1,273 research outputs found

    Opposites Do Not Attract: The Impact of Domestic Institutions, Power, and Prior Commitments on Alignment Choices

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    Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/146950/1/0020-8833.00055.pd

    Shared Decision-Making as Experienced by Rehabilitation Students on an International Service-Learning Trip: A Phenomenological Investigation

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    The value of service-learning has been well documented in medical and allied health education (Abedini, Gruppen, Kolars, & Kumagai, 2012; Ekelman, Dal Bello-Haas, Bazyk, & Bazyk, 2003; Pechak, Gonzalez, Summers, & Capshaw, 2013; Pechak & Thompson, 2009; Ryan-Krause, 2016). Several studies have been conducted looking at cultural experiences and clinical reasoning (Corbett & Fickert, 2009; Sheppard & Landry, 2015; Nouvet, Chan & Schwartz, 2016). What has not been well-examined though is the concept of shared decision-making by those engaged in service-learning. The purpose of this phenomenological investigation (i.e. study) was to identify how occupational therapy (OT) and physical therapy (PT) students defined shared decision-making in the context of an international service-learning trip to Guatemala City, Guatemala in April 2017

    Vortices within vortices: hierarchical nature of vortex tubes in turbulence

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    The JHU turbulence database [1] can be used with a state of the art visualisation tool [2] to generate high quality fluid dynamics videos. In this work we investigate the classical idea that smaller structures in turbulent flows, while engaged in their own internal dynamics, are advected by the larger structures. They are not advected undistorted, however. We see instead that the small scale structures are sheared and twisted by the larger scales. This illuminates the basic mechanisms of the turbulent cascade.Comment: 2 pages, 1 low quality video, 1 high quality vide

    Crystal structure and RNA binding of the Rpb4/Rpb7 subunits of human RNA polymerase II

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    The Rpb4 and Rpb7 subunits of eukaryotic RNA polymerase II (RNAP(II)) form a heterodimer that protrudes from the 10-subunit core of the enzyme. We have obtained crystals of the human Rpb4/Rpb7 heterodimer and determined the structure to 2.7 Å resolution. The presence of putative RNA-binding domains on the Rpb7 subunit and the position of the heterodimer close to the RNA exit groove in the 12 subunit yeast polymerase complex strongly suggests a role for the heterodimer in binding and stabilizing the nascent RNA transcript. We have complemented the structural analysis with biochemical studies directed at dissecting the RNA-binding properties of the human Rpb4/Rpb7 complex and that of the homologous E/F complex from Methanocaldococcus jannaschii. A number of conserved, solvent-exposed residues in both the human Rpb7 subunit and the archaeal E subunit have been modified by site-directed mutagenesis and the mutants tested for RNA binding by performing electrophoretic mobility shift assays. These studies have identified an elongated surface region on the corresponding face of both subunit E and Rpb7 that is involved in RNA binding. The area spans the nucleic acid binding face of the OB fold, including the B4–B5 loop, but also extends towards the N-terminal domain

    Simian varicella virus infects enteric neurons and α4β7 integrin-expressing gut-tropic T-cells in nonhuman primates

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    The pathogenesis of enteric zoster, a rare debilitating complication of reactivation of latent varicella-zoster virus (VZV) in the enteric nervous system (ENS), is largely unknown. Infection of monkeys with the closely related Varicellovirus simian varicella virus (SVV) mimics VZV disease in humans. In this study, we determined the applicability of the SVV nonhuman primate model to study Varicellovirus infection of the ENS. We confirmed VZV infection of the gut in latently infected adults and demonstrated th

    Pathogenesis of tendinopathies: inflammation or degeneration?

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    The intrinsic pathogenetic mechanisms of tendinopathies are largely unknown and whether inflammation or degeneration has the prominent role is still a matter of debate. Assuming that there is a continuum from physiology to pathology, overuse may be considered as the initial disease factor; in this context, microruptures of tendon fibers occur and several molecules are expressed, some of which promote the healing process, while others, including inflammatory cytokines, act as disease mediators. Neural in-growth that accompanies the neovessels explains the occurrence of pain and triggers neurogenic-mediated inflammation. It is conceivable that inflammation and degeneration are not mutually exclusive, but work together in the pathogenesis of tendinopathies

    Increasing Tumor Volume Is Predictive of Poor Overall and Progression-Free Survival: Secondary Analysis of the Radiation Therapy Oncology Group 93-11 Phase I-II Radiation Dose-Escalation Study In Patients With Inoperable Non-Small-Cell Lung Cancer

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    Purpose Patients with non–small-cell lung cancer (NSCLC) in the Radiation Therapy Oncology Group (RTOG) 93-11 trial received radiation doses of 70.9, 77.4, 83.8, or 90.3 Gy. The locoregional control and survival rates were similar among the various dose levels.We investigated the effect of the gross tumor volume (GTV) on the outcome. Methods and Materials The GTV was defined as the sum of the volumes of the primary tumor and involved lymph nodes. The tumor response, median survival time (MST), and progression-free survival (PFS) were analyzed separately for smaller (≤45 cm3) vs. larger (\u3e45 cm3) tumors. Results The distribution of the GTV was as follows: ≤45 cm3 in 79 (49%) and \u3e45 cm3 in 82 (51%) of 161 patients. The median GTV was 47.3 cm3. N0 status and female gender were associated with better tumor responses. Patients with smaller (≤45 cm3) tumors achieved a longer MST and better PFS than did patients with larger (\u3e45 cm3) tumors (29.7 vs. 13.3 months, p \u3c 0.0001; and 15.8 vs. 8.3 months, p \u3c 0.0001, respectively). Increasing the radiation dose had no effect on the MST or PFS. On multivariate analysis, only a smaller GTV was a significant prognostic factor for improved MST and PFS (hazard ratio [HR], 2.12, p = 0.0002; and HR, 2.0, p = 0.0002, respectively). The GTV as a continuous variable was also significantly associated with the MST and PFS (HR, 1.59, p \u3c 0.0001; and HR, 1.39, p \u3c 0.0001, respectively). Conclusions Radiation dose escalation up to 90.3 Gy did not result in improved MST or PFS. The tumor responses were greater in node-negative patients and women. An increasing GTV was strongly associated with decreased MST and PFS. Future radiotherapy trials patients might need to use stratification by tumor volume. Int. J. Radiation Oncology Biol. Physics, Volume 70, No. 2, pp. 385-390, 200

    Spitzer Infrared Observations and Independent Validation of the Transiting Super-Earth CoRoT-7b

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    The detection and characterization of the first transiting super-Earth, CoRoT-7 b, has required an unprecedented effort in terms of telescope time and analysis. Although the star does display a radial velocity signal at the period of the planet, this has been difficult to disentangle from the intrinsic stellar variability, and pinning down the velocity amplitude has been very challenging. As a result, the precise value of the mass of the planet - and even the extent to which it can be considered to be confirmed - have been debated in the recent literature, with six mass measurements published so far based on the same spectroscopic observations, ranging from about 2 to 8 Earth masses. Here we report on an independent validation of the planet discovery, using one of the fundamental properties of a transit signal: its achromaticity. We observed four transits of CoRoT-7 b with Spitzer, in order to determine whether the depth of the transit signal in the near-infrared is consistent with that observed in the CoRoT bandpass, as expected for a planet. We detected the transit and found an average depth of 0.426 {\pm} 0.115 mmag at 4.5 {\mu}m, which is in good agreement with the depth of 0.350 {\pm} 0.011 mmag found by CoRoT. These observations place important constraints on the kinds of astrophysical false positives that could mimic the signal. Combining this with additional constraints reported earlier, we performed an exhaustive exploration of possible blends scenarios for CoRoT-7 b using the BLENDER technique. We are able to rule out the vast majority of false positives, and the remaining ones are found to be much less likely than a true transiting planet. We thus validate CoRoT-7 b as a bona-fide planet with a very high degree of confidence, independently of any radial-velocity information. Our Spitzer observations have additionally allowed us to significantly improve the ephemeris of the planet.Comment: Accepted by Ap
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