Evidence for down-regulation of beta-2-adreno-ceptors in cirrhotic patients with severe ascites

The density and affinity of beta-2-adrenoceptors on mononuclear cells from peripheral blood were studied in fifteen patients with cirrhosis of different severity and in thirteen controls. There was no significant difference between cirrhotic patients and controls in density or affinity of beta-2 binding sites. Within the cirrhotic group, however, the number of binding sites per cell was significantly lower in patients with severe ascites than in patients with mild to moderate or no ascites. This down-regulation of beta-adrenoceptors could influence the haemodynamic response to beta-blockers

Broader conceptualization of remission assessed by the remission from depression questionnaire and its association with symptomatic remission: a prospective, multicenter, observational study

Abstract Background Goals of treating major depressive disorder (MDD) include achieving remission and avoiding relapse. It is possible that patients may have a broader view of remission than what is captured via clinician-rated scales. This patient perspective may, in turn, have an impact on treatment outcomes. Methods The association between a broader conceptualization of remission, based on the Remission from Depression Questionnaire (RDQ) score at baseline, and being in symptomatic remission after 6 months was evaluated in subjects (N = 613) with MDD in symptomatic remission at baseline (17-item Hamilton Rating Scale for Depression [HAMD-17] ≤7). Specific aspects of depression were assessed from physician and patient perspectives as secondary endpoints. A backwards selection strategy was used to statistically model remission status and determine association of factors with potential to influence remission. Results At month 6, after adjustment for baseline HAMD-17 score, there was no association between baseline RDQ score and symptomatic remission status (HAMD-17), relapse, composite remission status, healthcare resource utilization, or quality of life. There was no association between functional impairment scores at baseline (Sheehan Disability Scale and Social and Occupational Functioning Assessment Scale) and symptomatic remission status (HAMD-17) at month 6. Conclusions This study indicates that RDQ-constructs are independent from symptomatic remission. Symptom severity at study entry appeared to be the only significant predictor of eventual relapse during the 6-month follow-up period. However, our results also suggest that the current definition of remission that is based on symptom reduction should be further elaborated and that alternative or additional definitions should be considered in determining remission

How useful is the EQ-5D in assessing the impact of caring for people with Alzheimer's disease?

BACKGROUND: The impact on informal caregivers of caring for people with Alzheimer's disease (AD) dementia can be substantial, but it remains unclear which measures(s) best assess such impact. Our objective was to use data from the GERAS study to assess the ability of the EuroQol 5-dimension questionnaire (EQ-5D) to measure the impact on caregivers of caring for people with AD dementia and to examine correlations between EQ-5D and caregiver burden. METHODS: GERAS was a prospective, non-interventional cohort study in community-dwelling patients with AD dementia and their informal caregivers. The EQ-5D and Zarit Burden Interview (ZBI) were used to measure health-related quality of life and caregiver burden, respectively. Resource-use data collected included caregiver time spent with the patient on activities of daily living (ADL). Spearman correlations were computed between EQ-5D scores, ZBI scores, and time spent on instrumental ADL (T-IADL) at baseline, 18 months, and for 18-month change scores. T-IADL and ZBI change scores were summarized by EQ-5D domain change category (better/stable/worse). RESULTS: At baseline, 1495 caregivers had mean EQ-5D index scores of 0.86, 0.85, and 0.82, and ZBI total scores of 24.6, 29.4, and 34.1 for patients with mild, moderate, and moderately severe/severe AD dementia, respectively. Change in T-IADL showed a stronger correlation with change in ZBI (0.12; P < 0.001) than with change in EQ-5D index score (0.02; P = 0.546) although both correlations were very weak. Worsening within EQ-5D domains was associated with increases in ZBI scores, although 68%-90% of caregivers remained stable within each EQ-5D domain. There was no clear pattern for change in T-IADL by change in EQ-5D domain. CONCLUSIONS: EQ-5D may not be the optimum measure of the impact of caring for people with AD dementia due to its focus on physical health. Alternative measures need further investigation

Effect of diabetes on caregiver burden in an observational study of individuals with Alzheimer’s disease

Background The burden on caregivers of patients with Alzheimer’s disease (AD) is associated with the patient’s functional status and may also be influenced by chronic comorbid medical conditions, such as diabetes. This post-hoc exploratory analysis assessed whether comorbid diabetes in patients with AD affects caregiver burden, and whether caregivers with diabetes experience greater burden than caregivers without diabetes. Caregiver and patient healthcare resource use (HCRU) were also assessed. Methods Baseline data from the GERAS observational study of patients with AD and their caregivers (both n = 1495) in France, Germany and the UK were analyzed. Caregiver burden was assessed using the Zarit Burden Interview (ZBI). Caregiver time on activities of daily living (ADL: basic ADL; instrumental ADL, iADL) and supervision (hours/month), and caregiver and patient HCRU (outpatient visits, emergency room visits, nights hospitalized) were assessed using the Resource Utilization in Dementia instrument for the month before the baseline visit. Regression analyses were adjusted for relevant covariates. Time on supervision and basic ADL was analyzed using zero-inflated negative binomial regression. Results Caregivers of patients with diabetes (n = 188) were younger and more likely to be female (both p < 0.05), compared with caregivers of patients without diabetes (n = 1307). Analyses showed caregivers of patients with diabetes spent significantly more time on iADL (+16 %; p = 0.03; increases were also observed for basic ADL and total caregiver time but did not reach statistical significance) and had a trend towards increased ZBI score. Patients with diabetes had a 63 % increase in the odds of requiring supervision versus those without diabetes (p = 0.01). Caregiver and patient HCRU did not differ according to patient diabetes. Caregivers with diabetes (n = 127) did not differ from those without diabetes (n = 1367) regarding burden/time, but caregivers with diabetes had a 91 % increase in the odds of having outpatient visits (p = 0.01). Conclusions This cross-sectional analysis found caregiver time on iADL and supervision was higher for caregivers of patients with AD and diabetes versus without diabetes, while HCRU was unaffected by patient diabetes. Longitudinal analyses assessing change in caregiver burden over time by patient diabetes status may help clarify the cumulative impact of diabetes and AD dementia on caregiver burden

Development of User-Friendly Water Quality Dashboards for Coastal Aquaculturists in the Central and Northern California Region

This use case highlights the development of user-friendly water quality dashboards for stations along the Central and Northern California coastline, designed to support California’s coastal aquaculture industry. By transforming near real-time data from CeNCOOS coastal shore stations into accessible, actionable tools, aquaculturists can better monitor changing ocean conditions near their operations. Co-designed with industry input, these dashboards provide critical insights into trends such as marine heatwaves, hypoxia, and phytoplankton blooms

The influence of propanolol on portosystemic shunting

We investigated the role of early portal hypotensive pharmacotherapy in preventing the development of portal-systemic shunting in a portal hypertensive model of chronic murine schistosomiasis induced by infecting C3H mice with 60 cercariae of Schistosoma mansoni. Propranolol was administered in drinking water to 20 animals for a period of 6 wk at a dose of 10 mg · kg −1 d −1 , starting at 5 wk of schistosomal infection. 32 age-matched mice with chronic schistosomal infection served as controls. All animals were studied 11 wk after the infection. Compared with controls the portal pressure (10.8 ± 0.40 mm Hg) was significantly lower ( P < 0.001) in the propranolol-treated animals (7.9 ± 0.80 mm Hg). Portal-systemic shunting was decreased by 79%, from 12.2 ± 3.34% in controls to 2.5 ± 0.99% in the propranolol group ( P < 0.05). Portal venous inflow was reduced by 38% in the propranolol treated animals (2.50 ± 0.73 ml/min; n = 6) compared with controls (4.00 ± 0.34 ml/min; n = 8; P < 0.05). The worm burden, the granulomatous reaction, the collagen content of the liver, and the serum bile acid levels were not significantly different between the two groups of animals. These results demonstrate that in chronic liver disease induced by schistosomiasis, the development of portal-systemic shunting can be decreased or prevented by the reduction of flow and pressure in the portal system.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/38367/1/1840140531_ftp.pd

Surface Currents Data for Search and Rescue, Ocean and Weather Forecasting

High-Frequency Radar (HFR) systems provide near real-time measurements of surface ocean currents, offering broad and continuous coastal coverage. Supported by CeNCOOS as part of the national U.S. IOOS network, 33 HFR stations across Central and Northern California collect critical data used in applications including search and rescue, maritime navigation, and oil spill response. Data are processed and visualized on the CalOOS Data Portal, with high-resolution coverage in key areas like San Francisco Bay. These systems enhance operational efficiency, reduce emergency response times, and support safer and more informed decision-making along the coast

Linkage mapping for complex traits : a regression-based approach

Linkage analysis makes use of genetic markers to measure genetic similarity between relatives. By comparing this index of genetic similarity with phenotypic similarity, we can identify chromosomal regions harbouring genes involved in the architecture of a phenotype of interest. Although linkage has been very successful in discovering genes responsible for simple Mendelian diseases, results have often been disappointing in gene mapping for complex traits. This thesis presents some attempts to improve the current design and analysis of linkage studies for complex traits. The statistical methodology adopted is driven by the fact that genes involved in complex traits have small effects, it therefore seems legitimate to use score tests because of their local optimality properties. In addition, score tests often give rise to tractable expressions, in the context of linkage these can be meaningfully interpreted in terms of regressions and quickly computed which is a crucial feature in genetics.Fonds Medische Statistiek - The Genomeutwin project (European Union Contract No QLG2-CT-2002-01254)UBL - phd migration 201

Meta-analysis of four new genome scans for lipid parameters and analysis of positional candidates in positive linkage regions

Lipid levels in plasma strongly influence the risk for coronary heart disease. To localise and subsequently identify genes affecting lipid levels, we performed four genome-wide linkage scans followed by combined linkage/association analysis. Genome-scans were performed in 701 dizygotic twin pairs from four samples with data on plasma levels of HDL- and LDL-cholesterol and their major protein constituents, apolipoprotein AI (ApoAI) and Apolipoprotein B (ApoB). To maximise power, the genome scans were analysed simultaneously using a well-established meta-analysis method that was newly applied to linkage analysis. Overall LOD scores were estimated using the means of the sample-specific quantitative trait locus (QTL) effects inversely weighted by the standard errors obtained using an inverse regression method. Possible heterogeneity was accounted for with a random effects model. Suggestive linkage for HDL-C was observed on 8p23.1 and 12q21.2 and for ApoAI on 1q21.3. For LDL-C and ApoB, linkage regions frequently coincided (2p24.1, 2q32.1, 19p13.2 and 19q13.31). Six of the putative QTLs replicated previous findings. After fine mapping, three maximum LOD scores mapped within 1cM of major candidate genes, namely APOB (LOD =2.1), LDLR (LOD =1.9) and APOE (LOD =1.7). APOB haplotypes explained 27% of the QTL effect observed for LDL-C on 2p24.1 and reduced the LOD-score by 0.82. Accounting for the effect of the LDLR and APOE haplotypes did not change the LOD score close to the LDLR gene but abolished the linkage signal at the APOE gene. In conclusion, application of a new meta-analysis approach maximised the power to detect QTLs for lipid levels and improved the precision of their location estimate. © 2005 Nature Publishing Group. All rights reserved

Differentiating reefal ridges from relict coastal ridges: Lessons from the seismic geomorphologic study of buried Miocene buildups (North West Shelf, Australia)

Linear buildups formed in tropical carbonate environments are often interpreted as bioconstructed reefs. Nevertheless, coastal processes can also form extensive sedimentary ridges exhibiting buildup morphologies. This study investigates two Miocene ridges developed along the Australian North West Shelf using 3D seismic and well data. Ridge 1 is ca. 30 m thick and >60 km long, and it is made of foraminiferal pack-grainstones. It protects a lagoon with pinnacle morphologies. Ridge 2 is ca. 150 m thick and >80 km long. It is composed of quartz sand forming lobes. Both ridges have a continuous curvilinear front and are in a mid-shelf setting. They mimic the modern Australian coastline. It is then proposed that Ridge 1 is either: (1) a barrier reef developed on a drowned shoreline, or (2) stacked carbonate aeolianites and beachrocks acting as a barrier. Ridge 2 is interpreted as stacked deltaic sands. This study demonstrates that lithified and buried coastal features of carbonate and siliciclastic nature can form extensive ridges exhibiting buildup morphologies. It is proposed that ridges formed by stacked coastal features are overall continuous with a curvilinear front, while reefal ridges are more discontinuous and exhibit deeper and more stable passes.Differentiating reefal ridges from relict coastal ridges: Lessons from the seismic geomorphologic study of buried Miocene buildups (North West Shelf, Australia)publishedVersio