Ganoderic acid B's influence towards the therapeutic window of ...

African Journals Online (AJOL)

9. Hempel C, Norenberg W, Sobottka H, Urban N, Nicke. A, Fischer W, Schaefer M. The phenothiazine-class an- tipsychotic drugs prochlorperazine and trifluoperazine are potent allosteric modulators of the human P2X7 receptor. Neuropharmacology 2013; 75:365-379. 10. Song H, Tao Y, Zhang CZ, Zhou YD. Comparison.

Prebiotic Potential of Polydextrose

Science.gov (United States)

Stowell, Julian D.

Polydextrose is a randomly bonded polymer of glucose with some sorbitol end-groups. It was originally developed by scientists at Pfizer seeking a low calorie bulking agent to be used in conjunction with intense sweeteners. Polydextrose has been used for more than 25 years in human food and beverage products around the world. It is currently marketed by Danisco A/S as Litesse®Two and Litesse®UltraTM and by A E Staley as Sta-Lite III.

Investigating Possibilities for E-Learning

DEFF Research Database (Denmark)

Ørngreen, Rikke; Nielsen, Janni; Tweddell Levinsen, Karin

2004-01-01

of and with theLundbeck Institute, human computer interaction issues as well as the first designideas are disseminated. As such the report does not provide a thorough frame ofreferences within the HCI-area (Human Computer Interaction) and e-learning area,as these are seen as implicit for the understanding...... process in the pre-phase and among thepartners, also clarifying how we found the focus areas of the pre-phase, known as theproject map (in section 1.1). The next chapter (chapter 0) provides a detailed accountof the pre-phase project results, taking a holistic view to the e-learning project...... at the Lundbeck Institute, investigating the current activities, the lessons learnedwithin Continuing Medical Education (CME), the visions of e-learning and thepeople it is targeted at. Chapter 4 and 5 provides the more external perspectivesbeing based on investigations of learning models and pedagogical tools...

Finding Vredo: the Dutch Supreme Court decision on escitalopram

NARCIS (Netherlands)

Tsoutsanis, A.

2014-01-01

This article is about the pharma patent litigation sparked by Lundbeck's blockbuster drug for escitalopram. The article focuses on the trials and tribulations before the Dutch Patent Court of Appeal and the Supreme Court, while also briefly contrasting and comparing this with the decisions in

Client Centred Design

DEFF Research Database (Denmark)

Ørngreen, Rikke; Nielsen, Janni; Tweddell Levinsen, Karin

2004-01-01

accredited Continued Medical Education (CME) programme at the Lundbeck Institute. The CME programme aims at end-users, which are primarily general practitioners, but also specialists (psychiatrist and psychologists), from all over the world. The assumption was that it would be possible to identify and build...

Deductive Reasoning to Teach Newton's Law of Motion

Science.gov (United States)

Lee, Han Su; Park, Jongwon

2013-01-01

Finding out about and then understanding the forces acting on a moving object, based on a description of the change in motion of this object, is an important part of the conceptual understanding of Newton's law of motion. Using Hempel's deductive-normative model for scientific explanation, we developed a deductive explanation task (DET),…

Review of the Neotropical scale insects formerly assigned to Coelostomidiidae and here transferred to a new tribe within the Monophlebidae (Hemiptera: Sternorrhyncha: Coccoidea).

Science.gov (United States)

Foldi, I; Gullan, P J

2014-12-24

This study reviews the status of all Neotropical genera and species of Coelostomidiidae (Hemiptera: Coccoidea) and transfers them to the family Monophlebidae in the Cryptokermesini Foldi & Gullan tribe n. (the tribe Cryptokermini Tao & Hao is recognised here as a nomen nudum). This change of family placement for Neotropical taxa is based on the morphology of adult males, as supported by the phylogenetic study of Hodgson & Hardy (2013), and by unpublished DNA data. New diagnoses are provided for each of the four recognised genera of Cryptokermesini: Cryptokermes Hempel, Mimosicerya Cockerell, Neocoelostoma Hempel and Paracoelostoma Morrison. The genus Nautococcus Vayssière is considered here to be a junior synonym (syn. n.) of Mimosicerya and the type species of Nautococcus, N. schraderae Vayssière, thus becomes M. schraderae (Vayssière) comb. n. Cryptokermes mexicanus Morrison is transferred to Mimosicerya as M. mexicana (Morrison) comb. n. Also Cryptokermes mimosae Foldi does not fit the morphological concept of Cryptokermes and is excluded from this genus and revision, and from the new tribe; its taxonomic position is uncertain and requires further study. All type species of the Cryptokermesini, including N. schraderae (as M. schraderae), are redescribed and illustrated based on most female instars and available adult males, examined using optical and scanning electron microscopes. Adult males are described and illustrated only for M. schraderae and N. xerophila. Keys are provided to distinguish the Neotropical monophlebid tribes Cryptokermesini and Llaveiini and to recognise each cryptokermesine genus based on female instars and first-instar nymphs. The included species of Cryptokermesini and their known distributions are: Cryptokermes brasiliensis Hempel from Brazil and C. oaxaensis Foldi from Mexico; Mimosicerya hempeli (Cockerell) from Brazil, M. mexicana from Mexico, M. schraderae from Panama and M. williamsi Foldi from Venezuela; Neocoelostoma xerophila

Prevalence of dementia in Al-Quseir city, Red Sea Governorate, Egypt [Corrigendum

Directory of Open Access Journals (Sweden)

El Tallawy HN

2014-01-01

Full Text Available El Tallawy HN, Farghly WM, Badry R, et al. Clinical Interventions in Aging. 2014;9:9–14.On page 13, before the Disclosure statement the following section was omitted.AcknowledgmentWe acknowledge LundBeck Pharmaceutical company, Middle East for their support in conducting this research.Read the original article

Radiotherapy-induced plasticity of prostate cancer mobilizes stem-like non-adherent, Erk signaling-dependent cells

Czech Academy of Sciences Publication Activity Database

Kyjacová, Lenka; Hubáčková, Soňa; Krejčíková, Kateřina; Strauss, R; Hanzlíková, Hana; Dzijak, Rastislav; Imrichová, Terezie; Šímová, Jana; Reiniš, Milan; Bartek, Jiří; Hodný, Zdeněk

-, July (2014) ISSN 1350-9047 R&D Projects: GA ČR GA13-17658S; GA MZd NT14461 Grant - others:Danish Research Council(DK) DFF-1331-00262B; Lundbeck Foundation(DK) (R93-A8990; European Commission DDResponse 259893 Institutional support: RVO:68378050 Keywords : Radiotherapy * induced plasticity * prostate cancer * Erk Subject RIV: EB - Genetics ; Molecular Biology Impact factor: 8.184, year: 2014

Safety aspects of preoperative high-dose glucocorticoid in primary total knee replacement

DEFF Research Database (Denmark)

Jørgensen, C C; Pitter, F T; Kehlet, H

2017-01-01

Background: Preoperative single high-dose glucocorticoid may have early outcome benefits in total hip arthroplasty (THA) and knee arthroplasty (TKA), but long-term safety aspects have not been evaluated. Methods: From October 2013, the departments reporting to the prospective Lundbeck Foundation....... Conclusions: In this detailed prospective cohort study, preoperative high-dose glucocorticoid administration was not associated with LOS >4 days, readmissions or infectious complications in TKA patients without contraindications....

THE NATURE OF SCIENCE

OpenAIRE

R. Trigg

2014-01-01

The study defines social science and its specific in contrast with history, psychology and physical sciences. Also it emphasizes the importance of the idea of a 'value-free' science for the social sciences is clear. Social scientists want to be seen to establish 'facts' about society in the same way that they think that a physicist or a chemist uncovers 'facts'. Using the theories of Hempel, Quine, Feyerabend and Kuhn, it addresses a series of questions concening scientific theories, their ro...

The Brain Prize 2014: complex human functions.

Science.gov (United States)

Grigaityte, Kristina; Iacoboni, Marco

2014-11-01

Giacomo Rizzolatti, Stanislas Dehaene, and Trevor Robbins were recently awarded the 2014 Grete Lundbeck European Brain Research Prize for their 'pioneering research on higher brain mechanisms underpinning such complex human functions as literacy, numeracy, motivated behavior and social cognition, and for their effort to understand cognitive and behavioral disorders'. Why was their work highlighted? Is there anything that links together these seemingly disparate lines of research? Copyright © 2014 Elsevier Ltd. All rights reserved.

Myc and Ras oncogenes engage different energy metabolism programs and evoke distinct patterns of oxidative and DNA replication stress

Czech Academy of Sciences Publication Activity Database

Maya-Mendoza, A.; Ostrakova, J.; Košař, Martin; Hall, A.; Duskova, P.; Mistrik, M.; Merchut-Maya, J.M.; Hodný, Zdeněk; Bartkova, J.; Christensen, C.; Bartek, Jiří

2015-01-01

Roč. 9, č. 3 (2015), s. 601-616 ISSN 1574-7891 R&D Projects: GA ČR GA13-17555S; GA MŠk(CZ) LO1304 Grant - others:Danish Council for Independent Research(DK) DFF- 1331-00262; Lundbeck Foundation(DK) R93-A8990 Institutional support: RVO:68378050 Keywords : Myc * Ras * Replication stress * DNA fork progression * Energy metabolism * DNA damage response Subject RIV: EB - Genetics ; Molecular Biology Impact factor: 5.367, year: 2015

Cause e ragioni: modelli esplicativi nelle scienze della natura e nelle scienze umane

Directory of Open Access Journals (Sweden)

FRASCOLLA, PASQUALE

2016-12-01

Full Text Available Causes and Reasons: explicative Models in natural and human Sciences Starting from Wittgenstein’s distinction between causes and reasons of an action, the paper presents two influential models in the methodology of explanation: the deductive-nomological model elaborated by C. G. Hempel and the model based on Aristotle’s practical syllogism, in G. H. von Wright’s version. The controversy between methodological monism and methodological dualism, which has its roots in the opposition between explaining (Erklären and understanding (Verstehen, is examined.

Note on the understanding of the generalized correspondence principle (in Polish & English

Directory of Open Access Journals (Sweden)

Michał KOKOWSKI

2015-12-01

Full Text Available The author, referring to the text of Jan Woleński published on the pages of Prace Komisji Historii Nauki PAU in 2014, discusses the understanding of the generalized correspondence principle in the context of the following concepts: cumulativism (C.G. Hempel, P. Oppenhaim, E. Nagel, extreme anticumulativism (P. Feyerabend, T.S. Kuhn, dialectical cumulativism (W. Krajewski and the hypothetico­‑deductive method of correspondence ­oriented thinking as well as Copernicus’s methodology (M. Kokowski.

Specific antismoking advice after stroke

DEFF Research Database (Denmark)

Hornnes, Nete; Larsen, Klaus; Brink-Kjær, Tove

2014-01-01

-smokers in the intervention group than among controls. MATERIAL AND METHODS: Patients admitted with an acute stroke or a transient ischaemic attack were included in a randomised controlled trial focusing on control of lifestyle risk factors and hypertension. Here, we report the intervention focused on smoking cessation. We...... Elsass Foundation, the Lundbeck Foundation and The Danish Heart Foundation (Grant 07-4-B703-A1378-22384F). TRIAL REGISTRATION: This protocol is registered with Clinical Trials.gov (NCT 00253097)....

The Center for Integrated Molecular Brain Imaging (Cimbi) database

DEFF Research Database (Denmark)

Knudsen, Gitte M.; Jensen, Peter S.; Erritzoe, David

2016-01-01

We here describe a multimodality neuroimaging containing data from healthy volunteers and patients, acquired within the Lundbeck Foundation Center for Integrated Molecular Brain Imaging (Cimbi) in Copenhagen, Denmark. The data is of particular relevance for neurobiological research questions rela...... currently contains blood and in some instances saliva samples from about 500 healthy volunteers and 300 patients with e.g., major depression, dementia, substance abuse, obesity, and impulsive aggression. Data continue to be added to the Cimbi database and biobank....

Complementary genetic screens identify the E3 ubiquitin ligase CBLC, as a modifier of PARP inhibitor sensitivity

Czech Academy of Sciences Publication Activity Database

Frankum, J.; Moudrý, P.; Brough, R.; Hodný, Zdeněk; Ashworth, A.; Bartek, Jiří; Lord, C.J.

2015-01-01

Roč. 6, č. 13 (2015), s. 10746-10758 ISSN 1949-2553 R&D Projects: GA ČR GA13-17555S EU Projects: European Commission HEALTH-F2-2010-259893 Grant - others:Lundbeck Foundation(DK) R93-A8990; Danish Council for Independent Research(DK) DFF-1331-00262 Institutional support: RVO:68378050 Keywords : DNA damage response * ubiquitin-proteasome system * RNA interference screens * PARP inhibitors * CBLC Subject RIV: EB - Genetics ; Molecular Biology Impact factor: 5.008, year: 2015

THE NATURE OF SCIENCE

Directory of Open Access Journals (Sweden)

R. Trigg

2014-11-01

Full Text Available The study defines social science and its specific in contrast with history, psychology and physical sciences. Also it emphasizes the importance of the idea of a 'value-free' science for the social sciences is clear. Social scientists want to be seen to establish 'facts' about society in the same way that they think that a physicist or a chemist uncovers 'facts'. Using the theories of Hempel, Quine, Feyerabend and Kuhn, it addresses a series of questions concening scientific theories, their roles for the scientific explanation and the scientific progress.

Outsourcings økonomiske indflydelse på det danske samfund

OpenAIRE

Øhrgaard, Amalie; Stisen, Josefine Linding; Svarrer, Olivia Lutz; Crillesen, Rasmus Grevit; Condrup, Mette Grube; Nielsen, Sebbe Hodal

2016-01-01

Dette projekt har til formål at belyse virksomhederne Novo Nordisk og Lundbecks motiver for outsourcing og hvilke konsekvenser det har for den danske samfundsøkonomi. Virksomhedernes forretningsmodeller analyseres ud fra Business Canvas modellen, for at kunne give indsigt i de bagvedliggende strategier, der er med til, at øge virksomhedernes vækst og konkurrenceevne. Med afsæt i analyserne af virksomhederne, udføres en Cost-benefit analyse, hvor Business Canvas modellens output sammenholdes m...

Business Ethics in CSR

OpenAIRE

Birkvad Bernth, Camilla; Houmøller Mortensen, Kasper; Calles, Mark Benjamin; Wind, Martin; Saalfeldt, Rie

2013-01-01

This project seeks to dissect the advent of CSR in business practice from the view of ethics. We perform this by laying out the theories of CSR, business ethics, deontology and utilitarianism. We then use the case studies of Lundbeck, The Body Shop, and British American Tobacco, to dissect some productions of CSR. These are compared to the above mentioned theories on ethics. We conclude that business ethics and CSR are only as good as the ethical base upon which they are built. This projec...

Limited availability of childhood overweightand obesity treatment programmes in Danish paediatric departments

DEFF Research Database (Denmark)

Eg, Marianne; Cortes, Dina; Johansen, Anders

2016-01-01

controlled and less demanding of sharp central vision. CONCLUSION: Patients with late AMD may still be physically active even when the disease progresses and vision is lost, but activities may change into more controlled and less central vision-demanding ones. FUNDING: The Lundbeck Foundation. TRIAL...... best-corrected visual acuity in the best-seeing and the worse-seeing eye was associated with less engagement in physical activities that would work up sweat and a lower number of steps taken daily. Patients with bilateral vision loss from late AMD engaged in physical activities that were more...

Key differences and similarities in ways of managing and supporting radical pharmaceutical front end innovation

DEFF Research Database (Denmark)

Aagaard, Annabeth

2015-01-01

of the Danish and US based pharmaceutical company, H. Lundbeck A/S, and a comparative study including five European and American pharmaceutical companies. The findings from the study reveal a number of similarities and differences in innovation management and FEI support of radical projects and among...... pharmaceutical companies, which represent a growing market. The value added and the contribution of this paper to the existing FEI literature is therefore in the specificity of the empirical setting in which the issue is investigated. Read More: http://www.worldscientific.com/doi/abs/10.1142/S1363919615500115...

Influence of multi-microphone signal enhancement algorithms on the acoustics and detectability of angular and radial source movements

DEFF Research Database (Denmark)

Lundbeck, Micha; Hartog, Laura; Grimm, Giso

2018-01-01

Hearing-impaired listeners are known to have difficulties not only with understanding speech in noise, but also with judging source distance and movement, and these deficits are related to perceived handicap. It is possible that the perception of spatially dynamic sounds can be improved...... with hearing aids (HAs), but so far this has not been investigated. In a previous study, older hearing-impaired (OHI) listeners showed poorer detectability for virtual left-right (angular) and near-far (radial) source movements due to lateral interfering sounds and reverberation, respectively (Lundbeck, Grimm...

Organizational Values and Knowledge Sharing in Multinational Corporations

DEFF Research Database (Denmark)

Michailova, Snejina; Minbaeva, Dana

2012-01-01

While the existing knowledge sharing literature, in general, emphasizes the link between organizational culture and knowledge sharing, it remains rather ambiguous about how certain components of the former may shape the latter. This issue is especially relevant to multinational corporations (MNCs......), which typically consist of multiple organizational (sub)cultures and whose existence depends, to a great extent, on sharing knowledge across borders. The present study examines the influence of one key component of organizational culture – organizational values – on knowledge sharing. From 2003 to 2007......, we studied Danisco, a Danish MNC, to examine the processes of espousement, enactment and internalization of a core organizational value – dialogue. In particular, we studied how these processes influence knowledge sharing behavior among employees. We collected original empirical data using content...

Microfouling on biocidal and non-biocidal antifouling coatings

Directory of Open Access Journals (Sweden)

Thirumahal Muthukrishnan

2015-01-01

Full Text Available Although antifouling marine paints have been used to prevent biofouling, not much is known about their effectiveness in preventing attachment of microorganisms. The current study aims at estimating the abundance of bacteria within biofilms developed on various commercial antifouling coatings in Marina Bandar Rowdha and Marina Shangri La, Oman. Coatings tested included Pettit #1863 and #1792, West Marine #11046620, #5566252 and #10175206, Hempel Hard Racing #76484, Hempel Olympic #86950, Hempasil X3 and International YBA920. All coatings were applied on clean plastic slides. Slides without any coating were used as controls. Microbial biofilms were harvested after 2, 7 and 14 days of biofouling. Bacterial density was estimated using epifluorescence microscopy. There was a significant difference between the various treatments (coatings and control after 2, 7 and 14 days of biofouling. Although there were significant differences between both locations after 2 and 14 days of biofouling, no significant difference was observed after 7 days of biofouling at both locations. At Shangri La, the lowest bacterial density was found on International YBA920, Pettit #1792 and Hempasil X3 after 2 days, 7 days and 14 days respectively in comparison to the control treatments. However at Bandar Rowdha, International YBA920 showed the lowest bacterial density after 2 days while West Marine #10175206 showed the lowest bacterial density after both 7 days and 14 days of biofouling in comparison to the control treatment. The differential performance of tested antifouling coatings may be attributed to several factors including varying environmental conditions, difference in microfouling communities, time of exposure and physical and chemical properties of antifouling coating.

3-manifolds

CERN Document Server

Hempel, John

2004-01-01

A careful and systematic development of the theory of the topology of 3-manifolds, focusing on the critical role of the fundamental group in determining the topological structure of a 3-manifold … self-contained … one can learn the subject from it … would be very appropriate as a text for an advanced graduate course or as a basis for a working seminar. -Mathematical Reviews For many years, John Hempel's book has been a standard text on the topology of 3-manifolds. Even though the field has grown tremendously, the book remains one of the best and most popular introductions to the subject. The t

Memantine for dementia?

Science.gov (United States)

2003-10-01

Memantine (Ebixa--Lundbeck Ltd), an oral medicine, is available in the UK for treating "patients with moderately severe to severe Alzheimer's disease". It differs from other licensed dementia medicines in that it is an N-methyl-D-aspartate (NMDA) receptor antagonist. The company has claimed that, with memantine therapy, "improvements in activities of daily living help patients to maintain a degree of independence and be easier to care for, potentially avoiding the need for nursing home care". We assess the efficacy of memantine for dementia and discuss its place in the management of patients with Alzheimer's disease.

Model predictive control for spacecraft rendezvous in elliptical orbit

Science.gov (United States)

Li, Peng; Zhu, Zheng H.

2018-05-01

This paper studies the control of spacecraft rendezvous with attitude stable or spinning targets in an elliptical orbit. The linearized Tschauner-Hempel equation is used to describe the motion of spacecraft and the problem is formulated by model predictive control. The control objective is to maximize control accuracy and smoothness simultaneously to avoid unexpected change or overshoot of trajectory for safe rendezvous. It is achieved by minimizing the weighted summations of control errors and increments. The effects of two sets of horizons (control and predictive horizons) in the model predictive control are examined in terms of fuel consumption, rendezvous time and computational effort. The numerical results show the proposed control strategy is effective.

The Danish Industrial Enzyme Industry - National based Companies with strong internationalised R&D

DEFF Research Database (Denmark)

Pedersen, Jørgen Lindgaard; Hansen, Anne Grethe

Danish industrial enzyme industry consists of three main companies (Chr. Hansen A/S, Novozymes A/S and Danisco A/S) which in total has around 75 percent of the world market for industrial enzymes. Industrial enzymes are catalysts used in biological and chemical processes in food, detergents, paper...... and energy and many other fields. Historically the industry started up in 1874 based on empiric knowledge on use of rennet in production of cheese from Switzerland and Germany and later enriched by scientific knowledge produced in the company and institutions all over the world. Important for the company...... was resources of calve stomachs from which the active stuff can be extracted. The private university, The Carlsberg Laboratory, established nearly at the same time, became after First World War a world leader in research of enzymes. And inspiration from here to the pharmaceutical company in insulin production...

Cause-specific life-years lost in people with mental disorders

DEFF Research Database (Denmark)

Erlangsen, Annette; Andersen, Per Kragh; Toender, Anita

2017-01-01

mortality due to medical diseases and disorders among people with mental disorders emphasises the need for future interventions to address these aspects as well as the continued high shares of excess mortality due to alcohol misuse, suicide, and accidents. FUNDING: The Lundbeck Foundation Initiative...... diseases (men: 1·2; women: 0·3), and respiratory diseases (men: 0·3; women: 0·2), and a decrease for suicide (men: -0·7; women: -0·5) and accidents (men: -0·9; women: -0·5). INTERPRETATION: By applying a novel approach, more precise estimates of life-years lost were obtained. The increase in excess...

A systematic methodology for the design of continuous active pharmaceutical ingredient production processes

DEFF Research Database (Denmark)

Cervera Padrell, Albert Emili; Gani, Rafiqul; Kiil, Søren

2011-01-01

Continuous pharmaceutical manufacturing (CPM) has emerged as a powerful technology to obtain higher reaction yields and improved separation efficiencies, potentially leading to simplified process flowsheets, reduced total costs, lower environmental impacts, and safer and more flexible production...... and representation, as well as on how to employ this knowledge for process (re-)design. The aim of this paper is to introduce a methodology that systematically identifies already existing PSE methods and tools which can assist in the design of CPM processes. This methodology has been applied to a process...... for the production of an API developed by H. Lundbeck A/S, demonstrating the mentioned potential benefits that CPM can offer....

A Simple Time Domain Collocation Method to Precisely Search for the Periodic Orbits of Satellite Relative Motion

Directory of Open Access Journals (Sweden)

Xiaokui Yue

2014-01-01

Full Text Available A numerical approach for obtaining periodic orbits of satellite relative motion is proposed, based on using the time domain collocation (TDC method to search for the periodic solutions of an exact J2 nonlinear relative model. The initial conditions for periodic relative orbits of the Clohessy-Wiltshire (C-W equations or Tschauner-Hempel (T-H equations can be refined with this approach to generate nearly bounded orbits. With these orbits, a method based on the least-squares principle is then proposed to generate projected closed orbit (PCO, which is a reference for the relative motion control. Numerical simulations reveal that the presented TDC searching scheme is effective and simple, and the projected closed orbit is very fuel saving.

Patientnær klinisk interventionsforskning tegner profilen i sygeplejeprofessorat

DEFF Research Database (Denmark)

Adamsen, Lis

2007-01-01

In March 2006, a five-year research professorship in clinical nursing was established at the Institute of Public Health, Faculty of Health Sciences, at University of Copenhagen and at The University Hospitals' Centre for Nursing and Care Research (UCSF). The professorship is financed...... additional research projects, including three PhD studies. The cross scientific concept and the combination of qualitative and quantitative methods will contribute to the Danish health policy by developing new treatment modalities for cancer patients. Furthermore, the program will inspire existing physician...... by the Lundbeck Foundation. This paper describes the content of the research program, ‘New interventions and perspectives on research in cancer patients'. The purpose of the research program is to develop and integrate the patients' perspectives in clinical intervention research. The intervention and research...

Effects of tonabersat on migraine with aura: a randomised, double-blind, placebo-controlled crossover study

DEFF Research Database (Denmark)

Hauge, Anne W; Asghar, Mohammed S; Schytz, Henrik W

2009-01-01

BACKGROUND: Migraine with aura is thought likely to be caused by cortical spreading depression (CSD). Tonabersat inhibits CSD, and we therefore investigated whether tonabersat has a preventive effect in migraine with aura. METHODS: In this randomised, double-blind, placebo-controlled crossover......, of whom 31 were included in the statistical analysis of efficacy. Median (IQR) attacks of aura were reduced from 3.2 (1.0-5.0) per 12 weeks on placebo to 1.0 (0-3.0) on tonabersat (p=0.01), whereas the other primary outcome measure, median migraine headache days with or without aura, was not significantly...... inhibitory effect on CSD. The results support the theory that auras are caused by CSD and that this phenomenon is not involved in attacks without aura. FUNDING: Minster Pharmaceuticals; Lundbeck Foundation....

Design of Continuous Reactor Systems for API Production

DEFF Research Database (Denmark)

Pedersen, Michael Jønch

-scale production equipment enabled complete replacement of the existing batch production of this intermediate. The crowning achievement in this work was the realization of continuous laboratory reactor setups capable of manufacturing the entire GMP portion of the synthesis of melitracen HCl at H. Lundbeck A....... The methodology provides suggestions on when and how decisions should be made on continuous production methods for Grignard chemistry within pharmaceutical manufacturing. Physicochemical properties, such as solubility, were found to be critical. However, from a business perspective, issues such as the current......The pharmaceutical industry has experienced many changes over the last few decades. Continuous production has been promoted as one of the more promising methods for making the industry more efficient and sustainable. The primary focus of this thesis is on the performance of Grignard chemistry...

National differences in FEI support and innovation management

DEFF Research Database (Denmark)

Aagaard, Annabeth

2012-01-01

This paper explores how Front End Innovation (FEI) is supported among companies of different nationality within the context of Pharmaceutical R&D. The present study is carried out in order to contribute to the development of a clearer understanding of active facilitation of innovation management...... and front end innovation in theory and practice. I aim to show how different aspects of company size, type and nationality affect the way innovation management and FEI is supported within organizations. This is examined through an in-depth case study of the Danish pharmaceutical company, H. Lundbeck A....../S, and a comparative study including seven European and American Biotech and Pharmaceutical companies. The findings from the study reveal a number of similarities and differences in innovation management and FEI support among the different companies and present propositions of important aspects to consider...

Identifying Activity Descriptors for CO2 Electro-Reduction to Methanol on Rutile (110) Surfaces

DEFF Research Database (Denmark)

Bhowmik, Arghya; Hansen, Heine Anton; Vegge, Tejs

2015-01-01

Electrocatalytic reduction of CO2 to liquid fuels using energy from renewable sources has the potential to form the basis of a carbon neutral sustainable energy system, while integrating seamlessly in the established infrastructure1. Storing intermittent renewable energy in a chemical fuel...... towards electrocatalytic production of methanol. We would like to acknowledge the Lundbeck Foundation for financial support of this work. References: 1. Lewis, N. S. & Nocera, D. G. Powering the planet: chemical challenges in solar energy utilization. Proc. Natl. Acad. Sci. U. S. A.103,15729–35 (2006......., Ali, I., Jansen, M. & Omanovic, S. Electrochemical reduction of CO 2 in an aqueous electrolyte employing an iridium/ruthenium-oxide electrode. Can. J. Chem. Eng. (2014). doi:10.1002/cjce.22110 6. Nørskov, J. K. et al. Origin of the Overpotential for Oxygen Reduction at a Fuel-Cell Cathode. J. Phys...

Influence of multi-microphone signal enhancement algorithms on auditory movement detection in acoustically complex situations

DEFF Research Database (Denmark)

Lundbeck, Micha; Hartog, Laura; Grimm, Giso

2017-01-01

The influence of hearing aid (HA) signal processing on the perception of spatially dynamic sounds has not been systematically investigated so far. Previously, we observed that interfering sounds impaired the detectability of left-right source movements and reverberation that of near-far source...... movements for elderly hearing-impaired (EHI) listeners (Lundbeck et al., 2017). Here, we explored potential ways of improving these deficits with HAs. To that end, we carried out acoustic analyses to examine the impact of two beamforming algorithms and a binaural coherence-based noise reduction scheme...... on the cues underlying movement perception. While binaural cues remained mostly unchanged, there were greater monaural spectral changes and increases in signal-to-noise ratio and direct-to-reverberant sound ratio as a result of the applied processing. Based on these findings, we conducted a listening test...

Technique for detecting a small magnitude loss of special nuclear material

International Nuclear Information System (INIS)

Pike, D.H.; Chernick, M.R.; Downing, D.J.

The detection of losses of special nuclear materials has been the subject of much research in recent years. The standard industry practice using ID/LEID will detect large magnitude losses. Time series techniques such as the Kalman Filter or CUSUM methods will detect small magnitude losses if they occur regularly over a sustained period of time. To date no technique has been proposed which adequately addresses the problem of detecting a small magnitude loss occurring in a single period. This paper proposes a method for detecting a small magnitude loss. The approach makes use of the influence function of Hempel. The influence function measures the effect of a single inventory difference on a group of statistics. An inventory difference for a period in which a loss occurs can be expected to produce an abnormality in the calculated statistics. This abnormality is measurable by the influence function. It is shown that a one period loss smaller in magnitude than the LEID can be detected using this approach

Hope or hype in the treatment of schizophrenia - what's the role of the physician?

Science.gov (United States)

Bressan, Rodrigo A; Grohs, Geder E M; Matos, Gabriela; Shergill, Sukhi

2018-01-01

According to the experience of people with schizophrenia, their psychiatrists' attitude towards the outcome of their illness is lacking in hope, which directly affects mutual faith in treatment. Here we discuss the scientific basis of hope and show its instrumental role in optimising the best treatment strategies for schizophrenia. Declaration of interest R.A.B has received honoraria for educational input and non-financial support from Ache; honoraria for educational input from Lundbeck; grants, honoraria for educational input and non-financial support from Janssen; all outside the submitted work. G.E.M.G. has received honoraria for educational input and non-financial support from Janssen outside the submitted work. G.M. reports support from Janssen-Cilag, outside the submitted work, and is an employee at Janssen-Cilag. S.S. has received grants and honoraria for educational input from EnVivo Pharmaceuticals, Takeda, AbbVie and Janssen Pharmaceuticals, outside the submitted work.

Depression in the South African workplace

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Marthinus P. Stander

2016-05-01

Full Text Available Depression is a common psychiatric disorder and can be costly, having a significant impact on the individual and employers. The South African Depression and Anxiety Group (SADAG in partnership with HEXOR, with the support of Lundbeck, undertook research into depression in the workplace, because South African information is not available on this topic. It provides insight into the prevalence of depression within the workplace in South Africa, as well as the impact of depression on the employees and employers in terms of sick leave and levels of productivity, especially when the symptoms include cognitive impairment. It is apparent that stigma plays a pivotal role in the reasons for non-disclosure to employers. It further highlights the magnitude of awareness, early detection and the provision of a holistic support system within the work environment, free from bias, to ensure that optimum benefit can be achieved for both employer and employee.

Carnivorous sponges (Cladorhizidae) of the deep Weddell Sea, with descriptions of two new species

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Dressler-Allame, Melina; Göcke, Christian; Kersken, Daniel; Plotkin, Alexander; Janussen, Dorte

2017-03-01

This paper presents 29 sponges of the family Cladorhizidae Dendy, 1922 sampled at 18 different stations in the Weddell Sea, Antarctic during two expeditions of RV Polarstern, PS61 ANT-XIX/2 ANDEEP 2 in 2002 and PS67 ANT-XXII/3 ANDEEP 3 in 2005. Fourteen species from four genera have been registered - one species of Asbestopluma Topsent, 1901, five species of Chondrocladia Thomson, 1873, three species of Cladorhiza Sars, 1872 and five species of Lycopodina Lundbeck, 1905. Six species are endemics of the Southern Ocean. Four species were previously only known from the areas north of the Antarctic and our records of them are thereby new for this region. Two species of Lycopodina, Lycopodina rhabdostylophora sp. nov. and Lycopodina pediculifera sp. nov., are new to science. Our study has considerably expanded the data on diversity of Cladorhizidae in the Southern Ocean. About 27 cladorhizid species (18-19% of global cladorhizid diversity) are now recorded for this region, of which 56% are endemics.

Induction and Confirmation Theory: An Approach based on a Paraconsistent Nonmonotonic Logic

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Ricardo Sousa Silvestre

2010-12-01

Full Text Available This paper is an effort to realize and explore the connections that exist between nonmonotonic logic and confirmation theory. We pick up one of the most wide-spread nonmonotonic formalisms – default logic – and analyze to what extent and under what adjustments it could work as a logic of induction in the philosophical sense. By making use of this analysis, we extend default logic so as to make it able to minimally perform the task of a logic of induction, having as a result a system which we believe has interesting properties from the standpoint of theory of confirmation. It is for instance able to represent chains of inductive rules as well as to reason paraconsistently on the conclusions obtained from them. We then use this logic to represent some traditional ideas concerning confirmation theory, in particular the ones proposed by Carl Hempel in his classical paper “Studies in the Logic of Confirmation” of 1945 and the ones incorporated in the so-called abductive and hy-pothetico-deductive models.

Induction and Confirmation Theory: An Approach based on a Paraconsistent Nonmonotonic Logic

Directory of Open Access Journals (Sweden)

Ricardo Sousa Silvestre

2011-05-01

Full Text Available This paper is an effort to realize and explore the connections that exist between nonmonotonic logic and confirmation theory. We pick up one of the most wide-spread nonmonotonic formalisms – default logic – and analyze to what extent and under what adjustments it could work as a logic of induction in the philosophical sense. By making use of this analysis, we extend default logic so as to make it able to minimally perform the task of a logic of induction, having as a result a system which we believe has interesting properties from the standpoint of theory of confirmation. It is for instance able to represent chains of inductive rules as well as to reason paraconsistently on the conclusions obtained from them. We then use this logic to represent some traditional ideas concerning confirmation theory, in particular the ones proposed by Carl Hempel in his classical paper "Studies in the Logic of Confirmation" of 1945 and the ones incorporated in the so-called abductive and hy-pothetico-deductive models.

The use of acid whey for the production of yogurt-type fermented beverages

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Katarzyna Skryplonek

2018-01-01

Full Text Available Acid whey is a by-product of cheese-making industry, which, in comparison to rennet whey, has less favourable processing properties and thus it is more difficult to utilize. The aim of the study was to evaluate the quality of yogurt-type fermented beverages based on acid whey. In the beverages production yogurt bacteria cultures Streptococcus thermophilus and Lactobacillus delbruecki ssp. bulgaricus (YO-MIX, Danisco, Denmark were used. The production process included combining of pasteurized acid whey with UHT milk, unsweetened condensed milk or skimmed milk powder. Milk was incorporated to beverages in order to enrich casein content and obtain product with quality characteristics similar to fermented milk drinks. Moreover, the beverages were supplemented with oligofructose and whey protein concentrate WPC 35. The products were stored under refrigerated conditions (5±1°C for 21 days. During the storage, an assessment of physicochemical properties and sensory characteristics was carried out. In addition, the beverages were evaluated in consumer preference test. The study showed, that by combining of acid whey with milk it is possible to obtain a products similar to yogurt, although their characteristics were influenced by the composition and storage time. During storage period, the acidity increased and acetaldehyde content decreased. Moreover the deterioration of sensory properties was observed. Consumer preference test indicated, that the best sensory properties had beverages from whey and condensed milk.

Lack of tolerable treatment options for patients with schizophrenia

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Citrome L

2015-12-01

Full Text Available Leslie Citrome,1 Anna Eramo,2 Clement Francois,2 Ruth Duffy,3 Susan N Legacy,3 Steve J Offord,3 Holly B Krasa,3 Stephen S Johnston,4 Alice Guiraud-Diawara,5 Siddhesh A Kamat,3 Patricia Rohman3 1Department of Psychiatry and Behavioral Sciences, New York Medical College, Valhalla, NY, 2Lundbeck, Deerfield, IL, 3Otsuka America Pharmaceuticals, Princeton, NJ, 4Truven Health Analytics, Bethesda, MD, USA; 5Lundbeck SAS, Issy-les-Moulineaux, France Purpose: Atypical antipsychotics (AAs, an effective treatment for schizophrenia, have a range of pharmacologic properties leading to differences in tolerability as well as heterogeneity in treatment response. Individual patient characteristics must be considered when making treatment choices, especially from an adverse event (AE or tolerability perspective. Despite the availability of numerous AAs, after appraising patient characteristics at the time of treatment selection, physicians may quickly run out of tolerable treatment options. Patients and methods: AE risk factors, defined as having either a prior history of an AE or a risk factor for that AE, were determined for Medicaid-insured and Commercially insured patients using database analysis. Patients receiving AA treatment between January 1, 2010 and December 31, 2012 defined the index date of first observed AA prescription during this period. Nine AAs were evaluated for association with AE risk factors as informed by drug prescribing information from the different manufacturers and published meta-analyses. The proportion of patients with pre-index AE risk factors prescribed an AA associated with that risk factor was then determined. Results: A high proportion of patients (>80% were prescribed an AA associated with extrapyramidal symptoms or akathisia despite experiencing extrapyramidal symptoms or akathisia prior to AA treatment initiation. Similar trends were observed among patients with diabetes (>60% and obesity (>40%. From the nine treatment

A review of the genus Capulinia Signoret (Hemiptera: Coccoidea: Eriococcidae) with description of two new species.

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Kondo, T; Gullan, P J; Cook, L G

2016-05-17

The eriococcid genus Capulinia Signoret currently comprises four Neotropical species (the type species C. sallei Signoret, C. crateraformis Hempel, C. jaboticabae Ihering and an undescribed species recognised in the literature) and one species from New Zealand (C. orbiculata Hoy). All species feed on plants in the family Myrtaceae and the undescribed species is a pest of guava, Psidium guajava, in Venezuela and Colombia. Here we describe the pest species based on the adult female and first-instar nymph and name it Capulinia linarosae Kondo & Gullan sp. n. We provide a summary of published information on the biology and pest status of C. linarosae by translating the Spanish literature. We also describe the adult female and first-instar nymph of a new Argentine species that we name as C. luma Kondo & Gullan sp. n. after its host Luma apiculata. In addition, we redescribe the adult female of C. jaboticabae and include notes on C. crateraformis, C. orbiculata and C. sallei. We provide a revised generic diagnosis and keys to all Capulinia species based on adult females and, where available, first-instar nymphs, as well as a revised key to South American eriococcid genera. Phylogenetic analyses of 18S rDNA place Capulinia within the "Gondwanan" clade of eriococcids, mostly likely within the Myrtaceae-feeding group.

improving performance of laying hens

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A.P Sinurat

2012-10-01

Full Text Available A trial was conducted in order to study the effect of the supplementation of Avizyme 1500® (Danisco Animal Nutrition, Marlborough, UK on the performance of laying hens for one year. A control diet based on corn – soybean meal was formulated to meet nutrient requirement of ISA Brown laying hens. Two treatments, the control diet (C and C + 1000 g Avizyme/tonne diet were tested. Each diet was fed to 80 birds (20 replicates of 4 birds from 20 to 72 weeks of age, and performances of birds (feed intake, egg production, egg size, egg mass, feed conversion ratio, and egg quality were measured. All data were subject to analyses of variance following the t-test. Results showed that the addition of Avizyme 1500 to the feed reduced feed intake by 4% (P < 0.01, mortality by 75 % or from 15% to 3.75% (P < 0.01 and improved the feed conversion ratio by 3 % (P < 0.05. The high mortality of the control treatment (15% is explained by an E.coli infection that was observed following the post-mortem examination of dead birds. The egg production (HD and HH, egg size and egg mass however were not significantly affected by the Avizyme supplementation. Egg quality (HU, yolk colour score, yolk weight and shell thickness was not significantly affected by Avizyme supplementation. It can be concluded that the supplementation of 1000 g Avizyme /tonne of diet improved feed efficiency and this was mediated via a reduction in feed intake.

Associations of centrally acting ACE inhibitors with cognitive decline and survival in Alzheimer's disease.

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Fazal, Karim; Perera, Gayan; Khondoker, Mizanur; Howard, Robert; Stewart, Robert

2017-07-01

Cognitive improvement has been reported in patients receiving centrally acting angiotensin-converting enzyme inhibitors (C-ACEIs). To compare cognitive decline and survival after diagnosis of Alzheimer's disease between people receiving C-ACEIs, non-centrally acting angiotensin-converting enzyme inhibitors (NC-ACEIs), and neither. Routine Mini-Mental State Examination (MMSE) scores were extracted in 5260 patients receiving acetylcholinesterase inhibitors and analysed against C-/NC-ACEI exposure at the time of Alzheimer's disease diagnosis. In the 9 months after Alzheimer's disease diagnosis, MMSE scores significantly increased by 0.72 and 0.19 points per year in patients on C-ACEIs and neither respectively, but deteriorated by 0.61 points per year in those on NC-ACEIs. There were no significant group differences in score trajectories from 9 to 36 months and no differences in survival. In people with Alzheimer's disease receiving acetylcholinesterase inhibitors, those also taking C-ACEIs had stronger initial improvement in cognitive function, but there was no evidence of longer-lasting influence on dementia progression. R.S. has received research funding from Pfizer, Lundbeck, Roche, Janssen and GlaxoSmithKline. © The Royal College of Psychiatrists 2017. This is an open access article distributed under the terms of the Creative Commons Non-Commercial, No Derivatives (CC BY-NC-ND) license.

Molecular and Morphological Identification of Mealybug Species (Hemiptera: Pseudococcidae) in Brazilian Vineyards

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Pacheco da Silva, Vitor C.; Bertin, Aline; Blin, Aurélie; Germain, Jean-François; Bernardi, Daniel; Rignol, Guylène; Botton, Marcos; Malausa, Thibaut

2014-01-01

Mealybugs (Hemiptera: Pseudococcidae) are pests constraining the international trade of Brazilian table grapes. They damage grapes by transmitting viruses and toxins, causing defoliation, chlorosis, and vigor losses and favoring the development of sooty mold. Difficulties in mealybug identification remain an obstacle to the adequate management of these pests. In this study, our primary aim was to identify the principal mealybug species infesting the major table grape-producing regions in Brazil, by morphological and molecular characterization. Our secondary aim was to develop a rapid identification kit based on species-specific Polymerase Chain Reactions, to facilitate the routine identification of the most common pest species. We surveyed 40 sites infested with mealybugs and identified 17 species: Dysmicoccus brevipes (Cockerell), Dysmicoccus sylvarum Williams and Granara de Willink, Dysmicoccus texensis (Tinsley), Ferrisia cristinae Kaydan and Gullan, Ferrisia meridionalis Williams, Ferrisia terani Williams and Granara de Willink, Phenacoccus baccharidis Williams, Phenacoccus parvus Morrison, Phenacoccus solenopsis Tinsley, Planococcus citri (Risso), Pseudococcus viburni (Signoret), Pseudococcus cryptus Hempel, four taxa closely related each of to Pseudococcus viburni, Pseudococcus sociabilis Hambleton, Pseudococcus maritimus (Ehrhorn) and Pseudococcus meridionalis Prado, and one specimen from the genus Pseudococcus Westwood. The PCR method developed effectively identified five mealybug species of economic interest on grape in Brazil: D. brevipes, Pl. citri, Ps. viburni, Ph. solenopsis and Planococcus ficus (Signoret). Nevertheless, it is not possible to assure that this procedure is reliable for taxa that have not been sampled already and might be very closely related to the target species. PMID:25062012

Modulation of Radiation Induced Toxicity by Caffeine Pre injection in Female Rats

International Nuclear Information System (INIS)

Ashry, O.M.

2003-01-01

The present work aims to evaluate the antioxidative role of caffeine (80 mg/kg b.w.). injected 1hour before exposure of female rats to a dose of (7 Gy) gamma irradiation. Haematological parameters, lipid peroxides, glutathione, AST and ALT were investigated 1, 3 and 7 days post irradiation and/or caffeine treatment. Exposure to ionizing radiation resulted in haematological disorders, elevated lipid peroxides, dropped glutathione levels and disturbed AST and ALT levels. Caffeine preinjection led to noticeable limitation of the drop in RBCs, Hb and Ht, improved MCV, MCHC, elevated glutathione, depressed lipid peroxide levels and moderated ALT level. Caffeine is an alkaloid (purine derivative) that contains flavonoids, which increases the antioxidative capacity of blood plasma (Hempel et al., 1999). It is an antioxidant that may help to protect against chemically-induced or radiation induced cancer in mice (Abraham, 1991 and Haung et al., 1997). Caffeine competes with oxygen for electrons and also scavenges hydroxyl radicals and reactive oxygen (Devasagayam and Kesavan, 1996). Contrary to previous investigations, conducted since 1960 reporting that caffeine potentiates DNA damage (Kihlman, 1977 and George et al., 1999) administered caffeine i.p. at a dose of 80 mg/kg body weight 1hour before irradiation of mice at 7.5 Gy. They described remarkable protection by caffeine resulting in the survival of 70% of mice at the end of 25 days and the number remained the same till 90 days

Persistence of TBT and copper in excess on leisure boat hulls around the Baltic Sea.

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Eklund, Britta; Watermann, Burkard

2018-05-01

A handheld XRF-analyzer specially calibrated for measurements of metals on plastic boat hulls has been used on leisure boats in Denmark (DK), Finland (FI), and Germany (DE). The results on tin and copper are presented as μg metal/cm 2 . Tin is a proxy for the occurrence of organotin compounds on the boat. Two or three sites were visited in each country and between 25 and 90 boats were measured at each site. Every boat was measured at six to eight places, and the results are presented both as mean and median values. Linear regression of mean to median values of the 377 data pairs shows high relationship with R 2  = 0.9566 for tin and R 2 of 0.9724 for copper and thus both ways of calculation may be used. However, for regulative use, it is suggested that all individual measurements on each boat should be presented and used for decisions of removal or sealing of boat hulls. The results are compared with published data from different parts of Sweden, i.e., boats in fresh water, brackish water, and salt water. The results show that tin with mean values > 50 μg Sn/cm 2 is still found on 42, 24, and 23% of the boats in DK, FI, and DE, respectively. The corresponding percentages based on median values are 38, 22, and 18% for DK, FI, and DE, respectively. The variation among boats is high with a maximum mean value of 2000 μg Sn/cm 2 . As comparison, one layer of an old TBT antifouling paint Hempels Hard racing superior, corresponds to 300 μg Sn/cm 2 . The percentage of boats with tin > 400 μg Sn/cm 2 content based on mean values was 10% in DK, 5% in FI, and 1% in DE. The corresponding median values were 9, 6, and 1% for DK, FI, and DE. Copper, > 100 μg Cu/cm 2 , was detected on all measured boats in DK and in DE and on all but 3% of the FI boats. One layer of Hempels MilleXtra corresponds to ̴ 4000 μg Cu/cm 2 . The recommendation on the can is to apply two layers. The proportion of boats with higher mean copper values than 8000 μg Cu/cm 2

INFLUENCE OF BETAINE ON GOAT MILK YIELD AND BLOOD METABOLITES

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Carlos Javier Fernandez

2009-02-01

Full Text Available Betaine is a natural occurring compound with methyl donor properties which is increasingly being used in animal feeding. Betaine, an oxidative product of choline is able to replace methionine in some physiologically important body processes. The subject of this work was to study the effect of betaine added to the diet on milk production and blood metabolites on Murciano-Granadina dairy goats.  Sixty lactating goats were selected from a commercial Murciano-Granadina goat herd (EXCAMUR S.L. located in Murcia Region (Spain. Goats were selected from a 250 goats herd, taken  into account the age, stage of lactation (2.5 as average, live weight (36 kg as average and type of birth (2 kids. Two homogenous groups of 30 goats were made and fed with 1.5 kg of compound feed and 1 kg of alfalfa hay per day and goat. Goats were fed twice a day and water was provided ad libitum. Both groups received the same diet but for the second group the diet was supplemented with 4 g∙kg-1 betaine (betaine anhydrous, Danisco Animal Nutrition. The feeds, presented in pellets, were formulated in based on recommendations of INRA (2007. The experimental period was 6 months and the experimental diets were provided 15 days before parturition. The herd was machine milked once at day. Chemical composition, milk production and blood metabolites of each goat were recorded and analyzed at the end of the trial. Variance analysis and means comparison were carried out using the general lineal model procedure and Tukey test for mean comparison. Goats fed with betaine diet had higher milk fat than goats fed control diet (4.8 vs. 5.2 % for control and betaine respectively; P

The influence of the dose of calcium bisglycinate on physicochemical properties, sensory analysis and texture profile of kefirs during 21 days of cold storage.

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Pawlos, Małgorzata; Znamirowska, Agata; Szajnar, Katarzyna; Kalicka, Dorota

2016-01-01

In the process of enrichment of dairy products a priority element is the proper selection of compounds that are a mineral carrier. Calcium bisglycinate is better absorbed by the body than inorganic forms of calcium. Moreover, the lactic acid which is produced in kefir fermentation and the presence of lactose have also a positive effect on the improvement of absorption of calcium. The aim of the present study was to determine the influence of the applied dose of calcium in the form of calcium bisglycinate on the physicochemical and sensory properties and texture of kefirs during 21-day period of cold storage. Processed cow milk was enriched with 0, 5, 10, 15, 20, 25 and 30 mg of calcium (for 100 g of milk), repasteurized (72°C, 1 min), cooled down (26°C), inoculated with Commercial VITAL kefir culture (Danisco, Poland) and fermented for 16 hours (26°C). The assessment of the influence of addition   of calcium bisglycinate on acidity, syneresis, texture and sensory characteristics (1-9 points) of kefirs was conducted at four fixed dates (after 1 day, 7 days, 14 days and 21 days of storage). During successive weeks of cold storage in all experimental groups there was observed a tendency to decrease general acidity. On the 1st and 7th days of cold storage reduced whey leakage was observed in kefirs enriched with 25 mg and 30 mg Ca/100 g of milk. With increasing doses of enrichment with calcium both the hardness, adhesiveness and gumminess of kefirs decreased. The applied doses of calcium did not cause changes in the sensory characteristics such as colour and consistency of the fermented beverages. Calcium bisglycinate may be used to enrich kefirs with calcium even with 30 mg of calcium in 100 g of milk without the modification of the product's parameters.

A bioengineered nisin derivative, M21A, in combination with food grade additives eradicates biofilms of Listeria monocytogenes.

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Lorraine Anne Draper

2016-11-01

Full Text Available The burden of foodborne disease has large economic and social consequences worldwide. Despite strict regulations, a number of pathogens persist within the food environment, which is greatly contributed to by a build-up of resistance mechanisms and also through the formation of biofilms. Biofilms have been shown to be highly resistant to a number of antimicrobials and can be extremely difficult to remove once they are established. In parallel, the growing concern of consumers regarding the use of chemically derived antimicrobials within food has led to a drive towards more natural products. As a consequence, the use of naturally derived antimicrobials has become of particular interest. In this study we investigated the efficacy of nisin A and its bioengineered derivative M21A in combination with food grade additives to treat biofilms of a representative strain of Listeria monocytogenes. Investigations revealed the enhanced antimicrobial effects, in liquid culture, of M21A in combination with citric acid or cinnamaldehyde over its wild type nisin A counterpart. Subsequently, an investigation was conducted into the effects of these combinations on an established biofilm of the same strain. Nisin M21A (0.1 µg/ml alone or in combination with cinnamaldehyde (35 µg/ml or citric acid (175 µg/ml performed significantly better than combinations involving nisin A. All combinations of M21A with either citric acid or cinnamaldehyde eradicated the L. monocytogenes biofilm (in relation to a non-biofilm control. We conclude that M21A in combination with available food additives could further enhance the antimicrobial treatment of biofilms within the food industry, simply by substituting nisin A with M21A in current commercial products such as Nisaplin (Danisco, DuPont.

Impact of response criteria (tibia ash weight vs. percent) on phytase relative non phytate phosphorus equivalance.

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Li, W; Angel, R; Kim, S-W; Jiménez-Moreno, E; Proszkowiec-Weglarz, M; Plumstead, P W

2015-09-01

The current study was conducted to evaluate the impacts of using tibia ash percentage or ash weight as the response criteria on estimated phytase relative equivalence. Straight run broilers were fed treatment (Trt) diets from 7 to 21 d age (6 birds/pen, 8 pens/Trt). The corn-soy based Trt were formulated to contain 0.80% Ca and 4 non-phytate phosphorus (nPP) concentrations (0.20, 0.27, 0.34, and 0.40%). Monocalcium phosphate was the inorganic phosphate source added to achieve 4 different dietary nPP concentrations and against which the nPP relative equivalence of phytase was determined. A 6-phytase (Danisco Animal Nutrition, DuPont Industrial Biosciences, Marlborough, UK) was added at 500 or 1,000 phytase unit ( FTU: )/kg to the 0.20% nPP diet resulting 6 total Trts. Tibia ash was determined at 21 d age. Phytase fed at 500 or 1,000 FTU/kg increased tibia ash weight and ash percentage compared to that of birds fed 0.20% nPP diet without phytase (Pphytase nPP relative equivalence. The R2 obtained from pen value regressions were 0.81 and 0.84, for tibia ash weight and percentage, respectively. Ash percentage from birds fed 500 and 1,000 FTU phytase/kg fell within the range obtained with the MCP additions. Ash weight (842 mg/tibia) from birds fed 1,000 FTU phytase/kg exceeded (Pphytase/kg Trt. The nPP relative equivalence in birds fed 500 FTU phytase/kg were 0.117 and 0.168% based on ash percentage and weight, respectively (Pphytase/kg was 0.166% for ash percentage. Results suggested that ash weight better reflects the amount of bone mineralization as compared to ash percentage and using ash percentage may lead to an underestimation of phytase efficacy. © 2015 Poultry Science Association Inc.

Intravenous Carbamazepine for Adults With Seizures.

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Vickery, P Brittany; Tillery, Erika E; DeFalco, Alicia Potter

2018-03-01

To review the pharmacology, pharmacokinetics, efficacy, safety, dosage and administration, potential drug-drug interactions, and place in therapy of the intravenous (IV) formulation of carbamazepine (Carnexiv) for the treatment of seizures in adult patients. A comprehensive PubMed and EBSCOhost search (1945 to August 2017) was performed utilizing the keywords carbamazepine, Carnexiv, carbamazepine intravenous, IV carbamazepine, seizures, epilepsy, and seizure disorder. Additional data were obtained from literature review citations, manufacturer's product labeling, and Lundbeck website as well as Clinicaltrials.gov and governmental sources. All English-language trials evaluating IV carbamazepine were analyzed for this review. IV carbamazepine is FDA approved as temporary replacement therapy for treatment of adult seizures. Based on a phase I trial and pooled data from 2 open-label bioavailability studies comparing oral with IV dosing, there was no noted indication of loss of seizure control in patients switched to short-term replacement antiepileptic drug therapy with IV carbamazepine. The recommended dose of IV carbamazepine is 70% of the patient's oral dose, given every 6 hours via 30-minute infusions. The adverse effect profile of IV carbamazepine is similar to that of the oral formulation, with the exception of added infusion-site reactions. IV carbamazepine is a reasonable option for adults with generalized tonic-clonic or focal seizures, previously stabilized on oral carbamazepine, who are unable to tolerate oral medications for up to 7 days. Unknown acquisition cost and lack of availability in the United States limit its use currently.

Dysmorphic features and developmental outcome of 2-year-old children.

Science.gov (United States)

Seggers, Jorien; Haadsma, Maaike L; Bos, Arend F; Heineman, Maas Jan; Middelburg, Karin J; van den Heuvel, Edwin R; Hadders-Algra, Mijna

2014-11-01

The aim of this study was to assess the associations between dysmorphic features and neurological, mental, psychomotor, and behavioural development in order to improve our understanding of aetiological pathways leading to minor developmental problems. In our cross-sectional study, 272 generally healthy 2-year-olds (143 males, 129 females; median gestational age 39 weeks, [range 30-43wks]), born after a parental history of subfertility either with or without fertility treatment, were examined. Dysmorphic features were classified as abnormalities (clinically relevant or not), minor anomalies, or common variants according to Merks' classification system. Hempel's neurological assessment resulted in a neurological optimality score (NOS) and fluency score. Mental and psychomotor development were assessed with the Dutch version of the Bayley Scales of Infant Development and behavioural development with the Achenbach Child Behaviour Checklist. Of the different types of dysmorphic feature, clinically relevant abnormalities were most strongly associated with a lower NOS (difference -2.53, 95% confidence interval [CI] -4.23 to -0.83) and fluency score (difference -0.62, 95% CI -1.1 to -0.15). The presence of one or more abnormalities (clinically relevant or not) or one or more common variants was significantly associated with a lower NOS, and the presence of three or more minor anomalies was associated with lower fluency scores. Dysmorphic features were not associated with mental, psychomotor, or behavioural development. As dysmorphic features originate during the first trimester of pregnancy, the association between dysmorphic features and minor alterations in neurodevelopment may suggest an early ontogenetic origin of subtle neurological deviations. © 2014 Mac Keith Press.

Molecular and morphological identification of mealybug species (Hemiptera: Pseudococcidae in Brazilian vineyards.

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Vitor C Pacheco da Silva

Full Text Available Mealybugs (Hemiptera: Pseudococcidae are pests constraining the international trade of Brazilian table grapes. They damage grapes by transmitting viruses and toxins, causing defoliation, chlorosis, and vigor losses and favoring the development of sooty mold. Difficulties in mealybug identification remain an obstacle to the adequate management of these pests. In this study, our primary aim was to identify the principal mealybug species infesting the major table grape-producing regions in Brazil, by morphological and molecular characterization. Our secondary aim was to develop a rapid identification kit based on species-specific Polymerase Chain Reactions, to facilitate the routine identification of the most common pest species. We surveyed 40 sites infested with mealybugs and identified 17 species: Dysmicoccus brevipes (Cockerell, Dysmicoccus sylvarum Williams and Granara de Willink, Dysmicoccus texensis (Tinsley, Ferrisia cristinae Kaydan and Gullan, Ferrisia meridionalis Williams, Ferrisia terani Williams and Granara de Willink, Phenacoccus baccharidis Williams, Phenacoccus parvus Morrison, Phenacoccus solenopsis Tinsley, Planococcus citri (Risso, Pseudococcus viburni (Signoret, Pseudococcus cryptus Hempel, four taxa closely related each of to Pseudococcus viburni, Pseudococcus sociabilis Hambleton, Pseudococcus maritimus (Ehrhorn and Pseudococcus meridionalis Prado, and one specimen from the genus Pseudococcus Westwood. The PCR method developed effectively identified five mealybug species of economic interest on grape in Brazil: D. brevipes, Pl. citri, Ps. viburni, Ph. solenopsis and Planococcus ficus (Signoret. Nevertheless, it is not possible to assure that this procedure is reliable for taxa that have not been sampled already and might be very closely related to the target species.

Using Python to Program LEGO MINDSTORMS® Robots: The PyNXC Project

Directory of Open Access Journals (Sweden)

2010-04-01

Full Text Available

 

Predictive value of general movements' quality in low-risk infants for minor neurological dysfunction and behavioural problems at preschool age.

Science.gov (United States)

Bennema, Anne N; Schendelaar, Pamela; Seggers, Jorien; Haadsma, Maaike L; Heineman, Maas Jan; Hadders-Algra, Mijna

2016-03-01

General movement (GM) assessment is a well-established tool to predict cerebral palsy in high-risk infants. Little is known on the predictive value of GM assessment in low-risk populations. To assess the predictive value of GM quality in early infancy for the development of the clinically relevant form of minor neurological dysfunction (complex MND) and behavioral problems at preschool age. Prospective cohort study. A total of 216 members of the prospective Groningen Assisted Reproductive Techniques (ART) cohort study were included in this study. ART did not affect neurodevelopmental outcome of these relatively low-risk infants born to subfertile parents. GM quality was determined at 2 weeks and 3 months. At 18 months and 4 years, the Hempel neurological examination was used to assess MND. At 4 years, parents completed the Child Behavior Checklist; this resulted in the total problem score (TPS), internalizing problem score (IPS), and externalizing problem score (EPS). Predictive values of definitely (DA) and mildly (MA) abnormal GMs were calculated. DA GMs at 2 weeks were associated with complex MND at 18 months and atypical TPS and IPS at 4 years (all ppredictive value of DA GMs at 2 weeks were rather low (13%-60%); specificity and negative predictive value were excellent (92%-99%). DA GMs at 3 months occurred too infrequently to calculate prediction. MA GMs were not associated with outcome. GM quality as a single predictor for complex MND and behavioral problems at preschool age has limited clinical value in children at low risk for developmental disorders. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

Leaf litter as a possible food source for chironomids (Diptera in Brazilian and Portuguese headwater streams Detritos foliares como possível fonte de alimento para Chironomidae (Diptera em riachos de cabeceira brasileiros e portugueses

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Marcos Callisto

2007-06-01

Full Text Available Our objective was to evaluate the potential use of leaf detritus by chironomid larvae. Field and laboratory experiments were performed using leaves and chironomid species collected in Portugal and Brazil. Laboratory experiments under controlled conditions were done using microbial conditioned senescent leaves of Alnus glutinosa (L. Gaertn, Neriumoleander L., Protium heptaphilum (Aubl. March, Protium brasiliense (Spreng Engl., Myrcia guyanensis(Aubl. DC and Miconia chartacea Triana. Laboratory experiments were performed using specimens collected from leaf litter in local streams. Whenever possible, after the experiments, chironomids were allowed to emerge as adults and identified. In Portugal the following taxa were identified: Micropsectra apposita (Walker, 1856, Polypedilum albicorne (Meigen, 1838,Eukiefferiella claripennis Lundbeck (1898, Rheocricotopus (Psilocricotopus atripes Rempel (1937 and Ablabesmyia Johannsen (1905 (Diptera, Chironomidae. Consumption rates ranged from 0.15 ± 0.10 mg (AFDM of leaf animal-1 day-1 (Micropsectra apposita feeding on Alnus glutinosa up to 0.85 ± 0.33 mg (AFDM of leaf animal-1 day-1 (Polypedilum albicorne feeding on Miconia chartacea. In Brazil, the following taxa were identified from leaves: Phaenopsectra sp., Chironomus spp. and Polypedilum sp. and maximum consumption rates reached 0.47 ± 0.28 (AFDM of leaf mg.animal-1.day-1 (Chironomus Meigen (1803 feeding on Protium heptaphilum. Feeding experiments with laboratory cultured specimens, revealed that some chironomids were unable to feed on decomposing leaves (e.g., C. xanthus Rempel (1939 on P.brasiliensis and M.guyanensis. Our results suggest that some stream chironomids (not typical shredders can use leaf litter of riparian vegetation as a complementary food source.O objetivo foi avaliar o potencial uso de detritos foliares por larvas de Chironomidae. Foram realizados experimentos em campo e em laboratório utilizando folhas e larvas de Chironomidae

Several factors influenced general practitioner participation in the implementation of a disease management programme.

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Ribe, Anette Riisgaard; Fenger-Grøn, Morten; Vedsted, Peter; Bro, Flemming; Kærsvang, Lone; Vestergaard, Mogens

2014-09-01

Disease management programmes (DMPs) require a high degree of participation from general practitioners (GPs) in order to succeed. We aimed to describe the participation among Danish GPs in a DMP. A quality improvement project entitled the Chronic Care Compass (CCC) was introduced in 2010 by the Central Denmark Region. The project was based on DMPs targeting persons suffering from three chronic diseases (diabetes, chronic obstructive pulmonary disease and acute coronary syndrome). All GPs in the region were invited to participate. We obtained data from administrative registries and studied the participation and its association with characteristics of practices and patients. Differences in participation were assessed using binomial regression models. A total of 271 (69.1%) practices participated in the CCC. The participation was 28.9 percentage points (pp) (confidence interval (CI): 14.3; 43.6) lower among GPs who were older than 60 years versus younger than 50 years, 32.2 pp (CI: 19.1; 45.2) lower among GPs who provided few versus many chronic care consultations, 13.7 pp (CI: 1.7; 25.6) lower among GPs with lower versus medium practice gross income, and 16.9 pp (CI:6.1; 27.8) lower among GPs with a patient population with medium versus low degree of socio-economic deprivation. Participation in the CCC was lower among GPs who provided less chronic care, had a lower practice gross income and had a patient population with a higher degree of deprivation. The project was supported by the Research Unit for General Practice, Aarhus University, and the Lundbeck Foundation. not relevant.

NEW EQUATIONS OF STATE IN SIMULATIONS OF CORE-COLLAPSE SUPERNOVAE

International Nuclear Information System (INIS)

Hempel, M.; Liebendörfer, M.; Fischer, T.; Schaffner-Bielich, J.

2012-01-01

We discuss three new equations of state (EOS) in core-collapse supernova simulations. The new EOS are based on the nuclear statistical equilibrium model of Hempel and Schaffner-Bielich (HS), which includes excluded volume effects and relativistic mean-field (RMF) interactions. We consider the RMF parameterizations TM1, TMA, and FSUgold. These EOS are implemented into our spherically symmetric core-collapse supernova model, which is based on general relativistic radiation hydrodynamics and three-flavor Boltzmann neutrino transport. The results obtained for the new EOS are compared with the widely used EOS of H. Shen et al. and Lattimer and Swesty. The systematic comparison shows that the model description of inhomogeneous nuclear matter is as important as the parameterization of the nuclear interactions for the supernova dynamics and the neutrino signal. Furthermore, several new aspects of nuclear physics are investigated: the HS EOS contains distributions of nuclei, including nuclear shell effects. The appearance of light nuclei, e.g., deuterium and tritium, is also explored, which can become as abundant as alphas and free protons. In addition, we investigate the black hole formation in failed core-collapse supernovae, which is mainly determined by the high-density EOS. We find that temperature effects lead to a systematically faster collapse for the non-relativistic LS EOS in comparison with the RMF EOS. We deduce a new correlation for the time until black hole formation, which allows the determination of the maximum mass of proto-neutron stars, if the neutrino signal from such a failed supernova would be measured in the future. This would give a constraint for the nuclear EOS at finite entropy, complementary to observations of cold neutron stars.

NEW HYPERON EQUATIONS OF STATE FOR SUPERNOVAE AND NEUTRON STARS IN DENSITY-DEPENDENT HADRON FIELD THEORY

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Banik, Sarmistha [BITS Pilani, Hyderabad Campus, Hyderabad-500078 (India); Hempel, Matthias [Departement Physik, Universität Basel, Klingelbergstrasse 82, 4056 Basel (Switzerland); Bandyopadhyay, Debades [Astroparticle Physics and Cosmology Division, Saha Institute of Nuclear Physics, 1/AF Bidhannagar, Kolkata-700064 (India)

2014-10-01

We develop new hyperon equation of state (EoS) tables for core-collapse supernova simulations and neutron stars. These EoS tables are based on a density-dependent relativistic hadron field theory where baryon-baryon interaction is mediated by mesons, using the parameter set DD2 for nucleons. Furthermore, light and heavy nuclei along with interacting nucleons are treated in the nuclear statistical equilibrium model of Hempel and Schaffner-Bielich which includes excluded volume effects. Of all possible hyperons, we consider only the contribution of Λs. We have developed two variants of hyperonic EoS tables: in the npΛφ case the repulsive hyperon-hyperon interaction mediated by the strange φ meson is taken into account, and in the npΛ case it is not. The EoS tables for the two cases encompass a wide range of densities (10{sup –12} to ∼1 fm{sup –3}), temperatures (0.1 to 158.48 MeV), and proton fractions (0.01 to 0.60). The effects of Λ hyperons on thermodynamic quantities such as free energy per baryon, pressure, or entropy per baryon are investigated and found to be significant at higher densities. The cold, β-equilibrated EoS (with the crust included self-consistently) results in a 2.1 M {sub ☉} maximum mass neutron star for the npΛφ case, whereas that for the npΛ case is 1.95 M {sub ☉}. The npΛφ EoS represents the first supernova EoS table involving hyperons that is directly compatible with the recently measured 2 M {sub ☉} neutron stars.

Lack of Exposure in a First-in-Man Study Due to Aldehyde Oxidase Metabolism: Investigated by Use of 14C-microdose, Humanized Mice, Monkey Pharmacokinetics, and In Vitro Methods.

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Jensen, Klaus Gjervig; Jacobsen, Anne-Marie; Bundgaard, Christoffer; Nilausen, Dorrit Østergaard; Thale, Zia; Chandrasena, Gamini; Jørgensen, Martin

2017-01-01

Inclusion of a microdose of 14 C-labeled drug in the first-in-man study of new investigational drugs and subsequent analysis by accelerator mass spectrometry has become an integrated part of drug development at Lundbeck. It has been found to be highly informative with regard to investigations of the routes and rates of excretion of the drug and the human metabolite profiles according to metabolites in safety testing guidance and also when additional metabolism-related issues needed to be addressed. In the first-in-man study with the NCE Lu AF09535, contrary to anticipated, surprisingly low exposure was observed when measuring the parent compound using conventional bioanalysis. Parallel accelerator mass spectrometry analysis revealed that the low exposure was almost exclusively attributable to extensive metabolism. The metabolism observed in humans was mediated via a human specific metabolic pathway, whereas an equivalent extent of metabolism was not observed in preclinical species. In vitro, incubation studies in human liver cytosol revealed involvement of aldehyde oxidase (AO) in the biotransformation of Lu AF09535. In vivo, substantially lower plasma exposure of Lu AF09535 was observed in chimeric mice with humanized livers compared with control animals. In addition, Lu AF09535 exhibited very low oral bioavailability in monkeys despite relatively low clearance after intravenous administration in contrast to the pharmacokinetics in rats and dogs, both showing low clearance and high bioavailability. The in vitro and in vivo methods applied were proved useful for identifying and evaluating AO-dependent metabolism. Different strategies to integrate these methods for prediction of in vivo human clearance of AO substrates were evaluated. Copyright © 2016 by The American Society for Pharmacology and Experimental Therapeutics.

Historical Perspectives on Erklären and Verstehen: Introduction

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Feest, Uljana

The conceptual dichotomy of Erklären and Verstehen (explaining vs. understanding) has a revealing dual status. On the one hand, it has something of an antiquated air to it, as we loosely associate its origins with the work of Wilhelm Dilthey and other nineteenth-century German philosophers who are not widely read any more, at least not within contemporary Anglo-American history and philosophy of the human sciences. At the same time, however, remnants of the dichotomy still come up in various guises and in various areas of contemporary philosophy and philosophy of science. One example is the long-standing debate over the logical status of action explanations ("reasons vs. causes") in philosophy of mind (Davidson 1980), and associated issues of "teleological explanations" and the explanatory status of laws of nature in the philosophy of the human sciences (Dray 1957; Hempel 1965; von Wright 1971). Another is the question of whether the subject matter of the social sciences requires a special type of interpretative, hermeneutic, or perhaps even empathetic, "access" (Collingwood 1946; Winch 1964; Taylor [1971] 1985). More recently, there has been renewed interest in the question of how to explicate our capacity to interpret another person's actions (see the recent suggestion that the "theory-theory" vs. "simulation theory" distinction is similar to some aspects of the Erklären/Verstehen distinction) (Kögler and Stueber 2000). And within mainstream analytical philosophy of the social sciences, one of the central topics has long been the question of whether social facts/events can be reduced to the explanations of the actions of individuals (e.g., Kincaid 1997), raising questions about the units at which explanatory and/or interpretive efforts ought to be directed. ("individualism" vs. "holism"). This question can be traced back to early twentieth-century debates in economics and other emerging social sciences (Udehn 2001).

Characterizing Feedbacks Between Environmental Forcing and Sediment Characteristics in Fluvial and Coastal Systems

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Feehan, S.; Ruggiero, P.; Hempel, L. A.; Anderson, D. L.; Cohn, N.

2016-12-01

Characterizing Feedbacks Between Environmental Forcing and Sediment Characteristics in Fluvial and Coastal Systems American Geophysical Union, 2016 Fall Meeting: San Francisco, CA Authors: Scott Feehan, Peter Ruggiero, Laura Hempel, and Dylan Anderson Linking transport processes and sediment characteristics within different environments along the source to sink continuum provides critical insight into the dominant feedbacks between grain size distributions and morphological evolution. This research is focused on evaluating differences in sediment size distributions across both fluvial and coastal environments in the U.S. Pacific Northwest. The Cascades' high relief is characterized by diverse flow regimes with high peak/flashy flows and sub-threshold flows occurring in relative proximity and one of the most energetic wave climates in the world. Combining analyses of both fluvial and coastal environments provides a broader understanding of the dominant forces driving differences between each system's grain size distributions, sediment transport processes, and resultant evolution. We consider sediment samples taken during a large-scale flume experiment that simulated floods representative of both high/flashy peak flows analogous to runoff dominated rivers and sub-threshold flows, analogous to spring-fed rivers. High discharge flows resulted in narrower grain size distributions while low flows where less skewed. Relative sediment size showed clear dependence on distance from source and the environments' dominant fluid motion. Grain size distributions and sediment transport rates were also quantified in both wave dominated nearshore and aeolian dominated backshore portions of Long Beach Peninsula, Washington during SEDEX2, the Sandbar-aEolian-Dune EXchange Experiment of summer 2016. The distributions showed spatial patterns in mean grain size, skewness, and kurtosis dependent on the dominant sediment transport process. The feedback between these grain size

Interventions to treat premature ejaculation: a systematic review short report.

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Cooper, Katy; Martyn-St James, Marrissa; Kaltenthaler, Eva; Dickinson, Kath; Cantrell, Anna

2015-03-01

Zeneca), topical eutectic mixture for PE (Plethora Solutions Ltd) spray; selective serotonin reuptake inhibitors (SSRIs) - citalopram (Cipramil(®), Lundbeck), escitalopram (Cipralex(®), Lundbeck), fluoxetine, paroxetine, sertraline, dapoxetine (Priligy(®), Menarini), 30 mg or 60 mg; serotonin-noradrenaline reuptake inhibitors - duloxetine (Cymbalta(®), Eli Lilly & Co Ltd); tricyclic antidepressants - inhaled clomipramine 4 mg; phosphodiesterase-5 (PDE5) inhibitors - vardenafil (Levitra(®), Bayer), tadalafil (Cialis(®), Eli Lilly & Co Ltd); opioid analgesics - tramadol (Zydol SR(®), Grünenthal). Improvements in sexual satisfaction and other outcomes compared with placebo were evident for SSRIs, PDE5 inhibitors and tramadol. Outcomes for interventions not compared with placebo were as follows: behavioural therapies - improvements over wait list control in IELT and other outcomes, behavioural therapy plus pharmacotherapy better than either therapy alone; alpha blockers - terazosin (Hytrin(®), AMCO) not significantly different to antidepressants in ejaculation control; acupuncture - improvements over sham acupuncture in IELT, conflicting results for comparisons with SSRIs; Chinese medicine - improvements over treatment as usual; delay device - improvements in IELT when added to stop-start technique; yoga - improved IELT over baseline, fluoxetine better than yoga. Treatment-related AEs were evident with most pharmacological interventions. Although data extraction from reviews was optimised when more than one review reported data for the same RCT, the reliability of the data extraction within these reviews cannot be guaranteed by this assessment report. Several interventions significantly improved IELT. Many interventions also improved sexual satisfaction and other outcomes. However, assessment of longer-term safety and effectiveness is required to evaluate whether or not initial treatment effects are maintained long term, whether or not dose escalation is required, how

Risk Factors, Health Care Resource Utilization, and Costs Associated with Nonadherence to Antiretrovirals in Medicaid-Insured Patients with HIV.

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Dunn, Keith; Lafeuille, Marie-Hélène; Jiao, Xiaolong; Romdhani, Hela; Emond, Bruno; Woodruff, Kimberly; Pesa, Jacqueline; Tandon, Neeta; Lefebvre, Patrick

2018-06-07

Adherence to antiretrovirals (ARVs) is critical to achieving durable virologic suppression. To investigate risk factors of poor adherence and the effect of suboptimal adherence on health care resource utilization (HCRU) and costs in Medicaid patients. A retrospective longitudinal study was conducted using Medicaid data. Adults (aged ≥ 18 years) with human immunodeficiency virus (HIV)-1 initiating selected ARVs (index date) were identified. Adherence was measured using medication possession ratio (MPR) and proportion of days covered (PDC) at 6 and 12 months post-index. Risk factors of poor adherence (PDC logistic regression. HCRU and costs were compared between suboptimal (80% ≤ PDC costs (mean monthly cost difference = $339; 95% CI = $153-$536; P costs (mean monthly cost difference = $259; 95% CI = $122-$418; P costs. Age, insurance type and coverage, previous ARV treatment, and HIV symptoms were predictors of adherence. Treatment options that enhance adherence and prevent developing virologic failure with drug resistance should be considered for HIV patients. This study was supported by Janssen Scientific Affairs, which was involved in the study design, data collection, data analysis, manuscript preparation, and publication decisions. Emond, Lafeuille, Romdhani, and Lefebvre are employees of Analysis Group, a consulting company that received research grants from Janssen Scientific Affairs to conduct this study. Dunn, Woodruff, Pesa, and Tandon are current employees and stockholders of Johnson & Johnson, owner of Janssen Scientific Affairs. Jiao was an employee of Janssen at the time of the study. Emond has received grants from Novartis, Regeneron, Aegerion, Lundbeck, Bristol-Myers Squibb, Bayer, Millennium, Allergan, AbbVie, and GlaxoSmithKline unrelated to this study. Part of the material in this study was presented at the Academy of Managed Care Pharmacy 2017 Annual Meeting, March 27-30, 2017, in Denver, Colorado, and at the 9th International AIDS Society

Comparative performance of precommercial cellulases hydrolyzing pretreated corn stover

Science.gov (United States)

2011-01-01

Background Cellulases and related hydrolytic enzymes represent a key cost factor for biochemical conversion of cellulosic biomass feedstocks to sugars for biofuels and chemicals production. The US Department of Energy (DOE) is cost sharing projects to decrease the cost of enzymes for biomass saccharification. The performance of benchmark cellulase preparations produced by Danisco, DSM, Novozymes and Verenium to convert pretreated corn stover (PCS) cellulose to glucose was evaluated under common experimental conditions and is reported here in a non-attributed manner. Results Two hydrolysis modes were examined, enzymatic hydrolysis (EH) of PCS whole slurry or washed PCS solids at pH 5 and 50°C, and simultaneous saccharification and fermentation (SSF) of washed PCS solids at pH 5 and 38°C. Enzymes were dosed on a total protein mass basis, with protein quantified using both the bicinchoninic acid (BCA) assay and the Bradford assay. Substantial differences were observed in absolute cellulose to glucose conversion performance levels under the conditions tested. Higher cellulose conversion yields were obtained using washed solids compared to whole slurry, and estimated enzyme protein dosages required to achieve a particular cellulose conversion to glucose yield were extremely dependent on the protein assay used. All four enzyme systems achieved glucose yields of 90% of theoretical or higher in SSF mode. Glucose yields were reduced in EH mode, with all enzymes achieving glucose yields of at least 85% of theoretical on washed PCS solids and 75% in PCS whole slurry. One of the enzyme systems ('enzyme B') exhibited the best overall performance. However in attaining high conversion yields at lower total enzyme protein loadings, the relative and rank ordered performance of the enzyme systems varied significantly depending upon which hydrolysis mode and protein assay were used as the basis for comparison. Conclusions This study provides extensive information about the

Comparative performance of precommercial cellulases hydrolyzing pretreated corn stover

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Mohagheghi Ali

2011-09-01

Full Text Available Abstract Background Cellulases and related hydrolytic enzymes represent a key cost factor for biochemical conversion of cellulosic biomass feedstocks to sugars for biofuels and chemicals production. The US Department of Energy (DOE is cost sharing projects to decrease the cost of enzymes for biomass saccharification. The performance of benchmark cellulase preparations produced by Danisco, DSM, Novozymes and Verenium to convert pretreated corn stover (PCS cellulose to glucose was evaluated under common experimental conditions and is reported here in a non-attributed manner. Results Two hydrolysis modes were examined, enzymatic hydrolysis (EH of PCS whole slurry or washed PCS solids at pH 5 and 50°C, and simultaneous saccharification and fermentation (SSF of washed PCS solids at pH 5 and 38°C. Enzymes were dosed on a total protein mass basis, with protein quantified using both the bicinchoninic acid (BCA assay and the Bradford assay. Substantial differences were observed in absolute cellulose to glucose conversion performance levels under the conditions tested. Higher cellulose conversion yields were obtained using washed solids compared to whole slurry, and estimated enzyme protein dosages required to achieve a particular cellulose conversion to glucose yield were extremely dependent on the protein assay used. All four enzyme systems achieved glucose yields of 90% of theoretical or higher in SSF mode. Glucose yields were reduced in EH mode, with all enzymes achieving glucose yields of at least 85% of theoretical on washed PCS solids and 75% in PCS whole slurry. One of the enzyme systems ('enzyme B' exhibited the best overall performance. However in attaining high conversion yields at lower total enzyme protein loadings, the relative and rank ordered performance of the enzyme systems varied significantly depending upon which hydrolysis mode and protein assay were used as the basis for comparison. Conclusions This study provides extensive

Effects of alkaline or liquid-ammonia treatment on crystalline cellulose: changes in crystalline structure and effects on enzymatic digestibility

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Himmel Michael E

2011-10-01

Full Text Available Abstract Background In converting biomass to bioethanol, pretreatment is a key step intended to render cellulose more amenable and accessible to cellulase enzymes and thus increase glucose yields. In this study, four cellulose samples with different degrees of polymerization and crystallinity indexes were subjected to aqueous sodium hydroxide and anhydrous liquid ammonia treatments. The effects of the treatments on cellulose crystalline structure were studied, in addition to the effects on the digestibility of the celluloses by a cellulase complex. Results From X-ray diffractograms and nuclear magnetic resonance spectra, it was revealed that treatment with liquid ammonia produced the cellulose IIII allomorph; however, crystallinity depended on treatment conditions. Treatment at a low temperature (25°C resulted in a less crystalline product, whereas treatment at elevated temperatures (130°C or 140°C gave a more crystalline product. Treatment of cellulose I with aqueous sodium hydroxide (16.5 percent by weight resulted in formation of cellulose II, but also produced a much less crystalline cellulose. The relative digestibilities of the different cellulose allomorphs were tested by exposing the treated and untreated cellulose samples to a commercial enzyme mixture (Genencor-Danisco; GC 220. The digestibility results showed that the starting cellulose I samples were the least digestible (except for corn stover cellulose, which had a high amorphous content. Treatment with sodium hydroxide produced the most digestible cellulose, followed by treatment with liquid ammonia at a low temperature. Factor analysis indicated that initial rates of digestion (up to 24 hours were most strongly correlated with amorphous content. Correlation of allomorph type with digestibility was weak, but was strongest with cellulose conversion at later times. The cellulose IIII samples produced at higher temperatures had comparable crystallinities to the initial cellulose I

Efficacy and tolerance of lactitol supplementation for adult constipation: a systematic review and meta-analysis

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Miller LE

2014-07-01

Full Text Available Larry E Miller,1 Julia Tennilä,2 Arthur C Ouwehand21Miller Scientific Consulting, Inc., Asheville, North Carolina, USA; 2Danisco Sweeteners Oy, Active Nutrition, Kantvik, FinlandBackground: Constipation is a common complaint in adults. Lactitol is an osmotic disaccharide laxative that increases fecal volume and stimulates peristalsis. In this paper, we present the first meta-analysis on the efficacy and tolerance of lactitol for adult constipation.Methods: We searched MEDLINE® and Embase, with no date or language restrictions, for studies of lactitol supplementation on adult constipation. A random-effects meta-analysis was performed on pre- to posttreatment changes in stool frequency and consistency with lactitol among all studies, as well as a comparison of efficacy and tolerance outcomes in randomized controlled trials (RCTs of lactitol versus lactulose.Results: A total of eleven studies representing 663 distinct patients were included in the final analysis, including five single-arm studies, four RCTs comparing lactitol with lactulose, one RCT comparing lactitol with placebo, and one nonrandomized controlled trial comparing lactitol with stimulant laxatives. Weekly stool frequency was significantly increased with lactitol compared with baseline (standardized mean difference [SMD]: 1.56, P<0.001. Stool consistency also improved over the supplementation period with lactitol (SMD: 1.04, P<0.001. Approximately one-third of patients experienced an adverse event; however, symptoms were generally mild and rarely (5% resulted in study withdrawal. In RCTs of lactitol versus lactulose, lactitol was slightly more effective than lactulose in increasing weekly stool frequency (SMD: 0.19, P=0.06. No statistically significant differences between lactitol and lactulose were identified in any other efficacy or tolerance outcome. Lactitol demonstrated favorable efficacy and tolerance in individual studies when compared to stimulant laxatives and placebo

Pseudoalteromonas spp. serve as initial bacterial attractants in mesocosms of coastal waters but have subsequent antifouling capacity in mesocosms and when embedded in paint.

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Bernbom, Nete; Ng, Yoke Yin; Olsen, Stefan Møller; Gram, Lone

2013-11-01

The purpose of the present study was to determine if the monoculture antifouling effect of several pigmented pseudoalteromonads was retained in in vitro mesocosm systems using natural coastal seawater and when the bacteria were embedded in paint used on surfaces submerged in coastal waters. Pseudoalteromonas piscicida survived on a steel surface and retained antifouling activity for at least 53 days in sterile seawater, whereas P. tunicata survived and had antifouling activity for only 1 week. However, during the first week, all Pseudoalteromonas strains facilitated rather than prevented bacterial attachment when used to coat stainless steel surfaces and submerged in mesocosms with natural seawater. The bacterial density on surfaces coated with sterile growth medium was 10(5) cells/cm(2) after 7 days, whereas counts on surfaces precoated with Pseudoalteromonas were significantly higher, at 10(6) to 10(8) cells/cm(2). However, after 53 days, seven of eight Pseudoalteromonas strains had reduced total bacterial adhesion compared to the control. P. piscicida, P. antarctica, and P. ulvae remained on the surface, at levels similar to those in the initial coating, whereas P. tunicata could not be detected. Larger fouling organisms were observed on all plates precoated with Pseudoalteromonas; however, plates coated only with sterile growth medium were dominated by a bacterial biofilm. Suspensions of a P. piscicida strain and a P. tunicata strain were incorporated into ship paints (Hempasil x3 87500 and Hempasil 77500) used on plates that were placed at the Hempel A/S test site in Jyllinge Harbor. For the first 4 months, no differences were observed between control plates and treated plates, but after 5 to 6 months, the control plates were more fouled than the plates with pseudoalteromonad-based paint. Our study demonstrates that no single laboratory assay can predict antifouling effects and that a combination of laboratory and real-life methods must be used to determine

Active pharmaceutical ingredient (API) production involving continuous processes--a process system engineering (PSE)-assisted design framework.

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Cervera-Padrell, Albert E; Skovby, Tommy; Kiil, Søren; Gani, Rafiqul; Gernaey, Krist V

2012-10-01

A systematic framework is proposed for the design of continuous pharmaceutical manufacturing processes. Specifically, the design framework focuses on organic chemistry based, active pharmaceutical ingredient (API) synthetic processes, but could potentially be extended to biocatalytic and fermentation-based products. The method exploits the synergic combination of continuous flow technologies (e.g., microfluidic techniques) and process systems engineering (PSE) methods and tools for faster process design and increased process understanding throughout the whole drug product and process development cycle. The design framework structures the many different and challenging design problems (e.g., solvent selection, reactor design, and design of separation and purification operations), driving the user from the initial drug discovery steps--where process knowledge is very limited--toward the detailed design and analysis. Examples from the literature of PSE methods and tools applied to pharmaceutical process design and novel pharmaceutical production technologies are provided along the text, assisting in the accumulation and interpretation of process knowledge. Different criteria are suggested for the selection of batch and continuous processes so that the whole design results in low capital and operational costs as well as low environmental footprint. The design framework has been applied to the retrofit of an existing batch-wise process used by H. Lundbeck A/S to produce an API: zuclopenthixol. Some of its batch operations were successfully converted into continuous mode, obtaining higher yields that allowed a significant simplification of the whole process. The material and environmental footprint of the process--evaluated through the process mass intensity index, that is, kg of material used per kg of product--was reduced to half of its initial value, with potential for further reduction. The case-study includes reaction steps typically used by the pharmaceutical

Metabolic profile at first-time schizophrenia diagnosis: a population-based cross-sectional study

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Horsdal HT

2017-02-01

Full Text Available Henriette Thisted Horsdal,1,2 Michael Eriksen Benros,2,3 Ole Köhler-Forsberg,2–4 Jesper Krogh,3 Christiane Gasse1,2,5 1National Centre for Register-based Research, Department of Economics and Business Economics, Aarhus BSS, Aarhus University, Aarhus, 2The Lundbeck Foundation Initiative for Integrative Psychiatric Research, iPSYCH, Aarhus, 3Faculty of Health Sciences, Mental Health Centre Copenhagen, University of Copenhagen, Copenhagen, 4Psychosis Research Unit, Aarhus University Hospital, Risskov, 5Centre for Integrated Register-Based Research, Aarhus University, Aarhus, Denmark Objective: Schizophrenia and/or antipsychotic drug use are associated with metabolic abnormalities; however, knowledge regarding metabolic status and physician’s monitoring of metabolic status at first schizophrenia diagnosis is sparse. We assessed the prevalence of monitoring for metabolic blood abnormalities and characterized the metabolic profiles in people with a first-time schizophrenia diagnosis. Methods: This is a population-based cross-sectional study including all adults born in Denmark after January 1, 1955, with their first schizophrenia diagnosis between 2000 and 2012 in the Central Denmark Region. Information on metabolic parameters was obtained from a clinical laboratory information system. Associations were calculated using Wilcoxon rank-sum tests, chi-square tests, logistic regression, and Spearman’s correlation coefficients. Results: A total of 2,452 people with a first-time schizophrenia diagnosis were identified, of whom 1,040 (42.4% were monitored for metabolic abnormalities. Among those monitored, 58.4% had an abnormal lipid profile and 13.8% had an abnormal glucose profile. People who had previously filled prescription(s for antipsychotic drugs were more likely to present an abnormal lipid measure (65.7% vs 46.8%, P<0.001 and abnormal glucose profile (16.4% vs 10.1%, P=0.01. Conclusion: Metabolic abnormalities are common at first

Secondary depression in severe anxiety disorders: a population-based cohort study in Denmark

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Meier, Sandra M; Petersen, Liselotte; Mattheisen, Manuel; Mors, Ole; Mortensen, Preben B; Laursen, Thomas M

2016-01-01

insights for prevention and treatment. Funding The Lundbeck Foundation Initiative for Integrative Psychiatric Research (iPSYCH). PMID:26360447

Investigation of enzyme-sensitive lipid nanoparticles for delivery of siRNA to blood–brain barrier and glioma cells

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Bruun J

2015-09-01

Full Text Available Jonas Bruun,1 Trine B Larsen,1 Rasmus I Jølck,1 Rasmus Eliasen,1 René Holm,2 Torben Gjetting,1 Thomas L Andresen11Department of Micro- and Nanotechnology, Center for Nanomedicine and Theranostics, Technical University of Denmark, DTU Nanotech, Lyngby, Denmark; 2H Lundbeck A/S, Biologics and Pharmaceutical Science, Valby, DenmarkAbstract: Clinical applications of siRNA for treating disorders in the central nervous system require development of systemic stable, safe, and effective delivery vehicles that are able to cross the impermeable blood–brain barrier (BBB. Engineering nanocarriers with low cellular interaction during systemic circulation, but with high uptake in targeted cells, is a great challenge and is further complicated by the BBB. As a first step in obtaining such a delivery system, this study aims at designing a lipid nanoparticle (LNP able to efficiently encapsulate siRNA by a combination of titratable cationic lipids. The targeted delivery is obtained through the design of a two-stage system where the first step is conjugation of angiopep to the surface of the LNP for targeting the low-density lipoprotein receptor-related protein-1 expressed on the BBB. Second, the positively charged LNPs are masked with a negatively charged PEGylated (poly(ethylene glycol cleavable lipopeptide, which contains a recognition sequence for matrix metalloproteinases (MMPs, a class of enzymes often expressed in the tumor microenvironment and inflammatory BBB conditions. Proteolytic cleavage induces PEG release, including the release of four glutamic acid residues, providing a charge switch that triggers a shift of the LNP charge from weakly negative to positive, thus favoring cellular endocytosis and release of siRNA for high silencing efficiency. This work describes the development of this two-stage nanocarrier-system and evaluates the performance in brain endothelial and glioblastoma cells with respect to uptake and gene silencing efficiency. The

Sun Grant Initiative Regional Biomass Feedstock Partnership Competitive Grants Program

Energy Technology Data Exchange (ETDEWEB)

Owens, Vance [South Dakota State Univ., Brookings, SD (United States). North Central Regional Sun Grant Center

2016-12-30

. Projects funded under this award have contributed significantly to and advanced the bioeconomy body of knowledge. Specifically, no fewer than 109 peer-reviewed publications, 2 patents, 4 invention disclosures, 5 book chapters, 30 conference papers, 224 professional presentations, 31 outreach publications, and 1 website have been generated. This contribution to the scientific community (peer-reviewed literature, presentations, etc.) and to the public (outreach publications, websites, etc.) has been significant. In addition, a number of projects funded through this award included significant industry involvement and support both in terms of funding (both in-kind and direct) and input. Key industry stakeholders included AGCO, Alliant Energy, Applied Nanofilms, Archer Daniels Midland, ConocoPhillips, DuPont-Danisco Cellulosic Ethanol, EcoSun Prairie Farm, Federal Machine Co., Hawkeye Renewables, John Deere, Mendel, SD Innovation Partners, and Thermo-Ag.

Enzymatic process development for the extraction of ferulic from wheat bran [abstract

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Blecker, C.

2010-01-01

sufficient to eliminate part of the starch (wheat bran starch granules are usually about 20 µm. Purified FAE are still not commercially available. However, several enzyme complexes do present FAE activity: Depol™ 740 l (Biocatalysts, Pentopan™ 500 BG and Novo™ 188 (Novozymes, Pectinase™ PE (Catalysts, Grindamyl™ S100 (Danisco, etc. These complexes are used as filtration aid or for bread making. FAE activity is usually a side activity, the major being hemicellulase and cellulase, except for Depol™ 740 l in which FAE activity is standardized (36 U.g-1. Even though it should be preferably integrated in a wider industrial scheme, a high potential of wheat bran valorization lies in the field of natural antioxidants extraction.

Risk of pneumonia and urinary tract infection within the first week after total hip arthroplasty and the impact on survival

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Glassou EN

2017-01-01

Full Text Available Eva N Glassou,1,2 Torben B Hansen,1,3 Alma B Pedersen2 1University Clinic of Hand, Hip and Knee Surgery, Department of Orthopedic Surgery, Regional Hospital West Jutland, Aarhus University, 2Department of Clinical Epidemiology, Aarhus University Hospital, 3The Lundbeck Foundation Centre for Fast-track Hip and Knee Replacement, Aarhus University, Aarhus, Denmark Background: Pneumonia and urinary tract infections (UTIs increase morbidity and mortality. There is little epidemiological evidence from large population-based studies on risk factors for these infections and subsequent mortality in total hip arthroplasty (THA patients.Aim: To examine the risk factors of postoperative pneumonia and UTI after THA and their impact on survival.Patients and methods: We used the Danish Hip Arthroplasty Register to identify THAs due to osteoarthritis registered from 2000 to 2013. We collected data about comorbidities, mortality and infections in relation to primary hospitalization and potential predictive variables from administrative databases. Regression models were used to estimate associations between potential risk factors and infection, and subsequently, between infection and mortality.Results: In total 84,812 THAs were included. The cumulative incidence of pneumonia and UTI within 7 days of the primary procedure were 0.21 (95% confidence interval [CI]: 0.18–0.25 and 0.29 (95% CI: 0.26–0.33, respectively. Patient-related risk factors for infection were being 80 years or older, gender and a comorbidity burden at time of surgery. The hazard ratio (HR of dying within 90 days of the primary THA was 10.67 (95% CI: 5.79–19.57 compared to patients without pneumonia. For patients with UTIs, the HR was 1.64 (95% CI: 0.41–6.59 compared to those without a UTI.Conclusion: Pneumonia was associated with an increased short-term risk of dying, despite adjustment for coexisting comorbidity and other potential confounders. Age, gender and comorbidity were the most

Particulate Study on NeoProfen, a Neonatal Injectable Product.

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Krishna, Aravind; Rice, Michael; Kester, Tom; Waters, Michael; Wilson, Terry

2016-01-01

NeoProfen or sterile ibuprofen L-lysine at 10 mg/mL ibuprofen, in 2 mL single-use Type I glass vials is often a first choice medication used to close a patent ductus arteriosus in neonatal patients from 500 to 1500 g body weight. Visible particulate matter was found in vials that were placed on a commercial stability program prior to the approved expiration date of 2 years. A combination of instrumental techniques including inductively coupled plasma-mass spectrometry, x-ray photoelectron spectroscopy, scanning electron microscopy energy dispersive x-ray spectrometry, and Raman and Fourier transform infrared microspectroscopy was used to evaluate stability, pilot batch and packaging samples in a root cause investigation. The particulate matter was shown to consist largely of ibuprofen aluminum salts of various stoichiometries. It developed over time by a substitution mechanism, in which the ibuprofen anion in solution reacts with the aluminum oxide network of the borosilicate glass giving the ibuprofen aluminum salt with =Al-OH remaining in the network. For corrective action an alternate Type I borosilicate glass vial with interior coating, not found in the original vial, was chosen for the product to prevent this occurrence. NeoProfen (sterile preservative-free ibuprofin L-lysine at 17 mg/mL in a single-use glass vial) is used to close a clinically significant patent ductus arteriosus in premature infants no more than 32 weeks gestational age. The neonatal population is especially sensitive to outside chemical, physical and environmental conditions because of incompletely developed organ systems, low birth weight and other underlying conditions. Two batches of this product were voluntarily recalled by the manufacturer, Lundbeck, and investigated for the source of particulate matter observed during a commercial stability testing program. This was found to result from an interaction between the product and the Type I borosilicate glass vial where ibuprofen

Parental questionnaire as a screening instrument for motor function at age five.

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Nordbye-Nielsen, Kirsten; Kesmodel, Ulrik Schiøler

2014-12-01

No standardised method is used to determine motor function in children in general practice in Denmark. Our aim was to evaluate the correlation between a parental questionnaire assessing motor function at the age of five years and the clinical test Movement Assessment Battery for Children (M-ABC), and to assess whether one or more questions could be used to screen for motor problems at the age of five years. This study was based on a parental questionnaire containing ten questions. The M-ABC was used as the gold standard. n = 755 children. The Mann-Whitney rank sum test, Pearson's χ(2)-test, logistic regression analyses and sensitivity and specificity were used to assess the correlation between the questionnaire and the M-ABC test. The best screening tool was six questions in combination: sensitivity 39.8%, specificity 87.1%. Asking if a health professional ever expressed concern about the childs motor development had a sensitivity of 17.0% and a specificity of 93.9%. A parental questionnaire used as a screening instrument to identify children with motor problems has a reasonable specificity, but a low sensitivity. The six questions can be used to identify children who do not have motor function difficulties with a relatively high certainty, and it can fairly well identify children with motor function problems. This study was primarily supported by the Centers for Disease Control and Prevention (CDC), Atlanta, Georgia, USA. Additional support was obtained from The Danish Health and Medicines Authority, the Lundbeck Foundation, Ludvig & Daara Elsass Foundation, the Augustinus Foundation, and Aase & Ejnar Danielsens Foundation. The Danish National Research Foundation has established the Danish Epidemiology Science Centre that initiated and created the Danish National Birth Cohort. The cohort is furthermore a result of a major grant from this Foundation. Additional support for the Danish National Birth Cohort is obtained from the Pharmacy Foundation, the Egmont

Health service use among children with and without eczema, asthma, and hay fever

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Hammer-Helmich L

2016-09-01

Full Text Available Lene Hammer-Helmich,1,2 Allan Linneberg,1,3,4 Simon Francis Thomsen,5,6 Line Tang,1 Charlotte Glümer1,7 1Research Center for Prevention and Health, The Capital Region of Denmark, Copenhagen, 2Department of Real World Evidence and Epidemiology, H. Lundbeck A/S, Valby, 3Department of Clinical Experimental Research, Rigshospitalet, 4Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, 5Department of Dermatology, Bispebjerg Hospital, 6Department of Biomedical Sciences, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, 7Department of Health Science and Technology, Faculty of Medicine, Aalborg University, Aalborg, Denmark Background: Atopic diseases, for example, eczema, asthma, and hay fever, are among the most common chronic diseases of childhood. Knowledge on health service use among children with atopic disease is limited. This study aimed to investigate the total use and costs of health services for children with and without eczema, asthma, and hay fever in a Danish general population. Methods: We conducted a health survey with four complete birth cohorts from the City of Copenhagen. Individual questionnaire data on eczema, asthma, and hay fever for children aged 3, 6, 11, and 15 years were linked to register information on use and costs of health services and prescribed medication and parental education. In total 9,720 children participated (50.5%. Results: We found increased health service use (number of additional consultations per year [95% confidence interval] among children with current eczema symptoms (1.77 [1.29–2.26], current asthma symptoms (2.53 [2.08–2.98], and current hay fever symptoms (1.21 [0.74–1.67], compared with children without these symptoms. We also found increased use of prescribed medication and most subtypes of health services. Current asthma symptoms and current eczema symptoms, but not current hay fever symptoms, increased the health

Evaluating depressive symptoms in mania: a naturalistic study of patients with bipolar disorder

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Young AH

2015-04-01

Full Text Available Allan H Young,1 Jonas Eberhard1,21Institute of Psychiatry, King’s College London, London, UK; 2Corporate Medical Affairs, H. Lundbeck A/S, Copenhagen, DenmarkObjective: This study aimed to evaluate patients with bipolar I disorder (BD-I who have mania with depressive symptoms and who meet the new “with mixed features” specifier of the Diagnostic and Statistical Manual of Mental Disorders, fifth edition (DSM-5.Method: This prospective, multinational, naturalistic study surveyed psychiatrists and their patients with BD-I from October 2013 to March 2014. Eligible patients had BD-I, had a (current manic episode, and had experienced onset of a manic episode within the previous 3 months. Psychiatrists provided patient information on depressive symptoms (DSM-5 criteria; symptoms of anxiety, irritability, and agitation; suicide attempts; and physician satisfaction with treatment response. Data were stratified according to whether patients met the criteria for the BD-I “with mixed features” specifier of DSM-5 (≥3 depressive symptoms or not, and characteristics were compared between the two subgroups. Patients also self-reported on depressive symptoms using the Mini-International Neuropsychiatric Interview module questionnaire.Results: Overall, 34% of 1,035 patients met the criteria for BD-I “with mixed features,” exhibiting ≥3 depressive symptoms during their current manic episode. This correlated with the matched patient self-reports of depressive symptoms. During their current manic episode, BD-I patients “with mixed features” had more severe symptoms of anxiety, irritability, and agitation (average composite severity score of 4.1 vs 3.4, a higher incidence of suicide attempts (38% vs 9%, and more physician dissatisfaction with treatment response (22% vs 14%, compared to patients with 0–2 depressive symptoms (all P<0.05.Conclusion: This study found that patients with BD-I “with mixed features” (ie, ≥3 depressive symptoms

Identifying patients and clinical scenarios for use of long-acting injectable antipsychotics – expert consensus survey part 1

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Sajatovic M

2018-06-01

Full Text Available Martha Sajatovic,1,2 Ruth Ross,3 Susan N Legacy,4 Christoph U Correll,5,6 John M Kane,5,6 Faith DiBiasi,7 Heather Fitzgerald,8 Matthew Byerly9 1Department of Psychiatry, University Hospitals Cleveland Medical Center, Cleveland, OH, USA; 2Departments of Psychiatry and Neurology, Case Western Reserve University School of Medicine, Cleveland, OH, USA; 3Ross Editorial, Port Townsend, WA, USA; 4US Medical Affairs Neuroscience, Otsuka Pharmaceutical Development & Commercialization, Inc., Princeton, NJ, USA; 5Psychiatry, The Zucker Hillside Hospital, Glen Oaks, NY, USA; 6Psychiatry, The Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Glen Oaks, NY, USA; 7Scientific Communications, Otsuka Pharmaceutical Development & Commercialization, Inc., Rockville, MD, USA; 8Medical Affairs, Lundbeck LLC, Deerfield, IL, USA; 9Cell Biology and Neuroscience, Center for Mental Health Research and Recovery, Montana State University, Bozeman, MT, USA Objective: To assess expert consensus on barriers and facilitators for long-acting injectable antipsychotic (LAI use and provide clinical recommendations on issues where clinical evidence is lacking, including identifying appropriate clinical situations for LAI use. Methods: A 50-question survey comprising 916 response options was distributed to 42 research experts and high prescribers with extensive LAI experience. Respondents rated options on relative appropriateness/importance using a 9-point scale. Consensus was determined using chi-square test of score distributions. Mean (standard deviation ratings were calculated. Responses to 29 questions (577 options relating to appropriate patients and clinical scenarios for LAI use are reported. Results: Recommendations aligned with research on risk factors for nonadherence and poor outcomes for patients with schizophrenia/schizoaffective or bipolar disorder. Findings suggested, contrary to general practice patterns, that LAI use may be appropriate earlier in

Chronic infections in hip arthroplasties: comparing risk of reinfection following one-stage and two-stage revision: a systematic review and meta-analysis

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Lange J

2012-03-01

Full Text Available Jeppe Lange1,2, Anders Troelsen3, Reimar W Thomsen4, Kjeld Søballe1,51Lundbeck Foundation Centre for Fast-Track Hip and Knee Surgery, Aarhus C, 2Center for Planned Surgery, Silkeborg Regional Hospital, Silkeborg, 3Department of Orthopaedics, Hvidovre Hospital, Hvidovre, 4Department of Clinical Epidemiology, Aarhus University Hospital, Aalborg, 5Department of Orthopaedics, Aarhus University Hospital, Aarhus C, DenmarkBackground: Two-stage revision is regarded by many as the best treatment of chronic infection in hip arthroplasties. Some international reports, however, have advocated one-stage revision. No systematic review or meta-analysis has ever compared the risk of reinfection following one-stage and two-stage revisions for chronic infection in hip arthroplasties.Methods: The review was performed in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analysis. Relevant studies were identified using PubMed and Embase. We assessed studies that included patients with a chronic infection of a hip arthroplasty treated with either one-stage or two-stage revision and with available data on occurrence of reinfections. We performed a meta-analysis estimating absolute risk of reinfection using a random-effects model.Results: We identified 36 studies eligible for inclusion. None were randomized controlled trials or comparative studies. The patients in these studies had received either one-stage revision (n = 375 or two-stage revision (n = 929. Reinfection occurred with an estimated absolute risk of 13.1% (95% confidence interval: 10.0%–17.1% in the one-stage cohort and 10.4% (95% confidence interval: 8.5%–12.7% in the two-stage cohort. The methodological quality of most included studies was considered low, with insufficient data to evaluate confounding factors.Conclusions: Our results may indicate three additional reinfections per 100 reimplanted patients when performing a one-stage versus two-stage revision. However, the

Efficacy of rasagiline in patients with the parkinsonian variant of multiple system atrophy: a randomised, placebo-controlled trial.

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Poewe, Werner; Seppi, Klaus; Fitzer-Attas, Cheryl J; Wenning, Gregor K; Gilman, Sid; Low, Phillip A; Giladi, Nir; Barone, Paolo; Sampaio, Cristina; Eyal, Eli; Rascol, Olivier

2015-02-01

hypotension (n=8 [10%]). In this population of patients with the parkinsonian variant of multiple system atrophy, treatment with rasagiline 1 mg per day did not show a significant benefit as assessed by UMSARS. The study confirms the sensitivity of clinical outcomes for multiple system atrophy to detect clinically significant decline, even in individuals with early disease. Teva Pharmaceutical Industries and H Lundbeck A/S. Copyright © 2015 Elsevier Ltd. All rights reserved.

Systematic literature review on patterns of pharmacological treatment and adherence among patients with bipolar disorder type I in the USA

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Greene M

2018-06-01

Full Text Available Mallik Greene,1 Luciano Paladini,2 Teresa Lemmer,2 Alexandra Piedade,2 Maelys Touya,3 Otavio Clark2 1Health Economics & Outcomes Research, Otsuka Pharmaceutical Development & Commercialization, Inc., Princeton, NJ, USA; 2Evidências – Kantar Health, Campinas, Brazil; 3Lundbeck Pharmaceuticals Services, LLC, Deerfield, IL, USA Background: Bipolar disorder type I (BD-I is a chronic condition characterized by mania episodes followed by syndromic recovery periods, usually permeated by depressive symptomatology and recurring acute manic episodes. It requires long-term pharmacological treatment; thus, it is critical to understand the patterns of drug therapy use and medication compliance to better plan health care policies and needs. This systematic literature review aims to study these data among patients with BD-I in the USA, focusing on medications to treat mania. Methods: Articles published in the last 10 years to October 2016 were searched on MEDLINE and Embase. Studies on patterns of drug therapy, concordance of prescription with clinical practice guidelines, and adherence and persistence with pharmacological treatments for BD-I in the USA under observational conditions, with focus on treatments for mania, were selected. Results: Treatment prevalence for BD-I is low in the USA, with the most current study showing a 46% 12-month rate. There is a lack of studies addressing the use of long-acting injectable (LAI antipsychotics. Second-generation antipsychotics (SGAs have been used by nearly all patients receiving oral antipsychotics since the 2000s. However, 30%–60% of individuals with BD do not receive appropriate treatment, and adherence to oral therapies is poor, with medication possession ratios ≥80% seen in only approximately 60% of patients. For persistence rates, results suggest that treatment duration is short for a condition with recommendation for at least 6 months of maintenance therapy. Literature indicates that LAI SGAs may be

Suicidality and symptoms of anxiety, irritability, and agitation in patients experiencing manic episodes with depressive symptoms: a naturalistic study

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Eberhard J

2016-08-01

Full Text Available Jonas Eberhard,1 Emmanuelle Weiller2 1Department of Clinical Sciences, Lund University, Lund, Sweden; 2H. Lundbeck A/S, Copenhagen, Denmark Purpose: Patients with a bipolar I disorder (BD-I manic episode meeting the Diagnostic and Statistical Manual of Mental Disorders, fifth edition (DSM-5, criteria for “with mixed features” have a high incidence of suicide attempts and of anxiety, irritability, and agitation (AIA symptoms. The aim of this analysis was to explore the relationship between suicidality and AIA symptoms in patients with BD-I experiencing mania with depressive symptoms, using data from a previous naturalistic study.Patients and methods: Psychiatrists completed an online questionnaire about their adult patients who had a current BD-I manic episode. Questions covered the DSM-5 “with mixed features” specifier, the severity of AIA symptoms, the frequency and controllability of suicidal ideation, and the number of suicide attempts.Results: Of 1,035 patients with BD-I mania who were included in the analyses, 348 (33.6% met the criteria for the DSM-5 “with mixed features” specifier (three or more depressive symptoms. These patients were further stratified according to the severity of their AIA symptoms: “mild AIA” (zero or one AIA symptom above a severity threshold; 105 patients or “severe AIA” (all three AIA symptoms above a severity threshold; 167 patients. A greater incidence of suicidal ideation was observed in the severe AIA group (71.9% than in the mild AIA group (47.6%. Twice as many patients had easily controlled suicidal ideation than difficult-to-control suicidal ideation in both subgroups. The mean number of suicide attempts was higher in the severe AIA group than in the mild AIA group, during the current episode (0.84 vs 0.34 attempts, respectively; P<0.05 and over the patient’s lifetime (1.56 vs 1.04 attempts, respectively.Conclusion: The high risk of suicide among BD-I mania patients with depressive

Initiating/maintaining long-acting injectable antipsychotics in schizophrenia/schizoaffective or bipolar disorder – expert consensus survey part 2

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Sajatovic M

2018-06-01

Full Text Available Martha Sajatovic,1,2 Ruth Ross,3 Susan N Legacy,4 Matthew Byerly,5 John M Kane,6,7 Faith DiBiasi,8 Heather Fitzgerald,9 Christoph U Correll6,7 1Department of Psychiatry, University Hospitals Cleveland Medical Center, Cleveland, OH, USA; 2Departments of Psychiatry and Neurology, Case Western Reserve University School of Medicine, Cleveland, OH, USA; 3Ross Editorial, Port Townsend, WA, USA; 4US Medical Affairs Neuroscience, Otsuka Pharmaceutical Development & Commercialization, Inc., Princeton, NJ, USA; 5Cell Biology and Neuroscience, Center for Mental Health Research and Recovery, Montana State University, Bozeman, MT, USA; 6Psychiatry, The Zucker Hillside Hospital, Glen Oaks, NY, USA; 7Psychiatry, The Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Glen Oaks, NY, USA; 8Scientific Communications, Otsuka Pharmaceutical Development & Commercialization, Inc., Rockville, MD, USA; 9Medical Affairs, Lundbeck LLC, Deerfield, IL, USA Objective: The aim of this study was to provide recommendations on initiating and maintaining long-acting injectable antipsychotics (LAIs in individuals with schizophrenia/schizoaffective or bipolar disorder. Methods: A 50-question survey comprising 916 response options was completed by 34 expert researchers and high prescribers with extensive LAI experience, rating relative appropriateness/importance on a 9-point scale. Consensus was determined using chi-square test of score distributions. Results of 21 questions comprising 339 response options regarding LAI initiation, maintenance treatment, adequate trial definition, identifying treatment nonresponse, and switching are reported. Results: Experts agreed that the most important LAI selection factor was patient response/tolerability to previous antipsychotics. An adequate therapeutic LAI trial was defined as the time to steady state ± 1–2 injection cycles. Experts suggested that oral efficacy and tolerability should be established before switching to an

[The effect of kefir consumption on human immune system: a cytokine study].

Science.gov (United States)

Adiloğlu, Ali Kudret; Gönülateş, Nurettin; Işler, Mehmet; Senol, Altuğ

2013-04-01

The systemic effects of bioactive peptides which are produced by the fermentation of milk via the microorganisms found in kefir have been the subject of interest in recent years. Bioactive peptides activate innate immunity by stimulating macrophages, increasing phagocytosis, augmenting NO and cytokine production and boosting the lumen levels of IgG and IgA+ B-lymphocytes. The aim of the present study was to determine the serum cytokine profiles of healthy volunteers after kefir consumption to evaluate helper T (TH) cell polarization and to bring out the effects on native and allergic immune responses. The study was designed as a prospective and self-controlled study. A total of 18 healthy volunteers (age range: 20-40 yrs, mean age: 35.5 ± 7.38 yrs) from a university hospital staff were recruited to the study, with the approval of ethical board and informed consent. The body mass indices of all participants were between normal range (20.10-25.70 kg/m2). After two weeks of a diet free from fermented products, the participants consumed 200 mL kefir daily, for six weeks. Kefir product was prepared by using kefir starter culture (Danisco Biolacta Sp - 05223B 10001, Poland) which contains Lactobacillus spp., Leuconostoc spp., Lactococcus lactis ssp. lactis and Streptococcus termophilus, an overnight incubation at 26°C, and consumed freshly. Fasting blood samples of subjects were collected just before kefir use (0th week), at the end of the 3rd and 6th weeks of kefir consumption, and three weeks after cessation of kefir usage (9th week). Serum TNF-a, IL-1, IL-5, IL-8 and TGF-β levels were measured by using commercial ELISA kits (BioSource, Belgium and Invitrogen, USA). Hemoglobin, serum creatinine and ALT levels of all subjects were also determined for follow-up. All volunteers completed the study period without any problem and declared no complaint. Hemoglobin, creatinine and ALT levels did not change with kefir consumption. Serum IL-8 levels were decreased at 3rd and

Quantifying the treatment goals of people recently diagnosed with schizophrenia using best–worst scaling

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Bridges JFP

2018-01-01

Full Text Available John FP Bridges,1 Kathleen Beusterien,2 Stephan Heres,3 Pedro Such,4 Joaquín Sánchez-Covisa,5 Anna-Greta Nylander,4 Elcie Chan,6 Anne de Jong-Laird5 1Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA; 2Outcomes Research Strategies in Health, Washington DC, USA; 3Department of Psychiatry and Psychotherapy, Technische Universität München, Munich, Germany; 4Global Medical Affairs, H. Lundbeck A/S, Valby, Denmark; 5Medical Department, Otsuka Pharmaceutical Europe Ltd., Wexham, UK; 6HEOR/Market Access, Otsuka Pharmaceutical Europe Ltd., Wexham, UK Objective: This study seeks to quantify the treatment goals of people recently diagnosed with schizophrenia and explore their impact on treatment plan.Methods: People aged 18–35 years with a confirmed diagnosis of schizophrenia within the past 5 years were surveyed in the UK, Germany, and Italy. Treatment goals were assessed via a validated best–worst scaling instrument, where participants evaluated subsets of 13 possible treatment goals identified using a balanced incomplete block design. Participants identified the most and least important goals within each task. Data were also collected on current treatment and preference for daily oral versus long-acting injectable (LAI treatment. Hierarchical Bayes was used to identify preference weights for the goals, and latent class analysis was used to identify segments of people with similar goals. The segments were compared with the current treatment and preference for oral versus LAI treatment.Results: Across 100 participants, the average age was 26 years, 75% were male and 50% were diagnosed within 2 years ago. Overall, preferences were most favorable for reduced disease symptoms, think clearly, reduced hospitalizations, reduced anxiety, and take care of self. A total of 61% preferred oral medication and 39% LAI. Two groups were identified with different treatment goals; 50% of participants

Trajectories of change and long-term outcomes in a randomised controlled trial of internet-based insomnia treatment to prevent depression.

Science.gov (United States)

Batterham, Philip J; Christensen, Helen; Mackinnon, Andrew J; Gosling, John A; Thorndike, Frances P; Ritterband, Lee M; Glozier, Nick; Griffiths, Kathleen M

2017-09-01

in this manuscript. BeHealth Solutions has licensed the SHUTi program and the software platform on which it was built from the University of Virginia. The terms of this arrangement have been reviewed and approved by the University of Virginia in accordance with its conflict of interest policy. N.G. has received grants from the NHMRC during the conduct of the study and personal fees from Lundbeck, Servier and Janssen outside the submitted work. © The Royal College of Psychiatrists 2017. This is an open access article distributed under the terms of the Creative Commons Non-Commercial, No Derivatives (CC BY-NC-ND) license.

Melatonin and cortisol profiles in late midlife and their association with age-related changes in cognition

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Waller KL

2016-01-01

Full Text Available Katja Linda Waller,1,2 Erik Lykke Mortensen,2,3 Kirsten Avlund,2,3,†, Merete Osler,3,4 Birgitte Fagerlund,5 Martin Lauritzen,2,6 Steen Gammeltoft,7 Poul Jennum1,2 1Danish Center for Sleep Medicine, Clinic of Clinical Neurophysiology, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark; 2Center for Healthy Aging, Faculty of Health Sciences, University of Copenhagen, Copenhagen, Denmark; 3Department of Public Health, University of Copenhagen, Copenhagen, Denmark; 4Research Center for Prevention and Health, Rigshospitalet, Glostrup, Denmark; 5Center for Neuropsychiatric Schizophrenia Research (CNSR, Lundbeck Foundation Center for Clinical Intervention and Neuropsychiatric Schizophrenia Research (CINS, Mental Health Center Glostrup, Glostrup, Denmark; 6Department of Clinical Neurophysiology, Rigshospitalet, Glostrup, Denmark; 7Department of Clinical Biochemistry, Rigshospitalet, Glostrup, Denmark †Kirsten Avlund passed away on June 15, 2012 Abstract: Previous studies have reported an association between circadian disturbances and age-related cognitive impairment. The aim was to study the 24-hour profiles of melatonin and cortisol in relation to cognitive function in middle-aged male subjects. Fifty healthy middle-aged males born in 1953 were recruited from a population-based cohort based on previous cognitive assessments in young adulthood and late midlife. The sample included 24 cognitively high-functioning and 26 cognitively impaired participants. Saliva samples were collected every 4 hours over a 24-hour period and analyzed for cortisol and melatonin levels by immunoassay. All participants exhibited clear circadian rhythms of salivary melatonin and cortisol. Salivary melatonin concentrations had a nocturnal peak at approximately 4 am. The median nocturnal melatonin response at 4 am was significantly lower in the cognitively impaired group than in the high-functioning group (−4.6 pg/mL, 95% CI: −7.84, −1.36, P=0.006. The 24

High-dose chemoradiotherapy and watchful waiting for distal rectal cancer: a prospective observational study.

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Appelt, Ane L; Pløen, John; Harling, Henrik; Jensen, Frank S; Jensen, Lars H; Jørgensen, Jens C R; Lindebjerg, Jan; Rafaelsen, Søren R; Jakobsen, Anders

2015-08-01

observation group at 1 year was 15·5% (95% CI 3·3-26·3). The most common acute grade 3 adverse event during treatment was diarrhoea, which affected four (8%) of 51 patients. Sphincter function in the observation group was excellent, with 18 (72%) of 25 patients at 1 year and 11 (69%) of 16 patients at 2 years reporting no faecal incontinence at all and a median Jorge-Wexner score of 0 (IQR 0-0) at all timepoints. The most common late toxicity was bleeding from the rectal mucosa; grade 3 bleeding was reported in two (7%) in 30 patients at 1 year and one (6%) of 17 patients at 2 years. There were no unexpected serious adverse reactions or treatment-related deaths. High-dose chemoradiotherapy and watchful waiting might be a safe alternative to abdominoperineal resection for patients with distal rectal cancer. CIRRO-The Lundbeck Foundation Center for Interventional Research in Radiation Oncology and The Danish Council for Strategic Research. Copyright © 2015 Elsevier Ltd. All rights reserved.

Probability of major depression diagnostic classification using semi-structured versus fully structured diagnostic interviews.

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Levis, Brooke; Benedetti, Andrea; Riehm, Kira E; Saadat, Nazanin; Levis, Alexander W; Azar, Marleine; Rice, Danielle B; Chiovitti, Matthew J; Sanchez, Tatiana A; Cuijpers, Pim; Gilbody, Simon; Ioannidis, John P A; Kloda, Lorie A; McMillan, Dean; Patten, Scott B; Shrier, Ian; Steele, Russell J; Ziegelstein, Roy C; Akena, Dickens H; Arroll, Bruce; Ayalon, Liat; Baradaran, Hamid R; Baron, Murray; Beraldi, Anna; Bombardier, Charles H; Butterworth, Peter; Carter, Gregory; Chagas, Marcos H; Chan, Juliana C N; Cholera, Rushina; Chowdhary, Neerja; Clover, Kerrie; Conwell, Yeates; de Man-van Ginkel, Janneke M; Delgadillo, Jaime; Fann, Jesse R; Fischer, Felix H; Fischler, Benjamin; Fung, Daniel; Gelaye, Bizu; Goodyear-Smith, Felicity; Greeno, Catherine G; Hall, Brian J; Hambridge, John; Harrison, Patricia A; Hegerl, Ulrich; Hides, Leanne; Hobfoll, Stevan E; Hudson, Marie; Hyphantis, Thomas; Inagaki, Masatoshi; Ismail, Khalida; Jetté, Nathalie; Khamseh, Mohammad E; Kiely, Kim M; Lamers, Femke; Liu, Shen-Ing; Lotrakul, Manote; Loureiro, Sonia R; Löwe, Bernd; Marsh, Laura; McGuire, Anthony; Mohd Sidik, Sherina; Munhoz, Tiago N; Muramatsu, Kumiko; Osório, Flávia L; Patel, Vikram; Pence, Brian W; Persoons, Philippe; Picardi, Angelo; Rooney, Alasdair G; Santos, Iná S; Shaaban, Juwita; Sidebottom, Abbey; Simning, Adam; Stafford, Lesley; Sung, Sharon; Tan, Pei Lin Lynnette; Turner, Alyna; van der Feltz-Cornelis, Christina M; van Weert, Henk C; Vöhringer, Paul A; White, Jennifer; Whooley, Mary A; Winkley, Kirsty; Yamada, Mitsuhiko; Zhang, Yuying; Thombs, Brett D

2018-06-01

original sponsor of the development of the PHQ-9, which is now in the public domain. Dr Chan is a steering committee member or consultant of Astra Zeneca, Bayer, Lilly, MSD and Pfizer. She has received sponsorships and honorarium for giving lectures and providing consultancy and her affiliated institution has received research grants from these companies. Dr Hegerl declares that within the past 3 years, he was an advisory board member for Lundbeck, Servier and Otsuka Pharma; a consultant for Bayer Pharma; and a speaker for Medice Arzneimittel, Novartis, and Roche Pharma, all outside the submitted work. Dr Inagaki declares that he has received grants from Novartis Pharma, lecture fees from Pfizer, Mochida, Shionogi, Sumitomo Dainippon Pharma, Daiichi-Sankyo, Meiji Seika and Takeda, and royalties from Nippon Hyoron Sha, Nanzando, Seiwa Shoten, Igaku-shoin and Technomics, all outside of the submitted work. Dr Yamada reports personal fees from Meiji Seika Pharma Co., Ltd., MSD K.K., Asahi Kasei Pharma Corporation, Seishin Shobo, Seiwa Shoten Co., Ltd., Igaku-shoin Ltd., Chugai Igakusha and Sentan Igakusha, all outside the submitted work. All other authors declare no competing interests. No funder had any role in the design and conduct of the study; collection, management, analysis and interpretation of the data; preparation, review or approval of the manuscript; and decision to submit the manuscript for publication.

Incidence, prevalence, diagnostic delay, morbidity, mortality and socioeconomic status in males with 46,XX disorders of sex development: a nationwide study.

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Berglund, A; Johannsen, T H; Stochholm, K; Aksglaede, L; Fedder, J; Viuff, M H; Main, K M; Gravholt, C H

2017-08-01

, and their income was reduced for the following age groups; 45-49 years: odds ratio [OR] = 0.4 (95% CI: 0.2-0.7); 50-54 years: OR = 0.1 (95% CI: 0.0-0.6). The study cohort is rather small, although it is large in comparison to other studies on 46,XX DSD males. Some 46,XX DSD males may have been excluded from the study owing to lack of data in medical records, making the diagnosis impossible to verify. As in all epidemiologic studies a risk of misclassification must be considered when interpreting the study results, and as the study included diagnosed 46,XX DSD males only, conclusions cannot be extended to non-diagnosed 46,XX DSD males. This study provides a new insight into trajectory of health and socioeconomic status of 46,XX DSD males. This study was funded by research grants from the Health Research Fund of Central Denmark Region, the A.P. Møller Foundation 'Fonden til Laegevidenskabens Fremme', the Lundbeck Foundation and the Novo Nordisk Foundation (NNF13OC0003234 and NNF15OC0016474). The authors have nothing to declare. N/A. © The Author 2017. Published by Oxford University Press on behalf of the European Society of Human Reproduction and Embryology. All rights reserved. For Permissions, please e-mail: journals.permissions@oup.com

Patterns of Adherence to Oral Atypical Antipsychotics Among Patients Diagnosed with Schizophrenia.

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MacEwan, Joanna P; Forma, Felicia M; Shafrin, Jason; Hatch, Ainslie; Lakdawalla, Darius N; Lindenmayer, Jean-Pierre

2016-11-01

abuse (OR = 1.46; 95% CI = 1.26-1.66; P aged 35-54 years (OR = 0.66; 95% CI = 0.46-0.85; P different groups may warrant different types of clinical interventions to prevent hospitalizations, longer hospital stays, and increased clinical complexity. For example, clinicians may consider regular home visits, assertive community treatment, and other related interventions for patients at high risk of immediate discontinuation. Health plans should consider supplementing claims-based adherence measures with new technologies that are able to track patient adherence patterns over time. Otsuka Pharmaceutical Development & Commercialization provided support for this research. MacEwan and Shafrin are employees of Precision Health Economics, which was contracted by Otsuka Pharmaceutical Development & Commercialization to conduct this study. Lakdawalla is the Chief Scientific Officer and a founding partner of Precision Health Economics. Forma is an employee of Otsuka Pharmaceutical Development & Commercialization. Hatch is a former employee of Otsuka Pharmaceutical Development & Commercialization and is a current employee of ODH, Inc. Lindenmayer has received grant/research support from Janssen, Lilly, AstraZeneca, Johnson & Johnson, Pfizer, BMS, Otsuka, Dainippon, and Roche and is a consultant for Janssen, Lilly, Merck, Shire, and Lundbeck. Portions of this study were presented as a poster at the American Society of Clinical Psychopharmacology Annual Meeting in Miami Beach, Florida; June 23, 2015; and at the 28th Annual U.S. Psychiatric and Mental Health Congress; San Diego, California; September 12, 2015. Study concept and design were contributed by Forma, Ladkawalla, MacEwan, and Shafrin, along with Hatch and Lindenmayer. MacEwan, Shafrin, Forma, and Lakdawalla collected the data, along with Hatch and Lindenmayer. Data interpretation was performed by Hatch, Lindenmayer, MacEwan, and Shafrin, assisted by Forma and Lakdawalla. The manuscript was written and revised by MacEwan, Forma

Risk of psychiatric disorders in offspring of parents with a history of homelessness during childhood and adolescence in Denmark: a nationwide, register-based, cohort study.

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Nilsson, Sandra Feodor; Laursen, Thomas Munk; Hjorthøj, Carsten; Thorup, Anne; Nordentoft, Merete

2017-12-01

] for both parents homeless, after adjustment for year and offspring characteristics). This risk remained elevated after additional adjustment for factors including parental psychiatric disorders. IRRs in offspring were increased for most specific psychiatric disorders, with the highest risk for attachment disorder when both parents had a history of homelessness (IRR 32·5 [95% CI 24·6-42·9]) and substance use disorder when only the mother had a history of homelessness (6·9 [4·9-9·7]). In offspring whose mothers had a history of both homelessness and a psychiatric disorder, 35·9% (95% CI 27·1-44·8) had been diagnosed with a psychiatric disorder by the age of 15 years. Parental homelessness was associated with an increased risk of psychiatric disorders in offspring during childhood and adolescence. These findings have important implications for public health and policy because they suggest a need for improvement in the support of socially marginalised families to help prevent psychiatric illness in offspring. University of Copenhagen, The Lundbeck Foundation Initiative for Integrated Psychiatric Research (iPSYCH). Copyright © 2017 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license. Published by Elsevier Ltd.. All rights reserved.

Risk of psychiatric disorders in offspring of parents with a history of homelessness during childhood and adolescence in Denmark: a nationwide, register-based, cohort study

Directory of Open Access Journals (Sweden)

Sandra Feodor Nilsson, MSc

2017-12-01

% CI 2·3–2·7] for mother homeless, 2·3 [2·2–2·5] for father homeless, and 2·8 [2·4–3·2] for both parents homeless, after adjustment for year and offspring characteristics. This risk remained elevated after additional adjustment for factors including parental psychiatric disorders. IRRs in offspring were increased for most specific psychiatric disorders, with the highest risk for attachment disorder when both parents had a history of homelessness (IRR 32·5 [95% CI 24·6–42·9] and substance use disorder when only the mother had a history of homelessness (6·9 [4·9–9·7]. In offspring whose mothers had a history of both homelessness and a psychiatric disorder, 35·9% (95% CI 27·1–44·8 had been diagnosed with a psychiatric disorder by the age of 15 years. Interpretation: Parental homelessness was associated with an increased risk of psychiatric disorders in offspring during childhood and adolescence. These findings have important implications for public health and policy because they suggest a need for improvement in the support of socially marginalised families to help prevent psychiatric illness in offspring. Funding: University of Copenhagen, The Lundbeck Foundation Initiative for Integrated Psychiatric Research (iPSYCH.

跨年級中學生認知地圖之分析研究：以粒子行為試題為例 A Secondary Analysis Study of Student Conceptions on the Behavior of Gas Particles by Utilizing the Cognitive Map Approach

Directory of Open Access Journals (Sweden)

邱美虹 Mei-Hung Chiu

2011-06-01

Full Text Available 本研究針對全國概念調查的結果進行次級資料分析（secondary data analysis），目的在探索中學生的認知地圖及其形成的相關限制因素。研究的分析架構是以Hempel（1958）描述現象觀察的理論解釋與Wellman（1994）和其他學者（Chaib-draa & Desharnais, 1998; Peña, Sossa, &Gutiérrez, 2008）詮釋因果推論的認知地圖為基礎。首先，研究者依據全國概念調查雙層診斷測驗試題內容（Chiu, 2007），找出特定概念間的相互關係；其次，透過雙層試題的語意連結，形成不同試題選項之認知地圖的質性描述；最後，分析跨年級中學生認知地圖的分布情形，藉以瞭解學生在概念發展上的差異。本研究結果指出：一、跨年級中學生正確連結理論系統與經驗觀察的人數比例，雖然隨年級增加而提高，但是比例仍然偏低。二、在相似情境試題中，跨年級中學生受到壓力、重量以及隨機性等不同限制因素的影響，會形成不同類型的認知地圖。本研究所確認的概念限制因素可解釋認知地圖在概念圖像化的因果推論關係，而以認知地圖作為次級資料分析的研究方法所產生的限制與對研究的意涵將在文末一併討論。 The purpose of this secondary data analysis study is to explore the cognitive maps (CMs held by the students and their constraints of conceptions while forming their qualitative inferences regarding the behaviors of gas particles. The data used in this study was derived from the National Science Concept Learning Study via the use of two-tier diagnostic instruments proposed by Treagust (1988, 1995. Unlike other studies only comparing student performance, the analytical method of this study adapted a model of scientific explanations proposed by Hempel (1958, and cognitive maps by Wellman (1994 and others (Chaib-draa & Desharnais, 1998; Peña, Sossa, & Gutiérrez, 2008. The results

3D-Digital soil property mapping by geoadditive models

Science.gov (United States)

Papritz, Andreas

2016-04-01

account for nonlinear effects of covariates by fitting componentwise smooth, nonlinear functions to the covariates (additive terms). REML estimation of model parameters and computing best linear unbiased predictions (BLUP) builds in the geoAM framework on the fact that both geostatistical and additive models can be parametrized as linear mixed models Wand, 2003. For 3D-DSM analysis of soil data, it is natural to model depth profiles of soil properties by additive terms of soil depth. Including interactions between these additive terms and covariates of the spatial mean function allows to model spatially varying depth profiles. Furthermore, with suitable choice of the basis functions of the additive term (e.g. polynomial regression splines), non-constant support of the soil data can be taken into account. Finally, boosting (Bühlmann and Hothorn, 2007) can be used for selecting covariates for the spatial mean function. The presentation will detail the geoAM approach and present an example of geoAM for 3D-analysis of legacy soil data. Arrouays, D., McBratney, A. B., Minasny, B., Hempel, J. W., Heuvelink, G. B. M., MacMillan, R. A., Hartemink, A. E., Lagacherie, P., and McKenzie, N. J. (2014). The GlobalSoilMap project specifications. In GlobalSoilMap Basis of the global spatial soil information system, pages 9-12. CRC Press. Bishop, T., McBratney, A., and Laslett, G. (1999). Modelling soil attribute depth functions with equal-area quadratic smoothing splines. Geoderma, 91(1-2), 27-45. Bühlmann, P. and Hothorn, T. (2007). Boosting algorithms: Regularization, prediction and model fitting. Statistical Science, 22(4), 477-505. Kammann, E. E. and Wand, M. P. (2003). Geoadditive models. Journal of the Royal Statistical Society. Series C: Applied Statistics, 52(1), 1-18. Kyriakidis, P. (2004). A geostatistical framework for area-to-point spatial interpolation. Geographical Analysis, 36(3), 259-289. Orton, T., Pringle, M., and Bishop, T. (2016). A one-step approach for modelling

VISTA Stares Deeply into the Blue Lagoon

Science.gov (United States)

2011-01-01

ultraviolet light, are responsible for making the nebula glow brightly. But the Lagoon Nebula is also home to much younger stellar infants. Newborn stars have been detected in the nebula that are so young that they are still surrounded by their natal accretion discs. Such new born stars occasionally eject jets of matter from their poles. When this ejected material ploughs into the surrounding gas short-lived bright streaks called Herbig-Haro objects [3] are formed, making the new-borns easy to spot. In the last five years, several Herbig-Haro objects have been detected in the Lagoon Nebula, so the baby boom is clearly still in progress here. Notes [1] This survey, one of six VISTA surveys currently in progress, will image the central parts of the Milky Way many times over a period of five years and will detect huge numbers of new variable objects. [2] Bart Bok was a Dutch-American astronomer who spent most of his long career in the United States and Australia. He first noticed the dark spots that now bear his name, in star formation regions and speculated that they may be associated with the earliest stages of star formation. The hidden baby stars were only observed directly when infrared imaging was possible several decades later. [3] Although not the first to see such objects, the astronomers George Herbig and Guillermo Haro were the first to study the spectra of these strange objects in detail and realise that they were not just clumps of gas and dust that reflected light, or glowed under the influence of the ultraviolet light from young stars, but were a new class of objects associated with star formation. More information The science team for VVV includes Dante Minniti (Universidad Catolica, Chile), Phil Lucas (University of Hertfordshire, UK), Ignacio Toledo (Universidad Catolica) and Maren Hempel (Universidad Catolica). ESO, the European Southern Observatory, is the foremost intergovernmental astronomy organisation in Europe and the world's most productive astronomical

First LOCSMITH locations of deep moonquakes

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Hempel, S.; Knapmeyer, M.; Sens-Schönfelder, C.; Oberst, J.

2008-09-01

stacking we developed a complex multiparameter correlation algorithm to calculate the optimum time shift. Results We present relocations of selected deep moonquakes in context of data availability and quality. Previous locations are often contained in our location clouds, but realistic location uncertainties allow large deviations from the best fitting solutions, including locations on the far side of the Moon. Perspective By developing new methods for data processing and using the LOCSMITH locating algorithm we hope to reduce the location uncertainty sufficiently to make sure that all sources are on the near side, or to prove a far side origin of some of them. This would answer questions of hemispheric symmetry of lunar deep seismicity and the Moon's internal structure. References [1] Knapmeyer (2008) accepted to GJI. [2] Nakamura (2005) JGR, 110, E01001. [3] Lognonné (2003) EPSL, 211, 2744. [4] Bulow (2005) JGR, 110, E10003. [5] Sonnemann (2005) EGU05A07960. [6] Hempel, Knapmeyer, Oberst (2008) EGU2008A07989.

Information-Theoretic Perspectives on Geophysical Models

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Nearing, Grey

2016-04-01

To test any hypothesis about any dynamic system, it is necessary to build a model that places that hypothesis into the context of everything else that we know about the system: initial and boundary conditions and interactions between various governing processes (Hempel and Oppenheim, 1948, Cartwright, 1983). No hypothesis can be tested in isolation, and no hypothesis can be tested without a model (for a geoscience-related discussion see Clark et al., 2011). Science is (currently) fundamentally reductionist in the sense that we seek some small set of governing principles that can explain all phenomena in the universe, and such laws are ontological in the sense that they describe the object under investigation (Davies, 1990 gives several competing perspectives on this claim). However, since we cannot build perfect models of complex systems, any model that does not also contain an epistemological component (i.e., a statement, like a probability distribution, that refers directly to the quality of of the information from the model) is falsified immediately (in the sense of Popper, 2002) given only a small number of observations. Models necessarily contain both ontological and epistemological components, and what this means is that the purpose of any robust scientific method is to measure the amount and quality of information provided by models. I believe that any viable philosophy of science must be reducible to this statement. The first step toward a unified theory of scientific models (and therefore a complete philosophy of science) is a quantitative language that applies to both ontological and epistemological questions. Information theory is one such language: Cox' (1946) theorem (see Van Horn, 2003) tells us that probability theory is the (only) calculus that is consistent with Classical Logic (Jaynes, 2003; chapter 1), and information theory is simply the integration of convex transforms of probability ratios (integration reduces density functions to scalar

Obituary: Jörn Rossa (1969-2009)

Science.gov (United States)

Veras, Dimitri

2009-12-01

responsive, punctual, organized, polite and truthful; he did not tolerate false flattery and he held strongly to his own beliefs. Joern ardently loved his family and was faithful to his friends. Joern had several passions outside of astronomy. Among these were music, travel, snorkeling and photography. He played guitar and idolized Fleetwood Mac, The Eagles, and Tom Petty, among many other artists. While visiting 45 U.S. States and many other countries, Joern had a knack for picking up languages and spoke impeccable English. We will miss Joern, a loyal son, friend and colleague. Acknowledgments: Ralf Hahn, Nadya Gorlova, Seppo Laine and Roeland van der Marel provided crucial information, perspectives and memories needed for the foundation of this obituary; Ralf-Juergen Dettmar, Maria-Cruz Gälvez-Ortiz, Maren Hempel and Stefan Kautsch provided advice and support which helped complete the obituary; the photograph is courtesy of Nadya Gorlova.

Young Stars in Old Galaxies - a Cosmic Hide and Seek Game

Science.gov (United States)

2002-05-01

combination of the Hubble and the VLT with the latest space- and ground-based astronomical technology to break this new ground", says group leader Markus Kissler-Patig from the European Southern Observatory Headquarters in Garching (Germany). "Once we had found those young clusters, we then went on to observe them spectroscopically with another of the world's giant telescopes, the 10-m Keck on Hawaii - and this fully confirmed our results." A new important clue to the evolution of the Universe This is a surprising discovery since the stars in giant elliptical galaxies were until now believed to have formed exclusively early on in the history of the Universe. However, it is now clear that some of the old galaxies may have been hiding their true nature and have indeed experienced much more recent periods of major star formation. This is priceless new information for the current attempts to understand the early history of galaxies and the general theory of star formation in the Universe. More information The information presented in this Press Release is based on a research article that has been accepted for publication in the European journal "Astronomy & Astrophysics" ("Extragalactic Globular Clusters in the Near-Infrared: II. The Globular Cluster Systems of NGC 3115 and NGC 4365" by Thomas H. Puzia, Stephen E. Zepf, Markus Kissler-Patig, Michael Hilker, Dante Minniti and Paul Goudfrooij; astro-ph/0206147 ). Notes [1]: This press release is issued in coordination between ESA and ESO. The Hubble Space Telescope is an international cooperation between ESA and NASA. The team is presenting these results at the New Horizons in Globular Cluster Astronomy conference in Padova, Italy 24-28 June, 2002. [2]: The team consists of Thomas H. Puzia (Sternwarte Müenchen, Germany), Stephen E. Zepf (Yale University and Michigan State University, USA), Markus Kissler-Patig and Maren Hempel (ESO, Garching, Germany), Michael Hilker (Sternwarte Bonn, Germany), Dante Minniti (Universidad Catolica

Nomenclatural Studies Toward a World List of Diptera Genus-Group Names. Part V: Pierre-Justin-Marie Macquart.

Science.gov (United States)

Evenhuis, Neal L; Pape, Thomas; Pont, Adrian C

2016-09-30

Peletier & Audinet-Serville, 1828, n. syn. [Muscidae]; Hemerodromyia Macquart, 1823 of Hemerodromia Meigen, 1822, n. syn. [Empididae]; Heteronevra Macquart, 1835 of Clusiodes Coquillett, 1904, n. syn. [Clusiidae]; Himastima Agassiz, 1846 of Mallota Meigen, 1822, n. syn. [Syrphidae]; Hoematopota Macquart, 1826 of Haematopota Meigen, 1803, n. syn. [Tabanidae]; Homalocephala Agassiz, 1846 of Setellia Robineau-Desvoidy, 1830, n. syn. [Sciomyzidae]; Hydrotoea Macquart, 1844 of Hydrotaea Robineau-Desvoidy, 1830, n. syn. [Muscidae]; Linnemyia Macquart, 1834 of Linnaemya Robineau-Desvoidy, 1830, n. syn. [Tachinidae]; Lonchoea Macquart, 1835 of Lonchaea Fallén, 1820b, n. syn. [Lonchaeidae]; Macromyia Macquart, 1835 of Macromya Robineau-Desvoidy, 1830, n. syn. [Tachinidae]; Megarhina Macquart, 1838 of Lynchiella Lahille, 1904, n. syn. [Culicidae]; Meriana Macquart, 1835 of Panzeria Robineau-Desvoidy, 1830, n. syn. [Tachinidae]; Microphorus Lundbeck, 1907 of Microphor Macquart, 1834, n. syn. [Dolichopodidae]; Nemoroea Macquart, 1844 of Nemoraea Robineau-Desvoidy, 1830, n. syn. [Tachinidae]; Ochthiphila Macquart, 1850 of Chamaemyia Meigen, 1803, n. syn. [Chamaemyiidae]; Ocydromyia Macquart, 1823 of Ocydromia Meigen, 1820, n. syn. [Hybotidae]; Oliviera Macquart, 1835 of Eriothrix Meigen, 1803, n. syn. [Tachinidae]; Ophilia Macquart, 1850 of Metopia Meigen, 1803, n. syn. [Sarcophagidae]; Ornithomyia Fischer von Waldheim, 1808 of Ornithomya Latreille, 1802, n. syn. [Hippoboscidae]; Orthochile Westwood, 1840 of Ortochile Latreille, 1809, n. syn. [Dolichopodidae]; Osmoea Macquart, 1834 of Triarthria Stephens, 1829, n. syn. [Tachinidae]; Pachyrrhina Osten Sacken, 1878 of Pachyrhina Macquart, 1834, n. syn. [Tipulidae]; Palis Macquart, 1850 of Pales Robineau-Desvoidy, 1830, n. syn. [Tachinidae]; Phanemia Macquart, 1835 of Clairvillia Robineau-Desvoidy, 1830, n. syn. [Tachinidae]; Phrissopoda Macquart, 1851 of Peckia Robineau-Desvoidy, 1830, n. syn. [Sarcophagidae]; Phyllomyia Macquart, 1834