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Adewole S Adamson, Elizabeth A Suarez, April R Gorman
Importance: Prescription underuse is associated with poorer clinical outcomes. A significant proportion of underuse is owing to primary nonadherence, defined as the rate at which patients fail to fill and pick up new prescriptions. Although electronic prescribing increases coordination of care and decreases errors, its effect on primary nonadherence is less certain. Objectives: To analyze factors associated with primary nonadherence to dermatologic medications and study whether electronic prescribing affects rates of primary nonadherence...
October 26, 2016: JAMA Dermatology
Helen L May-Simera, Jessica D Gumerson, Chun Gao, Maria Campos, Stephanie M Cologna, Tina Beyer, Karsten Boldt, Koray D Kaya, Nisha Patel, Friedrich Kretschmer, Matthew W Kelley, Ronald S Petralia, Megan G Davey, Tiansen Li
Microtubule actin crosslinking factor 1 (MACF1) plays a role in the coordination of microtubules and actin in multiple cellular processes. Here, we show that MACF1 is also critical for ciliogenesis in multiple cell types. Ablation of Macf1 in the developing retina abolishes ciliogenesis, and basal bodies fail to dock to ciliary vesicles or migrate apically. Photoreceptor polarity is randomized, while inner retinal cells laminate correctly, suggesting that photoreceptor maturation is guided by polarity cues provided by cilia...
October 25, 2016: Cell Reports
Amy E B Packard, Ann E Egan, Yvonne M Ulrich-Lai
Perhaps the most salient behaviors that individuals engage in involve the avoidance of aversive experiences and the pursuit of pleasurable experiences. Engagement in these behaviors is regulated to a significant extent by an individual's hormonal milieu. For example, glucocorticoid hormones are produced by the hypothalamic-pituitary-adrenocortical (HPA) axis, and influence most aspects of behavior. In turn, many behaviors can influence HPA axis activity. These bidirectional interactions not only coordinate an individual's physiological and behavioral states to each other, but can also tune them to environmental conditions thereby optimizing survival...
September 15, 2016: Comprehensive Physiology
Jeffrey L Ardell, John Andrew Armour
Cardiac control is mediated via a series of reflex control networks involving somata in the (i) intrinsic cardiac ganglia (heart), (ii) intrathoracic extracardiac ganglia (stellate, middle cervical), (iii) superior cervical ganglia, (iv) spinal cord, (v) brainstem, and (vi) higher centers. Each of these processing centers contains afferent, efferent, and local circuit neurons, which interact locally and in an interdependent fashion with the other levels to coordinate regional cardiac electrical and mechanical indices on a beat-to-beat basis...
September 15, 2016: Comprehensive Physiology
Christine L Latham, Harsimran Singh, Karen K Ringl
BACKGROUND: A structured peer-mentoring program for diverse nursing students culminated in shared governance meetings between mentors and program coordinators to address mentees' concerns and issues. METHOD: After informed consent, mentees reviewed mentor profiles online and selected mentors. Baseline data were collected on ethnic identity, lifestyle, social support, and academic habits. Outcome data included mentors' self-reflective journal themes and student satisfaction surveys and focus group evaluation of the program...
November 1, 2016: Journal of Nursing Education
Nádia Xavier Moreira, Ludmila Fontenele Cavalcanti, Rodriane de Oliveira Souza
This is a qualitative study based on in-depth interviews, with the aim of analyzing the meanings associated with a social phenomenon, specifically disabilities in the military field. A total of 22 people were interviewed, 3 managers and 19 Brazilian Navy professionals responsible for coordinating, standardizing, enforcing and overseeing the Special Care Program (Programa de Assistência Especial) in Rio de Janeiro. Data was processed using the Interpretation of Meaning Approach, based on the concept of disablement and military habitus...
October 2016: Ciência & Saúde Coletiva
Alyne Leite Gomes Nogueira, Denize Bouttelet Munari, Cinira Magali Fortuna, Leidiene Ferreira Santos
Objective: to analyze the aspects that potentialize groups in Primary Health Care according to their coordinators and participants. Method: This is a descriptive study with a qualitative approach, conducted with a health promotion group affiliated with a Family Health Unit. The data were collected by means of focus groups with participants and community workers who were submitted to thematic content analysis. Results: the analysis gave rise to three thematic categories: The group is our medicine; Healthy living and learning; and Priceless leadership...
September 2016: Revista Brasileira de Enfermagem
Rahul Agrawal, Tina P Dale, Mohammed A Al-Zubaidi, Prit Benny Malgulwar, Nicholas R Forsyth, Ritu Kulshreshtha
MicroRNAs are reported to have a crucial role in the regulation of self-renewal and differentiation of stem cells. Hypoxia has been identified as a key biophysical element of the stem cell culture milieu however, the link between hypoxia and miRNA expression in stem cells remains poorly understood. We therefore explored miRNA expression in hypoxic human embryonic and mesenchymal stem cells (hESCs and hMSCs). A total of 50 and 76 miRNAs were differentially regulated by hypoxia (2% O2) in hESCs and hMSCs, respectively, with a negligible overlap of only three miRNAs...
2016: PloS One
Tsai-Ling Liu, A Sidney Barritt Iv, Morris Weinberger, John E Paul, Bruce Fried, Justin G Trogdon
BACKGROUND: Increasingly, patients with multiple chronic conditions are being managed in patient-centered medical homes (PCMH) that coordinate primary and specialty care. However, little is known about the types of providers treating complex patients with diabetes and compensated cirrhosis. OBJECTIVE: We examined the mix of physician specialties who see patients dually-diagnosed with diabetes and compensated cirrhosis. DESIGN: Retrospective cross-sectional study using 2000-2013 MarketScan® Commercial Claims and Encounters and Medicare Supplemental Databases...
2016: PloS One
Jan Marro, Catherine Pfefferli, Anne-Sophie de Preux Charles, Thomas Bise, Anna Jaźwińska
Zebrafish heart regeneration depends on cardiac cell proliferation, epicardium activation and transient reparative tissue deposition. The contribution and the regulation of specific collagen types during the regenerative process, however, remain poorly characterized. Here, we identified that the non-fibrillar type XII collagen, which serves as a matrix-bridging component, is expressed in the epicardium of the zebrafish heart, and is boosted after cryoinjury-induced ventricular damage. During heart regeneration, an intense deposition of Collagen XII covers the outer epicardial cap and the interstitial reparative tissue...
2016: PloS One
Debodyuti Dutta, Sabyashachi Mishra
In the fight against bacterial infections and antibiotic resistance, the dapE-encoded N-succinyl-L,L-diaminopimelic acid desuccinylase (DapE) is a potentially safe target enzyme. The role of Glu134, His67, and His349 residues in the binding and hydrolysis of N-succinyl-L,L-diaminopimelic acid (SDAP) are investigated by employing MD simulation and hybrid QM/MM calculations of E134D, H67A, and H349A mutants of DapE. The free energy of substrate binding obtained from MM-PBSA approach correctly reproduced the experimentally observed ordering of substrate affinity, i...
October 26, 2016: Journal of Physical Chemistry. B
Ethan P McMoran, Douglas R Powell, Felio Perez, Gerard T Rowe, Lei Yang
A series of copper complexes supported by a simple dipyridylamide ligand (H2pcp) were isolated and characterized. Treatment of H2pcp with NaH and copper(I) salts led to the formation of [Cu2(2pcp)2] (1a) and {Na[(Cu2(2pcp)2)2]PF6}n (1b). The X-ray crystal structures of both complexes feature Cu(I)Cu(I) cores with close Cu···Cu interactions. Electrochemical studies of 1a showed a reversible one-electron oxidation wave in CH2Cl2. On the basis of the work on 1a, we began studying the mixed-valence copper species supported by this ligand...
October 26, 2016: Inorganic Chemistry
C Gunnar Werncke, Mohammed-Amine Bouammali, Julie Baumard, Nicolas Suaud, Cyril Martins, Nathalie Guihéry, Laure Vendier, Jianxia Zheng, Jean-Baptiste Sortais, Christophe Darcel, Sylviane Sabo-Etienne, Jean-Pascal Sutter, Sébastien Bontemps, Céline Pichon
A family of four-coordinate Fe(II) complexes formed with N,N'-chelating amido-pyridine ligands was synthesized, and their magnetic properties were investigated. These distorted tetrahedral complexes exhibit significant magnetic anisotropy with zero-field splitting parameter D ranging between -17 and -12 cm(-1). Ab initio calculations enabled identification of the structural factors that control the nature of the magnetic anisotropy and the rationalization of the variation of D in these complexes. It is shown that a reduced N-Fe-N angle involving the chelating nitrogen atoms of the ligands is at the origin of the negative D value and that the torsion between the two N-Fe-N planes imposed by steric hindrances further increases the |D| value...
October 26, 2016: Inorganic Chemistry
Léa Gustin, Yoshiteru Hosaka, Cédric Tassel, Tomoko Aharen, Yuichi Shimakawa, Hiroshi Kageyama, John B Wiley
Synthesis, characterization, and thermal modification of the new layered perovskite FeLa2Ti3O10 have been studied. FeLa2Ti3O10 was prepared by ion exchange of the triple-layered Ruddlesden-Popper phase Li2La2Ti3O10 with FeCl2 at 350 °C under static vacuum. Rietveld refinement on synchrotron X-ray diffraction data indicates that the new phase is isostructural with CoLa2Ti3O10, where Fe(II) cations occupy slightly compressed/flattened interlayer tetrahedral sites. Magnetic measurements on FeLa2Ti3O10 display Curie-Weiss behavior at high temperatures and a spin-glass transition at lower temperatures (<30 K)...
October 26, 2016: Inorganic Chemistry
Spencer C Peck, Wilfred A van der Donk
This review discusses the current mechanistic understanding of a group of mononuclear non-heme iron-dependent enzymes that catalyze four-electron oxidation of their organic substrates without the use of any cofactors or cosubstrates. One set of enzymes acts on α-ketoacid-containing substrates, coupling decarboxylation to oxygen activation. This group includes 4-hydroxyphenylpyruvate dioxygenase, 4-hydroxymandelate synthase, and CloR involved in clorobiocin biosynthesis. A second set of enzymes acts on substrates containing a thiol group that coordinates to the iron...
October 25, 2016: Journal of Biological Inorganic Chemistry: JBIC
Praveenkumar Sappidi, Upendra Natarajan
The intermolecular structure and solvation enthalpy of anionic polyelectrolyte atactic Na(+)-polyethacrylate (PEA) in aqueous solution, as a function of added salt concentration C s (dilute to concentrated) and valency (NaCl versus CaCl2), were investigated via molecular dynamics simulations with explicit-ion-solvent and atomistic polymer description. An increase in C s leads to a decrease in α, which stabilizes to a constant value beyond critical C s. A significant reduction in R g in the presence of CaCl2 salt was observed, due to ion bridging of PEA by Ca(2+) ions, in agreement with results available in literature on other similar polycarboxylates...
November 2016: Journal of Molecular Modeling
Wyman Chen, Rose Caston, Bijina Balakrishnan, Anwer Siddiqi, Kamalpreet Parmar, Manshu Tang, Merry Feng, Kent Lai
Despite adequate dietary management, patients with classic galactosemia continue to have increased risks of cognitive deficits, speech dyspraxia, primary ovarian insufficiency, and abnormal motor development. A recent evaluation of a new galactose-1 phosphate uridylyltransferase (GALT)-deficient mouse model revealed reduced fertility and growth restriction. These phenotypes resemble those seen in human patients. In this study, we further assess the fidelity of this new mouse model by examining the animals for the manifestation of a common neurological sequela in human patients: cerebellar ataxia...
October 25, 2016: Journal of Inherited Metabolic Disease
Stephen Robert Puntis, Jorun Rugkåsa, Tom Burns
PURPOSE: Providing good continuity of care to patients is considered a vital component of community mental health services, but there is limited evidence that it is associated with good outcomes. We measured service use and a multidimensional concept of continuity of care in 323 patients who were to be discharged from hospital following compulsory treatment for psychosis to investigate the association between continuity and rehospitalisation. METHODS: We conducted a 36-month prospective cohort study of the patients recruited to the Oxford Community Treatment Order Trial (OCTET)...
October 25, 2016: Social Psychiatry and Psychiatric Epidemiology
Mingshun Jiang, Yaozhang Sai, Xiangyi Geng, Qingmei Sui, Xiaohui Liu, Lei Jia
We proposed and studied an impact detection system based on a fiber Bragg grating (FBG) sensor array and multiple signal classification (MUSIC) algorithm to determine the location and the number of low velocity impacts on a carbon fiber-reinforced polymer (CFRP) plate. A FBG linear array, consisting of seven FBG sensors, was used for detecting the ultrasonic signals from impacts. The edge-filter method was employed for signal demodulation. Shannon wavelet transform was used to extract narrow band signals from the impacts...
October 24, 2016: Sensors
Jeffrey G Trost, Lawrence O Lin, Sarah Jane Clark, David Y Khechoyan, Larry H Hollier, Edward P Buchanan
BACKGROUND: Conjoined twins are a rare medical phenomenon that offers a unique challenge for medical professionals. The complex anatomy of conjoined twins dictates their survival and amenability to separation, making each case different in terms of medical management, surgical planning, and patient outcomes. Thoraco-omphalo-ischiopagus twins, joined from the thorax to the pelvis, are one of the rarest orientations recorded in the medical literature, and successful separation of this subset of conjoined twins has not been documented...
November 2016: Plastic and Reconstructive Surgery
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