Congenic mapping and sequence analysis of the Renin locus

Renin was the first blood pressure (BP) quantitative trait locus mapped by linkage analysis in the rat. Subsequent BP linkage and congenic studies capturing different portions of the renin region have returned conflicting results, suggesting that multiple interdependent BP loci may be residing in the chromosome 13 BP quantitative trait locus that includes Renin. We used SS-13(BN) congenic strains to map 2 BP loci in the Renin region (chr13: 45.2-49.0 Mb). We identified a 1.1-Mb protective Brown Norway region around Renin (chr13: 46.1-47.2 Mb) that significantly decreased BP by 32 mm Hg. The Renin protective BP locus was offset by an adjacent hypertensive locus (chr13: 47.2-49.0 Mb) that significantly increased BP by 29 mm Hg. Sequence analysis of the protective and hypertensive BP loci revealed 1433 and 2063 variants between Dahl salt-sensitive/Mcwi and Brown Norway rats, respectively. To further reduce the list of candidate variants, we regenotyped an overlapping SS-13(SR) congenic strain (S/renrr) with a previously reported BP phenotype. Sequence comparison among Dahl salt-sensitive, Dahl R, and Brown Norway reduced the number of candidate variants in the 2 BP loci by 42% for further study. Combined with previous studies, these data suggest that at least 4 BP loci reside within the 30-cM chromosome 13 BP quantitative trait locus that includes Renin.

Physiotherapy management strategies for woman post-ceasarean section delivery in public hospitals in KwaZulu-Natal, South Africa

South Africa has seen a steady increase in the rate of caesarean section deliveries, and while physiotherapists are often requested to treat these patients, there are no guidelines on their physiotherapeutic management. Current treatment is therefore based on clinical presentations of the patient. This paper reports on the physiotherapy management strategies for women post-caesarean section delivery used at four public hospitals in KwaZulu-Natal during 2011-2012. The study used a quantitative, cross-sectional, descriptive design. The sample consisted of 31 physiotherapists who completed an anonymous self-administered questionnaire, of whom eight had not treated post-caesarean section delivery women at all in the one year period. The results showed mobilization (100%), breathing exercises (94%) and education (94%) were common choices, with 68% selecting pelvic floor exercises as part of their management strategy. The study concluded that the current physiotherapy management strategy for women post-caesarean section delivery is based mainly on the doctors’ referral. Due to their limited knowledge about physiotherapy treatment, doctors overlook other complication(s) and potential complication(s) that could benefit from treatment post-delivery. The study showed that there is a need to improve the role and influence of physiotherapists in the multidisciplinary team.

Evaluation of a learner-produced photocomic in South Africa

The use of participatory research in developing culturally appropriate health promotion media is now universally recognized. However, although much has been written with respect to the effects of this process on the participants themselves, little evaluation has been conducted on their effectiveness with the larger target group. The photocomic "Between Us" was produced with South African youth to address the issue of communications as it relates to safe sex and non-violent conflict resolution. This article considers its qualitative evaluation. The article first addresses the theory behind the comic's development, and its objectives. It then examines the qualitative results with respect to these objectives: the evaluation showed the comic to be successful in that it elicited identification among youth with the comic's characters and issues presented. This type of medium offers much potential as a Health Promotion tool to be used in educational settings.

A platform to parallelize planar surfaces and control their spatial separation with nanometer resolution

Parallelizing planar surfaces and manipulating them into close proximity with spatial separation of nanoscale dimensions is critical for probing phenomena such as near-field radiative heat transport and Casimir forces. Here, we report on a novel platform, with an integrated reflected light microscope, that is capable of parallelizing two planar surfaces such that the angular deviation is <6 μrad, while simultaneously allowing control of the gap from 15 μm down to contact with ∼0.15 nm resolution. The capabilities of this platform were verified by using two custom-fabricated micro-devices with planar surfaces, 60 × 60 μm(2) each, whose flatness and surface roughness were experimentally quantified. We first parallelized the two micro-devices by using the developed platform in conjunction with a simple optical approach that relies on the shallow depth of field (∼2 μm) of a long working distance microscope objective. Subsequently, we experimentally tested the parallelism achieved via the optical alignment procedure by taking advantage of electrodes integrated into the micro-devices. Our measurements unambiguously show that the simple depth-of-field based optical approach enables parallelization such that the angular deviation between the two surfaces is within ∼500 μrad. This ensures that the separation between any two corresponding points on the parallel surfaces deviate by ∼30 nm or less from the expected value. Further, we show that improved parallelization can be achieved using the integrated micro-electrodes which enable surface roughness limited parallelization with deviations of ∼5 nm from parallelism.

High resolution resistive thermometry for micro/nanoscale measurements

High resolution thermometry plays an important role in several micro/nanoscale studies. Here, we present a detailed analysis of the resolution of resistance thermometry schemes that employ an electrical sensing current to monitor the temperature-dependent resistance. Specifically, we theoretically and experimentally analyze four different schemes where modulated or unmodulated temperatures in microdevices are measured using modulated or unmodulated sensing currents. Our analysis and experiments suggest that measurement of unmodulated temperatures using a modulated sensing current improves the resolution in comparison to a scenario where an unmodulated sensing current is used. However, depending on the exact measurement conditions, such improvements might be modest as the overall resolution may be limited by random low frequency environmental temperature fluctuations. More importantly, we find that high-resolution thermometry can be achieved in the measurement of modulated temperatures. Specifically, we show that by using appropriate instrumentation and a 10 kΩ platinum resistance thermometer it is possible to measure modulated temperatures (0.5-20 Hz) with a resolution of about 20-100 μK. The advances described here will enable a dramatic improvement in the heat-current resolution of resistive thermometry based microdevices that are used for probing nanoscale phonon and photon transport.

Future specialization interests among medical students in southern India

BACKGROUND

A consideration of the future specialization interests of undergraduate medical students might help to understand the needs of higher medical education and future manpower availability for healthcare.

METHODS

A cross-sectional study was conducted among 373 undergraduate students of a medical college in southern India using a self-administered questionnaire.

RESULTS

Of the 373 students, 188 (50.4%) were men. Almost all of them (370 [99.2%]) wanted to pursue postgraduation. Of these, 267 (72.4%) wanted to pursue postgraduation in India. Overall, the first choice subject was surgery (120 [32.2%]) followed by internal medicine (85 [22.8%]) and paediatrics (43 [11.5%]). The third preference for men and women differed, with men choosing orthopaedics and women choosing obstetrics and gynaecology. The factors that influenced the choice of specialization were interest in the speciality (Likert scale score 4.7), job satisfaction (4.6), employment opportunities (4.0), job security (4) and high income potential (3.9).

CONCLUSION

It was evident from the proportion of students desiring to do postgraduation and their choice of specialties that most of them will end up working at hospitals instead of at primary healthcare centres. The deficiencies of certain specialists such as ophthalmologists are likely to persist. This is a cause for concern as the majority of our population lives in rural areas and there is already a maldistribution of doctors.

A multilocus sequence analysis approach to the phylogeny and taxonomy of the Halobacteriales

Members of the order Halobacteriales are obligate extreme halophiles that belong to the domain Archaea. The classification of the Halobacteriales currently relies on a polyphasic approach, which integrates phenotypic, genotypic and chemotaxonomic characterization. However, the most utilized genetic marker for phylogeny, the 16S rRNA gene, has multiple drawbacks for use with the Halobacteriales: the species of many genera exhibit large intragenic differences between multiple ribosomal RNA operons, the gene is too conserved to discriminate reliably at the species level and it appears to be the most frequently recombined gene between closely related species. Moreover, the Halobacteriales is a rapidly expanding group due to recent successes at cultivating novel strains from a diverse set of hypersaline environments; a fast, reliable, inexpensive, portable molecular method for discriminating species is required for their investigation. Recently, multilocus sequence analysis (MLSA) has been shown to be an effective tool for strain identification and taxonomic designation, even for those taxa that experience frequent lateral gene transfer and homologous recombination. In this study, MLSA was utilized for evolutionary and taxonomic investigation of the Halobacteriales. Efficacy of the MLSA approach was tested across a hierarchical gradient using 52 halobacterial strains, representing 33 species (including names without standing in nomenclature) and 14 genera. A subset of 21 strains from the genus Haloarcula was analysed separately to test the sensitivity and relevance of the MLSA approach among closely related strains and species. The results demonstrated that MLSA differentiated individual strains, reliably grouped strains into species and species into genera and identified potential novel species and also family-like relationships. This study demonstrates that MLSA is a rapid and informative molecular method that will probably accommodate strain analysis at any taxonomic level within the Halobacteriales.

Clinical approach to adrenal insufficiency in hospitalised patients

Primary adrenal insufficiency (Addison's disease) refers to glucocorticoid deficiency resulting from adrenal gland disease. Central adrenal insufficiency is because of disorders of the pituitary gland (secondary) or the hypothalamus (tertiary). Long-term hypothalamic-pituitary-adrenal (HPA) axis suppression is commonly seen after chronic glucocorticoid therapy (iatrogenic). Transient HPA axis suppression is increasingly being reported in hospitalised patients with acute illness (relative adrenal insufficiency). This article extensively reviews various aetiologies and management of adrenal insufficiency.

Nose and throat complications associated with passive smoking among Congolese school children

OBJECTIVE

To assess associations between nose-throat (NT) diseases and passive smoking prevalence among school children.

METHODS

A cross-sectional survey was carried out on a randomized multistage sample of 381 school children (50.9% males, aged 9.8 ± 3.5 years) from Kinshasa town. Parents and children were asked to fill in a questionnaire detailing their smoking habits. The NT symptoms and diseases were assessed by the survey NT specialist.

RESULTS

The prevalence of passive smoking was 38.6% (n = 147). Residence in peripheral areas, catholic school system, elementary level, exposure of family to passive smoking, history of NT surgery, medicines and menthol inhaling, headache, nasal pain, dysphagia, odynophagia, dysosmia, dysphonia, pharyngeal irritation, dry throat, snooze, and chronic pharyngitis were more reported by passive smokers. After adjusting for confounding factors, passive smoking (OR = 16.7 95%CI 3.3-83.3), catholic system(OR = 2 95%CI 1.2-3.2), and elementary degree(OR = 1.4 95%, CI 1.1-2.1) were identified as independent determinants of chronic pharyngitis.

CONCLUSION

Parents should not smoke in the same room used by their children.

Isolation, characterization and recombinant protein expression in Veggie-CHO: A serum-free CHO host cell line

The dihydrofolate reductase-deficient Chinese hamster ovary cell line, DXB11-CHO, commonly used as a host cell for the production of recombinant proteins requires 7.5% serum-supplementation for optimal growth. Regulatory issues surrounding the use of serum in clinical production processes and the direct and indirect costs of using serum in large-scale production and recovery processes have triggered efforts to derive serum-independent host cell lines. We have successfully isolated a serum-free host that we named Veggie- CHO. Veggie-CHO was generated by adapting DXB11-CHO cells to growth in serum-free media in the absence of exogenous growth factors such as Transferrin and Insulin-like growth factor, which we have previously shown to be essential for growth and viability of DXB11- CHO cells. Veggie-CHO cells have been shown to maintain an average doubling time of 22 hr in continuous growth cultures over a period of three months and have retained the dihydrofolate reductase -deficient phenotype of their parental DXB11-CHO cells. These properties and the stability of its serum-free phenotype have allowed the use of Veggie- CHO as host cells for transfection and amplified expression of recombinant proteins. We describe the derivation a serum-free recombinant cell line with an average doubling time of 20 hr and specific productivity of 2.5 Units recombinant Flt-3L protein per 10e6 cells per day.