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Σάββατο 17 Σεπτεμβρίου 2016

Cigarette smoke extract (CSE) induces transient receptor potential ankyrin 1(TRPA1) expression via activation of HIF1αin A549 cells

Publication date: October 2016
Source:Free Radical Biology and Medicine, Volume 99
Author(s): Yichu Nie, Chuqin Huang, Shan Zhong, Michael A. Wortley, Yulong Luo, Wei Luo, Yanqing Xie, Kefang Lai, Nanshan Zhong
We previously found that transient receptor potential ankyrin 1 (TRPA1) in guinea pig tracheal epithelial cells was elevated after 14 days of cigarette smoke (CS) exposure. However, the mechanism underlying CS-induced TRPA1 expression remains unknown. Here, we explored whether cigarette smoke extract (CSE)-induced TRPA1 expression is related with modulation of HIF1α in A549 cells. Our results showed that CSE increased TRPA1 expression in A549 cells, decreased Iκ B, PHD2, and HDAC2, and increased ROS release and nuclear translocation of NF-κ B and HIF1α. Moreover, HIF1α siRNA and/or MG132 (a proteasome inhibitor) pretreatment significantly inhibited CSE-induced TRPA1 expression and HIF1α nuclear translocation in A549 cells. However, HIF1α siRNA pretreatment did not affect CSE-induced NF-κ B nuclear translocation, suggesting that CSE-induced TRPA1 expression in A549 cells is directly mediated by HIF1α, but not by NF-κ B. Similar to CSE treatment, treatment of A549 cells with LPS caused significant increases in nuclear translocation of NF-κ B and HIF1α mRNA expression, but did not alter TRPA1 mRNA expression. However, pretreatment with PHD2 siRNA did result in increased TRPA1 mRNA expression in LPS-treated A549 cells; an effect that was inhibited by SN50 (a NF-κ B inhibitor). It suggests a role for NF-κ B to indirectly regulate TRPA1 mRNA expression via modulating HIF1α mRNA transcription. In addition, treatment cells with HDAC2 siRNA plus 2%CSE resulted in increased HIF1α nuclear translocation and TRPA1 expression, which was significantly inhibited by MG132 and HIF1α siRNA. These results suggest that HDAC2 indirectly modulates TRPA1 expression by promoting the DNA-binding activity of HIF1α. These findings show that CSE increases TRPA1 expression in airway epithelial cells by directly activating HIF1α, and that this increase in TRPA1 expression is indirectly regulated via NF-κ B, PHD2 and HDAC2 modulation of HIF1α activity.

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Mentoring and Modeling Professionalism: Clinical Care

No abstract available

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Scholar : These new articles for Body, Movement and Dance in Psychotherapy are available online

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Original Articles

Utilising dreambody choreutics to integrate somatics with lucid dream criteria
Lauren Garrett
Pages: 1-14 | DOI: 10.1080/17432979.2016.1231134


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Scholar : These new articles for African Journal of Marine Science are available online

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Online First Articles

Etmopterus alphus n. sp.: a new lanternshark (Squaliformes: Etmopteridae) from the south-western Indian Ocean
DA Ebert, N Straube, RW Leslie & S Weigmann
Pages: 1-12 | DOI: 10.2989/1814232X.2016.1198275


Sharks caught in the KwaZulu-Natal bather protection programme, South Africa. 13. The tiger shark Galeocerdo cuvier
ML Dicken, G Cliff & H Winker
Pages: 1-17 | DOI: 10.2989/1814232X.2016.1198276


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Scholar : These new articles for Annals of GIS are available online

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New for Annals of GIS and online now on Taylor & Francis Online:

Original Articles

An intelligent deployment method of geo-sensor networks in 3D environment
Alireza Chehreghan, Mahmoodreza Delavar & Reza Zarei
Pages: 1-15 | DOI: 10.1080/19475683.2016.1231716


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Hémangiomes congénitaux : encore une implication des protéines G !

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Publication date: Available online 15 September 2016
Source:Annales de Dermatologie et de Vénéréologie
Author(s): O. Dereure




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Le purpura vélo-palatin « a vacuo » de Barthélemy (1928) revisité

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Publication date: Available online 15 September 2016
Source:Annales de Dermatologie et de Vénéréologie
Author(s): N. Kluger




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Scholar : These new articles for International Journal of Heritage Studies are available online

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Original Articles

The Hopi, the katsinam, and the French courts: looking outside the law in the repatriation of Indigenous cultural heritage
Jonathan Liljeblad
Pages: 1-11 | DOI: 10.1080/13527258.2016.1232745


Book Review

Water & heritage: material, conceptual and spiritual connections
Anna Catalani
Pages: 1-2 | DOI: 10.1080/13527258.2016.1232299


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Lactate dehydrogenase inhibitors can reverse inflammation induced changes in colon cancer cells

Publication date: 1 January 2017
Source:European Journal of Pharmaceutical Sciences, Volume 96
Author(s): Marcella Manerba, Lorenza Di Ianni, Marzia Govoni, Marinella Roberti, Maurizio Recanatini, Giuseppina Di Stefano
The inflammatory microenvironment is an essential component of neoplastic lesions and can significantly impact on tumor progression. Besides facilitating invasive growth, inflammatory cytokines were also found to reprogram cancer cell metabolism and to induce aerobic glycolysis.Previous studies did not consider the possible contribution played in these changes by lactate dehydrogenase (LDH). The A isoform of LDH (LDH-A) is the master regulator of aerobic glycolysis; it actively reduces pyruvate and causes enhanced lactate levels in tumor tissues. In cancer cells, lactate was recently found to directly increase migration ability; moreover, when released in the microenvironment, it can facilitate matrix remodeling. In this paper, we illustrate that treatment of human colon adenocarcinoma cells with TNF-α and IL-17, two pro-inflammatory cytokines, modifies LDH activity, causing a shift toward the A isoform which results in increased lactate production. At the same time, the two cytokines appeared to induce features of epithelial-mesenchymal transition in the treated cells, such as reduction of E-cadherin levels and increased secretion of metalloproteinases. Noteworthy, oxamate and galloflavin, two inhibitors of LDH activity which reduce lactate production in cells, were found to relieve the inflammation-induced effects.These results suggest LDH-A and/or lactate as common elements at the cross-road between cancer cell metabolism, tumor progression and inflammation. At present, LDH inhibitors suitable for clinical use are actively searched as possible anti-proliferative agents; our data lead to hypothesize for these compounds a wider potential in anticancer treatment.

Graphical abstract

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Evaluate the ability of PVP to inhibit crystallization of amorphous solid dispersions by density functional theory and experimental verify

Publication date: 1 January 2017
Source:European Journal of Pharmaceutical Sciences, Volume 96
Author(s): Bing Wang, Dandan Wang, Shan Zhao, Xiaobin Huang, Jianbin Zhang, Yan Lv, Xiaocen Liu, Guojun Lv, Xiaojun Ma
In this study, we used density functional theory (DFT) to predict polymer-drug interactions, and then evaluated the ability of poly (vinyl pyrrolidone) (PVP) to inhibit crystallization of amorphous solid dispersions by experimental-verification. Solid dispersions of PVP/resveratrol (Res) and PVP/griseofulvin (Gri) were adopted for evaluating the ability of PVP to inhibit crystallization. The density functional theory (DFT) with the B3LYP was used to calculate polymer-drug and drug-drug interactions. Fourier transform infrared spectroscopy (FTIR) was used to confirm hydrogen bonding interactions. Polymer-drug miscibility and drug crystallinity were characterized by the modulated differential scanning calorimetry (MDSC) and X-ray powder diffraction (XRD). The release profiles were studied to investigate the dissolution advantage. DFT results indicated that EPVP-Res>ERes-Res (E: represents hydrogen bonding energy). A strong interaction was formed between PVP and Res. In addition, Fourier transform infrared spectroscopy (FTIR) analysis showed hydrogen bonding formed between PVP and Res, but not between PVP and Gri. MDSC and XRD results suggested that 70–90wt% PVP/Res and PVP/Gri solid dispersions formed amorphous solid dispersions (ASDs). Under the accelerated testing condition, PVP/Res dispersions with higher miscibility quantified as 90/10wt% were more stable than PVP/Gri dispersions. The cumulative dissolution rate of 90wt% PVP/Res dispersions still kept high after 90days storage due to the strong interaction. However, the cumulative dissolution rate of PVP/Gri solid dispersions significantly dropped because of the recrystallization of Gri.

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Scholar : African Journal of Aquatic Science, Volume 41, Issue 3, September 2016 is now available online on Taylor & Francis Online

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African Journal of Aquatic Science, Volume 41, Issue 3, September 2016 is now available online on Taylor & Francis Online.



This new issue contains the following articles:

Research Papers

Penaeid and carid community changes in the St Lucia estuarine lake system, South Africa, under low water level, extended closed periods and marine reconnection conditions
GP Tweddle, DP Cyrus & L Vivier
Pages: 251-266 | DOI: 10.2989/16085914.2016.1198886


Mapping inundation extent, frequency and duration in the Okavango Delta from 2001 to 2012
K Thito, P Wolski & M Murray-Hudson
Pages: 267-277 | DOI: 10.2989/16085914.2016.1173009


Long-term landscape changes in vegetation structure: fire management in the wetlands of KwaMbonambi, South Africa
LB Luvuno, DC Kotze & KP Kirkman
Pages: 279-288 | DOI: 10.2989/16085914.2016.1177482


Water cytotoxicity and dioxins bioaccumulation in an Egyptian delta wetland ecosystem
MM El-Shazly, El Elzayat, WA Omar, IIA El-Sebeay, YA Edmardash, MM Soliman, KM Abdel Rahman & MS Ibrahim
Pages: 289-296 | DOI: 10.2989/16085914.2016.1188263


Health assessment of freshwater fish species from Albasini Dam, outside a DDT-sprayed area in Limpopo province, South Africa: a preliminary study
UMC Nibamureke, IEJ Barnhoorn & GM Wagenaar
Pages: 297-308 | DOI: 10.2989/16085914.2016.1172198


Mesozooplankton community structure changes in the Mfolozi–Msunduzi estuarine system, South Africa, during contrasting river flow conditions
HL Jerling & DP Cyrus
Pages: 309-317 | DOI: 10.2989/16085914.2016.1184129


Subfossil diatoms from Hann Park pond, Dakar, Senegal: floristic inventory and palaeoenvironmental reconstruction
I Badiane, E Sow, CAK Fofana & C Aw
Pages: 319-327 | DOI: 10.2989/16085914.2016.1170664


Lifetable demography and population growth of the rotifer Brachionus angularis in Kenya: influence of temperature and food density
EO Ogello, H-J Kim, K Suga & A Hagiwara
Pages: 329-336 | DOI: 10.2989/16085914.2016.1186590


Short Notes

Efficacy and deficiencies of rapid biomonitoring in biodiversity conservation: a case study in South Africa
HM Barber-James & LL Pereira-da-Conceicoa
Pages: 337-343 | DOI: 10.2989/16085914.2016.1192019


Name changes and additions to the southern African freshwater fish fauna
PH Skelton
Pages: 345-351 | DOI: 10.2989/16085914.2016.1186004


Effects of land-use changes on benthic macroinvertebrate assemblages in the tropical Umfurudzi River, Zimbabwe
T Bere, G Chiyangwa & T Mwedzi
Pages: 353-357 | DOI: 10.2989/16085914.2016.1171201


Book Review

Manual of Freshwater Assessment for South Africa: Dragonfly Biotic Index. Suricata 2
Helen M Barber-James
Pages: 359-360 | DOI: 10.2989/16085914.2016.1229172


Dive into our Life below Water article collection. Free access to over 50 articles on the world beneath the seas http://ift.tt/2cWo2b1

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Scholar : These new articles for Aphasiology are available online

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New for Aphasiology and online now on Taylor & Francis Online:

Original Articles

The common denominator in the perception of accents in cases with foreign accent syndrome
Roel Jonkers, Fennetta van der Scheer & Dicky Gilbers
Pages: 1-23 | DOI: 10.1080/02687038.2016.1232362


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Scholar : Culture, Theory and Critique, Volume 57, Issue 3, November 2016 is now available online on Taylor & Francis Online

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Culture, Theory and Critique, Volume 57, Issue 3, November 2016 is now available online on Taylor & Francis Online.



This new issue contains the following articles:

Articles

Foucault's Overlooked Organisation: Revisiting his Critical Works
Michela Betta
Pages: 251-273 | DOI: 10.1080/14735784.2015.1078252


Anxiety and Aporia: Or, What, for Lacan, Makes Deconstruction Reassuring?
Clark Buckner
Pages: 274-289 | DOI: 10.1080/14735784.2015.1041649


The Senses of Personhood: Beyond Allegories of the Body
Alan Singer
Pages: 290-312 | DOI: 10.1080/14735784.2014.966225


Fighting for the Other's Rights First: Levinasian Perspectives on Occupy Gezi's Standing Protest
Anna-Verena Nosthoff
Pages: 313-337 | DOI: 10.1080/14735784.2015.1125300


The Itinerary of Commemoration in the Kigali Memorial Centre: On Trauma, Time and Difference
Jennifer Yusin
Pages: 338-356 | DOI: 10.1080/14735784.2015.1019158


Reading 'the Whole of World History': An Investigation into Benjamin and Colportage
Matthew Von Vogt
Pages: 357-372 | DOI: 10.1080/14735784.2015.1090325


Ethics of Incorporation: (Im)possibility of Accepting Otherness in Kawabata's 'One Arm'
Fusako Innami
Pages: 373-390 | DOI: 10.1080/14735784.2015.1073113


Carmen Goes Postcolonial, Carmen Goes Queer: Thinking the Postcolonial as Queer
Ayo A. Coly
Pages: 391-407 | DOI: 10.1080/14735784.2015.1056540


Editorial Board

Editorial Board
Pages: ebi-ebi | DOI: 10.1080/14735784.2016.1236460


Have you discovered Lives in Literature yet?
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Scholar : These new articles for Criminal Justice Studies are available online

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Scholar : These new articles for Contemporary Music Review are available online

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Introductions

Introduction
Stephen Davismoon
Pages: 1-1 | DOI: 10.1080/07494467.2016.1220450


Original Articles

Atomisation of Sound
Stephen Davismoon
Pages: 1-12 | DOI: 10.1080/07494467.2016.1221629


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Scholar : These new articles for Anxiety, Stress, & Coping are available online

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Original Articles

Racial/ethnic differences moderate associations of coping strategies and posttraumatic stress disorder symptom clusters among women experiencing partner violence: a multigroup path analysis
Nicole H. Weiss, Clinesha D. Johnson, Ateka Contractor, Courtney Peasant, Suzanne C. Swan & Tami P. Sullivan
Pages: 1-17 | DOI: 10.1080/10615806.2016.1228900


Original Articles

Daily Emotional Stress Reactivity in Emerging Adulthood: Temporal Stability and its Predictors
Maryhope Howland, Stephen Armeli, Richard Feinn & Howard Tennen
Pages: 1-29 | DOI: 10.1080/10615806.2016.1228904This is the author accepted version which has not been proofed or edited


Factors related to the comorbidity between oppositional defiant disorder and anxiety disorders in preschool children
Virginia Martín, Roser Granero, Josep Maria Domènech & Lourdes Ezpeleta
Pages: 1-15 | DOI: 10.1080/10615806.2016.1228897


Interaction effects among multiple job demands: an examination of healthcare workers across different contexts
Nerina L. Jimmieson, Michelle K. Tucker & Alexandra J. Walsh
Pages: 1-16 | DOI: 10.1080/10615806.2016.1229471


Reports

Does worry affect adjustment to bereavement? A longitudinal investigation
Maarten C. Eisma, Paul A. Boelen, Henk A. W. Schut & Margaret S. Stroebe
Pages: 1-10 | DOI: 10.1080/10615806.2016.1229464


Original Articles

Self-reported posttraumatic growth predicts greater subsequent posttraumatic stress amidst war and terrorism
Alyson K. Zalta, James Gerhart, Brian J. Hall, Kumar B. Rajan, Catalina Vechiu, Daphna Canetti & Stevan E. Hobfoll
Pages: 1-12 | DOI: 10.1080/10615806.2016.1229467


Submit your paper to Journal of Occupational Science!
Special Issue call for papers: Transcending the Individual.

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Scholar : These new articles for Archives of Agronomy and Soil Science are available online

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Original Articles

Ocimum basilicum L. growth and nutrient status as influenced by biochar and potassium-nano chelate fertilizers
Maryam Zahedifar & Sharareh Najafian
Pages: 1-13 | DOI: 10.1080/03650340.2016.1233323


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Visceral Manipulation and Endometriosis

Publication date: Available online 16 September 2016
Source:Journal of Bodywork and Movement Therapies
Author(s): Matt Wallden




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A Case Study Utilizing Myofascial Release, Acupressure and Trigger Point Therapy to Treat Bilateral “Stringhalt” in A 12 Year Old Akhal-Teke Horse

Publication date: Available online 16 September 2016
Source:Journal of Bodywork and Movement Therapies
Author(s): Tammy Brockman
"Stringhalt" is a horse condition that causes one or both hind legs to spasm when walking, trotting or backing. The condition is thought to be related to a neurological cause from either plant toxicity or peripheral nerve injury. The prognosis is poor and the horse's performance and quality of life can be affected. Treatment has included surgically cutting the digital extensors with varied results.The objective of the study is to utilize soft tissue release via acupressure, trigger point and myofascial release to decrease symptoms of stringhalt.The case study is a 12 year old Akhal-Teke horse of excellent pedigree. In 2011, she was caught in barbed wire overnight and sustained lacerations to the bone in her hindlimbs. Shortly after the injury the horse was placed in a stall for several months and was unable to walk or run, developing stringhalt. Currently, her condition is aggravated by stress and alleviated by certain types of massage (myofascial, acupressure, and trigger point release). The incidence of stringhalt occurs every 3-5 minutes, with more frequent and severe symptoms on the right hindlimb. The horse is unable to run or back up.Six 1 to 1 ½ hour bi-weekly treatments were performed. The treatments consisted of myofascial release at the cervical, sacrum and iliums, acupressure of the bladder meridian (including c-spine, t-spine, L-spine, and hamstring), and trigger point release of the iliacus. The stringhalt symptoms were monitored for 30 minutes prior to each of the 6 treatment sessions.After 6 treatments, the horse was observed running and standing in a position that promotes hip extension. She has not been able to do either since the injury. The frequency and severity of the spasms have decreased to every 10-20 minutes. The horse's owners report that her disposition, stress and quality of life are much improved.The results suggest that myofascial release, acupressure and trigger point therapy may be utilized to provide a positive treatment outcome in the case of stringhalt. However, please note that the scope of practice varies by state and special training is needed to work with the equine population.



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Selection and characterization of single domain antibodies against human CD20

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Publication date: October 2016
Source:Molecular Immunology, Volume 78
Author(s): Jinny L. Liu, Dan Zabetakis, Ellen R. Goldman, George P. Anderson
CD20 is a membrane protein with four integral membrane regions and a large extracellular loop between residues 142 and 187, which serves as a target binding region for rituximab (RTX) and most other anti-CD20 monoclonal antibodies. It is highly expressed in B-lymphoma cells and B lymphocytes and often serves as a target for immunotherapy. In this study, we developed single domain antibodies (sdAbs) for the sensitive detection of CD20. To achieve this, an immune sdAb library was prepared from llamas immunized with a fusion between the large loop from CD20 and Hoc, a highly antigenic protein from the T4 bacteriophage, (CD20-Hoc). By subtracting binders to recombinant Hoc during the biopanning, potential anti-CD20 sdAbs were selected, sequenced, and characterized for their binding affinity to CD20-Hoc fusion versus Hoc. Twenty five clones grouped into three different families based on CDR3 sequence were identified as potential CD20 binders. The binding kinetics of representative sdAbs from each class and RTX were evaluated by surface plasmon resonance (SPR). Most of the sdAbs that were evaluated show binding affinities to CD20-Hoc in the nM range, and class A sdAbs, exhibited ≥40-fold increase in affinity for CD20-Hoc versus Hoc. When the binding of the sdAbs to CD20 on SU-DHL-4 cells was evaluated by flow cytometry, only class A sdAbs displayed strong binding to CD20 and recognized DHL cells in a concentration dependent manner.



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IL-27 suppresses SKOV3 cells proliferation by enhancing STAT3 and inhibiting the Akt signal pathway

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Publication date: October 2016
Source:Molecular Immunology, Volume 78
Author(s): Zhu Zhang, Bin Zhou, Kui Zhang, Yaping Song, Lin Zhang, Mingrong Xi
Ovarian cancer continues to be the most lethal gynecologic malignancy worldwide. IL-27 is a novel member of the IL-12 cytokine family. The aim of this study was to investigate the effects of IL-27 on the ovarian cystadenocarcinoma cell line SKOV3 and determine possible mechanisms underlying its effect. We stably transfected an IL-27 plasmid, empty vector, IL-27 shRNA or negative control into SKOV3 cells. Cell proliferative activity was evaluated using a WST-1 cell proliferation assay kit. Cell viability was quantified by measurements of lactate dehydrogenase release. The mRNA levels of nine genes were tested by q-PCR. Western blotting was used to verify apoptosis and signal pathways. We found that the IL-27 plasmid significantly enhanced cytotoxicity and inhibited the proliferation of SKOV3 cells. Caspase-3 protein was augmented by IL-27 plasmid and abated by IL-27 shRNA. The incremental expression of IL-27 activated the STAT3 pathway and attenuated the Akt pathway. The over-expression of IL-27 could significantly upregulate a series of antitumor cytokines including IL-6, IL-12 and interferon-γ and down-regulate protumor factors such as TLR4 and NF-κB1. Our data show that IL-27 has direct antitumor capacity in ovarian cancer cells via enhancing apoptosis by inducing the STAT3 pathway and restraining the Akt pathway.Précis: IL-27 enhanced the cytotoxicity and suppressed the proliferation of ovarian cancer cells by activating STAT3 and inhibiting the Akt signal pathway. IL-27 plays an important role in antitumor activity against epithelial ovarian cancer.



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New for Aging & Mental Health and online now on Taylor & Francis Online:

Corrigenda

Corrigendum
Pages: 1-1 | DOI: 10.1080/13607863.2016.1223701


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Narratives of children with high-functioning autism spectrum disorder: A meta-analysis

Publication date: December 2016
Source:Research in Developmental Disabilities, Volume 59
Author(s): Inmaculada Baixauli, Carla Colomer, Belén Roselló, Ana Miranda
BackgroundThe aim of this meta-analysis was to analyze the narrative performance of children and adolescents with high-functioning Autism Spectrum Disorders (ASD) in terms of microstructure, macrostructure and internal state language.MethodA systematic literature search yielded 24 studies that met the predetermined inclusion criteria. Effect sizes for each study were calculated for eight variables and analyzed using a random effects model. Intellectual ability, age and type of narrative were considered as potential moderators.ResultsResults revealed that the children with ASD performed significantly worse than their peers on all the variables considered.ConclusionsFindings are discussed taking into account the main explanatory psychological autism theories. Implications for intervention and orientations for future research are suggested.



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p16 expression as a prognostic and predictive marker in high-grade localized osteosarcoma of the extremities: an analysis of 357 cases

Publication date: December 2016
Source:Human Pathology, Volume 58
Author(s): Alberto Righi, Marco Gambarotti, Marta Sbaraglia, Andrea Sisto, Stefano Ferrari, Angelo P. Dei Tos, Piero Picci
The potential prognostic and predictive value of p16 in high-grade localized osteosarcoma of the extremities has been recently investigated in small series of cases, and the results from different studies were somewhat controversial. A retrospective immunohistochemical analysis of p16 expression was performed in a series of 357 patients, included in different neoadjuvant chemotherapy protocols from 1986 to 2010, to explore its potential prognostic and predictive value. Immunohistochemistry was performed with a commercially available p16 monoclonal mouse antibody. Follow-up data were available in all cases with a median of 120 months. Positivity for p16 was detected in 70.6% (252/357) of cases. The p16 expression did not differ by age, sex, tumor site, histologic subtype, tumor volume, surgical margin, serum alkaline phosphatase levels, and lactate dehydrogenase levels. In the different chemotherapy protocols included, the incidence of p16 expression was similar. The absence of p16 expression was significantly associated with an adverse disease-free survival (P=.04) and overall survival (P=.05) when compared with the presence of p16 expression. At the multivariate Cox regression analysis, p16 expression lost its prognostic significance. Multivariate logistic regression analysis showed that as p16 expression was the only statistically significant parameter to predict the pathological response to neoadjuvant chemotherapy treatment with an odds ratio of 3.025 (P<.001) for "good" chemotherapy response. Our data indicate that the negative expression of p16 is associated with a reduced rate of good response to primary chemotherapy and to a worse probability of survival, although it was not confirmed as an independent prognostic biomarker after multivariate analysis.



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Work stress and satisfaction in relation to personality profiles in a sample of Dutch anaesthesiologists: A questionnaire survey.

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BACKGROUND: Working in anaesthesia is stressful, but also satisfying. Work-related stress can have a negative impact on mental health, whereas work-related satisfaction protects against these harmful effects. OBJECTIVE(S): How work stress and satisfaction are experienced may be related to personality. Our aim was to study the relationship between personality and perception of work in a sample of Dutch anaesthesiologists. DESIGN: Questionnaire survey. SETTING: Data were collected in the Netherlands from July 2012 until December 2012. PARTICIPANTS: We sent electronic questionnaires to all 1955 practising resident and consultant members of the Dutch Anaesthesia Society. Of those, 655 (33.5%) were returned and could be used for analysis. MAIN OUTCOME MEASURES: The questionnaires assessed general work-related stress and satisfaction and anaesthesia-specific stress. A factor analysis was performed on the stress and satisfaction questionnaires. Personality traits were assessed using the Big Five Inventory. To identify personality profiles, a cluster analysis was performed on the Big Five Inventory. Scores of the extracted factors contributing to job stress and satisfaction were compared between the profiles we identified. RESULTS: Our analysis extracted six factors concerning general job stress. Of those, the emotionally difficult caseload contributed the most to job stress. The analysis also extracted four factors concerning general job satisfaction. Good relationships with patients and their families and being appreciated by colleagues contributed the most to satisfaction. The cluster analysis resulted in two distinct personality profiles: a distressed profile (n = 215) and a resilient profile (n = 440). General and anaesthesia-specific job stress was significantly higher and job satisfaction was significantly lower in the distressed profile, compared with the resilient profile. Experience of the emotionally difficult caseload did not differ between the two profiles CONCLUSION: Personality profiles were found to be related to anaesthesiologists' experience of work-related stress and satisfaction. One-third of the anaesthesiologists in our sample were categorised as distressed and are at risk of developing work-related mental health problems. (C) 2016 European Society of Anaesthesiology

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Incidence and severity of chronic pain after caesarean section: A systematic review with meta-analysis.

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BACKGROUND: The frequency of caesarean section has increased dramatically in recent decades. Despite this, robust data regarding the consequences of caesarean section in terms of developing chronic postsurgical pain (CPSP) are still lacking. OBJECTIVE: This systematic review analysed the incidence and severity of CPSP in women 3 to less than 6, 6 to less than 12, and at least 12 months after caesarean section. DESIGN: Systematic review of prospective and retrospective observational studies and randomised controlled trials with meta-analysis. DATA SOURCE: We searched MEDLINE to May 2015. ELIGIBILITY CRITERIA: We included all studies investigating the incidence and/or severity of CPSP at least 3 months after caesarean section. The primary outcome was chronic postsurgical wound pain (CPSP 'wound'). Secondary outcomes were persistent pain in the back area, pelvic region or reported as residual pain, and severity of 'birth-related' chronic pain. RESULTS: Meta-analysis using the random-effects model based on 15 studies (n = 4475) reporting CPSP 'wound' at 3 to less than 6 months after caesarean section revealed an incidence of 15.4% [95% confidence interval (CI): 9.9 to 20.9%]. For 6 to less than 12 and at least 12 months after caesarean section, the incidence of CPSP 'wound' was estimated at 11.5% (95% CI: 8.1 to 15.0%, n = 3345) and 11.2% (95% CI: 7.4 to 15.0%, n = 3451), respectively. Meta-regression analysis using the publication year as predictor revealed stable CPSP 'wound' incidences at each postoperative time slot from 2002 to the present. Of those patients who reported chronic pain, 9.6% (95% CI: 0.0 to 21.0%) had severe pain, 23.5% (95% CI: 10.0 to 37.0%) had moderate pain and 49.2% (95% CI: 18.9 to 79.4%) had mild pain at 6 months. LIMITATIONS: Major limitations are high statistical heterogeneity of the meta-analyses and inconsistencies in reporting severity of chronic 'birth-related' pain. CONCLUSION: This meta-analysis finds a clinically relevant incidence of CPSP 'wound' after caesarean section ranging from 15% at 3 months to 11% at 12 months or longer that has been largely stable in recent years. (C) 2016 European Society of Anaesthesiology

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Recommended practice for out-of-hospital emergency anaesthesia in adults: Statement from the Out-of-Hospital Emergency Anaesthesia Working Group of the Emergency Medicine Research Group of the German Society of Anaesthesiology and Intensive Care.

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No abstract available

http://ift.tt/2cEhaj0

Impact of age on anaesthesiologists' competence: A narrative review.

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The international anaesthesia community is getting older, in line with trends worldwide, and as men and women age there is the risk that psychophysiological decline could have an impact on clinical practice. Impairment of technical and nontechnical skills could have a negative impact on patients' safety and outcomes. The ageing process may not necessarily go hand-in-hand with a predictable pattern of decreased competence as not all aspects of functional decline are affected at the same rate and to the same extent. The development of simulation has provided a means of detecting and perhaps reversing the decline in ability associated with age. The introduction of recertification based on an assessment of competence at simulation sessions could play a crucial role in maintaining a high standard of patient care and an appropriate level of patient safety. (C) 2016 European Society of Anaesthesiology

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Modelling of the optimal bupivacaine dose for spinal anaesthesia in ambulatory surgery based on data from systematic review.

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BACKGROUND: Spinal bupivacaine is used for day-case surgery but the appropriate dose that guarantees hospital discharge is unknown. OBJECTIVE: We sought to determine the spinal bupivacaine dose that prevents delayed hospital discharge in ambulatory surgery. DESIGN: Systematic review of clinical trials. DATA SOURCES: Comprehensive search in electronic databases of studies published between 1996 and 2014 reporting the use of spinal bupivacaine in ambulatory patients. Additional articles were retrieved through hyperlinks and by manually searching reference lists in original articles, review articles and correspondence published in English and French. MAIN OUTCOME MEASURES: Data were used to calculate, motor block duration and discharge time, an estimated maximal effect (Emax: maximum theoretical time of motor block) and the effective dose to obtain half of Emax (D50) with 95% confidence intervals (CIs). A simulation was performed to determine the dose corresponding to a time to recovery of 300 min for motor function, and 360 min for discharge, in 95% of the patients. RESULTS: In total, 23 studies (1062 patients) were included for analysis of the time to recovery of motor function, and 12 studies (618 patients) for the time to hospital discharge. The Emax for recovery of motor function was 268 min [95% CI (189 to 433 min)] and the D50 was 3.9 mg [95% CI (2.3 to 6.2 mg)]. A 7.5-mg dose of bupivacaine enables resolution of motor block and ambulation within 300 min in 95% of the patients. A 5-mg dose or less was associated with an unacceptable failure rate. CONCLUSION: Ambulatory surgery is possible under spinal anaesthesia with bupivacaine although the dose range that ensures reliable anaesthesia with duration short enough to guarantee ambulatory management is narrow. (C) 2016 European Society of Anaesthesiology

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