Acute cough: a diagnostic and therapeutic challenge

Abstract Background Acute cough is one of the most common complaints prompting patient visits to healthcare professionals. Despite the broad repercussions of acute cough on patient quality of life, school and work productivity, and public health resources, research on this condition is minimal, as are the available treatment options. Many patients use over-the-counter medicines, which are often ineffective for symptom relief. Some therapies may achieve antitussive activity, but at the expense of unpleasant or intolerable side effects. Unmet needs When considering the treatments currently available for the management of acute cough, the multiple limitations of such treatments are quite apparent. Most of these treatments lack clinically proven efficacy and reliability to support their use. This reinforces the need for the generation of quality scientific data from well-performed clinical trials. Hopefully, the result will be the development of safer, more effective and more reliable therapeutic options in the management of acute cough. Cough assessment and management Acute cough can be due to a variety of causes, and it is worthwhile to consider these pathogenic factors in some detail. It is also important to be familiar with the effects that acute cough has on patients' quality of life, work productivity, and the healthcare system; proper awareness of these effects may contribute to better understanding of the social impact of cough. In reference to the available treatments for the management of acute cough, adequate knowledge of the type of over-the-counter and prescription products in the market, as well as their mode of action and advantages/disadvantages, may provide expanded pharmacotherapeutic opportunities and facilitate better clinical decisions. However, due to the drawbacks of current treatment options, ideas for future cough management and newer products need to be considered and tested. Conclusion In view of the socio-economic impact of acute cough and the limitations of available treatments, a renewed interest in the management of acute cough needs to be encouraged. The current strategies for acute cough management need to be reassessed, with a focus on developing new, reliable products and formulations with proven efficacy and safety

Angiotensin II Receptor Subtypes and Cardiac Function

All the components of the renin-angiotensin system have been identified in the heart including the angiotensin II receptor subtypes AT1 and AT2 In the normal human heart, there is a decreasing receptor density from the right atrium to the left ventricle. In right atrial membranes prepared from pathological hearts, the percentage of AT1 receptor decreases with the severity of cardiac dysfunction whereas that of AT2 receptor increases. Treatment of hypertrophic rats with AT1 receptor antagonists inhibits cardiac hypertrophy and reverses the increase receptor density, indicating involvement of this Ang II receptor subtype. The role of the AT2 receptor is still largely unknown but it may be involved in cell growth and proliferation. The cloning of both AT1 and AT2 receptors as well as the availability of potent and selective antagonists will help us to understand better the functional role of Angiotensin II in cardiovascular disorder

Linear stability of planar premixed flames: reactive Navier-Stokes equations with finite activation energy and arbitrary Lewis number

A numerical shooting method for performing linear stability analyses of travelling waves is described and applied to the problem of freely propagating planar premixed flames. Previous linear stability analyses of premixed flames either employ high activation temperature asymptotics or have been performed numerically with finite activation temperature, but either for unit Lewis numbers (which ignores thermal-diffusive effects) or in the limit of small heat release (which ignores hydrodynamic effects). In this paper the full reactive Navier-Stokes equations are used with arbitrary values of the parameters (activation temperature, Lewis number, heat of reaction, Prandtl number), for which both thermal-diffusive and hydrodynamic effects on the instability, and their interactions, are taken into account. Comparisons are made with previous asymptotic and numerical results. For Lewis numbers very close to or above unity, for which hydrodynamic effects caused by thermal expansion are the dominant destablizing mechanism, it is shown that slowly varying flame analyses give qualitatively good but quantitatively poor predictions, and also that the stability is insensitive to the activation temperature. However, for Lewis numbers sufficiently below unity for which thermal-diffusive effects play a major role, the stability of the flame becomes very sensitive to the activation temperature. Indeed, unphysically high activation temperatures are required for the high activation temperature analysis to give quantitatively good predictions at such low Lewis numbers. It is also shown that state-insensitive viscosity has a small destabilizing effect on the cellular instability at low Lewis numbers

Why organizational and community diversity matter:Representativeness and the Emergence of Incivility and Organizational Performance

Integrating sociological and psychological perspectives, this research considers the value of organizational ethnic diversity as a function of community diversity. Employee and patient surveys, census data, and performance indexes relevant to 142 hospitals in the United Kingdom suggest that intraorganizational ethnic diversity is associated with reduced civility toward patients. However, the degree to which organizational demography was representative of community demography was positively related to civility experienced by patients and ultimately enhanced organizational performance. These findings underscore the understudied effects of community context and imply that intergroup biases manifested in incivility toward out-group members hinder organizational performance

Auxin Response Factor2 (ARF2) and Its Regulated Homeodomain Gene HB33 Mediate Abscisic Acid Response in Arabidopsis

The phytohormone abscisic acid (ABA) is an important regulator of plant development and response to environmental stresses. In this study, we identified two ABA overly sensitive mutant alleles in a gene encoding Auxin Response Factor2 (ARF2). The expression of ARF2 was induced by ABA treatment. The arf2 mutants showed enhanced ABA sensitivity in seed germination and primary root growth. In contrast, the primary root growth and seed germination of transgenic plants over-expressing ARF2 are less inhibited by ABA than that of the wild type. ARF2 negatively regulates the expression of a homeodomain gene HB33, the expression of which is reduced by ABA. Transgenic plants over-expressing HB33 are more sensitive, while transgenic plants reducing HB33 by RNAi are more resistant to ABA in the seed germination and primary root growth than the wild type. ABA treatment altered auxin distribution in the primary root tips and made the relative, but not absolute, auxin accumulation or auxin signal around quiescent centre cells and their surrounding columella stem cells to other cells stronger in arf2-101 than in the wild type. These results indicate that ARF2 and HB33 are novel regulators in the ABA signal pathway, which has crosstalk with auxin signal pathway in regulating plant growth

Using eye tracking to identify cultural differences in information seeking behavior

The main goal of this research is to investigate how people with different cultural background differ in their interaction style and visual behavior on search engine results pages (SERP), more specifically between groups from the Middle Eastern region vs. Western Europe. The researchers conducted a controlled eye-tracking experiment to explore and evaluate the visual behavior of Arab (U.A.E) and Spaniard users when scanning through the first page of the search results in Google. Significant differences were observed in the 4 aspects of the study: U.A.E. participants stayed longer on the SERPs, read more search results and viewed each snippet in a more detailed way than their counterpart, Spaniards. In Spain, people tended to scan the SERP, reading less text on each snippet, and chose a result among the first top ranked ones without paying attention to those in the bottom positions

Using eye tracking to identify cultural differences in information seeking behavior

The main goal of this research is to investigate how people with different cultural background differ in their interaction style and visual behavior on search engine results pages (SERP), more specifically between groups from the Middle Eastern region vs. Western Europe. The researchers conducted a controlled eye-tracking experiment to explore and evaluate the visual behavior of Arab (U.A.E) and Spaniard users when scanning through the first page of the search results in Google. Significant differences were observed in the 4 aspects of the study: U.A.E. participants stayed longer on the SERPs, read more search results and viewed each snippet in a more detailed way than their counterpart, Spaniards. In Spain, people tended to scan the SERP, reading less text on each snippet, and chose a result among the first top ranked ones without paying attention to those in the bottom positions

Is Rolandic epilepsy associated with abnormal findings on cranial MRI?

Rolandic epilepsy (RE) is designated an idiopathic epilepsy syndrome, and hence no lesional abnormalities are expected on MRI exam. Recent reports suggest that MRI abnormalities are not only common, but may be specific for temporal lobe epilepsy, and lateralized to the side of EEG discharges. However, no controlled study has been performed to test the hypothesis of association between MRI abnormalities and Rolandic epilepsy. We performed an unmatched case-control study to test the hypothesis of association between MRI abnormalities and Rolandic epilepsy, using 25 typical RE cases and 25 children with migraine. Two independent examiners rated the MRIs for abnormalities. Examiners were blinded to the study hypothesis and identity of case and control exams. Fifty-two percent of RE exams contained at least one abnormality: peri/hippocampal abnormality (1 case), non-localized congenital malformation (7 cases), subcortical parenchymal hyperintensities (2 cases), periventricular parenchymal hyperintensities (1 case), dilated perivascular spaces (6 cases). There was no difference between the number or type of abnormalities in cases and controls. No type of abnormality lateralized to the hemisphere from which the EEG spikes emanated. The odds ratio of association between MRI abnormalities and RE was 0.87, 95% CI: 0.18–4.33 after adjusting for potential demographic and technical factors. We conclude that routine cranial MRI abnormalities are common in RE, but no more common than in controls, and not specific for RE