Validation of the Patient Activation Measure in a Multiple Sclerosis Clinic Sample and Implications for Care

Purpose. Patient engagement in multiple sclerosis (MS) care can be challenging at times given the unpredictable disease course, wide range of symptoms, variable therapeutic response to treatment and high rates of patient depression. Patient activation, a model for conceptualising patients’ involvement in their health care, has been found useful for discerning patient differences in chronic illness management. The purpose of this study was to validate the patient activation measure (PAM-13) in an MS clinic sample. Methods. This was a survey study of 199 MS clinic patients. Participants completed the PAM-13 along with measures of MS medication adherence, self-efficacy, depression and quality of life. Results. Results from Rasch and correlation analyses indicate that the PAM-13 is reliable and valid for the MS population. Activation was associated with MS self-efficacy, depression and quality of life but not with self-reported medication adherence. Also, participants with relapse-remitting MS, current employment, or high levels of education were more activated than other subgroups. Conclusions. The PAM-13 is a useful tool for understanding health behaviours in MS. The findings of this study support further clinical consideration and investigation into developing interventions to increase patient activation and improve health outcomes in MS

DIRECT ESTIMATION OF ABOVEGROUND FOREST PRODUCTIVITY THROUGH HYPERSPECTRAL REMOTE SENSING OF CANOPY NITROGEN

The concentration of nitrogen in foliage has been related to rates of net photosynthesis across a wide range of plant species and functional groups and thus represents a simple and biologically meaningful link between terrestrial cycles of carbon and nitrogen. Although foliar N is used by ecosystem models to predict rates of leaf‐level photosynthesis, it has rarely been examined as a direct scalar to stand‐level carbon gain. Establishment of such relationships would greatly simplify the nature of forest C and N linkages, enhancing our ability to derive estimates of forest productivity at landscape to regional scales. Here, we report on a highly predictive relationship between whole‐canopy nitrogen concentration and aboveground forest productivity in diverse forested stands of varying age and species composition across the 360 000‐ha White Mountain National Forest, New Hampshire, USA. We also demonstrate that hyperspectral remote sensing can be used to estimate foliar N concentration, and hence forest production across a large number of contiguous images. Together these data suggest that canopy‐level N concentration is an important correlate of productivity in these forested systems, and that imaging spectrometry of canopy N can provide direct estimates of forest productivity across large landscapes

Atomic states in optical traps near a planar surface

In this work we discuss the atomic states in a vertical optical lattice in proximity of a surface. We study the modifications to the ordinary Wannier-Stark states in presence of a surface and we characterize the energy shifts produced by the Casimir-Polder interaction between atom and mirror. In this context, we introduce an effective model describing the finite size of the atom in order to regularize the energy corrections. In addition, the modifications to the energy levels due to a hypothetical non-Newtonian gravitational potential as well as their experimental observability are investigated.Comment: 12 pages, 8 figure

eIF4A inhibitors suppress cell-cycle feedback response and acquired resistance to CDK4/6 inhibition in cancer

CDK4/6 inhibitors are FDA-approved drugs for estrogen receptor-positive (ER+) breast cancer and are being evaluated to treat other tumor types, including KRAS-mutant non-small cell lung cancer (NSCLC). However, their clinical utility is often limited by drug resistance. Here, we sought to better understand the resistant mechanisms and help devise potential strategies to overcome this challenge. We show that treatment with CDK4/6 inhibitors in both ER+ breast cancer and KRAS-mutant NSCLC cells induces feedback upregulation of cyclin D1, CDK4, and cyclin E1, mediating drug resistance. We demonstrate that rocaglates, which preferentially target translation of key cell-cycle regulators, effectively suppress this feedback upregulation induced by CDK4/6 inhibition. Consequently, combination treatment of CDK4/6 inhibitor palbociclib with the eukaryotic initiation factor (eIF) 4A inhibitor, CR-1-31-B, is synergistic in suppressing the growth of these cancer cells in vitro and in vivo Furthermore, ER+ breast cancer and KRAS-mutant NSCLC cells that acquired resistance to palbociclib after chronic drug exposure are also highly sensitive to this combination treatment strategy. Our findings reveal a novel strategy using eIF4A inhibitors to suppress cell-cycle feedback response and to overcome resistance to CDK4/6 inhibition in cancer.Accepted manuscrip

Linoleic acid participates in the response to ischemic brain injury through oxidized metabolites that regulate neurotransmission.

Linoleic acid (LA; 18:2 n-6), the most abundant polyunsaturated fatty acid in the US diet, is a precursor to oxidized metabolites that have unknown roles in the brain. Here, we show that oxidized LA-derived metabolites accumulate in several rat brain regions during CO2-induced ischemia and that LA-derived 13-hydroxyoctadecadienoic acid, but not LA, increase somatic paired-pulse facilitation in rat hippocampus by 80%, suggesting bioactivity. This study provides new evidence that LA participates in the response to ischemia-induced brain injury through oxidized metabolites that regulate neurotransmission. Targeting this pathway may be therapeutically relevant for ischemia-related conditions such as stroke

A routine method to study soil organic matter by particle-size fractionation : examples for tropical soils

Particle size fractionation is becoming commonly used for studying soil organic matter (OM). However, isolation of clay and silt represents a long and thus tedious step in the fractionation procedure. We propose an approach identical to the one utilized in particle size analysis with an estimation of the recoveries from aliquots ("aliquot" method) of the 0-2 and 0-20 micrometer fractions and no entire isolation ("decanting" method) of clay and silt. In comparison with the "decanting" method, the fraction and carbon (C) recoveries obtained by the "aliquot" method were satisfactory, but those of nitrogen (N) being hardly interpretable because of an insufficient accuracy of the determination method. The recommended method saves time and laboratory space and could be used as a routine particle size fractionation of soil OM. Finally, this paper lists various methodological aspects of considerable significance but rarely reported in published studies. (Résumé d'auteur

Suivi des introgressions dans les croisements interspécifiques chez le riz : utilisation des marqueurs moléculaires

La diversité génétique des espèces sauvages de riz est d'un grand intérêt en amélioration des plantes. Malgré de fortes barrières reproductives, des hybrides interspécifiques peuvent être obtenus grâce à la récupération des embryons par culture #in vitro et être recroisés ensuite pour introduire des caractères utiles dans les riz cultivés. Au fur et à mesure que la carte de liaison génétique RFLP (polymorphisme de longueur de fragment de restriction) devient de plus en plus saturée, les marqueurs moléculaires constituent un nouvel outil puissant pour analyser et comprendre les mécanismes de la recombinaison dans les croisements éloignés. Trois exemples d'application des marqueurs moléculaires au suivi des introgressions sont présentés à partir d'activités développées à l'ORSTOM (Institut Français de Recherche Scientifique pour le Développement en Coopération) de Montpellier ou de collaborations avec l'IRRI (Institut International de Recherche sur le Riz, Philippines) et l'Université Cornell (Etats-Unis). Ils concernent l'analyse de générations précoces ou de lignées isogéniques développées avec des espèces sauvages de riz possédant le même génome que le riz cultivé (#O. longistaminata) ou des génomes cytogénétiquement différents (#O. brachyantha, génome F) et (#O. australiensis, génome E). (Résumé d'auteur

Extended Fermi coordinates

We extend the notion of Fermi coordinates to a generalized definition in which the highest orders are described by arbitrary functions. From this definition rises a formalism that naturally gives coordinate transformation formulae. Some examples are developped in which the extended Fermi coordinates simplify the metric components.Comment: 16 pages, 1 figur