Validation of MRI-Based Contact Modeling for Analysis of In Vivo Radiocarpal Mechanics

2007 ◽  
Author(s):  
Alexander J. Waller ◽  
Terence E. McIff ◽  
Mehmet Bilgen ◽  
E. Bruce Toby ◽  
Kenneth J. Fischer
Keyword(s):  
United States ◽  
Total Population ◽  
The United States ◽  
Contact Modeling ◽  
Effective Treatments

Arthritis is a pervasive problem and over 15% of the total population of the United States has been doctor-diagnosed with arthritis. Even more Americans have symptoms. Clearly, understanding the pathogenesis of arthritis, developing effective treatments and/or finding ways to prevent it are all important goals.

Continental Divide? The Attitudes of US and Canadian Oncologists on the Costs, Cost-Effectiveness, and Health Policies Associated With New Cancer Drugs

2010 ◽  
Vol 28 (27) ◽  
pp. 4149-4153 ◽  
Author(s):  
Scott R. Berry ◽  
Chaim M. Bell ◽  
Peter A. Ubel ◽  
William K. Evans ◽  
Eric Nadler ◽  
...  
Keyword(s):  
United States ◽  
Health Care ◽  
Cost Effectiveness ◽  
Health Care Systems ◽  
The United States ◽  
Drug Costs ◽  
Cancer Drug ◽  
Cancer Drugs ◽  
Care Systems ◽  
Effective Treatments

Purpose Oncologists in the United States and Canada work in different health care systems, but physicians in both countries face challenges posed by the rising costs of cancer drugs. We compared their attitudes regarding the costs and cost-effectiveness of medications and related health policy. Methods Survey responses of a random sample of 1,355 United States and 238 Canadian medical oncologists (all outside of Québec) were compared. Results Response rate was 59%. More US oncologists (67% v 52%; P < .001) favor access to effective treatments regardless of cost, while more Canadians favor access to effective treatments only if they are cost-effective (75% v 58%; P < .001). Most (84% US, 80% Canadian) oncologists state that patient out-of-pocket costs influence their treatment recommendations, but less than half the respondents always or frequently discuss the costs of treatments with their patients. The majority of oncologists favor more use of cost-effectiveness data in coverage decisions (80% US, 69% Canadian; P = .004), but fewer than half the oncologists in both countries feel well equipped to use cost-effectiveness information. Majorities of oncologists favor government price controls (57% US, 68% Canadian; P = .01), but less than half favor more cost-sharing by patients (29% US, 41% Canadian; P = .004). Oncologists in both countries prefer to have physicians and nonprofit agencies determine whether drugs provide good value. Conclusion Oncologists in the United States and Canada generally have similar attitudes regarding cancer drug costs, cost-effectiveness, and associated policies, despite practicing in different health care systems. The results support providing education to help oncologists in both countries use cost-effectiveness information and discuss drug costs with their patients.

State IQ and Elderly Suicide Rates in the United States

2008 ◽  
Vol 102 (2) ◽  
pp. 601-602 ◽  
Author(s):  
Martin Voracek
Keyword(s):  
United States ◽  
Total Population ◽  
The United States ◽  
Elderly Persons ◽  
Suicide Rates ◽  
The Usa ◽  
Elderly Suicide

Paralleling previous findings with state suicide rates of the total population, the associations of state suicide rates of elderly persons with regional IQ estimates across the USA were inconsistent (positive, negative, or nil), depending on the source of available state IQ estimates used in the analysis. The implications of these findings and directions for further inquiry are discussed.

scholarly journals First Report of Phytophthora infestans Genotype US23 Causing Late Blight in Canada

Plant Disease ◽  
2011 ◽  
Vol 95 (7) ◽  
pp. 873-873 ◽  
Author(s):  
L. M. Kawchuk ◽  
R. J. Howard ◽  
R. D. Peters ◽  
K. I. Al-Mughrabi
Keyword(s):  
United States ◽  
Late Blight ◽  
Phytophthora Infestans ◽  
The United States ◽  
Western Canada ◽  
Eastern Canada ◽  
Disease Symptoms ◽  
Metalaxyl Sensitivity ◽  
Epidemiological Characteristics

Late blight is caused by the oomycete Phytophthora infestans (Mont.) de Bary and is one of the most devastating diseases of potato and tomato. Late blight occurs in all major potato- and tomato-growing regions of Canada. Its incidence in North America increased during 2009 and 2010 (2). Foliar disease symptoms appeared earlier than usual (June rather than July) and coincided with the identification of several new P. infestans genotypes in the United States, each with unique characteristics. Prior to 2007, isolates collected from potato and tomato crops were mainly US8 or US11 genotypes (1). However, P. infestans populations in the United States have recently experienced a major genetic evolution, producing isolates with unique genotypes and epidemiological characteristics in Florida and throughout the northeastern states (2). Recent discoveries of tomato transplants with late blight for sale at Canadian retail outlets prompted an examination of the genotypes inadvertently being distributed and causing disease in commercial production areas in Canada. Analysis of isolates of P. infestans from across Canada in 2010 identified the US23 genotype for the first time from each of the four western provinces (Manitoba, Saskatchewan, Alberta, and British Columbia) but not from eastern Canada. Allozyme banding patterns at the glucose phosphate isomerase (Gpi) locus indicated a 100/100 profile consistent with US6 and US23 genotypes (4). Mating type assays confirmed the isolates to be A1 and in vivo metalaxyl sensitivity was observed. Restriction fragment length polymorphic analysis of 50 isolates from western Canada with the multilocus RG57 sequence and EcoRI produced the DNA pattern 1, 2, 5, 6, 10, 13, 14, 17, 20, 21, 24, 24a, 25 that was indicative of US23 (3). The recently described P. infestans genotype US23 appears to be more aggressive on tomato, and although isolates were recovered from both tomato and potato, disease symptoms were often more severe on tomato. Results indicate that movement and evolution of new P. infestans genotypes have contributed to the increased incidence of late blight and that movement of the pathogen on retail plantlets nationally and internationally may provide an additional early season source of inoculum. A major concern is that the introduced new A1 populations in western Canada have established a dichotomy with the endogenous A2 populations in eastern Canada, increasing the potential for sexual recombination producing oospores and additional genotypes should these populations merge. References: (1) Q. Chen et al. Am. J. Potato Res. 80:9, 2003. (2) K. Deahl. (Abstr.) Phytopathology 100(suppl.):S161, 2010. (3) S. B. Goodwin et al. Curr. Genet. 22:107, 1992. (4) S. B. Goodwin et al. Phytopathology 88:939, 2004.

scholarly journals Specifics of COVID-19 in Siberia

2021 ◽  
Vol 5 (1) ◽  
pp. 38-41
Author(s):  
Dmitrii Tikhonov
Keyword(s):  
United States ◽  
Total Population ◽  
Geographical Area ◽  
The United States ◽  
Development Patterns ◽  
Harsh Climate

The geographical area of Siberia is about 13,100,000 sq. km, which is more than the territories of the United States, China, Canada, Brazil, Australia, and India, but its total population as of January 1, 2021 is only 31,140,697 people [1]. Due to its harsh climate, many diseases, including infectious ones, have their own specific development patterns in this territory.

Introduction

2019 ◽  
pp. 1-16
Author(s):  
Damien Van Puyvelde
Keyword(s):  
United States ◽  
Federal Government ◽  
Total Population ◽  
District Of Columbia ◽  
The United States ◽  
Government Institutions ◽  
Security Clearance ◽  
Mission Management

Today, close to a million contractors hold a security clearance in the United States. This is a quarter of all cleared personnel, and more than the total population of the District of Columbia, where most major federal government institutions are located. Tens of thousands of contractors contribute to core intelligence functions like collection and operations, analysis and production, and even mission management....

scholarly journals USA300 and USA500 Clonal Lineages of Staphylococcus aureus Do Not Produce a Capsular Polysaccharide Due to Conserved Mutations in the cap5 Locus

mBio ◽  
2015 ◽  
Vol 6 (2) ◽  
Author(s):  
Susan Boyle-Vavra ◽  
Xue Li ◽  
Md Tauqeer Alam ◽  
Timothy D. Read ◽  
Julia Sieth ◽  
...  
Keyword(s):  
United States ◽  
Staphylococcus Aureus ◽  
Capsular Polysaccharide ◽  
The United States ◽  
Whole Genome Sequence ◽  
Content Type ◽  
Capsule Production ◽  
Usa300 Strain

ABSTRACTThe surface capsular polysaccharide (CP) is a virulence factor that has been used as an antigen in several successful vaccines against bacterial pathogens. A vaccine has not yet been licensed againstStaphylococcus aureus, although two multicomponent vaccines that contain CP antigens are in clinical trials. In this study, we evaluated CP production in USA300 methicillin-resistantS. aureus(MRSA) isolates that have become the predominant community-associated MRSA clones in the United States. We found that all 167 USA300 MRSA and 50 USA300 methicillin-susceptibleS. aureus(MSSA) isolates were CP negative (CP−). Moreover, all 16 USA500 isolates, which have been postulated to be the progenitor lineage of USA300, were also CP−. Whole-genome sequence analysis of 146 CP−USA300 MRSA isolates revealed they all carry acap5locus with 4 conserved mutations compared with strain Newman. Genetic complementation experiments revealed that three of these mutations (in thecap5promoter,cap5Dnucleotide 994, andcap5Enucleotide 223) ablated CP production in USA300 and that Cap5E75 Asp, located in the coenzyme-binding domain, is essential for capsule production. All but three USA300 MSSA isolates had the same fourcap5mutations found in USA300 MRSA isolates. Most isolates with a USA500 pulsotype carried three of these four USA300-specific mutations, suggesting the fourth mutation occurred in the USA300 lineage. Phylogenetic analysis of thecaploci of our USA300 isolates as well as publicly available genomes from 41 other sequence types revealed that the USA300-specificcap5mutations arose sequentially inS. aureusin a common ancestor of USA300 and USA500 isolates.IMPORTANCEThe USA300 MRSA clone emerged as a community-associated pathogen in the United States nearly 20 years ago. Since then, it has rapidly disseminated and now causes health care-associated infections. This study shows that the CP-negative (CP−) phenotype has persisted among USA300 isolates and is a universal and characteristic trait of this highly successful MRSA lineage. It is important to note that a vaccine consisting solely of CP antigens would not likely demonstrate high efficacy in the U.S. population, where about half of MRSA isolates comprise USA300. Moreover, conversion of a USA300 strain to a CP-positive (CP+) phenotype is unlikelyin vivoorin vitrosince it would require the reversion of 3 mutations. We have also established that USA300 MSSA isolates and USA500 isolates are CP−and provide new insight into the evolution of the USA300 and USA500 lineages.

scholarly journals Earthquake Shaking Hazard Estimates and Exposure Changes in the Conterminous United States

2015 ◽  
Vol 31 (1_suppl) ◽  
pp. S201-S220 ◽  
Author(s):  
Kishor S. Jaiswal ◽  
Mark D. Petersen ◽  
Ken Rukstales ◽  
William S. Leith
Keyword(s):  
United States ◽  
Total Population ◽  
Critical Infrastructure ◽  
Ground Motions ◽  
Earthquake Hazard ◽  
The United States ◽  
Annual Rate ◽  
Earthquake Hazards ◽  
Earthquake Ground Motions ◽  
The U.S

A large portion of the population of the United States lives in areas vulnerable to earthquake hazards. This investigation aims to quantify population and infrastructure exposure in places within the conterminous United States that are subjected to varying levels of earthquake ground motions by systematically analyzing the last four cycles of the U.S. Geological Survey's (USGS) National Seismic Hazard Models (published in 1996, 2002, 2008 and 2014). Using the 2013 LandScan data, we estimate the number of people who are exposed to potentially damaging ground motions (peak ground accelerations at or above 0.1 g). At least 28 million (~9% of the total population) may experience 0.1 g level of shaking at relatively frequent intervals [annual rate of 1 in 72 years or 50% probability of exceedance (PE) in 50 years], 57 million (~18% of the total population) may experience this level of shaking at moderately frequent intervals (annual rate of 1 in 475 years or 10% PE in 50 years), and 143 million (~46% of the total population) may experience such shaking at relatively infrequent intervals (annual rate of 1 in 2,475 years or 2% PE in 50 years). We also show that there are a significant number of critical infrastructure facilities located in high-earthquake-hazard areas (modified Mercalli intensity ≥ VII with moderately frequent recurrence interval).

scholarly journals Effects of Dietary Supplementation with the Solanaceae Plant Alkaloid Anatabine on Joint Pain and Stiffness: Results from an Internet-Based Survey Study

2013 ◽  
Vol 6 ◽  
pp. CMAMD.S13001 ◽  
Author(s):  
Ryan K. Lanier ◽  
Kainen D. Gibson ◽  
Amy E. Cohen ◽  
Maria Varga
Keyword(s):  
United States ◽  
Dietary Supplement ◽  
Joint Pain ◽  
Dietary Supplementation ◽  
The United States ◽  
Substantial Improvement ◽  
Survey Study ◽  
Plant Family

Anatabine is a Solanaceae plant family alkaloid marketed in the United States as a dietary supplement. It has demonstrated anti-inflammatory effects in vivo and in vitro, and may be useful for musculoskeletal aches and pains. The purpose of this internet-based survey study was to provide more information about anatabine users who report benefits for joint pain or stiffness. Of the 282 survey respondents, 232 (82%) reported a benefit from anatabine supplementation for one or more joint pain conditions, most commonly the knee, wrists/hands/fingers, shoulder, and back, most often due to osteoarthritis or injury to the joint. Mean scores of joint pain and stiffness were significantly ( P < 0.0001) reduced after starting anatabine supplementation, and for most respondents joint pain was virtually eliminated. Around 90% of all individuals rated the effect of anatabine supplementation as good or excellent for joint pain, stiffness, functionality, and overall effects. These results provide evidence that anatabine supplementation can lead to substantial improvement of musculoskeletal aches, pains, and stiffness, and can provide benefits in some individuals for various medical conditions in multiple joint locations.

scholarly journals Pathogenesis and Transmission of Genetically Diverse Swine-Origin H3N2 Variant Influenza A Viruses from Multiple Lineages Isolated in the United States, 2011–2016

2018 ◽  
Vol 92 (16) ◽  
Author(s):  
Xiangjie Sun ◽  
Joanna A. Pulit-Penaloza ◽  
Jessica A. Belser ◽  
Claudia Pappas ◽  
Melissa B. Pearce ◽  
...  
Keyword(s):  
United States ◽  
Respiratory Tract ◽  
Influenza A ◽  
Seasonal Influenza ◽  
The United States ◽  
Influenza Viruses ◽  
Upper Respiratory Tract ◽  
Pandemic Preparedness

ABSTRACTWhile several swine-origin influenza A H3N2 variant (H3N2v) viruses isolated from humans prior to 2011 have been previously characterized for their virulence and transmissibility in ferrets, the recent genetic and antigenic divergence of H3N2v viruses warrants an updated assessment of their pandemic potential. Here, four contemporary H3N2v viruses isolated during 2011 to 2016 were evaluated for their replicative ability in bothin vitroandin vivoin mammalian models as well as their transmissibility among ferrets. We found that all four H3N2v viruses possessed similar or enhanced replication capacities in a human bronchial epithelium cell line (Calu-3) compared to a human seasonal influenza virus, suggestive of strong fitness in human respiratory tract cells. The majority of H3N2v viruses examined in our study were mildly virulent in mice and capable of replicating in mouse lungs with different degrees of efficiency. In ferrets, all four H3N2v viruses caused moderate morbidity and exhibited comparable titers in the upper respiratory tract, but only 2 of the 4 viruses replicated in the lower respiratory tract in this model. Furthermore, despite efficient transmission among cohoused ferrets, recently isolated H3N2v viruses displayed considerable variance in their ability to transmit by respiratory droplets. The lack of a full understanding of the molecular correlates of virulence and transmission underscores the need for close genotypic and phenotypic monitoring of H3N2v viruses and the importance of continued surveillance to improve pandemic preparedness.IMPORTANCESwine-origin influenza viruses of the H3N2 subtype, with the hemagglutinin (HA) and neuraminidase (NA) derived from historic human seasonal influenza viruses, continue to cross species barriers and cause human infections, posing an indelible threat to public health. To help us better understand the potential risk associated with swine-origin H3N2v viruses that emerged in the United States during the 2011-2016 influenza seasons, we use bothin vitroandin vivomodels to characterize the abilities of these viruses to replicate, cause disease, and transmit in mammalian hosts. The efficient respiratory droplet transmission exhibited by some of the H3N2v viruses in the ferret model combined with the existing evidence of low immunity against such viruses in young children and older adults highlight their pandemic potential. Extensive surveillance and risk assessment of H3N2v viruses should continue to be an essential component of our pandemic preparedness strategy.

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