Potentially Inappropriate Medications in Older Adults: Deprescribing with a Clinical Pharmacist.

Objectives: To compare the effects of a Geriatric Patient-Aligned Care Team (GeriPACT) on deprescribing of potentially inappropriate medications (PIMs) in individuals aged 80 and older with usual care (UC) in the Veterans Affairs setting.

Design: Retrospective cohort study.

Setting: Veterans Affairs Medical Center in Lexington, Kentucky.

From Doing to Bring: Incorporating Faith into Diabetes Self-Care Education.

Millions worldwide live with diabetes and are challenged to make lifestyle changes. Nurses help patients learn strategies necessary for successful diabetes management. However, patients frequently view long-term behavior change as unachievable.

Cooperative interactions of HER-2 and HPV-16 oncoproteins in the malignant transformation of human mammary epithelial cells.

To better understand the mechanisms of transformation by the oncogene HER-2, we transduced the human mammary epithelial (HME) cell line MCF-10A with HER-2 and developed a cell line that appeared to moderately overexpress HER-2. These MCF-10HER-2 cells were unable to grow in the absence of epidermal growth factor (EGF). However, coexpression of HER-2 with the HPV-16 oncoproteins E6 and E7 resulted in EGF-independent cells that expressed very high levels of constitutively activated HER-2.

Chemical characteristics and relative bioavailability of supplemental organic copper sources for poultry.

Five commercially available organic Cu products and reagent-grade CuSO4 x 5H2O (Cu Sulf) were evaluated by polarographic analysis and solubility in 0.1 M K2HPO4-KH2PO4 buffer (pH 5), 0.2 M HCl-KCl buffer (pH 2), or deionized water.

Chemical characteristics and relative bioavailability of supplemental organic zinc sources for poultry and ruminants.

Eight commercially available organic Zn products and reagent-grade ZnSO4 x 7H2O (Zn Sulf) were evaluated by polarographic analysis, and solubility in .1 M K2HPO4-KH2PO4 buffer (pH 5), .2 M HCl-KCl buffer (pH 2), and deionized water.

SUM-159PT cells: a novel estrogen independent human breast cancer model system.

Breast cancer remains one of the most common malignant diseases in women in North America and Western Europe, yet therapies for the more aggressive estrogen independent tumors are limited and few model systems are available for the study of this type of breast cancer. In these studies, we characterized a novel estrogen independent breast cancer cell line, SUM-159PT. SUM-159PT cells are epithelial in origin, demonstrated by expression of cytokeratin 18.

Molecular cytogenetic analysis of 11 new breast cancer cell lines.

We describe a survey of genetic changes by comparative genomic hybridization (CGH) in 11 human breast cancer cell lines recently established in our laboratory. The most common gains took place at 8q (73%), 1 q (64%), 7q (64%), 3q (45%) and 7p (45%), whereas losses were most frequent at Xp (54%), 8p (45%), 18q (45%) and Xq (45%). Many of the cell lines displayed prominent, localized DNA amplifications by CGH.

Effect of dietary zinc source and method of oral administration on performance and tissue trace mineral concentration of broiler chicks.

Two experiments were conducted with chicks to examine the effect of high dietary levels of soluble sources of Zn on tissue Zn, Cu, and Fe concentrations as influenced by two methods of oral Zn administration from 14 to 21 d of age. Treatments included the basal diet (62 ppm Zn), basal diet supplemented with 1,000 ppm Zn from Zn sulfate, acetate, or chloride fed continuously, or basal diet plus crop intubation with a single oral dose of water (control) or 1,000 ppm Zn dietary equivalent from the sources based on feed intake from the previous day. In Exp.

Performance and tissue zinc and metallothionein accumulation in chicks fed a high dietary level of zinc.

Four experiments were conducted to identify several factors that might improve the accuracy and reproducibility of Zn bioavailability assays for chicks. Response of tissue Zn and metallothionein (MT) concentrations to various elevated levels and soluble sources of dietary Zn were measured, as well as the effect of delaying high Zn administration until 7 d posthatching to alleviate the detrimental effect of Zn sulfate on feed intake to 3 wk of age. Bone Zn increased (P < 0.

Statistical analysis of repeated measures data using SAS procedures.

Mixed linear models were developed by animal breeders to evaluate genetic potential of bulls. Application of mixed models has recently spread to all areas of research, spurred by availability of advanced computer software. Previously, mixed model analyses were implemented by adapting fixed-effect methods to models with random effects.

The effect of dietary supplementation with copper sulfate or tribasic copper chloride on broiler performance, relative copper bioavailability, and dietary prooxidant activity.

Three experiments were conducted to study Cu sulfate and tribasic Cu chloride (TBCC) as sources of supplemental Cu for poultry. In Experiment 1, 252 chicks were fed the basal corn-soybean meal diet (26 ppm Cu) supplemented with either 0, 150, 300, or 450 ppm Cu from Cu sulfate or TBCC for 21 d. Chicks fed 450 ppm Cu from sulfate had lower (P < 0.

Relative bioavailability of supplemental inorganic zinc sources for chicks.

Three experiments were conducted to investigate the relative bioavailability of reagent-grade (RG) and feed grade (FG) Zn sources for 1-d-old broiler chicks. In Exp. 1, 13 treatments included a basal corn-soybean meal diet (63 ppm Zn) or the basal diet supplemented with 400, 800, or 1,200 ppm Zn from RG sulfate, basic carbonate, oxide, or metal and fed for 20 d.

Estimation of relative bioavailability of nutrients using SAS procedures.

The General Linear Models procedure (PROC GLM) in SAS/STAT software can be programmed to perform the standard statistical analyses used for relative bioavailability studies. The first steps are validity checks to test for statistical validity (linearity), fundamental validity (intersection of regression lines at 0 supplemental level), and equality of the basal diet mean to the point of intersection. The CLASS variable capabilities of PROC GLM can be exploited to expedite these tests.

Effect of dietary iron concentration, age, and length of iron feeding on feed intake and tissue iron concentration of broiler chicks for use as a bioassay of supplemental iron sources.

Three experiments were conducted with day-old chicks to study the effects of dietary Fe concentration and age on Fe accumulation in tissues as an estimate of supplemental Fe bioavailability, and of delaying the time of initial high Fe supplementation up to 7 d of age on feed intake to 3 wk of age. In Experiment 1, chicks were fed a basal corn-soybean meal diet (188 mg/kg Fe, DM basis) or the basal supplemented with 400, 600, or 800 mg/kg added Fe as reagent grade FeSO4.7H2O for either 1, 2, or 3 wk.

Relative bioavailability of manganese from a manganese-methionine complex and inorganic sources for ruminants.

Two experiments were conducted to study the relative bioavailability of Mn from a feed grade Mn-Met complex or from two feed grade MnO sources using reagent grade MnSO4.H2O as the standard. In each experiment, 42 crossbred wether lambs were fed one of seven dietary treatments for 21 d and then killed; liver, kidneys, and right metacarpus were removed for MN analysis.

Effect of time and sex on tissue selenium concentrations in chicks fed practical diets supplemented with sodium selenite or calcium selenite.

An experiment was conducted with 384 1-d-old male and female broiler-chicks. The basal corn-soybean meal diet (.07 ppm Se DM basis) was supplemented with 0, .

Estimation of the relative bioavailability of inorganic copper sources for chicks using tissue uptake of copper.

An experiment was conducted with 208 day-old male Cobb feather-sexed chicks to study tissue accumulation of Cu as an estimate of biological availability of inorganic Cu sources for chicks. Chicks were allotted randomly to dietary treatments that included an unsupplemented basal corn-soybean meal diet (11.1 mg/kg Cu, DM basis) or this basal diet supplemented with 150, 300 or 450 mg/kg Cu either as reagent-grade acetate or feed grade oxide, carbonate or sulfate.

Comparison of methods to determine relative bioavailability of magnesium in magnesium oxides for ruminants.

Two Mg balance trials were conducted with wethers to compare relative bioavailability of Mg in several Mg oxides with that of reagent grade sulfate as determined by different methods. In Experiment 1,600 ppm Mg as sulfate or four feed grade oxides varying in origin and particle size were added to a semi-purified basal diet (200 ppm Mg). Diets were fed at 800 g/d to 30 crossbred wethers during the 14-d trial and fecal and urinary collections were made during the last 7 d.

Bioavailability of manganese from feed grade manganese oxides for broiler chicks.

An experiment was conducted to study the relative biological availability of Mn from inorganic Mn sources using 288, 1-day-old male Cobb feather-sexed chicks. Chicks were fed a basal corn-soybean meal diet (82.5 ppm Mn, as-fed basis) ad libitum or the basal diet supplemented with 0, 1,000, 2,000, or 3,000 ppm Mn from reagent grade (RG) MnSO4.

Estimation of the relative bioavailability of manganese sources for sheep.

The relative biological availability of Mn in reagent-grade (RG) Mn sources was tested using 41 Rambouillet crossbred wether lambs in a completely randomized design. Lambs were fed a basal corn-soybean meal-cottonseed hull diet (37.6 ppm Mn, DM basis) or this basal diet supplemented with 0, 1,500, 3,000 or 4,500 ppm Mn from RG MnSO4.

Relative bioavailability of manganese in a manganese-methionine complex for broiler chicks.

The relative bioavailability of Mn from reagent grade Mn monoxide and feed grade Mn-methionine was compared with that from reagent grade Mn sulfate using 288 one-day-old male Cobb chicks. The basal corn-soybean meal diet (93 ppm Mn dry matter basis) was supplemented with 0, 700, 1,400, and 2,100 ppm Mn as Mn sulfate monohydrate, Mn oxide, or Mn-methionine. Additional diets contained 700, 1,400, and 2,100 ppm Mn as sulfate or oxide in combination with .

Estimation of the relative bioavailability of inorganic selenium sources for poultry. 2. Tissue uptake of selenium from high dietary selenium concentrations.

An experiment was conducted with 192 day-old male Cobb chicks to study tissue uptake of Se as an estimate of the bioavailability of supplemental inorganic Se sources fed at high dietary concentrations. A basal corn-soybean meal diet (.18 mg Se/kg diet, dry matter basis) was supplemented with 0, 3, 6, or 9 mg Se/kg diet (as-fed basis) as either reagent grade Na2SeO3, CaSeO3, or Na2SeO3 plus fumed amorphous carrier or 6 mg Se/kg diet as either Na2SeO4 or Se metal, and fed for 1 wk.

Estimation of the relative bioavailability of inorganic selenium sources for poultry. 1. Effect of time and high dietary selenium on tissue selenium uptake.

An experiment was conducted with male broiler-type chicks to study the effect of time and high dietary Se concentration on tissue Se uptake. A basal corn-soybean meal diet (.2 mg/kg Se, DM basis) was supplemented with 0, 3, 6, or 9 mg/kg Se (as-fed basis) as Na2SeO3 and fed ad libitum for 1, 2, or 3 wk.

Estimation of the relative biological availability of inorganic selenium sources for ruminants using tissue uptake of selenium.

An experiment was conducted to estimate the relative bioavailability of inorganic Se sources based on tissue Se deposition following supplementation at high dietary levels. Twenty-eight crossbred wethers averaging 50 kg initial weight were assigned randomly to seven treatments that were fed for 10 d. The basal diet contained .

Effects of time and dietary selenium concentration as sodium selenite on tissue selenium uptake by sheep.

Thirty crossbred wethers (60 kg avg initial wt) were used to study the time-dose response to dietary Se as sodium selenite (Na2SeO3). Sheep were fed a basal diet (.20 mg/kg Se, M basis) for 10 d; three wethers were killed and tissues were collected for controls.