Managing for change: April 11, 1989

Bi-weekly newsletter of University Hospital's Change Project, provided to managers at the hospital

Managing for change: February 14, 1989

Bi-weekly newsletter of University Hospital's Change Project, provided to managers at the hospital

Managing for change: March 6, 1989

Bi-weekly newsletter of University Hospital's Change Project, provided to managers at the hospital

Managing for change: October 11, 1989

Bi-weekly newsletter of University Hospital's Change Project, provided to managers at the hospital

Evaluating more naturalistic outcome measures:A 1-year smartphone study in multiple sclerosis

Objective: In this cohort of individuals with and without multiple sclerosis (MS), we illustrate some of the novel approaches that smartphones provide to monitor patients with chronic neurologic disorders in their natural setting. Methods: Thirty-eight participant pairs (MS and cohabitant) aged 18–55 years participated in the study. Each participant received an Android HTC Sensation 4G smartphone containing a custom application suite of 19 tests capturing participant performance and patient-reported outcomes (PROs). Over 1 year, participants were prompted daily to complete one assigned test. Results: A total of 22 patients with MS and 17 cohabitants completed the entire study. Among patients with MS, low scores on PROs relating to mental and visual function were associated with dropout (p < 0.05). We illustrate several novel features of a smartphone platform. First, fluctuations in MS outcomes (e.g., fatigue) were assessed against an individual's ambient environment by linking responses to meteorological data. Second, both response accuracy and speed for the Ishihara color vision test were captured, highlighting the benefits of both active and passive data collection. Third, a new trait, a person-specific learning curve in neuropsychological testing, was identified using spline analysis. Finally, averaging repeated measures over the study yielded the most robust correlation matrix of the different outcome measures. Conclusions: We report the feasibility of, and barriers to, deploying a smartphone platform to gather useful passive and active performance data at high frequency in an unstructured manner in the field. A smartphone platform may therefore enable large-scale naturalistic studies of patients with MS or other neurologic diseases

Differential expression of zinc transporters accompanies the differentiation of C2C12 myoblasts

Zinc transporters facilitate metal mobilization and compartmentalization, playing a key role in cellular development. Little is known about the mechanisms and pathways of Zn movement between Zn transporters and metalloproteins during myoblast differentiation. We analyzed the differential expression of ZIP and ZnT transporters during C2C12 myoblast differentiation. Zn transporters account for a transient decrease of intracellular Zn upon myogenesis induction followed by a gradual increase of Zn in myotubes. Considering the subcellular localization and function of each of the Zn transporters, our findings indicate that a fine regulation is necessary to maintain correct metal concentrations in the cytosol and subcellular compartments to avoid toxicity, maintain homeostasis, and for loading metalloproteins needed during myogenesis. This study advances our basic understanding of the complex Zn transport network during muscle differentiation

Comparative Evaluation of Iron Leach from Different Sources of Fly Ash under Atmospherically Relevant Conditions

Fly ash, an iron-containing by-product of coal-fired power plants, has been observed in atmospheric aerosol plumes. Under the acidic atmospheric conditions resulting from the uptake of atmospheric gases, iron leached from fly ash can impact global biogeochemical cycles. However, the fly ash source region, as well as its generating power plant, plays an important role in the amount, speciation and lability of iron. Yet no comparative studies have been made on iron leached from fly ash from different sources. This study reports the iron mobilisation by proton-promoted dissolution from well-characterised fly ash samples from three distinctive locations: the USA Midwest, north-east India and Europe. In addition, pH dependency was also investigated. Proton-promoted dissolution showed a variability between source regions with a relative iron leach in the order USA Midwestern \u3e north-east Indian \u3e European ash. In addition, the initial rate of iron leach suggests that source region is indeed a determining factor in the iron leaching capacity of fly ash, because dissolution from Midwestern fly ash is also faster than both European and Indian ash. Finally, the combustion process of fly ash proved to be significant for the iron speciation, given that well-combusted fly ash samples leached mostly Fe3+ rather than bioavailable Fe2+. The role of fly ash should therefore be taken into account in order to better understand the effects of combustion particles in atmospheric iron deposition