Particular Importance (particular + importance)

Distribution by Scientific Domains
Distribution within Medical Sciences


Selected Abstracts


Cardiogenic Unilateral Pulmonary Edema: An Unreported Complication of a Digestive Endoscopic Procedure

CONGESTIVE HEART FAILURE, Issue 5 2009
Enrique M. Baldessari MD
Unilateral pulmonary edema is an uncommon clinical situation that may be difficult to distinguish from other conditions that cause lung infiltrates. Most cases occur in the right lung, and there are no reports about cardiogenic unilateral pulmonary edema as a complication of an endoscopic procedure of gastrointestinal tract. The authors describe a case of a 79-year-old woman with acute cardiac heart failure that developed soon after a diagnostic upper and lower digestive endoscopy. Continuous positive airway pressure, intravenous nitroglycerin, and furosemide treatment resulted in rapid improvement of symptoms and the progressive resolution of left-sided infiltrates on chest radiography. This case is of particular importance because of the rarity of cardiogenic unilateral edema in the left lung. This clinical finding was associated with the prolonged rest on the left side during the gastrointestinal endoscopic procedure. [source]


Insulin resistance in type 2 diabetes: role of fatty acids,

DIABETES/METABOLISM: RESEARCH AND REVIEWS, Issue S2 2002
Peter Arner
Abstract Insulin resistance is one of the key factors responsible for hyperglycaemia in type 2 diabetes and can result in a number of metabolic abnormalities associated with cardiovascular disease (insulin resistance syndrome), even in the absence of overt diabetes. The mechanisms involved in the development of insulin resistance are multifactorial and are only partly understood, but increased availability of free fatty acids (FFAs) is of particular importance for the liver and skeletal muscle. The role of FFAs in type 2 diabetes is most evident in obese patients who have several abnormalities in FFA metabolism. Because of a mass effect, the release of FFAs from the total adipose tissue depot to the blood stream is increased and the high concentration of circulating FFAs impairs muscle uptake of glucose by competitive inhibition. In upper-body obesity, which predisposes individuals to type 2 diabetes, the rate of lipolysis is accelerated in visceral adipose tissue. This results in a selective increase in FFA mobilisation to the portal vein, which connects visceral fat to the liver. A high ,portal' FFA concentration has undesirable effects on the liver, resulting in dyslipidaemia, hyperinsulinaemia, hyperglycaemia and hepatic insulin resistance. Recently, a new class of antidiabetic agents, the thiazolidinediones (TZDs) or ,glitazones' has been developed. A prominent effect of these agents is the lowering of circulating FFA levels and it is believed, but not yet proven, that this interaction with FFAs constitutes a major mechanism behind the glucose-lowering effect of the TZDs. Copyright © 2002 John Wiley & Sons, Ltd. [source]


Pseudallescheria: An underdiagnosed fungus?

DIAGNOSTIC CYTOPATHOLOGY, Issue 3 2001
Ann E. Walts M.D.
Abstract Pseudallescheria has been identified as one of the "clinically significant emerging mycoses" but has received little attention in the cytology literature. Recognition of this fungus is of particular importance clinically, because unlike most other fungi (including Aspergillus, with which it is most frequently confused), Pseudallescheria is not effectively treated with amphotericin B, the most frequently and often the only antifungal agent administered. Features helpful in the diagnosis of Pseudallescheria in cytologic material are presented. Diagn. Cytopathol. 2001;25:153,157. © 2001 Wiley-Liss, Inc. [source]


The importance of plant root characteristics in controlling concentrated flow erosion rates

EARTH SURFACE PROCESSES AND LANDFORMS, Issue 4 2003
G. Gyssels
Abstract While it has been demonstrated in numerous studies that the aboveground characteristics of the vegetation are of particular importance with respect to soil erosion control, this study argues the importance of separating the influence of vegetation on soil erosion rates into two parts: the impact of leaves and stems (aboveground biomass) and the influence of roots (belowground biomass). Although both plant parameters form inseparable constituents of the total plant organism, most studies attribute the impact of vegetation on soil erosion rates mainly to the characteristics of the aboveground biomass. This triggers the question whether the belowground biomass is of no or negligible importance with respect to soil erosion by concentrated flow. This study tried to answer this question by comparing cross-sectional areas of concentrated flow channels (rills and ephemeral gullies) in the Belgian Loess Belt for different cereal and grass plant densities. The results of these measurements highlighted the fact that both an increase in shoot density as well as an increase in root density resulted in an exponential decrease of concentrated flow erosion rates. Since protection of the soil surface in the early plant growth stages is crucial with respect to the reduction of water erosion rates, increasing the plant root density in the topsoil could be a viable erosion control strategy. Copyright © 2003 John Wiley & Sons, Ltd. [source]


Effects of experimental small-scale grassland fragmentation on spatial distribution, density, and persistence of ant nests

ECOLOGICAL ENTOMOLOGY, Issue 6 2003
Brigitte Braschler
Abstract., 1.,Grassland fragmentation is expected to influence the abundance of different invertebrate species to a different extent. Fragmentation-related effects are of particular importance in species that interact with many other species. 2.,The density and spatial distribution of nests of 15 ant species in experimentally fragmented calcareous grasslands at three sites in the Northern Swiss Jura mountains were examined. Fragments of different size (0.25 m2, 2.25 m2, and 20.25 m2) were isolated by a 5-m wide strip of frequently mown vegetation. Control plots of corresponding size were situated in adjacent undisturbed grassland. 3.,Three years after initiation of the experiment, ant nest density did not differ between fragments and control plots. Six years after initiation of the experiment, however, ant nest density and forager abundance were higher in large fragments than in large control plots. Ant nests tended to occur more frequently along the edge of fragments than in the core area. Persistence time of nests of the most abundant species, Lasius paralienus, tended to be shorter in fragments than in control plots. Furthermore, persistence time was longer in nests situated close to the fragment edge than in nests in the core area. 4.,Effects on nest density, edge effects on the spatial distribution of nests, and the relationships between nest density and environmental factors were more pronounced when only nests of L. paralienus were considered. The implications of these findings for plant and other invertebrate species are discussed. [source]


Activity and composition of methanotrophic bacterial communities in planted rice soil studied by flux measurements, analyses of pmoA gene and stable isotope probing of phospholipid fatty acids

ENVIRONMENTAL MICROBIOLOGY, Issue 2 2008
Minita Shrestha
Summary Methanotrophs in the rhizosphere of rice field ecosystems attenuate the emissions of CH4 into the atmosphere and thus play an important role for the global cycle of this greenhouse gas. Therefore, we measured the activity and composition of the methanotrophic community in the rhizosphere of rice microcosms. Methane oxidation was determined by measuring the CH4 flux in the presence and absence of difluoromethane as a specific inhibitor for methane oxidation. Methane oxidation started on day 24 and reached the maximum on day 32 after transplantation. The total methanotrophic community was analysed by terminal restriction fragment length polymorphism (T-RFLP) and cloning/sequencing of the pmoA gene, which encodes a subunit of particulate methane monooxygenase. The metabolically active methanotrophic community was analysed by stable isotope probing of microbial phospholipid fatty acids (PLFA-SIP) using 13C-labelled CH4 directly added to the rhizospheric region. Rhizospheric soil and root samples were collected after exposure to 13CH4 for 8 and 18 days. Both T-RFLP/cloning and PLFA-SIP approaches showed that type I and type II methanotrophic populations changed over time with respect to activity and population size in the rhizospheric soil and on the rice roots. However, type I methanotrophs were more active than type II methanotrophs at both time points indicating they were of particular importance in the rhizosphere. PLFA-SIP showed that the active methanotrophic populations exhibit a pronounced spatial and temporal variation in rice microcosms. [source]


Acute and chronic toxicity of five selective serotonin reuptake inhibitors in Ceriodaphnia dubia

ENVIRONMENTAL TOXICOLOGY & CHEMISTRY, Issue 9 2004
Theodore B. Henry
Abstract Contamination of surface waters by pharmaceutical chemicals has raised concern among environmental scientists because of the potential for negative effects on aquatic organisms. Of particular importance are pharmaceutical compounds that affect the nervous or endocrine systems because effects on aquatic organisms are possible at low environmental concentrations. Selective serotonin reuptake inhibitors (SSRIs) are drugs used to treat clinical depression in humans, and have been detected in low concentrations in surface waters. In this investigation, the acute and chronic toxicity of five SSRIs (fluoxetine, Prozac®; fluvoxamine, Luvox®; paroxetine, Paxil®; citalopram, Celexa®; and sertraline, Zoloft®) were evaluated in the daphnid Ceriodaphnia dubia. For each SSRI, the 48-h median lethal concentration (LC50) was determined in three static tests with neonate C. dubia, and chronic (8-d) tests were conducted to determine no-observable-effect concentrations (NOEC) and lowest-observable-effect concentrations (LOEC) for reproduction endpoints. The 48-h LC50 for the SSRIs ranged from 0.12 to 3.90 mg/L and the order of toxicity of the compounds was (lowest to highest): Citalopram, fluvoxamine, paroxetine, fluoxetine, sertraline. Mortality data for the 8-d chronic tests were similar to the 48-h acute data. The SSRIs negatively affected C. dubia reproduction by reducing the number of neonates per female, and for some SSRIs, by reducing the number of broods per female. For sertraline, the most toxic SSRI, the LOEC for the number of neonates per female was 0.045 mg/L and the NOEC was 0.009 mg/L. Results indicate that SSRIs can impact survival and reproduction of C. dubia; however, only at concentrations that are considerably higher than those expected in the environment. [source]


Phase distribution of synthetic pyrethroids in runoff and stream water

ENVIRONMENTAL TOXICOLOGY & CHEMISTRY, Issue 1 2004
Weiping Liu
Abstract Synthetic pyrethroids (SPs) are a group of hydrophobic compounds with significant aquatic toxicity. Their strong affinity to suspended solids and humic materials suggests that SPs in natural surface water are distributed in solid-adsorbed, dissolved organic matter (DOM)-adsorbed, and freely dissolved phases. The freely dissolved phase is of particular importance because of its mobility and bioavailability. In the present study, we used solid-phase microextraction to detect the freely dissolved phase, and we evaluated the phase distribution of bifenthrin and permethrin in stream and runoff waters. In stream water, most SPs were associated with the suspended solids and, to a lesser extent, with DOM. The freely dissolved phase contributed only 0.4% to 1.0%. In runoff effluents, the freely dissolved concentration was 10% to 27% of the overall concentration. The predominant partitioning into the adsorbed phases implies that the toxicity of SPs in surface water is reduced because of decreased bioavailability. This also suggests that monitoring protocols that do not selectively define the freely dissolved phase can lead to significant overestimation of toxicity or water-quality impacts by SPs. [source]


A Straightforward Synthesis of N -Functionalized ,-Diimines

EUROPEAN JOURNAL OF ORGANIC CHEMISTRY, Issue 2 2003
Alexandrine Maraval
Abstract Reaction of Schwartz's reagent [Cp2ZrHCl]n (1) (one or two equivalents) with gem -dinitrile compounds of the type X(CN)2 [X = CMe2, CBenz2, P(NiPr2)2] gives the corresponding mono- and di- N -zirconated imino complexes selectively. Substitution reactions of the zirconocene metal fragment with electrophiles such as, for example, chlorophosphanes of the type R2PCl, acid chlorides RC(O)Cl or the iminium salt [CH2NMe2]Cl allowed the preparation of a large variety of stable N -functionalized mono- and ,-diimine derivatives. The nature of the X group is of particular importance for the success of the substitution reaction step. The X-ray crystal structures obtained for the N -functionalized gem -aldimino-nitrile compounds 9, 10b, the N -phosphorylated ,-diimine 32, and the gem -formyl nitrile derivative 12b are presented. (© Wiley-VCH Verlag GmbH & Co. KGaA, 69451 Weinheim, Germany, 2003) [source]


THE COEVOLUTIONARY DYNAMICS OF ANTAGONISTIC INTERACTIONS MEDIATED BY QUANTITATIVE TRAITS WITH EVOLVING VARIANCES

EVOLUTION, Issue 10 2005
Scott L. Nuismer
Abstract Quantitative traits frequently mediate coevolutionary interactions between predator and prey or parasite and host. Previous efforts to understand and predict the coevolutionary dynamics of these interactions have generally assumed that standing genetic variation is fixed or absent altogether. We develop a genetically explicit model of coevolution that bridges the gap between these approaches by allowing genetic variation itself to evolve. Analysis of this model shows that the evolution of genetic variance has improtant consequences for the dyanmics and outcome of coevolution. Of particular importance is our demonstration that coevolutionary cycles can emerge in the absence of stabilizing selection, and outcome not possible in previous models of coevolution mediated by quantitative traits. whether coevolutionary cycles evolve depends upon the strength of selection, the number of loci, and the rate of mutation in each of the interacting species. Our results also generate novel predictions for the expected sign and magnitude of linkage disequilibria in each species. [source]


Molecular basis of resistance to cytochrome bc1 inhibitors

FEMS YEAST RESEARCH, Issue 2 2008
Nick Fisher
Abstract Inhibitors of the mitochondrial respiratory chain enzyme cytochrome bc1 (respiratory complex III) have been developed as antimicrobial agents. They are used in agriculture to control plant pathogenic fungi and in medicine against human pathogens, such as the malaria parasite Plasmodium falciparum, or Pneumocystis jiroveci (an opportunistic pathogenic fungus life-threatening in immuno-compromised patients). These respiratory inhibitors are thus effective against a broad range of important pathogens. Unfortunately, the problem of acquired resistance has rapidly emerged. A growing number of pathogen isolates resistant to inhibitor treatment have been reported, and this resistance is often linked to mutation within cytochrome b, one of the essential catalytic subunits of the complex. Saccharomyces cerevisiae is an invaluable model in order to assess the impact of the mutations on the sensitivity to the drugs, on the respiratory capacity and the fitness of cells. In this minireview, the inhibitors, their mode of action, and the mutations implicated in resistance and studied in yeast are briefly reviewed. Four mutations that are of particular importance in medicine and in agriculture are briefly reviewed and described in more detail and the molecular basis of resistance and of evolution of the mutations is discussed succinctly. [source]


Predicting a State's Foreign Policy: State Preferences between Domestic and International Constraints

FOREIGN POLICY ANALYSIS, Issue 3 2007
Gerry C. Alons
In order to understand a state's foreign policy preferences, we need to take both its domestic and international considerations into account. This article aims to contribute to the analysis of foreign policy by exploring the conditions under which states will either give precedence to domestic or international incentives. Two central variables are used to generate predictions on the expected primacy of either level. The first variable is "internal polarity", that is, the degree of concentration of power in the hands of the government relative to society. The second variable is "external polarity", referring to the degree of centralization of power in the international system. It will be argued that various combinations of scores on these variables affect the formation of foreign policy preferences differently. When internal polarity is low and external polarity is high, domestic considerations will be decisive. On the contrary, when internal polarity is high and external polarity is low, international considerations will be decisive. With respect to the other two combinations, process variables such as the degree of domestic mobilization and the sensitivity of the government are expected to gain particular importance in tilting the balance towards either domestic or international considerations. A preliminary test of the theoretical framework is provided by applying it to French and German preference formation on the 1988 CAP-reform and the agricultural aspects of the Uruguay Round of GATT-negotiations between 1990 and 1993. [source]


Intraseasonal climate and habitat-specific variability controls the flowering phenology of high alpine plant species

FUNCTIONAL ECOLOGY, Issue 2 2010
Karl Hülber
Summary 1. ,High alpine plants endure a cold climate with short growing seasons entailing severe consequences of an improper timing of development. Hence, their flowering phenology is expected to be rigorously controlled by climatic factors. 2. ,We studied ten alpine plant species from habitats with early and late melting snow cover for 2 years and compared the synchronizing effect of temperature sums (TS), time of snowmelt (SM) and photoperiod (PH) on their flowering phenology. Intraseasonal and habitat-specific variation in the impact of these factors was analysed by comparing predictions of time-to-event models using linear mixed-effects models. 3. ,Temperature was the overwhelming trigger of flowering phenology for all species. Its synchronizing effect was strongest at or shortly after flowering indicating the particular importance of phenological control of pollination. To some extent, this pattern masks the common trend of decreasing phenological responses to climatic changes from the beginning to the end of the growing season for lowland species. No carry-over effects were detected. 4. ,As expected, the impact of photoperiod was weaker for snowbed species than for species inhabiting sites with early melting snow cover, while for temperature the reverse pattern was observed. 5. ,Our findings provide strong evidence that alpine plants will respond quickly and directly to increasing temperature without considerable compensation due to photoperiodic control of phenology. [source]


Egg carotenoids in passerine birds introduced to New Zealand: relations to ecological factors, integument coloration and phylogeny

FUNCTIONAL ECOLOGY, Issue 4 2005
P. CASSEY
Summary 1Carotenoids are a diverse group of organic compounds that function as important antioxidants and immunostimulants and are of particular importance to developing embryos and young birds. In addition, they constitute the majority of yellow to red hues in the integumentary pigments of birds. 2We investigated the maternally derived carotenoid concentrations and balances in the yolks of eight European passerine species successfully introduced and abundant in New Zealand. Specifically, we addressed whether variation in maternally derived yolk carotenoids were related to phylogeny, integument coloration, native vs introduced distribution, breeding habitat and laying sequence. 3Across species, the concentration and balance of carotenoids deposited in yolks varied significantly. Egg carotenoid concentration was positively associated with the occurrence of male carotenoid pigmented body regions. Carotenoid concentrations differed between agricultural habitat types within New Zealand but not between samples from New Zealand and Europe. Controlling for the differences among species, and among clutches within species, increased egg carotenoid concentrations were significantly associated with decreasing fresh egg mass and eggs laid earlier in the laying sequence. 4We conclude that variability in the concentration and balance of carotenoids deposited in the egg yolk imply different relative roles for ecological and phylogenetic factors that warrant further investigation, both within and across species. [source]


Controlling Electron and Hole Charge Injection in Ambipolar Organic Field-Effect Transistors by Self-Assembled Monolayers

ADVANCED FUNCTIONAL MATERIALS, Issue 15 2009
Xiaoyang Cheng
Abstract Controlling contact resistance in organic field-effect transistors (OFETs) is one of the major hurdles to achieve transistor scaling and dimensional reduction. In particular in the context of ambipolar and/or light-emitting OFETs it is a difficult challenge to obtain efficient injection of both electrons and holes from one injecting electrode such as gold since organic semiconductors have intrinsically large band gaps resulting in significant injection barrier heights for at least one type of carrier. Here, systematic control of electron and hole contact resistance in poly(9,9-di- n -octylfluorene- alt -benzothiadiazole) ambipolar OFETs using thiol-based self-assembled monolayers (SAMs) is demonstrated. In contrast to common believe, it is found that for a certain SAM the injection of both electrons and holes can be improved. This simultaneous enhancement of electron and hole injection cannot be explained by SAM-induced work-function modifications because the surface dipole induced by the SAM on the metal surface lowers the injection barrier only for one type of carrier, but increases it for the other. These investigations reveal that other key factors also affect contact resistance, including i) interfacial tunneling through the SAM, ii) SAM-induced modifications of interface morphology, and iii) the interface electronic structure. Of particular importance for top-gate OFET geometry is iv) the active polymer layer thickness that dominates the electrode/polymer contact resistance. Therefore, a consistent explanation of how SAM electrode modification is able to improve both electron and hole injection in ambipolar OFETs requires considering all mentioned factors. [source]


Land use change and the dependence of national priority species on protected areas

GLOBAL CHANGE BIOLOGY, Issue 9 2008
SARAH F. JACKSON
Abstract The establishment and maintenance of a system of protected areas is central to regional and global strategies for the conservation of biodiversity. The current global trend towards human population growth and widespread environmental degradation means that such areas are becoming increasingly isolated, fragmented habitat islands. In regions in which this process is well advanced, a high proportion of species are thus predicted to have become restricted to protected areas. Here, using uniquely detailed datasets for Britain, a region with close to the global level of percentage coverage by statutory protected areas, we determine the extent of restriction of species of conservation concern to these areas. On the basis of currently known distributions, more than a half of such species are highly dependent on protected areas for their continued persistence, occurring either entirely or largely within their bounds. Such coverage is of particular importance for those species with narrower distributions, and therefore, under the greatest threats, underlining the vital importance of adequately resourcing, maintaining, and developing protected areas to prevent these species from being lost. [source]


Psychiatric morbidity and people's experience of and response to social problems involving rights

HEALTH & SOCIAL CARE IN THE COMMUNITY, Issue 6 2010
Nigel J. Balmer BSc PhD
Abstract Psychiatric morbidity has been shown to be associated with the increased reporting of a range of social problems involving legal rights (,rights problems'). Using a validated measure of psychiatric morbidity, this paper explores the relationship between psychiatric morbidity and rights problems and discusses the implications for the delivery of health and legal services. New representative national survey data from the English and Welsh Civil and Social Justice Survey (CSJS) surveyed 3040 adults in 2007 to explore the relationship between GHQ-12 scores and the self reported incidence of and behaviour surrounding, rights problems. It was found that the prevalence of rights problems increased with psychiatric morbidity, as did the experience of multiple problems. It was also found the likelihood of inaction in the face of problems increased with psychiatric morbidity, while the likelihood of choosing to resolve problems without help decreased. Where advice was obtained, psychiatric morbidity was associated with a greater tendency to obtain a combination of ,legal' and ,general' support, rather than ,legal' advice alone. The results suggest that integrated and ,outreach' services are of particular importance to the effective support of those facing mental illness. [source]


Enhancement of boiling heat transfer in restricted spaces in compact horizontal tube bundles

HEAT TRANSFER - ASIAN RESEARCH (FORMERLY HEAT TRANSFER-JAPANESE RESEARCH), Issue 5 2001
Zhen-Hua Liu
Abstract ln desalinization devices and some heat exchangers making use of low-quality heat energy, both wall temperatures and heat fluxes of heated tubes are quite low and generally cannot cause boiling in flooded-type tube bundle evaporators with a large tube spacing. But when the tube spacing is very small, boiling in restricted spaces can occur and induce a higher heat transfer than that of a falling film or pool boiling at the same heat flux. This study investigated experimentally the effects of tube spacing, positions of tubes, and heating status of tubes as well as surface status (smooth and roll-worked) on boiling in restricted spaces in compact horizontal tube bundle evaporators under atmospheric pressure. The experimental results provide a restricted space boiling database for water in smooth and enhanced surface tube bundles. Of particular importance is information concerning the influence of tube spacing of flooded-type tube bundle evaporators, especially for the case of zero pitch, when the neighboring tubes are contacting each other. © 2001 Scripta Technica, Heat Trans Asian Res, 30(5): 394,401, 2001 [source]


CHALLENGING CERTAINTY: THE UTILITY AND HISTORY OF COUNTERFACTUALISM

HISTORY AND THEORY, Issue 1 2010
SIMON T. KAYE
ABSTRACT Counterfactualism is a useful process for historians as a thought-experiment because it offers grounds to challenge an unfortunate contemporary historical mindset of assumed, deterministic certainty. This article suggests that the methodological value of counterfactualism may be understood in terms of the three categories of common ahistorical errors that it may help to prevent: the assumptions of indispensability, causality, and inevitability. To support this claim, I survey a series of key counterfactual works and reflections on counterfactualism, arguing that the practice of counterfactualism evolved as both cause and product of an evolving popular assumption of the plasticity of history and the importance of human agency within it. For these reasons, counterfactualism is of particular importance both historically and politically. I conclude that it is time for a methodological re-assessment of the uses of such thought-experiments in history, particularly in light of counterfactualism's developmental relatedness to cultural, technological, and analytical modernity. [source]


Evapotranspiration rates and crop coefficients for a restored marsh in the Sacramento,San Joaquin Delta, California, USA,

HYDROLOGICAL PROCESSES, Issue 6 2008
Judy Z. Drexler
Abstract The surface renewal method was used to estimate evapotranspiration (ET) for a restored marsh on Twitchell Island in the Sacramento,San Joaquin Delta, California, USA. ET estimates for the marsh, together with reference ET measurements from a nearby climate station, were used to determine crop coefficients over a 3-year period during the growing season. The mean ET rate for the study period was 6 mm day,1, which is high compared with other marshes with similar vegetation. High ET rates at the marsh may be due to the windy, semi-arid Mediterranean climate of the region, and the permanently flooded nature of the marsh, which results in very low surface resistance of the vegetation. Crop coefficient (Kc) values for the marsh ranged from 0·73 to 1·18. The mean Kc value over the entire study period was 0·95. The daily Kc values for any given month varied from year to year, and the standard deviation of daily Kc values varied between months. Although several climate variables were undoubtedly responsible for this variation, our analysis revealed that wind direction and the temperature of standing water in the wetland were of particular importance in determining ET rates and Kc values. Published in 2007 by John Wiley & Sons, Ltd. [source]


Young African American mothers' changing perceptions of their infants during the transition to parenthood,

INFANT MENTAL HEALTH JOURNAL, Issue 5 2009
Cynthia O. Lashley
Although theory and empirical research with middle-class, mostly White women have suggested that motherhood is an important developmental transition for women, rarely have investigations of adolescent motherhood systematically examined developmental change. This study examines one aspect of change during the transition to parenthood: the mother's emerging perception of her infant. During pregnancy and at 4 months' postpartum, 220 urban African American mothers between the ages of 13 and 21 years were asked to describe their infants. Content analysis of their responses and ratings of the affective tone of the responses suggest that there are changes from pregnancy to 4 months after the birth that parallel shifts noted in literature on women going through the transition to motherhood as adults. Between pregnancy and 4 months, there was a decreasing focus on infant health and physical appearance and an increasing focus on infant behavioral achievements and personality characteristics. Of particular importance to mothers was that their infants be "good" babies who were easy to care for and were easily accepted by the family. Mothers imagined physical similarities with their infants during pregnancy and describe aspects of their interaction and emotional bond with their infants at 4 months. Overall, mothers' descriptions of their babies were quite positive, increasingly positive over time, and offered little evidence that for these young African American women the transition to parenthood was problematic. [source]


Intestinal dendritic cells: Their role in bacterial recognition, lymphocyte homing, and intestinal inflammation

INFLAMMATORY BOWEL DISEASES, Issue 10 2010
S.C. Ng PhD
Abstract Dendritic cells (DCs) play a key role in discriminating between commensal microorganisms and potentially harmful pathogens and in maintaining the balance between tolerance and active immunity. The regulatory role of DC is of particular importance in the gut where the immune system lies in intimate contact with the highly antigenic external environment. Intestinal DC constantly survey the luminal microenvironment. They act as sentinels, acquiring antigens in peripheral tissues before migrating to secondary lymphoid organs to activate naive T cells. They are also sensors, responding to a spectrum of environmental cues by extensive differentiation or maturation. Recent studies have begun to elucidate mechanisms for functional specializations of DC in the intestine that may include the involvement of retinoic acid and transforming growth factor-,. Specialized CD103+ intestinal DC can promote the differentiation of Foxp3+ regulatory T cells via a retinoic acid-dependent process. Different DC outcomes are, in part, influenced by their exposure to microbial stimuli. Evidence is also emerging of the close interaction between bacteria, epithelial cells, and DC in the maintenance of intestinal immune homeostasis. Here we review recent advances of functionally specialized intestinal DC and their mechanisms of antigen uptake and recognition. We also discuss the interaction of DC with intestinal microbiota and their ability to orchestrate protective immunity and immune tolerance in the host. Lastly, we describe how DC functions are altered in intestinal inflammation and their emerging potential as a therapeutic target in inflammatory bowel disease. (Inflamm Bowel Dis 2010) [source]


Pressure relaxation procedures for multiphase compressible flows

INTERNATIONAL JOURNAL FOR NUMERICAL METHODS IN FLUIDS, Issue 1 2005
M.-H. Lallemand
Abstract This paper deals with pressure relaxation procedures for multiphase compressible flow models. Such models have nice mathematical properties (hyperbolicity) and are able to solve a wide range of applications: interface problems, detonation physics, shock waves in mixtures, cavitating flows, etc. The numerical solution of such models involves several ingredients. One of those ingredients is the instantaneous pressure relaxation process and is of particular importance. In this article, we present and compare existing and new pressure relaxation procedures in terms of both accuracy and computational efficiency. Among these procedures we enhance an exact one in the particular case of fluids governed by the stiffened gas equation of state, and approximate procedures for general equations of state, which are particularly well suited for problems with large pressure variations. We also present some generalizations of these procedures in the context of multiphase flows with an arbitrary number of fluids. Some tests are provided to illustrate these comparisons. Copyright © 2005 John Wiley & Sons, Ltd. [source]


Modelling current trends in Northern Hemisphere temperatures

INTERNATIONAL JOURNAL OF CLIMATOLOGY, Issue 7 2006
Terence C. Mills
Abstract Fitting a trend is of interest in many disciplines, but it is of particular importance in climatology, where estimating the current and recent trend in temperature is thought to provide a major indication of the presence of global warming. A range of ad hoc methods of trend fitting have been proposed, with little consensus as to the most appropriate techniques to use. The aim of this paper is to consider a range of trend extraction techniques, none of which require ,padding' out the series beyond the end of the available observations, and to use these to estimate the trend of annual mean Northern Hemisphere (NH) temperatures. A comparison of the trends estimated by these methods thus provides a robust indication of the likely range of current trend temperature increases and hence inform, in a timely quantitative fashion, arguments based on global temperature data concerning the nature and extent of global warming and climate change. For the complete sample 1856,2003, the trend is characterised as having long waves about an underlying increasing level. Since around 1970, all techniques display a pronounced warming trend. However, they also provide a range of trend functions so that extrapolation far into the future would be a hazardous exercise. Copyright © 2006 Royal Meteorological Society. [source]


Regional audit: Perioperative management of MRSA orthopaedic patients in the Oxford region

INTERNATIONAL JOURNAL OF CLINICAL PRACTICE, Issue 5 2004
N. Aslam
Summary Aim:, Methicillin resistant staphylococcus aureus (MRSA) colonisation or infection is of particular importance in patients undergoing operations involving implanteable materials, such as in orthopaedic surgery. An audit of the perioperative management of orthopaedic patients in the Oxford region was carried out to assess the level of clinician awareness and the uniformity of current guidelines between hospitals. Methods:, A postal questionnaire was designed for asking information on various aspects of perioperative management of MRSA patients and was sent to each hospital. Results:, Responses were obtained from nine of 10 hospitals in the region. The average response rate for each hospital was 75%, and the overall individual response rate was 67.5% (27/40). Seventy-eight per cent of respondents knew that there was a pre-admission screening policy. Fifteen per cent were unaware of any MRSA policy. Forty-four per cent indicated that teicoplanin was used for prophylaxis in implant surgery whilst 44% used vancomycin. Eighteen per cent believed that cefuroxime was used for prophylaxis. Forty-eight per cent of hospitals had an MRSA-free zone for orthopaedic patients. Conclusion:, This study indicates a lack of uniformity in the perioperative management of MRSA-positive patients in the region and a lack of awareness of both MRSA guidelines and their implementation. Uniformity of MRSA guidelines is necessary to allow better clinician awareness and compliance, especially in surgical trainees who are travelling between different training hospitals in the region. Implementation of such a policy with re-audit of subsequent awareness and compliance is proposed. [source]


Implications of system expansion for the assessment of well-to-wheel CO2 emissions from biomass-based transportation

INTERNATIONAL JOURNAL OF ENERGY RESEARCH, Issue 13 2010
Elisabeth Wetterlund
Abstract In this paper we show the effects of expanding the system when evaluating well-to-wheel (WTW) CO2 emissions for biomass-based transportation, to include the systems surrounding the biomass conversion system. Four different cases are considered: DME via black liquor gasification (BLG), methanol via gasification of solid biomass, lignocellulosic ethanol and electricity from a biomass integrated gasification combined cycle (BIGCC) used in a battery-powered electric vehicle (BPEV). All four cases are considered with as well as without carbon capture and storage (CCS). System expansion is used consistently for all flows. The results are compared with results from a conventional WTW study that only uses system expansion for certain co-product flows. It is shown that when expanding the system, biomass-based transportation does not necessarily contribute to decreased CO2 emissions and the results from this study in general indicate considerably lower CO2 mitigation potential than do the results from the conventional study used for comparison. It is shown that of particular importance are assumptions regarding future biomass use, as by expanding the system, future competition for biomass feedstock can be taken into account by assuming an alternative biomass usage. Assumptions regarding other surrounding systems, such as the transportation and the electricity systems are also shown to be of significance. Of the four studied cases without CCS, BIGCC with the electricity used in a BPEV is the only case that consistently shows a potential for CO2 reduction when alternative use of biomass is considered. Inclusion of CCS is not a guarantee for achieving CO2 reduction, and in general the system effects are equivalent or larger than the effects of CCS. DME from BLG generally shows the highest CO2 emission reduction potential for the biofuel cases. However, neither of these options for biomass-based transportation can alone meet the needs of the transport sector. Therefore, a broader palette of solutions, including different production routes, different fuels and possibly also CCS, will be needed. Copyright © 2009 John Wiley & Sons, Ltd. [source]


The emancipation of nursing practice: Applying anti-psychiatry to the therapeutic community

INTERNATIONAL JOURNAL OF MENTAL HEALTH NURSING, Issue 1 2001
Anthony Paul O'Brien
ABSTRACT This paper raises issues about the process and conduct of clinical relationships with people diagnosed as mentally ill who live in therapeutic communities. This clinical work is of particular importance in the late 1990s due to the changing socio-cultural climate of interaction with people living with mental illness. This climate has a focus of care on recovery in the community and not on long-term hospitalization. The paper takes the position of anti-psychiatry as a preferred model of intervention because it is person and not diagnosis oriented. The nature of the therapeutic community is explored in relation to its importance in the context of destigmatizing mental illness, its structure, and in its ability to empower the person from a philosophically driven and experiential perspective. [source]


Evidence-based clinical practice guidelines for bladder cancer (Summary , JUA 2009 Edition)

INTERNATIONAL JOURNAL OF UROLOGY, Issue 2 2010
The Committee for Establishment of the Clinical Practice Guidelines for the Management of Bladder Cancer, the Japanese Urological Association
Abstract In Japan, until now, the treatment of bladder cancer has been based on guidelines from overseas. The problem with this practice is that the options recommended in overseas guidelines are not necessarily suitable for Japanese clinical practice. A relatively large number of clinical trials have been conducted in Japan in the field of bladder cancer, and the Japanese Urological Association (JUA) considered it appropriate to formulate their own guidelines. These Guidelines present an overview of bladder cancer at each clinical stage, followed by clinical questions that address problems frequently faced in everyday clinical practice. In this English translation of a shortened version of the original Guidelines, we have abridged each overview, summarized each clinical question and its answer, and only included the references we considered of particular importance. [source]


The Ganglioside GD3 as the Greek Goddess Hecate: Several Faces Turned Towards as Many Directions

IUBMB LIFE, Issue 7 2005
Florence Malisan
Abstract The disialoganglioside GD3 can mediate biological functions as diverse as proliferation, differentiation, and apoptosis. Since intracellular level of GD3 is crucial for the cell, understanding the mechanisms by which GD3 metabolism is tightly regulated seems of particular importance. GD3 can be enlisted among the most potent natural inducers of mitochondrial damage and apoptosis. However, some cell types resist GD3-mediated mitochondrial damage through complex mechanisms which are beginning to be unveiled. IUBMB Life, 57: 477-482, 2005 [source]


Spirituality and job satisfaction among female Jewish Israeli hospital nurses

JOURNAL OF ADVANCED NURSING, Issue 2 2010
Aryeh Lazar
lazar a. (2010) Spirituality and job satisfaction among female Jewish Israeli hospital nurses. Journal of Advanced Nursing 66(2), 334,344. Abstract Title.,Spirituality and job satisfaction among female Jewish Israeli hospital nurses. Aim., This paper is a report of a study conducted to examine the relationship between spirituality and hospital nurses' work satisfaction and to determine the unique contributions of various specific aspects of spirituality to their work satisfaction. Background., Spirituality has been indicated as a possible contributor to nurses' job satisfaction. However, few researchers have examined the relationship between spirituality and nurses' job satisfaction. Method., During 2007, 120 female Jewish Israeli hospital nurses responded to a questionnaire including a multidimensional measure of spirituality and a measure of overall job satisfaction. Results., Correlation analysis indicated a positive relationship between life coherency aspects of spirituality and spiritual values with job satisfaction. Hierarchical regression analysis indicated the particular importance of an idealistic spiritual orientation (positive contribution) and a transcendent spiritual orientation (negative contribution) to the prediction of nurses' job satisfaction. Conclusion., The relationship between spirituality and nurses' job satisfaction is complex. Hospital managers may be able to enhance job satisfaction by providing opportunities for nurses to satisfy their spiritual needs (in particular, altruistic and ideological orientations) on the job. In addition, nurses with a strong transcendent orientation may be identified and given special attention to increase the likelihood of job satisfaction. [source]