4,211 research outputs found
Spatially valid proprioceptive cues improve the detection of a visual stimulus
Vision and proprioception are the main sensory modalities that convey hand location and direction of movement. Fusion of these sensory signals into a single robust percept is now well documented. However, it is not known whether these modalities also interact in the spatial allocation of attention, which has been demonstrated for other modality pairings. The aim of this study was to test whether proprioceptive signals can spatially cue a visual target to improve its detection. Participants were instructed to use a planar manipulandum in a forward reaching action and determine during this movement whether a near-threshold visual target appeared at either of two lateral positions. The target presentation was followed by a masking stimulus, which made its possible location unambiguous, but not its presence. Proprioceptive cues were given by applying a brief lateral force to the participant’s arm, either in the same direction (validly cued) or in the opposite direction (invalidly cued) to the on-screen location of the mask. The d′ detection rate of the target increased when the direction of proprioceptive stimulus was compatible with the location of the visual target compared to when it was incompatible. These results suggest that proprioception influences the allocation of attention in visual spac
Early transplantation maximizes survival in severe acute-on-chronic liver failure: results of a Markov decision process model
BACKGROUND:
Uncertainties exist surrounding the timing of liver transplantation (LT) among patients with acute-on-chronic liver failure grade 3 (ACLF-3), regarding whether to accept a marginal quality donor organ to allow for earlier LT or wait for either an optimal organ offer or improvement in the number of organ failures, in order to increase post-LT survival.
METHODS:
We created a Markov decision process model to determine the timing of LT among patients with ACLF-3 within 7 days of listing, to maximize overall one-year survival probability.
RESULTS:
We analyzed six groups of candidates with ACLF-3: patients age ≤60 or >60 years, patients with 3 organ failures alone or 4-6 organ failures, and hepatic or extrahepatic ACLF-3. Among all groups, LT yielded significantly greater overall survival probability versus remaining on the waiting list for even 1 additional day (p 60 years or with 4-6 organ failures. Probability of improvement from ACLF-3 to ACLF-2 does not influence these recommendations, as the likelihood of organ recovery was less than 10%.
CONCLUSION:
During the first week after listing for patients with ACLF-3, earlier LT in general is favored over waiting for an optimal quality donor organ or for recovery of organ failures, with the understanding that the analysis is limited to consideration of only these three variables.
LAY SUMMARY:
In the setting of grade three acute-on-chronic liver failure (ACLF-3), questions remain regarding the timing of transplantation in terms of whether to proceed with liver transplantation with a marginal donor organ versus waiting for an optimal liver, and whether to transplant a patient with ACLF-3 or wait until improvement to ACLF-2. In this study, we used a Markov decision process model to demonstrate that earlier transplantation of patients listed with ACLF-3 maximizes overall survival, as opposed to waiting for an optimal donor organ or for improvement in the number of organ failures
Expression stability of putative reference genes in equine endometrial, testicular, and conceptus tissues
<p>Abstract</p> <p>Background</p> <p>Quantitative RT-PCR data are commonly normalized using a reference gene. A reference gene is a transcript which expression does not differ in the tissue of interest independent of the experimental condition. The objective of this study was to evaluate the stability of mRNA expression levels of putative reference genes in three different types of equine tissue, endometrial, testicular, and conceptus tissue.</p> <p>Findings</p> <p>The expression stability of four (uterine tissue) and six (testicular and conceptus tissue) was assessed using descriptive data analysis and the software programs Normfinder and geNorm. In uterine samples, <it>18S </it>showed the largest degree of variation in expression while <it>GAPDH</it>, <it>B2M</it>, and <it>ACTB </it>were stably expressed. <it>B2M </it>and <it>GAPDH </it>were identified as the most stably expressed genes in testicular samples, while <it>18S </it>showed some extent of regulation between samples. Conceptus tissue overall was characterized by very low variability of the transcripts analyzed with <it>GAPDH</it>, <it>YWHZ</it>, and 18S being the most stably expressed genes.</p> <p>Conclusions</p> <p>In equine endometrium, <it>GAPDH</it>, <it>B2M</it>, and <it>ACTB </it>transcript levels are equally stable, while <it>18S </it>is less stably expressed. In testes and associated structures, <it>B2M </it>and <it>GAPDH </it>are the transcripts showing the least amount of variation, while in conceptus tissue <it>GAPDH</it>, <it>YWHZ</it>, and <it>18S </it>were identified as the most suitable reference genes. Overall, transcripts analyzed in conceptus tissue were characterized by less variation than transcripts analyzed in uterine and testicular tissue.</p
Iatrogenic Subtotal Stenosis of the Right Subclavian Artery Treated With Percutaneous Transluminal Angioplasty
This report describes a rare vascular complication of surgical placement of a marking clip and a possible approach to problem solving. A 55-year-old patient presented with loss of sensation in the fingers and loss of peripheral pulsations in the right arm 4 days after right upper lobectomy for a pT2N1 moderately differentiated adenocarcinoma of the lung. Duplex examination and computed tomography were performed the same day and showed a subtotal stenosis of the right subclavian artery, which was caused by the surgical placement of a metal clip to mark the surgical boundary. Selective angiography was subsequently performed. Percutaneous transluminal angioplasty (PTA) successfully dilated the stenosis and pushed the clip off. Flow in the right subclavian artery (RSA) was completely restored as were neurology and peripheral pulses. In conclusion, arterial stenosis by a surgical (marking) clip may be feasibly treated with PTA
Photonic Analogue of Two-dimensional Topological Insulators and Helical One-Way Edge Transport in Bi-Anisotropic Metamaterials
Recent progress in understanding the topological properties of condensed
matter has led to the discovery of time-reversal invariant topological
insulators. Because of limitations imposed by nature, topologically non-trivial
electronic order seems to be uncommon except in small-band-gap semiconductors
with strong spin-orbit interactions. In this Article we show that artificial
electromagnetic structures, known as metamaterials, provide an attractive
platform for designing photonic analogues of topological insulators. We
demonstrate that a judicious choice of the metamaterial parameters can create
photonic phases that support a pair of helical edge states, and that these edge
states enable one-way photonic transport that is robust against disorder.Comment: 13 pages, 3 figure
Star Formation in Galaxies Along the Hubble Sequence
Observations of star formation rates (SFRs) in galaxies provide vital clues
to the physical nature of the Hubble sequence, and are key probes of the
evolutionary properties of galaxies. The focus of this review is on the broad
patterns in the star formation properties of galaxies along the Hubble
sequence, and their implications for understanding galaxy evolution and the
physical processes that drive the evolution. Star formation in the disks and
nuclear regions of galaxies are reviewed separately, then discussed within a
common interpretive framework. The diagnostic methods used to measure SFRs are
also reviewed, and a self-consistent set of SFR calibrations is presented as an
aid to workers in the field.Comment: 41 pages, with 9 figures. To appear in Volume 36 of the Annual Review
of Astronomy and Astrophysic
Evaluation of the zucker diabetic fatty (ZDF) rat as a model for human disease based on urinary peptidomic profiles
Representative animal models for diabetes-associated vascular complications are extremely relevant in assessing potential therapeutic drugs. While several rodent models for type 2 diabetes (T2D) are available, their relevance in recapitulating renal and cardiovascular features of diabetes in man is not entirely clear. Here we evaluate at the molecular level the similarity between Zucker diabetic fatty (ZDF) rats, as a model of T2D-associated vascular complications, and human disease by urinary proteome analysis. Urine analysis of ZDF rats at early and late stages of disease compared to age- matched LEAN rats identified 180 peptides as potentially associated with diabetes complications. Overlaps with human chronic kidney disease (CKD) and cardiovascular disease (CVD) biomarkers were observed, corresponding to proteins marking kidney damage (eg albumin, alpha-1 antitrypsin) or related to disease development (collagen). Concordance in regulation of these peptides in rats versus humans was more pronounced in the CVD compared to the CKD panels. In addition, disease-associated predicted protease activities in ZDF rats showed higher similarities to the predicted activities in human CVD. Based on urinary peptidomic analysis, the ZDF rat model displays similarity to human CVD but might not be the most appropriate model to display human CKD on a molecular level
Exploring the (missed) connections between digital scholarship and faculty development: a conceptual analysis
Abstract The aim of this paper is to explore the relationship between two research topics: digital scholarship and faculty development. The former topic drives attention on academics' new practices in digital, open and networked contexts; the second is focused on the requirements and strategies to promote academics' professional learning and career advancement. The research question addressing this study is: are faculty development strategies hindered by the lack of a cohesive view in the research on digital scholarship? The main assumption guiding this research question is that clear conceptual frameworks and models of professional practice lead to effective faculty development strategies. Through a wide overview of the evolution of both digital scholarship and faculty development, followed by a conceptual analysis of the intersections between fields, the paper attempts to show the extent on which the situation in one area (digital scholarship) might encompass criticalities for the other (faculty development) in terms of research and practices. Furthermore, three scenarios based on the several perspectives of digital scholarship are built in order to explore the research question in depth. We conclude that at the current state of art the relationship between these two topics is weak. Moreover, the dialogue between digital scholarship and faculty development could put the basis to forge effective professional learning contexts and instruments, with the ultimate goal of supporting academics to become digital scholars towards a more open and democratic vision of scholarship
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