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Patients consulting with students in general practice: Survey of patients' satisfaction and their role in teaching.

Background: General practice is a common setting for medical students' clinical training. However, little is known about patients' views on consulting with senior students. Aims: To investigate patients' attitudes to consultations conducted by senior students alone, before patients saw their GP; and to enquire into patients' perception of their teaching role. Method: Adult patients attending 50 he

Pattern of somatic androgen receptor gene mutations in patients with hormone-refractory prostate cancer.

Progression to hormone-refractory growth of prostate cancer has been suggested to be mediated by androgen receptor (AR) gene alterations. We analyzed AR for mutations and amplifications in 21 locally recurrent prostate carcinomas treated with orchiectomy, estrogens, or a combination of orchiectomy and estramustine phosphate using fluorescence in situ hybridization, single-strand conformation polym

Demonstration of functionally different interactions between phospholipase C-gamma and the two types of platelet-derived growth factor receptors

Phosphorylated tyrosine residues in receptor tyrosine kinases serve as binding sites for signal transduction molecules. We have identified two autophosphorylation sites, Tyr-988 and Tyr-1018, in the platelet-derived growth factor (PDGF) alpha-receptor carboxyl-terminal tail, which are involved in binding of phospholipase C-gamma (PLC-gamma). The capacities of the Y988F and Y1018F mutant PDGF alpha

Flow-induced motion of a short circular cylinder spanning a rectangular channel

Abstract in UndeterminedFlow-induced oscillation of an elastically supported circular cylinder subject to an incompressible fluid at Re=100 and 400 has been studied using three-dimensional simulations. The cylinder is either subjected to a uniform flow in an unconfined surrounding or confined by rectangular channel, i.e. the cylinder is confined in both the span-wise and the cross-stream direction

Acupuncture relieves pelvic and low-back pain in late pregnancy

Background The study was designed to evaluate the analgesic effect and possible adverse effects of acupuncture for pelvic and low-back pain during the last trimester of pregnancy. Methods Following individual informed consent, 72 pregnant women reporting pelvic or low-back pain were randomized during pregnancy weeks 24-37 to an acupuncture group (n = 37) or to a control group (n = 35) at three mat

Förmaksflimmer--epidemiologiska och elektrofysiologiska aspekter

Förmaksflimmer är en vanlig och behandlingskrävande hjärtrytmrubbning. Det kroniska förmaksflimret finner man i befolkningen från 50-årsåldern i alltmer ökande omfattning. Antalet individer i Norge med denna rytmrubbning beräknas vara drygt 40000 och ökar med ytterligare cirka 5000 till år 2010. Mekanismerna bakom initiering och underhåll av förmaksflimmer kartläggs allt bättre. Den paroxysmala foAtrial fibrillation is a common and therapy-requiring cardiac arrhythmia. The chronic form becomes identified in population studies from the age of 50 and increases with age. The number of Norwegian individuals with this arrhythmia is estimated to be slightly in excess of 40,000 and it will increase approximately by another 5,000 until the year 2010. Mechanisms responsible for initiation and maint

From the meaning of embodiment to the embodiment of meaning

Unlike in much of the contemporary discussion of embodiment, phenomenology is really involved with the body as a kind of meaning appearing to consciousness; and it does not only attend to the body of the biological organism, but also to the kind of organism-independent artefacts which are required by some sign systems. Because it is concerned with meaning, phenomenology is akin to semiotics. From

Control Systems with Friction

Popular Abstract in Swedish Avhandlingen behandlar reglertekniska problem orsakade av friktion. Tre aspekter behandlas: modellering, analys av självsvängningar orsakade av friktion och friktionskompensering. En ny relativt enkel matematisk modell för friktion presenteras och studeras. Modellen kan återge experimentella observationer av friktionsbeteende. Matematiska verktyg för att bestämma självsFriction-related problems are frequently encountered in control systems. This thesis treats three aspects of such problems: modeling, analysis, and friction compensation. A new dynamic friction model is presented and investigated. The model is described by a first order nonlinear differential equation with a reasonable number of parameters, yet it captures most of the experimentally observed frict

Eve and the serpent: A rational choice to err

In dealing with inexplicable disaster, like the untimely death of a child in a hospital, we increasingly turn to the justice system for accountability and retribution. While seemingly sensible, criminalizing human error has a range of negative consequences. But it does offer "good" narratives of failure as the result of human fault-even at the cost of guilt. Such narratives allow us to pinpoint a

An enzymatic process to alpha-ketoglutarate from L-glutamate: the coupled system L-glutamate dehydrogenase/NADH oxidase

alpha-Ketoglutarate, employed to treat mild chronic renal insufficiency, was obtained through enzymatic oxidation of monosodium glutamate (MSG) catalyzed by L-glutamate dehydrogenase (L-gluDH) coupled with NADH oxidase for the regeneration of NADH back to NAD(+). The irreversible reduction of molecular oxygen to water by NADH oxidase is demonstrated to drive oxidation of MSG to alpha-ketoglutarate

Delegation to Supranational Institutions: Why, How, and with What Consequences?

Why, how, and with what consequences do national governments delegate political authority to supranational institutions? Contrary to the static conceptions of delegation that dominate the existing literature, this article adopts a dynamic approach, where the stages of the delegation process are integrated into a coherent rational institutionalist framework. With demonstrations from the case of the

Local effects on triiodothyronine-treated polyglactin sutures on regeneration across peripheral nerve defects.

We have previously described a new and simple method for nerve repair in which continuous longitudinal polyglactin sutures alone are used to bridge limited nerve defects in rats. Here we examined whether such sutures could be used to deliver a growth-promoting substance, triiodothyronine (T3), and enhance regeneration of the rat sciatic nerve. Sutures were pretreated in highly concentrated solutio

Physiological influence of basic perturbations assessed by non-invasive optical techniques in humans

New non-invasive techniques enabling frequent or continuous assessments of various pathophysiological conditions might be used to improve in-hospital outcome by enabling earlier and more reliable bedside detection of medical deterioration. In this preclinical study, three modern non-invasive optical techniques, laser Doppler imaging (LDI), near-infrared spectroscopy (NIRS), and tissue viability im

Riboflavin and Ultraviolet A Collagen Crosslinking of the Cornea for the Treatment of Keratitis.

PURPOSE:: To describe riboflavin and ultraviolet light (UV) collagen crosslinking as an effective treatment for infectious keratitis. METHODS:: A 25-year-old previously healthy female contact lens user was diagnosed with unilateral severe keratitis with unclear pathogenesis, although the clinical presentation suggested acanthamoeba as the infectious agent. A 4-mm diameter, annular, semi-opaque inf

Pathophysiology of coronary blood flow in congenital heart disease.

OBJECTIVES: The aim was to investigate the effects of volume and pressure overload and increased coronary perfusion pressure on coronary flow (CF) in congenital heart disease (CHD) patients. BACKGROUND: The effects of CHD on CF are poorly mapped. METHODS: A total of 65 patients with acyanotic CHD and 49 age-matched healthy controls were examined by transthoracic Doppler echocardiography. Posterior

Inflammation and immunity in diabetic vascular complications.

PURPOSE OF REVIEW: Diabetes is associated with an increased risk for cardiovascular disease. The purpose of this review is to discuss possible mechanisms through which diabetes can contribute to a more aggressive atherosclerotic disease process with a particular focus on the role of innate and adaptive immunity. RECENT FINDINGS: The observation that adaptive immune responses to oxidized LDL modula