High incidence of macrotroponin I with a high-sensitivity troponin I assay

Cardiac troponin is the preferred biomarker of myocardial injury. High-sensitivity troponin assays allow measurement of very low levels of troponin with excellent precision. After the introduction of a high-sensitivity troponin I assay the laboratory began to receive enquiries from clinicians about clinically discordant elevated troponin I results. This led to a systematic investigation and characterisation of the cause

East Germany in from the Cold: The Economic Aftermath of Currency Union

macroeconomics, East Germany, currency union

Systematic Analysis of Enterprise Perception towards Cloud Adoption in the African States: The Nigerian Perspective

The desirous benefits of cloud computing such as high return on investment through efficient resource management, high application throughput and on-demand capabilities have resulted in the unprecedented global acceptance of the computing paradigm. However, research on cloud adoption indicates that fewer organisations in the African states are adopting cloud services. Thus, the purview of the paper is to examine the factors responsible for the poor adoption of cloud computing in most African enterprises using Nigeria as a case study. The study focus on the perception of IT and non-IT employees towards cloud computing. Moreover, the paper reviews the literature on cloud adoption in organisations and from scholars to identify the motivating factors of cloud computing. A proposed 3AI model was conceptualised for analysing the processes involved in adopting cloud services. Research finding identifies employee misconception of job loss, cyber threat, privacy issue and data theft as strong delimitative factors

Job Switching and Job Satisfaction in the U.S. Labor Market

macroeconomics, Job Switching, Job Satisfaction, U.S. Labor Market

Speech rhythm auto-recurrence is negatively linked to quality of mental-health counseling interactions

We explored use of Recurrence Quantification Analysis (RQA) of speech rhythm data from mental-health counseling sessions for prediction of quality of psychotherapy. Time-series of inter-syllable intervals (ISIs) were extracted from 239 counseling sessions conducted by 12 therapists who repeatedly interacted with 30 clients. We found a negative association between recurrence metrics and client-rated session quality and a negative link between percent of laminarity and therapist-rated session quality, after controlling for self-reported client depression and distress measures and duration of speech sound within a session. Placing value on reduced recurrence in patterns of ISIs, and especially reduced degree of a dyadic system remaining in the same speech-rhythm pattern may be indicative of a desire for variation in content and strategies of client-therapist interaction. These exploratory findings point to the possibility of RQA-based automated systems to capture the ‘footprint’ of the non-verbal dynamic that is indicative of successful mental-health counseling

The Anti-Desmoglein 1 Autoantibodies in Pemphigus Vulgaris Sera are Pathogenic

Pemphigus vulgaris and pemphigus foliaceus are two closely related, but clinically and histologically distinct, autoimmune skin diseases. The autoantigens for pemphigus vulgaris and pemphigus foliaceus are desmoglein 3 and desmoglein 1, respectively. The anti-desmoglein 1 antibodies in pemphigus foliaceus and anti-desmoglein 3 antibodies in pemphigus vulgaris are pathogenic as determined by immunoglobulin G passive transfer animal models. More than 50% of pemphigus vulgaris sera also contain anti-desmoglein 1 autoantibodies; however, the pathogenicity of the anti-desmoglein 1 autoantibodies in pemphigus vulgaris remains unknown. In this study, we used soluble recombinant extracellular domains of desmoglein 1 and desmoglein 3 to obtain affinity-purified anti-desmoglein 1 and anti-desmoglein 3 autoantibodies from pemphigus vulgaris sera and examined the pathogenicity of each fraction separately using the passive transfer mouse model. By immunoprecipitation, the purified anti-desmoglein 1 and anti-desmoglein 3 showed no cross-reactivity. The anti-desmoglein 1 autoantibodies in pemphigus vulgaris induced typical pemphigus foliaceus lesions in neonatal mice, whereas the anti-desmoglein 3 fraction induced pemphigus vulgaris-like lesions. In addition, the pathogenic anti-desmoglein 1 and anti-desmoglein 3 autoantibodies in pemphigus vulgaris had predominant IgG4 subclass specificity. These findings suggest that the anti-desmoglein 1 antibodies in pemphigus vulgaris are pathogenic

T-Cell Immunity to Influenza in Older Adults: A Pathophysiological Framework for Development of More Effective Vaccines

One of the most profound public health consequences of immune senescence is reflected in an increased susceptibility to influenza and other acute respiratory illnesses, as well as a loss of influenza vaccine effectiveness in older people. Common medical conditions and mental and psychosocial health issues as well as degree of frailty and functional dependence accelerate changes associated with immune senescence. All contribute to the increased risk for complications of influenza infection, including pneumonias, heart diseases, and strokes that lead to hospitalization, disability, and death in the over 65 population. Changes in mucosal barrier mechanisms and both innate and adaptive immune functions converge in the reduced response to influenza infection, and lead to a loss of antibody-mediated protection against influenza with age. The interactions of immune senescence and reduced adaptive immune responses, persistent cytomegalovirus infection, inflammaging (chronic elevation of inflammatory cytokines), and dysregulated cytokine production, pose major challenges to the development of vaccines designed to improve T-cell-mediated immunity. In older adults, the goal of vaccination is more realistically targeted to providing clinical protection against disease rather than to inducing sterilizing immunity to infection. Standard assays of antibody titers correlate with protection against influenza illness but do not detect important changes in cellular immune mechanisms that correlate with vaccine-mediated protection against influenza in older people. This article will discuss: (i) the burden of influenza in older adults and how this relates to changes in T-cell function, (ii) age-related changes in different T-cell subsets and immunologic targets for improved influenza vaccine efficacy in older, and (iii) the development of correlates of clinical protection against influenza disease to expedite the process of new vaccine development for the 65 and older population. Ultimately, these efforts will address the public health need for improved protection against influenza in older adults and vaccine preventable disability