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Reliable Assessment (reliable + assessment)

Distribution by Scientific Domains

Medical Sciences	50%
Life Sciences	18%
6 Other Domains	32%

Distribution within Medical Sciences

Dermatology	18%

Selected Abstracts

The comparison of Nail Psoriasis Severity Index with a less time-consuming qualitative system

JOURNAL OF THE EUROPEAN ACADEMY OF DERMATOLOGY & VENEREOLOGY, Issue 2 2008
N Kaçar
Abstract Objective Reliable assessment of severity in nail psoriasis is essential to document treatment responses in clinical trials and routine clinical usage. In this study the correlation between Nail Psoriasis Severity Index (NAPSI) and Cannavo's scoring system was assessed, and inter-rater correlation of NAPSI scores were evaluated. Materials and Methods Forty-five patients with nail psoriasis were included. Target nails were selected and graded by the first dermatologist with both scoring systems. The nails were reevaluated by the second dermatologist with NAPSI. Results The two systems were highly correlated (P < 0.001). For NAPSI inter-rater correlation was also significant (P < 0.001). Conclusion Our results showed that the qualitative and quantitative evaluations of the same rater were similar. Although the qualitative scoring system of Cannavo's is less time consuming than NAPSI, to suggest this system inter-rater correlations should be evaluated. [source]

Reliable assessment of high temperature oxidation resistance by the development of a comprehensive code of practice for thermocycling oxidation testing , European COTEST project ,

MATERIALS AND CORROSION/WERKSTOFFE UND KORROSION, Issue 1 2006
M. Schütze
Abstract The cyclic oxidation test is the most often used tool in industry to characterise the high temperature oxidation/corrosion resistance of technical materials in the laboratory. In the past, however, there has been the problem of a lack of intercomparability of data from different laboratories and sometimes even from different test runs in the same lab since no general guidelines or standards were existing for this type of test. Being aware of this situation the European COTEST research project was started with 23 participants from 11 countries including representatives from industry, universities, private institutes and national research labs. The present paper reports about the outcome of this project after three years. The project consisted of 8 work packages including literature search on the state-of-the-art at the beginning of the work, experimental investigations supported by a statistics approach in order to quantify the impact of the different test parameters on the test results, a validation testing phase and the development of a comprehensive set of guidelines. The latter is available on the internet and serves as a basis for a future ISO standard for this type of test. [source]

Genetic Identification of Pelagic Shark Body Parts for Conservation and Trade Monitoring

CONSERVATION BIOLOGY, Issue 4 2002
Mahmood Shivji
Difficulties with the identification of many commonly fished sharks and their body parts has resulted in a global dearth of catch and trade information, making reliable assessment of exploitation effects and conservation needs for individual species nearly impossible. We developed and tested a highly streamlined molecular genetic approach based on species-specific, polymerase-chain-reaction primers in an eight-primer multiplex format to discriminate simultaneously between body parts from six shark species common in worldwide pelagic fisheries. The species-specific primers are based on DNA sequence differences among species in the nuclear ribosomal internal transcribed spacer 2 locus. The primers and multiplex format accurately and sensitively distinguished samples from each of three lamnid ( Isurus oxyrinchus, Isurus paucus, and Lamna nasus) and three carcharhinid ( Prionace glauca, Carcharhinus obscurus, and Carcharhinus falciformis) species from all but one other shark species encountered in the North Atlantic fishery. Furthermore, the three lamnid primers were robust enough in their discriminatory power to be useful for species diagnosis on a global scale. Preliminary testing of dried fins from Asian and Mediterranean commercial markets suggests that our genetic approach will be useful for determining the species of origin of detached fins, thus allowing the monitoring of trade in shark fins for conservation assessment. Our approach will also facilitate detection of products from protected and other at-risk shark species and may prove useful as a model for development of the high-throughput, genetic, species-diagnosis methods typically required in conservation and management contexts. Resumen: La conservación y manejo de tiburones fundamentado a nivel de especie es una necesidad imperativa debido a la creciente demanda de aletas de tiburón y el reconocimiento de que las especies individuales de tiburones responden de manera distinta a la explotación. Las dificultades para la identificación de muchos tiburones capturados comúnmente, así como de partes de su cuerpo, han resultado en una escasez global de información sobre capturas y comercialización, haciendo casi imposible el poder realizar evaluaciones de los efectos de la explotación y de las necesidades de conservación. Desarrollamos y evaluamos un método altamente estilizado de genética molecular basado en detonadores de la reacción en cadena de la polimerasa, especie-específicos, en un formato múltiple de ocho detonadores para discriminar simultáneamente entre las partes del cuerpo de seis especies de tiburones provenientes de pesquerías pelágicas mundiales comunes. Los detonadores especie-específicos están basados en diferencias en las secuencias de ADN entre especies del locus espaciador 2 nuclear, ribosomal, transcrito. Los detonadores y el formato múltiple distinguen muestras con precisión y sensitividad de cada uno de los tres lámnidos ( Isurus oxyrinchus, Isurus paucus y Lamna nasus) y tres especies de carcarínidos ( Prionace glauca, Carcharhinus obscurus y Carcharhinus falciformis) especies todas encontradas en las pesquerías de Norteamérica, excepto una. Mas aún, los detonadores de los tres lamnidos fueron lo suficientemente robustos en su poder discriminante como para ser usados para el diagnóstico de especies a escala mundial. Las pruebas preliminares de aletas secas de los mercados comerciales de Asia y el Mediterráneo sugieren que nuestro método genético puede ser útil para determinar la especie de origen de las aletas separadas, permitiendo así usar el monitoreo de las aletas de tiburón para evaluaciones de conservación. Nuestro método también podría facilitar la detección de productos provenientes de especies protegidas o en riesgo y podría resultar útil como un modelo para el desarrollo de métodos genéticos de alto rendimiento para el diagnóstico de especies, métodos típicamente requeridos en los contextos de conservación y manejo. [source]

Neuromotor development from 5 to 18 years.

DEVELOPMENTAL MEDICINE & CHILD NEUROLOGY, Issue 7 2001
Part 1: timed performance
Timed performance in specific motor tasks is an essential component of a neurological examination applied to children with motor dysfunctions. This article provides centile curves describing normal developmental course and interindividual variation of timed performances of non-disabled children from 5 to 18 years. In a cross-sectional study (n=662) the following motor tasks were investigated: repetitive finger movements, hand and foot movements, alternating hand and foot movements, sequential finger movements, pegboard, and dynamic and static balance. Intraobserver, interobserver, and test-retest reliability for timed measurements were moderate to high. Timed performances improved throughout the entire prepubertal period, but differed among various motor tasks with respect to increase in speed and when the,adolescent plateau' was reached. Centile curves of timed performance displayed large interindividual variation for all motor tasks. At no age were clinically relevant sex differences noted, nor did socioeconomic status significantly correlate with timed performance. Our results demonstrate that timed motor performances between 5 and 18 years are characterized by a long-lasting developmental change and a large interindividual variation. Therefore, a well standardized test instrument, and age-specific standards for motor performances are necessary preconditions for a reliable assessment of motor competence in school-age children. [source]

The use of leukocyte profiles to measure stress in vertebrates: a review for ecologists

FUNCTIONAL ECOLOGY, Issue 5 2008
A. K. Davis
Summary 1A growing number of ecologists are turning to the enumeration of white blood cells from blood smears (leukocyte profiles) to assess stress in animals. There has been some inconsistency and controversy in the ecological literature, however, regarding their interpretation. The inconsistencies may stem partly from a lack of information regarding how stress affects leukocytes in different taxa, and partly from a failure on the part of researchers in one discipline to consult potentially informative literature from another. 2Here, we seek to address both issues by reviewing the literature on the leukocyte response to stress, spanning the taxa of mammals (including humans), birds, amphibians, reptiles and fish. 3We show that much of the early literature points to a close link between leukocyte profiles and glucocorticoid levels. Specifically, these hormones act to increase the number and percentage of neutrophils (heterophils in birds and reptiles), while decreasing the number and percentage of lymphocytes. This phenomenon is seen in all five vertebrate taxa in response to either natural stressors or exogenous administration of stress hormones. For the ecologist, therefore, high ratios of heterophils or neutrophils to lymphocytes (,H : L' or ,N : L' ratios) in blood samples reliably indicate high glucocorticoid levels. Furthermore, this close relationship between stress hormones and N : L or H : L ratios needs to be highlighted more prominently in haematological assessments of stress, as it aids the interpretation of results. 4As with hormone assays, there are challenges to overcome in the use of leukocytes profiles to assess levels of stress; however, there are also advantages to this approach, and we outline each. Given the universal and consistent nature of the haematological response to stress, plus the overwhelming evidence from the veterinary, biomedical and ecological literature reviewed here, we conclude that this method can provide a reliable assessment of stress in all vertebrate taxa. [source]

Evaluation of TCE and MTBE in situ Biodegradation: Integrating Stable Isotope, Metabolic Intermediate, and Microbial Lines of Evidence

GROUND WATER MONITORING & REMEDIATION, Issue 4 2007
Jennifer R. McKelvie
Compound specific isotope analysis (CSIA) was used to investigate biodegradation of trichloroethene (TCE) and methyl tert -butyl ether (MTBE) at contaminated field sites in Alaska and New York State, respectively. At both sites, geochemical conditions and the presence of metabolic intermediates (cis -1-2-dichloroethene and tert -butyl alcohol [TBA]) suggested the potential for biodegradation of TCE and MTBE, respectively. Given that in both cases these metabolic intermediates could also have been present as cocontaminants in the source zone, CSIA was undertaken to evaluate the possibility of in situ biodegradation. At the TCE-contaminated field site in Alaska, ,13C values of TCE in ground water determined in this study showed no evidence of biodegradation (mean ,13C of ,27.0 ± 1.0, for nine wells), and quantitative-polymerase chain reaction analyses of ground water from four wells found no evidence of dechlorinator Dehalococcoides sp. at this site. At the MTBE-contaminated field site in New York, TBA was present in the ground water but was not present in gasoline sampled from underground storage tanks (UST) on-site, suggesting that at this site, TBA was potentially a metabolite of MTBE biodegradation rather than a cocontaminant. However, at all sampling times and locations, ,13C and ,2H values of MTBE in ground water were within range of published values for undegraded MTBE in gasoline. While the occurrence of a small extent of in situ MTBE biodegradation cannot be ruled out, the findings suggest that it is more likely that multiple gasoline spills occurred through time, and while present day USTs do not contain TBA as a cocontaminant, gasoline spilled at the site in the past may have. At both contaminated field sites, CSIA, chemical, and microbiological lines of evidence suggest that biodegradation was not a significant attenuation process. The results of these two studies underscore the need for an integrated approach to site assessment that draws on measurements of metabolic intermediates, analysis of stable isotopes, and microbial evidence to give a reliable assessment of in situ biodegradation at contaminated field sites. [source]

Hematological malignancies in the island of Sardinia, 1974,1993: age and sex distributions and temporal changes in incidence

HEMATOLOGICAL ONCOLOGY, Issue 3 2004
G. Broccia
Abstract We have collected, by an active retrospective survey, all the cases of hematologic malignancies (HM) newly diagnosed during the time period 1974,1993 in the resident population of Sardinia. Diagnosis was deemed valid, after consultation of clinical records, in more than 90% of the 7264 collected cases. The number of newly diagnosed cases by year more than doubled during the 20-year period investigated. This striking increase can be only partially accounted for by ageing of population. Indeed, age-specific and age-adjusted rates of most of HM increased during this period, although Hodgkin Disease (HD), Chronic Myeloid Leukemia (CML) and Acute Lymphoblastic Leukemia (ALL) were notable exceptions. The observed increase in rates is likely, in a large part, to be fictitious, due to easier access to a health care system, which in the meantime, improved its diagnostic efficiency. This was particularly evident for Chronic Lymphocytic Leukemia (CLL), Multiple Myeloma (MM) and some others myelo- and lympho-proliferative disorders, but its relevance declined after 1984,1989. A likely true increase in occurrence was evidenced for Non-Hodgkin Lymphomas (NHL) and similarly, although to a lesser extent and more doubtful, for Myelodysplasias (MDS) and Acute Myeloid Leukemia (AML). At the end of the studied period each type of HM presented age and sex distributions and age-adjusted rates that show only minor differences from those reported for other western countries. No argument emerged to suggest that any genetic peculiarities of the Sardinian population might have affected the occurrence of HM. The confounding effects of improved diagnostic efficiency have prevented a reliable assessment of influence on incidences of environmental and socio-economic changes that, in relatively recent times, have occurred in Sardinia. Copyright © 2005 John Wiley & Sons, Ltd. [source]

Microbiology's principle of biofilms as a major factor in the pathogenesis of acne vulgaris

INTERNATIONAL JOURNAL OF DERMATOLOGY, Issue 12 2003
Craig N. Burkhart MSBS
Propionibacterium acnes reside within the pilosebaceous unit in a biofilm. As such, they live in a community of bacteria that encase themselves within an extracellular polysaccharide lining, which the organisms secrete after adherence to the surface. This gylcocalyx polymer acts as a protective exoskeleton and serves as a physical barrier, limiting effective antimicrobial concentrations within the biofilm microenvironment. The gylcocalyx polymer secreted by P. acnes as a biofilm may explain the immunogenicity of the organism as well as the clinical course of the disease. The P. acnes' biofilm model explains many aspects of acne pathogenesis and therapy, including why prolonged antibiotic treatment is needed, why antibiotic resistance is not a reliable assessment of treatment outcome, why accutane offers long-lasting effectiveness, and why benzoyl peroxide radicals are beneficial. This microbiologic principle of biofilms as applied to acne leads to numerous new pathways of assessment and exploration. [source]

Iron and inflammatory bowel disease

ALIMENTARY PHARMACOLOGY & THERAPEUTICS, Issue 4 2001
B. Oldenburg
Both anaemia of iron deficiency and anaemia of chronic disease are frequently encountered in inflammatory bowel disease. Anaemia of iron deficiency is mostly due to inadequate intake or loss of iron. Anaemia of chronic disease probably results from decreased erythropoiesis, secondary to increased levels of proinflammatory cytokines, reactive oxygen metabolites and nitric oxide. Assessment of the iron status in a condition associated with inflammation, such as inflammatory bowel disease, is difficult. The combination of serum transferrin receptor with ferritin concentrations, however, allows a reliable assessment of the iron deficit. The best treatment for anaemia of chronic disease is the cure of the underlying disease. Erythropoietin reportedly may increase haemoglobin levels in some of these patients. The anaemia of iron deficiency is usually treated with oral iron supplements. Iron supplementation may lead to an increased inflammatory activity through the generation of reactive oxygen species. To date, data from studies in animal models of inflammatory bowel disease support the theoretical disadvantage of iron supplementation in this respect. The results, however, cannot easily be extrapolated to the human situation, because the amount of supplemented iron in these experiments was much higher than the dose used in patients with iron deficiency. [source]

Real-time single-heartbeat fast strain-encoded imaging of right ventricular regional function: Normal versus chronic pulmonary hypertension,

MAGNETIC RESONANCE IN MEDICINE, Issue 1 2010
Monda L. Shehata
Abstract Patients with pulmonary hypertension and suspected right ventricular (RV) dysfunction often have dyspnea at rest, making reliable assessment of RV function using traditional breath-holding methods difficult to perform. Using single-heartbeat fast strain encoding (Fast-SENC) imaging, peak systolic RV circumferential and longitudinal strains were measured in 11 healthy volunteers and 11 pulmonary hypertension patients. Fast-SENC RV longitudinal strain and circumferential strain measurements were compared to conventional SENC and MR tagging, respectively. Fast-SENC circumferential and longitudinal RV shortening correlated closely with SENC measurements (r = 0.86, r = 0.90, P < 0.001 for all). Circumferential strain, by conventional tagging, showed moderate correlation with Fast-SENC in pulmonary hypertension patients only (r = 0.5, P = 0.003). A nonuniform pattern of RV circumferential shortening was depicted in both groups. Peak systolic circumferential strain was significantly reduced at the basal RV in pulmonary hypertension patients (,18.06 ± 3.3 versus ,21.9 ± 1.9, P < 0.01) compared to normal individuals, while peak systolic longitudinal strain was significantly reduced at all levels (P < 0.01 for all). Fast-SENC is a feasible and reliable technique for rapid quantification of RV regional function in a single-heartbeat acquisition. Information derived from Fast-SENC allows characterization of RV regional function in normal individuals and in pulmonary hypertension patients. Magn Reson Med, 2010. © 2010 Wiley-Liss, Inc. [source]

Coronary heart disease outcomes in patients receiving antidiabetic agents in the PharMetrics database 2000,2007,

PHARMACOEPIDEMIOLOGY AND DRUG SAFETY, Issue 8 2008
Alexander M. Walker MD, DrPH
Abstract Background The risk of coronary heart disease (CHD) in users of antidiabetic agents must be quantified to permit reasoned therapeutic choices. Objectives To assess the risk of myocardial infarction (MI) and coronary revascularization (CR), in diabetic patients who began rosiglitazone, pioglitazone, metformin, or sulfonylureas. Methods We conducted a retrospective cohort study of MI and CR in the PharMetrics database. We performed head-to-head comparisons using propensity-score-stratified Cox proportional hazards models, examining risks both on-treatment and during total follow-up before regimen switches. Results For the combined outcome (MI and CR), the crude rates per 1000 person years were 9 on monotherapy, 13 on dual therapy, and 21 on therapies combined with insulin. In the absence of insulin, regimens containing thiazolidinediones (TZDs) tended toward lower risk than comparable regimens containing sulfonylureas and higher risk than those containing metformin. The summary hazard ratio for rosiglitazone versus pioglitazone was 1.04 (95%CI: 0.94,1.14) for total follow-up and 1.05 (0.92,1.19) for on-treatment time. For MI, the hazard ratios were 1.07 (0.89,1.27) for total follow-up and 1.21 (0.95,1.54) for on-treatment time. Conclusions The present data indicate that the risk of CHD in patients using TZDs appears to lie between the risks associated with sulfonylureas and metformin. Neither the risk of MI and CR together nor the risk of MI alone was significantly different between rosiglitazone and pioglitazone. A nonsignificant observed excess risk of 21% for MI during on-treatment time will require combination with the results of other studies to provide a reliable assessment. Copyright © 2008 John Wiley & Sons, Ltd. [source]

Fleeting images: A new look at early emotion discrimination

PSYCHOPHYSIOLOGY, Issue 2 2001
Markus Junghöfer
The visual brain quickly sorted stimuli for emotional impact despite high-speed presentation (3 or 5 per s) in a sustained, serial torrent of 700 complex pictures. Event-related potentials, recorded with a dense electrode array, showed selective discrimination of emotionally arousing stimuli from less affective content. Primary sources of this activation were over the occipital cortices, extending to right parietal cortex, suggesting a processing focus in the posterior visual system. Emotion discrimination was independent of formal pictorial properties (color, brightness, spatial frequency, and complexity). The data support the hypothesis of a very short-term conceptual memory store (M. C. Potter, 1999),shown here to include a fleeting but reliable assessment of affective meaning. [source]

On the reliable assessment of cardiovascular recovery: An application of curve-fitting techniques

PSYCHOPHYSIOLOGY, Issue 4 2000
Nicholas Christenfeld
The underuse of cardiovascular recovery as an adjunct to reactivity may stem from a lack of research on how to assess the process reliably. We explore the test,retest reliability of three simple, intuitive approaches to measuring recovery, and of a more sophisticated curve-fitting technique. Eighteen young normotensive subjects experienced three stressors twice each, with 10-min baseline, 3-min task, and 20-min recovery periods and continuous monitoring of heart rate and blood pressure. Reactivity showed moderate reliability, but the three simple approaches to measuring recovery revealed essentially none. However, the curve-fitting approach, using a three-parameter (amount, speed, and level of recovery) logistic function was reliable. This approach, capturing the inherently dynamic process of cardiovascular recovery, may allow researchers to usefully add the assessment of recovery to paradigms exploring reactivity as a risk factor for cardiovascular disease. [source]

CASA Assessment of Kinematic Parameters of Ram Spermatozoa and their Relationship to Migration Efficiency in Ruminant Cervical Mucus

REPRODUCTION IN DOMESTIC ANIMALS, Issue 4 2008
I Robayo
Contents Sperm motility is an indicator of male fertility because of its importance for sperm migration through the female genital tract and for gamete interaction at fertilization. This study analyses the relationship between computer assisted semen analysis (CASA) motility patterns and sperm migration of rams in ruminant cervical mucus. In experiment 1, spermatozoa extended with sperm analysis medium (SAM) and seminal plasma were compared in terms of motility. In experiment 2, 56 semen samples were collected either with artificial vagina (AV) or electroejaculator to be compared in terms of motility performance. In experiment 3, 104 ejaculates collected by AV from 26 males were analysed via the CASA system to characterize their motility patterns. In experiment 4, ejaculates from pairs of rams (20 rams in total) were simultaneously assessed for mucus migration (ovine, caprine, bovine) and motility patterns to evaluate the correlations between both parameters. Semen collected by AV and extended in SAM allows the most reliable assessment for sperm motility. Ram spermatozoa move fast and follow a linear trajectory compared with other ruminants. Continuous line velocity (VCL) and average path velocity (VAP) are the only sperm kinematic parameters that presented significant positive correlations with the ability to migrate in sheep cervical mucus (p < 0.05). Continuous line velocity, VAP, straight line velocity and linearity are highly significantly related with migration efficiency in goat cervical mucus (p < 0.01) and only lateral head displacement is negatively related to sperm migration in bovine cervical mucus (p < 0.05). These results suggest that specific kinematic parameters confer the ability of spermatozoa to colonize and migrate through epithelial mucus with different rheological properties. [source]

Religion, social mobility and education in Scotland

THE BRITISH JOURNAL OF SOCIOLOGY, Issue 3 2006
Lindsay Paterson
Abstract The relationship among religion, education and social mobility in Scotland is analysed statistically using the Scottish Household Survey of 2001. The large sample size allows much greater statistical power for this purpose than any previous source, and thus allows a more reliable assessment of claims that the stratifying effect of religion in Scotland may have declined. The questions investigated are as follows. What are the religious differences in the distributions of class origins and class destinations, in the movement between these (absolute mobility), and in the association of these (relative mobility, or social fluidity)? Do changes in social fluidity across cohorts vary among people with different religious affiliation? Are there religious differences in the association of origins and education, in the association of education and destinations, or in the role of education in social fluidity, and do any of these vary over cohorts? The conclusions are that, in younger cohorts, there is no religious difference in social status, and that in older cohorts Catholics are generally of lower status than Protestants and the non-religious. Social fluidity does not, however, vary among religious groups, even for older cohorts, and does not change over time. The reason for convergence in social status of religious groups over time is probably the equalizing of educational attainment among the groups: there is no evidence for any of the cohorts that the labour-market rewards to education differ by religion. [source]

A comprehensive volumetric analysis of the cerebellum in children and adolescents with autism spectrum disorder

AUTISM RESEARCH, Issue 5 2009
Julia A. Scott
Abstract Magnetic resonance imaging (MRI) and postmortem neuropathological studies have implicated the cerebellum in the pathophysiology of autism. Controversy remains, however, concerning the nature and the consistency of cerebellar alterations. MRI studies of the cross-sectional area of the vermis have found both decreases and no difference in autism groups. Volumetric analysis of the vermis, which is less prone to "plane of section artifacts" may provide a more reliable assessment of size differences but few such studies exist in the literature. Here we present the results of a volumetric analysis of the structure of the whole cerebellum and its components in children and adolescents with autism spectrum disorders. Structural MRI's were acquired from 62 male participants (7.5 to 18.5 years-old) who met criteria for the following age-matched diagnostic groups: low functioning autism, high functioning autism (HFA), Asperger syndrome, and typically developing children. When compared to controls, the midsagittal area of the vermis, or of subgroups of lobules, was not reduced in any of the autism groups. However, we did find that total vermis volume was decreased in the combined autism group. When examined separately, the vermis of only the HFA group was significantly reduced compared to typically developing controls. Neither IQ nor age predicted the size of the vermis within the autism groups. There were no differences in the volume of individual vermal lobules or cerebellar hemispheres. These findings are discussed in relation to the pathology of autism and to the fairly common alterations of vermal morphology in various neurodevelopmental disorders. [source]

A prepubertal and early adolescent bipolar disorder-I phenotype: review of phenomenology and longitudinal course

BIPOLAR DISORDERS, Issue 4 2003
James L Craney
Objective: Phenomenology, assessment, longitudinal, and psychosocial findings from an ongoing, controlled, prospective study of 93 subjects with a prepubertal and early adolescent bipolar disorder phenotype (PEA-BP) will be reviewed. Methods: Unlike adult-onset bipolar disorder, for which there were over 50 years of systematic investigations, there were a paucity of rigorous data and much controversy and skepticism about the existence and characteristics of prepubertal-onset mania. With this background, issues to address for investigation of child-onset mania included the following: (i) What to do about the differentiation of mania from attention-deficit hyperactivity disorder (ADHD). (ii) How to deal with the ubiquity of irritability as a presenting symptom in multiple child psychiatry disorders. (iii) Development of a research instrument to assess prepubertal manifestations of adult mania (i.e. children do not ,max out' credit cards or have four marriages). (iv) How to distinguish normal childhood happiness and expansiveness from pathologically impairing elated mood and grandiosity. Results: To address these issues, a PEA-BP phenotype was defined as DSM-IV mania with elated mood and/or grandiosity as one inclusion criterion. This criterion ensured that the diagnosis of mania was not made using only criteria that overlapped with those for ADHD, and that subjects had at least one of the two cardinal symptoms of mania (i.e. elated mood and grandiose behaviors). Subjects were aged 10.9 years (SD = 2.6) and age of onset of the current episode at baseline was 7.3 years (SD = 3.5). Validation of PEA-BP was shown by reliable assessment, 6-month stability, and 1- and 2-year diagnostic longitudinal outcome. PEA-BP resembled the severest form of adult-onset mania by presenting with a chronic, mixed mania, psychotic, continuously (ultradian) cycling picture. Conclusion: Counterintuitively, typical 7-year-old children with PEA-BP were more severely ill than typical 27 year olds with adult-onset mania. Moreover, longitudinal data strongly supported differentiation of PEA-BP from ADHD. [source]

Fractal analysis of lumbar vertebral cancellous bone architecture

CLINICAL ANATOMY, Issue 6 2001
G.P. Feltrin
Abstract Osteoporosis is characterized by bone mineral density (BMD) decreasing and spongy bone rearrangement with consequent loss of elasticity and increased bone fragility. Quantitative computed tomography (QCT) quantifies bone mineral content but does not describe spongy architecture. Analysis of trabecular pattern may provide additional information to evaluate osteoporosis. The aim of this study was to determine whether the fractal analysis of the microradiography of lumbar vertebrae provides a reliable assessment of bone texture, which correlates with the BMD. The lumbar segment of the spine was removed from 22 cadavers with no history of back pain and examined with standard x-ray, traditional tomography, and quantitative computed tomography to measure BMD. The fractal dimension, which quantifies the image fractal complexity, was calculated on microradiographs of axial sections of the fourth lumbar vertebra to determine its characteristic spongy network. The relationship between the values of the BMD and those of the fractal dimension was evaluated by linear regression and a statistically significant correlation (R = 0.96) was found. These findings suggest that the application of fractal analysis to radiological analyses can provide valuable information on the trabecular pattern of vertebrae. Thus, fractal dimensions of trabecular bone structure should be considered as a supplement to BMD evaluation in the assessment of osteoporosis. Clin. Anat. 6:414,417, 2001. © 2001 Wiley-Liss, Inc. [source]

In vivo and in vitro toxicity of decabromodiphenyl ethane, a flame retardant

ENVIRONMENTAL TOXICOLOGY, Issue 4 2010
Tarja Nakari
Abstract Toxicity of a relative new flame retardant, namely decabromodiphenyl ethane (DBDPE), marketed as an alternative to decabromodiphenyl ether (BDE-209) was assessed both in vivo and in vitro using the freshly separated fish hepatocyte assay and standardized water flea and zebrafish egg-larvae tests. The fish hepatocyte assay, based on the synthesis and secretion of vitellogenin from isolated male liver cells produced a clear dose-response curve in the presence of DBDPE. DBDPE induced the induction of hepatic ethoxyresorufin-O-deethylase (EROD) activity at low test concentrations, but started to inhibit the activity at higher concentrations. Also, the induction of the hepatocyte conjugation activity, uridinediphosphoglucuronosyltransferase (UDPGT), was induced with no signs of inhibition even at the highest test concentration. The reduced EROD activity resulted in a drop in the production of vitellogenin by the cells. In vivo tests showed that DBDPE was acutely toxic to water fleas, the 48 h EC-50 value being 19 ,g/L. Moreover, DBDPE reduced the hatching rates of exposed zebra-fish eggs and raised significantly the mortality of hatched larvae. Because there is hardly any information available on the effects of DBDPE on the aquatic environments, it is crucial to obtain more data on the effects and effective concentrations of DBDPE along with its occurrence in the environment. Such data would enable reliable assessments of the risks posed by this flame retardant. © 2009 Wiley Periodicals, Inc. Environ Toxicol 25: 333,338, 2010. [source]

Navigating toward Fetal and Maternal Health: The Challenge of Treating Epilepsy in Pregnancy

EPILEPSIA, Issue 10 2004
Torbjörn Tomson
Summary:, A rational approach to the treatment of women of childbearing potential with epilepsy has been hampered by the lack of conclusive data on the comparative teratogenic potential of different antiepileptic drugs (AEDs). Although, several cohort studies on birth defects associated with AED use during pregnancy have been published, these have generally failed to demonstrate differences in malformation rates between AEDs, probably mainly due to insufficient power. In particular, pregnancies with new generation AEDs have been too few. In recent years, pregnancy registries have been introduced to overcome this problem,EURAP (an international collaboration), the North American, and the U.K. AED and pregnancy registries are observational studies that prospectively assess pregnancy outcome after AED exposure using slightly different methods. Each has enlisted 3,5,000 pregnancies in women with epilepsy, and the North American and the U.K. have released preliminary observations. Thus the U.K. registry reported a higher malformation rate with valproate, 5.9% (4.3,8.2%; 95% CI), than with carbamazepine, 2.3% (1.4,3.7%), and lamotrigine, 2.1% (1.0,4.0%). Most of the more recent cohort studies have also identified a nonsignificant trend toward a higher teratogenicity with valproate. These signals need to be interpreted with some caution since none of the studies to date have fully assessed the impact of possible confounders, such as type of epilepsy, family history of birth defects, etc. However, with increasing number of pregnancies it should be possible in the near future for the pregnancy registries to take such confounding factors into account and thus make more reliable assessments of the causal relationship between exposure to specific AEDs and teratogenic risks. While awaiting more conclusive results, it appears reasonable to be cautious in prescribing valproate to women considering to become pregnant if other suitable treatment alternatives, and with less teratogenic potential, are available. Any attempt to change treatment should, however, be accomplished well before conception. The importance of maintained seizure control must also be kept in mind, and the woman who needs valproate to control her seizures should not be discouraged from pregnancy, provided that counseling at the best of available knowledge is given. [source]

Specific dynamic and noninvasive labeling of pancreatic , cells in reporter mice

GENESIS: THE JOURNAL OF GENETICS AND DEVELOPMENT, Issue 4 2005
Ahmi Ben-Yehudah
Abstract Noninvasive detection of differentiated cells is increasingly demanded for accurate and reliable assessments of both in vitro and in vivo experimental systems. Here we present an efficient, innovative approach for imaging the , cells of the pancreatic islets of Langerhans. The main physiologic function of , cells is glucose-stimulated insulin secretion. This function is facilitated through the synthesis and storage of insulin in secretory vesicles of , cells, which then release their contents when , cells are exposed to hyperglycemic conditions. To visualize , cells in vivo in the mouse, we used targeted mutagenesis techniques to construct a modified insulin II (InsII) gene allele, InsIIEGFP, that expresses a proinsulin-EGFP (enhanced green fluorescent protein) fusion peptide. The EGFP portion of this fusion is entirely within the C-peptide portion of the proinsulin peptide. This fusion protein is processed in , cells to insulin and EGFP-tagged C peptide, which are stored together in cytoplasmic secretory vesicles. The large amount of vesicular EGFP-tagged C peptide is evident as a characteristic robust and specific fluorescence pattern in the , cells of InsIIEGFP mice. This innovative method of visualizing , cells will be a useful tool in the study of both , cell physiology and the development of the endocrine cells of the pancreas.genesis 43:166,174, 2005. © 2005 Wiley-Liss, Inc. [source]

The Use of Person,Group Fit for Employment Selection: A Missing Link in Person,Environment Fit

HUMAN RESOURCE MANAGEMENT, Issue 3 2001
James D. Werbel
Given an increased emphasis on work teams in organizations, it is important to select applicants based on their ability to make contributions to a given work team. This paper proposes that person,group fit should be useful to select applicants for work teams and suggests that effective use of person,group fit will create both more cohesive work units and more effectively functioning work units. It proposes ways to make valid and reliable assessments of person,group fit that could be used to minimize bias in the selection process. Finally, it addresses several implications of using the person,group fit paradigm for human resource management practice. © 2001 John Wiley & Sons, Inc. [source]