388 research outputs found
Avoiding the Debilitating Effects of Compassion Fatigue
Many clergy experience a debilitating stress condition called compassion fatigue (CF). Church leaders leave ministry for many reasons such as moral failure, financial stresses, marital problems, burnout, and CF. CF is not easily recognized, but its effects on ministry leaders are very visible. Preventive measures include observing the Sabbath observance, reliance on the Holy Spirit and other self-care techniques. This projects thesis is that CF can be avoided through Sabbath observance reliance on the Holy Spirit and proper self-care practices. Church leaders are vulnerable to CF in their care-giving role. They should understand the signs and symptoms of CF and develop a pattern of healthy Sabbath rest and self-care practices. The application of these disciplines will help prevent CF and improve health, strength, and longevity in ministry and family life. This project will include a book about CF and how CF affects church leadership. The author chose a book format to reach the largest audience of church leaders through a familiar, practical, and easily implemented medium. This book can be used in workshops, seminars, and undergraduate and seminary classes, and the audience for the book is students in Bible colleges and seminaries, novices starting out in ministry, seasoned clergy, missionaries, and counselors. This book provides a balanced prescription for life and ministry and includes reading lists and websites for further study
Taurolidine Antiadhesive Properties on Interaction with E. coli; Its Transformation in Biological Environment and Interaction with Bacteria Cell Wall
The taurine amino-acid derivative, taurolidine, bis-(1,1-dioxoperhydro-1,2,4-thiabiazinyl–4)methane, shows broad antibacterial action against gram-positive and gram-negative bacteria, mycobacteria and some clinically relevant fungi. It inhibits, in vitro, the adherence of Escherichia coli and Staphylococcus aureus to human epithelial and fibroblast cells. Taurolidine is unstable in aqueous solution and breaks down into derivatives which are thought to be responsible for the biological activity. To understand the taurolidine antibacterial mechanism of action, we provide the experimental single crystal X-ray diffraction results together with theoretical methods to characterize the hydrolysis/decomposition reactions of taurolidine. The crystal structure features two independent molecules linked through intermolecular H-bonds with one of them somewhat positively charged. Taurolidine in a biological environment exists in equilibrium with taurultam derivatives and this is described theoretically as a 2-step process without an energy barrier: formation of cationic taurolidine followed by a nucleophilic attack of O(hydroxyl) on the exocyclic C(methylene). A concerted mechanism describes the further hydrolysis of the taurolidine derivative methylol-taurultam. The interaction of methylol-taurultam with the diaminopimelic NH2 group in the E. coli bacteria cell wall (peptidoglycan) has a negative ΔG value (−38.2 kcal/mol) but a high energy barrier (45.8 kcal/mol) suggesting no reactivity. On the contrary, taurolidine docking into E. coli fimbriae protein, responsible for bacteria adhesion to the bladder epithelium, shows it has higher affinity than mannose (the natural substrate), whereas methylol-taurultam and taurultam are less tightly bound. Since taurolidine is readily available because it is administered in high doses after peritonitis surgery, it may successfully compete with mannose explaining its effectiveness against bacterial infections at laparoscopic lesions
Sources of pro-cyclicality in east Asian financial systems
Procyclicality is a normal feature of economic systems, but financial sector
weaknesses can exacerbate it sufficiently to pose a threat to macroeconomic and financial
stability. These include shortcomings in bank risk management and governance, in
supervision and in terms of dependence on volatile sources of funds. The paper tests
econometrically for the importance of such features leading to pro-cyclicality in the financial
systems of 11 East Asian countries. This analysis makes it possible to identify specific policy
measures for East Asian countries that could limit the extent to which financial systems
exacerbate pro-cyclicality
CSF1R mosaicism in a family with hereditary diffuse leukoencephalopathy with spheroids
Mutations in the colony stimulating factor 1 receptor
Search for Nucleon Decays induced by GUT Magnetic Monopoles with the MACRO Experiment
The interaction of a Grand Unification Magnetic Monopole with a nucleon can
lead to a barion-number violating process in which the nucleon decays into a
lepton and one or more mesons (catalysis of nucleon decay). In this paper we
report an experimental study of the effects of a catalysis process in the MACRO
detector. Using a dedicated analysis we obtain new magnetic monopole (MM) flux
upper limits at the level of for
, based on the search for
catalysis events in the MACRO data. We also analyze the dependence of the MM
flux limit on the catalysis cross section.Comment: 12 pages, Latex, 10 figures and 2 Table
Linear Optics Simulation of Non-Markovian Quantum Dynamics
The simulation of quantum processes is a key goal for the grand programme
aiming at grounding quantum technologies as the way to explore complex
phenomena that are inaccessible through standard, classical calculators. Some
interesting steps have been performed in this direction and this scenario has
recently been extended to open quantum evolutions, marking the possibility to
investigate important features of the way a quantum system interacts with its
environment. Here we demonstrate experimentally the (non-)Markovianity of a
process where system and environment are coupled through a simulated transverse
Ising model. By engineering the evolution in a fully controlled photonic
quantum simulator, we assess and demonstrate the role that system-environment
correlations have in the emergence of memory effects.Comment: 4+2 pages, 4 figures, RevTeX
Urinary leukotriene E4 and prostaglandin D2 metabolites increase in adult and childhood severe asthma characterized by type 2 Inflammation : a clinical observational study
Rationale: New approaches are needed to guide personalized treatment of asthma.Objective: To test if urinary eicosanoid metabolites can direct asthma phenotyping.Methods: Urinary metabolites of prostaglandins (PG), cysteinyl-leukotrienes (LT) and isoprostanes were quantified in the Unbiased Biomarkers for the Prediction of Respiratory Diseases Outcomes (U-BIOPRED) study including 86 adults with mild-to-moderate asthma (MMA), 411 with severe asthma (SA), and 100 healthy controls (HC). Validation was performed in 302 SA subjects followed-up after 12-18 months, and externally in 95 adolescents with asthma.Measurement and Main Results: Metabolite levels in HC were unrelated to age, BMI and sex, except for the PGE2-pathway. Eicosanoid levels were generally greater in MMA relative to HC, with further elevations in SA, except for PGE2-metabolites in males, which were the same or lower in non-smoking asthmatics as in HC. Metabolite levels were unchanged in asthmatics adherent to oral corticosteroid treatment as documented by urinary prednisolone detection, whereas SA treated with omalizumab had lower levels of LTE4 and the PGD2 metabolite 2,3-dinor-11?-PGF2?. High levels of LTE4 and PGD2-metabolites were associated with lower lung-function, and increased levels of exhaled nitric oxide and eosinophil markers in blood, sputum and urine in U-BIOPRED and in adolescents with asthma. These type-2 (T2) asthma associations were reproduced in the follow-up visit of the U-BIOPRED study, and found to be as sensitive to detect T2 inflammation as the established biomarkers. Conclusions: Monitoring of urinary eicosanoids can identify T2 asthma and introduces a new non-invasive approach for molecular phenotyping of adult and adolescent asthma
Measurement of the cosmic ray spectrum above eV using inclined events detected with the Pierre Auger Observatory
A measurement of the cosmic-ray spectrum for energies exceeding
eV is presented, which is based on the analysis of showers
with zenith angles greater than detected with the Pierre Auger
Observatory between 1 January 2004 and 31 December 2013. The measured spectrum
confirms a flux suppression at the highest energies. Above
eV, the "ankle", the flux can be described by a power law with
index followed by
a smooth suppression region. For the energy () at which the
spectral flux has fallen to one-half of its extrapolated value in the absence
of suppression, we find
eV.Comment: Replaced with published version. Added journal reference and DO
Energy Estimation of Cosmic Rays with the Engineering Radio Array of the Pierre Auger Observatory
The Auger Engineering Radio Array (AERA) is part of the Pierre Auger
Observatory and is used to detect the radio emission of cosmic-ray air showers.
These observations are compared to the data of the surface detector stations of
the Observatory, which provide well-calibrated information on the cosmic-ray
energies and arrival directions. The response of the radio stations in the 30
to 80 MHz regime has been thoroughly calibrated to enable the reconstruction of
the incoming electric field. For the latter, the energy deposit per area is
determined from the radio pulses at each observer position and is interpolated
using a two-dimensional function that takes into account signal asymmetries due
to interference between the geomagnetic and charge-excess emission components.
The spatial integral over the signal distribution gives a direct measurement of
the energy transferred from the primary cosmic ray into radio emission in the
AERA frequency range. We measure 15.8 MeV of radiation energy for a 1 EeV air
shower arriving perpendicularly to the geomagnetic field. This radiation energy
-- corrected for geometrical effects -- is used as a cosmic-ray energy
estimator. Performing an absolute energy calibration against the
surface-detector information, we observe that this radio-energy estimator
scales quadratically with the cosmic-ray energy as expected for coherent
emission. We find an energy resolution of the radio reconstruction of 22% for
the data set and 17% for a high-quality subset containing only events with at
least five radio stations with signal.Comment: Replaced with published version. Added journal reference and DO
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