An evaluation of the effects of culture medium osmolality and pH on metabolic cooperation between Chinese hamster V79 cells

The Chinese hamster V79 cell metabolic cooperation assay indirectlymeasures an inhibition of intercellular communication throughgap junctions and can detect many tumor promoters. The experimentsdescribed here were designed to determine whether culture mediumosmolality and pH affect the endpoint of this assay, since hypertonicsolutions and cytoplasmic acidification can uncouple gap junctionsin other systems. Hypertonic concentrations of sucrose and mannitolin medium did inhibit metabolic cooperation, but these soluteswere active over different ranges of osmolalities. In similarexperiments, sodium chloride, choline chloride and sodium glucuronatehad no effect on metabolic cooperation. Furthermore, data wereobtained indicating that osmotic effects are not likely to contributeto the inhibition of metabolic cooperation by sodium saccharin.It is concluded that hypertonic culture conditions do not necessarilycause an inhibition of metabolic cooperation, and the propertiesof an added solute are important in determining the effectsobserved. Additionally, it was found that buffering the culturemedium pH between 6.6 and 7.7, during the period when test substancesare normally present, had no effect on metabolic cooperation.     

The effectiveness of assertive training with elderly psychiatric outpatients

The usefulness of assertive training for elderly psychiatric outpatients was assessed through a quasi-experimental evaluation of a program at a community geriatric facility. Elderly clients are frequently labeled as untreatable and are therefore often denied therapeutic treatment. This study is an example of the potential effectiveness of applying treatment techniques which have been developed with younger populations to a geriatric population. Nineteen clients, aged 50–75, participated in the study, either as participants in the assertion training or as members of a no-treatment control group. The assertion training consisted of 14 semi-weekly sessions, with coaching and feedback provided by the therapists. Assertive behaviors were assessed through self-report, role play and staff ratings of adaptive behaviors of clients. Pre-intervention comparisons between the groups along these dimensions were nonsignificant. However, post-test assessment indicated a significant between group difference in self-reported assertiveness-(t(17)=2.69;p<.05). Dependent t-tests indicated that the experimental group became more assertive (t(9)=2.59;p<.05), but the control group did not. Changes as assessed by role play and staff rating did not reach statistical significance. Results which indicate the potential effectiveness of assertive training with this population are discussed in terms of a specificity conceptualization of assertiveness and implications for assertive training with this population.This paper is based upon their masters' theses.     

Quality of life profiles and their association with clinical and demographic characteristics and physical activity in people with a stoma: a latent profile analysis

Quality of Life Research - Quality of life can be negatively impacted by the formation of a stoma and is influenced by a number of factors. Research to date treats people with a stoma as a...     

Exploring professional identity in rehabilitation professions: a scoping review

Advances in Health Sciences Education - Professional identity is believed to foster self-confidence and resilience in health care professionals. While literature exists describing professional...     

Effects of Feeding Time on Markers of Muscle Metabolic Flexibility Following Acute Aerobic Exercise in Trained Mice Undergoing Time Restricted Feeding

Time-restricted feeding (TRF) is becoming a popular way of eating in physically active populations, despite a lack of research on metabolic and performance outcomes as they relate to the timing of food consumption in relation to the time of exercise. The purpose of this study was to determine if the timing of feeding/fasting after exercise training differently affects muscle metabolic flexibility and response to an acute bout of exercise. Male C57BL/6 mice were randomized to one of three groups for 8 weeks. The control had ad libitum access to food before and after exercise training. TRF-immediate had immediate access to food for 6 h following exercise training and the TRF-delayed group had access to food 5-h post exercise for 6 h. The timing of fasting did not impact performance in a run to fatigue despite TRF groups having lower hindlimb muscle mass. TRF-delayed had lower levels of muscle HSL mRNA expression and lower levels of PGC-1α expression but displayed no changes in electron transport chain enzymes. These results suggest that in young populations consuming a healthy diet and exercising, the timing of fasting may not substantially impact metabolic flexibility and running performance.     

A novel approach to delivery of extracorporeal support using a modified continuous flow ventricular assist device in a mid‐volume congenital heart program

Extracorporeal life support (ECLS) is an essential component of a modern congenital cardiac surgery program. The circuit components and bedside management team may, however, vary among institutions. Here, we evaluate our initial experience with a modified ventricular assist device—based ECLS circuit primarily managed by the bedside nurse. We hypothesize that our outcomes are comparable to Extracorporeal Life Support Organization (ELSO) registry data. All patients who received ECLS from January 1, 2016 to December 31, 2019 at a single institution were included. Primary outcomes were survival to ECLS decannulation and discharge or transfer. Secondary outcomes included complications from ECLS. Data were compared to available ELSO registry data. Thirty‐seven patients underwent 44 ECLS runs during the study period. Forty percent of patients had single ventricle physiology. Nearly 46% of patients received ECLS as part of extracorporeal cardiopulmonary resuscitation (eCPR). Survival to ECLS decannulation (68.2%) and survival to discharge or transfer (61.4%) did not differ from overall ELSO outcomes (69.7%, P = .870 and 50.7%, P = .136), as well as survival to discharge or transfer in a comparable cohort of ELSO centers (53.1%, P = .081). Patients with complications had a lower rate of survival to discharge or transfer but this did not reach statistical significance (47.7% vs. 75.0%, P = .455). Neurologic (50.0%), hemorrhagic (45.5%), and renal complications (31.8%) were most common in this cohort. A modified ventricular assist device‐based ECLS circuit with primary management by the bedside nurse can provide comparable support in a neonatal and pediatric cardiac surgery population. Cost analyses and further delineation of the complication profile are necessary for a complete characterization of this system.