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Allergic respiratory disease and fungal remediation in a building in a subtropical climate.
An outbreak of allergic respiratory disease occurred in a new building that was characterized from initial occupancy by the presence of extensive visible mold (especially Aspergillus versicolor) on interior surfaces. Epidemiological study of the occupants of both the affected building and a comparison neighboring structure indicated high rates of respiratory and other symptoms among persons working in the affected building. Subsequent clinical evaluations of some persons occupying the building for up to five years identified several cases of building-related allergic respiratory disease, including asthma and hypersensitivity pneumonitis. Based on these findings, the building was evacuated before remediation began. The mycological goal of the three-year building restoration project was to reduce concentration of non-phylloplane fungi such as A. versicolor to the lowest feasible level. All visibly colonized materials in the building were discarded and all fine dust on interior surfaces was removed by vacuuming and/or damp wiping. A medical surveillance program utilizing serial self-reported questionnaires and readily available clinical evaluations was designed to monitor the health of building occupants after re-entry. Symptom rates just prior to building reentry were substantially lower than those found before evacuation and have remained unchanged after re-occupancy was completed. No new or recrudescent cases of illness are known to have occurred after building re-entry.
Re: Erosion of buttress following bladder neck suspension.
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The duplicity of floc strength.
The breakage of flocs is dependent upon the strength of the bonds holding the aggregate together. The present work describes the breakage and re-growth behaviour of three different types of floc, these were: 1) coagulant precipitate flocs, 2) turbidity flocs and 3) organic matter flocs. Floc aggregates were exposed to increased levels of shear on a conventional jar tester and the sizes of the flocs were observed dynamically using a laser diffraction instrument. The organic flocs showed most resistance to breakage across the whole range of shears under investigation. The dynamic procedure provided detailed information on particle size distributions (PSD). Large and small scale degradation events could be identified from analysis of the PSD data. All of the flocs under investigation showed little re-growth potential after breakage. The precipitate and organic flocs showed slightly better re-aggregation of the small floc sizes.
Macrocyclic trichothecenes in Baccharis coridifolia plants and endophytes and Baccharis artemisioides plants.
Toxic disease in livestock caused by the shrubs Baccharis coridifolia and Baccharis artemisioides is very common in Argentina. The toxicity of Argentinian and Brazilian B. coridifolia plants and of Argentinian B. artemisioides was investigated. The toxicogenic capacity of 15 endothyte isolates of Ceratopicnidium baccharidicola from B. coridifolia was determined. Roridins and verrucarins were analyzed by thin-layer chromatography using a modified Jarvis method. One-hundred per cent of Argentinian B. coridifolia plants were positive for roridins (RA and RE) and verrucarins (VA and VJ), 16.2% for RD and 2.7% for RH. All of the Brazilian B. coridifolia plants were positive only for roridins. In B. artemisioides plants, RA, RE and RD were present in higher concentrations than VA and VJ, and all of them were more concentrated than in B. coridifolia. One-third of the endophyte isolates were toxicogenic for the same roridins and verrucarins, but in very low concentrations. This is the first report of macrocyclic trichothecenes in B. artemisioides, and a new report of B. coridifolia macrocyclic trichothecenes in Argentina.
Floc structural characteristics using conventional coagulation for a high doc, low alkalinity surface water source.
Removal of natural organic matter (NOM) is well established using metal salt coagulants. In addition, flocculant aids are also commonly used to improve solid removal. The objectives of this paper is to describe the impacts of both NOM and polymer on floc structure. The study offers a comparison of floc physical characteristics for coagulant precipitate flocs, organic-coagulant flocs and organic-coagulant-polymer flocs for optimum coagulant and polymer doses. A ferric sulphate-based coagulant was used as the primary coagulant and the polymer selected was a high molecular weight (MW) cationic polydiallyldimethylammonium chloride (polyDADMAC). Floc size, breakage, re-growth and settling characteristics were measured. Precipitate flocs were larger than organic flocs and had better settling characteristics when compared to NOM-coagulant flocs. When polymer was added, floc size and compaction was seen to further reduce. An explanation was offered in terms of the mode of flocculation involved. Floc breakage behaviour showed that polymer reduced the rate of floc degradation but did not greatly improve floc re-growth potential after breakage, which was generally poor for all of the suspensions.
Clinical outcomes of patients with impaired left ventricular ejection fraction undergoing autologous bone marrow transplantation: can we safely transplant patients with impaired ejection fraction?
Experience with autologous bone marrow transplantation (ABMT) in patients with impaired left ventricular ejection fraction (LVEF) or heart failure (HF) is limited. We identified 308 consecutive patients who underwent ABMT for Hodgkin's or non-Hodgkin's lymphoma at our institution (1996-2003). Patient characteristics, clinical course and overall survival were compared between patients with preserved ( > or = 50%) or impaired ( < 50%) LVEF. Of the 308 patients identified, 20 had baseline impaired LVEF (four with LVEF < or = 40%, all NYHA class I-II HF). None of the patients with post-ABMT echocardiogram had worsened LVEF (n = 7). Among the 20 patients with impaired LVEF, four patients had reversible cardiac complications post-ABMT (including worsening HF). The two deaths observed in the impaired LVEF group were both due to noncardiac causes. The 5-year survival was similar between patients with preserved and impaired LVEF (P = 0.43). Careful selection of patients with stable, mild-to-moderate HF and impaired LVEF for ABMT can achieve similar long-term survival. As medical care for HF and ABMT improves, the exclusion criteria for ABMT with regard to HF and impaired LVEF should be re-examined.
Women, forced caesareans and antenatal responsibilities.
In the UK in October 1992, Mrs S was forced to have a caesarean section despite her objections to such a procedure on religious grounds. The case once again called into question the obligations of women to the unborn, and also whether one person can be forced to undergo a medical procedure for the benefit of someone else. Re S, like the case of Angela Carder, is often discussed in terms of the conflict between maternal and fetal rights. This paper looks instead at our obligations to save life in general-whether or not we are pregnant- and at the obligations of mothers to their children-whether they are born or unborn. Drawing on Judith Jarvis Thomson's distinction, it argues that minimal decency informs the duties which are owed to strangers, but that parents can be expected to behave as Good Samaritans towards their children. Finally, it is argued that even if mothers are ethically obliged to consent to caesarean sections which will save the lives of their babies, this does not necessarily mean that others are at liberty, or even obliged, to proceed with such operations without their consent.
A simple organ culture model for assessing the effects of growth factors on corneal re-epithelialization.
The effects of growth factors on re-epithelialization of wounded human and bovine corneas were studied in a simple organ culture system. Excisional trephine and epithelial scrape wounds were created on bovine and human corneo-scleral rings in which the endothelial corneal concavity was then filled with an agar-collagen mixture. Organ culture was undertaken at 37 degrees C in a humidified 5% CO2 incubator with serum-free Medium 199 maintained at the level of the conjunctival epithelium. Rates of reepithelialization in response to addition of exogenous epidermal growth factor (EGF), basic fibroblast growth factor (bFGF) and transforming growth factor type beta 1 (TGF-beta 1) were assessed by image analysis. Corneal cultures could be maintained for up to 3 weeks without significant stromal oedema or keratocyte deterioration and with little loss of epithelial architecture. Following wounding the cornea reepithelialized in a similar fashion to that observed in vivo i.e. a lag phase followed by migration/proliferation and the reformation of an intact multilayered epithelium. EGF accelerated, basic FGF had no effect on, and TGF-beta 1 inhibited the rate of corneal re-epithelialization. Our organ culture model maintains corneal integrity and provides a practical system in which to study factors that modulate corneal reepithelialization following wounding.
Mapping of rRNA genes with integrable plasmids in Bacillus subtilis.
Integrable plasmids pGR102 and pWR103 containing ribosomal sequences from within the transcriptional units for 16S and 23S were used to transform Bacillus subtilis. To date, these plasmids integrated into 7 of 10 known rrn operons. Two such events occurred at unassigned operons, revealing a close linkage of the CAT gene of the plasmid to pha-1 situated between dal-1 and purB33 for rrnE and to thiA78 situated between glyB133 and re-12 for rrnD. All seven integration events that led to the loss of unique ribosomal BclI fragments can now be assigned to known rrn operons.
River water quality in the Humber catchment: an introduction using GIS-based mapping and analysis
The regional water quality of the Humber catchment was mapped for key inorganic chemical determinands using a GIS system and an extensive Environment Agency and LOIS monitoring database. The resultant maps revealed the major factors affecting the general characteristics of regional water quality. Sewage inputs from industrial and domestic sources account for the high concentration of many determinands in urban areas. The concentrations of particulate components increase in tidal zones because of sediment trapping and tidal re-suspension effects. Some determinands also exhibit localized high concentrations related to coal mine drainage, soil pollution caused by past ore mining, bedrock geology, the agricultural use of fertilizers and the ingression of seawater into the estuary.
Increased Ac excision (iae): Arabidopsis thaliana mutations affecting Ac transposition.
The maize transposable element Ac is highly active in the heterologous hosts tobacco and tomato, but shows very much reduced levels of activity in Arabidopsis. A mutagenesis experiment was undertaken with the aim of identifying Arabidopsis host factors responsible for the observed low levels of Ac activity. Seed from a line carrying a single copy of the Ac element inserted into the streptomycin phosphotransferase (SPT) reporter fusion, and which displayed typically low levels of Ac activity, were mutagenized using gamma rays. Nineteen mutants displaying high levels of somatic Ac activity, as judged by their highly variegated phenotypes, were isolated after screening the M2 generation on streptomycin-containing medium. The mutations fall into two complementation groups, iae1 and iae2, are unlinked to the SPT::Ac locus and segregate in a Mendelian fashion. The iae1 mutation is recessive and the iae2 mutation is semi-dominant. The iae1 and iae2 mutants show 550- and 70-fold increases, respectively, in the average number of Ac excision sectors per cotyledon. The IAE1 locus maps to chromosome 2, whereas the SPT::Ac reporter maps to chromosome 3. A molecular study of Ac activity in the iae1 mutant confirmed the very high levels of Ac excision predicted using the phenotypic assay, but revealed only low levels of Ac re-insertion. Analyses of germinal transposition in the iae1 mutant demonstrated an average germinal excision frequency of 3% and a frequency of independent Ac re-insertions following germinal excision of 22%. The iae mutants represents a possible means of improving the efficiency of Ac/Ds transposon tagging systems in Arabidopsis, and will enable the dissection of host involvement in Ac transposition and the mechanisms employed for controlling transposable element activity.
An open policy for the elderly.
European countries are re-examining established attitudes to the care of the elderly. Some countries are moving away from institutional care and letting the community look after old people. In the Netherlands and Norway this approach is proving successful. Author reports on the balance between closed and open care in Europe.
Breakage, regrowth, and fractal nature of natural organic matter flocs.
The growth, breakage, regrowth, and fractal nature of flocs was investigated by use of a laser diffraction particle sizing device. A range of coagulants were investigated for the coagulation of natural organic matter (NOM) and compared to other coagulated systems. The results showed NOM floc structural characteristics varied in steady-state size depending upon which coagulant was used. When compared to other systems, the order of floc size was Fe precipitate > Fe-NOM > latex (in NaCl solution). Floc regrowth after exposure to high shear was limited for all of the flocs under investigation other than for latex in an inert electrolyte. This highlighted differences in the internal bonding structure of flocs, with the results suggesting that physical bonds have a capacity to re-form after breakage. Fractal dimension analysis by small-angle laser light scattering (SALLS) had limited applicability to large flocs that dominated all of the systems under investigation, but the degree of compaction increased as flocs were broken in high shear. This provided a possible mechanistic reason for the irreversible breakage seen.
The effects of explicit timing and feedback on compositional response rate in elementary school children.
The effects of several variables on compositional response rate were investigated in three classrooms. After establishing baseline composition rates in each of the three classrooms, an experimental phase was introduced that consisted of: explicit timing of the children's composition period with a stopwatch, immediate feedback on the number of words each child produced, public posting of the greatest number of words written by each child to date, and instructions to try to exceed their highest score. In the second-grade classroom, these conditions were introduced, removed, and re-introduced. In two fifth-grade classrooms, these conditions were introduced according to a multiple baseline, across classes. In all cases, introduction of the experimental conditions led to a doubling of rate of words written by students and an increase in subjective quality ratings of compositions made by independent judges.
Development and validation of a tool to measure the impact of childhood disabilities on the lives of children and their families.
OBJECTIVE: Information on registers of children with special needs will be more meaningful if a validated measure of the severity of impact of a child's disability on life and family is included. DESIGN: We describe the development and initial validation of a parent-completed questionnaire (Generic Lifestyle Assessment Questionnaire LAQ-G) aimed at measuring such impact. RESULTS: Data were collected on 95 case children, representing various disabilities, and 65 control children without disability, and analysed for case-control, test-re-test and inter-reporter reliability. Multidimensional scaling techniques were then used to derive six domains, representing impact of disability in a structure analogous to the participation domains of the revised International Classification ICF (WHO 2001). CONCLUSIONS: Initial results suggest that the LAQ-G is a reliable measure of the impact of disability for children with a range of common disabling conditions.
Differential modulation of N-type 1B and P/Q-type 1A calcium channels by different G protein subunit isoforms.
Using transient calcium phosphate transfection into the human embryonic kidney tsa-201 cell line and subsequent whole-cell patch-clamp protocols, we examined the tonic modulation of cloned N- and P/Q-type calcium channels by five different G protein beta subunits via strong depolarizing voltage prepulses. For N- and P/Q-type channels, the magnitude of inhibition was dependent on the Gbeta subtype co-expressed. Both the absolute and relative magnitudes of Gbeta subunit-induced inhibition of P/Q-type channels differed from those observed with the N-type channel. For each calcium channel subtype, kinetics of both the prepulse-mediated recovery from inhibition and the re-inhibition following the prepulse were examined for each of the Gbeta subunits by varying either the duration between the pre- and the test pulse or the length of the prepulse. For each channel subtype, we observed a differential Gbeta subunit rank order with regard to the rates of re-inhibition and recovery from inhibition. On average, P/Q-type channels exhibited more rapid rates of recovery from inhibition than those observed with N-type channels. Different Gbeta subtypes mediated different degrees of slowing of activation kinetics. The differential modulation of P/Q- and N-type channels by various Gbeta subtypes may provide a mechanism for fine tuning the amount of calcium entering the presynaptic nerve termini.
A combined management protocol for patients with coagulation disorders infected with hepatitis C virus.
The case notes of 394 adults with bleeding disorders registered at our centre together with those of the 72 patients who had died since 1971 were reviewed. 36/72 deceased patients had evidence of HCV infection. Liver decompensation was present at time of death in six. 274 (70%) of the currently registered patients had received factor concentrate or cryoprecipitate and 174 of these were screened for HCV infection. 76% of tested patients were RIBA positive. 87% of RIBA-positive patients were RT-PCR positive. 50 RIBA-positive patients, including nine who were HIV infected, have undergone percutaneous liver biopsy following appropriate factor infusion with no complication. The biopsy was assessed using a Histological Activity Index (HAI) ranging from 0 to 13. Patients with HAI > or = 6 were offered treatment with interferon. Patients with HAI < 6 were followed up with a view to re-biopsy in 2-3 years to assess progression. The median HAI was 4.5 (range 0-10) with HAI > or = 6 in 13 cases (27%). HAI was not correlated with duration of infection. haemophilia severity. RT-PCR status. HIV status or HCV genotype. Liver biopsy, a safe procedure in our hands, is an important investigation in HCV-infected patients to assess suitability for interferon therapy.