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PubMed2006

[Outcome of the Aquitaine Unit for Evaluation, Training and Social and Vocational Counselling (UEROS) at 5-year follow-up in young adults with brain damage].

INTRODUCTION: Difficulties in social and vocational adjustment are common in adults with brain damage. A French government-funded program, UEROS (Unit for Evaluation, Training and Social and Vocational Counselling), was developed to improve cognitive adjustment, social autonomy and return to work for these people. OBJECTIVES: To describe the outcome and satisfaction with life after 5 years for patients who participated in the UEROS-Aquitaine network program. MAIN OUTCOME MEASURES: EBIS Document to evaluate people with traumatic brain injury. RESULTS: Seventy-five of the 102 patients participating in UEROS from 1997 to 1999 were assessed during a phone-structured interview based on the EBIS Document. The sample consisted of young adults (mean age 28.5 years), most (65, 85%) with brain injury and moderate disability (Glasgow Outcome Scale 2: 57%) or severe disability (Glasgow Outcome Scale 3: 42%). On entering the program, 33% of the subjects needed no help physically or cognitively. None were employed. At the end of the program, 9% were students or were learning a job, 8% worked full-time, 16% were in sheltered conditions, and 13% had volunteer activities. At 5-year follow-up, 50% of the subjects were independent, 4% were in school, 10.6% worked full-time, and 26.7% were in sheltered conditions. Playing sports was associated with good social adjustment. The professional status at 5 years was significantly correlated with following the UEROS program (r=0.30, P<0.01) and status at the end of the program (r=0.29, P<0.05). However, 41.3% of the subjects were still unsatisfied with their conditions of life. DISCUSSION-CONCLUSION: In patients with brain damage, the UEROS-Aquitaine network program improves independence in daily living and allows for nearly one inactive adult in two (42%) to be engaged in an activity or a job.

Adolescent↗
PubMed2006

The cost of Latin American science Introduction for the second issue of CBP-Latin America.

Latin American researchers in science and engineering (S&E), including those in biology and biomedical sciences, are frequently exposed to unstable conditions of financial support, material and human resources, and a limited number of positions at public and private institutions. Such uncertainties impose continuous challenges for the scientific community which, in the best of cases, responds with careful planning and creativity, and in the worst scenario endures the migration of scientists to the USA or Europe. Still, the number of scientific publications from Latin American institutions in the last decade increased at a much faster rate than publications from the USA and Canada. A brief analysis per country of the gross domestic product (GDP) spent in research and development (R&D) and the S&E production reported by the Pascal bibliographic database suggests that the number and quality of S&E publications is directly proportional to the financial support for R&D. However, the investment in R&D in Latin America did not increase at the same rate (from 0.49 to 0.55% of GDP, from 1990 to 2003) at which S&E publications did in the same period (2.9-fold increase, from 1988 to 2001). In Latin America, the traditional financial support for scientific research continues to be from federal and state government funds, associated in some cases with institutional funds that are mostly directed towards administrative costs and infrastructure maintenance. The aim of this introduction is to briefly discuss the production cost of articles published in refereed S&E journals, including the cost of the scientific research behind them, and, at the same time, to increase the awareness of the high quality of scientific research in Latin American institutions despite the many challenges, especially financial constraints, faced by their scientists. The second issue of Comparative Biochemistry and Physiology dedicated to Latin America ("The Face of Latin American Comparative Biochemistry and Physiology") celebrates, by means of 26 manuscripts from five countries, the diversity and quality of biological science in the continent.

Biological Science Disciplines↗
PubMed2006

Giving German universities a boost.

Although well respected, German universities are no longer considered world class. Efforts to rejuvenate the German university system include a competition to confer elite status on the country's ten leading universities.

Germany↗
PubMed2005

Commentary: creating research capacity in complementary medicine.

A House of Lords Report recently recommended the creation of 'centres of excellence' for research into complementary medicine. The UK government decided not to follow this advice but to sponsor nine research fellowships each supervising a PhD student. An analysis of past researchers at the unit in Exeter suggest that 'centres of excellence' are an effective means of generating research capacity in this area. It is suggested that this approach is likely to be more productive than the present governmental strategy.

Complementary Therapies↗
PubMed2006

Improving awareness of mercury pollution in small-scale gold mining communities: challenges and ways forward in rural Ghana.

This paper critiques the approach taken by the Ghanaian Government to address mercury pollution in the artisanal and small-scale gold mining sector. Unmonitored releases of mercury-used in the gold-amalgamation process-have caused numerous environmental complications throughout rural Ghana. Certain policy, technological and educational initiatives taken to address the mounting problem, however, have proved marginally effective at best, having been designed and implemented without careful analysis of mine community dynamics, the organization of activities, operators' needs and local geological conditions. Marked improvements can only be achieved in this area through increased government-initiated dialogue with the now-ostracized illegal galamsey mining community; introducing simple, cost-effective techniques for the reduction of mercury emissions; and effecting government-sponsored participatory training exercises as mediums for communicating information about appropriate technologies and the environment.

Awareness↗
PubMed2004

The effect of generic competition on the price of brand-name drugs.

BACKGROUND: Literature from the US has shown that brand-name manufacturers do not compete on price once generic competitors become available. This study was undertaken to investigate if this is also true in Canada. METHODS: Editions of the Ontario Drug Benefit Formulary were used to identify brand-name drugs that lacked generic competition in July 1990 but had acquired one or more generic competitors by December 1998. Prices of the brand-name drugs were compared before generic competition, at the point when generic competition started and subsequent to the initiation of competition. RESULTS: Price changes for 81 different products in 144 separate presentations were analysed. There was no statistically significant change in brand-name prices when generic competition started. The movement of brand-name prices was not influenced by whether the generic was made by the company producing the brand-name product or price freezes imposed by the Ontario government. When generics first became available having four or more generics was associated with a rise in the price of the brand-name drugs compared to having one, two or three generic competitor(s). INTERPRETATION: The lack of price competition may lead to increased costs in the private market. Private insurance companies generally do not require generic substitution and some provinces do not require generic substitution for cash-paying customers. Maintaining higher prices on brand-name drugs impacts on the prices of new patented medications coming onto the Canadian market under the current pricing guidelines of the Patented Medicine Prices Review Board.

Drug Costs↗
PubMed2003

The ecdysone regulatory cascade and ovarian development in lepidopteran insects: insights from the silkmoth paradigm.

The developing ovariole of the silkmoth Bombyx mori represents an excellent model for studies on the changes that occur in gene expression during the execution of long-term developmental programs. All stages of follicle development, which differ from each other by 2-2.5 h of developmental time, are organized in a single array and can be isolated simultaneously for physiological, biochemical and gene expression studies from a single animal. Recently, significant progress has been made toward the understanding of the hormonal regulation and autonomous implementation of the developmental program that governs follicular cell differentiation during oogenesis in Bombyx. In this review, the developmental career of the ovarian follicle during pharate adult development is discussed in view of the new physiological, biochemical and gene expression data that have recently accumulated. An overview is presented of the changes in expression of structural and regulatory genes and their hormonal regulation in the developing follicle during the transitions among the broad developmental periods of previtellogenesis, vitellogenesis and choriogenesis. Ovarian development in silkmoth pharate adults is induced by 20-hydroxy-ecdysone (20E) through the activation of a regulatory cascade similar to the one observed during Drosophila development. The transition from previtellogenesis to vitellogenesis corresponds to a late response to the hormone and is characterized by the induction of the expression of a unique isoform of the nuclear receptor BmHR3 and the follicular cell-specific yolk protein ESP. The transition from early to middle and late vitellogenesis and choriogenesis, on the other hand, is regulated by positively and negatively acting intra- and extra-ovarian factors. In vitro cultures of developing ovarioles reveal the requirement for the presence of an as yet unidentified growth factor(s) in the hemolymph, while the follicle developmental arrest that is observed after treatment with the ecdysone agonist tebufenozide indicates the requirement for a decline in the level of 20E. The initiation of choriogenesis is characterized by the transcriptional activation of the gene BmGATAbeta that encodes GATA transcription factors, and the chorion genes in the follicular cells. Furthermore, modulation of the activity of BmGATAbeta at the posttranscriptional level is crucial for the stage-specific activation of chorion genes during late choriogenesis. The developing ovariole of the silkmoth is, therefore, emerging as an important model for the study of insect oogenesis and the action of the steroid hormone 20E at the molecular level.

Animals↗
PubMed2006

Resistance monitoring of human pathogenic bacteria in Germany, SWOT analysis and examples.

Determination of antibiotic resistance has two main goals in clinical-microbiological diagnosis. One aspect is preservation of antibacterial chemotherapy. Furthermore, trends in resistance development should be monitored and should serve as an early warning-system for occurrence and spread of new and clinically important antibiotic resistances. Plenty of data on antibiotic resistance is gathered on a routine basis in medical-microbiological diagnosis and often it is stored in electronic databases that could be interlinked. The main reason that the available data is not being used for resistance monitoring in Germany is the widely used methodology of the agar diffusion test. It is the cheapest and by far the most inaccurate method of determining resistance. The test results are not always comparable with tests for all substance groups from national standards (also limited international comparability). Trend analysis of the resistance situation in Germany can therefore only be determined through individual studies. These studies are discussed according to a SWOT analysis (SWOT = Strengths, Weaknesses, Opportunities, Threats).

Animals↗
PubMed2004

Synergy between medical informatics and bioinformatics: facilitating genomic medicine for future health care.

In this paper, we review the results of BIOINFOMED, a study funded by the European Commission (EC) with the purpose to analyse the different issues and challenges in the area where Medical Informatics and Bioinformatics meet. Traditionally, Medical Informatics has been focused on the intersection between computer science and clinical medicine, whereas Bioinformatics have been predominantly centered on the intersection between computer science and biological research. Although researchers from both areas have occasionally collaborated, their training, objectives and interests have been quite different. The results of the Human Genome and related projects have attracted the interest of many professionals, and introduced new challenges that will transform biomedical research and health care. A characteristic of the 'post genomic' era will be to correlate essential genotypic information with expressed phenotypic information. In this context, Biomedical Informatics (BMI) has emerged to describe the technology that brings both disciplines (BI and MI) together to support genomic medicine. In recognition of the dynamic nature of BMI, institutions such as the EC have launched several initiatives in support of a research agenda, including the BIOINFOMED study.

Biotechnology↗
PubMed2006

An assessment of Spain's Programa AGUA and its implications for sustainable water management in the province of Almería, southeast Spain.

Spain's Programa AGUA was proposed in 2004 as a replacement for the Spanish National Hydrological Plan and represented a fundamental policy shift in national water management from large inter-basin water transfers to a commitment to desalination. Twenty-one desalination facilities are planned for six provinces on the Spanish Mediterranean coast to supplement their water needs. These include the province of Almería that for the last 30 years has endured a net water abstraction overdraft leading to serious reservoir depletion and groundwater imbalances. Rising water use is a result of increasing demand to support irrigated agriculture (e.g. greenhouse horticulture) and for domestic needs (e.g. rapid urban growth and tourism development), which has led observers to question Almería's long-term water sustainability. Desalinated water alone is unlikely to be sufficient to make up these water deficits and water-users will have to accept a move to full-price water recovery by 2010 under the European Union (EU) Water Framework Directive of which Spain is a signatory. Anticipated water efficiencies resulting from higher water tariffs, increasing water reuse and water infrastructure improvements (including inter-basin transfers), in conjunction with increasing use of desalinated water, are expected to address the province's current water overdraft. However, Almería will need to balance its planned initiatives against long-term estimates of projected agricultural and domestic development and the environmental consequences of adopting a desalination-supported water future.

Agriculture↗
PubMed2005

Medicinal plant use in the practice of midwifery in rural Honduras.

Midwives in rural communities across the globe play an important role as primary health care providers, but few studies have documented the medicinal plants employed in this age-old practice. Semi-structured interviews were conducted with 23 midwives in seven rural communities near La Ceiba, Honduras, regarding the plants they employ during the birthing process as well as their associated beliefs. Seventy-nine different plant species used to treat 15 conditions occurring during the pregnancy, birth and postpartum stages were recorded. Most plants and uses were reported by only one or two midwives, reflecting the fact that most midwives in this region had immigrated from different parts of the country. Almost all the midwives used or knew of plant remedies for treatment of miscarriages, postpartum abdominal pain and hemorrhages, retained placenta, and for speeding up contractions during labor. The most frequently cited plants as well as those for which there was greatest consensus tended to be widespread cultivated or weedy species. Although use of medicinal plants by midwives has decreased as a result of retraining programs by government health centers, midwives' knowledge of medicinal plants may provide an important resource for improving maternal-infant health in Honduras and elsewhere. Suggestions for future ethnobotanical and ethnopharmacological studies on this topic are provided.

Abortifacient Agents↗
PubMed2005

Challenges for control of taeniasis/cysticercosis in Indonesia.

Taeniasis/cysticercosis has been reported from several provinces of Indonesia: Papua (=former Irian Jaya), Bali, North Sumatra, East Nusa Tenggara, South East Sulawesi, Lampung, North Sulawesi, Jakarta, West Kalimantan, and East Java. The highest level of endemicity of taeniasis/cysticercosis has been found in Papua. Recent surveys in Jayawijaya District of Papua in 2000 and 2001 showed that 5 of 58 local people (8.6%) harbored the adult tapeworm, Taenia solium, whereas 44 of 96 people (45.8%), 50 of 71 pigs (70.4%), and 7 of 64 local dogs (10.9%) were seropositive for T. solium cysticercosis. Current surveys in Bali and Samosir District, North Sumatra during 2002-2005 revealed that Taenia saginata taeniasis has increased in incidence whereas T. solium cysticercosis is now rather rare compared to one-two decades ago in Bali. Taenia asiatica taeniasis is still common in Samosir District. Data from other provinces of Indonesia are very limited or unavailable. Control of these diseases is not a priority in the health or veterinary services, neither at central or local government levels. However, limited efforts toward control of the diseases have been implemented such as training of health personnel, community education on disease prevention, and provision of anthelminthics. A working group for control of the disease in Indonesia and an international collaboration have been established among Ministry of Health, Indonesia; University of Indonesia; and Asahikawa Medical College, Asahikawa, Japan since 1996. Future goals include implementation of active case finding (active surveillance) and treatment of tapeworm carriers, sustainable public health education, establishment of a system to check the quality of beef/pork and determine the distribution of infected animals and strengthening of laboratory capacity. Efforts to motivate provinces and districts should be implemented in developing the strategic plan to control of the disease. Given the considerable differences in cultures, religions, levels of education, socio-economic levels, daily habits and behaviour etc., control programmes must be adapted to the local situations.

Animals↗