23 research outputs found
Applying the Bologna Principles in an Information Science Course
The paper deals with a pilot evaluation of comprehensive reading skills of 30 students studying information science at the Faculty of Philosophy, University of Zagreb. After having read a freely chosen article from information science journals, the participants were interviewed using a questionnaire in written form. The answers were examined by researchers, classified and evaluated with the respect to the degree of the students' comprehension of the articles. It has been found that their understanding is incomplete, and therefore attention should be devoted to teaching an introductory course on how to make use of reading material in order to accomplish a fuller understanding of scientific articles
General practitioners' deprescribing decisions in older adults with polypharmacy: a case vignette study in 31 countries.
BACKGROUND
General practitioners (GPs) should regularly review patients' medications and, if necessary, deprescribe, as inappropriate polypharmacy may harm patients' health. However, deprescribing can be challenging for physicians. This study investigates GPs' deprescribing decisions in 31 countries.
METHODS
In this case vignette study, GPs were invited to participate in an online survey containing three clinical cases of oldest-old multimorbid patients with potentially inappropriate polypharmacy. Patients differed in terms of dependency in activities of daily living (ADL) and were presented with and without history of cardiovascular disease (CVD). For each case, we asked GPs if they would deprescribe in their usual practice. We calculated proportions of GPs who reported they would deprescribe and performed a multilevel logistic regression to examine the association between history of CVD and level of dependency on GPs' deprescribing decisions.
RESULTS
Of 3,175 invited GPs, 54% responded (N = 1,706). The mean age was 50 years and 60% of respondents were female. Despite differences across GP characteristics, such as age (with older GPs being more likely to take deprescribing decisions), and across countries, overall more than 80% of GPs reported they would deprescribe the dosage of at least one medication in oldest-old patients (> 80 years) with polypharmacy irrespective of history of CVD. The odds of deprescribing was higher in patients with a higher level of dependency in ADL (OR =1.5, 95%CI 1.25 to 1.80) and absence of CVD (OR =3.04, 95%CI 2.58 to 3.57).
INTERPRETATION
The majority of GPs in this study were willing to deprescribe one or more medications in oldest-old multimorbid patients with polypharmacy. Willingness was higher in patients with increased dependency in ADL and lower in patients with CVD
The Role of SOX Transcription Factors in Ageing and Age-Related Diseases
The quest for eternal youth and immortality is as old as humankind. Ageing is an inevitable physiological process accompanied by many functional declines that are driving factors for age-related diseases. Stem cell exhaustion is one of the major hallmarks of ageing. The SOX transcription factors play well-known roles in self-renewal and differentiation of both embryonic and adult stem cells. As a consequence of ageing, the repertoire of adult stem cells present in various organs steadily declines, and their dysfunction/death could lead to reduced regenerative potential and development of age-related diseases. Thus, restoring the function of aged stem cells, inducing their regenerative potential, and slowing down the ageing process are critical for improving the health span and, consequently, the lifespan of humans. Reprograming factors, including SOX family members, emerge as crucial players in rejuvenation. This review focuses on the roles of SOX transcription factors in stem cell exhaustion and age-related diseases, including neurodegenerative diseases, visual deterioration, chronic obstructive pulmonary disease, osteoporosis, and age-related cancers. A better understanding of the molecular mechanisms of ageing and the roles of SOX transcription factors in this process could open new avenues for developing novel strategies that will delay ageing and prevent age-related diseases
The influence of the deposition parameters on the porosity of thin alumina films on steel
The influence of the deposition parameters on the porosity of thin alumina films electrophoretically deposited on steel from aqueous suspensions was investigated. The effects of the applied voltage, deposition time, suspension temperature and the solid content of the aqueous suspension on the porosity of the obtained alumina films have been determined using optical microscopy coupled with image analysis. It was shown that the lowest film porosity was obtained from a suspension containing 20 wt.% alumina powder at the lowest applied voltage (30 V), for a longer deposition time (10 min) using a suspension temperature of 30 ºC. This behavior can be explained by the smaller amount of hydrogen evolved on the cathode during the electrophoretic deposition process
The Effect of Nanofibrillated Tempo-oxidized Cotton Linters on the Strength and Optical Properties of Paper
This study elaborates the application of composite films based on nanofibrillated cellulose obtained from cotton linters oxidized in the 2,2,6,6-tetramethylpiperidine-1-oxyl radical (TEMPO)/NaBr/NaClO system, with the use of CaCO3 and/or Al(OH)(3) as fillers, and glycols as plasticizers, to improve the mechanical, optical, and sorption properties of paper. The paper coating with nanofibrillated cellulose-based films, without additional adhesive, depending on the concentration of nanofibrillated cellulose in the dispersion and the type of filler, improves the mechanical properties of paper, and decreases sorption properties, while no significant changes were observed in optical properties compared to the initial papers
Oral Health Knowledge, Attitudes, and Behavior in Young Adults
Knowledge about the importance of oral health and oral hygiene practices, attitudes, and behavior among young adults shows the association of insufficient or irregular oral hygiene with the occurrence of gingival/periodontal diseases, caries, and consequently systemic disease occurrence including cardiovascular disease, cancer, diabetes mellitus, infections of the respiratory tract, adverse pregnancy outcomes, and neurological disorders. Public health dentists should be trained for oral health needs assessments as well as for the evaluation of community-based oral health improvement strategies among different population groups
Antitumor activity of ruthenium(II) terpyridine complexes towards colon cancer cells in vitro and in vivo
© 2020 by the authors. Licensee MDPI, Basel, Switzerland. Ruthenium complexes have attracted considerable interest as potential antitumor agents. Therefore, antitumor activity and systemic toxicity of ruthenium(II) terpyridine complexes were evaluated in heterotopic mouse colon carcinoma. In the present study, cytotoxic effects of recently synthesized ruthenium(II) terpyridine complexes [Ru(Cl-tpy)(en)Cl][Cl] (en = ethylenediamine, tpy = terpyridine, Ru-1) and [Ru(Cl-tpy)(dach)Cl][Cl] (dach = 1,2-diaminocyclohexane, Ru-2) towards human and murine colon carcinoma cells were tested in vitro and in vivo and compared with oxaliplatin, the most commonly used chemotherapeutic agent against colorectal carcinoma. Ruthenium(II) complexes showed moderate cytotoxicity with IC50 values ranging between 19.1 to 167.3 µM against two human, HCT116 and SW480, and one mouse colon carcinoma cell line, CT26. Both ruthenium(II) terpyridine complexes exerted a moderate apoptotic effect in colon carcinoma cells, but induced significant necrotic death. Additionally, both complexes induced cell cycle disturbances, but these effects were specific for the cell line. Further, Ru-1 significantly reduced the growth of primary heterotopic tumor in mice, similarly to oxaliplatin. Renal damage in Ru-1 treated mice was lower in comparison with oxaliplatin treated mice, as evaluated by serum levels of urea and creatinine and histological evaluation, but Ru-1 induced higher liver damage than oxaliplatin, evaluated by the serum levels of alanine aminotransferase. Additionally, the interaction of these ruthenium(II) terpyridine complexes with the tripeptide glutathione (GSH) was investigated by proton nuclear magnetic resonance (1H NMR) spectroscopy. All reactions led to the formation of monofunctional thiolate adducts [Ru(Cl-tpy)(en)GS-S] (3) and [Ru(Cl-tpy)(dach)GS-S] (4). Our data highlight the significant cytotoxic activity of [Ru(Cl-tpy)(en)Cl][Cl] against human and mouse colon carcinoma cells, as well as in vivo antitumor activity in CT26 tumor-bearing mice similar to standard chemotherapeutic oxaliplatin, accompanied with lower nephrotoxicity in comparison with oxaliplatin