A Paper-Based Multiplexed Transaminase Test for Low-Cost, Point-of-Care Liver Function Testing

In developed nations, monitoring for drug-induced liver injury through serial measurements of serum transaminases [aspartate aminotransferase (AST) and alanine aminotransferase (ALT)] in at-risk individuals is the standard of care. Despite the need, monitoring for drug-related hepatotoxicity in resource-limited settings is often limited by expense and logistics, even for patients at highest risk. This article describes the development and clinical testing of a paper-based, multiplexed microfluidic assay designed for rapid, semiquantitative measurement of AST and ALT in a fingerstick specimen. Using 223 clinical specimens obtained by venipuncture and 10 fingerstick specimens from healthy volunteers, we have shown that our assay can, in 15 min, provide visual measurements of AST and ALT in whole blood or serum, which allow the user to place those values into one of three readout “bins” [5× ULN, corresponding to tuberculosis/HIV treatment guidelines] with >90% accuracy. These data suggest that the ultimate point-of-care fingerstick device will have high impact on patient care in low-resource settings.Chemistry and Chemical Biolog

Proceedings of the Sixth Caldwell Conference, St. Catherines Island, Georgia, May 20-22, 2011.

494 pages : illustrations (some color), maps (some color) ; 26 cm. Conference sponsored by the American Museum of Natural History and the St. Catherines Island Foundation.Although this volume covers a broad range of temporal and methodological topics, the chapters are unified by a geographic focus on the archaeology of the Georgia Bight. The various research projects span multiple time periods (including Archaic, Woodland, Mississippian, and contact periods) and many incorporate specialized analyses (such as petrographic point counting, shallow geophysics, and so forth). The 26 contributors conducting this cutting-edge work represent the full spectrum of the archaeological community, including museum, academic, student, and contract archaeologists. Despite the diversity in professional and theoretical backgrounds, temporal periods examined, and methodological approaches pursued, the volume is unified by four distinct, yet interrelated, themes. Contributions in Part I discuss a range of analytical approaches for understanding time, exchange, and site layout. Chapters in Part II model coastal landscapes from both environmental and social perspectives. The third section addresses site-specific studies of late prehistoric architecture and village layout throughout the Georgia Bight. Part IV presents new and ongoing research into the Spanish mission period of this area. These papers were initially presented and discussed at the Sixth Caldwell Conference, cosponsored by the American Museum of Natural History and the St. Catherines Island Foundation, held on St. Catherines Island, Georgia, May 20-22, 2011. TABLE OF CONTENTS: Revising the ¹⁴C reservoir correction for St. Catherines Island, Georgia / David Hurst Thomas, Matthew C. Sanger, and Royce H. Hayes -- An assessment of coastal faunal data from Georgia and northeast Florida / Alexandra L. Parsons and Rochelle A. Marrinan -- Archaeological geophysics on St. Catherines Island : beyond prospection / Ginessa J. Mahar -- Paste variability and clay resource utilization at the Fountain of Youth site, St. Augustine, 8SJ31 / Ann S. Cordell and Kathleen A. Deagan -- Petrographic analysis of pottery and clay samples from the Georgia Bight : evidence of regional social interactions / Neill J. Wallis and Ann S. Cordell -- Past shorelines of the Georgia coast / Chester B. DePratter and Victor D. Thompson -- Coastal landscapes and their relationship to human settlement on the Georgia coast / John A. Turck and Clark R. Alexander -- The role of small islands in foraging economies of St. Catherines Island / Matthew F. Napolitano -- Ever-shifting landscapes : tracking changing spatial usage along coastal Georgia / Matthew C. Sanger -- A paleoeconomic model of the Georgia coast (4500-300 B.P.) / Thomas G. Whitley -- A survey of Irene phase architecture on the Georgia coast / Deborah A. Keene and Ervan G. Garrison -- Life and death on the Ogeechee : a view from the Redbird Creek village / Ryan O. Sipe -- Mission San Joseph de Sapala : mission-period archaeological research on Sapelo Island / Richard W. Jefferies and Christopher R. Moore -- The Guale landscape of Mission Santa Catalina de Guale : 30 years of geophysics at a Spanish colonial mission / Elliot H. Blair -- Missions San Buenaventura and Santa Cruz de Guadalquini : retreat from the Georgia coast / Keith H. Ashley, Vicki L. Rolland, and Robert L. Thunen -- Entangling events : the Guale coastal landscape and the Spanish missions / Victor D. Thompson, John A. Turck, Amanda D. Roberts Thompson, and Chester B. DePratter -- Island and coastal archaeology on the Georgia Bight / Scott M. Fitzpatrick

Pre-conception dietary patterns in human pregnancies are associated with preterm delivery

Maternal nutrition can have a profound effect on fetal growth, development, and subsequent infant birth weight. Preconception dietary patterns have not been assessed in relation to perinatal outcomes. The objectives of this study were to identify associations between maternal dietary patterns in the 12 mo before conception on fetal growth and preterm delivery. Preconception food frequency data were collected retrospectively in 309 women. Dietary patterns were derived using factor analysis. Perinatal outcomes were collected at delivery with birth weight data calculated into percentiles to assess small and large for gestational age and preterm delivery at <37 wk. Three dietary patterns were identified: 1) high-protein/fruit (characterized by fish, meat, chicken, fruit, and some whole grains); 2) high-fat/sugar/takeaway (takeaway foods, potato chips, refined grains); and 3) vegetarian-type (vegetables, legumes, whole grains). A 1-SD increase in the scores on the high-protein/fruit pattern was associated with decreased likelihood of preterm birth (adjusted OR: 0.31; 95% CI: 0.13, 0.72; P = 0.007), whereas the reverse direction was apparent for the high-fat/sugar/takeaway pattern (adjusted OR: 1.54; 95% CI: 1.10, 2.15; P = 0.011). A 1-SD increase in the scores on the high fat/sugar/takeaway pattern was also associated with shorter gestation (adjusted regression coefficient: -2.7; 95% CI: -4.3, -1.1; P = 0.001) and birth length (adjusted regression coefficient: -0.5; 95% CI: -0.8, -0.1; P = 0.004). Nutrition before pregnancy is associated with perinatal outcomes. A dietary pattern containing several protein-rich food sources, fruit, and some whole grains is associated with reduced likelihood for preterm delivery, whereas a dietary pattern mainly consisting of discretionary items is associated with preterm delivery, shorter birth length, and earlier gestation. Poor dietary behaviors in the periconceptional period could be altered to promote behavior change in dietary intake to improve perinatal outcomes and the long-term health of the child.Jessica A. Grieger, Luke E. Grzeskowiak, and Vicki L. Clifto

The ceramic ecology of florida: compositional baselines for pottery provenance studies

The success of pottery provenance studies is fundamentally dependent upon spatially patterned variation in the composition of exploited clay resources. Uniformity in clay composition within a region and recognizable differences between regions of interest are essential requirements for determining provenance, but these parameters are difficult to satisfy in study areas such as the coastal plain of the southeastern USA in which chemical and mineralogical variation tend toward continuous gradients. In an attempt to improve the reliability and validity of pottery provenance studies in the area, this research investigates compositional variation in raw clay samples from across Florida and southern Georgia through NAA (n=130) and petrographic analysis (n=99). The results indicate that fourteen distinct compositional regions can be differentiated, ranging from 50 km to 400 km in length. These regions dictate the direction and minimum distance a pottery vessel must have been transported in order to be recognized as nonlocal through compositional analysis. The validity of the proposed compositional regions is supported by previous case studies focused on assemblages from three of the regions. In each case, vessels were transported from other compositional regions more than 100 km away