89 research outputs found
The feasibility of incorporating structured therapeutic consultations with real patients into the clinical clerkship internal medicine
Slip distribution of the 2003 Tokachi-oki earthquake estimated from tsunami waveform inversion
Relaxation Effects in the Transition Temperature of Superconducting HgBa2CuO4+delta
In previous studies on a number of under- and overdoped high temperature
superconductors, including YBa_{2}Cu_{3}O_{7-y} and Tl_{2}Ba_{2}CuO_{6+\delta},
the transition temperature T_c has been found to change with time in a manner
which depends on the sample's detailed temperature and pressure history. This
relaxation behavior in T_c is believed to originate from rearrangements within
the oxygen sublattice. In the present high-pressure studies on
HgBa_{2}CuO_{4+\delta} to 0.8 GPa we find clear evidence for weak relaxation
effects in strongly under- and overdoped samples () with
an activation energy . For overdoped
HgBa_{2}CuO_{4+\delta} E_{A} increases under pressure more rapidly than
previously observed for YBa_{2}Cu_{3}O_{6.41}, yielding an activation volume of
+11 \pm 5 cm^{3}; the dependence of T_c on pressure is markedly nonlinear, an
anomalous result for high-T_c superconductors in the present pressure range,
giving evidence for a change in the electronic and/or structural properties
near 0.4 GPa
Towards a "prescribing license" for medical students: development and quality evaluation of an assessment for safe prescribing
Purpose This report describes the development and validation process of an assessment with national consensus in appropriate
and safe pharmacotherapy.
Methods A question-database on safe prescription based on literature of pharmacotherapy-related harm was developed by an expert
group from Dutch medical faculties. Final-year medical students concluded a 2-year education program on appropriate and safe
prescription by one of nine assessment variants of 40 multiple-choice questions each. An expert panel of professionals (n = 10)
answered all database questions and rated questions on relevance. Questions were selected for revision based on lack of relevance or
poor test and item characteristics.
Results A total of 576 final-year medical students of the Radboud University was assessed. There was no significant difference in
performance between students and content expert group (p = 0.7), probably due to learning behavior. Out of 165 questions, 59
were selected for revision.
Conclusion Joint national effort from a team of experts in prescription and pharmacotherapy is an appropriate way to achieve a
valid and reliable last-year student drug prescription assessment
Mutational Analysis of EGFR and Related Signaling Pathway Genes in Lung Adenocarcinomas Identifies a Novel Somatic Kinase Domain Mutation in FGFR4
BACKGROUND: Fifty percent of lung adenocarcinomas harbor somatic mutations in six genes that encode proteins in the EGFR signaling pathway, i.e., EGFR, HER2/ERBB2, HER4/ERBB4, PIK3CA, BRAF, and KRAS. We performed mutational profiling of a large cohort of lung adenocarcinomas to uncover other potential somatic mutations in genes of this signaling pathway that could contribute to lung tumorigenesis. METHODOLOGY/PRINCIPAL FINDINGS: We analyzed genomic DNA from a total of 261 resected, clinically annotated non-small cell lung cancer (NSCLC) specimens. The coding sequences of 39 genes were screened for somatic mutations via high-throughput dideoxynucleotide sequencing of PCR-amplified gene products. Mutations were considered to be somatic only if they were found in an independent tumor-derived PCR product but not in matched normal tissue. Sequencing of 9MB of tumor sequence identified 239 putative genetic variants. We further examined 22 variants found in RAS family genes and 135 variants localized to exons encoding the kinase domain of respective proteins. We identified a total of 37 non-synonymous somatic mutations; 36 were found collectively in EGFR, KRAS, BRAF, and PIK3CA. One somatic mutation was a previously unreported mutation in the kinase domain (exon 16) of FGFR4 (Glu681Lys), identified in 1 of 158 tumors. The FGFR4 mutation is analogous to a reported tumor-specific somatic mutation in ERBB2 and is located in the same exon as a previously reported kinase domain mutation in FGFR4 (Pro712Thr) in a lung adenocarcinoma cell line. CONCLUSIONS/SIGNIFICANCE: This study is one of the first comprehensive mutational analyses of major genes in a specific signaling pathway in a sizeable cohort of lung adenocarcinomas. Our results suggest the majority of gain-of-function mutations within kinase genes in the EGFR signaling pathway have already been identified. Our findings also implicate FGFR4 in the pathogenesis of a subset of lung adenocarcinomas
Rupture process of large earthquakes in the northern Mexico subduction zone
The Cocos plate subducts beneath North America at the Mexico trench. The northernmost segment of this trench, between the Orozco and Rivera fracture zones, has ruptured in a sequence of five large earthquakes from 1973 to 1985; the Jan. 30, 1973 Colima event ( M s 7.5) at the northern end of the segment near Rivera fracture zone; the Mar. 14, 1979 Petatlan event ( M s 7.6) at the southern end of the segment on the Orozco fracture zone; the Oct. 25, 1981 Playa Azul event ( M s 7.3) in the middle of the Michoacan “gap”; the Sept. 19, 1985 Michoacan mainshock ( M s 8.1); and the Sept. 21, 1985 Michoacan aftershock ( M s 7.6) that reruptured part of the Petatlan zone. Body wave inversion for the rupture process of these earthquakes finds the best: earthquake depth; focal mechanism; overall source time function; and seismic moment, for each earthquake. In addition, we have determined spatial concentrations of seismic moment release for the Colima earthquake, and the Michoacan mainshock and aftershock. These spatial concentrations of slip are interpreted as asperities; and the resultant asperity distribution for Mexico is compared to other subduction zones. The body wave inversion technique also determines the Moment Tensor Rate Functions ; but there is no evidence for statistically significant changes in the moment tensor during rupture for any of the five earthquakes. An appendix describes the Moment Tensor Rate Functions methodology in detail.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/43169/1/24_2004_Article_BF00875970.pd
Medical Students' Exposure to and Attitudes about the Pharmaceutical Industry: A Systematic Review
A systematic review of published studies reveals that undergraduate medical
students may experience substantial exposure to pharmaceutical marketing, and
that this contact may be associated with positive attitudes about marketing
Tsunami generation of the 1993 Hokkaido Nansei-Oki earthquake
Heterogeneous fault motion of the 1993 Hokkaido Nansei-Oki earthquake is studied by using seismic, geodetic and tsunami data, and the tsunami generation from the fault model is examined. Seismological analyses indicate that the focal mechanism of the first 10 s, when about a third of the total moment was released, is different from the overall focal mechanism. A joint inversion of geodetic data on Okushiri Island and the tide gauge records in Japan and Korea indicates that the largest slip, about 6 m, occurred in a small area just south of the epicenter. This corresponds to the initial rupture on a fault plane dipping shallowly to the west. The slip on the northernmost subfault, which is dipping to the east, is about 2 m, while the slips on the southern subfaults, which are steeply dipping to the west, are more than 3 m. Tsunami heights around Okushiri Island are calculated from the heterogeneous fault model using different grid sizes. Computation on the smaller grids produces large tsunami height that are closer to the observed tsunami runup heights. Tsunami propagation in the nearly closed Japan Sea is examined as the free oscillation of the Japan Sea. The excitation of the free oscillation by this earthquake is smaller than that by the 1964 Niigata or 1983 Japan Sea earthquake.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/43222/1/24_2004_Article_BF00874395.pd
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