Knowledge about asthma among Danish primary school teachers. Results of a questionnaire study

An anonymous questionnaire inquiry performed among 324 school teachers in the Randers area with the purpose of elucidating teachers' knowledge about asthma is presented. To a series of statements about asthma, the teachers should answer yes, no or don't know. A limited knowledge about asthma in children was found. The knowledge about medicamental treatment was particularly limited. Only 57 per cent knew that wheezing after physical exertion is a strong indicator of asthma. Only five per cent had received proper instruction. This latter group had a significantly better knowledge of medical treatment (p < 0.0001-0.05). It is recommended that instruction in children's diseases, especially asthma should be reintroduced in teachers' training colleges.     

Acid-base and electrolyte effects of shortening steeplechase in a three-day-event

This study was designed to characterise the acid-base and electrolyte effects of shortening the distance required during steeplechase (Phase B) in the face of hot and humid weather conditions during a treadmill-simulated Speed and Endurance test. Eight conditioned Thoroughbred horses underwent 3 randomised permutations of a standardised exercise test on a high speed treadmill. Each test consisted of trotting at 3.7 m/s for 10 min (Phase A); galloping at 11 m/s (Phase B) for 4 (cool laboratory conditions), 3 (hot and humid), or 2 (hot and humid) min; trotting at 3.7 m/s for 30 min (Phase C); and walking at 1.8 m/s for 10 min (Phase X). The treadmill slope was 4% for trotting and galloping and 0% for walking. Cool versus hot and humid conditions were 20 degrees C and 50-60% relative humidity vs. 26-28 degrees C and 80-85% relative humidity, respectively. Pulmonary artery blood samples were obtained at rest prior to exercise (Rest); at the end of Phases A (A10) and B (B2-4); at 10 (C10), 20 (C20) and 30 (C30) min through Phase C; and at 5 min into Phase X (X5). Additional samples for lactate (LA) and glucose (GLC) analysis were obtained 5 min into Phase C (C5) and at the end of Phase X (X10). Samples were analysed for packed cell volume (PCV), haemoglobin (HB), total plasma protein (TP), sodium (Na), potassium (K), chloride (Cl), anion gap (AG), plasma glucose (GLC) and lactate (LA), pH, PCO2, bicarbonate (HCO3) and base excess (BE). Shortening steeplechase distance by 50% under hot and humid conditions (2 min B) resulted in a consistent return to control measurements (4 min B) only for plasma LA. Changes in PCV, HB, TP, K and Cl were related more to the longer galloping distance in the 4 min B trials than to hot vs. cold laboratory conditions. Alternatively, changes in LA, GLC, pH, PCO2 and AG were more related to hot and humid laboratory conditions than they were to galloping distance. These latter variables, when combined with physical measures such as core temperature, bodyweight loss, point of fatigue on Phase C and recovery heart rates may serve as the best monitors of positive responses in future studies of proposed modifications to Phase C, rather than those variables which were more distance than weather-related.     

Presence of Epstein-Barr virus in lymphoepithelioma-like carcinoma of the middle ear

AIM: To examine the association of Epstein-Barr virus (EBV) with carcinoma of the ear. METHODS: Five non-keratinising squamous cell carcinomas and two undifferentiated carcinomas of the ear were examined. In situ hybridisation was used to localised EBV-encoded RNAs (EBER). Immunohistochemical methods to detect LMP-1 and EBNA2 were performed in the EBER positive cases. RESULTS: Two cases were EBER positive, including one non-keratinising and one undifferentiated carcinoma. Both showed identical morphology to those arising from the nasopharynx, with abundant lymphoid stroma. They were both negative for LMP-1 and EBNA2. CONCLUSIONS: EBV associated carcinoma with the morphology of lymphoepithelioma can also arise from the middle ear.     

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A network approach to the French system of legal codes—part I: analysis of a dense network

We explore one aspect of the structure of a codified legal system at the national level using a new type of representation to understand the strong or weak dependencies between the various fields of law. In Part I of this study, we analyze the graph associated with the network in which each French legal code is a vertex and an edge is produced between two vertices when a code cites another code at least one time. We show that this network distinguishes from many other real networks from a high density, giving it a particular structure that we call concentrated world and that differentiates a national legal system (as considered with a resolution at the code level) from small-world graphs identified in many social networks. Our analysis then shows that a few communities (groups of highly wired vertices) of codes covering large domains of regulation are structuring the whole system. Indeed we mainly find a central group of influent codes, a group of codes related to social issues and a group of codes dealing with territories and natural resources. The study of this codified legal system is also of interest in the field of the analysis of real networks. In particular we examine the impact of the high density on the structural characteristics of the graph and on the ways communities are searched for. Finally we provide an original visualization of this graph on an hemicyle-like plot, this representation being based on a statistical reduction of dissimilarity measures between vertices. In Part II (a following paper) we show how the consideration of the weights attributed to each edge in the network in proportion to the number of citations between two vertices (codes) allows deepening the analysis of the French legal system.     

Estimating postprandial glucose fluxes using hierarchical Bayes modelling

A new stochastic computational method was developed to estimate the endogenous glucose production, the meal-related glucose appearance rate (R(a meal)), and the glucose disposal (R(d)) during the meal tolerance test. A prior probability distribution was adopted which assumes smooth glucose fluxes with individualized smoothness level within the context of a Bayes hierarchical model. The new method was contrasted with the maximum likelihood method using data collected in 18 subjects with type 2 diabetes who ingested a mixed meal containing [U-(13)C]glucose. Primed [6,6-(2)H(2)]glucose was infused in a manner that mimicked the expected endogenous glucose production. The mean endogenous glucose production, R(a meal), and R(d) calculated by the new method and maximum likelihood method were nearly identical. However, the maximum likelihood gave constant, nonphysiological postprandial endogenous glucose production in two subjects whilst the new method gave plausible estimates of endogenous glucose production in all subjects. Additionally, the two methods were compared using a simulated triple-tracer experiment in 12 virtual subjects. The accuracy of the estimates of the endogenous glucose production and R(a meal) profiles was similar [root mean square error (RMSE) 1.0±0.3 vs. 1.4±0.7μmol/kg/min for EGP and 2.6±1.0 vs. 2.9±0.9μmol/kg/min for R(a meal); new method vs. maximum likelihood method; P=NS, paired t-test]. The accuracy of R(d) estimates was significantly increased by the new method (RMSE 5.3±1.9 vs. 4.2±1.3; new method vs. ML method; P<0.01, paired t-test). We conclude that the new method increases plausibility of the endogenous glucose production and improves accuracy of glucose disposal compared to the maximum likelihood method.     

Estimation of catchment-scale water-balance with a soil-vegetation-atmosphere transfer model

Catchments with a small elevation range and relatively long dry periods in high radiation conditions may be described as an array of vertical one-dimensional pathways for water and energy. Such a representation enhances the ability of SVAT modeling to simulate mass exchanges across the catchment. This note reports on a comparison of a Soil-Vegetation-Atmosphere Transfer (SVAT) model (Braud et al., 1995), a deterministic hydrological model (Dawes and Hatton, 1993) and a stochastic hydrological model (Sivapalan and Woods, 1995; Kalma et al., 1995). The original version of the SVAT model only considers vertical transport and this one-dimensional representation must be aggregated to describe the entire catchment. Therefore, two new versions have been developed: a deterministic SVAT model which sub-divides the catchment into 40 sub-regions linked by surface flow, and a stochastic model which provides a distribution of the output fluxes as related to the spatial distribution of initial water content and/or soil properties. All simulations have been made for a 60-day period.     

Airborne hyperspectral mapping of trees in an urban area

The management of trees in urban areas requires accurate maps, which are difficult to build in the dense patchwork of numerous material properties. Remote sensing is a useful technique that measures the response of all vegetation occurrences, including trees, when high spatial resolution is available. The continuous narrow spectral bands of hyperspectral images enable the detection of the oxygen and water content, which ensures a perfect correction of the atmospheric effect. When calibrated, sunlight reflectance images can be used to map surface chemical compositions by the detection of diagnostic and sharp absorption features. In the visible and near- infrared, the vegetation is detected by chlorophyll-a absorption features that are characteristic of the pigment content. The reflectance intensities due to the texture of leaves occur between 450 and 920 nm while the water content imprint is detectable beyond 920 nm. The sharp spectral feature intensities of the main associated pigments, not only chlorophylls, are well quantified by indices measuring a normalized difference of reflectance in a spectral interval between two bounding wavelengths. A regression line calculated on all bands within that interval ensures a low sensitivity of the indices to the smaller variations in reflectance intensity. Such unbiased indices may be combined, using successive index thresholds deduced from a training spectral library, to divide the spectra into subsets, minimizing the confusion between the numerous vegetation types with almost identical compositions. Therefore, for each subset of the spectra, a classic spectral angle mapping (SAM) method can be used on the corresponding sub-selection of the spectral library to measure angles at full spectral resolution and map tree types with great accuracy, grouped according to their spectral similarity. In this study, chemical and physical information is carefully separated. The tree crown physical properties are studied by comparing the local juxtaposition of pixel sets to a characteristic texture identifiable by image segmentation into objects. Instead of looking for objects in the reflectance image or any statistical compression of its information, a 25 channel co-image, built from 11 information layers of chemical sharp spectral feature indices and 14 information layers of SAM indices matching a spectral library of reference vegetation groups, was used. Tree canopies also present wide internal variations due to (i) a complex mixture with a background in the case of sparse foliage, or (ii) pigment content adaptation to light exposure intensity from one side to another. Both effects are minimized by using the mean spectrum of each object, assuming that less significant spectra, being at plus or minus one or two standard deviations from an object mean spectrum, would be less affected by anomalous pixel data. Thus, two overlapping hierarchic layers at the pixel scale and the object scale are available to describe the main chemistry or pigment content that identifies the vegetation types. The final classification is given by the upper layer at the object scale but in such an organization, the pixel scale layers can be used to analyse the data further and reorder them to obtain other parameters potentially useful for management purposes.