Pengaruh Progressive Muscle Relaxationdan Logoterapi Terhadap Kecemasan, Depresi, Dan Kemampuan Relaksasi

Cancer is a chronic disease that threaten human life. Cancer regarded as a stressor that can cause psychological problems. The most commonly psychological problem found on the cancer client are anxiety and depression which will affect on quality of life, impact on treatment performed, prolong hospitalization and have a negative effect on prognosis and the survival of client. This research aimed to determine the therapeutic effect of Progressive Muscle Relaxation (PMR) and Logotherapy against anxiety and depression, relaxation ability and ability to interpret life. This study used quasi-experimental design pretest-posttest control group with a sample of 90 people cancer clients who were divided into two intervention groups and one control group. The results showed that anxiety decreased significantly p=0.00 (p<0.05; α=0.05); depression decreased significantly p=0.002 (p<0.05; α= 0.05); ability relaxation increased significantly p=0.00 (p<0.05; α=0.05); and the ability to make sense of life increased significantly p=0.01 (p<0.05; α=0.05) in the group receiving PMR and Logotherapy. PMR therapy and Logotherapy are recommended as advanced nursing therapy in treating cancer clients who experience anxiety and depression

A confirmatory factor analysis of the metabolic syndrome in adolescents: an examination of sex and racial/ethnic differences

Objective The metabolic syndrome (MetS) is a cluster of clinical indices that signals increased risk for cardiovascular disease and Type 2 diabetes. The diagnosis of MetS is typically based on cut-off points for various components, e.g. waist circumference and blood pressure. Because current MetS criteria result in racial/ethnic discrepancies, our goal was to use confirmatory factor analysis to delineate differential contributions to MetS by sub-group. Research Design and Methods Using 1999–2010 data from the National Health and Nutrition Examination Survey (NHANES), we performed a confirmatory factor analysis of a single MetS factor that allowed differential loadings across sex and race/ethnicity, resulting in a continuous MetS risk score that is sex and race/ethnicity-specific. Results Loadings to the MetS score differed by racial/ethnic and gender subgroup with respect to triglycerides and HDL-cholesterol. ROC-curve analysis revealed high area-under-the-curve concordance with MetS by traditional criteria (0.96), and with elevations in MetS-associated risk markers, including high-sensitivity C-reactive protein (0.71), uric acid (0.75) and fasting insulin (0.82). Using a cut off for this score derived from ROC-curve analysis, the MetS risk score exhibited increased sensitivity for predicting elevations in ≥2 of these risk markers as compared with traditional pediatric MetS criteria. Conclusions The equations from this sex- and race/ethnicity-specific analysis provide a clinically-accessible and interpretable continuous measure of MetS that can be used to identify children at higher risk for developing adult diseases related to MetS, who could then be targeted for intervention. These equations also provide a powerful new outcome for use in childhood obesity and MetS research

Trends in stream nitrogen concentrations for forested reference catchments across the USA

To examine whether stream nitrogen concentrations in forested reference catchments have changed over time and if patterns were consistent across the USA, we synthesized up to 44 yr of data collected from 22 catchments at seven USDA Forest Service Experimental Forests. Trends in stream nitrogen presented high spatial variability both among catchments at a site and among sites across the USA. We found both increasing and decreasing trends in monthly flow-weighted stream nitrate and ammonium concentrations. At a subset of the catchments, we found that the length and period of analysis influenced whether trends were positive, negative or non-significant. Trends also differed among neighboring catchments within several Experimental Forests, suggesting the importance of catchment-specific factors in determining nutrient exports. Over the longest time periods, trends were more consistent among catchments within sites, although there are fewer long-term records for analysis. These findings highlight the critical value of long-term, uninterrupted stream chemistry monitoring at a network of sites across the USA to elucidate patterns of change in nutrient concentrations at minimally disturbed forested sites

Kruppel-like factor 4 signals through microRNA-206 to promote tumor initiation and cell survival

Tumor cell heterogeneity poses a major hurdle in the treatment of cancer. Mammary cancer stem-like cells (MaCSCs), or tumor-initiating cells, are highly tumorigenic sub-populations that have the potential to self-renew and to differentiate. These cells are clinically important, as they display therapeutic resistance and may contribute to treatment failure and recurrence, but the signaling axes relevant to the tumorigenic phenotype are poorly defined. The zinc-finger transcription factor Kruppel-like factor 4 (KLF4) is a pluripotency mediator that is enriched in MaCSCs. KLF4 promotes RAS-extracellular signal-regulated kinase pathway activity and tumor cell survival in triple-negative breast cancer (TNBC) cells. In this study, we found that both KLF4and a downstream effector, microRNA-206 (miR-206), are selectively enriched in the MaCSC fractions of cultured human TNBC cell lines, as well as in the aldehyde dehydrogenase-high MaCSC sub-population of cells derived from xenografted human mammary carcinomas. The suppression of endogenous KLF4 or miR-206 activities abrogated cell survival and in vivo tumor initiation, despite having only subtle effects on MaCSC abundance. Using a combinatorial approach that included in silico as well as loss- and gain-of-function in vitro assays, we identified miR-206-mediated repression of the pro-apoptotic molecules programmed cell death 4 (PDCD4) and connexin 43 (CX43/GJA1). Depletion of either of these two miR-206-regulated transcripts promoted resistance to anoikis, a prominent feature of CSCs, but did not consistently alter MaCSC abundance. Consistent with increased levels of miR-206 in MaCSCs, the expression of both PDCD4 and CX43 was suppressed in these cells relative to control cells. These results identify miR-206 as an effector of KLF4-mediated prosurvival signaling in MaCSCs through repression of PDCD4 and CX43. Consequently, our study suggests that a pluripotency factor exerts prosurvival signaling in MaCSCs, and that antagonism of KLF4-miR-206 signaling may selectively target the MaCSC niche in TNBC

Synchrotron Studies of the First-Order Melting Transitions of Hexatic Monolayers and Multilayers in Freely Suspended Liquid-Crystal Films

Synchrotron x-ray diffraction has been used to study the surface and the interior hexatic-to-liquid (smectic-I to smectic-C) melting transitions of freely suspended liquid-crystal films of N-[4'-(n-heptyl)benzylidene]-4-(n-heptyl)aniline (7O.7) five molecular layers thick. Both the surface hexatic monolayers and the interior hexatic layers melt via hysteretic first-order transitions. After the two surface layers undergo a first-order transition to the smectic-I phase, the surface hexatic correlation length $\xi$ evolves smoothly from $\sim 100 to \sim 300 \mathring{A}$ with a roughly square-root form, $\xi \sim \mid T-T_c \mid ^{1/2}$.Engineering and Applied Science

Hard Two-Photon Contribution to Elastic Lepton-Proton Scattering: Determined by the OLYMPUS Experiment

The OLYMPUS collaboration reports on a precision measurement of the positron-proton to electron-proton elastic cross section ratio, $R_{2\gamma}$, a direct measure of the contribution of hard two-photon exchange to the elastic cross section. In the OLYMPUS measurement, 2.01~GeV electron and positron beams were directed through a hydrogen gas target internal to the DORIS storage ring at DESY. A toroidal magnetic spectrometer instrumented with drift chambers and time-of-flight scintillators detected elastically scattered leptons in coincidence with recoiling protons over a scattering angle range of $\approx 20\degree$ to $80\degree$. The relative luminosity between the two beam species was monitored using tracking telescopes of interleaved GEM and MWPC detectors at $12\degree$, as well as symmetric M{\o}ller/Bhabha calorimeters at $1.29\degree$. A total integrated luminosity of 4.5~fb$^{-1}$ was collected. In the extraction of $R_{2\gamma}$, radiative effects were taken into account using a Monte Carlo generator to simulate the convolutions of internal bremsstrahlung with experiment-specific conditions such as detector acceptance and reconstruction efficiency. The resulting values of $R_{2\gamma}$, presented here for a wide range of virtual photon polarization $0.456<\epsilon<0.978$, are smaller than some hadronic two-photon exchange calculations predict, but are in reasonable agreement with a subtracted dispersion model and a phenomenological fit to the form factor data.Comment: 5 pages, 3 figures, 2 table

First data from DM-Ice17

We report the first analysis of background data from DM-Ice17, a direct-detection dark matter experiment consisting of 17 kg of NaI(Tl) target material. It was codeployed with IceCube 2457 m deep in the South Pole glacial ice in December 2010 and is the first such detector operating in the Southern Hemisphere. The background rate in the 6.5–8.0 keVee region is measured to be 7.9 � 0.4 counts=day=keV=kg. This is consistent with the expected background from the detector assemblies with negligible contributions from the surrounding ice. The successful deployment and operation of DM-Ice17 establishes the South Pole ice as a viable location for future underground, low-background experiments in the Southern Hemisphere. The detector assembly and deployment are described here, as well as the analysis of the DM-Ice17 backgrounds based on data from the first two years of operation after commissioning, July 2011–June 2013

X-ray Resonant Scattering Studies of Orbital and Charge Ordering in Pr1−x_{1-x}Cax_xMnO3_3

We present the results of a systematic x-ray scattering study of the charge and orbital ordering in the manganite series Pr$_{1-x}$Ca$_x$MnO$_3$ with $x$=0.25, 0.4 and 0.5. The temperature dependence of the scattering at the charge and orbital wavevectors, and of the lattice constants, was characterized throughout the ordered phase of each sample. It was found that the charge and orbital order wavevectors are commensurate with the lattice, in striking contrast to the results of earlier electron diffraction studies of samples with $x$=0.5. High momentum-transfer resolution studies of the x=0.4 and 0.5 samples further revealed that while long-range charge order is present, long-range orbital order is never established. Above the charge/orbital ordering temperature T$_o$, the charge order fluctuations are more highly correlated than the orbital fluctuations. This suggests that charge order drives orbital order in these samples. In addition, a longitudinal modulation of the lattice with the same periodicity as the charge and orbital ordering was discovered in the x=0.4 and 0.5 samples. For x=0.25, only long-range orbital order was observed with no indication of charge ordering, nor of an additional lattice modulation. We also report the results of a preliminary investigation of the loss of charge and orbital ordering in the x=0.4 sample by application of a magnetic field. Finally, the polarization and azimuthal dependence of the charge and orbital ordering in these compounds is characterized both in the resonant and nonresonant limits, and compared with the predictions of current theories. The results are qualitatively consistent with both cluster and LDA+U calculations of the electronic structure.Comment: 37 pages, 22 figure

Measurement of muon annual modulation and muon-induced phosphorescence in NaI(TI) crystals with DM-Ice17

We report the measurement of muons and muon-induced phosphorescence in DM-Ice17, a NaI(Tl) direct detection dark matter experiment at the South Pole. Muon interactions in the crystal are identified by their observed pulse shape and large energy depositions. The measured muon rate in DM-Ice17 is 2.93±0.04  μ/crystal/day with a modulation amplitude of 12.3±1.7%, consistent with expectation. Following muon interactions, we observe long-lived phosphorescence in the NaI(Tl) crystals with a decay time of 5.5±0.5  s. The prompt energy deposited by a muon is correlated to the amount of delayed phosphorescence, the brightest of which consist of tens of millions of photons. These photons are distributed over tens of seconds with a rate and arrival timing that do not mimic a scintillation signal above 2  keVee. While the properties of phosphorescence vary among individual crystals, the annually modulating signal observed by DAMA cannot be accounted for by phosphorescence with the characteristics observed in DM-Ice17