Drug utilization patterns in Zabljak municipality, Serbia and Montenegro

Background: Information about drug utilization among the out patients in Serbia & Montenegro is scanty, and there are no available publications on the topic. Objective: To evaluate and compare patterns of drug utilization in the Zabljak municipality. Methods: Prescriptions for outpatients (n=456) and dispensing records from local pharmacy in Zabljak were reviewed retrospectively over three-months period. Results: The leading diagnoses were infectious diseases of the respiratory system and hypertension. The average number of Defined Daily Doses per 1000 inhabitants per day was 175.05. Cardiovascular drugs (42.8 DDD/1000/day), drugs for gastrointestinal system (39 DDD/1000/day) and antibacterial drugs (19.05 DDD/1000/day) were the most frequently prescribed drugs. Conclusion: The total number of drugs utilized per 1000 inhabitants per day was within the acceptable range. However, the pattern of diagnoses did not correspond to the pattern of drug utilization. Much remains to be done to promote rational selection and use of drugs in outpatients in Serbia and Montenegro. South African Family Practice Vol. 49 (1) 2007: pp. 1

Does sports participation affect the mediating role of impulsivity in the association between adverse childhood experiences and aggression?

IntroductionAdverse childhood experiences (ACEs) and self-reported aggression have often been associated, however, the mediating and moderating mechanisms underlying this association are not fully understood. In addition, less is known about potential factors that could serve as protection against the development of aggressive behavior. In this study, we investigated a moderated mediation model of sports participation and five impulsivity traits including positive and negative urgency, sensation seeking, and lack of premeditation and perseverance, in the association between ACEs and two forms of aggression.Methods and resultsThe sample comprised 651 (68.5% females) individuals from a Dutch community ranging in age from 18 to 82 years (M = 34.08). Contrary to our expectations, sports participation did not affect the associations of ACEs, the five impulsivity traits, and reactive and proactive aggression, except the association between ACEs and lack of premeditation. Specifically, the detrimental effect of ACEs on the propensity to act without thinking, increases among individuals with lower levels of sports participation. In addition, it was also found that sports participation directly contributed to higher levels of sensation seeking. Finally, after controlling for sociodemographic variables, the positive association between ACEs and reactive aggression was significantly mediated by negative urgency, lack of perseverance, and lack of premeditation, while the positive association between ACEs and proactive aggression was significantly mediated by lack of premeditation and positive urgency.ConclusionThe findings of this study add to the body of knowledge about the role of sports participation and impulsivity traits in the development of both forms of aggression, however, replication studies among multiple populations are needed before firm conclusions can be drawn

Does sports participation affect the mediating role of impulsivity in the association between adverse childhood experiences and aggression?

IntroductionAdverse childhood experiences (ACEs) and self-reported aggression have often been associated, however, the mediating and moderating mechanisms underlying this association are not fully understood. In addition, less is known about potential factors that could serve as protection against the development of aggressive behavior. In this study, we investigated a moderated mediation model of sports participation and five impulsivity traits including positive and negative urgency, sensation seeking, and lack of premeditation and perseverance, in the association between ACEs and two forms of aggression.Methods and resultsThe sample comprised 651 (68.5% females) individuals from a Dutch community ranging in age from 18 to 82 years (M = 34.08). Contrary to our expectations, sports participation did not affect the associations of ACEs, the five impulsivity traits, and reactive and proactive aggression, except the association between ACEs and lack of premeditation. Specifically, the detrimental effect of ACEs on the propensity to act without thinking, increases among individuals with lower levels of sports participation. In addition, it was also found that sports participation directly contributed to higher levels of sensation seeking. Finally, after controlling for sociodemographic variables, the positive association between ACEs and reactive aggression was significantly mediated by negative urgency, lack of perseverance, and lack of premeditation, while the positive association between ACEs and proactive aggression was significantly mediated by lack of premeditation and positive urgency.ConclusionThe findings of this study add to the body of knowledge about the role of sports participation and impulsivity traits in the development of both forms of aggression, however, replication studies among multiple populations are needed before firm conclusions can be drawn

Sources of Variation for Milk Traits in Regions of Vojvodina

The study aimed to investigate different sources of variation for milk traits in dairy cows, in first lactation from three breeding regions of Vojvodina (Srem, Banat and Backa). For research purposes a total of 2767 complete and 305 days records of milk yield (MY), fat yield (FY) and milk fat content (MFC) of Holstein-Friesian (HF, black and red) dairy cows was used. All cows were involved in the official milk recording program in 2013 in Vojvodina. Milk traits were analyzed using the mixed linear model in order to explain total variation with bull-sire as a random effect, region, year of birth and calving season as fixed effects and length of lactation as covariates. The average values of MY, MF and MFC in the first lactation of 305 days were 6053.4 kg of milk, 225.24 kg of milk fat and 3.74% milk fat content. The effects of the bull-sire, calving season, year of birth and breeding region on all investigated milk traits were highly significant (p>0.01) during 305 days, but year of birth for complete records had no significant effect on these parameters (P>0.05)

Second harmonic generation, beam dynamics and spatial soliton generation in periodically poled KTiOPO4

Spatial solitons were investigated in periodically poled KTiOPO4 under conditions of second harmonic generation and many new features associated with soliton generation in quasi-phase-matched samples were observed. The effects on the second harmonic generation tuning curves of the beam narrowing mechanisms responsible for soliton generation were found to be dramatic. It was demonstrated experimentally that the mutual collapse of the fundamental and harmonic beams is a complex phenomenon

Dynamics of wet flue gas desulphurization in spray absorber

A concise one dimensional thermal-hydraulic two-fluid model is presented for the numerical prediction of sulphur dioxide absorption from the flue gas onto drops of the water-limestone slurry in the vertical spray tower absorber. The model is based on mass, momentum and energy balance equations for each phase separately, i.e. downward falling droplets of water-limestone slurry and upward flowing flue gas. The sulphur dioxide content in the flue gas is predicted by a balance equation of the sulphur dioxide mass fraction in the flue gas. Interface transfer processes between the flue gas and the droplets are determined by closure laws. The obtained steady-state balance equations are transformed in a form suitable for a direct application of the numerical integration method for the system of ordinary differential equations. The developed thermal-hydraulic model is validated by comparing numerical results with available measured data at the large utility absorber. The presented results clearly show the dynamics of flue gas and droplets thermal-hydraulic processes and their influence on the absorption process

Signaling via interleukin-4, receptor alpha chain is required for successful vaccination against schistosomiasis in BALB/c mice

Radiation-attenuated (RA) schistosome larvae are potent stimulators of innate immune responses at the skin site of exposure (pinna) that are likely to be important factors in the development of Th1-mediated protective immunity. In addition to causing an influx of neutrophils, macrophages, and dendritic cells (DCs) into the dermis, RA larvae induced a cascade of chemokine and cytokine secretion following in vitro culture of pinna biopsy samples. While macrophage inflammatory protein 1 and interleukin-1 (IL-1) were produced transiently within the first few days, the Th1-promoting cytokines IL-12 and IL-18 were secreted at high levels until at least day 14. Assay of C3H/HeJ mice confirmed that IL-12 secretion was not due to lipopolysaccharide contaminants binding Toll-like receptor 4. Significantly, IL-12 p40 secretion was sustained in pinnae from vaccinated mice but not in those from nonprotected infected mice. In contrast, IL-10 was produced from both vaccinated and infected mice. This cytokine regulates IL-12-associated dermal inflammation, since in vaccinated IL-10/ mice, pinna thickness was greatly increased concurrent with elevated levels of IL-12 p40. A significant number of IL-12 p40 cells were detected as emigrants from in vitro-cultured pinnae, and most were within a population of rare large granular cells that were Ia, consistent with their being antigen-presenting cells. Labeling of IL-12 cells for CD11c, CD205, CD8, CD11b, and F4/80 indicated that the majority were myeloid DCs, although a proportion were CD11c F4/80, suggesting that macrophages were an additional source of IL-12 in the skin

A full scale comparative study of methods for generation of functional Dendritic cells for use as cancer vaccines

<p/> <p>Background</p> <p>Dendritic cells (DCs) are professional antigen-presenting cells with the ability to induce primary T-cell responses and are commonly produced by culturing monocytes in the presence of IL-4 and GM-CSF for 5–7 days (Standard DC). Recently, Dauer and co-workers presented a modified protocol for differentiation of human monocytes into mature DCs within 48 hours (Fast DC). Here we report a functional comparison of the two strategies for generation of DCs from human monocytes with adaptions for large-scale clinical use.</p> <p>Methods</p> <p>The Elutra Cell Selection System was used to isolate monocytes after collection of leukapheresis product. The enriched monocytes were cultured in gas permeable Teflon bags with IL-4 and GM-CSF for 24 hours (Fast DC) or 5 days (Standard DC) to obtain immature DCs. The cells were then transfected with mRNA from the leukemia cell line Jurkat E6 by electroporation and incubated for additional 24 h or 2 days in the presence of pro-inflammatory cytokines (TNFα, IL-1β, IL-6 and PGE₂) to obtain mature DCs.</p> <p>Results</p> <p>Mature Fast DC and Standard DC displayed comparable levels of many markers expressed on DC, including HLA-DR, CD83, CD86, CD208 and CCR7. However, compared to Standard DC, mature Fast DC was CD14^highCD209^low. Fast DC and Standard DC transfected with Jurkat E6-cell mRNA were equally able to elicit T cell specifically recognizing transfected DCs in vitro. IFNγ-secreting T cells were observed in both the CD4+ and CD8+ subsets.</p> <p>Conclusion</p> <p>Our results indicate that mature Fast DC are functional antigen presenting cells (APCs) capable of inducing primary T-cell responses, and suggest that these cells may be valuable for generation of anti-tumor vaccines.</p

Outcome measurement in functional neurological disorder: a systematic review and recommendations.

OBJECTIVES: We aimed to identify existing outcome measures for functional neurological disorder (FND), to inform the development of recommendations and to guide future research on FND outcomes. METHODS: A systematic review was conducted to identify existing FND-specific outcome measures and the most common measurement domains and measures in previous treatment studies. Searches of Embase, MEDLINE and PsycINFO were conducted between January 1965 and June 2019. The findings were discussed during two international meetings of the FND-Core Outcome Measures group. RESULTS: Five FND-specific measures were identified-three clinician-rated and two patient-rated-but their measurement properties have not been rigorously evaluated. No single measure was identified for use across the range of FND symptoms in adults. Across randomised controlled trials (k=40) and observational treatment studies (k=40), outcome measures most often assessed core FND symptom change. Other domains measured commonly were additional physical and psychological symptoms, life impact (ie, quality of life, disability and general functioning) and health economics/cost-utility (eg, healthcare resource use and quality-adjusted life years). CONCLUSIONS: There are few well-validated FND-specific outcome measures. Thus, at present, we recommend that existing outcome measures, known to be reliable, valid and responsive in FND or closely related populations, are used to capture key outcome domains. Increased consistency in outcome measurement will facilitate comparison of treatment effects across FND symptom types and treatment modalities. Future work needs to more rigorously validate outcome measures used in this population