Participation effects of workplace promoting activities on healthy eating behavior.

Objective: The study intends to examine the effect of participating healthy eating related games or activities in workplace on changes of employee's self-reported behavioral stage for adopting healthy eating. Study design: A quasi-experimental study. Methods: A multi-strategic intervention for 8-month was designed and implemented in a main staff canteen area within a non-profit academic organization. The initial event included exhibition of custom-made dining plates filled with correct portions of food models for three caloric levels and provision of user-friendly online resources, which were followed by three promotion activities (long-term exhibition of my balanced plates, matching games for six food groups, and do-it-yourself healthy plate) in the 8 months. Results: A total of 86 adult participants (males = 37, female = 49) who had completed pre- and post-surveys were included in the analysis. Participants who participated all three promotion activities presented greater advancement in stage of healthy eating behaviors (HEB) than those who did not participate any activity (ß= 1.118, 95% CI = 0.428-1.808, P = 0.001 among male participants; ß = 0.740, 95% CI = 0.145-1.336, P = 0.015 among all participants). Adjustment has been made for significantly-associated covariates including types of promotion activities, initial-HEB and gender. Conclusions: A multi-strategic intervention providing balanced food plates and online resources followed by consecutive promotion activities are effective in advancing HEB for the workplace adults. Differential impacts of promotion activities and gender should also be considered for designing workplace interventions.

Alternatively spliced proline-rich cassettes link WNK1 to aldosterone action.

The thiazide-sensitive NaCl cotransporter (NCC) is important for renal salt handling and blood-pressure homeostasis. The canonical NCC-activating pathway consists of With-No-Lysine (WNK) kinases and their downstream effector kinases SPAK and OSR1, which phosphorylate NCC directly. The upstream mechanisms that connect physiological stimuli to this system remain obscure. Here, we have shown that aldosterone activates SPAK/OSR1 via WNK1. We identified 2 alternatively spliced exons embedded within a proline-rich region of WNK1 that contain PY motifs, which bind the E3 ubiquitin ligase NEDD4-2. PY motif-containing WNK1 isoforms were expressed in human kidney, and these isoforms were efficiently degraded by the ubiquitin proteasome system, an effect reversed by the aldosterone-induced kinase SGK1. In gene-edited cells, WNK1 deficiency negated regulatory effects of NEDD4-2 and SGK1 on NCC, suggesting that WNK1 mediates aldosterone-dependent activity of the WNK/SPAK/OSR1 pathway. Aldosterone infusion increased proline-rich WNK1 isoform abundance in WT mice but did not alter WNK1 abundance in hypertensive Nedd4-2 KO mice, which exhibit high baseline WNK1 and SPAK/OSR1 activity toward NCC. Conversely, hypotensive Sgk1 KO mice exhibited low WNK1 expression and activity. Together, our findings indicate that the proline-rich exons are modular cassettes that convert WNK1 into a NEDD4-2 substrate, thereby linking aldosterone and other NEDD4-2-suppressing antinatriuretic hormones to NCC phosphorylation status.

The collisional depolarization of OH(A (2)Σ(+)) and NO(A (2)Σ(+)) with Kr.

Quantum beat spectroscopy has been used to measure rate coefficients at 300 K for collisional depolarization for NO(A (2)Σ(+)) and OH(A (2)Σ(+)) with krypton. Elastic depolarization rate coefficients have also been determined for OH(A) + Kr, and shown to make a much more significant contribution to the total depolarization rate than for NO(A) + Kr. While the experimental data for NO(A) + Kr are in excellent agreement with single surface quasiclassical trajectory (QCT) calculations carried out on the upper 2A(') potential energy surface, the equivalent QCT and quantum mechanical calculations cannot account for the experimental results for OH(A) + Kr collisions, particularly at low N. This disagreement is due to the presence of competing electronic quenching at low N, which requires a multi-surface, non-adiabatic treatment. Somewhat improved agreement with experiment is obtained by means of trajectory surface hopping calculations that include non-adiabatic coupling between the ground 1A(') and excited 2A(') states of OH(X/A) + Kr, although the theoretical depolarization cross sections still significantly overestimate those obtained experimentally.

Retention and HIV seroconversion among drug users on methadone maintenance treatment in Yunnan, China.

SETTING: Thirteen methadone maintenance treatment (MMT) clinics across Yunnan, the province with the highest human immunodeficiency virus (HIV) burden in China. OBJECTIVES: To determine, among HIV-negative participants on MMT, the proportion lost to follow-up (defined as those who missed the 6-monthly follow-up examination), factors associated with loss to follow-up (LFU), HIV seroconversion rate and factors associated with seroconversion. DESIGN: Prospective cohort study from October 2008 to April 2011. All participants were administered a pre-tested structured questionnaire to capture associated factors and offered HIV testing every 6 months. χ(2) test and log-binomial regression were used for data analysis. RESULTS: Of 1146 participants, 541 (47%) were lost to follow-up in 2.5 years. Factors associated with higher LFU proportion include <6 months of previous MMT, inconvenient location of the MMT clinic and average methadone dose ⩽60 mg/day, with adjusted relative risks (RRs) of respectively 1.4 (95%CI 1.2-1.5), 1.2 (95%CI 1.0-1.4) and 1.1 (95%CI 1.0-1.3). The overall HIV seroconversion rate was 6.6 (95%CI 3.7-11.0) per 1000 person-years. Not living with a partner contributed to higher HIV rates, with an adjusted RR of 3.6 (95%CI 1.0-12.8). CONCLUSION: The retention rate of MMT participants in Yunnan was not satisfactory. Decentralising service delivery in the community and making directly observed treatment more convenient has the potential to improve retention.

Contexte : Treize centres de traitement par méthadone (MMT) dans le Yunnan, la province la plus touchée par le virus de l'immunodéficience humaine (VIH) en Chine.Objectifs : Déterminer, parmi les participants VIH négatifs, la proportion de perdus de vue (ceux qui ont manqué l'examen de suivi à 6 mois), les facteurs associés à cet abandon du suivi, le taux de séroconversion VIH et les facteurs associés.Schéma : Etude prospective de cohorte d'octobre 2008 à avril 2011. Tous les participants ont rempli un questionnaire structuré prétesté afin d'identifier ces facteurs et on leur a proposé un test VIH tous les 6 mois. L'analyse des données a été réalisée à l'aide du test χ2 et de la régression logarithmique binomiale.Résultats : Sur 1146 patients, 541 (47%) ont été perdus de vue en 2 ans et demi. Les facteurs associé à cet abandon comprenaient : <6 mois de séjour préalable dans un centre MMT, localisation peu pratique du centre et dose moyenne de méthadone ⩽60 mg/jour avec un risque relatif (RR) ajusté de 1,4 (IC95% 1,2­1,5), 1,2 (IC95% 1,0­1,4) et 1,1 (IC95% 1,0­1,3), respectivement. Le taux global de séroconversion était de 6,6% personnes-années (IC95% 3,7­11). Le fait de ne pas vivre avec un partenaire contribuait à un taux plus élevé de VIH avec un RR ajusté de 3,6 (IC95% 1,0­12,8).Conclusion : Le taux de rétention des participants à un traitement en centre MMT au Yunnan n'était pas satisfaisant. Une prestation de services décentralisée au niveau communautaire avec observation directe du traitement serait plus pratique et pourrait améliorer cette rétention.

Marco de referencia: Trece consultorios de tratamiento de mantenimiento con metadona en Yunnan, la provincia donde se observa la más alta carga de morbilidad por la infección causada por el virus de la inmunodeficiencia humana (VIH) en la China.Objetivos: Determinar la proporción de pérdidas durante el tratamiento de mantenimiento con metadona en los pacientes sin infección por el VIH (es decir, los pacientes que no acudieron al seguimiento mensual durante 6 meses), los factores que se asociaron con esta pérdida, la tasa de conversión de la serología frente al VIH y los factores relacionados con la seroconversión.Métodos: Se llevó a cabo un estudio prospectivo de cohortes entre octubre del 2008 y abril del 2011. Se administró a todos los participantes un cuestionario estructurado validado, destinado a captar los factores asociados y se les propuso la prueba diagnóstica del VIH cada 6 meses. En el análisis de los datos se aplicó la prueba de la χ2 y un análisis de regresión logarítmica binaria.Resultados: De los 1146 pacientes se perdieron durante el seguimiento 541 (47%) en 2,5 años. Los factores que se asociaron con una proporción más alta de pérdidas fueron los siguientes: una duración del tratamiento previo de mantenimiento con metadona <6 meses (riesgo relativo ajustado [RRa] 1,4; IC95% 1,2­1,5), una localización poco práctica del consultorio (RRa 1,2; IC95% 1,0­1,4) y una dosis promedio de metadona ⩽60 mg/día (RRa 1,1; IC95% 1,0­1,3). La tasa global de seroconversión frente al VIH fue 6,6 (IC95% 3,7­11,0) por 1000 años-persona. El hecho de no vivir en pareja contribuyó a una tasa más alta de serologías positivas, con un RRa de 3,6 (IC95% 1,0­12,8).Conclusión: En Yunnan, el índice de fidelización al tratamiento de mantenimiento con metadona de los participantes es deficiente. Se podría mejorar la retención de los pacientes mediante la descentralización de la prestación de los servicios hacia la comunidad y una mejor adaptación de la observación directa del tratamiento.

A new potential energy surface for OH(A 2Σ+)-Kr: the van der Waals complex and inelastic scattering.

New ab initio studies of the OH(A(2)Σ(+))-Kr system reveal significantly deeper potential energy wells than previously believed, particularly for the linear configuration in which Kr is bound to the oxygen atom side of OH(A(2)Σ(+)). In spite of this difference with previous work, bound state calculations based on a new RCCSD(T) potential energy surface yield an energy level structure in reasonable accord with previous studies. However, the new calculations suggest the need for a reassignment of the vibrational levels of the electronically excited complex. Quantum mechanical and quasi-classical trajectory scattering calculations are also performed on the new potential energy surface. New experimental measurements of rotational inelastic scattering cross sections are reported, obtained using Zeeman quantum beat spectroscopy. The values of the rotational energy transfer cross sections measured experimentally are in good agreement with those derived from the dynamical calculations on the new adiabatic potential energy surface.

Collisional angular momentum depolarization of OH(A) and NO(A) by Ar: a comparison of mechanisms.

This paper discusses the contrasting mechanisms of collisional angular momentum depolarization of OH(A(2)Σ(+)) and NO(A(2)Σ(+)) by Ar. New experimental results are presented for the collisional depolarization of OH(A) + Ar under both thermal and superthermal collision conditions, including cross sections for loss of both angular momentum orientation and alignment. Previous work on the two systems is summarized. It is shown that NO(A) + Ar depolarization is dominated by impulsive events in which the projection of the angular momentum, j, along the kinematic apse, a, is nearly conserved, and in which the majority of the trajectories can be described as "nearside." By contrast, at the relatively low collision energies sampled at 300 K, OH(A) + Ar depolarization is dominated by attractive collisions, which show a preponderance of "farside" trajectories. There is also evidence for very long-lived, complex type trajectories in which OH(A) and Ar orbit each other for several rotational periods prior to separation. Nevertheless, there is still a clear preference for conservation of the projection of j along the kinematic apse for both elastic and inelastic collisions. Experimental and theoretical results reveal that, as the collision energy is raised, the depolarization of OH(A) by Ar becomes more impulsive-like in nature.

Molecular photofragment orientation in the photodissociation of H2O2 at 193 nm and 248 nm.

Angular momentum orientation has been observed in the OH(X(2)Π, v = 0) fragments generated by circularly polarized photodissociation of H(2)O(2) at 193 nm and 248 nm. The magnitude and sign of the orientation are strongly dependent on the OH(X) photofragment rotational state. In addition to conventional laser induced fluorescence methods, Zeeman quantum beat spectroscopy has also been used as a complementary tool to probe the angular momentum orientation parameters. The measured orientation at 193 nm is attributed solely to photodissociation via the Ã(1)A state, even though at this wavelength H(2)O(2) is excited near equally to both the Ã(1)A and B(1)B electronic states. This observation is confirmed by measurements of the photofragment orientation at 248 nm, where access to the Ã(1)A state dominates. Several possible mechanisms are discussed to explain the observed photofragment orientation, and a simple physical model is developed, which includes the effects of the polarization of the parent molecular rotation upon absorption of circularly polarized light. Good agreement between the experimental and simulation results is obtained, lending support to the validity of the model. It is proposed that photofragment orientation arises mainly from the coupling of the parent rotational angular momentum with that induced during photofragmentation.

Elastic depolarization of OH(A) by He and Ar: a comparative study.

Two color polarization spectroscopy has been employed to measure the collisional depolarization of OH(A(2)Sigma(+), v = 1) by He and Ar. Complementary experiments using Zeeman quantum beat spectroscopy have also been performed to determine separately the cross sections for rotational energy transfer (RET) out of selected rotational levels of OH(A, v = 0) + Ar, as well as those for elastic depolarization. This has been achieved by dispersing the emission, so as to observe a single fluorescence transition. Elastic depolarization of OH(A) by Ar is found to be significant with that for loss of rotational alignment exceeding that for loss of orientation. In the case of OH(A) + He, the polarization spectroscopy measurements suggest that elastic depolarization plays a relatively minor role in the loss of the polarization signal compared with RET. The experimental data for OH(A) + Ar are compared in detail with the results of quasi-classical trajectory calculations that accommodate the effects of electron spin. These classical calculations are assessed against the results obtained using full close-coupled open shell quantum mechanical scattering methods. Overall the level of agreement between the two experiments, and between experiment and theory, is very reasonable. Surprisingly, at low N the elastic depolarization cross sections for OH(A) + Ar are found to be quite similar in magnitude to those observed for OH(X) + Ar despite the fact that the well depth in the latter system is considerably smaller than that for OH(A)-Ar. However, for OH(A) + Ar the depolarization cross sections are insensitive to N in the range 1-14. It is proposed that this behavior partly reflects the relatively anisotropic nature of the potential energy surface, which exhibits deep wells of different depths at the two linear configurations OH(A)-Ar and Ar-OH(A), and partly the nature of elastic depolarizing collisions, which must occur with a velocity component perpendicular to the plane of rotation of the diatomic molecule.

Collisional depolarization of OH(A) with Ar: Experiment and theory.

Zeeman quantum beat spectroscopy has been used to measure the 300 K rate constants for the angular momentum depolarization of OH(A (2)Sigma(+)) in the presence of Ar. We show that the beat amplitude at short times, in the absence of collisions, is well described by previously developed line strength theory for (1+1) laser induced fluorescence. The subsequent pressure dependent decay of the beat amplitude is used to extract depolarization rate constants and estimates of collisional depolarization cross sections. Depolarization accompanies both inelastic collisions, giving rise to rotational energy transfer, and elastic collisions, which change m(j) but conserve j. Previous experimental studies, as well as classical theory, suggest that elastic scattering contributes around 20% to the observed total depolarization rate at low j. Simulation of the experimental beat amplitudes, using theoretical calculations presented in the preceding paper, reveals that depolarization of OH(A) by Ar has a rate constant comparable to, if not larger than, that for energy transfer. This is consistent with a significant tilting or realignment of j(') away from j on collision. The experimental data are used to provide a detailed test of quantum mechanical and quasiclassical trajectory scattering calculations performed on a recently developed ab initio potential energy surface of Klos et al. [J. Chem. Phys. 129, 054301 (2008)]. The calculations and simulations account well for the observed cross sections at high N, but underestimate the experimental results by between 10% and 20% at low N, possibly due to remaining inaccuracies in the potential energy surface or perhaps to limitations in the dynamical approximations made, particularly the freezing of the OH(A) bond.

Clinical and neurological characteristics of aortic thromboembolism in dogs.

OBJECTIVES: To characterise the clinical presentation and neurological abnormalities in dogs affected by aortic thromboembolism. METHODS: The medical records of 13 dogs diagnosed with aortic thromboembolism as the cause of the clinical signs, and where a complete neurological examination was performed, were reviewed retrospectively. RESULTS: The onset was acute in only four dogs, chronic in five dogs (with all of these presenting as exercise intolerance) or chronic with acute deterioration in four dogs. Dogs with an acute onset of clinical signs were more severely affected exhibiting neurological deficits, while dogs with a chronic onset of disease predominantly presented with the exercise intolerance and minimal deficits. The locomotor deficits included exercise intolerance with pelvic limb weakness (five of 13), pelvic limb ataxia (one of 13), monoparesis (two of 13), paraparesis (two of 13), non-ambulatory paraparesis (two of 13) and paraplegia (one of 13). There was an apparent male predisposition and the cavalier King charles spaniel was overrepresented. CLINICAL SIGNIFICANCE: The rate of onset of clinical signs appears to segregate dogs affected by aortic thromboembolism into two groups, with different clinical characteristics and outcomes. Dogs with an acute onset of the clinical signs tend to be more severely affected, while dogs with a chronic onset predominantly present with exercise intolerance. It is therefore important to consider aortic thromboembolism as a differential diagnosis in dogs with an acute onset of pelvic limb neurological deficits and in dogs with longer standing exercise intolerance.

Pax-7 immunoreactivity in the post-natal chicken central nervous system.

In this immunocytochemical study on the constitutive expression of Pax-7 protein in the postnatal chicken brain, Pax-7 showed region and cell type specific expression. In the optic tectum, only cells in grey matter showed positive immunoreactivities (IRs), whereas those in the white matters did not show any IRs. In thalamic nuclei and several pontine nuclei, we also localized Pax-7 positive IRs. On the contrary, in the cerebellum, Pax-7 was mainly localized within the Bergmann glia, whereas Purkinje cells did not show any IRs. In double immunolabelling studies, most of the Pax-7 IRs did not originate from neuroglial cells such as oligodendrocytes, microglia or astrocytes, but from neurons, with the exception of Bergmann glia in the cerebellum. The presence of Pax-7 IRs in the adult chicken brain could suggest that Pax-7 might play a role in maintaining normal physiological function in some postnatal chicken brain cells.

Osteochondral grafting of the metacarpophalangeal joint in rheumatoid arthritis.

We report two cases of isolated metacarpophalangeal joint subluxation in rheumatoid patients with dorsal osteochondral defects on the base of the proximal phalanx. These were treated by open reduction, autologous osteochondral grafting and synovectomy. Stable reduction was maintained and appeared to delay the deterioration of the joint.

Semi-constrained total elbow arthroplasty in Chinese rheumatoid patients.

Seventeen Coonrad-Morrey semi-constrained total elbow replacements were performed on 14 Chinese rheumatoid patients. The elbows were reviewed retrospectively after a mean follow-up of 36 months (range 12-89 months.) After the operation, all patients were satisfied and there was no pain in 15 elbows. There was no radiological sign of loosening in the implanted prostheses and bone graft was incorporated in 93% of primary elbow replacements. The Mayo Elbow Performance Score was improved from an average of 40 (range 20-75) to an average of 93 (range 65-100). The arc of flexion was improved from an average of 89 degrees (range 0 degrees-125 degrees ) to 104 degrees (range 35 degrees-125 degrees ). The sizes of implants can be predicted accurately by the planning template in only four elbows (24%) and there were early complications in seven elbows (41%), with one prosthesis removed because of deep infection.

The role of heterocellular hereditary persistence of fetal haemoglobin in beta(0)-thalassaemia intermedia.

Beta(0)-thalassaemia intermedia (beta(0)-TI) describes patients who lack beta-globin synthesis yet manifest a non-transfusion-dependent form of beta-thalassaemia. Co-inheritance of alpha-thalassaemia, certain variants of the beta-like globin gene cluster and elevated fetal haemoglobin (HbF) production are all associated with beta(0)-TI. However, the mild phenotypes of many beta(0)-TI patients are unexplained. Genetically determined HbF levels in beta-thalassaemia are difficult to assess because erythrocytes containing HbF (F cells) preferentially survive over erythrocytes without HbF. To evaluate the importance of genetically elevated HbF in beta-thalassaemia, F-cell levels of 19 TI patients' relatives were compared with relatives of transfusion-dependent beta-thalassaemia major patients and those of beta-globin genotype-matched controls. The beta-globin and alpha-globin genotypes, as well as their Ggamma promoter were also examined. Using this approach, in all but one patient the mild phenotype was attributable to either alpha-globin genotype, gamma-globin promoter polymorphism or inherited elevated F-cell levels. The findings of this study establish the F-cell levels required to modify the degree of disease severity significantly and demonstrate that F-cell level is a crucial parameter in the understanding of phenotypic variation in beta-thalassaemia.

Factors attributing to the psychological recovery from the 1999 Taiwan earthquake among junior high school students: a focus group interview study.

The aim of this study was to evaluate the factors contributing to the psychological recovery from the 1999 Taiwan earthquake from the perspective of adolescents in Chungliao. A total of 22 junior high school students who had significant decrease of Impact of Event Scale (IES) scores in the follow-up period of 9 months were recruited to participate in one of three focus groups. By applying the method of focus group interviewing, adolescents' attributions of factors relating to the improvements of psychological reactions were collected. All interviews were tape-recorded and the transcripts were approached by content analysis. Four major factors contributing to psychological recovery from the earthquake are clustered: (1) self-healing effect as time passed away; (2) assistance from people of the non-afflicted areas; (3) being engaged in interests in leisure time; and (4) other important events happening after the earthquake. Several factors contributed to the psychological recovery of adolescents from the experience of the earthquake. The results of this study can serve as the basis of further treatment strategies for the adolescent refugees from major disasters.

Trend in mortality from respiratory distress syndrome in the United States, 1970-1995.

OBJECTIVE: We examined the trend in mortality caused by respiratory distress syndrome (RDS) and its impact on changes in infant and neonatal mortality rates (IMR, NMR) in the United States. STUDY DESIGN: Data on infant deaths in the United States for the period 1970 through 1995 were used to compare RDS-specific IMR to other cause-specific IMR. Data from the U.S. birth cohorts of 1985 through 1991 were used to examine birth weight- and RDS-specific NMRs. RESULTS: IMR from RDS declined from 2.6 per 1000 live births in 1970 to 0.4 per 1000 in 1995. More than three quarters of this decline occurred between 1970 and 1985. RDS-specific NMR declined by 13% between 1985 and 1988 and by more than twofold greater, that is, 28%, between 1988 and 1991. There was also a significant reduction in postneonatal mortality from chronic lung diseases between 1988 and 1991. CONCLUSIONS: Most of the reduction in mortality from RDS occurred before the introduction of surfactant therapy. The recent accelerated reduction in mortality from RDS between 1988 and 1991 was temporally associated with widespread use of surfactant therapy and was the single most important factor for reduction in overall NMR in the United States.