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  • 1
    Electronic Resource
    Electronic Resource
    Oxford, UK : Blackwell Science Ltd
    Health & social care in the community 13 (2005), S. 0 
    ISSN: 1365-2524
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: Despite the proliferation of support worker roles in the UK, little is known about their actual numbers, employment conditions or levels of training. Intermediate care services appear to be an important employer of support workers, but the diversity of intermediate care services makes the task of understanding support worker roles even more complex. This paper presents data from 33 services which were involved in an NHS Modernisation Agency's Changing Workforce Programme project, the Accelerated Development Programme for Support Workers in Intermediate Care in England. Within this project, the main employers of support workers were primary care trusts and/or social services. Participating intermediate care teams were involved in admission avoidance, assisted discharge and reablement, or combinations of these services, and the majority of care was provided in the patient's own home. The 33 services employed 794 support workers and 368 professionally qualified staff. The mean ratio of professionally qualified staff to support workers was 0.95 (range = 0–4.9, SD = 1.05). Support worker roles included multidisciplinary working, meeting rehabilitation needs, providing personal care and enablement. Team leaders included nurses, social workers, physiotherapists, professional managers, home carers and support workers. The most commonly reported sources of support worker training were National Vocational Qualifications and in-house training. In 80% of the services, at least half of the support workers had a qualification. Three models of supervision emerged across the services: the allocation of a mentor; team supervision; and formal and informal line management. These findings illustrate the diversity of employment of support workers in intermediate care. The variations in training, supervision and skill mix have implications for clinical governance and support worker regulation. The employment of support worker staff jointly across health and social care raises cross-boundary issues around employment contracts and pay.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1476-4687
    Source: Nature Archives 1869 - 2009
    Topics: Biology , Chemistry and Pharmacology , Medicine , Natural Sciences in General , Physics
    Notes: [Auszug] Forty-two black-and-white hooded rats of each sex were divided into groups of seven, and the experimental procedures for sampling and estimating the pseudo-cholinesterase in the liver and in the serum were the same as in an earlier study of the effect of starvation4. The mean weights of the male ...
    Type of Medium: Electronic Resource
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  • 3
    ISSN: 1573-2657
    Source: Springer Online Journal Archives 1860-2000
    Topics: Biology , Medicine
    Notes: Summary Anomalous tension development which would not be predicted from the descending limb of the length-tension curve occurs during prolonged tetani and after stretch during a tetanus. Variations in filament overlap might account for all or part of the tension enhancement. Fibres isolated from frog skeletal muscle were rapidly fixed during a tetanus with mercuric chloride in ethanol and chloroform so that the correct alignment of the filaments in the overlap zones was preserved. The fibres were examined in polarized light with compensation, and in the electron microscope. There were variations in striation spacing along the length of the fibres, and severe shortening with contraction bands near the tendon insertions, confirming observations made by others on live fibres. Many variations in filament overlap which would not be detectable by light microscopy or laser diffraction were seen in the electron microscope. In a pilot study we measured differences in the width of the overlap zones between half-sarcomeres in a small area and within individual half-sarcomeres. In the latter case the variations were greater in a fibre which developed creep of tension and one which did not. Even greater variations were seen in three fibres stretched during a tetanus, and, in two of these, there were some grossly elongated half-sarcomeres in which the filaments had pulled out of the overlap zones, leaving gaps.
    Type of Medium: Electronic Resource
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  • 4
    Electronic Resource
    Electronic Resource
    Springer
    Journal of muscle research and cell motility 5 (1984), S. 273-292 
    ISSN: 1573-2657
    Source: Springer Online Journal Archives 1860-2000
    Topics: Biology , Medicine
    Notes: Summary Isolated skeletal muscle fibres ofRana pipiens were shortened below their slack length by longitudinal compression in a gelatine block, and examined by light and electron microscopy. Waves appeared sharply when the striation spacing (S) reached a critical value (about 2 µm) and increased in height with further compression down toS = 1.6 µm while the resting band pattern was maintained. The waves were plane, helical or irregular, with wave lengths of 5–15 striations. The Z lines usually ran perpendicular to the direction of the myofibrils to form wedge-shaped sarcomeres. The bending occurred mainly in the I band. The thin filaments ran stiffly for about 30 nm from the Z line and then bent toward the A band. The thick filaments bent very slightly, particularly at their tips. The edges of the A band were indistinct, and there were no dense lines at the A–I junction. The appearance of the individual sarcomeres resembled those in relaxed myofibrils at slack length, with no Cm bands. The H zone was only seen occasionally in the slack and wavy fibres examined. In very thin sections the individual thin filaments were seen to end in the pseudo-H zone, and not to cross the M line. There was a single array of not more than six thin filaments round each thick one in transverse sections of the M-line region. These observations suggest that the narrowing of the bands observed in fresh wavy fibres is due mainly to the obliquity of the myofibrils, and that the sarcomere length measured parallel to their axis is longer than the striation spacing. The relationship between sarcomere length and the length of the thin-filament complex is discussed.
    Type of Medium: Electronic Resource
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  • 5
    Electronic Resource
    Electronic Resource
    Springer
    Journal of muscle research and cell motility 5 (1984), S. 293-314 
    ISSN: 1573-2657
    Source: Springer Online Journal Archives 1860-2000
    Topics: Biology , Medicine
    Notes: Summary Longitudinal compression of isolated skeletal muscle fibres ofRana pipiens caused waves to appear sharply at a critical striation spacing which was slightly less than the slack length measured at the same point. Both slack length and critical length varied between fibres and along the length of one fibre, being shortest near the tendons. The critical length varied from 1.93 to 2.11 µm. The troponin periodicity (P diff) was measured in embedded material by light diffraction of calibrated electron micrographs. Comparison between the troponin periodicities in a fibre made wavy at one end and stretched at the other showed that longitudinal compression did not cause shortening of the thin filaments. Comparison betweenP diff and the troponin periodicity of fresh muscle provided an estimate of the artefact mainly caused by shrinkage during specimen preparation. It varied from 3 to 11%. The gaps between the ends of the thin filaments in the M-line region were estimated from sarcomere length (corrected for shrinkage) and the assumedin vivo values for total thin-filament length or the length between the last troponin lines (1.975 µm and 1.925 µm respectively). The estimates were confirmed by a few direct measurements of thin-filament length and periodicity. Sarcomere length varied from fibre to fibre, from 1.91 to 2.12 µm, except at the inside of bends in wedge-shaped sarcomeres where it fell to 1.86 µm in some cases. This indicates that in one fibre the tips of the thin filaments overlapped at the level of the last troponin lines, while, at the other extreme, the tips of the thin filaments only just reached the bare zone of the thick filaments. The origin of the resistance to sliding and the force which restores an actively shortened fibre to its slack length are discussed. While there may be a well-defined barrier to sliding at the point where the troponins of opposite polarity meet, there must also be an additional length-dependent resistance to account for the appearance of waves at longer sarcomere lengths. The formation of waves is interpreted as a buckling phenomenon in which a longitudinal compressive force is applied to the myofibrils which have a finite stiffness against bending and a finite elastic restraint against lateral displacement. The bending stiffness is largely and perhaps entirely accounted for by contributions from (1) the stiffness of the individual filaments and (2) the stiffness of myofibrils calculated from their Young's modulus.
    Type of Medium: Electronic Resource
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  • 6
    Electronic Resource
    Electronic Resource
    Springer
    Cellular and molecular neurobiology 1 (1981), S. 279-288 
    ISSN: 1573-6830
    Keywords: catecholamines ; hypothalamus ; organotypic culture ; rat fetus
    Source: Springer Online Journal Archives 1860-2000
    Topics: Biology
    Notes: Abstract The distribution, morphology, and maturation of catecholamine (CA) neurons have been studied in hypothalamic explants from late-gestation rats. CA-containing neurons were identified using the glyoxylic acid technique. CA-containing processes were present from all hypothalamic areas except the preoptic region. Several fiber types were identified. CA neurons in vitro resemble CA neurons in adult hypothalamus. This tissue culture system may be useful in the study of a number of properties of hypothalamic CA neurons.
    Type of Medium: Electronic Resource
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  • 7
    Publication Date: 2022-06-28
    Description: The transit of RV SONNE from Las Palmas (departure: 11.12.2021) to Guayaquil, Ecuador (arrival: 11.01.2022) is directly related to the international collaborative project SO287-CONNECT of GEOMAR in cooperation with Hereon and the University of Bremen, supported by the German Federal Ministry of Education and Research (BMBF) between October 15 2021 and January 15 2024. The research expedition was conducted to decipher the coupling of biogeochemical and ecological processes and their influence on atmospheric chemistry along the transport pathway of water from the upwelling zones off Africa into the Sargasso Sea and further to the Caribbean and the equatorial Pacific. Nutrient-rich water rises from the deep and promotes the growth of plant and animal microorganisms, and fish at the ocean surface off West Africa. The North Equatorial Current water carries the water from the upwelling, which contains large amounts of organic material across the Atlantic to the Caribbean, supporting bacterial activity along the way. But how the nutritious remnants of algae and other substances are processed on their long journey, biochemically transformed, decomposed into nutrients and respired to carbon dioxide, has so far only been partially investigated. Air, seawater and particles were sampled in order to provide new details about the large cycles of carbon and nitrogen, but also of many other elements such as oxygen, iodine, bromine and sulfur. Inorganic and organic bromine and iodine compounds are generally emitted naturally from the ocean into the atmosphere, promote cloud formation and affect climate, and some even reach the stratosphere where they contribute to ozone depletion. We measured how much of these compounds are released from the ocean, and at what locations and how they are transformed in the ocean and in the atmosphere. Sargassum algae, which have become a nuisance on beaches in the western and eastern Atlantic, support life and contribute to carbon cycling in the middle of the Atlantic, the Sargasso Sea and in the Caribbean, while their contribution to halogen cycling and marine bromine and iodine emissions was previously unknown. We investigated the influence of various natural parameters such as temperature and solar radiation on the biogeochemical transformation processes in order to understand the influence of climate change on these processes in incubation experiments with seawater and algae. We investigated how anthropogenic signals such as shipping traffic influence the nitrogen and sulphur cycle in the ocean, as well as the impact of nitrogen oxides from ship exhaust and sulphurous, acidic and dirty water from purification systems on organisms and biochemical processes. Plastic debris was sampled from the surface waters to investigate its contribution to global biogeochemical transformation processes. The working hypotheses of the research program were:  Bioavailability of dissolved organic carbon in surface waters decreases along the productivity gradient and transport pathway from the Eastern to the Western Tropical North Atlantic.  Nutrient gradients from East to West constrain the microbial utilization of organic matter- contributing to an accumulation of C-rich organic matter due to a) limited mineralization and b) enhanced exudation- also leading to gel-like particles accumulation in the western tropical North Atlantic and Sargasso Sea.  Tropospheric and stratospheric ozone are strongly impacted by biogeochemical and ecological processes occurring around and in the NA gyre system related to marine iodine and bromine cycles.  The long-range transport of natural and anthropogenic organic matter in water and of gases and aerosols in the air impact carbon-export, biogeochemical cycles in the water column, and the release of gases and particles from the ocean significantly. 4 SONNE -Berichte, SO287, Las Palmas - Guayaquil, 11.12.2021 - 11.01.202 The data and samples obtained specifically target carbon, nutrient and halogen cycling, the composition of phytoplankton, bacteria, the transport and sequestration of macro algae and the air-sea exchange processes of climate relevant gases and aerosols. The influence of ecological and transport processes, as well as anthropogenic impacts on the North Atlantic gyre system, specifically in the Sargasso Sea and the influence of ship emissions throughout the Atlantic towards the west and into the Pacific will be investigated with the data.
    Type: Report , NonPeerReviewed
    Format: text
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  • 8
    Publication Date: 2013-03-26
    Description: Human glycolipid transfer protein (hsGLTP) forms the prototypical GLTP fold and is characterized by a broad transfer selectivity for glycosphingolipids (GSLs). The GLTP mutation D48V near the `portal entrance' of the glycolipid binding site has recently been shown to enhance selectivity for sulfatides (SFs) containing a long acyl chain. Here, nine novel crystal structures of hsGLTP and the SF-selective mutant complexed with short-acyl-chain monoSF and diSF in different crystal forms are reported in order to elucidate the potential functional roles of lipid-mediated homodimerization. In all crystal forms, the hsGLTP–SF complexes displayed homodimeric structures supported by similarly organized intermolecular interactions. The dimerization interface always involved the lipid sphingosine chain, the protein C-terminus (C-end) and α-helices 6 and 2, but the D48V mutant displayed a `locked' dimer conformation compared with the hinge-like flexibility of wild-type dimers. Differences in contact angles, areas and residues at the dimer interfaces in the `flexible' and `locked' dimers revealed a potentially important role of the dimeric structure in the C-end conformation of hsGLTP and in the precise positioning of the key residue of the glycolipid recognition centre, His140. ΔY207 and ΔC-end deletion mutants, in which the C-end is shifted or truncated, showed an almost complete loss of transfer activity. The new structural insights suggest that ligand-dependent reversible dimerization plays a role in the function of human GLTP.
    Print ISSN: 0907-4449
    Electronic ISSN: 1399-0047
    Topics: Chemistry and Pharmacology , Geosciences , Physics
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  • 9
    Publication Date: 2013-03-22
    Description: Background: Psoriatic Arthritis (PsA) is estimated to occur in 10-15% of people with psoriasis and accounts for 13% of people attending early arthritis clinics. With an increasing awareness of the poor outcomes associated with PsA and the availability of new effective, but costly, treatments, there is an urgent need to research the optimal treatment for patients with PsA. The aim of the TICOPA study is to establish whether, in treatment naive early PsA patients, "tight control" intensive management with protocol driven therapies and pre-defined objective targets for treatment can improve clinical outcome compared to standard care alone. Methods: TICOPA is a UK multicentre, open-label, randomised controlled, parallel group trial of 206 patients with early PsA. Patients will be randomised on a 1:1 basis to receive either standard care (12 weekly review) or intensive management (4 weekly review) for a period of 48 weeks. Patients assigned to the intensive management group will follow a strict treatment protocol whereby dose continuation/escalation is determined through the objective assessment of the minimal disease activity (MDA) criteria. Patients assigned to the standard care group will have treatment prescribed as felt appropriate by the treating clinician, with no set protocol. The primary objective of the trial is to compare intensive management with standard care in terms of the proportion of patients achieving an ACR 20 response at 48 weeks post-randomisation, in order to determine whether intensive management has superior clinical efficacy. Key secondary outcomes include ACR 50 and 70, PASI 75 and X-ray Van der Heijde score at 48 weeks post-randomisation along with cost-effectiveness at 12, 24 and 28 weeks.DiscussionThe TICOPA trial will provide direct evidence as to whether the use of early and intensive treatment in PsA in routine clinical care leads to an improvement in patients' disease activity and a reduction in radiological joint damage.Trial registration: ISRCTN30147736NCT01106079
    Electronic ISSN: 1471-2474
    Topics: Medicine
    Published by BioMed Central
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  • 10
    Publication Date: 2015-03-03
    Description: Nature Reviews Rheumatology 11, 131 (2015). doi:10.1038/nrrheum.2014.210 Authors: Chrysothemis C. Brown & Lucy R. Wedderburn Can a patient's genotype provide insight into the mechanistic basis of autoimmune disease? A study integrating epigenetic data with finely mapped disease-associated variants sheds light on how noncoding variants might alter gene expression within specific immune cells, and hints at new possibilities for individualizing treatment of autoimmune rheumatic disorders.
    Topics: Medicine
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