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Purpose: This study examined children's ability to perceive speech from multiple locations on the horizontal plane. Children with hearing loss were compared to normal-hearing peers while using amplification with and without advanced noise management. Method: Participants were 21 children with normal hearing (9-15 years) and 12 children with moderate symmetrical hearing loss (11-15 years). Word recognition, nonword detection, and word recall were assessed. Stimuli were presented randomly from multiple discrete locations in multitalker noise. Children with hearing loss were fit with devices having separate omnidirectional and noise management programs. The noise management feature is designed to preserve audibility in noise by rapidly analyzing input from all locations and reducing the noise management when speech is detected from locations around the hearing aid user. Results: Significant effects of left/right and front/back lateralization occurred as well as effects of hearing loss and hearing aid noise management. Children with normal hearing experienced a left-side advantage for word recognition and a right-side advantage for nonword detection. Children with hearing loss demonstrated poorer performance overall on all tasks with better word recognition from the back, and word recall from the right, in the omnidirectional condition. With noise management, performance improved from the front compared to the back for all three tasks and from the right for word recognition and word recall. Conclusions: The shape of children's local speech intelligibility on the horizontal plane is not omnidirectional. It is task dependent and shaped further by hearing loss and hearing aid signal processing. Front/back shifts in children with hearing loss are consistent with the behavior of hearing aid noise management, while the right-side biases observed in both groups are consistent with the effects of specialized speech processing in the left hemisphere of the brain. [ABSTRACT FROM AUTHOR]

Stationary visual targets often become far more salient when they move against an otherwise static background–the so-called "pop out" effect. In two experiments conducted over loudspeakers, we tested for a similar pop-out effect in the auditory domain. Tone-in-noise and noise-in-noise detection thresholds were measured using a 2-up, 1-down adaptive procedure under conditions where target and masker(s) were presented from the same or different locations and when the target was stationary or moved via amplitude-panning. In the first experiment, target tones of 0.5 kHz and 4 kHz were tested, maskers (2–4, depending on the condition) were independent Gaussian noises, and all stimuli were 500-ms duration. In the second experiment, a single pink noise masker (0.3–12 kHz) was presented with a single target at one of four bandwidths (0.3–0.6 kHz, 3–6 kHz, 6–12 kHz, 0.3–12 kHz) under conditions where target and masker were presented from the same or different locations and where the target moved or not. The results of both experiments failed to show a decrease in detection thresholds resulting from movement of the target. [ABSTRACT FROM AUTHOR]

Purpose: For bilaterally implanted patients, the automatic gain control (AGC) in both left and right cochlear implant (CI) processors is usually neither linked nor synchronized. At high AGC compression ratios, this lack of coordination between the two processors can distort interaural level differences, the only useful interaural difference cue available to CI patients. This study assessed the improvement, if any, in the utility of interaural level differences for sound source localization in the frontal hemifield when AGCs were synchronized versus independent and when listeners were stationary versus allowed to move their heads. Method: Sound source identification of broadband noise stimuli was tested for seven bilateral CI patients using 13 loudspeakers in the frontal hemifield, under conditions where AGCs were linked and unlinked. For half the conditions, patients remained stationary; in the other half, they were encouraged to rotate or reorient their heads within a range of approximately ± 30° during sound presentation. Results: In general, those listeners who already localized reasonably well with independent AGCs gained the least from AGC synchronization, perhaps because there was less room for improvement. Those listeners who performed worst with independent AGCs gained the most from synchronization. All listeners performed as well or better with synchronization than without; however, intersubject variability was high. Head movements had little impact on the effectiveness of synchronization of AGCs. Conclusion: Synchronization of AGCs offers one promising strategy for improving localization performance in the frontal hemifield for bilaterally implanted CI patients. Supplemental Material: https://doi.org/10.23641/asha. 14681412 [ABSTRACT FROM AUTHOR]

Background: Evidence suggests that somatic rather than cognitive depressive symptoms are risk factors for recurrent cardiac events in at-risk patients. However, this has never been explored using a time-dependent approach in a narrow time-frame, allowing a cardiac event-free time-window. Methods: The analysis was performed on 595 participants [70.6% male, median age 72 (27–98)] drawn from the UPBEAT-UK heart disease patient cohort with 6-monthly follow-ups over 3 years. Depressive symptomatology was measured using the Patient Health Questionnaire-9 (PHQ-9) (four somatic, five cognitive items). New cardiac events (NCEs) including cardiac-related mortality were identified by expert examination of patient records. Analyses were performed using Cox proportional hazard models with delayed entry, with time-dependent depressive dimensions and covariates measured 12–18 months (median: 14.1, IQR: 3.5) prior to the event, with a 12-month cardiac event-free gap. Results: There were 95 NCEs during the follow-up [median time-to-event from baseline: 22.3 months (IQR: 13.4)]. Both the somatic (HR 1.12, 95% CI 1.05–1.20, p = 0.001) and cognitive dimensions (HR 1.11, 95% CI 1.03–1.18, p = 0.004) were time-dependent risk factors for an NCE in the multi-adjusted models. Specific symptoms (poor appetite/overeating for the somatic dimension, hopelessness and feeling like a failure for the cognitive dimension) were also significantly associated. Conclusion: This is the first study of the association between depressive symptom dimensions and NCEs in at-risk patients using a time-to-event standardised approach. Both dimensions considered apart were independent predictors of an NCE, along with specific items, suggesting regular assessments and tailored interventions targeting specific depressive symptoms may help to prevent NCEs in at-risk populations. [ABSTRACT FROM AUTHOR]

Lung diseases are amongst the main healthcare issues in the general population, having a high burden of morbidity and mortality. The cardiovascular system has a key role in patients affected by respiratory disorders. More specifically, the right ventricle (RV) enables the impaired lung function to be overcome in an initial stage of disease process, reducing the severity of dyspnoea. In addition, two of the main causes of death in this setting are RV failure and sudden cardiac death (SCD). Echocardiography is regarded as a useful and easily available tool in assessing RV function. Several noninvasive echocardiographic parameters of elevated pulmonary pressures and RV function have been proposed. The combination of different parameters and imaging methods is paramount and researches regarding RV impairment using these indices has been specifically addressed in relation to the chronic obstructive and restrictive lung disease in order to guide the clinicians in the management of these patients. Cardiac involvement in lung diseases is often observed, and RV changes are reported also in early stages of pulmonary diseases. The role of right ventricle in chronic respiratory disease patients has to be evaluated in detail to describe the response to therapy and the degree of disease progression through multimodality and advanced imaging techniques. The aim of this review is to describe the different pathophysiological mechanisms of cardiac impairment in primary lung disease (such as chronic obstructive pulmonary disease (COPD), idiopathic pulmonary fibrosis (IPF) and sarcoidosis) and to summarize the role of cardiac multimodality imaging in the diagnosis and the prognosis of these diseases. [ABSTRACT FROM AUTHOR]

The use of phototrophic organisms in wastewater treatment is gaining increasing interest, due to the possibility of exploiting photosynthetic oxygenation, thus lowering treatment costs and environmental impacts. Mixed consortia of phototrophic organisms and aerobic bacteria rapidly develop in photobioreactors receiving wastewaters; in this case, the complex mutualistic interactions among microorganisms cannot be easily described, making difficult to forecast removal efficiencies and biomass productivities. Respirometric methods are applied for evaluating bacterial activity in activated sludge (conventional respirometry) or photosynthetic activity in phototrophic organisms (photorespirometry). Photo-respirometric methods can be also exploited for monitoring algae-bacteria systems and for calibrating mathematical models, allowing for a better comprehension of the interactions involved and a more accurate prediction of system efficiencies. A general protocol and a series of guidelines for conducting photorespirometric tests on algal-bacterial suspensions are here proposed, based on the review of experimental protocols applied to evaluate the effects of several parameters on these systems. [ABSTRACT FROM AUTHOR]

Thirty-two listeners participated in experiments involving five filtered noises when listeners kept their eyes open or closed, for stimuli of short or long duration, and for stimuli that were presented at random locations or in a largely rotational procession. Individual differences in the proportion of front–back reversals (FBRs) were measured. There were strong positive correlations between the proportion of FBRs for any one filtered noise, but not when FBRs were compared across different filtered-noise conditions. The results suggest that, for each individual listener, the rate of FBRs is stable for any one filtered noise, but not across filtered noises. [ABSTRACT FROM AUTHOR]

Normal hearing listeners discriminated a change in the number of talkers speaking consonant-vowel pairs between two auditory scenes. The number of talkers (n = 2, 4, 6, or 8) in one scene was incremented by Δn talkers (Δn = 1–8 talkers, depending on n) in the other scene. The perceptual size of the auditory scene seems to be small, as discrimination performance reached an approximate 0.75 proportion correct asymptote for n > 4. The independent variable of overall level differences affected performance, but both spatial configuration and talker similarity had very little effect. [ABSTRACT FROM AUTHOR]

When two similar sounds are presented from different locations, with one (the lead) preceding the other (the lag) by a small delay, listeners typically report hearing one sound near the location of the lead sound source—this is called the precedence effect (PE). Several questions about the underlying mechanisms that produce the PE are asked. (1) How might listeners' relative weighting of cues at onset versus ongoing stimulus portions affect perceived lateral position of long-duration lead/lag noise stimuli? (2) What are the factors that influence this weighting? (3) Are the mechanisms invoked to explain the PE for transient stimuli applicable to long-duration stimuli? To answer these questions, lead/lag noise stimuli are presented with a range of durations, onset slopes, and lag-to-lead level ratios over headphones. Monaural, peripheral mechanisms, and binaural cue extraction are modeled to estimate the cues available for determination of perceived laterality. Results showed that all three stimulus manipulations affect the relative weighting of onset and ongoing cues and that mechanisms invoked to explain the PE for transient stimuli are also applicable to the PE, in terms of both onset and ongoing segments of long-duration, lead/lag stimuli. [ABSTRACT FROM AUTHOR]

Wallach [J. Exp. Psychol. 27, 339–368 (1940)] described a "2-1" rotation scenario in which a sound source rotates on an azimuth circle around a rotating listener at twice the listener's rate of rotation. In this scenario, listeners often perceive an illusionary stationary sound source, even though the actual sound source is rotating. This Wallach Azimuth Illusion (WAI) was studied to explore Wallach's description of sound-source localization as a required interaction of binaural and head-position cues (i.e., sound-source localization is a multisystem process). The WAI requires front-back reversed sound-source localization. To extend and consolidate the current understanding of the WAI, listeners and sound sources were rotated over large distances and long time periods, which had not been done before. The data demonstrate a strong correlation between measures of the predicted WAI locations and front-back reversals (FBRs). When sounds are unlikely to elicit FBRs, sound sources are perceived veridically as rotating, but the results are listener dependent. Listeners' eyes were always open and there was little evidence under these conditions that changes in vestibular function affected the occurrence of the WAI. The results show that the WAI is a robust phenomenon that should be useful for further exploration of sound-source localization as a multisystem process. [ABSTRACT FROM AUTHOR]

Listeners discriminated changes in the spatial configuration of two-to-eight consonant-vowel (CV) stimuli spoken by different talkers, all simultaneously presented from different loudspeakers in various azimuthal spatial configurations. The number of CVs, spatial configuration of the sound sources, and similarity of the talkers speaking the CVs were varied. Experiment I used a same–different procedure to determine the discriminability of different spatial configurations of multiple sound sources. In experiment II, listeners determined the direction (clockwise or counterclockwise) of sound source rotation over eight rotational steps. In both experiments, performance declined as the number of sound sources increased beyond two. [ABSTRACT FROM AUTHOR]

Normal hearing listeners judged loudness differences between two complex speech sounds, one consisting of "n" consonant-vowel (CV) pairs each spoken by a different talker and one consisting of "2n" CV pairs. When n was less than four, listeners' judgments of loudness differences between the two sounds was based on the level of the individual CVs within each sound, not the overall level of the sounds. When n was four or more, listeners' judgments of loudness differences between the two sounds was based on the overall level of the two sounds consisting of n or 2n CVs. [ABSTRACT FROM AUTHOR]

Masked detection thresholds were measured for a noise target in the presence of a masker composed of (1) a lead/lag noise pair with the lead interaural time difference (ITD) set the same or opposite to the target, (2) a diotic masker, and (3) a dichotic pair of decorrelated noises. If the precedence effect actually eliminates a second, later arriving stimulus, a spatial release from masking would be expected when the lead ITD is opposite that of the target. Results for a range of lead/lag delays suggest that the precedence effect is not the result of a perceptual removal of the lag. [ABSTRACT FROM AUTHOR]

Currently, architectural room acoustic metrics make no real distinction between a room impulse response and the auditory system's internal representation of a room. These metrics are generally based on impulse responses, and indirectly assume that the internal representation of the acoustic features of a room is independent of the sound source. However, while a room can be approximated as a linear, time-invariant system, auditory processing is highly non-linear and varies a great deal over time in response to different acoustic inputs. Listeners were presented with various signals (clicks, long-duration noise, music, and speech) convolved with impulse responses consisting of Gaussian noises with different rates of exponential decay. Listeners were asked to adjust the reverberation time of one of the signals to match the other. Analyses of the data show that the source signal has a significant influence on perceived reverberance. Also, listeners were less accurate when matching reverberation times between different signals than they were with identical signals, suggesting that predicting subjective measures of reverberance from room impulse responses faces severe limitations that cannot be neglected. Results further suggest that the auditory system does not have a well-developed temporal representation of the diffuse reverb tail. [ABSTRACT FROM AUTHOR]

We carry out quasi-classical trajectory calculations for the C + CH+→ C+2 + H reaction on an ad hoc computed high-level ab initio potential energy surface. Thermal rate coefficients at the temperatures of relevance in cold interstellar clouds are derived and compared with the assumed, temperature-independent estimates publicly available in kinetic data bases KIDA and UDfA. For a temperature of 10 K the data base value overestimates by a factor of 2 the one obtained by us (thus improperly enhancing the destruction route of CH+ in astrochemical kinetic models) which is seen to double in the temperature range 5-300 K with a sharp increase in the first 50 K. The computed values are fitted via the popular Arrhenius-Kooij formula and best-fitting parameters α = 1.32 ? 10-9 cm³ s-1, β = 0.1 and γ = 2.19 K to be included in the online mentioned data bases are provided. Further investigation shows that the temperature dependence of the thermal rate coefficient better conforms to the recently proposed so-called 'deformed Arrhenius' law by Aquilanti and Mundim. [ABSTRACT FROM AUTHOR]

The purpose of this study was to gather behavioral data concerning the precedence effect as manifested by the localization-dominance of the leading elements of compound stimuli. This investigation was motivated by recent findings of Shackleton and Palmer [(2006). J. Assoc. Res. Otolaryngol. 7, 425-442], who measured the electro-physiological responses of single units in the inferior colliculus of the guinea pig. The neural data from Shackleton and Palmer indicated that processing of binaural cues like those relevant to understanding localization dominance is greatly affected by internal, neural noise. In order to evaluate the generality of their physiological results to human perception, the present study measured localization dominance so that behavioral responses within and across sets of samples (i.e., tokens) of frozen noises could be compared. Conceptually consistent with Shackleton and Palmer's neural data, the variability of perceived intracranial lateral positions produced by repeated presentations of the same tokens of noise was greater than the variability of intracranial lateral positions measured across different tokens of noise. This was true for each of the four individual listeners and for each of the 72 stimulus conditions studied. Thus, measured either neuro-physiologically (Shackleton and Palmer, 2006) or behaviorally (this study), the import of within-listener variability appears to be a general, intrinsic aspect of binaural information processing. [ABSTRACT FROM AUTHOR]

When a pair of sounds arrive from different directions with a sufficiently short delay between them, listeners hear a perceptually fused image with a perceived location that is dominated by the first arriving sound. This is called the precedence effect. To test the limits of this phenomenon, 200-ms noise stimuli were presented over headphones to model a temporally overlapping direct sound (lead) with a single reflection (lag) at inter-stimulus intervals (ISIs) of 0-5 ms. Lag intensity exceeded that of the lead by 0-10 dB. Results for 16 listeners show that lateralization shifted from the position of the lead towards the lag as lag level increased. Response variability also increased with lag level. An oscillatory pattern emerged across ISIs as lag level increased, to a degree that varied greatly between listeners. Analysis of modeled binaural cues suggests that these oscillatory patterns are correlated with ILDs produced by the physical interference of lead and lag during the ongoing portion of the stimulus, especially in the 764-Hz frequency band. Different listeners apparently weighted cues from the onset versus ongoing portions of the stimulus differently, as evidenced by the varying degree of influence the ongoing ILD cues had on listeners' perceived lateralization. [ABSTRACT FROM AUTHOR]

Introduction We evaluated the basic performance of Microsemi CRP, an unique automated hematology analyzer which can simultaneously measure CBC including 3-part WBC differential (3-Diff) and CRP using whole blood treated with EDTA-2K anticoagulant. Method We found that it produced generally the acceptable results for all parameters performed (repeatability, reproducibility, linearity, interference effect, carry over, and correlation) using control materials, fresh human whole bloods, and serum samples. Results CBC data examined using Microsemi CRP showed the good correlation with the previous model, Micros CRP200 ( r ≧ 0.9), and also those obtained using the routine analyzer, ADVIA 2120i ( r ≧ 0.989). Concerning the 3-Diff, both GRA (%) and LYM (%) showed the excellent correlation coefficient between Microsemi CRP and Micros CRP200 ( r ≧ 0.992) as well as ADVIA 2120i ( r ≧ 0.957). MON (%) showed good correlation between Microsemi CRP and Micros CRP200 ( r = 0.959), but lower correlation between Microsemi CRP and ADVIA 2120 i ( r = 0.471). CRP data showed the good correlation with HITACHI7600 ( r ≧ 0.997) and Micros CRP200 ( r ≧ 0.997). Conclusion From these findings, we concluded that Microsemi CRP seemed the convenient laboratory analyzer in the setting of point of care testing ( POCT) especially at NICU or primary care unit. [ABSTRACT FROM AUTHOR]

Cottrell CE, Mendell J, Hart-Kothari M, Ell D, Thrush DL, Astbury C, Pastore M, Gastier-Foster JM, Pyatt RE. Maternal uniparental disomy of chromosome 4 in a patient with limb-girdle muscular dystrophy 2E confirmed by SNP array technology. The limb-girdle muscular dystrophies (LGMDs) are a heterogenous group of diseases characterized by shoulder-girdle and pelvic muscle weakness and wasting. LGMD 2E is an autosomal recessively inherited form of the disease caused by mutations in the β-sarcoglycan ( SGCB) gene located at 4q12. In this report, we describe a patient who demonstrates non-Mendelian inheritance of a homozygous missense mutation in SGCB resulting in disease expression. A combination of single-nucleotide polymorphism (SNP) array technology and microsatellite analysis revealed the occurrence of maternal uniparental disomy (UPD) for chromosome 4 in the patient. As a consequence of segmental isodisomy at 4q12, the patient inherited two identical SGCB alleles carrying a missense mutation predicted to result in abnormal protein function. SNP array technology proved to be an elegant means to determine the most probable mechanism of UPD formation in this case, and enabled us to determine the location of recombination events along chromosome 4. In our patient, UPD likely arose from a trisomy rescue event due to maternal meiotic non-disjunction that we speculate may have been caused by abnormal recombination at the pericentromeric region. Maternal UPD 4 is a rare finding, and to our knowledge this is the first reported case of UPD in association with LGMD. [ABSTRACT FROM AUTHOR]

Therapeutic drug monitoring (TDM) aims to optimize pharmacotherapy treatment. Knowledge, availability and use of TDM for psychiatric patients, however, differ between countries. In this survey we analysed the practice in Italy of TDM for psychoactive drugs.A semi-structured questionnaire was sent out to 211 mental health centres (centro di salute mentale) and 10 university hospitals from each region in Italy.Feedback was obtained from 44 centres. Information collected by the questionnaires indicated that in Italian psychiatry TDM is used for lithium, valproic acid and carbamazepine. With regard to clozapine, TDM was regarded as the blood cell counting which is obligatory when prescribing this drug. TDM was not employed for antidepressant or antipsychotic drug prescribing. Moreover, it appeared that only a few laboratories in Italy offer TDM services for psychiatric patients. Nevertheless, interest was expressed about receiving further information about TDM in psychiatry and participating in training programmes.This nationwide survey revealed that in Italy, TDM of psychoactive drugs is restricted to only a few drugs. In response to interest expressed, mental health workers should be educated about TDM and more laboratories should be encouraged to establish TDM services for psychotropic drugs. [ABSTRACT FROM AUTHOR]

Phytoplasmas are small (0.2-0.8 μm), wall-less, pleiomorphic prokaryotes responsible of numerous economically important plant diseases. They are characterized by a very small genome and are obligate parasites of phloem tissues and some insects that act as vectors of infection. To investigate molecular mechanisms involved in pathogenesis, the differential display technique was here applied to identify plant genes whose transcription was significantly altered in leaves of Madagascar periwinkle ( Catharanthus roseus (L.) G.Don) infected by ' Candidatus Phytoplasma pyri'. We detected, reamplified, cloned, and sequenced 16 putative differentially expressed cDNA fragments. Northern blot analysis revealed that seven of the 16 genes identified were up-regulated following phytoplasma infection, while three genes were down-regulated. The remaining six genes did not show significant changes in the level of expression. Identified genes are mainly involved in plant defence/stress responses, protein metabolism and transport, transcriptional regulation, vesicle trafficking, and carbohydrate metabolism. The possible role played by these genes in the phytoplasma infection is discussed. [ABSTRACT FROM AUTHOR]

The aim of the study was to evaluate molar bite force (BF) magnitude and its correlation to the signs of temporomandibular dysfunction (TMD), gender, weight, height and age in 101 students ranging in age from 6 to 18 years (32 boys/21 girls with mixed dentition and 23 boys/25 girls with permanent dentition). TMD clinical signs were evaluated using the Craniomandibular Index (CMI), and two subscales, the Dysfunction Index (DI) and the Palpation Index (PI). BF was determined with a pressurized tube connected to a sensor (MPX5700-Motorola SPS).anova, Tukey's test, and Pearson's and Spearman's coefficients were evaluated. BF was higher in the permanent dentition ( P < 0·05). There was no difference in BF between genders within the groups, but boys with permanent dentition had higher values than children with mixed dentition ( P < 0·05). The girls with permanent dentition presented negative correlation in BF with PI and CMI ( P < 0·05). BF was positively correlated with weight, height and age in the permanent dentition group ( P < 0·05). It was concluded that BF increased from mixed to permanent dentition, with an assumed enhancing influence of body variables and ageing. The TMD signs in older girls were correlated to decreasing BF, suggesting an influence of muscle tenderness preventing subjects from exerting maximum BF. [ABSTRACT FROM AUTHOR]

Recent observations have shown subclinical intestinal abnormalities in human type 1 diabetes. Whether these are related to the pathogenetic process or secondary to the diabetes remains to be clarified. The aim of this study was to investigate this issue by examining intestinal permeability to sugars in subjects at different stages of type 1 diabetes: preclinical, new-onset and long-term established disease. Eighty-one subjects with islet autoimmunity (18 preclinical, 28 new-onset and 35 long-term type 1 diabetes) and 40 healthy control subjects were investigated by a lactulose-mannitol test, consisting of oral administration of the two sugars and measurement of their urinary excretion. All groups of subjects with islet autoimmunity showed an increase in intestinal permeability ( p ≤ 0.009 vs controls) to the disaccharide lactulose, indicative of a damaged barrier, but a similar permeability to the monosaccharide mannitol (NS vs controls), indicative of an integral surface mucosa; consequently there was an increase in the lactulose:mannitol excretion ratio ( p ≤ 0.025 vs controls). These findings indicate the presence of a subclinical enteropathy associated with type 1 diabetes that is already detectable before clinical onset of the disease, and suggest that the small intestine is an organ participating in the pathogenetic process of type 1 diabetes. [ABSTRACT FROM AUTHOR]

With the appearance of variant Creutzfeldt-Jakob disease (CJD) and the detection of infectious prions in the peripheral organs of persons with sporadic CJD, the development of decontamination methods that are compatible with medical equipment has become a major issue. Here, we show that a formulation of copper metal ions in combination with hydrogen peroxide dramatically reduces the level of prion protein (PrP)(Sc) (the scrapie isoform of PrP) present in homogenates of samples from prion-infected brains, including brain samples from humans with CJD. An animal bioassay confirmed the reduction in prion infectivity, indicating that this novel Cu(2+)-H(2)O(2) formulation has great potential for prion decontamination. Copyright © 2006 Infectious Diseases Society of America [ABSTRACT FROM AUTHOR]

Glutamic acid decarboxylase (GAD) 65 is a major autoantigen in type 1 diabetes. Regions of homology exist between GAD65 (residues 250–273) and the Coxsackie P2-C protein (residues 28–50) and between GAD65 (residues 506–518) and proinsulin (residues 24–36), and each of these has been reported to be a diabetes-associated T cell target. The aim of this study was to determine whether the homologous regions are shared targets of T lymphocyte reactivity in individual patients with type 1 diabetes. T cell proliferation against the corresponding peptide pairs, GAD254–276 and Coxsackie P2-C32–54 and GAD506–518 and proinsulin24–36, were measured in peripheral blood mononuclear cells from 26 patients with newly diagnosed type 1 diabetes and 24 control subjects. Responses with stimulation indices higher than 3 were found against each of the antigens tested in both patients and control subjects, and no differences were observed between groups. A strong positive correlation was found between responses to the corresponding peptide pairs GAD254–276 and Coxsackie P2-C32–54 (r=0.77, P<0.0001), and between responses to the corresponding peptide pairs GAD506–518 and proinsulin24–36 (r=0.66, P<0.0001). However, a similar correlation was also observed between responses to the noncorresponding pairs Coxsackie P2-C32–54 and proinsulin24–36 (r=0.82, P<0.0001), Coxsackie P2-C32–54 and GAD506–518 (r=0.82, P<0.0001), and GAD254–276 and proinsulin24–36 (r=0.83, P<0.0001). Strikingly, increased responses to peptides were found almost exclusively in subjects with high stimulation indices against the recall antigen tetanus toxoid, further suggesting that peripheral blood T cell responses are related to a general subject hyperreactivity. These data suggest that proliferative T cell responses to peptides containing putative autoreactive epitopes of GAD65 and proinsulin are not specific for type 1 diabetes, that correlation between T cell reactivity to peptides is not restricted to those containing homologous regions, and that non-antigen-specific factors are important determinants of in vitro measurements of T cell reactivity. [ABSTRACT FROM AUTHOR]

Unlabelled: Several gastrointestinal motor abnormalities have been detected in patients with celiac disease, but it is unclear whether they are able to influence the gastric emptying rate. The aim of this work was to evaluate the gastric emptying rate of solids in children with celiac disease before and after a gluten-free diet. Nine children with celiac disease and nine healthy controls (age range 4-16 y) underwent a 13C-octanoic acid breath test to measure gastric emptying. Half emptying time (t1/2) and lag phase (t(lag)) were calculated. After 6 mo of a gluten-free diet, all celiac children underwent a repeat 13C-octanoic acid breath test. The gastric motility parameters, t1/2 and t(lag), were significantly longer in patients than in controls. No significant correlation between abnormal gastric emptying and specific symptom patterns or severity of histological damage was found. On a gluten-free diet, the gastric emptying rate normalized in all celiac patients. This finding supports the hypothesis that gluten-driven mucosal inflammation might determine motor abnormalities by affecting smooth muscle contractility or impairing the release of neurotransmitters. Alternatively, nutrient malabsorption might determine significant changes in intraluminal milieu, which, in turn, may affect intestinal motor functions.Conclusion: patients affected by celiac disease have a markedly delayed gastric emptying of solids, which returns to normal after gluten withdrawal. [ABSTRACT FROM AUTHOR]

Investigates the population structure and reproduction of Polycheles typhlops on the upper slope of the Ionian Sea. Abundance of females more than males; Longest carapace length recorded; Peak of ovigerous females.

Background: The urea breath test (UBT) has been proposed as the most accurate test for diagnosing Helicobacter pylori infection. The aim of this work was to evaluate the accuracy of the UBT and to compare the results with histologic and endoscopic findings in H. pylori infected patients. Methods: One-hundred-and-seventy-two consecutive dyspeptic outpatients were studied by means of endoscopy (with histology and culture), UBT (75 mg [sup 13]C-urea), and serology. Gastritis was classified in accordance with the Sydney criteria. In H. pylori positive patients, the bacterial load was assessed semiquantitatively, the number of bacteria in histologic specimens being counted. UBT results were expressed either as percentage cumulative dose of [sup 13]CO[sub 2] excreted at 1 h (CD60) or delta over baseline at 30′ (DOB30). Results: Of 172 patients, 126 (73%) were H. pylori positive on histology or culture. Using a cut-off value of 3.3 for DOB30, the sensitivity, specificity and accuracy of the UBT were 96%, 93.5%, and 95.3%, respectively. A significant correlation was observed between DOB30 values and intragastric bacterial load (r = 0.32). Moreover, a significant difference in DOB30 values was found between patients sorted by the depth of inflammation (χ[sup 2] = 4.36, p = 0.036). No correlation was observed between DOB30 and endoscopic findings in H. pylori positive subjects. Conclusions: The UBT is an accurate non-invasive diagnostic tool and can be used to predict both the intragastric bacterial load and the severity of related gastritis. [ABSTRACT FROM AUTHOR]

A phytoplasma was detected in annual blue grass (Poa annua L. Fienardo), exhibiting white leaf symptoms, that was grown in the fields near Caserta in southern Italy. Based on restriction fragment length polymorphism analysis of PCR-amplified 16S rDNA sequences, the phytoplasma associated with annual blue grass white leaf disease was identified as a new member of phytoplasma 16S rRNA group XI (16SrXI) (type strain, rice yellow dwarf phytoplasma). The annual blue grass white leaf phytoplasma is most closely related to Bermuda grass white leaf phytoplasma found in Asia. Annul blue grass white leaf and Bermuda grass white leaf phytoplasmas were designated as the third subgroup (16SrXI-C) of group XI. This is the first report that a plant pathogenic phytoplasma belonging to group 16SrXI is present on the European continent. [ABSTRACT FROM AUTHOR]