Is hypercholesterolaemia common among Hong Kong Chinese?

There is growing concern that coronary heart disease (CHD) is becoming more common and that hypercholesterolaemia may be an important problem among Hong Kong Chinese. This study aims at finding out the prevalence of hypercholesterolaemia among adult patients in general practice. 1113 Chinese patients aged 21 to 60 attending a Government general outpatient clinic were randomly sampled. The demographic data and information on other CHD risk factors were obtained from each participant. All participants had their cholesterol measured by the Reflotron. The reflotron cholesterol results were validated and calibrated against laboratory results. The survey showed 10% of the sample had blood cholesterol > 6.2mmol/l, and 32% had borderline hypercholesterolaemia between 5.2 to 6.2mmol/l. Less than 1% of the people had cholesterol levels above 7.8mmol/l. Age had the most significant effect on cholesterol level especially in females after 40. One in four females over 50 had blood cholesterol levels > 6.2mmol/l. Twentyone percent of the sample had > 2 other CHD risk factors, over half of them had cholesterol >5.2mmol/l. The main problem among Hong Kong Chinese is borderline hypercholesterolaemia which is most significant in people with additional CHD risk factors. Cholesterol screening will be more costeffective if directed to people known to have other CHD risk factors but may not be worthwhile for the low risk group.published_or_final_versio

Determination of APTT factor sensitivity - the misguiding guideline.

INTRODUCTION: The Clinical and Laboratory Standards Institute (CLSI) has produced a guideline detailing how to determine the activated partial thromboplastin time's (APTT) sensitivity to clotting factor deficiencies, by mixing normal and deficient plasmas. Using the guideline, we determined the factor sensitivity of two APTT reagents. METHODS: APTTs were performed using Actin FS and Actin FSL on a Sysmex CS-5100 analyser. The quality of factor-deficient and reference plasmas from three commercial sources was assessed by assaying each of the clotting factors within the plasmas and by performing thrombin generation tests (TGT). RESULTS: Testing samples from 50 normal healthy subjects gave a two-standard deviation range of 21.8-29.2 s for Actin FS and 23.5-29.3 s for Actin FSL. The upper limits of these ranges were subsequently used to determine APTT factor sensitivity. Assay of factor levels within the deficient plasmas demonstrated that they were specifically deficient in a single factor, with most other factors in the range 50-150 iu/dL (Technoclone factor VII-deficient plasma has 26 iu/dL factor IX). APTTs performed on mixtures of normal and deficient plasmas gave diverse sensitivity to factor deficiencies dependent on the sources of deficient plasma. TGT studies on the deficient plasmas revealed that the potential to generate thrombin was not solely associated with the levels of their component clotting factors. CONCLUSION: Determination of APTT factor sensitivity in accordance with the CLSI guideline can give inconsistent and misleading results

Methods for detecting and quantifying individual specialisation in movement and foraging strategies of marine predators

There is increasing realisation that individuals in many animal populations differ substantially in resource, space or habitat use. Differences that cannot be attributed to any a priori way of classifying individuals (i.e. age, sex and other group effects) are often termed ‘individual specialisation’. The aim of this paper is to assess the most common approaches for detecting and quantifying individual specialisation and consistencies in foraging behaviour, movement patterns and diet of marine predators using 3 types of data: conventional diet data, stable isotope ratios and tracking data. Methods using conventional diet data rely on a comparison between the proportions of each dietary source in the total diet and in the diet of individuals, or analyses of the statistical distribution of a prey metric (e.g. size); the latter often involves comparing ratios of individual and population variance. Approaches frequently used to analyse stable isotope or tracking data reduced to 1 dimension (trip characteristics, e.g. maximum trip distance or latitude/longitude at certain landmarks) include correlation tests and repeatability analysis. Finally, various spatial analyses are applied to other types of tracking data (e.g. distances between centroids of distributions or migratory routes, or overlap between distributions), and methods exist to compare habitat use. We discuss the advantages and disadvantages of these approaches, issues arising from other effects unrelated to individual specialisation per se (in particular those related to temporal scale) and potential solutions

Large-scale latitudinal and vertical distributions of NMHCs and selected halocarbons in the troposphere over the Pacific Ocean during the March-April 1999 Pacific Exploratory Mission (PEM-Tropics B)

Nonmethane hydrocarbons (NMHCs) and selected halocarbons were measured in whole air samples collected over the remote Pacific Ocean during NASA's Global Tropospheric Experiment (GTE) Pacific Exploratory Mission-Tropics B (PEM-Tropics B) in March and early April 1999. The large-scale spatial distributions of NMHCs and C2Cl4 reveal a much more pronounced north-south interhemispheric gradient, with higher concentrations in the north and lower levels in the south, than for the late August to early October 1996 PEM-Tropics A experiment. Strong continental outflow and winter-long accumulation of pollutants led to seasonally high Northern Hemisphere trace gas levels during PEM-Tropics B. Observations of enhanced levels of Halon 1211 (from developing Asian nations such as the PRC) and CH3Cl (from SE Asian biomass burning) support a significant southern Asian influence at altitudes above 1 km and north of 10° N. By contrast, at low altitude over the North Pacific the dominance of urban/industrial tracers, combined with low levels of Halon 1211 and CH3Cl, indicate a greater influence from developed nations such as Japan, Europe, and North America. Penetration of air exhibiting aged northern hemisphere characteristics was frequently observed at low altitudes over the equatorial central and western Pacific south to ∼5° S. The relative lack of southern hemisphere biomass burning sources and the westerly position of the South Pacific convergence zone contributed to significantly lower PEM-Tropics B mixing ratios of the NMHCs and CH3Cl south of 10° S compared to PEM-Tropics A. Therefore the trace gas composition of the South Pacific troposphere was considerably more representative of minimally polluted tropospheric conditions during PEM-Tropics B. Copyright 2001 by the American Geophysical Union

Plasma factor XIII level variations during menstrual cycle

Factor XIII (FXIII) has an important role in the control of bleeding through fibrin cross-linking; however, its effect within the menstrual cycle is not fully understood. The aim of this study was to examine changes in FXIII activity during the normal menstrual cycle and correlate FXIII activity with menstrual blood loss. A total of 32 healthy normal women of reproductive age were recruited. Menstrual blood loss was measured using the pictorial blood-assessment chart (PBAC). A bleeding score questionnaire was also completed. Blood samples were taken during the menstrual, proliferative, periovulatory, secretory and premenstrual phase for assessment of FXIII level. The mean ± SD FXIII level was lowest during menstrual and periovulatory phases (114 ± 23 and 114 ± 21 IU/dl, respectively). Mean FXIII level during the secretory and premenstrual phases were higher than the menstrual phase (P = 0.036). Mean secretory phase FXIII was also significantly higher compared with the periovulatory phase (P = 0.02). There was no significant correlation between FXIII level during the menstrual phase and age (P = 0.53) or PBAC score (P = 0.53). There were no significant differences in FXIII level during the menstrual phase between women with PBAC scores of at least 100 (n = 14; mean 116 IU/dl) and women with PBAC scores less than 100 (n = 18; mean 113 IU/dl). There was no correlation between FXIII level and bleeding score. FXIII activity was lower during menstrual and periovulatory phases of the cycle. However, the small difference between mean values (8 IU/dl) would be unlikely to have a significant impact on diagnosis of FXIII deficiency and clinical management

NMHCs and halocarbons in Asian continental outflow during the Transport and Chemical Evolution over the Pacific (TRACE-P) Field Campaign: Comparison with PEM-West B

We present an overview of the spatial distributions of nonmethane hydrocarbons (NMHCs) and halocarbons observed over the western north Pacific as part of the NASA GTE Transport and Chemical Evolution over the Pacific (TRACE‐P) airborne field campaign (February–April 2001). The TRACE‐P data are compared with earlier measurements from the Pacific Rim during the Pacific Exploratory Mission‐West B (PEM‐West B), which took place in February–March 1994, and with emission inventory data for 2000. Despite the limited spatial and temporal data coverage inherent to airborne sampling, mean levels of the longer‐lived NMHCs (including ethane, ethyne, and benzene) were remarkably similar to our results during the PEM‐West B campaign. By comparison, mixing ratios of the fire extinguisher Halon‐1211 (CF2ClBr) increased by about 50% in the period between 1994 and 2001. Southern China (south of 35°N), and particularly the Shanghai region, appears to have been a substantial source of Halon‐1211 during TRACE‐P. Our previous analysis of the PEM‐West B data employed methyl chloroform (CH3CCl3) as a useful industrial tracer. However, regulations have reduced its emissions to the extent that its mixing ratio during TRACE‐P was only one‐third of that measured in 1994. Methyl chloroform mixing ratio “hot spots,” indicating regions downwind of continuing emissions, included outflow from the vicinity of Shanghai, China, but particularly high emission ratios relative to CO were observed close to Japan and Korea. Tetrachloroethene (C2Cl4) levels have also decreased significantly, especially north of 25°N, but this gas still remains a useful indicator of northern industrial emissions. Methyl bromide (CH3Br) levels were systematically 1–2 pptv lower from 1994 to 2001, in accord with recent reports. However, air masses that had been advected over Japan and/or South Korean port cities typically exhibited elevated levels of CH3Br. As a consequence, emissions of CH3Br from Japan and Korea calculated employing CH3Br/CO ratios and scaled to CO emission inventory estimates, were almost as large as for all of south China (south of 35°N). Total east Asian emissions of CH3Br and CH3Cl were estimated to be roughly 4.7 Gg/yr and 167 Gg/yr, respectively, in 2001

Profil de résistance des agents étiologiques des diarrhées isolés au Tchad

La résistance aux antibiotiques des entéropathogènes impliqués dans les maladies diarrhéiques est une préoccupation d’ampleur mondiale. C’est pourquoi la présente étude était entreprise en vue de tester la sensibilité de ces microorganismes aux antibiotiques couramment utilisés au Tchad. Les selles des patients ont été prélevées dans des flacons stériles et analysées selon les procédures standards de microbiologie dans le laboratoire de Bactériologie de l’Hôpital Général de Référence Nationale de N’Djamena (HGRN). L’isolement et l’identification des entéropathogènes dans les selles étaient réalisés, en utilisant les milieux Hektoen, EMB (éosine bleu de méthylène), TCBS (thiosulfate, citrate, bile, saccharose) (BioRad) et la galerie API® 20E et API® 20 NE (BioMérieux). L’antibiogramme a été effectué selon la méthode de Kirby Bauer en utilisant le milieu Mueller-Hinton. Le test antigénique était réalisé conformément aux instructions de Kaufmann-White. Au total, les selles de 1164 patients ont été analysées, desquelles 275 entéropathogènes étaient isolés, identifiés et testés aux antibiotiques. Parmi les souches d’entérobactéries étudiées, les Escherichia coli étaient résistants de 70% aux Bêta-lactamines. Les Vibrio cholerae O 1 en particulier ont exprimé un taux de résistance de 15,30% à l’ampicilline, 100% à l’amoxicilline + acide clavulanique et triméthoprime/cotrimoxazole, 98,90% à l’acide nalidixique et 12,56% à la ceftriaxone. Ces résultats attestent de la circulation des entéropathogènes résistants aux antibiotiques usuels au Tchad.Mots clés : Diarrhée, entéropathogène, antibiotique, résistance, HGRN, Tchad

The automation of routine light transmission platelet aggregation

Introduction: The investigation of platelet function by aggregometry requires specialist equipment and is labour intensive. We have developed an automated platelet aggregation method on a routine coagulation analyser. Methods: We used a CS-2000i (Sysmex) with prototype software to perform aggregation in platelet-rich plasma (PRP), using the following agonists: ADP (0.5-10 μm), epinephrine (0.5-10 μm), collagen (0.5-10 mg/μL), ristocetin (0.75-1.25 mg/mL) and arachidonic acid (0.12-1.0 mm). Platelet agonists were from Hyphen Biomed, and an AggRAM aggregometer (Helena Biosciences) was used as the reference instrument. Results: CS-2000i reaction cuvette stirrer speed was found to influence reaction sensitivity and was optimized to 800 rpm. There were no clinically significant changes in aggregation response when the PRP platelet count was 150-480 x 10/L, but below this there were changes in the maximum amplitude (MA) and slope (rate). Dose response with each of the agonists was comparable between CS-2000i and an AggRAM aggregometer and normal subjects receiving antiplatelet drugs. Aggregation imprecision was similar on both the CS-2000i and AggRAM systems, with a cv for 2-5 μm ADP MA and slope varying between 3-12%. Conclusion: Our preliminary studies indicated that optimal sensitivity using the CS-2000i was obtained with a reaction cuvette stirrer speed of 800 rpm and a PRP platelet count of 200-300 x 10/L; aggregation with a PRP count <100 x 10/L showed poor sensitivity. Imprecision and detection of antiplatelet drug effects was similar between the CS-2000i and AggRAM. These data demonstrate that CS-2000i is comparable to a stand-alone aggregometer, although CS-2000i has the advantages of walk-away technology and also required a smaller sample volume than the AggRAM (44% less). © 2013 John Wiley & Sons Ltd

The Roosevelt – Rondon expedition marmoset (Mico marcai) : unveiling the conservation status of a data deficient species

The Roosevelt-Rondon Expedition marmoset, Mico marcai, was collected in 1914 and to date, all information on this species comes from three skins brought back by the Expedition and two additional skins collected in the 1990s. It is no surprise then that M.marcai has been classified as Data Deficient (DD). Given that Mico marcai’s suspected range sits on the path of the advancing Brazilian “Arc-of-Deforestation”, it is urgent that relevant data be collected to assess this taxon. Here we present the first comprehensive field data on the distribution, population size and threats on M. marcai with the goal of removing the species from the DD category. From 2012 to 2015, we surveyed for the species in 11 localities, in and around the Marmelos-Aripuanã interfluve, and estimated density using distance sampling on 10 transects. We also used spatial predictive modelling to project the amount of habitat that will be lost within its range in 18 years under different deforestation scenarios. We found marmosets in 14 localities and calculated its Extent of Occurrence to be 31,073 km2. We walked 271 km and detected 30 marmoset groups, allowing us to estimate their density to be 8.31 individuals/km2 and a total population of 258,217.71 individuals. By a “Business as usual” scenario, 20,181 km2 of habitat will be lost in three marmoset generations (~18 years), compromising 33% of the species’ range. Accordingly, M. marcai should be classified as globally Vulnerable under category A3c. Following our study, we propose the Amazonian marmosets, genus Mico, should undergo similar re-assessment as their ranges all fall in the path of the Arc-of-Deforestation. Keywords: Amazonian marmosets, Conservation Status, Data Deficient, Habitat Loss, Southern Amazoni

The Lothian Birth Cohort 1936: a study to examine influences on cognitive ageing from age 11 to age 70 and beyond

BACKGROUND: Cognitive ageing is a major burden for society and a major influence in lowering people's independence and quality of life. It is the most feared aspect of ageing. There are large individual differences in age-related cognitive changes. Seeking the determinants of cognitive ageing is a research priority. A limitation of many studies is the lack of a sufficiently long period between cognitive assessments to examine determinants. Here, the aim is to examine influences on cognitive ageing between childhood and old age. METHODS/DESIGN: The study is designed as a follow-up cohort study. The participants comprise surviving members of the Scottish Mental Survey of 1947 (SMS1947; N = 70,805) who reside in the Edinburgh area (Lothian) of Scotland. The SMS1947 applied a valid test of general intelligence to all children born in 1936 and attending Scottish schools in June 1947. A total of 1091 participants make up the Lothian Birth Cohort 1936. They undertook: a medical interview and examination; physical fitness testing; extensive cognitive testing (reasoning, memory, speed of information processing, and executive function); personality, quality of life and other psycho-social questionnaires; and a food frequency questionnaire. They have taken the same mental ability test (the Moray House Test No. 12) at age 11 and age 70. They provided blood samples for DNA extraction and testing and other biomarker analyses. Here we describe the background and aims of the study, the recruitment procedures and details of numbers tested, and the details of all examinations. DISCUSSION: The principal strength of this cohort is the rarely captured phenotype of lifetime cognitive change. There is additional rich information to examine the determinants of individual differences in this lifetime cognitive change. This protocol report is important in alerting other researchers to the data available in the cohort