A phytosociological analysis and description of wetland vegetation and ecological factors associated with locations of high mortality for the 2010-11 Rift Valley fever outbreak in South Africa.

Rift Valley fever (RVF) is endemic in Africa and parts of the Middle East. It is an emerging zoonotic disease threat to veterinary and public health. Outbreaks of the disease have severe socio-economic impacts. RVF virus emergence is closely associated with specific endorheic wetlands that are utilized by the virus' mosquito vectors. Limited botanical vegetation surveys had been published with regard to RVF virus (RVFV) ecology. We report on a phytosociological classification, analysis and description of wetland vegetation and related abiotic parameters to elucidate factors possibly associated with the 2010-2011 RVFV disease outbreak in South Africa. The study sites were located in the western Free State and adjacent Northern Cape covering an area of ~40,000 km2 with wetlands associated with high RVF mortality rates in livestock. Other study sites included areas where no RVF activity was reported during the 2010-11 RVF outbreak. A total of 129 plots (30 m2) were selected where a visible difference could be seen in the wetland and upland vegetation. The Braun-Blanquet method was used for plant sampling. Classification was done using modified Two-Way Indicator Species Analysis. The vegetation analysis resulted in the identification of eight plant communities, seven sub-communities and two variants. Indirect ordination was carried out using CANOCO to investigate the relationship between species and wetland ecology. The study also identified 5 categories of wetlands including anthropogenic wetlands. Locations of reported RVF cases overlapped sites characterized by high clay-content soils and specific wetland vegetation. These findings indicate ecological and environmental parameters that represent preferred breeding habitat for RVFV competent mosquito vectors.

Buspirone for the treatment of dementia with behavioral disturbance.

Behavioral disturbances are common but serious symptoms in patients with dementia. Currently, there are no FDA approved drugs for this purpose. There have been case reports and small case series of the use of buspirone. In this retrospective study, we review 179 patients prescribed buspirone for treatment of behavioral disturbance in dementia to better characterize the efficacy and potential side effects. All patients prescribed buspirone for behavioral disturbance due to dementia from a geropsychiatric outreach program were reviewed. Data was collected and analyzed using SPSS. One hundred-seventy-nine patients met criteria for the study with a mean age of 83.8 + 7. Alzheimer's dementia was the most common dementia (n = 61; 34.1%) followed by mixed dementia (n = 50, 27.9%) then vascular type (n = 31; 17.3%). Behavioral disturbances were mainly verbal aggression (n = 125; 69.8%), and physical aggression (n = 116; 64.8%). Using the Clinical Global Impression scale, 68.6% of patients responded to buspirone, with 41.8% being moderately to markedly improved. The mean dose of buspirone was 25.7 mg ± 12.50. Buspirone appears to be effective in treating behavioral disturbances in dementia. Future prospective and double blinded studies are needed.

First operation of the charge-breeder electron-cyclotron-resonance ion source at the Texas A&M Cyclotron Institute.

The 14.5 GHz electron-cyclotron-resonance ion source (ECRIS) designed and fabricated specifically for charge breeding has been installed at the Texas A&M University Cyclotron Institute for use in the institute's ongoing radioactive-ion-beam upgrade. The initial testing of the source has just begun with magnetic analysis of the ECRIS beam. The source has only been conditioning for a brief time at low microwave power, and it is continuing to improve. After the source has been conditioned and characterized, charge-breeding trials with stable beams from a singly ionizing source will begin.

Associations between migrant status and sexually transmitted infections among female sex workers in Tijuana, Mexico.

OBJECTIVE: To examine associations between migration and sexually transmitted infection (STI) prevalence among Mexican female sex workers (FSW). METHODS: FSW aged 18 years and older in Tijuana, Baja California (BC) underwent interviews and testing for HIV, syphilis, gonorrhoea and chlamydia. Multivariate logistic regressions identified correlates of STI. RESULTS: Of 471 FSW, 79% were migrants to BC. Among migrant FSW, prevalence of HIV, syphilis, gonorrhoea, chlamydia and any STI was 6.6%, 13.2%, 7.8%, 16.3% and 31.1% compared with 10.9%, 18.2%, 13.0%, 19.0% and 42.4% among FSW born in BC. A greater proportion of migrant FSW were registered with local health services and were ever tested for HIV. Migrant status was protective for any STI in unadjusted models (unadjusted odds ratio 0.61, 95% CI 0.39 to 0.97). In multivariate models controlling for confounders, migrant status was not associated with an elevated odds of STI acquisition and trended towards a protective association. CONCLUSIONS: Unexpectedly, migrant status (vs native-born status) appeared protective for any STI acquisition. It is unclear which social or economic conditions may protect against STI and whether these erode over time in migrants. Additional research is needed to inform our understanding of whether or how geography, variations in health capital, or social network composition and information-sharing attributes can contribute to health protective behaviours in migrant FSW. By capitalising on such mechanisms, efforts to preserve protective health behaviours in migrant FSW will help control STI in the population and may lead to the identification of strategies that are generalisable to other FSW.

Deportation along the U.S.-Mexico border: its relation to drug use patterns and accessing care.

Since migration has been linked to new drug trends and risky behaviors, and deported individuals face unique economic and social stressors, we investigated behaviors of injection drug users (IDUs) from Tijuana, Mexico in relation to deportation history. In 2005, IDUs > or =18 years old who injected within the prior month were recruited by respondent-driven sampling, administered a questionnaire, and underwent antibody testing for HIV, HCV, and syphilis. Logistic regression compared IDUs who reported coming to Tijuana due to deportation from the U.S. versus others in the study. Of 219 participants, 16% were deportees. Prevalence of HIV, HCV and syphilis was 3, 95 and 13%, respectively. Deportees had lived in Tijuana for a shorter time (median: 2 vs. 16 years), were more likely to inject multiple times/day (OR: 5.52; 95%CI: 1.62-18.8), but less likely to have smoked/inhaled methamphetamine (OR: 0.17; 95%CI: 0.17-0.86). Deportation history was inversely associated with receiving drug treatment (OR: 0.41; 95%CI: 0.19-0.89), recent medical care (OR: 0.37; 95%CI: 0.13-1.00), or HIV testing (OR: 0.44; 95%CI: 0.19-1.02). Deportees had different drug use patterns and less interaction with public health services than other study participants. Our study is an indication that migration history might relate to current risk behaviors and access to health care. More in-depth studies to determine factors driving such behaviors are needed.

Lipoid pneumonia due to Mexican folk remedies: cultural barriers to diagnosis.

OBJECTIVE: To describe 2 cases of lipoid pneumonia in Mexican American infants after administration of vegetable- or animal-derived oils and the cultural barriers to diagnosis. Various folk remedies have been documented in the international medical literature that involve the oral or nasal administration of vegetable- or animal-derived oils to children for the treatment of common ailments, including nasal stuffiness, constipation, and colic. Lipoid pneumonia is a known complication of such practices in Mexico, India, Saudi Arabia, and other countries. METHODS: Case reports of 2 Mexican American infants with respiratory distress and interviews with 30 immigrant families of Mexican origin. RESULTS: In both cases, language and cultural barriers resulted in a delayed diagnosis of lipoid pneumonia. Interviews with immigrant families confirmed that oil administration to children is a common traditional therapy in Mexican cultures. CONCLUSIONS: These findings underscore the need for primary care providers to be aware of the traditional practice of oil administration to infants in many cultures, its pathophysiological consequences, the potential cultural barriers to timely diagnosis, and the opportunity to prevent cases of lipoid pneumonia through anticipatory guidance.

Lactobacillus therapy for acute infectious diarrhea in children: a meta-analysis.

OBJECTIVE: Childhood diarrhea accounts for substantial morbidity and mortality worldwide. Multiple studies in children have shown that Lactobacillus, administered orally, may have antidiarrheal properties. We conducted a meta-analysis of randomized, controlled studies to assess whether treatment with Lactobacillus improves clinical outcomes in children with acute infectious diarrhea. METHODS: Studies were sought in bibliographic databases of traditional biomedical as well as complementary and alternative medicine literature published from 1966 to 2000. Search terms were "competitive inhibition," "diarrhea," "gastroenteritis," "Lactobacillus," "probiotic," "rotavirus," and "yog(h)urt." We included studies that were adequately randomized, blinded, controlled trials in which the treatment group received Lactobacillus and the control group received an adequate placebo and that reported clinical outcome measures of diarrhea intensity. These inclusion criteria were applied by blind review and consensus. The original search yielded 26 studies, 9 of which met the criteria. Multiple observers independently extracted study characteristics and clinical outcomes. Data sufficient to perform meta-analysis of the effect of Lactobacillus on diarrhea duration and diarrhea frequency on day 2 were contained in 7 and 3 of the included studies, respectively. RESULTS: Summary point estimates indicate a reduction in diarrhea duration of 0.7 days (95% confidence interval: 0.3-1.2 days) and a reduction in diarrhea frequency of 1.6 stools on day 2 of treatment (95% confidence interval: 0.7-2.6 fewer stools) in the participants who received Lactobacillus compared with those who received placebo. Details of treatment protocols varied among the studies. A preplanned subanalysis suggests a dose-effect relationship. CONCLUSION: The results of this meta-analysis suggest that Lactobacillus is safe and effective as a treatment for children with acute infectious diarrhea.

Effects of PNF stretching phases on acute arterial blood pressure.

This study examined acute systolic (SBP) and diastolic (DBP) blood pressure responses within passive and modified proprioceptive neuromuscular facilitation (PNF) stretching techniques. Nonhypertensives (N = 60) were assigned to one of three treatment groups. Group 1 employed an antagonist passive stretch (APS), 6-sec maximal voluntary isometric contraction (MVIC) of the antagonist, and subsequent APS. Group 2 employed an APS, a 6-sec MVIC of the antagonist, submaximal concentric contraction of the agonist, and APS. Group 3 was similar to Group 2, with the deletion of an MVIC prior to the concentric contraction. Blood pressures were obtained during rest, baseline following passive stretch, and at the end of the three phases of the PNF technique. Range of motion (ROM) data were collected for baseline and treatment in terminal hip flexion for each group. All PNF treatments were effective for increasing ROM. One or two trials of PNF improve ROM and avoid increasing SBP, while a third trial increases SBP.

The uncertain connection: free trade and rural Mexican migration to the United States.

"Will a North American Free Trade Agreement (NAFTA) decrease Mexican migration to the United States, as the U.S. and Mexican governments assert, or increase migration beyond the movement that would otherwise occur, as NAFTA critics allege? This article argues that it is easy to overestimate the additional emigration from rural Mexico owing to NAFTA-related economic restructuring in Mexico. The available evidence suggests four major reasons why Mexican emigration may not increase massively, despite extensive restructuring and displacement from traditional agriculture....NAFTA-related economic displacement in Mexico may yield an initial wave of migration to test the U.S. labor market, but this migration should soon diminish if the jobs that these migrants seek shift to Mexico."

The "new" immigration and the politics of cultural diversity in the United States and Japan.

"Certain parallels between the recent experience of Japan and that of the United States with immigration from Third World countries are increasingly evident. In this discussion, I shall focus on these key similarities rather than the obvious differences between the two countries, in terms of culture, economy, political system, and 'immigration profile'." Aspects considered include the structural nature of the demand for foreign labor, the composition of immigrant stocks and flows, public tolerance, and contradictions in government policies.

The effects of cold application and modified PNF stretching techniques on hip joint flexibility in college males.

The purpose of the study was to determine the effects of modified Proprioceptive Neuromuscular Facilitation (PNF) flexibility techniques on hip flexion in college males and to determine if local cold application enhances the effectiveness of these techniques. Male subjects (N = 120), with an average age of 21.5 +/- 2.7 years, were randomly assigned to one of four different kinds of stretching treatments with cold or no cold application (15 per group). Range of motion (ROM) in degrees was determined following four stretching techniques: three modified PNF (PCP, 3-PIECP, 3-PIFCP) and a passive stretch (P). Data were analyzed using a 2 (conditions) x 4 (treatments) ANOVA. There were no significant differences in ROM between cold and no cold conditions. Significant differences existed among ROM techniques (p less than .05). Post hoc analyses revealed that the three modified PNF techniques resulted in greater ROM than the passive stretch technique. However, we conclude that cold application does not influence the effectiveness of selected stretching techniques.

The Effects of a Warm-up on Acute Hip Joint Flexibility Using a Modified PNF Stretching Technique.

This study was conducted in order to determine the effects of various types of warm-up on performance of the slow-reversal-hold-relax modified Proprioceptive Neuromuscular Facilitation (PNF) flexibility maneuver. The subjects for this study (N=54) were active, injuryfree females who were randomly assigned to stationary cycling, whirlpool, or control groups. Each group participated in its assigned treatment for 20 minutes and did not perform any stretching exercises before or during their warm-up. Acute flexibility data were collected for hip flexion with the use of a Leighton Flexometer following the treatment condition. Hip range of motion (ROM) did not differ between the groups performing a warm-up and the control group; therefore, a warm-up had no effect on hip ROM when using a modified PNF technique.

The relationship between isometric contraction durations and improvement in shoulder joint range of motion.

Proprioceptive Neuromuscular Facilitation (PNF) flexibility techniques are now being used in health and sports related activities, yet it is unclear as to the relationship between various isometric contraction time increments and joint range of motion. The purpose of this study, therefore, was to determine the relationship between a three-second, six-second, and ten-second maximum voluntary isometric contraction (MVIC). A modified PNF procedure referred to as the slow-reversal-hold-relax (SRHR) flexibility technique was employed in the investigation. It was hypothesized that longer MVIC time increments used with the SRHR flexibility technique would provide greater range of motion (ROM). Specifically, the ten-second MVIC was believed to be superior to the six-second and three-second MVIC. Furthermore, it was hypothesized that the six-second MVIC was superior to the three-second MVIC. Sixty subjects, ages 14-57 were randomly assigned to one of three treatment groups. Using a Leighton Flexometer, acute internal rotation of the shoulder joint was measured in degrees for six trials. Three passive stretch trials served as the baseline measurement for each subject (trials 1-3). The SRHR flexibility technique was used as the treatment for trials 4-6. A sixty-second rest interval common to clinical settings was integrated between each trial. The hypothesis was not accepted that a positive correlation existed between increased MVIC time and greater ROM.

Proprioceptive Neuromuscular Facilitation Flexibility Techniques: Acute Effects on Arterial Blood Pressure.

In brief: For this study of the acute effects of stretching techniques on arterial blood pressure (ABP), 60 men were assigned to one of three treatment groups, each consisting of one modified proprioceptive neuromuscular facilitation (PNF) technique: hold-relax, contract-relax, and slow-reversal-hold-relax (SRHR). Flexibility and ABP data were collected from both baseline (passive stretch) and treatment measurements for each group. AH three treatments were more effective than the baseline stretch for increasing flexibility; the SRHR treatment provided the greatest flexibility. Increases in treatment ABPs were nonsignificant, compared with baseline measures. The authors conclude that the potential benefits of PNF may outweigh the risks of elevated ABP.

Utilization of health services by Mexican immigrant women in San Diego.

The limited empirical data available on maternal health problems among Mexican immigrant women in the United States suggest that they underutilize health services, especially general preventive care. Research conducted among legal and undocumented women in the Mexican immigrant population in San Diego, California, support these findings. Among undocumented mothers, 11.5% of their births in the U.S. occurred with no prenatal care or care sought in the third trimester, which is much higher than Mexican women legally in the country (3.6%) and the general San Diego maternal population (3.8%). When we examine births which occurred within the last five years by immigration status, we find that women legally in the country have a much higher rate of cesarean delivery of both undocumented women and women in the general San Diego maternal population. Undocumented women in our sample were much less likely than their legal counterparts to return for postpartum examinations for themselves, to seek neonatal care for their infants, and to have had Pap examinations or carry out breast self-examinations.

PIP: Between March 1981 and February 1982, personal in-home interviews were conducted with 2,103 adults born in Mexico who were living or working in San Diego County, California, regardless of their legal status in the US. Both documented, (legal) and undocumented respondents exhibited a number of socioeconomic characteristics which could influence their utilization of US medical services. The data indicate that underutilization of prenatal care exists in this population. Among undocumented mothers, 11.5% of their births in the US occurred with no prental care sought in the 3rd trimester, which is much higher than Mexican women legally in the country (3.6%) and the general San Diego maternal population (3.8%). When births which occurred within the last 5 years are examined by immigration status, it is found that women legally in this country have a much higher rate of cesarean delivery for both undocumented women and women in the general San Diego maternal population. Undocumented women in our sample were much less likely than their legal counterparts to return for postpartnum examinations for themselves, to seek neonatal care for their infants, and to have had Pap examinations or carry out breast self-examinations.