Endogenous opioids modify dyspnoea during treadmill exercise in patients with COPD.

Exogenous opioid drugs, such as morphine, relieve breathlessness. The present study hypothesis was that endogenous opioids, released during the stress of exercise, modify dyspnoea in patients with chronic obstructive pulmonary disease. After familiarisation, patients performed an incremental treadmill exercise test followed by constant work on the treadmill for 10 min. At subsequent visits (2 to 3 days apart), patients received two puffs of albuterol, had a catheter placed in an arm vein for removal of blood to measure beta-endorphin immunoreactivity, received normal saline or 10 mg of naloxone intravenously in randomised order, and then performed high-intensity constant work rate exercise on the treadmill. The mean+/-sd age of the 17 patients (eight females and nine males) was 63+/-7 yrs, and post-bronchodilator forced expiratory volume in one second was 50+/-17% predicted. In both conditions, beta-endorphin levels increased three-fold from rest to end-exercise. The regression slope of breathlessness as a function of oxygen consumption (primary outcome), mean ratings of breathlessness throughout exercise and peak ratings of breathlessness were significantly higher with naloxone than normal saline. There were no differences in physiological responses throughout exercise between conditions. In conclusion, endogenous opioids modify dyspnoea during treadmill exercise in patients with chronic obstructive pulmonary disease by apparent alteration of central perception.

Admixture and population stratification in African Caribbean populations.

Throughout biomedical research, there is growing interest in the use of ancestry informative markers (AIMs) to deconstruct racial categories into useful variables. Studies on recently admixed populations have shown significant population substructure due to differences in individual ancestry; however, few studies have examined Caribbean populations. Here we used a panel of 28 AIMs to examine the genetic ancestry of 298 individuals of African descent from the Caribbean islands of Jamaica, St. Thomas and Barbados. Differences in global admixture were observed, with Barbados having the highest level of West African ancestry (89.6%+/- 2.0) and the lowest levels of European (10.2%+/- 2.2) and Native American ancestry (0.2%+/- 2.0), while Jamaica possessed the highest levels of European (12.4%+/- 3.5) and Native American ancestry (3.2%+/- 3.1). St. Thomas, USVI had ancestry levels quite similar to African Americans in continental U.S. (86.8%+/- 2.2 West African, 10.6%+/- 2.3 European, and 2.6%+/- 2.1 Native American). Significant substructure was observed in the islands of Jamaica and St. Thomas but not Barbados (K=1), indicating that differences in population substructure exist across these three Caribbean islands. These differences likely stem from diverse colonial and historical experiences, and subsequent evolutionary processes. Most importantly, these differences may have significant ramifications for case-control studies of complex disease in Caribbean populations.

The cel4 gene of Agaricus bisporus encodes a beta-mannanase.

Mannases have industrial uses in food and pulp industries, and their regulation may influence development of the mushrooms of commercially important basidiomycetes. We expressed an Agaricus bisporus cel4 cDNA, which encodes a mannanase, in Saccharomyces cerevisiae and Pichia pastoris. CEL4 had no detectable activity on cellulose or xylan. This gene is the first isolated from this economically important fungus to encode a mannanase. P. pastoris secreted about three times more CEL4 than S. cerevisiae. The removal of the cellulose-binding domain of CEL4 lowered the secreted specific activity by P. pastoris by approximately 97%. The genomic sequence of cel4 was isolated by screening a cosmid library of A. bisporus C54-carb8. The open reading frame was interrupted by 12 introns. The level of extracellular CEL4 increases dramatically at the postharvest stage in compost extracts of A. bisporus fruiting cultures. In laboratory liquid cultures of A. bisporus, the activity of CEL4 detected in the culture filtrate reached a maximum after 21 days. The levels of CEL4 broadly mirrored the levels of enzyme activity. In the Solka floc-bound mycelium, CEL4 protein showed a maximum after 2 to 3 weeks of culture and then declined. Changes in CEL4 activity during fruiting-body development suggest that hemicellulose utilization plays an important role in sporophore formation. The availability of the cloned gene will further studies of compost decomposition and the extracellular enzymes that fungi deploy in this process.

Surveillance of leptospiral carriage by feral rats in Barbados.

Rodents, particularly rats, are widely held to be the source of most human cases of leptospirosis. Feral rats were trapped at sites throughout Barbados during two six month surveys: from October to March 1986/87 and from October to March 1994/95. During the first survey, 63 rats were trapped, of which 26 (41%) were identified as Rattus rattus and 37 (59%) as Rattus norvegicus. In the second study, 100 rats were trapped, of which R. rattus comprised 24% (24) and R. norvegicus 76% (76). Cultures of blood, urine and kidney were made in EMJH medium. Leptospires were isolated from 12/63 (19%) and from 16/100 (16%) of the rats during 1986/87 and 1994/95, respectively; 27/28 isolates were recovered from the kidneys or urine or both, while only one isolate was recovered from the blood. During the first study, isolates were identified as serovars copenhageni (11) and arborea (1), while in the second study, serovars copenhageni (9), arborea (5) and bim (1) were identified; one isolate was lost before it could be identified. In the first study, antibodies were detected by microscopic agglutination at a titre of > or = 100 in 26/62 (42%) of rats tested, while in the second survey, 5/100 (5%) of rats had similar titres. In two surveys, conducted eight years apart, we confirmed that rats in Barbados are commonly infected with leptospires, and that viable organisms are found in the kidneys and urine, evidence of chronic infection and thus excretion of leptospires in rodent urine. Moreover, the predominant serovar isolated was copenhageni, of which Rattus spp. are the worldwide reservoir. There was little evidence that rats act as a reservoir for the serovar bim, the most common cause of human leptospirosis in Barbados.

Surveillance of leptospiral carriage by feral rats in Barbados

Rodents, particularly rats, are widely held to be the source of most human cases of leptospirosis. Feral rats were trapped at sites throughout Barbados during two-six month surveys: from October to March 1986/87 and from October to March 1994/95. During the first survey, 63 rats were trapped, of which 26 (41 percent) were identified as Rattus rattus and 37 (59 percent) as Rattus norvegicus. In the second study, 100 rats were trapped, of which R. rattus comprised 24 percent (24) and R. norvegicus 76 percent (76). Cultures of blood, urine and kidney were made in EMJH medium. Leptospires were isolated from 12/63 (19 percent) and from 16/100 (16 percent) of the rats during 1986/87 and 1994/95, respectively; 27/28 isolates were recovered from the kidneys or urine or both, while only one isolate was recovered from the blood. During the first study, isolates were identified as serovars copenhageni (11), arborea (1), while in the second study, serovars copenhageni (9), arborea (5) and bim (1) were identified; one isolate was lost before it could be identified. In the first study, antibodies were detected by microscopic agglutination at a titre of > or = 100 in 26/62 (42 percent) of rats tested, while in the second survey, 5/100 (5 percent) of rats had similar titres. In two surveys, conducted eight years aparts we confirmed that rats in Barbados are commonly infected with leptospires, and that viable organisms are found in the kidneys and urine, evidence of chronic infection and thus excretion of leptospires in rodent urine. Moreover, the predominant serovar isolated was copenhageni, of which Rattus spp. are the worldwide reservoir. There was little evidence that rats act as a reservoir for the serovar bim, the most common cause of human leptospirosis in Barbados.(AU)

Surveillance of leptospiral carriage by feral rats in Barbados

Rodents, particularly rats, are widely held to be the source of most human cases of leptospirosis. Feral rats were trapped at sites throughout Barbados during two six month surveys: from October to March 1986/87 and from October to March 1994/95. During the first survey, 63 rats were trapped, of which 26 (41) were identified as Rattus rattus and 37 (59) as Rattus norvegicus. In the second study, 100 rats were trapped, of which R. rattus comprised 24(24) and R. norvegicus 76(76). Cultures of blood, urine and kidney were made in EMJH medium. Leptospires were isolated from 12/63 (19) and from 16/100 (16) of the rats during 1986/87 and 1994/95, respectively; 27/28 isolates were recovered from the kidneys or urine or both, while only one isolate was recovered from the blood. During the first study, isolates were identified as serovars copenhageni (11) and arborea (1), while in the second study, serovars copenhageni (9), arborea (5) and bim (1) were identified; one isolate was lost before it could be identified. In the first study, antibodies were detected by microscopic agglutination at a titre of > or = 100 in 26/62 (42) of rats tested, while in the second survey, 5/100 (5) of rats had similar titres. In two surveys, conducted eight years apart, we confirmed that rats in Barbados are commonly infected with leptospires, and that viable organisms are found in the kidneys and urine, evidence of chronic infection and thus excretion of leptospires in rodent urine. Moreover, the predominant serovar isolated was copenhageni, of which Rattus spp. are the worldwide reservoir. There was little evidence that rats act as a reservoir for the serovar bim, the most common cause of human leptospirosis in Barbados.

Surveillance of leptospiral carriage in feral rats in Barbados - abstract

Rodents, particularly rats, are widely held to be the source of most human cases of leptospirosis. Feral rats were trapped at sites throughout the island of Barbados during two six month surveys, from October - March 1986/87 and 1994/95. During the first survey, 63 rats were trapped, of which 26 (41 percent) were identified as Rattus rattus and 37 (59 percent) as Rattus norvegicus. In the second study, 100 rats were trapped, of which R. rattus comprised 24 percent (24) and R. norvegicus 76 percent (76). Cultures of blood, urine and kidney were made in EMJH medium. Leptospira were isolated from 12/63 (19 percent) and from 16/100 (16 percent) of the rats during 1986/87 and 1994/95, respectively; 27/28 isolates were recovered from the kidneys or urine or both, while only one isolate was recovered from blood. During the first study, isolates were identified as serovars copenhageni (11) and arborea (1), while in the second study, serovars copenhageni (9), arborea (5) and bim (1) were identified; one isolate was lost before it could be identified. In the first study, antibodies were detected by microscopic agglutination at a titre of > 100 in 26/62 (42 percent) of rats tested, while in the second survey, 5/100 (5 percent) of rats had similar titres. In two surveys, conducted eight years apart, we confirmed that rats in Barbados are commonly infected with leptospira, and that viable organisms are found in the kidneys and urine, evidence of chronic infection and thus excretion of leptospira in rodent urine. Moreover, the predominant serovar isolated was copenhageni, of which Rattus spp. are the worldwide reservoirs. There was little evidence that rats act as a reservoir for the serovar bim, the most common cause of human leptospirosis in Barbados. (AU)

Occupational health in construction: report of a session organized by environmental management (now Sypol Environmental Management) at the British Occupational Hygiene Society annual conference, York 1990.

The papers presented by a practising hygienist, a senior HSE officer, a trades union official, a construction safety director and an epidemiologist surveyed the present state of the industry and speculated on likely future developments. This report, transcribed from tape recordings, summarizes them.

COSHH (Control of Substances Hazardous to Health)--the priorities for the NHS.

Managing COSHH is like managing anything else: define the issues; evaluate the priorities; select management options; implement them and monitor the outcome. In COSHH terms this means inventories, assessments, control measures and auditing. But much of the identification and assessment work should be centralised--after all, the hazards and risks arising from Glutaraldehyde usage or painting with eggshell paints is virtually identical not just across a hospital, but across a District and Region. That is why the Hospital Helpline was established, and has been such a success--a core of COSHH assessments made available to all, so that efforts can be focused on what COSHH is about, after all they are the Control not the Assessment Regulations.

Airborne fibre levels associated with the use of MMMF brazing mats during welding operations.

In 1985 the Health and Safety Executive set a gravimetric Control Limit for airborne Man-Made Mineral Fibre and in 1987 a respirable fibre number Recommended Limit for Superfine MMMF. A limited investigation was carried out of the use of glass and ceramic fibre products used as protection against welding 'batter' and oxyacetylene welding flame. Airborne fibre levels are compared with the Occupational Exposure Limits.

A systematic investigation of tardive dyskinesia in inpatients.

Although many scales to measure tardive dyskinesia have been developed, none has been widely accepted. The authors used the Abnormal Involuntary Movement Scale (AIMS) to evaluate a group of 293 inpatients who had been given a primary or secondary diagnosis of schizophrenia. They found a tardive dyskinesia prevalence of 30% using a criterion rating of 3 (moderate symptoms) or more on the AIMS. The prevalence figure declined as the criterion became more severe. They also found that women had a much higher prevalence of the disorder only when more severe symptoms were used as the criterion. They conclude that the AIMS is a reliable instrument for assessing tardive dyskinesia.

Tardive dyskinesia: age and sex differences in hospitalized schizophrenics.

An examination of the severity of tardive dyskinesia in psychiatric inpatients using the Abnormal Involuntary Movement Scale (AIMS) indicates differing trends with age for each sex. Females show a significant linear increase with age, while males display a significant curvilinear relationship. Reliable differences between males and females are found only for the 70-79 and greater than or equal to 80 year age groups. The differences between the sexes cannot be accounted for by differences in length of current hospitalization or by current level of neuroleptic medication. Possible reasons for the results are discussed.

Relationship between the Geriatric Interpersonal Evaluation Scale and the WAIS Verbal Scale.

27 psychogeriatric patients at Harlem Valley Psychiatric Center were tested by separate examiners on the WAIS Verbal Scale and the Geriatric Interpersonal Evaluation Scale to determine the relationship between these two tests. The sample was restricted to patients who were judged clinically to be "in contact," i.e., oriented as to time, place, and person. The correlation between the WAIS Verbal IQs and the geriatirc scale raw scores was .80; correlations with the individual verbal subscale scores ranged from .58 to .76. Relative advantages and disadvantages of the geriatric scale are discussed.

Glacial and pluvial periods: their relationship revealed by pleistocene sediments of the red sea and gulf of aden.

Oxygen isotope analyses of planktonic foraminifera from the Red Sea and Gulf of Aden indicate that during periods of maximum continental and polar glaciation in the late Pleistocene, the Red Sea was subject to strong evaporation. Between glacial maximums the salinity of the Red Sea was equal to or below that of the open ocean. This suggests that high-latitude glacial periods corresponded in time to interpluvial stages in the present-day desert belt of northern Africa, whereas high-latitude interglacial periods coincided with pluvial stages.