IRB review and consent in human tissue research.
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Biomedical Research↗
Biomedical subjects
E R Miller
Publications and source records attributed to E R Miller.
Faunal correlation of Wadi Moghara, Egypt: implications for the age of Prohylobates tandyi.
Wadi Moghara, Egypt, is an early Miocene fossil locality with a mammalian fauna that includes Prohylobates tandyi, one of the earliest known representatives of the Cercopithecoidea. Faunal correlations were conducted between Moghara, Gebel Zelten (Libya) and a series of East African fossil sites with established radiometric dates in order to estimate the age of the Moghara mammals, including P. tandyi. Results confirm hypotheses proposed in some previous studies that: (1) Moghara is about 18-17 Ma, approximately the same age as the Hiwegi fauna from Rusinga Island (Kenya); (2) Moghara is slightly older than Gebel Zelten (Libya) (17-15 Ma); and (3) the cercopithecoid tooth presently identified as Victoriapithecus sp. from Napak V (ca. 19 Ma) is currently the oldest known record of a fossil Old World monkey, followed by P. tandyi from Moghara (Egypt) (18-17 Ma) and Prohylobates sp. from Buluk (Kenya) (>17.2 Ma), P. simonsi from Gebel Zelten (Libya) (ca. 17-15 Ma), and V. macinnesi from Maboko (Kenya) (ca. 16-14.7 Ma).
Age Determination by Skeleton↗
Protective effect of hepatitis B vaccine in chronic hemodialysis patients.
Hepatitis B virus (HBV) infection is a well-recognized risk in chronic hemodialysis patients. Although the risk has declined dramatically since the 1970s, outbreaks of HBV infection among these patients continue to occur. The Centers for Disease Control and Prevention (CDC) has recommended hepatitis B vaccination of hemodialysis patients since 1982; however, by 1996, only 36% of the approximately 200,000 US chronic hemodialysis patients had received the vaccine, perhaps in part because of doubts among dialysis personnel of its efficacy. We performed a case-control study to determine whether receipt of hepatitis B vaccine was associated with a decreased risk of acquiring HBV infection. We determined the vaccination status of all chronic hemodialysis patients at 98 US hemodialysis centers that reported patients with acute HBV infection on a nationwide mailed survey in 1995. A total of 111 hepatitis B surface antigen (HBsAg) positive case patients were compared with 12,500 control patients. Case patients were significantly less likely than control patients to have received hepatitis B vaccine (10.8% v 23.6%; odds ratio, 0.39; 95% confidence interval, 0.22-0.72). After stratifying by dialysis center to control for differing community and dialysis center risks of HBV infection, we found that the risk for HBV infection was 70% lower in vaccinated patients (adjusted odds ratio, 0.30; 95% confidence interval, 0.18-0.50). These results suggest that hepatitis B vaccine has a significant protective effect against acquiring HBV infection in chronic hemodialysis patients, and efforts should be expanded to increase the use of hepatitis B vaccine in this patient population.
Adult↗
Guilt, shame, and symptoms in children.
The authors asked whether evidence could be found for adaptive or maladaptive aspects of guilt and shame in 5-12-year-old children (44 boys, 42 girls). Children completed semiprojective and scenario-based measures thought to assess shame, guilt, or both. Their parents (N = 83) completed the Child Behavior Checklist to assess child symptoms. Shame and projective guilt were related to symptoms; they also were associated with self-blame and attempts to minimize painful feelings. Scenario-based guilt was related to fewer symptoms in boys but to greater symptoms in girls. This measure of guilt reflected concerns with adhering to standards, expressing empathy, and taking appropriate responsibility. Discussion focuses on possible origins of differential symptom-emotion links in boys and girls as well as measurement implications.
Affect↗
The prevalence of colonization with vancomycin-resistant Enterococcus at a Veterans' Affairs institution.
OBJECTIVE: To study vancomycin-resistant Enterococcus (VRE) prevalence, risk factors, and clustering among hospital inpatients. DESIGN: Rectal-swab prevalence culture survey conducted from February 5 to March 22, 1996. SETTING: The Veterans' Affairs Medical Center, Atlanta, Georgia. PATIENTS: Hospital (medical and surgical) inpatients. RESULTS: The overall VRE prevalence was 29% (42/147 patients). The VRE prevalence was 52% (38/73 patients) among patients who had received at least one of six specific antimicrobials during the preceding 120 days, compared with only 5% (4/74) among those who had not received the antimicrobials (relative risk, 9.6; P<.001). The longer the period (up to 120 days) during which antimicrobial use was studied, the more closely VRE status was predicted. Among 67 hospital patients in 28 multibed rooms, clustering of VRE among current roommates was not found. CONCLUSIONS: At this hospital with relatively high VRE prevalence, VRE colonization was related to antibiotic use but not to roommate VRE status. In hospitals with a similar VRE epidemiology, obtaining cultures from roommates of VRE-positive patients may not be as efficient a strategy for identifying VRE-colonized patients as obtaining screening cultures from patients who have received antimicrobials.
Aged↗
Association of dietary protein intake and coffee consumption with serum homocysteine concentrations in an older population.
BACKGROUND: Elevated blood concentrations of total homocysteine (tHcy) have been implicated in the pathogenesis of atherosclerotic cardiovascular disease. Previous studies identified suboptimal nutritional status and dietary intake of folate, vitamin B-6, and vitamin B-12 as determinants of elevated tHcy. OBJECTIVE: We identified other nutritional factors associated with tHcy in 260 retired schoolteachers in the Baltimore metropolitan area. DESIGN: We performed observational analyses of baseline and 2-4-mo follow-up data collected in a study designed to test the feasibility of conducting a large-scale clinical trial of vitamin supplements by mail. The study population consisted of 151 women and 109 men with a median age of 64 y. At baseline, each participant completed a food-frequency questionnaire. At follow-up, fasting serum tHcy was measured. RESULTS: In multivariable linear regression and generalized linear models, there was an independent, inverse dose-response relation between dietary protein and In tHcy (P = 0.002) and a positive, significant dose-response relation between coffee consumption and In tHcy (P for trend = 0.01). Other significant predictors of In tHcy were creatinine (positive; P = 0.0001) and prestudy use of supplemental B vitamins (inverse; P = 0.03). In stratified analyses restricted to persons receiving standard multivitamin therapy, the association of 1n tHcy with dietary protein and coffee persisted. CONCLUSIONS: These results support the hypothesis that increased protein intake and decreased coffee consumption may reduce tHcy and potentially prevent atherosclerotic cardiovascular disease and other disease outcomes.
Aged↗
The effects of aerobic exercise and T'ai Chi on blood pressure in older people: results of a randomized trial.
OBJECTIVE: To compare the effects on blood pressure of a 12-week moderate-intensity aerobic exercise program and a T'ai Chi program of light activity. DESIGN: A randomized clinical trial. SETTING: A suburban clinic in the Baltimore, MD, area. PARTICIPANTS: Sixty-two sedentary older adults (45% black, 79% women, aged > or = 60 years) with systolic blood pressure 130-159 mm Hg and diastolic blood pressure < 95 mm Hg (not on antihypertensive medication). INTERVENTION: Participants were randomized to a 12-week aerobic exercise program or a light intensity T'ai Chi program. The goal of each condition was to exercise 4 days per week, 30 minutes per day. MEASUREMENTS: Blood pressure was measured during three screening visits and every 2 weeks during the intervention. Estimated maximal oxygen uptake and measures of physical activity level were determined at baseline and at the end of the intervention period. RESULTS: Mean (SD) baseline systolic and diastolic blood pressures were 139.9 (9.3) mm Hg and 76.0 (7.3) mm Hg, respectively. For systolic blood pressure, adjusted mean (SE) changes during the 12-week intervention period were -8.4 (1.6) mm Hg and -7.0 (1.6) mm Hg in the aerobic exercise and T'ai Chi groups, respectively (each within-group P < .001; between-group P = .56). For diastolic blood pressure, corresponding changes were -3.2 (1.0) mm Hg in the aerobic exercise group and -2.4 (1.0) mm Hg in the T'ai Chi group (each within-group P < .001; between-group P = .54). Body weight did not change in either group. Estimated maximal aerobic capacity tended to increase in aerobic exercise (P = .06) but not in T'ai Chi (P = .24). CONCLUSIONS: Programs of moderate intensity aerobic exercise and light exercise may have similar effects on blood pressure in previously sedentary older individuals. If additional trials confirm these results, promoting light intensity activity could have substantial public health benefits as a means to reduce blood pressure in older aged persons.
Activities of Daily Living↗
Variability among sources and laboratories in nutrient analyses of corn and soybean meal. NCR-42 Committee on Swine Nutrition. North Central Regional-42.
A cooperative research study involving members of a regional committee (North Central Regional Committee on Swine Nutrition [NCR-42]) was conducted to assess the variability in nutrient composition (DM, CP, Ca, P, Se, and amino acids) of corn and soybean meal from 16 sources (15 states, mostly in the Midwest) and to assess the analytical variability in nutrient assays among 22 laboratories (labs; 16 experiment station labs and six commercial labs). Corn samples were obtained from each participating station's feed mill during a 3-yr period (1989, 1990, and 1992), as were soybean meal samples during a 2-yr period (1989 and 1990). Both regular soybean meal (with hulls) and dehulled soybean meal were represented in the study. Samples were analyzed for DM and CP by all 22 labs, for Ca and P by 15 labs, for amino acids by 10 labs, and for Se by 6 labs. Each lab used its own analytical procedures. Samples of corn and soybean meal varied in their nutrient composition depending on the area of origin. The greatest variation among sources was in Se concentration, ranging from .02 to .29 mg/kg in corn and .08 to .95 mg/kg in soybean meal. Crude protein and lysine in corn were positively correlated, but the regression coefficient was low (r2 = .49). The relationship between CP and lysine for the two soybean meals combined was considerably stronger (r2 = .81). Lysine in corn increased by .018 percentage point and lysine in soybean meal (regular and dehulled combined) increased by .063 percentage point for each 1 percentage point increase in CP. Except for CP and Se, the analytical variability among labs was as great as, and in some cases greater than, the variability in nutrient composition among sources of corn and soybean meal. Within-lab analytical variability tended to be less than among-lab variability. Some labs performed certain analyses with considerably less variability and more accuracy than others.
Animal Feed↗
Effect of dietary patterns on measures of lipid peroxidation: results from a randomized clinical trial.
BACKGROUND: Free radical-mediated oxidative damage to lipids is thought to be an important process in the pathogenesis of atherosclerosis. Although previous studies have demonstrated a beneficial impact of antioxidant vitamin supplements on lipid peroxidation, the effect of dietary patterns on lipid peroxidation is unknown. METHODS AND RESULTS: During the 3-week run-in period of a randomized trial, 123 healthy individuals were fed a control diet, low in fruits, vegetables, and dairy products, with 37% of calories from fat. Participants were then randomized to consume for 8 weeks: (1) the control diet, (2) a diet rich in fruits and vegetables but otherwise similar to the control diet, and (3) a combination diet rich in fruits, vegetables, and low-fat dairy products and reduced in fat. Serum oxygen radical-absorbing capacity, malondialdehyde (an in vitro measure of lipid peroxidation), and breath ethane (an in vivo measure of lipid peroxidation) were measured at the end of run-in and intervention periods. Between run-in and intervention, mean (95% CI) change in oxygen radical-absorbing capacity (U/mL) was -35 (-93, 13) in the control diet, 26 (-15, 67) in the fruits and vegetables diet (P=0.06 compared with control), and 19 (-22, 54) in the combination diet (P=0.10 compared with control). Median (interquartile range) change in ethane was 0.84 (0.10, 1.59) in the control diet, 0.02 (-0.61, 0.83) in the fruits and vegetables diet (P=0.04 compared with control), and -1.00 (-1.97, 0.25) in the combination diet (P=0.005 compared with control). Change in malondialdehyde did not differ between diets. CONCLUSIONS: This study demonstrates that modification of diet can favorably affect serum antioxidant capacity and protect against lipid peroxidation.
Adult↗
The abrupt onset of Graves' disease: documentation in the setting of a controlled feeding study.
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Adult↗
Epidemiology of cardiovascular risk factors in chronic renal disease.
Treatment and prevention of cardiovascular disease in the general population has benefited greatly from the identification of cardiovascular disease risk factors. Given the particularly high risk of cardiovascular disease and total mortality among patients with chronic renal insufficiency (CRI) and end-stage renal disease (ESRD), it is important to assess the role of traditional and nontraditional risk factors for cardiovascular disease. This review discusses the foundations of risk factor epidemiology and briefly summarizes the evidence regarding cardiovascular risk factors in renal disease. Diabetes and hypertension have a very high prevalence in patients with CRI. Patients with CRI and ESRD also have a higher frequency of cardiac dysfunction and left ventricular hypertrophy, which further increase the risk of cardiovascular disease. Finally, patients with renal disease have a higher prevalence of less established risk factors, including low HDL, and high triglycerides, lipoprotein(a), and homocysteine, where prospective studies and clinical trials are needed to provide a scientific basis for reduction of cardiovascular risk among patients with renal disease.
Cardiovascular Diseases↗
Dentition of Proteopithecus sylviae, an archaic anthropoid from the Fayum, Egypt.
Proteopithecus sylviae is an archaic anthropoid from the late Eocene quarry L-41, Fayum Province, Egypt. The dentition of Proteopithecus is very primitive and does not closely resemble that of other, better known, primates from the Fayum (e.g., parapithecids and propliopithecids). The dental morphology, much of which is described herein, shows a platyrrhine-like level of organization, suggesting that P. sylviae may occupy a position near the base of the modern anthropoid radiation.
Animals↗
Association between cigarette smoking and lipid peroxidation in a controlled feeding study.
BACKGROUND: Cigarette smoke may promote atherogenesis by producing oxygen-derived free radicals that damage lipids. However, evidence in support of this hypothesis is inconsistent because most studies did not control for aspects of diet (antioxidants and lipid substrate) that may confound the association between smoking and measures of lipid peroxidation. METHODS AND RESULTS: The relationships between cigarette smoking and two measures of lipid peroxidation, breath ethane (an in vivo assay) and thiobarbituric acid-reactive substances (TBARS, an in vitro assay), were examined in 123 adults (11% of whom were smokers) participating in a controlled feeding study. After 3 weeks of controlled feeding on a common diet (36% total fat, 14% saturated fats, 6% polyunsaturated fats, and 12% monounsaturated fats), breath and fasting serum samples were collected for measurement of ethane and TBARS, respectively. Baseline characteristics of smokers and nonsmokers were similar, including several indices related to diet and nutritional status (albumin, cholesterol, body mass index, and oxygen radical-absorbing capacity). Cigarette smokers had significantly higher breath ethane (8.88 versus 1.71 pmol/L; P<.0001) and TBARS (24.0 versus 20.7 micromol/mL; P=.008) than nonsmokers. The interval between breath collection and the time the last cigarette was smoked was significantly and inversely correlated with breath ethane. Neither measure of lipid peroxidation was associated with measures of serum cholesterol or albumin, body mass index, or serum oxygen radical-absorbing capacity. CONCLUSIONS: Cigarette smokers have higher rates of in vivo and in vitro lipid peroxidation. These results support the hypothesis that the atherogenic effects of smoking are mediated in part by free radical damage to lipids.
Adult↗
An upper dentition of Aframonius dieides (Primates) from the Fayum, Egyptian Eocene.
The first known upper dentitions--an adult and subadult--of the cercamoniine adapiform Aframonius dieides are described. Comparisons show that A. dieides has an upper molar morphology resembling that of other cercamoniine adapids but the species lacks some of their typical specializations. The new dental material confirms that Aframonius stands closer to Mahgarita from west Texas and Cercamonius from Europe than it does to Schizarodon and Omanodon from Oman-all of which have been ranked as cercamoniines. Affinities of the latter two genera probably lie with the Anchomomys group. The presence of a cercamoniine adapid in the Eocene of Egypt supports the view that early African anthropoideans evolved not in isolation, but concomitantly with a contemporary Eocene prosimian radiation.
Animals↗
Vascular access in patients receiving hemodialysis.
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Arteriovenous Shunt, Surgical↗
Respiratory symptoms and lung function abnormalities among machine operators in automobile production.
This cross-sectional study was designed to assess differences in prevalence of respiratory symptoms and lung function between machine operators exposed to semisynthetic or soluble metal-working fluids (MWFs) and unexposed assemblers and to assess exposure-response relationships with MWF type, total aerosol, endotoxin, culturable bacteria and fungi. We evaluated 183 machine operators and 66 assemblers from one large automobile transmission plant using questionnaires, spirometry data, and cross-shift assessment of both lung function and respiratory symptoms. We found that airborne exposures to total aerosol, endotoxin, culturable bacteria and fungi were higher in machine operations than in the assembly area. There was a correlation between bulk and airborne culturable bacteria, but not between bulk and airborne culturable fungi. Machine operators had significantly more usual cough, usual phlegm, work-related chest tightness and post-shift symptoms of chest tightness, throat irritation, and cough compared with assemblers. We found exposure-response relationships between respiratory symptoms and total aerosol, as well as culturable fungi and bacteria. Associations with endotoxin were not strong or consistent, possibly because airborne levels were generally low. Cross-shift lung function decrements did not differ between machine operators and assemblers and there were no associations with MWF or specific exposures. The finding of respiratory symptoms at low levels of exposure in this study suggests the need to re-assess total aerosol thresholds. Associations between airborne fungal exposures and respiratory symptoms need further study to characterize sources of exposure other than MWF in machining operations.
Adult↗
The effect of antioxidant vitamin supplementation on traditional cardiovascular risk factors.
BACKGROUND: Evidence from observational epidemiologic studies has indicated that antioxidants consumed through the diet or as dietary supplements lower the risk of developing atherosclerotic cardiovascular disease. Evidence suggesting that the major mechanism for the protective effect of antioxidants is mediated through decreased oxidation of lipids, particularly low-density lipoprotein (LDL) cholesterol is accumulating. Other evidence, however, suggests that antioxidants may influence traditional modifiable cardiovascular risk factors such as the blood pressure and serum lipids favorably. The purpose of this study was to determine the effect of antioxidant vitamin supplementation on modifiable risk factors for atherosclerotic cardiovascular disease. DESIGN: A randomized, placebo-controlled, clinical trial of antioxidant vitamin supplementation, conducted at a single community-based clinical research center. METHODS: We assigned 297 retired teachers who were members of the Maryland Retired Teachers Association randomly to 2-4 months of dietary supplementation with placebo or combined antioxidant vitamin capsules providing 400 IU/day vitamin E, 500 mg/day vitamin C, and 6 mg/day beta-carotene. The outcome measures were the blood pressure, fasting serum total cholesterol, high-density lipoprotein cholesterol, LDL cholesterol, and fasting glucose. RESULTS: After 2-4 months of supplementation the combined antioxidant supplement had had no significant effect on the systolic and diastolic blood pressures, fasting serum lipids (total cholesterol, high-density lipoprotein cholesterol, and LDL cholesterol) and fasting glucose, with unadjusted and adjusted analyses. CONCLUSION: Data from this trial suggest that the protective effect from antioxidant vitamin supplementation, if there is one, likely results from mechanisms other than modification of traditionally modifiable cardiovascular risk factors.
Antioxidants↗
Supplemental phytases of microbial and cereal sources improve dietary phytate phosphorus utilization by pigs from weaning through finishing.
This experiment was conducted to measure the nutritional and metabolic responses of pigs fed diets with continuous supplementation of microbial and cereal phytase from weaning to finishing, and to determine the feasibility of complete replacement of inorganic P addition by supplemental phytase in swine diets. Forty-eight Landrace x Hampshire x Meishan pigs were divided into four groups. In phase 1 (10 to 50 kg BW), pigs in Groups 1, 2, 3, and 4 were fed a low-P, corn-soybean meal basal diet (BD), the BD plus microbial phytase (A. ficuum) at 1,200 units/kg, the BD plus 10% wheat bran (230 units of cereal phytase/kg), and the BD + .24% inorganic P (calcium phosphate), respectively. In phase 2 (51 to 90 kg BW), these pigs were fed a similar BD or the BD plus 1,000 microbial phytase units/kg, 20% wheat bran, or .20% inorganic P, respectively. Repeated measures included growth performance, P, Ca, and N balance, metatarsal and metacarpal bone strength, serum concentration of inorganic P, Ca, and 1,25-dihydroxycholecalciferol, and serum alkaline phosphatase activity. Pigs fed the BD supplemented with microbial phytase and pigs fed the BD supplemented with inorganic P showed almost identical responses for all variables. Pigs fed the BD supplemented with cereal phytase also had responses for various measures that were similar to those of pigs fed microbial phytase or inorganic P, except for some differences in serum inorganic P concentrations and bone strength in phase 1. Because of improvements in apparent digestibility of dietary P and N, fecal excretion of these two nutrients was reduced by 31 to 62% (P < .05) in pigs fed the BD supplemented with phytase compared with pigs fed inorganic P. It is physiologically feasible and environmentally advantageous to replace inorganic P with microbial or cereal phytase in corn-soybean meal diets for this type of pig through the entire growing-finishing period.
6-Phytase↗