51 research outputs found
Risk factors for revision due to infection after primary total hip arthroplasty: A population-based study of 80,756 primary procedures in the Danish Hip Arthroplasty Registry
Oral particle uptake and organ targeting drives the activity of amphotericin B nanoparticles
There are very few drug delivery
systems that target key organs
via the oral route, as oral delivery advances normally address gastrointestinal
drug dissolution, permeation, and stability. Here we introduce a nanomedicine
in which nanoparticles, while also protecting the drug from gastric
degradation, are taken up by the gastrointestinal epithelia and transported
to the lung, liver, and spleen, thus selectively enhancing drug bioavailability
in these target organs and diminishing kidney exposure (relevant to
nephrotoxic drugs). Our work demonstrates, for the first time, that
oral particle uptake and translocation to specific organs may be used
to achieve a beneficial therapeutic response. We have illustrated
this using amphotericin B, a nephrotoxic drug encapsulated within <i>N</i>-palmitoyl-<i>N</i>-methyl-<i>N</i>,<i>N</i>-dimethyl-<i>N</i>,<i>N</i>,<i>N</i>-trimethyl-6-<i>O</i>-glycol chitosan
(GCPQ) nanoparticles, and have evidenced our approach in three separate
disease states (visceral leishmaniasis, candidiasis, and aspergillosis)
using industry standard models of the disease in small animals. The
oral bioavailability of AmB-GCPQ nanoparticles is 24%. In all disease
models, AmB-GCPQ nanoparticles show comparable efficacy to parenteral
liposomal AmB (AmBisome). Our work thus paves the way for others to
use nanoparticles to achieve a specific targeted delivery of drug
to key organs via the oral route. This is especially important for
drugs with a narrow therapeutic index
Peri-operative interventions producing better functional outcomes and enhanced recovery following total hip and knee arthroplasty: an evidence-based review
Theme of rootlessness in West Indian fiction
This thesis acknowledges that a combination of circumstances
has produced in the West Indies an almost wholly-immigrant population whose fundamental condition is one of rootlessness. It attempts to show that rootlessness manifests itself negatively in the literature in an inability to regard the West Indies as home, in the placelessness that is brought about by emigration, in an uncertainty as to identity, allegiances
and origins, and in an existential self-alienation produced by acculturation.
Chapter One is a selective account of relevant historical
and sociological data that demonstrates how the condition
of rootlessness and the accompanying feeling of loss and deprivation arose. It ends by trying to draw a parallel between the particular West Indian condition of rootlessness that sprang from a slave society and existential rootlessness as generally understood by Western philosophy.
Chapters Two, Three and Four are studies of selected prose texts which treat this theme. The texts are grouped according to their setting. Chapter Two attempts a detailed analysis of three novels set in the West Indies which depict the rootlessness of an individual or sector of society against a larger uncreated society. They reflect two fundamental reactions to the condition of rootlessness â refusal to come to terms with the environment, and its opposite, the attempt
to ground one's existence meaningfully. The novels that have been selected are: Pattersonâs The Children of Sisyphus, Naipaulâs A House For Mr. Biswas and Lammingâs Season of Adventure.
The world of the immigrant is explored in Chapter Three. Austin Clarkeâs The Meeting Point is set in Canada while Selvonâs The Lonely Londoners and Salkeyâs The Adventures of Catullus Kelly are set in England. In these novels, the characters are cut adrift of any moorings and their rootlessness exacerbated in an even more alien environment in which they are totally disoriented.
The Afro/Asian/European search for origins in the ancestral homeland and the chasm that separates the West Indian from his origins form the subject of Chapter Four. Naipaulâs Area of Darkness, Dennis Williamsâ Other Leopards, and Jean Rhysâ Wide Sargasso Sea and Voyage In The Dark demonstrate the impossibility of return, and the irreconcilability of the two worlds and the sensibilities born of them.Arts, Faculty ofEnglish, Department ofGraduat
An exploratory study aimed to determine the efficacy of an assessment battery designed to examine oral English language acquisition in refugee and migrant children.
The process of migration has resulted in population growth and contributed to the transformation of New Zealand. Migrant and refugee children face many adjustment factors and their ease in resettling in New Zealand is largely dependent on their ability to learn English. Migration stress, change, trauma and loss may result in psychological difficulties which in turn may affect their resettling and learning. The Ministry of Education and other professionals work together to enhance the quality of their service provision to facilitate easier adjustment, resettlement and effective learning for these children. An adequate assessment battery for speech language therapists to assess migrant and refugee children, is presently lacking in New Zealand. Therapists currently use various assessments, with the assistance of interpreters. The New Zealand Speech Therapistsâ Association (NZSTA), in accordance with speech therapists in Group Special Education (GSE), strongly supports the need for research with these groups and the development of an appropriate assessment battery. This exploratory study aimed to determine an assessment battery for use in examining English language acquisition in refugee and migrant children and to highlight the benefit of using measurement tools that determine incremental change over time in contrast to the use of monolingual psychometric tests. The study explored a selected assessment battery and gathered data in five main focus areas, namely: cognition, language, trauma, classroom behaviour, developmental and birth information. Eligible children were those who did not have physiologically - impaired cognitive abilities. Eight cases, four refugee and four migrant students, were selected by convenience sampling. All participants were children selected from primary school 1 (three refugees and three migrants) and primary school 2 (one refugee and one migrant) primary schools, aged approximately (5-8 years). Participants included four male and four females, refugee and migrant children, and those with both high and low English ability. Based on the studyâs results, recommendations were made to refine the test battery, which included test modification. For example, the use of the trauma measurement tool only if there is prior evidence of trauma, the inclusion of a larger test population who have a common primary language to allow for cost effective interpreter use and to also allow for generalisations to be made, the inclusion of an assessment of the childrenâs primary language in order to determine the relationship, development and acquisition of the childâs second language with reference to his/her development and skills in his native language. All of the refugee children and 3 migrant children displayed slower processing time during the administration of the tests. Migrant parents were quicker in test completion as compared to refugee parents. They displayed differences in family size, contact with extended family, socioeconomic status and educational level. Migrant children produced sentences that included correct word order and sequence whilst refugee children produced sentences that lacked adequate word order or lacked articles and determiners. The study found the proposed test battery was an effective choice for use in the assessment of both migrant and refugee children, as the battery allows for dynamic assessment of children from diverse groups and this proved to be an unbiased means of assessing their English language and cognitive skills. Recommendations are made for future, more-extensive research. These findings provide information about appropriate and reliable language acquisition tests that measure incremental change with time. This study will contribute to a developing knowledge base for speech-language therapists who work with migrant or refugee children. Effective assessment on which to base tailored language programmes will assist them to optimise their experience in New Zealand schools and enhance their English language skills
L'inconfort des passagers causé par les moteurs dans un avion
Dans la cabine dâun avion, lâune des raisons dâinconfort des passagers est due aux bruits et aux vibrations gĂ©nĂ©rĂ©s par la rotation des moteurs. En effet, les moteurs engendrent des excitations sinusoĂŻdales mono-frĂ©quentielles liĂ©es Ă un Ă©quilibrage imparfait. La frĂ©quence (entre 25 et 55 Hz) et lâamplitude des stimuli varient en fonction des paramĂštres de vol. Cette Ă©tude traite de lâinfluence de la frĂ©quence et du niveau de bruit et de vibration sur lâĂ©valuation de lâinconfort. Lâobjectif est de construire un modĂšle dâinconfort global. Des expĂ©riences de perception ont Ă©tĂ© rĂ©alisĂ©es dans un laboratoire, sur un moyen dâessai permettant de contrĂŽler des stimuli sonores et vibratoires. Les participants ont Ă©valuĂ© sĂ©parĂ©ment lâinconfort vibratoire, sonore et global. Pour chaque participant et pour chaque stimulus lâaccĂ©lĂ©ration au pied, au dossier, Ă lâassise et aux accoudoirs a Ă©tĂ© mesurĂ©e. Les rĂ©sultats ont montrĂ©, comme attendu, que lâinconfort sonore ou vibratoire dĂ©pend du niveau ; en revanche, aucune influence de la frĂ©quence nâa Ă©tĂ© dĂ©tectĂ©e. De plus, lâinconfort global semble fortement dĂ©pendre de lâinconfort vibratoire
Callose deposition during the interaction between cowpea (Vigna unguiculata) and the monokaryotic stage of the cowpea rust fungus (Uromyces vignae)
Global and local temporal processing in audition, and the influence of musical expertise
International audienc
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