Texture patterns in pancreatic sonograms

In a retrospective study of 163 pancreatic sonograms, five internal echo patterns were correlated with the ultimate clinical diagnoses. Attention to the internal echo patterns of the pancreas can provide useful information in diagnosing pancreatic disease, including identification of abnormalities in glands of normal size and contour.     

The effect of Trichomonas vaginalis and the role of pH on cell culture monolayer viability.

In vitro, Trichomonas vaginalis produces contact-dependent cytotoxicity in which the monolayers are disrupted and monolayer cells die. In contrast, when cell-free filtrates of T. vaginalis culture supernatants are applied to a monolayer, detachment occurs but cell viability is maintained. Growth of T. vaginalis in culture results in a dramatic fall in pH. Both in systems where T. vaginalis grew in physical contact with McCoy cells and where they were physically separate, monolayers still disrupted; but the rate of death of McCoy cells significantly decreased when pH was rigidly controlled. This would indicate that cell death attributed to contact-dependent cytotoxicity is in part due to the drop in pH when T. vaginalis is grown in vitro.     

Activities of seasonably variable caerulein and rothein skin peptides from the tree frogs Litoria splendida and Litoria rothii

Two species of tree frog of the genus Litoria, namely L. splendida and L. rothii have been reported to change the compositions of their host-defence skin peptide profiles in summer and winter. L. splendida produces the potent smooth muscle active caerulein [pEQDY(SO₃H)TGWMDF-NH₂] in summer, but in winter much of the caerulein is hydrolysed to the less active desulfated form; in addition, caerulein 1.2 [pEQDY(SO₃H)TGWFDF-NH₂] (which has only some 50% of the smooth muscle activity of caerulein) is released and acts via CCK2R. In contrast, Litoria rothii shows a most unexpected seasonal change of peptides. In summer it exudes caerulein together with a range of potent caerin antimicrobials and nNOS active peptides. In winter, none of the antibiotic or nNOS active caerin peptides are expressed. The major peptides produced by the skin glands in winter are caerulein 1.2 and rothein 1 (SVSNIPESIGF-OH). Like L. splendida, L. rothii has reduced the smooth muscle potency of caerulein by replacing it with caerulein 1.2. Rothein 1 is a lymphocyte proliferator acting via CCK2R. Activity testing and 2D NMR spectra of rothein 1 and some synthetic modifications indicate that both hydrophobic and hydrophilic interactions between rothein 1 and CCK2R are important.     

Cancer Prevention Behaviors in Low-Income Urban Whites: An Understudied Problem

Low-income urban whites in the United States have largely gone unexamined in health disparities research. In this study, we explored cancer prevention behaviors in this population. We compared data on whites with low socioeconomic status (SES) from the 2003 Exploring Health Disparities in Integrated Communities Study in Southwest Baltimore, Maryland (EHDIC-SWB) with nationally representative data for low SES white respondents from the 2003 National Health Interview Survey (NHIS). Rates for health behaviors and health indicators for whites from the EHDIC-SWB study as compared to NHIS prevalence estimates were as follows: current cigarette smoking, 59% (31% nationally); current regular drinking, 5% (5% nationally); overweight, 26% (32% nationally); obesity, 30% (22% nationally); mammography in the past 2 years, 50% (57% nationally); Pap smear in the past 2 years, 64% (68% nationally); screening for colon cancer in the past 2 years, 41% (30% nationally); and fair or poor self-reported health, 37% (22% nationally). Several cancer prevention behaviors and health indicators for white EHDIC-SWB respondents were far from the Healthy People 2010 objectives. This study provides rare estimates of cancer-related health and health care measures in an understudied population in the United States. Findings illustrate the need for further examination of health behaviors in low SES white urban populations who may share health risks with their poor minority urban counterparts.     

Retention of health workers in Malawi: perspectives of health workers and district management

Background  

Shortage of human resources is a major problem facing Malawi, where more than 50% of the population lives in rural areas. Most of the district health services are provided by clinical health officers specially trained to provide services that would normally be provided by fully qualified doctors or specialists. As this cadre and the cadre of enrolled nurses are the mainstay of the Malawian health service at the district level, it is important that they are supported and motivated to deliver a good standard of service to the population. This study explores how these cadres are managed and motivated and the impact this has on their performance.     

Communication abnormalities predict functional outcomes in chronic schizophrenia: differential associations with social and adaptive functions

Communication abnormalities are hallmark features of schizophrenia. Despite the prevalence and persistence of these symptoms, little is known about their functional implications. In this study, we examined, in a sample of chronically institutionalized schizophrenia patients (N=317), whether two types of communication abnormalities (i.e., verbal underproductivity and disconnected speech) had differential relationships with social and adaptive outcomes. Baseline ratings of verbal underproductivity, disconnected speech, global cognitive performance, and clinical symptoms, were entered into stepwise regression analyses to examine their relationship with 2.5 year social and adaptive outcomes. At baseline, disconnected speech was significantly associated with socially impolite behavior, while verbal underproductivity was associated with social disengagement and impaired friendships. Both types of communication abnormalities were significantly associated with other types of social skills. Verbal underproductivity predicted follow-up social skills, social engagement, and friendships, accounting for more variance than. cognition or symptoms. In contrast to social outcomes, adaptive outcomes were predicted by baseline neurocognition and clinical symptoms, but not communication abnormalities. These findings provide evidence for specific relationships of communication disorder subtypes with diverse impairments in social functions. In this chronically institutionalized sample, communication disorder was a stronger predictor of social, but not adaptive, outcomes than neurocognition or clinical symptoms.