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Kirkpatrick Hogan posted an update 6 months, 2 weeks ago
Clinical trials of xenotransplantation (XTx, ie, cross-species transplantation, specifically the transplantation of genetically engineered pig organs into human recipients) are due to start within a few years.
Five focus groups were conducted in April-May 2019, among local religious leaders (N=10), organ procurement staff/administrators (N=5), patients and parents of patients who may need an organ transplant or are transplant recipients (N=9), and local businesspersons in the community (N=3). Groups were audio-recorded, transcribed, and analyzed with NVivo software to identify themes of participants’ thoughts to XTx.
An overall Cohen’s kappa statistic of 0.71 was established. In general, there was wide agreement among participants that XTx is an exciting and acceptable option to explore as an organ alternative. Concerns were expressed primarily regarding issues of animal ethics, stigma regarding how pigs are viewed in society, organ allocation logistics, quality of life after receiving a xenograft, and how XTx would be accepted by certain theological traditions.
Overall, various stakeholders accepted XTx as a clinical option. However, there were ethical, social, and physical concerns raised. Future studies exploring the development of education strategies that may help alleviate concerns related to XTx before it becomes a clinical alternative are needed among the general public, potential XTx candidates, and their family members.
Overall, various stakeholders accepted XTx as a clinical option. However, there were ethical, social, and physical concerns raised. Future studies exploring the development of education strategies that may help alleviate concerns related to XTx before it becomes a clinical alternative are needed among the general public, potential XTx candidates, and their family members.Ample evidence suggests that during sentence processing comprehenders can “pre-activate” lexical/semantic knowledge stored in long-term memory. selleck A relatively recent development suggests that in some cases a stronger form of prediction is employed, involving “pre-updating” the predicted content into the sentence’s representation being built in working memory. The current study argues for an activation threshold mechanism by which pre-updating is initiated, within the routine processing stages of a word in a context. By combining a speeded cloze task with event-related potentials, we were able to analyze electrophysiological data measured prior to when participants were prompted to produce a completion, based on the participant’s cloze response, reflecting their strongest prediction at that specific moment in time. A P600 effect reflecting pre-updating was observed in high (relative to low) constraint sentences, even in trials where the participant predicted a low cloze word. The results support a mechanism in which multiple predictions accumulate activations, “racing” toward a retrieval threshold. Once the activation level of a certain word passes the threshold, the word is integrated into the sentence representation in working memory. Pre-updating occurs if a certain prediction passes the retrieval threshold prior to its realization in the input.
To investigate the changes in the pelvic floor before, during, and after pregnancy in the same collective of nulliparous women.
In a prospective observational pilot study between April 2015 and June 2019 in nulliparous women with planned pregnancy, we used the pelvic organ prolapse quantification (POP-Q) system; a 2-dimensional (2D) sonography to investigate the bladder neck, cervix, and anorectal junction positions; and a 3D/4D sonography to measure the hiatus of the levator ani muscle (LH area) during Valsalva maneuver. Five visits were planned 1 before, 3 during, and 1 visit after pregnancy.
Twenty-four women participated in the study. We achieved a minimum of 2 visit measurements from 10 women who became pregnant. The LH area decreased during the first trimester and then increased until the third trimester. Postpartum, the LH area reached the prepregnancy state. We observed changes in the bladder neck mobility, bladder neck position, cervix, and anorectal junction from the first trimester. Postpartum, the bladder neck mobility was higher, and the position of the bladder neck and anorectal junction was lower than before pregnancy. We observed no remarkable changes in the POP-Q state during pregnancy.
This was the first study to investigate pelvic floor characteristics in the same collective before, during, and after pregnancy. We observed pelvic floor changes from the prepregnancy state to the first trimester to postpartum. The study results need to be confirmed in a larger study.
This was the first study to investigate pelvic floor characteristics in the same collective before, during, and after pregnancy. We observed pelvic floor changes from the prepregnancy state to the first trimester to postpartum. The study results need to be confirmed in a larger study.
Cancer-associated fibroblasts (CAFs) are key players in multicellular, stromal-dependent alterations leading to HCC pathogenesis. However, the intricate crosstalk between CAFs and other components in the tumor microenvironment (TME) remains unclear. This study aimed to investigate the cellular crosstalk among CAFs, tumor cells, and tumor-associated neutrophils (TANs) during different stages of HCC pathogenesis.
In the HCC-TME, CAF-derived cardiotrophin-like cytokine factor 1 (CLCF1) increased chemokine (C-X-C motif) ligand 6 (CXCL6) and TGF-β secretion in tumor cells, which subsequently promoted tumor cell stemness in an autocrine manner and TAN infiltration and polarization in a paracrine manner. Moreover, CXCL6 and TGF-β secreted by HCC cells activated extracellular signal-regulated kinase (ERK) 1/2 signaling of CAFs to produce more CLCF1, thus forming a positive feedback loop to accelerate HCC progression. Inhibition of ERK1/2 or CLCF1/ciliary neurotrophic factor receptor signaling efficiently impairedt the CLCF1 cascade as a potential prognostic biomarker and suggest that selective blockade of CLCF1/ciliary neurotrophic factor receptor or ERK1/2 signaling could provide an effective therapeutic target for patients with HCC.
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