Cheirodonta verbernei (Moolenbeek et Faber, 1989)

Catálogo do Museo de Historia Natural USC. n. inventario 10049

Right ventricular pressure overload: hemodynamic and proteomic changes

The incidence of congenital heart disease (CHD) is estimated to vary between 4 to 50 per 1000 live births [1, 2] . This wide range of incidence is due to different phenotypes of CHD, as well as the inclusion criteria used. All together, CHD can be seen as the most common birth defect worldwide with approximately 1 million children born with a CHD each year [3]. Epidemiological studies in the Netherlands report an incidence of 6 per 1000 children born with a CHD each year [4]. When looking at causes of infant death, congenital anomalies are the leading cause. One third of these deaths are due to CHD [5]. However, the introduction of modern surgery as well as improved treatment strategies for CHD resulted in a decline in mortality from CHD [6]. In addition, death resulting form CHD shifted from newborns to young adults [7]. Thus, this prolonged survival results in an increase in patients with CHD that need treatment not only at birth, but also during adolescence and even during their adult live. In a selected group of these patients, the structural abnormalities that define a particular CHD phenotype results in prolonged RV pressure overload, such as Tetralogy of Fallot, left hypoplastic heart syndrome or congenitally corrected transposition of the great vessels. In addition, other diseases such as pulmonary hypertension or even ischemic heart disease can result in increased RV loading conditions. The effects of prolonged RV pressure overload on the heart’s function, as well as the effects on molecular and cellular level is not yet fully understood. However, patient data suggest that the RV is unable to cope with prolonged periods of (systemic) overload resulting in RV failure [8-12]. Therefore, it is of utmost importance to understand the effects of prolonged pressure overload on the RV in terms of ventricular function, as well as at the molecular level

Effect of Triangularity on Ion-Temperature-Gradient-Driven Turbulence

The linear and nonlinear properties of ion-temperature-gradient-driven (ITG) turbulence with adiabatic electrons are modeled for axisymmetric configurations for a broad range of triangularities δ, both negative and positive. Peak linear growth rates decrease with negative δ but increase and shift toward a finite radial wavenumber kx with positive δ. The growth-rate spectrum broadens as a function of kx with negative δ and significantly narrows with positive δ. The effect of triangularity on linear instability properties can be explained through its impact on magnetic polarization and curvature. Nonlinear heat flux is weakly dependent on triangularity for |δ| ≤ 0.5, decreasing significantly with extreme δ, regardless of sign. Zonal modes play an important role in nonlinear saturation in the configurations studied, and artificially suppressing zonal modes increased nonlinear heat flux by a factor of about four for negative δ, increasing with positive δ by almost a factor of 20. Proxies for zonal-flow damping and drive suggest that zonal flows are enhanced with increasing positive δ.</p

Lithium induces intestinothrophic effects in the healthy colon, but does not ameliorate dextran sulfate sodium-induced colitis in mice

Background &amp; aims: Ulcerative colitis is characterized by severe damage of the colon epithelium. Wnt-signaling is important for repair and regeneration of the intestinal epithelium. Lithium activates Wnt-signaling through inhibition of Glycogen Synthase Kinase 3β. Lithium induced prolonged remission in a patient with a bipolar disorder and ulcerative colitis, suggesting a therapeutic potential for ulcerative colitis.Methods: Here, we investigated the effect of lithium (4. mg/day via a subcutaneous osmotic pump) on 5% dextran sulfate sodium-induced colitis in female Balb/c mice.Results: At day 7, colon length was significantly increased in lithium-treated compared to untreated mice (8.6. cm [7.0-9.5] versus 7.6. cm [6.7-8.0], p&lt; 0.05). As expected, dextran sulfate sodium treatment reduced colon length (5.9. cm [5.1-6.5], p&lt;. 0.001), but this was not altered by lithium (6.0. cm [5.5-7.0]). No significant differences were detected in bodyweight, histology, inflammatory (myeloperoxidase, iNOS, cytokines) and Wnt-pathway (β-catenin, p-Glycogen Synthase Kinase 3β) markers between dextran sulfate sodium- and lithium/dextran sulfate sodium-treated mice.Conclusions: Lithium has no therapeutic effect on dextran sulfate sodium-induced colitis in mice. However, in the healthy intestine it shows intestinothrophic potential that might be beneficial for short bowel patients.</p

Phase transitions in a ferrofluid at magnetic field induced microphase separation

In the presence of a magnetic field applied perpendicular to a thin sample layer, a suspension of magnetic colloidal particles (ferrofluid) can form spatially modulated phases with a characteristic length determined by the competition between dipolar forces and short-range forces opposing density variations. We introduce models for thin-film ferrofluids in which magnetization and particle density are viewed as independent variables and in which the non-magnetic properties of the colloidal particles are described either by a lattice-gas entropy or by the Carnahan-Starling free energy. Our description is particularly well suited to the low-particle density regions studied in many experiments. Within mean-field theory, we find isotropic, hexagonal and stripe phases, separated in general by first-order phase boundaries.Comment: 12 pages, RevTex, to appear in PR

Personal health communities: A phenomenological study of a new health-care concept

Context: Fragmentation of care, complexity of diseases and the need to involve patients actively in their individual health care led to the development of the personal health community (PHC). In a PHC, patients can -regardless of the nature of their condition- invite all professionals that are involved in their health care process. Once gathered, the patient and health care team can exchange information about the patient's health and communicate through several functionalities, in a secured environment. Objectives: Exploring the use, first experiences and potential consequences of using PHCs in health care. Design: Qualitative phenomenological study. Participants: Eighteen respondents, consisting of women experiencing infertility (n = 5), persons with Parkinson's disease (n = 6), a gynaecologist, a fertility doctor, a fertility nurse, three Parkinson's specialist nurses and a neurologist. Results: First experiences with PHCs showed that patients use their PHC differently, dependending on their condition and people involved. Various (potential) advantages for future health care were mentioned relating to both organizational aspects of care (e.g. continuity of care) and the human side of care (e.g. personal care). Patient involvement in care was facilitated. Disadvantages were the amount of work that it took and technological issues. Conclusions: Using PHCs leads to promising improvements in both the organization of care and care experience, according to the participants in this study. They indicate that patients with different diseases and in different circumstances can benefit from these improvements. The PHC seem to be an online tool that can be applied in a personalized way. When (technically) well facilitated, it could stimulate active involvement of patients in their own health and health care. It warrants further research to study its effect on concrete health outcomes

Design and effects of outcome-based payment models in healthcare: a systematic review

Introduction: Outcome-based payment models (OBPMs) might solve the shortcomings of fee-for-service or diagnostic-related group (DRG) models using financial incentives based on outcome indicators of the provided care. This review provides an analysis of the characteristics and effectiveness of OBPMs, to determine which models lead to favourable effects. Methods: We first developed a definition for OBPMs. Next, we searched four data sources to identify the models: (1) scientific literature databases; (2) websites of relevant governmental and scientific agencies; (3) the reference lists of included articles; (4) experts in the field. We only selected studies that examined the impact of the payment model on quality and/or costs. A narrative evidence synthesis was used to link specific design features to effects on quality of care or healthcare costs. Results: We included 88 articles, describing 12 OBPMs. We identified two groups of models based on differences in design features: narrow OBPMs (financial incentives based on quality indicators) and broad OBPMs (combination of global budgets, risk sharing, and financial incentives based on quality indicators). Most (5 out of 9) of the narrow OBPMs showed positive effects on quality; the others had mixed (2) or negative (2) effects. The effects of narrow OBPMs on healthcare utilization or costs, however, were unfavourable (3) or unknown (6). All broad OBPMs (3) showed positive effects on quality of care, while reducing healthcare cost growth. Discussion: Although strong empirical evidence on the effects of OBPMs on healthcare quality, utilization, and costs is limited, our findings suggest that broad OBPMs may be preferred over narrow OBPMs

Spectrum of confining strings in SU(N) gauge theories

We study the spectrum of the confining strings in four-dimensional SU(N) gauge theories. We compute, for the SU(4) and SU(6) gauge theories formulated on a lattice, the string tensions sigma_k related to sources with Z_N charge k, using Monte Carlo simulations. Our results are consistent with the sine formula sigma_k/sigma = sin k pi/N / sin pi/N for the ratio between sigma_k and the standard string tension sigma. For the SU(4) and SU(6) cases the accuracy is approximately 1% and 2%, respectively. The sine formula is known to emerge in various realizations of supersymmetric SU(N) gauge theories. On the other hand, our results show deviations from Casimir scaling. We also discuss an analogous behavior exhibited by two-dimensional SU(N) x SU(N) chiral models.Comment: Latex, 34 pages, 10 figures. Results of new SU(4) simulations added. The new data are included in the analysis, leading to improved final estimates for SU(4). Conclusions unchange

Intellectual and motor development of young adults with congenital hypothyroidism diagnosed by neonatal screening

Contains fulltext : 35756.pdf (publisher's version ) (Open Access)CONTEXT: Long-term follow-up data on cognitive and motor functioning in adult patients with congenital hypothyroidism, diagnosed by neonatal screening, are scarce. Hence, it is still unclear whether the frequently reported cognitive and motor deficits observed during childhood persist in adulthood. OBJECTIVE: The objective of this study was to examine cognitive and motor functioning in young adults with congenital hypothyroidism, born in the first 2 yr after the introduction of the Dutch neonatal screening program. DESIGN/SETTING/PATIENTS: Seventy patients were tested (mean age, 21.5 yr); 49 of them were previously tested at 9.5 yr. The median age at the start of treatment was 28 d (range, 4-293 d). Congenital hypothyroidism was classified as severe, moderate, or mild, according to pretreatment T(4) concentrations. MAIN OUTCOME MEASUREMENT: The main outcome measurement was the influence of the severity of congenital hypothyroidism and age at which T(4) supplementation was started on cognitive and motor outcome. RESULTS: Patients, particularly those with severe congenital hypothyroidism, had significantly higher (i.e. worse) motor scores (total score, 7.8; ball skills, 2.0; balance, 4.1) compared with controls (total score, 3.2; ball skills, 0.7; balance, 1.1), and lower full-scale (95.8), verbal (96.4), and performance (95.6) intelligence quotient (IQ) scores than the normal population. No significant change in IQ from childhood to adulthood was found, and for the majority of patients, motor score classification remained the same. The severity of congenital hypothyroidism, but not the starting day of treatment, was correlated with IQ and motor scores. CONCLUSIONS: It is concluded that the severity of congenital hypothyroidism, but not the timing of treatment initiation, is an important factor determining long-term cognitive and motor outcome. Clearly, detrimental effects on developmental outcome in patients with congenital hypothyroidism persist over time