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Showing papers by "University of Hawaii at Manoa published in 2008"


Journal ArticleDOI
15 Feb 2008-Science
TL;DR: This article developed an ecosystem-specific, multiscale spatial model to synthesize 17 global data sets of anthropogenic drivers of ecological change for 20 marine ecosystems and found that no area is unaffected by human influence and that a large fraction (41%) is strongly affected by multiple drivers.
Abstract: The management and conservation of the world's oceans require synthesis of spatial data on the distribution and intensity of human activities and the overlap of their impacts on marine ecosystems. We developed an ecosystem-specific, multiscale spatial model to synthesize 17 global data sets of anthropogenic drivers of ecological change for 20 marine ecosystems. Our analysis indicates that no area is unaffected by human influence and that a large fraction (41%) is strongly affected by multiple drivers. However, large areas of relatively little human impact remain, particularly near the poles. The analytical process and resulting maps provide flexible tools for regional and global efforts to allocate conservation resources; to implement ecosystem-based management; and to inform marine spatial planning, education, and basic research.

5,365 citations


Journal ArticleDOI
TL;DR: The authors argue that value is fundamentally derived and determined in use -the integration and application of resources in a specific context, rather than in exchange, embedded in firm output and captured by price.

2,861 citations


Journal ArticleDOI
17 Jan 2008-Nature
TL;DR: Past episodes of greenhouse warming provide insight into the coupling of climate and the carbon cycle and thus may help to predict the consequences of unabated carbon emissions in the future.
Abstract: Past episodes of greenhouse warming provide insight into the coupling of climate and the carbon cycle and thus may help to predict the consequences of unabated carbon emissions in the future.

2,771 citations


Journal ArticleDOI
TL;DR: Several biomass hydrothermal conversion processes are in development or demonstration as mentioned in this paper, which are generally lower temperature (200-400 °C) reactions which produce liquid products, often called bio-oil or bio-crude.
Abstract: Hydrothermal technologies are broadly defined as chemical and physical transformations in high-temperature (200–600 °C), high-pressure (5–40 MPa) liquid or supercritical water. This thermochemical means of reforming biomass may have energetic advantages, since, when water is heated at high pressures a phase change to steam is avoided which avoids large enthalpic energy penalties. Biological chemicals undergo a range of reactions, including dehydration and decarboxylation reactions, which are influenced by the temperature, pressure, concentration, and presence of homogeneous or heterogeneous catalysts. Several biomass hydrothermal conversion processes are in development or demonstration. Liquefaction processes are generally lower temperature (200–400 °C) reactions which produce liquid products, often called “bio-oil” or “bio-crude”. Gasification processes generally take place at higher temperatures (400–700 °C) and can produce methane or hydrogen gases in high yields.

1,822 citations


Journal ArticleDOI
Jennifer K. Adelman-McCarthy1, Marcel A. Agüeros2, S. Allam3, S. Allam1  +170 moreInstitutions (65)
TL;DR: The Sixth Data Release of the Sloan Digital Sky Survey (SDS) as discussed by the authors contains images and parameters of roughly 287 million objects over 9583 deg(2), including scans over a large range of Galactic latitudes and longitudes.
Abstract: This paper describes the Sixth Data Release of the Sloan Digital Sky Survey. With this data release, the imaging of the northern Galactic cap is now complete. The survey contains images and parameters of roughly 287 million objects over 9583 deg(2), including scans over a large range of Galactic latitudes and longitudes. The survey also includes 1.27 million spectra of stars, galaxies, quasars, and blank sky ( for sky subtraction) selected over 7425 deg2. This release includes much more stellar spectroscopy than was available in previous data releases and also includes detailed estimates of stellar temperatures, gravities, and metallicities. The results of improved photometric calibration are now available, with uncertainties of roughly 1% in g, r, i, and z, and 2% in u, substantially better than the uncertainties in previous data releases. The spectra in this data release have improved wavelength and flux calibration, especially in the extreme blue and extreme red, leading to the qualitatively better determination of stellar types and radial velocities. The spectrophotometric fluxes are now tied to point-spread function magnitudes of stars rather than fiber magnitudes. This gives more robust results in the presence of seeing variations, but also implies a change in the spectrophotometric scale, which is now brighter by roughly 0.35 mag. Systematic errors in the velocity dispersions of galaxies have been fixed, and the results of two independent codes for determining spectral classifications and red-shifts are made available. Additional spectral outputs are made available, including calibrated spectra from individual 15 minute exposures and the sky spectrum subtracted from each exposure. We also quantify a recently recognized underestimation of the brightnesses of galaxies of large angular extent due to poor sky subtraction; the bias can exceed 0.2 mag for galaxies brighter than r = 14 mag.

1,602 citations


Journal ArticleDOI
25 Jul 2008-Science
TL;DR: The Caribbean has the largest proportion of corals in high extinction risk categories, whereas the Coral Triangle has the highest proportion of species in all categories of elevated extinction risk.
Abstract: The conservation status of 845 zooxanthellate reef-building coral species was assessed by using International Union for Conservation of Nature Red List Criteria. Of the 704 species that could be assigned conservation status, 32.8% are in categories with elevated risk of extinction. Declines in abundance are associated with bleaching and diseases driven by elevated sea surface temperatures, with extinction risk further exacerbated by local-scale anthropogenic disturbances. The proportion of corals threatened with extinction has increased dramatically in recent decades and exceeds that of most terrestrial groups. The Caribbean has the largest proportion of corals in high extinction risk categories, whereas the Coral Triangle (western Pacific) has the highest proportion of species in all categories of elevated extinction risk. Our results emphasize the widespread plight of coral reefs and the urgent need to enact conservation measures.

1,272 citations


Journal ArticleDOI
24 Apr 2008-Nature
TL;DR: Papaya offers numerous advantages as a system for fruit-tree functional genomics, and this draft genome sequence provides the foundation for revealing the basis of Carica’s distinguishing morpho-physiological, medicinal and nutritional properties.
Abstract: Papaya, a fruit crop cultivated in tropical and subtropical regions, is known for its nutritional benefits and medicinal applications. Here we report a 3x draft genome sequence of 'SunUp' papaya, the first commercial virus-resistant transgenic fruit tree to be sequenced. The papaya genome is three times the size of the Arabidopsis genome, but contains fewer genes, including significantly fewer disease-resistance gene analogues. Comparison of the five sequenced genomes suggests a minimal angiosperm gene set of 13,311. A lack of recent genome duplication, atypical of other angiosperm genomes sequenced so far, may account for the smaller papaya gene number in most functional groups. Nonetheless, striking amplifications in gene number within particular functional groups suggest roles in the evolution of tree-like habit, deposition and remobilization of starch reserves, attraction of seed dispersal agents, and adaptation to tropical daylengths. Transgenesis at three locations is closely associated with chloroplast insertions into the nuclear genome, and with topoisomerase I recognition sites. Papaya offers numerous advantages as a system for fruit-tree functional genomics, and this draft genome sequence provides the foundation for revealing the basis of Carica's distinguishing morpho-physiological, medicinal and nutritional properties.

1,028 citations


Journal ArticleDOI
TL;DR: The North Pacific Gyre Oscillation (NPGO) as mentioned in this paper is the most widely used index of large-scale climate variability in the Northeast Pacific region and has been shown to be correlated with previously unexplained fluctuations of salinity, nutrients, chlorophyll, and zooplankton taxa.
Abstract: Decadal fluctuations in salinity, nutrients, chlorophyll, a variety of zooplankton taxa, and fish stocks in the Northeast Pacific are often poorly correlated with the most widely-used index of large-scale climate variability in the region - the Pacific Decadal Oscillation (PDO). We define a new pattern of climate change, the North Pacific Gyre Oscillation (NPGO) and show that its variability is significantly correlated with previously unexplained fluctuations of salinity, nutrients and chlorophyll. Fluctuations in the NPGO are driven by regional and basin-scale variations in wind-driven upwelling and horizontal advection - the fundamental processes controlling salinity and nutrient concentrations. Nutrient fluctuations drive concomitant changes in phytoplankton concentrations, and may force similar variability in higher trophic levels. The NPGO thus provides a strong indicator of fluctuations in the mechanisms driving planktonic ecosystem dynamics. The NPGO pattern extends beyond the North Pacific and is part of a global-scale mode of climate variability that is evident in global sea level trends and sea surface temperature. Therefore the amplification of the NPGO variance found in observations and in global warming simulations implies that the NPGO may play an increasingly important role in forcing global-scale decadal changes in marine ecosystems.

984 citations


Journal ArticleDOI
TL;DR: In this paper, a transition from goods to services is discussed and the implications for marketing theory and practice of a full transition to a service-logic are explored, which is consistent with and partially derived from a similar transition found in the business marketing literature.

948 citations


Journal ArticleDOI
15 Feb 2008-Spine
TL;DR: The use of sporting gear to prevent other types of injury was not associated with increased neck injuries in bicycling, hockey, or skiing, and future research should concentrate on longitudinal designs exploring preventive strategies and modifiable risk factors for neck pain.
Abstract: STUDY DESIGN: Best evidence synthesis. OBJECTIVE: To undertake a best evidence synthesis of the published evidence on the burden and determinants of neck pain and its associated disorders in the general population. SUMMARY OF BACKGROUND DATA: The evidence on burden and determinants of neck has not previously been summarized. METHODS: The Bone and Joint Decade 2000-2010 Task Force on Neck Pain and Its Associated Disorders performed a systematic search and critical review of literature published between 1980 and 2006 to assemble the best evidence on neck pain. Studies meeting criteria for scientific validity were included in a best evidence synthesis. RESULTS: We identified 469 studies on burden and determinants of neck pain, and judged 249 to be scientifically admissible; 101 articles related to the burden and determinants of neck pain in the general population. Incidence ranged from 0.055 per 1000 person years (disc herniation with radiculopathy) to 213 per 1000 persons (self-reported neck pain). Incidence of neck injuries during competitive sports ranged from 0.02 to 21 per 1000 exposures. The 12-month prevalence of pain typically ranged between 30% and 50%; the 12-month prevalence of activity-limiting pain was 1.7% to 11.5%. Neck pain was more prevalent among women and prevalence peaked in middle age. Risk factors for neck pain included genetics, poor psychological health, and exposure to tobacco. Disc degeneration was not identified as a risk factor. The use of sporting gear (helmets, face shields) to prevent other types of injury was not associated with increased neck injuries in bicycling, hockey, or skiing. CONCLUSION: Neck pain is common. Nonmodifiable risk factors for neck pain included age, gender, and genetics. Modifiable factors included smoking, exposure to tobacco, and psychological health. Disc degeneration was not identified as a risk factor. Future research should concentrate on longitudinal designs exploring preventive strategies and modifiable risk factors for neck pain. Language: en

825 citations


Journal ArticleDOI
TL;DR: Examination of the association of olfactory dysfunction with future development of PD in Honolulu‐Asia Aging Study cohort members finds that it can predate the onset of clinical PD in a community‐based population.
Abstract: Objective Although olfactory dysfunction is commonly associated with Parkinson's disease (PD), it is not known whether such dysfunction can predate the onset of clinical PD in a community-based population. This study examines the association of olfactory dysfunction with future development of PD in Honolulu-Asia Aging Study cohort members Methods Olfaction was assessed from 1991 to 1996 in 2,267 men in the Honolulu-Asia Aging Study aged 71 to 95 years who were free of clinical PD and dementia at the time of olfaction testing. Participants were followed for up to 8 years for incident PD Results In the course of follow-up, 35 men were diagnosed with PD (24.6/10,000 person-years). The average age at the time of diagnosis was 82.9 ± 3.8 (range, 76–93) years, and the average time to a diagnosis was 4.0 ± 1.9 (range, 1–8) years. During the first 4 years of follow-up, age-adjusted incidence of PD declined from 54.5/10,000 person-years in the lowest quartile of odor identification to 26.6, 8.2, and 8.4/10,000 person-years in the second, third, and fourth quartiles, respectively (p < 0.001 for trend). After adjustment for age and other potential confounders, the odds ratios for PD in the lowest quartile was 5.2 (95% confidence interval, 1.5–25.6) compared with the top two quartiles. This relation was not evident beyond 4 years of follow-up Interpretation Impaired olfaction can predate clinical PD in men by at least 4 years and may be a useful screening tool to detect those at high risk for development of PD in later life. Ann Neurol 2007

Journal ArticleDOI
TL;DR: In this paper, the authors developed and empirically tested a conceptual model of the impact of website quality on customer satisfaction and purchase intentions, and found that website quality has a direct and positive impact on customers' satisfaction, while customer satisfaction does significantly mediate this effect.

Journal ArticleDOI
15 Feb 2008-Spine
TL;DR: The Neck Pain Task Force undertook a best evidence synthesis to establish a baseline of the current best evidence on the course and prognosis for WAD, finding that recovery of WAD seems to be multifactorial.
Abstract: STUDY DESIGN: Best evidence synthesis. OBJECTIVE: To perform a best evidence synthesis on the course and prognostic factors for neck pain and its associated disorders in Grades I-III whiplash-associated disorders (WAD). SUMMARY OF BACKGROUND DATA: Knowledge of the course of recovery of WAD guides expectations for recovery. Identifying prognostic factors assists in planning management and intervention strategies and effective compensation policies to decrease the burden of WAD. METHODS: The Bone and Joint Decade 2000-2010 Task Force on Neck Pain and its Associated Disorders (Neck Pain Task Force) conducted a critical review of the literature published between 1980 and 2006 to assemble the best evidence on neck pain and its associated disorders. Studies meeting criteria for scientific validity were included in a best evidence synthesis. RESULTS: We found 226 articles related to course and prognostic factors in neck pain and its associated disorders. After a critical review, 70 (31%) were accepted on scientific merit; 47 of these studies related to course and prognostic factors in WAD. The evidence suggests that approximately 50% of those with WAD will report neck pain symptoms 1 year after their injuries. Greater initial pain, more symptoms, and greater initial disability predicted slower recovery. Few factors related to the collision itself (for example, direction of the collision, headrest type) were prognostic; however, postinjury psychological factors such as passive coping style, depressed mood, and fear of movement were prognostic for slower or less complete recovery. There is also preliminary evidence that the prevailing compensation system is prognostic for recovery in WAD. CONCLUSION: The Neck Pain Task Force undertook a best evidence synthesis to establish a baseline of the current best evidence on the course and prognosis for WAD. Recovery of WAD seems to be multifactorial. Language: en

Journal ArticleDOI
13 Mar 2008-Nature
TL;DR: The Gulf Stream is the upper limb of the Atlantic meridional overturning circulation, which has varied in strength in the past and is predicted to weaken in response to human-induced global warming in the future.
Abstract: The Gulf Stream is a warm Atlantic current that transports heat northward, keeping Western Europe significantly warmer than North America in winter. It is known to influence short-term weather phenomena such as surface winds and cyclone formation, but its effects on longer-term climate and at higher levels in the atmosphere are poorly understood. Now a combination of weather analyses, satellite data and an atmospheric general circulation model reveals that the Gulf Stream's influence is felt well above the near-surface portion of the atmosphere. The current anchors a tall wall of atmospheric upward motion that penetrates into the upper troposphere and supports deep raining clouds. This provides a pathway by which the Gulf Stream can affect local climate, and possibly climate in remote regions via an effect on planetary wave propagation. The cover graphic represents surface current speeds in blue-white colours (white is the fastest) and upward wind velocities in yellow-red colours (red for stronger winds), along with land-surface topography in eastern North America. The Gulf Stream's influence on the atmosphere is examined using a combination of operational weather analyses and satellite observations. The results indicate that the Gulf Stream anchors a rain band in which upward motion of air penetrates deep into the upper troposphere, well above the near-surface portion of the atmosphere. These mechanisms provide a pathway by which the Gulf Stream can affect local climate, and possibly also climate in remote regions. The Gulf Stream transports large amounts of heat from the tropics to middle and high latitudes, and thereby affects weather phenomena such as cyclogenesis1,2 and low cloud formation3. But its climatic influence, on monthly and longer timescales, remains poorly understood. In particular, it is unclear how the warm current affects the free atmosphere above the marine atmospheric boundary layer. Here we consider the Gulf Stream’s influence on the troposphere, using a combination of operational weather analyses, satellite observations and an atmospheric general circulation model4. Our results reveal that the Gulf Stream affects the entire troposphere. In the marine boundary layer, atmospheric pressure adjustments to sharp sea surface temperature gradients lead to surface wind convergence, which anchors a narrow band of precipitation along the Gulf Stream. In this rain band, upward motion and cloud formation extend into the upper troposphere, as corroborated by the frequent occurrence of very low cloud-top temperatures. These mechanisms provide a pathway by which the Gulf Stream can affect the atmosphere locally, and possibly also in remote regions by forcing planetary waves5,6. The identification of this pathway may have implications for our understanding of the processes involved in climate change, because the Gulf Stream is the upper limb of the Atlantic meridional overturning circulation, which has varied in strength in the past7 and is predicted to weaken in response to human-induced global warming in the future8.

Journal ArticleDOI
TL;DR: In this article, Wang et al. proposed the reversed Wang and Fan index, which is nearly identical to the leading principal component of the EASM and greatly facilitates real-time monitoring.
Abstract: Defining the intensity of the East Asian summer monsoon (EASM) has been extremely controversial. This paper elaborates on the meanings of 25 existing EASM indices in terms of two observed major modes of interannual variation in the precipitation and circulation anomalies for the 1979–2006 period. The existing indices can be classified into five categories: the east–west thermal contrast, north–south thermal contrast, shear vorticity of zonal winds, southwesterly monsoon, and South China Sea monsoon. The last four types of indices reflect various aspects of the leading mode of interannual variability of the EASM rainfall and circulations, which correspond to the decaying El Nino, while the first category reflects the second mode that corresponds to the developing El Nino. The authors recommend that the EASM strength can be represented by the principal component of the leading mode of the interannual variability, which provides a unified index for the majority of the existing indices. This new index is extremely robust, captures a large portion (50%) of the total variance of the precipitation and three-dimensional circulation, and has unique advantages over all the existing indices. The authors also recommend a simple index, the reversed Wang and Fan index, which is nearly identical to the leading principal component of the EASM and greatly facilitates real-time monitoring. The proposed index highlights the significance of the mei-yu/baiu/changma rainfall in gauging the strength of the EASM. The mei-yu, which is produced in the primary rain-bearing system, the East Asian (EA) subtropical front, better represents the variability of the EASM circulation system. This new index reverses the traditional Chinese meaning of a strong EASM, which corresponds to a deficient mei-yu that is associated with an abnormal northward extension of southerly over northern China. The new definition is consistent with the meaning used in other monsoon regions worldwide, where abundant rainfall within the major local rain-bearing monsoon system is considered to be a strong monsoon.

Journal ArticleDOI
TL;DR: It is shown that the plasma membrane Ca2+-permeable channel TRPM2 controls ROS-induced chemokine production in monocytes, which aggravates inflammation and is proposed as a new therapeutic strategy for treating inflammatory diseases.
Abstract: The Ca2+-permeable channel TRPM2 stimulates monocytes to produce chemokines in response to reactive oxygen species, and channel inhibition attenuates inflammatory disease in mice. TRPM2 could be a new target for treating inflammatory diseases. Reactive oxygen species (ROS) induce chemokines responsible for the recruitment of inflammatory cells to sites of injury or infection. Here we show that the plasma membrane Ca2+-permeable channel TRPM2 controls ROS-induced chemokine production in monocytes. In human U937 monocytes, hydrogen peroxide (H2O2) evokes Ca2+ influx through TRPM2 to activate Ca2+-dependent tyrosine kinase Pyk2 and amplify Erk signaling via Ras GTPase. This elicits nuclear translocation of nuclear factor-κB essential for the production of the chemokine interleukin-8 (CXCL8). In monocytes from Trpm2-deficient mice, H2O2-induced Ca2+ influx and production of the macrophage inflammatory protein-2 (CXCL2), the mouse CXCL8 functional homolog, were impaired. In the dextran sulfate sodium-induced colitis inflammation model, CXCL2 expression, neutrophil infiltration and ulceration were attenuated by Trpm2 disruption. Thus, TRPM2 Ca2+ influx controls the ROS-induced signaling cascade responsible for chemokine production, which aggravates inflammation. We propose functional inhibition of TRPM2 channels as a new therapeutic strategy for treating inflammatory diseases.

Journal ArticleDOI
TL;DR: In this paper, a business model framework is proposed to link the firm's theory about how to compete to its execution, which captures previous ideas about business models in a simple logical structure.
Abstract: We have many useful frameworks for formulating business strategy, i.e., devising a theory of how to compete. Frameworks for strategy execution are comparatively fragmented and idiosyncratic. This paper proposes a business model framework to link the firm's theory about how to compete to its execution. The framework captures previous ideas about business models in a simple logical structure that reflects current thinking in strategy. The framework is a useful tool for the strategist, for teaching, and for research on business models in strategy. Copyright © 2008 John Wiley & Sons, Ltd.

Journal ArticleDOI
TL;DR: The rationale and need for MHBC research and interventions are presented, the research base is briefly reviewed, and core conceptual and methodological issues unique to this growing area are identified.

Journal ArticleDOI
TL;DR: In this paper, a new version of the International Bathymetric Chart of the Arctic Ocean (IBCAO) is presented in the form of a digital grid on a Polar Stereographic projection with grid cell spacing of 2 × 2 km.
Abstract: [1] A digital representation of ocean floor topography is essential for a broad variety of geological, geophysical and oceanographic analyses and modeling. In this paper we present a new version of the International Bathymetric Chart of the Arctic Ocean (IBCAO) in the form of a digital grid on a Polar Stereographic projection with grid cell spacing of 2 × 2 km. The new IBCAO, which has been derived from an accumulated database of available bathymetric data including the recent years of multibeam mapping, significantly improves our portrayal of the Arctic Ocean seafloor.

Journal ArticleDOI
TL;DR: The mitogen-activated protein (MAP) kinase extracellular-signal-regulated kinases (ERKs) are activated by diverse mechanisms including ligation of receptor tyrosine kinases such as epidermal growth factor (EGF) and cell adhesion receptors such as the integrins.

Journal ArticleDOI
TL;DR: Deciding how Se intake differentially affects various types of immune responses and dissecting the mechanisms by which this occurs will lead to a better utilization of Se-supplementation for human diseases involving the immune system.
Abstract: Selenium (Se) is a potent nutritional antioxidant that carries out biological effects through its incorporation into selenoproteins. Given the crucial roles that selenoproteins play in regulating reactive oxygen species (ROS) and redox status in nearly all tissues, it is not surprising that dietary Se strongly influences inflammation and immune responses. The notion that Se "boosts" the immune system has been supported by studies involving aging immunity or protection against certain pathogens. However, studies examining the effects of Se status on other types of immunity such as antiparasitic responses or allergic asthma have suggested more Se may not always be beneficial. In this review, we summarize and compare the available data regarding how the levels of Se affect different types of immunity. Overall, determining how Se intake differentially affects various types of immune responses and dissecting the mechanisms by which this occurs will lead to a better utilization of Se-supplementation for human diseases involving the immune system.

Journal ArticleDOI
15 Feb 2008-Spine
TL;DR: Preliminary evidence is found that gender, occupation, headaches, emotional problems, smoking, poor job satisfaction, awkward work postures, poor physical work environment, and workers' ethnicity may be associated with neck pain.
Abstract: Study design Systematic review and best evidence synthesis. Objectives To describe the prevalence and incidence of neck pain and disability in workers; to identify risk factors for neck pain in workers; to propose an etiological diagram; and to make recommendations for future research. Summary of background data Previous reviews of the etiology of neck pain in workers relied on cross-sectional evidence. Recently published cohorts and randomized trials warrant a re-analysis of this body of research. Methods We systematically searched Medline for literature published from 1980-2006. Retrieved articles were reviewed for relevance. Relevant articles were critically appraised. Articles judged to have adequate internal validity were included in our best evidence synthesis. Results One hundred and nine papers on the burden and determinants of neck pain in workers were scientifically admissible. The annual prevalence of neck pain varied from 27.1% in Norway to 47.8% in Quebec, Canada. Each year, between 11% and 14.1% of workers were limited in their activities because of neck pain. Risk factors associated with neck pain in workers include age, previous musculoskeletal pain, high quantitative job demands, low social support at work, job insecurity, low physical capacity, poor computer workstation design and work posture, sedentary work position, repetitive work and precision work. We found preliminary evidence that gender, occupation, headaches, emotional problems, smoking, poor job satisfaction, awkward work postures, poor physical work environment, and workers' ethnicity may be associated with neck pain. There is evidence that interventions aimed at modifying workstations and worker posture are not effective in reducing the incidence of neck pain in workers. Conclusion Neck disorders are a significant source of pain and activity limitations in workers. Most neck pain results from complex relationships between individual and workplace risk factors. No prevention strategies have been shown to reduce the incidence of neck pain in workers.

Journal ArticleDOI
15 Feb 2008-Spine
TL;DR: The best evidence synthesis suggests that therapies involving manual therapy and exercise are more effective than alternative strategies for patients with neck pain; this was also true of therapies which include educational interventions addressing self-efficacy.
Abstract: Study design Best evidence synthesis. Objective To identify, critically appraise, and synthesize literature from 1980 through 2006 on noninvasive interventions for neck pain and its associated disorders. Summary of background data No comprehensive systematic literature reviews have been published on interventions for neck pain and its associated disorders in the past decade. Methods We systematically searched Medline and screened for relevance literature published from 1980 through 2006 on the use, effectiveness, and safety of noninvasive interventions for neck pain and associated disorders. Consensus decisions were made about the scientific merit of each article; those judged to have adequate internal validity were included in our best evidence synthesis. Results Of the 359 invasive and noninvasive intervention articles deemed relevant, 170 (47%) were accepted as scientifically admissible, and 139 of these related to noninvasive interventions (including health care utilization, costs, and safety). For whiplash-associated disorders, there is evidence that educational videos, mobilization, and exercises appear more beneficial than usual care or physical modalities. For other neck pain, the evidence suggests that manual and supervised exercise interventions, low-level laser therapy, and perhaps acupuncture are more effective than no treatment, sham, or alternative interventions; however, none of the active treatments was clearly superior to any other in either the short- or long-term. For both whiplash-associated disorders and other neck pain without radicular symptoms, interventions that focused on regaining function as soon as possible are relatively more effective than interventions that do not have such a focus. Conclusion Our best evidence synthesis suggests that therapies involving manual therapy and exercise are more effective than alternative strategies for patients with neck pain; this was also true of therapies which include educational interventions addressing self-efficacy. Future efforts should focus on the study of noninvasive interventions for patients with radicular symptoms and on the design and evaluation of neck pain prevention strategies.

Journal ArticleDOI
TL;DR: This précis of an online tutorial, CoGe with Rosids, presents sample results graphically to clearly describe the sorts of biological questions that might be answered in part using CoGe, including patterns of DNA conservation, accuracy of annotation, transposability of individual genes, subfunctionalization and/or fractionation of syntenic gene sets, and conserved noncoding sequence content.
Abstract: In addition to the genomes of Arabidopsis (Arabidopsis thaliana) and poplar (Populus trichocarpa), two near-complete rosid genome sequences, grape (Vitis vinifera) and papaya (Carica papaya), have been recently released. The phylogenetic relationship among these four genomes and the placement of their three independent, fractionated tetraploidies sum to a powerful comparative genomic system. CoGe, a platform of multiple whole or near-complete genome sequences, provides an integrative Web-based system to find and align syntenic chromosomal regions and visualize the output in an intuitive and interactive manner. CoGe has been customized to specifically support comparisons among the rosids. Crucial facts and definitions are presented to clearly describe the sorts of biological questions that might be answered in part using CoGe, including patterns of DNA conservation, accuracy of annotation, transposability of individual genes, subfunctionalization and/or fractionation of syntenic gene sets, and conserved noncoding sequence content. This precis of an online tutorial, CoGe with Rosids (http://tinyurl.com/4a23pk), presents sample results graphically.

Journal ArticleDOI
TL;DR: Results from multiple species support the antioxidant/anti-inflammatory properties of the prototype compound, astaxanthin, establishing it as an appropriate candidate for development as a therapeutic agent for cardiovascular oxidative stress and inflammation.
Abstract: Oxidative stress and inflammation are implicated in several different manifestations of cardiovascular disease (CVD). They are generated, in part, from the overproduction of reactive oxygen species (ROS) and reactive nitrogen species (RNS) that activate transcriptional messengers, such as nuclear factor-kappaB, tangibly contributing to endothelial dysfunction, the initiation and progression of atherosclerosis, irreversible damage after ischemic reperfusion, and even arrhythmia, such as atrial fibrillation. Despite this connection between oxidative stress and CVD, there are currently no recognized therapeutic interventions to address this important unmet need. Antioxidants that provide a broad, "upstream" approach via ROS/RNS quenching or free radical chain breaking seem an appropriate therapeutic option based on epidemiologic, dietary, and in vivo animal model data. However, human clinical trials with several different well-known agents, such as vitamin E and beta-carotene, have been disappointing. Does this mean antioxidants as a class are ineffective, or rather that the "right" compound(s) have yet to be found, their mechanisms of action understood, and their appropriate targeting and dosages determined? A large class of potent naturally-occurring antioxidants exploited by nature-the oxygenated carotenoids (xanthophylls)-have demonstrated utility in their natural form but have eluded development as successful targeted therapeutic agents up to the present time. This article characterizes the mechanism by which this novel group of antioxidants function and reviews their preclinical development. Results from multiple species support the antioxidant/anti-inflammatory properties of the prototype compound, astaxanthin, establishing it as an appropriate candidate for development as a therapeutic agent for cardiovascular oxidative stress and inflammation.

Journal ArticleDOI
Montserrat Garcia-Closas1, Per Hall2, Heli Nevanlinna3, Karen A. Pooley4, Jonathan J. Morrison4, Douglas A. Richesson1, Stig E. Bojesen5, Børge G. Nordestgaard5, C K Axelsson5, José Ignacio Arias6, Roger L. Milne6, Gloria Ribas6, Anna González-Neira6, Javier Benitez6, P. Zamora7, Hiltrud Brauch8, Hiltrud Brauch9, Christina Justenhoven9, Christina Justenhoven8, Ute Hamann10, Yon Ko, Thomas Bruening11, Susanne Haas12, Thilo Dörk13, Peter Schürmann13, Peter Hillemanns13, Natalia Bogdanova13, Michael Bremer13, Johann H. Karstens13, Rainer Fagerholm3, Kirsimari Aaltonen3, Kristiina Aittomäki3, Karl von Smitten3, Carl Blomqvist3, Arto Mannermaa14, Matti Uusitupa14, Matti Eskelinen14, Maria Tengström14, Veli-Matti Kosma14, V. Kataja14, Georgia Chenevix-Trench15, Amanda B. Spurdle15, Jonathan Beesley15, Xiaoqing Chen15, Peter Devilee16, Christi J. van Asperen16, Catharina E. Jacobi16, Rob A. E. M. Tollenaar16, Petra E A Huijts17, Jan G. M. Klijn17, Jenny Chang-Claude10, Silke Kropp10, Tracy Slanger10, Dieter Flesch-Janys18, Elke Mutschelknauss18, Ramona Salazar, Shan Wang-Gohrke19, Fergus J. Couch20, Ellen L. Goode20, Janet E. Olson20, Celine M. Vachon20, Zachary S. Fredericksen20, Graham G. Giles21, Laura Baglietto21, Gianluca Severi21, John L. Hopper22, Dallas R. English22, Melissa C. Southey22, Christopher A. Haiman23, Brian E. Henderson23, Laurence N. Kolonel24, Loic Le Marchand24, Daniel O. Stram23, David J. Hunter25, Susan E. Hankinson25, David G. Cox25, Rulla M. Tamimi25, Peter Kraft25, Mark E. Sherman1, Stephen J. Chanock1, Jolanta Lissowska26, Louise A. Brinton1, Beata Peplonska27, Maartje J. Hooning17, Han Meijers-Heijboer17, J. Margriet Collée17, Ans M.W. van den Ouweland17, André G. Uitterlinden17, Jianjun Liu28, Yen Lin Low28, Li Yuqing28, Keith Humphreys2, Kamila Czene2, Angela Cox29, Sabapathy P. Balasubramanian29, Simon S. Cross29, Malcolm W.R. Reed29, Fiona M. Blows4, Kristy Driver4, Alison M. Dunning4, Jonathan Tyrer4, Bruce A.J. Ponder30, Suleeporn Sangrajrang, Paul Brennan31, James McKay31, Fabrice Odefrey31, Valerie Gabrieau31, Alice J. Sigurdson1, Michele M. Doody1, J. P. Struewing1, Bruce H. Alexander, Douglas F. Easton4, Paul D.P. Pharoah4 
TL;DR: The findings show that common genetic variants influence the pathological subtype of breast cancer and provide further support for the hypothesis that ER-positive and ER-negative disease are biologically distinct.
Abstract: A three-stage genome-wide association study recently identified single nucleotide polymorphisms (SNPs) in five loci (fibroblast growth receptor 2 (FGFR2), trinucleotide repeat containing 9 (TNRC9), mitogen-activated protein kinase 3 K1 (MAP3K1), 8q24, and lymphocyte-specific protein 1 (LSP1)) associated with breast cancer risk. We investigated whether the associations between these SNPs and breast cancer risk varied by clinically important tumor characteristics in up to 23,039 invasive breast cancer cases and 26,273 controls from 20 studies. We also evaluated their influence on overall survival in 13,527 cases from 13 studies. All participants were of European or Asian origin. rs2981582 in FGFR2 was more strongly related to ER-positive (per-allele OR (95%CI) = 1.31 (1.27-1.36)) than ER-negative (1.08 (1.03-1.14)) disease (P for heterogeneity = 10(-13)). This SNP was also more strongly related to PR-positive, low grade and node positive tumors (P = 10(-5), 10(-8), 0.013, respectively). The association for rs13281615 in 8q24 was stronger for ER-positive, PR-positive, and low grade tumors (P = 0.001, 0.011 and 10(-4), respectively). The differences in the associations between SNPs in FGFR2 and 8q24 and risk by ER and grade remained significant after permutation adjustment for multiple comparisons and after adjustment for other tumor characteristics. Three SNPs (rs2981582, rs3803662, and rs889312) showed weak but significant associations with ER-negative disease, the strongest association being for rs3803662 in TNRC9 (1.14 (1.09-1.21)). rs13281615 in 8q24 was associated with an improvement in survival after diagnosis (per-allele HR = 0.90 (0.83-0.97). The association was attenuated and non-significant after adjusting for known prognostic factors. Our findings show that common genetic variants influence the pathological subtype of breast cancer and provide further support for the hypothesis that ER-positive and ER-negative disease are biologically distinct. Understanding the etiologic heterogeneity of breast cancer may ultimately result in improvements in prevention, early detection, and treatment.

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TL;DR: Sentinel surveillance of travelers could augment existing national public health surveillance systems and reflect the epidemiology of dengue in travelers, which is reflected by the epidemiological patterns in travelers.

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TL;DR: The advantages and disadvantages of mediated and direct bioelectrocatalysis at electrodes for biofuel cells are described and different enzyme immobilization techniques and different electrode structures are compared.
Abstract: Biofuel cells are energy conversion devices that use biocatalysts to convert chemical energy to electrical energy. Over the last decade, research in this area has intensified, especially in the area of direct electron transfer between enzymes and electrodes. This review details the fundamentals of enzymatic biofuel cells and reviews characterization techniques that can be used to evaluate and optimize biofuel cells. The review details the advantages and disadvantages of mediated and direct bioelectrocatalysis at electrodes for biofuel cells. It also compares and contrasts different enzyme immobilization techniques and different electrode structures.

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15 Feb 2008-Spine
TL;DR: Psychosocial factors, including psychologic health, coping patterns, and need to socialize, were the strongest prognostic factors in neck pain and its associated disorders.
Abstract: STUDY DESIGN Best evidence synthesis. OBJECTIVE To undertake a best evidence synthesis on course and prognosis of neck pain and its associated disorders in the general population. SUMMARY OF BACKGROUND DATA Knowing the course of neck pain guides expectations for recovery. Identifying prognostic factors assists in planning public policies, formulating interventions, and promoting lifestyle changes to decrease the burden of neck pain. METHODS The Bone and Joint Decade 2000-2010 Task Force on Neck Pain and its Associated Disorders (Neck Pain Task Force) conducted a critical review of literature published between 1980 and 2006 to assemble the best evidence on neck pain. Findings from studies meeting criteria for scientific validity were abstracted into evidence tables and included in a best evidence synthesis. RESULTS We found 226 articles on the course and prognostic factors in neck pain and its associated disorders. After critical review, 70 (31%) of these were accepted on scientific merit. Six studies related to course and 7 to prognostic factors in the general population. Between half and three quarters of persons in these populations with current neck pain will report neck pain again 1 to 5 years later. Younger age predicted better outcome. General exercise was unassociated with outcome, although regular bicycling predicted poor outcome in 1 study. Psychosocial factors, including psychologic health, coping patterns, and need to socialize, were the strongest prognostic factors. Several potential prognostic factors have not been well studied, including degenerative changes, genetic factors, and compensation policies. CONCLUSION The Neck Pain Task Force undertook a best evidence synthesis to establish a baseline of the current best evidence on the course and prognosis for this symptom. General exercise was not prognostic of better outcome; however, several psychosocial factors were prognostic of outcome.

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TL;DR: The Women9s Health Initiative calcium/vitamin D trial randomly assigned postmenopausal women to receive 1000 mg of elemental calcium plus 400 IU of vitamin D3 daily, or placebo, in a double-blind fashion as discussed by the authors.
Abstract: Objective: Experimental and epidemiologic studies suggest that calcium and vitamin D may reduce the risk of developing diabetes mellitus. We examined the effect of calcium plus vitamin D supplementation on the incidence of drug-treated diabetes in postmenopausal women. Research Design And Methods: The Women9s Health Initiative calcium/vitamin D trial randomly assigned postmenopausal women to receive 1000 mg of elemental calcium plus 400 IU of vitamin D3 daily, or placebo, in a double-blind fashion. Among 33,951 participants without self-reported diabetes at baseline, we ascertained by treatment assignment new diagnoses of diabetes treated with oral hypoglycemic agents or insulin. Effects of the intervention on fasting measurements of glucose, insulin, and insulin resistance were examined among a subset of participants. Results: Over a median follow-up time of 7 years, 2,291 women were newly diagnosed with diabetes. The hazard ratio for incident diabetes associated with calcium/vitamin D treatment was 1.01 (95% confidence interval 0.94, 1.10) based on intention to treat. This null result was robust in subgroup analyses, efficacy analyses accounting for nonadherence, and analyses examining change in laboratory measurements. Conclusions: Calcium plus vitamin D3 supplementation did not reduce the risk of developing diabetes over seven years of follow-up in this randomized, placebo-controlled trial. Higher doses of vitamin D may be required to affect diabetes risk, and/or associations of calcium and vitamin D intake with improved glucose metabolism observed in nonrandomized studies may be the result of confounding or of other components of foods containing these nutrients.