394 research outputs found

    Pregnancy experiences of Western Australian women attending a specialist childbirth and mental illness antenatal clinic

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    Our purpose was to explore the pregnancy experiences of Australian women attending a specialized Childbirth and Mental Illness (CAMI) antenatal clinic. A qualitative exploratory design was selected to give voice to women with a severe mental illness receiving antenatal care. Telephone interviews with 41 women, 24 primiparous and 17 multiparous, were analysed using thematic analysis. Three themes emerged: ‘Building relationships’, ‘Acknowledged me as a person with special needs’ and ‘Respect and understanding without stigma’. Findings offer insight into care experiences possible within a multidisciplinary model developed to addresses psychiatric and obstetric needs of pregnant women with severe mental illness

    CT virtual intravascular endoscopy in the follow-up of endoluminal fenestrated stent grafts

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    Purpose: To investigate the potential value of CT virtual intravascular endoscopy in the follow-up of patients with abdominal aortic aneurysms treated with endoluminal fenestrated stent grafts.Methods and Materials: Eight patients with abdominal aortic aneurysms unsuitable for open surgery or conventional endovascular repair undergoing fenestrated stent grafts were included in the study. Both pre-and post-fenestration multislice CT data were collected in these patients and used for generation of virtual intravascular endoscopy images of aortic ostium and endovascular stents. Virtual endoscopy images were compared with conventional axial CT and multiplanar images with the aim of identifying the appearances of the endoluminal stents. The length of endoluminal stents that protruded into the aortic lumen was measured on virtual endoscopy images.Results: Variable fenestrations were deployed in 27 aortic branches with scallop fenestration implanted in 5 aortic ostia, large fenestration in 7 aortic ostia and small fenestration in 15 renal ostia, respectively. All of the fenestrated branches remained patent. Virtual endoscopy was superior to conventional 2D images in the visualization of configuration of endovascular stents. Most of the stents (68%) were found to be circular visualized on virtual endoscopy images, while the remaining stents were irregular in terms of endoluminal appearances. 95% of these stents were shown to protrude into the lumen with length less than 7.0 mm. There is no significant difference of the diameters of aortic ostia between pre-and post- fenestration (p>0.05).Conclusion: Our preliminary study shows that virtual intravascular endoscopy could be a valuable technique to follow-up patients treated with endoluminal fenestrated stent grafts

    Long term abundance patterns of potamodromous brown trout in a large lacustrine catchment in County Fermanagh

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    Publication history: Accepted - 12 February 2021; Published online - 29 September 2021.Long-term survey data detailing brown trout abundance in the Lough Erne catchment in Co. Fermanagh were tabulated from 1968–2016. These data included redd counts and electric fishing surveys across three key spawning tributaries in addition to gill-net surveys of the lake. The abundance of spawning adults fluctuated widely across the time-series and were examined in relation to various pressures, including a major disease epidemic and the invasion of the catchment by zebra mussels. A functional stock-recruitment relationship between adult spawners and young-of-year juveniles in the spawning tributaries was identified and described. Redd counts were significantly lower for the post-zebra mussel time-series (2000–16) than the pre-zebra mussel time-series (1968–99). The post-zebra mussel invasion period was associated with increased water clarity, reduced plankton productivity and changes to the balance of coarse fish species in the lake. The significance of these changes is discussed in relation to the trout stock

    The secreted triose phosphate isomerase of Brugia malayi is required to sustain microfilaria production in vivo

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    Human lymphatic filariasis is a major tropical disease transmitted through mosquito vectors which take up microfilarial larvae from the blood of infected subjects. Microfilariae are produced by long-lived adult parasites, which also release a suite of excretory-secretory products that have recently been subject to in-depth proteomic analysis. Surprisingly, the most abundant secreted protein of adult Brugia malayi is triose phosphate isomerase (TPI), a glycolytic enzyme usually associated with the cytosol. We now show that while TPI is a prominent target of the antibody response to infection, there is little antibody-mediated inhibition of catalytic activity by polyclonal sera. We generated a panel of twenty-three anti-TPI monoclonal antibodies and found only two were able to block TPI enzymatic activity. Immunisation of jirds with B. malayi TPI, or mice with the homologous protein from the rodent filaria Litomosoides sigmodontis, failed to induce neutralising antibodies or protective immunity. In contrast, passive transfer of neutralising monoclonal antibody to mice prior to implantation with adult B. malayi resulted in 60–70% reductions in microfilarial levels in vivo and both oocyte and microfilarial production by individual adult females. The loss of fecundity was accompanied by reduced IFNγ expression by CD4+ T cells and a higher proportion of macrophages at the site of infection. Thus, enzymatically active TPI plays an important role in the transmission cycle of B. malayi filarial parasites and is identified as a potential target for immunological and pharmacological intervention against filarial infections

    Optical study of the electronic phase transition of strongly correlated YbInCu_4

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    Infrared, visible and near-UV reflectivity measurements are used to obtain conductivity as a function of temperature and frequency in YbInCu_4, which exhibits an isostructural phase-transition into a mixed-valent phase below T_v=42 K. In addition to a gradual loss of spectral weight with decreasing temperature extending up to 1.5 eV, a sharp resonance appears at 0.25 eV in the mixed-valent phase. This feature can be described in terms of excitations into the Kondo (Abrikosov-Suhl) resonance, and, like the sudden reduction of resistivity, provides a direct reflection of the onset of coherence in this strongly correlated electron system.Comment: 4 pages, 3 figures (to appear in Phys. Rev. B

    Optimized ratiometric calcium sensors for functional in vivo imaging of neurons and T lymphocytes

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    Author Posting. © The Author(s), 2013. This is the author's version of the work. It is posted here by permission of Nature Publishing Group for personal use, not for redistribution. The definitive version was published in Nature Methods 11 (2014): 175-182, doi:10.1038/nmeth.2773.The quality of genetically encoded calcium indicators (GECIs) has improved dramatically in recent years, but high-performing ratiometric indicators are still rare. Here we describe a series of fluorescence resonance energy transfer (FRET)-based calcium biosensors with a reduced number of calcium binding sites per sensor. These ‘Twitch’ sensors are based on the C-terminal domain of Opsanus troponin C. Their FRET responses were optimized by a large-scale functional screen in bacterial colonies, refined by a secondary screen in rat hippocampal neuron cultures. We tested the in vivo performance of the most sensitive variants in the brain and lymph nodes of mice. The sensitivity of the “Twitch” sensors matched that of synthetic calcium dyes and allowed visualization of tonic action potential firing in neurons and high resolution functional tracking of T lymphocytes. Given their ratiometric readout, their brightness, large dynamic range and linear response properties, Twitch sensors represent versatile tools for neuroscience and immunology.2014-07-0

    Adult North Star Network (ANSN): Consensus Document for Therapists Working with Adults with Duchenne Muscular Dystrophy (DMD) - Therapy Guidelines

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    BACKGROUND The survival of people with Duchenne Muscular Dystrophy (DMD) significantly increased due to improvements in standards of care (SOC) [1]. Consequently, DMD has evolved from a paediatric disease to a severe, chronic, multisystem, adult condition. The published international standards of care advocate specialist multidisciplinary health monitoring through proactive, anticipatory approaches to slow down the effects of the disease and allow advanced, informed decision-making [1–3]. Therapy starts as soon as the diagnosis is made and plays a vital role in symptom management in individuals to improve function, participation and effective quality of life. Therapy interventions for management, differ depending on the setting in which the care is being provided, specifically in terms of the expertise within the teams and resources available within these settings. People with DMD find that when they transition to adult services there is a dearth of expertise and limited access to therapy services. The survey conducted in the UK highlighted substantial differences between the care received by adults and children with the condition [2]. A large proportion of adults with DMD reported increased difficulties with access to professional physiotherapy, particularly at transition from childhood to adulthood. Additionally, having their functional abilities assessed regularly or receiving professional physiotherapy in general were both significantly more difficult to achieve within adult services in the UK. Furthermore, some of the major problems expressed by adults with DMD were mobility and transportation as well as, getting involved in leisure activities and work [3]. Therefore, while pediatric services are predominantly family-centred, after transition the paradigm of patient care changes towards individual-centred with focus on different therapy goals. Those become more tailored to the individuals’ needs, balancing quality of life and management options.This document is aimed at providing guidelines for physiotherapy, occupational therapy and speech and language considerations. The ‘Adult North Star Network’ (ANSN) was founded in 2015 to advance care of adults with DMD living in the UK and to develop a prospective natural history database. There are currently 28 adult centres within the network, caring for at least 700 DMD patients. Transition age is varied depending on services and is generally between the ages of 16 to 18. There is a wide range of severity affecting people with DMD transitioned to adult services, those who are steroid naive will have been permanent wheelchair users for many years and have profound muscle weakness. On the other hand, steroid treated patients will most commonly have good upper limb function, and some maybe ambulant at the time of transition. Additionally the specific type of genetic mutation, compliance to therapy and environmental factors may play a role in disease progression and presentation at transition. The aim of these guidelines is to support therapists working with adults with DMD with little or no experience to assist their clinical practice. Whilst the recommendations can be adopted by other health care systems in the world, we appreciate it will depend on resource availability

    Src activation by β-adrenoreceptors is a key switch for tumor metastasis

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    Norepinephrine (NE) can modulate multiple cellular functions important for cancer progression; however, how this single extracellular signal regulates such a broad array of cellular processes is unknown. Here, we identify Src as a key regulator of phosphoproteomic signaling networks activated in response to beta-adrenergic signaling in cancer cells. These results also identify a new mechanism of Src phosphorylation that mediates beta-adrenergic/PKA regulation of downstream networks, thereby enhancing tumor cell migration, invasion and growth. In human ovarian cancer samples, high tumoral NE levels were correlated with high pSrcY419 levels. Moreover, among cancer patients, the use of beta blockers was significantly associated with reduced cancer-related mortality. Collectively, these data provide a pivotal molecular target for disrupting neural signaling in the tumor microenvironment

    Communications Biophysics

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    Contains research objectives and summary of research on thirteen research projects split into four section.National Institutes of Health (Grant 1 RO1 NS10737-01)National Institutes of Health (Grant 1 ROI NS10916-01)National Institutes of Health (Grant 5 RO1 NS11000-02)National Institutes of Health (Grant 1 RO1 NS11153-01)Harvard M.I.T. Rehabilitation Engineering CenterU. S. Department of Health, Education, and Welfare, Grant 23-P-55854National Institutes of Health (Grant 1 RO1 NS11680-01)Norlin Music, Inc.Clarence J. LeBel FundNational Institutes of Health (Grant 1 RO1 NS11080-01A1)National Institutes of Health (Grant 5 TO1 GM01555-08)M.I.T. Health Sciences FundBoston City Hospital Purchase Order 1176-05-21335-C
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