Psychometric properties of End-of-Life Caregiving Experience Appraisal Scale: Iranian critical care nurses

This is the author accepted manuscript. The final version is available from Wiley via the DOI in this record.Background: Health care providers should be able to provide good quality end-of-life care. A tool to evaluate the positive and negative consequences of caring for dying patients is warranted. Aim: The aim of this study was to evaluate the psychometric properties of the Persian version of the End-of-Life Caregiving Experience Appraisal Scale (EOLCAS). Methods: This research was conducted in two phases. Phase I: The World Health Organization Protocol of forward-backward translation and an expert panel in order to determine face and content validity. Phase II: Survey development with 310 nurses who worked in critical care units, construct validity (construct, convergent and divergent validity), internal consistency (average inter-item correlation, Cronbach's alpha and McDonald's omega) and construct reliability were evaluated. Results: The exploratory factor analysis showed that the present scale (Persian version) has four factors: Negative physical-emotional and social consequences, transcendental communication, information deficits and future rumination, which explained 83·92% of the overall extracted variance. Convergent and divergent validity were confirmed for all factors. The internal consistency and construct reliability were acceptable. Conclusion: The scale has a multidimensional concept that is sufficiently reliable and the use of the scale would be helpful in measuring consequences of caring for dying patients. Relevance to clinical practice: This scale makes a significant contribution in that it helps in the recognition of positive and negative consequences of critical care nurses' caring for dying patients

IL-22 mediates goblet cell hyperplasia and worm expulsion in intestinal helminth infection.

Type 2 immune responses are essential in protection against intestinal helminth infections. In this study we show that IL-22, a cytokine important in defence against bacterial infections in the intestinal tract, is also a critical mediator of anti-helminth immunity. After infection with Nippostrongylus brasiliensis, a rodent hookworm, IL-22-deficient mice showed impaired worm expulsion despite normal levels of type 2 cytokine production. The impaired worm expulsion correlated with reduced goblet cell hyperplasia and reduced expression of goblet cell markers. We further confirmed our findings in a second nematode model, the murine whipworm Trichuris muris. T.muris infected IL-22-deficient mice had a similar phenotype to that seen in N.brasiliensis infection, with impaired worm expulsion and reduced goblet cell hyperplasia. Ex vivo and in vitro analysis demonstrated that IL-22 is able to directly induce the expression of several goblet cell markers, including mucins. Taken together, our findings reveal that IL-22 plays an important role in goblet cell activation, and thus, a key role in anti-helminth immunity

A photometric monitoring of bright high-amplitude delta Scuti stars. II. Period updates for seven stars

We present new photometric data for seven high-amplitude delta Scuti stars. The observations were acquired between 1996 and 2002, mostly in the Johnson photometric system. For one star (GW UMa), our observations are the first since the discovery of its pulsational nature from the Hipparcos data.The primary goal of this project was to update our knowledge on the period variations of the target stars. For this, we have collected all available photometric observations from the literature and constructed decades-long O-C diagrams of the stars. This traditional method is useful because of the single-periodic nature of the light variations. Text-book examples of slow period evolution (XX Cyg, DY Her, DY Peg) and cyclic period changes due to light-time effect (LITE) in a binary system (SZ Lyn) are updated with the new observations. For YZ Boo, we find a period decrease instead of increase. The previously suggested LITE-solution of BE Lyn (Kiss & Szatmary 1995) is not supported with the new O-C diagram. Instead of that, we suspect the presence of transient light curve shape variations mimicking small period changes.Comment: 11 pages, 15 figures, accepted for publication in A&

Calibrations of Atmospheric Parameters Obtained from the First Year of SDSS-III APOGEE Observations

The SDSS-III Apache Point Observatory Galactic Evolution Experiment (APOGEE) is a three year survey that is collecting 100,000 high-resolution spectra in the near-IR across multiple Galactic populations. To derive stellar parameters and chemical compositions from this massive data set, the APOGEE Stellar Parameters and Chemical Abundances Pipeline (ASPCAP) has been developed. Here, we describe empirical calibrations of stellar parameters presented in the first SDSS-III APOGEE data release (DR10). These calibrations were enabled by observations of 559 stars in 20 globular and open clusters. The cluster observations were supplemented by observations of stars in NASA's Kepler field that have well determined surface gravities from asteroseismic analysis. We discuss the accuracy and precision of the derived stellar parameters, considering especially effective temperature, surface gravity, and metallicity; we also briefly discuss the derived results for the abundances of the alpha-elements, carbon, and nitrogen. Overall, we find that ASPCAP achieves reasonably accurate results for temperature and metallicity, but suffers from systematic errors in surface gravity. We derive calibration relations that bring the raw ASPCAP results into better agreement with independently determined stellar parameters. The internal scatter of ASPCAP parameters within clusters suggests that, metallicities are measured with a precision better than 0.1 dex, effective temperatures better than 150 K, and surface gravities better than 0.2 dex. The understanding provided by the clusters and Kepler giants on the current accuracy and precision will be invaluable for future improvements of the pipeline.Comment: 40 pages, 15 figures, 4 tables, accepted to A

Physical parameters and multiplicity of five southern close eclipsing binaries

Aims: Detect tertiary components of close binaries from spectroscopy and light curve modelling; investigate light-travel time effect and the possibility of magnetic activity cycles; measure mass-ratios for unstudied systems and derive absolute parameters. Methods: We carried out new photometric and spectroscopic observations of five bright (V<10.5 mag) close eclipsing binaries, predominantly in the southern skies. We obtained full Johnson BV light curves, which were modelled with the Wilson-Devinney code. Radial velocities were measured with the cross-correlation method using IAU radial velocity standards as spectral templates. Period changes were studied with the O-C method, utilising published epochs of minimum light (XY Leo) and ASAS photometry (VZ Lib). Results: For three objects (DX Tuc, QY Hya, V870 Ara), absolute parameters have been determined for the first time. We detect spectroscopically the tertiary components in XY Leo, VZ Lib and discover one in QY Hya. For XY Leo we update the light-time effect parameters and detect a secondary periodicity of about 5100 d in the O$-$C diagram that may hint about the existence of short-period magnetic cycles. A combination of recent photometric data shows that the orbital period of the tertiary star in VZ Lib is likely to be over 1500 d. QY Hya is a semi-detached X-ray active binary in a triple system with K and M-type components, while V870 Ara is a contact binary with the third smallest spectroscopic mass-ratio for a W UMa star to date (q=0.082+/-0.030). This small mass-ratio, being close to the theoretical minimum for contact binaries, suggests that V870 Ara has the potential of constraining evolutionary scenarios of binary mergers. The inferred distances to these systems are compatible with the Hipparcos parallaxes.Comment: 11 pages, 14 figures, accepted for publication in A&A (02/01/2007

Thermal inactivation and conformational lock studies on glucose oxidase

In this study, the dissociative thermal inactivation and conformational lock theories are applied for the homodimeric enzyme glucose oxidase (GOD) in order to analyze its structure. For this purpose, the rate of activity reduction of glucose oxidase is studied at various temperatures using b-D-glucose as the substrate by incubation of enzyme at various temperatures in the wide range between 40 and 70 �C using UV–Vis spectrophotometry. It was observed that in the two ranges of temperatures, the enzyme has two different forms. In relatively low temperatures, the enzyme is in its dimeric state and has normal activity. In high temperatures, the activity almost disappears and it aggregates. The above achievements are confirmed by dynamic light scattering. The experimental parameter ‘‘n’’ as the obvious number of conformational locks at the dimer interface of glucose oxidase is obtained by kinetic data, and the value is near to two. To confirm the above results, the X-ray crystallography structure of the enzyme, GOD (pdb, 1gal), was also studied. The secondary and tertiary structures of the enzyme to track the thermal inactivation were studied by circular dichroism and fluorescence spectroscopy, respectively. We proposed a mechanism model for thermal inactivation of GOD based on the absence of the monomeric form of the enzyme by circular dichroism and fluorescence spectroscopy

Target Selection for the Apache Point Observatory Galactic Evolution Experiment (APOGEE)

The Apache Point Observatory Galactic Evolution Experiment (APOGEE) is a high-resolution infrared spectroscopic survey spanning all Galactic environments (i.e., bulge, disk, and halo), with the principal goal of constraining dynamical and chemical evolution models of the Milky Way. APOGEE takes advantage of the reduced effects of extinction at infrared wavelengths to observe the inner Galaxy and bulge at an unprecedented level of detail. The survey's broad spatial and wavelength coverage enables users of APOGEE data to address numerous Galactic structure and stellar populations issues. In this paper we describe the APOGEE targeting scheme and document its various target classes to provide the necessary background and reference information to analyze samples of APOGEE data with awareness of the imposed selection criteria and resulting sample properties. APOGEE's primary sample consists of ~100,000 red giant stars, selected to minimize observational biases in age and metallicity. We present the methodology and considerations that drive the selection of this sample and evaluate the accuracy, efficiency, and caveats of the selection and sampling algorithms. We also describe additional target classes that contribute to the APOGEE sample, including numerous ancillary science programs, and we outline the targeting data that will be included in the public data releases.Comment: Accepted to AJ. 31 pages, 11 figure

Lectures on the functional renormalization group method

These introductory notes are about functional renormalization group equations and some of their applications. It is emphasised that the applicability of this method extends well beyond critical systems, it actually provides us a general purpose algorithm to solve strongly coupled quantum field theories. The renormalization group equation of F. Wegner and A. Houghton is shown to resum the loop-expansion. Another version, due to J. Polchinski, is obtained by the method of collective coordinates and can be used for the resummation of the perturbation series. The genuinely non-perturbative evolution equation is obtained in a manner reminiscent of the Schwinger-Dyson equations. Two variants of this scheme are presented where the scale which determines the order of the successive elimination of the modes is extracted from external and internal spaces. The renormalization of composite operators is discussed briefly as an alternative way to arrive at the renormalization group equation. The scaling laws and fixed points are considered from local and global points of view. Instability induced renormalization and new scaling laws are shown to occur in the symmetry broken phase of the scalar theory. The flattening of the effective potential of a compact variable is demonstrated in case of the sine-Gordon model. Finally, a manifestly gauge invariant evolution equation is given for QED.Comment: 47 pages, 11 figures, final versio

Hsp90 governs dispersion and drug resistance of fungal biofilms

Fungal biofilms are a major cause of human mortality and are recalcitrant to most treatments due to intrinsic drug resistance. These complex communities of multiple cell types form on indwelling medical devices and their eradication often requires surgical removal of infected devices. Here we implicate the molecular chaperone Hsp90 as a key regulator of biofilm dispersion and drug resistance. We previously established that in the leading human fungal pathogen, Candida albicans, Hsp90 enables the emergence and maintenance of drug resistance in planktonic conditions by stabilizing the protein phosphatase calcineurin and MAPK Mkc1. Hsp90 also regulates temperature-dependent C. albicans morphogenesis through repression of cAMP-PKA signalling. Here we demonstrate that genetic depletion of Hsp90 reduced C. albicans biofilm growth and maturation in vitro and impaired dispersal of biofilm cells. Further, compromising Hsp90 function in vitro abrogated resistance of C. albicans biofilms to the most widely deployed class of antifungal drugs, the azoles. Depletion of Hsp90 led to reduction of calcineurin and Mkc1 in planktonic but not biofilm conditions, suggesting that Hsp90 regulates drug resistance through different mechanisms in these distinct cellular states. Reduction of Hsp90 levels led to a marked decrease in matrix glucan levels, providing a compelling mechanism through which Hsp90 might regulate biofilm azole resistance. Impairment of Hsp90 function genetically or pharmacologically transformed fluconazole from ineffectual to highly effective in eradicating biofilms in a rat venous catheter infection model. Finally, inhibition of Hsp90 reduced resistance of biofilms of the most lethal mould, Aspergillus fumigatus, to the newest class of antifungals to reach the clinic, the echinocandins. Thus, we establish a novel mechanism regulating biofilm drug resistance and dispersion and that targeting Hsp90 provides a much-needed strategy for improving clinical outcome in the treatment of biofilm infections

Association of metabolic equivalent of task (MET) score in length of stay in hospital following radical cystectomy with urinary diversion:a multi-institutional study

PURPOSE: The Metabolic equivalent of task (MET) score is used in patients’ preoperative functional capacity assessment. It is commonly thought that patients with a higher MET score will have better postoperative outcomes than patients with a lower MET score. However, such a link remains the subject of debate and is yet unvalidated in major urological surgery. This study aimed to explore the association of patients’ MET score with their postoperative outcomes following radical cystectomy. METHODS: We used records-linkage methodology with unique identifiers (Community Health Index/hospital number) and electronic databases to assess postoperative outcomes of patients who had underwent radical cystectomies between 2015 and 2020. The outcome measure was patients’ length of hospital stay. This was compared with multiple basic characteristics such as age, sex, MET score and comorbid conditions. A MET score of less than four (< 4) is taken as the threshold for a poor functional capacity. We conducted unadjusted and adjusted Cox regression analyses for time to discharge against MET score. RESULTS: A total of 126 patients were included in the analysis. Mean age on date of operation was 66.2 (SD 12.2) years and 49 (38.9%) were female. A lower MET score was associated with a statistically significant lower time-dependent risk of hospital discharge (i.e. longer hospital stay) when adjusted for covariates (HR 0.224; 95% CI 0.077–0.652; p = 0.006). Older age (adjusted HR 0.531; 95% CI 0.332–0.848; p = 0.008) and postoperative complications (adjusted HR 0.503; 95% CI 0.323–0.848; p = 0.002) were also found to be associated with longer hospital stay. Other comorbid conditions, BMI, disease staging and 30-day all-cause mortality were statistically insignificant. CONCLUSION: A lower MET score in this cohort of patients was associated with a longer hospital stay length following radical cystectomy with urinary diversion. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s11255-021-02813-x