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PubMed2004

Experiences of adolescents with cystic fibrosis during their transition from paediatric to adult health care: a qualitative study of young Australian adults.

PURPOSE: Exploring the experiences of Australian adolescents with Cystic Fibrosis (CF) as they made the transition from paediatric to adult care. This often traumatic change of care was examined from the perspective of the two types of care, paediatric and adult, elements of a transition programme if available and psychosocial factors that may affect the transition. METHOD: Focused-in-depth interviews were conducted with six young adults with CF (19-34 years), asking them to describe their experiences during the transition period. RESULTS: Thematic analysis of the transcribed interviews indicated that the four main areas that affected the transition experiences of the participants were paediatric and adult health care, the elements included in the transition programme, and psychosocial factors. CONCLUSIONS: The relationship of the patient with their paediatric doctor, the doctor's attitude towards the transition and the delivery of age-appropriate care appeared to influence the experiences of adolescents as they changed to adult care. Successful elements of a transition programme, if it was offered, were the orientation tours, the provision of information and the presence of a familiar face at adult clinics. Transition experiences of individuals had potential effects on their psychological and physical well-being so that, in order to maximize quality of care, health professionals must be aware of factors which may improve transition experiences.

Adaptation, Psychological↗

PubMed2006

Transition-metal-catalyzed dehydrocoupling: a convenient route to bonds between main-group elements.

The development of transition-metal-catalyzed dehydrocoupling reactions as a synthetic method for the formation of main-group element-element bonds provides an increasingly attractive and convenient alternative to traditional routes such as salt metathesis/elimination-type reactions. Since the first reported examples in the early 1980s, there has been a rapid expansion of this field, with extensions to a wide variety of metal-mediated homonuclear and heteronuclear bond-forming processes. Applications of this new chemistry in molecular and polymer synthesis, materials science, hydrogen storage and the transfer hydrogenation of organic substrates are attracting growing attention. An overview of this emerging area is presented in this Concepts article with a focus on recent results.

Journal Article↗

PubMed1993

[Morphologic study of the inferior cavo-atrial transition in man. Morphofunctional considerations].

PURPOSE: Analysis the fibrous elements of the transition between the inferior vena cava and right atrium. METHODS: Twenty adult (20-40 ys) were used. Properly preserved samples were analysed macro and microscopically. Fragments were excised from the inferior cavo-atrial transition and analysed under stereomicroscopic. RESULTS: The inferior vena cava valve was disposed at the wall of the vein. Insertions of striated muscular cardiac fibers bundles are seen at the anterior wall of inferior vena cava. These muscular bundles are directed towards the intima of the vein. There were at the venous posterior wall insertions of the cardiac muscular bundles, originated from the crista terminalis and from the interatrial septum, these bundles show an orientation predominantly oblique, with tendency to become circular. At the transition level, the bundles of smooth muscular fibers of the inferior vena cava, presented an oblique disposition, becoming predominantly circular. CONCLUSION: As the disposition of muscular cardiac fibers presents a predominantly circular direction and, the bundles of smooth muscular fibers of the inferior vena cava present the same direction, we could postulate that, when the atrial systole occurs, these muscular bundles would obliterate the cavo-atrial transition, preventing, this way, the venous reflux.

Adult↗

PubMed1999

Analysis of Line Positions and Strengths of H216O Ground and Hot Bands Connecting to Interacting Upper States: (020), (100), and (001).

High-resolution spectra of H216O were recorded with a Fourier-transform spectrometer covering transitions in the (020)-(010), (100)-(010), and (001)-(010) bands from 1100 to over 2300 cm-1. Also included in the study were previously reported measurements of these bands and measurements of the (020)-(000), (100)-(000), and (001)-(000) bands from 2620 cm-1 to 4500 cm-1. The linestrengths were fitted to a model which takes into account the interactions between the vibrational states (020), (100), and (001). The model included dipole moment matrix elements (also referred to as transition elements) represented by 19 expansion coefficients for B-type transitions and 14 expansion coefficients for A-type band transitions. The most satisfactory results were obtained when the relative signs and values of the leading dipole moment terms of each of the three "hot" bands were as follows: u(020-010) = 1.936(97) x 10(-1) D, u(100-010) = 3.876(19) x 10(-2) D, and u(001-010) = 2.523(75) x 10(-2) D. Hot water emission experimental frequencies from other studies were included in an analysis to obtain rotational energies for levels up to high J and/or Ka of the (020), (100), and (001) vibrational states. The results from this study provide a more accurate representation of the parameters than those available at present for the six bands. Copyright 1999 Academic Press.

Journal Article↗

PubMed2002

Transition: a future promise for children and adolescents with special health care needs and disabilities.

Transitions are a part of everyone's life experience. Most young people with special health care needs and disabilities (SHCN/D) become independent partners in adult society, but some need deliberate guidance and support. This latter group is growing in number. Through a new consensus statement from the American Academy of Pediatrics and the U.S. Federal Government (Healthy People 2010), society is recognizing the need to assist young people with SHCN/D in attaining their potential in adulthood. This article discusses the growing number of young people with SHCN/D, their desires for their transition, the definition and areas of transition that should be addressed, and the key elements of successful transition programs. The article ends with a suggested list of actions a health care professional can undertake to foster a successful transition and a selected list of helpful resources for health professionals, families, and young people with SHCN/D.

Activities of Daily Living↗

PubMed2002

Step-transition perturbation approach for pixel-structured nonparaxial diffractive elements.

An extension of an approximate step-transition perturbation method is presented that permits numerically efficient diffraction analysis of pixel-structured surface profiles in the nonparaxial domain. Comparison with the rigorous diffraction theory of gratings shows that the method is reasonably accurate provided that the pixel size exceeds approximately two wavelengths even if the structure contains isolated pixels.

Journal Article↗

PubMed1993

Beta-COP localizes mainly to the cis-Golgi side in exocrine pancreas.

We examined the distribution of the non-clathrin-coated vesicle-associated coat protein beta-COP in rat exocrine pancreatic cells by immunogold cytochemistry. Labeling for beta-COP was found in the Golgi region (48%) where it was associated with vesicles and buds of approximately 50 nm, showing a characteristic approximately 10-nm-thick coat. The other half of the label was present in the cytoplasm, not associated with visible coats or membranes, with a minor fraction present on small clusters of tubules and vesicles. Clathrin-coated vesicles were typically located at the trans-side of the Golgi complex, and showed a thicker coat of approximately 18 nm. Of the total beta-COP labeling over the Golgi region, 68% occurred on the cis-side, 6% on the cisternae, 17% on the rims of the cisternae, and only 9% on the trans-side. For clathrin these figures were 16, 2, 4, and 78%, respectively. At the cis-Golgi side beta-COP was present in transitional areas (TA), on so-called peripheral elements (PE), consisting of tubules and vesicles located between the cup-shaped transitional elements (TE) of the RER and the cis-most Golgi cisternae. Label for Sec23p was also present in TA but was located closer to the TE, while beta-COP labeled PE were located near the cis-Golgi cisternae. Upon energy depletion, Golgi associated beta-COP was almost exclusively (86%) in spherical aggregates of 200-500 nm in diameter, whereas the cis-side (6%), the cisternae (1%), the rims (4%) and trans-side (3%) of the Golgi complex, were barely labeled; 50% of the total label remained in the cytoplasm. The aggregates were predominantly located at the cis-side of the Golgi stack, next to, but distinct from the Sec23p positive TA, that were devoid of beta-COP and had only a few recognizable vesicles left. Incubation with aluminum fluoride resulted in fragmentation of the Golgi complex into large clusters of beta-COP positive vesicles, while 50% of the label remained in the cytoplasm, as in control cells. After 10 min of Brefeldin A treatment 91% of beta-COP was cytoplasmic and only 7% associated with membranes of the Golgi complex. The total label for beta-COP over exocrine cells remained unchanged during the incubation with either of the drugs, indicating that the drugs induce reallocation of beta-COP. Our data suggest that beta-COP plays a role in membrane transport at the cis-side of the Golgi complex.

Aluminum↗

PubMed2006

Superstructure in RE2-xFe4Si14-y (RE = Y, Gd-Lu) characterized by diffraction, electron microscopy, and Mössbauer spectroscopy.

Ternary rare-earth iron silicides RE(2-x)Fe4Si(14-y) (RE = Y, Gd-Lu; x approximately equal to 0.8; y approximately equal to 4.1) crystallize in the hexagonal system with a approximately equal to 3.9 A, c approximately equal to 15.3 A, Pearson symbol hP20-4.9. Their structures involve rare-earth silicide planes with approximate compositions of "RE1.2Si1.9" alternating with beta-FeSi2-derived slabs and are part of a growing class of rare-earth/transition-metal/main-group compounds based on rare-earth/main-group element planes interspersed with (distorted) fluorite-type transition-metal/main-group element layers. The rare-earth silicide planes in the crystallographic unit cells show partial occupancies of both the RE and Si sites because of interatomic distance constraints. Transmission electron microscopy reveals a 4a x 4b x c superstructure for these compounds, whereas further X-ray diffraction experiments suggest ordering within the ab planes but disordered stacking along the c direction. A 4a x 4b structural model for the rare-earth silicide plane is proposed, which provides good agreement with the electron microscopy results and creates two distinct Fe environments in a 15:1 ratio. Fe-57 Mössbauer spectra confirm these two different iron environments in the powder samples. Magnetic susceptibilities suggest weak (essentially no) magnetic coupling between rare-earth elements, and resistivity measurements indicate poor metallic behavior with a large residual resistivity at low temperatures, which is consistent with disorder. First-principles electronic-structure calculations on model structures identify a pseudogap in the densities of states for specific valence-electron counts that provides a basis for a useful electron-counting scheme for this class of rare-earth/transition-metal/main-group compounds.

Journal Article↗

PubMed1991

The mouse transition protein 1 gene contains a B1 repetitive element and is located on chromosome 1.

The gene for mouse transition protein 1 (mTP1) was isolated, sequenced, and chromosomally mapped. The nucleotide sequence of 1895 bp of a 6.4-kb mTP1 genomic subclone was determined to include 788 bp of 5' flanking region, 564 bp of coding region including a 396-bp intron and a TAA stop codon, and 543 bp of 3' flanking region. The mTP1 gene contains a B1 repeat sequence within the only intron of the gene. The transcriptional start site of the mTP1 mRNA was determined to be located 31 bases upstream of the ATG translational start codon. Southern blot analysis demonstrated the presence of sequences homologous to the mTP1 cDNA in the genomes of the rat, hamster, bull, boar, dog, horse, ram, human, and two marsupials (the American opossum and Monodelphis), suggesting that the mTP1 gene sequence is widely conserved. The TP1 gene has been mapped by analysis of restriction fragment length variants (RFLV) in an interspecific backcross to a position 0.7 +/- 0.4 cM telomeric of Mylf and 1.2 +/- 0.5 cM centromeric of Vil on mouse chromosome 1.

Amino Acid Sequence↗

PubMed2005

Bonding and oxidation state of a transition metal atom encapsulated in an isolated octahedral cluster cation of main group elements: synthesis, crystal structure, and electronic structure of Pt2In14Ga3(O)8F15 containing highly positive 18-electron complex [PtIn6]10+ and low-valent In+ ions.

Colorless transparent single crystals and white polycrystalline powder samples of Pt2In14Ga3(O)8F15 were obtained by heating a mixture of stoichiometric amounts of Pt, In, InF3, and Ga2(O)3, in a Pt crucible under Ar at 600 degrees C. The new oxyfluoride crystallizes in a new structure type in the trigonal space group Rm (No. 166) with a = 709.0(6) pm, c = 4556.4(3) pm, and Z = 6 with characteristic building units of PtIn6 octahedra (Pt-In = 255-257 pm), GaF6 octahedra (Ga-F = 189 pm), and GaO(4) tetrahedra (Ga-O = 186-187 pm). This oxyfluoride consists of a highly positive 18-electron complex [PtIn6]10+ as well as low-valent In+ ions. Electronic band structure calculations for Pt2In14(Ga3)O(8)F15 and molecular orbital (MO) calculations for [PtIn6]10+ were carried out to analyze the electronic structure of [PtIn6]10+ and estimate the oxidation state of Pt. Our analysis indicates that the oxidation state of the Pt atom in [PtIn6]10+ is negative rather than positive. For other octahedral cluster cations of main group elements stuffed with a transition metal atom (e.g., [RuSn6]14+ and "[IrBi6]11+") as well, we showed that the oxidation state of the transition metal atom is most probably negative by studying their electronic structures.

Journal Article↗

PubMed1995

Rapid degradation of AU-rich element (ARE) mRNAs is activated by ribosome transit and blocked by secondary structure at any position 5' to the ARE.

The 3' noncoding region (NCR) AU-rich element (ARE) selectively confers rapid degradation on many mRNAs via a process requiring translation of the message. The role of cotranslation in destabilization of ARE mRNAs was examined by insertion of translation-blocking stable secondary structure at different sites in test mRNAs containing either the granulocyte-macrophage colony-stimulating factor (GM-CSF) ARE or a control sequence. A strong (-80 kcal/mol [1 kcal = 4.184 kJ]) but not a moderate (-30 kcal/mol) secondary structure prevented destabilization of mRNAs when inserted at any position upstream of the ARE, including in the 3' NCR. Surprisingly, a strong secondary structure did not block rapid mRNA decay when placed immediately downstream of the ARE. Studies are also presented showing that the turnover of mRNAs containing control or ARE sequences is not altered by insertion of long (1,000-nucleotide) intervening segments between the stop codon and the ARE or between the ARE and poly(A) tail. Characterization of ARE-containing mRNAs in polyadenylated and whole cytoplasmic RNA fractions failed to find evidence for decay intermediates degraded to the site of strong secondary structure from either the 5' or 3' end. From these and other data presented, this study demonstrates that complete translation of the coding region is essential for activation of rapid mRNA decay controlled by the GM-CSF ARE and that the structure of the 3' NCR can strongly influence activation. The results are consistent with activation of ARE-mediated decay by possible entry of translation-linked decay factors into the 3' NCR or translation-coupled changes in 3' NCR ribonucleoprotein structure or composition.

Base Composition↗

PubMed1988

Unusual renal pelvic tumor containing transitional cell carcinoma, adenocarcinoma and sarcomatoid elements (so-called sarcomatoid carcinoma of the renal pelvis). A case report and review of the literature.

A case of sarcomatoid carcinoma of the renal pelvis in a 66-year-old male is reported. The patient underwent left nephroureterectomy because of renal pelvic tumor and hydronephrosis. Left renal calcification and atrophy had been diagnosed in the patient about thirty years previously. The tumor showed a polypoid configuration and occupied the renal calyces. Histologically, not only solid nests of transitional cell carcinoma (TCC) and adenocarcinomatous glands but also large spindle-shaped cells with bizarre nuclei simulating sarcoma were identified. Immunoreactive keratin and epithelial-membranous antigen (EMA) were demonstrated in the sarcomatoid cells, indicating that they were of epithelial origin. So far, only 10 cases of so-called sarcomatoid carcinoma or carcinosarcoma of the renal pelvis have been reported in the world. In this report, we summarize the pathological findings of previously reported cases and discuss the histogenesis of this rare tumor.

Adenocarcinoma↗

PubMed2005

Different secondary structure elements as scaffolds for protein folding transition states of two homologous four-helix bundles.

Comparison of the folding processes for homologue proteins can provide valuable information about details in the interactions leading to the formation of the folding transition state. Here the folding kinetics of 18 variants of yACBP and 3 variants of bACBP have been studied by Phi-value analysis. In combination with Phi-values from previous work, detailed insight into the transition states for folding of both yACBP and bACBP has been obtained. Of the 16 sequence positions that have been studied in both yACBP and bACBP, 5 (V12, I/L27, Y73, V77, and L80) have high Phi-values and appear to be important for the transition state formation in both homologues. Y31, A34, and A69 have high Phi-values only in yACBP, while F5, A9, and I74 have high Phi-values only in bACBP. Thus, additional interactions between helices A2 and A4 appear to be important for the transition state of yACBP, whereas additional interactions between helices A1 and A4 appear to be important for the transition state of bACBP. To examine whether these differences could be assigned to different packing of the residues in the native state, a solution structure of yACBP was determined by NMR. Small changes in the packing of the hydrophobic side-chains, which strengthen the interactions between helices A2 and A4, are observed in yACBP relative to bACBP. It is suggested that different structure elements serve as scaffolds for the folding of the 2 ACBP homologues.

Escherichia coli Proteins↗

PubMed2005

Phase transition of nanostructure zirconias doped with rare earth elements.

Nanostructure zirconias doped with rare earth elements were obtained by coprecipitation. The morphology, structure, and phase transition of the as-prepared samples were studied. According to transmission electron microscopy, the particles appear in near spherical shape and have a mean particle sizes of about 150 nm without change with the rare earth elements. From laser Raman and X-ray diffraction results, it is known that the tetragonal phase of zirconia is stabilized by a certain concentration of the rare earth dopants, and the cubic phase is obtained if enough dopants are added. The crystal lattice increases with the increase of dopant concentration. Moreover, the heavy rare earths are better than the light ones in stabilizing effect. According to our study, laser Raman is more sensitive than X-ray diffraction in monitoring the phase transition.

Crystallization↗

PubMed2000