ABSTRACT
The hibiscus bud weevil (HBW), Anthonomus testaceosquamosus Linell (Coleoptera: Curculionidae), is a significant threat to tropical hibiscus (Hibiscus rosa-sinensis) in Florida, USA, since its invasion in 2017. As a regulated pest in the state, early detection is crucial. Based on the success of pheromone-based monitoring programs for other weevil pests, such as the boll weevil, cranberry weevil, and pepper weevil, this study explores the potential use of these pheromone lures for early detection of HBW. To account for differences in efficacy based on trap color, height, and design, different pheromone lure sizes (4 mm, 10 mm, full-size), trap types (Yellow sticky trap, Japanese beetle trap, Boll weevil trap), and heights (0 m, 1.1 m) were also tested in this study. In laboratory assays, males and females exhibited higher attraction to full-size cranberry weevil lure discs than other lure size-type combinations. In semi-field trials, yellow sticky traps baited with cranberry weevil lures captured more weevils than Japanese beetle or boll weevil traps baited with cranberry weevil lures, while trap height did not influence HBW capture. In semi-field, 4-choice bioassays, yellow sticky traps baited with cranberry weevil lures captured more HBW compared to yellow sticky traps baited with pepper weevil, boll weevil, or unbaited traps. Further research is required to thoroughly evaluate the cranberry weevil lure's efficacy in capturing HBW. Our study suggests the potential for utilizing yellow sticky traps baited with lures for early HBW detection and highlights the importance of selecting the appropriate lure, trap type, and height for optimal efficacy.
Subject(s)
Insect Control , Pheromones , Weevils , Animals , Weevils/drug effects , Insect Control/methods , Female , Male , Pheromones/pharmacologyABSTRACT
In 2017, the hibiscus bud weevil (HBW), Anthonomus testaceosquamosus Linell (Coleoptera: Curculionidae), was found outside of its native range of Mexico and Texas, infesting hibiscus plants in Florida. Therefore, we selected 21 different insecticide and horticultural oil products to evaluate their effects on the reproductive rate, feeding, and oviposition behavior of the HBW. In laboratory experiments, significant mortality was observed in adult weevils exposed to diflubenzuron-treated hibiscus leaves and buds, and hibiscus buds treated with diflubenzuron contained the fewest number of eggs and feeding/oviposition holes. Among horticultural oil products, significant mortality was only observed in experiments in which adult weevils were directly sprayed (direct experiments). Pyrethrins and spinetoram plus sulfoxaflor reduced the oviposition rate and caused significant mortality in direct experiments. Diflubenzuron, pyrethrins, spinetoram plus sulfoxaflor, and spirotetramat were further tested via contact toxicity experiments and greenhouse experiments. Contact toxicity experiments demonstrated that the tested insecticides (except diflubenzuron) were highly toxic to HBW adults. In greenhouse experiments, only those hibiscus plants treated with pyrethrins had significantly fewer feeding/oviposition holes and larvae within their flower buds when compared to control (water-treated) plants. These results constitute an important first step in the identification of effective chemical control options for the HBW.
ABSTRACT
The discovery of topological order has revised the understanding of quantum matter and provided the theoretical foundation for many quantum errorcorrecting codes. Realizing topologically ordered states has proven to be challenging in both condensed matter and synthetic quantum systems. We prepared the ground state of the toric code Hamiltonian using an efficient quantum circuit on a superconducting quantum processor. We measured a topological entanglement entropy near the expected value of ln2 and simulated anyon interferometry to extract the braiding statistics of the emergent excitations. Furthermore, we investigated key aspects of the surface code, including logical state injection and the decay of the nonlocal order parameter. Our results demonstrate the potential for quantum processors to provide insights into topological quantum matter and quantum error correction.
ABSTRACT
Although site-specific pest management has the potential to decrease control costs and environmental impact associated with traditional pest management tactics, the success of these programs relies on the accurate characterization of arthropod distributions within a crop. Because potential correlation of insect counts with remotely sensed field attribute data could help to decrease the costs associated with and need for fine-scale spatial sampling, we chose to determine which within-field variables would be informative of soybean arthropod counts in an attempt to move toward site-specific pest management in this crop. Two soybean fields were grid-sampled for pestiferous and predaceous arthropods, plant productivity estimates, and abiotic variable characterization in 2017-2018. Negative binomial, zero-inflated models were used to estimate presence and counts of soybean arthropod taxa based on normalized difference vegetation index (NDVI), soybean plant height, soil electrical conductivity (ECa), elevation, and calendar week. Among all variables, calendar week was the most reliable predictor of arthropod counts, as it was a significant predictor for a majority of all taxa. Additionally, counts for a majority of pestiferous taxa were significantly associated with distance from the field edge, elevation, soybean plant height, and NDVI. Although site-specific pest management has the potential for reduced management inputs and increased profitability over conventional management (i.e., whole-field) practices, management zones must first be clearly defined based on the within-field variability for the variables of interest. If site-specific pest management practices are to be applied in soybean, calendar week (and associated soybean phenology), soybean plant height (and associated elevation), and NDVI may be useful for describing the distributions of pests, such as kudzu bug, Megacopta cribraria (Hemiptera: Plataspidae) (Fabricius), green cloverworm, Hypena scabra (Lepidoptera: Erebidae) (Fabricius), velvetbean caterpillar, Anticarsia gemmatalis (Lepidoptera: Erebidae) (Hübner), and soybean looper, Chrysodeixis includens (Lepidoptera: Noctuidae) (Walker).
Subject(s)
Arthropods , Heteroptera , Moths , Animals , Insecta , Glycine maxABSTRACT
Originating in northeastern Mexico and southern Texas, the hibiscus bud weevil (HBW), Anthonomus testaceosquamosus Linell 1897, was discovered infesting China rose hibiscus (Hibiscus rosa-sinensis L.) in south Florida in May 2017. Although the biologies of the congeneric boll weevil, A. grandis Boheman 1843, and pepper weevil, A. eugenii Cano 1894 are well documented, no data are available regarding the biology of HBW. Here, we present a comprehensive study on the biology of this pest when reared at 10, 15, 27 and 34 °C and on different food sources. This weevil has three larval instars and its life cycle was completed only at 27 ± 1 °C. Weevil development was similar on an artificial diet when compared with a diet of hibiscus buds. Adult HBW could survive solely on pollen, but reproduction did not occur. Without water, HBW survived for ≈15 days; survival times reached nearly 30 days when water was accessible. Our results suggest that if left unmanaged, HBW has the potential to cause significant economic damage to the hibiscus industry. Given that a comprehensive understanding of a pest's biology is critical for development of effective integrated pest management, our results provide a foundation for future research endeavors to mitigate the impact of this weevil in south Florida.
ABSTRACT
OBJECTIVE: Terminalia ferdinandiana extracts are potent growth inhibitors of many bacterial pathogens. They may also inhibit the growth of malodour-producing bacteria and thus be useful deodorant components, although this is yet to be tested. METHODS: Terminalia ferdinandiana fruit and leaf solvent extracts were investigated by disc diffusion and liquid dilution MIC assays against the most significant bacterial contributors to axillary and plantar malodour formation. Toxicity was determined using the Artemia franciscana nauplii bioassay. Non-targeted HPLC separation of the methanolic leaf extract coupled to high-resolution time-of-flight (TOF) mass spectroscopy was used for the identification and characterization of individual components in the extract. RESULTS: The T. ferdinandiana leaf extracts were the most potent bacterial growth inhibitors. The leaf methanolic extract was particularly potent, with low MIC values against C. jeikeium (233 µg mL-1 ), S. epidermidis (220 µg mL-1 ), P. acnes (625 µg mL-1 ) and B. linens (523 µg mL-1 ). The aqueous and ethyl acetate leaf extracts were also potent growth inhibitors of C. jeikeium and S. epidermidis (MICs < 1000 µg mL-1 ). In comparison, the fruit extracts were substantially less potent antibacterial agents, although still with MIC values indicative of moderate growth inhibitory activity. All T. ferdinandiana leaf extracts were non-toxic in the Artemia franciscana bioassay. Non-biased phytochemical analysis of the methanolic leaf extract revealed the presence of high levels of and high diversity of tannins and high levels of the flavone luteolin. CONCLUSION: The low toxicity of the T. ferdinandiana leaf extracts and their potent growth inhibition of axillary and plantar malodour-producing bacteria indicate their potential as deodorant components.
Subject(s)
Bacteria/drug effects , Deodorants/pharmacology , Odorants , Plant Extracts/pharmacology , Terminalia/chemistry , Anti-Bacterial Agents/pharmacology , Antioxidants/pharmacology , Bacteria/growth & development , Bacteria/metabolism , Chromatography, High Pressure Liquid , Humans , Mass Spectrometry , Microbial Sensitivity TestsABSTRACT
The directed, head-to-tail self-assembly of microtubule filaments may be generalized in the context of Janus colloidal rods. Specifically, their assembly at the tens of micron-length scale involves a careful balance between long-range electrostatic repulsion and short-range attractive forces. Here we show that the addition of counterion salts increases the rate of directed assembly by screening the electrostatic forces and enhancing the effectiveness of short-range interactions at the microtubule ends.
Subject(s)
Microtubules/chemistry , Colloids/chemistry , Sodium Chloride/chemistry , Static ElectricityABSTRACT
Highly pathogenic avian influenza subtype H5N1 (H5N1) has contributed to substantial economic loss for backyard and large-scale poultry farmers each year since 1997. While the distribution of domestic H5N1 outbreaks across Africa, Europe and Asia is extensive, those features of the landscape conferring greatest risk remain uncertain. Furthermore, the extent to which influential landscape features may vary by season has been inadequately described. The current investigation used World Organization for Animal Health surveillance data to (i) delineate areas at greatest risk of H5N1 epizootics among domestic poultry, (ii) identify those abiotic and biotic features of the landscape associated with outbreak risk and (iii) examine patterns of epizootic clustering by season. Inhomogeneous point process models were used to predict the intensity of H5N1 outbreaks and describe the spatial dependencies between them. During October through March, decreasing precipitation, increasing isothermality and the presence of H5N1 in wild birds were significantly associated with the increased risk of domestic H5N1 epizootics. Conversely, increasing precipitation and decreasing isothermality were associated with the increased risk during April through September. Increasing temperature during the coldest quarter, domestic poultry density and proximity to surface water were associated with the increased risk of domestic outbreaks throughout the year. Spatial dependencies between outbreaks appeared to vary seasonally, with substantial clustering at small and large scales identified during October through March even after accounting for inhomogeneity due to landscape factors. In contrast, during April to September, H5N1 outbreaks exhibited no clustering at small scale once accounting for landscape factors. This investigation has identified seasonal differences in risk and clustering patterns of H5N1 outbreaks in domestic poultry and may suggest strategies in high-risk areas with features amenable to intervention such as controlling domestic bird movement in areas of high poultry density or preventing contact between poultry and wild birds and/or surface water features.
Subject(s)
Disease Outbreaks/veterinary , Influenza A Virus, H5N1 Subtype/physiology , Influenza in Birds/epidemiology , Poultry Diseases/epidemiology , Poultry , Africa/epidemiology , Animals , Asia/epidemiology , Cluster Analysis , Europe/epidemiology , Influenza in Birds/virology , Poultry Diseases/virology , SeasonsABSTRACT
The effect of rowing ergometer design upon power delivery and coordination patterns of the rowing stroke was analyzed for 14 elite rowers. Rowers were tested in three ergometer conditions: the fixed stretcher Concept2c ergometer, the Concept2c ergometer mounted on sliding rails, and the sliding stretcher RowPerfect ergometer. Ergometers were instrumented to measure the external force generated at the handle and the foot stretcher and a nine-segment inverse dynamics model used to calculate joint and overall power delivery. Peak power generation and absorption at the knee joint was significantly greater, and total power delivered to the ergometer delayed on the fixed stretcher ergometer when compared to the sliding stretcher ergometers. No differences were found in the mechanical energy delivered to the handle of the three ergometers; however, greater joint mechanical energy production of the lower limb reduced mechanical efficiency when rowing the Concept2c fixed ergometer. The fixed foot stretcher on the Concept2c fixed ergometer acts to increase the inertial forces that the rower must overcome at the catch, increasing the moment and power output at the knee, and affecting the coordination pattern during the recovery phase.
Subject(s)
Equipment Design , Ergometry/instrumentation , Hip Joint/physiology , Knee Joint/physiology , Sports/physiology , Adult , Biomechanical Phenomena/physiology , Energy Metabolism , Humans , Male , Torso/physiology , Young AdultABSTRACT
The direct burden of people whose goal of care is a palliative approach has not been estimated in the acute care setting. Using a single time point, cross-sectional survey of all inpatient beds, an estimate was generated across a network of three South Australian public hospitals. One in three inpatients had a palliative approach as the goal of care and of these, only one in five had been referred to specialist palliative care services. Those referred were significantly more likely to have cancer and be younger men. Active recognition and documentation that a palliative approach frames the goals of care for this person needs to be incorporated more systematically into clinical practice in the acute care setting. At the same time, triggers for needs-based referral for specialist assessment should be implemented. Specialist palliative care services must also provide direct care for a wider range of patients than just those with cancer.
Subject(s)
Health Services Needs and Demand/statistics & numerical data , Hospitals, Public/statistics & numerical data , Inpatients/statistics & numerical data , Palliative Care , Aged , Aged, 80 and over , Cost of Illness , Data Collection , Female , Goals , Health Planning , Health Services Needs and Demand/economics , Humans , Male , Neoplasms/epidemiology , Neoplasms/therapy , Palliative Care/economics , Palliative Care/statistics & numerical data , Prevalence , Referral and Consultation , South AustraliaABSTRACT
BACKGROUND AND PURPOSE: Onyx was developed for embolization of central nervous system AVMs but is increasingly used extracranially because of its unique physical properties. We review our experience and results with the use of Onyx for the treatment of fast-flow extracranial vascular lesions. MATERIALS AND METHODS: We retrospectively analyzed clinical and imaging records of 22 patients who underwent 71 extracranial embolizations from March 2007 through January 2010. The diagnoses were the following: cervicofacial AVM (n = 18), traumatic fistula (n = 3), and vessel laceration (n = 1). In 62 of 71 procedures (87%), Onyx was the sole embolic agent; it was delivered transarterially in 67/71 and percutaneously in 4/71 procedures. Clinical goals included amelioration of pain and control of bleeding. The clinical efficacy of embolization was judged by symptom control, and adverse events were assessed by clinical examination and history, both postembolization and 4 weeks postprocedure. RESULTS: Cessation of acute bleeding was achieved in 13/14 cases, with 1 case of immediate recurrent massive epistaxis prompting reintubation and further embolization. Control of subacute bleeding episodes and pain was achieved for all patients. Following staged embolization, 7 patients underwent surgical resection without significant blood loss. Surgeons reported high satisfaction with the intraoperative handling properties of Onyx. Transient swelling, local tenderness, or numbness was encountered after 7 procedures. There were no stuck catheters, vessel dissections, or vessel ruptures and no skin discoloration. CONCLUSIONS: Staged Onyx embolization was clinically efficacious in managing extracranial fast-flow vascular malformations and lesions, with low associated morbidity.
Subject(s)
Embolization, Therapeutic/methods , Head/abnormalities , Head/blood supply , Hemostatics/therapeutic use , Neck/abnormalities , Neck/blood supply , Polyvinyls/adverse effects , Polyvinyls/therapeutic use , Tantalum/adverse effects , Tantalum/therapeutic use , Vascular Malformations/therapy , Adolescent , Adult , Aged , Child , Drug Combinations , Female , Humans , Male , Middle Aged , Treatment Outcome , Young AdultABSTRACT
BACKGROUND: The National Institute for Health and Clinical Excellence (NICE) was reviewing its previous guidance on continuous subcutaneous insulin infusion (CSII). The review provided an assessment of evidence which had been published since the previous NICE appraisal (TA 151) in 2007. OBJECTIVES: To examine the clinical effectiveness and cost-effectiveness of using CSII to treat diabetes. To update the previous assessment report by reviewing evidence that has emerged since the last appraisal, and to take account of developments in alternative therapies, in particular the long-acting analogue insulins, which cause fewer problems with hypoglycaemia. DATA SOURCES: A systematic review of the literature and an economic evaluation were carried out. The bibliographic databases used were MEDLINE and EMBASE, 2002 to June 2007. The Cochrane Library (all sections), the Science Citation Index (for meeting abstracts only) and the website of the 2007 American Diabetes Association were also searched. REVIEW METHODS: The primary focus for type 1 diabetes mellitus (T1DM) was the comparison of CSII with multiple daily injection (MDI), based on the newer insulin analogues, but trials of neutral protamine Hagedorn (NPH)-based MDI that had been published since the last assessment were identified and described in brief. For type 2 diabetes mellitus (T2DM), all trials of MDI versus CSII were included, whether the long-acting insulin was analogue or not, because there was no evidence that analogue-based MDI was better than NPH-based MDI. Trials that were shorter than 12 weeks were excluded. Information on the patients' perspectives was obtained from four sources: the submission from the pump users group--Insulin Pump Therapy (INPUT); interviews with parents of young children who were members of INPUT; some recent studies; and from a summary of findings from the previous assessment report. Economic modelling used the Center for Outcomes Research (CORE) model, through an arrangement with the NICE and the pump manufacturers, whose submission also used the CORE model. RESULTS: The 74 studies used for analysis included eight randomised controlled trials (RCTs) of CSII versus analogue-based MDI in either T1DM or T2DM, eight new (since the last NICE appraisal) RCTs of CSII versus NPH-based MDI in T1DM, 48 observational studies of CSII, six studies of CSII in pregnancy, and four systematic reviews. The following benefits of CSII were highlighted: better control of blood glucose levels, as reflected by glycated haemoglobin (HbA1c) levels, with the size of improvement depending on the level before starting CSII; reduction in swings in blood glucose levels, and in problems due to the dawn phenomenon; fewer problems with hypoglycaemic episodes; reduction in insulin dose per day, thereby partly off-setting the cost of CSII; improved quality of life, including a reduction in the chronic fear of severe hypoglycaemia; more flexibility of lifestyle--no need to eat at fixed intervals, more freedom of lifestyle and easier participation in social and physical activity; and benefits for the patients' family. The submission from INPUT emphasised the quality of life gains from CSII, as well as improved control and fewer hypoglycaemic episodes. Also, there was a marked discrepancy between the improvement in social quality of life reported by successful pump users, and the lack of convincing health-related quality of life gains reported in the trials. With regard to economic evaluation, the main cost of CSII is for consumables, such as tubing and cannulas, and is about 1800-2000 pounds per year. The cost of the pump, assuming 4-year life, adds another 430-720 pounds per annum. The extra cost compared with analogue-based MDI averages 1700 pounds. Most studies, assuming a reduction in HbA1c level of 1.2%, found CSII to be cost-effective. LIMITATIONS: The most important weakness of the evidence was the very small number of randomised trials of CSII against the most modern forms of MDI, using analogue insulins. CONCLUSIONS: Based on the totality of evidence, using observational studies to supplement the limited data from randomised trials against best MDI, CSII provides some advantages over MDI in T1DM for both children and adults. However, there was no evidence that CSII is better than analogue-based MDI in T2DM or in pregnancy. Further trials with larger numbers and longer durations comparing CSII and optimised MDI in adults, adolescents and children are needed. In addition, there should be a trial of CSII versus MDI with similar provision of structured education in both arms. A trial is also needed for pregnant women with pre-existing diabetes, to investigate using CSII to the best effect.
Subject(s)
Diabetes Mellitus, Type 2/drug therapy , Infusions, Subcutaneous , Insulin/administration & dosage , Insulin/economics , Adult , Aged , Child , Child, Preschool , Cost-Benefit Analysis , Diabetes Mellitus, Type 2/economics , Female , Humans , Insulin/pharmacology , Male , Treatment Outcome , United KingdomABSTRACT
PROBLEM: System-wide improvement of chronic disease care is challenging because it requires collaboration and communication across organisational and professional boundaries. Managed clinical networks are one potential solution, but there is little evidence of their effectiveness. DESIGN AND SETTING: Retrospective, mixed-methods evaluation of the form and impact of quality improvement in the Tayside Diabetes Managed Clinical Network (MCN) 1998-2005. STRATEGIES FOR CHANGE: Progressive implementation of multiple quality improvement strategies predominately directed at individuals and clinical teams (guideline development and dissemination, education, clinical audit, encouragement of multidisciplinary team working, task redesign). Information technology played an important role in supporting QI activity, but participants identified it as facilitative rather than delivering QI by itself. More important was achieving widespread clinical engagement through persuasion and appeal to shared professional values by clinical leaders. EFFECTS OF CHANGE: Simple process measures such as glycated haemoglobin measurement rapidly improved. More complex process measures such as eye screening improved more slowly, and were more dependent on redesign of the care pathway. Improvement was greater for type 2 than type 1 diabetes. Significant shifts of care for type 2 diabetes into primary care were achieved, but were harder to achieve without additional resources. LESSONS LEARNT: Delivering better care to whole populations across organisational and professional boundaries required sustained work over long periods, and at all levels of the system of care. Past network focus on clinical collaboration has been effective at improving clinical process and outcome, and the network is now prioritising work with managers and patients to support future redesign.
Subject(s)
Diabetes Mellitus/therapy , Patient Care/standards , Quality Assurance, Health Care/methods , Humans , Interviews as Topic , Practice Guidelines as Topic , Retrospective Studies , ScotlandABSTRACT
BACKGROUND: The systemic renin-angiotensin system (RAS) promotes the plasmatic production of angiotensin (Ang) II, which acts through interaction with specific receptors. There is growing evidence that local systems in various tissues and organs are capable of generating angiotensins independently of circulating RAS. The aims of this study were to investigate the expression and localization of RAS components in rat gingival tissue and evaluate the in vitro production of Ang II and other peptides catalyzed by rat gingival tissue homogenates incubated with different Ang II precursors. METHODS: Reverse transcription-polymerase chain reaction assessed mRNA expression. Immunohistochemical analysis aimed to detect and localize renin. A standardized fluorimetric method with tripeptide hippuryl-histidyl-leucine was used to measure tissue angiotensin-converting enzyme (ACE) activity, whereas high performance liquid chromatography showed products formed after the incubation of tissue homogenates with Ang I or tetradecapeptide renin substrate (TDP). RESULTS: mRNA for renin, angiotensinogen, ACE, and Ang II receptors (AT(1a), AT(1b), and AT(2)) was detected in gingival tissue; cultured gingival fibroblasts expressed renin, angiotensinogen, and AT(1a) receptor. Renin was present in the vascular endothelium and was intensely expressed in the epithelial basal layer of periodontally affected gingival tissue. ACE activity was detected (4.95 +/- 0.89 nmol histidyl-leucine/g/minute). When Ang I was used as substrate, Ang 1-9 (0.576 +/- 0.128 nmol/mg/minute), Ang II (0.066 +/- 0.008 nmol/mg/minute), and Ang 1-7 (0.111 +/- 0.017 nmol/mg/minute) were formed, whereas these same peptides (0.139 +/- 0.031, 0.206 +/- 0.046, and 0.039 +/- 0.007 nmol/mg/minute, respectively) and Ang I (0.973 +/- 0.139 nmol/mg/minute) were formed when TDP was the substrate. CONCLUSION: Local RAS exists in rat gingival tissue and is capable of generating Ang II and other vasoactive peptides in vitro.
Subject(s)
Gingiva/metabolism , Renin-Angiotensin System/physiology , Angiotensinogen/analysis , Angiotensins/analysis , Animals , Cells, Cultured , Chromatography, High Pressure Liquid , Endothelium, Vascular/metabolism , Epithelium/metabolism , Fibroblasts/metabolism , Fluorometry , Gingiva/cytology , Immunohistochemistry , Male , Oligopeptides/metabolism , Peptidyl-Dipeptidase A/analysis , Periodontitis/metabolism , Periodontitis/pathology , RNA, Messenger/analysis , Rats , Rats, Wistar , Receptor, Angiotensin, Type 1/analysis , Receptor, Angiotensin, Type 2/analysis , Renin/analysis , Reverse Transcriptase Polymerase Chain ReactionABSTRACT
OBJECTIVES: The election of a Labour government in 1997 brought the issue of health inequalities firmly back on to the policy agenda across the UK. Since then, in the wake of devolution, the need to tackle health inequalities has been highlighted as a policy priority in all three mainland UK countries, albeit with varying degrees of emphasis. This paper reports on a major cross-national study, funded by the Economic and Social Research Council, investigating how National Health Service bodies, local councils and partnerships make sense of their work on health inequalities, and examining the difference made by the contrasting approaches that have been taken to performance assessment in England, Wales and Scotland. STUDY DESIGN: Case studies, semi-structured interviews and analysis of key policy statements. METHODS: In order to explore how health inequalities have been approached by the three governments (noting that there was a change in governments in Wales and Scotland during this time), key policy statements published between May 1997 and May 2007 were analysed. Concurrently, data from stakeholder interviews carried out in 2006 in case study areas in each country were analysed to determine the extent of alignment between policy and practice at local level. RESULTS: This paper suggests that claims about the extent of health policy divergence in post-devolution Britain may have been exaggerated. It finds that, whilst the three countries have taken differing approaches to performance assessment and the setting of targets, policy approaches to health inequalities up until 2007 appear to have been remarkably similar. Furthermore, the first round of interview data suggest that variations in local understandings of, and responses to, health inequalities cannot always be clearly distinguished along national lines. CONCLUSIONS: Based on the policy analysis, devolution in the UK does not appear to have resulted in substantively different national policy approaches to health inequalities. Indeed, the overall analysis suggests that (prior to the 2007 elections in Scotland and Wales) the differences between local areas within countries may be of as much interest as those between countries.
Subject(s)
Health Policy , Health Status Disparities , England , Humans , Interviews as Topic , Scotland , State Medicine , WalesABSTRACT
Determination of the genetic factors that control the progression of left ventricular hypertrophy (LVH) to heart failure has been difficult despite extensive study in animal models. Here we have characterized a consomic rat model of LVH resulting from the introgression of chromosome 16 from the normotensive Brown Norway (BN) rat onto the genetic background of the Dahl salt-sensitive (SS/Mcwi) rat by marker assisted breeding. The SS-16BN/Mcwi consomic rats are normotensive but display LVH equivalent to the hypertensive SS/Mcwi rats at early ages. In this study we tracked the development of LVH by echocardiography and analyzed changes in cardiac function and morphology with aging in the SS-16BN/Mcwi, SS/Mcwi, and BN to determine if the consomic SS-16BN/Mcwi was a model of hypertrophic cardiomyopathy (HCM). Aging SS-16BN/Mcwi rats showed no evidence of heart failure or impaired cardiac function upon extensive analysis of left ventricle function by echocardiography and pressure-volume relationships, while their parental SS/Mcwi experienced deterioration in function between 18 and 36 wk of age. In addition aging SS-16BN/Mcwi did not exhibit tissue remodeling common to pathological hypertrophy and HCM such as increased fibrosis and reduced capillary density in the myocardium. In fact, SS-16BN/Mcwi were better protected from developing LV fibrosis with age than either the hypertensive SS/Mcwi or normotensive BN parental strains. This suggests that a gene or genes on chromosome 16 may be involved with both blood pressure regulation and preservation of cardiac function with aging.
Subject(s)
Aging/genetics , Cardiomyopathy, Hypertrophic/genetics , Chromosomes/genetics , Animals , Blood Pressure/genetics , Cardiovascular Physiological Phenomena/genetics , Disease Models, Animal , Humans , Male , Rats , Rats, Inbred DahlABSTRACT
Serum albumin contamination of cells cultured in vitro significantly impedes the mass spectrometric analysis of proteins secreted by the cells. Here we report a novel washing and culturing technique for rat vascular endothelial cells that considerably reduces the concentration of the commonly used additive for cell culture, bovine serum albumin (BSA), in the secretome of these cells. Cells are rinsed stringently and cultured for 24 h in serum-free media without appreciably impeding cell growth or viability. The percentage of BSA scans identified by tandem mass spectrometry (LC-MS/MS) in stringently rinsed cells (average 13.2%) was significantly lower than either the moderately rinsed or no rinse cell treatments (average 35.2% and 45.2% respectively). Furthermore, the stringent wash treatment allowed the confident identification of a larger portion of the secretome of rat endothelial cells by LC-MS/MS.
Subject(s)
Cell Culture Techniques , Endothelial Cells/chemistry , Mass Spectrometry , Proteome/analysis , Proteomics/methods , Animals , Cattle , Cells, Cultured , Culture Media/chemistry , Endothelial Cells/metabolism , Endothelium, Vascular/cytology , Rats , Serum Albumin, Bovine/analysisSubject(s)
Fovea Centralis , Macular Edema/diagnosis , Retinal Detachment/diagnosis , Aged , Cataract Extraction/adverse effects , Female , Humans , SyndromeABSTRACT
Systemic mastocytosis (SM) is a disease characterized by tissue infiltration of neoplastic mast cells originating from hematopoietic stem cells. Patients with advanced SM have a poor prognosis, and there is no mast cell ablative therapy available for most patients who carry an activating point mutation in the c-kit gene. We report results of a prospective study evaluating the safety, engraftment, and possibility of inducing a graft-versus-mast cell (GvMC) effect after allogeneic nonmyeloablative hematopoietic cell transplantation (HCT) from an HLA-identical sibling. Three patients with advanced SM were transplanted. All achieved complete donor T cell chimerism followed by clinical evidence for GvMC effect. However, all patients experienced disease progression with the longest response duration of 39 months. The GvMC effect can be observed after nonmyeloablative HCT with limited efficacy. Effective cytoreductive therapy prior to HCT may be required for long-term disease control and cure.