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Pasture herbage is a major source of minerals for livestock in pasture-based production systems. Herbage mineral concentrations vary throughout the growing season, whereas mineral supplementation to livestock is often constant. The study objectives were to analyse the seasonal variation in herbage mineral concentrations in tall fescue [ Schedonorus phoenix (Scop.) Holub]-based pasture with regard to beef cattle mineral requirements and to create a statistical model to predict variation in herbage mineral concentrations across the growing season. Pasture herbage was analysed from 12 grazing systems in Virginia to determine its mineral concentration from April to October of 2008-2012. The pasture herbage, grown without fertilization, contained adequate macronutrient concentrations to meet the requirements of dry beef cows through the growing season and the requirements of lactating beef cows in April. Phosphorus supplementation appeared to be unnecessary for dry beef cows given adequate concentrations in pasture herbage. A model using month of harvest, soil moisture and relative humidity explained 75% of the variation in an aggregated mineral factor. The 90% prediction intervals indicated that N, P, K, S and Cu concentrations could be predicted within 1·35, 0·08, 0·80 and 0·07% and 3·83 mg kg−1 respectively. Prediction of herbage mineral concentrations could help to improve livestock health, reduce costs to producers and limit nutrient losses to the environment. [ABSTRACT FROM AUTHOR]

The article presents a case study of a woman of 45 years with acute myeloid leukaemia (AML) blasts and poor karyotype. Topics discussed include her treatment using daunorubicin, reappearance of blasts in peripheral blood after completion of chemotherapy and increase in neutrophil count after granulocyte infusions. Other topics include information that higher amount of lymphocytes are present in buffy coat granulocytes and use of non-engrafting allogeneic cells in granulocyte infusion.

Bovine tuberculosis (TB) is a significant threat to the cattle industry in England and Wales. It is widely acknowledged that a combination of measures targeting both cattle and wildlife will be required to eradicate bovine TB or reduce its prevalence until European official freedom status is achieved. Vaccination of cattle and/or badgers could contribute to bovine TB control in Great Britain, although there are significant gaps in our knowledge regarding the impact that vaccination would actually have on bovine TB incidence. Laboratory studies have demonstrated that vaccination with BCG can reduce the progression and severity of TB in both badgers and cattle. This is encouraging in terms of the prospect of a sustained vaccination programme achieving reductions in disease prevalence; however, developing vaccines for tackling the problem of bovine TB is challenging, time-consuming and resource-intensive, as this review article sets out to explain. [ABSTRACT FROM AUTHOR]

Aims It has been proposed that the Chronic Kidney Disease Epidemiology Collaboration formula estimates glomerular filtration rate more accurately than the Modification of Diet in Renal Disease formula. With the very high incidence of diabetes and end-stage kidney disease in Indigenous Australians, accurate estimation of glomerular filtration rate is vital in early detection of kidney disease. We aimed to assess the performance of the Chronic Kidney Disease Epidemiology Collaboration, Modification of Diet in Renal Disease and Cockcroft-Gault formulas in Indigenous Australians with and without diabetes. Methods Indigenous Australians with ( n = 224) or without ( n = 340) Type 2 diabetes had a reference glomerular filtration rate measure using plasma disappearance of iohexol (measured glomerular filtration rate) over 4 h. Serum creatinine was measured by an enzymatic method. Performance was assessed by bias (measured glomerular filtration rate - estimated glomerular filtration rate) and accuracy (percentage of estimated glomerular filtration rate within 30% of measured glomerular filtration rate). Results The median measured glomerular filtration rate (interquartile range) in participants with or without diabetes was 97 (68-119) and 108 (90-122) ml min−1 1.73 m−2, respectively. The Chronic Kidney Disease Epidemiology Collaboration formula had smaller bias and greater accuracy than the Modification of Diet in Renal Disease and Cockcroft-Gault formulas overall, for participants both with and without diabetes. However, for estimated glomerular filtration rate > 90 ml min−1 1.73 m−2, the Chronic Kidney Disease Epidemiology Collaboration formula had greater bias in participants with diabetes, underestimating measured glomerular filtration rate by 7.4 vs. 1.0 ml min−1 1.73 m−2 in those without diabetes. The Chronic Kidney Disease Epidemiology Collaboration formula was less accurate across the whole range of estimated glomerular filtration rates in participants with vs. those without diabetes (87.1% vs. 93.3%). Conclusions The Chronic Kidney Disease Epidemiology Collaboration formula outperforms the Modification of Diet in Renal Disease and Cockcroft-Gault formulas overall in Indigenous Australians with and without diabetes. However, the Chronic Kidney Disease Epidemiology Collaboration formula has greater bias in people with diabetes compared with those without diabetes, especially in those with normal renal function. [ABSTRACT FROM AUTHOR]

Background Post-operative recurrence of Crohn's disease is an important management challenge, with 2-year recurrence rates defined by clinical, endoscopic and radiological parameters of up to 77%, 64% and 49%. Clinical and severe endoscopic recurrence vary widely in controlled trials from 13% to 36% and 22% to 56% with thiopurine treatment or 0% and 9% with infliximab treatment respectively at 1 year. Aims To provide a review of the evidence for thiopurine or anti- TNF use in post-operative Crohn's disease, and to assess the ability to identify those patients at highest risk of recurrent disease. Methods A literature search was undertaken using Medline, Embase and Cochrane databases to identify studies using search terms 'thiopurine', 'azathioprine', 'mercaptopurine', 'Infliximab', 'adalimumab', 'Anti- TNF', 'Crohn's disease', 'post-operative' and 'recurrence'. Results Trials to examine this important area have proved difficult to execute, with recruitment and retention of patients posing major challenges to randomised clinical trials. There have been four RCTs of 433 patients of thiopurine therapy (with three meta-analyses of these data), and one of anti- TNF therapy involving 24 patients. Overall the efficacy data for thiopurine use in this setting are inconclusive, and other than smoking, there are no consistent predictors of post-operative relapse. Conclusions At present, evidence for routine use of thiopurine treatment in post-operative Crohn's disease is heterogeneous and unconvincing. Stratification by risk of relapse emerges as a key challenge in post-operative management that needs to be addressed, using clinical parameters and emerging biomarkers. The evidence for prophylactic anti- TNF use is limited though promising, with its routine use guided by early assessment of relapse. [ABSTRACT FROM AUTHOR]

Predicting campylobacteriosis cases is a matter of considerable concern in New Zealand, after the number of the notified cases was the highest among the developed countries in 2006. Thus, there is a need to develop a model or a tool to predict accurately the number of campylobacteriosis cases as the Microbial Risk Assessment Model used to predict the number of campylobacteriosis cases failed to predict accurately the number of actual cases. We explore the appropriateness of classical time series modelling approaches for predicting campylobacteriosis. Finding the most appropriate time series model for New Zealand data has additional practical considerations given a possible structural change, that is, a specific and sudden change in response to the implemented interventions. A univariate methodological approach was used to predict monthly disease cases using New Zealand surveillance data of campylobacteriosis incidence from 1998 to 2009. The data from the years 1998 to 2008 were used to model the time series with the year 2009 held out of the data set for model validation. The best two models were then fitted to the full 1998-2009 data and used to predict for each month of 2010. The Holt-Winters (multiplicative) and ARIMA (additive) intervention models were considered the best models for predicting campylobacteriosis in New Zealand. It was noticed that the prediction by an additive ARIMA with intervention was slightly better than the prediction by a Holt-Winter multiplicative method for the annual total in year 2010, the former predicting only 23 cases less than the actual reported cases. It is confirmed that classical time series techniques such as ARIMA with intervention and Holt-Winters can provide a good prediction performance for campylobacteriosis risk in New Zealand. The results reported by this study are useful to the New Zealand Health and Safety Authority's efforts in addressing the problem of the campylobacteriosis epidemic. [ABSTRACT FROM AUTHOR]

The availability of a wide range of immunosuppressive therapies has revolutionized the management of patients who have undergone solid organ transplantation ( SOT). However, the cost of immunosuppressive drugs remains high. This situation has led to the development of generic equivalents, which are similar in quality, safety, and efficacy to their approved innovator drugs. There are data available for three generic brands, tacrolimus (Intas), tacrolimus (Phar OS), and tacrolimus (Sandoz). Bioequivalence has been demonstrated for generic tacrolimus (Sandoz) within a narrow therapeutic range to its innovator tacrolimus drug (Prograf) in both healthy volunteers and kidney transplant patients. Clinical experience with this generic tacrolimus formulation has also been established in both de novo and conversion patients who have undergone kidney and liver transplantation, as well as in conversion of other SOT patients, including lung and heart recipients. [ABSTRACT FROM AUTHOR]

Spawning sites used by one or more species were located by intensively searching nearshore coral reefs of Kimbe Bay (New Britain, Papua New Guinea). Once identified, the spawning sites were surveyed repeatedly within fixed 5 m radius circular areas, for > 2000 h of observations ranging from before dawn to after dusk spanning 190 days between July 2001 and May 2004. A total of 38 spawning sites were identified on the seven study reefs distributed at an average of one site every 60 m of reef edge. Pelagic spawning was observed in 41 fish species from six families. On three intensively studied reefs, all 17 spawning sites identified were used by at least three species, with a maximum of 30 different species observed spawning at a single site. Spawning was observed during every month of the study, on all days of the lunar month, at all states of the tide and at most hours of the day studied. Nevertheless, the majority of species were observed spawning on proportionately more days from December to April, on more days around the new moon and in association with higher tides. The strongest temporal association, however, was with species-specific diel spawning times spanning < 3 h for most species. While dawn spawning, afternoon spawning and dusk spawning species were differentiated, the time of spawning for the striated surgeonfish Ctenochaetus striatus also differed significantly among sites. The large number of species spawning at the same restricted locations during predictable times suggests that these sites are extremely important on this low-latitude coral reef. [ABSTRACT FROM AUTHOR]

Resource exploitation and competition for food are important selective pressures in animal evolution. A number of recent investigations have focused on linkages between diversification, trophic morphology and diet in bats, partly because their roosting habits mean that for many bat species diet can be quantified relatively easily through faecal analysis. Dietary analysis in mammals is otherwise invasive, complicated, time consuming and expensive. Here we present evidence from insectivorous bats that analysis of three-dimensional (3- D) textures of tooth microwear using International Organization for Standardization ( ISO) roughness parameters derived from sub-micron surface data provides an additional, powerful tool for investigation of trophic resource exploitation in mammals. Our approach, like scale-sensitive fractal analysis, offers considerable advantages over two-dimensional (2- D) methods of microwear analysis, including improvements in robustness, repeatability and comparability of studies. Our results constitute the first analysis of microwear textures in carnivorous mammals based on ISO roughness parameters. They demonstrate that the method is capable of dietary discrimination, even between cryptic species with subtly different diets within trophic guilds, and even when sample sizes are small. We find significant differences in microwear textures between insectivore species whose diet contains different proportions of 'hard' prey (such as beetles) and 'soft' prey (such as moths), and multivariate analyses are able to distinguish between species with different diets based solely on their tooth microwear textures. Our results show that, compared with previous 2- D analyses of microwear in bats, ISO roughness parameters provide a much more sophisticated characterization of the nature of microwear surfaces and can yield more robust and subtle dietary discrimination. ISO-based textural analysis of tooth microwear thus has a useful role to play, complementing existing approaches, in trophic analysis of mammals, both extant and extinct. [ABSTRACT FROM AUTHOR]

Objective Foot pain is a common complaint in adults. Increased BMI and fat mass have been linked only to foot pain prevalence. Therefore, a longitudinal study to examine the relationship between body composition and incident foot pain over 3 years was conducted. Design and Methods Sixty-one community dwelling participants from a previous study of musculoskeletal health, who did not have foot pain at study inception in 2008, were invited to take part in this follow-up study in 2011. Current foot pain was determined using the Manchester Foot Pain and Disability Index, and body composition was measured using dual X-ray absorptiometry at study baseline. Results Of the 51 respondents (84% response rate, 37 females and 14 males), there were 11 who developed foot pain. BMI ranged from underweight to morbidly obese (17-44 kg/m2), mean 27.0 ± 6.0 kg/m2. Incident foot pain was positively associated with both fat mass (odds ratio [OR] 1.11, 95% confidence interval [CI] 1.03-1.20) and fat-mass index (OR 1.28, 95% CI 1.04-1.57) in multivariate analysis. Conclusions Fat mass is a predictor of incident foot pain. This study supports the notion that incident foot pain in overweight individuals is associated with fat mass rather than body mass alone. [ABSTRACT FROM AUTHOR]

Sedimentation is a substantial threat to aquatic ecosystems and a primary cause of habitat degradation on near-shore coral reefs. Although numerous studies have demonstrated major impacts of sedimentation and turbidity on corals, virtually nothing is known of the sensitivity of reef fishes. Planktivorous fishes are an important trophic group that funnels pelagic energy sources into reef ecosystems. These fishes are visual predators whose foraging is likely to be impaired by turbidity, but the threshold for such effects and their magnitude are unknown. This study examined the effect of sediment-induced turbidity on foraging in four species of planktivorous damselfishes (Pomacentridae) of the Great Barrier Reef, including inshore and offshore species that potentially differ in tolerance for turbidity. An experimental flow tunnel was used to quantify their ability to catch mobile and immobile planktonic prey under different levels of turbidity and velocity in the range encountered on natural and disturbed reefs. Turbidity of just 4 NTU (nephelometric turbidity units) reduced average attack success by up to 56%, with higher effect sizes for species with offshore distributions. Only the inshore species (Neopomacentrus bankieri), which frequently encounters this turbidity on coastal reefs, could maintain high prey capture success. At elevated turbidity similar to that found on disturbed reefs (8 NTU), attack success was reduced in all species examined by up to 69%. These reductions in attack success led to a 21-24% decrease in foraging rates for all mid to outer-shelf species, in spite of increasing attack rates at high turbidity. Although effects of turbidity varied among species, it always depended heavily on prey mobility and ambient velocity. Attack success was up to 14 times lower on mobile prey, leaving species relatively incapable of foraging on anything but immobile prey at high turbidity. Effects of turbidity were particularly prominent at higher velocities, as attack success was overall 20-fold lower and foraging rates 3.3-fold lower at flow velocities >30 cm/s relative to <10 cm/s. Given that many planktivorous reef fishes predominantly occupy exposed, high-flow habitats, these results provide a reasonable explanation for the lack of planktivores on inshore coral reefs and warn that the performance of visual predators could be impaired at turbidity levels of only 4 NTU. [ABSTRACT FROM AUTHOR]

A correlation between ceria reducibility and the precious‐metal d‐band center is reported for ceria‐supported precious‐metal catalysts. The results could provide the missing link to fully explain the occurrence of strong metal–support interaction (SMSI) and hydrogen spillover in catalysts that consist of dispersed metals in contact with reducible metal oxides. [ABSTRACT FROM AUTHOR]

Aim Many women undergoing sacral neuromodulation for faecal incontinence have coexisting pelvic floor dysfunction. We used a global pelvic-floor assessment questionnaire to evaluate the effect of sacral neuromodulation on non-bowel related symptomatology. Method The electronic Personnel Assessment Questionnaire - Pelvic Floor (e PAQ-PF) is a validated Web-based electronic pelvic floor questionnaire. Women with faecal incontinence underwent assessment using the e PAQ. Pre- and poststimulator data were analysed over a 4.5-year period. Results Forty-three women (mean age 56.5 years; median follow up 6.8 months) were included. All (100%) had urinary symptoms, 81.4% had vaginal symptoms and 85.7% described some sexual dysfunction. There was a significant improvement in faecal incontinence and in bowel-related quality of life ( P < 0.005) as well as in irritable bowel syndrome ( IBS)-related symptoms ( P < 0.01) and in bowel-related sexual heath ( P < 0.01). Symptoms of vaginal prolapse significantly improved ( P = 0.05). There was also improvement in symptoms of overactive bladder ( P = 0.005) and in urinary-related quality of life ( P < 0.05). A global health improvement was reported in 58.1%, mainly in bowel evacuation ( P < 0.01) and in vaginal pain and sensation ( P < 0.05). In sexually active female patients, significant improvements in vaginal and bowel-related sexual health were seen ( P < 0.005). Improvement in general sex life following stimulation was reported in 53.3%. Conclusion A Web-based electronic pelvic-floor assessment questionnaire has demonstrated global improvement in pelvic floor function in bowel, urinary, vaginal and sexual dimensions in women following sacral neuromodulation for faecal incontinence. [ABSTRACT FROM AUTHOR]

Drunken lamb syndrome (DLS) is a fatal disease of unknown aetiology affecting young lambs. In 2011, a prospective on farm cohort study was carried out to investigate the epidemiology and pathophysiology of DLS. Ten cases from a cohort of 1635 crossbred and pure Welsh Mountain lambs were identified as having DLS on the basis of characteristic clinical signs. Renal histopathology demonstrated nephrosis in all 10 cases. Some cases also demonstrated concurrent intestinal pathology. The cases were significantly smaller than the cohort, nine out of the 10 were twins, and they all demonstrated a severe metabolic acidosis characterised by elevated D-lactate. This study demonstrates that D-lactate--probably initiated by the overgrowth of intestinal microorganisms--appears to be the cause of the metabolic acidosis seen in cases of DLS, and to be responsible for the clinical signs seen. It is unclear as to the significance of the nephrosis lesions, and the name 'Lamb Nephrosis' may be misleading. Treatment may be possible using solutions of sodium bicarbonate [ABSTRACT FROM AUTHOR]

Repetitive strain or 'overuse' is thought to be a major factor contributing to the development of tendinopathy. The aims of our study were to develop a novel cyclic loading system, and use it to investigate the effect of defined loading conditions on the mechanical properties and gene expression of isolated tendon fascicles. Tendon fascicles were dissected from bovine-foot extensors and subjected to cyclic tensile strain (1 Hz) at 30% or 60% of the strain at failure, for 0 h (control), 15 min, 30 min, 1 h, or 5 h. Post loading, a quasi-static test to failure assessed damage. Gene expression at a selected loading regime (1 h at 30% failure strain) was analyzed 6 h post loading by quantitative real-time polymerase chain reaction. Compared with unloaded controls, loading at 30% failure strain took 5 h to lead to a significant decrease in failure stress, whereas loading to 60% led to a significant reduction after 15 min. Loading for 1 h at 30% failure strain did not create significant structural damage, but increased Collagen-1-alpha-chain-1 and interleukin-6 ( IL6) expression, suggesting a role of IL6 in tendon adaptation to exercise. Correlating failure properties with fatigue damage provides a method by which changes in gene expression can be associated with different degrees of fatigue damage. [ABSTRACT FROM AUTHOR]

This study considers the feasibility of monitoring forces acting on a cutting machine tool using chromatically addressed optical fibre based photoelastic sensors. The approach offers a cost-effective and versatile method for avoiding susceptibility to electromagnetic interference, with potential for providing sufficient frequency response for high-speed machining and for accommodating noisy, wide band optical wavelength signals. Measurements of the static and dynamic characteristics of such systems are presented along with results for interrupted turning in a real robust machining environment. [ABSTRACT FROM AUTHOR]

We present a dichotomy, in terms of growth at infinity, of analytic functions definable in the real exponential field which take integer values at natural number inputs. Using a result concerning the density of rational points on curves definable in this structure, we show that if a definable, analytic function f: [0, ∞)k→ℝ is such that f(ℕk) ⊆ ℤ, then either sup|x̄|≤ r |f(x̄)| grows faster than exp(rδ), for some δ>0, or f is a polynomial over ℚ. [ABSTRACT FROM PUBLISHER]

Phosphodiesterases ( PDEs) are critical regulatory enzymes in cyclic nucleotide signaling. PDEs have diverse expression patterns within the central nervous system ( CNS), show differing affinities for cyclic adenosine monophosphate ( cAMP) and cyclic guanosine monophosphate ( cGMP), and regulate a vast array of behaviors. Here, we investigated the expression profile of the PDE8 gene family members Pde8a and Pde8b in the mouse brain. We find that Pde8a expression is largely absent in the CNS; by contrast, Pde8b is expressed in select regions of the hippocampus, ventral striatum, and cerebellum. Behavioral analysis of mice with Pde8b gene inactivation ( PDE8B KO) demonstrate an enhancement in contextual fear, spatial memory, performance in an appetitive instrumental conditioning task, motor-coordination, and have an attenuation of age-induced motor coordination decline. In addition to improvements observed in select behaviors, we find basal anxiety levels to be increased in PDE8B KO mice. These findings indicate that selective antagonism of PDE8B may be an attractive target for enhancement of cognitive and motor functions; however, possible alterations in affective state will need to be weighed against potential therapeutic value. [ABSTRACT FROM AUTHOR]

Aim This study aims to describe the lifetime picture of vitamin D deficiency, as measured by serum 25( OH) D concentration, in Tasmania (latitude 43° S). Methods Five cross-sectional studies were used: a sample of primary schoolchildren ( n = 201, aged 7-8 years), two samples of adolescents (sample 1: n = 374, aged 15-18 years; sample 2: n = 136, aged 16-19 years), a sample of young to middle-aged adults ( n = 262, aged 19-59 years) and a sample of older adults ( n = 1092, aged 50-80 years). Results In winter/spring, approximately two-thirds of the adolescents and adults (young, middle-aged and older) had 25( OH) D levels ≤50 nmol/ L, and around 10% had 25( OH) D levels ≤25 nmol/L. The prevalence of vitamin D deficiency was much lower for primary schoolchildren (11.5% < 50 nmol/ L, 0.5% ≤ 25 nmol/ L). In summer/autumn, approximately one-third of the adolescents and adults had 25( OH) D levels ≤50 nmol/ L, and very few had 25( OH) D levels ≤25 nmol/L. For the adolescents and adults, even among those who reported the highest category of sun exposure, approximately 45% had 25( OH) D levels ≤50 nmol/ L in winter/spring. Conclusions Vitamin D deficiency was uncommon among our sample of primary school children but increased substantially during the teenage years and seemed to remain high throughout the rest of life, suggesting that mild vitamin D deficiency is endemic in Tasmania apart from in the very young. [ABSTRACT FROM AUTHOR]

Summary Evidence suggests that frequent and direct exposure to domestic animals has made farmers less susceptible to symptomatic Escherichia coli O157 infection than other members of the community. We have quantified the seroprevalence of antibodies to E. coli O157 lipopolysaccharide (LPS) from a representative cohort of farm workers in three geographically distinct regions of the United Kingdom during two sampling rounds over a 2-year period. All participants completed a questionnaire to determine the range and extent of recent animal contact alongside other potential occupational and environmental exposure routes. A total of 31/946 (3.3%) serum samples contained antibodies to E. coli O157 LPS (from both rounds combined). On the second sampling round, a significant difference in seropositivity was apparent between the three regions, with enhanced seroprevalence linked to recent contact with beef cattle, having a private water supply and contact with a child under 5 years old. Only five seropositive people reported symptoms of a gastrointestinal tract infection, although these symptoms were mild. These results further support the premise of acquired immunity to E. coli O157 associated with prolonged antigenic exposures within the farming environment. [ABSTRACT FROM AUTHOR]

Background: There is controversy about whether pain and radiographic osteoarthritis (ROA) predict subsequent cartilage loss. The aim of this study was to describe the relationship between ROA, pain and cartilage loss in the knee. Methods: We studied randomly selected subjects at baseline and approximately 2.9 years later ( n= 399). The presence of ROA was assessed at baseline with a standing anteroposterior semiflexed radiograph scored using the Osteoarthritis Research Society International atlas for osteophytes (OP) and joint space narrowing (JSN). Pain was assessed by the Western Ontario McMaster Osteoarthritis Index. Subjects' medial and lateral tibial cartilage volumes were determined by magnetic resonance imaging at both time points. Results: In cross-sectional analysis, both medial and lateral tibial cartilage volumes were lower in those with ROA. Any medial ROA predicted medial tibial cartilage loss (3.2% (standard deviation (SD) 5.6) vs 1.9% (SD 5.3) per annum) while any lateral ROA predicted both medial (4.0% (SD 6.0) vs 2.2% (SD 5.3) per annum) and lateral (3.5% (SD 5.8) vs 1.6% (SD 4.2) per annum) tibial cartilage loss (all P < 0.05). In multivariate analysis, JSN and OP at both medial and lateral sites had independent dose-response associations with tibial cartilage loss at both sites. Pain was an independent predictor of lateral, but not medial, tibial cartilage loss after taking ROA into account. Conclusions: Subjects with ROA (either JSN or OP) and, to a lesser extent, pain lose cartilage faster than subjects without ROA and the more severe the ROA the greater the rate of loss. These findings have implications for the design of clinical trials. [ABSTRACT FROM AUTHOR]

Pre-ascent climbing route visual inspection (route preview) has been suggested as a key climbing performance parameter although its role has never been verified experimentally. We examined the efficacy of this perceptual-cognitive skill on indoor sport climbing performance. Twenty-nine male climbers, divided into intermediate, advanced and expert climbing level groups, climbed two indoor sport routes matching their climbing level and, where applicable, routes below their climbing level. At each level, one route was climbed with a preview, where participants benefited from a 3-min pre-ascent climbing route visual inspection. Performance was assessed in terms of output (route completion) and form (number and duration of moves and stops). Route preview did not influence the output performance. Climbers using visual inspection were no more likely to finish the ascent than those without the option of using visual inspection. Conversely, route preview did influence form performance; climbers made fewer, and shorter stops during their ascent following a preview of the route. Form performances differences remained when baseline ability levels were taken into account, although for shorter duration of stops only with expert climbers benefiting most from route preview. The ability to visually inspect a climb before its ascent may represent an essential component of performance optimization. [ABSTRACT FROM AUTHOR]

To describe prospective associations between ambulatory activity (AA), body composition and muscle function in older adults, 697 community-dwelling participants (49% female; mean age=62 ± 7 years) were assessed for changes in body fat and leg lean mass using dual-energy x-ray absorptiometry, leg strength using dynamometer, and whole body muscle quality (WBMQ; an estimate of specific force) over 2.6 ± 0.4 years. AA was negatively associated with fat mass in both sexes but baseline AA did not predict change in fat mass. Habitual AA was weakly, but significantly, negatively associated with change in total body fat (−0.16 kg/step × 103/day, P=0.011) and trunk fat (−0.12 kg/step × 103/day, P=0.044) in men. Habitual AA was also weakly, but significantly, positively associated with change in leg lean mass in both men and women (both P<0.05), as well as change in leg strength (1.37 kg/step × 103/day, P=0.001) and WBMQ (0.03 kg/kg/step × 103/day, P=0.002) in women only. Partial R2s for these associations were in the range of 1.2-3.2%. Although, these associations are modest, increases in objectively assessed physical activity may represent a target for improving body composition and muscle function in community-dwelling older adults. [ABSTRACT FROM AUTHOR]

Tropical coral reef teleosts are exclusively ectotherms and their capacity for physical and physiological performance is therefore directly influenced by ambient temperature. This study examined the effect of increased water temperature to 3 °C above ambient on the swimming and metabolic performance of 10 species of damselfishes (Pomacentridae) representing evolutionary lineages from two subfamilies and four genera. Five distinct performance measures were tested: (a) maximum swimming speed ( Ucrit), (b) gait-transition speed (the speed at which they change from strictly pectoral to pectoral-and-caudal swimming, Up−c), (c) maximum aerobic metabolic rate (MO2−MAX), (d) resting metabolic rate (MO2−REST), and (e) aerobic scope (ratio of MO2−MAX to MO2−REST, ASC). Relative to the control (29 °C), increased temperature (32 °C) had a significant negative effect across all performance measures examined, with the magnitude of the effect varying greatly among closely related species and genera. Specifically, five species spanning three genera ( Dascyllus, Neopomacentrus and Pomacentrus) showed severe reductions in swimming performance with Ucrit reduced in these species by 21.3-27.9% and Up−c by 32.6-51.3%. Furthermore, five species spanning all four genera showed significant reductions in metabolic performance with aerobic scope reduced by 24.3-64.9%. Comparisons of remaining performance capacities with field conditions indicate that 32 °C water temperatures will leave multiple species with less swimming capacity than required to overcome the water flows commonly found in their respective coral reef habitats. Consequently, unless adaptation is possible, significant loss of species may occur if ocean warming of ≥3 °C arises. [ABSTRACT FROM AUTHOR]

UK national guidelines recommend the measurement of TSH receptor antibodies (TRAb) in certain clinical scenarios. A commercial third-generation TRAb autoantibody M22-biotin ELISA assay was introduced in May 2008 in our centre. To evaluate the diagnostic performance of a TRAb assay in a retrospective and subsequently a prospective cohort in a UK centre. A retrospective review of patients with thyroid disease followed by a prospective observational study in consecutive patients with newly found suppressed serum thyrotrophin (TSH). Medical records of 200 consecutive patients with thyroid disorders who had TRAb measured since the introduction of the assay. In a prospective study 44 patients with newly identified hyperthyroidism (TSH < 0·02 mIU/l) had sera assayed for TRAb prior to their clinic appointment at which a final diagnosis was sought. In the retrospective cohort, the manufacturer's cut-off point of TRAb ≥0·4 U/l resulted in a positive predictive value (PPV) of 95%, sensitivity 85%, specificity 94% and negative predictive value (NVP) 79% to diagnose Graves' disease using defined criteria. Receiver operating characteristic (ROC) analysis determined an optimal cut-off point of TRAb ≥3·5 U/l with a 100% specificity to exclude patients without Graves' disease at the cost though of a lower sensitivity (43%). In the prospective study, the sensitivity, PPV, specificity and NPV were all 96% using the ≥0·4 U/l cut-off. When combining hyperthyroid patients from both cohorts the assay sensitivity and specificity at ≥0·4 U/l cut-off were 95% and 92% respectively. A positive TRAb result increased the probability of Graves' disease for a particular patient by 25-35% and only six (2·5%) patients had a diagnosis of hyperthyroidism of uncertain aetiology after TRAb testing. The assay studied specifically identifies patients with Graves' disease. It is a reliable tool in the initial clinical assessment to determine the aetiology of hyperthyroidism and has the potential for cost-savings. [ABSTRACT FROM AUTHOR]

Background There is considerable controversy whether maternal peanut ingestion during pregnancy might influence sensitization in later life. Objective To examine whether maternal peanut ingestion during pregnancy might increase sensitization in the offspring. Methods A population-based longitudinal cohort study with 16 years follow-up was conducted (N = 373). Subjects were recruited at birth as part of an infant health study. Maternal antenatal peanut consumption was documented at birth and peanut and rye sensitization were determined by measurement of serum-specific IgE at age 16. Results Peanut sensitization was common (14%). In the entire cohort (n = 310), there was no association between antenatal peanut ingestion and peanut sensitization (P = 0.17). However, there was a strong association between antenatal peanut ingestion and decreased risk of rye sensitization and peanut sensitization in those (n = 201) without a family history (FH) of asthma (Rye OR 0.30, 95% CI 0.14-0.63, P = 0.001 and Peanut OR 0.18, 95% CI 0.04-0.78, P = 0.02). There was an increased risk of rye sensitization in those (n = 108) with a FH of asthma and antenatal peanut ingestion (Rye OR 2.69, 95% CI 1.11-6.51 P = 0.03). It was considered that these sensitizations were likely to be related to the presence of IgE antibodies to cross-reacting carbohydrate epitopes common to rye and peanut allergens. Conclusions and Clinical Relevance Antenatal peanut ingestion may influence the development of IgE antibody to cross-reacting carbohydrate epitopes in later life. Genetic factors may modify this association. [ABSTRACT FROM AUTHOR]

Objective: Assess Aβ deposition longitudinally and explore its relationship with cognition and disease progression.Methods: Clinical follow-up was obtained 20 ± 3 months after [¹¹C]Pittsburgh compound B (PiB)-positron emission tomography in 206 subjects: 35 with dementia of the Alzheimer type (DAT), 65 with mild cognitive impairment (MCI), and 106 age-matched healthy controls (HCs). A second PiB scan was obtained at follow-up in 185 subjects and a third scan after 3 years in 57.Results: At baseline, 97% of DAT, 69% of MCI, and 31% of HC subjects showed high PiB retention. At 20-month follow-up, small but significant increases in PiB standardized uptake value ratios were observed in the DAT and MCI groups, and in HCs with high PiB retention at baseline (5.7%, 2.1%, and 1.5%, respectively). Increases were associated with the number of apolipoprotein E ε4 alleles. There was a weak correlation between PiB increases and decline in cognition when all groups were combined. Progression to DAT occurred in 67% of MCI with high PiB versus 5% of those with low PiB, but 20% of the low PiB MCI subjects progressed to other dementias. Of the high PiB HCs, 16% developed MCI or DAT by 20 months and 25% by 3 years. One low PiB HC developed MCI.Interpretation: Aβ deposition increases slowly from cognitive normality to moderate severity DAT. Extensive Aβ deposition precedes cognitive impairment, and is associated with ApoE genotype and a higher risk of cognitive decline in HCs and progression from MCI to DAT over 1 to 2 years. However, cognitive decline is only weakly related to change in Aβ burden, suggesting that downstream factors have a more direct effect on symptom progression. [ABSTRACT FROM AUTHOR]

Background: Diabetes diagnosis is delayed 4–7 years and 50% are undiagnosed. Forty percent of hospitalized patients with any blood glucose level (BGL) ≥10 mmol/L have diabetes 3 months post-discharge, yet less than 5% are detected in hospital. We review identification of, and responses to, hyperglycaemia in inpatients at a teaching hospital. Methods: The world's largest retrospective review of medical records for inpatients with venous BGL ≥11.1 mmol/L without known diabetes over 12 months (2005–2006). The primary outcome was recognition of hyperglycaemia; secondary outcomes were treatment and documentation of follow up. Logistic regression was performed with variables including BGL, admitting team, length of stay and endocrine team review. Results: Of 10 973 people screened, 162 were eligible. The median age was 58 years and BGL 13.3 mmol/L, with increased mortality and length of stay. Hyperglycaemia was noted as definitely in 26%, maybe in 24% and definitely not in 50%. Forty percent of patients were treated in hospital and 19% on discharge. Follow up was documented for 24%. A higher BGL and review by the endocrine team were strongly associated with clinical recognition on uni- and multivariate analyses. However, where an endocrine review was sought for non-hyperglycaemia reasons, similar rates of non-recognition occurred. Conclusion: Despite evidence for improved inpatient outcomes when treated, and high short-term progression to frank diabetes, inpatient hyperglycaemia remains frequently missed. In-hospital recognition is cheap, and vital for the implementation of activities to improve outcomes and prevent progression and complications. Changes to systems for checking pathology results, medical officer education and inpatient screening guidelines are indicated. [ABSTRACT FROM AUTHOR]

A naturally functioning riparian zone is essential for the ecological health of a river, filtering pollutants, supplying organic matter and providing a structural habitat for wildlife. Most lowland rivers would also naturally flood the riparian zone at regular intervals, thereby providing direct inputs of nutrients and water that create additional habitats and breeding opportunities for riverine species. We examined the relationship between the quality of the riparian habitat and foraging and activity of bats (Chiroptera), which are good indicators of ecosystem health. Twenty paired sites in the Rivers Lee and Colne catchments in England were selected to test the hypothesis that degradation in the quality of riparian habitat reduces foraging and activity in bats; paired sites were similar in terms of size, flow rate and water chemistry but differed in the quality of their riparian zones. AnaBat detectors were used to measure bat activity from 30 min before dusk to 30 min after sunrise on the same night at paired sites because recording frequency-divided bat echolocation calls in real time allows large amounts of data to be collected over long time periods in a digitized format. Significantly more feeding buzzes were recorded in sites with better quality riparian zones; no differences in overall bat activity were found between the two habitat types. Pipistrellus pipistrellus and Pipistrellus pygmaeus accounted for 96% of bat passes. Pipistrellus pygmaeus was significantly more active in high quality sites than P. pipistrellus; there was no difference between the two species in poor quality sites. We show that the quality of riparian buffer zones is important for the activity and feeding behaviour of pipistrelle bats. [ABSTRACT FROM AUTHOR]