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PubMed2000

Sleep in acute care settings: an integrative review.

PURPOSE: To report an integrative review about sleep patterns, factors that influence sleep, and sleep interventions in acutely ill hospitalized adults; discuss methodological challenges associated with studying sleep in this population; and propose future research. ORGANIZING FRAMEWORK: Research literature on sleep patterns of acutely ill hospitalized adults, obtained using computerized searches of Medline and CINAHL, was reviewed. Studies of patients on intensive care and medical-surgical units conducted in a range of health disciplines over a span of almost 30 years were included. Studies were organized into the following categories: descriptive studies of sleep using objective and subjective measures; correlational studies of personal, health status, and environmental variables and sleep; and intervention studies. FINDINGS: Sleep disturbance is a common but highly variable experience during acute care hospitalization. Multiple personal, health status, and environmental factors are related to sleep disturbance. Behavioral interventions show promise as a means to modify factors related to sleep. Few studies have shown the outcomes of sleep disturbance in acute care settings. CONCLUSIONS: More systematic research is needed to determine correlates of sleep disturbance in acutely ill hospitalized adults. Such studies can help investigators to identify patients who are most at risk for sleep disturbance and to provide the theoretical and conceptual bases for sleep-promoting interventions. Methodological challenges include characteristics of acute care patients and hospital environments, as well as the complexity of measuring sleep.

Acute Disease↗
PubMed2003

The contribution of bubbles to high-frequency sea surface backscatter: a 24-h time series of field measurements.

Measurements of acoustic sea surface backscattering, wind speed, and surface wave spectra were made continually over a 24-h period in an experiment conducted in 26 m of water near the Dry Tortugus collection of islands off south Florida in February 1995. The backscattering measurements were made at a frequency of 30 kHz and a sea surface grazing angle of 20 degrees; a time series of the decibel equivalent of this variable, called SS20, was studied in terms of its dependence on environmental variables. On occasion reliable estimates of scattering in the grazing range 15 degrees-27 degrees were also obtained during the 24 hours. The scattering data exhibited evidence, in terms of scattering level and grazing angle dependence, of scattering from near-surface bubbles rather than scattering from the rough air-sea interface. The scattering data were compared with a model for sigma(b), the apparent backscattering cross section per unit area due to bubble scattering, that is driven by a parameter, beta1, equal to the depth-integrated extinction cross section per unit volume. Using an empirical model for beta1 based on data from a 1977 experiment conducted in pelagic waters, model predictions agreed reasonably well with the 1995 measurements presented here. Additional model-data comparisons were made using four measurements from a 1992 experiment conducted in pelagic waters. Finally, the 24-h time series of acoustic scattering exhibited a hysteresis effect, wherein for a given wind speed, there was a tendency for the scattering level to be higher if prior winds had been falling. A better understanding of this effect is essential to reduce uncertainty in model predictions.

Journal Article↗
PubMedDate not supplied

Associations of children's perceived neighborhood environments with walking and physical activity.

PURPOSE: To examine associations between children's perceptions of the neighborhood environment and walking and physical activity. DESIGN: Cross-sectional study of a school-based sample. SETTING: Elementary schools in Melbourne, Australia. SUBJECTS: 280 children aged 10 years (response rate 78%). MEASURES: A self-report survey assessed children's perceptions of the neighborhood physical and social environments and their weekly walking frequency. Physical activity was also objectively measured using accelerometers. RESULTS: Multiple linear regression analyses showed a positive association between walking frequency and the number of accessible destinations in the neighborhood among boys; having a neighborhood that was easy to walk/cycle around and perceiving lots of graffiti were positively associated with walking frequency among girls. Perceiving lots of litter and rubbish was positively associated with boys' overall physical activity, but no environmental variables were associated with girls' overall physical activity. CONCLUSION: Several different environmental factors were associated with walking and physical activity. Perceptions of the neighborhood environment were more strongly associated with girls' walking than with objectively-measured physical activity. Future studies should confirm these findings using objective measures and prospective study designs.

Child↗
PubMed2001

Regulation of particle transport within the ventral groove of the mussel (Mytilus edulis) gill in response to environmental conditions.

To thoroughly understand the feeding processes of the blue mussel, Mytilus edulis, under the variable environmental conditions it experiences in nature, it is important to examine individually the different components of its feeding system. The ciliated ventral food groove represents one of these components, within which the majority of food particles trapped by the gill are transported to the labial palps and mouth. Any ability of the mussel to adjust food transport rates within this groove could serve as an important feeding regulatory mechanism in response to variations in the environment.Mucous strand velocities in the ventral groove of the mussel, M. edulis, were determined by video endoscopy over different time periods and during short- and long-term manipulations of ambient particle concentration and temperature. Mucous strand velocity decreased with increasing ambient particle concentration at 14 degrees C, but a similar relationship was not observed at 5 degrees C. The data support the hypothesis that M. edulis possesses compensatory mechanisms to control particle transport at the level of the ventral groove cilia in response to changes in the environment. Furthermore, mucous strand velocity in the ventral groove increased when the ambient temperature of mussels acclimated to 5 degrees C was increased to 15 degrees C during acute and long-term acclimation temperature experiments. This response is consistent with standard physiological responses of ciliary systems to changes in temperature.

Journal Article↗
PubMed1999

Bronchial asthma in children: clinical and epidemiologic approach in different Portuguese speaking countries.

BACKGROUND: Geographical differences in asthma prevalence are currently accepted, but evidence is sparse due to the lack of multicentre studies using the same protocol. OBJECTIVES: To compare the prevalence of asthma and atopy among schoolchildren from Portuguese speaking countries (ISAAC and Portuguese Study) and evaluate some environmental variables, such as house dust mite exposure. MATERIAL AND METHODS: Significant random samples of schoolchildren studied with standard validated methods--questionnaires, skin prick tests, methacholine bronchial challenge tests; dust bed sampling for analysis of mite antigens. RESULTS: In the ISAAC study, in the 13-14 year-old age group, statistical significant differences were found, with higher wheezing prevalence in Brazil than in Portugal (two-fold). In the Portuguese Study, atopy prevalence ranged between 6.0 and 11.9% in Sal and S. Vicente (Cape Verde), up to 48.6 and 54.1% in Macau and Madeira. Active asthma had the higher values in Madeira (14.6%), and the lower in Macau (1.3%). Cape Verde had intermediate asthma prevalence (10.6 and 7.0%). The bronchial challenge test was positive in 25, 66 and 70% of asthmatic children from Sal, S. Vicente and Madeira respectively. Significant HDM antigen concentrations (Der p1) were found in Cape Verde and Madeira. CONCLUSIONS: There are significant variations in asthma and atopy prevalence between these pediatric populations. The reasons remain under discussion, but genetics linked to race, seem to play a central role, modulated by environmental and lifestyle variables.

Adolescent↗
PubMed2000

Confounding variables in the environmental toxicology of arsenic.

Arsenic is one of the most important global environmental toxicants. For example, in regions of West Bengal and Inner Mongolia, more than 100000 persons are chronically exposed to well water often strongly contaminated with As. Unfortunately, a toxicologically safe risk assessment and standard setting, especially for long-term and low-dose exposures to arsenic, is not possible. One reason is that the key mechanism of arsenic's tumorigenicity still is not elucidated. Experimental data indicate that either DNA repair inhibition or DNA methylation status alteration may be causal explanations. Moreover, when comparing epidemiological data, it cannot be ruled out that the susceptibility to arsenic's carcinogenicity may be different between Mexican and Taiwanese people. Some other studies indicate that some Andean populations do not develop skin cancer after long-term exposure to As. It is not known yet how this resistance could be mediated. Finally, the situation is even more complicated when taking into consideration that there are several compounds suspected to modulate the chronic environmental toxicity of arsenic, variables that may either enhance or suppress the in vivo genotoxicity and carcinogenicity of the metalloid. Among them are nutritional factors like selenium and zinc as well as drinking water co-contaminants like antimony. Further, yet unidentified factors influencing the body burden and/or the excretion of arsenic are possibly prevailing: preliminary data from own human biomonitoring studies showed a peaking of As in urine samples of non-exposed people which was not caused by elevated exposure to As through seafood consumption. The relevance of these putative confounding variables cannot be finally evaluated yet. Further experimental as well as epidemiological studies are needed to answer these questions. This would help to conduct a toxicologically improved risk assessment, especially for low-dose and long-term exposures to arsenic.

Arsenic Poisoning↗
PubMed1985

A conceptual model for cognitive-behavior therapy with children.

This paper briefly reviews the historical and conceptual developments that produced the cognitive-behavioral model for clinical interventions with children. It is suggested that this model should be expanded by including the person variables of emotion and developmental level and by broadening the scope of environmental variables to include the family, school, and other social/community contexts. The implications of this expansion of the cognitive-behavioral model for psychopathology, assessment, and intervention are discussed.

Behavior Therapy↗
PubMed2004

Adverse drug reactions: role of pharmacogenomics.

Adverse drug reactions (ADRs) are a significant cause of morbidity and mortality. The majority of ADRs can be considered common disorders with considerable clinical variability (clinical phenotype) in which many different genes are involved together with environmental variables. Pharmacogenomics is the study of how genes affect the individual response to drugs. There is some evidence that in the future the use of pharmacogenomics could help to reduce ADRs, as it aims to predict which patients are likely to respond to a particular drug and which patients are likely to have significant ADRs. In this article some examples of genetic polymorphisms affecting drug kinetics, drug toxicity and hypersensitivity related to ADRs are illustrated.

Drug-Related Side Effects and Adverse Reactions↗
PubMedDate not supplied

Variation in behavioural indices of fearfulness and fatigue in transported broilers.

Several behavioural measures were used to determine fearfulness and fatigue in broiler chickens subjected to fasting and/or transportation. There was considerable variability between four replicates, although measures within replicates were acceptably consistent. There was no uniform effect of fasting or transport on behaviour. The most cogent results were obtained by monitoring post-journey behaviour. In the few hours after transport, fasted and transported birds stood more than control birds which could be explained by increased food-searching behaviour and/or arousal. It is argued that the high variability between replicates indicates that considerable efforts must be made to control environmental variables in studies of behaviour after transporting chickens.

Animals↗
PubMed1996

Quantifying water pathogen risk in an epidemiological framework.

Traditionally, microbial risk assessors have used point estimates to evaluate the probability that an individual will become infected. We developed a quantitative approach that shifts the risk characterization perspective from point estimate to distributional estimate, and from individual to population. To this end, we first designed and implemented a dynamic model that tracks traditional epidemiological variables such as the number of susceptible, infected, diseased, and immune, and environmental variables such as pathogen density. Second, we used a simulation methodology that explicitly acknowledges the uncertainty and variability associated with the data. Specifically, the approach consists of assigning probability distributions to each parameter, sampling from these distributions for Monte Carlo simulations, and using a binary classification to assess the output of each simulation. A case study is presented that explores the uncertainties in assessing the risk of giardiasis when swimming in a recreational impoundment using reclaimed water. Using literature-based information to assign parameters ranges, our analysis demonstrated that the parameter describing the shedding of pathogens by infected swimmers was the factor that contributed most to the uncertainty in risk. The importance of other parameters was dependent on reducing the a priori range of this shedding parameter. By constraining the shedding parameter to its lower subrange, treatment efficiency was the parameter most important in predicting whether a simulation resulted in prevalences above or below non outbreak levels. Whereas parameters associated with human exposure were important when the shedding parameter was constrained to a higher subrange. This Monte Carlo simulation technique identified conditions in which outbreaks and/or nonoutbreaks are likely and identified the parameters that most contributed to the uncertainty associated with a risk prediction.

Animals↗
PubMed2004

[Geographical Information Systems and remote sensing technologies in parasitological epidemiology].

Parasites have natural habitats in the same way as a species: they are found in focal areas where the spatial distribution of the parasite, host, vector and required environmental conditions coincide. The spatial distribution of parasites is, therefore, a function of the interaction between abiotic and biotic environmental factors. The boundaries of distributions are not strictly fixed in space and time and may fluctuate with climate and other components of the environment or anthropical factors. Geographic Information Systems (GIS) and remote sensing (RS) technologies are being used increasingly to study the spatial and temporal patterns of disease. GIS can be used to complement conventional ecological monitoring and modelling techniques, and provide means to portray complex relationships in the ecology of disease. In addition, the use of GIS and RS to identify environmental features allows determination of risk factors and delimitation of areas at risk, permitting more rational allocation of resources for cost-effective control. Since 1996, GIS have been used in our territorial cross-sectional and longitudinal parasitological surveys in order to experiment new applications to plan sampling protocols and to display quickly, clearly, and analytically the spatial and/or temporal distribution of parasitological data. The use of GIS allowed us to draw the following types of descriptive parasitological maps: distribution maps, distribution maps with proportioned peaks, choroplethic maps with proportioned peaks, point distribution maps and point distribution maps with proportioned peaks. In a recent study, GIS and RS technologies have been used also to identify environmental features that influence the distribution of paramphistomosis in sheep from the southern Italian Apennines and to develop a preliminary risk assessment model. A GIS was constructed using RS and landscape feature data together with paramphistome positive survey records from 197 georeferenced ovine farms with animals pasturing in an area of the southern Italian Apennines. The GIS for the study area was constructed utilizing the following environmental variables: Normalized Difference Vegetation Index (NDVI), land cover, elevation, slope, aspect, and total length of rivers. In addition, data regarding the presence of watercourses smaller than rivers, namely, streams, springs and brooks were recorded in the field. All these variables were then calculated for "buffer zones" consisting of the areas included in a circle of 3 Km diameter centred on 197 farms. The environmental data obtained were analyzed by univariate and multivariate statistical analyses using the paramphistome farm coprological status (positive/negative) as the dependent variable. A multivariate stepwise discriminant analysis model was developed that included moors and heathland, sclerophyllus and coniferous forest vegetation, autumn-winter NDVI and presence of streams, springs and brooks on pasture. The variables entered in the model are consistent with the environmental requirements of paramphistomes and their snail intermediate host. In particular, the land cover types entered in the model in this area are indicators of marginal uncultivable and sloping zones where typically there is the presence of water (permanently or temporarily). In addition, since NDVI can be used as an indicator of regional thermal-moisture regime, the distribution of farms positive for paramphistomosis corresponding to relatively high values of winter NDVI indicated the presence of adequate moisture and temperatures favourable to the rumen fluke and the snails. In conclusion, GIS and RS are useful to define the habitats of parasites, especially for those with strong environmental determinants, and to produce forecasting maps requested for the planning and the monitoring of control strategies on small and large scale.

Animals↗
PubMed2006

Heritabilities and shared environmental effects were estimated from household clustering in national health survey data.

OBJECTIVES: The relative contributions of genetic and environmental variables to within-household clustering of quantitative traits in household surveys are poorly characterized. We estimated shared genetic and shared environmental contributions to within-household correlation for anthropometric variables and cardiovascular disease risk factors. STUDY DESIGN AND SETTING: Data were analyzed for the Health Survey for England 1998, a representative national household survey. Two-generation pedigrees were defined using information for relationships within households. After standardizing for age and sex, data were analyzed for 11 quantitative traits. Variance components models were fitted to estimate the proportion of variance due to additive genetic variance or shared environmental effects. RESULTS: Within-household correlation coefficients for all related and unrelated subjects ranged from 0.10 for C-reactive protein to 0.31 for height. Pairwise correlations between related individuals within households were consistently higher than those between unrelated individuals. Estimated heritability ranged from 6% for diastolic blood pressure to 40% for serum cholesterol. The proportion of variance attributable to shared environmental effects ranged from 8% for cholesterol to 24% for height. CONCLUSION: In this large, representative national sample of generally small families, estimates for heritability were generally lower than previously reported, whereas the contribution of shared environment and individual-level variation were greater.

Anthropometry↗
PubMed1997

Design variability in web geometry of an orb-weaving spider.

We studied the effect of several variables (environmental and physiological) on web geometry in the garden cross spider Araneus diadematus. Variables were: web support, wind, temperature, humidity, and silk supply. All had an effect. The spiders generally attempted to fit their webs to the shape of the supporting frame (standard, small, vertical, or horizontal). Windy conditions (0.5 m s-1) during web construction caused spiders to build smaller and rounder webs, laying down fewer capture spirals while increasing the distances between capture-spiral meshes. Decreasing temperature from 24 degrees to 12 degrees C caused the capture spiral to have fewer and wider spaced meshes, which did not change overall capture area but reduced the length of capture-spiral threads laid down. Subsequent increase of temperature to 24 degrees C restored the number of meshes laid down, but the wider mesh was retained, causing the capture area to be increased over initial control values. Decreased humidity (from 70 to 20% rH) had the effect of reducing web and capture-spiral size, the latter by reducing mesh number while keeping mesh spacing constant. Subsequent increase of humidity to control level (70%) restored web and capture area. However, this was achieved by laying down capture meshes at larger distances, rather than returning to initial mesh numbers. Silk supply also had a strong effect. Webs built in unnaturally rapid succession by the same spider (4 in 24 h when 1 is the norm) became sequentially smaller, had fewer radii, shorter capture spirals, and were wider meshed.

Adaptation, Physiological↗
PubMed2000

Effect of El Niño and ambient temperature on hospital admissions for diarrhoeal diseases in Peruvian children.

INTRODUCTION: To investigate whether the El Niño phenomenon and ambient temperature had an effect on the epidemiology of childhood diarrhoea, we analysed data on daily number of admissions of children with diarrhoea to the Oral Rehydration Unit of the Instituto de Salud del Niño in Lima, Peru, between January, 1993, and November, 1998. METHODS: We obtained daily data on hospital admissions from the Oral Rehydration Unit, and meteorological data from the Peruvian Weather Service, and used time-series linear regression models to assess the effects of the 1997-98 El Niño event on admissions for diarrhoea. FINDINGS: 57,331 children under 10 years old were admitted to the unit during the study. During the 1997-98 El Niño episode, mean ambient temperature in Lima increased up to 5 degrees C above normal, and the number of daily admissions for diarrhoea increased to 200% of the previous rate. 6225 excess admissions were attributable to El Niño, and these cost US$277,000. During the period before the El Niño episode, admissions for diarrhoea increased by 8% per 1 degree C increase in mean ambient temperature. The effects of El Niño and ambient temperature on the number of admissions for diarrhoea were greatest during the winter months. INTERPRETATION: El Niño had an effect on hospital admissions greater than that explained by the regular seasonal variability in ambient temperature. The excess increase in ambient temperature was the main environmental variable affecting admissions. If our findings are reproducible in other regions, diarrhoeal diseases may increase by millions of cases worldwide with each degree of increase in ambient temperature above normal.

Child↗
PubMed2002

Genetic diversity and condition factor: a significant relationship in Flemish but not in German populations of the European bullhead (Cottus gobio L.).

Although evidence of associations between genetic diversity and fitness in wild species has been published, the lack of a comprehensive review across species and the existence of contradictory results have led to scepticism remaining about its existence and importance in natural populations. In this study, the relationship between genetic diversity at six microsatellite loci and condition factor (a fitness related trait) was investigated at the population level in both Flemish and German populations of the European bullhead (Cottus gobio). A significant positive correlation was observed between genetic variability and the condition factor in Flemish but not in German bullhead populations. Environmental conditions such as conductivity of the water seemed more important in determining the condition factor of these latter populations. Regardless of the underlying mechanism(s) responsible for the different relationships, the results of this study suggest that both genetic and environmental variables can influence condition factor of bullhead populations.

Alleles↗
PubMed1975

The comparative evolutionary biology of the sibling species, Drosophila melanogaster and D. simulans.

1. D. melanogaster and D. simulans are sibling species; they are morphologically almost identical and genetically very similar. Whereas their sexual behavior patterns are qualitatively similar, hybrids are rarely produced and when they are, they are sterile. 2. Although not all data are in agreement, D. melanogaster generally exhibits more chromosomal, enzyme, and protein polymorphism than does D. simulans. Utilizing this relationship, as well as arguments presented in the literature, one can argue for an association between genetic variability and level of ecological heterogeneity. This association is found for two major environmental variables, temperature and light dependence. 3. On a seasonal basis, D. melanogaster achieves large population numbers early in the summer, as D. simulans does in the autumn...

Animals↗
PubMed1995

Care of fish in biological research.

Fish live in a very complex, dynamic environment. Their use as biological research subjects during the past three decades has increased almost exponentially because of the demand for an increased knowledge base in response to the need for better aquaculture technology. To use fish as biological research subjects requires the investigator to take into account approximately 40 interactive environmental variables, if the research data are to be free of unwanted biases. These environmental factors are classified into five major groups, all important to the well-being of fish. These five include intrinsic factors (fish associated) and extrinsic factors (water, container, nutrition, and management associated). The stress response is the primary intrinsic factor of concern, and associated pathological changes should be used to monitor animal well-being and prevent secondary infectious disease problems. The water-associated factors are the primary extrinsic factors affecting the well-being of fish. Thus, the investigator must design research protocols that maintain fish within documented environmental limits for the species.

Animal Welfare↗
PubMed1998

Hemophilia growth and development study: relationships between neuropsychological, neurological, and MRI findings at baseline.

OBJECTIVE: To determine the effects of human immunodeficiency virus (HIV) infection on children's development by identifying neurological and environmental variables associated with neuropsychological measures of cognitive development in HIV-seronegative (HIV-) and HIV-seropositive (HIV+)children and adolescents with hemophilia. METHODS: Participants (N = 298; 60% HIV+) were males ages 7-19 years enrolled in the Hemophilia Growth and Development Study (HGDS). Least squares modeling was used to determine whether there was a difference at baseline in mean neuropsychological test scores by HIV status, age, and neurological baseline findings, adjusting for selected environmental and medical history variables. RESULTS: The participants were within age expectations for general intelligence. Variables associated with lowered neuropsychological performance included academic problems, coordination and/or gait abnormalities, parents' education, and previous head trauma. CONCLUSIONS: Hemophilia-related morbidity has a subtle adverse influence on cognitive performance. HIV infection was not associated with neuropsychological dysfunction in this group even when MRI abnormalities were present.

Adolescent↗