441 research outputs found
Understanding Early Writing: Pre-school and Primary Teachersâ Beliefs about Writing Development and the Relationship between Espoused Beliefs, Classroom Practice and Young Writers
This thesis presents an understanding of early writing development in pre-school and first year classrooms through teachersâ beliefs, classroom practices and childrenâs reflections. The study was conducted in three phases. In the first phase, the participants were 12 children from three different pre-school classrooms, which were situated in primary schools, and their teachers. The participants were observed over the course of one month at the end of the academic year in their natural classroom settings, and the teachers were interviewed at the end of the observations. These interviews elicited the teachersâ beliefs about early writing development in pre-school and primary classrooms in general, and about the focus childrenâs development in particular. The data derived from these interviews has been inductively analysed in order to understand the participantsâ beliefs. The lesson plans of these teachers were also collected in order to understand their aims and how they reflect these aims into their classroom practices. In the second phase of the study, these 12 children were followed into the beginning of their first year in primary school, for about one month. These primary classrooms were each observed once a week during writing activities supervised by the teachers. These primary teachers were also interviewed at the end of the observations, in order to understand their beliefs about writing development in both pre-school and primary school, along with their views on children; also, the lesson plans were collected. In the last phase, I conducted a focus group interview with different teachers from the same schools who were working in pre-school and primary classrooms, in order to discover what they believe about each otherâs contexts, the problems they face in supporting childrenâs writing skills, and what recommendations they might have. The findings are presented in three chapters, which explore pedagogical practice, childrenâs learning profiles, and teachersâ awareness of early writing development. This study is significant in offering a picture of both pre-school and primary teachersâ beliefs and practices with regards to early writing, how children respond to these two different educational settings, as well as the transition process in terms of writing development. Furthermore, the continuities, and indeed discontinuities, between these two settings, and the tensions between teachersâ beliefs, practices and policy documents, have been investigated
Investigating the ability of high-rate GNSS-PPP for determining the vibration modes of engineering structures: small scale model experiment
This study evaluates the performance of the Precise Point Positioning method using Global Navigation Satellite System measurements (GNSS-PPP) for monitoring vibration modes of shear type buildings excited by harmonic ground motions and hammer tests. For experimental testing, the shear type lumped-mass building system is represented by a specially designed metal frame model, resembling a three story building, which was excited on a small scale shaking table. The excitation protocols applied were harmonic motions with different frequencies and amplitudes. The metal model has special deformation plates at the column tips to prevent the nonlinear rotations and out-of-plane motions for the entire system. The fundamental vibration periods of the model structure were computed by a Finite Element Mathematical (FEM) model, which were compared with the position variations determined by GNSS-PPP. Two GNSS receivers were mounted on top of the model structure on the line perpendicular to the motion axis to measure the rotation motion. The GNSS data comprised dual-frequency observations with a 10 Hz sampling rate. GNSS-derived positioning was obtained by processing the data using a post-mission kinematic PPP method with fixed phase ambiguities. Analysis of the characteristics of the vibration frequencies showed that the high-rate GNSS PPP method can capture the frequencies of first motion mode of shear type structural response when compared with the FEM output. Results demonstrate the efficiency of the high-rate GNSS PPP method in monitoring first motion mode of a natural frequency
Tracking transplanted bone marrow stem cells and their effects in the rat MCAO stroke model.
In this study, rat bone marrow stromal stem cells (BMSCs) were tracked after IV administration to rats with experimental stroke caused by middle cerebral artery occlusion (MCAO). In addition, the effects of BMSC treatment on blood cell composition, brain glia and sensorimotor behavior was studied and compared to that which occurred spontaneously during the normal recovery process after stroke. We found that the vast majority of radiolabeled or fluorescently labeled BMSCs traveled to and remained in peripheral organs (lungs, spleen, liver) 3 days after IV injection in the MCAO rat. Once in the circulation, BMSCs also produced rapid alterations in host blood cell composition, increasing both neutrophil and total white blood cell count by 6 hours post-injection. In contrast, few injected BMSCs traveled to the brain and almost none endured there long term. Nonetheless, BMSC treatment produced dramatic changes in the number and activation of brain astroglia and microglia, particularly in the region of the infarct. These cellular changes were correlated with a marked improvement in performance on tests of sensory and motor function as compared to the partial recovery of function seen in PBS-injected control rats. We conclude that the notable recovery in function observed after systemic administration of BMSCs to MCAO rats is likely due to the cellular changes in blood and/or brain cell number, activation state and their cytokine/growth factor products
Combined Small Interfering RNA Therapy and In Vivo Magnetic Resonance Imaging in Islet Transplantation
OBJECTIVE Recent advances in human islet transplantation are hampered by significant graft loss shortly after transplantation and inability to follow islet fate directly. Both issues were addressed by utilizing a dual-purpose therapy/imaging small interfering RNA (siRNA)-nanoparticle probe targeting apoptotic-related gene caspase-3. We expect that treatment with the probe would result in significantly better survival of transplanted islets, which could be monitored by in vivo magnetic resonance imaging (MRI). RESEARCH DESIGN AND METHODS We synthesized a probe consisting of therapeutic (siRNA to human caspase-3) and imaging (magnetic iron oxide nanoparticles, MN) moieties. In vitro testing of the probe included serum starvation of the islets followed by treatment with the probe. Caspase-3 gene silencing and protein expression were determined by RT-PCR and Western blot, respectively. In vivo studies included serial MRI of NOD-SCID mice transplanted with MN-small interfering (si)Caspase-3âlabeled human islets under the left kidney capsule and MN-treated islets under the right kidney capsule. RESULTS Treatment with MN-siCaspase-3 probe resulted in decrease of mRNA and protein expression in serum-starved islets compared with controls. In vivo MRI showed that there were significant differences in the relative volume change between MN-siCaspase-3âtreated grafts and MN-labeled grafts. Histology revealed decreased caspase-3 expression and cell apoptosis in MN-siCaspase-3âtreated grafts compared with the control side. CONCLUSIONS Our data show the feasibility of combining siRNA therapy and in vivo monitoring of transplanted islets in mice. We observed a protective effect of MN-siCaspase-3 in treated islets both in vitro and in vivo. This study could potentially aid in increasing the success of clinical islet transplantation
role of winter host plants in vineyard colonization and phenology of zygina rhamni hemiptera cicadellidae typhlocybinae
Abstract Zygina rhamni Ferrari (Hemiptera: Cicadellidae: Typhlocybinae) is a mesophyll-feeding leafhopper that infests grapevine, Vitis vinifera L. This leafhopper's overwintering strategy and the dynamics of its vineyard colonization, relative to the distance between the grapevines and the winter host plants and different grapevine vegetative densities, are described herein. This species shows a facultative heteroecious life cycle. In autumn, it migrates from vineyards to bramble, Rubus gr. fruticosus, and rose, Rosa chinensis Jacquin. On these host plants, females lay eggs that start to hatch at the end of March. Adults that developed on bramble colonize grapevines beginning in May; the leaf fall of rose, which takes place during the first half of April, probably causes the death of unhatched eggs and nymphs. We found that overwintering females can move back to vineyards and lay eggs until early June. The dynamics of vineyard colonization by the leafhopper involved initial concentration in areas close t..
Prognostic image-based quantification of CD8CD103 T cell subsets in high-grade serous ovarian cancer patients
CD103-positive tissue resident memory-like CD8+ T cells (CD8CD103 TRM) are associated with improved prognosis across malignancies, including high-grade serous ovarian cancer (HGSOC). However, whether quantification of CD8, CD103 or both is required to improve existing survival prediction and whether all HGSOC patients or only specific subgroups of patients benefit from infiltration, remains unclear. To address this question, we applied image-based quantification of CD8 and CD103 multiplex immunohistochemistry in the intratumoral and stromal compartments of 268 advanced-stage HGSOC patients from two independent clinical institutions. Infiltration of CD8CD103 immune cell subsets was independent of clinicopathological factors. Our results suggest CD8CD103 TRM quantification as a superior method for prognostication compared to single CD8 or CD103 quantification. A survival benefit of CD8CD103 TRM was observed only in patients treated with primary cytoreductive surgery. Moreover, survival benefit in this group was limited to patients with no macroscopic tumor lesions after surgery. This approach provides novel insights into prognostic stratification of HGSOC patients and may contribute to personalized treatment strategies in the future
De novo mutations in SMCHD1 cause Bosma arhinia microphthalmia syndrome and abrogate nasal development
Bosma arhinia microphthalmia syndrome (BAMS) is an extremely rare and striking condition characterized by complete absence of the nose with or without ocular defects. We report here that missense mutations in the epigenetic regulator SMCHD1 mapping to the extended ATPase domain of the encoded protein cause BAMS in all 14 cases studied. All mutations were de novo where parental DNA was available. Biochemical tests and in vivo assays in Xenopus laevis embryos suggest that these mutations may behave as gain-of-function alleles. This finding is in contrast to the loss-of-function mutations in SMCHD1 that have been associated with facioscapulohumeral muscular dystrophy (FSHD) type 2. Our results establish SMCHD1 as a key player in nasal development and provide biochemical insight into its enzymatic function that may be exploited for development of therapeutics for FSHD
The study on the outsourcing of Taiwan's hospitals: a questionnaire survey research
<p>Abstract</p> <p>Background</p> <p>The aim of this study was to assess the outsourcing situation in Taiwanese hospitals and compares the differences in hospital ownership and in accreditation levels.</p> <p>Methods</p> <p>This research combined two kinds of methods: a questionnaire survey and the in-depth interview to two CEOs of the sample hospitals. One hospital is not-for-profit, while the other is a public hospital and the research samples are from the hospital data from Taiwan's 2005 to 2007 Department of Health qualifying lists of hospital accreditation. The returned questionnaires were analyzed with STATISTICA<sup>Âź </sup>7.1 version software.</p> <p>Results</p> <p>The results for non-medical items showed medical waste and common trash both have the highest rate (94.6 percent) of being outsourced. The gift store (75 percent) and linen (73 percent) follow close behind, while the lowest rate of outsourcing is in utility maintenance (13.5 percent). For medical items, the highest rate of outsourcing is in the ambulance units (51.4 percent), while the hemodialysis center follows close behind with a rate of 50 percent. For departments of nutrition, pharmacy, and nursing however, the outsourcing rate is lower than 3 percent. This shows that Taiwan's hospitals are still conservative in their willingness to outsource for medical items. The results of the satisfaction paired t-test show that the non-medical items have a higher score than the medical items. The factor analysis showed the three significant factors in of non medical items' outsourcing are "performance", "finance", and "human resource". For medical items, the two factors are "operation" and satisfaction". To further exam the factor validity and reliability of the satisfaction model, a confirmative factor analysis (CFA) was conducted using structure equation modeling (SEM) method and found the model fitting well.</p> <p>Conclusion</p> <p>Hospitals, especially for public hospitals, can get benefits from outsourcing to revive the full-time-equivalent and human resource limitation.</p
Short-term surgical complications after radical hysterectomy - a nationwide cohort study
Introduction: Centralization has, among other aspects, been argued to have an impact on quality of care in terms of surgical morbidity. Next, monitoring quality of care is essential in identifying areas of improvement. This nationwide cohort study was conducted to determine the rate of short-term surgical complications and to evaluate its possible predictors in women with early-stage cervical cancer. Material and methods: Women diagnosed with early-stage cervical cancer, 2009 FIGO stages IB1 and IIA1, between 2015 and 2017 who underwent radical hysterectomy with pelvic lymphadenectomy in 1 of the 9 specialized medical centers in the Netherlands, were identified from the Netherlands Cancer Registry. Women were excluded if primary treatment consisted of hysterectomy without parametrial dissection or radical trachelectomy. Women in whom radical hysterectomy was aborted during the procedure, were also excluded. Occurrence of intraoperative and postoperative complications and type of complications, developing within 30Â days after surgery, were prospectively registered. Multivariable logistic regression analysis was used to identify predictors of surgical complications. Results: A total of 472 women were selected, of whom 166 (35%) developed surgical complications within 30Â days after radical hysterectomy. The most frequent complications were urinary retention with catheterization in 73 women (15%) and excessive perioperative blood loss >1000Â mL in 50 women (11%). Open surgery (odds ratio [OR] 3.42; 95% CI 1.73-6.76), chronic pulmonary disease (OR 3.14; 95% CI 1.45-6.79), vascular disease (OR 1.90; 95% CI 1.07-3.38), and medical center (OR 2.83; 95% CI 1.18-6.77) emerged as independent predictors of the occurrence of complications. Body mass index (OR 0.94; 95% CI 0.89-1.00) was found as a negative predictor of urinary retention. Open surgery (OR 36.65; 95% CI 7.10-189.12) and body mass index (OR 1.15; 95% CI 1.08-1.22) were found to be independent predictors of excessive perioperative blood loss. Conclusions: Short-term surgical complications developed in 35% of the women after radical hysterectomy for early-stage cervical cancer in the Netherlands, a nation with centralized surgical care. Comorbidities predict surgical complications, and open surgery is associated with excessive perioperative blood loss
Stented ureterovesical anastomosis in renal transplantation: does it influence the rate of urinary tract infections?
<p>Abstract</p> <p>Objective</p> <p>Our objective was to evaluate the impact of routine use of double-J stents on the incidence of urinary tract infection after renal transplantation.</p> <p>Methods</p> <p>We conducted a retrospective-comparative single-centre study in 310 consecutive adult deceased donor kidney recipients transplanted from 2002 to 2006. Patients were divided in two groups, with or without urinary stent implantation. To evaluate the predictive factors for UTI, donor and recipients pre- and post-transplantation data were analysed. Early urological complications and renal function within 12 months of transplantation were included as well.</p> <p>Results</p> <p>A total of 157 patients were enrolled to a stent (ST) and 153 patients to a no-stent (NST) group. The rate of urinary tract infection at three months was similar between the two groups (43.3% ST vs. 40.1% NST, p = 0.65). Of the identified pathogens Enterococcus and Escherichia coli were the most common species. In multivariate analysis neither age nor immunosuppressive agents, BMI or diabetes seemed to have influence on the rate of UTI. When compared to males, females had a significantly higher risk for UTI (54.0% vs. 33.5%).</p> <p>Conclusion</p> <p>Prophylactic stenting of the ureterovesical anastomosis does not increase the risk of urinary tract infection in the early postoperative period.</p
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