Prevalence of Coxiella burnetii seropositivity and shedding in farm, pet and feral cats and associated risk factors in farm cats in Quebec, Canada.

Cats represent a potential source of Coxiella burnetii, the aetiological agent of Q fever in humans. The prevalence and risk factors of C. burnetii infection in farm, pet and feral cats were studied in Quebec, Canada, using a cross-sectional study. Serum samples were tested using a specific enzyme-linked immunosorbent assay (ELISA) for the presence of antibodies against C. burnetii, whereas rectal swabs were assayed using real-time quantitative polymerase chain reaction (qPCR) for the molecular detection of the bacteria. Potential risk factors for farm cats were investigated using clinical examinations, questionnaires and results from a concurrent study on C. burnetii farm status. A total of 184 cats were tested: 59 from ruminant farms, 73 pets and 52 feral cats. Among farm cats, 2/59 (3.4%) were ELISA-positive, 3/59 (5.1%) were ELISA-doubtful and 1/59 (1.7%) was qPCR-positive. All pets and feral cats were negative to C. burnetii ELISA and qPCR. Farm cat positivity was associated with a positive C. burnetii status on the ruminant farm (prevalence ratio = 7.6, P = 0.03). Our results suggest that although pet and feral cats do not seem to pose a great C. burnetii risk to public health, more active care should be taken when in contact with cats from ruminant farms.

Mortality and morbidity peaks modeling: An extreme value theory approach.

Hospitalizations and deaths belong to the most studied health variables in public health. Those variables are usually analyzed through mean events and trends, based on the whole dataset. However, this approach is not appropriate to comprehend health outcome peaks which are unusual events that strongly impact the health care network (e.g. overflow in hospital emergency rooms). Peaks can also be of interest in etiological research, for instance when analyzing relationships with extreme exposures (meteorological conditions, air pollution, social stress, etc.). Therefore, this paper aims at modeling health variables exclusively through the peaks, which is rarely done except over short periods. Establishing a rigorous and general methodology to identify peaks is another goal of this study. To this end, the extreme value theory appears adequate with statistical tools for selecting and modeling peaks. Selection and analysis for deaths and hospitalizations peaks using extreme value theory have not been applied in public health yet. Therefore, this study also has an exploratory goal. A declustering procedure is applied to the raw data in order to meet extreme value theory requirements. The application is done on hospitalization and death peaks for cardiovascular diseases, in the Montreal and Quebec metropolitan communities (Canada) for the period 1981-2011. The peak return levels are obtained from the modeling and can be useful in hospital management or planning future capacity needs for health care facilities, for example. This paper focuses on one class of diseases in two cities, but the methodology can be applied to any other health peaks series anywhere, as it is data driven.

Development of training for medicines-oriented policymakers to apply evidence.

BACKGROUND: Health systems globally promote appropriate prescribing by healthcare providers and safe and effective medicine use by consumers. Rx for Change, a publicly available database, provides access to systematic reviews regarding best practices for prescribing and using medicines. Despite the value of the database for improving prescribing and medicine use, its use remains suboptimal. This study aimed to develop a training program for five medicine-focused organisations in Canada and Australia to facilitate the use and understanding of the Rx for Change database. METHODS: Four steps were undertaken: 1) key informant interviews were completed across all organisations to understand the knowledge user perspective; 2) a directed content analysis was completed of the interview transcripts and proposed training was developed; 3) a second round of feedback on the proposed training by knowledge users was gathered; and 4) feedback was integrated to develop the final training. RESULTS: Sixteen key informant interviews with knowledge users were conducted. Themes for training content included the scope of, navigation and strategies for using Rx for Change (generic content) and practical examples on incorporating evidence within their workplace context (tailored content). The final training consisted of an informational video, a 60-minute face-to-face workshop and two post-training reminders. CONCLUSIONS: A method of engaging knowledge users in the development of a training program to improve the use of an on-line database of systematic reviews was established and used to design training. Next steps include the delivery and evaluation of the training.

Structure and magnetism in LaCoO3.

The temperature dependence of the hexagonal lattice parameter c of single crystal LaCoO3(LCO) with H = 0 and 800 Oe, as well as LCO bulk powders with H = 0, was measured using high-resolution x-ray scattering near the transition temperature To ≈35 K. The change of c(T) is well characterized by a power law in T − To for T>To and by a temperature independent constant for T

The unusual magnetism of nanoparticle LaCoO3.

Bulk and nanoparticle powders of LaCoO3 (LCO) were synthesized and their magnetic and structural properties were studied using SQUID magnetometry and neutron diffraction. The bulk and large nanoparticles exhibit weak ferromagnetism (FM) below T ≈ 85 K and a crossover from strong to weak antiferromagnetic (AFM) correlations near a transition expressed in the lattice parameters, To≈40 K. This crossover does not occur in the smallest nanoparticles; instead, the magnetic behavior is predominantly ferromagnetic. The amount of FM in the nanoparticles depends on the amount of Co3O4 impurity phase, which induces tensile strain on the LCO lattice. A core-interface model is introduced, with the core region exhibiting the AFM crossover and with FM in the interface region near surfaces and impurity phases.

The effects of Co3O4 on the structure and unusual magnetism of LaCoO3.

Bulk La(w)CoO(3) particles with w = 1.1, 1.0, 0.9, 0.8, and 0.7 were synthesized using starting materials with varying molar ratios of La(2)O(3) and Co(3)O(4). The resulting particles are characterized as LaCoO(3) crystals interfaced with a crystalline Co(3)O(4) phase. X-ray and neutron scattering data show little effect on the average structure and lattice parameters of the LaCoO(3) phase resulting from the Co(3)O(4) content, but magnetization data indicate that the amount of Co(3)O(4) strongly affects the ferromagnetic ordering at the interfaces below TC ≈ 89 K. In addition to ferromagnetic long-range order, LaCoO(3) exhibits antiferromagnetic behavior with an unusual temperature dependence. The magnetization for fields 20 Oe ⩽ H ⩽ 5 kOe is fit to a combination of a power law ((T - TC)/TC)(ß) behavior representing the ferromagnetic long-range order and sigmoid-convoluted Curie-Weiss-like behavior representing the antiferromagnetic behavior. The critical exponent ß = 0.63 ± 0.02 is consistent with 2D (surface) ordering. Increased Co(3)O(4) correlates well to increased ferromagnetism. The weakening of the antiferromagnetism below T ≈ 40 K is a consequence of the lattice reaching a critical rhombahedral distortion as T is decreased for core regions far from the Co(3)O(4) interfaces. We introduce a model that describes the ferromagnetic behavior of the interface regions and the unusual antiferromagnetism of the core regions.

Magnetism and phase transitions in LaCoO3.

Neutron scattering and magnetometry measurements have been used to study phase transitions in LaCoO3 (LCO). For H ≤ 100 Oe, evidence for a ferromagnetic (FM) transition is observed at Tc ≈ 87 K. For 1 kOe ≤ H ≤ 60 kOe, no transition is apparent. For all H, Curie-Weiss analysis shows predominantly antiferromagnetic (AFM) interactions for T > Tc, but the lack of long-range AFM order indicates magnetic frustration. We argue that the weak ferromagnetism in bulk LCO is induced by lattice strain, as is the case with thin films and nanoparticles. The lattice strain is present at the bulk surfaces and at the interfaces between the LCO and a trace cobalt oxide phase. The ferromagnetic ordering in the LCO bulk is strongly affected by the Co-O-Co angle (γ), in agreement with recent band calculations which predict that ferromagnetic long-range order can only take place above a critical value, γC. Consistent with recent thin film estimations, we find γC = 162.8°. For γ > Î³C, we observe power-law behavior in the structural parameters. γ decreases with T until the critical temperature, To ≈ 37 K; below To the rate of change becomes very small. For T < To, FM order appears to be confined to regions close to the surfaces, likely due to the lattice strain keeping the local Co-O-Co angle above γC.

Harvested white-tailed deer as sentinel hosts for early establishing Ixodes scapularis populations and risk from vector-borne zoonoses in southeastern Canada.

Due to recent establishment of the blacklegged tick, Ixodes scapularis Say, in southeastern Canada, tick-borne zoonoses (Lyme disease, human granulocytotropic anaplasmosis, and babesiosis) are of growing concern for public health. Using white-tailed deer (Odocoileus virginianus) culled in southwestern Quebec during 2007-2008, we investigated whether hunter-killed deer could act as sentinels for early establishing tick populations and for tick-borne pathogens. Accounting for environmental characteristics of culling sites, and age and sex of deer, we investigated whether their tick infestation levels could identify locations of known tick populations detected in active surveillance, presumed tick populations detected by passive surveillance, or both. We also used spatial cluster analyses to identify spatial patterns of tick infestation and occurrence of tick-borne zoonoses infection in ticks collected from the deer. Adult ticks were found on 15% of the 583 deer examined. Adult male deer had the greatest number (approximately 90%) of adult ticks. Overall, 3, 15, and 0% of the ticks collected were polymerase chain reaction (PCR)-positive for Borrelia burgdorferi, Anaplasma phagocytophilum, and Babesia microti, respectively. Our statistical analyses suggest that sex and age of deer, temperature, precipitation, and an index of tick dispersion by migratory birds were significantly associated with tick infestation levels. Cluster analysis identified significant clusters of deer carrying ticks PCR-positive for A. phagocytophilum, and for deer carrying two or more I. scapularis. Our study suggests that hunter-killed deer may be effective as sentinels for emerging areas of tick-borne anaplasmosis. They may have limited use as sentinels for early emerging I. scapularis tick populations and emerging Lyme disease risk.

Bioeconomic modelling of raccoon rabies spread management impacts in Quebec, Canada.

Beginning in 2006, point infection control operations and aerial distribution of oral rabies vaccines along the US border were performed in Quebec, Canada, to control the potential spread of raccoon rabies. A benefit-cost analysis assessed the economic efficiency of this rabies control programme into the future. In this study, a mathematical simulation model was used to determine the potential spread of raccoon rabies from the 2006 index case, and incidence rates of human post-exposure prophylaxis (PEP), animal testing and human exposure investigations were calculated. Benefits were calculated as the potential savings from reduced numbers of human PEP, animal testing and human exposure investigations owing to control, which ranged from $47 million to $53 million. Programme cost scenarios were based on projections of total expenditures, which ranged from $33 million to $49 million. Economic efficiency was indicated for approximately half of the modelled scenarios, with the greatest benefit-cost ratios resulting from reduced future programme costs.

Associations between Ixodes scapularis ticks and small mammal hosts in a newly endemic zone in southeastern Canada: implications for Borrelia burgdorferi transmission.

Immature Ixodes scapularis infestation and Borrelia burgdorferi infection of wild small mammals were studied from June to October in 2007 and from May to October in 2008 at 71 study sites in a zone where I. scapularis populations and environmental Lyme disease risk are emerging in southwestern Quebec. Seasonal host-seeking activity of immature I. scapularis was similar to patterns reported previously in Canada and the USA: nymphal activity peaked in spring while larval activity peaked in late summer. Synchronous activity of nymphs with some larvae was observed in late spring, which could favour establishment of B. burgdorferi strains that cause short-lived infections in their hosts. White-footed mice (Peromyscus leucopus), deer mice (P. maniculatus), chipmunks (Tamias striatus), and red squirrels (Tamiasciurus hudsonicus) carried 92.0% of the larvae and 94.2% of the nymphs collected. Adult male white-footed mice carried significantly larger numbers of both larval and nymphal I. scapularis than other species and classes of small mammals (different demographic groups or physiological status: age, sex, sexual activity). We conclude that seasonality and host association were comparable to previous studies in North America, even in the context of a newly endemic pattern of low infection prevalence and low densities of host-seeking and feeding I. scapularis in southwestern Quebec. Our studies suggest that B. burgdorferi transmission cycles are focused on adult male mice (which carried 35% of all feeding ticks collected in the study), so control methods targeting this class of hosts may be particularly effective. However, our study also suggested that habitats containing a diverse host structure may dilute transmission cycles by partitioning of nymphal and larval ticks on different host species.

Lipoatrofia semicircular, enfermedad propia de los edificios. Revisión de las publicaciones científicas / Semicircular lipoatrophy, a form of "sick building syndrome" a review of the literature

Se han revisado las publicaciones científicas sobre la lipoatrofia semicircular, desde 1974 a octubre de 2010 en Medline y Google académico. Objetivo: Obtener toda la bibliografía científica médica disponible y la documentación elaborada por los organismos oficiales, y situarla en relación con el síndrome del edificio enfermo. Material y métodos: Se han utilizado las palabras clave “Lipoatrophia semicircularis” y “Semicircular lipoatrophy”. Resultados: Escasa bibliografía encontrada, exclusivamente 32 artículos en Medline. El 33% de ellos pertenece a autores españoles. Discusión: La lipoatrofia semicircular es un defecto estético más que una enfermedad, es una lesión benigna y reversible considerada banal. Sin embargo, ha sorprendido al siglo XXI apareciendo en el entorno que se consideraba más seguro de todos los laborales. Donde sólo se preveían patologías músculo-esqueléticas, oculares y psicosociales, ha surgido una nueva enfermedad que parece estar relacionada con el sexo femenino, los microtraumatismos y las cargas electrostáticas. Conclusiones: Debemos encuadrar la lipoatrofia semicircular como una enfermedad propia de los edificios (al igual que la legionelosis, por ejemplo) y distinta al síndrome del edificio enfermo. Son necesarios más estudios para responder a las preguntas aún abiertas sobre su fisiopatogenia (AU)

Background: We have reviewed the entries on “semicircular lipoatrophy” in the Medline and Academic Google databases for the period from 1974 to October 2010, with the aim to retrieve all the available scientific-medical publications and the documentation prepared by official authroities and to set it in relation to the “sick building syndrome”. Material and methods: The key terms “Lipoatrophia semicircularis” and “Semicircular lipoatrophy” were used for the search. Results: The bibliography found was scarce, with only 32 articles in the Medline database. Among them, 33% had been written by Spanish authors. Discussion: Semicircular lipoatrophy is an aesthetic defect rather than a disease; it is a reversible and benign condition which is considered banal. It has however surprised scientists in the XXIst Century, as it has appeared it the environment which was considered safest among all working ones. Where only musculoskeletal disorders, eye conditions and psychosocial derangements were expected or foreseen, a new condition has emerged which apparently correlates with the female gender, microtraumatisms and static electricity charges. Conclusions: Semicircular lipoatrophy should be considered a building-related condition (the same as, for example, Legionnaire’s disease), and apart from the “sick building syndrome”. Further studies are required in order to answer the still-open questions regarding its pathogenesis (AU)

Local structure of La1-xSrxCoO3 determined from EXAFS and neutron pair distribution function studies.

The combined local structure techniques, extended x-ray absorption fine structure and neutron pair distribution function analysis, have been used for temperatures 4< or =T< or =330 K to rule out a large Jahn-Teller (JT) distortion of the Co-O bond in La1-xSrxCoO3 for a significant fraction of Co sites (x< or =0.35), indicating few, if any, JT-active, singly occupied e_{g} Co sites exist.

Biochemical reference ranges for groups of ewes of different ages.

Reference biochemical ranges for young adult and adult ewes in mid-gestation were derived from 83 pooled serum samples taken from 30 flocks in the Province of Québec, Canada. In each flock the samples were pooled into three age categories and each category contained between six and 10 samples. The blood samples were taken by jugular venepuncture in December 1999. All the values were within the normal published ranges. As the age of the ewes increased there were slight increases in the concentrations of globulin and total protein and decreases in the concentrations of calcium, phosphorus, creatinine, glucose and albumin, and in the activities of alkaline phosphatase and glutathione peroxidase.

Order parameter criticality of the d = 3 random-field Ising antiferromagnet Fe0.85Zn0.15F2.

The critical exponent beta=0.16+/-0.02 for the random-field Ising model order parameter is determined using extinction-free magnetic x-ray scattering for Fe0.85Zn0.15F2 in magnetic fields of 10 and 11 T. The observed value is consistent with other experimental random-field critical exponents, but disagrees sharply with Monte Carlo and exact ground state calculations on finite-sized systems.

Allogeneic transplantation for multiple myeloma: further evidence for a GVHD-associated graft-versus-myeloma effect.

We report a series of 37 consecutive patients with multiple myeloma (MM) who received an allograft between 1990 and 2000 at our institution. Median age was 47 years, and nearly 70% of patients were Durie-Salmon stage III. A median of five cycles of chemotherapy were given before transplant, with a median interval between diagnosis and transplant of 9.3 months. We report a nonrelapse mortality rate of 22% with a median follow-up period of 40 months, whereas complete remission (CR) rate at 12 months is estimated at 57%. Treatment failure rate and overall survival at 40 months are estimated at 52% and 32%, respectively. The number of chemotherapy cycles prior to allotransplantation achieved borderline statistical significance as a poor prognosis factor for overall survival (P = 0.05), while the presence of chronic graft-versus-host disease (cGVHD) was significantly correlated with CR achievement (P = 0.036). Our study confirms that early allografting in MM can yield toxicity rates significantly lower than those associated with historical cohorts, and supports the hypothesis that cumulative chemotoxicity has a negative influence on mortality and survival rates. More importantly, our study clearly demonstrates an association between cGVHD and CR and brings further evidence in favor of a graft-versus-myeloma effect.

Spatial variation in mercury concentrations in wild mink and river Otter carcasses from the James bay territory, Québec, Canada.

Mercury concentrations were analyzed in different organs/tissues of wild minks (Mustela vison) and river otters (Lutra canadensis) trapped during two seasons in the James Bay territory (49 degrees N to 55 degrees N, Québec, Canada). In 1993-94, mean total Hg concentration (microg/g, wet weight) in 39 wild mink and 12 river otter carcasses was greatest in fur/hair samples (30.1 and 20.7 microg/g, respectively) and least in brain samples (0.96 and 0.8 microg/g, respectively) with liver, kidney, and muscle samples showing intermediate values. Pooling data from the 1993-94 and 1994-95 trapping seasons revealed mean (SD) liver total Hg concentrations of 3.71 microg/g (3.91) in 316 wild mink carcasses and 4.05 microg/g (3.41) in 153 river otter carcasses. Log liver total Hg concentration increased with age in wild mink but not in river otter. Log liver total Hg concentration in each species was greatest in areas with moraine deposits and least in areas with rich clay deposits, but the effect of soil deposits could be confounded by uneven deposition of anthropogenic Hg. Controlling for type of soil deposits, log liver total Hg concentration decreased with increasing distance from local industrial centers in each species but varied little with changes in distance from hydroelectric reservoirs. In a subsample of carcasses from the moraine sector, log liver total Hg concentration was higher in wild mink than in river otter. Spatial variation in log liver total Hg concentration in relation to soil deposit type and proximity to industrial centers suggests that the two wild furbearer species could be useful indicators of environmental contamination.

[Drugs, Poverty and HIV: results regarding a provincial needle exchange program in Point de Repères, Quebec]. / Drogues, pauvreté et VIH: données en provenance du programme d'échange de seringues Point de Repères, Québec.

In this study (n = 200), the characteristics of IDUs participating in a provincial needle exchange program (NEP) for more than 2 years (> 2 years) were compared with those of IDUs having participated for less than 2 years (< or = 2 years). Compared to the < or = 2 years, the > 2 years were more often recipients of welfare (RC: 4.7), especially among the HIV-positive (RC: 62.0); tried quitting drugs more frequently (RC: 3.8); more often recommended the NEP to other IDUs (RC: 3.1); and more often requested being given shelter and longer opening hours (RC: 3.6). These results highlight the urgent need to improve and develop transitional and support services for the > 2 years. Preventive interventions that would reach out to the < or = 2 years where they live should also be implemented in close collaboration with organizations involved in mental health and drug use prevention.

Tau-mediated process outgrowth is differentially altered by the expression of MAP2b and MAP2c in Sf9 cells.

It is well documented that the MAPs, MAP2 and tau, play pivotal roles in neurite outgrowth. Several isoforms of MAP2 and tau are coexpressed in neurons, suggesting that the pattern of neurite outgrowth results from a functional equilibrium among these isoforms. In the present study, by coexpressing two of these MAPs at the same time in Sf9 cells, we demonstrated that tau-mediated process outgrowth is affected differently by MAP2b and MAP2c. MAP2b impairs tau ability to induce process outgrowth. Tau affects MAP2c capacity to induce the formation of multiple processes. There is evidence that actin microfilaments (F-actin) are involved in the elaboration of tau-mediated process outgrowth in Sf9 cells. We compared the effects of MAP2b and MAP2c with the effects of tau on F-actin distribution and stability in Sf9 cells. In MAP2b- and MAP2c-expressing cells with processes, F-actin was redistributed. However, in MAP2b-expressing cells without processes, the distribution of F-actin appears to be similar to the one in wild-type infected cells. Collectively, these results indicate that MAP2b could impair the ability of MAP2c and tau to redistribute F-actin in Sf9 cells, thereby decreasing their capacity to induce process formation. Furthermore, MAP2b and MAP2c patterns of process outgrowth were differentially modified by depolymerization of F-actin by cytochalasin D (CD). As previously reported for tau-expressing cells, the MAP2b-expressing cells developed a higher number of processes per cell and a higher number of cells presented processes in the presence of CD. However, the number of cells with multiple processes was lower in MAP2b-expressing cells than in tau-expressing cells treated with CD at 24 h postinfection. This suggests that MAP2b exerts an effect on F-actin stability at an earlier stage of infection than tau. MAP2c had also some stabilizing effects on F-actin at an early stage of infection, since the percentage of cells presenting one process was similar to the nontreated cells. Therefore, MAP2b seems to have less capacity than MAP2c to redistribute F-actin but, nonetheless, both of these MAP2 isoforms exert a stabilizing effect on F-actin at an early stage of infection. Finally, by modifying phosphorylation we showed that MAP2c capacity to induce multiple processes is related to protein phosphorylation in Sf9 cells. Therefore, the differential effect of MAP2c and MAP2b on process outgrowth seems also to depend on protein phosphorylation.

Two different schedules for integrating filgrastim as adjuvant therapy in the treatment of patients with advanced stage Hodgkin's lymphoma receiving MOPP/ABV hybrid chemotherapy.

PURPOSE: Management of advanced-stage Hodgkin's disease with a MOPP/ABV hybrid regimen (mechlorethamine, vincristine, procarbazine, prednisone, Adriamycin, bleomycin and vinblastine) has yielded a high complete response rate (75-85%). However, myelosuppression can limit delivery of treatment. Filgrastim has been shown to reduce chemotherapy-related neutropenia and allow for on-time administration of planned doses of chemotherapeutic agents. The objective of this study was to find the best way to integrate filgrastim with the MOPP/ABV hybrid regimen. METHODS: Enrolled in this study were 24 patients (aged 18-52 years) with newly diagnosed, histologically documented Hodgkin's disease. In schedule I, patients received filgrastim (5 microg/kg s.c. daily) beginning on day 9, 24 h after administration of ABV. In schedule II, patients received filgrastim concomitantly with procarbazine on days 2-7 (starting 24 h after day-1 MOPP administration and stopping 24 h before ABV administration) as well as after ABV beginning on day 9. Filgrastim after ABV administration was administered until two consecutive ANC readings of 10 x 10(9)/l were achieved. RESULTS: All patients were able to complete all six cycles of therapy. There was a trend to fewer dose reductions in schedule II (0.76%) as compared to schedule I (4.2%) with a P-value of 0.077 (chi-squared test). Specifically, 11.6% of MOPP courses and 5.5% of ABV courses were dose-reduced in schedule I versus 1.7% and 1.4%, respectively, in schedule II. CONCLUSION: In conclusion, filgrastim was effective in supporting the delivery of the MOPP/ABV chemotherapy. Concomitant administration of filgrastim with procarbazine (days 2-7) appears to be safe and allows the maximum dose intensity of this therapy.