Temporal complexity in clinical manifestations of lung disease

2011 ◽  
Vol 110 (6) ◽  
pp. 1723-1731 ◽  
Author(s):  
Urs Frey ◽  
Geoffrey Maksym ◽  
Béla Suki

In this review, we summarize results of recent research on the temporal variability of lung function, symptoms, and inflammatory biomarkers. Specifically, we demonstrate how fluctuation analysis borrowed from statistical physics can be used to gain insight into neurorespiratory control and complex chronic dynamic diseases such as asthma viewed as a system of interacting components (e.g., inflammatory, immunological, and mechanical). Fluctuation analysis tools are based on quantifying the distribution and the short- and long-term temporal history of tidal breathing and lung function parameters to assess neurorespiratory control and monitor chronic disease. The latter includes the assessment of severity and disease control, the impact of treatment and environmental triggers, the temporal characterization of disease phenotypes, and the individual risk of exacerbation. While in many cases specific mechanistic insight into the fluctuations still awaits further research, appropriate analyses of the fluctuations already impact on clinical science and practice.

Crisis ◽  
2016 ◽  
Vol 37 (4) ◽  
pp. 265-270 ◽  
Author(s):  
Meshan Lehmann ◽  
Matthew R. Hilimire ◽  
Lawrence H. Yang ◽  
Bruce G. Link ◽  
Jordan E. DeVylder

Abstract. Background: Self-esteem is a major contributor to risk for repeated suicide attempts. Prior research has shown that awareness of stigma is associated with reduced self-esteem among people with mental illness. No prior studies have examined the association between self-esteem and stereotype awareness among individuals with past suicide attempts. Aims: To understand the relationship between stereotype awareness and self-esteem among young adults who have and have not attempted suicide. Method: Computerized surveys were administered to college students (N = 637). Linear regression analyses were used to test associations between self-esteem and stereotype awareness, attempt history, and their interaction. Results: There was a significant stereotype awareness by attempt interaction (β = –.74, p = .006) in the regression analysis. The interaction was explained by a stronger negative association between stereotype awareness and self-esteem among individuals with past suicide attempts (β = –.50, p = .013) compared with those without attempts (β = –.09, p = .037). Conclusion: Stigma is associated with lower self-esteem within this high-functioning sample of young adults with histories of suicide attempts. Alleviating the impact of stigma at the individual (clinical) or community (public health) levels may improve self-esteem among this high-risk population, which could potentially influence subsequent suicide risk.


2021 ◽  
Vol 10 (6) ◽  
pp. 1161
Author(s):  
Raluca Pais ◽  
Thomas Maurel

The epidemiology and the current burden of chronic liver disease are changing globally, with non-alcoholic fatty liver disease (NAFLD) becoming the most frequent cause of liver disease in close relationship with the global epidemics of obesity, type 2 diabetes and metabolic syndrome. The clinical phenotypes of NAFLD are very heterogeneous in relationship with multiple pathways involved in the disease progression. In the absence of a specific treatment for non-alcoholic steatohepatitis (NASH), it is important to understand the natural history of the disease, to identify and to optimize the control of factors that are involved in disease progression. In this paper we propose a critical analysis of factors that are involved in the progression of the liver damage and the occurrence of extra-hepatic complications (cardiovascular diseases, extra hepatic cancer) in patients with NAFLD. We also briefly discuss the impact of the heterogeneity of the clinical phenotype of NAFLD on the clinical practice globally and at the individual level.


2003 ◽  
Vol 90 (10) ◽  
pp. 628-635 ◽  
Author(s):  
Patrick Hundsdoerfer ◽  
Barbara Vetter ◽  
Brigitte Stöver ◽  
Christian Bassir ◽  
Tristess Scholz ◽  
...  

SummaryProspective and controlled data about the individual risk profile in asymptomatic children with homozygous or double heterozygous risk genotypes for Factor V Leiden (FVL) and factor II (FII) G20210A are currently unavailable. The systematic and prospective observational study presented here was designed to determine the impact of the homozygous and double heterozygous FVL and FII G20210A genotypes on the prenatal and postnatal risk profiles of affected children. Risk infants and heterozygous controls were identified by screening of 85,304 neonates. Follow-up included the comparison of prenatal and postnatal development, ultrasonography of brain and kidneys, and a panel of independent determinants of thrombophilia. The numbers of identified or expected FVL homozygotes and double heterozygotes did not differ significantly (FVL: 116 ver-sus 91, p=0.08; FVL/FII: 94 versus 76, p=0.17), indicating the absence of a prenatal disadvantage. A prenatal advantage was suggested in FII homozygotes, whose identified number far exceeded the expected (19 versus 4, p=0.002). Clinical and/or imaging abnormalities indicated spontaneous thromboembolic events in 4 of 129 risk infants (3%) but in none of the 178 controls (p=0.02). Physical and neurological development was normal in both groups during the first 2 years of life. The risk genotypes appear to confer a significant predisposition for spontaneous thromboembolic events in infancy without impeding development within the first two years of life. Foetal risk genotypes do not cause an increased foetal loss rate. Moreover, homozygous FII G20210A appears to be associated with a prenatal advantage.


Author(s):  
Margarita María Sánchez

Wagner College is participating in a ground-breaking project that brings migrant families together after years of separation. This project has been not only inspirational for both faculty members and students, but is also a great opportunity to learn about forced migration and alternatives to keep families together. The “Transnational Project: San Jerónimo Xayacatlán-Port Richmond” was created to connect communities in both the United States and Mexico and to preserve their cultural identities that have been threatened by forced migration. In this chapter, I would like to present the project focusing on three aspects: the history of the project, the individual stories of members who migrated and of those who stayed in their homeland, and the impact of this educational opportunity in the classroom. I will use a series of interviews with the members of Ñani Migrante (the group formed by the members of both the San Jerónimo and the Port Richmond communities), the presentations of both panels that took place at Wagner College, and the reflections of students who attended them.


Author(s):  
Margarita María Sánchez

Wagner College is participating in a ground-breaking project that brings migrant families together after years of separation. This project has been not only inspirational for both faculty members and students, but is also a great opportunity to learn about forced migration and alternatives to keep families together. The “Transnational Project: San Jerónimo Xayacatlán-Port Richmond” was created to connect communities in both the United States and Mexico and to preserve their cultural identities that have been threatened by forced migration. In this chapter, I would like to present the project focusing on three aspects: the history of the project, the individual stories of members who migrated and of those who stayed in their homeland, and the impact of this educational opportunity in the classroom. I will use a series of interviews with the members of Ñani Migrante (the group formed by the members of both the San Jerónimo and the Port Richmond communities), the presentations of both panels that took place at Wagner College, and the reflections of students who attended them.


2016 ◽  
Vol 22 (1) ◽  
pp. 2
Author(s):  
Marthinus P. Stander ◽  
Margreet Bergh ◽  
Helen Elizabeth Miller-Janson ◽  
Janetta C. De Beer ◽  
Frans A. Korb

Depression is a common psychiatric disorder and can be costly, having a significant impact on the individual and employers. The South African Depression and Anxiety Group (SADAG) in partnership with HEXOR, with the support of Lundbeck, undertook research into depression in the workplace, because South African information is not available on this topic. It provides insight into the prevalence of depression within the workplace in South Africa, as well as the impact of depression on the employees and employers in terms of sick leave and levels of productivity, especially when the symptoms include cognitive impairment. It is apparent that stigma plays a pivotal role in the reasons for non-disclosure to employers. It further highlights the magnitude of awareness, early detection and the provision of a holistic support system within the work environment, free from bias, to ensure that optimum benefit can be achieved for both employer and employee.


Author(s):  
Paul B. Connor

How does the communication of information affect the pipeline industry? People are becoming more aware of the pipeline industry and how it may affect individuals and landowners in the future. Corporations are producing commuications tools to alleviate the lack of knowledge and the hidden value of energy pipelines. This case study examines two projects: “Passing through Edson” examines a winter pipeline construction job in Edson, Alberta. The story is told by the people on the job. We examine the environmental issues, economic impact, Native employment, and winter construction techniques. The “Boy Chief” video examines the impact of an archaeological dig on the prairies. In this program we have insight into the aboriginal history of the area and how the pipeline company is helping people learn more about the Native way of life. The paper examine how communication tools like these, allow employees access to information when communicating to stakeholders.


Author(s):  
Catherine Andreyev

After a long period of scholarly neglect, owing partly to political reasons, the Second World War is now being studied as an integral part of the history of the Soviet Union. This chapter considers the war’s far reaching effects on state and society, taking a multi-faceted, comparative view. Beginning with German and Soviet war aims, the chapter goes on to highlight recent historiography, which has revealed much about the experience of the individual Soviet soldier and has emphasized that by concentrating on military set-pieces, such as the battle of Stalingrad, we risk distorting our understanding of the war. Also discussed are controversial subjects such as collaboration and partisan warfare, and the impact of the war on the Russian Orthodox Church and on Russian national identity.


2017 ◽  
Vol 95 (12) ◽  
pp. 913-919 ◽  
Author(s):  
A.T. Eberhardt ◽  
P.M. Beldomenico ◽  
L.D. Monje ◽  
A.L. Racca

Parasites can be detrimental to the health of wildlife populations and may negatively affect several aspects of the life history of their hosts. Investigating host health, therefore, is key to understanding important mechanisms of the host–parasite interaction at the individual and population levels. Recently, we reported a prevalence of 10% of Trypanosoma evansi Steel, 1884 in a population of capybaras (Hydrochoerus hydrochaeris (L., 1766)) from Esteros del Iberá, Argentina; however, the impact of T. evansi infection on capybaras is unknown. The aim of this study was to explore associations between T. evansi infection and biochemical and physiological parameters in wild capybaras using blood samples (n = 60) from a managed population of free-ranging capybaras from Esteros del Iberá. Infection by T. evansi was negatively associated with body condition, albumin, alpha-2 globulin concentrations, albumin/globulin ratio, and eosinophil counts, and it was positively associated with spleen index and gamma-globulin concentrations. These results suggest that T. evansi infection may pose a significant impact on the health of wild capybaras.


2009 ◽  
Vol 16 (3) ◽  
pp. 733-772 ◽  
Author(s):  
Alberto Fernandez ◽  
Michael Brada ◽  
Lina Zabuliene ◽  
Niki Karavitaki ◽  
John A H Wass

The hypothalamic–pituitary unit is a particularly radiosensitive region in the central nervous system. As a consequence, hypopituitarism commonly develops after radiation treatments for sellar and parasellar neoplasms, extrasellar brain tumours, head and neck tumours, and following whole body irradiation for systemic malignancies. Increasing tumour-related survival rates provide an expanding population at risk of developing hypopituitarism. In this population, long-term monitoring tailored to the individual risk profile is required to avoid the sequelae of untreated pituitary hormonal deficiencies and resultant decrease in the quality of life. This review analyses the pathogenesis, prevalence and consequences of radiation-induced hypopituitarism (RIH) in diverse subgroups at risk. Also discussed is the impact of modern radiotherapy techniques in the prevalence of RIH, the spectrum of endocrine disorders and radiation-induced brain conditions that also occur in patients with RIH.


Sign in / Sign up

Export Citation Format

Share Document