2,201 research outputs found

    Diffusion of scientific credits and the ranking of scientists

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    Recently, the abundance of digital data enabled the implementation of graph based ranking algorithms that provide system level analysis for ranking publications and authors. Here we take advantage of the entire Physical Review publication archive (1893-2006) to construct authors' networks where weighted edges, as measured from opportunely normalized citation counts, define a proxy for the mechanism of scientific credit transfer. On this network we define a ranking method based on a diffusion algorithm that mimics the spreading of scientific credits on the network. We compare the results obtained with our algorithm with those obtained by local measures such as the citation count and provide a statistical analysis of the assignment of major career awards in the area of Physics. A web site where the algorithm is made available to perform customized rank analysis can be found at the address http://www.physauthorsrank.orgComment: Revised version. 11 pages, 10 figures, 1 table. The portal to compute the rankings of scientists is at http://www.physauthorsrank.or

    Alien Registration- Goddard, Garfield C. (Farmington, Franklin County)

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    https://digitalmaine.com/alien_docs/19891/thumbnail.jp

    PCV8 Readiness to Comply And Outcomes of Antihypertensive Therapy

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    Pharmacy services for shielding patients should act as a blueprint for those who are housebound

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    The COVID-19 pandemic highlighted the vital role that community pharmacy staff play in patient care. Now, the sector should offer a suite of nationally commissioned essential services for housebound patients

    The association between plasma metabolites and sleep quality in the Southall and Brent Revisited Study (SABRE): A cross-sectional analysis

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    Background: Disordered metabolic processes have been associated with abnormal sleep patterns. However, the biological triggers and pathways are yet to be elucidated. / Methods: Participants were from the Southall and Brent REvisited (SABRE) cohort. Nuclear Magnetic Resonance spectroscopy provided 146 circulating plasma metabolites. Sleep questionnaires identified the presence or absence of: difficulty falling asleep (DFA), early morning waking (EMW), waking up tired (WUT) and snoring. Metabolites were compared between the sleep quality categories using the t-test, then filtered using a false discovery rate of 0.05. Generalized linear models with logit-link assessed the associations between filtered metabolites and sleep phenotypes. Adjustment was made for important demographic and health-related covariates. / Results: 2718 SABRE participants were included. After correcting for multiple testing, 3 metabolites remained for DFA, 59 for snoring and none for EMW and WUT. In fully-adjusted models, 1 standard deviation increase in serum histidine, leucine and valine associated with lower odds of DFA by 0.84-0.89 (95% confidence intervals [CIs]: 0.75-0.99). Branched chain amino acids (ORs 1.11-1.15, 95%CIs 1.01-1.26) were positively associated with snoring. Docosahexaenoic acid (DHA) (OR 0.89, 95% CI 0.82-0.96) and total cholesterol in low-density lipoprotein (LDL) (OR 0.89, 95% CI 0.82-0.96) and high-density lipoprotein (HDL) (ORs 0.90, 95% CIs 0.83-0.99) associated with lower odds of snoring. / Conclusion: Histidine, leucine and valine associated with lower odds of difficulty falling asleep, while docosahexaenoic acid and cholesterol LDL and HDL subfractions associated with lower odds of snoring. Identified metabolites could provide guidance on the metabolic pathways behind the adverse sleep quality

    Dexamethasone induces apoptosis in pulmonary arterial smooth muscle cells

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    BACKGROUND: Dexamethasone suppressed inflammation and haemodynamic changes in an animal model of pulmonary arterial hypertension (PAH). A major target for dexamethasone actions is NF-κB, which is activated in pulmonary vascular cells and perivascular inflammatory cells in PAH. Reverse remodelling is an important concept in PAH disease therapy, and further to its anti-proliferative effects, we sought to explore whether dexamethasone augments pulmonary arterial smooth muscle cell (PASMC) apoptosis. METHODS: Analysis of apoptosis markers (caspase 3, in-situ DNA fragmentation) and NF-κB (p65 and phospho-IKK-α/β) activation was performed on lung tissue from rats with monocrotaline (MCT)-induced pulmonary hypertension (PH), before and after day 14–28 treatment with dexamethasone (5 mg/kg/day). PASMC were cultured from this rat PH model and from normal human lung following lung cancer surgery. Following stimulation with TNF-α (10 ng/ml), the effects of dexamethasone (10(−8)–10(−6) M) and IKK2 (NF-κB) inhibition (AS602868, 0–3 μM (0-3×10(−6) M) on IL-6 and CXCL8 release and apoptosis was determined by ELISA and by Hoechst staining. NF-κB activation was measured by TransAm assay. RESULTS: Dexamethasone treatment of rats with MCT-induced PH in vivo led to PASMC apoptosis as displayed by increased caspase 3 expression and DNA fragmentation. A similar effect was seen in vitro using TNF-α-simulated human and rat PASMC following both dexamethasone and IKK2 inhibition. Increased apoptosis was associated with a reduction in NF-κB activation and in IL-6 and CXCL8 release from PASMC. CONCLUSIONS: Dexamethasone exerted reverse-remodelling effects by augmenting apoptosis and reversing inflammation in PASMC possibly via inhibition of NF-κB. Future PAH therapies may involve targeting these important inflammatory pathways

    Resilience of Medication Adherence Practices in Response to Life Changes: Learning from Qualitative Data Obtained during the COVID-19 Pandemic

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    Nonadherence to medicines is widespread and can adversely affect health outcomes. Previous research has identified that patients develop their own strategies to assist with adherence. However, such research has not focused on how the helpfulness of these strategies may change in response to changes in patients’ circumstances. This study aimed to explore resilience of medication adherence to life changes. It involved secondary thematic analysis of the verbatim transcripts of 50 semi-structured interviews that were conducted with adults who were advised to shield or were over the age of 70 during the first wave of the COVID-19 pandemic in the UK. Interview data suggested that resilience of medication adherence varied between participants. Participants either reported that they had not used any specific strategies to remind them to take their medicines prior to the pandemic, that the strategies that they had employed prior to the pandemic remained effective during the pandemic, that they had needed to make some adjustments to the strategies used, or that the strategies they had used were no longer effective. In addition, beliefs about medicines and motivation to take them were altered for some participants. These findings suggest that challenges associated with medication adherence do not always remain stable over time and that healthcare professionals need to continue to monitor and support medication adherence long-term

    Membership and behavior of ultra-low-diversity pathogen communities present in the gut of humans during prolonged critical illness.

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    UnlabelledWe analyzed the 16S rRNA amplicon composition in fecal samples of selected patients during their prolonged stay in an intensive care unit (ICU) and observed the emergence of ultra-low-diversity communities (1 to 4 bacterial taxa) in 30% of the patients. Bacteria associated with the genera Enterococcus and Staphylococcus and the family Enterobacteriaceae comprised the majority of these communities. The composition of cultured species from stool samples correlated to the 16S rRNA analysis and additionally revealed the emergence of Candida albicans and Candida glabrata in ~75% of cases. Four of 14 ICU patients harbored 2-member pathogen communities consisting of one Candida taxon and one bacterial taxon. Bacterial members displayed a high degree of resistance to multiple antibiotics. The virulence potential of the 2-member communities was examined in C. elegans during nutrient deprivation and exposure to opioids in order to mimic local conditions in the gut during critical illness. Under conditions of nutrient deprivation, the bacterial members attenuated the virulence of fungal members, leading to a "commensal lifestyle." However, exposure to opioids led to a breakdown in this commensalism in 2 of the ultra-low-diversity communities. Application of a novel antivirulence agent (phosphate-polyethylene glycol [Pi-PEG]) that creates local phosphate abundance prevented opioid-induced virulence among these pathogen communities, thus rescuing the commensal lifestyle. To conclude, the gut microflora in critically ill patients can consist of ultra-low-diversity communities of multidrug-resistant pathogenic microbes. Local environmental conditions in gut may direct pathogen communities to adapt to either a commensal style or a pathogenic style.ImportanceDuring critical illness, the normal gut microbiota becomes disrupted in response to host physiologic stress and antibiotic treatment. Here we demonstrate that the community structure of the gut microbiota during prolonged critical illness is dramatically changed such that in many cases only two-member pathogen communities remain. Most of these ultra-low-membership communities display low virulence when grouped together (i.e., a commensal lifestyle); individually, however, they can express highly harmful behaviors (i.e., a pathogenic lifestyle). The commensal lifestyle of the whole community can be shifted to a pathogenic one in response to host factors such as opioids that are released during physiologic stress and critical illness. This shift can be prevented by using compounds such as Pi-PEG15-20 that interrupt bacterial virulence expression. Taking the data together, this report characterizes the plasticity seen with respect to the choice between a commensal lifestyle and a pathogenic lifestyle among ultra-low-diversity pathogen communities that predominate in the gut during critical illness and offers novel strategies for prevention of sepsis
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