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Low-dose calcium supplementation for preventing pre-eclampsia: a systematic review and commentary.
BACKGROUND: Epidemiological data link low dietary calcium with pre-eclampsia. Current recommendations are for 1.5-2 g/day calcium supplementation for low-intake pregnant women, based on randomised controlled trials of ≥1 g/day calcium supplementation from 20 weeks of gestation. This is problematic logistically in low-resource settings; excessive calcium may be harmful; and 20 weeks may be too late to alter outcomes. OBJECTIVES: To review the impact of lower dose calcium supplementation on pre-eclampsia risk. SEARCH STRATEGY AND SELECTION CRITERIA: We searched PubMed and the Cochrane Pregnancy and Childbirth Group trials register. DATA COLLECTION AND ANALYSIS: Two authors extracted data from eligible randomised and quasi-randomised trials of low-dose calcium (LDC, <1 g/day), with or without other supplements. MAIN RESULTS: Pre-eclampsia was reduced consistently with LDC with or without co-supplements (nine trials, 2234 women, relative risk [RR] 0.38; 95% confidence interval [95% CI] 0.28-0.52), as well as for subgroups: LDC alone (four trials, 980 women, RR 0.36; 95% CI 0.23-0.57]); LDC plus linoleic acid (two trials, 134 women, RR 0.23; 95% CI 0.09-0.60); LDC plus vitamin D (two trials, 1060 women, RR 0.49; 0.31-0.78) and a trend for LDC plus antioxidants (one trial, 60 women, RR 0.24; 95% CI 0.06-1.01). Overall results were consistent with the single quality trial of LDC alone (171 women, RR 0.30; 95% CI 0.06-1.38). LDC plus antioxidants commencing at 8-12 weeks tended to reduce miscarriage (one trial, 60 women, RR 0.06; 95% CI 0.00-1.04). CONCLUSIONS: These limited data are consistent with LDC reducing the risk of pre-eclampsia; confirming this in sufficiently powered randomised controlled trials would have implications for current guidelines and their global implementation
Natural and projectively equivariant quantizations by means of Cartan Connections
The existence of a natural and projectively equivariant quantization in the
sense of Lecomte [20] was proved recently by M. Bordemann [4], using the
framework of Thomas-Whitehead connections. We give a new proof of existence
using the notion of Cartan projective connections and we obtain an explicit
formula in terms of these connections. Our method yields the existence of a
projectively equivariant quantization if and only if an \sl(m+1,\R)-equivariant
quantization exists in the flat situation in the sense of [18], thus solving
one of the problems left open by M. Bordemann.Comment: 13 page
Nonuniform Self-Organized Dynamical States in Superconductors with Periodic Pinning
We consider magnetic flux moving in superconductors with periodic pinning
arrays. We show that sample heating by moving vortices produces negative
differential resistivity (NDR) of both N and S type (i.e., N- and S-shaped) in
the voltage-current characteristic (VI curve). The uniform flux flow state is
unstable in the NDR region of the VI curve. Domain structures appear during the
NDR part of the VI curve of an N type, while a filamentary instability is
observed for the NDR of an S type. The simultaneous existence of the NDR of
both types gives rise to the appearance of striking self-organized (both
stationary and non-stationary) two-dimensional dynamical structures.Comment: 4 pages, 2 figure
Physical and genetic map of Epinotia aporema granulovirus genome
The bean shoot borer, Epinotia aporema (Lep. Tortricidae), is an economically important pest of legume crops in South America. Recently, a granulovirus (EpapGV) was isolated from E. aporema larvae, and evaluated as a potential biological control agent. In order to generate a restriction map and to investigate the gene organisation of EpapGV genome, DNA isolated from occlusion bodies as well as a set of cloned genomic fragments were analysed using combinations of restriction endonucleases and Southern blot analyses that lead to a first version of the physical map. It was subsequently confirmed and refined by sequencing the termini of the cloned fragments and assessing their contiguity by comparing the sequences with databases to identify putative ORFs spanning neighbour fragments. This was also aided by PCR amplifications with primers that pointed outwards of the cloned viral DNA. The granulin gene was positioned on the physical map, cloned and sequenced. Its 747-nucleotide-long ORF encodes a predicted protein of 29 kDa and the core of the baculovirus very late promoter ATAAG was found 29 nucleotides upstream the initiation codon. In addition, 27 putative ORFs were located on the map and used to explore the genome organisation by GeneParityPlot against the fully sequenced granulovirus genomes. These data, taken together with the phylogenetic tree generated by alignment of the major occlusion proteins, indicate that EpapGV is closely related to CpGV, but has a distinct gene organisation.Este documento tiene una correcciĂłn (ver documento relacionado).Instituto de BiotecnologĂa y BiologĂa Molecula
Liquid chromatography/mass spectrometry analysis of exhaled leukotriene B(4 )in asthmatic children
BACKGROUND: The role of leukotriene (LT) B(4), a potent inflammatory mediator, in atopic asthmatic and atopic nonasthmatic children is largely unknown. The lack of a gold standard technique for measuring LTB(4 )in exhaled breath condensate (EBC) has hampered its quantitative assessment in this biological fluid. We sought to measure LTB(4 )in EBC in atopic asthmatic children and atopic nonasthmatic children. Exhaled nitric oxide (NO) was measured as an independent marker of airway inflammation. METHODS: Fifteen healthy children, 20 atopic nonasthmatic children, 25 steroid-naïve atopic asthmatic children, and 22 atopic asthmatic children receiving inhaled corticosteroids were studied. The study design was of cross-sectional type. Exhaled LTB(4 )concentrations were measured using liquid chromatography/mass spectrometry-mass spectrometry (LC/MS/MS) with a triple quadrupole mass spectrometer. Exhaled NO was measured by chemiluminescence with a single breath on-line method. LTB(4 )values were expressed as the total amount (in pg) of eicosanoid expired in the 15-minute breath test. Kruskal-Wallis test was used to compare groups. RESULTS: Compared with healthy children [87.5 (82.5–102.5) pg, median and interquartile range], exhaled LTB(4 )was increased in steroid-naïve atopic asthmatic [255.1 (175.0–314.7) pg, p < 0.001], but not in atopic nonasthmatic children [96.5 (87.3–102.5) pg, p = 0.59)]. Asthmatic children who were receiving inhaled corticosteroids had lower concentrations of exhaled LTB(4 )than steroid-naïve asthmatics [125.0 (25.0–245.0) pg vs 255.1 (175.0–314.7) pg, p < 0.01, respectively]. Exhaled NO was higher in atopic nonasthmatic children [16.2 (13.5–22.4) ppb, p < 0.05] and, to a greater extent, in atopic steroid-naïve asthmatic children [37.0 (31.7–57.6) ppb, p < 0.001] than in healthy children [8.3 (6.1–9.9) ppb]. Compared with steroid-naïve asthmatic children, exhaled NO levels were reduced in asthmatic children who were receiving inhaled corticosteroids [15.9 (11.5–31.7) ppb, p < 0.01]. CONCLUSION: In contrast to exhaled NO concentrations, exhaled LTB(4 )values are selectively elevated in steroid-naïve atopic asthmatic children, but not in atopic nonasthmatic children. Although placebo control studies are warranted, inhaled corticosteroids seem to reduce exhaled LTB(4 )in asthmatic children. LC/MS/MS analysis of exhaled LTB(4 )might provide a non-invasive, sensitive, and quantitative method for airway inflammation assessment in asthmatic children
Freeze-out configuration properties in the 197Au + 197Au reaction at 23 AMeV
Data from the experiment on the 197Au + 197Au reaction at 23 AMeV are
analyzed with an aim to find signatures of exotic nuclear configurations such
as toroid-shaped objects. The experimental data are compared with predictions
of the ETNA code dedicated to look for such configurations and with the QMD
model. A novel criterion of selecting events possibly resulting from the
formation of exotic freeze-out configurations, "the efficiency factor", is
tested. Comparison between experimental data and model predictions may indicate
for the formation of flat/toroidal nuclear systems
MICROMEGAS chambers for hadronic calorimetry at a future linear collider
Prototypes of MICROMEGAS chambers, using bulk technology and analog readout,
with 1x1cm2 readout segmentation have been built and tested. Measurements in
Ar/iC4H10 (95/5) and Ar/CO2 (80/20) are reported. The dependency of the
prototypes gas gain versus pressure, gas temperature and amplification gap
thickness variations has been measured with an 55Fe source and a method for
temperature and pressure correction of data is presented. A stack of four
chambers has been tested in 200GeV/c and 7GeV/c muon and pion beams
respectively. Measurements of response uniformity, detection efficiency and hit
multiplicity are reported. A bulk MICROMEGAS prototype with embedded digital
readout electronics has been assembled and tested. The chamber layout and first
results are presented
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