The cumulative heat strain index--a novel approach to assess the physiological strain induced by exercise-heat stress

The cumulative heat strain index (CHSI) is a new approach for assessing the total physiological strain experienced by subjects exposed to an exercise-heat stress. The index is based on inherent physiological logic that combines the thermoregulatory strain, which is described by the area under the hyperthermic curve, and the circulatory strain, which is characterized by heart-beat count. According to this model, the index reflects the dynamics of changes in the thermoregulatory and cardiovascular components and accounts for the complementary nature of the interaction between them. Mathematically, the index is calculated as follows: CHSI =[ sigma(0-t) hb-fc(0) x t] x l0(-3) x [ integral (0-t) Tre x dt-Tre(0) x t] (units) Where: hb=heart beats, fc(0)=initial lowest heart rate (bpm), Tre = rectal temperature (Tre(0) = baseline Tre) (degrees C) and t = time (min) from the onset of measurements. Four sets of data, from various former studies, have been used to demonstrate the index's applicability and its sensitivity to differentiate between levels of stain under various stressful conditions (e.g. clothing insulation, acclimation to heat and levels of tolerance to heat). In all cases, the index was found to be a sensitive tool for assessing the level of strain. Furthermore, the CHSI can be used to predict potential strain. The index's high sensitivity arises from its nature, which reflects miniature differences in the pattern of changes in the dynamics of physiological responses and therefore is a powerful and practical tool for evaluating even minor changes in strain.

Longitudinal changes of sensitization to farming-related antigens among young farmers

BACKGROUND

We have shown previously that the prevalence of allergic sensitization in Tyrolean farming students is high, with a clear relationship to occupational exposure.

OBJECTIVES

It was the aim of this investigation to assess longitudinal changes in sensitization and a possible impact on lung function.

METHODS

Of the 147 farming students in the original cohort, we could re-examine 42 after a mean interval of 4.0 years. All individuals completed a questionnaire and had spirometry, skin prick tests, total and specific IgE analysis, and testing for precipitating antibodies.

RESULTS

As compared to the first study, there was a decrease in the frequency of IgE-mediated allergy (30.1 vs. 54.8%; p < 0.05) and in total serum IgE levels (107.4 +/- 254 vs. 157.8 +/- 304 U/ml; p < 0.001). Conversely, 3 individuals had developed precipitating antibodies de novo, and those who had initially had a positive precipitin test (n = 6) were still positive. A larger-sized estate, the lack of a hay dryer, and the presence of moldy hay were confirmed as risk factors for allergic sensitization. Although there was a slight overall decrease in forced vital capacity, no new cases of occupational lung disease were found.

CONCLUSIONS

In young Tyrolean dairy farmers, the prevalence of precipitins is constantly high and rising while IgE-mediated allergy declines. Within 4 years, no clinically relevant impact of allergy on lung function was noticed.

Therapeutic alliance as a predictor of outcome and retention in the National Institute on Drug Abuse Collaborative Cocaine Treatment Study

The authors examined the relation between therapeutic alliance, retention, and outcome for 308 cocaine-dependent outpatients participating in the National Institute on Drug Abuse Collaborative Cocaine Treatment Study. High levels of alliance were observed in supportive-expressive therapy (SE), cognitive therapy (CT), and individual drug counseling (IDC), and alliance levels increased slightly but significantly from Session 2 to Session 5 in all groups. In contrast to other studies, alliance was not a significant predictor of drug outcome. However, alliance did predict patient retention differentially across the 3 treatments. In SE and IDC, either higher levels of alliance were associated with increased retention or no relationship between alliance and retention was found, depending on the time alliance was measured. In CT, higher levels of alliance were associated with decreased retention.

Therapeutic alliance as a predictor of outcome and retention in the National Institute on Drug Abuse Collaborative Cocaine Treatment Study

The authors examined the relation between therapeutic alliance, retention, and outcome for 308 cocaine-dependent outpatients participating in the National Institute on Drug Abuse Collaborative Cocaine Treatment Study. High levels of alliance were observed in supportive-expressive therapy (SE), cognitive therapy (CT), and individual drug counseling (IDC), and alliance levels increased slightly but significantly from Session 2 to Session 5 in all groups. In contrast to other studies, alliance was not a significant predictor of drug outcome. However, alliance did predict patient retention differentially across the 3 treatments. In SE and IDC, either higher levels of alliance were associated with increased retention or no relationship between alliance and retention was found, depending on the time alliance was measured. In CT, higher levels of alliance were associated with decreased retention.

Dynamos in asymptotic-giant-branch stars as the origin of magnetic fields shaping planetary nebulae

Planetary nebulae are thought to be formed when a slow wind from the progenitor giant star is overtaken by a subsequent fast wind generated as the star enters its white dwarf stage. A shock forms near the boundary between the winds, creating the relatively dense shell characteristic of a planetary nebula. A spherically symmetric wind will produce a spherically symmetric shell, yet over half of known planetary nebulae are not spherical; rather, they are elliptical or bipolar in shape. A magnetic field could launch and collimate a bipolar outflow, but the origin of such a field has hitherto been unclear, and some previous work has even suggested that a field could not be generated. Here we show that an asymptotic-giant-branch (AGB) star can indeed generate a strong magnetic field, having as its origin a dynamo at the interface between the rapidly rotating core and the more slowly rotating envelope of the star. The fields are strong enough to shape the bipolar outflows that produce the observed bipolar planetary nebulae. Magnetic braking of the stellar core during this process may also explain the puzzlingly slow rotation of most white dwarf stars.

Arthroscopic treatment of pigmented villonodular synovitis of the shoulder

Pigmented villonodular synovitis (PVNS) rarely affects the shoulder. Fewer than 30 cases have been reported in the English and French language literature. In those patients, PVNS was treated by open surgery involving total or local synovectomy, sometimes associated with total shoulder replacement, cuff tear repair, or arthroplastic head resection. The authors report 2 cases of PVNS of the shoulder treated arthroscopically and discuss the advantages and limitations of this technique in the treatment of shoulder PVNS.

[Arthroscopic treatment of osteochondral lesions of the talar dome]

Osteochondral lesions of the talus (OLT) may be either traumatic or caused by an osteonecrosis of unknown origin. The different types of OLT differ in their radiological aspects, their treatment and their prognosis. Whereas traumatic OLTs are generally located on the lateral talar dome, chronic necrotic lesions are preferentially located on the medial talar dome. The former have a better prognosis. Arthroscopy is in many cases the treatment of choice. This study presents several arthroscopic treatment options for osteochondral lesions of the talus. Traumatic fragment excision, osteosynthesis of larger fragments on the anterolateral talar dome, and excision and curettage of necrotic lesions may provide good results. In the absence of chondral damage in chronic osteonecrotic lesions, we prefer a transmalleolar drilling. Arthroscopic treatments are relatively simple procedures for trained arthroscopists with a low complication rate. With larger OLTs, open procedures using osteochondral autografts or cancellous bone grafts are preferred to arthroscopy.

Experimental copper deficiency, chromium deficiency and additional molybdenum supplementation in goats--pathological findings

Secondary copper (Cu) deficiency, chromium (Cr) deficiency and molybdenosis (Mo) has been suggested to cause the "mysterious" moose disease in the southwest of Sweden. The present experiment was performed on goats to investigate the clinical, chemical, and pathological alterations after 20 months feeding of a semi-synthetic diet deficient in Cu and Cr. Four groups were included in the study: control group (n = 4), Cu-deficient group (group 1, n = 4), Cr-deficient group (group 2, n = 2) and Cu + Cr-deficient group (group 3, n = 3). Group 3 was additionally supplemented with tetrathiomolybdate during the last 2 months of the experiment. Main histopathological findings in groups 1 and 3 were the lesions in the liver, characterised by a severe active fibrosis, bile duct proliferation, haemosiderosis and mild necroses. Additionally, degenerative alterations of the exocrine pancreas were prominent in groups 1 and 3. Lesions in group 3 were more pronounced than in group 1. In group 3, the skin showed an atrophic dermatosis, while in group 2 a crusty dermatitis caused by Candida spp. was observed. This study shows that liver, pancreas and skin are mainly affected by a long term deficiency of copper and the findings are complicated by molybdenum application while chromium deficiency produced no histomorphological effects in our study.

Epidermoptid mange in Laysan albatross fledglings in Hawaii

Mange caused by the epidermoptid mite Myialges nudus (Acari: Epidermoptidae) is described in 31 dead fledgling Laysan albatrosses (Phoebastria immutabilis) from Midway Atoll (Hawaii, USA) sampled from 18 June to 10 July 1990 and from 21 June to 22 July 1991. This is the first record for this parasite from this host. Mites were collected from the skin; were located primarily in the stratum corneum; and were associated with mild to severe granulomatous inflammation, hyperkeratosis, dermal edema, ballooning degeneration of keratinocytes, neovascularization, and subdermal fibrosis. The severity of inflammation in some birds suggested that dermatitis due to M. nudus could be a significant cause of morbidity, or even mortality, in these birds.

Lumbar spine curvature during office chair sitting

Prolonged sitting is generally accepted as a high risk factor in low back pain and it is frequently suggested that a lordotic posture of the lumbar spine should be maintained during sitting. We asked whether the sagittal curvature of the lumbar spine during sitting is affected by the seat tilt, backrest and the direction of the synchronised mechanism of the back and seat tilt (synchro tilt). Two office chairs were tested by multibody analysis interfacing a human model with a chair model. Results indicate that a synchronised mechanism of an office chair representing a posterior tilt of the seat while the backrest is reclined maintains an evenly distributed lumbar lordosis. The segmental angles are between 3.1 and 3.6 degrees at the lumbar vertebrae 1/2-4/5 (L1/2-L4/5). These lumbar spine segmental angles are not sensitive to the backrest height. In contrast, a synchro tilt concept with a reduction of the seat's posterior tilt while the backrest is reclined causes a strong reduction of the lumbar lordosis in backrest recline with a maximum reduction from 11.7 to 2.8 degrees in L4/5. As a consequence of these results, a synchro tilt concept with a posterior tilt of the seat while the backrest is reclined is preferable from the lumbar spine kinematics point of view.

She2p, a novel RNA-binding protein tethers ASH1 mRNA to the Myo4p myosin motor via She3p

RNA localization is a widespread mechanism to achieve localized protein synthesis. In budding yeast, localization of ASH1 mRNA controls daughter cell-specific accumulation of the transcriptional regulator Ash1p, which determines mating type switching. ASH1 mRNA localization depends on four independently acting sequences ('zipcodes') within the mRNA. In addition, the class V myosin Myo4p and a set of She proteins with as yet unknown function are essential for ASH1 localization. Here we show that She2p is a novel RNA-binding protein that binds specifically to ASH1 mRNA in vivo and to ASH1 RNA zip codes in vitro. She2p can interact with She3 protein via She3p's C-terminus and becomes localized to the daughter cell tip upon ASH1 expression. The N-terminal coiled-coil domain of She3p is required to form an RNA-independent complex with the heavy chain of the myosin motor protein Myo4p. She2p and She3p are the first examples of adapters for tethering a localized mRNA to the motor protein and might serve as prototypes for RNA-motor protein adapters.

Predictors of self-help group attendance in cocaine dependent patients

OBJECTIVE

While referral to self-help groups for patients dependent on drugs other than alcohol has become widespread in the substance abuse treatment field, little is known about the characteristics of people who attend these groups. This study examines particular sociodemographic and clinical characteristics as possible predictors of attendance at self-help groups in the National Institute on Drug Abuse Collaborative Cocaine Treatment Study.

METHOD

A multicenter study randomly assigned 487 patients (76.8% men) to one of four psychosocial treatments for cocaine dependence. Patients were treated for 24 weeks. Among other measures, the Weekly Self-Help Questionnaire was administered each week and completed, at least once, by 411 subjects.

RESULTS

Approximately two thirds of the patients attended one or more self-help meetings during the 24-week period. Patients initially more likely to attend self-help groups frequently were those who were unemployed, had no religious preference, had more severe baseline drug use and reported treatment for prior substance-related problems. Patients with more severe baseline drug use and those who previously received treatment for substance-related problems were more likely to maintain frequent attendance throughout the study period. Only severity of baseline drug use predicted more frequent attendance during Month 6, although there was a trend in Month 6 favoring more frequent attendance by women. These findings remained significant when treatment condition was added to the models.

CONCLUSIONS

Although these findings are consistent with past research on alcohol dependent individuals, they challenge popular clinical notions about the types of people who attend self-help groups. These findings demonstrate that self-help groups can appeal to a wide variety of cocaine dependent patients.

Reference typing report for complement component C3

A comparison of five C3 variant samples has been performed by conventional high-voltage gel electrophoresis in three laboratories (Palermo, Berlin and Mainz). Local designation was shown within SD = +/-0.75 mm migration distance in the Mainz laboratory. Methodological modifications by laboratories were not accounted for (cooling temperature, relative mobilities between runs). In parallel, all reference samples were also sequenced after exon-specific amplification. As a result, two variants with identical final designations and two variants with different mobilities were shown to conform at the molecular basis exhibiting an amino acid exchange that causes the corresponding change in relative mobility as compared to normal C3F and C3S.

Alzheimer's risk associated with human apolipoprotein E, alpha-2 macroglobulin and lipoprotein receptor related protein polymorphisms: absence of genetic interactions, and modulation by gender

Apolipoprotein E (apoE), the lipoprotein receptor related protein (LRP) and alpha-2 macroglobulin (alpha2M) have been proposed as a functional complex involved in amyloid clearance, a crucial event for Alzheimer's disease development. In this work, we present an epidemiological approach aimed to study the interactions among these genes, age and gender. This approach did not reveal significant associations between the genes; however, the present study indicated that the risk associated with APOE promoter and LRP gene polymorphisms is modulated by gender.

Chemical development of latent fingerprints: computational design of ninhydrin analogues

The design of chemical compounds for development of latent fingerprints is explored computationally. Our main findings are: (a) We show why past attempts to improve the widely used ninhydrin gave relatively small improvements (referring to color only). The optical transition is connected with a "transition core" and therefore is influenced little by substitution on the aromatic rings. (b) We propose new analogues of ninhydrin with a significant potential such as thiono derivatives.

Increased cerebrospinal fluid fas (Apo-1) levels in Alzheimer's disease. Relationship with IL-6 concentrations

Increasing lines of evidence suggest a role of apoptosis in the neurodegeneration associated with Alzheimer's disease, in which it has been implicated in increasing the expression of p53 and Fas. On the other hand, inflammatory cytokines have also been implicated as important factors in the progression of neuronal damage in this disease. In an attempt to investigate the possible in vivo relationship between programmed cell death and the inflammatory response in patients with dementia of the Alzheimer type (DAT), we measured the levels of soluble Fas, interleukin-1beta (IL-lbeta) and IL-6 in cerebrospinal fluid (CSF) from ten DAT patients and ten age-matched controls. Our results show a significant increase in IL-6 and soluble Fas concentrations in the CSF of DAT patients compared with those from nondemented controls. Moreover, linear regression analysis demonstrated a significant correlation (r=0.703; P<0.05) between soluble Fas and IL-6 levels in the CSF in DAT patients. These results suggest that Fas is implicated in the inflammatory response observed in Alzheimer's brains.

Vibrational Excitations of Methane in the Framework of a Local-Mode Anharmonic Model

The stretching and bending vibrations of methane are described in a local-mode anharmonic symmetry adapted model. Both Hecht- and Fermi-like interactions are considered. We start by establishing the Hamiltonian of the system in terms of internal coordinates and momenta. The Hamiltonian is then rewritten in terms of local creation (annihilation) operators a(dagger)(i)(a(i)), which are later anharmonized by means of the deformation of the harmonic oscillator algebra to the U(2) algebra. This procedure corresponds to the exact Morse result for the dominant matrix elements involved in the harmonically coupled anharmonic oscillator model (HCAO) introduced by Child and Lawton. We have carried out a fit to 40 experimental levels with an rms deviation of 1.17 cm(-1). In addition, we present a description of the dipole transition intensities. Copyright 2000 Academic Press.

A syndrome of molybdenosis, copper deficiency, and type 2 diabetes in the moose population of south-west Sweden

Since the mid-1980s, a 'mysterious' disease has been afflicting the moose (Alces alces L.) population of south-western Sweden. Molybdenosis combined with secondary copper deficiency syndrome has been suggested as the cause of the clinical signs and of necropsy findings, supported by trace element analysis. Copper deficiency has long been associated with disturbed carbohydrate metabolism and also with oxidative stress. When testing the oxidative stress hypothesis, we found increased concentrations of the glycoxidation products pentosidine and carboxymethyl-lysine (CML), both in plasma proteins and in renal tissue, when compared with control values. The concentration of glycated lysine (furosine), a marker of hyperglycaemia, was also increased. These data, together with elevated insulin levels in affected moose, strongly suggest that they are suffering from an environmentally-induced, non-insulin-dependent type 2 diabetes.