bluuebunny/crossref_metadata_2025 huggingface dataset:
Attitudes toward statistics in medical postgraduates: measuring, evaluating and monitoring
Authors: Zhang Yuhai , Shang Lei , Wang Rui , Zhao Qinbo , Li Chanjuan , Xu Yongyong , Su Haixia
Published: November 2012

Background

In medical training, statistics is considered a very difficult course to learn and teach. Current studies have found that students’ attitudes toward statistics can influence their learning process. Measuring, evaluating and monitoring the changes of students’ attitudes toward statistics are important. Few studies have focused on the attitudes of postgraduates, especially medical postgraduates. Our purpose was to understand current attitudes regarding statistics held by medical postgraduates and explore their effects on students’ achievement. We also wanted to explore the influencing factors and the sources of these attitudes and monitor their changes after a systematic statistics course.

Methods

A total of 539 medical postgraduates enrolled in a systematic statistics course completed the pre-form of the Survey of Attitudes Toward Statistics −28 scale, and 83 postgraduates were selected randomly from among them to complete the post-form scale after the course.

Results

Most medical postgraduates held positive attitudes toward statistics, but they thought statistics was a very difficult subject. The attitudes mainly came from experiences in a former statistical or mathematical class. Age, level of statistical education, research experience, specialty and mathematics basis may influence postgraduate attitudes toward statistics. There were significant positive correlations between course achievement and attitudes toward statistics. In general, student attitudes showed negative changes after completing a statistics course.

Conclusions

The importance of student attitudes toward statistics must be recognized in medical postgraduate training. To make sure all students have a positive learning environment, statistics teachers should measure their students’ attitudes and monitor their change of status during a course. Some necessary assistance should be offered for those students who develop negative attitudes.
IL-1β promotes stemness and invasiveness of colon cancer cells through Zeb1 activation
Authors: Li Yijing , Wang Lei , Pappan Loretta , Galliher-Beckley Amy , Shi Jishu
Published: November 2012

Background

IL-1β is a pleiotropic pro-inflammatory cytokine and its up-regulation is closely associated with various cancers including gastrointestinal tumors. However, it remains unclear how IL-1β may contribute to the initiation and development of these inflammation-associated cancers. Here we investigated the role of IL-1β in colon cancer stem cell (CSC) development.

Methods

Using self-renewal assay, soft-agar assay, invasion assay, real-time PCR analysis, immunoblot assay and shRNA knockdown, we determined the effects of IL-1β on cancer stem cell development and epithelial-mesenchymal transition (EMT) in human primary colon cancer cells and colon cancer cell line HCT-116.

Results

We found that IL-1β can increase sphere-forming capability of colon cancer cells in serum-free medium. IL-1β-induced spheres displayed an up-regulation of stemness factor genes (Bmi1 and Nestin) and increased drug resistance, hallmarks of CSCs. Importantly, expression of EMT activator Zeb1 was increased in IL-1β-induced spheres, indicating that there might be a close association between EMT and IL-1β-induced CSC self-renewal. Indeed, IL-1β treatment led to EMT of colon cancer cells with loss of E-cadherin, up-regulation of Zeb1, and gain of the mesenchymal phenotype. Furthermore, shRNA-mediated knockdown of Zeb1 in HCT-116 cells reversed IL-1β-induced EMT and stem cell formation.

Conclusion

Our findings indicate that IL-1β may promote colon tumor growth and invasion through activation of CSC self-renewal and EMT, and Zeb1 plays a critical role in these two processes. Thus, IL-1β and Zeb1 might be new therapeutic targets against colon cancer stem cells.
Identification of the HDL-ApoCIII to VLDL-ApoCIII ratio as a predictor of coronary artery disease in the general population: The Chin-Shan Community Cardiovascular Cohort (CCCC) study in Taiwan
Authors: Chang Po-Yuan , Lee Chii-Ming , Hsu Hsiu-Ching , Lin Hung-Ju , Chien Kuo-Liong , Chen Ming-Fong , Chen Chu-Huang , Lee Yuan-Teh , Yang Chao-Yuh
Published: November 2012

Background

Apolipoprotein (Apo) levels are considered more reliable than plasma lipoprotein levels for predicting coronary artery disease (CAD). However, a unanimous Apo marker for CAD has not been identified. In the Chin-Shan Community Cardiovascular Cohort (CCCC), we sought to identify a common Apo marker for predicting CAD in the general population.

Methods

We examined the cross-sectional association between Apo markers and CAD in the CCCC from 1990 to 2001. Among 3,602 subjects, 90 had angiographically proven CAD (>50% stenosis in ≥1 vessel), and 200 did not have CAD. These subjects were divided into the following 4 groups for analysis: normolipidemic (total cholesterol [TC] <200 mg/dL, triglyceride [TG] <150 mg/dL), hypertriglyceridemic (TC <200 mg/dL, TG ≥150 mg/dL), hypercholesterolemic (TC ≥200 mg/dL, TG <150 mg/dL), and hyperlipidemic (TC ≥200 mg/dL, TG ≥150 mg/dL).

Results

Compatible with findings in other populations, our results showed that CAD patients in the CCCC had higher ApoB and lower high-density lipoprotein (HDL) cholesterol and ApoAI concentrations than non-CAD subjects, but the differences were not significant in all groups. Plasma concentrations of ApoE and lipoprotein (a) were not consistently correlated with CAD. In contrast, the ratio of HDL-ApoCIII to very-low-density lipoprotein (VLDL)-ApoCIII was the only universal determinant for CAD in the normolipidemic group (P=0.0018), the hypertriglyceridemic group (P=0.0001), the hypercholesterolemic group (P=0.0001), and the hyperlipidemic group (P=0.0001). Overall, a high HDL-ApoCIII/VLDL-ApoCIII ratio was observed in all CAD patients, including those with a normal lipid profile. In multivariate analyses, the HDL-ApoCIII/VLDL-ApoCIII ratio was the strongest predictor for CAD among all lipid factors investigated (odds ratio, 2.04; 95% confidence interval, 1.46–2.84; P<0.0001).

Conclusions

A high HDL-ApoCIII to VLDL-ApoCIII ratio is a better marker for predicting CAD than are the conventional lipid markers or ApoAI and ApoB. High HDL-ApoCIII and low VLDL-ApoCIII values in CAD, irrespective of lipid variations, suggest that ApoCIII is markedly transported from VLDL to HDL in this disease. Measurement of plasma ApoCIII may improve CAD prediction in the general population.
Inflammatory events during murine squamous cell carcinoma development
Authors: Gasparoto Thais Helena , de Oliveira Carine Ervolino , de Freitas Luisa Thomazini , Pinheiro Claudia Ramos , Ramos Rodrigo Nalio , da Silva André Luis , Garlet Gustavo Pompermaier , da Silva João Santana , Campanelli Ana Paula
Published: November 2012

Background

Squamous cell carcinoma (SCC) is one of the most common human cancers worldwide. In SCC, tumour development is accompanied by an immune response that leads to massive tumour infiltration by inflammatory cells, and consequently, local and systemic production of cytokines, chemokines and other mediators. Studies in both humans and animal models indicate that imbalances in these inflammatory mediators are associated with cancer development.

Methods

We used a multistage model of SCC to examine the involvement of elastase (ELA), myeloperoxidase (MPO), nitric oxide (NO), cytokines (IL-6, IL-10, IL-13, IL-17, TGF-β and TNF-α), and neutrophils and macrophages in tumour development. ELA and MPO activity and NO, IL-10, IL −17, TNF-α and TGF-β levels were increased in the precancerous microenvironment.

Results

ELA and MPO activity and NO, IL-10, IL −17, TNF-α and TGF-β levels were increased in the precancerous microenvironment. Significantly higher levels of IL-6 and lower levels of IL-10 were detected at 4 weeks following 7,12-Dimethylbenz(a)anthracene (DMBA) treatment. Similar levels of IL-13 were detected in the precancerous microenvironment compared with control tissue. We identified significant increases in the number of GR-1+ neutrophils and F4/80+/GR-1- infiltrating cells in tissues at 4 and 8 weeks following treatment and a higher percentage of tumour-associated macrophages (TAM) expressing both GR-1 and F4/80, an activated phenotype, at 16 weeks. We found a significant correlation between levels of IL-10, IL-17, ELA, and activated TAMs and the lesions. Additionally, neutrophil infiltrate was positively correlated with MPO and NO levels in the lesions.

Conclusion

Our results indicate an imbalance of inflammatory mediators in precancerous SCC caused by neutrophils and macrophages and culminating in pro-tumour local tissue alterations.
FGF-9 accelerates epithelial invagination for ectodermal organogenesis in real time bioengineered organ manipulation
Authors: Tai Yun-Yuan , Chen Rung-Shu , Lin Yi , Ling Thai-Yen , Chen Min-Huey
Published: November 2012

Background

Epithelial invagination is important for initiation of ectodermal organogenesis. Although many factors regulate ectodermal organogenesis, there is not any report about their functions in real-time study. Electric cell-substrate impedance sensing (ECIS), a non-invasive, real-time surveillance system, had been used to detect changes in organ cell layer thickness through quantitative monitoring of the impedance of a cell-to-microelectrode interface over time. It was shown to be a good method for identifying significant real-time changes of cells. The purpose of this study is to establish a combined bioengineered organ-ECIS model for investigating the real time effects of fibroblast growth factor-9 (FGF-9) on epithelial invagination in bioengineered ectodermal organs. We dissected epithelial and mesenchymal cells from stage E14.5 murine molar tooth germs and identified the real-time effects of FGF-9 on epithelial-mesenchymal interactions using this combined bioengineered organ-ECIS model.

Results

Measurement of bioengineered ectodermal organ thickness showed that Fibroblast growth factor-9 (FGF-9) accelerates epithelial invagination in reaggregated mesenchymal cell layer within 3 days. Gene expression analysis revealed that FGF-9 stimulates and sustains early Ameloblastin and Amelogenin expression during odontogenesis.

Conclusions

This is the first real-time study to show that, FGF-9 plays an important role in epithelial invagination and initiates ectodermal organogenesis. Based on these findings, we suggest FGF-9 can be applied for further study in ectodermal organ regeneration, and we also proposed that the ‘FGF-BMP balancing system’ is important for manipulating the morphogenesis of ectodermal organs. The combined bioengineered organ-ECIS model is a promising method for ectodermal organ engineering and regeneration research.
Highly enhanced gas sensing in single-walled carbon nanotube-based thin-film transistor sensors by ultraviolet light irradiation
Authors: Chen Tingting , Wei Liangming , Zhou Zhihua , Shi Diwen , Wang Jian , Zhao Jiang , Yu Yuan , Wang Ying , Zhang Yafei
Published: November 2012

Single-walled carbon nanotube (SWCNT) random networks are easily fabricated on a wafer scale, which provides an attractive path to large-scale SWCNT-based thin-film transistor (TFT) manufacturing. However, the mixture of semiconducting SWCNTs and metallic SWCNTs (m-SWCNTs) in the networks significantly limits the TFT performance due to the m-SWCNTs dominating the charge transport. In this paper, we have achieved a uniform and high-density SWCNT network throughout a complete 3-in. Si/SiO2 wafer using a solution-based assembly method. We further utilized UV radiation to etch m-SWCNTs from the networks, and a remarkable increase in the channel current on/off ratio (I
on/I
off) from 11 to 5.6 × 103 was observed. Furthermore, we used the SWCNT-TFTs as gas sensors to detect methyl methylphosphonate, a stimulant of benchmark threats. It was found that the SWCNT-TFT sensors treated with UV radiation show a much higher sensitivity and faster response to the analytes than those without treatment with UV radiation.
Characterization of monoclonal antibodies against waterfowl parvoviruses VP3 protein
Authors: Yin Xiuchen , Zhang Shumei , Gao Youlan , Li Jinzhe , Tan Shuyi , Liu Hongyu , Wu Xiaoying , Chen Yuhuan , Liu Ming , Zhang Yun
Published: November 2012

Background

The VP3 protein of goose parvovirus (GPV) or Muscovy duck parvovirus (MDPV), a major structural protein, can induce neutralizing antibodies in geese and ducks, but monoclonal antibodies (MAbs) against VP3 protein has never been characterized.

Results

Three hybridoma cell lines secreting anti-GPV VP3 MAbs were obtained and designated 4A8, 4E2, and 2D5. Immunoglobulin subclass tests differentiated them as IgG2b (4A8 and 4E2) and IgG2a (2D5). Dot blotting assays showed that three MAbs reacted with His-VP3 protein in a conformation-independent manner. A competitive binding assay indicated that the MAbs delineated two epitopes, A and B of VP3. Immunofluorescence assay showed that MAbs 4A8, 4E2, and 2D5 could specifically bind to goose embryo fibroblast cells (GEF) or duck fibroblast cells (DEF) infected with GPV and MDPV. Dot blotting also showed that the MAbs recognized both nature GPV and MDPV antigen. Western blotting confirmed that the MAbs recognized VP3 proteins derived from purified GPV and MDPV particles. The MAbs 4A8 and 2D5 had universal reactivity to heterologous GPV and MDPV tested in an antigen-capture enzyme-linked immunosorbent assay.

Conclusions

Preparation and characterization of these the MAbs suggests that they may be useful for the development of a MAb-capture ELISA for rapid detection of both GPV and MDPV. Virus isolation and PCR are reliable for detecting GPV and MDPV infection, but these procedures are laborious, time-consuming, and requiring instruments. These diagnosis problems highlight the ongoing demand for rapid, reproducible, and automatic methods for the sensitive detection of both GPV and MDPV infection.
Acupuncture at local and distant points for tinnitus: study protocol for a randomized controlled trial
Authors: Shi Guang-Xia , Han Li-Li , Liu Li-Ying , Li Qian-Qian , Liu Cun-Zhi , Wang Lin-Peng
Published: November 2012

Background

Tinnitus is the perception of a sound in the absence of an objective physical source. Up to now, there is no generally accepted view how these phantom sounds come about, and also no efficient treatment. Patients are turning to complementary or alternative medical therapies, such as acupuncture. Based on the theory of traditional Chinese medicine, acupoints located on both the adjacent and distal area of the disease can be needled to treat disease. Furthermore, the way of combining acupoints is for strengthening the curative effect. We aim to evaluate the efficacy of acupuncture at local points in combination with distal points in subjective tinnitus patients.

Method

This trial is a randomized, single-blind, controlled study. A total of 112 participants will be randomly assigned to one of four treatment groups receiving acupuncture treatment for 4 weeks. The primary outcome measure is subjective tinnitus loudness and annoyance perception, which is graded using the Visual Analogue Scale (VAS). The assessment is at baseline (before treatment initiation), 4 weeks after the first acupuncture session, and 8 weeks after the first acupuncture session.

Discussion

Completion of this trial will help to identify whether acupuncture at local acupoints in combination with distal acupoints may be more effective than needling points separately.

Trial registration

International Standard Randomized Controlled Trial Number Register: ISRCTN29230777
Dosimetric comparison of intensity modulated radiotherapy and three-dimensional conformal radiotherapy in patients with gynecologic malignancies: a systematic review and meta-analysis
Authors: Yang Baojuan , Zhu Lin , Cheng Haiyan , Li Qi , Zhang Yunyan , Zhao Yashuang
Published: November 2012

Background

To quantitatively evaluate the safety and related-toxicities of intensity modulated radiotherapy (IMRT) dose–volume histograms (DVHs), as compared to the conventional three-dimensional conformal radiotherapy (3D-CRT), in gynecologic malignancy patients by systematic review of the related publications and meta-analysis.

Methods

Relevant articles were retrieved from the PubMed, Embase, and Cochrane Library databases up to August 2011. Two independent reviewers assessed the included studies and extracted data. Pooled average percent irradiated volumes of adjacent non-cancerous tissues were calculated and compared between IMRT and 3D-CRT for a range of common radiation doses (5-45Gy).

Results

In total, 13 articles comprised of 222 IMRT-treated and 233 3D-CRT-treated patients were included. For rectum receiving doses ≥30 Gy, the IMRT pooled average irradiated volumes were less than those from 3D-CRT by 26.40% (30 Gy, p = 0.004), 27.00% (35 Gy, p = 0.040), 37.30% (40 Gy, p = 0.006), and 39.50% (45 Gy, p = 0.002). Reduction in irradiated small bowel was also observed for IMRT-delivered 40 Gy and 45 Gy (by 17.80% (p = 0.043) and 17.30% (p = 0.012), respectively), as compared with 3D-CRT. However, there were no significant differences in the IMRT and 3D-CRT pooled average percent volumes of irradiated small bowel or rectum from lower doses, or in the bladder or bone marrow from any of the doses. IMRT-treated patients did not experience more severe acute or chronic toxicities than 3D-CRT-treated patients.

Conclusions

IMRT-delivered high radiation dose produced significantly less average percent volumes of irradiated rectum and small bowel than 3D-CRT, but did not differentially affect the average percent volumes in the bladder and bone marrow.
Genetic basis of penicillin resistance of S. aureus isolated in bovine mastitis
Authors: Bagcigil Arzu Funda , Taponen Suvi , Koort Joanna , Bengtsson Björn , Myllyniemi Anna-Liisa , Pyörälä Satu
Published: November 2012

Background

The blaZ gene encoding penicillin resistance can be located either chromosomally or on plasmids. The aim of this study was to investigate the genetic relationships and to determine the location of the blaZ gene in S. aureus isolated in bovine mastitis in Finland and Sweden.

Methods

Seventy-eight β-lactamase positive S. aureus isolates from bovine mastitis (34 from Finland and 44 from Sweden) were included in the study. The localization of blaZ gene was determined by Southern blotting. The blaZ genes of the isolates were sequenced and the sequences were translated to beta-lactamase proteins and further grouped as different protein signatures. The isolates and, as control, 33 Swedish and 36 Finnish beta-lactamase negative isolates were typed with pulsed-field gel electrophoresis (PFGE).

Results

In 26 out of 34 Finnish isolates (76.5%) and in 25 out of 44 Swedish isolates (56.8%) the blaZ gene was localized on a plasmid. Six different protein signatures were found. One signature was found only in four Swedish isolates, but all other signatures were found both in Finnish and Swedish isolates. The PFGE results revealed a diversity of S. aureus clones. The protein signatures were not clearly associated with certain pulsotypes.

Conclusions

The plasmid location of the blaZ gene was not statistically significantly more common in Finland than in Sweden, and hence does not explain the higher proportion of penicillin-resistant isolates of S. aureus causing bovine mastitis in Finland compared to Sweden.
Development and experimental test of support vector machines virtual screening method for searching Src inhibitors from large compound libraries
Authors: Han Bucong , Ma Xiaohua , Zhao Ruiying , Zhang Jingxian , Wei Xiaona , Liu Xianghui , Liu Xin , Zhang Cunlong , Tan Chunyan , Jiang Yuyang , Chen Yuzong
Published: November 2012

Background

Src plays various roles in tumour progression, invasion, metastasis, angiogenesis and survival. It is one of the multiple targets of multi-target kinase inhibitors in clinical uses and trials for the treatment of leukemia and other cancers. These successes and appearances of drug resistance in some patients have raised significant interest and efforts in discovering new Src inhibitors. Various in-silico methods have been used in some of these efforts. It is desirable to explore additional in-silico methods, particularly those capable of searching large compound libraries at high yields and reduced false-hit rates.

Results

We evaluated support vector machines (SVM) as virtual screening tools for searching Src inhibitors from large compound libraries. SVM trained and tested by 1,703 inhibitors and 63,318 putative non-inhibitors correctly identified 93.53%~ 95.01% inhibitors and 99.81%~ 99.90% non-inhibitors in 5-fold cross validation studies. SVM trained by 1,703 inhibitors reported before 2011 and 63,318 putative non-inhibitors correctly identified 70.45% of the 44 inhibitors reported since 2011, and predicted as inhibitors 44,843 (0.33%) of 13.56M PubChem, 1,496 (0.89%) of 168 K MDDR, and 719 (7.73%) of 9,305 MDDR compounds similar to the known inhibitors.

Conclusions

SVM showed comparable yield and reduced false hit rates in searching large compound libraries compared to the similarity-based and other machine-learning VS methods developed from the same set of training compounds and molecular descriptors. We tested three virtual hits of the same novel scaffold from in-house chemical libraries not reported as Src inhibitor, one of which showed moderate activity. SVM may be potentially explored for searching Src inhibitors from large compound libraries at low false-hit rates.
Myometrial cavernous hemangioma with pulmonary thromboembolism in a post-partum woman: a case report and review of the literature
Authors: Bhavsar Tapan , Wurzel John , Duker Nahum
Published: November 2012

Introduction

Cavernous hemangiomas of the uterus are rare benign vascular lesions. Nine cases of diffuse cavernous hemangioma of the gravid uterus have been reported, most of which diffusely involved the myometrium. These vascular malformations are clinically significant, and may cause pronounced bleeding resulting in maternal or fetal demise. Thrombosis of cavernous hemangiomas of the uterus has been previously reported. We here report the first case in which a thrombosed cavernous hemangioma of the myometrium resulted in a fatal pulmonary embolism in a post-partum woman.

Case presentation

A 25-year-old obese African-American woman who had one pregnancy and was delivered of twins by cesarean section was admitted 1 week after the successful delivery. The 12-day clinical course included ventilator-dependent respiratory failure, systemic hypertension, methicillin-resistant Staphylococcus aureus in the sputum, leukocytosis and asystole. A transabdominal ultrasound examination showed heterogeneous thickened and irregular products in the endometrial canal. The laboratory values were relevant for an increased prothrombin time, activated partial thromboplastin time, ferritin and a decrease in hemoglobin. The clinical cause of death was cited as acute respiratory distress syndrome. At autopsy, a 400g spongy, hemorrhagic uterus with multiple cystic spaces measuring approximately 0.5 × 0.4cm filled with thrombi within the myometrium was identified. Immunohistological examination with a CD31 stain for vascular endothelium associated antigen confirmed several endothelium-lined vessels, some of which contained thrombi. These histological features were consistent with cavernous hemangioma of the myometrium. A histological examination of the lungs revealed multiple fresh thromboemboli in small- and medium-sized pulmonary arteries in the right upper and lower lobes without organization, but with adjacent areas of fresh hemorrhagic infarction.

Conclusion

This case underscores the importance of a high index of suspicion in a pregnant or post-partum woman presenting with respiratory symptoms. Thrombosis of the cavernous hemangiomas of the gravid or post-partum uterus is a rare entity. This case is of interest because it indicates that this condition can be fatally complicated by embolization of the thrombi in the cavernous myometrial hemangiomas. Although delivery by conservative methods, as well as cesarean section, is possible without resorting to hysterectomy, occasionally, the consequences could be fatal as in this case.
Ovarian dysgerminoma and synchronic contralateral tubal pregnancy followed by normal intra-uterine gestation: a case report
Authors: Montesinos Lourdes , Acién Pedro , Martínez-Beltrán Monserrat , Mayol María-José
Published: November 2012

Introduction

We report that the coincidence of ovarian tumor and pregnancy poses significant challenges that are more pronounced if the pregnancy is ectopic.

Case presentation

Here, we report a rare and interesting case of a 24-year-old nulliparous Spanish woman who experienced the coincidental occurrence of left tubal pregnancy and dysgerminoma in the right ovary. The corpus luteum settled in the right ovary. A right adnexectomy and left linear salpingostomy were performed. Remarkably, our patient became pregnant spontaneously after surgery. The pregnancy occurred prior to starting chemotherapy, and the intra-uterine pregnancy was carried to term; later, she also had another normal pregnancy. Our patient has done well without chemotherapy.

Conclusions

Our report on the challenges of diagnosis and treatment faced in this case can help clinicians better understand and manage these pathologies. We have not found any similar cases in the literature.
Religion, spirituality and mental health: results from a national study of English households
Authors: King Michael , Marston Louise , McManus Sally , Brugha Terry , Meltzer Howard , Bebbington Paul
Published: November 2012

Background

Religious participation or belief may predict better mental health but most research is American and measures of spirituality are often conflated with well-being.

Aims

To examine associations between a spiritual or religious understanding of life and psychiatric symptoms and diagnoses.

Method

We analysed data collected from interviews with 7403 people who participated in the third National Psychiatric Morbidity Study in England.

Results

Of the participants 35% had a religious understanding of life, 19% were spiritual but not religious and 46% were neither religious nor spiritual. Religious people were similar to those who were neither religious nor spiritual with regard to the prevalence of mental disorders, except that the former wereless likely to have ever used drugs (odds ratio (OR)=0.73, 95% CI 0.60-0.88) or be a hazardous drinker (OR=0.81, 95% CI 0.69-0.96). Spiritual people were more likely than those who were neither religious nor spiritual to have ever used (OR = 1.24, 95% CI 1.02-1.49) or be dependent on drugs (OR = 1.77, 95% CI 1.20-2.61), and to have abnormal eating attitudes (OR = 1.46, 95% Cl 1.10-1.94), generalised anxiety disorder (OR =1.50, 95% Cl 1.09-2.06), any phobia (OR = 1.72, 95% CI 1.07-2.77) or any neurotic disorder (OR = 1.37, 95% CI 1.12-1.68). They were also more likely to be taking psychotropic medication (OR = 1.40, 95% CI 1.05-1.86).

Conclusions

People who have a spiritual understanding of life in the absence of a religious framework are vulnerable to mental disorder.
Drop out from out-patient mental healthcare in the World Health Organization's World Menta Health Survey initiative
Authors: Wells J. Elisabeth , Browne Mark Oakley , Aguilar-Gaxiola Sergio , Al-Hamzawi Ali , Alonso Jordi , Angermeyer Matthias C. , Bouzan Colleen , Bruffaerts Ronny , Bunting Brendan , Caldas-de-Almeida José Miguel , De Girolamo Giovanni , De Graaf Ron , Florescu Silvia , Fukao Akira , Gureje Oye , Hinkov Hristo Ruskov , Hu Chiyi , Hwang Irving , Karam Elie G. , Kostyuchenko Stanislav , Kovess-Masfety Viviane , Levinson Daphna , Liu Zhaorui , Medina-Mora Maria Elena , Nizamie S. Haque , Posada-Villa José , Sampson Nancy A. , Stein Dan J. , Viana Maria Carmen , Kessler Ronald C.
Published: November 2012

Background

Previous community surveys of the drop out from mental health treatment have been carried out only in the USA and Canada.

Aims

To explore mental health treatment drop out in the World Health Organization World Mental Health Surveys.

Method

Representative face-to-face household surveys were conducted among adults in 24 countries. People who reported mental health treatment in the 12 months before interview (n = 8482) were asked about drop out, defined as stopping treatment before the provider wanted.

Results

Overall, drop out was 31.7%: 26.3% in high-income countries, 45.1% in upper-middle-income countries, and 37.6% in low/ lower/middle-income countries. Drop out from psychiatrists was 21.3% overall and similar across country income groups (high 20.3%, upper-middle 23.6%, low/lower-middle 23.8%) but the pattern of drop out across other sectors differed by country income group. Drop out was more likely early in treatment, particularly after the second visit.

Conclusions

Drop out needs to be reduced to ensure effective treatment.
Metformin in Obese Children and Adolescents: The MOCA Trial
Authors: Kendall D. , Vail A. , Amin R. , Barrett T. , Dimitri P. , Ivison F. , Kibirige M. , Mathew V. , Matyka K. , McGovern A. , Stirling H. , Tetlow L. , Wales J. , Wright N. , Clayton P. , Hall C.
Published: November 2012

Context:

Childhood obesity is increasingly associated with type 2 diabetes (T2D). Metformin reduces the risk for T2D in adult obese nondiabetic patients, but the evidence in obese children and young people is inconclusive.

Objective:

The objective of the study was to assess the effect of metformin on body mass index sd score (BMI-SDS), metabolic risk factors, and adipokines.

Design:

This was a prospective, randomized, double-blind, placebo-controlled trial.

Setting:

The study was conducted at six pediatric endocrine centers in the United Kingdom.

Participants:

One hundred fifty-one obese children and young people with hyperinsulinemia and/or impaired fasting glucose or impaired glucose tolerance (metformin: 74, placebo: 77). The study was comprised of 67.5% females, 65.6% postpubertal individuals, and 23.8% British Asian or Afro-Caribbean participants. The age range was 8–18 yr, the mean age was 13.7 (sd 2.3) yr, and the mean BMI-SDS was +3.4 (sd 0.5).

Interventions:

The intervention included metformin 1 g in the morning and 500 mg in the evening vs. placebo for 6 months.

Main Outcome Measure:

The main outcome measure was a reduction in BMI-SDS at 6 months. Secondary outcomes included insulin and glucose levels from oral glucose tolerance tests, alanine aminotransferase (ALT), and adiponectin to leptin ratio (ALR) at 3 and 6 months.

Results:

Metformin was associated with a significant reduction in BMI-SDS compared with placebo at 6 months [mean difference −0.1 sd (95% confidence interval −0.18 to −0.02), P = 0.02]. Significant improvements at 3 months were found in the metformin group: fasting glucose, −0.16 mmol/liter (−0.31 to −0.00), P = 0.047; ALT, 19% (5–36%), P = 0.008; and ALR, 32% (4–67%), P = 0.02.

Conclusions:

Metformin therapy has a beneficial treatment effect over placebo for BMI-SDS, fasting glucose, ALT, and ALR ratio at 3 months, with changes in BMI-SDS sustained at 6 months.
Rho signalling restriction by the RhoGAP Stard13 integrates growth and morphogenesis in the pancreas
Authors: Petzold Kristin M. , Naumann Heike , Spagnoli Francesca M.
Published: November 2012

The development of functional organ architecture relies on coordinated morphogenesis and growth. In the developing pancreas, the branching epithelium is organised in discrete domains, delineating one specific domain of progenitor cells at the tip of the branches. The molecular mechanisms underlying the coordinated action of branching and proliferation in organ formation are largely unknown. Here, we identify the RhoGAP protein Stard13 as an essential regulator of pancreas tissue architecture in the mammalian embryo. Conditional ablation of Stard13 expression in the pancreas disrupts epithelial morphogenesis and tip-domain organisation, resulting in hampered proliferation of tip progenitors and subsequent organ hypoplasia. Stard13 acts by regulating Rho signalling spatially and temporally during pancreas development. Our findings provide new insights into the mechanisms that shape pancreatic epithelium to create a mature organ and establish a functional link between Rho-mediated control of epithelial remodelling and organ size determination, involving reciprocal interaction of actin-MAL/SRF and MAPK signalling pathways.
Auxin controls petal initiation in Arabidopsis
Authors: Lampugnani Edwin R. , Kilinc Aydin , Smyth David R.
Published: November 2012

Floral organs are usually arranged in concentric whorls of sepals, petals, stamens and carpels. How founder cells of these organs are specified is unknown. In Arabidopsis, the PETAL LOSS (PTL) transcription factor functions in the sepal whorl, where it restricts the size of the inter-sepal zone. Genetic evidence suggests that PTL acts to support a petal initiation signal active in the adjacent whorl. Here we aimed to characterise the signal by identifying enhancers that disrupt initiation of the remaining petals in ptl mutants. One such enhancer encodes the auxin influx protein AUX1. We have established that auxin is a direct and mobile petal initiation signal by promoting its biosynthesis in the inter-sepal zone in ptl mutant plants and restoring nearby petal initiation. Consistent with this, loss of PTL function disrupts DR5 expression, an auxin-inducible indicator of petal-initiation sites. The signalling network was extended by demonstrating that: (1) loss of RABBIT EARS (RBE) function apparently disrupts the same auxin influx process as PTL; (2) the action of AUX1 is supported by AXR4, its upstream partner in auxin influx; (3) polar auxin transport, which is controlled by PINOID (PID) and PIN-FORMED1 (PIN1), functions downstream of PTL; and (4) the action of pmd-1d, a dominant modifier of the ptl mutant phenotype, is dependent on auxin transport. Thus, loss of PTL function disrupts auxin dynamics, allowing the role of auxin in promoting petal initiation to be revealed.
Hexamethoxytribenzocoronene, a Janus Double Concave Molecule to Selectively Assemble with Fullerene C60
Authors: Li Zhongtao , Hu Zhengpeng , Chen Xing , Zhang Yinping , Zhang Jianmin
Published: November 2012

Hexamethoxytribenzocoronene, which has an asymmetric “double-concave” structure, is prepared. Assisted by toluene, the molecule selectively interacts with fullerenes through one of two specific faces, leading to a well-defined 3D structure in the solid state.
A Coumarin-based Fluorescence Sensor for the Reversible Detection of Thiols
Authors: Cho A Young , Choi Kihang
Published: November 2012

A coumarin derivative with a cyanoacrylamide electrophile was prepared and used for fluorescence sensing of thiols. Thiol addition to the electrophile proceeded in a reversible manner so that the compound displayed fluorescence emission depending on thiol concentrations. Dissociation constants of the thiol addition products are in the mM ranges, which are similar to cellular thiol concentrations.
Organic Sensitizers Including π-Conjugated Fluorene–Benzothiadiazole Bridge for Dye-sensitized Solar Cells
Authors: Kimura Mutsumi , Karasawa Masayoshi , Sasagawa Naoki , Takemoto Keisuke , Goto Ryota , Mori Shogo
Published: November 2012

A series of novel amphiphilic fluorene–benzothiadiazole-bridged organic sensitizers (coded as MR dyes) were designed for dye-sensitized solar cells (DSSCs). The DSSCs based on MR-2 and MR-3 exhibited power conversion efficiencies of 3.7 and 4.0% under one-sun condition.
Study of a protected catchment basin: analyses of anthropogenic radionuclides
Authors: Leclercq Amélie , Philippini Violaine , Michel Hervé , Lavonen Tiina-Leena , Ansoborlo Eric , Den Auwer Christophe , Barci Vittorio , Solari Pier Lorenzo , Barci-Funel Geneviève
Published: November 2012

Natural samples of soil, sediment and natural water were collected in the “Parc National du Mercantour” in France. Soil and sediment samples were studied to better understand the behaviors of radionuclides (RNs) in different natural compartments. Considering 137Cs and 241Am activities in depth (measured by α- and γ-spectrometries), two types of sediment profiles can be distinguished depending on the origin (Chernobyl accident or atmospheric nuclear weapon tests). Due to difficulties in modeling the dispersion of those RNs in natural samples, even in a protected area, semi-synthetic studies were conducted. Eu(III) was used as an analogue of Am(III). Eu behavior in water was studied by EXAFS and compared to speciation diagrams drawn in similar chemical conditions. Eu is mainly complexed by carbonate and phosphate ions. The mean Eu-O distance (2.46 Å) obtained by EXAFS is in agreement with predominant solid species determined by speciation diagrams and previous published studies.
Scanning Probe Microscopy of Bacterial Red Light Photoreceptors
Authors: Tobias Fernando G. , Gawedzka Anna , Goldmeier Max S. , Sakols Alexandra C. , Stojković Emina A. , Tsonchev Stefan , Nicholson Kenneth T.
Published: November 2012

Bacteriophytochromes (Bphs) are red-light photoreceptors found in photosynthetic and non-photosynthetic bacteria that have been engineered into infrared fluorescent protein markers. Bphs are composed of a photosensory module that is covalently linked to an effector/regulatory module, usually a histidine kinase (HK) domain. Light-induced, global structural changes are proposed to originate within the covalently attached biliverdin chromophore, a linear tetrapyrrole, and propagate through the protein. Bphs undergo reversible photoconversion between two distinct red and far-red light absorbing states, denoted Pr and Pfr respectively. For most Bphs, Pr is the dark-adapted state. The energy dissipated during Pr/Pfr photoconversion is proposed to directly impact the infrared fluorescence quantum yield. At this time, only structures of three different Bphs have been published, all of truncated proteins in their respective dark-adapted states. We have utilized scanning probe microscopy (SPM) to investigate the structure of intact Bphs in the light-adapted state in order to gain new insight into the mechanism of photoconversion and fluorescence. Scanning tunneling microscopy (STM) analysis of a pair of Bphs from photosynthetic bacterium R. palustris, RpBphP2 (P2) and RpBphP3 (P3) in their light-adapted states is presented in these proceedings. The concentration of the depositing protein has a key role in the molecular arrangements observed on the highly-ordered pyrolytic graphite (HOPG) surface. For example, at a high protein concentration, a hexagonal lattice of Bphs is observed by STM on a HOPG surface. Upon dilution, the photoreceptors self-organize into fiber-like structures on the surface. In these fibers, the dimer interface and the individual domains of the Bphs can be assigned and directly compared to a structural model of the intact, full-length proteins. In summary, SPM has potential to be an effective method for gaining new insight into Bph structure and dynamics.
Distributed Multiscale Simulations of Clay-Polymer Nanocomposites
Authors: Suter James , Groen Derek , Kabalan Lara , Coveney Peter V.
Published: November 2012

The mechanical enhancement of polymers when clay nanoparticles are dispersed within it depends on factors over various length scales; for example, the orientation of the clay platelets in the polymer matrix will affect the mechanical resistance of the composite, while at the shortest scale the molecular arrangement and the adhesion energy of the polymer molecules in the galleries and the vicinity of the clay-polymer interface will also affect the overall mechanical properties.

In this paper, we address the challenge of creating a hierarchal multiscale modelling scheme to traverse a sufficiently wide range of time and length scales to simulate clay-polymer nanocomposites effectively. This scheme varies from the electronic structure (to capture the polymer – clay interactions, especially those of the reactive clay edges) through classical atomistic molecular dynamics to coarse-grained models (to capture the long length scale structure).

Such a scenario is well suited to distributed computing with each level of the scheme allocated to a suitable computational resource. We describe how the e-infrastructure and tools developed by the MAPPER (Multiscale Applications on European e-Infrastructures) project facilitates our multiscale scheme. Using this new technology, we have simulated clay-polymer systems containing up to several million atoms/particles. This system size is firmly within the mesoscopic regime, containing several clay platelets with the edges of the platelets explicitly resolved. We show preliminary results of a “bottom-up” multiscale simulation of a clay platelet dispersion in poly(ethylene) glycol.
Effect of Surface Plasmon Resonance on the Photoluminescence from Si Quantum Dot Structures for Third Generation Solar Cell Applications
Authors: Pillai Supriya , Hohn Joel J. , Johnson Craig M. , Conibeer Gavin J.
Published: November 2012

Low dimensional structures like quantum dots (QDs) offers the the ability to tune the absorption properties of standard semiconductor materials. However, QDs are relatively weak light absorbers and hence may benefit significantly from coupling with plasmonic modes in nearby metal structures. In the case of a Si QD absorber layer for photovoltaic applications, enhanced absorption would lead to improved power conversion efficiency. Silver metal nanoparticles (MNPs) were deposited on Si QD structures using the self-assembly method of evaporation and annealing. Room temperature photoluminescence (PL) measurements were used to study the surface plasmon (SP) enhanced emission from the samples. The results were compared to conventional metal back reflectors. Enhanced surface plasmon coupled emission (SPCE) from Si QDs in the vicinity of silver metal nanoparticles (MNPs) is observed with a good correlation between the enhancement and the resonance excitation. Quenching was observed from the same emitter layers placed in close proximity to thin flat silver reflector layers, indicating the importance of the spacer layer between a metal layer and the quantum dots in optimising enhancement. The results have implications for the design of SP-enhanced QD solar cells.
Reduced Reflection in polycrystalline silicon thin films through ion implantation induced surface textures and deposition of silver nanostructures
Authors: Akhter Perveen , Kadakia Nirag , Malladi Girish , Huang Mengbing
Published: November 2012

This work investigates a novel method to enhance light trapping within polycrystalline silicon (poly-Si) thin films for photovoltaic applications. The method combines the use of hydrogen ion implantation for creation of surface textures in poly-Si thin films and the deposition of silver nanostructures on the textured surface. Poly-Si thin films were prepared by solid phase crystallization of amorphous silicon (a-Si) layer deposited on a SiO2/Si substrate. The a-Si was annealed at various temperatures 600 -1050 °C for 48 hours to grow grains of different size in p-Si, as confirmed by x-ray diffraction (XRD) measurements. These samples were then implanted with 20-keV hydrogen ions to a dose of 1017/cm2, and some with an additional implant with 90-keV argon ions to a dose 5×1015 /cm2. Following implantation, these samples were annealed in an Ar ambient at different temperatures. Surface blistering effects were observed using an optical microscope. Optical specular reflection measurements in the spectral range 400-1100 nm indicated that the reflectance of the samples with higher blistering had decreased remarkably from 40% to 10%. Lastly, the poly-Si samples with various textures were deposited with silver thin film followed by annealing in nitrogen ambient for forming Ag nanostructures on textured poly-Si surfaces. Scanning Electron Microscope (SEM) was used to image the surface structures. The formation of Ag nanoparticles on the poly-Si surface, with textures created by implantation followed by low-temperature annealing (e.g., 400 °C), can significantly reduce light reflection as opposed to the case with Ag nanoparticles formed on an un-textured, poly-Si surface.
Ablation Free Dicing of 4H-SiC Wafers with Feed Rates up to 200 mm/s by Using Thermal Laser Separation
Authors: Lewke Dirk , Koitzsch Matthias , Schellenberger Martin , Pfitzner Lothar , Ryssel Heiner , Zühlke Hans-Ulrich
Published: November 2012

This paper presents Thermal Laser Separation (TLS) as a novel dicing technology for silicon carbide (SiC) wafers. Results of this work will play an important role in improving the SiC dicing process regarding throughput and edge quality. TLS process parameters were developed for separating 4H-SiC wafers. Separated SiC dies were analyzed and compared with results produced with current state of the art blade dicing technology. For the first time, fully processed 100 mm 4H-SiC wafers with a thickness of 450 μm, including epi-layer and back side metal layers, could be separated with feed rates up to 200 mm/s. Besides the vastly improved dicing speed, the TLS separation process results in two important features of the separated SiC devices: First, edges are free of chipping and therefore of higher quality than the edges produced by blade dicing. Second, the TLS process is kerf free, which allows for reducing the necessary dicing street width and hence increasing the number of devices per wafer.
Oxygen Reduction Reaction Electrocatalytic Activity of SAD-Pt/GLAD-Cr Nanorods
Authors: Khudhayer Wisam J. , Kariuki Nancy , Myers Deborah J. , Shaikh Ali U. , Karabacak Tansel
Published: November 2012

Nanorod arrays of chromium (Cr) were grown on glassy carbon (GC) electrodes by a dc magnetron sputtering glancing angle deposition (GLAD) technique. The Cr nanorods were used as low-cost, high surface area, metallic supports for a conformal layer of Pt thin film catalyst, as a potential low-loading electrocatalyst for the oxygen reduction reaction (ORR) in polymer electrolyte membrane (PEM) fuel cells. A dc magnetron sputtering small angle deposition (SAD) technique was utilized for a conformal coating of Pt on Cr nanorods. The ORR activity of SAD-Pt/GLAD-Cr electrodes was investigated using cyclic voltammetry (CV) and rotating-disk electrode (RDE) techniques in a 0.1 M HClO4 solution at room temperature. A reference sample consisting of GLAD Cr nanorods coated with a Pt thin film deposited at normal incidence (θ = 0o) was prepared and compared with the SAD-Pt/GLAD-Cr nanorods. Compared to GLAD Cr nanorods coated with Pt thin film at θ = 0o, the SAD-Pt/GLAD-Cr nanorod electrode exhibited higher ECSA and area-specific and mass-specific ORR activity. These results indicate that the growth of catalyst layer on the base-metal nanorods by the SAD technique provides a more conformal and possibly a nanostructured coating, significantly enhancing the catalyst utilization.
Simulation of Grazing-Incidence Synchrotron X-ray Topographic Images of Threading c+a Dislocations in 4H-SiC
Authors: Wu Fangzhen , Byrappa Shayan , Wang Huanhuan , Chen Yi , Raghothamachar Balaji , Dudley Michael , Sanchez Edward K. , Chung Gil , Hansen Darren , Mueller Stephan G. , Loboda Mark J.
Published: November 2012

Synchrotron X-ray topography (SXRT) of various geometries has been successfully utilized to image c+a dislocations in 4H-SiC crystals. Although molten potassium hydroxide(KOH) can be used to reveal the location of such dislocations, it is not possible to determine their senses or their Burgers vector magnitude. A simple, non-destructive method has been proposed to determine the Burgers vector of these c+a dislocations called the ray tracing simulation, which has been successfully implemented previously in revealing the dislocation sense and magnitude of micropipes, closed-core threading screw dislocations (TSDs) and threading edge dislocations (TEDs) in 4H-SiC. In this paper, grazing incidence topography is performed using the monochromatic beam for the horizontally cut wafers to record pyramidal reflections of 11-28 type. Ray tracing simulation has been successfully implemented to correlate the simulated images with experimental images which are discussed in the paper.