Tuberculosis in Man, Dog and Cat: An Investigation into the Inter-Relation of Tuberculosis between Humans and Their Domestic Pets

1. An account is given of an investigation, extending over eight years, into the inter-relation of tuberculosis between man, and his domestic pets, the dog and cat; with particular reference to the ecological aspects of the infection, whether or not it was a zoonosis, and if so, its epidemiological significance. 2. The method of investigation was by a combined medical and veterinary approach, aimed at ascertaining the incidence of tuberculosis among apparently healthy animals in contact with active tuberculosis in humans, and among humans -in contact with animals dying of tuberculosis. 3. The investigation included an attempt to refine existing methods of diagnosis of tuberculosis in dogs and cats, by the development of B.C.G. as a test of immunity, in place of P.P.D. tuberculin, which was found to be both ineffective and unreliable. 4. A questionnaire was devised to elicit the required ecological details; and then distributed by the Feline Advisory Bureau to 750 individuals in the British Isles, Western Europe and the United States of America. 5. M. tuberculosis of human origin, was recovered from 4 dogs and 3 cats in a group of 48 animals, exposed to active tuberculosis in their owners, and from one cat in a further, similar group of 22 animals. The presence of these bacilli, which were of normal virulence, was not accompanied by pathological changes typical of tuberculosis; and it was concluded that the bacilli were probably present as commensals in highly resistant animals. 6. The atypical pathological changes, described as sinus catarrh, in isolated glands of the animals producing growths of M. tuberculosis, suggested further studies to determine if these changes might be related to sarcoidosis or an early, latent, phase of a tuberculous infection in a highly resistant animal. 7. The dangers of the apparently healthy domestic pet, excreting viable and virulent tubercle bacilli, indicated the advisability of proscribing the animal for a period of several months, following the detection of an active case among the human members of the household. 8. Three quarters of the human contacts of 31 dogs dying of tuberculosis were traced, half of them to the owner, or a member of his family, but in seven cases to a neighbour or a previous owner. Of the total of 354 human contacts, 41 (11.86%) were found to have had active tuberculosis at a material time in their association with the sick animal. 9. While the definition of the exact hazard of the tuberculous animal to its owner needed a more comprehensive, and inflexibly applied study of the human contacts, including Mantoux testing, and a new method of identifying identical growths obtained from owner and pet, the present investigation made it clear that the diagnosis of tuberculosis in a domestic animal, should be subject to the same statutory notification to the Public Health Authority, as was required in the case of a tuberculous human. 10. The intradermal injection of 0.1 ml. of B.C.G., producing a papule which ulcerated before 14 days (average interval from injection to ulceration, 9 days for cats and 11 days for dogs), was interpreted as the early, immune, 'positive' reaction of the infected animal; whereas a papule ulcerating after 14 days (average interval from injection to ulceration, 22 days for cats and 24 days for dogs), was taken as the late, non-immune, 'negative' reaction of the un-infected animal. The earlier the appearance of the ulcer, i.e., an accelerated, early, immune, 'positive' reaction, the more likely the animal to be suffering from an active tuberculosis infection. (Abstract shortened by ProQuest.)

Slim Epistemology with a Thick Skin

The distinction between ‘thick’ and ‘thin’ value concepts, and its importance to ethical theory, has been an active topic in recent meta-ethics. This paper defends three claims regarding the parallel issue about thick and thin epistemic concepts. (1) Analogy with ethics offers no straightforward way to establish a good, clear distinction between thick and thin epistemic concepts. (2) Assuming there is such a distinction, there are no semantic grounds for assigning thick epistemic concepts priority over the thin. (3) Nor does the structure of substantive epistemological theory establish that thick epistemic concepts enjoy systematic theoretical priority over the thin. In sum, a good case has yet to be made for any radical theoretical turn to thicker epistemology

Childhood IQ and cardiovascular disease in adulthood: prospective observational study linking the Scottish Mental Survey 1932 and the Midspan studies

This study investigated the influence of childhood IQ on the relationships between risk factors and cardiovascular disease (CVD), coronary heart disease (CHD) and stroke in adulthood. Participants were from the Midspan prospective cohort studies which were conducted on adults in Scotland in the 1970s. Data on risk factors were collected from a questionnaire and at a screening examination, and participants were followed up for 25 years for hospital admissions and mortality. 938 Midspan participants were successfully matched with their age 11 IQ from the Scottish Mental Survey 1932, in which 1921-born children attending schools in Scotland took a cognitive ability test. Childhood IQ was negatively correlated with diastolic and systolic blood pressure, and positively correlated with height and respiratory function in adulthood. For each of CVD, CHD and stroke, defined as either a hospital admission or death, there was an increased relative rate per standard deviation decrease (15 points) in childhood IQ of 1.11 (95% confidence interval 1.01-1.23), 1.16 (1.03-1.32) and 1.10 (0.88-1.36) respectively. With events divided into those first occurring before and those first occurring after the age of 65, the relationships between childhood IQ and CVD, CHD and stroke were only seen before age 65 and not after age 65. Blood pressure, height, respiratory function and smoking were associated with CVD events. Relationships were stronger in the early compared to the later period for smoking and FEV1, and stronger in the later compared to the earlier period for blood pressure. Adjustment for childhood IQ had small attenuating effects on the risk factor-CVD relationship before age 65 and no effects after age 65. Adjustment for risk factors attenuated the childhood IQ-CVD relationship by a small amount before age 65. Childhood IQ was associated with CVD risk factors and events and can be considered an important new risk factor

DOES "CENTRAL" OBESITY PREDICT CORONARY ARTERY DISEASE?

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/26676/1/0000220.pd

PROPORTION OF NEWLY OBESE AND CHRONIC OBESE AT DIFFERENT AGES

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/27877/1/0000291.pd

Promiscuous Feeding Across Multiple Honey Bee Hosts Amplifies the Vectorial Capacity of \u3ci\u3eVarroa destructor\u3c/i\u3e

Varroa destructor is a cosmopolitan pest and leading cause of colony loss of the European honey bee. Historically described as a competent vector of honey bee viruses, this arthropod vector is the cause of a global pandemic of Deformed wing virus, now endemic in honeybee populations in all Varroa-infested regions. Our work shows that viral spread is driven by Varroa actively switching from one adult bee to another as they feed. Assays using fluorescent microspheres were used to indicate the movement of fluids in both directions between host and vector when Varroa feed. Therefore, Varroa could be in either an infectious or naïve state dependent upon the disease status of their host. We tested this and confirmed that the relative risk of a Varroa feeding depended on their previous host’s infectiousness. Varroa exhibit remarkable heterogeneity in their host-switching behavior, with some Varroa infrequently switching while others switch at least daily. As a result, relatively few of the most active Varroa parasitize the majority of bees. This multiple-feeding behavior has analogs in vectorial capacity models of other systems, where promiscuous feeding by individual vectors is a leading driver of vectorial capacity. We propose that the honeybee-Varroa relationship offers a unique opportunity to apply principles of vectorial capacity to a social organism, as virus transmission is both vectored and occurs through multiple host-to-host routes common to a crowded society

Predisposing, Enabling, and Need Factors Associated with High Service Use in a Public Mental Health System

The purpose of this study was twofold: (1) To investigate the individual- and system-level characteristics associated with high utilization of acute mental health services according to a widely-used theory of service use—Andersen’s Behavioral Model of Health Service Use —in individuals enrolled in a large, public-funded mental health system; and (2) To document service utilization by high use consumers prior to a transformation of the service delivery system. We analyzed data from 10,128 individuals receiving care in a large public mental health system from fiscal years 2000–2004. Subjects with information in the database for the index year (fiscal year 2000–2001) and all of the following 3 years were included in this study. Using logistic regression, we identified predisposing, enabling, and need characteristics associated with being categorized as a single-year high use consumer (HU: >3 acute care episodes in a single year) or multiple-year HU (>3 acute care episodes in more than 1 year). Thirteen percent of the sample met the criteria for being a single-year HU and an additional 8% met the definition for multiple-year HU. Although some predisposing factors were significantly associated with an increased likelihood of being classified as a HU (younger age and female gender) relative to non-HUs, the characteristics with the strongest associations with the HU definition, when controlling for all other factors, were enabling and need factors. Homelessness was associated with 115% increase in the odds of ever being classified as a HU compared to those living independently or with family and others. Having insurance was associated with increased odds of being classified as a HU by about 19% relative to non-HUs. Attending four or more outpatient visits was an enabling factor that decreased the chances of being defined as a HU. Need factors, such as having a diagnosis of schizophrenia, bipolar disorder or other psychotic disorder or having a substance use disorder increased the likelihood of being categorized as a HU. Characteristics with the strongest association with heavy use of a public mental health system were enabling and need factors. Therefore, optimal use of public mental services may be achieved by developing and implementing interventions that address the issues of homelessness, insurance coverage, and substance use. This may be best achieved by the integration of mental health, intensive case management, and supportive housing, as well as other social services

The Scottish Mental Survey 1932 linked to the Midspan studies: a prospective investigation of childhood intelligence and future health

The Scottish Mental Survey of 1932 (SMS1932) recorded mental ability test scores for nearly all of the age group of children born in 1921 and at school in Scotland on 1st June 1932. The Collaborative and Renfrew/Paisley studies, two of the Midspan studies, obtained health and social data by questionnaire and a physical examination in the 1970s. Some Midspan participants were born in 1921 and may have taken part in the SMS1932, so might have mental ability data available from childhood. The 1921-born Midspan participants were matched with the computerised SMS1932 database. The total numbers successfully matched were 1032 out of 1251 people (82.5%). Of those matched, 938 (90.9%) had a mental ability test score recorded. The mean score of the matched sample was 37.2 (standard deviation [SD] 13.9) out of a possible score of 76. The mean (SD) for the boys and girls respectively was 38.3 (14.2) and 35.7 (13.9). This compared with 38.6 (15.7) and 37.2 (14.3) for boys and girls in all of Scotland. Graded relationships were found between mental ability in childhood, and social class and deprivation category of residence in adulthood. Being in a higher social class or in a more affluent deprivation category was associated with higher childhood mental ability scores and the scores reduced with increasing deprivation. Future plans for the matched data include examining associations between childhood mental ability and other childhood and adult risk factors for disease in adulthood, and modelling childhood mental ability, alongside other factors available in the Midspan database, as a risk factor for specific illnesses, admission to hospital and mortality

Water in the electrical double layer of ionic liquids on graphene

The performance of electrochemical devices using ionic liquids (ILs) as electrolytes can be impaired by water uptake. This work investigates the influence of water on the behavior of hydrophilic and hydrophobic ILs─with ethylsulfate and tris(perfluoroalkyl)trifluorophosphate or bis(trifluoromethyl sulfonyl)imide (TFSI) anions, respectively─on electrified graphene, a promising electrode material. The results show that water uptake slightly reduces the IL electrochemical stability and significantly influences graphene's potential of zero charge, which is justified by the extent of anion depletion from the surface. Experiments confirm the dominant contribution of graphene's quantum capacitance (CQ) to the total interfacial capacitance (Cint) near the PZC, as expected from theory. Combining theory and experiments reveals that the hydrophilic IL efficiently screens surface charge and exhibits the largest double layer capacitance (CIL ∼ 80 μF cm-2), so that CQ governs the charge stored. The hydrophobic ILs are less efficient in charge screening and thus exhibit a smaller capacitance (CIL ∼ 6-9 μF cm-2), which governs Cint already at small potentials. An increase in the total interfacial capacitance is observed at positive voltages for humid TFSI-ILs relative to dry ones, consistent with the presence of a satellite peak. Short-range surface forces reveal the change of the interfacial layering with potential and water uptake owing to reorientation of counterions, counterion binding, co-ion repulsion, and water enrichment. These results are consistent with the charge being mainly stored in a ∼2 nm-thick double layer, which implies that ILs behave as highly concentrated electrolytes. This knowledge will advance the design of IL-graphene-based electrochemical devices