Spiritual and Psychosocial Palliative Care in a Rural Ontario Town: An Exploratory Study of Patient Needs and Provider Experiences

This exploratory qualitative study identified spiritual and psychosocial palliative care needs in one rural Eastern Ontario town, referred to as the pseudonym “Duffy’s Hill.” Six qualitative interviews with health care providers gathered insights, ideas, and stories related to the provision of spiritual and psychosocial palliative care in Duffy’s Hill. Participant responses were analyzed for shared values, beliefs, ideas, practices, and norms in providing this care to determine if the distinct needs observed could be attributed to cultural particularities in Duffy’s Hill. Results found that participants viewed Duffy’s Hill as distinct from urban contexts in nature of practice and challenges faced. Good spiritual and psychosocial care involved awareness of a tension associated with the terms “spiritual” and “religious,” attention to patients’ senses of place, and opportunity for patients to maintain, engage in, or heal interpersonal relationships. These results, though exploratory, suggest some level of shared culture in Duffy’s Hill

Interferon regulatory factor 2 protects mice from lethal viral neuroinvasion.

The host responds to virus infection by activating type I interferon (IFN) signaling leading to expression of IFN-stimulated genes (ISGs). Dysregulation of the IFN response results in inflammatory diseases and chronic infections. In this study, we demonstrate that IFN regulatory factor 2 (IRF2), an ISG and a negative regulator of IFN signaling, influences alphavirus neuroinvasion and pathogenesis. A Sindbis virus strain that in wild-type (WT) mice only causes disease when injected into the brain leads to lethal encephalitis in Irf2-/- mice after peripheral inoculation. Irf2-/- mice fail to control virus replication and recruit immune infiltrates into the brain. Reduced B cells and virus-specific IgG are observed in the Irf2-/- mouse brains despite the presence of peripheral neutralizing antibodies, suggesting a defect in B cell trafficking to the central nervous system (CNS). B cell-deficient μMT mice are significantly more susceptible to viral infection, yet WT B cells and serum are unable to rescue the Irf2-/- mice. Collectively, our data demonstrate that proper localization of B cells and local production of antibodies in the CNS are required for protection. The work advances our understanding of host mechanisms that affect viral neuroinvasion and their contribution to immunity against CNS infections

Caractéristiques des médecins prescrivant des psychotropes davantage aux femmes qu’aux hommes

Les différences observées dans l'état de santé et l'utilisation des services médicaux, selon le sexe, se sont avérées insuffisantes pour expliquer une plus grande consommation de psychotropes chez les femmes que chez les hommes dans les pays industrialisés. Nous avons testé l'hypothèse selon laquelle les habitudes de prescription des médecins expliquent une partie importante de cette observation. Nous démontrons, à l'aide des données de la Régie de l'assurance-maladie du Québec pour les personnes âgées de 65 ans et plus, que le profil socio-démographique et le style de gestion des médecins prescripteurs sont associés de façon significative au pourcentage d'hommes et de femmes ayant obtenu une ordonnance de psychotrope dans leurs pratiques.In industrialized countries, gender differences observed in health condition and the use of medical services appear insufficient to explain a greater consumption of psychotropic drugs in women than men. The authors have tested the hypothesis that physician prescribing patterns largely explains this observation. They demonstrate, using data from the Régie de l'assurance maladie du Québec for people aged 65 and over, that physicians' sociodemographic and practice characteristics are significantly associated with the percentage of men and women who receive a psychotropic drug prescription in their practice

ENABLING WARFARE AT THE SPEED OF LIGHT: A COMPARATIVE ANALYSIS OF MULTI-MISSION HIGH ENERGY LASER RADARS

This capstone report provides a cost effectiveness analysis of various radar systems capable of guiding the Multi-Mission High Energy Laser (MMHEL) from a Stryker platform. The Army's Rapid Capability and Critical Technologies Office (RCCTO) is developing the MMHEL to provide a Mobile Short-Range Air Defense (MSHORAD) capability to maneuver units. The MMHEL requires a radar to cue the fire control system for target engagement. Past efforts to employ high-energy lasers have relied on large, stationary radars for target acquisition. The reliance on such radars limits a unit's ability to maneuver and results in the laser being employed primarily from a defensive posture. To maximize maneuverability and enable the offensive employment of the MMHEL, the U.S. Army needs an on-platform radar that is compact and inexpensive enough to equip multiple Strykers within a Stryker Brigade Combat Team with the capability to engage targets from a mobile platform. The RCCTO is currently tasked with accelerating efforts to fill this need. The intent of this report is to assist the RCCTO in these efforts by generating a list of viable radar alternatives and conducting a cost effectiveness analysis to produce a recommendation of the most optimal solution. The results indicate that RADA's aCHR radar presents the best value in terms of cost and benefit to the warfighter.http://archive.org/details/enablingwarfarea1094564109Captain, United States ArmyCaptain, United States ArmyMajor, United States ArmyCaptain, United States ArmyCaptain, United States ArmyApproved for public release; distribution is unlimited

Statins enhance the efficacy of HER2-targeting radioligand therapy in drug-resistant gastric cancers

Human epidermal growth factor receptor 2 (HER2) is overexpressed in various cancer types. HER2-targeting trastuzumab plus chemotherapy is used as first-line therapy for HER2-positive recurrent or primary metastatic gastric cancer, but intrinsic and acquired trastuzumab resistance inevitably develop over time. To overcome gastric cancer resistance to HER2-targeted therapies, we have conjugated trastuzumab with a beta-emitting therapeutic isotope, lutetium-177, to deliver radiation locally to gastric tumors with minimal toxicity. Because trastuzumab-based targeted radioligand therapy (RLT) requires only the extramembrane domain binding of membrane-bound HER2 receptors, HER2-targeting RLT can bypass any resistance mechanisms that occur downstream of HER2 binding. Leveraging our previous discoveries that statins, a class of cholesterol-lowering drugs, can enhance the cell surface-bound HER2 to achieve effective drug delivery in tumors, we proposed that the combination of statins and

Zeros of the Partition Function and Pseudospinodals in Long-Range Ising Models

The relation between the zeros of the partition function and spinodal critical points in Ising models with long-range interactions is investigated. We find the spinodal is associated with the zeros of the partition function in four-dimensional complex temperature/magnetic field space. The zeros approach the real temperature/magnetic field plane as the range of interaction increases.Comment: 20 pages, 9 figures, accepted to PR

Critical behavior of a fluid in a disordered porous matrix: An Ornstein-Zernike approach

Using a liquid-state approach based on Ornstein-Zernike equations, we study the behavior of a fluid inside a porous disordered matrix near the liquid-gas critical point.The results obtained within various standard approximation schemes such as lowest-order $\gamma$-ordering and the mean-spherical approximation suggest that the critical behavior is closely related to that of the random-field Ising model (RFIM).Comment: 10 pages, revtex, to appear in Physical Review Letter

Failure of planar fiber networks

We study the failure of planar random fiber networks with computer simulations. The networks are grown by adding flexible fibers one by one on a growing deposit [K. J. Niskanen and M. J. Alava, Phys. Rev. Lett. 73, 3475 (1994)], a process yielding realistic three dimensional network structures. The network thus obtained is mapped to an electrical analogue of the elastic problem, namely to a random fuse network with separate bond elements for the fiber-to-fiber contacts. The conductivity of the contacts (corresponding to the efficiency of stress transfer between fibers) is adjustable. We construct a simple effective medium theory for the current distribution and conductivity of the networks as a function of intra-fiber current transfer efficiency. This analysis compares favorably with the computed conductivity and with the fracture properties of fiber networks with varying fiber flexibility and network thickness. The failure characteristics are shown to obey scaling behavior, as expected of a disordered brittlematerial, which is explained by the high current end of the current distribution saturating in thick enough networks. For bond breaking, fracture load and strain can be estimated with the effective medium theory. For fiber breaking, we find the counter-intuitive result that failure is more likely to nucleate far from surfaces, as the stress is transmitted more effectively to the fibers in the interior.Peer reviewe