Adverse events following influenza immunization reported by healthcare personnel using active surveillance based on text messages

Studies have demonstrated that healthcare personnel (HCP) have concerns about the potential side effects of trivalent inactivate influenza vaccine (IIV3).1-3 A recent metaanalysis of reasons HCP refuse IIV3 indicates the strongest predictors of vaccine acceptance are belief that the vaccine is safe and belief the vaccine does not cause the disease it is meant to prevent.

General CMB and Primordial Trispectrum Estimation

We present trispectrum estimation methods which can be applied to general non-separable primordial and CMB trispectra. We present a general optimal estimator for the connected part of the trispectrum, for which we derive a quadratic term to incorporate the effects of inhomogeneous noise and masking. We describe a general algorithm for creating simulated maps with given arbitrary (and independent) power spectra, bispectra and trispectra. We propose a universal definition of the trispectrum parameter $T_{NL}$, so that the integrated bispectrum on the observational domain can be consistently compared between theoretical models. We define a shape function for the primordial trispectrum, together with a shape correlator and a useful parametrisation for visualizing the trispectrum. We derive separable analytic CMB solutions in the large-angle limit for constant and local models. We present separable mode decompositions which can be used to describe any primordial or CMB bispectra on their respective wavenumber or multipole domains. By extracting coefficients of these separable basis functions from an observational map, we are able to present an efficient estimator for any given theoretical model with a nonseparable trispectrum. The estimator has two manifestations, comparing the theoretical and observed coefficients at either primordial or late times. These mode decomposition methods are numerically tractable with order $l^5$ operations for the CMB estimator and approximately order $l^6$ for the general primordial estimator (reducing to order $l^3$ in both cases for a special class of models). We also demonstrate how the trispectrum can be reconstructed from observational maps using these methods.Comment: 38 pages, 9 figures. In v2 Figures 4-7 are altered slightly and some extra references are included in the bibliography. v3 matches version submitted to journal. Includes discussion of special case

Oral contraceptives, hormone replacement therapy, thrombophilias and risk of venous thromboembolism: a systematic review The Thrombosis: Risk and Economic Assessment of Thrombophilia Screening (TREATS) Study

Combined oral contraceptives,oral hormone replacement therapy and thrombophilias are recognised risk factors for venous thromboembolism in women.The objective of this study was to assess the risk of thromboembolism among women with thrombophilia who are taking oral contraceptives or hormone replacement therapy, conducting a systematic review and metaanalysis. Of 201 studies identified, only nine met the inclusion criteria. Seven studies included pre-menopausal women on oral contraceptives and two studies included peri-menopausal women on hormone replacement therapy. For oral contraceptive use, significant associations of the risk of venous thromboembolism were found in women with factor V Leiden (OR 15.62; 95%CI 8.66 to 28.15); deficiencies of antithrombin (OR 12.60; 95%CI 1.37 to 115.79), protein C (OR 6.33; 95%CI 1.68 to 23.87), or protein S (OR 4.88; 95%CI 1.39 to 17.10), elevated levels of factor VIIIc (OR 8.80; 95%CI 4.13 to 18.75); and factor V Leiden and prothrombin G20210A (OR 7.85; 95%CI 1.65 to 37.41). For hormone replacement therapy, a significant association was found in women with factor V Leiden (OR 13.16; 95%CI 4.28 to 40.47).Although limited by the small number of studies, the findings of this study support the presence of interaction between thrombophilia and venous thromboembolism among women taking oral contraceptives. However, further studies are required to establish with greater confidence the associations of these, and other, thrombophilias with venous thromboembolism among hormone users

EbolaTracks: an automated SMS system for monitoring persons potentially exposed to Ebola virus disease

We report development and implementation of a short message service (SMS)-based system to facilitate active monitoring of persons potentially exposed to Ebola virus disease (EVD), whether returning from EVD-affected countries, or contacts of local cases, should they occur. The system solicits information on symptoms and temperature twice daily. We demonstrated proof-of-concept; however this system would likely be even more useful where there are many local contacts to confirmed EVD cases or travellers from EVD-affected countries

Remotely Supported Prehospital Ultrasound : Real-Time Communication Technology for Remote and Rural Communities

Highlands & Islands Enterprise, UK Technology Strategy Board’s Space and Life Sciences Catapult, University of Aberdeen’s dot.rural Digital Economy HubPeer reviewedPublisher PD

CMB lensing and primordial squeezed non-Gaussianity

Squeezed primordial non-Gaussianity can strongly constrain early-universe physics, but it can only be observed on the CMB after it has been gravitationally lensed. We give a new simple non-perturbative prescription for accurately calculating the effect of lensing on any squeezed primordial bispectrum shape, and test it with simulations. We give the generalization to polarization bispectra, and discuss the effect of lensing on the trispectrum. We explain why neglecting the lensing smoothing effect does not significantly bias estimators of local primordial non-Gaussianity, even though the change in shape can be >~10%. We also show how tau_NL trispectrum estimators can be well approximated by much simpler CMB temperature modulation estimators, and hence that there is potentially a ~10-30% bias due to very large-scale lensing modes, depending on the range of modulation scales included. Including dipole sky modulations can halve the tau_NL error bar if kinematic effects can be subtracted using known properties of the CMB temperature dipole. Lensing effects on the g_NL trispectrum are small compared to the error bar. In appendices we give the general result for lensing of any primordial bispectrum, and show how any full-sky squeezed bispectrum can be decomposed into orthogonal modes of distinct angular dependence.Comment: 22 pages, 6 figures; minor edits to match published versio

Growth hormone during in vitro fertilization in older women modulates the density of receptors in granulosa cells, with improved pregnancy outcomes

OBJECTIVE To study the effect of aging and granulosa cell growth hormone receptor (GHR) expression, and the effect of growth hormone (GH) co-treatment during IVF on receptor expression. DESIGN Laboratory study. SETTING University. PATIENT(S) A total of 445 follicles were collected from 62 women undergoing standard infertility treatment. INTERVENTION(S) Preovulatory ovarian follicle biopsies of granulosa cells and follicular fluid. MAIN OUTCOME MEASURE(S) Older women with a poor ovarian reserve were co-treated with GH to determine the effect of the adjuvant during IVF on the granulosal expression density of FSH receptor (FSHR), LH receptor (LHR), bone morphogenetic hormone receptor (BMPR1B), and GHR. Ovarian reserve, granulosa cell receptor density, oocyte quality, and pregnancy and live birth rates were determined. RESULT(S) Growth hormone co-treatment increased the receptor density for granulosal FSHR, BMPR1B, LHR, and GHR compared with the non-GH-treated patients of the same age and ovarian reserve. Growth hormone co-treatment increased GHR density, which may increase GHR activity. The GH co-treatment was associated with a significant increase in pregnancy rate. CONCLUSION(S) Growth hormone co-treatment restored the preovulatory down-regulation of FSHR, BMPR1B, and LHR density of the largest follicles, which may improve the maturation process of luteinization in older patients with reduced ovarian reserve. The fertility of the GH-treated patients improved

Fortification and health: challenges and opportunities.

Fortification is the process of adding nutrients or non-nutrient bioactive components to edible products (e.g., food, food constituents, or supplements). Fortification can be used to correct or prevent widespread nutrient intake shortfalls and associated deficiencies, to balance the total nutrient profile of a diet, to restore nutrients lost in processing, or to appeal to consumers looking to supplement their diet. Food fortification could be considered as a public health strategy to enhance nutrient intakes of a population. Over the past century, fortification has been effective at reducing the risk of nutrient deficiency diseases such as beriberi, goiter, pellagra, and rickets. However, the world today is very different from when fortification emerged in the 1920s. Although early fortification programs were designed to eliminate deficiency diseases, current fortification programs are based on low dietary intakes rather than a diagnosable condition. Moving forward, we must be diligent in our approach to achieving effective and responsible fortification practices and policies, including responsible marketing of fortified products. Fortification must be applied prudently, its effects monitored diligently, and the public informed effectively about its benefits through consumer education efforts. Clear lines of authority for establishing fortification guidelines should be developed and should take into account changing population demographics, changes in the food supply, and advances in technology. This article is a summary of a symposium presented at the ASN Scientific Sessions and Annual Meeting at Experimental Biology 2014 on current issues involving fortification focusing primarily on the United States and Canada and recommendations for the development of responsible fortification practices to ensure their safety and effectiveness

Evolutionary quantitative genetics of juvenile body size in a population of feral horses reveals sexually antagonistic selection

This is the author accepted manuscript. The final version is available from Springer via the DOI in this record.Inter-individual variation in juvenile body size can have important consequences for individual fitness, population dynamics, and adaptive evolution. In wild vertebrate populations, larger juvenile size is usually expected to be selected for. However, understanding how such selection may translate into adaptive evolution requires an understanding of the genetic underpinnings of early development and the factors modulating selection. In this study, we characterised the genetic basis of and selection pressures acting upon juvenile body size in a large insular population of feral horses on Sable Island, Canada, to gain insights into the evolution of juvenile body size in wild vertebrate populations. We used pedigree-based quantitative genetic ‘animal models’ to quantify the sources of phenotypic variation in withers-knee length, and assessed the influence of maternal age, sex, and temporal (birth year) and spatial environmental heterogeneity in modulating overwinter survival selection. We found that withers-knee length is moderately heritable and that there was a significant positive genetic correlation between males and females. There was no indication of directional selection in a pooled-sex analysis, but we did find evidence for significant sexually antagonistic selection, with a tendency for smaller body size to be favoured in males and larger body size to be favoured in females. These results suggest that juvenile body size has the potential to evolve in this population, and that selection on juvenile size may play an important role in modulating sex-specific contributions to population dynamics. However, our results also suggest that there is unlikely to be evolutionary change in the mean body size of Sable Island foals.Natural Sciences and Engineering Research Council of CanadaCanada Foundation for InnovationRoyal SocietyUniversity of Exete