Joint Biodiversity Management Committees: A Mechanism to Manage and Conserve Eco-Regions
Abstract
1683 9494
Joint Biodiversity Management Committees: A Mechanism to Manage and Conserve Eco-RegionsAbstract
Sasthamkotta Lake eco-region is a freshwater Ramsar site in Kerala, India. Eco-regions are ecologically and geographically defined larger land or water mass areas with a characteristic assemblage of the ecosystem and significant biodiversity. A decentralized and locally self-sustaining mechanism has been achieved in managing this eco-region by a participatory model through a joint Biodiversity Management Committee (jBMC) constitution. BMCs are custodians of the environment, and biodiversity, confined to a village/P [...] 1683 9494 |
Living in an Age of Longevity: Enduring Insights and Perspectives for Embarking on a Quest for Health and Well-Being in Later LifeAbstract
While increases in life expectancy along with extended longevity can be seen as a success story, there remains the central issue surrounding the health and quality of life for increasing numbers of older people. As populations live longer the idea that older people should be empowered to remain active and productive citizens will be paramount. Questions concerning the meaningfulness, purpose and desirability of living longer present an existential challenge for all and sundry. It is clear, that the speed of populat [...] 1683 12910 |
Mindfulness in Well-Being, Cognition and Learning: Benefits on Higher Education and Health-Care ProfessionsAbstract
Mindfulness is a form of meditation that can be defined as one’s ability to be present to the surroundings and environment, and not overreact to what is happening around us. With the recent pandemic still affecting the world, more studies have recently become known describing the suitability of mindfulness to prevent and manage mental health. This fact alone offers grounds for mindfulness practices to be added to any stressful environment, including Institutions of higher education and the workforce. Even more, min [...] 1682 15460 |
Acute Care Decision-Making for Patients with Advanced Dementia: An Exploratory Study Using Cognitive Task AnalysisAbstract
Decision-making by medical and health care staff forms the core of professional practice. Thought processes, including non-clinical considerations, significantly impact how clinical decisions are made. Such considerations become more relevant when addressing end-of-life care decisions for patients with advanced dementia (PAD). Though palliative care is recommended for this population, its implementation tends to vary. Given the medical staff’s significant influence in guiding clinical decisions, we examined thought [...] 1681 11041 |
Effects of Acupuncture at the Left Weizhong Acupoint on Heart Rate Variability in Thirty Post-Stroke Patients—Results from a Transcontinental Teleacupuncture Studyby
Abstract
(1) Background: Within this study, we assessed the effects of acupuncture on heart rate variability (HRV) in Chinese post-stroke patients.
(2) Methods: In 30 Chinese post-stroke patients (14 f, 16 m; mean age ± SD 64.3 ± 3.8 years; range 40 - 80 years) electrocardiographic signals before, during and after acupuncture at the left Weizhong acupoint (BL40) were recorded in Harbin and analyzed in Graz using teleacupuncture via internet. HRV data were analyzed in the time and frequency domain and a protoco [...] 1681 9368 |
The Relation between Environmental Risk Analysis and the Use of Nanomaterials in the Built Environment Sector: A Circular Economy PerspectiveAbstract
Nowadays, the challenge of climate change and “ecological transition” is substantially an “energy challenge” for every city, which is supposed to become as “energetically self-sufficient” as possible. The construction sector is one of the main contributors to the effects of climate change, starting from the production of materials to the use phase of buildings to their demolition. Recent innovations in sustainable/circular design are related to using “new materials." According to this perspective, nanomaterials are [...] 1680 9335 |
Impact of COVID-19 Lockdowns and Australian Bushfires on Aerosol Loading over the Downwind Oceanic Regionsby
Abstract
Nearly 40 years of aerosol optical thickness (AOT) climate data record (CDR) from AVHRR satellite observations over the global ocean is used to study the impact of COVID-19 lockdowns and Australian bushfires on aerosol loading over downwind oceanic regions. Recent similar impact studies, by contrast, were mainly focused on the urban and suburban areas near the emission sources. AOT is used as a proxy for aerosol loading in our study. We found that AOT variations due to anthropogenic emission reduction during the lo [...] 1679 10331 |
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 10801 |
Prediction of Wind Loadings on Offshore Wind Turbines Using CFDAbstract
Analysing the structural response of offshore wind turbines (OWTs) requires a robust method to estimate environmental loadings associated with extreme weather conditions. This study aimed to accurately predict wind loadings on a non-rotating OWT using a Computational Fluid Dynamics (CFD) code, Ansys Fluent package. The inlet velocity boundary condition was defined as a uniform inlet wind speed and then as a Normal Wind Profile (NWP). Three large wind speeds of 25 m/s, 40 m/s and 50 m/s were tested with the aid of t [...] 1677 12487 |
Evolution in the Management of Invasive Fungal Infections in Liver Transplant RecipientsAbstract
Invasive fungal infections (IFI) remain an important cause of morbidity and mortality, especially in hospitalized and immunocompromised or critically ill patients. The incidence of IFIs has been declining in liver transplant recipients (LTR). This is likely due to the evolving immunosuppressive drug regimens, improved surgical techniques and targeted antifungal prophylaxis. However, IFI still contribute to high mortality and are associated with high economic burden due to consumption of costly newer antifungal agen [...] 1677 10254 |
Aging in A Changing World – the Impact of Social Contact and Physical Activity on Health-Related Quality among Older People from Austria – A Biological PerspectiveAbstract
Background: All over the world we are confronted with an absolute and relative increase in the proportion of older people. In order to develop strategies to keep older people healthy and independent as long as possible, analyses of factors influencing health related quality of life (HRQL) during old age are necessary. The aim of this review is to present the results of three projects carried out in Austria by the author focusing on the impact of social contact and physical activity on HRQL.
Methods: The standardize [...] 1676 10419 |
Application of Microfluidic Biochips for Human Islet TransplantationAbstract
In this review, we discuss the application of microfluidic devices in studying the physiology and pathophysiology of human islets and beta-cells, especially its application for human islet transplantation. Human islet transplantation is a promising therapy for Type I diabetes; however, the islet transplant outcomes for achieving complete insulin independence are far from perfect and face many challenges. This review focuses on the microfluidic devices developed in our laboratory, which can address these challenges [...] 1675 11480 |
Glial Alterations in Aging and Alzheimer’s Disease: A Novel Basis to Understand, Prevent and Treat the Degenerative ProcessAbstract
Neurons, from the time of their birth until their death, are always accompanied by neuroglial cells, maintaining very close morphological and functional relationships among themselves. Classically three main neuroglial families have been considered within the central nervous system (CNS): astroglia, oligodendroglia, and microglia. However, using morphological and immuno-cytochemical criteria, several different types/subtypes of neuroglial cells have been identified, each exerting specific physiological and patholog [...] 1672 10453 |
Effect of 12 Months of Oral Exercise on the Oral Function of Older Japanese Adults requiring CareAbstract
Objective: The present study aimed to elucidate the relationship between oral exercise and oral function among older adults requiring care in the nursing facilities of Japan. Methodology: The subjects were adults aged 65 years or above, requiring care and admitted to the nursing facilities for older adults in Japan. The subjects performed the assigned oral exercises, which included the exercises focused on the neck, shoulder, upper limbs, tongue, lips, cheek movement, vocalization, and deep breathing, in groups und [...] 1671 10717 |
Screening Before We Know: Radical Uncertainties in Expanded Prenatal Geneticsby
Abstract
In this article, we discuss the radical uncertainties unleashed by expanded prenatal genetics. We show how we are now routinely screening fetuses in the absence of two essential sorts of information. At the population level, we do not have sound, unbiased data about the prevalence, penetrance, and clinical variability of most mutations. At the level of the proband, it is often too soon to discern relevant information about the fetus’ phenotype. First, we outline the longstanding ethical objections to newborn screen [...] 1669 11039 |
Epstein-Barr Virus and Helicobacter pylori as Two Main Risk Factors in Gastric Cancerby
Abstract
Microbial and viral pathogens have emerged as key contributors to cancer development. Research conducted in the last twenty years has significantly enhanced our comprehension of the cancer-causing capabilities of infectious agents. An illustrative instance is gastric cancer (GC), which is closely associated with Helicobacter pylori (H. pylori) and Epstein-Barr virus (EBV) infections, with approximately 90% of non-cardia GC cases attributed to H. pylori infection and around 10% linked to EBV. Despite significant res [...] 1669 9144 |
Maximizing the Benefit of Respite for Dementia Caregivers: A Study Protocol Describing the Development & Evaluation of the Time for Living & Caring (TLC) Interventionby
Abstract
Dementia caregivers are susceptible to adverse physical and mental health outcomes, given the often prolonged and challenging care and support they provide to family members with Alzheimer’s Disease and Related Dementias (ADRD). This report describes a community-engaged implementation of a novel behavioral intervention - an “app” (interactive website) called TLC (Time for Living and Caring) that coaches caregivers on how to maximize the benefits associated with respite time. The rationale and features of the TLC in [...] 1668 8765 |
Melatonin Aggravated Oxaliplatin-Mimicking Sinusoidal Obstruction Syndrome: Role of Platelet Aggregation and Oxidative StressAbstract
Background: Sinusoidal obstruction syndrome is caused by an injury to the liver induced either by accidental ingestion of pyrrolizidine alkaloid monocrotaline or by chemotherapeutic drug oxaliplatin used for the treatment of colorectal cancer. Sinusoidal obstruction syndrome is characterized by rounding and swelling of the sinusoidal endothelial cell, which leads to obstruction of blood vessels, leukocyte infiltration, and oxidative stress. Melatonin, a powerful antioxidant, prevents acute liver injury. We investig [...] 1667 47655 |
Antibody-Based Preparative Regimens for Cell, Tissue and Organ TransplantationAbstract
The ability to successfully transplant cells and organs from a donor into an immunologically disparate recipient is one of the greatest treatment advances in the history of medicine. Nevertheless, acute and chronic rejection, graft versus host disease, and the inability to identify suitable donors continue to be challenges and limit broader application of cell and organ transplantation to the many patients that could benefit. Immunosuppression before and after allogeneic transplant has been found to dramatically im [...] 1667 14486 |
|
Open Access Short Communication Reconstruction of Aberrant Left Hepatic Artery in Orthotopic Liver Transplantation – Single Center Experienceby
Abstract
One of the most feared complications in liver transplantation is hepatic arterial thrombosis (HAT). The incidence of HAT in liver transplantation varies from 1.2% and 8%. One of the risk factors for this complication is anatomical complexity of hepatic arterial system. The focus of this short communication is to show our approach in dealing with aberrant left hepatic artery in settings of liver transplantation. This is a single center experience. Between January 2016 and June 2019, we procured and transplanted 357 [...] 1665 10888 |
Organ System Bleeding in the PLADO TrialAbstract
In the multi-institutional platelet dose trial (PLADO Trial), there were 1,077 hematology/oncology patients ≥18 years of age who received at least one platelet transfusion. These patients were analyzed for types and severity of organ system bleeding based on baseline patient characteristics, laboratory assays, primary diagnosis, and type of treatment. Patients were randomly assigned to receive one of three different prophylactic platelet doses for morning platelet counts of ≤10 × 109 /L. Daily assessmen [...] 1665 10139 |
Research Progress in Enhancing Proton Conductivity of Sulfonated Aromatic Polymers with ZIFs for Fuel Cell ApplicationsAbstract
The escalating global temperatures and their adverse effects underscore the growing imperative for the widespread adoption of clean fuels, notably hydrogen. Proton Exchange Membrane Fuel Cells (PEMFC) emerge as a pivotal green energy technology, facilitating electricity and water generation. The optimization of PEMFC efficiency hinges on the judicious selection and fabrication of polymer membranes. Within innovative materials, Zeolitic Imidazolate Frameworks (ZIFs) represent a novel subclass within the expansive fa [...] 1663 12170 |
Kidney Transplantation during the COVID-19 Pandemic: From Past through Present Time of Emerging Vaccineby
Abstract
The novel coronavirus disease 2019 (COVID-19) pandemic has significantly impacted kidney transplantation worldwide. The rate of kidney transplantation decreased during the peak of the COVID-19 pandemic, especially living donor kidney transplantation. Kidney transplant recipients are at high risk of developing severe complications from COVID-19 due to underlying comorbidities and immunosuppressed status. Management of immunosuppression, including the induction therapy and maintenance immunosuppressive regimen, has b [...] 1662 12838 |
Preimplantation Genetic Screeningby
Abstract
The main aim of PGS has always been to improve IVF outcome, especially in patient groups assumed to have higher rates of chromosomally abnormal embryos, such as patients of advanced maternal age. In that sense, PGS is quite different from other types of screening as discussed in other papers in this issue.Today it bears no doubt that blastocysts found to be uniformly aneuploid in a biopsy will fail to implant, or worse, will implant and lead to a pregnancy and birth carrying a major chromosomal abnormality, such as [...] 1661 9266 |
Mediterranean Cropping Systems: The Importance of Their Economic and Environmental Sustainabilityby
Abstract
The COVID-19 pandemic has drastically changed the lives of people, as well as the production and economic systems throughout the world. The flow of raw materials and products, the supply of labor and manpower, and the purchasing power have all been changed to the detriment of individual health and well-being. Such a situation requires placing even more emphasis on the search for virtuous agricultural systems compatible with the goals of economic and environmental development so clearly defined at the world level in [...] 1660 11597 |
Tuberculosis Screening and Treatment in Solid Organ TransplantationAbstract
Background: Tuberculosis (TB) is a common infection with challenges in diagnosis and treatment. Management of TB in solid organ transplant (SOT) candidates and recipients poses unique challenges not seen in other populations. Questions and Recommendations: Latent TB infection (LTBI) is important to diagnose pre-transplant through history, physical examination, imaging, and laboratory tests. Tuberculin skin tests and interferon-gamma release assays are important tools but not sufficiently sensitive nor specific to d [...] 1660 12645 |
Abiotic Stress: Interplay Between ROS Production and Antioxidant Machinery, Signaling, and ROS HomeostasisAbstract
Climate change poses a substantial threat to global crop yield. Moreover, crop production is likely to reduce in the near future because of increasing average temperatures, widespread extreme climate events, and the loss of agricultural land. Abiotic stresses are the major factors limiting the growth and development of various crops worldwide. They cause the buildup of reactive oxygen species (ROS), which leads to cellular damage in a variety of subcellular compartments in plants. The metabolic rate of ROS is criti [...] 1659 11371 |
Simultaneous Localization and Mapping (SLAM) for Route Reversal Learningby
Abstract
Background: In this paper, we describe the design of a virtual environment (VE) using Simultaneous Localization and Mapping (SLAM) to scan and replicate a real environment (RE) in a virtual domain. Compared to using a CAD software, SLAM allows for the replication of an RE quite easily and quickly. Methods: To test the user’s performance in a SLAM-based VE, we developed an immersive virtual reality setup using a specialized wheelchair (VRNChair) and a head mounted display (Oculus Rift DK2), and employed a knowledge [...] 1659 11697 |
Quantum Chemistry Estimation of Adhesion Strength of Hydroxyapatite with Titanium SubstrateAbstract
One of the ways to improve the fusion of an implant with bone tissue is through the use of biocompatible coatings, in particular, hydroxyapatite (HAp). It is important to assess the strength of the HAp adhesion to the implant. The measure of the strength of the bond of the coating with the substrate is the energy of this bond. Using density functional theory and molecular dynamics, the reaction path, reaction products, oscillation frequency, activation energy and bond energy between different combinations of compon [...] 1659 10246 |
Evolution of Enzyme Requirements for Human Islet IsolationAbstract
Islet transplantation is becoming an established treatment option for managing a subset of adult patients who have type 1 diabetes mellitus. The success of this procedure is dependent upon the recovery of a sufficient number of functional human islets from donor organs for subsequent transplant. Here, the use of optimized bacterial collagenase-neutral protease enzyme mixtures has been shown to affect the yield and quality (defined by viability and glucose-stimulated insulin secretion) of islets recovered from human [...] 1659 23359 |
Alemtuzumab Treatment Leads to Delayed Recovery of T Follicular Regulatory Cells, and May Therefore Predispose Patients to de novo Donor-Specific Antibody FormationAbstract
Background: T follicular helper (Tfh) and regulatory (Tfr) cells are key players in the formation of long-lived antibody responses. Their circulating counterparts, cTfh and cTfr, are often used as biomarkers because longitudinal sampling of secondary lymphoid tissues is unfeasible in clinical studies. This is the first study to track cTfh and cTfr cells following therapeutic lymphocyte depletion with alemtuzumab, an anti-CD52 monoclonal antibody, to infer the influence of this treatment on the germinal centre respo [...] 1659 10301 |
Design Guidelines to Reduce Extrinsic Fall Risks in the Built EnvironmentAbstract
As people age, environments supporting changing needs can potentially impact their quality of life. Aging often leads to a decrease in the ability of people to interpret sensory cues within their environment. Using Pastalan's Empathic Model as a framework, a list of guidelines for the physical environment was established to address the extrinsic risk factors affecting falls. Attention to these items may not prevent all falls but will mitigate some of the external risks that cause falls for older adults.
It is the g [...] 1658 12801 |
Establishing and Evaluating a Multidisciplinary Community-Based Sleep Clinic for Children with Neurodevelopmental Difficulties in Inner LondonAbstract
We describe our experience of setting up and evaluating a community-based multi-disciplinary sleep service for children with neurodevelopmental disorders and psychosocial vulnerabilities.Referrals are accepted for children (1-18 years of age) with persistent sleep problems, and neurodevelopmental difficulties or significant psychosocial adversity, living in two inner-city boroughs.Holistic sleep assessment involves 1-hour Paediatrician-led consultation, often followed by Psychologist-led parent workshop, with follo [...] 1658 9545 |
Effects of a One-Week Intensive Wellness Camp on Dietary Behaviors among Southwest American Indian Youthby
Abstract
American Indians (AI) suffer the highest rates of diabetes in the United States (US); a chronic disease that is increasingly prevalent among AI children and is associated with increased risk of cancer. A summer camp was developed to improve disease risk-reducing behaviors, including diet, among AI youth in Arizona. The aim of this study was to examine the efficacy of a one-week intensive summer health camp conducted from 2016 to 2019 on change in dietary behaviors and compliance for Dietary Guidelines for Americans [...] 1658 8994 |
Single-Center Outcomes of Heart Transplantation in Patients with Pulmonary Hypertension Bridged with Mechanical Circulatory Supportby
Abstract
In advanced heart failure, orthotopic heart transplantation (OHT) remains the standard for definitive treatment. Patients with heart failure and concomitant pulmonary hypertension (PH) represent a challenging subgroup, with poor outcomes following OHT. Recently, Mechanical Circulatory Support (MCS) devices have been utilized as a bridge to OHT for these patients. Patients with MCS devices who underwent OHT were evaluated at a single center. Patients were stratified into three groups, depending on baseline pulmonary [...] 1657 9148 |
Exploring the Paradox of Care: Differences in Older Adult and Proxy Ratings of Health and Subjective Well-BeingAbstract
Background: The purpose of this study was to examine discrepancies in self-proxy agreement of biopsychosocial factors and the influence of objective well-being and psychosocial resources self and proxy appraisals of subjective well-being in older adults. Methods: Seventy-two older adult-proxy dyads rated the biopsychosocial health of non-cognitively impaired older adults. Results: Proxies underestimated functional ability, psychosocial factors, and overrated negative health outcomes compared to older adults. Older [...] 1656 10896 |
Effects of Inorganic and Organic Amendments on the Predicted Bioavailability of As, Cd, Pb and Zn in Kitchen Garden Soilsby
Abstract
Moderately contaminated garden soils can benefit from gentle remediation options such as soil amendments, which improve soil functions and agronomic potentialities while decreasing environmental and human risk. This study aimed to analyze the effects of doses of various common soil amendments generally applied by gardeners on the predicted bioavailability (i.e., extractability) of metal(loid)s (i.e., As, Cd, Pb, and Zn) in contaminated kitchen garden soils. Fourteen different amendment mixes (i.e., a green waste co [...] 1655 12632 |
An Evaluation of a Community-Based Psychoeducation Program for Successful Ageingby
Abstract
Background: The increasing numbers and proportion of the ageing population make it essential to develop and evaluate programs to meet the needs of older adults to empower them to age actively, healthily and successfully. Consequently, positive ageing programs have been developed and the need to evaluate their outcomes is essential. This study used mixed methods to evaluate cognitive and behavioural changes and to monitor psychological health and active ageing in participants of a longstanding positive ageing psycho [...] 1655 11798 |
Study of Hydrogen Embrittlement in Pipelines and Nuclear Power Plants: Estimates for DurabilityAbstract
Due to the increasing need to further develop the world gas and oil industry and the increased public attention to clean energy sources, studying and preventing Hydrogen Induced Cracking is one of the main safety concerns in nuclear power plants, oil pipelines and platforms. In this article, the growth and incubation times for internal Hydrogen Induced Cracks (HIC) are examined. Specifically, these times are modeled in two separate phases - the first phase (I) is a long time approximation, when the crack growth is [...] 1655 10560 |
Pharmacological Management of Spontaneous Intracerebral Hemorrhage in Older AdultsAbstract
Pharmacological management of intracerebral hemorrhage in adult patients over 65 years of age requires special considerations due to differing clinical presentations, underlying organ dysfunction, and more complex medical histories and medication profiles. A literature review of articles focusing on the age-specific pharmacological management of intracerebral hemorrhage was conducted. Treatment approaches and clinical outcomes specific to older adults were evaluated and therapeutic considerations for this populatio [...] 1654 13275 |
Assessment of AAR and Sulfate Attack on Wadi Gravel Concrete after 4 Years in ServiceAbstract
Wadi gravel is a local aggregate in Qatar that could contribute to enhanced sustainability by replacing expensive imported gabbro. The material needs to be processed before use to reduce sulfate content to acceptable levels. The paper presents the performance assessment of three full-scale buildings, variously made with 50% and 100% Wadi gravel and conventional gabbro concretes. Site monitoring up to four years in service demonstrated the strength development with age and resistance to the aggressive exposure condi [...] 1654 15702 |
Missing Voices and Aging in Prison: Religiosity’s Influence on Positive Aging through Forgivenessby
Abstract
Background: This study investigated the influence of positive psychological predictors, religiosity and forgiveness, on subjective and objective successful aging outcomes among incarcerated males. Methods: Male prison inmates (N=261), aged 45 to 82 and incarcerated in eight state-managed correctional facilities, were sampled from the prison census database (Oklahoma Department of Corrections or DOC). Exclusion criteria, per the Oklahoma DOC, were those housed in medical or psychiatric units, currently in solitary c [...] 1651 11696 |
Evaluation of Pyrolysis Products of Industrial Wastes as Potential Feedstocks for Bioenergy and BiofuelsAbstract
This work aimed at evaluating all products from the low-temperature pyrolysis (350°C) of some industrial wastes, cotton stems and seeds (CSS), grape husks and curls (GRH), undigested sewage sludge (USS) and their blends in a fixed bed system and suggesting their possible applications. Solid and liquid products, biochars, and bio-oils were analyzed using various techniques by physicochemical, mineralogical, and chemical analyses. Gases were qualitatively and quantitatively analyzed using a thermogravimetric-mass [...] 1649 7998 |
Using Health-Related Quality of Life (SF-36v2®) to Predict Falls in Community-Dwelling Older Adultsby
Abstract
Background: Falls are the leading cause of hospitalization and death among older adults; therefore, the ability to predict fall risk among older adults is critical. Several performance-based outcome measures exist to assess fall risk. Psychological factors are also associated with fall risk yet can be difficult to assess and are often overlooked. In this study, we investigated whether the Short Form 36 Item Health Survey (SF-36v2®), a measure of health-related quality of life (HRQOL), predicted future falls in [...] 1648 11150 |
An Overview of Osteoporosis ManagementAbstract
Osteoporosis is one of the most common disorders around the world. Osteoporotic fracture especially hip fracture are associated with an increased mortality rate in elders. However, elders with osteoporosis or at high risk of fractures remain largely underdiagnosed and undertreated. The screening, diagnosis, and treatment of osteoporosis must be improved to maintain pace with its fast-growing prevalence. This review will cover risk factors of osteoporosis, screening and diagnosis tools, newfound advancements, curren [...] 1648 13713 |
Anti-HLA Antibodies in Lung TransplantationAbstract
(1) Background: Lung transplantation is an increasingly utilized treatment for end-stage lung disease. Scarcity of organ donors limiting transplantation underscores the importance of optimal histocompatibility testing approaches to facilitate organ allocation and avoid immunologic rejection. Significant data has emerged over the past decade to define the role of alloantibodies against HLA in the pathogenesis of post-lung transplant complications. (2) Methods: Medical literature from 1996–2016 related to search term [...] 1648 14340 |
Therapeutic Apheresis in Prevention and Treatment of Antibody-Mediated Rejection of Renal AllograftsAbstract
Antibody-mediated rejection represents a significant barrier to favorable long-term outcomes after kidney transplantation and remains the most common cause of allograft failure. Therapeutic apheresis techniques are commonly used, in combination with other treatments such as immunosuppressive drugs, in the pre-transplant and post-transplant protocols for the prevention and treatment of antibody-mediated injury. The rationale is to remove the donor-specific antibodies and the other inflammatory mediators, which inclu [...] 1648 10594 |
FASD and Brain Development: Perspectives on Where We are and Where We Need to Goby
Abstract
Maternal consumption of alcohol (ethanol) during pregnancy can lead to life-long neurobehavioral and cognitive abnormalities in the offspring, collectively referred to as Fetal Alcohol Spectrum Disorders (FASD). Prenatal exposure to ethanol is one of the leading causes of non-genetic intellectual disability and FASD is an umbrella category that includes Fetal Alcohol Syndrome, Partial Fetal Alcohol Syndrome, Alcohol Related Birth Defects, and Alcohol Related Neurodevelopmental Disorder. Children with a history of&n [...] 1647 12058 |
Would I have Wanted to Know? A Qualitative Exploration of Women’s Attitudes, Beliefs and Concerns about Non-Invasive Prenatal Testing for de novo Genetic Conditions after having a Child with a de novo Genetic DisorderAbstract
Non-invasive prenatal testing (NIPT) for a panel of 25 single gene disorders became available in Western Australia in 2020 and potentially may be able to test for panels of hundreds of disorders as is the case with reproductive carrier screening. How this information would be used by parents in a population screening model is unknown. We used a phenomenological approach to explore retrospectively whether mothers of children with single gene or chromosomal disorders would have wanted to know about their child’ [...] 1645 10982 |
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 [...] 1645 10774 |
TOP