940 research outputs found

    Ruptures and repairs of group therapy alliance. an untold story in psychotherapy research

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    Although previous studies investigated the characteristics of therapeutic alliance in group treatments, there is still a dearth of research on group alliance ruptures and repairs. The model by Safran and Muran was originally developed to address therapeutic alliance in individual therapies, and the usefulness of this approach to group intervention needs to be demonstrated. Alliance ruptures are possible at member to therapist, member to member, member to group levels. Moreover, repairs of ruptures in group are quite complex, i.e., because other group members have to process the rupture even if not directly involved. The aim of the current study is to review the empirical research on group alliance, and to examine whether the rupture repair model can be a suitable framework for clinical understanding and research of the complexity of therapeutic alliance in group treatments. We provide clinical vignettes and commentary to illustrate theoretical and research aspects of therapeutic alliance rupture and repair in groups. Our colleague Jeremy Safran made a substantial contribution to research on therapeutic alliance, and the current paper illustrates the enduring legacy of this work and its potential application to the group therapy context

    Shepherding precision gene editing with CRISPR-Cas9 variants and adenoviral vectors

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    The past two decades have seen the growing development and consequent vast application of next-generation genome editing tools in fundamental and applied research. Nowadays GE based on RNA-guided nucleases (e.g., engineered CRISPR-Cas9 nucleases) are the most common tools for targeted genetic modification. Nevertheless, these technologies are in need of increased efficiency and accuracy, especially looking forward to translation into diverse clinical applications. The work presented in this thesis focuses on improving the efficiency and accuracy of genome editing, particularly in cells with high therapeutic potential, such as induced pluripotent stem cells (iPSCs), by investigating the feasibility of using adenoviral vectors to test novel genome editing approaches and by exploring the possible applications of a scarless strategy.LUMC / Geneeskund

    Intense myocyte formation from cardiac stem cells in human cardiac hypertrophy

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    It is generally believed that increase in adult contractile cardiac mass can be accomplished only by hypertrophy of existing myocytes. Documentation of myocardial regeneration in acute stress has challenged this dogma and led to the proposition that myocyte renewal is fundamental to cardiac homeostasis. Here we report that in human aortic stenosis, increased cardiac mass results from a combination of myocyte hypertrophy and hyperplasia. Intense new myocyte formation results from the differentiation of stem-like cells committed to the myocyte lineage. These cells express stem cell markers and telomerase. Their number increased >13-fold in aortic stenosis. The finding of cell clusters with stem cells making the transition to cardiogenic and myocyte precursors, as well as very primitive myocytes that turn into terminally differentiated myocytes, provides a link between cardiac stem cells and myocyte differentiation. Growth and differentiation of these primitive cells was markedly enhanced in hypertrophy, consistent with activation of a restricted number of stem cells that, through symmetrical cell division, generate asynchronously differentiating progeny. These clusters strongly support the existence of cardiac stem cells that amplify and commit to the myocyte lineage in response to increased workload. Their presence is consistent with the notion that myocyte hyperplasia significantly contributes to cardiac hypertrophy and accounts for the subpopulation of cycling myocytes

    A tight Tsirelson inequality for infinitely many outcomes

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    We present a novel tight bound on the quantum violations of the CGLMP inequality in the case of infinitely many outcomes. Like in the case of Tsirelson's inequality the proof of our new inequality does not require any assumptions on the dimension of the Hilbert space or kinds of operators involved. However, it is seen that the maximal violation is obtained by the conjectured best measurements and a pure, but not maximally entangled, state. We give an approximate state which, in the limit where the number of outcomes tends to infinity, goes to the optimal state for this setting. This state might be potentially relevant for experimental verifications of Bell inequalities through multi-dimenisonal entangled photon pairs.Comment: 5 pages, 2 figures; improved presentation, change in title, as published

    Astigmatic tomography of orbital angular momentum superpositions

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    We use astigmatic transformations to characterize two-dimensional superpositions of Orbital Angular Momentum (OAM) states in laser beams. We propose two methods for doing this, both relying only on astigmatic transformations, viewed as rotations on the Poincar\'e sphere, followed by imaging. These methods can be used as a tomographic tool for communication protocols based on optical vortices.Comment: Submitted to Physical Rivew
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