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The majority of bacterial diarrhea-causing illnesses in domestic pigs result from infection with Escherichia coli, Salmonella spp., or Campylobacter spp. These bacterial enteropathogens also correspond with the most-common bacteria isolated from wild birds. Additionally, viral pathogens such as avian influenza virus (AIV), West Nile virus (WNV, including Kunjin disease), and Newcastle disease virus (NDV) may also be carried and transmitted by birds in Australia. Introduced European starlings (Sturnus vulgarus) are one of the most-frequently reported birds on piggeries in Australia. The presence of the three bacterial pathogens, Salmonella spp., Campylobacter spp., and Escherichia coli , as well as the three viral pathogens AIV, WNV, and NDV, were evaluated in starlings captured on four commercial piggeries in South Australia. A total of 473 starlings were captured on the four piggeries in 2008 and 2009. A cloacal swab was taken from each bird and cultured for bacterial identification, with follow-up serotyping of any positives, whilst fifty samples were analyzed by PCR for the three target viral pathogens. There was no AIV, WNV, or NDV detected in the 50 starlings sampled. Escherichia coli was found to be present in the starling populations on all four piggeries whilst Salmonella spp. and Campylobacter jejuni were found to be present only in the starling population sampled on one piggery. Serotyping identified pig-pathogenic strains of the bacteria. The prevalence of these production-limiting bacterial pathogens in starlings, coupled with the large starling populations often found inside piggeries during daylight hours in the summer months, presents a disease transmission risk and jeopardizes piggery disease management. Removal of starlings from agricultural enterprises (as shown by international studies), or prevention of starling access to animal feed and water, could substantially reduce the risk of transmission of enterobacterial pathogens from starlings to livestock.

Wild animals contribute to endemic infection in livestock as well as the introduction, reintroduction and maintenance of pathogens. The source of introduction of endemic diseases to a piggery is often unknown and the extent of wildlife contribution to such local spread is largely unexplored. The aim of the current study was to quantitatively assess the probability of domestic pigs being exposed to different pathogens from wild animals commonly found around commercial piggeries in Australia. Specifically, this study aims to quantify the probability of exposure to the pathogens Escherichia coli, Salmonella spp. and Campylobacter spp. from European starlings (Sturnus vulgarus); Brachyspira hyodysenteriae, Lawsonia intracellularis and Salmonella spp. from rats (Rattus rattus and Rattus norvegicus); and Mycoplasma hyopneumoniae, Leptospira spp., Brucella suis and L. intracellularis from feral pigs (Sus scrofa). Exposure assessments, using scenario trees and Monte Carlo stochastic simulation modelling, were conducted to identify potential pathways of introduction and calculate the probabilities of these pathways occurring. Input parameters were estimated from a national postal survey of commercial pork producers and from disease detection studies conducted for European starlings, rats and feral pigs in close proximity to commercial piggeries in Australia. Based on the results of the exposure assessments, rats presented the highest probability of exposure of pathogens to domestic pigs at any point in time, and L. intracellularis (median 0.13, 5% and 95%, 0.05-0.23) and B. hyodysenteriae (median 0.10, 0.05-0.19) were the most likely pathogens to be transmitted. Regarding European starlings, the median probability of exposure of domestic pigs to pathogenic E. coli at any point in time was estimated to be 0.03 (0.02-0.04). The highest probability of domestic pig exposure to feral pig pathogens at any point in time was found to be for M. hyopneumoniae (median 0.013, 0.007-0.022) and L. intracellularis (median 0.006, 0.003-0.011) for pigs in free-range piggeries. The sensitivity analysis indicates that the presence and number of wild animals around piggeries, their access to piggeries and pig food and water, and, in the case of feral pigs, their proximity to piggeries, are the most influential parameters on the probability of exposure. Findings from this study support identification of mitigation strategies that could be implemented at on-farm and industry level to minimize the exposure risk from European starlings, rats and feral pigs., (Copyright © 2015 Elsevier B.V. All rights reserved.)

Background: In developmental research, infants are commonly assumed to be early stakeholders in interactions with their caregivers. The tools that infants can use to interact with others vary from visual contact to smiling or vocalizing, and also include motor activity. However, surprisingly few studies have explored how the nature and context of social interactions affect infants' engagement in motor activity., Methods: We investigated the kinematic properties of foot and face movements produced by 11 infants aged between 5 and 9 months during six contrasting dyadic episodes (i.e. passive presence of a stranger or the infant's mother, weak or intense interaction with the stranger/mother as she sings a nursery play song)., Results: The infants' face and foot motor activity was significantly reduced during the interactive episodes, compared with the episodes without any interaction, in both the mother and stranger conditions. Furthermore, the level of their motor activity was significantly lower in the stranger condition than in the mother one for some parameters., Conclusion: These results are in line with those reported by previous studies and confirm the relevance of using motor activity to delineate the early forms of interactive episodes in infants.

Emerging and re-emerging infectious disease (EID) events can have devastating human, animal and environmental health impacts. The emergence of EIDs has been associated with interconnected economic, social and environmental changes. Understanding these changes is crucial for EID preparedness and subsequent prevention and control of EID events. The aim of this review is to describe tools currently available for identification, prioritization and investigation of EIDs impacting human and animal health, and how these might be integrated into a systematic approach for directing EID preparedness. Environmental scanning, foresight programmes, horizon scanning and surveillance are used to collect and assess information for rapidly responding to EIDs and to anticipate drivers of emergence for mitigating future EID impacts. Prioritization of EIDs - using transparent and repeatable methods - based on disease impacts and the importance of those impacts to decision-makers can then be used for more efficient resource allocation for prevention and control. Risk assessment and simulation modelling methods assess the likelihood of EIDs occurring, define impact and identify mitigation strategies. Each of these tools has a role to play individually; however, we propose integration of these tools into a framework that enhances the development of tactical and strategic plans for emerging risk preparedness.

The continued spread of rabies in Indonesia poses a risk to human and animal populations in the remaining free islands, as well as the neighbouring rabies-free countries of Timor Leste, Papua New Guinea and Australia. Here we describe the development of a generic risk assessment tool which can be used to rapidly determine the vulnerability of rabies-free islands, so that scarce resources can be targeted to surveillance activities and the sensitivity of surveillance systems increased. The tool was developed by integrating information on the historical spread of rabies, anthropological studies, and the opinions of local animal health experts. The resulting tool is based on eight critical parameters that can be estimated from the literature, expert opinion, observational studies and information generated from routine surveillance. In the case study presented, results generated by this tool were most sensitive to the probability that dogs are present on private and fishing boats and it was predicted that rabies-infection (one infected case) might occur in a rabies-free island (upper 95% prediction interval) with a volume of 1000 boats movements. With 25,000 boat movements, the median of the probability distribution would be equal to one infected case, with an upper 95% prediction interval of six infected cases. This tool could also be used at the national-level to guide control and eradication plans. An initial recommendation from this study is to develop a surveillance programme to determine the likelihood that boats transport dogs, for example by port surveillance or regularly conducted surveys of fisherman and passenger ferries. However, the illegal nature of dog transportation from rabies-infected to rabies-free islands is a challenge for developing such surveillance., (Copyright © 2014 Elsevier B.V. All rights reserved.)

Although Indonesia has been rabies-infected since at least the 1880s, some islands remain rabies-free, such as Lombok. However, due to its adjacency to rabies-infected islands such as Bali and Flores, there is considerable risk of a rabies incursion. As part of a rabies risk assessment project, surveys were conducted to estimate the size of the dog population and to describe dog management practices of households belonging to different ethnic groups. A photographic-recapture method was employed and the number of unowned dogs was estimated. A total of 400 dog owning households were interviewed, 300 at an urban site and 100 at a rural site. The majority of the interviewed households belonged to the Balinese ethnic group. Owned dogs were more likely male, and non-pedigree or local breed. These households kept their dogs either fully restricted, semi-free roaming or free-roaming but full restriction was reported only at the urban site. Dog bite cases were reported to be higher at the urban site, and commonly affected children/young adults to 20 years old and males. A higher number of unowned dogs was observed at the urban site than at the rural site. Data generated within these surveys can inform rabies risk assessment models to quantify the probability of rabies being released into Lombok and resulting in the infection of the local dog population. The information gained is critical for efforts to educate dog owners about rabies, as a component of preparedness to prevent the establishment of rabies should an incursion occur.

Background & Aims: Liver failure is characterized by endothelial dysfunction, which results in hemodynamic disturbances leading to renal failure. Albumin infusion improves hemodynamics and prevents renal dysfunction in advance liver failure. These effects are only partly explained by the oncotic properties of albumin. This study was designed to test the hypothesis that albumin exerts its beneficial effects by stabilising endothelial function., Methods: In vivo: systemic hemodynamics, renal function, markers of endothelial dysfunction (ADMA) and inflammation were studied in analbuminaemic and Sprague-Dawley rats, 6-weeks after sham/bile duct ligation surgery. In vitro: human umbilical vein endothelial cells were stimulated with LPS with or without albumin. We studied protein expression and gene expression of adhesion molecules, intracellular reactive oxygen species, and cell stress markers., Results: Compared to controls, analbuminaemic rats had significantly greater hemodynamic deterioration after bile duct ligation, resulting in worse renal function and shorter survival. This was associated with significantly greater plasma renin activity, worse endothelial function, and disturbed inflammatory response. In vitro studies showed that albumin was actively taken up by endothelial cells. Incubation of albumin pre-treated endothelial cells with LPS was associated with significantly less activation compared with untreated cells, decreased intracellular reactive oxygen species, and markers of cell stress., Conclusions: These results show, for the first time, that absence of albumin is characterised by worse systemic hemodynamics, renal function and higher mortality in a rodent model of chronic liver failure and illustrates the important non-oncotic properties of albumin in protecting against endothelial dysfunction., (Copyright © 2015. Published by Elsevier B.V.)

Some practices undertaken by poultry exhibitors, such as allowing wild birds to contact domestic birds, the high frequency of bird movements and the lack of appropriate isolation for incoming birds, pose a risk for disease introduction and spread. The aim of the current study was to quantitatively assess the probability of introduction of low pathogenic avian influenza (LPAI) viruses from wild waterfowl into poultry exhibition flocks and the subsequent spread to other poultry flocks. Exposure and consequence assessments, using scenario trees and Monte Carlo stochastic simulation modelling, were conducted to identify potential pathways of introduction and spread and calculate the probabilities of these pathways occurring. Input parameters were estimated from two recently conducted cross-sectional studies among poultry exhibitors in Australia (Dusan et al., 2010; Hernández-Jover et al., 2013) and other scientific literature. According to reported practices of poultry exhibitors and the LPAI prevalence in wild birds in Australia, this assessment estimates a median (5-95%) probability of exposure of a bird kept by a poultry exhibitor of 0.004 (0.003-0.005). Due to the higher susceptibility of infection of turkeys and waterfowl, this probability is higher in flocks keeping these bird species than in those keeping chickens or pigeons only. Similarly, once exposure has occurred, establishment of infection and subsequent spread are more likely in those flocks keeping waterfowl and turkeys than in those keeping chicken and pigeons only. Spread through movement of birds is the most likely pathway of spread, followed by contaminated fomites, wild birds and airborne spread. The median probability of LPAI spread through movement of birds in flocks keeping waterfowl and turkeys was estimated to be 0.280 (0.123-0.541) and 0.230 (0.104-0.421), respectively. A lower probability was estimated for chicken (0.087; 0.027-0.202) and pigeon (0.0003; 3.0×10(-5)-0.0008) flocks. The sensitivity analysis indicates that the prevalence of LPAI in wild waterfowl and the probability of contact of domestic birds with wild waterfowl are the most influential parameters on the probability of exposure; while the probability of spread is mostly influenced by the probability of movement of birds and the probability of the exhibitor detecting and reporting LPAI. To minimize the potential risk of AI introduction and spread, poultry exhibitors should prevent contact of domestic birds with wild birds, and implement appropriate biosecurity practices. In addition, adequate extension services are required to improve exhibitors' abilities to recognize diseases and reporting behaviour., (Copyright © 2014 Elsevier B.V. All rights reserved.)

Manual asymmetries emerge very early in development and several researchers have reported a significant right-hand bias in toddlers although this bias fluctuates depending on the nature of the activity being performed. However, little is known about the further development of asymmetries in preschoolers. In this study, patterns of hand preference were assessed in 50 children aged 3-5 years for different activities, including reaching movements, pointing gestures and symbolic gestures. Contrary to what has been reported in children before 3 years of age, we did not observe any difference in the mean handedness indices obtained in each task. Moreover, the asymmetry of reaching was found to correlate with that of pointing gestures, but not with that of symbolic gestures. In relation to the results reported in infants and adults, this study may help deciphering the mechanisms controlling the development of handedness by providing measures of manual asymmetries in an age range that has been so far rather neglected.

Pigs are considered high risk for the introduction and spread of foot and mouth disease (FMD) in Australia. Facilities where animals from different origins are commingled, such as saleyards, pose a high risk for disease spread. Sound on-farm management practices and biosecurity protocols are the first line of defence against a potential on-farm disease outbreak. This study evaluated the practices of 104 producers (vendors who sold pigs and purchasers of live pigs for grow-out) who traded pigs at 6 peri-urban and rural saleyards in eastern Australia. Specifically, management and on-farm biosecurity practices were assessed using an in-depth questionnaire. Univariable and multivariable logistic regression analyses were used to investigate (1) producer associations: producer type, State, motivation to keep pigs, farm type, gender, years having owned pigs, and the acquisition of formal livestock qualifications; and (2) pig associations: herd size, housing, management (husbandry and feeding) practices and biosecurity (including pig movement) practices. Backyard operations (<20 sows) were undertaken by 60.6% of participants, followed by small-scale pig operations (28.8%; 21-100 sows). Few producers (16.3%) reported residing in close proximity (<5 km) to commercial operations; however, less rural producers had neighbouring hobby pig operations within 5 km of their property (P=0.033). Motivation for keeping pigs was significantly associated with a number of biosecurity practices. Producers who kept pigs for primary income were more likely to provide footwear precautions (P=0.007) and ask visitors about prior pig contacts (P=0.004). Approximately 40% of backyard and small-scale producers reported not having any quarantine practices in place for incoming pigs, compared to only 9.1% among larger producers. The main reasons cited for not adopting on-farm biosecurity practices in this study included having no need on their property (43.1%) and a lack of information and support (by the industry and/or authorities; 18.5%). Up to three-quarters of all producers maintained an open breeding herd, regularly introducing new pigs to the main herd. Saleyards are an important source of income for backyard and small-scale producers as well as an important risk factor for the introduction and dissemination of endemic and emerging animal diseases. Differing management and biosecurity practices as well as the motivations of these producers keeping pigs in small numbers and trading pigs at saleyards need to be taken into account in the development of successful biosecurity extension programmes for this sector of the Australian pork industry., (Copyright © 2014 Elsevier B.V. All rights reserved.)

A mother's emotional state is a well-known environmental factor that relates to the development of infant temperament. However, some relevant issues have not yet been fully explored. The current study examines the influence of determined maternal, contextual and perinatal variables on infant temperament and the mother's confidence in caregiving during the first weeks of life. A prospective study was carried out in three-hundred and seventeen newborns and their mothers. Perinatal and socio-demographic variables were recorded. The mother's anxiety and mood were measured in the first days after childbirth and again at 8 weeks. Infant temperament and the mother's confidence in caregiving were measured at 8 weeks. A mother's postpartum anxiety following delivery was the best predictor for most of the variables of infant temperament, including infant irritability (p = .001), and other child variables like infant sleep (p = .0003) and nursing difficulty (p = .001). Contextual-family variables, such as the number of people at home (p = .0024) and whether they were primiparous (p = .001), were the best predictors for a mother's confidence in caregiving. Support was found for an early effect of maternal anxiety on infant temperament. The results have clinical implications for postnatal psychological interventions.

This article describes an effective procedure for reducing the water content of excess sludge production from a wastewater treatment plant by increasing its concentration and, as a consequence, minimizing the volume of sludge to be managed. It consists of a pre-dewatering sludge process, which is used as a preliminary step or alternative to the thickening. It is made up of two discontinuous sequential stages: the first is resettling and the second, filtration through a porous medium. The process is strictly physical, without any chemical additives or electromechanical equipment intervening. The experiment was carried out in a pilot-scale system, consisting of a column of sedimentation that incorporates a filter medium. Different sludge heights were tested over the filter to verify the influence ofhydrostatic pressure on the various final concentrations of each stage. The results show that the initial sludge concentration may increase by more than 570% by the end of the process with the final volume of sludge being reduced in similar proportions and hydrostatic pressure having a limited effect on this final concentration. Moreover, the value of the hydrostatic pressure at which critical specific cake resistance is reached is established.

We examined the macroscopic aspects of motor planning in two manual dexterity tasks, comparing children, adolescents, and young adults with trisomy 21 (T21) with typically developing controls from a developmental perspective. We analyzed the order in which objects were picked up from a table during two manual tasks of the Movement Assessment Battery for Children (M-ABC). Participants with T21 were always slower than controls. Task completion times depended on the strategy used by participants to gather up the pegs or coins. A structured strategy, in which the participants picked the items up moving methodically along each row/column, contributed to rapid task completion by younger children and participants with T21. This study highlights the ability of children with T21 to select and maintain an efficient strategy that takes account of their motor difficulties. Developmental trajectories help to explain T21 functioning in these dexterity tasks., (Copyright © 2014 Elsevier Ltd. All rights reserved.)

Highly pathogenic porcine reproductive and respiratory syndrome (PRRS) has spread through parts of south-east Asia, posing a risk to Australia. The objective of this study was to assess the probability of infection of a feral or domestic pig in Australia with highly pathogenic PRRS following ingestion of illegally imported raw pork. A conservative scenario was considered in which 500 g of raw pork was imported from the Philippines into Australia without being detected by border security, then discarded from a household and potentially accessed by a pig. Monte Carlo simulation of a two-dimensional, stochastic model was used to estimate the probability of entry and exposure, and the probability of infection was assessed by incorporating a virus-decay and mechanistic dose-response model. Results indicated that the probability of infection of a feral pig after ingestion of raw meat was higher than the probability of infection of a domestic pig. Sensitivity analysis was used to assess the influence of input parameters on model output probability estimates, and extension of the virus-decay and dose-response model was used to explore the impact of different temperatures and time from slaughter to ingestion of the meat, different weights of meat, and the level of viraemia at slaughter on the infectivity of meat. Parameters with the highest influence on the model output were the level of viraemia of a pig prior to slaughter and the probability of access by a feral pig to food-waste discarded on property surrounding a household. Extension of the decay and dose-response model showed that small pieces of meat (10 g) from a highly pathogenic PRRS viraemic pig could contain enough virus to have a high probability of infection of a pig, and that routes to Australia by sea or air from all highly pathogenic PRRS virus endemic countries were of interest dependent on the temperature of the raw meat during transport. This study highlighted the importance of mitigation strategies such as disposal of food-waste from international traffic as quarantine waste, and the need for further research into the probability of access to food-waste on properties by feral pigs., (Copyright © 2014 Elsevier B.V. All rights reserved.)

We describe stakeholder preference modelling using a combination of new and recently developed techniques to elicit criterion weights to incorporate into a multi-criteria decision analysis framework to prioritise exotic diseases for the pig industry in Australia. Australian pig producers were requested to rank disease scenarios comprising nine criteria in an online questionnaire. Parallel coordinate plots were used to visualise stakeholder preferences, which aided identification of two diverse groups of stakeholders - one group prioritised diseases with impacts on livestock, and the other group placed more importance on diseases with zoonotic impacts. Probabilistic inversion was used to derive weights for the criteria to reflect the values of each of these groups, modelling their choice using a weighted sum value function. Validation of weights against stakeholders' rankings for scenarios based on real diseases showed that the elicited criterion weights for the group who prioritised diseases with livestock impacts were a good reflection of their values, indicating that the producers were able to consistently infer impacts from the disease information in the scenarios presented to them. The highest weighted criteria for this group were attack rate and length of clinical disease in pigs, and market loss to the pig industry. The values of the stakeholders who prioritised zoonotic diseases were less well reflected by validation, indicating either that the criteria were inadequate to consistently describe zoonotic impacts, the weighted sum model did not describe stakeholder choice, or that preference modelling for zoonotic diseases should be undertaken separately from livestock diseases. Limitations of this study included sampling bias, as the group participating were not necessarily representative of all pig producers in Australia, and response bias within this group. The method used to elicit criterion weights in this study ensured value trade-offs between a range of potential impacts, and that the weights were implicitly related to the scale of measurement of disease criteria. Validation of the results of the criterion weights against real diseases - a step rarely used in MCDA - added scientific rigour to the process. The study demonstrated that these are useful techniques for elicitation of criterion weights for disease prioritisation by stakeholders who are not disease experts. Preference modelling for zoonotic diseases needs further characterisation in this context., (Copyright © 2013 Elsevier B.V. All rights reserved.)

Diseases that are exotic to the pig industry in Australia were prioritised using a multi-criteria decision analysis framework that incorporated weights of importance for a range of criteria important to industry stakeholders. Measurements were collected for each disease for nine criteria that described potential disease impacts. A total score was calculated for each disease using a weighted sum value function that aggregated the nine disease criterion measurements and weights of importance for the criteria that were previously elicited from two groups of industry stakeholders. One stakeholder group placed most value on the impacts of disease on livestock, and one group placed more value on the zoonotic impacts of diseases. Prioritisation lists ordered by disease score were produced for both of these groups. Vesicular diseases were found to have the highest priority for the group valuing disease impacts on livestock, followed by acute forms of African and classical swine fever, then highly pathogenic porcine reproductive and respiratory syndrome. The group who valued zoonotic disease impacts prioritised rabies, followed by Japanese encephalitis, Eastern equine encephalitis and Nipah virus, interspersed with vesicular diseases. The multi-criteria framework used in this study systematically prioritised diseases using a multi-attribute theory based technique that provided transparency and repeatability in the process. Flexibility of the framework was demonstrated by aggregating the criterion weights from more than one stakeholder group with the disease measurements for the criteria. This technique allowed industry stakeholders to be active in resource allocation for their industry without the need to be disease experts. We believe it is the first prioritisation of livestock diseases using values provided by industry stakeholders. The prioritisation lists will be used by industry stakeholders to identify diseases for further risk analysis and disease spread modelling to understand biosecurity risks to this industry., (Copyright © 2013 Elsevier B.V. All rights reserved.)

The authors used frame-by-frame video analyses to describe the features of imperative and declarative pointing gestures produced by young children, in comparison to reaching actions. First, the results showed that imperative pointing shared common features with reaching actions (hand shape, arm extension), but body posture observed in reaching differed from the one observed in pointing, both in imperative and declarative contexts. Second, hand shape was influenced by precision constraints: imperative gestures shifted from whole-hand pointing to index-finger pointing when the target was surrounded by distractors. This study is the first of its kind to highlight the effect of several variables on morphological features of pointing using quantitative measures and may provide insights into the nature of imperative and declarative pointing.

INTRODUCTION. A foetal or prenatal cerebrovascular accident (CVA) is defined as an ischaemic, thrombotic or arterial or venous haemorrhagic event that occurs between the 14th week of gestation and the onset of labour. PATIENTS AND METHODS. We report a retrospective study of a series of 10 patients suffering from a, presumably foetal, stroke that went unnoticed during the pregnancy and was diagnosed in the early infant stage. The symptoms and the age at which they were identified are highlighted. RESULTS. None of the 10 patients studied presented any relevant events in the mothers' medical history, but there were four threats of a preterm birth that were solved using the usual means and without the occurrence of any alterations that later affected the foetus. The studies that led to the diagnosis were carried out between the sixth and ninth months of life, and the reason for visiting was reported by the family as being a lower degree of mobility on one side of the body with respect to the other. Two patients presented thrombophilia. With a mean follow-up time of six years, all the patients have an associated infantile cerebral palsy, a third of them have epilepsy and 75% have learning difficulties or intellectual disability. CONCLUSIONS. When CVA are not detected in the prenatal period, it is important in primary care to look for and detect the warning signs of the psychomotor development of the infant at an early stage in order to begin a study of the case and to undertake rehabilitation as early as possible.

Background & Aim: This study assessed the involvement of metabolic factors (anthropometric indices, insulin resistance (IR) and adipocytokines) in the prediction of portal hypertension, esophageal varices and risk of variceal bleeding in cirrhotic patients., Material and Methods: Two prospective and retrospective cohorts of cirrhotic patients were selected (n = 357). The first prospective cohort (n = 280) enrolled consecutively in three centers, underwent upper gastrointestinal endoscopy, seeking evidence of esophageal varices. Clinical, anthropometric, liver function tests, ultrasonographic, and metabolic features were recorded at the time of endoscopy, patients were followed-up every 6 months until death, liver transplantation or variceal bleeding. The second retrospective cohort (n = 48 patients) had measurements of the hepatic venous pressure gradient (HVPG). Statistical analyses of the data were with the SPSS package., Results: The presence of esophageal varices was independently associated with lower platelet count, raised HOMA index and adiponectin levels. This relationship extended to subset analysis in patients with Child A cirrhosis. HOMA index and adiponectin levels significantly correlated with HVPG. Beside Child-Pugh class, variceal size and glucagonemia, HOMA index but not adiponectin and leptin plasma levels were associated with higher risk of variceal bleeding., Conclusion: In patients with cirrhosis, HOMA score correlates with HVPG and independently predict clinical outcomes. Three simple markers i.e. platelet count, IR assessed by HOMA-IR and adiponectin significantly predict the presence of esophageal varices in cirrhotic patients.

Poultry exhibitors are perceived to pose a biosecurity risk due to the high frequency of movements of birds and the close contact between birds at poultry shows. This cross-sectional study assessed the risks posed by poultry exhibitors in Australia using face-to-face interviews (n=46) at eight poultry shows and a postal survey. Univariable and multivariable logistic regression analyses were used to investigate associations between age, sex, location, number of birds, number of shows attended per year and distance travelled to a show, with biosecurity and communication practices. A total of 357 (29.1%) exhibitors responded to the postal survey. Among all participants (n=403), most had owned poultry for more than 15 years (71.9%), kept less than 200 birds (83.4%), mainly chicken (96.7%) and waterfowl (17.8%), and reported not having any commercial poultry operation within 5 km of their property (85.4%). Despite most exhibitors (90.8%) having at least some knowledge of biosecurity principles; some of their practices could pose a risk for disease introduction and spread. Most exhibitors kept their birds with outdoor access (87.0%) and 67.0% of exhibitors reported contact of wild birds with domestic birds being possible. Only 60% and 40.6% of exhibitors cleaned transport cages after each use and isolated birds for over two weeks, respectively, with men and exhibitors keeping more birds less likely (P=0.003) to conduct this practice. Most exhibitors (75.0%) attended more than 5 shows per year, travelling long distances (up to 1000 km) to attend a show. Although most exhibitors would source and sell their birds from and to other exhibitors and at poultry shows, some reported sourcing (15.2%) and selling (25.3%) their birds at live bird markets. In addition, contact with veterinarians was low (23.1%), with younger exhibitors and women more likely to contact a veterinarian than older exhibitors (P=0.006) and men (P=0.017). Other poultry exhibitors were reported as the most useful source of information, followed by the poultry club, the veterinarian and Internet. Less than a quarter of exhibitors perceived the government agencies as a useful source of information. Newspapers, newsletters, emails and websites were the preferred methods of information delivery. However, information seeking behaviour was found to differ significantly (P<0.05) among gender and different age groups. Differing biosecurity, health and communication practices among poultry exhibitors found in this study need to be considered for the development of successful biosecurity extension and communication programmes., (Copyright © 2013 Elsevier B.V. All rights reserved.)

Vector-borne diseases can have substantial impacts on human and animal health, including major epidemics. West Nile virus (WNV) is of particular international importance due to its recent emergence and impact in the Western Hemisphere. Despite the presence of a sub-type of WNV (Kunjin virus, KUN) in Australia, a potential ecological niche could be occupied by an exotic strain of WNV of the North American type. This study assesses the probability an exotic strain of WNV enters Australia via an infected mosquito in an aircraft from the United States (U.S.) landing at Sydney airport, the probability it spreads to susceptible species and the impact of the resulting outbreak on human and animal health. A release, exposure and consequence assessment were conducted using expert opinion and scientific literature to parameterise the inputs for the models (OIE, 2009). Following establishment of WNV in Australia, the spatio-temporal spread of WNV was predicted over a six year period based on the Australian human and equine populations at-risk, the known distribution of other mosquito-borne flaviviruses in Australia, climatic factors, and the spread of WNV in the U.S. following it's incursion in New York City in 1999. The impact of this spread was measured as a multiplier of human and equine demographics using the U.S. incidence and case fatality rates as a reference. For an 8 month period from September to April (considering seasonal impact on mosquito activity during the coldest months in Australia and the U.S.), and assuming WNV is endemic in the U.S., the median probability an infected mosquito is introduced is 0.17, and the median number of infected mosquitoes introduced is predicted to be zero, with a 95th percentile range of one. The overall probability of a WNV outbreak (WNV released into Australia, susceptible hosts exposed and the virus spread) occurring in the human and the horse population during this time period is estimated to be 7.0×10(-6) and 3.9×10(-6), respectively. These values are largely influenced by the presence of mosquitoes in aircrafts and whether the introduced infected mosquito contacts wild birds. Results of this study suggest there is a low risk of introduction and spread of an exotic strain of WNV from the U.S via aircraft, and provides an insight into the magnitude and impact of the spread among human and horse populations. The generic framework presented could be applied to assess the potential introduction of other mosquito-borne diseases (which involve a wild bird transmission cycle) via international aircraft movements., (Copyright © 2012 Elsevier B.V. All rights reserved.)

The Influenza Pandemic (H1N1/09) virus was first reported in humans in Mexico in April 2009 and a pandemic level was declared on 11th of June 2009 by the World Health Organization (Chan, 2009; WHO, 2009a). Public misconceptions about the transmission of H1N1/09 were caused by the inadequate naming of the disease as 'swine influenza'. This cross-sectional study was conducted at the height of the outbreak in the Australian human population and before the virus was reported in the first piggery in Australia in July 2009 (OIE, 2009b; Holyoake et al., 2011). The aims of this study were to evaluate pig producers' perceptions about the virus and the outbreak financial impact and influence on on-farm biosecurity practices. A questionnaire was designed and posted to Australian Pork Limited (APL) members (n=460), obtaining responses from 182 producers (39.6%). Pig producers had good general knowledge on potential transmission pathways for H1N1/09 between people, with direct or close contact with a sick person perceived as the most likely pathways. Changes on biosecurity practices, such as asking visitors if they had recently been overseas (27.8%) and not allowing any visitor to inspect their pigs (18.3%), were reported among respondents. In addition, approximately 40% of producers asked their employees to notify flu like symptoms, consulted a veterinarian on H1N1/09 and visited websites to seek information on H1N1/09. A higher adoption of these practices was observed among large (>100 sows) than small herds. Only 2.9% of respondents reported a reduction in pig sales during the outbreak. However, approximately one third of producers reported being financially and emotionally stressed, 38.2% were distressed about the health of their pigs and 16.7% about their own health. The most important sources of information were APL (93%), veterinarians (89%) and the state Department of Primary Industries (DPI) (75%). The first two considered the most trusted sources of information. Television, radio and other farmers were considered more important sources of information by small herds and veterinarians by larger herds. Producers believed that the H1N1/09 outbreak was better managed by the pork industry (89.9%) than by the health authorities (58.8%), and the on-going communication with APL was the main strength of the outbreak management. Communication and extension programs in future outbreaks should consider the needs of all sectors of the pig industry to increase their effectiveness., (Copyright © 2012 Elsevier B.V. All rights reserved.)

Extension and communication needs amongst small-scale pig producers, described as pig producers with less than 100 sows, have been previously identified. These producers, who are believed to pose a biosecurity risk to commercial livestock industries, are characterized by a lack of formal networks, mistrust of authorities, poor disease reporting behaviour and motivational diversity, and reliance on other producers, veterinarians and family for pig health and production advice. This paper applies stakeholder identification and analysis tools to determine stakeholders' influence and interest on pig producers' practices. Findings can inform a risk communication process and the development of an extension framework to increase producers' engagement with industry and their compliance with biosecurity standards and legislation in Australia. The process included identification of stakeholders, their issues of concerns regarding small-scale pig producers and biosecurity and their influence and interest in each of these issues. This exercise identified the capacity of different stakeholders to influence the outcomes for each issue and assessed their success or failure to do so. The disconnection identified between the level of interest and influence suggests that government and industry need to work with the small-scale pig producers and with those who have the capacity to influence them. Successful biosecurity risk management will depend on shared responsibility and building trust amongst stakeholders. Flow-on effects may include legitimating the importance of reporting and compliance systems and the co-management of risk. Compliance of small-scale pig producers with biosecurity industry standards and legislation will reduce the risks of entry and spread of exotic diseases in Australia., (Copyright © 2011 Elsevier B.V. All rights reserved.)

This study investigated the development of hand preference for bimanual manipulative activities and pointing gestures in toddlers observed longitudinally over a 5-month period, in relation to language acquisition. The lexical spurt was found to be accompanied by an increase in the right-sided bias for pointing but not for manipulation. Moreover, results revealed a significant correlation between hand preference for imperative pointing gestures and manipulative activities in children who did not experience the lexical spurt during the observational period. By contrast, measures of handedness for declarative pointing were never correlated with those of handedness for manipulation. This study illustrates the complex relationship between handedness and language development and emphasizes the need to take the different functions of pointing gestures into account., (Copyright © 2011 Elsevier Inc. All rights reserved.)

Pigs are considered high risk for the introduction and spread of foot and mouth disease (FMD) in Australia. One of the most likely pathways of introduction of FMD into Australia would be through the illegal importation of FMD-contaminated meat, which is then fed to feral or domestic pigs. Locations where animals from different origins are commingled, such as livestock markets and abattoirs, pose a risk for disease spread. Early detection of exotic diseases at these locations is crucial in limiting the spread of an outbreak. The aims of this study were to evaluate the likelihood of exotic disease detection with current passive disease surveillance activities for pigs at saleyards and abattoirs in eastern Australia, and make recommendations for improving surveillance. Sensitivity (Se) of the current post-farm-gate passive surveillance for detection of exotic diseases was estimated using the scenario tree modelling methodology (Martin et al., 2007a). Four surveillance system components were identified: (i) domestic saleyard, (ii) export saleyard, (iii) domestic abattoir, and (iv) export abattoir. Pig farms were classified according to herd size (Small vs. Large) and subsequently into two risk categories depending on the probability of swill feeding (Swill feeding vs. Not swill feeding). A scenario tree representing the pathways by which infected animals could be detected was developed and the Se of detection in each surveillance system component was estimated. Industry statistics, information on previous exotic disease outbreaks, and interviews with pig producers were used to estimate herd category proportions and the relative risk of swill feeding. Quantitative estimates for probabilities of detection were sourced from State legislation and policies, stakeholder consultation and observational studies at saleyards and abattoirs. Results of a FMD case study showed a Se of detection at a representative location for each surveillance system component during a 2-week period of 0.19 at domestic saleyards, 0.40 at export saleyards, 0.32 at domestic abattoirs and, 0.53 at export abattoirs. This output assumed the country was infected with herd and unit design prevalences of 1% and 30%, respectively. Improving disease awareness of saleyard and abattoir stockmen, increasing the presence of inspectors at these venues and identifying those herds posing a higher risk for FMD introduction, could improve the capacity of the country for early detection of emerging animal diseases., (© 2011 Elsevier B.V. All rights reserved.)

A cross-sectional study was conducted at the height of the pandemic influenza H1N1/09 outbreak in Australia in 2009. The objectives of the study were to evaluate public perceptions about transmission and prevention of the disease, to understand their concerns and preparedness to cope with the disease, and to investigate drivers influencing their behaviour. A questionnaire was designed and administered to 510 customers visiting 15 butcher shops in the Greater Sydney region between 26th June and 2nd August 2009. Data were analysed to estimate the proportion of people with certain perceptions and to evaluate the influence of these perceptions on two binary outcome variables: (1) whether or not people believed that avoiding pork would protect them from contracting H1N1/09, and (2) whether or not they actually made some changes to pork consumption after the outbreak. A majority of the respondents had perceptions based on fact about transmission and prevention of H1N1/09. As many as 96.8% of the respondents believed that washing their hands frequently was likely to protect them from contracting H1N1/09. Similarly, most believed that they could contract H1N1/09 by travelling on public transport with a sick person present (94.1%), by shaking hands with a sick person (89.2%), or by attending a community gathering (73.7%). Women were more likely than men to have factual perceptions about protective behaviours. Misconceptions regarding transmission of the disease were evident, with 21.7% believing that avoiding eating pork could protect them against H1N1/09, 11.1% believing that they could contract H1N1/09 by drinking tap water, 22.8% by handling uncooked pork meat and 15.6% by eating cooked pork. Approximately one third of respondents believed that working in a pig farm or an abattoir increased their likelihood of contracting H1N1/09 (36.9% and 32.3%, respectively). Younger people (<35 years old) were more likely to have these misconceptions than older people. Reduction in consumption of pork, ham or bacon was significantly associated with misconceptions regarding the risk of contracting H1N1/09 from eating pig meat products. It is recommended that in the event of a future disease emergency, communication activities providing factual information and targeting younger people should be used., (Copyright © 2010 Elsevier B.V. All rights reserved.)

Better understanding of child temperament is essential, as it may predict subsequent development of psychopathology. Questionnaires which have been adapted to Spanish population include a rather restricted age range. The Emotionality Sociability and Activity (EAS) Temperament Survey has been widely used in child temperament genetic research. A Spanish version of the scale was administered to a sample of 229 mothers and to their children at 18 and 42 months of age. Its psychometric features were examined. Results showed accuracy indices akin to that obtained in prior studies. Findings suggest a three-factor structure for the assessment of temperament.

Children with trisomy 21 display atypical manual skills that change to some extent during development. We examined grasp characteristics and their development in 35 children with trisomy 21, aged 4-18 years, who performed simple manual tasks (two manual tasks of the Movement Assessment Battery for Children, and grasping of five wooden blocks whose size was determined by their hand size). The age-matched comparison group included 35 typically developing children. Children with trisomy 21 were found to use fewer fingers than children in the comparison group in each task. They also used specific grasps and tended to extend fingers that were not involved in the grip. While some specific grasp characteristics of children with trisomy 21 decreased with age, other did not, and remained present throughout development. The perceptual-motor development of children with trisomy 21 should be analyzed in terms of atypical development rather than developmental delay., (Copyright © 2010 Wiley Periodicals, Inc.)

Minimal hepatic encephalopathy (MHE) reduces quality of life of cirrhotic patients, predicts overt hepatic encephalopathy, and is associated with poor prognosis. We hypothesized that MHE arises once metabolic alterations derived from the liver reach a particular threshold. Our aim was to assess whether metabolic profiling of serum samples by high-field (1)H-nuclear magnetic resonance spectroscopy ((1)H NMR) and subsequent multivariate analyses would be useful to characterize metabolic perturbations associated with MHE and to identify potential metabolic biomarkers. Metabolic serum profiles from controls (n = 69) and cirrhotic patients without MHE (n = 62) and with MHE (n = 39) were acquired using high field NMR. Supervised modeling of the data provided perfect discrimination between healthy controls and cirrhotic patients and allowed the generation of a predictive model displaying strong discrimination between patients with and without MHE (R(2)Y = 0.68, Q(2)Y = 0.63). MHE patients displayed increased serum concentrations of glucose, lactate, methionine, TMAO, and glycerol, as well as decreased levels of choline, branch amino acids, alanine, glycine, acetoacetate, NAC, and lipid moieties. Serum metabonomics by (1)H NMR offers a useful approach for characterizing underlying metabolic differences between patients with and without MHE. This procedure shows great potential as a diagnostic tool of MHE as it objectively reflects measurable biochemical differences between the patient groups and may facilitate monitoring of both disease progression and effects of therapeutic treatments.

Aim: Postural control is a fundamental component of action in which deficits have been shown to contribute to motor difficulties in children with developmental coordination disorder (DCD). The purpose of this study was to examine anticipatory postural adjustments (APAs) in children with DCD in a bimanual load-lifting task., Method: Sixteen children with reported motor problems (two females, 14 males; mean age 9 y; SD 2 y) and 16 typically developing, age-matched children (six females, 10 males; mean age 9 y; SD 2 y) took part in the study. The task required the children to maintain a stable elbow angle, despite imposed or voluntary unloading of the forearm. APAs were assessed using electromyography and kinematics analysis., Results: Although children with DCD could compensate for the consequences of unloading, the results demonstrated that APAs were less efficient in children with DCD than in typically developing children. A positive and significant coefficient of regression between the flexor inhibition latency and the postural stabilization was only found in typically developing children., Interpretation: The impaired fine-tuning of the muscle contribution and the poor stabilization performances demonstrate poor predictive modelling in DCD.

Aim: To review selectively the status of the genetic research in the field of speech and language disorders., Development: Major contributions to the field are selected, presented, and discussed. Twin and family studies have demonstrated that most cognitive traits including language are moderately to highly heritable. Rare mutations affecting the FOXP2 transcription factor cause a monogenic speech and language disorder. The results of association studies of FOXP2 with several language disorders are controversial, probably due to the problem of phenotype definition., Conclusions: Common forms of disorders of speech and language are mostly likely associated with variability in the function of multiple genes. Longitudinal studies looking at gene environmental interaction might be important in order to understand the mechanism of language development.

European eel males can be artificially matured (1.5IU hCG/g fish), but the regulatory mechanisms of their reproductive development are practically unknown. Spermatogenic stages (S1-S6), biometric characters [eye index (EI), gonadosomatic index (GSI), hepatosomatic index (HSI)] and sperm quality parameters (motility, viability and head spermatozoa morphometry) were analysed. Moreover, the present study evaluated the expression of GnRHs (mammal and chicken II Gonadotropin Release Hormone I) and gonadotrophins (FSHbeta and LHbeta) during hormonal treatment, as well as 11-ketotestosterone (11-KT) and 17,20beta-dihydroxy-4-pregnen-3-one (17,20beta-P) plasma levels. One week was enough to observe the S2 of gonad development, but it was necessary to reach the 7th week of treatment to obtain animals that presented the most advanced stage of development (S6). Differential regulation of the two GnRH expressions was found, supporting the main role of mGnRH in the control of gonadotrophin release. One hCG injection was enough to dramatically decrease the FSHbeta expression, being close to zero during the rest of the treatment. LHbeta expression and 17,20beta-P registered a significant increase in the same stage of development, S3/4, confirming the role of this gonadotrophin in the last steps of maturation and 17,20beta-P in the spermatozoa maturation. The 11-KT increased with GSI, and the highest 11-KT values coincided with the advanced steps of spermatogenesis prior to spermiation. Being consistent with the known role of the steroid in these processes. Furthermore, this study supports a role for 11-KT in stimulating eye growth, presenting high values when EI increased. Sperm production was obtained from the 4th week of treatment, but it was in the 8th week when a significant increase was observed in sperm quality [viability, high motility (>75%)]., (Copyright 2009 Elsevier Inc. All rights reserved.)

Systemic hyperammonemia has been largely found in patients with cirrhosis and hepatic encephalopathy, and ammonia plays a major role in the pathogenesis of hepatic encephalopathy. However, controversial points remain: a) the correlation between plasma ammonia levels and neurophysiological impairment. The lack of correlation between ammonia levels and grade of hepatic encephalopathy in some cases has been considered a weakness of the ammonia hypothesis, but new methods for ammonia measurements and the implication of systemic inflammation in the modulation of ammonia neurotoxicity could explain this gap; b) the source of ammonia production. Hyperammonemia has been considered as derived from urea breakdown by intestinal bacteria and the majority of treatments were targeted against bacteria-derived ammonia from the colon. However, some data suggest an important role for small intestine ammonia production: 1) the hyperammonemia after porto-caval shunted rats has been found similar in germ-free than in non-germ-free animals. 2) In cirrhotic patients the greatest hyperammonemia was found in portal drained viscera and derived mainly from glutamine deamination. 3) The amount of time required to increase of ammonia (less than one hour) after oral glutamine challenge supports a small intestine origin of the hyperammonemia. As the main source of ammonia in cirrhotics derives from portal drained viscera owing to glutamine deamidation, increased glutaminase activity in the intestine seems to be responsible for systemic hyperammonemia. Lastly, some genetic alterations in the glutaminase gene such as the haplotype TACC could modulate intestinal ammonia production and the risk of overt hepatic encephalopathy in cirrhotics.

Minimal hepatic encephalopathy (MHE) is defined by the presence of neurophysiological alterations,with an important impact in the quality of life, in the risk of performing dangerous tasks as leading cars and heavy machinery and increases risk of overt hepatic encephalopathy. MHE is present in a third of cirrhotic depending on liver function. Psychometric and neurophysiologic test are used in the diagnosis of MHE, mainly PHES (Psychometric Hepatic Encephalopathy Score) battery, electroencephalogram, evoked potentials and measurement of the critical flicker frequency. Oral glutamine challenge (OGC) measures intestinal ammonia production after glutamine intake and indirectly intestinal glutaminase activity. Altered OGC in patients with MHE predicts short-time survival. In conclusion,MHE is the first stage in HE syndrome, affect to a third of cirrhotic and worsen quality of life. There are useful and easy-to-use diagnostic tests and new therapeutic options are warranted.

Background: Polymorphic variations in the serotonin transporter gene (5-HTT) moderate the depressogenic effects of tryptophan depletion. After childbirth there is a sharp reduction in brain tryptophan availability, thus polymorphic variations in 5-HTT may play a similar role in the post-partum period., Aims: To study the role of 5-HTT polymorphic variations in mood changes after delivery., Method: One thousand, eight hundred and four depression-free Spanish women were studied post-partum. We evaluated depressive symptoms at 2-3 days, 8 weeks and 32 weeks post-partum. We used diagnostic interview to confirm major depression for all probable cases. Based on two polymorphisms of 5-HTT (5-HTTLPR and STin2 VNTR), three genotype combinations were created to reflect different levels of 5-HTT expression., Results: One hundred and seventy-three women (12.7%) experienced major depression during the 32-week post-partum period. Depressive symptoms were associated with the high-expression 5-HTT genotypes in a dose-response fashion at 8 weeks post-partum, but not at 32 weeks., Conclusions: High-expression 5-HTT genotypes may render women more vulnerable to depressive symptoms after childbirth.

A study was undertaken at 2 saleyard (1 domestic, DS, and 1 export, ES) and 2 abattoir (1 domestic, DA, and 1 export, EA) locations in New South Wales, Australia, to assess the compliance (presence) and readability of body tattoos used to identify individual pigs presented for sale or slaughter. Each location was visited on 3 trading or slaughter days, and tattoo presence and readability of porkers (25 to 60 kg of BW), baconers (60 to 90 kg of BW), backfatters (>90 kg of BW but not for breeding), and breeders were recorded. A total of 4,655 pigs were inspected, including 158 DS, 1,599 ES, 1,257 DA, and 1,641 EA. Tattoo performance at the saleyards was influenced by producer (P < 0.05). Average brand presence at the DS (93.0%) did not differ (P = 0.28) from ES (74.2%). Tattoo compliance ranged from 88.3 to 100% of pigs across pig classes (P > 0.05) at DS. At the ES, tattoo compliance among baconers, backfatters, and breeding stock ranged from 82.4 to 88.3% and was greater (P < 0.05) than that of porkers (70.3%). Average readability was 85.4% at ES and 77.6% at DS (P > 0.05). Tattoo compliance differed (P < 0.05) between abattoirs (98.7% at DA and 92.6% at EA). Readability was greater (P < 0.05) at the EA (80.1%) than at the DA (72.0%). Final performance, as readable brands among animals sold or slaughtered, of the official tattoo system was similar between locations and ranged from 63 to 74%. Our results suggest that current compliance and readability of tattoos would compromise traceback to the farm of origin in the event of an emergency animal disease outbreak. Education activities on legislation requirements and tattoo procedure would likely increase compliance and performance of the system.

Traceability during slaughter was studied in 1,581 pigs identified by different devices. Treatments were visual ear tags (n = 1,300), electronic ear tags of different technologies (half-duplex, n = 636; full-duplex, n = 632), and intraperitoneally injected transponders of different technologies (half-duplex 32 mm, n = 645; full-duplex 34 mm, n = 642). Piglets were individually identified at weaning and intensively fed until 100 kg of BW. Pigs were slaughtered in 2 commercial slaughterhouses (including scalding, flaming, and peeling) at different throughputs (450 and 550 pigs/h). Readability during slaughtering was checked visually and using standardized hand-held transceivers. No effect of slaughterhouse was detected (P > 0.05). Ear tag losses in the slaughtering line were similar for visual (3.7%) and half-duplex (3.5%) but were increased for full-duplex (11.5%; P < 0.05). Moreover, electronic failures during slaughtering did not differ (P > 0.05) between ear tags (half-duplex, 1.1%; full-duplex, 0.6%). Intraperitoneally injected transponders were not affected by slaughtering (retention 100%, no failures), and 89.0% of the transponders were manually recovered from the abdominal viscera in the offal trays. The remaining transponders (11.0%) were lost on the floor, but none were found in the carcasses. No differences (P > 0.05) in recovery were observed between intraperitoneal transponders. Considering on-farm and slaughterhouse data, total traceability from farm to carcass release was greater (P < 0.05) for intraperitoneally injected transponders (98.2%) than for ear tags. Between ear tags, the greatest traceability was obtained with visual tags (95.7%), which differed (P < 0.05) from electronic tags (half-duplex, 91.4%; full-duplex, 84.5%; P < 0.05). Intraperitoneally injected transponders were an efficient and reliable identification system for tracing pigs from farm to the end of the slaughter line, allowing the transfer of pig identification to the carcass. Adherence of intraperitoneally injected transponders to the viscera should be improved to reduce risks of loss in the meat chain. A dual system based on intraperitoneally injected transponders and plastic ear tags would allow a redundant and automatic reading system that is efficient and reliable for data management and traceability in the swine industry.

A total of 1,822 pigs from 2 farms (farm A, n = 1,032; farm B, n = 790) were used to evaluate pig traceability under on-farm conditions by using identification devices (n = 4,434) of different technologies. The devices were visual ear tags (n = 1,533; Model 1, n = 776; Model 2, n = 757), electronic ear tags (n = 1,446; half-duplex, n = 702; full-duplex, n = 744), and intraperitoneally injected transponders (n = 1,455; half-duplex, n = 732; full-duplex, n = 723). A group of 790 pigs wore 3 types of devices, and 1,032 wore 2 devices. Piglets were identified before (wk 1 to 3 of age; farm A) or after (wk 3 to 4 of age; farm B) weaning and intensively fattened until approximately 100 kg of BW. Readability of devices was checked at each farm operation by using standardized handheld transceivers. No negative effects of the identification devices on animal health (mortality rate, 8.4%) or performance were detected. On-farm losses averaged 1.6% for ear tags (visual, 0.8%; half-duplex, 1.9%; full-duplex, 2.7%; P > 0.05) and 1.8% for intraperitoneally injected transponders (half-duplex, 1.7%; full-duplex, 1.9%; P > 0.05). Moreover, 1.4% electronic failures occurred in the electronic ear tags (half-duplex, 2.2%; full-duplex, 0.6%; P < 0.05) but not in the intraperitoneally injected transponders. Final on-farm readability was greater (P < 0.05) for visual ear tags (99.2%) than for electronic ear tags (half-duplex, 95.9%; full-duplex, 96.7%; P > 0.05). Readability for intraperitoneally injected transponders was intermediate (half-duplex, 98.3%; full-duplex, 98.1%; P > 0.05). Electronic devices were in all cases easier and faster to read than the visual ear tags. Visual ear tags and intraperitoneally injected transponders were efficiently retained under conditions of commercial pig farms, which agrees with the minimum values recommended by the International Committee for Animal Recording (> 98%). When readability and reading ease were also included as decision criteria, injectable transponders were preferred.

We investigated the consequences of a progressive damage to the muscular system on the organization of anticipatory postural adjustments (APA) in children with Duchenne muscular dystrophy (DMD). We used a bimanual load-lifting task requiring the stabilization of the forearm position despite its voluntary or imposed unloading. Eight children with DMD from 4 to 11 years of age were compared to eight typically developing (TD) children. Elbow angle and multiple surface EMGs were recorded and assessed the use of APA. The muscle weakness did not impair (1) the proprioceptive afference and the motor efference constituting the unloading reflex; and (2) the use of an anticipatory function in children with DMD. However, APA used for the forearm stabilization were less efficient in the group of children with DMD. We conclude that in DMD the muscular weakness could be a restraint to the efficiency of APA with respect to TD children.

Antioxidant activities of lipophilic hydroxytyrosyl acetate, palmitate, oleate, and linoleate were compared with those of hydroxytyrosol, alpha-tocopherol, and butylhydroxytoluene (BHT) in both glyceridic matrix and biological systems. Aliquots of a glyceridic matrix spiked with various concentrations of antioxidant were subjected to accelerated oxidation in a Rancimat apparatus operated at 90 degrees C. The relationships between induction time (IT) and antioxidant concentration (mmol/kg) presented by hydroxytyrosol and hydroxytyrosyl acetate, palmitate, oleate, and linoleate were similar. Hydroxytyrosol and its esters showed greater antioxidant activity than alpha-tocopherol or BHT. We also evaluated the capacity of hydroxytyrosyl esters to protect proteins and lipids against oxidation caused by peroxyl radicals, using a brain homogenate as an ex vivo model. All tested compounds showed a protective effect in these systems, which was greater in preventing the generation of carbonyl groups in protein than of malondialdehyde in lipid. Inclusion of a lipophilic chain in the hydroxytyrosol molecule enhanced its antioxidant capacities in this biological model.

Aim: To assess whether portacaval anastomosis (PCA) in rats affects the protein expression and/or activity of glutaminase in kidneys, intestines and in three brain areas of cortex, basal ganglia and cerebellum and to explain the neurological alterations found in hepatic encephalopathy (HE)., Methods: Sixteen male Wistar rats weighing 250-350 g were grouped into sham-operation control (n=8) or portacaval shunt (n=8). Twenty-eight days after the procedure, the animals were sacrificed. The duodenum, kidney and brain were removed, homogenised and mitochondria were isolated. Ammonia was measured in brain and blood. Phosphate-activated glutaminase (PAG) activity was determined by measuring ammonia production following incubation for one hour at 37 celsius degree with O-phthalaldehyde (OPA) and specific activity expressed in units per gram of protein (mukat/g of protein). Protein expression was measured by immunoblotting., Results: Duodenal and kidney PAG activities together with protein content were significantly higher in PCA group than in control or sham-operated rats (duodenum PAG activity was 976.95+/-268.87 mukat/g of protein in PCA rats vs 429.19+/-126.92mukat/g of protein in sham-operated rats; kidneys PAG activity was 1259.18+/-228.79 mukat/g protein in PCA rats vs 669.67+/-400.8 mukat/g of protein in controls, P<0.05; duodenal protein content: 173% in PCA vs sham-operated rats; in kidneys the content of protein was 152% in PCA vs sham-operated rats). PAG activity and protein expression in PCA rats were higher in cortex and basal ganglia than those in sham-operated rats (cortex: 6646.6+/-1870.4 mukat/g of protein vs 3573.8+/-2037.4 mukat/g of protein in control rats, P<0.01; basal ganglia, PAG activity was 3657.3+/-1469.6 mukat/g of protein in PCA rats vs 2271.2+/-384 mukat/g of protein in sham operated rats, P<0.05; In the cerebellum, the PAG activity was 2471.6+/-701.4 mukat/g of protein vs 1452.9+/-567.8 mukat/g of protein in the PCA and sham rats, respectively, P<0.05; content of protein: cerebral cortex: 162%+/-40% vs 100%+/-26%, P<0.009; and basal ganglia: 140%+/-39% vs 100%+/-14%, P<0.05; but not in cerebellum: 100%+/-25% vs 100%+/-16%, P=ns)., Conclusion: Increased PAG activity in kidney and duodenum could contribute significantly to the hyperammonaemia in PCA rats, animal model of encephalopathy. PAG is increased in non-synaptic mitochondria from the cortex and basal ganglia and could be implicated in the pathogenesis of hepatic encephalopathy. Therefore, PAG could be a possible target for the treatment of HE or liver dysfunction.

Aim: The aim of the present study was to evaluate the representations odontology students had of their career path. Second-year odontology students were questioned about their own motivations and the motivations they attributed to dentists in choosing this profession., Methods: The students were asked to complete a questionnaire during the first course and again after 5 months. It was thus possible to study the evolution of their motivations after 5 months of interactions with their fellow students and professors., Results: Whether or not students were able to choose their career path following the selection examination at the end of the first year of the medical programme was an important variable in determining individual motivations and the motivations they attributed to dentists in choosing the dental profession. For example, students who were unable to choose their career path reported that they would like to work in the public health system, while those who were able to choose said they chose odontology as a vocation. The closing of the gap between the two groups during the period between the two questionnaires highlighted the increasing cohesion of the group., Conclusion: Beyond the differences between the motivations provided, this study showed that students who had not planned to become dentists before the selection examination needed some time to familiarise themselves with the situation and accept the change in their career path.

A total of 557 newborn piglets were used to compare eight identification devices, including one plastic ear tag as a control (C, n = 348) and two types of electronic ear tags (E1, n = 106; and E2, n = 103), and five types of injectable transponders (n = 557): small 12-mm (D12, n = 116; and S12, n = 110), medium 23-mm (T23, n = 108), and large (32-mm, T32, n = 115; and 34-mm, S34, n = 108). Injections were made s.c. in the auricle base (n = 248) and intraperitoneally (n = 309) using a new technique. All piglets were identified with two devices, but using electronic ear tags in conjunction with injection in the auricle was avoided on the same pig. Readability of devices was checked during fattening (until 110 kg BW) and slaughtering. On-farm losses were lower for control than for electronic ear tags (C = 1.1%; E1 = 8.8%; and E2 = 44.9%; P < 0.01); the latter also suffered electronic failures (E1 = 5.5%; and E2 = 55.1%; P < 0.001). On-farm losses of transponders injected in the auricle base were greater in large (S34 = 72.5%; and T32 = 46.3%; P < 0.05) than in small transponders (S12 = 19.4%; and D12 = 17.1%), but T23 (29.8%) only differed from S34. Transponder size did not affect on-farm losses for intraperitoneal injections in which only one loss was recorded (0.4%). All ear tags had similar losses during transportation to the slaughterhouse (1.2%), but no losses were observed in injectables. Slaughtering losses did not differ between ear tags (C = 11.2%; and E1 = 6.4%), but apart from losses, 12.8% of E1 failed electronically. Injection site affected losses and breakages during slaughtering (auricle base = 6.4%; and intraperitoneal = 0%), but recovery time did not significantly differ (auricle base = 28.6 s; and intraperitoneal = 18.9 s). Transponders in the auricle base were recovered by sight (30.2%), palpation (27.4%), or by cutting (42.5%). Intraperitoneal transponders were mainly recovered loose in the abdominal cavity (81.4%), whereas 18.6% fell on the floor. As a result, traceability varied significantly (P < 0.05) between control (86.7%) and electronic ear tags (0 to 68.1%) and injectable transponders, with the auricle base (17.8 to 75.0%) having lower values than intraperitoneal (98 to 100%). Intraperitoneal injection was a very effective tool for piglet identification and traceability, ensuring the transfer of information from farm to slaughterhouse. To warrant the use of this technique in practice, transponder recovery requires further investigation.

Objective: To perform an epidemiologic study of artificial nutrition in critically-ill pediatric patients., Patients and Methods: A multicenter, prospective and descriptive study was conducted in 23 Spanish intensive care units (ICU) (18 pediatric ICUs and five pediatric/neonatal ICUs) over a 1-month period. Artificial nutrition (AN) was required by 165 critically-ill patients (21.4 %). Data on diagnosis, severity, treatment, type of nutrition administered and complications were analyzed., Results: A total of 54.4 % of the participants were younger than 1 year, 19.4 % were aged between 1 and 5 years old, 15.7 % between 5 and 10 years old and 13.4 % were older than 10 years. ICU mean length stay was 11 days. One hundred six patients were administered enteral nutrition (EN): 67.9 % continuous nasogastric EN, 27.4 intermittent nasogastric EN, 16 % nasojejunal EN, 2.8 % gastrostomy EN. Eighty patients required parenteral nutrition (PN): 86.3 % central PN, 20 % peripheral PN. No significant differences were found between patients with EN and PN in mean energy intake, days receiving AN, diagnosis at admission to the ICU, disease severity (measured by PRISM III) or intensive support techniques. The EN group required greater inotropic support. Patients undergoing mechanical ventilation had equal mortality independent of the type of AN. The most common complications in EN were: 17.9 % emesis, 13.2 % abdominal distension, 11.3 % diarrhea, 4.7 % gastric residual volumes, and 6.6 % hypokalemia. In PN complications consisted of: 5 % catheter related infection, 1.3 % thrombophlebitis, 7.5 % hyponatremia, 3.8 % hypoglycemia, 6.3 % hypophosphatemia and 3.8 % hypertriglyceridemia., Conclusions: EN provides critically-ill children with adequate energy intake and is well tolerated. Therefore, if there are no contraindications, EN should be the system of choice in the critically-ill patient requiring AN.

From a set of experimental studies showing how intersegmental coordination develops during childhood in various posturokinetic tasks, we have established a repertoire of equilibrium strategies in the course of ontogenesis. The experimental data demonstrate that the first reference frame used for the organization of balance control during locomotion is the pelvis, especially in young children. Head stabilization during posturokinetic activities, particularly locomotion, constitutes a complex motor skill requiring a long time to develop during childhood. When studying the emergence of postural strategies, it is essential to distinguish between results that can be explained by biomechanical reasons strictly and those reflecting the maturation of the central nervous system (CNS). To address this problem, we have studied our young subjects in situations requiring various types of adaptation. The studies dealing with adaptation of postural strategies aimed at testing short and long-term adaptation capacity of the CNS during imposed transient external biomechanical constraints in healthy children, and during chronic internal constraints in children with skeletal pathologies. In addition to maintenance of balance, another function of posture is to ensure the orientation of a body segment. It appears that the control of orientation and the control of balance both require the trunk as an initial reference frame involving a development from egocentric to exocentric postural control. It is concluded that the first step for children consists in building a repertoire of postural strategies, and the second step consists in learning to select the most appropriate postural strategy, depending on the ability to anticipate the consequence of the movement in order to maintain balance control and the efficiency of the task.

Background: The antioxidant capacity of rice bran (RB) (due mainly to its gamma-oryzanol content) is very well known. We have recently developed a water-soluble oryzanol enzymatic extract (WSOEE), which shows a greatly increased functionality., Aim of the Study: The aim of our study is the evaluation of the antioxidant potential of WSOEE in an ex vivo model to compare its protective capacity against oxidative damage by active-oxygen substances and free radicals (mainly the peroxyl radical) to biomolecules (such as proteins and lipids) with that of antioxidants, such as Trolox (a water-soluble derivative of vitamin E), melatonin, and folic acid., Methods: WSOEE gamma-oryzanol content and composition were determined by HPLC. Free-radical-scavenging capacity was evaluated using the assay based on phycoerythrin fluorescence. Antioxidant capacity against hydroperoxide-caused oxidative injury to proteins and lipids was evaluated using an ex vivo model: a rat brain homogenate. The effectiveness was determined by assessing protein damage (measured as carbonyl group content by Western blot immunoassay) and lipid peroxidation (measured as malondialdehyde content)., Results: The WSOEE gamma-oryzanol composition profile was similar to that of RB (cycloartenyl, 24-methylene cycloartenyl, campesteryl, and sitosteryl ferulates), but with two major differences: WSOEE gamma-oryzanol concentration was five times higher than that of RB, and WSOEE was water soluble. WSOEE total antioxidant capacity to trap the peroxyl radical was high, and similar to that of Trolox. The capacity to inhibit lipid peroxidation induced by cumene hydroperoxide in rat brain homogenate yielded a protection similar to that of Trolox. WSOEE also showed the capacity to protect protein from oxidation phenomena in rat brain homogenate, with a behavior similar to that of melatonin. This is of particular importance, since the loss of protein function caused by oxidative modification may affect the activity of enzymes, receptors, and membrane transporters, among other functions., Conclusion: WSOEE is a new potential antioxidant agent from rice bran that shows a high free-radical-scavenging capacity and prevents protein oxidation and lipid peroxidation when cells ex vivo are exposed to free radicals.

Objectives: We present a case of multiple progressive occlusions of intracranial arteries, a variety of Taveras' syndrome, without smoke spirals, which may be confused with other multifocal disorders., Patient: A 30 year old woman was admitted to hospital with a clinical picture of fluctuating paresia of her left limbs, blurred vision and urgency of micturition which partially recovered. On examination there was paresia of the left arm, generalized increased reflexes and facial asymmetry., Results: On MRI there were areas of marked hyperintensity at T2. Some of these took up gadolinium at T1 and had a serpiginous pattern, compatible with vasculopathy. On angiography, stenosis and filling defect were seen in the left carotid artery. The anterior cerebral and left Sylvian arteries were filled by the vertebrobasilar system via the posterior communicating artery and an anomalous trigeminal artery., Conclusions: The clinical picture of multiple progressive occlusions of intracranial arteries is a variety of moya-moya disease, without the typical smoke spirals, which may lead to confusion with clinical pictures of arteritis and demyelinating disorders if angiography is not done, since this is essential for diagnosis.