Do disease specific characteristics add to the explanation of mobility limitations in patients with different chronic diseases? A study in The Netherlands

STUDY OBJECTIVES: To determine whether disease specific characteristics, reflecting clinical disease severity, add to the explanation of mobility limitations in patients with specific chronic diseases. DESIGN AND SETTING: Cross sectional study of survey data from community dwelling elderly people, aged 55-85 years, in the Netherlands. PARTICIPANTS AND METHODS: The additional explanation of mobility limitations by disease specific characteristics was examined by logistic regression analyses on data from 2830 community dwelling elderly people. MAIN RESULTS: In the total sample, chronic non-specific lung disease, cardiac disease, peripheral atherosclerosis, diabetes mellitus, stroke, arthritis and cancer (the index diseases), were all independently associated with mobility limitations. Adjusted for age, sex, comorbidity, and medical treatment disease specific characteristics that explain the association between disease and mobility mostly reflect decreased endurance capacity (shortness of breath and disturbed night rest in chronic non-specific lung disease, angina pectoris and congestive heart failure in cardiac disease), or are directly related to mobility function (stiffness and lower body complaints in arthritis). For atherosclerosis and diabetes mellitus, disease specific characteristics did not add to the explanation of mobility limitations. CONCLUSIONS: The results provide evidence that, to obtain more detailed information about the differential impact of chronic diseases on mobility, disease specific characteristics are important to take into account.     

Psychological aspects of disasters

This article describes several topics necessary for understanding the psychological impact of disasters. Topics discussed include characteristics of disaster that impact psychological response, stages of response, factors influencing individual and collective trauma, and important aspects of psychological interventions. The author shares several conclusions about the nature of people, culture, and society based on his many years of work in disaster mental health.     

Multicode multirate compact assignment of OVSF codes for QoS differentiated terminals

Orthogonal variable spreading factor (OVSF) codes are used in both universal terrestrial radio access-frequency division duplex (UTRA-FDD) and time division duplex (UTRA-TDD) of the third-generation (3G) mobile communication systems. They can support multirate transmissions for mobile terminals with multicode transmission capabilities. In this paper, a new OVSF code assignment scheme, namely "multicode multirate compact assignment" (MMCA), is proposed and analyzed. The design of MMCA is based on the concept of "compact index" and takes into consideration mobile terminals with different multicode transmission capabilities and different quality of service (QoS) requirements. Priority differentiation between multirate realtime traffic and best-effort data traffic is also supported in MMCA. Analytical and simulation results show that MMCA is efficient and fair.     

Polypyridyl Ru(II)-sensitizers with extended π-system enhances the performance of dye sensitized solar cells

New polypyridyl ruthenium(II) complexes “cis-Ru(4,4′-dimesityl-2,2′-bipyridine) (Ln) (NCS)₂ H102” and “cis-Ru(4,4′-bis(2,3,6-tri-isopropylphenyl)-2,2′-bipyridine) (Ln) (NCS)₂ H105”, where Ln = 4,4′-dicarboxylic acid-2,2′-bipyridine; were synthesized and successfully applied to sensitization of nano-crystalline TiO₂ based solar cells (DSSCs). The DSSCs of H102 and H105 fabricated from 0.16 cm² TiO₂ electrodes exhibited broader comparable photocurrent action spectra with almost identical solar-to-electrical energy conversion efficiency (η) as compared to N719 sensitizer. The incident photon-to-current conversion efficiency (IPCE) values of 98% and 95% were obtained for H102 and H105 sensitizers respectively. Under 1 sun condition, η-values of 8.39% (short-circuit photocurrent (J_SC) = 16.4 mA/cm², open-circuit photo voltage (V_OC) = 692 mV, fill factor = 0.734), 8.76% (J_SC = 16.3 mA/cm², V_OC = 735 mV, fill factor = 0.734) and 9.12% (J_SC = 16.1 mA/cm², V_OC = 745 mV, fill factor = 0.753) were obtained for H102, H105 and N719 sensitizers respectively.     

Human cytochrome P4502B6: interindividual hepatic expression, substrate specificity, and role in procarcinogen activation

In situ hybridization was combined with serotonin (5-hydroxytryptamine, 5-HT) or tyrosine hydroxylase immunocytochemistry and with Fluoro-Gold retrograde labeling of bulbo-spinal pathways in order to investigate the expression of GAP-43 mRNA in monoamine cell groups of the adult rat brain stem. Consistent with previous reports, GAP-43 mRNA was observed in serotonin and dopamine cell groups in the pons. In addition, GAP-43 expressing cells were observed in all the major monoamine cell groups in the medulla. Thus the B1, B2 and B3 serotonin cell groups all showed high GAP-43 expression in all contained many GAP-43 expressing serotonin cells with spinal cord projections. The A1, A2, A5 and A6 noradrenaline cell groups also showed high GAP-43 expression, although cells with spinal cord projections were largely restricted to the A5 group and A6 subcoeruleus region. In all areas, GAP-43 expressing cells with spinal cord projections were also observed which were not serotonergic or noradrenergic.     

Observations on catalysis by hammerhead ribozymes are consistent with a two-divalent-metal-ion mechanism

Significant cleavage by hammerhead ribozymes requires activation by divalent metal ions. Several models have been proposed to account for the influence of metal ions on hammerhead activity. A number of recent papers have presented data that have been interpreted as supporting a one-metal-hydroxide-ion mechanism. In addition, a solvent deuterium isotope effect has been taken as evidence against a proton transfer in the rate-limiting step of the cleavage reaction. We propose that these data are more easily explained by a two-metal-ion mechanism that does not involve a metal hydroxide, but does involve a proton transfer in the rate-limiting step.