Essays on Selected Aspects of European Integration

To further strengthen European integration much can be done and is actually needed. The present work provides a wide range of empirical results and corresponding policy recommendations from the perspective of economics. The collection of articles here provides a clear illustration that there is a lot of potential to amend the architecture of the European Union and the euro area, respectively. It is well understood that the process of European integration is a continuous process which requires adjustments from time to time. This thesis provides results which indicate that very specific measures, such as facilitating a catch-up in terms of institutional quality by central and eastern European countries, would be beneficial for the process of European integration. This is in line with the general claim that institutional harmonization has to be enhanced. It is shown that within the more narrow framework of the euro area measures to enhance the functioning of the single currency are needed as well. In sum, this implies a strong need for policy measures in response to the recent developments of European integration. Moreover, it is demonstrated that common rules have to be equally binding for all countries. In fact, a number of necessary policy measures are already being implemented, for example the implementation of Basel III. With respect to implementation, results of this thesis imply that such measures have to be implemented carefully. Policy makers have to take into account country-specific characteristics when implementing one-fits-all policy measures. Nonetheless, the uniform European rules are not questioned here. In addition to the results and corresponding policy recommendations, the bulk of the research done here also contributes methodologically to economics. The increasing availability of micro-data is used to address macroeconomic questions and derive corresponding macroeconomic results and implications. Future research in economics will most likely make more and more use of such data

Influential factors in physician burnout in the United Arab Emirates

The purpose of this study was to explore the factors in physician burnout in the United Arab Emirates (UAE). The goal was to identify the influential factors and their manifestations. The interrelated objectives were: 1) to determine physicians\u27 perceptions of work-life balance, medical specialty and national culture on burnout; 2) to explore their general and personal perspectives on the influential factors in the incidence and prevalence of physician burnout. This exploratory qualitative study used in-depth interviews with physicians working in the UAE. The study contributes to the literature by identifying and explicating the influential factors, such as personality, work culture and work-life balance, in physician stress in a new national context, the UAE

N-(4-Hydroxy­phen­yl)-2-(1,1,3-trioxo-2,3-di­hydro-1,2-benzothia­zol-2-yl)­acet­amide

In the title compound, C15H12N2O5S, the benzisothia­zole group is approximately planar (r.m.s. deviation excluding H atoms and the two O atoms bonded to S = 0.023 Å). The dihedral angle between the benzisothia­zole ring and the terminal phenol ring is 84.9 (1)°. In the crystal, mol­ecules are joined by N—H⋯O and O—H⋯O hydrogen bonds, and π-stacking inter­actions are observed between alternating phenol and benzisothia­zole rings [centroid–centroid distances = 3.929 (3) and 3.943 (3) Å]

A Review of Quality Measures for Assessing the Impact of Antimicrobial Stewardship Programs in Hospitals

© 2016 by the authors; licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons by Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/). Mary Richard Akpan, Raheelah Ahmad, Nada Atef Shebl and Diane Ashiru-Oredope, 'A Review of Quality Measures for Assessing the Impact of Antimicrobial Stewardship Programs in Hospitals', Antibiotics, 2016, Vol 5(5). The version of record is available online at doi: doi:10.3390/antibiotics5010005The growing problem of antimicrobial resistance (AMR) has led to calls for antimicrobial stewardship programs (ASP) to control antibiotic use in healthcare settings. Key strategies include prospective audit with feedback and intervention, and formulary restriction and preauthorization. Education, guidelines, clinical pathways, de-escalation, and intravenous to oral conversion are also part of some programs. Impact and quality of ASP can be assessed using process or outcome measures. Outcome measures are categorized as microbiological, patient or financial outcomes. The objective of this review was to provide an overview of quality measures for assessing ASP and the reported impact of ASP in peer-reviewed studies, focusing particularly on patient outcomes. A literature search of papers published in English between 1990 and June 2015 was conducted in five databases using a combination of search terms. Primary studies of any design were included. A total of 63 studies were included in this review. Four studies defined quality metrics for evaluating ASP. Twenty-one studies assessed the impact of ASP on antimicrobial utilization and cost, 25 studies evaluated impact on resistance patterns and/or rate of Clostridium difficile infection (CDI). Thirteen studies assessed impact on patient outcomes including mortality, length of stay (LOS) and readmission rates. Six of these 13 studies reported non-significant difference in mortality between pre- and post-ASP intervention, and five reported reductions in mortality rate. On LOS, six studies reported shorter LOS post intervention; a significant reduction was reported in one of these studies. Of note, this latter study reported significantly (p < 0.001) higher unplanned readmissions related to infections post-ASP. Patient outcomes need to be a key component of ASP evaluation. The choice of metrics is influenced by data and resource availability. Controlling for confounders must be considered in the design of evaluation studies to adequately capture the impact of ASP and it is important for unintended consequences to be considered. This review provides a starting point toward compiling standard outcome metrics for assessing ASP.Peer reviewe

Methionine Adenosyltransferase 1a (MAT1A) Enhances Cell Survival During Chemotherapy Treatment and is Associated with Drug Resistance in Bladder Cancer PDX Mice.

Bladder cancer is among the top ten most common cancers, with about ~380,000 new cases and ~150,000 deaths per year worldwide. Tumor relapse following chemotherapy treatment has long been a significant challenge towards completely curing cancer. We have utilized a patient-derived bladder cancer xenograft (PDX) platform to characterize molecular mechanisms that contribute to relapse following drug treatment in advanced bladder cancer. Transcriptomic profiling of bladder cancer xenograft tumors by RNA-sequencing analysis, before and after relapse, following a 21-day cisplatin/gemcitabine drug treatment regimen identified methionine adenosyltransferase 1a (MAT1A) as one of the significantly upregulated genes following drug treatment. Survey of patient tumor sections confirmed elevated levels of MAT1A in individuals who received chemotherapy. Overexpression of MAT1A in 5637 bladder cancer cells increased tolerance to gemcitabine and stalled cell proliferation rates, suggesting MAT1A upregulation as a potential mechanism by which bladder cancer cells persist in a quiescent state to evade chemotherapy

Central Role of the EGF Receptor in Neurometabolic Aging

A strong connection between neuronal and metabolic health has been revealed in recent years. It appears that both normal and pathophysiological aging, as well as neurodegenerative disorders, are all profoundly influenced by this “neurometabolic” interface, that is, communication between the brain and metabolic organs. An important aspect of this “neurometabolic” axis that needs to be investigated involves an elucidation of molecular factors that knit these two functional signaling domains, neuronal and metabolic, together. This paper attempts to identify and discuss a potential keystone signaling factor in this “neurometabolic” axis, that is, the epidermal growth factor receptor (EGFR). The EGFR has been previously demonstrated to act as a signaling nexus for many ligand signaling modalities and cellular stressors, for example, radiation and oxidative radicals, linked to aging and degeneration. The EGFR is expressed in a wide variety of cells/tissues that pertain to the coordinated regulation of neurometabolic activity. EGFR signaling has been highlighted directly or indirectly in a spectrum of neurometabolic conditions, for example, metabolic syndrome, diabetes, Alzheimer's disease, cancer, and cardiorespiratory function. Understanding the positioning of the EGFR within the neurometabolic domain will enhance our appreciation of the ability of this receptor system to underpin highly complex physiological paradigms such as aging and neurodegeneration

Extended Huckel theory for bandstructure, chemistry, and transport. II. Silicon

In this second paper, we develop transferable semi-empirical parameters for the technologically important material, silicon, using Extended Huckel Theory (EHT) to calculate its electronic structure. The EHT-parameters areoptimized to experimental target values of the band dispersion of bulk-silicon. We obtain a very good quantitative match to the bandstructure characteristics such as bandedges and effective masses, which are competitive with the values obtained within an $sp^3 d^5 s^*$ orthogonal-tight binding model for silicon. The transferability of the parameters is investigated applying them to different physical and chemical environments by calculating the bandstructure of two reconstructed surfaces with different orientations: Si(100) (2x1) and Si(111) (2x1). The reproduced $\pi$- and $\pi^*$-surface bands agree in part quantitatively with DFT-GW calculations and PES/IPES experiments demonstrating their robustness to environmental changes. We further apply the silicon parameters to describe the 1D band dispersion of a unrelaxed rectangular silicon nanowire (SiNW) and demonstrate the EHT-approach of surface passivation using hydrogen. Our EHT-parameters thus provide a quantitative model of bulk-silicon and silicon-based materials such as contacts and surfaces, which are essential ingredients towards a quantitative quantum transport simulation through silicon-based heterostructures.Comment: 9 pages, 9 figure

Editorial: Viral evasion mechanisms of the host response

An essential function of the host response is to protect the organism against invading pathogens. At present, a multiplicity of mechanisms has been described on how the host sense and response to virus infections. Viruses are intracellular pathogens. Both RNA and DNA viruses have evolved mechanisms to evade host detection and to blunt both the host innate and adaptive immune responses. Considering viruses as pathogens with a relatively fast evolutionary rate, particularly RNA viruses, the result of host-virus coevolution depends on the rapid recognition and response by the host as well as on the evasion mechanism by the virus as a continuous struggle for escape/spread and immunity/clearance of virus from the host. In this Special Research Topics issue on the recent advances in Viral Evasion Mechanisms of the Host Response, we compiled a total of twelve research and review articles. The special issue includes five Original Research Articles, five Review Articles, and two Mini Review Articles. Meanwhile five articles were dedicated to viral general mechanisms, seven were specifically focused on picornavirus, respiratory syncytial virus (RSV), Dengue virus (DENV), herpes simplex virus (HSV), and Influenza virus (IAV). The family Picornaviridae includes some of the most important RNA viruses for human and veterinary diseases as poliovirus, rhinovirus, and foot-and-mouth-disease virus, which comprised pioneer studies on the structural aspects of viral components. In their minireview, Cifuente and Moratorio summarize genetic variation mechanisms used by picornaviruses on structural changes involved in binding receptor and capsid antibody evasion of enteroviruses to ensure adaptation, spread and survival. The Paramyxoviridae family includes several important human RNA virus as Measles, Mumps, and RSV.Fil: Gomez, Ricardo Martin. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - La Plata. Instituto de Biotecnología y Biología Molecular. Universidad Nacional de La Plata. Facultad de Ciencias Exactas. Instituto de Biotecnología y Biología Molecular; Argentina. Global Viral Network; Estados UnidosFil: Carrera Silva, Eugenio Antonio. Consejo Nacional de Investigaciones Científicas y Técnicas. Instituto de Medicina Experimental. Academia Nacional de Medicina de Buenos Aires. Instituto de Medicina Experimental; ArgentinaFil: Abrahão, Jônatas Santos. Universidade Federal de Minas Gerais. Instituto de Ciências Biológicas; BrasilFil: Lim, Siew Pheng. Denka Life Innovation Research; SingapurFil: Siddiqui, Aleem. University of California at San Diego; Estados Unido

Pancreas++: Automated Quantification of Pancreatic Islet Cells in Microscopy Images

The microscopic image analysis of pancreatic Islet of Langerhans morphology is crucial for the investigation of diabetes and metabolic diseases. Besides the general size of the islet, the percentage and relative position of glucagon-containing alpha-, and insulin-containing beta-cells is also important for pathophysiological analyses, especially in rodents. Hence, the ability to identify, quantify and spatially locate peripheral, and “involuted” alpha-cells in the islet core is an important analytical goal. There is a dearth of software available for the automated and sophisticated positional quantification of multiple cell types in the islet core. Manual analytical methods for these analyses, while relatively accurate, can suffer from a slow throughput rate as well as user-based biases. Here we describe a newly developed pancreatic islet analytical software program, Pancreas++, which facilitates the fully automated, non-biased, and highly reproducible investigation of islet area and alpha- and beta-cell quantity as well as position within the islet for either single or large batches of fluorescent images. We demonstrate the utility and accuracy of Pancreas++ by comparing its performance to other pancreatic islet size and cell type (alpha, beta) quantification methods. Our Pancreas++ analysis was significantly faster than other methods, while still retaining low error rates and a high degree of result correlation with the manually generated reference standard