242 research outputs found

    A Prospective Study to Assess In Vivo Optical Coherence Tomography Imaging for Early Detection of Chemotherapy-induced Oral Mucositis

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    Background and Objective Oral mucositis (OM) is a common and severe complication of many cancer therapies. Currently, prediction and early detection are not possible and objective monitoring remains problematic. Goal of this prospective study is to assess non-invasive imaging using optical coherence tomography (OCT) for early detection and evaluation of chemotherapy-induced OM in 48 patients, 12 of whom developed clinical mucositis. Study Design/Materials and Methods In 48 patients receiving neoadjuvant chemotherapy for primary breast cancer, oral mucosal health was assessed clinically, and imaged using non-invasive OCT. Images were evaluated for mucositis using an imaging-based scoring system ranging from 0 to 6. Conventional clinical assessment using the OM assessment scale (OMAS) was used as the gold standard. Patients were evaluated on Days 0-11 after commencement of chemotherapy. OCT images were visually scored by three blinded investigators. Results The following events were identified from OCT images (1) change in epithelial thickness and subepithelial tissue integrity (beginning on Day 2), (2) loss of surface keratinized layer continuity (beginning on Day 4), (3) loss of epithelial integrity (beginning on Day 4). Imaging data gave higher scores compared to clinical scores early in treatment, suggesting that the imaging-based diagnostic scoring was more sensitive to early mucositic change than the clinical scoring system. Once mucositis was established, imaging and clinical scores converged. Conclusion Using OCT imaging and a novel scoring system, earlier, more sensitive detection of mucositis was possible than using OMAS. Specific imaging-based changes were a consistent predictor of clinical mucositis. Lasers Surg. Med. 45: 22-27, 2013. © 2013 Wiley Periodicals, Inc. Copyright © 2013 Wiley Periodicals, Inc

    Aprendiendo de la vinculación ciencia-política desde la experiencia de Centroamérica

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    Partiendo desde la información actualmente servida en la plataforma de CGSpace, tanto en la temática y las formas de publicaciones, se desarrollaron unas consultas con investigadores y tomadores de decisión en Centroamérica para identificar la vinculación entre ambas comunidades. Tomando como punto de partida los temas relacionados con Acción Climática se consultó sobre temas prioritarios para investigación y barreras, las formas de interacción y la percepción del trabajo de los centros de investigación en la región. Aunque la mayoría no ha consultado nunca la plataforma de CGSpace, los socios nacionales valoran como de alta credibilidad los productos de conocimiento generados. También se ha logrado identificar temas donde ya hay trabajo en común pero también temas para desarrollar más en el fututo cómo reducción de huella hídrica y uso eficiente del recurso hídrico, campañas de educación y concientización para fomentar el compromiso y participación de autoridades municipales y comunidades, e incentivos para la implementación de tecnologías y manejo sostenible de desechos agrícolas. La institucionalización de las interacciones ciencia y política vía grupos de trabajo temáticos por país constituyen una pista para fortalecer el dialogo entre ambas comunidades

    Математична залежність точності верстатних пристроїв від їх ступеня гнучкості

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    Підвищення конкурентоспроможності продукції, що виробляється невеликими підприємствами, забезпечується шляхом скорочення витрат на проектування та виготовлення технологічної оснастки для свердлильно- фрезерно-розточувальних операцій. Це стає можливим за рахунок використання гнучких верстатних пристроїв (ВП), що мають можливість переналагодження у заданому діапазоні розмірів заготовки шляхом регулювання установлювально-затискних елементів

    Embodying compassion: A virtual reality paradigm for overcoming excessive self-criticism

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    Virtual reality has been successfully used to study and treat psychological disorders such as phobias and posttraumatic stress disorder but has rarely been applied to clinically-relevant emotions other than fear and anxiety. Self-criticism is a ubiquitous feature of psychopathology and can be treated by increasing levels of self-compassion. We exploited the known effects of identification with a virtual body to arrange for healthy female volunteers high in self-criticism to experience self-compassion from an embodied first-person perspective within immersive virtual reality. Whereas observation and practice of compassionate responses reduced self-criticism, the additional experience of embodiment also increased self-compassion and feelings of being safe. The results suggest potential new uses for immersive virtual reality in a range of clinical conditions.N/

    Biased Saccadic Responses to Emotional Stimuli in Anxiety: An Antisaccade Study.

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    Research suggests that anxiety is maintained by an attentional bias to threat, and a growing base of evidence suggests that anxiety may additionally be associated with the deficient attentional processing of positive stimuli. The present study sought to examine whether such anxiety-linked attentional biases were associated with either stimulus driven or attentional control mechanisms of attentional selectivity. High and low trait anxious participants completed an emotional variant of an antisaccade task, in which they were required to prosaccade towards, or antisaccade away from a positive, neutral or threat stimulus, while eye movements were recorded. While low anxious participants were found to be slower to saccade in response to positive stimuli, irrespectively of whether a pro- or antisaccade was required, such a bias was absent in high anxious individuals. Analysis of erroneous antisaccades further revealed at trend level, that anxiety was associated with reduced peak velocity in response to threat. The findings suggest that anxiety is associated with the aberrant processing of positive stimuli, and greater compensatory efforts in the inhibition of threat. The findings further highlight the relevance of considering saccade peak velocity in the assessment of anxiety-linked attentional processing

    Individual Differences in the Ability to Recognise Facial Identity Are Associated with Social Anxiety

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    Previous research has been concerned with the relationship between social anxiety and the recognition of face expression but the question of whether there is a relationship between social anxiety and the recognition of face identity has been neglected. Here, we report the first evidence that social anxiety is associated with recognition of face identity, across the population range of individual differences in recognition abilities. Results showed poorer face identity recognition (on the Cambridge Face Memory Test) was correlated with a small but significant increase in social anxiety (Social Interaction Anxiety Scale) but not general anxiety (State-Trait Anxiety Inventory). The correlation was also independent of general visual memory (Cambridge Car Memory Test) and IQ. Theoretically, the correlation could arise because correct identification of people, typically achieved via faces, is important for successful social interactions, extending evidence that individuals with clinical-level deficits in face identity recognition (prosopagnosia) often report social stress due to their inability to recognise others. Equally, the relationship could arise if social anxiety causes reduced exposure or attention to people's faces, and thus to poor development of face recognition mechanisms
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