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Single Visit (single + visit)
Selected AbstractsFC03.1 Experience from joint occupational health/dermatology clinicsCONTACT DERMATITIS, Issue 3 2004Yat Wing Wong Background:, A monthly consultant led occupational health/dermatology clinic was started in 1999 providing rapid access to staff with suspected occupational skin disease including natural rubber latex (NRL) allergy and teaching for the occupational health staff. Objectives:, To evaluate the characteristics and outcome of staff attending this clinic and to assess patient satisfaction. Methods:, A retrospective case note survey was performed from staff attending the clinic from 1999 to 2002. A questionnaire was sent to them >3 months following consultation. Results:, A total of 116 patients were identified (12 male, 104 female), and 85 (73%) were nurses. 77 (66%) patients were referred with hand eczema (HE). Of the 45 patients referred with adverse reactions or exacerbation of hand dermatitis following the use of latex gloves, only 4 had positive prick tests and were considered to have NRL allergy. Patients with significant HE or occupational exacerbation of HE were referred for patch testing (n = 36). Of the remainder, most could be discharged after a single visit. 49/95 (52%) questionnaires were returned, 34/45 (76%) patients found the consultation useful. As a separate study, the data recorded within the patch test clinic looking at health care workers (HCW) referred both from this clinic and from other sources was analysed. This showed relevant positive patch tests in 16/49 (33%) patients. In 55/99 (56%), an occupational cause was likely. Conclusion:, Occupational skin disease in HCW is common, attendance at the clinic was beneficial and a single visit was sufficient in most cases. [source] Recovery of Enterococcus faecalis after single- or multiple-visit root canal treatments carried out in infected teeth ex vivoINTERNATIONAL ENDODONTIC JOURNAL, Issue 10 2005N. Vivacqua-Gomes Abstract Aim, To assess the presence of Enterococcus faecalis after root canal treatment in single or multiple visits in an ex vivo model. Methodology, Forty-five premolar teeth were infected ex vivo with E. faecalis for 60 days. The canals were then prepared using a crowndown technique with System GT and Gates,Glidden burs and irrigated with 2% chlorhexidine gel. The specimens were divided into five groups (G1, G2, G3, G4 and G5) according to the time elapsed between chemical,mechanical preparation and root canal filling, the irrigant solution used and the use or nonuse of a calcium hydroxide intra-canal medicament. The teeth were then root-filled and incubated for 60 days at 37 °C. Dentine chips were removed from the canal walls with sequential sterile round burs at low speed. The samples obtained with each bur were immediately collected in separate test tubes containing Brain,Heart Infusion broth. These samples were placed onto agar plates and colony forming units were counted after 24 h at 37 °C. Data were ranked and analysed using the Kruskal,Wallis statistical test. Results,Enterococcus faecalis was recovered from 20% (three of 15 specimens) of G1 (chlorhexidine irrigation and immediate root filling in a single visit), 25% (four of 15 specimens) of G2 (chlorhexidine irrigation and filling after 14 days use of a calcium hydroxide dressing in multiple visits), 40% (two of five specimens) of G3 (chlorhexidine irrigation and filling after 7 days), 60% (three of five specimens) of G4 (saline irrigation and filling after 7 days) and from 100% (five of five specimens) of G5 (saline irrigation and immediate filling without sealer). Conclusions, Neither single- nor multiple-visit root canal treatment ex vivo, eliminated E. faecalis completely from dentinal tubules. Up to 60 days after root filling, E. faecalis remained viable inside dentinal tubules. When no sealer was used, E. faecalis presented a higher growth rate. [source] How biased are estimates of extinction probability in revisitation studies?JOURNAL OF ECOLOGY, Issue 5 2006MARC KÉRY Summary 1Extinction is a fundamental topic for population ecology and especially for conservation and metapopulation biology. Most empirical studies on extinction resurvey historically occupied sites and estimate extinction probability as the proportion of sites where a species is no longer detected. Possible non-detection of surviving populations is usually not accounted for, which may result in extinction probabilities that are overestimated. 2As part of a large revisitation study in north-east Switzerland, 376 sites with historically known occurrences of a total of 11 plant species 80,100 years ago were visited by two independent observers. Based on typical population size, ramet size and plant architecture, we judged six species as easy to find and five species as hard to find. Using capture,recapture methods to separate non-detection from true extinction, we gauged the bias of extinction probability estimates that do not account for non-detection. 3When non-detection was not accounted for, a single visit resulted in an average estimate of population extinction probability of 0.49 (range 0.27,0.67). However, the mean detection probability of a surviving population during a single visit had an estimated average of only 0.81 (range 0.57,1). Consequently, accounting for non-detection resulted in extinction probability estimates ranging between 0.09 and 0.61 (mean 0.36). Based on a single survey, our revisitation study would have overestimated the extinction rate on average by 11 percentage points (range 5,22%) or by 59% (range 0,250%) relative to the estimated true value. 4A simple binomial argument enables the calculation of the minimum required number of visits to detect a surviving population with high probability (e.g. 95%). For the easy to find species, approximately two visits would be required to find most of the surviving populations, whereas up to four visits would be required for the hard to find species. 5In revisitation studies, only repeated revisits allow the separation of extinction from simple non-detection. Unless corrected for possible non-detection, extinction probability may be strongly overestimated, and hence some control for non-detection is desirable at least in a subset of species/sites in revisitation studies. These issues are also relevant to the estimation of extinction in metapopulation studies and to the collection of quality data for habitat and distribution models. [source] Importance of specimen type in detecting human papillomavirus DNA from the female genital tractJOURNAL OF MEDICAL VIROLOGY, Issue 9 2009Christine C. Roberts Abstract HPV testing is a valuable tool in cervical cancer screening and efficacy assessment of HPV vaccines. Concordance of specimens from three sites for detection of HPV DNA in the female genital tract was evaluated. At a single visit, the following specimens were collected: an endo-ecto-cervical swab (EEC), labial/vulvar/perineal/perianal swab (LVPP) and cervicovaginal lavage (CVL). Specimens were evaluated with HPV6, HPV11, HPV16, and HPV18 type- and gene-specific PCR assays. Of the 898 women evaluated at baseline, 232 were HPV PCR positive in at least one specimen. Of these, for HPV6, HPV11, HPV16, and HPV18, respectively, throughout: (a) 70.4%, 40.0%, 65.3%, and 64.1% tested three-site positive; (b) 13.6%, 30.0%, 19.7%, and 18.8% tested two-site positive; and (c) 16.4%, 30.0%, 15.0%, and 17.2% tested single-site positive. For patients who tested single-site positive for HPV6, HPV11, HPV16, or HPV18, respectively, the specimen was: LVPP in 92.3%, 33.3%, 68.2%, and 72.7%; EEC in 0.0%, 33.3%, 18.2%, and 9.1%; and CVL in 7.7%, 33.3%, 13.6%, and 18.2%. Combining results of swab specimens together increases detection of HPV6, HPV11, HPV16, and HPV 18, respectively, to 98.7%, 90.0%, 97.9%, and 96.9%. HPV DNA is detectable from all three sites using type-specific PCR assays; most women who tested positive for a given HPV type were positive for that type in all three specimens. J. Med. Virol. 81:1620,1626, 2009. © 2009 Wiley-Liss, Inc. [source] Human immunodeficiency virus type 1 and hepatitis C virus Co-infection and viral subtypes at an HIV testing center in BrazilJOURNAL OF MEDICAL VIROLOGY, Issue 6 2006G.A.S. Pereira Abstract Human immunodeficiency virus (HIV) testing sites have been recognized recently as potential settings for hepatitis C virus (HCV) screening since both viruses share common routes of transmission. HIV and HCV prevalence, predictors, co-infection rates, and viral subtypes were studied in 592 attendants at an anonymous HIV Counseling and Testing Center in central Brazil. Anti-HIV-1 and -HCV antibodies were screened by ELISA, and Western blots were used to confirm HIV infection. Among HIV-seropositive samples, reverse transcriptase-polymerase chain reaction (RT-PCR) and nested-PCR were used to subtype HIV-1 by the Heteroduplex Mobility Analysis (HMA) and HCV by the line probe assay (INNO-LiPA). HIV and HCV seroprevalence was 3.2% (95% CI 2.0,4.9) and 2.5% (95% CI 1.5,4.0), respectively. Intravenous drug use was the risk factor most strongly associated with both HIV and HCV infections, even in a population with few intravenous drug users (n,=,6); incarceration was also associated with HCV. HIV/AIDS-positive sexual partner and homosexual/bisexual behaviors were associated independently with HIV-1. The prevalence of HCV infection among HIV-positive persons was 42% (95% CI 20,66), higher than in HIV-negative persons (1.2%; 95% CI 0.5,2.5). HIV-1 subtype B was identified in the env and gag regions of the genome. HCV subtype 3a predominated among co-infected persons and one HCV subtype 1a was detected. Overall, a similar prevalence of HIV and HCV infections and a higher prevalence of HCV among HIV-positive persons were observed. Integrated HIV and HCV screening at HIV testing sites may represent a unique opportunity to provide diagnosis and prevention strategies at a single visit. J. Med. Virol. 78:719,723, 2006. © 2006 Wiley-Liss, Inc. [source] Heterogeneity in antifungal susceptibility of clones of Candida albicans isolated on single and sequential visits from a HIV-infected southern Chinese cohortJOURNAL OF ORAL PATHOLOGY & MEDICINE, Issue 6 2001Y. H. Samaranayake Abstract: The increased frequency and severity of candidal infections in human immunodeficiency virus (HIV)-infected individuals has prompted the wide use of antifungals, such as amphotericin B, ketoconazole, and fluconazole, resulting in the emergence of drug-resistant strains of Candida albicans. To study this phenomenon in an ethnic Chinese cohort, we isolated multiple colonies of Candida from the oral cavities of 16 HIV-infected patients on single and subsequent sequential visits over a period of 12 months. Ten of the 16 patients had sporadic episodes of oropharyngeal candidiasis (Group A), while the remainder were asymptomatic with respect to this condition (Group B). Oral rinses were collected and immediately processed in the laboratory for the isolation of C. albicans in a standard manner. A total of 433 C. albicans isolates were tested for their susceptibility to amphotericin B, ketoconazole and fluconazole by an agar diffusion method using the commercially available E-test. All tested isolates demonstrated variable susceptibility to amphotericin B, ketoconazole and fluconazole. The minimum inhibitory concentration (MIC) of the isolates for amphotericin B, ketoconazole and fluconazole ranged from <0.002,1.5 ,g/ml, <0.002,4.0 ,g/ml and <0.016,32 ,g/ml, respectively. Sequential isolates of a few patients demonstrated variable susceptibility to all the antifungals, and no discernible MIC pattern emerged either in group A or B over time. Interestingly, significant variation in antifungal susceptibility was also noted in isolates obtained from the same patient on a single visit. Sequential yeast isolates in 9 of 16 patients (56%) demonstrated significant differences in MIC within and between visits for both amphotericin B and ketoconazole, while a lower percentage , 44% (7/16) , exhibited this trait for fluconazole. Our study demonstrates the diversity in antifungal susceptibility in either commensal or "infective" oral strains of C. albicans in HIV disease, and shows the need for vigilance for the emergence of resistant strains, and for frequent antifungal susceptibility studies. [source] Long bone fractures in children under 3 years of age: Is abuse being missed in Emergency Department presentations?JOURNAL OF PAEDIATRICS AND CHILD HEALTH, Issue 4 2004J Taitz Objective: Distinguishing injuries due to accidents from those due to child abuse in young children is important to prevent further abuse. We aimed to study the presenting features, mechanism of injury, type of fracture and indicators of possible abuse in children under 3 years of age, presenting to the Emergency Department (ED) of a tertiary referral Children's Hospital, to see whether those injuries that were more likely abusive were distinguished from those that were more likely accidental. Methods: We analysed the medical records from the Emergency Department Information System of all children below 3 years of age, who were treated for a long bone fracture at the Sydney Children's Hospital, Randwick, NSW, over a 1-year period. Demographic details, presenting complaint, mechanism of injury, type of fracture, other historical and examination data and action taken were noted. Nine indicators that raise suspicion of abuse were developed from the literature. Using these indicators, patients' ED notes were reviewed to establish whether long bone fractures suspicious for abuse had been referred for further evaluation. Results: One hundred patients with a total of 103 fractures presented during the study period. No child had multiple fractures at a single visit. The fractures included 36 radius/ulna, 27 tibia/fibula, 20 humeral, 17 clavicular and three femoral. The mean age of patients was 21.6 months (range 13 days , 35 months). Fourteen patients were younger than 12 months. Review of the notes revealed 31 children with indicators suspicious for abuse, of whom 17 children had one indicator, 11 children had two indicators, and three children had three indicators. Only one child was referred for further evaluation to child protection. Conclusion: Abuse cannot usually be determined by fracture type alone. Doctors in the ED miss indicators for abuse because they do not look for these indicators in the history and examination. Knowledge of indicators that raise suspicion of abuse is needed for a further forensic assessment to occur. The development of specific referral guidelines, ongoing education and a comprehensive injury form may improve referral of children from the ED to child protection. [source] Implementation of remote monitoring and diffraction evaluation systems at the Photon Factory macromolecular crystallography beamlinesJOURNAL OF SYNCHROTRON RADIATION, Issue 3 2008Yusuke Yamada Owing to recent advances in high-throughput technology in macromolecular crystallography beamlines, such as high-brilliant X-ray sources, high-speed readout detectors and robotics, the number of samples that can be examined in a single visit to the beamline has increased dramatically. In order to make these experiments more efficient, two functions, remote monitoring and diffraction image evaluation, have been implemented in the macromolecular crystallography beamlines at the Photon Factory (PF). Remote monitoring allows scientists to participate in the experiment by watching from their laboratories, without having to come to the beamline. Diffraction image evaluation makes experiments easier, especially when using the sample exchange robot. To implement these two functions, two independent clients have been developed that work specifically for remote monitoring and diffraction image evaluation. In the macromolecular crystallography beamlines at PF, beamline control is performed using STARS (simple transmission and retrieval system). The system adopts a client,server style in which client programs communicate with each other through a server process using the STARS protocol. This is an advantage of the extension of the system; implementation of these new functions required few modifications of the existing system. [source] Temporal trends and misclassification in residential 60 Hz magnetic field measurementsBIOELECTROMAGNETICS, Issue 3 2002Robert S. Banks Abstract This research addressed the question of how well measurement data collected during a single visit, made at an arbitrary hour of day, day of week, and season, estimate longer term residential 60 Hz magnetic field levels. We made repeat spot and 24 h measurements in 51 children's home, located in the Detroit, MI, and the Minneapolis-St. Paul, MN metropolitan areas, on a regular bimonthly schedule over a 1 year period, as well as a single 2 week measurement, for total of eight visits, producing 21 days of data for each residence. We defined the long term estimate (LTE) as the geometric mean of all available 24 h geometric means from the first six bimonthly visits. The LTE served as the reference level for assessing seasonal, day of week, and diurnal effects, as well as the potential for misclassification. We found a small, but statistically significant (P,<,.05), seasonal effect, with levels approximately 3% lower than the LTE in the spring and about 4% greater during the summer. No effect was found for day of week. However, we did find a systematic and appreciable diurnal effect, suggesting that, for example, an evening spot measurement may overestimate the LTE by 20% or more. We also assessed how well the 24 h measurement from the last visit, which was not used in calculation of the LTE, estimated the LTE. We found a high degree of correlation (r,=,.92) and fair to good agreement using four exposure categories (,,=,.53). Thus, the 24 h measurement appears to be a satisfactory LTE estimator. However, this finding must be interpreted with caution since considerable unexplained variability was present among the repeat 24 h measurements in about one-third of the homes. While the 2 week measurement does somewhat decrease exposure misclassification, its added intrusiveness and cost are likely to outweigh the improved precision. Bioelectromagnetics 23:196,205, 2002. © 2002 Wiley-Liss, Inc. [source] Modification of the diel vertical migration of Bythotrephes longimanus by the cold-water planktivore, Coregonus artediFRESHWATER BIOLOGY, Issue 5 2008JOELLE D. YOUNG Summary 1. The weak diel vertical migration observed in the large cladoceran Bythotrephes longimanus seems contradictory to the predator-avoidance hypothesis that predicts large zooplankton should have long migration amplitudes. However, cold-water planktivores, especially Coregonus spp., are a main source of mortality for Bythotrephes and hence a deeper migration would result in a greater overlap with these hypolimnetic planktivores. We hypothesized that Coregonus artedi (cisco) modifies the normal vertical migration pattern of Bythotrephes, such that the latter stays higher in the water column during the day and thus migrates less extremely at night. 2. The vertical distribution of Bythotrephes during the day was determined from single visits to six lakes in Ontario, Canada, all of which contain warm-water, epilimnetic planktivores but differing in whether they contain cisco. One lake of each fish type was sampled day and night every 2,3 weeks over the ice-free season to examine daytime depths and migration amplitude. 3. The vertical migration of Bythotrephes differed in the presence and absence of cisco. In the lakes with cisco, there were significantly fewer Bythotrephes in the hypolimnion and they were higher in the water column during the day. Migration amplitude was smaller in the cisco than in the non-cisco lake. These observations were not attributable to differences in physical factors, and, although not conclusively attributable to cisco, are consistent with an effect of cisco. 4. We suggest that diurnal depth selection by Bythotrephes in lakes containing cisco is a trade-off between the risk of predation by warm- versus cold-water predators, balanced by the benefits of increased temperature and feeding rates near the surface. Even in lakes without cisco, however, the vertical migration of Bythotrephes was less than expected, suggesting that diurnal depth selection is a balance between the risk from warm-water planktivores and access to sufficient light to feed effectively. [source] | |||||||||||||