1,132 research outputs found
The intensity of breast cancer patients' relationships with their surgeons after the first meeting: Evidence that relationships are not 'built' but arise from attachment processes
HFST—Framework for Compiling and Applying Morphologies
HFST–Helsinki Finite-State Technology ( hfst.sf.net ) is a framework for compiling and applying linguistic descriptions with finite-state methods. HFST currently connects some of the most important finite-state tools for creating morphologies and spellers into one open-source platform and supports extending and improving the descriptions with weights to accommodate the modeling of statistical information. HFST offers a path from language descriptions to efficient language applications in key environments and operating systems. HFST also provides an opportunity to exchange transducers between different software providers in order to get the best out of each finite-state library.Peer reviewe
Adenosine Metabolized From Extracellular ATP Ameliorates Organ Injury by Triggering A2BR Signaling
BACKGROUND: Trauma and a subsequent hemorrhagic shock (T/HS) result in insufficient oxygen delivery to tissues and multiple organ failure. Extracellular adenosine, which is a product of the extracellular degradation of adenosine 5\u27 triphosphate (ATP) by the membrane-embedded enzymes CD39 and CD73, is organ protective, as it participates in signaling pathways, which promote cell survival and suppress inflammation through adenosine receptors including the A
METHODS: T/HS shock was induced by blood withdrawal from the femoral artery in wild-type, global knockout (CD39, CD73, A
RESULTS: T/HS upregulated the expression of CD39, CD73, and the A
CONCLUSION: In conclusion, the CD39-CD73-
Adenosine metabolized from extracellular ATP ameliorates organ injury by triggering A2BR signaling
BACKGROUND: Trauma and a subsequent hemorrhagic shock (T/HS) result in insufficient oxygen delivery to tissues and multiple organ failure. Extracellular adenosine, which is a product of the extracellular degradation of adenosine 5' triphosphate (ATP) by the membrane-embedded enzymes CD39 and CD73, is organ protective, as it participates in signaling pathways, which promote cell survival and suppress inflammation through adenosine receptors including the A2BR. The aim of this study was to evaluate the role of CD39 and CD73 delivering adenosine to A2BRs in regulating the host's response to T/HS. METHODS: T/HS shock was induced by blood withdrawal from the femoral artery in wild-type, global knockout (CD39, CD73, A2BR) and conditional knockout (intestinal epithelial cell-specific deficient VillinCre-A2BRfl/fl) mice. At 3 three hours after resuscitation, blood and tissue samples were collected to analyze organ injury. RESULTS: T/HS upregulated the expression of CD39, CD73, and the A2BR in organs. ATP and adenosine levels increased after T/HS in bronchoalveolar lavage fluid. CD39, CD73, and A2BR mimics/agonists alleviated lung and liver injury. Antagonists or the CD39, CD73, and A2BR knockout (KO) exacerbated lung injury, inflammatory cytokines, and chemokines as well as macrophage and neutrophil infiltration and accumulation in the lung. Agonists reduced the levels of the liver enzymes aspartate transferase and alanine transaminase in the blood, whereas antagonist administration or CD39, CD73, and A2BR KO enhanced enzyme levels. In addition, intestinal epithelial cell-specific deficient VillinCre-A2BRfl/fl mice showed increased intestinal injury compared to their wild-type VillinCre controls. CONCLUSION: In conclusion, the CD39-CD73-A2BR axis protects against T/HS-induced multiple organ failure
Floristic analysis of the Mountain Zebra National Park, Eastern Cape
As part of a larger project to assess the vegetation dynamics and conservation potential of the enlarged Mountain Zebra National Park, a checklist was produced to determine the plant species richness for this area. Six hundred and eighty species, represented by 333 genera and 87 families were identified. One hundred and eighty species belong to the Monocotyledoneae and 479 species to the Dicotyledoneae. By far the largest families are the Asteraceae with 129 and the Poaceae with 82 species. Thirteen Red Data species were recorded. A number of fynbos elements were encountered, the most noteworthy being two families endemic to the Cape Floristic Region, the Penaeaceae and Grubbiaceae. A very high species to square kilometre ratio of 5.05 supports the area’s rich floristic composition
Profile of the U 5f magnetization in U/Fe multilayers
Recent calculations, concerning the magnetism of uranium in the U/Fe
multilayer system have described the spatial dependence of the 5f polarization
that might be expected. We have used the x-ray resonant magnetic reflectivity
technique to obtain the profile of the induced uranium magnetic moment for
selected U/Fe multilayer samples. This study extends the use of x-ray magnetic
scattering for induced moment systems to the 5f actinide metals. The spatial
dependence of the U magnetization shows that the predominant fraction of the
polarization is present at the interfacial boundaries, decaying rapidly towards
the center of the uranium layer, in good agreement with predictions.Comment: 7 pages, 6 figure
Empirical Validation of a New Data Product from the Interstellar Boundary Explorer Satellite
Since 2008, the Interstellar Boundary Explorer (IBEX) satellite has been
gathering data on heliospheric energetic neutral atoms (ENAs) while being
exposed to various sources of background noise, such as cosmic rays and solar
energetic particles. The IBEX mission initially released only a qualified
triple-coincidence (qABC) data product, which was designed to provide
observations of ENAs free of background contamination. Further measurements
revealed that the qABC data was in fact susceptible to contamination, having
relatively low ENA counts and high background rates. Recently, the mission team
considered releasing a certain qualified double-coincidence (qBC) data product,
which has roughly twice the detection rate of the qABC data product. This paper
presents a simulation-based validation of the new qBC data product against the
already-released qABC data product. The results show that the qBCs can
plausibly be said to share the same signal rate as the qABCs up to an average
absolute deviation of 3.6%. Visual diagnostics at an orbit, map, and full
mission level provide additional confirmation of signal rate coherence across
data products. These approaches are generalizable to other scenarios in which
one wishes to test whether multiple observations could plausibly be generated
by some underlying shared signal
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Further explorations of illness uncertainty: Carer’s experiences of Parkinson’s disease
Objective: Dominant models of illness uncertainty define uncertainty as ‘an inability to determine the meaning of illness-related events’. Recent research has shown patient uncertainty to be multidimensional encompassing personal issues indirectly affected by illness. The nature of carer uncertainty has yet to be fully explored. The present study aimed to investigate the nature of illness uncertainty in the carers of patients with Parkinson’s disease (PD).
Design: Eighteen carers of a spouse with PD participated in semi-structured interviews. Transcripts were thematically analysed, statements were coded as uncertain if they reflected ‘a lack of certainty, or a state of limited knowledge, understanding or worry regarding an existing or future outcome’.
Results: The domains of uncertainty expressed by carers closely fitted the five domain framework of patient uncertainty: symptoms and prognosis, medical management, self-management, social functioning and impact. An additional ‘carer-role’ domain was identified.
Conclusions: Carer uncertainty about PD went beyond issues directly related to the illness. The findings have implications for research into uncertainty suggesting that widely used measures may not be accurately capturing the nature of carer uncertainty about chronic illness. The breadth of uncertainty reported has implications for the provision of appropriate support to improve caregiver well-being
Effects of biochar amendment on root traits and contaminant availability of maize plants in a copper and arsenic impacted soil
Biochar has been proposed as a tool to enhance phytostabilisation of contaminated soils but little data are available to illustrate the direct effect on roots in contaminated soils. This work aimed to investigate specific root traits and to assess the effect of biochar amendment on contaminant availability. Amendment with two different types of biochar, pine woodchip and olive tree pruning, was assessed in a rhizobox experiment with maize planted in a soil contaminated with significant levels of copper and arsenic. Amendment was found to significantly improve root traits compared to the control soil, particularly root mass density and root length density. Copper uptake to plants and ammonium sulphate extractable copper was significantly less in the biochar amended soils. Arsenic uptake and extractability varied with type of biochar used but was not considered to be the limiting factor affecting root and shoot development. Root establishment in contaminated soils can be enhanced by biochar amendment but choice of biochar is key to maximising soil improvement and controlling contaminant availability
Warranting the decision-maker, not the decision: How healthcare practitioners evaluate the legitimacy of patients' unprompted requests for risk-reducing mastectomy
Objective: Guidance on shared decision-making (SDM) exists to reconcile healthcare practitioners’ responsibilities to respect patients’ autonomy and to ensure well-made decisions. Patients sometimes make unprompted requests for clinical procedures that carry medical and other dangers, such as risk-reducing mastectomy (RRM) to reduce breast cancer risk. Faced with pre-formed decisions into which they have had little input, it is unclear how practitioners can reconcile respecting autonomy with ensuring well-made decisions.
Methods: Qualitative study of linked patient-practitioner interviews in clinics associated with a breast unit in North-West England. We examined how 10 practitioners addressed 19 patients’ unprompted requests for RRM.
Results: Practitioners empathised with patients’ distress about cancer risk and regarded RRM as a legitimate way to help. However, practitioners were wary of choices that patients had made ‘emotionally’. To resolve this paradox, practitioners warranted patients by satisfying themselves that patients were ‘sensible’ and ‘informed’ decision-makers, and thus their decisions could be trusted, rather than establishing whether their decisions were well-made. Practitioners gave information about RRM, and tested patients’ resolve to obtain it by delaying decisions and presenting ‘what if’ scenarios depicting failure or harm associated with RRM.
Conclusion: Patients who present emotionally and with strong resolve can receive RRM, but without evidence of a well-made decision.
Practice Implications: Using argumentation theory, we propose an ethically robust and clinically practicable approach, whereby practitioners elicit, examine and, where appropriate, challenge the arguments patients make for their decisions
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