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Using GIS to establish a public library consumer health collection.

BACKGROUND: Learning the exact demographic characteristics of a neighborhood in which a public library serves, assists the collection development librarian in building an appropriate collection. Gathering that demographic information can be a lengthy process, and then formatting the information for the neighborhood in question becomes arduous.As society ages and the methods for health care evolve, people may take charge of their own health. With this prospectus, public libraries should consider creating a consumer health collection to assist the public in their health care needs. Using neighborhood demographic information can inform the collection development librarians as to the dominant age groups, sex, and races within the neighborhood. With this information, appropriate consumer health materials may be assembled in the public library. METHODS: In order to visualize the demographics of a neighborhood, the computer program ArcView GIS (geographic information systems) was used to create maps for specified areas. The neighborhood data was taken from the U.S. Census Department's annual census and library addresses were accumulated through a free database. After downloading the census block information from http://www.census.gov/geo/www/tiger/ the data was manipulated with ArcView GIS and queried to produce maps displaying the requested neighborhood demographics to view in respect to libraries. RESULTS: ArcView GIS produced maps displaying public libraries and requested demographics. After viewing the maps the collection development librarian can see exactly what populations are served by the library and adjust the library's collection accordingly. CONCLUSIONS: ArcView GIS can be used to produce maps displaying the communities that libraries serve, spot boundaries, be it "man-made or natural," that exist prohibiting customer service, and assist collection development librarians in justifying their purchases for a dedicated consumer health collection or resources in general.

Journal Article↗

WHO's proposed global strategy for infant and young child feeding: a viewpoint.

The Global Strategy for Infant and Young Child Feeding is being developed by the WHO and is likely to be adopted as World Health Assembly Resolution in the month of May, 2002. The global strategy is built on Baby Friendly Hospital Initiative, the International Code of Marketing of Breast Milk Substitutes and the Innocenti Declaration on the Protection, Promotion and Support of Breastfeeding. It emphasises the need for comprehensive national policies on infant and child health feeding including guidelines on ensuring appropriate feeding of infants and young children in exceptionally difficult circumstances and to ensure that all health services protect, promote and support breastfeeding exclusively for first 6 months and then timely and adequate complementary feeding with continued breastfeeding for two years or beyond. Thus the strategy is to improve nutritional status, growth and development, health and survival of infants and young children. It recognises that mothers should have adequate information and support within their families and communities should be free and should be free from commercial influence. The strategy mentions an effective feeding policy with some critical interventions as elaborated in this article.

Breast Feeding↗

[Do soluble organic nitrogen compounds cause unusual algal blooms in seawater?].

Up to now the nature and importance of the macromolecular forms of organic nitrogen in the marine environment is poorly understood. There is no doubt on the capacity of phytoplankton to utilize low molecule weight dissolved organic nitrogen compounds competitively with bacteria. In marine ecosystems the members of the plankton community show a complex close coupling with biological substances. In spite of trace concentrations the high dynamics in uptake and release processes cause strong fluxes of these compounds. In the case of inorganic nutrient deprivation or reduced photosynthesis under light deficiency algal utilization of organic nitrogen becomes noteworthy. Even under high nitrate supply an algal development occurred which was mainly triggered by amino acid uptake as was demonstrated during field experiments in the German Bight. The consumption of amino acids is controlled by several uptake systems, which are specified for transportation of different groups of amino acids through the cell wall. Since the uptake systems can also differ among species, the amino acid composition of the environment could preferentially enhance the growth of some selected species in comparison with other components of natural phytoplankton assembles. In the scope of increasing water pollution and the resulting shift in nutrient distribution one may expect the development of phytoplankton species, which had not been supported so far. In estuaries and costal zones photosynthesis is effected by light absorbance from particulate material. This phenomenon additionally will sustain algae, which are able to compensate a photosynthesis deficit by heterotrophic uptake. Though interrelationships are not clear up to now, it becomes evident that increasing impact of dissolved organic substances cause strong changes in species composition of marine ecosystems.

Amines↗

Multi-season analysis reveals hundreds of drought-responsive genes in sorghum.

Persistent drought affects global crop production and is becoming more severe in many parts of the world in recent decades. Deciphering how plants respond to drought will facilitate the development of flexible mitigation strategies. Sorghum bicolor L. Moench (sorghum), a major cereal crop and an emerging bioenergy crop, exhibits remarkable resilience to drought. To better understand the molecular traits that underlie sorghum's remarkable drought tolerance, we undertook a large-scale sorghum gene expression profiling effort, totaling nearly 1500 transcriptome profiles, across a 3-year field study with replicated plots in California's Central Valley. This study included time-resolved gene expression data from roots and leaves of two sorghum genotypes, BTx642 and RTx430, with different pre-flowering and post-flowering drought-tolerance adaptations under control and drought conditions. Quantification of genotype-specific drought tolerance effects was enabled by de novo sequencing, assembly, and annotation of both BTx642 and RTx430 genomes. These reference-quality genomes were used to construct a pangene set for characterizing conserved and genotype-specific expression. By integrating time-resolved transcriptomic responses to drought in the field across three consecutive years, we identified a set of 726 drought-responsive genes that responded similarly in all 3 years of our field study. Functional enrichment analysis identified abiotic stress, secondary cell wall-related processes and metabolism as particularly affected under both types of drought stress. We also found that some glyoxylate cycle pathway genes, including malate synthase and isocitrate lyase, are differentially regulated particularly during post-flowering drought stress, implicating this pathway as potentially important for drought responsiveness. This expansive dataset represents a unique resource for sorghum and drought research communities and provides a methodological framework for the integration of multi-faceted time-resolved transcriptomic datasets.

Sorghum↗

Correlated fragile site expression allows the identification of candidate fragile genes involved in immunity and associated with carcinogenesis.

BACKGROUND: Common fragile sites (cfs) are specific regions in the human genome that are particularly prone to genomic instability under conditions of replicative stress. Several investigations support the view that common fragile sites play a role in carcinogenesis. We discuss a genome-wide approach based on graph theory and Gene Ontology vocabulary for the functional characterization of common fragile sites and for the identification of genes that contribute to tumour cell biology. RESULTS: Common fragile sites were assembled in a network based on a simple measure of correlation among common fragile site patterns of expression. By applying robust measurements to capture in quantitative terms the non triviality of the network, we identified several topological features clearly indicating departure from the Erdos-Renyi random graph model. The most important outcome was the presence of an unexpected large connected component far below the percolation threshold. Most of the best characterized common fragile sites belonged to this connected component. By filtering this connected component with Gene Ontology, statistically significant shared functional features were detected. Common fragile sites were found to be enriched for genes associated to the immune response and to mechanisms involved in tumour progression such as extracellular space remodeling and angiogenesis. Moreover we showed how the internal organization of the graph in communities and even in very simple subgraphs can be a starting point for the identification of new factors of instability at common fragile sites. CONCLUSION: We developed a computational method addressing the fundamental issue of studying the functional content of common fragile sites. Our analysis integrated two different approaches. First, data on common fragile site expression were analyzed in a complex networks framework. Second, outcomes of the network statistical description served as sources for the functional annotation of genes at common fragile sites by means of the Gene Ontology vocabulary. Our results support the hypothesis that fragile sites serve a function; we propose that fragility is linked to a coordinated regulation of fragile genes expression.

Cells, Cultured↗

Internet-based support for bioscience research: a collaborative genome center for human chromosome 12.

This paper describes an approach that provides Internet-based support for a genome center to map human chromosome 12, as a collaboration between laboratories at the Albert Einstein College of Medicine in Bronx, New York, and the Yale University School of Medicine in New Haven, Connecticut. Informatics is well established as an important enabling technology within the genome mapping community. The goal of this paper is to use the chromosome 12 project as a case study to introduce a medical informatics audience to certain issues involved in genome informatics and in the Internet-based support of collaborative bioscience research. Central to the approach described is a shared database (DB/12) with Macintosh clients in the participating laboratories running the 4th Dimension database program as a user-friendly front end, and a Sun SPARCstation-2 server running Sybase. The central component of the database stores information about yeast artificial chromosomes (YACs), each containing a segment of human DNA from chromosome 12 to which genome markers have been mapped, such that an overlapping set of YACs (called a "contig") can be identified, along with an ordering of the markers. The approach also includes 1) a map assembly tool developed to help biologists interpret their data, proposing a ranked set of candidate maps, 2) the integration of DB/12 with external databases and tools, and 3) the dissemination of the results. This paper discusses several of the lessons learned that apply to many other areas of bioscience, and the potential role for the field of medical informatics in helping to provide such support.

Chromosome Mapping↗

The lesbian and gay liberation movement in the Presbyterian Church (U.S.A.), 1974-1996.

Since its founding in 1974, Presbyterians for Lesbian & Gay Concerns (PLGC) has led the movement toward full participation and membership for lesbian and gay people in the Presbyterian Church (U.S.A.). This is a story of that movement, told by a participant. It traces the development of current antigay policies in the church in 1976-78 in response to the first openly gay candidate for the ministry, PLGC's efforts to overturn these policies at annual General Assemblies, the growth of the pro-gay More Light Churches movement among Presbyterian congregations, the increasing number of antigay ecclesiastical court cases, study and dialogue on lesbian and gay issues across the denomination, and controversies over same-gender marriage, all culminating in the 1996 General Assembly, which endorsed civil rights for lesbian and gay couples, but also voted to send the controversial issue of lesbian and gay ordination to the 171 regional presbyteries of the church for an up or down vote. The battle for lesbian and gay equity in the church may well continue decades longer. Equity for gays and lesbians in society will not be fully won until the religious establishment learns how to apply its most basic principles of love, nurture, inclusive welcome, and support to lesbian and gay people.

Christianity↗

Wear reduction of orthopaedic bearing surfaces using polyelectrolyte multilayer nanocoatings.

This work explores the use of conformal polyelectrolyte multilayer (PEM) coatings for wear reduction of orthopedic bearing surfaces. These films, with easily tunable architectures, provide excellent adhesion to a wide variety of metallic, plastic, and ceramic substrates. For this study, PEM films, only a few hundred nanometers thick, were assembled by sequential adsorption of poly(acrylic acid) and poly(allylamine hydrochloride). It was observed that the pH of the polylectrolyte solutions used for film assembly needs careful consideration to avoid any adverse effects on film structure when exposed to physiological conditions of pH and ionic strength. The wear reducing capacity of these coatings in the presence of bovine calf serum-lubricant solution was established for metal/metal systems at the meso/microscale over 30 cycles of reciprocating motion, as well as for the commonly used metal/ultra-high molecular weight polyethylene (UHMWPE) system over 500,000 cycles of bi-directional motion in a macroscale pin-on-disk test. In the latter case, the use of the films reduced UHMWPE wear by up to 33% when compared with the uncoated control. This is the first clinically relevant laboratory demonstration of the wear-reducing ability of these films. Further optimization will be needed before this novel class of materials can be used by the orthopedic community.

Acrylic Resins↗

Neuroscience in middle schools: a professional development and resource program that models inquiry-based strategies and engages teachers in classroom implementation.

The Department of Neuroscience at the University of Minnesota and the Science Museum of Minnesota have developed and implemented a successful program for middle school (grades 5-8) science teachers and their students, called Brain Science on the Move. The overall goals have been to bring neuroscience education to underserved schools, excite students about science, improve their understanding of neuroscience, and foster partnerships between scientists and educators. The program includes BrainU, a teacher professional development institute; Explain Your Brain Assembly and Exhibit Stations, multimedia large-group presentation and hands-on activities designed to stimulate student thinking about the brain; Class Activities, in-depth inquiry-based investigations; and Brain Trunks, materials and resources related to class activities. Formal evaluation of the program indicated that teacher neuroscience knowledge, self-confidence, and use of inquiry-based strategies and neuroscience in their classrooms have increased. Participating teachers increased the time spent teaching neuroscience and devoted more time to "inquiry-based" teaching versus "lecture-based teaching." Teachers appreciated in-depth discussions of pedagogy and science and opportunities for collegial interactions with world-class researchers. Student interest in the brain and in science increased. Since attending BrainU, participating teachers have reported increased enthusiasm about teaching and have become local neuroscience experts within their school communities.

Adolescent↗

Dynamical evolution of ecosystems.

The assembly of an ecosystem such as a tropical forest depends crucially on the species interaction network, and the deduction of its rules is a formidably complex problem. In spite of this, many recent studies using Hubbell's neutral theory of biodiversity and biogeography have demonstrated that the resulting emergent macroscopic behaviour of the ecosystem at or near a stationary state shows a surprising simplicity reminiscent of many physical systems. Indeed the symmetry postulate, that the effective birth and death rates are species-independent within a single trophic level, allows one to make analytical predictions for various static distributions such as the relative species abundance, beta-diversity and the species-area relationship. In contrast, there have only been a few studies of the dynamics and stability of tropical rain forests. Here we consider the dynamical behaviour of a community, and benchmark it against the exact predictions of a neutral model near or at stationarity. In addition to providing a description of the relative species abundance, our analysis leads to a quantitative understanding of the species turnover distribution and extinction times, and a measure of the temporal scales of neutral evolution. Our model gives a very good description of the large quantity of data collected in Barro Colorado Island in Panama in the period 1990-2000 with just three ecologically relevant parameters and predicts the dynamics of extinction of the existing species.

Animals↗

Record linkage in a regional mental health planning study: accuracy of unique identifiers, reliability of sociodemographics, and estimating identification error.

Assembling information about individuals over time allows health managers and researchers to describe the progression of diseases, the care history of individuals and the sequences of care episodes that potentially result in improving individuals' health status. However, current mental health statistics generally focus on sets of events rather than groups of individuals making it impossible to distinguish between two different persons being admitted and the same person being admitted twice. Accurate figures on treatment prevalence cannot be generated and multiservice users across time or across agencies will inflate the statistics used to plan needed services. The capacity to link consistently defined bits of information together is critical to developing a reliable information system. This article examines the adequacy of using unique identifier codes to accomplish linkage by focusing on one example of record linkage that incorporates mental health information from both community and institutional sectors in one region of Ontario, Canada. Findings indicate that unique "cradle to grave" identifiers do not guarantee accuracy if manual transcription is involved.

Databases, Factual↗

Touch-pad technology: immediate feedback for resident educators in teenage reproductive health.

OBJECTIVE: To describe a program for residents in obstetrics and gynecology to design, research, and present an innovative teaching activity to secondary-school students in reproductive health. METHODS: An interactive 3-hour assembly was held for 285 grade-9 and -10 students. Six residents chose topics that encompassed key areas in adolescent health (menstruation, contraception, risk-taking behaviors, sexuality, and sexually transmitted diseases [STDs]). Each gave an interactive presentation designed to address issues identified through anonymous questions submitted by the students in advance. Touch-pad technology was used throughout the presentations to ascertain the students' knowledge about, and attitudes toward, a range of reproductive health issues. Each resident participant completed a follow-up questionnaire. RESULTS: Touch-pads provided a unique format, allowing teens to respond candidly to sensitive topics anonymously while providing important feedback to resident educators to help them focus their presentations and address areas of greatest need. Resident participants reported that by preparing these presentations, they honed their knowledge about contraception, STDs, and teen sexuality; identified important community resources for teens; and were sensitized to issues unique to teen sexual-health counseling. CONCLUSION: This project provided an opportunity for residents to improve their knowledge of teenage sexuality and to develop skills as teachers, while forging a valuable link between the community and the university.

Computer-Assisted Instruction↗

Uptake of Streptococcus pneumoniae by respiratory epithelial cells.

Although Streptococcus pneumoniae is the leading cause of community-acquired pneumonia in humans, the mechanism whereby the organism penetrates lung tissue is poorly understood. In the present study we have examined the capacity of pneumococci to penetrate A549 cells, a human lung alveolar carcinoma (type II pneumocyte) cell line. Not all clinical S. pneumoniae isolates initially tested were capable of penetration of the cells, as judged by resistance to extracellular antibiotics. The presence of a polysaccharide capsule also significantly reduced the capacity to both adhere to and penetrate A549 cells. Electron micrographs showed the presence of pneumococci enclosed within vacuoles of intact A549 cells, but bacteria were also seen free in the cytoplasm of damaged cells. Ongoing bacterial DNA, RNA, or protein synthesis was not essential for uptake of pneumococci by A549 cells, and uptake was not diminished by pretreatment of the pneumococci with trypsin. However, inhibition of A549 microfilament assembly with cytochalasin D abolished the phenomenon.

Bacterial Adhesion↗

Auditory P3 indexes personality traits and cognitive function in healthy men and women.

The relationship of the auditory P3 event-related potential to major personality dimensions and neuropsychological performance was examined in psychiatrically healthy men and women (28 male, 15 female) recruited from the community. An auditory oddball paradigm was used to collect P3 amplitude and latency data. Personality traits were measured with the NEO Five-Factor Inventory. Several Wechsler Adult Intelligence Scale-Revised (WAIS-R) subtests, the Digit Symbol Test, and the Trail Making Test comprised the neuropsychological tests. A multivariate statistical procedure (Partial Least Squares) was used to quantify the relationships between P3 variables and personality and neuropsychological performance variables. P3 amplitude was negatively related to Neuroticism and positively related to Extraversion, Openness, Agreeableness and Conscientiousness. Better neuropsychological performance was associated with greater P3 amplitude and earlier latency. Thus, greater P3 amplitude was associated with less deviant personality scores and better neuropsychological performance in healthy subjects. Earlier P3 latency was also associated with better neuropsychological performance. The physiological significance of these relationships is not yet clear, but these results suggest that neural assemblies indexed by P3 may subserve both elemental cognition and healthy personality function.

Adolescent↗

GeneComber: combining outputs of gene prediction programs for improved results.

UNLABELLED: We recently demonstrated that combining the output from Genscan and HMMgene can provide increased accuracy of gene predictions. We have created a robust software system that runs algorithms previously described on DNA sequences and provides a public web interface to the system for use by the biological community worldwide. The GeneComber system performs ab initio gene prediction by first taking a user inputted DNA sequence and running Genscan and HMMgene. The outputs of Genscan and HMMgene are then integrated using the EUI, GI and EUI_frame algorithms. All results are then stored into a relational database management system (RDBMS) and can then be retrieved through a web interface. The web interface provides a unified view of the GeneComber predictions by graphically overlaying outputs from Genscan, HMMgene, EUI, GI and EUI_frame. Outputs can also be retrieved in general feature format (GFF) or FASTA format. The software is written in the Perl programming language and is both dependent on and interoperable with the Bioperl toolkit. It includes high-level application programming interfaces (APIs) to run Genscan, HMMgene and a database API to insert prediction results into an RDBMS. The APIs are assembled into the genecomber script which is executed by the web interface or can be run directly from the Unix command line. The web interface is written in PHP and is structured so as to be easily modified for viewing data from any database that stores gene structures. AVAILABILITY: The GeneComber public web interface and supplementary information is located at http://bioinformatics.ubc.ca/genecomber The source code is released under the GNU General Public License and is available at ftp://ftp.bioinformatics.ubc.ca/pub/genecomber/software.

Algorithms↗

Political realities of statewide smoking legislation: the passage of California's Assembly Bill 13.

OBJECTIVE: To prepare a history of the enactment of California Assembly Bill 13 (AB 13), a state law prohibiting smoking in most workplaces passed in 1994, and to discuss its initial impacts. METHODS: Data were gathered from open ended interviews with representatives of voluntary health organisations, local government organisations, and principal legislators involved in the process, as well as observers around the state who could provide insight into the legislative process. Information was also obtained from legislative hearings and debates, public documents, letters and personal communications, internal memoranda, and news reports. RESULTS: The success of local tobacco control legislation in California led to a situation in which some health groups were willing to accept state preemption in order to attract the support of the state restaurant association for a bill. The decision to accept this preemption compromise was made by the state level offices of the voluntary health agencies without consulting the broader tobacco control community within California. In contrast, local tobacco control advocates did not accept this compromise, in part because of their belief that local legislation was a better device to educate the public, generate media coverage, and build community support for enforcement and implementation of clean indoor air and other tobacco control laws. Enactment of AB 13 was associated with a slowing of all local tobacco control legislation, including youth oriented laws. CONCLUSIONS: Because its supporters initially doubted that AB 13 would pass, there was never an effort to reconcile the policy differences between state oriented and locally oriented tobacco control policies. This lack of consensus, combined with the political realities inherent in passing any state legislation, led to a bill with ambiguous preemption language which replaced the "patchwork of local laws" with a "patchwork of local enforcement."

California↗

Wake of September 11th attacks: implications for research, policy and practice.

The National Consortium for African American Children (NCAAC) held a National Forum on Bioterrorism and Children on November 6, 2001 in Washington, DC. Convened in the wake of the September 11th attacks on New York City and the Pentagon, this unprecedented conference assembled a cross-section of professionals in child advocacy, health, mental health, insurance, economics, law enforcement, and media technology. The ensuing discussion focused on issues surrounding biological agents, their impact on children and youth, and the strategies needed to protect the health and mental health of children and families in the event of a large-scale bioterrorist crisis. Lessons learned as well as the implications of the terrorist acts from the tragic events of September 11th formed the backdrop for engaging dialogue among various industry executives and professionals. Accounts of personal experiences during the unprecedented tragedy of 9-11 were shared and provided a context for heightened preparedness planning for children and adults. A collaborative statement was also presented by NCAAC, the National Medical Association, the Association of Black Psychologists, and the National Black Media Coalition. This forum was hailed as a model for communities of color to join and help bolster broad-based coalition building to ensure the availability of culturally and linguistically appropriate messages, services, and support. As intended, the forum devoted significant attention to the special needs of children, their caregivers and families and provided for an invaluable interchange which is slated to evolve into a national action plan to address the imminent dangers facing our nation's children.

Black or African American↗

Health effects of outdoor air pollution. Committee of the Environmental and Occupational Health Assembly of the American Thoracic Society.

Particles, SOx, and acid aerosols are a complex group of distinct pollutants that have common sources and usually covary in concentration. During the past two decades, the chemical characteristics and the geographic distribution of sulfur oxide and particulate pollution have been altered by control strategies, specifically taller stacks for power plants, put in place in response to air pollution regulations adopted in the early 1970s. While the increasing stack heights have lowered local ambient levels, the residence time of SOx and particles in the air have been increased, thereby promoting transformation to various particulate sulfate compounds, including acidic sulfates. These sulfate particles constitute a large fraction of the total mass of smaller particles (< 3 microns in aerodynamic diameter). Epidemiologic studies have consistently provided evidence of adverse health effects of these air pollutants. Particulate and SO2 pollution were strongly implicated in the acute morbidity and mortality associated with the severe pollution episodes in Donora (Pennsylvania), London, and New York in the 1940s, 1950s, and 1960s. There is new evidence that even current ambient levels of PM10 (30 to 150 micrograms/m3) are associated with increases in daily cardiorespiratory mortality and in total mortality, excluding accidental and suicide deaths. These associations have been shown in many different communities, as widely different in particle composition and climate as Philadelphia, St. Louis, Utah Valley, and Santa Clara County, California. It has recently been shown in a long-term prospective study of adults in the United States that chronic levels of higher PM10 pollution are associated with increased mortality after adjusting for several individual risk factors. Daily fluctuations in PM10 levels have also been shown to be related to acute respiratory hospital admissions in children, to school and kindergarten absences, to decrements in peak flow rates in normal children, and to increased medication use in children and adults with asthma. Although some epidemiologic studies suggest that acid aerosols are an important toxic component of PM10, other studies do not support this hypothesis. Dockery and Pope (408) recently reviewed the epidemiologic literature for adverse effects, assuming that reported associations can be attributed to acute particle mass exposures. Combined effects were estimated as percent increase in comparable measures of mortality and morbidity, associated with each 10 micrograms/m3 increase in daily mean PM10 exposure (Table 7). While total mortality increased by 1% for each 10 micrograms/m3 increase in PM10, respiratory mortality increased by 3.4% and cardiovascular mortality increased by 1.4%. Hospital admissions and emergency department visits increased approximately 1% for all respiratory complaints, and 2% to 3% for asthma. Exacerbation of asthma increased by about 3%, as did lower respiratory symptoms. Small decreases in lung function, approximately 0.1%, have also been observed. This review suggests that the epidemiologic studies of adverse morbidity measures are coherent with the mortality studies showing quantitatively similar adverse effects of acute exposures to particulate pollution. Despite these epidemiologic findings for acute and chronic adverse health effects from air pollution associated with relatively low levels of inhalable particles, there are no complementary data from toxicologic studies or from acute human exposures to similar levels of respirable particles. Thus, controlled human exposures to various particles, including H2SO4, at relevant levels (< 150 micrograms/m3) have not identified significant alterations in respiratory function in healthy individuals.(ABSTRACT TRUNCATED)

Adult↗