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Selected AbstractsDonor-Derived Disease Transmission Events in the United States: Data Reviewed by the OPTN/UNOS Disease Transmission Advisory CommitteeAMERICAN JOURNAL OF TRANSPLANTATION, Issue 8 2009M. G. Ison Donor-derived disease transmission is increasingly recognized as a source of morbidity and mortality among transplant recipients. Policy 4.7 of the Organ Procurement and Transplantation Network (OPTN) currently requires reporting of donor-derived events. All potential donor-derived transmission events (PDDTE) reported to OPTN/UNOS were reviewed by the Disease Transmission Advisory Committee (DTAC). Summary data from January 1, 2005,December 31, 2007, were prepared for presentation. Reports of PDDTE have increased from 7 in 2005, the first full year data were collected, to 60 in 2006 and to 97 in 2007. More detailed information is available for 2007; a classification system for determining likelihood of donor-derived transmission was utilized. In 2007, there were four proven and one possible donor-derived malignancy transmissions and four proven, two probable and six possible donor-derived infectious diseases transmissions. There were nine reported recipient deaths attributable to proven donor transmissions events arising from eight donors during 2007. Although recognized transmission events resulted in significant morbidity and mortality, transmission was reported in only 0.96% of deceased donor donations overall. Improved reporting, through enhanced recognition and communication, will be critical to better estimate the transmission risk of infection and malignancy through organ transplantation. [source] Assessing risk indicators for dental caries in the primary dentitionCOMMUNITY DENTISTRY AND ORAL EPIDEMIOLOGY, Issue 6 2001Jackie Vanobbergen Abstract , The aim of the present study was to assess indicators shown to be associated with the prevalence of caries in the primary dentition of 7-year-old Flemish schoolchildren. Cross-sectional first year data of the longitudinal Signal-Tandmobiel® survey were analysed (n=4468). Gender, age, oral hygiene habits, use of fluorides, dietary habits, geographical factors and parental modelling were the considered predictors. From the multiple logistic regression analysis, including schools as a random effect, and after adjusting for the confounding variables,educational system and province (stratification variables), gender and age,it became clear that the following risk indicators remained significant (at 5% level) for the presence of caries: frequency of toothbrushing (P=0.05) with an OR 1.24 for brushing less than once a day, age at start of brushing (P<0.001) with an OR=1.22 for a delay of 1 year, regular use of fluoride supplements (P<0.001) with an OR=1.54 for no use, daily use of sugar-containing drinks between meals (P<0.001) with an OR=1.38, and number of between-meals snacks (P=0.012) with an OR=1.22 for using more than 2 between-meal snacks. There was a significant difference (P<0.05) in caries experience determined by the geographical spread, with an explicit trend of caries declining from the east to the west. In a model with an ordinal response outcome, the daily use of sugar-containing drinks between meals had a more pronounced effect when caries levels were high. From this study it became obvious that, in Flemish children, an early start of brushing and a brushing frequency of at least once a day need to be encouraged, while the use of sugar-containing drinks and snacks between meals needs to be restricted to a maximum of 2 per day. Geographical differences need to be investigated in more detail. [source] Long-term study of re-infection following successful eradication of Helicobacter pylori infectionALIMENTARY PHARMACOLOGY & THERAPEUTICS, Issue 9 2006E. A. B. CAMERON Summary Background ,Re-infection' with Helicobacter pylori after eradication has been estimated to occur in 0,14% of patients, although most so-called ,re-infections' occur within the first year following ,eradication' and many may actually be due to recrudescence of a temporarily suppressed infection. Aim To study the true re-infection rate, we have studied re-infection rates after eradication therapy by excluding the first year's data, minimizing the possible confounding effect of recrudescence. Methods All patients tested for H. pylori infection following eradication therapy between 1987 and 2004 were evaluated. Testing was carried out by urea breath test and gastric biopsy. Patients were included if they were found to be negative for H. pylori infection by testing at least 1 year following eradication and underwent at least one further test for H. pylori. Results 1162 patients met the inclusion criteria with median post-eradication follow-up of 3 years (1.5,14) including 4668 tests; 3319 years of follow-up were analysed. Thirteen cases of re-infection occurred (re-infection rate 0.4% per year). Conclusions This large study of H. pylori re-infection avoided cases of recrudescence by excluding the first post-eradication year. True re-infection is probably less common than previously thought. [source] Bilious vomiting in the newborn: 6 years data from a Level III CentreJOURNAL OF PAEDIATRICS AND CHILD HEALTH, Issue 5 2010Atul Malhotra Background: Bilious vomiting in the newborn is an urgent condition that frequently requires neonatal and paediatric surgical involvement. Investigations involve abdominal X-ray and contrast imaging in most cases. We aimed to describe the prevalence of surgical intervention in this cohort and assess the reliability of contrast imaging in accurate prediction of underlying condition. Methods: A retrospective audit of data from December 2001 to October 2007 was undertaken. Data on newborns admitted to a level III unit with bilious vomiting was extracted. Infants with bilious aspirates but no vomiting were excluded. Results: Sixty-one infants were admitted to the unit during the period with bilious vomiting. Most of them were out born (83.6%). Mean (and standard deviation) gestation was 38.3 weeks (±3.2); weight was 3173.5 grams (±717.6); day of admission was 3.68 days (1,28); and length of stay in the unit was 9.96 days (1,48). There were 52 (85.2%) abnormal X-rays and 21 (34.4%) abnormal contrast studies. Sixteen (26.6%) babies had laparotomies of which 6 were malrotations with volvulus, 2 small bowel obstructions, 2 meconium ileus, 2 Hirschsprung's disease, 2 other findings, while 2 were normal. Positive predictive value (number of accurate predictions of surgical findings) for barium contrast studies was 85.7% in this series. Conclusion: Bile stained vomiting is a surgical emergency and prompt investigation is the key in the management. Contrast studies still form the backbone of such investigations. [source] Group breeding dramatically increases reproductive success of yearling but not older female scrubwrens: a model for cooperatively breeding birds?JOURNAL OF ANIMAL ECOLOGY, Issue 3 2001Robert D. Magrath Summary 1,Many studies of cooperatively breeding birds have found no effect of group size on reproductive success, contrary to predictions of most adaptive hypotheses. A model is proposed for variation in group-size effects: group size has a reduced effect on success when conditions for breeding are good, such as in good environmental conditions or in groups with older breeders. This hypothesis is tested with a case study of white-browed scrubwrens Sericornis frontalis and a review of the literature. 2,The scrubwren is a cooperatively breeding passerine with male helpers. Previous analyses revealed no effect of group size on reproductive success, but those analyses were restricted to groups with older females (Magrath & Yezerinac 1997). Here 7 years' data are used to contrast the effect of group size on reproductive success for yearling and older females. 3,Yearling females breeding in groups had more than double the seasonal reproductive success than those breeding in pairs, even after controlling for territory quality. However, group size still had no effect on the reproductive success of older females. Yearling females tended to survive better in groups, but older females tended to survive better in pairs, emphasizing this pattern. 4,Yearlings breeding in pairs were more likely to be found on poor-quality territories than those breeding in groups, exaggerating the already-strong effect of group size on yearling success. Older females were not affected significantly by territory quality. 5,Group size, territory quality and female age affected different components of seasonal reproductive success. Group size increased the success of individual nesting attempts, while both territory quality and female age affected the length of the breeding season, and thus the number of breeding attempts. 6,A sample of the literature on cooperative breeders shows that group size has a larger effect on reproductive success in poorer conditions, caused either by younger, inexperienced breeders or poorer environmental conditions. Scrubwrens therefore illustrate a widespread pattern, which provides an explanation for much of the variation in group-size effects among and within species. Clearly single estimates of group-size effects for species can be inadequate to test ideas about the evolution of cooperative breeding. [source] Forecasting football results and the efficiency of fixed-odds bettingJOURNAL OF FORECASTING, Issue 1 2004John Goddard Abstract An ordered probit regression model estimated using 10 years' data is used to forecast English league football match results. As well as past match results data, the significance of the match for end-of-season league outcomes, the involvement of the teams in cup competition and the geographical distance between the two teams' home towns all contribute to the forecasting model's performance. The model is used to test the weak-form efficiency of prices in the fixed-odds betting market. A strategy of selecting end-of-season bets with a favourable expected return according to the model appears capable of generating a positive return. Copyright © 2004 John Wiley & Sons, Ltd. [source] | ||||||||||