429 research outputs found
Development of the Variable Dexterity Test: construction, reliability and validity
Background/Aims: This article introduces a dexterity test designed to assess individual types of
dexterity used to carry out activities of daily living (ADL). The Variable Dexterity Test (VDT) was
developed as part of a wider study, the broader aim being to fully understand dexterity and its effect
on human-product interaction during ADL. This was done with a view to improve occupational therapy
methods when assessing dexterity and general hand function.
Methods: The control group consisted of 24 healthy participants. Estimates of reliability and validity
were evaluated in this pilot study. Inter-rater and test-retest reliability were assessed using a one-way
ANOVA. The validity of the test was estimated by correlating participants’ VDT scores with their
proficiency to complete four ADL task actions and a standardised dexterity test (Purdue Pegboard Test).
Results: The test produced consistent results among the control group with both a single assessor
(test‑retest reliability) and multiple assessors (inter‑rater reliability). High correlations between
participants’ VDT scores and proficiency to perform ADL were found for most of the subtests. There
was also a high correlation between participants’ scores from the Purdue Pegboard Test and the VDT.
Conclusions: The VDT proved to be a flexible, reliable and valid tool that assesses dexterity based on
ability to carry out ADL. Validity and reliability estimates show encouraging values, which recognises
that the VDT can be used as an accurate method to assess more than one type of dexterity.</p
Powerlaw optical conductivity with a constant phase angle in high Tc superconductors
In certain materials with strong electron correlations a quantum phase
transition (QPT) at zero temperature can occur, in the proximity of which a
quantum critical state of matter has been anticipated. This possibility has
recently attracted much attention because the response of such a state of
matter is expected to follow universal patterns defined by the quantum
mechanical nature of the fluctuations. Forementioned universality manifests
itself through power-law behaviours of the response functions. Candidates are
found both in heavy fermion systems and in the cuprate high Tc superconductors.
Although there are indications for quantum criticality in the cuprate
superconductors, the reality and the physical nature of such a QPT are still
under debate. Here we identify a universal behaviour of the phase angle of the
frequency dependent conductivity that is characteristic of the quantum critical
region. We demonstrate that the experimentally measured phase angle agrees
precisely with the exponent of the optical conductivity. This points towards a
QPT in the cuprates close to optimal doping, although of an unconventional
kind.Comment: pdf format, 9 pages, 4 color figures include
Thermopower of the Correlated Narrow Gap Semiconductor FeSi and Comparison to RuSi
Iron based narrow gap semiconductors such as FeSi, FeSb2, or FeGa3 have
received a lot of attention because they exhibit a large thermopower, as well
as striking similarities to heavy fermion Kondo insulators. Many proposals have
been advanced, however, lacking quantitative methodologies applied to this
problem, a consensus remained elusive to date. Here, we employ realistic
many-body calculations to elucidate the impact of electronic correlation
effects on FeSi. Our methodology accounts for all substantial anomalies
observed in FeSi: the metallization, the lack of conservation of spectral
weight in optical spectroscopy, and the Curie susceptibility. In particular we
find a very good agreement for the anomalous thermoelectric power. Validated by
this congruence with experiment, we further discuss a new physical picture of
the microscopic nature of the insulator-to-metal crossover. Indeed, we find the
suppression of the Seebeck coefficient to be driven by correlation induced
incoherence. Finally, we compare FeSi to its iso-structural and iso-electronic
homologue RuSi, and predict that partially substituted Fe(1-x)Ru(x)Si will
exhibit an increased thermopower at intermediate temperatures.Comment: 14 pages. Proceedings of the Hvar 2011 Workshop on 'New materials for
thermoelectric applications: theory and experiment
The "Strange Metal" is a Projected Fermi Liquid with Edge Singularities
The puzzling "strange metal" phase of the high Tc cuprate phase diagram
reveals itself as closer to a Fermi liquid than previously supposed: it is a
consequence of Gutzwiller projection and does not necessarily require exotica
such as an RVB or mysterious quantum critical points. There is a Fermi
liquid-like excitation spectrum but the excitations are asymmetric between
electrons and holes, show anomalous forward scattering and have Z equal to 0.
We explain the power law dependence of conductivity on frequency and predict
anomalies in the tunneling and photoemission spectra.Comment: replaced tocorrect a math error in a later section, to clarify
exposition, and to add references to more experiment
Transcriptional Repressive H3K9 and H3K27 Methylations Contribute to DNMT1-Mediated DNA Methylation Recovery
DNA methylation and histone modifications are two major epigenetic events regulating gene expression and chromatin structure, and their alterations are linked to human carcinogenesis. DNA methylation plays an important role in tumor suppressor gene inactivation, and can be revised by DNA methylation inhibitors. The reversible nature of DNA methylation forms the basis of epigenetic cancer therapy. However, it has been reported that DNA re-methylation and gene re-silencing could occur after removal of demethylation treatment and this may significantly hamper the therapeutic value of DNA methylation inhibitors. In this study we have provided detailed evidence demonstrating that mammalian cells possess a bona fide DNA methylation recovery system. We have also shown that DNA methylation recovery was mediated by the major human DNA methyltransferase, DNMT1. In addition, we found that H3K9-tri-methylation and H3K27-tri-methylation were closely associated with this DNA methylation recovery. These persistent transcriptional repressive histone modifications may have a crucial role in regulating DNMT1-mediated DNA methylation recovery. Our findings may have important implications towards a better understanding of epigenetic regulation and future development of epigenetic therapeutic intervention
The Association of Dietary Intake of Purine-Rich Vegetables, Sugar-Sweetened Beverages and Dairy with Plasma Urate, in a Cross-Sectional Study
Peer reviewedPublisher PD
Adherence to recommendations by infectious disease consultants and its influence on outcomes of intravenous antibiotic-treated hospitalized patients
BACKGROUND: Consultation to infectious diseases specialists (ID), although not always performed by treating physicians, is part of hospital's daily practice. This study analyses adherence by treating physicians to written ID recommendations (inserted in clinical records) and its effect on outcome in hospitalized antibiotic-treated patients in a tertiary hospital in Spain.
METHODS: A prospective, randomized, one-year study was performed. Patients receiving intravenous antimicrobial therapy prescribed by treating physicians for 3 days were identified and randomised to intervention (insertion of written ID recommendations in clinical records) or non-intervention. Appropriateness of empirical treatments (by treating physicians) was classified as adequate, inadequate or unnecessary. In the intervention group, adherence to recommendations was classified as complete, partial or non-adherence.
RESULTS: A total of 1173 patients were included, 602 in the non-intervention and 571 in the intervention group [199 (34.9%) showing complete adherence, 141 (24.7%) partial adherence and 231 (40.5%) non-adherence to recommendations]. In the multivariate analysis for adherence (R2 Cox=0.065, p=0.009), non-adherence was associated with prolonged antibiotic prophylaxis (p=0.004; OR=0.37, 95%CI=0.19-0.72). In the multivariate analysis for clinical failure (R2 Cox=0.126, p<0.001), Charlson index (p<0.001; OR=1.19, 95%CI=1.10-1.28), malnutrition (p=0.006; OR=2.00, 95%CI=1.22-3.26), nosocomial infection (p<0.001; OR=4.12, 95%CI=2.27-7.48) and length of hospitalization (p<0.001; OR=1.01, 95%CI=1.01-1.02) were positively associated with failure, while complete adherence (p=0.001; OR=0.35, 95%CI=0.19-0.64) and adequate initial treatment (p=0.010; OR=0.39, 95%CI=0.19-0.80) were negatively associated.
CONCLUSIONS: Adherence to ID recommendations by treating physicians was associated with favorable outcome, in turn associated with shortened length of hospitalization. This may have important health-economic benefits and stimulates further investigation.
TRIAL REGISTRATION: Current Controlled Trials ISRCTN83234896. http://www.controlled-trials.com/isrctn/sample_documentation.asp
Epigenotyping in Peripheral Blood Cell DNA and Breast Cancer Risk: A Proof of Principle Study
Background: Epigenetic changes are emerging as one of the most important events in carcinogenesis. Two alterations in the pattern of DNA methylation in breast cancer (BC) have been previously reported; active estrogen receptor-a (ER-a) is associated with decreased methylation of ER-a target (ERT) genes, and polycomb group target (PCGT) genes are more likely than other genes to have promoter DNA hypermethylation in cancer. However, whether DNA methylation in normal unrelated cells is associated with BC risk and whether these imprints can be related to factors which can be modified by the environment, is unclear.Methodology/Principal Findings: Using quantitative methylation analysis in a case-control study (n = 1,083) we found that DNA methylation of peripheral blood cell DNA provides good prediction of BC risk. We also report that invasive ductal and invasive lobular BC is characterized by two different sets of genes, the latter particular by genes involved in the differentiation of the mesenchyme (PITX2, TITF1, GDNF and MYOD1). Finally we demonstrate that only ERT genes predict ER positive BC; lack of peripheral blood cell DNA methylation of ZNF217 predicted BC independent of age and family history (odds ratio 1.49; 95% confidence interval 1.12-1.97; P = 0.006) and was associated with ER-a bioactivity in the corresponding serum.Conclusion/Significance: This first large-scale epigenotyping study demonstrates that DNA methylation may serve as a link between the environment and the genome. Factors that can be modulated by the environment (like estrogens) leave an imprint in the DNA of cells that are unrelated to the target organ and indicate the predisposition to develop a cancer. Further research will need to demonstrate whether DNA methylation profiles will be able to serve as a new tool to predict the risk of developing chronic diseases with sufficient accuracy to guide preventive measures
- …