Rehabilitation impact indices and their independent predictors: A systematic review

10.1136/bmjopen-2013-003483BMJ Open39

Analysis of the saltwater wedge in a coastal karst aquifer with a double conduit network, numerical simulations and sensitivity analysis

We investigate the long-distance salinity in a dual permeability coastal karst aquifer with a double conduit network using a three-dimensional variable-density groundwater flow and multispecies transport SEAWAT model. Sensitivity analyses were used to evaluate the impact of the parameters and boundary conditions on the modeling saltwater wedge in a karstic aquifer situated in the Cuban land territory, including hydraulic conductivity, vertical anisotropy and salinity concentration; both in the conduits network and the fractured medium. These analyses indicated that hydraulic conductivity of the fractured medium and salt concentration were the ones that have a stronger effect on saltwater intrusion in a karstic aquifer. We also show results of the three-dimensional numerical simulations on groundwater salinity for different scenarios with the variabilities of the important parameters and compare results with electric conductivity profiles measured in a well

Effect of NF-κB/Rel inhibition on spontaneous vs chemotherapy-induced apoptosis in AML and normal cord blood CD34+ cells

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Factor demand linkages, technology shocks, and the business cycle

This paper argues that factor demand linkages can be important for the transmission of both sectoral and aggregate shocks. We show this using a panel of highly disaggregated manufacturing sectors together with sectoral structural VARs. When sectoral interactions are explicitly accounted for, a contemporaneous technology shock to all manufacturing sectors implies a positive response in both output and hours at the aggregate level. Otherwise there is a negative correlation, as in much of the existing literature. Furthermore, we find that technology shocks are important drivers of the business cycle

Annexin A1 Released in Extracellular Vesicles by Pancreatic Cancer Cells Activates Components of the Tumor Microenvironment, through Interaction with the Formyl-Peptide Receptors

Pancreatic cancer (PC) is one of the most aggressive cancers in the world. Several extracellular factors are involved in its development and metastasis to distant organs. In PC, the protein Annexin A1 (ANXA1) appears to be overexpressed and may be identified as an oncogenic factor, also because it is a component in tumor-deriving extracellular vesicles (EVs). Indeed, these microvesicles are known to nourish the tumor microenvironment. Once we evaluated the autocrine role of ANXA1-containing EVs on PC MIA PaCa-2 cells and their pro-angiogenic action, we investigated the ANXA1 paracrine effect on stromal cells like fibroblasts and endothelial ones. Concerning the analysis of fibroblasts, cell migration/invasion, cytoskeleton remodeling, and the different expression of specific protein markers, all features of the cell switching into myofibroblasts, were assessed after administration of wild type more than ANXA1 Knock-Out EVs. Interestingly, we demonstrated a mechanism by which the ANXA1-EVs complex can stimulate the activation of formyl peptide receptors (FPRs), triggering mesenchymal switches and cell motility on both fibroblasts and endothelial cells. Therefore, we highlighted the importance of ANXA1/EVs-FPR axes in PC progression as a vehicle of intercommunication tumor cells-stroma, suggesting a specific potential prognostic/diagnostic role of ANXA1, whether in soluble form or even if EVs are captured in PC

Activation of NF-kappaB/Rel transcription factors in human primary peripheral blood mononuclear cells by interleukin 7.

Pathways that regulate the activation of NF-kappaB/Rel transcription factors are known to include signaling through a number of cytokine receptors. Interleukin 7 (IL-7), produced by bone marrow and other stromal cells, is a key factor for differentiation and survival in the lymphoid and other compartments. We found that human recombinant IL-7 induced NF-kappaB/Rel activation, analyzed by electrophoretic mobility shift assay (EMSA), in human peripheral blood T lymphocytes from healthy donors. Induced complexes included p65 and p50 NF-kappaB/Rel subunits. These results demonstrate for the first time that IL-7 can participate in signaling leading to NF-kappaB/Rel activation

Impact of leadership on the nursing workforce during the COVID-19 pandemic

Background The aim was to determine how the learning about protective factors from previous pandemics was implemented and the impact of this on nurses’ experience. Methods Secondary data analysis of semistructured interview transcripts exploring the barriers and facilitators to changes implemented to support the surge of COVID-19 related admissions in wave 1 of the pandemic. Participants represented three-levels of leadership: whole hospital (n=17), division (n=7), ward/department-level (n=8) and individual nurses (n=16). Interviews were analysed using framework analysis. Results Key changes that were implemented in wave 1 reported at whole hospital level included: a new acute staffing level, redeploying nurses, increasing the visibility of nursing leadership, new staff well-being initiatives, new roles created to support families and various training initiatives. Two main themes emerged from the interviews at division, ward/department and individual nurse level: impact of leadership and impact on the delivery of nursing care. Conclusions Leadership through a crisis is essential for the protective effect of nurses’ emotional well-being. While nursing leadership was made more visible during wave 1 of the pandemic and processes were in place to increase communication, system-level challenges resulting in negative experiences existed. By identifying these challenges, it has been possible to overcome them during wave 2 by employing different leadership styles to support nurse's well-being. Challenges and distress that nurses experience when making moral decisions requires support beyond the pandemic for nurse’s well-being. Learning from the pandemic about the impact of leadership in a crisis is important to facilitate recovery and lessen the impact in further outbreaks

Serum sE-selectin levels and carcinoembryonic antigen mRNA-expressing cells in peripheral blood as prognostic factors in colorectal cancer patients

This study analyzed the possible prognostic value of presurgical serum soluble (s)E-selectin levels and/or carcinoembryonic antigen (CEA) mRNA positivity in predicting the disease-free survival of colorectal cancer (CRC) patients

A multi-parameter field monitoring system to investigate the dynamics of large earth slides–earth flows in the Northern Apennines, Italy

Large earth slides and rocks lides evolving into earth flows are quite widespread in the Northern Italian Apennines. Despite being simply referred to as landslides, many of them are, in fact, large complexes of landslides. They evolved through multiple and/or successive movements, undergoing partial and/or total reactivations. The reactivation of pre-existing landslide bodies is the prevalent mechanism for the known landslide events, as the historical records and the technical reports indicate. Landslide reactivation is, indeed, a relevant topic from the perspective of risk assessment and mitigation. A multi-parameter monitoring system was installed on a large complex of landslides that underwent partial or total reactivations after heavy rainfall events, causing damages to buildings and infrastructures. Two clusters of automatic piezometers—each coupled with an inclinometer—and a time-lapse resistivity deployment were the core of the monitoring system. A weather station, collecting data from subsurface thermometers, and a water content probe completed the system. After the construction of a new geological model of the slope, this study aimed at understanding the possible mechanisms leading to the reactivation of the landslide. This goal was achieved by gaining insights into the process of rainfall infiltration into the landslide deposits, by determining the groundwater flow and evaluating the landslide displacements. The monitoring system captured the processes that took place in the landslide bodies and the bedrock in response to a rainfall event in early February 2017, which followed a dry period of eight months. The recorded data provided indications on the variation of the hydraulic head in the groundwater within the landslide and the bedrock, particularly at the sliding surfaces. The electrical conductivity of the groundwater and the resistivity of the terrain varied across the failure surfaces. In particular, a sudden increase in the electrical conductivity was related to the locations of the main sliding surfaces. The joint analysis of time-lapse resistivity, hydraulic heads, and groundwater electrical conductivity helped identify the locations of weaker levels within the landslide masses, which were confirmed by data from inclinometers. This study improved the knowledge of the hydrogeological behaviour of a complex of landslides in heterogeneous low-permeability media. Moreover, the obtained results contributed to the understanding of the role played by different portions of the landslide complex in the evolution of the movement