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Selected AbstractsImpact of periodontal preventive programmes on the data from epidemiologic studiesJOURNAL OF CLINICAL PERIODONTOLOGY, Issue 2005Per E. Gjermo Abstract This report provides only circumstantial evidence for the impact of programmes on periodontal epidemiology. The prerequisites for programmes and campaigns are described, and epidemiologic data on periodontal disease are compared with known changes in factors that may be affected by such activities. Unfortunately, parameters for periodontal disease as a process are not available. Only variables indicating irreversible effects on the periodontal status can be obtained. A lack of appropriate studies creates additional problems. This review indicates that preventive programmes and campaigns to improve oral hygiene have affected periodontal epidemiologic data concerning gingivitis and mild/moderate periodontitis favourably. Severe periodontitis seems not to have been influenced by such activities. Smoking is strongly associated with the severity of periodontitis. Therefore, a positive effect may be anticipated following the smoking cessation campaigns currently introduced worldwide. However, because of the irreversible nature of our epidemiologic parameters, it will take decades before any effect may be evident. It is recommended that periodontal epidemiology should be revitalized by introducing a nominalistic categorization instead of the changing essentialistic approaches used so far in order to facilitate the interpretation of data. [source] Prognostic factors in cystic fibrosis in a single center in Brazil: A survival analysisPEDIATRIC PULMONOLOGY, Issue 1 2002Maria Christina Lopes A. Oliveira MD Abstract The purpose of the present study was to identify prognostic factors related to death in patients with cystic fibrosis (CF). Records of 127 patients with CF submitted to a systematic protocol were retrospectively reviewed. Prognostic factors associated with demographic, nutritional, clinical, and laboratory findings on admission were studied. The median follow-up was 44 months. The analysis was conducted in two steps. First, in a univariate analysis, variables associated with death outcome were identified by the log-rank test. Then the variables that were significantly associated with adverse outcome were included in a multivariate analysis. This analysis, using the Cox proportional hazards model, was performed to identify variables that were independently associated with a worse prognosis. Only variables that remained independently associated with adverse outcome were included in the final model. Three variables were identified as independent predictors of adverse outcome: age at diagnosis under 3 months (relative risk (RR),=,13, 95% CI,=,4.5,34, P,<,0.001); Shwachman-Kulczycki (S-K score) score below 70; and birth weight under 3,000 g. An interaction effect between S-K score and birth weight was identified. The relative risk of death for the S-K score was 24 (95% CI,=,3,195) when birth weight was lower than 3,000 g; on the other hand, when birth weight was 3,000 g or more, the relative risk for the S-K score was 1.4 (95% CI,=,0.24,8.83). The combination of three factors (low S-K score, low birth weight, and young age at diagnosis) is indicative of a poor prognosis in CF patients. Pediatr Pulmonol. 2002; 34:3,10. © 2002 Wiley-Liss, Inc. [source] Theory of mind functioning in mentally disordered offenders detained in high security psychiatric care: its relationship to clinical outcome, need and riskCRIMINAL BEHAVIOUR AND MENTAL HEALTH, Issue 5 2007David Murphy Background,Theory of mind (ToM) refers to the cognitive mechanisms that allow us to infer our own mental states and those of others. Whilst ToM deficits are frequently observed among individuals with schizophrenia, little is known about their relationship to functional outcome. Aims,Among patients with schizophrenia in a high security hospital, to test whether ToM performance, in relation to other cognitive and clinical variables, is related to measures of subsequent clinical outcome. Methods,ToM was assessed using the modified advanced test (MAT) and the revised eyes task (RET). Outcome, including ongoing need and risk, was assessed using the HoNOS secure, CANFOR and HCR-20 respectively three years post ToM assessment. Results,Performance on the RET was the only variable to be significantly correlated with the symptom ratings of the HoNOS secure and the HCR-20 total scores. Performance on the RET also accounted for approximately half of the variance in the CANFOR ratings and a third in the risk management item ratings of the HCR-20. Age, number of years diagnosed with schizophrenia and other aspects of cognition were also significantly correlated with the HoNOS security scale. Conclusions,The results suggest that social perceptual ToM may be a useful prognostic indicator, but also that ToM impairments may represent an unmet need. Replication of the work with larger and more diverse samples of people with schizophrenia is necessary, as well as trials of therapeutic effort directed at improvement of ToM impairments. Copyright © 2007 John Wiley & Sons, Ltd. [source] Early identification of non-remission in first-episode psychosis in a two-year outcome studyACTA PSYCHIATRICA SCANDINAVICA, Issue 5 2010E. Simonsen Simonsen E, Friis S, Opjordsmoen S, Mortensen EL, Haahr U, Melle I, Joa I, Johannessen JO, Larsen TK, Røssberg JI, Rund BR, Vaglum P, McGlashan TH. Early identification of non-remission in first-episode psychosis in a two-year outcome study. Objective:, To identify predictors of non-remission in first-episode, non-affective psychosis. Method:, During 4 years, we recruited 301 patients consecutively. Information about first remission at 3 months was available for 299 and at 2 years for 293 cases. Symptomatic and social outcomes were assessed at 3 months, 1 and 2 years. Results:, One hundred and twenty-nine patients (43%) remained psychotic at 3 months and 48 patients (16.4%) remained psychotic over 2 years. When we compared premorbid and baseline data for the three groups, the non-remitted (n = 48), remitted for <6 months (n = 38) and for more than 6 months (n = 207), duration of untreated psychosis (DUP) was the only variable that significantly differentiated the groups (median DUP: 25.5, 14.4 and 6.0 weeks, respectively). Three months univariate predictors of non-remission were being single, longer DUP, core schizophrenia, and less excitative and more negative symptoms at baseline. Two-year predictors were younger age, being single and male, deteriorating premorbid social functioning, longer DUP and core schizophrenia. In multivariate analyses DUP, negative and excitative symptoms predicted non-remission at 3 months, but only DUP predicted at 2 years. Conclusion:, Long DUP predicted both 3 month and 2-year non-remission rates in first-episode psychosis. [source] Microbiotic crusts as biomarkers for surface stability and wetness duration in the Negev DesertEARTH SURFACE PROCESSES AND LANDFORMS, Issue 12 2009Giora J. Kidron Abstract Microbiotic crusts play an important role in arid and semi-arid regions. Yet, very little information exists regarding the factors that impact their development. In an attempt to assess the main factors that may determine their growth, measurements of the amount of fines (silt and clay), rain, moisture content, wetness duration and wind erosion and deposition were carried out along a 12 station transect within a partially crusted dune field in the western Negev Desert and compared to the crust cover and chlorophyll content. Surface stability was the only variable that exhibited significant relationship with crust cover while daylight wetness duration exhibited strong positive relationship (r2 = 0·92,0·99) with the crust's chlorophyll content. The data point out that microbiotic crusts may serve as a useful biomarker for surface stability. While wetness duration and wind will control crust cover and the crust chlorophyll content in semi-stable habitats (with absolute annual change in sand level of 2,3 mm), stable habitats (absolute change <1 mm) will be controlled primarily by moisture, while habitats with low surface stability (absolute change of tens and hundreds of millimeters) will be primarily controlled by wind. Furthermore, owing to the strong positive relationship between daylight wetness duration and the crust's chlorophyll content, the crust may serve as a useful biomarker for the quantification of surface wetness duration. Copyright © 2009 John Wiley & Sons, Ltd. [source] Diversity and species composition of West African ungulate assemblages: effects of fire, climate and soilGLOBAL ECOLOGY, Issue 6 2008Erik Klop ABSTRACT Aim, Anthropogenic fires are a major component of the ecology of rangelands throughout the world. To assess the effects of these fires on the diversity patterns of herbivores, we related gradients in fire occurrence, climate and soil fertility to patterns in alpha and beta diversity of African ungulates. Location, West Africa. Methods, We used a survey-based approach for ungulates in 37 protected areas in desert, savanna and rain forest habitats throughout West Africa, combined with satellite images of fire occurrence and digital maps of actual evapotranspiration and soil fertility. Alpha diversity was related to the environmental variables using conventional and spatial regression models. We investigated beta diversity using partial Mantel tests and ordination techniques, and by partitioning the variance in assemblage composition into environmental and spatial components. Results, The species richness of grazers showed a quadratic relationship with actual evapotranspiration, whereas that of browsers and frugivores showed a linear relationship. However, in the multiple regression models fire occurrence was the only variable that significantly correlated with the species richness of grazers. Soil fertility was weakly related to overall beta diversity and the species richness of browsers, but was non-significant in the multiple regression models. Fire occurrence was the most important variable explaining species composition of the overall species set and of grazers, whereas the assemblage composition of browsers and frugivores was explained mostly by actual evapotranspiration. Main conclusions, In contrast to previous studies, our analyses show that moisture and nutrients alone fail to adequately predict the diversity patterns of grazing ungulates. Rather, the species richness and assemblage composition of grazers are largely governed by anthropogenic fires that modify the quality and structure of the grass sward. Diversity patterns of browsers and frugivores are markedly different from grazers and depend mainly on the availability of moisture, which is positively correlated with the availability of foliage and fruits. Our study highlights the importance of incorporating major human-induced disturbances or habitat alterations into analyses of diversity patterns. [source] Community mental healthcare in England: associations between service organisation and quality of lifeHEALTH & SOCIAL CARE IN THE COMMUNITY, Issue 6 2002Justine Schneider Abstract The present authors set out to explore the relationship between different forms of service organisation and quality of life (QoL) for service users. Four mental health trusts and their corresponding social services departments were recruited to exemplify: (1) high and low levels of integration between health and social services; and (2) high and low levels of targeting at users with severe mental health problems. The authors used the Lancashire Quality of Life Profile, and chose their sample size to be able to detect a difference of 0.5 in subjective satisfaction scales. Analysis of covariance was used to investigate the simultaneous impact of variables representing user characteristics, objective and subjective QoL, and service organisation. Two hundred and sixty users selected at random from the active caseloads of mental health services in the four districts were interviewed at time 1 and 232 people were interviewed 6 months later (time 2). No bias was detected in the non-respondents at time 2. The authors found few differences between districts. As in other similar studies, QoL seemed to be stable for the whole sample over time. In 6 months, general satisfaction with leisure increased and the number of people who had been in hospital fell. Negative affect score was the only variable found to be associated with subjective QoL, and no predictors of objective QoL were identified. There was some evidence of better objective outcomes for people in receipt of integrated mental health services. They socialised more, and seemed to have less difficulty accessing police and legal services. The results also suggest that interventions targeted at negative affect could have benefits for subjective QoL. [source] Statistical Model of the Interactions Between Helicobacter pylori Infection and Gastric Cancer DevelopmentHELICOBACTER, Issue 1 2003Martin Welin ABSTRACT Background. The bacterium Helicobacter pylori is associated with a number of gastrointestinal diseases, such as gastric ulcer, duodenal ulcer and gastric cancer. Several histological changes may be observed during the course of infection; some may influence the progression towards cancer. The aim of this study was to build a statistical model to discover direct interactions between H. pylori and different precancerous changes of the gastric mucosa, and in what order and to what degree those may influence the development of the intestinal type of gastric cancer. Methods. To find direct and indirect interactions between H. pylori and different histological variables, log-linear analyses were used on a case,control study. To generate mathematically and biologically relevant statistical models, a designed algorithm and observed frequency tables were used. Results. The results show that patients with H. pylori infection need to present with proliferation and intestinal metaplasia to develop gastric cancer of the intestinal type. Proliferation and intestinal metaplasia interacted with the variables atrophy and foveolar hyperplasia. Intestinal metaplasia was the only variable with direct interaction with gastric cancer. Gender had no effect on the variables examined. Conclusion. The direct interactions observed in the final statistical model between H. pylori, changes of the mucosa and gastric cancer strengthens and supports previous theories about the progression towards gastric cancer. The results suggest that gastric cancer of the intestinal type may develop from H. pylori infection, proliferation and intestinal metaplasia, while atrophy and foveolar hyperplasia interplay with the other histological variables in the disease process. [source] Predictors of anemia in patients on hemodialysisHEMODIALYSIS INTERNATIONAL, Issue 3 2009Willy AASEBØ Abstract Even though the use of erythropoietin and intravenous iron has improved the treatment of anemia in hemodialysis patients, a considerable proportion of these patients still have anemia. The aim of this study was to identify predictors of anemia in a hemodialysis population. In a single-center hemodialysis unit, all patients were studied with blood tests and their medication recorded during a period of 22 months. Correlations with hemoglobin (Hb) were performed with a simple regression or a t test. Variables that reached 5% significance were entered in a multiple regression analysis. Selected variables were presented in quartiles with levels of Hb. Mean Hb was 11.3 g/dL, and 53 patients (40%) had Hb<11.0 g/dL. In the simple regression analysis Hb correlated positively with s-iron, CHr, s-albumin, and doses of sevelamer, and negatively with sedimentation rate (SR), ferritin, base excess, and doses of erythropoietin. In the multiple regression analysis erythrocytes SR was the only variable that remained significant. Elevated SR is the strongest predictor of anemia in hemodialysis patients receiving adequate treatment with erythropoietin and intravenous iron. Patients using high doses of sevelamer had higher Hb levels than patients using low doses. [source] The development and initial validation of the Terminally Ill Grief or Depression Scale (TIGDS)INTERNATIONAL JOURNAL OF METHODS IN PSYCHIATRIC RESEARCH, Issue 4 2005Vyjeyanthi S. Periyakoil Abstract Patients often experience ,preparatory-grief' as they cope with the dying process. Some may be depressed. The Terminally Ill Grief or Depression Scale (TIGDS), comprising grief and depression sub-scales, is a new self-report measure designed to differentiate between preparatory-grief and depression in adult inpatients. The initial 100-item inventory was assembled based on literature review, interviews with clinicians and dying patients and then shortened to 42 items based on consensus expert opinion. Validity and reliability were tested in a sample of 55 terminally ill adults. The consensus clinical opinion was used as the gold standard to differentiate between preparatory grief and depression. The intra-class correlation coefficient was high (it was calculated to estimate the test-retest reliability for the 47 patients who had completed the TIGDS twice , retest was administered 2 to 7 days after the initial test), ranging from 0.86 (grief) to 0.97 (depression). The validity of TIGDS was assessed using a receiver operating characteristic curve analysis, comparing the first test with the clinical criterion. The first and only variable and cut-point was the depression score (chi-square = 18.4,p < 0.001, cut point = 3). The sensitivity of the TIGDS was 0.727 and specificity was 0.886 for the depression = 3 cutoff score. The construct validity of the TIGDS was tested by comparing with the Hospital Anxiety and Depression Scale (HADS). The TIGDS depression subscale showed strong convergent validity and the TIGDS grief subscale showed strong discriminant validity with the HADS total score. Copyright © 2005 John Wiley & Sons, Ltd. [source] Dental behaviour management problems: the role of child personal characteristicsINTERNATIONAL JOURNAL OF PAEDIATRIC DENTISTRY, Issue 4 2010ANNIKA GUSTAFSSON International Journal of Paediatric Dentistry 2010; 20: 242,253 Aim., This study aimed to investigate the role of dental fear (DF) and other personal characteristics in relation to dental behaviour management problems (DBMP). Design., A study group of 230 patients (7.5,19 years old; 118 girls), referred because of DBMP, was compared to a reference group of 248 same-aged patients (142 girls) in ordinary dental care. Patients and their parents independently filled in questionnaires including measures of fear and anxiety, behavioural symptoms, temperamental reactivity, and emotion regulation. Results., Study group patients referred because of DBMP differed from the reference group in all investigated aspects of personal characteristics. In the multivariate analyses, DF was the only variable with consistent discriminatory capacity through all age and gender subgroups. Aspects of anxiety, temperament, and behavioural symptoms contributed, but differently for different subgroups and at different levels of dental fear. Conclusions., Among older children and adolescents, DF deserves to be re-established as the single most important discriminating variable for DBMP at clearly lower scores than commonly used. Further research should focus on the different patterns of DBMP development, considering various personal characteristics that may trigger, maintain, or exacerbate young patients' vulnerability to DF and DBMP. [source] Vegetation structure and prey abundance requirements of the Iberian lynx: implications for the design of reserves and corridorsJOURNAL OF APPLIED ECOLOGY, Issue 1 2001F. Palomares Summary 1,Habitat alteration and fragmentation are two of the greatest threats to biodiversity. The conservation of most species in highly encroached areas requires reserves that are connected by suitable habitat corridors to increase the effectiveness of the area under protection. However, the quality required for such corridors is still debated. This study investigated the habitat characteristics (vegetation structure and prey abundance) of sites used by resident and dispersing Iberian lynx in south-western Spain. 2,Vegetation structure and an index of rabbit abundance (the staple prey of lynx) were measured at sites used by radio-collared lynx in 1996 and 1997. Data from 128 plots used by resident lynx and 310 plots used by dispersing individuals were compared with data from 162 randomly located plots in sites considered to be unused by lynx. 3.,Resident sites had a lower percentage of tree cover, shorter tree height, higher percentage of tall shrub cover, higher percentage of overall understorey and higher number of rabbit pellets than both dispersal and unused sites. The height of the short shrub layer was taller and the rabbit abundance index was higher in dispersing sites than in unused sites. 4,Gender did not affect habitat selection by lynx. During dispersal, lynx frequently (50% of cases) used vegetation patches narrower than 300 m. In these cases, sites used by lynx had higher understorey cover and taller shrub height than adjacent unused sites. The percentage of short shrub cover used by lynx increased with the length of time taken to disperse; this was the only variable that changed over time. 5,Range size of resident individuals declined significantly with the index of rabbit abundance but increased with the percentage of short shrub cover. Both variables were good predictors of range size. 6,The study shows that corridors connecting reserves do not have to be prime habitats; they can even support moderate habitat degradation due to human activity. This result has implications both for the conservation of existing corridors, and for the restoration of the many corridors between reserves that have been lost. [source] Herbal product use in a sample of Turkish patients undergoing haemodialysisJOURNAL OF CLINICAL NURSING, Issue 15 2009Belgüzar Kara Aim., To examine herbal product use among patients with end-stage renal disease undergoing haemodialysis. Background., Herbal therapy is a very popular choice for many patients. However, little information is available about herbal product use in renal patients. Design., The study was designed as a cross-sectional survey. The data were obtained from 114 end-stage renal disease patients in two haemodialysis centres in Ankara, Turkey between June,August 2007. Methods., Data were collected through face-to-face structured interviews. Descriptive statistics and the chi-square test were conducted. Results., Approximately one-third of the patients (28·1%) used a herbal product after the diagnosis of chronic kidney disease. Of these, 13·2% reported currently taking herbal products. A minority of participants (12·5%) informed their physician of herbal product use. Marital status was the only variable significantly associated with herbal product use. Conclusions., The results of this study showed that many patients used herbal products, but most did not disclose this use to their physician. Herbal product use was more prevalent among the participants who were married. Relevance to clinical practice., Understanding the patterns and reasons of herbal use is beneficial in efforts to improve the care of patients with end-stage renal disease. Nurses should be aware of the potential health risks caused by herbal products and should educate the patient and the family. [source] Association between growth, body condition and anti-predator behaviour in maturing and immature brown trout parrJOURNAL OF FISH BIOLOGY, Issue 4 2001J. Dannewit In spring there were significant differences between maturing and immature brown trout Salmo trutta in anti-predator behaviour to pike and heron models when all behaviours were combined in multivariate analysis. However, the time until the trout visited the patch in the experimental tray where predators attacked was the only variable that alone significantly differed between maturity groups; following transfer between the rearing tank and the experimental tray, maturing fish visited this patch sooner. The difference in anti-predator behaviour coincided with differences developing between the groups in both growth rate and condition factor. Maturing fish showed higher growth rates and exceeded immature fish in condition factor from spring onwards. In a summer experiment, no differences in anti-predator behaviour were observed between maturing and immature fish. It is concluded that increased risk-taking to facilitate higher food intake is probably the behavioural mechanism responsible for the comparatively greater increases in growth and body condition observed among maturing fish in spring. [source] Variety-specific Epidemiology of Cercospora beticola Sacc. and Consequences for Threshold-based Timing of Fungicide Application in Sugar BeetJOURNAL OF PHYTOPATHOLOGY, Issue 4 2010Ulrike Kaiser Abstract In Central Europe, fungicides to control leaf spot disease in sugar beet caused by Cercospora beticola are applied based on thresholds of disease incidence (DI, per cent of infected plants). As variety-specific fungicide application was not analyzed to date, the epidemiology of C. beticola and its effect on white sugar yield (WSY) in varieties with different susceptibility were investigated at seven sites in Germany and Austria in 2004 and 2005. All varieties reached the summary thresholds 5 / 15 / 45% DI in all environments. Fitting a logistic growth curve to DI revealed significant differences among varieties. At high disease pressure, susceptible varieties reached a considerably higher disease severity (DS, per cent of infected leaf area) at harvest and a larger area under disease progress curve (AUDPC) than resistant varieties. Fitting a logistic growth curve to DS showed an increasing differentiation among varieties with time. The growth rate estimated based on the logistic growth curve was the only variable that performed equally well in differentiating varieties under low and high disease pressure. With increasing disease pressure, varieties differed considerably in WSY, but differences between susceptible and resistant varieties were significant only in some environments. The disease-loss relation between AUDPC and relative WSY was variety-specific. Resistant varieties had an approximately identical WSY with and without infection and compensated for negative infection effects even at higher AUDPC. Therefore, at high disease pressure, resistant varieties had a higher relative yield compared to susceptible ones. However, our results indicate that there is no need to develop variety-specific thresholds, but resistant varieties reach the established thresholds later than susceptible ones. Consequently, the time of fungicide application can be delayed in resistant varieties. This will help to reduce the use of fungicides to the bare essentials as requested for the integrated crop protection management. [source] Clinical features and natural history of acquired cold urticaria in a tertiary referral hospital: a 10-year prospective studyJOURNAL OF THE EUROPEAN ACADEMY OF DERMATOLOGY & VENEREOLOGY, Issue 12 2008A Katsarou-Katsari Abstract Background, Acquired cold urticaria (ACU) represents a heterogeneous group of disorders that share a common clinical feature: the development of urticaria or angioedema after cold exposure. We present epidemiological and clinical data of subjects with ACU, natural progression and we examine possible parameters that could correlate with disease severity. Methods, During a 10-year period in all subjects with ACU, detailed record of personal history, laboratory testing, cold stimulation testing (CST), atopy assessment and disease severity took place. In a re-evaluation visit at the end of the surveillance period, ACU progression was assessed from patients in a subjective way. Results, Four thousand one hundred fifty-seven individuals with chronic urticaria were referred, and 352 (198 males, 154 females, 8.47% of patients with chronic urticaria) presented definite symptoms of physical urticarias, while 95 individuals (49 males, 46 females, 27% of patients with physical urticarias) were detected with ACU. Sixty-two participants were included in study analysis. Thirty-two patients (51.6%) were female; the mean age was 41.5 ± 15.6 years, while the mean age at disease onset was 32.5 ± 15.6 years; half were , 30 years old at disease onset. The mean duration of surveillance was 9.0 ± 6.9 years. During this time interval, 18 patients (29.0%) showed the same or even worse symptomatology, 26 patients reported some improvement (41.9%), while in 18 patients, symptoms resolved completely (29.0%); the mean time to resolution was 5.6 ± 3.5 years. Disease severity was the only variable statistically significantly related to disease progression (P = 0.004). Conclusions, Cold urticaria is a chronic persistent disorder with occasional severe clinical manifestations. [source] Main mutations in the hepatitis B virus basic core promoter (A1762T/G1764A) before HBeAg loss are markers that identify patients who will require long-term treatmentALIMENTARY PHARMACOLOGY & THERAPEUTICS, Issue 1 2010D. Tabernero Aliment Pharmacol Ther 2010; 32: 97,104 Summary Background, Some patients continue to have detectable HBV-DNA levels with liver disease progression after hepatitis B e antigen (HBeAg) loss. It is important to identify these patients, candidates for long-term treatment. Aims, To evaluate hepatitis B virus (HBV) genotype and the main mutations in the basic core promoter (BCP, A1762T/G1764A) and precore (G1896A) sequences as markers of persistent HBV-DNA after HBeAg loss. Methods, We analysed 60 serum samples from 20 Caucasian, HBeAg-positive, chronic hepatitis B patients, who lost HBeAg and were followed-up longitudinally. HBV genotype and precore and BCP mutations were determined before, at the time of, and after HBeAg loss. Results, After HBeAg loss, eight (40%) patients continued to have undetectable HBV-DNA and 12 (60%) had persistent HBV-DNA (median level 4.7 log10 copies/mL). The presence of BCP mutations prior to therapy was the only variable associated with persistently detectable viraemia (P = 0.017). Four patients with genotype A and no mutations in the BCP region experienced hepatitis B surface antigen (HBsAg) loss after a mean period of 35 months from baseline. Conclusions, Main BCP mutations in HBeAg-positive patients are useful markers to identify patients who will not have sustained virological suppression after HBeAg loss and therapy discontinuation and could benefit from long-term treatment. [source] The influence of multi-scale environmental variables on the distribution of terricolous lichens in a fog desertJOURNAL OF VEGETATION SCIENCE, Issue 6 2006Jennifer S. Lalley Abstract Question: How do environmental variables in a hyper-arid fog desert influence the distribution patterns of terricolous lichens on both macro- and micro-scales? Location: Namib Desert, Namibia. Methods: Sites with varying lichen species cover were sampled for environmental variables on a macro-scale (elevation, slope degree, aspect, proximity to river channels, and fog deposition) and on a micro-scale (soil structure and chemistry). Macro-scale and micro-scale variables were analysed separately for associations with lichen species cover using constrained ordination (DCCA) and unconstrained ordination (DCA). Explanatory variables that dominated the first two axes of the constrained ordinations were tested against a lichen cover gradient. Results: Elevation and proximity to river channels were the most significant drivers of lichen species cover in the macro-scale DCCA, but results of the DCA suggest that a considerable percentage of variation in lichen species cover is unexplained by these variables. On a micro-scale, sediment particle size explained a majority of lichen community variations, followed by soil pH. When both macro and micro-scale variables were tested along a lichen cover gradient, soil pH was the only variable to show a significant relationship to lichen cover. Conclusion: The findings suggest that landscape variables contribute to variations in lichen species cover, but that stronger links occur between lichen growth and small-scale variations in soil characteristics, supporting the need for multi-scale approaches in the management of threatened biological soil crust communities and related ecosystem functions. [source] An evaluation of transient elastography in the discrimination of HBeAg-negative disease from inactive hepatitis B carriersJOURNAL OF VIRAL HEPATITIS, Issue 11 2009S. Maimone Summary., Liver biopsy is frequently required in HBeAg-negative disease to determine the stage of fibrosis. It can be difficult to distinguish cohorts with undetectable HBeAg who may have varying degrees of fibrosis due to different stages of disease. We have assessed the utility of transient elastography (TE) to evaluate differences in HBeAg-negative patients. A total of 220 HBsAg-positive individuals were studied: 125 (group 1) had an inactive HBsAg carrier state and 95 (group 2) were HBeAg-negative, anti-HBe-positive patients with persistently or intermittent elevation of alanine aminotransferase (ALT) and/or HBV DNA >105 copies/mL. Mean stiffness was 4.83 ± 1.2 kPa in group 1 vs 8.53 ± 6 kPa in group 2 (P < 0.001); statistically significant differences were also found between AST/ULN ALT/ULN ratios, HBV DNA in group 1 vs group 2, respectively (P < 0.001). In the multivariate analysis, the only variable independently associated with the stage of fibrosis was the stiffness. This study shows that mean hepatic stiffness by elastography is significantly lower in patients with inactive hepatitis B compared to those with HBeAg-negative disease. The procedure is a useful adjunct to diagnosis to confirm a clinical pattern of disease, and for more selective use of liver biopsy before considering antiviral therapy. [source] The Self,Concept of Students with Learning Disabilities: A Meta,Analysis of Comparisons Across Different PlacementsLEARNING DISABILITIES RESEARCH & PRACTICE, Issue 4 2002Batya ElbaumArticle first published online: 17 DEC 200 Although placement in less restrictive settings is generally believed to be associated with more positive social outcomes for students with disabilities, the empirical research has yielded equivocal findings. The purpose of this study was to synthesize the empirical research comparing the self,concept of students with learning disabilities (LD) in different educational placements. Meta,analysis revealed no overall association between self,concept and educational placement for four out of five comparisons: regular class vs. resource room, regular class vs. self,contained class, resource room vs. self,contained class, and regular class vs. special school. Students with LD receiving instruction in self,contained classrooms in regular schools exhibited lower self,concept compared to students with LD attending special schools. Follow,up analyses were conducted to explore whether the variability of effect sizes in regular class,resource room comparisons was associated with any of several potential moderator variables; the only variable for which the association approached significance was whether students in the regular classroom were provided with appropriate special education supports and services. The findings are discussed in light of documented individual variation in students' placement preferences. [source] Impact of UK academic foundation programmes on aspirations to pursue a career in academiaMEDICAL EDUCATION, Issue 10 2010Oliver T A Lyons Medical Education 2010: 44: 996,1005 Objectives, This study aimed to determine the role played by academic foundation programmes in influencing junior doctors' desire to pursue a career in academic medicine. Methods, We conducted an online questionnaire-based study of doctors who were enrolled on or had completed academic foundation programmes in the UK. There were 92 respondents (44 men, 48 women). Of these, 32 (35%) possessed a higher degree and 73 (79%) had undertaken a 4-month academic placement during Foundation Year 2. Outcomes were measured using Likert scale-based ordinal response data. Results, From a cohort of 115 academic foundation trainees directly contacted, 46 replies were obtained (40% response rate). A further 46 responses were obtained via indirect notification through local programme directors. From the combined responses, the majority (77%) wished to pursue a career in academia at the end of the academic Foundation Year (acFY) programme. Feeling well informed about academic careers (odds ratio [OR] 16.9, p = 0.005) and possessing a higher degree (OR 31.1, p = 0.013) were independently associated with an increased desire to continue in academia. Concern about reduced clinical experience whilst in academic training dissuaded from continuing in academia (OR 0.15, p = 0.026). Many respondents expressed concerns about autonomy, the organisation of the programme and the quantity and quality of academic teaching received. However, choice of work carried out during the academic block was the only variable independently associated with increasing the desire of respondents to pursue a career in academia following their experiences in the acFY programme (OR 6.3, p = 0.007). Conclusions, The results support the provision of well-organised academic training programmes that assist junior clinical academics in achieving clinical competencies whilst providing protected academic time, information about further academic training pathways and autonomy in their choice of academic work. [source] Association of Helicobacter pylori infection with gastroduodenal disease, epidemiologic factors and iron-deficiency anemia in Turkish children undergoing endoscopy, and impact on growthPEDIATRICS INTERNATIONAL, Issue 6 2007ÖZLEM DURMAZ SÜOGLU Abstract Background: The purpose of the present paper was to investigate the relationship between Helicobacter pylori infection and clinical symptomatology, breast-feeding and socioeconomic level. The relationship between H. pylori and iron-deficiency anemia (IDA) and the effect of H. pylori infection on growth were also investigated. Methods: The subjects consisted of 70 patients aged 4,16 years who underwent upper gastrointestinal endoscopy for recurrent abdominal pain, nausea, vomiting, and dyspeptic complaints during a 2 year period. Patients were divided into two groups according to presence of histological evidence of H. pylori infection (group 1, H. pylori positive; group 2, H. pylori negative) and groups were compared with respect to epidemiologic characteristics, gastrointestinal complaints, height and weight SD scores and IDA. Results: Thirty-five (50%) of the 70 patients participating in the study were H. pylori positive. The mean age of group 1 was significantly higher than that of group 2. There were similar characteristics and symptomatology between groups. The majority of the patients in group 1 belonged to low socioeconomic class (class I and II; P < 0.05). The number of the patients exclusively breast-fed for ,4 months was significantly higher in group 2 than in group 1. Gastritis was significantly more frequent in group 1. Mean hemoglobin, serum Fe and ferritin levels were 11.6 ± 1.7 g/dL, 45.0 ± 23.2 ,g/dL and 11.9 ± 8.4 ,g/dL, respectively, for group 1 and 12.2 ± 0.7 g/dL, 79.3 ± 26.4 ,g/dL and 42.1 ± 31.8 ,g/dL, respectively, for group 2. The mean serum Fe and ferritin levels of group 2 were significantly higher than those of group 1. IDA was observed in 20 (57.1%) and six (17.1%) patients in groups 1 and 2, respectively. IDA was significantly more frequent in group 1. Helicobacter pylori infection was found to be the only variable that had significant effect on IDA. Mean SD height and weight for group 1 were lower than those of the group 2. When the patients were evaluated in four groups according to H. pylori and IDA status, mean height SD score of patients with both H. pylori infection and IDA was significantly lower than that of the patients negative for H. pylori and IDA concomitantly. Conclusion: Low socioeconomic status seems to be an important risk factor for H. pylori infection. Exclusive breast-feeding at least for 4 months can have a protective role against H. pylori infection. Increased frequency of growth retardation and IDA in H. pylori -infected patients in the present study supports similar findings in the literature, although there is still need for detailed studies to clarify the causative mechanisms. [source] Cu(In,Ga)Se2 thin films grown with a Cu-poor/rich/poor sequence: growth model and structural considerationsPROGRESS IN PHOTOVOLTAICS: RESEARCH & APPLICATIONS, Issue 5 2003J. Kessler Thin films of Cu(In,Ga)Se2 are grown by a co-evaporation process in which the In, Ga, and Se fluxes, as well as the substrate temperature, are constant and the only variable is the Cu flux. This Cu flux varies in three steps in such a way that the growing film evolves from Cu-poor to Cu-rich and then back to Cu-poor. The film growth is monitored by the ,end point detection' method, and film thicknesses of the order of 2,,m are deposited in less than 20,min. Quality devices (efficiencies above 15%) are produced in our baseline processes for all of the other synthesis steps. The Cu(In,Ga)Se2 layers are studied from a (112) versus (220) (204) orientation and recrystallization point of view. Including the results from a previous study on the influence of the substrate temperature to the present X-ray diffraction and scanning as well as tunneling electron microscopy data, a five-stage growth model for the films is described. The specific features of these films are that they are weakly (220) (204) oriented and exhibit crevices in their top fractions. The growth model hypothesizes about the origins of these crevices and on how to avoid them. Copyright © 2003 John Wiley & Sons, Ltd. [source] The effects of the researcher's physical attractiveness and gender on mail survey responsePSYCHOLOGY & MARKETING, Issue 1 2008Curt J. Dommeyer This study examines how using a photo in the cover letter of a mail survey affects mail survey response. A 2 × 2 factorial design was used that manipulated the physical attractiveness and gender of the supposed researcher that was depicted in the cover letter photo. In addition, a control group was used that received a cover letter without a photo. The results revealed the following: (1) a photo of the survey researcher does not enhance the response rate to the survey; (2) in the case of an attractive male researcher, a photo may dampen the response rate; and (3) within the factorial design, the only variable to have an effect on the survey's response rate was the gender variable: Photos depicting female researchers produced a higher response rate than photos depicting male researchers. This study also illustrated that a crude pretest of the survey procedures with students can, in some areas, produce fairly accurate predictions of the results of a field experiment. © 2008 Wiley Periodicals, Inc. [source] Are the gorillas in Bwindi Impenetrable National Park "true" mountain gorillas?AMERICAN JOURNAL OF PHYSICAL ANTHROPOLOGY, Issue 4 2010Alison A. Elgart Abstract The gorillas that inhabit Bwindi Impenetrable National Park in Uganda are the least known of the eastern gorillas. Because they are an allopatric population living a minimum of 25 km from the well-studied population of mountain gorillas (Gorilla beringei beringei) in Rwanda and have certain morphological and ecological differences from these gorillas, their taxonomic status has been in question in recent years. This study presents new craniodental metrics from Bwindi individuals and compares them to Virunga individuals as well as to eastern lowland gorillas, G. gorilla graueri. Multivariate statistics, including MANCOVA, least-squares, regression, and principal components analyses, were used to evaluate how closely the Bwindi crania resemble the Virunga crania and how both relate to G. g. graueri. Results indicate that the Bwindi gorillas have generally smaller crania than the Virunga gorillas, but when metrics are log-transformed, the only variable that distinguishes the Bwindi individuals is a longer face. When both populations are compared to G. g. graueri, they cluster together separately from the eastern lowland gorillas, sharing such features as higher rami, wider bigonia, longer mandibles, and wider and shorter mandibular symphyses in relation to G. g. graueri. Functional morphological explanations for these differences are discussed, but lacking measurements of the physical properties of G. g. graueri, they cannot fully be explained. Results clearly indicate that at least pertaining to the cranium, upon which most gorilla taxonomy is based, the Bwindi gorillas are proper mountain gorillas (G. b. beringei). Am J Phys Anthropol, 2010. © 2009 Wiley-Liss, Inc. [source] The effects of infant births on male,female relationships in Cebus capucinusAMERICAN JOURNAL OF PRIMATOLOGY, Issue 5 2009Claire R. Sheller Abstract Most primates are characterized by cohesive male,female bonds that are maintained year round. While recent studies have addressed the selective pressures influencing the evolution of male,female relationships in primates, we know relatively little about the proximate mechanisms affecting them. It has been demonstrated that newborn white-faced capuchins (Cebus capucinus) attract the attention of other group members and this may be an important mechanism influencing male,female relationships. We studied two groups of C. capucinus in the Area de Conservación Guanacaste, Costa Rica, between February and July 2007. A total of 348 hr of focal data were collected on all adult males (n=6) residing in each of the study groups. During our study, 13 of the 14 group females were either pregnant or lactating, and 9 infants were born. We calculated an average daily affiliation rate between all group males combined and each adult female four weeks before and four weeks after the birth of her infant. Repeated measures ANOVAs revealed no significant changes in affiliation following infant births (F=2.262, df=1, P<0.176). Results remained nonsignificant for rank (F=1.550, df=1, P<0.260) and group membership (F=0.729, df=1, P<0.429). Infant sex was the only variable with a significant effect on affiliation rates between males and females (F=10.020, df=1, P<0.019). Adult males increased their affiliation with all adult females that gave birth to male infants (n=4), while their rates decreased with all but one of the adult females with female infants (n=4). While preliminary, these results indicate that the adult males may cultivate relationships with other males at a young age. Am. J. Primatol. 71:380,383, 2009. © 2009 Wiley-Liss, Inc. [source] Disrupted myelin and axon loss in the anterior commissure of the aged rhesus monkeyTHE JOURNAL OF COMPARATIVE NEUROLOGY, Issue 1 2003Julie H. Sandell Abstract This study assesses the effects of age on the composition of the anterior commissure of the rhesus monkey. The anterior commissures of nine young (5,10 years), five middle-aged (15,20 years), and eight old (25,35 years) monkeys were examined by light and electron microscopy. In all, 90,95% of the nerve fibers in the anterior commissure are myelinated. With age, the structure of the myelin sheaths of some nerve fibers is altered. Some of the axons also show signs of degeneration and this leads to a loss of nerve fibers. Thus, in young and the middle-aged monkeys the mean number of myelinated nerve fibers in the anterior commissure is 2.2 × 106, while in the old monkeys the mean is 1.2 × 106. Increasing age is correlated with a reduction in the number of myelinated nerve fibers in the anterior commissure, an increase in the frequency of structural alterations in myelin sheaths, and an increase in the frequency of occurrence of degenerating axons. However, the number of myelinated nerve fibers is the only variable that correlates with cognition: in monkeys 5,20 years of age the fewer the number of nerve fibers the poorer the cognitive performance, as measured by our Cognitive Impairment Index (CII). The most common neuroglial cells in the anterior commissure are oligodendrocytes. They account for 86% of all neuroglial cell profiles, while astrocytes account for 9%, and microglial cells for 5% of profiles. There is no apparent change with age in the total numbers of neuroglial cells, although as they age each of the neuroglial cell types acquires some inclusions in their cytoplasm. The data, together with those from previous studies, support the concept that in aging there is a ubiquitous loss of myelinated nerve fibers from the brain and that fiber loss is preceded by alterations in the structure of many of the myelin sheaths. J. Comp. Neurol. 466:14,30, 2003. © 2003 Wiley-Liss, Inc. [source] Poor radiotherapy compliance predicts persistent regional disease in advanced head/neck cancer,THE LARYNGOSCOPE, Issue 3 2009Urjeet A. Patel MD Abstract Objective: To determine if poor compliance to chemoradiation results in an increased rate of persistent neck disease. Study Design: Retrospective, cohort study in an urban, tertiary-care medical center. Methods: The study included patients with N+ stage III/IV squamous cell carcinoma of the upper aerodigestive tract treated with curative-intent chemoradiation, who underwent subsequent planned neck dissection. Main outcome measure was persistent regional disease evidenced by identifiable carcinoma in neck dissection specimens. Variables including age, gender, race, primary site, initial T, N staging, imaging results, and treatment compliance were assessed and correlated to positive neck dissection pathology. Results: Of 40 patients, 18 (45%) had persistent carcinoma in neck dissection specimens while 22 (55%) demonstrated complete response in the neck. There were 14 patients (35%) who were poorly compliant to radiotherapy (,14 days treatment interruption) and the remaining 26 patients (65%) were considered compliant (<14 missed days). Only 23% of compliant patients had positive pathology while 79% of noncompliant patients had positive pathology (hazard ratio: 9.9). Noncompliance was the only variable that had a statistically significant correlation to positive pathology results (P = .002). Multivariate logistic regression showed all other variables to be insignificant in predicting pathology. Conclusions: This study found that poorly compliant patients are at significantly higher risk of persistent neck disease. Poor compliance may help identify patients who will most benefit from neck dissection after chemoradiation. This variable was more predictive than pretreatment variables and posttreatment CT scan. Further studies investigating patterns of failure after chemoradiotherapy in the poorly compliant patient population are warranted. Laryngoscope, 2009 [source] Basal serum testosterone as an indicator of response to clomiphene treatment in human epididymis, seminal vesicles and prostateANDROLOGIA, Issue 5 2002Dr. G. F. GonzalesArticle first published online: 13 AUG 200 Summary. The present study was designed to determine the response of human epididymis, seminal vesicles and prostate function after a 5-day course of clomiphene citrate in men attending an infertility service. In 45 men, the secretions of the epididymis, seminal vesicles and prostate were assessed by measurements of seminal ,-glucosidase, fructose and acid phosphatase, respectively. Subjects were classified as normal or abnormal: abnormal men were defined as those who either had history of a sexually transmitted disease (STD), leukocytosper-mia, hypoandrogenism, or a low response of Leydig cells to clomiphene stimulation; and normal subjects were those who did not have these conditions. Mean serum testosterone luteinizing hormone (LH) and follicle stimulating hormone (FSH) levels were significantly increased after the short course with clomiphene citrate. After clomiphene citrate stimulation, the men in the normal group showed significantly increased marker levels of the seminal vesicles (P <0.02) and prostate (P <0.05), but not of the epididymis (P: NS). Men classified as abnormal showed no response according to the markers of the seminal vesicles and epididymis. Men with history of STD and abnormal basal values of acid phosphatase did not respond to the treatment. Men with history of STD but normal basal values of seminal acid phosphatase increased significantly in their levels of seminal acid phosphatase after clomiphene stimulation (P <0.02). Multivariate analysis showed that the basal serum testosterone level was the only variable in predicting the probability of response to the clomiphene in terms of true-corrected seminal fructose, seminal acid phosphatase and seminal ,-glucosidase levels. In fact, a high response of the seminal vesicles was observed in men with the highest basal serum testosterone levels (0.45 *** 0.17; coefficient of regression *** standard error; P <0.018). However, a high response in terms of seminal acid phosphatase (P <0.004) or ,-glucosidase (P <0.037) was observed in men with low basal serum testosterone levels. In conclusion, in the normal men, true-corrected fructose and acid phosphatase but not ,-glucosidase in semen increased after duplicate androgen stimulation. An absence of response was observed in cases with history of STD/leukocytospermia or hypoandrogenism. [source] Association of natural fluoride in community water supplies with dental health of children in remote Indigenous communities , implications for policyAUSTRALIAN AND NEW ZEALAND JOURNAL OF PUBLIC HEALTH, Issue 3 2009Ross S. Bailie Abstract Objective: To map the geographic distribution of fluoride in water supplies and child dental caries in remote Indigenous communities of the Northern Territory (NT). To examine the association between fluoride levels, household and community factors, access to services and child dental caries in these communities and to model the impact on the caries experience of children of introducing water fluoridation. Methods: Fluoride testing was conducted in 80 locations across the NT in 2001. Measures of mean caries experience for six-year-olds and 12-year-olds and community and housing-related infrastructure were obtained from records of the NT School Dental Service. Associations between community fluoride levels, community level variables and childhood caries experience and potential impact of water fluoridation were assessed using linear regression modeling. Results: Mean caries experience for six- and 12-year-olds tended to be higher in northern and eastern areas of the NT, corresponding to the distribution of low levels of natural fluoride. Several-fold more children in remote NT communities are exposed to the risks of inadequate fluoride than are exposed to excessive fluoride. Mean reticulated fluoride level was the only variable significantly associated (p<0.05) with caries experience in both age groups. The potential reduction of caries through introducing water fluoridation is expected to be about 28% for children living in communities with the lowest levels of fluoride (<0.3 mg/L). Conclusions and Implications: Introduction of fluoridation of water supplies into communities with inadequate natural fluoride is a vital measure for improving the dental health of children living in remote NT communities. [source] | ||||||||||||||||||||||||||||||||||