The influence of lifelong learning on mood

Mood state was assessed both before and after four different two-hour classes in the Osher Lifelong Learning Institute at Santa Clara University with the self-report Profile of Mood States-Brief Form (POMS-BF) developed by McNair, Lorr, and Droppleman (1992). Sixty-eight students (60% women), ages 49 to 92, filled in the 5-point mood assessment survey rating how they felt at that moment prior to the start of class and again two hours later, at the end of class. At the start of class these students reported very low levels of negative affect (tension, anger, depression, confusion, fatigue). Following the two-hour Osher class students felt even less angry, less tense, and less depressed than they were before the class. These results are discussed in relation to mood regulation and the detrimental impact of negative affect on cognition (e.g., Wilson, Mendes de Leon, Bennett, Bienias, Evans, 2004)

Cognitive benefits of participation in lifelong learning institutes

This essay examines the role of cognitive stimulation in maintaining high cognitive functioning in later life. Cognition is dependent upon brain function and brain function can be improved through physical exercise and cognitive stimulation. Lifelong learning institutes offer older adults a myriad of opportunities to enhance their cognitive function. These institutes are not unique to the United States and need not offer courses in any particular format in order to facilitate cognitive benefits

Cognition and leisure time activities of older adults

Older adults have much more leisure time today than they have had in the past. Evidence points to the connection between engagement in physical exercise, a leisure time activity, and the overall health of older adults. Because health is an important issue, especially as we age, it is helpful to know that we have some control over it as we age. Cognition, i.e., our ability to remember, to pay attention, and to think, is also a concern in aging. Is it possible that the choices we make about leisure time activities may influence our cognitive abilities in old age? This critical review of the literature examines the effect of three leisure time activities - socializing, physical exercise, and mental exercise - on cognition in older adults

Shifting students toward testing: impact of instruction and context on self-regulated learning

Much of the learning that college students engage in today occurs in unsupervised settings, making effective self-regulated learning techniques of particular importance. We examined the impact of task difficulty and supervision on whether participants would follow written instructions to use repeated testing over restudying. In Study 1, we found that when supervised, instructions to test resulted in changes in the self-regulated learning behaviors such that participants tested more often than they studied, relative to participants who were unsupervised during learning. This was true regardless of the task difficulty. In Study 2, we showed that failure to shift study strategies in unsupervised learning was likely due to participants avoidance of testing rather than failure to read the instructions at all. Participants who tested more frequently remembered more words later regardless of supervision or whether or not they received instructions to test, replicating the well-established testing effect (e.g., Dunlosky et al. in Psychol Sci Public Interest 14:4–58, 2013. http://doi.org/10.1177/1529100612453266). In sum, there was a benefit to testing, but instructing participants to test only increased their choice to test when they were supervised. We conclude that supervision has an impact on whether participants follow instructions to test

Leaf litter decomposition in western Iberian forested wetlands : lentic versus lotic response

Leaf litter breakdown is frequently used to measure both structural and functional integrity in aquatic ecosystems. Forested wetlands are interface systems that received little attention, especially in the Iberian Peninsula. The present study compares the decomposition of alder and willow in two biotopes (lentic and lotic) located in two different sites (Caxarias and Alpiarça). Litterbags were used to compare decomposition among the different treatments. Throughout decay, dry weight loss, nitrogen and phosphorus content, microbial community physiological profiles, microbial and macro-invertebrate colonization were measured at days 2, 4, 8, 16, 32 and 64. Decomposition rates ranged from intermediate to rapid for alder (0.006 day−1 to 0.0338 day−1) and slow to rapid for willow (0.0024 day−1 to 0.0272 day−1), depending on site and biotopes type. The combined effects biotope × time was significant for heterotrophs (P < 0.05), molds (P < 0.05) and yeasts (P < 0.001). The analysis of average well colour development (AWCD), richness (R) and Shannon-Wiener index (H') based on the oxidation of carbon and nitrogen sources by the microbial community, showed differences between the two biotopes, lotic and lentic, and sites. These differences were also shown by the principal component analysis (PCA). Moreover, the macroinvertebrate communities clearly distinguished between lentic and lotic systems. The invertebrates belonging to Plecoptera, Ephemeroptera and Trichoptera were absent from lentic habitats.La descomposición de hojarasca se utiliza frecuentemente para medir la integridad estructural y funcional en los sistemas acuáticos. Los humedales arbolados son sistemas de transición que han recibido escasa atención especialmente en la Península Ibérica. El presente trabajo compara la descomposición de la hojarasca de aliso y sauce en dos sistemas (lenítico y lótico) situados en dos localidades (Caxarias y Alpiarça). Se utilizaron bolsas para hojarasca para comparar la descomposición entre los diferentes tratamientos. Se determinaron las pérdidas de peso seco, contenido en N y P en el detritus vegetal, perfiles fisiológicos de la comunidad microbiana, la colonización microbiana y de macroinvertebrados a los 2, 4, 8, 16, 32 y 64 días del experimento. Las tasas de descomposición variaron de intermedias a rápidas para el aliso (0.006 día−1 a 0.0338 día−1) y de lentas a rápidas para el sauce (0.0024 día−1 a 0.0272 día−1), dependiendo de la localidad de muestreo y del tipo de sistema. Los efectos combinados sistema × tiempo resultaron significativos para los heterótrofos totales (p < 0.05), hongos filamentosos (p < 0.05) y levaduras (p < 0.001). El análisis del desarrollo medio del color (AWCD), la riqueza (R) y el índice de Shannon-Wiener (H') basados en la oxidación de las fuentes de nitrógeno y carbono por parte de la comunidad microbiana, mostraron diferencias entre los dos sistemas, lótico y lenítico y entre las localidades de muestreo. Estas diferencias se pusieron también de manifiesto en el análisis de componentes principales (PCA). Además, las comunidades de macroinvertebrados claramente diferenciaron los sistemas leníticos de los lóticos. Se observó que en los sistemas leníticos los organismos pertenecientes a Plecoptera, Ephemeroptera y Trichoptera estaban ausentes

Trypanosoma cruzi DNA replication includes the sequential recruitment of pre-replication and replication machineries close to nuclear periphery

In eukaryotes, many nuclear processes are spatially compartmentalized. Previously, we have shown that in Trypanosoma cruzi, an early-divergent eukaryote, DNA replication occurs at the nuclear periphery where chromosomes remain constrained during the S phase of the cell cycle. We followed Orc1/Cdc6, a pre-replication machinery component and the proliferating cell nuclear antigen (PCNA), a component of replication machinery, during the cell cycle of this protozoon. We found that, at the G(1) stage, TcOrc1/Cdc6 and TcPCNA are dispersed throughout the nuclear space. During the G(1)/S transition, TcOrc1/Cdc6 migrates to a region close to nuclear periphery. At the onset of S phase, TcPCNA is loaded onto the DNA and remains constrained close to nuclear periphery. Finally, in G(2), mitosis and cytokinesis, TcOrc1/Cdc6 and TcPCNA are dispersed throughout the nuclear space. Based on these findings, we propose that DNA replication in T. cruzi is accomplished by the organization of functional machineries in a spatial-temporal manner.Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)Fundação de Amparo à Pesquisa do Estado do Rio de Janeiro (FAPERJ)Universidade Federal de São Paulo, Parasitol Lab, Inst Butantan, São Paulo, BrazilUniversidade Federal de São Paulo, Dept Microbiol Imunol & Parasitol, São Paulo, BrazilUniv Fed Rio de Janeiro, Inst Biofis Carlos Chagas Filho, Lab Ultraestrutura Celular Hertha Meyer, BR-21941 Rio de Janeiro, BrazilUniversidade Federal de São Paulo, Parasitol Lab, Inst Butantan, São Paulo, BrazilUniversidade Federal de São Paulo, Dept Microbiol Imunol & Parasitol, São Paulo, BrazilWeb of Scienc

Heparin-guided binding of vascular endothelial growth factor to supramolecular biomaterial surfaces

Growth factors can steer the biological response to a biomaterial post implantation. Heparin is a growth factor binding molecule that can coordinate growth factor presentation to cells and therefore is able to regulate many biological processes. One way to functionalize biomaterials with heparin and growth factors is via a supramolecular approach. Here, we show a proof-of-concept study in which a supramolecular approach based on ureido-pyrimidinone (UPy) was used, which allows for modular functionalization. PCLdiUPy was functionalized with a UPy-modified heparin binding peptide (UPy-HBP) to facilitates binding of heparin, which in turn can bind vascular endothelial growth factor (VEGF) via its heparin binding domain. The adsorption of both heparin and VEGF were studied in two different functionalization approaches (pre-complex and two-step) and at different molecular ratios. Quartz crystal microbalance with dissipation energy adsorption data showed that VEGF and pre-complexed heparin:VEGF adsorbed non-specifically, with no distinguish between non-specific adsorption and heparin guided-adsorption. On the biological side, heparin guided-adsorption of Heparin:VEGF enhanced HUVECs surface coverage as compared to non-specific adsorption. These results provide a detailed insight on the molecular sandwich which is useful for new design strategies of supramolecular biomaterials with well-controlled immobilization of different growth factors.</p

Prescribing Cascades with Recommendations to Prevent or Reverse Them:A Systematic Review

BACKGROUND: To reduce prescribing cascades occurring in clinical practice, healthcare providers require information on the prescribing cascades they can recognize and prevent.OBJECTIVE: This systematic review aims to provide an overview of prescribing cascades, including dose-dependency information and recommendations that healthcare providers can use to prevent or reverse them.METHODS: The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) was followed. Relevant literature was identified through searches in OVID MEDLINE, OVID Embase, OVID CINAHL, and Cochrane. Additionally, Web of Science and Scopus were consulted to analyze reference lists and citations. Publications in English were included if they analyzed the occurrence of prescribing cascades. Prescribing cascades were included if at least one study demonstrated a significant association and were excluded when the adverse drug reaction could not be confirmed in the Summary of Product Characteristics. Two reviewers independently extracted and grouped similar prescribing cascades. Descriptive summaries were provided regarding dose-dependency analyses and recommendations to prevent or reverse these prescribing cascades.RESULTS: A total of 95 publications were included, resulting in 115 prescribing cascades with confirmed adverse drug reactions for which at least one significant association was found. For 52 of these prescribing cascades, information regarding dose dependency or recommendations to prevent or reverse prescribing cascades was found. Dose dependency was analyzed and confirmed for 12 prescribing cascades. For example, antipsychotics that may cause extrapyramidal syndrome followed by anti-parkinson drugs. Recommendations focused on dosage lowering, discontinuing medication, and medication switching. Explicit recommendations regarding alternative options were given for three prescribing cascades. One example was switching to ondansetron or granisetron when extrapyramidal syndrome is experienced using metoclopramide.CONCLUSIONS: In total, 115 prescribing cascades were identified and an overview of 52 of them was generated for which recommendations to prevent or reverse them were provided. Nonetheless, information regarding alternative options for managing prescribing cascades was scarce.</p

The Role of Public Health Institutions in Global Health System Strengthening Efforts: The US CDC's Perspective

Peter Bloland and colleagues from the US CDC lay out the agency's priorities for health systems strengthening efforts

Morte súbita e angina vasoespástica

Variant angina is defined by chest pain occurring at rest associated with transitory ST segment elevation on ECG, and is caused by a spasm of a coronary artery. Frequently, variant angina is associated with atherosclerotic coronary obstruction and patients with normal coronary arteries are rare. Patients with variant angina and normal coronary arteries have good prognosis, and the development of ventricular arrhythmias or sudden death is rare. The authors present two cases of sudden cardiac death in patients with variant angina and normal coronary arteries