Nursing Home Physicians Discuss Caring for Elderly Residents: An Exploratory Study

Despite the increasing complexity of nursing home care, the role of physicians caring for residents is largely unexplored. This international, exploratory study sought to learn about physicians’ roles, responsibilities, and tasks as well as investigate the unique qualities of medical practice in nursing homes. We conducted interviews with 18 physicians, who reported making important contributions to the quality of resident care, including clarifying the goals of care, working to reduce unnecessary medication and hospitalization, as well as contributing to staff education. Nursing home practice involved physicians in networks of relations that were instrumental to the quality of medical care and physicians’ job satisfaction. The importance of these relationships disrupts the oft-drawn boundary between the medical and the social, suggesting that good medical practice depends on good social practice. Reflecting the exploratory nature of the study, we recommend research to better understand and support the relational dimensions of nursing home medicine

Take Care

''The exhibition series’ political proposition, kept in play throughout, pivots on care as a possible nodal point among actions, struggles, and visions that “re-place” care “as an arche of human existence and of social relations.” [4] In its organizing strategies, Take Care strives to take on the challenges posed by its program: to rethink affective dimensions of (curatorial) labour; decentre individual authorship; profile radical communities of care; reallocate cultural and institutional resources; cut through apathy and empathy; practice collective resiliency; respect existing initiatives and historical precedents; and generate new bonds. Take Care is, in short, a connective project.'' -- Publisher's websit

Phase transitions in a network with range dependent connection probability

We consider a one-dimensional network in which the nodes at Euclidean distance $l$ can have long range connections with a probabilty $P(l) \sim l^{-\delta}$ in addition to nearest neighbour connections. This system has been shown to exhibit small world behaviour for $\delta < 2$ above which its behaviour is like a regular lattice. From the study of the clustering coefficients, we show that there is a transition to a random network at $\delta = 1$. The finite size scaling analysis of the clustering coefficients obtained from numerical simulations indicate that a continuous phase transition occurs at this point. Using these results, we find that the two transitions occurring in this network can be detected in any dimension by the behaviour of a single quantity, the average bond length. The phase transitions in all dimensions are non-trivial in nature.Comment: 4 pages, revtex4, submitted to Physical Review

G-TRACE: rapid Gal4-based cell lineage analysis in Drosophila.

We combined Gal4-UAS and the FLP recombinase-FRT and fluorescent reporters to generate cell clones that provide spatial, temporal and genetic information about the origins of individual cells in Drosophila melanogaster. We named this combination the Gal4 technique for real-time and clonal expression (G-TRACE). The approach should allow for screening and the identification of real-time and lineage-traced expression patterns on a genomic scale

Syrbactin-class dual constitutive- and immuno-proteasome inhibitor TIR-199 impedes myeloma-mediated bone degeneration in vivo

Proteasome-addicted neoplastic malignancies present a considerable refractory and relapsed phenotype with patients exhibiting drug resistance and high mortality rates. To counter this global problem, novel proteasome-based therapies are being developed. In the current study, we extensively characterize TIR-199, a syrbactin-class proteasome inhibitor derived from a plant virulence factor of bacterium Pseudomonas syringae pv syringae. We report that TIR-199 is a potent constitutive and immunoproteasome inhibitor, capable of inducing cell death in multiple myeloma, triple-negative breast cancer, (TNBC) and non-small cell lung cancer lines. TIR-199 also effectively inhibits the proteasome in primary myeloma cells of patients, and bypasses the PSMB5 A49T+A50V bortezomib-resistant mutant. TIR-199 treatment leads to accumulation of canonical proteasome substrates in cells, it is specific, and does not inhibit 50 other enzymes tested in vitro. The drug exhibits synergistic cytotoxicity in combination with proteasome-activating kinase DYRK2 inhibitor LDN192960. Furthermore, low-doses of TIR-199 exhibits in vivo activity by delaying myeloma-mediated bone degeneration in a mouse xenograft model. Together, our data indicates that proteasome inhibitor TIR-199 could indeed be a promising next-generation drug within the repertoire of proteasome-based therapeutics

Random matrix analysis of network Laplacians

We analyze eigenvalues fluctuations of the Laplacian of various networks under the random matrix theory framework. Analyses of random networks, scale-free networks and small-world networks show that nearest neighbor spacing distribution of the Laplacian of these networks follow Gaussian orthogonal ensemble statistics of random matrix theory. Furthermore, we study nearest neighbor spacing distribution as a function of the random connections and find that transition to the Gaussian orthogonal ensemble statistics occurs at the small-world transition.Comment: 14 pages, 5 figures, replaced with the final versio

New and Improved Diagnostics for Detection of Drug-Resistant Pulmonary Tuberculosis.

PURPOSE OF REVIEW: Tuberculosis (TB) remains a global emergency and continues to kill 1.7 million people globally each year. Drug-resistant TB is now well established throughout the world and most TB patients are not being screened for drug resistance due to lack of laboratory resources and rapid accurate point-of-care tests. Accurate and rapid diagnosis of TB and drug-resistant TB is of paramount importance in establishing appropriate clinical management and infection control measures. During the past decade, there have been significant advances in diagnostic technologies for TB and drug-resistant TB. The purpose of this article is to review the current data, recommendations and evidence base for these tests. RECENT FINDINGS: Second-line drug susceptibility testing (DST) is complex and expensive. Automated liquid culture systems and molecular line probe assays are recommended by the WHO as the current 'gold standard' for first-line DST. Liquid culture DST for aminoglycosides, polypeptides and fluoroquinolones has been shown to have relatively good reliability and reproducibility for diagnosis of extensively drug-resistant TB; however, DST for other second-line drugs (ethionamide, prothionamide, cycloserine, terizidone, para-aminosalicylic acid, clofazimine, amoxicillin-clavulanate, clarithromycin, linezolid) is not recommended. Automated liquid culture systems are currently recommended by the WHO as the 'gold standard' for second-line DST. SUMMARY: In this review, we describe the phenotypic and genotypic methods currently available for the diagnosis of TB and drug-resistant forms of Mycobacterium tuberculosis and discuss future prospects for TB diagnostics. Current technologies for the detection of drug resistant M. tuberculosis vary greatly in terms of turnaround time, cost and complexity. Ultimately, the 'holy grail' diagnostic for TB must fulfil all technical specifications for a good point-of-care test, screen for drug resistance concurrently and be adaptable to the various health system levels and to countries with diverse economic status and TB burden. © 2011 Lippincott Williams & Wilkins, Inc

Compact source of narrowband and tunable X-rays for radiography

We discuss the development of a compact X-ray source based on inverse-Compton scattering with a laser-driven electron beam. This source produces a beam of high-energy X-rays in a narrow cone angle (5–10 mrad), at a rate of 108 photons-s_1. Tunable operation of the source over a large energy range, with energy spread of ~50%, has also been demonstrated. Photon energies \u3e10 MeV have been obtained. The narrowband nature of the source is advantageous for radiography with low dose, low noise, and minimal shielding