3,290 research outputs found
Central overweight and obesity in British youth aged 11-16 years: cross sectional surveys of waist circumference
Clastic injectites, internal structures and flow regime during injection: The Sea Lion Injectite System, North Falkland Basin
This paper details and describes a suite of 143 sub‐seismic‐scale clastic injectites encountered within the early Cretaceous, early post‐rift of the deep‐lacustrine North Falkland Basin. The injectites, referred to here as the Sea Lion Injectite System, are encountered below, above and in between the hydrocarbon‐bearing, deep‐lacustrine turbidite sandstones of the Bleaker 15, Sea Lion North, Sea Lion, Casper and Beverley fans. Sedimentary structures are documented within the injectites including: planar laminations, mud‐clast imbrication and clast alignment. Clasts align along centimetre‐scale foresets formed through ripple‐scale bedform migration in a hydraulically‐open fracture. The style of flow within the injectite system is interpreted as initially through fluid turbulence during an open fracture phase, which was followed by a later stage where laminar flow dominated, most likely during the closing phase of the fracture system. The host rocks display evidence for ductile deformation, which along with ptygmatic folding of dykes and internally injected mud‐clasts, suggests a period of injection into relatively uncompacted sediments. Evidence for brittle fracturing, in the form of stepped margins may be indicative of a separate phase of emplacement into more‐compacted sediments. This variability in deformation styles is related to multi‐phased injection episodes into host strata at different stages of consolidation and lithification at shallow burial depths. Injectites have been identified in four stratigraphic groupings: above the Bleaker 15 Fan and within/above the Sea Lion North Fan; within the hydrocarbon‐bearing Sea Lion Fan; overlying the Sea Lion Fan; and above/below the hydrocarbon‐bearing Casper and Beverley fans. This spatial association with the hydrocarbon‐bearing fans of the North Falkland Basin is important, considering the ability of injectite networks to form effective fluid‐flow conduits in the subsurface. Consequently, the findings of this study will improve the characterization of sub‐seismic scale injectites (and therefore fluid conduits) within otherwise impermeable strata
Senile Systemic Amyloidosis: Clinical Features at Presentation and Outcome
Background Cardiac amyloidosis is a fatal disease whose prognosis and treatment rely on identification of the amyloid type. In our aging population transthyretin amyloidosis (ATTRwt) is common and must be differentiated from other amyloid types. We report the clinical presentation, natural history, and prognostic features of ATTRwt compared with cardiac‐isolated AL amyloidosis and calculate the probability of disease diagnosis of ATTRwt from baseline factors.
Methods and Results All patients with biopsy‐proven ATTRwt (102 cases) and isolated cardiac AL (36 cases) seen from 2002 to 2011 at the UK National Amyloidosis Center were included. Median survival from the onset of symptoms was 6.07 years in the ATTRwt group and 1.7 years in the AL group. Positive troponin, a pacemaker, and increasing New York Heart Association (NYHA) class were associated with worse survival in ATTRwt patients on univariate analysis. All patients with isolated cardiac AL and 24.1% of patients with ATTRwt had evidence of a plasma cell dyscrasia. Older age and lower N‐terminal pro‐B‐type natriuretic peptide (NT pro‐BNP) were factors significantly associated with ATTRwt. Patients aged 70 years and younger with an NT pro‐BNP <183 pmol/L were more likely to have ATTRwt, as were patients older than 70 years with an NT pro‐BNP <1420 pmol/L.
Conclusions Factors at baseline associated with a worse outcome in ATTRwt are positive troponin T, a pacemaker, and NYHA class IV symptoms. The age of the patient at diagnosis and NT pro‐BNP level can aid in distinguishing ATTRwt from AL amyloidosis
Prdm1 Regulates Thymic Epithelial Function To Prevent Autoimmunity
Autoimmunity is largely prevented by medullary thymic epithelial cells (TECs) through their expression and presentation of tissue-specific Ags to developing thymocytes, resulting in deletion of self-reactive T cells and supporting regulatory T cell development. The transcription factor Prdm1 has been implicated in autoimmune diseases in humans through genome-wide association studies and in mice using cell type–specific deletion of Prdm1 in T and dendritic cells. In this article, we demonstrate that Prdm1 functions in TECs to prevent autoimmunity in mice. Prdm1 is expressed by a subset of mouse TECs, and conditional deletion of Prdm1 in either Keratin 14– or Foxn1-expressing cells in mice resulted in multisymptom autoimmune pathology. Notably, the development of Foxp3+ regulatory T cells occurs normally in the absence of Blimp1. Importantly, nude mice developed anti-nuclear Abs when transplanted with Prdm1 null TECs, but not wild-type TECs, indicating that Prdm1 functions in TECs to regulate autoantibody production. We show that Prdm1 acts independently of Aire, a crucial transcription factor implicated in medullary TEC function. Collectively, our data highlight a previously unrecognized role for Prdm1 in regulating thymic epithelial function
Choice of activity-intensity classification thresholds impacts upon accelerometer-assessed physical activity-health relationships in children
It is unknown whether using different published thresholds (PTs) for classifying physical activity (PA) impacts upon activity-health relationships. This study explored whether relationships between PA (sedentary [SED], light PA [LPA], moderate PA [MPA], moderate-to-vigorous PA, vigorous PA [VPA]) and health markers differed in children when classified using three different PTs
The dependence of low redshift galaxy properties on environment
We review recent results on the dependence of various galaxy properties on
environment at low redshift. As environmental indicators, we use group mass,
group-centric radius, and the distinction between centrals and satellites;
examined galaxy properties include star formation rate, colour, AGN fraction,
age, metallicity and concentration. In general, satellite galaxies diverge more
markedly from their central counterparts if they reside in more massive haloes.
We show that these results are consistent with starvation being the main
environmental effect, if one takes into account that satellites that reside in
more massive haloes and at smaller halo-centric radii on average have been
accreted a longer time ago. Nevertheless, environmental effects are not fully
understood yet. In particular, it is puzzling that the impact of environment on
a galaxy seems independent of its stellar mass. This may indicate that the
stripping of the extended gas reservoir of satellite galaxies predominantly
occurs via tidal forces rather than ram-pressure.Comment: Invited Review given at the Workshop "Environment and the Formation
of Galaxies: 30 years later" held in Lisbon, 6-7 September 2010. 10 pages, 5
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Expression of Drug Targets in Patients Treated with Sorafenib, Carboplatin and Paclitaxel
Introduction: Sorafenib, a multitarget kinase inhibitor, targets members of the mitogen-activated protein kinase (MAPK) pathway and VEGFR kinases. Here we assessed the association between expression of sorafenib targets and biomarkers of taxane sensitivity and response to therapy in pre-treatment tumors from patients enrolled in ECOG 2603, a phase III comparing sorafenib, carboplatin and paclitaxel (SCP) to carboplatin, paclitaxel and placebo (CP). Methods: Using a method of automated quantitative analysis (AQUA) of in situ protein expression, we quantified expression of VEGF-R2, VEGF-R1, VEGF-R3, FGF-R1, PDGF-Rβ, c-Kit, B-Raf, C-Raf, MEK1, ERK1/2, STMN1, MAP2, EB1 and Bcl-2 in pretreatment specimens from 263 patients. Results: An association was found between high FGF-R1 and VEGF-R1 and increased progression-free survival (PFS) and overall survival (OS) in our combined cohort (SCP and CP arms). Expression of FGF-R1 and VEGF-R1 was higher in patients who responded to therapy ((CR+PR) vs. (SD+PD+ un-evaluable)). Conclusions: In light of the absence of treatment effect associated with sorafenib, the association found between FGF-R1 and VEGF-R1 expression and OS, PFS and response might reflect a predictive biomarker signature for carboplatin/paclitaxel-based therapy. Seeing that carboplatin and pacitaxel are now widely used for this disease, corroboration in another cohort might enable us to improve the therapeutic ratio of this regimen. © 2013 Jilaveanu et al
Tips for writing a case report for the novice author
A case report is a description of important scientific observations that are missed or undetectable in clinical trials. This includes a rare or unusual clinical condition, a previously unreported or unrecognized disease, unusual side effects to therapy or response to treatment, and unique use of imaging modalities or diagnostic tests to assist diagnosis of a disease. Generally, a case report should be short and focussed, with its main components being the abstract, introduction, case description, and discussion. This article discusses the essential components of a case report, with the aim of providing guidelines and tips to novice authors to improve their writing skills
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