122 research outputs found

    Predictor variables and screening protocol for depressive and anxiety disorders in cancer outpatients

    Get PDF
    Background Cancer patients are at increased risk of persistent depressive and anxiety symptoms and disorders compared to the general population. However, these issues are not always identified, which may worsen the prognosis and increase morbidity and mortality. Therefore, the objectives of this study are to identify predictor variables (demographic and clinical) for the development of mood and anxiety disorders in cancer outpatients and to propose a probabilistic screening protocol considering these variables and certain standardized screening instruments. Methods A total of 1,385 adults, of both genders, receiving outpatient cancer care were evaluated using a questionnaire and screening instruments. Thereafter, 400 of these subjects responded to the Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (SCID-IV) by telephone to confirm or rule out the presence of a Current Major Depressive Episode (CMDE) or Anxiety Disorder (AD). Results Of the patients surveyed, 64% met the criteria for CMDE and 41% for AD. Female gender was found to be a risk factor for both disorders, and the presence of previous psychiatric history and marital status (divorced and widowed) were risk factors for anxiety disorders. When scoring above the recommended cutoff score, the screening instruments also indicated a risk of the studied disorders. Based on these findings, a screening protocol and nomograms were created for the quantification, combination and probabilistic estimate of risk, with accuracy indicators >0.68. Conclusion The prevalence rates for the disorders under study are extremely high in cancer patients. The use of the proposed protocol and nomogram can facilitate rapid and wide screening, thus refining triage and supporting the establishment of criteria for referral to mental health professionals, so that patients can be properly diagnosed and treated.info:eu-repo/semantics/publishedVersio

    Pathways for scale and discipline reconciliation: current socio-ecological modelling methodologies to explore and reconstitute human prehistoric dynamics

    Get PDF
    International audienceThis communication elaborates a plea for the necessity of a specific modelling methodology which does not sacrifice two modelling principles: explanation Micro and correlation Macro. Three goals are assigned to modelling strategies: describe, understand and predict. One tendency in historical and spatial modelling is to develop models at a micro level in order to describe and by that way, understand the connection between local ecological contexts, acquired through local ecological data, and local social practices, acquired through archaeology. However, such a method faces difficulties for expanding its validity: It is validated by its adequacy with local data, but the prediction step is unreachable and quite nothing can be said for places out where. On the other hand, building models at a far larger scale, for instance at the continent and even the world level, enhances the connection between ecology and its temporal variability. Such connections are based on well-founded theories but lower the " small causes, big effects " emergence corresponding to agent-based approaches and the related inherent variability of socio-ecological dynamics that one can notice at a lower scale. We then propose a plea for combining both elements for building large-scale modelling tools, which aims are to describe and provide predictions on long-term past evolutions, that include the test of explaining socio-anthropological hypotheses, i.e. the emergence and the spread of local social innovations

    Snake Cathelicidin from Bungarus fasciatus Is a Potent Peptide Antibiotics

    Get PDF
    Background: Cathelicidins are a family of antimicrobial peptides acting as multifunctional effector molecules of innate immunity, which are firstly found in mammalians. Recently, several cathelicidins have also been found from chickens and fishes. No cathelicidins from other non-mammalian vertebrates have been reported. Principal Findings: In this work, a cathelicidin-like antimicrobial peptide named cathelicidin-BF has been purified from the snake venoms of Bungarus fasciatus and its cDNA sequence was cloned from the cDNA library, which confirm the presence of cathelicidin in reptiles. As other cathelicidins, the precursor of cathelicidin-BF has cathelin-like domain at the N terminus and carry the mature cathelicidin-BF at the C terminus, but it has an atypical acidic fragment insertion between the cathelin-like domain and the C-terminus. The acidic fragment is similar to acidic domains of amphibian antimicrobial precursors. Phylogenetic analysis revealed that the snake cathelicidin had the nearest evolution relationship with platypus cathelicidin. The secondary structure of cathelicidin-BF investigated by CD and NMR spectroscopy in the presence of the helicogenic solvent TFE is an amphipathic α-helical conformation as many other cathelicidins. The antimicrobial activities of cathelicidin BF against forty strains of microorganisms were tested. Cathelicidin-BF efficiently killed bacteria and some fungal species including clinically isolated drug-resistance microorganisms. It was especially active against Gram-negative bacteria. Furthermore, it could exert antimicrobial activity against some saprophytic fungus. No hemolytic and cytotoxic activity was observed at the dose of up to 400 µg/ml. Cathelicidin-BF could exist stably in the mice plasma for at least 2.5 hours. Conclusion: Discovery of snake cathelicidin with atypical structural and functional characterization offers new insights on the evolution of cathelicidins. Potent, broad spectrum, salt-independent antimicrobial activities make cathelicidin-BF an excellent candidate for clinical or agricultural antibiotics

    <em>Euclid</em>: High-precision imaging astrometry and photometry from Early Release Observations I. Internal kinematics of NGC 6397 by combining <em>Euclid </em>and <em>Gaia </em>data

    Get PDF
    \ua9 The Authors 2024.The instruments at the focus of the Euclid space observatory offer superb, diffraction-limited imaging over an unprecedented (from space) wide field of view of 0.57 deg2. This exquisite image quality has the potential to produce high-precision astrometry for point sources once the undersampling of Euclid’s cameras is taken into account by means of accurate, effective point spread function (ePSF) modelling. We present a complex, detailed workflow to simultaneously solve for the geometric distortion (GD) and model the undersampled ePSFs of the Euclid detectors. Our procedure was successfully developed and tested with data from the Early Release Observations (ERO) programme focused on the nearby globular cluster NGC 6397. Our final one-dimensional astrometric precision for a well-measured star just below saturation is 0.7 mas (0.007 pixel) for the Visible Instrument (VIS) and 3 mas (0.01 pixel) for the Near-Infrared Spectrometer and Photometer (NISP). Finally, we present a specific scientific application of this high-precision astrometry: the combination of Euclid and Gaia data to compute proper motions and study the internal kinematics of NGC 6397. Future work, when more data become available, will allow for a better characterisation of the ePSFs and GD corrections that are derived here, along with assessment of their temporal stability, and their dependencies on the spectral energy distribution of the sources as seen through the wide-band filters of Euclid

    Nicotinamide's Ups and Downs:Consequences for Fertility, Development, Longevity and Diseases of Poverty and Affluence

    Get PDF
    Aims and Scope: To further explore the role of dietary nicotinamide in both brain development and diseases, particularly those of ageing. Articles cover neurodegenerative disease and cancer. Also discussed are the effects of nicotinamide, contained in meat and supplements and derived from symbionts, on the major transitions of disease and fertility from ancient times up to the present day. A key role for the tryptophan – NAD ‘de novo’ and immune tolerance pathway are discussed at length in the context of fertility and longevity and the transitions from immune paresis to Treg-mediated immune tolerance and then finally to intolerance and their associated diseases. Abstract: Nicotinamide in human evolution increased cognitive power in a positive feedback loop originally involving hunting. As the precursor to metabolic master molecule NAD it is, as vitamin B3, vital for health. Paradoxically, a lower dose on a diverse plant then cereal-based diet fuelled population booms from the Mesolithic onwards, by upping immune tolerance of the foetus. Increased tolerance of risky symbionts, whether in the gut or TB, that excrete nicotinamide co-evolved as buffers for when diet was inadequate. High biological fertility, despite disease trade-offs, avoided the extinction of Homo sapiens and heralded the dawn of a conscious, creative, and pro-fertility culture. Nicotinamide equity now would stabilise populations and prevent NAD-based diseases of poverty and affluence

    <em>Euclid</em>: the potential of slitless infrared spectroscopy: a z = 5.4 quasar and new ultracool dwarfs

    Get PDF
    \ua9 2025 The Author(s). We demonstrate the potential of Euclid \u27s slitless spectroscopy to discover high-redshift (5$]]&gt;) quasars and their main photometric contaminant, ultracool dwarfs. Sensitive infrared spectroscopy from space is able to efficiently identify both populations, as demonstrated by Euclid Near-Infrared Spectrometer and Photometer Red Grism (NISP) spectra of the newly discovered quasar EUCL J181530.01652054.0, as well as several ultracool dwarfs in the Euclid Deep Field North and the Euclid Early Release Observation field Abell 2764. The ultracool dwarfs were identified by cross-correlating their spectra with templates. The quasar was identified by its strong and broad and emission lines in the NISP 1206-1892 nm spectrum, and confirmed through optical spectroscopy from the Large Binocular Telescope. The NISP Blue Grism (NISP) 926-1366 nm spectrum confirms and emission. NISP can find bright quasars at and, redshift ranges that are challenging for photometric selection due to contamination from ultracool dwarfs. EUCL J181530.01652054.0 is a high-excitation, broad absorption line quasar detected at 144 MHz by the LOw-Frequency Array (W Hz). The quasar has a bolometric luminosity of and is powered by a black hole. The discovery of this bright quasar is noteworthy as fewer than one such object was expected in the 20 deg surveyed. This finding highlights the potential and effectiveness of NISP spectroscopy in identifying rare, luminous high-redshift quasars, previewing the census of these sources that Euclid\u27s slitless spectroscopy will deliver over about deg of the sky

    Expression and functional analysis of recombitant scFv and diabody fragments with specificity for human RhD

    Full text link
    n an attempt to generate recombinant anti-D reagents for possible diagnostic and therapeutic use we cloned the genes encoding the variable (V) domains of a human anti-D antibody secreted by the lymphoblastoid cell line BTSN4. A single-chain Fv (scFv) fragment was constructed using a 21 amino acid linker to join the genes encoding the variable domains of the BTSN4 heavy (VH) and light chains (VL). A diabody construct was also generated by reducing the length of the scFv linker from 21 to 10 residues. The scFv and diabody constructs were cloned into the pFLAG-CTS vector, expressed in E. coli host cells and the recombinant proteins were affinity-isolated from bacterial culture medium. Analysis of the recombinant proteins indicated that they retained the D antigen binding specificity of the parental BTSN4 IgG. Furthermore, both fragments mediated agglutination of papain-treated D positive erythrocytes in the absence of a cross-linking second antibody. While the agglutinating property of BTSN4 diabody was readily explained by the noncovalent association of this protein as a bivalent dimer, oligomeric forms of BTSN4 scFv were not detected when the protein was analysed by size exclusion chromatography. Thus, the agglutinating property of the scFv is not the result of the formation of non-covalently associated multimeric forms of the antibody fragmen
    corecore