Which Urban Migrants Default from Tuberculosis Treatment in Shanghai,China?

Background

Migration is a major challenge to tuberculosis (TB) control worldwide. TB treatment requires multiple drugs for at least six months. Some TB patients default before completing their treatment regimen, which can lead to ongoing infectiousness and drug resistance.

Methods

We conducted a retrospective analysis of 29,943 active TB cases among urban migrants that were reported between 2000 to 2008 in Shanghai, China. We used logistic regression models to identify factors independently associated with treatment defaults in TB patients among urban migrants during 2005-2008.

Results

Fifty-two percent of the total TB patients reported in Shanghai during the study period were among urban migrants. Three factors increased the odds of a treatment default: case management using self-administered therapy (OR, 5.84, 95% CI, 3.14-10.86, p<0.0005), being a retreatment case (OR, 1.47, 95% CI, 1.25-1.71, p<0.0005), and age >60 years old (OR, 1.33, 95% CI, 1.05-1.67, p=0.017). The presence of a cavity in the initial chest radiograph decreased the odds for a treatment default (OR, 0.87, 95% CI, 0.77-0.97, p=0.015), as did migration from central China (OR, 0.85, 95% CI, 0.73-0.99, p=0.042), case management by family members (OR, 0.73, 95% CI 0.66-0.81, p<0.0005), and the combination of case detection by a required physical exam and case management by health care staff (OR, 0.64, 95% CI, 0.45-0.93, p=0.019).

Conclusion

Among TB patients who were urban migrants in Shanghai, case management using self-administered therapy was the strongest modifiable risk factor that was independently associated with treatment defaults. Interventions that target retreated TB cases could also reduce treatment defaults among urban migrants. Health departments should develop effective measures to prevent treatment defaults among urban migrants, to ensure completion of therapy among urban migrants who move between cities and provinces, and to improve reporting of treatment outcomes.     

EFFECT OF TREE CANOPY REMOVAL BY GYPSY MOTH LARVAE ON THE MACROALGAE OF A RHODE ISLAND HEADWATER STREAM1

A spring-fed, headwater stream in central Rhode Island was examined during the period from June to October, 1979 to 1982. In the first two summers, a dense riparian canopy reduced the light penetration at the stream surface to a range of 5 to 18% of incident radiation. The lotic macroalgal community during this period was limited to 1 to 4 species covering < 1 to 35% of the stream bottom. However, in June and July, 1981, the surrounding leaf canopy was removed by a massive gypsy moth larval outbreak. Light penetration to the stream during this summer increased to 73% by early July, thereby resulting in a rise in water temperatures by 3.7°C. Even though there was a partial regrowth of leaves in late July and August of 1981, macroalgal cover values continued to rise to an early August peak of 80%. During the third summer, 88% of the macroalgal abundance could be attributed to illumination and water temperature. The filamentous diatom Funotia pectinalis ( O.F. Müll.) Rabh. was the predominant species in the midsummer of all four years, accounting for at least 60% of the total cover. In 1981. an important taxon was the desmid Hyalotheca dissiliens (S. Smith) Bréb., a species which was not seen in other years. A less severe gypsy moth defoliation occurred in 1982 but did not produce significant differences in light, temperature or macroalgal cover from 1979 and 1980. The results indicate that light and temperature can be limiting during the summer in spring-fed, headwater streams and that seed populations of some species are present in undetect-able levels during these periods of suboptimal growth conditions. In addition, it appears that stream macroalgal communities can be quite resilient, recovering rapidly following a major perturbation .     

Understorey plant community assemblage of Australian Eucalyptus woodlands under elevated CO2 is modulated by water and phosphorus availability

水分和磷调控的澳大利亚桉树林林下植物群落组合对二氧化碳浓度升高的响应 鉴于林下植物群落具有的关键性功能作用和全球范围内巨大的森林覆盖面积,研究林下群落对 CO₂浓度升高(eCO₂)的响应以及土壤资源在这些响应中的作用,对于了解CO₂浓度升高对森林生态系统造成的影响非常重要。本研究评估了在澳大利亚东部磷有限的桉树林林下群落中,两种限制性的资源(即水分和磷)在发芽、物候、覆盖率、群落组成和叶片性状等方面对eCO₂响应的作用。我们收集了含有当地土壤种子库的土壤,在温室条件下种植实验性的林下植物群落。研究结果表明,添加磷提高了植物的总体覆盖率,特别是在生长期的最初4 周以及水分含量高的条件下,而且该响应是由植物群落中的类禾本科植物所驱动。然而,随着实验的进行,不同处理方法之间的差异逐渐减小,所有处理在大约11周后均达到了80%左右的植物覆盖率。相反,植物覆盖率并未受到eCO₂ 的影响。多元分析结果反映出植物群落组成随时间的变化,盆栽从以裸土为主变为以高覆盖率的多样化群落为主。但是在实验过程中,磷的添加以及水分可利用性和CO₂之间的相互作用都对植物群落随时间的变化轨迹有所影响。CO₂浓度的升高也增加了群落水平的比叶面积,这表明植物群落对eCO₂的功能适应可能发生在成分响应开始之前。鉴于我们用种子库培育的林下群落对eCO₂ 的响应随着时间的推移而有 所变化,并且受到与磷和水分可利用性的相互作用的调节。我们的结果表明,在水分含量有限的系统中, 特别是在土壤养分可利用性低所导致的生产力响应受限的情况下,CO₂浓度的升高在塑造植物群落方面作用有限。     

Mouse Chromosome 7

Chair of Committee for Mouse Chromosome 7     

Calorimetric studies of the structural transitions of the human erythrocyte membrane. Studies of the B and C transitions

Differential scanning calorimetry has been used to study several structural transitions of the human erythrocyte membrane. Earlier studies have shown that one of these transitions (the A transition) is due to the thermal unfolding of spectrin on the membrane. In this paper, it is shown that two of the other transitions (B and C) exhibit a high sensitivity to a local anesthetic, benzyl alcohol. Increasing the ionic strength of the suspending medium results in a splitting of the B transition into two independent transitions (B₁ and B₂). It is found that one of these (B₂) is associated with titrating groups, since the midpoint for the transitions shifts by about 20°C, with an apparent $\text{p}\text{K}$ near 7.5. Extensive bilateral proteolysis by papain causes a drastic decrease in the size of all transitions except the C transition, which remains unaltered. On the other hand, treatment with phospholipase A₂ largely affects the C transition, causing its disappearance. Because of the lack of sensitivity to proteolysis and the high sensitivity to phospholipase, it appears that the C transition has a large extent of ‘lipid involvement’. It might result from the melting of a small fraction of phospholipid which exists in a crystalline state under physiological conditions. Alternatively, the C transition could arise from changes in protein-lipid interactions or from lipid-dependent changes in protein-protein interactions, providing one assumes that only protease-resistant portions of membrane proteins are participating.     

Rapid sympatric ecological differentiation of crater lake cichlid fishes within historic times

Background  

After a volcano erupts, a lake may form in the cooled crater and become an isolated aquatic ecosystem. This makes fishes in crater lakes informative for understanding sympatric evolution and ecological diversification in barren environments. From a geological and limnological perspective, such research offers insight about the process of crater lake ecosystem establishment and speciation. In the present study we use genetic and coalescence approaches to infer the colonization history of Midas cichlid fishes (Amphilophus cf. citrinellus) that inhabit a very young crater lake in Nicaragua-the ca. 1800 year-old Lake Apoyeque. This lake holds two sympatric, endemic morphs of Midas cichlid: one with large, hypertrophied lips (~20% of the total population) and another with thin lips. Here we test the associated ecological, morphological and genetic diversification of these two morphs and their potential to represent incipient speciation.