Quality of life and sex-differences in a South-Eastern Nigerian stroke sample

BackgroundQuality of Life (QOL) studies in stroke among Africans are rather few and mainly from South-Western Nigeria. Hardly is there any from the other regions of this vast nation. Reports on gender influences on stroke survivors’ QOL have also been contradictory.ObjectivesThis study set out to provide preliminary data on the QOL of stroke survivors in South-Eastern Nigeria and also investigate sex-differences in the QOL.MethodsOne hundred and three volunteering stroke survivors (53 males, 50 females) were recruited from various settings. The Stroke-Specific Quality of Life (SS-QOL) scale was used to assess participants’ QOL. Participants mean QOL score in the overall and individual domains were presented as percentages of Maximum Possible Scores (MPS) while sex-differences across domains were investigated with Mann-Whitney U test statistics at 0.05 alpha level.ResultsParticipants mean scores in the vision (12.44 ± 3.56), thinking (11.50 ± 3.71), mood (18.55 ± 4.81) and language (19.04 ± 6.81) domains were above 70 percent of MPS while mean score in the social role (11.82 ± 4.75) was below 50% of MPS. Overall QOL score was slightly below 70% of the MPS. No significant sex-difference was found in all the SS-QOL domains (p<0.05).ConclusionsQOL seems to be affected, albeit not too severely, among stroke survivors from South-Eastern Nigeria. The effect is however similar for survivors of both gender. Social and family roles and physical functioning seem to be areas requiring keener clinicians’ attention.Key words: Stroke, Quality of life, Sex-differences, South-Eastern Nigeria

Domain-based perceptions of risk:a case study of lay and technical community attitudes towards managed aquifer recharge

Despite growing water scarcity, communities in many parts of the developed world often reject technically and economically sound options for water augmentation. This paper reports findings from a study investigating risk perceptions associated with a proposed Managed Aquifer Recharge scheme in Australia. Q-Methodology was used to compare decision-making frameworks of lay community and „technical expert‟ participants. Technical expert participants were also asked to approximate the decision-making framework of a „typical‟ community member. The emerging contrasts between lay community frameworks and those approximated by technical experts suggest that there are prevailing yet errant assumptions about lay community attitudes towards new technologies. The findings challenge the characterisation of the lay community and technical experts as being in entrenched opposition with one another

Shear stress regulation of miR-93 and miR-484 maturation through nucleolin.

Pulsatile shear (PS) and oscillatory shear (OS) elicit distinct mechanotransduction signals that maintain endothelial homeostasis or induce endothelial dysfunction, respectively. A subset of microRNAs (miRs) in vascular endothelial cells (ECs) are differentially regulated by PS and OS, but the regulation of the miR processing and its implications in EC biology by shear stress are poorly understood. From a systematic in silico analysis for RNA binding proteins that regulate miR processing, we found that nucleolin (NCL) is a major regulator of miR processing in response to OS and essential for the maturation of miR-93 and miR-484 that target mRNAs encoding Krüppel-like factor 2 (KLF2) and endothelial nitric oxide synthase (eNOS). Additionally, anti-miR-93 and anti-miR-484 restore KLF2 and eNOS expression and NO bioavailability in ECs under OS. Analysis of posttranslational modifications of NCL identified that serine 328 (S328) phosphorylation by AMP-activated protein kinase (AMPK) was a major PS-activated event. AMPK phosphorylation of NCL sequesters it in the nucleus, thereby inhibiting miR-93 and miR-484 processing and their subsequent targeting of KLF2 and eNOS mRNA. Elevated levels of miR-93 and miR-484 were found in sera collected from individuals afflicted with coronary artery disease in two cohorts. These findings provide translational relevance of the AMPK-NCL-miR-93/miR-484 axis in miRNA processing in EC health and coronary artery disease

A fundamental relation between phase and group velocity, and application to the failure of perfectly matched layers in backward-wave structures

http://link.aps.org/doi/10.1103/PhysRevE.79.065601We demonstrate that the ratio of group to phase velocity has a simple relationship to the orientation of the electromagnetic field. In nondispersive materials, opposite group and phase velocity corresponds to fields that are mostly oriented in the propagation direction. More generally, this relationship (including the case of dispersive and negative-index materials) offers a perspective on the phenomena of backward waves and left-handed media. As an application of this relationship, we demonstrate and explain an irrecoverable failure of perfectly matched layer absorbing boundaries in computer simulations for constant cross-section waveguides with backward-wave modes and suggest an alternative in the form of adiabatic isotropic absorbers

Bibliometrics of systematic reviews : analysis of citation rates and journal impact factors

Background: Systematic reviews are important for informing clinical practice and health policy. The aim of this study was to examine the bibliometrics of systematic reviews and to determine the amount of variance in citations predicted by the journal impact factor (JIF) alone and combined with several other characteristics. Methods: We conducted a bibliometric analysis of 1,261 systematic reviews published in 2008 and the citations to them in the Scopus database from 2008 to June 2012. Potential predictors of the citation impact of the reviews were examined using descriptive, univariate and multiple regression analysis. Results: The mean number of citations per review over four years was 26.5 (SD +/-29.9) or 6.6 citations per review per year. The mean JIF of the journals in which the reviews were published was 4.3 (SD +/-4.2). We found that 17% of the reviews accounted for 50% of the total citations and 1.6% of the reviews were not cited. The number of authors was correlated with the number of citations (r = 0.215, P =5.16) received citations in the bottom quartile (eight or fewer), whereas 9% of reviews published in the lowest JIF quartile (<=2.06) received citations in the top quartile (34 or more). Six percent of reviews in journals with no JIF were also in the first quartile of citations. Conclusions: The JIF predicted over half of the variation in citations to the systematic reviews. However, the distribution of citations was markedly skewed. Some reviews in journals with low JIFs were well-cited and others in higher JIF journals received relatively few citations; hence the JIF did not accurately represent the number of citations to individual systematic reviews

Sutherlandia frutescens: The meeting of science and traditional knowledge

Sutherlandia frutescens (L.) R.Br. (syn. Lessertia frutescens (L.) Goldblatt and J.C. Manning) is an indigenous medicinal plant extensively used in South Africa to treat a variety of health conditions. It is a fairly widespread, drought-resistant plant that grows in the Western, Eastern, and Northern Cape provinces and some areas of KwaZulu-Natal, varying in its chemical and genetic makeup across these geographic areas.1 Sutherlandia is widely used as a traditional medicine. Extensive scientific studies are being carried out on the safety, quality, and the efficacy of this medicinal plant to validate the traditional claims, elucidate the bioactive constituents, and conduct clinical trials. This has resulted in a unique situation in South Africa’s history, where traditional knowledge and science intersect to provide insight into this popular plant. This photoessay attempts to illustrate the interlinkage of science with the indigenous knowledge of traditional healers, the local knowledge of people who care for the sick, product development, and innovation agenda of the country as it relates to this plant.Web of Scienc

A de novo designed protein-protein interface

As an approach to both explore the physical/chemical parameters that drive molecular self-assembly and to generate novel protein oligomers, we have developed a procedure to generate protein dimers from monomeric proteins using computational protein docking and amino acid sequence design. A fast Fourier transform-based docking algorithm was used to generate a model for a dimeric version of the 56-amino-acid β1 domain of streptococcal protein G. Computational amino acid sequence design of 24 residues at the dimer interface resulted in a heterodimer comprised of 12-fold and eightfold variants of the wild-type protein. The designed proteins were expressed, purified, and characterized using analytical ultracentrifugation and heteronuclear NMR techniques. Although the measured dissociation constant was modest (~300 µM), 2D-[^1H,^(15)N]-HSQC NMR spectra of one of the designed proteins in the absence and presence of its binding partner showed clear evidence of specific dimer formation