What is the clinical relevance of different lung compartments?

The lung consists of at least seven compartments with relevance to immune reactions. Compartment 1 - the bronchoalveolar lavage (BAL), which represents the cells of the bronchoalveolar space: From a diagnostic point of view the bronchoalveolar space is the most important because it is easily accessible in laboratory animals, as well as in patients, using BAL. Although this technique has been used for several decades it is still unclear to what extent the BAL represents changes in other lung compartments. Compartment 2 - bronchus-associated lymphoid tissue (BALT): In the healthy, BALT can be found only in childhood. The role of BALT in the development of the mucosal immunity of the pulmonary surfaces has not yet been resolved. However, it might be an important tool for inhalative vaccination strategies. Compartment 3 - conducting airway mucosa: A third compartment is the bronchial epithelium and the submucosa, which both contain a distinct pool of leukocytes (e.g. intraepithelial lymphocytes, IEL). This again is also accessible via bronchoscopy. Compartment 4 - draining lymph nodes/Compartment 5 - lung parenchyma: Transbronchial biopsies are more difficult to perform but provide access to two additional compartments - lymph nodes with the draining lymphatics and lung parenchyma, which roughly means "interstitial" lung tissue. Compartment 6 - the intravascular leukocyte pool: The intravascular compartment lies between the systemic circulation and inflamed lung compartments. Compartment 7 - periarterial space: Finally, there is a unique, lung-specific space around the pulmonary arteries which contains blood and lymph capillaries. There are indications that this "periarterial space" may be involved in the pulmonary host defense

Recruitment and baseline characteristics of the Community of Voices choir study to promote the health and well-being of diverse older adults.

Objective:To describe the recruitment and baseline results of the Community of Voices study that aims to examine the effect of a community choir intervention on the health and well-being of older adults from diverse racial/ethnic and socioeconomic backgrounds. Method:Using community-based participatory research methods, we recruited adults age 60 and over from 12 Administration on Aging-supported senior centers in San Francisco into a 2-arm cluster-randomized controlled trial of the community choir intervention. Multiple outreach methods were used. We tracked outreach, screening, and recruitment metrics and collected demographics and baseline outcomes via community-based, interviewer-administered surveys and performance measures of cognition, physical function, and psychosocial variables. Results:The study contacted 819 individuals, screened 636, and enrolled 390 diverse older adults over a 42-month, phased recruitment period. The mean age was 71.2 (SD = 7.3), and the majority were women. Two-thirds of the sample are non-white, and 20% of participants reported having financial hardship. Discussion:Outreach and recruitment methods used in the Community of Voices trial facilitated enrollment of a large proportion of minority and lower-SES older adults in the final sample. Similar recruitment approaches could serve as a model for recruiting diverse racial/ethnic and socioeconomic older adults into research

Leadership and the Transformation of Values

This article on leadership serves as an important point of entry to the understanding and teaching of values with the goal of improving teacher effectiveness. As a dynamic process, leadership can take many forms. Considerable attention has been given to this process in both formal and informal sources. In fact, the literature abounds with information relating to the numerous theoretical points of entry that are possible for exercising leadership. However, as described in what follows, there is a paucity of information pertaining to the linkage between values and leadership as the transformation of values. The central purpose of this article is to address the latter issues, especially from the vantage ground of values in the acculturation process, and their significance for the process of leadership. In so doing, the authors provide an analysis of the following: I) Key transformational concepts of the shaping and reshaping forces; 2) The setting within the macro/micro environment; 3) Contributions of some past theories of leadership, and a prototype of transformational leadership; 4) Societal forces affecting the acculturation process, including nine values of acculturation; 5) Content analysis of the literature, involving four databases; 6) A working model of leadership, such as The Global Society for the Advancement of Leadership (GSAL); and 7) A key element in enhancing teaching effectiveness is that the teacher and the student work from a common understanding of each other\u27s value base. It is the conclusion of this paper that there are common core values which are crucial to the educational process. Furthermore, this common value base is applicable to and can be transferred to the students in the process of teaching any subject in the Embry-Riddle Aeronautical University curriculum. The key elements in this transformational process are the ability to cope, the ability to interact, and the ability to apply the values

Carbon radio recombination lines from gigahertz to megahertz frequencies towards Orion A

Context. The combined use of carbon radio recombination lines (CRRLs) and the 158 $\mu$m-[CII] line is a powerful tool for the study of the energetics and physical conditions (e.g., temperature and density) of photodissociation regions (PDRs). However, there are few observational studies that exploit this synergy. Aims. Here we explore the relation between CRRLs and the 158 $\mu$m-[CII] line in light of new observations and models. Methods. We present new and existing observations of CRRLs in the frequency range 0.15--230 GHz with ALMA, VLA, the GBT, Effelsberg 100m, and LOFAR towards Orion~A (M42). We complement these observations with SOFIA observations of the 158 $\mu$m-[CII] line. We studied two PDRs: the foreground atomic gas, known as the Veil, and the dense PDR between the HII region and the background molecular cloud. Results. In the Veil we are able to determine the gas temperature and electron density, which we use to measure the ionization parameter and the photoelectric heating efficiency. In the dense PDR, we are able to identify a layered PDR structure at the surface of the molecular cloud to the south of the Trapezium cluster. There we find that the radio lines trace the colder portion of the ionized carbon layer, the C$^{+}$/C/CO interface. By modeling the emission of the $158$~$\mu$m-[CII] line and CRRLs as arising from a PDR we derive a thermal pressure $>5\times10^{7}$ K cm$^{-3}$ and a radiation field $G_{0}\approx10^{5}$ close to the Trapezium. Conclusions. This work provides additional observational support for the use of CRRLs and the 158 $\mu$m-[CII] line as complementary tools to study dense and diffuse PDRs, and highlights the usefulness of CRRLs as probes of the C$^{+}$/C/CO interface.Comment: 18 pages, 16 figures, accepted for publication in A&

Magnetic Resonance Images of the Brain of a Dwarf Sperm Whale (Kogia simus)

Cetacean (dolphin, whale and porpoise) brains are among the least studied mammalian brains because of the difficulty of collecting and histologically preparing such relatively rare and large specimens. Among cetaceans, there exist relatively few studies of the brain of the dwarf sperm whale (Kogia simus). Magnetic resonance imaging (MRI) offers a means of observing the internal structure of the brain when traditional histological procedures are not practical. Therefore, MRI has become a critical tool in the study of the brain of cetaceans and other large species. This paper represents the first MRI-based anatomically labelled three-dimensional description of the dwarf sperm whale brain. Coronal plane sections of the brain of a sub-adult dwarf sperm whale were originally acquired and used to produce virtual digital scans in the other two orthogonal spatial planes. A sequential set of images in all three planes has been anatomically labelled and displays the proportions and positions of major neuroanatomical features

Discontinuous unbinding of lipid multibilayers

We have observed a discontinuous unbinding transition of lipid bilayer stacks composed of phosphatidylethanolamine and phosphatidylglycerol using X-ray diffraction. The unbinding is reversible and coincides with the main (Lβ→Lα) transition of the lipid mixture. Interbilayer interaction potentials deduced from the diffraction data reveal that the bilayers in the Lβ phase are only weakly bound. The unbinding transition appears to be driven by an abrupt increase in steric repulsion resulting from increased thermal undulations of the bilayers upon entering the fluid Lαphase