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31.
Young ultra-Orthodox women in Israel have been faced in recent years with a greater risk of developing disordered eating, as they are more exposed to Westernized norms of the thin-body ideal, self-realization, and personal choice. Most are treated by mainstream Israeli psychotherapists who likely have different value systems and different perspectives on the nature of the illness, aims of treatment, and recovery. Ultra-Orthodox psychotherapists may well experience a conflict between a need to be loyal to their patients and a concomitant need to honor the values of patients’ families and the community from which they come. The current article presents a theoretical background and four case studies highlighting the complexities and controversies inherent in the treatment of these women. We conclude that both ultra-Orthodox and mainstream secular psychotherapists must be knowledgeable in regard to both Judaism and psychology, and be flexible, creative, and emphatic to all parties, to arrive at a compromised definition of recovery that can be accepted by the patient, her family, and her community. 相似文献
32.
Daniela P. Lage Amanda S. Machado Fernanda F. Ramos Patrícia C. Silveira Daniel S. Dias Patrícia A.F. Ribeiro Grasiele S.V. Tavares Lourena E. Costa Thaís T.O. Santos Bethina T. Steiner Mírian I. Fagundes Miguel A. Chávez-Fumagalli Sandra Lyon Ricardo L.F. Moreira Mariana C. Duarte Daniel Menezes-Souza Rachel B. Caligiorne Ricardo A. Machado-de-Ávila Eduardo A.F. Coelho 《Immunobiology》2019,224(4):477-484
The measures for leishmaniasis control include the precise diagnosis of disease. However, although several recombinant antigens have been tested with this biotechnological purpose, no effective product exists, which could detects patients with the active disease, as well as differentiates them from cured and treated patients. In this study, a conserved Leishmania hypothetical protein, which was identified in Leishmania infantum parasites, but evaluated to presents high homology in the amino acid sequences between distinct parasite species, was evaluated for the diagnosis of tegumentary and visceral leishmaniasis. In addition, PBMCs collected from treated and untreated mucosal leishmaniasis (ML) and visceral leishmaniasis (VL) patients, as well as in healthy subjects living in endemic region of disease, were in vitro stimulated, when IFN-γ, IL-4 and IL-10 levels were evaluated in the cell supernatant. Regarding the serological analyses, ELISA experiments using the recombinant protein (rLiHyL) and a human serological panel revealed high sensitivity and specificity values to detect both diseases, while control antigens showed worst results. Regarding the cellular response, results showed that rLiHyL-stimulated cells produced higher IFN-γ and lower IL-4 and IL-10 levels in the supernatants. Also, the anti-protein antibody production was evaluated in these patients, and data showed higher IgG2 and lower IgG1 levels found in the treated patients and healthy controls, demonstrating the stimulation of a Th1-type response induced by the rLiHyL protein. In conclusion, this hypothetical protein can be considered as antigenic in TL and VL, as well as a vaccine candidate to be tested in future studies to protect against disease. 相似文献
33.
Jason M. Gauthier M. Shea Harrison Alexander S. Krupnick Andrew E. Gelman Daniel Kreisel 《Immunological reviews》2019,292(1):194-208
Regulatory T cells (Treg) have proven to be a powerful immunologic force in nearly every organ system and hold therapeutic potential for a wide range of diseases. Insights gained from non‐transplant pathologies, such as infection, cancer, and autoimmunity, are now being translated to the field of solid organ transplantation, particularly for livers and kidneys. Recent insights from animal models of lung transplantation have established that Tregs play a vital role in suppressing rejection and facilitating tolerance of lung allografts, and such discoveries are being validated in human studies and preclinical trials. Given that long‐term outcomes following lung transplantation remain profoundly limited by chronic rejection, Treg therapy holds the potential to significantly improve patient outcomes and should be aggressively investigated. 相似文献
34.
Sit Brian Gutmann Daniel Iskratsch Thomas 《Journal of muscle research and cell motility》2019,40(2):197-209
Journal of Muscle Research and Cell Motility - The stiffness of the cardiovascular environment changes during ageing and in disease and contributes to disease incidence and progression. For... 相似文献
35.
Cristián Falcón-Beas Andrés Tittarelli Gabriela Mora-Bau Fabián Tempio Claudio Pérez Daniel Hevia Carolina Behrens Iván Flores Felipe Falcón-Beas Paola Garrido Gabriel Ascui Cristián Pereda Fermín E. González Flavio Salazar-Onfray Mercedes N. López 《Immunobiology》2019,224(5):697-705
BackgroundDendritic cells (DCs) are usually immunogenic, but they are also capable of inducing tolerance under anti-inflammatory conditions. Immunotherapy based on autologous DCs loaded with an allogeneic melanoma cell lysate (TRIMEL/DCs) induces immunological responses and increases melanoma patient survival. Glucocorticoids can suppress DC maturation and function, leading to a DC-mediated inhibition of T cell responses.MethodsThe effect of dexamethasone, a glucocorticoid extensively used in cancer therapies, on TRIMEL/DCs phenotype and immunogenicity was examined.ResultsDexamethasone induced a semi-mature phenotype on TRIMEL/DC with low maturation surface marker expressions, decreased pro-inflammatory cytokine induction (IL-1β and IL-12) and increased release of regulatory cytokines (IL-10 and TGF-β). Dexamethasone-treated TRIMEL/DCs inhibited allogeneic CD4+ T cell proliferation and cytokine release (IFNγ, TNF-α and IL-17). Co-culturing melanoma-specific memory tumor-infiltrating lymphocytes with dexamethasone-treated TRIMEL/DC inhibited proliferation and effector T cell activities, including cytokine secretion and anti-melanoma cytotoxicity.ConclusionsThese findings suggest that dexamethasone repressed melanoma cell lysate-mediated DC maturation, generating a potent tolerogenic-like DC phenotype that inhibited melanoma-specific effector T cell activities. These results suggest that dexamethasone-induced immunosuppression may interfere with the clinical efficacy of DC-based melanoma vaccines, and must be taken into account for optimal design of cellular therapy against cancer. 相似文献
36.
Hernández-Mena David Iván Pinacho-Pinacho Carlos Daniel García-Varela Martín Mendoza-Garfias Berenit Pérez-Ponce de León Gerardo 《Parasitology research》2019,118(2):421-432
Parasitology Research - Integrative taxonomy uses several sources of information to establish more robust species delimitation criteria. In this study, we followed that approach to describe two new... 相似文献
37.
Kenneth B. Smale Tine Alkjaer Teresa E. Flaxman Michael R. Krogsgaard Erik B. Simonsen Daniel L. Benoit 《The Knee》2019,26(3):578-585
BackgroundThere is a lack of objective dynamic knee joint control measures that can be related to the status of the anterior cruciate ligament (ACL). The purpose of this study was to introduce two novel measures and apply a third to determine how dynamic knee joint control changes in relation to ACL status during dynamic movements.MethodsTwenty patients (13 male) were tested pre- (ACLd) and 10-months post- (ACLr) ACL reconstructive surgery and matched to an uninjured participant (CON). Kinetic and kinematic data were synchronously recorded with a force platform and motion capture system. Three objective control measures including dynamic angular stiffness, knee joint center excursion (KJCE), and knee joint center boundary (KJCB) were assessed for each participant when completing the side cut and hop tasks.ResultsDuring the side cut, stiffness was found to be significantly lower in ACLd (0.06 ± 0.01 Nm/kg/°) and ACLr (0.07 ± 0.02 Nm/kg/°) compared to CON (0.08 ± 0.02 Nm/kg/°), while there were no differences in stiffness during the hop. No significant differences were observed in the KJCE during the side cut, while KJCE was significantly greater (p = 0.006) during the hop in CON compared to the ACLd. There were no differences in KJCB.ConclusionsThese high-functioning ACL injured in both ACLd and ACLr phases, aside from reduced stiffness, were able to complete both tasks with similar dynamic control as the CON. Although improvements in self-perceived control between ACLd and ACLr have been observed, this lack of improvement in objective control demonstrates a gap between a patient's self-efficacy and the level of control. 相似文献
38.
Ritwik Panigrahi Matt Zarek Vinay Sharma Daniel Cohn Raju V. Ramanujan 《Macromolecular chemistry and physics.》2019,220(17)
Damage‐sensing and healing are biological functions which are urgently required in structural health monitoring and remediation of engineering structures. The development of a bio‐inspired multiple cycle damage sensing and triggered healing magnet–polymer nanocomposite (Magpol) is reported. Magpol is comprised of an acrylonitrile butadiene co‐polymer (NBR) matrix and a magnetic nanoparticle (MNP) filler. Magpol nanocomposites in a range of MNP filler concentrations are studied. NBR is selected as the matrix due to its extensive use in industrial coatings, for example, in the automotive industry. Mn‐Zn ferrite MNP is chosen due to its appropriate Curie temperature and good specific absorption rate. Exposure of damaged Magpol to a remote external alternating magnetic field results in MNP heating. The MNP heats the surrounding NBR matrix, resulting in triggered healing. Fractured Magpol samples are successfully healed over several cycles. Incorporation of rhodamine b mechano‐chromophore in Magpol results in multicycle damage sensing by photo‐luminescent absorption. Thus, the developed Magpol is attractive for structural health monitoring and remediation application. 相似文献
39.
40.
Health professional students' rural placement satisfaction and rural practice intentions: A national cross‐sectional survey 下载免费PDF全文