332 research outputs found
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Fostering a Patient-led Culture of Care Through Data Physicalization: A Design Approach to Create Awareness and Promote Data Collection on Antimicrobial Resistance
The paradigm shift in healthcare delivery models is leading to individuals assuming greater responsibilities and control, as the agency is moving from doctor-centric to patient-centric. To foster a patient-led culture of care, health and data literacy are essential, especially in the context of global challenges, where citizen awareness is fundamental to play actively in co-creating knowledge. This paper outlines a methodological approach and the outcomes of a design research project focused on promoting engagement and literacy to facilitate citizen and patient participation in addressing the antimicrobial resistance threat. The approach is tested in the format of an experimental workshop, inspired by the procedure of the antibiogram. Data physicalization modalities are considered to promote literacy in healthcare and involve citizens in data collection practices to explain the scientific phenomenon of AMR, engage non-experts in understanding antibiotic functionalities and share personal information related to consumption behaviours.MAKEAWARE! is an initiative organised within the flagship project SPEARHEAD, ‘Swiss Pandemic & AMR — Health Economy Awareness Detect’ (SPEARHEAD) and supported by the Swiss Innovation Agency — Innosuisse
Immobilisation of cell-binding peptides on poly-epsilon-caprolactone (PCL) films: A comparative XPS study of two chemical surface functionalisation methods
Successful interaction between cells and biomaterial surfaces is crucial for biomedical devices, and incorporation of peptides such as RGD (Arg-Gly-Asp) at the polymer interface can substantially promote cell adhesion and proliferation. X-ray photoelectron spectroscopy (XPS) has been used to characterise poly-ε-caprolactone (PCL) films modified by aminolysis and the introduction of RGD peptides via carbodiimide (CDI) and thiol-halogen ‘click’ chemistry. The nitrogen signal acts as an elemental indicator for successful attachment, and changes in the chemical environment are reflected in the carbon and oxygen spectra. Chlorine and sulfur provide additional chemical indicators of reaction progress in the thiol method, with the selective nature of the Cl–S reaction reflected in the complete loss of Cl signal and appearance of S, avoiding potential amine-peptide side-reactions. Comparison of the XPS elemental concentrations indicated an estimate of 2–3% peptide functionalisation on the PCL surface for both methods, correlating with the improvement in Schwann cell response observed after peptide immobilisation. The enhanced selectivity of peptide attachment to the polymer surface demonstrated with XPS for the novel method based on thiol chemistry shows its potential for development as a biomimetic scaffold for peripheral nerve injury
Oculomotor nerve palsy associated with bortezomib in a patient with multiple myeloma: a case report
<p>Abstract</p> <p>Introduction</p> <p>Bortezomib is a proteasome inhibitor used in the treatment of multiple myeloma. A newly recognized oculomotor nerve palsy related to bortezomib is described.</p> <p>Case presentation</p> <p>A 54-year-old Caucasian woman with immunoglobulin G kappa multiple myeloma on single-agent bortezomib given by intravenous push once weekly developed isolated unilateral partially reversible left sided oculomotor nerve palsy during the first cycle of treatment. All the essential diagnostic tests that were carried out excluded all other possible causes. There was a positive dechallenge-rechallenge test. Management was by withdrawal of bortezomib and empirical dexamethazone. To the best of our knowledge, this is the first report of its kind in the literature.</p> <p>Conclusion</p> <p>This case illustrates the probable association between oculomotor nerve palsy and bortezomib, and generates a hypothesis of whether bortezomib can cross the blood-brain barrier or not.</p
Laryngeal transplantation in minipigs: vascular, myologic and functional outcomes
There is no effective way of replacing all the functions of the larynx in those requiring laryngectomy. Regenerative medicine offers promise, but cannot presently deliver implants with functioning neuromuscular units. A single well-documented laryngeal transplant in man was a qualified success, but more information is required before clinical trials may be proposed. We studied the early response of the larynx to laryngeal transplantation between 17 pairs of NIH minipigs full matched at the MHC2 locus. Following iterative technical improvements, pigs had good swallowing and a patent airway at 1 week. No significant changes in mucosal blood flux were observed compared with pre-operative measurements. Changes in muscle morphology and fibre phenotype were observed in transplant muscles retrieved after 7 days: the levels of fast and slow myosin heavy chain (MyHC) protein were reduced and embryonic MyHC was up regulated consistent with denervation induced atrophy. At 1 week laryngeal transplantation can result in good swallowing, and is not associated with clinical evidence of ischemia-reperfusion injury in MHC-matched pigs
Caspase-2 is upregulated after sciatic nerve transection and its inhibition protects dorsal root ganglion neurons from Apoptosis after serum withdrawal
Sciatic nerve (SN) transection-induced apoptosis of dorsal root ganglion neurons (DRGN) is one factor determining the efficacy of peripheral axonal regeneration and the return of sensation. Here, we tested the hypothesis that caspase-2(CASP2) orchestrates apoptosis of axotomised DRGN both in vivo and in vitro by disrupting the local neurotrophic supply to DRGN. We observed significantly elevated levels of cleaved CASP2 (C-CASP2), compared to cleaved caspase-3 (C-CASP3), within TUNEL+DRGN and DRG glia (satellite and Schwann cells) after SN transection. A serum withdrawal cell culture model, which induced 40% apoptotic death in DRGN and 60% in glia, was used to model DRGN loss after neurotrophic factor withdrawal. Elevated C-CASP2 and TUNEL were observed in both DRGN and DRG glia, with C-CASP2 localisation shifting from the cytosol to the nucleus, a required step for induction of direct CASP2-mediated apoptosis. Furthermore, siRNAmediated downregulation of CASP2 protected 50% of DRGN from apoptosis after serum withdrawal, while downregulation of CASP3 had no effect on DRGN or DRG glia survival. We conclude that CASP2 orchestrates the death of SN-axotomised DRGN directly and also indirectly through loss of DRG glia and their local neurotrophic factor support. Accordingly, inhibiting CASP2 expression is a potential therapy for improving both the SN regeneration response and peripheral sensory recovery
TRPA1 is essential for the vascular response to environmental cold exposure
This work was supported by the British Heart Foundation and a Capacity Building Award in Integrative Mammalian Biology. It was also supported by Arthritis Research UK and XK is supported by a British Pharmacological Society AJ Clark studentship
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