Haemophilia care in Europe:a survey of 19 countries

In 2009, a questionnaire was circulated to 19 national haemophilia patient organizations in Europe affiliated to the European Haemophilia Consortium (EHC) and the World Federation of Hemophilia (WFH) to seek information about the organization of haemophilia care and treatment available at a national level. The responses received highlighted differences in the level of care despite the recent promulgation of consensus guidelines designed to standardize the care of haemophilia throughout the continent of Europe. There was a wide range in factor VIII consumption with usage ranging from 0.38 IU per capita in Romania to 8.7 IU per capita in Sweden (median: 3.6 IU per capita). Despite the specific inclusion of coagulation factor concentrate in the WHO list of essential medications, cryoprecipitate is still used in some eastern European countrie

A probabilistic approach to 3D interpretation of monocular images

The work described in this thesis is concerned with the 3D interpretation of monocular images. First, the perspective transformation is interpreted in an image which enables the extraction of 3D information. Then, connectivity in the image is utilized in order to infer 3D groupings in the scene. The result of the process is 3D structures, leading to local 3D maps, the scales of which are unknown. The processing of several images from unknown viewpoints allows the relative scales of the various maps to be known. Thus, an unsealed but consistent 3D map is extracted. This map has a 3D symbolic representation and may be integrated in a CAD database. A probabilistic approach is used for interpreting the image. First, two types of error are defined : errors due to the measurement uncertainty and errors due to accidents such as the proximity of unrelated features, called segmentation errors. Because of measurement errors, relations are not exactly fulfilled. Accounting for such errors is responsible for segmentation errors, and thereby unreliability of the process. The best trade-off for checking these relations is based on the maximum likelihood test. In order to determine this test, a precise statistical model of the data is defined. Moreover, accounting for measurement uncertainty leads to an original process for detecting the vanishing points in the image in a consistent way over the space. Another central theme of this work is the 3D representation adopted for the structures extracted from the image. The intrinsic parameters of these structures are viewpoint and scale invariant and the geometric relationships and the degree of freedom of these structures are implicit in such a representation. This considerably eases the construction of the 3D structures, and then of the local and global maps. The method is illustrated by the processing of images of indoor scenes of a power plant

Analysis of Johne’s disease ELISA status and associated performance parameters in Irish dairy cows

peer-reviewedBackground Infection with Mycobacterium avium subspecies paratuberculosis (MAP) has been associated with reductions in milk production in dairy cows and sub optimal fertility. The aim of this study was to highlight the production losses associated with testing MAP ELISA positive in Irish dairy cows. Secondary objectives included investigation of risk factors associated with testing MAP ELISA positive. A survey of management practices on study farms was also conducted, with examination of associations between management practices and herd MAP status. Blood samples were collected from 4188 breeding animals on 22 farms. Samples were ELISA tested using the ID Screen Paratuberculosis Indirect Screening Test. Production parameters examined included milk yield, milk fat, milk protein, somatic cell count, and calving interval. The association between MAP ELISA status and production data was investigated using multi-level mixed models. Logistic regression was used to identify risk factors for testing JD blood ELISA positive at individual cow level and to identify associations between farm management practices and herd MAP status. Results Data were available for 3528 cows. The apparent prevalence recorded was 7.4 %. Mixed model analysis revealed no statistically significant association between testing MAP ELISA positive and dairy cow production parameters. Risk factors associated with testing positive included larger sized herds being over twice more likely to test positive than smaller herds (OR 2.4 P = <0.001). Friesians were less likely to test positive relative to other breeds. A number of study farmers were engaged in management practices that have previously been identified as high risk for MAP transmission e.g., 73.1 % pooled colostrum and 84.6 % of study farmers used the calving area to house sick animals throughout the year. No significant associations however, were identified between farm management practices and herd MAP status. Conclusion No production losses were identified; however an apparent prevalence of 7.4 % was recorded. With the abolition of EU milk quotas herd size in Ireland is expanding, as herds included in this study were larger than the national average, results may be indicative of future JD levels if no JD control programmes are implemented to minimise transmission

Static field limit of excitation probabilities in laser-atom interactions

We consider the interaction of atomic hydrogen, in its ground state, with an electromagnetic pulse whose duration is fixed in terms of the number of optical cycles. We study the probability of excitation of the atom in the static field limit i.e. for field frequencies going to zero. Despite the fact that the well-known Born–Fock adiabatic theorem is valid only for a system whose energy spectrum is discrete, we show that it is still possible to use this theorem to derive, in the low frequency limit, an analytical formula which gives the probability of transition to any excited state of the atom as a function of the field intensity, the carrier envelope phase and the number of optical cycles within the pulse. The results for the probability of excitation to lowlying excited states, obtained with this formula, agree with those we get by solving the timedependent Schrödinger equation. The domain of validity is discussed in detail

Bifidobacterium animalis AHC7 protects against pathogen-induced NF-κB activation in vivo

BACKGROUND: Bifidobacteria and lactobacilli are among the early and important colonizers of the gastrointestinal tract and are generally considered to be part of a normal, healthy microbiota. It is believed that specific strains within the microbiota can influence host immune-reactivity and may play a role in protection from infection and aberrant inflammatory activity. One such strain, Bifidobacterium animalis AHC7, has been previously shown to protect against Salmonella typhimurium infection in mice and helps resolve acute idiopathic diarrhea in dogs. The aim of this study was to investigate the potential molecular and cellular mechanisms underpinning the Bifidobacterium animalis AHC7 protective effect. RESULTS: Following 4 hours of infection with Salmonella typhimurium, NF-κB activation was significantly elevated in vivo in placebo and Enterococcus faecium-fed animals while Bifidobacterium animalis AHC7 consumption significantly attenuated the NF-κB response. In vitro anti-CD3/CD28 stimulated Peyer's patch cells secreted significantly less TNF-α and IFN-γ following Bifidobacterium animalis AHC7 consumption. Stimulated cells released more IL-12p70 but this difference did not reach statistical significance. No alteration in mucosal IL-6, IL-10 or MCP-1 levels were observed. No statistically significant change in the cytokine profile of mesenteric lymph node cells was noted. In vitro, Bifidobacterium animalis AHC7 was bound by dendritic cells and induced secretion of both IL-10 and IL-12p70. In addition, co-culture of CD4+ T cells with Bifidobacterium animalis AHC7-stimulated dendritic cells resulted in a significant increase in CD25+Foxp3+ T cell numbers. CONCLUSION: Bifidobacterium animalis AHC7 exerts an anti-inflammatory effect via the attenuation of pro-inflammatory transcription factor activation in response to an infectious insult associated with modulation of pro-inflammatory cytokine production within the mucosa. The cellular mechanism underpinning Bifidobacterium animalis AHC7 mediated attenuation of NF-κB activation may include recognition of the bacterium by dendritic cells and induction of CD25+Foxp3+ T cells