Can the Internet Improve the Well-being of the Elderly?

In this paper we report on a project that aimed to evaluate the potential of the Internet to reduce social isolation amongst the elderly, and thereby, improve psychosocial functioning. Twenty residents of a retirement village volunteered to be given access to, and training in, the use of computers and the Internet. After 3 months, they exhibited little change in measures of self-esteem, positive affect, personal well-being, optimism and social connectedness. However, they reported that they found the use of the Internet to be of great benefit. Over the 12 months of the study 12 participants discontinued their involvement for a variety of reasons. After 12 months, the eight participants who remained in the study again reported a range of positive outcomes however, quantitative survey data did not confirm these findings of a generally-positive experience. This discrepancy between the qualitative (interview) data and the quantitative (survey) data suggests that impact of the Internet on the wellbeing of the elderly may be more complex than suggested, and broader than was assessed psychometrically. We make specific recommendations about the introduction of computers to elderly with care both in how participants are selected and how their well being is monitored subsequently.

When does the good of the group override the advantage of the individual?

In a system of N populations of n reproductive individuals apiece, in which each population has constant variance v² and lasts L generations, group selection on a quantitative character has a reasonable chance of overriding selection within populations if (and only if) the populations never exchange migrants, each population is founded by colonists from a single parent population, and the number of populations exceeds the effective number of reproductive individuals per population. If each population derives from a single parent population, then the exchange of a single successful migrant per population per L generations can triple the strength of group selection required to overcome a given selection within populations. If populations exchange no migrants, then the derivation of one in every N populations from two equally represented parents (while the others all derive from a single parent) doubles the strength of group selection required to prevail. Group selection is accordingly likely to be effective only in certain categories of parasites.     

Do we know the cause of the highest colorectal cancer incidence, the changes in the mortality trends and the clinical stages in the Slovak and Czech Republic, the representatives of the Central European region?

Slovak (SR) and Czech (CR) Republics reach up the highest recorded incidence rates of colorectal cancer. In analysis of the development and changes in colorectal cancer incidence in the above-mentioned countries, it was reported the most considerable incidence increase of the disease in males in the SR, then in males in the CR, subsequently in females in the SR and the slowest incidence rate was reported in females in the CR. Colorectal cancer mortality increased most rapidly in males in the SR, then in males in the CR, slower increase was reported in females in the SR and in females in the CR the mortality was in the long term stabilized. In both countries and both sexes clinical stage II is noted most frequently, also the decrease of the disease number in the clinical stage I and in undefined stage, and a slight decrease in other clinical stages. The trends in risk factors of colorectal cancer in the SR and CR would support the hypotheses of the later culmination of incidence and on the higher levels than in other developed countries. The purpose of this study is to analyse the character and changes in development of incidence, mortality and clinical stages of colorectal cancer (1980-2005) and to assess the influence of selected risk factors on the highest disease incidence in above-mentioned two Central European countries.     

定冠词the

小熊维尼最近参加了一个英语俱乐部(English Club),学到了不少知识。听,他正在和小伙伴们展示自己学到的新本领呢!:嗨,小伙伴们!你们听说过"the"吗?:这有什么稀奇!"the"是冠词的一种,叫定冠词!:我也听说过定冠词"the",我还能说一些短语呢!the Greens(格林一家),the Great Wall(长城),the policeman(警察)     

Is the cygnet the quintessential baryon?

The apparently new hadron-like particle ("cygnet") indicated by cosmic ray observations on certain neutron stars is predicted to be a spin 1/2 fermion of magnetic moment and charge 0 and lifetime infinity. This derives from the natural identification of the cygnet with the one hitherto unobserved fundamental fermion of chronometric particle theory, the x or "exon", which plays the role of a quintessential baryon. The "partons" are represented by the other fundamental fermions, consisting of e, nue, and numu; e.g., n = x + e+ + e-, p = x + e+ + nue. With further empirical assignments, chronometric theory has a potential for explaining diverse phenomena, such as mixing in the neutral kaon complex and the nature of the higher electrons. Its fundamental fermion and boson fields transform indecomposably under its symmetry group, the conformal group G. Theoretical elementary particles transforming irreducibly under G derive as successive quotients in a maximal chain of invariant subspaces. Mass fixing by Mach's principle breaks the symmetry down to microscopically observed covariance with respect to the Poincare group P0. The resulting representation is normally irreducible, but splits in the case of the K0 into two P0-irreducible components that are mixed by the excess of the chronometric over the relativistic energy ("gravity"), which provides a "superweak" force that may be explanatory of CP violation.     

Have the new drugs relieved the burden of the orthopedic surgeon?

Rheumatoid arthritis (RA) represents a chronic joint inflammation that leads to destructive lesions of joint cartilage and periarticular bone. Increased understanding of the molecular and cellular mechanisms of RA and recent advantages in molecular technology have resulted in new antirheumatic drugs such as tumor necrosis factor-alpha blockers, inhibitors of interleukin-1, and novel disease-modifying antirheumatic drugs such as leflunomide. This review summarizes the important effects of the novel antirheumatic drugs and their potential impact on the work of orthopedic surgeons. The ability of these agents not only to improve the clinical signs and symptoms of RA but also to prevent progressive joint damage promises support to the work of orthopedic surgeons and to the interdisciplinary treatment of RA patients. The challenge, however, will be to conduct studies that show the concrete way in which the single drugs may best relieve the burden of the orthopedic surgeon.     

Drug targeting to the liver with lactosylated albumins: does the glycoprotein target the drug or is the drug targeting the glycoprotein?

The isolated perfused rat liver preparation was employed to study hepatic disposition of the model drug-carrier conjugate fluorescein-lactosylated albumin (F-LnHSA) with special reference to the influence of the organic anion fluorescein on liver cell specificity of the endocytosed neoglycoprotein. Hepatic clearance of fluoresceinated neoglycoproteins was significantly faster than clearance of radioiodinated neoglycoproteins. Perfusate clearance of F-L7HSA and F-L25HSA could not completely be inhibited by a dose of 10 mg asialoorosomucoid that saturates the hepatocyte receptor-mediated endocytic process. From these data, we inferred an additional hepatic uptake mechanism, competing with the Ashwell-receptor-mediated internalization of galactose-terminated glycoproteins. Clearance experiments with fluoresceinated 125I-human serum albumin in the presence of the polyanionic probe dextran sulfate revealed a nearly complete (approximately 90%) inhibition of hepatic uptake, while also a pronounced effect was obtained with colloidal carbon. These data point to nonparenchymal cell uptake of fluoresceinated protein via interaction with scavenger receptors. In wash-out studies, it was shown that about 25% of ligand sequestrated by sinusoidal liver cells escaped degradation and recycled to the perfusion medium. Our results show that care should be taken in the use of neoglycoproteins as drug carriers to hepatocytes, since a load of only 2 to 3 moles fluorescein per mole neoglycoprotein considerably affects intrahepatic distribution. The relative contribution of nonparenchymal cell uptake by coupling of acidic drugs to the neoglycoproteins is very probably inversely related to the number of exposing galactose groups per molecule neoglycoprotein. This phenomenon of "inversed targeting" could therapeutically both be useful or detrimental, dependent on the spectrum of cell types that should be reached by the drug.     

What is the nature of the problem?

This review concentrates on the natural history of the infection. The virology and epidemiology of the disease are covered elsewhere. There are a number of inherent difficulties in studying the outcome of HCV infection: the onset is often not recognized, it can be asymptomatic, the progression is slow and patients may have had treatment. However some insights in recent years have been made.