5,422 research outputs found

    The SF36 as an outcome measure of services for end stage renal failure

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    OBJECTIVE: —To evaluate the use of the short form 36 (SF36) as a measure of health related quality of life of patients with end stage renal failure, document the results, and investigate factors, including mode of treatment, which may influence it. DESIGN: Cross sectional survey of patients with end stage renal failure, with the standard United Kingdom version of the SF36 supplemented by specific questions for end stage renal failure. SETTING: A teaching hospital renal unit. Subjects and methods—660 patients treated at the Sheffield Kidney Institute by haemodialysis, peritoneal dialysis, and transplantation. Internal consistency, percentage of maximal or minimal responses, SF36 scores, effect sizes, correlations between independent predictor variables and individual dimension scores of the SF36. Multiple regression analysis of the SF36 scores for the physical functioning, vitality, and mental health dimensions against treatment, age, risk (comorbidity) score, and other independent variables. RESULTS: A high response rate was achieved. Internal consistency was good. There were no floor or ceiling effects other than for the two “role” dimensions. Overall health related quality of life was poor compared with the general population. Having a functioning transplant was a significant predictor of higher score in the three dimensions (physical functioning, vitality, and mental health) for which multiple regression models were constructed. Age, sex, comorbidity, duration of treatment, level of social and emotional support, household numbers, and hospital dialysis were also (variably) significant predictors. CONCLUSIONS: The SF36 is a practical and consistent questionnaire in this context, and there is evidence to support its construct validity. Overall the health related quality of life of these patients is poor, although transplantation is associated with higher scores independently of the effect of age and comorbidity. Age, comorbidity, and sex are also predictive of the scores attained in the three dimensions studied. Further studies are required to ascertain whether altering those predictor variables which are under the influence of professional carers is associated with changes in health related quality of life, and thus confirm the value of this outcome as a measure of quality of care

    Enrichment of innate lymphoid cell populations in gingival tissue

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    Innate lymphoid cells (ILCs) are a population of lymphocytes that act as the first line of immunologic defense at mucosal surfaces. The ILC family in the skin, lungs, and gastrointestinal tissues has been investigated, and there are reports of individual subsets of ILCs in the oral tissues. We sought to investigate the whole ILC population (group 1, 2, and 3 subsets) in the murine gingivae and the lymph nodes draining the oral cavity. We show that ILCs made up a greater proportion of the whole CD45+ lymphocyte population in the murine gingivae (0.356% ± 0.039%) as compared with the proportion of ILCs in the draining lymph nodes (0.158% ± 0.005%). Cytokine profiling of the ILC populations demonstrated different proportions of ILC subsets in the murine gingivae versus the regional lymph nodes. The majority of ILCs in the draining lymph nodes expressed IL-5, whereas there were equal proportions of IFN-γ- and IL-5 expressing ILCs in the oral mucosa. The percentage of IL-17+ ILCs was comparable between the murine gingivae and the oral draining lymph nodes. These data suggest an enrichment of ILCs in the murine gingivae, and these ILCs reflect a cytokine profile discrepant to that of the local draining lymph nodes. These studies indicate diversity and enrichment of ILCs at the oral mucosal surface. The function of ILCs in the oral cavity remains to be determined; here, we provide a premise of ILC populations that merits future consideration in investigations of mouse models and human tissues

    The relationship between particle freeze-out distributions and HBT radius parameters

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    The relationship between pion and kaon space-time freeze-out distributions and the HBT radius parameters in high-energy nucleus-nucleus collisions is investigated. We show that the HBT radius parameters in general do not reflect the R.M.S. deviations of the single particle production points. Instead, the HBT radius parameters are most closely related to the curvature of the two-particle space-time relative position distribution at the origin. We support our arguments by studies with a dynamical model (RQMD 2.4).Comment: RevTex, 10 pages including 3 figures. v2: Discussion of the lambda parameter has been added. PRC, in prin

    Generalized Parton Distributions of the Pion

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    Off-forward structure functions of the pion are investigated in twist-two and twist-three approximation. A simple model is used for the pion, which allows to introduce finite size effects, while preserving gauge invariance. Results for the imaginary parts of the gamma^* pi -> gamma^* pi off-forward amplitude and of the structure functions are presented. Generalized Callan-Gross relations are obtained.Comment: 4 pages, 5 figures, LaTeX, uses espcrc2.sty (included), presented at QCD03 Conference, Montpellier, France, July 200

    Sydnone Cycloaddition Route to Pyrazole-Based Analogs of Combretastatin A4.

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    The combretastatins are an important class of tubulin-binding agents. Of this family, a number of compounds are potent tumor Vascular Disrupting Agents (VDAs) and have shown promise in the clinic for cancer therapy. We have developed a modular synthetic route to combretastatin analogs based on a pyrazole core through highly-regioselective alkyne cycloaddition reactions of sydnones. These compounds show modest to high potency against human umbilical vein endothelial cell proliferation. Moreover, evidence is presented that these novel VDAs have the same mode of action as CA4P and bind reversibly to β-tubulin - believed to be a key feature in avoiding toxicity. The most active compound from in vitro studies was taken forward to an in vivo model and instigated an increase in tumor cell necrosis

    Oma1 Links Mitochondrial Protein Quality Control and TOR Signaling To Modulate Physiological Plasticity and Cellular Stress Responses

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    ACKNOWLEDGMENTS We thank Dennis Winge (University of Utah) and the members of the Khalimonchuk laboratory for critical comments. We also thank Christoph Schuller (University of Natural Resources, Austria) and Paul Herman (Ohio State University) for reagents. We acknowledge the expert technical assistance of Nataliya Zahayko. We also thank Donna MacCallum for help with the Candida virulence assays. This research was supported by grants from the NIH (P30GM103335 and 5R01GM108975 [O.K.], GM071775-06 and GM105781-01 [A.B.], DK079209 [J.L.]), the U.K. Biotechnology and Biological Research Council (BB/K017365/1 [A.J.P.B.]), the U.K. Medical Research Council (MR/ M026663/1 [A.J.P.B.]), and the European Research Council (C-2009- AdG-249793 [A.J.P.B.]). We declare that we have no competing financial interests. FUNDING INFORMATION This work, including the efforts of Alistair J. P. Brown, was funded by Biotechnology and Biological Research Counsil (BB/K017365/1). This work, including the efforts of Oleh Khalimonchuk, was funded by HHS | National Institutes of Health (NIH) (5R01GM108975). This work, including the efforts of Oleh Khalimonchuk, was funded by HHS | National Institutes of Health (NIH) (P30GM103335).This work, including the efforts of Antoni Barrientos, was funded by HHS | National Institutes of Health (NIH) (GM071775-06). This work, including the efforts of Antoni Barrientos, was funded by HHS | National Institutes of Health (NIH) (GM105781-01). This work, including the efforts of Jaekwon Lee, was funded by HHS | National Institutes of Health (NIH) (DK079209). This work, including the efforts of Alistair J. P. Brown, was funded by Medical Research Council (MRC) (MR/M026663/1). This work, including the efforts of Alistair J. P. Brown, was funded by EC | European Research Council (ERC) (C-2009-AdG-249793).Peer reviewedPublisher PD

    Microscopic Description of Black Rings in AdS/CFT

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    We discuss some aspects of the recently discovered BPS black ring solutions in terms of the AdS/CFT correspondence. In the type IIB frame in which the black ring carries the charges of the D1-D5-P system, we propose a microscopic description of the rings in the orbifold CFT governing this system. In our proposal, the CFT effectively splits into two parts: one part captures the supertube-like properties of the ring, and the other captures the entropy. We can also understand the black ring entropy by relating the geometry near the ring to BPS black holes in four dimensions, although this latter approach does not directly lead to an identification of black rings in terms of the D1-D5-P CFT.Comment: 18 pages, harvmac. v2 - minor typo

    Breakdown of Particle-Hole Symmetry in the Lowest Landau Level Revealed by Tunneling Spectroscopy

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    Tunneling measurements on 2D electron gases at high magnetic field reveal a qualitative difference between the two spin sublevels of the lowest Landau level. While the tunneling current-voltage characteristic at filling factor ν=1/2\nu = 1/2 is a single peak shifted from zero bias by a Coulomb pseudogap, the spectrum at ν=3/2\nu=3/2 shows a well-resolved double peak structure. This difference is present regardless of whether ν=1/2\nu =1/2 and ν=3/2\nu = 3/2 occur at the same or different magnetic fields. No analogous effect is seen at ν=5/2\nu = 5/2 and 7/2 in the first excited Landau level.Comment: 5 pages, 4 figure
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