title stringlengths 0 901 | abstract stringlengths 3 9.89k | PMID int64 22 25.3M | embedding listlengths 768 768 |
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Palladium-catalyzed cross-coupling reactions of aryl boronic acids with aryl halides in water. | An efficient Suzuki cross-coupling reaction using a variety of aryl halides in neat water was developed. The Pd-catalyzed reaction between aryl bromides or chlorides and phenyl boronic acids was compatible with various functional groups and affords biphenyls in good to excellent yields without requirement of organic cosolvents. The air stability and solubility in water of the palladium-phosphinous acid complexes were considered to facilitate operation of the coupling reaction and product isolation. The reaction conditions including Pd catalyst selection, temperature, base and catalyst recoverability were also investigated. | 25,084,408 | [
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Quantitative determination of Escherichia coli based on the electrochemical measurement of bacterial catalase activity using H2O2-selective organic/inorganic-hybrid sol-gel film-modified Pt electrode. | Quantitative determination of Escherichia coli (E. coli) concentration was achieved by measuring the intrinsic catalase activity of E. coli using novel H2O2-selective organic/inorganic-hybrid sol-gel film-modified platinum (Pt) wire electrode. This hybrid sol-gel film is composed of three kinds of organosilanes and two biopolymers (i.e., chitosan and bovine serum albumin), and exhibited an excellent permselectivity toward H2O2 based on a size-exclusive mechanism. The steady-state anodic current for 100 [xmol/L H2O2 at +0.6 V (vs. Ag/AgCl) in 0.1 mol/L phosphate buffer (pH 6.5) solution was apparently diminished by the addition of E. coli samples, due to the decomposition of H2O2 by intrinsic catalase activity of E. coli. The time-dependent decrease in current (-AI/At) was significantly dependent on the E. coli concentration. The -AI/At was enhanced by the permeabilization pretreatment of E. coli samples with the mixed solution of polymyxin B and lysozyme. This H2O2-selective organic/inorganic-hybrid sol-gel film-modified platinum (Pt) wire electrode allowed quantitative determination of E. coli concentration ranging from 10(6) to 10(9) CFU/mL within 30 min. This method required no label and complicated procedure, and allowed rapid, simple and cost-effective quantitative electrochemical determination of catalase-positive bacteria. | 25,084,430 | [
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Elimination of a pollution associated with chromic acid during the electro-deposition of Cr(III) using appropriate anodic and membrane materials in a double film bath. | A method using trivalent chromium has been used to replace hexavalent chromium for the electro-deposition of chromium. Using a tri-chamber bath system various anodic materials and membranes were evaluated to minimize the production of environmentally and health damaging chromic acid. By measuring the absorbance of Cr(VI) at 640 nm, the results indicate that the use of a titanium plated ruthenium (Ti-Ru) anode produces the least amount of chromic acid byproduct compared to lead-gold alloy and graphite anodes. The concentration of Cr(VI) in the immediate vicinity of the Ti-Ru anode decreased from 0.389 mg/L to 0 during a 40-min deposition period. The use of a Nafion(TM) quaternary cation exchange membrane portioning the buffer and anode selectively prevented Cr(III) from entering the anode compartment whilst allowing the migration of H(+) to maintain overall voltaic continuity. It has been demonstrated that the use of a Ti-Ru anode with a Nafion(TM) membrane can eliminate the production of chromic acid associated with the electro-deposition of chromium plate thereby preventing its health damaging exposure to plant operators and preventing discharge of Cr(VI) into the environment. Addition of a surfactant improved current efficiency by 34.7%. | 25,084,432 | [
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The breadth of cross sub-type neutralisation activity of a single domain antibody to influenza hemagglutinin can be increased by antibody valency. | The response to the 2009 A(H1N1) influenza pandemic has highlighted the need for additional strategies for intervention which preclude the prior availability of the influenza strain. Here, 18 single domain VHH antibodies against the 2009 A(H1N1) hemagglutinin (HA) have been isolated from a immune alpaca phage displayed library. These antibodies have been grouped as having either (i) non-neutralising, (ii) H1N1 restricted neutralising or (iii) broad cross-subtype neutralising activity. The ability to neutralise different viral subtypes, including highly pathogenic avian influenza (H5N1), correlated with the absence of hemagglutination inhibition activity, loss of binding to HA at acid pH and the absence of binding to the head domain containing the receptor binding site. This data supports their binding to epitopes in the HA stem region and a mechanism of action other than blocking viral attachment to cell surface receptors. After conversion of cross-neutralising antibodies R1a-B6 and R1a-A5 into a bivalent format, no significant enhancement in neutralisation activity was seen against A(H1N1) and A(H5N1) viruses. However, bivalent R1a-B6 showed an 18 fold enhancement in potency against A(H9N2) virus and, surprisingly, gained the ability to neutralise an A(H2N2) virus. This demonstrates that cross-neutralising antibodies, which make lower affinity interactions with the membrane proximal stem region of more divergent HA sub-types, can be optimised by bivalency so increasing their breadth of anti-viral activity. The broad neutralising activity and favourable characteristics, such as high stability, simple engineering into bivalent molecules and low cost production make these single domain antibodies attractive candidates for diagnostics and immunotherapy of pandemic influenza. | 25,084,445 | [
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Comparison of outcome and side effects between conventional and transvaginal laparoscopic cholecystectomy: a meta-analysis. | Transvaginal laparoscopic cholecystectomy (TVC) is becoming an attractive alternative to conventional laparoscopic cholecystectomy (CLC). We conducted a meta-analysis study to compare the outcome and side effects between TVC and CLC. Clinical studies on TVC with CLC as control were identified by searching PubMed and EMBASE (from 2007 to December 2013). Nine studies were identified for meta-analysis. Our results showed that TVC required much longer operative time [MD, 30.82; 95% confidence interval (CI), 13.00-48.65; P=0.0007] and had significantly lower pain score on postoperative day 1 as compared with CLC (MD, -1.77; 95% CI, -2.91 to -0.63; P=0.002). No statistical difference in days of hospital stay (MD, -1.60; 95% CI, -4.73 to 1.54; P=0.32) and number of complications was found between the 2 groups (risk ratio, 0.52; 95% CI, 0.25-1.10; P=0.09). Safety of TVC is similar as CLC. In conclusion, TVC patients have significantly less postoperative pain but need much longer operative time. | 25,084,449 | [
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Lactate and choline metabolites detected in vitro by nuclear magnetic resonance spectroscopy are potential metabolic biomarkers for PI3K inhibition in pediatric glioblastoma. | The phosphoinositide 3-kinase (PI3K) pathway is believed to be of key importance in pediatric glioblastoma. Novel inhibitors of the PI3K pathway are being developed and are entering clinical trials. Our aim is to identify potential non-invasive biomarkers of PI3K signaling pathway inhibition in pediatric glioblastoma using in vitro nuclear magnetic resonance (NMR) spectroscopy, to aid identification of target inhibition and therapeutic response in early phase clinical trials of PI3K inhibitors in childhood cancer. Treatment of SF188 and KNS42 human pediatric glioblastoma cell lines with the dual pan-Class I PI3K/mTOR inhibitor PI-103, inhibited the PI3K signaling pathway and resulted in a decrease in phosphocholine (PC), total choline (tCho) and lactate levels (p<0.02) as detected by phosphorus (31P)- and proton (1H)-NMR. Similar changes were also detected using the pan-Class I PI3K inhibitor GDC-0941 which lacks significant mTOR activity and is entering Phase II clinical trials. In contrast, the DNA damaging agent temozolomide (TMZ), which is used as current frontline therapy in the treatment of glioblastoma postoperatively (in combination with radiotherapy), increased PC, glycerophosphocholine (GPC) and tCho levels (p<0.04). PI-103-induced NMR changes were associated with alterations in protein expression levels of regulatory enzymes involved in glucose and choline metabolism including GLUT1, HK2, LDHA and CHKA. Our results show that by using NMR we can detect distinct biomarkers following PI3K pathway inhibition compared to treatment with the DNA-damaging anti-cancer agent TMZ. This is the first study reporting that lactate and choline metabolites are potential non-invasive biomarkers for monitoring response to PI3K pathway inhibitors in pediatric glioblastoma. | 25,084,455 | [
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Use of asenapine as add-on therapy in the treatment of bipolar disorder: a comprehensive review and case series. | Several randomized controlled trials (RCTs), conducted in schizophrenic and bipolar patients, have documented the efficacy and tolerability of asenapine as monotherapy both for short- and long-term treatment. However, evidence on its augmentative use is more limited and related to the manic/mixed phase of bipolar disorder (BD). The present article reviews augmentative asenapine efficacy and safety/tolerability in the treatment of BD. It also includes some original cases of bipolar patients treated with add-on asenapine in the short- and long-term. To date, only a single RCT with manic/mixed patients with partial response to mood-stabilizer monotherapy supports the efficacy and safety/tolerability of augmentative asenapine to lithium/valproate, both in acute and long-term treatment. Additionally, two case reports confirm the overall effectiveness of augmentative asenapine to clozapine and valproate. Our case series, consisting of 4 bipolar patients treated with adjunctive asenapine to mood stabilizers and atypical antipsychotics - with treatment duration ranging from 1 to 14 months - provided clinical results that are consistent with literature data. Taken as a whole, available evidence seems to support the efficacy and safety of adjunctive asenapine in bipolar patients, though additional studies with active comparators are requested to confirm the current body of evidence. | 25,084,462 | [
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Spin crossover star-shaped metallomesogens of iron(II). | Three new types of spin crossover (SCO) metallomesogens of Fe(II) based on symmetric tripod ligands and their magnetic and structural properties are reported here. These were obtained by condensation of tris(2-aminoethyl)amin (tren) with the aldehyde derived from 3-alkoxy-6-methylpyridine (mpyN, N (number of carbon atoms in n-alkyl chains) = 8, 18), 1-alkyl-1H-imidazole (imN, N = 4, 16, 18, 20, 22), or 1-alkyl-1H-benzimidazole (bimN, N = 6, 14, 16, 18, 20). A complex derived from 1-octadecyl-1H-naphtho[2,3-d]imidazole (nim18) retains the high spin state at any temperature. Single crystals of the short-chain complexes were investigated by a combination of X-ray crystallography, magnetic measurements and Mössbauer spectroscopy. Generally, in comparison with the short-chain complexes the long-chain complexes display more gradual SCO and undergo a phase transition crystal-liquid crystal that is reflected in their magnetic properties. Characterization by X-ray powder diffractometry and differential calorimetry reveal formation of a smectic mesophase upon melting. | 25,084,478 | [
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Decoy receptor 3 suppresses B cell functions and has a negative correlation with disease activity in rheumatoid arthritis. | The decoy receptor 3 (DcR3) is a member of the tumour necrosis factor (TNF) receptor superfamily and may regulate inflammation. The aim of this study was to investigate the role of DcR3 in B cell functions and its correlation to disease activity in patients with rheumatoid arthritis (RA). The concentrations of DcR3 and TNF-α were measured by ELISA. B cell proliferation was assessed by quantification of 3H-thymidine uptake. Staphylococcus aureus Cowan (SAC) strain were used to stimulate B cell proliferation and TNF-α production. Compared to the osteoarthritis (OA) patients, the RA group had higher synovial DcR3 levels (3273.6±1623.2 vs. 1594.8±1190.0 pg/ml, p=0.003), which were negatively correlated with the serum erythrocyte sedimentation rate and Disease Activity Score using 28 joint counts (DAS28) scores (r=-0.560, p=0.002; r=-0.579, p<0.001, respectively). Although the RA B cells have more active characteristics, B cell proliferation induced by SAC was successfully suppressed by recombinant DcR3.Fc fusion protein with an average inhibition of 44.8%. Moreover, DcR3.Fc fusion protein was found to suppress SAC-induced TNF-α production by B cells in 8 RA patients (average inhibition 47.0%). The results of our study indicated that the inhibition of B cell functions by DcR3 may partially explain the negative correlation between DcR3 level and disease activity in RA patients. Our findings imply that DcR3 may be used as a biomarker for disease activity and a potential therapeutic agent in the treatment of RA. | 25,084,482 | [
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Abundances of tetracycline, sulphonamide and beta-lactam antibiotic resistance genes in conventional wastewater treatment plants (WWTPs) with different waste load. | Antibiotics and antibiotic resistant bacteria enter wastewater treatment plants (WWTPs), an environment where resistance genes can potentially spread and exchange between microbes. Several antibiotic resistance genes (ARGs) were quantified using qPCR in three WWTPs of decreasing capacity located in Helsinki, Tallinn, and Tartu, respectively: sulphonamide resistance genes (sul1 and sul2), tetracycline resistance genes (tetM and tetC), and resistance genes for extended spectrum beta-lactams (blaoxa-58, blashv-34, and blactx-m-32). To avoid inconsistencies among qPCR assays we normalised the ARG abundances with 16S rRNA gene abundances while assessing if the respective genes increased or decreased during treatment. ARGs were detected in most samples; sul1, sul2, and tetM were detected in all samples. Statistically significant differences (adjusted p<0.01) between the inflow and effluent were detected in only four cases. Effluent values for blaoxa-58 and tetC decreased in the two larger plants while tetM decreased in the medium-sized plant. Only blashv-34 increased in the effluent from the medium-sized plant. In all other cases the purification process caused no significant change in the relative abundance of resistance genes, while the raw abundances fell by several orders of magnitude. Standard water quality variables (biological oxygen demand, total phosphorus and nitrogen, etc.) were weakly related or unrelated to the relative abundance of resistance genes. Based on our results we conclude that there is neither considerable enrichment nor purification of antibiotic resistance genes in studied conventional WWTPs. | 25,084,517 | [
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Investigational drugs for the management of Huntington's disease: are we there yet? | Huntington's disease is a hereditary neurodegenerative disease. It is designated as a rare disease in the US, which means there are < 200,000 patients in the country who suffer from it. The drugs that are currently used to treat this disease were not designed specifically for it but developed for other diseases. Presently, two classes of drugs are being developed; those that provide symptomatic relief and those that may modify course of the disease. This review is focused on seven selected drugs currently in clinical testing and describes their progress. Five of the seven drugs that are reviewed here, can be categorized as 'symptomatic' drugs, and, selisistat and PBT-2 are amongst the ones that would qualify as 'disease modifying' drugs. The authors believe that the future treatment paradigm for this disease is best met by using a disease-modifying drug that can be administered together with symptomatic drugs. Towards that end, it is important for the industry to focus on disease-modifying drugs by targeting unique pathways and targets. Furthermore, they propose that neuroprotective drugs, that is, drugs that directly work by preserving neuronal health and function is an opportunity for such disease-modifying drugs. | 25,084,527 | [
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Assessing the ability of an immunization information system to prevent overimmunization of pediatric influenza vaccines. | The Advisory Committee on Immunization Practices (ACIP) publishes annual recommendations for the prevention and control of seasonal influenza. Between 2011 and 2013, the ACIP recommended 2 approaches that providers could use to determine how many influenza vaccine doses children aged 6 months through 8 years should receive. One did not consider doses received prior to the 2010-2011 season; the other considered complete influenza immunization history, such as that available in immunization information system (IIS). To use Michigan's IIS, the Michigan Care Improvement Registry (MCIR), to compare the number of children recommended to receive 2 doses of influenza vaccine under each ACIP approach, and to determine the potential for overimmunization of Michigan children with influenza vaccine if providers do not use the data in MCIR. Cross-sectional analysis in the 2011-2012 to 2013-2014 influenza seasons. We used the seasonal influenza and 2009 H1N1 monovalent vaccine doses in MCIR to determine the number of influenza vaccine doses children should receive using both ACIP approaches each season. We analyzed data for more than 900 000 children aged 6 months through 8 years in each influenza season. Number of children recommended 2 doses of influenza vaccine using each ACIP approach in each influenza season. Our evaluation showed that using MCIR could prevent the overimmunization with a second influenza vaccine dose for 70 323 children during the 2011-2012 influenza season, 126 076 children during the 2012-2013 season, and 81 635 children during the 2013-2014 season. This is the first study to use an IIS to quantify the difference between ACIP's approaches for 2-dose influenza vaccine recommendations. The immunization history and 2-dose forecasting algorithm available through MCIR minimizes overimmunization and has potential cost-saving implications. Our study illustrates the value of a centralized repository provided by IISs to immunization providers, public health, and caregivers. | 25,084,536 | [
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Selective chaperone effect of aminocyclitol derivatives on G202R and other mutant glucocerebrosidases causing Gaucher disease. | Gaucher disease is an autosomal recessive lysosomal disorder characterized by the accumulation of glucosylceramide as a result of a deficiency of the enzyme glucocerebrosidase. Several competitive glucocerebrosidase inhibitors are able to act as pharmacological chaperones for an efficient rescue of the mutated, misfolded forms of the enzyme. Along this line, we report in this work on the ability of several aminocyclitols to increase the residual glucocerebrosidase activity in patient fibroblasts with different genotypes. Some of the compounds were slightly active on fibroblasts bearing some mutations, including the highly prevalent N370S mutation. All compounds were highly active as enzyme activity enhancers on fibroblasts from Gaucher disease patients containing the G202R mutation. Moreover, using the novel tagged sphingolipid ω-azidosphingosine, a reduction in the tagged glucosylceramide accumulation was also observed for selected aminocyclitols. Attempts to explain the activity impairment observed in glucocerebrosidase bearing the G202R mutation by comparative molecular dynamic studies on wild type and the G202R mutated proteins (free and isofagomine-bound, in both cases) were unsuccessful. Under the simulation conditions used, no clear effect of the G202R mutation neither over the global structure of the protein nor on the loops that constitute the glucocerebrosidase active site was observed. Since the G202R residue is located on the protein surface, altered protein-membrane or protein-protein interactions could account for the observed differences. In conclusion, we have tested novel compounds that have shown some chaperone effect on particular glucocerebrosidase mutant enzymes, supporting the enhancement therapy as an alternative approach for Gaucher disease. | 25,084,554 | [
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Pollution level and distribution of PCDD/PCDF congeners between vapor phase and particulate phase in winter air of Dalian, China. | In December 2009, ambient air was sampled with active high-volume air samplers at two sites: on the roof of the No. l building of Dalian Jiaotong University and on the roof of the building of Dalian Meteorological Observatory. The concentrations and the congeners between vapor phase and particulate phase of polychlorinated dibenzo-p-dioxins and dibenzofurans (PCDD/Fs) in the air were measured. Sample analysis results showed that the concentrations of PCDD/Fs in particulate phase was higher than that in gaseous phase. The ratio of PCDD to PCDF in gaseous phase and particulate phase was lower than 0.4 in all samples. The total I-TEQ value in gaseous phase and particulate phase was 5.5 and 453.8 fg/m(3) at Dalian Jiaotong University, 16.6 and 462.1 fg/m(3) at Dalian Meteorological Observatory, respectively. The I-TEQ value of Dalian atmosphere was 5.5-462.1 fg/m(3) which was lower than international standard, the atmospheric quality in Dalian is better. | 25,084,590 | [
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Direct electrochemistry of glucose oxidase and biosensing for glucose based on DNA/chitosan film. | Glucose oxidase (GOD) is widely used in the glucose biosensor industry. The amperometric biosensors based on directly electron transfer (DET) between an electrode and immobilized GOD are especially promising. In this article, GOD was immobilized with a DNA/chitosan bio-material film on GC electrode, and the DET of GOD on DNA/chitosan was studied. The cyclic voltammetric results indicated that the GOD immobilized in the DNA/chitosan film underwent DET reaction, and the cyclic voltammogram displayed a pair of well-defined redox peaks with a formal potential of -0.45 V (vs. Ag/AgCl) at pH 5.5. The response showed a surface-controlled electrode process with an electron transfer rate constant of 0.91 sec(-1) determined in the scan rate range from 10 to 100 mV/sec. The GOD immobilized in DNA/chitosan membrane retained its biocatalytic activity and stability. The immobilized GOD could electrocatalyze the reduction of dissolved oxygen and resulted in a great increase of the reduction peak current. Upon the addition of glucose, the reduction peak current decreased, which could be used for glucose detection with a sensitivity of 0.48 μA/(mmol/L), a linear range from 0.04 to 2.28 mmol/L and a detection limit of 0.04 mmol/L at a signal-to-noise ratio of 3. The sensor could exclude the interference of commonly coexisted uricacid and ascorbic acid. | 25,084,597 | [
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Continuous electrochemical oxidation of methyl orange waste water using a three-dimensional electrode reactor. | The removal of methyl orange wastewater was experimentally investigated using a three-dimensional electrode reactor with granular activated carbon and titanium filter electrodes arrays. The effects of the electric current, the residence time and the initial dye concentration on the methyl orange removal were evaluated. For the initial concentration of 1150 mg/L, the COD removal was obtained as 90% under the conditions of electric current 2 A, residence time 40 min. The effluent path of the electrochemical cell was optimized, using the anode effluent instead of the top effluent, where the COD removal was increased to 93% and the corresponding energy consumption was decreased from 15.5 to 14.6 kW-hr/kg COD. | 25,084,598 | [
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Geological disaster survey based on Curvelet transform with borehole Ground Penetrating Radar in Tonglushan old mine site. | Tonglushan old mine site located in Huangshi City, China, is very famous in the world. However, some of the ruins had suffered from geological disasters such as local deformation, surface cracking, in recent years. Structural abnormalities of rock-mass in deep underground were surveyed with borehole ground penetrating radar (GPR) to find out whether there were any mined galleries or mined-out areas below the ruins. With both the multiresolution analysis and sub-band directional of Curvelet transform, the feature information of targets' GPR signals were studied on Curvelet transform domain. Heterogeneity of geotechnical media and clutter jamming of complicated background of GPR signals could be conquered well, and the singularity characteristic information of typical rock mass signals could be extracted. Random noise had be removed by thresholding combined with Curvelet and the statistical characteristics of wanted signals and the noise, then direct wave suppression and the spatial distribution feature extraction could obtain a better result by making use of Curvelet transform directional. GprMax numerical modeling and analyzing of the sample data have verified the feasibility and effectiveness of our method. It is important and applicable for the analyzing of the geological structure and the disaster development about the Tonglushan old mine site. | 25,084,600 | [
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Prospects of DLC coating as environment friendly surface treatment process. | After first commercialization in 90's, the applications of diamond-like carbon (DLC) have been significantly expanded to tool, automobile parts, machineries and moulds to enhance wear and friction properties. Although DLC has many advantages like high hardness, low friction electrical insulating and chemical stability and has the possible market, its application in the field is still very limited due to the gaps of understanding between end-user and developer of its advantage of costing. Recently, one of the most popular issues in the surface modification is providing the long lasting super-hydrophilic or -hydrophobic properties on the material surface for the outdoor usage. A lot of material loss is caused due to water corrosion which has to do with the flow and contacts of water like fuel cell separator and air conditioner parts. The consequence of development of functional surface based on the hydrophilic or hydrophobic design for the important parts would be really helpful for materials to be cleaner and more energy effective. Here, we first reviewed the DLC technology and then examined the kind of surface modification as well as its merits and disadvantage. We also looked at how we can improve super-hydrophilic and super hydrophobic for the DLC coating layer as well as current status of technology and arts of DLC. In the end, we would like to suggest it as one of the environmental friendly industrial technology. | 25,084,601 | [
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Partial breast radiation therapy with proton beam: 5-year results with cosmetic outcomes. | We updated our previous report of a phase 2 trial using proton beam radiation therapy to deliver partial breast irradiation (PBI) in patients with early stage breast cancer. Eligible subjects had invasive nonlobular carcinoma with a maximal dimension of 3 cm. Patients underwent partial mastectomy with negative margins; axillary lymph nodes were negative on sampling. Subjects received postoperative proton beam radiation therapy to the surgical bed. The dose delivered was 40 Gy in 10 fractions, once daily over 2 weeks. Multiple fields were treated daily, and skin-sparing techniques were used. Following treatment, patients were evaluated with clinical assessments and annual mammograms to monitor toxicity, tumor recurrence, and cosmesis. One hundred subjects were enrolled and treated. All patients completed the assigned treatment and were available for post-treatment analysis. The median follow-up was 60 months. Patients had a mean age of 63 years; 90% had ductal histology; the average tumor size was 1.3 cm. Actuarial data at 5 years included ipsilateral breast tumor recurrence-free survival of 97% (95% confidence interval: 100%-93%); disease-free survival of 94%; and overall survival of 95%. There were no cases of grade 3 or higher acute skin reactions, and late skin reactions included 7 cases of grade 1 telangiectasia. Patient- and physician-reported cosmesis was good to excellent in 90% of responses, was not changed from baseline measurements, and was well maintained throughout the entire 5-year follow-up period. Proton beam radiation therapy for PBI produced excellent ipsilateral breast recurrence-free survival with minimal toxicity. The treatment proved to be adaptable to all breast sizes and lumpectomy cavity configurations. Cosmetic results appear to be excellent and unchanged from baseline out to 5 years following treatment. Cosmetic results may be improved over those reported with photon-based techniques due to reduced breast tissue exposure with proton beam, skin-sparing techniques, and the dose fractionation schedule used in this trial. | 25,084,608 | [
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Survival of four commercial probiotic mixtures in full fat and reduced fat peanut butter. | A well-documented health benefit of probiotics is their ability to reduce the incidence of diarrhea in young, malnourished children in the developing countries. This study was undertaken to determine whether peanut butter, a nutritious, low-moisture food could be a carrier for probiotics by observing the survivability of selected probiotic mixtures in peanut butter under different storage conditions. Commercial probiotic mixtures (B, U, N and S) comprising of multiple strains of Lactobacillus, Bifidobacterium, Streptococcus and Lactococcus were inoculated into full fat or reduced fat peanut butter at 10(7) CFU/g. Resulting products were stored at 4, 25 or 37 °C for 12 months. Populations of Lactobacillus, Bifidobacterium and Streptococcus/Lactococcus were determined periodically. The average viable cell counts of N and S were significantly lower than those of B and U (p < 0.05). In all probiotic products stored at different temperatures, Bifidobacterium had the greatest survivability, followed by Lactobacillus and Streptococcus/Lactococcus. The probiotics used in the study had different surviving patterns, and their survival was influenced by storage conditions. Fat content of peanut butter had no significant impacts on probiotic viability. Results suggest that peanut butter can be a vehicle to deliver probiotics for preventing diarrhea among malnourished children. | 25,084,642 | [
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Expression and production of staphylococcal enterotoxin C is substantially reduced in milk. | Staphylococcal food poisoning is a global problem. The gene encoding enterotoxin C (sec) has been reported several times as the most frequent enterotoxin gene identified in food poisoning cases caused by contaminated milk. In this study, the expression of sec was examined during the growth of Staphylococcus aureus in milk compared to routinely used laboratory media. Additionally, expression of several regulatory genes (sarA, saeS, codY, srrA, rot, hld, agrA, sigB) and other five enterotoxin genes (sea, seg, seh, sek, sel) were observed. It has been well established for that S. aureus is able to grow in milk and we found significantly reduced expression of sec in milk compared to the laboratory medium (P < 0.05). Here, we report the first study providing a comprehensive view on the expression of enterotoxin genes and its regulation in milk. The milk environment dramatically changed the expression profiles of several enterotoxin genes although staphylococcal growth was not affected at all. The mechanism of the reduction may be explained by downregulation of the agr system, although other factors are expected to be involved. The constituent of milk causing the inhibitory effect remains unidentified. | 25,084,645 | [
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A novel model to assess the efficacy of steam surface pasteurization of cooked surimi gels inoculated with realistic levels of Listeria innocua. | Steam surface pasteurization is a promising decontamination technology for reducing pathogenic bacteria in different stages of food production. The effect of the artificial inoculation type and initial microbial load, however, has not been thoroughly assessed in the context of inactivation studies. In order to optimize the efficacy of the technology, the aim of this study was to design and validate a model system for steam surface pasteurization, assessing different inoculation methods and realistic microbial levels. More specifically, the response of Listeria innocua, a surrogate organism of Listeria monocytogenes, on a model fish product, and the effect of different inoculation levels following treatments with a steam surface pasteurization system was investigated. The variation in the resulting inoculation level on the samples was too large (77%) for the contact inoculation procedure to be further considered. In contrast, the variation of a drop inoculation procedure was 17%. Inoculation with high levels showed a rapid 1-2 log decrease after 3-5 s, and then no further inactivation beyond 20 s. A low level inoculation study was performed by analysing the treated samples using a novel contact plating approach, which can be performed without sample homogenization and dilution. Using logistic regression, results from this method were used to model the binary responses of Listeria on surfaces with realistic inoculation levels. According to this model, a treatment time of 23 s will result in a 1 log reduction (for P = 0.1). | 25,084,647 | [
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Inactivation of Bacillus spores inoculated in milk by Ultra High Pressure Homogenization. | Ultra High-Pressure Homogenization treatments at 300 MPa with inlet temperatures (Ti) of 55, 65, 75 and 85 °C were applied to commercial Ultra High Temperature treated whole milk inoculated with Bacillus cereus, Bacillus licheniformis, Bacillus sporothermodurans, Bacillus coagulans, Geobacillus stearothermophilus and Bacillus subtilis spores in order to evaluate the inactivation level achieved. Ultra High-Pressure Homogenization conditions at 300 MPa with Ti = 75 and 85 °C were capable of a spore inactivation of ∼5 log CFU/mL. Furthermore, under these processing conditions, commercial sterility (evaluated as the complete inactivation of the inoculated spores) was obtained in milk, with the exception of G. stearothermophilus and B. subtilis treated at 300 MPa with Ti = 75 °C. The results showed that G. stearothermophilus and B. subtilis have higher resistance to the Ultra High-Pressure Homogenization treatments applied than the other microorganisms inoculated and that a treatment performed at 300 MPa with Ti = 85 °C was necessary to completely inactivate these microorganisms at the spore level inoculated (∼1 × 10(6) CFU/mL). Besides, a change in the resistance of B. licheniformis, B. sporothermodurans, G. stearothermophilus and B. subtilis spores was observed as the inactivation obtained increased remarkably in treatments performed with Ti between 65 and 75 °C. This study provides important evidence of the suitability of UHPH technology for the inactivation of spores in high numbers, leading to the possibility of obtaining commercially sterile milk. | 25,084,664 | [
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Growth of Shiga toxin-producing Escherichia coli (STEC) and impacts of chilling and post-inoculation storage on STEC attachment to beef surfaces. | Concern has been expressed surrounding the utility of studies describing the efficacy of antimicrobial interventions targeting the Shiga toxin-producing Escherichia coli (STEC) that inoculate chilled versus non-chilled beef carcasses. The objectives of this study were to evaluate the effects of chilling (non-chilled, chilled to surface temperature of ≤5 °C) on STEC attachment to brisket surfaces, and the effects of post-inoculation storage on STEC recovery. Paired briskets from split carcasses were separated; one brisket from each pair was kept non-chilled, while the other was chilled to a surface temperature of ≤5 °C prior to inoculation. Briskets were inoculated with a cocktail of eight STEC and then stored at 5 or 25 °C. At 0, 30, 60, 90 and 120 min post-inoculation, 30 cm(2) of tissue was aseptically excised, followed by selective enumeration of strongly and loosely attached STEC. A significant, though small (0.4 log10 CFU/cm(2)), difference in the numbers of strongly attached cells was observed between non-chilled and chilled briskets (p < 0.05). Significant effects on cell attachment by the interaction of chilling and post-inoculation storage period, or chilling and post-inoculation storage temperature, were identified (p < 0.05). Results indicate beef chilling and post-inoculation storage conditions influenced STEC attachment to beef. | 25,084,668 | [
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Role of EfrAB efflux pump in biocide tolerance and antibiotic resistance of Enterococcus faecalis and Enterococcus faecium isolated from traditional fermented foods and the effect of EDTA as EfrAB inhibitor. | Enterococcus faecalis and Enterococcus faecium isolated from various traditional fermented foods of both animal and vegetable origins have shown multidrug resistance to several antibiotics and tolerance to biocides. Reduced susceptibility was intra and inter-species dependent and was due to specific and unspecific mechanisms such as efflux pumps. EfrAB, a heterodimeric ABC transporter efflux pump, was detected in 100% of multidrug resistant (MDR) E. faecalis strains and only in 12% of MDR E. faecium strains. EfrAB expression was induced by half of minimum inhibitory concentration (MIC) of gentamicin, streptomycin and chloramphenicol. However, expression of efrA and efrB genes was highly dependent on the strain tested and on the antimicrobial used. Our results indicated that 3 mM EDTA highly reduced the MICs of almost all drugs tested. Nevertheless, the higher reductions (>8 folds) were obtained with gentamicin, streptomycin, chlorhexidine and triclosan. Reductions of MICs were correlated with down-regulation of EfrAB expression (10-140 folds) in all three MDR enterococci strains. This is the first report describing the role of EfrAB in the efflux of antibiotics and biocides which reflect also the importance of EfrAB in multidrug resistance in enterococci. EDTA used at low concentration as food preservative could be one of the best choices to prevent spread of multidrug resistant enterococci throughout food chain by decreasing EfrAB expression. EfrAB could be an attractive target not only in enterococci present in food matrix but also those causing infections as well by using EDTA as therapeutic agent in combination with low doses of antibiotics. | 25,084,670 | [
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Production of potential probiotic Spanish-style green table olives at pilot plant scale using multifunctional starters. | This work evaluates the use of two multifunctional starters of Lactobacillus pentosus species (TOMC LAB2 and TOMC LAB4) during elaboration of Manzanilla olive fruits processed according to the Spanish-style. Data show that the use of inocula at the onset of fermentation led to a proper acidification and sugar consumption of brines compared to the spontaneous process, obtaining in a shorter period of time the maximum population for lactic acid bacteria. Both inoculated L. pentosus strains were recovered at high frequencies at the end of fermentation on the olive surface, which was corroborated by RAPD-PCR analysis. In situ observation of olive epidermis slices by scanning electron microscopy revealed a strong aggregation and adhesion between microorganisms, which reached population levels of approximately 6 and 7 log10 cfu/cm(2) for yeasts and lactic acid bacteria, respectively. Enterobacteriaceae on the olive surface were also found at the onset of fermentation (∼9 log10 cfu/cm(2)), but they declined during the process and were below the detection limit at the end of fermentation. Results obtained in this study show the advantage of using multifunctional starters with the ability to adhere to the olive epidermis because, ultimately, the fruits are the food ingested by consumers. | 25,084,674 | [
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Organotropism of persistent organic pollutants and heavy metals in the Greenland shark Somniosus microcephalus in NE Greenland. | The Greenland shark Somniosus microcephalus is an opportunistic feeder, a top predator, and a very long-lived species. The brain, liver, red and white muscle, gonads, fat, skin, pancreas, and spleen of Greenland sharks from NE Greenland fjords were analysed for PCBs, PCDDs/DFs, PBDEs; DDT isomers; HCH isomers; dieldrin; endrin; HCB; Cd, Hg, Pb, and Se. PCBs (2.01-103 ng/g wet wt) and PBDEs (7.9-3050 pg/g wet wt) were detected in most of the samples. PCDDs/DFs showed high values when detected. DDTs, HCB and HCHs were only detected in some tissues. The ΣTEQ was 5.76 pg/g in muscle. Cadmium mainly accumulated in the pancreas and liver (19.6 and 10.7 mg/kg dry wt, respectively); mercury in red muscle (4.10-6.91 mg/kg dry wt); selenium in the pancreas (3.57 mg/kg dry wt) and spleen (1.95 mg/kg dry wt); lead in the skin (0.358 mg/kgd ry wt). The selenium-mercury ratio in the liver was also evaluated. | 25,084,679 | [
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Patient trust in physician influences colorectal cancer screening in low-income patients. | Colorectal cancer (CRC) screening is effective but underutilized. Although physician recommendation is an important predictor of screening, considerable variation in CRC screening completion remains. To characterize the influence of patient trust in care providers on CRC screening behavior. Data were collected as part of a cluster-randomized CRC screening intervention trial performed in the San Francisco Community Health Network from March 2007 to January 2012 (analysis, Spring 2012). All study participants received a recommendation to complete CRC screening from their primary care provider (PCP). Included participants were aged 50-79 years, not current with screening, and completed the Wake Forest Trust Scale (WFTS) measuring trust in PCPs and doctors in general. Primary outcome was CRC screening completion (colonoscopy or fecal occult blood testing) within 12 months following enrollment. Multivariable association adjusted for race/ethnicity, language, and other sociodemographics was estimated using generalized estimating equations with logit link and binomial distribution. WFTS response was 70.3% (701). Most participants (83%) were Latino, Asian, or black. Most had income <$30,000 (96%) and public health insurance (86%). Higher trust in PCP was associated with screening completion (OR=1.11, 95% CI=1.03, 1.17), but trust in doctors was not (OR=1.02, 95% CI=0.82, 1.28). Race, language, and other sociodemographic factors were not significant in multivariable analysis. After controlling for traditional factors, trust in PCP remained the only significant driver of CRC screening completion in low-income patients. Interventions to promote CRC screening may be improved by including efforts to enhance patient trust in PCP. | 25,084,682 | [
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Preclinical left ventricular diastolic dysfunction in metabolic syndrome. | Metabolic syndrome (MS) is commonly associated with left ventricular (LV) diastolic dysfunction and LV hypertrophy. We sought to examine whether preclinical LV diastolic dysfunction can occur independent of LV hypertrophy in MS. We recruited 90 consecutive participants with MS and without cardiovascular disease (mean age 46 years, 78% women) and 26 controls (no risk factors for MS; mean age 43 years, 65% women). Participants underwent echocardiography with tissue Doppler imaging. In age- and gender-adjusted analyses, MS was associated with higher left atrial (LA) diameter, higher LV mass, lower E/A ratio, and lower mean e' (p <0.001 for all). These associations remained significant after further adjusting for blood pressure, antihypertensive medication use, and body mass index. After adjusting for LV mass, MS remained independently associated with higher LA diameter, lower E/A ratio, and lower mean e' (p ≤0.01 for all). Specifically, subjects with MS had a 1.8 cm/s lower mean e' compared with controls (p = 0.01). Notably, differences in mean e' between those with and without MS were more pronounced at younger ages (p for interaction = 0.003). In conclusion, MS was associated with preclinical LV diastolic dysfunction independent of LV mass, as reflected by higher LA diameter, lower E/A ratio, and lower mean e'. This suggests that MS can lead to the development of diastolic dysfunction through mechanisms independent of hypertrophy. Differences in diastolic function were more pronounced at younger ages, highlighting the potential importance of early risk factor modification and preventive strategies in MS. | 25,084,691 | [
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DNA polymorphisms at BCL11A, HBS1L-MYB and Xmn1-HBG2 site loci associated with fetal hemoglobin levels in sickle cell anemia patients from Northern Brazil. | Increased levels of fetal hemoglobin (HbF, α2γ2) may reduce sickle cell anemia severity due to its ability to inhibit HbS polymerization and also reduce the mean corpuscular HbS concentration. We have investigated the influence of three known major loci on the HbF trait (HBG2, rs748214; BCL11A, rs4671393; and HBS1L-MYB, rs28384513, rs489544 and rs9399137) and HbF levels in SCA patients from the State of Pará, Northern Brazil. Our results showed that high levels of HbF were primarily influenced by alleles of BCL11A (rs4671393) and HMIP (rs4895441) loci, and to a lesser extent by rs748214 Gγ-globin (HBG2) gene promoter. The SNPs rs4671393 and rs4895441 explained 10% and 9.2%, respectively, of the variation in HbF levels, while 4.1% of trait variation was explained by rs748214. The results can be considered as in accordance with the pattern of ancestry displayed by the SCA patients: 39.6% European, 29.6% African and 30.8% Native American, and reinforce the suggestion that studies of association between genetic modifiers and clinical and laboratory manifestations in Brazil must be controlled by ancestry. | 25,084,696 | [
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Cbl negatively regulates erythropoietin-induced growth and survival signaling through the proteasomal degradation of Src kinase. | We examined the biological functions of the gene Cbl in erythropoietin (EPO) signaling using Cbl-deficient F-36P human erythroleukemia cells by the introduction of the Cbl siRNA expression vector. Knockdown of Cbl promoted EPO-dependent proliferation and survival of F-36P cells, especially at a low concentration of EPO (0.01U/mL), similar to serum concentrations of EPO in healthy volunteers (0.005-0.04U/mL). We found that Src was degraded mainly by the proteasomal pathway because the proteasome inhibitor MG-132 but not the lysosome inhibitor NH4Cl suppressed the EPO-induced degradation of Src in F-36P cells and that knockdown of Cbl inhibited EPO-induced ubiquitination and degradation of Src in F-36P cells. The experiments using the Src inhibitor PP1 and co-expression experiments further confirmed that Cbl and the kinase activity of Src are required for the EPO-induced ubiquitination of Src. In addition, the co-expression experiments and in vitro kinase assay demonstrated that the EPO-induced tyrosine phosphorylation and ubiquitination of Cbl were dependent on the kinase activity of Src but not Jak2. Thus, Cbl negatively regulates EPO signaling mainly through the proteasome-dependent degradation of Src, and the E3 ligase activity of Cbl and its tyrosine phosphorylation are regulated by Src but not Jak2. | 25,084,697 | [
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Religious involvement and death anxiety. | The purpose of this study is to test a conceptual model that aims to clarify the relationship between religious commitment and death anxiety. This model contains the following hypotheses: (1) people who affiliate with Conservative Protestant congregations will be more likely to attend worship services; (2) people who go to church more often will be more likely to feel they belong in their congregations; (3) those who feel they belong in their congregations will be more deeply committed to their faith; (4) individuals who are more deeply committed to their faith will be more likely to forgive others; (5) people who forgive others are more likely to feel they have been forgiven by God; and (6) individuals who feel they are forgiven by God will experience less death anxiety. Data from a nationwide survey of older Mexican Americans provides support for each hypothesis. | 25,084,709 | [
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Access to bereavement services in hospice. | Hospice bereavement services, though often overlooked in hospice research, are an important area of study due not only to the potential value of bereavement support but also the emphasis placed on such services by the Centers for Medicare and Medicaid Services. Moreover, access to these services is seldom understood or researched. Therefore, using the patient public use file of the 2007 National Home and Hospice Care Survey, we explored the relationships between patient, informal caregiver, and agency characteristics as well as discharges from hospice to gain perspective into bereavement service access to informal caregivers. Findings suggested that death at discharge from hospice may be an important moderator variable between access to hospice bereavement support and many other factors. However, even under controls for death at discharge, two agency characteristics remain significantly associated with access. Bereavement access tends to be more likely in agencies that provide only hospice care as opposed to other services, and in micropolitan agencies. Furthermore, death at discharge is less likely among African Americans, suggesting the value of enhanced culturally-appropriate and more targeted hospice care and hospice bereavement support for this population. Future research should explore the strategies used to effectively deliver bereavement services and how these strategies may benefit from targeted and culturally sensitive approaches. | 25,084,710 | [
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Comparison of stopped Cox regression with direct methods such as pseudo-values and binomial regression. | By far the most popular model to obtain survival predictions for individual patients is the Cox model. The Cox model does not make any assumptions on the underlying hazard, but it relies heavily on the proportional hazards assumption. The most common ways to circumvent this robustness problem are 1) to categorize patients based on their prognostic risk score and to base predictions on Kaplan-Meier curves for the risk categories, or 2) to include interactions with the covariates and suitable functions of time. Robust estimators of the t(0)-year survival probabilities can also be obtained from a "stopped Cox" regression model, in which all observations are administratively censored at t(0). Other recent approaches to solve this robustness problem, originally proposed in the context of competing risks, are pseudo-values and direct binomial regression, based on unbiased estimating equations. In this paper stopped Cox regression is compared with these direct approaches. This is done by means of a simulation study to assess the biases of the different approaches and an analysis of breast cancer data to get some feeling for the performance in practice. The tentative conclusion is that stopped Cox and direct models agree well if the follow-up is not too long. There are larger differences for long-term follow-up data. There stopped Cox might be more efficient, but less robust. | 25,084,763 | [
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Value of information analysis optimizing future trial design from a pilot study on catheter securement devices. | Value of information analysis has been proposed as an alternative to the standard hypothesis testing approach, which is based on type I and type II errors, in determining sample sizes for randomized clinical trials. However, in addition to sample size calculation, value of information analysis can optimize other aspects of research design such as possible comparator arms and alternative follow-up times, by considering trial designs that maximize the expected net benefit of research, which is the difference between the expected cost of the trial and the expected value of additional information. To apply value of information methods to the results of a pilot study on catheter securement devices to determine the optimal design of a future larger clinical trial. An economic evaluation was performed using data from a multi-arm randomized controlled pilot study comparing the efficacy of four types of catheter securement devices: standard polyurethane, tissue adhesive, bordered polyurethane and sutureless securement device. Probabilistic Monte Carlo simulation was used to characterize uncertainty surrounding the study results and to calculate the expected value of additional information. To guide the optimal future trial design, the expected costs and benefits of the alternative trial designs were estimated and compared. Analysis of the value of further information indicated that a randomized controlled trial on catheter securement devices is potentially worthwhile. Among the possible designs for the future trial, a four-arm study with 220 patients/arm would provide the highest expected net benefit corresponding to 130% return-on-investment. The initially considered design of 388 patients/arm, based on hypothesis testing calculations, would provide lower net benefit with return-on-investment of 79%. Cost-effectiveness and value of information analyses were based on the data from a single pilot trial which might affect the accuracy of our uncertainty estimation. Another limitation was that different follow-up durations for the larger trial were not evaluated. The value of information approach allows efficient trial design by maximizing the expected net benefit of additional research. This approach should be considered early in the design of randomized clinical trials. | 25,084,784 | [
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A histological surprise: a rare case of myoepithelial tumour of the scrotum and review of literature. | A lump in the scrotum is a common presentation in most surgical clinics. However, myoepithelial tumours may not be up on the list of differentials. Although they may look benign, myoepithelial tumours are rare and have malignant potential. Treatment of these tumours involved total excision and adequate follow-up in cases of malignancy. These groups of tumours have not been reported in the scrotum in the past, but their occurrence in the vagina may not come as a surprise bearing in mind the embryonic origin of both organs. | 25,084,790 | [
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Ramelteon for the treatment of delirium in elderly patients: a consecutive case series study. | Melatonin is effective in the prevention and treatment of delirium. Ramelteon has few adverse effects and higher affinity for MT1 and MT2 receptors than melatonin. The aim of the present study was to determine the efficacy of ramelteon in elderly patients with delirium caused by different primary diseases/conditions. We treated 10 consecutive elderly patients having delirium with ramelteon. Of the 10 patients, six showed improvement, and no marked adverse effects were observed. Our study suggested that ramelteon was a safe and useful alternative to melatonin for the treatment of delirium in elderly patients. Randomized, controlled studies are necessary to confirm the therapeutic benefits of ramelteon. | 25,084,796 | [
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The impact of interventions to prevent obesity or improve obesity related behaviours in children (0-5 years) from socioeconomically disadvantaged and/or indigenous families: a systematic review. | Children from disadvantaged families including those from low socioeconomic backgrounds and Indigenous families have higher rates of obesity, making early intervention a priority. The aim of this study was to systematically review the literature to examine the effectiveness of interventions to prevent obesity or improve obesity related behaviours in children 0-5 years from socioeconomically disadvantaged or Indigenous families. Searches of major electronic databases identified articles published from 1993-2013 targeting feeding practices, anthropometric, diet, activity or sedentary behaviour outcomes. This was supplemented with snowballing from existing reviews and primary studies. Data extraction was undertaken by one author and cross checked by another. Quality assessments included both internal and external validity. Thirty-two studies were identified, with only two (both low quality) in Indigenous groups. Fourteen studies had a primary aim to prevent obesity. Mean differences between intervention and control groups ranged from -0.29 kg/m(2) to -0.54 kg/m(2) for body mass index (BMI) and -2.9 to -25.6% for the prevalence of overweight/obesity. Interventions initiated in infancy (under two years) had a positive impact on obesity related behaviours (e.g. diet quality) but few measured the longer-term impact on healthy weight gain. Findings amongst pre-schoolers (3-5 years) were mixed, with the more successful interventions requiring high levels of parental engagement, use of behaviour change techniques, a focus on skill building and links to community resources. Less than 10% of studies were high quality. Future studies should focus on improving study quality, including follow-up of longer-term anthropometric outcomes, assessments of cost effectiveness, acceptability in target populations and potential for implementation in routine service delivery. There is an urgent need for further research on effective obesity prevention interventions for Indigenous children. The findings from the growing body of intervention research focusing on obesity prevention amongst young children from socioeconomically disadvantaged families suggest intervention effects are modest but promising. Further high quality studies with longer term follow up are required. PROSPERO Registration no: CRD42013006536. | 25,084,804 | [
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Neuropsychological impairments in anorexia nervosa: a spanish sample pilot study. | This work was aimed at obtaining a profile of neuropsychological impairments in young Spanish participants with anorexia nervosa (AN) to demonstrate that right-hemisphere and frontal capacity impairments are present not only in the acute phase but also after weight recovery in a Spanish sample compared with a healthy control group. Twelve patients with AN in the acute phase (body mass index [BMI] < 17) were compared both to 16 healthy control subjects and 12 weight-recovered AN participants (BMI ≥ 17) matched by age, IQ, and educational level by utilizing a wide neuropsychological battery. Differences were found between AN groups only for long-term verbal memory, which worsens as BMI increases. Among participants with AN as a group, results showed differences in speed of information processing, working memory, visual memory, and inhibition, unrelated to attentional capabilities. We cannot support the hypothesis of a specific right cerebral dysfunction in patients with AN. A general cognitive dysfunction, primarily in information processing, working memory, visual and verbal memory, as well as frontal impairments such as impulsivity and poor behavioral control, appeared unrelated to BMI. We support previous works affirming that neuropsychological impairments in AN are not a consequence of the illness but a risk factor for it to develop. | 25,084,841 | [
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Remediation of a naming deficit following left temporal lobe epilepsy surgery. | Dysnomia is associated with temporal lobe epilepsy and may include a deficit in recalling the names of familiar people. The deficit can worsen following surgery to relieve refractory seizures. The following is a case report comparing implicit (errorless learning) and explicit (rote rehearsal) approaches to retraining face-name associations in a 52-year-old woman who was status post-amygdalo-hippocampectomy for refractory complex partial seizures. Although both approaches initially improved performance above baseline, only errorless learning resulted in stable gains during a 10-min delay and at 1-week follow-up. Initial improvements in naming with rote rehearsal were not maintained even during the 10-min delay. In patients with severe memory impairment and dysnomia, errorless learning may offer a viable rehabilitation strategy for improving naming performance. | 25,084,847 | [
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A curriculum to address family medicine residents' skills in treating patients with chronic pain. | Chronic pain is a challenging condition, both for the patient, who is coping with constant pain and limitations in functionality, and for the treating physician. Narcotic medications, often used for the treatment of chronic pain, can be addictive and rates of overdose deaths associated with their use have increased significantly in the last 10 years [1]. Behavioral and physician faculty at the Lincoln Family Medicine Center developed a curriculum to improve family medicine residents' skills in the treatment of patients with chronic pain. The experience includes education in pain physiology and assessment, administration of medications, adjunctive treatments, and interactions with difficult patients. Two cohorts of residents have participated in the curriculum with positive results. The curriculum may be helpful for primary care providers with privileges to prescribe narcotic medications and is targeted towards resident physicians. | 25,084,855 | [
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Models for integrating behavioral medicine on a family medicine in-patient teaching service. | Training physicians to effectively assess, diagnose, and treat patients' behavioral health concerns begin in residency. While this training is increasingly more common in outpatient educational settings, there is also a great need to teach physicians to practice behavioral medicine with patients who are hospitalized. However, teaching family medicine resident physicians to understand, value, and practice essential behavioral health knowledge and skills during inpatient rotations can be a challenge for both residents and educators. In this article, we describe three models of inpatient behavioral medicine teaching, each with examples of practical content and teaching methods. We discuss strategies for success and potential barriers to overcome while teaching in the inpatient setting. Helping patients choose to change their health behaviors, which likely contribute in part to the reasons for their hospitalizations in the first place, should begin while patients are still in the hospital. Models of teaching, such as those presented here, can help improve the way we train physicians to address behavioral health needs with hospitalized patients. | 25,084,858 | [
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Ascorbic acid inhibition of Candida albicans Hsp90-mediated morphogenesis occurs via the transcriptional regulator Upc2. | Morphogenetic transitions of the opportunistic fungal pathogen Candida albicans are influenced by temperature changes, with induction of filamentation upon a shift from 30 to 37°C. Hsp90 was identified as a major repressor of an elongated cell morphology at low temperatures, as treatment with specific inhibitors of Hsp90 results in elongated growth forms at 30°C. Elongated growth resulting from a compromised Hsp90 is considered neither hyphal nor pseudohyphal growth. It has been reported that ascorbic acid (vitamin C) interferes with the yeast-to-hypha transition in C. albicans. In the present study, we show that ascorbic acid also antagonizes the morphogenetic change caused by hampered Hsp90 function. Further analysis revealed that Upc2, a transcriptional regulator of genes involved in ergosterol biosynthesis, and Erg11, the target of azole antifungals, whose expression is in turn regulated by Upc2, are required for this antagonism. Ergosterol levels correlate with elongated growth and are reduced in cells treated with the Hsp90 inhibitor geldanamycin (GdA) and restored by cotreatment with ascorbic acid. In addition, we show that Upc2 appears to be required for ascorbic acid-mediated inhibition of the antifungal activity of fluconazole. These results identify Upc2 as a major regulator of ascorbic acid-induced effects in C. albicans and suggest an association between ergosterol content and elongated growth upon Hsp90 compromise. | 25,084,864 | [
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Combined hybrid functional and DFT+U calculations for metal chalcogenides. | In the density-functional studies of materials with localized electronic states, the local/semilocal exchange-correlation functionals are often either combined with a Hubbard parameter U as in the LDA+U method or mixed with a fraction of exactly computed (Fock) exchange energy yielding a hybrid functional. Although some inaccuracies of the semilocal density approximations are thus fixed to a certain extent, the improvements are not sufficient to make the predictions agree with the experimental data. Here, we put forward the perspective that the hybrid functional scheme and the LDA+U method should be treated as complementary, and propose to combine the range-separated Heyd-Scuseria-Ernzerhof (HSE) hybrid functional with the Hubbard U. We thus present a variety of HSE+U calculations for a set of II-VI semiconductors, consisting of zinc and cadmium monochalcogenides, along with comparison to the experimental data. Our findings imply that an optimal value U(*) of the Hubbard parameter could be determined, which ensures that the HSE+U(*) calculation reproduces the experimental band gap. It is shown that an improved description not only of the electronic structure but also of the crystal structure and energetics is obtained by adding the U(*) term to the HSE functional, proving the utility of HSE+U(*) approach in modeling semiconductors with localized electronic states. | 25,084,880 | [
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Path-integral calculation of the second virial coefficient including intramolecular flexibility effects. | We present a path-integral Monte Carlo procedure for the fully quantum calculation of the second molecular virial coefficient accounting for intramolecular flexibility. This method is applied to molecular hydrogen (H2) and deuterium (D2) in the temperature range 15-2000 K, showing that the effect of molecular flexibility is not negligible. Our results are in good agreement with experimental data, as well as with virials given by recent empirical equations of state, although some discrepancies are observed for H2 between 100 and 200 K. | 25,084,893 | [
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An analysis of model proton-coupled electron transfer reactions via the mixed quantum-classical Liouville approach. | The nonadiabatic dynamics of model proton-coupled electron transfer (PCET) reactions is investigated for the first time using a surface-hopping algorithm based on the solution of the mixed quantum-classical Liouville equation (QCLE). This method provides a rigorous treatment of quantum coherence/decoherence effects in the dynamics of mixed quantum-classical systems, which is lacking in the molecular dynamics with quantum transitions surface-hopping approach commonly used for simulating PCET reactions. Within this approach, the protonic and electronic coordinates are treated quantum mechanically and the solvent coordinate evolves classically on both single adiabatic surfaces and on coherently coupled pairs of adiabatic surfaces. Both concerted and sequential PCET reactions are studied in detail under various subsystem-bath coupling conditions and insights into the dynamical principles underlying PCET reactions are gained. Notably, an examination of the trajectories reveals that the system spends the majority of its time on the average of two coherently coupled adiabatic surfaces, during which a phase enters into the calculation of an observable. In general, the results of this paper demonstrate the applicability of QCLE-based surface-hopping dynamics to the study of PCET and emphasize the importance of mean surface evolution and decoherence effects in the calculation of PCET rate constants. | 25,084,896 | [
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FDE-vdW: A van der Waals inclusive subsystem density-functional theory. | We present a formally exact van der Waals inclusive electronic structure theory, called FDE-vdW, based on the Frozen Density Embedding formulation of subsystem Density-Functional Theory. In subsystem DFT, the energy functional is composed of subsystem additive and non-additive terms. We show that an appropriate definition of the long-range correlation energy is given by the value of the non-additive correlation functional. This functional is evaluated using the fluctuation-dissipation theorem aided by a formally exact decomposition of the response functions into subsystem contributions. FDE-vdW is derived in detail and several approximate schemes are proposed, which lead to practical implementations of the method. We show that FDE-vdW is Casimir-Polder consistent, i.e., it reduces to the generalized Casimir-Polder formula for asymptotic inter-subsystems separations. Pilot calculations of binding energies of 13 weakly bound complexes singled out from the S22 set show a dramatic improvement upon semilocal subsystem DFT, provided that an appropriate exchange functional is employed. The convergence of FDE-vdW with basis set size is discussed, as well as its dependence on the choice of associated density functional approximant. | 25,084,901 | [
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Accurate prediction of diradical chemistry from a single-reference density-matrix method: Model application to the bicyclobutane to gauche-1,3-butadiene isomerization. | Multireference correlation in diradical molecules can be captured by a single-reference 2-electron reduced-density-matrix (2-RDM) calculation with only single and double excitations in the 2-RDM parametrization. The 2-RDM parametrization is determined by N-representability conditions that are non-perturbative in their treatment of the electron correlation. Conventional single-reference wave function methods cannot describe the entanglement within diradical molecules without employing triple- and potentially even higher-order excitations of the mean-field determinant. In the isomerization of bicyclobutane to gauche-1,3-butadiene the parametric 2-RDM (p2-RDM) method predicts that the diradical disrotatory transition state is 58.9 kcal/mol above bicyclobutane. This barrier is in agreement with previous multireference calculations as well as recent Monte Carlo and higher-order coupled cluster calculations. The p2-RDM method predicts the Nth natural-orbital occupation number of the transition state to be 0.635, revealing its diradical character. The optimized geometry from the p2-RDM method differs in important details from the complete-active-space self-consistent-field geometry used in many previous studies including the Monte Carlo calculation. | 25,084,908 | [
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Depolarized light scattering spectra of molecular liquids: Described in terms of mode coupling theory. | Depolarized light scattering spectra of eight molecular liquids as obtained from applying tandem-Fabry-Pérot interferometry and double monochromator are analyzed in the frame work of the mode coupling theory (MCT). The susceptibility spectra are fitted to the numerical solution of the schematic F12 model of MCT and the validity of the asymptotic laws is discussed. The model is able to quantitatively describe the spectra up to the boiling point, where the main (structural) relaxation and the contribution of the microscopic (vibrational) dynamics essentially merge, and down to the moderately super-cooled liquid where glassy dynamics establishes. The changes of the spectra with temperature are mapped to only two control parameters, which show a smooth variation with temperature. Strong correlation between experimental stretching parameters and extrapolated values from the model is found. The numerical solutions are extrapolated down to Tc, where the asymptotic scaling laws can be applied. Although the spectra apparently follow scaling relations, the application of the asymptotic laws usually overestimates Tc by up to 12 K. In all the cases, the experimental spectra are outside the applicability regime of the asymptotic laws. This is explained by more or less strong vibrational contributions. Within a phenomenological approach which extends the spectral analysis down to Tg and which allows for separating fast and slow dynamics, the strength of the fast dynamics 1 - frel is revealed. It shows the cusp-like anomaly predicted by MCT; yet, the corresponding critical temperature is significantly higher than that derived from the F12 model. In addition, we demonstrate that close to Tg, the susceptibility minimum is controlled by the interplay of the excess wing and the fast dynamics contribution. | 25,084,930 | [
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Chirality-related interactions and a mirror symmetry violation in handed nano structures. | Hindering of inversion transitions and a violation of mirror symmetry of the right- and left-handed configurations of diazabizyclooctane (dabco, N2C6H12) enantiomers has been studied with low-temperature adiabatic calorimetry. The dabco molecules were sandwiched in a high-porous layered structure of a metal organic framework (MOF) compound. We show from the data of low-temperature adiabatic calorimetry and (1)H NMR spin relaxation method that hindering of inversion transitions of dabco molecules cannot be associated with the influence of the intracrystalline self-consistent molecular field as a continuously monitoring environment within the quantum Zeno effect. In addition, lack of another manifestation of this effect associated with the collisional suppression of the inversion transitions in MOF samples impregnated by helium has been shown. These results lead to the conclusion that chiral polarization is related to the fundamental effect of parity nonconservation. | 25,084,931 | [
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Sulfur dimers adsorbed on Au(111) as building blocks for sulfur octomers formation: A density functional study. | Experimental scanning tunneling microscopy (STM) studies have shown for more than two decades rectangular formations when sulfur atoms are deposited on Au(111) surfaces. The precursors have ranged from simple molecules or ions, such as SO2 gas or sulfide anions, to more complex organosulfur compounds. We investigated, within the framework of the Density Functional Theory, the structure of these rectangular patterns assuming them entirely composed of sulfur atoms as the experimental evidence suggests. The sulfur coverage at which the simulations were carried out (0.67 ML or higher) provoked that the sulfur-sulfur association had to be taken into account for achieving a good agreement between the sets of simulated and experimental STM images. A combination of four sulfur dimers per rectangular formation properly explained the trends obtained by the experimental STM analysis which were related with the rectangles' size and shape fluctuations together with sulfur-sulfur distances within these rectangles. Finally, a projected density of states analysis showed that the dimers were capable of altering the Au(5d) electronic states at the same level as atomic sulfur adsorbed at low coverage. Besides, sulfur dimers states were perfectly distinguished, whose presence near and above the Fermi level can explain both: sulfur-sulfur bond elongation and dimers stability when they stayed adsorbed on the surface at high coverage. | 25,084,943 | [
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Polymerization of nitrogen in cesium azide under modest pressure. | Alkali metal azides can be used as starting materials in the synthesis of polymeric nitrogen, a potential high-energy-density material. The structural evolutionary behaviors of nitrogen in CsN3 have been studied up to 200 GPa using particle swarm optimization structure search combining with density functional theory. Three stable new phases with C2/m, P21/m, and P-1 structure at pressure of 6, 13, and 51 GPa are identified for the first time. The phase transition to chain like structure (P-1 phase) occurs at a modest pressure 51 GPa, the azide ions N3 (-) (linear chains of three N atoms with covalent bonds and interact weakly with each other) begin to show remarkable polymeric N properties in the CsN3 system. Throughout the stable pressure range, the structure is metallic and consists of N atoms in sp(2) hybridizations. Our study completes the structural evolution of CsN3 under pressure and reveals that the introduced Cs atoms are responsible for the decreased synthesis pressure comparing to pure molecular nitrogen under compression. | 25,084,947 | [
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Effect of block asymmetry on the crystallization of double crystalline diblock copolymers. | Monte Carlo simulation on the crystallization of double crystalline diblock copolymer unravels an intrinsic relationship between block asymmetry and crystallization behaviour. We model crystalline A-B diblock copolymer, wherein the melting temperature of A-block is higher than that of the B-block. We explore the composition dependent crystallization behaviour by varying the relative block length with weak and strong segregation strength between the blocks. In weak segregation limit, we observe that with increasing the composition of B-block, its crystallization temperature increases accompanying with higher crystallinity. In contrast, A-block crystallizes at a relatively low temperature along with the formation of thicker and larger crystallites with the increase in B-block composition. We attribute this non-intuitive crystallization trend to the dilution effect imposed by B-block. When the composition of the B-block is high enough, it acts like a "solvent" during the crystallization of A-block. A-block segments are more mobile and hence less facile to crystallize, resulting depression in crystallization temperature with the formation of thicker crystals. At strong segregation limit, crystallization and morphological development are governed by the confinement effect, rather than block asymmetry. Isothermal crystallization reveals that the crystallization follows a homogeneous nucleation mechanism with the formation of two-dimensional crystals. Two-step, compared to one-step isothermal crystallization leads to the formation of thicker crystals of A-block due to the dilution effect of the B-block. | 25,084,951 | [
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Monte Carlo computer simulation of sedimentation of charged hard spherocylinders. | In this article we present a NVT Monte Carlo computer simulation study of sedimentation of an electroneutral mixture of oppositely charged hard spherocylinders (CHSC) with aspect ratio L/σ = 5, where L and σ are the length and diameter of the cylinder and hemispherical caps, respectively, for each particle. This system is an extension of the restricted primitive model for spherical particles, where L/σ = 0, and it is assumed that the ions are immersed in an structureless solvent, i.e., a continuum with dielectric constant D. The system consisted of N = 2000 particles and the Wolf method was implemented to handle the coulombic interactions of the inhomogeneous system. Results are presented for different values of the strength ratio between the gravitational and electrostatic interactions, Γ = (mgσ)/(e(2)/Dσ), where m is the mass per particle, e is the electron's charge and g is the gravitational acceleration value. A semi-infinite simulation cell was used with dimensions Lx ≈ Ly and Lz = 5Lx, where Lx, Ly, and Lz are the box dimensions in Cartesian coordinates, and the gravitational force acts along the z-direction. Sedimentation effects were studied by looking at every layer formed by the CHSC along the gravitational field. By increasing Γ, particles tend to get more packed at each layer and to arrange in local domains with an orientational ordering along two perpendicular axis, a feature not observed in the uncharged system with the same hard-body geometry. This type of arrangement, known as tetratic phase, has been observed in two-dimensional systems of hard-rectangles and rounded hard-squares. In this way, the coupling of gravitational and electric interactions in the CHSC system induces the arrangement of particles in layers, with the formation of quasi-two dimensional tetratic phases near the surface. | 25,084,954 | [
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Adsorption of block copolymers on solid surfaces: A Monte Carlo study. | Using hyper-parallel tempering Monte Carlo simulation, multiple histogram reweighting method, and finite size scaling, we investigate the adsorption of fully flexible and rod-coil chains on the square lattice. We find that the phase behaviour changes with the chain length and flexibility. For homonuclear rod-coil chains, the phase diagram consists of only gas-disorder liquid critical point. Weakening of the interaction energy between the segments belonging to two different subunits gives rise to an order-disorder transition. The topology of the resulting phase diagram depends on the chain length and flexibility. For short chains, both fully flexible and rod-coil diblock copolymers form lamellar ordered phase with fully stretched chains, and the order-disorder transition is of the first order. The phase diagrams are similar for both chain architectures and consist of two binodals meeting in the triple point. When the chain length increases the order-disorder transition becomes second-order and the difference in the phase behaviour between the fully flexible and the rod-coil diblock copolymers becomes more pronounced. While for the former chain architecture the topology of the phase diagram involves a λ-line which meets the gas-disordered liquid binodal in the critical end-point, in the latter case the λ-line meets the gas-disordered liquid critical point and forms the tricritical point. We trace back these changes to the change in the morphology of the ordered phase. The mechanism of the order-disorder transition involves the formation of domains resembling those observed during the spinodal decomposition process. The domains subsequently merge and arrange into lamellae. These observations are supported by integral geometry analysis. | 25,084,959 | [
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Thermally induced conformational changes of Ca-arachidate Langmuir-Blodgett Films at different compression. | The conformational order in Ca-arachidate Langmuir-Blodgett films on solid glass supports is investigated by means of vibrational sum-frequency generation spectroscopy (VSFG). The symmetric C-H stretching vibrations of both the terminal methyl and the methylene groups are utilized to monitor the chain conformation at various sample temperatures under ambient conditions. At room temperature the film is well-ordered consisting almost entirely of all-trans configured chains. Between 340 and 430 K we observe a marked increase in gauche-defects before oxidative degeneration starts at sample temperatures above 470 K. The temperature dependence of the data is well represented by apparent enthalpy changes for the formation of gauche-defects, sharply increasing with packing density from 29 to 62 kJ/mol; values, which are an order of magnitude larger than those of the gas phase molecule. These large apparent enthalpies do not prevent the formation of a high degree of conformational disorder at elevated temperatures. | 25,084,961 | [
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Esophagectomy for superficial esophageal cancer after non-curative endoscopic resection. | Additional surgical treatment after non-curative endoscopic resection for superficial esophageal cancer should be considered unless the tumor is pathologically proven to be categorized within the absolute indication of endoscopic resection. However, the significance of this treatment strategy has been poorly evaluated until now. Additional esophagectomy with lymph node dissection was carried out for a total of 34 patients with esophageal cancer pathologically diagnosed as in contact with or invading the muscularis mucosa (pT1a-MM) or submucosa (pSM) and/or accompanying vascular permeation after endoscopic resection. The surgical results, pathological diagnosis after esophagectomy, and outcomes were analyzed. The pathological diagnosis after endoscopic resection revealed pT1a-MM in 7 patients, pSM in 27 patients, and vessel permeation in 24 patients. The approach to esophagectomy was via right and left thoracotomy in 26 patients and 2 patients, respectively, and was transhiatal in 6 patients. Three-field lymph node dissection was performed in 12 patients, and the mean number of dissected lymph nodes was 72 (range 31-132). Pathological lymph node metastasis was noted in 10 patients. Postoperative complications developed in 10 patients, and death due to pulmonary complications was observed in one patient. No postoperative recurrence was observed during the follow-up period (1-87 months). Esophagectomy after endoscopic resection provides favorable disease control for esophageal cancer with pT1a-MM/pSM and/or vessel permeation, while strict consideration is required to determine the indication and procedure for surgery because of its invasiveness. | 25,084,980 | [
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Pharmacological dose of melatonin reduces cytosolic calcium load in response to cholecystokinin in mouse pancreatic acinar cells. | Intracellular Ca(2+) overload has been considered a common pathological precursor of pancreatic injury. In this study, the effects of melatonin on Ca(2+) mobilization induced by cholecystokinin octapeptide (CCK-8) in freshly isolated mouse pancreatic acinar cells have been examined. Changes in intracellular free Ca(2+) concentration were followed by single cell fluorimetry. For this purpose, cells were loaded with the Ca(2+)-sensitive fluorescent dye fura-2-acetoxymethyl ester. In order to evaluate the contribution of Ca(2+) transport at the plasma membrane, at the endoplasmic reticulum (ER) or at the mitochondria, cells were incubated with CCK-8 alone or in combination with LaCl3, thapsigargin (Tps), or FCCP to, respectively, uncouple Ca(2+) transport at these localizations. The experiments were performed in the absence or in the presence of melatonin in combination with the stimuli mentioned. Our results show that the total Ca(2+) mobilization evoked by CCK-8 was attenuated by a 30% in the presence of 100 µM melatonin compared with the responses induced by CCK-8 alone. Upon inhibition of Ca(2+) transport into the ER by Tps, Ca(2+) mobilization was also reduced in the presence of melatonin. In the presence of LaCl3 plus melatonin, the total Ca(2+) mobilization induced by CCK-8 was significantly decreased, compared with the response obtained without melatonin but in the presence of LaCl3. No major differences were found when the cells were incubated with CCK-8 or Tps alone or in combination with LaCl3 plus melatonin and FCCP, compared with the responses obtained in the absence of FCCP. The initial Ca(2+) release from intracellular stores evoked by CCK-8 or Tps was not significantly reduced in the presence of melatonin. The effect of melatonin could be explained on the basis of a stimulated Ca(2+) transport out of the cell through the plasma membrane and by a stimulation of Ca(2+) reuptake into the ER. Accumulation of Ca(2+) into mitochondria might not be a major mechanism stimulated by melatonin. We conclude that melatonin alleviates intracellular Ca(2+) accumulation, a situation potentially leading to cell damage in the exocrine pancreas. | 25,084,987 | [
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Correlation between frequencies of blood monocytic myeloid-derived suppressor cells, regulatory T cells and negative prognostic markers in patients with castration-resistant metastatic prostate cancer. | Myeloid-derived suppressor cells (MDSC) are believed to play a role in immune suppression and subsequent failure of T cells to mount an efficient anti-tumor response, by employing both direct T-cell inhibition as well as induction of regulatory T cells (Tregs). Investigating the frequency and function of immune suppressive cell subsets in the peripheral blood of 41 patients with prostate cancer (PC) and 36 healthy donors (HD) showed a significant increase in circulating CD14(+) HLA-DR(low/neg) monocytic MDSC (M-MDSC) and Tregs in patients with PC compared to HD. Furthermore, M-MDSC frequencies correlated positively with Treg levels. In vitro proliferation assay with autologous T cells confirmed M-MDSC-mediated T-cell suppression, and intracellular staining of immune suppressive enzyme iNOS revealed a higher expression in M-MDSC from patients with PC. Increased frequencies of M-MDSC correlated with known negative prognostic markers in patients with PC including elevated levels of lactate dehydrogenase and prostate-specific antigen. Accordingly, high levels of M-MDSC were associated with a shorter median overall survival. Our data strongly suggest that M-MDSC, possibly along with Tregs, play a role in establishing an immune suppressive environment in patients with PC. Moreover, correlation of M-MDSC frequency with known prognostic markers and the observed impact on OS could reflect a possible role in tumor progression. Further insight into the generation and function of MDSC and their interplay with Tregs and other cell types may suggest ways to tackle their induction and/or function to improve immunological tumor control. | 25,085,000 | [
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Longer incubation times for yeast fungemia: importance for presumptive treatment. | Isolation rates of Candida glabrata at ≤2 days were 8.9% and 34.8% at >2 days; for Cryptococcus neoformans, they were 0.9% and 8.6%, respectively (1741 fungemia analyzed). An incubation time >2 days supports candins as presumptive treatment for C. glabrata, keeping in mind the risk of Cryptococcus fungemia. | 25,085,022 | [
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Science and mechanism of action of targeted therapies in cancer treatment. | To identify common signaling pathways that control cancer growth and discuss the mechanism of action of cancer targeted therapies. Medical and nursing literature, research articles, published clinical guidelines. Understanding the signaling pathways and genetic mutations that control cancer cell growth elucidates an understanding of the mechanism of targeted therapies. To understand the mechanism of action of targeted therapies, oncology nurses must first be familiar with the most common signaling pathways. Adding to this foundation, the nurse can easily learn about the classes of targeted therapies and the strategies to minimize and manage common side effects. | 25,085,025 | [
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Expression of repulsive guidance molecule b (RGMb) in the uterus and ovary during the estrous cycle in rats. | Repulsive guidance molecule b (RGMb; a.k.a. Dragon), initially identified in the embryonic dorsal root ganglion, is the first member of the RGM family shown to enhance bone morphogenetic protein (BMP) signaling by acting as a BMP co-receptor. BMP signaling has been demonstrated to play an important role in the reproductive organs. Our previous study found that RGMb was expressed in the reproductive axis, but whether RGMb expression in reproductive organs changes across the estrous cycle remains unknown. Here, we show in the rat that RGMb mRNA expression in the uterus was significantly higher during metesterus and diestrus than during proestrus and estrus. Western blotting indicated that RGMb protein was significantly lower during estrus compared with the other three stages. Immunohistochemistry revealed that RGMb protein was mainly localized to the uterine luminal and glandular epithelial cells of the endometrium. RGMb mRNA and protein in the ovary remained unchanged during the estrous cycle. RGMb protein was expressed in the oocytes of all follicles. Weak staining for RGMb protein was also found in corpora lutea. RGMb was not detected in granulosa cells and stromal cells. Taken together, RGMb expression in the uterus and ovary across the estrus cycle demonstrate that RGMb may be involved in the regulation of uterine function, follicular development as well as luteal activity. | 25,085,051 | [
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Socioeconomic differences in the menopausal experience of Chinese women. | This study explores the effect of employment status, occupation and education on menopausal symptoms experienced by women in an urban community in China. Cross-sectional survey. Menopausal symptoms, medication/supplement use to relieve menopausal symptoms, sociodemographic variables. Risks for more burdensome menopausal symptoms include less education, non-white collar occupation and unemployment/retirement status. Being employed in a white collar occupation and having higher formal education were protective for hot flashes, dry skin/eyes, heart palpitations and insomnia and were associated with increased usage of medication to alleviate menopausal symptoms. As Chinese women age and continue working longer, they will spend increasing amounts of time postmenopausal and in the workplace. The development of worksite-based health programmes would be advantageous to female workers of menopausal age in China. | 25,085,075 | [
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[Correct preparation of a transfusion: Part 1]. | The administration of blood products is strictly regulated. Several weeks before the operation the preparation for transfusion begins with optimizing the patient's hematological and hemostaseological situation. In elective surgery blood group testing and antibody screening are performed soon after admission of the patient. The identification of the blood sample is important. Informed consent of the recipient has to be obtained. On the day before the operation a further blood sample is necessary for cross-matching if red blood cells are to be transfused. Usually blood products are issued for immediate administration. Before transfusion begins the blood product has to be checked, the identity of the patient must be controlled and in the case of red blood cell transfusions the AB0 bedside test has to be performed. | 25,085,082 | [
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Impact of left bundle branch block after transcatheter aortic valve replacement. | The number of patients with severe aortic stenosis getting treated with transcatheter aortic valve replacement (TAVR) is rapidly growing and the outcome after the procedure is very good. However, the incidence of new persistent left bundle branch block (LBBB) following the TAVR procedure is high and the impact of this new conduction disturbance has been studied in four major studies with divergent result. This review investigates the differences between these studies that might explain the divergent results and concludes that future studies are needed to characterize whether or not new LBBB after TAVR fulfills the new strict LBBB criteria, whether these new LBBB patients develops left ventricular dyssynchrony, and which, if any, might benefit from cardiac resyncronization therapy (CRT). | 25,085,101 | [
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Angle of incidence averaging in reflectance measurements with optical microscopes for studying layered two-dimensional materials. | Reflectance spectrum measured using an optical microscope with a large numerical aperture objective lens is shown to get modified. The change is most prominent when there are optical interference related features in the spectrum. This modification is shown to arise primarily due to the wide range of angles of incidence involved in the measurement and a simple formulation is provided to correct for this in simulations. The importance of such analysis is brought out through a reflectance contrast spectroscopy based study for identifying mono-layer and bi-layer graphene and MoS2. | 25,085,125 | [
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Determination of the ReA Electron Beam Ion Trap electron beam radius and current density with an X-ray pinhole camera. | The Electron Beam Ion Trap (EBIT) of the National Superconducting Cyclotron Laboratory at Michigan State University is used as a charge booster and injector for the currently commissioned rare isotope re-accelerator facility ReA. This EBIT charge breeder is equipped with a unique superconducting magnet configuration, a combination of a solenoid and a pair of Helmholtz coils, allowing for a direct observation of the ion cloud while maintaining the advantages of a long ion trapping region. The current density of its electron beam is a key factor for efficient capture and fast charge breeding of continuously injected, short-lived isotope beams. It depends on the radius of the magnetically compressed electron beam. This radius is measured by imaging the highly charged ion cloud trapped within the electron beam with a pinhole camera, which is sensitive to X-rays emitted by the ions with photon energies between 2 keV and 10 keV. The 80%-radius of a cylindrical 800 mA electron beam with an energy of 15 keV is determined to be r(80%) = (212 ± 19)μm in a 4 T magnetic field. From this, a current density of j = (454 ± 83)A/cm(2) is derived. These results are in good agreement with electron beam trajectory simulations performed with TriComp and serve as a test for future electron gun design developments. | 25,085,129 | [
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A novel fast-neutron detector concept for energy-selective imaging and imaging spectroscopy. | We present and discuss the operational principle of a new fast-neutron detector concept suitable for either energy-selective imaging or for imaging spectroscopy. The detector is comprised of a series of energy-selective stacks of converter foils immersed in a noble-gas based mixture, coupled to a position-sensitive charge readout. Each foil in the various stacks is made of two layers of different thicknesses, fastened together: a hydrogen-rich (plastic) layer for neutron-to-proton conversion, and a hydrogen-free coating to selectively stop/absorb the recoil protons below a certain energy cut-off. The neutron-induced recoil protons, that escape the converter foils, release ionization electrons in the gas gaps between consecutive foils. The electrons are then drifted towards and localized by a position-sensitive charge amplification and readout stage. Comparison of the images detected by stacks with different energy cut-offs allows energy-selective imaging. Neutron energy spectrometry is realized by analyzing the responses of a sufficient large number of stacks of different energy response and unfolding techniques. In this paper, we present the results of computer simulation studies and discuss the expected performance of the new detector concept. Potential applications in various fields are also briefly discussed, in particularly, the application of energy-selective fast-neutron imaging for nuclear safeguards application, with the aim of determining the plutonium content in Mixed Oxide (MOX) fuels. | 25,085,132 | [
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Investigation of the adhesive bonding technology for the insulator structure of EAST neutral beam injector. | A key issue on the development of EAST ion source was the junction design of insulator structure, which consists of three insulators and four supporting flanges of electrode grid. Because the ion source is installed on the vertical plane, the insulator structure has to withstand large bending and shear stress due to the gravity of whole ion source. Through a mechanical analysis, it was calculated that the maximum bending normal stress was 0.34 MPa and shear stress was 0.23 MPa on the insulator structure. Due to the advantages of simplicity and high strength, the adhesive bonding technology was applied to the junction of insulator structure. A tensile testing campaign of different junction designs between insulator and supporting flange was performed, and a junction design of stainless steel and fiber enhanced epoxy resin with epoxy adhesive was determined. The insulator structure based on the determined design can satisfy both the requirements of high-voltage holding and mechanical strength. | 25,085,137 | [
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Breakdown assisted by a novel electron drift injection in the J-TEXT tokamak. | A novel electron drift injection (EDI) system aiming to improve breakdown behavior has been designed and constructed on the Joint Texas EXperiment Tokamak Tokamak. Electrons emitted by the system undergo the E×B drift, ∇B drift and curvature drift in sequence in order to traverse the confining magnetic field. A local electrostatic well, generated by a concave-shaped plate biased more negative than the cathode, is introduced to interrupt the emitted electrons moving along the magnetic field line (in the parallel direction) in an attempt to bring an enhancement of the injection efficiency and depth. A series of experiments have demonstrated the feasibility of this method, and a penetration distance deeper than 9.5 cm is achieved. Notable breakdown improvements, including the reduction of breakdown delay and average loop voltage, are observed for discharges assisted by EDI. The lower limit of successfully ionized pressure is expanded. | 25,085,138 | [
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Moiré deflectometry using the Talbot-Lau interferometer as refraction diagnostic for high energy density plasmas at energies below 10 keV. | The highly localized density gradients expected in High Energy Density (HED) plasma experiments can be characterized by x-ray phase-contrast imaging in addition to conventional attenuation radiography. Moiré deflectometry using the Talbot-Lau grating interferometer setup is an attractive HED diagnostic due to its high sensitivity to refraction induced phase shifts. We report on the adaptation of such a system for operation in the sub-10 keV range by using a combination of free standing and ultrathin Talbot gratings. This new x-ray energy explored matches well the current x-ray backlighters used for HED experiments, while also enhancing phase effects at lower electron densities. We studied the performance of the high magnification, low energy Talbot-Lau interferometer, for single image phase retrieval using Moiré fringe deflectometry. Our laboratory and simulation studies indicate that such a device is able to retrieve object electron densities from phase shift measurements. Using laboratory x-ray sources from 7 to 15 μm size we obtained accurate simultaneous measurements of refraction and attenuation for both sharp and mild electron density gradients. | 25,085,141 | [
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Nanoparticle dispersion in superfluid helium. | Cryogenic fluid flows including liquid nitrogen and superfluid helium are a rich environment for novel scientific discovery. Flows can be measured optically and dynamically when faithful tracer particles are dispersed in the liquid. We present a reliable technique for dispersing commercially available fluorescent nanoparticles into cryogenic fluids using ultrasound. Five types of fluorescent nanoparticles ranging in size from 5 nm to 1 μm were imaged in liquid nitrogen and superfluid helium, and were tracked at frame rates up to 100 Hz. | 25,085,144 | [
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Thermal transport in shock wave-compressed solids using pulsed laser heating. | A pulsed laser heating method was developed for determining thermal transport properties of solids under shock-wave compression. While the solid is compressed, a laser deposits a known amount of heat onto the sample surface, which is held in the shocked state by a transparent window. The heat from the laser briefly elevates the surface temperature and then diffuses into the interior via one-dimensional heat conduction. The thermal effusivity is determined from the time history of the resulting surface temperature pulse, which is recorded with optical pyrometry. Thermal effusivity is the square root of the product of thermal conductivity and volumetric heat capacity and is the key thermal transport parameter for relating the surface temperature to the interior temperature of the sample in a dynamic compression experiment. Therefore, this method provides information that is needed to determine the thermodynamic state of the interior of a compressed metal sample from a temperature measurement at the surface. The laser heat method was successfully demonstrated on tin that was shock compressed with explosives to a stress and temperature of ~25 GPa and ~1300 K. In this state, tin was observed to have a thermal effusivity of close to twice its ambient value. The implications on determining the interior shock wave temperature of tin are discussed. | 25,085,148 | [
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Non-contact direct measurement of the magnetocaloric effect in thin samples. | An experimental setup, based on a non-contact temperature sensor, is proposed to directly measure the magnetocaloric effect of samples few micrometers thick. The measurement of the adiabatic temperature change of foils and ribbons is fundamental to design innovative devices based on magnetocaloric thin materials or micro-structuring bulk samples. The reliability of the proposed setup is demonstrated by comparing the measurements performed on a bulk gadolinium sample with the results obtained by an experimental setup based on a Cernox bare chip thermoresistance and by in-field differential scanning calorimetry. We show that this technique can measure the adiabatic temperature variation on gadolinium sheets as thin as 27 μm. Heat transfer simulations are added to describe the capability of the presented technique. | 25,085,161 | [
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A new developed velocity of sound measurement device for characterization of multi-component gas mixtures under elevated temperatures and pressures. | Inline process control by measurement of velocity of sound of fluids is a direct and comprehensive technique [J. D. N. Cheeke and Z. Wang, "Acoustic wave gas sensors," Sens. Actuators B 59, 146-153 (1999); J. W. Grate, S. J. Martin, and R. M. White, "Acoustic wave microsensors," Anal. Chem. 65, 1868 (1993)]. Depending on the varying conditions of measuring fluid(s), temperatures and pressures, it is a challenging task to find the best possible acoustic setup. Taking this background into account, a velocity of sound measurement device for temperatures up to 475 K and pressures up to 24 MPa was designed and assembled that is to be used for testing different resonator types. Two bulk acoustic wave resonators out of the commonly used lead zirconatetitanate compound (PZT) were tested at different test fluids under temperatures up to 423.15 K and pressures up to 24 MPa [S. Gebhardt, L. Seffner, F. Schlenkirch, and A. Schönecker, "PZT thick films for sensor and actuator applications," J. Eur. Ceram. Soc. 27, 4177-4180 (2007)]. Initially the pure gases methane, ethane, carbon dioxide, nitrogen, and helium were measured, followed by multi-component gas mixtures. Beside methane-based binary and ternary gas mixtures, a quaternary gas mixture comprising methane, ethane, carbon dioxide, and helium was analyzed. Results for all measurement fluids in a broad temperature and pressure range show a relative deviation to theoretical values derived from GERG-2008 smaller than 0.5%. | 25,085,164 | [
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Real time and simultaneous measurement of displacement and temperature using fiber loop with polymer coating and fiber Bragg grating. | An all-fiber sensor scheme for real time and simultaneous displacement and temperature measurement is presented and demonstrated. The sensor head is formed by cascading a fiber loop with polymer coating with a fiber Bragg grating. The compatibility of the two components is fully utilized. A sensor resolution of 0.14314 V/μm in displacement and 0.00795 nm/°C in temperature are experimentally achieved within a displacement range of 0-50 μm and a temperature range of 20 °C-75 °C, respectively. The fiber loop with the protection of polymer coating is mechanically reliable, which means the sensor head also suits measuring dynamic displacement. A 500 Hz mechanical micro-vibration is successfully measured by the proposed sensor experimentally. In the last part, we perform a test making the sensor reach its maximum deformation and find the surviving sensor still possesses the same responsiveness as before. | 25,085,165 | [
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Impact force measurement of a spherical body dropping onto a water surface. | We propose a method for measuring the impact force of a spherical body dropping onto a water surface. The velocity of the center of gravity of a metal spherical body, in which a cube corner prism is embedded so that its optical center coincides with the center of gravity of the sphere, is accurately measured using an optical interferometer. The acceleration, displacement, and inertial force of the sphere are calculated from the velocity. The sphere is also observed using a high-speed camera. The uncertainty in measuring the instantaneous value of the impact force with a sampling interval of approximately 1 ms is estimated to be 8 mN, which corresponds to 0.8% of the maximum force of approximately 1.0 N. | 25,085,174 | [
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Note: High-speed optical imaging powered by acoustic emission triggering. | Aiming at high speed video recording of rapid events, which occur in loaded solids with unpredictable timing, the efficient triggering method is proposed for optical imaging systems with an aid from the highly sensitive acoustic emission technique. The efficiency of the proposed method is demonstrated on two examples: observation of initiation and propagation of highly localized shear bands in metallic glasses and mechanical twinning in Mg polycrystals. | 25,085,188 | [
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Note: Three-dimensional linearization of optical trap position detection for precise high speed diffusion measurements. | Studies of the details of Brownian motion, hydrodynamic of colloids, or protein diffusion measurements all require high temporal and spatial resolution of the position detector and a means to trap the colloid. Optical trap based thermal noise imaging employing a quadrant photodiode as detector provides such a method. However, optical trapping requires an objective with high numerical aperture resulting in highly nonlinear position signal and significant cross-dependence of the three spatial directions. Local diffusion measurements are especially susceptible to distance errors. Here, we present a position calibration method, which corrects nonlinearities sufficiently to allow precise local diffusion measurement throughout the entire trapping volume. This correction permits us to obtain high-resolution two- and three-dimensional diffusion maps. | 25,085,189 | [
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Effects of human atrial ionic remodelling by β-blocker therapy on mechanisms of atrial fibrillation: a computer simulation. | Atrial anti-arrhythmic effects of β-adrenoceptor antagonists (β-blockers) may involve both a suppression of pro-arrhythmic effects of catecholamines, and an adaptational electrophysiological response to chronic β-blocker use; so-called 'pharmacological remodelling'. In human atrium, such remodelling decreases the transient outward (Ito) and inward rectifier (IK1) K(+) currents, and increases the cellular action potential duration (APD) and effective refractory period (ERP). However, the consequences of these changes on mechanisms of genesis and maintenance of atrial fibrillation (AF) are unknown. Using mathematical modelling, we tested the hypothesis that the long-term adaptational decrease in human atrial Ito and IK1 caused by chronic β-blocker therapy, i.e. independent of acute electrophysiological effects of β-blockers, in an otherwise un-remodelled atrium, could suppress AF. Contemporarily, biophysically detailed human atrial cell and tissue models were used to investigate effects of the β-blocker-based pharmacological remodelling. Chronic β-blockade remodelling prolonged atrial cell APD and ERP. The incidence of small amplitude APD alternans in the CRN model was reduced. At the 1D tissue level, β-blocker remodelling decreased the maximum pacing rate at which APs could be conducted. At the three-dimensional organ level, β-blocker remodelling reduced the life span of re-entry scroll waves. This study improves our understanding of the electrophysiological mechanisms of AF suppression by chronic β-blocker therapy. Atrial fibrillation suppression may involve a reduced propensity for maintenance of re-entrant excitation waves, as a consequence of increased APD and ERP. | 25,085,203 | [
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Stigmatizing attitudes towards people with pedophilia and their malleability among psychotherapists in training. | Offering counseling and psychotherapy to patients with pedophilia is considered an essential part of sexual abuse prevention by many experts in the field. Yet, professionals' willingness to offer treatment might be compromised by stigmatizing attitudes towards these patients. In the present study, we developed and tested a 10-min online intervention (including educational material and a video about a person with pedophilia) to reduce stigma and increase motivation to work with this particular patient group. Psychotherapists in training were either assigned to the anti-stigma intervention group (n=68) or the control group (n=69) that received information about violence-free parenting. In the anti-stigma condition, agreement with the stereotypes controllability and dangerousness, anger, reduced pity and social distance were significantly reduced after the intervention, compared to the control group, while motivation to work with this group remained unchanged. The effects persisted, though slightly reduced in size, for perceived controllability, anger and social distance at follow-up. Our results suggest that stigmatizing attitudes, negative affective responses and social distance regarding people with pedophilia among psychotherapists in training can be positively influenced by a low-cost intervention. Practical implications of these findings for high quality health care and child sexual abuse prevention are discussed. | 25,085,206 | [
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Problems with the dating of sediment core using excess (210)Pb in a freshwater system impacted by large scale watershed changes. | Pb-210 dating of freshwater and coastal sediments have been extensively conducted over the past 40 years for historical pollution reconstruction studies, sediment focusing, sediment accumulation and mixing rate determination. In areas where there is large scale disturbance of sediments and the watershed, the vertical profiles of excess (210)Pb ((210)Pbxs) could provide erroneous or less reliable information on sediment accumulation rates. We analyzed one sediment core from Hendrix Lake in southwestern Arkansas for excess (210)Pb and (137)Cs. There is no decrease in excess (210)Pb activity with depth while the (137)Cs profile indicates sharp peak corresponding to 1963 and the (137)Cs penetration depth of (137)Cs corresponds to 1952. The historical data on the accelerated mercury mining during 1931-1944 resulted in large-scale Hg input to this watershed. Using the peak Hg activity as a time marker, the obtained sediment accumulation rates agree well with the (137)Cs-based rates. Four independent evidences (two-marker events based on (137)Cs and two marker events based on Hg mining activity) result in about the same sedimentation rates and thus, we endorse earlier suggestion that (210)Pb profile always needs to be validated with at least one another independent method. We also present a concise discussion on what important factors that can affect the vertical profiles of (210)Pbxs in relatively smaller lakes. | 25,085,208 | [
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Multiscale simulations of the structure and dynamics of stereoregular poly(methyl methacrylate)s. | The chain tacticity of a polymer is a key influence on its structure and dynamics, which ultimately determine its properties. While they have great potential to elucidate the influence of chain tacticity, all-atom molecular simulations are often restricted to short chains and small systems. In this work, two typical stereoregular poly(methyl methacrylate) melts were investigated via multiscale simulations. To improve computational efficiency, systematic coarse-graining was first performed. While the coarse-grained molecular dynamics simulations were able to show the effects of tacticity on intramolecular structure and intermolecular interactions, they were not able to reproduce the exact structural distribution or even the effects of tacticity on the dynamics. An alternative reverse-mapping scheme was therefore developed specifically to treat chain configurations in a direct geometric way. The backmapped all-atomistic simulations were found to accurately reproduce the microscopic features of the polymers. Since the effects of tacticity are rather subtle and therefore difficult to discern, this multiscale simulation scheme is a very important method of investigating complex high molecular weight polymer systems. | 25,085,210 | [
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Suicide completion in secondary mental healthcare: a comparison study between schizophrenia spectrum disorders and all other diagnoses. | Suicide completion is a tragic outcome in secondary mental healthcare. However, the extent to which demographic and clinical characteristics, suicide method and service use-related factors vary across psychiatric diagnoses remains poorly understood, particularly regarding differences between 'schizophrenia spectrum disorders (SSD)' and 'all other diagnoses', which may have implications for suicide prevention in high risk groups. 308 patients who died by suicide over 2007-2011 were identified from the South London and Maudsley NHS Foundation Trust Biomedical Research Centre Case Register. Demographic, clinical, services use-related factors, 'full risk assessment' ratings and the Health of the Nation Outcome Scale (HONOS) scores were compared across psychiatric diagnoses. Specifically, differences between patients with and without SSD were investigated. Patients with SSD ended their lives at a younger age, were more frequently of Black ethnicity and had higher levels of social deprivation than other diagnoses. Also, these patients were more likely to have HONOS and 'risk assessment' completed. However, patients who had no SSD scored significantly higher on 'self-injury' and 'depression' HONOS items and they were more likely to have the following 'risk assessment' items: 'suicidal ideation', 'hopelessness', 'feeling no control of life', 'impulsivity' and 'significant loss'. Of note, 'disengagement' was more common in patients with SSD, although they had been seen by the staff closer to the time of suicide than in all-other diagnoses. Whilst 'hanging' was the most common suicide method amongst patients with non-SSD, most service users with a SSD diagnosis used 'jumping' (from heights or in front of a vehicle). Suicide completion characteristics varied between SSD and other diagnoses in patients receiving secondary mental healthcare. In particular, although clinicians tend to more frequently recognize suicide risk as a focus of concern in patients who have SSD, who are therefore more likely to have a detailed risk assessment documented; 'known' suicide risk factors appear to be more relevant in patients with non-SSD. Hence, the classic suicide prevention model might be of little use for SSD. | 25,085,220 | [
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Effect of graft sources on allogeneic hematopoietic stem cell transplantation outcome in adults with chronic myeloid leukemia in the era of tyrosine kinase inhibitors: a Japanese Society of Hematopoietic Cell Transplantation retrospective analysis. | We retrospectively compared transplant outcomes for related bone marrow transplantation (rBMT), related peripheral blood stem cell transplantation (rPBSCT), unrelated bone marrow transplantation (uBMT), and unrelated cord blood transplantation (CBT) in 1,062 patients with chronic myeloid leukemia (CML) aged 20 years or over between January 1, 2000 and December 31, 2009 in Japan. The disease status was as follows: chronic phase 1 (CP1, n = 531), CP 2 or later including accelerated phase (CP2-AP, n = 342) and blastic crisis (BC, n = 189). Graft sources (GS) were rBMT (n = 205), uBMT (n = 507), rPBSCT (n = 226) or CBT (n = 124). In multivariate analysis in CP1, lower overall survival (OS) (relative risk [RR]: 6.01, 95 % confidence interval [CI]: 1.20-29.97, P = 0.029) and leukemia-free survival (LFS) (RR: 4.26, 95 % CI: 1.24-14.62, P = 0.021) were observed in uBMT compared with those in rBMT. For patients in the advanced phase of CML beyond CP1, GS had no significant impact on OS or LFS. Our results support the use of rBMT for adults with CML in CP1, but in contrast to previous reports, the superiority of rPBSCT in advanced stage of CML was not confirmed in our cohorts. | 25,085,253 | [
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Serine Protease Inhibitors as Good Predictors of Meat Tenderness: Which Are They and What Are Their Functions? | Since years, serine proteases and their inhibitors were an enigma to meat scientists. They were indeed considered to be extracellular and to play no role in postmortem muscle proteolysis. In the 1990's, we observed that protease inhibitors levels in muscles are a better predictor of meat tenderness than their target enzymes. From a practical point of view, we therefore choose to look for serine protease inhibitors rather than their target enzymes, i.e. serine proteases and the purpose of this report was to overview the findings obtained. Fractionation of a muscle crude extract by gel filtration revealed three major trypsin inhibitory fractions designed as F1 (Mr:50-70 kDa), F2 (Mr:40-60 kDa) and F3 (Mr:10-15kD) which were analyzed separately. Besides antithrombin III, an heparin dependent thrombin inhibitor, F1 and F2 comprised a large set of closely related trypsin inhibitors encoded by at least 8 genes bovSERPINA3-1 to A3-8 and able to inhibit also strongly initiator and effector caspases. They all belong to the serpin superfamily, known to form covalent complexes with their target enzymes, were located within muscle cells and found in all tissues and fluids examined irrespective of the animal species. Potential biological functions in living and postmortem muscle were proposed for all of them. In contrast to F1 and F2 which have been more extensively investigated only preliminary findings were provided for F3. Taken together, these results tend to ascertain the onset of apoptosis in postmortem muscle. However, the exact mechanisms driving the cell towards apoptosis and how apoptosis, an energy dependent process, can be completed postmortem remain still unclear. | 25,085,261 | [
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Multi-tissue analyses reveal limited inter-annual and seasonal variation in mercury exposure in an Antarctic penguin community. | Inter-annual variation in tissue mercury concentrations in birds can result from annual changes in the bioavailability of mercury or shifts in dietary composition and/or trophic level. We investigated potential annual variability in mercury dynamics in the Antarctic marine food web using Pygoscelis penguins as biomonitors. Eggshell membrane, chick down, and adult feathers were collected from three species of sympatrically breeding Pygoscelis penguins during the austral summers of 2006/2007-2010/2011. To evaluate the hypothesis that mercury concentrations in penguins exhibit significant inter-annual variation and to determine the potential source of such variation (dietary or environmental), we compared tissue mercury concentrations with trophic levels as indicated by δ(15)N values from all species and tissues. Overall, no inter-annual variation in mercury was observed in adult feathers suggesting that mercury exposure, on an annual scale, was consistent for Pygoscelis penguins. However, when examining tissues that reflected more discrete time periods (chick down and eggshell membrane) relative to adult feathers, we found some evidence of inter-annual variation in mercury exposure during penguins' pre-breeding and chick rearing periods. Evidence of inter-annual variation in penguin trophic level was also limited suggesting that foraging ecology and environmental factors related to the bioavailability of mercury may provide more explanatory power for mercury exposure compared to trophic level alone. Even so, the variable strength of relationships observed between trophic level and tissue mercury concentrations across and within Pygoscelis penguin species suggest that caution is required when selecting appropriate species and tissue combinations for environmental biomonitoring studies in Antarctica. | 25,085,270 | [
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Treatment effectiveness of Fränkel function regulator on the Class III malocclusion: a systematic review and meta-analysis. | The Fränkel function regulator III appliance (FR-3) has been used to correct Class III malocclusions for many years; however, its treatment effectiveness is controversial. In this study, we aimed to assess the effectiveness of the FR-3 in treating patients with Class III malocclusion in the growth and development period. Medline (via PubMed), Cochrane Central Register of Controlled Trials, Embase, Chinese Biomedical Literature Database, China National Knowledge Infrastructure, VIP Database for Chinese Technical Periodicals, Scirus, Lilacs, Scopus, and World Health Organization International Clinical Trials Registry Platform were searched electronically. Relevant journals and reference lists of included studies were manually searched. The quality of the included studies was assessed with the Newcastle-Ottawa scale. The meta-analysis was carried out using RevMan (version 5.2; Nordic Cochrane Centre, Cochrane Collaboration, Copenhagen, Denmark). Seven high-quality cohort studies were included. The meta-analysis showed that SNA changes did not differ in the short (mean difference, 0.43°; 95% CI, -0.52°-1.39°) and long (mean difference, 0.37°; 95% CI, -0.29°-1.03°) terms. However, SNB changes significantly differed in the short (mean difference, -1.62°; 95% CI, -2.62° to -0.62°) and long (mean difference, -1.50°; 95% CI, -2.12° to -0.88°) terms. By contrast, MPA changes did not differ in the short term (mean difference, 0.55°; 95% CI, -0.74°-1.84°). Clinical evidence suggests that the FR-3 might restrict mandibular growth but not stimulate forward movement of the maxilla. Further high-quality studies are necessary to confirm the effectiveness of the FR-3. | 25,085,296 | [
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Biomechanical effectiveness of cortical bone thickness on orthodontic microimplant stability: an evaluation based on the load share between cortical and cancellous bone. | The aim of this study was to determine the appropriate range of cortical bone thickness (CBT) for supporting an orthodontic microimplant. Analysis of an orthodontic microimplant subjected to a horizontal force of 2N was performed using a nonlinear finite element method. The peak stresses in the cortical bone of 6 bone specimens (6 base models) with CBT of 0.5, 0.75, 1.0, 1.5, 2.0, and 3.0 mm, respectively, were analyzed. Assuming that the biomechanical effectiveness of cortical and cancellous bone is determined by the portion of the orthodontic force that each bone component takes up, we defined the ratios of the orthodontic force divided between the cortical and cancellous bone as load share ratios (LSR): ie, LSRcortical and LSRcancellous. Along with the base models, imaginary models created by removal of the cancellous bone from the base model bone specimens were analyzed in parallel; the imaginary models were designed so that the cortical bone alone took up all of the orthodontic force. By comparing the peak stresses in the imaginary and base models, the ratios of orthodontic force taken up by the cancellous and cortical bone (LSRcancellous and LSRcortical) were calculated. The highest stress concentration occurred near the fulcrum where the orthodontic microimplant, undergoing tipping, presses the cortical bone surface in the direction of the force. Overall, the increase in CBT resulted in a decrease of the peak stress in the cortical bone. The decrease of stress, however, was not significant when the CBT was > 2.0 mm. LSR analysis showed that the cancellous bone has a substantial role in resisting the orthodontic force in cases of CBT ≤1.0 mm. Its role, however, declined rapidly with an increase of CBT and virtually disappeared at CBT values > 2.0 mm. LSRcortical was approximately 95% (LSRcancellous was 5%) at CBT = 1.5 mm and almost 100% at CBT = 2.0 mm, indicating that virtually all of the orthodontic force is transmitted to the cortical bone at CBT values of 2.0 mm or above. These results collectively demonstrated that CBT > 2.0 mm is biomechanically redundant. From the biomechanical perspective, CBT values of 1.0 to 2.0 mm might be appropriate for orthodontic microimplant treatment. | 25,085,300 | [
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Cervical vertebral bone mineral density changes in adolescents during orthodontic treatment. | The cervical vertebral maturation (CVM) stages have been used to estimate facial growth status. In this study, we examined whether cone-beam computed tomography images can be used to detect changes of CVM-related parameters and bone mineral density distribution in adolescents during orthodontic treatment. Eighty-two cone-beam computed tomography images were obtained from 41 patients before (14.47 ± 1.42 years) and after (16.15 ± 1.38 years) orthodontic treatment. Two cervical vertebral bodies (C2 and C3) were digitally isolated from each image, and their volumes, means, and standard deviations of gray-level histograms were measured. The CVM stages and mandibular lengths were also estimated after converting the cone-beam computed tomography images. Significant changes for the examined variables were detected during the observation period (P ≤0.018) except for C3 vertebral body volume (P = 0.210). The changes of CVM stage had significant positive correlations with those of vertebral body volume (P ≤0.021). The change of the standard deviation of bone mineral density (variability) showed significant correlations with those of vertebral body volume and mandibular length for C2 (P ≤0.029). The means and variability of the gray levels account for bone mineral density and active remodeling, respectively. Our results indicate that bone mineral density distribution and the volume of the cervical vertebral body changed because of active bone remodeling during maturation. | 25,085,301 | [
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National Institute of Nursing Research Centers of Excellence: a logic model for sustainability, leveraging resources, and collaboration to accelerate cross-disciplinary science. | The National Institute of Nursing Research (NINR) Centers of Excellence program is a catalyst enabling institutions to develop infrastructure and administrative support for creating cross-disciplinary teams that bring multiple strategies and expertise to bear on common areas of science. Centers are increasingly collaborative with campus partners and reflect an integrated team approach to advance science and promote the development of scientists in these areas. The purpose of this paper is to present the NINR Logic Model for Center Sustainability. The components of the logic model were derived from the presentations and robust discussions at the 2013 NINR center directors' meeting focused on best practices for leveraging resources and collaboration as methods to promote center sustainability. Collaboration through development and implementation of cross-disciplinary research teams is critical to accelerate the generation of new knowledge for solving fundamental health problems. Sustainability of centers as a long-term outcome beyond the initial funding can be enhanced by thoughtful planning of inputs, activities, and leveraging resources across multiple levels. | 25,085,328 | [
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Prediction of response to endoscopic therapy of Barrett's dysplasia by using genetic biomarkers. | Endoscopic therapy for the treatment of high-grade dysplasia (HGD) and intramucosal cancer (IMC) in Barrett's esophagus (BE) may not always result in complete remission of dysplasia (CRD). To determine whether genetic alterations in the Barrett's mucosa can predict response to endoscopic therapy. Retrospective cohort study. Tertiary-care institution. Selected patients who underwent endoscopic therapy for BE containing HGD/IMC between 2003 and 2010. Endoscopic therapy combining mucosal resection and different ablation modalities was performed based on patient characteristics, endoscopic findings, and technique evolution. Fluorescence in situ hybridization was used to evaluate genetic alterations on baseline endoscopic cytology brushings by using probes directed to loci 8q24 (MYC), 9p21 (CDKN2A; alias P16), 17q12 (ERBB2; alias Her-2/neu), and 20q13.2 (ZNF217). Genetic biomarkers predicting achievement of CRD after endoscopic therapy. A total of 181 patients were included (145 men; 66 ± 10 years of age). There were 130 patients (72%) who responded to endoscopic therapy with CRD. Multiple gains detected by fluorescence in situ hybridization was found to be a negative predictor (hazard ratio 0.57; 95% confidence interval, 0.40-0.82) after adjusting for potential clinical confounders. Similar results were found when analyses were restricted to patients (n = 66) undergoing radiofrequency ablation (hazard ratio 0.58; 95% confidence interval, 0.31-1.09). Retrospective study, heterogeneity of treatment modalities. Patients with multiple gains detected by brush cytology specimens may have a lower response rate to endoscopic therapy. The presence of multiple gains can be an adjunct to standard histology in prognosticating BE patients with HGD/IMC undergoing endoscopic therapy. | 25,085,335 | [
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Identifying the heterogeneity of young adult rhinitis through cluster analysis in the Isle of Wight birth cohort. | Rhinitis affects many young adults and often shows comorbidity with asthma. We hypothesized that young adult rhinitis, like asthma, exhibits clinical heterogeneity identifiable by means of cluster analysis. Participants in the Isle of Wight birth cohort (n = 1456) were assessed at 1, 2, 4, 10, and 18 years of age. Cluster analysis was performed on those with rhinitis at age 18 years (n = 468) by using 13 variables defining clinical characteristics. Four clusters were identified. Patients in cluster 1 (n = 128 [27.4%]; ie, moderate childhood-onset rhinitis) had high atopy and eczema prevalence and high total IgE levels but low asthma prevalence. They showed the best lung function at 18 years of age, with normal fraction of exhaled nitric oxide (Feno), low bronchial hyperresponsiveness (BHR), and low bronchodilator reversibility (BDR) but high rhinitis symptoms and treatment. Patients in cluster 2 (n = 199 [42.5%]; ie, mild-adolescence-onset female rhinitis) had the lowest prevalence of comorbid atopy, asthma, and eczema. They had normal lung function and low BHR, BDR, Feno values, and total IgE levels plus low rhinitis symptoms, severity, and treatment. Patients in cluster 3 (n = 59 [12.6%]; ie, severe earliest-onset rhinitis with asthma) had the youngest rhinitis onset plus the highest comorbid asthma (of simultaneous onset) and atopy. They showed the most obstructed lung function with high BHR, BDR, and Feno values plus high rhinitis symptoms, severity, and treatment. Patient 4 in cluster 4 (n = 82 [17.5%]; ie, moderate childhood-onset male rhinitis with asthma) had high atopy, intermediate asthma, and low eczema. They had impaired lung function with high Feno values and total IgE levels but intermediate BHR and BDR. They had moderate rhinitis symptoms. Clinically distinctive adolescent rhinitis clusters are apparent with varying sex and asthma associations plus differing rhinitis severity and treatment needs. | 25,085,342 | [
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The effect of neoadjuvant radiation therapy on perioperative outcomes among patients undergoing resection of retroperitoneal sarcomas. | Neoadjuvant radiation therapy (RT) has several theoretical benefits in the treatment of retroperitoneal sarcoma (RPS), but concerns remain about treatment toxicity and perioperative morbidity. There are limited data regarding its effect on perioperative outcomes, most of which come from small, single-institution series. The purpose of this study was to evaluate the short-term (30-day) postoperative morbidity and mortality associated with neoadjuvant RT following resection of RPS. The 2005-2011 National Surgical Quality Improvement Program Participant User File was queried for patients undergoing RPS resection. Subjects were stratified by use of neoadjuvant RT. Perioperative variables and short-term 30-day outcomes were compared. Groups were then propensity matched using a 2:1 nearest-neighbor algorithm and multivariable logistic regression was performed to assess neoadjuvant RT as a predictor of short-term 30-day outcomes. A total of 785 patients were identified. Neoadjuvant RT was administered to 71 (9.0%). Patients who received neoadjuvant RT were slightly younger (56 vs. 62 years, p < 0.001), but otherwise the groups were similar. After propensity matching, all baseline characteristics were highly similar. Median operative time was longer in the neoadjuvant RT group (279 vs. 219 min, p < 0.01), but there were no differences in mortality (1.4 vs. 2.1%, p = 0.71), major complications (28.2 vs. 25.2%, p = 0.69), overall complications (35.2 vs.33.2%, p = 0.83), early reoperation (5.6 vs. 7.4%, p = 0.81), or length of stay (7 vs. 7 days, p = 0.56). Following further adjustment with logistic regression, we confirmed that there were no differences in 30-day mortality or morbidity between patients who did and did not receive neoadjuvant RT. Neoadjuvant RT does not appear to increase short-term (30-day) morbidity or mortality following resection of RPS. Continued investigation is needed to better define the role for radiation therapy among patients with this disease. | 25,085,344 | [
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Role of glycosyltransferase PomGnT1 in glioblastoma progression. | Glioblastoma multiforme (GBM) is the most aggressive and invasive brain tumor, for which novel prognostic markers and predictors of therapeutic response are urgently needed. We reported previously that levels of peptide-O-linked mannose β-1,2-N-acetylglucosaminyltransferase 1 (PomGnT1) in glioma specimens correlated with tumor grade. However, the prognostic significance of PomGnT1 in glioma patients and its function in GBM progression remain unknown. Clinical relevance of PomGnT1 in GBM patients' prognosis was analyzed both in a clinically annotated expression dataset of 446 GBM tumor specimens and in 82 GBM tumor samples collected at our institution. The function of PomGnT1 in glioma growth and invasion, and the underlying mechanisms of PomGnT1 regulation were explored in vitro and in vivo. PomGnT1 expression in GBM tissues was closely associated with poor prognosis in GBM patients. Forced overexpression of PomGnT1 in glioblastoma cells impaired cell adhesion and increased their proliferation and invasion in vitro. Subsequent in vivo experiments showed that overexpression of PomGnT1 promoted tumor growth and shortened the survival time of tumor-bearing mice in an orthotopic model. Conversely, stable short hairpin RNA-mediated knockdown of PomGnT1 expression produced opposite effects both in vitro and in vivo. Mechanistic studies revealed that activation of epidermal growth factor receptor (EGFR) resulted in EGFR/extracellular signal-regulated kinase-dependent upregulation of PomGnT1, downregulation of receptor-type protein tyrosine phosphatase β, and activation of β-catenin pathway signaling. These findings suggest that PomGnT1 promotes GBM progression via activation of β-catenin and may serve as a prognostic factor for glioma patient survival as well as a novel molecular target for anticancer therapy in malignant glioma. | 25,085,363 | [
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The CareWell in Hospital program to improve the quality of care for frail elderly inpatients: results of a before-after study with focus on surgical patients. | The objective of this study was to evaluate implementation of an innovative intervention designed to prevent complications and stimulate early rehabilitation among frail elderly inpatients. The program was implemented in April 2011. A mixed-methods process evaluation and before-after study were performed. Primary effect outcomes included incidence of hospital-acquired delirium, cognitive decline, and decline in activities of daily living (ADL) during hospital stay. Secondary endpoints included ADL performance 3 months postdischarge, readmission, and caregiver burden. One hundred ninety-one preintervention and 195 postintervention patients aged 70 years or older were included. Overall, no significant differences in primary endpoints were found. Mean ADL between discharge and follow-up improved (3.2 vs 5.7, P = .058). Caregivers rated burden of care lower at 3 months postdischarge (.5 vs -.6, P = .049). The CareWell in Hospital program was implemented satisfactorily. Although the low baseline delirium incidence (11%), higher comorbidity, and an increasing learning curve during a restricted implementation period potentially influenced the overall effects, this integrated care program may have beneficial effects on outcomes among frail elderly surgical patients. | 25,085,385 | [
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Characterization of ruminal temperature and its relationship with ruminal pH in beef heifers fed growing and finishing diets. | This study characterized the relationship between ruminal temperature (T rum) and pH in beef cattle fed growing and finishing diets. In Exp. 1, 16 ruminally cannulated beef heifers (388.5 ± 34.9 kg BW) were fed 4 growing diets in a replicated 4 × 4 Latin square with four 21-d periods. Diets were (DM basis) grower control (CTLg; 35% barley grain plus 5% canola meal), 40% corn dried distillers grains plus solubles (CDDGSg), 40% wheat dried distillers grains plus solubles (WDDGSg), and 37.6% WDDGSg plus 2.4% corn oil (WDDGSg+O). All diets contained 55% barley silage (DM basis). Ruminal pH and T rum were continuously monitored for 4 d each period starting on d 18. In Exp. 2, the 16 heifers were gradually transitioned (529.1 ± 41.1 kg BW) from the growing diets to 1 of 4 finishing diets in a replicated 4 × 4 Latin square with four 28-d periods. Diets were (DM basis) finisher control (CTL f), 40% corn-based distillers grains plus solubles (CDDGS f), 40% wheat-based distillers grains plus solubles (WDDGS f), and 37.4% WDDGSf + 2.6% corn oil (WDDGS f+O). All finishing diets contained 8% barley silage (DM basis). Ruminal pH and T rum were measured from d 25 to 28. With growing diets (n = 64), maximum T rum was negatively related to minimum pH (P < 0.001, r = -0.53) and positively related to starch intake (P < 0.001, r = 0.55). Maximum T rum, T rum > 40°C (h/d), and area under the curve (AUC) T rum > 38°C (area × h/d) accounted for 28.3, 9.5, and 4.7%, respectively, of the variability in minimum pH (R(2) = 0.43, P < 0.001, n = 64). Mean T rum and maximum T rum were greater for CTL g than CDDGS g, WDDGS g, and WDDGS g+O. With finishing diets (n = 63), maximum T rum was negatively related to minimum ruminal pH (P < 0.001, r = -0.63) and positively related to DMI (P < 0.001, r = 0.62) and to starch intake (P < 0.001, r = 0.58). Maximum T rum, AUC T rum > 39°C, and duration T rum > 38°C accounted for 40, 17, and 3.6%, respectively, of the variability in minimum pH (R(2) = 0.60, P < 0.001, n = 63). Mean T rum and maximum T rum were greater for CTL f than CDDGS f, WDDGS f, and WDDGS f+O. When individual animal data were examined, heifers with duration T rum > 40°C did not necessarily have greater duration pH < 5.2 or pH < 5.5. Ruminal temperature has the potential to predict ruminal pH, likely owing to the biological relationship between acid production and the heat of fermentation. Exploitation of this relationship to predict pH could provide a means of overcoming the problems associated with long-term monitoring of ruminal pH using electrode-based approaches. | 25,085,389 | [
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Improving residual feed intake of mule progeny of Muscovy ducks: genetic parameters and responses to selection with emphasis on carcass composition and fatty liver quality. | In France, about 95% of the fatty liver production comes from mule ducks, an infertile hybrid cross between female common ducks (Anas platyrhynchos) and Muscovy drakes (Cairina moschata). As a hybrid, genetic improvement of the performance of mule ducks is achieved by selection of the parental populations. Feed represents two-thirds of the total costs of duck production; thus, the breeders' main concern is to improve the birds' feed efficiency without impairing their capacity to be overfed after the growing period. To obtain insight into this economically important trait, we designed a divergent selection experiment for Muscovy sires on the basis of the residual feed intake (RFI) of their male mule progeny. Residual feed intake represents the fraction of feed intake that cannot be explained by maintenance and production requirements. Data comprised records from generations 0 to 2 with 227 Muscovy sires of 2,016 mule ducks. Growth and fat deposition were measured individually for all mule ducks. Half-sib mule ducks were placed together in 1 small pen, and the feed consumption was recorded for each pen; all half-sibs therefore had the same feed intake estimates. Heritability of RFI was high (0.83 ± 0.42), and after 2 generations of selection, the differences between lines in terms of RFI (contrast of 9.13 g/d, representing 0.76 phenotypic standard deviation; P < 0.0001) and feed conversion ratio (contrast of 0.08, representing 0.28 phenotypic standard deviation; P = 0.0003) were marked. In regard to carcass traits, the low-RFI line (high-efficiency animals) had heavier legs (476 vs. 463 g; P < 0.0001) and magret muscles (268 vs. 262 g; P = 0.001) than the high-RFI line (low-efficiency animals). No differences were observed for either the liver weight or the melting rate between the 2 lines (P > 0.46). Selection on RFI thus improves the feed efficiency of animals without impairing their capacity to produce fatty liver. | 25,085,390 | [
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... |
Intake, digestibility, nitrogen efficiency, and animal performance of growing and finishing beef cattle fed warm-season legume (Stylosanthes capitata plus Stylosanthes macrocephala) silage replacing corn silage. | It was hypothesized that Stylosanthes cv. Campo Grande (ES) silage could be used as the single source of dietary forage for beef cattle and that performance on ES would be similar to corn silage (CS) at a 50:50 forage:concentrate. The objectives of this study were to evaluate intake, total and partial digestibility of nutrients, ruminal pH, ruminal ammonia, and productive performance in growing beef cattle fed diets with varying proportions of ES silage replacing CS. Treatments consisted of diets with ratios of 0:100, 25:75, 50:50, 75:25, and 100:0% ES:CS. Two experiments were conducted simultaneously. In the first experiment, 10 crossbred Holstein-Zebu bulls with an average initial weight of 272 ± 86 kg were used. The bulls were rumen and abomasums fistulated. An experimental design of two 5 × 5 Latin squares (Exp. 1) was used. The second experiment used 40 Nellore bulls with an average BW of 386 ± 30 kg in a completely randomized design (Exp. 2). Results showed a linear increase in CP intake (P < 0.05) in response to increased dietary ES. An increase in the proportion of ES in the diet had a negative linear effect on TDN. Apparent ruminal digestibility of CP increased linearly, and apparent intestinal digestibility of nonfibrous carbohydrates increased with the addition of ES to the diet (P < 0.05). Intestinal digestibility of DM exhibited a quadratic response (P < 0.05). Nitrogen balance, excretion of urinary urea, and plasma urea nitrogen did not respond to the inclusion of ES in the diet (P > 0.05). There was also no effect (P > 0.05) of ES inclusion on animal performance. Ruminal pH was not affected by an increased proportion of ES in the diet (P > 0.05), but ruminal pH was affected (P < 0.05) by the time of collection, for which a cubic model fit the data. There was an interaction (P < 0.05) between treatment and collection time for ruminal ammonia nitrogen concentration. It can be concluded that ES silage can be used as a source of roughage in the diet of beef cattle during the growing and finishing phases at a proportion of 50% of DM in the total diet. Therefore, ES silage is a promising alternative dietary ingredient and the use of this alternative source of silage will depend on availability and economic factors. | 25,085,397 | [
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... |
The impact of land use and season on the riverine transport of mercury into the marine coastal zone. | In Mediterranean seas and coastal zones, rivers can be the main source of mercury (Hg). Catchment management therefore affects the load of Hg reaching the sea with surface runoff. The major freshwater inflows to the Baltic Sea consist of large rivers. However, their systems are complex and identification of factors affecting the outflow of Hg from its catchments is difficult. For this reason, a study into the impact of watershed land use and season on mercury biogeochemistry and transport in rivers was performed along two small rivers which may be considered typical of the southern Baltic region. Neither of these rivers are currently impacted by industrial effluents, thus allowing assessment of the influence of catchment terrain and season on Hg geochemistry. The study was performed between June 2008 and May 2009 at 13 sampling points situated at different terrain types within the catchments (forest, wetland, agriculture and urban). Hg analyses were conducted by CVAFS. Arable land erosion was found to be an important source of Hg to the aquatic system, similar to urban areas. Furthermore, inflows of untreated storm water discharge resulted in a fivefold increase of Hg concentration in the rivers. The highest Hg concentration in the urban runoff was observed with the greatest amount of precipitation during summer. Moderate rainfalls enhance the inflow of bioavailable dissolved mercury into water bodies. Despite the lack of industrial effluents entering the rivers directly, the sub-catchments with anthropogenic land use were important sources of Hg in the rivers. This was caused by elution of metal, deposited in soils over the past decades, into the rivers. The obtained results are especially important in the light of recent environmental conscience regulations, enforcing the decrease of pollution by Baltic countries. | 25,085,426 | [
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0.5313522,
0.2889178,
-0.06897394,
... |
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