726 research outputs found

    Evolution of the Grasses x)

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    Because the flowers of grassos are so reduced, botanists in past have relied mostly on vegetative characters, such as the spikelets and their disposition in the inflorescence,to classify the family.Hackel,in his treatment of the Gramineae in Die Naturlichen pflanzen familien (late 1800'S proposed 12 tribes based on these characteristies and regarded the tribe

    Evolution of the Grasses X)

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    Because the flowers of grassos are so reduced, botanists in past have relied mostly on vegetative characters, such as the spikelets and their disposition in the inflorescence,to classify the family.Hackel,in his treatment of the Gramineae in Die Naturlichen pflanzen familien (late 1800\u27S proposed 12 tribes based on these characteristies and regarded the tribe

    Microscale distribution patterns of terrestrial bryophytes in a subalpine forest: the use of logistic regression as an interpretive tool

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    This study investigated microhabitat relationships of terrestrial bryophytes in a subalpine forest of coastal British Columbia. Substratum affinities were characterized for dominant bryophytes. Logistic regression analysis was used to gain insight into the ecological determinants of fine scale (0.1 m2) bryophyte distribution by examining the predictive relationship between bryophyte species occurrence and localized environmental conditions, as well as the coverage of other bryophytes. The predictive relationships were compared to evaluate the relative importance of environmental factors versus interspecific interactions in structuring bryophyte communities. The results indicate that bryophytes show unique responses in their relationships to environmental conditions and other bryophytes. Positive feedback appears to be an important process among terrestrial bryophytes in subalpine forests

    PTTG1-interacting protein (PTTG1IP/PBF) predicts breast cancer survival

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    Background: PTTG1-interacting protein (PTTG1IP) is an oncogenic protein, which participates in metaphase-anaphase transition of the cell cycle through activation of securin (PTTG1). PTTG1IP promotes the shift of securin from the cell cytoplasm to the nucleus, allowing the interaction between separase and securin. PTTG1IP overexpression has been previously observed in malignant disease, e.g. in breast carcinoma. However, the prognostic value of PTTG1IP in breast carcinoma patients has not previously been revealed.Methods: A total of 497 breast carcinoma patients with up to 22-year follow-up were analysed for PTTG1IP and securin immunoexpression. The results were evaluated for correlations with the clinical prognosticators and patient survival.Results: In our material, negative PTTG1IP immunoexpression predicted a 1.5-fold risk of breast cancer death (p = 0.02). However, adding securin immunoexpression to the analysis indicated an even stronger and independent prognostic power in the patient material (HR = 2.5, p < 0.0001). The subcellular location of securin was found with potential prognostic value also among the triple-negative breast carcinomas (n = 96, p = 0.052).Conclusions: PTTG1IP-negativity alone and in combination with high securin immunoexpression indicates a high risk of breast cancer death, resulting in up to 14-year survival difference in our material

    A primary care, multi-disciplinary disease management program for opioid-treated patients with chronic non-cancer pain and a high burden of psychiatric comorbidity

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    BACKGROUND: Chronic non-cancer pain is a common problem that is often accompanied by psychiatric comorbidity and disability. The effectiveness of a multi-disciplinary pain management program was tested in a 3 month before and after trial. METHODS: Providers in an academic general medicine clinic referred patients with chronic non-cancer pain for participation in a program that combined the skills of internists, clinical pharmacists, and a psychiatrist. Patients were either receiving opioids or being considered for opioid therapy. The intervention consisted of structured clinical assessments, monthly follow-up, pain contracts, medication titration, and psychiatric consultation. Pain, mood, and function were assessed at baseline and 3 months using the Brief Pain Inventory (BPI), the Center for Epidemiological Studies-Depression Scale scale (CESD) and the Pain Disability Index (PDI). Patients were monitored for substance misuse. RESULTS: Eighty-five patients were enrolled. Mean age was 51 years, 60% were male, 78% were Caucasian, and 93% were receiving opioids. Baseline average pain was 6.5 on an 11 point scale. The average CESD score was 24.0, and the mean PDI score was 47.0. Sixty-three patients (73%) completed 3 month follow-up. Fifteen withdrew from the program after identification of substance misuse. Among those completing 3 month follow-up, the average pain score improved to 5.5 (p = 0.003). The mean PDI score improved to 39.3 (p < 0.001). Mean CESD score was reduced to 18.0 (p < 0.001), and the proportion of depressed patients fell from 79% to 54% (p = 0.003). Substance misuse was identified in 27 patients (32%). CONCLUSIONS: A primary care disease management program improved pain, depression, and disability scores over three months in a cohort of opioid-treated patients with chronic non-cancer pain. Substance misuse and depression were common, and many patients who had substance misuse identified left the program when they were no longer prescribed opioids. Effective care of patients with chronic pain should include rigorous assessment and treatment of these comorbid disorders and intensive efforts to insure follow up
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