Mutation rate of avian intestinal coliform bacteria when pressured with fluoroquinolones

The purpose of this study was to determine the rate at which resistance developed in avian coliform bacteria when exposed to nalidixic acid, sarafloxacin, or enrofloxacin. In in vitro studies, the rates of mutation of avian isolates of Escherichia coli and Salmonella were determined following nalidixic acid, sarafloxacin, or enrofloxacin pressure. The rates of mutation were similar for nalidixic acid and sarafloxacin, whereas a lower rate of mutation was seen after enrofloxacin pressure. In in vivo studies, the quinolones were administered in the drinking water to broiler chickens at a concentration of 40 ppm for five consecutive days. Samples of feces were inoculated onto appropriate media and the frequency of resistance was determined. The frequency rates of resistance to nalidixic acid and sarafloxacin were similar. Enrofloxacin-medicated birds did not develop enrofloxacin-resistant coliform bacteria. The in vitro and in vivo data appear to correlate.

Weather temperatures and sudden infant death syndrome: a regional study over 22 years in New Zealand

STUDY OBJECTIVE

To examine and identify relationships between the sudden infant death syndrome (SIDS) and environmental temperature in Canterbury, New Zealand.

DESIGN

A retrospective epidemiological study combining details of regional hourly temperature and reported SIDS cases.

SETTING

Canterbury, New Zealand, between 1968 and 1989 inclusively.

PARTICIPANTS

All infants reported as dying from SIDS within the Canterbury region.

MAIN RESULTS

The SIDS incidence increased after months with prolonged colder minimum temperatures, confirming the seasonality of SIDS. After adjusting for this seasonality, days that showed little change in hourly temperature and days with warmer minimum temperatures recorded were seen to have a significantly increased the incidence of SIDS. No evidence was found for other relationships between the SIDS incidence and various measures of daily temperatures on the day of death, over the preceding eight days or between these days. Infants aged 12 weeks and over were more susceptible to SIDS on days when small hourly temperature changes were recorded than their younger counterparts; no other age differences emerged.

CONCLUSIONS

This study confirmed that the incidence of SIDS is affected by seasonality and temperature on the day of death. In particular, after a prolonged period of cold minimum temperatures, infants were most at risk from SIDS on days on which either a warmer minimum temperature or little hourly variation in temperature were recorded. No other daily or lagged daily temperature factor (lagged up to eight days before the day of death) was statistically associated with the SIDS incidence. It is suspected that the inconsistent previously published lag effect findings actually describe some other phenomenon such as parental behaviour or infant thermoregulation.

Linkage analysis of X-linked cone-rod dystrophy: localization to Xp11.4 and definition of a locus distinct from RP2 and RP3

Progressive X-linked cone-rod dystrophy (COD1) is a retinal disease affecting primarily the cone photoreceptors. The COD1 locus originally was localized, by the study of three independent families, to a region between Xp11.3 and Xp21.1, encompassing the retinitis pigmentosa (RP) 3 locus. We have refined the COD1 locus to a limited region of Xp11.4, using two families reported elsewhere and a new extended family. Genotype analysis was performed by use of eight microsatellite markers (tel-M6CA, DXS1068, DXS1058, DXS993, DXS228, DXS1201, DXS1003, and DXS1055-cent), spanning a distance of 20 cM. Nine-point linkage analysis, by use of the VITESSE program for X-linked disorders, established a maximum LOD score (17.5) between markers DXS1058 and DXS993, spanning 4.0 cM. Two additional markers, DXS977 and DXS556, which map between DXS1058 and DXS993, were used to further narrow the critical region. The RP3 gene, RPGR, was excluded on the basis of two obligate recombinants, observed in two independent families. In a third family, linkage analysis did not exclude the RPGR locus. The entire coding region of the RPGR gene from two affected males from family 2 was sequenced and was found to be normal. Haplotype analysis of two family branches, containing three obligate recombinants, two affected and one unaffected, defined the COD1 locus as distal to DXS993 and proximal to DXS556, a distance of approximately 1.0 Mb. This study excludes COD1 as an allelic variant of RP3 and establishes a novel locus that is sufficiently defined for positional cloning.

Effects of soil salt levels on the growth and water use efficiency of Atriplex canescens (Chenopodiaceae) varieties in drying soil

The effect of salt stress on the growth and water use efficiency of the xerohalophyte Atriplex canescens (Pursh.) Nutt. in drying soil was determined by growing plants to the wilting point in soils receiving a one-time irrigation of nutrient solution containing low, medium, and high levels of NaCl. The experiment compared three varieties of A. canescens that differed in salt tolerance and capacity for Na and K uptake in previous research. Contrary to expectations, we did not find that water and salt stress were strictly additive in reducing plant performance. Soil salts enhanced the growth performance of the plants in drying soil by increasing their days to wilting, ability to extract water from the soil, organic matter production, and water use efficiency. The variety with the highest salt tolerance also had the highest growth rates and water use efficiency on drying soils. We conclude that tolerances to water and salt stress are linked through a common mechanism of Na uptake for osmotic adjustment in this species.

Cell binding properties of collagen type XIV for human hematopoietic cells

Collagen XIV, which belongs to the subclass of fibril-associated collagens with interrupted triple helices (FACITs), is a homotrimeric molecule consisting of three alpha 1 (XIV) chains. Collagen type XIV is strongly expressed in the native human bone marrow, as shown by immunofluorescence staining and immunoblotting with an affinity-purified antibody. Hematopoietic cell lines of myeloid (KG1a, U937, K562) and lymphoid (U266, IM-9) origin were able to attach firmly to purified human collagen XIV preparations. Attachment of these cells was shown to be concentration-dependent. However, other hematopoietic cell lines tested were unable to adhere to collagen XIV, indicating restriction of this cellular interaction. The cellular receptors involved in cell binding to collagen type XIV are probably membrane-bound heparansulfate proteoglycans, since only the the addition of heparin inhibited attachment of the hematopoietic cells to collagen XIV in a concentration-dependent manner. Antibodies against the beta 1-integrin subunit could not interfere with binding to collagen type XIV. Using purified fragments of collagen XIV, it could be demonstrated that at least two different heparin-sensitive adhesion sites are present in the N-terminal globular domain and in the triple-helical domain. These data indicate that collagen XIV represents another collagen type expressed in human bone marrow with strong cell binding properties for defined populations of hematopoietic cells.

The economic perspective

The rationale for the economic perspective on screening is presented and the particular relevance of economic evaluation highlighted. The principles of economic evaluation are described in terms of measuring and valuing the costs and outcomes associated with screening. The different types of economic evaluation are described with discussion of data sources. The problematic issues associated with time preferences and discounting and with the measurement and valuation of outcomes other than true positives are discussed. Issues associated with antenatal screening, in particular the inclusion of averted costs due to the termination of an affected pregnancy and the inclusion and valuation of the unborn child's utility, are also raised.

Cytokines and the protective host immune response to Chlamydia psittaci

The immunobiology of enzootic abortion of ewes (EAE) is incompletely understood. The causative agent is Chlamydia psittaci, which infects many ruminant species and has zoonotic potential. The organism can survive in the ovine host for many months without causing clinical symptoms but does not generate a sterile immunity during this time. It has been postulated that the organism persists in the host entering at a latent phase, possibly mediated by host cytokine production. The effects of cytokines on chlamydial multiplication vary between host species, between different cell types within those species and also vary between chlamydial species and strains. The multiplication of the EAE strain of C. psittaci in ovine ST-6 cells can be restricted by interferon-gamma (IFN-gamma) but not with comparable concentrations of IFN-alpha. Altering the nutrient composition of the cultures by addition of tryptophan partially reverses the antichlamydial effects of the IFN-gamma. This offers a potential mechanism by which C. psittaci can persist in sheep. The implications of these observations for the pathogenesis of EAE are discussed.

Computerized endoscopic surgical grasper

We report a computerized endoscopic surgical grasper with computer control and a force feedback (haptic) user interface. The system uses standard unmodified grasper shafts and tips. The device can control grasping forces either by direct surgeon control, via teleoperation, or under software control. In this paper, we test an automated palpation function in which the grasper measures mechanical properties of the grasped tissue by applying a programmed series of squeezes. Experimental results show the ability to discriminate between the normal tissues of small bowel, lung, spleen, liver, colon, and stomach. We anticipate applications in telesurgery, clinical endoscopic surgery, surgical training, and research.

Neonatal transphyseal supracondylar fracture detected by ultrasound

Fractures in young infants are often difficult to detect on plain radiographs when they involve the cartilaginous growth plate. We report a case of a neonatal transphyseal fracture which was detected by the use of ultrasound and magnetic resonance imaging. With shortened postnatal hospitalization becoming increasingly common, these and other birth injuries are more likely to present for the first time in the emergency department. The authors recommend the use of ultrasound as the screening modality of choice in the emergency department.

Influence of inhaled corticosteroids and dietary intake on bone density and metabolism in patients with moderate to severe asthma

OBJECTIVES

Compare the effect of high doses of inhaled corticosteroids on bone loss in subjects with moderate to severe asthma or mild asthma, and examine the influence of dietary intake on bone metabolism.

DESIGN

A survey on the effects of corticotherapy and nutrition on bone density was conducted in 74 subjects currently being treated for asthma in the asthma clinic of Hôpital Laval (Sainte-Foy, Quebec, Canada). Fifty-eight subjects completed the study (attrition rate = 15%).

MAIN OUTCOME MEASURES

In all subjects expiratory volumes were determined and urinary analysis was conducted for hydroxyproline, calcium, phosphorus, and cortisol levels. Osteocalcin, calcium, phosphorus, cortisol, alkaline phosphatase, and gamma-glutamyltransferase levels were measured in blood samples. Bone density of the lumbar spine was determined by means of dual-energy x-ray absorptiometry. Nutrition evaluation was based on a 3-day food diary analyzed using progiciel Nutri 91. The nutritional parameters examined were calcium; phosphorus; magnesium; zinc; vitamins A, C, and D; protein; total fiber; oxalates; energy; caffeine; and alcohol in relation to bone density.

SUBJECTS

Thirty-one patients with moderate to severe asthma who had been taking more than 1,000 micrograms beclomethasone per day or the equivalent for more than 2 years and 27 patients with mild asthma who were taking less than 500 micrograms beclomethasone per day or the equivalent.

STATISTICAL ANALYSES PERFORMED

Four-factor analysis of variance with hierarchized interactions of four levels, Duncan's test, Pearson correlation coefficients.

RESULTS

Blood levels of osteocalcin and protein intake were lower in patients with moderate to severe asthma than in those with mild asthma (P < .05). Significant correlations (P < .02) were observed between bone density and calcium intake (r = .40), phosphorus intake (r = .35), protein intake (r = .30), and serum alkaline phosphatase level (r = -.30). Bone density was not significantly different between the two groups of patients with asthma.

APPLICATIONS

A follow-up of patients with asthma who are taking inhaled corticosteroids is needed to assess bone density, osteocalcin levels, and dietary intakes of calcium. Verify if osteocalcin level decreases over time in patients with moderate to severe asthma, monitor possible modifications in bone density, and verify if the correlation between dietary calcium and bone density is maintained.

Comparison of thoracic radiographs with images transmitted via advanced telecommunications equipment

OBJECTIVE

To compare thoracic radiographs of clinically normal dogs and dogs with mild clinical heartworm disease with images transmitted by a desk-top, two-way audiovisual teleconferencing system.

DESIGN

Prospective, matched-set study.

STUDY POPULATION

50 thoracic radiographs from clinically normal and heartworm-infected dogs and the digitally transmitted images of those radiographs.

PROCEDURE

Thoracic radiographs from 25 clinically normal dogs and 25 dogs infected with 1 to 24 heartworms were evaluated by 3 clinicians. Using classic criteria for heartworm disease, evaluations of radiographs and images transmitted digitally over 2 high-speed data-transfer telephone lines (56 kilobits/s/line) were performed. Clinicians were asked to determine whether dogs had radiographic signs of heartworm disease.

RESULTS

Clinicians' ability to detect heartworm disease did not differ between interpretations of radiographs and those of transmitted images.

CLINICAL IMPLICATIONS

Radiographic images transmitted via a teleconference system can be used to provide reliable diagnostic information. Thoracic radiographs can be interpreted at a remote site permitting rapid consultation and immediate advice on clinical management.

Ultraviolet irradiation induces the production of multiple cytokines by human corneal cells

PURPOSE

Ultraviolet (UV) irradiation exposure represents a significant environmental and occupational hazard that can cause acute and chronic inflammatory changes in the exposed cornea. Acute exposure to solar UV irradiation or to UV irradiation from such artificial sources as tanning lamps can result in severe pain and inflammation in the cornea. Chronic exposure to solar UV irradiation is associated with several external eye diseases including pterygium and squamous metaplasia or carcinoma. In the skin, inflammatory responses to UV exposure appear to be mediated by the release of inflammatory cytokines. The role of corneal-derived cytokines in UV-mediated corneal inflammation has not been established. In this study, the effect of UV exposure on the production of proinflammatory cytokines by corneal cells was examined.

METHODS

Cultured human corneal stroma cells and whole human corneas received UV irradiation (10 to 100 mJ/cm2), and the production of the proinflammatory cytokines interleukin (IL)-1, IL-6, IL-8, and tumor necrosis factor alpha (TNF alpha) was measured by Northern blot analysis, enzyme-linked immunosorbent assay, cytokine bioassays, and immunohistochemical analysis.

RESULTS

The results indicate that acute UV exposure leads to a significant increase in the production of IL-1, IL-6, IL-8, and TNF alpha in human corneal stroma cells. Similarly, acute UV irradiation of whole human corneas ex vivo induces a significant increase in the production of IL-1, IL-6, IL-8, and TNF alpha.

CONCLUSIONS

Acute UV irradiation exposure results in the induction of cornea-derived proinflammatory cytokines. The local release of these proinflammatory cytokines by cells in the irradiated cornea may be responsible for UV-mediated corneal inflammation.

Analysis of acetate counter ion and inorganic impurities in pharmaceutical drug substances by capillary ion electrophoresis with conductivity detection

Capillary electrophoresis with conductivity detection is a versatile new method for the analysis of counter ions in pharmaceutical drug substances. It is a sensitive and linear technique for determining inorganic ions and short chain carboxylic acids such as acetate. Both acetate counter ion and inorganic impurities can be separated and determined in the same assay.