Indiana University Northwest

BACKGROUND: Usually the researchers performing meta-analysis of continuous outcomes from clinical trials need their mean value and the variance (or standard deviation) in order to pool data. However, sometimes the published reports of clinical trials only report the median, range and the size of the trial. METHODS: In this article we use simple and elementary inequalities and approximations in order to estimate the mean and the variance for such trials. Our estimation is distribution-free, i.e., it makes no assumption on the distribution of the underlying data. RESULTS: We found two simple formulas that estimate the mean using the values of the median (m), low and high end of the range (a and b, respectively), and n (the sample size). Using simulations, we show that median can be used to estimate mean when the sample size is larger than 25. For smaller samples our new formula, devised in this paper, should be used. We also estimated the variance of an unknown sample using the median, low and high end of the range, and the sample size. Our estimate is performing as the best estimate in our simulations for very small samples (n < or = 15). For moderately sized samples (15 < n < or = 70), our simulations show that the formula range/4 is the best estimator for the standard deviation (variance). For large samples (n > 70), the formula range/6 gives the best estimator for the standard deviation (variance). We also include an illustrative example of the potential value of our method using reports from the Cochrane review on the role of erythropoietin in anemia due to malignancy. CONCLUSION: Using these formulas, we hope to help meta-analysts use clinical trials in their analysis even when not all of the information is available and/or reported.

Invasive infection with Gram-positive and Gram-negative bacteria often results in septic shock and death. The basis for the earliest steps in innate immune response to Gram-positive bacterial infection is poorly understood. The LPS component of the Gram-negative bacterial cell wall appears to activate cells via CD14 and Toll-like receptor (TLR) 2 and TLR4. We hypothesized that Gram-positive bacteria might also be recognized by TLRs. Heterologous expression of human TLR2, but not TLR4, in fibroblasts conferred responsiveness to Staphylococcus aureus and Streptococcus pneumoniae as evidenced by inducible translocation of NF-kappaB. CD14 coexpression synergistically enhanced TLR2-mediated activation. To determine which components of Gram-positive cell walls activate Toll proteins, we tested a soluble preparation of peptidoglycan prepared from S. aureus. Soluble peptidoglycan substituted for whole organisms. These data suggest that the similarity of clinical response to invasive infection by Gram-positive and Gram-negative bacteria is due to bacterial recognition via similar TLRs.

The Health Belief Model (HBM) posits that messages will achieve optimal behavior change if they successfully target perceived barriers, benefits, self-efficacy, and threat. While the model seems to be an ideal explanatory framework for communication research, theoretical limitations have limited its use in the field. Notably, variable ordering is currently undefined in the HBM. Thus, it is unclear whether constructs mediate relationships comparably (parallel mediation), in sequence (serial mediation), or in tandem with a moderator (moderated mediation). To investigate variable ordering, adults (N = 1,377) completed a survey in the aftermath of an 8-month flu vaccine campaign grounded in the HBM. Exposure to the campaign was positively related to vaccination behavior. Statistical evaluation supported a model where the indirect effect of exposure on behavior through perceived barriers and threat was moderated by self-efficacy (moderated mediation). Perceived barriers and benefits also formed a serial mediation chain. The results indicate that variable ordering in the Health Belief Model may be complex, may help to explain conflicting results of the past, and may be a good focus for future research.

Strains of Staphylococcus aureus, an important human pathogen, display up to 20% variability in their genome sequence, and most sequence information is available for human clinical isolates that have not been subjected to genetic analysis of virulence attributes. S. aureus strain Newman, which was also isolated from a human infection, displays robust virulence properties in animal models of disease and has already been extensively analyzed for its molecular traits of staphylococcal pathogenesis. We report here the complete genome sequence of S. aureus Newman, which carries four integrated prophages, as well as two large pathogenicity islands. In agreement with the view that S. aureus Newman prophages contribute important properties to pathogenesis, fewer virulence factors are found outside of the prophages than for the highly virulent strain MW2. The absence of drug resistance genes reflects the general antibiotic-susceptible phenotype of S. aureus Newman. Phylogenetic analyses reveal clonal relationships between the staphylococcal strains Newman, COL, NCTC8325, and USA300 and a greater evolutionary distance to strains MRSA252, MW2, MSSA476, N315, Mu50, JH1, JH9, and RF122. However, polymorphism analysis of two large pathogenicity islands distributed among these strains shows that the two islands were acquired independently from the evolutionary pathway of the chromosomal backbones of staphylococcal genomes. Prophages and pathogenicity islands play central roles in S. aureus virulence and evolution.

Photosensitized degradation of a textile azo dye, Acid Orange 7, has been carried out on TiO2 particles using visible light. Mechanistic details of the dye degradation have been elucidated using diffuse reflectance absorption and FTIR techniques. Degradation does not occur on Al2O3 surface or in the absence of oxygen. The dependence of the dye degradation rate on the surface coverage shows the participation of excited dye and TiO2 semiconductor in the surface photochemical process. Diffuse reflectance laser flash photolysis confirms the charge injection from the excited dye molecule into the conduction band of the semiconductor as the primary mechanism for producing oxidized dye radical. The surface-adsorbed oxygen plays an important role in scavenging photogenerated electrons, thus preventing the recombination between the oxidized dye radical and the photoinjected electrons. Diffuse reflectance FTIR was used to make a tentative identification of reaction intermediates and end products of dye degradation. The intermediates, 1,2-naphthoquinone and phthalic acid, have been identified during the course of degradation. Though less explored in photocatalysis, the photosensitization approach could be an excellent choice for the degradation of colored pollutants using visible light.

The innate immune system recognizes microorganisms through a series of pattern recognition receptors that are highly conserved in evolution. Insects have a family of 12 peptidoglycan recognition proteins (PGRPs) that recognize peptidoglycan, a ubiquitous component of bacterial cell walls. We report cloning of three novel human PGRPs (PGRP-L, PGRP-Ialpha, and PGRP-Ibeta) that together with the previously cloned PGRP-S, define a new family of human pattern recognition molecules. PGRP-L, PGRP-Ialpha, and PGRP-Ibeta have 576, 341, and 373 amino acids coded by five, seven, and eight exons on chromosomes 19 and 1, and they all have two predicted transmembrane domains. All mammalian and insect PGRPs have at least three highly conserved C-terminal PGRP domains located either in the extracellular or in the cytoplasmic (or in both) portions of the molecules. PGRP-L is expressed in liver, PGRP-Ialpha and PGRP-Ibeta in esophagus (and to a lesser extent in tonsils and thymus), and PGRP-S in bone marrow (and to a lesser extent in neutrophils and fetal liver). All four human PGRPs bind peptidoglycan and Gram-positive bacteria. Thus, these PGRPs may play a role in recognition of bacteria in these organs.

Nanostructured semiconductor films of SnO2, TiO2 and SnO2/TiO2 have been employed for electrochemically assisted photocatalytic degradation of a textile azo dye naphthol blue black (NBB). The degradation rate is significantly higher for SnO2/TiO2 composite films than SnO2 and TiO2 films alone. An effort has been made to correlate the photoelectrochemical behavior of these films to the rate of photocatalytic degradation of NBB. The enhanced degradation rate of NBB using composite semiconductor films is attributed to increased charge separation in these systems. Photoelectrochemical and photocatalytic degradation experiments carried out in both nitrogen- and oxygen-saturated solutions with an externally applied electrochemical bias provide useful information in optimizing semiconductor concentrations in a composite film.

From 1988 to 1992 we surveyed the distribution of 14 amphibian species in a set of 37 ponds in southeastern Michigan, USA. Thirty-two of these ponds had been surveyed previously between 1967 and 1974. We found that the distributions of amphibian populations (1988–1992) were strongly related to two habitat characteristics: pond hydroperiod and forest canopy cover. Most species exhibited nonrandom distributions with respect to these pond characteristics. Between surveys, the distribution of each species changed, and most species experienced multiple population colonizations and extinctions. Turnover in the distribution of populations among ponds (estimated via Jaccard’s similarity coefficient) averaged nearly 50% among species. The substantial number of species colonizations (40 cases) and extinctions (34 cases) between surveys resulted in little net change in number of breeding populations for most species; just four species experienced net changes of more than two populations. Historical information indicated that, for many ponds, hydroperiod and canopy cover changed between surveys. In several cases habitat changes associated with forest succession apparently had negative impacts on amphibian populations. In ponds that now dry each summer and are under closed canopies, two-thirds of the breeding populations present during 1967–1974 were extinct during the recent survey. No population colonizations occurred in these ponds between surveys, in marked contrast to other ponds, in most of which amphibian species richness either was maintained or increased. In addition, tendencies for ponds to experience population colonizations and extinctions also were associated with pond isolation. Our results highlight the volatile nature of amphibian distributions and point to forest succession, via its effects on canopy and hydroperiod, as a potential force shaping the dynamics of amphibian populations.

We show here, for the first time, a reproducible way to obtain films of varying amounts of single-walled carbon nanotubes (SWCNTs) on electrode surfaces using electrophoretic deposition. We deposit these nanotubes in a facile manner on an optically transparent electrode (OTE) and investigate its performance as an electrode material in the presence of platinum for methanol oxidation and oxygen reduction. Our focus here is on the deposition of the SWCNT on the electrodes, the characterization of the nanotubes on the electrode surface, and the cyclic voltammetry of methanol oxidation and oxygen reduction using these nanostructured carbon electrodes with platinum electrodeposited on them. The nanotubes retain their structure on the electrode surface, and we can obtain electrodes with relatively thick films of the CNTs. The high surface area and porosity of these films enable us to use relatively small amounts of platinum and yet obtain excellent currents. We see a remarkable enhancement in methanol oxidation current relative to unsupported platinum. Analysis of the electrode kinetics using Tafel plots suggests that the CNT support provides a strong electrocatalytic effect in both reactions arising from their unique electrical properties.

The bacterial pathogen Staphylococcus aureus seeds abscesses in host tissues to replicate at the center of these lesions, protected from host immune cells via a pseudocapsule. Using histochemical staining, we identified prothrombin and fibrin within abscesses and pseudocapsules. S. aureus secretes two clotting factors, coagulase (Coa) and von Willebrand factor binding protein (vWbp). We report here that Coa and vWbp together are required for the formation of abscesses. Coa and vWbp promote the non-proteolytic activation of prothrombin and cleavage of fibrinogen, reactions that are inhibited with specific antibody against each of these molecules. Coa and vWbp specific antibodies confer protection against abscess formation and S. aureus lethal bacteremia, suggesting that coagulases function as protective antigens for a staphylococcal vaccine.

Dysbiosis is a hallmark of inflammatory bowel disease (IBD), but it is unclear which specific intestinal bacteria predispose to and which protect from IBD and how they are regulated. Peptidoglycan recognition proteins (Pglyrps) are antibacterial, participate in maintaining intestinal microflora, and modulate inflammatory responses. Mice deficient in any one of the four Pglyrp genes are more sensitive to dextran sulfate sodium (DSS)-induced colitis, and stools from Pglyrp-deficient mice transferred to wild type (WT) germ-free mice predispose them to much more severe colitis than stools from WT mice. However, the identities of these Pglyrp-regulated bacteria that predispose Pglyrp-deficient mice to colitis or protect WT mice from colitis are not known. Here we identified significant changes in β-diversity of stool bacteria in Pglyrp-deficient mice compared with WT mice. The most consistent changes in microbiome in all Pglyrp-deficient mice were in Bacteroidales, from which we selected four species, two with increased abundance (Prevotella falsenii and Parabacteroides distasonis) and two with decreased abundance (Bacteroides eggerthii and Alistipes finegoldii). We then gavaged WT mice with stock type strains of these species to test the hypothesis that they predispose to or protect from DSS-induced colitis. P. falsenii, P. distasonis, and B. eggerthii all enhanced DSS-induced colitis in both WT mice with otherwise undisturbed intestinal microflora and in WT mice with antibiotic-depleted intestinal microflora. By contrast, A. finegoldii (which is the most abundant species in WT mice) attenuated DSS-induced colitis both in WT mice with otherwise undisturbed intestinal microflora and in WT mice with antibiotic-depleted intestinal microflora, similar to the colitis protective effect of the entire normal microflora. These results identify P. falsenii, P. distasonis, and B. eggerthii as colitis-promoting species and A. finegoldii as colitis-protective species.

Dendritic cells (DCs) are capable of cross-presenting exogenous Ag to CD8(+) CTLs. Detection of microbial products by Toll-like receptors (TLRs) leads to activation of DCs and subsequent orchestration of an adaptive immune response. We hypothesized that microbial TLR ligands could activate DCs to cross-present Ag to CTLs. Using DCs and CTLs in an in vitro cross-presentation system, we show that a subset of microbial TLR ligands, namely ligands of TLR3 (poly(inosinic-cytidylic) acid) and TLR9 (immunostimulatory CpG DNA), induces cross-presentation. In contrast to presentation of Ag to CD4(+) T cells by immature DCs, TLR-induced cross-presentation is mediated by mature DCs, is independent of endosomal acidification, and relies on cytosolic Ag processing machinery.

A hybrid carbon fiber electrode (CFE) consisting of TiO2 semiconductor photocatalyst and Pt-Ru catalyst has been developed to boost the performance of direct methanol fuel cells (DMFC). These two catalyst nanoparticles are deposited on opposite sides of the carbon fiber paper such that methanol oxidation is carried out catalytically on Pt-Ru and photocatalytically on TiO2 under UV-light irradiation. Since both catalysts carry out methanol oxidation independently, we observe an additive effect in the current generation. The carbon support fibers provide a large network to collect the electrons from both of these catalytic processes and thus assist in efficient current generation. In addition, TiO2 improves the performance of the Pt-Ru catalyst in dark, indicating possible surface area improvement or diminished poisoning effects. The concept of incorporating a photocatalyst provides new ways to minimize precious metal content and enhance the performance of DMFCs. At low catalyst loadings (0.15 mg/cm2) at 295 K, a 25% enhancement in the peak power density is observed upon illumination with light.

The hypothesis that soluble peptidoglycan (sPGN, a macrophage-activator from Gram-positive bacteria) binds to CD14 (a lipopolysaccharide (LPS) receptor) was tested. sPGN specifically bound to CD14 in the following three assays: binding of soluble 32P-CD14 (sCD14) to agarose-immobilized sPGN, enzyme-linked immunosorbent assay, and photoaffinity cross-linking. sCD14 also specifically bound to agarose-immobilized muramyl dipeptide or GlcNAc-muramyl dipeptide but not to PGN pentapeptide. Binding of sCD14 to both sPGN and ReLPS (where ReLPS is LPS from Salmonella minnesota Re 595) was competitively inhibited by unlabeled sCD14, 1-152 N-terminal fragment of sCD14, sPGN, smooth LPS, ReLPS, lipid A, and lipoteichoic acid but not by dextran, dextran sulfate, heparin, ribitol teichoic acid, or soluble low molecular weight PGN fragments. Binding of sCD14 to sPGN was slower than to ReLPS but of higher affinity (KD = 25 nM versus 41 nM). LPS-binding protein (LBP) increased the binding of sCD14 to sPGN by adding another lower affinity KD and another higher Bmax, but for ReLPS, LBP increased the affinity of binding by yielding two KD with significantly higher affinity (7.1 and 27 nM). LBP also enhanced inhibition of sCD14 binding by LPS, ReLPS, and lipid A. Binding of sCD14 to both sPGN and ReLPS was inhibited by anti-CD14 MEM-18 mAb, but other anti-CD14 mAbs showed differential inhibition, suggesting conformational binding sites on CD14 for sPGN and LPS, that are partially identical and partially different.

A one-step process of solubilization of single wall carbon nanotubes (SWCNT) in an organic solvent has enabled us to polarize them asymmetrically in a dc electric field. Quaternary ammonium ion-capped SWCNTs readily suspend in organic solvents; under the influence of a dc electric field, they assemble as stretched bundles anchored on the positive electrode. At low dc applied field (approximately 40 V), all of the SWCNTs from the suspension are deposited on the electrode, thus providing a simple methodology to design robust SWCNT films. At higher applied voltages (>100 V), the SWCNT bundles stretch out into the solution and orient themselves perpendicular to the electrode surface. The alignment of these bundles is responsive to the ON-OFF cycles of the applied electric field. The possibility of modulating the alignment of SWCNT in an electric field opens new ways to achieve electrical contacts in nano- to micro-devices.

The purpose of this study was to discover to what extent certain common alternative conceptions are held by preservice elementary teachers, to determine the relationship between science teaching efficacy and the number of alternative conceptions held, and to determine the relationship between science teaching efficacy and the holding of specific alternative conceptions. A survey that measured both science teaching efficacy and alternative conceptions of science was administered to 619 preservice elementary teachers. The study found that participants with the greatest number of correct answers had significantly higher self-efficacy measures than those with the fewest correct answers; however, there was no relationship between the number of alternative conceptions held and science teaching efficacy. This study also found that the holding of certain alternative conceptions was associated with persons of low self-efficacy. These alternative conceptions were: that planets can be seen only with a telescope; that dinosaurs lived at the same time as cave-men; that a rusty nail weighs less than the iron that it came from; that electricity is used up in appliances; and that north is toward the top of a map of Antarctica. Why these alternative conceptions are related to lower self-efficacy, and not the others may lie in the fact that these five alternative conceptions are each fundamental barriers to a full understanding of their respective sciences. Recognizing that there may be many causes of a low self-efficacy among preservice elementary teachers with regard to teaching science, the data presented in this study may suggest that one of those causes might be the holding of certain alternative conceptions of science. This study may also show that not all alternative conceptions are of equal importance to the science educator. Some alternative conceptions may represent greater barriers to learning than others. If so, then teachers and teacher educators need to place a greater emphasis on the understanding of these basic but critical conceptions of science. © 1998 John Wiley & Sons, Inc. Sci Ed 82:553–568, 1998.

In the Gram-positive pathogenic bacterium Staphylococcus aureus, the SaeRS twocomponent system (TCS) plays a major role in controlling the production of over 20 virulence factors including hemolysins, leukocidins, superantigens, surface proteins, and proteases. The SaeRS TCS is composed of the sensor histidine kinase SaeS, response regulator SaeR, and two auxiliary proteins SaeP and SaeQ. Since its discovery in 1994, the sae locus has been studied extensively, and its contributions to staphylococcal virulence and pathogenesis have been well documented and understood; however, the molecular mechanism by which the SaeRS TCS receives and processes cognate signals is not. In this article, therefore, we review the literature focusing on the signaling mechanism and its interaction with other global regulators.

The central projections of rat trigeminal primary afferent neurons to various "non-trigeminal" areas of the central nervous system were examined by labeling the fibers with wheat germ agglutinin-horseradish peroxidase (WGA-HRP) transported anterogradely from the trigeminal ganglion. This technique produced a clear and comprehensive picture of trigeminal primary afferent connectivity that was in many ways superior to that which may be obtained by using degeneration, autoradiography, cobalt labeling, or HRP transganglionic transport techniques. Strong terminal labeling was observed in all four rostrocaudal subdivisions of the trigeminal brainstem nuclear complex, as well as in the dorsal horn of the cervical spinal cord bilaterally, numerous brainstem nuclei, and in the cerebellum. Labeling in the ipsilateral dorsal horn of the cervical spinal cord was very dense at C1, moderately dense at C2 and C3, and sparse at C4-C7. Numerous fibers crossed the midline in the medulla and upper cervical spinal cord and terminated in the contralateral pars caudalis and dorsal horn of the spinal cord from C1-C5. The latter axons terminated most heavily in the mandibular and ophthalmic regions of the contralateral side. Extremely dense terminal labeling was observed in the ipsilateral paratrigeminal nucleus and the nucleus of the solitary tract, moderate labeling was seen in the supratrigeminal nucleus and in the dorsal reticular formation, and small numbers of fibers were observed in the cuneate, trigeminal motor, lateral and superior vestibular nuclei, and in the cerebellum. The latter fibers entered the cerebellum in the superior cerebellar peduncle and projected to the posterior and anterior lobes as well as to the interposed and lateral deep cerebellar nuclei. Most projections in this study originated from fibers in the dorsal part of the spinal tract of V, suggesting a predominantly mandibular origin for these fibers. Projections from the ophthalmic and maxillary divisions, in contrast, were directed mainly to the cervical spinal cord bilaterally, to contralateral pars caudalis, and to certain areas of the reticular formation. In conclusion, this study has demonstrated that somatosensory information from the head and face may be transmitted directly to widespread and functionally heterogeneous areas of the rat central nervous system, including the spinal cord dorsal horn, numerous brainstem nuclei, and the cerebellum.(ABSTRACT TRUNCATED AT 400 WORDS)

Four prophages (phiNM1-4) were identified in the genome of Staphylococcus aureus Newman, a human clinical isolate. phiNM1, phiNM2 and phiNM4, members of the siphoviridae family, insert at different sites (poiA, downstream of isdB and geh) in the staphylococcal chromosome. phiNM3, a beta-haemolysin (hlb) converting phage, encodes modulators of innate immune responses (sea, sak, chp and scn) in addition to other virulence genes. Replication of phiNM1, phiNM2 and phiNM4 occurs in culture and during animal infection, whereas phiNM3 prophage replication was not observed. Prophages were excised from the chromosome and S. aureus variants lacking phiNM3 or phiNM1, phiNM2 and phiNM4 displayed organ specific virulence defects in a murine model of abscess formation. S. aureus Newman lacking all four prophages was unable to cause disease, thereby revealing essential contributions of prophages to the pathogenesis of staphylococcal infections.

Skin and mucous membranes come in contact with external environment and protect tissues from infections by producing antimicrobial peptides. We report that human peptidoglycan recognition proteins 3 and 4 (PGLYRP3 and PGLYRP4) are secreted as 89-115-kDa disulfide-linked homo- and heterodimers and are bactericidal against several pathogenic and nonpathogenic transient, but not normal flora, Gram-positive bacteria. PGLYRP3 and PGLYRP4 are also bacteriostatic toward all other tested bacteria, which include Gram-negative bacteria and normal flora Gram-positive bacteria. PGLYRP3 and PGLYRP4 are also active in vivo and protect mice against experimental lung infection. In contrast to antimicrobial peptides, PGLYRPs kill bacteria by interacting with their cell wall peptidoglycan, rather than permeabilizing their membranes. PGLYRP3 and PGLYRP4 are expressed in the skin, eyes, salivary glands, throat, tongue, esophagus, stomach, and intestine. Thus, we have identified the function of mammalian PGLYRP3 and PGLYRP4, and show that they are a new class of bactericidal and bacteriostatic proteins that have different structures, mechanism of actions, and expression patterns than antimicrobial peptides.