Profoundly reduced neovascularization capacity of bone marrow mononuclear cells derived from patients with chronic ischemic heart disease

Background— Cell therapy with bone marrow–derived stem/progenitor cells is a novel option for improving neovascularization and cardiac function in ischemic heart disease. Circulating endothelial progenitor cells in patients with coronary heart disease are impaired with respect to number and functional activity. However, whether this impairment also extends to bone marrow–derived mononuclear cells (BM-MNCs) in patients with chronic ischemic cardiomyopathy (ICMP) is unclea

Icequake Source Mechanisms for Studying Glacial Sliding

Improving our understanding of glacial sliding is crucial for constraining basal drag in ice dynamics models. We use icequakes, sudden releases of seismic energy as the ice slides over the bed, to provide geophysical observations that can be used to aid understanding of the physics of glacial sliding and constrain ice dynamics models. These icequakes are located at the bed of an alpine glacier in Switzerland and the Rutford Ice Stream, West Antarctica, two extremes of glacial settings and spatial scales. We investigate a number of possible icequake source mechanisms by performing full waveform inversions to constrain the fundamental physics and stress release during an icequake stick-slip event. Results show that double-couple mechanisms best describe the source for the events from both glacial settings and the icequakes originate at or very near the ice-bed interface. We also present an exploratory method for attempting to measure the till shear modulus, if indirect reflected icequake radiation is observed. The results of this study increase our understanding of how icequakes are associated with basal drag while also providing the foundation for a method of remotely measuring bed shear strengt

Towards timely diagnosis of symptomatic breast and cervical cancer in South Africa.

The global cancer burden is projected to increase by 50% by 2030 and, disturbingly, most of the increase will occur in LMICs.[1–4] Unique features of cancer in Africa are the disproportionately high burden of cancers in women (56%), the high proportion of infection-related cancers (30% of all cancers) and the late stage at which cancer is diagnosed (e.g. 46% of breast cancer in South Africa (SA) diagnosed at an advanced stage).[3–7] Cancer stage is a measure of cancer growth and spread, with stage at presentation being an important prognostic factor. Earlier stage at presentation, enabling more opportunities for curative treatment and improved outcomes, is thus an important goal in any comprehensive cancer care policy.SAMRC- is this the same, probably no

Use of an adapted participatory learning and action cycle to increase knowledge and uptake of child vaccination in internally displaced persons camps (IVACS): A cluster-randomised controlled trial

Background: Vaccination is a key public health intervention that can reduce excess mortality in humanitarian contexts. Vaccine hesitancy is thought to be a significant problem requiring demand side interventions. Participatory Learning and Action (PLA) approaches have proven effective in reducing perinatal mortality in low income settings and we aimed to apply an adapted approach in Somalia. Methods: A randomised cluster trial was implemented in camps for internally displaced people near Mogadishu, from June to October 2021. An adapted PLA approach (hPLA) was used in partnership with indigenous ‘Abaay-Abaay’ women's social groups. Trained facilitators ran 6 meeting cycles that addressed topics of child health and vaccination, analysed challenges, and planned and implemented potential solutions. Solutions included a stakeholder exchange meeting involving Abaay-Abaay group members and services providers from humanitarian organisations. Data was collected at baseline and after completion of the 3 month intervention cycle. Results: Overall, 64.6% of mothers were group members at baseline and this increased in both arms during the intervention (p = 0.016). Maternal preference for getting young children vaccinated was >95% at baseline and did not change. The hPLA intervention improved the adjusted maternal/caregiver knowledge score by 7.9 points (maximum possible score 21) compared to the control (95% CI 6.93, 8.85; p < 0.0001). Coverage of both measles vaccination (MCV1) (aOR 2.43 95% CI 1.96, 3.01; p < 0.001) and completion of the pentavalent vaccination series (aOR 2.45 95% CI 1.27, 4.74; p = 0.008) also improved. However, adherence to timely vaccination did not (aOR 1.12 95% CI 0.39, 3.26; p = 0.828). Possession of a home-based, child health record card increased in the intervention arm from 18 to 35% (aOR 2.86 95% CI 1.35, 6.06; p = 0.006). Conclusion: A hPLA approach, run in partnership with indigenous social groups, can achieve important changes in public health knowledge and practice in a humanitarian context. Further work to scale up the approach and address other vaccines and population groups is warranted

Overdiagnosis in breast cancer screening: the importance of length of observation period and lead time

PMCID: PMC3706885This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited

The NiSi melting curve to 70 GPa

The melting curve of NiSi has been determined to 70 GPa on the basis of laser-heated diamond anvil cell (LH-DAC) experiments in which changes in the gradient of temperature vs. laser power functions were used as the melting criterion. The melting curve was corroborated with in situ X-ray diffraction experiments in both the LH-DAC and multi-anvil press in which the appearance of liquid diffuse scattering in the diffraction patterns was used as the melting criterion. At all pressures, the NiSi melting curve is lower than that of FeSi, with the difference in melting temperature reaching a maximum of 900 K at 14 GPa. The location of the B31 + B20 + L triple point has been constrained to 12 ± 2 GPa and 1550 ± 100 K and the B20 + B2 + L triple point to 28.5 ± 1.5 GPa and 2165 ± 60 K. On the basis of the in situ LH-DAC experiments the Clapeyron slope of the B20 → B2 transition is estimated at −67 MPa K−1. Extrapolation of the B2-NiSi liquidus to core-mantle boundary (CMB) conditions (135 GPa) suggests the melting point of NiSi (3700 ± 400 K) will be only marginally lower than that of isostructural FeSi (4000 ± 200 K). Thus any (Fe,Ni)Si solid solution present within the D″ layer is expected to remain solid, with the possible exception of the very hottest region adjacent to the CMB

Early-Life Soy Exposure and Gender-Role Play Behavior in Children

Background: Soy-based infant formula contains high levels of isoflavones. These estrogen-like compounds have been shown to induce changes in sexually dimorphic behaviors in animals exposed in early development

Temporada coreográfica primavera 1974

Ballet de Serge Prokofiev, coreografia d'Erich WalterDe cada obra s'ha digitalitzat un programa sencer. De la resta s'han digitalitzat les parts que són diferents.Empresa: Juan A. PamiasOrquestra del Gran Teatre del Liceu dirigida per Reinhold Kubi

A systematic review of the use of an expertise-based randomised controlled trial design

Acknowledgements JAC held a Medical Research Council UK methodology (G1002292) fellowship, which supported this research. The Health Services Research Unit, Institute of Applied Health Sciences (University of Aberdeen), is core-funded by the Chief Scientist Office of the Scottish Government Health and Social Care Directorates. Views express are those of the authors and do not necessarily reflect the views of the funders.Peer reviewedPublisher PD

A targeted decision aid for the elderly to decide whether to undergo colorectal cancer screening: development and results of an uncontrolled trial

Abstract: Background: Competing causes of mortality in the elderly decrease the potential net benefit from colorectal cancer screening and increase the likelihood of potential harms. Individualized decision making has been recommended, so that the elderly can decide whether or not to undergo colorectal cancer (CRC) screening. The objective is to develop and test a decision aid designed to promote individualized colorectal cancer screening decision making for adults age 75 and over. Methods: We used formative research and cognitive testing to develop and refine the decision aid. We then tested the decision aid in an uncontrolled trial. The primary outcome was the proportion of patients who were prepared to make an individualized decision, defined a priori as having adequate knowledge (10/15 questions correct) and clear values (25 or less on values clarity subscale of decisional conflict scale). Secondary outcomes included overall score on the decisional conflict scale, and preferences for undergoing screening. Results: We enrolled 46 adults in the trial. The decision aid increased the proportion of participants with adequate knowledge from 4% to 52% (p < 0.01) and the proportion prepared to make an individualized decision from 4% to 41% (p < 0.01). The proportion that preferred to undergo CRC screening decreased from 67% to 61% (p = 0. 76); 7 participants (15%) changed screening preference (5 against screening, 2 in favor of screening) Conclusion: In an uncontrolled trial, the elderly participants appeared better prepared to make an individualized decision about whether or not to undergo CRC screening after using the decision aid