900 research outputs found
Direct-to-consumer genetic testing: where and how does genetic counseling fit?
Direct-to-consumer genetic testing for disease ranges from well-validated diagnostic and predictive tests to âresearchâ results conferring increased risks. While being targeted at public curious about their health, they are also marketed for use in reproductive decision-making or management of disease. By virtue of being âdirect-to-consumerâ much of this testing bypasses traditional healthcare systems. We argue that direct-to-consumer genetic testing companies should make genetic counseling available, pre- as well as post-test. While we do not advocate that mandatory genetic counseling should gate-keep access to direct-to-consumer genetic testing, if the testing process has the potential to cause psychological distress, then companies have a responsibility to provide support and should not rely on traditional healthcare systems to pick up the pieces
Infections with Avian Pathogenic and Fecal Escherichia coli Strains Display Similar Lung Histopathology and Macrophage Apoptosis
The purpose of this study was to compare histopathological changes in the lungs of chickens infected with avian
pathogenic (APEC) and avian fecal (Afecal) Escherichia coli strains, and to analyze how the interaction of the bacteria with
avian macrophages relates to the outcome of the infection. Chickens were infected intratracheally with three APEC strains,
MT78, IMT5155, and UEL17, and one non-pathogenic Afecal strain, IMT5104. The pathogenicity of the strains was assessed by
isolating bacteria from lungs, kidneys, and spleens at 24 h post-infection (p.i.). Lungs were examined for histopathological
changes at 12, 18, and 24 h p.i. Serial lung sections were stained with hematoxylin and eosin (HE), terminal deoxynucleotidyl
dUTP nick end labeling (TUNEL) for detection of apoptotic cells, and an anti-O2 antibody for detection of MT78 and
IMT5155. UEL17 and IMT5104 did not cause systemic infections and the extents of lung colonization were two orders of
magnitude lower than for the septicemic strains MT78 and IMT5155, yet all four strains caused the same extent of
inflammation in the lungs. The inflammation was localized; there were some congested areas next to unaffected areas. Only
the inflamed regions became labeled with anti-O2 antibody. TUNEL labeling revealed the presence of apoptotic cells at 12 h
p.i in the inflamed regions only, and before any necrotic foci could be seen. The TUNEL-positive cells were very likely dying
heterophils, as evidenced by the purulent inflammation. Some of the dying cells observed in avian lungs in situ may also be
macrophages, since all four avian E. coli induced caspase 3/7 activation in monolayers of HD11 avian macrophages. In
summary, both pathogenic and non-pathogenic fecal strains of avian E. coli produce focal infections in the avian lung, and
these are accompanied by inflammation and cell death in the infected areas
Divulgar para quem? Plano de Comunicação de laboratĂłrios de saĂșde da Universidade Federal do RecĂŽncavo da Bahia
A RegiĂŁo do RecĂŽncavo da Bahia se constitui a ĂĄrea e a abrangĂȘncia geogrĂĄfica para desenvolvimento do presente trabalho, cujas teorias e metodologias se ancoram na participativa freiriana e nos diferentes mĂ©todos da Comunicação, em especial nas Redes Sociais. O presente relato de experiĂȘncia tem como objetivo discutir a importĂąncia da implantação de um Plano de Comunicação no Complexo Multidisciplinar de estudos e Pesquisas em SaĂșde (COMEPS) do Centro de CiĂȘncias da SaĂșde (CCS) da Universidade Federal do RecĂŽncavo da Bahia (UFRB) para auxiliar os processos de divulgação das investigaçÔes de pesquisadores do CCS/UFRB. Dentro do Plano de Comunicação se destacam as açÔes de Comunicação, como identidade visual, criação de peças de divulgação, atividades formativas, elaboração de material educativo, criação de pĂĄgina/canal online, produção de podcasts e vĂdeos
Silicon strip detectors for two-dimensional soft X-ray imaging at normal incidence
A simple prototype system for static two-dimensional soft X-ray imaging using silicon microstrip detectors irradiated at normal incidence is presented. Radiation sensors consist of single-sided silicon detectors made from 300 mum thick wafers, read by RX64 ASICs. Data acquisition and control is performed by a Windows PC workstation running dedicated LabVIEW routines, connected to the sensors through a PCI-DIO-96 interface. Two-dimensional images are obtained by scanning a lead collimator with a thin slit perpendicular to the strip axis, along the whole detector size; the several strip profiles (slices) taken at each position are then put together to form a planar image. Preliminary results are presented, illustrating the high-resolution imaging capabilities of the system with soft X-rays. (C) 2003 Elsevier B.V. All rights reserved.info:eu-repo/semantics/publishedVersio
Efficacy and Safety of Upadacitinib Treatment in Adolescents With Moderate-to-Severe Atopic Dermatitis
Importance: Atopic dermatitis onset usually occurs in childhood. Persistence of disease into adolescence and adulthood is common. It is important to evaluate new treatment options in adolescents because of the high unmet need in this population.
Objective: To assess the efficacy and safety of upadacitinib to treat moderate-to-severe atopic dermatitis in adolescents.
Design, setting, and participants: Prespecified analysis of adolescents enrolled in 3 randomized, double-blind, placebo-controlled phase 3 clinical trials in more than 20 countries across Europe, North and South America, Oceania, the Middle East, and the Asia-Pacific region from July 2018 through December 2020. Participants were adolescents aged 12 to 17 years with moderate-to-severe atopic dermatitis. Data analysis was performed from April to August 2021.
Interventions: Patients were randomized (1:1:1) to once-daily oral upadacitinib 15 mg, upadacitinib 30 mg, or placebo alone (Measure Up 1 and Measure Up 2) or with topical corticosteroids (AD Up).
Main outcomes and measures: Safety and efficacy, including at least a 75% improvement in the Eczema Area and Severity Index from baseline and validated Investigator Global Assessment for Atopic Dermatitis score of 0 (clear) or 1 (almost clear) at week 16 (coprimary end points).
Results: A total of 552 adolescents (290 female; 262 male) were randomized. Mean (SD) age was 15.4 (1.8), 15.5 (1.7), and 15.3 (1.8) years for adolescents in Measure Up 1, Measure Up 2, and AD Up, respectively. In Measure Up 1, Measure Up 2, and AD Up, respectively, a greater proportion of adolescents (% [95% CI]) achieved at least 75% improvement in the Eczema Area and Severity Index at week 16 with upadacitinib 15 mg (73% [63%-84%], 69% [57%-81%], 63% [51%-76%]), and upadacitinib 30 mg (78% [68%-88%], 73% [62%-85%], 84% [75%-94%]), than with placebo (12% [4%-20%], 13% [5%-22%], 30% [19%-42%]; nominal P < .001 for all comparisons vs placebo). Similarly, a greater proportion of adolescents treated with upadacitinib achieved a validated Investigator Global Assessment for Atopic Dermatitis score of 0 or 1 at week 16 and improvements in quality of life with upadacitinib than with placebo. Upadacitinib was generally well tolerated in adolescents. Acne was the most common adverse event, and all acne events were mild or moderate.
Conclusions and relevance: In this analysis of 3 randomized clinical trials, upadacitinib was an effective treatment for adolescents with moderate-to-severe atopic dermatitis, with an acceptable safety profile.info:eu-repo/semantics/publishedVersio
Numerical study of circulation on the inner Amazon Shelf
Author Posting. © Springer, 2008. This is the author's version of the work. It is posted here by permission of Springer for personal use, not for redistribution. The definitive version was published in Ocean Dynamics 58 (2008): 187-198, doi:10.1007/s10236-008-0139-4.We studied the circulation on the coastal
domain of the Amazon Shelf by applying the hydrodynamic
module of the Estuarine and Coastal Ocean
Model and Sediment Transport - ECOMSED. The first
barotropic experiment aimed to explain the major bathymetric
effects on tides and those generated by anisotropy
in sediment distribution. We analyzed the continental
shelf response of barotropic tides under realistic bottom
stress parametrization (Cd), considering sediment granulometry
obtained from a faciologic map, where river
mud deposits and reworked sediments areas are well distinguished,
among others classes of sediments. Very low
Cd values were set in the fluid mud regions off the Amapa
coast (1.0 10-4 ), in contrast to values around 3:5 10-3
for coarser sediment regions off the Para coast. Three-dimensional
experiments represented the Amazon River
discharge and trade winds, combined to barotropic tide
influences and induced vertical mixing. The quasi-resonant
response of the Amazon Shelf to the M2 tide act on
the local hydrodynamics by increasing tidal admittance,
along with tidal forcing at the shelf break and extensive
fluid mud regions. Harmonic analysis of modeled
currents agreed well with analysis of the AMASSEDS
observational data set. Tidal-induced vertical shear provided
strong homogenization of threshold waters, which
are subject to a kind of hydraulic control due to the topographic
steepness. Ahead of the hydraulic jump, the
low-salinity plume is disconnected from the bottom and
acquires negative vorticity, turning southeastward. Tides
act as a generator mechanism and topography, via hydraulic
control, as a maintainer mechanism for the low-salinity
frontal zone positioning. Tidally induced southeastward
plume fate is overwhelmed by northwestward
trade winds so that, along with background circulation,
probably play the most important role on the plume fate
and variability over the Amazon Shelf
Restoring tibiofemoral alignment during ACL reconstruction results in better knee biomechanics
"Published online: 24 October 2017"PURPOSE:
Anterior cruciate ligament (ACL) reconstruction (ACLR) aims to restore normal knee joint function, stability and biomechanics and in the long term avoid joint degeneration. The purpose of this study is to present the anatomic single bundle (SB) ACLR that emphasizes intraoperative correction of tibiofemoral subluxation that occurs after ACL injury. It was hypothesized that this technique leads to optimal outcomes and better restoration of pathological tibiofemoral joint movement that results from ACL deficiency (ACLD).
METHODS:
Thirteen men with unilateral ACLD were prospectively evaluated before and at a mean follow-up of 14.9 (SDâ=â1.8) months after anatomic SB ACLR with bone patellar tendon bone autograft. The anatomic ACLR replicated the native ACL attachment site anatomy and graft orientation. Emphasis was placed on intraoperative correction of tibiofemoral subluxation by reducing anterior tibial translation (ATT) and internal tibial rotation. Function was measured with IKDC, Lysholm and the Tegner activity scale, ATT was measured with the KT-1000 arthrometer and tibial rotation (TR) kinematics were measured with 3Dmotion analysis during a high-demand pivoting task.
RESULTS:
The results showed significantly higher TR of the ACL-deficient knee when compared to the intact knee prior to surgery (12.2° ± 3.7° and 10.7° ± 2.6° respectively, Pâ=â0.014). Postoperatively, the ACLR knee showed significantly lower TR as compared to the ACL-deficient knee (9.6°±3.1°, Pâ=â0.001) but no difference as compared to the control knee (n.s.). All functional scores were significantly improved and ATT was restored within normal values (Pâ<â0.001).
CONCLUSIONS:
Intraoperative correction of tibiofemoral subluxation that results after ACL injury is an important step during anatomic SB ACLR. The intraoperative correction of tibiofemoral subluxation along with the replication of native ACL anatomy results in restoration of rotational kinematics of ACLD patients to normal levels that are comparable to the control knee. These results indicate that the reestablishment of tibiofemoral alignment during ACLR may be an important step that facilitates normal knee kinematics postoperatively.
LEVEL OF EVIDENCE:
Level II, prospective cohort study.The authors gratefully acknowledge the funding support from the Hellenic Association of Orthopaedic Surgery and
Traumatology (HAOST-EEXOT)info:eu-repo/semantics/publishedVersio
Challenges for nursing education in Angola: the perception of nurse leaders affiliated with professional education institutions
Brane-World Gravity
The observable universe could be a 1+3-surface (the "brane") embedded in a
1+3+\textit{d}-dimensional spacetime (the "bulk"), with Standard Model
particles and fields trapped on the brane while gravity is free to access the
bulk. At least one of the \textit{d} extra spatial dimensions could be very
large relative to the Planck scale, which lowers the fundamental gravity scale,
possibly even down to the electroweak ( TeV) level. This revolutionary
picture arises in the framework of recent developments in M theory. The
1+10-dimensional M theory encompasses the known 1+9-dimensional superstring
theories, and is widely considered to be a promising potential route to quantum
gravity. At low energies, gravity is localized at the brane and general
relativity is recovered, but at high energies gravity "leaks" into the bulk,
behaving in a truly higher-dimensional way. This introduces significant changes
to gravitational dynamics and perturbations, with interesting and potentially
testable implications for high-energy astrophysics, black holes, and cosmology.
Brane-world models offer a phenomenological way to test some of the novel
predictions and corrections to general relativity that are implied by M theory.
This review analyzes the geometry, dynamics and perturbations of simple
brane-world models for cosmology and astrophysics, mainly focusing on warped
5-dimensional brane-worlds based on the Randall--Sundrum models. We also cover
the simplest brane-world models in which 4-dimensional gravity on the brane is
modified at \emph{low} energies -- the 5-dimensional Dvali--Gabadadze--Porrati
models. Then we discuss co-dimension two branes in 6-dimensional models.Comment: A major update of Living Reviews in Relativity 7:7 (2004)
"Brane-World Gravity", 119 pages, 28 figures, the update contains new
material on RS perturbations, including full numerical solutions of
gravitational waves and scalar perturbations, on DGP models, and also on 6D
models. A published version in Living Reviews in Relativit
Correlation of exhaled breath temperature with bronchial blood flow in asthma
In asthma elevated rates of exhaled breath temperature changes (Îe°T) and bronchial blood flow (Q(aw)) may be due to increased vascularity of the airway mucosa as a result of inflammation. We investigated the relationship of Îe°T with Q(aw )and airway inflammation as assessed by exhaled nitric oxide (NO). We also studied the anti-inflammatory and vasoactive effects of inhaled corticosteroid and ÎČ(2)-agonist. Îe°T was confirmed to be elevated (7.27 ± 0.6 ΰC/s) in 19 asthmatic subjects (mean age ± SEM, 40 ± 6 yr; 6 male, FEV(1 )74 ± 6 % predicted) compared to 16 normal volunteers (4.23 ± 0.41 ΰC/s, p < 0.01) (30 ± 2 yr) and was significantly increased after salbutamol inhalation in normal subjects (7.8 ± 0.6 ΰC/ s, p < 0.05) but not in asthmatic patients. Q(aw), measured using an acetylene dilution method was also elevated in patients with asthma compared to normal subjects (49.47 ± 2.06 and 31.56 ± 1.6 ÎŒl/ml/min p < 0.01) and correlated with exhaled NO (r = 0.57, p < 0.05) and Îe°T (r = 0.525, p < 0.05). In asthma patients, Q(aw )was reduced 30 minutes after the inhalation of budesonide 400 ÎŒg (21.0 ± 2.3 ÎŒl/ml/min, p < 0.05) but was not affected by salbutamol. Îe°T correlates with Q(aw )and exhaled NO in asthmatic patients and therefore may reflect airway inflammation, as confirmed by the rapid response to steroids
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