Accessible Parking Spaces Guidelines, 2001

The Americans with Disabilities Act Accessibility Guidelines (ADAAG) and Chapter 321L of the Iowa Code.

FRAX® International Task Force of the 2010 Joint International Society for Clinical Densitometry & International Osteoporosis Foundation Position Development Conference.

Osteoporosis is a serious worldwide epidemic. FRAX® is a web-based tool developed by the Sheffield WHO Collaborating Center team, that integrates clinical risk factors and femoral neck BMD and calculates the 10 year fracture probability in order to help health care professionals identify patients who need treatment. However, only 31 countries have a FRAX® calculator. In the absence of a FRAX® model for a particular country, it has been suggested to use a surrogate country for which the epidemiology of osteoporosis most closely approximates the index country. More specific recommendations for clinicians in these countries are not available. In North America, concerns have also been raised regarding the assumptions used to construct the US ethnic specific FRAX® calculators with respect to the correction factors applied to derive fracture probabilities in Blacks, Asians and Hispanics in comparison to Whites. In addition, questions were raised about calculating fracture risk in other ethnic groups e.g., Native Americans and First Canadians. The International Society for Clinical Densitometry (ISCD) in conjunction with the International Osteoporosis Foundation (IOF) assembled an international panel of experts that ultimately developed joint Official Positions of the ISCD and IOF advising clinicians regarding FRAX® usage. As part of the process, the charge of the FRAX® International Task Force was to review and synthesize data regarding geographic and race/ethnic variability in hip fractures, non-hip osteoporotic fractures, and make recommendations about the use of FRAX® in ethnic groups and countries without a FRAX® calculator. This synthesis was presented to the expert panel and constitutes the data on which the subsequent Official Positions are predicated. A summary of the International Task Force composition and charge is presented here.

El batalló dels esperitats. Barry Hannah

Aquest treball presenta una traducció al català d’un conte de l’obra Bats out of hell de Barry Hannah, un escriptor nascut al Sud dels Estats Units. L’interès d’aquest treball és la inexistència de traduccions de l’obra de Hannah al català i la denúncia que fa l’autor dels estereotips tan marcats de la societat de la seva regió natal.

Actituds lingüístiques i identitats en construcció de joves immigrants xinesos i llatinoamericans a l’escola catalana

Aquest projecte ha investigat el procés de construcció de la identitat lingüística i cultural dels joves llatinoamericans i xinesos a partir de l’anàlisi de les seves actituds lingüístiques i percepcions respecte a la identitat cultural i els usos lingüístics propis. Hem escollit joves d’ensenyament secundari procedents de dos contextos diferenciats: (a) llatinoamericans que entren en el sistema educatiu amb ple domini d’una de les llengües oficials, el castellà, i (b) xinesos que inicien estudis als centres sense dominar cap llengua romànica. La recerca s’ha dut a terme amb una perspectiva etnogràfica en dos centres escolars on conviuen joves d’orígens lingüístics i culturals diferents. Gràcies als vincles creats amb docents dels centres, hem pogut posar en pràctica una metodologia d’observació participant en diversos espais escolars. També hem realitzat entrevistes a joves llatinoamericans i xinesos durant les quals hem investigat pràctiques lingüístiques i experiències quotidianes al centre relacionades amb l’aprenentatge de llengües, així com actituds vers les llengües oficials i les llengües de l’entorn familiar i vers la pluralitat d’identitats a Catalunya. Tot i que en un inici teníem la intenció d’entrevistar joves autòctons, finalment ens hem concentrat només en joves immigrants amb l’objectiu de maximitzar els recursos humans i pressupostaris. Mitjançant observacions i entrevistes amb docents, hem esbrinat com interpreten i aborden els reptes de la diversitat. En el cas d’un centre, també hem entrevistat la mediadora social que facilita les relacions entre els progenitors i el centre. Mitjançant entrevistes amb progenitors dels joves, hem investigat usos i actituds lingüístiques d’ells i dels seus fills, així com actituds al nucli familiar vers la pluralitat cultural i identitària a Catalunya. Les entrevistes han estat transcrites, traduïdes i analitzades en relació a les observacions de camp, tot tenint en compte estudis i marcs teòrics previs.

Fatores associados com a qualidade de vida de homens idosos

Inquérito domiciliário, transversal e analítico que objetivou descrever as características sociodemográficas, de saúde e a qualidade de vida de homens idosos e verificar os fatores socioeconômicos e de saúde associados à qualidade de vida. Participaram 804 homens idosos. Os dados foram coletados pelos instrumentos: Older Americans Resources and Services(OARS), World Health Organization Quality of Life - Bref (WHOQOL-BREF) e Health Organization Quality of Life Assessment for Older Adults(WHOQOL-OLD). Foram realizados análise descritiva, teste t-Student, correlação de Pearson e regressão linear múltipla (p <0,05). Predominaram idosos com 60├ 70 anos, casados, 4├ 8 anos de estudo e renda de um salário mínimo. Os menores escores de qualidade de vida foram no domínio físico e na faceta autonomia e estiveram associados a ausência de companheira e de escolaridade, baixa renda, maior número de morbidades e incapacidade funcional. A incapacidade funcional foi o que mais influenciou a qualidade de vida, excetuando-se o domínio físico e a faceta intimidade.

In vivo analysis of efavirenz metabolism in individuals with impaired CYP2A6 function.

INTRODUCTION: The antiretroviral drug efavirenz (EFV) is extensively metabolized into three primary metabolites: 8-hydroxy-EFV, 7-hydroxy-EFV and N-glucuronide-EFV. There is a wide interindividual variability in EFV plasma exposure, explained to a great extent by cytochrome P450 2B6 (CYP2B6), the main isoenzyme responsible for EFV metabolism and involved in the major metabolic pathway (8-hydroxylation) and to a lesser extent in 7-hydroxylation. When CYP2B6 function is impaired, the relevance of CYP2A6, the main isoenzyme responsible for 7-hydroxylation may increase. We hypothesize that genetic variability in this gene may contribute to the particularly high, unexplained variability in EFV exposure in individuals with limited CYP2B6 function. METHODS: This study characterized CYP2A6 variation (14 alleles) in individuals (N=169) previously characterized for functional variants in CYP2B6 (18 alleles). Plasma concentrations of EFV and its primary metabolites (8-hydroxy-EFV, 7-hydroxy-EFV and N-glucuronide-EFV) were measured in different genetic backgrounds in vivo. RESULTS: The accessory metabolic pathway CYP2A6 has a critical role in limiting drug accumulation in individuals characterized as CYP2B6 slow metabolizers. CONCLUSION: Dual CYP2B6 and CYP2A6 slow metabolism occurs at significant frequency in various human populations, leading to extremely high EFV exposure.

Whole genome sequencing in patients with retinitis pigmentosa reveals pathogenic DNA structural changes and NEK2 as a new disease gene.

We performed whole genome sequencing in 16 unrelated patients with autosomal recessive retinitis pigmentosa (ARRP), a disease characterized by progressive retinal degeneration and caused by mutations in over 50 genes, in search of pathogenic DNA variants. Eight patients were from North America, whereas eight were Japanese, a population for which ARRP seems to have different genetic drivers. Using a specific workflow, we assessed both the coding and noncoding regions of the human genome, including the evaluation of highly polymorphic SNPs, structural and copy number variations, as well as 69 control genomes sequenced by the same procedures. We detected homozygous or compound heterozygous mutations in 7 genes associated with ARRP (USH2A, RDH12, CNGB1, EYS, PDE6B, DFNB31, and CERKL) in eight patients, three Japanese and five Americans. Fourteen of the 16 mutant alleles identified were previously unknown. Among these, there was a 2.3-kb deletion in USH2A and an inverted duplication of ∼446 kb in EYS, which would have likely escaped conventional screening techniques or exome sequencing. Moreover, in another Japanese patient, we identified a homozygous frameshift (p.L206fs), absent in more than 2,500 chromosomes from ethnically matched controls, in the ciliary gene NEK2, encoding a serine/threonine-protein kinase. Inactivation of this gene in zebrafish induced retinal photoreceptor defects that were rescued by human NEK2 mRNA. In addition to identifying a previously undescribed ARRP gene, our study highlights the importance of rare structural DNA variations in Mendelian diseases and advocates the need for screening approaches that transcend the analysis of the coding sequences of the human genome.

Prevalence, pathophysiology, health consequences and treatment options of obesity in the elderly: a guideline.

The prevalence of obesity is rising progressively, even among older age groups. By the year 2030-2035 over 20% of the adult US population and over 25% of the Europeans will be aged 65 years and older. The predicted prevalence of obesity in Americans, 60 years and older was 37% in 2010. The predicted prevalence of obesity in Europe in 2015 varies between 20 and 30% dependent on the model used. This means 20.9 million obese 60+ people in the USA in 2010 and 32 million obese elders in 2015 in the EU. Although cut-off values of BMI, waist circumference and percentages of fat mass have not been defined for the elderly (nor for the elderly of different ethnicity), it is clear from several meta-analyses that mortality and morbidity associated with overweight and obesity only increases at a BMI above 30 kg/m(2). Thus, treatment should only be offered to patients who are obese rather than overweight and who also have functional impairments, metabolic complications or obesity-related diseases, that can benefit from weight loss. The weight loss therapy should aim to minimize muscle and bone loss but also vigilance as regards the development of sarcopenic obesity - a combination of an unhealthy excess of body fat with a detrimental loss of muscle and fat-free mass including bone - is important in the elderly, who are vulnerable to this outcome. Life-style intervention should be the first step and consists of a diet with a 500 kcal (2.1 MJ) energy deficit and an adequate intake of protein of high biological quality together with calcium and vitamin D, behavioural therapy and multi-component exercise. Multi-component exercise includes flexibility training, balance training, aerobic exercise and resistance training. The adherence rate in most studies is around 75%. Knowledge of constraints and modulators of physical inactivity should be of help to engage the elderly in physical activity. The role of pharmacotherapy and bariatric surgery in the elderly is largely unknown as in most studies people aged 65 years and older have been excluded.

Iowa African-American Journal, February 2006, Black History Month Special Edition

Newsletter for the Iowa Commission on the Status of African-Americans. Black History Month Special Edition.

Iowa African-American Journal, February 2005, Black History Month Special Edition

Newsletter for the Iowa Commission on the Status of African-Americans. Black History Month Special Edition.

Iowa African-American Journal, Summer/Spring 2006, Vol. 11, no. 4

Newsletter for the Iowa Commission on the Status of African-Americans

Iowa African-American Journal, Spring 2005, Vol. 10, no. 4

Newsletter for the Iowa Commission on the Status of African-Americans

Iowa African-American Journal, Summer 2005, Vol. 10, no. 5

Newsletter for the Iowa Commission on the Status of African-Americans

Iowa African-American Journal, Fall 2005, Vol. 11, no. 1

Newsletter for the Iowa Commission on the Status of African-Americans

Iowa African-American Journal, Winter 2005, Vol. 11, no. 2

Newsletter for the Iowa Commission on the Status of African-Americans