Travelers' knowledge of prevention and treatment of travelers' diarrhea

BACKGROUND: Information regarding the prevention and treatment of travelers' diarrhea (TD) is available to the public from various sources, such as medical personnel, travel clinics, personal contacts, and the Internet. This type of information may help travelers avoid this illness or help those afflicted minimize its duration. METHODS: We collected questionnaire data from 104 travelers at departure gates for flights to Mexico from Calgary, Alberta on their knowledge of symptoms and treatment of TD and food risks associated with this illness and sources of information used. RESULTS: Almost half reported they received some information on travel-related diseases and on TD prior to the flight. When education level was controlled for, the mean score for people who had obtained information on TD was significantly higher than that for those who did not have such information. College or university-educated travelers scored better than did other travelers. A high proportion of travelers correctly identified risk levels associated with specific foods consumed during travel, and many recognize that they are at an increased risk of acquiring diarrheal illness while traveling in a developing country. CONCLUSIONS: Information on TD appears to improve the level of knowledge on its prevention and treatment among travelers from southern Alberta.     

Perception of surface slant from oriented textures

When a surface covered with a regular texture is viewed in perspective, the projected texture provides a number of cues to 3D surface orientation. For oriented textures, one cue is perspective convergence: symmetry lines that are parallel along the surface project to lines that vary systematically in orientation. We investigated the contribution of perspective convergence to perception of 3D slant and tested whether slant from convergence depends on oriented spectral components. Subjects judged the sign of slant about a vertical axis of rotation. Textures were composed of filled circles in three spatial arrangements: a hex grid with symmetry lines at 0 and +/-60 deg relative to the tilt direction (aligned condition), a hex grid with symmetry lines at 90 and +/-30 deg (perpendicular condition), and random arrangements with similar average spacing (isotropic condition). The two hex grid textures differed in the amount of spectral energy present in the tilt direction (horizontal) but were otherwise closely matched. Slant discrimination thresholds for monocular stimuli were higher for isotropic textures than for either of the two hex grid textures and were higher for the perpendicular texture than for the aligned texture. In a second experiment, we measured the weight given to texture relative to binocular slant information for cue conflict stimuli (+/-5 deg). Weights were found to agree with individual subjects' monocular thresholds, in accordance with optimal estimation theory. We conclude that the visual system uses perspective convergence to perceive slant and that effective use of convergence requires the presence of spectral components aligned with the tilt direction.     

Fumonisin concentration and ceramide synthase inhibitory activity of corn, masa, and tortilla chips

Nixtamalization removes fumonisins from corn and reduces their amounts in masa and tortilla products. Fumonisin concentrations and potential toxicity could be underestimated, however, if unknown but biologically active fumonisins are present. Therefore, the relative amounts of fumonisins in extracts of fumonisin-contaminated corn and its masa and tortilla chip nixtamalization products were determined with an in vitro ceramide synthase inhibition bioassay using increased sphinganine (Sa) and sphinganine to sphingosine ratio (Sa/So) as endpoints. African green monkey kidney cells (Vero cells ATCC CCL-81) were grown in 1-ml wells and exposed to 4 microl of the concentrated extracts for 48 h. The corn extract inhibited ceramide synthase as Sa (mean = 132 pmol/well) and Sa/So (mean = 2.24) were high compared to vehicle controls (Sa = 9 pmol/well; Sa/So = 0.10). Inhibitory activity (mean Sa = 14-24 pmol/well; mean Sa/So = 0.17-0.28) of the masa and tortilla chip extracts were reduced > or = 80% compared to the corn extract. Results were corroborated in a second experiment in which Sa and Sa/So of the wells treated with masa or tortilla chip extracts were reduced > or = 89% compared to those treated with the corn extract. Masa and tortilla chip FB1 concentrations (4-7 ppm) were reduced about 80-90% compared to the corn (30 ppm) when the materials were analyzed by high-performance liquid chromatography (HPLC). Therefore, nixtamalization reduced both the measured amount of FB1 and the ceramide synthase inhibitory activity of masa and tortilla chips extracts. The results further suggest that the masa and tortilla chip extracts did not contain significant amounts of unknown fumonisins having ceramide synthase inhibitory activity.     

Differential expression of selected genes in human leukemia leukocytes.

cDNA clones complementary to mRNA of cells from patients having chronic lymphocytic leukemia (CLL) were used to examine quantitative changes in the mRNA levels of specific genes in human leukemia leukocytes. Fourteen (of 400) CLL-positive clones that did not hybridize with placental mRNA were studied. Three of the 14 clones were highly represented in mRNA from CEM, a T-cell line. One clone was highly represented in mRNA from CLL and two were highly represented in mRNA from patients with chronic myelocytic leukemia. Ten clones were not significantly represented in normal leukocytes and spleen mRNA. We have identified several genes that are differentially expressed in human leukemia leukocytes.     

Innervation of the posterior fossa dura of the cat

This study was designed to identify the location of neurons giving rise to fibers innervating the posterior fossa dura in the cat using horseradish peroxidase (HRP, Sigma, Type VI). Investigations since the 19th century have implicated innervation by cranial nerves V, VII, IX, X and XII and the upper cervical nerves, C1-3. The meninges of the posterior fossa of 14 cats was exposed using one of three surgical approaches: (1) a suboccipital craniectomy and C1 laminectomy, (2) a parieto-occipital craniectomy with removal of the occipital lobe and bony tentorium exposing the meninges over the cerebellum, or (3) an anterior approach through the upper neck, exposing the dura of the ventral surface of the caudal brainstem. A unilateral, curvilinear incision was made in the dura and HRP was applied to the exposed dural edges. Following 48 hours the animals were sacrificed and fixed by perfusion. Cranial nerve ganglia of V, VII, IX, X, dorsal root ganglia (DRG) of C1-3, and superior cervical ganglia (SCG) were removed bilaterally, sectioned and processed with tetramethylbenzidine (TMB). HRP labeled cells were located bilaterally, always more ipsilaterally, in DRG of C1, C2, C3, and SCG with application of HRP to all three regions of the dura. Labeled cells were also located in trigeminal ganglia and superior ganglia of CN X, occasionally bilaterally, depending on the site of application. No HRP was ever identified in neurons of the geniculate ganglion, inferior ganglion of CN X or superior or inferior ganglia of CN IX. This information is valuable to an understanding of the innervation of intracranial structures and the problems of head pain.     

Developmental patterns of human dental morphological traits

A longitudinal series of casts of the deciduous and permanent dentitions of 827 children from the Burlington Growth Centre study was examined for 5 traits: shovel-shape of the incisors, cusp six, cusp seven and protostylid of the mandibular molars, and Carabelli trait of the maxillary molars. The changing trait frequencies found support the concept of morphogenetic gradients of expression for non-metric traits from deciduous to permanent teeth. Tests of association showed that if shovelling was present on the deciduous incisors it would usually appear on the permanent successors. Tests of association between the other 4 traits on deciduous second molars and the permanent molars support the view that the second deciduous molar belongs to the total molar tooth district. This gradient expression of morphological traits would fit either the field or clone concepts, but it, and the intra-individual discordances for trait presence, probably reflects the great temporal spacing of dental development seen in man.     

Hyperbaric oxygen and radiotherapy: a Medical Research Council trial in carcinoma of the cervix.

In a randomized controlled clinical trial of hyperbaric oxygen in the radiotherapy of advanced carcinoma of the uterine cervix a total of 320 cases were contributed by four radiotherapy centres in the United Kingdom. The use of hyperbaric oxygen resulted in improved local control and survival. The benefit was greatest in patients under the age of 55 who presented with stage III disease. There was a slight increase in radiation morbidity but it seemed that the benefit of hyperbaric oxygen outweighed this increase in morbidity and that there was a true improvement in the therapeutic ratio.     

Influence of age on response to ipratropium and salbutamol in asthma.

We studied the differential response to inhaled salbutamol and ipratropium of 29 asthmatic patients, 18 intrinsic, 11 extrinsic, using peak expiratory flow rate (PEFR), forced expiratory volume in one second (FEV1), and forced vital capacity (FVC). Thirty minutes after a theoretically maximally bronchodilating dose of salbutamol (400 microgram) or ipratropium (80 microgram), second doses frequently caused further bronchodilatation. We suspect that second doses may reach bronchi untouched by the first inhalation. Analysis of variance showed a powerful intrinsic versus extrinsic effect, and there were clearly differences between patients in their response to treatment (patient versus drug interaction) but these differences were not removed by dividing the patients into intrinsic and extrinsic groups. Results for the group as a whole favoured salbutamol, but examination of individual results by a pattern-recognition technique showed ipratropium equally effective in eight patients and more effective in three. All patients with a definite predominant salbutamol response were less than 40 years old. The response to salbutamol declined significantly with age, whereas that to ipratropium did not. In general in patients aged less than 40 years salbutamol is the drug of choice. With advancing age, and the apparent decline of beta-adrenergic responsiveness, the initially comparatively small response to ipratropium becomes relatively more important and may predominate. In older patients ipratropium, or continued therapy with both drugs, may be preferable.