A disease,disorder, illness or condition: How to label epilepsy?

The International League Against Epilepsy (ILAE) is an important source of guidance for health professionals when it comes to epilepsy. Their latest recommendation that epilepsy should no longer be called a “disorder,” but a “disease” has though caused controversy. The ILAE contends the change will improve epilepsy's image. Some clinicians and other organizations fear the change may not though be accepted by patients as in common parlance “disease” can be associated with “contagiousness”/”infection.” To allow practicing clinicians to make informed judgements about what language they use, we completed the first study to assess the preferences of those with epilepsy and significant others and explore if any of their characteristics were associated with preference. Via epilepsy interest groups and associations in England, Wales, Scotland and the Republic of Ireland, 971 patients and significant others were surveyed. Participants identified which of four labels for epilepsy (“disorder,” “illness,” “disease,” “condition”) they favoured and rated each using a Likert‐scale. Patients’ median age was 39; 69% had experienced seizures in the prior year. “Condition” was favoured by most patients (74.3%) and significant others (71.2%). Only 2.2% of patients and 1.2% of significant others chose “disease”; it received a median Likert‐rating indicating “strongly dislike.” Multinomial logistic regression found it was not possible to reliably distinguish between participants favouring the different terms on the basis of demographics. The ILAE's position is at odds with what most patients and carers want and we discuss the implications of this.     

Add a picture for suspense: neural correlates of the interaction between language and visual information in the perception of fear

We investigated how visual and linguistic information interact in the perception of emotion. We borrowed a phenomenon from film theory which states that presentation of an as such neutral visual scene intensifies the percept of fear or suspense induced by a different channel of information, such as language. Our main aim was to investigate how neutral visual scenes can enhance responses to fearful language content in parts of the brain involved in the perception of emotion. Healthy participants’ brain activity was measured (using functional magnetic resonance imaging) while they read fearful and less fearful sentences presented with or without a neutral visual scene. The main idea is that the visual scenes intensify the fearful content of the language by subtly implying and concretizing what is described in the sentence. Activation levels in the right anterior temporal pole were selectively increased when a neutral visual scene was paired with a fearful sentence, compared to reading the sentence alone, as well as to reading of non-fearful sentences presented with the same neutral scene. We conclude that the right anterior temporal pole serves a binding function of emotional information across domains such as visual and linguistic information.     

Inhibitory Effects of Corni Fructus Extract on Angiogenesis and Adipogenesis

Natural products in Chonnam, Korea were screened via anti-angiogenesis experiments, and 1 candidate product was identified, Corni fructus, which exerted dose-dependent inhibitory effects against angiogenesis, adipogenesis, and cell adhesion. C. fructus extract (CFE) exhibits an angiogenesis inhibitory effect superior to that of the EGCG from green tea leaves. The expression level of angiogenesis and adipogenesis-related signal molecules in the western blotting was reduced by increasing the amount of added CFE. Moreover, a diet supplemented with CFE was deemed more effective in inducing weight loss in LB mice than a representative synthetic diet drug, orlistat, which incidently caused the side effect of denuding the mice of their hair. These results indicate that C. fructus may prove to be a useful anti-adipogenic compound, and these in vitro results may be reflected later under in vivo conditions.     

First trial rewards promote 1-trial learning and prolonged memory in pigeon and baboon

There is a long-standing debate in educational settings on the influence of positive and negative consequences on learning. Although positive rewards seem desirable from an ethical perspective, 1-trial learning has been best demonstrated in the animal literature with tasks using highly salient negative consequences, such as shock or illness, and so far only in tasks requiring the acquisition of a singular stimulus-response association. Here we show that pigeons and baboons can concurrently learn, in a cognitively challenging memorization task, hundreds of picture-response associations after a single exposure and that this rapid learning is better promoted by a positive outcome after the first picture presentation. Further, the early positive outcomes had beneficial effects on the memory of learned acquisitions that was detectable up to 6–8 months after initial training. Beyond their significance for educational policies, these findings suggest that the psychological and brain mechanisms controlling rapid, often 1-trial, learning have a long evolutionary history. They may represent the phylogenetic precursor for the disproportionate impact of first impressions in humans and the phenomenon of fast word learning in children.     

ProtEx technology for the generation of novel therapeutic cancer vaccines

Therapeutic vaccines present an attractive alternative to conventional treatments for cancer. However, tumors have evolved various immune evasion mechanisms to modulate innate, adaptive, and regulatory immunity for survival. Therefore, successful vaccine formulations may require a non-toxic immunomodulator or adjuvant that not only induces/stimulates innate and adaptive tumor-specific immune responses, but also overcomes immune evasion mechanisms. Given the paramount role costimulation plays in modulating innate, adaptive, and regulatory immune responses, costimulatory ligands may serve as effective immunomodulating components of therapeutic cancer vaccines. Our laboratory has developed a novel technology designated as ProtEx^™ that allows for the generation of recombinant costimulatory ligands with potent immunomodulatory activities and the display of these molecules on the cell surface in a rapid and efficient manner as a practical and safe alternative to gene therapy for immunomodulation. Importantly, the costimulatory ligands not only function when displayed on tumor cells, but also as soluble proteins that can be used as immunomodulatory components of conventional vaccine formulations containing tumor-associated antigens (TAAs). We herein discuss the application of the ProtEx^™ technology to the development of effective cell-based as well as cell-free conventional therapeutic cancer vaccines.     

Language consistency: a missing link in theory,research and reasoning?

Title.  Language consistency: a missing link in theory, research and reasoning?
Aim.  This paper is a report of a study conducted to determine if there is a lack of language consistency in nursing texts and among nursing educators related to theory, research and reasoning.
Background.  Analysis of international language, communication and nursing literature revealed the essential role language consistency plays in promoting competency and desirable behavioural outcomes. It also revealed the difficulty nursing has had in gaining consistency of language associated with theory, research and reasoning.
Method.  Six nursing theory, research and terminology texts with international circulation were analysed to identify key words related to theory, research and reasoning and to determine consistency of definitions among texts. Next, 97 nursing educators were surveyed to determine their ability to define the same key words. Educators were recruited during three national nursing education meetings in the United States of America between 2006 and 2007.
Findings.  Analysis revealed significant variability in definitions of key words among texts and in nursing educators' ability to match any defining words used by the texts and by each other.
Conclusion.  Epistemologically, the use of inconsistent language among texts and educators may be playing a role in the continuing marginalization of theory, research and reasoning in nursing education and practice; ultimately, hindering the profession's epistemological growth. Recommendations include a call for consensus of key words and meanings associated with theory, research and reasoning and the development of a language essentials document to support development of competency.     

Polymorphism in the C-reactive protein (CRP) gene affects CRP levels in plasma and one early marker of atherosclerosis in men: The Health 2000 Survey

The gastrointestinal hormone gastrin is measured in plasma in physiological, pathophysiological and diagnostic investigations. In the diagnosis of hypergastrinaemic diseases such as gastrinomas and gastric achlorhydria, measurement of gastrin concentrations in circulation is crucial. Gastrin circulates, however, not as a single peptide but as a mixture of peptides of different lengths and amino acid derivatizations. Moreover, in hypergastrinaemia the peptide pattern changes. Consequently, diagnostic gastrin measurements require immunoassays that recognize the pathological plasma patterns, which are characterized by a predominance of the large peptides (gastrin‐34 and gastrin‐71) and less, if any, of the shorter main form of gastrin in normal tissue, gastrin‐17. Alternatively, and in specific cases, “processing‐independent assays” (PIA) for progastrin may be considered, since hypersecreting gastrin cells also release substantial amounts of biosynthetic precursors and processing intermediates. Recently, gastrin kits that do not take the pathological plasma patterns into account have been marketed and may miss the diagnosis. Therefore, proper diagnosis of gastrinomas and other hypergastrinaemic diseases requires insight into cellular gastrin synthesis and peripheral metabolism, and also into the design of useful immunoassays. This review discusses the art of measuring gastrin in plasma with adequate diagnostic specificity.