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  1. [Back to units for nursing students' education? The Dedicated Education Units (DEU)].

    PubMed

    Randon, Giulia; Bortolami, Elena; Grosso, Silvia

    2017-01-01

    . Back to units for nursing students' education? The Dedicated Education Units (DEU). The reorganization and rationalization of resources and cost containment in health care put a strain on the sustainability of practical training of student nurses. The Dedicated Education Units (DEU), where ward staff, in collaboration with university teachers, receive large numbers of students, integrating the caring and teaching missions, are a possible answer. To describe the main characteristics of DEUs. A literature search was conducted in Pubmed with the following key-words Dedicated Education Unit, Education Unit and Nursing Education, up to January 30, 2017. Several models of DEU were identified with differences in contexts, professional roles involved, type of organizations (number of students, length of practical training). The students perceive a welcoming climate that promotes learning and allows time and space for reflection; they develop a professional group identity and learn to recognize and implement the presponsibilities related to the professional role. The students express satisfaction for the relationship with professionals involved in their education due to the clear definition of roles and responsibilities, of their learning needs and feel supported in the connections of theory and practice. The DEU, receiving large number of students optimize the use of resources. The DEU represent one of the possible models of organization of the practical training, able to ensure a high quality learning environment. The practical implications of its implementation in the italian context on skills acquisition and sustainability need a thorough assessment.

  2. DEU Needs on Ammunition Storage in Missions Abroad

    DTIC Science & Technology

    2010-07-01

    climatic conditions 1 e.g. the German Basic Law (particularly Article 87 a/b, Article 24, para 2, Article ...35 and Article 91), the Ger- man Weapons Law and the German law on explosive substances (Explosives Act) 2 German Joint Service Regulations of...engineering are employed and re- ceive further specialist training. In close cooperation and coordination with the Bundeswehr technical centers, the

  3. The Relationships between a Dedicated Education Unit and Quality of Nursing Care

    ERIC Educational Resources Information Center

    Tochterman, Lori A.

    2016-01-01

    The Dedicated Education Unit (DEU) is a model of clinical teaching which has gained widespread acceptance and national recognition as an innovative method of clinical education for undergraduate nursing students (Robert Wood Johnson Foundation, 2010; Warner & Burton, 2009). The primary goals and benefits of the DEU for schools of nursing are…

  4. The Relationships between a Dedicated Education Unit and Quality of Nursing Care

    ERIC Educational Resources Information Center

    Tochterman, Lori A.

    2016-01-01

    The Dedicated Education Unit (DEU) is a model of clinical teaching which has gained widespread acceptance and national recognition as an innovative method of clinical education for undergraduate nursing students (Robert Wood Johnson Foundation, 2010; Warner & Burton, 2009). The primary goals and benefits of the DEU for schools of nursing are…

  5. Dermatological emergencies: evolution from 2008 to 2014 and perspectives.

    PubMed

    Isnard, C; Ingen-Housz-Oro, S; Fardet, L; Matteodo, E; Duval, S; Hemery, F; Khellaf, M; Duong, T-A; Chosidow, O; Wolkenstein, P

    2017-02-01

    Our dermatological department includes a dermatological emergency unit (DEU) whose activity has grown in recent years. An audit to characterize the activity of our DEU and its evolution in terms of medical demographics of the area. We collected the following data from administrative services: number of patients consulting each year in the DEU and in the general emergency unit (GEU) of our hospital between 2008 and 2014; daily and seasonal activity of the DEU; occurrence of a second event in the department and proportion of patients from the DEU who were hospitalized and why. From the medical charts of a random sample of patients consulting in the first 15 days of January and August 2014, we studied the epidemiological profile, time to consultation and diagnoses. Data related to medical demographics (number of general practitioners and dermatologists) between 2007 and 2014 and projections were obtained. The activity in the DEU increased by 67% between 2008 and 2014 but remained stable in the GEU over the same period. The activity was higher on Mondays and in the summer (+30%). More than 15% of the patients were seen a second time in outpatient consultation; 1.2% were hospitalized. Infectious dermatosis was the main reason for consultation; seasonal-disease consultations were more frequent in the summer. Less than 40% of patients consulted in the first week after disease onset. Medical demographics continually decreased since 2007 in Paris and suburbs and will continue to decrease in the next years. The increasing activity of our DEU parallels the decrease in medical demographics in Paris. The proportion of patients hospitalized was low, in part due to specific healthcare networks implemented for some life-threatening dermatoses independent of the DEU. A better coordination between hospital and private practitioners for managing dermatologic emergencies, taking into account the decrease in medical demographics, is warranted. © 2016 European Academy of Dermatology

  6. Effect of the dedicated education unit on nursing student self-efficacy: A quasi-experimental research study.

    PubMed

    George, Lynn E; Locasto, Lisa W; Pyo, Katrina A; W Cline, Thomas

    2017-03-01

    Although the Dedicated Education Unit (DEU) has shown initial promise related to satisfaction with the teaching/learning environment, few studies have examined student outcomes related to the use of the DEU as a clinical education model beyond student satisfaction. The purpose of this quantitative, quasi-experimental study was to compare student outcomes from the traditional clinical education (TCE) model with those from the DEU model. Participants were students enrolled in a four-year baccalaureate program in nursing (n = 193) who had clinical education activities in one of three clinical agencies. Participants were assigned to either the DEU or a TCE model. Pre-clinical and post-clinical self-efficacy scores were measured for each group using an adapted Generalized Self-Efficacy Scale (Schwarzer and Jerusalem, 1995). Both groups experienced a significant increase in self-efficacy scores post clinical education. The increase in self-efficacy for the DEU students was significantly greater than the increase in self-efficacy for the traditional students. Self-efficacy is considered an important outcome of nursing education because high self-efficacy has been linked to making an easier transition from student to nursing professional. This study supports the quality of the DEU as a clinical education model by examining student self-efficacy outcomes. Copyright © 2017 Elsevier Ltd. All rights reserved.

  7. Dedicated education unit: implementing an innovation in replication sites.

    PubMed

    Moscato, Susan R; Nishioka, Vicki M; Coe, Michael T

    2013-05-01

    An important measure of an innovation is the ease of replication and achievement of the same positive outcomes. The dedicated education unit (DEU) clinical education model uses a collaborative academic-service partnership to develop an optimal learning environment for students. The University of Portland adapted this model from Flinders University, Australia, to increase the teaching capacity and quality of nursing education. This article identifies DEU implementation essentials and reports on the outcomes of two replication sites that received consultation support from the University of Portland. Program operation information, including education requirements for clinician instructors, types of patient care units, and clinical faculty-to-student ratios is presented. Case studies of the three programs suggest the DEU model is adaptable to a range of different clinical settings and continues to show promise as one strategy for addressing the nurse faculty shortage and strengthening academic-clinical collaborations while maintaining quality clinical education for students.

  8. Acyclic N-Halamine Polymeric Biocidal Films

    DTIC Science & Technology

    2010-07-01

    Deu., 19: 256-258. 8. Murata, H., Koepsel, R.R., Matyjaszewski, K and Russell , A.J. (2007). Permanent, Non-leaching Antibacterial Surfaces 2: How...Biomaterials, 27: 1316-1326. 38. Grunzinger, S.J., Kurt, P., Brunson , K.M., Wood, L., Ohman, D.E. and Wynne, KJ. (2007). Biocidal Activity of Hydantoin

  9. Afloat Spectrum Management News. Volume 6: Frequency Plans in Five Easy Steps

    DTIC Science & Technology

    2009-01-01

    Victorin Kagoue (DEU); Aad de Jong [Netherlands (NLD)]; Ken Roberts (GBR); Arie Klerk (NLD). AESOP engineers have conducted tests on the Single...Lieutenant (LT) Frederick Calalang, Commander, Amphibious Squadron Three (COMPHIBRON THREE), said: “OPTASK COMMs is a critical OPTASK for a Strike Group

  10. Pre-Service Teachers' Personal Value Orientations and Attitudes toward the Teaching Profession in Turkey

    ERIC Educational Resources Information Center

    Necla, Sahin-Firat

    2016-01-01

    This study examined the relationship between pre-service teachers' personal value orientations and their attitudes toward the teaching profession. The study was conducted with the participation of 612 students at DEU's Buca Faculty of Education during the 2014/2015 academic year. Data were collected using the Portrait Values Questionnaire (PVQ)…

  11. The Idaho dedicated education unit model: cost-effective, high-quality education.

    PubMed

    Springer, Pamela J; Johnson, Patricia; Lind, Bonnie; Walker, Eldon; Clavelle, Joanne; Jensen, Nancy

    2012-01-01

    Faculty face many challenges in delivering clinical education, including faculty availability, the complexity of the faculty role, and limited clinical placements. Dedicated education units (DEUs) are being explored as alternatives to traditional clinical placement models. The authors describe the successful development of a DEU that resulted in positive student outcomes at reduced cost to both the school and the medical center.

  12. Effects of Computer Based Learning on Students' Attitudes and Achievements towards Analytical Chemistry

    ERIC Educational Resources Information Center

    Akcay, Hüsamettin; Durmaz, Asli; Tüysüz, Cengiz; Feyzioglu, Burak

    2006-01-01

    The aim of this study was to compare the effects of computer-based learning and traditional method on students' attitudes and achievement towards analytical chemistry. Students from Chemistry Education Department at Dokuz Eylul University (D.E.U) were selected randomly and divided into three groups; two experimental (Eg-1 and Eg-2) and a control…

  13. An analysis of partnership performance: the St. Johns Mercy Medical Center-Saint Louis University School of Nursing dedicated education unit project.

    PubMed

    Murray, Teri A; Macintyre, Richard C; Teel, Cynthia S

    2011-01-01

    The purpose of this article is to analyze the St. Johns Mercy Medical Center (SJMMC)-Saint Louis University School of Nursing (SLUSON) dedicated education unit (DEU) project for partnership effectiveness. The DEU, an innovative and collaborative academic-service partnership, reconceptualizes the role of the faculty and staff nurse in the clinical educational process. In a DEU, the staff nurse provides the clinical instruction to the student, and the faculty member coaches the staff nurse on the teaching-learning process. Rather than explore the effectiveness of the DEU as an innovative clinical pedagogy, this article analyzes the relationship between the academic and service institutions for strategic effectiveness. The analysis is based on themes found across three successful and distinct academic partnerships and other evaluative models from business, government, and alliance research. The themes and models provide the frameworks needed to analyze the SJMMC-SLUSON academic-service partnership for structure, process, and outcomes. This analysis can serve as a guide for the development of academic-service partnership practices to facilitate successful, sustainable, and replicable partnerships that benefit both institutions.

  14. Effects of Computer Based Learning on Students' Attitudes and Achievements towards Analytical Chemistry

    ERIC Educational Resources Information Center

    Akcay, Husamettin; Durmaz, Asli; Tuysuz, Cengiz; Feyzioglu, Burak

    2006-01-01

    The aim of this study was to compare the effects of computer-based learning and traditional method on students' attitudes and achievement towards analytical chemistry. Students from Chemistry Education Department at Dokuz Eylul University (D.E.U) were selected randomly and divided into three groups; two experimental (Eg-1 and Eg-2) and a control…

  15. Cardiovascular birth defects and prenatal exposure to female sex hormones: a reevaluation of data reanalysis from a large prospective study.

    PubMed

    Hook, E B

    1994-03-01

    In data of the U.S. Collaborative Perinatal Study (CPS), the Drug Epidemiology Unit (DEU) reported a relative risk of about 2.3 between maternal female sex hormone exposure during months 1 to 4 of pregnancy and cardiovascular malformation in infants (Heinonen et al., '77a N. Engl. J. Med., 296:67-70). Wiseman and Dodds-Smith ('84, Teratology, 30:359-370) reexamined the original CPS data and found the DEU had made some errors in classification of exposure and disease. Also they challenged the classification of cases as "exposed" in those born to mothers who received the compounds outside the day 19 to 50 window of cardiovascular embryogenesis. Wiseman and Dodds-Smith stated that their reanalysis "clearly showed that there was [in the data used by the DEU] no statistically significant association between exposure in the critical organogenic period of pregnancy and cardiac malformation in offspring." They did not undertake any statistical analysis, but their reanalysis resulted in a wide-spread nonacceptance of the association reported by the DEU. The study reported here reclassified the cases of the original DEU study in accord with the implications of the Wiseman and Dodds-Smith reanalysis of exposure and disease. After this reclassification, an effect magnitude measure of association, the relative risk rose from 2.33 to 2.48 and remained nominally significant statistically at the .05 level. Thus, if anything, the quantitative consequences of the Wiseman and Dodds-Smith review of the data, when applied in an unbiased manner, result in an increase in the measure of effect.(ABSTRACT TRUNCATED AT 250 WORDS)

  16. Payload specialist station study: Volume 2, part 3: Program analysis and planning for phase C/D

    NASA Technical Reports Server (NTRS)

    1976-01-01

    The controls and displays (C&D) required at the Orbiter aft-flight deck (AFD) and the core C&D required at the Payload Specialist Station (PSS) are identified in this document. The AFD C&D Concept consists of a multifunction display system (MFDS) and elements of multiuse mission support equipment (MMSE). The MFDS consists of two CRTs, a display electronics unit (DEU), and a keyboard. The MMSE consists of a manual pointing controller (MPC), five digit numeric displays, 10 character alphanumeric legends, event timers, analog meters, rotary and toggle switches. The MMSE may be hardwired to the experiment, or interface with a data bus at the PSS for signal processing. The MFDS has video capability, with alphanumeric and graphic overlay features, on one CRT and alphanumeric and graphic (tricolor) capability on a second CRT. The DEU will have the capability to communicate, via redundant data buses, with both the spacelab experiment and subsystem computers.

  17. Dedicated Education Units: Partnerships for Building Leadership Competency.

    PubMed

    Galuska, Lee A

    2015-07-01

    To enable nurses to lead in health care transformation, nursing education must include opportunities for developing leadership, as well as clinical competencies. Dedicated education units (DEUs) provide supportive environments for competency development in undergraduate students. This study's aim was to explore the effects of a DEU experience on the leadership development of baccalaureate nursing students. A mixed-methods design included a quantitative strand, using a quasi-experimental, pretest-posttest, multisite design with control groups and a qualitative strand using focus groups. Students in the DEUs demonstrated significant increases (p < 0.01) in leadership behaviors, as measured by the Student Leadership Practice Inventory. Focus group themes illuminate how the experiences of the students contributed to their leadership growth. Findings suggest that the DEU experience may promote enhanced undergraduate leadership competency development. Copyright 2015, SLACK Incorporated.

  18. Transcriptomic Changes in Zebrafish Embryos and Larvae Following Benzo[a]pyrene Exposure

    PubMed Central

    Fang, Xiefan; Corrales, Jone; Thornton, Cammi; Clerk, Tracy; Scheffler, Brian E.; Willett, Kristine L.

    2015-01-01

    Benzo[a]pyrene (BaP) is an environmentally relevant carcinogenic and endocrine disrupting compound that causes immediate, long-term, and multigenerational health deficits in mammals and fish. Previously, we found that BaP alters DNA methylation patterns in developing zebrafish, which may affect gene expression. Herein, we performed a genome-wide transcriptional analysis and discovered differential gene expression and splicing in developing zebrafish. Adult zebrafish were exposed to control or 42.0 ± 1.9 µg/l BaP for 7 days. Eggs were collected and raised in control conditions or continuously exposed to BaP until 3.3 and 96 h post–fertilization (hpf). RNA sequencing (RNA-Seq) was conducted on zebrafish embryos and larvae. Data were analyzed to identify differentially expressed (DE) genes (changed at the gene or transcript variant level) and genes with differential exon usage (DEU; changed at the exon level). At 3.3 hpf, BaP exposure resulted in 8 DE genes and 51 DEU genes. At 96 hpf, BaP exposure altered expression in 1153 DE genes and 159 DEU genes. Functional ontology analysis by Ingenuity Pathway Analysis revealed that many disease pathways, including organismal death, growth failure, abnormal morphology of embryonic tissue, congenital heart disease, and adverse neuritogenesis, were significantly enriched for the DE and DEU genes, providing novel insights on the mechanisms of action of BaP-induced developmental toxicities. Collectively, we discovered substantial transcriptomic changes at the gene, transcript variant, and exon levels in developing zebrafish after early life BaP waterborne exposure, and these changes may lead to long-term adverse physiological consequences. PMID:26001963

  19. Aid Loss Probability System for Officers (AID-O). Volume 1. Executive Summary.

    DTIC Science & Technology

    1974-09-15

    rtillet-y, Infant ry, of- Military Intelligence . 1000 7 P rom otioni P assove r, Temporary (; made less than Maj. , Control Biranch (does not (j(lal (𔃺...DOIPU £031, £030.3 00*. 001110109 CRUM DCUWO.L A0310 COWC, Coro . Chief ot chepleate, The Prieum g TO i acoe deu~d w umeratasom dM~arsslOseral. Chie of

  20. You Want Me in Outpatient Oncology Nursing? A New Graduate Story.

    PubMed

    Hawley, McKenzie

    2016-08-01

    When I was in nursing school, I was one of a handful of students presented with a unique opportunity to fulfill our medical-surgical nursing requirement: a six-week clinical rotation at a large, outpatient, National Cancer Institute-designated comprehensive cancer center. This opportunity was an innovative experiment between the College of Nursing at Seattle University and the Seattle Cancer Care Alliance (SCCA). The collaboration was coined the Dedicated Education Unit (DEU) by nursing management.

  1. Use of Advanced Technologies and New Procedures in Medical Field Operations (Utilisation de technologies avancees et de procedures nouvelles dans les operations sanitaires)

    DTIC Science & Technology

    2010-04-01

    attempting to move the Phantom extremity, reduced the phantom pain substantially compared to other therapies. Pɘ,002 and 0.04 compared to two respective...haemorhage, dressings, tourniquets, blood products, pain control burns, etc.) Paper 3 – US Department of Defense Research in Robotic Unmanned Systems...182 T - 21 SESSION 3 Paper 14 – Pain Management in Trauma Care LtCol. Dr. M. Helm, Prof. L. Lampl, Federal Armed Forces Hospital (DEU) Paper 15

  2. Rural model dedicated education unit: partnership between college and hospital.

    PubMed

    Harmon, Lisa M

    2013-02-01

    This article describes the pilot project development of a rural model Dedicated Education Unit (DEU) by a rural college nursing program and a rural hospital to increase student nurses' confidence and proficiency and improve recruitment of prepared rural staff nurses. Traditionally, for economies of scale, most student clinical rotations occurred in urban settings with the number of students per clinical instructor allowed by the state board of nursing. College budget constraints negated the placement of fewer than this mandated maximum number of students in a rural hospital with a clinical instructor; moreover, rural hospitals could not accommodate 10 students at one time. Rural nursing students were anxious in the urban settings, and this anxiety precluded learning in many instances. Rural hospitals face higher registered nurse vacancies than urban centers. Of the nurses applying for open positions, many were not prepared for the demands of rural nursing, resulting in increased turnover and high orientation costs. The rural model DEU addressed issues of both the nursing program and the hospital. The design and development of the rural model DEU and the advantages of the partnership for the college nursing program and the hospital are discussed. Initial outcomes and serendipitous findings from the pilot project are also discussed.

  3. Comparison of different techniques to measure body composition in moderately active adolescents.

    PubMed

    De Lorenzo, A; Bertini, I; Candeloro, N; Iacopino, L; Andreoli, A; Van Loan, M D

    1998-09-01

    To evaluate the differences in the estimate of body fat percentage (%FM) and the amount (kg) of fat free mass (FFM) by different methods in 26 moderately active adolescents very similar in age, body fatness, and training status. Mean (SD) age was 16.7 (0.9) years, height was 177.0 (5.1) cm, and weight 68.0 (5.2) kg. %FM was assessed using dual-energy x ray absorptiometry (DXA) and two skinfold prediction equations: that of Slaughter et al (%FM Sla) and that of Deurenberg et al (%FM Deu). In the same way, FFM was measured using DXA and different impedance equations: those of Suprasongsin et al (FFM Sup), Schaefer et al (FFM Sch), Houtkooper et al (FFM Hou), and Deurenberg et al (FFM Deu). To determine the interchangeability of the different methods of measuring %FM and FFM, one way analysis of variance, standard error (SE), and coefficient of variation (CV%) ((SD/mean) x 100) were used. On average, no significant statistical differences were observed between the values determined for %FM: DXA value, 11.7 (5.4%); %FM Sla, 10.9 (4.0)%; %FM Deu, 11.5 (2.3)%. On the other hand, SE and CV% between each pair of the three methods used showed very large variability. With regard to the measurement or prediction of FFM, the mean value measured by DXA was significantly higher than that predicted by the equation of Sch (+7.2 kg, p < 0.001), Deu (+3.2 kg, p < 0.001), and Hou (+2.6 kg, p < 0.001), whereas it was lower than that predicted by the equation of Sup (-1.6 kg, p < 0.05). The Hou and Deu values were the only two that, on average, did not differ in a statistically significant way, although they showed the highest CV%. In our sample of moderately active adolescents the estimated values for %FM and FFM appear to be highly dependent on method.

  4. Comparison of different techniques to measure body composition in moderately active adolescents

    PubMed Central

    De Lorenzo, A.; Bertini, I.; Candeloro, N.; Iacopino, L.; Andreoli, A.; Van Loan, M. D.

    1998-01-01

    OBJECTIVE: To evaluate the differences in the estimate of body fat percentage (%FM) and the amount (kg) of fat free mass (FFM) by different methods in 26 moderately active adolescents very similar in age, body fatness, and training status. METHODS: Mean (SD) age was 16.7 (0.9) years, height was 177.0 (5.1) cm, and weight 68.0 (5.2) kg. %FM was assessed using dual-energy x ray absorptiometry (DXA) and two skinfold prediction equations: that of Slaughter et al (%FM Sla) and that of Deurenberg et al (%FM Deu). In the same way, FFM was measured using DXA and different impedance equations: those of Suprasongsin et al (FFM Sup), Schaefer et al (FFM Sch), Houtkooper et al (FFM Hou), and Deurenberg et al (FFM Deu). To determine the interchangeability of the different methods of measuring %FM and FFM, one way analysis of variance, standard error (SE), and coefficient of variation (CV%) ((SD/mean) x 100) were used. RESULTS: On average, no significant statistical differences were observed between the values determined for %FM: DXA value, 11.7 (5.4%); %FM Sla, 10.9 (4.0)%; %FM Deu, 11.5 (2.3)%. On the other hand, SE and CV% between each pair of the three methods used showed very large variability. With regard to the measurement or prediction of FFM, the mean value measured by DXA was significantly higher than that predicted by the equation of Sch (+7.2 kg, p < 0.001), Deu (+3.2 kg, p < 0.001), and Hou (+2.6 kg, p < 0.001), whereas it was lower than that predicted by the equation of Sup (-1.6 kg, p < 0.05). The Hou and Deu values were the only two that, on average, did not differ in a statistically significant way, although they showed the highest CV%. CONCLUSIONS: In our sample of moderately active adolescents the estimated values for %FM and FFM appear to be highly dependent on method. 


 PMID:9773169

  5. Joint Force Quarterly. Issue 39

    DTIC Science & Technology

    2005-10-01

    Marine Expeditionary Unit/Keith A. Milks ); and F–16 taking off from Shaw Air Force Base, Operation Noble Eagle (20th Communications Squadron/Keri S...Wake of Destruction By D A V I D J . D O R S E T T D o r s e t t Russia, France, and Malaysia joined it. At this point JTF–536, as a sole U.S...Operations AUS Australia AUT Austria BGD Bangladesh DEU Germany FRA France GBR Great Britain IND India JPN Japan KOR South Korea MYS Malaysia NZL New

  6. Central Greenland Holocene Deuterium Excess Variability

    NASA Astrophysics Data System (ADS)

    Masson-Delmotte, V.; Jouzel, J.; Falourd, S.; Cattani, O.; Dahl-Jensen, D.; Johnsen, S.; Sveinbjornsdottir, A. E.; White, J. W. C.

    Water stable isotopes (oxygen 18 and deuterium) have been measured along the Holocene part of two deep ice cores from central Greenland, GRIP and North GRIP. Theoretical studies have shown that the second-order isotopic parameter, the deu- terium excess (d=dD-8d18O), is an indicator of climatic changes at the oceanic mois- ture source reflecting at least partly changes in sea-surface-temperature. The two deu- terium excess records from GRIP and North GRIP show a long term increasing trend already observed in Antarctic deep ice cores and related to changes in the Earth's obliquity during the Holocene : an decreased obliquity is associated with a larger low to high latitude annual mean insolation gradient, warmer tropics, colder poles, and a more intense atmospheric transport from the tropics to the poles, resulting in a higher moisture source temperature and higher deuterium excess values. Superimposed onto this long term trend, central Greenland deuterium excess records also exhibit small abrupt events (8.2 ka BP and 4.5 ka BP) and a high frequency variability.

  7. Lunar rock types - The role of plagioclase in non-mare and highland rock types

    NASA Technical Reports Server (NTRS)

    Hubbard, N. J.; Gast, P. W.; Nyquist, L. E.; Rhodes, J. M.; Bansal, B. M.; Wiesmann, H.; Shih, C.-Y.

    1973-01-01

    Some nonmare and highland rock types (14310 type KREEP and very high Al2O3 basalts) have the internal chemical variations expected for a plagioclase-liquid system. The observed Eu variations in these rock types suggest a D(Eu) 1/p of 0.6 to 0.7. The Sr variations suggest a D(Sr) 1/p of about 0.6, with values as low as 0.35 suggested for some materials from sample 14063. Common Apollo 14 KREEP and Apollo 15 KREEP do not show internal Sr, Eu, Al2O3 variations consistent with the D(Eu, Sr) 1/p values derived for 14310 type KREEP. Major element and experimental data indicate that olivine or pyroxene is a large, perhaps dominant, controller of chemical variations within common Apollo 14 KREEP. The application of these distribution coefficients to pure anorthosites like 15415 yields the model dependent conclusion that the silicate liquids with which such anorthosites may have been chemically equilibrated have not yet been analyzed and perhaps not directly sampled.

  8. Planar UWB Filter with Multiple Notched Band and Stopband with Improved Rejection Level

    NASA Astrophysics Data System (ADS)

    Ghazali, Abu Nasar; Pal, Srikanta

    2015-05-01

    Analysis and realization of a microstrip-based planar ultra-wideband (UWB) filter with integrated multiple notch elimination property and simultaneously extended upper stopband is proposed. Initially, a UWB filter based on back-to-back microstrip-to-CPW technology is designed. Later, multiple spiral defected ground structures (DGS) are embedded to obtain multiple passband notches. Further, double equilateral U (DEU)-type DGS are used to improve upon the rejection level in upper stopband. The multiple passband notches are results of embedded spiral-shaped DGS (SDGS), while extended upper stopband is the outcome of suppressed higher-order spurious harmonics. The flexible dual-attenuation poles of DEU-shaped DGS suppress the stopband harmonics and widen the stopband. An approximate lumped equivalent circuit model of the proposed filter is modelled. The filter is compact and its layout measures 25.26 mm × 11.01 mm. The measured result is in good agreement with the full-wave electromagnetic (EM) simulation and circuit simulation.

  9. Evaluation of an academic service partnership using a strategic alliance framework.

    PubMed

    Murray, Teri A; James, Dorothy C

    2012-01-01

    Strategic alliances involve the sharing of resources to achieve mutually relevant benefits and they are flexible ways to access resources outside of one's own institution. The recent landmark report from the Institute of Medicine, The Future of Nursing: Leading Change, Advancing Health, called for academic and health care organizations to strategically align around the future registered nurse workforce to improve the quality and safety of patient care. The dedicated education unit (DEU) is one practical way for 2 entities to align so that students can learn to administer safe, quality care. Because DEUs have great potential, it is critical to evaluate the alignment between the academic and service partner for appropriate fit, mutual benefit, and long-term success. In this article, we analyze the effectiveness of the Saint Louis University School of Nursing (SLUSON) and Mercy Hospital, St. Louis (MHSL) DEU project, an alliance between a medical center and school of nursing, using the Single Alliance Key Success Model. Copyright © 2012 Elsevier Inc. All rights reserved.

  10. Can histologic changes of the upper pole justify a conservative approach in neonatal duplex ectopic ureterocele?

    PubMed

    Arena, F; Nicotina, A; Cruccetti, A; Centonze, A; Arena, S; Romeo, G

    2002-12-01

    The aim of this study was to review the histology of the upper-pole segment in patients with duplex-system ectopic ureterocele (DEU) to determine if less aggressive surgery is justified in prenatally-diagnosed cases. The study included 15 consecutive patients with DEU treated between 1991 and 1999. The diagnosis was made according to the criteria of the Section on Urology of the American Academy of Pediatrics. The histology specimens were assessed for dysplastic, inflammatory, and obstructive changes. All 15 patients were surgically treated by heminephro-ureterectomy and the surgical specimens were histologically examined. Nine cases were diagnosed prenatally; the histology of the upper-pole segment in these patients showed segmental renal microcystic dysplasia, chondroid metaplasic islands, and an inflammatory tubulointerstitial nephropathy in 6 (66.6%) and nephroblastomatosis in 2 (22.2%). The histology of the 6 postnatally-diagnosed patients showed segmental multicystic renal dysplasia, inflammatory tubulo-interstitial nephropathy, and segmental parenchymal scars. The upper-pole histology of the prenatally-diagnosed patients did not show any evidence of reversible histologic changes. Considering this findings and the good outcome of patients treated with upper-pole nephroureterectomy, less aggressive surgery with preservation of the upper pole does not seem justified.

  11. Partnering to educate: dedicated education units.

    PubMed

    Dapremont, Jill; Lee, Shirleatha

    2013-09-01

    A current focus of the healthcare industry is centered on addressing the nursing shortage. In the midst of a nursing faculty shortage the Institute of Medicine (2010) recently released a report that calls for increasing the number of baccalaureate prepared nurses to 80% of the workforce by 2020. Therefore, nursing schools are faced with graduating more nurses to meet the demand. Yet, admission to schools of nursing are often limited because of clinical placement sites. The Dedicated Education Unit (DEU) model has been recently introduced to address the challenge of increasing the enrollment of nursing students in spite of a nationwide shortage of nursing faculty. Dedicated Education Units are clinical sites in hospitals where staff nurses serve as preceptors for students in all levels of their nursing education. This model is designed to improve practice education to better prepare students for actual practice while decreasing the number of faculty required at clinical sites. The purpose of this article is to discuss the implications of this model for nursing education, our experience with the DEU model, and issues of deliberation.

  12. Transport Properties of Multivalent Cations in Nafion-117 Membrane with Mixed Ionic Composition.

    PubMed

    Chaudhury, Sanhita; Agarwal, Chhavi; Goswami, A

    2015-08-20

    The transport characteristics of multivalent cations like Ba(2+) and Eu(3+) have been studied in bi-ionic form of the Nafion-117 membrane. The membranes have been prepared by loading different proportions of H(+)-Ba(2+)/Mg(2+)-Ba(2+)/Ba(2+)-Eu(3+)/H(+)-Eu(3+)/Na(+)-Eu(3+). The cationic compositions of the membranes have been determined from the measured ion exchange isotherms. Results show that the self-diffusion coefficient of Ba(2+) (D(Ba)) in H-Ba/Mg-Ba systems as well as the self-diffusion coefficient of Eu(3+) (D(Eu)) in H-Eu/Na-Eu systems are strongly dependent on the membrane ionic compositions and decreased continuously with increasing concentration of the highly hydrated ions (H(+)/Na(+)/Mg(2+)) in the membrane. Increase in the proportion of H(+)/Na(+)/Mg(2+) ions in the membrane increases the effective charge on the membrane matrix. This causes stronger electrostatic interaction of the less hydrated multivalent ions (Ba(2+)/Eu(3+)) with the membrane matrix charges, which ultimately results in their slower self-diffusion coefficients. The higher the valence, the stronger the electrostatic interaction is with the fixed ionic charges; hence, in general, D(Eu) is affected more as compared to D(Ba). On the basis of the free-volume theory for polymers, the effective interaction potential (Φ) of the Ba(2+) with the fixed ionic sites in the membrane has been calculated and found to be on the order of approximately millivolts. The higher the proportion of hydrated ion in the membrane, the higher the Φ is and the stronger the ion pair formation is with the fixed ionic sites in the membrane. However, in the Ba-Eu system, as the electrostatic interactions of the two ions with the membrane matrix are close, D(Ba) and D(Eu) are independent of the membrane ionic composition. The ionic composition dependence of D(Ba) in the H-Ba system is reflected in the transport rate of Ba(2+), showing the importance of such measurements in understanding the transport

  13. Effects of Specific Multi-Nutrient Enriched Diets on Cerebral Metabolism, Cognition and Neuropathology in AβPPswe-PS1dE9 Mice

    PubMed Central

    Jansen, Diane; Zerbi, Valerio; Arnoldussen, Ilse A. C.; Wiesmann, Maximilian; Rijpma, Anne; Fang, Xiaotian T.; Dederen, Pieter J.; Mutsaers, Martina P. C.; Broersen, Laus M.; Lütjohann, Dieter; Miller, Malgorzata; Joosten, Leo A. B.; Heerschap, Arend; Kiliaan, Amanda J.

    2013-01-01

    Recent studies have focused on the use of multi-nutrient dietary interventions in search of alternatives for the treatment and prevention of Alzheimer's disease (AD). In this study we investigated to which extent long-term consumption of two specific multi-nutrient diets can modulate AD-related etiopathogenic mechanisms and behavior in 11-12-month-old AβPPswe-PS1dE9 mice. Starting from 2 months of age, male AβPP-PS1 mice and wild-type littermates were fed either a control diet, the DHA+EPA+UMP (DEU) diet enriched with uridine monophosphate (UMP) and the omega-3 fatty acids docosahexaenoic acid (DHA) and eicosapentaenoic acid (EPA), or the Fortasyn® Connect (FC) diet enriched with the DEU diet plus phospholipids, choline, folic acid, vitamins and antioxidants. We performed behavioral testing, proton magnetic resonance spectroscopy, immunohistochemistry, biochemical analyses and quantitative real-time PCR to gain a better understanding of the potential mechanisms by which these multi-nutrient diets exert protective properties against AD. Our results show that both diets were equally effective in changing brain fatty acid and cholesterol profiles. However, the diets differentially affected AD-related pathologies and behavioral measures, suggesting that the effectiveness of specific nutrients may depend on the dietary context in which they are provided. The FC diet was more effective than the DEU diet in counteracting neurodegenerative aspects of AD and enhancing processes involved in neuronal maintenance and repair. Both diets elevated interleukin-1β mRNA levels in AβPP-PS1 and wild-type mice. The FC diet additionally restored neurogenesis in AβPP-PS1 mice, decreased hippocampal levels of unbound choline-containing compounds in wild-type and AβPP-PS1 animals, suggesting diminished membrane turnover, and decreased anxiety-related behavior in the open field behavior. In conclusion, the current data indicate that specific multi-nutrient diets can influence AD

  14. Genome3D: exploiting structure to help users understand their sequences

    PubMed Central

    Lewis, Tony E.; Sillitoe, Ian; Andreeva, Antonina; Blundell, Tom L.; Buchan, Daniel W.A.; Chothia, Cyrus; Cozzetto, Domenico; Dana, José M.; Filippis, Ioannis; Gough, Julian; Jones, David T.; Kelley, Lawrence A.; Kleywegt, Gerard J.; Minneci, Federico; Mistry, Jaina; Murzin, Alexey G.; Ochoa-Montaño, Bernardo; Oates, Matt E.; Punta, Marco; Rackham, Owen J.L.; Stahlhacke, Jonathan; Sternberg, Michael J.E.; Velankar, Sameer; Orengo, Christine

    2015-01-01

    Genome3D (http://www.genome3d.eu) is a collaborative resource that provides predicted domain annotations and structural models for key sequences. Since introducing Genome3D in a previous NAR paper, we have substantially extended and improved the resource. We have annotated representatives from Pfam families to improve coverage of diverse sequences and added a fast sequence search to the website to allow users to find Genome3D-annotated sequences similar to their own. We have improved and extended the Genome3D data, enlarging the source data set from three model organisms to 10, and adding VIVACE, a resource new to Genome3D. We have analysed and updated Genome3D's SCOP/CATH mapping. Finally, we have improved the superposition tools, which now give users a more powerful interface for investigating similarities and differences between structural models. PMID:25348407

  15. Prime Contract Awards of $100,000 or More by Federal Supply Classification or Service Category and Purchasing Office, FY 88. Part 2. (5610-9999).

    DTIC Science & Technology

    1988-01-01

    4 44OWA.aɜUW 4) .4 u 0 0. m4 0 4 ( U) u M U) C) Wj AULA it Al t.. - CC 1-4. .4O .4 gn U 110 0 0 a Q10 .1 Lc C-4 .v C Z 0C .4 LL.LL, 0 :34 b t 4L...0 C I OUE-4 i MOO -~ 4)= = 0.c0 0 *it O0 - 0O0-vc W.J OUC.) f - 44 -4 0 c ’ tIC C -C C C 0 L .4UV - 0) G-4 U- -4 C In -. EUMd - . X MU (dEU-4 -4 -1W o

  16. Using a dedicated education unit clinical education model with second-degree accelerated nursing program students.

    PubMed

    Sharpnack, Patricia A; Koppelman, Catherine; Fellows, Bonnie

    2014-12-01

    Rising health care costs have underscored the need for new graduates to effectively transition to professional practice. Effective academic-practice partnerships, such as dedicated education units (DEUs), can be useful in facilitating the transfer of knowledge from the classroom to the clinical setting. This randomized experimental study found the DEU clinical model to be valuable in facilitating the transfer of knowledge in second-degree accelerated program students as evaluated by course, simulation, and standardized assessment scores and self-evaluations. Successful transition to clinical practice is reported by practice partners; time allotted for orientation program requirements was reduced and retention on the unit of hire was improved. Additional research is needed to understand the effectiveness of second-degree accelerated nursing programs and how to revise the clinical education element of the program to meet the unique needs of these students. Copyright 2014, SLACK Incorporated.

  17. Single-event effects in avionics

    SciTech Connect

    Normand, E.

    1996-04-01

    The occurrence of single-event upset (SEU) in aircraft electronics has evolved from a series of interesting anecdotal incidents to accepted fact. A study completed in 1992 demonstrated that SEU`s are real, that the measured in-flight rates correlate with the atmospheric neutron flux, and that the rates can be calculated using laboratory SEU data. Once avionics DEU was shown to be an actual effect, it had to be dealt with in avionics designs. The major concern is in random access memories (RAM`s), both static (SRAM`s) and dynamic (DRAM`s), because these microelectronic devices contain the largest number of bits, but other parts, such as microprocessors, are also potentially susceptible to upset. In addition, other single-event effects (SEE`s), specifically latch-up and burnout, can also be induced by atmospheric neutrons.

  18. Tasks and tools for battlefield reconnaissance

    NASA Astrophysics Data System (ADS)

    Strecker, Sebastian

    2016-10-01

    The continuous development on the field of electro-optics has certainly a big influence on the field of military vehicles. The same way it increases the own visual and thereby the operational range, it also increases the danger of detection by enemy forces. This conflict between the enhancement of sensor performance on one side and the minimization of vehicle signature by design on the other side is the major issue in the field of battlefield reconnaissance. The understanding of the interaction between the theoretical sensor performance, its limitation caused by atmospheric effects and the constructive limitations in the vehicle's signature minimization is mandatory for a realistic assessment of sensor systems. This paper describes the tasks and tools for battlefield reconnaissance at the Bundeswehr Technical Center for Weapons and Ammunition (WTD 91) in Meppen (DEU).

  19. Creating a Dedicated Education Unit in Long-Term Care.

    PubMed

    Fox, Jodie R

    2017-01-17

    adults needing long-term care (LTC) may rise in future aging populations, necessitating an increase in the <1% of nurses currently certified in gerontological nursing. An innovative clinical model, the dedicated education unit (DEU), has been used globally with positive results. The purpose of the current review is to explore the DEU and its possible use in LTC settings, and identify if this clinical model increases nursing students' knowledge of the nursing role. Current literature, including a systematic review, is analyzed and rated for quality. Synthesis of findings show the DEU clinical model may increase student interest and knowledge of LTC nursing through collaboration with the practicing LTC nurse. More longitudinal studies are needed to determine the success of the DEU model as a long-term solution to this clinical problem. [Journal of Gerontological Nursing, xx(x), xx-xx.].

  20. ADRON Instrument for Luna-Resource and Luna-Glob Missions

    NASA Astrophysics Data System (ADS)

    Golovin, D.; Mitrofanov, I.; Barmakov, Y.; Bogolubov, E.; Litvak, M.; Sanin, A.; Kozyrev, A.; Malakhov, A.; Mokrousov, M.; Schatzkij, V.; Smirnov, G.; Ryzhkov, V.; Kurdumov, I.; Shvetsov, V.; Tretyakov, V.; Varenikov, A.; Vostrukhin, A.

    2012-04-01

    The interest to Moon investigations was increasing last decade. Many scientific and exploration missions were developed and about ten spacecrafts reached our nearest cosmic neighbor for detailed studying. Russian instrument LEND (Lunar Exploration Neutron Detector) received new interesting data about global lunar surface and distribution of hydrogen (water) enriched regions near poles in particular using collimation technique. Two of these regions are now landing sites of Russian-Indian project Luna-Resource and Russian lander Luna-Glob with planned launches in 2014 and 2015 respectively. One of scientific instruments onboard landers of both missions is ADRON (Active Detector of gamma Rays and Neutrons). The main tasks of the experiment are: 1) Definition of composition of the soil in the landing site; 2) Hydrogen content and distribution along depth; 3) Radiation background measurement; 4) Registering of Gamma-Ray Bursts. ADRON instrument is based on available heritage of design of DAN (MSL 2011, NASA) and MGNS (BepiColombo 2014, ESA). The concept ADRON is based on is the well-known method of nuclear well neutron logging for geological applications when detectors measure flux of scattered and moderated neutrons emitted by generator. Using scintillator one can detect spectrum of gamma-rays from soil and the lines intensities of this spectrum will indicate amount of a corresponding element in the subsurface up to 1 m depth during experiment on lunar surface. Instrument consists of two separate units: Pulse Neutron Generator (PNG) and Detectors and Electronic Unit (DEU). DEU (weight 3.8 kg, size 260×217×127 mm), besides of electronic for instrument control, contains LaBr3 crystal for measuring spectra of gamma rays and He3 proportional counters to detect thermal and epithermal neutrons. Fast electronics allow to get time profiles of gamma and neutrons flux with time resolution of up to 1 microsecond. PNG unit (weight 2.6 kg, size 331×125×45 mm) is connected to

  1. MetaSINEs: Broad Distribution of a Novel SINE Superfamily in Animals.

    PubMed

    Nishihara, Hidenori; Plazzi, Federico; Passamonti, Marco; Okada, Norihiro

    2016-02-12

    SINEs (short interspersed elements) are transposable elements that typically originate independently in each taxonomic clade (order/family). However, some SINE families share a highly similar central sequence and are thus categorized as a SINE superfamily. Although only four SINE superfamilies (CORE-SINEs, V-SINEs, DeuSINEs, and Ceph-SINEs) have been reported so far, it is expected that new SINE superfamilies would be discovered by deep exploration of new SINEs in metazoan genomes. Here we describe 15 SINEs, among which 13 are novel, that have a similar 66-bp central region and therefore constitute a new SINE superfamily, MetaSINEs. MetaSINEs are distributed from fish to cnidarians, suggesting their common evolutionary origin at least 640 Ma. Because the 3' tails of MetaSINEs are variable, these SINEs most likely survived by changing their partner long interspersed elements for retrotransposition during evolution. Furthermore, we examined the presence of members of other SINE superfamilies in bivalve genomes and characterized eight new SINEs belonging to the CORE-SINEs, V-SINEs, and DeuSINEs, in addition to the MetaSINEs. The broad distribution of bivalve SINEs suggests that at least three SINEs originated in the common ancestor of Bivalvia. Our comparative analysis of the central domains of the SINEs revealed that, in each superfamily, only a restricted region is shared among all of its members. Because the functions of the central domains of the SINE superfamilies remain unknown, such structural information of SINE superfamilies will be useful for future experimental and comparative analyses to reveal why they have been retained in metazoan genomes during evolution. © The Author 2016. Published by Oxford University Press on behalf of the Society for Molecular Biology and Evolution.

  2. MetaSINEs: Broad Distribution of a Novel SINE Superfamily in Animals

    PubMed Central

    Nishihara, Hidenori; Plazzi, Federico; Passamonti, Marco; Okada, Norihiro

    2016-01-01

    SINEs (short interspersed elements) are transposable elements that typically originate independently in each taxonomic clade (order/family). However, some SINE families share a highly similar central sequence and are thus categorized as a SINE superfamily. Although only four SINE superfamilies (CORE-SINEs, V-SINEs, DeuSINEs, and Ceph-SINEs) have been reported so far, it is expected that new SINE superfamilies would be discovered by deep exploration of new SINEs in metazoan genomes. Here we describe 15 SINEs, among which 13 are novel, that have a similar 66-bp central region and therefore constitute a new SINE superfamily, MetaSINEs. MetaSINEs are distributed from fish to cnidarians, suggesting their common evolutionary origin at least 640 Ma. Because the 3′ tails of MetaSINEs are variable, these SINEs most likely survived by changing their partner long interspersed elements for retrotransposition during evolution. Furthermore, we examined the presence of members of other SINE superfamilies in bivalve genomes and characterized eight new SINEs belonging to the CORE-SINEs, V-SINEs, and DeuSINEs, in addition to the MetaSINEs. The broad distribution of bivalve SINEs suggests that at least three SINEs originated in the common ancestor of Bivalvia. Our comparative analysis of the central domains of the SINEs revealed that, in each superfamily, only a restricted region is shared among all of its members. Because the functions of the central domains of the SINE superfamilies remain unknown, such structural information of SINE superfamilies will be useful for future experimental and comparative analyses to reveal why they have been retained in metazoan genomes during evolution. PMID:26872770

  3. Troubled adolescents: substance abuse and mental disorder in young offenders.

    PubMed

    Ribas-Siñol, Maria; Del Prado-Sanchez, Noemi; Claramunt-Mendoza, Jaume; Civit-Ramirez, Monica; Canalias-Perez, Oriol; Ochoa, Susana

    2015-01-01

    Many studies indicate the high prevalence of juvenile substance abuse. There is increasingly more dual diagnosis and mental illnesses in adolescents and many juvenile offenses are related to drug abuse. This is a descriptive study about the relationship between drug abuse and clinical, demographic and criminal characteristics in a sample of 144 youths seen in the Therapeutic Juvenile Justice Unit (UTJJ) of the Parc Sanitari Sant Joan de Deu. A total of 65.3% of the sample had a disorder on Axis I, 22.2% of which were related with the psychotic spectrum and 18.1% ADHD. Personality disorder occurred in 42.4%, the most frequent ones being antisocial disorder (16%), and borderline personality disorder (6.9%). Of the sample, 78.5% were drug consumers and 51.4% of the total only consumed 1 substance. There is a tendency among psychotic teenagers to consume cannabis and ADHD patients to consume cannabis and cocaine. A significant relationship is found between nationality and inhalants drugs, social and economic level and sedative drugs and alcohol, and parental death and alcohol (p<0.05-0.005). The level of drug use/abuse in juvenile justice is very high. Although there is no evidence about the relationship between the substance they consume and the profile of the young offender, some tendencies are observed.

  4. [Predictive variables for mental retardation in a Pediatric Epilepsy Monitoring Unit. Neuropsychological assessment].

    PubMed

    López-Sala, A; Palacio-Navarro, A; Donaire, A; García, G; Colomé, R; Boix, C; Sans, A; Campistol, J; Sanmartí, F X

    2010-03-03

    We sought to describe the epidemiological and clinical data from our patients in the Pediatric Epilepsy Monitoring Unit (PEMU) of the Sant Joan de Deu Hospital of Barcelona, and determine the variables of risk for mental retardation. A retrospective review of PEMU reports and hospital discharge summaries from March 2005 to December 2008 was conducted. The data from patients with intelligence quotient (IQ) estimated, older than 3 years of age and with epileptic electroencephalography (EEG) activity was analyzed in 158 patients (8.8 +/- 5.2 years; 55.1% boys). Of those pediatric patients, 63 had IQ less than 70 and 47 an IQ greater than or equal to 70. Intractable epilepsy was present in all of them. The percentage of the patients with mental retardation is significantly higher in patients with onset of epilepsy before 24 months (68.3%) than patients with later onset (27.7%). Onset of seizures, EEG findings and epilepsy etiology are significant risk factors for mental retardation. Early age at seizure, multifocal epilepsy and cryptogenic etiology are factors of worse prognosis to normal development of cognitive functions in pediatric intractable epilepsy.

  5. Evolutionary active transposable elements in the genome of the coelacanth.

    PubMed

    Chalopin, Domitille; Fan, Shaohua; Simakov, Oleg; Meyer, Axel; Schartl, Manfred; Volff, Jean-Nicolas

    2014-09-01

    The apparent morphological stasis in the lineage of the coelacanth, which has been called a "living fossil" by many, has been suggested to be causally related to a slow evolution of its genome, with strongly reduced activity of transposable elements (TEs). Analysis of the African coelacanth showed that at least 25% of its genome is constituted of transposable elements including retrotransposons, endogenous retroviruses and DNA transposons, with a strong predominance of non-Long Terminal Repeat (non-LTR) retrotransposons. The coelacanth genome has been shaped by four major general bursts of transposition during evolution, with major contributions of LINE1, LINE2, CR1, and Deu non-LTR retrotransposons. Many transposable elements are expressed in different tissues and might be active. The number of TE families in coelacanth, but also in lungfish, is lower than in teleost fish, but is higher than in chicken and human. This observation is in agreement with the hypothesis of a sequential elimination of many TE families in the sarcopterygian lineage during evolution. Taken together, our analysis indicates that the coelacanth contains more TE families than birds and mammals, and that these elements have been active during the evolution of the coelacanth lineage. Hence, at the level of transposable element activity, the coelacanth genome does not appear to evolve particularly slowly.

  6. ION BEAM POLARIZATION DYNAMICS IN THE 8 GEV BOOSTER OF THE JLEIC PROJECT AT JLAB

    SciTech Connect

    Kondratenko, A. M.; Kondratenko, M. A.; Morozov, Vasiliy; Derbenev, Yaroslav S.; Lin, Fanglei; Zhang, Yuhong; Filatov, Yuri

    2016-05-01

    In the Jefferson Lab’s Electron-Ion Collider (JLEIC) project, an injector of polarized ions into the collider ring is a superconducting 8 GeV booster. Both figure-8 and racetrack booster versions were considered. Our analysis showed that the figure-8 ring configuration allows one to preserve the polarization of any ion species during beam acceleration using only small longitudinal field with an integral less than 0.5 Tm. In the racetrack booster, to pre-serve the polarization of ions with the exception of deu-terons, it suffices to use a solenoidal Siberian snake with a maximum field integral of 30 Tm. To preserve deuteron polarization, we propose to use arc magnets for the race-track booster structure with a field ramp rate of the order of 1 T/s. We calculate deuteron and proton beam polari-zations in both the figure-8 and racetrack boosters includ-ing alignment errors of their magnetic elements using the Zgoubi code.

  7. Allergy medical care network: a new model of care for specialties.

    PubMed

    Ferré-Ybarz, L; Salinas Argente, R; Nevot Falcó, S; Gómez Galán, C; Franquesa Rabat, J; Trapé Pujol, J; Oliveras Alsina, P; Pons Serra, M; Corbella Virós, X

    2015-01-01

    In 2005 the Althaia Foundation Allergy Department performed its daily activity in the Hospital Sant Joan de Deu of Manresa. Given the increasing demand for allergy care, the department's performance was analysed and a strategic plan (SP) for 2005-2010 was designed. The main objective of the study was to assess the impact of the application of the SP on the department's operations and organisational level in terms of profitability, productivity and quality of care. Descriptive, retrospective study which evaluated the operation of the allergy department. The baseline situation was analysed and the SP was designed. Indicators were set to perform a comparative analysis after application of the SP. The indicators showed an increase in medical care activity (first visits, 34%; successive visits, 29%; day hospital treatments, 51%), high rates of resolution, reduced waiting lists. Economic analysis indicated an increase in direct costs justified by increased activity and territory attended. Cost optimisation was explained by improved patient accessibility, minimised absenteeism in the workplace and improved cost per visit. After application of the SP a networking system was established for the allergy speciality that has expanded the territory for which it provides care, increased total activity and the ability to resolve patients, optimised human resources, improved quality of care and streamlined medical costs. Copyright © 2013 SEICAP. Published by Elsevier Espana. All rights reserved.

  8. Reuse of constructed wetland effluents for irrigation of energy crops.

    PubMed

    Barbagallo, S; Barbera, A C; Cirelli, G L; Milani, M; Toscano, A

    2014-01-01

    The aim of this study was to evaluate biomass production of promising 'no-food' energy crops, Vetiveria zizanoides (L.) Nash, Miscanthus × giganteus Greef et Deu. and Arundo donax (L.), irrigated with low quality water at different evapotranspiration restitutions. Two horizontal subsurface flow (H-SSF) constructed wetland (CW) beds, with different operation life (12 and 6 years), were used to treat secondary municipal wastewaters for crop irrigation. Water chemical, physical and microbiological parameters as well as plant bio-agronomic characters were evaluated. The results confirm the high reliability of CWs for tertiary wastewater treatment given that the H-SSF1 treatment capacity remained largely unchanged after 12 years of operation. Average total suspended solids, chemical oxygen demand and total nitrogen removal for CWs were about 68, 58 and 71%, respectively. The Escherichia coli removal was satisfactory, about 3.3 log unit for both CW beds on average, but caution should be taken as this parameter did not achieve the restrictive Italian law limits for wastewater reuse. The average above-ground dry matter productions were 7 t ha⁻¹ for Vetiveria zizanoides, 24 t ha⁻¹ for Miscanthus × giganteus and 50 t ha⁻¹ for Arundo donax. These results highlight attractive biomass yield by using treated wastewater for irrigation with a complete restitution of evapotranspiration losses.

  9. Genome3D: a UK collaborative project to annotate genomic sequences with predicted 3D structures based on SCOP and CATH domains

    PubMed Central

    Lewis, Tony E.; Sillitoe, Ian; Andreeva, Antonina; Blundell, Tom L.; Buchan, Daniel W.A.; Chothia, Cyrus; Cuff, Alison; Dana, Jose M.; Filippis, Ioannis; Gough, Julian; Hunter, Sarah; Jones, David T.; Kelley, Lawrence A.; Kleywegt, Gerard J.; Minneci, Federico; Mitchell, Alex; Murzin, Alexey G.; Ochoa-Montaño, Bernardo; Rackham, Owen J. L.; Smith, James; Sternberg, Michael J. E.; Velankar, Sameer; Yeats, Corin; Orengo, Christine

    2013-01-01

    Genome3D, available at http://www.genome3d.eu, is a new collaborative project that integrates UK-based structural resources to provide a unique perspective on sequence–structure–function relationships. Leading structure prediction resources (DomSerf, FUGUE, Gene3D, pDomTHREADER, Phyre and SUPERFAMILY) provide annotations for UniProt sequences to indicate the locations of structural domains (structural annotations) and their 3D structures (structural models). Structural annotations and 3D model predictions are currently available for three model genomes (Homo sapiens, E. coli and baker’s yeast), and the project will extend to other genomes in the near future. As these resources exploit different strategies for predicting structures, the main aim of Genome3D is to enable comparisons between all the resources so that biologists can see where predictions agree and are therefore more trusted. Furthermore, as these methods differ in whether they build their predictions using CATH or SCOP, Genome3D also contains the first official mapping between these two databases. This has identified pairs of similar superfamilies from the two resources at various degrees of consensus (532 bronze pairs, 527 silver pairs and 370 gold pairs). PMID:23203986

  10. Functional noncoding sequences derived from SINEs in the mammalian genome

    PubMed Central

    Nishihara, Hidenori; Smit, Arian F.A.; Okada, Norihiro

    2006-01-01

    Recent comparative analyses of mammalian sequences have revealed that a large number of nonprotein-coding genomic regions are under strong selective constraint. Here, we report that some of these loci have been derived from a newly defined family of ancient SINEs (short interspersed repetitive elements). This is a surprising result, as SINEs and other transposable elements are commonly thought to be genomic parasites. We named the ancient SINE family AmnSINE1, for Amniota SINE1, because we found it to be present in mammals as well as in birds, and some copies predate the mammalian-bird split 310 million years ago (Mya). AmnSINE1 has a chimeric structure of a 5S rRNA and a tRNA-derived SINE, and is related to five tRNA-derived SINE families that we characterized here in the coelacanth, dogfish shark, hagfish, and amphioxus genomes. All of the newly described SINE families have a common central domain that is also shared by zebrafish SINE3, and we collectively name them the DeuSINE (Deuterostomia SINE) superfamily. Notably, of the ∼1000 still identifiable copies of AmnSINE1 in the human genome, 105 correspond to loci phylogenetically highly conserved among mammalian orthologs. The conservation is strongest over the central domain. Thus, AmnSINE1 appears to be the best example of a transposable element of which a significant fraction of the copies have acquired genomic functionality. PMID:16717141

  11. Functional noncoding sequences derived from SINEs in the mammalian genome.

    PubMed

    Nishihara, Hidenori; Smit, Arian F A; Okada, Norihiro

    2006-07-01

    Recent comparative analyses of mammalian sequences have revealed that a large number of nonprotein-coding genomic regions are under strong selective constraint. Here, we report that some of these loci have been derived from a newly defined family of ancient SINEs (short interspersed repetitive elements). This is a surprising result, as SINEs and other transposable elements are commonly thought to be genomic parasites. We named the ancient SINE family AmnSINE1, for Amniota SINE1, because we found it to be present in mammals as well as in birds, and some copies predate the mammalian-bird split 310 million years ago (Mya). AmnSINE1 has a chimeric structure of a 5S rRNA and a tRNA-derived SINE, and is related to five tRNA-derived SINE families that we characterized here in the coelacanth, dogfish shark, hagfish, and amphioxus genomes. All of the newly described SINE families have a common central domain that is also shared by zebrafish SINE3, and we collectively name them the DeuSINE (Deuterostomia SINE) superfamily. Notably, of the approximately 1000 still identifiable copies of AmnSINE1 in the human genome, 105 correspond to loci phylogenetically highly conserved among mammalian orthologs. The conservation is strongest over the central domain. Thus, AmnSINE1 appears to be the best example of a transposable element of which a significant fraction of the copies have acquired genomic functionality.

  12. Crystal Structures of SlyA Protein, a Master Virulence Regulator of Salmonella, in Free and DNA-bound States

    SciTech Connect

    Dolan, Kyle T.; Duguid, Erica M.; He, Chuan

    2011-11-17

    SlyA is a master virulence regulator that controls the transcription of numerous genes in Salmonella enterica. We present here crystal structures of SlyA by itself and bound to a high-affinity DNA operator sequence in the slyA gene. SlyA interacts with DNA through direct recognition of a guanine base by Arg-65, as well as interactions between conserved Arg-86 and the minor groove and a large network of non-base-specific contacts with the sugar phosphate backbone. Our structures, together with an unpublished structure of SlyA bound to the small molecule effector salicylate (Protein Data Bank code 3DEU), reveal that, unlike many other MarR family proteins, SlyA dissociates from DNA without large conformational changes when bound to this effector. We propose that SlyA and other MarR global regulators rely more on indirect readout of DNA sequence to exert control over many genes, in contrast to proteins (such as OhrR) that recognize a single operator.

  13. Design, synthesis and extraction studies of a new class of conformationally constrained (N,N,N',N'-tetraalkyl)7-oxabicyclo[2.2.1]heptane-2,3-dicarboxamides.

    PubMed

    Sharma, Shikha; Panja, Surajit; Bhattachariya, Arunasis; Dhami, Prem S; Gandhi, Preetam M; Ghosh, Sunil K

    2015-07-28

    A new class of conformationally constrained 7-oxabicyclo[2.2.1]heptane-2,3-dicarboxamides (OBDA) of three secondary amines was synthesized, and their extraction behavior for trivalent and tetravalent actinides in HNO3 medium was studied. Amongst the diamides, N,N-bis-2-ethylhexyl substituted diamide showed the best results for actinide extraction. This diamide also exhibited a very low level of extraction for Sr(ii) and Ru(iii) which is desirable, thus providing higher selectivity for actinides. The stripping of extracted metal ions was achieved using 0.1 M oxalic acid for Pu(iv) or pH ∼ 2 solution for Am(iii). Third phase formation was not observed for the OBDA ligand even for a higher concentration of Eu up to 5 g L(-1) with retention of good DEu. The tridentate nature of the OBDA ligand was ascertained by studying the IR and NMR spectra of the Eu(iii) complex with the ligand. The OBDA showed the formation of a mixture of mono- and di-solvated species of Eu(iii) as indicated by the slope analysis method and ESI-MS. Density functional theoretical (DFT) study was carried out to determine the energy optimized structure of the free ligand and its Am(3+) complex.

  14. Intellectual disability and the prison setting.

    PubMed

    Tort, V; Dueñas, R; Vicens, E; Zabala, C; Martínez, M; Romero, D M

    2016-01-01

    The prevalence of intellectual disability (ID) in the prison setting has scarcely been studied. Although some approximations or estimates regarding people with intellectual disabilities have been performed in Spain, there is little in the way of reliable data. 1) To determine the prevalence of ID in a sample population in the residential modules of a Spanish prison, 2) Obtain data on the prevalence of ID in prison psychiatric units and hospitals. 1) A TONI II test was performed on a sub-sample (n = 398) of a prevalence study in Spanish prisons to identify inmates with intellectual disabilities. 2) We reviewed the reports of the psychiatric department of Parc Sanitari Sant Joan de Deu to establish the diagnosis at discharge of patients with a primary diagnosis of intellectual disability 3) Data from the Directorate General of Prisons on the prevalence of ID in Prison Psychiatric Hospitals was reviewed. The data obtained from the TONI II test found 3.77% of the study population has an IQ below 70, and 7.54 % has a borderline IQ rate. Assessment of penitentiary psychiatric hospitalization data showed these figures to be higher. The data from a Spanish prison population showed that ID levels were higher than those in the community, especially amongst prisoners requiring specialized psychiatric care. What is also evident is that adequate resources are required in prisons and in the community to provide better care for people with intellectual disabilities who are in the pathway of the criminal justice system.

  15. Expanding the REE Partitioning Database for Lunar Materials

    NASA Technical Reports Server (NTRS)

    Rapp, Jennifer F.; Draper, David S.

    2014-01-01

    Positive europium anomalies are ubiquitous in the plagioclase-rich rocks of the lunar highlands, and complementary negative Eu anomalies are found in most lunar basalts. This is taken as evidence of a large-scale differentation event, with crystallization of a global-scale lunar magma ocean (LMO) resulting in a plagioclase flotation crust and a mafic lunar interior from which mare basalts were later derived. However, the extent of the Eu anomaly in lunar rocks is variable. Some plagioclase grains in a lunar impact rock (60635) have been reported to display a negative Eu anomaly, or in some cases single grains display both positive and neagtive anomalies. Cathodoluminescence images reveal that some crystals have a negative anomaly in the core and positive at the rim, or vice versa, and the negative anomalies are not associated with crystal overgrowths. Oxygen fugacity is known to affect Eu partitioning into plagioclase, as under low fO2 conditions Eu can be divalent, and has an ionic radius similar to Ca2+ - significant in lunar samples where plagioclase compositions are predominantly anorthitic. However, there are very few experimental studies of rare earth element (REE) partitioning in plagioclase relevant to lunar magmatism, with only two plagioclase DEu measurements from experiments using lunar materials, and little data in low fO2 conditions relevant to the Moon. We report on REE partitioning experiments on lunar compositions. We investigate two lunar basaltic compositions, high-alumina basalt 14072 and impact melt breccia 60635. These samples span a large range of lunar surface bulk compositions. The experiments are carried out at variable fO2 in 1 bar gas mixing furnaces, and REE are analysed by and LA-ICP-MS. Our results not only greatly expand the existing plagioclase DREE database for lunar compositions, but also investigate the significance of fO2 in Eu partitioning, and in the interpretation of Eu anomalies in lunar materials.

  16. Caffeine exposure alters cardiac gene expression in embryonic cardiomyocytes

    PubMed Central

    Fang, Xiefan; Mei, Wenbin; Barbazuk, William B.; Rivkees, Scott A.

    2014-01-01

    Previous studies demonstrated that in utero caffeine treatment at embryonic day (E) 8.5 alters DNA methylation patterns, gene expression, and cardiac function in adult mice. To provide insight into the mechanisms, we examined cardiac gene and microRNA (miRNA) expression in cardiomyocytes shortly after exposure to physiologically relevant doses of caffeine. In HL-1 and primary embryonic cardiomyocytes, caffeine treatment for 48 h significantly altered the expression of cardiac structural genes (Myh6, Myh7, Myh7b, Tnni3), hormonal genes (Anp and BnP), cardiac transcription factors (Gata4, Mef2c, Mef2d, Nfatc1), and microRNAs (miRNAs; miR208a, miR208b, miR499). In addition, expressions of these genes were significantly altered in embryonic hearts exposed to in utero caffeine. For in utero experiments, pregnant CD-1 dams were treated with 20–60 mg/kg of caffeine, which resulted in maternal circulation levels of 37.3–65.3 μM 2 h after treatment. RNA sequencing was performed on embryonic ventricles treated with vehicle or 20 mg/kg of caffeine daily from E6.5-9.5. Differential expression (DE) analysis revealed that 124 genes and 849 transcripts were significantly altered, and differential exon usage (DEU) analysis identified 597 exons that were changed in response to prenatal caffeine exposure. Among the DE genes identified by RNA sequencing were several cardiac structural genes and genes that control DNA methylation and histone modification. Pathway analysis revealed that pathways related to cardiovascular development and diseases were significantly affected by caffeine. In addition, global cardiac DNA methylation was reduced in caffeine-treated cardiomyocytes. Collectively, these data demonstrate that caffeine exposure alters gene expression and DNA methylation in embryonic cardiomyocytes. PMID:25354728

  17. Characterization of a novel SINE superfamily from invertebrates: "Ceph-SINEs" from the genomes of squids and cuttlefish.

    PubMed

    Akasaki, Tetsuya; Nikaido, Masato; Nishihara, Hidenori; Tsuchiya, Kotaro; Segawa, Susumu; Okada, Norihiro

    2010-04-01

    Five tRNA-derived short interspersed repetitive elements (SINEs), named SepiaSINE, Sepioth-SINE1, Sepioth-SINE2A, Sepioth-SINE2B and OegopSINE, were isolated from the genomes of three decabrachian species [Sepia officinalis (order Sepiida), Sepiotheuthis lessoniana (suborder Myopsida), and Mastigoteuthis cordiformes (suborder Oegopsida)], by random sequencing and genome screening. In addition, two tRNA-derived SINEs, named IdioSINE1 and IdioSINE2, were further detected from EST (expressed sequence tag) data of Idiosepius paradoxus (order Idiosepiida), using a GenBank FASTA search with a conserved sequence of the SepiaSINE as the query. All the isolated SINEs had a common and unique highly conserved 149-bp sequence in their central structures (Sepioth-SINE2B and IdioSINEs, however, had a continuous 73-bp deletion in the conserved region.), and are therefore grouped as the fourth SINE superfamily "Ceph-SINEs", following the CORE-SINE, V-SINE, and DeuSINE superfamilies. Our analysis suggested that the central conserved region called the "Ceph-domain" might have originated before the diversification of cephalopods (505 myr ago). A sequence alignment of Sepioth-SINE1, Sepioth-SINE2A, and Sepioth-SINE2B demonstrated that Sepioth-SINE2A has a chimeric structure shared with two other SINEs. The above relationship suggests possible template switching in the central conserved domain during reverse transcription for the birth of Sepioth-SINE2A, providing the possibility that the presence of the conserved domain contributed to yield a variety of SINEs during evolution. Furthermore, the distributions of the isolated SINEs showed that order Sepiida, suborders Oegopsida and Myopsida, and order Idiosepiida have their own independent SINE(s), and suggest that order Sepiida can be largely separated into two groups, with clarification of the phylogenetic relatedness between subfamily Sepioteuthinae and the other loliginid squids.

  18. StatXFinder: a web-based self-directed tool that provides appropriate statistical test selection for biomedical researchers in their scientific studies.

    PubMed

    Suner, Aslı; Karakülah, Gökhan; Koşaner, Özgün; Dicle, Oğuz

    2015-01-01

    The improper use of statistical methods is common in analyzing and interpreting research data in biological and medical sciences. The objective of this study was to develop a decision support tool encompassing the commonly used statistical tests in biomedical research by combining and updating the present decision trees for appropriate statistical test selection. First, the decision trees in textbooks, published articles, and online resources were scrutinized, and a more comprehensive unified one was devised via the integration of 10 distinct decision trees. The questions also in the decision steps were revised by simplifying and enriching of the questions with examples. Then, our decision tree was implemented into the web environment and the tool titled StatXFinder was developed. Finally, usability and satisfaction questionnaires were applied to the users of the tool, and StatXFinder was reorganized in line with the feedback obtained from these questionnaires. StatXFinder provides users with decision support in the selection of 85 distinct parametric and non-parametric statistical tests by directing 44 different yes-no questions. The accuracy rate of the statistical test recommendations obtained by 36 participants, with the cases applied, were 83.3 % for "difficult" tests, and 88.9 % for "easy" tests. The mean system usability score of the tool was found 87.43 ± 10.01 (minimum: 70-maximum: 100). A statistically significant difference could not be seen between total system usability score and participants' attributes (p value >0.05). The User Satisfaction Questionnaire showed that 97.2 % of the participants appreciated the tool, and almost all of the participants (35 of 36) thought of recommending the tool to the others. In conclusion, StatXFinder, can be utilized as an instructional and guiding tool for biomedical researchers with limited statistics knowledge. StatXFinder is freely available at http://webb.deu.edu.tr/tb/statxfinder.

  19. Caffeine exposure alters cardiac gene expression in embryonic cardiomyocytes.

    PubMed

    Fang, Xiefan; Mei, Wenbin; Barbazuk, William B; Rivkees, Scott A; Wendler, Christopher C

    2014-12-15

    Previous studies demonstrated that in utero caffeine treatment at embryonic day (E) 8.5 alters DNA methylation patterns, gene expression, and cardiac function in adult mice. To provide insight into the mechanisms, we examined cardiac gene and microRNA (miRNA) expression in cardiomyocytes shortly after exposure to physiologically relevant doses of caffeine. In HL-1 and primary embryonic cardiomyocytes, caffeine treatment for 48 h significantly altered the expression of cardiac structural genes (Myh6, Myh7, Myh7b, Tnni3), hormonal genes (Anp and BnP), cardiac transcription factors (Gata4, Mef2c, Mef2d, Nfatc1), and microRNAs (miRNAs; miR208a, miR208b, miR499). In addition, expressions of these genes were significantly altered in embryonic hearts exposed to in utero caffeine. For in utero experiments, pregnant CD-1 dams were treated with 20-60 mg/kg of caffeine, which resulted in maternal circulation levels of 37.3-65.3 μM 2 h after treatment. RNA sequencing was performed on embryonic ventricles treated with vehicle or 20 mg/kg of caffeine daily from E6.5-9.5. Differential expression (DE) analysis revealed that 124 genes and 849 transcripts were significantly altered, and differential exon usage (DEU) analysis identified 597 exons that were changed in response to prenatal caffeine exposure. Among the DE genes identified by RNA sequencing were several cardiac structural genes and genes that control DNA methylation and histone modification. Pathway analysis revealed that pathways related to cardiovascular development and diseases were significantly affected by caffeine. In addition, global cardiac DNA methylation was reduced in caffeine-treated cardiomyocytes. Collectively, these data demonstrate that caffeine exposure alters gene expression and DNA methylation in embryonic cardiomyocytes.

  20. Effects of β-d-mannuronic acid, as a novel non-steroidal anti-inflammatory medication within immunosuppressive properties, on IL17, RORγt, IL4 and GATA3 gene expressions in rheumatoid arthritis patients.

    PubMed

    Barati, Anis; Jamshidi, Ahmad Reza; Ahmadi, Hossein; Aghazadeh, Zahra; Mirshafiey, Abbas

    2017-01-01

    Rheumatoid arthritis (RA) is the most common form of chronic inflammatory arthritis characterized by pain, swelling and destruction of joints, with a resultant disability. Disease-modifying anti-rheumatic drugs (DMARDs) and biological drugs can interfere with the disease process. In this study, the effect of β-d-mannuronic acid (M2000) as a novel non-steroidal anti-inflammatory drug (NSAID) with immunosuppressive and anti-inflammatory effects together with antioxidant effects was evaluated on IL17, RORγt, IL4 and GATA3 gene expression in 12 RA patients. Previously, M2000 driven from sodium alginate (natural product; patented, DEU: 102016113018.4) has shown a notable efficacy in experimental models of multiple sclerosis, RA and nephrotic syndrome. This study was performed on 12 patients with RA who had an inadequate response to conventional treatments. During this trial, patients were permitted to continue the conventional therapy excluding NSAIDs. M2000 was administered orally at a dose of 500 mg twice daily for 12 weeks. The peripheral blood mononuclear cells (PBMCs) were collected before and after treatment to evaluate the expression levels of IL4, GATA3, IL17 and RORγt. The gene expression results showed that M2000 has a potent efficacy, so that it could not only significantly decrease IL17 and RORγt levels but also increase IL4 and GATA3 levels after 12 weeks of treatment. Moreover, the gene expression results were in accordance with the clinical and preclinical assessments. In conclusion, M2000 as a natural novel agent has therapeutic and immunosuppressive properties on RA patients (identifier: IRCT2014011213739N2).

  1. Effects of β-d-mannuronic acid, as a novel non-steroidal anti-inflammatory medication within immunosuppressive properties, on IL17, RORγt, IL4 and GATA3 gene expressions in rheumatoid arthritis patients

    PubMed Central

    Barati, Anis; Jamshidi, Ahmad Reza; Ahmadi, Hossein; Aghazadeh, Zahra; Mirshafiey, Abbas

    2017-01-01

    Rheumatoid arthritis (RA) is the most common form of chronic inflammatory arthritis characterized by pain, swelling and destruction of joints, with a resultant disability. Disease-modifying anti-rheumatic drugs (DMARDs) and biological drugs can interfere with the disease process. In this study, the effect of β-d-mannuronic acid (M2000) as a novel non-steroidal anti-inflammatory drug (NSAID) with immunosuppressive and anti-inflammatory effects together with antioxidant effects was evaluated on IL17, RORγt, IL4 and GATA3 gene expression in 12 RA patients. Previously, M2000 driven from sodium alginate (natural product; patented, DEU: 102016113018.4) has shown a notable efficacy in experimental models of multiple sclerosis, RA and nephrotic syndrome. This study was performed on 12 patients with RA who had an inadequate response to conventional treatments. During this trial, patients were permitted to continue the conventional therapy excluding NSAIDs. M2000 was administered orally at a dose of 500 mg twice daily for 12 weeks. The peripheral blood mononuclear cells (PBMCs) were collected before and after treatment to evaluate the expression levels of IL4, GATA3, IL17 and RORγt. The gene expression results showed that M2000 has a potent efficacy, so that it could not only significantly decrease IL17 and RORγt levels but also increase IL4 and GATA3 levels after 12 weeks of treatment. Moreover, the gene expression results were in accordance with the clinical and preclinical assessments. In conclusion, M2000 as a natural novel agent has therapeutic and immunosuppressive properties on RA patients (identifier: IRCT2014011213739N2). PMID:28408801

  2. Population structure, antimicrobial resistance, and mutation frequencies of Streptococcus pneumoniae isolates from cystic fibrosis patients.

    PubMed

    del Campo, Rosa; Morosini, María-Isabel; de la Pedrosa, Elia Gómez-G; Fenoll, Asunción; Muñoz-Almagro, Carmen; Máiz, Luis; Baquero, Fernando; Cantón, Rafael

    2005-05-01

    Forty-eight Streptococcus pneumoniae isolates recovered from sputum samples from 26 cystic fibrosis (CF) patients attending our CF unit (1995 to 2003) were studied. Mean yearly incidence of isolation was 5.5%, and all were strains recovered from young patients (< or = 12 years). The isolation was linked to clinical exacerbation in 35% of the cases, but only 27% of these were not accompanied by other CF pathogens. Fifty percent of the patients presented with two to four isolates over the studied period. Pulsed-field gel electrophoresis-SmaI digestion revealed a high heterogeneity (32 pulsotypes among 48 isolates) and the persistence over a 6-month period of a single clone (clone A) in two patients. This clone, presenting a varied multiresistance phenotype, was identified as the Spain23F-1 clone and was also recognized in six other patients, including two out of nine patients from the CF unit of Sant Joan de Deu Hospital, Barcelona, Spain. In our isolates, 16 different serotypes were recognized, the most frequent being 23F (33.3%), 19F (18.8%), 6A (6.2%), and 6B (6.2%). High overall resistance rates were observed: to penicillin, 73%; to cefotaxime, 33%; to erythromycin, 42%; to tetracycline, 58%; to chloramphenicol, 48%; and to trimethoprim-sulfamethoxazole, 67%. Resistance to fluoroquinolones was not detected. Multiresistance was a common feature (60%). The percentage of S. pneumoniae strains with increased frequencies of mutation to rifampin resistance (> or = 7.5 x 10(-8)) was significantly higher (P = 0.02) in CF (60%) than among non-CF (37%) isolates in the same institution (M. I. Morosini et al., Antimicrob. Agents Chemother. 47:1464-1467, 2003). Even though a clear association with acute exacerbations could not be observed, long-term clonal persistence and variability, high frequency of antibiotic resistance, and hypermutability indicate the plasticity for adaptation of S. pneumoniae to the CF lung environment.

  3. Assessing the efficacy of a peer education model in teaching breast self-examination to university students.

    PubMed

    Malak, Arzu Tuna; Dicle, Aklime

    2007-01-01

    This study was conducted to evaluate the effectiveness of a peer education model in teaching breast self-examination to a late adolescence female student group attending the second class of Buca Educational Faculty of Dokuz Eylül University (DEU). A total of 15 volunteer students were given the breast self-examination training programme by a researcher and thereby became qualified as peer educators. Each then reached 10 peers and conveyed information on the Breast-Self Examination Programme. The identification forms of the students were filled out by the researcher. Evaluation forms I and II developed by Maurer (1997) for regular BSE practice and skills were used and evaluated with 100 points. The "paired t-test", "Student's t-test", "McNemar test", and "Pearson correlation test" were employed to for statistical assessment. According to the evaluation results; while the students's average point of knowledge on BSE was 43.0 +/- 11.7 before training, it became 88.9 +/- 8.15 after a week, and 86.9 +/- 9.69 after four weeks. It was obvious that there was a meaningful difference between those knowledge rates (p<0,05). Similarly while the ratio of systematic practice of BSE among students was 2.6% before training it increased to 66% (p<0.05). Additionally, the average point of the students BSE practice skills became 91.5 +/- 7.25 at four weeks after the training with a significant increase as well (r=0,70). Therefore we conclude that the peer education model is an effective method for teaching breast self examination to students.

  4. The use of reed canary grass and giant miscanthus in the phytoremediation of municipal sewage sludge.

    PubMed

    Antonkiewicz, Jacek; Kołodziej, Barbara; Bielińska, Elżbieta Jolanta

    2016-05-01

    The application of municipal sewage sludge on energy crops is an alternative form of recycling nutrients, food materials, and organic matter from waste. Municipal sewage sludge constitutes a potential source of heavy metals in soil, which can be partially removed by the cultivation of energy crops. The aim of the research was to assess the effect of municipal sewage sludge on the uptake of heavy metals by monocotyledonous energy crops. Sewage sludge was applied at doses of 0, 10, 20, 40, and 60 Mg DM · ha(-1) once, before the sowing of plants. In a 6-year field experiment, the effect of four levels of fertilisation with sewage sludge on the uptake of heavy metals by two species of energy crops, reed canary grass (Phalaris arundinacea L.) of 'Bamse' cultivar and giant miscanthus (Miscanthus × giganteus GREEF et DEU), was analysed. It was established that the increasing doses of sewage sludge had a considerable effect on the increase in biomass yield from the tested plants. Due to the increasing doses of sewage sludge, a significant increase in heavy metals content in the energy crops was recorded. The heavy metal uptake with the miscanthus yield was the highest at a dose of 20 Mg DM · ha(-1), and at a dose of 40 Mg DM · ha(-1) in the case of reed canary grass. Research results indicate that on account of higher yields, higher bioaccumulation, and higher heavy metal uptake, miscanthus can be selected for the remediation of sewage sludge.

  5. Pyroxenes in Martian meteorites as petrogenetic indicators

    NASA Technical Reports Server (NTRS)

    McKay, Gordon; Le, L.; Mikouchi, T.; Makishima, J.; Schwandt, C.

    2006-01-01

    approx.80% while D(Sr) and D(Eu) only increase by 20-30% at oxygen fugacities near IW. The different Al dependency of D for trivalent REE vs. divalent Eu and Sr considerably complicates the calibration of the Eu oxybarometer.

  6. Therapeutic plasma exchange in acute disseminated encephalomyelitis in children.

    PubMed

    Borras-Novell, Cristina; García Rey, Enric; Perez Baena, Luis Francisco; Jordan Garcia, Iolanda; Catella Cahiz, Dolors; Cambra, Francisco

    2015-12-01

    Acute disseminated encephalomyelitis (ADEM) is an inflammatory demyelinating disease of the central nervous system that is probably due to an autoimmune mechanism with an acute presentation and a monophasic course. The management of patients with ADEM is based on supportive therapy, corticosteroids, and intravenous immunoglobulin, and in selected cases, with therapeutic plasma exchange (TPE). The aim of our study is to evaluate the efficacy of TPE, as adjuvant therapy in pediatric patients with ADEM. We retrospectively reviewed the medical records of children with the diagnosis of ADEM between 2009 and 2011 to which TPE was indicated and were admitted in the ICU of Hospital Sant Joan de Deu (Spain). The diagnosis of ADEM was made by clinical and laboratory criteria and by the presence of compatible lesions on cranio-spinal Magnetic Resonance Imaging (MRI). For signaling TPE, we followed the guidelines established by the American Association of Apheresis (ASFA) in 2010. Five cases were identified. The predominant neurological symptoms in our patients were: altered level of consciousness, seizures, motor deficits, cranial nerve disorders, and aphasia. Most important demyelinating lesions were located in cortical and subcortical white matter of the brain and highlighted brainstream. Patients performed between 4 and 5 sessions, with no reported side effects. Progressive clinical improvement was evident in all patients, with good neurosensory response to stimulation, cessation of seizures, and recovery of limb mobility. Nowadays, one patient's right paresis persists and another suffers epileptic seizures. None of the cases in our series presented new episodes of demyelination. Due to the suggested immune-mediated pathogenesis of ADEM, treatment is based on immunomodulatory agents, being glucocorticoids the most important ones. The treatment can be complemented with intravenous immunoglobulin and plasmapheresis. Available data suggests that plasma exchange is beneficial

  7. Distinct herpesvirus resistances and immune responses of three gynogenetic clones of gibel carp revealed by comprehensive transcriptomes.

    PubMed

    Gao, Fan-Xiang; Wang, Yang; Zhang, Qi-Ya; Mou, Cheng-Yan; Li, Zhi; Deng, Yuan-Sheng; Zhou, Li; Gui, Jian-Fang

    2017-07-24

    Gibel carp is an important aquaculture species in China, and a herpesvirus, called as Carassius auratus herpesvirus (CaHV), has hampered the aquaculture development. Diverse gynogenetic clones of gibel carp have been identified or created, and some of them have been used as aquaculture varieties, but their resistances to herpesvirus and the underlying mechanism remain unknown. To reveal their susceptibility differences, we firstly performed herpesvirus challenge experiments in three gynogenetic clones of gibel carp, including the leading variety clone A(+), candidate variety clone F and wild clone H. Three clones showed distinct resistances to CaHV. Moreover, 8772, 8679 and 10,982 differentially expressed unigenes (DEUs) were identified from comparative transcriptomes between diseased individuals and control individuals of clone A(+), F and H, respectively. Comprehensive analysis of the shared DEUs in all three clones displayed common defense pathways to the herpesvirus infection, activating IFN system and suppressing complements. KEGG pathway analysis of specifically changed DEUs in respective clones revealed distinct immune responses to the herpesvirus infection. The DEU numbers identified from clone H in KEGG immune-related pathways, such as "chemokine signaling pathway", "Toll-like receptor signaling pathway" and others, were remarkably much more than those from clone A(+) and F. Several IFN-related genes, including Mx1, viperin, PKR and others, showed higher increases in the resistant clone H than that in the others. IFNphi3, IFI44-like and Gig2 displayed the highest expression in clone F and IRF1 uniquely increased in susceptible clone A(+). In contrast to strong immune defense in resistant clone H, susceptible clone A(+) showed remarkable up-regulation of genes related to apoptosis or death, indicating that clone A(+) failed to resist virus offensive and evidently induced apoptosis or death. Our study is the first attempt to screen distinct resistances and

  8. Comparison of carbon balance in Mediterranean pilot constructed wetlands vegetated with different C4 plant species.

    PubMed

    Barbera, Antonio C; Borin, Maurizio; Cirelli, Giuseppe L; Toscano, Attilio; Maucieri, Carmelo

    2015-02-01

    This study investigates carbon dioxide (CO2) and methane (CH4) emissions and carbon (C) budgets in a horizontal subsurface flow pilot-plant constructed wetland (CW) with beds vegetated with Cyperus papyrus L., Chrysopogon zizanioides (L.) Roberty, and Mischantus × giganteus Greef et Deu in the Mediterranean basin (Sicily) during the 1st year of plant growing season. At the end of the vegetative season, M. giganteus showed the higher biomass accumulation (7.4 kg m(-2)) followed by C. zizanioides (5.3 kg m(-2)) and C. papyrus (1.8 kg m(-2)). Significantly higher emissions of CO2 were detected in the summer, while CH4 emissions were maximum during spring. Cumulative CO2 emissions by C. papyrus and C. zizanioides during the monitoring period showed similar trends with final values of about 775 and 1,074 g m(-2), respectively, whereas M. giganteus emitted 3,395 g m(-2). Cumulative CH4 bed emission showed different trends for the three C4 plant species in which total gas release during the study period was for C. papyrus 12.0 g m(-2) and ten times higher for M. giganteus, while C. zizanioides bed showed the greatest CH4 cumulative emission with 240.3 g m(-2). The wastewater organic carbon abatement determined different C flux in the atmosphere. Gas fluxes were influenced both by plant species and monitored months with an average C-emitted-to-C-removed ratio for C. zizanioides, C. papyrus, and M. giganteus of 0.3, 0.5, and 0.9, respectively. The growing season C balances were positive for all vegetated beds with the highest C sequestered in the bed with M. giganteus (4.26 kg m(-2)) followed by C. zizanioides (3.78 kg m(-2)) and C. papyrus (1.89 kg m(-2)). To our knowledge, this is the first paper that presents preliminary results on CO2 and CH4 emissions from CWs vegetated with C4 plant species in Mediterranean basin during vegetative growth.

  9. Health education with older adults: action research with primary care professionals.

    PubMed

    Mendonça, Francielle Toniolo Nicodemos Furtado de; Santos, Álvaro da Silva; Buso, Ana Luisa Zanardo; Malaquias, Bruna Stephanie Sousa

    2017-01-01

    To assess the development and implementation of permanent education action. Quantitative-qualitative research based on action research in three phases (diagnosis of reality, implementation of activity and evaluation), performed with health professionals and managers of basic health units. The evaluation was on the perception of changes immediately following the activity and after 120 days. In the first phase, 110 professionals took part, 36.4% of whom indicated the existence of groups for older adults at work. In the second phase, 98 professionals participated, pointing out interferences of the group in the life of older adults, items of importance and facilitation in forming groups and developing reality-based activities. The third phase showed, in the quantitative analysis, positive impact of the training, and in the qualitative analysis, reassessment of groups, greater knowledge and confidence in managing groups and increased respect for older adults. Permanent education opens pathways for the construction of differentiated care for older adults based on respect and health promotion. Avaliar o desenvolvimento e implementação de uma ação de educação permanente. Pesquisa quantitativo-qualitativa baseada na pesquisa-ação em 3 fases (diagnóstico da realidade, implementação de atividade e avaliação), realizada com profissionais de saúde e gerentes de unidades básicas. A avaliação se deu pela percepção de mudanças imediatamente à atividade e após 120 dias. Na 1ª fase, participaram 110 profissionais, dos quais 36,4% apontaram a existência de grupos para idosos no trabalho. Na 2ª fase, participaram 98 profissionais, que apontaram interferências do grupo na vida do idoso, itens de importância e facilitação para construção de grupos e atividade baseada na realidade. A 3ª fase mostrou, na análise quantitativa, impacto positivo do treinamento; e, na qualitativa, releitura dos grupos e manejo com mais conhecimento, segurança e respeito ao

  10. Three-source-partitioning of soil carbon pools and fluxes and priming effects induced by carbohydrates of different availability

    NASA Astrophysics Data System (ADS)

    Blagodatskaya, E.; Khomyakov, N.; Myachina, O.; Blagodatsky, S.; Kuzyakov, Y.

    2012-04-01

    Soil organic matter (SOM) is not uniform and includes: 1) fresh input of plant-derived organics, i.e. root exudates and rhizodeposits, 2) partially decomposed plant residues and 3) old humus material. The partitioning of these three carbon sources in soil C pools (microbial biomass and dissolved organic matter) and quantification of their contributions in soil CO2 ?uxes is a current challenge in soil science aiming to reveal the C pathways and drivers in terrestrial ecosystems. We applied uniformly labeled 14C-cellulose and 14C-glucose (as low and easily available substrates, respectively) in Ap of loamy Haplic Luvisol developed under C3 vegetation. Miscanthus x giganteus (Greef et Deu) - a perennial C4 plant - was grown for 12 years before the experiment with glucose/cellulose addition. Natural differences in the abundance of 13C between C4 and C3 plants were used to distinguish between old SOC (> 12 years) and recent Miscanthus-derived C (< 12 years). This enabled us to estimate mechanisms and sources of priming effects (PE) during decomposition of applied substrates with varying availability. The real and apparent priming effects were distinguished by partitioning of microbial C for substrate-C and SOM-derived C. Microbial specific growth rates and activity of hydrolytic enzymes were determined to reveal the mechanisms of real PEs. Both short-term apparent and long-term real PEs were induces by glucose, while the cellulose input caused only real PE. Remarkably, the shift to the domination of slow-growing microorganisms was observed during real PEs independently of substrate quality. This is the first direct confirmation of the hypothesized presumable contribution of K-strategists to real priming. 2.5-3 times increase in beta-glucosidase and phosphatase activity coupled with real PE in soil treated with glucose indicated that strong limitation and microbial starvation after glucose consumption caused the PE. Contrary to that the 75% increase in cellobiohydrolase

  11. The Cr Redox Record of fO2 Variation in Angrites. Evidence for Redox Conditions of Angrite Petrogenesis and Parent Body

    NASA Technical Reports Server (NTRS)

    Shearer, Charles K.; Bell, Aaron S.; Burger, Paul V.; Papike, James J.; Jones, John; Le, Loan

    2016-01-01

    Angrites represent some of the earliest stages of planetesimal differentiation. Not surprisingly, there is no simple petrogenetic model for their origin. Petrogenesis has been linked to both magmatic and impact processes. Studies demonstrated that melting of chondritic material (e.g. CM, CV) at redox conditions where pure iron metal is unstable (e.g., IW+1 to IW+2) produced angrite-like melts. Alternatively, angrites were produced at more reducing conditions (DEu/DGd with fO2, between plagioclase and fassaitic pyroxene in equilibrium with an angrite melt composition. They used their observations to estimate the fO2 of crystallization to be approximately IW+0.6 for angrite LEW 86010. This estimate is only a "snapshot" of fO2 conditions during co-crystallization of plagioclase and pyroxene. Preliminary XANES analyses of V redox state in pyroxenes from D'Orbigny reported changes in fO2 from IW-0.7 during early pyroxene crystallization to IW+0.5 during latter episodes of pyroxene crystallization [15]. As this was a preliminary report, it presented limited information concerning the effects of pyroxene orientation and composition on the V valence measurements, and the effect of melt composition on valence and

  12. Density Imaging of Puy de Dôme Volcano by Joint Inversion of Muographic and Gravimetric Data

    NASA Astrophysics Data System (ADS)

    Barnoud, A.; Niess, V.; Le Ménédeu, E.; Cayol, V.; Carloganu, C.

    2016-12-01

    We aim at jointly inverting high density muographic and gravimetric data to robustly infer the density structure of volcanoes. We use the puy de Dôme volcano in France as a proof of principle since high quality data sets are available for both muography and gravimetry. Gravimetric inversion and muography are independent methods that provide an estimation of density distributions. On the one hand, gravimetry allows to reconstruct 3D density variations by inversion. This process is well known to be ill-posed and intrinsically non unique, thus it requires additional constraints (eg. a priori density model). On the other hand, muography provides a direct measurement of 2D mean densities (radiographic images) from the detection of high energy atmospheric muons crossing the volcanic edifice. 3D density distributions can be computed from several radiographic images, but the number of images is generally limited by field constraints and by the limited number of available telescopes. Thus, muon tomography is also ill-posed in practice.In the case of the puy de Dôme volcano, the density structures inferred from gravimetric data (Portal et al. 2016) and from muographic data (Le Ménédeu et al. 2016) show a qualitative agreement but cannot be compared quantitatively. Because each method has different intrinsic resolutions due to the physics (Jourde et al., 2015), the joint inversion is expected to improve the robustness of the inversion. Such joint inversion has already been applied in a volcanic context (Nishiyama et al., 2013).Volcano muography requires state-of-art, high-resolution and large-scale muon detectors (Ambrosino et al., 2015). Instrumental uncertainties and systematic errors may constitute an important limitation for muography and should not be overlooked. For instance, low-energy muons are detected together with ballistic high-energy muons, decreasing the measured value of the mean density closed to the topography.Here, we jointly invert the gravimetric and

  13. (Un)receptiveness in interactions with professionals: experiences of parents of children with retinopathy of prematurity.

    PubMed

    Facio, Beatriz Castanheira; Marski, Bruna de Souza Lima; Higarashi, Ieda Harumi; Misko, Maira Deguer; Silveira, Aline Oliveira; Wernet, Monika

    2016-01-01

    To analyze the influence of health professionals' receptiveness on parental care of children with retinopathy of prematurity (ROP). A qualitative study developed under the theoretical framework of Symbolic Interactionism and using a narrative research methodology. Six women and three men, being parents of children with retinopathy of prematurity were individually interviewed in depth. From the scope of information, emotions and their rights, the parents experienced receptiveness from some professionals and unreceptiveness from others. The predominance of unreceptive attitudes in the parental narratives originated the following analysis themes: Informational (un)receptiveness, Emotional (un)receptiveness, and (Un)receptiveness of rights. The study supports human and comprehensive healthcare in the context of retinopathy of prematurity by pointing out the interactive process with health professionals as a potential stressor of parental care. The results signal a nuclear of attitudinal changes and reinforce challenges to the child and family-centered approach. Analisar a influência do acolhimento do profissional de saúde no cuidado parental junto ao filho com retinopatia da prematuridade. Estudo qualitativo desenvolvido sob o referencial teórico do Interacionismo Simbólico e metodológico da pesquisa de narrativas. Foram entrevistados em profundidade e individualmente seis mulheres e três homens, pais de crianças com retinopatia da prematuridade. Os pais vivenciam, nos âmbitos informacional, emocional e de direitos, acolhimento com alguns profissionais e destrato com outros. A predominância da postura de desacolhimento nas narrativas parentais deu origem aos temas de análise: (Des)acolhimento informacional, (Des)acolhimento emocional, e (Des)acolhimento de direitos. O estudo oferece subsídios ao cuidado humano e integral em saúde no contexto da retinopatia da prematuridade ao apontar o processo interativo com os profissionais de saúde enquanto potencial

  14. Cross-cultural adaptation of the EMIC Stigma Scale for people with leprosy in Brazil.

    PubMed

    Morgado, Fabiane Frota da Rocha; Silveira, Erika Maria Kopp Xavier da; Sales, Anna Maria; Nascimento, Lilian Pinheiro Rodrigues do; Sarno, Euzenir Nunes; Nery, José Augusto da Costa; Oliveira, Aldair J; Illarramendi, Ximena

    2017-09-04

    Describe the process of cross-cultural adaptation of the "Explanatory Model Interview Catalog - Stigma Scale" for people affected by leprosy in Brazil. After being authorized by the author of the scale to use it in the national context, we initiated the five steps process of cross-cultural adaptation: (1) translation, (2) synthesis meeting, (3) back-translation, (4) committee of experts and (5) pre-test. The internal consistency of the scale was evaluated using Cronbach's alpha coefficient. The 15 items of the scale's original version were translated into Brazilian Portuguese. The adapted scale showed evidence of a good understanding of its content, attested both by experts and members of the target population. Its internal consistency was 0.64. The adapted instrument shows satisfactory internal consistency. It may be useful in future studies that intend to provide broad situational analysis that supports solid public health programs with a focus on effective stigma reduction. In a later study, the construct's validity, criterion, and reproducibility will be evaluated. Descrever o processo de adaptação transcultural da "Explanatory Model Interview Catalogue - Stigma Scale" para pessoas afetadas por hanseníase no Brasil. Após a autorização do autor da escala para seu uso no contexto nacional, deu-se início aos cinco passos do processo de adaptação transcultural: (1) tradução, (2) reunião de síntese, (3) retrotradução, (4) comitê de peritos e (5) pré-teste. A consistência interna da escala foi avaliada utilizando o coeficiente alfa de Cronbach. Os 15 itens da versão original da escala foram traduzidos para a língua portuguesa do Brasil. A escala adaptada apresentou evidência de boa compreensão de seu conteúdo, atestada tanto por peritos como por membros da população alvo. Sua consistência interna foi de 0,64. O instrumento adaptado apresenta consistência interna satisfatória. Pode ser útil em estudos futuros que intencionem viabilizar

  15. Deaths among the elderly with ICU infections.

    PubMed

    Sousa, Álvaro Francisco Lopes de; Queiroz, Artur Acelino Francisco Luz Nunes; Oliveira, Layze Braz de; Moura, Luana Kelle Batista; Andrade, Denise de; Watanabe, Evandro; Moura, Maria Eliete Batista

    2017-01-01

    to evaluate the clinical outcome of elderly patients admitted to intensive care units who had nosocomial infection, correlating the findings with sociodemographic and clinical variables. descriptive research, performed with 308 elderly patients. The collection was made from medical records and covers the years 2012 to 2015. Uni-/bivariate analyses were performed. a statistical association was found between the clinical outcome types and the variables age, length of stay, presence of previous comorbidities, main diagnosis, respiratory and urinary tract infections, use of central venous and indwelling urinary catheters, mechanical ventilation, and tracheostomy. The survival curve showed higher mortality among the elderly from the age of 80 on. the clinical outcome of the elderly who acquire infection in the intensive care unit is influenced by sociodemographic and clinical variables that increase mortality rates. avaliar o desfecho clínico de idosos que adquiriram infecção hospitalar hospitalizados em Unidades de Terapia Intensiva, correlacionando os achados com variáveis sociodemográficas e clinicas. pesquisa descritiva, realizada com 308 pacientes idosos. A coleta deu-se em prontuários e contempla os anos de 2012 a 2015. Realizaram-se análises uni-/bivariadas. registrou-se associação estatística entre os tipos de desfechos clínicos e as variáveis: faixa etária, tempo de internação, presença de comorbidades prévias, diagnóstico principal, infecção do trato respiratório e urinário, uso de cateteres vesical de demora e venoso central, ventilação mecânica e traqueostomia. A curva de sobrevivência evidenciou maior mortalidade entre idosos a partir de 80 anos. o desfecho clínico de idosos que adquirem infecção na Unidade de Terapia Intensiva é influenciado por variáveis sociodemográficas e clínicas, que incrementam as taxas de mortalidade.

  16. Validation of an instrument regarding nursing intervention in patients in vasoactive therapy.

    PubMed

    Paim, Ane Elisa; Nascimento, Eliane Regina Pereira do; Bertoncello, Kátia Cilene Godinho; Sifroni, Karla Gomes; Salum, Nadia Chiodelli; Nascimento, Keyla Cristiane do

    2017-01-01

    to validate the content of a Standard Operational Procedure, regarding nursing interventions in emergency patients treated with vasoactive drugs. methodological study, carried out from December 2015 to January 2016. Content validity was determined by 16 experts (13 nurses, 2 pharmacists and one biomedical scientist), who judged it through a four-point Likert scale. The items were evaluated in terms of: feasibility, objectivity, simplicity, clearness, pertinence and accuracy. The Content Validity Index was applied, accepting the value ≥ 0.90. two rounds of evaluation were required to achieve the minimum index. The items were reviewed regarding writing, dilution, indication and replacement interval. The instrument was validated with 33 items and with total Content Validity Index of 0.99. the instrument was considered appropriate, fractionally and globally, for nursing care for the patient treated with vasoactive drugs in emergency, in a safe and reliable way. validar o conteúdo do Procedimento Operacional Padrão, para intervenção de enfermagem ao paciente em uso de fármacos vasoativos na emergência. estudo metodológico, realizado de dezembro de 2015 a janeiro de 2016. A validação de conteúdo deu-se por 16 juízes, sendo 13 enfermeiros, dois farmacêuticos e um biomédico, que o julgaram por meio da escala tipo Likert de quatro pontos. Os itens foram avaliados em: exequibilidade, objetividade, simplicidade, clareza, pertinência e precisão. Aplicou-se o Índice de Validade de Conteúdo, aceitando-se o valor ≥ 0,90. foram necessárias duas rodadas de validação para atingir o índice. Os itens foram alterados: na redação, diluição, indicação, intervalo de troca. O instrumento foi validado com 33 itens e com Índice de Validade de Conteúdo total de 0,99. considerou-se adequado, separadamente, e de maneira global, para que o enfermeiro possa cuidar do paciente em uso de fármacos vasoativos na emergência, de forma segura e confiável.

  17. Diffusion of REE, Hf and Sr in Olivine

    NASA Astrophysics Data System (ADS)

    Remmert, P.; Dohmen, R.; Chakraborty, S.

    2008-12-01

    We have determined diffusion coefficients of the rare earth elements Ce, Nd, Sm, Eu, Lu, and also of Sr and Hf, in single crystals of natural olivine at atmospheric pressure, at an oxygen fugacity of 10-5 Pa and a temperature of 1275 °C. Sources of diffusants were thin films of olivine composition doped with the relevant elements. Thin films were produced by PLD (pulsed laser deposition) and RBS (Rutherford backscattering) was used to measure thickness and stoichiometry of the films as well as to analyze the concentration profiles. The concentration profiles were numerically fitted to yield the following diffusion coefficients (D, in m2/s): log DCe: -19.61 ± 0.21; log DNd: -19.54 ± 0.11; log DSm: -19.15 ± 0.05; log DEu: -19.10; log DLu: -19.00, log DHf: -20.23 ± 0.07; log DSr: -18.7. Diffusion coefficients of the rare-earth elements increase from Ce to Lu, demonstrating the role of ionic radius in controlling diffusion because all REE are trivalent. The tetravalent and divalent cations hafnium and strontium diffuse an order of magnitude slower and faster, respectively, than the REE in olivine. This highlights the important influence of ionic charge on diffusion rates. The diffusion coefficients of the REE are slower by a few orders of magnitudes than the diffusion rate of Cr in olivine [1]. The rates found in this study are slower than those assumed by a model [2] for compositional modification of melt inclusions in olivine. Use of our data in their calculations indicates that it will take longer to modify the composition of melt inclusions in olivine (millions of years rather than thousands of years) but the fractionation of HREE from LREE will be larger. [1] Ganguly J, Ito M (2006) Geochim Cosmochim Acta, 70, 799-809. [2] Cottrell E, Spiegelman M, Langmuir CH (2002) Geochem Geophys Geosyst, doi:10.1029/2001GC000205

  18. Care path of person with stroke: from onset to rehabilitation.

    PubMed

    Faria, Ana da Conceição Alves; Martins, Maria Manuela Ferreira Pereira da Silva; Schoeller, Soraia Dornelles; Matos, Leandro Oliveira de

    2017-01-01

    to describe the care path of the person with stroke goes through and to identify the important events in this path. qualitative descriptive exploratory research, using the semi-structured interview technique based on Meleis's Middle-Range Theory. The sample was composed of 13 people who became dependent after a stroke and were admitted to two hospital units in the region of Vale do Ave, Portugal. Data were collected between January and October 2013. Content analysis was used to analyze the data. The data revealed that the person's care path goes from recognition of the symptoms to preparation for hospital discharge. Adapting to the new situation of dependence brings the need for new competencies. The research aims to contribute to the improvement of nursing care regarding care for people with stroke including onset, recovery and rehabilitation, and home care. Descrever o percurso da pessoa com Acidente Vascular Encefálico e identificar os acontecimentos significativos neste percurso. Abordagem qualitativa e natureza exploratória- descritiva, valeu-se da técnica de entrevista semiestruturada baseada na Teoria de Médio Alcance de Meleis. Participaram 13 pessoas que se tornaram dependentes devido à Acidente Vascular Encefálico e recorreram a duas Unidades da região do Vale do Ave, Portugal. A colheita de dados deu-se durante Janeiro a Outubro de 2013. Para análise dos dados foi utilizada a análise de conteúdo. Os dados revelaram que o trajeto da pessoa vai desde o reconhecimento dos sintomas até à preparação da alta hospitalar. A dependência traz a necessidade de adquirir competências para se adaptar à nova situação. Espera-se contribuir para a melhoria dos cuidados de enfermagem no atendimento das pessoas acometidas com Acidente Vascular Encefálico, desde o acometimento, recuperação e reabilitação, até aos cuidados domiciliares.

  19. Non-Invasive Ventilation in Patients with Heart Failure: A Systematic Review and Meta-Analysis.

    PubMed

    Bittencourt, Hugo Souza; Reis, Helena França Correia Dos; Lima, Melissa Santos; Gomes, Mansueto

    2017-02-01

    ão invasiva, tolerância ao exercício; e os termos livres: pressão positiva em dois níveis nas vias aéreas (BIPAP), pressão positiva contínua em vias aéreas (CPAP), CF e seus correlatos na língua inglesa, com a combinação dos operadores booleanos (AND e OR). A avaliação da qualidade metodológica se deu via escala de PEDro. Foram calculadas as médias ponderadas e o intervalo de confiança (IC) de 95%. Meta-análise foi realizada com software Review Manager versão 5.3 (Colaboração Cochrane). Foram incluídos quatro ensaios clínicos randomizados. Estudos individuais sugerem que a VNI contribuiu para melhora da CF. VNI resultou em melhora na distância do teste de caminhada de seis minutos (TC6) (68,7m 95% IC: 52,6 a 84,9) comparado ao grupo controle. Concluimos que a VNI é uma intervenção que promove efeitos importantes na melhora da CF de pacientes com IC. No entanto, há uma lacuna na literatura de quais são os parâmetros mais adequados para aplicação dessa técnica.

  20. Translation and cultural adaptation of the Functional Assessment of Chronic Illness Therapy - Cervical Dysplasia (FACIT-CD) to evaluate quality of life in women with cervical intraepithelial neoplasia.

    PubMed

    Fregnani, Cristiane Menezes Sirna; Fregnani, José Humberto Tavares Guerreiro; Paiva, Carlos Eduardo; Barroso, Eliane Marçon; Camargos, Mayara Goulart de; Tsunoda, Audrey Tieko; Longatto-Filho, Adhemar; Paiva, Bianca Sakamoto Ribeiro

    2017-01-01

    , um de Portugal e um dos Estados Unidos. Ao término do processo de tradução e retrotradução, deu-se início ao processo de análise semântica. Foram incluídas aleatoriamente 20 mulheres entre 18 e 70 anos com exame de citologia cervical alterado, atendidas no Departamento de Prevenção e Ginecologia Oncológica do Hospital de Câncer de Barretos. A amostra foi composta por mulheres com baixa escolaridade. No primeiro pré-teste participaram dez mulheres, sendo que a metade considerou as questões CD1, CD2 e CD3 difíceis por não compreenderem o significado do termo "região pélvica". A questão CD5, "Estou preocupada em disseminar a infecção", também foi considerada de difícil entendimento por cinco mulheres. Após as reconsiderações do comitê de especialistas e do grupo FACIT, foi realizado o segundo pré-teste. Nesta fase, pode-se concluir que os problemas de entendimento anteriores foram resolvidos. A versão traduzida do FACIT-CD é equivalente à versão original em inglês e em língua portuguesa universal, sendo facilmente compreendida pelas pacientes com neoplasia intraepitelial cervical.

  1. Psychological distress and community approach to the voice of the community health agent.

    PubMed

    Paiva, Pâmela Câmpelo; Torrenté, Mônica de Olivera Nunes de; Landim, Fátima Luna Pinheiro; Branco, July Grassiely de Oliveira; Tamboril, Bruna Caroline Rodrigues; Cabral, Ana Larisse Teles

    2016-06-01

    The user in psychological distress needs a service that provides a targeted assistance, that welcomes when required, acting as originator care device to the user on the network of health care. This study aimed to describe how people in psychological distress are perceived by the community in the voice of the community health worker. It is a qualitative research conducted with eighteen Community Health Agents, a Primary Care Unit Health (UAP) located in BE IV, in Fortaleza, Ceará. We used a semi-structured and individual interview. Data processing was due to the content analysis. Ethical and legal aspects on the advice No. 957,595. Through the speeches of ACS, it describes how the community perceives the person in psychic suffering and how it positions itself in the face of your everyday problems, as regards the rejection, prejudice, discrimination ne loss of identity. However it is emphasized that, because of being inserted in the community, the community health worker realizes more accurate way in which this social group is the person in mental distress. The rejection of the person who became ill is seen as a fairly common reaction, accompanied by prejudice and discrimination, marginalizing her from society. O usuário em sofrimento psíquico necessita de um serviço que proporcione uma assistência direcionada, que acolha no momento necessário, atuando como dispositivo ordenador do cuidado ao usuário na rede de atenção a saúde. Objetivou-se descrever como as pessoas em sofrimento psíquico são percebidas pela comunidade na voz do agente comunitário de saúde. Trata-se de uma pesquisa qualitativa, realizada junto a dezoito Agentes Comunitários de Saúde, de uma Unidade de Atenção Primaria a Saúde (UAPS) situada na SER IV, em Fortaleza-Ceará. Utilizou-se uma entrevista semiestruturada e individual. O processamento dos dados deu-se pela análise de conteúdo. Aspectos éticos e legais sob parecer Nº 957.595. Através dos discursos dos ACS, descrevemos

  2. Factors associated with the risk of fall in adults in the postoperative period: a cross-sectional study.

    PubMed

    Mata, Luciana Regina Ferreira da; Azevedo, Cissa; Policarpo, Aryanne Gabrielle; Moraes, Juliano Teixeira

    2017-06-08

    ún paciente presentó recuperación quirúrgica precaria. En relación a los resultados del análisis bivariado, se identificó que edad (p<0,001), HAS (p<0,001) y diabetes (p=0,017) estuvieron asociados positivamente con alto riesgo de caída y el cáncer (p=0,004) estuvo asociado positivamente con moderado riesgo de caída. La recuperación quirúrgica (p=0,008) estuvo asociada inversamente con alto riesgo de caída. los resultados de este estudio posibilitaran la identificación de cinco factores asociados al riesgo de caída en adultos de internación quirúrgica. Los hallazgos podrán auxiliar la planificación de acciones de enfermería dirigidas para prevenir el riesgo de caída en el posoperatorio. avaliar os fatores associados ao risco de queda em pacientes submetidos a procedimentos cirúrgicos. estudo quantitativo, transversal, realizado com 257 pacientes adultos em um hospital de Minas Gerais, Brasil. A coleta de dados se deu por meio de um questionário sociodemográfico e clínico, Morse Fall Scale e Quality of Recovery Score. Os dados foram submetidos a análise estatística descritiva e regressão logística multinominal. O nível de significância adotado foi de 0,05. 35,4% dos pacientes apresentaram elevado risco de quedas, 38,9% moderado risco e 25,7% baixo risco. A escala de recuperação cirúrgica indicou valor médio de 175,37 pontos e nenhum paciente apresentou recuperação cirúrgica precária. Em relação aos resultados da análise bivariada, identificou-se que idade (p<0,001), HAS (p<0,001) e diabetes (p=0,017) estiveram associados positivamente com o alto risco de queda e o câncer (p=0,004) esteve associado positivamente com o moderado risco de queda. Já a recuperação cirúrgica (p=0,008) esteve associada inversamente com o alto risco de queda. os resultados deste estudo possibilitaram a identificação de cinco fatores associados ao risco de queda em adultos de internação cirúrgica. Os achados poderão subsidiar o planejamento de a

  3. Trace element partitioning in rock forming minerals of co-genetic, subduction-related alkaline and tholeiitic mafic rocks in the Ural Mountains, Russia

    NASA Astrophysics Data System (ADS)

    Krause, J.; Brügmann, G. E.; Pushkarev, E. V.

    2009-04-01

    (DOpx•Cpx(Lu) = 0.31) towards the LREE (DOpx•Cpx(Nd) = 0.01). The partition coefficients for plagioclase/clinopyroxene and K-feldspar/clinopyroxene in the alkaline melanogabbros decrease from the LREE (DPlg•Cpx(La) = 0.91, DK-fs•Cpx(La)=0.26) to the MREE (DPlg•Cpx(Sm) = 0.02, DK-fs•Cpx(Sm) = 0.006), but both mineral pairs have similar DEu (DPlg•Cpx(Eu) = 0.25, DK-fs•Cpx(Eu) = 0.23). Plagioclase/clinopyroxene partition coefficients for all REE in the tholeiitic gabbros are 3-5 times higher, if compared to those of the alkaline gabbros (DPlg•Cpx(La) = 1.7, DPlg•Cpx(Sm) = 0.034). Apatite/clinopyroxene partition coefficients for the REE decrease from the LREE (DAp•Cpx(La) = 65 in alkaline and 120 in tholeiitic gabbro) to the HREE (DAp•Cpx(Lu) = 4.5 in alkaline and 5.3 in tholeiitic gabbro). The lower partition coefficients for apatite/clinopyroxene and plagioclase/clinopyroxene in the alkaline melanogabbros can be explained by higher clinopyroxene/melt partition coefficients in this system. The higher Al2O3-content in clinopyroxene from the alkali gabbros (Al2O3 = 3.5-7 wt.%), if compared to clinopyroxene in the tholeiitic gabbros (Al2O3 = 2.0-4.5 wt.%) can account for a stronger partitioning of the REE into clinopyroxene in the alkaline rocks (e.g. Gaetani and Grove 1995). Experimental data by Gaetani (2004) also indicate a systematic increase of the Cpx/melt partition coefficients for the REE with increasing Al2O3 and Na2O contents of the parental melt in mafic systems. This is in agreement with the assumed compositional differences between the alkaline and the tholeiitic parental melts. Gaetani, G.A., 2004. Contributions to Mineralogy and Petrology, Vol. 147, 511-527. Gaetani, G.A., Grove, T.L, 1995. Geochimica et Cosmochimica Acta, Vol. 59, 1951-1962. Ionov, D.A., Griffin, W.L., O'Reily, S.Y., 1997. Chemical Geology, Vol. 141, 153-184.

  4. Farmyard Manure and Fertilizer Effects on Seed Potato (Solanum tuberosum L.) Yield in Green House Production

    NASA Astrophysics Data System (ADS)

    László, M.

    2009-04-01

    crescentes dosagens de 0 e 18.0 grama vaso-1 diminuiram a produção assima de 250% em médio da duas misturas. 12. Numero de tuberculos 0-20 mm e 20 mm- por planta com os manejos de 0 e 18.0 grama vaso-1 foi possível aumentar em media 200% sobre a mistura padrão. Os manejo de 18.0 grama de adubo vaso-1 já causaram importante diminuição em relação caso a absoluto controle. 13. Numero total de tuberculos por planta entre manejos foi melhor a dosagem de 7.2 grama vaso-1 adubo complexo 4N:14P:8K comparando da mistura padrão. Nos verificamos-se que a mistura padrão sempre deu menor rasultados do que as outras misturas (i.e.: 1 e 2). Entre as misturas 1 e 2 a melhor foi a número 2. (80% latossolo vermelho novo, 10% palha de arroz queimado, 10% esterco de curral). Com esta mistura e com relação a mistura padrão, foi possível aumentar o número de tuberculos 0-20 mm com 77%. No caso do adubação, verificamos que grande quantidades de adubo acima de 7.2 grama vaso-1, de modo rigoroso diminuiu a produção de batata-semente pré- básica. Este fato deve ser considerado para a eleição das dosagens de adubos. Deve-se indicar o caso de número de tuberculos acima 20 mm-, onde em relação mistura padrão foi possivel aumentar em média 73% os resultados. Reconhecimento: Esta pesquisa foi apoio da Empresa Brasileira de Pesquisa Agropecuaria- Centro Nacional de Pesquisas de Hortaliças, Brasília-DF e Centro Pesquisa de Solo e Agroquímica do Academia Húngara de Ciências, Budapest References Kádár I-Márton L.-Horváth S. 2000. Mineral fertilisation of potato (Solanum tuberosum L.) on calcareous chernozem soil. Plant Production. 49: 291-306. Kurnik E.-Németh T.-Márton L.-Radimszki L. 2001. Effects of a new environment friendly deep fertilization system on a limy chernozem soil parameters. Agrochemistry and Soil Science. Budapest. In press László M. 2000. Nutrition of potato (Solanum tuberosum L.) on Hungary on a chernozem soil. Acta Agronomica Óváriensis. 42: 81