Elderly men with cancer: social work interventions in prostate cancer

Prostate cancer requires the attention of social workers in health care for three reasons: the growing elderly population which will increase the number diagnosed, the recent introduction of new treatments and the lack of social acceptability for this condition. Interventions for prostate cancer are specific to the stage of the disease. These individual, family and group interventions are a model for social work services to elderly men with other forms of cancer. Social workers have opportunity to research quality of life and decision-making issues to enhance medical practise in prostate cancer.     

Obstructive Sleep Apnea Syndrome In Vitro Model: Controlled Intermittent Hypoxia Stimulation of Human Stem Cells-Derived Cardiomyocytes

Cardiovascular morbidity is the leading cause of death of obstructive sleep apnea (OSA) syndrome patients. Nocturnal airway obstruction is associated with intermittent hypoxia (IH). In our previous work with cell lines, incubation with sera from OSA patients induced changes in cell morphology, NF-κB activation and decreased viability. A decrease in beating rate, contraction amplitude and a reduction in intracellular calcium signaling was also observed in human cardiomyocytes differentiated from human embryonic stem cells (hESC-CMs). We expanded these observations using a new controlled IH in vitro system on beating hESC-CMs. The Oxy-Cycler system was programed to generate IH cycles. Following IH, we detected the activation of Hif-1α as an indicator of hypoxia and nuclear NF-κB p65 and p50 subunits, representing pro-inflammatory activity. We also detected the secretion of inflammatory cytokines, such as MIF, PAI-1, MCP-1 and CXCL1, and demonstrated a decrease in beating rate of hESC-CMs following IH. IH induces the co-activation of inflammatory features together with cardiomyocyte alterations which are consistent with myocardial damage in OSA. This study provides an innovative approach for in vitro studies of OSA cardiovascular morbidity and supports the search for new pharmacological agents and molecular targets to improve diagnosis and treatment of patients.     

A transfer matrix model of large deformations of curved rods

Transfer matrix models have been frequently used to analyze the structural behavior of rods, including curved and pretwisted ones. The advantages of these models include their relative simplicity, numerical efficiency and ease of implementation. Previous investigations did not include nonlinear analyses of curved rods that undergo large deformations. The present paper describes a nonlinear transfer matrix model of curved and pretwisted rods, which is capable of analyzing very large spatial deformations. The rod is divided into segments. A body system of coordinates is attached to each segment. This system translates and rotates with the segment during the deformation. If the segments are kept small enough, the local deformations of each segment, relative to its body system of coordinates, are small. The segments’ systems of coordinates rotate relative to their neighbors and if this rotation is dealt with properly, large rotations and displacement of the curved rod can be analyzed. In spite of its nonlinear nature, the model remains relatively simple and efficient. The new model is used to solve a few problems and the results show very good agreement with other analytical, finite-element, and experimental results.     

Nearly optimal perfectly periodic schedules

We consider the problem of scheduling a set of pages on a single broadcast channel using time-multiplexing. In a perfectly periodic schedule, time is divided into equal size slots, and each page is transmitted in a time slot precisely every fixed interval of time (the period of the page). We study the case in which each page i has a given demand probability , and the goal is to design a perfectly periodic schedule that minimizes the average time a random client waits until its page is transmitted. We seek approximate polynomial solutions. Approximation bounds are obtained by comparing the costs of a solution provided by an algorithm and a solution to a relaxed (non-integral) version of the problem. A key quantity in our methodology is a fraction we denote by , that depends on the maximum demand probability: . The best known polynomial algorithm to date guarantees an approximation of . In this paper, we develop a tree-based methodology for perfectly periodic scheduling, and using new techniques, we derive algorithms with better bounds. For small values, our best algorithm guarantees approximation of . On the other hand, we show that the integrality gap between the cost of any perfectly periodic schedule and the cost of the fractional problem is at least . We also provide algorithms with good performance guarantees for large values of . Received: December 2001 / Accepted: September 2002     

Ca2+ in the dense tubules: a model of platelet Ca2+ load

In this work, we explored the relationship between the freely exchangeable Ca2+ (FECa2+) in the dense tubules (DT) and the sarco(endo)plasmic reticulum (SER) Ca2+-ATPase (SERCA) in circulating human platelets and examined the relationship between blood pressure (BP) and these platelet parameters. Studying platelets from 32 healthy men, we showed that the maximal reaction velocity (Vmax) of the SERCA significantly correlated with FECa2+ in the DT and with the protein expressions of SERCA 2 and 3. BP positively correlated with both the Vmax of the SERCA (r=.462, P=.010) and the FECa2+ sequestered in the DT (r=.492, P=.005). The relationships between these platelet Ca2+ parameters and BP were in part confounded by increased levels of serum triglycerides and diminished HDL cholesterol with a higher BP. No correlation was observed between the resting cytosolic Ca2+ and BP. Collectively, these findings indicate that (1) an increase in the cellular Ca2+ load in platelets is expressed by a higher activity of the SERCA and an increase in the expressions of SERCA 2 and 3 proteins, coupled with an increase in the FECa2+ in the DT, and (2) a higher BP is associated with an increase in platelet Ca2+ load in human beings, expressed by a rise in the FECa2+ in the DT and the upregulation of SERCA activity.     

Biosynthesis and stability of globin mRNA in cultured erythroleukemic Friend cells

Biosynthesis and stability of the mRNA population in DMSO-induced Friend erythroleukemic cells were studied after labeling the RNA with 3H-uridine and then chasing it with nonlabeled uridine. Globin RNA metabolism was studied by hybridization to excess complementary DNA convalently coupled to oligo(dT)-cellulose. After a labeling period of 120 min, 2-4% of the poly(A)-containing labeled RNA was in globin RNA; it decayed with a half-life of 16-17 hr. The rest of the poly(A)-containing RNA was composed to two kinetic populations: 85-90% decayed with a half-life of about 3 hr, while 10% decayed with a half-life of about 37 hr. The portion of globin RNA in labeled poly(A)-containing RNA behaved in an unexpected fashion during the chase period. During the initial chase period, the percentage of globin RNA increased rapidly, reaching a maximum of about 15% at 20 hr, but it subsequently declined gradually. Based on these findings, a model was built that describes the changes in the proportion of globin mRNA in poly(A)-containing RNA during continuous synthesis and after chase of the labeled RNA. It appears that if the parameters described remain constant during the maturation of erythroblasts, then this model would not account for the almost exclusive presence of globin RNA in the reticulocyte. By far the most effective way to achieve this high level of globin RNA is the destabilization of the mRNA population which is more stable than globin RNA, and not the stabilization of globin RNA itself.     

Synthesis and characterization of poly(L-lactic acid) membranes: Studies in vivo and in vitro

The use of biodegradable polyesters as temporary structural supports in the recuperation of damaged live tissue is a promising area of research. Poly(L-lactic acid) (PLLA) membranes can act as a support for cell fixation and growth or as a barrier against soft tissues invasion in recuperating bone tissues. In this work, five different types of PLLA membranes, which varied in their polymer–solvent ratio and their content of plasticizer were studied. For the study in vivo, 6 mm diameter disks were inserted subcutaneously in the dorsal region of 15 Wistar rats, and the reactions on rats were studied 15 days later. In another series of experiments the samples were immersed in phosphate buffer, pH 7.4 at 37 °C, for 30 days. Membranes without plasticizer were morphologically dense and did not allow cell invasion nor tissue adherence, in contrast to membranes with plasticizer. While porosity enhanced cell fixation and growth, it made the membrane more fragile mechanically when compared to membranes without pores.     

Use of triethylcitrate plasticizer in the production of poly-L-lactic acid implants with different degradation times

Bioabsorbable materials have been widely used in the repair of damaged tissue as well as in the controlled release of drugs and as a supports for cultured cells. The degradation time of poly-L-(lactic acid) (PLLA) may be controlled by altering the polymer porosity through the addition of the plasticizer triethylcitrate. This in turn influences the extent cellular infiltration. In this study, we examined the degradation of PLLA membranes containing different concentrations of plasticizer. PLLA discs were implanted subcutaneouly in rats and withdrawn 2, 14 and 60 days after implantation. The samples were processed for light microscopy and scanning electron microscopy (SEM). Polymer degradation was proportional to the concentration of plasticizer, indicating that triethylcitrate could affect the degradation time of the implants, without damaging the polymer biocompatibility.     

Analyzing multilingual knowledge innovation in patents

In the process of analyzing knowledge innovation, it is necessary to identify the existing boundaries of knowledge so as to determine whether knowledge is new – outside these boundaries. For a patent to be granted, all aspects of the patent request must be studied to determine the patent innovation. Knowledge innovation for patent requests depends on analyzing current state of the art in multiple languages. Currently the process is usually limited to the languages and search terms the patent seeker knows. The paper describes a model for representing the patent request by a set of concepts related to a multilingual knowledge ontology. The search for patent knowledge is based on Fuzzy Logic Decision Support and allows a multilingual search. The model was analyzed using a twofold approach: a total of 104,296 patents from the United States Patent and Trademark Office were used to analyze the patent extraction process, and patents from the Korean, US, and Chinese patent offices were used in the analysis of the multilingual decision process. The results display high recall and precision and suggest that increasing the number of languages used only has minor effects on the model results.