1,031 research outputs found
Erythromycin improves gastric emptying half-time in adult cystic fibrosis patients with gastroparesis
AbstractBackgroundGastrointestinal manifestations are frequently encountered in cystic fibrosis patients. Gastroparesis evidenced by a variety of diagnostic methods has been described in patients with cystic fibrosis, predominantly in children and in individuals with advanced lung disease. The presence of gastroparesis in adult patients with different degrees of lung involvement and its response to the acute and chronic administration of macrolides have not been reported.MethodsUsing the University of Florida Cystic Fibrosis database we identified symptomatic patients who had gastroparesis confirmed by a prolonged half-time during gastric emptying scintigraphy.ResultsOf 86 cystic fibrosis patients, periodically followed in our institution, we found five who had classical symptoms and prolonged gastric emptying half-time. Age 25.2±8 years, 80% females, BMI 22±9 kg/m2, HbA1c 5.8±0.6 g/dl, FEV1 53.2±15% of predicted. Gastric emptying half-time was 191.4±91.4 min (range 100â300 min) and decreased to 12.2±6 min (range 5â20 min) after IV administration of erythromycin (p=0.043). Patients were followed up for 3±2.1 years. All patients but one, who was taking opiods, had good clinical response to PO macrolides.ConclusionsGastroparesis occurs in patients with cystic fibrosis, even in patients with relatively preserved lung function and in those without cystic-fibrosis related diabetes. Macrolides may be an effective therapy in cystic fibrosis patients with gastroparesis when administered acutely or chronically
Tawney and the third way
From the 1920s to the 1950s R. H. Tawney was the most influential socialist thinker in Britain. He articulated an ethical socialism at odds with powerful statist and mechanistic traditions in British socialist thinking. Tawney's work is thus an important antecedent to third way thinking. Tawney's religiously-based critique of the morality of capitalism was combined with a concern for detailed institutional reform, challenging simple dichotomies between public and private ownership. He began a debate about democratizing the enterprise and corporate governance though his efforts fell on stony ground. Conversely, Tawney's moralism informed a whole-hearted condemnation of market forces in tension with both his concern with institutional reform and modern third way thought. Unfortunately, he refused to engage seriously with emergent welfare economics which for many social democrats promised a more nuanced understanding of the limits of market forces. Tawney's legacy is a complex one, whose various elements form a vital part of the intellectual background to current third way thinking
Conductance of Distorted Carbon Nanotubes
We have calculated the effects of structural distortions of armchair carbon
nanotubes on their electrical transport properties. We found that the bending
of the nanotubes decreases their transmission function in certain energy ranges
and leads to an increased electrical resistance. Electronic structure
calculations show that these energy ranges contain localized states with
significant - hybridization resulting from the increased curvature
produced by bending. Our calculations of the contact resistance show that the
large contact resistances observed for SWNTs are likely due to the weak
coupling of the NT to the metal in side bonded NT-metal configurations.Comment: 5 pages RevTeX including 4 figures, submitted to PR
Human PrimPol is a highly error-prone polymerase regulated by single-stranded DNA binding proteins
PrimPol is a recently identified polymerase involved in eukaryotic DNA damage tolerance, employed in both re-priming and translesion synthesis mechanisms to bypass nuclear and mitochondrial DNA lesions. In this report, we investigate how the enzymatic activities of human PrimPol are regulated. We show that, unlike other TLS polymerases, PrimPol is not stimulated by PCNA and does not interact with it in vivo. We identify that PrimPol interacts with both of the major single-strand binding proteins, RPA and mtSSB in vivo. Using NMR spectroscopy, we characterize the domains responsible for the PrimPol-RPA interaction, revealing that PrimPol binds directly to the N-terminal domain of RPA70. In contrast to the established role of SSBs in stimulating replicative polymerases, we find that SSBs significantly limit the primase and polymerase activities of PrimPol. To identify the requirement for this regulation, we employed two forward mutation assays to characterize PrimPol's replication fidelity. We find that PrimPol is a mutagenic polymerase, with a unique error specificity that is highly biased towards insertion-deletion errors. Given the error-prone disposition of PrimPol, we propose a mechanism whereby SSBs greatly restrict the contribution of this enzyme to DNA replication at stalled forks, thus reducing the mutagenic potential of PrimPol during genome replication
Does the Order of Invasive Species Removal Matter? The Case of the Eagle and the Pig
Invasive species are recognized as a primary driver of native species endangerment and their removal is often a key component of a conservation strategy. Removing invasive species is not always a straightforward task, however, especially when they interact with other species in complex ways to negatively influence native species. Because unintended consequences may arise if all invasive species cannot be removed simultaneously, the order of their removal is of paramount importance to ecological restoration. In the mid-1990s, three subspecies of the island fox Urocyon littoralis were driven to near extinction on the northern California Channel Islands owing to heightened predation by golden eagles Aquila chrysaetos. Eagles were lured to the islands by an abundant supply of feral pigs Sus scrofa and through the process of apparent competition pigs indirectly facilitated the decline in foxes. As a consequence, both pigs and eagles had to be removed to recover the critically endangered fox. Complete removal of pigs was problematic: removing pigs first could force eagles to concentrate on the remaining foxes, increasing their probability of extinction. Removing eagles first was difficult: eagles are not easily captured and lethal removal was politically distasteful.Using prey remains collected from eagle nests both before and after the eradication of pigs, we show that one pair of eagles that eluded capture did indeed focus more on foxes. These results support the premise that if the threat of eagle predation had not been mitigated prior to pig removal, fox extinction would have been a more likely outcome.If complete eradication of all interacting invasive species is not possible, the order in which they are removed requires careful consideration. If overlooked, unexpected consequences may result that could impede restoration
Disentangling host, pathogen, and environmental determinants of a recently emerged wildlife disease: lessons from the first 15Â years of amphibian chytridiomycosis research
The amphibian fungal disease chytridiomycosis, which affects species across all continents, recently emerged as one of the greatest threats to biodiversity. Yet, many aspects of the basic biology and epidemiology of the pathogen, Batrachochytrium dendrobatidis (Bd), are still unknown, such as when and from where did Bd emerge and what is its true ecological niche? Here, we review the ecology and evolution of Bd in the Americas and highlight controversies that make this disease so enigmatic. We explore factors associated with variance in severity of epizootics focusing on the disease triangle of host susceptibility, pathogen virulence, and environment. Reevaluating the causes of the panzootic is timely given the wealth of data on Bd prevalence across hosts and communities and the recent discoveries suggesting coâevolutionary potential of hosts and Bd. We generate a new species distribution model for Bd in the Americas based on over 30,000 records and suggest a novel future research agenda. Instead of focusing on pathogen âhot spots,â we need to identify pathogen âcold spotsâ so that we can better understand what limits the pathogen's distribution. Finally, we introduce the concept of âthe Ghost of Epizootics Pastâ to discuss expected patterns in postepizootic host communities.We review the ecology and evolution of amphibian fungal disease chytridiomycosis in the Americas, where it has recently emerged as one of the greatest threats to biodiversity and highlight controversies that make this disease so enigmatic. We explore factors associated with variance in severity of epizootics focusing on the disease triangle of host susceptibility, pathogen virulence, and environment. We generate a new species distribution model for Bd in the Americas based on over 30,000 records, which suggests emphasis needs to be placed on studying pathogen âcold spotsâ so that we can better understand what biotic and abiotic factors limit the pathogen's distribution.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/113682/1/ece31672_am.pdfhttp://deepblue.lib.umich.edu/bitstream/2027.42/113682/2/ece31672.pd
Light Vector Mesons in the Nuclear Medium
The light vector mesons (, , and ) were produced in
deuterium, carbon, titanium, and iron targets in a search for possible
in-medium modifications to the properties of the meson at normal nuclear
densities and zero temperature. The vector mesons were detected with the CEBAF
Large Acceptance Spectrometer (CLAS) via their decays to . The rare
leptonic decay was chosen to reduce final-state interactions. A combinatorial
background was subtracted from the invariant mass spectra using a
well-established event-mixing technique. The meson mass spectrum was
extracted after the and signals were removed in a nearly
model-independent way. Comparisons were made between the mass spectra
from the heavy targets () with the mass spectrum extracted from the
deuterium target. With respect to the -meson mass, we obtain a small
shift compatible with zero. Also, we measure widths consistent with standard
nuclear many-body effects such as collisional broadening and Fermi motion.Comment: 15 pages, 18 figures, 3 table
Q^2 Dependence of the S_{11}(1535) Photocoupling and Evidence for a P-wave resonance in eta electroproduction
New cross sections for the reaction are reported for total
center of mass energy =1.5--2.3 GeV and invariant squared momentum transfer
=0.13--3.3 GeV. This large kinematic range allows extraction of new
information about response functions, photocouplings, and coupling
strengths of baryon resonances. A sharp structure is seen at 1.7 GeV.
The shape of the differential cross section is indicative of the presence of a
-wave resonance that persists to high . Improved values are derived for
the photon coupling amplitude for the (1535) resonance. The new data
greatly expands the range covered and an interpretation of all data with
a consistent parameterization is provided.Comment: 31 pages, 9 figure
Measurement of Deeply Virtual Compton Scattering with a Polarized Proton Target
The longitudinal target-spin asymmetry A_UL for the exclusive
electroproduction of high energy photons was measured for the first time in
p(e,e'p\gamma). The data have been accumulated at Jefferson Lab with the CLAS
spectrometer using 5.7 GeV electrons and a longitudinally polarized NH_3
target. A significant azimuthal angular dependence was observed, resulting from
the interference of the Deeply Virtual Compton Scattering and Bethe-Heitler
processes. The amplitude of the sin(phi) moment is 0.252 +/- 0.042(stat) +/-
0.020(sys). Theoretical calculations are in good agreement with the magnitude
and the kinematic dependence of the target-spin asymmetry, which is sensitive
to the generalized parton distributions H and H-tilde.Comment: Modified text slightly, added reference
A Precise Measurement of the Neutron Magnetic Form Factor GMn in the Few-GeV2 Region
The neutron elastic magnetic form factor GMn has been extracted from
quasielastic electron scattering data on deuterium with the CEBAF Large
Acceptance Spectrometer (CLAS) at Jefferson Lab. The kinematic coverage of the
measurement is continuous from Q2=1 GeV2 to 4.8 GeV2. High precision was
achieved by employing a ratio technique in which many uncertainties cancel, and
by a simultaneous in-situ calibration of the neutron detection efficiency, the
largest correction to the data. Neutrons were detected using the CLAS
electromagnetic calorimeters and the time-of-flight scintillators. Data were
taken at two different electron beam energies, allowing up to four
semi-independent measurements of GMn to be made at each value of Q2. The dipole
parameterization is found to provide a good description of the data over the
measured Q2 range.Comment: 14 pages, 5 figures, revtex4, submitted to Physical Review Letters,
Revised version has changes recommended by journal referee
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