631 research outputs found

    Leisure time physical inactivity, obesity and diabetes : rates in the southern United States

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    Purpose: To explore changes in and relationships among leisure time physical INactivity (LTPIA), obesity & DM rates in the US from 1994-2012. Conclusions: Age adjusted LTPIA, Obesity & DM rates are higher in the South than in other US regions; Although self-reported LTPIA rates have dropped, both obesity & DM rates have continued to rise over the 19 year period; Study limitation: Based on LTPIA definition, one episode of exercise during the month would qualify a person as ‘NOT inactive’; Revision of the LTPIA question on the BRFSS is recommended; Future research needs to identify factors that contribute to higher rates of LTPIA, obesity and diabetes in the South

    Massive thymic deletion results in systemic autoimmunity through elimination of CD4+ CD25+ T regulatory cells

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    Incomplete deletion of KRN T cells that recognize the ubiquitously expressed self-antigen glucose-6-phosphate-isomerase (GPI) initiates an anti-GPI autoimmune cascade in K/BxN mice resulting in a humorally mediated arthritis. Transgenic (Tg) expression of a KRN T cell receptor (TCR) agonist under the major histocompatibility complex class II promoter resulted in thymic deletion with loss of anti-GPI T and B cell responses and attenuated arthritis course. However, double Tg mice succumbed to systemic autoimmunity with multiorgan inflammation and autoantibody production. Extensive thymic deletion resulted in lymphopenia and elimination of CD4(+) CD25(+) regulatory T cells (Tregs), but spared some CD4(+) T cells expressing endogenous TCR, which oligoclonally expanded in the periphery. Disease was transferred by these T cells and prevented by cotransfer of CD4(+) CD25(+) Tregs. Moreover, we extended our findings to another TCR system (anti–hen egg lysozyme [HEL] TCR/HEL mice) where similarly extensive thymic deletion also resulted in disease. Thus, our studies demonstrated that central tolerance can paradoxically result in systemic autoimmunity through differential susceptibility of Tregs and autoreactive T cells to thymic deletion. Therefore, too little or too much negative selection to a self-antigen can result in systemic autoimmunity and disease

    Pressure ulcers

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    This issue of eMedRef provides information to clinicians on the pathophysiology, diagnosis, and therapeutics of pressure ulcers
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