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PubMed2004

Radiosensitivity of children: potential for overexposure in CR and DR and magnitude of doses in ordinary radiographic examinations.

The linear, no-threshold model is currently the best estimate of risk from radiation exposure with no level below which radiation is safe. Plain-film radiography has a much lower patient dose than CT or fluoroscopy. With the advent of computed radiography (CR) the dose to patients is higher than screen-film radiography and overexposure is quite common. Task-oriented adjustment of technique, commonly used in CT, is rarely used in CR. Exposure reduction is important in CR as research indicates an increased risk of childhood acute lymphocytic leukemia from plain-film studies and an increased risk of fatal breast cancer from scoliosis series. Future needs include better documentation of the dose the patient receives, dose-based research on the radiation risk, and accreditation in CR and digital radiography for public assurance.

Child↗

PubMed2006

Sibling risk of pervasive developmental disorder estimated by means of an epidemiologic survey in Nagoya, Japan.

Broad-spectrum autism, referred to as pervasive developmental disorder (PDD), may be associated with genetic factors. We examined 241 siblings in 269 Japanese families with affected children. The sibling incidence of PDD was 10.0% whereas the prevalence of PDD in the general population in the same geographic region was 2.1%. Both of these rates are higher than those reported previously, probably because of the expanded clinical criteria applied. The prevalence in males of the general population was 3.3% and that in females was 0.82%. The sibling incidences were 7.7 and 20.0% for families in which the probands were male and female, respectively. Because the reversed sex ratios correspond to the general rule for a multifactorial threshold model, we suggest that most PDD cases result from the cumulative effects of multiple factors (mostly genetic). The sibling incidences were 0 and 10.9% for families in which the proband had low and normal birth-weight, respectively, suggesting the risk is lower in families with low-birth-weight probands.

Birth Order↗

PubMed2005

Opposite effects of androgen receptor CAG repeat length on increased risk of left-handedness in males and females.

Prenatal exposure to testosterone has been hypothesised to effect lateralization by influencing cell death in the foetal brain. Testosterone binds to the X chromosome linked androgen receptor, which contains a polymorphic polyglutamine CAG repeat, the length of which is positively correlated with testosterone levels in males, and negatively correlated in females. To determine whether the length of the androgen receptor mediates the effects of testosterone on laterality, we examined the association between the number of CAG repeats in the androgen receptor gene and handedness for writing. Association was tested by adding regression terms for the length of the androgen receptor alleles to a multi-factorial-threshold model of liability to left-handedness. In females we found the risk of left-handedness was greater in those with a greater number of repeats (p=0.04), this finding was replicated in a second independent sample of female twins (p=0.014). The length of the androgen receptor explained 6% of the total variance and 24% of the genetic variance in females. In males the risk of left-handedness was greater in those with fewer repeats (p=0.02), with variation in receptor length explaining 10% of the total variance and 24% of the genetic variance. Thus, consistent with Witelson's theory of testosterone action, in all three samples the likelihood of left handedness increased in those individuals with variants of the androgen receptor associated with lower testosterone levels.

Adult↗

PubMed1985

MDA-468, a human breast cancer cell line with a high number of epidermal growth factor (EGF) receptors, has an amplified EGF receptor gene and is growth inhibited by EGF.

Epidermal growth factor (EGF) has been noted to stimulate proliferation of a variety of normal and malignant cells including those of human breast epithelium. We report here that MDA-468, a human breast cancer cell line with a very high number of EGF receptors, is growth-inhibited at EGF concentrations that stimulate most other cells. The basis for the elevated receptor level is EGF receptor gene amplification and over-expression. An MDA-468 clone selected for resistance to EGF-induced growth inhibition shows a number of receptors within the normal range. The results are discussed in relation to a threshold model for EGF-induced growth inhibition.

Breast Neoplasms↗

PubMed1985

Consequences of synergy between environmental carcinogens.

As it is generally impossible to determine dose-response relationships for carcinogens at the low concentrations in which they occur in the environment, risk-benefit considerations are by consensus based on the linear, no-threshold model, on the assumption that this represents the worst case. However, this assumption does not take into account the possibility of synergistic interactions between carcinogens. It is shown here that, as a result of such interactions, the dose-response curve for added risk due to any individual carcinogen will generally be steeper at lower doses than at higher doses, and consequently the risk at low environmental levels will be higher than would be expected from a linear response. Moreover, this excess risk at low doses is shown to increase as the general level of environmental carcinogens rises and, independently of this effect, it may also increase with the number of carcinogens present.

Carcinogens, Environmental↗

PubMed1992

A clinical and biological validation of the DSM-III melancholia diagnosis in men: results of pattern recognition methods.

Pattern recognition methods were carried out on a sample of 80 depressed men, assessed by means of 14 items relevant to depressive symptomatology of the Structured Clinical Interview for DSM-III-R. 1985 edition (SCID). A cluster analysis generated two classes, which were described as a vital (n = 35) and a nonvital cluster (n = 45). Vital depressives were characterized by psychomotor disorders, loss of energy, cognitive disturbances, a distinct quality of mood, early morning awakening and nonreactivity (the "vital" symptoms). Our findings support the descriptive validity of the DSM-III melancholia diagnostic category, although the DSM-III criteria are too conservative and include nonrelevant symptoms (e.g., diurnal variation, anorexia-weight loss) whilst excluding some important items (e.g., loss of energy, cognitive disorders). Vital depressed men were significantly older, more severely depressed and they exhibited biological disturbances (abnormal dexamethasone suppression test, lower basal thyroid secreting hormone) as opposed to nonvital depressives. There are several arguments to support the possibility that both clusters constitute relevant stages in the overall severity of illness continuum, whilst showing qualitative differences with regard to the vital symptoms. In other words, both clusters are continuous categories within the overall severity of illness continuum and form discrete categories with regard to the vital symptoms. By merging the dimensional and categorical hypotheses, we were able to construct a new integrated threshold model: unipolar depression in men is probably a homogeneous disease with reference to overall severity of illness, but--as severity increases--vital symptoms emerge, grouping together into a distinct profile, i.e., vital depression.

Adult↗

PubMed1992

Benthic macroinvertebrate community structure in 20 streams of varying pH and humic content.

The structure of stream benthic macroinvertebrate communities in relation to pH and humic content was studied in 20 second and third-order forest streams in southern Sweden. Streams varied in pH from 4.2 to 8.0, and in humic content from a colour of 5 to 1200 mg Pt litre(-1). There was a positive relationship between pH and species richness, with a discontinuity occurring at pH approximately 5.7. At pH > 5.7, species richness decreased with increasing colour. At pH < 5.7 there was a positive correlation between species richness and humic concentration up to a colour of about 200-300 mg Pt litre(-1). this may be explained by high concentrations, 0.4-0.9 mg litre(-1), of labile monomeric Al occurring in the low coloured acid streams. In streams with a colour > 200 mg Pt litre(-1) labile monomeric Al was less than 0.2 mg litre(-1). There was no significant change in species richness above this threshold, but a shift in species composition towards a dominance of Plecoptera and Chironomidae. This threshold model seems to explain the observed differences in stream benthic community structure better than a simple linear relationship with pH or humic content.

Journal Article↗

PubMed1993

Effects of individualized music on confused and agitated elderly patients.

The Progressively Lowered Stress Threshold Model in conjunction with an identified theoretical basis provides a framework for the use of individualized music in individuals with Dementia of the Alzheimer's Type (DAT). The effects of individualized music is explored in five elderly patients who are confused and agitated and residing in a long-term care facility. The Modified Cohen-Mansfield Agitation Inventory is used to measure the outcome. The immediate and 1-hour residual effects suggest the potential of individualized music as an alternative approach to the management of agitation in confused elderly patients.

Aged↗

PubMed2006

The influence of cognitive reserve on neuropsychological functioning following coronary artery bypass grafting (CABG).

Neuropsychological impairment is common, yet variable, after coronary artery bypass grafting (CABG). Similar variability has been observed in other CNS-related diseases. Empirical findings in Alzheimer's disease and HIV, among other areas, suggest cognitive reserve (CR) may mediate the cognitive impact of these diseases. The present study examined whether CR mediates neuropsychological outcome after CABG. Participants were 42 (N=42) individuals who underwent elective, normothermic CABG. Each was placed in high (n=22) or low (n=20) CR groups based on estimated premorbid intelligence and occupational attainment. All were administered neuropsychological tests preoperatively and at discharge. The total incidence of neuropsychological decline (66.7%) was not significantly different between CR groups. However, on working memory and executive function tests, specifically, the high CR group demonstrated greater post-operative decline compared to the low CR group. These data are considered in the context of a threshold model of CR theory.

Aged↗

PubMedDate not supplied

Caring for patients with dementia in an acute care environment.

Although hospital nurses are skilled in meeting the acute health needs of the elderly, they may not have the expertise required to manage the behavioral disturbances typically seen in this population. Using the Progressively Lowered Stress Threshold Model (PLST), this article helps identify factors that may precipitate undesirable behaviors in the acute care setting and suggests strategies to help nurses prevent or control them.

Acute Disease↗

PubMed2006

The frequency and anatomical features of torus mandibularis in a Black South African population.

Torus mandibularis is a rounded bony protuberance on the lingual surface of the mandible and usually found above the myolohyoid line, medial to the molar roots. This report describes the frequency and morphology of torus and also proffers the likely cause among black South Africans. A total of 284 modern skeletal specimens were obtained from the Raymond Dart Collection of Human Skeletons at the School of Anatomical Sciences, University of the Witwatersrand. The mandibles were classified into dentate and edentulous, while those with torus, especially in dentate mandibles, were reviewed for side location, type and shape. No measurements were made, consistent with the view that these characteristics are non-metrical and should be assessed by means of a standard observatory procedure. Out of 246 dentate mandibles, 60 (24.4%) were found to have torus and only 1 (4.3%) out of the 23 male edentulous mandibles; the difference is statistically significant (P=2.8%). The torus distribution among males and females was 48 (80%) and 12 (20%), respectively, and again statistically significant (P< 0.05). Prevalence of torus was highest in the 40-60 years age group. The morphology of the torus showed that 37 (61.7%) were bilateral in location, 42 (70%) were of the solitary type and 31 (51.7%) were round in shape. The formation of torus follows the threshold model which holds that this is primarily a genetic trait, but with environmental factors such as mechanical stress necessary for its development.

Adult↗

PubMedDate not supplied

Family pedigrees of children with suspected childhood apraxia of speech.

UNLABELLED: Forty-two children (29 boys and 13 girls), ages 3-10 years, were referred from the caseloads of clinical speech-language pathologists for suspected childhood apraxia of speech (CAS). According to results from tests of speech and oral motor skills, 22 children met criteria for CAS, including a severely limited consonant and vowel repertoire, difficulty sequencing syllables, and inconsistent and unusual errors. Family pedigrees for these children were constructed through parent interviews and direct testing of nuclear family members. Familial aggregation for speech-sound and language disorders was demonstrated with 86% reporting at least one nuclear family member affected. Based on parent report, 13 of the 22 children (59%) had at least one affected parent. However, CAS was evident in only two siblings of probands with CAS and two probands with other speech-sound disorders. Based on testing, overall affection rates of speech-sound/language disorders were higher in families of children with CAS than in families of children with other speech-sound disorders. Mothers of children with CAS demonstrated a higher affection rate than mothers of children with other speech-sound disorders. A sex-related threshold model of transmission was also supported with brothers more often affected than sisters for male probands only. If our inclusionary criteria for CAS are valid, these findings support a general verbal trait deficit hypothesis. LEARNING OUTCOMES: (1) As a result of this activity, the participant will understand potential familial risk factors for CAS; (2) will differentiate aggregation for speech-sound and language disorders in families with CAS from families of children who have other speech-sound disorders; (3) will distinguish how familial aggregation differs in families of boys and girls with CAS; (4) will determine how children with CAS differ in severity from those with other speech-sound disorders.

Apraxias↗

PubMed2006

Soil radioactivity and incidence of cancer in Nigeria.

The significance of exposure from natural radioactivity in soil and the potential risk for causing health detriment have not received adequate attention in Nigeria. Cancer has become a major cause of mortality in the recent times and now the public interest in the long-term effects of radiation on humans has assumed great prominence following the establishment of a nuclear regulatory body in Nigeria. This study is an effort to investigate a possible relationship between reported cancer incidence and external terrestrial radiation dose level across the six geo-political zones of the country. Data from the national cancer registries across the zones were compared with expected cancer incidences due to soil radioactivity based on the linear no-threshold model (LNT). A regression equation that best describe the reported cancer incidence and the expected cancer incidence was developed. It was observed that cancer cases attributable to radiation exposure due to soil radioactivity is low, constituting only between 1.3% and 9.2% of the total reported cases.

Background Radiation↗

PubMed2006

Genetic influence on the progression of radiographic knee osteoarthritis: a longitudinal twin study.

OBJECTIVE: Genetic influences on rates of osteoarthritis (OA) progression are unknown. Our aim was to estimate the heritability of progression of radiographic knee OA using a longitudinal twin study. METHODS: Unselected monozygotic (MZ) and dizygotic (DZ) twin pairs from the TwinsUK registry were utilized. Anteroposterior radiographs were performed on both knees at baseline and follow-up using the same protocol. Radiographic features of knee OA including osteophyte and joint space narrowing (JSN) were assessed on a four-point scale using a standard atlas. Progression of knee osteophyte and JSN was defined as the difference in the corresponding score between follow-up and baseline > or =1. Liability threshold modelling using logistic regression was utilized for heritability estimation. RESULTS: A total of 114 MZ pairs and 195 DZ pairs were studied. The average follow-up time was 7.2 years. Medial progression of osteophyte and JSN was more common than lateral progression. Prevalence of progression was generally higher in the MZs than the DZs. Similarly, concordances and tetrachoric correlations for both osteophyte and JSN were higher in the MZs than the DZs although only significant for overall and medial JSN and osteophyte. The heritability estimates were 69% [95% confidence interval (CI) 42-97%] and 80% (95% CI 50-100%) for medial osteophyte and JSN, respectively. The estimates were reduced by 7-15% after adjustment for age, body mass index (BMI), and the severity of osteophyte/JSN at baseline. CONCLUSION: Our data documented a substantial genetic influence on the progression of knee OA--as seen in the medial compartment, providing a solid basis to search for genes involved in this highly relevant clinical trait.

Aged↗

PubMed2006

Parent-of-origin effects in attention-deficit hyperactivity disorder.

The goal of the present study was to investigate parent-of-origin effects in attention-deficit hyperactivity disorder (ADHD). Parent-of-origin effects in ADHD may be due to differences in the relative quantity of risk factors transmitted by each parent. Alternatively, parent-of-origin effects may be produced by qualitative differences in the risks transmitted, such as those carried on the sex chromosomes or regulated by genomic imprinting. 60 children with maternal-only history of ADHD and 131 children with paternal-only history of ADHD were compared on three domains for which prior evidence suggested parent-of-origin effects may exist: core symptoms, disruptive behaviours and depression. Dependent variables were derived from previously validated, age-appropriate and standardized parent and teacher interviews and questionnaires. Depression levels were rated using the Child Depression Inventory. Consistent with previous research and the predictions derived from threshold models of ADHD etiology, the maternal history group received higher ratings of behavioural disorder (ADHD, conduct disorder and oppositional symptoms) than the paternal history group. Parent-of-origin effects were also observed for depression, with the paternal history group rating themselves as significantly more depressed than children in the maternal history group, particularly girls. Heightened paternal transmission relative to maternal is suggestive of genomic imprinting, and the interaction with proband sex indicates the involvement of the sex chromosomes or sex-specific physiological or hormonal factors. Interpretations of these data in terms of environmental and genetic factors, including epigenetic and sex-linked hypotheses, are explored.

Attention Deficit Disorder with Hyperactivity↗

PubMed1989

Geometrical aspects of surface morphogenesis.

This paper is concerned with the morphogenesis of structures which form thin deformable sheets. A general formalism is presented for the deformation of a sheet in the presence of an isotropic local body stress. This formalism leads to a set of equations, based on the theory of shells, in which corrections are made in the geometry due to large deformations. Under certain conditions the equations may be solved to give the surface metric tensor as a function of the local tension. A numerical example based on a simple "threshold" model is also presented.

Elasticity↗

PubMed1997

Antigenic diversity thresholds and hazard functions.

In this paper, we answer some points made in a recent paper by N.I. Stilianakis and coworkers on the antigenic diversity threshold model for acquired immune deficiency syndrome pathogenesis. An extended version of the model is then used to compute hazard functions for the human immunodeficiency virus incubation period that are in agreement with empirically observed hazard functions.

Acquired Immunodeficiency Syndrome↗

PubMed2002

Maternal serum insulin-like growth factor binding protein-1 in pregnancy at high altitude.

OBJECTIVE: To investigate the effect of environmental hypoxia at 4300-m altitude on the maternal serum concentration of insulin-like growth factor binding protein-1 (IGFBP-1). METHODS: We conducted a cross-sectional study of 108 pregnant women in Peru, 62 from high altitude (4300 m, 14100 ft) and 46 from sea level at 14-42 weeks' gestation. For comparison, 20 healthy nonpregnant women (ten from high altitude and ten from sea level) were also examined. Total and nonphosphorylated IGFBP-1 were measured in maternal serum. RESULTS: Both total and nonphosphorylated IGFBP-1 were higher at high altitude than at sea level in the pregnant groups (ratio = 1.28, P =.008, and ratio = 1.45, P =.003, respectively), and there was significant interaction between high altitude and sea level (P =.037 and P =.043, respectively). The threshold model showed that the difference became significant from 25 weeks' gestation onwards. CONCLUSION: Before 25 weeks of pregnancy, there was no significant difference in IGFBP-1 between women living at high or low altitude, suggesting that the increased IGFBP-1 at high altitude is unlikely to be related to inadequate trophoblast invasion resulting in placental hypoxia. In the second half of pregnancy, the maternal and fetal demands increase dramatically, and low atmospheric oxygen with resulting maternal systemic hypoxemic hypoxia may cause placental hypoxia. This stimulates increased production of IGFBP-1, which in turn restricts the insulin-like growth factor-mediated fetal growth as an adaptive mechanism to prevent worsening of the fetoplacental hypoxia.

Adult↗