292 research outputs found
Immunoproteasome-Deficiency Has No Effects on NK Cell Education, but Confers Lymphocytes into Targets for NK Cells in Infected Wild-Type Mice
Natural killer (NK) cells are part of the innate immune system and contribute to the eradication of virus infected cells and tumors. NK cells express inhibitory and activating receptors and their decision to kill a target cell is based on the balance of signals received through these receptors. MHC class I molecules are recognized by inhibitory receptors, and their presence during NK cell education influences the responsiveness of peripheral NK cells. We here demonstrate that mice with reduced MHC class I cell surface expression, due to deficiency of immunoproteasomes, have responsive NK cells in the periphery, indicating that the lower MHC class I levels do not alter NK cell education. Following adoptive transfer into wild-type (wt) recipients, immunoproteasome-deficient splenocytes are tolerated in naive but rejected in virus-infected recipients, in an NK cell dependent fashion. These results indicate that the relatively low MHC class I levels are sufficient to protect these cells from rejection by wt NK cells, but that this tolerance is broken in infection, inducing an NK cell-dependent rejection of immunoproteasome-deficient cells
Decision making around living and deceased donor kidney transplantation: a qualitative study exploring the importance of expected relationship changes
BACKGROUND: Limited data exist on the impact of living kidney donation on the donor-recipient relationship. Purpose of this study was to explore motivations to donate or accept a (living donor) kidney, whether expected relationship changes influence decision making and whether relationship changes are actually experienced. METHODS: We conducted 6 focus groups in 47 of 114 invited individuals (41%), asking retrospectively about motivations and decision making around transplantation. We used qualitative and quantitative methods to analyze the focus group transcripts. RESULTS: Most deceased donor kidney recipients had a potential living donor available which they refused or did not want. They mostly waited for a deceased donor because of concern for the donor’s health (75%). They more often expected negative relationship changes than living donor kidney recipients (75% vs. 27%, p = 0.01) who also expected positive changes. Living donor kidney recipients mostly accepted the kidney to improve their own quality of life (47%). Donors mostly donated a kidney because transplantation would make the recipient less dependent (25%). After transplantation both positive and negative relationship changes are experienced. CONCLUSION: Expected relationship changes and concerns about the donor’s health lead some kidney patients to wait for a deceased donor, despite having a potential living donor available. Further research is needed to assess whether this concerns a selected group
Generation of Vorticity Near Topography: Anticyclones in the Caribbean Sea
Mesoscale anticyclonic eddies dominate the sea-surface height variability in the Caribbean Sea. Although it is well established that these anticyclones are formed near the eastern boundary of the Caribbean Sea, which is demarcated by the Lesser Antilles, the source of their anticyclonic vorticity remains unclear. To gain insight into this source, we analyze the fluxes of vorticity into the Caribbean at its eastern boundary using a high-resolution numerical model. We find that the anticyclonic vorticity in the eastern Caribbean Sea predominantly originates from regions where intense ocean currents flow close to the Lesser Antilles. More specifically, St. Lucia and Grenada are hotspots for vorticity generation. The local generation rate scales with the amplitude of the volume transport through the passages between these islands. This finding is in contrast with the view that anticyclonic North Brazil Current (NBC) rings in the Atlantic Ocean are the main source of anticyclonic vorticity in the eastern Caribbean Sea. Our analyses reveal that the direct contribution of the vorticity of the NBC rings is of lesser importance than the local generation. However, the collision of upstream NBC rings with the Lesser Antilles increases the volume transport through the passages into the Caribbean Sea, so that their presence indirectly leads to enhanced local production of anticyclonic vorticity. This process is an example of the importance of vorticity generation near topography, which is ubiquitous in the oceans, and expected to be important whenever currents and steep topography meet
Action research and democracy
This contribution explores the relationship between research and learning democracy. Action research is seen as being compatible with the orientation of educational and social work research towards social justice and democracy. Nevertheless, the history of action research is characterized by a tension between democracy and social engineering. In the social-engineering approach, action research is conceptualized as a process of innovation aimed at a specific Bildungsideal. In a democratic approach action research is seen as research based on cooperation between research and practice. However, the notion of democratic action research as opposed to social engineering action research needs to be theorized. So called democratic action research involving the implementation by the researcher of democracy as a model and as a preset goal, reduces cooperation and participation into instruments to reach this goal, and becomes a type of social engineering in itself. We argue that the relationship between action research and democracy is in the acknowledgment of the political dimension of participation: ‘a democratic relationship in which both sides exercise power and shared control over decision-making as well as interpretation’. This implies an open research design and methodology able to understand democracy as a learning process and an ongoing experiment
A Self-management Approach for Dietary Sodium Restriction in Patients With CKD:A Randomized Controlled Trial
Health and self-regulatio
Ocean model resolution dependence of Caribbean sea-level projections
Abstract Sea-level rise poses severe threats to coastal and low-lying regions around the world, by exacerbating coastal erosion and flooding. Adequate sea-level projections over the next decades are important for both decision making and for the development of successful adaptation strategies in these coastal and low-lying regions to climate change. Ocean components of climate models used in the most recent sea-level projections do not explicitly resolve ocean mesoscale processes. Only a few effects of these mesoscale processes are represented in these models, which leads to errors in the simulated properties of the ocean circulation that affect sea-level projections. Using the Caribbean Sea as an example region, we demonstrate a strong dependence of future sea-level change on ocean model resolution in simulations with a global climate model. The results indicate that, at least for the Caribbean Sea, adequate regional projections of sea-level change can only be obtained with ocean models which capture mesoscale processes.info:eu-repo/semantics/publishe
Tropical biogeomorphic seagrass landscapes for coastal protection:Persistence and wave attenuation during major storms events
The intensity of major storm events generated within the Atlantic Basin is projected to rise with the warming of the oceans, which is likely to exacerbate coastal erosion. Nature-based flood defence has been proposed as a sustainable and effective solution to protect coastlines. However, the ability of natural ecosystems to withstand major storms like tropical hurricanes has yet to be thoroughly tested. Seagrass meadows both stabilise sediment and attenuate waves, providing effective coastal protection services for sandy beaches. To examine the tolerance of Caribbean seagrass meadows to extreme storm events, and to investigate the extent of protection they deliver to beaches, we employed a combination of field surveys, biomechanical measurements and wave modelling simulations. Field surveys of sea- grass meadows before and after a direct hit by the category 5 Hurricane Irma documented that estab- lished seagrass meadows of Thalassia testudinum re- mained unaltered after the extreme storm event. The flexible leaves and thalli of seagrass and calci- fying macroalgae inhabiting the meadows were shown to sustain the wave forces that they are likely to experience during hurricanes. In addition, the seagrass canopy and the complex biogeomorphic landscape built by the seagrass meadows combine to significantly dissipate extreme wave forces, ensuring that erosion is minimised within sandy beach fore- shores. The persistence of the Caribbean seagrass meadows and their coastal protection services dur- ing extreme storm events ensures that a stable coastal ecosystem and beach foreshore is maintained in tropical regions
A prospective study of nutrition education and oral nutritional supplementation in patients with Alzheimer's disease
<p>Abstract</p> <p>Background</p> <p>Weight loss in patients with Alzheimer's disease (AD) is a common clinical manifestation that may have clinical significance.</p> <p>Objectives</p> <p>To evaluate if there is a difference between nutrition education and oral nutritional supplementation on nutritional status in patients with AD.</p> <p>Methods</p> <p>A randomized, prospective 6-month study which enrolled 90 subjects with probable AD aged 65 years or older divided into 3 groups: Control Group (CG) [n = 27], Education Group (EG) [n = 25], which participated in an education program and Supplementation Group (SG) [n = 26], which received two daily servings of oral nutritional supplementation. Subjects were assessed for anthropometric data (weight, height, BMI, TSF, AC and AMC), biochemical data (total protein, albumin, and total lymphocyte count), CDR (Clinical Dementia Rating), MMSE (Mini-mental state examination), as well as dependence during meals.</p> <p>Results</p> <p>The SG showed a significant improvement in the following anthropometric measurements: weight (H calc = 22.12, p =< 0.001), BMI (H calc = 22.12, p =< 0.001), AC (H calc = 12.99, p =< 0.002), and AMC (H calc = 8.67, p =< 0.013) compared to the CG and EG. BMI of the EG was significantly greater compared to the CG. There were significant changes in total protein (H calc = 6.17, p =< 0.046), and total lymphocyte count in the SG compared to the other groups (H cal = 7.94, p = 0.019).</p> <p>Conclusion</p> <p>Oral nutritional supplementation is more effective compared to nutrition education in improving nutritional status.</p
Phase Transformation for the Large-Scale Synthesis and Assembly via Welding of Metal Silicide Nanowires for Thermoelectric Applications
Solid-state thermoelectrics that convert thermal energy into electricity have the potential to increase the efficiencies of existing process and systems (e.g., automobiles). The large-scale deployment of thermoelectrics for terrestrial use requires the following: a) enhancing their efficiencies beyond that are currently possible, and b) their fabrication from non-toxic, inexpensive, earth-abundant elements. Recent studies have determined that nanostructuring of earth-abundant materials, such as magnesium silicide (Mg2Si), is a possible pathway for accomplishing this task.
Contextually, the overall aim of this dissertation is to engineer highly efficient Mg2Si nanowire-based thermoelectrics. This was achieved through the design of strategies for (1) the large-scale synthesis of a form of nanostructured Mg2Si, nanowires of Mg2Si, and (2) the interface-engineered assembly of the synthesized nanowires into welded nanowire networks that do not have any insulating MgO at the nanowire interfaces. Together, these strategies are intended to offer the ability to control thermal and electrical transport through Mg2Si.
For the large-scale synthesis of Mg2Si nanowires, a phase transformation strategy that converts pre-synthesized silicon nanowires into Mg2Si nanowires was engineered. Experimentation performed indicated that 20 to 300 nm-thick, 5 to 20 µm-long silicon nanowires obtained by electroless etching can be phase transformed into polycrystalline Mg2Si nanowires by reacting them with magnesium supplied via the vapor phase. To prevent the formation of multiple nuclei within each silicon nanowire during the phase transformation process and the formation of polycrystalline Mg2Si nanowires, a solid-state phase transformation process was engineered. Here, the solid-state reaction of sharp-tipped silicon nanowires with magnesium foils was employed for obtaining single-crystalline Mg2Si nanowires.
To assemble the nanowires, the solid-state phase transformation strategy was extended and the phase transformation of silica nanoparticle coated silicon nanowires was employed. This procedure led to the formation of welded Mg2Si nanowire networks, where both the nanowires and the bridges connecting the nanowires were composed of Mg2Si. Thermoelectric performance evaluation of these networks and microcrystalline Mg2Si devices proved our hypothesis and indicated a 2-fold increase in the power factors. The high power factor of 0.972 x 10^-3 Wm^-1K^-2 achieved at 875 K is twice that reported in the literature for undoped Mg2Si
- …