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Initial Observations (initial + observation)

Distribution by Scientific Domains

Medical Sciences	70%
Earth and Environmental Science	20%

Selected Abstracts

Still More Benefits of Statins: Initial Observations in Aortic Stenosis

PREVENTIVE CARDIOLOGY, Issue 1 2002
Ezra A. Amsterdam MD Editor in Chief
No abstract is available for this article. [source]

Archaeological site distribution by geomorphic setting in the southern lower Cuyahoga River Valley, northeastern Ohio: Initial observations from a GIS database

GEOARCHAEOLOGY: AN INTERNATIONAL JOURNAL, Issue 8 2004
Andrew Bauer
In this study, we compiled unpublished archival documentation of archaeological site locations from the southern part of the Cuyahoga River Valley in northeastern Ohio, USA, registered at the State of Ohio Historic Preservation Office into a Geographic Information Systems (GIS) database. Using digitized soil shapefiles to generate a geomorphic data layer, we assessed the spatial and temporal distribution of 79 known archaeological sites by landform association. This digital compilation indicates that Woodland period, Late Prehistoric, and Historic sites occur in most geomorphic settings along the river valley. In contrast, Paleoindian and Archaic sites only occur on Wisconsinan cut terraces and in upland interfluve settings, indicating that most of these documented sites are in primary contexts and have not been reworked. We discuss the distribution of archaeological sites in the study region as a function of various factors, including cultural activities, taphonomic processes, landform development, and the nature and extent of the original archaeological surveys. Observed spatial patterns of known sites clearly reflect local geomorphological controls; artifactual contexts from the earlier prehistoric periods are underrepresented in the database. We conclude that additional site surveys, as well as the excavation and documentation of new sites in this part of Ohio, are required to understand local prehistoric economies and to ascertain patterns of culturally mediated land use. © 2004 Wiley Periodicals, Inc. [source]

Molecular analysis and patterns of ALT and hepatitis C virus seroconversion in haemodialysis patients with acute hepatitis

NEPHROLOGY, Issue 3 2008
ELISABETH LAMPE
SUMMARY: Background: Haemodialysis (HD) continues to carry the risk of hepatitis C virus (HCV) transmission, with delayed seroconversion and often normal alanine aminotransferase (ALT) values increasing the likelihood of undetected infection and thus uninterrupted spread of HCV. The aim of this study was to identify the characteristic patterns of ALT changes and seroconversion during an outbreak of HCV in a HD unit. We also wanted to establish the relationship between infecting viruses using molecular analysis. Methods: All patients (n = 72) and staff (n = 23) of the HD unit were prospectively followed for 14 months. Serial measurements for ALT, HCV antibody and HCV-RNA were performed besides HCV sequence analysis. Results: The initial screening for anti-HCV and HCV-RNA confirmed chronic infection in 16/72 (22%) subjects and identified three subjects with recent seroconversion. In addition, five cases were reverse transcription-polymerase chain reaction positive alone for a total of eight recent cases. The interval between the initial observation of ALT changes and seroconversion varied from 1 to 8 months, and in several individuals ALT fluctuations only below the upper limit of normal were detected. However, relating each subject's ALT values to ALT at baseline, ALT levels increased between 1.6- and 4.7-fold. Molecular analysis provided evidence for transmission from two chronically infected source patients, probably because of inappropriate infection control measures. Conclusion: Our data highlight the importance of well-implemented safety precautions and regular HCV-RNA testing to prevent the further spread of HCV in this population, and suggest the use of ALT baseline values to identify infections that may remain unnoticed otherwise. [source]

Power of Tests for Unit Roots in the Presence of a Linear Trend,

OXFORD BULLETIN OF ECONOMICS & STATISTICS, Issue 5 2008
Bent Nielsen
Abstract Dickey and Fuller [Econometrica (1981) Vol. 49, pp. 1057,1072] suggested unit-root tests for an autoregressive model with a linear trend conditional on an initial observation. TPower of tests for unit roots in the presence of a linear trendightly different model with a random initial value in which nuisance parameters can easily be eliminated by an invariant reduction of the model. We show that invariance arguments can also be used when comparing power within a conditional model. In the context of the conditional model, the Dickey,Fuller test is shown to be more stringent than a number of unit-root tests motivated by models with random initial value. The power of the Dickey,Fuller test can be improved by making assumptions to the initial value. The practitioner therefore has to trade-off robustness and power, as assumptions about initial values are hard to test, but can give more power. [source]

DNA VACCINES AND ALLERGIC DISEASES

CLINICAL AND EXPERIMENTAL PHARMACOLOGY AND PHYSIOLOGY, Issue 5-6 2006
Kaw Yan Chua
SUMMARY 1Allergic diseases are characterized by inappropriate immune responses to common environmental antigens. The prevalence of these diseases has been increasing worldwide for reasons that are not exactly clear. 2Current treatment is largely symptomatic. Because the initial observation that simple plasmid DNA injections resulted in in vivo protein expression and induction of adaptive immune responses to the encoded antigen, the potential of modifying the allergic immune responses by DNA vaccination so as to treat and prevent these diseases has been explored extensively. 3In the present paper we review preclinical studies using animal models of allergic diseases, with an emphasis on DNA vaccine design, for house dust mite allergens-related allergic asthma. [source]

We are all different: insights from osteoporosis research in Asia

INTERNATIONAL JOURNAL OF RHEUMATIC DISEASES, Issue 4 2008
Swan Sim YEAP
Abstract Osteoporosis only became a ,disease' entity in the 20th century. After the initial observations and definitions of osteoporosis based on Caucasian populations, systematic research in Asian populations started in the 1980s. Significant variations between different ethnic groups with respect to the rate of osteoporotic fractures, bone mineral density and disease risk factors emerged from the data; this article highlights some of the earlier important findings and the dissimilarities. Osteoporosis is therefore not a homogeneous disease across the world. [source]

The production and characterization of monoclonal antibodies against Photobacterium damselae ssp. piscicida and initial observations using immunohistochemistry

JOURNAL OF FISH DISEASES, Issue 2 2001
T S Jung
Five monoclonal antibodies (MAbs: F2B1, 1E4, 13B10, 4D4 and F3G12) were produced against lysed Photobacterium damselae ssp. piscicida (Ph. d. ssp. piscicida). The MAbs recognized three antigens of differing molecular weight on the Western blot of Ph. d. ssp. piscicida. They also cross-reacted with five different species of Vibrio. An enzyme linked immunosorbent assay (ELISA) with MAbs, F3G12 and 4D4 demonstrated differences between Ph. d. ssp. piscicida and three Ph. d. ssp. damselae type strains, indicating differences in the surface antigenicity between these two groups of bacteria. Antigen retrieval in conjunction with immunohistochemistry (IHC) using MAb 13B10, revealed colonies of bacteria in the kidney, spleen and liver of sea bass, Dicentrarchus labrax, infected with pasteurellosis. A number of positive colonies were observed around the mucosal layers of the intestinal tissue, especially within the lamina propria. In addition, a number of bacterial colonies were associated with red blood cells and blood vessels of the organs examined. [source]

Delayed neuropsychologic dysfunction after liver transplantation for acute liver failure: A matched, case-controlled study

LIVER TRANSPLANTATION, Issue 10 2002
Elizabeth W. Jackson
Although several studies have identified posttransplant neurologic sequelae in patients with acute liver failure (ALF), the effects of these sequelae on neuropsychologic functioning after transplant is unknown. This study compared neuropsychologic functioning of ALF patients with chronic liver disease patients after liver transplantation. After liver transplantation, seven ALF patients were compared with a matched control group of patients who had been transplanted for chronic liver disease. The patients were matched by gender, age (within 5 years), and time since transplantation (within 2 years). Patients completed a 2-hour battery of tests, which included measures of attention, memory, motor performance, abstract conceptualization, and visuospatial perception. There were no significant differences between the groups on measures of socioeconomic status or education. Significant differences were found on three separate tests: WAIS-III Vocabulary, WAIS-III Similarities, and WMS-III Paired Associate Learning II. Although these tests measure distinct functions (vocabulary knowledge, abstract conceptualization, and delayed verbal recall), they may be influenced by broader verbal functions, such as verbal fluency, conceptualization, and the ability to articulate ideas. When patients were asked what functions had noticeably deteriorated since transplantation, nearly all complained of memory difficulties, and there was no difference between groups. However, more ALF than chronic liver disease (CLD) patients complained of concentration difficulties. The results of this study suggest that ALF patients may experience more neuropsychologic dysfunction after transplant. Further studies are required to expand on these initial observations with the potential to improve patient care and referral to appropriate rehabilitative services. [source]

Natalizumab drug holiday in multiple sclerosis: Poorly Tolerated

ANNALS OF NEUROLOGY, Issue 3 2010
Joep Killestein MD
It has been suggested that natalizumab-associated progressive multifocal leukoencephalopathy may be prevented by structured interruptions of treatment. Evidence supporting such a drug holiday is not yet available. Here we present initial observations in 10 multiple sclerosis patients who were stringently monitored up to 6 months after discontinuation of the infusions. Cumulatively, a combination of clinical relapse and new and/or enhanced lesions on magnetic resonance imaging had occurred in 7 of 10 patients. Although numbers are small, our data suggest that in patients who were switched to natalizumab because of disease activity despite first-line treatment, a natalizumab drug holiday without reinstatement of alternate disease-modifying therapy is poorly tolerated. Ann Neurol 2010 [source]

Cardiac monitoring of patients receiving arsenic trioxide therapy

BRITISH JOURNAL OF HAEMATOLOGY, Issue 5 2004
Dilip Unnikrishnan
Summary Arsenic trioxide (ATO) is approved for the treatment of acute promyelocytic leukaemia and is under investigation for other malignancies. We report the cardiac findings in 18 patients with haematologic malignancies treated with ATO and assess the role of cardiac factors in fluid retention syndrome observed during ATO therapy. Based on initial observations in 10 patients treated with ATO, cardiac functions in the subsequent eight patients were evaluated prospectively. Evaluation included pre- and during-treatment electrocardiograms, Holter monitoring, echocardiograms, multigated acquisition scan and cardiac stress tests if indicated. All eight patients developed fluid retention during ATO, evidenced by pulmonary congestion, oedema and pleural/pericardial effusions. No cardiac factors were identified that contributed to fluid retention. Six patients had prolonged corrected QT (QTc) compared with baseline, three developed ventricular tachycardia. Sinus tachycardia, ventricular premature contractions, and non-sustained ventricular/supraventricular tachycardia were seen during ATO treatment. Fluid retention and cardiac events did not correlate with the dose or total amount of ATO or prior anthracycline therapy. In summary, fluid overload during ATO therapy does not appear to be cardiac in origin but appears to be drug-related, and may reflect cytokine-induced capillary leak. QTc prolongation, transient arrhythmias and clinically significant arrhythmias were seen with therapeutic doses of ATO. [source]