Acute effect of resistance training volume on hormonal responses in trained men

AIM

The purpose of this study was to investigate the acute hormonal response to resistance training sessions with different volumes in men.

METHODS

Ten recreationally trained men (24.5±7.6 years; 76.2±9.2 kg; 175.6±1.5 cm; 24.5±5.5 kg/m(-2)) participated in the study. All subjects completed two experimental protocols with different volumes. The first protocol consisted of 3 sets at 80% of 6 RM and the second protocol was 3 sets at 80% of 12 RM with 2 minutes rest between sets and exercises, separated by seven days between them. The exercise order used was: barbell bench press, leg press, machine front lat-pull down, leg curl, shoulder abduction and leg extension. The blood variables analyzed were: testosterone, growth hormone (GH), cortisol and testosterone/cortisol ratio (T:C) before (Pre) and immediately after (Post) each exercise session.

RESULTS

The intra-groups comparison for testosterone and hGH revealed a significant increase in 80%-6RM and 80%-12RM. Cortisol levels was significantly higher in 80%-12RM and T:C ratio in 80% 6 RM when compared Pre and Post values. Inter-groups comparison showed higher hGH and cortisol levels and lower T:C ratio for 80% 12 RM. There was no statistically significant different between 80%-6RM and 80%-12RM for testosterone.

CONCLUSION

The present study confirms that the volume of resistance training can be an important factor in the modulation of acute hormonal responses.

Eligibility for and outcome of treatment of latent tuberculosis infection in a cohort of HIV-infected people in Spain

BACKGROUND

Previous studies have demonstrated the efficacy of treatment for latent tuberculosis infection (TLTBI) in persons infected with the human immunodeficiency virus, but few studies have investigated the operational aspects of implementing TLTBI in the co-infected population.The study objectives were to describe eligibility for TLTBI as well as treatment prescription, initiation and completion in an HIV-infected Spanish cohort and to investigate factors associated with treatment completion.

METHODS

Subjects were prospectively identified between 2000 and 2003 at ten HIV hospital-based clinics in Spain. Data were obtained from clinical records. Associations were measured using the odds ratio (OR) and its 95% confidence interval (95% CI).

RESULTS

A total of 1242 subjects were recruited and 846 (68.1%) were evaluated for TLTBI. Of these, 181 (21.4%) were eligible for TLTBI either because they were tuberculin skin test (TST) positive (121) or because their TST was negative/unknown but they were known contacts of a TB case or had impaired immunity (60). Of the patients eligible for TLTBI, 122 (67.4%) initiated TLTBI: 99 (81.1%) were treated with isoniazid for 6, 9 or 12 months; and 23 (18.9%) with short-course regimens including rifampin plus isoniazid and/or pyrazinamide. In total, 70 patients (57.4%) completed treatment, 39 (32.0%) defaulted, 7 (5.7%) interrupted treatment due to adverse effects, 2 developed TB, 2 died, and 2 moved away. Treatment completion was associated with having acquired HIV infection through heterosexual sex as compared to intravenous drug use (OR:4.6; 95% CI:1.4-14.7) and with having taken rifampin and pyrazinamide for 2 months as compared to isoniazid for 9 months (OR:8.3; 95% CI:2.7-24.9).

CONCLUSIONS

A minority of HIV-infected patients eligible for TLTBI actually starts and completes a course of treatment. Obstacles to successful implementation of this intervention need to be addressed.

A multisite randomized effectiveness trial of motivational enhancement therapy for Spanish-speaking substance users

Hispanic individuals are underrepresented in clinical and research populations and are often excluded from clinical trials in the United States. Hence, there are few data on the effectiveness of most empirically validated therapies for Hispanic substance users. The authors conducted a multisite randomized trial comparing the effectiveness of 3 individual sessions of motivational enhancement therapy with that of 3 individual sessions of counseling as usual on treatment retention and frequency of substance use; all assessment and treatment sessions were conducted in Spanish among 405 individuals seeking treatment for any type of current substance use. Treatment exposure was good, with 66% of participants completing all 3 protocol sessions. Although both interventions resulted in reductions in substance use during the 4-week therapy phase, there were no significant Treatment Condition x Time interactions nor Site x Treatment Condition interactions. Results suggest that the individual treatments delivered in Spanish were both attractive to and effective with this heterogeneous group of Hispanic adults, but the differential effectiveness of motivational enhancement therapy may be limited to those whose primary substance use problem is alcohol and may be fairly modest in magnitude.

[Factors related to non-prescription of tuberculin skin testing in a cohort of HIV-infected people]

INTRODUCTION

Tuberculin skin testing (TST) for tuberculosis (TB) is recommended for all patients with HIV infection because of the known relationship between these two conditions. In this report we analyze the incidence and variables associated with non-prescription of TST in a cohort of HIV-infected people.

PATIENTS AND METHODS

Longitudinal study conducted between 2000 and 2002 at 10 HIV hospital-based clinics. All HIV-infected patients who had not been regularly followed-up previously in dedicated clinics were identified. Data about TST and other variables related to TB were obtained from the clinical records. We calculated the percentage of patients who did not undergo TST and the associated factors, using odds ratios (ORs) and the 95% CI to investigate associations. A multivariate logistic regression analysis was performed.

RESULTS

A total of 1242 patients met the inclusion criteria. TST was not performed in 185 patients (17.6% of those eligible). The fact of being an intravenous drug abuser was associated with a higher probability of TST non-prescription (OR: 2.6, 95% CI 1.1-6.5), whereas being unemployed (OR: 0.6, 95% CI 0.3-1.0), having a CD4 cell count >200 (CD4 200-499: OR 0.5, 95% CI 0.3-0.9. CD4> or =500: OR 0.3, 95% CI 0.2-0.6), and contact with persons with TB (OR 0.2, 95% CI 0.1-0.5) were associated with a lower probability.

CONCLUSIONS

In this study, the percentage of TST non-prescription was quite high. The results suggest that TST non-prescription in this population is related to the clinicians' expectations regarding the results of the test and the patients' adherence to treatment for latent TB infection.

Quality assurance of research protocols conducted in the community: the National Institute on Drug Abuse Clinical Trials Network experience

BACKGROUND

Quality assurance (QA) of clinical trials is essential to protect the welfare of trial participants and the integrity of the data collected. However, there is little detailed information available on specific procedures and outcomes of QA monitoring for clinical trials.

PURPOSE

This article describes the experience of the National Institute on Drug Abuse's (NIDA) National Drug Abuse Treatment Clinical Trials Network (CTN) in devising and implementing a three-tiered QA model for rigorous multi-site randomized clinical trials implemented in community-based substance abuse treatment programs. The CTN QA model combined local and national resources and was developed to address the unique needs of clinical trial sites with limited research experience.

METHODS

The authors reviewed internal records maintained by the sponsor, a coordinating site (Lead Nodes), and a local site detailing procedural development, training sessions, protocol violation monitoring, and site visit reporting.

RESULTS

Between January 2001 and September 2005, the CTN implemented 21 protocols, of which 18 were randomized clinical trials, one was a quality improvement study and two were surveys. Approximately 160 community-based treatment programs participated in the 19 studies that were monitored, with a total of 6560 participants randomized across the sites. During this time 1937 QA site visits were reported across the three tiers of monitoring and the cost depended on the location of the sites and the salaries of the staff involved. One study reported 109 protocol violations (M = 15.6). Examples are presented to highlight training, protocol violation monitoring, site visit frequency and intensity and cost considerations.

LIMITATIONS

: QA data from the entire network were not easily available for review as much of the data were not electronically accessible. The authors reviewed and discussed a representative sample of internal data from the studies and participating sites.

CONCLUSIONS

The lessons learned from the CTN's experience include the need for balancing thoroughness with efficiency, monitoring early, assessing research staff abilities in order to judge the need for proactive, focused attention, providing targeted training sessions, and developing flexible tools. The CTN model can work for sponsors overseeing studies at sites with limited research experience that require more frequent, in-depth monitoring. We recommend that sponsors not develop a rigid monitoring approach, but work with the study principal investigators to determine the intensity of monitoring needed depending on trial complexity, the risks of the intervention(s), and the experience of the staff with clinical research. After careful evaluation, sponsors should then determine the best approach to site monitoring and what resources will be needed.

Aflatoxigenic fungi and aflatoxin B1 in commercial pet food in Brazil

The aims of this study were to determine the aflatoxigenic mycoflora and the incidence of aflatoxin B1 in commercial samples of ready dog food. This in turn demonstrated the ability of the Aspergillus flavus and Aspergillus parasiticus strains to produce aflatoxin B1. 180 samples (standard, premium and super premium) were collected. Aspergillus was the prevalent genera followed by Penicillium and Fusarium. A. flavus and A. parasiticus were the prevalent species. All A. flavus and A. parasiticus strains from super premium samples were able to produce aflatoxin B1, whereas toxigenic strains isolated from standard and premium samples varied from 80 to 100%. A high percentage of ready pet food contaminated by toxigenic species from section Flavi was found and aflatoxin B1 levels were detected. The fungal counts from the three kinds of feed did not exceed the proposed value (1×104 cfu/g) and none of the samples exceeded the aflatoxin B1 recommended level (20 ng/g). The presence of A. flavus and A. parasiticus with aflatoxigenic ability could be a potential risk for production of AFB1 in feedstuffs when environmental storage conditions are not adequate.

Gliotoxin natural incidence and toxigenicity of Aspergillus fumigatus isolated from corn silage and ready dairy cattle feed

Corn silage is an important feed source for dairy and beef cattle in central Argentina. The presence of thermophilic species Aspergillus fumigatus is among the major problem in silage, as many strains can produce several mycotoxins that affect the health of dairy cattle. The aims of the present study were to determine total fungal counts and relative density of A. fumigatus in silage samples, and to determine the natural incidence of gliotoxin in silage and ready dairy feed samples. The potential gliotoxin production of A. fumigatus isolated from silage was also recorded. A total of 90 samples were investigated, which were taken immediately after opening of the silo and the end of the ensiling period of about after 5 months. Sampling was performed manually through silos in transects at 3 levels per silo. Thirty samples of ready cattle feed (corn silage, ground corn, barley, cotton seed, brewer grains) were collected and investigated as well. Gliotoxin contamination was determined by HPLC. The ability of A. fumigatus to produce gliotoxin was measured using a TLC method. Results show that in all samples, the total number of yeasts and moulds exceeded 1×104 cfu/g. Aspergillus was the most prevalent genus followed by Fusarium and Penicillium spp. Investigations of the isolated A. fumigatus strains showed that many of these strains produced more than one mycotoxin. All samples showed gliotoxin contamination, but the strains isolated from ready cattle feed had higher gliotoxin levels than those isolated from corn silage. The gliotoxin concentrations found in this study exceeded the levels that are known to induce immunosuppressive and apoptotic effects in vitro. Although at present the oral bioavailability of gliotoxin in cattle is not known, the presented data suggest that its presence in feedstuffs could affect productivity and present a health risk for dairy cows.

Age estimation for young bowhead whales (Balaena mysticetus) using annual baleen growth increments

We compiled age estimates and baleen plate δ13C data from 86 bowhead whales ( Balaena mysticetus L., 1758). We used previous whale age estimates based on aspartic acid racemization (AAR) and corpora counts to extend the use of δ13C data for age determination from cycle counting to a modified exponential model using annual baleen growth increments. Our approach used the growth increment data from individual whales in a nonlinear mixed effects model to assess both population-level and whale-specific growth parameters. Although age estimates from baleen-based models become less precise as the whales age, and baleen growth and length near steady state, the growth increment model shows promise in estimating ages of bowhead whales 10–13.5 m long with baleen lengths <250 cm, where other techniques are less precise or the data are scarce. Ages estimated using the growth increment data from such whales ranged from 6.4 to 19.8 years.

Evaluation of seven tests for diagnosis of human brucellosis in an area where the disease is endemic

The results of seven serologic tests for diagnosis of human brucellosis were evaluated. The titrated Rose Bengal test, microagglutination test, microtiter-adapted Coombs test, and immunocapture-agglutination test (Brucellacapt) were positive for all sera from patients with acute brucellosis. The immunoglobulin G (IgG), IgM, and IgA commercial enzyme immunoassays (ELISAs) failed to show specific antibodies in 3 patients, 10 patients, and 1 patient, respectively. The sensitivity of ELISA is not higher than that of conventional tests.

Mycobiota and naturally-occurring ochratoxin A in dairy cattle feed from Rio de Janeiro State, Brazil

The worldwide contamination of foods and feeds with toxigenic fungi and its mycotoxins is a significant problem of great agro-economic importance. The impact of mycotoxins includes toxic effects on humans and animals with increased health care, veterinary care costs and a reduced livestock production. The aims of the present work were: (1) to determine the mycobiota present in raw materials and finished cow's feed as well as to determine the ability of several Aspergillus and Penicillium isolated species to produce ochratoxin A, and (2) to evaluate the ochratoxin A production on these substrates. Samples (133) (corn, brewer's grain, barley rootlets, cotton flour, pelletised citric pulp and finished cow's feed) were collected. They were examined for total moulds, Aspergillus and Penicillium spp. occurrence and relative densities. The capacity to produce ochratoxin A by selected Aspergillus and Penicillium spp. was determined by HPLC. Total mould counts were generally higher than 1 x 104 cfu/g. Aspergillus and Penicillium species were isolated in the highest numbers. Aspergillus flavus, A. niger and A. ochraceus were the most prevalent species. A. niger (38.5%), A. carbonarius (71.4%), A. ochraceus (32.7%), and P. verrucosum (13.1%) were OTA producers at levels that ranged between 9 and 126 µg/kg. Finished cow's feed (25%), corn (31%), barley rootlet (21.6%) and brewer's grain (45%) samples were positive for OTA contamination. In this study, total counts were over the proposed limit to ensure hygienic quality. In general, samples showed the main toxicogenic genera, Aspergillus, Penicillium and Fusarium, as prevalent. OTA producer strains were found and many samples yielded OTA levels higher than the permissible limits. OTA survey in raw materials and storage practices must be investigated to determine their occurrence and to establish the livestock toxicological risk in cow's feed.

Optic chiasm involvement secondary to herpetic encephalitis. A case report

Herpes simplex (HSV) encephalitis is one of the most common central nervous system (CNS) viral infections in adults. Early diagnosis is essential for treatment. We describe the case of a 70-year-old man who reported sudden bilateral reduction of visus. Four days after admission the patient showed high fever, followed the next day by a generalised convulsive crisis and coma. A first magnetic resonance imaging (MRI) showed no alterations, whereas the second showed the usual patterns of HSV encephalitis. With a clinical suspicion of herpetic encephalitis an intravenous therapy with acyclovir was established. The diagnosis of herpetic encephalitis was confirmed by cerebrospinal fluid (CSF) detection of herpes simplex DNA sequences. A further ten days later we performed a third MRI, demonstrating the typical pattern of HSV encephalitis and an increase in size and signal of the optic chiasm.

Prevalence of M. tuberculosis infection and tuberculosis disease among HIV-infected people in Spain

OBJECTIVE

To study the prevalence of Mycobacterium tuberculosis infection (MTBI) and past/current tuberculosis (TB) among human immunodeficiency virus (HIV) infected persons in Spain.

DESIGN

Longitudinal study conducted between 2000 and 2003 at 10 HIV hospital-based clinics. Data were drawn from clinical records. Associations were measured using odds ratios (ORs) and their 95% confidence intervals (95%CI).

RESULTS

Of the 1242 persons who met the eligibility criteria, most were male (75%), aged <40 years (75%) and unemployed (40%). HIV infection occurred through intravenous drug use (53%), heterosexual sex (29%) and sex between men (16%). In the initial evaluation, 315 subjects had evidence of MTBI: 84 (6.8%) had a history of TB, 23 (1.8%) current TB and 208 (16.8%) latent tuberculosis infection (LTBI). MTBI was associated with male sex, age 30-49 years, contact with a TB case, homelessness, poor education, and negatively with CD4 <100 cells/mm(3). Among subjects with MTBI, past/current TB was associated with retirement/disability (OR 6, 95%CI 1.6-22.5), CD4 <200 cells/mm(3) (OR 9.7, 95%CI 3.8-24.6), viral load >55,000 copies (OR 5.3, 95%CI 1.4-20.0), and negatively, with skilled work (OR 0.4, 95%CI 0.1-1.0) or administrative/managerial/professional work (OR 0.05, 95%CI 0.01-0.4).

CONCLUSION

Social context has an impact on the effectiveness of HIV and TB control programmes even in industrialised countries with free access to health care.

Detection of Flavescence Dorée Phytoplasma in Grapevine by Reverse-Transcription PCR

Flavescence dorée (FD) is the most serious phytoplasma disease of grapevine. This report describes a novel method of detecting FD phytoplasma based on reverse-transcription polymerase chain reaction (RT-PCR) on 16S ribosomal RNA (16SrRNA) which will greatly improve mass screening of infected grapevines. A rapid protocol for extracting sap from whole leaves or midveins and successive one-tube amplification by RT-PCR was applied to grapevine samples with or without symptoms collected from different areas of Piedmont (northwestern Italy). Results were compared with those obtained using one of the current diagnostic methods that utilizes nested PCR on phytoplasma DNA-enriched preparations. A Cohen's kappa index of 0.76 indicated a substantial agreement between the two sets of results. The RT-PCR method has the advantage of being a rapid, reliable, and sensitive assay for large-scale screening of grapevines.

Improved Efficiency for Quantitative and Qualitative Indexing for Citrus tristeza virus and Citrus psorosis virus

Reverse transcription-polymerase chain reaction (RT-PCR) assays were developed for the detection of Citrus tristeza virus (CTV; genus Closterovirus) and Citrus psorosis virus (CPsV; genus Ophiovirus) in citrus trees. Real-time TaqMan RT-PCR was also developed for the detection of CTV. Three different sample preparation methods were compared. The total RNA extraction method by Qiagen was found to be more reliable than the other two methods consisting of crude plant sap extraction and total nucleic acid trapping on a silica bed. Of 287 samples tested for CTV, 210 samples tested positive by RT-PCR and 198 samples by enzyme-linked immunosorbent assay (ELISA). Furthermore, the results from monthly tests of a selected number of field-grown CTV-infected trees showed that RT-PCR detected the virus in 100% of the infected trees in winter and summer, whereas ELISA did not. The one-tube RT-PCR detection was developed for CPsV and was more sensitive than ELISA. Notably, three of 10 CPsV isolates were not detected by ELISA. As demonstrated here, our approach allows the efficacious detection of different viruses in citrus plants using a minimal amount of tissue during all seasons. The molecular methods described could be used in citrus certification programs and to test trees in nurseries and commercial orchards.

Issues in designing and implementing a Spanish-language multi-site clinical trial

To address at least in part health disparities in Hispanic populations, the NIDA Clinical Trials Network implemented the first multi-site randomized clinical trial of substance abuse treatment conducted entirely in Spanish. This trial was intended to evaluate the effectiveness of Motivational Enhancement Therapy in a diverse population of Hispanics. In the conduct of this trial, several barriers to the successful implementation of a Spanish-language multi-site trial had to be addressed, including the appropriate translation of assessment instruments, shortage of appropriately trained Spanish-speaking clinical staff, and barriers to recruitment and retention of this population. To encourage similar research, strategies are described that were developed by the study team to meet these challenges.

Dynamics of the O(3P) + H2 reaction at low temperatures: comparison of quasiclassical trajectory with quantum scattering calculations

Quasiclassical trajectory and quantum-mechanical scattering calculations are reported for the O((3)P) + H(2)(X (1)Sigma(g) (+);upsilon = 1-3,j = 0)-->OH(X (2)Pi) + H((2)S) reaction at energies close to the reaction threshold. The dynamics of the reaction have been investigated for zero total angular momentum using the lowest (3)A" potential-energy surface developed by Rogers et al. [J. Phys. Chem. A 104, 2308 (2000)] and its recent extensions by Brandao et al. [J. Chem. Phys. 121, 8861 (2004)] which provide an improved description of the van der Waals interaction. Good agreement is observed for this system between quasiclassical and quantal results for incident kinetic energies above the tunneling regime. Quantum-mechanical calculations also confirm recent theoretical predictions of a strong collision-energy dependence of the OH(v(') = 0)OH(v' = 1) product branching ratio in the O((3)P) + H(2)(v = 1) reaction, which explains the differences observed in OH vibrational populations between experiments using different O((3)P) sources.

Osteogenic Sarcomatous Degeneration of the Temporal Bone Squama in Paget's Disease

Paget's bone disease is a common disorder affecting approximately 3–4% of the population over 40 and up to 10–11% of the population older than 80 years. It is characterized by excessive and abnormal bone remodelling. The disease predominates in bones containing red marrow, with a clinical course characterized by active and quiescent periods; pelvis, sacrum, spine and skull are the most affected parts. We report the case of a 79-year-old woman with polyostotic Paget's disease who had a focal sarcomatous degeneration diagnosed by CT and MR.

Substance P and acetylcholine are co-localized in the pathway mediating mucociliary activity in Rana pipiens

Mucociliary activity is an important clearance mechanism in the respiratory system of air breathing vertebrates. Substance P (SP) and acetylcholine play a key role in the stimulation of the mucociliary transport in the frog palate. In this study, retrograde neuronal tracing was combined with immunocytochemistry for SP and choline acetyl transferase (ChAT) in the trigeminal ganglion and for neurokinin-1 receptor (NK1R) in the palate of Rana pipiens. The cells of origin of the palatine nerve were identified in the trigeminal ganglion using the retrograde tracer Fluorogold (FG). Optimal labeling of FG cells in the trigeminal ganglion was obtained at 96 h of exposure. Immunoflorescent shows that SP and acetylcholine are co-localized in 92% of the cells labeled with FG in the trigeminal ganglion. NK1 receptors were found in the membrane of epithelial and goblet cells of the palate. Ultrastructural study of the palate showed axonal-like endings with vesicles in connection with epithelial and goblet cells. These results further support the concerted action of both neurotransmitters in the regulation of mucociliary activity in the frog palate.

Family burden and social network in schizophrenia vs. physical diseases: preliminary results from an Italian national study

OBJECTIVE

To compare burden and social network in families of patients with schizophrenia or physical diseases.

METHOD

A total of 709 relatives of patients with schizophrenia and 646 relatives of patients with physical diseases were recruited in 169 specialized units located in 30 randomly selected Italian geographical areas.

RESULTS

In both groups, the consequences of caregiving most frequently reported as present were constraints in social activities, negative effects on family life and a feeling of loss. Objective burden was similar in the two groups, while subjective burden was higher in schizophrenia. Social support was lower among relatives of patients with schizophrenia than among those of the other group.

CONCLUSION

These results highlight the need to provide families of those with long-term diseases with supportive interventions, aiming to: i) manage relatives' psychological reactions to patient's illness; ii) provide information on patient's disease; iii) reinforce relatives' social network, especially in the case of schizophrenia.

Genetic identification of novel poxviruses of cetaceans and pinnipeds

Novel poxviruses were identified in skin lesions of several species of cetaceans and pinnipeds using polymerase chain reaction targeting DNA polymerase and DNA topoisomerase I genes of members of the subfamily Chordopoxvirinae. With the exception of parapoxviruses, no molecular data of marine mammal poxviruses were available to infer genetic and evolutionary relatedness to terrestrial vertebrate poxviruses. Viruses were assigned to a cetacean poxvirus 1 (CPV-1) group based on nucleotide and amino acid identities of gene fragments amplified from skin lesions of Asian bottlenose (Tursiops aduncus), Atlantic bottlenose (Tursiops truncatus), rough-toothed (Steno bredanensis), and striped (Stenella coeruleoalba) dolphins. A different poxvirus was detected in skin lesions of a bowhead whale (Balaena mysticetus) and provisionally assigned to a CPV-2 group. These viruses showed highest identity to terrestrial poxviruses of the genera Orthopoxvirus and Suipoxvirus. A novel species-specific poxvirus was also identified in skin lesions of Steller sea lions (Eumetopias jubatus). None of these poxviruses were found to have amplifiable hemagglutinin gene sequences. Novel parapoxviruses were also identified in skin lesions of Steller sea lions and spotted seals (Phoca largha). A significant degree of divergence was observed in sequences of Steller sea lion parapoxviruses, while those of spotted seals and harbor seals (Phoca vitulina) were highly conserved.