178 research outputs found

    Management of In-Transit Malignant Melanoma

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    Do Striped Bass and Blue Crab Abundances Correlate in Chesapeake Bay?

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    We examined a corollary to the hypothesis that striped bass regulate the blue crab population in Chesapeake Bay by preying on juveniles, an expected inverse correlation between striped bass and blue crab abundance. Abundance indices based on Virginia striped bass young-of-the-year beach seine data (1980-1992) were constructed for fish ages 1 - 8, and for the Virginia resident stock component, ages 1 - 5. Fishery-independent, pound net data for fall and spring were also used to construct indices of striped bass abundance in Rappahannock River (1986-1993). Juvenile blue crab abundance indices were constructed based on trawl survey data from the James, York and Rappahannock Rivers. Fall crab abundance correlated positively with predicted Virginia resident striped bass abundance. Crab abundance in the spring did not correlate with any measure of striped bass abundance, nor did fall Rappahannock River crab abundance correlate with the fall Rappahannock River pound net index. Thus, these data do not support the hypothesis that striped bass abundance and blue crab abundance are inversely related. Striped bass populations do not appear to have regulated blue crab population dynamics in the Virginia portion of Chesapeake Bay from 1980 to 1992

    A new look at an old well-being construct: evaluating the psychometric properties of 9, 5, and 1-item versions of emotional exhaustion metrics

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    ObjectiveTo compare the relative strengths (psychometric and convergent validity) of four emotional exhaustion (EE) measures: 9- and 5-item scales and two 1-item metrics.Patients and methodsThis was a national cross-sectional survey study of 1409 US physicians in 2013. Psychometric properties were compared using Cronbachā€™s alpha, Confirmatory Factor Analysis (CFA), Exploratory Factor Analysis (EFA), and Spearmanā€™s Correlations. Convergent validity with subjective happiness (SHS), depression (CES-D10), work-life integration (WLI), and intention to leave current position (ITL) was assessed using Spearmanā€™s Correlations and Fisherā€™s R-to-Z.ResultsThe 5-item EE scale correlated highly with the 9-item scale (Spearmanā€™s rho = 0.828), demonstrated excellent internal reliability (alpha = 0.87), and relative to the 9-item, exhibited superior CFA model fit (RMSEA = 0.082, CFI = 0.986, TLI = 0.972). The 5-item EE scale correlated as highly as the 9-item scale with SHS, CES-D10, and WLI, and significantly stronger than the 9-item scale to ITL. Both 1-item EE metrics had significantly weaker correlation with SHS, CES-D10, WLI, and ITL (Fisherā€™s R-to-Z; p < 0.05) than the 5- and 9-item EE scales.ConclusionThe 5-item EE scale was repeatedly found equivalent or superior to the 9-item version across analyses, particularly with respect to the CFA results. As there is no cost to using the briefer 5-item EE scale, the burden on respondents is smaller, and widespread access to administering and interpreting an excellent wellbeing metric is enhanced at a critical time in global wellbeing research. The single item EE metrics exhibited lower convergent validity than the 5- and 9-item scales, but are acceptable for detecting a signal of EE when using a validated EE scale is not feasible. Replication of psychometrics and open-access benchmarking results for use of the 5-tem EE scale further enhance access and utility of this metric

    Rabies screen reveals GPe control of cocaine-triggered plasticity.

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    Identification of neural circuit changes that contribute to behavioural plasticity has routinely been conducted on candidate circuits that were preselected on the basis of previous results. Here we present an unbiased method for identifying experience-triggered circuit-level changes in neuronal ensembles in mice. Using rabies virus monosynaptic tracing, we mapped cocaine-induced global changes in inputs onto neurons in the ventral tegmental area. Cocaine increased rabies-labelled inputs from the globus pallidus externus (GPe), a basal ganglia nucleus not previously known to participate in behavioural plasticity triggered by drugs of abuse. We demonstrated that cocaine increased GPe neuron activity, which accounted for the increase in GPe labelling. Inhibition of GPe activity revealed that it contributes to two forms of cocaine-triggered behavioural plasticity, at least in part by disinhibiting dopamine neurons in the ventral tegmental area. These results suggest that rabies-based unbiased screening of changes in input populations can identify previously unappreciated circuit elements that critically support behavioural adaptations

    Undifferentiated Connective Tissue Disease-Associated Interstitial Lung Disease: Changes in Lung Function

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    Undifferentiated connective tissue disease (UCTD) is a distinct clinical entity that may be accompanied by interstitial lung disease (ILD). The natural history of UCTD-ILD is unknown. We hypothesized that patients with UCTD-ILD would be more likely to have improvement in lung function than those with idiopathic pulmonary fibrosis (IPF) during longitudinal follow-up. We identified subjects enrolled in the UCSF ILD cohort study with a diagnosis of IPF or UCTD. The primary outcome compared the presence or absence of a ā‰„5% increase in percent predicted forced vital capacity (FVC) in IPF and UCTD. Regression models were used to account for potential confounding variables. Ninety subjects were identified; 59 subjects (30 IPF, 29 UCTD) had longitudinal pulmonary function data for inclusion in the analysis. After accounting for baseline pulmonary function tests, treatment, and duration between studies, UCTD was associated with substantial improvement in FVC (odds ratioĀ =Ā 8.23, 95% confidence interval, 1.27ā€“53.2; pĀ =Ā 0.03) during follow-up (median, 8Ā months) compared with IPF. Patients with UCTD-ILD are more likely to have improved pulmonary function during follow-up than those with IPF. These findings demonstrate the clinical importance of identifying UCTD in patients presenting with an ā€œidiopathicā€ interstitial pneumonia

    Measuring the Potential Power Elite in the UK and Sweden

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    This paper proposes a methodology for using survey data to understand the composition of elites, through analysing the pool of potential members. An occupational-based measure of ‘potential power elite' (PPE) is created and compared with other measures of occupational advantage. It is argued that this measure can be utilised to explore if the processes causing certain social groups to be under-represented in elite positions are around selection or the population recruited from. We provide analysis of elite positions in the UK and Sweden, demonstrating differences in terms of the potential pool of elite members and the occupational histories of people of those employed in roles associated with elite recruitment. We argue that understanding the composition of the PPE provides a more nuanced analysis of the processes of meritocracy in accessing positions of power and social influence

    Ileocaecal recurrence of Merkel cell carcinoma of the skin: a case report

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    <p>Abstract</p> <p>Introduction</p> <p>Merkel cell carcinoma is an uncommon skin malignancy that has a high propensity for metastatic spread. A systematic literature search identified 17 cases describing metastasis to the gastrointestinal tract, with 7 cases involving the small or large bowel. To the best of our knowledge, this is the only case described of Merkel cell carcinoma metastasising to the ileocaecal valve.</p> <p>Case presentation</p> <p>We present a 74-year-old Filipino woman diagnosed with Merkel cell carcinoma of the skin with regional node involvement. Following excision and radiotherapy, the tumour recurred with metastasis to the ileocaecal valve. The patient died 28 months after the initial diagnosis.</p> <p>Conclusion</p> <p>The prognosis of metastatic Merkel cell carcinoma is poor. Currently the optimal management for metastatic disease is unclear and lacks a firm evidence base due to the small number of cases reported.</p
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