is related to obesity in Chilean Amerindian children and impairs HOMA-IR in prepubertal girls.
- Author
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Riffo B, Asenjo S, Sáez K, Aguayo C, Muñoz I, Bustos P, Celis-Morales C, Lagos J, Sapunar J, and Ulloa N
- Subjects
- Alpha-Ketoglutarate-Dependent Dioxygenase FTO, Case-Control Studies, Child, Chile, Female, Homeostasis, Humans, Models, Biological, Indians, South American genetics, Insulin Resistance genetics, Obesity genetics, Proteins genetics
- Abstract
Objective: The objective of this study was to investigate the allelic frequency of the fat mass and obesity-associated (FTO) gene (rs9939609) and its influences on obesity and metabolic risk biomarkers in a cohort of normal weight and obese Chilean children determining its ethnicity., Methods: A total of 136 normal weight children and 238 obese children (between 6 and 11 yr old) from an urban setting were recruited for this case-control study. The children were classified as normal weight [body mass index (BMI) ≥ 5th and < 85th percentiles] or obese (BMI >95th percentile), according to the international age- and gender-specific percentiles defined by the Center for Disease Control and Prevention. The analysis of serum markers was carried out using commercial kits. The FTO polymorphism was determined through a high-resolution melting enabled real time polymerase chain reaction. Ethnicity was determined by analyzing mitochondrial DNA by the restriction fragment length polymorphism method., Results: As much as 85% of the cohort was Amerindian. The minor A allele of rs9939609 was associated with obesity (odds ratio (OR): 1.422 [95% confidence interval (CI) 1.068-1.868] p = 0.015), calculated using an additive model. In sex-stratified analysis we found that the risk variant (A) of rs9939609 was associated with a higher homeostasis model of assessment for insulin (HOMA-IR) in prepubertal obese girls. In male carriers of the A allele, HOMA-IR showed no further deterioration than that already associated with obesity., Conclusions: In summary, we confirm the association of the FTO gene single-nucleotide polymorphism rs9939609 with obesity in Chilean Amerindian children. Furthermore we show an association between the risk allele (A) and insulin resistance-related markers in prepubertal obese girls., (© 2011 John Wiley & Sons A/S.)
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- 2012
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13. Canceling updating in the comprehension of counterfactuals embedded in narratives.
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de Vega M, Urrutia M, and Riffo B
- Subjects
- Adult, Attention, Female, Humans, Male, Reading, Semantics, Time Factors, Cognition, Narration
- Abstract
Participants were given counterfactual sentences--for example, "If Mary had won the lottery she would have bought a Mercedes car"--or factual sentences--for example, "Because Mary won the lottery, she bought a Mercedes car"--embedded in short narratives. Reading times showed that readers were immediately sensitive to the special status of counterfactual information (Experiment 1). In addition, probe-recognition latencies demonstrated that old information was more accessible in counterfactual than in factual stories, and new information was equally accessible in both kinds of stories (Experiment 2). However, after reading additional clauses, new information became less accessible in counterfactual than in factual stories (Experiment 3). These results suggest that counterfactual events are momentarily represented but are later suppressed and the readers' attention goes back to previous events in the story.
- Published
- 2007
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