Abstract Background Multimorbidity is associated with higher mortality, increased disability, a decline in functional status and a lower quality of life. The objective of the study is to explore ...patterns of multimorbidity in an elderly population. Methods 328 community inhabitants aged 85 years were included. Socio-demographic variables and data from the global geriatric assessment were evaluated. Information on the presence of sixteen common chronic conditions was collected: hypertension, diabetes mellitus, dyslipidemia, ischemic cardiomyopathy, heart failure, stroke, chronic obstructive pulmonary disease, (COPD), atrial fibrillation, peripheral arterial disease, Parkinson's disease, cancer, dementia, anemia, chronic kidney disease (CKD), visual impairment and deafness. Hierarchical cluster analysis was performed. Results The rate of multimorbidity (> 1 disease) was 95.1%. Men had a higher percentage of COPD and malignancy. Four main clusters were identified. The highest value of the bivariate correlation matrix was that between heart failure and visual impairment. These two diseases were included in a cluster with atrial fibrillation, CKD, heart failure, stroke, high blood pressure and diabetes mellitus. Conclusions The large majority of oldest old subjects had multimorbidity. The results confirm the non-random co-occurrence of certain diseases in this age group.
Background/Rationale: To determine how many 85-year-old community-dwelling patients with good cognitive performance at baseline maintain this level at 2-year follow-up. Methods: We realized a ...longitudinal community-based study including 169 inhabitants. Patients who maintained scores >23 on the Spanish version of the Mini-Mental State Examination (MEC) were compared with the rest. Results: A total of 144 individuals (85.2%) were found maintaining a MEC score >23. Under the combined criteria 110 (65%) presented no new cognitive decline. Multiple logistic regression analysis showed that maintaining a MEC score >23 was significantly associated with having a higher MEC score at baseline (P < .001, odds ratio 1.280, 95% confidence interval 1.104-1.484). Conclusion: Most oldest-old patients with good cognitive function at baseline maintain this level at 2-year follow-up.
Environmental degradation has increased, mainly as a result of anthropogenic effects arising from population, industrial and agricultural growth. Water pollution is a problem that affects health, ...safety and welfare of the whole biota which shares the same environment. In Goiânia and metropolitan region, the main water body is the Meia Ponte River that is used for the abstraction of water, disposal of treated wastewater and effluents. In addition, this river receives wastewater from urban and rural areas. The aim in this present study was to evaluate the quality of raw water by some physical, chemical and toxicological tests. The physicochemical results found high levels of turbidity, conductivity, aluminum, phosphorus and metal iron, manganese, copper and lithium when compared to the standards of the Brazilian legislation. The values found of toxicity demonstrated a high degree of cytotoxicity and genotoxicity. Therefore, it was concluded that the Meia Ponte River has been undergoing constant environmental degradation, causing the poor quality of its waters. Thus, measures for the prevention and recovery should be adopted for the maintenance of the Meia Ponte River.
•Peach buds accumulated more starch and soluble sugars when grown in the cold area, sorbitol and sucrose being the most abundant sugars.•Glucose levels correlated with chill accumulation in both ...locations.•The increase in antioxidant enzymes, indicated an oxidative stress at endodormancy and dormancy release periods in peach buds.•The presence of H2O2-sensitive antioxidant enzymes in buds could trigger an oxidative signaling leading to dormancy release.•A new POX isoenzyme observed at dormancy release is proposedas a marker for this event in low chill peach varieties.•A sharp decrease in ABA/GAs ratio was observed, especially in the cold zone, a fact closely related to dormancy release.
In this work, we studied the interplay among the levels of starch, sugars, abscisic acid (ABA) and bioactive gibberellins (GAs), and the antioxidant metabolism during bud dormancy release in a low chill peach variety. The experiments were performed in two consecutive years and two geographical areas with different annual media temperature.
In the cold area, peach plants accumulated more starch and soluble sugars than in the temperate area, sorbitol and sucrose being the most abundant sugars.
The enzymatic activities of the ascorbate-glutathione (ASC-GSH) cycle and the ROS-scavengers enzymes superoxide dismutase (SOD), catalase and peroxidase (POX) were measured. The increased activity of the ASC-GSH cycle enzymes and POX suggested a mild oxidative stress at endodormancy and at dormancy release periods. In this sense, the presence of H2O2-sensitive antioxidant enzymes, including Fe-SOD, Cu,Zn-SOD, POX and APX in the floral buds could trigger the oxidative signaling leading to dormancy release. Interestingly, the induction of a new POX isoenzyme occurred at dormancy release, suggesting its use as a marker for this event in low chill peach varieties.
GAs levels decreased at the end of the dormancy period, whereas ABA levels showed a strong decline throughout the dormancy period, especially in buds from the cold area. As a consequence, a sharp decrease in the ABA/GAs ratio was observed, a phenomenon closely related to dormancy release. This response was more evident in the cold area. Results suggested that a decrease in ABA levels, as well as in the ABA/GAs ratio, may be necessary for the bud dormancy release in peach, at least in low chill varieties. Overall, we observed an interaction among sugars, antioxidant enzymes and plant hormones in the dormancy period. Glucose levels correlated with chill accumulation, peaking at ecodormancy and dormancy release. This response was parallel with increases in some antioxidant enzymes, the induction of a new POX isoenzyme and the decline in ABA levels and the ratio ABA/GAs.
(1) Background:
species have the ability to suspend (induce dormancy) and restart growth, in an intricate process in which environmental and physiological factors interact. (2) Methods: In this work, ...we studied the evolution of sugars, antioxidant metabolism, and abscisic acid (ABA) and gibberellins (GAs) levels during bud dormancy evolution in a high-chill peach variety, grown for two seasons in two different geographical areas with different annual media temperature, a cold (CA) and a temperate area (TA). (3) Results: In both areas, starch content reached a peak at ecodormancy, and then decreased at dormancy release (DR). Sorbitol and sucrose declined at DR, mainly in the CA. In contrast, glucose and fructose levels progressively rose until DR. A decline in ascorbate peroxidase, dehydroascorbate reductase, superoxide dismutase and catalase activities occurred in both seasons at DR. Moreover, the H
O
-sensitive SOD isoenzymes, Fe-SOD and Cu,Zn-SOD, and two novel peroxidase isoenzymes, were detected. Overall, these results suggest the occurrence of a controlled oxidative stress during DR. GA
was the major bioactive GA in both areas, the evolution of its levels being different between seasons and areas. In contrast, ABA content decreased during the dormancy period in both areas, resulting in a reduction in the ABA/total GAs ratio, being more evident in the CA. (4) Conclusion: A possible interaction sugars-hormones-ROS could take place in high-chill peach buds, favoring the DR process, suggesting that, in addition to sugar metabolism, redox interactions can govern bud DR, regardless of chilling requirements.
The knowledge of the behaviour of different grapevine rootstocks is basic to achieve a good adaptation of vine to its growing area. With the objective of knowing the agronomic and qualitative ...response of cv. Sauvignon Blanc to the use of several rootstocks, a trial was established in 2006 in the D.O. Rueda. The vines are vertical trellised, with bilateral Royat cordon pruning, and the vine spacing is 2.60 m × 1.25 m. The row orientation is NNW (N-25°). The experimental design consisted of randomized blocks with 4 replications and elemental plot of 60 vines. Over the period 2010–2014 it has been developed the study of the following 10 rootstocks (treatments): 110R, 101-14M, 420A, 3309C, 41B, 161-49C, 196-17C, Fercal, Gravesac and RGM. The rootstocks 420A and 41B showed a production higher than 50% with respect to 196-17C and 161-49C, and higher to 100% than RGM, due to the number of clusters per vine and, in greater amount, to the cluster weight. Fercal and Gravesac showed an increase of pruning wood weight of 24% with respect to 196-17C and 161-49C, and 90% with respect to RGM, mainly due to the shoot weight. The sugar concentration increased with 101-14M, 196-17C and Fercal, and became reduced with 161-49C, 41B and RGM. The pH of must was reduced with Fercal whereas the titratable acidity increased, which also showed increase with Gravesac and 161-49C. The tartaric acid hardly increased slightly with Fercal and 161-49C, whereas the malic acid increased with Gravesac and Fercal, and was reduced with 41B, 3309C, RGM and 101-14M. The potassium concentration increased with 196-17C, Gravesac and Fercal, and was reduced with 41B, 161-49C, 420A and 3309C. The effects observed show alternatives for rootstock election according to the growing conditions and objectives of the vineyard.