Atorvastatin: an effective lipid-modifying agent in familial hypercholesterolemia

Hydroxymethylglutaryl coenzyme A (HMG-CoA) reductase inhibitors are the drugs of choice in heterozygous familial hypercholesterolemia (FH), which has a high risk of ischemic heart disease. An open-label study was conducted to test the efficacy and safety of atorvastatin, a new synthetic HMG-CoA reductase inhibitor in proven FH. After a 4-week placebo phase, 22 subjects were randomized to either 80 mg atorvastatin at night (n = 11) or 40 mg twice a day for 6 weeks. The two dosage groups were well matched and had no difference in lipoprotein responses. After 6 weeks, the LDL cholesterol concentration was reduced by 57%, from 8.16 +/- 1.15 to 3.53 +/- 0.99 mmol/L (P < .001). The total cholesterol concentration decreased from 9.90 +/- 1.32 to 5.43 mmol/L (P < .001). HDL cholesterol concentration increased from 1.19 +/- 0.31 to 1.49 +/- 0.43 mmol/L (P < .001). Triglyceride concentrations decreased from 1.34 +/- 0.66 to 0.88 +/- 0.36 mmol/L (P < .01). Three subjects had single, transient increases of serum transaminase of up to twice the upper limit of normal. Apolipoprotein B concentration decreased significantly by 42%. Changes in apolipoproteins AI and (a) were not statistically significant. Nondenaturing gradient gel electrophoresis revealed increases in the size of smaller LDL particles in four subjects. Plasma fibrinogen concentration increased by 44%. The drug was well tolerated. One subject withdrew for personal reasons. Atorvastatin is a powerful and safe lipid-modifying agent for LDL cholesterol; it also modifies HDL cholesterol and triglyceride concentrations, and may suffice as a single agent for many subjects with heterozygous FH.     

Time to abandon small-sample cohort research in health psychology?

Comments on the original article, "Avoidant coping as a predictor of mortality in veterans with end-stage renal disease" by E. J. Wolf and D. L. Mori (see record 2009-06704-009), in which the authors report that among 61 patients with endstage renal disease (ESRD), avoidant coping more than doubled the odds of mortality in multivariable analysis. The authors concluded that evaluating coping style in patients with ESRD would be clinically useful and that interventions targeting avoidant coping should be investigated. In this commentary, the current authors note that Wolf and Mori’s (2009) finding was based on a sample where only 23 patients died over 9 years, and results were evaluated using a Cox regression model with six covariates, a ratio of only 3.8 outcome events per variable—well below recommended thresholds (e.g., Babyak, 2004; Peduzzi et al., 1995). Beyond this, the model did not assess key variables typically included in studies of ESRD outcomes (e.g., transplant status, cardiovascular problems). Wolf and Mori chose to focus on the relationship between avoidant coping and mortality. However, bivariable correlations and confidence intervals reported or generated from data in the article showed that the association between avoidant coping and mortality (r=.28, 95% CI [.03 to .50]) was not significantly stronger than two other correlations that were in the opposite direction of what would have been expected: hypertension with mortality (r=?.39, 95% CI [?.15 to ?.59]) and medication compliance with mortality (r=.16, 95% CI [?.10 to .40]). Oddities of this sort are often encountered in very small datasets and, as a result, stronger evidence must be accrued from larger, more robust samples. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Vibrio mimicus infection associated with crayfish consumption, Spokane, Washington, 2010

We report a cluster of severe diarrheal disease caused by Vibrio mimicus infection among four persons who had consumed leftover crayfish the day after a private crayfish boil. Gastrointestinal illness caused by Vibrio mimicus has not been reported previously in Washington State. Three cases were laboratory confirmed by stool culture; using PCR, isolates were found to have ctx genes that encode cholera toxin (CT). Two of the cases were hospitalized under intensive care with a cholera-like illness. The illnesses were most likely caused by cross-contamination of cooked crayfish with uncooked crayfish; however, V. mimicus was not isolated nor were CT genes detected by PCR in leftover samples of frozen crayfish. Clinicians should be aware that V. mimicus can produce CT and that V. mimicus infection can cause severe illness.     

湖北省蔬菜产业现状与加工业发展建议

文章从区位优势、产业特色和生产水平等特点出发,阐述湖北蔬菜产业的发展现状,剖析其蔬菜产业发展的制约因素,客观分析其蔬菜加工业存在的主要问题,提出全面实施质量标准体系、完善质量卫生安全检测体系、发展蔬菜贮藏保鲜技术和加工工艺等,以促进湖北蔬菜加工产业的可持续健康发展。     

Influence of caring youth sport contexts on efficacy-related beliefs and social behaviors.

Understanding what factors influence positive youth development has been advocated by youth development researchers (P. L. Benson, 2006; J. S. Eccles & J. A. Gootman, 2002). Consequently, the purpose of this study was to examine whether perceptions of a caring youth sport context influenced prosocial and antisocial behavior through efficacy-related beliefs, that is, positive and negative affective self-regulatory efficacy (ASRE) and empathic self-efficacy (ESE). Multiethnic youths taking part in summer sport programs (N = 395) completed a questionnaire that measured perceptions of the caring climate, ESE, ASRE, and social behavior. Structural equation modeling was used to test whether ASRE and ESE mediated the relationship between caring and social behaviors. Findings revealed that perceptions of caring positively predicted ASRE and ESE. In turn, positive ASRE positively predicted ESE. Prosocial behaviors were positively linked to ESE, whereas antisocial behaviors were negatively predicted by positive ASRE. The results suggest that caring influences prosocial and antisocial behavior because such contexts develop youths' ability to monitor, manage, and control positive affect, which in turn enhances their belief in their ability to empathize. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Profiling selected phytochemicals and nutrients in different tissues of the multipurpose tree Moringa oleifera L., grown in Ghana

The purpose of this new study was to determine the types and levels of major phytochemicals (non-nutrients) and nutrients in the different tissues from vegetative and flowering Moringa oleifera L. an important multipurpose crop. Rhamnose and acetyl-rhamnose-substituted glucosinolates were found in all of the M. oleifera tissues with different profiles depending on the tissue. In addition the tissues of M. oleifera had a relatively complex flavonoid profile consisting of glucosides, rutinosides, malonylglucosides and traces of acetylglucosides of kaempferol, quercetin and isorhamnetin. Fatty acid profiling of the different tissues showed that leaves were rich in palmitic (16:0) and linolenic (18:3) acid whereas seeds were predominated by oleic acid (18:1). Roots were rich in palmitic and oleic acid, whereas stems and twigs predominately contained palmitic acid. Potassium, magnesium and calcium were the predominant minerals in all of the tissues. Low levels of selenium were detected only in whole seeds.     

Tritrichomonas foetus adhere to superhydrophilic vertically aligned multi-walled carbon nanotube surface

For the first time, we show that Tritrichomonas foetus can adhere on superhydrophilic vertically aligned carbon nanotubes (VACNT) films. Scanning electron microscopy shows an unusual adhesion with a higher membrane filopodium projection in all directions, directly attached to superhydrophilic VACNT tips.     

EPR studies of (Bi, Pb)-2223 phase substituted by Ruthenium ions

This work studied X-ray powder diffraction (XRD), electrical resistivity and electron paramagnetic resonance (EPR) measurements for Bi_1.8Pb_0.4Sr₂Ca_2.1Cu_3−xRu_xO_10+δ (0.0 ≤ x ≤ 0.4) superconducting samples. XRD analysis and electrical resistivity data showed that the low-content of Ru, x ≤ 0.05, enhanced both the phase formation and the superconducting transition temperature of (Bi, Pb)-2223 phase. A phase change from (Bi, Pb)-2223 phase to (Bi, Pb)-2212 phase was reported for x ≥ 0.15. Two EPR lines were observed for 0.0 ≤ x ≤ 0.075, indicating the presence of both (Bi, Pb)-2223 and (Bi, Pb)-2212 phases. While, one EPR line was observed for x ≥ 0.15, corresponding to the (Bi, Pb)-2212 phase formation. The number of spins (N) participating in the resonance and its spin paramagnetic susceptibility (χ), for the two phases, were calculated as a function of both Ru-content and temperature. In addition, we reported the variation of activation energy (E_a), Curie constant (C), Curie temperature (θ) and effective magnetic moment (μ) with Ru-content.     

Telecommunications and Spatial Restructuring: An Australian Perpective

Changes over the past twenty-five years in information and communication technology (ICT) are beginning to provide us with a clearer picture of the technical platform that will influence the shape of urban and industrial development into the 21st century. During this period we have experienced a number of key paradigm shifts in computing: from 1960s batch systems to 1970s time sharing systems to 1980s desktop systems (Newton et al. 1988). At the same time, but somewhat independently, communications were evolving from the slow speed analogue public switched telephone network which provided a measure of computer-to-computer interaction (via modems) to the newly emerging high speed broadband digital networks, networks which will provide a truly vast array of value added products and services (discussed more fully in Cavill and Fidler' paper). The dramatic price-performance improvements in these technologies and the synergy which now exists between computers and communications provides us in the 1990s with the core information infrastructure of the future: computers and the networks that interconnect them (Newton etal. 1991).