Do Childhood Vaccines Have Non-Specific Effects on Mortality

A recent article by Kristensen et al. suggested that measles vaccine and bacille Calmette–Guérin (BCG) vaccine might\ud reduce mortality beyond what is expected simply from protection against measles and tuberculosis. Previous reviews of the potential effects of childhood vaccines on mortality have not considered methodological features of reviewed studies. Methodological considerations play an especially important role in observational assessments, in which selection factors for vaccination may be difficult to ascertain. We reviewed 782 English language articles on vaccines and childhood mortality and found only a few whose design met the criteria for methodological rigor. The data reviewed suggest that measles vaccine delivers its promised reduction in mortality, but there is insufficient evidence to suggest a mortality benefit above that caused by its effect on measles disease and its sequelae. Our review of the available data in the literature reinforces how difficult answering these considerations has been and how important study design will be in determining the effect of specific vaccines on all-cause mortality.\u

Partial-Transfer Absorption Imaging: A versatile technique for optimal imaging of ultracold gases

Partial-transfer absorption imaging is a tool that enables optimal imaging of atomic clouds for a wide range of optical depths. In contrast to standard absorption imaging, the technique can be minimally-destructive and can be used to obtain multiple successive images of the same sample. The technique involves transferring a small fraction of the sample from an initial internal atomic state to an auxiliary state and subsequently imaging that fraction absorptively on a cycling transition. The atoms remaining in the initial state are essentially unaffected. We demonstrate the technique, discuss its applicability, and compare its performance as a minimally-destructive technique to that of phase-contrast imaging.Comment: 10 pages, 5 figures, submitted to Review of Scientific Instrument

Positron emission tomography of sodium glucose cotransport activity in high grade astrocytomas.

A novel glucose transporter, the sodium glucose cotransporter 2 (SGLT2), has been demonstrated to contribute to the demand for glucose by pancreatic and prostate tumors, and its functional activity has been imaged using a SGLT specific PET imaging probe, α-methyl-4-[F-18]fluoro-4-deoxy-D-glucopyaranoside (Me-4FDG). In this study, Me-4FDG PET was extended to evaluate patients with high-grade astrocytic tumors. Me-4FDG PET scans were performed in four patients diagnosed with WHO Grade III or IV astrocytomas and control subjects, and compared with 2-deoxy-2-[F-18]fluoro-D-glucose (2-FDG) PET and magnetic resonance imaging (MRI) of the same subjects. Immunocytochemistry was carried out on Grade IV astrocytomas to determine the cellular location of SGLT proteins within the tumors. Me-4FDG retention was pronounced in astrocytomas in dramatic contrast to the lack of uptake into the normal brain, resulting in a high signal-to-noise ratio. Macroscopically, the distribution of Me-4FDG within the tumors overlapped with that of 2-FDG uptake and tumor definition using contrast-enhanced MRI images. Microscopically, the SGLT2 protein was found to be expressed in neoplastic glioblastoma cells and endothelial cells of the proliferating microvasculature. This preliminary study shows that Me-4FDG is a highly sensitive probe for visualization of high-grade astrocytomas by PET. The distribution of Me-4FDG within tumors overlapped that for 2-FDG, but the absence of background brain Me-4FDG resulted in superior imaging sensitivity. Furthermore, the presence of SGLT2 protein in astrocytoma cells and the proliferating microvasculature may offer a novel therapy using the SGLT2 inhibitors already approved by the FDA to treat type 2 diabetes mellitus

DRA/NASA/ONERA Collaboration on Icing Research

This report presents results from a joint study by DRA, NASA, and ONERA for the purpose of comparing, improving, and validating the aircraft icing computer codes developed by each agency. These codes are of three kinds: (1) water droplet trajectory prediction, (2) ice accretion modeling, and (3) transient electrothermal deicer analysis. In this joint study, the agencies compared their code predictions with each other and with experimental results. These comparison exercises were published in three technical reports, each with joint authorship. DRA published and had first authorship of Part 1 - Droplet Trajectory Calculations, NASA of Part 2 - Ice Accretion Prediction, and ONERA of Part 3 - Electrothermal Deicer Analysis. The results cover work done during the period from August 1986 to late 1991. As a result, all of the information in this report is dated. Where necessary, current information is provided to show the direction of current research. In this present report on ice accretion, each agency predicted ice shapes on two dimensional airfoils under icing conditions for which experimental ice shapes were available. In general, all three codes did a reasonable job of predicting the measured ice shapes. For any given experimental condition, one of the three codes predicted the general ice features (i.e., shape, impingement limits, mass of ice) somewhat better than did the other two. However, no single code consistently did better than the other two over the full range of conditions examined, which included rime, mixed, and glaze ice conditions. In several of the cases, DRA showed that the user's knowledge of icing can significantly improve the accuracy of the code prediction. Rime ice predictions were reasonably accurate and consistent among the codes, because droplets freeze on impact and the freezing model is simple. Glaze ice predictions were less accurate and less consistent among the codes, because the freezing model is more complex and is critically dependent upon unsubstantiated heat transfer and surface roughness models. Thus, heat transfer prediction methods used in the codes became the subject for a separate study in this report to compare predicted heat transfer coefficients with a limited experimental database of heat transfer coefficients for cylinders with simulated glaze and rime ice shapes. The codes did a good job of predicting heat transfer coefficients near the stagnation region of the ice shapes. But in the region of the ice horns, all three codes predicted heat transfer coefficients considerably higher than the measured values. An important conclusion of this study is that further research is needed to understand the finer detail of of the glaze ice accretion process and to develop improved glaze ice accretion models

Interstate Voter Registration Database Matching: The Oregon-Washington 2008 Pilot Project

Voter registration databases maintain lists of registered voters that are used to determine who is and is not eligible to vote in an election. As such, accurate voter registration databases form a cornerstone of the electoral process. In the United States, each state maintains its own voter registration database. It is not uncommon for a voter to become registered in two states, for example as a result of moving from one state to the other or of living in one state and working in one another. In this paper, we report on a pilot interstate voter registration database matching project between the two states of Oregon andWashington whose goal was to explore the feasibility of using database matching to identify voters registered in the two states, and to do so with as much openness and transparency as possible. We describe the matching algorithms used, the procedures taken with found matches, and the resulting actions taken on actual voter registrations. We also discuss several directions for improving matching algorithms and procedures

Psychological and behavioral acculturation in a social network of Mexican Americans in the United States and use of dental services

Objectives We used data from the TalaSurvey study to examine associations between dental health experiences, social network characteristics, and levels of behavioral and psychological acculturation in one location in the American Midwest. Methods Starting in parishes and community organizations, we identified adults of Mexican origin living in Indianapolis, who were 1st- or 2nd-generation immigrants from Tala, Mexico. Using a social networks methodology and following extensive formative research, we created an egocentric social network survey and administered it via face-to-face interviews. We identified the peers (alters) in interviewees’ (egos) personal networks. We asked egos about multiple oral health and dental care variables for self and for alters. Acculturation (psychological and behavioral) was measured with a validated tool. Through logistic and negative binomial regression, we examined the effects of acculturation and network composition on ego's dental insurance status, dental office visits, and the reason for most recent dental office visit. Results A total of 332 egos (mean age 36; 63% female) were interviewed: 90% were born in Mexico; 45% had completed elementary school or lower; and most had low income. Each ego named 3.9 (SD±1.9) alters in his/her personal network, for a total of 1299 alters (mean age 39; 61% female). Both behavioral acculturation and psychological acculturation were moderately associated with dental insurance coverage, and greater behavioral acculturation predicted more frequent dental care. More psychologically acculturated egos were more likely to seek preventive care. Further, egos with more highly educated networks sought care more frequently and for preventive purposes, net of ego's own education and acculturation. Conclusions This study contextualizes acculturation of Mexican Americans within the personal networks in which oral health discussion takes place. The findings underscore the critical importance of acculturation and social network factors in shaping a subgroup of Latinos’ orientation toward dental care

Chronic appendicular abscess presenting as a complex adnexal mass: A case report

Background: The authors present an unusual presentation of a chronic appendicular abscess. A 57-year-old presented to the emergency department with acute on chronic abdominal pain, worsening abdominal distention and decreased appetite. Abdominal imaging revealed the presence of a multi-septated cystic right adnexal mass concerning for metastatic ovarian carcinoma. Intra-operatively the diagnosis of a likely chronic ruptured appendix at the base of the colon was confirmed. In postmenopausal women the majority of adnexal masses are benign neoplasms, however, the risk of malignancy is much greater than in premenopausal women. Postmenopausal women with clinical symptoms and findings on diagnostic imaging suggestive of malignancy warrant expedited management. While imaging and biomarkers help to give insight into origin of masses and can aid in determining treatment, diagnostic operations may be ultimately required to achieve final diagnosis and direct further management.Methods: All data collected was de identified and kept within a secure location.Results: Adnexal masses can present in a variety of ways and yield pathology from simple cysts to infectious process or even metastatic carcinoma. On the contrary, the diagnosis of acute appendicitis is typically straight forward, classically manifesting with acute periumbilical pain localizing to the right lower quadrant, abdominal guarding, and leukocytosis. The atypical presentation of chronic appendicitis can often lead to misdiagnosis, particularly in sexually active females, or as in our case, patients presenting with symptoms consistent with an ovarian malignancy.Conclusions: Chronic appendicitis (CA) is a rare clinical entity with an incidence of 1.5% in all cases of chronic abdominal pain of unknown etiology. CA poses as a diagnostic and therapeutic dilemma for clinicians since a majority of patients present with atypical symptoms. It is very rarely thought to be the primary diagnosis due to the low frequency of occurrence. A postmenopausal patient with chronic worsening abdominal pain, distention, and decreased appetite presenting with a complex adnexal mass and ascites is highly suspicious for ovarian malignancy. It is imperative to thoroughly review all images and consider subsequent imaging modalities to ensure infectious etiologies are excluded, but ultimately, diagnostic operations may be inevitable

RAD54 family translocases counter genotoxic effects of RAD51 in human tumor cells.

The RAD54 family DNA translocases have several biochemical activities. One activity, demonstrated previously for the budding yeast translocases, is ATPase-dependent disruption of RAD51-dsDNA binding. This activity is thought to promote dissociation of RAD51 from heteroduplex DNA following strand exchange during homologous recombination. In addition, previous experiments in budding yeast have shown that the same activity of Rad54 removes Rad51 from undamaged sites on chromosomes; mutants lacking Rad54 accumulate nonrepair-associated complexes that can block growth and lead to chromosome loss. Here, we show that human RAD54 also promotes the dissociation of RAD51 from dsDNA and not ssDNA. We also show that translocase depletion in tumor cell lines leads to the accumulation of RAD51 on chromosomes, forming complexes that are not associated with markers of DNA damage. We further show that combined depletion of RAD54L and RAD54B and/or artificial induction of RAD51 overexpression blocks replication and promotes chromosome segregation defects. These results support a model in which RAD54L and RAD54B counteract genome-destabilizing effects of direct binding of RAD51 to dsDNA in human tumor cells. Thus, in addition to having genome-stabilizing DNA repair activity, human RAD51 has genome-destabilizing activity when expressed at high levels, as is the case in many human tumors

Landscape impacts on pollinator communities in temperate systems: evidence and knowledge gaps

Summary 1. This review assesses current knowledge about the interplay between landscape and pollinator communities. Our primary aim is to provide an evidence base, identify key gaps in knowledge and highlight initiatives that will help develop and improve strategies for pollinator conservation. 2. Human-dominated landscapes (such as arable land and urban environments) can have detrimental impacts on pollinator communities but these negative effects can be ameliorated by proximity to semi-natural habitat and habitat corridors. There is also evidence to suggest that increased landscape heterogeneity and landscape configuration can play an important role in the maintenance of diverse pollinator communities. 3. Landscape characteristics have direct impacts on pollinator communities but can also influence abundance and richness through interaction with other drivers such as changing climate or increased chemical inputs in land management. 4. The majority of existing literature focuses on specific hymenopteran groups but there is a lack of information on the impact of landscape changes on non-bee taxa. Research is also needed on the effectiveness of management interventions for pollinators and multiple year observations are required for both urban and rural initiatives. 5. Current policies and monitoring schemes could contribute data that will plug gaps in knowledge, thus enabling greater understanding of relationships between landscapes and pollinator populations. This would in turn help design mitigation and adaptation strategies for pollinator conservation