Fusion of secretory vesicles isolated from rat liver

Secretory vesicles isolated from rat liver were found to fuse after exposure to Ca2+. Vescle fusion is characterized by the occurrence of twinned vesicles with a continuous cleavage plane between two vesicles in freeze-fracture electron microscopy. The number of fused vesicles increases with increasing Ca2+-concentrations and is half maximal around 10–6 m. Other divalent cations (Ba2+, Sr2+, and Mg2+) were ineffective. Mg2+ inhibits Ca2+-induced fusion. Therefore, the fusion of secretory vesiclesin vitro is Ca2+ specific and exhibits properties similar to the exocytotic process of various secretory cells. Various substances affecting secretionin vivo (microtubular inhibitors, local anethetics, ionophores) were tested for their effect on membrane fusion in our system. The fusion of isolated secretory vesicles from liver was found to differ from that of pure phospholipid membranes in its temperature dependence, in its much lower requirement for Ca2+, and in its Ca2+-specificity. Chemical and enzymatic modifications of the vesicle membrane indicate that glycoproteins may account for these differences

Villain Stardom in Socialist China: Chen Qiang and the Cultural Politics of Affect

Despite playing various kinds of roles across genres from 1949 to 1965, Chen Qiang acquired stardom mainly due to his remarkable screen performance as villainous landlords in socialist China. His villain stardom is an aberrant case, compared to the majority of film stars in Chinese socialist cinema who encouraged identification and emulation and helped propagate socialist ideology to reform Chinese citizens. Paying special attention to socio-historically specific film exhibition practices and the actor's own reflections on his villain performance, this article argues that Chen's stardom functioned as an important affective technology within a wider and complex Communist propaganda enterprise in that it helped cultivate class hatred necessary for the Communist revolution and socialist land reform campaigns. Through this case study, the article suggests that close engagement with both cultural–historical specificities of cinema and recent critical theories of affect open up a space for researching the diversified star phenomena in contemporary China

Patient attributes warranting consideration in clinical practice guidelines, health workforce planning and policy

<p>Abstract</p> <p>Background</p> <p>In order for clinical practice guidelines (CPGs) to meet their broad objective of enhancing the quality of care and supporting improved patient outcomes, they must address the needs of diverse patient populations. We set out to explore the patient attributes that are likely to demand a unique approach to the management of chronic disease, and which are crucial if evidence or services planning is to reflect clinic populations. These were incorporated into a new conceptual framework; using diabetes mellitus as an exemplar.</p> <p>Methods</p> <p>The patient attributes that informed the framework were identified from CPGs, the diabetes literature, an expert academic panel, and two cross-disciplinary panels; and agreed upon using a modified nominal group technique.</p> <p>Results</p> <p>Full consensus was reached on twenty-four attributes. These factors fell into one of three themes: (1) type/stage of disease, (2) morbid events, and (3) factors impacting on capacity to self-care. These three themes were incorporated in a convenient way in the workforce evidence-based (WEB) model.</p> <p>Conclusions</p> <p>While biomedical factors are frequently recognised in published clinical practice guidelines, little attention is given to attributes influencing a person's capacity to self-care. Paying explicit attention to predictable threats to effective self-care in clinical practice guidelines, by drawing on the WEB model, may assist in refinements that would address observed disparities in health outcomes across socio-economic groups. The WEB model also provides a framework to inform clinical training, and health services and workforce planning and research; including the assessment of healthcare needs, and the allocation of healthcare resources.</p

Up, up and away: social marketing breaks free

The social marketing literature has been dominated by questions about the field’s legitimacy along with the ethical and other implications of its relationship with commercial marketing. In reviewing social marketing’s origins and considering its future, this paper acknowledges then moves beyond these concerns, enabling a focus on the opportunities created for this vibrant field in the current environment. Three thematic areas frame the paper’s discussion: the legitimacy of social marketing as a field in its own right; the broadening and deepening of the field and the consequences for social change; and the strengths and opportunities arising out of social marketing’s relationship with mainstream marketing. The paper reviews social marketing’s origins, before considering how the field might draw on the turbulent environment and the dynamic developments taking place within marketing to shape its future