630 research outputs found
Motivation-related predictors of physical activity engagement and vitality in rheumatoid arthritis patients
This study tests the Basic Psychological Needs Theory (within the Self-determination framework), in relation to the prediction of physical activity and well-being among rheumatoid arthritis patients. Motivation regulations for physical activity were also considered in the process model. A total of 207 patients (150 females, mean age = 58 ± 11 years) completed a questionnaire pack and structural equation modelling was used to test expected relationships. Autonomy support provided by important other(s) regarding physical activity positively predicted rheumatoid arthritis patients’ need satisfaction which positively related to autonomous reasons for physical activity participation. Autonomous motivation positively predicted reported physical activity participation levels and feelings of vitality
Cognitive ability in early adulthood is associated with systemic inflammation in middle age: The Vietnam experience study
We examined the prospective association between cognitive ability in early adulthood and erythrocyte sedimentation rate, a marker of inflammation, in middle age. Participants were 4256 male Vietnam era US veterans. Data on cognitive ability, assessed by the Army General Technical Test, ethnicity, and place of service were extracted from enlistment files. Smoking behaviour, alcohol consumption, basic socio-demographics, and whether participants suffered from a physician diagnosed chronic disease were determined by telephone interview in middle-age in 1985. Erythrocyte sedimentation rate, cholesterol, blood pressure, height, and weight were measured at a 3-day medical examination in 1986. In linear regression models that adjusted for age and then additionally for circumstantial, socio-demographic, lifestyle, and health factors, poor cognitive ability in early adulthood was associated with greater erythrocyte sedimentation rate in middle age, β = -.09. Thus, it would appear that not only does systemic inflammation affect cognition, but also that poor cognitive ability earlier in life increases the risk of developing inflammation
Inguinal microbiome in patients undergoing an endovascular aneurysm repair:Application of next-generation sequencing of the 16S-23S rRNA regions
Background: Surgical site infection (SSI) remains a hazardous complication after vascular surgery. In this pilot study we investigated the inguinal microbiome in skin biopsies using histology and 16S-23S rDNA Next Generation Sequencing (NGS). Our hypothesis was that causative microorganisms of SSI are present in the inguinal microbiome. Methods: Data on surgical site infections and skin samples from the Percutaneous in Endovascular Repair versus Open (PiERO) trail were evaluated. Two patients with SSI were matched for age and comorbidity to eight matching patients of the PiERO trial. All patients were treated for an abdominal aortic aneurysm with endovascular repair. Nasal and perineal cultures were taken preoperatively to detect Staphylococcus aureus carriage. After disinfection with chlorhexidine, groin biopsies were taken to identify bacteria in deeper skin layers. All samples were subjected to histological analysis and culture-free 16S-23S rDNA NGS. Results: Staphylococcus aureus species were cultured in 5 out of 20 preoperative nasal and perineal swaps. Histology detected only a few bacteria, NGS of the 16S-23S rRNA regions identified DNA of bacterial species in all biopsies (20/20). Most identified genera and species proved to be known skin flora bacteria. No relation was found between SSIs and the preoperative microbiome. Conclusion: In this pilot study, an innovative analysis of the preoperative microbiome using 16S-23S rDNA NGS did not show a relation with the occurrence of a surgical site infection. No pathogenic bacterial species were present in the inguinal skin after disinfection with chiorhexidine
Effects of a nanoscopic filler on the structure and dynamics of a simulated polymer melt and the relationship to ultra-thin films
We perform molecular dynamics simulations of an idealized polymer melt
surrounding a nanoscopic filler particle to probe the effects of a filler on
the local melt structure and dynamics. We show that the glass transition
temperature of the melt can be shifted to either higher or lower
temperatures by appropriately tuning the interactions between polymer and
filler. A gradual change of the polymer dynamics approaching the filler surface
causes the change in the glass transition. We also find that while the bulk
structure of the polymers changes little, the polymers close to the surface
tend to be elongated and flattened, independent of the type of interaction we
study. Consequently, the dynamics appear strongly influenced by the
interactions, while the melt structure is only altered by the geometric
constraints imposed by the presence of the filler. Our findings show a strong
similarity to those obtained for ultra-thin polymer films (thickness nm) suggesting that both ultra-thin films and filled-polymer systems might
be understood in the same context
Probing structural relaxation in complex fluids by critical fluctuations
Complex fluids, such as polymer solutions and blends, colloids and gels, are
of growing interest in fundamental and applied soft-condensed-matter science. A
common feature of all such systems is the presence of a mesoscopic structural
length scale intermediate between atomic and macroscopic scales. This
mesoscopic structure of complex fluids is often fragile and sensitive to
external perturbations. Complex fluids are frequently viscoelastic (showing a
combination of viscous and elastic behaviour) with their dynamic response
depending on the time and length scales. Recently, non-invasive methods to
infer the rheological response of complex fluids have gained popularity through
the technique of microrheology, where the diffusion of probe spheres in a
viscoelastic fluid is monitored with the aid of light scattering or microscopy.
Here we propose an alternative to traditional microrheology that does not
require doping of probe particles in the fluid (which can sometimes drastically
alter the molecular environment). Instead, our proposed method makes use of the
phenomenon of "avoided crossing" between modes associated with the structural
relaxation and critical fluctuations that are spontaneously generated in the
system.Comment: 4 pages, 4 figure
Electrical Properties of Selective-Area-Grown Superconductor-Semiconductor Hybrid Structures on Silicon
We present a superconductor-semiconductor material system that is both
scalable and monolithically integrated on a silicon substrate. It uses
selective area growth of Al-InAs hybrid structures on a planar III-V buffer
layer, grown directly on a high resistivity silicon substrate. We characterized
the electrical properties of this material system at millikelvin temperatures
and observed a high average field-effect mobility of for the InAs channel, and a hard induced
superconducting gap. Josephson junctions exhibited a high interface
transmission, , gate voltage tunable switching
current with a product of critical current and normal state resistance,
, and signatures of
multiple Andreev reflections. These results pave the way for scalable and high
coherent gate voltage tunable transmon devices and other
superconductor-semiconductor hybrids fabricated directly on silicon
Cytotoxic polyfunctionality maturation of cytomegalovirus-pp65-specific CD4 + and CD8 + T-cell responses in older adults positively correlates with response size
Cytomegalovirus (CMV) infection is one of the most common persistent viral infections in humans worldwide and is epidemiologically associated with many adverse health consequences during aging. Previous studies yielded conflicting results regarding whether large, CMV-specific T-cell expansions maintain their function during human aging. In the current study, we examined the in vitro CMV-pp65-reactive T-cell response by comprehensively studying five effector functions (i.e., interleukin-2, tumor necrosis factor-α, interferon-γ, perforin, and CD107a expression) in 76 seropositive individuals aged 70 years or older. Two data-driven, polyfunctionality panels (IL-2-associated and cytotoxicity-associated) derived from effector function co-expression patterns were used to analyze the results. We found that, CMV-pp65-reactive CD8 + and CD4 + T cells contained similar polyfunctional subsets, and the level of polyfunctionality was related to the size of antigen-specific response. In both CD8 + and CD4 + cells, polyfunctional cells with high cytotoxic potential accounted for a larger proportion of the total response as the total response size increased. Notably, a higher serum CMV-IgG level was positively associated with a larger T-cell response size and a higher level of cytotoxic polyfunctionality. These findings indicate that CMV-pp65-specific CD4 + and CD8 + T cell undergo simultaneous cytotoxic polyfunctionality maturation during aging
Metabolic and nutritional support of critically ill patients: consensus and controversies.
The results of recent large-scale clinical trials have led us to review our understanding of the metabolic response to stress and the most appropriate means of managing nutrition in critically ill patients. This review presents an update in this field, identifying and discussing a number of areas for which consensus has been reached and others where controversy remains and presenting areas for future research. We discuss optimal calorie and protein intake, the incidence and management of re-feeding syndrome, the role of gastric residual volume monitoring, the place of supplemental parenteral nutrition when enteral feeding is deemed insufficient, the role of indirect calorimetry, and potential indications for several pharmaconutrients
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