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BACKGROUND: In response to the Institute of Medicine (IOM) report, Dying in America, we undertook an institution wide effort to improve the experience of patients and families facing serious illness by engaging leadership and developing a program to promote the practice of generalist palliative care.MEASURES: The impact of the program was measured with process measures related to its' three parts.
Reducing energy use, increasing the use of renewable energy sources, and adapting to stricter building regulations and certification systems – these are all examples of the challenges facing the building industry and society. Looking at the energy supply at a larger scale than a single building, like a neighborhood or a city, the stack effect of peak power demands can cause problems on the product
Do forest owners’ levels of education or value profiles explain their responses to climate change? The cultural cognition thesis (CCT) has cast serious doubt on the familiar and often criticized "knowledge deficit" model, which says that laypeople are less concerned about climate change because they lack scientific knowledge. Advocates of CCT maintain that citizens with the highest degrees of scie
The El Niño–Southern Oscillation (ENSO) is dominant mode of interannual climate variability, but its response to external climate forcings remains uncertain. Past studies have limitations including the use of short datasets and the uncertainty contained in reconstructions or simulations of past ENSO variations. To improve our understanding on ENSO variations, it is important to examine its respons
Diabetes mellitus is associated with decreased haemodynamic stability and reduced tolerance to hypovolaemia. Compensatory haemodynamic responses during experimental hypovolaemia in type 1 diabetes patients with (DMR+) and without (DMR-) retinopathy as well as healthy controls (C) were studied. Lower body negative pressure created hypovolaemic circulatory stress. Volumetric techniques were used to
Glucagon receptor (Gcgr) signaling maintains hepatic glucose production during the fasting state; however, the importance of the Gcgr for lipid metabolism is unclear. We show here that fasted Gcgr-/- mice exhibit a significant increase in hepatic triglyceride secretion and fasting increases fatty acid oxidation (FAO) in wild-type (WT) but not in Gcgr-/- mice. Moreover fasting upregulated the expre
Purpose: We previously showed that short-term intervention with barley kernel bread (BKB) improved glucose tolerance. However, glucose tolerance was not improved in a subset of individuals (non-responders) who were characterized by a low Prevotella/Bacteroides ratio. The purpose of the present study was to investigate if the baseline Prevotella/Bacteroides ratio can be used to stratify metabolic r
This study identifies and applies methods for evaluating the human response to pedestrian lighting applications intended for future use by the municipality of Malmö, Sweden. The methods employed provide a supplementary perspective to that given by the photometric properties of the lighting applications. The study involved 89 participants from two age groups (Young: N: 43, 19–31 yrs.; Elderly: N: 4
BACKGROUND: IgA nephropathy (IgAN), the most common glomerulonephritis worldwide, is characterized by mesangial deposits containing predominantly IgA. IgAN commonly occurs or exacerbates after upper respiratory tract infections such as streptococcal pharyngitis. Certain group A streptococci express M proteins with IgA-binding regions (IgA-BRs). We have previously shown that these IgA-BRs co-locali
Immune-regulated pathways influence multiple aspects of cancer development. In this article we demonstrate that both macrophage abundance and T-cell abundance in breast cancer represent prognostic indicators for recurrence-free and overall survival. We provide evidence that response to chemotherapy is in part regulated by these leukocytes; cytotoxic therapies induce mammary epithelial cells to pro
Round to elongate microbodies associated with fossil vertebrate soft tissues were interpreted as microbial traces until 2008, when they were re-described as remnant melanosomes - intracellular, pigment-containing eukaryotic organelles. Since then, multiple claims for melanosome preservation and inferences of organismal color, behavior, and physiology have been advanced, based upon the shape and si
Variation in transpiration and conductance between individual trees of Scots pine and Norway spruce was investigated in a mixed 50-year-old stand in central Sweden. Daily transpiration rates were measured by the tissue heat balance method on five trees of each species during a dry, warm growing season. Daytime averages of sapflow, climatic variables and soil water content were used to fit an empir
Corticosterone exposure during prenatal development as a result of maternal upregulation of circulating hormone levels has been shown to have effects on offspring development in mammals. Corticosterone has also been documented in egg yolk in oviparous vertebrates, but the extent to which this influences phenotypic development is less studied. We show that maternal corticosterone is transferred to
Experiments were done to examine the phototrophic response of sun-tracking leaves of Lupinus succulentus Dougl. to fixed beams of white and broad band light. Upon irradiation with 15 W m-2 white light that struck the laminae at an angle of 45°, there was a 45–60 min lag period prior to leaf movement. The greatest rate of movement was 15° h-1, and reorientation ceased when leaves attained a positio
We have performed investigations to see if the emergent macrophyte Phragmites australis (Cav.) Trin. ex Steud. exhibits phenotypic plasticity as a response to water depth and if such responses in biomass allocation pattern and morphology are functional responses, improving the performance of the plant. In greenhouse experiments plants were grown in deep or shallow water to evaluate plastic respons
In acidic soils, monomeric aluminium (Al3+) can reach levels that are toxic to plants, thus preventing many species from growing there. Organic acids chelate Al and render it non-toxic. It has been shown that exudation of organic acids by Al-tolerant crops increases their tolerance to Al. We have extended this observation to wild plants by comparing the ability of ten herbs to exude organic acids
