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1.
Plant Dis ; 2024 Feb 22.
Article in English | MEDLINE | ID: mdl-38386297

ABSTRACT

Bitter rot is an emerging disease of apple (Malus domestica) fruit in Ontario in part due to changing weather conditions. The disease was mostly documented in warm and humid regions such as the southern USA, and Central and South America. Thirteen Ontario orchards in the fall of 2019 and 15 in 2020 were scouted for bitter rot based on their previous history of the disease. 100 fruit were collected from ten asymptomatic trees per cultivar and two susceptible cultivars, 'Empire' and 'Ambrosia' were scouted per orchard. If an orchard did not have either one of these cultivars, 'Honeycrisp' or 'Gala' were used. The fruit was stored at 4-5 oC for five months and then left at 22 oC for two weeks and assessed thereafter for bitter rot symptoms. Monoconidial cultures of Colletrotrichum spp. were established from the symptomatic fruit using potato dextrose agar media with antibiotics at 22 oC 14-hour light cycles. The fungal isolates were divided into two groups based on colony morphology observations seven days after culturing. The first group showed light grey, cottony, aerial mycelium on top and a pink to dark red color on the reverse of the plate. The second group showed light to dark grey, cottony mycelium on top and dark green colonies on the reverse of the plate. It is difficult to identify Colletrotricuhum species solely based on morphology, therefore the representative isolates from each group were used for multilocus gene sequencing and species identification. Genomic DNA was extracted using the Qiagen DNeasy Plant Mini Kit according to the manufacturer's protocols. The ITS region was amplified and sequenced using the primers ITS-1F (Grades & Bruns 1993) and ITS-4 (White et al. 1990). Primers T1 and T2 (O'Donnell & Cigelnik 1997) were used to amplify and sequence the 750 bp region of the TUB gene. Primers GDF1 and GDR1 (Guerber et. al. 2003) were used to amplify a 280 bp region of the GADPH gene. Following an NCBI nucleotide blast search, the isolates from group 1 were identified as C. fioriniae.The ITS sequences of group 2 isolates were matched 100% to the Colletotrichum godetiae type strain CBS133.44 and they were 99% matched to the closest species C. Johnstonii CBS128532. The TUB sequences matched 100% identity to 20 sequences belonging to C. godetiae, 99.59 % identity to C. godetiae type strain CBS133.44, and 97.75% to C. Johnstonii CBS128532. The GADPH sequences matched with 100% identity to C. godetiae ON241087.1 or MT816329.1 and 99-99.5% identity to the type strain CBS133.44 and 98.61-99% identity to CBS128532. Based on the blast results the group 2 isolates were identified as C. godetiae and their sequences were submitted to GenBank with ID OP702962 for ITS and OP972240 and OP972241 for GADPH and OP972242 for the TUB gene. Out of 50 isolates collected in this work, 94% belonged to group 1 and 6% belonged to group 2. Koch's postulates were performed on selected isolates by artificial inoculation of 5 healthy detached fruits of the cultivar, 'Empire.' Fruit surfaces were wiped with 70% ethanol, dried, wounded with a sterile needle, and then inoculated with a 10 µl of spore suspension containing 1x10^6 spores /ml. Inoculated fruits were incubated in a humid chamber at 22°C in dark. Symptoms started to appear at 5 days post-inoculation and looked like small brown circular lesions which developed orange spore masses as they grew into larger lesions. The non-inoculated control fruit did not develop lesions. Fungal colonies were established from the spores collected from the inoculated fruit and found to have identical morphological characteristics to the original isolates. C. godetiae has previously been reported to cause bitter rot in apples from various countries in Europe (Baroncelli et al. 2014; Munda, 2014; Wenneker et al. 2016). C. fioriniae has previously been reported as the dominant species causing bitter rot in apples although other species including C. chrysophilum and C. noveboracense have also been reported as causal agents from the Eastern USA (Khodadadi et al. 2020). To the best of our knowledge, this is the first report of Colletotrichum godetiae causing the bitter rot of apples in Ontario, Canada.

2.
PLoS One ; 18(9): e0289842, 2023.
Article in English | MEDLINE | ID: mdl-37708170

ABSTRACT

Symptom severity on differential host lines is currently used to characterize and identify pathotypes of Plasmodiophora brassicae, which is an obligate, soil-borne chromist pathogen that causes clubroot disease on canola (Brassica napus) and other brassica crops. This process is slow, variable and resource intensive; development of molecular markers could make identification of important pathotypes faster and more consistent for deployment of cultivars with pathotype-specific resistance. In the current study, a variant of gene 9171 was identified in the whole-genome sequences of only the highly virulent pathotypes of P. brassicae from around the world, including the new cohort of virulent pathotypes in Canada; its presence was confirmed using three KASP marker pairs. The gene was not present in the initial cohort of pathotypes identified in Canada. The putative structure, domains, and gene ontogeny of the protein product of gene 9171 were assessed using on-line software resources. Structural analysis of the putative protein produced by gene 9171 indicated that it was localized in the cytosol, and likely involved in cellular processes and catalytic activity. Identification of gene 9171 represents a potentially useful step toward molecular identification of the pathotypes of P. brassicae.


Subject(s)
Brassica napus , Brassica , Plasmodiophorida , Humans , Plasmodiophorida/genetics , Virulence Factors/genetics , Biomarkers , Brassica/genetics , Brassica napus/genetics
3.
Br J Nurs ; 32(6): S16-S26, 2023 Mar 23.
Article in English | MEDLINE | ID: mdl-36952367

ABSTRACT

Peristomal skin complications (PSCs) are relatively common in ostomy patients, particularly in those with ileostomies. Non-healing irritation presents a clinical challenge and leads to pain and impaired quality of life for patients. METHODS: The cases of four ileostomy patients experiencing severe, challenging PSCs refractory to appliance changes, conventional dressings and barrier creams are discussed. FINDINGS: The cases of one male and one female patient with an end ileostomy post-subtotal colectomy for ulcerative colitis, one female with a defunctioning ileostomy post-anterior resection for sigmoid carcinoma and one male with an end ileostomy with a complex Crohn's surgical history are described. Two puffs of a 250 mcg metered dose beclometasone inhaler were applied to the affected skin once or twice daily. Treatment ranged from 6 to 21 days. Complete resolution was seen in all cases. CONCLUSION: Topical use of a beclometasone inhaler was effective for severe peri-ileostomy PSC secondary to four different aetiologies. Further studies are warranted to determine the effectiveness of this treatment in a larger patient cohort.


Subject(s)
Beclomethasone , Ileostomy , Humans , Male , Female , Beclomethasone/therapeutic use , Quality of Life , Postoperative Complications , Nebulizers and Vaporizers
4.
PLoS One ; 18(2): e0280499, 2023.
Article in English | MEDLINE | ID: mdl-36730255

ABSTRACT

E. coli Nissle (EcN) is a non-pathogenic probiotic bacterium of the Enterobacteriaceae family that has been used for over a century to promote general gut health. Despite the history of safe usage of EcN, concerns have been raised regarding the presence of the pks gene cluster, encoding the genotoxin colibactin, due to its association with colorectal cancer. Here, we sought to determine the effect of pks island removal on the in vitro and in vivo robustness and activity of EcN and EcN-derived strains. A deletion of the pks island (Δpks) was constructed in wild type and engineered strains of EcN using lambda red recombineering. Mass spectrometric measurement of N-myristoyl-D-asparagine, released during colibactin maturation, confirmed that the pks deletion abrogated colibactin production. Growth curves were comparable between Δpks strains and their isogenic parents, and wild type EcN displayed no competitive advantage to the Δpks strain in mixed culture. Deletion of pks also had no effect on the activity of strains engineered to degrade phenylalanine (SYNB1618 and SYNB1934) or oxalate (SYNB8802). Furthermore, 1:1 mixed dosing of wild type and Δpks EcN in preclinical mouse and nonhuman primate models demonstrated no competitive disadvantage for the Δpks strain with regards to transit time or colonization. Importantly, there was no significant difference on in vivo strain performance between the clinical-stage strain SYNB1934 and its isogenic Δpks variant with regards to recovery of the quantitative strain-specific biomarkers d5- trans-cinnamic acid, and d5-hippuric acid. Taken together, these data support that the pks island is dispensable for Synthetic Biotic fitness and activity in vivo and that its removal from engineered strains of EcN will not have a deleterious effect on strain efficacy.


Subject(s)
Escherichia coli Proteins , Polyketides , Mice , Animals , Escherichia coli/metabolism , Peptides/genetics , Peptides/metabolism , Escherichia coli Proteins/genetics , Polyketides/metabolism , Multigene Family
5.
Ir J Med Sci ; 192(5): 2251-2253, 2023 Oct.
Article in English | MEDLINE | ID: mdl-36482282

ABSTRACT

BACKGROUND: Metered dose inhalers (MDIs) contain greenhouse gases which have a disproportionate effect on the carbon footprint of healthcare. There are more environmentally friendly alternatives such as dry powder inhalers (DPIs) or soft mist inhalers (SMIs). AIMS: This study aims to approximate the carbon footprint of inhalers dispensed in Irish healthcare. METHODS: Health Market Research data was used to examine the number of inhalers sold in Ireland in 2019 via dispensing data from pharmacy IT systems. The carbon footprint per inhaler data was then used to calculate the total carbon footprint of each drug class, and an estimate for the total carbon footprint of inhalers sold in Ireland was generated. RESULTS: 4,427,287 inhalers were dispensed in Ireland in 2019 of which 2,608,433 (59%) were MDIs and 1,818,854 were DPIs/SMIs (41.1%). The total carbon equivalent of these inhalers was estimated to be 54,765 tCO2. MDIs account for 59% of inhaler units dispensed but account for 97% of inhaler-related carbon emissions. CONCLUSION: Targeting inhaler prescribing offers the potential to significantly improve the carbon footprint of Irish healthcare. Establishing the current carbon footprint of the inhalers that are prescribed, dispensed, and disposed in Ireland is a necessary baseline to inform moving towards a net zero health service.


Subject(s)
Carbon Footprint , Pulmonary Disease, Chronic Obstructive , Humans , Metered Dose Inhalers , Dry Powder Inhalers , Carbon , Delivery of Health Care
6.
Front Plant Sci ; 14: 1324626, 2023.
Article in English | MEDLINE | ID: mdl-38288412

ABSTRACT

Arbuscular mycorrhizal fungi (AMF) are ancient and ecologically important symbionts that colonize plant roots. These symbionts assist in the uptake of water and nutrients, particularly phosphorus, from the soil. This important role has led to the development of AMF inoculants for use as biofertilizers in agriculture. Commercial mycorrhizal inoculants are increasingly popular to produce onion and carrot, but their specific effects on native mycorrhizal communities under field conditions are not known. Furthermore, adequate availability of nutrients in soils, specifically phosphorus, can reduce the diversity and abundance of AMF communities in the roots. The type of crop grown can also influence the composition of AMF communities colonizing the plant roots. This study aimed to investigate how AMF inoculants, soil phosphorus levels, and plant species influence the diversity of AMF communities that colonize the roots of onion and carrot plants. Field trials were conducted on high organic matter (muck) soil in the Holland Marsh, Ontario, Canada. The treatments included AMF-coated seeds (three to five propagules of Rhizophagus irregularis per seed) and non-treated onion and carrot seeds grown in soil with low (~46 ppm) and high (~78 ppm) phosphorus levels. The mycorrhizal communities colonizing the onion and carrot roots were identified by Illumina sequencing. Five genera, Diversispora, Claroideoglomus, Funneliformis, Rhizophagus, and Glomus, were identified in roots of both plant species. AMF communities colonizing carrot roots were more diverse and richer than those colonizing onion roots. Diversispora and Funneliformis had a 1.3-fold and 2.9-fold greater abundance, respectively, in onion roots compared to carrots. Claroideoglomus was 1.4-fold more abundant in carrot roots than in onions. Inoculation with R. irregularis increased the abundance and richness of Rhizophagus in AMF communities of onion roots but not in carrot roots. The soil phosphorus level had no effect on the richness and diversity of AMF in the roots of either crop. In summary, AMF inoculant and soil phosphorus levels influenced the composition of AMF communities colonizing the roots of onion and carrot plants, but the effects varied between plant species.

7.
Clin Case Rep ; 10(8): e6255, 2022 Aug.
Article in English | MEDLINE | ID: mdl-36017116

ABSTRACT

Omalizumab is a monoclonal antibody which targets immunoglobulin E. It is approved as an add-on therapy for children with severe allergic asthma. Assessment of endotype and phenotype is necessary in order to correctly identify those patients who are most likely to respond to omalizumab. Children with severe asthma represent a complex heterogeneous group. This report outlines the background, management, and outcomes for two children initiated on omalizumab for severe allergic asthma in Children's Health Ireland at Tallaght. It demonstrates the difficulties faced by this cohort and the positive impact targeted biological therapy can have. Given the substantial cohort of children with asthma attending our tertiary center, it also indicates that comprehensive stepwise care can achieve adequate control in the vast majority of cases without the requirement for additional therapies.

8.
J Microbiol Methods ; 192: 106381, 2022 01.
Article in English | MEDLINE | ID: mdl-34822946

ABSTRACT

The improvement of cell enumeration methods for the counting of Escherichia coli (E. coli) is important as E. coli gains in popularity as a basis for biopharmaceutical applications. In the biopharmaceutical industry, enumerating, characterizing, and dosing the accurate number of cells is imperative. In this work, we demonstrate the utilization of a chip-based image cytometer using a thin-gap, low volume counting chamber consumable to directly enumerate E. coli in bright field and fluorescence, and measure their viability using SYTOX™ Green. The total E. coli particles can be counted accurately label-free by adjusting the focus and targeting the linear range of the instrument. The E. coli are stained with SYTOX™ Green to count the membrane-compromised dead bacterial cells in the green fluorescence channel, while the total cells are counted using the bright field channel. Optimization of the system settings, image focus, cell counting range, and staining conditions have yielded a precise, rapid, and accurate E. coli cell enumeration and viability measurement.


Subject(s)
Bacterial Load/methods , Escherichia coli/cytology , Escherichia coli/growth & development , Image Cytometry/methods , Colony Count, Microbial/methods , Microscopy, Fluorescence , Organic Chemicals/pharmacology , Staining and Labeling/methods
9.
Plant Dis ; 105(12): 3780-3794, 2021 Dec.
Article in English | MEDLINE | ID: mdl-34546780

ABSTRACT

Stemphylium leaf blight (SLB), caused by Stemphylium vesicarium, is a foliar disease of onion worldwide, and has recently become an important disease in the northeastern United States and Ontario, Canada. The symptoms begin as small, tan to brown lesions on the leaves that can progress to defoliate plants. Crop loss occurs through reduced photosynthetic area, resulting in smaller, lower-quality bulbs. Leaf necrosis caused by SLB also can compromise bulb storage, as green leaves are required for the uptake of sprout inhibitors applied prior to harvest. The pathogen can overwinter on infested onion residue and infected volunteer plants. Asymptomatic weedy hosts near onion fields may also be a source of inoculum. Production of ascospores of the teleomorph (Pleospora allii) peaks in early spring in northeastern North America, often before the crop is planted, and declines rapidly as daily mean air temperatures rise. Conidia are usually present throughout the growing season. Application of fungicides is a standard practice for management of the complex of fungi that can cause foliar diseases of onion in this region. Recent assessments have shown that populations of S. vesicarium in New York and Ontario are resistant to at least three single-site mode-of-action fungicides. Three disease prediction systems have been developed and evaluated that may enable growers to reduce the frequency and/or number of fungicide applications, but the loss of efficacious fungicides due to resistance development within S. vesicarium populations threatens sustainability. The lack of commercially acceptable onion cultivars with sufficient resistance to reduce the number of fungicides for SLB also limits the ability to manage SLB effectively. Integrated disease management strategies for SLB are essential to maintain profitable, sustainable onion production across eastern North America.


Subject(s)
Fungicides, Industrial , Onions , Fungicides, Industrial/pharmacology , New York , Ontario , Plant Diseases
10.
Can J Microbiol ; 67(6): 445-450, 2021 Jun.
Article in English | MEDLINE | ID: mdl-33705203

ABSTRACT

The fungal genus Stemphylium (phylum Ascomycota, teleomorph Pleospora) includes plant pathogenic, endophytic, and saprophytic species with worldwide distributions. Stemphylium spp. produce prodigious numbers of airborne spores, so are a human health concern as allergens. Some species also produce secondary metabolites, such as glucosides, ferric chelates, aromatic polyketides, and others, that function as toxins that damage plants and other fungal species. Some of these compounds also exhibit a low level of mammalian toxicity. The high production of airborne spores by this genus can result in a high incidence of human exposure. Concern about toxin production appears to be the reason that Stemphylium vesicarium, which is a pathogen of several vegetable crops, was classified in Canada as a potential risk of harm to humans for many years. A detailed assessment of the risk of exposure was provided to the relevant regulatory body, the Public Health Agency of Canada, which then determined that Stemphylium spp. in nature or under laboratory conditions posed little to no risk to humans or animals, and the species was re-assigned as a basic (level 1) risk agent.


Subject(s)
Ascomycota/metabolism , Ascomycota/pathogenicity , Allergens/metabolism , Allergens/toxicity , Canada , Humans , Mycotoxins/metabolism , Mycotoxins/toxicity , Plant Diseases/microbiology , Risk Assessment , Secondary Metabolism , Spores, Fungal/metabolism , Spores, Fungal/pathogenicity
11.
Pest Manag Sci ; 77(5): 2433-2443, 2021 May.
Article in English | MEDLINE | ID: mdl-33432668

ABSTRACT

BACKGROUND: Carrot weevil is an important pest throughout carrot-producing regions in Canada. Pesticides to control carrot weevil adults require application when the majority of adults have emerged and often this occurs after oviposition has already commenced and damage will be realized. One alternative to conventional pesticides are entomopathogenic nematodes. We studied four commercially available entomopathogenic nematode products (Steinernema feltiae, S. carpocapsae, S. kraussei and Heterorhabditis bacteriophora) for efficacy against carrot weevil in Nova Scotia and Ontario carrot fields in 2017 and 2018. The longevity and infectivity of the products in fine sandy loam soil (Ontario) and sandy loam soil (Nova Scotia) were evaluated using Galleria mellonella larvae. RESULTS: In Nova Scotia soils, only S. kraussei when applied twice, showed some efficacy to reduce damage from carrot weevil in 2017. In Ontario, an early application of H. bacteriophora and S. feltiae significantly reduced the percentage of carrots with weevil damage in 2018. Longevity and infectivity of S. carpocapsae and S. feltiae (against G. mellonella) was obtained up to 6 weeks post application in Nova Scotia in 2017. Similarly, S. feltiae showed infectivity up to 9 weeks post application in Ontario and Nova Scotia in 2018. CONCLUSION: Entomopathogenic products showed an ability to survive and remain infective for up to 9 weeks in soils without irrigation. Timing of application to effect control of carrot weevil requires further study. The influence of soil moisture on the longevity and infectivity of these products is discussed. © 2021 Her Majesty the Queen in Right of Canada International Pest Management Science © 2021 Society of Chemical Industry. Reproduced with the permission of the Minister of Agriculture and Agri-Food Canada.


Subject(s)
Daucus carota , Weevils , Animals , Female , Longevity , Minerals , Ontario , Pest Control, Biological , Soil
12.
Plant Dis ; 105(7): 1912-1918, 2021 Jul.
Article in English | MEDLINE | ID: mdl-33320040

ABSTRACT

Stemphylium leaf blight (SLB), caused by Stemphylium vesicarium, is an important foliar disease of onion in northeastern North America. The pathogen produces conidia and ascospores, but the relative contributions of these spore types to epidemics in onion is not known. Determining the abundance of ascospores and conidia during the growing season could contribute to a disease forecasting model. Airborne ascospores and conidia of S. vesicarium were trapped during the growing season of 2015 and 2016 at an onion trial in southern Ontario, Canada, using a Burkard 7-day volumetric sampler. Meteorological data were recorded hourly. Ascospore numbers peaked before the crop was planted and declined rapidly with time and at daily mean air temperatures >15°C. Conidia were present throughout the growing season and appear to be closely related to the development of SLB on onion. Daily spore concentrations were variable, but 59 to 73% of ascospores and approximately 60% of conidia were captured between 0600 and 1200 h. Spore concentrations increased 24 to 72 h after rainfall and precipitation and leaf wetness duration were consistently and positively associated with increases in numbers of conidia and subsequent SLB incidence. The first symptoms of SLB coincided with high numbers of conidia, rainfall, leaf wetness duration ≥8 h, and days with average daily temperature ≥18°C. The number of airborne ascospores was very low by the time SLB symptoms were observed. Ascospores may initiate infection on alternative hosts in early spring, while conidia are the most important inoculum for the epidemic on onions.


Subject(s)
Onions , Plant Diseases , Ascomycota , Ontario , Spores, Fungal , Weather
13.
Insects ; 11(11)2020 Nov 11.
Article in English | MEDLINE | ID: mdl-33187092

ABSTRACT

Delia antiqua, Delia platura and Delia florilega are three root maggot species commonly considered pests in Eastern Canadian onions. The onion maggot, D. antiqua, is considered the primary root maggot pest in onion but it remains unclear whether the other two species are also causing damage. In order to develop updated management strategies for root maggot, we tested adult oviposition and feeding preference by Delia larvae on four growth stages of onion using bioassays and we determined the Delia species composition across the four major onion growing regions in eastern Canada. Delia species oviposit readily on onion at the 5-7 true leaf growth stage but damage on onions is not statistically different between Delia species in our zero-inflated models. The four eastern Canadian onion growing regions have different proportions of Delia species. Southern Ontario and Quebec were the only two regions where Delia antiqua was collected. The highest average numbers of Delia spp. were caught in Quebec and Nova Scotia. Our study shows that timing is important in implementation of management strategies for root maggot in Eastern Canadian onions.

14.
BMC Genomics ; 20(1): 744, 2019 Oct 16.
Article in English | MEDLINE | ID: mdl-31619176

ABSTRACT

BACKGROUND: Clubroot is an important disease of brassica crops world-wide. The causal agent, Plasmodiophora brassicae, has been present in Canada for over a century but was first identified on canola (Brassica napus) in Alberta, Canada in 2003. Genetic resistance to clubroot in an adapted canola cultivar has been available since 2009, but resistance breakdown was detected in 2013 and new pathotypes are increasing rapidly. Information on genetic similarity among pathogen populations across Canada could be useful in estimating the genetic variation in pathogen populations, predicting the effect of subsequent selection pressure on changes in the pathogen population over time, and even in identifying the origin of the initial pathogen introduction to canola in Alberta. RESULTS: The genomic sequences of 43 strains (34 field collections, 9 single-spore isolates) of P. brassicae from Canada, the United States, and China clustered into five clades based on SNP similarity. The strains from Canada separated into four clades, with two containing mostly strains from the Prairies (provinces of Alberta, Saskatchewan, and Manitoba) and two that were mostly from the rest of Canada or the USA. Several strains from China formed a separate clade. More than one pathotype and host were present in all four Canadian clades. The initial pathotypes from canola on the Prairies clustered separately from the pathotypes on canola that could overcome resistance to the initial pathotypes. Similarly, at one site in central Canada where resistance had broken down, about half of the genes differed (based on SNPs) between strains before and after the breakdown. CONCLUSION: Clustering based on genome-wide DNA sequencing demonstrated that the initial pathotypes on canola on the Prairies clustered separately from the new virulent pathotypes on the Prairies. Analysis indicated that these 'new' pathotypes were likely present in the pathogen population at very low frequency, maintained through balancing selection, and increased rapidly in response to selection from repeated exposure to host resistance.


Subject(s)
Brassica napus/parasitology , Genome, Protozoan/genetics , Plasmodiophorida/genetics , Plasmodiophorida/pathogenicity , Canada , China , DNA, Protozoan/genetics , Disease Resistance , Genetic Variation , Genetics, Population , Phylogeny , Plant Diseases/parasitology , Plasmodiophorida/classification , Selection, Genetic , Sequence Analysis, DNA , United States
15.
Health Equity ; 3(1): 246-253, 2019.
Article in English | MEDLINE | ID: mdl-31289785

ABSTRACT

Purpose: Cardiologists are known to consider patients' race when treating heart failure, but their views on the benefits and harms of this practice are largely undocumented. We set out to explore cardiologists' perspectives on the benefits and harms of race-based drug labels and guidelines. Specifically, we focused on isosorbide dinitrate and hydralazine hydrochloride (sold in a patented form as BiDil), a combination of drugs recommended for the treatment of black patients receiving optimal medical therapy for symptomatic heart failure and reduced ejection fraction. Methods: We conducted 81 semistructured interviews at an American College of Cardiology Annual meeting to assess cardiologists' and cardiology fellows' attitudes toward the use of race in drug prescribing. Investigators reviewed and coded the interviews using inductive qualitative analysis techniques. Results: Many participants believed that race-based drug labels might help doctors prescribe effective medications to patients sooner. More than half of the participants expressed concerns, however, that considering race within the context of treating heart failure could potentially harm patients as well. Harms identified included the likelihood that patients who could benefit from a drug may not receive it because of their race; insufficient understanding about gene-drug-environment interactions; and simplistic applications of race in the clinic. Conclusions: Few participants expressed approval of using race in drug prescribing without recognizing the potential harms, yet most participants stated that they continue to consider race when prescribing isosorbide dinitrate and hydralazine hydrochloride. Within the context of treating heart failure, more open discussions about the benefits and harms of race-based drug labels and prescribing are needed to address cardiologists' concerns.

16.
Cancer Causes Control ; 29(11): 1115-1130, 2018 Nov.
Article in English | MEDLINE | ID: mdl-30284670

ABSTRACT

PURPOSE: The World Health Organization revised its human papillomavirus (HPV) vaccination recommendations to include a two (2-) dose schedule for girls aged ≤ 15 years. We investigated acceptability of 2- versus 3-dose schedule among adolescent vaccination providers and mothers of adolescent girls in five countries. METHODS: Adolescent vaccination providers (N = 151) and mothers of adolescent girls aged 9-14 years (N = 118) were recruited from Argentina, Malaysia, South Africa, South Korea, and Spain. We assessed providers' preference for a 2- versus 3-dose HPV vaccination schedule via quantitative surveys. Mothers' attitudes towards a 2-dose schedule were assessed through focus group discussions. RESULTS: Most adolescent providers preferred a 2- over a 3-dose HPV vaccination schedule (overall: 74%), with preference ranging from 45.2% (South Africa) to 90.0% (South Korea). Lower cost, fewer clinic visits, and higher series completion were commonly cited reasons for 2-dose preference among providers and mothers. Safety and efficacy concerns were commonly cited barriers to accepting a 2-dose HPV vaccination schedule among providers and mothers. Mothers generally accepted the reduced schedule, however requested further information from a trusted source. CONCLUSIONS: Adolescent vaccination providers and mothers preferred the 2-dose over 3-dose HPV vaccination schedule. Acceptability of a 2-dose HPV vaccination could be improved with additional information to providers and mothers on HPV vaccination safety and efficacy.


Subject(s)
Health Knowledge, Attitudes, Practice , Immunization Schedule , Mothers/psychology , Papillomavirus Infections/prevention & control , Papillomavirus Vaccines/administration & dosage , Patient Acceptance of Health Care , Uterine Cervical Neoplasms/prevention & control , Adolescent , Argentina , Child , Female , Humans , Malaysia , Papillomavirus Vaccines/adverse effects , Republic of Korea , South Africa , Spain , Surveys and Questionnaires , Uterine Cervical Neoplasms/virology , Vaccination
17.
J Natl Med Assoc ; 110(6): 564-573, 2018 Dec.
Article in English | MEDLINE | ID: mdl-30129496

ABSTRACT

OBJECTIVE: To describe the perspectives and experiences of athletic trainers, coaches, and student-athletes approximately three years post-implementation of the NCAA sickle cell trait (SCT) screening policy. PARTICIPANTS: Two-hundred and eight student-athletes, 32 athletic trainers, and 43 coaches from 10 NCAA Division I (DI) institutions in North Carolina from January to June 2014. METHODS: Two online surveys were used to assess knowledge, perspectives, and experiences. RESULTS: Athletic staff were more supportive than student-athletes of the need for the policy. Noted challenges included variation in implementation and follow-up for SCT-positive athletes, financial costs to institutions and athletes, and timing of the screening. CONCLUSIONS: More education about SCT is needed for student-athletes and athletic staff in order to help make the implementation more successful. All parties need to be in agreement regarding the importance of knowing which student-athletes have SCT and how that information will be utilized.


Subject(s)
Health Knowledge, Attitudes, Practice , Sickle Cell Trait/diagnosis , Sports , Universities , Adolescent , Adult , Athletes/psychology , Female , Humans , Male , Middle Aged , Organizational Policy , Organizations, Nonprofit , Program Development , Sickle Cell Trait/economics , Students/psychology , Surveys and Questionnaires , Universities/economics , Young Adult
18.
Plant Dis ; 102(11): 2253-2257, 2018 11.
Article in English | MEDLINE | ID: mdl-30145949

ABSTRACT

In the last 5 years, asparagus acreage in Canada has increased by over 25%. Stemphylium leaf spot, caused by Stemphylium vesicarium, has emerged as the predominant foliar pathogen of asparagus. Typically, contact fungicides are applied every 14 days; however, regardless of the number of applications, growers are not achieving adequate control of the disease. The TOM-CAST forecasting model is used widely in Michigan asparagus fields, but it has never been assessed for suitability in Ontario or in the popular cultivar, Guelph Millennium. Six field trials were conducted in 2012 and 2013 to evaluate the TOM-CAST forecasting model in two asparagus cultivars. The fungicides chlorothalonil or azoxystrobin/difenoconazole were applied according to the forecasting model or on a 14-day interval. The effectiveness of the forecasting model differed between sites and cultivars. Even though TOM-CAST is used in all cultivars in Michigan, TOM-CAST was not effective on Guelph Millennium. In the cultivar Jersey Giant, however, TOM-CAST with a 20 disease severity value spray interval improved control of Stemphylium leaf spot without increasing the number of sprays, compared with a 14-day treatment. The results in Guelph Millennium differed between sites. At one site, TOM-CAST maintained similar levels of Stemphylium leaf spot, but increased the number of applications, compared with a 14-day application interval. Of more concern, none of the fungicide treatments differed greatly from the untreated control at the other site. Our results show that forecasting models need to be validated locally in asparagus cultivars relevant to production today.


Subject(s)
Ascomycota/drug effects , Asparagus Plant/microbiology , Fungicides, Industrial/administration & dosage , Models, Statistical , Plant Diseases/prevention & control , Dioxolanes/administration & dosage , Forecasting , Nitriles/administration & dosage , Ontario , Plant Diseases/microbiology , Plant Diseases/statistics & numerical data , Plant Leaves/microbiology , Pyrimidines/administration & dosage , Strobilurins/administration & dosage , Triazoles/administration & dosage
19.
Environ Entomol ; 47(4): 788-794, 2018 08 11.
Article in English | MEDLINE | ID: mdl-29846540

ABSTRACT

Carrot rust fly (CRF), Psila rosae (Fabricius, 1794) (Psilidae: Diptera) and carrot weevil (CW), Listronotus oregonensis (Le Conte, 1857) (Curculionidae: Coleoptera) are economic pests of carrot; larval tunneling on roots results in direct damage rendering the carrot unmarketable. The Holland Marsh in Ontario, Canada, is a major carrot production area. The ground-dwelling beetle (Coleoptera) fauna in commercial carrot fields in this region has not been described. In 2015 and 2016, eight commercial carrot fields were surveyed using pitfall traps to determine abundance and diversity of the ground-dwelling beetle complex. Research sites, which were used to evaluate the effectiveness of an existing integrated pest management (IPM) program, were also surveyed to determine the impacts of the IPM program on the natural enemy diversity, compared to insecticide-free sites. In total, 50 taxa and 4,127 individual ground-dwelling beetles were identified over the course of the 2 y. Known natural enemies of CRF and CW were identified and recovered in abundance. The abundance and diversity of ground-dwelling beetles among the commercial carrot fields varied greatly in 2015 and 2016 but was similar on research sites sprayed according to the IPM program compared to insecticide-free sites in both years. The importance of this research to promote conservation biological control through the naturalization of nonagricultural areas is discussed.


Subject(s)
Biota , Coleoptera , Daucus carota , Diptera , Food Chain , Insect Control , Animals , Coleoptera/physiology , Crop Production , Daucus carota/growth & development , Ontario , Weevils
20.
Nutrients ; 10(4)2018 Apr 06.
Article in English | MEDLINE | ID: mdl-29642414

ABSTRACT

Metabolic Syndrome (MetS) is a complex disorder that predisposes an individual to Cardiovascular Diseases and type 2 Diabetes Mellitus. Proteomics and bioinformatics have proven to be an effective tool to study complex diseases and mechanisms of action of nutrients. We previously showed that substitution of the majority of carbohydrate in a high fat diet by purple potatoes (PP) or purple carrots (PC) improved insulin sensitivity and hypertension in an animal model of MetS (obese Zucker rats) compared to a control sucrose-rich diet. In the current study, we used TMT 10plex mass tag combined with LC-MS/MS technique to study proteomic modulation in the liver (n = 3 samples/diet) and adipose tissue (n = 3 samples/diet) of high fat diet-fed rats with or without substituting sucrose for purple vegetables, followed by functional enrichment analysis, in an attempt to elucidate potential molecular mechanisms responsible for the phenotypic changes seen with purple vegetable feeding. Protein folding, lipid metabolism and cholesterol efflux were identified as the main modulated biological themes in adipose tissue, whereas lipid metabolism, carbohydrate metabolism and oxidative stress were the main modulated themes in liver. We propose that enhanced protein folding, increased cholesterol efflux and higher free fatty acid (FFA) re-esterification are mechanisms by which PP and PC positively modulate MetS pathologies in adipose tissue, whereas, decreased de novo lipogenesis, oxidative stress and FFA uptake, are responsible for the beneficial effects in liver. In conclusion, we provide molecular evidence for the reported metabolic health benefits of purple carrots and potatoes and validate that these vegetables are good choices to replace other simple carbohydrate sources for better metabolic health.


Subject(s)
Adipose Tissue/metabolism , Animal Feed , Energy Metabolism , Liver/metabolism , Metabolic Syndrome/diet therapy , Proteins/metabolism , Proteomics/methods , Vegetables/metabolism , Animals , Cholesterol/metabolism , Chromatography, Liquid , Color , Daucus carota/metabolism , Disease Models, Animal , Esterification , Fatty Acids, Nonesterified/metabolism , Lipogenesis , Metabolic Syndrome/metabolism , Metabolic Syndrome/physiopathology , Oxidative Stress , Plant Roots/metabolism , Protein Folding , Rats, Zucker , Solanum tuberosum/metabolism , Tandem Mass Spectrometry
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