Source:Journal of Neuroscience Methods, Volume 292
Author(s): Marco Bortolato, Giuseppe Di Giovanni
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Medicine by Alexandros G. Sfakianakis,Anapafseos 5 Agios Nikolaos 72100 Crete Greece,00302841026182,00306932607174,alsfakia@gmail.com,
Publication date: Available online 31 October 2017
Source:Journal of Surgical Education
Author(s): James M. Healy, Mark W. Maxfield, Daniel G. Solomon, Walter E. Longo, Peter S. Yoo
ObjectivesAmong surgical educators, duty-hour restrictions led to concern regarding the adequacy of operative experience during residency, especially for junior residents. The American Board of Surgery recently instituted guidelines mandating "a minimum of 250 operations by the end of the PGY-2 year". A series of programmatic and institutional changes were implemented at our institution to augment the junior resident operative experience and to exceed compliance with this mandate.MethodsOperative data from Accreditation Council for Graduate Medical Education case logs for categorical and nondesignated preliminary interns from our large academic surgical residency were identified for 5 consecutive academic years, 2011 until 2016. American Board of Surgery In-Training Examination (ABSITE) scores were collected anonymously. The program systematically instituted the following changes: night float minimization, identification of new surgical opportunities, augmenting use of midlevel care providers, identification of rotations with suboptimal operative experiences, maximizing rotations with involvement of junior residents in the operating room, and systematic review of junior case logs.ResultsAfter implementation, average total cases for residents completing postgraduate year (PGY)-2 increased from 176 to 330 (p < 0.001). Specifically, there was an 18% increase for interns (p = 0.059) and a 118% increase for PGY-2 residents (p < 0.001). There were statistically significant increases in skin and soft tissue cases, vascular cases, endoscopy, and complex laparoscopic cases. Average case volumes for senior residents did not change. Night float time was significantly decreased (5.7 vs 3.4 wk; p = 0.04). ABSITE scores were not significantly changed during this time.ConclusionsBefore implementation of these interventions, our program would have had 0% compliance with the 250 junior resident case rule. Within 12 months of implementation, total case volumes for residents completing PGY-2 increased by 88%—exceeding minimum standards. Overall, 100% programmatic compliance was achieved. Our program's experience exemplifies how mandates from the American Board of Surgery can lead to programmatic changes that improve the experience of surgical house officers.
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Publication date: Available online 31 October 2017
Source:Journal of Surgical Education
Author(s): Sarah Sullivan, Krystle Campbell, Joshua C. Ross, Ryan Thompson, Alyson Underwood, Anne LeGare, Ingie Osman, Suresh K. Agarwal, Hee Soo Jung
ObjectiveThe goal of this study was to investigate nontechnical skills in a simulated trauma setting both before and after a debriefing session in order to better understand areas to target for the development of educational interventions.DesignWilcoxon signed rank tests were used to compare scores on the 5 domains of the T-NOTECHS pre- and postdebriefings. A qualitative analysis using the PEARLS debriefing framework was performed to provide a rich description of the strategies used by the debriefing facilitators.SettingThe Joint Trauma Simulation Program is an interdisciplinary project designed to improve the quality of trauma care through simulation exercises emphasizing nontechnical skills development.ParticipantsThirteen teams of 5 trauma trainees participated in trauma resuscitation simulations: a surgical chief resident, a surgical junior resident, an emergency medicine resident, and 2 emergency medicine nurses.ResultsTeams significantly improved on communication and interaction skills in the simulation scenarios from pre- to postdebriefing. The debrief facilitators spent most of their time engaged in Directive Performance Feedback (56.13%).ConclusionsInterprofessional team simulation in trauma resuscitation scenarios followed by debriefing differently affected individual nontechnical skills domains. Additional facilitation strategies, such as focused facilitation and encouraging learner self-assessment, may target other nontechnical skills in different ways.
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The latest generation of radiofrequency, nanofractional radiofrequency, allows the heat energy to be delivered through the use of pins or needles as electrodes, facilitating increased efficacy and reduced pain, downtime, and side effects.
The objective of this prospective pilot clinical study was to evaluate the efficacy of nanofractional radiofrequency in skin resurfacing.
Seventeen subjects were enrolled in the study, and each received three nanofractional radiofrequency (160-pin tip) treatments in the facial area at 3-week intervals. Follow-up visits were scheduled at 1 and 2 months after the final treatment. Clinical photography, patient, and investigator assessments were conducted during the treatment visits and follow-up.
All subjects completed the study. At the 1- and 2-month follow-up, there was a moderate to significant improvement (2.6 and 3.5, respectively, P = .01) according to the investigator global esthetic improvement scale rating. Most subjects reported that they were satisfied or very satisfied with the outcome and level of comfort.
Nanofractional radiofrequency is a safe and effective strategy for improving texture, tone, and skin laxity with high patient satisfaction and tolerable safety profile.
Outcome studies for eating disorders regularly measure pathology change or remission as the only outcome. Researchers, patients and recovered individuals highlight the importance of using additional criteria for measuring eating disorder recovery. There is no clear consensus on which additional criteria are most fundamental. Studies focusing on the perspectives of recovered patients show criteria which are closely related to dimensions of positive functioning as conceptualized in the complete mental health model. The aim of this study was to identify fundamental criteria for eating disorder recovery according to recovered individuals.
A systematic review and a qualitative meta-analytic approach were used. Eighteen studies with recovered individuals and meeting various quality criteria were included. The result sections of the included papers were searched for themes that were stated as criteria for recovery or 'being recovered'. All themes were analyzed using a meta-summary technique. Themes were labeled into criteria for recovery and the frequency of the found criteria was examined.
In addition to the remission of eating disorder pathology, dimensions of psychological well-being and self-adaptability/resilience were found to be fundamental criteria for eating disorder recovery. The most frequently mentioned criteria were: self-acceptance, positive relationships, personal growth, decrease in eating disorder behavior/cognitions, self-adaptability/resilience and autonomy.
People who have recovered rate psychological well-being as a central criterion for ED recovery in addition to the remission of eating disorder symptoms. Supplementary criteria, besides symptom remission, are needed to measure recovery. We recommend including measurements of psychological well-being and self-adaptability/resilience in future research, such as outcome studies and in routine outcome measurement.
Publication date: January 2018
Source:Biomaterials, Volume 153
Author(s): Kenichi Nagase, Masayuki Yamato, Hideko Kanazawa, Teruo Okano
Thermoresponsive surfaces, prepared by grafting of poly(N-isopropylacrylamide) (PIPAAm) or its copolymers, have been investigated for biomedical applications. Thermoresponsive cell culture dishes that show controlled cell adhesion and detachment following external temperature changes, represent a promising application of thermoresponsive surfaces. These dishes can be used to fabricate cell sheets, which are currently used as effective therapies for patients. Thermoresponsive microcarriers for large-scale cell cultivation have also been developed by taking advantage of the thermally modulated cell adhesion and detachment properties of thermoresponsive surfaces. Furthermore, thermoresponsive bioseparation systems using thermoresponsive surfaces for separating and purifying pharmaceutical proteins and therapeutic cells have been developed, with the separation systems able to maintain their activity and biological potency throughout the procedure. These applications of thermoresponsive surfaces have been improved with progress in preparation techniques of thermoresponsive surfaces, such as polymerization methods, and surface modification techniques. In the present review, the various types of PIPAAm-based thermoresponsive surfaces are summarized by describing their preparation methods, properties, and successful biomedical applications.
Publication date: 1 March 2018
Source:Talanta, Volume 179
Author(s): Shan-Wen Hu, Shu Qiao, Jian-Bin Pan, Bin Kang, Jing-Juan Xu, Hong-Yuan Chen
A paper-based SERS test strip combining strengths of paper chip and Raman active substrate was demonstrated to overcome challenges in spectroscopic sensing of complicated samples and realize quantitative detection of disease markers in whole blood. The precisely controlled Au NPs were not only capable of generating condensed hot spots on the fibers, but also enhanced the size exclusion effect of paper, resulting in the novel performance on both SERS detection and sample pretreatment. A biosensor for Mucin-1 is developed by equipping the Au NPs with aptamer. Combining all these merits, this small, cheap and portable test strip might find wide application in clinical diagnosis and health evaluation.
Publication date: 1 March 2018
Source:Talanta, Volume 179
Author(s): Eliezer Oliveira, Camelia Henriquez, Lidiane C. Nunes, Elias A.G. Zagatto
Multivariate calibration involving partial least squares was exploited in the flow-based spectrophotometric determination of molybdenum in river waters relying on the Mo(VI)-catalyzed iodide oxidation by H2O2 under acidic conditions. Two sample aliquots were simultaneously inserted into the carrier stream, and differential pumping was accountable for in-line addition of sulfuric acid to one of them. Pronounced gradients (acidity and reagent concentrations) were established along the complex sample zone formed, and the absorbance-time function was characterized by local maximum and minimum values. As these values were intrinsically more precise, they were used for implementing the PLS multivariate calibration. Mo(VI) and Fe(III) were jointly determined, and Fe(III) interference was straightforwardly circumvented. Influence of reagent concentrations, acidity, available time for reaction development, and nature of the acid was investigated, and this later parameter manifested itself as relevant for discriminating purposes. The calibration set consisted of 6.2 – 50.0μgL−1 Mo(VI) plus 0.5 – 7.0mgL−1 Fe(III) solutions. The PLS model was characterized by good prediction ability [RMSEP = 0.67μgL−1 for Mo(VI)]. The innovation was applied to spiked river waters, and analytical precision, sampling rate, recovery, detection limit and reagent consumption were estimated as 0.5 – 2.4%, 31h−1, 98–114%. 0.88μgL−1 Mo(VI), and 54.0mg KI per determination, respectively. Results were in agreement with ICP OES.
Publication date: 1 March 2018
Source:Talanta, Volume 179
Author(s): Yanyan Qu, Liangliang Sun, Guijie Zhu, Zhenbin Zhang, Elizabeth H. Peuchen, Norman J. Dovichi
Glycoproteomic analysis requires efficient separation and sensitive detection to enable the comprehensive characterization of glycan heterogeneity. Here, we report the use of capillary zone electrophoresis-electrospray ionization-mass spectrometry (CZE-ESI-MS) with an electrokinetically-pumped nanospray interface for the study of protein glycosylation microheterogeneity. A fast separation was developed that resolved intact glycopeptides generated from standard proteins within ~9min. Differentially terminal-galactosylated and sialylated species with the same glycosylation sites were well resolved. The concentration detection limits for CZE were three times higher than for nanoLC methods; however, a 200-fold smaller injection volume was used in CZE, which reflects the use of an extremely efficient electrospray interface in our CZE-ESI-MS setup. The resulting glycopeptide mass detection limit was two orders of magnitude superior to a nanoLC method. We also observed a 1.5% and 7% average relative standard deviation in peak migration time and glycopeptide relative abundance, and a four order of magnitude linear dynamic range in signal intensity. With CZE-ESI-MS, 40 haptoglobin glycopeptides were identified from roughly 40 fmol of digest.
Publication date: 1 March 2018
Source:Talanta, Volume 179
Author(s): Shengfeng Huang, Ning Gan, Tianhua Li, You Zhou, Yuting Cao, Youren Dong
An ultrasensitive electrochemical aptasensor for multiplex antibiotics detection based on endonuclease and exonuclease assisted dual recycling amplification strategy was proposed. Kanamycin and chloramphenicol were selected as candidates. Firstly, aptamers of the antibiotics were immobilized on bar A and then binding with their endonuclease labeled complementary DNA strands to construct enzyme-cleavage probes. Secondly, The nano zirconium-metal organic framework (NMOF) particles with 1,4-benzene-dicarboxylate (BDC) as linker was defined as UiO-66. And its updated version, hierarchically porous UiO-66 (HP-UIO-66) decorated with different electroactive materials as signal tags were synthesized. Then they were immobilized on bar B linked by two duplex DNA strands which can be specifically cleaved by corresponding enzyme-cleavage probes in bar A. Once targets were introduced into system, aptamers can capture them and then release enzyme-cleavage probes. In the presence of exonuclease-I, exonuclease assisted target recycling amplification was triggered and more enzyme-cleavage probes were released into solution. The probes can trigger endonuclease assisted recycles and repeatedly cleave their corresponding duplex DNA strands on bar B then released numerous signal tags into supernatant. Thus two recycling amplification was performed in the system. Finally, MB and Fc in the signal tags were detected by square wave voltammetry after removing bar A/B and the current intensities were correspondent with the concentration of KANA and CAP respectively. Under the optimum condition, the limits of detection for the KANA and CAP were 35fM and 21fM respectively with a wide linear range from 1 × 10−4 to 50nM. This dual recycling amplification detection system exhibited high sensitivities and specificity. It can be easily extended to detect other targets if changing the corresponding aptamers and has potential application values for screening of multiplex antibiotics residues in food safety.
Publication date: 1 March 2018
Source:Talanta, Volume 179
Author(s): Libin Yang, Yongliang Chen, Yu Shen, Ming Yang, Xiuling Li, Xiaoxia Han, Xin Jiang, Bing Zhao
Bisphenol A (BPA) is a highly toxic chemical, and its residue in milk product is threatening people's health due to its possible leaching from the packagings and cans with BPA coating. In this work, halides modified Au nanoparticles (NPs) as the modification substrates were first designed for rapid and sensitive determination of BPA residue in real milk by SERS method with the assistance of aggregation agents (Zn2+). It can be concluded that Au NPs modification substrate with assistance of the aggregation agent can remarkably improve the detection sensitivity of BPA residue, which can significantly enhance the SERS signal of BPA and achieve the trace-level detection of BPA residue. Under the optimal conditions, the limit of detection of BPA residue can be as low as to 4.3 × 10−9mol/L (equal to 0.98 × 10−3mg/kg), which is much less than the standard of European Union (0.6mg/kg). And, there is a good linear relationship (R2 = 0.990) between the intensity of SERS signal and the logarithm of BPA concentration in the range of 1.0 × 10−8–1.0 × 10−3mol/L. By this method, the recovery of BPA residue ranges from 89.5% to 100.2% with relative standard deviation between 4.6% and 2.7%. The proposed SERS method proves to be reliable, highly sensitive and possesses good reproducibility, which is very promising for sensitive detection of bisphenols residue in foodstuff.
Publication date: 1 March 2018
Source:Talanta, Volume 179
Author(s): A. Cárdenas Valdivia, E. Vereda Alonso, M.M. López Guerrero, J. Gonzalez-Rodriguez, J.M. Cano Pavón, A. García de Torres
A green and simple method has been proposed in this work for the simultaneous determination of V, Ni and Fe in fuel ash samples by solid sampling high resolution continuum source graphite furnace atomic absorption spectrometry (SS HR CS GFAAS). The application of fast programs in combination with direct solid sampling allows eliminating pretreatment steps, involving minimal manipulation of sample. Iridium treated platforms were applied throughout the present study, enabling the use of aqueous standards for calibration. Correlation coefficients for the calibration curves were typically better than 0.9931. The concentrations found in the fuel ash samples analysed ranged from 0.66% to 4.2% for V, 0.23–0.7% for Ni and 0.10–0.60% for Fe. Precision (%RSD) were 5.2%, 10.0% and 9.8% for V, Ni and Fe, respectively, obtained as the average of the %RSD of six replicates of each fuel ash sample.The optimum conditions established were applied to the determination of the target analytes in fuel ash samples. In order to test the accuracy and applicability of the proposed method in the analysis of samples, five ash samples from the combustion of fuel in power stations, were analysed. The method accuracy was evaluated by comparing the results obtained using the proposed method with the results obtained by ICP OES previous acid digestion. The results showed good agreement between them.The goal of this work has been to develop a fast and simple methodology that permits the use of aqueous standards for straightforward calibration and the simultaneous determination of V, Ni and Fe in fuel ash samples by direct SS HR CS GFAAS.
Publication date: Available online 31 October 2017
Source:Journal of Bodywork and Movement Therapies
Author(s): AmirAli Jafarnezhadgero, Morteza Madadi-Shad, Fatemeh Salari Esker, D.G.E. Robertson
Gait asymmetry is defined as a loss of perfect agreement between the dominant and non-dominant lower limbs. Conflicting results from gait asymmetry studies may be due to different definitions of asymmetry, different research methods, and/or different variables and formulas used for asymmetry calculation. As a result, this makes it difficult to compare joint asymmetry values between studies. An accurate and precise understanding of asymmetry during human walking is an important step towards developing enhanced rehabilitation protocols for pathological gait. This study examined bilateral lower extremity joint moment asymmetry during the stance phase of walking using three different methods. Fourteen male children (with flat feet) aged 8–14 years participated in this study. The three-dimensional lower limb kinetics was evaluated during a comfortable gait. Then, right and left lower limb joint moments were used to calculate the joint moment asymmetry via three different methods (Lathrop-Lambach method: equation used by Lathrop-Lambach et al. (2014); Su method: equation used by Su et al. (2015); Nigg method: equation used by Nigg et al. (2013)). Repeated-measures ANOVAs (α = 0.05) were used to compare the values of net joint moment asymmetry calculated by the three methods. The results of the statistical analyses found that the amounts of moment symmetry between limbs calculated by the first two methods were significantly greater than that of using the Nigg method (except for the values of the frontal ankle moment computed by the Lathrop-Lambach method). Furthermore, in comparison of the first two methods, using the Su method showed a reduction in moment asymmetry for all joints and for all moments (p < 0.05). We conclude that, although all of three common methods for determining asymmetry between limbs have documented merit, they sometimes differ dramatically in results.
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Publication date: Available online 31 October 2017
Source:Journal of Bodywork and Movement Therapies
Author(s): P. Mark Driscoll
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Publication date: Available online 31 October 2017
Source:Journal of Bodywork and Movement Therapies
Author(s): Jordi Gascon-Garcia, Caridad Bagur-Calafat, Montserrat Girabent-Farrés, Ramon Balius
ObjectivesTo use ultrasound imaging to show how the needles in dry needling applied in the carpal tunnel can reach the transverse carpal ligament, acting on it in the form of traction-stretching when the fascial winding technique is performed. The potential associated risks are also assessed.DesignValidation study.ParticipantsHealthy volunteers (n = 18).MethodsFour dry needling needles were applied to the carpal tunnel, only using anatomical references, according to the original approach known as "four-pole carpal dry needling", and manipulating the needles following the so-called fascial winding technique according to the authors, in the form of unidirectional rotation. An ultrasound recording of the distance reached was then performed, and compared with the mechanical action achieved on the transverse carpal ligament.Results93.1% of the needles placed came into contact with the transverse carpal ligament with traction-stretching of the ligament observed when the needles were manipulated with the fascial winding technique in 80.6%. The mean distance from the tip of the needle to the median nerve was 3.75 mm, with CI95% [3.10, 4.41] and it was 7.78 mm with CI95% [6.64, 8.91] to the ulnar artery. Pain immediately after the technique concluded was of mild intensity, almost nil 10 min later, and non-existent after one week.ConclusionDry needling with fascial winding technique in the carpal tunnel using the four-pole carpal dry needling approach is valid for reaching and traction of the transverse carpal ligament, and may stretch it and relax it. It is also safe with regard to the median nerve and ulnar artery, with a very mild level of pain.
http://ift.tt/2zXFVAC
Publication date: 5 February 2018
Source:Journal of Molecular Structure, Volume 1153
Author(s): Samir A. Abdel-Latif, Adel A. Mohamed
Novel Mn(II), Co(II), Ni(II), Cu(II) and Zn(II) metal ions with 1,3-diphenyl-4-phenylazo-5-pyrazolone (L) have been prepared and characterized using different analytical and spectroscopic techniques. 1:1 Complexes of Mn(II), Co(II) and Zn(II) are distorted octahedral whereas Ni(II) complex is square planar and Cu(II) is distorted trigonal bipyramid. 1:2 Complexes of Mn(II), Co(II), Cu(II) and Zn(II) are distorted trigonal bipyramid whereas Ni(II) complex is distorted tetrahedral. All complexes behave as non-ionic in dimethyl formamide (DMF). The electronic structure and nonlinear optical parameters (NLO) of the complexes were investigated theoretically at the B3LYP/GEN level of theory. Molecular stability and bond strengths have been investigated by applying natural bond orbital (NBO) analysis. The geometries of the studied complexes are non-planner. DFT calculations have been also carried out to calculate the global properties; hardness (η), global softness (S) and electronegativity (χ). The calculated small energy gap between HOMO and LUMO energies shows that the charge transfer occurs within the complexes. The total static dipole moment (μtot), the mean polarizability (<α>), the anisotropy of the polarizability (Δα) and the mean first-order hyperpolarizability (<β>) were calculated and compared with urea as a reference material. The complexes show implying optical properties.
Publication date: 5 February 2018
Source:Journal of Molecular Structure, Volume 1153
Author(s): S.S. Sreejith, Nithya Mohan, M.R. Prathapachandra Kurup
A trinulcear Zn2La Schiff base complex was synthesized using slow-solvent evaporation technique from a Zn(II) mononuclear metalloligand by 2:1 addition with La(NO3)3 salt. Single crystal XRD analysis revealed a rare nitrato bridged trinuclear entity which is seldom seen in these class of ligand systems. Qualitative and quantitative analysis of intermolecular interactions/short contacts were done using Hirshfeld surface and 2D finger print analysis. The thermally stable, blue luminescent compound exhibits internal heavy atom effect thereby quenching the emission intensity of the ligand. DFT calculations were performed on the compound to analyze frontier orbitals and also ESP plots were used to monitor nucleophilic/electrophilic regions on the compound and its implications on hydrogen bonding. A comparison of the bond orders and atomic charges on the trinuclear compound and the Zn(II) metalloligand precursor was performed to substantiate the formation of the trinuclear product through ligand exchange.
Publication date: 5 February 2018
Source:Journal of Molecular Structure, Volume 1153
Author(s): Umashri Kendur, Geeta H. Chimmalagi, Sunil M. Patil, Kalagouda B. Gudasi, Christopher S. Frampton, Chandrashekhar V. Mangannavar, Iranna S. Muchchandi
Air and moisture stable coordination compounds of late first row transition metal ions, viz., Co(II), Ni(II), Cu(II) and Zn(II) with a newly designed ligand, (E)-2-amino-N'-(1-(2-hydroxy-6-methyl-4-oxo-4H-pyran-3-yl)ethylidene)benzohydrazide (H2L) were prepared and extensively characterized using various spectro-analytical techniques. The ligand acts both in mono as well as doubly deprotonated manner. The ligand to metal stoichiometry was found to be 1:2 in case of complexes using chloride salts, whereas 1:1 in case of copper (II) complex using its acetate salt. The molecular structures of H2L, nickel and copper complexes were unambiguously determined by single-crystal X-ray diffraction studies reveal that H2L exists in a zwitterionic form while copper complex has copper centre in a distorted square planar environment. On the other hand, cobalt, nickel and zinc complexes display distorted octahedral coordination around the metal ion. In case of [Ni(HL)2].H2O, intramolecular CH⋯π stacking interaction were observed between the centroid of five membered chelate ring and phenyl proton C5H5 and intermolecular CH⋯π stacking interaction between the centroid of phenyl ring, dehydroacetic acid (DHA) ring and phenyl protons. The [Cu(L)DMF] complex is stabilized by intramolecular hydrogen bonding N1H⋯N2 and by intermolecular hydrogen bonding N1H⋯O4. Intermolecular interactions were investigated by Hirshfeld surfaces. Further, H2L and its metal complexes were screened for their in vivo and in vitro anti-inflammatory activities. The activity of the ligand has enhanced on coordination with transition metals. The tested compounds have shown excellent activity, which is almost equipotent to the standard used in the study.
Publication date: Available online 31 October 2017
Source:Alexandria Journal of Medicine
Author(s): Samir Naim Assaad, Aliaa Ali El-Aghoury, Eman M. El-Sharkawy, Tamer Mohamed Elsherbiny, Ahmed Abdelhameed Osman
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Publication date: January 2018
Source:International Immunopharmacology, Volume 54
Author(s): Meihong Lv, Huizhi Zeng, Yi He, Jiashu Zhang, Guang Tan
Inflammasome activation is mediated by NOD-like receptors (NLRs) that play important role in cellular proliferation. NLRP3 senses the widest array of stimuli. But its role in the liver regeneration after partial hepatectomy (PHx) is still unknown. Dexmedetomidine (Dex) has been documented to protect the liver against ischemia-reperfusion injury via the suppression of the TLR4/NF-κB pathway, which is important for NLRP3 inflammasome activation and liver regeneration. We tested whether Dex contributes to liver regeneration, and investigated its consequent effect on inflammasome activation. In vitro, L02 human liver cells were treated with Dex at different concentrations. The 70% PHx was performed in C57 BL/6 mice as PHx group, and sham-operated animals as Sham group, Dex-treated animals were assigned into two groups: Dex+PHx, which received single intraperitoneal injections of Dex (25μg/kg) before PHx 30mins; Dex+PHx+Dex, which received additional Dex (25μg/kg) after PHx for 3days. Dex significantly inhibited the proliferation of Lo2 cells in vitro and decreased the expression of TLR4/NFκB. In vivo, Dex+PHx exhibited promoted effect on liver regeneration and liver function recovery via inhibiting NLRP3 inflammasome activation. Dex+PH+Dex inhibited the liver regeneration, which may be associated with suppressed expression levels of TLR4/NFκB pathway. Though Dex pretreatment contributed to liver regeneration and function recovery via inflammation suppression, excessive inflammation suppression accompanied with TLR4 suppression could be related to the diminished liver regeneration, suggesting that TLR4/NFκB played important role in liver regeneration and Dex+PHx might be a useful therapeutic strategy to promote liver regeneration in clinical.
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Publication date: Available online 31 October 2017
Source:Archives of Physical Medicine and Rehabilitation
Author(s): Christine A. Elnitsky, Cara Blevins, Jan Warren Findlow, Tabitha Alverio, Dennis Wiese
ObjectiveTo examine the effects of campus services on the health of veterans with traumatic injuries and comorbidities as they return from military service and enter college.DesignCross-sectional internet survey using a mixed-methods analysis approach.SettingA four-year urban research university in the southeastern United States.ParticipantsWe conducted a survey of 127 veterans returning from active military duty.InterventionsNone.Main Outcome MeasuresSurveys included standardized measures of health status, traumatic injuries and functional impairment (PCL-C, VHA TBI screen, Veterans RAND-12), as well as use of campus services and perceived effectiveness of these services in supporting reintegration to the university, and recommendations for additional services.ResultsQuantitative and qualitative data revealed that student veterans experience high rates of chronic pain that interfere with their daily functioning (92.7%), symptoms of post-traumatic stress disorder (PTSD) (77.9%), traumatic brain injury (TBI) (26.0%), and comorbidities as the Polytrauma Clinical Triad (PCT) (14.2%). Despite the high prevalence of pain, PTSD, and TBI, few students used disability services (5.2%), counseling services (18.8%) or student health services (36.5 %). Students experienced challenges accessing needed health services when reintegrating from the military to the university, including mutable university service factors.ConclusionsFindings indicate the need for campus services to address the particular needs of student veterans and the need for determining what particular services should be offered to help this population cope with injuries and succeed in college.
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Publication date: Available online 31 October 2017
Source:Archives of Physical Medicine and Rehabilitation
Author(s): Brian Grieve, Gabriel D. Shapiro, Lucy Wibbenmeyer, Amy Acton, Austin Lee, Molly Marino, Alan Jette, Jeffrey C. Schneider, Lewis E. Kazis, Colleen M. Ryan
ObjectiveTo examine differences in long-term social reintegration outcomes for burn survivors with and without peer support attendence.DesignCross-sectional survey.SettingCommunity-dwelling burn survivors.ParticipantsBurn survivors (N = 601) aged ≥18 years with injuries to ≥5% total body surface area or burns to critical areas (hands, feet, face, or genitals).InterventionsNot applicable.Main Outcome MeasuresThe LIBRE Profile was used to examine the following previously validated six scale scores of social participation: Family & Friends, Social Interactions, Social Activities, Work & Employment, Romantic Relationships, and Sexual Relationships.ResultsBurn support group attendance was reported by 330 (55%) of 596 respondents who responded to this item. Attendees had larger burn size (43.4 ± 23.6 vs. 36.8 ± 23.4% total body surface area burned (TBSA), p<0.01) and were more likely to be >10 years from injury (50% vs 42.5%, p<0.01). Survivors who attended at least one support group scored significantly higher on three of the scales: Social Interactions (p=.01), Social Activities (p=.04) and Work and Employment (p=.05). In adjusted analyses, peer support attendance was associated with increased scores on the Social Interactions scale, increasing scores by 17% of a standard deviation (95% CI, 1-33%, p = .04).ConclusionsBurn survivors who reported peer support attendance had better social interaction scores than those who did not. This is the first reported association between peer support group attendance and improvements in community reintegration in burn survivors. This cross-sectional study prompts further exploration into the potential benefits of peer support groups on burn recovery with future intervention studies.
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Publication date: January 2018
Source:Journal of Environmental Radioactivity, Volume 181
Author(s): Árpád Bihari, Máté Karlik, Marcel Mîndrescu, Zoltán Szalai, Ionela Grădinaru, Zoltán Kern
Fallout isotope (210Pbex,137Cs and 241Am) based dating has been carried out on the near-surface sediment core collected from Lake Bolătău-Feredeu (Bukovina, Romania). The motivation was to improve the chronology of this recent section in connection with significant fluctuations observed in sediment accumulation rates, particle size distribution and primordial radioisotope (i.e. 40K and 232Th) composition. Previously only an extrapolation of a broad-range OxCal age-depth model, which was based on 8 AMS radiocarbon dates from the deeper part of a parallel sediment sequence and tentatively validated for the upper part using the double peaks of the 137Cs activity concentration distribution, was available for the studied section (1–24 cm). Parallel to the previous 137Cs measurement, 210Pb and 226Ra (for a more detailed, 210Pbex-based chronology), 241Am (for an additional time-marker), as well as 40K and 232Th concentrations have also been determined by gamma-spectrometry. In case of the 210Pbex-based chronology, due to a large deviation from a pure exponential distribution, the Constant Flux (CF) model has been used for the calculation of sediment ages and accumulation rates. Although the broad-range OxCal and the CF model were broadly similar down to 22 cm, the 210Pbex-based ages are clearly superior in terms of uncertainty in the uppermost 12 cm, while the broad-range model has smaller uncertainty below 20 cm (>150 years). The CF model gave an average mass accumulation rate of (0.08 ± 0.03) g cm−2 yr−1 for sections 0–11 cm, and (0.03 ± 0.01) g cm−2 yr−1 for sections 12–22 cm, respectively. Significant changes have been observed in the depth distribution of both the particle size distribution and the elemental/isotopic composition of the sediment record, most likely related to the variation observable in the intensity and volume of precipitation in the catchment. The obtained high-resolution records of Lake Bolătău, including multiple radioisotopes, can serve as a regional benchmark for similar studies.
Publication date: December 2017
Source:Journal of Environmental Radioactivity, Volume 180
Author(s): Azusa Ishizaki, Yukihisa Sanada, Mutsushi Ishida, Masahiro Munakata
After the Fukushima Daiichi Nuclear Power Station (FDNPS) accident in 2011, aerial radiation monitoring (ARM) using a manned helicopter was conducted to rapidly measure air dose rates and the deposition of radioactive nuclides over a large area. Typically, the air dose rate is obtained by conversion from the count rate using conventional flat source model (FSM). The converted dose rate obtained via aerial monitoring poorly matches the results of ground measurement in the mountain and forest areas because FSM does not consider topographical effects. To improve the conversion accuracy, we developed new methods to analyze aerial monitoring data using topographical source model (TSM) based on the analytical calculation of the gamma-ray flux. The ARM results converted using both FSM as well as TSM were compared with ground measurement data obtained after the FDNPS accident. By using TSM, the conversion accuracy was improved. In addition, to determine a parameter sensitive to topographical effects, we examined five parameters and it was clear that the difference between the elevation just below the helicopter and the mean elevation within the measurement area was the most influential.
Publication date: December 2017
Source:Journal of Environmental Radioactivity, Volume 180
Author(s): Soon-Ung Park, In-Hye Lee, Seung Jin Joo, Jae-Won Ju
Site specific radionuclide dispersion databases were archived for the emergency response to the hypothetical releases of 137Cs from the Uljin nuclear power plant in Korea. These databases were obtained with the horizontal resolution of 1.5 km in the local domain centered the power plant site by simulations of the Lagrangian Particle Dispersion Model (LPDM) with the Unified Model (UM)–Local Data Assimilation Prediction System (LDAPS). The Eulerian Dispersion Model–East Asia (EDM–EA) with the UM–Global Data Assimilation Prediction System (UM-GDAPS) meteorological models was used to get dispersion databases in the regional domain. The LPDM model was performed for a year with a 5-day interval yielding 72 synoptic time-scale cases in a year. For each case hourly mean near surface concentrations, hourly mean column integrated concentrations, hourly total depositions for 5 consecutive days were archived by the LPDM model in the local domain and by the EDM-EA model in the regional domain of Asia. Among 72 synoptic cases in a year the worst synoptic case that showed the highest mean surface concentration averaged for 5 days in the LPDM model domain was chosen to illustrate the emergency preparedness to the hypothetical accident at the site. The simulated results by the LPDM model with the 137Cs emission rate of the Fukushima nuclear power plant accident for the first 5-day period were found to be able to provide prerequisite information for the emergency response to the early phase of the accident whereas those of the EDM-EA model could provide information required for the environmental impact assessment of the accident in the regional domain. The archived site-specific database of 72 synoptic cases in a year could have a great potential to be used as a prognostic information on the emergency preparedness for the early phase of accident.
Publication date: December 2017
Source:Journal of Environmental Radioactivity, Volume 180
Author(s): Trista McKenzie, Henrietta Dulai
Several reactors at the Fukushima Dai-ichi Nuclear Power Plant suffered damage on March 11, 2011, resulting in the release of radiocesium (134Cs and 137Cs), as well as other radionuclides, into the atmosphere. A week later, these isotopes were detected in aerosols over the state of Hawai'i and in milk samples analyzed on the island of Hawai'i. This study estimated the magnitude of cesium deposition in soil, collected in 2015–2016, resulting from atmospheric fallout. It also examined the patterns of cesium wet deposition with precipitation observed on O'ahu and the island of Hawai'i following the disaster. Fukushima-derived fallout was differentiated from historic nuclear weapons testing fallout by the presence of 134Cs and the assumption that the 134Cs to 137Cs ratio was 1:1. Detectable, Fukushima-derived 134Cs inventories ranged from 30 to 630 Bq m−2 and 137Cs inventories ranged from 20 to 2200 Bq m−2. Fukushima-derived cesium inventories in soils were related to precipitation gradients, particularly in areas where rainfall exceeded 200 mm between March 19 and April 4, 2011. This research confirmed and quantified the presence of Fukushima-derived fallout in the state of Hawai'i in amounts higher than predicted by models and observed in the United States mainland, however the activities detected were an order of magnitude lower than fallout associated with historic sources such as the nuclear weapons testing in the Pacific. In addition, this study showed that areas of highest cesium deposition do not overlap with densely populated or agriculturally used areas.
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