A single-blind randomised controlled trial of the effects of a web-based decision aid on self-testing for cholesterol and diabetes. study protocol

Background: Self-tests, tests on body materials to detect medical conditions, are widely available to the general public. Self-testing does have advantages as well as disadvantages, and the debate on whether self-testing should be encouraged or rather discouraged is still ongoing. One of the concerns is whether consumers have sufficient knowledge to perform the test and interpret the results. An online decision aid (DA) with information on self-testing in general, and test specific information on cholesterol and diabetes self-testing was developed. The DA aims to provide objective information on these self-tests as well as a decision support tool to weigh the pros and cons of self-testing. The aim of this study is to evaluate the effect of the online decision aid on knowledge on self-testing, informed choice, ambivalence and psychosocial determinants. Methods/Design: A single blind randomised controlled trial in which the online decision aid 'zelftestwijzer' is compared to short, non-interactive information on self-testing in general. The entire trial will be conducted online. Participants will be selected from an existing Internet panel. Consumers who are considering doing a cholesterol or diabetes self-test in the future will be included. Outcome measures will be assessed directly after participants have viewed either the DA or the control condition. Weblog files will be used to record participants' use of the decision aid. Discussion: Self-testing does have important pros and cons, and it is important that consumers base their decision whether they want to do a self-test or not on knowledge and personal values. This study is the first to evaluate the effect of an online decision aid for self-testing

How Long and Low Can You Go? Effect of Conformation on the Risk of Thoracolumbar Intervertebral Disc Extrusion in Domestic Dogs

Intervertebral disc extrusion (IVDE) is a common neurological disorder in certain dog breeds, resulting in spinal cord compression and injury that can cause pain and neurological deficits. Most disc extrusions are reported in chondrodystrophic breeds (e.g. Dachshunds, Basset Hounds, Pekingese), where selection for ‘long and low’ morphologies is linked with intervertebral discs abnormalities that predispose dogs to IVDE. The aim of this study was to quantify the relationship between relative thoracolumbar vertebral column length and IVDE risk in diverse breeds. A 14 month cross-sectional study of dogs entering a UK small animal referral hospital for diverse disorders including IVDE was carried out. Dogs were measured on breed-defining morphometrics, including back length (BL) and height at the withers (HW). Of 700 dogs recruited from this referral population, measured and clinically examined, 79 were diagnosed with thoracolumbar IVDE following diagnostic imaging ± surgery. The BL:HW ratio was positively associated with IVDE risk, indicating that relatively longer dogs were at increased risk, e.g. the probability of IVDE was 0.30 for Miniature Dachshunds when BL:HW ratio equalled 1.1, compared to 0.68 when BL:HW ratio equalled 1.5. Additionally, both being overweight and skeletally smaller significantly increased IVDE risk. Therefore, selection for longer backs and miniaturisation should be discouraged in high-risk breeds to reduce IVDE risk. In higher risk individuals, maintaining a lean body shape is particularly important to reduce the risk of IVDE. Results are reported as probabilities to aid decision-making regarding breed standards and screening programmes reflecting the degree of risk acceptable to stakeholders

Testing the unique amplification event and the worldwide migration hypothesis of insecticide resistance genes with sequence data

International audienceIn the mosquito Culex pipiens, over-production of esterases is a common insecticide resistance mechanism. Different alleles at the esterase A and B loci are known to occur in natural populations, as shown by enzyme electrophoresis and RFLP studies on the esterase B locus. Here we analyse the variability of the esterase A locus at the nucleotide level in mosquitoes possessing or lacking over-produced esterase A. A surprisingly high level of nucleotide polymorphism is found in coding and noncoding regions, and the extent of polymorphism detected is higher than that previously described for the most polymorphic loci in Drosophila. We also show that eight strains from different localities (Africa, America, Asia) that possess the over-produced esterase A2 share the same nucleotide sequence at the esterase A locus, strongly supporting the evolutionary scenario of a unique event of amplification of this gene followed by dispersal through migration rather than the occurrence of multiple independent mutational events of the gene

Biodegradation behavior of textiles impregnated with Ag and TiO2 nanoparticles in soil

Increasing global consumption of textile goods poses serious environmental problems that are present throughout the products life-cycles. With a trend of Fast Fashion, clothes became consuming goods that are discarded in huge amounts into landfills where they rot generating undesirable gases which contribute to environmental pollution and greenhouse effect. A large-scale centralized composting is a possible alternative to harmful landfilling. It is well known that different textile fibers exhibit diverse biodegradation behavior. Unlike most of the synthetic fibers, natural and particularly cellulosic fibers are prone to biodegradation. However, the finishing and thus, the presence of different chemicals on fiber surfaces may affect their biodegradation performance. Recent progress in the production of textiles impregnated with different metal and metal oxide nanoparticles is more oriented toward end-use achievements than on their environmental and health safety impacts. Despite the urgency to establish their environmental risk assessment, there are only few papers dealing with biodegradation behavior of such textile nanocomposites under terrestrial conditions. Therefore, this chapter is aimed to provide an insight into these results and to stress the necessity of extended research in this field taking into consideration that various characteristics of nanoparticles are relevant for their biodegradation behavior

The influence of corona treatment and impregnation with colloidal TiO2 nanoparticles on biodegradability of cotton fabric

This study discusses the effect of corona pre-treatment at atmospheric pressure and subsequent loading of colloidal TiO2 nanoparticles on the biodegradation behavior of cotton fabric. Biodegradation performance of the control and finished samples was evaluated by standard soil burial tests in predetermined periods of 3, 9 and 18 days. Color and breaking strength measurements were utilized for assessment of biodegradation progress. Morphological and chemical changes induced by biodegradation were analysed by SEM and FT-IR analyses, respectively. Colorimetric, morphological and chemical changes induced by the biodegradation process were slightly less prominent on corona pre-treated cotton fabric impregnated with TiO2 nanoparticles compared to corona treated and control cotton fabric. Although the breaking strength of all samples significantly decreased after 18 days of soil burial, this decline was the least evident on the sample impregnated with TiO2 nanoparticles. However, taking into account the extent of these differences, the influence of TiO2 nanoparticles on biodegradation rate of cotton fabric, which underwent a combined treatment corona/impregnation with TiO2 nanoparticles, could be considered as insignificant. These results confirm that chemical modification of cotton fabrics with plasma and subsequent loading of TiO2 still maintained sustainability of cellulose fibres

Negative influence of Ag and TiO2 nanoparticles on biodegradation of cotton fabrics

Recently, many efforts have been made to efficiently impregnate different textile materials with metal and metal oxide nanoparticles in order to provide antimicrobial, UV protective or self-cleaning properties. Evidence of their environmental risks is limited at this point. The aim of this study was to explore the influence of Ag and TiO2 nanoparticles on biodegradation of cotton fabrics. Biodegradation behavior of cotton fabrics impregnated with Ag and TiO2 NPs from colloidal solutions of different concentrations was assessed according to standard test method ASTM 5988-03 and soil burial test. Degradation of cotton fabrics was also evaluated by enzymatic hydrolysis with cellulase. The morphology of fibers affected by biodegradation was analyzed by scanning electron microscopy (SEM). In order to get better insight into biodegradation process, dehydrogenase activity of soil has been determined. Ag and particularly TiO2 nanoparticles suppressed the biodegradation of cotton fabrics. The dehydrogenase activity of soil with cotton fabrics impregnated with TiO2 nanoparticles was the weakest. Severe damage of cotton fibers during the biodegradation process was confirmed by SEM