Comparison of chlorproguanil-dapsone with sulfadoxine-pyrimethamine for the treatment of uncomplicated falciparum malaria in young African children: double-blind randomised controlled trial.

Background: Increasing resistance to sulfadoxine-pyrimethamine is leading to a decline in its effectiveness. We aimed to assess the safety profile of chlorproguanil-dapsone (CD), and to compare the safety and efficacy of this drug with that of sulfadoxine-pyrimethamine (SP) as treatment for uncomplicated falciparum malaria.

Methods: We undertook a double-blind, randomised trial in 1850 consecutively recruited children with uncomplicated falciparum malaria, pooling data from five African countries.

Variegate porphyria presenting with acute autonomic dysfunction, intussusception and renal infarction.

A 48-year-old man presented with abdominal pain, constipation and irritability one month after starting phenytoin treatment for a generalized seizure. He was hypertensive, tachycardic (BP 174/98, heart rate (HR) 100 bpm supine) and hypovolaemic. Abdominal CT demonstrated transient jejunal intussusception and infarction of the left kidney.

Molecular profiling approaches for identifying novel biomarkers.

An unprecedented interest in biomarker development has arisen from the increasing use of genomic information and high-throughput technologies in the field of drug development. Monitoring global cellular responses to perturbation due to disease, drug treatment or toxicity is achieved using molecular profiling methods such as DNA microarrays, proteomics and metabonomics. Unique fingerprints composed of molecular changes are captured and subjected to interpretation with the goal of class discovery, comparison or prediction.

Female reply strategies in a duetting Australian bushcricket, Caedicia sp. (Phaneropterinae: Tettigoniidae: Orthoptera).

Duetting is common between the sexes of phaneropterine bushcrickets (Phaneropterinae: Tettigoniidae: Orthoptera). In this paper we describe the complex duet of an undescribed Australian species within the genus Caedicia: The male's call consists of three parts, of which the final part contains information of the species' identity and most reliably elicits the female's response. The timing of her reply usually occurs within a period of about 1 s after the male has completed his signal but may also start during the male's call.

Standardizing contact investigation protocols.

Setting: The State of Alabama Department of Public Health Division of Tuberculosis Control.

Objective: To standardize contact investigation protocols and implement an intervention to increase TB field worker adherence to the protocols with the goal of promoting efficiency and effectiveness in contact investigations.

Design: A process evaluation of existing data collection and management systems and protocols was performed.

Lack of long-term adverse adrenal effects from inhaled triamcinolone: Lung Health Study II.

Study Objective: Inhaled corticosteroids (ICS) are widely used in the treatment of COPD. One of the potential adverse effects of their use is the development of adrenal suppression. Our study aimed to determine the effects of ICS on adrenal function over 3 years of use in patients with COPD.

Wet-etch optimization of free-standing terahertz frequency-selective structures.

Free-standing frequency-selective surfaces consisting of approximately 10-microm-thick copper films with cross-aperture arrays are found to be tunable toward lower frequencies by means of wet chemical etching. Center frequencies were tuned from 1.57 to 1.

Changes in smoking status affect women more than men: results of the Lung Health Study.

Lung Health Study participants were smokers aged 35-60 years with mild lung function impairment who participated in a 5-year, 10-center (nine in the United States, one in Canada) clinical trial in 1986-1994. The authors compared the relation of randomized treatment assignments and of smoking history during the study with changes in lung function between men and women. Spirometry was performed annually, and 3,348 men and 1,998 women attended the follow-up clinic visit that included spirometry at year 5.

Cyclization of aryllithiums tethered to methylenecycloalkanes: stereoselective synthesis of 4a-substituted cis-hexahydrofluorenes.

The cyclization of an aryllithium tethered to a methylenecycloalkane, generated from 2-(o-bromobenzyl)-1-methylenecycloalkanes 1, 2, and 3 by low-temperature lithium-bromine exchange, has been found to be a kinetically slow but thermodynamically favorable process that proceeds at a convenient rate in an exclusively 5-exo fashion when solutions of the aryllithium in n-heptane-di-n-butyl ether (9:1 v/v) are warmed to 45 degrees C. The cyclization affords stereoisomerically pure cis-fused products (7 and 8) when the methylenecycloalkane is five- or six-membered but it is less stereoselective when the methylenecycloalkane is seven-membered. The ring-closure of the aryllithium derived from 2-(o-bromobenzyl)-1-methylenecyclohexane (2) provides an experimentally convenient route to stereoisomerically pure 4a-substituted cis-hexahydrofluorenes in 60-90% isolated yield.

Trend analysis of cigarette smoking by Indiana adolescents, 1991-2000.

Objectives: To examine the feasibility of using a composite index of smoking behaviors to analyze adolescent smoking.

Methods: A secondary analysis of data from 10 annual surveys (1991-2000), from 566,467 Indiana students in grades 6 through 12. A composite index was calculated, and differences between index scores were analyzed using 1-way ANOVA, Tukey's post hoc tests, and 2-way moving averages.

Microwave saturation of the Rydberg States of electrons on helium.

We present measurements of the resonant microwave excitation of Rydberg energy levels for surface-state electrons on superfluid helium. The temperature-dependent contribution to the linewidth gamma(T) agrees with theoretical predictions and is very small below 700 mK, in the ripplon scattering regime. Absorption saturation and power broadening were observed as the fraction of electrons in the first excited state was increased to 0.

A decision tree for tuberculosis contact investigation.

The University of Alabama at Birmingham and the Alabama Department of Public Health recently developed a logistic regression model showing those variables that are most likely to predict a positive tuberculin skin test in contacts of tuberculosis cases. However, translating such a model into field application requires a stepwise approach. This article describes a decision tree developed to assist public health workers in determining which contacts are most likely to have a positive tuberculin skin test.

Dealing with uncertainty in formulating occupational and public exposure limits.

Scientists are forced to address many sources of uncertainty in the setting of exposure limits. This paper discusses the rationale for some of the approaches that have been used for many years to address uncertainties encountered in the setting of occupational and public exposure limits to protect against non-cancer effects of chemicals. These approaches are quite different from the methodology that has been adopted for the setting of exposure limits to power-frequency electric and magnetic fields to avoid adverse effects of induced electric fields and currents.

Health effects relevant to the setting of EMF exposure limits.

To date, electric and magnetic exposure limits for frequencies below 100 kHz have been based on vaguely defined neurobiological responses to electric fields induced in tissues in vivo by magnetic fields and on perceptual responses to external electric fields. Advances in tissue dosimetry, risk assessment methods, and biological research on stimulation thresholds and mechanisms are providing new bases for exposure limits. This paper reviews the historical basis for current electric and magnetic exposure limits in preparation for the development of the "next generation" of electric and magnetic occupational and public exposure guidelines.

Hearing asymmetry and auditory acuity in the Australian bushcricket Requena verticalis (Listroscelidinae; Tettigoniidae; Orthoptera).

Fluctuating asymmetry in bilaterally placed sensory structures of insects may be considered maladaptive; natural selection should favour a symmetrical system. Among bushcrickets or katydids, threshold hearing sensitivity is, in part, dependent on the size of the auditory spiracle in the prothorax. We tested the degree of natural asymmetry in the hearing system of the ensiferan orthopteran Requena verticalis by measuring the size of the auditory spiracle of females.

Twiddler's syndrome: an unusual cause of pacemaker malfunction.

Sinus nodal dysfunction is common in the elderly and frequently requires a permanent cardiac pacemaker. Current pacemakers are extremely reliable but require ongoing monitoring to detect battery depletion and component or lead failure. This report describes a patient's manipulation of the pacemaker generator and proximal leads within the subcutaneous pocket with lead fracture and device malfunction.

Dipole-stabilized carbanions: a computational study of N-methylformamide anion and methyl N-methylcarbamate anion.

The relative energies of the rotamers of the carbanions derived from N-methylformamide and methyl N-methylcarbamate have been studied at the MP2/6-311+G and B3LYP/6-311+G theoretical levels. There results are in good agreement but differ substantially from previously reported HF/6-31G calculations for the N-methylformamide anions. Transition states for rotation and inversion of the anions were located.

The FEV1/FEV6 predicts lung function decline in adult smokers.

The use of FEV1/FEV6 in place of the traditional FEV1/FVC to detect airways obstruction during spirometry testing performed by primary care providers would reduce time and patient effort. We hypothesized that the FEV1/FEV6, would predict the subsequent decline in FEV1 in adult cigarette smokers who enrolled in the multicenter Lung Health Study. Ten clinical centers in the U.

Protozoan enteric infection in AIDS related diarrhea in Thailand.

The aim of this study was to determine the prevalence of enteric protozoa and other pathogens in AIDS patients with diarrhea in Bangkok, Thailand. Of 288 consecutive patients screened in the 10 month period between November 1999-August 2000 inclusive, 55 (19.2%) had Cryptosporidium spp, 13 (4.

Influence of hydrological and geochemical processes on the transport of chelated metals and chromate in fractured shale bedrock.

Field-scale processes governing the transport of chelated radionuclides in groundwater remain conceptually unclear for highly structured, heterogeneous environments. The objectives of this research were to provide an improved understanding and predictive capability of the hydrological and geochemical mechanisms that control the transport behavior of chelated radionuclides and metals in anoxic subsurface environments that are complicated by fracture flow and matrix diffusion. Our approach involved a long-term, steady-state natural gradient field experiment where nonreactive Br- and reactive 57Co(II)EDTA2- 109CdEDTA2-, and 51Cr(VI) were injected into a fracture zone of a contaminated fractured shale bedrock.