Medicine and Health Sciences Commons^™

Health Policy Newsletter Goes On-Line!, Anthony J. Frisby

Anthony J Frisby, PhD

No abstract available.

Physicians' Experiences With Brca1/2 Testing In Community Settings., Nancy L. Keating, Kathryn A. Stoeckert, Meredith M. Regan, Lisa Digianni, Judy E. Garber

Kathryn Sabella

Fluoranthene, But Not Benzo[A]Pyrene, Interacts With Hypoxia Resulting In Pericardial Effusion And Lordosis In Developing Zebrafish, Cole W. Matson, Alicia R. Timme-Laragy, Richard T. Di Giulio

Alicia R. Timme-Laragy

Previous research has documented several PAHs that interact synergistically, causing severe teratogenicity in developing fish embryos. The coexposure of CYP1A inhibitors (e.g. FL or ANF) with AHR agonists (e.g. BaP or BNF) results in a synergistic increase in toxicity. As with chemical CYP1A inhibitors, it has also been shown that CYP1A morpholinos exacerbate BNF-induced embryotoxicity. We hypothesized that a hypoxia-induced reduction in CYP1A activity in BNF or BaP-exposed zebrafish embryos would similarly enhance pericardial effusion and other developmental abnormalities. BaP, BNF, ANF, and FL exposures, both individually and as BaP+FL or BNF+ANF combinations, were performed under hypoxia and normoxia. CYP1A …

Gene Set Enrichment Analysis For Non-Monotone Association And Multiple Experimental Categories, Rongheng Lin, Shuangshuang Dai, Richard D. Irwin, Alexandra N. Heinloth, Gary A. Boorman, Leping Li

Rongheng Lin

Background Recently, microarray data analyses using functional pathway information, e.g., gene set enrichment analysis (GSEA) and significance analysis of function and expression (SAFE), have gained recognition as a way to identify biological pathways/processes associated with a phenotypic endpoint. In these analyses, a local statistic is used to assess the association between the expression level of a gene and the value of a phenotypic endpoint. Then these gene-specific local statistics are combined to evaluate association for pre-selected sets of genes. Commonly used local statistics include t-statistics for binary phenotypes and correlation coefficients that assume a linear or monotone relationship between a …

Facing The Challenge Of Data Transfer From Animal Models To Humans: The Case Of Persistent Organohalogens, Alexander Suvorov, Larissa Takser

Alexander Suvorov

A well-documented fact for a group of persistent, bioaccumulating organohalogens contaminants, namely polychlorinated biphenyls (PCBs), is that appropriate regulation was delayed, on average, up to 50 years. Some of the delay may be attributed to the fact that the science of toxicology was in its infancy when PCBs were introduced in 1920's. Nevertheless, even following the development of modern toxicology this story repeats itself 45 years later with polybrominated diphenyl ethers (PBDEs) another compound of concern for public health. The question is why? One possible explanation may be the low coherence between experimental studies of toxic effects in animal models …

Personality Traits And Mental Health Treatment Utilization, Christopher J. Hopwood, Brian D. Quigley, Carlos M. Grilo, Charles A. Sanislow, Thomas H. Mcglashan, Shirley Yen, M. Tracie Shea, Mary C. Zanarini, John G. Gunderson, Andrew E. Skodol, John C. Markowitz, Leslie C. Morey

Charles A. Sanislow, Ph.D.

Recent theory and research suggest a relation between five-factor model personality traits and mental health treatment utilization, even after controlling for psychiatric disorders and global functioning. The current report further tests this hypothesis in a large clinical sample, using a wider array of treatment modalities than has been previously studied. Overall, results were limited and inconsistent. Although neuroticism was related to utilization across treatment modalities, many of these relationships resulted from its association with psychiatric diagnoses. Other traits showed limited and inconsistent relations to the use of psychosocial and psychiatric treatments.

Book Review 18 Make Room For Happiness By Steven Melemis, William C. Mcpeck

William C. McPeck

This is my review of Make Room for Happiness: 12 Ways to Improve Your Life By Letting Go of Tension. Better Health, Self-Esteem and Relationships by Steven Melemis, published by Modern Therapies in 2008.

Associations Between Single Nucleotide Polymorphisms In Folate Uptake And Metabolizing Genes With Blood Folate, Homocysteine, And Dna Uracil Concentrations, Lauren Devos, Aurelie Chanson, Zhenhua Liu, Eric Ciappio, Laurence Parnell, Joel Mason, Katherine Tucker, Jimmy Crott

Zhenhua Liu

Background—Folate is an essential nutrient that supports nucleotide synthesis and biological methylation reactions. Diminished folate status results in chromosome breakage and is associated with several diseases, including colorectal cancer. Folate status is also inversely related to plasma homocysteine concentrations—a risk factor for cardiovascular disease. Objective—We sought to gain further understanding of the genetic determinants of plasma folate and homocysteine concentrations. Because folate is required for the synthesis of thymidine from uracil, the latter accumulating and being misincorporated into DNA during folate depletion, the DNA uracil content was also measured. Design—Thirteen single nucleotide polymorphisms (SNPs) in genes involved in folate uptake …

Unsafe Sexual Behaviors Among Hiv-Positive Men In Kathmandu Valley, Nepal, Krishna Poudel, Shinji Nakahara, Kalpana Poudel-Tandukar, Junko Yasuoka, Masamine Jimba

Kalpana Poudel-Tandukar

Breast Cancer Susceptibility Loci And Mammographic Density, Rulla M. Tamimi, David Cox, Peter Kraft, Graham A. Colditz, Susan E. Hankinson, David J. Hunter

Susan E. Hankinson

Introduction Recently, the Breast Cancer Association Consortium (BCAC) conducted a multi-stage genome-wide association study and identified 11 single nucleotide polymorphisms (SNPs) associated with breast cancer risk. Given the high degree of heritability of mammographic density and its strong association with breast cancer, it was hypothesised that breast cancer susceptibility loci may also be associated with breast density and provide insight into the biology of breast density and how it influences breast cancer risk. Methods We conducted an analysis in the Nurses' Health Study (n = 1121) to assess the relation between 11 breast cancer susceptibility loci and mammographic density. At …

Vitamin Content Of Breast Milk From Hiv-1–Infected Mothers Before And After Flash-Heat Treatment, Kiersten Israel-Ballard, Barbara Abrams, Anna Coutsoudis, Lindiwe Sibeko, Lynn Cheryk, Caroline Chantry

Lindiwe Sibeko

(EBM) as one method to reduce postnatal transmission of human immunodeficiency virus (HIV) in developing countries. Flash-heat is a simple heat treatment method shown to inactivate cell-free HIV. Objective—To determine the effect of flash-heat on vitamin content of milk. Methods—Fresh EBM was collected from 50 HIV+ mothers in Durban, South Africa. Mothers washed their hands and then manually expressed 75–150 mL EBM into sterile jars. Milk was aliquoted to unheated controls or flash-heat (50 mL EBM in a glass jar heated in a 450-mL water jacket in an aluminum pan until water boiled, then EBM removed) simulating field conditions with …

Changes In Muscle And Joint Coordination In Learning To Direct Forces, Christopher J. Hasson, Graham E. Caldwell, Richard E.A. Van Emmerik

Graham E. Caldwell

While it has been suggested that biarticular muscles have a specialized role in directing external reaction forces, it is unclear how humans learn to coordinate mono- and bi-articular muscles to perform force-directing tasks. Subjects were asked to direct pedal forces in a specified target direction during one-legged cycling. We expected that with practice, performance improvement would be associated with specific changes in joint torque patterns and mono- and bi-articular muscular coordination. Nine male subjects practiced pedaling an ergometer with only their left leg, and were instructed to always direct their applied pedal force perpendicular to the crank arm (target direction) …

Multiple B-Vitamin Inadequacy Amplifies Alterations Induced By Folate Depletion In P53 Expression And Its Downstream Effector Mdm2, Zhenhua Liu, Sang-Woon Choi, Jimmy W. Crott, Donald E. Smith, Joel B. Mason

Zhenhua Liu

Folate is required for biological methylation and nucleotide synthesis, aberrations of which are thought to be the mechanisms that enhance colorectal carcinogenesis produced by folate inadequacy. These functions of folate also depend on the availability of other B-vitamins that participate in “onecarbon metabolism,” including B2, B6 and B12. Our study therefore investigated whether combined dietary restriction of these vitamins amplifies aberrations in the epigenetic and genetic integrity of the p53 gene that is induced by folate depletion alone. Ninety-six mice were group pair-fed diets with different combinations of B-vitamin depletion over 10 weeks. DNA and RNA were extracted from epithelial …

Risk Prediction Models With Incomplete Data With Application To Prediction Of Estrogen Receptor-Positive Breast Cancer: Prospective Data From The Nurses' Health Study, Bernard Rosner, Graham A. Colditz, J. Dirk Iglehart, Susan E. Hankinson

Graham Andrew Colditz

Introduction A number of breast cancer risk prediction models have been developed to provide insight into a woman's individual breast cancer risk. Although circulating levels of estradiol in postmenopausal women predict subsequent breast cancer risk, whether the addition of estradiol levels adds significantly to a model's predictive power has not previously been evaluated. Methods Using linear regression, the authors developed an imputed estradiol score using measured estradiol levels (the outcome) and both case status and risk factor data (for example, body mass index) from a nested case-control study conducted within a large prospective cohort study and used multiple imputation methods …

Risk Prediction Models With Incomplete Data With Application To Prediction Of Estrogen Receptor-Positive Breast Cancer: Prospective Data From The Nurses' Health Study, Bernard Rosner, Graham A. Colditz, J. Dirk Iglehart, Susan E. Hankinson

Susan E. Hankinson

Introduction A number of breast cancer risk prediction models have been developed to provide insight into a woman's individual breast cancer risk. Although circulating levels of estradiol in postmenopausal women predict subsequent breast cancer risk, whether the addition of estradiol levels adds significantly to a model's predictive power has not previously been evaluated. Methods Using linear regression, the authors developed an imputed estradiol score using measured estradiol levels (the outcome) and both case status and risk factor data (for example, body mass index) from a nested case-control study conducted within a large prospective cohort study and used multiple imputation methods …

Cyp1b1 Knockdown Does Not Alter Synergistic Developmental Toxicity Of Polycyclic Aromatic Hydrocarbons In Zebrafish (Danio Rerio), Alicia Timme-Laragy, Pamela Noyes, Donald Buhler, Richard Di Giulio

Alicia R. Timme-Laragy

Polycyclic aromatic hydrocarbons (PAHs) are contaminants increasing in the environment largely due to burning of fossil fuels. Our previous work identified a synergistic toxicity interaction in zebrafish embryos occurring when PAHs that are agonists for the aryl hydrocarbon receptor (AHR) co-occur with PAHs that are CYP1A inhibitors. This toxicity is mediated by the AHR2, and morpholino knockdown of CYP1A exacerbated toxicity. This study tested two hypotheses: 1) in the absence of functional CYP1A, metabolism of PAHs is shunted towards CYP1B1, which has been shown in mammals to produce more reactive metabolites of PAHs; alternatively 2) CYP1B1 serves a protective role …

Predicting Dynamic Postural Instability Using Center Of Mass Time-To-Contact Information, Christopher J. Hasson, Richard E.A. Van Emmerik, Graham E. Caldwell

Graham E. Caldwell

Our purpose was to determine whether spatiotemporal measures of center of mass motion relative to the base of support boundary could predict stepping strategies after upper-body postural perturbations in humans. We expected that inclusion of center of mass acceleration in such time-tocontact (TtC) calculations would give better predictions and more advanced warning of perturbation severity. TtC measures were compared with traditional postural variables, which don’t consider support boundaries, and with an inverted pendulum model of dynamic stability developed by Hof et al. (2005). A pendulum was used to deliver sequentially increasing perturbations to 10 young adults, who were strapped to …

Interventions For Stroke Rehabilitation: Analysis Of The Research Contained In The Otseeker Evidence Database, Tammy Hoffmann, Sally Bennett, Kryss Mckenna, Julie Green-Hill, Annie Mccluskey, Leigh Tooth

Tammy Hoffmann

Purpose: To analyse the stroke content in OTseeker in terms of the quantity of the research evidence, the quality of the randomised controlled trials (RCTs), and the types of interventions and outcome measures used.

Method: A survey of stroke-related content in the OTseeker database was conducted in 2007. The year of publication and intervention categories used in each stroke-related RCT and systematic review (SR) were recorded. The internal validity of RCTs using the PEDro scale (partitioned) and the outcome measures used were also recorded.

Results: Of the 4,369 articles indexed on OTseeker, 452 (10.3%) related to stroke were conducted between …

The Effect Of Medical Students' International Experiences On Attitudes Toward Serving Underserved Multicultural Populations, Michael A. Godkin, Judith A. Savageau

Judith A. Savageau

BACKGROUND: We evaluated the effect of international electives on the attitudes of preclinical and clinical-year medical students with respect to serving underserved multicultural populations. METHODS: A self-assessment instrument was used to measure attitudes of 146 students before and after participating in international electives. The same attitudinal items were also analyzed at two time intervals for 18 students who completed international electives as preclinical students and 76 class cohorts who did not. RESULTS: Analyses show that the effect of international experiences is different for preclinical students and clinical students. For both groups, however, these experiences can develop and support perceptions and …

The Effect Of A Global Multiculturalism Track On Cultural Competence Of Preclinical Medical Students, Michael A. Godkin, Judith A. Savageau

Judith A. Savageau

BACKGROUND: We evaluated the effect of an elective (the Global Multiculturalism Track), including international and domestic immersion experiences, on the cultural competence of preclinical medical students. METHODS: A self-assessment instrument was used to measure cultural competence, and it was administered to Track participants and nonparticipating class cohorts at the beginning and the end of the preclinical years. RESULTS: Track participants (n=26) had a higher level of cultural competence both at the beginning and at the end of the program. At the end of their second year, students participating in the Track had, for the first time, greater knowledge of certain …

Book Review 12 Happy For No Reason: 7 Steps To Being Happy From The Inside Out By Marci Shimoff, William C. Mcpeck

William C. McPeck

This is my personal review of Happy for No Reason: 7 Steps to Being Happy from the Inside Out by Marci Shimoff and published by Free Press in 2008.

Health Hazard Manual For Firefighters, Nellie J. Brown

Nellie J. Brown, MS., C.I.H.

[Excerpt] Firefighters, as well as victims, can be exposed to a variety of toxic substances during a fire. Some of these toxicants are particularly insidious because they are produced by thermal decomposition before smoke makes a fire evident.

Moderate Folate Depletion Modulates The Expression Of Selected Genes Involved In Cell Cycle, Intracellular Signaling And Folate Uptake In Human Colonic Epithelial Cell Lines, Jimmy W. Crott, Zhenhua Liu, Mary K. Keyes, Sang-Woon Choi, Hyeran Jang, Mary P. Moyer, Joel B. Mason

Zhenhua Liu

Folate deficiency may affect gene expression by disrupting DNA methylation patterns or by inducing base substitution, DNA breaks, gene deletions and gene amplification. Changes in expression may explain the inverse relationship observed between folate status and risk of colorectal cancer. Three cell lines derived from the normal human colon, HCEC, NCM356 and NCM460, were grown for 32–34 days in media containing 25, 50, 75 or 150 nM folic acid, and the expression of genes involved in cell-cycle checkpoints, intracellular signaling, folate uptake and cell adhesion and migration was determined. Expression of Folate Receptor 1 was increased with decreasing media folate …

Sources Of Particulate Matter In The Northeastern United States In Summer: 2. Evolution Of Chemical And Microphysical Properties, C. A. Brock, A. P. Sullivan, Richard E. Peltier, R. J. Weber, A. Wollny, J. A. De Gouw, A. M. Middlebrook, E. L. Atlas, A. Stohl, M. K. Trainer, O. R. Cooper, F. C. Fehsenfeld, G. J. Frost, J. S. Holloway, G. Hübler, J. A. Neuman, T. B. Ryerson, C. Warneke, J. C. Wilson

Richard E. Peltier

Measurements of aerosol particle size distributions and composition and of trace and reactive gas mixing ratios were made on the NOAA WP-3D aircraft downwind of mixed urban/industrial sources in the northeastern United States (U.S.). These measurements were made in noncloudy air during July and August 2004, under conditions where cloud processing was not likely to play an important role in oxidation chemistry. Under these conditions, particulate sulfate was found to be produced with an exponential time constant of 3.5 d from the gas-phase oxidation of SO2, which was ubiquitous but inhomogeneously distributed in the pollution plumes. When submicron particle mass …

Newspapers And Newspaper Ink Contain Agonists For The Ah Receptor, Jessica E. S. Bohonowych, Bin Zhao, Alicia R. Timme-Laragy, Dawoon Jung, Richard T. Di Giulio, Michael S. Denison

Alicia R. Timme-Laragy

Ligand-dependent activation of the aryl hydrocarbon receptor (AhR) pathway leads to a diverse array of biological and toxicological effects. The best-studied ligands for the AhR include polycyclic and halogenated aromatic hydrocarbons, the most potent of which is 2,3,7,8-tetrachlorodibenzo-p-dioxin (TCDD). However, as new AhR ligands are identified and characterized, their structural and physiochemical diversity continues to expand. Our identification of AhR agonists in crude extracts from diverse materials raises questions as to the magnitude and extent of human exposure to AhR ligands through normal daily activities. We have found that solvent extracts of newspapers from countries around the world stimulate the …

Myocardial Infarction And Heart Failure Hospitalization Rates In Maine, Usa – Variability Along The Urban-Rural Continuum, David E. Harris, A. M. Aboueissa, David Hartley

David Hartley

Cardiovascular disease, including myocardial infarction (MI) and heart failure (HF), remains the leading cause of death in wealthy countries and is of increasing concern in low- and middle-income countries as risk factors such as smoking and obesity become more common around the globe. Within each country the health burden of MI and HF generally falls more heavily on those who live in rural areas and on those who live in communities with lower average socioeconomic status (SES). Hospitalization rates are an important measure of community health because high rates may indicate a high burden of poor health, while inappropriately low …

Myocardial Infarction And Heart Failure Hospitalization Rates In Maine, Usa – Variability Along The Urban-Rural Continuum, David E. Harris, A. M. Aboueissa, David Hartley

David Hartley

Cardiovascular disease, including myocardial infarction (MI) and heart failure (HF), remains the leading cause of death in wealthy countries and is of increasing concern in low- and middle-income countries as risk factors such as smoking and obesity become more common around the globe. Within each country the health burden of MI and HF generally falls more heavily on those who live in rural areas and on those who live in communities with lower average socioeconomic status (SES). Hospitalization rates are an important measure of community health because high rates may indicate a high burden of poor health, while inappropriately low …

Rochester 'Over There': Gender And Medicine In World War I, Ellen S. More

Ellen S. More

No abstract provided.

A Comparison Of Interview And Self-Report Methods For The Assessment Of Borderline Personality Disorder Criteria, Christopher J. Hopwood, Leslie C. Morey, Maria Orlando Edelen, M. Tracie Shea, Carlos M. Grilo, Charles A. Sanislow, Thomas H. Mcglashan, Maria T. Daversa, John G. Gunderson, Mary C. Zanarini, John C. Markowitz, Andrew E. Skodol

Charles A. Sanislow, Ph.D.

Interview methods are widely regarded as the standard for the diagnosis of borderline personality disorder (BPD), whereas self-report methods are considered a time-efficient alternative. However, the relative validity of these methods has not been sufficiently tested. The current study used data from the Collaborative Longitudinal Personality disorder Study to compare diagnostic base rates and the relative validity of interview and self-report methods for assessing functional outcome in BPD. Although self-report yielded higher base rates of criteria endorsement, results did not support the common assumption that diagnostic interviews are more valid than self-reports, but instead indicated the combined use of these …

Health Hazards Manual For Autobody Shop Workers, Nellie J. Brown

Nellie J. Brown, MS., C.I.H.

[Excerpt] We will look at the principal occupational health hazards and exposures themselves and some of the related issues. We will look closely at the chemical composition of autobody shop products to see what components appear to be particularly hazardous, how you are exposed to them, and what you can do to minimize exposure. The health effects discussed for these products are based upon the exposure of the professional, not the consumer. This manual deals with chemical exposure only; other issues of interest to the autobody shop worker may include occupational exposure to noise and neuromuscular problems such as Raynaud’s …