Toxoplasmosis: “An Often Forgotten Cause for Fever of Unknown Origin in Liver Transplant Recipients”. Case Report and Review of Literature
Abstract
1854 10871
Toxoplasmosis: “An Often Forgotten Cause for Fever of Unknown Origin in Liver Transplant Recipients”. Case Report and Review of LiteratureAbstract
Toxoplasmosis in liver transplantation (LT) is uncommon, especially in the current era of universal prophylaxis with trimethoprim-sulfamethoxazole (TMP-SMX) for Pneumocystis jirovecii pneumonia (PJP). Here we present a case of a 55-year-old woman LT recipient, on dapsone or PJP prophylaxis due to sulfa allergy, who presented on day 25 after LT with fever, diarrhea and abdominal pain. Initially she was diagnosed with cytomegalovirus-associated colitis and was treated with intravenous ganciclovir, with good clinical [...] 1854 10871 |
Therapeutic Effects: The Integration of Creative Arts Therapy in Palliative Careby
Abstract
The University of Colorado Hospital (UCH) implemented a Creative Arts Therapy (CAT) program offering CAT to hospitalized patients as a component of comprehensive palliative care (PC) services. The objective of this pilot program evaluation study was to evaluate short-term effects of CAT on patient symptoms and patient/family perceptions regarding their experience. The sample included adult patients hospitalized in an academic medical center who were seen by the Palliative Care Consult Service (PCCS) between October [...] 2050 10868 |
An Approach to Fungal Diagnostics in Solid Organ Transplantationby
Abstract
The approach to diagnosing fungal infections following solid organ transplantation (SOT) is patient-specific. An assessment of an individual’s risk for particular infections, also understood as the pre-test probability, should guide appropriate diagnostic testing whereas diagnostic stewardship is needed to produce interpretable, actionable and cost-sensitive results. This review provides a cognitive framework for practitioners aiming to diagnose fungal infections in recipients of SOT, taking into consideration the [...] 1642 10863 |
Mauss and Organ Transplants: Ideas of Connectivity between Recipients and Donors and the “Spirit of the Gift”Abstract
This article aims to describe the relationship between donors and their recipients in the context of organ transplants. This analysis is made in the light of Marcel Mauss’s work, offering an expansion on an analysis of his discussion on the “spirit of the gift” and his idea that gifts require reciprocation. It is argued that some recipients of donated organs receive a personal element from the donor in that there is a transfer or sharing of the donors’ personality and spiritual qualities. The article examines the n [...] 2019 10854 |
An Analysis of Thermal Comfort in a School’s Outdoor Space: A Case Study of a Typical School, Dubai, UAEAbstract
Outdoor school spaces are significant, as they provide great opportunities for outdoor exploration, leading to the overall enhancement of a student’s well-being. This paper analyzes the outdoor school spaces in Dubai to optimize them and ensure their thermal comfort. To achieve this aim, using a mixed methodology approach of survey, field observation, workshops and ENVI-met V5.3 software simulation, the existing outdoor spaces were analyzed and then enhanced using several proposed heat mitigation strategies. The im [...] 1160 10852 |
Recruiting Perinatal Fathers to Interventions and Research: A Conceptual Model of Engagement and Integrative Review of Barriers Encountered and Strategies UsedAbstract
The perinatal period represents a unique developmental window for families and an opportunity to reach and engage fathers in research and preventive interventions. The distinctiveness of this period stems from the changes and stressors that parents experience which affect their openness to enroll in interventions (e.g., adaptive parenting, physical and mental health, relationship skills, and economic self-sufficiency) and participate in research. While long understudied, paternal research in the perinatal period ha [...] 1596 10842 |
Sporadic and Hereditary Hemangioblastoma: The Role of Endothelial Cellsby
Abstract
Hemangioblastomas (HBs) are benign, highly vascularized tumors of the central nervous system. Approximately 75% of HBs are sporadic, while 25% are associated with von Hippel–Lindau (VHL) disease. HBs consist of two main components: a rich capillary network composed of vascular endothelia and pericytes, within large vacuolated stromal cells, which harbor the genetic defect. The mechanism by which the VHL gene product (pVHL) causes HB is not completely clear. Wild-type pVHL is involved in the response to hypoxia, tar [...] 1615 10830 |
The Relationship between Sleep Quality and Eating Competence in A Sample of Canadian Post-Secondary StudentsAbstract
Background: Post-secondary students are at increased risk for sleep problems and poor eating behaviours that overtime may lead to negative health outcomes later in life. However, limited research has examined associations of sleep quality with eating behaviours and eating competence (e.g., being positive, flexible, and comfortable with eating and getting enough enjoyable and nutritious foods) among Canadian post-secondary students.
Methods: Using a cross-sectional study design, participants completed an online surv [...] 1840 10830 |
Qualitative Evaluation of Interdisciplinary Service Learning Experience to Assess and Manage Fall Risk in Community-Dwelling Older Adultsby
Abstract
Aim: The purpose of this study was to evaluate faculty and student perceptions of a fall risk assessment and prevention activity for older adults offered in multiple community settings by health professional faculty and students.
Background: In the US, the percentage of adults 65 and older who fell was more than 29% in 2018. Among states, Arkansas ranks 48th with 35.2% of older adults reporting a fall (CDC Behavioral Risk Factor Surveillance System, 2018).
Methods: Four senior centers in Northwest Arkansas hosted a [...] 1784 10828 |
The Impact of Allograft CXCL9 during Respiratory Infection on the Risk of Chronic Lung Allograft Dysfunctionby
Abstract
Background: The long term clinical significance of respiratory infections after lung transplantation remains uncertain. Methods: In this retrospective single-center cohort study of 441 lung transplant recipients, we formally evaluate the association between respiratory infection and chronic lung allograft dysfunction (CLAD). We furthermore hypothesized that bronchoalveolar lavage fluid (BALF) CXCL9 concentrations are augmented during respiratory infections, and that episodes of infection with elevated BALF CXCL9 ar [...] 1619 10824 |
Effects of a Six-Week Progressive Resistance Training Program on Functional Fitness among Community-Dwelling Older AdultsAbstract
Research has indicated that older adult participation in resistance training provides foundational strength for performance of activities of daily living. The purpose of this study was to investigate the effects of a six-week progressive resistance training intervention on functional fitness among community-dwelling older adults. From 2010–2015, twelve sessions of a six-week resistance training intervention included 95 community-dwelling older adult participants (37 male, 58 female; Mage=73.5+7.2). Resistance [...] 2081 10820 |
What Is Outdoor Therapy? A New Name for an Old Therapeutic Practiceby
Abstract
Humans are integrally connected to, yet in many ways disconnected from, nature. Across cultures, nature has been celebrated and revered in religion, traditions, rituals and community connectedness. While unfavorable conditions in nature can cause harm, closer contact with nature has been shown to reduce stress, strengthen immune systems, and improve mental health and physical wellbeing. This paper briefly describes outdoor therapies and a range of nature-based interventions assisting practitioners in serving their [...] 916 10814 |
From Ovarian Development to Folliculogenesis: Essential Networks Sustaining the Ovarian ReserveAbstract
In the last four decades, transgenic and knockout mouse models have helped to understand the mechanisms of mammalian sex determination, germ cell development, and adult gonad functions. We have gained crucial insights into molecular factors and pathways of the cells generating either the supporting gonadal cells or germ cells of both sexes. In this review, we highlighted some of the main gene networks and regulatory mechanisms involved in the plasticity of sex-determining pathways that help to establish a functiona [...] 1356 10813 |
Differential Effects of Social Network on Health in Later Life and the Moderating Role of Depressionby
Abstract
Background: Differential effects of the characteristics of social network on limitations with activities (LWA) and the quality of life (QOL) among older adults, and the moderating role of depression were studied.
Methods: The data obtained from two consecutive waves of the Survey of Health, Aging, and Retirement in Europe (SHARE) was examined.
Results: Emotional closeness, satisfaction with the social network, and contact frequency were able to predict the QOL and not LWA. Moreover, depression was observed to moder [...] 1501 10811 |
Surface Treatment of Flexible Barrier Film for Improved Stability of Organic Photovoltaic Mini Modulesby
Abstract
The lifetime and stability of organic photovoltaics (OPVs) are the key factors that influence the technology used to scale up and commercialize OPVs. High-performing and reliable devices are used to fabricate the devices of choice. Materials and methods that can be used to prevent the degradation of organic materials, enabling better OPV applications, are being increasingly researched in recent years. Herein, we present the surface modification process of a commercial, flexible barrier film based on polyethylene te [...] 1679 10808 |
Feasibility of a Perinatal Mindfulness-Based Intervention Delivered Remotely Due to COVID-19by
Abstract
Mind-body interventions have shown promise for improving prenatal mental health. The purpose of this study was to investigate the feasibility of a prenatal mind-body intervention delivered remotely due to COVID-19 and preliminary efficacy with respect to mental health outcomes. This study used a simultaneous mixed methods approach (n = 27). Mixed methods data were collected to evaluate the feasibility and preliminary efficacy of the remotely delivered program (I.e., acceptability, practicality, demand, sustainabili [...] 1707 10807 |
Airborne Interindividual Transmission of Pneumocystis jiroveciiAbstract
Pneumocystis pneumonia (PCP) is the most frequent AIDS-defining disease among HIV-infected individuals in developed countries, and also affects immunocompromised non-HIV patients. Experimental studies on rodent models carried out in the early eighties have shown that Pneumocystis spp. can be transmitted via the airborne route. Unfortunately, this mode of acquisition and transmission has long been overlooked by physicians because PCP in immunosuppressed patients was considered to result from reactivation of a latent [...] 1975 10805 |
Avoiding the Technological Imperative: Criteria for Genetic Screening Programsby
Abstract
Genetic screening is the process of systematically evaluating a defined population for genetic conditions or predispositions, in the hope of providing benefit to those with a positive result. With advances in sequencing technology, genetic screening is moving from phenotype-based to genotype-based testing. Although sequencing technology offers expanded opportunities for early identification of disease, the availability of a suitable and acceptable test is not a sufficient justification to proceed: established crite [...] 2017 10799 |
Innovation in Skin Regeneration: Novel Approaches with β-1,3/1,6-Glucan-Based Treatmentsby
Abstract
Skin regeneration is a multidisciplinary topic that involves plastic surgery, aesthetics, and dermatology. In the last few years, several molecules have been used to prevent or delay the skin aging process. Recently, promising investigations on novel β-1,3/1,6-glucan-based treatments, associated with sodium hyaluronate, have demonstrated the induction of a naïve biological stimulus in soft tissues. Serum Revitalizing Face (Lot 00118a0051 of 11/19/2018 approved by the Italian Ministry of Health as a Medical Device-C [...] 1739 10798 |
A Wind Turbine Emulator Using Field-Oriented Induction MotorAbstract
This paper proposes a Wind Turbine Emulator (WTE) using an Indirect Field Oriented (IFO) Induction Motor (IM). The IM drive can be controlled as a conventional prime mover in speed mode, or a wind turbine in torque-speed mode via robust observed torque control. This paper presents key issues for establishing a high-performance IFO IM drive. Further, this study develops a wind turbine load Interior Permanent-Magnet Synchronous Generator (IPMSG) followed by a three-phase Vienna Switch-Mode Rectifier (SMR). It receive [...] 2001 10797 |
Allostatic Mechanism of Mind-Body Medicine for NeuroinflammationAbstract
Chronic inflammatory diseases are the most significant cause of death in the world and entail severe impairment to quality of life. The World Health Organization (WHO) ranks chronic inflammatory diseases as the greatest threat to human health and wellbeing. Inflammation is epicentral to many clinical conditions and symptoms, and it is anticipated that the health, economic, and mortality burdens associated with chronic inflammation will steadily increase in the United States over the next 30 years. An inflammatory m [...] 1831 10792 |
Do Social Isolation and Loneliness Kill People with Alzheimer's Disease?by
Abstract
Patients with AD have shortened life expectancy than the general older population is well established. Loneliness may be another risk factor to consider if we wish to understand and improve the premature mortality of AD. 1646 10791 |
Analysis of Interpersonal Relationships of Social Network Users Using Explainable Artificial Intelligence MethodsAbstract
The emergence of the social networking phenomenon and the sudden spread of the coronavirus pandemic (COVID-19) around the world have significantly affected the transformation of the system of interpersonal relations, partly shifting them towards virtual reality. Online social networks have greatly expanded the boundaries of human interpersonal interaction and initiated processes of integration of different cultures. As a result, research into the possibilities of predicting human behavior through the characteristic [...] 1514 10786 |
Empirical Examination of Caregiving Processes and Outcomes among Adult Siblings of Individuals with Intellectual and Developmental DisabilitiesAbstract
Background: Most individuals with disabilities in the US live in family settings; in some families, siblings are default long-term support providers. Although researchers have explored the roles of parent caregivers, the roles of sibling caregivers need attention.
Methods: In this study, we examined caregiving processes and outcomes among 322 adult sibling support providers (SSPs) with a range of support roles. Adapting a model of caregiving outcomes, we used structural equation modeling to assess relationships amo [...] 1650 10784 |
Genetic Variants of Targetable Cancer-related Genes in Vestibular Schwannomasby
Abstract
Background: Vestibular schwannoma is an intracranial tumor which can lead to devastating neurological deficit and is prone to recurrence after surgery. Patients with inherited neurofibromatosis type 2 (NF2) syndrome are particularly susceptible to bilateral and aggressive schwannomas. However, the genome of vestibular schwannomas is not well known. There is an imminent need of developing effective chemotherapeutic agents either as a primary treatment modality or as adjuvant therapy for these patients. Methods: Here [...] 2098 10783 |
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