Projections of the future course of the primary vCJD epidemic in the UK: inclusion of subclinical infection and the possibility of wider genetic susceptibility.

The incidence of variant Creutzfeldt-Jakob disease (vCJD) in the United Kingdom appears to be in decline, with only four deaths reported this year (to 6 September 2004). However, results of a survey of lymphoreticular tissues have suggested a substantially higher prevalence of vCJD than expected from the clinical data alone. There are two plausible explanations for this discrepancy: first, a proportion of those infected will not develop clinical disease (subclinical infection); and second, the genetic group in which no clinical cases of vCJD have yet occurred is susceptible. Using mathematical models for the primary transmission of bovine spongiform encephalopathy to humans, we explore the impact of these hypotheses on case predictions. Under the first hypothesis, the results suggest relatively few future cases will arise via primary transmission, but that these cases are a small proportion of those infected, with most having subclinical infection. Under the second hypothesis, results suggest a maximum fivefold increase in cases, but this hypothesis is unable to account for the discrepancy between clinical cases and the estimated prevalence. Predictions of future cases of vCJD therefore remain uncertain, particularly given the recent identification of additional cases infected via blood transfusion.     

A generalized framework for digital adjustment or correction

This paper provides a unified technique to deal with a number of open-ended, digital adjustment and/or correction techniques that have grown up as “special cases.” These include corrections for system imperfections in channel matching, in frequency response, and/or in transient response. In the situations under consideration there is always a controlling variable, such as signal amplitude, and a controlled or correctable variable, such as the transient response. All of the systems to be corrected require a combination of: stability, the ability to sort the controlling variable, a digital storage mechanism, a control or correction mechanism, and a standard to provide the means to adjust the final results to within the desired tolerance. The methods are illustrated with results from an actual, digitally sampling, two-channel, seven-amplitude range, 10 MHz, 100 A, pulse current generating and measuring system. These results include the digital correction of the transient response of the system and introduce a 100 A “flatness standard.” By using these concepts one may usually achieve at least a ten times reduction in the uncertainty in the transfer function of the system that is adjusted or corrected     

Spinal injuries in New Zealand rugby and rugby league--a twenty year survey

AIMS: To establish trends in frequency of serious spinal cord injuries in rugby and rugby league over a 20 year period and to elucidate patterns of injury from retrospective analysis of cases admitted to New Zealand's two spinal injuries units. METHODS: A detailed survey of unit records with follow-up of selected patients; statistical analysis of data. RESULTS: During the 20 years 1976 to 1995, 119 rugby and 22 rugby league players (total 141) were admitted to New Zealand's two spinal injuries units suffering serious spinal injuries and 47 of these became permanently confined to wheelchairs. There was a steady increase in frequency throughout the period studied. Of the injuries 83% occurred in forwards and 17% in backs. In rugby it was the scrum which produced most injuries, and in rugby league it was the tackle. The early season month of April produced most spinal injuries. In the eighteen months since intense compulsory educational programmes on safety were introduced by the New Zealand Rugby Union there have been no serious spinal cord injuries from rugby scrums. CONCLUSION: Contrary to widespread belief, there has not been a decrease in spinal cord injuries in rugby following rule changes in the mid 1980s. The information produced by this retrospective study has been an effective educational platform to make rugby and rugby league safer.     

Environmental stress and blood glucose change in insulin-dependent diabetes mellitus.

Investigated blood glucose (BG) response to psychological stress in 14 22–65 yr old insulin-dependent diabetes mellitus patients. Ss were exposed to 2 sessions (12 wks apart) of 2 20-min standardized stressors (active and passive) and a control condition administered in counterbalanced order. BG response was measured, and mood checklist measures were obtained at prestressor, poststressor, and recovery periods. During the 1st session of testing, the active stressor was associated with significantly more absolute change in BG response than the passive stressor. Ss' BG response to this active stressor was idiosyncratic but significantly reliable over time. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Structure and stability of an immunoglobulin superfamily domain from twitchin, a muscle protein of the nematode Caenorhabditis elegans

The NMR solution structure of an immunoglobulin superfamily module of twitchin (Ig 18') has been determined and the kinetic and equilibrium folding behaviour characterised. Thirty molecular coordinates were calculated using a hybrid distance geometry-simulated annealing protocol based on 1207 distance and 48 dihedral restraints. The atomic rms distributions about the mean coordinate for the ensemble of structures is 0.55( +/- 0.09) A for backbone atoms and 1.10( +/- 0.08) A for all heavy atoms. The protein has a topology very similar to that of telokin and the titin Ig domains and thus it falls into the I set of the immunoglobulin superfamily. The close agreement between the predicted and observed structures of Ig 18' demonstrates clearly that the I set profile can be applied in the structure prediction of immunoglobulin-like domains of diverse modular proteins. Folding studies reveal that the protein has relatively low thermodynamic stability, deltaG(H2O)U-F = 4.0 kcal mol(-1) at physiological pH. Unfolding studies suggest that the protein has considerable kinetic stability, the half life of the unfolding is greater than 40 minutes in the absence of denaturant.     

Cytosolic and nuclear distribution of PPARgamma2 in differentiating 3T3-L1 preadipocytes

In light of the pivotal role that PPARgamma2 plays in the expression of fat specific genes (e.g., A-FABP), we have examined the hypothesis that a rise in PPARgamma2 protein is required for the expression of A-FABP, and that the acceleration of fat cell differentiation by the thiazolidinedione agent, pioglitazone (PIOG), reflects an increase in the abundance of PPARgamma2 mRNA and protein. Western analyses surprisingly revealed that undifferentiated 3T3-L1 fibroblasts contained significant levels of PPARgamma2 protein; that the amount of total cellular PPARgamma2 only increased 2-fold during differentiation; and that the levels of PPARgamma2 protein and mRNA were not increased by PIOG even though fat cell differentiation was accelerated by PIOG as revealed by a 20-fold increase in A-FABP expression. Cell fractionation studies revealed that PPARgamma2 was evenly distributed between the cytosolic and nuclear compartments in both undifferentiated and differentiating 3T3-L1 cells. Immunocytochemical studies with a PPARgamma2-specific antibody indicated that PPARgamma2 was diffusely distributed throughout the cytosol of undifferentiated 3T3-L1 cells, but as the differentiation progressed, the PPARgamma2 became focused around the developing lipid droplets. In contrast to PPARgamma2, undifferentiated 3T3-L1 cells contained no measurable quantities of RXRalpha, but once fat cell differentiation was initiated by treatment with IBMX and dexamethasone, the cellular content of RXRalpha increased several fold. The rise in RXRalpha content paralleled the induction of A-FABP, but the expression of RXRalpha was not enhanced by PIOG. Although the amount of PPARgamma2 and RXRalpha was unaffected by PIOG, gel shift assays revealed that PIOG stimulated PPARgamma2/RXRalpha binding to the adipose response element of A-FABP by 5-fold in less than 12 h. Apparently, RXRalpha rather than PPARgamma2 is the pivotal trans-factor essential for the initiation of terminal fat cell differentiation. However, the high cytsolic content of PPARgamma2 and its association with the lipid droplet of differentiating 3T3-L1 cells suggests PPARgamma2 may possess a cytosolic function in the developing fat cell.     

Effectiveness of single and coastal superposphates applied either in autumn or spring

Phosphorus (P) is known to leach laterally in water flowing during winter over pasture growing on flat soils that are shallow sands over slowly permeable lateritic ironstone gravel or clay soils in the high rainfall (> 800 mm annual average) areas of south-western Australia. The climate is Mediterranean, with hot dry December to March and cool wet April to November growing season, with excess water flowing over the surface from June to early-August. Fertilizer P is presently applied at about mid-March, near the start of the growing season. Single superphosphate has been applied for many years, which has a good residual value, and so the soils are no longer acutely P deficient. Consequently, a better method may be to apply the fertilizer at mid-August, after waterlogging and P leaching have usually receded, and radiation and temperature are rising, so pasture growth is increasing. The field experiment reported here was on a shallow sand over lateritic ironstone gravel where lateral leaching of P occurs. The experiment compared from 1990 to 1994 the effectiveness of single superphosphate (SSP), the fertilizer used at present, and coastal superphosphate (CSP), a partially acidulated rock phosphate containing about half the total P and one third the water-soluble P initially present in SSP. The fertilizers were applied annually either at mid-March or at mid-August. SSP applied at mid-March was the most effective treatment studied in the years when pasture plants had emerged before fertilizer was applied at mid-March. This is attributed to pasture plants being able to take up P from SSP applied at mid-March before leaching of P occurred, so that relative to SSP applied at mid-March, the other P fertilizer treatments (CSP applied at mid-march and mid-August, SSP applied at mid-August) were about equally or less effective. However, in years when the growing season had yet to start before fertilizer was applied at mid-March, then relative to SSP applied at mid-March, the other fertilizer treatments were equally or more effective. This is attributed to extensive leaching of P from SSP applied at mid-March, so that due to P losses from SSP applied at mid-March, the other treatments were equally or more effective. It is therefore concluded that profitable pasture production with reduced leaching is achieved by applying SSP at mid-March if soils are moist and pasture plants are growing at that time. However, if the soils are dry and no pasture plants are growing at mid-March, then CSP should be applied at mid-August.     

Cholesterol and lipoprotein(a) as risk factors for coronary heart disease in elderly subjects

The changes in lipoprotein(a) concentration that occur with age as a result of its association with an increased risk of coronary artery disease were investigated. Lipoprotein(a) concentrations were measured in serum samples from healthy volunteers, individuals with premature coronary artery disease, individuals with hyperlipidaemia but without evidence of premature coronary artery disease, and also in elderly men and women who had hyperlipidaemia. Concentrations in individuals with premature coronary artery disease were the same as those of the healthy volunteers, while in both these groups they were lower than those found in hyperlipidaemic elderly men and women, and those found in hyperlipidaemic women aged 36-68 years. No association between raised lipoprotein(a) concentration and mortality as a result of premature coronary artery disease was demonstrated. Raised lipoprotein(a) levels found in the hyperlipidaemic individuals also suggested that it may not be an independent risk factor.     

Quantum-confined stark effect and ultrafast absorption dynamics in bilayer inas quantum dot waveguide

A Stark shift of 40 nm at 1340 nm in a bilayer InAs/GaAs quantum dot ridge waveguide is reported. Time-resolved measurements indicate absorption recovery times of 7 ps at -8 V. Such favourable properties are desirable for intensity and phase modulators