Combat-Related Moral Injury and Religiosity

The purpose of this study was to explore the relationship between combat-related moral injury and religiosity. This quantitative study relied on a convenience sample recruited from a 6,000-person database of veterans in upstate South Carolina. The participants were recruited via email invitation and screened for combat exposure and the presence of moral injury. Instrumentation consisted of the 45-item Moral Injury Symptom Scale-Miliary version (MISS-M) and the 15-item Centrality of Religiosity Scale. All participants were anonymous, and responses were given through self-report. Multiple linear regression was conducted on a sample of 119 combat veterans exploring the relationship between the MISS-M’s 10 subscales of guilt, shame, betrayal, moral concerns, loss of trust, difficulty forgiving, loss of meaning/purpose, self-condemnation, religious struggles, and loss of religious faith/hope and with measurements of religiosity. The study found that the subscales of shame, difficulty forgiving, loss of trust, and loss of religious faith/hope were predictors of religiosity. Focusing treatment on these subscales of moral injury can enhance clinical and pastoral counseling treatment outcomes and assist clergy in meeting the needs of their congregations

Minimally invasive sacroiliac joint fusion: one-year outcomes in 18 patients

BACKGROUND: Sacroiliac joint (SI) pain is an often-overlooked cause of low back pain due, in part, to lack of specific findings on radiographs and symptoms mimicking other back-related disorders. We report our experience with minimally invasive (MIS) SI joint arthrodesis using a series of triangular, titanium plasma spray (TPS) coated implants in patients refractory to conservative care. METHODS: We report outcomes from 18 patients with 12 months of postoperative follow-up. Demographics, complications, and clinical outcomes using visual analog scale (VAS) for pain, Oswestry Disability Index (ODI) for back function and SF-12 for quality of life were collected preoperatively and at 3, 6 and 12 months post-operatively. RESULTS: Mean age was 64 years and 67% of patients were female. There were no intraoperative complications and one explant at three months for malposition. All patient-reported outcomes showed both clinically and statistically significant improvement at 12 months (p < 0.001 for each of the following): VAS improved by 6.6 points, ODI scores improved by −37.5 points. One year SF-12 physical and mental component (PCS, MCS) scores approximated population normal scores for both physical and mental functioning. Patient satisfaction with outcomes was high at 95%; 89% said would have the same surgery again. CONCLUSIONS: MIS SI joint fusion using a series of triangular porous TPS coated titanium implants is a safe and effective procedure for patients with SI joint disorders who have failed conservative care

Numerical Simulations of the Structure and Spectroscopic Properties of Rare-Earth Doped Glasses

A review of the research that has been devoted to the simulation of the structure and spectroscopic properties of rare-earth doped glasses is presented. Since the seminal papers of Brawer and Weber who have applied Monte-Carlo or molecular dynamics techniques, some other very important results have been reported concerning the local structure of the dopants. As a result, crystal field models have been applied and several pecularities of the optical spectra of rare earth ions in glasses have been understood

Optically stimulated nanodosimeters with high storage capacity

In this work we report on the thermoluminescence (TL) and optically stimulated luminescence (OSL) properties of beta-Na(Gd,Lu)F-4:Tb3+ nanophosphors prepared via a standard high-temperature coprecipitation route. Irradiating this phosphor with X-rays not only produces radioluminescence but also leads to a bright green afterglow that is detectable up to hours after excitation has stopped. The storage capacity of the phosphor was found to be (2.83 +/- 0.05) x 10(16) photons/gram, which is extraordinarily high for nano-sized particles and comparable to the benchmark bulk phosphor SrAl2O4:Eu2+,Dy3+. By combining TL with OSL, we show that the relatively shallow traps, which dominate the TL glow curves and are responsible for the bright afterglow, can also be emptied optically using 808 or 980 nm infrared light while the deeper traps can only be emptied thermally. This OSL at therapeutically relevant radiation doses is of high interest to the medical dosimetry community, and is demonstrated here in uniform, solution-processable nanocrystals

TGF-β2 dictates disseminated tumour cell fate in target organs through TGF-β-RIII and p38α/β signalling

In patients, non-proliferative disseminated tumour cells (DTCs) can persist in the bone marrow (BM) while other organs (such as lung) present growing metastasis. This suggested that the BM might be a metastasis ‘restrictive soil’ by encoding dormancy-inducing cues in DTCs. Here we show in a head and neck squamous cell carcinoma (HNSCC) model that strong and specific transforming growth factor-β2 (TGF-β2) signalling in the BM activates the MAPK p38α/β, inducing an (ERK/p38)low signalling ratio. This results in induction of DEC2/SHARP1 and p27, downregulation of cyclin-dependent kinase 4 (CDK4) and dormancy of malignant DTCs. TGF-β2-induced dormancy required TGF-β receptor-I (TGF-β-RI), TGF-β-RIII and SMAD1/5 activation to induce p27. In lungs, a metastasis ‘permissive soil’ with low TGF-β2 levels, DTC dormancy was short-lived and followed by metastatic growth. Importantly, systemic inhibition of TGF-β-RI or p38α/β activities awakened dormant DTCs, fuelling multi-organ metastasis. Our work reveals a ‘seed and soil’ mechanism where TGF-β2 and TGF-β-RIII signalling through p38α/β regulates DTC dormancy and defines restrictive (BM) and permissive (lung) microenvironments for HNSCC metastasis.Fil: Bragado, Paloma. Mount Sinai School of Medicine. Tisch Cancer Institute; Estados UnidosFil: Estrada, Yeriel. Mount Sinai School of Medicine. Tisch Cancer Institute; Estados UnidosFil: Parikh, Falguni. Mount Sinai School of Medicine. Tisch Cancer Institute; Estados UnidosFil: Krause, Sarah. University Hospital of Schleswig-Holstein; AlemaniaFil: Capobianco, Carla Sabrina. Universidad Nacional de Quilmes. Departamento de Ciencia y Tecnología. Laboratorio de Oncología Molecular; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; ArgentinaFil: Farina, Hernán Gabriel. Universidad Nacional de Quilmes. Departamento de Ciencia y Tecnología. Laboratorio de Oncología Molecular; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; ArgentinaFil: Schewe, Denis M.. Mount Sinai School of Medicine. Tisch Cancer Institute; Estados UnidosFil: Aguirre Ghiso, Julio A.. Mount Sinai School of Medicine. Tisch Cancer Institute; Estados Unido

New Technologies for Ecosystem Analysis Planning and Management

Planning the rural environment is one of the most intriguing examples of technical challenge where a multi-disciplinary approach plays a crucial role. The agricultural production, both food and non-food, the social role of rural settlements, the state and diffusion of the infrastructural networks, the rural architectonic heritage that in many countries constitutes a major positive value, should be appropriately considered and sinergically interlaced for a sound planning of agricultural biosystems. Human activities impose a transformation of the extra-urban land that may lead to the modification of the frail equilibrium of whole ecosystems. Sound planning strategies should be therefore pursued, employing a multidisciplinary approach that should take into account geographical, environmental and landscape factors as variables interacting among themselves and with the social and economic aspects. In order to simultaneously analyse all these properties, tools able to manage, interpret and integrate several data are necessary

The regulation of fat metabolism during aerobic exercise

Since the lipid profile is altered by physical activity, the study of lipid metabolism is a remarkable element in understanding if and how physical activity affects the health of both professional athletes and sedentary subjects. Although not fully defined, it has become clear that resistance exercise uses fat as an energy source. The fatty acid oxidation rate is the result of the following processes: (a) triglycerides lipolysis, most abundant in fat adipocytes and intramuscular triacylglycerol (IMTG) stores, (b) fatty acid transport from blood plasma to muscle sarcoplasm, (c) availability and hydrolysis rate of intramuscular triglycerides, and (d) transport of fatty acids through the mitochondrial membrane. In this review, we report some studies concerning the relationship between exercise and the aforementioned processes also in light of hormonal controls and molecular regulations within fat and skeletal muscle cells

Graphene-assisted control of coupling between optical waveguides

The unique properties of optical waveguides electrically controlled by means of graphene layers are investigated. We demonstrate that, thanks to tunable losses induced by graphene layers, a careful design of silicon on silica ridge waveguides can be used to explore passive PT-symmetry breaking in directional couplers. We prove that the exceptional point of the system can be probed by varying the applied voltage and we thus propose very compact photonic structures which can be exploited to control coupling between waveguides and to tailor discrete diffraction in arrays

Frequency addressing of nano-objects by electrical tuning of optical antennas

We first analyze the equivalent circuit parameters of linear wire optical nano-antennas in uniaxial anisotropic media. We then exploit the electro-optic response of a bipolar nematic liquid crystal to demonstrate tuning of an optical antenna using a low frequency external electric field as the control mechanism