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Summary: Background: A gluten‐free diet treats coeliac disease, but its efficacy depends on strict adherence. A variety of patient factors may influence adherence but have not been well described at a population level. Aim: To comprehensively assess the patient factors that influence gluten‐free diet adherence in patients with coeliac disease. Methods: Patients with coeliac disease completed an online survey comprising the validated Celiac Dietary Adherence Test in addition to data on demographics, details of diagnosis and management and assessment of diet knowledge, quality of life and psychological distress. Survey data were analysed for predictors of adherence and quality of life. Results: Of 7393 responses, 5310 completed the Celiac Dietary Adherence Test and 3230 (61%) were adherent to a gluten‐free diet. Multivariate regression showed older age, being male, symptoms after gluten ingestion, better food knowledge and lower risk of psychological distress were independent predictors of adherence (each P ≤ 0.008). Additionally, dietary adherence was associated with better quality of life (P < 0.001; multiple regression). Respondents who considered themselves to have poor food knowledge were more likely to incorrectly identify gluten‐free foods, but could still recognise gluten‐containing foods, suggesting that poor knowledge may lead to over‐restriction of diet. Conclusions: Poor knowledge of a gluten‐free diet and psychological wellbeing were independent modifiable risk factors for inadequate adherence to a gluten‐free diet in patients with coeliac disease. Involvement of both a dietitian and mental health care professional, in the presence of psychological distress, is likely to be necessary to improve adherence and health outcomes. [ABSTRACT FROM AUTHOR]

This experiment tested the hypothesis that pigs challenged with an enterotoxigenic strain of E. coli (ETEC) will improve performance by dietary supplementation of sulfur amino acids (SAA) and tryptophan (Trp) above the current recommended levels in the immediate post-weaning period. Male pigs (n = 96) weighing 6.2 ± 0.78 kg (mean ± s.d.) and weaned at 21 days were stratified into one of four treatments based on weaning weight (n = 24). Four diets were formulated [11.2 MJ NE/kg; 20.1% crude protein, 1.25% standardised ileal digestible (SID) lysine (Lys)] according to a 2 × 2 factorial arrangement of treatments with two levels of SID SAA : Lys ratio (0.52 vs 0.60) and two levels of SID Trp : Lys ratio (0.16 vs 0.24). Diets did not contain any antimicrobial compounds. Pigs were individually housed and were fed diets for 14 days after weaning. Pigs were infected with ETEC (3.44 × 108 CFU/mL, serotype O149 : K91 : K88) on Days 5, 6, and 7 after weaning. Pigs were bled on Days 5, 8 and 14 and subsequently analysed for plasma levels of acute-phase proteins, urea, cytokines (Days 5 and 8 only) and amino acids (Days 5 and 8 only). Increasing Trp (P=0.036) andSAA(P=0.028) improved feed conversion ratio, and combined supplementation of SAA and Trp further improved FCR than individual supplementation of either SAA or Trp (P = 0.092). Dietary treatments had no impact on the incidence of post-weaning diarrhoea (P > 0.05). Increasing SAA increased shedding of ETEC on Days 12 and 14 after weaning (P < 0.019). Increasing dietary Trp reduced the intensity of inflammation (as measured by APP Index = [(C-reactive protein × PigMAP)/apolipoprotein A1]) immediately after infection with ETEC (P < 0.05), while increasing dietary SAA reduced the APP index on 24 h and 7 days after ETEC infection (P < 0.05). Increasing dietary SAA reduced plasma levels of interferongamma regardless of dietary Trp or day of sampling (P = 0.043). Increasing dietary SAA decreased plasma urea (PU) levels on Days 5, 8 and 14 (P < 0.05). These data indicate that Trp supplementation reduced the intensity of inflammation and SAA supplementation decreased the pro-inflammatory interferon-gamma response and improved protein utilisation, as measured by PU, whereas supplementation with both Trp and SAA improved feed conversion ratio. [ABSTRACT FROM AUTHOR]

Pigs immunized against gonadotropin-releasing factor (GnRF) have increased carcass fatness compared to entire males; however, the timing of this increase in fatness after the second immunization against GnRF has not been determined. An experiment was conducted to identify and compare the growth performance, body composition, and physiological changes in immunocastrated males (IC males) at different BW and feeding levels. A total of 64 pigs were used in a 2 × 2 × 2 factorial experiment with the treatments being 1) sex (entire males or IC males), 2) initial BW (45.9 kg [light] or 78.3 kg [heavy]), and 3) feeding regime (2.5 times maintenance [restricted] or ad libitum). The pigs were individually housed, and the diets were fed for 4 wk after the second immunization against GnRF until slaughter at either 68.4 kg BW (light) or 105.8 kg BW (heavy). Immunocastrated males on a restricted feed intake had a lower ADG compared to entire males from d 15 to 28 and d 0 to 28 (P = 0.011 and P = 0.011, respectively). Fat deposition was not affected by sex from d 0 to 14, but from d 15 to 28 IC males deposited 45 g/d more fat than entire males (P = 0.025). Immunocastrated male pigs fed ad libitum deposited 87 g/d more fat from d 15 to 28 than entire males fed ad libitum (P = 0.036). However, there was no difference in fat deposition between IC males and entire males when feed intake was restricted from d 15 to 28. Plasma urea nitrogen levels were greater in IC males compared to entire males from d 7 after the second immunization against GnRF (P < 0.05 for d 7, 10, 14, 21, and 28). Plasma concentrations of IGF-1 were lower for IC males compared to entire males on d 3, 7, 10, and 28 (P < 0.05 for all days). The following conclusions were made: 1) when pigs are immunized at a light BW (50 kg) and/or are on a restricted feed intake, they have a reduced propensity to deposit fat; however, the restriction in feed intake adversely affects growth rate. 2) The majority of fat deposition for males immunized at heavy BW (80 kg) occurs from d 15 to 28 after the second immunization against GnRF. [ABSTRACT FROM AUTHOR]

An experiment was conducted to determine the standardized ileal digestible (SID) Lys requirement of entire male and male pigs immunized against gonadotrophin releasing factor (GnRF; immunocastrates). A total of 420 entire male and immunocastrated (IC) male pigs weighing 60.1 kg BW (SEM 0.49) were used in a 2 x 5 factorial experiment with the main effects being gender (entire males or IC males) and 5 concentrations of SID Lys:DE ratio (0.32, 0.43, 0.54, 0.64, or 0.75 g SID Lys/MJ DE). The diets were fed for 6 wk until slaughter at 107.5 kg BW (SEM 5.72). Over the entire period, IC males had a greater ADG (P < 0.001), greater ADFI (P < 0.001), and lower G:F (P < 0.001) compared with entire males. Immunocastrated males had increased plasma urea nitrogen (PUN) concentrations compared with entire males from d 10 to 42 (P < 0.001 for all days). Plasma urea nitrogen concentration also increased as Lys concentrations increased from d 3 to 42 (P < 0.001 for all days). Using the linear-plateau model, the optimal ADG for entire males was achieved at SID Lys concentrations of 0.68, 0.62, 0.54, and 0.58 g/MJ DE whereas optimal G:F was achieved at SID Lys concentrations of 0.72, 0.60, 0.54, and 0.51 g/MJ DE for the time periods d 0 to 14, d 15 to 28, d 29 to 42, and d 0 to 42, respectively. For IC males, optimal ADG was achieved at SID Lys concentrations of 0.64, 0.43, 0.38, and 0.40 g/MJ DE whereas optimal G:F was achieved at SID Lys concentrations of 0.64, 0.43, 0.36, and 0.42 g/MJ DE for the same respective time periods. Using the quadratic polynomial model, maximum ADG for entire males was achieved at SID Lys concentrations of 0.62 and 0.58 g/MJ DE whereas maximum G:F was achieved at SID Lys concentrations of 0.59 and 0.68 g/MJ DE for d 29 to 42 and d 0 to 42, respectively. For IC pigs, maximum ADG was achieved at SID Lys concentrations of 0.69, 0.54, and 0.64 g/MJ DE whereas maximum G:F was achieved at SID Lys concentrations of 0.81, 0.54, and 0.64 g/ MJ DE for d 0 to 14, d 29 to 42, and d 0 to 42, respectively. A solution could not be found using the quadratic polynomial model for entire males for d 0 to 14 for both ADG and G:F and for both entire males and IC males for d 15 to 28 within the range of Lys values tested. When both the growth performance and PUN values are considered, the results suggest that IC males show a response to dietary SID Lys similar to that of entire males for 2 wk after the second immunization against GnRF. After this, IC males have a lower requirement for SID Lys than entire males. [ABSTRACT FROM AUTHOR]

The New Zealand Earth System Model (NZESM) is currently under development to help inform scientists, policy makers, climate-sensitive sectors of the economy, and the general public in New Zealand about climate change. The term 'climate model' is generally used to describe a computer model that incorporates physical aspects of the climate system such as atmospheric and oceanic fluid mechanics and thermodynamics. In addition, Earth System Models represent aspects of biology and chemistry such as marine biogeochemistry and atmospheric ozone chemistry. The development of the NZESM represents a step-change in model complexity for New Zealand science, and a major motivation for its development is to reduce Southern Hemisphere specific modelling problems such as the formation of Southern Ocean sea ice and Antarctic Bottom Water. The atmosphere, land surface, ocean and sea ice components of the model are already available in New Zealand. In the future, additional models representing (for example) ocean biogeochemistry and marine ice-sheets will also be added to the NZESM framework. Over the next 5 years, the NZESM will be run to produce hindcasts for the past 150 years and projections for up to 200 years into the future. Such experiments will "... enable New Zealanders to adapt, manage risk, and thrive in a changing climate", which is the mission statement of the Deep South National Science Challenge. Over the next decade, the NZESM will be used in Earth System science research throughout New Zealand, both in terms of pure science and via communication of its results to New Zealanders. [ABSTRACT FROM AUTHOR]

This study tested the hypothesis that vitamin E (Vit E) and omega-3 fatty acids will additively attenuate the production of proinflammatory cytokines and PGE2 in immune system-stimulated growing-finishing pigs. A total of 80 mixed sex pigs weighing 50.7 ± 0.76 kg (mean ± SE) were blocked and stratified based on sex and BW to a 2 × 2 factorial design with the respective factors being 1) without and with 300 IU Vit E and 2) without and with 25% replacement of tallow to linseed oil as a source of n-3 fatty acids. Each treatment consisted of 4 replicate pens with 5 pigs (3 barrows and 2 gilts) per pen. All pigs were challenged with an intramuscular injection of Escherichia coli lipopolysaccharide (LPS; O111:B4) twice weekly over the 6-wk experiment. After LPS challenge, pigs fed a diet supplemented with n-3 fatty acids had fewer (P < 0.05) white blood cells and tended to show both a reduced (P < 0.10) proportion of lymphocytes and IgG concentration compared with pigs fed a diet without any supplements. Supplementation of n-3 fatty acids reduced (P < 0.01 and P < 0.05) serum concentrations of cortisol and tumor necrosis factor α (TNF-α), respectively. The serum concentration of PGE2 was decreased (P < 0.05) with supplementation of both Vit E and n-3 fatty acids; however, the extent of the reduction was greater (P < 0.001) in pigs fed an n-3 fatty acid-supplemented diet. However, there were no additive effects of the combined supplementation of Vit E and n-3 fatty acids on serum concentrations of proinflammatory cytokines and PGE2. The results suggest that n-3 fatty acids independently attenuate production of TNF-α and PGE2 in immune system-stimulated growing-finishing pigs. [ABSTRACT FROM AUTHOR]

Background: In recent years hypertonic saline has attracted increasing interest in the treatment of traumatic intracranial hypertension, and has a number of documented and theoretical advantages over other hyperosmolar agents. To date, no consensus has been achieved on the safest and most effective HTS concentration for administration. Aims: The purpose of this paper was to evaluate the efficacy of intravenous bolus administration of highly concentrated (30 %) hypertonic saline (HTS) in the treatment of refractory intracranial hypertension secondary to traumatic brain injury. Methods: Patients were treated with an intravenous bolus of 10 ml of 30 % hypertonic saline. Multiple physiological parameters were measured throughout, including intracranial pressure, mean arterial pressure, cerebral perfusion pressure, pulse and inotrope/pressor requirements. Laboratory investigation pre and post HTS administration included: arterial pH, pCO, HCO, base excess; serum biochemistry measurements of sodium, potassium, chloride, urea and creatinine; and coagulation studies. Results: TBI patients saw a rapid and significant reduction in ICP from a baseline value of 28 ± 5.31 to 18.44 ± 6.17 mmHg at 1 h post HTS, a statistically significant reduction that was maintained for up to 7 h. This response was maintained even with repeated HTS administration, which was also associated with an augmented cerebral perfusion pressure from a baseline of 58.0 ± 6.48 to 76.33 mmHg within 1 h of HTS administration. Conclusion: No associated harmful biochemical or haematological abnormalities were noted. In conclusion, highly concentrated 30 % HTS appears to be both effective and safe in the management of refractory intracranial hypertension. [ABSTRACT FROM AUTHOR]

We adapt and integrate the Biome-BGC and Land Use in Rural New Zealand models to simulate pastoral agriculture and to make land-use change, intensification of agricultural activity and climate change scenario projections of New Zealand's pasture production at time slices centred on 2020, 2050 and 2100, with comparison to a present-day baseline. Biome-BGC model parameters are optimised for pasture production in both dairy and sheep/beef farm systems, representing a new application of the Biome-BGC model. Results show up to a 10% increase in New Zealand's national pasture production in 2020 under intensification and a 1-2% increase by 2050 from economic factors driving land-use change. Climate change scenarios using statistically downscaled global climate models (GCMs) from the IPCC Fourth Assessment Report also show national increases of 1- 2% in 2050, with significant regional variations. Projected out to 2100, however, these scenarios are more sensitive to the type of pasture system and the severity of warming: dairy systems show an increase in production of 4% under mild change but a decline of 1% under a more extreme case, whereas sheep/beef production declines in both cases by 3 and 13 %, respectively. Our results suggest that high-fertility systems such as dairying could be more resilient under future change, with dairy production increasing or only slightly declining in all of our scenarios. These are the first nationalscale estimates using a model to evaluate the joint effects of climate change, CO2 fertilisation and N-cycle feedbacks on New Zealand's unique pastoral production systems that dominate the nation's agriculture and economy. Model results emphasise that CO2 fertilisation and N-cycle feedback effects are responsible for meaningful differences in agricultural systems. More broadly, we demonstrate that our model output enables analysis of decoupled land-use change scenarios: the Biome-BGC data products at a national or regional level can be re-sampled quickly and cost-effectively for specific land-use change scenarios and future projections. [ABSTRACT FROM AUTHOR]

This study investigated feasibility and acceptability of a new email-delivered intervention promoting fruit and vegetable consumption in a university-based population of Australian young adults. The study explored whether there are differences in the reported feasibility and acceptability between demographic groups within the population of interest and at three levels of intervention intensity. The email-delivered intervention program consists of an implementation intention ‘planning task’ and between 3 and 15 short email messages over a 15-day study period. The intervention program was developed using the Theory of Planned Behaviour and was designed to modify perceived behavioural control. One hundred and ten participants (mean age = 19.21 years, 25.6% male) completed the feasibility and acceptability questionnaire at Day 15. This questionnaire contained items about all intervention components. High acceptability and feasibility scores were found for all intervention parts and at all levels of intervention intensity. There were few significant differences in the reported acceptability of items between key demographic sub-groups, and no differences in reported acceptability at different levels of intervention intensity. These results suggest that this email-delivered intervention is an acceptable and feasible tool for promoting fruit and vegetable consumption for participants in the target population. [ABSTRACT FROM AUTHOR]

In most countries, male pigs are physically castrated soon after birth to reduce the risk of boar taint and to avoid behaviours such as fighting and mounting. However, entire male pigs are more feed efficient and deposit less fat than barrows. In addition, many animal welfare organizations are lobbying for a cessation of castration, with a likelihood that this could lead to inferior pork unless an alternative method is used to control boar taint. An alternative to physical castration is immunization against gonadotrophin releasing factor (GnRF) which allows producers to capitalize on the superior feed efficiency and carcass characteristics of boars without the risk of boar taint. From a physiological perspective, immunized pigs are entire males until shortly after the second dose, typically given 4 to 6 weeks before slaughter. Following full immunization, there is a temporary suppression of testicular function and a hormonal status that resembles that of a barrow. Nutrient requirements will be different in these two phases, before and after full immunization. Given that there have been few published studies comparing the lysine requirements of entire males and barrows in contemporary genotypes, it is useful to use gilt requirements as a benchmark. A series of meta-analyses comparing anti-GnRF immunized boars and physical castrates and use of nutritional models suggest that the lysine requirement of entire males before the second immunization is 5% higher than for gilts, from 25 to 50 kg BW, and by 8% from 50 to 95 kg. Given that the penalty in growth performance for having inadequate dietary lysine is greater in males than in gilts or barrows, it is important to ensure that lysine requirements are met to obtain the maximum benefits of entire male production during this phase. After the second immunization, the lysine requirement of immunized males decreases and may become more like that of barrows. In addition, a consistent effect of full immunization is a marked increase in voluntary feed intake from about 10 days after the second dose. Putting these together, the estimated lysine requirement, expressed in terms of diet composition, falls to 94% of the gilt level. Although general principles can be described now, further research is needed to fully define the lysine requirements of immunized boars. It is important that the temporal pattern of tissue deposition rates and feed intake be explored to be incorporated into models to predict nutrient requirements over the period of rapidly changing metabolism. [ABSTRACT FROM PUBLISHER]

Using archival data from ATCA, WHISP, and the Very Large Array, we have analyzed the HI emission of 22 tidal tail regions of the Mullan et al. sample of pairwise interacting galaxies. We have measured the column densities, line-of-sight velocity dispersions, and kinetic energy densities on ~kpc scales. We also constructed a tracer of the line-of-sight velocity gradient over ~10 kpc scales. We compared the distributions of these properties between regions that do and do not contain massive star cluster candidates (MV < -8.5; ~104-106M☉ as observed in Hubble Space Telescope WFPC2 VI data). In agreement with Maybhate et al., we find that a local, ~kpc-scale column density of log NHI ≳ 20.6 cm-2 is frequently required for detecting clustered star formation. This HI gas also tends to be turbulent, with line-of-sight velocity dispersions σlos ≈ 10-75 km s-1, implying high kinetic energy densities (log ΣKE > 46 erg pc-2). Thus, high HI densities and pressures, partly determined by the tail dynamical age and other interaction characteristics, are connected to large-scale cluster formation in tidal tails overall. Last, we find that the high mechanical energy densities of the gas are likely not generally due to feedback from star formation. Rather, these properties are more likely to be a cause of star formation than a result. [ABSTRACT FROM AUTHOR]

The article discusses the results of a study on the effect of lysine diet on the responses of Australian male and female pigs. The results show that the level of lysine in diets should be increased to enable male and female pigs to favorably respond to higher levels of lysine. The study mentions that male pigs are more feed efficient and have responded to a higher level of lysine than females in the 20 to 100-kilogram live weight.

The article discusses the results of a study on the impact of blend-feeding or single diet feeding on the growth development and carcass quality of pigs. The study explains that feeding strategies have no significant effect on pigs' overall growth performance and carcass quality. It mentions that using the blend- and single-diet feeding is more cheaper than phase-feeding program. The results suggest several benefits of single diet feeding.

The article discusses the results of a study on the effect of the level of lysine and dietary ractopamine hydrochloride (RAC) on the growth, feed efficiency and carcass responses in finisher boars and gilts. The study reveals that 0.56 gram of lysine is sufficient to maximize average daily gain (ADG), feed conversion ratio (FCR) and carcass weight in gilts while ADG and FCR in boars were not limited by the lysine energy ratios. It also explains the responses of dietary RAC in ADG and FCR.

The article discusses the results of a study on the maximum level of dietary lysine needed by finisher pigs to improve their response to ractopamine (RAC). The study explains that the interactions between dietary RAC and lysine resulted to an improvement in average daily gain (ADG) and carcass weight but not in feed efficiency of pigs. The findings suggest that 0.56 gram of lysine is not sufficient to produce response to dietary RAC in growth or feed efficiency in the first seven days of pigs.

Objectives: In three experiments, we studied the detection of multiple abnormality types using the satisfaction of search (SOS) paradigm, the provision of a computer- aided detection (CAD) of pulmonary nodules and a focused nodule detection task. Methods: 51 chest CT examinations (24 that demonstrated subtle pulmonary nodules and 27 that demonstrated no pulmonary nodules) were read by 15 radiology residents and fellows under two experimental conditions: (1) when there were no other abnormalities present except test abnormalities in the exams (non-SOS condition), and (2) when other abnormalities were present in the exams (SOS condition). Trials from the two conditions were intermixed. Readers were invited to return for two sessions: one in which the SOS condition was repeated with a simulated CAD; another in which only the non-SOS condition was presented. Detection accuracy was measured using receiver operating characteristic (ROC) analysis. Results: An SOS effect (reduced detection accuracy for the test nodules in the presence of the diverse added abnormalities) was not found. Average accuracy was much higher when the CAD prompt was provided, without cost in the detection of the added abnormalities. Accuracy for detecting nodules appearing without intermixed SOS trials was also substantially improved. Conclusions: CT interpretation was highly task dependent. Nodule detection was poor in the general search task. Therefore, CAD may offer a greater performance improvement than demonstrated in experiments assessing CAD using focused search. The absence of SOS may be due to limited nodule detection even withoUt other abnormalities. Advances in knowledge: CAD prompts of nodules increase the detection accuracy of nodules and decrease the time to detection-without impairing the detection accuracy-of non-nodule abnormalities. [ABSTRACT FROM AUTHOR]

The objective of this study was to evaluate whether altering the timing of the secondary anti-gonadotropin-releasing factor (GnRF) immunization closer to slaughter in male finishing pigs would reduce the increase in P2 fat depth (6.5 cm from the midline over the last rib), while still limiting the incidence of boar taint. Entire male pigs are immunized against GnRF to reduce the concentration of testicular steroids that in turn limits the incidence of boar taint. Additionally, testicle measurements and color measurements were taken to examine whether they could be used to differentiate nonimmunized entire males from immunized male pigs. A total of 175 Large White × Landrace entire male pigs aged 16 wk (59 kg of BW) were used in a completely randomized design with 5 treatment groups based on the time that pigs received the secondary immunization before slaughter. Pigs were housed in groups of 7 and randomly allocated to 1 of 5 treatments with 5 replicates per treatment. The treatment groups were as follows: no secondary immunization before slaughter, and the secondary immunization given at 2, 3, 4, or 6 wk before slaughter. The P2 fat depth levels were reduced (P = 0.054) with the secondary immunization closer to slaughter (11.7, 11.3, 12.8, 12.6, and 13.7 mm for no secondary immunization, secondary immunization at 2, 3, 4, and 6 wk before slaughter, respectively). Androstenone concentration did not exceed the generally accepted industry sensory threshold of 1.0 μg/g of fat, and both androstenone concentration in the adipose tissue and testosterone concentrations in the blood were suppressed (P < 0.001) in all immunized pigs regardless of timing of the secondary immunization compared with pigs that did not receive the secondary immunization. Skatole concentration of all pigs in the experiment did not exceed the generally accepted industry sensory threshold of 0.2 μg/g. Testes weight was reduced (P < 0.001) with increased time between slaughter and the secondary immunization. Immunized pigs, regardless of time before slaughter, had greater L* (lightness) and b* (yellowness) color of the testicle surface (P < 0.001 and P = 0.020, respectively), and less a* (redness) color compared with entire males (P < 0.001). The study provides further evidence of the efficacy of the anti-GnRF immunization and indicates that the secondary immunization can be moved closer to slaughter, while still limiting the incidence of boar taint. Testicle measurements and color measurements together could provide a method of discrimination between carcasses from immunized entire males clear of boar taint and tainted carcasses. [ABSTRACT FROM AUTHOR]

Swine dysentery is a contagious mucohemorrhagic diarrhea! disease caused by the intestinal spirochete Brachyspira hyodysenteriae that colonizes and induces inflammation of the cecum and colon. It has been reported that a diet containing chicory root and sweet lupin can prevent swine dysentery. This experiment was conducted to test the hypothesis that inulin in the chicory root rather than galactans in lupins was responsible for protective effects. An experiment with a 2 x 2 factorial arrangement of treatments was undertaken using pigs fed barley- and triticale-based diets, with the main effects being protein source [185 g/kg of canola meal (decreased galactans) or 220 g/kg of lupins (greater galactans)] and inulin supplementation (0 or 80 g/kg). Forty Large White x Landrace pigs weighing 21 ± 3 kg, with 10 pigs per diet, were allowed to adapt to the diets for 2 wk, and then each pig was challenged orally 4 times with a broth culture contain- ing B. hyodysenteriae on consecutive days. Pigs were killed when they showed clinical signs of dysentery or 6 wk postchallenge. Pigs fed diets without inulin had 8.3 times greater risk (P = 0.017) of developing swine dysentery and were 16 times more likely (P = 0.004) to have colon contents that were culture-positive for B. hyodysenteriae, compared with the pigs fed a diet with 80 g/kg of inulin. Diets containing lupins did not prevent pigs from developing clinical swine dysentery; however, inclusion of lupins or inulin or both in the diets delayed the onset of disease compared with the diet based mainly on canola meal (P < 0.05). Diet did not influence the total concentration of organic acids in the ileum, cecum, or upper and lower colon; however, the molar proportions of the organic acids were influenced (P < 0.05). Consequently the pH values in the cecum, and upper and lower colon were not influenced (P > 0.05) by diet. However the pH values of the ileal digesta were decreased in pigs fed the diet with both lupins and inulin compared with the diet containing only lupins (P < 0.05). In conclusion, this study shows that diets supplemented with highly fermentable carbohydrates from inulin protected pigs against developing swine dysentery. [ABSTRACT FROM AUTHOR]

The 3-agonist ractopamine is a dietary ingredient that improves growth and increases the lean mass with little change in fat mass in gilts and harrows. Limited data in boars indicate that dietary ractopamine may increase lean tissue and decrease fat deposition, whereas there are no data for immunocastrated boars. The aims of this investigation were 1) to assess whether the growth performance of all sexes could be maintained over 31 d by using a step-up dietary ractopamine feeding program of 5 mg/kg of ractopamine for the first 14 d, then increasing the dose to 10 mg/kg for a further 17 d, and 2) to determine if dietary ractopamine would increase lean mass in all sexes and decrease fat mass in boars and immunocastrated boars. The study involved 286 pigs randomized and proportionally allocated by breed into 24 groups of 11 or 12 pigs at 17 wk of age, with equal groups of boars, immunocastrated boars, and gilts. Dietary ractopamine decreased (P = 0.005) ADFI during the first 2 wk, particularly in the intact and immunocastrated boars, with the reduction in ADFI being maintained in the immunocastrated boars after the increment in dietary ractopamine. Daily BW gain was not altered by dietary ractopamine during the first 2 wk, but was increased (P < 0.001) after the increment in dietary ractopamine. Dietary ractopamine decreased (P < 0.033) feed conversion ratio in all sexes with the response being greater after the increase in dietary ractopamine. Carcass weight was increased (P < 0.001) by dietary ractopamine in all sexes, whereas back fat tended (P 0.076) to be reduced in the immunocastrated boars. Dietary ractopamine increased (P = 0.018) lean tissue mass by 4.0, 4.8, and 6.5 kg in the intact boars, gilts, and immunocastrated boars, respectively. In the entire and immunocastrated boars, the increase in lean tissue was accompanied with a decrease (P = 0.004) in fat mass. There was little effect of dietary ractopamine on fat mass in gilts. However, carcass percent fat was decreased (P = 0.004) and percent lean increased (P = 0.006) in all sexes. Immunocastration caused a decrease in lean tissue mass and an increase in fat mass and an increase in ADFI in the last one-half of the study. Dietary ractopamine may decrease fat mass in intact and immunocastrated boars and offers an excellent means of maximizing the effects of immunocastration and minimizing the increase in fat mass sometimes observed in immunocastrated boars. [ABSTRACT FROM AUTHOR]

This study evaluated the effect of feeding low protein (LP) diets for 7 or 14 d after weaning or a high protein (HP) diet for 14 d after weaning on postweaning diarrhea (PWD), indices of protein fermentation, and production in pigs infected or not infected per os with an enterotoxigenic strain of Escherichia coli. A total of 72 female pigs weaned at aged 21 d with initial BW of 5.9 ± 0.12 kg were used in a 3 x 2 factorial arrangement of treatments. The factors were 3 feeding regimens associated with different combinations of feeding duration and diet CP level: (i) HP diet (256 g of CP/kg) fed for 14 d after weaning, (ii) LP diet (175 g of CP/kg) fed for 7 d after weaning, and (iii) LP diet fed for 14 d after weaning; and infection or noninfection with an enterotoxigenic strain of E. coli (107 cfu/mL, serotype 0149:K91:K88) at 72, 96, and 120 h after weaning. The LP diets were fortified with crystalline Ile and Val to achieve an ideal AA pattern. A second-stage diet (213 g of CP/kg) was fed to pigs at the conclusion of each feeding regimen, and the study finished 4 wk after weaning. None of the diets contained antimicrobials. Feeding the LP diets decreased (P < 0.001) plasma urea nitrogen, fecal ammonia nitrogen concentrations, and the incidence of PWD, but increased (P = 0.001) fecal DM content compared with pigs fed HP in the 2-wk period after weaning. Infection increased shedding of 3-hemolytic E. coli (P < 0.001), the incidence of PWD (P < 0.001), and fecal ammonia nitrogen concentrations (P < 0.01), but did not interact with feeding regimen, after weaning. Pigs challenged with E. coli grew more slowly (P < 0.001) and had decreased G:F (P < 0.01) compared with nonchallenged pigs in the 4-wk period after weaning. Feeding an LP diet for 7 or 14 d after weaning markedly reduced the incidence of PWD after infection with 3-hemolytic E. coli. Infection was associated with decreased indices of protein fermentation in the distal gastrointestinal tract but did not compromise the growth of weaner pigs in the 4-wk period after weaning. [ABSTRACT FROM AUTHOR]

ABSTRACT: Sixty-three male pigs (Landrace x Large White) weighing 49.5 ± 0.40 kg were used to (1) examine the variation in DE content of Lupinus angustifolius L. in relation to variety and geographical growing region and (2) establish prediction equations for DE content from physical and chemical composition. The pigs were randomly allocated to a 4 x 2 factorial treatment design with respective factors being 4 varieties (cv. Belara, Coromup, Mandelup, and Tanjil) and 2 grdwing locations (northern and southern agricultural areas of Western Australia). In addition, a wheat control diet was fed as a reference for calculation of lupin DE content. The lupins were ground through a hammer mill fitted with a 4-mm screen to a mean particle size of 888 μm. Pigs were fed their respective experimental diets at 3 times maintenance energy level [3 x (0.458 x BW°75)/diet DEl in the study. The DE content of lupins ranged from 13.3 to 15.7 MJ/kg with a mean value of 14.2 MJ/kg. Variety of lupins affected (P < 0.01) the DE content, and lupins grown in the northern agricultural region had a greater DE content than the same lupins grown in the southern agricultural area (P < 0.01). Although the variation in DE content of lupins was mostly caused by significantly greater DE content of cv. Coromup grown in the northern agricultural region, the results suggest that genetic and environmental conditions during the growth of lupins have a significant impact on the utilization of energy in grower pigs. Simple regression analysis showed that prediction of DE content was possible from the proportion of hulls [R2 = 0.88, residual SD (RSD) = 1.116, F < 0.001], 1,000-seed weight (R2 = 0.77, RSD = 1.092, F < 0.01), and soluble arabinoxylan content (R2 = 0.64, RSD = 1.072, P < 0.05). Multiple regression analysis showed that adding total nonstarch polysaccharide (R2 = 0.96, RSD = 1.187, P < 0.01) and soluble nonstarch polysaccharide (R2 = 0.95, RSD = 1.200, P < 0.01) to the equation along with the proportion of hull and 1,000-seed weight significantly improved the accuracy of prediction. Results indicate that the DE content ol lupins varies by up to 2.4 MJ/kg and that the DE content can be predicted with a good degree of accuracy using physical and chemical characteristics. [ABSTRACT FROM AUTHOR]

An experiment was conducted to examine the effect of continual fluctuations in feed intake on grower-finisher pig growth performance and carcass fat-to-lean ratio (F:L). Sixty individually housed female pigs (Landrace × Large White) with initial BW of 29.8 ± 0.4 kg were randomly allocated to 1 of 4 feeding regimens (n = 15): 1) ad libitum throughout (AL); 2) 85% of the mean intake of the AL group during the previous week (R); 3) 70% of the mean intake on 1 d, and on the following day, 100% of the amount consumed by the AL group during the preceding week, with this pattern repeated every 2 d throughout (D); and 4) 70% of the mean intake for 3 consecutive days, and 100% of the amount consumed by the AL group for the next 3 d, with this pattern repeated throughout the experiment (3-D). Pigs receiving each treatment were fed the same diets during the weaner (10 to 20 kg), grower (20 to 50 kg), finisher 1 (50 to 70 kg), and finisher 2 (70 kg to slaughter at approximately 104 kg) growth phases. Pigs receiving fluctuated feed intake either by the D or 3-D feeding regimen showed a pattern of growth similar to that of pigs on the R feeding regimen. Pigs on the R and 3-D regimens were lighter at 28 d (P < 0.05) and pigs on the R, D, and 3-D regimens were lighter at 63 d (P < 0.05) than pigs on the AL regimen. Pigs on the R, D, or 3-D feeding regimens had a greater G:F between 15 to 42 d of the experiment than pigs fed AL throughout (P < 0.05). The R, D, and 3-D feeding regimens seemed to have some effect on carcass weight and dressing percentage, and pigs had a decreased P2 (located 65 mm from the midline of the carcass at the last thoracic rib) backfat depth (P < 0.05) compared with pigs fed AL. Pigs on the AL and 3-D feeding regimens had thicker subcutaneous fat at the last lumbar vertebrae on the dorsal edge of the loin than pigs on the R feeding regimen (P < 0.05). Carcass and visceral fat content and the F:L in the carcass and primal cuts, as measured by dual energy x-ray absorptiometry, were not different among treatments. However, pigs on the AL and 3-D feeding regimens had decreased estimated bone content in the carcass compared with pigs on the R and D feeding regimens (P < 0.05). The results indicated that continual fluctuation in feed intake either every other day or every 3 d had minimal effects on growth and carcass F:L compared with pigs fed the same restricted amount throughout the experiment. [ABSTRACT FROM AUTHOR]

This paper investigates the assumption that men have a greater opportunity for career success in the nursing profession than women. This study investigates, through the use of a questionnaire, the attitudes and future expectations of male and female individuals attending interviews to enter a pre-registration nursing course. The results from the questionnaires were analysed using both descriptive and inferential methods of analysis, and the findings were discussed in relation to the existing research. In only two of the items, significant differences were found between male and female nursing applicants' attitudes and expectations towards their future careers. The results of this study indicate that it is unlikely to be the individual differences between males and females that determine their career progress, and instead it is more likely to be the organisational barriers within the health service or changes in expectations that are continuing to slow the career progress of female nurses. The results from this study have many implications for recruitment to nurse education programmes for men and women within nursing and the health service organisation as a whole. [ABSTRACT FROM AUTHOR]

Quality of life (QOL) of cancer patients is often diminished due to the side effects of treatment and symptoms of the disease itself. Medical Qigong (coordination of gentle exercise and relaxation through meditation and breathing exercise based on Chinese medicine theory of energy channels) may be an effective therapy for improving QOL, symptoms and side effects, and longevity of cancer patients. In this pilot study, the feasibility, acceptability, and impact of Medical Qigong (MQ) were evaluated on outcomes in cancer patients. Thirty patients diagnosed with heterogeneous cancers, were randomly assigned to two groups: a control group that received usual medical care and an intervention group who participated in a MQ program for 8 weeks in addition to receiving usual medical care. Randomization was stratified by completion of cancer treatment (n = 14) or under chemotherapy (n = 16). Patients completed measures before and after the program. Quality of life and symptoms were measured by the EORTC QLQ-C 30 and progress of disease by the inflammation biomarker (CRP: c-reactive protein) via a blood test was assessed. The MQ intervention group reported clinically significant improved global QOL scores pre- and post-intervention. The MQ intervention also reduced the symptoms of side effects of cancer treatment and inflammation biomarker (CRP) compare to the control group. Due to the small sample size, however, the results were not statistically significant between treatment and the control groups. Data from the pilot study suggest that MQ with usual medical treatment can enhance the QOL of cancer patients and reduce inflammation. This study needs a further investigation with a larger sample size. [ABSTRACT FROM AUTHOR]

Soon after the discovery of the hepatitis C virus (HCV), attention turned to the development of models whereby replication of the virus could be investigated. Among the HCV replication models developed, the HCV RNA replicon model and the newly discovered infectious cell culture systems have had an immediate impact on the study of HCV replication, and will continue to lead to important advances in our understanding of HCV replication. The aim of this study is to deal with developments in HCV replication models in a chronological order from the early 1990s to the recent infectious HCV cell culture systems. [ABSTRACT FROM AUTHOR]

In the U.K., a current government health strategy indicates that school nurses should be key contributors to sexual health education because they have access to the school-age population. However, there appears to be little research that investigates whether school nurses are the most appropriate health care professionals or indeed have sufficient knowledge to contribute to this topic in the schools. The purpose of this study was to examine the sexual health knowledge of school nurses, using a survey to assess school nurses employed in a large central region of the U.K. The results suggest that although their general knowledge of the topic was adequate, school nurses have insufficient knowledge to effectively teach about sexually transmitted infections or emergency contraception. This has implications for school nursing because it appears that school nurses may have inadequate knowledge about sexual health to contribute to sex education in schools. [ABSTRACT FROM AUTHOR]

We describe here a clonal approach for efficient and robust construction of recombinant adenoviral genomes that holds certain advantages over existing approaches. Transgenes of interest are cloned into a small, conditionally replicating plasmid containing the left end of a recombinant adenoviral genome, encompassing pIX coding regions. Transformation of this plasmid into recombination-competent Escherichia coli bearing a plasmid containing the right end of a recombinant adenoviral genome, commencing from pIX coding regions, yields a stable co-integrated plasmid encoding a full adenoviral genome, by virtue of shared homology in pIX coding regions contained in both plasmids. The recombination process yielding the full adenoviral plasmid requires only one step, and always results in the formation of only the desired recombinant adenoviral genome. Thus, no screening is required to identify the correct plasmid encoding the desired recombinant adenoviral genome. In addition, the plasmid encoding the right-hand side of the adenoviral genome is itself incapable of producing contaminating adenovirus. We have successfully employed this approach to generate over 200 recombinant adenoviruses, obtaining only the desired recombinant adenoviral species each time. The process is amenable to medium-to-high-throughput parallel construction of adenoviral genomes, and as such should aid efforts aimed towards high-throughput functional annotation of therapeutic gene targets, which aim to leverage the benefits of adenoviruses as gene delivery and expression vectors.Gene Therapy (2004) 11, 1599-1605. doi:10.1038/sj.gt.3302333 Published online 26 August 2004 [ABSTRACT FROM AUTHOR]

Determining the best method for excluding cervical spine injury while a polytrauma victim is unconscious remains a controversial topic despite a number of published guidelines. A structured questionnaire demonstrated major differences between intensivists, neurosurgeons, orthopaedic surgeons and spinal surgeons with regard to the imaging modalities requested, the perception of their performance, the relative risks of missed injuries and the complications of immobilisation. Unconscious victims of polytrauma often come under the care of several subspecialties, with the direct consequence that management can be contradictory and lack standardisation. Advanced Trauma Life Support and Eastern Association for the Surgery of Trauma guidelines can reinforce and even contribute to non-standardised care. Having performed this clinician survey, we have now developed a multidisciplinary management protocol appropriate for Northern Ireland. [ABSTRACT FROM AUTHOR]

BACKGROUND: Reported rates of workplace violence are increasing and studies of violence and aggression to health service staff in the United Kingdom have largely focused upon mental health and accident and emergency units. The study of violence and aggression in other specialties has been neglected. This paper reports the findings from a survey of staff perceptions of training and support in an elderly care and head injury unit. AIMS AND OBJECTIVES: Staff in a care of older people and head injury unit, half of whom were nurses, were surveyed to identify their experiences of violence and aggression in the workplace, their receipt of training, the relevance of training and knowledge of support services. METHODS: An anonymous semi-structured questionnaire was sent to all nursing, therapy and psychology staff in the unit. Quantitative data were analysed by SPSS and content analysis was adopted for the qualitative data. RESULTS: Just over half the participants had experienced an incident of violence or aggression in the past 12 months. Training was judged to be relevant by almost 90% of respondents but was not always delivered in line with trust guidance. Staff who had been involved in incidents were more likely to identify training needs. A higher percentage of nurses than other professions were involved in incidents, but they were not as aware of the staff support department as other professional groups. CONCLUSIONS: The findings indicate that care of older people and head injury units should examine more closely the delivery of staff training on violence and aggression, and invite staff to identify their training needs. A national survey of approaches to staff support may be worthwhile. RELEVANCE TO CLINICAL PRACTICE: Staff who had received training judged it to be relevant to their working situations, but outstanding training needs should be identified and addressed. Confidential staff support facilities should be well publicized. [ABSTRACT FROM AUTHOR]

Since the first report of genetically heterogeneous, or quasispecies, populations of RNA viruses, the genetic heterogeneity of the RNA genomes of major viral pathogens has been extensively studied. These studies aim to provide insights into the evolutionary pressures that act upon viruses, in order to define windows where anti-viral therapies will be most effective, to take prognostic values from viral genetic distributions at a given time, and to aid the development of novel therapeutic compounds that may tilt viral replication towards information loss. Many methodologies are employed to analyse genetic distributions of a virus in a given sample, but all involve the generation, and subsequent analysis, of the sequence information contained in a reverse-transcription-polymerase chain reaction (RT-PCR) product. Despite the fact that the aim of these RT-PCRs is to obtain sequence information from viral genomes, their application to this task is approached without adequate consideration of this end-goal. The establishment of an RT-PCR for a specific viral target genome generally proceeds in the same fashion as one would apply to establishing a PCR to determine the presence or absence of a specific target sequence in a given sample. However, it is becoming increasingly apparent that RT-PCR products generated by amplification with the ubiquitous thermostable DNA polymerase Taq, coupled with standard cloning and sequencing methodologies, has the potential to yield inaccurate and misleading data as pertains to the information content of populations of RNA viral genomes. This review discusses varying approaches employed to analyse heterogeneous populations of hepatitis C virus RNA genomes. [ABSTRACT FROM AUTHOR]

An experiment was conducted to examine the digestible energy (DE) content for weanling pigs in a cohort of wheats grown in Western Australia, and to establish relationships between DE content and their chemical composition. The 3 X 3 X 2 factorial experiment examined the wheat variety (Arrino, Stiletto and Westonia), growing location (high, medium and low rainfall zone) and harvest year (1999 and 2000). Pigs (no. = 5 per diet) aged about 28 days were given a diet at a level of 0.05 X live weight containing 900 g/kg of the wheat and an acid-insoluble ash marker for 10 days, with samples of faeces collected from each pig for the final 5 days. The average live weight of pigs was 6.6 (s.d. 0.77) kg. The DE content of wheats harvested in 1999 varied by up to 1.3 MJ/kg, while wheats harvested in 2000 varied by up to 1.8 MJ/kg. When the 2 years' data were combined, the DE content ranged from 12.5 to 14.4 MJ/kg. Both the variety and growing region significantly influenced (P < 0.05, P < 0.001, respectively in year 1999; P < 0.001, P < 0.01, respectively in year 2000) the DE content of wheat. Also, DE content of wheat differed significantly due to growing season (P < 0.001). Correlation studies between chemical composition and DE content of the wheats found significant inverse relationships between DE content and total xylose (r = -0719, P < 0.05), insoluble xylose (r = -0742, P < 0.05), neutral-detergent fibre (r = -0839, P < 0.01), total-P (r = -0833, P < 0.01), and phytate-P (r = -0753, P < 0.05) contents with the wheats harvested in 1999. However, such relationships were not significant (P > 0.05) with the wheats harvested in 2000. In addition, the precipitation level (mm) during the growing season of wheats was strongly correlated (r = -0821, P < 0-01) to the DE content of wheat in year 1999, but was not correlated in 2000. The results indicate that the genetic and environmental conditions during the growth of wheat have a... [ABSTRACT FROM AUTHOR]

Summary Background : The intra- and inter-individual reproducibility of gastrointestinal and colonic transit tests require full characterization. Aims : (i) To characterize the normal values and reproducibility effects of age and gender on the scintigraphic transit of solids in health. (ii) To compare scintigraphic and radio-opaque marker measurements of colonic transit. (iii) To estimate demonstrable effect sizes for different transit end-points based on observed variations. Methods : A scintigraphic gastrointestinal and colonic transit study and the mean colonic transit time were measured using radio-opaque markers in 37 healthy volunteers; 21 subjects had a repeat scintigraphic test 3 weeks later. Results : Gastric emptying at 4 h was highly reproducible (coefficient of variation, 4%) on repeat testing. The colonic measurement varied by more than 1 geometric centre unit in 37% of subjects at 24 h and in 26% of subjects at 48 h. There were no age- or gender-related differences in transit. Effect sizes demonstrable with 14 subjects per group were in the range previously shown to be clinically relevant: 25% change in gastric emptying at 4 h; 1.5 geometric centre unit change in colonic transit at 48 h. Conclusions : These data demonstrate the reproducibility and performance to be expected of transit measurements and are essential for designing studies in experimental therapeutics. [ABSTRACT FROM AUTHOR]

Aims/hypothesis. Maternal fuel metabolism is known to exert long range effects on the later development of children of diabetic mothers. Recently cardiovascular disease in adult life has been linked retrospectively with foetal malnutrition. The aim of this study was to identify whether markers for fuel-related cardiovascular programming exist for the offspring of diabetic pregnancy. Methods. Sixty-one children aged 5 to 11 years, of mothers with Type I (insulin-dependent) diabetes mellitus were compared with 57 randomly selected control children of non-diabetic mothers similar in age, sex and social class. Fasting blood was taken for plasma glucose, insulin, lipids, IGF-1, plasminogen activating inhibitor 1 (PAI-1) and the adhesion molecules ICAM-1, VCAM-1 and E-Selectin. Results. Fasting glucose and insulin were similar in the two groups. Differences existed between the offspring of diabetic and non-diabetic pregnancies (mean ± SD) for total cholesterol (4.45±0.56 vs 4.18±0.66, p=0.03 ), LDL cholesterol (2.73±0.49 vs 2.39±0.54, p=0.001), Cholesterol-to-HDL ratio (3.41±0.76 vs 3.09±0.73, p=0.03), IGF-1 (22.5±7.3 vs 19.3±8, p=0.04), PAI-1 (20.1±6.2 vs 14.9±7.3, p=0.000), VCAM-1 (1852±444 vs 1509±385, p=0.000) and E-Selectin (geometric mean; 83.1 vs 63.9, p=0.001). Conclusion/interpretation. These results indicate that important differences in cardiovascular risk factors exist between glucose-tolerant children of Type I diabetic and non-diabetic mothers, even in childhood. These data suggest that offspring of diabetic mothers might be at an increased risk for the development of vascular disease in later life. [ABSTRACT FROM AUTHOR]

Sources of viscous soluble fibre, such as barley and oats, have often been included in the weaning diet of the pig to accelerate development of the large intestine. Inclusion of a non-fermentable, viscous compound, sodium carboxymethylcellulose (CMC), in a low-fibre weaning diet was tested to assess the influence of digesta viscosity on the gut in the absence of increased fermentation. Two CMC sources, of low and high viscosity, were added to cooked rice-based diet at 40 g/kg total diet. A third control rice diet did not contain any CMC. Diets were fed for 13 d following weaning at 3 weeks of age. Addition of CMC to the diet significantly increased the intestinal viscosity of digesta within the small (P<0??001) and large (P<0??05) intestine. No simple association was found between increases in intestinal viscosity and effects on intestinal morphology and whole-body growth. The average empty-body-weight gain and the small intestinal villus height increased with low-viscosity CMC, but decreased with the high-viscosity CMC group. The full large intestinal weight increased in all pigs fed CMC. Dietary CMC (both low- and high-viscosity) increased the percentage moisture of digesta and faeces, and was associated with increased faecal shedding of enterotoxigenic haemolytic Escherichia coli. Feed ingredients in weaning diets that excessively increase the viscosity of the intestinal digesta may be detrimental to pig health and production. [ABSTRACT FROM PUBLISHER]

Objectives: Most studies that clinically validated peri-ictal SPECT in intractable partial epilepsy had used technetium-99m-hexamethylpropylene amine oxime (99mTc-HMPAO or 99mTc-exametazime) as the radiopharmaceutical. Because of some theoretical advantages, technetium-99m-ethyl cysteinate diethylester (99mTc-ECD or 99mTc-bicisate) is increasingly being used instead. This study compares unstabilised 99Tc-HMPAO and 99mTc-ECD in the performance of peri-ictal SPECT in partial epilepsy.Methods: The injection timing and localisation rates in 49 consecutive patients with partial epilepsy who had peri-ictal injections with unstabilised 99mTc-HMPAO were compared with 49 consecutive patients who had peri-ictal injections with 99mTc-ECD. Quantitative cortical/subcortical and cortical/extracerebral uptake ratios were also compared. Subtraction SPECT coregistered to MRI (SISCOM) was performed in patients whose interictal SPECTS were available.Results: In the 99mTc-ECD patients, the latency from seizure commencement to injection was shorter (median 34 v 80 seconds, p<0.0001) and there was a lower rate of postictal injections (16.3% v 57.1%, p<0.0001). The cortical/extracerebral and cortical/subcortical uptake ratios were greater in the 99mTc-ECD images (median 5.0 v 3.6, and 2.5 v 2.2 respectively; both p<0.005), but the relative peri-ictal increase in uptake in the cortical focus did not differ significantly (median 37.0% v 37.0%; p>0.05). Blinded review of the SISCOM images were localising in a higher proportion of the 99mTc-ECD patients (40/45 (88.9%) v 25/37 (67.6%), p<0.05), and had a better concordance with EEG, MRI, and with the discharge diagnosis.Conclusion: 99mTc-ECD compares favourably with unstabilised 99mTc-HMPAO as a radiopharmaceutical for peri-ictal SPECT studies. Its use results in earlier injections and less frequent postictal injections than unstabilised 99mTc-HMPAO, thereby enhancing the sensitivity and the specificity of peri-ictal SPECT for the localisation of intractable partial epilepsy. [ABSTRACT FROM AUTHOR]

The article discusses the effects of social networks on migrant's occupational status. It states that migrants respond to forces that are partially independent of the traditional socioeconomic explanations of social position. It mentions that the existence of a set of prompt social networks, measured in terms of relatives, friends, and townsfolk known in the destination facilitates the transfer skills from origin to destination which leads to greater upward mobility. It notes that broader network ties, organizational membership, ethnic diversification, and knowledge of society's institutions, will boost increased socio-occupational mobility.