24 research outputs found

    Non-Adherence in Patients on Peritoneal Dialysis: A Systematic Review

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    Background: It has been increasingly recognized that non-adherence is an important factor that determines the outcome of peritoneal dialysis (PD) therapy. There is therefore a need to establish the levels of non-adherence to different aspects of the PD regimen (dialysis procedures, medications, and dietary/fluid restrictions). Methods: A systematic review of peer-reviewed literature was performed in PubMed, PsycINFO and CINAHL databases using PRISMA guidelines in May 2013. Publications on non-adherence in PD were selected by two reviewers independently according to predefined inclusion and exclusion criteria. Relevant data on patient characteristics, measures, rates and factors associated with non-adherence were extracted. The quality of studies was also evaluated independently by two reviewers according to a revised version of the Effective Public Health Practice Project assessment tool. Results: The search retrieved 204 studies, of which a total of 25 studies met inclusion criteria. Reported rates of nonadherence varied across studies: 2.6 1353% for dialysis exchanges, 3.9 1385% for medication, and 14.4 1367% for diet/fluid restrictions. Methodological differences in measurement and definition of non-adherence underlie the observed variation. Factors associated with non-adherence that showed a degree of consistency were mostly socio-demographical, such as age, employment status, ethnicity, sex, and time period on PD treatment. Conclusion: Non-adherence to different dimensions of the dialysis regimen appears to be prevalent in PD patients. There is a need for further, high-quality research to explore these factors in more detail, with the aim of informing intervention designs to facilitate adherence in this patient populatio

    Robust estimation of bacterial cell count from optical density

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    Optical density (OD) is widely used to estimate the density of cells in liquid culture, but cannot be compared between instruments without a standardized calibration protocol and is challenging to relate to actual cell count. We address this with an interlaboratory study comparing three simple, low-cost, and highly accessible OD calibration protocols across 244 laboratories, applied to eight strains of constitutive GFP-expressing E. coli. Based on our results, we recommend calibrating OD to estimated cell count using serial dilution of silica microspheres, which produces highly precise calibration (95.5% of residuals <1.2-fold), is easily assessed for quality control, also assesses instrument effective linear range, and can be combined with fluorescence calibration to obtain units of Molecules of Equivalent Fluorescein (MEFL) per cell, allowing direct comparison and data fusion with flow cytometry measurements: in our study, fluorescence per cell measurements showed only a 1.07-fold mean difference between plate reader and flow cytometry data

    Quality and Agronomic Effects of Three High-Molecular-Weight Glutenin Subunit Transgenic Events in Winter Wheat

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    Quality and agronomic effects of three transgenic high molecular weight glutenin subunit (HMW-GS) events were characterized in advanced generation breeding lines of hard winter wheat (Triticum aestivum L.) in three Nebraska crop years. Two or the transgenic events studied, Dy10-E and B52a-6, ovenexpress HMW-GS IDY10, while the third event, Dx5 +Dy10-H, overexpresses HMW-GS IDx5 and to a much lesser extent. IDY10. In addition, novel proteins possessing solubility characteristics defined as HMW-GS were present in Dx5+Dy10-H and B52a-6. Average grain yield of lines derived from the three transgenic events was statistically lower than that of a group of control cultivars and advanced breeding lines. but not lower than the mean values of respective nontransgenic siblings. Grain hardness was influenced by one of the events. Dx5+Dy10-H produced harder kernels than controls. its nontransgenic siblings. and the two additional transgenic events. All three events produced doughs with unusual mixing properties. although not likely to be directly useful in commercial applications. As a consequence. loaf volumes were depressed to variable degrees by the three events. The results indicated that over-expression of HMW-GS could eventually lead to improved bread-making quality by optimizing the level of over-expression or by development and characterization of additional events

    Evaluation of Waxy Grain Sorghum for Ethanol Production

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    The objective of this research was to investigate the fermentation performance of waxy grain sorghum for ethanol production. Twenty-five waxy grain sorghum varieties were evaluated with a laboratory dry-grind procedure. Total starch and amylose contents were measured following colorimetric procedures. Total starch and amylose contents ranged from 65.4 to 76.3% and from 5.5 to 7.3%, respectively. Fermentation efficiencies were in the range of 86.0-92.2%, corresponding to ethanol yields of 2.61-3.03 gallons/bushel. The advantages of using waxy sorghums for ethanol production include easier gelatinization and low viscosity during liquefaction, higher starch and protein digestibility, higher free amino nitrogen (FAN) content, and shorter fermentation times. The results showed a strong linear relationship between FAN content and fermentation rate. Fermentation rate increased as FAN content increased, especially during the first 30 hr of fermentation (R2 = 0.90). Total starch content in distillers dried grains with solubles (DDGS) was less than 1% for all waxy varieties
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