Showing papers by "University of Manitoba published in 1997"

Parasitology meets ecology on its own terms: Margolis et al. revisited.

Abstract: We consider 27 population and community terms used frequently by parasitologists when describing the ecology of parasites. We provide suggestions for various terms in an attempt to foster consistent use and to make terms used in parasite ecology easier to interpret for those who study free-living organisms. We suggest strongly that authors, whether they agree or disagree with us, provide complete and unambiguous definitions for all parameters of their studies.

A complex containing N-CoR, mSin3 and histone deacetylase mediates transcriptional repression.

Abstract: Transcriptional repression by nuclear receptors has been correlated to binding of the putative co-repressor, N-CoR. A complex has been identified that contains N-CoR, the Mad presumptive co-repressor mSin3, and the histone deacetylase mRPD3, and which is required for both nuclear receptor- and Mad-dependent repression, but not for repression by transcription factors of the ets-domain family. These data predict that the ligand-induced switch of heterodimeric nuclear receptors from repressor to activator functions involves the exchange of complexes containing histone deacetylases with those that have histone acetylase activity.

Information Needs and Decisional Preferences in Women With Breast Cancer

Abstract: Objective. —To determine the degree of involvement women with breast cancer wanted in medical decision making, extent to which they believed they had achieved their preferred level of involvement, and types of information they judged to be most important. Design and Setting. —Cross-sectional survey at 2 tertiary oncology referral clinics and 2 community hospital oncology clinics in Winnipeg, Manitoba. Patients. —Consecutive sample of 1012 women with a confirmed diagnosis of breast cancer who were scheduled for a visit at 1 of 4 hospital oncology clinics. Main Outcome Measures. —The following measures were used: (1) Preferences about various levels of participation in treatment decision making; (2) the extent to which subjects believed they had achieved their preferred levels of involvement in decision making; and (3) priority needs for information and how these needs differed by selected sociodemographic, disease, and treatment variables. Results. —A total of 22% of women wanted to select their own cancer treatment, 44% wanted to select their treatment collaboratively with their physicians, and 34% wanted to delegate this responsibility to their physicians. Only 42% of women believed they had achieved their preferred level of control in decision making. The 2 most highly ranked types of information were related to knowing about chances of cure and spread of disease. Women younger than 50 years rated information about physical and sexual attractiveness as more important than did older women ( P P =.002); and women who had a positive family history of breast cancer rated information about family risk as more important than did other women ( P =.03). Conclusions. —The substantial discrepancy between women's preferred and attained levels of involvement in treatment decision making suggests that systematic approaches to assess and respond to women's desired level of participation in treatment decision making need to be evaluated. Priorities for information identified in this study provide an empirical basis to guide communication with women seeking care for breast cancer.

Hippocampal volume in women victimized by childhood sexual abuse.

Abstract: Background. Several prior studies have found reduced hippocampal volume in victims of psychological trauma with post-traumatic stress disorder (PTSD). We were interested to determine if this finding was evident in women who were victimized by severe sexual abuse in childhood. Methods. In this study, hippocampal volume was measured using quantitative magnetic resonance imaging (MRI) in 21 women who reported being severely sexually abused in childhood and 21 sociodemographically similar women without abuse histories. Results. Women who reported sexual victimization in childhood had significantly reduced (5% smaller) left-sided hippocampal volume compared to the non-victimized women. Hippocampal volume was also smaller on the right side, but this failed to reach statistical significance. Left-sided hippocampal volume correlated highly (r s flfi0‐73) with dissociative symptom severity, but not with indices of explicit memory functioning. Conclusions. These findings, which are generally consistent with prior reports of reduced hippocampal volume in combat veterans with PTSD, suggest that diminished hippocampal size may be either a consequence of trauma exposure or a risk factor for the development of psychiatric complications following trauma exposure. The observed relationship between symptom severity and hippocampal volume suggests that mesial temporal lobe dysfunction may directly mediate certain aspects of PTSD and dissociative disorder symptomatology.

The Control Preferences Scale.

Abstract: The Control Preferences Scale (CPS) was developed to measure a construct that emerged from a grounded theory of how treatment decisions are made among people with life-threatening illnesses. The control preferences construct is defined as "the degree of control an individual wants to assume when decisions are being made about medical treatment." The CPS consists of five cards that each portrays a different role in treatment decision-making using a statement and a cartoon. These roles range from the individual making the treatment decisions, through the individual making the decisions jointly with the physician, to the physician making the decisions. The CPS involves subjects in making a series of paired comparisons to provide their total preference order over the five cards. These preference orders are analyzed using unfolding theory to determine the distribution of preferences in different populations and the effect of covariates on consumer preferences. The scale has been tested in a variety of populations, ranging from the general public to highly stressed groups. The CPS has proven to be a clinically relevant, easily administered, valid, and reliable measure of preferred roles in health-care decision-making.

The crystal chemistry of hexavalent uranium; polyhedron geometries, bond-valence parameters, and polymerization of polyhedra

Abstract: The geomeffy, bond valences, and polymerization ofhexavalent uranium polyhedra from 105 well-refined structures are analyzed. The Utu cation is almost always present in crystal stnrctures as part of a nearly linear (UOr)z* uranyl ion that is coordinated by four, five or six equatorial anions in an approximately planar arangement perpendicular to the uranyl ion, giving square, pentagonal and hexagonal bipyramids, respectively. The Utu-O7\" bond length (Oy,: uranyl-ion O atom) is independent of the equatorial anions of the polyhedra;-averages of all polyhedra tlat contain uranyl ions ffs; I6lIJ6f-Or. = 1.79(3), mg0.-.9 a,= 1.79(4), and t8lu6+-Our = 1.78(3) A. Not a[ r6lu6+ polyhedra contain uranyl ions; there is a continuous series of coordiaation polyhedr4 from square bipyramidal polyhedra with uranyl ions to holosymmehic octahedral geometry. The mUo* and t8lu6+ polyhedra invariably contaitl a uranyl ion. The equatorial U6.-0 (0: O,-, OH-) bond-lengths of uranyl polyhedra depend upon coordhation number; averages for all polyhedra are t6lu6+-dq = 2,28(5), rlUot-$* = 2.37(9), afi t8tlJ6+-$q2.47 (12) A. Cunently available bond-valence parameters for U& are unsatisfactory for determining bond-valence sums. Coordination-specific bond-valence paxameters have been derived for U6|, together with parameters applicable to all coordination geometries. The parameters give bond-valence sums for Ue of -6 vlr and reasonable bond-valences for Uc,-Ou, bonds. The bond-valence paraneters facilitate the recognition of Ua, U5+ and U6| catiotrs in refined crystal structures. The crystal-chemical consfraints ofpolyhedral polymerization in uranyl phases are discussed.

Prospective study of blunt aortic injury: Multicenter trial of the American Association for the Surgery of Trauma

Abstract: Background: Blunt aortic injury is a major cause of death from blunt trauma. Evolution of diagnostic techniques and methods of operative repair have altered the management and posed new questions in recent years. Methods: This study was a prospectively conducted multicenter trial involving 50 trauma centers in North America under the direction of the Multi-institutional Trial Committee of the American Association for the Surgery of Trauma. Results: There were 274 blunt aortic injury cases studied over 2.5 years, of which 81% were caused by automobile crashes. Chest computed tomography and transesophageal echocardiography were applied in 88 and 30 cases, respectively, and were 75 and 80% diagnostic, respectively. Two hundred seven stable patients underwent planned thoracotomy and repair. Clamp and sew technique was used in 73 (35%) and bypass techniques in 134 (65%). Overall mortality was 31%, with 63% of deaths being attributable to aortic rupture; mortality was not affected by method of repair. Paraplegia occurred postoperatively in 8.7%. Logistic regression analysis demonstrated clamp and sew (p = 0.002) and aortic cross clamp time of 30 minutes (p = 0.01) to be associated with development of postoperative paraplegia. Conclusions: Rupture after hospital admission remains a major problem. Although newer diagnostic techniques are being applied, at this time aortography remains the diagnostic standard. Aortic cross clamp time beyond 30 minutes was associated with paraplegia; bypass techniques, which provide distal aortic perfusion, produced significantly lower paraplegia rates than the clamp and sew approach.

Food as the Dominant Pathway of Methylmercury Uptake by Fish

Abstract: A field experiment was conducted to determine the degree to which fish accumulated methylmercury (MeHg) via their food or via passive uptake from water through the gills. Finescale dace (Phoxinus neogaeus) were held in 2000 L enclosed pens floating in an undisturbed, oligotrophic lake in northwestern Ontario. Fish were exposed to water containing either low (0.10–0.40 ng L-1), intermediate (0.45–1.30 ng L-1), or high (0.80–2.1 ng L-1) concentrations of MeHg. Zooplankton with either low (0.16–0.18 µg g-1 d.w.) or high (0.28–0.76 µg g-1 d.w.) concentrations of MeHg were added daily to each pen. Fish fed zooplankton with high concentrations of MeHg had significantly higher concentrations of mercury in muscle after 32 days than fish fed zooplankton with low concentrations of MeHg (ANCOVA, P<0.0001). Fish feeding on zooplankton with low concentrations of MeHg had the same amount of Hg in their tissues as fish at the start of the experiment. Uptake from water was at most 15%. This is the first experiment to confirm that food is the dominant pathway of MeHg bioaccumulation in fish at natural levels of MeHg.

Rapid ‘de novo’ peptide sequencing by a combination of nanoelectrospray, isotopic labeling and a quadrupole/time‐of‐flight mass spectrometer

Abstract: Protein microanalysis usually involves the sequencing of gel-separated proteins available in very small amounts. While mass spectrometry has become the method of choice for identifying proteins in databases, in almost all laboratories ‘de novo’ protein sequencing is still performed by Edman degradation. Here we show that a combination of the nanoelectrospray ion source, isotopic end labeling of peptides and a quadrupole / time-of-flight instrument allows facile read-out of the sequences of tryptic peptides. Isotopic labeling was performed by enzymatic digestion of proteins in 1:1 16O/18O water, eliminating the need for peptide derivatization. A quadrupole / time-of-flight mass spectrometer was constructed from a triple quadrupole and an electrospray time-of-flight instrument. Tandem mass spectra of peptides were obtained with better than 50 ppm mass accuracy and resolution routinely in excess of 5000. Unique and error tolerant identification of yeast proteins as well as the sequencing of a novel protein illustrate the potential of the approach. The high data quality in tandem mass spectra and the additional information provided by the isotopic end labeling of peptides enabled automated interpretation of the spectra via simple software algorithms. The technique demonstrated here removes one of the last obstacles to routine and high throughput protein sequencing by mass spectrometry. © 1997 John Wiley & Sons, Ltd.

"Are You Depressed?" Screening for Depression in the Terminally Ill

Abstract: Objective: This study compared the performance of four brief screening measures for depression in a group of terminally ill patients. The methods included 1) a single-item interview assessing depressed mood, 2) a two-item interview assessing depressed mood and loss of interest in activities, 3) a visual analog scale for depressed mood, and 4) the Beck Depression Inventory—Short Form. Method: Semistructured diagnostic interviews for depression were administered to 197 patients receiving palliative care for advanced cancer. The interview diagnoses served as the standards against which the screening performance of the four brief screening methods was assessed. Results: Single-item interview screening correctly identified the eventual diagnostic outcome of every patient, substantially outperforming the questionnaire and visual analog measures. Conclusions: Brief screening measures for depression are important clinical tools for terminally ill patients. For diagnostic purposes, however, they do not approach the validity of a single-item interview that asks, in effect, “Are you depressed?” (Am J Psychiatry 1997; 154:674‐676)

HIP1, a human homologue of S. cerevisiae Sla2p, interacts with membrane-associated huntingtin in the brain.

Abstract: Huntington disease (HD) is associated with the expansion of a polyglutamine tract, greater than 35 repeats, in the HD gene product, huntingtin. Here we describe a novel huntingtin interacting protein, HIP1, which co-localizes with huntingtin and shares sequence homology and biochemical characteristics with Sla2p, a protein essential for function of the cytoskeleton in Saccharomyces cerevisiae. The huntingtin–HIP1 interaction is restricted to the brain and is inversely correlated to the polyglutamine length in huntingtin. This provides the first molecular link between huntingtin and the neuronal cytoskeleton and suggests that, in HD, loss of normal huntingtin–HIP1 interaction may contribute to a defect in membrane-cytoskeletal integrity in the brain.

Empowerment of men newly diagnosed with prostate cancer

Abstract: The purpose of this study was to explore the hypothesis that assisting men with prostate cancer to obtain information would enable them to assume a more active role in treatment decision making and decrease their levels of anxiety and depression. Respondents were recruited from one community urology clinic in Winnipeg, Manitoba. Sixty newly diagnosed men were randomly assigned to receive either a self-efficacy information intervention that consisted of a written information package with discussion, a list of questions they could ask their physician, and an audiotape of the medical consultation (n = 30), or a written information package alone (n = 30). Men completed measures of preferred decisional role as the pretest; anxiety and depression before the intervention, and at 6 weeks post-intervention; and assumed decisional role at 6 weeks post-intervention. Results demonstrated that men in the intervention group assumed a significantly more active role in treatment decision making, and had lower state anxiety levels at 6 weeks. Levels of depression were similar for both groups at 6 weeks. This group of older men do want to be informed and participate in medical decisions. Further efforts are required to evaluate the efficacy of such an intervention in other community urology clinics.

The role of turbidity as a constraint on predator-prey interactions in aquatic environments

Abstract: Many of the world's most productive aquatic ecosystems usually contain turbid water. Paradoxically, many fish species that live in these habitats are also those that often rely on vision to detect their predators and their prey. For these fish, turbidity will reduce the distance at which predator-prey interactions occur, and there should be a reduction in the opportunity for behavioural modification to control the risk of predation. Under these conditions, we predict that most antipredator behaviour will become ineffective and that predator-prey interactions in turbid water will be primarily characterised by the direct effects of predator consumption of prey, rather than behavioural modification reducing the growth rates of prey. This hypothesis was tested in two laboratory experiments. The first experiment investigated how water turbidity, risk of predation, and their interaction affect habitat choice decisions by fathead minnows (Pimephales promelas). These data demonstrate that fathead minnows reduce their use of dangerous habitats, but that this effect is diminished in turbid water. A second experiment examined mortality patterns when these fish were preyed upon by yellow perch (Perca flavescens) in clear and turbid water. Absolute mortality rates were unaffected by visibility, but patterns of mortality were random in turbid water and skewed towards smaller individuals in clear water. Combined, these results support our hypothesis and suggest that the impact of predation risk will be reduced in turbid aquatic ecosystems.

Estimating the burden of disease : comparing administrative data and self-reports

Abstract: OBJECTIVES A cardiovascular health survey of a representative sample of the adult population of Manitoba, Canada was combined with the provincial health insurance claims database to determine the accuracy of survey questions in detecting cases of diabetes, hypertension, ischemic heart disease, stroke, and hypercholesterolemia. METHODS Of 2,792 subjects in the survey, 97.7% were linked successfully using a scrambled personal health insurance number. Hospital and physician claims were extracted for these individuals for the 3-year period before the survey. RESULTS The authors found no benefits to using restrictive criteria for entrance into the study (ie, requiring more than one diagnosis to define a case). Using additional years of data increased agreement between data sources. Kappa values indicated high levels of agreement between administrative data and self-reports for diabetes (0.72) and hypertension (0.59); kappa values were approximately 0.4 for the other conditions. Using administrative data as the "gold standard," specificity was generally very high, although cases with hypertension and hypercholesterolemia (diagnosed primarily by laboratory or physical measurement) were associated with a lower specificity than the other conditions. Sensitivity varied markedly and was lowest for "other heart disease" and "stroke". For diabetes and hypertension, inclusion criteria calling for more than one diagnosis reduced the accuracy of case identification, whereas increasing the number of years of data increased accuracy of identification. For diabetes and hypertension, self-reports were fairly accurate in detecting "true" past history of the illness based on physician diagnosis recorded on insurance claims. CONCLUSIONS This study demonstrates the feasibility of linking a large health survey with administrative data and the validity of self-reports in estimating the prevalence of chronic diseases, especially diabetes and hypertension. A linked data set offers unusual opportunities for epidemiologic and health services research in a defined population.

Transmission of indigenous knowledge and bush skills among the Western James Bay Cree women of subarctic Canada

Abstract: The transmission of 93 items of women's indigenous knowledge and bush skills was studied in two subarctic Omushkego (West Main) Cree Indian communities, Moose Factory and Peawanuck, Ontario, Canada. About half of all bush skills were still being transmitted at the “hands-on” learning stage. Some skills such as setting snares and fishnets, beadwork, smoking geese, and tanning moose and caribou hides were transmitted well. Many skills no longer essential for livelihoods, such as some fur preparation skills and food preservation techniques, were not. Loss of certain skills and incomplete transmission of others (a lower level of mastery than in older generations) were attributable to changes in the educational environment, diminished time available in the bush, problems related to learning bush skills at later ages, and changes in value systems. These factors seemed to impair the traditional mode of education based on participant observation and apprenticeship in the bush, which provided the essential self-disciplining educational environment. Policy measures to counteract these trends may include the institution of a hunters' income security program to provide incentives for family units to go on the land, rather than all-male hunting parties.

A demonstration of gaze following in 3- to 6-month-olds

Abstract: An adult, with a puppet held at shoulder height on either side (within the infant's visual field), interacted with 3- to-6-month-olds, turning her head intermittently to talk to a puppet. Seventy- three percent of infants' first eye-turns were in the direction of the adult head-turn.

Report of the Canadian Hypertension Society Consensus Conference: 1. Definitions, evaluation and classification of hypertensive disorders in pregnancy.

Abstract: OBJECTIVES: To provide Canadian physicians with a standard definition of hypertension in pregnancy, recommendations for laboratory investigations and tests for the assessment and management of hypertensive disorders in pregnancy, and a classification of such disorders. OPTIONS: To improve or not improve Canadian uniformity and standardization in the investigation and classification of hypertensive disorders in pregnancy. OUTCOMES: 1) Accuracy, reliability and practicality of diagnostic clinical criteria for hypertensive disorders in pregnancy. 2) Laboratory tests useful to determine severity and prognosis of disorders as measured by maternal and neonatal adverse outcomes. 3) A classification of disorders for use by Canadian physicians to facilitate uniformity and diffusion of research through a common language. EVIDENCE: Articles on hypertensive disorders in pregnancy published from 1966 to 1996, retrieved through MEDLINE search, related to definitions, tests, diagnostic criteria and classification, as well as documents on diagnosis and classification from authorities in the United States, Europe and Australia and from special interest groups. VALUES: High priority was given to the principle of preventing adverse maternal and neonatal outcomes through the provision of diagnostic criteria for severity and prognosis and through dissemination of reliable and pertinent information and research results using a common language. BENEFITS, HARMS AND COST: Higher degree of vigilance in diagnosing hypertensive disorders in pregnancy, allowing for earlier assessment and intervention, and more efficient dissemination of comparative information through common language. No harm or added cost is perceived at this time. RECOMMENDATIONS: (1) A diastolic blood pressure of 90 mm Hg or more should be the criterion for a diagnosis of hypertension in pregnancy and should trigger investigation and management. Except for very high diastolic readings (110 mm Hg or more), all diastolic readings of 90 mm Hg or more should be confirmed after 4 hours. (2) A regularly calibrated mercury sphygmomanometer, with an appropriate-sized cuff, is the instrument of choice. A rest period of 10 minutes should be allowed before taking the blood pressure. The woman should be sitting upright and the cuff positioned at the level of the heart. (3) Both Korotkoff phase IV and V sounds should be recorded, but the phase IV sound should be used for initiating clinical investigation and management. (4) A urine protein level of more than 0.3 g/d should be the criterion for a diagnosis of proteinuria; 24-hour urine collection should be the standard method for determining proteinuria. (5) Edema and weight gain should not be used as diagnostic criteria. (6) Hypertensive disorders diagnosed during pregnancy should be classified as pre-existing hypertension; gestational hypertension with or without proteinuria; pre-existing hypertension with superimposed gestational hypertension with proteinuria; and unclassifiable antenatally but final classification 42 days after delivery. VALIDATION: Except for expert opinions and reviews solicited for this project, these recommendations need to be field tested and validated in Canada. Guidelines endorsed by the Canadian Hypertension Society and the Society of Obstetricians and Gynaecologists of Canada.

Adriamycin cardiomyopathy: pathophysiology and prevention.

Abstract: Current knowledge about adriamycin cardiomyopathy indicates that the major cause of this condition is increased oxidative stress although the drug's antitumor action in patients may involve other mechanisms. Controversies about the different antioxidants in preventing cardiomyopathy likely stem from the fact that antioxidants must be effective in both the lipid and water phases, and the dose must be optimal, in order to be protective. Probucol, an antioxidant and promoter of endogenous antioxidants, is one such agent. Conducting clinical trials with an optimal dose of probucol is the next step and should make this great anticancer drug safer and more efficient in the fight against the cancer.

Right and Left Myocardial Antioxidant Responses During Heart Failure Subsequent to Myocardial Infarction

Abstract: Background Heart failure subsequent to myocardial infarction (MI) is accompanied by depressed antioxidants and increased oxidative stress in the myocardium. Antioxidant enzyme activities and oxidative stress were examined in the viable left (LV) and right (RV) ventricles in relation to their hemodynamic function. Methods and Results The left coronary artery in rats was ligated. At 1 week after MI, LV systolic pressure (LVSP), LV end-diastolic pressure (LVEDP), and RV end-diastolic pressure (RVEDP) remained near control values, whereas RV systolic pressure (RVSP) was significantly elevated. In the 4, 8, and 16 week post-MI animals, LVSP was significantly reduced, with values of 112.0±1.57, 99.9±0.52, and 89.2±1.4 mm Hg, whereas LVEDP was significantly elevated, with values of 8.2±0.52, 17.4±1.7, and 31.4±1.5 mm Hg, respectively. RVEDP was higher at 8 and 16 weeks, and RVSP was significantly reduced at 16 weeks. At 1 week after MI, myocardial catalase activity in the LV was maintained near control levels, w...