398 research outputs found
The term "physical distancing" is recommended rather than "social distancing" during the COVID-19 pandemic for reducing feelings of rejection among people with mental health problems
Copyright: This record is sourced from MEDLINE/PubMed, a database of the U.S. National Library of MedicineAs COVID-19 has plagued our world, the term "social distancing" has been widely used with the aim to encourage the general population to physically distance themselves from others in order to reduce the spread of the virus. However, this term can have unintended but detrimental effects, as it evokes negative feelings of being ignored, unwelcome, left alone with one's own fears, and even excluded from society. These feelings may be stronger in people with mental illnesses and in socio-economically disadvantaged groups, such as stigmatized minorities, migrants, and homeless persons [1], many of them also having high risk for suicidal behaviors [2]. Mental health disorders are pervasive worldwide; the global burden accounting for approximately 21.2-32.4% of years lived with disability-more than any other group of illnesses [3]. So, the vulnerable group of people with mental health disorders represents a considerable share of the total global population.publishersversionPeer reviewe
Awareness and knowledge of intra-abdominal hypertension and abdominal compartment syndrome: results of an international survey
Background: Surveys have demonstrated a lack of physician awareness of intra-abdominal hypertension and abdominal compartment syndrome (IAH/ACS) and wide variations in the management of these conditions, with many intensive care units (ICUs) reporting that they do not measure intra-abdominal pressure (IAP). We sought to determine the association between publication of the 2006/2007 World Society of the Abdominal Compartment Syndrome (WSACS) Consensus Definitions and Guidelines and IAH/ACS clinical awareness and management.
Methods: The WSACS Executive Committee created an interactive online survey with 53 questions, accessible from November 2006 until December 2008. The survey was endorsed by the WSACS, the European Society of Intensive Care Medicine (ESICM) and the Society of Critical Care Medicine (SCCM). A link to the survey was emailed to all members of the supporting societies. Participants of the 3rd World Congress on Abdominal Compartment Syndrome meeting (March 2007, Antwerp, Belgium) were also asked to complete the questionnaire. No reminders were sent. Based on 13 knowledge questions, an overall score was calculated (expressed as percentage).
Results: A total of 2,244 of the approximately 10,000 clinicians who were sent the survey responded (response rate: 22.4%). Most of the 2,244 respondents (79.2%) completing the survey were physicians or physicians in training and the majority were residing in North America (53.0%). The majority of responders (85%) were familiar with IAP/IAH/ACS, but only 28% were aware of the WSACS consensus definitions for IAH/ACS. Three quarters of respondents considered the cut-off for IAH to be at least 15 mm Hg, and nearly two thirds believed the cut-off for ACS was higher than the currently suggested consensus definition (20 mm Hg). In 67.8% of respondents, organ dysfunction was only considered a problem with IAP of 20 mm Hg or higher. IAP was measured most frequently via the bladder (91.9%), but the majority reported that they instilled volumes well above the current guidelines. Surgical decompression was frequently used to treat IAH/ACS, whereas medical management was only attempted by about half of the respondents. Decisions to decompress the abdomen were predominantly based on the severity of IAP elevation and presence of organ dysfunction (74.4%). Overall knowledge scores were low (43 +/- 15%); respondents who were aware of the WSACS had a better score compared to those who were not (49.6% vs 38.6%, P < 0.001).
Conclusions: This survey showed that although most responding clinicians claim to be familiar with IAH and ACS, knowledge of published consensus definitions, measurement techniques, and clinical management is inadequate
Comparison of Uncultured Marrow Mononuclear Cells and Culture-Expanded Mesenchymal Stem Cells in 3D Collagen-Chitosan Microbeads for Orthopedic Tissue Engineering
Stem cell-based therapies have shown promise in enhancing repair of bone and cartilage. Marrow-derived mesenchymal stem cells (MSC) are typically expanded in vitro to increase cell number, but this process is lengthy, costly, and there is a risk of contamination and altered cellular properties. Potential advantages of using fresh uncultured bone marrow mononuclear cells (BMMC) include heterotypic cell and paracrine interactions between MSC and other marrow-derived cells including hematopoietic, endothelial, and other progenitor cells. In the present study, we compared the osteogenic and chondrogenic potential of freshly isolated BMMC to that of cultured-expanded MSC, when encapsulated in three-dimensional (3D) collagen-chitosan microbeads. The effect of low and high oxygen tension on cell function and differentiation into orthopedic lineages was also examined. Freshly isolated rat BMMC (25?106 cells/mL, containing an estimated 5?104 MSC/mL) or purified and culture-expanded rat bone marrow-derived MSC (2?105 cells/mL) were added to a 65?35?wt% collagen-chitosan hydrogel mixture and fabricated into 3D microbeads by emulsification and thermal gelation. Microbeads were cultured in control MSC growth media in either 20% O2 (normoxia) or 5% O2 (hypoxia) for an initial 3 days, and then in control, osteogenic, or chondrogenic media for an additional 21 days. Microbead preparations were evaluated for viability, total DNA content, calcium deposition, and osteocalcin and sulfated glycosaminoglycan expression, and they were examined histologically. Hypoxia enhanced initial progenitor cell survival in fresh BMMC-microbeads, but it did not enhance osteogenic potential. Fresh uncultured BMMC-microbeads showed a similar degree of osteogenesis as culture-expanded MSC-microbeads, even though they initially contained only 1/10th the number of MSC. Chondrogenic differentiation was not strongly supported in any of the microbead formulations. This study demonstrates the microbead-based approach to culturing and delivering cells for tissue regeneration, and suggests that fresh BMMC may be an alternative to using culture-expanded MSC for bone tissue engineering.Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/140225/1/ten.tea.2013.0151.pd
Gauge Invariant Factorisation and Canonical Quantisation of Topologically Massive Gauge Theories in Any Dimension
Abelian topologically massive gauge theories (TMGT) provide a topological
mechanism to generate mass for a bosonic p-tensor field in any spacetime
dimension. These theories include the 2+1 dimensional Maxwell-Chern-Simons and
3+1 dimensional Cremmer-Scherk actions as particular cases. Within the
Hamiltonian formulation, the embedded topological field theory (TFT) sector
related to the topological mass term is not manifest in the original phase
space. However through an appropriate canonical transformation, a gauge
invariant factorisation of phase space into two orthogonal sectors is feasible.
The first of these sectors includes canonically conjugate gauge invariant
variables with free massive excitations. The second sector, which decouples
from the total Hamiltonian, is equivalent to the phase space description of the
associated non dynamical pure TFT. Within canonical quantisation, a likewise
factorisation of quantum states thus arises for the full spectrum of TMGT in
any dimension. This new factorisation scheme also enables a definition of the
usual projection from TMGT onto topological quantum field theories in a most
natural and transparent way. None of these results rely on any gauge fixing
procedure whatsoever.Comment: 1+25 pages, no figure
On the Short Distance Part of the QCD Anomaly Contribution to the b --> s eta' Amplitude
In addressing the B --> eta' K puzzle, there has been a considerable hope in
the literature to resolve it by the QCD anomaly contribution to the b --> s
eta' amplitude. This contribution corresponds to the electroweak b --> s g* g*
transition followed by the off-shell gluon fusion g* g* --> eta'. In the
present paper we perform a critical reassessment of this issue. We show that
for the hard virtual gluons in a loop there is a well defined short distance
amplitude corresponding to a remnant of the QCD anomaly. However, we find that
it cannot account for the measured amplitude.
In addition, we point out that the reduction of the gluon fusion vertex for
the off-shell gluons is compensated by an absence of the claimed suppression in
the electroweak vertex, and that some nonperturbative contributions related to
the QCD anomaly may still be viable in explaining the physical B --> eta' K
amplitude.Comment: 11 pages, 4 figures, LaTeX + elsart.cls, to appear in Phys. Lett.
Heads Up: Using Your Brain When Tackling Concussions
Introduction: A concussion is a type of traumatic brain injury (TBI) typically caused by bio-mechanical forces inflicted on the head that change the way the brain works. Concussions can also result from a blow elsewhere in the body causing an impulsive force transmitted to the head. These types of injuries often involve a sudden onset of neurologic function impairment such as confusion, amnesia, or loss of consciousness that quickly dissipates and is generally not life-threatening. Unfortunately, these seemingly “mild” symptoms have led numerous primary care providers to undermine its potential risks, often leading to inadequate evaluation, premature return to play, and poor psychological management. Complications of severe or repeated concussions include migraines, depression & mood changes, sleep disorders, convulsions, coma, and in some instances even death. The goals of our study were to evaluate public awareness and knowledge of concussion, identify common misconceptions, assess barriers to proper management, and propose uniform guidelines for education, prevention, diagnosis, and treatment to be used in the Vermont school system.https://scholarworks.uvm.edu/comphp_gallery/1051/thumbnail.jp
A very brief description of LOFAR - the Low Frequency Array
LOFAR (Low Frequency Array) is an innovative radio telescope optimized for
the frequency range 30-240 MHz. The telescope is realized as a phased aperture
array without any moving parts. Digital beam forming allows the telescope to
point to any part of the sky within a second. Transient buffering makes
retrospective imaging of explosive short-term events possible. The scientific
focus of LOFAR will initially be on four key science projects (KSPs): 1)
detection of the formation of the very first stars and galaxies in the universe
during the so-called epoch of reionization by measuring the power spectrum of
the neutral hydrogen 21-cm line (Shaver et al. 1999) on the ~5' scale; 2)
low-frequency surveys of the sky with of order expected new sources; 3)
all-sky monitoring and detection of transient radio sources such as gamma-ray
bursts, x-ray binaries, and exo-planets (Farrell et al. 2004); and 4) radio
detection of ultra-high energy cosmic rays and neutrinos (Falcke & Gorham 2003)
allowing for the first time access to particles beyond 10^21 eV (Scholten et
al. 2006). Apart from the KSPs open access for smaller projects is also
planned. Here we give a brief description of the telescope.Comment: 2 pages, IAU GA 2006, Highlights of Astronomy, Volume 14, K.A. van
der Hucht, e
Extracellular DNAses Facilitate Antagonism and Coexistence in Bacterial Competitor-Sensing Interference Competition
Over the last 4 decades, the rate of discovery of novel antibiotics has decreased drastically, ending the era of fortuitous antibiotic discovery. A better understanding of the biology of bacteriogenic toxins potentially helps to prospect for new antibiotics. To initiate this line of research, we quantified antagonists from two different sites at two different depths of soil and found the relative number of antagonists to correlate with the bacterial load and carbon-to-nitrogen (C/N) ratio of the soil. Consecutive studies show the importance of antagonist interactions between soil isolates and the lack of a predicted role for nutrient availability and, therefore, support an in situ role in offense for the production of toxins in environments of high bacterial loads. In addition, the production of extracellular DNAses (exDNases) and the ability to antagonize correlate strongly. Using an in domum-developed probabilistic cellular automaton model, we studied the consequences of exDNase production for both coexistence and diversity within a dynamic equilibrium. Our model demonstrates that exDNase-producing isolates involved in amensal interactions act to stabilize a community, leading to increased coexistence within a competitor-sensing interference competition environment. Our results signify that the environmental and biological cues that control natural-product formation are important for understanding antagonism and community dynamics, structure, and function, permitting the development of directed searches and the use of these insights for drug discovery
Recurrent radio outbursts at the center of the NGC1407 galaxy group
We present deep Giant Metrewave Radio Telescope (GMRT) radio observations at
240, 330 and 610 MHz of the complex radio source at the center of the NGC1407
galaxy group. Previous GMRT observations at 240 MHz revealed faint, diffuse
emission enclosing the central twin-jet radio galaxy. This has been interpreted
as an indication of two possible radio outbursts occurring at different times.
Both the inner double and diffuse component are detected in the new GMRT images
at high levels of significance. Combining the GMRT observations with archival
Very Large Array data at 1.4 and 4.9 GHz, we derive the total spectrum of both
components. The inner double has a spectral index \alpha=0.7, typical for
active, extended radio galaxies, whereas the spectrum of the large-scale
emission is very steep, with \alpha=1.8 between 240 MHz and 1.4 GHz. The
radiative age of the large-scale component is very long, ~300 Myr, compared to
~30 Myr estimated for the central double, confirming that the diffuse component
was generated during a former cycle of activity of the central galaxy. The
current activity have so far released an energy which is nearly one order of
magnitude lower than that associated with the former outburst. The group X-ray
emission in the Chandra and XMM-Newton images and extended radio emission show
a similar swept-back morphology. We speculate that the two structures are both
affected by the motion of the group core, perhaps due to the core sloshing in
response to a recent encounter with the nearby elliptical galaxy NGC1400.Comment: 15 pages, 12 figures and 5 tables. Accepted for publication in Ap
- …