84 research outputs found

    Pruning the Home Orchard

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    Penyuluhan Pola Komunikasi dan Literasi Kesehatan Seksual Remaja di Kota Makassar

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    Istilah pola komunikasi biasa disebut juga sebagai model tetapi maksudnya sama, yaitu sistem yang terdiri atas berbagai komponen yang berhubungan satu sama lain untuk mencapai tujuan. Pola komunikasi dalam komunitas dapat digunakan sebagai cara untuk meneliti penerapan komunikasi yang terbangun dan berjalan, juga menjadi ciri berlangsungnya kehidupan organisasi itu. Banyak kegiatan-kegiatan yang dilakukan untuk mengidentifikasi terkait bagaimana pola komunikasi bisa diterapkan dalam komunitas. Diperlukan pemahaman tentang apa yang dimaksud dengan komunitas. Defenisi komunitas adalah sekelompok orang yang tergabung dalam suatu wadah atau organisasi yang memiliki tujuan tertentu karena latar belakang minat yang sama. Dalam komunitas terjadi proses interaksi. Kegiatan Pengabdian Kepada Masyarakat (PKM) ini bertujuan memberikan pengetahuan juga arahan, kepada remaja yang tergabung dalam Komunitas Pecandu Aksara Kota Makassar, agar dapat membantu mereka mengenali literasi kesehatan, yang selama ini menjadi bacaan, juga mengetahui bagaimana pola komunikasi yang terbentuk di dalam komunitas itu

    Pruning the Orchard

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    On the cyclotron line in Cepheus X-4

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    Context. Accreting X-ray pulsars provide us with laboratories for the study of extreme gravitational and magnetic fields, hence accurate descriptions of their observational properties contribute to our understanding of this group of objects. Aims. We aim to detect a cyclotron resonance scattering feature in the Be/X-ray binary Cep X-4 and to investigate pulse profile and spectral changes through the outburst. Methods. Spectral fitting and timing analysis are employed to probe the properties of Cep X-4 during an outburst in 2002 June. Results. A previously announced cyclotron feature at 30.7 keV is confirmed, while the source shows spectral behaviour and luminosity related changes similar to those observed in previous outbursts. The long-term X-ray lightcurve shows a periodicity at 20.85 d, which could be attributed to the orbit in this Be system

    Widespread GLI expression but limited canonical hedgehog signaling restricted to the ductular reaction in human chronic liver disease

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    Canonical Hedgehog (Hh) signaling in vertebrate cells occurs following Smoothened activation/translocation into the primary cilia (Pc), followed by a GLI transcriptional response. Nonetheless, GLI activation can occur independently of the canonical Hh pathway. Using a murine model of liver injury, we previously identified the importance of canonical Hh signaling within the Pc+ liver progenitor cell (LPC) population and noted that SMO-independent, GLI-mediated signals were important in multiple Pc-ve GLI2+ intrahepatic populations. This study extends these observations to human liver tissue, and analyses the effect of GLI inhibition on LPC viability/gene expression. Human donor and cirrhotic liver tissue specimens were evaluated for SHH, GLI2 and Pc expression using immunofluorescence and qRT-PCR. Changes to viability and gene expression in LPCs in vitro were assessed following GLI inhibition. Identification of Pc (as a marker of canonical Hh signaling) in human cirrhosis was predominantly confined to the ductular reaction and LPCs. In contrast, GLI2 was expressed in multiple cell populations including Pc-ve endothelium, hepatocytes, and leukocytes. HSCs/myofibroblasts (gt;99%) expressed GLI2, with only 1.92% displaying Pc. In vitro GLI signals maintained proliferation/viability within LPCs and GLI inhibition affected the expression of genes related to stemness, hepatocyte/biliary differentiation and Hh/Wnt signaling. At least two mechanisms of GLI signaling (Pc/SMOdependent and Pc/SMO-independent) mediate chronic liver disease pathogenesis. This may have significant ramifications for the choice of Hh inhibitor (anti-SMO or anti-GLI) suitable for clinical trials. We also postulate GLI delivers a pro-survival signal to LPCs whilst maintaining stemness

    Control of adult neurogenesis by programmed cell death in the mammalian brain

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    The effects of vitamin D-2 or D-3 supplementation on glycaemic control and related metabolic parameters in people at risk of type 2 diabetes: protocol of a randomised double-blind placebo-controlled trial

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    This article is published under license to BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.London – Block grant from Tower Hamlets Primary Care NHS Trust and East London CLRN. Cambridge – From the operational budget of Medical Research Council Epidemiology Unit (MC_UP_A100_1003)

    Adjunctive rifampicin for Staphylococcus aureus bacteraemia (ARREST): a multicentre, randomised, double-blind, placebo-controlled trial.

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    BACKGROUND: Staphylococcus aureus bacteraemia is a common cause of severe community-acquired and hospital-acquired infection worldwide. We tested the hypothesis that adjunctive rifampicin would reduce bacteriologically confirmed treatment failure or disease recurrence, or death, by enhancing early S aureus killing, sterilising infected foci and blood faster, and reducing risks of dissemination and metastatic infection. METHODS: In this multicentre, randomised, double-blind, placebo-controlled trial, adults (≥18 years) with S aureus bacteraemia who had received ≤96 h of active antibiotic therapy were recruited from 29 UK hospitals. Patients were randomly assigned (1:1) via a computer-generated sequential randomisation list to receive 2 weeks of adjunctive rifampicin (600 mg or 900 mg per day according to weight, oral or intravenous) versus identical placebo, together with standard antibiotic therapy. Randomisation was stratified by centre. Patients, investigators, and those caring for the patients were masked to group allocation. The primary outcome was time to bacteriologically confirmed treatment failure or disease recurrence, or death (all-cause), from randomisation to 12 weeks, adjudicated by an independent review committee masked to the treatment. Analysis was intention to treat. This trial was registered, number ISRCTN37666216, and is closed to new participants. FINDINGS: Between Dec 10, 2012, and Oct 25, 2016, 758 eligible participants were randomly assigned: 370 to rifampicin and 388 to placebo. 485 (64%) participants had community-acquired S aureus infections, and 132 (17%) had nosocomial S aureus infections. 47 (6%) had meticillin-resistant infections. 301 (40%) participants had an initial deep infection focus. Standard antibiotics were given for 29 (IQR 18-45) days; 619 (82%) participants received flucloxacillin. By week 12, 62 (17%) of participants who received rifampicin versus 71 (18%) who received placebo experienced treatment failure or disease recurrence, or died (absolute risk difference -1·4%, 95% CI -7·0 to 4·3; hazard ratio 0·96, 0·68-1·35, p=0·81). From randomisation to 12 weeks, no evidence of differences in serious (p=0·17) or grade 3-4 (p=0·36) adverse events were observed; however, 63 (17%) participants in the rifampicin group versus 39 (10%) in the placebo group had antibiotic or trial drug-modifying adverse events (p=0·004), and 24 (6%) versus six (2%) had drug interactions (p=0·0005). INTERPRETATION: Adjunctive rifampicin provided no overall benefit over standard antibiotic therapy in adults with S aureus bacteraemia. FUNDING: UK National Institute for Health Research Health Technology Assessment
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