Several Months (several + month)

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Distribution within Medical Sciences

Terms modified by Several Months

  • several month duration

  • Selected Abstracts


    Mid-dermal elastolysis preceded by acute neutrophilic dermatosis

    JOURNAL OF CUTANEOUS PATHOLOGY, Issue 1 2004
    Kevan G. Lewis
    Background:, Mid-dermal elastolysis is a rare idiopathic elastic tissue disorder that is characterized by localized patches of finely wrinkled skin and a ,band-like' loss of elastic tissue in the mid-reticular dermis. Lesions may be preceded by erythema and/or urticaria, and histological examination of inflamed lesional skin may demonstrate lymphohistiocytic dermal infiltration. Case report:, We report a case of mid-dermal elastolysis in a 31-year-old woman who developed multiple erythematous and urticarial plaques on the arms and trunk. Histologic examination of a representative lesion revealed a neutrophilic infiltrate and a normal pattern of elastic tissue. Several months later, the erythema and urticaria was noted to have resolved, leaving soft, pendulous plaques with overlying finely wrinkled skin. A follow-up biopsy at this time showed minimal lymphocytic inflammation but almost complete absence of elastic tissue in the mid-reticular dermis. Conclusions:, To our knowledge, acute neutrophilic dermatosis resulting in mid-dermal elastolysis has not been previously described. This observation lends support to an emerging theory that the pathogenesis of mid-dermal elastolysis may be inflammatory. [source]


    Acquired Ichthyosis as a Manifestation of Acute Cutaneous Graft-Versus-Host Disease

    PEDIATRIC DERMATOLOGY, Issue 1 2007
    Jennifer Huang M.D.
    While some authors have suggested the association of acquired ichythosis with cutaneous graft-versus-host disease, the evidence to support this association is rare. We describe a patient who developed enteritis secondary to acute graft-versus-host disease and had concomitant ichthyosiform lesions. Several months later, he was diagnosed with cutaneous graft-versus-host disease. This patient is presented to suggest that acquired ichthyosis is an underrecognized manifestation of acute cutaneous graft-versus-host disease. Given the important prognostic implications of this diagnosis, we recommend a low threshold for performing a skin biopsy to rule out GVHD in the appropriate clinical setting. [source]


    Large Atypical Melanocytic Nevi in Recessive Dystrophic Epidermolysis Bullosa: Clinicopathological, Ultrastructural, and Dermoscopic Study

    PEDIATRIC DERMATOLOGY, Issue 4 2005
    Fernando Gallardo M.D.
    The lesion was clinically atypical and fulfilled the criteria for a malignant melanocytic proliferation. A complete surgical excision was performed. Histopathologic examination disclosed a compound melanocytic nevus without melanocytic atypia. Ultrastructural examination showed melanocytic cells located both at the roof and the floor of the blister. Several months later, three pigmentary lesions with a similar clinical appearance developed. Periodic clinical and dermoscopic examinations were recommended. Dermoscopic examination disclosed a globular pattern with brown globules and black dots distributed all over the lesions. The lesions also exhibited blue-greyish dots and multiple rounded white structures corresponding to milia-like cysts. No dermoscopic features suggestive of malignancy were noted. Acquired melanocytic nevi showing atypical clinical features have been reported to occur in areas of blistering in patients with epidermolysis bullosa. These nevi appear as large, asymmetrical pigmentary lesions with irregular borders. Initially, they are very dark in pigmentation, with color variegation and loss of pigment, and even becoming papillomatous over time. Histopathologic examination can show features of compound/junctional nevus as well as persistent/recurrent nevus. The concept of "epidermolysis bullosa nevus" has been proposed to define these peculiar lesions. The clinical, histopathologic and ultrastructural features of these nevi are reviewed. The usefulness of dermoscopic examination in the routine diagnosis and follow-up of these lesions are stressed. [source]


    Effects of a distance learning program on physicians' opioid- and benzodiazepine-prescribing skills

    THE JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS, Issue 4 2006
    Deana Midmer BScN
    Abstract Introduction: Opioid misuse is common among patients with chronic nonmalignant pain. There is a pressing need for physicians to increase their confidence and competence in managing these patients. Methods: A randomized controlled trial of family physicians (N = 88) attending 1 of 4 continuing medical education events helped to determine the effectiveness of e-mail case discussions in changing physician behavior. Before random assignment, participants completed a pretest and attended a 3-hour didactic session on prescribing opioids and benzodiazepines. The intervention group participated in 10 weeks of e-mail case discussions, with designated participants responding to questions on cases. An addictions physician facilitated the discussion. Several months after the e-mail discussion, participants took part in a mock telephone consultation; a blinded researcher posing as a medical colleague asked for advice about 2 cases involving opioid and benzodiazepine prescribing. Using a checklist, the researcher recorded the questions asked and advice given by the physician. Results: On post-testing, both groups expressed greater optimism about treatment outcomes and were more likely to report using a treatment contract and providing advice about sleep hygiene. There were no significant differences between pretesting and post-testing between the groups on the survey. During the telephone consultation, the intervention group asked significantly more questions and offered more advice than the control group (odds ratio for question items, 1.27 [p = .03]; advice items, 1.33 [p = .01). Discussion: Facilitated by electronic mail and a medical expert, case discussion is an effective means of improving physician performance. Telephone consultation holds promise as a method for evaluating physicians' assessment and management skills. [source]


    Developing LHCb Grid software: experiences and advances

    CONCURRENCY AND COMPUTATION: PRACTICE & EXPERIENCE, Issue 2 2007
    I. Stokes-Rees
    Abstract The LHCb Grid software has been used for two Physics Data Challenges, with the latter producing over 98 TB of data and consuming over 650 processor-years of computing power. This paper discusses the experience of developing a Grid infrastructure, interfacing to an existing Grid (LCG) and traditional computing centres simultaneously, running LHCb experiment software and jobs on the Grid, and the integration of a number of new technologies into the Grid infrastructure. Our experience and utilization of the following core technologies will be discussed: OGSI, XML-RPC, Grid services, LCG middleware and instant messaging. Specific attention will be given to analysing the behaviour of over 100,000 jobs executed through the LCG Grid environment, providing insight into the performance, failure modes and scheduling efficiency over a period of several months for a large computational Grid incorporating over 40 sites and thousands of nodes. © Crown copyright 2006. Reproduced with the permission of Her Majesty's Stationery Office. Published by John Wiley & Sons, Ltd. [source]


    An unusual lateral luxation of an upper incisor owing to long-term boxing without protection

    DENTAL TRAUMATOLOGY, Issue 5 2008
    Ron Bechor
    The tooth displacement gradually worsened over several months because the boxer received repeated blows to the head without using a mouthguard. Being a chronic dental trauma, rather than an acute lateral luxation, this case had several unique features: the labial plate of the alveolar bone was penetrated, the root apex was free in the vestibulum, the tooth was mobile (second degree) and radiographs revealed bone resorption. This case emphasized the need for a mouthguard to be used even with amateur boxing. The dental practitioner should educate his sportsmen,patients of the risk of sport-related dental trauma and the benefit of a mouthguard. [source]


    Traumatic injuries to the primary dentition and effects on the permanent successors , a clinical follow-up study

    DENTAL TRAUMATOLOGY, Issue 5 2006
    Sabine Sennhenn-Kirchner
    Abstract,,, This study investigated problems in the permanent dentition that, according to history and records, were attributable to dental alveolar injuries of the primary dentition. 106 children have been involved in the study, who had experienced primary anterior tooth trauma affecting a total of 200 teeth. Thirty-nine patients (81 teeth) were available for follow-up examinations. In 25% of the cases followed up, damage was found on the successors in the secondary dentition (16 children/20 teeth). In half of the cases, a comparatively mild form of lesion like enamel discoloration was observed. This was the result of an injury during the tooth maturation process causing enamel hypoplasia. Clinically more relevant were the dental deformities: cessation of root formation or retention caused by ankylosis, which made up the remaining 50% of cases. This was confirmed by clinical long-term observation. The different effects on the permanent teeth can only be detected by radiography after an interval of several months or may even be clinically assessed only after the eruption of the clinical crown. [source]


    Risk factors for relapse after remission with repetitive transcranial magnetic stimulation for the treatment of depression

    DEPRESSION AND ANXIETY, Issue 7 2009
    Roni B. Cohen M.D.
    Abstract Background: Several studies have shown that repetitive transcranial magnetic stimulation (rTMS) treatment is associated with a significant antidepressant effect that can last for several months. Methods: To investigate the mean remission time and the predictors associated with its duration; we performed a large retrospective, naturalistic study with 204 patients who underwent treatment with rTMS. During the periods from 2000 to 2006, we identified and collected the data on 204 patients who underwent rTMS treatment for major depression and who remitted their depression (defined as Hamilton Depression Rating Scores less or equal to 7). Patients were followed up to 6 months after this therapy. Results: Event-free remission with the end point defined as relapse (Hamilton Depression Rating Scores higher than 8) was 75.3% (73.7) at 2 months, 60.0% (74.5) at 3 months, 42.7% (74.8) at 4 months, and 22.6% (74.5) at 6 months. According to a multivariate analysis, only the age and number of sessions were independent predictors of outcome. Although depression severity and use of tricyclics also showed a significant relationship with remission duration, the model including these variables was not adequate to explain our data. Conclusions: The results of this study suggest that young age and additional rTMS sessions are associated with a ong duration of rTMS effects and therefore future trials investigating the effects of maintenance rTMS treatment need to explore further the implication of these factors for depression remission. Depression and Anxiety, 2009. © 2009 Wiley-Liss, Inc. [source]


    Short Report: Safe and rapid resolution of severe hypertriglyceridaemia in two patients with intravenous insulin

    DIABETIC MEDICINE, Issue 9 2010
    J. M. Triay
    Diabet. Med. 27, 1080,1083 (2010) Abstract Aim, To rapidly reduce serum triglyceride to a safe serum level. Severe hypertriglyceridaemia is associated with uncontrolled diabetes, obesity and poor physical activity. Even moderate increases in triglyceride levels (> 5mmol/L) confer an increased risk of pancreatitis and coronary artery disease. We present two patients with diabetes and serum triglyceride levels of greater than 85mmol/L despite polypharmacy intervention. Method, 72-hour intravenous insulin infusion was administered. Results, Serum triglyceride levels fell to 9.4 and 4.6 mmol/L respectively, without adverse events and sustained effect over several months. Conclusion, We suggest the use of intravenous insulin infusion where lifestyle and oral drug therapies have failed can impact on severe hypertriglyceridaemia. [source]


    Recurrence of intramucosal esophageal adenocarcinoma arising in a former esophagostomy site: a unique case report

    DISEASES OF THE ESOPHAGUS, Issue 6 2009
    J. M. Leers
    SUMMARY., A 75-year-old male with a long history of gastroesophageal reflux symptoms developed adenocarcinoma proximally within a long segment of Barrett's esophagus. He was taken for esophagectomy and gastric pull-up, but intraoperatively, he was found to have a marginal blood supply in the gastric tube. A temporary left-sided esophagostomy was created with the gastric tube sutured to the left sternocleidomastoid muscle in the neck. Pathology showed an intramucosal adenocarcinoma, limited to the muscularis mucosa with surrounding high-grade dysplasia and intestinal metaplasia. The proximal esophageal margin showed no tumor cells, but there was low-grade dysplasia within Barrett's esophagus. He was reconstructed after several months, and 2 years after reconstruction, the patient noticed a nodule at the former esophagostomy site. Biopsy revealed an implant metastasis of esophageal adenocarcinoma. Here, we review the literature and discuss the possible etiology. [source]


    Selection of preadapted populations allowed Senecio inaequidens to invade Central Europe

    DIVERSITY AND DISTRIBUTIONS, Issue 4 2008
    Oliver Bossdorf
    ABSTRACT Invasive species often evolve rapidly in response to the novel biotic and abiotic conditions in their introduced range. Such adaptive evolutionary changes might play an important role in the success of some invasive species. Here, we investigated whether introduced European populations of the South African ragwort Senecio inaequidens (Asteraceae) have genetically diverged from native populations. We carried out a greenhouse experiment where 12 South African and 11 European populations were for several months grown at two levels of nutrient availability, as well as in the presence or absence of a generalist insect herbivore. We found that, in contrast to a current hypothesis, plants from introduced populations had a significantly lower reproductive output, but higher allocation to root biomass, and they were more tolerant to insect herbivory. Moreover, introduced populations were less genetically variable, but displayed greater plasticity in response to fertilization. Finally, introduced populations were phenotypically most similar to a subset of native populations from mountainous regions in southern Africa. Taking into account the species' likely history of introduction, our data support the idea that the invasion success of Senecio inaequidens in Central Europe is based on selective introduction of specific preadapted and plastic genotypes rather than on adaptive evolution in the introduced range. [source]


    The Florida amphioxus (Cephalochordata) hosts larvae of the tapeworm Acanthobothrium brevissime: natural history, anatomy and taxonomic identification of the parasite

    ACTA ZOOLOGICA, Issue 1 2009
    Nicholas D. Holland
    Abstract Plerocercoid larvae of a tapeworm are frequently found in the hindgut lumen of the Florida amphioxus (Branchiostoma floridae) in central west Florida. About three-quarters of the adult amphioxus are parasitized. On average, each adult amphioxus hosts about five tapeworm larvae. The residence time of the parasites in the amphioxus gut appears to be in the order of several months, which is considerably shorter than the potential lifetime of the host. The living larvae range in length (when fully extended) from 300 to 850 µm and are approximately cone-shaped, tapering to a point posteriorly and bearing a single large sucker anteriorly. Toward the anterior end of the body are four hookless bothridia, each indented by three loculi plus an inconspicuous accessory sucker. The larvae initiate the early stages of hook formation when they are cultured for a few days in urea-saline (mimicking the gut fluid of the definitive host, which is an elasmobranch). The tapeworm larvae are identifiable to genus and species on the basis of correspondences between their nuclear ribosomal DNA genes and those of adult specimens of Acanthobothrium brevissime recovered from the spiral valve of a stingray from the same environment. [source]


    Varenicline in prevention of relapse to smoking: effect of quit pattern on response to extended treatment

    ADDICTION, Issue 9 2009
    Peter Hajek
    ABSTRACT Aim While older behavioural and pharmacological approaches to preventing relapse to smoking show little efficacy, a recent randomized trial of an extended course of varenicline reported positive results. In this secondary analysis, trial data were examined to see whether smokers who manage to achieve abstinence only later in the original course of treatment are more likely to benefit from having the course extended. Methods A total of 1208 patients abstinent for at least the last week of 12 weeks' treatment with varenicline were randomized to 3 months continued varenicline or placebo. Overall, 44% of the 12-week abstainers were abstinent from the target quit date (TQD), while the rest stopped smoking later. We examined the relationship between quit pattern and the varenicline versus placebo difference in continuous abstinence rates at week 52 and contributions of baseline patient characteristics. Results With increasing delay in initial quitting, 12-month success rates declined. Participants who had their last cigarette at week 11 of open-label treatment had quit rates at 52 weeks of 5.7% compared with 54.9% in those who last smoked in week 1 [odds ratio (OR) 20.3 (6.3, 65.9); P < 0.0001]. Patients who failed to initiate abstinence in the first week benefited more from extended treatment than patients continuously abstinent from week 1 [OR 1.7 (1.2, 2.4); P = 0.0015 versus OR 1.1 (0.8, 1.5); P = 0.6995, respectively; with the interaction of the quit pattern with treatment effect reaching borderline significance (P = 0.0494)]. No other patient characteristics were related to treatment effect. Conclusions Compared with smokers who quit smoking on their TQD, those who have an initial delay in achieving sustained abstinence have increased risk of relapse even several months later, and may be more likely to benefit from extended treatment with varenicline. [source]


    A review of the clinical pharmacology of methamphetamine

    ADDICTION, Issue 7 2009
    Christopher C. Cruickshank
    ABSTRACT Aims To examine the literature regarding clinical pharmacokinetics, direct effects and adverse clinical outcomes associated with methamphetamine use. Methods Relevant literature was identified through a PubMed search. Additional literature was obtained from relevant books and monographs. Findings and conclusions The mean elimination half-life for methamphetamine is approximately 10 hours, with considerable inter-individual variability in pharmacokinetics. Direct effects at low-to-moderate methamphetamine doses (5,30 mg) include arousal, positive mood, cardiac stimulation and acute improvement in cognitive domains such as attention and psychomotor coordination. At higher doses used typically by illicit users (,50 mg), methamphetamine can produce psychosis. Its hypertensive effect can produce a number of acute and chronic cardiovascular complications. Repeated use may induce neurotoxicity, associated with prolonged psychiatric symptoms, cognitive impairment and an increased risk of developing Parkinson's disease. Abrupt cessation of repeated methamphetamine use leads to a withdrawal syndrome consisting of depressed mood, anxiety and sleep disturbance. Acute withdrawal lasts typically for 7,10 days, and residual symptoms associated with neurotoxicity may persist for several months. [source]


    Kleptoplasty in an Antarctic dinoflagellate: caught in evolutionary transition?

    ENVIRONMENTAL MICROBIOLOGY, Issue 1 2007
    Rebecca J. Gast
    Summary Photosynthetic dinoflagellates contain a diverse collection of plastid types, a situation believed to have arisen from multiple endosymbiotic events. In addition, a number of heterotrophic (phagotrophic) dinoflagellates possess the ability to acquire chloroplasts temporarily by engulfing algae and retaining their chloroplasts in a functional state. These latter relationships typically last from a few days to weeks, at which point the chloroplasts lose function, are digested and replaced with newly acquired plastids. A novel and abundant dinoflagellate related to the icthyotoxic genera Karenia and Karlodinium was recently discovered by us in the Ross Sea, Antarctica. Sequencing of its plastid small subunit ribosomal gene indicated that it did not share evolutionary history with the plastids of Karenia or Karlodinium, but was closely related to the free-living haptophyte Phaeocystis antarctica, a species that often dominates phytoplankton blooms in the Ross Sea. Chloroplast uptake was observed to occur rapidly (within 2 days), with retention in cultures being long-lived (several months) but not permanent. The dinoflagellate was also incapable of growing indefinitely in continuous darkness with algae as prey. Our findings may indicate an emerging endosymbiotic event yielding a dinoflagellate that is presently neither purely phototrophic nor purely heterotrophic, but occupies a niche juxtaposed between these contrasting nutritional modes. [source]


    Multimarker approach in transplanted mussels for evaluating water quality in Charentes, France, coast areas exposed to different anthropogenic conditions

    ENVIRONMENTAL TOXICOLOGY, Issue 5 2003
    M. Roméo
    Abstract An active biomonitoring experiment was performed using mussels collected at a clean site, Fier d'Ars, and transplanted to two locations, outside the harbor of La Rochelle and in the Baie de L'Aiguillon along the coast of Charentes (French Atlantic coast) beginning in April for several months. Mussels were collected in June and October. The cadmium, copper, and zinc concentrations of all resident and transplanted mussel samples and the polycyclic aromatic hydrocarbon and polychlorinated biphenyl concentrations in some mussel samples and in the sediment samples were determined. Mussel response was evaluated for several biochemical biomarkers: concentrations of metallothionein, activities of glutathione S-transferase and acetylcholinesterase (AChE) and levels of thiobarbituric reactive substance (TBARS). The physiological status of the animals was assessed using the condition index. A principal component analysis performed with the chemical and biochemical results of the evaluations of the resident and transplanted mussels collected in June allowed them to be separated into three groups: resident mussels from la Rochelle with high metal and TBARS levels, resident mussels from Baie de L'Aiguillon with a very high condition index, and resident mussels from Fier d'Ars and transplanted mussels at La Rochelle and Baie de L'Aiguillon with low TBARS and AChE activities. Strong seasonal variation from June to October of all parameters was noted. Mussels transplanted to La Rochelle appeared to be the most "polluted" in their pollutant concentrations and biochemical responses; moreover, the La Rochelle site had the highest concentration of organics in sediments of all the sites. The choice of Fier d'Ars as a reference site may be questionable because some of the biomarker responses of the mussels were higher than expected there, although these pollutants in mussels and sediment were present at the lowest concentrations measured. © 2003 Wiley Periodicals, Inc. Environ Toxicol 18: 295,305, 2003. [source]


    Ring chromosome 20 syndrome: A link between epilepsy onset and neuropsychological impairment in three children

    EPILEPSIA, Issue 11 2009
    Aglaia Vignoli
    Summary Purpose:, Ring chromosome 20 [r(20)] syndrome is a well-defined chromosomal disorder characterized by epilepsy, mild-to-moderate mental retardation, and lack of recognizable dysmorphic features. Epilepsy is often the most important clinical manifestation of the syndrome, even if its appearance is not constantly precocious. Seizures are frequently drug resistant. Methods:, We describe three children with [r(20)] syndrome in whom the onset of epilepsy (age at onset range: 4 years and 6 months to 9 years and 4 months) determined a kind of epileptic status (age at onset range: 6 years and 10 months to 9 years and 8 months) with dramatic neuropsychological deterioration. This epileptic status lasted for several months because of refractoriness to most antiepileptic drugs (AEDs), but it was treated successfully with a combination of valproate and lamotrigine in two children. Results:, As soon as seizures stopped, the children showed prompt recovery with partial restoration of the neuropsychological impairment. Conclusion:, This clinical picture can be described as abrupt epileptic encephalopathy. [source]


    Chemosensory Recognition of Familiar and Unfamiliar Conspecifics by Juveniles of the Iberian Wall Lizard Podarcis hispanica

    ETHOLOGY, Issue 4 2002
    Enrique Font
    Chemosensory recognition of familiar conspecifics has been reported in studies with members of several lizard families and may be advantageous to distinguish between intruders and neighbors or group members. However, few species have been studied and information on the ability to discriminate between familiar and unfamiliar conspecifics by chemosensory means is lacking for most lizard families. In this paper we ask whether juveniles of the Iberian wall lizard Podarcis hispanica (Lacertidae), can discriminate between chemical signals from familiar conspecifics with whom they have shared a terrarium for several months and those from unfamiliar conspecifics housed in a different terrarium. Experimental trials were conducted by transferring juveniles to a test terrarium with a filter paper substrate. We tested the responses of lizards to paper substrates labeled by familiar cage-mates, unfamiliar conspecifics, or unlabeled. Tongue-flicks and other behaviors in response to pheromonal stimuli were recorded for 10 min Juveniles directed more chemosensory behavior towards paper substrates bearing chemicals from familiar conspecifics than towards similar paper substrates labeled by unfamiliar conspecifics. These results indicate that juveniles in this lizard species can recognize familiar conspecifics and discriminate between familiar and unfamiliar individuals using only chemical stimuli. We discuss the role of habituation in familiar conspecific recognition and review possible explanations of the functional significance of this type of discrimination in lizards. [source]


    Endogenous microflora in turbid virgin olive oils and the physicochemical characteristics of these oils

    EUROPEAN JOURNAL OF LIPID SCIENCE AND TECHNOLOGY, Issue 2 2008
    Anastasios Koidis
    Abstract Cloudy olive oil, the fresh olive juice, is an intermediate form before full precipitation of freshly produced olive oil. Some consumers prefer it because they consider it as more natural and less processed. The cloudy form can persist for several months. The oil is a sort of dispersion/suspension system which can be also described as a micro-emulsion/suspension. Water micro-droplets were found to have a size ranging from 1 to 5,µm. Cloudiness is due to the low water content and the presence of natural emulsifiers in the oil. The suspension is formed by solid particles (5,60,µm) deriving from the olive fruit. They are present in small amounts (12,460,mg/kg oil). In the newly produced olive oil, containing 0.17,0.49% water, a number of microorganisms of different types (bacteria, yeasts, moulds) were found to survive, but at very low concentrations (<3,log,cfu/mL oil). They originate from the exterior of the fruit (epiphytic microflora) and their presence is considered natural. Their enzyme activities do not seem to affect the quality of the final product. [source]


    Early life modulators and predictors of adult synaptic plasticity

    EUROPEAN JOURNAL OF NEUROSCIENCE, Issue 2 2006
    Katherine G. Akers
    Abstract Early life experience can induce long-lasting changes in brain and behaviour that are opposite in direction, such as enhancement or impairment in regulation of stress response, structural and functional integrity of the hippocampus, and learning and memory. To explore how multiple early life events jointly determine developmental outcome, we investigated the combined effects of neonatal trauma (anoxia on postnatal day 1, P1) and neonatal novelty exposure (P2,21) on adult social recognition memory (3 months of age) and synaptic plasticity in the CA1 of the rat hippocampus (4.5,8 months of age). While neonatal anoxia selectively reduced post-tetanic potentiation (PTP), neonatal novel exposure selectively increased long-term potentiation (LTP). No interaction between anoxia and novelty exposure was found on either PTP or LTP. These findings suggest that the two contrasting neonatal events have selective and distinct effects on two different forms of synaptic plasticity. At the level of behaviour, the effect of novelty exposure on LTP was associated with increased social memory, and the effect of anoxia on PTP was not accompanied by changes in social memory. Such a finding suggests a bias toward the involvement of LTP over PTP in social memory. Finally, we report a surprising finding that an early behavioural measure of emotional response to a novel environment obtained at 25 days of age can predict adult LTP measured several months later. Therefore, individual differences in emotional responses present during the juvenile stage may contribute to adult individual differences in cellular mechanisms that underlie learning and memory. [source]


    Survival and vitality of Gremmeniella abietina on Pinus sylvestris slash in northern Sweden

    FOREST PATHOLOGY, Issue 6 2006
    J. Witzell
    Summary Survival and vitality of Gremmeniella abietina on Pinus sylvestris slash was studied in northern Sweden during 2003 and 2004. Once a month between September 2003 and April 2004, two to three trees were cut down and debranched. Shoots with pycnidia were sampled at the felling date and then at every consecutive month. The percentage of germinated conidia from each shoot was calculated after 24, 48 and 72 h incubation. The vitality of G. abietina pycnidia in the slash remained high the whole period. Intact pycnidia were found on slash several months after the time of conidial sporulation, which indicates that new pycnidia may be produced on dead pine branches. Sampling of shoots from slash on 13- to 18-month-old clear-cuts showed conidial germination capacity as high as in pycnidia collected in fresh slash. Due to survival of G. abietina in slash it is recommended to postpone planting of P. sylvestris seedlings in northern boreal areas to the third vegetation period after sanitary clear-cuts. Résumé La survie et la vitalité de Gremmeniella abietina dans des rémanents de Pinus sylvestris ont étéétudiées dans le nord de la Suède pendant les années 2003 et 2004. Une fois par mois entre septembre 2003 et avril 2004, 2 ou 3 arbres ont été abattus et ébranchés. Des pousses avec pycnides ont étééchantillonnées à la date d'abattage et les mois suivants. Le pourcentage de conidies germées a été calculé pour chaque pousse après 24, 48 et 72 heures d'incubation. La vitalité des pycnides de G. abietina dans les rémanents est restée élevée tout au long de la période. Des pycnides intactes ont été trouvées dans les rémanents plusieurs mois après la période de sporulation conidienne, ce qui suggère que de nouvelles pycnides peuvent être produites sur des branches mortes de pin. Des échantillonnages de pousses dans des rémanents de coupes rases réalisées 13,18 mois plus tôt ont montré une capacité de germination des conidies aussi élevée que dans les pycnides collectées dans des rémanents fraîchement coupés. Du fait de la survie de G. abietina dans les rémanents, il est conseillé de reporter la plantation des semis de P. sylvestris dans les zones septentrionales boréales à la troisième saison de végétation après les coupes sanitaires. Zusammenfassung Das Überleben und die Vitalität von Gremmeniella abietina auf Schlagabraum von Pinus sylvestris wurde in den Jahren 2003 und 2004 untersucht. Zwischen September 2003 und April 2004 wurden in jedem Monat einmal 2,3 Bäume gefällt und entastet. Zum Zeitpunkt des Fällens und in jedem folgenden Monat wurden Triebe mit Pyknidien gesammelt. Von jedem Trieb wurde die Keimrate der Konidien nach 24, 48 und 72 Stunden Inkubation bestimmt. Während der gesamten Beobachtungsdauer blieb die Vitalität der Pyknidien im Schlagabraum hoch. Mehrere Monate nach der Sporulation wurden intakte Pyknidien gefunden, ein Hinweis darauf, dass möglicherweise neue Pyknidien auf den toten Kiefernzweigen gebildet wurden. Auf dem Schlagabraum von 13,18 Monate alten Kahlschlägen war die Keimfähigkeit der Konidien ähnlich hoch wie bei Pyknidien von frischem Schlagabraum. Aufgrund des langen Überlebens von G. abietina in Schlagabraum wird für die nördlichen borealen Gebiete empfohlen, nach phytosanitären Kahlschlägen P. sylvestris -Sämlinge erst in der dritten Vegetationsperiode zu pflanzen. [source]


    Long-term Hydrological Forecasting in Cold Regions: Retrospect, Current Status and Prospect

    GEOGRAPHY COMPASS (ELECTRONIC), Issue 5 2009
    Alexander N. Gelfan
    The influence of long-term snow accumulation on the runoff conditions several months afterwards is a distinct hydrological characteristic of cold regions, which creates opportunities for long-term (seasonal and subseasonal) hydrological forecasting in these regions. We consider evolution of the long-term forecasting approaches from the deterministic data-based index methods to the hydrological model-based ensemble approaches. Of key interest in this review are the methods developed and used in operational practice in Russia and in the USA, with the emphasis being placed on the methods used in Russia, which may be less familiar to international hydrological society. Following a description of the historical context, we review recent developments that place emphasis on problems relating to the uncertainty of the weather conditions for the lead time of the forecast. We conclude with a personal view of the prospects for the future development of long-term hydrological forecasting techniques. [source]


    In vivo observation of the locomotion of microglial cells in the retina

    GLIA, Issue 14 2010
    Michel Paques
    Abstract Microglial cells (MCs) are active sensors and reactive phagocytes of neural tissues. They are known to migrate and accumulate in areas of neuronal damage. Thus, microglial locomotion is an essential feature of the inflammatory reaction in neural tissue. Yet, to our knowledge there has been no report of direct in vivo observation of the migration of MCs. Here, we show that intravitreally injected cyanine dyes (DiO, DiI, and indocyanine green) are sequestrated in MCs during several months, and subsequently in vivo images of these fluorescent MCs can be obtained by confocal scanning laser ophthalmoscopy. This enabled noninvasive, time-lapse observation of the migrating behavior of MCs, both in the basal state and following laser damage. In the basal state, a slow, intermittent, random-like locomotion was observed. Following focal laser damage, MCs promptly (i.e., within 1 h) initiated centripetal, convergent migration. MCs up to 400 ,m away migrated into the scar at velocities up to 7 ,m/min. This early phase of centripetal migration was followed by a more prolonged phase of nontargeted locomotion around and within injured sites during at least 24 h. Cyanine-positive cells persisted within the scar during several weeks. To our knowledge, this is the first in vivo observation of the locomotion of individual MCs. Our results show that the locomotion of MCs is not limited to translocation to acutely damaged area, but may also be observed in the basal state and after completion of the recruitment of MCs into scars. © 2010 Wiley-Liss, Inc. [source]


    Application of post-surgical stimulated thyroglobulin for radioiodine remnant ablation selection in low-risk papillary thyroid carcinoma,,

    HEAD & NECK: JOURNAL FOR THE SCIENCES & SPECIALTIES OF THE HEAD AND NECK, Issue 6 2010
    Alon Vaisman HBSc
    Abstract Background We present our ongoing experience in the use of postsurgical stimulated serum thyroglobulin (Stim-Tg) to assist in radioiodine remnant ablation (RRA) decision-making. Methods Patients with low-risk well-differentiated thyroid carcinoma (WDTC) with undetectable anti-Tg antibodies were prospectively followed after total thyroidectomy and therapeutic central compartment neck dissection, when indicated.Stim-Tg was performed 3 months postoperatively and used to base RRA selection. Results Of 104 patients, 59 patients (56.7%) had an undetectable Stim-Tg after thyroidectomy, 35 (33.7%) had Stim-Tg values of 1,5 ,g/L, and 10 (9.6%) had Stim-Tg values >5 ,g/L. RRA was administered to 1 patient (1.7%) with undetectable Stim-Tg, 6 patients (17.1%) with Stim-Tg1,5 ,g/L, and 9 patients (90%) with Stim-Tg >5 ,g/L, for a total of 16 patients (15.4%) receiving RRA. When compared to current RRA selection guidelines, the proposed protocol achieved a significantly lower RRA administration rate. Conclusion Stim-Tg measurement performed several months after total thyroidectomy is a useful objective parameter in assisting RRA decision-making for patients with low-risk WDTC. © 2010 Wiley Periodicals, Inc. Head Neck, 2010 [source]


    What should be given a priority , costly medications for relatively few people or inexpensive ones for many?

    HEALTH EXPECTATIONS, Issue 2 2008
    The Health Parliament public consultation initiative in Israel
    Abstract Background, In the past two decades, government and civic organizations have been implementing a wide range of deliberative public consultations on health care-related policy. Drawing on these experiences, a public consultation initiative in Israel called the Health Parliament was established. Goals, To implement a public consultation initiative that will engage members of the public in the discussion of four healthcare policy questions associated with equity in health services and on priorities for determining which medications and treatments should be included in the basket of national health services. Method, One hundred thirty-two participants from the general population recruited through a random sample were provided with background materials and met over several months in six regional sites. Dilemma activities were used and consultants were available for questions and clarifications. Participants presented their recommendations in a national assembly to the Minister of Health. Outcomes, Across the regional groups the recommendations were mostly compatible, in particular regarding considering the healthcare system's monetary state, even at the expense of equity, but for each policy question minority views were also expressed. A strong emphasis in the recommendations was pragmatism. Conclusion, Participants felt the experience was worthwhile; though the actual impact of their recommendations on policy making was indirect, they were willing to participate in future consultations. However, despite enthusiasm the initiative was not continued. Issues raised are whether consultation initiatives must have a direct impact on healthcare policy decisions or can be mainly a venue to involve citizens in the deliberation of healthcare policy issues. [source]


    CD81 expression in peripheral blood lymphocytes before and after treatment with interferon and ribavirin in HIV/HCV coinfected patients

    HIV MEDICINE, Issue 3 2010
    D Micheloud
    Background CD81 is expressed on lymphocytes and confers HCV viral infectivity support. The aim of our study was to quantify CD81 expression in peripheral blood B- and T-cells of HCV/HIV-coinfected patients and healthy subjects to examine its association with several HCV virological characteristics and the therapeutic responsiveness to HCV antiviral treatment. Methods We carried out a cross-sectional study on 122 naïve patients. For a duration of 48 weeks, 24 out of 122 patients underwent HCV antiviral therapy with interferon (IFN)-, and ribavirin. T- and B-cell subsets were analysed by flow cytometry. Results We found that HIV/HCV coinfected patients with HCV-RNA ,850 000 IU/mL had lower values of %CD19+CD81-CD62L+ and %CD19+CD62L+; and higher values of CD19+CD81+CD62L, and CD19+CD81+ percentages and absolute counts than patients with HCV-RNA <850 000 IU/mL. Similarly, HIV/HCV coinfected patients with the genotype 1 had lower values of %CD19+CD81,CD62L+ and higher values of CD3+CD81+CD62L, and CD3+CD81+ percentages and absolute counts than patients without genotype 1. Moreover, we found that HIV/HCV coinfected patients had higher values of %CD19+HLA-DR+CD25+, %CD19+CD40+CD25+ and %CD19+CD25+ than healthy control patients. When we studied the B- and T-cell subset kinetics of 24 HIV/HCV coinfected patients on HCV antiviral therapy, we found a significant decrease in CD3+CD81+and CD3+CD81+CD62L, subsets and a significant increase in CD3+CD62L+ and CD3+CD81+CD62L+ percentages and absolute counts, but the variation in these markers disappeared several months after stopping the treatment. Conclusions We observed a different pattern of CD81 T-cell and B-cell levels in naïve HIV/HCV coinfected patients according to HCV virological status and their subsequent variations during HCV antiviral treatment. CD81 expression might influence HCV pathogenesis and response to HCV antiviral treatment. [source]


    Once-daily nevirapine dosing: a pharmacokinetics, efficacy and safety review

    HIV MEDICINE, Issue 1 2007
    CL Cooper
    In the context of attempts to simplify treatment regimens and enhance adherence, there is great interest in once-daily dosing regimens for the treatment of HIV-1 infection. Nevirapine has a long half-life and achieves high steady-state plasma concentrations relative to the concentration required to inhibit 50% viral replication in vitro (IC50) in patients. For this reason, it has been considered as a once-daily antiretroviral. Pharmacokinetic and efficacy data support the use of this dosing approach, but excess rash and lingering concerns over liver toxicity preclude use of once-daily dosed nevirapine at this time. Tolerance to high nevirapine concentrations may develop when dose escalation is used during initiation of therapy. It is theoretically possible that the benefits of once-daily dosing may be achieved without excess toxicity by switching to once-daily nevirapine following several months of twice-daily administration. This dosing strategy is currently under evaluation. [source]


    Research and Prospects of Iron-Based Superconductors

    ADVANCED MATERIALS, Issue 45 2009
    Zhi-An Ren
    Abstract The discovery of a new superconductor, LaFeAsO1,xFx with a superconducting critical temperatureT,c, of 26,K in 2008, has quickly renewed interest in the exploration of iron-based superconductors. More than 70 new superconductors have been discovered within several months, with the highest Tc of up to 55,K being observed in the SmFeAsO1,x compound. High Tcs have previously only been observed in cuprates; these new iron-based superconductors have been added as second members of the high- Tc family. The crystal structure of these compounds contains an almost 2D Fe,As layer formed by FeAs4 tetrahedrons, which can be separated by an oxide or metal layer that provides extra electrons to the Fe,As layer, and the itinerant iron 3d electrons form an antiferromagnetic (AFM) order state in the undoped parent compounds at around 100,200,K. Superconductivity can be induced by carrier doping, which destroys the AFM ground state. In this Review, the most recent findings on and basic experimental facts about this class of high- Tc materials will be presented, including the various superconducting structures, the synthesis methods, the physical properties of the parent compounds, the doping methods that could produce superconductivity, pressure effects, and the prospects for this new iron-based high- Tc family. [source]


    The migration route and behaviour of Eastern Curlews Numenius madagascariensis

    IBIS, Issue 3 2002
    Peter V. Driscoll
    Eastern Curlews Numenius madagascariensis were satellite-tracked onto breeding grounds in north-eastern Russia from south-eastern Queensland over a distance of 12 000 km. They made initial non-stop, long distance flights across the Western Pacific Ocean towards the coastlines of China and Korea followed by shorter flights, over a period of more than a month. The return journey involved a major flight-leg as well, south from the Yellow Sea region. Many birds attempted to migrate but returned to the non-breeding grounds over periods of up to several months. Islands of the Western Pacific region, the southern coastline of New Guinea and north-eastern coastline of Australia are important, particularly for birds that stop migrating. Eastern Curlews that stopped migrating generally survived, which suggests that the species has adapted to deal with adverse conditions en route and/or a physical inability to complete the migration. Such a capacity is perhaps characteristic of a large wader with low annual mortality. [source]


    Where Infants Look Determines How They See: Eye Movements and Object Perception Performance in 3-Month-Olds

    INFANCY, Issue 2 2004
    Scott P. Johnson
    A fundamental question of perceptual development concerns how infants come to perceive partly hidden objects as unified across a spatial gap imposed by an occluder. Much is known about the time course of development of perceptual completion during the first several months after birth, as well as some of the visual information that supports unity perception in infants. The goal of this investigation was to examine the inputs to this process. We recorded eye movements in 3-month-old infants as they participated in a standard object unity task and found systematic differences in scanning patterns between those infants whose post-habituation preferences were indicative of unity perception versus those infants who did not perceive unity. Perceivers, relative to nonperceivers, scanned more reliably in the vicinity of the visible rod parts and scanned more frequently across the range of rod motion. These results suggest that emerging object concepts are tied closely to available visual information in the environment, and the process of information pickup. [source]