Pharmacologic treatment for children and adolescents with anxiety disorders

Pediatric anxiety disorders are common illnesses that, if left untreated, may induce academic, family, and interpersonal problems. Cognitive-behavioral techniques and other psychotherapeutic interventions may be adequate for the treatment of most anxiety disorders. For patients with severe symptoms or for whom psychotherapeutic approaches are not adequate, medications are indicated. Among the available medications, the SSRIs are currently the first choice; however, other medications, such as the benzodiazepines and the TCAs, may be used alone or sometimes in combination with the SSRIs. Caution with respect to medication interactions and side effects is indicated. In particular, long-term side effects in these medications have not been well studied.     

Separator materials for use in alkaline water electrolysers

Separator materials suitable for use in industrial alkaline water electrolysers are surveyed, including both inorganic and organic materials. The properties which make asbestos diaphragms unsuitable for use above 100°C are also reviewed.In summary, potassium titanate and polyantimonic acid separator materials perform well in high-temperature alkali. Oxide-coated metallic diaphragms merit further attention. Polysulfone and polyphenylene sulfide polymers are promising, but will need definite improvement in their wettability. Asbestos stabilization by silicate electrolyte additions may be viable.     

Un environnement de conception de systèmes distribués basé sur UML

This paper introduces a new environment for developing distributed systems. It is based on theTurtle uml profile. Analysis and design phases, described in previous papers, have been extended with an additional deployment phase. In this new step,Turtle components are deployed over hardware execution nodes, and nodes are connected together throughout links,Turtle deployment diagrams are given a formal semantics inRt-lotos, therefore following the approach used forTurtle analysis and design diagrams. Moreover, the paper presents a Java code generator which outputs appropriate Java code forTurtle deployment diagrams. This code is automatically deployable on networks because it implements node communication using network protocols such asUdp orRmi. ttool, the turtle toolkit has been extended to support these new diagrams and code generators. The attack of protected data exchanged throughout securedHttp sessions serves as example.     

Cell culture imaging using microimpedance tomography

We present a novel, inexpensive, and fast microimpedance tomography system for two-dimensional imaging of cell and tissue cultures. The system is based on four-electrode measurements using 16 planar microelectrodes (5 microm x 4 mm) integrated into a culture chamber. An Agilent 4294A impedance analyzer combined with a front-end amplifier is used for the impedance measurements. Two-dimensional images are obtained using a reconstruction algorithm. This system is capable of accurately resolving the shape and position of a human hair, yielding vertical cross sections of the object. Human epithelial stem cells (YF 29) are also grown directly on the device surface. Tissue growth can be followed over several days. A rapid resistivity decrease caused by permeabilized cell membranes is also monitored, suggesting that this technique can be used in electroporation studies.     

Effect of health status upon arrival at a single milk-fed veal facility on breakeven purchase price of calves

Male calves are purchased from the dairy industry in North America to produce red meat. The price paid for male calves varies widely, and it is unclear which variables influence the price paid for each calf. The objective of this study was to assess how the health traits of calves at the time of arrival and demographic variables affect the breakeven purchase price of a male calf entering the veal industry. A financial model was constructed using the prevalence of health abnormalities, weight at arrival, source of the calf, number of days in the barn, base carcass price, days to mortality, feed costs, season at arrival, interest rate, housing location, carcass dressing percentage, and costs associated with housing, labor, utilities, trucking, and health to calculate the breakeven purchase price and an estimate of profit. Sensitivity analysis was conducted using health variables measured at arrival and demographic variables, including season at arrival and housing location, to identify the factors with the largest impact on the predicted average daily gain, early and late mortality risk, breakeven purchase price, and profit. At the baseline inputs, the average calculated profit was ?$5.36 per calf and it was most sensitive to the location of housing where calves were fed and the body weight of the arriving calf. The mortality risk in the first 21 d after arrival (early) was calculated to be 2.2%, whereas the risk of mortality after 21 d (late) was 3.7%. The risks of early and late mortality were most sensitive to the level of dehydration measured at arrival and the season at arrival for the purchased calves, respectively. The calculated average daily gain was 1.12 kg/d and it was most sensitive to housing location. The breakeven purchase price was calculated to be $242.49 per calf, which was most sensitive to the housing location where the calves were fed. The results of this analysis demonstrate that veal producers need to consider many variables before purchasing calves. In addition to overall market conditions, veal producers should factor health characteristics and the expected performance of the calves they purchase into what they are willing to pay for them.     

Validation of an automated cell counter to determine leukocyte differential counts in neonatal Holstein calves

Recent advances in the understanding of risk factors and biomarkers in calves entering rearing facilities show promise for identifying high-risk calves on arrival at veal and dairy beef operations. Rapid automated leukocyte differential cell counts may be a good addition for augmenting or refining calf risk identification on-farm. The objective of this study was to validate an automated leukocyte cell counter, the QScout BLD test (Advanced Animal Diagnostics, Morrisville, NC), for its ability to determine leukocyte differential cell counts in neonatal Holstein calves. From June to July 2018, blood samples collected in EDTA anticoagulant from 235 calves upon arrival at an independent veal research facility in Ontario, Canada, were evaluated using the QScout BLD test and manually by microscopy. We compared these leukocyte differential counts using Lin's concordance correlation coefficient (ρ) and found very good agreement between tests for neutrophil counts (ρ = 0.83); fair agreement for lymphocyte counts (ρ = 0.32); fair agreement for the ratio of neutrophils to lymphocytes (ρ = 0.36); slight agreement for monocyte counts (ρ = 0.14); and slight agreement for eosinophil counts (ρ = 0.20). We further examined test results to determine if they differed in their classification of samples as being above, within, or below reported 95% reference intervals for neonatal Holstein calves. Classification between tests resulted in very good agreement for neutrophils and lymphocytes, with only 4.2% and 5.8% disagreement in classification, respectively. We observed moderate agreement for monocytes, with 23.3% classified differently, and poor agreement for eosinophils, with 70.3% classified differently. Further study is required to determine the role of leukocyte profiling in the risk assessment of calves arriving at calf-rearing facilities.     

Short communication: Validation of a test-day milk test for β-hydroxybutyrate for identifying cows with hyperketonemia

Subclinical ketosis is a common metabolic disorder affecting dairy cattle that results in a greater risk for the development of subsequent metabolic and infectious disease. Canwest Dairy Herd Improvement (DHI; Guelph, ON, Canada) has begun to use an infrared test (MilkoScan FT600, Foss Analytical A/S, Hillerød, Denmark) applied to metered composite milk samples to detect β-hydroxybutyrate (BHB) levels as a herd surveillance test for hyperketonemia. However, the test has not been compared with the gold standard, serum BHB as determined in a reference diagnostic laboratory. The objective of this cross-sectional diagnostic accuracy study was to validate the DHI milk BHB test to identify cows with hyperketonemia as determined by quantification of BHB in serum. A total of 316 cows from 17 dairy herds in southwestern Ontario had a milk and blood sample taken. Milk was collected at a routine DHI test, and blood from the same cow was sampled within 24 h of the milk test. The BHB concentration in milk was determined using the DHI milk BHB test, and serum was sent to the Animal Health Laboratory at the University of Guelph (Guelph, ON, Canada). A nonparametric receiver operating characteristic curve was generated to compare DHI milk BHB concentrations with serum BHB concentrations. Overall, a total of 34 cows (11%) had a level of serum BHB ≥1.2 mmol/L. The concentration of DHI milk BHB was moderately correlated with the concentration of serum BHB, yielding a coefficient of determination value of 0.61. The optimal cut point for determining hyperketonemia (≥1.2 mmol/L) on the DHI milk BHB test was ≥0.14 mmol/L, yielding a sensitivity of 81% and specificity of 92%. The performance of the DHI milk BHB test varied depending on the days in milk (DIM) of the cows tested, with a higher specificity being found in cows that were ≤25 DIM compared with cows tested >25 DIM. If the herd-level prevalence of hyperketonemia was ≥14%, the DHI milk BHB test had an improved sensitivity when compared with a herd-level prevalence of <14%. This study demonstrates that the DHI milk BHB test is a reliable measure for evaluating hyperketonemia using routine DHI milk samples and could be used as a herd-level monitoring tool for ketosis when evaluating nutritional management or preventative medicine strategies.