32 research outputs found
Measurement of the Absolute Magnitude and Time Courses of Mitochondrial Membrane Potential in Primary and Clonal Pancreatic Beta-Cells
The aim of this study was to simplify, improve and validate quantitative measurement of the mitochondrial membrane potential (ÎÏM) in pancreatic ÎČ-cells. This built on our previously introduced calculation of the absolute magnitude of ÎÏM in intact cells, using time-lapse imaging of the non-quench mode fluorescence of tetramethylrhodamine methyl ester and a bis-oxonol plasma membrane potential (ÎÏP) indicator. ÎÏM is a central mediator of glucose-stimulated insulin secretion in pancreatic ÎČ-cells. ÎÏM is at the crossroads of cellular energy production and demand, therefore precise assay of its magnitude is a valuable tool to study how these processes interplay in insulin secretion. Dispersed islet cell cultures allowed cell type-specific, single-cell observations of cell-to-cell heterogeneity of ÎÏM and ÎÏP. Glucose addition caused hyperpolarization of ÎÏM and depolarization of ÎÏP. The hyperpolarization was a monophasic step increase, even in cells where the ÎÏP depolarization was biphasic. The biphasic response of ÎÏP was associated with a larger hyperpolarization of ÎÏM than the monophasic response. Analysis of the relationships between ÎÏP and ÎÏM revealed that primary dispersed ÎČ-cells responded to glucose heterogeneously, driven by variable activation of energy metabolism. Sensitivity analysis of the calibration was consistent with ÎČ-cells having substantial cell-to-cell variations in amounts of mitochondria, and this was predicted not to impair the accuracy of determinations of relative changes in ÎÏM and ÎÏP. Finally, we demonstrate a significant problem with using an alternative ÎÏM probe, rhodamine 123. In glucose-stimulated and oligomycin-inhibited ÎČ-cells the principles of the rhodamine 123 assay were breached, resulting in misleading conclusion
Pooled analysis of WHO Surgical Safety Checklist use and mortality after emergency laparotomy
Background The World Health Organization (WHO) Surgical Safety Checklist has fostered safe practice for 10 years, yet its place in emergency surgery has not been assessed on a global scale. The aim of this study was to evaluate reported checklist use in emergency settings and examine the relationship with perioperative mortality in patients who had emergency laparotomy. Methods In two multinational cohort studies, adults undergoing emergency laparotomy were compared with those having elective gastrointestinal surgery. Relationships between reported checklist use and mortality were determined using multivariable logistic regression and bootstrapped simulation. Results Of 12 296 patients included from 76 countries, 4843 underwent emergency laparotomy. After adjusting for patient and disease factors, checklist use before emergency laparotomy was more common in countries with a high Human Development Index (HDI) (2455 of 2741, 89.6 per cent) compared with that in countries with a middle (753 of 1242, 60.6 per cent; odds ratio (OR) 0.17, 95 per cent c.i. 0.14 to 0.21, P <0001) or low (363 of 860, 422 per cent; OR 008, 007 to 010, P <0.001) HDI. Checklist use was less common in elective surgery than for emergency laparotomy in high-HDI countries (risk difference -94 (95 per cent c.i. -11.9 to -6.9) per cent; P <0001), but the relationship was reversed in low-HDI countries (+121 (+7.0 to +173) per cent; P <0001). In multivariable models, checklist use was associated with a lower 30-day perioperative mortality (OR 0.60, 0.50 to 073; P <0.001). The greatest absolute benefit was seen for emergency surgery in low- and middle-HDI countries. Conclusion Checklist use in emergency laparotomy was associated with a significantly lower perioperative mortality rate. Checklist use in low-HDI countries was half that in high-HDI countries.Peer reviewe
Mineral--organic interfacial processes: potential roles in the origins of life
Life is believed to have originated on Earth 4.4â3.5 Ga ago, via processes in which organic compounds supplied by the environment self-organized, in some geochemical environmental niches, into systems capable of replication with hereditary mutation. This process is generally supposed to have occurred in an aqueous environment and, likely, in the presence of minerals. Mineral surfaces present rich opportunities for heterogeneous catalysis and concentration which may have significantly altered and directed the process of prebiotic organic complexification leading to life. We review here general concepts in prebiotic mineral-organic interfacial processes, as well as recent advances in the study of mineral surface-organic interactions of potential relevance to understanding the origin of life
The knowledge, attitudes, beliefs and practices of San Andres II Dasmariñas, Cavite regarding wounds, wounds healing and care
Cost-Effectiveness Analysis of Heat and Moisture Exchangers in Mechanically Ventilated Critically Ill Patients
A Comparison of Open Source Tools for Data Science Exploratory Study of Effects of eLearning System Acceptance on Learning Outcomes Special thanks to members of AITP-EDSIG who perform the editorial and review processes for JISAR. 2016 AITP Education Speci
The journal acceptance review process involves a minimum of three double-blind peer reviews, where both the reviewer is not aware of the identities of the authors and the authors are not aware of the identities of the reviewers. The initial reviews happen before the conference. At that point papers are divided into award papers (top 15%), other journal papers (top 30%), unsettled papers, and non-journal papers. The unsettled papers are subjected to a second round of blind peer review to establish whether they will be accepted to the journal or not. Those papers that are deemed of sufficient quality are accepted for publication in the JISAR journal. Currently the target acceptance rate for the journal is about 40%. Questions should be addressed to the editor at [email protected] or the publisher at [email protected]. Special thanks to members of AITP-EDSIG who perform the editorial and review processes for JISAR. AITP Education Special Interest Group (EDSIG) Board of Directors Abstract End-user learning is an important element of Information Systems (IS) projects. End-user learning of software applications can constitute roughly 5% to 50% of project budgets. To lower costs and make learning more convenient for the end-users, organizations are largely utilizing online systems for the electronic delivery of such learning programs, referred to as Technology Mediated Learning (TML). In this learning format, before the end-users are able to immerse themselves in the actual learning program, they are first required to adopt and use an online learning system. Currently published IS research has two mature streams of publications: one stream focused on models of technology acceptance and usage that is based on the TAM (Technology Acceptance Model) model and a second stream based on the TML framework consisting of learning content, structures and outcomes. This research study aims to build and validate an empirical model extended from the TML framework with constructs from TAM. This extended model is validated and relationships are tested using survey data collected from an e-learning system used for teaching spreadsheet and database management software applications. The results indicate that the acceptance and usage of the e-learning system and the learning outcomes of mastering office productivity applications is related to individual characteristics and facilitating conditions that boost perceived ease of use and perceived usefulness. The results of this study have implications for both the TAM and TML research streams and also the design and use of elearning for software applications by IS practitioners