Statin-Associated Polymyalgia Rheumatica. An Analysis Using WHO Global Individual Case Safety Database: A Case/Non-Case Approach

Objective

To assess whether there is an association between statin use and the occurrence of polymyalgia rheumatic (PMR) in the spontaneous reporting database of the World Health Organisation (WHO).

Methods

We conducted a case/non-case study based on individual case safety reports (ICSR) in the WHO global ICSR database (VigiBase). Case reports containing the adverse event term polymyalgia rheumatica (WHOART or MedDRA Preferred Term) were defined as cases. Non-cases were all case reports containing other adverse event terms. Each case was matched to five non-cases by age, gender, and time of reporting. Case reports regarding a statin as suspected or concomitant drug were identified using the Anatomical Therapeutic Chemical (ATC) classification. Multivariate logistic regression was used to calculate reporting odds ratios (RORs) with 95% confidence intervals (CI).

Results

We identified 327 reports of PMR as cases and 1635 reports of other ADRs as non-cases. Among cases, statins were more frequently reported as suspected agent (29.4%) compared to non-cases (2.9%). After adjustment for several covariates, statins were significantly associated with reports of PMR (ROR 14.21; 95% CI 9.89–20.85).

Conclusion

The results of this study lends support to previous anecdotal case reports in the literature suggesting that the use of a statin may be associated with the occurrence of PMR. Further studies are needed to study the strength of the association in more detail and to elucidate the underlying mechanism.     

Repeated copulation in the brown planthopper, Nilaparvata lugens Stál (Homoptera; Delphacidae)

Abstract. 1. Mating of the brown planthopper, Nilaparvata lugens , was investigated in relation to oviposition. Females became unreceptive immediately after mating and showed various types of repelling behaviour to courting males. As a result, females usually did not mate repeatedly in quick succession, but after ceasing to lay fertilized eggs they behaved as virgins and mated again before producing more fertilized eggs.
2. Copulation, followed by deposition of fertilized eggs, occurred twice, or in a few cases three times, throughout the adult stage. Copulation lasted about 2 min at the first mating and about 1 min at the second or third mating.
3. When the number of fertilized eggs began to decrease rapidly, oviposition rate also decreased, but it increased again immediately after re-mating. Repeated copulation was also related to the potential rate of population increase. In the present experiments, the estimates of net reproductive rate ( R ₀) in brachypterous females was 287.7 (first mating), 88.3 (second mating) and 7.2 (third mating) and in macropterous females 286.8, 120.6 and 3.6 respectively.
4. In a patchy environment, repeated copulation following an invasion may contribute to the increase of a population.     

Kinetics of uranous iron and ferrous iron oxidation by thiobacillus ferrooxidans

Archives of Microbiology -