Musculoskeletal health surveillance. Eight simple, self-administered tests to add to symptom registration: a preliminary report

STUDY DESIGN: A population-based evaluation including cross-sectional comparisons of eight simple function tests (mobility and strength) and answers on questions concerning lifestyle factors, work environment, and health. The study population was randomly selected among people 35-45 years old. OBJECTIVES: To construct a simple, self-administered surveillance system to test musculoskeletal function to be mailed to a sample population along with a questionnaire. SUMMARY OF BACKGROUND DATA: A surveillance system should be easy to use, detect treatable symptoms at an early stage, and detect change of function or symptoms. METHOD: Questionnaires, which also contained instructions in performing the eight tests of musculoskeletal function, were sent to a randomly selected sample population. The questionnaire covered type and level of musculoskeletal problems, and lifestyle and occupational factors. RESULTS: The questionnaire and the self-administered test were completed by 834 people. The test movements could be performed and the questions answered by the study population. The tests discriminated between those with and without moderate or severe problems. Performance of physically heavy work did not significantly correlate with the test results. The results of the physical function test discriminated significantly between those with different levels of fear of movement (odds ratio, 2.2) and the degree of current somatic distress (odds ratio, 5.9). CONCLUSION: The test of physical function could be performed and the questionnaire completed by this randomly selected cohort, and the results discriminated significantly between groups.     

Ethanol inhibits single-unit responses in the nucleus accumbens evoked by stimulation of the basolateral nucleus of the amygdala

We studied the actions of intoxicating doses of ethanol on excitatory inputs from the basolateral nucleus of the amygdala, a major afferent system projecting to the nucleus accumbens (NAcc). In view of the hypothesized role of opioid receptors on the effects of ethanol on NAcc physiology, we also explored whether naloxone modulates ethanol-induced suppression of NAcc excitability in halothane anesthetized and freely moving unanesthetized rats. Intraperitoneal administration of ethanol (1.2-1.4 g/kg) markedly suppressed a subgroup of amygdala-activated NAcc neurons. The ethanol-induced reduction in amygdala-activated NAcc neurons was not reversed by naloxone (5.0 mg/kg, intraperitoneally). Moreover, naloxone had no effect on the suppressive effects of ethanol on NAcc spontaneous activity in either halothane-anesthetized or unanesthetized freely moving preparations. These findings suggest that opiate mechanisms either are not participating or are not solely responsible for the inhibitory effects of acute intoxicating doses of ethanol on NAcc physiology.     

Association between risk of seroconversion of sentinel cattle to bluetongue viruses and Culicoides species (Diptera: Ceratopogonidae) in Queensland, Australia

The association between risk of seroconversion of sentinel cattle to bluetongue viruses and the number of Culicoides brevitarsis Kieffer and C. wadai Kitaoka caught by light traps was investigated using survival analysis. Eight sentinel herds that seroconverted to bluetongue viruses between 1990 and 1994, and for which insect-trapping data were available, were selected for inclusion in the study. These herds were located at six sites along the eastern coast of Queensland, Australia, from approximately latitude 10 degrees South to 25 degrees South. C. brevitarsis was detected at all locations where sentinel herds were maintained, whereas C. wadai was detected at only two locations in northern Queensland where four sentinel herds were maintained during the study period. The mean number of C. brevitarsis and C. wadai caught per month was 230 and 21, respectively. A significant (P = 0.05) positive association was found between the risk of seroconversion of sentinel cattle to bluetongue viruses and the number of C. wadai caught in the same month.     

Application of a nonlinear regression function to evaluate the kinetics of antibody response to vaccines in chicken lines divergently selected for multitrait immune response

To evaluate the kinetics of immune response to vaccines in chickens, antibody response curves were approximated to the observed antibody ratios by using a nonlinear regression function. New parameters, the curve maximum (ymax) and the time of the maximum (tmax), were calculated. The method was applied to analyze the kinetics of the serum antibody response to Mycoplasma gallisepticum (MG) and Pasteurella multocida (PM) vaccines in White Leghorn lines selected, in replicate, for 10 generations for high (High) and low (Low) multitrait immune response. Chicks were immunized at 6 wk of age with both vaccines. Serum antibody levels were analyzed before (0) and 1, 2, 3, 4, 5, 12, and 21 wk postvaccination (wpv). The High lines displayed a significantly higher response than Low to both MG and PM. The difference in ymax between High and Low lines was 3.25-fold for PM response and 1.5-fold for MG response. Low lines had a significantly (P < 0.05) later tmax than High lines to MG, but not to PM. There was a significant (P < 0.05) positive correlation between the antibody responses to MG and PM, in High lines for the antibody ratios 0, 3, and 21 wpv and in Low lines for 0, 12, and 21 wpv. The ymax and tmax of antibody responses to the two vaccines were not correlated. The results on the kinetic differences of the antibody responses to MG and PM suggest that the kinetics and persistence of antibody reaction have different genetic regulation in response to each vaccine.     

Effect of lipid transfer proteins on lipoprotein lipase induced transformation of VLDL and HDL

Patients with acute myelocytic leukemia (AML) have varied outlooks for survival after the diagnosis. To identify pretreatment prognostic indicators in AML, we analyzed 132 cases of AML seen at our hospital between June, 1989 and December, 1994. The median age of the patients was 40 years (range, 15-81). There were 63 male and 69 female patients. One hundred eight patients (82%) received induction chemotherapy which was based on cytarabine plus anthracyclines. Sixty six patients achieved complete remission (CR) and the CR rate among the patients given induction chemotherapy was 61%. The median duration of CR was 11.2 months. After median follow up of 6.6 months (range 0.5-51.4), 26 patients (39%) remain in continuous CR. The median duration of overall survival of the patients was 6.7 months. After median follow up of 10.6 months (range, 0.1-52.7), 41 patients (31%) are alive. Variables affecting duration of CR included the age of the patients, performance status of the patients, percentage of blast in the peripheral blood, hemoglobin level, percentage of blast in the bone marrow, FAB subtype, and CD7 marker positivity. Variables affecting survival duration included age of the patients, performance status of the patients, absolute blast count (ABC) in the peripheral blood, bone marrow cellularity, the percentage of blast in the bone marrow, and CD5 marker positivity. Multivariate analysis showed that the age of the patients and percentage of blast in the bone marrow were significant independent indicators for overall survival of the patients. Further studies utilizing cytogenetics and molecular characteristics of leukemic cell are warranted to better define the prognostic factors of patients with AML.     

Mutation of hMSH3 and hMSH6 mismatch repair genes in genetically unstable human colorectal and gastric carcinomas

Mutations within microsatellite sequences, consisting of additions or deletions of repeat units, are known as the replication/repair error positive (RER+) phenotype or micorsatellite instability (MI). Microsatellite instability has been demonstrated in hereditary and sporadic colorectal carcinomas and is usually observed in noncoding regions of genomic DNA. However, relatively few coding region targets of MI have been identified thus far. Using PCR, we amplified regions encompassing (A)8 and (C)8 microsatellite tracts within hMSH3 and hMSH6 from 31 RER+ sporadic colorectal tumors, 8 hereditary colon cancers, 23 RER+ gastric carcinomas, and 32 RER- gastric tumors. Mutations were found in 11 (36%) of 31 sporadic colon carcinomas, 4 (50%) of 8 hereditary colorectal cancers, and 5 (22%) of 23 RER+ gastric carcinomas, but in only 2 (6%) of 32 RER- gastric carcinomas. These frameshift mutations cause premature stop codons downstream that are predicted to abolish normal protein function. Our results and those of others suggest that DNA mismatch repair genes, such as hMSH3 and hMSH6, are targets for the mutagenic activity of upstream mismatch repair gene mutations and that this enhanced genomic instability may accelerate the accumulation of mutations in RER+ tumors.