Ethics and architecture: the case of Albert Speer

It has been argued that there are obligations, or virtues and vices, that pertain uniquely to architectural practice. Thus Jack Sammons has argued that the moral failings of the Nazi architect Albert Speer were failings specific to him as an architect (qua architect). I argue that Sammons’ account misappropriates ideas about the virtues from Alasdair MacIntyre and for that and other reasons does not succeed. Nonetheless it may be possible to support the idea that there can be a specifically architectural ethics. I comment briefly on Heidegger’s notion of ‘dwelling’ in trying to indicate what might be involved in such an ethics

Ephedra-Induced Gastric Mucosal Injury

In this case report we detail the difficult case of a 74-year-old male patient who was transferred to our cardiac intensive care unit in severe shock with an acute abdomen. His abdomen was emergently explored revealing isolated gastric necrosis and ischemia. A subtotal gastrectomy was performed and the patient was discharged from the hospital 34 days after surgery. Postoperatively we learned that for the preceding 2 weeks the patient had doubled the dose of Forcalide syrup which he had been taking for his reactive airway disease for many years. Formal testing of this fluid revealed a concentrated sugar-based solution with a high concentration of both Ephedra and potassium chloride. Final pathology of the resected stomach demonstrated patent vessels to the stomach with extensive microvascular thrombosis and full-thickness gastric necrosis. On final summation of this case we concluded that the Ephedra in the patient's Forcalide syrup caused the microvascular necrosis seen in the stomach and should be added to the list of potential adverse reactions seen with the ingestion of ephedrine

We Return Fighting: A Comparative Analysis of Three American Riot Cities between 1917-1921

Racial violence in the United States has been well-documented by scholars but many questions remain unanswered. The rash of race riots that occurred during and immediately after WWI is a violent and destructive part of America's history. These riots demonstrate a turning point in American race relations because they were characterized by large numbers of blacks who fought their subordination collectively for the first time. Using secondary literature and primary resources, I provide a description of three WWI period riots: the East St. Louis, Illinois riot of 1917, the Chicago, Illinois riot during the Red Summer of 1919, and the Tulsa, Oklahoma riot of 1921 and I point out similarities and differences between the cities in which they occurred. I find that structural characteristics and social conditions of cities are not sufficient indicators of whether or not a riot is likely to occur

Multicultural education and attitudes towards immigrant groups in the United States

Individuals with higher levels of education tend to have more positive attitudes towards immigrant groups as well as immigration in general (Hainmueller & Hiscox, 2007). This study examined the relationship between one particular type of education and attitudes towards Arab, Chinese, and Mexican immigrant groups in the United States. As a part of a larger, ongoing study on attitudes of college students towards immigrant groups, participants completed measures of their multicultural education experiences. I hypothesized that individuals with higher levels of multicultural education experiences would report more positive attitudes towards Arab, Chinese, and Mexican immigrant groups and that attitudes towards these immigrant groups would be more positive among individuals who have had any educational experiences with a foreign language compared to those who have not. Unexpectedly, there was no relationship between the level of multicultural education that participants reported and their attitudes towards immigrant groups, nor was there an association between attitudes towards immigrants groups and foreign language experience. These results could mean that there is no relationship between multicultural education and attitudes toward immigrant groups or that the measures used in this study did not adequately assess the relevant types of multicultural education or foreign language experiences. Keywords: immigration, multicultural education, prejudic

A Single-Institution Review of Portosystemic Shunts in Children: An Ongoing Discussion

Purpose. Review the safety and long-term success with portosystemic shunts in children at a single institution. Methods. An IRB-approved, retrospective chart review of all children ages 19 and undergoing surgical portosystemic shunt from January 1990–September 2008. Results. Ten patients were identified, 8 females and 2 males, with a mean age of 15 years (range 5–19 years). Primary diagnoses were congenital hepatic fibrosis (5), hepatic vein thrombosis (2), portal vein thrombosis (2), and cystic fibrosis (1). Primary indications were repeated variceal bleeding (6), symptomatic hypersplenism (2), and significant liver dysfunction (2). Procedures performed were distal splenorenal bypass (4), side-to-side portocaval shunt (3), proximal splenorenal shunt (2), and an interposition H-graft portocaval shunt (1). There was no perioperative mortality and only minor morbidity. Seventy percent of patients had improvement of their symptoms. Eighty percent of shunts remained patent. Two were occluded at a median follow-up of 50 months (range 0.5–13.16 years). Two patients underwent subsequent liver transplantation. Two patients died at 0.5 and 12.8 years postoperatively, one from multisystem failure with cystic fibrosis and one from post-operative transplant complications. Conclusions. The need for portosystemic shunts in children is rare. However, in the era of liver transplantation, portosystemic shunts in selected patients with well-preserved liver function remains important. We conclude that portosystemic shunts are safe and efficacious in the control of variceal hemorrhage and symptoms related to hypersplenism

High glucose disrupts oligosaccharide recognition function via competitive inhibition : a potential mechanism for immune dysregulation in diabetes mellitus

Diabetic complications include infection and cardiovascular disease. Within the immune system, host-pathogen and regulatory host-host interactions operate through binding of oligosaccharides by C-type lectin. A number of C-type lectins recognise oligosaccharides rich in mannose and fucose – sugars with similar structures to glucose. This raises the possibility that high glucose conditions in diabetes affect protein-oligosaccharide interactions via competitive inhibition. Mannose binding lectin, soluble DC-SIGN & DC-SIGNR, and surfactant protein D, were tested for carbohydrate binding in the presence of glucose concentrations typical of diabetes, via surface plasmon resonance and affinity chromatography. Complement activation assays were performed in high glucose. DC-SIGN and DC-SIGNR expression in adipose tissues was examined via immunohistochemistry. High glucose inhibited C-type lectin binding to high-mannose glycoprotein and binding of DC-SIGN to fucosylated ligand (blood group B) was abrogated in high glucose. Complement activation via the lectin pathway was inhibited in high glucose and also in high trehalose - a nonreducing sugar with glucoside stereochemistry. DC-SIGN staining was seen on cells with DC morphology within omental and subcutaneous adipose tissues. We conclude that high glucose disrupts C-type lectin function, potentially illuminating new perspectives on susceptibility to infectious and inflammatory disease in diabetes. Mechanisms involve competitive inhibition of carbohydrate-binding within sets of defined proteins, in contrast to broadly indiscriminate, irreversible glycation of proteins

Differentiating maturational influence on training-induced strength and endurance adaptations in prepubescent children

To analyze the effect of biological maturation on training-induced strength and endurance adaptations in the prepubertal growth spurt. One hundred and twenty-five healthy children (58 boys, 67 girls), aged 10-11 years old (10.8 ± 0.4 years), who were self-assessed as belonging to Tanner stages I and II, were randomly divided into two experimental groups, a strength training group (19 boys, 22 girls) and an endurance training group (21 boys, 24 girls) that would train twice a week for 8 weeks, as well as a control group (18 boys, 21 girls; no training program). After 8 weeks of training, there were improvements in all strength and endurance measures (P 0.05). These data suggest that more biologically mature prepubescent children seem to have no advantage in training-induced strength and endurance adaptations compared with their less mature peers. Additionally, gender did not affect the training-induced changes in strength or aerobic fitness. These results are meaningful for the development of optimized well-rounded training programs in prepubertal children.info:eu-repo/semantics/publishedVersio

Analysis of Complement C3 Gene Reveals Susceptibility to Severe Preeclampsia

Preeclampsia (PE) is a common vascular disease of pregnancy with genetic predisposition. Dysregulation of the complement system has been implicated, but molecular mechanisms are incompletely understood. In this study, we determined the potential linkage of severe PE to the most central complement gene, C3. Three cohorts of Finnish patients and controls were recruited for a genetic case-control study. Participants were genotyped using Sequenom genotyping and Sanger sequencing. Initially, we studied 259 Finnish patients with severe PE and 426 controls from the Southern Finland PE and the Finnish population-based PE cohorts. We used a custom-made single nucleotide polymorphism (SNP) genotyping assay consisting of 98 SNPs in 18 genes that encode components of the complement system. Following the primary screening, C3 was selected as the candidate gene and consequently Sanger sequenced. Fourteen SNPs from C3 were also genotyped by a Sequenom panel in 960 patients with severe PE and 705 controls, including already sequenced individuals. Three of the 43 SNPs observed within C3 were associated with severe PE: rs2287845 (p = 0.038, OR = 1.158), rs366510 (p = 0.039, OR = 1.158), and rs2287848 (p = 0.041, OR = 1.155). We also discovered 16 SNP haplotypes with extreme linkage disequilibrium in the middle of the gene with a protective (p = 0.044, OR = 0.628) or a predisposing (p = 0.011, OR = 2.110) effect to severe PE depending on the allele combination. Genetic variants associated with PE are located in key domains of C3 and could thereby influence the function of C3. This is, as far as we are aware, the first candidate gene in the complement system with an association to a clinically relevant PE subphenotype, severe PE. The result highlights a potential role for the complement system in the pathogenesis of PE and may help in defining prognostic and therapeutic subgroups of preeclamptic women.Peer reviewe

Bioreactor technologies to support liver function in vitro

Liver is a central nexus integrating metabolic and immunologic homeostasis in the human body, and the direct or indirect target of most molecular therapeutics. A wide spectrum of therapeutic and technological needs drives efforts to capture liver physiology and pathophysiology in vitro, ranging from prediction of metabolism and toxicity of small molecule drugs, to understanding off-target effects of proteins, nucleic acid therapies, and targeted therapeutics, to serving as disease models for drug development. Here we provide perspective on the evolving landscape of bioreactor-based models to meet old and new challenges in drug discovery and development, emphasizing design challenges in maintaining long-term liver-specific function and how emerging technologies in biomaterials and microdevices are providing new experimental models.National Institutes of Health (U.S.) (R01 EB010246)National Institutes of Health (U.S.) (P50-GM068762-08)National Institutes of Health (U.S.) (R01-ES015241)National Institutes of Health (U.S.) (P30-ES002109)5UH2TR000496-02National Science Foundation (U.S.). Emergent Behaviors of Integrated Cellular Systems (CBET-0939511)United States. Defense Advanced Research Projects Agency. Microphysiological Systems Program (W911NF-12-2-0039