177 research outputs found
The Immigrant Housing Market: Analyses for Australia
This paper examines the immigrant adjustment process in Australia from the perspective of the housing market. It shows that immigrant âcatch-upâ to the native born in the housing market is much more rapid than in the labour market. A decomposition of the estimated coefficients of a logit model of tenure choice is developed that gives formal recognition to the immigrant adjustment process. The results from this decomposition demonstrate the importance of taking account of immigrant adjustment when seeking to understand variations in rates of home ownership across birthplace groups.
Quâen penseraient mes pairs? Comparaison entre la mĂ©thode fondĂ©e sur l'opinion et celle fondĂ©e sur la prĂ©diction dans l'Ă©valuation de cours de formation mĂ©dicale continue
Background: Although medical courses are frequently evaluated via surveys with Likert scales ranging from âstrongly agreeâ to âstrongly disagree,â low response rates limit their utility. In undergraduate medical education, a new method with students predicting what their peers would say, required fewer respondents to obtain similar results. However, this prediction-based method lacks validation for continuing medical education (CME), which typically targets a more heterogeneous group than medical students.
Methods: In this study, 597 participants of a large CME course were randomly assigned to either express personal opinions on a five-point Likert scale (opinion-based method; n = 300) or to predict the percentage of their peers choosing each Likert scale option (prediction-based method; n = 297). For each question, we calculated the minimum numbers of respondents needed for stable average results using an iterative algorithm. We compared mean scores and the distribution of scores between both methods.
Results: The overall response rate was 47%. The prediction-based method required fewer respondents than the opinion-based method for similar average responses. Mean response scores were similar in both groups for most questions, but prediction-based outcomes resulted in fewer extreme responses (strongly agree/disagree).
Conclusions: We validated the prediction-based method in evaluating CME. We also provide practical considerations for applying this method.Contexte : Bien que les cours de mĂ©decine soient frĂ©quemment Ă©valuĂ©s au moyen d'enquĂȘtes avec des Ă©chelles de Likert allant de « totalement d'accord » à « totalement en dĂ©saccord », les faibles taux de rĂ©ponse en limitent l'utilitĂ©. Dans l'enseignement mĂ©dical prĂ©doctoral, une nouvelle mĂ©thode dans laquelle les Ă©tudiants prĂ©disent ce que leurs pairs diraient, nĂ©cessite moins de rĂ©pondants pour obtenir des rĂ©sultats similaires. Cependant, cette mĂ©thode fondĂ©e sur la prĂ©diction n'est pas validĂ©e pour la formation mĂ©dicale continue (FMC), qui cible gĂ©nĂ©ralement un groupe plus hĂ©tĂ©rogĂšne que les Ă©tudiants en mĂ©decine.
Méthodes : Dans cette étude, 597 participants à un grand cours de FMC ont été choisis au hasard pour exprimer leur opinion personnelle sur une échelle de Likert en cinq points (méthode fondée sur l'opinion; n = 300) ou à prédire le pourcentage de leurs pairs choisissant chaque option de l'échelle de Likert (méthode fondée sur la prédiction; n = 297). Pour chaque question, nous avons calculé le nombre minimum de répondants nécessaire pour obtenir des résultats moyens stables à l'aide d'un algorithme itératif. Nous avons comparé les scores moyens et la distribution des scores entre les deux méthodes.
RĂ©sultats : Le taux de rĂ©ponse global Ă©tait de 47 %. La mĂ©thode fondĂ©e sur la prĂ©diction a nĂ©cessitĂ© moins de rĂ©pondants que celle fondĂ©e sur l'opinion pour des rĂ©ponses moyennes similaires. Les scores moyens des rĂ©ponses Ă©taient similaires dans les deux groupes pour la plupart des questions, mais les rĂ©sultats fondĂ©s sur la prĂ©diction ont donnĂ© lieu Ă moins de rĂ©ponses extrĂȘmes (totalement d'accord/totalement en dĂ©saccord).
Conclusions : Nous avons validĂ© la mĂ©thode fondĂ©e sur la prĂ©diction dans l'Ă©valuation de la FMC. Nous prĂ©sentons Ă©galement des considĂ©rations pratiques pour la mise en Ćuvre de cette mĂ©thode
Drugs and drug-like molecules can modulate the function of mucosal-associated invariant T cells
The major-histocompatibility-complex-(MHC)-class-I-related molecule MR1 can present activating and non-activating vitamin-B-based ligands to mucosal-associated invariant T cells (MAIT cells). Whether MR1 binds other ligands is unknown. Here we identified a range of small organic molecules, drugs, drug metabolites and drug-like molecules, including salicylates and diclofenac, as MR1-binding ligands. Some of these ligands inhibited MAIT cells ex vivo and in vivo, while others, including diclofenac metabolites, were agonists. Crystal structures of a T cell antigen receptor (TCR) from a MAIT cell in complex with MR1 bound to the non-stimulatory and stimulatory compounds showed distinct ligand orientations and contacts within MR1, which highlighted the versatility of the MR1 binding pocket. The findings demonstrated that MR1 was able to capture chemically diverse structures, spanning mono- and bicyclic compounds, that either inhibited or activated MAIT cells. This indicated that drugs and drug-like molecules can modulate MAIT cell function in mammals
Association of triglyceride-glucose index with clinical outcomes in patients with acute ischemic stroke receiving intravenous thrombolysis.
Intravenous tissue plasminogen activator (tPA) remains the cornerstone of recanalization therapy for acute ischemic stroke (AIS), albeit with varying degrees of response. The triglyceride-glucose (TyG) index is a novel marker of insulin resistance, but association with outcomes among AIS patients who have received tPA has not been well elucidated. We studied 698 patients with AIS who received tPA from 2006 to 2018 in a comprehensive stroke centre. TyG index was calculated using the formula: ln[fasting triglycerides (mg/dL)âĂâfasting glucose (mg/dL)/2]. TyG index was significantly lower in patients that survived at 90-days than those who died (8.61 [Interquartile Range: 8.27-8.99] vs 8.76 [interquartile range: 8.39-9.40], pâ=â0.007). In multivariate analysis, TyG index was significantly associated with 90-day mortality (OR: 2.12, 95% CI: 1.39-3.23, pâ=â0.001), poor functional outcome (OR: 1.41 95% CI: 1.05-1.90, pâ=â0.022), and negatively associated with early neurological improvement (ENI) (OR: 0.68, 95% CI: 0.52-0.89, pâ=â0.004). There was no association between TyG index and symptomatic intracranial hemorrhage. 'High TyG' (defined by TyG indexââ„â9.15) was associated with mortality, poor functional outcomes and no ENI. In conclusion, the TyG index, a measure of insulin resistance, was significantly associated with poorer clinical outcomes in AIS patients who received tPA
ELECTROCARDIOGRAPHIC CHARACTERISTICS OF LEFT MAIN CORONARY ARTERY ST-ELEVATION MYOCARDIAL INFARCTION: RESULTS FROM A MULTICENTER REGISTRY
Robust and prototypical immune responses towards COVID-19 BNT162b2 vaccines in Indigenous people
SARS-CoV-2 has led to >270 million infections and >5 million deaths globally. Indigenous people are disproportionately affected by infectious diseases, therefore also more susceptible to the COVID-19 pandemic. There are an estimated 476 million indigenous people globally, including an estimated 798,365 Aboriginal and Torres Strait Islander in Australia. With the high vulnerability to COVID-19, this knowledge is urgently needed to better protect indigenous populations.
We evaluated a breadth of immune responses in indigenous (n=57) and non-indigenous (n=49) individuals after COVID-19 vaccination. We tested RBD antibodies, spike/RBD-probe-specific B cells, peptide stimulations with activation-induced marker (AIM) assay and intracellular cytokine staining.
We found 22% and 34% seroconversion rates after 1st dose of BNT162b2 vaccine for Indigenous and non-indigenous individuals, respectively, which increased to 100% at 1-mth after 2nd dose for both groups. RBD-specific IgG levels in indigenous individuals at 1-mth after 2nd dose positively correlated with their body mass index. At 1-mth after the 2nd COVID-19 vaccination, CD4+ and CD8+ T cell responses via AIM expression and IFN-Îł+TNF+ production was comparable between indigenous and non-indigenous individuals. We are also going to assess the longevity of antibodies and T cells.
Therefore, COVID-19 vaccination induced similar immune responses in indigenous and non-indigenous individuals
Broad spectrum SARSâCoV â2âspecific immunity in hospitalized First Nations peoples recovering from COVID â19
Indigenous peoples globally are at increased risk of COVIDâ19âassociated morbidity and mortality. However, data that describe immune responses to SARSâCoVâ2 infection in Indigenous populations are lacking. We evaluated immune responses in Australian First Nations peoples hospitalized with COVIDâ19. Our work comprehensively mapped out inflammatory, humoral and adaptive immune responses following SARSâCoVâ2 infection. Patients were recruited early following the lifting of strict public health measures in the Northern Territory, Australia, between November 2021 and May 2022. Australian First Nations peoples recovering from COVIDâ19 showed increased levels of MCPâ1 and ILâ8 cytokines, IgGâantibodies against DeltaâRBD and memory SARSâCoVâ2âspecific T cell responses prior to hospital discharge in comparison with hospital admission, with resolution of hyperactivated HLAâDR+CD38+ T cells. SARSâCoVâ2 infection elicited coordinated ASC, Tfh and CD8+ T cell responses in concert with CD4+ T cell responses. Delta and Omicron RBDâIgG, as well as Ancestral NâIgG antibodies, strongly correlated with Ancestral RBDâIgG antibodies and Spikeâspecific memory B cells. We provide evidence of broad and robust immune responses following SARSâCoVâ2 infection in Indigenous peoples, resembling those of nonâIndigenous COVIDâ19 hospitalized patients
Suboptimal SARS-CoV-2-specific CD8+ T cell response associated with the prominent HLA-A*02:01 phenotype
An improved understanding of human T cell-mediated immunity in COVID-19 is important for optimizing therapeutic and vaccine strategies. Experience with influenza shows that infection primes CD8+ T cell memory to peptides presented by common HLA types like HLA-A2, which enhances recovery and diminishes clinical severity upon reinfection. Stimulating peripheral blood mononuclear cells from COVID-19 convalescent patients with overlapping peptides from severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) led to the clonal expansion of SARS-CoV-2âspecific CD8+ and CD4+ T cells in vitro, with CD4+ T cells being robust. We identified two HLA-A*02:01-restricted SARS-CoV-2-specfic CD8+ T cell epitopes, A2/S269â277 and A2/Orf1ab3183â3191. Using peptideâHLA tetramer enrichment, direct ex vivo assessment of A2/S269+CD8+ and A2/Orf1ab3183+CD8+ populations indicated that A2/S269+CD8+ T cells were detected at comparable frequencies (âŒ1.3 Ă 10â5) in acute and convalescent HLA-A*02:01+ patients. These frequencies were higher than those found in uninfected HLA-A*02:01+ donors (âŒ2.5 Ă 10â6), but low when compared to frequencies for influenza-specific (A2/M158) and EpsteinâBarr virus (EBV)-specific (A2/BMLF1280) (âŒ1.38 Ă 10â4) populations. Phenotyping A2/S269+CD8+ T cells from COVID-19 convalescents ex vivo showed that A2/S269+CD8+ T cells were predominantly negative for CD38, HLA-DR, PD-1, and CD71 activation markers, although the majority of total CD8+ T cells expressed granzymes and/or perforin. Furthermore, the bias toward naĂŻve, stem cell memory and central memory A2/S269+CD8+ T cells rather than effector memory populations suggests that SARS-CoV-2 infection may be compromising CD8+ T cell activation. Priming with appropriate vaccines may thus be beneficial for optimizing CD8+ T cell immunity in COVID-19
AVONET:morphological, ecological and geographical data for all birds
Functional traits offer a rich quantitative framework for developing and testing theories in evolutionary biology, ecology and ecosystem science. However, the potential of functional traits to drive theoretical advances and refine models of global change can only be fully realised when species-level information is complete. Here we present the AVONET dataset containing comprehensive functional trait data for all birds, including six ecological variables, 11 continuous morphological traits, and information on range size and location. Raw morphological measurements are presented from 90,020 individuals of 11,009 extant bird species sampled from 181 countries. These data are also summarised as species averages in three taxonomic formats, allowing integration with a global phylogeny, geographical range maps, IUCN Red List data and the eBird citizen science database. The AVONET dataset provides the most detailed picture of continuous trait variation for any major radiation of organisms, offering a global template for testing hypotheses and exploring the evolutionary origins, structure and functioning of biodiversity
AVONET: morphological, ecological and geographical data for all birds
Functional traits offer a rich quantitative framework for developing and testing theories in evolutionary biology, ecology and ecosystem science. However, the potential of functional traits to drive theoretical advances and refine models of global change can only be fully realised when species-level information is complete. Here we present the AVONET dataset containing comprehensive functional trait data for all birds, including six ecological variables, 11 continuous morphological traits, and information on range size and location. Raw morphological measurements are presented from 90,020 individuals of 11,009 extant bird species sampled from 181 countries. These data are also summarised as species averages in three taxonomic formats, allowing integration with a global phylogeny, geographical range maps, IUCN Red List data and the eBird citizen science database. The AVONET dataset provides the most detailed picture of continuous trait variation for any major radiation of organisms, offering a global template for testing hypotheses and exploring the evolutionary origins, structure and functioning of biodiversity
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