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Variance of interaction effects of sire and herd for yield traits of Holsteins in California, New York, and Pennsylvania with an animal model.

An animal model with a REML algorithm was used to estimate variances of additive genetic effects and interaction effects of sire and herd. Milk and fat yields were analyzed for first, second, and third lactations of Holsteins from California, New York, and Pennsylvania. Twenty samples of data were used in the study: 10 from California, 4 from New York, and 6 from Pennsylvania. Mean number of lactations per sample was 36,820 from 18,189 cows in 156 herds. Mean fractions of phenotypic variance of interaction effects of sire and herd for milk and fat yields were .015 and .019 for first lactation and .019 and .021 for all (up to three) lactations rather than the .14 used for national genetic evaluations in the US. Mean heritability estimates for milk and fat yields were .26 and .24 for first lactation and .21 and .21 for all lactations in California and .34 and .35 for first lactations and .28 and .29 for all lactations in New York. Sums of variances of permanent environmental and interaction effects of sire and herd were similar to those used for national genetic evaluations in the US. Analysis of another 10 samples from California and 10 samples from New York showed only slightly different fractions of phenotypic variance for milk yield for interaction effects of sire by herd, sire by herd by year, and sire by herd by year by season: .023, .027, and .037 for California and .023, .017, and .023 for New York, respectively.

Animals↗

Estimates using an animal model of (co)variances for yields of milk, fat, and protein for the first lactation of Holstein cows in California and New York.

First lactation yields of milk, fat, and protein from Holstein cows in New York and California were used to obtain REML estimates of (co)variances for yield traits using a multitrait animal model. Data from each state were split randomly into 10 samples, averaging 5504 cows per sample from California and 5078 from New York. Mean heritability estimates for milk, fat, and protein yields were .30 +/- .02, .31 +/- .01, and .29 +/- .01 for California data and .33 +/- .01, .35 +/- .01, and .30 +/- .01 for New York data. Averages of genetic correlation estimates for California and New York were .63 +/- .01 and .52 +/- .02 between milk and fat, .84 +/- .01 and .83 +/- .01 between milk and protein, and .73 +/- .01 and .68 +/- .01 between fat and protein. Estimates of environmental correlations were larger than estimates of genetic correlations. Mean estimates of phenotypic correlations for California and New York were .75 +/- .01 and .72 +/- .01 between milk and fat, .92 +/- .01 and .91 +/- .01 between milk and protein, and .81 +/- .01 and .79 +/- .01 between fat and protein yields. On average, these estimates agree with those obtained from animal models with limited rounds of iteration for small data files.

Animals↗

Isolation of Northway serotype and other Bunyamwera serogroup bunyaviruses from California and Oregon mosquitoes, 1969-1985.

Eight previously untyped Bunyamwera serogroup bunyaviruses that had been isolated from mosquitoes collected in California and Oregon between 1969 and 1985, were identified by cross-neutralization tests. Four viruses from Anopheles freeborni and a virus from Aedes sierrensis collected in Butte County in the Central Valley of California in 1970-71 were shown to belong to the Northway serotype. The existence of a Northway serotype virus in California had been inferred from previous serologic surveys of deer and horses, but these are the first Northway serotype viruses to be identified from the contiguous United States or from An. freeborni. This is also the first isolation of any virus from Ae. sierrensis. Two viruses from Culiseta inornata collected in Umatilla County, Oregon in 1969 may represent a new serotype in the Bunyamwera serocomplex of the Bunyamwera serogroup. The name "Stanfield" is proposed for this serotype, which is closely related to the Cache Valley and Northway bunyavirus serotypes. A virus from Ae. taeniorhynchus collected in San Diego County, California in 1985 was confirmed to belong to the Main Drain serotype. Previously, Main Drain serotype viruses in California have been associated principally with Culicoides variipennis.

Aedes↗

Serologic and molecular evidence of Ehrlichia spp. in coyotes in California.

In order to determine the role of coyotes in the epidemiology of granulocytic and monocytic ehrlichial agents in California (USA), we tested 149 serum samples for antibodies against Ehrlichia equi, E. risticii, and E. canis, using an indirect immunofluorescent antibody test. Polymerase chain reaction (PCR) assay was used to survey for the presence of members of the E. phagocytophila genogroup, E. risticii and E. canis in blood samples of 95 coyotes. Sixty-eight (46%) samples were seropositive for E. equi, two (1%) for E. risticii and none of the samples had antibodies reactive to E. canis. Two and one coyote were positive for E. risticii and members of the E. phagocytophila genogroup by PCR assay, respectively. In contrast, the 95 samples were negative for E. canis by PCR. Ninety-five percent of the 68 E. equi seropositive coyotes and the one coyote PCR positive for members of the E. phagocytophila genogroup originated from a coastal area. However, the two E. risticii seropositive coyotes and the two coyotes PCR positive for E. risticii were from northern California. Sequence analysis of the three amplified PCR products revealed the agent to be similar in two coyotes to the sequences of E. risticii from horses originating from northern California and identical in one coyote to the agent of human granulocytic ehrlichiosis and E. equi from California. Thus, coyotes are exposed to granulocytic ehrlichiae and E. risticii and may play a role in the epidemiology of these ehrlichial agents in California.

Age Factors↗

Reasons given by California physical therapists for not belonging to the american physical therapy association.

BACKGROUND AND PURPOSE: In 1997, only 22% of licensed physical therapists living in California were members of the American Physical Therapy Association (APTA). This 1998 study was designed to identify the reason(s) why most licensed physical therapists in California choose not to belong to their profession's national association and to examine the demographics of nonmembers. SUBJECTS: The subjects were a random sample of 400 California licensed physical therapists who were not members of APTA. METHODS: The survey instrument included a demographic questionnaire and statements for response using a 5-point Likert-type scale. Frequency distributions were calculated for responses and demographic data. Nonparametric analyses were used to determine statistical significance. Chi-square analysis was used to compare responses to statements by gender and by full-time versus part-time work status. Spearman rank correlation coefficients were used to determine any relationships between demographic data (eg, gender and work status). The Mann-Whitney U test was used to determine any differences in responses to specific representation questions by those respondents who worked in those environments. All statistical tests were 2-tailed tests conducted at the P(.05 level, unless otherwise indicated. Means, standard deviations, and ranges were used where appropriate. RESULTS: There was a 67% response rate. Eighty-nine percent of the respondents had been members of APTA. Eighty-eight percent of the respondents believed that APTA national dues were too high, and 90% thought California Chapter dues were too high. DISCUSSION AND CONCLUSION: Cost was the primary reason given for APTA nonmembership in California.

Adult↗

Cancer epidemiology in populations of the United States--with emphasis on Hawaii and California--and Japan.

The population of California and the San Francisco Bay Area has a number of ethnic components that differ in the frequency with which certain cancers occur. Mortality rates of California Janpanese and incidence data from the cancer reporting system of the Bay Area are analyzed for the cancer sites considered related to nutrition. The American Japanese of California are particularly amenable to epidemiological study because of the cancer data available from Japan for comparison with that of the California Japanese. The cancer rates occurring among the successive generations of the Japanese in California are compared to the rates in Japan and the white rates for the Bay Area. Gastric cancer rates undergo a stepwise reduction from the high rates in Japan to the intermediate rates of immigrant Japanese and the lower rates for the American born. Colon cancer rates are increased about equally in both generations of Japanese and are approaching the white rates. Cancers of the breast, uterine corpus, and ovary in women and the prostate for men are rapidly approaching the rates for the white population. Etiologies are continually being identified or indicated for a number of these cancers by epidemiological studies, and more specific identification of carcinogenic mechanisms should be possible by other disciplines.

Adolescent↗

How then should we die?: California's "Death with Dignity" Act.

The cultural significance of recent changes in medicine and advances in biotechnology can hardly be overstated. Such have stirred fresh interest in the moral foundations of ethical decision-making and lively debate has ensued as well over the basis of human dignity. Largely divorced from the distinctive moral and ethical commitments that once informed and directed medical practice, modern secular notions of bioethics collapse frequently into human philosophical models of rights and justice. The project of Western medicine now continues within the cultural framework of a radical postmodern agenda that calls for the critical deconstruction and absolute relativizing of all knowledge, and the thorough secularization of the public square. Truth, once understood as a fixed expression of a fundamental reality, has been eschewed in favor of personal preference, subjective experience, private interpretation, and radical perspectivism. Perhaps the greatest challenge facing contemporary culture is that of arriving at a clear and convincing consensus on what constitutes moral surety as well as agreement on what knowledge can serve as an adequate foundation for living the moral life. Having abandoned the reality of divine involvement in the creation and sustenance of human life, contemporary culture now toys with what it means to be human without God. Increasingly popular is the view that whether one possesses dignity or not turns on the question of suffering. Under modern parlance it is simply undignified to suffer. Suffering, somehow, is believed to reduce a person to a state that is incompatible with dignity. Therefore, it should come as no surprise that one of the most pressing social issues today involves the effort to legalize physician-assisted suicide--a project based upon the view that people ought to "die with dignity." In California this view is embodied in Assembly Bill 1592, The "Death with Dignity Act." It is intended to establish California as the second state in the United States to legalize physician-assisted suicide. Patterned closely after Oregon's groundbreaking law, the California bill provides for a terminally ill patient to end his or her own life when certain conditions exist. The purpose of this paper is to review the historical development of California Assembly Bill 1592. An evaluation of both the content of this bill and the process by which it was introduced to the California State Assembly will be offered. The student of bioethics will here find that the usual arguments in support of physician-assisted suicide in the United States, as well as euthanasia in the Netherlands, have been employed in support of AB1592; namely suffering and autonomy. Given the rather predictable pattern of argument advanced by advocates of physician-assisted suicide and euthanasia, this discussion will prove useful for those who wish to offer an informed and sensitive Christian response to similar legislative efforts in other states and countries.

California↗

Amyotrophic lateral sclerosis among Guamanians in California.

Amyotrophic lateral sclerosis is known to be prevalent among the Chamorros or natives of Guam and the other Mariana Islands. In a survey of adult Chamorros who had been residing in California it was found that the prevalence was equally high among that group. Guamanians residing in California were found to eat diets similar to those of other Californians and to be living in housing which was similar to that of the other California populations of the same income status. A few native articles of food which were received occasionally by some of the Guamanians were not believed to be of etiologic significance in ALS. The data on the prevalence of ALS among the Guamanians in California suggested that change of environment from Guam to California does not prevent the disease in persons predisposed to it. The data support the view that ALS is due to a genetic mechanism.

Adult↗

Workmen's Compensation Act; some aspects of interest to California physicians.

This article was prepared by Mr. William M. Whelan, Director of Special Services, California Medical Association, under the supervision of Dr. Francis J. Cox, Chairman of the Medical Services Commission of the Association, and Mr. Howard Hassard, the Association's Legal Counsel. It is intended as a brief synopsis of the California Workmen's Compensation Law as it applies to the physician in private practice. It is not an exhaustive treatment of the subject. A physician who desires to acquaint himself in detail with California industrial practice should consult the article entitled "The Physician's Role in Workmen's Compensation," California Medicine, 82:352-362, April, 1955. Inquiries regarding industrial medicine should be addressed to Mr. William M. Whelan, California Medical Association, 450 Sutter St., San Francisco 8.

California↗

Epidemiological factors of cancer in California.

California has 12% of the U.S. population. In 1991, the newly diagnosed cancer cases in California represented 10% of all new cancer cases in the country, and the yearly toll was 10% of all cancer deaths. Relative to all new cancer cases in the U.S., California had 10, 9.8, 9.8, and 9.3% of breast, lung, prostate, and colorectal cancers, respectively. Because of its large population and cancer incidence, the epidemiology of cancer in California is of particular interest. Epidemiological factors reviewed in this article include ethnicity, lifestyle, occupation, and environmental conditions. Ethnic factors: There is an increased incidence of cervical and gallbladder cancer among Hispanic women, and of stomach cancer in Hispanic men and women. In U.S.-born Chinese men, the most prevalent cancers are those of the lung and colon, which is also seen in American white men. In U.S.-born Chinese women, there is an upward displacement of breast cancer incidence. In U.S.-born Japanese men and women, the mortality rate is closer to that of American whites. Life-style: Members of the Mormon Church and Seventh-Day Adventists have only 50% of the U.S. standardized mortality rate for cancer associated with smoking. Increased coffee consumption has been found to be associated with increased occurrence of colon and bladder cancer; alcohol use has been reported to have a positive association with colorectal cancer. The large AIDS population in San Francisco has a 144-fold odds ratio of Kaposi's sarcoma and a fivefold odds ratio of lymphoma when compared with the general U.S. population. Occupational factors: An increased incidence of mesothelioma in asbestos workers, of gastric cancer, skin cancer, and lymphoma in men working in dusty environments, and of astrocytoma in individuals with prolonged exposure to low-frequency electric and magnetic fields has been recorded. Environmental factors: The drinking-water pool in northern California is contaminated with asbestos of the serpentine type, which is associated with mesothelioma of the peritoneum and carcinoma of the lung, gallbladder, and pancreas. Petrochemical fumes in the heavily industrialized San Francisco Bay area have not been associated with an increased occurrence of cancer. No significant incidence in cancer has been noted in the counties surrounding the nuclear power plant at San Onofre during 18 years of close observation.

Acquired Immunodeficiency Syndrome↗

Asthma among California's children, adults and the elderly: a geographic look by legislative districts.

Asthma is a chronic lung condition characterized by wheezing, breathlessness, chest tightness, and nighttime or early morning coughing; it has been on the rise in the United States over the past two decades. In California, about three million children and adults who have ever been diagnosed with asthma also experienced asthma symptoms at least once in 2002. This policy brief provides data for California legislative districts to highlight the variation in asthma symptom prevalence for children and adults across the state. Asthma symptom prevalence rates at the district level are estimates created by a small-area methodology, based on rates from the 2001 California Health Interview Survey (CHIS 2001) that are applied to population data from the 2000 Census and 2002 California Department of Finance. This first-of-its-kind sub-county data are relevant for policy makers, advocates, and medical providers to illuminate the problem of asthma throughout California and within local communities.

Adolescent↗

California Stem Cell Research and Cures Act: what to expect from stem cell research?

On November 2, 2004 California voters approved Proposition 71, the California Stem Cell Research and Cures Act ("Act"), a $3 billion bond measure to advance stem cell research over the next ten years. The Act also created the California Institute for Regenerative Medicine (CIRM) and the Independent Citizens Oversight Committee (ICOC) which will govern the Institute, and make grants and loans for stem cell research and research facilities. This article will cover the history of the "Act", its potential impact on NIH's current stem cell program, and what are other states doing to compete with California's revolutionary efforts. In addition, the article will discuss the criteria for California's grant applicants under the Act and the legal issues surrounding the new discoveries funded by the Act.

California↗

The epidemiology of AIDS in the New York and California Medicaid programs.

An epidemiological analysis of the impact of AIDS on the New York and California Medicaid programs was conducted for 1983-1986. The epidemic affected the New York and California Medicaid programs in several similar ways. The total number of cases grew rapidly over the study time period. In both states, the epidemic was mostly confined to the young adult (21-44 years) age group. Cases were geographically concentrated and highly localized even within counties, but evidence of geographic dispersion to counties outside of the urban centers was also evident. Some dramatic differences were also found between California and New York. Patients with claims histories of drug use were far more likely to be found in the New York population and the proportion of other adult males (our proxy for the homosexual risk group) was higher in California. A much higher proportion of New York's population was female (30 vs. 5%). New York also had many more pediatric cases. Most importantly, New York's raw number of cases was substantially higher than California, with approximately three times as many cases during the time period (1983-1986). There is also substantial evidence that transmission of the disease to heterosexual partners of drug users places heterosexual urban minorities at grave risk of contracting the disease through interaction with infected persons.

Acquired Immunodeficiency Syndrome↗

Estimation of survival and gonotrophic cycle length of Culicoides variipennis (Diptera: Ceratopogonidae) in California.

The use of a time series analysis to estimate the survival rate and gonotrophic cycle length of Culicoides variipennis at 2 California sites is described. Collections were made daily for 28 days in Yolo County (northern California) and for 25 days in Riverside County (southern California) in July and August of 1989, respectively, using CO2-baited suction traps. The time series analysis of these collections yielded a gonotrophic cycle length estimate of 3 days. Stage-specific and daily survivorship estimates 0.242 and 0.623, respectively, were determined for the northern California site. The time series method was found unsuitable for estimating the gonotrophic cycle length or daily survivorship at the southern California site.

Animals↗

Practice environment for nurse practitioners in California. Identifying barriers.

Barriers exist that prevent nurse practitioners from using their primary health care knowledge and skills. We present the incidence of and specific barriers experienced by nurse practitioner respondents in California, the state with the largest number of nurse practitioners in the nation. A January 1995 survey was sent to all nurse practitioners certified in California to elicit their experiences regarding legal or social barriers in their practice, with space for an open-ended response. Of an estimated 3,895 nurse practitioners in California, 2,741 (70%) returned surveys. Most nurse practitioner (65%) respondents in California are providing primary care. Perceived barriers to practice are lack of prescriptive authority, lack of support from physicians, reimbursement difficulties, and lack of public awareness. Current barriers to nurse practitioner practice in California are similar to national barriers discovered in 1992 data. The development of interprofessional dialogue and the recognition of the contributions of all primary care professionals are some of the steps that can be taken to reduce these barriers and increase the use and effectiveness of nurse practitioners in primary care.

California↗

Disease and injury in California with projections to the year 2007. Implications for medical education.

In this article, as part of an evaluation of the future of medical education in California, we characterize the distribution of disease and injury in California; identify major factors that affect the epidemiology of disease and injury in California, and project the burden of disease and injury for California's population to the year 2007. Our goal is to elucidate the major causes of illness and disability at present and in the near future in order to focus state resources on the interventions likely to have the greatest impact. Data from various governmental agencies were utilized; the base year, 1993, is the most recent year with sufficient information available when this report was prepared. Several major risk factors have decreased, including smoking (30% decline from 1984 to 1993) and drinking and driving. However, hypertension prevalence has not changed, and overweight has increased dramatically. Poverty continues to burden about 15% of Californians, with poverty highest among children. During 1993, 220,271 Californians died, with 3 major causes accounting for 61% of these deaths: coronary heart disease (31%), cancer (23%), and stroke (7%). In terms of potential years of life lost (years lost before age 65), the most important causes of death in 1993 were unintentional injury (756 years lost/100,000 population), cancer (632 years), and the acquired immunodeficiency syndrome (AIDS; 491 years). Mortality rates were highest among blacks and lowest among Asians. Overall mortality in California has been declining for decades; in just 1 decade, from 1980 to 1991, mortality declined from 780 to 680 deaths per 100,000 population. Several major causes of death have declined, including coronary heart disease, stroke, unintentional injury, cirrhosis, and suicide, while others have increased, for example, chronic obstructive lung disease and diabetes mellitus. Death from AIDS increased dramatically in the past decade, but is leveling off, and death from cancer is beginning to decline. Rates for overall mortality and morbidity, and for most specific conditions, should continue to decline. A projected 28% population increase by 2007 will yield a corresponding increase in the absolute level of disease cases and death; a disproportionate increase in younger and older groups will yield increased conditions affecting young (unintentional injury, AIDS) and older (heart disease, cancer, stroke, diabetes mellitus) people. Californians should experience overall improved health in coming years, reaping benefits of reduced environmental and behavioral risk factors as well as improved medical treatment and rehabilitation. Coordinated strategies for health promotion, disease prevention, delivery of medical treatment, and rehabilitation are needed to maintain and improve present levels of health across the life span.

Adolescent↗

Mytilus californianus as an indicator of heavy metals on the northwest coast of Baja California, Mexico.

Samples of Mytilus californianus were analyzed to determine the spatial and temporal distribution of Ag, Al, Cd, Cr, Cu, Mn, Pb and Zn concentrations on the northwest coast of Baja California and to compare the results with levels reported for California, USA. The samples were collected at eight sites from the US-Mexican border to San Quintín, BC (300 km south of the border) in February and July 1982 and 1994. During both years, north-south gradients in the concentration of Ag and Pb were observed, with the highest values close to the US-Mexican border (Ag = 0.60-1.54 and Pb = 0.21-2.89 micrograms g-1) and the lowest in the southern part of the study area (Ag = 0.05-0.10 and Pb = not detectable-0.03 microgram g-1). The Ag and Pb gradients suggest that their distributions are affected by anthropogenic activities close to the US-Mexican border. South-north gradients in the concentration of Cd (minimum = 0.59-2.16 and maximum = 2.61-12.93 micrograms g-1), for both 1982 and 1994, were observed. The geographic annual means of Pb for California (average of six stations along the entire state) were significantly higher than those of this study (average of the eight sampling sites) in 1982 and 1994. Cu in California was significantly greater than that of this study only in 1994. Cluster analyses on all metals indicate three similar geographic zones in 1982 and 1994, suggesting a relative consistency in the processes that determine the spatial variability of the concentration of some metals in M. californianus on the northwest coast of Baja California.

Aluminum↗

Stress fever magnitude in laboratory-maintained California ground squirrels varies with season.

A previous study demonstrated that California ground squirrels (Spermophilus beecheyi) living in the natural environment had, independent of season, a significantly higher mean diurnal body temperature (T(b)) (39.6 degrees C) than either summer (37.5 degrees C) or winter (36.5 degrees C) laboratory maintained animals. Based upon the previous study it has been suggested that California ground squirrels living in the natural environment may have an elevated set-point for body temperature in a manner analogous to a stress fever response. The present study was conducted to determine if season and/or duration of laboratory open-field exposure influenced the magnitude of laboratory open-field stress fever. If stress fever was involved to some extent in the higher body temperature observed in animals from the natural environment, laboratory maintained animals should exhibit a lower magnitude stress fever during the summer months and a higher magnitude stress fever during the winter months. It was hypothesized that laboratory maintained animals would exhibit the same set-point for stress fever T(b) independent of season, and that the duration of open-field exposure would not influence the magnitude of stress fever. Adult California ground squirrels were acclimated to an ambient temperature of 20+/-1.0 degrees C under either LD 14:10 (summer) or LD 10:14 (winter) photoperiod conditions and individuals from both photoperiod conditions were exposed for periods of 2, 4, and 6 h to an open-field arena. An analysis of the data with a two-factor ANOVA demonstrated that season (photoperiod) significantly influenced the magnitude of the stress fever response (1.1+/-0.1 degrees C for summer animals; 2.1+/-0.2 degrees C for winter animals) while there was no significant influence of open-field exposure duration on stress fever magnitude. These results demonstrate that although the set-point for body temperature in unstressed laboratory maintained California ground squirrels varies with season, the set-point for body temperature in open-field stressed animals does not vary with season. These data lend support to the hypothesis that something like stress fever may play some role in the higher body temperature observed in California ground squirrels living in the natural environment.

Animals↗