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41.
Physical and biogeochemical changes induced by the HurricaneFabian in the Northwest Atlantic in early September 2003 wereobserved using composite satellite images. After the passageof the hurricane, the mean sea surface temperature (SST) alongthe track decreased on average by about 1.3°C with maximumdecrease of 10°C. At the same time, the mean Chl a concentrationincreased by about 42%. Entrainment of cold, nutrient-rich watersby vertical mixing induced by the hurricane seems to have enhancedthe phytoplankton production. Asymmetric distribution of changesin SST and Chl a (strong intensity on the right side of thestorm track) was observed from the satellite data. The storm-inducednitrate increase estimated from the satellite SST, using a localrelationship between nitrate and temperature measurements wasabout 40% on average along the track of the storm. A numericalmodel study and climatological nutrient profile showed an increasein mixed-layer depth of 26 m and nitrate increase of about 0.2µmol L–1 after the storm passage. In addition toaltering the physicochemical conditions of the water column,physical forcing by the hurricane also changed the taxonomiccomposition of phytoplankton. It is inferred that the dominanceof diatoms after the storm is a result of the increase in nutrientconcentration within the mixed layer due to the wind forcingof the storm.  相似文献   
42.

Background

The TRITON-TIMI 38 study has identified three subgroups of patients with a higher risk of bleeding during treatment with the thienopyridine prasugrel: patients with a history of stroke or transient ischaemic attack (TIA), patients ≥75 years and patients with a body weight <60 kg. However, the underlying pathobiology leading to this increased bleeding risk remains to be elucidated. The higher bleeding rate may be due to a stronger prasugrel-induced inhibition of platelet aggregation in these subgroups. The aim of the present study was to determine whether on-treatment platelet reactivity is lower in these risk subgroups as compared with other patients in a large cohort on the thienopyridine clopidogrel undergoing elective coronary stenting.

Methods

A total of 1069 consecutive patients were enrolled. On-clopidogrel platelet reactivity was measured in parallel by light transmittance aggregometry, the VerifyNow® P2Y12 assay and the PFA-100 collagen/ADP cartridge.

Results

Fourteen patients (1.5%) had a prior history of stroke or TIA, 138 patients (14.5%) were older than 75 years and 30 patients (3.2%) had a body weight <60 kg. Age ≥?75 years and a history of stroke were independent predictors of a higher on-treatment platelet reactivity. In contrast, a body weight <60 kg was significantly associated with a lower on-treatment platelet reactivity.

Conclusion

In two high-risk subgroups for bleeding, patients ≥?75 years and patients with previous stroke, on-clopidogrel platelet reactivity is increased. In contrast, in patients with a low body weight, on-clopidogrel platelet reactivity is decreased, suggesting that a stronger response to a thienopyridine might only lead to more bleeds in patients with low body weight  相似文献   
43.
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45.
BackgroundInadequate platelet inhibition despite aspirin and clopidogrel therapy during and after a percutaneous coronary intervention is associated with an impaired clinical outcome. Cangrelor, a direct and reversible P2Y12 inhibitor that is currently in development, has the potential to achieve higher levels of inhibition of ADP-induced platelet aggregation than clopidogrel. The aim of the present study was to compare the magnitude of platelet inhibition in clopidogrel-pretreated patients before and after the in vitro addition of a subtherapeutic dose of cangrelor. MethodsBlood samples were drawn from patients pretreated with clopidogrel and aspirin who were undergoing elective percutaneous coronary intervention (n=39). Platelet function analysis with ‘classical’ light transmittance aggregometry (both peak and late aggregation [at 6 min]) was performed before and after the in vitro addition of cangrelor (0.25 μmol/l) to platelet-rich plasma (PRP). After an incubation period of five minutes, platelet aggregation was induced by 5 and 20 μmol/l ADP. ResultsThe in vitro addition of 0.25μmol/l cangrelor to the PRP from clopidogrel-treated subjects resulted in an additional reduction in ADP-induced platelet aggregation. For ADP concentrations of 5 and 20 μmol/l, peak aggregation showed a decrease of 75 and 85%, respectively (p<0.001 for both), while late aggregation was almost completely diminished (p=0.003 and p<0.001, respectively). Furthermore, the interindividual variation in inhibition of ADP-induced platelet aggregation by clopidogrel was greatly reduced after the addition of cangrelor. ConclusionWe demonstrate that the in vitro addition of even a subtherapeutic dose of cangrelor to the PRP of clopidogrel-pretreated patients results in an additional reduction of ADP-induced platelet aggregation. Moreover, cangrelor was able to diminish the interindividual variation observed in clopidogrel-inhibited platelet aggregation. (Neth Heart J 2009;17:195–8.)  相似文献   
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47.
Mycobacterium avium subsp. paratuberculosis, the causative agent of Johne''s disease in cattle, was identified in settled-dust samples of Dutch commercial dairy farms, both in the dairy barn and in the young stock housing. Bioaerosols may play a role in within-farm M. avium subsp. paratuberculosis transmission.Paratuberculosis is an infectious enteric disease caused by Mycobacterium avium subsp. paratuberculosis leading to economic losses in dairy cattle globally (2, 10). The main transmission route is the fecal/oral route from infectious adult cattle to susceptible calves (12).Preventive calf management was a key point in model studies (7), but 20-year implementation did not lead to farm-level eradication, suggesting uncontrolled routes of transmission (1, 7).Environmental samples were used to classify commercial dairy herds (3, 9, 11), based on long-term survival of M. avium subsp. paratuberculosis in the environment (16). Recently, bioaerosols containing viable M. avium subsp. paratuberculosis were identified in an experimental setting with 100% M. avium subsp. paratuberculosis prevalence (6) and may thus be a mode of transmission. Dust containing M. avium subsp. paratuberculosis might be ingested or inhaled by calves (4). Experimental M. avium subsp. paratuberculosis challenge studies in sheep successfully used inhalation (8). These transmission routes could hamper current control programs. Our objective was to study whether M. avium subsp. paratuberculosis could be detected in bioaerosols on commercial Dutch dairy farms.Dairy herds in three Dutch veterinary practices were sampled in 2009. All farms participated in a Dutch M. avium subsp. paratuberculosis monitoring program in 2008, either the Dutch Paratuberculosis Program (PPN; n = 2) or the Dutch Bulk Milk Quality Assurance Program (BMQAP; n = 22) (15). Both PPN herds were certified M. avium subsp. paratuberculosis-free. Herds corresponding to the BMQAP had at least one positive animal identified by enzyme-linked immunosorbent assay (ELISA) (Pourquier ELISA; Institut Pourquier, France). Farms were grouped into three M. avium subsp. paratuberculosis test prevalence levels (control, zero positive animals; group A, one positive animal; group B, two or more positive animals; Table Table11).

TABLE 1.

Overview of the results of the questionnaire about relevant M. avium subsp. paratuberculosis management practicesa
ParameterValue for groupb
Control (n = 2)A (n = 8)B (n = 14)
Mean herd size (SD)69 (15)67 (19)102 (26)
Median no. of ELISA-positive cows (maximum)0 (0)1 (1)3 (10)
No. of farms with:
    Cow brush in barn2513
    Cow barn cleaned in summer with high-pressure cleaner064
    Dry cows in young stock housing033
    Young stock housed separately178
    Young stock housing empty in summer000
    Young stock housing cleaned with high-pressure cleaner061
Open in a separate windowaResults of the questionnaire about relevant M. avium subsp. paratuberculosis management practices in 24 Dutch farms enrolled in this study with 0 (control), 1 (group A), or ≥2 (group B) ELISA-positive animals.bn, number of farms.Farms were visited twice during the housing period. Sampling locations were above the animal level inside the barn. At the first visit (sampling 1 [S1]), settled dust was collected with wipes and a short management questionnaire was taken. At the same time, five to seven electrostatic dust collectors (EDC; Zeeman, Alphen a/d Rhijn, Netherlands) were installed and collected after 4 weeks (sampling 2 [S2]) (6). Settled-dust samples were processed according to a previously described method (6). Results are presented as proportions of positive locations. McNemar''s χ2 test was performed to investigate whether S1 differed from S2.No M. avium subsp. paratuberculosis was detected by real-time PCR in any of the settled-dust samples at control farms (Fig. (Fig.1).1). M. avium subsp. paratuberculosis DNA was detected in dust samples at S1 and S2 in more than 50% of the group A and B farms, with seven farms consistently positive. M. avium subsp. paratuberculosis DNA was detected in the young stock area in 3/6 (S1) and 2/6 (S2) farms of group B with single-barn housing. M. avium subsp. paratuberculosis DNA was also detected in settled-dust samples from separate young stock housings in three farms, of which two cohoused dry cows.Open in a separate windowFIG. 1.Proportions of farms with M. avium subsp. paratuberculosis DNA detected in settled-dust samples collected at samplings 1 and 2. Black bar, control (n = 2); checked bar, group A (n = 8); white bar, group B (n = 14).At control farms, no viable M. avium subsp. paratuberculosis was detected in any of the collected dust samples (Fig. (Fig.2).2). Viable M. avium subsp. paratuberculosis was detected in 6 B farms at S1. At S2, viable bacteria were present in 3 A farms and in the majority of B farms (Table (Table2).2). On five farms in group B, viable M. avium subsp. paratuberculosis was detected at both samplings.Open in a separate windowFIG. 2.Proportions of farms with viable M. avium subsp. paratuberculosis detected in settled-dust samples collected at samplings 1 and 2. Black bar, control (n = 2); checked bar, group A (n = 8); white bar, group B (n = 14).

TABLE 2.

Detection of M. avium subsp. paratuberculosis DNA or viable M. avium subsp. paratuberculosis in 5 to 7 settled-dust samples collected at sampling 1 or 2
No. of positive dust samplesNo. of farms with:
M. avium subsp. paratuberculosis DNA
Viable M. avium subsp. paratuberculosis
Control (n = 2)
Group A (n = 8)
Group B (n = 14)
Control (n = 2)
Group A (n = 8)
Group B (n = 14)
S1S2S1S2S1S2S1S2S1S2S1S2
0224345228586
13446124
243112
31111112
412
Open in a separate windowViable M. avium subsp. paratuberculosis was detected in the young stock housing in 4 and 3 farms of group B with single-barn housing at S1 and S2, respectively. No viable M. avium subsp. paratuberculosis was detected in separate young stock housings.To our knowledge, this study is the first to confirm the presence of M. avium subsp. paratuberculosis DNA as well as viable M. avium subsp. paratuberculosis in settled-dust samples of commercial dairy farms. M. avium subsp. paratuberculosis dispersion by bioaerosols under experimental conditions was already described (6). These findings support the concept of dust-based environmental dispersion of M. avium subsp. paratuberculosis within farms.The relatively small number of farms and the convenience sampling are limitations of this study that could have introduced bias. However, this study is a proof of principle that viable M. avium subsp. paratuberculosis can be detected in settled-dust samples on farms with a low M. avium subsp. paratuberculosis prevalence. The environmental method also seems specific for M. avium subsp. paratuberculosis, since no M. avium subsp. paratuberculosis could be detected in any samples of known M. avium subsp. paratuberculosis-free herds.Paratuberculosis control measures aim to prevent fecal-oral contact between infectious shedding adults and susceptible calves as the main transmission route of M. avium subsp. paratuberculosis. Several studies showed that “calf hygiene improvement” decreased prevalence but did not eliminate the disease (1, 7, 14), suggesting the existence of other transmission routes. In utero transmission, transmission via milk, and calf-to-calf transmission have been described previously (1, 12, 13). Additionally, infection via ingestion and/or inhalation of bioaerosols may be possible (4, 8).Twenty-three of 24 herds were housed in free stalls with one tie-stall herd. Most farmers (n = 15) separated young stock from adult cattle as standard procedure. However, six of these farmers cohoused dry cows in the young stock housing occasionally, indicating the difficulties of consequently implementing management advice. Three farmers did not raise young stock on their farms. In almost all barns, cow brushes were present, as they were recommended to enhance cow well-being in group housings (5), but at the same time they contribute to aerosolization of dust. Animal movement on slatted floors also contributes to dust formation, especially during the winter housing period.Most farmers from group A farms, compared to only a few from group B farms, intended to clean their barns yearly, but only 50% met this aim. Young stock housings were never totally empty, but high-pressure cleaning was occasionally performed at 6/8 farms of group A and at 1 of group B. The numbers of farms in this study precluded statistical testing, but the difference in cleaning attitude seemed remarkable.Comparison of the two methods of dust collection showed no statistical difference. No M. avium subsp. paratuberculosis, neither DNA nor viable M. avium subsp. paratuberculosis, could be detected on known negative farms, whereas on farms of groups A and B, M. avium subsp. paratuberculosis DNA was present in comparable numbers of locations. Viable M. avium subsp. paratuberculosis was present only in group B farms at S1 and in both group A and B farms at S2. It seems that M. avium subsp. paratuberculosis can survive in dust for some time. Besides having a possible role in M. avium subsp. paratuberculosis transmission, dust might also be a useful predictor of M. avium subsp. paratuberculosis presence or M. avium subsp. paratuberculosis introduction on dairy farms, even on farms with low M. avium subsp. paratuberculosis prevalence.In conclusion, this study showed that dust on farms with a low M. avium subsp. paratuberculosis seroprevalence contained viable M. avium subsp. paratuberculosis, which indicated a role in M. avium subsp. paratuberculosis transmission. Further research is needed to study if and how infection with M. avium subsp. paratuberculosis-contaminated dust is possible. Additionally, dust sampling may be an alternative tool to monitor M. avium subsp. paratuberculosis status in control programs.  相似文献   
48.
BACKGROUND: Sex differences in structural birth defects are often confounded by environmental risk factors. Opposite-sex twins provide a unique model for detecting sex differences in birth defects while maximally controlling environmental risk factors in a natural setting. METHODS: Population data from the Florida Birth Defects Registry were analyzed. A total of 4,768 pairs of twins who were discordant for sex and born between 1996 and 2001 were analyzed. The McNemar test was used to compare the differences between a male twin and his twin sister for the risk of developing specific defects and organ-system defects. RESULTS: Of 4,768 twin pairs, 225 males (4.72%) and 175 females (3.67%) had birth defects. Among opposite-sex twin pairs, males had a 29% higher risk for birth defects than their twin sisters. Compared to their twin sisters, males had a 5.4 times higher risk for pyloric stenosis and a 2.4 times higher risk for obstructive genitourinary defect, but only one-tenth the risk for congenital hip dislocation. CONCLUSIONS: Sex differences in birth defects exist between opposite-sex twins.  相似文献   
49.
The growth rates of Appendicularia sicula, Fritillaria borealissargassi, Fritillaria haplostoma, Oikopleura dioica and Oikopleuralongicauda were determined from microcosms incubated in situat 23C in Jamaican waters. Experiments were conducted fromoligotrophic offshore waters, through mesotrophic Lime Cay andeutrophic Kingston Harbour in both natural and nutrient-enhancedphytoplankton communities. Length-weight relationships werecalculated for two of these species: O.longicauda log W=2.47log TL –6.10 and F.haplostoma log W=2.44 log TL –7.37,where weight (W) is in micrograms and trunk length (TL) is inmicrometres. Instantaneous growth rates averaged 1.7–2.5day–1 for the five species and were observed as high as3.3 day–1 These instantaneous rates are equivalent todaily specific growth rates averaging 4.6–11.4 and rangingup to 28. In larger genera, growth rates were related positivelyto picoplankton and nanoplankton concentration, and negativelyto the biomass of larvaceans, but in the smallest species growthwas unrelated to these factors. However, because the variabilityin these two factors within microcosms exceeded their naturalrange of variability, growth rates of larvaceans may normallybe unlimited by resources or population density effects. 1Present address :Monterey Bay Aquarium Research Institute 7700Sandholdt Road, Moss Landing, CA 95039-0628, USA 2Present address :Bedford Institute of Oceanography PO Box 1006,Dartmouth, Nova Scotia B2Y 4A2, Canada  相似文献   
50.
From the fact that the retina is rather inhomogeneous, it can be inferred that the perception of spatial patterns of appreciable extent will be dependent on the retinal location. Anatomical, electrophysiological and psychophysical findings substantiate the claim that the retina is very inhomogeneous of composition. In order to investigate the influence of this inhomogeneity on the perception of patterns, a model of spatiotemporal signal processing in the retina was developed on the basis of a paradigm for the Weber type adaptation. Such “scaling-ensembles” proved successful in the prediction of spatiotemporal modulation transfer in the human fovea (Koenderink et al., 1971). One prediction of the present model is that certain spatial patterns are optimally detected at well defined retinal locations, dependent on the spatial frequency content of the stimulus. A confrontation of the model's predictions with measurements published by Bryngdahl (1966) enabled us to estimate some of the relevant parameters of the retinal receptive fields as a function of the eccentricity. We obtained estimates that compare reasonably well with previously known values; for instance with values of acuity and anatomical measurements. The present discussion bears relevance on the question of whether the retina is composed of independently tuned spatial frequency filters at any retinal location, or whether the tuning is with respect to the eccentricity.  相似文献   
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