Floor Mapping: A Novel Method of Integrating Anatomical Structure with Immunological Function

Session - Assessment (Abstract)This free journal suppl. entitled: Special Issue: Abstracts of the 13th Asia Pacific Medical Education Conference (APMEC) ... 2016The Biomedical Common Year 1 occurs prior to admission to the medical programme. Students achieving a grade point average over 6.0 are eligible for an admissions interview. The research question of the study was, “If students have a definite interest in becoming a future doctor in their premedical course, does this relate to their levels of motivation, competitiveness, perceived stress, quality of life and grade attainment?” A total of 1369 students who completed a high stakes biosciences assessment were asked to disclose their grade (converted to a numerical value) and to complete the Motivated Strategies for Learning Questionnaire, a World Health Organisation Quality Of Life (QoL) questionnaire, Perceived Stress Scale, and Revised Competitiveness Index. To explore differences between those students who aimed to be doctors vs those who did not, a binary logistic regression was conducted. Twenty five percent of students participated in the research. Significant predictors of course intention (medicine; other) were academic attainment, perceived stress, and physical and environmental QoL. Post hoc analyses revealed that perceived stress and physical QoL were moderating variables. Students with an intention to become a doctor tend to attain higher grades and have better environmental quality of life scores. This may indicate that students who are admitted into medical school gain higher grades but also likely come from more affluent and well-resourced backgrounds. Physical health problems and perceived stress are likely to moderate the impact of grade achievement, environmental QoL, competition and motivation.link_to_OA_fulltex

Review article: the global emergence of Helicobacter pylori antibiotic resistance.

BackgroundHelicobacter pylori is one of the most prevalent global pathogens and can lead to gastrointestinal disease including peptic ulcers, gastric marginal zone lymphoma and gastric carcinoma.AimTo review recent trends in H. pylori antibiotic resistance rates, and to discuss diagnostics and treatment paradigms.MethodsA PubMed literature search using the following keywords: Helicobacter pylori, antibiotic resistance, clarithromycin, levofloxacin, metronidazole, prevalence, susceptibility testing.ResultsThe prevalence of bacterial antibiotic resistance is regionally variable and appears to be markedly increasing with time in many countries. Concordantly, the antimicrobial eradication rate of H. pylori has been declining globally. In particular, clarithromycin resistance has been rapidly increasing in many countries over the past decade, with rates as high as approximately 30% in Japan and Italy, 50% in China and 40% in Turkey; whereas resistance rates are much lower in Sweden and Taiwan, at approximately 15%; there are limited data in the USA. Other antibiotics show similar trends, although less pronounced.ConclusionsSince the choice of empiric therapies should be predicated on accurate information regarding antibiotic resistance rates, there is a critical need for determination of current rates at a local scale, and perhaps in individual patients. Such information would not only guide selection of appropriate empiric antibiotic therapy but also inform the development of better methods to identify H. pylori antibiotic resistance at diagnosis. Patient-specific tailoring of effective antibiotic treatment strategies may lead to reduced treatment failures and less antibiotic resistance

抗Di(a)抗體引起新生兒嚴重溶血症的病例

Red cell allo-antibodies directed against the Diego (Di) blood group antigen have rarely been reported to cause a haemolytic reaction against transfusion or haemolytic disease of the newborn. The frequency of the Di(a+) phenotype among the Hong Kong Chinese population is estimated to be 4.4%. We report on a case of severe haemolytic disease of the newborn due to anti-Di(a) antibody--the first local case to the best of our knowledge. Rare but clinically significant antibodies targeting red blood cells have to be considered in the investigation of haemolytic disease of the newborn when common underlying factors have been eliminated.published_or_final_versio

Childhood ovarian juvenile granulosa cell tumour: a case report and review of literature

Juvenile granulosa cell tumour (JGCT) is very uncommon gynecological malignancy that occurs more commonly in under five years old of age. We describe a case of JGCT in a 4-years old girl. The malignancy is assigned to International Federation of Gynecology and Obstetric staging system (FIGO stage I). Treated with complete excision only, the patient showed no evidence of relapse one year after surgery. Findings in this case are discussed and histological examination confirmed the diagnosis. The natural history of JGCT, epidemiology, histology, treatment and prognosis are reviewed along with the case presentation.Key words: Childhood, Juvenile Granulosa Cell, Tumour, Ovar

Revision of Recreation and Leisure Practicum

In a 1-ha plot divided into 100 subplots of 10 x 10 m, all trees with at least 15 cm of perimeter at breast height (DBH = 4.8 cm) were marked and had their heights estimated and perimeter taken. The rock cover (rocks over 50 cm diameter) was estimated in five classes of frequency, and records were made for individuals growing directly on rocks. We found 1,274 trees matching the sampling criteria, which belong to 41 botanical families (highlighting Myrtaceae, Rubiaceae and Fabaceae) and 142 species or morphotypes. The most important (Importance Value Index) species are: Euterpe edulis, Mollinedia schottiana, Bathysa mendoncaei, Coussarea accedens, Rustia formosa and Guapira opposita. Shannon's diversity index was 4.05 nats/ind and Pielou's equability was 0.82. The average tree height is of 9 m and the canopy is at around 18 m. The trees' average diameter is 13.9 cm, and 29 individuals surpass 50 cm DBH. The basal area for the I-ha plot (live trees only) is 30.27 m(2). A direct relation was found between rock cover and lesser species richness and number of individuals per subplot. No relationship was found between rock cover and the mean height or mean diameter of stems in the subplots. 34 tree species in this area are able to grow on rocks; 11 of which do not grow roots to the soil, particularly Euterpe edulis and Guapira opposita. The height and diameter of the individuals that grow on rocks is not statistically different from the remaining in the plot

A Transport Analysis of the BEEM Spectroscopy of Au/Si Schottky Barriers

A systematic transport study of the ballistic electron emission microscopy (BEEM) of Au/Si(100) and Au/Si(111) Schottky barriers for different thicknesses of the metal layer and different temperatures is presented. It is shown that the existing experimental data are compatible with a recently predicted bandstructure-induced non-forward electron propagation through the Au(111) layer.Comment: 5 pages, Latex-APS, 1 postscript figure, http://www.icmm.csic.es/Pandres/pedro.htm. Phys. Stat. Sol. (b) (to appear), HCIS-10 Conf, Berlin 199

Development of a Partial Proportional Odds Model for Pedestrian Injury Severity at Intersections

Pedestrian injury in crashes at intersections often results from complex interaction among various factors. The factor identification is a critical task for understanding the causes and improving the pedestrian safety. A total of 2,614 crash records at signalized and non-signalized intersections were applied. A Partial Proportional Odds (PPO) model was developed to examine the factors influencing Pedestrian Injury Severity (PIS) because it can accommodate the ordered response nature of injury severity. An elasticity analysis was conducted to quantify the marginal effects of contributing factors on the likelihood of PIS. For signalized intersections, seven explanatory variables significantly affect the likelihood of PIS, in which five explanatory variables violate the Proportional Odds Assumption (POA). Local driver, truck, holiday, clear weather, and hit-and-run lead to higher likelihood of severer PIS. For non-signalized intersections, six explanatory variables were found significant to the PIS, in which three explanatory variables violate the POA. Young and adult drivers, senior pedestrian, bus/van, divided road, holiday, and darkness tend to increase the likelihood of severer PIS. The vehicles of large size and heavy weight (e.g. truck, bus/van) are significant factors to the PIS at both signalized and non-signalized intersections. The proposed PPO model has demonstrated its effectiveness in identifying the effects of contributing factors on the PIS.</p

Kinetics of the reduction of wüstite by hydrogen and carbon monoxide for the chemical looping production of hydrogen

Hydrogen of very high purity can be produced via the steam-iron process, in which steam oxidises metallic Fe in 3/4Fe + H2O→1/4Fe3O4 + H2. It is then advantageous to oxidise Fe3O4 in air to Fe2O3, an oxygen-carrier. This higher oxide of Fe is then reduced to regenerate metallic iron by reacting with synthesis gas, producing metallic Fe and possibly some wüstite (FexO, 0<x<1). In this three-stage process, the reduction of FexO to Fe is the slowest reaction. This paper is concerned with the kinetics of the reduction of wüstite (FexO) by reaction with CO, and, or H2. Starting with pure (99 wt%) wüstite, the intrinsic kinetics of its reduction to metallic iron were measured in fluidised beds at different temperatures. The reaction was found to have 3 distinct stages, (i) the removal of lattice oxygen in wüstite, (ii) rate increasing with conversion of solid and (iii) rate decreasing with conversion of solid. A random pore model was used to simulate the latter stages of the reduction of wüstite by either H2 or CO or a mixture of the two. It was found that the intrinsic rate of reduction in H2 is substantially faster than with CO, whereas the resistances to diffusion of H2 and CO through the product layer of Fe are comparable; these factors account for differences in the overall rates observed with these gases.This is the final published version. It is also available from the publisher at: http://www.sciencedirect.com/science/article/pii/S000925091400428X

Effects of calcium phosphate nanocrystals on osseointegration of titainium implant in irradiated bone

Radiotherapy may compromise the integration of implant and cause implant loss. Implant surface modifications have the possibility of promoting cell attachment, cell growth, and bone formation which ultimately enhance the osseointegration process. The present study aimed to investigate the effects of calcium phosphate nanocrystals on implant osseointegration in irradiated bone. Sixteen rabbits were randomly assigned into control and nano-CaP groups, receiving implants with dual acid-etched surface or dual acid-etched surface discretely deposited of nanoscale calcium-phosphate crystals, respectively. The left leg of all the rabbits received 15 Gy radiation, followed by implants placement one week after. Four animals in each group were sacrificed after 4 and 12 weeks, respectively. Implant stability quotient (ISQ), ratio of bone volume to total volume (BV/TV), bone growth rate, and bone-to-implant contact (BIC) were evaluated. The nano-CaP group showed significantly higher ISQ (week 12, P = 0.031) and bone growth rate (week 6, P = 0.021; week 9, P = 0.001) than that in control group. No significant differences in BV/TV and BIC were found between two groups. Titanium implant surface modified with CaP nanocrystals provides a potential alternative to improve bone healing around implant in irradiated bone.published_or_final_versio