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Relationship of prevalence of non-insulin-dependent diabetes mellitus to Amerindian admixture in the Mexican Americans of San Antonio, Texas.

A genetic and epidemiological survey of non-insulin-dependent diabetes mellitus (NIDDM) was conducted among the Mexican Americans residing in three socioeconomically distinct areas of San Antonio, Texas: a low socioeconomic (SES) traditional area (barrio), a middle SES, ethnically balanced area (transitional), and a high SES, predominantly Anglo area (suburb). Seventeen polymorphic markers were used to relate the prevalences of NIDDM with the extent of Amerindian ancestry of 1,237 Mexican Americans of these three residential areas. While only the RH and haptoglobin loci showed evidence of association with NIDDM, an admixture analysis of the combined allele frequency data revealed a pattern of decreasing NIDDM prevalence with increasing socioeconomic status (as approximated by neighborhood of residence) and a parallel decrease in Amerindian ancestry. The rank-order correlation between NIDDM prevalence and Amerindian admixture is 0.943 (P less than .001) for the crude prevalence rate and 0.829 (P less than .02) for the age-adjusted rate. Nested gene diversity analysis revealed that the heterogeneity of allele frequencies is more pronounced when individuals were classified by their NIDDM disease status as compared to the classification by neighborhood. Estimation of Amerindian ancestry of each individual did not reveal any significant change in the shape of the distributions of individual admixture proportions in diabetics as compared to the controls. Nevertheless, the results suggest that genetic factors partially explain the differences in NIDDM prevalence observed between the Mexican American and Anglo populations in the southwestern United States.

Adult↗

Molecular analysis of phenylketonuria (PKU) in newborns from Texas.

This study describes the mutations at the phenylalanine hydroxylase (PAH) locus in patients with the diagnosis of classic PKU (n=18), hyperphenylalaninemia (HPA) variant (n=9) and benign persistent hyperphenylalaninemia (HPA) (n=13) who were identified by the Texas Newborn Screening Program. Blinded studies were done by sequencing of the 13 exons and exon-intron boundaries of the PAH gene in genomic DNA isolated from dry blood spots. Thirty-six different mutations, including 25 missense mutations, six splice mutations, three deletions and two nonsense mutations were detected in 75 of the 80 mutant alleles (94%). The prevalent mutations were R408W (19%), V388M and IVS10nt-11g->a (6% each), Y414C (5%) and H170D, A403V, T380M and IVS7nt1g->a (4% each). Two novel missense mutations were identified in exon 5 (H170D and N167S). There was genotype/phenotype correlation in 33/40 cases (83%). For this population, exons 12, 11, 7, 5 and 8, which carry 78% of the mutations, would have to be screened first. However, the other exons must be studied when either one or no mutations are found in the primary screening. Hum Mutat 17:523, 2001.

Alleles↗

Locally acquired hepatitis E virus infection, El Paso, Texas.

Hepatitis E virus (HEV) is an enterically transmitted RNA virus that causes both epidemic and sporadic cases of acute hepatitis. Despite sero-surveys showing antibody to HEV in up to 36% of the US population, acute hepatitis E has been reported among individuals with no history of international travel only three times in the United States. We report a case of apparently locally-acquired hepatitis E that occurred in El Paso, Texas that was 98% similar to a previously isolated HEV found in swine in the United States. Like the three previous cases, a thorough investigation found no conclusive sources of infection. Active case surveillance found no additional cases.

Aged↗

Patterns of first-year survival among infants with selected congenital anomalies in Texas, 1995-1997.

BACKGROUND: Few registry-based studies have investigated survival among infants with congenital anomalies. We conducted a registry-based study to examine patterns and probability of survival during the first year of life among infants with selected congenital anomalies. METHODS: Data from the Texas Birth Defects Monitoring Division were merged with linked birth-infant death files for 2,774 infants born January 1, 1995 to December 31, 1997, with at least 1 of 23 common anomalies. Deaths before the first birthday were assessed from infant death files. Kaplan-Meier was used to estimate first-year survival; first-year survival was assessed for specific anomalies and by the number of life-threatening anomalies. RESULTS: Overall, 80.8% of infants with these 23 anomalies survived the first year of life. We observed the highest survival rates for infants with gastroschisis (92.9%, 95% CI = 86.8, 96.3), trisomy 21 (92.3%, 95% CI = 89.5, 94.4) or cleft lip with or without cleft palate (87.6%, 95% CI = 84.0, 90.5). Infants with intermediate survival rates included those with microcephaly (79.7%; 95% CI = 73.6, 84.6), tetralogy of Fallot (75.0%; 95% CI = 65.5, 82.2), or with diaphragmatic hernia (72.8%; 95% CI = 61.8, 81.2). As expected, all infants with anencephaly and almost all infants with trisomy 13 or trisomy 18 died during the first year of life. First-year survival declined as the number of co-occurring life-threatening anomalies increased. CONCLUSIONS: Overall, first-year survival for infants with congenital anomalies was high. Additional population-based studies are needed to quantify improvements in first-year survival.

Abnormalities, Multiple↗

High levels of gene flow and heterozygote excess characterize Rhizoctonia solani AG-1 IA (Thanatephorus cucumeris) from Texas.

To date, much of the genetics of the basidiomycete Thanatephorus cucumeris (anamorph = Rhizoctonia solani) remains unknown. Here, we present a population genetics study using codominant markers to augment laboratory analyses. Seven single-copy nuclear RFLP markers were used to examine 182 isolates of Rhizoctonia solani AG-1 IA collected from six commercial rice fields in Texas. Thirty-six multilocus RFLP genotypes were identified. Population subdivision analyses indicated a high degree of gene flow/migration between the six geographic populations. Tests for Hardy-Weinberg equilibrium (HWE) among the 36 multilocus RFLP genotypes revealed that four of the seven loci did not significantly differ from HWE. Subsequent analysis demonstrated that departures from HWE at the three remaining loci were due to an excess of heterozygotes. Data presented here suggest that R. solani AG-1 IA is actively outbreeding (heterothallic). Possible explanations for heterozygote excess, which was observed at all seven RFLP loci, are discussed.

Blotting, Southern↗

Assessment of knowledge of melanoma risk factors, prevention, and detection principles in Texas teenagers.

INTRODUCTION: The incidence of melanoma has increased in the past 10 years more rapidly than any other cancer. Exposure to intense solar radiation in youth significantly increases the lifetime risk of developing melanoma. We postulate that teenagers have little awareness of melanoma prevention or detection principles. The purpose of this study was to assess the knowledge of teenagers about melanoma and to identify which age groups are most receptive to altering their sun exposure behaviors. METHODS: Two hundred and ten examinations testing general knowledge of sun exposure and melanoma were completed and returned by junior high and high school students ages 12 to 18 in Dallas and Houston, Texas. All students completing and returning the examination were provided with the correct answers to the test and a detailed explanation of each of the test items as part of an educational exercise. A second questionnaire was then administered to determine the effect of the educational exercise on future sun exposure practices. Students were divided into two age groups (12 to 15 and >or=16 years old) for comparison of scores on the knowledge examination and responses to behavioral items. Comparison of response rates between age groups was performed using chi(2) analysis. RESULTS: The return rate was 100%, with 109 students age 12-15 years, and 101 students >or=16 years. Seventy-six percent of all respondents sunbathed outdoors, and 18% had used a tanning bed in the past 6 months. Thirty-three percent of students admitted to at least three blistering sunburns in the past. The average score on the knowledge assessment examination was 65% correct for students >or=16 years old and 54% correct for those 12-15 years old. Students 12 to 15 years old were significantly more likely to indicate they planned to change future behaviors regarding performance of skin self-examinations and limiting sun exposure as compared to the older students. CONCLUSION: A significant number of teenagers have already enhanced their risk for future melanoma by suffering severe sunburns. Students younger than 16 years of age were significantly more likely to indicate they planned to change future behaviors after receiving information about melanoma. The data from this pilot study support education aimed at younger age groups to most effectively achieve risk reduction and prevent future melanomas.

Adolescent↗

Apolipoprotein A-IV protein polymorphism: frequency and effects on lipids, lipoproteins, and apolipoproteins among Mexican-Americans in Starr County, Texas.

Apolipoprotein A-IV phenotypes were determined by reprobing immunoblots initially typed for the apolipoprotein E polymorphism on a representative sample of Mexican-Americans from South Texas. Typings on 331 individuals gave frequency estimates of 0.928, 0.066, 0.003, and 0.003 for alleles 1, 2, 3, and 4, respectively. To evaluate the effects of this polymorphic variability on lipid-related measures, mean levels between phenotypes were tested for equality following adjustment for age, sex, and body mass index. Analyses of levels of cholesterol, triglycerides, total high density lipoprotein, and its subfractions, low density lipoprotein, alpha and beta lipoproteins and apolipoproteins A-I, A-II, B, C-II, C-III, and E demonstrate that the A-IV genetic variability contributes minimally to normal variation of these quantitative factors in the population. Examination of the rare types, however, indicates the possibility of large metabolic effects whose follow-up may be useful for elucidating the metabolic roles of apolipoprotein A-IV.

Apolipoproteins↗

Allozyme and mitochondrial DNA analysis of a hybrid zone between white-tailed deer and mule deer (Odocoileus) in west Texas.

Thirty allozyme loci and 35 mitochondrial DNA (mtDNA) restriction sites were examined in 24 white-tailed deer and 46 mule deer from a hybrid zone in West Texas. A common mtDNA genotype is shared by all of the mule deer with 67% of the white-tailed deer. At the albumin locus, 13% of the white-tailed deer and 24% of the mule deer are heterozygous, sharing alleles that are otherwise species-specific in allopatric populations; 7% of the mule deer are homozygous for the allele that is characteristic of allopatric white-tailed deer. Gene flow appears to have been bidirectional, with greater genetic introgression into mule deer. The mtDNA data suggest that matings between white-tailed and mule deer have occurred in the past. Despite evidence of genetic introgression, analysis of multilocus genotypes indicates that none of the deer examined is an F1 hybrid. Production of such hybrids appears to be generally uncommon in North American deer; management plans that assume otherwise should be reconsidered.

Alleles↗

Computerized newborn screening in Texas--a multiple microcomputer approach.

The Texas Department of Health expanded its newborn screening program to include four disorders in February of 1980. Because of the large volume of specimens being processed (approximately 2500 daily), it was essential that laboratory aspects of this program be computerized. Currently, both laboratory and follow-up activities are linked by computer. The modular, microcomputer approach employed has provided the necessary capabilities to ensure accurate and efficient tracking of newborns from specimen submission through diagnosis and treatment. Continual program evaluations are also possible through statistical tabulations of various types of data collected and maintained in the system.

Computers↗

Intellectual resemblance among adoptive adoptive and biological relatives: the Texas adoption project.

Intellectual and personality measures were available from unwed mothers who gave their children up for adoption at birth. The same or similar measures have been obtained from 300 sets of adoptive parents and all of their adopted and natural children in the Texas Adoption Project. The sample characteristics are discussed in detail, and the basic findings for IQ are presented. Initial analyses of the data on IQ suggest moderate heritabilities. Emphasis is placed on the preliminary nature of these findings.

Adolescent↗

Human in vitro fertilization and embryo transfer at the University of Texas, Houston.

The current clinical and laboratory protocols of the in vitro fertilization program at the University of Texas at Houston are described and detailed. Most patients treated have tubal disease, with a limited number of couples having male factors. Clomiphene citrate (50 mg/day, cycle days 5-9) with or without added menopausal gonadotropins is the principle agent for enhanced follicular recruitment. Follicular development is monitored primarily with daily ultrasonography, and human chorionic gonadotropin (hCG) is given when the largest follicle reaches or exceeds 20-mm mean diameter. The culture media used are modifications of Ham's F-10. Mature oocytes are preincubated for 5 hr before insemination with 50,000 motile sperm per oocyte. Using these protocols, the clinical pregnancy rate is 11.6% per laparoscopy (11/95) and 16.2% per embryo transfer (11/68).

Cell Separation↗

Development and decline of serum antibody activity to Psoroptes ovis antigens in infested cattle in an endemic and nonendemic scabies area of Texas.

The serum antibody activity to Psoroptes ovis antigens, as determined by enzyme-linked immunosorbent assay (ELISA), was monitored during the development and decline phase of scabies in cattle herds under feedlot conditions in an endemic (Bushland) and a nonendemic (Kerrville) scabies area of Texas. The infestations were initiated by exposing six calves in each of the herds to P. ovis and allowing the infestations to spread to other members of the herd. The cattle in the endemic area developed more lesions and a higher incidence of the disease than did the cattle in the nonendemic area; also, there were more cattle with specific serum antibody activity in the Bushland herd than in the Kerrville herd at the peak of the infestations (late January--early February). As infestations declined because of summer latency, the number of calves with specific serum antibody activity declined in both herds. Specific serum antibody activity disappeared in the Kerrville cattle when P. ovis was no longer detected. However, specific serum antibody activity was still detected in some of the Bushland cattle in late summer (August) and fall (October) examinations, when low numbers of P. ovis were detected. These results indicate that the ELISA would be very useful in detection of specific serum antibody activity in lightly infested calves, especially during the developmental and decline phases of the disease.

Animals↗

Trace metal concentrations and partitioning in zooplankton, neuston, and benthos from the south Texas outer continental shelf.

A variety of marine biota, including zooplankton, sargassum, surface plankton, squid, shrimp, and fish collected along the south Texas Outer Continental Shelf, were analyzed for Cu, Zn, Cd, Pb, Cr, Ni, Fe, and Mn. Although there is a great deal of variation in the chemical content of the various samples, both within species and between species, the variations all fall within the range of values published for similar organisms collected elsewhere. An increase in Pb concentration from north to south, and an increase in Cd concentration from nearshore to further offshore in the zooplankton mirrors the sediment patterns. Statistical analysis of the chemical and biological data for these samples indicates that relatively small percentages of the biological makeup of the sample can markedly affect the concentrations of Pb, Cd, Ni, and Zn. This is particularly true for the larvacea, ostracoda, and mollusca. Chemical analyses of the exoskeletons of shrimp and the skin of both squid and fish indicate that they generally contain higher metal levels in comparison with the flesh from the same organism. This is probably the result of either adsorption from seawater and/or an internal detoxification procedure employed by the organism. The analysis of a composite sample of squid 'pens' indicates that they contain enriched Cu, Cd, Zn, Pb, and Fe levels in comparison with the skin and flesh. These elevated levels are probably the result of an internal detoxification procedure and/or may represent a means of storing necessary metabolites, at least in the case of Cu and Zn, but can not be attributed to adsorption as the chitinous 'pen' is imbedded in tissue and is not directly exposed to seawater.

Animals↗

Avoidable hospitalizations and socio-economic status in Galveston County, Texas.

Population-based hospitalization rates for preventable conditions are derived for a low-income population in Galveston County, Texas using discharge data from four area hospitals and demographic data from the U.S. Census. Comparisons are made with similar rates for the general populations of two eastern states (Maryland and Massachusetts) and New York City. Results support the hypothesis that low-income persons lack access to primary care, leading to higher rates of hospitalization for preventable conditions. Alternative explanations for differences found are examined.

Demography↗

The development of a statewide continuous evaluation system for the Texas Children's Mental Health Plan: a total quality management approach.

The article presents a description of processes involved in developing and implementing a statewide continuous evaluation system for the Texas Children's Mental Health Plan (TCMHP) and quality management tools used to approach implementation challenges. Implementation issues are discussed relating to stakeholder involvement, evaluation design evolution, measurement method modification, evaluation integration, staff training, data quality control, communication of results, and use of results in decision making. A review of implementation processes suggests evaluation design and activities should be seen as constantly evolving in response to ongoing stakeholder input. Involving stakeholders in design and implementation can result in increased data quality, data-informed decision making to improve service delivery, and increased public accountability. The TCMHP evaluation system development demonstrates that quality management tools can provide a useful framework to work through design and implementation problems, and a continuous evaluation system can provide an infrastructure for meeting data needs in a managed care environment.

Adolescent↗

The selenium content of selected meats, seafoods, and vegetables from Lubbock, Texas.

The selenium content of some frequently consumed foods from a commercial beef packer, a road-side vendor, and local stores in Lubbock, Texas was determined and compared to selenium data for the same or similar foods in the United States and from other countries. The comparative content of selenium in foods covered the period of time between 1970 and 1993. Our selenium analyses of foods show that on a fresh weight basis, the selenium content of seafoods > commercial beef > pork > ground beef > chicken. Cooking, air- or freeze-drying increased the selenium content of all foods significantly. When the selenium content of local foods is compared to similar foods in the United States and other countries, with few exceptions, there exists great uniformity in the selenium content in the major food groups, meats, fish, milk, and vegetables. New Zealand, known for its low soil selenium, had the lowest comparative food selenium content.

Biological Availability↗

Management of the picture archiving and communications system archive at Texas Children's Hospital.

As hospitals convert from conventional film-based imaging to picture archival and communications systems (PACS), methods for managing an enormous library of images must change considerably. While most hospitals are required to retain general, nonmammographic, radiologic images for 7 years beyond the examination date, our pediatric hospital must maintain images until the child's eighteenth birthday, plus the 5-year statute of limitations. Although the physical extent of an electronic archive is tiny compared with a film archive, a long-range strategy is required to ensure that electronic images acquired today can be retrieved and viewed 23 years in the future. Challenges to the long-term stability of the electronic archive include the limited and uncertain shelf life of high-density electronic storage media, the finite maintainability of the electromechanical systems for reading the media, the short product lifetime of software for accessing the images, rapid development of higher density storage products, and the exponential advancement of computer and networking technology that fuels product obsolescence. Since we cannot assure the function of our current archive in two decades, we are committed to a continual process of migration of old electronic image data to newer media and systems. As an early-adopter of PACS technology, Texas Children's Hospital's (TCH) archive management experience is relevant to others. Although not filled to capacity, our first digital archive, based on phase-change write-once-read-many (WORM) technology, was forced into an inactive status by software and hardware changes. Our second set of archives was partially filled with low-density magneto-optical disk (MOD) media, when the drives were upgraded to high density and then filled to capacity. This undesirable situation forced us into shelf management of media. Our third-generation archive is based on a helical tape library with the capacity to contain 7 years of examinations. We will describe the motivation for data migration, limitations in the methods available to perform the migration, and unanticipated benefits of the migration process.

Computer Communication Networks↗

Mercury and other trace elements in sediment cores from central Texas lakes.

Metals released during fossil fuel use are important atmospheric pollutants. Mercury and other trace metals can be transferred to an aquatic environment through atmospheric deposition. In the work reported here, a number of sediment cores were retrieved from central Texas lakes in the proximity of a coal-fired power plant in search of local anthropogenic effects. Cores were collected along a transient parallel to the prevailing wind direction (S-SE) in the area. Trace element concentrations in the lignite and in effluents from the power plant showed that some elements remained constant (Al, Cu) throughout the different lignite combustion and power production processes. Some (like Cd and Se) showed an affinity for the smaller particles, whereas others (Hg) showed very low concentrations in all the solid wastes, indicating that they probably escaped with the flue gases. Sediment cores from a lake next to the power plant showed higher trace metal concentration in the upper part of the cores (more recent sediment). For example, there was as much as a tenfold increase in Hg concentration between the core bottom (10 ng/g), where the sediment was approximately 100 years old and the surface (100 ng/g). Cd and Se at surface sediments were also found to be as high as 1.6 and 3.45 microg/g, respectively. The excess metal inventory was higher for the lakes located next to the power plant than for two lakes about 30 km away.

Environmental Monitoring↗