This article is a clinical guide which discusses the “state-of-the-art” usage of the classic monoamine oxidase inhibitor (MAOI) antidepressants (phenelzine, tranylcypromine, and isocarboxazid) in modern psychiatric practice. The guide is for all clinicians, including those who may not be experienced MAOI prescribers. It discusses indications, drug-drug interactions, side-effect management, and the safety of various augmentation strategies. There is a clear and broad consensus (more than 70 international expert endorsers), based on 6 decades of experience, for the recommendations herein exposited. They are based on empirical evidence and expert opinion—this guide is presented as a new specialist-consensus standard. The guide provides practical clinical advice, and is the basis for the rational use of these drugs, particularly because it improves and updates knowledge, and corrects the various misconceptions that have hitherto been prominent in the literature, partly due to insufficient knowledge of pharmacology. The guide suggests that MAOIs should always be considered in cases of treatment-resistant depression (including those melancholic in nature), and prior to electroconvulsive therapy—while taking into account of patient preference. In selected cases, they may be considered earlier in the treatment algorithm than has previously been customary, and should not be regarded as drugs of last resort; they may prove decisively effective when many other treatments have failed. The guide clarifies key points on the concomitant use of incorrectly proscribed drugs such as methylphenidate and some tricyclic antidepressants. It also illustrates the straightforward “bridging” methods that may be used to transition simply and safely from other antidepressants to MAOIs.

Field studies were conducted in 1979 and 1980 to determine yield losses caused by perennial sowthistle (Sonchus arvensis L. # SONAR) in rapeseed (Brassica napus L., B. campestris L.) fields in Saskatchewan and Manitoba. The relationship between percentage yield loss and density of perennial sowthistle was expressed by the linear regression equation y = −3.81 + 13.76 rdx. Weed survey data indicated that perennial sowthistle occurred in 39% of the rapeseed fields but infested only 7% of the hectares surveyed. Using both the survey data and the yield loss equation, the average annual loss in rapeseed yield was estimated to be 9.4 million kg in Saskatchewan and 6.1 million kg in Manitoba, with a value of 2.6 million and 1.7 million dollars (Cdn.), respectively. Perennial sowthistle occurs with a similar frequency and density in other crops so that the total loss from this weed would be much greater.

A survey conducted across agricultural ecoregions of Saskatchewan in 1996 revealed that wild oat (Avena fatua) populations resistant to acetyl-CoA carboxylase (ACCase) inhibitors were present in approximately 10% of Saskatchewan fields (2.4 million ha). In the Aspen Parkland and Boreal Transition ecoregions, this increased to 17%. The objective of this study was to determine if agronomic practices promoted or delayed resistance and to assess producer awareness of herbicide resistance. Weed resistance and management questionnaire data from the 1996 resistance survey and management questionnaire data from the 1995 Saskatchewan weed survey were submitted to multiway frequency analysis. The frequency of occurrence of herbicide-resistant wild oat was related directly to ACCase inhibitor use. Resistance to cyclohexanedione (CHD) herbicides was not related to CHD use but to frequency of ACCase inhibitor use (i.e., CHD + aryloxyphenoxypropanoate [AOPP]), suggesting that the pressure imposed by AOPPs contributed to the selection of CHD resistance in wild oat. ACCase inhibitor use was more extensive in the Aspen Parkland and Boreal Transition ecoregions than in the Mixed and Moist Mixed Grassland ecoregions. Crop rotations were not conducive to rotation of herbicides with different sites of action. Frequency of ACCase inhibitor use increased with frequency of annual crops, in spite of the inclusion of cereal and dicot crops in the rotation. Producers utilizing conservation tillage practices in the Grassland ecoregions used proportionally more ACCase inhibitors than those using conventional tillage practices. This increase in ACCase use in conservation tillage systems did not result in an increased incidence of wild oat populations resistant to ACCase inhibitors. Producers reporting troublesome wild oat populations tended to have proportionally more ACCase-resistant wild oat. Producers who reported practicing weed sanitation were less likely to have resistant wild oat than those who were less careful. Increased awareness and implementation of management practices that will reduce the dependency on ACCase herbicides are required to better enable producers to prevent, delay, or manage herbicide-resistant wild oat populations.

Background: An influenza pandemic, such as that of the H1N1 virus, raises questions about how to respond effectively to a lethal outbreak. Most plans have focused on minimizing impact by containing the virus through quarantine, but quarantine has not been used widely in the United States and little is known about what would be the public's response. The purpose of this study was to investigate factors that influence an individual's decision to comply with a hypothetical avian influenza quarantine order.

Methods: A total of 1204 adult Pennsylvania residents participated in a random digit dial telephone sample. The residents were interviewed regarding their attitudes about and knowledge of avian influenza and about compliance with quarantine orders, including staying at home or traveling to a government-designated facility.

Results: Analysis of variance showed differences among demographic groups in willingness to comply with quarantine orders, with women and individuals not presently employed more willing to stay at home or to travel to a government-designated facility if ordered. Those who did not regularly attend religious services were significantly less willing than those who did attend regularly to comply with any type of quarantine order. Regression analysis indicated that demographic variables, overall knowledge of avian influenza, attitudes about its severity, and the belief that the respondent and/or his or her significant other(s) may contract it were predictive.

Conclusions: The results of this study can provide health planners and policy makers with information for improving their efforts to conduct a quarantine successfully, including crafting messages and targeting information to certain groups of people to communicate risk about the epidemic.

(Disaster Med Public Health Preparedness. 2010;4:135-144)

We have measured and calculated the propagation velocity of successive cracks in a single sample of amorphous SiNx as a function of energy release rate. We have obtained the conditions for controlled, repetitive crack formation by using a substrate of compliant plastic that survives the cracking of a thin film formed on it. We have recorded the crack velocity curves using high-speed micro-photography using dark field illumination. Under uniform, uniaxial tensile strain, the films crack in an array of essentially straight, parallel lines, if the increase of the strain density is slow. We find reasonable agreement in the comparison of theory and experiment and find a linear relationship between the initial velocity and energy release rate threshold. Consequently, in cases where the theoretical agreement with the data is reasonable, the successive cracks show velocity curves that scale with each other.