case study northern: Topics by Science.gov

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Spatial and temporal patterns of locally-acquired dengue transmission in northern Queensland, Australia, 1993-2012.

PubMed

Naish, Suchithra; Dale, Pat; Mackenzie, John S; McBride, John; Mengersen, Kerrie; Tong, Shilu

2014-01-01

Dengue has been a major public health concern in Australia since it re-emerged in Queensland in 1992-1993. We explored spatio-temporal characteristics of locally-acquired dengue cases in northern tropical Queensland, Australia during the period 1993-2012. Locally-acquired notified cases of dengue were collected for northern tropical Queensland from 1993 to 2012. Descriptive spatial and temporal analyses were conducted using geographic information system tools and geostatistical techniques. 2,398 locally-acquired dengue cases were recorded in northern tropical Queensland during the study period. The areas affected by the dengue cases exhibited spatial and temporal variation over the study period. Notified cases of dengue occurred more frequently in autumn. Mapping of dengue by statistical local areas (census units) reveals the presence of substantial spatio-temporal variation over time and place. Statistically significant differences in dengue incidence rates among males and females (with more cases in females) (χ(2) = 15.17, d.f. = 1, p<0.01). Differences were observed among age groups, but these were not statistically significant. There was a significant positive spatial autocorrelation of dengue incidence for the four sub-periods, with the Moran's I statistic ranging from 0.011 to 0.463 (p<0.01). Semi-variogram analysis and smoothed maps created from interpolation techniques indicate that the pattern of spatial autocorrelation was not homogeneous across the northern Queensland. Tropical areas are potential high-risk areas for mosquito-borne diseases such as dengue. This study demonstrated that the locally-acquired dengue cases have exhibited a spatial and temporal variation over the past twenty years in northern tropical Queensland, Australia. Therefore, this study provides an impetus for further investigation of clusters and risk factors in these high-risk areas.
Spatial and Temporal Patterns of Locally-Acquired Dengue Transmission in Northern Queensland, Australia, 1993–2012

PubMed Central

Naish, Suchithra; Dale, Pat; Mackenzie, John S.; McBride, John; Mengersen, Kerrie; Tong, Shilu

2014-01-01

Background Dengue has been a major public health concern in Australia since it re-emerged in Queensland in 1992–1993. We explored spatio-temporal characteristics of locally-acquired dengue cases in northern tropical Queensland, Australia during the period 1993–2012. Methods Locally-acquired notified cases of dengue were collected for northern tropical Queensland from 1993 to 2012. Descriptive spatial and temporal analyses were conducted using geographic information system tools and geostatistical techniques. Results 2,398 locally-acquired dengue cases were recorded in northern tropical Queensland during the study period. The areas affected by the dengue cases exhibited spatial and temporal variation over the study period. Notified cases of dengue occurred more frequently in autumn. Mapping of dengue by statistical local areas (census units) reveals the presence of substantial spatio-temporal variation over time and place. Statistically significant differences in dengue incidence rates among males and females (with more cases in females) (χ2 = 15.17, d.f. = 1, p<0.01). Differences were observed among age groups, but these were not statistically significant. There was a significant positive spatial autocorrelation of dengue incidence for the four sub-periods, with the Moran's I statistic ranging from 0.011 to 0.463 (p<0.01). Semi-variogram analysis and smoothed maps created from interpolation techniques indicate that the pattern of spatial autocorrelation was not homogeneous across the northern Queensland. Conclusions Tropical areas are potential high-risk areas for mosquito-borne diseases such as dengue. This study demonstrated that the locally-acquired dengue cases have exhibited a spatial and temporal variation over the past twenty years in northern tropical Queensland, Australia. Therefore, this study provides an impetus for further investigation of clusters and risk factors in these high-risk areas. PMID:24691549
Southern Appalachian Case Study

Treesearch

Charles C. van Sickle

1999-01-01

The Southern Appalachian study covers a region of 37.4 million acres. Its mountains, foothills, and valleys stretch from northern Virginia and northern West Virginia to northern Georgia and Alabama. When Native Americans came to the region, forests dominated the landscape and they still do, covering 70% of the land (Figure 32.1). Terrain characteristics are...
An interactive governance and fish chain approach to fisheries rebuilding: a case study of the Northern Gulf cod in eastern Canada.

PubMed

Khan, Ahmed; Chuenpagdee, Ratana

2014-09-01

Rebuilding collapsed fisheries is a multifaceted problem, requiring a holistic governance approach rather than technical management fixes. Using the Northern Gulf cod case study in eastern Canada, we illustrate how a "fish chain" framework, drawn from the interactive governance perspective, is particularly helpful in analyzing rebuilding challenges. The analysis demonstrates that factors limiting rebuilding exist along the entire fish chain, i.e., the pre-harvest, harvest, and post-harvest stages. These challenges are embedded in both the ecological and social systems associated with the Northern Gulf cod fisheries, as well as in the governing systems. A comparative analysis of the pre- and post-collapse of the cod fisheries also reveals governance opportunities in rebuilding, which lie in policy interventions such as integrated and ecosystem-based management, livelihood transitional programs, and cross-scale institutional arrangements. Lessons from the Northern Gulf cod case study, especially the missed opportunities to explore alternative governing options during the transition, are valuable for rebuilding other collapsed fisheries.
Notification and management of congenital syphilis in the Northern Territory 2009 to 2014.

PubMed

McLeod, Charlie; Su, Jiunn-Yih; Francis, Joshua R; Ishwar, Alice; Ryder, Nathan

2015-09-30

To determine whether cases of congenital syphilis in the Northern Territory between 2009 and 2014 were correctly notified based on probable or confirmed case criteria stipulated by the Communicable Diseases Network Australia (CDNA). Pregnant women with positive syphilis serology defined as reactive treponemal test and rapid plasma reagin titre ≥1:8 were identified from the Northern Territory Syphilis Register Information System. Risk classification was performed based on local guidelines, and CDNA criteria for probable/confirmed cases of congenital syphilis were applied to determine whether cases were appropriately notified. Thirty-four cases of positive maternal syphilis serology in pregnancy were identified from 31 women; all were Indigenous. Twenty-one cases fulfilled criteria for probable congenital syphilis; 1 case was formally notified to the Centre for Disease Control. Twenty cases (95%) fulfilling CDNA criteria for probable congenital syphilis were not notified over the study period. Application of standard case definitions significantly increases the rate of congenital syphilis cases in the Northern Territory. Improved education regarding CDNA criteria for notification of congenital syphilis is necessary for clinicians and public health staff. Emerging evidence has supported the recent simplification of CDNA criteria for notification of congenital syphilis, effective 1 July 2015.
CASE STUDY. MERCURY POLLUTION NEAR A CHEMICAL PLANT IN NORTHERN KAZAKHSTAN

EPA Science Inventory

In northern Kazakhstan, there is a serious case of mercury pollution near Pavlodar City from an old mercury cell chlor-alkali plant. The soil, sediment, and water are contaminated with more than a thousand tons of mercury and mercury compounds as a result of the operation of the ...
The Northern Ireland Early Onset Psychosis Study: Phenomenology and Co-Morbidity in the First 25 Cases

ERIC Educational Resources Information Center

Fulton, Karen; Short, Mary; Harvey-Smith, Diane; Rushe, Teresa M.; Mulholland, Ciaran

2008-01-01

Diagnosing psychotic disorders in young people is difficult. High rates of co-morbidity may be one reason for this difficulty, but it may also be the case that current diagnostic categories are not the most useful when approaching the care of young people with psychotic symptoms. The Northern Ireland Early Onset Psychosis Study is the first study…
Student Teachers of Technology and Design into Industry: A Northern Ireland Case Study

ERIC Educational Resources Information Center

Gibson, Ken

2013-01-01

This paper, based in Northern Ireland, is a case study of an innovative programme which places year 3 B.Ed. post-primary student teachers of Technology and Design into industry for a five-day period. The industrial placement programme is set in an international context of evolving pre-service field placements and in a local context defined by the…
Technology Solutions Case Study: Cold Climate Foundation Wall Hygrothermal Research Facility, Cloquet, Minnesota

DOE Office of Scientific and Technical Information (OSTI.GOV)

None

2014-09-01

This case study describes the University of Minnesota’s Cloquet Residential Research Facility (CRRF) in northern Minnesota, which features more than 2,500 ft2 of below-grade space for building systems foundation hygrothermal research. Here, the NorthernSTAR Building America Partnership team researches ways to improve the energy efficiency of the building envelope, including wall assemblies, basements, roofs, insulation, and air leakage.
A Case Study of the Integration of Information and Communication Technology in a Northern Ontario First Nation Community High School: Challenges and Benefits

ERIC Educational Resources Information Center

Laronde, Gerald; MacLeod, Katarin; Frost, Lorraine; Waller, Ken

2017-01-01

A case study approach was used in examining Information and Communication Technology (ICT) use within a small First Nation high school in Northern Ontario. Quantitative and qualitative data was gathered from students, teacher, and the administrator, who participated in an online survey, followed by interviews on their use of ICT in education. How…
Study on water vapor characteristic of typical heavy snowstorm case in Northern Xinjiang

NASA Astrophysics Data System (ADS)

Cui, C.; Zhang, J.

2017-12-01

Using the daily precipitation at 51 weather stations in the Northern Xinjiang from November to March during 2000—2012 and daily water vapor of NCEP/NCAR 6 h 1°×1° reanalysis data, the water vapor characteristics of 11 typical heavy snowstorm cases were studied. The result shows that the 11 cases are classified into 3 types: West of Northern Xinjiang and along Tianshan edge, north and east of Northern Xinjiang, west of Northern Xinjiang and west Tianshan. There are two main water vapor sources: Near the Mediterranean Sea, the Red Sea or near the Persian Gulf. There are two water vapor transport routes which are west, southwest and northwest, respectively. Water vapor from southwest route is more, that from northwest route is less. The top of water vapor is close to 300 hPa. The strongest water vapor transport level is between 650-750 hPa. Before the every occurrence of 11 heavy snowstorm processes, there are water vapor convergence between 600-1000 hPa in Northern Xinjiang.There are positive correlations between the snowstorm intensity and water vapor convergence between 600-1000 hPa, as well as the convergence strength, rang and duration time in Northern Xinjiang. Hence, some lowest values of the strongest water vapor transport, water vapor convergence and the upper and lower level jet streams are resented also and gave useful references for accurate heavy snowstorm forecasting.
Neuropsychiatric perspectives on nodding syndrome in northern Uganda: a case series study and a review of the literature.

PubMed

Musisi, S; Akena, D; Nakimuli-Mpungu, E; Abbo, C; Okello, J

2013-06-01

Nodding Syndrome (NS), previously called Nodding Disease, is a chronic and debilitating illness affecting thousands of children aged 3-18 years in post-conflict Northern Uganda and South Sudan. Characterised by malnutrition, stunted growth, mental retardation and seizures, some researchers have designated it as epilepsy. With reports appearing in Northern Uganda in1997, NS reached epidemic proportions around 2000-2003 when people were moved into Internally Displaced People's (IDP) camps. Investigations for infections (onchocerciasis) and toxins have been inconclusive as to cause, treatment or outcome. No study has addressed the possible relationship of NS to childhood war-trauma experiences. To explore a possible relationship of exposure to prolonged war-trauma and the emergence of epidemic NS in Northern Uganda. This study was a case-series descriptive psychiatric naturalistic field observations of NS cases from homesteads in Northern Uganda and psychiatric investigations and treatment of NS cases referred to Mulago National Referral and Teaching Hospital. Detailed Psychiatric clinical evaluations and field observations revealed that NS children had been exposed to severe war-related psychological and physical trauma as well as non-specific CNS insults including untreated CNS infections/infestations and malnutrition possibly causing seizures. Many children suffered post-traumatic stress disorder (PTSD) and depression. NS could present as an association of childhood complex PTSD, (called Developmental Trauma Disorder), occurring in the chronically war-traumatised children of Northern Uganda, complicated by severe prolonged depression with its characteristic symptoms of psychomotor retardation, anxiety, anhedonia and anorexia. This, coupled with food shortages, resulted in malnutrition, wasting and stunted growth with severe avitaminoses. Many children had seizures. All this calls for multi-disciplinary treatment approaches.
Deriving habitat models for northern long-eared bats from historical detection data: a case study using the Fernow Experimental Forest

Treesearch

W. Mark Ford; Alexander Silvis; Jane L. Rodrigue; Andrew B. Kniowski; Joshua B. Johnson

2016-01-01

The listing of the northern long-eared bat (Myotis septentrionalis) as federally threatened under the Endangered Species Act following severe population declines from white-nose syndrome presents considerable challenges to natural resource managers. Because the northern long-eared bat is a forest habitat generalist, development of effective...
Synoptic study of the seasonal variability of dust cases observed by the TOMS satellite over northern Saudi Arabia

NASA Astrophysics Data System (ADS)

Awad, Adel M.; Mashat, Abdul-Wahab S.; Alamoudi, Ahmad O.; Assiri, Mazen E.

2016-05-01

The aerosol index (AI) from the Total Ozone Mapping Spectrometer (TOMS) satellite and meteorological parameters from National Center for Environmental Prediction and the National Center for Atmospheric Research (NCEP/NCAR) reanalysis datasets were used to examine seasonal dust cases in northern Saudi Arabia. Considering all seasons, winter has the fewest dust cases, whereas summer has the most dust cases. Synoptically, surface high-pressure systems in the eastern and western regions are important for the occurrence of dust cases over the northern Arabian Peninsula. When the eastern high pressure prevails, the effects of the Indian low-pressure system on the Arabian Peninsula are weakened or become nonexistent. The extension of the western high-pressure system toward the southeast provides an opportunity for a low-pressure system over Southeast Africa to connect with the Indian low-pressure system, which increases the width of the low-pressure trough and affects the Arabian Peninsula by increasing the amount of dust over the region. At 850 hPa, the weather systems typically rotate clockwise between winter and autumn. In winter, cyclonic systems prevail in the northern region, while anticyclonic systems prevail in the south. The systems are oriented toward the northeast in spring, the west in summer, and the southeast in autumn. Moreover, northern cyclones at 500 hPa shrink as they move northward and the maximum wind speed at 250 hPa decreases from winter to summer. Furthermore, the case study confirms that a change in the relative strength of the pressure systems and a change in the orientation of the isobars (contours) affect the amount of dust over the area. When the orientation of the isobar (contour) lines become strictly north to south or east to west, the amount of dust decreases and vice versa.
[Poles of American tegumentary leishmaniasis production in northern Paraná State, Brazil].

PubMed

Monteiro, Wuelton Marcelo; Neitzke, Herintha Coeto; Silveira, Thaís Gomes Verzignassi; Lonardoni, Maria Valdrinez Campana; Teodoro, Ueslei; Ferreira, Maria Eugênia Moreira Costa

2009-05-01

American tegumentary leishmaniasis is endemic in the State of Paraná, with 99.3% of the cases reported in the South of Brazil. Spatial distribution of the disease in northern Paraná was verified, identifying the most relevant geographic areas in epidemiological terms. The study used data recorded on epidemiological forms from the Teaching and Research Clinical Test Laboratory of the State University in Maringá, from 1987 to 2004. The study only included individuals that were infected in the municipalities (counties) in northern Paraná. Identification of the epidemiological units (poles and circuits) was based on spatial density of cases, according to the model proposed by the National Health Foundation, considering the most likely infection sites. Considering 1,933 reported cases, 1,611 were infected in northern Paraná. American tegumentary leishmaniasis distribution in Paraná State suggests two circuits for production of the disease: Paraná-Paranapanema, highlighting the Cinzas-Laranjinha, Tibagi, Ivaí-Pirapó, Piquiri, and Baixo Iguaçu poles, and Ribeira, highlighting the Alto Ribeira pole.
Teachers' Emotional Responses to New Pedagogical Tools in High Challenge Settings: Illustrations from the Northern Territory

ERIC Educational Resources Information Center

Harper, Helen

2012-01-01

This paper explores the role of teachers' emotions in adopting new pedagogical tools in urban and remote schools in the Northern Territory. The discussion is illustrated through case study material of Northern Territory teachers who had taken up using a web-based early childhood literacy resource called ABRACADABRA. A sociocultural perspective is…
The Prachanda Path and Oglaigh na hEireann: A Comparative Case Study of the Insurgencies in Nepal and Northern Ireland

DTIC Science & Technology

2008-05-22

Prior to the 1980s, politicians aligned with the PIRA conducted an activity called “ abstentionism ,” which meant that they participated in elections... The Prachanda Path and Óglaigh na hÉireann: A Comparative Case Study of the Insurgencies in Nepal and Northern Ireland A Monograph by MAJOR...burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing
Spotlight on measles 2010: ongoing measles outbreak in Northern Ireland following an imported case, September-October 2010.

PubMed

Smithson, R; Irvine, N; Hutton, C; Doherty, L; Watt, A

2010-10-28

We report an ongoing outbreak of measles with five laboratory-confirmed and four epidemiologically linked cases in Northern Ireland as at 26 October 2010. The index case was an unvaccinated non-Northern Ireland resident with subsequent genotyping suggesting that infection originated in the usual country of residence of this case. Confirmed cases include one patient with a history of two measles-mumps-rubella vaccine doses.
Child in a Form: The Definition of Normality and Production of Expertise in Teacher Statement Forms--The Case of Northern Finland, 1951-1990

ERIC Educational Resources Information Center

Koskela, Anne; Vehkalahti, Kaisa

2017-01-01

This article shows the importance of paying attention to the role of professional devices, such as standardised forms, as producers of normality and deviance in the history of education. Our case study focused on the standardised forms used by teachers during child guidance clinic referrals and transfers to special education in northern Finland,…
An Outbreak of Japanese Encephalitis in Adults in Northern China, 2013: A Population-Based Study.

PubMed

Li, Xiaolong; Gao, Xiaoyan; Fu, Shihong; Wang, Huanyu; Lu, Zhi; He, Ying; Lei, Wenwen; Liang, Guodong

2018-05-09

A Japanese encephalitis (JE) epidemic occurred in 2013 in China. The aim of this study was to determine the spatial-temporal pattern of JE cases in adults occurring in 2013, as well as identify potential hotspots of incidences in the afflicted regions in China. To generate a spatial-temporal pattern of JE cases in China, epidemiological and demographic data between 2011 and 2013 were collected. Our results indicate that the total number of JE cases in 2013 was significantly higher compared with those in 2011 and 2012. While the incidence of JE in individuals aged less than 15 years decreased in 2013, the incidence rate increased substantially in those aged 15 years and older. The population aged over 40 years was associated with the greatest increase of JE. Demographic analysis revealed a consistent increase in the proportion of JE cases aged 15 years and older in 2013 (42%) compared with that in 2012 (15%). In addition, JE cases from areas located between 35°N, 114°E and 40°N, 120°E in northern China were found to account for 27.17% of total JE cases nationwide in 2013, compared with 2.21% and 3.13% in 2011 and 2012, respectively. In these northern regions, the group aged 15 years and older represents the predominant population with JE, accounting for 73% of total cases. Further cluster analysis identified a large number of hotspots of JE in adults (>15 years of age) in northern China. Unlike the JE epidemics primarily in children below 15 years old in southern China, a significant outbreak of JE occurred in northern China in 2013, with the older age groups being the primary population affected. The increasing incidence of JE in adults has become an important public health issue and poses a new challenge to the successful prevention and control of JE in China, as well as other countries in East Asia.

Impact of Non-Formal Primary Education Programs: A Case Study of Northern Ghana.

ERIC Educational Resources Information Center

Mfum-Mensah, Obed

A study assessed the impact of the Shepherd School program, a nonformal basic education program in rural northern Ghana implemented by a nongovernmental organization. Data were gathered through observation; document analysis; and interviews with 42 children, parents, community members, chiefs, school staff, NGO members, and assemblymen in 2…
Leading Integrated Schools: A Study of the Multicultural Perspectives of Northern Irish Principals

ERIC Educational Resources Information Center

McGlynn, Claire

2008-01-01

This article is concerned with the sustained peace education initiative of integrated schooling and in particular with leadership responses to cultural diversity. Using a case study group of principals of integrated (mixed Catholic, Protestant and other) schools in Northern Ireland, the author explores how principals perceive and lead their…
Mentored Research in a Tribal College Setting: The Northern Cheyenne Case

ERIC Educational Resources Information Center

Ward, Carol; Jones, Kacey Widdison; Coles, Ryan; Rich, Loren; Knapp, Stan; Madsen, Robert

2014-01-01

The current study, which focuses on mentored research experiences of freshmen and sophomores at the tribal college of the Northern Cheyenne Nation, responds to the call by Ovink and Veazey (2011) for additional study of effective strategies for providing both mentoring and research experiences for minority undergraduates. We use qualitative…
An Evaluation of Social Work Practice in the Northern Ireland Guardian Ad Litem Agency in Working with Children and Families from Black Minority Ethnic Communities

ERIC Educational Resources Information Center

Nicholl, Patricia; Devine, Patricia; Sheldon, John; Best, Sarah

2016-01-01

Research in the area of working with ethnic minorities in the care system remains limited. The primary objective of this study was to consider the volume of cases referred to the Northern Ireland Guardian Ad Litem Agency (NIGALA) from ethnic minority families in 2013/14 and to generate knowledge from the cases about cultural competency in the…
An Unexpected Case of Lyme Disease in a Soldier Serving in Northern Iraq

DTIC Science & Technology

2010-05-01

Christopher E. Curtis, MC USAt 188143 ABSTRACT Lyme disease is a tick-transmitted disease caused by the spirochete Borrelia burgdorferi. Cases have been...MILITARY MEDICINE, 175,5:367,2010 An Unexpected Case of Lyme Disease in a Soldier Serving in Northern Iraq CPT Jeremy B. Fisher, SP USA *; CPT...Turkey.3-S We report an unexpected case of Lyme disease from Iraq. CASE REPORT A 28-year-old active duty Army male, on a deployment to northern Iraq
Nosological Inaccuracies in death certification in Northern Ireland. A comparative study between hospital doctors and general practitioners.

PubMed Central

Armour, A.; Bharucha, H.

1997-01-01

We aimed to audit nosological inaccuracies in death certification in Northern Ireland and to compare performance of hospital doctors and general practitioners. Nosology is the branch of medicine which treats of the classification of disease. 1138 deaths were registered in Northern Ireland in a 4-week period commencing 3/10/94. 195 of these were either registered by HM Coroners (HMC) or required further investigation by their staff; these cases were excluded from the study. The remaining 943 were analysed for wording and formulation inaccuracies according to the revised notes (1974), Northern Ireland Medical Certificate of Cause of Death. These are issued in book form by the Registrar of Births and Deaths. The commonest inaccuracies in death certification occur in the areas of poor terminology, sequence errors and unqualified mode. One or more inaccuracies were found in 317 (33.6%) of cases. In 13 of these (4%) cases, the inaccuracies were serious enough to warrant referral by the Registrar of Deaths to HM Coroner. The numbers of general practitioners and hospital doctors were recorded, with general practitioners being responsible for 122 (38%) and hospital doctors being responsible for 195 (62%) of inaccuracies. PMID:9185484
Optimal placement of point detectors on Virginia's freeways : case studies of Northern Virginia and Richmond.

DOT National Transportation Integrated Search

2008-01-01

In Virginia, point detectors in the Northern Virginia and Hampton Roads regions are placed at approximately 1/2 mile spacing. This density is a product of early requirements for incident detection that have proven ineffective and perhaps unnecessary....
Decision Making Process and Declining Enrollments in Northern New England

ERIC Educational Resources Information Center

St. Cyr, Robert

2017-01-01

This research was conducted as a qualitative comparative case study of two Northern New England school districts that were in the process of responding to declining enrollments. The purpose of the study was to explore decision-making through the lens of declining enrollments. An award winning rural school in an affluent town with high performing…
Factors Affecting Herd Status for Bovine Tuberculosis in Dairy Cattle in Northern Thailand

PubMed Central

Singhla, Tawatchai; Punyapornwithaya, Veerasak; VanderWaal, Kimberly L.; Alvarez, Julio; Sreevatsan, Srinand; Phornwisetsirikun, Somphorn; Sankwan, Jamnong; Srijun, Mongkol; Wells, Scott J.

2017-01-01

The objective of this case-control study was to identify farm-level risk factors associated with bovine tuberculosis (bTB) in dairy cows in northern Thailand. Spatial analysis was performed to identify geographical clustering of case-farms located in Chiang Mai and Chiang Rai provinces in northern Thailand. To identify management factors affecting bTB status, a matched case-control study was conducted with 20 case-farms and 38 control-farms. Case-farms were dairy farms with at least single intradermal tuberculin test- (SIT-) reactor(s) in the farms during 2011 to 2015. Control-farms were dairy farms with no SIT-reactors in the same period and located within 5 km from case-farms. Questionnaires were administered for data collection with questions based on epidemiological plausibility and characteristics of the local livestock industry. Data were analyzed using multiple logistic regressions. A significant geographic cluster was identified only in Chiang Mai province (p < 0.05). The risk factor associated with presence of SIT-reactors in dairy herds located in this region was purchasing dairy cows from dealers (OR = 5.85, 95% CI = 1.66–20.58, and p = 0.006). From this study, it was concluded that geographic clustering was identified for dairy farms with SIT-reactors in these provinces, and the cattle movements through cattle dealers increased the risks for SIT-reactor farm status. PMID:28553557
Qualification Journey in Teacher Training: Case in Northern Cyprus

ERIC Educational Resources Information Center

Erden, Hale

2016-01-01

Problem Statement: The identification of professional teaching standards has great value on initial teacher training, hiring teachers, assessing teacher performance, as well as planning and organizing teacher professional development. In Northern Cyprus there are not any identified professional teaching standards. This study aimed at filling this…
Are Separate Schools Divisive? A Case Study from Northern Ireland

ERIC Educational Resources Information Center

Hughes, Joanne

2011-01-01

In Northern Ireland, where the majority of children are educated at schools attended mainly by coreligionists, the debate concerning the role of schools in perpetuating intergroup hostilities has recently been reignited. Against questions regarding the efficacy of community relations policy in education, the research reported in this paper employs…
Changing Technology and Work: Northern Telecom. CAW Technology Project.

ERIC Educational Resources Information Center

Robertson, David; Wareham, Jeff

A project to examine the implications of technological change at Northern Telecom consisted of two major components: a technological survey and case study research. A questionnaire that contained more than 90 questions on technological change was distributed through local union technology committee meetings in Brampton, London, Belleville, and…
Cavity trees, snags, and selection cutting: a northern hardwood case study

Treesearch

Laura S. Kenefic; Ralph D. Nyland

2007-01-01

Although traditional application of the selection system includes a focus on high-value trees that may reduce cavities and snags, few studies have quantified those habitat features in managed uneven-aged stands. We examined the effects of single-tree selection cutting on cavity trees and snags in a northern hardwood stand immediately prior to the second cutting....
A landscape inventory framework: scenic analyses of the Northern Great Plains

Treesearch

Litton R. Burton Jr.; Robert J. Tetlow

1978-01-01

A set of four visual inventories are proposed. They are designed to document scenic resources for varied scales of application, from regional and general to local and specific. The Northern Great Plains is used as a case study. Scenic analysis and identification of criteria extend earlier work. The inventory is based on (1) study of previously developed landscape...
Government Actions to Control Terrorist Violence: A Case Study on Northern Ireland

DTIC Science & Technology

1988-03-01

Continue on reverse if necessary and identify by block number) E~~0! G~P I -OP ITerrorism; Government Legislation to Control Terrorism; Irish Re...of the British government’s efforts to legislate improvements in Northern Ireland. It appears that only through this process can peace and...international attention and has been the focus of much of the British government’s efforts to legislate improvements in Northern Ireland. It appears that
Integrating Saharan dust forecasts into a regional chemical transport model: a case study over Northern Italy.

PubMed

Carnevale, C; Finzi, G; Pisoni, E; Volta, M; Kishcha, P; Alpert, P

2012-02-15

The Po Valley in Northern Italy is frequently affected by high PM10 concentrations, where both natural and anthropogenic sources play a significant role. To improve air pollution modeling, 3D dust fields, produced by means of the DREAM dust forecasts, were integrated as boundary conditions into the mesoscale 3D deterministic Transport Chemical Aerosol Model (TCAM). A case study of the TCAM and DREAM integration was implemented over Northern Italy for the period May 15-June 30, 2007. First, the Saharan dust impact on PM10 concentration was analyzed for eleven remote PM10 sites with the lowest level of air pollution. These remote sites are the most sensitive to Saharan dust intrusions into Northern Italy, because of the absence of intensive industrial pollution. At these remote sites, the observed maxima in PM10 concentration during dust events is evidence of dust aerosol near the surface in Northern Italy. Comparisons between modeled PM10 concentrations and measurements at 230 PM10 sites in Northern Italy, showed that the integrated TCAM-DREAM model more accurately reproduced PM10 concentration than the base TCAM model, both in terms of correlation and mean error. Specifically, the correlation median increased from 0.40 to 0.65, while the normalized mean absolute error median dropped from 0.5 to 0.4. Copyright © 2011 Elsevier B.V. All rights reserved.
Clinical and Drug Resistance Characteristics of New Pediatric Tuberculosis Cases in Northern China.

PubMed

Wang, Ting; Dong, Fang; Li, Qin-Jing; Yin, Qing-Qin; Song, Wen-Qi; Mokrousov, Igor; Jiao, Wei-Wei; Shen, A-Dong

2018-05-09

The aim of this study was to evaluate the clinical features and characteristics of drug resistance in newly diagnosed pediatric tuberculosis (TB) patients in northern China. Mycobacterium tuberculosis isolates were collected from September 2010 to October 2016 at the Beijing Children's Hospital. Patients were divided into two groups (resistant to at least one drug and pan-susceptible) according to drug susceptibility testing (DST) results. A total of 132 new cases, mainly from northern China (87.9%), were included in the study. The median age was 1.9 years (1 month-15 years). Resistance to at least one drug was detected in Mycobacterium tuberculosis isolates from 33 (25%) cases. Eight cases of multidrug-resistant TB (MDR-TB) (6.1%) were detected. The two groups did not differ in clinical presentations (disease site, fever >2 weeks, and cough >2 weeks) or in chest imaging (lesion location, lymphadenitis [mediastinal], and pleural effusion). The rate of Mycobacterium tuberculosis drug resistance in new pediatric TB cases was as high as in the new adult patients surveyed in the national drug resistance survey conducted in 2007. No significant difference was observed in clinical features between patients infected with drug-resistant and drug-susceptible strains. Routine DST is important for prescribing effective antituberculosis treatment regimens.
Integrating species distributional, conservation planning, and individual based population models: A case study in critical habitat evaluation for the Northern Spotted Owl

EPA Science Inventory

Background / Question / Methods As part of the ongoing northern spotted owl recovery planning effort, we evaluated a series of alternative potential critical habitat scenarios using a species-distribution model (MaxEnt), a conservation-planning model (Zonation), and an individua...
Case Study on Education Opportunities for Hill Tribes in Northern Thailand: Implications for Sustainable Rural Development.

ERIC Educational Resources Information Center

Fujioka, Rika

This research analyzes the impact of the Thai government's activities to promote educational opportunities for people of the northern hill tribes. In addition to interviews with government and nongovernmental organization staff, field surveys were conducted in hill tribe villages. The introductory chapter provides background information on the…
Interdisciplinary Continuing Education in a Rural and Remote Area: The Approach of the Northern Educational Centre for Aging and Health.

ERIC Educational Resources Information Center

Kelley, Mary Lou; MacLean, Michael J.

1997-01-01

A case study of professional continuing education in palliative care delivered in rural northern Canada identified these effectiveness factors: interdisciplinary and participatory approach, responsiveness to rural health practitioners' practice context and work style, and integration of educational approaches with rural realities. (SK)

Motivations and Experiences of Teachers in a Northern Manitoba Community

ERIC Educational Resources Information Center

Janzen, Melanie D.; Cranston, Jerome

2015-01-01

This paper utilizes an exploratory case study method to examine the factors that attract and motivate teachers to stay in a remote, northern Canadian community. Bakan's (1966) framework of agency and communion, provides a lens for exploring and understanding teachers' experiences of working in the north where the term "the North" is…
Habitat diversity in uneven-aged northern hardwood stands: a case study

Treesearch

Laura S. Kenefic; Ralph D. Nyland

2000-01-01

Habitat characteristics were quantified in an empirically balanced uneven-aged northern hardwood stand in central New York. Canopy structure, wildlife trees, downed woody material, low cover, and richness and abundance of understory vegetation were assessed. High vertical structural diversity and low horizontal patchiness were associated with the single-tree selection...
Hepatitis C as a cause of chronic liver disease in northern Pakistan.

PubMed

Malik, I A; Ahmad, N; Luqman, M; Legters, L J; Khalil-Ullah; Zaheeruddin; Ahmed, A; Bukhtiari, N; Nabi, S; Mubarik, A

1992-03-01

The antibodies to hepatitis C virus (HCV) were tested in 45 histologically confirmed cases of chronic liver disease. Twelve cases had chronic hepatitis, 24 cirrhosis and 9 hepatocellular carcinoma. Anti-HCV was detected in 6 patients. Two (16.67%) were suffering from chronic hepatitis, 3 (12.5%) had cirrhosis and one (11.11%) hepatocellular carcinoma. None of the anti-HCV positive cases had past history of blood transfusion. The patients of chronic liver disease in this study had a much higher prevalence of HBV infection which indicates that in northern Pakistan hepatitis C virus infection is not a common cause of chronic liver disease whereas HBV infection plays an aetiological role in a much larger number of these cases.
Livelihood Diversification through Migration among a Pastoral People: Contrasting Case Studies of Maasai in Northern Tanzania

PubMed Central

McCabe, J. Terrence; Smith, Nicole M.; Leslie, Paul W.; Telligman, Amy L.

2015-01-01

This paper brings together over two decades of research concerning the patterns and processes of livelihood diversification through migration among Maasai pastoralists and agro-pastoralists of northern Tanzania. Two case studies, one from the Ngorongoro Conservation Area and the other from the Simanjiro plains, jointly demonstrate the complexity of migration within a single ethnic group. We analyze the relationship between wealth and migration and examine some of the consequences of migration for building herds, expanding cultivation, and influencing political leadership. We further argue that migration in Maasai communities is becoming a cultural norm and not only a response to economic conditions. PMID:25745192
Promoting Rural Development Through Linkages with Higher Education: A Case Study of the Northern New York Economy.

ERIC Educational Resources Information Center

Chugh, Ram L.

This paper examines the role that colleges and universities play in the economy of rural northern New York. It is based on a 1992-93 survey of 20 of the 21 colleges and universities in the region. Parts of the survey were updated in 1997. The study found that the institutions played a vital role in assisting businesses and community organizations…
Exploring Equity, Diversity and Interdependence through Dialogue and Understanding in Rural Northern Ireland.

ERIC Educational Resources Information Center

Murray, Michael; Murtagh, Brendan

2003-01-01

Explains the context for equity, diversity, and interdependence (EDI), followed by a case study of a Northern Ireland service organization using the EDI process to help articulate the voice of rural community groups. Illustrates the value of concerted dialogue to facilitate systemic relational change in organizations and with their constituents.…
Integrating distributional, spatial prioritization, and individual-based models to evaluate potential critical habitat networks: A case study using the Northern Spotted Owl

EPA Science Inventory

As part of the northern spotted owl recovery planning effort, we evaluated a series of alternative critical habitat scenarios using a species-distribution model (MaxEnt), a conservation-planning model (Zonation), and an individual-based population model (HexSim). With this suite ...
The Silent North: A Case Study on Deafness in a Dene Community.

ERIC Educational Resources Information Center

Castleden, Heather

2002-01-01

In an isolated, northern Canadian, Indigenous community, interviews were conducted with family and community members connected to a young deaf boy, who finally was sent away to a residential school. Findings highlight the lack of culturally relevant services in northern communities, prevalence of otitis media and hearing loss in Native children,…
Erosion at decommissioned road-stream crossings: case studies from three northern California watersheds

Treesearch

Sam A. Flanagan; David Fuller; Leonard Job; Sam Morrison

2012-01-01

Post-treatment erosion was observed for 41 decommissioned road stream crossings in three northern California watersheds. Sites were purposefully selected in order to characterize the nature and range of post-treatment erosional responses. Sites with the highest visible erosion were selected in order to better understand the dominant process and incorporate any...
Balancing Identity and Diversity in Faith-Based Nursing Education: A Case Study from Northern Europe

ERIC Educational Resources Information Center

Tveit, Bodil; Karvinen, Ikali; Damsma-Bakker, Alica; Ylönen, Merja; Oosterhoff-Zielman, Marjanne; Fanuelsen, Olav; van Leeuwen, Réné

2015-01-01

The role of faith-based nursing education is contested in today's Northern European societies, which are often described as postmodern, pluralist, or secular. Although faith-based institutions played pioneering roles in the early development of nursing education, many today downplay their religious roots and have transformed themselves into modern…
The Varying Vulnerability of African Orphans: The Case of the Langi, Northern Uganda

ERIC Educational Resources Information Center

Oleke, Christopher; Blystad, Astrid; Moland, Karen Marie; Rekdal, Ole Bjorn; Heggenhougen, Kristian

2006-01-01

This article is based on a qualitative study carried out in Lira District, northern Uganda, to assess the situation of orphans cared for in extended families. The objective of the article is to bring attention to the varying vulnerability of different categories of orphans. The methods employed in data collection included ethnographic fieldwork,…
Conceptions of Parenting in Different Cultural Communities: The Case of West African Nso and Northern German Women

ERIC Educational Resources Information Center

Keller, Heidi; Voelker, Susanne; Yovsi, Relindis Dzeaye

2005-01-01

The present study compares conceptions about parenting in two cultural communities that may be expected to hold different views on parent-child relationships. Sociodemographically diverse samples of 46 Northern German and 39 West African Nso women evaluated parenting behavior observed in 10 Nso and 10 German videotaped mother-infant interaction…
Sequence variations of Epstein-Barr virus-encoded BARF1 gene in nasopharyngeal carcinomas and healthy donors from southern and northern China.

PubMed

Liu, Jincheng; Ji, Xinqiang; Shen, Zhichao; Wang PhD, Yun; Luo PhD, Bing

2018-05-24

The BamHI A rightward frame 1 (BARF1) gene of the Epstein-Barr virus (EBV) is involved in carcinogenesis and immunomodulation of EBV-associated malignancies. The geographical distributions and the disease associations of BARF1 variants remain unclear. In the current study, the BARF1 variants in nasopharyngeal carcinoma (NPC) cases and healthy donors from southern and northern China, the NPC endemic and non-endemic areas, as well as in 153 sequenced EBV genomes from diseased and normal people from around the world, were determined and compared among areas and populations. Only 1 consistent coding change, V29A, and several consistent silent mutations were identified. Two BARF1 types (B95-8 and V29A) and 2 B95-8 subtypes (B95-8 t165545c and B95-8 P ) were classified. For Chinese isolates, the B95-8 type was dominant in both southern and northern China, but the isolates from southern China showed a higher frequency of the B95-8 t165545c subtype than the isolates from northern China (76.0%, 38/50 NPC cases and 50.7%, 37/73 healthy donors vs 26.4%, 24/91 NPC cases and 7.6%, 6/79 healthy donors, P < .0001). Furthermore, the B95-8 t165545c subtype was more frequent in NPC cases than healthy donors in both southern China (P = .005) and northern China (P = .001). For EBV genomes, the B95-8 P subtype was dominant in northern China, Europe, America, and Australia, while V29A was dominant in Africa. The B95-8 t165545c subtype was only identified in Asia and demonstrated high frequency (81.2%, 26/32) in genomes from NPC cases in southern China. These results further reveal conservation and possibly geographically spread variations of BARF1 and may also indicate the preference of EBV strains with the B95-8 t165545c subtype in NPC cases, without biological or pathogenic implications. © 2018 Wiley Periodicals, Inc.
Maternal Infection during Pregnancy and Autism Spectrum Disorders

ERIC Educational Resources Information Center

Zerbo, Ousseny; Qian, Yinge; Yoshida, Cathleen; Grether, Judith K.; Van de Water, Judy; Croen, Lisa A.

2015-01-01

We conducted a nested case-control study including 407 cases and 2,075 frequency matched controls to investigate the association between maternal infections during pregnancy and risk of autism spectrum disorders (ASD). Cases, controls, and maternal infections were ascertained from Kaiser Permanente Northern California clinical databases. No…
Case Report: Myiasis due to Cochliomyia hominivorax and Dermatobia hominis: Clinical and Pathological Differences between Two Species in Northern Peru.

PubMed

Failoc-Rojas, Virgilio E; Molina-Ayasta, Carolina; Salazar-Zuloeta, Jaime; Samamé, Abel; Silva-Díaz, Heber

2018-01-01

Infestations caused by fly larvae (Myiasis) have been observed in patients with risk factors and in tropical zones. The aim of our study was to describe the clinical and epidemiological aspects and the risk factors associated with the occurrence of obligatory myiasis, as well as the therapeutic approach to patients. We identified the cases of myiasis diagnosed in two referral hospitals in northern Peru from January 2012 to December 2015 and included patients in whom larval development and a compatible clinical profile were observed. Epidemiological, clinical, analytical, diagnostic, therapeutic, and follow-up data were collected from clinical files. Nine clinical cases were compatible with a diagnosis of myiasis; of these, two were pediatric patients, one was a middle-aged adult, and six were elderly patients. Four of the nine patients were male. The identified species were Dermatobia hominis and Cochliomyia hominivorax. The therapeutic approach included antiparasitic therapy with ivermectin, antibacterial, and in some cases, anti-inflammatory drugs. Dermatobia hominis and C. hominivorax are the predominant species causing myiasis in northern Peru.
Association Between High Environmental Heat and Risk of Acute Kidney Injury Among Older Adults in a Northern Climate: A Matched Case-Control Study.

PubMed

McTavish, Rebecca K; Richard, Lucie; McArthur, Eric; Shariff, Salimah Z; Acedillo, Rey; Parikh, Chirag R; Wald, Ron; Wilk, Piotr; Garg, Amit X

2018-02-01

An association between high heat and acute kidney injury (AKI) has been reported in warm climates. However, whether this association generalizes to a northern climate, with more variable temperatures, is unknown. Matched case-control study. Our study focused on older adults (mean age, 80 years) in the northern climate of Ontario, Canada. 52,913 case patients who had a hospital encounter with AKI in April through September 2005 to 2012 were matched with 174,222 controls for exact date, age, sex, rural residence, income, and history of chronic kidney disease. Heat periods were defined as 3 consecutive days exceeding the 95th percentile of area-specific maximum temperature. Hospital encounter (inpatient admission or emergency department visit) with a diagnosis of AKI. ORs (95% CIs) were used to assess the association between heat periods and AKI. To quantify the effect in absolute terms, we multiplied the population incidence rate of AKI in the absence of heat periods by our adjusted OR (an approximate of relative risk). Heat periods were significantly associated with higher risk for AKI (adjusted OR, 1.11; 95% CI, 1.00-1.23). Heat periods in absolute terms were associated with an additional 182 cases of AKI per 100,000 person-years during the warm season. We did not know how long persons were outside or if they had access to air conditioning. In a northern climate, periods of higher environmental heat were associated with a modestly higher risk for hospital encounter with AKI among older adults. Copyright © 2017 National Kidney Foundation, Inc. Published by Elsevier Inc. All rights reserved.
Development of essentialist thinking about religion categories in Northern Ireland (and the United States).

PubMed

Smyth, Kirsty; Feeney, Aidan; Eidson, R Cole; Coley, John D

2017-03-01

Social essentialism, the belief that members of certain social categories share unobservable properties, licenses expectations that those categories are natural and a good basis for inference. A challenge for cognitive developmental theory is to give an account of how children come to develop essentialist beliefs about socially important categories. Previous evidence from Israel suggests that kindergarteners selectively engage in essentialist reasoning about culturally salient (ethnicity) categories, and that this is attenuated among children in integrated schools. In 5 studies (N = 718) we used forced-choice (Study 1) and unconstrained (Studies 2-4) category-based inference tasks, and a questionnaire (Study 5) to study the development of essentialist reasoning about religion categories in Northern Ireland (Studies 1-3 & 5) and the U.S. (Study 4). Results show that, as in Israel, Northern Irish children selectively engage in essentialist reasoning about culturally salient (religion) categories, and that such reasoning is attenuated among children in integrated schools. However, the development trajectory of essentialist thinking and the patterns of attenuation among children attending integrated schools in Northern Ireland differ from the Israeli case. Meta-analysis confirmed this claim and ruled out an alternative explanation of the results based on community diversity. Although the Northern Irish and Israeli case studies illustrate that children develop selective essentialist beliefs about socially important categories, and that these beliefs are impacted by educational context, the differences between them emphasize the importance of historical, cultural, and political context in understanding conceptual development, and suggest that there may be more than one developmental route to social essentialism. (PsycINFO Database Record (c) 2017 APA, all rights reserved).
[Analysis on the epidemiological features of human brucellosis in northern and southern areas of China, 2015-2016].

PubMed

Shi, Y J; Lai, S J; Chen, Q L; Mu, D; Li, Y; Li, X X; Yin, W W; Yu, H J

2017-04-10

Objective: To analyze the epidemiological characteristics of human brucellosis in northern and southern areas of China, and to develop national strategies for brucellosis prevention and control. Methods: Individual data on human brucellosis was collected from the National Notifiable Infectious Disease Reporting Information System to describe the situation of brucellosis in China during 2015-2016. Epidemiological features of the disease in northern and southern areas of China were analyzed. Results: A total of 104 125 cases were reported in mainland China during 2015-2016, with an average incidence rate as 3.81/100 000. The overall incidence rate from the northern provinces was 7.77/100 000 in 2016, a 18.6 % decrease from 2015 (9.55/100 000), whereas the incidence rate in the southern provinces was 0.27/100 000 in 2016, with an increase of 28.6 % than 0.21/100 000 in 2015. 90.0 % of the newly infected counties mainly distributed in southern China. As for the locations of reporting cases, most of them were in the same counties in the northern areas (52.3 % ) while most cases in the southern areas (59.6 % ) were imported from other counties. The median age of the cases was 48 ( IQR: 38-58) years, with male-to-female ratios as 2.7∶1 in the north and 2.2∶1 in the south. Majority of the cases were occupation-related, from both the northern (86.8 % ) and southern (62.7 % ) areas. Human brucellosis occurred every month throughout the year but with an obvious seasonal increase between March and July. Conclusions: Different epidemiological features of human brucellosis appeared in both northern and southern areas of China. The disease was seen endemic in the northern and dispersal in the southern provinces. Appropriate strategies for brucellosis prevention and control should be developed, according to the different epidemiological characteristics in the northern or southern areas.
Champion or Chump: Using a Book-Length Case Study to Evaluate a Mythical Principal

ERIC Educational Resources Information Center

Pace, Nicholas J.; Gilson, Timothy W.

2013-01-01

This study examined how 130 participants enrolled in the University of Northern Iowa (UNI) principalship program completed a standards-based evaluation after reading a book-length case study of a mythical principal. Application of the Iowa Standards for School Leaders (ISSL), which mirror the Interstate School Leadership Licensure Consortium…
Needs for Rural Research in the Northern Finland Context

ERIC Educational Resources Information Center

Muilu, Toivo

2010-01-01

The aim of this paper is to discuss the needs and demands which rural research faces at the interface between research and development. The case study area is northern Finland, which constitutes the most remote and sparsely populated areas of the European Union. This paper is based on the tradition of rural research since the 1980s in connection…

Enhancement of the 1988 northern U.S. drought due to wildfires

Treesearch

Yongqiang Liu

2005-01-01

Drought provides a favourable environment for the ignition and spread of intense wildfires. This study examines the opposite relationship between the two natural disasters, that is, the role of wildfires in the development of drought. The case of the 1988 northern U.S. wildfires is investigated. Emissions of smoke particles from the wildfires and the resulting optical...
The Management of Pupil Difference in Catholic-Protestant and Palestinian-Jewish Integrated Education in Northern Ireland and Israel

ERIC Educational Resources Information Center

McGlynn, Claire; Bekerman, Zvi

2007-01-01

This paper considers issues related to integration in education, specifically those related to the integration of ethnic/religious populations in conflict. The case study we will use is the educating together of Catholic and Protestant children and Palestinian and Jewish children in two troubled societies, Northern Ireland and Israel, where…
Programa de Fortalecimiento de Capacidades: Reflections on a Case Study of Community-Based Teacher Education Set in Rural Northern Peru

ERIC Educational Resources Information Center

Alsop, Steve; Ames, Patricia; Arroyo, Graciela Cordero; Dippo, Don

2010-01-01

This article explores distinctive features of a 5-year international education development project set in rural northern Peru (PROMEB, the "Proyecto de Mejoramiento de la Educacion Basica"). Grounded within a partnership between teacher educators from Peru, Mexico and Canada, and rural Peruvian teachers, students and their communities,…
Population-based study of Streptococcus suis infection in humans in Phayao Province in northern Thailand.

PubMed

Takeuchi, Dan; Kerdsin, Anusak; Pienpringam, Anupong; Loetthong, Phacharaphan; Samerchea, Sutit; Luangsuk, Pakkinee; Khamisara, Kasean; Wongwan, Nithita; Areeratana, Prasanee; Chiranairadul, Piphat; Lertchayanti, Suwat; Petcharat, Sininat; Yowang, Amara; Chaiwongsaen, Phanupong; Nakayama, Tatsuya; Akeda, Yukihiro; Hamada, Shigeyuki; Sawanpanyalert, Pathom; Dejsirilert, Surang; Oishi, Kazunori

2012-01-01

Streptococcus suis infection in humans has received increasing worldwide recognition. A prospective study of S. suis infection in humans was conducted in Phayao Province in northern Thailand to determine the incidence and the risk behaviors of the disease in this region in 2010. Thirty-one cases were confirmed. The case fatality rate was 16.1%, and the estimated incidence rate was 6.2 per 100,000 in the general population. The peak incidence occurred in May. The median age of the patients was 53 years and 64.5% were men. Consumption of raw pork products was confirmed in 22 cases and the median incubation period (range) was 2 days (0-11) after consumption of raw pork products. Isolates from 31 patients were confirmed as serotype 2 in 23 patients (74.2%) and serotype 14 in eight patients (25.8%). The major sequence types (STs) were ST1 (n = 20) for serotype 2 and ST105 (n = 8) for serotype 14. The epidemiological analysis suggested three possible clusters, which included 17 cases. In the largest possible cluster of 10 cases in Chiang Kham and its neighboring districts in May, the source of infection in four cases was identified as a raw pork dish served at the same restaurant in this district. Microbiological analysis confirmed that three of four cases associated with consumption of raw pork at this restaurant were attributable to an identical strain of serotype 2 with ST1 and pulsotype A2. Our data suggest a high incidence rate of S. suis infection in the general population in Phayao Province in 2010 and confirm a cluster of three cases in 31 human cases. Food safety control should be strengthened especially for raw pork products in northern Thailand.
Clinical and microbiological features of melioidosis in northern Vietnam.

PubMed

Phuong, Doan Mai; Trung, Trinh Thanh; Breitbach, Katrin; Tuan, Nguyen Quang; Nübel, Ulrich; Flunker, Gisela; Khang, Dinh Duy; Quang, Nguyen Xuan; Steinmetz, Ivo

2008-12-01

Sporadic cases of melioidosis have been reported from Vietnam for decades, but clinical and epidemiological data for the indigenous population are still scarce. In this study, we reviewed clinical and demographic data of patients with culture-proven melioidosis diagnosed at a single large referral hospital in Hanoi between November 1997 and December 2005. We found that the clinical manifestations of melioidosis (with fatal septicaemia as the most common presentation), a high rate of underlying diseases, and a peak of cases admitted during the wet season, were similar to studies from other endemic areas. The geographical origin of patients with melioidosis showed that melioidosis existed in at least 18 northern provinces. The characterization of clinical Burkholderia pseudomallei strains by multilocus sequence typing identified 17 different sequence types (STs), 11 of which have (as yet) not been found outside Vietnam. Several of these STs presumably were generated through recent evolutionary events in this rapidly diversifying bacterial species, and thus, restricted geographic distribution may be a consequence of limited time passed since emergence. To our knowledge, this is the first report on a series of cases describing clinical and epidemiological features of melioidosis and corresponding B. pseudomallei strains from northern Vietnam.
Epidemic characteristics and spatio-temporal patterns of scrub typhus during 2006-2013 in Tai'an, Northern China.

PubMed

Zheng, L; Yang, H-L; Bi, Z-W; Kou, Z-Q; Zhang, L-Y; Zhang, A-H; Yang, L; Zhao, Z-T

2015-08-01

Tai'an, a famous cultural tourist district, is a new endemic foci of scrub typhus in northern China. Frequent reports of travel-acquired cases and absence of effective vaccine indicated a significant health problem of scrub typhus in Tai'an. Thus, descriptive epidemiological methods and spatial-temporal scan statistics were used to describe the epidemic characteristics and detect the significant clusters of the high incidence of scrub typhus at the town level in Tai'an. Results of descriptive epidemiological analysis showed a total of 490 cases were reported in Tai'an with the annual average incidence ranging from 0·48 to 2·27/100 000 during 2006-2013. Females, the elderly and farmers are the high-risk groups. Monthly changes of scrub typhus cases indicated an obvious epidemic period in autumn. Spatial-temporal distribution analysis, showed significant clusters of high incidence mainly located in eastern and northern Tai'an. Our study suggests that more effective, targeted measures for local residents should be implemented in the eastern and northern areas of Tai'an in autumn. Meanwhile, it may prove beneficial for health policy makers to advise travellers to take preventive measures in order to minimize the risk of infection of scrub typhus in Tai'an.
Evaluation of bacterial meningitis surveillance data of the northern region, Ghana, 2010-2015

PubMed Central

Kaburi, Basil Benduri; Kubio, Chrysantus; Kenu, Ernest; Ameme, Donne Kofi; Mahama, Jacob Yakubu; Sackey, Samuel Oko; Afari, Edwin Andrew

2017-01-01

Introduction Bacterial meningitis is a disease of major public health importance especially for countries such as Ghana; whose northern part lies within the meningitis belt. The Northern region of Ghana has been recording cases with outbreaks over the years. In order to generate evidence to improve surveillance, we described the epidemiology of bacterial meningitis using surveillance data of the northern region. Methods Bacterial meningitis datasets from January 2010 to December 2015 for all the 26 districts of the Northern region were retrieved from line lists. Data were analyzed in terms of person, place, time, and identity of causative organisms using descriptive statistics. The results were presented as proportions, rates, tables and graphs. Results A total of 1,176 cases were reported. Of these, 53.5% (629/1,176) were males. The proportion of cases aged 0 to 29 years was 77.4%. The Overall Case Fatality Rate (CFR) was 9.7% (114/1,176). About 65% of all cases were recorded from January to April. Only 23.7% (279/1,176) of cases were laboratory-confirmed. Neisseria meningitides and Streptococcus pneumonia accounted for 91.4% of confirmed cases. Over the period, the incidence reduced from 9.0/100,000 population to 3.8/100,000 population and CFR reduced from 16.6% to 5.7%. Conclusion Most cases of bacterial meningitis were recorded in the dry season and in persons younger than 30 years. Less than a quarter of cases were laboratory confirmed, and no new bacteria species were identified. Both morbidity and mortality rates were on the decline. There is the need to consolidate these gains by intensifying meningitis surveillance and improving on the rate of laboratory case confirmation. PMID:28904692
Evaluation of bacterial meningitis surveillance data of the northern region, Ghana, 2010-2015.

PubMed

Kaburi, Basil Benduri; Kubio, Chrysantus; Kenu, Ernest; Ameme, Donne Kofi; Mahama, Jacob Yakubu; Sackey, Samuel Oko; Afari, Edwin Andrew

2017-01-01

Bacterial meningitis is a disease of major public health importance especially for countries such as Ghana; whose northern part lies within the meningitis belt. The Northern region of Ghana has been recording cases with outbreaks over the years. In order to generate evidence to improve surveillance, we described the epidemiology of bacterial meningitis using surveillance data of the northern region. Bacterial meningitis datasets from January 2010 to December 2015 for all the 26 districts of the Northern region were retrieved from line lists. Data were analyzed in terms of person, place, time, and identity of causative organisms using descriptive statistics. The results were presented as proportions, rates, tables and graphs. A total of 1,176 cases were reported. Of these, 53.5% (629/1,176) were males. The proportion of cases aged 0 to 29 years was 77.4%. The Overall Case Fatality Rate (CFR) was 9.7% (114/1,176). About 65% of all cases were recorded from January to April. Only 23.7% (279/1,176) of cases were laboratory-confirmed. Neisseria meningitides and Streptococcus pneumonia accounted for 91.4% of confirmed cases. Over the period, the incidence reduced from 9.0/100,000 population to 3.8/100,000 population and CFR reduced from 16.6% to 5.7%. Most cases of bacterial meningitis were recorded in the dry season and in persons younger than 30 years. Less than a quarter of cases were laboratory confirmed, and no new bacteria species were identified. Both morbidity and mortality rates were on the decline. There is the need to consolidate these gains by intensifying meningitis surveillance and improving on the rate of laboratory case confirmation.
Investigation of an outbreak of Salmonella enterica serovar Newport infection.

PubMed

Irvine, W N; Gillespie, I A; Smyth, F B; Rooney, P J; McClenaghan, A; Devine, M J; Tohani, V K

2009-10-01

A large outbreak of Salmonella enterica serotype Newport infection occurred in Northern Ireland during September and October 2004. Typing of isolates from patients confirmed that this strain was indistinguishable from that in concurrent outbreaks in regions of England, in Scotland and in the Isle of Man. A total of 130 cases were distributed unequally across local government district areas in Northern Ireland. The epidemic curve suggested a continued exposure over about 4 weeks. A matched case-control study of 23 cases and 39 controls found a statistically significant association with a history of having eaten lettuce in a meal outside the home and being a case (odds ratio 23.7, 95% confidence interval 1.4-404.3). This exposure was reported by 57% of cases. Although over 300 food samples were tested, none yielded any Salmonella spp. Complexity and limited traceability in salad vegetable distribution hindered further investigation of the ultimate source of the outbreak.
Integrated modeling of water supply and demand under management options and climate change scenarios in Chifeng City, China

Treesearch

Lu Hao; Ge Sun; Yongqiang Liu; Hong Qian

2015-01-01

Water resource management is becoming increasingly challenging in northern China because of the rapid increase in water demand and decline in water supply due to climate change. We provide a case study demonstrating the importance of integrated watershed management in sustaining water resources in Chifeng City, northern China. We examine the consequences of various...
Preliminary results of the FVS gypsy moth event monitor using remeasurement plot data from Northern West Virginia

Treesearch

Matthew P. Perkowski; John R. Brooks; Kurt W. Gottschalk

2008-01-01

Predictions based on the Gypsy Moth Event Monitor were compared to remeasurement plot data from stands receiving gypsy moth defoliation. These stands were part of a silvicultural treatment study located in northern West Virginia that included a sanitation thinning, a presalvage thinning and paired no-treatment controls. In all cases the event monitor under predicted...
Addressing Diversity and Inclusion in the Early Years in Conflict-Affected Societies: A Case Study of the Media Initiative for Children--Northern Ireland

ERIC Educational Resources Information Center

Connolly, Paul; Fitzpatrick, Siobhan; Gallagher, Tony; Harris, Paul

2006-01-01

This article reports on the development and systematic evaluation of an innovative early years programme aimed at encouraging young children to respect differences within a deeply divided society that is emerging out of a prolonged period of violent conflict. The programme, the Media Initiative for Children--Northern Ireland, has been the product…
Etiological Survey on Intellectual Disability in the Northern Finland Birth Cohort 1986

ERIC Educational Resources Information Center

Heikura, Ulla; Linna, Sirkka-Liisa; Olsen, Paivi; Hartikainen, Anna-Liisa; Taanila, Anja; Jarvelin, Marjo-Riitta

2005-01-01

The etiology of intellectual disability was studied both in incident (n = 9,432) and prevalent (n = 9,351) populations in a one-year birth cohort born in Northern Finland in 1985-1986. Data from multiple sources were used to follow the children until the age of 11.5 years. Of the incident cases (n = 119) with intellectual disabilities, 66.4% had…
Evaluating Forestry Camps with National Standards in Environmental Education: A Case Study of the Junior Forester Academy, Northern Arizona University

ERIC Educational Resources Information Center

Salata, Tina L.; Ostergren, David M.

2010-01-01

The Junior Forester Academy (JFA) is a summer forestry camp that provides environmental education (EE) in the context of an outdoor education program. The JFA was established in 2004 and is located at Northern Arizona University's Centennial Forest site. The JFA's goal is to increase a campers' understanding of forest ecology and forestry skills…
Household Resources and Their Changing Relationships: Case Studies in Gujarat, India. International Agriculture Publications General Series Number 3.

ERIC Educational Resources Information Center

Magrabi, Frances M., Ed.; Verma, Amita, Ed.

This publication contains case studies based on rural life in northern India. The titles include: (1) "Profiles of Two Indian Rural Settings"; (2) "Visitors View a Village"; (3) "Village Households"; (4) "Agriculture"; (5) "Women's Needs: Health and Nutrition"; (6) "Meal Pattern, Nutrient…
Psychological Challenges of Saudi Female International Students in Virginia: Single Qualitative Case Study

ERIC Educational Resources Information Center

Davis, Joyce G.

2016-01-01

Saudi Arabian female international students enrolled in a public university in Northern Virginia used either problem-focused coping or emotion-focused coping strategies to overcome psychological and social challenges. Sixteen Saudi females participated in this qualitative case study. Semi-structured interviews were conducted to obtain the opinions…
Using the Web To Deliver and Enhance Classes: Two Case Studies.

ERIC Educational Resources Information Center

Helford, Paul Q.; Lei, Richard M.

This paper discusses two case studies conducted at Northern Arizona University. The studies are from classes that are using the World Wide Web to enhance teaching and learning. One class is the Art of Cinema, a film studies class that has been taught via Instructional Television (ITV) for five years. Various techniques have been used over the…
Spatial and temporal distribution of rabies in northern Tanzania in the period of 1993-2002.

PubMed

Swai, E S; Moshy, W E; Kaaya, J E; Mtui, P F

2010-01-01

A retrospective study was carried out to investigate the occurrence and distribution patterns of rabies cases in northern Tanzania. Data on laboratory confirmed brain samples and associated case reports submitted to the Arusha Veterinary Investigation Centre, for a period of ten years (1993-2002) was retrieved and reviewed. A total of 98 suspected rabies brain specimens from different animal species and geographical areas were submitted and processed during the period under review. Rabies was confirmed using Fluorescent Antibody Technique test. Of the 98 brain specimens processed, 65 (66.3%) were confirmed to be rabies cases. Canine rabies accounted for 73.8% of the cases and was diagnosed in dogs (43), jackals (4) and hyenas (1). Rabies in wildlife accounted for 5 out of 48 canine confirmed cases. Most of the cases were from Arusha Municipality (20) followed by Arumeru (19), Ngorongoro (9) and Moshi (8) districts. Rabies positive cases in other animal species were in the following order of frequencies: bovine (9 out of 11); feline (5 out of 10); equine (1 out of 2); caprine (2 out of 2). One porcine brain specimen was rabies negative. The high proportion of rabies positive cases confirmed suggests the level of their endemicity in the northern regions of Tanzania. Moreover, the findings highlights the need for sustained surveillance and institution of control measures among dog population and awareness creation particularly among general public and children whom are at high risk of contracting rabies because of their close contact with dogs.
Dengue Virus Serotype 2 Established in Northern Mozambique (2015-2016).

PubMed

Oludele, John; Lesko, Birgitta; Mahumane Gundane, Isabel; de Bruycker-Nogueira, Fernanda; Muianga, Argentina; Ali, Sadia; Mula, Flora; Chelene, Imelda; Falk, Kerstin I; Barreto Dos Santos, Flávia; Gudo, Eduardo Samo

2017-11-01

After the report of an outbreak of dengue virus serotype 2 in 2014 in Nampula and Pemba cities, northern Mozambique, a surveillance system was established by the National Institute of Health. A study was performed during 2015-2016 to monitor the trend of the outbreak and confirm the circulating serotype of dengue virus (DENV). After the inclusion of consenting patients who met the case definition, samples from 192 patients were tested for the presence of nonstructural protein 1 antigen, and 60/192 (31%) samples were positive. Further analysis included DENV IgM antibodies, with 39 (20%) IgM positive cases. Reverse transcriptase (RT) PCR was performed for identification of the prevailing DENV serotype; 21/23 tested samples were DENV-2 positive, with DENV-2 present in both affected cities. When sequencing DENV, phenotype Cosmopolitan was identified. The surveillance indicates ongoing spread of DENV-2 in northern Mozambique 2 years after the first report of the outbreak.
A study of gunshot suicides in Northern Ireland from 1989 to 1993.

PubMed

Armour, A

1996-01-01

A study of 104 gunshot suicides, including six women, in Northern Ireland over a 5-year period. Forty-five suicides in the security forces are compared with 59 which took place in the civilian population. The former were commonly associated with marital problems and overwhelmingly occurred in young males under the age of 40, whereas the civilian deaths were predominantly associated with mental ill health, with a wider age range distribution. The security forces used rifled weapons in 44 cases, whereas civilians used shotguns in 46 cases. Twelve out of the 45 were witnessed, compared to one in the civilian population. The security forces favoured the head as site of entry in 40 cases compared to 35 in the civilian population. Alcohol consumption was involved in 23 of the security forces suicides and 18 civilian. Of the 6 women, one was in the security forces and 4 had a history of mental illness.

Teaching Natural Resource Management-Teaching Techniques and Difficulties in Greek Vocational Lyceum: A Case Study

ERIC Educational Resources Information Center

Koutsoukos, Marios; Mouratidis, Antonios

2016-01-01

The aim of the present study is to investigate the teaching techniques applied, as well as the difficulties, with which educators in teaching Natural Resource Management are confronted. For research purposes, a case study was conducted on teaching Natural Resource Management in the Third Grade of Vocational Lyceum (EPAL) in Northern Greece. It was…
Innovations in fuels management: Demonstrating success in treating a serious threat of wildfire in Northern Minnesota

Treesearch

Dennis Neitzke

2007-01-01

This case study illustrates the positive effects of strategic fuels treatments in continuous heavy fuels. In 1999, a severe windstorm blew down close to 1,000 square miles of forest land in northern Minnesota and Canada. As much as 400,000 acres of the blowdown occurred in the Boundary Waters Canoe Area Wilderness. Fire experts were invited to assess the hazardous...
Draft Genome Sequences of 510 Listeria monocytogenes Strains from Food Isolates and Human Listeriosis Cases from Northern Italy.

PubMed

Lomonaco, Sara; Gallina, Silvia; Filipello, Virginia; Sanchez Leon, Maria; Kastanis, George John; Allard, Marc; Brown, Eric; Amato, Ettore; Pontello, Mirella; Decastelli, Lucia

2018-01-18

Listeriosis outbreaks are frequently multistate/multicountry outbreaks, underlining the importance of molecular typing data for several diverse and well-characterized isolates. Large-scale whole-genome sequencing studies on Listeria monocytogenes isolates from non-U.S. locations have been limited. Herein, we describe the draft genome sequences of 510 L. monocytogenes isolates from northern Italy from different sources.
The Impact of Management Decision-Making on Student Success in Community Colleges: A Case Study

ERIC Educational Resources Information Center

Alt, Albert G.

2012-01-01

This case study examined a multi-college community college district in northern California in a primarily rural area, to understand how their practices compared to management best practices designed to improve student success, barriers that may exist in implementing best practices, and how the institution may improve its own practices. The problem…
The Development of Digital Resources by Library and Information Professionals and Historians: Two Case Studies from Northern Ireland

ERIC Educational Resources Information Center

White, Andy

2005-01-01

Purpose: This paper aims to use two case studies of digital archives designed by library and information professionals and historians to highlight the twin issues of academic authenticity and accuracy of digital representations. Design/methodology/approach: Using secondary literature, the author established a hypothesis about the way in which…
Age-Specific Cluster of Cases of Serotype 1 Streptococcus pneumoniae Carriage in Remote Indigenous Communities in Australia ▿

PubMed Central

Smith-Vaughan, H.; Marsh, R.; Mackenzie, G.; Fisher, J.; Morris, P. S.; Hare, K.; McCallum, G.; Binks, M.; Murphy, D.; Lum, G.; Cook, H.; Krause, V.; Jacups, S.; Leach, A. J.

2009-01-01

Seven-valent pneumococcal conjugate vaccination commenced in 2001 for Australian indigenous infants. Pneumococcal carriage surveillance detected substantial replacement with nonvaccine serotypes and a cluster of serotype 1 carriage. Our aim was to review Streptococcus pneumoniae serotype 1 carriage and invasive pneumococcal disease (IPD) data for this population and to analyze serotype 1 isolates. Carriage data were collected between 1992 and 2004 in the Darwin region, one of the five regions in the Northern Territory. Carriage data were also collected in 2003 and 2005 from four regions in the Northern Territory. Twenty-six cases of serotype 1 IPD were reported from 1994 to 2007 in the Northern Territory. Forty-four isolates were analyzed by BOX typing and 11 by multilocus sequence typing. In the Darwin region, 26 children were reported carrying serotype 1 (ST227) in 2002 but not during later surveillance. Scattered cases of serotype 1 carriage were noted in two other regions. Cocolonization of serotype 1 with other pneumococcal serotypes was common (34% serotype 1-positive swabs). In conclusion, pneumococcal carriage studies detected intermittent serotype 1 carriage and an ST227 cluster in children in indigenous communities in the Northern Territory of Australia. There was no apparent increase in serotype 1 IPD during this time. The rate of serotype 1 cocolonization with other pneumococcal serotypes suggests that carriage of this serotype may be underestimated. PMID:19091995
Suicide in Northern Ireland: An Analysis of Gender Differences in Demographic, Psychological, and Contextual Factors.

PubMed

O'Neill, Siobhan; Corry, Colette; McFeeters, Danielle; Murphy, Sam; Bunting, Brendan

2016-01-01

The circumstances surrounding death by suicide can give us insight into the factors affecting suicide risk in particular regions. This study examined gender and circumstances surrounding death by suicide in Northern Ireland from 2005 to 2011. The study analyzed 1,671 suicides (77% male and 23% female cases) using information contained from the coroner's files on suicides and undetermined deaths. Hanging was the most common method and more than one third of the deceased had prior suicide attempts. There was evidence of alcohol use in 41% of the cases. Only, 61% of cases had recorded adverse events; most had multiple and complex combinations of experiences. Relationship and interpersonal difficulties were the most common category of adverse event (40.3%). However, illness and bereavement, employment /financial crisis, and health problems were also common. One third of those who died by suicide were employed, compared with 50.3% who were not in employment. Just over half (50.1%) were known to have a mental health disorder. The results provide the first profile of deaths by suicide in Northern Ireland. They highlight the need to target people who have difficult life experiences in suicide prevention work, notably men, people with employment, financial and relationship crises, and those with mental disorders.
Appendix 2: Risk-based framework and risk case studies. Risk assessment for forested habitats in northern Wisconsin.

Treesearch

Louis R. Iverson; Stephen N. Matthews; Anantha M. Prasad; Matthew P. Peters; Gary W. Yohe

2012-01-01

We used a risk matrix to assess risk from climate change for multiple forest species by discussing an example that depicts a range of risk for three tree species of northern Wisconsin. Risk is defined here as the product of the likelihood of an event occurring and the consequences or effects of that event. In the context of species habitats, likelihood is related to...
Reasons for Smoking Among Male Teenagers in Tehran, Iran: Two Case-Control Studies Using Snowball Sampling

PubMed Central

Rezaei, Fatemeh; Nedjat, Saharnaz; Golestan, Banafsheh; Majdzadeh, Reza

2011-01-01

Objectives: Identifying the underlying factors contributing to smoking among teenagers is important in establishing smoking control programs. The present study was designed to identify and compare factors revealed in a preceding qualitative study conducted on 13-15 year-old boys living in two different socio-economic districts in the Northern and Southern parts of Tehran. Methods: Two completely similar case-control studies, each with 200 subjects, were conducted using a snowball sampling. The case and control subjects were matched based on the intimacy relations, i.e. six smokers were recruited in each of the Northern and Southern districts; they were then asked to introduce one of their smoker friends as a case and a non-smoker one as a control. Results: Multi-variable conditional logistic regression revealed that having a smoker father is the single effective factor in the two districts. As for boys living in the Northern (wealthier) part of the city, social capital (OR: 0.59, 95% CI: 0.43-0.81) played a protective role against smoking, whereas quitting home after a quarrel (OR: 15.07, 95% CI: 1.54-147.25), monthly allowance (OR: 2.22, 95% CI: 1.29-3.82) and hyperactivity (OR: 1.69, 95% CI: 2.64-240.45) were associated with a higher risk of becoming a smoker. Conclusions: The studied variables can be classified as personal, familial, and school-level factors. Familial intervention is effective for all the factors which revealed to be influential on the risk of becoming a smoker. It could be concluded that interventions on the family level should be used to prevent the cigarette use in Tehran. PMID:22174960
Reasons for smoking among male teenagers in tehran, iran: two case-control studies using snowball sampling.

PubMed

Rezaei, Fatemeh; Nedjat, Saharnaz; Golestan, Banafsheh; Majdzadeh, Reza

2011-10-01

Identifying the underlying factors contributing to smoking among teenagers is important in establishing smoking control programs. The present study was designed to identify and compare factors revealed in a preceding qualitative study conducted on 13-15 year-old boys living in two different socio-economic districts in the Northern and Southern parts of Tehran. Two completely similar case-control studies, each with 200 subjects, were conducted using a snowball sampling. The case and control subjects were matched based on the intimacy relations, i.e. six smokers were recruited in each of the Northern and Southern districts; they were then asked to introduce one of their smoker friends as a case and a non-smoker one as a control. Multi-variable conditional logistic regression revealed that having a smoker father is the single effective factor in the two districts. As for boys living in the Northern (wealthier) part of the city, social capital (OR: 0.59, 95% CI: 0.43-0.81) played a protective role against smoking, whereas quitting home after a quarrel (OR: 15.07, 95% CI: 1.54-147.25), monthly allowance (OR: 2.22, 95% CI: 1.29-3.82) and hyperactivity (OR: 1.69, 95% CI: 2.64-240.45) were associated with a higher risk of becoming a smoker. The studied variables can be classified as personal, familial, and school-level factors. Familial intervention is effective for all the factors which revealed to be influential on the risk of becoming a smoker. It could be concluded that interventions on the family level should be used to prevent the cigarette use in Tehran.
Population-Based Study of Streptococcus suis Infection in Humans in Phayao Province in Northern Thailand

PubMed Central

Takeuchi, Dan; Kerdsin, Anusak; Pienpringam, Anupong; Loetthong, Phacharaphan; Samerchea, Sutit; Luangsuk, Pakkinee; Khamisara, Kasean; Wongwan, Nithita; Areeratana, Prasanee; Chiranairadul, Piphat; Lertchayanti, Suwat; Petcharat, Sininat; Yowang, Amara; Chaiwongsaen, Phanupong; Nakayama, Tatsuya; Akeda, Yukihiro; Hamada, Shigeyuki; Sawanpanyalert, Pathom; Dejsirilert, Surang; Oishi, Kazunori

2012-01-01

Background Streptococcus suis infection in humans has received increasing worldwide recognition. Methods and Findings A prospective study of S. suis infection in humans was conducted in Phayao Province in northern Thailand to determine the incidence and the risk behaviors of the disease in this region in 2010. Thirty-one cases were confirmed. The case fatality rate was 16.1%, and the estimated incidence rate was 6.2 per 100,000 in the general population. The peak incidence occurred in May. The median age of the patients was 53 years and 64.5% were men. Consumption of raw pork products was confirmed in 22 cases and the median incubation period (range) was 2 days (0–11) after consumption of raw pork products. Isolates from 31 patients were confirmed as serotype 2 in 23 patients (74.2%) and serotype 14 in eight patients (25.8%). The major sequence types (STs) were ST1 (n = 20) for serotype 2 and ST105 (n = 8) for serotype 14. The epidemiological analysis suggested three possible clusters, which included 17 cases. In the largest possible cluster of 10 cases in Chiang Kham and its neighboring districts in May, the source of infection in four cases was identified as a raw pork dish served at the same restaurant in this district. Microbiological analysis confirmed that three of four cases associated with consumption of raw pork at this restaurant were attributable to an identical strain of serotype 2 with ST1 and pulsotype A2. Conclusions Our data suggest a high incidence rate of S. suis infection in the general population in Phayao Province in 2010 and confirm a cluster of three cases in 31 human cases. Food safety control should be strengthened especially for raw pork products in northern Thailand. PMID:22363601
Cost-Effectiveness Analysis of Three Leprosy Case Detection Methods in Northern Nigeria

PubMed Central

Ezenduka, Charles; Post, Erik; John, Steven; Suraj, Abdulkarim; Namadi, Abdulahi; Onwujekwe, Obinna

2012-01-01

Background Despite several leprosy control measures in Nigeria, child proportion and disability grade 2 cases remain high while new cases have not significantly reduced, suggesting continuous spread of the disease. Hence, there is the need to review detection methods to enhance identification of early cases for effective control and prevention of permanent disability. This study evaluated the cost-effectiveness of three leprosy case detection methods in Northern Nigeria to identify the most cost-effective approach for detection of leprosy. Methods A cross-sectional study was carried out to evaluate the additional benefits of using several case detection methods in addition to routine practice in two north-eastern states of Nigeria. Primary and secondary data were collected from routine practice records and the Nigerian Tuberculosis and Leprosy Control Programme of 2009. The methods evaluated were Rapid Village Survey (RVS), Household Contact Examination (HCE) and Traditional Healers incentive method (TH). Effectiveness was measured as number of new leprosy cases detected and cost-effectiveness was expressed as cost per case detected. Costs were measured from both providers' and patients' perspectives. Additional costs and effects of each method were estimated by comparing each method against routine practise and expressed as incremental cost-effectiveness ratio (ICER). All costs were converted to the U.S. dollar at the 2010 exchange rate. Univariate sensitivity analysis was used to evaluate uncertainties around the ICER. Results The ICER for HCE was $142 per additional case detected at all contact levels and it was the most cost-effective method. At ICER of $194 per additional case detected, THs method detected more cases at a lower cost than the RVS, which was not cost-effective at $313 per additional case detected. Sensitivity analysis showed that varying the proportion of shared costs and subsistent wage for valuing unpaid time did not significantly change the results. Conclusion Complementing routine practice with household contact examination is the most cost-effective approach to identify new leprosy cases and we recommend that, depending on acceptability and feasibility, this intervention is introduced for improved case detection in Northern Nigeria. PMID:23029580
Skills Planning for Industry Growth: A Case Study of the Katherine Arts Industry. Occasional Paper

ERIC Educational Resources Information Center

Curry, Catherine

2009-01-01

The findings of a cultural industries skills audit undertaken in 2008 in Katherine, Northern Territory, are explored. The case study focusses in particular on the practical challenges and implications of auditing skills in a diverse industry sector and considers the usefulness of such an audit in preparing an industry for predicted change. This…
Remote sensing of Northern mines: supporting operation and environmental monitoring in cold conditions

NASA Astrophysics Data System (ADS)

Tuomela, Anne; Davids, Corine; Knutsson, Sven; Knutsson, Roger; Rauhala, Anssi; Rossi, Pekka M.; Rouyet, Line

2017-04-01

Northern areas of Finland, Sweden and Norway have mineral-rich deposits. There are several active mines in the area but also closed ones and deposits with plans for future mining. With increasing demand for environmental protection in the sensitive Northern conditions, there is a need for more comprehensive monitoring of the mining environment. In our study, we aim to develop new opportunities to use remote sensing data from satellites and unmanned aerial vehicles (UAVs) in improving mining safety and monitoring, for example in the case of mine waste storage facilities. Remote sensing methods have evolved fast, and could in many cases enable precise, reliable, and cost-efficient data collection over large areas. The study has focused on four mining areas in Northern Fennoscandia. Freely available medium-resolution (e.g. Sentinel-1), commercial high-resolution (e.g. TerraSAR-X) and Synthetic Aperture Radar (SAR) data has been collected during 2015-2016 to study how satellite remote sensing could be used e.g. for displacement monitoring using SAR Interferometry (InSAR). Furthermore, UAVs have been utilized in similar data collection in a local scale, and also in collection of thermal infrared data for hydrological monitoring of the areas. The development and efficient use of the methods in mining areas requires experts from several fields. In addition, the Northern conditions with four distinct seasons bring their own challenges for the efficient use of remote sensing, and further complicate their integration as standardised monitoring methods for mine environments. Based on the initial results, remote sensing could especially enhance the monitoring of large-scale structures in mine areas such as tailings impoundments.
Inverse association between dietary vitamin D and risk of cutaneous melanoma in a northern Italy population

PubMed Central

Vinceti, Marco; Malagoli, Carlotta; Fiorentini, Chiara; Longo, Caterina; Crespi, Catherine M.; Albertini, Giuseppe; Ricci, Cinzia; Lanzoni, Anna; Reggiani, Maurizio; Virgili, Annarosa; Osti, Federica; Lombardi, Mara; Santini, Marcello; Fanti, Pier Alessandro; Dika, Emi; Sieri, Sabina; Krogh, Vittorio; Seidenari, Stefania; Pellacani, Giovanni

2010-01-01

The possibility of an inverse association between vitamin D and risk of cancer and, in particular, of cutaneous malignant melanoma has been suggested, but results of epidemiologic studies are still conflicting. We examined the relation between dietary vitamin D intake and melanoma risk through a population-based case-control study (380 cases, 719 controls) in a northern region of Italy, a country with average vitamin D intake lower than in northern Europe or the US. We assessed average daily intake of vitamin D from foodstuffs using the European Prospective Investigation into Cancer and Nutrition (EPIC) semiquantitative food frequency questionnaire. In this population, levels of vitamin D intake were considerably lower than those observed in recent US studies. We found an inverse relation between dietary vitamin D and melanoma risk in the sample as a whole, in both crude and adjusted analyses. In sex and age-specific analyses, this association appeared to be stronger among males and among older subjects. These findings suggest that, at the relatively low levels of intake observed in this sample, an inverse relation between dietary vitamin D and risk of cutaneous malignant melanoma may exist. PMID:21541899
Cost-effectiveness analysis of the national implementation of integrated community case management and community-based health planning and services in Ghana for the treatment of malaria, diarrhoea and pneumonia.

PubMed

Escribano Ferrer, Blanca; Hansen, Kristian Schultz; Gyapong, Margaret; Bruce, Jane; Narh Bana, Solomon A; Narh, Clement T; Allotey, Naa-Korkor; Glover, Roland; Azantilow, Naa-Charity; Bart-Plange, Constance; Sagoe-Moses, Isabella; Webster, Jayne

2017-07-05

Ghana has developed two main community-based strategies that aim to increase access to quality treatment for malaria, diarrhoea and suspected pneumonia: the integrated community case management (iCCM) and the community-based health planning and services (CHPS). The aim of the study was to assess the cost-effectiveness of these strategies under programme conditions. A cost-effectiveness analysis was conducted. Appropriate diagnosis and treatment given was the effectiveness measure used. Appropriate diagnosis and treatment data was obtained from a household survey conducted 2 and 8 years after implementation of iCCM in the Volta and Northern Regions of Ghana, respectively. The study population was carers of children under-5 years who had fever, diarrhoea and/or cough in the last 2 weeks prior to the interview. Costs data was obtained mainly from the National Malaria Control Programme (NMCP), the Ministry of Health, CHPS compounds and from a household survey. Appropriate diagnosis and treatment of malaria, diarrhoea and suspected pneumonia was more cost-effective under the iCCM than under CHPS in the Volta Region, even after adjusting for different discount rates, facility costs and iCCM and CHPS utilization, but not when iCCM appropriate treatment was reduced by 50%. Due to low numbers of carers visiting a CBA in the Northern Region it was not possible to conduct a cost-effectiveness analysis in this region. However, the cost analysis showed that iCCM in the Northern Region had higher cost per malaria, diarrhoea and suspected pneumonia case diagnosed and treated when compared to the Volta Region and to the CHPS strategy in the Northern Region. Integrated community case management was more cost-effective than CHPS for the treatment of malaria, diarrhoea and suspected pneumonia when utilized by carers of children under-5 years in the Volta Region. A revision of the iCCM strategy in the Northern Region is needed to improve its cost-effectiveness. Long-term financing strategies should be explored including potential inclusion in the National Health Insurance Scheme (NHIS) benefit package. An acceptability study of including iCCM in the NHIS should be conducted.
Outbreak of invasive pneumococcal disease at a Belfast shipyard in men exposed to welding fumes, Northern Ireland, April-May 2015: preliminary report.

PubMed

Patterson, L; Irvine, N; Wilson, A; Doherty, L; Loughrey, A; Jessop, L

2015-05-28

We report an outbreak of four confirmed cases of invasive pneumococcal disease (IPD) in individuals occupationally exposed to welding fumes, at a Belfast shipyard (Northern Ireland). All cases were hospitalised. A high-risk sub-group of 679 workers has been targeted for antibiotic prophylaxis and pneumococcal vaccination. Physicians and public health institutions outside Northern Ireland should be alert to individuals presenting with pneumonia or IPD and recent links to the shipyard, to facilitate early assessment and treatment.
American Indians and Vocational Rehabilitation: A Case Review Study of Former Clients.

ERIC Educational Resources Information Center

Frank, Lyle W.

A review of 80 case files of American Indians in Northern Arizona was undertaken to identify factors associated with clients who were found to be ineligible for rehabilitation services and clients who were successfully and unsuccessfully rehabilitated. The 11 dependent variables considered were severity of disability, physical or mental…
Creating Caddisfly Cases

ERIC Educational Resources Information Center

Gates, Donna M.

2005-01-01

The larval stage of a northern casemaker caddisfly provides a creative hands-on activity for students while also introducing them to aquatic insect development and adaptations to stream life. This project is an opportunity to study the role of this invertebrate in the food web of a stream. Using cardboard tubes to fashion a case for a generic…
Instructional Leadership of High School Assistant Principals in Northern California

ERIC Educational Resources Information Center

Garrard, John Christian Timothy

2013-01-01

To identify how high school assistant principals in large suburban schools serve as instructional leaders and how they develop these skills, this research utilized a multiple-case study design, followed by a cross-case analysis of the data. This research explores the instructional leadership of three female comprehensive high school assistant…

Scrub typhus in the northern provinces of Vietnam: an observational study of admissions to a national referral hospital.

PubMed

Nadjm, Behzad; Thuy, Pham T; Trang, Van D; Ha, Le Dang; Kinh, Nguyen V; Wertheim, Heiman F

2014-11-01

Scrub typhus is a common cause of fever in parts of South East and Southern Asia. Little is known about the disease burden in Vietnam. A 2-year observational study of scrub typhus at a tertiary referral hospital in northern Vietnam was carried out. Diagnosis was based on a single serological test in patients with suggestive clinical symptoms. Scrub typhus was diagnosed in 3.5% (251/7226) of admissions. Cases occurred throughout the year, with incidence highest in the summer. Although complications were common, mortality was low (1.2%; 3/251). These data suggest that scrub typhus is common, with a seasonal distribution in northern Vietnam. © The Author 2014. Published by Oxford University Press on behalf of Royal Society of Tropical Medicine and Hygiene.
An Exploratory Case Study of One Early Career Teacher's Evolving Teaching Practice in Northern Canada

ERIC Educational Resources Information Center

Murray-Orr, Anne; Mitton-Kukner, Jennifer

2017-01-01

This paper focuses upon the case of one early career teacher, Don, a participant in a longitudinal study examining the transfer of learning about literacy practices from pre-service teacher education to the classrooms of secondary content area teachers. We followed Don from his B. Ed. program into his first two years of teaching in an Indigenous…
Modeling seasonal leptospirosis transmission and its association with rainfall and temperature in Thailand using time-series and ARIMAX analyses.

PubMed

Chadsuthi, Sudarat; Modchang, Charin; Lenbury, Yongwimon; Iamsirithaworn, Sopon; Triampo, Wannapong

2012-07-01

To study the number of leptospirosis cases in relations to the seasonal pattern, and its association with climate factors. Time series analysis was used to study the time variations in the number of leptospirosis cases. The Autoregressive Integrated Moving Average (ARIMA) model was used in data curve fitting and predicting the next leptospirosis cases. We found that the amount of rainfall was correlated to leptospirosis cases in both regions of interest, namely the northern and northeastern region of Thailand, while the temperature played a role in the northeastern region only. The use of multivariate ARIMA (ARIMAX) model showed that factoring in rainfall (with an 8 months lag) yields the best model for the northern region while the model, which factors in rainfall (with a 10 months lag) and temperature (with an 8 months lag) was the best for the northeastern region. The models are able to show the trend in leptospirosis cases and closely fit the recorded data in both regions. The models can also be used to predict the next seasonal peak quite accurately. Copyright © 2012 Hainan Medical College. Published by Elsevier B.V. All rights reserved.
Meteorological factors affecting scrub typhus occurrence: a retrospective study of Yamagata Prefecture, Japan, 1984-2014.

PubMed

Seto, J; Suzuki, Y; Nakao, R; Otani, K; Yahagi, K; Mizuta, K

2017-02-01

Climate change, by its influence on the ecology of vectors might affect the occurrence of vector-borne diseases. This study examines the effects of meteorological factors in Japan on the occurrence of scrub typhus, a mite-borne zoonosis caused by Orientia tsutsugamushi. Using negative binomial regression, we analysed the relationships between meteorological factors (including temperature, rainfall, snowfall) and spring-early summer cases of scrub typhus in Yamagata Prefecture, Japan, during 1984-2014. The average temperature in July and August of the previous year, cumulative rainfall in September of the previous year, snowfall throughout the winter, and maximum depth of snow cover in January and February were positively correlated with the number of scrub typhus cases. By contrast, cumulative rainfall in July of the previous year showed a negative relationship to the number of cases. These associations can be explained by the life-cycle of Leptotrombidium pallidum, a predominant vector of spring-early summer cases of scrub typhus in northern Japan. Our findings show that several meteorological factors are useful to estimate the number of scrub typhus cases before the endemic period. They are applicable to establish an early warning system for scrub typhus in northern Japan.
MS 04-044: demographic features of drug and chemical poisoning in northern Malaysia.

PubMed

Fathelrahman, Ahmed Ibrahim; Ab Rahman, Ab Fatah; Mohd Zain, Zaininah

2005-01-01

Acute poisoning is a significant health problem all over the world. In Malaysia, nationwide data on poisoning pattern is scarce and incomplete. The objectives of our study were to determine the pattern of acute drug and chemical poisoning at Penang General Hospital (PGH), in the northern region of Malaysia, and to compare poisoning characteristics between different ethnic groups. The study was a retrospective case review of all poisoned patients admitted to PGH during the years 2000-2002. We collected data concerning demographic parameters of patients, information about the agent(s) implicated, and circumstances surrounding the event. There were 493 poisoning incidents. Nearly two-thirds of the poisoned cases involved female patients. The predominant mode of poisoning was intentional (51.5%). The age group 15.1-30 years ranked at the top, constituting 55.2% of all cases. Drugs were the predominant agents implicated. Among cases associated with drugs, paracetamol was the main causative agent (44.7%). Chinese patients constituted 37.7% of all poisoning cases, followed by the Indians (31.6%) and Malays (26.6%). Between ethnic groups, Indian patients were found to have the highest rate of poisoning admission of 75.2 per 100,000 persons.
Occupation and male lung cancer: a case-control study in northern Sweden.

PubMed Central

Damber, L A; Larsson, L G

1987-01-01

Using a case-control study comprising about 600 men with lung cancer in northern Sweden the potential risk of different occupations and groups of occupations was studied. Longitudinal data concerning occupation, employment, and smoking habits were obtained by questionnaires. Some occupational groups (underground miners, copper smelter workers, electricians, and plumbers) exposed to previously known lung carcinogenic agents such as radon daughters, arsenic, and asbestos, had considerably increased odds ratios, which persisted after adjustment for smoking. A slightly raised odds ratio was observed in a group of blue collar workers potentially exposed to lung carcinogenic agents; this rise in the group as a whole mainly disappeared after adjustment for smoking. Farmers and foresters had strikingly low odds ratios, which could only partly be explained by their more moderate smoking habits. The population aetiological fraction attributable to occupation was estimated as 9%. PMID:3620367
Climatology of the winter Red Sea Trough

NASA Astrophysics Data System (ADS)

Awad, Adel M.; Almazroui, Mansour

2016-12-01

In this study, a new and objective method for detecting the Red Sea Trough (RST) was developed using mean sea level pressure (SLP) data from NCEP/NCAR reanalysis dataset from the winters of 1956 to 2015 to identify the Sudan Low and its trough. Approximately 96% of the winter RSTs were generated near two main sources, South Sudan and southeastern Sudan, and approximately 85% of these troughs were in four of the most outer areas surrounding the northern Red Sea. Moreover, from west to east of the Red Sea, the RST was affected by the relationships between the Siberian High and Azores High. The RST was oriented to the west when the strength of the Siberian High increased and to the east when the strength of the Azores High increased. Furthermore, the synoptic features of the upper level of the RST emphasize the impacts of subtropical anticyclones at 850 hPa on the orientation of the RST, the impacts of the northern cyclone trough and the maximum wind at a pressure level of 250 hPa. The average static stability between 1000 hPa and 500 hPa demonstrated that the RST followed the northern areas of low static stability. The results from previous studies were confirmed by a detailed case study of the RST that extended to its central outermost area. The results of a detailed case study of the short RST indicated that the trough becomes shorter with increasing static stability and that the Azores and Siberian high-pressure systems influence the northern region of the trough while the maximum upper wind shifts south of the climate position.
Podoconiosis in East and West Gojam Zones, Northern Ethiopia

PubMed Central

Molla, Yordanos B.; Tomczyk, Sara; Amberbir, Tsige; Tamiru, Abreham; Davey, Gail

2012-01-01

Background Podoconiosis is a neglected tropical disease (NTD) that is prevalent in red clay soil-covered highlands of tropical Africa, Central and South America, and northern India. It is estimated that up to one million cases exist in Ethiopia. This study aimed to estimate the prevalence of podoconiosis in East and West Gojam Zones of Amhara Region in northern Ethiopia. Methodology/Principal Findings A cross-sectional household survey was conducted in Debre Eliyas and Dembecha woredas (districts) in East and West Gojam Zones, respectively. The survey covered all 17,553 households in 20 kebeles (administrative subunits) randomly selected from the two woredas. A detailed structured interview was conducted on 1,704 cases of podoconiosis identified in the survey. Results The prevalence of podoconiosis in the population aged 15 years and above was found to be 3.3% (95% CI, 3.2% to 3.6%). 87% of cases were in the economically active age group (15–64 years). On average, patients sought treatment five years after the start of the leg swelling. Most subjects had second (42.7%) or third (36.1%) clinical stage disease, 97.9% had mossy lesions, and 53% had open wounds. On average, patients had five episodes of acute adenolymphangitis (ALA) per year and spent a total of 90 days per year with ALA. The median age of first use of shoes and socks were 22 and 23 years, respectively. More men than women owned more than one pair of shoes (61.1% vs. 50.5%; χ2 = 11.6 p = 0.001). At the time of interview, 23.6% of the respondents were barefoot, of whom about two-thirds were women. Conclusions This study showed high prevalence of podoconiosis and associated morbidities such as ALA, mossy lesions and open wounds in northern Ethiopia. Predominance of cases at early clinical stage of podoconiosis indicates the potential for reversing the swelling and calls for disease prevention interventions. PMID:22816005
Aspartylglucosaminuria in northern Norway: a molecular and genealogical study.

PubMed Central

Tollersrud, O K; Nilssen, O; Tranebjaerg, L; Borud, O

1994-01-01

Aspartylglucosaminuria (AGU, McKusick 208400) is an autosomal recessive lysosomal storage disorder. Ninety percent of all patients are from Finland and only sporadic cases have been reported from elsewhere. In northern Norway, however, nine patients from seven families have been diagnosed with AGU. All these Norwegian patients were homozygous for the most prevalent Finnish AGU mutation (AGUFin) and show the polymorphism uniquely associated with AGUFin in Finland. Genealogical investigation of nine parents proved Finnish ancestry in all pedigrees. Therefore, AGU in Norway most likely resulted from immigration of Finnish carriers. These Finnish immigrants originated mostly from the Tornio valley area in northern Finland in a continuous immigration movement from 1700 to 1900. The majority settled in the western part of northern Norway, leading to a "cluster" of AGU in that particular area. The Finnish immigrants intermixed considerably with Lapps and these two ethnic origins should thus be considered as high risk groups for AGUFin in northern Norway. PMID:8064811
Inflammatory Tinea capitis: a 12-year study and a review of the literature.

PubMed

Zaraa, Inès; Hawilo, Abdelmohti; Aounallah, Amina; Trojjet, Sondes; El Euch, Dalenda; Mokni, Mourad; Ben Osman, Amel

2013-03-01

Inflammatory Tinea capitis (TC) is a rare form of TC. The aim of this study was to review epidemiological, clinical and mycological profile of inflammatory TC. We present a retrospective study (1999-2010), enrolled all the cases of inflammatory TC observed at a referral hospital in the northern Tunisia. One hundred and twenty-one patients with inflammatory TC, 83 male patients (68.6%) and 38 female patients (31.4%) were enrolled. The mean age was about 8 years. A majority of TC (71.9%) were in patients lesser than 10 years of age. Positive family history and contact with animals were noted in seven and 35 cases respectively. Direct examination was positive in 110 cases (59 ectothrix, 51 endothrix) and positive cultures were obtained in 105 patients (49 Trichophyton violaceum, 31 Microsporum canis, 13 Trichophyton interdigitale complex, 12 Trichophyton verrucosum). Systemic treatment was carried out in 115 patients with griseofulvin, in one with terbinafine. A complete recovery was noted in 88 cases; and persistent alopecia in 28 cases. The inflammatory TC is rare, but more common in rural families. The disease mostly affected male genders (68.6%) and T. violaceum remains the common pathogen of inflammatory TC in northern Tunisia. © 2012 Blackwell Verlag GmbH.
A population-based study of active and drug-resistant epilepsies in Northern Italy.

PubMed

Giussani, Giorgia; Canelli, Valentina; Bianchi, Elisa; Franchi, Carlotta; Nobili, Alessandro; Erba, Giuseppe; Beghi, Ettore

2016-02-01

Drug-resistant epilepsy (DRE) is defined by the International League Against Epilepsy as a failure of adequate trials of two tolerated, appropriately chosen, and used antiepileptic drugs to achieve sustained seizure freedom. Our aim was to calculate the following: (1) the prevalence of active epilepsy and DRE in a well-defined population of Northern Italy and (2) the proportion of incident cases developing DRE. The study population (146,506; year 2008) resided in the province of Lecco, Northern Italy. The medical records of 123 general practitioners were reviewed to identify patients with epilepsy, diagnosed by a neurologist during the period 2000-2008. The point prevalence of active epilepsy and DRE was calculated on December 31, 2008. A total of 747 prevalent patients with epilepsy, 684 patients with active epilepsy, and 342 incident cases were identified. The frequency of DRE was 15.6% (107/684) of all active epilepsies and 10.5% (36/342) of incident cases. The point prevalence was 0.73 per 1000. The standardized prevalence of DRE was 0.7 per 1000 (Italian population) and 0.8 per 1000 (world population). Our data indicate that 1/6 patients with active epilepsy in the general population has DRE, and 1/10 patients with newly diagnosed epilepsy will develop DRE within nine years from the diagnosis. Copyright © 2015 Elsevier Inc. All rights reserved.
Echovirus 30 associated with cases of aseptic meningitis in state of Pará, Northern Brazil.

PubMed

Castro, Ceyla Maria Oeiras de; Oliveira, Darleise S; Macedo, Olinda; Lima, Maria José L; Santana, Marquete B; Wanzeller, Ana Lucia Monteiro; Silveira, Edna da; Gomes, Maria de Lourdes Contente

2009-05-01

Investigation of the aetiology of viral meningitis in Brazil is most often restricted to cases that occur in the Southern and Southeastern Regions; therefore, the purpose of this study is to describe the viral meningitis cases that occurred in state of Pará, Northern Brazil, from January 2005-December 2006. The detection of enterovirus (EV) in cerebrospinal fluid was performed using cell culture techniques, RT-PCR, nested PCR and nucleotide sequencing. The ages of the 91 patients ranged from < one year old to > 60 years old (median age 15.90 years). Fever (87.1%), headache (77.0%), vomiting (61.5%) and stiffness (61.5%) were the most frequent symptoms. Of 91 samples analyzed, 18 (19.8%) were positive for EV. Twelve were detected only by RT- PCR followed by nested PCR, whereas six were found by both cell culture and RT-PCR. From the last group, five were sequenced and classified as echovirus 30 (Echo 30). Phylogenetic analyses revealed that Echo 30 detected in Northern Brazil clustered within a unique group with a bootstrap value of 100% and could constitute a new subgroup (4c) according to the phylogenetic tree described by Oberste et al. (1999). This study described the first molecular characterization of Echo 30 in Brazil and this will certainly contribute to future molecular analyses involving strains detected in other regions of Brazil.
[Molecular epidemiology of hepatitis B virus in Northern Cyprus].

PubMed

Arıkan, Ayşe; Şanlıdağ, Tamer; Süer, Kaya; Sayan, Murat; Akçalı, Sinem; Güler, Emrah

2016-01-01

Identification of hepatitis B virus (HBV) strains and understanding of molecular epidemiological characteristics are important for the effective surveillance of HBV infections. Genotype D is dominant in studies performed in Turkey but it is known that cases infected with genotypes A, E, G and H also exists. In contrast, there are no data regarding the molecular epidemiologic characteristics of the HBV in Northern Cyprus. The aim of this study was to determine the distribution of genotypes and subgenotypes of HBV among the people living, educating and working in Northern Cyprus. A total of 160 cases (1.2%) who were HBsAg seropositive out of 13.892 subjects admitted to Nicosia, Near East University Hospital microbiology laboratory for the routine control and to blood center for donor screening tests between November 2011 to September 2014, were included in the study. HBV-DNA levels in the HBsAg positive cases were detected by real-time polymerase chain reaction and genotypes/subgenotypes were determined by sequence analysis of the viral pol gene (reverse transcriptase [rt] region, between 80-250. aminoacids). Sixty samples (60/160, 37.5%) were excluded from sequencing analysis due to negative and/or very low (< 30 IU/ml) HBV-DNA levels, so 100 samples were included in sequence analysis. Ninety-six of those cases (13 female, 87 male; mean age: 35.51 ± 12.88 years) were anti-HBc IgG, 95 were anti-HBe and five were HBeAg positive, with a mean HBV-DNA level of 5.36 x 10(6) ± 3.58 x 10(7) IU/ml. As 32 (32%) samples yielded HBV-DNA level below the threshold of 1000 IU/ml, sequence analyses were unsuccesful, eventually 68 (68/160, 42.5%) samples could be phylogenetically analyzed. The distribution of HBV genotypes/subgenotypes were found as follows: 48 were (70.6%) D/D1; four were (5.9%) D/D2; one was (1.5%) D/D3, five were (7.4%) A/A1, two were (2.9%) A/A2 and eight were (11.8%) genotype E. Among the most frequent D1 strains, 60.4% (29/48) cases were from Turkish; single D/D3 strain from Benguela (Angola) and all eight genotype E strains were from Nigerian national cases. According to the data of this first study performed in TRNC on this subject, genotype D is dominant (53/68, 78%) in Northern Cyprus and consistent with the subgenotype distribution that is similar to Turkey and mediterranean basin. The prevalences of genotype A (7/68, 10.3%) and E (8/68, 11.8%) were also remarkable. In conclusion, although Northern Cyprus is an island country the heterogeneous distribution of HBV genotype/subgenotype may be contributed to the cosmopolitan characteristics of various populations from different countries who have come here for education, work or touristic purposes.
Joubert syndrome: genotyping a Northern European patient cohort.

PubMed

Kroes, Hester Y; Monroe, Glen R; van der Zwaag, Bert; Duran, Karen J; de Kovel, Carolien G; van Roosmalen, Mark J; Harakalova, Magdalena; Nijman, Ies J; Kloosterman, Wigard P; Giles, Rachel H; Knoers, Nine V A M; van Haaften, Gijs

2016-02-01

Joubert syndrome (JBS) is a rare neurodevelopmental disorder belonging to the group of ciliary diseases. JBS is genetically heterogeneous, with >20 causative genes identified to date. A molecular diagnosis of JBS is essential for prediction of disease progression and genetic counseling. We developed a targeted next-generation sequencing (NGS) approach for parallel sequencing of 22 known JBS genes plus 599 additional ciliary genes. This method was used to genotype a cohort of 51 well-phenotyped Northern European JBS cases (in some of the cases, Sanger sequencing of individual JBS genes had been performed previously). Altogether, 21 of the 51 cases (41%) harbored biallelic pathogenic mutations in known JBS genes, including 14 mutations not previously described. Mutations in C5orf42 (12%), TMEM67 (10%), and AHI1 (8%) were the most prevalent. C5orf42 mutations result in a purely neurological Joubert phenotype, in one case associated with postaxial polydactyly. Our study represents a population-based cohort of JBS patients not enriched for consanguinity, providing insight into the relative importance of the different JBS genes in a Northern European population. Mutations in C5orf42 are relatively frequent (possibly due to a Dutch founder mutation) and mutations in CEP290 are underrepresented compared with international cohorts. Furthermore, we report a case with heterozygous mutations in CC2D2A and B9D1, a gene associated with the more severe Meckel-Gruber syndrome that was recently published as a potential new JBS gene, and discuss the significance of this finding.
Perspectives on polio and immunization in Northern Nigeria.

PubMed

Renne, Elisha

2006-10-01

Through the efforts of the global campaign to eradicate poliomyelitis, polio cases have declined worldwide, from 35,251 cases in 1988, to 1449 cases as of 28 October 2005. However, confirmed cases of wild polio virus continue to be reported from Northern Nigeria. This paper examines the reasons for the difficulties in eradicating polio in Northern Nigeria from the perspective of residents of one town, Zaria, in northern Kaduna State. Research methods included participant observation, open-ended interviews and the collection of polio-related documents. While some people believed that the vaccine was contaminated by anti-fertility substances, others questioned the focus on polio when measles and malaria were considered more harmful. Some also distrusted claims about the safety of Western biomedicine. These concerns relate to questions about the appropriateness of vertical health interventions, where levels of routine immunization are low. While the Polio Eradication Initiative was considered to be cost-effective by Western donors, from the perspective of some people in Zaria it was seen as undermining primary health care, suggesting that a collaborative, community-based framework for primary health care, which includes routine immunization, would be a more acceptable approach.
Air Pollution and Pulmonary Tuberculosis: A Nested Case-Control Study among Members of a Northern California Health Plan.

PubMed

Smith, Geneé S; Van Den Eeden, Stephen K; Garcia, Cynthia; Shan, Jun; Baxter, Roger; Herring, Amy H; Richardson, David B; Van Rie, Annelies; Emch, Michael; Gammon, Marilie D

2016-06-01

Ecologic analyses, case-case comparisons, and animal experiments suggest positive associations between air pollution and tuberculosis. We evaluated this hypothesis in a large sample, which yielded results that are applicable to the general population. We conducted a case-control study nested within a cohort of Kaiser Permanente of Northern California members. All active pulmonary tuberculosis (TB) cases newly diagnosed between 1996 and 2010 (n = 2,309) were matched to two controls (n = 4,604) by age, sex, and race/ethnicity on the index date corresponding with the case diagnosis date. Average individual-level concentrations of carbon monoxide (CO), nitrogen dioxide (NO2), sulfur dioxide (SO2), ozone (O3), and particulate matter with aerodynamic diameter ≤ 2.5 μm (PM2.5) and 10 μm (PM10) for 2 years before diagnosis/entry into the study were estimated using measurements from the California Air Resources Board monitor closest to the participant's residence. In single-pollutant adjusted conditional logistic regression models, the pulmonary TB odds ratios (95% confidence intervals) for the highest quintile (vs. lowest) were 1.50 (95% CI: 1.15, 1.95) for CO and 1.42 (95% CI: 1.10, 1.84) for NO2. Corresponding estimates were higher among never [1.68 (95% CI: 1.26, 2.24)] than ever [1.19 (95% CI: 0.74, 1.92)] smokers for CO. In contrast, for NO2, estimates were higher among ever [1.81 (95% CI: 1.13, 2.91)] than never [1.29 (95% CI: 0.97, 1.71)] smokers. O3 was inversely associated for smokers [0.66 (95% CI: 0.43, 1.02)] and never smokers [0.65 (95% CI: 0.52, 0.81)]. No other consistent patterns were observed. In this first, to our knowledge, U.S. nested case-control study on air pollution and pulmonary TB, we observed positive associations with ambient CO and NO2, which require confirmation. Smith GS, Van Den Eeden SK, Garcia C, Shan J, Baxter R, Herring AH, Richardson DB, Van Rie A, Emch M, Gammon MD. 2016. Air pollution and pulmonary tuberculosis: a nested case-control study among members of a Northern California health plan. Environ Health Perspect 124:761-768; http://dx.doi.org/10.1289/ehp.1408166.
Homicide-suicide in Brescia County (Northern Italy): a retrospective study from 1987 to 2012.

PubMed

Verzeletti, Andrea; Russo, Maria Cristina; De Ferrari, Francesco

2014-07-01

From January 1987 to December 2012, 19 homicide-suicide events were registered at the Brescia Institute of Forensic Medicine (Northern Italy), leading to 39 deaths (20 homicide victims and 19 suicide victims). The homicide victims were females in the total of the cases (100%), while perpetrators were exclusively males (100%). Only one event involved foreigners as both victim and perpetrator, all the other cases regarded Italian people. The average age was 37.3 years for the homicide victims and 41.57 years for the offenders. Perpetrators usually used a firearm both for murder (65%) and suicide (84%). In 66% of the cases the homicide-suicide events occurred at home; homicide victims were strictly bound to their perpetrators (husband, boyfriend or ex boyfriend, father) in all the events. Copyright © 2014 Elsevier Ltd and Faculty of Forensic and Legal Medicine. All rights reserved.
DOE Zero Energy Ready Home Case Study: Amaris Custom Homes, St.Paul, Minnesota; DOE Zero Energy Ready Home Case Study, Energy Efficiency & Renewable Energy (EERE)

DOE Office of Scientific and Technical Information (OSTI.GOV)

2015-06-01

For this project Amaris worked with U.S. Department of Energy (DOE) team, NorthernSTAR Building America Partnership, to approach zero energy in Minnesota's cold climate using reasonable, cost-effective, and replicable construction materials and practices. The result is a passive solar, super-efficient 3542-ft2 walkout rambler with all the creature comforts.
Appendix 2: Risk-based framework and risk case studies. Risk Assessment for two bird species in northern Wisconsin.

Treesearch

Megan M. Friggens; Stephen N. Matthews

2012-01-01

Species distribution models for 147 bird species have been derived using climate, elevation, and distribution of current tree species as potential predictors (Matthews et al. 2011). In this case study, a risk matrix was developed for two bird species (fig. A2-5), with projected change in bird habitat (the x axis) based on models of changing suitable habitat resulting...
Assessing an Effort to Promote Safe Parks, Streets and Schools in Washington Heights/Inwood: Assessing Urban Infrastructure Conditions as Determinants of Physical Activity. Program Results

ERIC Educational Resources Information Center

Nakashian, Mary

2008-01-01

Researchers from the Mailman School of Public Health at Columbia University prepared a case study of CODES (Community Outreach and Development Efforts Save). CODES is a coalition of 35 people and organizations in northern Manhattan committed to promoting safe streets, parks and schools. The case study analyzed the factors that prompted CODES'…

[An outbreak of gastroenteritis caused by contaminated well water in a village, Henan province].

PubMed

Jiang, Xi-Hong; Tian, Peng; Duan, Jing-Jing; Qian, Jian-Hua; Li, Peng; Zhang, Li-Jie; Ma, Hui-Lai; Zhu, Bao-Ping; Wang, Jia

2010-11-01

To identify the cause and mode of transmission of a gastroenteritis outbreak in a village, Henan province. Gastroenteritis patients were identified through family visits, interviewing the village doctors and reviewing diagnosis and prescription records at the village health clinic. Cases were defined as onset of one of the four symptoms from the village resident during July 20 to August 12, 2010. The symptoms would include diarrhea (≥ 3 times/day), abdominal pain, nausea or vomiting. A retrospective cohort study was conducted to assess the association between drinking raw well water or eating noodles rinsed by raw well water and gastroenteritis. Stools or vomits of the case-patients and the well water samples were tested for bacterial pathogens. Data for 60 case-patients were collected. All cases occurred in the northern part of the village. Persons who used water from a public well in the northern part of the village had an attack rate of 55%, which was 3.5 times of those who did not use the well water (16%) (RR = 3.5, 95%CI: 1.2 - 10). Results from the retrospective cohort study showed that drinking un-boiled water from the well was a risk factor (RR = 1.7, 95%CI: 1.3 - 2.3). Laboratory testing showed that total coliform and E. coli both greatly exceeded the limit considered safe for drinking, indicating there was fecal contamination in the well water. No bacterial pathogens were detected in the patients' stools or vomits. The outbreak was mainly caused by drinking contaminated water from the public well in the northern part of the village.
Integrated community case management and community-based health planning and services: a cross sectional study on the effectiveness of the national implementation for the treatment of malaria, diarrhoea and pneumonia.

PubMed

Ferrer, Blanca Escribano; Webster, Jayne; Bruce, Jane; Narh-Bana, Solomon A; Narh, Clement T; Allotey, Naa-KorKor; Glover, Roland; Bart-Plange, Constance; Sagoe-Moses, Isabella; Malm, Keziah; Gyapong, Margaret

2016-07-02

Ghana has developed two main community-based strategies that aim to increase access to quality treatment for malaria, diarrhoea and pneumonia: the Home-based Care (HBC) and the Community-based Health Planning and Services (CHPS). The objective was to assess the effectiveness of HBC and CHPS on utilization, appropriate treatment given and users' satisfaction for the treatment of malaria, diarrhoea and pneumonia. A household survey was conducted 2 and 8 years after implementation of HBC in the Volta and Northern Regions of Ghana, respectively. The study population was carers of children under-five who had fever, diarrhoea and/or cough in the last 2 weeks prior to the interview. HBC and CHPS utilization were assessed based on treatment-seeking behaviour when the child was sick. Appropriate treatment was based on adherence to national guidelines and satisfaction was based on the perceptions of the carers after the treatment-seeking visit. HBC utilization was 17.3 and 1.0 % in the Volta and Northern Regions respectively, while CHPS utilization in the same regions was 11.8 and 31.3 %, with large variation among districts. Regarding appropriate treatment of uncomplicated malaria, 36.7 % (n = 17) and 19.4 % (n = 1) of malaria cases were treated with ACT under the HBC in the Volta and Northern Regions respectively, and 14.7 % (n = 7) and 7.4 % (n = 26) under the CHPS in the Volta and Northern Regions. Regarding diarrhoea, 7.6 % (n = 4) of the children diagnosed with diarrhoea received oral rehydration salts (ORS) or were referred under the HBC in the Volta Region and 22.1 % (n = 6) and 5.6 % (n = 8) under the CHPS in the Volta and Northern Regions. Regarding suspected pneumonia, CHPS in the Northern Region gave the most appropriate treatment with 33.0 % (n = 4) of suspected cases receiving amoxicillin. Users of CHPS in the Volta Region were the most satisfied (97.7 % were satisfied or very satisfied) when compared with those of the HBC and of the Northern Region. HBC showed greater utilization by children under-five years of age in the Volta Region while CHPS was more utilized in the Northern Region. Utilization of HBC contributed to prompt treatment of fever in the Volta Region. Appropriate treatment for the three diseases was low in the HBC and CHPS, in both regions. Users were generally satisfied with the CHPS and HBC services.
Implementation of a community greenhouse in a remote, sub-Arctic First Nations community in Ontario, Canada: a descriptive case study.

PubMed

Skinner, K; Hanning, R M; Metatawabin, J; Tsuji, L J S

2014-01-01

Food insecurity is prevalent in northern communities in Canada and there is a movement to improve food security through both the re-vitalization of traditional harvesting practices as well as through sustainable agriculture initiatives. Gardening in northern communities can be difficult and may be aided by a community greenhouse. The objective of this project was to conduct a descriptive case study of the context and process surrounding the implementation of a community greenhouse in a remote, sub-Arctic First Nations community in Ontario, Canada. Data sources included semi-directed interviews with a purposive and snowball sample of key informants (n=14), direct observations (n=32 days), written documentation (n=107), and photo-documentation (n=621 total). Digital photographs were taken by both a university investigator during community visits and a community investigator throughout the entire project. The case study was carried out over 33 months; from early 2009 until October of 2011. Thematic data analyses were conducted and followed a categorical aggregation approach. Categories emerging from the data were appointed gardening-related themes: seasons, fertile ground, sustainability, gardeners, ownership, participant growth, and sunshine. Local champions were critical to project success. Uncertainty was expressed by several participants regarding ownership of the greenhouse; the local community members who championed the project had to emphasize, repeatedly, that it was community owned. Positive outcomes included the involvement of many community members, a host of related activities, and that the greenhouse has been a learning opportunity to gain knowledge about growing plants in a northern greenhouse setting. A strength of the project was that many children participated in greenhouse activities. Community and school greenhouse projects require local champions to be successful. It is important to establish guidelines around ownership of a greenhouse and suitable procedures for making the building accessible to everyone without compromising security. Implementing a greenhouse project can engage community members, including children, and provide a great learning opportunity for gardeners in a remote, northern community.
Air Quality Case Studies Report

DOT National Transportation Integrated Search

1998-05-29

The Branson Travel and Recreational Information Program (TRIP) in Branson, Missouri, and the I-40 Traveler and Tourist Information System (TTIS) in the I-40 corridor of northern Arizona are two Field Operational Tests (FOTs) of Traveler Information S...
Extreme weather events and environmental contamination are associated with case-clusters of melioidosis in the Northern Territory of Australia.

PubMed

Cheng, Allen C; Jacups, Susan P; Gal, Daniel; Mayo, Mark; Currie, Bart J

2006-04-01

Melioidosis, the infection due to the environmental organism Burkholderia pseudomallei, is endemic to northern Australia and South East Asia. It is associated with exposure to mud and pooled surface water, but environmental determinants of this disease are poorly understood. We defined case-clusters in northern Australia, determined their contribution to the observed rate of melioidosis, and explored clinical features and associated environmental factors. Using geographical information systems data, we examined clustering of melioidosis cases in time and geographical space in the Top End of the Northern Territory of Australia between 1990 and 2002 using a scan statistic. DNA macrorestriction analysis, resolved by pulsed field gel electrophoresis, was performed on isolates from patients. We defined five case-clusters involving 27 patients that occurred within 7-28 days and/or a radius of 100-300 km. Clustered cases were associated with extreme weather events or environmental contamination; no difference in the clinical pattern of disease was noted from other patients not involved in clusters. Isolates from patients linked to environmental contamination were caused by isolates with similar DNA macrorestriction patterns, but isolates from patients linked to severe weather events had more diverse DNA macrorestriction patterns. Case-clusters of melioidosis where isolates exhibit diverse DNA macrorestriction patterns in our region are linked to extreme weather events and outbreaks where isolates are predominantly of the same DNA macrorestriction pattern are linked with contamination of an environmental source.
Bladder cancer and occupation: a case-control study in northern Italy.

PubMed Central

Porru, S; Aulenti, V; Donato, F; Boffetta, P; Fazioli, R; Cosciani Cunico, S; Alessio, L

1996-01-01

OBJECTIVES--A hospital based case-control study was conducted between 1992 and 1993 in the province of Brescia, a highly industrialised area in northern Italy, to evaluate occupational risk factors of bladder cancer. METHODS--The study evaluated 355 histologically confirmed cases of bladder cancer (275 men, 80 women) and 579 controls affected by urological non-neoplastic diseases (397 men, 182 women). Lifetime occupational history, smoking and drinking habits, and sociodemographic characteristics were recorded by means of a structured questionnaire. Odds ratios (ORs) were computed with adjustment for age, smoking, alcohol and coffee consumption, education, and place of residence. RESULTS--A significant (P < 0.05) increase of risk of bladder cancer were found in men for labourers in the construction industry (OR 2.1, 95% confidence interval (95% CI) 1.1-3.9) and for recreational and cultural services (OR 5.0, 95% CI 1.3-18.9). Increased risks, although not significant, were found for various other occupations and industries such as machinery mechanics, metal processers and polishers, blacksmiths, gunsmiths, painters; for transport workers, an increased risk with increasing duration of employment was found. CONCLUSIONS--Occupational exposures seem to contribute to bladder cancer risk in the area under study. PMID:8563860
Incidence of the mucopolysaccharidoses in Northern Ireland.

PubMed

Nelson, J

1997-12-01

An epidemiological study of the mucopolysaccharidoses (MPS) in Northern Ireland using multiple ascertainment sources was carried out and the incidence rate for the period 1958-1985 was estimated. An incidence of approximately 1 in 76,000 live births was obtained for MPS 1H (Hurler phenotype); 1 in 280,000 for MPS 1 H/S (Hurler/Scheie phenotype); 1 in 140,000 live births (1 in 72,000 male live births) for MPS II (Hunter syndrome); 1 in 280,000 for MPS III (Sanfilippo syndrome) and 1 in 76,000 for MPS IV A (Morquio syndrome type A). No cases of MPS IS (Scheie phenotype), MPS IV B (Morquio syndrome type B) or MPS VI (Maroteaux-Lamy syndrome) were ascertained during the study period. Three cases of non-immune hydrops fetalis born to consanguineous parents were thought to be due to beta-glucuronidase deficiency (MPS VII) on the basis of placental histology and enzyme studies on both parents but no living cases of MPS VII were ascertained. The overall incidence for all types of mucopolysaccharidosis was approximately 1 in 25,000 live births. A comparison is made with incidence estimates obtained from other published studies.
Universities' Role in Regional Development: A Case Study of University for Development Studies, Ghana

ERIC Educational Resources Information Center

Abonyi, Usman Kojo

2016-01-01

This study, employing an interpretive research paradigm, sought to investigate into how University for Development Studies (UDS) is responding to its regional development mandate with a specific focus on how it is responding to human capital development, innovation capabilities, and social and environmental development in northern Ghana. A study…
Imported malaria to Northern Ireland: improving surveillance for better intervention

PubMed Central

Ong, GM; Smyth, B

2006-01-01

Malaria is a preventable disease, which is under notified in the UK. This study sought to evaluate the current surveillance arrangements in Northern Ireland (NI), describe the epidemiology of malaria and make appropriate recommendations. A case was defined as a resident or visitor to NI with laboratory confirmed malaria, diagnosed by the NI haematology laboratories and/or the Malaria Reference Laboratory (MRL) from 1998–2003. Laboratory data were compared with notifications and hospital admission data. One hundred and fourteen laboratory cases were identified compared with 63 notifications received by the regional surveillance centre. Six cases were associated with two episodes of malaria reflecting recurrence and or reinfection. P. falciparum was the most common infection with two fatalities reported; this was particularly associated with travel to West Africa. Most cases were associated with short visits to malarious areas. Thirty-three percent of all cases did not take prophylaxis and, of those that did, approximately half were taking a prophylactic regime appropriate to the region visited. This study highlights the need for improved surveillance of malaria in order to capture risk factors and other relevant information to inform public and professional education. This would facilitate increasing local awareness, enhancing prescription of and compliance with appropriate chemoprophylaxis and enabling early diagnosis and treatment of malaria. PMID:16755943
Pneumonic tularaemia: experience of 58 cases from 2000 to 2012 in Northern Finland.

PubMed

Väyrynen, Sara A; Saarela, Elina; Henry, Janne; Lahti, Sini; Harju, Terttu; Kauma, Heikki

2017-10-01

Pneumonic tularaemia is less common clinical form of tularaemia compared with the ulceroglandular form, with only a limited number of case reports and case series in Europe. In Finland, Northern Ostrobothnia is an endemic area of tularaemia with occasional seasonal outbreaks. In our study, a consecutive series of 58 pneumonic tularaemia cases diagnosed and treated in Oulu University Hospital in 2000-2012 were retrospectively analysed in terms of epidemiology, clinical course, and prognosis. The incidence of pneumonic tularaemia showed peaks in cycles of a few years and most cases were diagnosed in late summer or early autumn. Respiratory symptoms were absent in 47% of patients, and 7% had normal chest X-ray. The chest computed tomography (CT) was performed in 81% of patients, demonstrating variable findings associated with pneumonic tularaemia. Bronchoscopy was performed for 22 (38%) patients and four (18%) of these also proceeded into mediastinoscopy. Moreover, thoracoscopy was performed for one (2%) patient. Two (3%) patients were treated shortly in the intensive care unit (ICU) during their stay in hospital. No mortality was observed. Most cases of pneumonic tularaemia are diagnosed during the seasonal outbreaks. The lack of specific symptoms often complicates the diagnosis and leads to unnecessarily invasive examinations.
Suicide and Young People: The Case of Northern Ireland

ERIC Educational Resources Information Center

Tomlinson, Mike

2007-01-01

Suicides in Northern Ireland are examined in the context of what is known about global and regional trends with respect to gender and age, and change over time. For Northern Ireland, suicide numbers and rates are plotted for 10-24 year olds from 1967 to 2005. Questions are raised about the validity of officially registered suicides in the light of…
Assessing Local Risk of Rifampicin-Resistant Tuberculosis in KwaZulu-Natal, South Africa Using Lot Quality Assurance Sampling.

PubMed

Heidebrecht, Christine L; Podewils, Laura J; Pym, Alexander; Mthiyane, Thuli; Cohen, Ted

2016-01-01

KwaZulu-Natal (KZN) has the highest burden of notified multidrug-resistant tuberculosis (MDR TB) and extensively drug-resistant (XDR) TB cases in South Africa. A better understanding of spatial heterogeneity in the risk of drug-resistance may help to prioritize local responses. Between July 2012 and June 2013, we conducted a two-way Lot Quality Assurance Sampling (LQAS) study to classify the burden of rifampicin (RIF)-resistant TB among incident TB cases notified within the catchment areas of seven laboratories in two northern and one southern district of KZN. Decision rules for classification of areas as having either a high- or low-risk of RIF resistant TB (based on proportion of RIF resistance among all TB cases) were based on consultation with local policy makers. We classified five areas as high-risk and two as low-risk. High-risk areas were identified in both Southern and Northern districts, with the greatest proportion of RIF resistance observed in the northernmost area, the Manguzi community situated on the Mozambique border. Our study revealed heterogeneity in the risk of RIF resistant disease among incident TB cases in KZN. This study demonstrates the potential for LQAS to detect geographic heterogeneity in areas where access to drug susceptibility testing is limited.
Assessing Local Risk of Rifampicin-Resistant Tuberculosis in KwaZulu-Natal, South Africa Using Lot Quality Assurance Sampling

PubMed Central

Heidebrecht, Christine L.; Podewils, Laura J.; Pym, Alexander; Mthiyane, Thuli; Cohen, Ted

2016-01-01

Background KwaZulu-Natal (KZN) has the highest burden of notified multidrug-resistant tuberculosis (MDR TB) and extensively drug-resistant (XDR) TB cases in South Africa. A better understanding of spatial heterogeneity in the risk of drug-resistance may help to prioritize local responses. Methods Between July 2012 and June 2013, we conducted a two-way Lot Quality Assurance Sampling (LQAS) study to classify the burden of rifampicin (RIF)-resistant TB among incident TB cases notified within the catchment areas of seven laboratories in two northern and one southern district of KZN. Decision rules for classification of areas as having either a high- or low-risk of RIF resistant TB (based on proportion of RIF resistance among all TB cases) were based on consultation with local policy makers. Results We classified five areas as high-risk and two as low-risk. High-risk areas were identified in both Southern and Northern districts, with the greatest proportion of RIF resistance observed in the northernmost area, the Manguzi community situated on the Mozambique border. Conclusion Our study revealed heterogeneity in the risk of RIF resistant disease among incident TB cases in KZN. This study demonstrates the potential for LQAS to detect geographic heterogeneity in areas where access to drug susceptibility testing is limited. PMID:27050561
Along-strike variation in deformation style inferred from kinematic reconstruction and strain rate analysis: A case study of the Ethiopian Rift

NASA Astrophysics Data System (ADS)

Muluneh, Ameha A.; Cuffaro, Marco; Kidane, Tesfaye

2017-09-01

In this paper we combine kinematic reconstruction and seismic strain rate analysis to understand the along-strike variation in strain accommodation in the Ethiopian Rift (ER) evolution. The reconstruction poles close the southern and central ER at 19 and 15 Myr, respectively whereas there is 34 ± 14 km overlap in the northern ER at 11 Myr. Using Kostrov summation, seismic strain rates of 6.81 ×10-9 yr-1 and 0.06 × 10-9 yr-1 are obtained for the south-central and northern ER, respectively. Comparison of the seismic and geodetic strain rates shows that seismic deformation dominates the south and central ER contrary to the northern ER that deforms aseismically. The results obtained indicate that Nubia/Somalia plate reconstructions together with information on the onset of rifting overestimate the kinematics of the northern ER. We argue that magmatic processes play significant role in accommodating the ∼ 2 Myr opening of the rift. Our findings agree well with previous geophysical and geological studies in the Ethiopian Rift.
Tribal corridor management planning : model, case study, and guide for Caltrans District 1.

DOT National Transportation Integrated Search

2011-06-01

In Northern California, tribal governments and personnel of the California Department of Transportation (Caltrans) District 1, have applied innovative context-sensitive solutions to meet a variety of transportation challenges along state highways tha...
Tribal corridor management planning : model, case study, and guide for Caltrans District I.

DOT National Transportation Integrated Search

2011-06-01

In Northern California, tribal governments and personnel of the California Department of Transportation (Caltrans) District 1, have applied innovative context-sensitive solutions to meet a variety of transportation challenges along state highways tha...
Hepatitis E as a Cause of Acute Jaundice Syndrome in Northern Uganda, 2010–2012

PubMed Central

Gerbi, Gemechu B.; Williams, Roxanne; Bakamutumaho, Barnabas; Liu, Stephen; Downing, Robert; Drobeniuc, Jan; Kamili, Saleem; Xu, Fujie; Holmberg, Scott D.; Teshale, Eyasu H.

2015-01-01

Hepatitis E virus (HEV) is a common cause of acute viral hepatitis in developing countries; however, its contribution to acute jaundice syndrome is not well-described. A large outbreak of hepatitis E occurred in northern Uganda from 2007 to 2009. In response to this outbreak, acute jaundice syndrome surveillance was established in 10 district healthcare facilities to determine the proportion of cases attributable to hepatitis E. Of 347 acute jaundice syndrome cases reported, the majority (42%) had hepatitis E followed by hepatitis B (14%), malaria (10%), hepatitis C (5%), and other/unknown (29%). Of hepatitis E cases, 72% occurred in Kaboong district, and 68% of these cases occurred between May and August of 2011. Residence in Kaabong district was independently associated with hepatitis E (adjusted odds ratio = 13; 95% confidence interval = 7–24). The findings from this surveillance show that an outbreak and sporadic transmission of hepatitis E occur in northern Uganda. PMID:25448237
Hepatitis E as a cause of acute jaundice syndrome in northern Uganda, 2010-2012.

PubMed

Gerbi, Gemechu B; Williams, Roxanne; Bakamutumaho, Barnabas; Liu, Stephen; Downing, Robert; Drobeniuc, Jan; Kamili, Saleem; Xu, Fujie; Holmberg, Scott D; Teshale, Eyasu H

2015-02-01

Hepatitis E virus (HEV) is a common cause of acute viral hepatitis in developing countries; however, its contribution to acute jaundice syndrome is not well-described. A large outbreak of hepatitis E occurred in northern Uganda from 2007 to 2009. In response to this outbreak, acute jaundice syndrome surveillance was established in 10 district healthcare facilities to determine the proportion of cases attributable to hepatitis E. Of 347 acute jaundice syndrome cases reported, the majority (42%) had hepatitis E followed by hepatitis B (14%), malaria (10%), hepatitis C (5%), and other/unknown (29%). Of hepatitis E cases, 72% occurred in Kaboong district, and 68% of these cases occurred between May and August of 2011. Residence in Kaabong district was independently associated with hepatitis E (adjusted odds ratio = 13; 95% confidence interval = 7-24). The findings from this surveillance show that an outbreak and sporadic transmission of hepatitis E occur in northern Uganda. © The American Society of Tropical Medicine and Hygiene.
The Anexo in Northern California: An Alcoholics Anonymous-Based Recovery Residence in Latino Communities.

PubMed

Garcia, Victor; Pagano, Anna; Recarte, Carlos; Lee, Juliet P

2017-01-01

Our ethnographic study on help-seeking pathways of Latino immigrants in northern California reveals that they turn to anexos in their treatment and recovery quest. Anexos are linguistically- and culturally-specific recovery houses with origins in Mexico and Alcoholics Anonymous and a long history in Latino communities across the United States. Drawing on the findings of our study, we characterize the anexos and compare them to other recovery residences using National Alliance for Recovery Residences (NARR) criteria. The description and comparison reveal that anexos cannot be placed into a single NARR residence category. We discuss why this is the case.
CDH1 mutations in gastric cancer patients from northern Brazil identified by Next- Generation Sequencing (NGS)

PubMed Central

El-Husny, Antonette; Raiol-Moraes, Milene; Amador, Marcos; Ribeiro-dos-Santos, André M.; Montagnini, André; Barbosa, Silvanira; Silva, Artur; Assumpção, Paulo; Ishak, Geraldo; Santos, Sidney; Pinto, Pablo; Cruz, Aline; Ribeiro-dos-Santos, Ândrea

2016-01-01

Abstract Gastric cancer is considered to be the fifth highest incident tumor worldwide and the third leading cause of cancer deaths. Developing regions report a higher number of sporadic cases, but there are only a few local studies related to hereditary cases of gastric cancer in Brazil to confirm this fact. CDH1 germline mutations have been described both in familial and sporadic cases, but there is only one recent molecular description of individuals from Brazil. In this study we performed Next Generation Sequencing (NGS) to assess CDH1 germline mutations in individuals who match the clinical criteria for Hereditary Diffuse Gastric Cancer (HDGC), or who exhibit very early diagnosis of gastric cancer. Among five probands we detected CDH1 germline mutations in two cases (40%). The mutation c.1023T > G was found in a HDGC family and the mutation c.1849G > A, which is nearly exclusive to African populations, was found in an early-onset case of gastric adenocarcinoma. The mutations described highlight the existence of gastric cancer cases caused by CDH1 germline mutations in northern Brazil, although such information is frequently ignored due to the existence of a large number of environmental factors locally. Our report represent the first CDH1 mutations in HDGC described from Brazil by an NGS platform. PMID:27192129

Seasonality of Kawasaki Disease: A Global Perspective

PubMed Central

Burns, Jane C.; Herzog, Lauren; Fabri, Olivia; Tremoulet, Adriana H.; Rodó, Xavier; Uehara, Ritei; Burgner, David; Bainto, Emelia; Pierce, David; Tyree, Mary; Cayan, Daniel

2013-01-01

Background Understanding global seasonal patterns of Kawasaki disease (KD) may provide insight into the etiology of this vasculitis that is now the most common cause of acquired heart disease in children in developed countries worldwide. Methods Data from 1970-2012 from 25 countries distributed over the globe were analyzed for seasonality. The number of KD cases from each location was normalized to minimize the influence of greater numbers from certain locations. The presence of seasonal variation of KD at the individual locations was evaluated using three different tests: time series modeling, spectral analysis, and a Monte Carlo technique. Results A defined seasonal structure emerged demonstrating broad coherence in fluctuations in KD cases across the Northern Hemisphere extra-tropical latitudes. In the extra-tropical latitudes of the Northern Hemisphere, KD case numbers were highest in January through March and approximately 40% higher than in the months of lowest case numbers from August through October. Datasets were much sparser in the tropics and the Southern Hemisphere extra-tropics and statistical significance of the seasonality tests was weak, but suggested a maximum in May through June, with approximately 30% higher number of cases than in the least active months of February, March and October. The seasonal pattern in the Northern Hemisphere extra-tropics was consistent across the first and second halves of the sample period. Conclusion Using the first global KD time series, analysis of sites located in the Northern Hemisphere extra-tropics revealed statistically significant and consistent seasonal fluctuations in KD case numbers with high numbers in winter and low numbers in late summer and fall. Neither the tropics nor the Southern Hemisphere extra-tropics registered a statistically significant aggregate seasonal cycle. These data suggest a seasonal exposure to a KD agent that operates over large geographic regions and is concentrated during winter months in the Northern Hemisphere extra-tropics. PMID:24058585
Seasonality of Kawasaki disease: a global perspective.

PubMed

Burns, Jane C; Herzog, Lauren; Fabri, Olivia; Tremoulet, Adriana H; Rodó, Xavier; Uehara, Ritei; Burgner, David; Bainto, Emelia; Pierce, David; Tyree, Mary; Cayan, Daniel

2013-01-01

Understanding global seasonal patterns of Kawasaki disease (KD) may provide insight into the etiology of this vasculitis that is now the most common cause of acquired heart disease in children in developed countries worldwide. Data from 1970-2012 from 25 countries distributed over the globe were analyzed for seasonality. The number of KD cases from each location was normalized to minimize the influence of greater numbers from certain locations. The presence of seasonal variation of KD at the individual locations was evaluated using three different tests: time series modeling, spectral analysis, and a Monte Carlo technique. A defined seasonal structure emerged demonstrating broad coherence in fluctuations in KD cases across the Northern Hemisphere extra-tropical latitudes. In the extra-tropical latitudes of the Northern Hemisphere, KD case numbers were highest in January through March and approximately 40% higher than in the months of lowest case numbers from August through October. Datasets were much sparser in the tropics and the Southern Hemisphere extra-tropics and statistical significance of the seasonality tests was weak, but suggested a maximum in May through June, with approximately 30% higher number of cases than in the least active months of February, March and October. The seasonal pattern in the Northern Hemisphere extra-tropics was consistent across the first and second halves of the sample period. Using the first global KD time series, analysis of sites located in the Northern Hemisphere extra-tropics revealed statistically significant and consistent seasonal fluctuations in KD case numbers with high numbers in winter and low numbers in late summer and fall. Neither the tropics nor the Southern Hemisphere extra-tropics registered a statistically significant aggregate seasonal cycle. These data suggest a seasonal exposure to a KD agent that operates over large geographic regions and is concentrated during winter months in the Northern Hemisphere extra-tropics.
Analysis of Prevalence and Clinical Features of Ameloblastoma and its Histopathological Subtypes in Southeast Myanmar and Lower Northern Thailand Populations: A 13-Year Retrospective Study

PubMed Central

2017-01-01

Introduction Prevalence of ameloblastomas has been established worldwide but collective data of ameloblastoma in Southeast Asian countries has not been well analyzed. Aim Aim of this study was to report analysis and comparison of the prevalence and demographic data of clinical features of ameloblastoma and its histopathological variants in Southeast Myanmar and lower Northern Thailand populations. Materials and Methods A retrospective study on ameloblastoma was performed based on the availability of oral biopsy specimens in Faculty of Dentistry, Naresuan University, Phitsanulok, Thailand, between January 2002 and August 2015. The collected data were subjected to descriptive statistical analyses with the SPSS version 17.0 statistical software package (SPSS Inc., Chicago, USA). Pearson’s chi square (χ2) test and t-test were employed. The critical level of significance was set at p<0.05. Results Total of 616 cases were reviewed, 30 cases (5%) were diagnosed as ameloblastoma with male:female ratio of 1.14:1. The mean age of the patients was 31.3±15.6 years. The predominance anatomical distribution was observed in the mandible (86.7%). Posterior body-ramus-angle region was the most common site. Almost all cases were asyptomatic and most common clinical manifestation was swelling of affected region. Multilocular radiolucency was observed in 70% of cases, whereas 30% were unilocular. Three subtypes of ameloblastomas were diagnosed: unicystic ameloblastoma (20%), conventional solid/multicystic ameloblastoma (70%), and desmoplastic ameloblastoma (10%). The most common histologic pattern was the plexiform type (57.2%) followed by follicular type (23.8%). Conclusion Prevalence of ameloblastoma in Southeast Myanmar and lower Northern Thailand populations correspond with data from other geographic areas of Thailand and other Asian countries. However, some demographic and histopathological profiles are different, with plexiform ameloblastoma being the most common subtype in this study. PMID:28274056
Distinguishing the Source of Natural Gas Accumulations with a Combined Gas and Co-produced Formation Water Geochemical Approach: a Case Study from the Appalachian Basin

EPA Pesticide Factsheets

The purpose of this study is to discuss the use of gas and co-produced formation water geochemistry for identifying the source of natural gas and present gas geochemistry for the northern Appalachian Basin.
Outsourcing a High Speed Internet Access Project: An Information Technology Class Case Study in Three Parts

ERIC Educational Resources Information Center

Platt, Richard G.; Carper, William B.; McCool, Michael

2010-01-01

In early 2004, the Hilton Hotels Corporation (HHC) required that all of its hotels (both owned and franchised) install high-speed Internet access (HSIA) in all of their rooms by June 2004. This case focuses on how one of its franchise properties located on the northern gulf coast of Florida (the Hilton Sandestin Beach Golf Resort &…
Landslide early warning based on failure forecast models: the example of the Mt. de La Saxe rockslide, northern Italy

NASA Astrophysics Data System (ADS)

Manconi, A.; Giordan, D.

2015-07-01

We apply failure forecast models by exploiting near-real-time monitoring data for the La Saxe rockslide, a large unstable slope threatening Aosta Valley in northern Italy. Starting from the inverse velocity theory, we analyze landslide surface displacements automatically and in near real time on different temporal windows and apply straightforward statistical methods to obtain confidence intervals on the estimated time of failure. Here, we present the result obtained for the La Saxe rockslide, a large unstable slope located in Aosta Valley, northern Italy. Based on this case study, we identify operational thresholds that are established on the reliability of the forecast models. Our approach is aimed at supporting the management of early warning systems in the most critical phases of the landslide emergency.
Field-based random sampling without a sampling frame: control selection for a case-control study in rural Africa.

PubMed

Crampin, A C; Mwinuka, V; Malema, S S; Glynn, J R; Fine, P E

2001-01-01

Selection bias, particularly of controls, is common in case-control studies and may materially affect the results. Methods of control selection should be tailored both for the risk factors and disease under investigation and for the population being studied. We present here a control selection method devised for a case-control study of tuberculosis in rural Africa (Karonga, northern Malawi) that selects an age/sex frequency-matched random sample of the population, with a geographical distribution in proportion to the population density. We also present an audit of the selection process, and discuss the potential of this method in other settings.
Neoplastic disease in a medicolegal autopsy material. A retrospective study in northern Sweden.

PubMed

Gezelius, C; Eriksson, A

1988-01-01

Only a small fraction of sudden unexpected deaths are caused by neoplastic disease and thus subject ot medicolegal autopsy. The medicolegal autopsy forms an opportunity to study not only medically diagnosed and treated neoplasms, but also the natural evolution of untreated disease. In a series of 7,020 consecutive medicolegal autopsies in northern Sweden, we found 171 cases with malignant and/or intracranial neoplasms. In 41 cases, sudden death was caused by previously unknown tumors. The most common mechanisms of death in this group were disseminated cancer, intracranial tumors, pulmonary thromboembolism, hemoptysis, and aspiration of blood, and the most common locations were the bronchi and the lung. In some of these cases, the mechanism was sometimes dramatic, raising a question of violent death or intoxication. In 30 cases, sudden unexpected death was caused by previously known tumors, and also in this group disseminated cancer was the most common cause of death, and the most common locations were the bronchi and the lung. In 22 cases, tumors were found suicidal cases; in 14 of these, the tumor was considered to be a major causative factor to the suicide, while in eight cases the tumor was considered to be an incidental finding. The expected number of cancers in the 1,060 suicides investigated in this series was 27, according to the official cancer prevalence data. Thus, a possible over-representation of suicides among persons with cancer seems doubtful and needs further exploration.
Case report: Sporotrichosis from the Northern Territory of Australia.

PubMed

Subedi, Shradha; Kidd, Sarah E; Baird, Robert W; Coatsworth, Nicholas; Ralph, Anna P

2014-12-01

We report three cases of lymphocutaneous infection caused by the thermally dimorphic fungus, Sporothrix schenckii from Australia's tropical Northern Territory. Two cases were acquired locally, making them the first to be reported from this region. All three cases presented with ulceration in the limb; however, the classical sporotrichoid spread was present only in the first two cases. Their occurrence within several weeks of each other was suggestive of a common source of environmental contamination such as hay used as garden mulch. Diagnoses were delayed in each case, with each patient having substantial exposure to ineffective antibiotics before the correct diagnosis was made. These cases bring the total number of reported sporotrichosis cases in Australia since 1951 to 199. Lessons from these cases are to consider the diagnosis of sporotrichosis in lesions of typical appearance, even in geographical settings from where this pathogen has not previously been reported. © The American Society of Tropical Medicine and Hygiene.
How underserviced rural communities approach physician recruitment: changes following the opening of a socially accountable medical school in northern Ontario.

PubMed

Mian, Oxana; Hogenbirk, John C; Warry, Wayne; Strasser, Roger P

2017-01-01

The Northern Ontario School of Medicine (NOSM) opened in 2005 with a social accountability mandate to address a long history of physician shortages in northern Ontario. The objective of this qualitative study was to understand the school's effect on recruitment of family physicians into medically underserviced rural communities of northern Ontario. We conducted a multiple case study of 8 small rural communities in northern Ontario that were considered medically underserviced by the provincial ministry of health and had successfully recruited NOSM-trained physicians. We interviewed 10 people responsible for physician recruitment in these communities. Interview transcripts were analyzed by means of an inductive and iterative thematic method. All 8 communities were NOSM medical education sites with populations of 1600-16 000. Positive changes, linked to collaboration with NOSM, included achieving a full complement of physicians in 5 communities with previous chronic shortages of 30%-50% of the physician supply, substantial reduction in recruitment expenditures, decreased reliance on locums and a shift from crisis management to long-term planning in recruitment activities. The magnitude of positive changes varied across communities, with individual leadership and communities' active engagement being key factors in successful physician recruitment. Locating medical education sites in underserviced rural communities in northern Ontario and engaging these communities in training rural physicians showed great potential to improve the ability of small rural communities to recruit family physicians and alleviate physician shortages in the region.
Addressing a community's cancer cluster concerns

PubMed Central

Gavin, AT; Catney, D

2006-01-01

The felling of a telecommunications mast highlighted a community's concern regarding an alleged cancer cluster of eleven cases in a small rural area of Northern Ireland. At the request of the Local District Council, the Northern Ireland Cancer Registry (NICR) undertook an investigation. After extensive searching and contact with the community, only 6 of the alleged cases could be identified. Of these six, two did not have cancer and one had a non-malignant tumour. In addition to the three confirmed cancer cases, a search of the NICR database identified a further 17 cancers of mixed types in keeping with the population pattern of cancers. Standardised incidence and mortality rates were within, or lower than, the expected level. The results were presented to the local community at an open meeting. Despite extensive media interest when the issue of the alleged cluster was first raised, the negative findings received only local media attention. This study illustrates the value of an accurate population cancer registry in addressing cancer cluster concerns. PMID:16964811
Follow-up after early medical abortion: Comparing clinical assessment with self-assessment in a rural hospital in northern Norway.

PubMed

Mählck, Carl-Gustav; Bäckström, Torbjörn

2017-06-01

A follow-up study was performed on women who had requested medical abortions in a rural hospital in northern Norway to compare clinical assessment with self-assessment of early medical abortion in terms of safety. During the three-year study period, 392 women requested termination of pregnancy. After excluding those who changed their mind, those who had a spontaneous miscarriage, those who were referred to a central hospital for a two-stage abortion, and those who had the abortion performed surgically, 242 cases remained, and all the medical files were reviewed. Five cases (2%) were lost to follow-up, so the study group consists of 237 cases. Out of the 237 cases, in which a medical abortion was performed, 106 were performed at home with a self-assessment (44.7%), and 131 (55.3%) were performed at the department of Gynecology. The percentage of cases with self-assessment did not noticeably change during the three-year study period. The registered complications were infection, incomplete abortion requiring a surgical procedure and hospitalization due to severe pain. No significant difference in registered complications was found between medical abortions with self-assessment (n=9, 8.5% out of 106 cases) and medical abortions at the gynecological out-patient department (n=6, 4.6% out of 131 cases). According to this investigation, it is equally safe to perform a medical abortion at home with a self-assessment as it is to have a medical abortion at an outpatient clinic. These results could be useful for health care provision in rural areas where access to hospitals is impeded by logistical difficulties. Copyright © 2017 Elsevier B.V. All rights reserved.
Reduced plasma concentrations of vitamin B6 and increased plasma concentrations of the neurotoxin 3-hydroxykynurenine are associated with nodding syndrome: a case control study in Gulu and Amuru districts, Northern Uganda.

PubMed

Obol, James Henry; Arony, Denis Anywar; Wanyama, Ronald; Moi, Kenneth Luryama; Bodo, Bongomin; Odong, Patrick Olwedo; Odida, Michael

2016-01-01

Nodding syndrome was first reported in Uganda in 2003 among internally displaced populations. Risk factors for the syndrome remain unknown. We therefore explored vitamin B6 deficiency and resulting high 3-hydroxykynurenine (3-HK) levels as risk factor for nodding syndrome in Northern Uganda. Case-control study conducted in Gulu and Amuru districts. Cases were children/young adults with nodding syndrome. Healthy children/young adults were recruited as controls from same community as cases. Data on socio-demographic and other risk factors was collected using questionnaires. Whole blood was collected in EDTA tubes for assay of 3-HK and vitamin B6 using sandwich ELISA. Conditional logistic regression model was used to assess associations. 66 cases and 73 controls were studied. Factors associated with nodding syndrome were being positive for 3-HK (AOR=4.50, p=0.013), vitamin B6 concentration below mean (AOR=7.22, P=0.001), child being taken care of by mother only (AOR=5.43, p=0.011), child being taken care of by guardian (AOR=5.90, p=0.019) and child consuming relief food at weaning (AOR=4.05, p=0.021). Having low vitamin B6 concentration which leads to a build up of 3-hydroxykynurenine concentration in cases as a main risk factor. Therefore, cases should be treated with vitamin B6 and community members should be sensitise to ensure adequate dietary intake of vitamin B6 so that the risk of nodding syndrome among children is averted. We encourage future prospective intervention study to be conducted to assess the effect of low vitamin B6 on the development of nodding syndrome via raised 3-HK concentration.
A country-wide study of spoligotype and drug resistance characteristics of Mycobacterium tuberculosis isolates from children in China.

PubMed

Jiao, Weiwei; Liu, Zhiguang; Han, Rui; Zhao, Xiuqin; Dong, Fang; Dong, Haiyan; Huang, Hairong; Tian, Jianling; Li, Qinjing; Lian, Lulu; Yin, Qingqin; Song, Wenqi; Wan, Kanglin; Shen, A-Dong

2013-01-01

Tuberculosis (TB) is still a big threat to human health, especially in children. However, an isolation of Mycobacterium tuberculosis culture from pediatric cases remains a challenge. In order to provide some scientific basis for children TB control, we investigated the genotyping and drug resistance characteristics of M. tuberculosis isolates from pediatric cases in China. In this study, a total of 440 strains including 90 from children (<15 years), 159 from adolescents (15-18 years) and 191 from adults (>18 years) isolated in 25 provinces across China were subjected to spoligotyping and drug susceptibility testing. As a result, Beijing family strains were shown to remain predominant in China (85.6%, 81.1% and 75.4% in three above groups, respectively), especially among new children cases (91.0% vs. 69.6% in previously treated cases, P=0.03). The prevalence of the Beijing genotype isolates was higher in northern and central China in the total collection (85.1% in northern and 83.9% in central vs. 61.6% in southern China, P<0.001) and a similar trend was seen in all three age groups (P=0.708, <0.001 and 0.025, respectively). In adolescents, the frequencies of isoniazid (INH)-resistant and ethambutol (EMB)-resistant isolates were significantly higher among Beijing strains compared to non-Beijing genotype strains (P=0.028 for INH and P=0.027 for EMB). Furthermore, strong association was observed between resistance to rifampicine (RIF), streptomycin (STR) and multidrug resistance (MDR) among Beijing compared to non-Beijing strains in previously treated cases of children (P=0.01, 0.01 and 0.025, respectively). Beijing family was more prevalent in northern and central China compared to southern China and these strains were predominant in all age groups. The genetic diversity of M. tuberculosis isolates from children was similar to that found in adolescents and adults. Beijing genotype was associated with RIF, STR and MDR resistance in previously treated children.
Sporotrichosis from the Northern Territory of Australia

PubMed Central

Subedi, Shradha; Kidd, Sarah E.; Baird, Robert W.; Coatsworth, Nicholas; Ralph, Anna P.

2014-01-01

We report three cases of lymphocutaneous infection caused by the thermally dimorphic fungus, Sporothrix schenckii from Australia's tropical Northern Territory. Two cases were acquired locally, making them the first to be reported from this region. All three cases presented with ulceration in the limb; however, the classical sporotrichoid spread was present only in the first two cases. Their occurrence within several weeks of each other was suggestive of a common source of environmental contamination such as hay used as garden mulch. Diagnoses were delayed in each case, with each patient having substantial exposure to ineffective antibiotics before the correct diagnosis was made. These cases bring the total number of reported sporotrichosis cases in Australia since 1951 to 199. Lessons from these cases are to consider the diagnosis of sporotrichosis in lesions of typical appearance, even in geographical settings from where this pathogen has not previously been reported. PMID:25200259
Proceedings of the seventh Northern region paediatric colloquium.

PubMed

Barkla, Xanthe; Kaplan, Carole

2014-01-01

Ethical and legal dilemmas frequently arise in paediatric practice. Given the nature of the speciality, these issues are relevant to both the medical and legal professions. To this end, senior figures from the medical and legal professions in the Northern region have met on a regular basis in order to discuss anonymised case material. We report on the proceedings of the seventh such meeting. Six cases are described and key points arising from the subsequent discussion are presented.
Convergent Genetic and Expression Datasets Highlight TREM2 in Parkinson's Disease Susceptibility.

PubMed

Liu, Guiyou; Liu, Yongquan; Jiang, Qinghua; Jiang, Yongshuai; Feng, Rennan; Zhang, Liangcai; Chen, Zugen; Li, Keshen; Liu, Jiafeng

2016-09-01

A rare TREM2 missense mutation (rs75932628-T) was reported to confer a significant Alzheimer's disease (AD) risk. A recent study indicated no evidence of the involvement of this variant in Parkinson's disease (PD). Here, we used the genetic and expression data to reinvestigate the potential association between TREM2 and PD susceptibility. In stage 1, using 10 independent studies (N = 89,157; 8787 cases and 80,370 controls), we conducted a subgroup meta-analysis. We identified a significant association between rs75932628 and PD (P = 3.10E-03, odds ratio (OR) = 3.88, 95 % confidence interval (CI) 1.58-9.54) in No-Northern Europe subgroup, and significantly increased PD risks (P = 0.01 for Mann-Whitney test) in No-Northern Europe subgroup than in Northern Europe subgroup. In stage 2, we used the summary results from a large-scale PD genome-wide association study (GWAS; N = 108,990; 13,708 cases and 95,282 controls) to search for other TREM2 variants contributing to PD susceptibility. We identified 14 single-nucleotide polymorphisms (SNPs) associated with PD within 50-kb upstream and downstream range of TREM2. In stage 3, using two brain expression GWAS datasets (N = 773), we identified 6 of the 14 SNPs regulating increased expression of TREM2. In stage 4, using the whole human genome microarray data (N = 50), we further identified significantly increased expression of TREM2 in PD cases compared with controls in human prefrontal cortex. In summary, convergent genetic and expression datasets demonstrate that TREM2 is a potent risk factor for PD and may be a therapeutic target in PD and other neurodegenerative diseases.
Measles re-emergence in Northern Italy: Pathways of measles virus genotype D8, 2013-2014.

PubMed

Amendola, Antonella; Bianchi, Silvia; Lai, Alessia; Canuti, Marta; Piralla, Antonio; Baggieri, Melissa; Ranghiero, Alberto; Piatti, Alessandra; Tanzi, Elisabetta; Zehender, Gianguglielmo; Magurano, Fabio; Baldanti, Fausto

2017-03-01

Molecular surveillance and advanced phylogenetic methods are important tools to track the pathways of Measles virus (MV) genotypes, provide evidence for the interruption of endemic transmission and verify the elimination of the disease. The aims of this study were to describe the genetic profile of MV genotype D8 (D8-MV) strains circulating in Northern Italy (Lombardy Region) during the 2013-2014 period and to analyze the transmission chains and estimate the introduction time points using a phylogenetic approach. Forty-four strains of D8-MV identified from 12 outbreaks and 28 cases reported as sporadic were analyzed. Molecular analysis was performed by sequencing the highly variable 450nt region of the N gene of MV genome (N-450), as recommended by the WHO. Phylogenetic analyses and tree time-scaled reconstruction were performed with BEAST software. We could trace back the transmission pathways that resulted in three chains of transmission, two introductions with limited spread (two familiar outbreaks), and two single introductions (true sporadic cases). The D8-Taunton transmission chain, which was involved in 7 outbreaks and 13 sporadic cases, was endemic during the studied period. Furthermore, two novel local variants emerged independently in March 2014 and caused two transmission chains linked to at least 3 outbreaks. Overall, viral diversity was high and strains belonging to 5 different variants were identified. The results of this study clearly demonstrate that multiple lineages of D8-MV co-circulated in Northern Italy. Measles can be considered a re-emerging disease in Italy and additional efforts are necessary to achieve measles elimination goal. Copyright © 2016 Elsevier B.V. All rights reserved.
G-protein beta 3 subunit polymorphisms and essential hypertension: a case-control association study in northern Han Chinese

PubMed Central

Li, Mei; Zhang, Bei; Li, Chuang; Liu, Jie-Lin; Wang, Li-Juan; Liu, Ya; Wang, Zuo-Guang; Wen, Shao-Jun

2015-01-01

Objective To explore the association between the three polymorphisms [ C825T, C1429T and G(-350)A] of the gene encoding the G protein beta 3 subunit (GNB3) and hypertension by performing a case-control study in the northern Han Chinese population. Methods We recruited 731 hypertensive patients and 673 control subjects (the calculated power value was > 0.8). Genotyping was performed to identify C825T, C1429T and G(-350)A polymorphisms using the TaqMan assay. Comparisons of allelic and genotypic frequencies between cases and controls were made by using the chi-square test. Logistic regression analyses were performed to investigate the relationships between the three polymorphisms of GNB3 gene under different genetic models (additive, dominant and recessive models). Results The genotype distribution and allele frequencies of C825T, C1429T and G(-350)A polymorphisms did not differ significantly between hypertensive patients and control subjects, either when the full sample was assessed, or when the sample was stratified by gender. No significant association was observed between C825T, C1429T and G(-350)A polymorphisms and the risk of essential hypertension in any genetic model. Linkage disequilibrium was only detected between C825T and C1429T polymorphisms. Haplotype analyses observed that none of the three estimated haplotypes significantly increased the risk of hypertension. Conclusions Our study suggested that the GNB3 gene polymorphisms [C825T, C1429T and G(-350)A] were not significantly associated with essential hypertension in northern Han Chinese population. PMID:25870615
Using Peer Feedback to Improve Learning via Online Peer Assessment

ERIC Educational Resources Information Center

Liu, Eric Zhi-Feng; Lee, Chun-Yi

2013-01-01

This study investigates the influence of various forms of peer observation and feedback on student learning. We recruited twelve graduate students enrolled in a course entitled, Statistics in Education and Psychology, at a university in northern Taiwan. Researchers adopted the case study method, and the course lasted for ten weeks. Students were…

Lacustrine responses to decreasing wet mercury deposition rates: results from a case study in northern Minnesota

USGS Publications Warehouse

Brigham, Mark E.; Sandheinrich, Mark B.; Gay, David A.; Maki, Ryan P.; Krabbenhoft, David P.; Wiener, James G.

2014-01-01

We present a case study comparing metrics of methylmercury (MeHg) contamination for four undeveloped lakes in Voyageurs National Park to wet atmospheric deposition of mercury (Hg), sulfate (SO4–2), and hydrogen ion (H+) in northern Minnesota. Annual wet Hg, SO4–2, and H+ deposition rates at two nearby precipitation monitoring sites indicate considerable decreases from 1998 to 2012 (mean decreases of 32, 48, and 66%, respectively). Consistent with decreases in the atmospheric pollutants, epilimnetic aqueous methylmercury (MeHgaq) and mercury in small yellow perch (Hgfish) decreased in two of four lakes (mean decreases of 46.5% and 34.5%, respectively, between 2001 and 2012). Counter to decreases in the atmospheric pollutants, MeHgaq increased by 85% in a third lake, whereas Hgfish increased by 80%. The fourth lake had two disturbances in its watershed during the study period (forest fire; changes in shoreline inundation due to beaver activity); this lake lacked overall trends in MeHgaq and Hgfish. The diverging responses among the study lakes exemplify the complexity of ecosystem responses to decreased loads of atmospheric pollutants.
Burden of psychiatric morbidity among attendees of a secondary level hospital in Northern India: Implications for integration of mental health care at subdistrict level.

PubMed

Haldar, Partha; Sagar, Rajesh; Malhotra, Sumit; Kant, Shashi

2017-01-01

There is little information available on the type, pattern, trend, and demographic differentials of psychiatric cases attending a subdistrict level facility in India. Our objectives were to describe the sociodemographic profile of the patients availing the psychiatric outpatient department services and document the diagnosis. This study is based on a retrospective analysis of routinely recorded administrative data collected during psychiatry consultations that took place between January 2010 and June 2014, at the subdistrict level hospital, Ballabgarh, Faridabad district, Haryana, Northern India. The data were abstracted in Microsoft Excel, scrutinized for duplicates, and cleaned in terms of the International Classification of Diseases 10 th Revision coding. Descriptive analysis was done for dependent variables and continuous variables were compared using independent t -test. A total of 2806 people (new registrations) were provided psychiatric consultations between January 2010 and June 2014. The mean age of males was 33.7 years (95% confidence interval [CI], 32.9, 34.5) and of females was 35.6 years (95% CI, 34.9, 36.3). Neurotic, stress-related, and somatoform disorders (F40-F48) comprised the major category of diagnoses with 661 cases (24%), followed by unspecified mental disorders (F99) with 528 cases (19%), mood (affective) disorders (F30-F39) with 448 cases (16%), and episodic and paroxysmal disorders (G40-G47) with 334 cases (12%). We reported an increase in level and trend in the monthly attendance of patients who required psychiatric at a secondary care hospital in Northern India. We suggest that setting up of mental health units only at district hospital might not be a sufficient health system's approach as has been envisaged under the District Mental Health Program.
The prevalence of human papillomavirus genotypes in penile cancers from northern Thailand.

PubMed

Senba, Masachika; Kumatori, Atsushi; Fujita, Shuichi; Jutavijittum, Prapan; Yousukh, Amnat; Moriuchi, Toshiyuki; Nakamura, Tsuyoshi; Toriyama, Kan

2006-10-01

The highest frequency of penile cancer occurs in Asia, Africa, and Latin America, and there have been a few reports concerning the association of penile cancer with human papillomavirus (HPV) infection in these areas. The objective of this study was to determine the relation between penile cancer and the prevalence of HPV genotypes in northern Thailand. Eighty-eight specimens of penile tissue (65 malignant, 1 pre-malignant, and 22 benign cases) were examined to determine the association of HPV infection. An in situ hybridization (ISH) method was used to detect and localize HPV-DNA. Sensitive HPV polymerase chain reaction (PCR) procedure was used for detection of HPV-DNA, and DNA sequencing was used to identify the HPV genotype. HPV-DNA was detected in 53.8% and 81.5% of cases of penile cancer, using ISH and PCR, respectively. The high-risk HPV-16, most commonly associated with penile cancer in previous reports, was found in only one case in this study. The most prevalent genotype was the high-risk HPV-18, found in 55.4% of the cases (32.3% single and 23.1% multiple infection) followed by the low-risk HPV-6, found in 43.1% of the cases (24.6% single and 18.5% multiple infection). In this study, penile cancer was found to be highly correlated with HPV-DNA. Specifically, infection with both the low-risk HPV-6 and the high-risk HPV-18 is the characteristic prevalence of HPV genotypes in penile cancer in this area.
Merkel cell polyomavirus detection in Merkel cell cancer tumors in Northern Germany using PCR and protein expression.

PubMed

Leitz, Miriam; Stieler, Kristin; Grundhoff, Adam; Moll, Ingrid; Brandner, Johanna M; Fischer, Nicole

2014-10-01

Merkel cell carcinoma is a highly malignant skin cancer which predominantly occurs in elderly and immunocompromised persons. The identification of the Merkel cell polyomavirus (MCPyV) has inaugurated a new understanding of Merkel cell carcinoma pathogenesis. The frequent detection of the virus in Merkel cell carcinoma tissue (70-90%), its monoclonal integration in the tumor cells and the expression of viral oncogenes highly suggest that MCPyV is causally linked to the pathogenesis of the majority of Merkel cell cancer (MCC) cases. Using qualitative and quantitative PCR together with immunohistochemical staining this study aimed at characterizing the presence of MCPyV sequences and viral early gene expression in a cohort of MCC cases (n = 32) selected in Northern Germany. 40-57% of the cases were identified as MCPyV positive with 40.6% of the cases positive by immunohistochemical staining and 51.6-57.6% positive by PCR. Interestingly, in the majority (64%) of LT-Antigen positive tumors only 25-50% of tumor cells express LT-Antigen. These data are in accord with published studies describing heterogeneity in MCPyV viral loads and suggest that detection of MCPyV in Merkel cell carcinoma by PCR should be undertaken using multiple primer pairs. © 2013 Wiley Periodicals, Inc.
Envenomation by the Northern Blacktail Rattlesnake (Crotalus molossus molossus): case report.

PubMed

Yarema, Mark C; Curry, Steven C

2005-01-01

The clinical course after a human envenomation by the Northern Blacktail rattlesnake (Crotalus molossus molossus) is not well described in the literature. The present report discusses a 12-year-old girl who was envenomated by C. molossus molossus and treated with antivenom (Crotalidae polyvalent immune Fab). Her recovery was uncomplicated, and she was discharged after 48 hours of hospitalization. Hematologic and coagulation studies were within normal limits at follow up. The clinical effects of C. molossus molossus envenomation are reviewed, and previous reports of bites by C. molossus molossus are discussed and compared with our patient.
The solar and equatorial QBO influences on the stratospheric circulation during the early northern-hemisphere winter. [Quasi-Biennial Oscillation

DOE Office of Scientific and Technical Information (OSTI.GOV)

Kodera, Kunihiko

1991-06-01

A case study was conducted to investigate the mechanism of how the solar cycle and the equatorial quasi-biennial oscillation (QBO) influence the stratospheric circulation during the Northern-Hemisphere winter. It was found that the solar and QBO influences on the stratospheric jet exist rather independently in the upper stratosphere during December. The mean-zonal wind anomalies produced in early winter persist by deformation until late winter through wave-mean flow interactions with planetary waves. The modulation effect of the solar influence by the QBO takes place during this process.
Religious beliefs along the suicidal path in northern Taiwan.

PubMed

Fang, Chun-Kai; Lu, Hsin-Chin; Liu, Shen-ing; Sun, Yi-Wen

2011-01-01

This study aimed to understand the current inclinations toward depression and compulsion for members of four different religious groups, and to predict religious beliefs along the suicide path through analyzing the lifetime prevalence of suicidal ideation and suicide attempts for members of these religious groups. Participants in this cross-sectional study, which adopted purposive sampling, were members of Christianity, Catholicism, Buddhism, and Taoism in northern Taiwan. In the case of suicide experiences, suicides among people one knows, and tendency toward compulsion and depression, there are statistical differences between the four religions. According to the results, some people with suicidal tendency will attend religious activities; therefore, we predict that religious beliefs play an important role in suicide prevention.
Towards Effective International Work-Integrated Learning Practica in Development Studies: Reflections on the Australian Consortium for "In-Country" Indonesian Studies' Development Studies Professional Practicum

ERIC Educational Resources Information Center

Rosser, Andrew

2012-01-01

In recent years, overseas work-integrated learning practica have become an increasingly important part of development studies curricula in "Northern" universities. This paper examines the factors that shape pedagogical effectiveness in the provision of such programmes, focusing on the case of the Australian Consortium for…
Prevalence of diabetes and its relation with age and sex in Turaif city, northern Saudi Arabia in 2016-2017.

PubMed

Alanazi, Nour Homoud; Alsharif, Mahmoud Mohammed; Rasool, Ghazala; Alruwaili, Ahmed Bin Hashash; Alrowaili, Asem Matrouk Zayed; Aldaghmi, Ahmed Saud; Al Shkra, Mohammad Khalil Dughaieum; Alrasheedi, Fatimah Awadh; Alenezi, Ghadah Saleem; Alanazi, Mona Theyab

2017-09-01

The prevalence of diabetes in Saudi Arabia has increased dramatically during the last decades. This increase has been attributed to significant changes in cultural and socio-economic factors. The aim of this study was to determine prevalence of diabetes and its relation with age and sex in Turaif city, northern Saudi Arabia. This was a cross-sectional study carried out during the academic year 2016-2017 over a period of 6 months (October 01, 2016 to March 30, 2017). A total of 1,287 Saudi national individuals of both sexes, aged from 1 year to more than 65 years were included in the study. Data were collected by a predesigned questionnaire covering medical history of diabetes, age and sex. Mean age (± SD) was 24.29 (±13.96) years with the minimum age at 1 year and the maximum age at 93 years, male to female ratio was 42.5% to 57.5%. The total prevalence of DM among the studied population was 5.8% and pre-diabetic cases were 6.8%. There were significant relationships between age/sex, and the occurrence of diabetes among the studied population (p<0.05). The total prevalence rate of DM among the studied population of Turaif city, northern Saudi Arabia was 5.8% and pre-diabetic cases were 6.8%. Awareness campaigns and prevention programs about diabetes should be instituted and the existing ones must be strengthened. Adequate commitment from the Ministry of Health is also advocated.
Anaemia in Pregnancy: Prevalence, Risk Factors, and Adverse Perinatal Outcomes in Northern Tanzania.

PubMed

Stephen, Grace; Mgongo, Melina; Hussein Hashim, Tamara; Katanga, Johnson; Stray-Pedersen, Babill; Msuya, Sia Emmanueli

2018-01-01

Anaemia in pregnancy is a public health problem in developing countries. This study aimed to determine the prevalence, risk factors, and adverse perinatal outcomes of anaemia among pregnant women in Moshi Municipal, Northern Tanzania. This was a follow-up study conducted from October 2013 to June 2015. A total of 539 pregnant women were enrolled in this study. Interviews were conducted followed by determination of haemoglobin level. Women were followed up at delivery and at 7 days and 28 days after delivery. A total of 529 women were included in this analysis. Their mean age was 25.8 (SD 5.73). The prevalence of anaemia was 18.0% and 2% had severe anaemia. The clinic of recruitment and low education level of the women were the factors that were independently associated with anaemia during pregnancy. At delivery, there were 10 stillbirths, 16 low birth weight (LBW) newborns, and 2 preterm birth cases. No association was found between anaemia and LBW, preterm birth, or stillbirths. Anaemia in pregnancy was a mild public health problem in the study setting of Northern Tanzania.
Benefit Indicators for Flood Regulation Services of Wetlands: A Modeling Approach

EPA Science Inventory

This report describes a method for developing indicators of the benefits of flood regulation services of wetlands and presents a companion case study. We demonstrate our approach through an application to the Woonasquatucket River watershed in northern Rhode Island. This work is ...
The Madden-Julian Oscillation and its Impact on Northern Hemisphere Weather Predictability during Wintertime

NASA Technical Reports Server (NTRS)

Jones, Charles; Waliser, Duane E.; Lau, K. M.; Stern, W.

2003-01-01

The Madden-Julian Oscillation (MJO) is known as the dominant mode of tropical intraseasonal variability and has an important role in the coupled-atmosphere system. This study used twin numerical model experiments to investigate the influence of the MJO activity on weather predictability in the midlatitudes of the Northern Hemisphere during boreal winter. The National Aeronautics and Space Administration (NASA) Goddard laboratory for the Atmospheres (GLA) general circulation model was first used in a 10-yr simulation with fixed climatological SSTs to generate a validation data set as well as to select initial conditions for active MJO periods and Null cases. Two perturbation numerical experiments were performed for the 75 cases selected [(4 MJO phases + Null phase) _ 15 initial conditions in each]. For each alternative initial condition, the model was integrated for 90 days. Mean anomaly correlations in the midlatitudes of the Northern Hemisphere (2O deg N_60 deg.N) and standardized root-mean-square errors were computed to validate forecasts and control run. The analyses of 500-hPa geopotential height, 200-hPa Streamfunction and 850-hPa zonal wind component systematically show larger predictability during periods of active MJO as opposed to quiescent episodes of the oscillation.
Increased incidence of renal parenchymal carcinoma in the Northern and Yorkshire region of England, 1978-1997.

PubMed

Tate, R; Iddenden, R; Harnden, P; Morris, E; Craigs, C; Bennett, C; Brook, C; Haward, R A; Forman, D

2003-05-01

Kidney cancer remains relatively rare, but incidence and mortality rates are reported to be rising steadily across the world. To determine if such increases were occurring in the UK, we examined the rates of incidence and mortality in different histological subtypes of kidney cancer in the Northern and Yorkshire region of England. Details of all 8741 cases diagnosed between 1978 and 1997 were extracted from the population-based Northern and Yorkshire Cancer Registry. For all types of tumour, both incidence and mortality rates increased over the study period. Overall age-standardised incidence rates increased by 86% for renal parenchymal carcinoma (RPC) (80% for males, 90% for females) from 2.8 to 5.2 cases per 100000 (3.8-6.8 male, 2.0-3.8 female). There were incidence increases in all age groups, all Carstairs index groups and in both urban and rural populations. Although increased incidental detection of kidney tumours by improved investigational techniques may account for some of this rise, we believe it unlikely that it accounts for all of the increase observed. Potential aetiological causes for the increased rates include hypertension, smoking, a diet lacking fruit and vegetables, analgesic use and, particularly, obesity.
The Log School: A Case for Appropriate Design.

ERIC Educational Resources Information Center

Barnhardt, Ray; Dubbs, Patrick J.

For many remote northern communities, especially Native American communities, school design, construction, and heating would be more culturally and technologically appropriate if local materials and expertise were utilized. Following World War II, the period of the most rapid "de-localization" of northern communities, the allegedly…
pCO2 and CO2 Exchange During High Bora Winds in the Northern Adriatic

DTIC Science & Technology

2013-03-05

coastal ocean , has not been adequately assessed. Here we show the response of surfacewater pCO2 and CO2 fluxes during high borawind in the Northern...m−2 day−1 day in thewinter cases and 29 mmol m−2 day−1 in the summer case) over themag- nitude of the mean annual value. Oceanic data measured...simultaneously to surface pCO2 measurements suggest that themost likely responsiblemechanisms for the observed pCO2 increaseswere oceanic verticalmixing and
The costs of managing genital warts in the UK by devolved nation: England, Scotland, Wales and Northern Ireland.

PubMed

Coles, V A H; Chapman, R; Lanitis, T; Carroll, S M

2016-01-01

Genital warts, 90% of which are caused by human papillomavirus types 6 and 11, are a significant problem in the UK. The cost of managing genital warts was previously estimated at £52.4 million for 2010. The objective of this study was to estimate the cost of genital warts management up to 2012 in the UK and by jurisdiction. Population statistics and the number of reported genital warts cases in genito-urinary medicine clinics were obtained and extrapolated to 2012. Cases of genital warts treated in primary care were estimated from The Health Improvement Network database. The number of visits and therapy required were estimated by genito-urinary medicine experts. Costs were obtained from the appropriate national tariffs. The model estimated there were 220,875 genital warts cases in the UK in 2012, costing £58.44 million (£265/patient). It estimated 157,793 cases in England costing £41.74 million; 7468 cases in Scotland costing £1.90 million; 7095 cases in Wales costing £1.87 million; and 3621 cases in Northern Ireland costing £948,000. The full National Health Service costs for the management of genital warts have never previously been estimated separately for each jurisdiction. Findings reveal a significant economic burden, which is important to quantify when understanding the value of quadrivalent human papilloma virus vaccination. © The Author(s) 2015.
Influence of Family Communication Structure and Vanity Trait on Consumption Behavior: A Case Study of Adolescent Students in Taiwan

ERIC Educational Resources Information Center

Chang, Wei-Lung; Liu, Hsiang-Te; Lin, Tai-An; Wen, Yung-Sung

2008-01-01

The purpose of this research was to study the relationship between family communication structure, vanity trait, and related consumption behavior. The study used an empirical method with adolescent students from the northern part of Taiwan as the subjects. Multiple statistical methods and the SEM model were used for testing the hypotheses. The…
The Dynamic Model and Inherent Variability: The Case of Northern France.

ERIC Educational Resources Information Center

Hornsby, David

1999-01-01

Explores the claims of the "dynamic" model of variation by testing against data recorded in Avion, Northern France. Parallels are drawn between "langue d'oil" areas of France and decreolization situations in which proponents of the dynamic model have generally worked. (Author/VWL)
Toxicity of medicinal plants used in traditional medicine in Northern Peru

PubMed Central

Bussmann, R.W.; Malca, G.; Glenn, A.; Sharon, D.; Nilsen, B.; Parris, B.; Dubose, D; Ruiz, D.; Saleda, J.; Martinez, M.; Carillo, L.; Walker, K.; Kuhlman, A.; Townesmith, A.

2011-01-01

Aim The plant species reported here are traditionally used in Northern Peru for a wide range of illnesses. Most remedies are prepared as ethanol or aqueous extracts and then ingested. The aim of this study was to evaluate the potential toxicity of these extracts. Materials and methods The toxicity of ethanolic and water extracts of 341 plant species was determined using a Brine-Shrimp assay. Results Overall 24% of the species in water extract and 76% of the species in alcoholic extract showed elevated toxicity levels to brine-shrimp. Although in most cases multiple extracts of the same species showed very similar toxicity values, in some cases the toxicity of different extracts of the same species varied from non-toxic to highly toxic. Conclusions Traditional preparation methods take different toxicity levels in aqueous and ethanol extracts into account when choosing the appropriate solvent for the preparation of a remedy. PMID:21575699
International Circumpolar Surveillance System for Invasive Pneumococcal Disease, 1999–2005

PubMed Central

Deeks, Shelley L.; Zulz, Tammy; Bruden, Dana; Navarro, Christine; Lovgren, Marguerite; Jette, Louise; Kristinsson, Karl; Sigmundsdottir, Gudrun; Jensen, Knud Brinkløv; Lovoll, Oistein; Nuorti, J. Pekka; Herva, Elja; Nystedt, Anders; Sjostedt, Anders; Koch, Anders; Hennessy, Thomas W.; Parkinson, Alan J.

2008-01-01

The International Circumpolar Surveillance System is a population-based surveillance network for invasive bacterial disease in the Arctic. The 7-valent pneumococcal conjugate vaccine (PCV7) was introduced for routine infant vaccination in Alaska (2001), northern Canada (2002–2006), and Norway (2006). Data for invasive pneumococcal disease (IPD) were analyzed to identify clinical findings, disease rates, serotype distribution, and antimicrobial drug susceptibility; 11,244 IPD cases were reported. Pneumonia and bacteremia were common clinical findings. Rates of IPD among indigenous persons in Alaska and northern Canada were 43 and 38 cases per 100,000 population, respectively. Rates in children <2 years of age ranged from 21 to 153 cases per 100,000 population. In Alaska and northern Canada, IPD rates in children <2 years of age caused by PCV7 serotypes decreased by >80% after routine vaccination. IPD rates are high among indigenous persons and children in Arctic countries. After vaccine introduction, IPD caused by non-PCV7 serotypes increased in Alaska. PMID:18258073

Food Defense Practices of School Districts in Northern U.S. States

ERIC Educational Resources Information Center

Klitzke, Carol J.

2013-01-01

This study assessed implementation of food defense practices in public schools in Montana, Wyoming, South Dakota, North Dakota, Iowa, Minnesota, and Wisconsin. The first phase involved a qualitative multi-site case study: one-day visits were made to five school districts in the states of Iowa, South Dakota, Minnesota, and Wisconsin. A principal,…
Global Educational Ecosystem: Case Study of a Partnership with K-12 Schools, Community Organizations, and Business

ERIC Educational Resources Information Center

Lewis, Donna S.

2010-01-01

The purpose of this study was to describe a collaborative partnership model known as the Global Educational Ecosystem, which involves three K-12 schools in Northern California, community organizations (representing science, technology, health, and arts), and Xilinx, Inc. from the perspectives of the leaders of the involved partner organizations in…
The Library's role and challenges in implementing an e-learning strategy: a case study from northern Australia.

PubMed

Ritchie, Ann

2011-03-01

The Northern Territory Department of Health and Families' (DHF) Library supports education programs for all staff. DHF is implementing an e-learning strategy, which may be viewed as a vehicle for coordinating the education function throughout the organisation. The objective of this study is to explore the concept of e-learning in relation to the Library's role in implementing an organisation-wide e-learning strategy. The main findings of a literature search about the effectiveness of e-learning in health professionals' education, and the responsibility and roles of health librarians in e-learning are described. A case study approach is used to outline the current role and future opportunities and challenges for the Library. The case study presents the organisation's strategic planning context. Four areas of operational activity which build on the Library's current educational activities are suggested: the integration of library resources 'learning objects' within a Learning Management System; developing online health information literacy training programs; establishing a physical and virtual 'e-Learning Library/Centre'; developing collaborative partnerships, taking on new responsibilities in e-learning development, and creating a new e-learning librarian role. The study shows that the Library's role is fundamental to developing the organisation's e-learning capacity and implementing an organisation-wide e-learning strategy. © 2010 The authors. Health Information and Libraries Journal © 2010 Health Libraries Group.
[Hansen's disease in the northern region of Brazil--1986].

PubMed

Britto, R da S

1989-12-01

Some general facts about Hansen's Disease are presented: in the world, in the Americas, in 1986, with the purpose to focalize on the Northern Region of Brazil (Amazon Valley) where an attempt is made to specify, State, the clinical forms in the active registry, the respective coefficients of Prevalence, about the cases detected during the year, by clinical forms and the correspondent Coefficient of Incidence, the age range of less than 15 years, and above 15 years; and to analyze according to the township in the State of Amazonas in a series of 8 years, from 1979 to 1986, the registered cases under control and also without control, the new cases, by clinical form and Coefficient of Incidence, the positive cases among students in the capital and also in the country, and with more details, still by township and by Public Health Registry, in 1986, with the population, new cases, and Coefficient of Incidence, cases of the active registry, cases under control, Coefficient of Incidence, the relationship between patients/inhabitants, cases according to the decreasing intensity as far as the Prevalence and Health Department Regions: all this to give an idea, in detail, inclusive statistics, of the real position of Hansen's Disease in the Northern Region (Amazon Valley), with the highest figures of Prevalence and even of Incidence, in comparison with other Regions of the country, and to stress the grave situation of the endemic proportions of the disease, in Brazil in general and in that Regions, in particular.
Fatal heroin intoxication in body packers in northern Thailand during the last decade: two case reports.

PubMed

Sribanditmongkol, Pongruk; Supasingsiripreecha, Wiroon; Thampitak, Subharat; Junkuy, Anongphan

2006-01-01

A body packer is an important means of drug trafficking. While drug packets are inside the body, they can leak or rupture causing acute substance toxicity. Most of the reports of body packer syndrome have come from Europe and North America, which are destination targets. In the present study, the authors reported two cases of fatal heroin body packers from the northern part of Thailand. Both cases were foreign tourists who came to Chiang Mai and stayed in a hotel or a guesthouse room in which the deaths occurred. The autopsy findings revealed rupturing of heroin packages in the stomach. The packaging used in both cases was not sophisticated. The powder was packed inside condoms without extra covering, as observed in some other professional packers. The amount of heroin transported was about 30-50 gm. The purity of heroin in this powder was about 50-90%. Their destinations were their home countries and not directly to Europe or North America. Deaths occurred just prior to their return. The cause of death was a heroin overdose. A significant level of heroin metabolites, 6-MAM and morphine were detected in the blood and urine.
Lightning Behavior and its Dependence on Storm Kinematic and Precipitation Processes in Northern Alabama

NASA Technical Reports Server (NTRS)

Johnson, Elsie V.; Petersen, W. A,

2009-01-01

Numerous case studies and recent modeling studies have found that various metrics of updraft intensity appear to be reasonably well correlated to lightning production in thunderstorms, particularly severe thunderstorms. Indeed, the relationship between updraft and lightning flash rate is hypothesized to be the physical connection between a lightning "jump" signature and manifestations of severe weather such as tornadic activity. This study further examines this connection using a combination of dual Doppler wind retrievals made with the UAH ARMOR dual polarimetric and KHTX WSR 88D Doppler radar pair, together with northern Alabama Lightning Mapping Array (LMA) data. The dual Doppler data were used to construct three dimensional wind fields and the retrieved vertical velocity fields were subsequently compared to collocated total lightning flash rates observed by the LMA. Particular attention was paid to the timing of updraft pulses relative to changes in the flash rate, with the goal of assessing impacts on warning decision lead time. Results from the analysis of severe and non severe thunderstorms in Northern Alabama will be presented including the EF 4 tornado producing supercell on 6 February 2008.
Mercury Pollution Near A Chlor-Alkali Plant In Northern Kazakhstan

EPA Science Inventory

In northern Kazakhstan, there is a serious case of mercury pollution near Pavlodar City from an old mercury cell chlor-alkali plant. The soil, sediment, and water is contaminated with more than a thousand tons of mercury and mercury compounds as a result of the operation of the ...
Integrating Education: Parekhian Multiculturalism and Good Practice

ERIC Educational Resources Information Center

McGlynn, Claire

2009-01-01

This paper explores the concept of good practice in integrating education in divided societies. Using Northern Ireland as a case study, the paper draws on data from eight schools (both integrated Catholic and Protestant, and separate) that are identified as exemplifying good practice in response to cultural diversity. Analysis is provided through…
Bedload transport in SE Asian streams: Uncertainties and implications for reservoir management

EPA Science Inventory

This paper reviews the current state of knowledge regarding bedload transport in SE Asian streams and presents the results from a case study on bedload transport in a mountain stream in northern Thailand. Together, the review and new data help contextualize the paucity of work do...
Impact of Implementing a Primary Enforcement Seat Belt Law in Florida : A Case Study

DOT National Transportation Integrated Search

2012-08-01

On June 30, 2009, Florida implemented a primary seat belt law. The State was already engaged in a Rural : Demonstration Program (RDP) to increase belt usage in rural areas in the northern part of the State and participated : regularly in annual Click...
Assessing the threat posed by indigenous exotics: A case study of two North American bark beetle species

Treesearch

K. J. Dodds; D. W. Gilmore; S. J. Seybold

2010-01-01

The Douglas-fir beetle, Dendroctonus pseudotsugae Hopkins, was detected in 2001 in northern Minnesota outside its natural range and the range of its native hosts, Douglas-fir, Pseudotsuga menziesii (Mirbel) Franco, and western larch, Larix occidentalis Nutt. Consecutive years of...
The Northern Territories: Case Study in Japanese-Soviet Relations.

DTIC Science & Technology

1982-06-01

types ( watermelons and tomatoes) due to the relatively warm climatic conditions. Pigs, sheep, and horses populate most all settlements, and dairy...reluctantly accepted these restrictions because of its depend- ence on fish as its primary source of protein , but in doing so has given de facto recognition to
Knowing about Racial Stereotypes versus Believing Them

ERIC Educational Resources Information Center

Nasir, Na'ilah Suad; McKinney de Royston, Maxine; O'Connor, Kathleen; Wischnia, Sarah

2017-01-01

Despite post-racial rhetoric, stereotypes remain salient for American youth. We surveyed 150 elementary and middle schoolers in Northern California and conducted case studies of 12 students. Findings showed that (a) students hold school-related stereotypes that get stronger in middle school, (b) African American and Latino students experience…
Professional Learning in Rural Practice: A Sociomaterial Analysis

ERIC Educational Resources Information Center

Slade, Bonnie

2013-01-01

Purpose: This paper aims to examine the professional learning of rural police officers. Design/methodology/approach: This qualitative case study involved interviews and focus groups with 34 police officers in Northern Scotland. The interviews and focus groups were transcribed and analysed, drawing on practice-based and sociomaterial learning…
Can Asian Dust Trigger Phytoplankton Blooms in the Oligotrophic Northern South China Sea?

NASA Technical Reports Server (NTRS)

Wang, Sheng Hsiang; Hsu, Nai-Yung Christina; Tsay, Si-Chee; Lin, Neng-Huei; Sayer, Andrew M.; Huang, Shih-Jen; Lau, William K. M.

2012-01-01

Satellite data estimate a high dust deposition flux (approximately 18 g m(exp-2 a(exp-1) into the northern South China Sea (SCS). However, observational evidence concerning any biological response to dust fertilization is sparse. In this study, we combined long-term aerosol and chlorophyll-a (Chl-a) measurements from satellite sensors (MODIS and SeaWiFS) with a 16-year record of dust events from surface PM10 observations to investigate dust transport, flux, and the changes in Chl-a concentration over the northern SCS. Our result revealed that readily identifiable strong dust events over this region, although relatively rare (6 cases since 1994) and accounting for only a small proportion of the total dust deposition (approximately 0.28 g m(exp-2 a(exp-1), do occur and could significantly enhance phytoplankton blooms. Following such events, the Chl-a concentration increased up to 4-fold, and generally doubled the springtime background value (0.15 mg m(exp-3). We suggest these heavy dust events contain readily bioavailable iron and enhance the phytoplankton growth in the oligotrophic northern SCS.
Men in despair: a qualitative psychological autopsy study of suicide in northern Uganda.

PubMed

Kizza, Dorothy; Knizek, Birthe Loa; Kinyanda, Eugene; Hjelmeland, Heidi

2012-11-01

The psychosocial circumstances surrounding men's suicide in postconflict Central Northern Uganda were investigated using qualitative psychological autopsy interviews. Records of 17 men who died by suicide were identified through police and local leaders in Internally Displaced Peoples' camps of Amuru and Gulu Districts. Two to five significant others were interviewed around each case. Data were analyzed by interpretative phenomenological analysis (IPA). Lost dignity and social value, lack of hope for the family's future, overwhelming family responsibility, and mental illness were circumstances found to have preceded the suicides. The protracted war in the Northern region of Uganda left men in rural communities feeling disempowered and disenfranchised. This may have contributed to suicidal behavior in some of them. Suicide prevention in this area needs to be multidisciplinary with an emphasis on helping both men and women understand and deal with the many social changes that have evolved over time and affected their traditional roles and responsibilities.
Case-control analysis of truncating mutations in DNA damage response genes connects TEX15 and FANCD2 with hereditary breast cancer susceptibility.

PubMed

Mantere, Tuomo; Tervasmäki, Anna; Nurmi, Anna; Rapakko, Katrin; Kauppila, Saila; Tang, Jiangbo; Schleutker, Johanna; Kallioniemi, Anne; Hartikainen, Jaana M; Mannermaa, Arto; Nieminen, Pentti; Hanhisalo, Riitta; Lehto, Sini; Suvanto, Maija; Grip, Mervi; Jukkola-Vuorinen, Arja; Tengström, Maria; Auvinen, Päivi; Kvist, Anders; Borg, Åke; Blomqvist, Carl; Aittomäki, Kristiina; Greenberg, Roger A; Winqvist, Robert; Nevanlinna, Heli; Pylkäs, Katri

2017-04-06

Several known breast cancer susceptibility genes encode proteins involved in DNA damage response (DDR) and are characterized by rare loss-of-function mutations. However, these explain less than half of the familial cases. To identify novel susceptibility factors, 39 rare truncating mutations, identified in 189 Northern Finnish hereditary breast cancer patients in parallel sequencing of 796 DDR genes, were studied for disease association. Mutation screening was performed for Northern Finnish breast cancer cases (n = 578-1565) and controls (n = 337-1228). Mutations showing potential cancer association were analyzed in additional Finnish cohorts. c.7253dupT in TEX15, encoding a DDR factor important in meiosis, associated with hereditary breast cancer (p = 0.018) and likely represents a Northern Finnish founder mutation. A deleterious c.2715 + 1G > A mutation in the Fanconi anemia gene, FANCD2, was over two times more common in the combined Finnish hereditary cohort compared to controls. A deletion (c.640_644del5) in RNF168, causative for recessive RIDDLE syndrome, had high prevalence in majority of the analyzed cohorts, but did not associate with breast cancer. In conclusion, truncating variants in TEX15 and FANCD2 are potential breast cancer risk factors, warranting further investigations in other populations. Furthermore, high frequency of RNF168 c.640_644del5 indicates the need for its testing in Finnish patients with RIDDLE syndrome symptoms.
Technology Solutions Case Study: Cost Analysis of Roof-Only Air Sealing and Insulation Strategies on 1-1/2 Story Homes in Cold Climates, Minneapolis, MN

DOE Office of Scientific and Technical Information (OSTI.GOV)

None

This case study describes the External Thermal and Moisture Management System developed by the NorthernSTAR Building America Partnership. This system is typically used in deep energy retrofits and is a valuable approach for the roof-only portions of existing homes, particularly the 1 1/2-story home. It is effective in reducing energy loss through the building envelope, improving building durability, reducing ice dams, and providing opportunities to improve occupant comfort and health.
Interplanetary Magnetic Flux Ropes as Agents Connecting Solar Eruptions and Geomagnetic Activities

NASA Astrophysics Data System (ADS)

Marubashi, K.; Cho, K.-S.; Ishibashi, H.

2017-12-01

We investigate the solar wind structure for 11 cases that were selected for the campaign study promoted by the International Study of Earth-affecting Solar Transients (ISEST) MiniMax24 Working Group 4. We can identify clear flux rope signatures in nine cases. The geometries of the nine interplanetary magnetic flux ropes (IFRs) are examined with a model-fitting analysis with cylindrical and toroidal force-free flux rope models. For seven cases in which magnetic fields in the solar source regions were observed, we compare the IFR geometries with magnetic structures in their solar source regions. As a result, we can confirm the coincidence between the IFR orientation and the orientation of the magnetic polarity inversion line (PIL) for six cases, as well as the so-called helicity rule as regards the handedness of the magnetic chirality of the IFR, depending on which hemisphere of the Sun the IFR originated from, the northern or southern hemisphere; namely, the IFR has right-handed (left-handed) magnetic chirality when it is formed in the southern (northern) hemisphere of the Sun. The relationship between the orientation of IFRs and PILs can be taken as evidence that the flux rope structure created in the corona is in most cases carried through interplanetary space with its orientation maintained. In order to predict magnetic field variations on Earth from observations of solar eruptions, further studies are needed about the propagation of IFRs because magnetic fields observed at Earth significantly change depending on which part of the IFR hits the Earth.
Climate variations and salmonellosis in northwest Russia: a time-series analysis.

PubMed

Grjibovski, A M; Bushueva, V; Boltenkov, V P; Buzinov, R V; Degteva, G N; Yurasova, E D; Nurse, J

2013-02-01

Associations between monthly counts of all laboratory-confirmed cases of salmonellosis in Arkhangelsk, northern Russia, from 1992 to 2008 and climatic variables with lags 0-2 were studied by three different models. We observed a linear association between the number of cases of salmonellosis and mean monthly temperature with a lag of 1 month across the whole range of temperatures. An increase of 1 °C was associated with a 2·04% [95% confidence interval (CI) 0·25-3·84], 1·84% (95% CI 0·06-3·63) and 2·32% (95% CI 0·38-4·27) increase in different models. Only one of the three models suggested an increase in the number of cases, by 0·24% (95% CI 0·02-0·46) with an increase in precipitation by 1 mm in the same month. Higher temperatures were associated with higher monthly counts of salmonellosis while the association with precipitation was less certain. The results may have implications for the future patterns of enteric infections in northern areas related to climate change.

Key factors influencing lung cancer survival in northern Italy.

PubMed

Mangone, Lucia; Minicozzi, Pamela; Vicentini, Massimo; Giacomin, Adriano; Caldarella, Adele; Cirilli, Claudia; Falcini, Fabio; Giorgi Rossi, Paolo; Sant, Milena

2013-06-01

Lung cancer is a major cause of cancer death worldwide. The aims of this study were to analyze presentation, treatment and survival for lung cancer in northern Italy, and identify factors influencing survival. A total of 1180 lung cancer cases diagnosed in four north Italian cancer registries (Biella, Modena, Reggio Emilia, Romagna) in 2003-2005 were analyzed. Information on morphology, stage, diagnostic examinations, chemotherapy, radiotherapy, and surgical treatment was collected from clinical records. Three-year relative survival and relative excess risks of death were estimated. Overall, 10% of cases were stage I, 50% stage IV, and 12% stage unknown. Romagna - where sophisticated diagnostic examinations were performed more often - had proportionately more microscopically verified cases and resected cases than Biella. Romagna had also high proportions of cases given chemotherapy and radiotherapy. Three-year survival was 14%, range 10% (Biella) to 19% (Romagna); 69% for stage I, 3% for stage IV. Stage I survival was higher in Romagna (82%) than Reggio Emilia and Biella (60-61%) but for operated stage I cases, survival was similar (88%) in Romagna and Biella. The fully adjusted model showed a higher risk of death in Biella (1.23, 95%CI 1.02-1.48) than Modena (reference). Stage and surgery are key factors influencing survival. Centralizing lung cancer treatment to improve diagnostic work-up may improve outcomes. Copyright © 2013 Elsevier Ltd. All rights reserved.
Analysis and parameterization of absorption properties of northern Norwegian coastal water

NASA Astrophysics Data System (ADS)

Nima, Ciren; Frette, Øyvind; Hamre, Børge; Erga, Svein Rune; Chen, Yi-Chun; Zhao, Lu; Sørensen, Kai; Norli, Marit; Stamnes, Knut; Muyimbwa, Dennis; Ssenyonga, Taddeo; Ssebiyonga, Nicolausi; Stamnes, Jakob J.

2017-02-01

Coastal water bodies are generally classified as Case 2 water, in which non-algal particles (NAP) and colored dissolved organic matter (CDOM) contribute significantly to the optical properties in addition to phytoplankton. These three constituents vary independently in Case 2 water and tend to be highly variable in space and time. We present data from measurements and analyses of the spectral absorption due to CDOM, total suspended matter (TSM), phytoplankton, and NAP in high-latitude northern Norwegian coastal water based on samples taken in spring, summer, and autumn.
Crohns disease: a case report.

PubMed

Adi, Ashindoitiang John; Lloyd, Geoffrey J

2010-01-01

Inflammatory bowel disease (IBD) was previously regarded as a disease of the Western Countries. A number of studies showed a high incidence and prevalence of inflammatory bowel disease in United States, United Kingdom and Northern Europe, whereas it was considered uncommon in Asians population and rare in Africa. To report case of crohns disease that is rare in the tropic like Nigeria so as to create a high index of awareness that inflammatory bowel disease may be present but not correctly diagnosed
Case-control study of arsenic in drinking water and kidney cancer in uniquely exposed Northern Chile.

PubMed

Ferreccio, Catterina; Smith, Allan H; Durán, Viviana; Barlaro, Teresa; Benítez, Hugo; Valdés, Rodrigo; Aguirre, Juan José; Moore, Lee E; Acevedo, Johanna; Vásquez, María Isabel; Pérez, Liliana; Yuan, Yan; Liaw, Jane; Cantor, Kenneth P; Steinmaus, Craig

2013-09-01

Millions of people worldwide are exposed to arsenic in drinking water. The International Agency for Research on Cancer has concluded that ingested arsenic causes lung, bladder, and skin cancer. However, a similar conclusion was not made for kidney cancer because of a lack of research with individual data on exposure and dose-response. With its unusual geology, high exposures, and good information on past arsenic water concentrations, northern Chile is one of the best places in the world to investigate the carcinogenicity of arsenic. We performed a case-control study in 2007-2010 of 122 kidney cancer cases and 640 population-based controls with individual data on exposure and potential confounders. Cases included 76 renal cell, 24 transitional cell renal pelvis and ureter, and 22 other kidney cancers. For renal pelvis and ureter cancers, the adjusted odds ratios by average arsenic intakes of <400, 400-1,000, and >1,000 µg/day (median water concentrations of 60, 300, and 860 µg/L) were 1.00, 5.71 (95% confidence interval: 1.65, 19.82), and 11.09 (95% confidence interval: 3.60, 34.16) (Ptrend < 0.001), respectively. Odds ratios were not elevated for renal cell cancer. With these new findings, including evidence of dose-response, we believe there is now sufficient evidence in humans that drinking-water arsenic causes renal pelvis and ureter cancer.
Changes in verbal learning and memory in schizophrenia and non-psychotic controls in midlife: A nine-year follow-up in the Northern Finland Birth Cohort study 1966.

PubMed

Rannikko, Irina; Haapea, Marianne; Miettunen, Jouko; Veijola, Juha; Murray, Graham K; Barnett, Jennifer H; Husa, Anja P; Jones, Peter B; Isohanni, Matti; Jääskeläinen, Erika

2015-08-30

Findings on longitudinal change of cognitive performance in schizophrenia are extremely variable in the case of verbal learning and memory, and it is still unclear which dimensions of verbal learning and memory exhibit possible deterioration over the long-term. Our aim was to compare the change in verbal learning and memory in individuals with schizophrenia 10-20 years after the illness onset and healthy controls during a nine-year follow-up in a general population sample. Our sample included 41 schizophrenia spectrum subjects and 73 controls from the Northern Finland Birth Cohort study 1966. The California Verbal Learning Test (CVLT) was used to estimate the degree of change in verbal learning and memory during a nine-year follow-up from age 34-years to 43- years. Both cases and controls deteriorated. There was statistically significant decline in two out of 20 CVLT items among cases and in 13 out of 20 CVLT items among controls. With the exception of two variables, the decline in verbal learning and memory over nine years was not significantly larger in cases. We conclude that during midlife verbal learning and memory in schizophrenia mostly declines in a normative fashion with aging at the same rate as the general population. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.
Risk Factors for Mortality in Children Hospitalized with Severe Malaria in Northern Zambia: A Retrospective Case-Control Study.

PubMed

Ippolito, Matthew M; Kamavu, Luc K; Kabuya, Jean-Bertin; Tente, Catherine; Chileshe, Edward; Wapachole, McBerth; Thuma, Philip E; Muleba, Mbanga; Chaponda, Mike; Mulenga, Modest; Moss, William J; For The Southern And Central Africa International Centers Of Excellence For Malaria Research

2018-04-23

Malaria remains a public health crisis in areas where it has resisted control efforts. In Nchelenge District, a high- transmission area in northern Zambia, malaria accounts for more than one-third of pediatric hospitalizations and nearly one-half of hospital deaths in children. To identify risk factors for death due to malaria, we conducted a retrospective, time-matched case-control study of 126 children hospitalized with malaria who died (cases) and 126 children who survived (controls). There were no differences in age, gender, hemoglobin concentration, or prevalence of severe anemia between cases and controls. Children who died were more likely to come from villages located at greater distances from the hospital than children who survived (median 13.5 versus 3.2 km). Each additional kilometer of distance from the hospital increased the odds of death by 4% (odds ratio 1.04, 95% confidence interval 1.01-1.07, P < 0.01). Extent of anemia and admission during periods when blood was unavailable for transfusion were associated with early death ( P ≤ 0.03). Delays in initiation of treatment of severe malaria contribute to the increased odds of death in children referred from more distant health centers, and might be mitigated by transportation improvements, capacity at rural health posts to administer treatment before transfer, hospital triage systems that minimize time to treatment, and reliable blood product stores at referral hospitals.
North American Drought and Links to Northern Eurasia: The Role of Stationary Rossby Waves

NASA Technical Reports Server (NTRS)

Wang, Hailan; Schubert, Siegfried D.; Koster, Randal D.

2017-01-01

This chapter provides an overview of the role of stationary Rossby waves in the sub-seasonal development of warm season drought over North America and subsequent downstream development of climate anomalies over northern Eurasia. The results are based on a case study of a stationary Rossby wave event that developed during 20 May 15 June 1988. Simulations with the NASA Goddard Earth Observing System (GEOS-5) atmospheric general circulation model highlight the importance of the mean jet streams in guiding and constraining the path and speed of wave energy propagation. In particular, convective anomalies that developed over the western Pacific in late May (in the presence of the strong North Pacific jet) produce a predilection for persistent upper-level high anomalies over central North America about ten days later, leading to the rapid development of severe dry conditions there. There are indications of continued downstream wave energy propagation that reaches northern Eurasia about two weeks later, leading to the development of dry conditions over eastern Europe and western Russia, and cool and wet conditions over western Europe and central northern Eurasia. The results suggest that stationary Rossby waves can serve as a source of predictability for sub-seasonal development of droughts over North America and northern Eurasia.
Prevalence and molecular characterization of Glucose-6-Phosphate dehydrogenase deficient variants among the Kurdish population of Northern Iraq

PubMed Central

2010-01-01

Background Glucose-6-Phosphate dehydrogenase (G6PD) is a key enzyme of the pentose monophosphate pathway, and its deficiency is the most common inherited enzymopathy worldwide. G6PD deficiency is common among Iraqis, including those of the Kurdish ethnic group, however no study of significance has ever addressed the molecular basis of this disorder in this population. The aim of this study is to determine the prevalence of this enzymopathy and its molecular basis among Iraqi Kurds. Methods A total of 580 healthy male Kurdish Iraqis randomly selected from a main regional premarital screening center in Northern Iraq were screened for G6PD deficiency using methemoglobin reduction test. The results were confirmed by quantitative enzyme assay for the cases that showed G6PD deficiency. DNA analysis was performed on 115 G6PD deficient subjects, 50 from the premarital screening group and 65 unrelated Kurdish male patients with documented acute hemolytic episodes due to G6PD deficiency. Analysis was performed using polymerase chain reaction/restriction fragment length polymorphism for five deficient molecular variants, namely G6PD Mediterranean (563 C→T), G6PD Chatham (1003 G→A), G6PD A- (202 G→A), G6PD Aures (143 T→C) and G6PD Cosenza (1376 G→C), as well as the silent 1311 (C→T) mutation. Results Among 580 random Iraqi male Kurds, 63 (10.9%) had documented G6PD deficiency. Molecular studies performed on a total of 115 G6PD deficient males revealed that 101 (87.8%) had the G6PD Mediterranean variant and 10 (8.7%) had the G6PD Chatham variant. No cases of G6PD A-, G6PD Aures or G6PD Cosenza were identified, leaving 4 cases (3.5%) uncharacterized. Further molecular screening revealed that the silent mutation 1311 was present in 93/95 of the Mediterranean and 1/10 of the Chatham cases. Conclusions The current study revealed a high prevalence of G6PD deficiency among Iraqi Kurdish population of Northern Iraq with most cases being due to the G6PD Mediterranean and Chatham variants. These results are similar to those reported from neighboring Iran and Turkey and to lesser extent other Mediterranean countries. PMID:20602793
Prevalence and molecular characterization of Glucose-6-Phosphate dehydrogenase deficient variants among the Kurdish population of Northern Iraq.

PubMed

Al-Allawi, Nasir; Eissa, Adil A; Jubrael, Jaladet Ms; Jamal, Shakir Ar; Hamamy, Hanan

2010-07-05

Glucose-6-Phosphate dehydrogenase (G6PD) is a key enzyme of the pentose monophosphate pathway, and its deficiency is the most common inherited enzymopathy worldwide. G6PD deficiency is common among Iraqis, including those of the Kurdish ethnic group, however no study of significance has ever addressed the molecular basis of this disorder in this population. The aim of this study is to determine the prevalence of this enzymopathy and its molecular basis among Iraqi Kurds. A total of 580 healthy male Kurdish Iraqis randomly selected from a main regional premarital screening center in Northern Iraq were screened for G6PD deficiency using methemoglobin reduction test. The results were confirmed by quantitative enzyme assay for the cases that showed G6PD deficiency. DNA analysis was performed on 115 G6PD deficient subjects, 50 from the premarital screening group and 65 unrelated Kurdish male patients with documented acute hemolytic episodes due to G6PD deficiency. Analysis was performed using polymerase chain reaction/restriction fragment length polymorphism for five deficient molecular variants, namely G6PD Mediterranean (563 C-->T), G6PD Chatham (1003 G-->A), G6PD A- (202 G-->A), G6PD Aures (143 T-->C) and G6PD Cosenza (1376 G-->C), as well as the silent 1311 (C-->T) mutation. Among 580 random Iraqi male Kurds, 63 (10.9%) had documented G6PD deficiency. Molecular studies performed on a total of 115 G6PD deficient males revealed that 101 (87.8%) had the G6PD Mediterranean variant and 10 (8.7%) had the G6PD Chatham variant. No cases of G6PD A-, G6PD Aures or G6PD Cosenza were identified, leaving 4 cases (3.5%) uncharacterized. Further molecular screening revealed that the silent mutation 1311 was present in 93/95 of the Mediterranean and 1/10 of the Chatham cases. The current study revealed a high prevalence of G6PD deficiency among Iraqi Kurdish population of Northern Iraq with most cases being due to the G6PD Mediterranean and Chatham variants. These results are similar to those reported from neighboring Iran and Turkey and to lesser extent other Mediterranean countries.
93 Years of stand density and land-use legacy research at the Coulter Ranch Study Site

Treesearch

Andrew J. Sanchez Meador; Margaret M. Moore

2008-01-01

In 1913, the Fort Valley Experimental Forest initiated an unprecedented case-study experiment to determine the effects of harvesting methods on tree regeneration and growth on a ponderosa pine-Gambel oak forest at Coulter Ranch in northern Arizona. The harvesting methods examined were seed-tree, group selection, and light selection. In addition, the effects of...
Case study 6.1: DNA survey for fisher in northern Idaho

Treesearch

Samuel Cushman; Kevin McKelvey; Michael Schwartz

2008-01-01

Unique haplotypes indicating the presence of a residual native population of fisher were found in central Idaho (Vinkey et al. 2006). Fishers had been detected previously using camera sets in the Selkirk Mountains just south of the Canadian border, but their population status and genetic composition were unknown. The purpose of the study was to provide a comprehensive...
A Study on Primary School Teacher Burnout Levels: The Northern Cyprus Case

ERIC Educational Resources Information Center

Ozan, Mukadder Boydak

2009-01-01

The study population included the 1482 teachers who were working at the 98 schools affiliated to the Ministry of National Education and Culture in Lefkosa, Girne, Gazimagusa and Guzelyurt during the 2007-2008 academic year. The sample comprised 196 teachers from 14 of these schools which were selected randomly. Data was collected by using the (1)…
How rural land use management facilitates drought risk adaptation in a changing climate - A case study in arid northern China.

PubMed

Lei, Yongdeng; Zhang, Hailin; Chen, Fu; Zhang, Linbo

2016-04-15

Under a warming climate, frequent drought and water scarcity in northern China have severely disrupted agricultural production and posed a substantial threat to farmers' livelihoods. Based on first-hand data collected through in-depth interviews with local managers and farmer households, this study evaluated the effectiveness of rural land use management in mitigating drought risk, ensuring food security and improving farmers' livelihoods. Our findings indicate that a) reforestation on low-yield cropland not only can improve the eco-environment but can also prominently mitigate the production risk to local farmers; b) replacing the traditional border irrigation with sprinkler irrigation has substantially curbed agricultural water usage and increased the per unit of output; and c) in recent years, instead of planting water-intensive grain crops, local farmers cultivated more forage crops to raise animals, which greatly diversified their income sources and reduced the drought risk of agricultural production. By performing an empirical case study in drought-prone Inner Mongolia, this study provides decision-makers with insights into how to strategically adapt to drought risk and reduce rural poverty within the broader context of climate change. Copyright © 2016 Elsevier B.V. All rights reserved.
A case study of polypharmacy management in nine European countries: Implications for change management and implementation.

PubMed

McIntosh, Jennifer; Alonso, Albert; MacLure, Katie; Stewart, Derek; Kempen, Thomas; Mair, Alpana; Castel-Branco, Margarida; Codina, Carles; Fernandez-Llimos, Fernando; Fleming, Glenda; Gennimata, Dimitra; Gillespie, Ulrika; Harrison, Cathy; Illario, Maddalena; Junius-Walker, Ulrike; Kampolis, Christos F; Kardas, Przemyslaw; Lewek, Pawel; Malva, João; Menditto, Enrica; Scullin, Claire; Wiese, Birgitt

2018-01-01

Multimorbidity and its associated polypharmacy contribute to an increase in adverse drug events, hospitalizations, and healthcare spending. This study aimed to address: what exists regarding polypharmacy management in the European Union (EU); why programs were, or were not, developed; and, how identified initiatives were developed, implemented, and sustained. Change management principles (Kotter) and normalization process theory (NPT) informed data collection and analysis. Nine case studies were conducted in eight EU countries: Germany (Lower Saxony), Greece, Italy (Campania), Poland, Portugal, Spain (Catalonia), Sweden (Uppsala), and the United Kingdom (Northern Ireland and Scotland). The workflow included a review of country/region specific polypharmacy policies, key informant interviews with stakeholders involved in policy development and implementation and, focus groups of clinicians and managers. Data were analyzed using thematic analysis of individual cases and framework analysis across cases. Polypharmacy initiatives were identified in five regions (Catalonia, Lower Saxony, Northern Ireland, Scotland, and Uppsala) and included all care settings. There was agreement, even in cases without initiatives, that polypharmacy is a significant issue to address. Common themes regarding the development and implementation of polypharmacy management initiatives were: locally adapted solutions, organizational culture supporting innovation and teamwork, adequate workforce training, multidisciplinary teams, changes in workflow, redefinition of roles and responsibilities of professionals, policies and legislation supporting the initiative, and data management and information and communication systems to assist development and implementation. Depending on the setting, these were considered either facilitators or barriers to implementation. Within the studied EU countries, polypharmacy management was not widely addressed. These results highlight the importance of change management and theory-based implementation strategies, and provide examples of polypharmacy management initiatives that can assist managers and policymakers in developing new programs or scaling up existing ones, particularly in places currently lacking such initiatives.
Anaemia in Pregnancy: Prevalence, Risk Factors, and Adverse Perinatal Outcomes in Northern Tanzania

PubMed Central

Stephen, Grace; Hussein Hashim, Tamara; Katanga, Johnson; Stray-Pedersen, Babill; Msuya, Sia Emmanueli

2018-01-01

Background and Objective Anaemia in pregnancy is a public health problem in developing countries. This study aimed to determine the prevalence, risk factors, and adverse perinatal outcomes of anaemia among pregnant women in Moshi Municipal, Northern Tanzania. Methods This was a follow-up study conducted from October 2013 to June 2015. A total of 539 pregnant women were enrolled in this study. Interviews were conducted followed by determination of haemoglobin level. Women were followed up at delivery and at 7 days and 28 days after delivery. Results A total of 529 women were included in this analysis. Their mean age was 25.8 (SD 5.73). The prevalence of anaemia was 18.0% and 2% had severe anaemia. The clinic of recruitment and low education level of the women were the factors that were independently associated with anaemia during pregnancy. At delivery, there were 10 stillbirths, 16 low birth weight (LBW) newborns, and 2 preterm birth cases. No association was found between anaemia and LBW, preterm birth, or stillbirths. Conclusion Anaemia in pregnancy was a mild public health problem in the study setting of Northern Tanzania. PMID:29854446
Fluoride contamination in drinking water in rural habitations of northern Rajasthan, India.

PubMed

Suthar, Surindra; Garg, Vinod K; Jangir, Sushant; Kaur, Simarjeet; Goswami, Nidhi; Singh, Sushma

2008-10-01

This study was carried out to assess the fluoride concentration in groundwater in some villages of northern Rajasthan, India, where groundwater is the main source of drinking water. Water samples collected form deep aquifer based hand-pumps were analysed for fluoride content. Fluoride in presently studied sites was recorded in the ranges of 4.78 and 1.01 mg/l. The average fluoride concentration for this region was recorded 2.82 mg/l. As per the desirable and maximum permissible limit for fluoride in drinking water, determined by WHO or by Bureau of Indian Standards, the groundwater of about 95 of the studied sites is unfit for drinking purposes. Due to the higher fluoride level in drinking water several cases of dental and skeletal fluorosis have appeared at alarming rate in this region. The middle and eastern parts of the Hanumangarh, a northern most district of the state, can be classified as higher risk area for fluorosis; due to relatively high concentrations of fluoride (3-4 mg/l) in groundwater of this region. After evaluating the data of this study it is concluded that there is an instant need to take ameliorative steps in this region to prevent the population from fluorosis.
European population substructure is associated with mucocutaneous manifestations and autoantibody production in systemic lupus erythematosus

PubMed Central

Chung, Sharon A.; Tian, Chao; Taylor, Kimberly E.; Lee, Annette T.; Ortmann, Ward A.; Hom, Geoffrey; Graham, Robert R.; Nititham, Joanne; Kelly, Jennifer A.; Morrisey, Jean; Wu, Hui; Yin, Hong; Alarcón-Riquelme, Marta E.; Tsao, Betty P.; Harley, John B.; Gaffney, Patrick M.; Moser, Kathy L.; Manzi, Susan; Petri, Michelle; Gregersen, Peter K.; Langefeld, Carl D.; Behrens, Timothy W.; Seldin, Michael F.; Criswell, Lindsey A.

2009-01-01

Objective To determine whether genetic substructure in European-derived populations is associated with specific manifestations of systemic lupus erythematosus (SLE), including mucocutaneous phenotypes, autoantibody production, and renal disease. Methods SLE patients of European descent (n=1754) from 8 case collections were genotyped for over 1,400 ancestry informative markers that define a north/south gradient of European substructure. Based on these genetic markers, we used the STRUCTURE program to characterize each SLE patient in terms of percent northern (vs. southern) European ancestry. Non-parametric methods, including tests of trend, were used to identify associations between northern European ancestry and specific SLE manifestations. Results In multivariate analyses, increasing levels of northern European ancestry were significantly associated with photosensitivity (ptrend=0.0021, OR for highest quartile of northern European ancestry compared to lowest quartile 1.64, 95% CI 1.13–2.35) and discoid rash (ptrend=0.014, ORhigh-low 1.93, 95% CI 0.98–3.83). In contrast, northern European ancestry was protective for anticardiolipin (ptrend=1.6 × 10−4, ORhigh-low 0.46, 95% CI 0.30–0.69) and anti-dsDNA (ptrend=0.017, ORhigh-low 0.67, 95% CI 0.46–0.96) autoantibody production. Conclusions This study demonstrates that specific SLE manifestations vary according to northern vs. southern European ancestry. Thus, genetic ancestry may contribute to the clinical heterogeneity and variation in disease outcomes among SLE patients of European descent. Moreover, these results suggest that genetic studies of SLE subphenotypes will need to carefully address issues of population substructure due to genetic ancestry. PMID:19644962
Incidence of tonsillar cancer in northern Sweden: Impact of human papilloma virus.

PubMed

Loizou, Christos; Laurell, Göran; Lindquist, David; Öfverman, Charlotte; Stefansson, Kristina; Nylander, Karin; Olofsson, Katarina

2015-12-01

The incidence rate of tonsillar cancer is increasing worldwide. The current study identifies a parallel increase in the incidence of tonsillar cancer, human papilloma virus (HPV) and p16 expression among a population from northern Sweden, a sparsely populated area, confirming the strong association between p16 and HPV infection in tonsillar tissue. Data from the Swedish Cancer Registry was assessed to identify cases of tonsillar cancer in the northern territorial area of Sweden. HPV DNA was extracted from paraffin embedded diagnostic biopsies and detected by polymerase chain reaction using general primers Gp5+/6+ and CpI/IIG. Expression of p16 was identified by immunochemistry. Patients were grouped into urban or rural residence categories. A total of 214 cases were identified, comprising 155 (72.4%) men and 59 (27.6%) women, and 65 of these patients, who presented between 2000 and 2012, were analyzed. The overall median age for the analyzed patients was 58 years; 48 (74%) were males (median age, 57.5 years) and 17 (26%) were females (median age, 65 years). Of the 65 specimens, 59 (91%) were positive for HPV, and 62 (95%) expressed p16. The incidence of tonsillar cancer in the cohort demonstrated a 2-fold increase between 1990 and 2013; specifically, a 2.7-fold increase was observed in men whilst the female group exhibited only a small increase. These findings demonstrate a strong association between p16 expression and HPV infection in tonsillar malignancies. The incidence of HPV-positive tonsillar cancer has increased in recent years, even in sparsely populated regions, as demonstrated in northern Sweden.
A Comparative Case Study Analysis of Campus Violence Prevention Plans at Three Illinois Higher Education Institutions

ERIC Educational Resources Information Center

Brown, Wade R.

2013-01-01

The postsecondary acts of violence at Virginia Technical University (VT) and Northern Illinois University (NIU) forced Illinois legislators to approve the "Campus Security Enhancement Act" in 2008 (110 ILCS 12/20). The "Act" requires all private and public postsecondary education institutions to develop a Campus Violence…
Municipal Sludge Application in Forests of Northern Michigan: a Case Study.

Treesearch

D.G. Brockway; P.V. Nguyen

1986-01-01

A large-scale operational demonstration and research project was cooperatively established by the US. Environmental Protection Agency, Michigan Department of Natural Resources, and Michigan State University to evaluate the practice of forest land application as an option for sludge utilization. Project objectives included completing (1) a logistic and economic...

A survey of innovative contracting for quality jobs and ecosystem management.

Treesearch

Cassandra Moseley

2002-01-01

This survey identifies and defines innovative contracting mechanisms developed in the Forest Service Pacific Northwest Region and northern California. A survey of nine case studies reveals that several new mechanisms have facilitated ecosystem management, quality jobs, and administrative efficiencies, but at times innovation was hampered by Forest Service institutional...
Exotic forest insects and residential property values

Treesearch

Thomas P. Holmes; Elizabeth A. Murphy; Kathleen P. Bell

2006-01-01

This paper presents a case study of the economic damages to homeowners in a northern New Jersey community due to an exotic forest insect-the hemlock woolly adelgid. Hedonic property value methods are used to estimate the effect of hemlock health on property values. A statistically significant relationship between hemlock health and residential property values is...
Demystifying Disciplinary Writing: A Case Study in the Writing of Chemistry

ERIC Educational Resources Information Center

Fredrica L. Stoller; Jones, James K.; Costanza-Robinson, Molly S.; Robinson, Marin S.

2005-01-01

This article describes steps taken to demystify the writing of chemistry as part of the development of a junior level writing course for chemistry majors at Northern Arizona University (NAU). Although the course is offered by the chemistry department, its conception, development, implementation, and assessment have been the result of an…
Becoming a School and the Development of School Culture.

ERIC Educational Resources Information Center

Prosser, Jon

The development of school culture within a comprehensive school in northern England, Deangate School, is examined in this case study, with a focus on the process of self-definition. Two aspects of school culture emerged as significant to the process of "becoming": generic culture, that which is common across secondary schools; and unique…
The Northeast Ghana Savannah Project--A Case Study in Project Design.

ERIC Educational Resources Information Center

Matlock, W. Gerald; Johnson, Jack D.

This report examines a project design for land degradation problems in the northern and upper regions of Ghana. The project was jointly sponsored by the Ghana Council for Scientific and Industrial Research and the Agency for International Development. The council is responsible for coordinating the activities of 10 independent research institutes.…
Exploring Self-Regulated Learning (SRL) and Listening Strategy Instruction in a Chinese L2 Classroom

ERIC Educational Resources Information Center

Li, Yue

2017-01-01

This interpretive case study explored the effectiveness of listening strategy instruction that promoted self-regulated learning and gained insights into students' and instructors' perceptions of strategy-integrated listening instruction among second semester learners of Chinese as a second language at a military college in Northern California.…
Schooling for Conflict Transformation: A Case Study from Northern Uganda

ERIC Educational Resources Information Center

Cunningham, Jeremy

2014-01-01

Civil wars are impeding progress towards the Millennium Development Goals. Educational access contributes to peace-building after civil war but little is known about the role of the school curriculum. A framework derived from a synthesis of peace education, human rights education and citizenship education is proposed and then examined through a…
From Standards to Compliance, to Good Services, to Quality Lives: Is This How It Works?

ERIC Educational Resources Information Center

Shea, John R.

1992-01-01

Licensing and certification regulations for Intermediate Care Facilities for the Mentally Retarded (ICF/MR) can adversely affect individuals, distort the allocation of scarce resources, and encourage community residences to become small institutions. A case study of one home in northern California illustrates poor program evaluation and the need…
Beyond Backpacks and Bus Tokens: Next Steps for a District Homeless Student Initiative

ERIC Educational Resources Information Center

Hallett, Ronald E.; Low, Justin A.; Skrla, Linda

2015-01-01

How policies get translated and enacted by school districts frame how students experience reforms associated with federal law. This qualitative case study of a Northern California school district explores the importance of integrating homeless student initiatives within all aspects of the district functioning. Drawing from the equity framework of…
Effects of Nitrogen Enrichment, Wildfire, and Harvesting on Forest-Soil Carbon and Nitrogen

Treesearch

Jennifer L. Parker; Ivan J. Fernandez; Lindsey E. Rustad; Stephen A. Norton

2001-01-01

Northern forest soils represent large reservoirs of C and N that may be altered by ecosystem perturbations. Soils at three paired watershed in Maine were investigated as case studies of experimentally elevated N deposition, wildfire, and whole-tree harvesting. Eight years of experimental (NH4)2SO4...
Common Issues in World Regions. Teacher's Guide.

ERIC Educational Resources Information Center

Grewar, Melinda, Ed.

This teacher's guide is designed to supplement eight 30-minute video programs each of which presents two cases studies that explore an issue from Northern American (United States and Canada) and Western European perspectives. The series of programs is intended to strengthen what junior and senior high school students in the United States and…
Alternative Fuels Data Center: Colorado Transportation Data for Alternative

Science.gov Websites

(nameplate, MW) 2,478 Source: BioFuels Atlas from the National Renewable Energy Laboratory Case Studies Video Alternative Fuel Vehicles Beat the Heat, Fight the Freeze, and Conquer the Mountains Jan. 26, 2016 Video Video thumbnail for Partnerships Cement Long-Term Success for Northern Colorado Duo Partnerships Cement
The Creation of the Center for Excellence in Education: A Case Study.

ERIC Educational Resources Information Center

Whorton, David M.; And Others

The College of Education at Northern Arizona University was organized along traditional lines with a dean, department chairs for curriculum and instruction, educational administration, etc. In the past decade the College had begun to isolate itself from other colleges and departments within the University. Also, programs of teacher preparation had…
Potential of environmental DNA to evaluate Northern pike (Esox lucius) eradication efforts: An experimental test and case study

USGS Publications Warehouse

Dunker, Kristine J.; Sepulveda, Adam; Massengill, Robert L.; Olsen, Jeffrey B.; Russ, Ora L.; Wenburg, John K.; Antonovich, Anton

2016-01-01

Determining the success of invasive species eradication efforts is challenging because populations at very low abundance are difficult to detect. Environmental DNA (eDNA) sampling has recently emerged as a powerful tool for detecting rare aquatic animals; however, detectable fragments of DNA can persist over time despite absence of the targeted taxa and can therefore complicate eDNA sampling after an eradication event. This complication is a large concern for fish eradication efforts in lakes since killed fish can sink to the bottom and slowly decay. DNA released from these carcasses may remain detectable for long periods. Here, we evaluated the efficacy of eDNA sampling to detect invasive Northern pike (Esox lucius) following piscicide eradication efforts in southcentral Alaskan lakes. We used field observations and experiments to test the sensitivity of our Northern pike eDNA assay and to evaluate the persistence of detectable DNA emitted from Northern pike carcasses. We then used eDNA sampling and traditional sampling (i.e., gillnets) to test for presence of Northern pike in four lakes subjected to a piscicide-treatment designed to eradicate this species. We found that our assay could detect an abundant, free-roaming population of Northern pike and could also detect low-densities of Northern pike held in cages. For these caged Northern pike, probability of detection decreased with distance from the cage. We then stocked three lakes with Northern pike carcasses and collected eDNA samples 7, 35 and 70 days post-stocking. We detected DNA at 7 and 35 days, but not at 70 days. Finally, we collected eDNA samples ~ 230 days after four lakes were subjected to piscicide-treatments and detected Northern pike DNA in 3 of 179 samples, with a single detection at each of three lakes, though we did not catch any Northern pike in gillnets. Taken together, we found that eDNA can help to inform eradication efforts if used in conjunction with multiple lines of inquiry and sampling is delayed long enough to allow full degradation of DNA in the water.
Potential of Environmental DNA to Evaluate Northern Pike (Esox lucius) Eradication Efforts: An Experimental Test and Case Study.

PubMed

Dunker, Kristine J; Sepulveda, Adam J; Massengill, Robert L; Olsen, Jeffrey B; Russ, Ora L; Wenburg, John K; Antonovich, Anton

2016-01-01

Determining the success of invasive species eradication efforts is challenging because populations at very low abundance are difficult to detect. Environmental DNA (eDNA) sampling has recently emerged as a powerful tool for detecting rare aquatic animals; however, detectable fragments of DNA can persist over time despite absence of the targeted taxa and can therefore complicate eDNA sampling after an eradication event. This complication is a large concern for fish eradication efforts in lakes since killed fish can sink to the bottom and slowly decay. DNA released from these carcasses may remain detectable for long periods. Here, we evaluated the efficacy of eDNA sampling to detect invasive Northern pike (Esox lucius) following piscicide eradication efforts in southcentral Alaskan lakes. We used field observations and experiments to test the sensitivity of our Northern pike eDNA assay and to evaluate the persistence of detectable DNA emitted from Northern pike carcasses. We then used eDNA sampling and traditional sampling (i.e., gillnets) to test for presence of Northern pike in four lakes subjected to a piscicide-treatment designed to eradicate this species. We found that our assay could detect an abundant, free-roaming population of Northern pike and could also detect low-densities of Northern pike held in cages. For these caged Northern pike, probability of detection decreased with distance from the cage. We then stocked three lakes with Northern pike carcasses and collected eDNA samples 7, 35 and 70 days post-stocking. We detected DNA at 7 and 35 days, but not at 70 days. Finally, we collected eDNA samples ~ 230 days after four lakes were subjected to piscicide-treatments and detected Northern pike DNA in 3 of 179 samples, with a single detection at each of three lakes, though we did not catch any Northern pike in gillnets. Taken together, we found that eDNA can help to inform eradication efforts if used in conjunction with multiple lines of inquiry and sampling is delayed long enough to allow full degradation of DNA in the water.
Potential of Environmental DNA to Evaluate Northern Pike (Esox lucius) Eradication Efforts: An Experimental Test and Case Study

PubMed Central

Dunker, Kristine J.; Sepulveda, Adam J.; Massengill, Robert L.; Olsen, Jeffrey B.; Russ, Ora L.; Wenburg, John K.; Antonovich, Anton

2016-01-01

Determining the success of invasive species eradication efforts is challenging because populations at very low abundance are difficult to detect. Environmental DNA (eDNA) sampling has recently emerged as a powerful tool for detecting rare aquatic animals; however, detectable fragments of DNA can persist over time despite absence of the targeted taxa and can therefore complicate eDNA sampling after an eradication event. This complication is a large concern for fish eradication efforts in lakes since killed fish can sink to the bottom and slowly decay. DNA released from these carcasses may remain detectable for long periods. Here, we evaluated the efficacy of eDNA sampling to detect invasive Northern pike (Esox lucius) following piscicide eradication efforts in southcentral Alaskan lakes. We used field observations and experiments to test the sensitivity of our Northern pike eDNA assay and to evaluate the persistence of detectable DNA emitted from Northern pike carcasses. We then used eDNA sampling and traditional sampling (i.e., gillnets) to test for presence of Northern pike in four lakes subjected to a piscicide-treatment designed to eradicate this species. We found that our assay could detect an abundant, free-roaming population of Northern pike and could also detect low-densities of Northern pike held in cages. For these caged Northern pike, probability of detection decreased with distance from the cage. We then stocked three lakes with Northern pike carcasses and collected eDNA samples 7, 35 and 70 days post-stocking. We detected DNA at 7 and 35 days, but not at 70 days. Finally, we collected eDNA samples ~ 230 days after four lakes were subjected to piscicide-treatments and detected Northern pike DNA in 3 of 179 samples, with a single detection at each of three lakes, though we did not catch any Northern pike in gillnets. Taken together, we found that eDNA can help to inform eradication efforts if used in conjunction with multiple lines of inquiry and sampling is delayed long enough to allow full degradation of DNA in the water. PMID:27626271
A profile of out-of-hospital cardiac arrests in Northern Emirates, United Arab Emirates.

PubMed

Batt, Alan M; Al-Hajeri, Ahmed S; Cummins, Fergal H

2016-11-01

To report the characteristics of out-of-hospital cardiac arrest patients and their outcomes in the emirates of Sharjah, Ras-al-Khaimah, Umm Al-Quwain, Fujairah, and Ajman in the United Arab Emirates (collectively known as the Northern Emirates). Methods: This is a prospective descriptive cohort study of out-of-hospital cardiac arrest incidents transported by the national ambulance crews between February 2014 and March 2015 in the Northern Emirates. Results: A total of 384 patients were enrolled in this study. Male victims of out-of-hospital cardiac arrest represented 76% of the participants. The mean age of the study population was 50.9 years. An over-all prehospital return of spontaneous circulation rate of 3.1% was documented, as well as a 30% rate of bystander cardiopulmonary resuscitation being performed. Public access defibrillators were applied in 0.5% of cases. Data is presented according to Utstein reporting criteria. Conclusion: Baseline data for out-of-hospital cardiac arrest was established for the first time in the Northern Emirates of the United Arab Emirates. A low survival rate for out-of-hospital cardiac arrest, low rates of bystander cardiopulmonary resuscitation, and low public access defibrillator use were discovered. Although low by comparison to established western systems results are similar to other systems in the region. Determining the baseline data presented in this study is essential in recommending and implementing strategies to reduce mortality from out-of-hospital cardiac arrest.
A profile of out-of-hospital cardiac arrests in Northern Emirates, United Arab Emirates

PubMed Central

Batt, Alan M.; Al-Hajeri, Ahmed S.; Cummins, Fergal H.

2016-01-01

Objectives: To report the characteristics of out-of-hospital cardiac arrest patients and their outcomes in the emirates of Sharjah, Ras-al-Khaimah, Umm Al-Quwain, Fujairah, and Ajman in the United Arab Emirates (collectively known as the Northern Emirates). Methods: This is a prospective descriptive cohort study of out-of-hospital cardiac arrest incidents transported by the national ambulance crews between February 2014 and March 2015 in the Northern Emirates. Results: A total of 384 patients were enrolled in this study. Male victims of out-of-hospital cardiac arrest represented 76% of the participants. The mean age of the study population was 50.9 years. An over-all prehospital return of spontaneous circulation rate of 3.1% was documented, as well as a 30% rate of bystander cardiopulmonary resuscitation being performed. Public access defibrillators were applied in 0.5% of cases. Data is presented according to Utstein reporting criteria. Conclusion: Baseline data for out-of-hospital cardiac arrest was established for the first time in the Northern Emirates of the United Arab Emirates. A low survival rate for out-of-hospital cardiac arrest, low rates of bystander cardiopulmonary resuscitation, and low public access defibrillator use were discovered. Although low by comparison to established western systems results are similar to other systems in the region. Determining the baseline data presented in this study is essential in recommending and implementing strategies to reduce mortality from out-of-hospital cardiac arrest. PMID:27761558
Epidemiological Profile of Wild Rabies in Brazil (2002-2012).

PubMed

Rocha, S M; de Oliveira, S V; Heinemann, M B; Gonçalves, V S P

2017-04-01

Rabies is one of the most important zoonosis in the world with high impact on public health. Studies report the presence of Lyssavirus in reservoirs of the wild cycle, highlighting the role of wild canines, marmosets, and vampire and non-vampire bats as potential vectors of the disease to domestic animals and human beings. Therefore, the reintroduction of rabies in urban environments from reservoirs of the wild cycle is a matter of concern. This study describes the profile of rabies cases documented in Brazil from 2002 to 2012, with emphasis on the wild transmission cycle of the disease. We carried out a descriptive study using records with information on the time of infection, persons with infection and location of confirmed cases of rabies in humans and animals, as well as data on anti-rabies treatments obtained from the Information System of Notifiable Diseases (Sinan) database. Within the study period, 82 cases of rabies transmitted by wild animals to humans were reported, predominantly in rural areas of the northern and north-eastern regions. Of the cases in humans, 72% did not receive post-exposure prophylaxis. Among wild mammals, vampire bats were the most frequent vectors of the disease. In the north-east region, 460 terrestrial wild mammals were reported with confirmed rabies. Over the study period, 1703 bats were reported to carry the rabies virus. In the south-east region, the most frequently reported carriers of the virus were non-vampire bats. The midwest and northern regions presented a lower number of records of rabies cases among terrestrial wild mammals. However, the high number of rabies cases among bovines reflects the role of the vampire bat as a maintainer of the rabies virus in the rural cycle. The present results are key to adjust the planning of rabies control in Brazil to the current epidemiological trends. © 2015 Blackwell Verlag GmbH.
Leptospirosis in Greece.

PubMed

Papa, Anna; Kotrotsiou, Tzimoula

2015-09-01

Leptospirosis is a zoonotic disease with increased public health concern worldwide. The disease occurs more often in temperate and tropical regions. The present study analyzes the demographic, epidemiological and clinical data of 168 leptospirosis cases laboratory diagnosed in northern Greece during 1998-2014. Most patients were males, aged 50-69 years, working in animal husbandry or farming. Cases were observed more frequently in summer and autumn. Severity of the disease was correlated with presence of pulmonary involvement and hemorrhagic manifestations. Copyright © 2015 Elsevier B.V. All rights reserved.

Lassa hemorrhagic fever in a late term pregnancy from northern sierra leone with a positive maternal outcome: case report

PubMed Central

2011-01-01

Lassa fever (LF) is a devastating viral disease prevalent in West Africa. Efforts to take on this public health crisis have been hindered by lack of infrastructure and rapid field deployable diagnosis in areas where the disease is prevalent. Recent capacity building at the Kenema Government Hospital Lassa Fever Ward (KGH LFW) in Sierra Leone has lead to a major turning point in the diagnosis, treatment and study of LF. Herein we present the first comprehensive rapid diagnosis and real time characterization of an acute hemorrhagic LF case at KGH LFW. This case report focuses on a third trimester pregnant Sierra Leonean woman from the historically non-endemic Northern district of Tonkolili who survived the illness despite fetal demise. Employed in this study were newly developed recombinant LASV Antigen Rapid Test cassettes and dipstick lateral flow immunoassays (LFI) that enabled the diagnosis of LF within twenty minutes of sample collection. Deregulation of overall homeostasis, significant hepatic and renal system involvement, and immunity profiles were extensively characterized during the course of hospitalization. Rapid diagnosis, prompt treatment with a full course of intravenous (IV) ribavirin, IV fluids management, and real time monitoring of clinical parameters resulted in a positive maternal outcome despite admission to the LFW seven days post onset of symptoms, fetal demise, and a natural still birth delivery. These studies solidify the growing rapid diagnostic, treatment, and surveillance capabilities at the KGH LF Laboratory, and the potential to significantly improve the current high mortality rate caused by LF. As a result of the growing capacity, we were also able to isolate Lassa virus (LASV) RNA from the patient and perform Sanger sequencing where we found significant genetic divergence from commonly circulating Sierra Leonean strains, showing potential for the discovery of a newly emerged LASV strain with expanded geographic distribution. Furthermore, recent emergence of LF cases in Northern Sierra Leone highlights the need for superior diagnostics to aid in the monitoring of LASV strain divergence with potentially increased geographic expansion. PMID:21843352
Lassa hemorrhagic fever in a late term pregnancy from northern Sierra Leone with a positive maternal outcome: case report.

PubMed

Branco, Luis M; Boisen, Matt L; Andersen, Kristian G; Grove, Jessica N; Moses, Lina M; Muncy, Ivana J; Henderson, Lee A; Schieffellin, John S; Robinson, James E; Bangura, James J; Grant, Donald S; Raabe, Vanessa N; Fonnie, Mbalu; Zaitsev, Eleina M; Sabeti, Pardis C; Garry, Robert F

2011-08-15

Lassa fever (LF) is a devastating viral disease prevalent in West Africa. Efforts to take on this public health crisis have been hindered by lack of infrastructure and rapid field deployable diagnosis in areas where the disease is prevalent. Recent capacity building at the Kenema Government Hospital Lassa Fever Ward (KGH LFW) in Sierra Leone has lead to a major turning point in the diagnosis, treatment and study of LF. Herein we present the first comprehensive rapid diagnosis and real time characterization of an acute hemorrhagic LF case at KGH LFW. This case report focuses on a third trimester pregnant Sierra Leonean woman from the historically non-endemic Northern district of Tonkolili who survived the illness despite fetal demise. Employed in this study were newly developed recombinant LASV Antigen Rapid Test cassettes and dipstick lateral flow immunoassays (LFI) that enabled the diagnosis of LF within twenty minutes of sample collection. Deregulation of overall homeostasis, significant hepatic and renal system involvement, and immunity profiles were extensively characterized during the course of hospitalization. Rapid diagnosis, prompt treatment with a full course of intravenous (IV) ribavirin, IV fluids management, and real time monitoring of clinical parameters resulted in a positive maternal outcome despite admission to the LFW seven days post onset of symptoms, fetal demise, and a natural still birth delivery. These studies solidify the growing rapid diagnostic, treatment, and surveillance capabilities at the KGH LF Laboratory, and the potential to significantly improve the current high mortality rate caused by LF. As a result of the growing capacity, we were also able to isolate Lassa virus (LASV) RNA from the patient and perform Sanger sequencing where we found significant genetic divergence from commonly circulating Sierra Leonean strains, showing potential for the discovery of a newly emerged LASV strain with expanded geographic distribution. Furthermore, recent emergence of LF cases in Northern Sierra Leone highlights the need for superior diagnostics to aid in the monitoring of LASV strain divergence with potentially increased geographic expansion.
A study on the spatial characteristics and correlation of migrant workers' urban integration and well-being: A case study of Xi’an (China)

NASA Astrophysics Data System (ADS)

Wang, D. H.; Yang, X. J.; Hao, F. J.

2017-07-01

This paper used SPSS and ARCGIS to measure the urban integration degree and well-being index, spatial features, and their correlation. This results show: (1) The space differentiation of migrant workers’ urban integration degree in Xi’an distinct: The northern great site protection zone area is low, eastern military area is peak and the western electronic district and southwest high-tech zone are second peak areas. (2) Migrant workers’ well-being index has differentiation spatial distribution: eastern military area is significantly higher than other regions, northern economic zone shows low-lying shape, southern cultural and educational area is higher than northern economic development zone, and central business district is higher than the surrounding. (3) As the result of correlation analysis in SPSS 19.0, it is shown that there is certain positive correlation between urban integration degree and well-being index of migrant workers in main urban districts of Xi’an. Economic integration and social integration have positive prediction to well-being.
Effects of selenium supplementation in cattle on aquatic ecosystems in northern California

DOE Office of Scientific and Technical Information (OSTI.GOV)

Norman, B.; Nader, G.; Oliver, M.

1992-09-15

The potential impact on aquatic ecosystems of supplementing the diets of beef cattle with selenium (Se) was studied on 4 northern California ranches. All study sites included an area of concentrated use by cattle that had diets supplemented with Se. In each case, a stream flowed through the site and provided a control sampling area upstream and a treated sampling area downstream. Specimens of water, sediment, algae, aquatic plants, aquatic invertebrates, and fish were analyzed fluorometrically for total Se content. Significant differences in Se concentration were not found between specimens from upstream control areas and those from downstream areas subjectedmore » to use by Se-treated cattle. Evidence was not found that Se supplementation in cattle at maximal permitted concentrations caused Se accumulation in associated aquatic ecosystems.« less
Aligning Community Engagement With Traditional Authority Structures in Global Health Research: A Case Study From Northern Ghana

PubMed Central

Tindana, Paulina O.; Rozmovits, Linda; Boulanger, Renaud F.; Bandewar, Sunita V. S.; Aborigo, Raymond A.; Hodgson, Abraham V. O.; Kolopack, Pamela

2011-01-01

Despite the recognition of its importance, guidance on community engagement practices for researchers remains underdeveloped, and there is little empirical evidence of what makes community engagement effective in biomedical research. We chose to study the Navrongo Health Research Centre in northern Ghana because of its well-established community engagement practices and because of the opportunity it afforded to examine community engagement in a traditional African setting. Our findings suggest that specific preexisting features of the community have greatly facilitated community engagement and that using traditional community engagement mechanisms limits the social disruption associated with research conducted by outsiders. Finally, even in seemingly ideal, small, and homogeneous communities, cultural issues exist, such as gender inequities, that may not be effectively addressed by traditional practices alone. PMID:21852635
Pre-dispersal seed predator dynamics at the northern limits of limber pine distribution

Treesearch

Vernon S. Peters

2011-01-01

Limber pine (Pinus flexilis) is listed provincially as endangered in the northern part of its geographic range (Alberta) due to the high mortality caused by white pine blister rust (WPBR) (Cronartium ribicola) and mountain pine beetle (Dendroctonus ponderosae), and limited regeneration opportunities due to fire exclusion. In the case of an endangered species, seed...
77 FR 69797 - Small Takes of Marine Mammals Incidental to Specified Activities; Pile Driving in Port Townsend...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-11-21

... located inside Port Townsend Bay in northern Puget Sound (see Figure 1- 9 in the WSF IHA application..., and 2 cylinder shaft casings). Because elevated sound levels from pile driving have the potential to... hydraulic lift span at the Port Townsend ferry terminal in northern Puget Sound, Washington. Transfer spans...
Host-Associated Absence of Human Puumala Virus Infections in Northern and Eastern Germany

PubMed Central

Drewes, Stephan; Ali, Hanan Sheikh; Saxenhofer, Moritz; Rosenfeld, Ulrike M.; Binder, Florian; Cuypers, Fabian; Schlegel, Mathias; Röhrs, Susanne; Heckel, Gerald

2017-01-01

Human hantavirus disease cases, caused by Puumala virus (PUUV), are mainly recorded in western and southern areas of Germany. This bank vole reservoir survey confirmed PUUV presence in these regions but its absence in northern and eastern regions. PUUV occurrence is associated with the presence of the Western bank vole phylogroup. PMID:27983499
93 years of stand density and land-use legacy research at the Coulter Ranch Study Site (P-53)

Treesearch

Andrew J. Sanchez Meador; Margaret M. Moore

2008-01-01

In 1913, the Fort Valley Experimental Forest initiated an unprecedented case-study experiment to determine the effects of harvesting methods on tree regeneration and growth on a ponderosa pine-Gambel oak forest at Coulter Ranch in northern Arizona. The harvesting methods examined were seed-tree, group selection, and light selection. In addition, the effects of...
Fire as a galvanizing and fragmenting influence on communities: the case of the Rodeo-Chediski fire

Treesearch

Matthew S. Carroll; Patricia J. Cohn; David N. Seesholtz; Lorie L. Higgins

2005-01-01

Large wildfires that burn through the "forest-residential intermix" are complex events with a variety of social impacts. This study looks at three northern Arizona community clusters directly affected by the 2002 Rodeo-Chediski fire. Our analysis suggests that the fire event led to both the emergence of cohesion and conflict in the study area. Community...
Response of overstory and understory vegetation 37 years after prescribed burning in an aspen-dominated forest in northern Minnesota, USA – a case study

Treesearch

A. Dhar; C.D. Baker; H.B. Massicotte; Brian J. Palik; C.D.B. Hawkins

2016-01-01

Many studies have examined short-term changes in understory vegetation following prescribed burning. However, knowledge concerning longer term effects on both forest understory and overstory vegetation is lacking. This investigation was initiated to examine changes in understory (herbaceous and shrub) and overstory species composition almost four decades after logging...
An atypical case of successful resuscitation of an accidental profound hypothermia patient, occurring in a temperate climate.

PubMed

Coleman, E; Doddakula, K; Meeke, R; Marshall, C; Jahangir, S; Hinchion, J

2010-03-01

Cases of accidental profound hypothermia occur most frequently in cold, northern climates. We describe an atypical case, occurring in a temperate climate, where a hypothermic cardiac-arrested patient was successfully resuscitated using extracorporeal circulation (ECC).
Skylore of the Indigenous Peoples of Northern Eurasia

NASA Astrophysics Data System (ADS)

Frank, Roslyn M.

This chapter examines the skylore of the indigenous peoples of northern Eurasia, paying particular attention to the commonalities found among them as well as the differences. Special attention is placed on the motif of the Cosmic Hunt and its diverse manifestations across the study area as well as on the oral nature of the celestial beliefs of these groups. The stars of a variety of "Western" constellation figures are implicated in the narratives and in some cases are clearly utilized in social practice for celestial navigation. The role played by the underlying hunter-gatherer mode of subsistence in shaping their cultural conceptualizations, their skyscapes, and the overarching cosmology of these peoples is also addressed.
[Sporotrichosis among rural communities in the Northern Sierra in Puebla. Report of 55 cases September 1995 - December 2005].

PubMed

Macotela-Ruiz, Ernesto; Nochebuena-Ramos, Eloina

2006-01-01

Fifty five cases of cutaneous sporotrichosis collected from 35 communities located in the southeast region of the Northern Sierra of Puebla are described. The disease was more prevalent in males (60:40), but this difference was restricted to younger subjects (aged 0-15 years) where 14 cases were male and only 3 were female. No statistical difference regarding gender was observed in elder patients. The prevalence of the disease was significantly lower among patients aged 31 to 45. The most common clinical forms of the disease were lymphocutaneous and fixed. The drug of choice for the treatment of patients in rural communities was potassium iodide. When available, Itraconazol proved to be an excellent option.
The psychiatrist's role at a local hospital in the northern part of Norway and his cooperation with the primary health service in the area.

PubMed

Hartviksen, I

1979-01-01

This paper describes a practical working situation for a psychiatrist situated in the northern part of Norway. The psychiatrist is attached to the local hospital on a part time basis and takes care of the psychiatric cases in the medical ward together with somatic cases. In addition, he works in a polyclinical setting in town, in close contact with several health and social services, and tries to be close to where the problems originate. The psychiatrist deals mainly with crisis interventions and has a social psychiatric approach.
Re-emergence of animal rabies in northern Greece and subsequent human exposure, October 2012 - March 2013.

PubMed

Tsiodras, S; Dougas, G; Baka, A; Billinis, C; Doudounakis, S; Balaska, A; Georgakopoulou, T; Rigakos, G; Kontos, V; Tasioudi, K E; Tzani, M; Tsarouxa, P; Iliadou, P; Mangana-Vougiouka, O; Iliopoulos, D; Sapounas, S; Efstathiou, P; Tsakris, A; Hadjichristodoulou, C; Kremastinou, J

2013-05-02

Greece has been rabies-free since 1987 with no human cases since 1970. During 2012 to 2013, rabies has re-emerged in wild and domestic animals in northern Greece. By end March 2013, rabies was diagnosed in 17 animals including 14 red foxes, two shepherd dogs and one cat; 104 subsequent human exposures required post-exposure prophylaxis according to the World Health Organization criteria. Human exposures occurred within 50 km radius of a confirmed rabies case in a wild or domestic animal, and most frequently stray dogs were involved.
Occurrence of measles in a country with elimination status: Amplifying measles infection in hospitalized children due to imported virus.

PubMed

Eom, HyeEun; Park, YoungJoon; Kim, JooWhee; Yang, Jeong-Sun; Kang, HaeJi; Kim, Kisoon; Chun, Byung Chul; Park, Ok; Hong, Jeong Ik

2018-01-01

The Republic of Korea declared measles elimination in 2006. However, a measles outbreak occurred in 2013. This study aimed to identify the epidemiological characteristics of the sources of infection and the pattern of measles transmission in 2013 in South Korea. We utilized surveillance data, epidemiological data, immunization registry data, and genetic information. We describe the epidemiological characteristics of all measles case patients (sex, age distribution, vaccination status, sources of infection) as well as details of the outbreak (the pattern of transmission, duration, mean age of patients, and generation time). In 2013, a total of 107 measles cases were notified. Most patients were infants (43.0%) and unvaccinated individuals (60.7%). We identified 4 imported and 103 import-related cases. A total of 105 cases were related to four outbreaks that occurred in Gyeongnam, northern Gyeonggi, southern Gyeonggi, and Seoul. The predominant circulating genotype was B3 type, which was identified in the Gyeongnam, northern Gyeonggi, and southern Gyeonggi outbreaks. The B3 type had not been in circulation in South Korea in the previous 3 years; virologic evidence suggests that these outbreaks were import-related. Most measles cases in South Korea have been associated with imported measles virus. Although Korea has maintained a high level of herd immunity, clustering of susceptible people can cause such measles outbreaks.
Occurrence of measles in a country with elimination status: Amplifying measles infection in hospitalized children due to imported virus

PubMed Central

Eom, HyeEun; Park, YoungJoon; Kim, JooWhee; Yang, Jeong-Sun; Kang, HaeJi; Kim, Kisoon; Chun, Byung Chul; Park, Ok; Hong, Jeong Ik

2018-01-01

The Republic of Korea declared measles elimination in 2006. However, a measles outbreak occurred in 2013. This study aimed to identify the epidemiological characteristics of the sources of infection and the pattern of measles transmission in 2013 in South Korea. We utilized surveillance data, epidemiological data, immunization registry data, and genetic information. We describe the epidemiological characteristics of all measles case patients (sex, age distribution, vaccination status, sources of infection) as well as details of the outbreak (the pattern of transmission, duration, mean age of patients, and generation time). In 2013, a total of 107 measles cases were notified. Most patients were infants (43.0%) and unvaccinated individuals (60.7%). We identified 4 imported and 103 import-related cases. A total of 105 cases were related to four outbreaks that occurred in Gyeongnam, northern Gyeonggi, southern Gyeonggi, and Seoul. The predominant circulating genotype was B3 type, which was identified in the Gyeongnam, northern Gyeonggi, and southern Gyeonggi outbreaks. The B3 type had not been in circulation in South Korea in the previous 3 years; virologic evidence suggests that these outbreaks were import-related. Most measles cases in South Korea have been associated with imported measles virus. Although Korea has maintained a high level of herd immunity, clustering of susceptible people can cause such measles outbreaks. PMID:29447169
Bovine tuberculosis in Northern Ireland: quantification of the population disease-level effect from cattle leaving herds detected as a source of infection.

PubMed

Doyle, L P; Courcier, E A; Gordon, A W; O'Hagan, M J H; Stegeman, J A; Menzies, F D

2017-12-01

Determination of the proportion of bovine tuberculosis (bTB) breakdowns attributed to a herd purchasing infected animals has not been previously quantified using data from the Animal and Public Health Information System (APHIS) database in Northern Ireland. We used a case-control study design to account for the infection process occurring in the disclosing bTB breakdown herds. Cases (N = 6926) were cattle moving to a future confirmed bTB breakdown where they would disclose as a confirmed bTB reactor or a Lesion at Routine Slaughter (LRS). Controls (N = 303 499) were cattle moving to a future confirmed bTB breakdown where they did not become a bTB reactor or LRS. Our study showed that the cattle leaving herds which disclosed bTB within 450 days had an increased odds of becoming a confirmed bTB reactor or LRS compared with the cattle which left herds that remained free for 450 days (odds ratio (OR) = 2·09: 95% CI 1·96-2·22). Of the 12 060 confirmed bTB breakdowns included in our study (2007-2015 inclusive), 31% (95% CI 29·8-31·5) contained a confirmed bTB reactor(s) or LRS(s) at the disclosing test which entered the herd within the previous 450 days. After controlling for the infection process occurring in the disclosing bTB breakdown herd, our study showed that 6·4% (95% CI 5·9-6·8) of bTB breakdowns in Northern Ireland were directly attributable to the movement of infected animals.
Cancer in inflammatory bowel disease 15 years after diagnosis in a population-based European Collaborative follow-up study.

PubMed

Katsanos, Konstantinos H; Tatsioni, Athina; Pedersen, Natalia; Shuhaibar, Mary; Ramirez, Vicent Hernandez; Politi, Patrizia; Rombrechts, Evelien; Pierik, Marieke; Clofent, Juan; Beltrami, Marina; Bodini, Paolo; Freitas, Joao; Mouzas, Ioannis; Fornaciari, Giovanni; Moum, Bjorn; Lakatos, Peter Laszlo; Vermeire, Severine; Langholz, Ebbe; Odes, Selwyn; Morain, Colm O'; Stockbrügger, Reinhold; Munkholm, Pia; Tsianos, Epameinondas V

2011-10-01

To determine the occurrence of intestinal and extraintestinal cancers in the 1993-2009 prospective European Collaborative Inflammatory Bowel Disease (EC-IBD) Study Group cohort. A physician per patient form was completed for 681 inflammatory bowel disease patients (445UC/236CD) from 9 centers (7 countries) derived from the original EC-IBD cohort. For the 15-year follow up period, rates of detection of intestinal and extraintestinal cancers were computed. Patient follow-up time was fifteen years. In total 62/681 patients (9.1%) [41 with ulcerative colitis/21 with Crohn's disease, 36 males/26 females] were diagnosed with sixty-six cancers (four patients with double cancers). Colorectal cancer was diagnosed in 9/681 patients [1.3%] (1 Crohn's disease and 8 ulcerative colitis). The remaining 53 cancers were extraintestinal. There was a higher prevalence of intestinal cancer in the Northern centers compared to Southern centers [p=NS]. Southern centers had more cases of extraintestinal cancer compared to Northern centers [p=NS]. The frequency of all observed types of cancers in Northern and in Southern centers did not differ compared to the expected one in the background population. In the fifteen-year follow up of the EC-IBD Study Group cohort the prevalence of cancer was 9.1% with most patients having a single neoplasm and an extraintestinal neoplasm. In Northern centers there were more intestinal cancers while in Southern centers there were more extraintestinal cancers compared to Northern centers. In this IBD cohort the frequency of observed cancers was not different from that expected in the background population. Copyright © 2011 European Crohn's and Colitis Organisation. Published by Elsevier B.V. All rights reserved.

Spatio-temporal modeling of the African swine fever epidemic in the Russian Federation, 2007-2012.

PubMed

Korennoy, F I; Gulenkin, V M; Malone, J B; Mores, C N; Dudnikov, S A; Stevenson, M A

2014-10-01

In 2007 African swine fever (ASF) entered Georgia and in the same year the disease entered the Russian Federation. From 2007 to 2012 ASF spread throughout the southern region of the Russian Federation. At the same time several cases of ASF were detected in the central and northern regions of the Russian Federation, forming a northern cluster of outbreaks in 2011. This northern cluster is of concern because of its proximity to mainland Europe. The aim of this study was to use details of recorded ASF outbreaks and human and swine population details to estimate the spatial distribution of ASF risk in the southern region of the European part of the Russian Federation. Our model of ASF risk was comprised of two components. The first was an estimate of ASF suitability scores calculated using maximum entropy methods. The second was an estimate of ASF risk as a function of Euclidean distance from index cases. An exponential distribution fitted to a frequency histogram of the Euclidean distance between consecutive ASF cases had a mean value of 156 km, a distance greater than the surveillance zone radius of 100-150 km stated in the ASF control regulations for the Russian Federation. We show that the spatial and temporal risk of ASF expansion is related to the suitability of the area of potential expansion, which is in turn a function of socio-economic and geographic variables. We propose that the methodology presented in this paper provides a useful tool to optimize surveillance for ASF in affected areas. Copyright © 2014 Elsevier Ltd. All rights reserved.
Spatio-temporal modeling of the African swine fever epidemic in the Russian Federation, 2007–2012

PubMed Central

Korennoy, F.I.; Gulenkin, V.M.; Malone, J.B.; Mores, C.N.; Dudnikov, S.A.; Stevenson, M.A.

2015-01-01

In 2007 African swine fever (ASF) entered Georgia and in the same year the disease entered the Russian Federation. From 2007 to 2012 ASF spread throughout the southern region of the Russian Federation. At the same time several cases of ASF were detected in the central and northern regions of the Russian Federation, forming a northern cluster of outbreaks in 2011. This northern cluster is of concern because of its proximity to mainland Europe. The aim of this study was to use details of recorded ASF outbreaks and human and swine population details to estimate the spatial distribution of ASF risk in the southern region of the European part of the Russian Federation. Our model of ASF risk was comprised of two components. The first was an estimate of ASF suitability scores calculated using maximum entropy methods. The second was an estimate of ASF risk as a function of Euclidean distance from index cases. An exponential distribution fitted to a frequency histogram of the Euclidean distance between consecutive ASF cases had a mean value of 156 km, a distance greater than the surveillance zone radius of 100–150 km stated in the ASF control regulations for the Russian Federation. We show that the spatial and temporal risk of ASF expansion is related to the suitability of the area of potential expansion, which is in turn a function of socio-economic and geographic variables. We propose that the methodology presented in this paper provides a useful tool to optimize surveillance for ASF in affected areas. PMID:25457602
The CHEK2 1100delC allelic variant is not present in familial and sporadic breast cancer cases from Moroccan population.

PubMed

Marouf, Chaymaa; Hajji, Omar; Diakité, Brehima; Tazzite, Amal; Jouhadi, Hassan; Benider, Abdellatif; Nadifi, Sellama

2015-01-01

The cell-cycle checkpoint kinase 2 (CHEK2) is an important signal transducer of cellular responses to DNA damage, whose defects has been associated with increased risk for breast cancer. The CHEK2 1100delC mutation has been reported to confer a twofold increased risk of breast cancer among carriers. The frequency of the mutation varies among populations. The highest frequency has been described in Northern and Eastern European countries. However, the 1100delC mutation has been investigated in different case-control studies and none in Moroccan population. The aim of this study was to evaluate the prevalence of this variant and determine its contribution to the development of breast cancer in sporadic cases and also in members of breast cancer families who tested negative or positive for a deleterious mutation in BRCA1/BRCA2. In this case-control study we performed the CHEK2 1100delC mutation analysis by ASO-PCR in 134 breast cancer patients and 114 unaffected control individuals. Most of these families had several cases of breast cancer or ovarian cancer (or both). No CHEK2 1100delC mutations were detected in any of 134 individuals, including 59 women diagnosed with breast cancer at an early age (<40 years), 10 women with bilateral breast cancer, and 6 women with ovarian cancer. Our preliminary genetic analysis are consistent with the reported very low frequency of CHEK2 1100delC mutation in North American populations (compared with Northern Europe), rendering CHEK2 1100delC such as an unlikely to be major breast cancer susceptibility genes.
[Analysis of human cyst echinococcosis in a northern Chilean region from 2008 to 2012].

PubMed

Soto-Aguilar, Andrea; Junod, Tania; Campillay, Mauricio; Acosta-Jamett, Gerardo; Landaeta-Aqueveque, Carlos

2017-05-01

The Coquimbo Region in Chile has the highest incidence of hydatidosis in central and northern Chile. To analyze the incidence of human cystic echinococcosis (CE) in the Coquimbo Region between 2008 and 2012. Official records of reported cases were analyzed. The association of the location, age and sex with the presence/absence of CE was analyzed by means of logistic regressions. The incidence was reported as cases per 100,000 inhabitants. The mean annual incidence was 2.6 cases per 100,000 inhabitants, which ranged from 3.1 (2010) to 1.9 (2012) cases. The districts with higher incidence were Punitaqui (21.2 cases), Paihuano (9 cases), Rio Hurtado (8 cases), Canela (8.1 cases), Monte Patria (7.9 cases), Vicuña (6.9 cases) and Combarbalá (6.9 cases). The incidence in these locations was significantly higher than elsewhere in the region. Males had a significantly higher incidence than females (3.3 and 1.8 respectively). Incidence increased significantly with age, notably increasing after 45 years of age. Rural locations had the highest incidences of CE in the Coquimbo Region. The disease was reported more commonly in adults and mainly in men.
Air Pollution and Pulmonary Tuberculosis: A Nested Case–Control Study among Members of a Northern California Health Plan

PubMed Central

Smith, Geneé S.; Van Den Eeden, Stephen K.; Garcia, Cynthia; Shan, Jun; Baxter, Roger; Herring, Amy H.; Richardson, David B.; Van Rie, Annelies; Emch, Michael; Gammon, Marilie D.

2016-01-01

Background: Ecologic analyses, case–case comparisons, and animal experiments suggest positive associations between air pollution and tuberculosis. Objectives: We evaluated this hypothesis in a large sample, which yielded results that are applicable to the general population. Methods: We conducted a case–control study nested within a cohort of Kaiser Permanente of Northern California members. All active pulmonary tuberculosis (TB) cases newly diagnosed between 1996 and 2010 (n = 2,309) were matched to two controls (n = 4,604) by age, sex, and race/ethnicity on the index date corresponding with the case diagnosis date. Average individual-level concentrations of carbon monoxide (CO), nitrogen dioxide (NO2), sulfur dioxide (SO2), ozone (O3), and particulate matter with aerodynamic diameter ≤ 2.5 μm (PM2.5) and 10 μm (PM10) for 2 years before diagnosis/entry into the study were estimated using measurements from the California Air Resources Board monitor closest to the participant’s residence. Results: In single-pollutant adjusted conditional logistic regression models, the pulmonary TB odds ratios (95% confidence intervals) for the highest quintile (vs. lowest) were 1.50 (95% CI: 1.15, 1.95) for CO and 1.42 (95% CI: 1.10, 1.84) for NO2. Corresponding estimates were higher among never [1.68 (95% CI: 1.26, 2.24)] than ever [1.19 (95% CI: 0.74, 1.92)] smokers for CO. In contrast, for NO2, estimates were higher among ever [1.81 (95% CI: 1.13, 2.91)] than never [1.29 (95% CI: 0.97, 1.71)] smokers. O3 was inversely associated for smokers [0.66 (95% CI: 0.43, 1.02)] and never smokers [0.65 (95% CI: 0.52, 0.81)]. No other consistent patterns were observed. Conclusions: In this first, to our knowledge, U.S. nested case–control study on air pollution and pulmonary TB, we observed positive associations with ambient CO and NO2, which require confirmation. Citation: Smith GS, Van Den Eeden SK, Garcia C, Shan J, Baxter R, Herring AH, Richardson DB, Van Rie A, Emch M, Gammon MD. 2016. Air pollution and pulmonary tuberculosis: a nested case-control study among members of a Northern California health plan. Environ Health Perspect 124:761–768; http://dx.doi.org/10.1289/ehp.1408166 PMID:26859438
Re-emerging Plasmodium vivax malaria in the Republic of Korea

PubMed Central

1999-01-01

Plasmodium vivax malaria, which was highly prevalent in the Republic of Korea, disappeared rapidly since 1970s. However, malaria re-emerged with the first occurrence of a patient in 1993 near the demilitarized zone (DMZ), the border between South Korea and North Korea. Thereafter, the number of cases increased exponentially year after year, totaling 6,142 cases (6,249 if United States Army personnels were included) by the end of 1998. Interestingly enough, the majority of cases (3,743; 61%) was soldiers aged 20-25, camping around the northern parts of Kyonggi-do or Gangwon-do (Province) just facing the DMZ. Among 2,399 civilian cases, 1,144 (47.7%) were those who have recently retired from their military services in the northern parts of the two Provinces. The re-emerging malaria characteristically revealed a combination type of short and long incubation periods with predominance of the long type. The course of illness was relatively mild, and the treatment was successful in most patients. Vector mosquitoes are Anopheles sinensis and possibly A. yatsushiroensis. Wide-scale preventive and control measures should be operated to eradicate this re-emerging disease. It has been suggested by many authors that the initial source of the re-emerging malaria was infected mosquitoes which had flown from the northern part of the DMZ. PMID:10507220
Effect of Aldehyde Dehydrogenase 2 Gene Polymorphism on Hemodynamics After Nitroglycerin Intervention in Northern Chinese Han Population

PubMed Central

Xia, Jia-Qi; Song, Jie; Zhang, Yi; An, Ni-Na; Ding, Lei; Zhang, Zheng

2015-01-01

Background: Nitroglycerin (NTG) is one of the few immediate treatments for acute angina. Aldehyde dehydrogenase 2 (ALDH2) is a key enzyme in the human body that facilitates the biological metabolism of NTG. The biological mechanism of NTG serves an important function in NTG efficacy. Some reports still contradict the results that the correlation between ALDH2 gene polymorphisms and NTG and its clinical efficacy is different. However, data on NTG measurement by pain relief are subjective. This study aimed to investigate the influence of ALDH2 gene polymorphism on intervention with sublingual NTG using noninvasive hemodynamic parameters of cardiac output (CO) and systemic vascular resistance (SVR) in Northern Chinese Han population. Methods: This study selected 559 patients from the Affiliated Hospital of Qingdao University. A total of 203 patients presented with coronary heart disease (CHD) and 356 had non-CHD (NCHD) cases. All patient ALDH2 genotypes (G504A) were detected and divided into two types: Wild (GG) and mutant (GA/AA). Among the CHD group, 103 were wild-type cases, and 100 were mutant-type cases. Moreover, 196 cases were wild-type, and 160 cases were mutant type among the NCHD volunteers. A noninvasive hemodynamic detector was used to monitor the CO and the SVR at the 0, 5, and 15 minute time points after medication with 0.5 mg sublingual NTG. Two CO and SVR indicators were used for a comparative analysis of all case genotypes. Results: Both CO and SVR indicators significantly differed between the wild and mutant genotypes at various time points after intervention with sublingual NTG at 5 and 15 minutes in the NCHD (F = 16.460, 15.003, P = 0.000, 0.000) and CHD groups (F = 194.482, 60.582, P = 0.000, 0.000). All CO values in the wild-type case of both NCHD and CHD groups increased, whereas those in the mutant type decreased. The CO and ΔCO differences were statistically significant (P < 0.05; P < 0.05). The SVR and ΔSVR changed between the wild- and mutant-type cases at all-time points in both NCHD and CHD groups had statistically significant differences (P < 0.05; P < 0.05). Conclusion: ALDH2 (G504A) gene polymorphism is associated with changes in noninvasive hemodynamic parameters (i.e. CO and SVR) after intervention with sublingual NTG. This gene polymorphism may influence the effect of NTG intervention on Northern Chinese Han population. PMID:25591559
Risk of hematological malignancies associated with magnetic fields exposure from power lines: a case-control study in two municipalities of northern Italy.

PubMed

Malagoli, Carlotta; Fabbi, Sara; Teggi, Sergio; Calzari, Mariagiulia; Poli, Maurizio; Ballotti, Elena; Notari, Barbara; Bruni, Maurizio; Palazzi, Giovanni; Paolucci, Paolo; Vinceti, Marco

2010-03-30

Some epidemiologic studies have suggested an association between electromagnetic field exposure induced by high voltage power lines and childhood leukemia, but null results have also been yielded and the possibility of bias due to unmeasured confounders has been suggested. We studied this relation in the Modena and Reggio Emilia municipalities of northern Italy, identifying the corridors along high voltage power lines with calculated magnetic field intensity in the 0.1-<0.2, 0.2-<0.4, and > or = 0.4 microTesla ranges. We identified 64 cases of newly-diagnosed hematological malignancies in children aged <14 within these municipalities from 1986 to 2007, and we sampled four matched controls for each case, collecting information on historical residence and parental socioeconomic status of these subjects. Relative risk of leukemia associated with antecedent residence in the area with exposure > or = 0.1 microTesla was 3.2 (6.7 adjusting for socioeconomic status), but this estimate was statistically very unstable, its 95% confidence interval being 0.4-23.4, and no indication of a dose-response relation emerged. Relative risk for acute lymphoblastic leukemia was 5.3 (95% confidence interval 0.7-43.5), while there was no increased risk for the other hematological malignancies. Though the number of exposed children in this study was too low to allow firm conclusions, results were more suggestive of an excess risk of leukemia among exposed children than of a null relation.
Code-based Diagnostic Algorithms for Idiopathic Pulmonary Fibrosis. Case Validation and Improvement.

PubMed

Ley, Brett; Urbania, Thomas; Husson, Gail; Vittinghoff, Eric; Brush, David R; Eisner, Mark D; Iribarren, Carlos; Collard, Harold R

2017-06-01

Population-based studies of idiopathic pulmonary fibrosis (IPF) in the United States have been limited by reliance on diagnostic code-based algorithms that lack clinical validation. To validate a well-accepted International Classification of Diseases, Ninth Revision, code-based algorithm for IPF using patient-level information and to develop a modified algorithm for IPF with enhanced predictive value. The traditional IPF algorithm was used to identify potential cases of IPF in the Kaiser Permanente Northern California adult population from 2000 to 2014. Incidence and prevalence were determined overall and by age, sex, and race/ethnicity. A validation subset of cases (n = 150) underwent expert medical record and chest computed tomography review. A modified IPF algorithm was then derived and validated to optimize positive predictive value. From 2000 to 2014, the traditional IPF algorithm identified 2,608 cases among 5,389,627 at-risk adults in the Kaiser Permanente Northern California population. Annual incidence was 6.8/100,000 person-years (95% confidence interval [CI], 6.1-7.7) and was higher in patients with older age, male sex, and white race. The positive predictive value of the IPF algorithm was only 42.2% (95% CI, 30.6 to 54.6%); sensitivity was 55.6% (95% CI, 21.2 to 86.3%). The corrected incidence was estimated at 5.6/100,000 person-years (95% CI, 2.6-10.3). A modified IPF algorithm had improved positive predictive value but reduced sensitivity compared with the traditional algorithm. A well-accepted International Classification of Diseases, Ninth Revision, code-based IPF algorithm performs poorly, falsely classifying many non-IPF cases as IPF and missing a substantial proportion of IPF cases. A modification of the IPF algorithm may be useful for future population-based studies of IPF.
Changing patterns and trends of multidrug-resistant tuberculosis at referral centre in Northern India: a 4-year experience.

PubMed

Maurya, A K; Singh, A K; Kumar, M; Umrao, J; Kant, S; Nag, V L; Kushwaha, R A S; Dhole, T N

2013-01-01

India has a high burden of drug-resistant tuberculosis (TB), although there is little data on multidrug-resistant tuberculosis (MDR-TB). Although MDR-TB has existed for long time in India, very few diagnostic laboratories are well-equipped to test drug sensitivity. The objectives of this study were to determine the prevalence of MDR-TB, first-line drug resistance patterns and its changing trends in northern India in the 4 years. This was a prospective study from July 2007 to December 2010. Microscopy, culture by Bactec460 and p-nitro-α-acetylamino-β-hydroxypropiophenone (NAP) test was performed to isolate and identify Mycobacterium tuberculosis (M. tb) complex (MTBC). Drug sensitivity testing (DST) was performed by 1% proportional method (Bactec460) for four drugs: Rifampicin, isoniazid, ethambutol and streptomycin. Various clinical and demographical profiles were evaluated to analyse risk factors for development of drug resistance. We found the overall prevalence rate of MDR-TB to be 38.8%, increasing from 36.4% in 2007 to 40.8% in 2010. we found that the prevalence of MDR-TB in new and previously treated cases was 29.1% and 43.3% ( P < 0.05; CI 95%). The increasing trend of MDR-TB was more likely in pulmonary TB when compared with extra-pulmonary TB ( P < 0.05; CI 95%). we found a high prevalence (38.8%) of MDR-TB both in new cases (29.1%) and previously treated cases (43.3%).This study strongly highlights the need to make strategies for testing, surveillance, monitoring and management of such drug-resistant cases.
Space-time epidemiology and effect of meteorological parameters on influenza-like illness in Phitsanulok, a northern province in Thailand.

PubMed

Nimbalkar, Prakash Madhav; Tripathi, Nitin Kumar

2016-11-21

Influenza-like illness (ILI) is an acute respiratory disease that remains a public health concern for its ability to circulate globally affecting any age group and gender causing serious illness with mortality risk. Comprehensive assessment of the spatio-temporal dynamics of ILI is a prerequisite for effective risk assessment and application of control measures. Though meteorological parameters, such as rainfall, average relative humidity and temperature, influence ILI and represent crucial information for control of this disease, the relation between the disease and these variables is not clearly understood in tropical climates. The aim of this study was to analyse the epidemiology of ILI cases using integrated methods (space-time analysis, spatial autocorrelation and other correlation statistics). After 2009s H1N1 influenza pandemic, Phitsanulok Province in northern Thailand was strongly affected by ILI for many years. This study is based on ILI cases in villages in this province from 2005 to 2012. We used highly precise weekly incidence records covering eight years, which allowed accurate estimation of the ILI outbreak. Comprehensive methodology was developed to analyse the global and local patterns of the spread of the disease. Significant space-time clusters were detected over the study region during eight different periods. ILI cases showed seasonal clustered patterns with a peak in 2010 (P>0.05-9.999 iterations). Local indicators of spatial association identified hotspots for each year. Statistically, the weather pattern showed a clear influence on ILI cases and it strongly correlated with humidity at a lag of 1 month, while temperature had a weaker correlation.
Batman and Batwoman Go to School: Popular Culture in the Literacy Curriculum.

ERIC Educational Resources Information Center

Marsh, Jackie

1999-01-01

This case study investigated the introduction of a theme from popular culture into a sociodramatic role-play area in a northern England Nursery Infant school, focusing on its effects on 6- to 7-year olds' literacy activities. Findings indicated that the incorporation of themes from popular culture into the curriculum motivated children whose…
Skill Upgrading within Informal Training: Lessons from the Indian Auto Mechanic

ERIC Educational Resources Information Center

Barber, Jamie

2004-01-01

Informal training is known to be the dominant skill acquisition strategy for the majority of workers in India and many other economically developing countries and there is much benefit in understanding the strengths and weaknesses of this form of training. A participant observation case study was undertaken in northern India to investigate these…
Wildfire, timber salvage, and the economics of expediency

Treesearch

Jeffrey P. Prestemon; David N. Wear; Fred J. Stewart; Thomas P. Holmes

2006-01-01

Administrative planning rules and legal challenges can have significant economic impacts on timber salvage programs on public lands. This paper examines the costs of the delay in salvage caused by planning rules and the costs associated with the volume reductions forced by legal challenges in one case study. The fires on the Bitterroot National Forest in the northern...
A Multi-Level Analysis of the Teacher Education Internship in Terms of Its Collaborative Dimension in Northern Cyprus

ERIC Educational Resources Information Center

Kuter, Sitkiye; Koc, Sabri

2009-01-01

Partnership is a two-way enterprise which becomes meaningful when the partners at different levels are fully engaged in mutual cooperation, aiming at promoting both trainees' and educators' professional growth. This case study, qualitative in nature, was conducted with administrators, educators, and trainees to examine the collaboration dimension…
The virtues of localism and arctic wilderness politics

Treesearch

James N. Gladden

2007-01-01

An analysis of co-managing structures and land use issues in three case studies of arctic wilderness politics shows that more formal and informal power sharing by government officials with local people results in less conflict. Greater input and control by nearby communities may also help to protect wilderness ecosystems and traditional values of northern cultures....
A Case Study of Integrating Interwise: Interaction, Internet Self-Efficacy, and Satisfaction in Synchronous Online Learning Environments

ERIC Educational Resources Information Center

Kuo, Yu-Chun; Walker, Andrew E.; Belland, Brian R.; Schroder, Kerstin E. E.; Kuo, Yu-Tung

2014-01-01

This paper reports research on the implementation of a web-based videoconferencing tool (Interwise) for synchronous learning sessions on an industrial technology course offered through a university in northern Taiwan. The participants included undergraduate students from the same course offered in two different semesters. We investigated students'…
Balance and sustainability in multi-aged stands: a northern conifer case study

Treesearch

Robert S. Seymour; Laura S. Kenefic

1998-01-01

Foresters in the Northeast are both blessed and cursed by the inherent complexity of the region's forests. Thousands of years may pass between natural stand-replacing disturbances, though partial disturbances, such as blowdown, defoliating insects, and various forms of partial cutting, are common (Seymour 1995). Foresters in the region typically deal with...
Implementing the General Education Development (GED) Program in First Nations Communities: Struggles for Power

ERIC Educational Resources Information Center

Shields, Tracy Jill; Melville, Wayne

2015-01-01

This paper describes an ethnographic case study of eleven First Nations adult learners in a Northern Ontario community attempting to earn secondary school equivalency through the General Education Development (GED) program. The paper maintains a focus on the power differentials at work in both the learners' prior educational endeavours and their…
Working-Class Boys, Educational Success and the Misrecognition of Working-Class Culture

ERIC Educational Resources Information Center

Ingram, Nicola

2009-01-01

This article contributes to the theory of institutional habitus by exploring the differing ways in which the institutional habitus of two schools in Belfast, Northern Ireland mediates the local habitus of working-class boys. All of the boys in this qualitative case study live in the same disadvantaged working-class community but attend two…

Games and Learning Come Together to Maximise Effectiveness: The Challenge of Bridging the Gap

ERIC Educational Resources Information Center

Pannese, Lucia; Carlesi, Maria

2007-01-01

The authors are designing and carrying out some training sessions based on serious games with customers from different business environments and with some university student groups, both in northern Italy. Some business case studies are described in this article specifying the context, the training goal, the adopted training solution and the main…
The Community Development Process: The Rediscovery of Local Initiative.

ERIC Educational Resources Information Center

Biddle, William W.; Biddle, Loureide J.

The development process in two communities, a mining county in rural Appalachia and a deteriorating neighborhood in a northern industrial city, is presented in case-study form. Concepts and commonly used terms are defined; a process of development is identified that can be used in groups small enough to permit attention to the growth of persons.…
Volunteer Guides in Nature Reserves: Exploring Environmental Educators' Perceptions of Teaching, Learning, Place and Self

ERIC Educational Resources Information Center

Evans, Emily; Ching, Cynthia Carter; Ballard, Heidi L.

2012-01-01

In the following case study, we examine the interplay between self-perception, environmental perception, and the interests and practice of volunteer trail guides who were recruited to provide educational services for visitors to a natural reserve in Northern California. Through semi-structured interviews with 15 guides and observations of training…
Middle Years Students' Experiences in Nature: A Case Study on Nature-Play

ERIC Educational Resources Information Center

Francis, Marj; Paige, Kathy; Lloyd, David

2013-01-01

Increasingly, children today are becoming disconnected from the natural environments resulting in a diminished sense of self, place and community. In an attempt to find out their perceptions, attitudes and values about the natural world, twenty-five Year 6 and 7 students from a northern Adelaide primary school participated in a nature-play case…
Effect of Active Learning on Students' Academic Success in the Medical Classroom

ERIC Educational Resources Information Center

Hightower, Sandra

2014-01-01

Doctors in a Northern California community reported that medical assisting students did not use medical terminology in context, could not think critically, and faltered in decision making and problem solving during their internships in medical offices. The intent of this instrumental case study was to investigate the gap between current methods of…
Wolves, Ptarmigan, and Lake Trout: Critical Elements of a Northern Canadian Place-Conscious Pedagogy

ERIC Educational Resources Information Center

Asfeldt, Morten; Urberg, Ingrid; Henderson, Bob

2009-01-01

This paper explores the pedagogical benefits of combining remote winter wilderness travel and homestead living with reading, writing, and listening to personal narratives from the expedition region. A co-taught interdisciplinary university course will be used as a case study to demonstrate the ways in which this approach aids in developing…
Linking Changes in Management and Riparian Physical Functionality to Water Quality and Aquatic Habitat: A Case Study of Maggie Creek, NV

EPA Science Inventory

The total maximum daily load (TMDL) process is ineffective and inappropriate for improving stream water quality in the rural areas of the northern Great Basin, and likely in many areas throughout the country. Important pollutants (e.g., sediment and nutrients) come from the stre...
Unprecedented Melioidosis Cases in Northern Australia Caused by an Asian Burkholderia pseudomallei Strain Identified by Using Large-Scale Comparative Genomics

PubMed Central

Smith, Emma J.; MacHunter, Barbara; Harrington, Glenda; Theobald, Vanessa; Hall, Carina M.; Hornstra, Heidie M.; McRobb, Evan; Podin, Yuwana; Mayo, Mark; Sahl, Jason W.; Wagner, David M.; Keim, Paul; Kaestli, Mirjam; Currie, Bart J.

2015-01-01

Melioidosis is a disease of humans and animals that is caused by the saprophytic bacterium Burkholderia pseudomallei. Once thought to be confined to certain locations, the known presence of B. pseudomallei is expanding as more regions of endemicity are uncovered. There is no vaccine for melioidosis, and even with antibiotic administration, the mortality rate is as high as 40% in some regions that are endemic for the infection. Despite high levels of recombination, phylogenetic reconstruction of B. pseudomallei populations using whole-genome sequencing (WGS) has revealed surprisingly robust biogeographic separation between isolates from Australia and Asia. To date, there have been no confirmed autochthonous melioidosis cases in Australia caused by an Asian isolate; likewise, no autochthonous cases in Asia have been identified as Australian in origin. Here, we used comparative genomic analysis of 455 B. pseudomallei genomes to confirm the unprecedented presence of an Asian clone, sequence type 562 (ST-562), in Darwin, northern Australia. First observed in Darwin in 2005, the incidence of melioidosis cases attributable to ST-562 infection has steadily risen, and it is now a common strain in Darwin. Intriguingly, the Australian ST-562 appears to be geographically restricted to a single locale and is genetically less diverse than other common STs from this region, indicating a recent introduction of this clone into northern Australia. Detailed genomic and epidemiological investigations of new clinical and environmental B. pseudomallei isolates in the Darwin region and ST-562 isolates from Asia will be critical for understanding the origin, distribution, and dissemination of this emerging clone in northern Australia. PMID:26607593
Evolution of the Neogene Andean foreland basins of the Southern Pampas and Northern Patagonia (34°-41°S), Argentina

NASA Astrophysics Data System (ADS)

Folguera, Alicia; Zárate, Marcelo; Tedesco, Ana; Dávila, Federico; Ramos, Victor A.

2015-12-01

The Pampas plain (30°-41°S) has historically been considered as a sector that evolved independently from the adjacent Andean ranges. Nevertheless, the study of the Pampas showed that it is reasonable to expect an important influence from the Andes into the extraandean area. The Pampas plain can be divided into two sectors: the northern portion, adjacent to the Pampean Ranges, has been studied by Davila (2005, 2007, 2010). The southern sector (34°-41°S) is the objective of the present work. The study of this area allowed to characterize two separate foreland basins: the Southern Pampa basin and the Northern Patagonian basin. The infill is composed of Late Miocene and Pliocene units, interpreted as distal synorogenic sequences associated with the late Cenozoic Andean uplift at this latitudinal range. These foreland basins have been defined based on facies changes, distinct depositional styles, along with the analysis of sedimentary and isopach maps. The basins geometries are proposed following De Celles and Gilles (1996) taking into account the infill geometry, distribution and grain size. In both cases, these depocenters are located remarkably far away from the Andean tectonics loads. Therefore they cannot be explained with short-wave subsidence patterns. Elastic models explain the tectonic subsidence in the proximal depocenters but fail to replicate the complete distal basins. These characteristics show that dynamic subsidence is controlling the subsidence in the Southern Pampas and Northern Patagonian basins.
Ecological niche modeling of rabies in the changing Arctic of Alaska.

PubMed

Huettmann, Falk; Magnuson, Emily Elizabeth; Hueffer, Karsten

2017-03-20

Rabies is a disease of global significance including in the circumpolar Arctic. In Alaska enzootic rabies persist in northern and western coastal areas. Only sporadic cases have occurred in areas outside of the regions considered enzootic for the virus, such as the interior of the state and urbanized regions. Here we examine the distribution of diagnosed rabies cases in Alaska, explicit in space and time. We use a geographic information system (GIS), 20 environmental data layers and provide a quantitative non-parsimonious estimate of the predicted ecological niche, based on data mining, machine learning and open access data. We identify ecological correlates and possible drivers that determine the ecological niche of rabies virus in Alaska. More specifically, our models show that rabies cases are closely associated with human infrastructure, and reveal an ecological niche in remote northern wilderness areas. Furthermore a model utilizing climate modeling suggests a reduction of the current ecological niche for detection of rabies virus in Alaska, a state that is disproportionately affected by a changing climate. Our results may help to better inform public health decisions in the future and guide further studies on individual drivers of rabies distribution in the Arctic.
Quantifying the synergistic effect of the precipitation and land use on sandy desertification at county level: a case study in Naiman Banner, Northern China.

PubMed

Xiaodong, Ge; Jinren, Ni; Zhenshan, Li; Ronggui, Hu; Xin, Ming; Qing, Ye

2013-07-15

Assessing the driving forces of sandy desertification is fundamental and important for its control. It has been widely accepted that both climatic conditions and land use have great impact on sandy desertification in northern China. However, the relative role and synergistic effect of each driving force of sandy desertification are still not clear. In this paper, an indicator named as SI was defined to represent the integrated probability of sandy desertification caused by land use. A quantitative method was developed for characterizing the relative roles of annual precipitation and land use to sandy desertification in both spatial and temporal dimensions at county level. Results showed that, at county level, land use was the main cause of sandy desertification for Naiman Banner since 1987-2009. In the case of spatial dimension, the different combination of land use types decided the distribution of sandy desertification probability and finally decided the spatial pattern of bared sand land. In the case of temporal dimension, the synergistic effect of land use and precipitation highly influenced the spatial distribution of sandy desertification. Copyright © 2013 Elsevier Ltd. All rights reserved.
Women's Literacy and Numeracy Practices Oriented toward Small-Scale Social Action in Northern Mexico

ERIC Educational Resources Information Center

Mein, Erika

2010-01-01

This article looks at literacy from social and critical perspectives in order to understand the literacy and numeracy practices of women in small savings groups in northern Mexico. In this case, women's literacy and numeracy practices were not only situated in a rural desert context but also oriented toward concrete action to address their…
Sexual Offences against Children: An Exploration of Attrition in the Northern Ireland Criminal Justice System

ERIC Educational Resources Information Center

Bunting, Lisa

2008-01-01

Objective: This paper uses data provided by the Police Service for Northern Ireland (PSNI) to compare the characteristics and outcomes of reported sexual offences involving child and adult victims and explore the factors associated with case outcomes. Method: PSNI provided data on 8,789 sexual offences recorded between April 2001 and March 2006.…
Hydrogeologic data for the northern Rocky Mountains intermontane basins, Montana

USGS Publications Warehouse

Dutton, DeAnn M.; Lawlor, Sean M.; Briar, D.W.; Tresch, R.E.

1995-01-01

The U.S. Geological Survey began a Regional Aquifer- System Analysis of the Northern Rocky Mountains Intermontane Basins of western Montana and central and central and northern Idaho in 1990 to establish a regional framework of information for aquifers in 54 intermontane basins in an area of about 77,500 square miles. Selected hydrogeologic data have been used as part of this analysis to define the hydro- logic systems. Records of 1,376 wells completed in 31 of the 34 intermontane basins in the Montana part of the study area are tabulated in this report. Data consist of location, alttiude of land surface, date well constructed, geologic unit, depth of well, diameter of casing, type of finish, top of open interval, primary use of water, water level, date water level measured, discharge, specific capacity, source of discharge data, type of log available, date water-quality parameters measured, specific conductance, pH, and temperature. Hydrographs for selected wells also are included. Locations of wells and basins are shown on the accompanying plate.
VEB-1 Extended-Spectrum β-lactamase–producing Acinetobacter baumannii, France1

PubMed Central

Coignard, Bruno; Carbonne, Anne; Blanckaert, Karine; Bajolet, Odile; Bernet, Claude; Verdeil, Xavier; Astagneau, Pascal; Desenclos, Jean-Claude; Nordmann, Patrice

2006-01-01

VEB-1 extended-spectrum β-lactamase–producing Acinetobacter baumannii was responsible for an outbreak in hospitals in France. A national alert was triggered in September 2003 when 4 hospitals reported clusters of A. baumannii infection with similar susceptibility profiles. Case definitions and laboratory guidelines were disseminated, and prospective surveillance was implemented; strains were sent to a single laboratory for characterization and typing. From April 2003 through June 2004, 53 hospitals reported 290 cases of A. baumannii infection or colonization; 275 isolates were blaVEB-1-positive and clonally related. Cases were first reported in 5 districts of northern France, then in 10 other districts in 4 regions. Within a region, interhospital spread was associated with patient transfer. In northern France, investigation and control measures led to a reduction of reported cases after January 2004. The national alert enabled early control of new clusters, demonstrating the usefulness of early warning about antimicrobial drug resistance. PMID:16965700
"The way the country has been carved up by researchers": ethics and power in north-south public health research.

PubMed

Walsh, Aisling; Brugha, Ruairi; Byrne, Elaine

2016-12-12

Despite the recognition of power as being central to health research collaborations between high income countries and low and middle income countries, there has been insufficient detailed analysis of power within these partnerships. The politics of research in the global south is often considered outside of the remit of research ethics. This article reports on an analysis of power in north-south public health research, using Zambia as a case study. Primary data were collected in 2011/2012, through 53 in-depth interviews with: Zambian researchers (n = 20), Zambian national stakeholders (n = 8) and northern researchers who had been involved in public health research collaborations involving Zambia and the global north (n = 25). Thematic analysis, utilising a situated ethics perspective, was undertaken using Nvivo 10. Most interviewees perceived roles and relationships to be inequitable with power remaining with the north. Concepts from Bourdieu's theory of Power and Practice highlight new aspects of research ethics: Northern and southern researchers perceive that different habituses exist, north and south - habituses of domination (northern) and subordination (Zambian) in relation to researcher relationships. Bourdieu's hysteresis effect provides a possible explanation for why power differentials continue to exist. In some cases, new opportunities have arisen for Zambian researchers; however, they may not immediately recognise and grasp them. Bourdieu's concept of Capitals offers an explanation of how diverse resources are used to explain these power imbalances, where northern researchers are often in possession of more economic, symbolic and social capital; while Zambian researchers possess more cultural capital. Inequities and power imbalances need to be recognised and addressed in research partnerships. A situated ethics approach is central in understanding this relationship in north-south public health research.
The Caspar Creek watersheds: a case study of cumulative effects in a small coastal basin in northern California

Treesearch

R. R. Ziemer; P. H. Cafferata

1991-01-01

Abstract - Since 1962, the 483-ha North Fork and 424-ha South Fork of Caspar Creek in northwestern California have been used to evaluate the hydrologic impacts of road building and harvesting second-growth redwood/Douglas-fir forests. Three tributaries are serving as untreated controls. In 1985, the study was modified to evaluate the cumulative watershed effects of...
The prevalence and incidence of systemic lupus erythematosus in children and adults: a population-based study in a mountain community in northern Italy.

PubMed

Tsioni, Vasiliki; Andreoli, Laura; Meini, Antonella; Frassi, Micol; Raffetti, Elena; Airò, Paolo; Allegri, Flavio; Donato, Francesco; Tincani, Angela

2015-01-01

To estimate prevalence and incidence of systemic lupus erythematosus (SLE) in paediatric and adult populations in Italy. The study was carried out in Valtrompia, a valley in northern Italy, where a relatively close community lives, in 2009-2012. The only referral centre for SLE in the area is the Rheumatology Unit of the University Hospital of Brescia. The ascertainment of SLE cases was performed through the integration of three sources: 1) hospital database; 2) database of the Rheumatology laboratory; 3) database of general practitioners and general paediatricians practicing in the area. Each patient was evaluated by a rheumatologist for confirmation of SLE classification based on the presence of at least 4 criteria according to the American College of Rheumatology. Forty-four SLE patients (39 females, 89%) were identified. The prevalence of SLE at 31st December 2012 was 39.2 (95% C.I. 28.5-52.6) cases per 100,000 individuals in all subjects, and 42.3 (30.5-57.2) and 15.3 (1.8-55.1) in adults and children, respectively. Nine new cases of SLE were diagnosed over the 4 years of the study period, with an annual incidence rate of 2.0 (0.9-3.8) per 100,000 individuals. This is the first study estimating the prevalence and incidence of SLE in Italy in both adult and paediatric population. Prevalence and incidence rates in line with those reported in other Mediterranean European countries. The accurate assessment of the SLE frequency is supported by the choice of a well-defined area, the integration of multiple data sources and the revision of each case by a rheumatologist.
Retrospective measles outbreak investigation: Sudan, 2004.

PubMed

Coronado, Fátima; Musa, Nisreen; El Tayeb, El Sayed Ahmed; Haithami, Salah; Dabbagh, Alya; Mahoney, Frank; Nandy, Robin; Cairns, Lisa

2006-10-01

Recent population-based studies of measles incidence and deaths in Sudan are not available. To determine the epidemiology and case-fatality rate (CFR) of measles, we conducted a retrospective outbreak investigation in two states in northern Sudan. Of 1144 case-patients identified, 92% were <15 years; 48.6% were vaccinated; and 62% received vitamin A before illness. Ten measles-associated deaths were identified (CFR 0.9%; 95% confidence interval 0.16-1.91). CFR determined by this investigation is lower than expected for the region but remains 10 times higher than that in developed countries. Measles control should be strengthened by improving vaccine coverage, measles surveillance and case-management.
Geographical and Cultivar Features Differentiate Grape Microbiota in Northern Italy and Spain Vineyards.

PubMed

Mezzasalma, Valerio; Sandionigi, Anna; Guzzetti, Lorenzo; Galimberti, Andrea; Grando, Maria S; Tardaguila, Javier; Labra, Massimo

2018-01-01

Recent studies have highlighted the role of the grapevine microbiome in addressing a wide panel of features, ranging from the signature of field origin to wine quality. Although the influence of cultivar and vineyard environmental conditions in shaping the grape microbiome have already been ascertained, several aspects related to this topic, deserve to be further investigated. In this study, we selected three international diffused grapevine cultivars (Cabernet Sauvignon, Syrah, and Sauvignon Blanc) at three germplasm collections characterized by different climatic conditions [Northern Italy (NI), Italian Alps (AI), and Northern Spain (NS)]. The soil and grape microbiome was characterized by 16s rRNA High Throughput Sequencing (HTS), and the obtained results showed that all grape samples shared some bacterial taxa, regardless of sampling locality (e.g., Bacillus , Methylobacterium , Sphingomonas , and other genera belonging to Alphaproteobacteria, Gammaproteobacteria, and Actinobacteria). However, some Operational Taxonomic Units (OTUs) could act as geographical signatures and in some cases as cultivar fingerprint. Concerning the origin of the grape microbiome, our study confirms that vineyard soil represents a primary reservoir for grape associated bacteria with almost 60% of genera shared between the soil and grape. At each locality, grapevine cultivars shared a core of bacterial genera belonging to the vineyard soil, as well as from other local biodiversity elements such as arthropods inhabiting or foraging in the vineyard. Finally, a machine learning analysis showed that it was possible to predict the geographical origin and cultivar of grape starting from its microbiome composition with a high accuracy (9 cases out of 12 tested samples). Overall, these findings open new perspectives for the development of more comprehensive and integrated research activities to test which environmental variables have an effective role in shaping the microbiome composition and dynamics of cultivated species over time and space.

A 70-year record of outlet glacier retreat in northern Greenland

NASA Astrophysics Data System (ADS)

Hill, Emily; Carr, Rachel; Stokes, Chris; Gudmundsson, Hilmar

2017-04-01

Over the past two decades, the Greenland Ice Sheet (GrIS) has undergone accelerated mass loss increasing its contribution to sea level rise. This is partly attributed to increased mass loss from dynamic marine-terminating outlet glaciers. Despite marine-terminating outlet glaciers in northern Greenland draining 40% of the ice sheet by area, they are comparatively less well-studied than other regions of the ice sheet (e.g. central west or south-east). This region could be susceptible to marine-ice sheet instability due to large proportions of the bedrock rested below sea level and is also unique in the presence of large floating ice tongues. Here, we use a range of satellite imagery sources, accompanied by historical maps, to examine multi-decadal front position changes at 21 outlet glaciers in northern Greenland between 1948 and 2016. We accompany these terminus changes, with annual records of ice velocity, climate-ocean forcing data, and glacier-specific factors (e.g. fjord-width and basal topography) to understand the dominant forcing on glacier dynamics in the region. Over the last 70 years, there has been a clear pattern of glacier retreat in northern Greenland. This is particularly notable during the last two decades, where 62% of our study glaciers showed accelerated retreat. This was most notable at Humboldt, Tracy, Hagen Brae, C. H. Ostenfeld and Petermann Glaciers, and in the case of the latter three glaciers, this involved substantial retreat of their floating ice tongues (> 10 km). Alongside retreat, several study glaciers underwent simultaneous velocity increases. However, the collapse of floating ice tongues did not always result in increased velocity. Similar to other regions of the ice sheet, recent glacier retreat in the northern regions of the Greenland Ice Sheet could be linked to climatic-oceanic forcing, but at this stage this remains largely unknown. This response to external forcing is further complicated by the presence of glacier-surging recorded at several of our study glaciers. As northern Greenland is predicted to undergo greater warming due to Arctic amplification during the 21st century, we conclude that the region could become an increasingly important source of mass loss.
Landslide early warning based on failure forecast models: the example of Mt. de La Saxe rockslide, northern Italy

NASA Astrophysics Data System (ADS)

Manconi, A.; Giordan, D.

2015-02-01

We investigate the use of landslide failure forecast models by exploiting near-real-time monitoring data. Starting from the inverse velocity theory, we analyze landslide surface displacements on different temporal windows, and apply straightforward statistical methods to obtain confidence intervals on the estimated time of failure. Here we describe the main concepts of our method, and show an example of application to a real emergency scenario, the La Saxe rockslide, Aosta Valley region, northern Italy. Based on the herein presented case study, we identify operational thresholds based on the reliability of the forecast models, in order to support the management of early warning systems in the most critical phases of the landslide emergency.
Influenza epidemiology and influenza vaccine effectiveness during the 2014-2015 season: annual report from the Global Influenza Hospital Surveillance Network.

PubMed

Puig-Barberà, Joan; Burtseva, Elena; Yu, Hongjie; Cowling, Benjamin J; Badur, Selim; Kyncl, Jan; Sominina, Anna

2016-08-22

The Global Influenza Hospital Surveillance Network (GIHSN) has established a prospective, active surveillance, hospital-based epidemiological study to collect epidemiological and virological data for the Northern and Southern Hemispheres over several consecutive seasons. It focuses exclusively on severe cases of influenza requiring hospitalization. A standard protocol is shared between sites allowing comparison and pooling of results. During the 2014-2015 influenza season, the GIHSN included seven coordinating sites from six countries (St. Petersburg and Moscow, Russian Federation; Prague, Czech Republic; Istanbul, Turkey; Beijing, China; Valencia, Spain; and Rio de Janeiro, Brazil). Here, we present the detailed epidemiological and influenza vaccine effectiveness findings for the Northern Hemisphere 2014-2015 influenza season.
The Italian Linguistic Landscape: The Cases of Milan and Udine

ERIC Educational Resources Information Center

Coluzzi, Paolo

2009-01-01

This article looks at the linguistic landscape in two Northern Italian cities: Milan and Udine. Signs in two streets of a similar length were recorded and classified according to the language or languages they were written in. The aim of this study was to investigate the presence in the linguistic landscape of the different languages making up the…
The Role of an International Higher Education Partnership to Improve Gender Equality and Empower Women

ERIC Educational Resources Information Center

Morgan, Sandra Louise Clements

2014-01-01

This is a research case study of an International Higher Education Partnership (IHEP) between Vanguard University of Southern California (VUSC) and the University of Duhok (UoD) in the Kurdistan Region of northern Iraq funded by the British Council DelPHE-Iraq project targeting Millennial Development Goal (MDG) #3 to promote gender equality and…
Risk assessment for two bird species in northern Wisconsin

Treesearch

Megan M. Friggens; Stephen N. Matthews

2012-01-01

Species distribution models for 147 bird species have been derived using climate, elevation, and distribution of current tree species as potential predictors (Matthews et al. 2011). In this case study, a risk matrix was developed for two bird species (fig. A2-5), with projected change in bird habitat (the x axis) based on models of changing suitable habitat resulting...
Potential effects of foundation species loss on wetland communities: A case study of black ash wetlands threatened by emerald ash borer

Treesearch

Melissa B. Youngquist; Sue L. Eggert; Anthony W. D' Amato; Brian J. Palik; Robert A. Slesak

2017-01-01

The emerald ash borer (EAB; Agrilus planipennis) is an invasive beetle that causes almost complete mortality of ash trees (Fraxinus spp.) in North America and Europe. Northern temperate wetlands, where black ash (F. nigra) is a dominant and foundation species, will likely undergo dramatic shifts after EAB...
Linking the conservation of culture and nature: A case study of sacred forests in Zimbabwe

Treesearch

Bruce A Byers; Robert N. Cunliffe; Andrew T. Hudak

2001-01-01

This paper examines the role of traditional religious beliefs and traditional leaders in conserving remnant patches of a unique type of dry forest in the Zambezi Valley of northern Zimbabwe. We examined aerial photographs spanning more than three decades, interviewed and surveyed local residents, and met with communities to learn about the environmental history of the...
Communication, Collaboration, and Enhancing the Learning Experience: Developing a Collaborative Virtual Enquiry Service in University Libraries in the North of England

ERIC Educational Resources Information Center

Jolly, Liz; White, Sue

2016-01-01

This article uses the case study of developing a collaborative "out-of-hours" virtual enquiry service by members of the Northern Collaboration Group of academic libraries in the north of England to explore the importance of communication and collaboration between academic library services in enhancing student learning. Set within the…
From detection monitoring to evaluation monitoring - a case study involving crown dieback in northern white-cedar

Treesearch

KaDonna Randolph; William Bechtold; Randall Morin; Stanley Zarnoch

2009-01-01

The Forest Inventory and Analysis (FIA) Phase 3 plot network is a crucial part of the U.S. Forest Health Monitoring program's detection monitoring system, where select indicators are monitored for signals that may indicate deteriorating forest health. When a negative signal is identified, evaluation monitoring provides a mechanism whereby a potential problem can...
Strategic Planning in Higher Education: A Guide for Heads of Institutions, Senior Managers and Members of Governing Bodies.

ERIC Educational Resources Information Center

Higher Education Funding Council for England, Bristol.

This guide provides examples of good practice in strategic planning within higher education, particularly as it applies to Northern Ireland. Examples are drawn from the experiences of 13 case study universities and colleges. Sections of the report include a summary; an introduction and overview of the strategic planning process; and a discussion…
Child Rights Theatre for Development in Rural Bangladesh: A Case Study

ERIC Educational Resources Information Center

Munier, Asif; Etherton, Michael

2006-01-01

The authors facilitated a Theatre for Development training workshop for Save the Children UK with a number of children in three villages in northern Bangladesh in 2000. In 2005 they revisited the young people, unofficially and informally, to assess for themselves if there had been any impact of the TfD on their lives. They asked what the young…
Casa de la Esperanza: A Case Study of Service Coordination at Work in Colorado.

ERIC Educational Resources Information Center

Franquiz, Maria E.; Hernandez, Carlota Loya

This chapter describes how a federally funded farmworker housing facility in northern Colorado--Casa de la Esperanza--has changed the lives of migrant students and their families. The history of migrant workers in Colorado is described, as well as the struggle to construct a permanent farmworker housing facility. Casa was built in Boulder County,…
Meaning-Making across Languages: A Case Study of Three Multilingual Writers in Sápmi

ERIC Educational Resources Information Center

Lindgren, Eva; Westum, Asbjørg; Outakoski, Hanna; Sullivan, Kirk P.H.

2017-01-01

Sápmi is a geographical area that runs across the Kola Peninsula in Russia to northern Finland, Norway and Sweden. All Sami languages have been going through a rapid language change process and many of the traditional language domains have disappeared during the last decades due to previous national and local language policies. Nevertheless,…
Constructing Membership Identity through Language and Social Interaction: The Case of African American Children at Faith Missionary Baptist Church

ERIC Educational Resources Information Center

Peele-Eady, Tryphenia B.

2011-01-01

In this article, the author explores how African American children in a Black church Sunday school community in northern California developed positive membership identity. Focal participants were Sunday school children ages 9 to 12 and their Sunday school teachers. Drawn from a two-year ethnographic study, data showed that adults prepared children…
Excellence in Workplace Literacy, Large Business Winner, 2001: The North West Company. Case Study.

ERIC Educational Resources Information Center

Campbell, Alison

The North West Company (NWC), which is the leading retailer of food and everyday products and services to remote communities across northern Canada and Alaska, was the large business winner of the Excellence in Workplace Literacy award in 2001. NWC's workplace literacy program was selected for an award because of the improvements it brought, not…
Contributions of non-urban state parks to youth physical activity: A case study in northern Georgia

Treesearch

Lincoln R. Larson; Jason W. Whiting; Gary T. Green; J.M. Bowker

2015-01-01

A growing body of research has documented positive relationships among youth physical activity levels and park use. However, most investigations to date have focused on municipal parks, and relatively little is known about the physical activity levels of racially and ethnically diverse populations of youth using different types of parks in non-urban settings. This...
Association of Malassezia species with dandruff.

PubMed

Rudramurthy, Shivaprakash M; Honnavar, Prasanna; Dogra, Sunil; Yegneswaran, Prakash P; Handa, Sanjeev; Chakrabarti, Arunaloke

2014-03-01

Malassezia species implicated with dandruff vary at different geographical locations. The present study was conducted to determine the spectrum and distribution of Malassezia species in dandruff patients and healthy individuals. Patients with dandruff from northern (Chandigarh) and southern (Manipal, Karnataka) parts of India (50 each) and healthy individuals (20) were included in the study. Dandruff severity was graded as mild, moderate and severe. Malassezia spp. isolated were quantified and identified by phenotypic characters and molecular methods including PCR-RFLP and DNA sequencing. Number of Malassezia spp. retrieved was significantly higher (P<0.001) in dandruff cases (84%) as compared to healthy individuals (30%). Isolation of Malassezia spp. was significantly higher (P<0.01) in patients from southern India. In moderately severe cases M. restricta was single most predominant (37.8%) isolate from patients of northern part of India and M. furfur (46.4%) from patients of southern part of India. Malassezia density was significantly associated with the severity of dandruff (P<0.001). Our results on a limited number of individuals show that Malassezia spp. associated with dandruff varies in different regions of the country and the density of yeasts increases with severity of disease.
Association of Malassezia species with dandruff

PubMed Central

Rudramurthy, Shivaprakash M.; Honnavar, Prasanna; Dogra, Sunil; Yegneswaran, Prakash P.; Handa, Sanjeev; Chakrabarti, Arunaloke

2014-01-01

Background & objectives: Malassezia species implicated with dandruff vary at different geographical locations. The present study was conducted to determine the spectrum and distribution of Malassezia species in dandruff patients and healthy individuals. Methods: Patients with dandruff from northern (Chandigarh) and southern (Manipal, Karnataka) parts of India (50 each) and healthy individuals (20) were included in the study. Dandruff severity was graded as mild, moderate and severe. Malassezia spp. isolated were quantified and identified by phenotypic characters and molecular methods including PCR-RFLP and DNA sequencing. Results: Number of Malassezia spp. retrieved was significantly higher (P<0.001) in dandruff cases (84%) as compared to healthy individuals (30%). Isolation of Malassezia spp. was significantly higher (P<0.01) in patients from southern India. In moderately severe cases M. restricta was single most predominant (37.8%) isolate from patients of northern part of India and M. furfur (46.4%) from patients of southern part of India. Malassezia density was significantly associated with the severity of dandruff (P<0.001). Interpretation & conclusions: Our results on a limited number of individuals show that Malassezia spp. associated with dandruff varies in different regions of the country and the density of yeasts increases with severity of disease. PMID:24820838
Melanoma epidemic across the millennium: time trends of cutaneous melanoma in Emilia-Romagna (Italy) from 1997 to 2004.

PubMed

Pellacani, G; Lo Scocco, G; Vinceti, M; Albertini, G; Raccagni, A Ascari; Baldassari, L; Catrani, S; Donelli, S; Ghetti, P; Lanzoni, A; Leardini, M; Reggiani, M; Santini, M; Stanganelli, I; Virgili, A; Seidenari, S

2008-02-01

After a rapid increase in malignant melanoma (MM) incidence in the last decades, trends of the melanoma epidemic in the recent years seemed not homogeneous. This study aimed at the monitoring of some epidemiological data referring to melanoma in a region of the Northern Italy during the past 8-year period. All cases of melanoma, including also in situ lesions, diagnosed in Emilia-Romagna and San Marino State, with the exclusion of Cesena province, from 1997 to 2004 were recorded and the incidence of melanoma, adjusted for the European standard population by the direct method, was calculated. Mean standardized incidence was 9.7 for invasive MMs and 11.9, considering also in situ ones, showing an ascending trend with an increment of 3.3 new incident cases in 2004 compared with 1997. No differences in age distribution, gender and site were reported. Concerning tumour thickness, although a general ascending trend in all subtypes, only thin melanoma incidence significantly increased over the study period. Contrary to data from Northern European countries, melanoma incidence still showed an ascending trend in the Italian population of Emilia Romagna.

Tuberculosis transmission of predominant genotypes of Mycobacterium tuberculosis in northern suburbs of Buenos Aires city region.

PubMed

Morcillo, N; Zumarraga, M; Imperiale, B; Di Giulio, B; Chirico, C; Kuriger, A; Alito, A; Kremer, K; Cataldi, A

2007-01-01

In 2003, the incidence of tuberculosis in Argentina showed an increase compared to 2002. The severe national crisis at the end of the 90s has probably strongly contributed to this situation. The goal of this work was to estimate the extent of the spread of the most predominant Mycobacterium tuberculosis strains and to assess the spread of predominant M. tuberculosis clusters as determined by spoligotyping and IS6110 RFLP. The study involved 590 pulmonary, smear-positive TB cases receiving medical attention at health centers and hospitals in Northern Buenos Aires (NBA) suburbs, from October 2001 to December 2002. From a total of 208 clinical isolates belonging to 6 major clusters, 63 (30.2%) isolates had identical spoligotyping and IS6110 RFLP pattern. Only 22.2% were shown to have epidemiological connections with another member of their respective cluster. In these major clusters, 30.2% of the 208 TB cases studied by both molecular techniques and contact tracing could be convincingly attributable to a recently acquired infection. This knowledge may be useful to assess the clonal distribution of predominant M. tuberculosis clusters in Argentina, which may make an impact on TB control strategies.
Memorialization, Graffiti and Artifact Movement: A Case Study of Cultural Impacts on WWII Underwater Cultural Heritage in the Commonwealth of the Northern Mariana Islands

NASA Astrophysics Data System (ADS)

McKinnon, Jennifer F.

2015-04-01

Cultural tourism in the Pacific has always offered an underwater option for those who snorkel or are certified to dive. In addition to the coral reefs and marine life, World War II (WWII) shipwrecks, aircraft wrecks and other submerged vehicles draw hundreds of tourists to the Pacific each year. While it is encouraging that so many are interested in the cultural heritage of battlefields, these same visitors can cause considerable amounts of damage. This paper presents a case study of cultural impacts on submerged WWII sites in the Commonwealth of the Northern Mariana Islands (CNMI) where diving heritage tourism is a growing industry. Cultural impacts in the CNMI include a diverse range of direct and indirect impacts including vandalism, the act of memorialization, looting and collecting souvenirs, anchor and mooring damage, and moving artifacts. What is often viewed as detrimental cultural impacts by archaeologists and managers can also be examined as behavior that reflects various stakeholders' values and attitudes towards heritage sites. As such, these behaviors can and should be examined and considered concurrently during research and management discussions.
Influence of the external DEM on PS-InSAR processing and results on Northern Appennine slopes

NASA Astrophysics Data System (ADS)

Bayer, B.; Schmidt, D. A.; Simoni, A.

2014-12-01

We present an InSAR analysis of slow moving landslide in the Northern Appennines, Italy, and assess the dependencies on the choice of DEM. In recent years, advanced processing techniques for synthetic aperture radar interferometry (InSAR) have been applied to measure slope movements. The persistent scatterers (PS-InSAR) approach is probably the most widely used and some codes are now available in the public domain. The Stanford method of Persistent Scatterers (StamPS) has been successfully used to analyze landslide areas. One problematic step in the processing chain is the choice of an external DEM that is used to model and remove the topographic phase in a series of interferograms in order to obtain the phase contribution caused by surface deformation. The choice is not trivial, because the PS InSAR results differ significantly in terms of PS identification, positioning, and the resulting deformation signal. We use four different DEMs to process a set of 18 ASAR (Envisat) scenes over a mountain area (~350 km2) of the Northern Appennines of Italy, using StamPS. Slow-moving landslides control the evolution of the landscape and cover approximately 30% of the territory. Our focus in this presentation is to evaluate the influence of DEM resolution and accuracy by comparing PS-InSAR results. On an areal basis, we perform a statistical analysis of displacement time-series to make the comparison. We also consider two case studies to illustrate the differences in terms of PS identification, number and estimated displacements. It is clearly shown that DEM accuracy positively influences the number of PS, while line-of-sight rates differ from case to case and can result in deformation signals that are difficult to interpret. We also take advantage of statistical tools to analyze the obtained time-series datasets for the whole study area. Results indicate differences in the style and amount of displacement that can be related to the accuracy of the employed DEM.
Ducks and passerines nesting in northern mixed-grass prairie treated with fire

USGS Publications Warehouse

Grant, Todd A.; Shaffer, Terry L.; Madden, Elizabeth M.; Berkey, Gordon B.

2011-01-01

Prescribed fire is an important, ecology-driven tool for restoration of grassland systems. However, prescribed fire remains controversial for some grassland managers because of reported reductions in bird use of recently burned grasslands. Few studies have evaluated effects of fire on grassland bird populations in the northern mixed-grass prairie region. Fewer studies yet have examined the influence of fire on nest density or survival. In our review, we found no studies that simultaneously examined effects of fire on duck and passerine nesting. During 1998—2003, we examined effects of prescribed fire on the density of upland-nesting ducks and passerines nesting in north-central North Dakota, USA. Apparent nest densities of gadwall (Anas strepera), mallard (A. platyrhynchos), and all duck species combined, were influenced by fire history of study units, although the degree of influence was not compelling. Fire history was not related to nest densities of blue-winged teal (A. discors), northern shoveler (A. clypeata), or northern pintail (A. acuta); however, apparent nest densities in relation to the number of postfire growing seasons exhibited a strikingly similar pattern among all duck species. When compared to ducks, fire history strongly influenced apparent nest densities of clay-colored sparrow (Spizella pallida), Savannah sparrow (Passerculus sandwichensis), and bobolink (Dolichonyx oryzivorus). For most species examined, apparent nest densities were lowest in recently burned units, increased during the second postfire growing season, and stabilized or, in some cases, decreased thereafter. Prescribed fire is critical for restoring the ecology of northern mixed-grass prairies and our findings indicate that reductions in nest densities are limited mostly to the first growing season after fire. Our results support the premise that upland-nesting ducks and several grassland passerine species are adapted to periodic fires occurring at a frequency similar to that of pre-Euro-American settlement of the region.
Rheumatic heart disease in Indigenous children in northern Australia: differences in prevalence and the challenges of screening.

PubMed

Roberts, Kathryn V; Maguire, Graeme P; Brown, Alex; Atkinson, David N; Remenyi, Bo; Wheaton, Gavin; Ilton, Marcus; Carapetis, Jonathan

2015-09-07

To compare regional differences in the prevalence of rheumatic heart disease (RHD) detected by echocardiographic screening in high-risk Indigenous Australian children, and to describe the logistical and other practical challenges of RHD screening. Cross-sectional screening survey performed between September 2008 and November 2010. Thirty-two remote communities in four regions of northern and central Australia. 3946 Aboriginal or Torres Strait Islander children aged 5-15 years. Portable echocardiography was performed by cardiac sonographers. Echocardiograms were recorded and reported offsite by a pool of cardiologists. RHD was diagnosed according to 2012 World Heart Federation criteria. The prevalence of definite RHD differed between regions, from 4.7/1000 in Far North Queensland to 15.0/1000 in the Top End of the Northern Territory. The prevalence of definite RHD was greater in the Top End than in other regions (odds ratio, 2.3; 95% CI, 1.2-4.6, P = 0.01). Fifty-three per cent of detected cases of definite RHD were new cases; the prevalence of new cases of definite RHD was 4.6/1000 for the entire sample and 7.0/1000 in the Top End. Evaluation of socioeconomic data suggests that the Top End group was the most disadvantaged in our study population. The prevalence of definite RHD in remote Indigenous Australian children is significant, with a substantial level of undetected disease. Important differences were noted between regions, with the Top End having the highest prevalence of definite RHD, perhaps explained by socioeconomic factors. Regional differences must be considered when evaluating the potential benefit of widespread echocardiographic screening in Australia.
Inconsistencies of Breast Cancer Risk Factors between the Northern and Southern Regions of Vietnam

PubMed

Trieu, Phuong Dung (Yun); Mello-Thoms, Claudia; Peat, Jennifer K; Do, Thuan Doan; Brennan, Patrick C

2017-10-26

Background: In recent decades the amount of new breast cancer cases in the southern region has been reported to increase more rapidly than in the northernVietnam. The aim of this study is to compare breast cancer risk factors between the two regions and establish if westernized influences have an impact on any reported differences. Method: Data was collected from the two largest oncology hospitals in the north and the south of Vietnam in 2015. Breast density, demographic, reproductive and lifestyle data of 127 cases and 269 controls were collected in the north and 141 cases and 250 controls were gathered from the south. Baseline differences in factors between cases and age-matched controls in each region were assessed using chi-square tests and independent t-tests. Odds ratios (OR) for independent risk factors for breast cancer were obtained from conditional logistic regression. Results: In northern Vietnam significantly increased risks in developing breast cancer were observed for women with age at first menstrual period less than 14 years old (OR=2.1; P<0.05), post-menopausal status (OR=2.6; P<0.0001), having less than 2 babies (OR=2.1; P<0.05). Southern Vietnamese women having a breast density of more than 75% (OR=2.1; P<0.01), experiencing post-menopause (OR=1.6; P<0.05), having a history of less than 3 pregnancies (OR=2.6; P<0.0001) and drinking more than a cup of coffee per day (OR=1.9; P<0.05) were more likely to be diagnosed with breast cancer. Conclusion: We found that women living in the south had some breast cancer associations, such as increased mammographic density and coffee consumption, which are closer to the risks in westernized populations than women in the north. Creative Commons Attribution License
Assessing evidence for avian-to-human transmission of influenza A/H9N2 virus in rural farming communities in northern Vietnam

PubMed Central

Hoa, Le Nguyen Minh; Tuan, Nguyen Anh; My, Pham Ha; Huong, Tran Thi Kieu; Chi, Nguyen Thi Yen; Hau Thu, Trang Thi; Carrique-Mas, Juan; Duong, Mai Thuy; Tho, Nguyen Dang; Hoang, Nguyen Dang; Thanh, To Long; Diep, Nguyen Thi; van Duong, Nguyen; Toan, Tran Khanh; Tung, Trinh Son; Mai, Le Quynh; Iqbal, Munir; Wertheim, Heiman; van Doorn, H. Rogier

2017-01-01

Rural farming communities in northern Vietnam do not routinely practice vaccination for influenza A viruses (IAV) for either humans or poultry, which enables us to study transmission intensity via seroepidemiology. Using samples from a longitudinal cohort of farming households, we determined the number of symptomatic and asymptomatic human infections for seasonal IAV and avian A/H9 over 2 years. As expected, we detected virologically confirmed acute cases of seasonal IAV in humans, as well as large numbers of subclinical seroconversions to A/H1pdm [55/265 (21 %)], A/H3 [95/265 (36 %)] and A/H9 [24/265 (9 %)]. Five of the A/H9 human seroconverters likely represented true infections rather than heterosubtypic immunity, because the individuals seroconverted solely to A/H9. Among co-located poultry, we found significantly higher seroprevalance for A/H5 compared to A/H9 in both chickens and ducks [for northern study sites overall, 337/1105 (30.5 %) seropositive for A/H5 and 123/1105 (11.1 %) seropositive for A/H9]. PMID:28771136
Assessing evidence for avian-to-human transmission of influenza A/H9N2 virus in rural farming communities in northern Vietnam.

PubMed

Hoa, Le Nguyen Minh; Tuan, Nguyen Anh; My, Pham Ha; Huong, Tran Thi Kieu; Chi, Nguyen Thi Yen; Hau Thu, Trang Thi; Carrique-Mas, Juan; Duong, Mai Thuy; Tho, Nguyen Dang; Hoang, Nguyen Dang; Thanh, To Long; Diep, Nguyen Thi; Duong, Nguyen van; Toan, Tran Khanh; Tung, Trinh Son; Mai, Le Quynh; Iqbal, Munir; Wertheim, Heiman; van Doorn, H Rogier; Bryant, Juliet E; The Vizions Consortium

2017-08-01

Rural farming communities in northern Vietnam do not routinely practice vaccination for influenza A viruses (IAV) for either humans or poultry, which enables us to study transmission intensity via seroepidemiology. Using samples from a longitudinal cohort of farming households, we determined the number of symptomatic and asymptomatic human infections for seasonal IAV and avian A/H9 over 2 years. As expected, we detected virologically confirmed acute cases of seasonal IAV in humans, as well as large numbers of subclinical seroconversions to A/H1pdm [55/265 (21 %)], A/H3 [95/265 (36 %)] and A/H9 [24/265 (9 %)]. Five of the A/H9 human seroconverters likely represented true infections rather than heterosubtypic immunity, because the individuals seroconverted solely to A/H9. Among co-located poultry, we found significantly higher seroprevalance for A/H5 compared to A/H9 in both chickens and ducks [for northern study sites overall, 337/1105 (30.5 %) seropositive for A/H5 and 123/1105 (11.1 %) seropositive for A/H9].
A descriptive study of 'kangaroo gait' in sheep in northern Britain.

PubMed

Clements, A C A; Mellor, D J; Innocent, G T; Fitzpatrick, J L

2003-10-15

Two questionnaires were undertaken to obtain improved knowledge of the signalment, incidence and risk factors of the condition termed 'kangaroo gait' (KG; a forelimb locomotor disorder of adult female sheep). The first survey was mailed to 221 veterinary surgeons in practices in northern Britain which provided veterinary care for sheep, and the second was mailed to 438 sheep-flock owners and managers located in the Scottish Borders, who were recruited via their veterinary surgeons. Responses of 84.7 and 30.7% were achieved, respectively. In total, 29.7% of veterinary practices and 24.1% of flock owners and managers had identified one or more cases of KG in their practice area or flocks since the first case was reported in 1976. Almost all respondents indicated that adult females were affected-usually during lactation (and less commonly during late gestation). KG was more common among commercial crossbreeds and less common among sheep grazing hill pasture (than sheep grazing upland or lowland pasture). Cases usually occurred between March and June while sheep were at grass, although it was unclear whether the temporal pattern was associated with grazing or lambing patterns. Stocking densities were significantly higher among affected flocks than among non-affected flocks. The annual number of individuals and flocks identified as being affected had increased since the condition first was identified. Most cases of locomotor disorders resembling KG were not reported to veterinary surgeons.
Epidemiology of haemolytic uremic syndrome in children. Data from the North Italian HUS network.

PubMed

Ardissino, Gianluigi; Salardi, Stefania; Colombo, Elisa; Testa, Sara; Borsa-Ghiringhelli, Nicolò; Paglialonga, Fabio; Paracchini, Valentina; Tel, Francesca; Possenti, Ilaria; Belingheri, Mirco; Civitillo, Cristina Felice; Sardini, Stefano; Ceruti, Rossella; Baldioli, Carlo; Tommasi, Paola; Parola, Luciana; Russo, Fiorella; Tedeschi, Silvana

2016-04-01

Despite the severity of HUS and the fact that it represents a leading cause of acute kidney injury in children, the general epidemiology of HUS is all but well documented. The present study provides updated, population-based, purely epidemiological information on HUS in childhood from a large and densely populated area of northern Italy (9.6 million inhabitants, 1.6 million children). We systematically reviewed the files concerning patients with STEC-HUS and atypical HUS (aHUS) over a 10-year observation period (January 2003-December 2012). We included all incident cases with a documented first episode of HUS before the age of 18 years. We identified 101 cases of HUS during the 10 years. The overall mean annual incidence was 6.3 cases/million children aged <18 years (range 1.9-11.9), and 15.7/million of age-related population (MARP) among subjects aged <5 years; aHUS accounted for 11.9 % of the cases (mean incidence 0.75/MARP). The overall case fatality rate was 4.0 % (3.4 % STEC-HUS, 8.3 % aHUS). Given the public health impact of HUS, this study provides recent, population-based epidemiological data useful for healthcare planning and particularly for estimating the financial burden that healthcare providers might have to face in treating HUS, whose incidence rate seems to increase in Northern Italy. • HUS is a rare disease, but it represents the leading cause of acute kidney injury in children worldwide. • STEC-HUS (also called typical, D + HUS) is more common compared to atypical HUS, but recent, population-based epidemiological data (incidence) are scanty. What is New: • Comprehensive, population-based epidemiological data concerning both typical and atypical HUS based on a long observational period.
Temporal trends in paediatric bacterial meningitis in a tropical Australian region: 1992-2014.

PubMed

White, Stephanie; Katf, Hala; Baird, Rob; Francis, Joshua

2018-05-13

The epidemiology of community-acquired bacterial meningitis has changed following the introduction of routine immunisation against common causative organisms. Indigenous children living in the Northern Territory, Australia, have high rates of bacterial infections. This study describes changes in the epidemiology of childhood bacterial meningitis and the distribution of the burden of disease in the Top End. A retrospective review of cases derived from hospital medical records and laboratory data was performed. Inclusion criteria were children aged 3 months to 14 years of age, admitted to Royal Darwin Hospital between 1992 and 2014 and diagnosed with bacterial meningitis. Annual incidence of bacterial meningitis and the distribution of causative pathogens are described. Demographic data, investigations, treatment and outcomes were compared between Indigenous and non-Indigenous children. There were 137 cases of childhood bacterial meningitis identified over the 23-year period. The incidence reduced from 21 per 100 000 children per year for 1992-2002 to 11 per 100 000 per year for 2003-2014 (P = 0.0025). Haemophilus influenzae type b, Streptococcus pneumoniae and Neisseria meningitidis were the most common causative organisms, with a reduction in cases for each pathogen observed across the study period. Indigenous children were over-represented (104/137, 76%). Case fatality rate was 8% (11/137); 91% of fatal cases presented to a remote facility. The incidence of childhood bacterial meningitis has declined in the Northern Territory of Australia, but Indigenous children are disproportionately affected. Routine immunisation is beneficial for all, although further efforts to 'Close the Gap' between health outcomes in Indigenous and non-Indigenous Australians is required. © 2018 Paediatrics and Child Health Division (The Royal Australasian College of Physicians).
Higher Education as a Platform for Cross-Cultural Transition: The Case of the First Educated Bedouin Women in Israel

ERIC Educational Resources Information Center

Aburabia-Queder, Sarab

2011-01-01

This article examines two groups of Bedouin women who studied in different cultural spaces. The first group, due to a lack of high schools in the Negev (during the 1970s), were obliged to leave the village to study and reside in boarding schools in the central and northern regions of Israel. These women returned to their society of origin after…
How Did an Antismoking Campaign with a Neuro Linguistic Program Work out? A Case Study of Secondary School Students' Experiences in One Finnish School

ERIC Educational Resources Information Center

Sahi, Salme; Maatta, Kaarina

2013-01-01

This article describes the use of a Neuro Linguistic Program (NLP) in an antismoking campaign and studies how successful this campaign was according to secondary school students. This campaign was carried out in a small town in northern Finland as an intensive three-day-long campaign. The data consisted of the essays and interviews of those…
A case study of polypharmacy management in nine European countries: Implications for change management and implementation

PubMed Central

MacLure, Katie; Stewart, Derek; Kempen, Thomas; Mair, Alpana; Castel-Branco, Margarida; Codina, Carles; Fernandez-Llimos, Fernando; Fleming, Glenda; Gennimata, Dimitra; Gillespie, Ulrika; Harrison, Cathy; Illario, Maddalena; Junius-Walker, Ulrike; Kampolis, Christos F.; Kardas, Przemyslaw; Lewek, Pawel; Malva, João; Menditto, Enrica; Scullin, Claire; Wiese, Birgitt

2018-01-01

Background Multimorbidity and its associated polypharmacy contribute to an increase in adverse drug events, hospitalizations, and healthcare spending. This study aimed to address: what exists regarding polypharmacy management in the European Union (EU); why programs were, or were not, developed; and, how identified initiatives were developed, implemented, and sustained. Methods Change management principles (Kotter) and normalization process theory (NPT) informed data collection and analysis. Nine case studies were conducted in eight EU countries: Germany (Lower Saxony), Greece, Italy (Campania), Poland, Portugal, Spain (Catalonia), Sweden (Uppsala), and the United Kingdom (Northern Ireland and Scotland). The workflow included a review of country/region specific polypharmacy policies, key informant interviews with stakeholders involved in policy development and implementation and, focus groups of clinicians and managers. Data were analyzed using thematic analysis of individual cases and framework analysis across cases. Results Polypharmacy initiatives were identified in five regions (Catalonia, Lower Saxony, Northern Ireland, Scotland, and Uppsala) and included all care settings. There was agreement, even in cases without initiatives, that polypharmacy is a significant issue to address. Common themes regarding the development and implementation of polypharmacy management initiatives were: locally adapted solutions, organizational culture supporting innovation and teamwork, adequate workforce training, multidisciplinary teams, changes in workflow, redefinition of roles and responsibilities of professionals, policies and legislation supporting the initiative, and data management and information and communication systems to assist development and implementation. Depending on the setting, these were considered either facilitators or barriers to implementation. Conclusion Within the studied EU countries, polypharmacy management was not widely addressed. These results highlight the importance of change management and theory-based implementation strategies, and provide examples of polypharmacy management initiatives that can assist managers and policymakers in developing new programs or scaling up existing ones, particularly in places currently lacking such initiatives. PMID:29668763
Spatial spread of dengue in a non-endemic tropical city in northern Argentina.

PubMed

Gil, José F; Palacios, Maximiliano; Krolewiecki, Alejandro J; Cortada, Pedro; Flores, Rosana; Jaime, Cesar; Arias, Luis; Villalpando, Carlos; Alberti DÁmato, Anahí M; Nasser, Julio R; Aparicio, Juan P

2016-06-01

After more than eighty years dengue reemerged in Argentina in 1997. Since then, the largest epidemic in terms of geographical extent, magnitude and mortality, was recorded in 2009. In this report we analyzed the DEN-1 epidemic spread in Orán, a mid-size city in a non-endemic tropical area in Northern Argentina, and its correlation with demographic and socioeconomic factors. Cases were diagnosed by ELISA between January and June 2009. We applied a space-time and spatial scan statistic under a Poisson model. Possible association between dengue incidence and socio-economic variables was studied with the Spearman correlation test. The epidemic started from an imported case from Bolivia and space-time analysis detected two clusters: one on February and other in April (in the south and the northeast of the city respectively) with risk ratios of 25.24 and 4.07 (p<0.01). Subsequent cases spread widely around the city without significant space-temporal clustering. Maximum values of the entomological indices were observed in January, at the beginning of the epidemic (B=21.96; LH=8.39). No statistically significant association between socioeconomic variables and dengue incidence was found but positive correlation between population size and the number of cases (p<0.05) was detected. Two mechanisms may explain the observed pattern of epidemic spread in this non-endemic tropical city: a) Short range dispersal of mosquitoes and people generates clusters of cases and b) long-distance (within the city) human movement contributes to a quasi-random distribution of cases. Copyright © 2016 Elsevier B.V. All rights reserved.
Rheumatologists' judgements about the efficacy of anti-TNF therapy in two neighbouring regions.

PubMed

Kee, F; Sheehy, N; O'Hare, L; Bane, C; Bell, A; Dempster, M; FitzGerald, O

2005-11-01

The requirement in Northern Ireland to prescribe biological agents according to National Institute for Clinical Excellence/British Society for Rheumatology (NICE/BSR) guidelines and within a fixed budget has created a waiting list for treatment that has no parallel in the Republic of Ireland. The study investigated the bearing this situation may have had on consultants' judgements in the respective areas. Seventy-eight case vignettes created from the data on real patients with RA treated with biologicals in the north and south of Ireland were appraised by nine southern and eight northern consultants, who judged the clinical benefit and significance of the patients' condition after a trial of therapy. Quantitative (clinical judgement analysis) and qualitative (focus groups) techniques were used. Northern consultants perceived a slightly greater degree of clinical benefit after a trial of therapy than southern consultants. Judgement models of northern and southern consultants were broadly comparable. The latter tended to be more uniform in their judgements than the southern group. Focus group discussions with consultants largely validated the findings of the quantitative analysis but revealed how clinical judgement analysis might be misled by gaming strategies. Despite the absence of overt rationing in the south of Ireland, as far as the judgement of therapeutic benefit from biologicals was concerned, the clinical judgement policies of practitioners were very similar to those in the north. The adoption of NICE/BSR guidelines in the north may have improved the uniformity of clinical practice in Northern Ireland.
Frontier mutualism: coevolutionary patterns at the northern range limit of the leaf-cutter ant–fungus symbiosis

PubMed Central

Mueller, Ulrich G.; Mikheyev, Alexander S.; Solomon, Scott E.; Cooper, Michael

2011-01-01

Tropical leaf-cutter ants cultivate the fungus Attamyces bromatificus in a many-to-one, diffuse coevolutionary relationship where ant and fungal partners re-associate frequently over time. To evaluate whether ant–Attamyces coevolution is more specific (tighter) in peripheral populations, we characterized the host-specificities of Attamyces genotypes at their northern, subtropical range limits (southern USA, Mexico and Cuba). Population-genetic patterns of northern Attamyces reveal features that have so far not been observed in the diffusely coevolving, tropical ant–Attamyces associations. These unique features include (i) cases of one-to-one ant–Attamyces specialization that tighten coevolution at the northern frontier; (ii) distributions of genetically identical Attamyces clones over large areas (up to 81 000 km2, approx. the area of Ireland, Austria or Panama); (iii) admixture rates between Attamyces lineages that appear lower in northern than in tropical populations; and (iv) long-distance gene flow of Attamyces across a dispersal barrier for leaf-cutter ants (ocean between mainland North America and Cuba). The latter suggests that Attamyces fungi may occasionally disperse independently of the ants, contrary to the traditional assumption that Attamyces fungi depend entirely on leaf-cutter queens for dispersal. Peripheral populations in Argentina or at mid-elevation sites in the Andes may reveal additional regional variants in ant–Attamyces coevolution. Studies of such populations are most likely to inform models of coextinctions of obligate mutualistic partners that are doubly stressed by habitat marginality and by environmental change. PMID:21389026
Serotypes, surface proteins, and clinical syndromes of invasive Group B streptococcal infections in northern Taiwan, 1998-2009.

PubMed

Wong, Swee Siang; Tsui, Kochung; Liu, Qin-Dong; Lin, Li-Chen; Tsai, Chim Ren; Chen, Li-Chun; Huang, Cheng Hua

2011-02-01

The incidence of invasive Group B streptococcal (GBS) infections is increasing in the elderly and immunocompromised adults in many countries worldwide. There are, however, few reports regarding the current status of the infection in northern Taiwan. This study investigated retrospectively the molecular epidemiology and clinical syndromes of the invasive GBS diseases in a tertiary care hospital in northern Taiwan over the past decade. One hundred twenty episodes of invasive GBS disease were recorded at Cathay General Hospital, a tertiary care, teaching hospital in northern Taiwan, from January 1998 to June 2009. Clinical information was acquired from medical records. Capsular serotypes and alpha family of surface proteins were genotyped with multiplex and specific polymerase chain reaction. Of all episodes, 58.3% was found in the elderly (age ≥ 65), 36.1% in nonpregnant women and young adults (age 18-64), and 5.9% in the neonates (0-90 days). Case-fatality rate was 6.7%. Eighty-three (69%) of the invasive isolates were available for genotyping. In sharp contrast to the studies in southern Taiwan (1991-2004), Type Ib (26.5%) was the most frequent invasive isolate, followed by V (22.9%), III (18.1%), VI (12%), Ia (10.8%), II (6%), VIII (2.4%), and nontypable strain (1.2%). In particular, Serotype VI, which had been rarely implicated in invasive infection, emerged as a significant pathogen. A significant trend of increase in incidence was observed for the infection (p<0.0001), with concurrent increase of cases in the elderly and of Serotype Ib and VI. There was significant association with young adults of Type II and III and chronic skin conditions and older adults with Type Ia and V and chronic cardiovascular diseases. Type V was closely associated with skin and soft tissue infection. Recurrent episodes (10%) occurred most often in patients with concomitant malignancy, with an average of 314 days for recurrence. The incidence of GBS invasive infection among nonpregnant women and adults is rising in northern Taiwan, particularly in the elderly caused by Serotype Ib and VI. Population-based surveillance program should be implanted for assessment of the disease burden to the susceptible adult population. Copyright © 2011. Published by Elsevier B.V.
Psychosocial correlates of nutritional status among people living with HIV on antiretroviral therapy: A matched case-control study in Central zone of Tigray, Northern Ethiopia.

PubMed

Weldehaweria, Negassie Berhe; Abreha, Elsa Hagos; Weldu, Meresa Gebremedhin; Misgina, Kebede Haile

2017-01-01

Malnutrition hastens progression to Acquired Human Immunodeficiency Syndromes (AIDS) related illnesses; undermines adherence and response to antiretroviral therapy (ART) in resource-poor settings. However, nutritional status of people living with HIV (PLHIV) can be affected by various psychosocial factors which have not been well explored in Ethiopia. Therefore, the objective of this study was to determine psychosocial correlates of nutritional status among people living with HIV (PLHIV) on ART in Central zone of Tigray, Northern Ethiopia. A matched case-control study design was conducted to assess psychosocial correlates of nutritional status among PLHIV on ART. Data were collected by an interviewer-administered technique using structured pre-tested questionnaire, record review using a checklist and anthropometric measurements. Cases were selected by simple random sampling and controls purposively to match the selected cases. Conditional logistic regression was used to compute relevant associations by STATA version 12. The psychosocial factors independently associated with malnutrition were ever consuming alcohol after starting ART [AOR = 4.7, 95% CI: 1.8-12.3], ever smoking cigarette after starting ART [AOR = 7.6, 95% CI: 2.3-25.5], depression [AOR = 2.8, 95% CI: 1.3, 6.1], not adhering to ART [AOR = 6.8,95% CI: 2.0-23.0] and being in the second lowest wealth quintile [AOR = 4.3,95% CI: 1.1-17.7]. Ever consuming alcohol and ever smoking cigarette after starting ART, depression, not adhering to ART and being in the second lowest wealth quintile were significantly associated with malnutrition. Therefore; policies, strategies, and programs targeting people living with HIV should consider psychosocial factors that can impact nutritional status of people living with HIV enrolled on ART.
Prevalence of Strongyloides stercoralis and Other Intestinal Parasites among Institutionalized Mentally Disabled Individuals in Rasht, Northern Iran

PubMed Central

SAEIDINIA, Amin; TAVAKOLI, Ilnaz; NAGHIPOUR, Mohammad Reza; RAHMATI, Behnaz; GHAVAMI LAHIJI, Hossein; SALKHORI, Omid; ASHRAFI, Keyhan

2016-01-01

Background: We aimed to determine the status of strongyloidiasis in mentally disabled population in the institutional places in Rasht City, the capital of Guilan Province, northern Iran. Methods: This cross-sectional study was conducted in 8 institutions for mentally retarded population in Rasht in 2013. Before collecting the samples, a questionnaire was filled out for each participant by an expert person. A single stool sample was obtained from each of the 173 subjects and examined using direct wet mount, formalin-ether concentration technique and agar plate culture method. Results: A total of 173 mentally disabled individuals aged 2–57 (25.69±11.56) yr old were studied. Stool examination showed that 51 (29.5%) cases were infected with at least one parasite. Of 173 studied cases only 10 (5.8%) individuals were infected with pathogenic parasites, of which 2 (1.2%) cases were infected with Strongyloides stercoralis and 8 (4.6%) with Giardia lamblia. On the other hand, 42 (24.3%) of the studied population were infected with non-pathogenic intestinal protozoa such as Blastocystis hominis (n=29, 16.8%), Entamoeba coli (n=16, 9.2%) and Endolimax nana (n=4, 2.3%). Mixed protozoal infections were observed in 8 (4.6%) individuals. Conclusion: The prevalence rate of S. stercoralis in mentally disabled individuals in Rasht was somewhat higher than those of normal population of the province. The same picture was seen when the prevalence of G. lamblia and non-pathogenic protozoa in normal and mentally disabled populations were compared. PMID:28127364

Risk of hematological malignancies associated with magnetic fields exposure from power lines: a case-control study in two municipalities of northern Italy

PubMed Central

2010-01-01

Background Some epidemiologic studies have suggested an association between electromagnetic field exposure induced by high voltage power lines and childhood leukemia, but null results have also been yielded and the possibility of bias due to unmeasured confounders has been suggested. Methods We studied this relation in the Modena and Reggio Emilia municipalities of northern Italy, identifying the corridors along high voltage power lines with calculated magnetic field intensity in the 0.1-<0.2, 0.2-<0.4, and ≥ 0.4 microTesla ranges. We identified 64 cases of newly-diagnosed hematological malignancies in children aged <14 within these municipalities from 1986 to 2007, and we sampled four matched controls for each case, collecting information on historical residence and parental socioeconomic status of these subjects. Results Relative risk of leukemia associated with antecedent residence in the area with exposure ≥ 0.1 microTesla was 3.2 (6.7 adjusting for socioeconomic status), but this estimate was statistically very unstable, its 95% confidence interval being 0.4-23.4, and no indication of a dose-response relation emerged. Relative risk for acute lymphoblastic leukemia was 5.3 (95% confidence interval 0.7-43.5), while there was no increased risk for the other hematological malignancies. Conclusions Though the number of exposed children in this study was too low to allow firm conclusions, results were more suggestive of an excess risk of leukemia among exposed children than of a null relation. PMID:20353586
Canada's new medical school: The Northern Ontario School of Medicine: social accountability through distributed community engaged learning.

PubMed

Strasser, Roger P; Lanphear, Joel H; McCready, William G; Topps, Maureen H; Hunt, D Dan; Matte, Marie C

2009-10-01

Like many rural regions around the world, Northern Ontario has a chronic shortage of doctors. Recognizing that medical graduates who have grown up in a rural area are more likely to practice in the rural setting, the Government of Ontario, Canada, decided in 2001 to establish a new medical school in the region with a social accountability mandate to contribute to improving the health of the people and communities of Northern Ontario. The Northern Ontario School of Medicine (NOSM) is a joint initiative of Laurentian University and Lakehead University, which are located 700 miles apart. This paper outlines the development and implementation of NOSM, Canada's first new medical school in more than 30 years. NOSM is a rural distributed community-based medical school which actively seeks to recruit students into its MD program who come from Northern Ontario or from similar northern, rural, remote, Aboriginal, Francophone backgrounds. The holistic, cohesive curriculum for the MD program relies heavily on electronic communications to support distributed community engaged learning. In the classroom and in clinical settings, students explore cases from the perspective of physicians in Northern Ontario. Clinical education takes place in a wide range of community and health service settings, so that the students experience the diversity of communities and cultures in Northern Ontario. NOSM graduates will be skilled physicians ready and able to undertake postgraduate training anywhere, but with a special affinity for and comfort with pursuing postgraduate training and clinical practice in Northern Ontario.
Beaufort scale of wind force as adapted for use on forested areas of the northern Rocky Mountains

Treesearch

George M. Jemison

1934-01-01

The Beaufort scale of wind force, internationally employed by weather agencies, was not designed for use on mountainous and forested areas like those of the Rocky Mountains of northern Idaho and western Montana. The United States Forest Service has used it to estimate wind velocities in this region, but has found that in too many cases the resulting estimates were...
Deriving habitat models for northern long-eared bats from historical detection data: A case study using the Fernow Experimental Forest

USGS Publications Warehouse

Ford, W. Mark; Silvis, Alexander; Rodrigue, Jane L.; Kniowski, Andrew B.; Johnson, Joshua B.

2016-01-01

The listing of the northern long-eared bat (Myotis septentrionalis) as federally threatened under the Endangered Species Act following severe population declines from white-nose syndrome presents considerable challenges to natural resource managers. Because the northern long-eared bat is a forest habitat generalist, development of effective conservation measures will depend on appropriate understanding of its habitat relationships at individual locations. However, severely reduced population sizes make gathering data for such models difficult. As a result, historical data may be essential in development of habitat models. To date, there has been little evaluation of how effective historical bat presence data, such as data derived from mist-net captures, acoustic detection, and day-roost locations, may be in developing habitat models, nor is it clear how models created using different data sources may differ. We explored this issue by creating presence probability models for the northern long-eared bat on the Fernow Experimental Forest in the central Appalachian Mountains of West Virginia using a historical, presence-only data set. Each presence data type produced outputs that were dissimilar but that still corresponded with known traits of the northern long-eared bat or are easily explained in the context of the particular data collection protocol. However, our results also highlight potential limitations of individual data types. For example, models from mist-net capture data only showed high probability of presence along the dendritic network of riparian areas, an obvious artifact of sampling methodology. Development of ecological niche and presence models for northern long-eared bat populations could be highly valuable for resource managers going forward with this species. We caution, however, that efforts to create such models should consider the substantial limitations of models derived from historical data, and address model assumptions.
Qualitative Research to Design Sustainable Community-Based Surveillance for Rabies in Northern Australia and Papua New Guinea.

PubMed

Brookes, Victoria J; Kennedy, Emma; Dhagapan, Phillipa; Ward, Michael P

2017-01-01

Given the proximity and recent spread of rabies in Indonesia, effective rabies surveillance in dogs is a priority in Northern Australia and Papua New Guinea (PNG). Reporting of potential cases requires community engagement; therefore, the value and acceptability of such a system is critical to ensure sustainable surveillance. We used qualitative research methods to identify factors that influence the acceptability and value of community-based rabies surveillance. Thirty-two semi-structured interviews were conducted with informants in 16 communities in East Arnhem, the Northern Peninsula Area, the Torres Strait in Australia, and in Western Province, PNG. Thematic analysis identified common themes including the importance of verbal communication, particularly via radio, community meetings, and direct conversation. We also found that dogs have high value to community members through connection to culture, economic (especially hunting), and companionship. The greatest barrier to the reporting of sick dogs was insufficient veterinary services and the subsequent lack of treatment response. In some regions, acceptance that sick dogs are a normal daily occurrence and lack of trust of authorities were also barriers to reporting. The findings from this study will be used to design sustainable rabies surveillance in Northern Australia and PNG by utilizing traditional communication channels and building on existing and valued animal-management services. The methods and findings of this study complement previous quantitative research, so as to target surveillance to high-risk areas within these regions.
The persistent challenge of rheumatic fever in the Northern Mariana Islands.

PubMed

Seckeler, Michael D; Barton, Leslie L; Brownstein, Rachel

2010-03-01

Acute rheumatic fever (ARF) is a major cause of morbidity and mortality in developing nations. The objective of this study was to determine the disease burden of ARF among the indigenous and non-indigenous populations of the Northern Mariana Islands. This was a chart review of all pediatric outpatients seen from 1984 to 2006 with ICD-9 codes corresponding to rheumatic fever or any rheumatic cardiac sequelae. The study was set in the only comprehensive inpatient facility and only public pediatric clinic in the Northern Mariana Islands. One hundred fifty-eight cases of ARF were identified. Age at diagnosis ranged from 2.9 to 17.1 years (median 10.6 years). Fever and carditis were the most common presenting findings. The average annualized incidence of ARF was 85.8 per 100,000 person-years for those aged 5-14 years. Sixty-six percent of patients with ARF were of Chamorro or Carolinian ancestry, despite comprising only 39% of the total population, with a combined average annualized incidence of ARF of 167 per 100,000 person-years. This is the first documentation of the incidence of pediatric ARF in the Northern Mariana Islands, delineating the large disease burden in the indigenous and other Pacific Island ethnic groups. Impediments to diagnosis and primary and secondary prevention were identified. The data provide strong support for the need for primary and secondary prevention of ARF. Copyright 2009 International Society for Infectious Diseases. Published by Elsevier Ltd. All rights reserved.
Ideologies of sexuality, menstruation and risk: girls' experiences of puberty and schooling in northern Tanzania.

PubMed

Sommer, Marni

2009-05-01

This paper examines girls' voiced experiences of menstruation, puberty and schooling in northern Tanzania. The study was conducted in Moshi and Rombo Districts of Kilimanjaro, a predominantly Chagga region with historically strong support for girls' education. The major question explored was how the onset of menses and puberty may be impacting on girls' school participation, given societal implications of pubertal onset and potentially gender discriminatory school environments. The methodology included a comparative case study using in-depth interviews and participatory research with young women living in urban and rural Kilimanjaro. Along with important findings about how menstrual onset creates challenges for girls attending school emerged findings about the significant gaps in girls' knowledge about body changes, sexual health and HIV/AIDS. These findings underline the importance of identifying new girl-centred approaches to guidance on bodily development and HIV prevention.
Demographic and socio-economic determinants of post-neonatal deaths in a special project area of rural northern India.

PubMed

Kabir, Zubair

2003-07-01

The demographic and socio-economic determinants of post-neonatal deaths (n = 475) in a special project area of rural northern India (Ballabgarh) were ascertained from 1991 to 1999 using the electronic database system of the project area for data extraction, and were compared with the eligible living children of the same age using a matched population-based case-control study design. Similar determinants were also ascertained in neonatal deaths (n = 212) using the same study design. After controlling for the potential confounders using conditional logistic regression analyses, lower caste (a proxy measure for low socio-economic conditions in rural India) was found to be significantly associated with higher post-neonatal deaths (OR = 2.21). Higher maternal age (>30 years) and fathers' lower educational levels were significantly associated with higher neonatal deaths, in addition to higher post-neonatal deaths in the same area.
Birth prevalence for congenital limb defects in the northern Netherlands: a 30-year population-based study.

PubMed

Vasluian, Ecaterina; van der Sluis, Corry K; van Essen, Anthonie J; Bergman, Jorieke E H; Dijkstra, Pieter U; Reinders-Messelink, Heleen A; de Walle, Hermien E K

2013-11-16

Reported birth prevalences of congenital limb defects (CLD) vary between countries: from 13/10,000 in Finland for the period 1964-1977 to 30.4/10,000 births in Scotland from 1964-1968. Epidemiological studies permit the timely detection of trends in CLD and of associations with other birth defects. The aim of this study is to describe the birth prevalence of CLD in the northern Netherlands. In a population-based, epidemiological study we investigated the birth prevalences of CLD for 1981-2010. Data were collected by the European Surveillance of Congenital Anomalies in the northern Netherlands (EUROCAT-NNL). We excluded malpositions, club foot, and dislocation/dysplasia of hips or knees. Trends were analysed for the 19-year period 1992-2010 using χ² tests, as well as CLD association with anomalies affecting other organs. The birth prevalence of CLD was 21.1/10,000 births for 1981-2010. There was an overall decrease in non-syndromic limb defects (P = 0.023) caused by a decrease in the prevalence of non-syndromic syndactyly (P < 0.01) in 1992-2010. Of 1,048 children with CLD, 55% were males, 57% had isolated defects, 13% had multiple congenital anomalies (MCA), and 30% had a recognised syndrome. The upper:lower limb ratio was 2:1, and the left:right side ratio was 1.2:1. Cardiovascular and urinary tract anomalies were common in combination with CLD (37% and 25% of cases with MCA). Digestive-tract anomalies were significantly associated with CLD (P = 0.016). The birth prevalence of CLD in the northern Netherlands was 21.1/10,000 births. The birth prevalence of non-syndromic syndactyly dropped from 5.2/10,000 to 1.1/10,000 in 1992-2010.
North-south cross sections of the vertical aerosol distribution over the Atlantic Ocean from multiwavelength Raman/polarization lidar during Polarstern cruises

PubMed Central

Kanitz, T; Ansmann, A; Engelmann, R; Althausen, D

2013-01-01

Shipborne aerosol lidar observations were performed aboard the research vessel Polarstern in 2009 and 2010 during three north-south cruises from about 50°N to 50°S. The aerosol data set provides an excellent opportunity to characterize and contrast the vertical aerosol distribution over the Atlantic Ocean in the polluted northern and relatively clean southern hemisphere. Three case studies, an observed pure Saharan dust plume, a Patagonian dust plume east of South America, and a case of a mixed dust/smoke plume west of Central Africa are exemplarily shown and discussed by means of their optical properties. The meridional transatlantic cruises were used to determine the latitudinal cross section of the aerosol optical thickness (AOT). Profiles of particle backscatter and extinction coefficients are presented as mean profiles for latitudinal belts to contrast northern- and southern-hemispheric aerosol loads and optical effects. Results of lidar observations at Punta Arenas (53°S), Chile, and Stellenbosch (34°S), South Africa, are shown and confirm the lower frequency of occurrence of free-tropospheric aerosol in the southern hemisphere than in the northern hemisphere. The maximum latitudinal mean AOT of 0.27 was found in the northern tropics (0– 15°N) in the Saharan outflow region. Marine AOT is typically 0.05 ± 0.03. Particle optical properties are presented separately for the marine boundary layer and the free troposphere. Concerning the contrast between the anthropogenically influenced midlatitudinal aerosol conditions in the 30– 60°N belt and the respective belt in the southern hemisphere over the remote Atlantic, it is found that the AOT and extinction coefficients for the vertical column from 0–5km (total aerosol column) and 1–5km height (lofted aerosol above the marine boundary layer) are a factor of 1.6 and 2 higher at northern midlatitudes than at respective southern midlatitudes, and a factor of 2.5 higher than at the clean marine southern-hemispheric site of Punta Arenas. The strong contrast is confined to the lowermost 3km of the atmosphere. PMID:25821662
Study of the Anti-Staphylococcal Potential of Honeys Produced in Northern Poland.

PubMed

Grecka, Katarzyna; Kuś, Piotr M; Worobo, Randy W; Szweda, Piotr

2018-01-28

The antimicrobial activity of 144 samples of honeys including 95 products from apiaries located in Northern Poland was evaluated. The antibacterial activity of those natural products, their thermal stability, and activity in the presence of catalase was investigated by microdilution assays in titration plates. The MTT assay was performed for the determination of anti-biofilm activity. Spectrophotometric assays were used for the determination of antioxidant potential, total phenolic content, and ability to generate hydrogen peroxide. Some of the investigated honeys exhibited surprisingly high antimicrobial, especially anti-staphylococcal, potential, with Minimal Inhibitory Concentration (MIC) values of only 1.56% ( v/v ). Much higher resistance was observed in the case of staphylococci growing as biofilms. Lower concentrations of the product, up to 12.5% ( v/v ) stimulated its growth and effective eradication of biofilm required concentration of at least 25% ( v/v ). Hydrogen peroxide has been identified as a crucial contributor to the antimicrobial activity of honeys supplied by Polish beekeepers. However, some of the results suggest that phytochemicals, especially polyphenols, play an important role depending on botanical source (both positive, e.g., in the case of buckwheat honeys as well as negative, e.g., in the case of some rapeseed honeys) in their antimicrobial potential.
Evaluation of MM5 model resolution when applied to prediction of national fire danger rating indexes

Treesearch

Jeanne L. Hoadley; Miriam L. Rorig; Larry Bradshaw; Sue A. Ferguson; Kenneth J. Westrick; Scott L. Goodrick; Paul Werth

2006-01-01

Weather predictions from the MM5 mesoscale model were used to compute gridded predictions of National Fire Danger Rating System (NFDRS) indexes. The model output was applied to a case study of the 2000 fire season in Northern Idaho and Western Montana to simulate an extreme event. To determine the preferred resolution for automating NFD RS predictions, model...
Effects of DEM source and resolution on WEPP hydrologic and erosion simulation: A case study of two forest watersheds in northern Idaho

Treesearch

J. X. Zhang; J. Q. Wu; K. Chang; W. J. Elliot; S. Dun

2009-01-01

The recent modification of the Water Erosion Prediction Project (WEPP) model has improved its applicability to hydrology and erosion modeling in forest watersheds. To generate reliable topographic and hydrologic inputs for the WEPP model, carefully selecting digital elevation models (DEMs) with appropriate resolution and accuracy is essential because topography is a...
An Enhanced Role of the Economics Element of National Power in Military Operations: The Mexican Economy as a Case Study for U.S. Northern Command Theater Security Cooperation (TSC) Planning

DTIC Science & Technology

2011-10-26

Liberalisation Have Galvanised Growth, Says Arkady Ostrovsky, Financial Times, Third Quarter. London, May 16, 2006. pp. 1-3. 12 Ibid. 13 David M...Radical Liberalisation Have Galvanised Growth, Says Arkady Ostrovsky. Financial Times. Third Quarter. London, May 16, 2006. Papava, Vladimir. East
Responses to the Revolution in the Urban Academic Environment in Higher Education: A Case Study Report -- George Mason University.

ERIC Educational Resources Information Center

Willis, William S.; And Others

A description of the graduate school of George Mason University, a suburban institution serving about 9,600 students in the urban suburban region of Northern Virginia, is provided in this paper. In the past five years the university has begun to direct its outlook to serve its student body which has become both culturally and intellectually…
A case study showing potential supplies of red pine sawtimber in the Lake States.

Treesearch

Thomas C. Marcin; Darrell M. Frogness

1975-01-01

Red pine sawtimber mills will increase significantly in the Lake States in the next 50 years as young stands established since the 1930's mature. The long-range effects of this increase for the Chippewa National Forest in northern Minnesota are analyzed using Timber RAM. Red pine sawtimber cut may increase eightfold in the next 50 years for the Forest.
Inequity of Education Financial Resources: A Case Study of First Nations School Funding Compared to Provincial School Funding in Saskatchewan

ERIC Educational Resources Information Center

Carr-Stewart, Sheila; Marshall, Jim; Steeves, Larry

2011-01-01

In a review of First Nations band-managed school policies, the Department of Indian and Northern Affairs Canada (2002) noted what had been devolved was "the specific operation of the school. What was not devolved was an [education] system which would support the school" (p. 5) delivery of quality educational programming for First…
NOAA finds bacterial infection as cause of death for five northern Gulf

Science.gov Websites

infection in humans is rare in the U.S., and there are no documented U.S. cases of Brucella in humans stranded dolphins. Cooking seafood kills the Brucella bacterium, and as there have been only three cases
Diversity and endemism in deglaciated areas: ploidy, relative genome size and niche differentiation in the Galium pusillum complex (Rubiaceae) in Northern and Central Europe

PubMed Central

Kolář, Filip; Lučanová, Magdalena; Vít, Petr; Urfus, Tomáš; Chrtek, Jindřich; Fér, Tomáš; Ehrendorfer, Friedrich; Suda, Jan

2013-01-01

Background and Aims Plants endemic to areas covered by ice sheets during the last glaciation represent paradigmatic examples of rapid speciation in changing environments, yet very few systems outside the harsh arctic zone have been comprehensively investigated so far. The Galium pusillum aggregate (Rubiaceae) is a challenging species complex that exhibits a marked differentiation in boreal parts of Northern Europe. As a first step towards understanding its evolutionary history in deglaciated regions, this study assesses cytological variation and ecological preferences of the northern endemics and compares the results with corresponding data for species occurring in neighbouring unglaciated parts of Central and Western Europe. Methods DNA flow cytometry was used together with confirmatory chromosome counts to determine ploidy levels and relative genome sizes in 1158 individuals from 181 populations. A formalized analysis of habitat preferences was applied to explore niche differentiation among species and ploidy levels. Key Results The G. pusillum complex evolved at diploid and tetraploid levels in Northern Europe, in contrast to the high-polyploid evolution of most other northern endemics. A high level of eco-geographic segregation was observed between different species (particularly along gradients of soil pH and competition) which is unusual for plants in deglaciated areas and most probably contributes to maintaining species integrity. Relative monoploid DNA contents of the species from previously glaciated regions were significantly lower than those of their counterparts from mostly unglaciated Central Europe, suggesting independent evolutionary histories. Conclusions The aggregate of G. pusillum in Northern Europe represents an exceptional case with a geographically vicariant and ecologically distinct diploid/tetraploid species endemic to formerly glaciated areas. The high level of interspecific differentiation substantially widens our perception of the evolutionary dynamics and speciation rates in the dramatically changing environments of Northern Europe. PMID:23589633
Environmental factors affecting survival of immature Ixodes scapularis and implications for geographical distribution of lyme disease: The climate/behavior hypothesis

USGS Publications Warehouse

Ginsberg, Howard; Albert, Marisa; Acevedo, Lixis; Dyer, Megan C.; Arsnoe, Isis M.; Tsao, Jean I.; Mather, Thomas N.; LeBrun, Roger A.

2017-01-01

Recent reports suggest that host-seeking nymphs in southern populations of Ixodes scapularis remain below the leaf litter surface, while northern nymphs seek hosts on leaves and twigs above the litter surface. This behavioral difference potentially results in decreased tick contact with humans in the south, and fewer cases of Lyme disease. We studied whether north-south differences in tick survival patterns might contribute to this phenomenon. Four month old larvae resulting from a cross between Wisconsin males and South Carolina females died faster under southern than under northern conditions in the lab, as has previously been reported for ticks from both northern and southern populations. However, newly-emerged larvae from Rhode Island parents did not differ consistently in mortality under northern and southern conditions, possibly because of their younger age. Survival is lower, and so the north-south survival difference might be greater in older ticks. Larval survival was positively related to larval size (as measured by scutal area), while survival was positively related to larval fat content in some, but not all, trials. The difference in larval survival under northern vs. southern conditions might simply result from faster metabolism under warmer southern conditions leading to shorter life spans. However, ticks consistently died faster under southern than under northern conditions in the laboratory when relative humidity was low (75%), but not under moderate (85%) or high (95%) RH. Therefore, mortality due to desiccation stress is greater under southern than under northern conditions. We hypothesize that mortality resulting from the greater desiccation stress under southern conditions acts as a selective pressure resulting in the evolution of host-seeking behavior in which immatures remain below the leaf litter surface in southern I. scapularis populations, so as to avoid the desiccating conditions at the surface. If this hypothesis is correct, it has implications for the effect of climate change on the future distribution of Lyme disease.

Engendering social suffering: a Chinese diasporic community in northern Thailand.

PubMed

Huang, Shu-Min

2014-01-01

This paper examines how reproducing Chineseness has become a source of social suffering through the case study of a group of Yunnan Chinese who escaped Chinese communist rules in the Mainland in 1949 or shortly after and settled in northern Thailand in the 1960s. As self-proclaimed carriers of traditional Chinese culture, they worked arduously to replicate whatever they considered 'authentic' Chinese through a narrow interpretation of the Confucian moral tenets in daily life. The (re)establishment of a patriarchal social order in Thailand - a society with a relatively high level of gender-equality, has inflicted tremendous pain and suffering among women and youth in this reified society. Ethnographic fieldwork, upon which this paper was based, was conducted in Maehong Village, Chiang Mai Province, between 2002 and 2007.
Meningitis Outbreak Caused by Vaccine-Preventable Bacterial Pathogens - Northern Ghana, 2016.

PubMed

Aku, Fortress Y; Lessa, Fernanda C; Asiedu-Bekoe, Franklin; Balagumyetime, Phoebe; Ofosu, Winfred; Farrar, Jennifer; Ouattara, Mahamoudou; Vuong, Jeni T; Issah, Kofi; Opare, Joseph; Ohene, Sally-Ann; Okot, Charles; Kenu, Ernest; Ameme, Donne K; Opare, David; Abdul-Karim, Abass

2017-08-04

Bacterial meningitis is a severe, acute infection of the fluid surrounding the brain and spinal cord that can rapidly lead to death. Even with recommended antibiotic treatment, up to 25% of infected persons in Africa might experience neurologic sequelae (1). Three regions in northern Ghana (Upper East, Northern, and Upper West), located in the sub-Saharan "meningitis belt" that extends from Senegal to Ethiopia, experienced periodic outbreaks of meningitis before introduction of serogroup A meningococcal conjugate vaccine (MenAfriVac) in 2012 (2,3). During December 9, 2015-February 16, 2016, a total of 432 suspected meningitis cases were reported to health authorities in these three regions. The Ghana Ministry of Health, with assistance from CDC and other partners, tested cerebrospinal fluid (CSF) specimens from 286 patients. In the first 4 weeks of the outbreak, a high percentage of cases were caused by Streptococcus pneumoniae; followed by an increase in cases caused by Neisseria meningitidis, predominantly serogroup W. These data facilitated Ghana's request to the International Coordinating Group* for meningococcal polysaccharide ACW vaccine, which was delivered to persons in the most affected districts. Rapid identification of the etiologic agent causing meningitis outbreaks is critical to inform targeted public health and clinical interventions, including vaccination, clinical management, and contact precautions.
Making Citizens: How American Universities Teach Civics. With Case Studies of the University of Colorado, Boulder; Colorado State University; University of Northern Colorado; and the University of Wyoming

ERIC Educational Resources Information Center

Randall, David

2017-01-01

A new movement in American higher education aims to transform the teaching of civics. This report is a study of what that movement is, where it came from, and why Americans should be concerned. What we call the "New Civics" redefines civics as progressive political activism. Rooted in the radical program of the 1960s' New Left, the New…
[Female migrants: Moroccan women in Northern Italy. A study in Venice].

PubMed

Schmidt Di Friedberg, O; Saint-blancat, C

1998-09-01

"Immigration of Moroccan women has only recently become in Italy the object of specific studies. Female migrants, although representing a minority when compared to their male counterparts, have drawn the attention of local society...because of their demands in the field of public health, family planning and education. This is the case of the Venetian Region." Differences between the immigrants' values and cultural background, and those of the receiving country, are considered. (EXCERPT)
Evaluation of the MODIS LAI product using independent lidar-derived LAI: A case study in mixed conifer forest

Treesearch

Jennifer L. R. Jensen; Karen S. Humes; Andrew T. Hudak; Lee A. Vierling; Eric Delmelle

2011-01-01

This study presents an alternative assessment of the MODIS LAI product for a 58,000 ha evergreen needleleaf forest located in the western Rocky Mountain range in northern Idaho by using lidar data to model (R2=0.86, RMSE=0.76) and map LAI at higher resolution across a large number of MODIS pixels in their entirety. Moderate resolution (30 m) lidar-based LAI estimates...
The Emerging HIV Epidemic on the Mexico-US Border: An International Case Study Characterizing the Role of Epidemiology in Surveillance and Response

PubMed Central

Strathdee, Steffanie A.; Magis-Rodriguez, Carlos; Mays, Vickie M.; Jimenez, Richard; Patterson, Thomas L.

2012-01-01

Purpose HIV/AIDS surveillance data are critical for monitoring epidemic trends, but can mask dynamic sub-epidemics, especially in vulnerable populations that under-utilize HIV testing. In this case study, we describe community-based epidemiologic data among injection drug users (IDU) and female sex workers (FSWs) in two northern Mexico-US Border States that identified an emerging HIV epidemic and generated a policy response. Methods We draw from quantitative and qualitative cross-sectional and prospective epidemiologic studies and behavioral intervention studies among IDUs and FSWs in Tijuana, Baja California and Ciudad Juarez, Chihuahua. Results Recognition that the HIV epidemic on Mexico’s northern border was already well established in subgroups where it had been presumed to be insignificant was met with calls for action and enhanced prevention efforts from researchers, NGOs and policy makers. Conclusions Successful policies and program outcomes included expansion of needle exchange programs, a nation-wide mobile HIV prevention program targeting marginalized populations, a successful funding bid from the Global Fund for HIV, TB and Malaria to scale up targeted HIV prevention programs and the establishment of binational training programs on prevention of HIV and substance use. We discuss how epidemiologic data informed HIV prevention policies and suggest how other countries may learn from Mexico’s experience. PMID:22626001
Assessment of Aerosol Optical Property and Radiative Effect for the Layer Decoupling Cases over the Northern South China Sea During the 7-SEAS Dongsha Experiment

NASA Technical Reports Server (NTRS)

Pani, Shantau Kumar; Wang, Sheng-Hsiang; Lin, Neng-Huei; Tsay, Si-Chee; Lolli, Simone; Chuang, Ming-Tung; Lee, Chung-Te; Chantara, Somporn; Yu, Jin-Yi

2016-01-01

The aerosol radiative effect can be modulated by the vertical distribution and optical properties of aerosols, particularly when aerosol layers are decoupled. Direct aerosol radiative effects over the northern South China Sea (SCS) were assessed by incorporating an observed data set of aerosol optical properties obtained from the Seven South East Asian Studies (7-SEAS)/Dongsha Experiment into a radiative transfer model. Aerosol optical properties for a two-layer structure of aerosol transport were estimated. In the radiative transfer calculations, aerosol variability (i.e., diversity of source region, aerosol type, and vertical distribution) for the complex aerosol environment was also carefully quantified. The column-integrated aerosol optical depth (AOD) at 500nm was 0.1-0.3 for near-surface aerosols and increased 1-5 times in presence of upper layer biomass-burning aerosols. A case study showed the strong aerosol absorption (single-scattering albedo (omega) approx. = 0.92 at 440nm wavelength) exhibited by the upper layer when associated with predominantly biomass-burning aerosols, and the omega (approx. = 0.95) of near-surface aerosols was greater than that of the upper layer aerosols because of the presence of mixed type aerosols. The presence of upper level aerosol transport could enhance the radiative efficiency at the surface (i.e., cooling) and lower atmosphere (i.e., heating) by up to -13.7 and +9.6W/sq m2 per AOD, respectively. Such enhancement could potentially modify atmospheric stability, can influence atmospheric circulation, as well as the hydrological cycle over the tropical and low-latitude marginal northern SCS.
Assessment of aerosol optical property and radiative effect for the layer decoupling cases over the northern South China Sea during the 7-SEAS/Dongsha Experiment

NASA Astrophysics Data System (ADS)

Pani, Shantanu Kumar; Wang, Sheng-Hsiang; Lin, Neng-Huei; Tsay, Si-Chee; Lolli, Simone; Chuang, Ming-Tung; Lee, Chung-Te; Chantara, Somporn; Yu, Jin-Yi

2016-05-01

The aerosol radiative effect can be modulated by the vertical distribution and optical properties of aerosols, particularly when aerosol layers are decoupled. Direct aerosol radiative effects over the northern South China Sea (SCS) were assessed by incorporating an observed data set of aerosol optical properties obtained from the Seven South East Asian Studies (7-SEAS)/Dongsha Experiment into a radiative transfer model. Aerosol optical properties for a two-layer structure of aerosol transport were estimated. In the radiative transfer calculations, aerosol variability (i.e., diversity of source region, aerosol type, and vertical distribution) for the complex aerosol environment was also carefully quantified. The column-integrated aerosol optical depth (AOD) at 500 nm was 0.1-0.3 for near-surface aerosols and increased 1-5 times in presence of upper layer biomass-burning aerosols. A case study showed the strong aerosol absorption (single-scattering albedo (ω) ≈ 0.92 at 440 nm wavelength) exhibited by the upper layer when associated with predominantly biomass-burning aerosols, and the ω (≈0.95) of near-surface aerosols was greater than that of the upper layer aerosols because of the presence of mixed type aerosols. The presence of upper level aerosol transport could enhance the radiative efficiency at the surface (i.e., cooling) and lower atmosphere (i.e., heating) by up to -13.7 and +9.6 W m-2 per AOD, respectively. Such enhancement could potentially modify atmospheric stability, can influence atmospheric circulation, as well as the hydrological cycle over the tropical and low-latitude marginal northern SCS.
Assessing the Costs and Benefits of Resilience Investments: Tennessee Valley Authority Case Study

DOE Office of Scientific and Technical Information (OSTI.GOV)

Allen, Melissa R.; Wilbanks, Thomas J.; Preston, Benjamin L.

This report describes a general approach for assessing climate change vulnerabilities of an electricity system and evaluating the costs and benefits of certain investments that would increase system resilience. It uses Tennessee Valley Authority (TVA) as a case study, concentrating on the Cumberland River basin area on the northern side of the TVA region. The study focuses in particular on evaluating risks associated with extreme heat wave and drought conditions that could be expected to affect the region by mid-century. Extreme climate event scenarios were developed using a combination of dynamically downscaled output from the Community Earth System Model andmore » historical heat wave and drought conditions in 1993 and 2007, respectively.« less
Remobilization of metals from slag and polluted sediments (case study: the canal of the Deûle River, northern France).

PubMed

Vdović, Neda; Billon, Gabriel; Gabelle, Cédric; Potdevin, Jean-Luc

2006-05-01

The anthropogenic impact on the environment in the last century has proven to be very negative due to the fast development of industry. A typical example is the Deûle River in northern France, one of the most polluted sites in this region. The concentrations of Pb, Cd, Zn and Cu in river sediments are 300, 800, 50 and 15 times higher, respectively, than the background values. The present study was undertaken to evaluate the capacity of already polluted sediments to capture metals released from industrial wastes (slag). As it were, in spite of the high metal pollution level, sediments have still shown the ability to adsorb metals released from slag under the conditions provided. Their efficiency in "cleaning up" some of the metals (e.g. Pb) seems to be additionally enhanced in anoxic conditions. This study provided some additional information on the importance of sediments as a pollutant sink.
Travel history key to picking up on signs of bubonic plague.

PubMed

2015-11-01

Health officials note an uptick in cases of bubonic plague in the United States this year, with at least 12 reported human cases reported since April 1. The CDC notes that healthcare providers should consider plague in patients who have traveled to plague-endemic areas and exhibit fever, headache, chills, weakness, and one or more swollen or tender and painful lymph nodes, referred to as buboes. Officials note that the disease rarely passes from person to person, but that this is a concern with patients who have developed the pneumonic form of the disease. Health officials note that in recent years there has been an average of seven cases of human plague each year in the United States, and that most of these cases are the bubonic form of the illness. Four patients confirmed to have plague this year have died, including the most recent case, a Utah man in his 70s. Most cases of plague in the United States occur in two regions. The first includes northern New Mexico, northern Arizona, and southern Colorado, and the second includes California, southern Oregon, and far western Nevada. When plague is suspected, treatment with antibiotics should begin immediately.
Epidemiological and laboratory characterization of a yellow fever outbreak in northern Uganda, October 2010-January 2011.

PubMed

Wamala, Joseph F; Malimbo, Mugagga; Okot, Charles L; Atai-Omoruto, Ann D; Tenywa, Emmanuel; Miller, Jeffrey R; Balinandi, Stephen; Shoemaker, Trevor; Oyoo, Charles; Omony, Emmanuel O; Kagirita, Atek; Musenero, Monica M; Makumbi, Issa; Nanyunja, Miriam; Lutwama, Julius J; Downing, Robert; Mbonye, Anthony K

2012-07-01

In November 2010, following reports of an outbreak of a fatal, febrile, hemorrhagic illness in northern Uganda, the Uganda Ministry of Health established multisector teams to respond to the outbreak. This was a case-series investigation in which the response teams conducted epidemiological and laboratory investigations on suspect cases. The cases identified were line-listed and a data analysis was undertaken regularly to guide the outbreak response. Overall, 181 cases met the yellow fever (YF) suspected case definition; there were 45 deaths (case fatality rate 24.9%). Only 13 (7.5%) of the suspected YF cases were laboratory confirmed, and molecular sequencing revealed 92% homology to the YF virus strain Couma (Ethiopia), East African genotype. Suspected YF cases had fever (100%) and unexplained bleeding (97.8%), but jaundice was rare (11.6%). The overall attack rate was 13 cases/100000 population, and the attack rate was higher for males than females and increased with age. The index clusters were linked to economic activities undertaken by males around forests. This was the largest YF outbreak ever reported in Uganda. The wide geographical case dispersion as well as the male and older age preponderance suggests transmission during the outbreak was largely sylvatic and related to occupational activities around forests. Copyright © 2012 International Society for Infectious Diseases. Published by Elsevier Ltd. All rights reserved.
Stability of submarine slopes in the northern South China Sea: a numerical approach

NASA Astrophysics Data System (ADS)

Zhang, Liang; Luan, Xiwu

2013-01-01

Submarine landslides occur frequently on most continental margins. They are effective mechanisms of sediment transfer but also a geological hazard to seafloor installations. In this paper, submarine slope stability is evaluated using a 2D limit equilibrium method. Considerations of slope, sediment, and triggering force on the factor of safety (FOS) were calculated in drained and undrained ( Φ=0) cases. Results show that submarine slopes are stable when the slope is <16° under static conditions and without a weak interlayer. With a weak interlayer, slopes are stable at <18° in the drained case and at <9° in the undrained case. Earthquake loading can drastically reduce the shear strength of sediment with increased pore water pressure. The slope became unstable at >13° with earthquake peak ground acceleration (PGA) of 0.5 g; whereas with a weak layer, a PGA of 0.2 g could trigger instability at slopes >10°, and >3° for PGA of 0.5 g. The northern slope of the South China Sea is geomorphologically stable under static conditions. However, because of the possibility of high PGA at the eastern margin of the South China Sea, submarine slides are likely on the Taiwan Bank slope and eastern part of the Dongsha slope. Therefore, submarine slides recognized in seismic profiles on the Taiwan Bank slope would be triggered by an earthquake, the most important factor for triggering submarine slides on the northern slope of the South China Sea. Considering the distribution of PGA, we consider the northern slope of the South China Sea to be stable, excluding the Taiwan Bank slope, which is tectonically active.
Arsenic in groundwaters in the Northern Appalachian Mountain belt: A review of patterns and processes

NASA Astrophysics Data System (ADS)

Peters, Stephen C.

2008-07-01

Naturally occurring arsenic in the bedrock of the Northern Appalachian Mountain belt was first recognized in the late 19th century. The knowledge of the behavior of arsenic in groundwater in this region has lagged behind nearly a century, with the popular press reporting on local studies in the early 1980s, and most peer-reviewed research articles on regional patterns conducted and written in the late 1990s and early 2000s. Research reports have shown that within this high arsenic region, between 6% and 22% of households using private drinking water wells contain arsenic in excess of 10 µg/L, the United States Environmental Protection Agency's maximum contaminant level. In nearly all reports, arsenic in drinking water was derived from naturally occurring geologic sources, typically arsenopyrite, substituted sulfides such as arsenian pyrite, and nanoscale minerals such as westerveldite. In most studies, arsenic concentrations in groundwater were controlled by pH dependent adsorption to mineral surfaces, most commonly iron oxide minerals. In some cases, reductive dissolution of iron minerals has been shown to increase arsenic concentrations in groundwater, more commonly associated with anthropogenic activities such as landfills. Evidence of nitrate reduction promoting the presence of arsenic(V) and iron(III) minerals in anoxic environments has been shown to occur in surface waters, and in this manuscript we show this process perhaps applies to groundwater. The geologic explanation for the high arsenic region in the Northern Appalachian Mountain belt is most likely the crustal recycling of arsenic as an incompatible element during tectonic activity. Accretion of multiple terranes, in particular Avalonia and the Central Maine Terrane of New England appear to be connected to the presence of high concentrations of arsenic. Continued tectonic activity and recycling of these older terranes may also be responsible for the high arsenic observed in the Triassic rift basins, e.g. the Newark Basin. There are only two well-known cases of anthropogenic contamination of the environment in the northern Appalachian Mountain belt, both of which are industrial sites with surface contamination at that infiltrated the local groundwater.
[Results of usage of temporary prosthetics in cases of combat injuries of extremities].

PubMed

Samokhvalov, I M; Zavrazhanov, A A; Kornilov, E A

2006-09-01

The comparative analyzes of the results of usage of temporary prosthetics (TP) of injured main arteries during the war in Afghanistan (1979-1989) and counter-terrorist operations in the Northern Caucasus (1994-1996, 1999-2002) has been carried out. The development of new models of temporary prosthetics of vessels has been experimentally substantiated. In Afghanistan the two-staged usage of TP was made along with the amputation of extremities in 35,1% of cases and in the Northern Caucasus - in 15,0%. The reason for that was the considerable reduction of terms of evacuation of wounded. The average terms of presence of TP in the arteries in Afghanistan were 26,2+/-4,0 hours and in the Northern Caucasus - 18,1+/-3,4 hours. During a series of experiments on comparative testing of efficiency of three types of TP it was determined that prosthetics made of armored silicone (10,1+/-0,6 hours)and, especially made of enlarged micropored polytetraftoraethylen (11,5 +/-0,6 hours) are thrombosed slower comparing to polyclorvinil tube from the blood transfusion system (7,9+/-0,7 hours).
``Low-cost Electronic nose evaluated on Thai-herb of Northern-Thailand samples using multivariate analysis methods''

NASA Astrophysics Data System (ADS)

na ayudhaya, Paisarn Daungjak; Klinbumrung, Arrak; Jaroensutasinee, Krisanadej; Pratontep, Sirapat; Kerdcharoen, Teerakiat

2009-05-01

In case of species of natural and aromatic plant originated from the northern Thailand, sensory characteristics, especially odours, have unique identifiers of herbs. The instruments sensory analysis have performed by several of differential of sensing, so call `electronic nose', to be a significantly and rapidly for chemometrics. The signal responses of the low cost electronic nose were evaluated by principal component analysis (PCA). The aims of this paper evaluated various of Thai-herbs grown in Northern of Thailand as data preprocessing tools of the Low-cost electronic nose (enNU-PYO1). The essential oil groups of Thai herbs such as Garlic, Lemongrass, Shallot (potato onion), Onion, Zanthoxylum limonella (Dennst.) Alston (Thai name is Makaen), and Kaffir lime leaf were compared volatilized from selected fresh herbs. Principal component analysis of the original sensor responses did clearly distinguish either all samples. In all cases more than 97% for cross-validated group were classified correctly. The results demonstrated that it was possible to develop in a model to construct a low-cost electronic nose to provide measurement of odoriferous herbs.
Molecular characterization of hepatitis A outbreak in the province of Rome, Lazio region, Italy, January-July 2013.

PubMed

Capobianchi, Maria R; Garbuglia, Anna Rosa; Agrati, Chiara; Rianda, Alessia; Noto, Pasquale; Corpolongo, Angela; Cataldo, Maria Adriana; Rosati, Silvia; Zaccaro, Paola; Loffredo, Mariarosaria; Pompa, Maria Grazia; Girardi, Enrico; Scognamiglio, Paola; Ippolito, Giuseppe

2014-04-01

Reduced circulation of hepatitis A virus lead to an increase of susceptible individuals, and outbreaks occurred recently. In Northern Italy an outbreak is ongoing, attributed to a monophyletic genotype IA strain, with mixed frozen berries as probable source. From 01/01/2013 to 07/15/2013, 30 cases were diagnosed at National Institute for Infectious Diseases, Rome, Italy, representing about twice the number of cases in whole 2012. Phylogenetic analysis indicated that most, although not all, infections were attributable to the same monophyletic genotype IA strain identified in the contemporary Northern Italy outbreak. This strain is also very similar to previous isolates from Venezuela. Copyright © 2014 Institut Pasteur. Published by Elsevier Masson SAS. All rights reserved.
Participatory Risk Mapping of Malaria Vector Exposure in Northern South America using Environmental and Population Data

PubMed Central

Fuller, D.O.; Troyo, A.; Alimi, T.O.; Beier, J.C.

2014-01-01

Malaria elimination remains a major public health challenge in many tropical regions, including large areas of northern South America. In this study, we present a new high spatial resolution (90 × 90 m) risk map for Colombia and surrounding areas based on environmental and human population data. The map was created through a participatory multi-criteria decision analysis in which expert opinion was solicited to determine key environmental and population risk factors, different fuzzy functions to standardize risk factor inputs, and variable factor weights to combine risk factors in a geographic information system. The new risk map was compared to a map of malaria cases in which cases were aggregated to the municipio (municipality) level. The relationship between mean municipio risk scores and total cases by muncípio showed a weak correlation. However, the relationship between pixel-level risk scores and vector occurrence points for two dominant vector species, Anopheles albimanus and An. darlingi, was significantly different (p < 0.05) from a random point distribution, as was a pooled point distribution for these two vector species and An. nuneztovari. Thus, we conclude that the new risk map derived based on expert opinion provides an accurate spatial representation of risk of potential vector exposure rather than malaria transmission as shown by the pattern of malaria cases, and therefore it may be used to inform public health authorities as to where vector control measures should be prioritized to limit human-vector contact in future malaria outbreaks. PMID:24976656
Involving Children in the Design and Development of Research Instruments and Data Collection Procedures: A Case Study in Primary Schools in Northern Ireland

ERIC Educational Resources Information Center

Turtle, Kellie; McElearney, Aisling; Scott, Joanne

2010-01-01

Children's right to participate as enshrined in Article 12 of the United Nations Convention on the Rights of the Child is increasingly evident in the rhetoric of policy documents as well as in practice and research with children and young people. Children's participation in research is being facilitated in a range of creative ways, including as…
Evaluation of Actual Nitrogen Losses From a Watershed Preliminary Results of a Case Study in the Po Vally (Northern Italy)

Treesearch

Maurizio Borin; Tomaso Bisol; Gabriele Bonaiti; Francesco Morari; Devendra M. Amatya

2004-01-01

The evaluation of potential N losses from individual fields is not sufficient to provide an estimate of the actual nitrogen loads reaching the main watercourses and therefore becoming a relevant source of pollution. Along the travel path from a field to the outlet of a watershed several biogeochemical processes may occur, leading to significant changes in the N amount...

Assessing the value of increased model resolution in forecasting fire danger

Treesearch

Jeanne Hoadley; Miriam Rorig; Ken Westrick; Larry Bradshaw; Sue Ferguson; Scott Goodrick; Paul Werth

2003-01-01

The fire season of 2000 was used as a case study to assess the value of increasing mesoscale model resolution for fire weather and fire danger forecasting. With a domain centered on Western Montana and Northern Idaho, MM5 simulations were run at 36, 12, and 4-km resolutions for a 30 day period at the height of the fire season. Verification analyses for meteorological...
A case study comparison of landfire fuel loading and emissions generation on a mixed conifer forest in northern Idaho, USA

Treesearch

Josh Hyde; Eva K. Strand; Andrew T. Hudak; Dale Hamilton

2015-01-01

The use of fire as a land management tool is well recognized for its ecological benefits in many natural systems. To continue to use fire while complying with air quality regulations, land managers are often tasked with modeling emissions from fire during the planning process. To populate such models, the Landscape Fire and Resource Management Planning Tools (...
Student Teachers of Technology and Design: Can Short Periods of STEM-Related Industrial Placement Change Student Perceptions of Engineering and Technology?

ERIC Educational Resources Information Center

Gibson, Ken S.

2012-01-01

This is a report, on a small-scale case study, of a programme of short industrial placements (5 day block) for student teachers of technology and design in Northern Ireland. Such placements increase student awareness and understanding of the nature of Engineering and Technology and therefore better prepare them to teach these subjects, as integral…
Vocational Training in Higher Education: A Case Study of Work-Based Learning within the Police Service of Northern Ireland (PSNI)

ERIC Educational Resources Information Center

Nikolou-Walker, Elda

2007-01-01

The pre-eminence of knowledge and skills as the sources of wealth creation and economic growth is one of the major issues in business at the beginning of the twenty-first century. As a result, Human Resource Development has been propelled into a central role in management thinking. However, this has not always been reflected in practice since many…
Incorporation of Precipitation Data Into FIA Analyses: A Case Study of Factors Influencing Susceptibility to Oak Decline in Southern Missouri, U.S.A.

Treesearch

W. Keith Moser; Greg Liknes; Mark Hansen; Kevin Nimerfro

2005-01-01

The Forest Inventory and Analysis program at the North Central Research Station focuses on understanding the forested ecosystems in the North Central and Northern Great Plains States through analyzing the results of annual inventories. The program also researches techniques for data collection and analysis. The FIA process measures the above-ground vegetation and the...
Rapid Increase in Scrub Typhus Incidence in Mainland China, 2006-2014.

PubMed

Wu, Yi-Cheng; Qian, Quan; Magalhaes, Ricardo J Soares; Han, Zhi-Hai; Haque, Ubydul; Weppelmann, Thomas A; Hu, Wen-Biao; Liu, Yun-Xi; Sun, Yan-Song; Zhang, Wen-Yi; Li, Shen-Long

2016-03-01

Scrub typhus is a vector-borne disease, which has recently reemerged in China. In this study, we describe the distribution and incidence of scrub typhus cases in China from 2006 to 2014 and quantify differences in scrub typhus cases with respect to sex, age, and occupation. The results of our study indicate that the annual incidence of scrub typhus has increased during the study period. The number of cases peaked in 2014, which was 12.8 times greater than the number of cases reported in 2006. Most (77.97%) of the cases were reported in five provinces (Guangdong, Yunnan, Anhui, Fujian, and Shandong). Our study also demonstrates that the incidence rate of scrub typhus was significantly higher in females compared to males (P < 0.001) and was highest in the 60-69 year age group, and that farmers had a higher incidence rate than nonfarmers (P < 0.001). Different seasonal trends were identified in the number of reported cases between the northern and southern provinces of China. These findings not only demonstrate that China has experienced a large increase in scrub typhus incidence, but also document an expansion in the geographic distribution throughout the country. © The American Society of Tropical Medicine and Hygiene.
Kinematic and Microphysical Control of Lightning Flash Rate over Northern Alabama

NASA Technical Reports Server (NTRS)

Carey, Lawrence D.; Bain, Anthony L.; Matthee, Retha; Schultz, Christopher J.; Schultz, Elise V.; Deierling, Wiebke; Petersen, Walter A.

2015-01-01

The Deep Convective Clouds and Chemistry (DC3) experiment seeks to examine the relationship between deep convection and the production of nitrogen oxides (NO (sub x)) via lightning (LNO (sub x)). A critical step in estimating LNO (sub x) production in a cloud-resolving model (CRM) without explicit lightning is to estimate the flash rate from available model parameters that are statistically and physically correlated. As such, the objective of this study is to develop, improve and evaluate lightning flash rate parameterizations in a variety of meteorological environments and storm types using radar and lightning mapping array (LMA) observations taken over Northern Alabama from 2005-2012, including during DC3. UAH's Advanced Radar for Meteorological and Operational Research (ARMOR) and the Weather Surveillance Radar - 1988 Doppler (WSR 88D) located at Hytop (KHTX) comprises the dual-Doppler and polarimetric radar network, which has been in operation since 2004. The northern Alabama LMA (NA LMA) in conjunction with Vaisala's National Lightning Detection Network (NLDN) allow for a detailed depiction of total lightning during this period. This study will integrate ARMOR-KHTX dual Doppler/polarimetric radar and NA LMA lightning observations from past and ongoing studies, including the more recent DC3 results, over northern Alabama to form a large data set of 15-20 case days and over 20 individual storms, including both ordinary multicell and supercell convection. Several flash rate parameterizations will be developed and tested, including those based on 1) graupel/small hail volume; 2) graupel/small hail mass, and 3) convective updraft volume. Sensitivity of the flash rate parameterizations to storm intensity, storm morphology and environmental conditions will be explored.
Understanding Land System Change Through Scenario-Based Simulations: A Case Study from the Drylands in Northern China

NASA Astrophysics Data System (ADS)

Liu, Zhifeng; Verburg, Peter H.; Wu, Jianguo; He, Chunyang

2017-03-01

The drylands in northern China are expected to face dramatic land system change in the context of socioeconomic development and environmental conservation. Recent studies have addressed changes of land cover with socioeconomic development in the drylands in northern China. However, the changes in land use intensity and the potential role of environmental conservation measures have yet to be adequately examined. Given the importance of land management intensity to the ecological conditions and regional sustainability, our study projected land system change in Hohhot city in the drylands in northern China from 2013 to 2030. Here, land systems are defined as combinations of land cover and land use intensity. Using the CLUMondo model, we simulated land system change in Hohhot under three scenarios: a scenario following historical trends, a scenario with strong socioeconomic and land use planning, and a scenario focused on achieving environmental conservation targets. Our results showed that Hohhot is likely to experience agricultural intensification and urban growth under all three scenarios. The agricultural intensity and the urban growth rate were much higher under the historical trend scenario compared to those with more planning interventions. The dynamics of grasslands depend strongly on projections of livestock and other claims on land resources. In the historical trend scenario, intensively grazed grasslands increase whereas a large amount of the current area of grasslands with livestock converts to forest under the scenario with strong planning. Strong conversion from grasslands with livestock and extensive cropland to semi-natural grasslands was estimated under the conservation scenario. The findings provide an input into discussions about environmental management, planning and sustainable land system design for Hohhot.
Paleo-tsunami history along the northern Japan Trench: evidence from Noda Village, northern Sanriku coast, Japan

NASA Astrophysics Data System (ADS)

Inoue, Taiga; Goto, Kazuhisa; Nishimura, Yuichi; Watanabe, Masashi; Iijima, Yasutaka; Sugawara, Daisuke

2017-12-01

Throughout history, large tsunamis have frequently affected the Sanriku area of the Pacific coast of the Tohoku region, Japan, which faces the Japan Trench. Although a few studies have examined paleo-tsunami deposits along the Sanriku coast, additional studies of paleo-earthquakes and tsunamis are needed to improve our knowledge of the timing, recurrence interval, and size of historical and pre-historic tsunamis. At Noda Village, in Iwate Prefecture on the northern Sanriku coast, we found at least four distinct gravelly sand layers based on correlation and chronological data. Sedimentary features such as grain size and thickness suggest that extreme waves from the sea formed these layers. Numerical modeling of storm waves further confirmed that even extremely large storm waves cannot account for the distribution of the gravelly sand layers, suggesting that these deposits are highly likely to have formed by tsunami waves. The numerical method of storm waves can be useful to identify sand layers as tsunami deposits if the deposits are observed far inland or at high elevations. The depositional age of the youngest tsunami deposit is consistent with the AD 869 Jogan earthquake tsunami, a possible predecessor of the AD 2011 Tohoku-oki tsunami. If this is the case, then the study site currently defines the possible northern extent of the AD 869 Jogan tsunami deposit, which is an important step in improving the tsunami source model of the AD 869 Jogan tsunami. Our results suggest that four large tsunamis struck the Noda site between 1100 and 2700 cal BP. The local tsunami sizes are comparable to the AD 2011 and AD 1896 Meiji Sanriku tsunamis, considering the landward extent of each tsunami deposit.
Exploring the northern limit of the distribution of Saccharomyces cerevisiae and Saccharomyces paradoxus in North America.

PubMed

Charron, Guillaume; Leducq, Jean-Baptiste; Bertin, Chloé; Dubé, Alexandre K; Landry, Christian R

2014-03-01

We examined the northern limit of Saccharomyces cerevisiae and Saccharomyces paradoxus in northeast America. We collected 876 natural samples at 29 sites and applied enrichment methods for the isolation of mesophilic yeasts. We uncovered a large diversity of yeasts, in some cases, associated with specific substrates. Sequencing of the ITS1, 5.8S and ITS2 loci allowed to assign 226 yeast strains at the species level, including 41 S. paradoxus strains. Our intensive sampling suggests that if present, S. cerevisiae is rare at these northern latitudes. Our sampling efforts spread across several months of the year revealed that successful sampling increases throughout the summer and diminishes significantly at the beginning of the fall. The data obtained on the ecological context of yeasts corroborate what was previously reported on Pichiaceae, Saccharomycodaceae, Debaryomycetaceae and Phaffomycetaceae yeast families. We identified 24 yeast isolates that could not be assigned to any known species and that may be of taxonomic, medical, or biotechnological importance. Our study reports new data on the taxonomic diversity of yeasts and new resources for studying the evolution and ecology of S. paradoxus. © 2013 Federation of European Microbiological Societies. Published by John Wiley & Sons Ltd. All rights reserved.
”We own the illness”: a qualitative study of networks in two communities with mixed ethnicity in Northern Norway

PubMed Central

Langås-Larsen, Anette; Salamonsen, Anita; Kristoffersen, Agnete Egilsdatter; Hamran, Torunn; Evjen, Bjørg; Stub, Trine

2018-01-01

ABSTRACT Background: When people in Northern Norway get ill, they often use traditional medicine. The global aim of this study was to examine the extended family networks’ function and responsibility in cases of illness in the family, in two Northern Norwegian communities with a population of mixed ethnicity. Methods: Semi-structured individual interviews with 13 participants and 4 focus group interviews with total 11 participants were conducted. The text data was transcribed verbatim and analysed based on the criteria for content analysis. Results: The participants grew up in areas where it was common to seek help from traditional healers. They were organized in networks and shared responsibility for the patient and they provided practical help and support for the family. According to the networks, health-care personnel should make room for the entire network to visit the patient in severe and life-threatening situations. Conclusion: Traditional networks are an extra resource for people in these communities. The networks seem to be essential in handling and disseminating hope and manageability on an individual as well as a collective level. Health personnel working in communities with mixed ethnicity should have thorough knowledge of the mixed culture, including the importance of traditional network to the patients. PMID:29466927
Landslide Monitoring Using Insar Time-Series and GPS Observations, Case Study: Shabkola Landslide in Northern Iran

NASA Astrophysics Data System (ADS)

Mirzaee, S.; Motagh, M.; Akbari, B.

2017-05-01

Shabkola is a village located in Mazandaran province of northern Iran that suffers from the mass movement happening in the upstream. Deforestation and changes to land use are the main reasons for the soil instability in this region, which together with steep slope, relatively high precipitation rate and natural erosion has led to such a condition. The area of mass movement is approximately 90 hectares which is a big threat for people living in the region. In this study, we have utilized two different geodetic techniques including InSAR time-series analysis and GPS measurements to assess slope stability in Shabkola. The SAR dataset includes 19 ALOS/PALSAR images spanning from July 2007 to February 2011 while GPS observations are collected in 5 campaigns from September 2011 to May 2014. Displacement as much as approximately 11.7 m in slope direction was detected by GPS observations for the 2011-2014 time period. Most of the slope geometry is in north-south direction, for which the sensitivity of InSAR for displacement detection is low. However, ALOS PALSAR data analysis revealed a previously unknown landslide, covered by dense vegetation in the northern part of main Shabkola landslide, showing line-of-sight velocity of approximately 2cm/year in the time period 2007-2011.
Nodding syndrome (NS) and Onchocerca Volvulus (OV) in Northern Uganda.

PubMed

Lagoro, David Kitara; Arony, Denis Anywar

2017-01-01

Nodding Syndrome (NS) is a childhood neurological disorder characterized by atonic seizures, cognitive decline, school dropout, muscle weakness, thermal dysfunction, wasting and stunted growth. There are recent published information suggesting associations between Nodding Syndrome (NS) with cerebrospinal fluid (CSF) VGKC antibodies and serum leiomidin-1 antibody cross reacting with Onchocerca Volvulus ( OV ). These findings suggest a neuro-inflammatory cause of NS and they are important findings in the search for the cause of Nodding Syndrome. These observations perhaps provide further, the unique explanation for the association between Nodding Syndrome and Onchocerca Volvulus . Many clinical and epidemiological studies had shown a significant correlation between NS and infestation with a nematode, Onchocerca volvulus which causes a disease, Onchocerciasis , some of which when left untreated can develop visual defect ("River Blindness"). While these studies conducted in Northern Uganda and Southern Sudan indicate a statistically significant association with ( OV infection (using positive skin snips), we observe that ( OV is generally endemic in many parts of Sub Saharan Africa and Latin America and that to date, no NS cases have been recorded in those regions. This letter to the Editor is to provide additional information on the current view about the relationship between Nodding Syndrome and Onchocerca Volvulus as seen in Northern Uganda.
Nodding syndrome (NS) and Onchocerca Volvulus (OV) in Northern Uganda

PubMed Central

Lagoro, David Kitara; Arony, Denis Anywar

2017-01-01

Nodding Syndrome (NS) is a childhood neurological disorder characterized by atonic seizures, cognitive decline, school dropout, muscle weakness, thermal dysfunction, wasting and stunted growth. There are recent published information suggesting associations between Nodding Syndrome (NS) with cerebrospinal fluid (CSF) VGKC antibodies and serum leiomidin-1 antibody cross reacting with Onchocerca Volvulus (OV). These findings suggest a neuro-inflammatory cause of NS and they are important findings in the search for the cause of Nodding Syndrome. These observations perhaps provide further, the unique explanation for the association between Nodding Syndrome and Onchocerca Volvulus. Many clinical and epidemiological studies had shown a significant correlation between NS and infestation with a nematode, Onchocerca volvulus which causes a disease, Onchocerciasis, some of which when left untreated can develop visual defect ("River Blindness"). While these studies conducted in Northern Uganda and Southern Sudan indicate a statistically significant association with (OV infection (using positive skin snips), we observe that (OV is generally endemic in many parts of Sub Saharan Africa and Latin America and that to date, no NS cases have been recorded in those regions. This letter to the Editor is to provide additional information on the current view about the relationship between Nodding Syndrome and Onchocerca Volvulus as seen in Northern Uganda. PMID:29138647
Influenza seasonality goes south in the Yucatan Peninsula: The case for a different influenza vaccine calendar in this Mexican region.

PubMed

Ayora-Talavera, Guadalupe; Flores, Gerardo Montalvo-Zurbia; Gómez-Carballo, Jesus; González-Losa, Refugio; Conde-Ferraez, Laura; Puerto-Solís, Marylin; López-Martínez, Irma; Díaz-Quiñonez, Alberto; Barrera-Badillo, Gisela; Acuna-Soto, Rodolfo; Livinski, Alicia A; Alonso, Wladimir J

2017-08-24

While vaccination may be relatively straightforward for regions with a well-defined winter season, the situation is quite different for tropical regions. Influenza activity in tropical regions might be out of phase with the dynamics predicted for their hemispheric group thereby impacting the effectiveness of the immunization campaign. To investigate how the climatic diversity of Mexico hinders its existing influenza immunization strategy and to suggest that the hemispheric vaccine recommendations be tailored to the regional level in order to optimize vaccine effectiveness. We studied the seasonality of influenza throughoutMexico by modeling virological and mortality data.De-trended time series of each Mexican state were analyzed by Fourier decomposition to describe the amplitude and timing of annual influenza epidemic cycles and to compare with each the timing of the WHO's Northern and Southern Hemispheric vaccination schedule. The timings of the primary (major) peaks of both virological and mortality data for most Mexican states are well aligned with the Northern Hemisphere winter (December-February) and vaccine schedule. However, influenza peaks in September in the three states of the Yucatan Peninsula. Influenza-related mortality also peaks in September in Quintana Roo and Yucatan whereas it peaks in May in Campeche. As the current timing of vaccination in Mexico is between October and November, more than half of the annual influenza cases have already occurred in the Yucatan Peninsula states by the time the Northern Hemispheric vaccine is delivered and administered. The current Northern Hemispheric influenza calendar adopted for Mexico is not optimal for the Yucatan Peninsula states thereby likely reducing the effectiveness of the immunization of the population. We recommend that Mexico tailor its immunization strategy to better reflect its climatologic and epidemiological diversity and adopt the WHO Southern Hemisphere influenza vaccine and schedule for the Yucatan Peninsula. Copyright © 2017 Elsevier Ltd. All rights reserved.
West Nile Virus Surveillance in 2013 via Mosquito Screening in Northern Italy and the Influence of Weather on Virus Circulation.

PubMed

Calzolari, Mattia; Pautasso, Alessandra; Montarsi, Fabrizio; Albieri, Alessandro; Bellini, Romeo; Bonilauri, Paolo; Defilippo, Francesco; Lelli, Davide; Moreno, Ana; Chiari, Mario; Tamba, Marco; Zanoni, Mariagrazia; Varisco, Giorgio; Bertolini, Silvia; Modesto, Paola; Radaelli, Maria Cristina; Iulini, Barbara; Prearo, Marino; Ravagnan, Silvia; Cazzin, Stefania; Mulatti, Paolo; Monne, Isabella; Bonfanti, Lebana; Marangon, Stefano; Goffredo, Maria; Savini, Giovanni; Martini, Simone; Mosca, Andrea; Farioli, Marco; Gemma Brenzoni, Laura; Palei, Manlio; Russo, Francesca; Natalini, Silvano; Angelini, Paola; Casalone, Cristina; Dottori, Michele; Capelli, Gioia

2015-01-01

West Nile virus (WNV) is a recently re-emerged health problem in Europe. In Italy, an increasing number of outbreaks of West Nile disease, with occurrences of human cases, have been reported since 2008. This is particularly true in northern Italy, where entomological surveillance systems have been implemented at a regional level. The aim of this study was to use, for the first time, all the entomological data collected in the five regions undergoing surveillance for WNV in northern Italy to characterize the viral circulation (at a spatial and temporal scale), identify potential mosquito vectors, and specify relationships between virus circulation and meteorological conditions. In 2013, 286 sites covering the entire Pianura Padana area were monitored. A total of 757,461 mosquitoes were sampled. Of these, 562,079 were tested by real-time PCR in 9,268 pools, of which 180 (1.9%) were positive for WNV. The largest part of the detected WNV sequences belonged to lineage II, demonstrating that, unlike those in the past, the 2013 outbreak was mainly sustained by this WNV lineage. This surveillance also detected the Usutu virus, a WNV-related flavivirus, in 241 (2.6%) pools. The WNV surveillance systems precisely identified the area affected by the virus and detected the viral circulation approximately two weeks before the occurrence of onset of human cases. Ninety percent of the sampled mosquitoes were Culex pipiens, and 178/180 WNV-positive pools were composed of only this species, suggesting this mosquito is the main WNV vector in northern Italy. A significantly higher abundance of the vector was recorded in the WNV circulation area, which was characterized by warmer and less rainy conditions and greater evapotranspiration compared to the rest of the Pianura Padana, suggesting that areas exposed to these conditions are more suitable for WNV circulation. This observation highlights warmer and less rainy conditions as factors able to enhance WNV circulation and cause virus spillover outside the sylvatic cycle.
Prevalence of female genital mutilation among female infants in Kano, Northern Nigeria.

PubMed

Garba, I D; Muhammed, Z; Abubakar, I S; Yakasai, I A

2012-08-01

To determine the prevalence and type of female genital mutilation (FGM) among female infants, reasons and attitude of the mothers to the practice. A cross sectional descriptive study. Tertiary centre in Kano Northern Nigeria. A Pretested questionnaire was administered for mothers of female infants presenting for routine immunization in Aminu Kano Teaching Hospital (AKTH). A total of 250 questionnaires were administered, but only 200 were properly filled and this was used for the analysis. Prevalence and type of FGM, reason for and attitude of mothers towards FGM. Twenty-six infants had FGM during the period of study, giving a prevalence rate of 13 %. The mean age at cutting was 8 days ± 7.3. The commonest type of FGM was type I accounting for 96.2 % of the cases. Tradition/culture was the commonest reason for mutilation accounting for 73.1 %, other reasons included; religious in 11.5 %, hygienic in 11.5 % and to preserve virginity in 3.8 %. Traditional barbers were the commonest operators in 80.8 % of cases, followed by the nurse/midwife in 15.4 % of cases. The fathers were the main decision makers in 46.2 %, followed by both parents in 26.9 % and grandparents in 15.4 % of the cases. 84 % of mothers were not in support of the practice. Thirteen percent of the clients would circumcise all their daughters. Forty-eight percent of the clients were of the opinion that FGM cause harm to the victims. Four percent of those whose daughters were yet to be circumcised will do so later. Female genital cutting is still practiced in our environment. Educational enlightenment is fundamental in changing public opinion as well as in offering reasonable alternative to FGM. Campaign against the practice of FGM should be encouraged to eradicate its practice.
Stroke management in northern Lombardy: organization of an emergency-urgency network and development of a connection between prehospital and in-hospital settings.

PubMed

Vidale, Simone; Verrengia, Elena; Gerardi, Francesca; Arnaboldi, Marco; Bezzi, Giacomo; Bono, Giorgio; Guidotti, Mario; Grampa, Giampiero; Perrone, Patrizia; Zarcone, Davide; Zoli, Alberto; Beghi, Ettore; Agostoni, Elio; Porazzi, Daniele; Landriscina, Mario

2012-08-01

Stroke is the leading cause of disability in adulthood, and the principal aim of care in cerebrovascular disease is the reduction of this negative outcome and mortality. Several studies demonstrated the efficacy of thrombolytic therapy in ischemic stroke, but up to 80% of cases could not be treated because the diagnostic workup exceeds the time limit. In this article, we described the design of a study conducted in the northern Lombardy, within the district of Sondrio, Lecco, Como, and Varese. The awaited results of this study are reduction of avoidable delay, organization of an operative stroke emergency network, and identification of highly specialized structures. The study schedules education and data registration with implementation and training of acute stroke management algorithms. The use of standardized protocols during prehospital and in-hospital phase can optimize acute stroke pathways. The results of this study could contribute to the assessment of an effective and homogeneous health system to manage acute stroke. © 2012 The Authors. International Journal of Stroke © 2012 World Stroke Organization.
Impact of a Food Safety Campaign on Streptococcus suis Infection in Humans in Thailand.

PubMed

Takeuchi, Dan; Kerdsin, Anusak; Akeda, Yukihiro; Chiranairadul, Piphat; Loetthong, Phacharaphan; Tanburawong, Nutchada; Areeratana, Prasanee; Puangmali, Panarat; Khamisara, Kasean; Pinyo, Wirasinee; Anukul, Rapeepun; Samerchea, Sutit; Lekhalula, Punpong; Nakayama, Tatsuya; Yamamoto, Kouji; Hirose, Masayo; Hamada, Shigeyuki; Dejsirilert, Surang; Oishi, Kazunori

2017-06-01

Abstract Streptococcus suis is an important zoonotic pathogen in swine and humans that causes sepsis and meningitis. Our previous study in Thailand showed that the prevalence of S. suis infection in humans, especially in northern areas of Thailand, and the transmission of the pathogen occurred mainly through the consumption of traditional raw pork products. Considering the high incidence proportion and mortality rate of the disease as an important public health problem, we implemented a food safety campaign in the Phayao Province in northern Thailand in 2011. We evaluated the effects of a food safety campaign by comparing the sociodemographic, clinical, and bacteriological characteristics of cases before and after the campaign. The follow-up study showed a marked decrease of the incidence proportion in the first 2 years, indicating the effectiveness of the campaign. In the third year, however, the incidence proportion slightly increased again, indicating the existence of deep-rooted cultural behaviors and the necessity of continuous public health intervention. Furthermore, epidemiological analysis of the cases made it possible to estimate the infectivity of the pathogen via the oral route of infection. In the present study, we showed the effectiveness of the food safety campaign for controlling the S. suis infection, and we present a role model public health intervention for prevalent areas affected by S. suis infection in humans.
Impact of a Food Safety Campaign on Streptococcus suis Infection in Humans in Thailand

PubMed Central

Takeuchi, Dan; Kerdsin, Anusak; Akeda, Yukihiro; Chiranairadul, Piphat; Loetthong, Phacharaphan; Tanburawong, Nutchada; Areeratana, Prasanee; Puangmali, Panarat; Khamisara, Kasean; Pinyo, Wirasinee; Anukul, Rapeepun; Samerchea, Sutit; Lekhalula, Punpong; Nakayama, Tatsuya; Yamamoto, Kouji; Hirose, Masayo; Hamada, Shigeyuki; Dejsirilert, Surang; Oishi, Kazunori

2017-01-01

Streptococcus suis is an important zoonotic pathogen in swine and humans that causes sepsis and meningitis. Our previous study in Thailand showed that the prevalence of S. suis infection in humans, especially in northern areas of Thailand, and the transmission of the pathogen occurred mainly through the consumption of traditional raw pork products. Considering the high incidence proportion and mortality rate of the disease as an important public health problem, we implemented a food safety campaign in the Phayao Province in northern Thailand in 2011. We evaluated the effects of a food safety campaign by comparing the sociodemographic, clinical, and bacteriological characteristics of cases before and after the campaign. The follow-up study showed a marked decrease of the incidence proportion in the first 2 years, indicating the effectiveness of the campaign. In the third year, however, the incidence proportion slightly increased again, indicating the existence of deep-rooted cultural behaviors and the necessity of continuous public health intervention. Furthermore, epidemiological analysis of the cases made it possible to estimate the infectivity of the pathogen via the oral route of infection. In the present study, we showed the effectiveness of the food safety campaign for controlling the S. suis infection, and we present a role model public health intervention for prevalent areas affected by S. suis infection in humans. PMID:28719258

Frost monitoring of fruit tree with satellite data

NASA Astrophysics Data System (ADS)

Fan, Jinlong; Zhang, Mingwei; Cao, Guangzheng; Zhang, Xiaoyu; Liu, Chenchen; Niu, Xinzan; Xu, Wengbo

2012-09-01

The orchards are developing very fast in the northern China in recent years with the increasing demands on fruits in China. In most parts of the northern China, the risk of frost damage to fruit tree in early spring is potentially high under the background of global warming. The growing season comes earlier than it does in normal year due to the warm weather in earlier spring and the risk will be higher in this case. According to the reports, frost event in spring happens almost every year in Ningxia Region, China. In bad cases, late frosts in spring can be devastating all fruit. So lots of attention has been given to the study in monitoring, evaluating, preventing and mitigating frost. Two orchards in Ningxia, Taole and Jiaozishan orchards were selected as the study areas. MODIS data were used to monitor frost events in combination with minimum air temperature recorded at weather station. The paper presents the findings. The very good correlation was found between MODIS LST and minimum air temperature in Ningxia. Light, middle and severe frosts were captured in the study area by MODIS LST. The MODIS LST shows the spatial differences of temperature in the orchards. 10 frost events in April from 2000 to 2010 were captured by the satellite data. The monitoring information may be hours ahead circulated to the fruit farmers to prevent the damage and loss of fruit trees.
The incidence and aetiology of acute pancreatitis across Europe.

PubMed

Roberts, Stephen E; Morrison-Rees, Sian; John, Ann; Williams, John G; Brown, Tim H; Samuel, David G

Acute pancreatitis is increasingly one of the most important acute gastrointestinal conditions throughout much of the world, although incidence and aetiology varies across countries and regions. This study investigated regional and national patterns in the incidence and aetiology of acute pancreatitis, demographic patterns in incidence and trends over time in incidence across Europe. A structured review of acute pancreatitis incidence and aetiology from studies of hospitalised patient case series, cohort studies or other population based studies from 1989 to 2015 and a review of trends in incidence from 1970 to 2015 across all 51 European states. The incidence of acute pancreatitis was reported from 17 countries across Europe and ranged from 4.6 to 100 per 100 000 population. Incidence was usually highest in eastern or northern Europe, although reported rates often varied according to case ascertainment criteria. Of 20 studies that reported on trends in incidence, all but three show percentage increases over time (overall median increase = 3.4% per annum; range = -0.4%-73%). The highest ratios of gallstone to alcohol aetiologies were identified in southern Europe (Greece, Turkey, Italy and Croatia) with lowest ratios mainly in eastern Europe (Latvia, Finland, Romania, Hungary, Russia and Lithuania). The incidence of acute pancreatitis varies across Europe. Gallstone is the dominant aetiology in southern Europe and alcohol in eastern Europe with intermediate ratios in northern and western Europe. Acute pancreatitis continues to increase throughout most of Europe. Copyright © 2017. Published by Elsevier B.V.
What It Means to Be Guinea Worm Free: An Insider’s Account from Ghana’s Northern Region

PubMed Central

Weiss, Adam J.; Vestergaard Frandsen, Torben; Ruiz-Tiben, Ernesto; Hopkins, Donald R.; Aseidu-Bekoe, Franklin; Agyemang, David

2018-01-01

Abstract. Despite several periods of stagnating guinea worm disease (GWD) incidence in Ghana during its national eradication campaign in the 1990s and early 2000s, the last reported case of GWD was in May 2010. In July 2011, Ghana celebrated the interruption of guinea worm (GW) transmission. Although it has been established that GWD causes disability, pain, and socioeconomic hardship, there is a dearth of population-based evidence collected in post-GW–endemic countries to document the value attributed to GWD eradication by residents in formerly endemic communities. Given Ghana’s recent history of GWD and a concentrated burden of the disease in its Northern Region, a pattern which remained true through to the final stage of the eradication campaign, seven villages in the Northern Region were targeted for a retrospective, cross-sectional study to detail the perceptions, attitudes, and beliefs about the impact of eradication of GWD in northern Ghana. The study revealed that respondents from the sampled communities felt GW eradication improved their socioeconomic conditions, as the impact of infection prohibited the pursuit of individual and social advancement. The value residents placed on the absence of GWD highlights both the impact infection had on the pursuit of social and economic advancement and the newfound ability to be disease-free and productive. Of the 143 respondents, 133 had GWD in the past and were incapacitated for an average of 6 weeks annually per GW infection, with each infected person affected nearly four times in his or her lifetime. PMID:29557333
Biomarker Tools to Design Clinical Vaccines Determined from a Study of Annual Listeriosis Incidence in Northern Spain

PubMed Central

Calderon-Gonzalez, Ricardo; Teran-Navarro, Hector; Marimon, José María; González-Rico, Claudia; Calvo-Montes, Jorge; Frande-Cabanes, Elisabet; Alkorta-Gurrutxaga, Miriam; Fariñas, M. C.; Martínez-Martínez, Luis; Perez-Trallero, Emilio; Alvarez-Dominguez, Carmen

2016-01-01

Two regions of northern Spain, Gipuzkoa, and Cantabria present high annual incidence of listeriosis (1.86 and 1.71 cases per 100,000 inhabitants, respectively). We report that the high annual incidences are a consequence of infection with highly virulent Listeria monocytogenes isolates linked to fatal outcomes in elderly patients with cancer. In addition, listeriosis patients with cancer present low IL-17A/IL-6 ratios and significantly reduced levels of anti-GAPDH1–22 antibodies, identified as two novel biomarkers of poor prognosis. Analysis of these biomarkers may aid in reducing the incidence of listeriosis. Moreover, GAPDH1–22-activated monocyte-derived dendritic cells of listeriosis patients with cancer seem useful tools to prepare clinical vaccines as they produce mainly Th1 cytokines. PMID:27965668
Symptom profile and etiology of delirium in a referral population in northern india: factor analysis of the DRS-R98.

PubMed

Mattoo, Surendra K; Grover, Sandeep; Chakravarty, Kaustav; Trzepacz, Paula T; Meagher, David J; Gupta, Nitin

2012-01-01

Delirium is understudied in developing countries, where there tends to be a lower proportion of older persons and comorbid dementia. The authors assessed 100 consecutive cases of DSM-IV delirium (patients' mean age: 44.4 [standard deviation: 19.4] years; mean DRS-R98 score: 25.6 [3.6]) referred to an adult Consultation-Liaison Psychiatry service in Northern India. Disturbances of attention, orientation, visuospatial ability, and sleep disturbance were the most frequent symptoms, followed by language, thought-process abnormality, and motor agitation. A three-factor solution was identified, representing domains for cognition, higher-order thinking, and circadian rhythm/psychosis. These domains can guide studies addressing the relationship between symptom profile, therapeutic needs, and outcomes and are consistent with core domains previously identified in other countries.
Programa de fortalecimiento de capacidades: reflections on a case study of community-based teacher education set in rural northern Peru

NASA Astrophysics Data System (ADS)

Alsop, Steve; Ames, Patricia; Arroyo, Graciela Cordero; Dippo, Don

2010-12-01

This article explores distinctive features of a 5-year international education development project set in rural northern Peru (PROMEB, the Proyecto de Mejoramiento de la Educación Básica). Grounded within a partnership between teacher educators from Peru, Mexico and Canada, and rural Peruvian teachers, students and their communities, we offer reflections on a teacher education initiative which sought to support action-orientated inquiries as a mechanism for school/community development. Set against a background of poverty, hunger, isolation and an "educational crisis", we outline our pedagogy and describe two projects. We then reflect on the influences of our engagements and on associated tensions and ambiguities in our methods. We hope that such discussions might offer insights for others involved in international school/community development projects of this type.
Detection rate of prostate cancer following biopsy among the northern Han Chinese population: a single-center retrospective study of 1022 cases.

PubMed

Jia, Yong; Zhu, Lei-Yi; Xian, Yu-Xin; Sun, Xiao-Qing; Gao, Jian-Gang; Zhang, Xin-Hong; Hou, Si-Chuan; Zhang, Chang-Cun; Liu, Zhao-Xu

2017-08-29

Prostate cancer is known to have ethnic and regional differences. The study aimed to clinically evaluate the detection rate of prostate cancer on transrectal ultrasonography (TRUS)-guided prostate biopsy and analyze its characteristics among the northern Han Chinese population at a single center. Between October 2009 and September 2016, a total of 1027 Chinese men, who had undergone TRUS-guided prostate biopsy at Qingdao Municipal Hospital, were retrospectively analyzed. Prostate biopsies were performed in the case of an abnormally elevated serum PSA level, and/or abnormal digital rectal examination (DRE) findings, and/or suspicious prostatic imaging findings. Of the 1022 men enrolled in the analysis, 438 patients (42.8%) were diagnosed with prostate adenocarcinoma histologically. When serum PSA levels were divided into five subgroups (less than 4.0, 4.0 to 10.0, 10.0 to 20.0, 20.0 to 100.0, and ≥ 100.0 ng/ml), the detection rates of prostate cancer were 12.4, 15.9, 34.1, 66.2, and 93.8%, respectively. With serum PSA levels of 4.0 to 10.0 ng/ml, the cancer detection rates for a normal DRE and a suspect DRE finding were 13.5 and 58.2%, respectively. Accordingly, the cancer detection rates for a normal imaging and a suspect imaging finding were 13.5 and 58.2%, respectively. Besides, a large proportion of the patients were in the clinically advanced stage. The present study data reported a relatively higher prostate cancer detection rate of 42.8% and that the majority of the patients presented with clinically advanced prostate cancers within a local clinical urologic practice. An early detection and screening program for prostate cancer is of great need to reduce the burden from this disease among the northern Han Chinese population.
Matrimonial and Family Proceedings (Northern Ireland) Order, 1989 (S.I. No. 677 of 1989 [N.I. 4]).

PubMed

1989-01-01

This Northern Ireland Order 1) replaces the present restriction on the presentation of a petition for divorce within 3 years of marriage without the leave of the court with an absolute bar on the presentation of a petition within 2 years of marriage; 2) provides for the extension of the 3-year period within which certain petitions for a decree of nullity must be presented in cases where the petitioner suffers from mental disorder; 3) amends the Matrimonial Causes (Northern Ireland) Order 1978 (N.I. 15) and the Domestic Proceedings (Northern Ireland) Order 1980 (N.I. 5) in relation to the powers of courts to provide for financial relief in matrimonial and certain other family proceedings; 4) confers new powers on the High Court to grant financial relief to a party to a marriage following a divorce, annulment, or legal separation granted in an overseas country which is recognized as valid in Northern Ireland; 5) makes fresh provision as to the powers of courts to make declarations relating to the status of a person; 6) abolishes the right to petition for jactitation of marriage; and 7) reenacts with amendments Sched. 2 to the Rent (Northern Ireland) Order 1978 (N.I. 20).
Diverse Communications Project at Vandenberg Air Force Base

DTIC Science & Technology

2008-07-25

genus Euphilotes, the El Segundo blue butterfly spends its entire life cycle in intimate association with a species of buckwheat, in this case coast...to LF 24, Parquee Road. Approximately 1,300 feet of line would cross under Point Sal Road and continue along the northern edge of Parquee Road to...would tie MH 1964 A1 to LF 23. Approximately 1,000 feet of communication line would be installed from MH 1964 A1 north and along the northern border of
All Christians? Experiences of science educators in Northern Ireland

NASA Astrophysics Data System (ADS)

Murphy, Colette; Hickey, Ivor; Beggs, Jim

2010-03-01

In this paper we respond to Staver's article (this issue) on an attempt to resolve the discord between science and religion. Most specifically, we comment on Staver's downplaying of difference between Catholics and Protestants in order to focus on the religion-science question. It is our experience that to be born into one or other of these traditions in some parts of the world (especially Northern Ireland) resulted in starkly contrasting opportunities, identities and practices in becoming and being science educators. The paper starts with a short contextual background to the impact of religion on schooling and higher education in Northern Ireland. We then explore the lives and careers of three science/religious educators in Northern Ireland: Catholic (Jim) and Protestant (Ivor) males who are contemporaries and whose experience spans pre-Troubles to post-conflict and a Catholic female (Colette) who moved to Northern Ireland during the Troubles as a teenager. Finally, we discuss the situation regarding the teaching of creationism and evolution in Northern Ireland—an issue has recently generated high public interest. The Chair of the Education Committee of the Northern Ireland Assembly recently stated that "creationism is not for the RE class because I believe that it can stand scientific scrutiny and that is a debate which I am quite happy to encourage and be part of…" (News Letter 2008). It could be the case that the evolution debate is being fuelled as a deliberate attempt to undermine some of the post-conflict collaboration projects between schools and communities in Northern Ireland.
Geographic Expansion of Lyme Disease in the Southeastern United States, 2000-2014.

PubMed

Lantos, Paul M; Nigrovic, Lise E; Auwaerter, Paul G; Fowler, Vance G; Ruffin, Felicia; Brinkerhoff, R Jory; Reber, Jodi; Williams, Carl; Broyhill, James; Pan, William K; Gaines, David N

2015-12-01

Background. The majority of Lyme disease cases in the United States are acquired on the east coast between northern Virginia and New England. In recent years the geographic extent of Lyme disease has been expanding, raising the prospect of Lyme disease becoming endemic in the southeast. Methods. We collected confirmed and probable cases of Lyme disease from 2000 through 2014 from the Virginia Department of Health and North Carolina Department of Public Health and entered them in a geographic information system. We performed spatial and spatiotemporal cluster analyses to characterize Lyme disease expansion. Results. There was a marked increase in Lyme disease cases in Virginia, particularly from 2007 onwards. Northern Virginia experienced intensification and geographic expansion of Lyme disease cases. The most notable area of expansion was to the southwest along the Appalachian Mountains with development of a new disease cluster in the southern Virginia mountain region. Conclusions. The geographic distribution of Lyme disease cases significantly expanded in Virginia between 2000 and 2014, particularly southward in the Virginia mountain ranges. If these trends continue, North Carolina can expect autochthonous Lyme disease transmission in its mountain region in the coming years.
The Feasibility of Xpert MTB/RIF Testing to Detect Rifampicin Resistance among Childhood Tuberculosis for Prevalence Surveys in Northern China.

PubMed

Lu, Jie; Li, Huimin; Dong, Fang; Shi, Jin; Yang, Hui; Han, Shujing; Chu, Ping; Zhao, Yanlin; Song, Wenqi; Guo, Yongli; Zhao, Shunying

2017-01-01

Drug resistance surveillance is crucial for control of drug-resistant tuberculosis (TB). However, limited data exists on the burden of drug-resistant TB in children. The goal of this work was to generate prevalence data regarding rifampicin- (RIF-) resistant childhood TB in northern China and to test the feasibility of Xpert for surveying pediatric TB drug resistance prevalence. We enrolled 362 clinically diagnosed childhood TB patients and collected sputum, gastric lavage aspirate (GLA), bronchoalveolar lavage fluid (BALF), and cerebral spinal fluid (CSF) samples. Xpert and solid culture were utilized to detect RIF resistance. The detection rate of Xpert-positive TB among new clinically diagnosed TB cases was 38.4% (139/362), significantly higher than that of solid culture-positive TB (16.3%, 59/362, P < 0.01). Notably, Xpert-positive rates differed significantly by sample type, with the highest positive rate for GLA (51.2%). The unit testing costs per RIF-resistant TB patient were $828.41 for solid culture and $761.86 for Xpert. Our data demonstrate that the prevalence of RIF resistance among childhood TB cases in our study (6.9%) is comparable to the national RIF resistance prevalence level of new cases (6.7%). In addition, Xpert is superior to the solid culture for RIF resistance survey in the childhood TB patients.
Northern Studies at Northern Universities.

ERIC Educational Resources Information Center

Northern Review: A Multidisciplinary Journal of the Arts and Social Sciences of the North, 1994

1994-01-01

Describes college programs and research projects focused on the Arctic, northern studies, or northern concerns at Athabasca University (Alberta), the University of British Columbia, the University of Alaska Anchorage, the University of Alaska Fairbanks, the Scott Polar Institute at the University of Cambridge (England), and Kent State University…
Beneficial nutritional properties of olive oil: implications for postprandial lipoproteins and factor VII.

PubMed

Williams, C M

2001-08-01

Previous research concerning protective cardiovascular properties of olive oil has focussed on the beneficial consequences on blood cholesterol levels of substituting dietary saturated fatty acids with oleic acid. Despite evidence implicating raised circulating triglycerides in the postprandial state in the pathogenesis of atherosclerosis and thrombosis, little research had been conducted to investigate effects of monounsaturated fatty acids on postprandial events. In a case control study of southern (n = 30) versus northern European (n = 30) men, significant differences in postprandial triglyceride and apolipoprotein (apo) B-48 response were observed, with evidence of attenuated and potentially beneficial responses in the Southern Europeans. In a randomised controlled study manufactured foods typical of the Northern European food culture, were used to deliver diets rich in either saturated or monounsaturated fatty acids (from olive oil). During the period of the olive oil enriched diet, LDL-cholesterol levels were 15% lower (p < 0.001) than during the saturated fat diet. Postprandial triglyceride response was shifted towards the profile seen in southern European men and the postprandial activation of factor VII, as well as the production of factor VII antigen, was reduced on the olive oil diet. The study demonstrated significant improvements in biomarkers for cardiovascular disease in subjects osed to high olive oil diets (Southern Europeans) or transferred to such diets in the short term (Northern European volunteers). The study produced novel findings with respect to potential mechanisms by which diets high in monounsaturated fatty acids (MUFA) can reduce population risk of cardiovascular disease.
Civil-Military Operations in the Post Conflict Environment: Northern Uganda Case Study

DTIC Science & Technology

2011-12-01

used to provide direct assistance in stabilizing a situation and building self -sufficient capacity in the crisis area. According to the U.S. SSTR...are a source of soft power to influence the population and avoid using kinetic military power. By deterring the population away from an insurgency...militaries train their personnel to coordinate, while humanitarian employees emphasize self -reliance in their areas of expertise.100 This disparity
Effect of Cylindrically Shaped Atoll on Westward-Propagating Anticyclonic Eddy - A Case Study

DTIC Science & Technology

2011-07-07

IEEE GEOSCIENCE AND REMOTE SENSING LETTERS, VOL. 9, NO. 1, JANUARY 2012 43 Effect of Cylindrically Shaped Atoll on Westward-Propagating Anticyclonic...across the Dongsha atoll situated on the continental slope in the northern South China Sea (SCS). Satellite observa- tions of this phenomenon are...used to identify eddy weakening and deforming. Stronger anticyclonic eddies are weakening within a distance of 30–120 km from the atoll . A weaker
Investigation into High Barmah Forest Virus Disease Case Numbers Reported in the Northern Territory, Australia in 2012-2013.

PubMed

Kurucz, Nina; Markey, Peter; Draper, Anthony; Melville, Lorna; Weir, Richard; Davis, Steven; Warchot, Allan; Boyd, Rowena; Stokeld, Danielle

2016-02-01

Between October 2012 and October 2013, unprecedented high numbers of Barmah Forest virus (BFV) disease cases were reported in the Northern Territory (NT). An investigation was launched by the NT Department of Health in cooperation with the Department of Primary Industry and Fisheries and the Department of Land Resource Management to investigate possible causes for this phenomenon. The investigation included virus isolations from mosquitoes collected in Darwin urban areas, BFV antibody testing in peri-urban small mammals and a human BFV disease case series investigation of recent cases. No BFV was isolated from the 4641 mosquitoes tested, none of the mammals tested positive for BFV antibodies, and the high BFV disease case numbers did not correlate with the relatively low mosquito vector numbers trapped in 2012-2013. It was estimated that up to 89% of the 79 human cases investigated did not have an acute arboviral illness and therefore had tested falsely positive. An Alere PanBio BFV immunoglobulin M enzyme-linked immunosorbent assay test kit is generally used to test for BFV, with the BFV disease case definition based on immunoglobulin M positives only. Other jurisdictions in Australia also reported high numbers of BFV disease cases, with the majority of the cases suspected to be false positives. Therefore, current testing methods need to be revised to reflect the true numbers of BFV disease cases occurring in Australia and to provide correct diagnoses for patients.
Health Impact Assessment (HIA) in Ireland and the role of local government

DOE Office of Scientific and Technical Information (OSTI.GOV)

O'Mullane, Monica, E-mail: Monica.omullane@truni.sk; Quinlivan, Aodh, E-mail: A.quinlivan@ucc.ie

Background: Health Impact Assessment (HIA) in Ireland has developed significantly since its endorsement in the health strategies of the Republic of Ireland (2001) and Northern Ireland (2002). Throughout 2007 and 2008, research was conducted to examine HIA as a policy-informing tool throughout both jurisdictions. One aspect of this research investigated the role of local government and its relationship in advancing HIA practise and use in Ireland. Methods: A case study research design was used which employed qualitative research methods, including semistructured interviewing and participant observation. In total 48 interviews were conducted with members of the HIA steering committees and individualsmore » closely involved in the HIAs. Results: The relationship between local government and HIA in Northern Ireland is a positive one given the strong tradition of local government in the jurisdiction. The Review of Public Administration (RPA) negatively influenced the integration of HIA into local authority procedures. In the Republic of Ireland, the influence of social values and political will was found to be negatively present with the HIA on Traveller accommodation. Evidence from the HIA conducted on traffic and transport in Dublin was used to plan further health promotion and community planning activities in the area. Conclusion: Local government plays a vital role in HIA practise and development in both jurisdictions. The willingness to work with external partners (such as the health care services) was an important enabler or barrier to HIA operation. This will remain the case in the foreseeable future. - Highlights: Black-Right-Pointing-Pointer We investigated influences on the use of HIA knowledge of four cases from Northern Ireland and the Republic of Ireland. Black-Right-Pointing-Pointer The engagement of the public authorities assists implementation of the findings of the HIA. Black-Right-Pointing-Pointer Tension continues between positivist and incrementalist approaches towards HIA.« less
Electrical Fatalities in Northern Ireland

PubMed Central

Lucas, James

2009-01-01

A review of autopsy reports in cases of electrocution in Northern Ireland revealed that there were 50 accidental electrocutions and 9 suicidal electrocutions over a 22 year period (1982 – 2003). No cases of homicidal electrocution were detected in this jurisdiction. Analysis of the cohort of accidental electrocutions showed that there was a clear skew towards young and middle-aged male adults with deaths occurring more frequently in the summer months. Almost 60% of individuals were engaged in occupational tasks when they were accidentally electrocuted. High and low voltage-related deaths occurred with similar frequency and electrical appliances were found to be responsible for approximately one third of accidental electrocutions. The potential hazards of electricity must continue to be stressed in public safety campaigns if these relatively uncommon but tragic deaths are to be prevented. PMID:19252729
Opisthorchiasis in infant remains from the medieval Zeleniy Yar burial ground of XII-XIII centuries AD

PubMed Central

Slepchenko, Sergey Mikhailovich; Gusev, Alexander Vasilevich; Ivanov, Sergey Nikolaevich; Svyatova, Evgenia Olegovna

2015-01-01

We present a paleoparasitological analysis of the medieval Zeleniy Yar burial ground of the XII-XII centuries AD located in the northern part of Western Siberia. Parasite eggs, identified as eggs of Opisthorchis felineus, were found in the samples from the pelvic area of a one year old infant buried at the site. Presence of these eggs in the soil samples from the infant’s abdomen suggests that he/she was infected with opisthorchiasis and imply consumption of undercooked fish. Ethnographic records collected among the population of the northern part of Western Siberia reveal numerous cases of feeding raw fish to their children. Zeleniy Yar case of opisthorchiasis suggests that this dietary custom has persisted from at least medieval times. PMID:26602874

Anthrax of the Gastrointestinal Tract

DTIC Science & Technology

2002-07-01

partial immunity. * Chiang Mai University, Chiang Mai , Thailand; and †Armed Forces Research Institute of Medical Sciences, Bangkok, Thailand T PERSPECTIVE...1982 in Chiang Mai , northern Thailand (25). A total of 52 cases of cutaneous anthrax and 24 cases of oropharyngeal anthrax were recognized in humans...was the case in the Chiang Mai outbreak (25). Only those who eat dishes that are raw or undercooked are exposed to infectious material. Disease is
Perceived treatment efficacy of the last experienced illness episode in a community sample in the northern Province, South Africa.

PubMed

Peltzer, K

2000-03-01

This study determined the perceived efficacy of various health care providers for the last illness episode patients had suffered. 104 African/Black participants (50 male and 54 female), chosen by quota sampling from the general public (urban population of Mankweng), Northern Province, were interviewed. The research design was a one-shot case study. Medical treatment (68%) was the major choice of treatment for minor, major and chronic medical condition as well as psychological/mental disorders. The second most important treatment choice was the herbalist (19%) for minor and chronic conditions as well as traditional illness, followed by the diviner (9%) prophet or faith healer (4%) and psychologist (2%). Combined traditional or faith healing was utilized by 32% of the sample and combined western treatment by 68%. Regarding the self-rated treatment efficacy for the last illness episode western treatment was generally perceived as more effective than traditional or faith healing. However, traditional or faith healing was considered almost as long lasting as western therapy.
Effect of pellet-cladding interaction (PCI) and degradation mechanisms on spent nuclear fuel rod mechanical performance during transportation

NASA Astrophysics Data System (ADS)

Peterson, Brittany Ann

Winter storms can affect millions of people, with impacts such as disruptions to transportation, hazards to human health, reduction in retail sales, and structural damage. Blizzard forecasts for Alberta Clippers can be a particular challenge in the Northern Plains, as these systems typically depart from the Canadian Rockies, intensify, and impact the Northern Plains all within 24 hours. The purpose of this study is to determine whether probabilistic forecasts derived from a local physics-based ensemble can improve specific aspects of winter storm forecasts for three Alberta Clipper cases. Verification is performed on the ensemble members and ensemble mean with a focus on quantifying uncertainty in the storm track, two-meter winds, and precipitation using the MERRA and NOHRSC SNODAS datasets. This study finds that addition improvements are needed to proceed with operational use of the ensemble blizzard products, but the use of a proxy for blizzard conditions yields promising results.
Progress toward poliomyelitis eradication --- Nigeria, January 2010-June 2011.

PubMed

2011-08-12

The Global Polio Eradication Initiative (GPEI) was launched by the World Health Assembly in 1988. By 2006, transmission of indigenous wild poliovirus (WPV) was interrupted in all countries except Nigeria, Afghanistan, Pakistan, and India. Among the 36 states and Federal Capital Territory of Nigeria, WPV transmission has persisted in eight northern states considered at high risk; in addition, four other northern states have been considered at high risk for WPV transmission. In these 12 high-risk states, type 2 circulating vaccine-derived poliovirus (cVDPV2) transmission also was observed during 2005-2011. This report updates GPEI progress in Nigeria during January 2010--June 2011 and describes activities required to interrupt transmission. In Nigeria, confirmed WPV cases decreased 95%, from 388 in 2009 to 21 in 2010; cVDPV2 cases decreased 82%, from 154 in 2009 to 27 in 2010. However, as of July 26, 2011, Nigeria had reported 24 WPV cases (including one WPV/cVDPV2 coinfection) and 11 cVDPV2 cases during January-June 2011, compared with six WPV cases and 10 cVDPV2 cases during January-June 2010. Despite substantial progress, immunization activities and surveillance sensitivity will need to be enhanced further to interrupt WPV transmission in Nigeria by the end of 2011.
Gut microbiota in Parkinson disease in a northern German cohort.

PubMed

Hopfner, Franziska; Künstner, Axel; Müller, Stefanie H; Künzel, Sven; Zeuner, Kirsten E; Margraf, Nils G; Deuschl, Günther; Baines, John F; Kuhlenbäumer, Gregor

2017-07-15

Pathologic and epidemiologic studies suggest that Parkinson disease (PD) may in some cases start in the enteric nervous system and spread via the vagal nerve to the brainstem. Mounting evidence suggests that the gut microbiome plays an important role in the communication between gut and brain and that alteration of the gut microbiome is involved in the pathogenesis of numerous diseases, including Parkinson disease. The aim of this study was to determine whether Parkinson disease is associated with qualitative or quantitative changes in the gut microbiome. We analyzed the gut microbiome in 29 PD cases and 29 age-matched controls by next-generation-sequencing of the 16S rRNA gene and compared diversity indices and bacterial abundances between cases and controls. Alpha diversity measures and the abundance of major phyla did not differ between cases and controls. Beta diversity analyses and analysis on the bacterial family level revealed significant differences between cases and controls for four bacterial families. In keeping with recently published studies, Lactobacillaceae were more abundant in cases. Barnesiellaceae and Enterococcacea were also more abundant in cases in this study but not in other studies. Larger studies, accounting for drug effects and further functional investigations of the gut microbiome are necessary to delineate the role of the gut microbiome in the pathogenesis of PD. Copyright © 2017 Elsevier B.V. All rights reserved.
Tuberculosis treatment outcome and predictors in northern Ethiopian prisons: a five-year retrospective analysis.

PubMed

Adane, Kelemework; Spigt, Mark; Dinant, Geert-Jan

2018-02-20

The prison situations are notorious for causing interruptions of tuberculosis (TB) treatment and occurrence of unfavorable outcomes. In Ethiopian prisons, though TB treatment programs exist, treatment outcome results and factors contributing to unsuccessful outcome are not well documented. In this study, we assessed the treatment outcome of TB cases and identified risk factors for unsuccessful outcome in northern Ethiopian prisons. A retrospective record review was conducted for all prisoners diagnosed with TB between September 2011 and August 2015. Outcome variables were defined following WHO guidelines. Out of the 496 patients, 11.5% were cured, 68% completed treatment, 2.5% were lost to follow-up, 1.6% were with a treatment failure, 1.4% died, and 15% were transferred out. All transferred out or released prisoners were not appropriately linked to health facilities and might be lost to treatment follow-up. The overall treatment success rate (TSR) of the 5 years was 94% among the patients who were not transferred out. The odds of unsuccessful outcome were 4.68 times greater among re-treatment cases compared to the newly treated cases. The year of treatment was also associated with variations in TSR; those treated during the earlier year were more likely to have unsuccessful outcome. Sputum non-conversion at the second-month check-up was strongly associated with unsuccessful outcome among the smear-positive cases. The mean TSR of the prisoners in the study prisons was quite satisfactory when gauged against the target level set by the End TB Strategy. However, the lack of appropriate linkage and tracking systems for those prisoners transferred or released before their treatment completion would have a negative implication for the national TB control program as such patients might interrupt their treatment and develop drug-resistant TB. Being in a re-treatment regimen and sputum non-conversion at the second-month check-up were significantly associated with unsuccessful treatment outcome among the all forms of and smear-positive TB cases, respectively.
Polymorphism of rs7688672 and rs10033237 in cGKII/PRKG2 and gout susceptibility of Han population in northern China.

PubMed

Guo, Min; Cheng, Zhifeng; Li, Changgui; Li, Shanshan; Li, Ming; Wang, Mingli; Xu, Jinmei; Tang, Yingying; Wang, Yujing; Qiu, Wenli; Liu, Xiaomin

2015-05-10

Gout is a genetic or acquired metabolic disease caused by increase of uric acid synthesis resulted from purine metabolic abnormalities. Whether cGMP-dependent protein kinase 2 (cGKII/PRKG2) is correlated with gout remains controversial. The objective of the present study was to investigate whether there is a correlation between polymorphism of cGKII/PRKG2 and gout susceptibility of Han population in northern China. Four hundred and five male patients with gout in the case group and 429 controls in the control group were collected from the Department of Endocrinology and Metabolic Disease, the Fourth Affiliated Hospital of Harbin Medical University. A case-control study method was used to study the correlation between cGKII/PRKG2 polymorphism rs7688672 and rs10033237 and gout susceptibility. The genotype frequencies of rs7688672 and rs10033237 polymorphisms of cGKII/PRKG2 in the case group and the control group both were in accordance with Hardy-Weinberg equilibrium. There were significant differences of rs10033237 in the allele frequencies and genotype distributions (P<0.05) between the two groups, while no association was found between rs7688672 and gout. Combined mutation sites AA(*) from rs7688672 and rs10033237 were negatively correlated with gout susceptibility, whereas haplotype GG(*) was positively correlated with gout susceptibility. In conclusion, patients with rs10033237 polymorphism of cGKII/PRKG2 gene are more likely to suffer from gout. With regard to haplotypes of rs10033237 and rs7688672, both AA(*) and GG(*) are related to gout. AA(*) is a gout susceptible gene, whereas GG(*) is a protective gene. Copyright © 2015 Elsevier B.V. All rights reserved.
Asymmetric forcing from stratospheric aerosols impacts Sahelian rainfall

NASA Astrophysics Data System (ADS)

Haywood, Jim M.; Jones, Andy; Bellouin, Nicolas; Stephenson, David

2013-07-01

The Sahelian drought of the 1970s-1990s was one of the largest humanitarian disasters of the past 50 years, causing up to 250,000 deaths and creating 10 million refugees. It has been attributed to natural variability, over-grazing and the impact of industrial emissions of sulphur dioxide. Each mechanism can influence the Atlantic sea surface temperature gradient, which is strongly coupled to Sahelian precipitation. We suggest that sporadic volcanic eruptions in the Northern Hemisphere also strongly influence this gradient and cause Sahelian drought. Using de-trended observations from 1900 to 2010, we show that three of the four driest Sahelian summers were preceded by substantial Northern Hemisphere volcanic eruptions. We use a state-of-the-art coupled global atmosphere-ocean model to simulate both episodic volcanic eruptions and geoengineering by continuous deliberate injection into the stratosphere. In either case, large asymmetric stratospheric aerosol loadings concentrated in the Northern Hemisphere are a harbinger of Sahelian drought whereas those concentrated in the Southern Hemisphere induce a greening of the Sahel. Further studies of the detailed regional impacts on the Sahel and other vulnerable areas are required to inform policymakers in developing careful consensual global governance before any practical solar radiation management geoengineering scheme is implemented.
A cross-cultural exploration of abortion fund patients in the USA and the Republic of Ireland, Northern Ireland and the Isle of Man.

PubMed

Ely, Gretchen E; Hales, Travis W; Jackson, D Lynn

2018-05-01

This paper details results of a study examining administrative case data from 2010-2015 from abortion funds serving the USA and the Republic of Ireland, Northern Ireland and the Isle of Man. Driven by the available data, the researchers compared organisational characteristics, patient characteristics, procedural costs, patient resources and the ratio between patient resources and procedural costs. Independent t-tests were conducted to assess whether differences in characteristics, costs or resources were significant. The number of patients serviced by abortion funds across the two datasets increased yearly from 2010-2015. While patients in the USA had more resources, on average, to contribute to their abortion procedure, Irish, Northern Irish and Manx patients had the resources to pay for a greater percentage of their costs, on average, which was mainly attributable to the differences in gestational age of those helped by the different abortion funds. Patients across all nations were similar in terms of their marital status, average age and number of existing children. Patients across these countries face expensive procedures and a lack of resources that are bridged in part by abortion fund assistance.
Relationship between Prevailing Oceanographic conditions on the fishing operations in the Northern Indian Ocean

NASA Astrophysics Data System (ADS)

Moazzam Khan, Muhammad

2014-05-01

Marked seasonality in fishing operation and catch composition was observed in the Northern Indian Ocean. These variations are more pronounced and noticeable in case of trawling for fish and shrimp as well as in the surface gillnetting for tuna and large pelagics. Although oceanographic conditions of the Northern Indian Ocean has been studied comprehensively, some facets of these are not well understood especially their relation with the fish distribution and abundance. Important oceanographic factors especially migration of oxygen minimum layer towards coastal areas after the cessation of South-West Monsoon seems to the most important factor responsible for the seasonal variation in the fishing intensity and species composition. Distribution and abundance of some of the commercially important marine animals especially billfishes was observed to be associated with the physical features of the area especially their abundance was noticed along continental margin and on the ridges in the Arabian Sea. The paper describes seasonal variation in abundance and catch composition of various fishing operations in the Indian Ocean and relates its to prevailing oceanographic conditions. Fishermen traditional knowledge about the seasonality of these conditions is also documented in the paper.
Phylogeography, post-glacial gene flow, and population history of North American goshawks (Accipeter gentilis)

USGS Publications Warehouse

Bayard De Volo, Shelley; Reynolds, Richard T.; Sonsthagen, Sarah A.; Talbot, Sandra; Antolin, Michael F.

2013-01-01

Climate cycling during the Quaternary played a critical role in the diversification of avian lineages in North America, greatly influencing the genetic characteristics of contemporary populations. To test the hypothesis that North American Northern Goshawks (Accipitergentilis) were historically isolated within multiple Late Pleistocene refugia, we assessed diversity and population genetic structure as well as migration rates and signatures of historical demography using mitochondrial control-region data. On the basis of sampling from 24 locales, we found that Northern Goshawks were genetically structured across a large portion of their North American range. Long-term population stability, combined with strong genetic differentiation, suggests that Northern Goshawks were historically isolated within at least three refugial populations representing two regions: the Pacific (CascadesSierra-Vancouver Island) and the Southwest (Colorado Plateau and Jemez Mountains). By contrast, populations experiencing significant growth were located in the Southeast Alaska-British Columbia, Arizona Sky Islands, Rocky Mountains, Great Lakes, and Appalachian bioregions. In the case of Southeast Alaska-British Columbia, Arizona Sky Islands, and Rocky Mountains, Northern Goshawks likely colonized these regions from surrounding refugia. The near fixation for several endemic haplotypes in the Arizona Sky Island Northern Goshawks (A. g apache) suggests long-term isolation subsequent to colonization. Likewise, Great Lakes and Appalachian Northern Goshawks differed significantly in haplotype frequencies from most Western Northern Goshawks, which suggests that they, too, experienced long-term isolation prior to a more recent recolonization of eastern U.S. forests.
Patterns and predictors of malaria care-seeking, diagnostic testing, and artemisinin-based combination therapy for children under five with fever in Northern Nigeria: a cross-sectional study.

PubMed

Millar, Kathryn R; McCutcheon, Jennifer; Coakley, Eugenie H; Brieger, William; Ibrahim, Mohammed A; Mohammed, Zainab; Bassi, Amos; Sambisa, William

2014-11-21

Despite recent improvements in malaria prevention strategies, malaria case management remains a weakness in Northern Nigeria, which is underserved and suffers the country's highest rates of under-five child mortality. Understanding malaria care-seeking patterns and comparing case management outcomes to World Health Organization (WHO) and Nigeria's National Malaria Control Programme (NMCP) guidelines are necessary to identify where policy and programmatic strategies should focus to prevent malaria mortality and morbidity. A cross-sectional survey based on lot quality assurance sampling was used to collect data on malaria care-seeking for children under five with fever in the last two weeks throughout Sokoto and Bauchi States. The survey assessed if the child received NMCP/WHO recommended case management: prompt treatment, a diagnostic blood test, and artemisinin-based combination therapy (ACT). Deviations from this pathway and location of treatment were also assessed. Lastly, logistic regression was used to assess predictors of seeking treatment. Overall, 76.7% of children were brought to treatment-45.5% to a patent medicine vendor and 43.8% to a health facility. Of children brought to treatment, 61.5% sought treatment promptly, but only 9.8% received a diagnostic blood test and 7.2% received a prompt ACT. When assessing adherence to the complete case management pathway, only 1.0% of children received NMCP/WHO recommended treatment. When compared to other treatment locations, health facilities provided the greatest proportion of children with NMCP/WHO recommended treatment. Lastly, children 7-59 months old were at 1.74 (p = 0.003) greater odds of receiving treatment than children ≤6 months. Northern Nigeria's coverage rates of NMCP/WHO standard malaria case management for children under five with fever fall short of the NMCP goal of 80% coverage by 2010 and universal coverage thereafter. Given the ability to treat a child with malaria differs greatly between treatment locations, policy and logistics planning should address the shortages of essential malaria supplies in recommended and frequently accessed treatment locations. Particular emphasis should be placed on integrating the private sector into standardized care and educating caregivers on the necessity for testing before treatment and the availability of free ACT in public health facilities for uncomplicated malaria.
Conversion and comparison of the mathematical, three-dimensional, finite-difference, ground-water flow model to the modular, three-dimensional, finite-difference, ground-water flow model for the Tesuque aquifer system in northern New Mexico

USGS Publications Warehouse

Umari, A.M.; Szeliga, T.L.

1989-01-01

The three-dimensional finite-difference groundwater model (using a mathematical groundwater flow code) of the Tesuque aquifer system in northern New Mexico was converted to run using the U.S. Geological Survey 's modular groundwater flow code. Results from the final versions of the predevelopment and 1947 to 2080 transient simulations of the two models are compared. A correlation coefficient of 0.9905 was obtained for the match in block-by-block head-dependent fluxes for predevelopment conditions. There are, however, significant differences in at least two specific cases. In the first case, a difference is associated with the net loss from the Pojoaque River and its tributaries to the aquifer. The net loss by the river is given as 1.134 cu ft/sec using the original groundwater model, which is 38.1% less than the net loss by the river of 1.8319 cu ft/sec computed in this study. In the second case, the large difference is computed for the transient decline in the hydraulic head of a model block near Tesuque Pueblo. The hydraulic-head decline by 2080 is, using the original model, 249 ft, which is 14.7% less than the hydraulic head of 292 ft computed by this study. In general, the differences between the two sets of results are not large enough to lead to different conclusions regarding the behavior of the system at steady state or when pumped. (USGS)
[Hospital fluoroquinolone prescription habits in northern France].

PubMed

Levent, T; Cabaret, P

2010-09-01

The aim of the study was to assess the good use organization and fluoroquinolone prescription habits in cases of bone and joint, urinary, pulmonary, and digestive infections. A declarative survey was made (questionnaire for the hospital and for the prescriber). Thirty percent (44/145) of hospitals participated with 274 prescribers. Eighty percent had prescription protocols, 71 % of clinicians had access to epidemiologic data. A percentage of 30.7 (853/2,771) of prescriptions included a fluoroquinolone, 44.5 % (380/853) among these had not been recommended. The excessive prescription reached 24.4 % (116/474) in case of bone and joint infection, 14.6 % (107/731), and 20 % (157/779) in cases of digestive and respiratory infection respectively. Prescriptions for urinary infection were adequate in 47.6 % (375/787) of cases. Inadequate prescriptions were made because of bad knowledge of bacteria resistance epidemiology and pharmacology (insufficient dose, monotherapy at risk of selection), and non-application of good practice recommendations. This study justifies the rationalization of antibiotic prescription. Copyright © 2010 Elsevier Masson SAS. All rights reserved.
Changing Epidemiology of Human Brucellosis, China, 1955-2014.

PubMed

Lai, Shengjie; Zhou, Hang; Xiong, Weiyi; Gilbert, Marius; Huang, Zhuojie; Yu, Jianxing; Yin, Wenwu; Wang, Liping; Chen, Qiulan; Li, Yu; Mu, Di; Zeng, Lingjia; Ren, Xiang; Geng, Mengjie; Zhang, Zike; Cui, Buyun; Li, Tiefeng; Wang, Dali; Li, Zhongjie; Wardrop, Nicola A; Tatem, Andrew J; Yu, Hongjie

2017-02-01

Brucellosis, a zoonotic disease, was made statutorily notifiable in China in 1955. We analyzed the incidence and spatial-temporal distribution of human brucellosis during 1955-2014 in China using notifiable surveillance data: aggregated data for 1955-2003 and individual case data for 2004-2014. A total of 513,034 brucellosis cases were recorded, of which 99.3% were reported in northern China during 1955-2014, and 69.1% (258, 462/374, 141) occurred during February-July in 1990-2014. Incidence remained high during 1955-1978 (interquartile range 0.42-1.0 cases/100,000 residents), then decreased dramatically in 1979-1994. However, brucellosis has reemerged since 1995 (interquartile range 0.11-0.23 in 1995-2003 and 1.48-2.89 in 2004-2014); the historical high occurred in 2014, and the affected area expanded from northern pastureland provinces to the adjacent grassland and agricultural areas, then to southern coastal and southwestern areas. Control strategies in China should be adjusted to account for these changes by adopting a One Health approach.
Polychlorinated Biphenyls, Glycaemia and Diabetes in a Population Living in a Highly Polychlorinated Biphenyls-Polluted Area in Northern Italy: a Cross-sectional and Cohort Study

PubMed Central

Zani, Claudia; Donato, Francesco; Magoni, Michele; Feretti, Donatella; Covolo, Loredana; Vassallo, Francesco; Speziani, Fabrizio; Scarcella, Carmelo; Bergonzi, Roberto; Apostoli, Pietro

2013-01-01

Conflicts of interests: the authors declare no potential conflict of interests. Background Polychlorinated biphenyls (PCBs) have been found to be associated with diabetes in some, but not all, studies performed so far. The aim of this study was to assess the association between PCB serum levels and glycaemia and diabetes in people living in Brescia, a highly industrialised PCB-polluted town in Northern Italy. Design and Methods 527 subjects were enrolled in a cross-sectional population-based study: they were interviewed face-to-face in 2003 and also provided a blood sample under fasting conditions. The concentration of 24 PCB congeners was determined using gas-chromatography (GC/MS). Subsequently, all subjects were included in a follow-up (cohort) study. According to the Local Health Authority health-care database, subjects were considered to be diabetic if they had diabetes at interview time (prevalent cases) or during a 7-year follow-up (incident cases). Results A total of 53 subjects (10.0%) were diabetics: 28 had diabetes at enrolment and other 25 developed the disease subsequently. Diabetes frequency increased according to the serum concentrations of total PCBs and single PCB congeners, but no association was found when estimates were adjusted for education, body mass index, age and gender by logistic regression analysis. Accordingly, glycaemia increased with PCB serum levels, but no association was observed when multiple regression analysis, including confounding factors, was performed. Conclusions This study does not support the hypothesis that PCB environmental exposure is strictly associated with diabetes or glycaemia. PMID:25170473
Acute Post-Streptococcal Glomerulonephritis in the Northern Territory of Australia: A Review of 16 Years Data and Comparison with the Literature

PubMed Central

Marshall, Catherine S.; Cheng, Allen C.; Markey, Peter G.; Towers, Rebecca J.; Richardson, Leisha J.; Fagan, Peter K.; Scott, Lesley; Krause, Vicki L.; Currie, Bart J.

2011-01-01

Data relating to acute post-streptococcal glomerulonephritis (APSGN) from the notifiable diseases surveillance system in the Northern Territory of Australia was extracted and analyzed. Isolates of Streptococcus pyogenes from confirmed cases were emm sequence typed. From 1991 to July 2008, there were 415 confirmed cases and 23 probable cases of APSGN notified. Four hundred fifteen (94.7%) of these were Indigenous Australians and 428 (97.7%) were people living in remote or very remote locations. The median age of cases was 7 years (range 0–54). The incidence of confirmed cases was 12.5/100,000 person-years, with an incidence in Indigenous Australian children younger than 15 years of age of 94.3 cases/100,000 person-years. The overall rate ratio of confirmed cases in Indigenous Australians to non-Indigenous Australians was 53.6 (95% confidence interval 32.6–94.8). Outbreaks of disease across multiple communities occurred in 1995 (N = 68), 2000 (N = 55), and 2005 (N = 87 [confirmed cases]). Various emm types of S. pyogenes were isolated from cases of APSGN including some types not previously recognized to be nephritogenic. The widespread outbreak in 2005 was caused by emm55.0 S. pyogenes. Acute post-streptococcal glomerulonephritis continues to occur in remote Indigenous communities in Australia at rates comparable to or higher than those estimated in developing countries. Improvements in preventative and outbreak control strategies are needed. PMID:21976576
Acute post-streptococcal glomerulonephritis in the Northern Territory of Australia: a review of 16 years data and comparison with the literature.

PubMed

Marshall, Catherine S; Cheng, Allen C; Markey, Peter G; Towers, Rebecca J; Richardson, Leisha J; Fagan, Peter K; Scott, Lesley; Krause, Vicki L; Currie, Bart J

2011-10-01

Data relating to acute post-streptococcal glomerulonephritis (APSGN) from the notifiable diseases surveillance system in the Northern Territory of Australia was extracted and analyzed. Isolates of Streptococcus pyogenes from confirmed cases were emm sequence typed. From 1991 to July 2008, there were 415 confirmed cases and 23 probable cases of APSGN notified. Four hundred fifteen (94.7%) of these were Indigenous Australians and 428 (97.7%) were people living in remote or very remote locations. The median age of cases was 7 years (range 0-54). The incidence of confirmed cases was 12.5/100,000 person-years, with an incidence in Indigenous Australian children younger than 15 years of age of 94.3 cases/100,000 person-years. The overall rate ratio of confirmed cases in Indigenous Australians to non-Indigenous Australians was 53.6 (95% confidence interval 32.6-94.8). Outbreaks of disease across multiple communities occurred in 1995 (N = 68), 2000 (N = 55), and 2005 (N = 87 [confirmed cases]). Various emm types of S. pyogenes were isolated from cases of APSGN including some types not previously recognized to be nephritogenic. The widespread outbreak in 2005 was caused by emm55.0 S. pyogenes. Acute post-streptococcal glomerulonephritis continues to occur in remote Indigenous communities in Australia at rates comparable to or higher than those estimated in developing countries. Improvements in preventative and outbreak control strategies are needed.
A retrospective audit of the extent and nature of domestic violence cases identified over a three year period in the two district command units of the police service of Northern Ireland.

PubMed

Stevenson, T R; Goodall, E A; Moore, C B T

2008-10-01

The work load of forensic medical officers (FMOs) who provide medical cover for the Coleraine and Limavady district command units (DCU) of the police service of Northern Ireland (PSNI) in dealing with domestic violence was investigated over a three year period from 1st April 2003 to 31st March 2006. A total of 128 cases involving domestic violence were identified during this three year period. There was a significant increase from 4% (32/791) in the first year to 6.6% (56/851, p<0.01) in the number of cases of identified domestic violence in the second year which dropped to 4.2% (40/956) in the third year. Victims were identified in 38% of these domestic violence cases with 62% being identified as assailants. It was noted that there was a significant difference in the proportion of male assailants (96.2%) from female assailants (3.8%). Fifty-four percent of victims were noted to have injuries in accordance with the more serious injury categories of assault of actual bodily harm (AOABH) and grievous bodily harm (GBH). Domestic incidents occurred at the home in 91% of cases, with the FMO being the primary contact in 97% of cases. Alcohol was implicated in 56% of all domestic violence cases recorded.
[Mortality study update of workers exposed to vinyl chloride in plants located in Ferrara and Ravenna (Emilia-Romagna Region, Northern Italy)].

PubMed

Scarnato, Corrado; Rambaldi, Rossella; Mancini, Gianpiero; Olanda, Sandra; Spagnolo, Maria Rosa; Previati, Elisabetta; Parmeggiani, Valerio; Minisci, Salvatore; Comba, Pietro; Pirastu, Roberta

2017-01-01

to update the mortality study of subjects exposed to vinyl chloride in the phases of synthesis of the monomer and polymerization in the plants of Ferrara and Ravenna (Emilia-Romagna Region, Northern Italy). both for the whole cohort and for the two plants, standardized mortality ratios (SMRs), with 95% confidence intervals (95%CI), were calculated for different death causes, then stratified by duration and latency, periods of the beginning of work and cumulative exposure (ppm-years). the cohort includes 1,540 subjects (469 in Ferrara hired from 1953 to 1999; 1,071 in Ravenna hired from 1959 to 2000), with at least six months of work. by the end of the follow-up (31.12.2013), 348 deaths occurred. Overall observed mortality, contrasted to that expected based on Emilia-Romagna Region mortality rates, appeared to be lower than expected in the whole cohort (348 cases, SMR: 0.85; 95%CI 0.77-0.95) and in Ravenna (173 cases, SMR: 0.71; 95%CI 0.61-0.83). Mortality for all neoplasms was in excess in Ferrara (79 cases, SMR: 1.27; 95%CI 1.02-1.58), but lower than expected in Ravenna (83 cases, SMR: 0.80; 95%CI 0.64-0.99). An excess in mortality was observed in the whole cohort (16 cases, SMR: 1.74; 95%CI 1.07-2.85) and in Ferrara for liver cancer (7 cases, SMR: 2.12; 95%CI 1.02-4.46), and only in Ferrara for respiratory tract cancer (30 cases, SMR: 1.45; 95%CI 1.02-2.07) and larynx cancer (4 cases, SMR: 3.35; 95%CI 1.26-8.92). In the whole cohort, SMR for liver cancer was in excess since a cumulative exposure of 5,000 ppm-year and 12 cases belong to the job title of autoclave workers (12 cases, SMR 4.6; 95%CI 2.6-8.0), duration of work higher than 20 years (8 cases, SMR 2.4; 95%CI 1.2-4.9), and latency higher than 40 years (7 cases, SMR 2.5; 95%CI 1.2-5.2). The excess in mortality for lung cancer is statistically significant for and with cumulative exposure higher than 7,330 ppm-years (6 cases, SMR 3.2 95%CI 1.4-7.0). There are not excesses among subjects hired after 1971. the study findings confirm and expand the ones of previous studies. It was not possible to apply a best evidence approach to the study of liver cancer, and consequently it is not possible to distinguish between hepatic angiosarcoma and hepatocellular carcinoma. The evidence of a causal link between vinyl chloride exposure and liver cancer is anyhow confirmed. The causal link between vinyl chloride exposure and lung cancer must be further investigated.

Burkholderia pseudomallei infection in a cystic fibrosis patient from the Caribbean: A case report

PubMed Central

Corral, Dimas Mateos; Coates, Allan L; Yau, Yvonne CW; Tellier, Raymond; Glass, Mindy; Jones, Steven M; Waters, Valerie J

2008-01-01

Burkholderia pseudomallei is a pathogen identified with increasing frequency in the respiratory tracts of cystic fibrosis (CF) patients from endemic areas such as Southeast Asia and northern Australia. The following report describes the first known reported case in a CF patient from the Caribbean attending a North American CF clinic. PMID:18716683
A comparative study of the costliness of Manitoba hospitals.

PubMed

Shanahan, M; Loyd, M; Roos, N P; Brownell, M

1999-06-01

In light of ongoing discussions about health care policy, this study offered a method of calculating costs at Manitoba hospitals that compared relative costliness of inpatient care provided in each hospital. This methodology also allowed comparisons across types of hospitals-teaching, community, major rural, intermediate and small rural, as well as northern isolated facilities. Data used in this project include basic hospital information, both financial and statistical, for each of the Manitoba hospitals, hospital charge information by case from the State of Maryland, and hospital discharge abstract information for Manitoba. The data from Maryland were used to create relative cost weights (RCWs) for refined diagnostic related groups (RDRGs) and were subsequently adjusted for Manitoba length of stay. These case weights were then applied to cases in Manitoba hospitals, and several other adjustments were made for nontypical cases. This case mix system allows cost comparisons across hospitals. In general, hospital case mix costing demonstrated variability in hospital costliness, not only across types of hospitals but also within hospitals of the same type and size. Costs at the teaching hospitals were found to be considerably higher than the average, even after accounting for acuity and case mix.
Birth prevalence for congenital limb defects in the northern Netherlands: a 30-year population-based study

PubMed Central

2013-01-01

Background Reported birth prevalences of congenital limb defects (CLD) vary between countries: from 13/10,000 in Finland for the period 1964–1977 to 30.4/10,000 births in Scotland from 1964–1968. Epidemiological studies permit the timely detection of trends in CLD and of associations with other birth defects. The aim of this study is to describe the birth prevalence of CLD in the northern Netherlands. Methods In a population-based, epidemiological study we investigated the birth prevalences of CLD for 1981–2010. Data were collected by the European Surveillance of Congenital Anomalies in the northern Netherlands (EUROCAT-NNL). We excluded malpositions, club foot, and dislocation/dysplasia of hips or knees. Trends were analysed for the 19-year period 1992–2010 using χ2 tests, as well as CLD association with anomalies affecting other organs. Results The birth prevalence of CLD was 21.1/10,000 births for 1981–2010. There was an overall decrease in non-syndromic limb defects (P = 0.023) caused by a decrease in the prevalence of non-syndromic syndactyly (P < 0.01) in 1992–2010. Of 1,048 children with CLD, 55% were males, 57% had isolated defects, 13% had multiple congenital anomalies (MCA), and 30% had a recognised syndrome. The upper:lower limb ratio was 2:1, and the left:right side ratio was 1.2:1. Cardiovascular and urinary tract anomalies were common in combination with CLD (37% and 25% of cases with MCA). Digestive-tract anomalies were significantly associated with CLD (P = 0.016). Conclusions The birth prevalence of CLD in the northern Netherlands was 21.1/10,000 births. The birth prevalence of non-syndromic syndactyly dropped from 5.2/10,000 to 1.1/10,000 in 1992–2010. PMID:24237863
Indoor air pollution affects hypertension risk in rural women in Northern China by interfering with the uptake of metal elements: A preliminary cross-sectional study.

PubMed

Wang, Bin; Zhu, Yibing; Pang, Yiming; Xie, Jing; Hao, Yongxiu; Yan, Huina; Li, Zhiwen; Ye, Rongwei

2018-05-07

Coal combustion and passive smoking are two important contributors to indoor air pollution (IAP) in rural areas of northern China. Although the association between outdoor air pollutants and hypertension risk had been widely reported, fewer studies have examined the relationship between IAP and hypertension risk. This study evaluated the association between IAP and hypertension risk in housewives in rural areas of northern China and the potential mediation pathway of metal elements. Our cross-sectional study, conducted in Shanxi Province, China, enrolled 367 subjects without taking anti-hypertensive drugs, including 142 subjects with hypertension (case group) and 225 subjects without hypertension (control group). We collected information on energy use characteristics and lifestyle using questionnaires. An IAP exposure index was developed to indicate the population exposure to coal combustion and passive smoking. Scalp hair samples were collected from the housewives and various trace and major metal elements were measured. Our results revealed that the IAP index was positively correlated with systolic and diastolic blood pressure. A significant association between the IAP index and hypertension risk was found both without [odds ratio (95% confidence interval, CI) = 2.08 (1.30-3.31)] and with [OR (95% CI) = 2.52 (1.46-4.36)] adjustment for confounders. We also observed that the IAP index was positively correlated with the arsenic, lead, and rare earth element levels in hair samples, and negatively correlated with the levels of some other trace elements (i.e., chromium, cobalt, nickel, and tin) and alkaline earth elements (i.e., calcium, magnesium, and barium) with an overall p value of <0.01. We concluded that IAP may contribute to the development of hypertension in rural housewives in northern China, possibly by interfering with the uptake of metal elements. Copyright © 2018 Elsevier Ltd. All rights reserved.
Maternal Infection during Pregnancy and Autism Spectrum Disorders

PubMed Central

Zerbo, Ousseny; Qian, Yinge; Yoshida, Cathleen; Grether, Judith K.; Van de Water, Judy; Croen, Lisa A.

2014-01-01

We conducted a nested case-control study including 407 cases and 2075 frequency matched controls to investigate the association between maternal infections during pregnancy and risk of autism spectrum disorders (ASD). Cases, controls, and maternal infections were ascertained from Kaiser Permanente Northern California clinical databases. No overall association between diagnoses of any maternal infection during pregnancy and ASD (adjusted odds ratio [ORadj] = 1.15, 95% confidence interval [CI] 0.92 – 1.43). However, women with infections diagnosed during a hospital admission (ORadj= 1.48, 95% CI1.07 – 2.04), particularly bacterial infections (ORadj = 1.58, 95% CI 1.06 – 2.37), were at increased risk of delivering a child with ASD. Multiple infections during pregnancy were associated with ASD (ORadj = 1.36, 95% CI 1.05 – 1.78). PMID:24366406
Design of the Digital Sky Survey DA and online system: A case history in the use of computer aided tools for data acquisition system design

NASA Astrophysics Data System (ADS)

Petravick, D.; Berman, E.; Nicinski, T.; Rechenmacher, R.; Oleynik, G.; Pordes, R.; Stoughton, C.

1991-06-01

As part of its expanding Astrophysics program, Fermilab is participating in the Digital Sky Survey (DSS). Fermilab is part of a collaboration involving University of Chicago, Princeton University, and the Institute of Advanced Studies (at Princeton). The DSS main results will be a photometric imaging survey and a redshift survey of galaxies and color-selected quasars over pi steradians of the Northern Galactic Cap. This paper focuses on our use of Computer Aided Software Engineering (CASE) in specifying the data system for DSS. Extensions to standard methodologies were necessary to compensate for tool shortcomings and to improve communication amongst the collaboration members. One such important extension was the incorporation of CASE information into the specification document.
Multivariate matrix model for source identification of inrush water: A case study from Renlou and Tongting coal mine in northern Anhui province, China

NASA Astrophysics Data System (ADS)

Zhang, Jun; Yao, Duoxi; Su, Yue

2018-02-01

Under the current situation of energy demand, coal is still one of the major energy sources in China for a certain period of time, so the task of coal mine safety production remains arduous. In order to identify the water source of the mine accurately, this article takes the example from Renlou and Tongting coal mines in the northern Anhui mining area. A total of 7 conventional water chemical indexes were selected, including Ca2+, Mg2+, Na++K+, Cl-, SO4 2-, HCO3 - and TDS, to establish a multivariate matrix model for the source identifying inrush water. The results show that the model is simple and is rarely limited by the quantity of water samples, and the recognition effect is ideal, which can be applied to the control and treatment for water inrush.
Displacement and HIV: Factors Influencing Antiretroviral Therapy Use by Ethnic Shan Migrants in Northern Thailand

PubMed Central

Murray, Jordan K.; DiStefano, Anthony S.; Yang, Joshua S.; Wood, Michele M.

2016-01-01

Migrant populations face increased HIV vulnerabilities, including limited access to antiretroviral therapy (ART). Civil conflict in Myanmar has displaced thousands of people from the minority Shan ethnic group into northern Thailand, where they bear a disproportionate HIV burden. To identify barriers and facilitators of ART use in this population, we conducted a rapid ethnographic assessment and case study with a clinical sample of Shan migrants receiving treatment for HIV in a district hospital in Chiang Mai, Thailand, Thai nurses providing their care, and health care administrators (n = 23). Barriers included fears of arrest and deportation, communication difficulties, perceived social marginalization, limited HIV knowledge, and lack of finances. Facilitating factors included hospital-based migrant registration services and community outreach efforts involving support group mobilization, referral practices, and radio broadcasts. These findings provided a contextualized account to inform policies, community interventions, and nursing practice to increase treatment access for minority migrant groups. PMID:27188762
Summer birth and deficit schizophrenia: Cantabria, Spain.

PubMed

Kirkpatrick, Brian; Herrera Castanedo, Sara; Vazquez-Barquero, Jose L

2002-08-01

An association between deficit schizophrenia and summer birth has previously been reported. The authors attempted to replicate this association in a population-based study of incident cases of psychosis in the autonomous region of Cantabria, in northern Spain. Schizophrenia patients were categorized into deficit (N = 22) and nondeficit (N = 55) groups, and the pattern in the two groups was compared. After accounting for the variance due to disorganization, hallucinations and delusions, and demographic variables, deficit schizophrenia had a significant association with summer birth; this association did not depend on a single definition of summer. For instance, among the deficit patients, 59% were born from May to August, in contrast to 18% of nondeficit patients and 34% of the general population. These results confirm the association between summer birth in the Northern Hemisphere and deficit as opposed to nondeficit schizophrenia. The existence of a different risk factor for the two groups suggests a difference in etiology and pathophysiology.
Effect of migration patterns on maternal genetic structure: a case of Tai-Kadai migration from China to Thailand.

PubMed

Kampuansai, Jatupol; Kutanan, Wibhu; Tassi, Francesca; Kaewgahya, Massupa; Ghirotto, Silvia; Kangwanpong, Daoroong

2017-02-01

The migration of the Tai-Kadai speaking people from southern China to northern Thailand over the past hundreds of years has revealed numerous patterns that have likely been influenced by routes, purposes and periods of time. To study the effects of different migration patterns on Tai-Kadai maternal genetic structure, mitochondrial DNA hypervariable region I sequences from the Yong and the Lue people having well-documented histories in northern Thailand were analyzed. Although the Yong and Lue people were historically close relatives who shared Xishuangbanna Dai ancestors, significant genetic differences have been observed among them. The Yong people who have been known to practice mass migration have exhibited a closer genetic affinity to their Dai ancestors than have the Lue people. Genetic heterogeneity and a sudden reduced effective population size within the Lue group is likely a direct result of the circumstances of the founder effect.
Rainfall model investigation and scenario analyses of the effect of government reforestation policy on seasonal rainfalls: A case study from Northern Thailand

NASA Astrophysics Data System (ADS)

Duangdai, Eakkapong; Likasiri, Chulin

2017-03-01

In this work, 4 models for predicting rainfall amounts are investigated and compared using Northern Thailand's seasonal rainfall data for 1973-2008. Two models, global temperature, forest area and seasonal rainfall (TFR) and modified TFR based on a system of differential equations, give the relationships between global temperature, Northern Thailand's forest cover and seasonal rainfalls in the region. The other two models studied are time series and Autoregressive Moving Average (ARMA) models. All models are validated using the k-fold cross validation method with the resulting errors being 0.971233, 0.740891, 2.376415 and 2.430891 for time series, ARMA, TFR and modified TFR models, respectively. Under Business as Usual (BaU) scenario, seasonal rainfalls in Northern Thailand are projected through the year 2020 using all 4 models. TFR and modified TFR models are also used to further analyze how global temperature rise and government reforestation policy affect seasonal rainfalls in the region. Rainfall projections obtained via the two models are also compared with those from the International Panel on Climate Change (IPCC) under IS92a scenario. Results obtained through a mathematical model for global temperature, forest area and seasonal rainfall show that the higher the forest cover, the less fluctuation there is between rainy-season and summer rainfalls. Moreover, growth in forest cover also correlates with an increase in summer rainfalls. An investigation into the relationship between main crop productions and rainfalls in dry and rainy seasons indicates that if the rainy-season rainfall is high, that year's main-crop rice production will decrease but the second-crop rice, maize, sugarcane and soybean productions will increase in the following year.
Insights on the structural control of a Neogene forearc basin in Northern Chile: A geophysical approach

NASA Astrophysics Data System (ADS)

García-Pérez, Tiaren; Marquardt, Carlos; Yáñez, Gonzalo; Cembrano, José; Gomila, Rodrigo; Santibañez, Isabel; Maringue, José

2018-06-01

The comprehensive study of intramountain basins located in the Coastal Cordillera of the continental emergent Andean forearc in Northern Chile, enables the better understanding of the nature and evolution of the upper crustal deformation during the Neogene and Quaternary. A case study is the extensive extensional half-graben Alto Hospicio basin. The basin is cut by the Coastal Cliff, which exposes the deformed Neogene basin fill. Also exposed are several structural systems, some of which affect Quaternary surfaces. The results of the integrated geophysical surveys (Electromagnetic Transient and Gravity) allow us to fully constrain the geometry of the Alto Hospicio basin and the lithological relationship between the subsurface geological units. The structural geology analysis assesses the deformation regimes affecting the faults present in the basin and surrounding area. Altogether evidence a change in the deformation regime from an EW extensional deformation during the Miocene-Pliocene to a NS compression in the Quaternary as is presented in this study. We suggest this deformation change is related to a small change in the convergence vector orientation during the Pliocene.
An integrated approach for analysing earthquake-induced surface effects: A case study from the Northern Apennines, Italy

NASA Astrophysics Data System (ADS)

Castaldini, D.; Genevois, R.; Panizza, M.; Puccinelli, A.; Berti, M.; Simoni, A.

This paper illustrates research addressing the subject of the earthquake-induced surface effects by means of a multidisciplinary approach: tectonics, neotectonics, seismology, geology, hydrogeology, geomorphology, soil/rock mechanics have been considered. The research is aimed to verify in areas affected by earthquake-triggered landslides a methodology for the identification of potentially unstable areas. The research was organized according to regional and local scale studies. In order to better emphasise the complexity of the relationships between all the parameters affecting the stability conditions of rock slopes in static and dynamic conditions a new integrated approach, Rock Engineering Systems (RES), was applied in the Northern Apennines. In the paper, the different phases of the research are described in detail and an example of the application of RES method in a sample area is reported. A significant aspect of the study can be seen in its attempt to overcome the exclusively qualitative aspects of research into the relationship between earthquakes and induced surface effects, and to advance the idea of beginning a process by which this interaction can be quantified.
Antimicrobial activity and agricultural properties of bitter melon (Momordica charantia L.) grown in northern parts of Turkey: a case study for adaptation.

PubMed

Yaldız, Gülsüm; Sekeroglu, Nazım; Kulak, Muhittin; Demirkol, Gürkan

2015-01-01

This study was designed to determine the adaptation capability of bitter melon (Momordica charantia L.), which is widely grown in tropical and subtropical climates, in northern parts of Turkey. In this study, plant height, number of fruits, fruit length, fruit width, number of seeds and fruit weight of bitter melon grown in field conditions were determined. The antimicrobial effect of the ethanol extract of fruit and seeds against Pseudomonas aeruginosa, Escherichia coli, Staphylococcus aureus, Salmonella typhi, Aspergillus niger and Candida albicans microorganisms was tested in vitro by the disc diffusion method. In conclusion, plant height (260 cm), number of fruits (16 per plant), number of seeds (30.2 per fruit), fruit width (3.8 cm), fruit length (10.6 cm) and fruit weight (117.28 g fruit(- 1)) were determined; fruits were found to have antimicrobial activity against A. niger; oil and seeds were found to have antimicrobial activity against A. niger and E. coli.
[Geographical factors in the epidemiology of intoxication with Karwinskia (tullidora) in Mexico].

PubMed

Nava, M E; Castellanos, J L; Castañeda, M E

2000-01-01

Consumption of fruits from the genus Karwinskia may cause a flaccid paralysis that can be confused with the Guillan-Barré syndrome or poliomyelitis. Paralysis resulting from consumption of such fruit has emerged as a public health problem in certain regions of Mexico. The purpose of this study was to investigate geographical factors associated with this intoxication in the 72 cases reported in Mexico from 1990 to 1994. Location of cases coincides with the distribution of the 11 reported species of Karwinskia in the country. The majority of reported cases were related to the consumption of K. humboldtiana, with a smaller number involving K. mollis, K. parvifolia, K. johnstonii, and K. rzedowskii. Most cases were located in regions with dry climates (79.2%), arid vegetation (41. 7%), and altitudes under 1,000 meters above sea level (54.1%). The study establishes three different risk areas: the Balsas river region in the southwestern central part of the country; the arid northern area; and the arid and dry central area. Cases were from rural communities with low levels of schooling and poor socioeconomic conditions.
Why don't northern American solutions to drinking and driving work in southern America?

PubMed

Pechansky, Flavio; Chandran, Aruna

2012-07-01

While individual studies from several South American countries have shown driving while intoxicated to be a problem, there are no objective systematically collected alcohol-associated driving data obtained in most South American countries. This limits their ability to implement and enforce targeted prevention strategies, evaluate whether proven prevention efforts from North America (particularly the United States and Canada) can be transferred to the South, and to sustain momentum for the improvement of road safety by demonstrating that previously implemented legal and policy changes are effective. The aim of this paper is to discuss the abysmal differences that exist between northern and southern American countries regarding the current status of driving while intoxicated prevention strategies-their implementation, impacts and effects-using Brazil as a case example. We propose a three-pronged approach to close this northern-southern American gap in driving while intoxicated prevention and intervention: (a) systematic collection on road traffic crash/injury/death as well as risk factor data, (b) passage of laws without loopholes requiring compliance with blood alcohol concentration testing and (c) provision of appropriate training and equipment to the police in concomitance with vigilant enforcement. Resources and energies must be put towards data collection, implementation of prevention strategies and enforcement in order to decrease the unacceptably high rates of these preventable driving while intoxicated deaths. © 2012 The Authors, Addiction © 2012 Society for the Study of Addiction.
On the Coastal Dynamics of Sea Level Rise: A case study in the Northern Gulf of Mexico

NASA Astrophysics Data System (ADS)

Hagen, S. C.

2012-12-01

One of the most prominent aspects of global climate change is sea level rise (SLR). With over half of the U.S. population living within 50 miles of the coast, SLR has the potential to considerably impact both human and ecological habitats. Effects of SLR will be felt along coastal beaches, estuarine waters, barrier islands, submerged aquatic vegetation beds, sand and mud flats, oyster reefs and tidal and freshwater wetlands. The Gulf of Mexico coast sustains a diverse habitat including delta marshes, lower river floodplain forests, and oyster reefs, which provide critical habitats for many commercially important species. How we choose to study these complex processes and the adaptation tools that we develop may determine our ability to sustain the human and ecological habitats. The purpose of this presentation is to examine the dynamic effects of SLR to the coasts and coastal habitats of the Northern Gulf of Mexico and to compare and contrast those results with a simpler bathtub model (static) approach. Dynamic assessments will be presented through integrated models representing wave, tidal, overland, bay and biological processes. The models are applied to regions of the Northern Gulf to simulate hydrodynamic properties including waves, tides, and surge, and to estimate impacts to coastal marshes, wetlands and estuaries. Results strongly indicate the importance of simulating the dynamical processes.
Seabirds as samplers of the marine environment - a case study of northern gannets

NASA Astrophysics Data System (ADS)

Garthe, Stefan; Peschko, Verena; Kubetzki, Ulrike; Corman, Anna-Marie

2017-04-01

Understanding distribution patterns, activities, and foraging behaviours of seabirds requires interdisciplinary approaches. In this paper, we provide examples of the data and analytical procedures from a new study in the German Bight (North Sea) tracking northern gannets (Morus bassanus) at their breeding colony on the island of Heligoland. Individual adult northern gannets were equipped with different types of data loggers for several weeks, measuring geographic positions and other parameters mostly at 3-5 min intervals. Birds flew in all directions from the island to search for food, but most flights targeted areas to the (N)NW (north-northwest) of Heligoland. Foraging trips were remarkably variable in duration and distance; most trips lasted 1-15 h and extended from 3 to 80 km from the breeding colony on Heligoland. Dives of gannets were generally shallow, with more than half of the dives only reaching depths of 1-3 m. The maximum dive depth was 11.4 m. Gannets showed a clear diurnal rhythm in their diving activity, with dives being almost completely restricted to the daylight period. Most flight activity at sea occurred at an altitude between the sea surface and 40 m. Gannets mostly stayed away from the wind farms and passed around them much more frequently than flying through them. Detailed information on individual animals may provide important insights into processes that are not detectable at a community level.
Roaming of dogs in remote Indigenous communities in northern Australia and potential interaction between community and wild dogs.

PubMed

Bombara, C; Dürr, S; Gongora, J; Ward, M P

2017-06-01

To investigate the roaming of Indigenous community dogs and potential interaction with wild dogs and dingoes. Cross-sectional survey and longitudinal follow-up study. Six remote Indigenous communities in Cape York Peninsula and Arnhem Land in northern Australia were selected. Hair samples were collected from community dogs and microsatellite DNA analyses were used to determine hybrid (>10% dingo DNA) status. Dogs were fitted with GPS collars and home range (ha) was estimated during monitoring periods of up to 3 days. In Cape York Peninsula, 6% of the 35 dogs sampled were dingo hybrids, whereas in Arnhem Land 41% of the 29 dogs sampled were hybrids. The median extended home range was estimated to be 4.54 ha (interquartile range, 3.40 - 7.71). Seven community dogs were identified with an estimated home range > 20 ha and home ranges included the bushland surrounding communities. No significant difference in home ranges was detected between hybrid and non-hybrid dogs. Study results provide some evidence (dingo hybridisation, bushland forays) of the potential interaction between domestic and wild dogs in northern Australia. The nature of this interaction needs further investigation to determine its role in disease transmission; for example, in the case of a rabies incursion in this region. © 2017 Australian Veterinary Association.
Landslide hazard analysis for pipelines: The case of the Simonette river crossing

DOE Office of Scientific and Technical Information (OSTI.GOV)

Grivas, D.A.; Schultz, B.C.; O`Neil, G.

1995-12-31

The overall objective of this study is to develop a probabilistic methodology to analyze landslide hazards and their effects on the safety of buried pipelines. The methodology incorporates a range of models that can accommodate differences in the ground movement modes and the amount and type of information available at various site locations. Two movement modes are considered, namely (a) instantaneous (catastrophic) slides, and (b) gradual ground movement which may result in cumulative displacements over the pipeline design life (30--40 years) that are in excess of allowable values. Probabilistic analysis is applied in each case to address the uncertainties associatedmore » with important factors that control slope stability. Availability of information ranges from relatively well studied, instrumented installations to cases where data is limited to what can be derived from topographic and geologic maps. The methodology distinguishes between procedures applied where there is little information and those that can be used when relatively extensive data is available. important aspects of the methodology are illustrated in a case study involving a pipeline located in Northern Alberta, Canada, in the Simonette river valley.« less

Layoff Time Training: A Key to Upgrading Workforce Utilization and EEOC Affirmative Action. A Case Study in the Northern California Canning Industry. R & D Monograph 61.

ERIC Educational Resources Information Center

Aller, Curtis C.; And Others

An experimental and demonstration project was conducted over a five-year period in California to test the concept of lay-off time training to enable workers to qualify for promotion and increase their earnings. The canning industry was found to be a suitable area for this type of training since it had annual lay-offs followed by assured recalls to…
The Philippine Scouts: A Case Study in the Use of Indigenous Soldiers, Northern Luzon, the Philippine Islands, 1899

DTIC Science & Technology

1983-05-31

0.0... . 41 Early American Policy................................. 44 A New Challenge--Guerrilla Warfare .................... 45 American Policy Revised...about a Spanish defeat. In time, however, the McKinley administration came to the view that the U.S. should retain the new acquisition. By the fall of...1886, Lawton accompanied Generals George Crook and Nelson Miles in Arizona, New Mexico, and Mexico. A respected Indian fighter and soldier of
California’s Parkinson’s Disease Registry Pilot Project - Coordination Center and Northern California Ascertainment

DTIC Science & Technology

2014-03-01

www.capdregistry.org) and email box were created and launched in March, 2008. Requests for information about the registry from patients, colleagues and...d. Review and determination of study diagnosis. For cases with multiple parkinsonism codes (i.e. diagnosed with more than one of 332.0, 333.0...individuals (10.7%) had ICD-9 codes for other forms of neurodegenerative parkinsonism . The remaining 2.1% were primarily drug- induced parkinsonism
The Armed Forces and Drug Trafficking: Operation Rio as a Case Study

DTIC Science & Technology

2003-01-01

remote Northern region of Brazil, a vast area that includes the states of Rondônia, Acre, Amazonia , Roraima, Pará, Amapá and Tocantins.37 In November...2000, the final report of the Legislative Committee of Inquiry (named Narcotraffic CPI) on the investigation into the extent of drug trafficking in...the internal investigation , the CPI verified the non-participation of federal agencies in contributing to the inquiries of the Committee. For example
Resistant place identities in rural Charleston County, South Carolina: Cultural, environmental, and racial politics in the Sewee to Santee Area

Treesearch

Cassandra Y. Johnson; A.C. Halfacre; P.T. Hurley

2009-01-01

The cultural and political implications of landscape change and urban growth in the western U.S. are well-documented. However, comparatively little scholarship has examined the effects of urbanization on sense of place in the southern U.S. We contribute to the literature on competing place meanings with a case study from the rural âSewee to Santeeâ region of northern...
A case-control study of rheumatoid arthritis revealed abdominal obesity and environmental risk factor interactions in northern China.

PubMed

Fu, Lingyu; Zhang, Jianming; Jin, Lei; Zhang, Yao; Cui, Saisai; Chen, Meng

2018-03-01

The aim of this study was to evaluate new and previously hypothesized environmental risk factors and their interaction with rheumatoid arthritis (RA). Four hundred patients recently diagnosed with RA and 400 controls frequency-matched by gender and birth year using Propensity Score Matching (PSM) were selected from northern China. Investigation was performed using self-reported data from interviewer-administered surveys. Associations between exposure variables and risk of RA were evaluated using multifactor non-conditional logistic regression. It showed that damp localities, draft indoor, abdominal obesity (AO), and family history of RA among first-degree relatives were independent risk factors and drinking of milk was independent protective factors for RA. Besides these risk factors, in women, infrequent delivery times, early age at menopause, and late age at menarche were also independent risk factors for RA. Both the additive model and the multiplication model suggested that there was an interaction relationship between AO and damp localities (p < .001), and only the additive model suggested that there was interaction relationship between AO and no milk drinking (p < .001) in our study population. In women, there was interaction relationship between AO and damp localities (p < .001) and between AO and age at menopause (p < .001). In northern China, damp localities, draft indoor, AO, family history of RA among first-degree relatives, and no milk drinking may be important risk factors of RA patients.
A STUDY OF HOPELESSNESS, SUICIDAL INTENT AND DEPESSION IN CASES OF ATTEMPTED SUICIDE

PubMed Central

Jain, V.; Singh, H.; Gupta, S.C.; Kumar, S.

1999-01-01

The aim of the present study was to determine the severity and relationship of depression, hopelessness & sucide intent in individuals attempting suicides. Individuals admitted to a northern India hospital emergency services between 1st Jan. ′94 to 31st Dec. ′94 with suicide attempt were taken up for study and assessed with the help of different tools. 79 patients were screened for the study and 56 patients were included (33 male & 23 female). Majority of the sample was below 30 years of age (82.1%). Organophosphorus consumption and drug overdose was most common (75%) psychiatric illness was present in 57% cases, depression being most common 37.5% (p< 0.001) 22 subjects showed mild to moderate suicide intent (39.28%) & 16% subjects showed hopelessness score above 9. Variables taken up for the study have a highly significan correlation with each other i.e. suicidal intent, hopelessness and depression. PMID:21455374
Syn-collisional felsic magmatism and continental crust growth: A case study from the North Qilian Orogenic Belt at the northern margin of the Tibetan Plateau

NASA Astrophysics Data System (ADS)

Chen, Shuo; Niu, Yaoling; Xue, Qiqi

2018-05-01

The abundant syn-collisional granitoids produced and preserved at the northern Tibetan Plateau margin provide a prime case for studying the felsic magmatism as well as continental crust growth in response to continental collision. Here we present the results from a systematic study of the syn-collisional granitoids and their mafic magmatic enclaves (MMEs) in the Laohushan (LHS) and Machangshan (MCS) plutons from the North Qilian Orogenic Belt (NQOB). Two types of MMEs from the LHS pluton exhibit identical crystallization age ( 430 Ma) and bulk-rock isotopic compositions to their host granitoids, indicating their genetic link. The phase equilibrium constraints and pressure estimates for amphiboles from the LHS pluton together with the whole rock data suggest that the two types of MMEs represent two evolution products of the same hydrous andesitic magmas. In combination with the data on NQOB syn-collisional granitoids elsewhere, we suggest that the syn-collisional granitoids in the NQOB are material evidence of melting of ocean crust and sediment. The remarkable compositional similarity between the LHS granitoids and the model bulk continental crust in terms of major elements, trace elements, and some key element ratios indicates that the syn-collisional magmatism in the NQOB contributes to net continental crust growth, and that the way of continental crust growth in the Phanerozoic through syn-collisional felsic magmatism (production and preservation) is a straightforward process without the need of petrologically and physically complex processes.
Risk of leukaemia and residential exposure to air pollution in an industrial area in Northern Italy: a case-control study.

PubMed

Parodi, Stefano; Santi, Irene; Casella, Claudia; Puppo, Antonella; Montanaro, Fabio; Fontana, Vincenzo; Pescetto, Massimiliano; Stagnaro, Emanuele

2015-01-01

Leukaemia risk in adult populations exposed to environmental air pollution is poorly investigated. We have carried out a population-based case-control study in an area that included a fossil fuel power plant, a coke oven and two big chemical industries. Information on residential history and several risk factors for leukaemia was obtained from 164 cases, diagnosed between 2002 and 2005, and 279 controls. A higher risk for subjects residing in polluted areas was observed, but statistical significance was not reached (adjusted OR = 1.11 and 1.56 for subjects living in moderately and in heavily polluted zones, respectively, p = 0.190). Results suggest a possible aetiological role of residential air pollution from industrial sites on the risk of developing leukaemia in adult populations. However, the proportion of eligible subjects excluded from the study and the lack of any measure of air pollution prevent definitive conclusions from being drawn.
Aquatic Trophic Productivity model: A decision support model for river restoration planning in the Methow River, Washington

USGS Publications Warehouse

Benjamin, Joseph R.; Bellmore, J. Ryan

2016-05-19

In this report, we outline the structure of a stream food-web model constructed to explore how alternative river restoration strategies may affect stream fish populations. We have termed this model the “Aquatic Trophic Productivity model” (ATP). We present the model structure, followed by three case study applications of the model to segments of the Methow River watershed in northern Washington. For two case studies (middle Methow River and lower Twisp River floodplain), we ran a series of simulations to explore how food-web dynamics respond to four distinctly different, but applied, strategies in the Methow River watershed: (1) reconnection of floodplain aquatic habitats, (2) riparian vegetation planting, (3) nutrient augmentation (that is, salmon carcass addition), and (4) enhancement of habitat suitability for fish. For the third case study, we conducted simulations to explore the potential fish and food-web response to habitat improvements conducted in 2012 at the Whitefish Island Side Channel, located in the middle Methow River.
Giant kidney worm (Dioctophyma renale) infections in dogs from Northern Paraná, Brazil.

PubMed

Nakagawa, Tizianne Larissa Duim Ribeiro; Bracarense, Ana Paula Frederico Rodrigues Loureiro; dos Reis, Antônio Carlos Faria; Yamamura, Milton Hissashi; Headley, Selwyn Arlington

2007-04-30

This article describes the pathological observations of Dioctophyma renale in dogs from the northern region of the State of Paraná, Brazil. A female, 6-year-old dog, Fila Brasileiro breed and a 16-year-old, male Poodle were diagnosed positive for D. renale during routine necropsy. Clinically, both dogs demonstrated hematuria, and the Poodle had a radiographic diagnosis of prostatic tumor, but neither had a clinical diagnosis of this infection prior to necropsy. Three giant worms were observed in the urinary bladder of the first case and one within the renal pelvis of the other dog. Histological findings were similar in both cases and represented compressive atrophy due to the presence of the nematode. Additionally, aspects of the life cycle, pathogenesis and epidemiology associated with this parasitism in Brazil are also discussed.
Persistent konzo and cyanogen toxicity from cassava in northern Mozambique.

PubMed

Ernesto, Mario; Cardoso, A Paula; Nicala, Domingos; Mirione, Estevão; Massaza, Fernando; Cliff, Julie; Haque, M Rezaul; Bradbury, J Howard

2002-06-01

We aimed to detect new cases of konzo and monitor cyanogen exposure from cassava flour in communities previously affected by konzo epidemics in Nampula Province, northern Mozambique. Other objectives were to detect subclinical upper motor neuron damage in schoolchildren and test a new kit to measure urinary thiocyanate concentration. In 1999 and 2000, we carried out active and passive case detection for konzo in Memba and Mogincual Districts. In July and October, 1999, we collected cassava flour from 30 houses in three communities and measured cyanogen concentrations with a picrate kit. In October 1999, we examined all schoolchildren in three communities for ankle clonus and measured urinary thiocyanate concentration in thirty schoolchildren in each of five communities with a picrate kit. We found 27 new cases of konzo in Mogincual District. Mean total cyanogen concentrations in cassava flour varied between both seasons and years, but were always high, ranging from 26 to 186 ppm. Very high mean levels at three sites in November 1998 and July 1999 were probably due to low rainfall in the 1997-1998 season. The proportion of schoolchildren with ankle clonus varied from 8 to 17%. The new picrate kit for urinary thiocyanate worked well; mean concentrations in schoolchildren ranged from 225 to 384 micromol x l(-1). Konzo and sub-clinical upper motor neuron damage persist in poor rural communities in northern Mozambique, associated with high cyanogen concentrations in cassava flour and high urinary thiocyanate concentrations in schoolchildren.
Quality of diagnosis and monitoring of tuberculosis in Northern Ethiopia: medical records-based retrospective study.

PubMed

Mala, George; Spigt, Mark G; Gidding, Luc G; Blanco, Roman; Dinant, Geert-Jan

2015-10-01

To determine quality of diagnosis and monitoring of treatment response of patients with smear-negative pulmonary tuberculosis (TB) compared with smear-positive cases in Ethiopia. A retrospective analysis of medical records of newly diagnosed pulmonary TB cases that were registered for taking anti-TB medication and had completed treatment between 2010 and 2012. We evaluated the percentage of cases that were managed according to the International Standards of Tuberculosis Care (ISTC) and compared smear-negative with smear-positive cases. We analysed 1168 cases of which 742 (64%) were sputum smear-negative cases. Chest radiography examination at diagnosis and microbiological testing at the end of the intensive phase of treatment was performed in a smaller proportion than in smear-positive TB cases (70% vs. 79%, P value <0.001) and (70% vs. 95%, P value <0.001), respectively. Clinical actions recommended in the ISTC are of greatest importance in minimising pitfalls in care of smear-negative TB yet were performed less often in smear-negative than smear-positive TB cases. © The Author(s) 2015.
Diphyllobothriasis: update on human cases, foci, patterns and sources of human infections and future considerations.

PubMed

Dick, T A; Nelson, P A; Choudhury, A

2001-01-01

Diphylobothriasis is a well documented disease of humans. On a world scale new infections are reported regularly, especially from Russia and parts of Japan. Globally, new species have been discovered and the etiology of the disease may be changing. Human infections appear to be in decline but it is not clear if the sources of infection are also in decline or if public health awareness has improved. In North America there has been a decline in human cases while in South America an increase in reports from fish, especially salmonids suggests high levels in these fish species. The history of human infections of Diphyllobothrium latum is primarily associated with the consumption of the northern circumpolar distributed pike and percids and is often considered a parasite of humans only. Indeed some researchers believe that D. latum was introduced to North America by northern European immigrants. The more benign human infections of D. dendriticum appears to be primarily associated with salmonids and coregonid fishes and fish eating birds. Although the early cases of diphyllobothriasis in the 1930s in North America came from fish originating in Lake Winnipeg, Manitoba, there was general belief that it was declining in fish populations and therefore of little significance to humans in the area. However, high levels of a plerocercoid in the flesh of walleyes and pike led to rejection of commercially harvested walleye and pike in Manitoba and northern Ontario, Canada, and a financial loss to Aboriginal fishers. D. latum is widely distributed in fishes of Manitoba and is infective to humans where it is not pathogenic and has a life span up to 4.5 years. The distribution and potential infection routes has not changed in a century and is still well established in natural hosts in the boreal regions of North America. Evidence is building for an old pre-European presence in North America, involving the Beringian land bridge and later involvement of susceptible hosts (northern European immigrants).
Stroke incidence is decreasing in whites but not in blacks: a population-based estimate of temporal trends in stroke incidence from the Greater Cincinnati/Northern Kentucky Stroke Study.

PubMed

Kleindorfer, Dawn O; Khoury, Jane; Moomaw, Charles J; Alwell, Kathleen; Woo, Daniel; Flaherty, Matthew L; Khatri, Pooja; Adeoye, Opeolu; Ferioli, Simona; Broderick, Joseph P; Kissela, Brett M

2010-07-01

Although other studies (in largely white populations) have found that stroke incidence declined during the 1990s, we previously reported that stroke incidence in our population (18% of which was black) did not change during that decade and that incidence rates in blacks were significantly higher than in whites. We sought to update temporal trends in stroke incidence by adding new data obtained from our large, biracial population in 2005. The objective of this study was to examine temporal trends in stroke incidence and case-fatality within a large biracial population over time by comparing stroke incidence rates from 1993 to 1994, 1999, and 2005. Within the Greater Cincinnati/Northern Kentucky population of 1.3 million, all strokes among area residents were ascertained at all local hospitals during July 1993 to June 19/94 and calendar years 1999 and 2005. A sampling scheme was used to ascertain cases in the out-of-hospital setting. Only first-ever strokes were included in this analysis. Race-specific incidence rates, standardized to the 2000 US Census population, and case-fatality rates were calculated. The number of physician-confirmed first-ever strokes in patients >or=20 years of age was 1942 in 1993 to 1994, 2041 in 1999, and 1921 in 2005. In all study periods, blacks had higher stroke incidence than whites, and case-fatality rates were similar between races. In contrast to previous study periods, we found a significant decrease in overall stroke incidence in 2005. When stratified by race and stroke subtype, this change was driven by a decrease in ischemic stroke incidence among whites, whereas ischemic stroke incidence in blacks was unchanged. Hemorrhagic stroke incidence was unchanged in both races. For the first time, we report a significant decrease in stroke incidence within our population, which is consistent with other reports in the literature. This decrease was found only among whites, which suggests a worsening of the racial disparity in stroke incidence.
[Mediterranean diet in cancer patients and cancer free adult Arabs in Israel--a case-control study].

PubMed

Idilbi, Nasra Muhammad; Barchana, Micha; Milman, Uzi; Carel, Rafael S

2013-07-01

Although several studies have investigated the association of the Mediterranean diet (MD) with overall risk of specific cancers, data on overall cancer risk are sparse, especially in Arab populations. To compare between the score of MD in cancer patients and cancer-free adult Israeli Arabs in order to identify risk factors amenable to intervention. A case control study was conducted in northern Israel, involving 200 Arab subscribers of a regional Health Maintenance Organization (HMO). An inverse association was found (p = 0.000) between Mediterranean diet score and cancer, with OR = 0.4, 95% CI = 0.260-0.612. Greater adherence to Mediterranean diet is associated with lower prevalence of cancer. The adoption of this dietary pattern also seems to moderate the prevalence of obesity and risks of chronic diseases.
Field evidences for a Mesozoic palaeo-relief through the northern Tianshan

NASA Astrophysics Data System (ADS)

Gumiaux, Charles; Chen, Ke; Augier, Romain; Chen, Yan; Wang, Qingchen

2010-05-01

The modern Tianshan mountain belt, located in Central Asia, offers a natural laboratory to study orogenic processes linked with convergent geodynamical settings. Most of the previous studies either focused on the Paleozoic evolution of the range - subductions, arc accretions and continental collision - or on its Cenozoic intra-continental evolution linked with the India-Asia collision. At first order, the finite structure of this range obviously displays a remarkable uprising of Paleozoic "basement" rocks - as a crustal-scale ‘pop-up' - surrounded by two Cenozoic foreland basins. The present-day topography of the Tianshan is traditionally related to the latest intra-continental reactivation of the range. In contrast, the present field study of the northern Tianshan brings new and clear evidences for the existence of a significant relief, in this area, during Mesozoic times. The investigation zone is about 250 km long, from Wusu to Urumqi, along the northern flank of the Tianshan where the rivers deeply incised the topography. In such valleys, lithologies and structural relationships between Paleozoic basement rocks, Mesozoic and Cenozoic sedimentary series are particularly well exposed along several sections. Jurassic series are mostly characterized by coal-bearing, coarse-grained continental deposits. Within intra-mountain basins, sedimentary breccias, with clasts of Carboniferous basement rocks, have been locally found at the base of the series. This argues for the presence of a rather proximal palaeo-relief of basement rocks along the range front and the occurrence of proximal intra-mountain basins, during the Jurassic. Moreover, while a major thrust is mostly evoked between Jurassic deposits and the Paleozoic units, some of the studied sections show that the Triassic to Jurassic sedimentary series can be followed from the basin to the range. In these cases, the unconformity of the Mesozoic series on top of the Carboniferous basement has been locally clearly identified quite high in the mountain range or even, surprisingly, directly along the northern Tianshan "front" itself. Combining available information from geological maps, field investigations and numerous drilling wells, regional-scale cross-sections have been built. Some of them show "onlap" type deposit of the Triassic to Jurassic clastic sediments on top of the Paleozoic basement that was thus significantly sloping down to the North at that time. Our study clearly evidences, at different scales, the existence of a major palaeo-relief along the northern Tianshan range during Mesozoic, and particularly during Jurassic times. Such results are compatible with previous fission tracks and sedimentology studies. From this, the Tianshan's uplift and the movements associated with along its northern front structures, which are traditionally assigned to its Cenozoic reactivation, must be reduced. These new results question on the mode and timing of reactivation of structures and on the link between topography and intra-continental collisional settings.
Drinking water arsenic in northern Chile: high cancer risks 40 years after exposure cessation

PubMed Central

Steinmaus, Craig M.; Ferreccio, Catterina; Romo, Johanna Acevedo; Yuan, Yan; Cortes, Sandra; Marshall, Guillermo; Moore, Lee E.; Balmes, John R.; Liaw, Jane; Golden, Todd; Smith, Allan H.

2013-01-01

Background Millions of people worldwide are exposed to arsenic-contaminated water. In the largest city in northern Chile (Antofagasta) >250,000 people were exposed to high arsenic drinking water concentrations from 1958 until 1970 when a water treatment plant was installed. Because of its unique geology, limited water sources, and good historical records, lifetime exposure and long-term latency patterns can be assessed in this area with better accuracy than in other arsenic-exposed areas worldwide. Methods We performed a population-based case-control study in northern Chile from October 2007 to December 2010 involving 232 lung and 306 bladder cancer cases and 640 age- and gender-matched controls, with detailed information on past exposure and potential confounders, including smoking and occupation. Results Bladder cancer odds ratios for quartiles of average arsenic concentrations in water before 1971 (<11, 11–90, 91–335, and >335 µg/L) were 1.00, 1.36 (95% confidence interval, 0.78 to 2.37), 3.87 (2.25 to 6.64), and 6.50 (3.69 to 11.43), respectively. Corresponding lung cancer odds ratios were 1.00, 1.27 (0.81 to 1.98), 2.00 (1.24 to 3.24), and 4.32 (2.60 to 7.17). Bladder and lung cancer odds ratios in those highly exposed in Antofagasta during 1958–70 but not thereafter were 6.88 (3.84 to 12.32) and 4.35 (2.57 to 7.36), respectively. Conclusions The lung and bladder cancer risks that we found up to 40 years after high exposures have ended are very high. Impact Our findings suggest that prevention, treatment, and other mortality reduction efforts in arsenic-exposed countries will be needed for decades after exposure cessation. PMID:23355602
Estimating the financial risks of Andropogon gayanus to greenhouse gas abatement projects in northern Australia

NASA Astrophysics Data System (ADS)

Adams, Vanessa M.; Setterfield, Samantha A.

2013-06-01

Financial mechanisms such as offsets are one strategy to abate greenhouse gas emissions, and the carbon market is expanding with a growing demand for offset products. However, in the case of carbon offsets, if the carbon is released due to intentional or unintentional reversal through environmental events such as fire, the financial liability to replace lost offsets will likely fall on the provider. This liability may have implications for future participation in programmes, but common strategies such as buffer pool and insurance products can be used to minimize this liability. In order for these strategies to be effective, an understanding of the spatial and temporal distributions of expected reversals is needed. We use the case study of savanna burning, an approved greenhouse gas abatement methodology under the Carbon Farming Initiative in Australia, to examine potential risks to carbon markets in northern Australia and quantify the financial risks. We focus our analysis on the threat of Andropogon gayanus (gamba grass) to savanna burning due to its documented impacts of increased fuel loads and altered fire regimes. We assess the spatial and financial extent to which gamba grass poses a risk to savanna burning programmes in northern Australia. We find that 75% of the eligible area for savanna burning is spatially coincident with the high suitability range for gamba grass. Our analysis demonstrates that the presence of gamba grass seriously impacts the financial viability of savanna burning projects. For example, in order to recuperate the annual costs of controlling 1 ha of gamba grass infestation, 290 ha of land must be enrolled in annual carbon abatement credits. Our results show an immediate need to contain gamba grass to its current extent to avoid future spread into large expanses of land, which are currently profitable for savanna burning.
Propolis extracts from the northern region of Thailand suppress cancer cell growth through induction of apoptosis pathways.

PubMed

Khacha-Ananda, Supakit; Tragoolpua, Khajornsak; Chantawannakul, Panuwan; Tragoolpua, Yingmanee

2016-12-01

The continual increase in mortality rates and number of cancer cases is a matter of serious concern in developing countries. The incorporation of natural products into classical cancer treatment approaches is a promising direction. The mechanisms of A549 and HeLa cancer cell death induction by ethanolic extracts of propolis samples from Phayao, Chiang Mai, and Nan provinces in northern Thailand were investigated in this study. The propolis extract from Chiang Mai showed the highest antioxidant activity and the greatest total phenolic content. The propolis extract from Nan also exhibited the highest total flavonoid content. The proliferation of A549 and HeLa cells grown in the presence of the propolis extracts was suppressed in a dose- and time-dependent manner. Moreover, treatment of both cancer cells with the propolis extracts showed DNA fragmentation and significantly increased the number of the apoptotic cells. On A549 cells, the extrinsic and intrinsic pathways of caspase enzymes were activated by the propolis extracts from Phayao and Chiang Mai. In the case of the propolis extract from Nan, the mechanisms involved apoptosis on the A549 cells were caspase-independent pathway. The extrinsic pathway of the caspase enzyme was triggered by all of the propolis extracts on HeLa cells. Finally, oral administration of the propolis granule produced from the propolis extract from Nan resulted in extended survival of tumour-bearing mice. Therefore, propolis extracts from the northern region of Thailand demonstrated pharmacological properties, both antioxidant and anticancer activities. From these findings, it is evident that propolis extracts can be considered as a naturally obtained agent extremely useful in cancer treatment.

Antenatal screening for Toxoplasma gondii, Cytomegalovirus, rubella and Treponema pallidum infections in northern Benin.

PubMed

De Paschale, Massimo; Ceriani, Cristina; Cerulli, Teresa; Cagnin, Debora; Cavallari, Serena; Cianflone, Annalisa; Diombo, Kouma; Ndayaké, Joseph; Aouanou, Guy; Zaongo, Dieudonné; Priuli, Gianbattista; Viganò, Paolo; Clerici, Pierangelo

2014-06-01

Toxoplasma gondii, cytomegalovirus (HCMV) and rubella virus infections are among the most serious of those contracted during pregnancy in terms of foetal consequences. Toxoplasma, HCMV and rubella antibody screening is unusual in Africa, and there are few published data. The aim of this study was to evaluate the prevalence of these markers among pregnant women in northern Benin on the occasion of routine syphilis screening. Toxoplasma, HCMV and rubella IgG and IgM antibodies were determined in the serum of 283 women attending Saint Jean de Dieu de Tanguiéta hospital, using an enzyme immunoassay, and IgM were confirmed using an enzyme-linked fluorescent assay (ELFA). In the case of IgM positivity, the avidity of anti-HCMV and anti-Toxoplasma IgG was measured. Total anti-Treponema pallidum antibodies were determined using an enzyme immunoassay and confirmed by immunoblotting. In the case of positivity, the Venereal Disease Research Laboratory (VDRL) test was used. The prevalence of anti-Toxoplasma, anti-HCMV, anti-rubella IgG and total anti-Treponema antibodies was, respectively, 30.0%, 100%, 94% and 2.5%. The VDRL test was positive in 62.5% of the anti-Treponema-positive samples. The prevalence of anti-Toxoplasma, anti-HCMV and anti-rubella IgM was, respectively, 0.4%, 1.4% and 0%. There were no statistically significant differences in terms of age class or trimester of pregnancy. Anti-Toxoplasma and anti-HCMV IgG avidity was always high. The prevalence of HCMV and rubella antibodies is high in northern Benin, whereas that of Toxoplasma antibodies is lower. As nearly two-thirds of the pregnant women were anti-Toxoplasma seronegative, antibody screening should be introduced. © 2014 John Wiley & Sons Ltd.
Arsenic methylation capacity is associated with breast cancer in northern Mexico.

PubMed

López-Carrillo, Lizbeth; Hernández-Ramírez, Raúl Ulises; Gandolfi, A Jay; Ornelas-Aguirre, José Manuel; Torres-Sánchez, Luisa; Cebrian, Mariano E

2014-10-01

Exposure to environmental contaminants, dietary factors and lifestyles may explain worldwide different breast cancer (BC) incidence. Inorganic arsenic (iAs) in the drinking water is a concern in many regions, such as northern Mexico. Studies in several countries have associated the proportion of urinary monomethylarsenic (%MMA) with increased risks for many As-related diseases, including cancer. To investigate the potential relationships between the risk of BC and the capacity to methylate iAs, a hospital-based case-control study (1016 cases/1028 controls) was performed in northern Mexico. Women were directly interviewed about their reproductive histories. The profile of As metabolites in urine was determined by HPLC-ICP-MS and methylation capacity was assessed by metabolite percentages and indexes. Total urinary As, excluding arsenobetaine (TAs-AsB), ranged from 0.26 to 303.29μg/L. Most women (86%) had TAs-AsB levels below As biological exposure index (35μg/L). Women with higher %MMA and/or primary methylation index (PMI) had an increased BC risk (%MMA ORQ5vs.Q1=2.63; 95%CI 1.89,3.66; p for trend <0.001; PMI ORQ5vs.Q1=1.90; 95%CI 1.39,2.59, p for trend <0.001). In contrast, women with higher proportion of urinary dimethylarsenic (%DMA) and/or secondary methylation index (SMI) had a reduced BC risk (%DMA ORQ5vs.Q1=0.63; 95%CI 0.45,0.87, p for trend 0.006; SMI ORQ5vsQ1=0.42, 95%CI 0.31,0.59, p for trend <0.001). Neither %iAs nor total methylation index was associated to BC risk. Inter-individual variations in iAs metabolism may play a role in BC carcinogenesis. Women with higher capacity to methylate iAs to MMA and/or a lower capacity to further methylate MMA to DMA were at higher BC risk. Copyright © 2014 Elsevier Inc. All rights reserved.
Surveillance of poliomyelitis in Northern Italy: Results of acute flaccid paralysis surveillance and environmental surveillance, 2012-2015.

PubMed

Pellegrinelli, Laura; Bubba, Laura; Primache, Valeria; Pariani, Elena; Battistone, Andrea; Delogu, Roberto; Fiore, Stefano; Binda, Sandro

2017-02-01

Although in the last years poliovirus (PV) transmission has been reported at the lowest levels ever recorded, the spread of virus from endemic countries endures; the high levels of immigration flows across the Mediterranean Sea jeopardize Italy for PV reintroduction. The World Health Organization (WHO) strategic plan for global poliomyelitis (polio) eradication indicates the nationwide surveillance of Acute Flaccid Paralysis (AFP) as the gold standard for detecting cases of polio. In addition, the Environmental Surveillance (ES), seeking the presence of PV and Non-Polio Enterovirus (NPEV) in sewage, is recognized as a powerful tool to confirm PV circulation in absence of AFP cases, especially in polio-free countries. Here we report the results of AFP surveillance (AFPS) and ES in Lombardy (Northern Italy) from 2012 to 2015. Forty-eight AFP cases were identified during the study period. No AFP case was caused by PV infection. NPEVs were identified in 6.3% (3/48) of AFP cases. The annual AFP incidence rate was 0.87/100'000 children <15 y in 2012, 1.42/100'000 in 2013, 1.02/100'000 in 2014, and 0.47/100'000 in 2015; according to WHO indicators, the sensitivity of AFPS was adequate in 2013 and 2014. Completeness of case investigation raised progressively during the study period to achieve the WHO standards in 2014 (92.3%) and 2015 (100%). Completeness of follow-up increased from 72.7% in 2012 to 100% in 2014. In the framework of the ES conducted in Milan, 268 wastewater samples were collected from 2012 to 2015 and no PVs were isolated. In contrast, NPEVs were detected in 65.3% (175/268) of samples. All NPEVs characterized belonged to enterovirus species B: echovirus type 11, 6 and 3 were the most frequently detected viruses, representing 29.1% (41/141), 20.6% (29/141) and 9.2% (13/141) of genotyped NPEVs, respectively. Keeping strong and encouraging both AFPS and ES is crucial to ensure that PV will not return unnoticed in Italy - as well as in other polio-free countries - and, as a final point, to achieve the global polio eradication goal.
Cost of Hospitalization for Foodborne Diarrhea: A Case Study from Vietnam.

PubMed

Hoang, Van Minh; Tran, Tuan Anh; Ha, Anh Duc; Nguyen, Viet Hung

2015-11-01

Vietnam is undergoing a rapid social and economic developments resulting in speedy urbanization, changes in methods for animal production, food marketing systems, and food consumption habits. These changes will have major impacts on human exposures to food poisoning. The present case study aimed to estimate hospitalization costs of foodborne diarrhea cases in selected health facilities in Vietnam. This is a facility-based cost-of-illness study conducted in seven health facilities in Northern Vietnam. All suspect cases of foodborne diarrhea, as diagnosed by doctors, who admitted to the studied health facilities during June-August, 2013 were selected. Costs associated with hospitalization for foodborne diseases were estimated from societal perspective using retrospective approach. We included direct and indirect costs of hospitalization of foodborne diarrhea cases. During the study period, 87 foodborne diarrhea cases were included. On average, the costs per treatment episode and per hospitalization day for foodborne diarrhea case were US$ 106.9 and US$ 33.6 respectively. Indirect cost (costs of times to patient, their relatives due to the patient's illness) made up the largest share (51.3%). Direct medical costs accounted for 33.8%; direct non-medical costs (patient and their relatives) represented 14.9%. Cost levels and compositions varied by level of health facilities. More attentions should be paid on prevention, control of foodborne diarrhea cases in Vietnam. Ensuring safety of food depends on efforts of everyone involved in food chain continuum, from production, processing, and transport to consumption.
An epidemiological study of poisoning in northern Islamic Republic of Iran.

PubMed

Moghadamnia, A A; Abdollahi, M

2002-01-01

We examined the causes and mortality of poisoning in the province of Mazandaran. In all, 1751 poisoning cases referred to four main hospitals over a three-year period (1997-2000) were included. More poisoning cases were females (55.5%) than males (45.5%) but the proportional mortality for males was greater than for females (65% versus 35%). The greatest proportion of poisonings occurred between the ages of 16 and 25 years. Most frequent was intentional poisoning, followed by accidental and occupational poisoning. Medicines were the most common cause, followed by chemicals such as pesticides. Poisoning by opiates, aluminium or zinc phosphide, rodenticides, petroleum and ethanol intoxication was also observed. Pesticide poisoning was most frequently fatal.
Use of continuous renal replacement therapy in acute aluminum phosphide poisoning: a novel therapy.

PubMed

Nasa, Prashant; Gupta, Ankur; Mangal, Kishore; Nagrani, S K; Raina, Sanjay; Yadav, Rohit

2013-09-01

Aluminum phosphide is most common cause of poisoning in northern India. There is no specific antidote available and management of such cases is mainly supportive with high mortality. We present two cases of severe acute aluminium phosphide poisoning where continuous renal replacement therapy (CRRT) was started early along with other resuscitative measures and both the patients survived.
Teaching for Democracy in the Absence of Transitional Justice: The Case of Northern Ireland

ERIC Educational Resources Information Center

Worden, Elizabeth Anderson; Smith, Alan

2017-01-01

In many cases, political circumstances do not allow formal for transitional justice processes to occur in countries undergoing a transition from a violent past. In this paper, we ask if education can become a default front line of transitional justice work in the absence of explicit action by the state to address past injustices. Drawing from…
Surgeons' attitudes to some aspects of day case surgery

PubMed Central

Sloan, D S G; Watson, J D

1986-01-01

The level of day case surgery is much lower in Northern Ireland than in England. A questionnaire was sent to all 55 consultant general surgeons in Northern Ireland to assess attitudes to this form of care and 51 (93%) replied. They were asked about the suitability of five procedures for day surgery. The three minor procedures of vasectomy, cystoscopy and gastroscopy were regarded as suitable or very suitable by 50 (98% of those who replied), 48 (94%) and 48 (94%) respectively. For the two intermediate procedures, 25 (49%) regarded the repair of inguinal hernia as suitable for day case surgery and 22 (43%) ligation of varicose veins. When asked about eight factors limiting their use of day surgery for inguinal hernia repair, the two most frequently rated as important were ‘home conditions’ and ‘level of provision of domiciliary care’ (both by 44 (86%) of the surgeons). Of factors which might promote their use of day surgery for this operation the two most important were ‘more efficient use of health service resources’ (71%) and the ‘ability to convalesce at home’ (67%). The problem of under-reporting of day cases and the importance of accurate statistics are considered. PMID:3739063
Modeling land subsidence due to shallow-water hydrocarbon production: A case study in the northern Adriatic Sea

NASA Astrophysics Data System (ADS)

Gambolati, G.; Castelletto, N.; Ferronato, M.; Janna, C.; Teatini, P.

2012-12-01

One major environmental concern of subsurface fluid withdrawal is land subsidence. The issue of a reliable estimate and prediction of the expected anthropogenic land subsidence is particularly important whenever the production of hydrocarbon (oil and gas) occurs from large reservoirs located close to deltaic zones (e.g., Mississippi, Po, Nile, Niger, Yellow rivers) or shallow-water with low-lying coastlands (e.g., Northern Caspian sea, Dutch Wadden Sea). In such cases even a small reduction of the ground elevation relative to the mean sea level may impact seriously on human settlements and natural environment. The monitoring of the ongoing land subsidence has been significantly improved over the last decade by SAR-based interferometry. These measurements can be quite effectively used to map the process and calibrate geomechanical models for predicting the future event. However, this powerful methodology cannot be implemented off-shore. Although permanent GPS stations can be established to monitor the movement of the production facilities usually installed above the gravity center of a reservoir, an accurate characterization of the settlement bowl affecting the sea bottom, with a possible migration toward the shore, is a challenge still today. In the present communication the case study of the Riccione gas reservoir is discussed. The field is located in the near-shore northern Adriatic Sea, approximately 15 km far from the coastline, where the seawater height is about 20 m. The gas-bearing strata are 1100 m deep and are hydraulically connected to a relatively weak aquifer. Production of 70% of the cumulative reserves as of 2006 yielded a pore pressure decrease of 60 bars. Reliable geometry and geomechanical properties of the depleted formations were detected with the aid of a 3D seismic survey and a borehole equipped with radioactive markers, respectively. The latter pointed out that the Riccione formations are characterized by an unusually high oedometer compressibility approximately 5 times larger than typical values found in the northern Adriatic sedimentary basin. Based on the pore pressure computed by a flow-dynamic model calibrated against the measured pressure records, a 3D finite-element geomechanical model was developed and used to assess land subsidence caused by the field development. As of 2006 a maximum subsidence of 85 cm was predicted, with the bowl extension confined above the trace of the reservoir. An a-posteriori survey of the Adriatic bathymetry by multibeam revealed that not only the maximum value but also the shape of the anthropogenic subsidence pattern was satisfactorily matched by the modeling results. This outcome helps add confidence in the reliability of computational modeling whenever an accurate characterization of the reservoir geometry and a good estimate of the petrophysical /geomechanical properties of the porous medium are available.
Identification of Climatic Factors Affecting the Epidemiology of Human West Nile Virus Infections in Northern Greece.

PubMed

Stilianakis, Nikolaos I; Syrris, Vasileios; Petroliagkis, Thomas; Pärt, Peeter; Gewehr, Sandra; Kalaitzopoulou, Stella; Mourelatos, Spiros; Baka, Agoritsa; Pervanidou, Danai; Vontas, John; Hadjichristodoulou, Christos

2016-01-01

Climate can affect the geographic and seasonal patterns of vector-borne disease incidence such as West Nile Virus (WNV) infections. We explore the association between climatic factors and the occurrence of West Nile fever (WNF) or West Nile neuro-invasive disease (WNND) in humans in Northern Greece over the years 2010-2014. Time series over a period of 30 years (1979-2008) of climatic data of air temperature, relative humidity, soil temperature, volumetric soil water content, wind speed, and precipitation representing average climate were obtained utilising the ECMWF's (European Centre for Medium-Range Weather Forecasts) Re-Analysis (ERA-Interim) system allowing for a homogeneous set of data in time and space. We analysed data of reported human cases of WNF/WNND and Culex mosquitoes in Northern Greece. Quantitative assessment resulted in identifying associations between the above climatic variables and reported human cases of WNF/WNND. A substantial fraction of the cases was linked to the upper percentiles of the distribution of air and soil temperature for the period 1979-2008 and the lower percentiles of relative humidity and soil water content. A statistically relevant relationship between the mean weekly value climatic anomalies of wind speed (negative association), relative humidity (negative association) and air temperature (positive association) over 30 years, and reported human cases of WNF/WNND during the period 2010-2014 could be shown. A negative association between the presence of WNV infected Culex mosquitoes and wind speed could be identified. The statistically significant associations could also be confirmed for the week the WNF/WNND human cases appear and when a time lag of up to three weeks was considered. Similar statistically significant associations were identified with the weekly anomalies of the maximum and minimum values of the above climatic factors. Utilising the ERA-Interim re-analysis methodology it could be shown that besides air temperature, climatic factors such as soil temperature, relative humidity, soil water content and wind speed may affect the epidemiology of WNV.
Clinical study of Tinea capitis in Northern Karnataka: A three-year experience at a single institute.

PubMed

Pai, Varadraj V; Hanumanthayya, Keloji; Tophakhane, Raghavendra S; Nandihal, Namrata W; Kikkeri, Narayan Shetty Naveen

2013-01-01

Tinea capitis is a superficial fungal infection of the hair follicle of scalp. Most of the dermatophytosis do not have such age propensity as tinea capitis which almost invariably involves the paediatric age group. The exact incidence of tinea capitis is not known. This study is done in order to isolate the species variation in an area, to know the changing patterns of occurrence of different species and their association with clinical pattern All clinically diagnosed cases of tinea capitis which presented to our out patient department over a period of one year were included in the study. 70 cases of Tinea capitis were studied. Tinea capitis is a disease of prepubertal children with common in age group of 5- 15 years. The incidence varies from 0.5% to 10%. Most common presenting feature was alopecia.
Clinical study of Tinea capitis in Northern Karnataka: A three-year experience at a single institute

PubMed Central

Pai, Varadraj V.; Hanumanthayya, Keloji; Tophakhane, Raghavendra S.; Nandihal, Namrata W.; Kikkeri, Narayan Shetty Naveen

2013-01-01

Background: Tinea capitis is a superficial fungal infection of the hair follicle of scalp. Most of the dermatophytosis do not have such age propensity as tinea capitis which almost invariably involves the paediatric age group. The exact incidence of tinea capitis is not known. This study is done in order to isolate the species variation in an area, to know the changing patterns of occurrence of different species and their association with clinical pattern Materials and Methods: All clinically diagnosed cases of tinea capitis which presented to our out patient department over a period of one year were included in the study. Results: 70 cases of Tinea capitis were studied. Discussion: Tinea capitis is a disease of prepubertal children with common in age group of 5- 15 years. The incidence varies from 0.5% to 10%. Most common presenting feature was alopecia. PMID:23439970
An outbreak of salmonellosis associated with duck prosciutto at a Northern Territory restaurant.

PubMed

Draper, Anthony Dk; Morton, Claire N; Heath, Joshua Ni; Lim, Justin A; Schiek, Anninka I; Davis, Stephanie; Krause, Vicki L; Markey, Peter G

2017-03-31

In June 2015, an outbreak of salmonellosis occurred among people who had eaten at a restaurant in Darwin, Northern Territory over 2 consecutive nights. We conducted a retrospective cohort study of diners who ate at the restaurant on 19 and 20 June 2015. Diners were telephoned and a questionnaire recorded symptoms and menu items consumed. An outbreak case was defined as anyone with laboratory confirmed Salmonella Typhimurium PT9 (STm9) or a clinically compatible illness after eating at the restaurant. Environmental health officers inspected the premises and collected food samples. We contacted 79/83 of the cohort (response rate 95%); 21 were cases (attack rate 27%), and 9 had laboratory confirmed STm9 infection. The most commonly reported symptoms were diarrhoea (100%), abdominal pain (95%), fever (95%) and nausea (95%). Fifteen people sought medical attention and 7 presented to hospital. The outbreak was most likely caused by consumption of duck prosciutto, which was consumed by all cases (OR 18.6, CI 3.0-∞, P < 0.01) and was prepared on site. Salmonella was not detected in any food samples but a standard plate count of 2 x 10 7 colony forming units per gram on samples of duck prosciutto demonstrated bacterial contamination. The restaurant used inappropriate methodology for curing the duck prosciutto. Restaurants should consider purchasing pre-made cured meats, or if preparing them on site, ensure that they adhere to safe methods of production.
[Perinatal audit in the North of the Netherlands: the first 2 years].

PubMed

van Diem, Mariet Th; Bergman, Klasien A; Bouman, Katelijne; van Egmond, Nico; Stant, Dennis A; Timmer, Albertus; Ulkeman, Lida H M; Veen, Wenda B; Erwich, Jan Jaap H M

2011-01-01

Description of the implementation of local audit meetings and the identified substandard factors, points of special interest, actions for improvement and the opinion of the participating health care providers. Descriptive study. A new organisation and methodology for perinatal mortality audit meetings was introduced in 15 collaborative structures in the northern part of the Netherlands in the period September 2007 to March 2010. During these multidisciplinary audit meetings, cases of perinatal mortality selected by the obstetric collaborative group were discussed in a structured way under the direction of an independent chairman. In total 64 audit meetings were held, in which 677 perinatal health care providers took part at least once, and 112 cases of perinatal death were evaluated. 163 substandard factors were identified. These included : not following the protocol, guideline, standard (31%) or usual care (23%) and insufficient documentation (28%) and communication between health care providers (13%). 442 actions to improve care were reported divided over: 'external collaboration' (15%), 'internal collaboration' (17%), 'practice management' (26%) and 'training and education' (10%). The most valued aspects of the audit meetings were: their multidisciplinary character, the collaborative search for substandard factors, their security, the learning effect and the positive effect on collaboration. Cases of perinatal mortality were discussed in all 15 perinatal collaborative structures in the northern part of the Netherlands. Substandard factors were identified, but further analysis of these factors merits attention. The participants concluded that the multidisciplinary approach and the collaboration during the audit meetings improved the cooperation between perinatal health care providers.
Completed suicides among the Inuit of northern Quebec, 1982–1996: a case–control study

PubMed Central

Boothroyd, Lucy J.; Kirmayer, Laurence J.; Spreng, Sheila; Malus, Michael; Hodgins, Stephen

2001-01-01

Background The rate of completed suicide among Inuit in Canada has been alarmingly high in recent years, and the suicide rate among Inuit in northern Quebec has increased since 1982. Our objectives were to describe the characteristics of Inuit people who died by suicide in Nunavik between 1982 and 1996, and to identify the antecedents and correlates of completed suicide. Methods We carried out a case–control study of 71 people who died by suicide between 1982 and 1996 and 71 population-based living control subjects matched for sex, community of residence and age within 1 year. Comprehensive medical charts were reviewed for data on sociodemographic characteristics, medical and psychiatric history, childhood separations and family history, and use of health care services. Results Most of the case subjects were single males aged 15 to 24 years. The two principal means of suicide were hanging (in 39 cases [54.9%]) and gunshot (in 21 cases [29.6%]). About 33% had been in contact with medical personnel in the month before their death. The case subjects were significantly more likely than the control subjects to have received a lifetime psychiatric diagnosis (one or more of depression, personality disorder or conduct disorder) (odds ratio [OR] 4.3 [95% confidence interval (CI) 1.2–15.2]) and to have had a history of psychiatric symptoms, disorder (including solvent sniffing) or treatment (OR 3.5 [95% CI 1.4–8.7]). The case subjects had experienced more severe types of nonpsychiatric illnesses and injuries than the control subjects (p = 0.04). The case subjects had more lifetime contacts with health care services than the control subjects (p = 0.01) and were more likely than the control subjects to have had contact with health care services in the year before death of the case subject (p = 0.03), even when psychiatric diagnoses were controlled for in conditional regression analysis (OR 1.02 [95% CI 1.01–1.04] and 5.0 [95% CI 1.07–23.7] respectively). Interpretation Since case subjects had frequent contact with health care services, frontline medical personnel may be in a position to identify people at risk for suicide. PMID:11584562
Cardiovascular studies in the mucopolysaccharidoses.

PubMed Central

Nelson, J; Shields, M D; Mulholland, H C

1990-01-01

Cardiovascular studies were performed on 22 patients with mucopolysaccharidosis ascertained from an epidemiological study on the mucopolysaccharidoses in Northern Ireland. None of the patients had attended a cardiologist before the study. The main echocardiographical findings were thickening of the interventricular septum and left ventricular posterior wall in the absence of ECG evidence of ventricular hypertrophy. Moreover, reduced QRS voltages were present in the majority of the patients (77%) and some had reduced shortening fraction (33%). These findings suggest an infiltrative cardiomyopathy owing to mucopolysaccharide deposition as a cause of the cardiac thickening rather than true ventricular hypertrophy. Thickening of the mitral valve was present in one case and thickening of the aortic valve in two cases. Involvement of the other heart valves was minimal and aortic valve disease was not found in any of the cases of Morquio's disease type A. In conclusion, the clinical, ECG, and chest x ray findings and echocardiographical evidence for valvular involvement were significantly less than in other studies. Hence, the incidence of clinically significant cardiovascular disease in patients with mucopolysaccharidosis has probably been overestimated. PMID:2108248
Clinical, Epidemiologic, Histopathologic and Molecular Features of an Unexplained Dermopathy

PubMed Central

Pearson, Michele L.; Selby, Joseph V.; Katz, Kenneth A.; Cantrell, Virginia; Braden, Christopher R.; Parise, Monica E.; Paddock, Christopher D.; Lewin-Smith, Michael R.; Kalasinsky, Victor F.; Goldstein, Felicia C.; Hightower, Allen W.; Papier, Arthur; Lewis, Brian; Motipara, Sarita; Eberhard, Mark L.

2012-01-01

Background Morgellons is a poorly characterized constellation of symptoms, with the primary manifestations involving the skin. We conducted an investigation of this unexplained dermopathy to characterize the clinical and epidemiologic features and explore potential etiologies. Methods A descriptive study was conducted among persons at least 13 years of age and enrolled in Kaiser Permanente Northern California (KPNC) during 2006–2008. A case was defined as the self-reported emergence of fibers or materials from the skin accompanied by skin lesions and/or disturbing skin sensations. We collected detailed epidemiologic data, performed clinical evaluations and geospatial analyses and analyzed materials collected from participants' skin. Results We identified 115 case-patients. The prevalence was 3.65 (95% CI = 2.98, 4.40) cases per 100,000 enrollees. There was no clustering of cases within the 13-county KPNC catchment area (p = .113). Case-patients had a median age of 52 years (range: 17–93) and were primarily female (77%) and Caucasian (77%). Multi-system complaints were common; 70% reported chronic fatigue and 54% rated their overall health as fair or poor with mean Physical Component Scores and Mental Component Scores of 36.63 (SD = 12.9) and 35.45 (SD = 12.89), respectively. Cognitive deficits were detected in 59% of case-patients and 63% had evidence of clinically significant somatic complaints; 50% had drugs detected in hair samples and 78% reported exposure to solvents. Solar elastosis was the most common histopathologic abnormality (51% of biopsies); skin lesions were most consistent with arthropod bites or chronic excoriations. No parasites or mycobacteria were detected. Most materials collected from participants' skin were composed of cellulose, likely of cotton origin. Conclusions This unexplained dermopathy was rare among this population of Northern California residents, but associated with significantly reduced health-related quality of life. No common underlying medical condition or infectious source was identified, similar to more commonly recognized conditions such as delusional infestation. PMID:22295070
Clinical, epidemiologic, histopathologic and molecular features of an unexplained dermopathy.

PubMed

Pearson, Michele L; Selby, Joseph V; Katz, Kenneth A; Cantrell, Virginia; Braden, Christopher R; Parise, Monica E; Paddock, Christopher D; Lewin-Smith, Michael R; Kalasinsky, Victor F; Goldstein, Felicia C; Hightower, Allen W; Papier, Arthur; Lewis, Brian; Motipara, Sarita; Eberhard, Mark L

2012-01-01

Morgellons is a poorly characterized constellation of symptoms, with the primary manifestations involving the skin. We conducted an investigation of this unexplained dermopathy to characterize the clinical and epidemiologic features and explore potential etiologies. A descriptive study was conducted among persons at least 13 years of age and enrolled in Kaiser Permanente Northern California (KPNC) during 2006-2008. A case was defined as the self-reported emergence of fibers or materials from the skin accompanied by skin lesions and/or disturbing skin sensations. We collected detailed epidemiologic data, performed clinical evaluations and geospatial analyses and analyzed materials collected from participants' skin. We identified 115 case-patients. The prevalence was 3.65 (95% CI = 2.98, 4.40) cases per 100,000 enrollees. There was no clustering of cases within the 13-county KPNC catchment area (p = .113). Case-patients had a median age of 52 years (range: 17-93) and were primarily female (77%) and Caucasian (77%). Multi-system complaints were common; 70% reported chronic fatigue and 54% rated their overall health as fair or poor with mean Physical Component Scores and Mental Component Scores of 36.63 (SD = 12.9) and 35.45 (SD = 12.89), respectively. Cognitive deficits were detected in 59% of case-patients and 63% had evidence of clinically significant somatic complaints; 50% had drugs detected in hair samples and 78% reported exposure to solvents. Solar elastosis was the most common histopathologic abnormality (51% of biopsies); skin lesions were most consistent with arthropod bites or chronic excoriations. No parasites or mycobacteria were detected. Most materials collected from participants' skin were composed of cellulose, likely of cotton origin. This unexplained dermopathy was rare among this population of Northern California residents, but associated with significantly reduced health-related quality of life. No common underlying medical condition or infectious source was identified, similar to more commonly recognized conditions such as delusional infestation.
Typology of historical sources and the reconstruction of long-term historical changes of riverine fish: a case study of the Austrian Danube and northern Russian rivers

PubMed Central

Haidvogl, Gertrud; Lajus, Dmitry; Pont, Didier; Schmid, Martin; Jungwirth, Mathias; Lajus, Julia

2014-01-01

Historical data are widely used in river ecology to define reference conditions or to investigate the evolution of aquatic systems. Most studies rely on printed documents from the 19th century, thus missing pre-industrial states and human impacts. This article discusses historical sources that can be used to reconstruct the development of riverine fish communities from the Late Middle Ages until the mid-20th century. Based on the studies of the Austrian Danube and northern Russian rivers, we propose a classification scheme of printed and archival sources and describe their fish ecological contents. Five types of sources were identified using the origin of sources as the first criterion: (i) early scientific surveys, (ii) fishery sources, (iii) fish trading sources, (iv) fish consumption sources and (v) cultural representations of fish. Except for early scientific surveys, all these sources were produced within economic and administrative contexts. They did not aim to report about historical fish communities, but do contain information about commercial fish and their exploitation. All historical data need further analysis for a fish ecological interpretation. Three case studies from the investigated Austrian and Russian rivers demonstrate the use of different source types and underline the necessity for a combination of different sources and a methodology combining different disciplinary approaches. Using a large variety of historical sources to reconstruct the development of past fish ecological conditions can support future river management by going beyond the usual approach of static historical reference conditions. PMID:25284959
Status of children in blind schools in the northern areas of Pakistan.

PubMed

Kazmi, Hasan Sajid; Shah, Ashfaq Ali; Awan, Abdul Aziz; Khan, Jaffar; Siddiqui, Noman

2007-01-01

Prevalence of blindness in Pakistan is estimated to be 0.9%, which comes to about 1.25 million persons. A significant number of these are persons under 20 years of age. To make these children useful citizens in future, special facilities are to be provided to these children for their education and training. A study was done to find out the visual status of the students studying in a blind school in Abbottabad, Pakistan, the only such facility in the region. A total of 50 patients were examined during our visit to the blind school in Abbottabad. Age of the patients ranged from 6 to 27 years (mean: 12.32 years). All the students, who were otherwise healthy, were included in the study. The most common disorder identified was malformed globe or traumatic eyes (16 cases, 32%), in most of the cases, leading to phthisis bulbi. Other conditions noticed were Retinitis Pigmentosa (10 cases, 20%), Keratoconus, Optic atrophy, Buphthalmos (6 cases each, 12%), corneal opacity (4 cases, 8%) and retinal detachment (2 cases 4%). We should work towards betterment of these schools by providing them with more funds, equipment and manpower. Regular visits of Ophthalmologists to these schools may be helpful. Genetic counselling should be arranged for the families.

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