Αρχειοθήκη ιστολογίου

Αναζήτηση αυτού του ιστολογίου

Πέμπτη 30 Ιουνίου 2016

The effects of prenatal “psychological” stressor exposure on lung inflammation and hyperresponsiveness in adult rat offspring

Abstract

The aim of this study was to establish whether exposure of pregnant rats to uncontrollable (psychological) stressors might change the likelihood of their offspring to exhibit functional and histopathological abnormalities suggestive of asthma in adulthood. Pregnant rats (n = 16) underwent one of three treatments: electric shocks of a maximum duration of 10 s that could be escaped (controllable group; C) those that could not be escaped (uncontrollable group; U) or no shocks (control group; N). The offspring (n = 54) were kept in animal house under standard conditions until 3 months of age, when lung hyperresponsiveness, histopathology, immunohistochemical measurements of the cytokines interleukin (IL) 2, IL-4, IL-5, and IL-13 and actin as well as oxidative stress based on iNOS-positive cell counts and isoprostane PGF2α contents were assessed. The results showed that prenatal exposure to physical stressors (shocks) caused lung hyperresponsiveness and increased cytokine expression; exposure to uncontrollable shock (group U) had a differential effect on the expression of IL-2, IL-5, and IL-13 in inflammatory cells compared to exposure to controllable shock (group C), which characterizes the "psychological" aspect of stress. The results show that not only stress but also its uncontrollability during gestation might increase the likelihood that the offspring will exhibit functional and histopathological abnormalities suggestive of asthma. These findings strengthen the importance of psychological control with regard to environmental stimuli for the occurrence of several illnesses, suggesting the desirability of integration among various fields of science.



from #Medicine via ola Kala on Inoreader http://ift.tt/29w8NUB
via IFTTT

Early weaning impairs a social contagion of pain-related stretching behavior in mice

Abstract

Pain sensitivity in mice can be modulated through exposure to familiar individuals. This phenomenon is considered a form of emotional contagion, thought to be an evolutionary precursor of empathy in mammals. In particular, mother–infant interactions early in life can considerably alter empathy development. Here, we demonstrated that pairs of mice that were simultaneously administered with a noxious stimulus (acetic acid) exhibited more pain-related behaviors than when one of the pair was treated with a noxious stimulus. However, these differences disappeared when mice were separated from the dam 1 week earlier than the typical weaning age. Even when mice were alone, when treated with acetic acid, early weaning decreased their pain response. These results suggested that the disruption of mother–infant bonding through early weaning impairs pain contagion and modulates sensitivity to pain.



from #Medicine via ola Kala on Inoreader http://ift.tt/298XxPC
via IFTTT

Associations between bedtime and nighttime parenting and infant cortisol in the first year

Abstract

We examined how maternal care within the bedtime and nighttime contexts influences infant cortisol levels and patterning. Eighty-two mothers (Mage= 29.4 years) and infants participated in a longitudinal study when infants were 3, 6, and 9 months old. At each time point, bedtime and nighttime parenting were recorded and infant cortisol at bedtime and the following morning was analyzed. Multilevel model analyses showed that infants had lower cortisol levels when mothers were more emotionally available at bedtime, and infants whose mothers responded more often to their non-distressed cues had lower cortisol levels on average. Less co-sleeping and more maternal responses to infant distress were linked to healthier cortisol patterning. By shedding light on parenting qualities and behaviors that influence infant cortisol, these results indicate avenues for intervention and suggest the utility of studying parenting in infant sleep contexts.



from #Medicine via ola Kala on Inoreader http://ift.tt/29w8NUJ
via IFTTT

Importance of an education programme for patients with chronic widespread pain.

The structured education programme for patients with chronic widespread pain is the first stage of the interdisciplinary group-based rehabilitation programme for those patients at the University Rehabilitation Institute in Ljubljana, Slovenia. The aim of our pilot study was to investigate the impact of the education programme on the patients' attribution of pain as dangerous. Ninety-three participants with chronic widespread pain volunteered for the study. They were first screened to verify whether they were suitable for inclusion in the rehabilitation programme. They filled in the Pain Catastrophizing Scale and the Tampa Scale of Kinesiophobia as part of the screening and after the education programme. The results showed a statistically significantly reduced fear of movement and catastrophizing. Hence, the education programme appears to be achieving its goals. Copyright (C) 2016 Wolters Kluwer Health, Inc. All rights reserved.

from #Medicine via ola Kala on Inoreader http://ift.tt/29cYN4C
via IFTTT

A longitudinal ICF-CY-based evaluation of functioning and disability of children born with very low birth weight.

This paper aims to describe the longitudinal changes in disability, defined by the International Classification of Functioning, Disability, and Health - Children and Youth version (ICF-CY) biopsychosocial model, and developmental outcomes in a cohort of 56 very low birth weight children over 14-20 months. We used a neurofunctional assessment, the Griffiths Mental Development Scales-Revised: 2-8 years (Griffiths 2-8) to evaluate psychomotor development and the ICF-CY questionnaire for ages 0-3 and 3-6 to address children's disability. Extension indexes on the basis of ICF-CY categories were computed, and longitudinal change was tested. Complete follow-up was available for 55 children (mean age 36.7 months, SD 6.7). Considering the sample as a whole, neurofunctional assessment, Griffiths score and disability were basically stable. When the subsample of children with the higher baseline functioning was taken into account, some degree of worsening, in terms of an increase in the number of impairments and limitations, was found. Our results show that disability profiles, neurofunctional assessment and global development were basically stable, except for the subgroup of children who were in the intermediate/high-functioning cluster at baseline. The increased disability among these children might be because of the possibility to observe a wider set of age-specific problems, such as emotional, regulation and social abilities that are not detectable at an early stage of development and that might lead to reduced participation in social activities. Copyright (C) 2016 Wolters Kluwer Health, Inc. All rights reserved.

from #Medicine via ola Kala on Inoreader http://ift.tt/294JW8x
via IFTTT

Effects of dry needling (DNHS technique) on the contractile properties of spastic muscles in a patient with stroke: a case report.

Dry needling for hypertonia and spasticity (DNHS) is a technique used for decreasing hypertonia and spasticity and for the improvement of function in patients with damage to the central nervous system. There is limited evidence supporting the effectiveness of this technique on the basis of objective assessments. The aim of the present case report was to quantify the effects of dry needling (DNHS technique) on the contractile properties of spastic muscles in an individual with stroke. The DNHS technique was applied to a 50-year-old male 2.5 years after stroke who had a complaint of spasticity. The treated muscles were biceps brachii, triceps brachii, rectus femoris, semitendinosus, biceps femoris, medial gastrocnemius, and lateral gastrocnemius. Tensiomyography was used to assess maximal displacement (Dm) of treated muscles. We performed a preintervention and postintervention measurement and a follow-up measurement 3 weeks after intervention. After the application of the DNHS technique, a decrease in the level of local muscle stiffness was observed for all muscles after intervention and at the 3-week follow-up, quantified by an increase in Dm. The usefulness of tensiomyography for detecting changes in patients with spasticity correlated with clinical measures in this field requires further research to establish the reliability of the different parameters provided by the equipment. Copyright (C) 2016 Wolters Kluwer Health, Inc. All rights reserved.

from #Medicine via ola Kala on Inoreader http://ift.tt/29cYO8P
via IFTTT

The Virtuous Troll: Argumentative Virtues in the Age of (Technologically Enhanced) Argumentative Pluralism

Abstract

Technology has made argumentation rampant. We can argue whenever we want. With social media venues for every interest, we can also argue about whatever we want. To some extent, we can select our opponents and audiences to argue with whomever we want. And we can argue however we want, whether in carefully reasoned, article-length expositions, real-time exchanges, or 140-character polemics. The concepts of arguing, arguing well, and even being an arguer have evolved with this new multiplicity and diversity; theory needs to catch up to the new reality. Successful strategies for traditional contexts may be counterproductive in new ones; classical argumentative virtues may be liabilities in new situations. There are new complications to the theorist's standard questions—What is an argument? and Who is an arguer?—while new ones move into the spotlight—Should we argue at all? and If so, why? Agent-based virtue argumentation theory provides a unifying framework for this radical plurality by coordinated redefinitions of the concepts of good arguers and good arguments. It remains true that good arguers contribute to good arguments, and good arguments satisfy good arguers, but the new diversity strains the old unity. Ironically, a unifying factor is provided by examining those paragons of bad arguers, argument trolls whose contributions to arguments are not very good, not really contributions, and, ultimately, not genuine argumentation.



from #Medicine via ola Kala on Inoreader http://ift.tt/29kta8G
via IFTTT

The Communicative Work of Organizations in Shaping Argumentative Realities

Abstract

It is argued here that large-scale organization and networked computing enable new divisions of communicative work aimed at shaping the content, direction, and outcomes of societal conversations. The challenge for argumentation theory and practice lies in attending to these new divisions of communicative work in constituting contemporary argumentative realities. Goffman's conceptualization of participation frameworks and production formats are applied to articulate the communicative work of organizations afforded by networked computing that invents and innovates argument in all of its senses—as product, process, and procedure. Communicative work, however, may be scaffolding argumentative contexts and practices that are quite different than what has constituted past argumentative realities. The computerization of argument happens as organizations invent and innovate argument practice relative to the demands and opportunities of interorganizational communication. The cases and examples examined here suggest that argument practice is evolving around the logic of conversation and the principle of personalization. The analysis challenges argumentation theory to seriously engage with the construction of communicative contexts and the realization of ideas about disagreement management in organizational practice and information infrastructures. Directions for integrating insights from a design perspective on argument with insights from organizational and information systems theory are proposed for coming to terms with an era of large-scale organization and computerization, in particular the evolution of argument practice, the inscription of argument in the built environment, and the absorption of socio-cultural argument practices by organizations and computation.



from #Medicine via ola Kala on Inoreader http://ift.tt/29aQ4OV
via IFTTT

Robotics, Vol. 5, Pages 13: Trajectory Generation and Stability Analysis for Reconfigurable Klann Mechanism Based Walking Robot

Reconfigurable legged robots based on one degree of freedom are highly desired because they are effective on rough and irregular terrains and they provide mobility in such terrain with simple control schemes. It is necessary that reconfigurable legged robots should maintain stability during rest and motion, with a minimum number of legs while maintaining their full range of walking patterns resulting from different gait configuration. In this paper we present a method to generate input trajectory for reconfigurable quadruped robots based on Klann mechanism to properly synchronize movement. Six useful gait cycles based on this reconfigurable Klann mechanism for quadruped robots has been clearly shown here. The platform stability for these six useful gait cycles are validated through simulated results which clearly shows the capabilities of reconfigurable design.

from #Medicine via ola Kala on Inoreader http://ift.tt/297BJVZ
via IFTTT

Micromachines, Vol. 7, Pages 112: Design and Experiment of a Solder Paste Jetting System Driven by a Piezoelectric Stack

To compensate for the insufficiency and instability of solder paste dispensing and printing that are used in the SMT (Surface Mount Technology) production process, a noncontact solder paste jetting system driven by a piezoelectric stack based on the principle of the nozzle-needle-system is introduced in this paper, in which a miniscule gap exists between the nozzle and needle during the jetting process. Here, the critical jet ejection velocity is discussed through theoretical analysis. The relations between ejection velocity and needle structure, needle velocity, and nozzle diameter were obtained by FLUENT software. Then, the prototype of the solder paste jetting system was fabricated, and the performance was verified by experiments. The effects of the gap between nozzle and needle, the driving voltage, and the nozzle diameter on the jetting performance and droplet diameter were obtained. Solder paste droplets 0.85 mm in diameter were produced when the gap between the nozzle and needle was adjusted to 10 μm, the driving voltage to 80 V, the nozzle diameter to 0.1 mm, and the variation of the droplet diameter was within ±3%.

from #Medicine via ola Kala on Inoreader http://ift.tt/294teaj
via IFTTT

Minerals, Vol. 6, Pages 65: Alternative Process Flow for Underground Mining Operations: Analysis of Conceptual Transport Methods Using Discrete Event Simulation

As the near surface deposits are being mined out, underground mines will increasingly operate at greater depths. This will increase the challenges related to transporting materials from deeper levels to the surface. For many years, the ore and waste transportation from most deep underground mines has depended on some or all of the following: truck haulage, conveyor belts, shafts, rails, and ore pass systems. In sub-level caving, and where ore passes are used, trains operating on the main lower level transport the ore from ore passes to a crusher, for subsequent hoisting to the surface through the shaft system. In many mines, the use of the ore pass system has led to several problems related to the ore pass availability, causing production disturbances and incurred cost and time for ore pass rehabilitation. These production disturbances have an impact on the mining activities since they increase the operational costs, and lower the mine throughput. A continued dependency on rock mass transportation using ore passes will generate high capital costs for various supporting structures such as rail tracks, shaft extensions, and crushers for every new main level. This study was conducted at an existing underground mine and analyzed the transport of ore from loading areas at the lower levels up to the existing shaft points using trucks without employing ore passes. The results show that, when the costs of extending ore passes to lower levels become too great or ore passes cannot be used for production, haul trucks can be a feasible alternative method for transport of ore and waste up the ramp to the existing crusher located at the previous main level. The use of trucks will avoid installing infrastructure at the next main level and extending the ore passes to lower levels, hence reducing costs.

from #Medicine via ola Kala on Inoreader http://ift.tt/297BM3M
via IFTTT

IJERPH, Vol. 13, Pages 665: Sounding the Alarm: Health in the Anthropocene

There is growing scientific and public recognition that human actions, directly and indirectly, have profoundly changed the Earth system, in a still accelerating process, increasingly called the "Anthropocene". Planetary transformation, including of the atmosphere, climate, ecosystems and biodiversity, has enormous implications for human health, many of which are deeply disturbing, especially in low-income settings. A few health consequences of the Anthropocene have been partially recognized, including within environmental epidemiology, but their long-term consequences remain poorly understood and greatly under-rated. For example Syria could be a "sentinel" population, giving a glimpse to a much wider dystopian future. Health-Earth is a research network, co-founded in 2014, which seeks, with other groups, to catalyse a powerful curative response by the wider health community. This paper builds on a symposium presented by Health-Earth members at the 2015 conference of the International Society for Environmental Epidemiology. It reviews and synthesizes parts of the large literature relevant to the interaction between the changing Earth system and human health. It concludes that this topic should be prominent within future environmental epidemiology and public health. Created by our species, these challenges may be soluble, but solutions require far more understanding and resources than are currently being made available.

from #Medicine via ola Kala on Inoreader http://ift.tt/29cXO4Q
via IFTTT

Minerals, Vol. 6, Pages 63: Optimization of Acid Leaching of Rare-Earth Elements from Mongolian Apatite-Based Ore

Optimization of the acid leaching process for Mongolian apatite-based ore containing rare-earth elements (REEs) was studied. The ore contained approximately 10% of REEs as total rare earth oxides, and the major impurities were Ca (33% as CaO) and Fe (23% as Fe2O3). Fe bearing minerals could be removed by passing the sample through a wet high-intensity magnetic separator before leaching. After magnetic separation, basic leaching tests were conducted to investigate the influence of the acid type and concentration, temperature, and the pH on the REE leaching level and kinetics. Hydrochloric acid was found to be the most effective leaching agent, leaching more than 90% of REEs in an hour. However, the concentrations of Ca ions in the leachate were also high, which would complicate recovery of the REEs. Therefore, to reduce the amount of Ca ions in the leachate, a two-stage leaching procedure was attempted. In stage 1, the sample was preleached using 1.0 M hydrochloric acid to dissolve Ca. In stage 2, the solid residue of stage 1 was leached using 2.0 M hydrochloric acid to dissolve REEs. Consequently, this two-stage leaching significantly reduced the Ca concentration in the final leachate without affecting the leaching levels of REEs.

from #Medicine via ola Kala on Inoreader http://ift.tt/294sSAs
via IFTTT

Toxins, Vol. 8, Pages 199: Therapeutic Effectiveness of Anticancer Phytochemicals on Cancer Stem Cells

Understanding how to target cancer stem cells (CSCs) may provide helpful insights for the development of therapeutic or preventive strategies against cancers. Dietary phytochemicals with anticancer properties are promising candidates and have selective impact on CSCs. This review summarizes the influence of phytochemicals on heterogeneous cancer cell populations as well as on specific targeting of CSCs.

from #Medicine via ola Kala on Inoreader http://ift.tt/297BJVV
via IFTTT

Materials, Vol. 9, Pages 536: Modeling the Effects of Cu Content and Deformation Variables on the High-Temperature Flow Behavior of Dilute Al-Fe-Si Alloys Using an Artificial Neural Network

The hot deformation behavior of Al-0.12Fe-0.1Si alloys with varied amounts of Cu (0.002–0.31 wt %) was investigated by uniaxial compression tests conducted at different temperatures (400 °C–550 °C) and strain rates (0.01–10 s−1). The results demonstrated that flow stress decreased with increasing deformation temperature and decreasing strain rate, while flow stress increased with increasing Cu content for all deformation conditions studied due to the solute drag effect. Based on the experimental data, an artificial neural network (ANN) model was developed to study the relationship between chemical composition, deformation variables and high-temperature flow behavior. A three-layer feed-forward back-propagation artificial neural network with 20 neurons in a hidden layer was established in this study. The input parameters were Cu content, temperature, strain rate and strain, while the flow stress was the output. The performance of the proposed model was evaluated using the K-fold cross-validation method. The results showed excellent generalization capability of the developed model. Sensitivity analysis indicated that the strain rate is the most important parameter, while the Cu content exhibited a modest but significant influence on the flow stress.

from #Medicine via ola Kala on Inoreader http://ift.tt/294t03a
via IFTTT

Polymers, Vol. 8, Pages 247: An Osteoconductive Antibiotic Bone Eluting Putty with a Custom Polymer Matrix

With the rising tide of antibiotic resistant bacteria, extending the longevity of the current antibiotic arsenal is becoming a necessity. Developing local, controlled release antibiotic strategies, particularly for difficult to penetrate tissues such as bone, may prove to be a better alternative. Previous efforts to develop an osteoconductive local antibiotic release device for bone were created as solid molded composites; however, intimate contact with host bone was found to be critical to support host bone regrowth; thus, an osteocondconductive antibiotic releasing bone void filling putty was developed. Furthermore, a controlled releasing polymer matrix was refined using pendant-functionalized diols to provide tailorable pharmacokinetics. In vitro pharmacokinetic and bioactivity profiles were compared for a putty formulation with an analogous composition as its molded counterpart as well as four new pendant-functionalized polymers. A best-fit analysis of polymer composition in either small cylindrical disks or larger spheres revealed that the new pendant-functionalized polymers appear to release vancomycin via both diffusion and erosion regardless of the geometry of the putty. In silico simulations, a valuable technique for diffusion mediated controlled release models, will be used to confirm and optimize this property.

from #Medicine via ola Kala on Inoreader http://ift.tt/297BNVq
via IFTTT

Batteries, Vol. 2, Pages 22: Clean Grain Boundary Found in C14/Body-Center-Cubic Multi-Phase Metal Hydride Alloys

The grain boundaries of three Laves phase-related body-center-cubic (bcc) solid-solution, metal hydride (MH) alloys with different phase abundances were closely examined by scanning electron microscopy (SEM), transmission electron microscopy (TEM), and more importantly, electron backscatter diffraction (EBSD) techniques. By using EBSD, we were able to identify the alignment of the crystallographic orientations of the three major phases in the alloys (C14, bcc, and B2 structures). This finding confirms the presence of crystallographically sharp interfaces between neighboring phases, which is a basic assumption for synergetic effects in a multi-phase MH system.

from #Medicine via ola Kala on Inoreader http://ift.tt/294t5Ue
via IFTTT

Catalysts, Vol. 6, Pages 96: Preparation of PdCu Alloy Nanocatalysts for Nitrate Hydrogenation and Carbon Monoxide Oxidation

Alloying Pd with Cu is important for catalytic reactions such as denitrification reaction and CO oxidation reaction, but understanding of the catalyst preparation and its correlation with the catalyst's activity and selectivity remains elusive. Herein, we report the results of investigations of the preparation of PdCu alloy nanocatalysts using different methods and the catalytic properties of the catalysts in catalytic denitrification reaction and CO oxidation reaction. PdCu alloy nanocatalysts were prepared by conventional dry impregnation method and ligand-capping based wet chemical synthesis method, and subsequent thermochemical activation as well. The alloying characteristics depend on the bimetallic composition. PdCu/Al2O3 with a Pd/Cu ratio of 50:50 was shown to exhibit an optimized hydrogenation activity for the catalytic denitrification reaction. The catalytic activity of the PdCu catalysts was shown to be highly dependent on the support, as evidenced by the observation of an enhanced catalytic activity for CO oxidation reaction using TiO2 and CeO2 supports with high oxygen storage capacity. Implications of the results to the refinement of the preparation of the alloy nanocatalysts are also discussed.

from #Medicine via ola Kala on Inoreader http://ift.tt/297BKcs
via IFTTT

Impact of Weight Extremes on Clinical Outcomes in Pediatric Acute Respiratory Distress Syndrome.

wk-health-logo.gif

Objectives: To determine whether weight extremes impact clinical outcomes in pediatric acute respiratory distress syndrome. Design: Post hoc analysis of a cohort created by combining five multicenter pediatric acute respiratory distress syndrome studies. Setting: Forty-three academic PICUs worldwide. Patients: A total of 711 subjects prospectively diagnosed with pediatric acute respiratory distress syndrome. Intervention: Subjects more than 2 years were included and categorized by Center for Disease Control and Prevention body mass index z score criteria: underweight (= +1.65). Subjects were stratified by direct versus indirect lung injury leading to pediatric acute respiratory distress syndrome. The primary outcome was in-hospital mortality. In survivors, secondary analyses included duration of mechanical ventilation and ICU length of stay. Measurements and Main Results: A total of 331 patients met inclusion criteria; 12% were underweight, 50% normal weight, 11% overweight, and 27% obese. Overall mortality was 20%. By multivariate analysis, body mass index category was independently associated with mortality (p = 0.004). When stratified by lung injury type, there was no mortality difference between body mass index groups with direct lung injury; however, in the indirect lung injury group, the odds of mortality in the obese were significantly lower than normal weight subjects (odds ratio, 0.11; 95% CI, 0.02-0.84). Survivors with direct lung injury had no difference in the duration of mechanical ventilation or ICU length of stay; however, those with indirect lung injury, the overweight required longer duration of mechanical ventilation than other groups (p

from #Medicine via ola Kala on Inoreader http://ift.tt/296d3fi
via IFTTT

Randomized Trial of Video Laryngoscopy for Endotracheal Intubation of Critically Ill Adults.

wk-health-logo.gif

Objective: To evaluate the effect of video laryngoscopy on the rate of endotracheal intubation on first laryngoscopy attempt among critically ill adults. Design: A randomized, parallel-group, pragmatic trial of video compared with direct laryngoscopy for 150 adults undergoing endotracheal intubation by Pulmonary and Critical Care Medicine fellows. Setting: Medical ICU in a tertiary, academic medical center. Patients: Critically ill patients 18 years old or older. Interventions: Patients were randomized 1:1 to video or direct laryngoscopy for the first attempt at endotracheal intubation. Measurements and Main Results: Patients assigned to video (n = 74) and direct (n = 76) laryngoscopy were similar at baseline. Despite better glottic visualization with video laryngoscopy, there was no difference in the primary outcome of intubation on the first laryngoscopy attempt (video 68.9% vs direct 65.8%; p = 0.68) in unadjusted analyses or after adjustment for the operator's previous experience with the assigned device (odds ratio for video laryngoscopy on intubation on first attempt 2.02; 95% CI, 0.82-5.02, p = 0.12). Secondary outcomes of time to intubation, lowest arterial oxygen saturation, complications, and in-hospital mortality were not different between video and direct laryngoscopy. Conclusions: In critically ill adults undergoing endotracheal intubation, video laryngoscopy improves glottic visualization but does not appear to increase procedural success or decrease complications. Copyright (C) by 2016 by the Society of Critical Care Medicine and Wolters Kluwer Health, Inc. All Rights Reserved.

from #Medicine via ola Kala on Inoreader http://ift.tt/29s1KfR
via IFTTT

Urinary Tissue Inhibitor of Metalloproteinase-2 and Insulin-Like Growth Factor-Binding Protein 7 for Risk Stratification of Acute Kidney Injury in Patients With Sepsis.

wk-health-logo.gif

Objectives: To examine the performance of the urinary biomarker panel tissue inhibitor of metalloproteinase-2 and insulin-like growth factor-binding protein 7 in patients with sepsis at ICU admission. To investigate the effect of nonrenal organ dysfunction on tissue inhibitor of metalloproteinase-2 and insulin-like growth factor-binding protein 7 in this population. Method: In this ancillary analysis, we included patients with sepsis who were enrolled in either of two trials including 39 ICUs across Europe and North America. The primary endpoint was moderate-severe acute kidney injury (equivalent to Kidney Disease Improving Global Outcome stage 2-3) within 12 hours of enrollment. We assessed biomarker performance by calculating the area under the receiver operating characteristic curve, sensitivity, specificity, and negative and positive predictive values at three cutoffs: 0.3, 1.0, and 2.0 (ng/mL)2/1,000. We also calculated nonrenal Sequential Organ Failure Assessment scores for each patient on enrollment and compared tissue inhibitor of metalloproteinase-2 and insulin-like growth factor-binding protein 7 results in patients with and without acute kidney injury and across nonrenal Sequential Organ Failure Assessment scores. Finally, we constructed a clinical model for acute kidney injury in this population and compared the performance of the model with and without tissue inhibitor of metalloproteinase-2 and insulin-like growth factor-binding protein 7. Results: We included 232 patients in the analysis and 40 (17%) developed acute kidney injury. We observed significantly higher urine tissue inhibitor of metalloproteinase-2 and insulin-like growth factor-binding protein 7 in patients with acute kidney injury than without acute kidney injury in both patients with low and high nonrenal Sequential Organ Failure Assessment scores (p

from #Medicine via ola Kala on Inoreader http://ift.tt/296d9n1
via IFTTT

Bone Failure in Critical Illness.

wk-health-logo.gif

Objectives: The origin of systemic inflammatory response syndrome and multiple organ dysfunction syndrome is poorly understood but remains a fundamental concern in the ICU. This paper provides a critical appraisal on whether bone failure may represent an unrecognized component of systemic inflammatory response syndrome/multiple organ dysfunction syndrome. Data Sources, Data Selection, and Data Extraction: Search of the PubMed database and manual review of selected articles investigating bone pathophysiology in critical illness. Data Synthesis: Bone hyperresorption is highly prevalent among critically ill patients. Bone breakdown releases numerous systemically active cytokines and bone-sequestered toxins, with the capacity to fuel inflammatory hypercytokinaemia and metabolic toxaemia. Anti-resorptive medication inhibits bone break down and preadmission anti-resorptive use is associated with superior survival among critically ill patients. Conclusions: We propose that hyperresorptive bone failure is an unrecognised component of systemic inflammatory response syndrome/multiple organ dysfunction syndrome that is causal to critical illness progression. If this hypothesis is valid, bone preservative strategies could reduce the risk of osteoporosis/fractures among ICU survivors, as well as decreasing critical illness mortality. Copyright (C) by 2016 by the Society of Critical Care Medicine and Wolters Kluwer Health, Inc. All Rights Reserved.

from #Medicine via ola Kala on Inoreader http://ift.tt/29s1RrK
via IFTTT

Where is the ball? behavioral and neural responses elicited by a magic trick

Abstract

We present results from two experiments, in which subjects watched continuous videos of a professional magician repeatedly performing a maneuver in which a ball could "magically" appear under a cup. In all cases, subjects were asked to predict whether the ball would appear under the cup or not, while scalp EEG recordings were performed. Both experiments elicited strong and consistent behavioral and neural responses. In the first experiment, we used two blocks of videos with different probabilities of the ball appearing in the cup and found that, first, based on the behavioral responses, the subjects could track this probability change; and second, the different probabilities modulated the neural responses. In the second experiment, we introduced a control condition in which the magician performed the maneuver under the table, out of subjects' view. Comparing the two conditions (i.e., performing the maneuver within or out of the subjects' view), we found that, first, the magic trick dramatically biased the subjects' behavioral responses; and second, the two conditions led to differential neural responses, in spite of the fact that the stimulus triggering the evoked responses (seeing the ball in the cup) was exactly the same. Altogether, our results show how new insights into sensory and cognitive processing can be obtained using adapted magic tricks. Moreover, the approach of analyzing responses to continuous video presentations offers a more ecological setting compared to classic evoked potential paradigms, which are typically based on presenting static images flashed at the center of the screen.



from #Medicine via ola Kala on Inoreader http://ift.tt/297k2pv
via IFTTT

Sustainability, Vol. 8, Pages 618: LED Lighting for Indoor Sports Facilities: Can Its Use Be Considered as Sustainable Solution from a Techno-Economic Standpoint?

In this paper, the authors propose a techno-economic comparative analysis between different lighting solutions, using, respectively, floodlight with metal halide lamps, luminaires with fluorescent lamps and LED floodlights. The comparison is aimed to identify general criteria for assessing the techno-economic sustainability of the use of LED lighting for indoor sports facilities, since this solution is very often proposed to achieve a reduction of the electrical power for lighting. From a technical standpoint, the analysis takes into particular consideration the aspects related to the satisfaction of lighting requirements, safety and energy efficiency. From an economic standpoint the investment, the operating and the maintenance costs are evaluated. To make comparisons on an economic basis, specific indicators are used. From the obtained results it is possible to highlight as the solution that uses the LED floodlights is characterized by highest energy efficiency. This solution requires a smaller number of luminaires and it has limited maintenance costs compared to the other solutions, but it has high investment costs, which involve reasonable payback times only when the sports facility is used intensively and for competitions of high level.

from #Medicine via ola Kala on Inoreader http://ift.tt/294fThG
via IFTTT

Metals, Vol. 6, Pages 149: In Vitro Analysis of the Tribological Behaviour of Different Material Combinations for Telescopic Crowns

Telescopic crowns are used to connect removable dental prostheses with the remaining dentition. Several material combinations are used for manufacturing primary and secondary crowns. The present experimental study analysed the influence of different material combinations on the long-term development of surface roughness and pull-off forces. Six different material combinations were tested. Secondary crowns were manufactured either by casting or electroforming. Each material combination was tested with n = 10 specimens. A material testing device with integrated power sensors was used for 10,000 cycles per test. Signs of wear were identified by surface roughness measurements, and visualized by a scanning electron microscope (SEM) and X-ray spectroscopy (EDX) technologies. Statistical significances were tested by using the U-Test with Bonferroni correction. The choice of materials and the manufacturing process were found to influence the long-term development of pull-off forces as well as wear-associated surface roughness. Combinations of different groups of materials for primary and secondary crowns showed favourable results. Worse results were found for the combination pure titanium and pure titanium and the combination high gold alloy and electroformed gold. Wear-associated surface roughness was higher for combinations of similar or identical groups of materials. For manufacturing telescopic crowns, combinations of different groups of materials are preferred. For secondary crown manufacturing, electroforming is superior to casting.

from #Medicine via ola Kala on Inoreader http://ift.tt/29cIXav
via IFTTT

Sustainability, Vol. 8, Pages 608: Inequalities in Human Well-Being in the Urban Ganges Brahmaputra Meghna Delta

The recently endorsed Sustainable Development Goals (SDGs) agenda unanimously agrees on the need to focus on inclusive development, the importance of eradicating extreme poverty and managing often complex human well-being impacts of rapid urban growth. Sustainable and inclusive urbanisation will accelerate progress towards the SDGs and contribute to eradicating extreme poverty. In tropical delta regions, such as the Ganges Brahmaputra Meghna delta region, urban growth and resulting intra-urban inequalities are accelerated by the impact of environmental and climate change. In this context, the present study uses the 2010 Household Income and Expenditure Survey to analyse the extent of wealth-based inequalities in human well-being in the urban delta region and the determinants of selected welfare measures. The results suggest that the extent of intra-urban inequalities is greatest in educational attainment and access to postnatal healthcare and relatively low in the occurrence of gastric disease. The paper concludes by providing policy recommendations to reduce increasing wealth inequalities in urban areas, thus contributing to sustainable development of the region.

from #Medicine via ola Kala on Inoreader http://ift.tt/294fKuS
via IFTTT

JFMK, Vol. 1, Pages 282-288: The Effect of Arm Position on Lower Extremity Kinematics during a Single Limb Drop Landing: A Preliminary Study

Anterior cruciate ligament (ACL) injuries occur most commonly during non-contact situations, such as landing from a jump. Arm position has been shown to affect the loading of the lower extremity and therefore alter the potential injury risk. This study aimed to investigate the effect of arm position on lower extremity kinematics during single limb drop landings. Eight recreational American football players performed single limb drop landings on their preferential limb in four different conditions; (1) control (arms free); (2) arms to landing limb side; (3) arms in front of body; and (4) arms away from landing limb side. Kinematics of the hip, knee and ankle were recorded in both the sagittal and frontal planes at initial ground contact and maximum. Results showed that there was a significant decrease in maximum hip flexion and a significant increase in peak dorsiflexion when landing with arms away from the landing-side limb. Since decreased hip flexion and increased ankle dorsiflexion have been proposed to increase the likelihood of ACL injury, it would appear that landing with arms away from the landing-side limb may increase the risk of ACL injury, and therefore athletes should avoid this position when landing from a jump.

from #Medicine via ola Kala on Inoreader http://ift.tt/2970FhU
via IFTTT

Minerals, Vol. 6, Pages 64: The Transformation of Coal-Mining Waste Minerals in the Pozzolanic Reactions of Cements

The cement industry has the potential to become a major consumer of recycled waste materials that are transformed and recycled in various forms as aggregates and pozzolanic materials. These recycled waste materials would otherwise have been dumped in landfill sites, leaving hazardous elements to break down and contaminate the environment. There are several approaches for the reuse of these waste products, especially in relation to clay minerals that can induce pozzolanic reactions of special interest in the cement industry. In the present paper, scientific aspects are discussed in relation to several inert coal-mining wastes and their recycling as alternative sources of future eco-efficient pozzolans, based on activated phyllosilicates. The presence of kaolinite in this waste indicates that thermal treatment at 600 °C for 2 h transformed these minerals into a highly reactive metakaolinite over the first seven days of the pozzolanic reaction. Moreover, high contents of metakaolinite, together with silica and alumina sheet structures, assisted the appearance of layered double hydroxides through metastable phases, forming stratlingite throughout the main phase of the pozzolanic reaction after 28 days (as recommended by the European Standard) as the reaction proceeded.

from #Medicine via ola Kala on Inoreader http://ift.tt/297ylb3
via IFTTT

Energies, Vol. 9, Pages 499: Combined Two-Stage Stochastic Programming and Receding Horizon Control Strategy for Microgrid Energy Management Considering Uncertainty

Microgrids (MGs) are presented as a cornerstone of smart grids. With the potential to integrate intermittent renewable energy sources (RES) in a flexible and environmental way, the MG concept has gained even more attention. Due to the randomness of RES, load, and electricity price in MG, the forecast errors of MGs will affect the performance of the power scheduling and the operating cost of an MG. In this paper, a combined stochastic programming and receding horizon control (SPRHC) strategy is proposed for microgrid energy management under uncertainty, which combines the advantages of two-stage stochastic programming (SP) and receding horizon control (RHC) strategy. With an SP strategy, a scheduling plan can be derived that minimizes the risk of uncertainty by involving the uncertainty of MG in the optimization model. With an RHC strategy, the uncertainty within the MG can be further compensated through a feedback mechanism with the lately updated forecast information. In our approach, a proper strategy is also proposed to maintain the SP model as a mixed integer linear constrained quadratic programming (MILCQP) problem, which is solvable without resorting to any heuristics algorithms. The results of numerical experiments explicitly demonstrate the superiority of the proposed strategy for both island and grid-connected operating modes of an MG.

from #Medicine via ola Kala on Inoreader http://ift.tt/29eGtKI
via IFTTT

Applied Sciences, Vol. 6, Pages 193: 2D Conduction Simulation of a PCM Storage Coupled with a Heat Pump in a Ventilation System

Efforts to simulate heat transfer in a PCM (Phase Change Material) storage device are generally led by considerations of Biot number and material thickness, of 2D versus 1D representation, and of possible hysteresis effects arising from the characterisation of the PCM using differential scanning calorimetry (DSC). In this paper we present a numerical treatment of heat conduction in a paraffin-based storage brick, based on experimental data for a full scale, heat storage component studied under laboratory conditions. The PCM was modelled adopting equivalent thermophysical properties during the phase change. An equivalent heat capacity and thermal conductivity were provided for an appropriate description of energy release and storage in the process of solidification and melting. The geometry of the metal container induces 2D effects that are generally neglected in numerical modelling. The thickness of the plates (about 2 cm) is sufficiently large to require the modelling of conduction in the PCM, but can also induce convection that has been neglected in this study. Experimental results are presented and compared for both a 1D and 2D model of the PCM device. It was concluded that a 2D representation is essential for configurations; like the case study and geometry we had; with a large difference in thermal conductivity between PCM and metal casing. Two curves of equivalent heat capacity (measured via DSC) were introduced for heating and cooling phases. Comparisons to experimental results indicated significant errors in the models during melting and solidification of the PCM, which could be reduced by instead adopting the mean of the two heat capacity curves. The rate of temperature change during the experiments and for the DSC characterisation was analysed and found to explain well the observations. In particular, as novelty, two peaks of equivalent heat capacity have been observed with DSC when the rate is very low instead of only one peak using current rate: and that explains the real behaviour in the experiments.

from #Medicine via ola Kala on Inoreader http://ift.tt/297yF9y
via IFTTT

Water, Vol. 8, Pages 274: Intermittent Domestic Water Supply: A Critical Review and Analysis of Causal-Consequential Pathways

Communities in many parts of the world, especially in developing countries, face obstacles in supplying continuous water to household consumers. Authorities often cite water scarcity as the cause, but we demonstrate that environmental constraints constitute only one aspect of a multi-dimensional problem. By asking what causes intermittent domestic water supply, this literature review (129 articles) identifies 47 conditions of intermittent systems and the causal-consequential pathways between them that can reinforce intermittency. These pathways span several disciplines including engineering, government administration and anthropology, and when viewed together they (1) emphasize the human drivers of intermittency; (2) suggest generalized interventions; and (3) reveal a gap in the literature in terms of meaningful categorizations of the reliability of intermittent supplies. Based on the reliability of consumers' water access, we propose three categories of intermittency—predictable, irregular, and unreliable—to facilitate comparisons between case studies and transfers of solutions.

from #Medicine via ola Kala on Inoreader http://ift.tt/29eGgHj
via IFTTT

Cortical-Bone Fragility — Insights from sFRP4 Deficiency in Pyle’s Disease

Osteoporosis is a skeletal disease that is characterized by low bone mass, defective bone structure, and a high risk of fracture. Cortical-bone mass is a major determinant of bone strength and therefore of susceptibility to fractures. With aging, the mass of cortical bone may decrease more than the…

from #Medicine via ola Kala on Inoreader http://ift.tt/297xLds
via IFTTT

Seven-Year Efficacy of RTS,S/AS01 Malaria Vaccine among Young African Children

RTS,S/AS01 is a malaria vaccine candidate that has undergone phase 3 evaluation across several sites in Africa that have varying intensities of malaria transmission. During more than 48 months of follow-up, immunization with the RTS,S/AS01 vaccine was estimated to be associated with rates of…

from #Medicine via ola Kala on Inoreader http://ift.tt/29bxKIz
via IFTTT

Efficacy and Safety of Midostaurin in Advanced Systemic Mastocytosis

Systemic mastocytosis is a myeloid neoplasm that is caused by the accumulation of abnormal mast cells in the bone marrow, liver, spleen, and skin. The KIT D816V mutation, which is detected in approximately 90% of patients, encodes a constitutively activated receptor tyrosine kinase that drives…

from #Medicine via ola Kala on Inoreader http://ift.tt/29eFmdZ
via IFTTT

Healthcare, Vol. 4, Pages 37: Burnout and Doctors: Prevalence, Prevention and Intervention

Doctors are exposed to high levels of stress in the course of their profession and are particularly susceptible to experiencing burnout. Burnout has far-reaching implications on doctors; patients and the healthcare system. Doctors experiencing burnout are reported to be at a higher risk of making poor decisions; display hostile attitude toward patients; make more medical errors; and have difficult relationships with co-workers. Burnout among doctors also increases risk of depression; anxiety; sleep disturbances; fatigue; alcohol and drug misuse; marital dysfunction; premature retirement and perhaps most seriously suicide. Sources of stress in medical practice may range from the emotions arising in the context of patient care to the environment in which doctors practice. The extent of burnout may vary depending on the practice setting; speciality and changing work environment. Understanding dynamic risk factors associated with burnout may help us develop strategies for preventing and treating burnout. Some of these strategies will be reviewed in this paper.

from #Medicine via ola Kala on Inoreader http://ift.tt/297yvzg
via IFTTT

Economies, Vol. 4, Pages 13: The Growth Path of Agricultural Labor Productivity in China: A Latent Growth Curve Model at the Prefectural Level

Given the shrinking proportion of agriculture output and the growing mobility of the labor force in China, how agricultural labor productivity develops has become an increasingly attractive topic for researchers and policy makers. This study aims to depict the development trajectory of agricultural labor productivity in China after its WTO entry. Based on a balanced panel data containing 287 Chinese prefectures from 2000 to 2013, this study applies the Latent Growth Curve Model (LGCM) and finds that the agricultural labor productivity follows a piecewise growth path with two breaking points in the years of 2004 and 2009. This may stem from some exogenous stimulus, such as supporting policies launched in the breaking years. Further statistical analysis shows an expanding gap of agricultural labor productivity among different Chinese prefectures.

from #Medicine via ola Kala on Inoreader http://ift.tt/29eGEW3
via IFTTT

MCA, Vol. 21, Pages 26: New Nonlinear Metrics Model for Information of Individual Research Output and Its Applications

Evaluation on achievement of scientists plays an important role in efficiently mining information of human resources. A metrics model, which is employed to calculate the number of academic papers, research awards and scientific research projects, often significantly affects the degree of fairness as it is used to compare the achievements of more than one scientist. In particular, it often becomes difficult to quantify the achievement for each scientist if there are a lot of participants in the same research output. In this paper, a new nonlinear metrics model, called a credit function, is established to mine the information of the individual research outputs (IRO). An example is constructed to show that different credit functions may generate distinct ranking for the scientists. By the proposed nonlinear methods in this paper, the inequality relation of contribution in the same IRO can be quantified, and the obtained ranking on the scientists is more acceptable than the existing linear method available in the literature. Finally, the proposed metrics model is applied in solving three practical problems, especially combined with the technique for order preference by similarity to an ideal solution (TOPSIS).

from #Medicine via ola Kala on Inoreader http://ift.tt/297ykEa
via IFTTT

Molecules, Vol. 21, Pages 862: Pingyangmycin and Bleomycin Share the Same Cytotoxicity Pathway

Pingyangmycin is an anticancer drug known as bleomycin A5 (A5), discovered in the Pingyang County of Zhejiang Province of China. Bleomycin (BLM) is a mixture of mainly two compounds (A2 and B2), which is on the World Health Organization's list of essential medicines. Both BLM and A5 are hydrophilic molecules that depend on transporters or endocytosis receptors to get inside of cells. Once inside, the anticancer activities rely on their abilities to produce DNA breaks, thus leading to cell death. Interestingly, the half maximal inhibitory concentration (IC50) of BLMs in different cancer cell lines varies from nM to μM ranges. Different cellular uptake, DNA repair rate, and/or increased drug detoxification might be some of the reasons; however, the molecules and signaling pathways responsible for these processes are largely unknown. In the current study, we purified the A2 and B2 from the BLM and tested the cytotoxicities and the molecular mechanisms of each individual compound or in combination with six different cell lines, including a Chinese hamster ovary (CHO) cell line defective in glycosaminoglycan biosynthesis. Our data suggested that glycosaminoglycans might be involved in the cellular uptake of BLMs. Moreover, both BLM and A5 shared similar signaling pathways and are involved in cell cycle and apoptosis in different cancer cell lines.

from #Medicine via ola Kala on Inoreader http://ift.tt/29eGpdW
via IFTTT

Metals, Vol. 6, Pages 148: Corrosion Behavior of AlSi10Mg Alloy Produced by Additive Manufacturing (AM) vs. Its Counterpart Gravity Cast Alloy

The attractiveness of additive manufacturing (AM) relates to the ability of this technology to rapidly produce very complex components at affordable costs. However, the properties and corrosion behavior, in particular, of products produced by AM technology should at least match the properties obtained by conventional technologies. The present study aims at evaluating the corrosion behavior and corrosion fatigue endurance of AlSi10Mg alloy produced by selective laser melting (SLM) in comparison with its conventional counterpart, gravity cast alloy. The results obtained indicate that the corrosion resistance of the printed and cast alloys was relatively similar, with a minor advantage to the printed alloy. The corrosion fatigue endurance of the printed alloy was relatively improved compared to the cast alloy. This was mainly attributed to the significant differences between the microstructure and defect characteristics of those two alloys.

from #Medicine via ola Kala on Inoreader http://ift.tt/294wGWD
via IFTTT