Response process and test-retest reliability of the Context Assessment for Community Health tool in Vietnam

Background: The recently developed Context Assessment for Community Health (COACH) tool aims to measure aspects of the local healthcare context perceived to influence knowledge translation in low- and middle-income countries. The tool measures eight dimensions (organizational resources , community engagement, monitoring services for action, sources of knowledge, commitment to work, work culture, leadership, and informal payment) through 49 items. Objective: The study aimed to explore the understanding and stability of the COACH tool among health providers in Vietnam. Designs: To investigate the response process, think-aloud interviews were undertaken with five community health workers, six nurses and midwives, and five physicians. Identified problems were classified according to Conrad and Blair's taxonomy and grouped according to an estimation of the magnitude of the problem's effect on the response data. Further, the stability of the tool was examined using a test–retest survey among 77 respondents. The reliability was analyzed for items (intraclass correlation coefficient (ICC) and percent agreement) and dimensions (ICC and Bland–Altman plots). Results: In general, the think-aloud interviews revealed that the COACH tool was perceived as clear, well organized, and easy to answer. Most items were understood as intended. However, seven prominent problems in the items were identified and the content of three dimensions was perceived to be of a sensitive nature. In the test–retest survey, two-thirds of the items and seven of eight dimensions were found to have an ICC agreement ranging from moderate to substantial (0.5–0.7), demonstrating that the instrument has an acceptable level of stability. Conclusions: This study provides evidence that the Vietnamese translation of the COACH tool is generally perceived to be clear and easy to understand and has acceptable stability. There is, however, a need to rephrase and add generic examples to clarify some items and to further review items with low ICC.Duong M. Duc, Anna Bergström, Leif Eriksson, Katarina Selling, Bui Thi Thu Ha and Lars Walli

Could a different management routine that strengthens the mother-offspring bond contribute to a more efficient organic piglet production?

In current Swedish organic piglet production full reproductive potential of the sows and growth potential of piglets are not achieved. The efficiency is held back by occurrence of lactational oestrus, low litter weight and large weight variation within litter. Therefore it is critical that these obstacles are reduced in a way that is easy to adapt in practice and does not contradict the ideas behind organic animal husbandry. This project aims to an improvement of the conditions needed to efficiently produce organic piglets in a batch wise manner. The batch wise breeding will reduce production costs and increase disease control. Our preliminary results indicate that the sow’s weaning to oestrus interval can be affected by the time spent in individual farrowing pen during the lactational period

Intergenerational correlations in size at birth and the contribution of environmental factors: The Uppsala Birth Cohort Multigenerational Study, Sweden, 1915-2002.

Sizes at birth of parents and their children are known to be correlated, reflecting in part the influence of fetal and maternal genes. Sociodemographic factors, regarded as aspects of the shared environment across generations, would also be expected to contribute, but evidence is limited. In the present study, the authors aimed to quantify the role of the shared environment in explaining intergenerational correlations in birth weight and length by using data across 3 consecutive generations from the Uppsala Birth Cohort Multigenerational Study in Uppsala, Sweden. That study included birth and sociodemographic data on 7,657 singletons born in Uppsala in 1915-1929 (generation 1) and their grandchildren (generation 3). Standard regression and biometric models were used to study the correlations in size at birth of generation 1-generation 3 pairs. The data showed stronger correlations in maternal pairs than in paternal pairs for birth weight (0.125 vs. 0.096, P = 0.02) but not for birth length (0.097 vs. 0.093, P = 0.77). These correlations were not reduced by adjustment for sociodemographic factors in regression models. In contrast, significant shared-environment contributions to the intergenerational correlations were identified in biometric models, averaging 14% for both birth measures. These models assumed a common latent factor for the sociodemographic variables. The present results show that the shared environment moderately but significantly contributes to intergenerational correlations

Validations of the names of seven Podocarpaceae macrofossils

Seven names of macrofossil taxa belonging to Podocarpaceae are here validated; they were all previously published but not validly so under the International Code of Botanical Nomenclature. The names apply to species in the genera Acmopyle Pilg. [A. setiger (Townrow) R. S. Hill & R. J. Carp. ex R. R. Mill & R. S. Hill], Dacrycarpus (Endl.) de Laub. [D. praecupressinus (Ettingsh.) D. R. Greenw. ex R. R. Mill & R. S. Hill], Falcatifolium de Laub. [F. eocenicum (D. R. Greenw.) R. S. Hill & L. J. Scriven ex R. R. Mill & R. S. Hill], Prumnopitys Phil. [P. tasmanica (Townrow) D. R. Greenw. ex R. R. Mill & R. S. Hill], Sigmaphyllum R. S. Hill & L. J. Scriven [S. australe (D. R. Greenw.) R. S. Hill & L. J. Scriven ex R. R. Mill & R. S. Hill], Smithtonia R. S. Hill & M. Pole [S. lanceolata (D. R. Greenw.) R. S. Hill & M. Pole ex R. R. Mill & R. S. Hill] and Willungia R. S. Hill & M. Pole [W. maslinensis (D. T. Blackburn) R. S. Hill & M. Pole ex R. R. Mill & R. S. Hill]. All these combinations were originally published without exact basionym references; instead, the authors cited the complete pagination of the paper in which the intended basionym was made.Robert R. Mill and Robert S. Hil

Characterization of a Computationally Designed Water-Soluble Human μ Opioid Receptor Variant Using X-ray Structural Information

Background The recent X-ray crystal structure of the murine μ opioid receptor (MUR) allowed us to reengineer a previously designed water-soluble variant of the transmembrane portion of the human MUR (wsMUR-TM). Methods The new variant of water soluble MUR (wsMUR-TM_v2) was engineered based upon the murine MUR crystal structure. This novel variant was expressed in E. coliand purified. The properties of the receptor were characterized and compared with those of wsMUR-TM. Results Seven residues originally included for mutation in the design of the wsMUR-TM, were reverted to their native identities. wsMUR-TM_v2 contains 16% mutations of the total sequence. It was overexpressed and purified with high yield. Although dimers and higher oligomers were observed to form over time, the wsMUR-TM_v2 stayed predominantly monomeric at concentrations as high as 7.5 mg/ml in buffer within a 2-month period. Its secondary structure was predominantly helical and comparable with those of both the original wsMUR-TM variant and the native MUR. The binding affinity of wsMUR-TM_v2 for naltrexone (Kd ~ 70 nM) was in close agreement with that for wsMUR-TM. The helical content of wsMUR-TM_v2 decreased cooperatively with increasing temperature, and the introduction of sucrose was able to stabilize the protein. Conclusions A novel functional wsMUR-TM_v2 with only 16% mutations was successfully engineered, expressed in E. coli and purified based on information from the crystal structure of murine MUR. This not only provides a novel alternative tool for MUR studies in solution conditions, but also offers valuable information for protein engineering and structure function relationships

Controlled release from zein matrices: Interplay of drug hydrophobicity and pH

Purpose: In earlier studies, the corn protein zein is found to be suitable as a sustained release agent, yet the range of drugs for which zein has been studied remains small. Here, zein is used as a sole excipient for drugs differing in hydrophobicity and isoelectric point: indomethacin, paracetamol and ranitidine. Methods: Caplets were prepared by hot-melt extrusion (HME) and injection moulding (IM). Each of the three model drugs were tested on two drug loadings in various dissolution media. The physical state of the drug, microstructure and hydration behaviour were investigated to build up understanding for the release behaviour from zein based matrix for drug delivery. Results: Drug crystallinity of the caplets increases with drug hydrophobicity. For ranitidine and indomethacin, swelling rates, swelling capacity and release rates were pH dependent as a consequence of the presence of charged groups on the drug molecules. Both hydration rates and release rates could be approached by existing models. Conclusion: Both the drug state as pH dependant electrostatic interactions are hypothesised to influence release kinetics. Both factors can potentially be used factors influencing release kinetics release, thereby broadening the horizon for zein as a tuneable release agent