164 research outputs found
Latent homomorphism and content satisfaction: The double life of Turkic auxiliary -(I)p bol-
This paper argues that the Turkic auxiliary construction –(İ)p bol–, at least in Uyghur and Uzbek, is actually a pair of auxiliaries with distinct meanings. The first auxiliary is described as expressing “full completion” of the event, but its use is highly restricted, to events with incremental or universally quantified themes. Using targeted context-based elicitation, we find that the expression of completion is indirect. Instead, the auxiliary asserts that the event description is homomorphic, in that all of its events are both event-mapped and theme-mapped. Homomorphism requires every part of the theme to undergo a part of the event, and this derives the reported sense of completion.
The second auxiliary is not attested in the literature. It applies to all kinds of events, and expresses what we call “content satisfaction,” the conventional implicature that the event as described satisfies some salient propositional content by rendering it true. For instance, it makes part of a plan come to fruition. This plan is presupposed, and the content is accessible through a content-generating function.
We apply the methodologies of formal semantic fieldwork to tease these auxiliaries apart, including scope tests that apply differently to the two auxiliaries. Having distinguished them, we suggest new ways to typologically distinguish Turkic auxiliaries and auxiliaries cross-linguistically
Cybersecurity Risk Assessment Framework for Externally Exposed Energy Delivery Systems
Securing the energy delivery system (EDS) from complex, nonlinear, and evolving cyber threats requires a complex set of changing and interwoven classes of technologies, policies, relationships, and personnel. One key area in this technological milieu is assessment methodologies to compare information, gathered by a variety of means, about networked devices with publicly known possible threat information about said devices. This information is used to generate risk-based characterizations that allow for the adjudication and proper corresponding management action chains to be assigned. \color{blue}To address the current cybersecurity needs in the operational technology (OT) domain, we developed a novel relative-risk assessment framework and a software application called MEEDS that can detect exposed OT systems. This paper presents the detailed architecture of relative-risk assessment framework methodology and its integral role in the MEEDS software. The efficacy of the presented framework is demonstrated by testing with the real-world systems and vulnerabilities pertaining to the industrial control systems (ICS) in critical infrastructures
Parents\u27 Stigmatizing Beliefs About the HPV Vaccine and Their Association With Information Seeking Behavior and Vaccination Communication Behaviors
Parents\u27 stigmatizing beliefs about the HPV vaccine, such as beliefs that it promotes adolescent sexual activity, constitute a notable barrier to vaccine uptake. The purpose of this study is to describe the associations between parents\u27 stigmatizing beliefs about the HPV vaccine, psychosocial antecedents to vaccination, and parents\u27 intentions to vaccinate their children. Parents of vaccine-eligible children
American Association of Endocrine Surgeons Guidelines for Adrenalectomy: Executive Summary.
IMPORTANCE: Adrenalectomy is the definitive treatment for multiple adrenal abnormalities. Advances in technology and genomics and an improved understanding of adrenal pathophysiology have altered operative techniques and indications.
OBJECTIVE: To develop evidence-based recommendations to enhance the appropriate, safe, and effective approaches to adrenalectomy.
EVIDENCE REVIEW: A multidisciplinary panel identified and investigated 7 categories of relevant clinical concern to practicing surgeons. Questions were structured in the framework Population, Intervention/Exposure, Comparison, and Outcome, and a guided review of medical literature from PubMed and/or Embase from 1980 to 2021 was performed. Recommendations were developed using Grading of Recommendations, Assessment, Development and Evaluation methodology and were discussed until consensus, and patient advocacy representation was included.
FINDINGS: Patients with an adrenal incidentaloma 1 cm or larger should undergo biochemical testing and further imaging characterization. Adrenal protocol computed tomography (CT) should be used to stratify malignancy risk and concern for pheochromocytoma. Routine scheduled follow-up of a nonfunctional adrenal nodule with benign imaging characteristics and unenhanced CT with Hounsfield units less than 10 is not suggested. When unilateral disease is present, laparoscopic adrenalectomy is recommended for patients with primary aldosteronism or autonomous cortisol secretion. Patients with clinical and radiographic findings consistent with adrenocortical carcinoma should be treated at high-volume multidisciplinary centers to optimize outcomes, including, when possible, a complete R0 resection without tumor disruption, which may require en bloc radical resection. Selective or nonselective α blockade can be used to safely prepare patients for surgical resection of paraganglioma/pheochromocytoma. Empirical perioperative glucocorticoid replacement therapy is indicated for patients with overt Cushing syndrome, but for patients with mild autonomous cortisol secretion, postoperative day 1 morning cortisol or cosyntropin stimulation testing can be used to determine the need for glucocorticoid replacement therapy. When patient and tumor variables are appropriate, we recommend minimally invasive adrenalectomy over open adrenalectomy because of improved perioperative morbidity. Minimally invasive adrenalectomy can be achieved either via a retroperitoneal or transperitoneal approach depending on surgeon expertise, as well as tumor and patient characteristics.
CONCLUSIONS AND RELEVANCE: Twenty-six clinically relevant and evidence-based recommendations are provided to assist surgeons with perioperative adrenal care
Transcriptomic signatures reveal immune dysregulation in human diabetic and idiopathic gastroparesis
Abstract
Background
Cellular changes described in human gastroparesis have revealed a role for immune dysregulation, however, a mechanistic understanding of human gastroparesis and the signaling pathways involved are still unclear.
Methods
Diabetic gastroparetics, diabetic non-gastroparetic controls, idiopathic gastroparetics and non-diabetic non-gastroparetic controls underwent full-thickness gastric body biopsies. Deep RNA sequencing was performed and pathway analysis of differentially expressed transcripts was done using Ingenuity®. A subset of differentially expressed genes in diabetic gastroparesis was validated in a separate cohort using QT-PCR.
Results
111 genes were differentially expressed in diabetic gastroparesis and 181 in idiopathic gastroparesis with a log2fold difference of | ≥ 2| and false detection rate (FDR) < 5%. Top canonical pathways in diabetic gastroparesis included genes involved with macrophages, fibroblasts and endothelial cells in rheumatoid arthritis, osteoarthritis pathway and differential regulation of cytokine production in macrophages and T helper cells by IL-17A and IL-17F. Top canonical pathways in idiopathic gastroparesis included genes involved in granulocyte adhesion and diapedesis, agranulocyte adhesion and diapedesis, and role of macrophages, fibroblasts and endothelial cells in rheumatoid arthritis. Sixty-five differentially expressed genes (log2fold difference | ≥ 2|, FDR < 5%) were common in both diabetic and idiopathic gastroparesis with genes in the top 5 canonical pathways associated with immune signaling. 4/5 highly differentially expressed genes (SGK1, APOLD1, CXCR4, CXCL2, and FOS) in diabetic gastroparesis were validated in a separate cohort of patients using RT-PCR. Immune profile analysis revealed that genes associated with M1 (pro inflammatory) macrophages were enriched in tissues from idiopathic gastroparesis tissues compared to controls (p < 0.05).
Conclusions
Diabetic and idiopathic gastroparesis have both unique and overlapping transcriptomic signatures. Innate immune signaling likely plays a central role in pathogenesis of human gastroparesis.https://deepblue.lib.umich.edu/bitstream/2027.42/145193/1/12920_2018_Article_379.pd
Transcriptomic signatures reveal immune dysregulation in human diabetic and idiopathic gastroparesis
Abstract
Background
Cellular changes described in human gastroparesis have revealed a role for immune dysregulation, however, a mechanistic understanding of human gastroparesis and the signaling pathways involved are still unclear.
Methods
Diabetic gastroparetics, diabetic non-gastroparetic controls, idiopathic gastroparetics and non-diabetic non-gastroparetic controls underwent full-thickness gastric body biopsies. Deep RNA sequencing was performed and pathway analysis of differentially expressed transcripts was done using Ingenuity®. A subset of differentially expressed genes in diabetic gastroparesis was validated in a separate cohort using QT-PCR.
Results
111 genes were differentially expressed in diabetic gastroparesis and 181 in idiopathic gastroparesis with a log2fold difference of | ≥ 2| and false detection rate (FDR) < 5%. Top canonical pathways in diabetic gastroparesis included genes involved with macrophages, fibroblasts and endothelial cells in rheumatoid arthritis, osteoarthritis pathway and differential regulation of cytokine production in macrophages and T helper cells by IL-17A and IL-17F. Top canonical pathways in idiopathic gastroparesis included genes involved in granulocyte adhesion and diapedesis, agranulocyte adhesion and diapedesis, and role of macrophages, fibroblasts and endothelial cells in rheumatoid arthritis. Sixty-five differentially expressed genes (log2fold difference | ≥ 2|, FDR < 5%) were common in both diabetic and idiopathic gastroparesis with genes in the top 5 canonical pathways associated with immune signaling. 4/5 highly differentially expressed genes (SGK1, APOLD1, CXCR4, CXCL2, and FOS) in diabetic gastroparesis were validated in a separate cohort of patients using RT-PCR. Immune profile analysis revealed that genes associated with M1 (pro inflammatory) macrophages were enriched in tissues from idiopathic gastroparesis tissues compared to controls (p < 0.05).
Conclusions
Diabetic and idiopathic gastroparesis have both unique and overlapping transcriptomic signatures. Innate immune signaling likely plays a central role in pathogenesis of human gastroparesis.https://deepblue.lib.umich.edu/bitstream/2027.42/145193/1/12920_2018_Article_379.pd
A community-maintained standard library of population genetic models
The explosion in population genomic data demands ever more complex modes of analysis, and increasingly, these analyses depend on sophisticated simulations. Recent advances in population genetic simulation have made it possible to simulate large and complex models, but specifying such models for a particular simulation engine remains a difficult and error-prone task. Computational genetics researchers currently re-implement simulation models independently, leading to inconsistency and duplication of effort. This situation presents a major barrier to empirical researchers seeking to use simulations for power analyses of upcoming studies or sanity checks on existing genomic data. Population genetics, as a field, also lacks standard benchmarks by which new tools for inference might be measured. Here, we describe a new resource, stdpopsim, that attempts to rectify this situation. Stdpopsim is a community-driven open source project, which provides easy access to a growing catalog of published simulation models from a range of organisms and supports multiple simulation engine backends. This resource is available as a well-documented python library with a simple command-line interface. We share some examples demonstrating how stdpopsim can be used to systematically compare demographic inference methods, and we encourage a broader community of developers to contribute to this growing resource.Open access journalThis item from the UA Faculty Publications collection is made available by the University of Arizona with support from the University of Arizona Libraries. If you have questions, please contact us at [email protected]
Healthy Lifestyle and Risk of Cancer in the European Prospective Investigation Into Cancer and Nutrition Cohort Study
It has been estimated that at least a third of the most common
cancers are related to lifestyle and as such are preventable. Key modifiable
lifestyle factors have been individually associated with cancer risk; however,
less is known about the combined effects of these factors.
This study generated a healthy lifestyle index score (HLIS) to
investigate the joint effect of modifiable factors on the risk of overall
cancers, alcohol-related cancers, tobacco-related cancers, obesity-related
cancers, and reproductive-related cancers. The study included 391,608
men and women from the multinational European Prospective Investigation
into Cancer and Nutrition (EPIC) cohort. The HLIS was constructed
from 5 factors assessed at baseline (diet, physical activity,
smoking, alcohol consumption, and anthropometry) by assigning scores
of 0 to 4 to categories of each factor, for which higher values indicate
healthier behaviors. Hazard ratios (HR) were estimated by Cox
proportional regression and population attributable fractions (PAFs)
estimated from the adjusted models.
There was a 5% lower risk (adjusted HR 0.952, 95% confidence
interval (CI): 0.946, 0.958) of all cancers per point score of the index for
men and 4% (adjusted HR 0.961, 95% CI: 0.956, 0.966) for women. The
fourth versus the second category of the HLIS was associated with a 28%
and 24% lower risk for men and women respectively across all cancers,
41%and 33%for alcohol-related, 49%and 46%for tobacco-related, 41%
and 26% for obesity-related, and 21% for female reproductive cancers.
Findings suggest simple behavior modifications could have a sizeable
impact on cancer prevention, especially for men
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