775 research outputs found

    Random attractors for stochastic 2D-Navier-Stokes equations in some unbounded domains

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    We show that the stochastic flow generated by the Stochastic Navier-Stokes equations in a 2-dimensional Poincar\'e domain has a unique random attractor. This result complements a recent result by Brze\'zniak and Li [10] who showed that the flow is asymptotically compact and generalizes a recent result by Caraballo et al. [12] who proved existence of a unique pullback attractor for the time-dependent deterministic Navier-Stokes equations in a 2-dimensional Poincar\'e domain

    Higher education systems and institutions, Mozambique

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    The Republic of Mozambique is a country located in southeast Africa. It is bordered by South Africa and Swaziland to the southwest, Zimbabwe to the west, Zambia and Malawi to the northwest, and Tanzania to the north. With a surface area of roughly 800,000 square km and a rapidly expanding population roughly at 29.5 million, it is the second largest Portuguese-speaking country in Africa. Although Portuguese is the official language, most Mozambicans speak Bantu languages. As other Lusophone countries in Africa, Mozambique became independent in 1975 after a prolonged war with Portugal. After that, it had to endure an even longer civil war between former independentist movements which ended only in 1992. At the same time, between independence and the mid-1980s, the government of Mozambique experimented with socialism as a political and economic model of development and social construction. All of these factors have led the country to a desperate socioeconomic situation until...info:eu-repo/semantics/acceptedVersio

    Net Worth Predicts Symptom Burden at the End of Life

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    Objectives: To explore the predictors of symptom burden at the end of life. Design: Observational, secondary analysis of Health and Retirement Study (HRS) data. Setting: USA. Participants: Two thousand six hundred four deceased, older adults. Methods: Multivariate Poisson and logistic regression to explore the relationship between sociodemographic and clinical factors with symptoms. Results: Fatigue, pain, dyspnea, depression, and anorexia were common and severe; 58% of participants experienced more than 3 of these during their last year of life. Sociodemographic and clinical factors were associated with the number of symptoms as well as the presence of pain, depression, and dyspnea alone. Decedents in the highest quartile of net worth had fewer symptoms (incident rate ratio [IRR] 0.90, confidence interval [CI] 0.85–0.96) and less pain (odds ratio [OR] 0.66, CI 0.51–0.85) than comparisons did. Patients with cancer experienced more pain (OR 2.02, CI 1.62–2.53) and depression (OR 1.31, CI 1.07–1.61). Patients experienced more depression (OR 2.37, CI 1.85–3.03) and dyspnea (OR 1.40, CI 1.09–1.78). Limitation: Use of proxy reports for primary data. Conclusion: Older Americans experience a large symptom burden in the last year of life, largely with treatable symptoms such as pain, dyspnea, and depression. The adequacy of symptom control relates to clinical factors as well as net worth. This association between symptoms and wealth suggests that access to health care and other social services beyond those covered by Medicare may be important in decreasing symptom burden at the end of life.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/63106/1/jpm.2005.8.827.pd

    The Impact of Poor Health Behaviors on Workforce Disability

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    The effects of poor health habits on mortality have been studied extensively. However, few studies have examined the impact of these health behaviors on workforce disability. In the Health and Retirement Study, a nationally representative cohort of 6044 Americans who were between the ages of 51 and 61 and who were working in 1992, we found that both baseline smoking status and a sedentary lifestyle predict workforce disability six years later. If this relationship is causal, cost-benefit analyses of health behavior intervention that neglect workforce disability may substantially underestimate the benefits of such interventions.

    Overexpression of the short endoglin isoform reduces renal fibrosis and inflammation after unilateral ureteral obstruction

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    33 p.-9 fig.-2 tab. Muñoz-Felix. J. M. et al.Transforming growth factor beta 1 (TGF-β1) is one of the most studied cytokines involved in renal tubulo¬interstitial fibrosis, which is characterized by myofibroblast abundance and proliferation, and high buildup of extracellular matrix in the tubular interstitium leading to organ failure. Endoglin (Eng) is a 180-kDa homodimeric transmembrane protein that regulates a great number of TGF-β1 actions in different biological processes, includ¬ing ECM synthesis. High levels of Eng have been observed in experimental models of renal fibrosis or in biopsies from patients with chronic kidney disease. In humans and mice, two Eng isoforms are generated by alternative splicing, L-Eng and S-Eng that differ in the length and composition of their cytoplasmic domains. We have previously described that L-Eng overexpression promotes renal fibrosis after unilateral ureteral obstruction (UUO). However, the role of S-Eng in renal fibrosis is unknown and its study would let us analyze the possible function of the cytoplasmic domain of Eng in this process. For this purpose, we have generated a mice strain that overexpresses S-Eng (S-ENG+) and we have performed an UUO in S-ENG+ and their wild type (WT) control mice. Our results indicate that obstructed kidney of S-ENG+ mice shows lower levels of tubulo-interstitial fibrosis, less inflammation and less interstitial cell proliferation than WT littermates. Moreover, S-ENG+ mice show less activation of Smad1 and Smad2/3 pathways. Thus, S-Eng overexpression reduces UUO-induced renal fibrosis and some associated mechanisms. As L-Eng overexpression provokes renal fibrosis we conclude that Eng-mediated induction of renal fibrosis in this model is dependent on its cytoplasmic domain.This study has been supported by grants from Ministerio de Economía y Competitividad of Spain (SAF2013-43421-R to CB; and SAF2013-45784-R to JML-N), Junta de Castilla y León (GR100, JML-N), Institute Queen Sophie for Renal Research, Fundación Renal Íñigo Álvarez de Toledo, Madrid, Spain (0016¬002), Centro de Investigación Biomédica en Red de Enfermedades Raras (CIBERER, CB) (ISCIII-CB06/07/0038) and Red de Investigación Cooperativa en Enfermedades Renales (REDINREN, JML-N) (R12/0021/ 0032). CIBERER and REDINREN are initiatives of the Instituto de Salud Carlos III (ISCIII) of Spain supported by FEDER funds. BO and ENG are supported by fellowships from Ministerio de Economía y Competitividad (BES-2011-048968 and BES-2008-005550). JMMF, LPR and CC are supported by fellowships from Junta de Castilla y León and Fondo Social Europeo (EDU/1204/2010 and EDU/1083/2013).Peer reviewe

    Informal Caregiving for Diabetes and Diabetic Complications Among Elderly Americans

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    Objectives: Little is known regarding the amount of time spent by unpaid caregivers providing help to elderly individuals for disabilities associated with diabetes mellitus (DM). We sought to obtain nationally representative estimates of the time, and associated cost, of informal caregiving provided to the elderly with diabetes, and to determine the complications of DM that contribute most significantly to the subsequent need for informal care. Methods: We estimated multivariable regression models using data from the 1993 Asset and Health Dynamics (AHEAD) Study, a nationally representative survey of people aged 70 or older (N=7,443), to determine the weekly hours of informal caregiving and imputed cost of caregiver time for community-dwelling elderly with and without a diagnosis of DM. Results: Those without DM received an average of 6.1 hours per week of informal care, those with DM taking no medications received 10.5 hours, those with DM taking oral medications received 10.1 hours, and those with DM taking insulin received 14.4 hours of care (P

    Investigation of MicroRNA-134 as a Target against Seizures and SUDEP in a Mouse Model of Dravet Syndrome

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    Dravet syndrome (DS) is a catastrophic form of pediatric epilepsy mainly caused by noninherited mutations in the SCN1A gene. DS patients suffer severe and life-threatening focal and generalized seizures which are often refractory to available anti-seizure medication. Antisense oligonucleotides (ASOs) based approaches may offer treatment opportunities in DS. MicroRNAs are short noncoding RNAs that play a key role in brain structure and function by post-transcriptionally regulating gene expression, including ion channels. Inhibiting miRNA-134 (miR-134) using an antimiR ASO (Ant-134) has been shown to reduce evoked seizures in juvenile and adult mice and reduce epilepsy development in models of focal epilepsy. The present study investigated the levels of miR-134 and whether Ant-134 could protect against hyperthermia-induced seizures, spontaneous seizures and mortality (SUDEP) in F1.Scn1a(1/)tm1kea mice. At P17, animals were intracerebroventricular in-jected with 0.1–1 nmol of Ant-134 and subject to a hyperthermia challenge at postnatal day (P)18. A second cohort of P21 F1.Scn1a(1/)tm1kea mice received Ant-134 and were followed by video and EEG monitoring until P28 to track the incidence of spontaneous seizures and SUDEP. Hippocampal and cortical levels of miR-134 were similar between wild-type (WT) and F1.Scn1a(1/)tm1kea mice. Moreover, Ant-134 had no effect on hyperthermia-induced seizures, spontaneous seizures and SUDEP incidence were unchanged in Ant-134-treated DS mice. These findings suggest that targeting miR-134 does not have therapeutic applications in DS

    Exposure to secondhand smoke and cognitive impairment in non-smokers: national cross sectional study with cotinine measurement

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    Objective To examine the association between a biomarker of exposure to secondhand smoke (salivary cotinine concentration) and cognitive impairment

    Role of malnutrition and parasite infections in the spatial variation in children’s anaemia risk in Northern Angola

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    Anaemia has a significant impact on child development and mortality and is a severe public health problem in most countries in sub-Saharan Africa. Nutritional and infectious causes of anaemia are geographically variable and anaemia maps based on information on the major aetiologies of anaemia are important for identifying communities most in need and the relative contribution of major causes. We investigated the consistency between ecological and individual-level approaches to anaemia mapping, by building spatial anaemia models for children aged ≤15 years using different modeling approaches. We aimed to a) quantify the role of malnutrition, malaria, Schistosoma haematobium and soil-transmitted helminths (STH) for anaemia endemicity in children aged ≤15 years and b) develop a high resolution predictive risk map of anaemia for the municipality of Dande in Northern Angola. We used parasitological survey data on children aged ≤15 years to build Bayesian geostatistical models of malaria (PfPR≤15), S. haematobium, Ascaris lumbricoides and Trichuris trichiura and predict small-scale spatial variation in these infections. The predictions and their associated uncertainty were used as inputs for a model of anemia prevalence to predict small-scale spatial variation of anaemia. Stunting, PfPR≤15, and S. haematobium infections were significantly associated with anaemia risk. An estimated 12.5%, 15.6%, and 9.8%, of anaemia cases could be averted by treating malnutrition, malaria, S. haematobium, respectively. Spatial clusters of high risk of anaemia (>86%) were identified. Using an individual-level approach to anaemia mapping at a small spatial scale, we found that anaemia in children aged ≤15 years is highly heterogeneous and that malnutrition and parasitic infections are important contributors to the spatial variation in anemia risk. The results presented in this study can help inform the integration of the current provincial malaria control program with ancillary micronutrient supplementation and control of neglected tropical diseases, such as urogenital schistosomiasis and STH infection

    O3‐05‐02: Genetic Risk, Lifestyle And Dementia

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    Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/152906/1/alzjjalz2019064649.pd
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