Timed Up and Go Tests in cardiac rehabilitation : reliability and comparison with the 6-minute walk test

PURPOSE: To test the reliability of Timed Up and Go Tests (TUGTs) in cardiac rehabilitation (CR) and compare TUGTs to the 6-Minute Walk Test (6MWT) for outcome measurement. METHODS: Sixty-one of 154 consecutive community-based CR patients were prospectively recruited. Subjects undertook repeated TUGTs and 6MWTs at the start of CR (start-CR), postdischarge from CR (post-CR), and 6 months postdischarge from CR (6 months post-CR). The main outcome measurements were TUGT time (TUGTT) and 6MWT distance (6MWD). RESULTS: Mean (SD) TUGTT1 and TUGTT2 at the 3 assessments were 6.29 (1.30) and 5.94 (1.20); 5.81 (1.22) and 5.53 (1.09); and 5.39 (1.60) and 5.01 (1.28) seconds, respectively. A reduction in TUGTT occurred between each outcome point (P ≤ .002). Repeated TUGTTs were strongly correlated at each assessment, intraclass correlation (95% CI) = 0.85 (0.76–0.91), 0.84 (0.73–0.91), and 0.90 (0.83–0.94), despite a reduction between TUGTT1 and TUGTT2 of 5%, 5%, and 7%, respectively (P ≤ .006). Relative decreases in TUGTT1 (TUGTT2) occurred from start-CR to post-CR and from start-CR to 6 months post-CR of −7.5% (−6.9%) and −14.2% (−15.5%), respectively, while relative increases in 6MWD1 (6MWD2) occurred, 5.1% (7.2%) and 8.4% (10.2%), respectively (P < .001 in all cases). Pearson correlation coefficients for 6MWD1 to TUGTT1 and TUGTT2 across all times were −0.60 and −0.68 (P < .001) and the intraclass correlations (95% CI) for the speeds derived from averaged 6MWDs and TUGTTs were 0.65 (0.54, 0.73) (P < .001). CONCLUSIONS: Similar relative changes occurred for the TUGT and the 6MWT in CR. A significant correlation between the TUGTT and 6MWD was demonstrated, and we suggest that the TUGT may provide a related or a supplementary measurement of functional capacity in CR.

Emptiness and fullness : Pinter, anti-architecture and politics

Classical architecture has a long history of representing the idealized proportions of the human body, derived from the Vitruvian man. This association with the idealized human form has also associated architecture as symbiotic with prevailing power structures. Meaning that architecture is always loaded with some signification, it creates a highly inscribed space. In the absence of architecture space is not necessarily without inscription, for within the void there can exist an anti-architecture. Like the black box theatre, it is both empty and full at the same time, in the absence of the architecture, the void of space and how it is occupied becomes much more profound. As Dorita Hannah writes, ‘In denying a purely visual apprehension of built space, and suggesting a profound interiority, the black-box posits a new way of regarding the body in space.’ This paper analyses the work of Harold Pinter and his use of the body to create an anti-architecture to subvert oppressors and power structures. Pinter’s works are an important case study in this research due to their political nature. His works are also heavily tied to territory, which bound the works in a dependent relationship with a simulated ‘place’. In the citation accompanying the playwright’s Nobel Laureate it states, '...in his plays [he] uncovers the precipice under everyday prattle and forces entry into oppression's closed rooms.' In Pinter’s work oppression manifests itself in the representation of a room, the architecture, which is the cause of a power struggle when objectified and defeated when subjectified. The following work examines how Pinter uses the body to subjectify and represent architecture as authority in his earlier works, which relied on detailed mimetic sets of domestic rooms, and then in his later political works, that were freed of representational scenography. This paper will also look at the adaption of Pinter’s work by the Belarus Free Theatre in their 2008 production of ‘Being Harold Pinter.’ The work of Pinter and the Belarus Free Theatre are concerned with authoritarian political structures. That is, political structures that works against ideas of individualism, ascribing to a mass-produced body as an artifact of dictatorship and conservatism. The focus on the body in space on an empty stage draws attention to the individual – the body amongst scenography can become merely another prop, lost in the borders and boundaries the scenery dictates. Through an analysis of selected works by Harold Pinter and their interpretations, this paper examines this paradox of emptiness and fullness through the body as anti-architecture in performance.

Revascularization and tissue regeneration of an empty root canal space is enhanced by a direct blood supply and stem cells

Background Regenerative endodontics is an innovative treatment concept aiming to regenerate pulp, dentin and root structures. In the diseased or necrotic tooth, the limitation in vascular supply renders successful tissue regeneration/generation in a whole tooth challenging. The aim of this study is to evaluate the ability of vascularized tissue to develop within a pulpless tooth using tissue engineering techniques. Materials and methods A pulpless tooth chamber, filled with collagen I gel containing isolated rat dental pulp cells (DPC) and angiogenic growth factors, was placed into a hole created in the femoral cortex or into its own tooth socket, respectively. The gross, histological and biochemical characteristics of the de novo tissue were evaluated at 4 and 8weeks post-transplantation. Results Tooth revascularization and tissue generation was observed only in the femur group, confirming the important role of vascular supply in tissue regeneration. The addition of cells and growth factors significantly promoted connective tissue production in the tooth chamber. Conclusion Successful revascularization and tissue regeneration in this model demonstrate the importance of a direct vascular supply and the advantages of a stem cell approach. © 2012 John Wiley & Sons A/S.

Estimates on the coverage of parameter space using populations of models

In this paper we provide estimates for the coverage of parameter space when using Latin Hypercube Sampling, which forms the basis of building so-called populations of models. The estimates are obtained using combinatorial counting arguments to determine how many trials, k, are needed in order to obtain specified parameter space coverage for a given value of the discretisation size n. In the case of two dimensions, we show that if the ratio (Ø) of trials to discretisation size is greater than 1, then as n becomes moderately large the fractional coverage behaves as 1-exp-ø. We compare these estimates with simulation results obtained from an implementation of Latin Hypercube Sampling using MATLAB.

Redescription of adult and larva of Colasposoma sellaturn Baly (Coleoptera: Chrysomelidae: Eumolpinae): a pest of sweet potato in Australia

The genus Colasposorna Laporte is shown to be represented in Australia by a single species, C. sellaturn Baly (= C. barbaturn Harold, syn. conf.; = C. regulare Jacoby, syn. nov.). The adult and larva are described and lectotypes designated for C. sellaturn and C. regulare. Colasposoma sellaturn is recorded from the Northern Territory, northern Queensland and New Guinea. This species is a pest of Ipomoea batatas (sweet potato) in northern Queensland, where the adults damage stems and foliage and larvae may cause considerable damage to tubers. Its pest status is assessed and control measures discussed.

New genetic loci link adipose and insulin biology to body fat distribution

Body fat distribution is a heritable trait and a well-established predictor of adverse metabolic outcomes, independent of overall adiposity. To increase our understanding of the genetic basis of body fat distribution and its molecular links to cardiometabolic traits, here we conduct genome-wide association meta-analyses of traits related to waist and hip circumferences in up to 224,459 individuals. We identify 49 loci (33 new) associated with waist-to-hip ratio adjusted for body mass index (BMI), and an additional 19 loci newly associated with related waist and hip circumference measures (P < 5 × 10−8). In total, 20 of the 49 waist-to-hip ratio adjusted for BMI loci show significant sexual dimorphism, 19 of which display a stronger effect in women. The identified loci were enriched for genes expressed in adipose tissue and for putative regulatory elements in adipocytes. Pathway analyses implicated adipogenesis, angiogenesis, transcriptional regulation and insulin resistance as processes affecting fat distribution, providing insight into potential pathophysiological mechanisms.

Genetic studies of body mass index yield new insights for obesity biology

Obesity is heritable and predisposes to many diseases. To understand the genetic basis of obesity better, here we conduct a genome-wide association study and Metabochip meta-analysis of body mass index (BMI), a measure commonly used to define obesity and assess adiposity, in up to 339,224 individuals. This analysis identifies 97 BMI-associated loci (P < 5 × 10−8), 56 of which are novel. Five loci demonstrate clear evidence of several independent association signals, and many loci have significant effects on other metabolic phenotypes. The 97 loci account for ~2.7% of BMI variation, and genome-wide estimates suggest that common variation accounts for >20% of BMI variation. Pathway analyses provide strong support for a role of the central nervous system in obesity susceptibility and implicate new genes and pathways, including those related to synaptic function, glutamate signalling, insulin secretion/action, energy metabolism, lipid biology and adipogenesis.

Estimation and partitioning of polygenic variation captured by common SNPs for Alzheimer's disease, multiple sclerosis and endometriosis

Common diseases such as endometriosis (ED), Alzheimer's disease (AD) and multiple sclerosis (MS) account for a significant proportion of the health care burden in many countries. Genome-wide association studies (GWASs) for these diseases have identified a number of individual genetic variants contributing to the risk of those diseases. However, the effect size for most variants is small and collectively the known variants explain only a small proportion of the estimated heritability. We used a linear mixed model to fit all single nucleotide polymorphisms (SNPs) simultaneously, and estimated genetic variances on the liability scale using SNPs from GWASs in unrelated individuals for these three diseases. For each of the three diseases, case and control samples were not all genotyped in the same laboratory. We demonstrate that a careful analysis can obtain robust estimates, but also that insufficient quality control (QC) of SNPs can lead to spurious results and that too stringent QC is likely to remove real genetic signals. Our estimates show that common SNPs on commercially available genotyping chips capture significant variation contributing to liability for all three diseases. The estimated proportion of total variation tagged by all SNPs was 0.26 (SE 0.04) for ED, 0.24 (SE 0.03) for AD and 0.30 (SE 0.03) for MS. Further, we partitioned the genetic variance explained into five categories by a minor allele frequency (MAF), by chromosomes and gene annotation. We provide strong evidence that a substantial proportion of variation in liability is explained by common SNPs, and thereby give insights into the genetic architecture of the diseases.

FTO genotype is associated with phenotypic variability of body mass index

There is evidence across several species for genetic control of phenotypic variation of complex traits1, 2, 3, 4, such that the variance among phenotypes is genotype dependent. Understanding genetic control of variability is important in evolutionary biology, agricultural selection programmes and human medicine, yet for complex traits, no individual genetic variants associated with variance, as opposed to the mean, have been identified. Here we perform a meta-analysis of genome-wide association studies of phenotypic variation using ~170,000 samples on height and body mass index (BMI) in human populations. We report evidence that the single nucleotide polymorphism (SNP) rs7202116 at the FTO gene locus, which is known to be associated with obesity (as measured by mean BMI for each rs7202116 genotype)5, 6, 7, is also associated with phenotypic variability. We show that the results are not due to scale effects or other artefacts, and find no other experiment-wise significant evidence for effects on variability, either at loci other than FTO for BMI or at any locus for height. The difference in variance for BMI among individuals with opposite homozygous genotypes at the FTO locus is approximately 7%, corresponding to a difference of ~0.5 kilograms in the standard deviation of weight. Our results indicate that genetic variants can be discovered that are associated with variability, and that between-person variability in obesity can partly be explained by the genotype at the FTO locus. The results are consistent with reported FTO by environment interactions for BMI8, possibly mediated by DNA methylation9, 10. Our BMI results for other SNPs and our height results for all SNPs suggest that most genetic variants, including those that influence mean height or mean BMI, are not associated with phenotypic variance, or that their effects on variability are too small to detect even with samples sizes greater than 100,000.

A naturally occurring amino acid substitution in the voltage-dependent sodium channel selectivity filter affects channel gating

The pore of sodium channels contains a selectivity filter made of 4 amino acids, D/E/K/A. In voltage sensitive sodium channel (Nav) channels from jellyfish to human the fourth amino acid is Ala. This Ala, when mutated to Asp, promotes slow inactivation. In some Nav channels of pufferfishes, the Ala is replaced with Gly. We studied the biophysical properties of an Ala-to-Gly substitution (A1529G) in rat Nav1.4 channel expressed in Xenopus oocytes alone or with a beta 1 subunit. The Ala-to-Gly substitution does not affect monovalent cation selectivity and positively shifts the voltage-dependent inactivation curve, although co-expression with a beta 1 subunit eliminates the difference between A1529G and WT. There is almost no difference in channel fast inactivation, but the beta 1 subunit accelerates WT current inactivation significantly more than it does the A1529G channels. The Ala-to-Gly substitution mainly influences the rate of recovery from slow inactivation. Again, the beta 1 subunit is less effective on speeding recovery of A1529G than the WT. We searched Nav channels in numerous databases and noted at least four other independent Ala-to-Gly substitutions in Nav channels in teleost fishes. Thus, the Ala-to-Gly substitution occurs more frequently than previously realized, possibly under selection for alterations of channel gating.

Estudio epidemiológico de la prevalencia de mastitis subclínica en el departamento de Juigalpa, Chontales

La mastitis se refiere a la inflamación de la glándula mamaria, causado por varios factores destacándose entre ellos, los físicos, mecánicos e infecciosos. Se caracteriza por las alteraciones físicas, químicas y bacteriológicas de la leche, también por modificaciones patológicas del tejido glándular. Con el objetivo de determinar la prevalencia en Juigalpa, Chontales, se desarrolló un "ESTUDIO EPIDEMIOLOGICO SOBRE LA PREVALENCIA DE MASTITIS SUBCLINICA EN EL 100 % DE LAS VACAS EN ORDEÑO, EN 9 UNIDADES DE PRODUCCION UBICADAS EN JUIGALPA, CHONTALES." por lo que se realizó un diagnostico a 2115 vacas, para nuestro estudio epidemiológico utilizamos el método de diagnóstico California Mastitis Test. Los resultados obtenidos revelan una prevalencia global de 34%, siendo de esta mastitis clínica 5.01% y una subclínica de 29.26% en nuestro estudio también aportamos la importancia del uso de medidas higiénicas, números de partos, mes del año son variables en el surgimiento de la mastitis subclínica por lo que en la zona donde realizamos nuestra investigación se considera una afectada por mastitis. Por lo que recomendamos establecer programas de vigilancia y control permanente de la mastitis subclínica en cada unidad de producción.

Inventario agroecológico de las especies de Gallina ciega (Phyllophaga spp) en la Región I de Nicaragua y validación de trampas artesanales de luz para el control de adultos en dos localidades del municipio de Estelí, Nicaragua

De mayo a octubre de 1996 se hizo un inventario agroecológico de las especies de gallina ciega (Phyllophaga spp.) en la región T de Nicaragua con el objetivo de determinar la relación entre la diversidad de especies de gallina ciega con precipitación, tamaño y años de uso de la parcela y historial de daño(%) y validación de trampas luz artesanal para control de adultos de gallina ciega en Miraflor y Almaciguera, con el fin de confirmar su efectividad. Se muestrearon 61 localidades en 18 municipios, agrupados por rangos de precipitación en cuatro estratos. La unidad muestra! fué el número de insectos adultos de gallina ciega recolectados por los mismos agricultores en cada finca. Para la identificación se utilizaron las claves desarrolladas por King (1984); Morón (198S); Woodruffy Beck (1989) y Coto (1990). Se realizó un diagoóstico sobre conocimiento de la plaga y el manejo al cultivo por medio de encuestas. Se hizo análisis de correlación simple. La mayor parte de la encuesta fue analizada en términos de porcentajes. Se utilizó la metodología de captura y recaptura de insectos marcados con esmalte para uñas y escarchas de colores diferentes. Los insectos fueron hllerados desde S hasta 21m de distancia de la trampa marcándose grupos de cinco hasta SO insectos. Se consideró un factor correctivo de comparación entre distancias y analisis de frecuencia de recaptura con observaciones cada 15 minutos. Se realizó muestreo de larvas posterior a los ensayos de liberación. La población de gallina ciega en la región T es diviersa. Se reportan 17 especies de los cuales sólo 9 se identificaron: Phyllophaga (Chlaenobia) aequata (Bates), 1888; P. (Phytalus) cometes Bates, 1888; P. (Rorulenta) elenon.' Saylor, 1938; P. (P) lenis Horn, 1887; P.(P) menetriesi Blanchard, 1850; P. (P) obsoleta (Biancbard), 1850; P. (Chlaenobia) tumulosa (Bates), 1888; P. (Rorulenta) vicina Moser, 1918 y P. yucateca (Bates), 1889. Las especies no identificadas fueron distinguidas por números. Las especies 1, 3, 4, 5, 6, 7, 8 y 9 no se identificaron. P. Lenis, P. yucateca, P, vicina, P.elenon.f, P. menetriesi y P. obsoleta son las especies que, en este orden, sobresalen numéricamente. Las cantidades de especímenes por especies de gallina ciega no presentan relación con rangos de precipitación, historial de daño (%), tamaño y años de uso de la aparcela, ni entre ellas mismas. El 60"/o de los agricultores no conoce al adulto de gallina ciega y el 80% no logra diferenciar claramente los sintomas en una planta dañada. No se registraron recapturas de insectos adultos de gallina ciega en las trampas. El análisis cuantitativo no se realizó. La mayor parte de los insectos liberados establecieron vuelo. Muestreos de larvas de gallina ciega indican que sólo en Miraflor habían cantidades de adultos justificables a los ensayos. El promedio de plantas dañadas por gallina ciega según los agricultores es de 15%. Se recomienda impulsar estudios básicos sobre la diversidad de especies de gallina ciega en el país y difundir el conocimiento sobre la biología y manejo de gallina ciega entre los pequeños agricultores. Futuros ensayos con trampas luz deben considerar el aumento de la calidad y la consistencia de la fuente luminosa y establecerlas cerca de las plantas hospederas de adultos.

Estudio del comportamiento de plagas y enfermedades en el cultivo de cafe, mediante el uso de recuento integral Masatepe, Masaya

El estudio se realizó en el Centro de Capacitación y Servicio Regional Pacífico (Jardín Botánico) ubicado en la ciudad de Masatepe, Masaya, en el periodo comprendido entre Marzo del 2001 a Febrero del 2002. El objetivo fue evaluar la utilidad del recuento integral de plagas en el fortalecimiento de la toma de decisiones de manejo de plagas y enfermedades, de acuerdo al comportamiento que estas presentan en cada lote. Para la realización del trabajo se tomaron 10 lotes ya establecidos y en plena producción con diferentes manejo, distancias de siembra, niveles de sombra y variedades distintas. La metodología contempló 5 puntos por lote y 1O plantas por punto; tomando a cada una, variables de: número de hojas totales, número de hojas enfermas, número de frutos totales, número de frutos dañados. Las plagas y enfermedades con menor porcentaje de incidencia en general fueron: Minador (Leucoptera co.ffel/a Guerin), Cochinilla (Planoccocus citri L) y Antracnosis (Collectotrichum sp). Las acciones de manejo se establecerían de acuerdo a los niveles presentados, para los cuales se tomo el criterio de 10% para enfermedades foliares; 5% para enfermedades que afectan hojas y frutos; y el 5% para la Broca. Las plagas y enfermedades que se presentaron durante el estudio fueron: Roya, Mancha de Hierro, Antracnosis, Broca, Minador. Considerando a la mancha de Hierro y Broca como las de mayor importancia. El lote Catuai Rojo presentó la mayor incidencia de enfermedades afectado por: Roya (Hemileia Vastatrix, Berk y Br.) y Mancha de hierro (Cercospora co.ffeico/a Berk y cook.), el manejo implementado fue preventivo (podas sanitarias, selectivas y de recepo ). El lote con mayor incidencia de plaga, fue Salchicha Vegetal (SV), la acción de manejo implementadas fueron: la utilización de trampas semioquímicas y endosulfan.

Incidencia de mosca blanca (Bemisia tabaci Genn) y Picudo (Anthonomus eugenii cano) en cinco genotipos de chile (Capsicum ssp)

Este trabajo se realizó en el período comprendido entre noviembre 2003 y abril 2004, en el área experimental del programa de Recursos Genéticos Nicaragüenses(REGEN), de la Universidad Nacional Agraria, ubicado en el km 12 ½ Carretera Norte con el objetivo de evaluar cinco genotipos de chile (Capsicum ssp.), a la infestación natural de las principales plagas. Los genotipos evaluados fueron CANICA1, CANICA2, ALFILERILLO, DIENTE PERRO Y MIRASOL; se utilizó un diseño de Bloques Completos al Azar (BCA). Las variables evaluadas fueron: incidencia de mosca blanca, incidencia y severidad de virosis, incidencia de picudo,número de frutos por planta, número de frutos anormales y rendimiento (kg ha-1).Para identificar características entre los genotipos, se realizó análisis de varianza y separación de medias (Tukey α=0.05). Los resultados indicaron que para todas las variables evaluadas existen diferencias significativas. El mayor promedio de mosca blanca la obtuvo el genotipo CANICA2 y el menor el genotipo MIRASOL. En cuanto a la incidencia de virosis el menor valor lo presentó CANICA1 y el mayor DIENTE PERRO. El genotipo con mayor severidad por infección viral fue MIRASOL y el menor valor promedio en CANICA1. Para la variable número de frutos por planta, los genotipos MIRASOL y ALFILERILLO promediaron los menores y mayores valores promedio, respectivamente. En cuanto a frutos deformes el menor promedio lo obtuvo CANICA1 y el mayor DIENTE PERRO. Los mayores rendimientos fueron alcanzados por los genotipos DIENTE PERRO (944.4 kg ha-1) y CANICA2 (941 kg ha-1) y el menor valor al genotipo ALFILERILLO con un rendimiento de 368.8 kg ha-1.

Evaluación preliminar de insecticidas químicos, botánicos y biológicos en el control de la mosquita del sorgo (Contarinia sorguicola Coq) y los rendimientos de granos en la variedad pinolero - 1

Con el propósito de determinar el producto más eficaz en el control de la mosquita del sorgo (Contarinia sorghicola Coq). Se realizó un experimento en el periodo comprendido entre los meses de septiembre a diciembre de 1996, en el Centro Nacional de Investigación Agropecuaria (CNIA/INTA), cuyos suelos pertenecen a la serie Sabana Grande con drenaje moderadamente rápido y textura que varia de franco a franco arenoso. El disefto utilizado fue un bloque completo al azar con cuatro repeticiones y seis tratamientos. Los tratamientos estudiados fueron insecticidas a base de (deltametrina) Decis 2.5 EC, (metamidophos) MTD 60 SL, (azadiractina) Nim 20%,(azadhiractina) Nim 80%, EM-5 (microorganismos efectivos) y un testigo absoluto (sin aplicación). La variedad utilizada fue Pinolero-1. Los resultados demuestran que no se presentaron diferencias significativas para ninguna de las variables evaluadas por lo que no hubo efecto de los tratamientos evaluados. Sin embargo el análisis económico de los tratamientos refleja que el testigo absoluto (sin aplicación) presentó la mayor tasa de rentabilidad.