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1.
J Econ Entomol ; 116(1): 144-152, 2023 02 10.
Article in English | MEDLINE | ID: mdl-36511782

ABSTRACT

Border rows of grain sorghum were planted along two to four sides of an organic Granadero tomato crop in North Florida to reduce fruit injury caused by native and invasive stink bugs. During the 2-yr study, 14 species of stink bugs were encountered, six only in sorghum: Piezodorus guildinii (Westwood) (Hemiptera: Pentatomidae), Thyanta spp., Oebalus pugnax (Fabricius), Chinavia hilaris (Say), C. pensylvanica (Gmelin), and Mormidea pama (Rolston). There were four species only in tomato: Euschistus obscurus (Palisot de Beauvois), E. tristigmus (Say), E. ictericus (L.), and Arvelius albopunctatus (De Geer). The three most abundant pests in tomato were collected in both crops: Nezara viridula (L.), Euschistus servus (Say), and E. quadrator Rolston, along with Proxys punctulatus (Palisot de Beauvois). Nezara viridula and P. guildinii were the most abundant stink bugs on sorghum. The border rows of sorghum did not reduce the total number of stink bug adults or nymphs in the tomato crop, although many more stink bug adults were captured in sorghum than tomato when the sorghum panicles were in the milk to soft dough stage. Generally, 30% of the females in the sorghum and tomato crops were mated and contained more than 15 eggs, indicating they could generate a considerable number of nymphs. Tomato fruit from the plot with sorghum border rows had significantly more punctures than fruit from the plot without sorghum. The stink bugs frequently probed and blemished tomato fruit in all stages of ripeness but fruit covered with probing sites were nevertheless suitable for human consumption.


Subject(s)
Heteroptera , Solanum lycopersicum , Sorghum , Animals , Female , Crops, Agricultural , Edible Grain , Fruit , Nymph , Population Density , Reproduction
3.
Tech Coloproctol ; 22(5): 363-371, 2018 05.
Article in English | MEDLINE | ID: mdl-29855814

ABSTRACT

BACKGROUND: A new era in surgical robotics has centered on alternative access to anatomic targets and next generation designs include flexible, single-port systems which follow circuitous rather than straight pathways. Such systems maintain a small footprint and could be utilized for specialized operations based on direct organ target natural orifice transluminal endoscopic surgery (NOTES), of which transanal total mesorectal excision (taTME) is an important derivative. METHODS: During two sessions, four direct target NOTES operations were conducted on a cadaveric model using a flexible robotic system to demonstrate proof-of-concept of the application of a next generation robotic system to specific types of NOTES operations, all of which required removal of a direct target organ through natural orifice access. These four operations were (a) robotic taTME, (b) robotic transvaginal hysterectomy in conjunction with (c) robotic transvaginal salpingo-oophorectomy, and in an ex vivo model, (d) trans-cecal appendectomy. RESULTS: Feasibility was demonstrated in all cases using the Flex® Robotic System with Colorectal Drive. During taTME, the platform excursion was 17 cm along a non-linear path; operative time was 57 min for the transanal portion of the dissection. Robotic transvaginal hysterectomy was successfully completed in 78 min with transvaginal extraction of the uterus, although laparoscopic assistance was required. Robotic transvaginal unilateral salpingo-oophorectomy with transvaginal extraction of the ovary and fallopian tube was performed without laparoscopic assistance in 13.5 min. In an ex vivo model, a robotic trans-cecal appendectomy was also successfully performed for the purpose of demonstrating proof-of-concept only; this was completed in 24 min. CONCLUSIONS: A flexible robotic system has the potential to access anatomy along circuitous paths, making it a suitable platform for direct target NOTES. The conceptual operations posed could be considered suitable for next generation robotics once the technology is optimized, and after further preclinical validation.


Subject(s)
Appendectomy/methods , Hysterectomy, Vaginal/methods , Robotic Surgical Procedures/methods , Salpingo-oophorectomy/methods , Transanal Endoscopic Surgery/methods , Cadaver , Cecum/surgery , Female , Humans , Male , Rectum/surgery , Vagina/surgery
5.
J R Army Med Corps ; 162(4): 310-5, 2016 Aug.
Article in English | MEDLINE | ID: mdl-27084843

ABSTRACT

Sydney Domville Rowland was a bacteriologist and staff member at the Lister Institute of Preventive Medicine when the First World War broke out in 1914. Following a request to the Director of the Lister Institute to staff and equip a mobile field laboratory as quickly as possible, Rowland was appointed to take charge of No. 1 Mobile Laboratory and took up a temporary commission at the rank of Lieutenant in the Royal Army Medical Corps. On 9 October 1914, Rowland set out for the European mainland and was subsequently attached to General Headquarters in Saint-Omer, France (October 1914-June 1915), No. 10 Casualty Clearing Station in Lijssenthoek, Belgium (June 1915-February 1916, during which period he was promoted Major), and No. 26 General Hospital in Étaples, France (February 1916-March 1917). His research focused on gas gangrene, typhoid fever, trench fever, wound infection and cerebrospinal fever. In February of 1917, while engaged in identifying meningococcal carriers, Rowland contracted cerebrospinal meningitis to which he succumbed at age 44 on 6 March 1917. His untimely death might have been caused by laboratory-acquired meningococcal disease, especially since Rowland's work with Neisseria meningitidis isolates had extended beyond routine laboratory techniques and included risk procedures like immunisation of rabbits with pathogenic strains isolated from cerebrospinal fluid. Currently, microbiology laboratory workers who are routinely exposed to N. meningitidis isolates are recognised as a population at increased risk for meningococcal disease, for which reason recommended preventive measures include vaccination and handling of isolates within a class II biosafety cabinet.


Subject(s)
Bacteriology/history , Laboratories , Meningococcal Infections , Military Medicine , Mobile Health Units , Occupational Exposure , World War I , History, 19th Century , History, 20th Century
6.
J Commun Disord ; 61: 71-82, 2016.
Article in English | MEDLINE | ID: mdl-27060419

ABSTRACT

OBJECTIVES: The purpose of the current study was to assess the short-term effectiveness of short and intensive speech therapy provided to patients with cleft (lip and) palate (C(L)P) in terms of articulation and resonance. METHODS: Five Ugandan patients (age: 7.3-19.6 years) with non-syndromic C(L)P received six hours of individualized speech therapy in three to four days. Speech therapy focused on correct phonetic placement and contrasts between oral and nasal airflow and resonance. Speech evaluations performed before and immediately after speech therapy, including perceptual and instrumental assessment techniques, were compared. RESULTS: Post-therapy, improvement of speech was noted for most of the patients, although to varying degrees. Clinically relevant progress of objective nasalance values and/or articulation was obtained in four patients. Overall, two patients showed normal speech intelligibility, while three patients required additional speech therapy. CONCLUSION: These preliminary short-term results demonstrate that short and intensive speech therapy can be effective for patients with C(L)P in countries with limited access to speech-language therapy. However, further research is needed on the long-term effectiveness and the advantages of applying this treatment protocol in countries with good access to speech therapy. LEARNING OUTCOMES: The reader will be able to (1) list the challenges in resource poor-countries to achieve access to speech-language therapy services, (2) describe when the application of speech therapy is appropriate in patients with C(L)P, (3) describe the speech therapy that can be applied to reduce compensatory articulation and resonance disorders in patients with C(L)P, and (4) list the (possible) advantages of short, intensive speech therapy for both resource-poor and developed countries.


Subject(s)
Articulation Disorders/therapy , Cleft Palate , Speech Intelligibility , Speech Therapy/methods , Voice Quality , Adolescent , Child , Cleft Lip , Female , Humans , Male , Uganda
7.
Zoonoses Public Health ; 63(1): 62-71, 2016 Feb.
Article in English | MEDLINE | ID: mdl-25996458

ABSTRACT

While most human Salmonella infections result from exposure to contaminated foods, an estimated 11% of all Salmonella infections are attributed to animal exposures, including both direct animal handling and indirect exposures such as cleaning cages and handling contaminated pet food. This report describes the epidemiologic, environmental and laboratory investigations conducted in the United States as part of the response to an international outbreak of tetracycline-resistant Salmonella enterica serotype I 4,[5],12:i:- infections with over 500 illnesses occurring from 2008 to 2010. This investigation found that illness due to the outbreak strain was significantly associated with exposure to pet reptiles and frozen feeder rodents used as food for pet reptiles. Salmonella isolates indistinguishable from the outbreak strain were isolated from a frozen feeder mice-fed reptile owned by a case patient, as well as from frozen feeder mice and environmental samples collected from a rodent producing facility (Company A). An international voluntary recall of all Company A produced frozen feeder animals sold between May 2009 and July 2010 occurred. Only 13% of cases in our investigation were aware of the association between Salmonella infection and mice or rats. Consumers, the pet industry, healthcare providers and veterinarians need to be aware of the potential health risk posed by feeder rodents, whether live or frozen. Frozen feeder rodent producers, suppliers and distributors should follow the animal food labelling requirements as described in 21 CFR §501.5, and all packages of frozen feeder rodents should include safe handling instructions. Persons should wash their hands thoroughly with soap and water after handling live or frozen feeder rodents, as well as reptiles or anything in the area where the animals live. Continued opportunities exist for public health officials, the pet industry, veterinarians and consumers to work together to prevent salmonellosis associated with pet food, pets and other animals.


Subject(s)
Salmonella Food Poisoning/epidemiology , Salmonella Food Poisoning/prevention & control , Salmonella Infections, Animal/epidemiology , Salmonella Infections/prevention & control , Salmonella enteritidis/isolation & purification , Adolescent , Adult , Animal Feed/microbiology , Animal Husbandry , Animals , Case-Control Studies , Child , Child, Preschool , Disease Outbreaks , Drug Resistance, Bacterial , Female , Food Handling , Humans , Infant , Interviews as Topic , Male , Mice , Middle Aged , Pets/microbiology , Rats , Reptiles/microbiology , Salmonella Infections/transmission , United States/epidemiology , Young Adult
8.
Mol Psychiatry ; 19(1): 88-98, 2014 Jan.
Article in English | MEDLINE | ID: mdl-23164821

ABSTRACT

Although the mechanism of Aß action in the pathogenesis of Alzheimer's disease (AD) has remained elusive, it is known to increase the expression of the antagonist of canonical wnt signalling, Dickkopf-1 (Dkk1), whereas the silencing of Dkk1 blocks Aß neurotoxicity. We asked if clusterin, known to be regulated by wnt, is part of an Aß/Dkk1 neurotoxic pathway. Knockdown of clusterin in primary neurons reduced Aß toxicity and DKK1 upregulation and, conversely, Aß increased intracellular clusterin and decreased clusterin protein secretion, resulting in the p53-dependent induction of DKK1. To further elucidate how the clusterin-dependent induction of Dkk1 by Aß mediates neurotoxicity, we measured the effects of Aß and Dkk1 protein on whole-genome expression in primary neurons, finding a common pathway suggestive of activation of wnt-planar cell polarity (PCP)-c-Jun N-terminal kinase (JNK) signalling leading to the induction of genes including EGR1 (early growth response-1), NAB2 (Ngfi-A-binding protein-2) and KLF10 (Krüppel-like factor-10) that, when individually silenced, protected against Aß neurotoxicity and/or tau phosphorylation. Neuronal overexpression of Dkk1 in transgenic mice mimicked this Aß-induced pathway and resulted in age-dependent increases in tau phosphorylation in hippocampus and cognitive impairment. Furthermore, we show that this Dkk1/wnt-PCP-JNK pathway is active in an Aß-based mouse model of AD and in AD brain, but not in a tau-based mouse model or in frontotemporal dementia brain. Thus, we have identified a pathway whereby Aß induces a clusterin/p53/Dkk1/wnt-PCP-JNK pathway, which drives the upregulation of several genes that mediate the development of AD-like neuropathologies, thereby providing new mechanistic insights into the action of Aß in neurodegenerative diseases.


Subject(s)
Amyloid beta-Peptides/toxicity , Clusterin/metabolism , Intercellular Signaling Peptides and Proteins/metabolism , MAP Kinase Signaling System/drug effects , Neurons/drug effects , Wnt Proteins/metabolism , Aged , Alzheimer Disease/pathology , Animals , Cells, Cultured , Clusterin/genetics , Embryo, Mammalian , Enzyme Inhibitors/pharmacology , Female , Gene Expression Regulation/drug effects , Humans , Intercellular Signaling Peptides and Proteins/genetics , MAP Kinase Signaling System/genetics , Male , Mice , Mice, Inbred C57BL , Rats , Rats, Sprague-Dawley
9.
Int J Pediatr Otorhinolaryngol ; 77(3): 446-52, 2013 Mar.
Article in English | MEDLINE | ID: mdl-23277303

ABSTRACT

The purpose of this study is to describe the speech characteristics in an English-speaking Ugandan boy of 4.5 years who has a rare paramedian craniofacial cleft (unilateral lip, alveolar, palatal, nasal and maxillary cleft, and associated hypertelorism). Closure of the lip together with the closure of the hard and soft palate (one-stage palatal closure) was performed at the age of 5 months. Objective as well as subjective speech assessment techniques were used. The speech samples were perceptually judged for articulation, intelligibility and nasality. The Nasometer was used for the objective measurement of the nasalance values. The most striking communication problems in this child with the rare craniofacial cleft are an incomplete phonetic inventory, a severely impaired speech intelligibility with the presence of very severe hypernasality, mild nasal emission, phonetic disorders (omission of several consonants, decreased intraoral pressure in explosives, insufficient frication of fricatives and the use of a middorsum palatal stop) and phonological disorders (deletion of initial and final consonants and consonant clusters). The increased objective nasalance values are in agreement with the presence of the audible nasality disorders. The results revealed that several phonetic and phonological articulation disorders together with a decreased speech intelligibility and resonance disorders are present in the child with a rare craniofacial cleft. To what extent a secondary surgery for velopharyngeal insufficiency, combined with speech therapy, will improve speech intelligibility, articulation and resonance characteristics is a subject for further research. The results of such analyses may ultimately serve as a starting point for specific surgical and logopedic treatment that addresses the specific needs of children with rare facial clefts.


Subject(s)
Cleft Palate/complications , Craniofacial Abnormalities/complications , Speech Disorders/etiology , Speech , Child, Preschool , Cleft Palate/surgery , Craniofacial Abnormalities/surgery , Humans , Linguistics , Male , Phonetics , Speech Disorders/complications , Uganda
10.
East Afr Med J ; 90(11): 375-8, 2013 Nov.
Article in English | MEDLINE | ID: mdl-26862639

ABSTRACT

As part of surgical management of Fournier's gangrene, multiple and extensive debridement of necrotic tissue is done which results in significant loss of scrotal skin and exposure of testes. This necessitates reconstruction of a neoscrotum to cover of the testes. Several scrotal reconstructive options are available including split thickness skin grafts, scrotal advancement flaps, local fasciocutaneous, muscle or myocutaneous flaps, and free tissue transfer. We report a case of a 34 year old African male who presented as a referral from a district hospital with a scrotal defect and exposed testes following extensive debridement of Fournier's gangrene. Scrotal reconstruction with a pedicled gracilis muscle flap was done. The pedicled gracilis muscle flap is close to the scrotal area and is ideal for coverage of large scrotal defects with deep pockets. It is well vascularised thereby providing greater resistance to infection, a good bed for skin grafting yet eliminating the risks associated with potentially non reliable skin paddle in the myocutaneous flap.


Subject(s)
Debridement , Fournier Gangrene/surgery , Myocutaneous Flap , Scrotum/pathology , Scrotum/surgery , Adult , Humans , Male
11.
Folia Phoniatr Logop ; 64(3): 131-6, 2012.
Article in English | MEDLINE | ID: mdl-22627117

ABSTRACT

AIMS: The aim of this study was to obtain normative nasalance values for typically developing Ugandan English-speaking children as a reference point for clinical practice and further research. METHODS: Sixty-nine typically developing Ugandan children (35 males and 34 females, 2.7-13.5 years of age) participated in the study. Nasalance scores were obtained with the Nasometer while children repeated 4 sustained sounds, 14 repeated syllables, 15 sentences (12 oral, 3 nasal) and 2 texts ('Rainbow Passage' and 'Zoo Passage'). Data were analyzed for gender and age dependence. RESULTS: No significant effects of age or gender on nasalance values were obtained; hence, normative values for the overall group were reported. The average nasalance scores for Ugandan English-speaking children were 17 and 64% for the oral and nasal sentences and 33 and 14% for the oronasal and oral text, respectively. CONCLUSION: The normative values are important as a reference point to assess the impact of several surgical procedures and several surgical timing strategies on speech in Uganda.


Subject(s)
Language Development , Multilingualism , Phonation , Sound Spectrography , Speech Acoustics , Voice Quality , Adolescent , Age Factors , Articulation Disorders/diagnosis , Articulation Disorders/surgery , Child , Child, Preschool , Cleft Palate/diagnosis , Female , Humans , Male , Reference Values , Sex Factors , Uganda , Voice Disorders/diagnosis , Voice Disorders/surgery
12.
Folia Phoniatr Logop ; 64(2): 55-63, 2012.
Article in English | MEDLINE | ID: mdl-22095257

ABSTRACT

OBJECTIVE: The purpose of this study was to determine the impact of partial glossectomy (using the keyhole technique) on speech intelligibility, articulation, resonance and oromyofunctional behavior. PATIENTS AND METHODS: A partial glossectomy was performed in 4 children with Beckwith- Wiedemann syndrome between the ages of 0.5 and 3.1 years. An ENT assessment, a phonetic inventory, a phonemic and phonological analysis and a consensus perceptual evaluation of speech intelligibility, resonance and oromyofunctional behavior were performed. RESULTS: It was not possible in this study to separate the effects of the surgery from the typical developmental progress of speech sound mastery. Improved speech intelligibility, a more complete phonetic inventory, an increase in phonological skills, normal resonance and increased motor-oriented oral behavior were found in the postsurgical condition. The presence of phonetic distortions, lip incompetence and interdental tongue position were still present in the postsurgical condition. CONCLUSION: Speech therapy should be focused on correct phonetic placement and a motor-oriented approach to increase lip competence, and on functional tongue exercises and tongue lifting during the production of alveolars. Detailed analyses in a larger number of subjects with and without Beckwith-Wiedemann syndrome may help further illustrate the long-term impact of partial glossectomy.


Subject(s)
Articulation Disorders/surgery , Beckwith-Wiedemann Syndrome/complications , Glossectomy , Macroglossia/surgery , Articulation Disorders/etiology , Articulation Disorders/physiopathology , Articulation Disorders/therapy , Child, Preschool , Combined Modality Therapy , Deglutition Disorders/etiology , Deglutition Disorders/physiopathology , Deglutition Disorders/surgery , Hepatoblastoma/drug therapy , Hepatoblastoma/surgery , Humans , Infant , Kidney Neoplasms/drug therapy , Language Development , Lip/physiopathology , Liver Neoplasms/drug therapy , Liver Neoplasms/surgery , Macroglossia/complications , Movement Disorders/etiology , Movement Disorders/physiopathology , Movement Disorders/surgery , Muscle Hypotonia/etiology , Muscle Hypotonia/physiopathology , Phonetics , Speech Intelligibility , Speech Therapy , Tongue/physiopathology , Wilms Tumor/drug therapy
13.
Curr Neuropharmacol ; 9(1): 35-9, 2011 Mar.
Article in English | MEDLINE | ID: mdl-21886558

ABSTRACT

Methamphetamine (METH) use is associated with neurotoxic effects which include decreased levels of dopamine (DA), serotonin (5-HT) and their metabolites in the brain. We have shown that escalating METH dosing can protect against METH induced neurotoxicity in rats sacrificed within 24 hours after a toxic METH challenge. The purpose of the current study was to investigate if the protective effects of METH persisted for a long period of time. We also tested if a second challenge with a toxic dose of METH would cause further damage to monoaminergic terminals. Saline-pretreated rats showed significant METH-induced decreases in striatal DA and 5-HT levels in rats sacrificed 2 weeks after the challenge. Rats that received two METH challenges showed no further decreases in striatal DA or 5-HT levels in comparison to the single METH challenge. In contrast, METH-pretreated rats showed significant protection against METH-induced striatal DA and 5-HT depletion. In addition, the METH challenge causes substantial decreases in cortical 5-HT levels which were not further potentiated by a second drug challenge. METH preconditioning provided almost complete protection against METH -induced 5-HT depletion. These results are consistent with the idea that METH pretreatment renders the brain refractory to METH-induced degeneration of brain monoaminergic systems.

14.
Mol Psychiatry ; 16(11): 1130-8, 2011 Nov.
Article in English | MEDLINE | ID: mdl-21116278

ABSTRACT

Alzheimer's disease (AD) is a progressive neurodegenerative disorder with considerable evidence suggesting an initiation of disease in the entorhinal cortex and hippocampus and spreading thereafter to the rest of the brain. In this study, we combine genetics and imaging data obtained from the Alzheimer's Disease Neuroimaging Initiative and the AddNeuroMed study. To identify genetic susceptibility loci for AD, we conducted a genome-wide study of atrophy in regions associated with neurodegeneration in this condition. We identified one single-nucleotide polymorphism (SNP) with a disease-specific effect associated with entorhinal cortical volume in an intron of the ZNF292 gene (rs1925690; P-value=2.6 × 10(-8); corrected P-value for equivalent number of independent quantitative traits=7.7 × 10(-8)) and an intergenic SNP, flanking the ARPP-21 gene, with an overall effect on entorhinal cortical thickness (rs11129640; P-value=5.6 × 10(-8); corrected P-value=1.7 × 10(-7)). Gene-wide scoring also highlighted PICALM as the most significant gene associated with entorhinal cortical thickness (P-value=6.7 × 10(-6)).


Subject(s)
Alzheimer Disease/genetics , Brain/pathology , Genome-Wide Association Study , Magnetic Resonance Imaging , Polymorphism, Single Nucleotide , Quantitative Trait Loci , Alzheimer Disease/pathology , Apolipoprotein E4/genetics , Atrophy , Carrier Proteins/genetics , Disease Progression , Entorhinal Cortex/pathology , Female , Genetic Predisposition to Disease , Hippocampus/pathology , Humans , Introns , Linkage Disequilibrium , Male , Monomeric Clathrin Assembly Proteins/genetics , Nerve Tissue Proteins/genetics , Organ Size , Phosphoproteins/genetics , Risk Factors
15.
N Z Vet J ; 58(3): 121-9, 2010 Jun.
Article in English | MEDLINE | ID: mdl-20514085

ABSTRACT

AIM: To evaluate the efficacy and safety of the novel anthelmintic combination, derquantel-abamectin, against gastrointestinal nematode populations in sheep, under field-use conditions. METHODS: Controlled faecal egg count reduction tests (FECRT) were conducted in New Zealand in 14 trials, covering a range of geographic locations, farming enterprises, breeds, nematode populations, and anthelmintic-resistance profiles. Enrolled animals were naturally infected with mixed populations of gastrointestinal nematodes. All trials included a group treated with derquantel-abamectin, and a negative control group. Nine trials included additional groups each treated with a single- or dual-active oral reference anthelmintic, selected from albendazole, levamisole, albendazole-levamisole, ivermectin, abamectin and moxidectin. A total of 838 animals were enrolled across all trials, and were randomly allocated to treatment groups within blocks defined by faecal nematode egg counts (FEC) pretreatment. On Day 0 derquantel-abamectin was administered orally at 1 ml/5 kg bodyweight (2 mg/kg derquantel, 0.2 mg/ kg abamectin), and each reference anthelmintic was given at the recommended label dose. Faecal samples were collected on Day 14 (+/- 1 day), to determine the percentage reduction in mean FEC for each anthelmintic tested. Larval differentiation was also performed post-treatment, to estimate efficacy at the genus level. Animals were weighed on or before Day 0, and on Day 14 (+/- 1 day) in 13 trials. RESULTS: The efficacy of derquantel-abamectin against mixed strongyle populations was > or =99.2%, based on the percentage reduction in geometric mean FEC. Nematodirus sp. was present in six trials at a level sufficient for efficacy calculations to be conducted; in all cases, the efficacy of derquantel-abamectin was 100%. In those trials where the efficacy of at least one reference anthelmintic was <95% against strongyles and/or Nematodirus sp., derquantel-abamectin was 100% effective. In five trials, the mean gain in bodyweight was significantly greater in the derquantel- abamectin group than the negative controls. CONCLUSIONS AND CLINICAL RELEVANCE: When administered orally at 1 ml/5 kg bodyweight, derquantel-abamectin is highly effective for the treatment of gastrointestinal nematodes in sheep, including populations of strongyles and Nematodirus sp. with resistance to one or more single- or dual-active anthelmintics. Derquantel-abamectin presents sheep producers with a unique opportunity to introduce a new class of anthelmintic to their nematode control programmes, with the added benefits offered by a combination anthelmintic.


Subject(s)
Helminthiasis, Animal/drug therapy , Ivermectin/analogs & derivatives , Sheep Diseases/drug therapy , Animals , Anthelmintics/therapeutic use , Drug Combinations , Female , Helminthiasis, Animal/epidemiology , Ivermectin/administration & dosage , Ivermectin/adverse effects , Ivermectin/therapeutic use , Male , New Zealand/epidemiology , Sheep , Sheep Diseases/epidemiology , Sheep Diseases/parasitology
16.
East Afr Med J ; 87(11): 469-72, 2010 Nov.
Article in English | MEDLINE | ID: mdl-23457811

ABSTRACT

Poland syndrome is a rare congenital condition presentingwith typical features including an absent costosternal head of pectoralis major andipsilateral brachysyndactyly. There are many clinical variations of the syndrome including rib defects, absence of shoulder girdle muscle and breast hypoplasia or agenesis. Dextrocardia is rarely associated with Poland Syndrome with only 22 cases being previously reported in the worldwide literature. Whereas 'classical' Poland syndrome is predominantly right sided, all cases associated with dextrocardia have been left sided. We report a further case of left sided Poland syndrome with dextrocardia which might have important implications for the understanding of the pathogenesis of this unusual condition.


Subject(s)
Abnormalities, Multiple/diagnosis , Dextrocardia/diagnosis , Poland Syndrome/diagnosis , Abnormalities, Multiple/etiology , Dextrocardia/etiology , Humans , Infant , Male , Poland Syndrome/etiology
17.
Genes Brain Behav ; 7(3): 288-99, 2008 Apr.
Article in English | MEDLINE | ID: mdl-17696994

ABSTRACT

Huntington's disease (HD) is an inherited neurodegeneration that causes a severe progressive illness and early death. Several animal models of the disease have been generated carrying the causative mutation and these have shown that one of the earliest molecular signs of the disease process is a substantial transcriptional deficit. We examined the alterations in brain gene expression in the R6/1 mouse line over the course of the development of phenotypic signs from 18 to 27 weeks. Changes in R6/1 mice were similar to those previously reported in R6/2 mice, and gene ontology analysis shows that pathways related to intracellular and electrical signaling are altered among downregulated genes and lipid biosynthesis and RNA processes among upregulated genes. The R6/1 mice showed deficits in rotarod performance, locomotor activity and exploratory behavior over the time-course. We have correlated the alterations in gene expression with changes in behavior seen in the mice and find that few alterations in gene expression correlate with all behavioral changes but rather that different subsets of the changes are uniquely correlated with one behavior only. This indicates that multiple behavioral tasks assessing different behavioral domains are likely to be necessary in therapeutic trials in mouse models of HD.


Subject(s)
Brain/physiopathology , Gene Expression Regulation , Huntington Disease/genetics , Animals , Behavior, Animal , Crosses, Genetic , DNA/genetics , Disease Models, Animal , Exploratory Behavior , Female , Male , Mice , Mice, Inbred Strains , Motor Activity/genetics , Oligonucleotide Array Sequence Analysis , Recognition, Psychology , Reflex, Startle
18.
Undersea Hyperb Med ; 33(2): 109-18, 2006.
Article in English | MEDLINE | ID: mdl-16716061

ABSTRACT

The purpose of this study was to assess the contribution of SCUBA to the pulmonary effects of diving to 4.5 meters depth in healthy subjects using a randomized crossover control condition. Ten healthy divers performed two 60-minute 'dives' using SCUBA in a swimming pool. The non-immersed 1 ATA SCUBA control exposure took place at ambient pressure in the laboratory. Thirty minutes prior to, and 30 and 90 minutes post-exposure, FVC (forced vital capacity), FEV1.0 (forced expired volume), peak expiratory flow rate (PEFR), diffusing capacity (DL(co)), heart rate (HR) and temperature were measured. No significant differences were noted in HR, temperature or spirometry between the two conditions. A significant reduction in diffusing capacity occurred at 30 and 90 minutes after the pool dive (9.3% and 15.1%, respectively, p < 0.05). There was no concordant change in DL(co) following the non-immersed 1 ATA SCUBA control. Thus, a pool dive to 4.5 meters for 60 minutes causes a decrease in DL(co), without a change in spirometry, while breathing from SCUBA equipment without immersion causes no significant change in lung function.


Subject(s)
Diving/physiology , Pulmonary Diffusing Capacity/physiology , Adult , Analysis of Variance , Cross-Over Studies , Female , Forced Expiratory Volume , Humans , Male , Peak Expiratory Flow Rate , Spirometry , Time Factors , Ventilators, Mechanical , Vital Capacity
19.
Br J Sports Med ; 39(12): 917-20, 2005 Dec.
Article in English | MEDLINE | ID: mdl-16306499

ABSTRACT

OBJECTIVES: To determine the effect of prophylactic treatment with an inhaled bronchodilator and anti-inflammatory on arterial saturation (SaO2) in trained non-asthmatic male athletes with exercise induced arterial hypoxaemia (EIAH). METHODS: Nine male athletes (mean (SD) age 26.3 (6.7) years, height 182.6 (7.9) cm, weight 79.3 (10.5) kg, VO2MAX 62.3 (6.3) ml/kg/min, SaO2MIN 92.5 (1.1)%) with no history of asthma were tested in two experimental conditions. A combination of a therapeutic dose of salbutamol and fluticasone or an inert placebo was administered in a randomised crossover design for seven days before maximal cycling exercise. Oxygen consumption (VO2), ventilation (VE), heart rate (HR), power output, and SaO2 were monitored during the exercise tests. RESULTS: There were no significant differences between the drug (D) and placebo (P) conditions for minimal SaO2 (D = 93.6 (1.4), P = 93.0 (1.1)%; p = 0.93) VO2MAX (D = 61.5 (7.2), P = 61.9 (6.3) ml/kg/min; p = 0.91), peak power (D = 444.4 (48.3), P = 449.4 (43.9) W; p = 0.90), peak VE (D = 147.8 (19.1), P = 149.2 (15.5) litres/min; p = 0.82), or peak heart rate (D = 182.3 (10.0), P = 180.8 (5.5) beats/min; p = 0.76). CONCLUSIONS: A therapeutic dose of salbutamol and fluticasone did not attenuate EIAH during maximal cycling in a group of trained male non-asthmatic athletes.


Subject(s)
Albuterol/administration & dosage , Androstadienes/administration & dosage , Bronchitis/complications , Bronchodilator Agents/administration & dosage , Hypoxia/drug therapy , Sports/physiology , Administration, Inhalation , Adult , Cross-Over Studies , Double-Blind Method , Drug Therapy, Combination , Exercise Test/methods , Fluticasone , Heart Rate/drug effects , Heart Rate/physiology , Humans , Hypoxia/etiology , Male , Oxygen Consumption/drug effects , Oxygen Consumption/physiology
20.
Otol Neurotol ; 26(4): 639-45, 2005 Jul.
Article in English | MEDLINE | ID: mdl-16015160

ABSTRACT

OBJECTIVE: We compared behavioral judgment of maximum comfortable loudness levels (C levels) and behavioral thresholds (Ts) for straight and Contour electrode arrays with two objective thresholds, electrically elicited stapedial reflex thresholds (eSRTs) and electrically elicited compound action potential thresholds (eCAP thresholds), on experienced adult cochlear implant users. Next, we evaluated the predictive value of objective measures for the straight and Contour electrode arrays, respectively. STUDY DESIGN: This is a prospective, two-group comparison study of two objective and subjective levels for two different Nucleus 24 electrode arrays. PATIENTS: Thirty experienced adults with Nucleus 24 cochlear implant were subjects in this study. Half the subjects used the straight electrode array, and the other half used the Contour electrode array. METHODS: Subjective C levels, Ts, and eSRTs were successfully identified for each active electrode. eCAP thresholds were measured on 5 representative basal, medial, and apical electrodes. Correlation and regression analyses between subjective levels and objective thresholds were performed. RESULTS: For our study subjects, there were no significant differences between the straight and Contour electrode array in regard to stimulation requirements between C levels, Ts, and thresholds of eCAP thresholds and eSRTs. CONCLUSION: Both eSRTs and eCAP thresholds may be used equally for estimation of subjective levels for either straight electrode array or Contour electrode array.


Subject(s)
Cochlear Implants , Cochlear Nerve/physiopathology , Deafness/physiopathology , Electrodes, Implanted , Patient Satisfaction , Reflex , Stapes/physiopathology , Action Potentials , Adolescent , Adult , Aged , Aged, 80 and over , Deafness/surgery , Differential Threshold , Equipment Design , Humans , Middle Aged , Prospective Studies , Regression Analysis , Telemetry
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