Renal disease in nail-patella syndrome: Clinical and morphologic studies

Renal disease in nail-patella syndrome: Clinical and morphological studies. Clinical and morphological features of seven patients with the nail-patella syndrome are described. Progression to renal failure after a prolonged period of asymptomatic proteinuria is reported. Kidney tissue from these seven patients studied by light, immunofluorescent and electron microscopy demonstrated abnormalities characteristic of this disease. Focal glomerular basement membrane thickening was observed by light microscopy. Immunofluorescent microscopy showed focal glomerular basement membrane and arteriolar staining with serum proteins, predominantly IgM and β1C. Electron microscopy revealed markedly abnormal glomerular basement membranes containing bundles of cross-striated fibrils. These fibrils were more readily demonstrated in phosphotungstic acid-stained sections. The data presented suggest that the inborn error of connective tissue metabolism of the nail-patella syndrome is associated with renal disease as the result of deposition of collagen moieties in glomerular basement membranes with subsequent alterations of glomerular structure and function

International Labor Standards, Soft Regulation, and National Government Roles

[Excerpt] In this article, we briefly describe the different approaches to the regulation of international labor standards, and then argue for a new role for national governments based on soft rather than hard regulation approaches. We argue that this new role shows potential for significantly enhancing progress in international labor standards, since it enables governments to articulate a position without having to deal with the enforcement issues that hard regulation mandates. We justify this new role for governments based on the increasing use of soft regulation in the international arena. Of course, this approach is not without its own problems, but given that existing approaches have all provided imperfect solutions to the problem of improving labor standards globally, re-visiting the role of national governments is in our view, highly important

Computational system identification of continuous-time nonlinear systems using approximate Bayesian computation

In this paper, we derive a system identification framework for continuous-time nonlinear systems, for the first time using a simulation-focused computational Bayesian approach. Simulation approaches to nonlinear system identification have been shown to outperform regression methods under certain conditions, such as non-persistently exciting inputs and fast-sampling. We use the approximate Bayesian computation (ABC) algorithm to perform simulation-based inference of model parameters. The framework has the following main advantages: (1) parameter distributions are intrinsically generated, giving the user a clear description of uncertainty, (2) the simulation approach avoids the difficult problem of estimating signal derivatives as is common with other continuous-time methods, and (3) as noted above, the simulation approach improves identification under conditions of non-persistently exciting inputs and fast-sampling. Term selection is performed by judging parameter significance using parameter distributions that are intrinsically generated as part of the ABC procedure. The results from a numerical example demonstrate that the method performs well in noisy scenarios, especially in comparison to competing techniques that rely on signal derivative estimation

Effect of Student Involvement on Patient Perceptions of Ambulatory Care Visits

OBJECTIVE: To determine if patient satisfaction with ambulatory care visits differs when medical students participate in the visit. DESIGN: Randomized controlled trial. SETTING: Academic general internal medicine practice. PARTICIPANTS: Outpatients randomly assigned to see an attending physician only (N = 66) or an attending physician plus medical student (N = 68). MEASUREMENTS AND MAIN RESULTS: Patient perceptions of the office visit were determined by telephone survey. Overall office visit satisfaction was higher for the “attending physician only” group (61% vs 48% excellent), although this was not statistically significant (P = .16). There was no difference between the study groups for patient ratings of their physician overall (80% vs 85% excellent; P = .44). In subsidiary analyses, patients who rated their attending physician as “excellent” rated the overall office visit significantly higher in the “attending physician only” group (74% vs 55%; P = .04). Among patients in the “attending physician plus medical student” group, 40% indicated that medical student involvement “probably” or “definitely” did not improve their care, and 30% responded that they “probably” or “definitely” did not want to see a student at subsequent office visits. CONCLUSIONS: Although our sample size was small, we found no significant decrement in patient ratings of office visit satisfaction from medical student involvement in a global satisfaction survey. However, a significant number of patients expressed discontent with student involvement in the visit when asked directly. Global assessment of patient satisfaction may lack sensitivity for detection of dissatisfaction. Future research in this area should employ more sensitive measures of patient satisfaction

Dextran Penetration Through Nonkeratinized and Keratinized Epithelia in Monkeys

Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/142019/1/jper0424.pd

Thermal Conductivity of the Spin Peierls Compound CuGeO_3

The thermal conductivity of the Spin-Peierls (SP) compound CuGeO_3 was measured in magnetic fields up to 16 T. Above the SP transition, the heat transport due to spin excitations causes a peak at around 22 K, while below the transition the spin excitations rapidly diminish and the heat transport is dominated by phonons; however, the main scattering process of the phonons is with spin excitations, which demonstrates itself in an unusual peak in the thermal conductivity at about 5.5 K. This low-temperature peak is strongly suppressed with magnetic fields in excess of 12.5 T.Comment: 6 pages, including 2 postscript figure

Kondo screening in d-wave superconductors in a Zeeman field and implications for STM spectra of Zn-doped cuprates

We consider the screening of an impurity moment in a d-wave superconductor under the influence of a Zeeman magnetic field. Using the Numerical Renormalization Group technique, we investigate the resulting pseudogap Kondo problem, in particular the field-induced crossover behavior in the vicinity of the zero-field boundary quantum phase transition. The impurity spectral function and the resulting changes in the local host density of states are calculated, giving specific predictions for high-field STM measurements on impurity-doped cuprates.Comment: 5 pages, 4 figs, (v2) remark on c-axis field added, discussion extended, (v3) final version as publishe

Specific Heat of Zn-Doped YBa_{2}Cu_3O_{6.95}: Possible Evidence for Kondo Screening in the Superconducting State

The magnetic field dependence of the specific heat of Zn-doped single crystals of YBa_{2}Cu_3O_{6.95} was measured between 2 and 10 K and up to 8 Tesla. Doping levels of 0, 0.15%, 0.31%, and 1% were studied and compared. In particular we searched for the Schottky anomaly associated with the Zn-induced magnetic moments.Comment: 5 pages, 6 figure

Impurity in a d-wave superconductor: Kondo effect and STM spectra

We present a theory for recent STM studies of Zn impurities in the superconductor BSCCO, using insights from NMR experiments which show that there is a net S=1/2 moment on the Cu ions near the Zn. We argue that the Kondo spin dynamics of this moment is the origin of the low bias peak in the differential conductance, rather than a resonance in a purely potential scattering model. The spatial and energy dependence of the STM spectra of our model can also fit the experiments.Comment: 4 pages, 2 color figures. Found improved saddle-point with d-wave correlations near the impurity; onset of Kondo screening now occurs at a significantly smaller coupling, but there is little qualitative change in other features. Noted connection to STM of Kondo impurities in normal metals. Final version as publishe