Tobacco and cannabis use as moderators of the association between physical activity and alcohol use across the adult lifespan in the United States: NHANES, 2005-2016.

Physically-active adults are more likely to consume alcohol, but this association may vary if adults also use other substances (i.e., tobacco and/or cannabis), which could increase substance-use related harms. This study examined whether tobacco and/or cannabis use moderated the associations between physical activity, odds of drinking and alcohol drinks/week. We used cross-sectional 2005-2016 National Health and Nutrition Examination Survey data (United States of America). Physical activity was assessed using device-based and self-reported moderate-to-vigorous physical activity (MVPA) and total physical activity hours/week. Individuals were categorized into one of four (poly)substance use categories, no tobacco/no cannabis, tobacco, cannabis, or tobacco/cannabis use. Regression models examined substance use as a moderator of the association between physical activity and the odds of drinking versus not drinking and alcohol drinks/week among light/moderate/heavy drinkers (≥12 drinks/year). Using cannabis or tobacco weakened the significant positive associations between total physical activity and self-reported recreational MVPA hours/week on odds of drinking (ORs = 0.978 and 0.967, respectively), such that the effect was negative or null when using cannabis or tobacco, respectively. Greater total physical activity and device-based MVPA hours/week was associated with consuming greater drinks/week (IRRs = 1.003 and 1.035, respectively). Using tobacco weakened the association between device-based MVPA and alcohol drinks/week (IRR = 0.934, 95% CI: [0.888, 0.982]). Cannabis and tobacco use weakened the association between physical activity and alcohol use. The positive association between physical activity and alcohol use may be limited to single substance users of alcohol and could reflect shared reasons for engaging in these behaviors, such as stress management or social motives.

The ORNATE India Project: United Kingdom-India Research Collaboration to tackle visual impairment due to diabetic retinopathy.

INTRODUCTION: The ORNATE India project is funded by the UK Research and Innovation (UKRI) through the Global Challenges Research Fund. The aim is to build research capacity and capability in India and the UK to tackle global burden of diabetes-related visual impairment. As there are over 77 million people with diabetes in India, it is challenging to screen every person with diabetes annually for sight-threatening diabetic retinopathy (DR). Therefore, alternate safe approaches need to be developed so that those at-risk of visual impairment due to DR is identified promptly and treated. METHODS: The project team utilised diverse global health strategies and research methods to co-design work packages to build research capacity and capability to ensure effective, affordable and efficient DR services are made available for the population. The strategies and methods employed included health system strengthening; implementation science; establishing care pathways; co-designing collaborative studies on affordable technologies, developing quality standards and guidelines to decrease variations in care; economic analysis; risk modelling and stratification. Five integrated work packages have been developed to deal with all aspects of DR care. These included implementation of a DR screening programme in the public health system in a district in Kerala, evaluating regional prevalence of diabetes and DR and assessing ideal tests for holistic screening for diabetes and its complications in 20 areas in India, utilising artificial intelligence on retinal images to facilitate DR screening, exploring biomarker and biosensor research to detect people at risk of diabetes complications, estimating cost of blindness in India and risk modelling to develop risk-based screening models for diabetes and its complications. A large collaborative network will be formed to propagate research, promote shared learning and bilateral exchanges between high- and middle-income countries to tackle diabetes-related blindness.

A Pilot Study on Adolescents With Depression and Insomnia: Qualitative Findings From Focus Groups.

Nonpharmacological treatments for insomnia in adolescents with depression are lacking. This qualitative study was a thematic analysis of the unique characteristics of and preferences for an insomnia treatment in a group of depressed adolescents. Fourteen adolescents with insomnia (age range = 14-19, mean = 17, SD ± 1.7; 71% female) and depression completed a 90-min focus group. Information was elicited about sleep disruptions, insomnia's impact on mood, and preferences for insomnia treatments. Themes included poor daytime functioning affecting sleep, lack of benefit from sleep medication, and bedtime rumination. Most identified sleep diaries as a barrier to treatment regardless of mode of delivery. Participants also preferred an in-person therapy. Insomnia therapy in adolescents should consider the unique characteristics of depression. Larger studies are warranted.

Nonequilibrium hysteresis and Wien effect water dissociation at a bipolar membrane.

As in electrochemical cyclic voltammetry, time-periodic reverse voltage bias across a bipolar membrane is shown to exhibit hysteresis due to transient effects. This is due to the incomplete depletion of mobile ions, at the junction between the membranes, within two adjoining polarized layers; the layer thickness depends on the applied voltage and the surface charge densities. Experiments show that the hysteresis consists of an Ohmic linear rise in the total current with respect to the voltage, followed by a decay of the current. A limiting current is established for a long period when all the mobile ions are depleted from the polarized layer. If the resulting high field within the two polarized layers is sufficiently large, water dissociation occurs to produce proton and hydroxyl traveling wave fronts which contribute to another large jump in the current. We use numerical simulation and asymptotic analysis to interpret the experimental results and to estimate the amplitude of the transient hysteresis and the water-dissociation current.

Breakup of an electrified, perfectly conducting, viscous thread in an AC field.

We study the axisymmetric breakup and satellite formation of slender jets surrounded by a concentrically placed cylindrical electrode and subjected to time-dependent AC electric fields. The jet is assumed to be a perfectly conducting viscous fluid and surrounded by a dielectric inviscid gas. We use the long-wave approximation to derive coupled evolution equations for the interface position and the axial velocity component, which accounts for electrostatic forcing. The electrostatic force in this case is large and competes with capillary forces near the rupture point, causing the interface to oscillate and the satellite to have shapes that are distinct from the DC case. In particular, our results indicate that it may be possible to use the AC field to control the number of satellites accompanying breakup as well as their size.

HapMap-based study of the 17q21 ERBB2 amplicon in susceptibility to breast cancer.

ERBB2 is frequently amplified in breast tumours as part of a wide region of amplification on chromosome 17q21. This amplicon contains many candidate genes for breast cancer susceptibility. We used a genetic association study design to determine if common genetic variation (frequency>or=5%) in a 400-kb region surrounding ERBB2 and containing the PPARBP, CRK7, NEUROD2, PPP1R1B, STARD3, TCAP, PNMT, CAB2, ERBB2, C17ORF37, GRB7 and ZNFN1A3 genes, was associated with breast cancer risk. Sixteen tagging single-nucleotide polymorphisms (tSNPs) selected within blocks of linkage disequilibrium from the HapMap database, one HapMap singleton SNP, and six additional SNPs randomly selected from dbSNP were genotyped using Taqman in a large study set of British women (2275 cases, 2280 controls). We observed no association between any of the genotypes or associated haplotypes and disease risk. In order to simulate unidentified SNPs, we performed the leave-one-out cross-validation procedure on the HapMap data; over 90% of the common genetic variation was well represented by tagging polymorphisms. We are therefore likely to have tagged any common variants present in our population. In summary, we found no association between common genetic variation in the 17q21 ERBB2 amplicon and breast cancer risk in British women.

Differential release of MIP-1alpha and eotaxin during infection of mice by Histoplasma capsulatum or inoculation of beta-glucan.

OBJECTIVE: In the present study, we evaluated the levels of MIP-1alpha and eotaxin and in vivo migration in the peritoneal cavity model, in mice inoculated with live yeast forms of Histoplasma capsulatum or the beta-glucan cell wall component of this fungus, and the influence of a leukotriene biosynthesis inhibitor, MK886, on the release of these chemokines in relation to cell recruitment. MATERIALS: Female outbred Swiss mice (N = 4-5 per group, 3-4 wk, were used. Mice were injected i.p. with 1 ml of the 6 x 10(5) live yeast form of the fungus or with 10 microg of beta-glucan from the cell wall fraction, and treated daily with MK886 (1 mg kg(-1), p.o.) or vehicle. RESULTS: The fungus induced rapid generation of high levels of MIP-1alpha, which remained elevated from 4-48 h whereas very little eotaxin was detected at any time point (Fig. 1A and B). In contrast, the beta-glucan induced a little MIP-1alpha but considerably higher concentrations of eotaxin within the first four hours; however, the level of neither chemokine was sustained (Fig. 2A and B). Treatment of animals with MK886 was effective in reducing the numbers of neutrophils, eosinophils and, to a lesser degree, mononuclear cells accumulating in the peritoneal cavity in response to both the live fungus (Fig. 1C-E) and the cell wall beta-glucan (Fig. 2C-E). CONCLUSIONS: The results suggest that chemokines and leukotrienes may play key roles in the inflammatory cell influx to H. capsulatum infection or to the inoculation of the beta-glucan cell wall component of this fungus

Implementación de un protocolo para la identificación de vibrio parahaemolyticus a través de PCR / Implementation of a protocol for the identification of vibrio parahaemolyticus by PCR

Vibrio parahaemolyticus es una de las principales bacterias Gram-negativas causantes de toxiinfecciones alimentarias y gastroenteritis aguda en humanos. En peces causa septicemia hemorrágica y ulceraciones de la piel, conviertiéndose en una de las principales causas de pérdidas en las explotaciones piscícolas. El presente trabajo documenta el establecimeinto de un protocolo de identificación de Vibrio parahaemolyticus por la técnica de acción en cadena de la polimerasa (PCR). Se realizaron caracaterizaciones genómicas de 24 aislados de Vibrio sp. obtenidos del cepario del laboratorio de Bacteriología de Sanidad Animal CENIAP-INIA en Maracay, estado Aragua, Venezuela. En la identificación genética los aislados fueron caracterizaciones mediante la PCR, siguiendo la metodología descrita por Lee y col. (1) con modificaciones en la extracción del ADN, que se realizó con DNAzol. Los iniciadores utilizados para tal fin fueron: 5`-GCGAATTCGATAGGGTGTTAACC-3` y 5`-CGAATCCTTGAACATACGCAGC-3`. De los 24 aislados analizados por PCR se obtuvieron 7 amplificados, que se identificaron como V. parahaemolyticus

Aislamiento de vibrio cholerae a partir de lisas y tilapias en Venezuela / Isolates of vibrio cholerae from lisas and tilapias in Venezuela

Un importante patógeno humano es vibrio cholerae, causante de diarreas profusas (cólera) y otros desórdenes. Su transmisión está asociada con el consumo de alimentos marinos contaminados. En el presente estudio se realizaron caracterizaciones fenotípicas de 24 aislados de Vibrio sp. obtenidos por necropsia y del cepario del laboratorio de Bacteriología de Sanidad Animal CENIAP-INIA en Maracay, estado Aragua; entre los cuales fue aislado vibrio cholerae proveniente de lisas y tilapsias. Las técnicas de identificación bacteriana se basan en sus características fenotípicas y metabólicas, desarrollo de colonias en medios de cultivos, morfología microscópica y reacciones tintoriales y características bioquímicas basadas en la utilización de sustratos. En los ejemplares de tilapia estudiados se identificó vibrio cholerae no-O1 y en las lisas, predominaron vibrio parahaemolyticus y vibrio cholerae no-O1. Este hallazgo es de gran importancia sanitaria, ya que los peces son de consumo humano, lo que constituye un riesgo en salud pública

Implementación de un protocolo para la identificación de la tóxina de vibrio cholerae / Implementation of a protocol for the indentification of vibrio cholerae

Vibrio cholerae produce una potente toxina codificada por dos genes: el operón ctxAB. Los estudios epidemiológicos han sido limitados por las técnicas fenotípicas; por ello es necesrio establecer un protocolo para la detección del gen de la subnidad A (ctxA), que codifica la toxina de Vibrio cholerae, por lo cual se realizaron caracterizaciones genéticas de 24 horas aislados de la familia Vibrionaceae obtenidos del cepario del laboratorio de Bacteriología de Sanidad Animal-CENIAP-INIA, que provienen de lisas, tilapias y cachamas. Se siguió la metodología recomendada por Fields et al. (1992) con modificaciones, siendo la secuencia de los iniciadores: 5'-GGGCAGATTCTAGACCTCCTG-3' Y 5'-CGATGATCTTGGAGCATTCCCAC-3'. Los aislados de Vibrio cholerae no 01 analizados no poseen la toxina colérica. La investigación de la toxina colérica en aislados ambientales es necesaria, ya que en los peces en los que fueron aislados son de consumo humano, lo que constituye un riesgo en salud pública.

Eotaxin and the attraction of eosinophils to the asthmatic lung.

Eosinophilic leukocytes accumulate in high numbers in the lungs of asthmatic patients, and are believed to be important in the pathogenesis of asthma. A potent eosinophil chemoattractant is produced in the asthmatic lung. This small protein, the chemokine eotaxin, is synthesized by a number of different cell types, and is stimulated by interleukin-4 and interleukin-13, which are produced by T-helper (Th)2 lymphocytes. Low molecular weight compounds have been developed that can block the eotaxin receptor C-C chemokine receptor (CCR)3, and prevent stimulation by eotaxin. This provides the potential for orally available drugs that can prevent eosinophil recruitment into the lung and the associated damage and dysfunction.

Competitive pathways via nonadiabatic transitions in photodissociation.

Photodissociation processes of molecules and radicals involving multiple pathways and nonadiabatic crossings are studied using the photofragment imaging technique and the core-sampling version of time-of-flight spectroscopy. Capabilities and challenges are illustrated by two systems. The isocyanic acid system demonstrates how interactions among potential energy surfaces can change during dissociation. The hydroxymethyl photodecomposition system highlights Rydberg-valence interactions common in free radicals. The cross-fertilization between theory and experiment is emphasized.

Imaging of primary non-Hodgkin's lymphoma of the liver.

AIM: To describe the radiological findings in primary liver lymphoma, which is a rare entity, presenting usually as a localized liver mass. MATERIALS AND METHODS: We reviewed retrospectively the imaging findings at presentation, of patients in whom a diagnosis of primary liver lymphoma was finally made histologically. The study period covered a 10-year period between January 1990 and December 1999. There were seven patients, all men, with a mean age of 49.6 years. Each patient presented with hepatobiliary disease without peripheral adenopathy. Imaging prior to diagnosis included ultrasonography (seven patients), computed tomography (seven patients) and magnetic resonance imaging (MRI) (two patients). Appearances during and after aggressive chemotherapy were reviewed. RESULTS: Imaging appearances were of either single or multiple liver lesions simulating liver metastases. On ultrasound all foci of primary hepatic lymphoma (PHL) were hypoechoic relative to normal liver. Computed tomography (CT) showed hypoattenuating lesions in all cases, and two cases showed rim enhancement following contrast administration. The MRI appearances were variable, and no pathognomonic feature of PHL was identified, so that histology was required in all patients to establish the diagnosis. CONCLUSIONS: This paper demonstrates the spectrum of findings encountered on various imaging modalities in PHL. We conclude that although PHL is a rare condition, it should always be considered in the differential diagnosis of liver metastases when no primary tumour is apparent.

Antigen-induced bronchial hyperreactivity and bronchopulmonary inflammation in rats: effect of TNF receptor binding protein.

The effect of a receptor binding protein for tumor necrosis factor (TNFrbp) on cell infiltration, bronchial hyperreactivity, and release of inflammatory mediators were studied following antigen challenge in sensitized rats. A 3-fold increase in total cell number, mainly neutrophils and eosinophils, was noted in bronchoalveolar lavage (BAL) fluid 8 hours after antigen challenge. Antigen challenge also induced a significant hyperreactivity of the lower bronchus to carbachol and serotonin, but did not affect the reactivity of the trachea and upper bronchus. This increased responsiveness of the lower bronchus was transient, being detected 8 hours but not 24 hours after antigen challenge. Thromboxane B2 (TxB2), prostaglandin E2 (PGF2), and nitric oxide (NO) levels increased in the BAL fluid of sensitized rats 8 hours after antigen challenge by 197%, 172%, and 173%, respectively. TNFrbp treatment reduced by 83% the antigen-induced cell infiltration, with neutrophils being the cells most affected. The bronchial hyperreactivity induced by antigen challenge was also significantly inhibited by TNFrbp, whereas TxB2, PGE2, and NO levels in the BAL fluid were not affected. In our animal model, the cell infiltration and bronchial hyperreactivity appear to be mediated to some extent by TNF, but not by prostanoids nor NO.

Eotaxin is specifically cleaved by hookworm metalloproteases preventing its action in vitro and in vivo.

Eotaxin is a potent eosinophil chemoattractant that acts selectively through CCR3, which is expressed on eosinophils, basophils, mast cells, and Th2-type T cells. This arm of the immune system is believed to have evolved to control helminthic parasites. We hypothesized that helminths may employ mechanisms to inhibit eosinophil recruitment, to prolong worm survival in the host. We observed that the excretory/secretory products of the hookworm Necator americanus inhibited eosinophil recruitment in vivo in response to eotaxin, but not leukotriene B(4), a phenomenon that could be prevented by the addition of protease inhibitors. Using Western blotting, N. americanus supernatant was shown to cause rapid proteolysis of eotaxin, but not IL-8 or eotaxin-2. N. americanus homogenate was fractionated by gel filtration chromatography, and a FACS-based bioassay measured the ability of each fraction to inhibit the activity of a variety of chemokines. This resulted in two peaks of eotaxin-degrading activity, corresponding to approximately 15 and 50 kDa molecular mass. This activity was specific for eotaxin, as responses to other agonists tested were unaffected. Proteolysis of eotaxin was prevented by EDTA and phenanthroline, indicating that metalloprotease activity was involved. Production of enzymes inactivating eotaxin may be a strategy employed by helminths to prevent recruitment and activation of eosinophils at the site of infection. As such this represents a novel mechanism of regulation of chemokine function in vivo. The existence of CCR3 ligands other than eotaxin (e.g., eotaxin-2) may reflect the evolution of host counter measures to parasite defense systems.

Validity and factorial invariance of the Social Physique Anxiety Scale.

PURPOSE: The present study 1) tested whether the two-factor model to the 12-item Social Physique Anxiety Scale (SPAS) was substantively meaningful or a methodological artifact representing positively and negatively worded items, 2) assessed the factorial validity of the nine-item unidimensional model to the SPAS, 3) examined whether modifying the number of SPAS items would improve the factorial validity. 4) evaluated the factorial invariance of the SPAS across gender, and 5) explored the construct validity of SPAS scores. METHODS: Female (N = 146) and male (N = 166) college students (22.2 +/- 4.0 yr) in lecture (N = 103) and physical activity (N = 209) courses completed the SPAS, Physical Self-Efficacy Scale (PSES), Surveillance subscale of the Objectified Body Consciousness Scale (S-OBCS), and short form of the Marlowe-Crowne Social Desirability Scale (SDS-C). RESULTS: Confirmatory factor analyses (CFA) revealed that the two-factor model to the 12-item SPAS was a methodological artifact representing positively and negatively worded items. CFA indicated that the nine-item unidimensional model represented an acceptable fit to the SPAS, but it also could be improved. Modifications based on standardized residuals and item content led to the removal of two items and a seven-item unidimensional solution to the SPAS. The nine- and seven-item models demonstrated factorial invariance across gender. Correlation analyses between nine- and seven-item SPAS scores to PSES, S-OBCS, and SDS-C provided support for the construct validity. CONCLUSIONS: The nine- and seven-item unidimensional models to the SPAS demonstrated evidence of factorial validity, factorial invariance, and construct validity; the two-factor model to the SPAS represented a methodological artifact.

Eotaxin and eosinophil recruitment: implications for human disease.

Eosinophils have been implicated in a broad range of diseases, notably allergic conditions (for example, asthma, rhinitis and atopic dermatitis) and other inflammatory disorders (for example, inflammatory bowel disease, eosinophilic gastroenteritis and pneumonia). These disease states are characterized by an accumulation of eosinophils in tissues. Severe tissue damage ensues as eosinophils release their highly cytotoxic granular proteins. Defining the mechanisms that control recruitment of eosinophils to tissues is fundamental to understanding these disease processes and provides targets for novel drug therapy. An important discovery in this context was the identification of an eosinophil-specific chemoattractant, eotaxin. Over the past six years there has been intensive investigation into the biological effects of eotaxin and its role in specific disease processes and this is the subject of this review.

[The role of chemokines in nasal polyps]. / Die Rolle von Chemokinen bei Nasenpolypen.

Nasal polyposis is an inflammatory condition of the nose and the sinuses characterised by a marked infiltration of eosinophils in addition to lymphocytes, mast cells and macrophages. The selective recruitment of eosinophils to inflammatory sites is mediated by CC chemokines such as Eotaxin and Eotaxin-2. In the present study histology, immunohistochemistry and ELISA were performed. The levels of Eotaxin and Eotaxin-2 and for comparison other chemokines RANTES and IL-8 were measured in nasal polyp tissue and in control nasal tissue. On histological examination 6 polyps showed an oedematous structure, one was glandular and one had a fibromatous pattern, while all showed a marked eosinophil infiltration. Immunohistochemistry of the polyps showed that epithelial cells were strongly positive for Eotaxin and IL-8, whereas endothelial cells stained positive for Eotaxin-2. Significantly higher amounts of Eotaxin, Eotaxin-2 and IL-8 were detected in polyp tissue when compared with control middle turbinates. The increased levels of eosinophil-stimulating chemokines, such as Eotaxin and Eotaxin-2 in nasal polyps suggest that they may be important regulators of eosinophil recruitment in this inflammatory disease.

The Social Physique Anxiety Scale: an example of the potential consequence of negatively worded items in factorial validity studies.

Social physique anxiety (SPA) based on Hart, Leary, and Rejeski's (1989) Social Physique Anxiety Scale (SPAS) was originally conceptualized to be a unidimensional construct. Empirical evidence on the factorial validity of the SPAS has been contradictory, yielding both one- and two-factor models. The two-factor model, which consists of separate factors associated with positively and negatively worded items, has stimulated an ongoing debate about the dimensionality and content of the SPAS. The present study employed confirmatory factor analysis (CFA) to examine whether the two-factor solution to the 12-item SPAS was substantively meaningful or a methodological artifact. Results of the CFAs, which were performed on responses from four different samples (Eklund, Kelley, and Wilson, 1997; Eklund, Mack, and Hart, 1996), supported the existence of a single substantive SPA factor underlying responses to the 12-item SPAS. There were, in addition, method effects associated with the negatively worded items that could be modeled to achieve good fit. Therefore, it was concluded that a single substantive factor and a non-substantive method effect primarily related to the negatively worded items best represented the 12-item SPAS.