Single-Cell Redox Imaging Demonstrates a Distinctive Response of Dopaminergic Neurons to Oxidative Insults

Producción CientíficaAims: The study of the intracellular oxido-reductive (redox) state is of extreme relevance to the dopamine (DA) neurons of the substantia nigra pars compacta. These cells possess a distinct physiology intrinsically associated with elevated reactive oxygen species production, and they selectively degenerate in Parkinson's disease under oxidative stress conditions. To test the hypothesis that these cells display a unique redox response to mild, physiologically relevant oxidative insults when compared with other neuronal populations, we sought to develop a novel method for quantitatively assessing mild variations in intracellular redox state. Results: We have developed a new imaging strategy to study redox variations in single cells, which is sensitive enough to detect changes within the physiological range. We studied DA neurons' physiological redox response in biological systems of increasing complexity--from primary cultures to zebrafish larvae, to mammalian brains-and identified a redox response that is distinctive for substantia nigra pars compacta DA neurons. We studied simultaneously, and in the same cells, redox state and signaling activation and found that these phenomena are synchronized. Innovation: The redox histochemistry method we have developed allows for sensitive quantification of intracellular redox state in situ. As this method is compatible with traditional immunohistochemical techniques, it can be applied to diverse settings to investigate, in theory, any cell type of interest. Conclusion: Although the technique we have developed is of general interest, these findings provide insights into the biology of DA neurons in health and disease and may have implications for therapeutic intervention

Predicting delayed anxiety and depression in patients with gastrointestinal cancer

The aim of this study was to examine the possibility of predicting anxiety and depression 6 months after a cancer diagnosis on the basis of measures of anxiety, depression, coping and subjective distress associated with the diagnosis and to explore the possibility of identifying individual patients with high levels of delayed anxiety and depression associated with the diagnosis. A consecutive series of 159 patients with gastrointestinal cancer were interviewed in connection with the diagnosis, 3 months (non-cured patients only) and 6 months later. The interviews utilized structured questionnaires assessing anxiety and depression [Hospital Anxiety and Depression (HAD) scale], coping [Mental Adjustment to Cancer (MAC) scale] and subjective distress [Impact of Event (IES) scale]. Patient anxiety and depression close to the diagnosis were found to explain approximately 35% of the variance in anxiety and depression that was found 6 months later. The addition of coping and subjective distress measures did little to improve that prediction. A model using (standardized) cut-off scores of moderate to high anxiety, depression (HAD) and intrusive thoughts (IES subscale) close to the diagnosis to identify patients at risk for delayed anxiety and depression achieved a sensitivity of 75% and a specificity of 98%. Levels of anxiety and depression at diagnosis predicted a similar status 6 months later. The results also indicated that the HAD scale in combination with the IES intrusion subscale may be used as a tool for detecting patients at risk of delayed anxiety and depression. © 1999 Cancer Research Campaig

What does it mean to be a kin majority? Analyzing Romanian identity in Moldova and Russian identity in Crimea from below

Objective This article investigates what kin identification means from a bottom-up perspective in two kin majority cases: Moldova and Crimea. Methods The article is based on ∼50 fieldwork interviews conducted in both Moldova and Crimea with everyday social actors (2012–2013). Results Ethnic homogeneity for kin majorities is more fractured that previously considered. Respondents identified more in terms of assemblages of ethnic, cultural, political, linguistic, and territorial identities than in mutually exclusive census categories. Conclusions To understand fully the relations between kin majorities, their kin-state and home-state and the impact of growing kin engagement policies, like dual citizenship, it is necessary to analyze the complexities of the lived experience of kin identification for members of kin majorities and how this relates to kin-state identification and affiliation. Understanding these complexities helps to have a more nuanced understanding of the role of ethnicity in post-Communist societies, in terms of kin-state and intrastate relations

Cost-utility of revisions for cervical deformity correction warrants minimization of reoperations.

Background: Cervical deformity (CD) surgery has become increasingly more common and complex, which has also led to reoperations for complications such as distal junctional kyphosis (DJK). Cost-utility analysis has yet to be used to analyze CD revision surgery in relation to the cost-utility of primary CD surgeries. The aim of this study was to determine the cost-utility of revision surgery for CD correction. Methods: Retrospective review of a multicenter prospective CD database. CD was defined as at least one of the following: C2-C7 Cobb \u3e10°, cervical lordosis (CL) \u3e10°, cervical sagittal vertical axis (cSVA) \u3e4 cm, chin-brow vertical angle (CBVA) \u3e25°. Quality-adjusted life year (QALY) were calculated by EuroQol Five-Dimensions questionnaire (EQ-5D) and Neck Disability Index (NDI) mapped to SF-6D index and utilized a 3% discount rate to account for residual decline to life expectancy (men: 76.9 years, women: 81.6 years). Medicare reimbursement at 30 days assigned costs for index procedures (9+ level posterior fusion, 4-8 level posterior fusion with anterior fusion, 2-3 level posterior fusion with anterior fusion, 4-8 level anterior fusion) and revision fusions (2-3 level, 4-8 level, or 9+ level posterior refusion). Cost per QALY gained was calculated. Results: Eighty-nine CD patients were included (61.6 years, 65.2% female). CD correction for these patients involved a mean 7.7±3.7 levels fused, with 34% combined approach surgeries, 49% posterior-only and 17% anterior-only, 19.1% three-column osteotomy. Costs for index surgeries ranged from $20,001-55,205, with the average cost for this cohort of$44,318 and cost per QALY of $27,267. Eleven revision surgeries (mean levels fused 10.3) occurred up to 1-year, with an average cost of$41,510. Indications for revisions were DJK (5/11), neurologic impairment [4], infection [1], prominent/painful instrumentation [1]. Average QALYs gained was 1.62 per revision patient. Cost was $28,138 per QALY for reoperations. Conclusions: CD revisions had a cost of$28,138 per QALY, in addition to the $27,267 per QALY for primary CD surgeries. For primary CD patients, CD surgery has the potential to be cost effective, with the caveats that a patient livelihood extends long enough to have the benefits and durability of the surgery is maintained. Efforts in research and surgical technique development should emphasize minimization of reoperation causes just as DJK that significantly affect cost utility of these surgeries to bring cost-utility to an acceptable range

Mercury’s Solar Wind Interaction as Characterized by Magnetospheric Plasma Mantle Observations With MESSENGER

We analyze 94 traversals of Mercury’s southern magnetospheric plasma mantle using data from the MESSENGER spacecraft. The mean and median proton number densities in the mantle are 1.5 and 1.3 cm−3, respectively. For sodium number density these values are 0.004 and 0.002 cm−3. Moderately higher densities are observed on the magnetospheric dusk side. The mantle supplies up to 1.5 × 108 cm−2 s−1 and 0.8 × 108 cm−2 s−1 of proton and sodium flux to the plasma sheet, respectively. We estimate the cross‐electric magnetospheric potential from each observation and find a mean of ~19 kV (standard deviation of 16 kV) and a median of ~13 kV. This is an important result as it is lower than previous estimations and shows that Mercury’s magnetosphere is at times not as highly driven by the solar wind as previously thought. Our values are comparable to the estimations for the ice giant planets, Uranus and Neptune, but lower than Earth. The estimated potentials do have a very large range of values (1–74 kV), showing that Mercury’s magnetosphere is highly dynamic. A correlation of the potential is found to the interplanetary magnetic field (IMF) magnitude, supporting evidence that dayside magnetic reconnection can occur at all shear angles at Mercury. But we also see that Mercury has an Earth‐like magnetospheric response, favoring −BZ IMF orientation. We find evidence that −BX orientations in the IMF favor the southern cusp and southern mantle. This is in agreement with telescopic observations of exospheric emission, but in disagreement with modeling.Key PointsProton and sodium ions in Mercury’s southern plasma mantle have mean number densities of ~1.5 and 0.004 cm−3, respectivelyThe highest estimates of mantle proton and sodium flux supply to the plasma sheet are 1.5 × 108 cm−2 s−1 and 0.8 × 108 cm−2 s−1, respectivelyAn average cross‐electric magnetospheric potential of ~19 kV is determined, which is enhanced for increased IMF strength and −BZPeer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/142326/1/jgra53846.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/142326/2/jgra53846_am.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/142326/3/jgra53846-sup-0001-data_si.pd

Gastroparesis and functional dyspepsia: excerpts from the AGA/ANMS meeting

Despite the relatively high prevelance of gastroparesis and functional dyspepsia, the aetiology and pathophysiology of these disorders remain incompletely understood. Similarly, the diagnostic and treatment options for these two disorders are relatively limited despite recent advances in our understanding of both disorders.This manuscript reviews the advances in the understanding of the epidemiology, pathophysiology, diagnosis, and treatment of gastroparesis and functional dyspepsia as discussed at a recent conference sponsored by the American Gastroenterological Association (AGA) and the American Neurogastroenterology and Motility Society (ANMS). Particular focus is placed on discussing unmet needs and areas for future research.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/78690/1/j.1365-2982.2009.01434.x.pd

Ethnic minority disparities in progression and mortality of pre-dialysis chronic kidney disease : a systematic scoping review

Background: There are a growing number of studies on ethnic differences in progression and mortality for pre-dialysis chronic kidney disease (CKD), but this literature has yet to be synthesised, particularly for studies on mortality. Methods: This scoping review synthesized existing literature on ethnic differences in progression and mortality for adults with pre-dialysis CKD, explored factors contributing to these differences, and identified gaps in the literature. A comprehensive search strategy using search terms for ethnicity and CKD was taken to identify potentially relevant studies. Nine databases were searched from 1992 to June 2017, with an updated search in February 2020. Results: 8059 articles were identified and screened. Fifty-five studies (2 systematic review, 7 non-systematic reviews, and 46 individual studies) were included in this review. Most were US studies and compared African-American/Afro-Caribbean and Caucasian populations, and fewer studies assessed outcomes for Hispanics and Asians. Most studies reported higher risk of CKD progression in Afro-Caribbean/African-Americans, Hispanics, and Asians, lower risk of mortality for Asians, and mixed findings on risk of mortality for Afro-Caribbean/African-Americans and Hispanics, compared to Caucasians. Biological factors such as hypertension, diabetes, and cardiovascular disease contributed to increased risk of progression for ethnic minorities but did not increase risk of mortality in these groups. Conclusions: Higher rates of renal replacement therapy among ethnic minorities may be partly due to increased risk of progression and reduced mortality in these groups. The review identifies gaps in the literature and highlights a need for a more structured approach by researchers that would allow higher confidence in single studies and better harmonization of data across studies to advance our understanding of CKD progression and mortality