1.Population analysis of Aedes albopictus (Skuse) (Diptera:Culicidae) under uncontrolled laboratory conditions.
H Nur Aida ; A Abu Hassan ; A T Nurita ; M R Che Salmah ; B Norasmah
Tropical biomedicine 2008;25(2):117-25
A semi laboratory experiment using 3 cohorts of Aedes albopictus adults was performed to obtain age-specific mortality and fecundity information and to derive statistical estimates of some population growth parameters. Life expectancy was calculated for both males and females. The following population parameters were estimated: intrinsic rate of increase (rm= 0.21), net reproductive (replacement) rate (Ro= 68.70), age at mean cohort reproduction (To=10.55 days), birth rate (B=0.23), death rate (D=0.02) and generation time (G=20.14 days). The high rm/B (0.91) and B/D (11.50) ratios indicated the high colonizing ability of Ae. albopictus in nature.
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Aedes albopictus
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Population
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Culicidae
2.Chlamydia trachomatis infection and distribution of serovars in the Eastern Highlands Province, Papua New Guinea.
Dagwin L Suarkia ; Charles S Mgone ; Deborah Lehmann ; Megan E Passey ; Tony Lupiwa ; Michael M Paniu ; Jacinta Kono ; Mexy Kakazo ; William Yeka ; Michael P Alpers
Papua and New Guinea medical journal 2007;50(3-4):134-44
We have used nested polymerase chain reaction (PCR) and the PCR-based endonuclease digestion method to genotype Chlamydia trachomatis serovars in 460 infected individuals from the Eastern Highlands Province of Papua New Guinea. Our study groups comprised women who presented in labour to the Goroka Base Hospital, their newborn infants, symptomatic children who presented to the hospital's Outpatients Department and men and women from 15 randomly selected villages in the Asaro Valley. In this analysis, the major outer membrane protein (MOMP) gene, omp1, of C. trachomatis was amplified using DNA obtained from the endocervix of women, urine from men, and both the eye and nasopharynx of children. Amplified DNAs were digested concurrently using Alul and a combination of EcoRI, Hinl and Hpall restriction enzymes. The mixtures were separated on electrophoretic gels and the respective serovars designated on the basis of resolved digested DNA patterns. Our results, which were confirmed also by omp1 sequence data, show serovars D, E, F, G, H and L3 to be present in the studied communities. The overall relative frequencies of these serovars were 30%, 21%, 25%, 1%, 20% and 2% respectively, with serovars D, E, F and H accounting for 97% of these infections. Double infections among these principal serovars were also detected in all our study groups but at a low overall frequency of 3%. Serovar D was the major agent involved in the aetiology of chlamydial infection in both children and adults though serovar F was the most frequent in newborn infants. Serovar H was relatively less frequent in symptomatic children. No trachoma-related serovars were detected, confirming the rarity of this disease in Papua New Guinea. In contrast, although clinical cases of lymphogranuloma venereum have not been described in the country, the detection of serovar L3 in this study suggests that it may occur. However, the association of L3 also with childhood infection indicates that it may be causing the same pathology as the serovars D-K that are associated with non-ulcerative sexually transmitted infections.
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Papua New Guinea
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Child
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3.Optimal Serum 25-Hydroxyvitamin D3 Level Associated with Functional Capacity and Physical Function among Frail Elderly People Living in Rural Area.
Journal of the Japanese Association of Rural Medicine 2008;57(5):704-712
The purpose of this study was to investigate an optimal 25-hydroxyvitamin D3 [25(OH)D] level for Japanese frail elderly people aged 65 and above from the standpoint of quality of life, functional capacity, and physical function. A longitudinal study was conducted in two towns (latitude 36 degrees north) from 2006 to 2008. The subjects were 125 frail elderly individuals living in a rural setting and attending a 3-month exercise class for prevention of age-related diseases in order that they could do without receiving nursing care. An interview was conducted based on a questionnaire, and blood data, and physical fitness tests were administered to them at baseline and at the end of the 3-month exercise class. Functional capacity and physical fitness were compared on the basis of 25(OH)D≥50 nmol/L as a usual cut-off point, and 25(OH)D≥75 nmol/L as a severer cut-off point. A comparison of changes in physical fitness between before and after exercise class was done. The mean 25(OH)D level (±SD) was 58.9±13.6 nmol/L at baseline. The ratios of 25(OH)D level less than 50.0 nmol/L and less than 75.0 nmol/L were 23.9%, and 87.2%, respectively. The rates of house-bound subjects and those with worse scores of QOL were significantly higher in the group with 25(OH)D<50.0 nmol/L compared with the group with 25(OH)D≥50 nmol/L. The rate of those with superior functional capacity was significantly higher in the group with 25(OH)D≥75 nmol/L than the group with 25(OH)D<75 nmol/L. At the end of the 3-month exercise, Timed Up & Go indicating walking ability improved significantly in the group with 25(OH)D≥50 nmol/L, and an alternate step test indicating lower extremity strength significantly improved in the group with 25(OH)D≥75 nmol/L. From these findings, it was suggested that 25(OH)D level more than 50 nmol/L would be needed to maintain walking ability of the Japanese frail elderly and that 25(OH)D level more than 75 nmol/L would be needed to maintain lower extremity strength or functional capacity.
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Nanomole/liter
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Frail Elderly
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Exercise
4.Analyses of Serum Micronutrients and Vitamin Concentration in Long-Term Enteral Nutritional Support after Direct Percutaneous Endoscopic Jejunostomy (D-PEJ)
Shinji NISHIWAKI ; Yukari NIWA ; Naohumi KAWADE ; Kiyoyuki TAKENAKA ; Masahide IWASHITA ; Nobuhito ONOGI ; Hiroo HATAKEYAMA ; Takao HAYASHI ; Teruo MAEDA ; Koushiro SAITOH
Journal of the Japanese Association of Rural Medicine 2007;56(4):632-637
Enteral feeding is generally accepted in patients who cannot take nutrients orally. Percutaneous endoscopic gastrostomy (PEG) is a major enteral means for the introduction of nutritional solutions. However, jejunal feeding is sometimes employed instead of gastric feeding in cases of post-gastrectomy or repeated aspiration after PEG. The digestion and absorption of nutrients in trans-jejunal feeding might be different from those in trans-gastric feeding. In the present study, we measured the serum concentations of micronutrients and vitamins in the cases of direct percutaneous endoscopic jejunostomy (D-PEJ), compared to those of PEG. The enteral feeding has been continued for more than six months in all the cases. Serum copper and zinc concentration were significantly decreased in the D-PEJ group, whereas no significant difference in the concentrations of iron, selenium, vitamins A, B12 and E was ovserved between the two groups. Anemia and neutropenia were frequently observed in many patients with D-PEJ. These conditions were associated with copper deficiency. Much attention should be paid to copper and zinc deficiency in long-term trans-jejunal feeding.
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Percutaneous endoscopic jejunostomy [PEJ]
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Percutaneous endoscopic gastrostomy
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Serum
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Feeding
5.Vitamin D Nutritional Status of Women Living on a Solitary Island in Japan
Kazutoshi NAKAMURA ; Mitsue NASHIMOTO ; Kazuo ENDOH ; Masaharu YAMAMOTO
Environmental Health and Preventive Medicine 2000;5(2):49-52
Objective: Serum 25−hydroxyvitamin D [25(OH)D] is a vitamin D metabolite and a good indicator of vitamin D nutritional status. Low 25(OH)D levels accelerate age−related bone loss in women. The aim of this study was to assess 25(OH)D levels using population−based samples from women in a community in Japan. Subjects and Methods: Of all 187 adult women living on a solitary island (Niigata, Japan), 150 (80.2%) were enrolled in a cross−sectional study in early June 1998. After excluding 6 subjects who were undergoing treatment for osteoporosis, 144 female subjects were analyzed. Serum 25(OH)D2 and 25(OH)D3 were determined by high−performance liquid chromatography. The sum of 25(OH)D2 and 25(OH)D3 was calculated, yielding 25(OH)D, for which a concentration of less than 30 nmol/L was defined as vitamin D insufficiency. Demographic data such as age, height, weight, and body mass index (BMI) were also recorded. Results: The average age of the subjects was 61.3 years (SD 12.8), ranging from 21 to 87. The average concentrations of 25(OH)D2 and 25(OH)D3 were 0.5nmol/L (SD 3.2) and 64.6nmol/L (SD 17.6), respectively. The number of subjects with 25(OH)D concentration less than 30nmol/L was 4 of 149(2.7%). Serum 25(OH)D concentrations were not significantly correlated with age (r=−0.065, p=0.441) or BMI (r=0.086, p=0.310). Conclusion: The present population−based study confirms adequate levels of 25(OH)D and low prevalence of vitamin D insufficiency in Japanese women. Further research should be directed toward clarifying which dietary factors determine vitamin D nutrition.
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Vitamin D
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Nutritional status
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Human Females
6.Problems with the Japanese Version of the Center for Epidemiologic Studies Depression (CES-D) Scale when Applied to Japanese Independent Community-Dwelling Elderly: an Examination of the Factor Structure
Environmental Health and Preventive Medicine 2003;8(5,6):184-190
Purpose: The present study aimed to determine the problems of the Japanese version of the Center for Epidemiologic Studies Depression (CES-D) scale when applied to Japanese independent community-dwelling elderly focusing on its factor structure. Methods: The subjects were 1791 community-dwelling independent elderly aged 60 and over (848 males and 943 females). This study used the Japanese version of the CES-D scale to assess depression in the elderly. Results: From the results of an exploratory factor analysis, the four factors of somatic symptoms, depression affect, positive affect and relation with others were interpreted. These factors were the same as those in the previous study, but the items making up each subscale differed. Therefore, the construct validity of each subscale was not necessarily assured. In the confirmatory factor analysis, goodness-of-fit was high for both the first and second-order factor models. In examining the validity by Akaike's information criterion (AIC), the second-order factor model assuming depression as a higher-order factor among the four factors was a better fit than the first-order factor model. Although the reliability of each subscale was not sufficient, adequate reliability was assured in the total scale. Conclusion: An assessment of depression using the Japanese version of the CES-D scale should be conducted using the total score, while a re-examination of items making up each subscale is needed.
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2-Chloroethyl 2-(4-1,1-dimethylethyl) phenoxy-1 methylethyl ester
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Elderly
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Cancer patients and suicide and depression