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Second Decade (second + decade)
Selected AbstractsSetting the Stage for the Second Decade of the Era of Patient Safety: Contributions by the Agency for Healthcare Research and Quality and GranteesHEALTH SERVICES RESEARCH, Issue 2p2 2009Lee H. Hilborne First page of article [source] Lessons Learned from the Pediatric Heart Transplant StudyCONGENITAL HEART DISEASE, Issue 3 2006Daphne T. Hsu MD ABSTRACT The Pediatric Heart Transplant Study (PHTS) group was founded in 1991 as a voluntary, collaborative effort dedicated to the advancement of the science and treatment of children following listing for heart transplantation. Since 1993, the PHTS has collected data in an international, prospective, event-driven database that examines risk factors for outcome events following listing for transplantation. The events include transplantation, death, rejection, infection, malignancy, graft vasculopathy, and retransplantation. Over its 12 years of existence, the PHTS has made major contributions to the field of pediatric heart transplantation, especially in the areas of outcome analysis and risk factor assessment for death and other major morbidities after listing and after transplantation. The new challenges facing the PHTS include how to implement the practice of evidence-based medicine in the field of pediatric heart transplantation and how to support ongoing data collection and analysis to provide long-term outcomes as the PHTS subjects enter their second decade after transplantation. [source] Mexico's Community-Managed Forests as a Global Model for Sustainable LandscapesCONSERVATION BIOLOGY, Issue 3 2003David Barton Bray On the other hand, conservationists have declared that the only way to stem the tide of deforestation is to place as many tracts as possible under strict protection. In this context, Mexico presents a national laboratory for studying the social and ecological benefits of delivering forests to local people. As a little-noticed result of the Mexican Revolution in the second decade of the twentieth century, well over half of the forests of Mexico were placed in community-held lands. In historic struggles that passed through several phases, most of these communities have now gained substantial control over the use of their forests. Because of the substantial degree of social capital in rural forms of organization in Mexico, this control of forest resources has led to an estimated 290,479 community forest enterprises ( CFEs ), through which communities are producing timber on their own lands. New studies are beginning to suggest that important gains in both social and economic justice, good forest management, and biodiversity protection are resulting from the actions of these CFEs. As more forests globally are being devolved to local communities, it is important to carry out more research on the Mexican model of community forest management for timber production. Resumen: Investigadores preocupados por el manejo sostenible de bosques en los trópicos han argumentado que el camino para una custodia mas efectiva de los recursos forestales es la transferencia de la responsabilidad a las comunidades locales que obtienen sustento de ellos. Por otro lado, conservacionistas han declarado que la única manera de detener la ola de deforestación es colocar bajo protección estricta tantas regiones como sea posible. En este contexto, México representa un laboratorio para el estudio de los beneficios sociales y ecológicos de entregar los bosques a los habitantes locales. Como un resultado poco conocido de la Revolución Mexicana, en la segunda década del siglo veinte, más de la mitad de los bosques de México se ubicaban en tierras que estaban en manos de las comunidades. Las comunidades forestales han atravesado por distintas etapas de conflicto, tras la cuáles han obtendio un control sustancial de los usos de sus bosques. Debido al nivel considerable de capital social en formas de organización rural en México, este control de los recursos forestales ha conducido a la integración de entre 290,479 empresas forestales comunitarias ( EFC ), en las que las comunidades están produciendo madera en sus propias tierras. Nuevos estudios están comenzando a sugerir que se están produciendo ganancias importantes en las acciones de estas EFC están generando beneficios importantes, tanto en lo que se refiere a justicia social como económica, la administración correcta de bosques y la protección de la biodiversidad. A medida en que se deleguen mayores extensiones de bosques a comunidades locales, es importante llevar a cabo más investigación sobre el modelo mexicano de manejo comunitario de bosques para la producción de forestal maderable. [source] Incidence of dental trauma associated with facial trauma in Brazil: a 1-year evaluationDENTAL TRAUMATOLOGY, Issue 1 2004Alessandro Costa Da Silva Abstract,,, Dental trauma occurs frequently in young people, and mostly occurs in conjunction with facial trauma. In the literature, there are still few reports relating dental trauma, facial trauma, and soft-tissue injuries. This research aimed to evaluate: (i) the overall incidence of dental trauma in 340 patients who presented with facial trauma over a 1-year-period, (ii) the epidemiology of these related diseases, and (iii) the most common dental trauma when a facial trauma was present. Of all facial trauma, 15.29% presented dental trauma, of which luxations and avulsions were the most frequent injuries (40.30% each), occurring mainly on weekends (38.46%) and in October (15.38%), followed by March and June (13.46% each). The sex ratio presented the proportion of 3.3:1 (M:F). Trauma occurred mainly in the second decade (44.23%). These results highlight the high incidence of dental and facial trauma, and suggest the importance of the adoption of appropriate prevention protocols and effective therapeutic methods. [source] Maturation of action monitoring from adolescence to adulthood: an ERP studyDEVELOPMENTAL SCIENCE, Issue 6 2005Alexandra M. Hogan This study investigated the development of the frontal lobe action-monitoring system from late childhood and adolescence to early adulthood using ERP markers of error processing. Error negativity (ERN) and correct response negativity (CRN) potentials were recorded while adolescents and adults (aged 12,22 years, n = 23) performed two forced-choice visual reaction time tasks of differing complexity. Significant age differences were seen for behavioural and ERP responses to complex (infrequent, incompatible) trials: adolescents elicited an error negativity of reduced magnitude compared with adults. Furthermore, in contrast to adults, adolescents showed a non-significant differentiation between response-locked ERP components elicited by correct (CRN) and error responses (ERN). Behaviourally, adolescents corrected fewer errors in incompatible trials, and with increasing age there was greater post-error slowing. In conclusion, the neural systems underlying action-monitoring continue to mature throughout the second decade of life, and are associated with increased efficiency for fast error detection and correction during complex tasks. [source] Drosophila melanogaster: the model organismENTOMOLOGIA EXPERIMENTALIS ET APPLICATA, Issue 2 2006David B. Roberts Abstract In the 20th century, there were two decades during which Drosophila melanogaster was the most significant model organism and each decade led to the establishment of new scientific disciplines. The first decade was roughly from 1910 and during this period a small group at Columbia University, headed by Thomas Hunt Morgan, established the rules of transmission genetics with which we are all familiar. In the second decade, roughly from 1970, many of the principles and techniques of the earlier period were used to determine the genetic control of basic aspects of the biology of organisms, notably their development and their behaviour. In this review I will show that it was not only the genius of the research workers (five were awarded Nobel Prizes and it has been argued, with justification, that at least one more should have been awarded) but also the special features of D. melanogaster that led to these advances. While Drosophila is still a significant model organism, the advent of molecular biology permits the investigation of organisms less amenable to genetic analysis, but the principles applied in these investigations were in the main principles laid down during the earlier work on Drosophila. [source] Storytelling at Juniper Networks connects a global organization to the values and behaviors of successGLOBAL BUSINESS AND ORGANIZATIONAL EXCELLENCE, Issue 5 2010Stacey Clark Ohara Culture had begun to drift in this high-tech company, and new challenges called for some new behaviors to position the business for its second decade. Storytelling became the perfect tool to foster a deeper understanding of the company culture and unite employees across the organization, and it is now a key organizational capability for sustaining the Juniper Way. The authors describe the impact of growth on the culture of this start-up, and detail a comprehensive storytelling initiative to integrate Juniper values and desired behaviors into a now global organization. They also discuss the ways storytelling was recently used to help launch a new business strategy and brand identity. © 2010 Wiley Periodicals, Inc. [source] Squamous cell carcinoma complicating epidermolysis bullosa in a 6-year-old girlINTERNATIONAL JOURNAL OF DERMATOLOGY, Issue 7 2009Kanakapura Nanjundaswamy Shivaswamy MD Recessive dystrophic epidermolysis bullosa (RDEB) is a rare form of epidermolysis bullosa (EB) that presents with generalized blistering since birth. Squamous cell carcinoma (SCC) is the most common cutaneous malignancy seen in RDEB, starting from second decade onwards. We report a case of SCC complicating RDEB in a 6-year-old girl. [source] Rickets and osteomalacia in northeast Iran: report of 797 casesINTERNATIONAL JOURNAL OF RHEUMATIC DISEASES, Issue 2 2008Mohammadhassan JOKAR ABSTRACT Aim:, To study the clinical, biochemical and radiographic features of rickets and osteomalacia in north-east of Iran. Methods:, We retrospectively reviewed the medical records of all patients with diagnosis of rickets and osteomalacia during the past 20 years (1986,2006) in the rheumatology outpatient clinic of Imam Reza Hospital, Mashhad, Iran. Results:, There were 797 patients (795 female, 2 male). Their ages were between 8,74 years. Most cases were in their second decade of life. The most common clinical findings were: bone pain 96.4%, muscle weakness 81%, abnormal gait 43%, and bone deformity 19.6%. The most common laboratory finding was high serum alkaline phosphatase (92%) followed by hypophosphatemia 54.6%, and hypocalcemia (21%). Radiographic findings were: epiphyseal growth plate alterations 74.4%, osteopenia 63%, ground glass appearance 28.6%, and Looser's zones 26.5%. All except four patients were cured with vitamin D and calcium. Conclusion:, Rickets and osteomalacia are common disorders in our region. Females especially in the growing years are often involved. The most common cause of rickets and osteomalacia in our region is vitamin D deficiency probably due to inadequate sun exposure. [source] Sano di Pietro's Assunta polyptych for the Convent of Santa Petronilla in SienaRENAISSANCE STUDIES, Issue 4 2005Diana Norman Since its incorporation into Siena's first public art collection early in the nineteenth century, the provenance of Sano di Pietro's polyptych of The Virgin of the Assumption with Saints has been recognised as the Clarissan church of Santa Petronilla. To date, however, there has been very little comment as to the significance of the provenance of the altarpiece, particularly in relation to the choice of subject matter. This essay explores the complex history of this major Clarissan foundation in Siena, identifying its first location beyond Siena's principal northern gate of Porta Camollia and then describing its subsequent removal during the mid sixteenth century into the safety of the city itself and to the church where the altarpiece was discovered in 1810. Recognising that the presence of a Clarissan donor figure on the central painting of the polyptych provides plausible evidence that the altarpiece was commissioned for the original convent church, the essay further demonstrates how the circumstances of the foundation of Santa Petronilla in the second decade of the thirteenth century provide a key for the principal subject matter of the altarpiece. The remaining imagery of the altarpiece is then discussed in terms of its general relevance for a fifteenth-century community of Clarissan nuns and for the particular devotional concerns of the nuns of Santa Petronilla. It is argued that this late fifteenth-century Sienese altarpiece offers a revealing example of the way in which art commissioned by enclosed orders of female religious within Renaissance Italy could be closely related to their own concerns and priorities. (pp. 433,457) [source] Long-term course and mutational spectrum of spatacsin -linked spastic paraplegiaANNALS OF NEUROLOGY, Issue 6 2007Ute Hehr MD Objective Hereditary spastic paraplegias (HSPs) comprise a heterogeneous group of neurodegenerative disorders resulting in progressive spasticity of the lower limbs. One form of autosomal recessive hereditary spastic paraplegia (ARHSP) with thin corpus callosum (TCC) was linked to chromosomal region 15q13-21 (SPG11) and associated with mutations in the spatacsin gene. We assessed the long-term course and the mutational spectrum of spatacsin -associated ARHSP with TCC. Methods Neurological examination, cerebral magnetic resonance imaging (MRI), 18fluorodeoxyglucose positron emission tomography (PET), nerve biopsy, linkage and mutation analysis are presented. Results Spastic paraplegia in patients with spatacsin mutations (n = 20) developed during the second decade of life. The Spastic Paraplegia Rating Scale (SPRS) showed severely compromised walking between the second and third decades of life (mean SPRS score, >30). Impaired cognitive function was associated with severe atrophy of the frontoparietal cortex, TCC, and bilateral periventricular white matter lesions. Progressive cortical and thalamic hypometabolism in the 18fluorodeoxyglucose PET was observed. Sural nerve biopsy showed a loss of unmyelinated nerve fibers and accumulation of intraaxonal pleomorphic membranous material. Mutational analysis of spatacsin demonstrated six novel and one previously reported frameshift mutation and two novel nonsense mutations. Furthermore, we report the first two splice mutations to be associated with SPG11. Interpretation We demonstrate that not only frameshift and nonsense mutations but also splice mutations result in SPG11. Mutations are distributed throughout the spatacsin gene and emerge as major cause for ARHSP with TCC associated with severe motor and cognitive impairment. The clinical phenotype and the ultrastructural analysis suggest a disturbed axonal transport of long projecting neurons. Ann Neurol 2007 [source] Learning in Newbern: Rural Studio in Year TenARCHITECTURAL DESIGN, Issue 4 2005John Forney Abstract Amidst the regulated and increasingly fraught business of architectural practice, particularly within its homestead of the town of Newbern, Hale County, Alabama, Rural Studio has entered its second decade as a force to contradict normative modes of architectural education and practice. In the coming years, we will see if the wider consequences triggered by this innovative organisation will take root elsewhere. In the meantime, John Forney's reflective examination of its roots substantiates the condition that, in times of change, the periphery is a place that matters greatly. Copyright © 2005 John Wiley & Sons, Ltd. [source] Facial skin fluorescence as a marker of the skin's response to chronic environmental insults and its dependence on ageBRITISH JOURNAL OF DERMATOLOGY, Issue 1 2006G.N. Stamatas Summary Background, Throughout life facial skin is exposed to a variety of adverse environmental conditions and is constantly required to repair itself. The rate of epidermal cell proliferation is indicative of the skin's repair rate and can be monitored noninvasively in vivo using skin intrinsic fluorescence markers. Objectives, The goal of the present study was to assess the effects of ageing, geographical region, ethnic origin and season on the ability of facial skin to repair itself in the presence of chronic environmental insults using in vivo fluorescence spectroscopy. Methods, Skin fluorescence emission was measured on the cheeks of 522 individuals in winter and repeated in summer in five different geographical locations in the Asia-Pacific region. Fluorescence emission was also measured from 80 caucasians of fair complexion in the United States (New Jersey area) on the face and on a relatively protected area (upper inner arm). The age range of the participants was 14,75 years. Results, We found that epidermal proliferation rates decrease monotonically with age, while the fluorescence of collagen and elastin cross-links increases with age indicating accumulation of advanced glycation end-products. These trends were independent of geographical region, ethnic origin and season of measurement. Epidermal proliferation rates of facial skin were higher than those of unexposed sites; they may be 10 times higher in younger (second decade) than in older (seventh decade) individuals, and they decrease with age at rates 10 times faster compared with those of unexposed sites. Conclusions, This is the first time that epidermal proliferation and its dependence on ageing have been measured noninvasively on the human face. The higher tryptophan fluorescence values on the face vs. the protected site are indicative of accelerated rates of epidermal proliferation in the presence of chronic environmental insults. The repair potential of facial skin, i.e. its ability to maintain high proliferation rates, is maximal in younger populations and gradually decreases with age. [source] Factor V I359T: a novel mutation associated with thrombosis and resistance to activated protein CBRITISH JOURNAL OF HAEMATOLOGY, Issue 3 2003A. D. Mumford Summary. We report a kindred in which two siblings suffered spontaneous venous thromboses in the second decade of life. Further investigation showed reduced coagulation factor V (FV) activity and activated protein C resistance (APCR) ratio but no other thrombophilic abnormalities. The reduction in APCR ratio persisted in a modified APCR assay in which FV activity was normalized between test and control plasmas. Analysis of the FV gene showed that the thrombotic individuals had a complex genotype that included two novel point mutations c.529G>T and c.1250T>C resulting in FV E119X and FV I359T substitutions inherited on different alleles. Individuals in the kindred with FV E119X or FV I359T substitutions alone were asymptomatic. We suggest that the FV I359T substitution confers pro-thrombotic risk and APCR, but that this is only clinically manifest when co-inherited with the FV E119X allele. The FV I359T substitution creates a new consensus sequence for N-linked glycosylation within the FV heavy chain and we speculate that this abnormal glycosylation may disrupt activated protein C-mediated proteolysis of the variant FV and FVa. [source] 1212: Herpes simplex and zoster keratitisACTA OPHTHALMOLOGICA, Issue 2010M LABETOULLE Herpes simplex virus (HSV) and varicella-zoster virus (VZV) are two leading causes of corneal infection with potential severely impaired visual acuity. These two viruses share multiple characteristics, including the ability to become latent in the trigeminal ganglia, before reactivation and migration along the trigeminal fibers innervating the cornea. The clinical settings of keratitis may vary from an epithelial defect (dendritic of geographic) to a more severe disease involving the stroma and/or the endothelium. Classically, HSV keratitis occurs from the second decade of life, and associated skin disease is not frequent and only involves the eyelids. In contrast, VZV keratitis mostly occurs after the sixth decade, as an associated finding of herpes zoster ophthalmicus (HZO). However, several studies recently highlighted that the rate of HSV keratitis increases with age, even in elderly, and some other studies reported VZV keratitis in children, either isolated or associated with HZO. Antiviral drugs currently available are highly efficient to reduce the severity on ongoing HSV- or VZV keratitis, but preventive treatments still have to be optimized. For HSV keratitis, the usual preventive treatment, as defined by the HEDS study, only reduces the rate of relapses in a two-fold manner, and the optimal dosage has not been settled for patient with severe herpetic disease. For VZV, the two vaccines against chickenpox and HZO probably will lead in the future to a reduction of the incidence of keratitis, but they are not widely used, even in most of developed countries. [source] Axonal loss occurs early in dominant optic atrophyACTA OPHTHALMOLOGICA, Issue 3 2010Dan Milea Abstract. Purpose:, This study set out to investigate retinal nerve fibre layer (RNFL) thickness and best corrected visual acuity (BCVA) in relation to age in healthy subjects and patients with OPA1 autosomal dominant optic atrophy (DOA). Methods:, We carried out a cross-sectional investigation of RNFL thickness and ganglion cell layer density in 30 healthy subjects and 10 patients with OPA1 DOA using optical coherence tomography (OCT). We then performed a regression analysis of RNFL thickness and BCVA versus age. Results:, Both healthy subjects and DOA patients demonstrated a gradual reduction in RNFL thickness with age; the relationship was best described statistically by a model that assumed a constant offset between the two groups. Best corrected VA decreased significantly with age in DOA patients, in whom BCVA was correlated with peripapillary RNFL thickness in the inferior and superior peripapillary quadrants and with total macular thickness at eccentricities of 500,3000 ,m. The observations were best described by a constant offset of 41.9 ,m separating the two groups and an annual decrease in RNFL thickness of 0.48 ,m (p < 0.0001). In patients with DOA, increasing age was associated with decreasing BCVA (p = 0.046). Conclusions:, This cross-sectional study found evidence of comparable age-related decreases in RNFL thickness in healthy subjects and in DOA patients, where the deficit in DOA patients is best described using a model that assumes the deficit between the groups does not vary with age. The gradual reduction of BCVA with age may be a consequence of a relative deficit in RNFL thickness that is established before the second decade of life. [source] Outcome of Oral Implant Treatment in Partially Edentulous Jaws Followed 20 Years in Clinical FunctionCLINICAL IMPLANT DENTISTRY AND RELATED RESEARCH, Issue 4 2006Odont Dr/PhD, Ulf Lekholm DDS ABSTRACT Background:, Most long-term follow-up studies of implants in partially edentulous jaws present their outcomes as mean values of implant survival and follow-up time, and few address the fate of the remaining teeth. Purpose:, The aim of this study was to investigate the results of oral implant treatment in partially edentulous jaws after 20 years, and simultaneously to assess what happens to teeth present at the time of implant placement. Materials and Methods:, Seventeen partially edentulous patients, of 27 originally treated individuals, were retrospectively reviewed after receiving implants from 1983 to 1985. The parameters studied were implant survival, prosthesis stability, marginal bone loss at teeth and implants, treatment complications, need for dental treatment, and patient's satisfaction with the outcome. Results:, The cumulative survival rate was 91%, when all 27 patients were assessed, that is, including the 10 dropouts. Of the 69 inserted and followed implants (Brånemark system®; Nobel Biocare AB, Göteborg, Sweden), six failed (8.7%) during the 20-year period, four during the first decade, and the remaining two during the second. A majority (n=4) of the losses were due to implant fractures, two after 8 years, and two after 17 years. In all, 10 of the original fixed bridges being followed (n=24) remained in function during the entire investigation period, whereas 12 were exchanged for new constructions after an average of 7 years. The mean marginal bone loss at teeth was 0.7 mm, and at implants it was 1.0 mm. The major complication observed during the second decade was veneer material fractures, which occurred 14 times in six patients. Component loosening and abutment- and bridge-locking screw fractures were the second most common problems seen, indicating material/component fatigue. Most patients were satisfied with their treatment and many mentioned that they did not think of the constructions as anything but a part of their own body. Conclusion:, Over the decades, treatment of partially edentulous jaws with turned titanium implants seems to function well and to provide patients with good support for fixed short-span bridge constructions. [source] | |||||||||||||