IFN-gamma is associated with risk of Schistosoma japonicum infection in China.

Before the start of the schistosomiasis transmission season, 129 villagers resident on a Schistosoma japonicum-endemic island in Poyang Lake, Jiangxi Province, 64 of whom were stool-positive for S. japonicum eggs by the Kato method and 65 negative, were treated with praziquantel. Forty-five days later the 93 subjects who presented for follow-up were all stool-negative. Blood samples were collected from all 93 individuals. S. japonicum soluble worm antigen (SWAP) and soluble egg antigen (SEA) stimulated IL-4, IL-5 and IFN-gamma production in whole-blood cultures were measured by ELISA. All the subjects were interviewed nine times during the subsequent transmission season to estimate the intensity of their contact with potentially infective snail habitats, and the subjects were all re-screened for S. japonicum by the Kato method at the end of the transmission season. Fourteen subjects were found to be infected at that time. There was some indication that the risk of infection might be associated with gender (with females being at higher risk) and with the intensity of water contact, and there was evidence that levels of SEA-induced IFN-gamma production were associated with reduced risk of infection

Perfusion defect size predicts engraftment but not early retention of intra-myocardially injected cardiosphere-derived cells after acute myocardial infarction

Therapeutic cell retention and engraftment are critical for myocardial regeneration. Underlying mechanisms, including the role of tissue perfusion, are not well understood. In Wistar Kyoto rats, syngeneic cardiosphere-derived cells (CDCs) were injected intramyocardially, after experimental myocardial infarction. CDCs were labeled with [18F]-FDG (n = 7), for quantification of 1-h retention, or with sodium-iodide-symporter gene (NIS; n = 8), for detection of 24-h engraftment by reporter imaging. Perfusion was imaged simultaneously. Infarct size was 37 ± 9 and 38 ± 9% of LV in FDG and NIS groups. Cell signal was located in the infarct border zone in all animals. No significant relationship was observed between infarct size and 1-h CDC retention (r = −0.65; P = 0.11). However, infarct size correlated significantly with 24-h engraftment (r = 0.75; P = 0.03). Residual perfusion at the injection site was not related to cell retention/engraftment. Larger infarcts are associated with improved CDC engraftment. This observation encourages further investigation of microenvironmental conditions after ischemic damage and their role in therapeutic cell survival

Cost-effectiveness of collaborative care for chronically ill patients with comorbid depressive disorder in the general hospital setting, a randomised controlled trial

Background. Depressive disorder is one of the most common disorders, and is highly prevalent in chronically ill patients. The presence of comorbid depression has a negative influence on quality of life, health care costs, self-care, morbidity, and mortality. Early diagnosis and well-organized treatment of depression has a positive influence on these aspects. Earlier research in the USA has reported good results with regard to the treatment of depression with a collaborative care approach and an antidepressant algorithm. In the UK 'Problem Solving Treatment' has proved to be feasible. However, in the general hospital setting this approach has not yet been evaluated. Methods/Design. CC: DIM (Collaborative Care: Depression Initiative in the Medical setting) is a two-armed randomised controlled trial with randomisation at patient level. The aim of the trial is to evaluate the treatment of depressive disorder in general hospitals in the Netherlands based on a collaborative care framework, including contracting, 'Problem Solving Treatment', antidepressant algorithm, and manual-guided self-help. 126 outpatients with diabetes mellitus, chronic obstructive pulmonary disease, or cardiovascular diseases will be randomised to either the intervention group or the control group. Patients will be included if they have been diagnosed with moderate to severe depression, based on the DSM-IV criteria in a two-step screening method. The intervention group will receive treatment based on the collaborative care approach; the control group will receive 'care as usual'. Baseline and follow-up measurements (after 3, 6, 9, and 12 months) will be performed by means of questionnaires. The primary outcome measure is severity of depressive symptoms, as measured with the PHQ-9. The secondary outcome measure is the cost-effectiveness of these treatments according to the TiC-P, the EuroQol and the SF-36. Discussion. Earlier research has indicated that depressive disorder is a chronic, mostly recurrent illness, which tends to cluster with physical comorbidity. Even though the treatment of depressive disorder based on the guidelines for depression is proven effective, these guidelines are often insufficiently adhered to. Collaborative care and 'Problem Solving Treatment' will be specifically tailored to patients with depressive disorders and evaluated in a general hospital setting in the Netherlands

Pan-cancer analysis of whole genomes

Cancer is driven by genetic change, and the advent of massively parallel sequencing has enabled systematic documentation of this variation at the whole-genome scale(1-3). Here we report the integrative analysis of 2,658 whole-cancer genomes and their matching normal tissues across 38 tumour types from the Pan-Cancer Analysis of Whole Genomes (PCAWG) Consortium of the International Cancer Genome Consortium (ICGC) and The Cancer Genome Atlas (TCGA). We describe the generation of the PCAWG resource, facilitated by international data sharing using compute clouds. On average, cancer genomes contained 4-5 driver mutations when combining coding and non-coding genomic elements; however, in around 5% of cases no drivers were identified, suggesting that cancer driver discovery is not yet complete. Chromothripsis, in which many clustered structural variants arise in a single catastrophic event, is frequently an early event in tumour evolution; in acral melanoma, for example, these events precede most somatic point mutations and affect several cancer-associated genes simultaneously. Cancers with abnormal telomere maintenance often originate from tissues with low replicative activity and show several mechanisms of preventing telomere attrition to critical levels. Common and rare germline variants affect patterns of somatic mutation, including point mutations, structural variants and somatic retrotransposition. A collection of papers from the PCAWG Consortium describes non-coding mutations that drive cancer beyond those in the TERT promoter(4); identifies new signatures of mutational processes that cause base substitutions, small insertions and deletions and structural variation(5,6); analyses timings and patterns of tumour evolution(7); describes the diverse transcriptional consequences of somatic mutation on splicing, expression levels, fusion genes and promoter activity(8,9); and evaluates a range of more-specialized features of cancer genomes(8,10-18).Peer reviewe

A Chandra ACIS View of the Thermal Composite Supernova Remnant 3C 391

We present a 60 ks Chandra ACIS-S observation of the thermal composite supernova remnant 3C 391. The southeast-northwest elongated morphology is similar to that previously found in radio and X-ray studies. This observation unveils a highly clumpy structure of the remnant. Detailed spatially resolved spectral analysis of the small-scale features reveals that the interior gas is generally of normal metal abundance and has approached or basically reached ionization equilibrium. The hydrogen column density increases from southeast to northwest. Three mechanisms, radiative rim, thermal conduction, and cloudlet evaporation, may all play roles in the X-ray appearance of 3C 391 as a thermal composite remnant, but there are difficulties with each of them in explaining some physical properties. Comparatively, the cloudlet evaporation model is favored by the main characteristics such as the highly clumpy structure and the uniform temperature and density distribution over most of the remnant. The directly measured postshock temperature also implies a young age, ~4 × 103 yr, for the remnant. The postshock gas pressure derived from the northeast and southwest rims, which harbor maser spots, is consistent with the estimate for the maser regions. An unresolved X-ray source is observed on the northwest border, and its spectrum is best fitted by a power law

Highly clumpy structure of the thermal composite supernova remnant 3C 391 unveiled by Chandra

The nature of the internal thermal X-ray emission seen in “thermal composite” supernova remnants is still uncertain. Chandra observation of the 3C391 shows a southeast–northwest elongated morphology and unveils a highly clumpy structure of the remnant. Detailed spatially resolved spectral analysis for the small-scale features reveals normal metal abundance and uniform temperature for the interior gas. The properties of the hot gas comparatively favor the cloudlet evaporation model as a main mechanism for the “thermal composite” X-ray appearance, though radiative rim and thermal conduction may also be effective. A faint protrusion is found in Si and S lines out of the southwest radio border

Natural Borneol Recycling from Cinnamomum camphor chvar. Borneol Oil Residue by Fractional Distillation and Recrystallization

Purpose: To establish an efficient method to recycle natural borneol from Cinnamomum camphor chvar. Borneol oil residue.Methods: The fractions and raffinate of the oil residue of Cinnamomum camphor chvar. Borneol were obtained by fractional distillation, and analyzed by gas chromatography with flame ionization detector (GC-FID) and gas chromatography- mass spectrometry (GC-MS). Natural borneol was purified by recrystallization and suction filtration. Fractional distillation and recrystallization parameters, including reflux ratio, solvent and solvent amount, were optimized. The physicochemical properties of naturalborneol were determined by melting point and optical rotation techniques.Results: The total yield of natural borneol was 7.6 % under the optimal conditions, viz, reflux ratios of 3:1 and 1:1, with n-hexane as recrystallizing solvent. The purity of recrystallized natural borneol was > 99 % at the solvent ratio of 1:1.8 (natural borneol crystal : n-hexane). The optical rotation ([á]24 D = + 37°) and melting point (207 °C) of natural borneol were in accord with those of the standard.Conclusion: These findings indicate that the developed fractional distillation and recrystallization method can be applied to recycle natural borneol from C. camphor chvar. Borneol oil residue.Keywords: Cinnamomum camphora chvar. Borneol, Oil residue, Natural borneol, Fractional distillation, Recrystallizatio