Evaluation of collaborative models of care in the management of patients with depression: protocol and progress

Introduction Depression is highly prevalent and has a considerable impact on the quality of life of affected individuals, and on healthcare resources. Evidence indicates that collaborative care models can improve patient outcomes within a primary care setting. The Primary Care Services Improvement Project (PCSIP) aims to investigate the costs and outcomes of different models of care for the management of patients with depression. These models have been defined based on the level of involvement of practice nurses in management processes within the primary care setting in Australia. This paper describes our study protocol and its progress.Methods PCSIP is an observational study that will link retrospective data from a range of sources to estimate costs and intermediate outcomes (such as relapse rate) over a 3-year time horizon. The main sources of primary data include the medical records of patients held at participating practices and Medicare Australia.Initial report We recruited 15 practices from a metropolitan area and allocated them to three models of care. Two hundred and sixty-one patients agreed to participate. Appropriate regression-based analyses will be used to evaluate the association between different models of care and patient-level outcomes while controlling for several covariates such as age and gender.Discussion/conclusions This project will generate the knowledge required to promote investment in the most cost-effective initiatives, and to ensure that waste of resources due to the implementation of comparatively inefficient interventions is minimised. Given the scarcity of resources, the increasing costs of providing healthcare and the increasing prevalence of chronic diseases, such research is essential.     

Effects of blue pulsed light on human physiological functions and subjective evaluation

Background

It has been assumed that light with a higher irradiance of pulsed blue light has a much greater influence than that of light with a lower irradiance of steady blue light, although they have the same multiplication value of irradiance and duration. We examined the non-visual physiological effects of blue pulsed light, and determined whether it is sensed visually as being blue.

Findings

Seven young male volunteers participated in the study. We placed a circular screen (diameter 500 mm) in front of the participants and irradiated it using blue and/or white light-emitting diodes (LEDs), and we used halogen lamps as a standard illuminant. We applied three steady light conditions of white LED (F0), blue LED + white LED (F10), and blue LED (F100), and a blue pulsed light condition of a 100-μs pulse width with a 10% duty ratio (P10). The irradiance of all four conditions at the participant''s eye level was almost the same, at around 12 μW/cm². We measured their pupil diameter, recorded electroencephalogram readings and Kwansei Gakuin Sleepiness Scale score, and collected subjective evaluations. The subjective bluish score under the F100 condition was significantly higher than those under other conditions. Even under the P10 condition with a 10% duty ratio of blue pulsed light and the F10 condition, the participant did not perceive the light as bluish. Pupillary light response under the P10 pulsed light condition was significantly greater than under the F10 condition, even though the two conditions had equal blue light components.

Conclusions

The pupil constricted under the blue pulsed light condition, indicating a non-visual effect of the lighting, even though the participants did not perceive the light as bluish.     

空心莲子草DNA溶液浸胚处理水稻的变异系分子检测及耐旱性评价

通过SSR标记检测了以空心莲子草DNA溶液浸胚处理获得的10个农艺性状稳定遗传的水稻变异系,结果表明,10个水稻变异系均整合了供体空心莲子草DNA的部分片段。在此基础上,以8个水稻变异系及2个对照为试验材料,采用二因素裂区设计,并以主成分分析、逐步回归分析等多种统计方法分析了变异系的耐旱性。结果表明,以综合评价指标与耐旱指数相结合的复合评价体系,可增强水稻耐旱评价的可靠性。导入系H8最耐旱,H6和H7较耐旱,均优于巴西陆稻。本研究结果对水稻的耐旱性评价与耐旱品种选育具有重要意义。     

玉米重要自交系的肿囊腐霉茎腐病抗性鉴定与评价

由肿囊腐霉菌(Pythium inflatum Matthews)引起的玉米茎腐病是影响玉米产量的一种重要病害。为进一步拓展可利用的抗源,于2010-2011年在田间采用人工接种方法对287份重要的玉米自交系种质进行了玉米茎腐病的抗性鉴定评价。结果表明,287份鉴定材料中有171份自交系对茎腐病的抗性达到中抗以上水平,占鉴定材料的59.58%,其中高抗自交系共43份,占鉴定材料总数的14.98%;感病类型自交系共116份,占鉴定材料的40.42%,其中高感自交系共95份,占鉴定材料总数的33.10%。Lancaster、Reid及P群种质中具有丰富的茎腐病抗源,而塘四平头种质群中茎腐病抗源相对缺乏,多为感病类型。该研究结果可为今后我国玉米茎腐病抗性种质的引进和改良提供重要参考。     

蛋白质网络聚类算法分析平台的设计与实现

蛋白质网络聚类是识别功能模块的重要手段,不仅有利于理解生物系统的组织结构,对预测蛋白质功能也具有重要的意义。针对目前蛋白质网络聚类算法缺乏有效分析软件的事实,本文设计并实现了一个新的蛋白质网络聚类算法分析平台ClusterE。该平台实现了查全率、查准率、敏感性、特异性、功能富集分析等聚类评估方法,并且集成了FAG-EC、Dpclus、Monet、IPC-MCE、IPCA等聚类算法,不仅可以对蛋白质网络聚类分析结果进行可视化,并且可以在不同聚类分析指标下对多个聚类算法进行可视化比较与分析。该平台具有良好的扩展性,其中聚类算法以及聚类评估方法都是以插件形式集成到系统中。     

美洲大蠊水解氨基酸含量测定及营养评价

采用酸水解法,测定美洲大蠊中氨基酸的种类和含量,并对其进行营养评价。结果表明:美洲大蠊含有17种氨基酸(色氨酸被水解破坏而未检出),总氨基酸质量分数为43.14%,其中药效氨基酸占总量的55.43%,呈味氨基酸占总量的20.28%,其氨基酸配比较为合理:E/(E+N)=0.35,E/N=0.55,与WHO/FAO提出的参考蛋白模式接近。美洲大蠊中氨基酸种类齐全,含量丰富,富含必需氨基酸和药效氨基酸,具有很高的食用、药用价值,有较好的开发潜力。     

Developing a management procedure robust to uncertainty for southern bluefin tuna: a somewhat frustrating struggle to bridge the gap between ideals and reality

Fisheries management is conducted to achieve sustainable use of fishery resources, mainly through regulation of fishing activities. For almost a decade, the Commission for the Conservation of Southern Bluefin Tuna (CCSBT) struggled to reach agreement on a total allowable catch (TAC) for southern bluefin tuna (SBT) because of stock assessment uncertainties. To address this, in 2002 the CCSBT commenced development of a management procedure (MP), a pre-agreed set of rules to determine how the TAC will be adjusted as new monitoring data become available. The CCSBT Scientific Committee tested various candidate MPs using operating models which simulate fish population and fishery dynamics as well as incorporate process, observation, and model uncertainties. Candidate MPs were evaluated using performance measures related to the following management objectives: maximize catches, avoid stock collapse, and minimize interannual catch variation. Of the MPs explored, some relied solely on empirical data [i.e., adjusted TAC based on catch per unit effort (CPUE) trends], whereas others were more complicated, based on population models. In 2005, the CCSBT adopted a model-based MP that realized a moderate catch with low variability and avoided stock collapse. This MP struck a compromise between the risk-prone and risk-averse standpoints of the different stakeholders. However, despite this concerted scientific effort, the MP was not implemented because, shortly after its adoption, it became evident that historical catches may have been substantially underreported. This complication necessitates returning to near the beginning of the development process. MP approaches have various advantages and challenges to be explored further. However, it is essential to lessen human-introduced uncertainty (such as catch misreporting) by enhanced enforcement, and to increase management robustness to biological uncertainties by implementing MPs.     

Micro‐computed tomographic evaluation of fetal skeletal changes induced by all‐trans‐retinoic acid in rats and rabbits

BACKGROUND: Our laboratory has been conducting positive control studies to evaluate the utility of micro‐computed tomography (micro‐CT) for qualitative evaluation of fetal skeletal morphology. All‐trans‐retinoic acid (atRA) was used to produce a different spectrum of defects compared to our previous studies with boric acid and hydroxyurea. METHODS: Groups of five mated Crl:CD(SD) female rats each were administered vehicle or atRA (2.5–50 mg/kg) on GD 10, and groups of four mated Dutch Belted rabbits each were dosed with vehicle or atRA (6.25–25 mg/kg) on GD 9. Cesarean sections were performed on GD 21 and 28, respectively. Following external examination the viscera were removed and fetuses scanned in a micro‐CT imaging system. Fetuses were subsequently stained with alizarin red. Skeletal morphology was evaluated by each method without the knowledge of treatment group. Total bone mineral content (BMC) of each fetus was quantitated using the micro‐CT images. RESULTS: In rats there were dose‐related increases in the incidence of extra lumbar vertebra and non‐dose‐related increases in supernumerary ribs at all dose levels. There were decreases in mean number of ossified sacrocaudal vertebra at ≥5 mg/kg, and increases in skull bone malformations at ≥10 mg/kg. Rabbits were less sensitive on a mg/kg basis since skeletal malformations and a decrease in mean number of ossified sacrocaudal vertebra were observed only in the 25‐mg/kg group. Micro‐CT evaluation detected essentially the same incidence of skeletal abnormalities as seen in alizarin red‐stained rat and rabbit fetuses. BMC analysis showed a trend toward slight decreases in atRA‐treated rats, but no notable changes in rabbits. CONCLUSIONS: These results add support to our previous work that demonstrates that micro‐CT imaging can effectively assess rat and rabbit fetal skeletal morphology. Birth Defects Res (Part B) 89:408–417, 2010. © 2010 Wiley‐Liss, Inc.     

我国东北地区205份主要甜菜种质资源的鉴定与评价分析

本研究对东北地区205份甜菜种质资源的5个品质性状、18个农艺性状以及3种病害抗性分别进行遗传多样性、相关性、主成分和聚类分析,以此为基础筛选出丰产优质以及综合抗病的甜菜种质,为改良甜菜种质与引进新种质提供一定的理论依据.研究结果表明,5个品质性状之间变异系数变幅较大,为6.104％～33.830％,其中钠含量的变异系...     

Development and preclinical evaluation of a new F(ab′)2 antitoxin against botulinum neurotoxin serotype A

Concern about the malicious applications of botulinum neurotoxin has highlighted the need for a new generation of safe and highly potent antitoxins. In this study, we developed and evaluated the preclinical pharmacology and safety of a new F(ab′)₂ antitoxin against botulinum neurotoxin serotype A (BoNT/A). As an alternative to formalin-inactivated toxoid, the recombinant Hc domain of botulinum neurotoxin serotype A (rAHc) was used to immunize horses, and the IgGs from the hyperimmune sera were digested to obtain F(ab′)₂ antitoxin. The protective effect of the new F(ab′)₂ antitoxin against BoNT/A was determined both in vitro and in vivo. The results showed that the F(ab′)₂ antitoxin could prevent botulism in mice challenged with BoNT/A and effectively delayed progression of paralysis from botulism in the therapeutic setting. The preclinical safety of the new F(ab′)₂ antitoxin was also evaluated, and it showed neither harmful effects on vital functions nor adverse effects such as acute toxicity, or immunological reactions in mice and dogs. Thus, our results provide valuable experimental data for this new antitoxin as a potential candidate for treatment of botulism caused by BoNT/A, and our findings support the safety of the new F(ab′)₂ antitoxin for clinical use. Our study further demonstrates the proof of concept for development of a similar strategy for obtaining potent antitoxin against other BoNT serotypes.