Negative Effect of Smoking on the Performance of the QuantiFERON TB Gold in Tube Test.

False negative and indeterminate Interferon Gamma Release Assay (IGRA) results are a well documented problem. Cigarette smoking is known to increase the risk of tuberculosis (TB) and to impair Interferon-gamma (IFN-γ) responses to antigenic challenge, but the impact of smoking on IGRA performance is not known. The aim of this study was to evaluate the effect of smoking on IGRA performance in TB patients in a low and high TB prevalence setting respectively. Patients with confirmed TB from Denmark (DK, n = 34; 20 smokers) and Tanzania (TZ, n = 172; 23 smokers) were tested with the QuantiFERON-TB Gold In tube (QFT). Median IFN-γ level in smokers and non smokers were compared and smoking was analysed as a risk factor for false negative and indeterminate QFT results. Smokers from both DK and TZ had lower IFN-γ antigen responses (median 0.9 vs. 4.2 IU/ml, p = 0.04 and 0.4 vs. 1.6, p < 0.01), less positive (50 vs. 86%, p = 0.03 and 48 vs. 75%, p < 0.01) and more false negative (45 vs. 0%, p < 0.01 and 26 vs. 11%, p = 0.04) QFT results. In Tanzanian patients, logistic regression analysis adjusted for sex, age, HIV and alcohol consumption showed an association of smoking with false negative (OR 17.1, CI: 3.0-99.1, p < 0.01) and indeterminate QFT results (OR 5.1, CI: 1.2-21.3, p = 0.02). Cigarette smoking was associated with false negative and indeterminate IGRA results in both a high and a low TB endemic setting independent of HIV status

Boron-nitrogen based hydrides and reactive composites for hydrogen storage

Hydrogen forms chemical compounds with most other elements and forms a variety of different chemical bonds. This fascinating chemistry of hydrogen has continuously provided new materials and composites with new prospects for rational design and the tailoring of properties. This review highlights a range of new boron and nitrogen based hydrides and illustrates how hydrogen release and uptake properties can be improved

Computer work and musculoskeletal disorders of the neck and upper extremity: A systematic review

<p>Abstract</p> <p>Background</p> <p>This review examines the evidence for an association between computer work and neck and upper extremity disorders (except carpal tunnel syndrome).</p> <p>Methods</p> <p>A systematic critical review of studies of computer work and musculoskeletal disorders verified by a physical examination was performed.</p> <p>Results</p> <p>A total of 22 studies (26 articles) fulfilled the inclusion criteria. Results show limited evidence for a causal relationship between computer work per se, computer mouse and keyboard time related to a diagnosis of wrist tendonitis, and for an association between computer mouse time and forearm disorders. Limited evidence was also found for a causal relationship between computer work per se and computer mouse time related to tension neck syndrome, but the evidence for keyboard time was insufficient. Insufficient evidence was found for an association between other musculoskeletal diagnoses of the neck and upper extremities, including shoulder tendonitis and epicondylitis, and any aspect of computer work.</p> <p>Conclusions</p> <p>There is limited epidemiological evidence for an association between aspects of computer work and some of the clinical diagnoses studied. None of the evidence was considered as moderate or strong and there is a need for more and better documentation.</p

Comparison of estimated basilar membrane I/O characteristics.

<p>The left panel presents a comparison of KP estimates obtained with the gap method (ordinate) and the baseline (TMC) method (abscissa). The right panel shows a corresponding comparison of CR estimates. The two dashed lines in the right panel indicate a border that distinguishes cases of near-normal or normal compression (above 2.5, the minimum NH value estimated form the reference method) and abnormal compression. SPL. In both panels NH-listeners’ data is shown with crosses and HI-listeners’ data is shown with circles.</p

Sketch of basilar membrane I/O responses.

<p>Sketch of the basilar membrane (BM) input/output (I/O) responses, at a single frequency, for a normal-hearing (NH—solid blue line) and a hypothetical hearing-impaired (HI) listener with mild-to-moderate hearing loss (dashed red line). The curves coincide for input levels greater than 60 dB SPL, hence the maximum compression ratio is same in both cases. The dotted line represents the linear reference.</p

Comparison of the estimated slopes of temporal masking curves.

<p>Comparison of TMC slopes corresponding to linear processing on BM I/O. The off-frequency slope and the mean of corresponding on-frequency slopes are approximately equal, on average, and significantly correlated.</p