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Background The suicide rate among Veterans is 1.5 times greater than that for civilians, partly a result of the high use of firearms as the means for suicide. One effective strategy to reduce Veteran suicide by firearms is to provide counseling on firearm safety as a method of means reduction. However, many clinicians do not discuss firearm safety with Veterans. Aims This study evaluates a one-hour educational seminar for clinicians on lethal means safety. Materials and methods One hundred and ninety clinicians from the Veterans Health Administration, including social workers, psychologists, psychiatrists, and nurses, participated in the training. The seminar was streamed during the South Central Mental Health Illness Research, Education and Clinical Center's Community-Based Outpatient Clinic Mental Health Grand Rounds, for which participants were eligible for continuing education units. Data were collected immediately after the training and four months later. Results After completing the training, participants believed that it was important to speak with Veterans about firearm safety and felt knowledgeable and empowered to do so. Four months after the seminar, participants had counseled, on average, over half of Veterans treated about lethal means safety. Discussion Participants reported the value of normalizing discussions about firearm safety with their Veterans and focusing on the safety aspect while discussing firearms. Conclusions This webinar was effective in providing clinicians the skills to talk with Veterans about firearm safety and continued to impact their practice four months after training. The training is available for free on our website at https://www.mirecc.va.gov/visn16/public-health-approach-to-firearms-and-death-by-suicide.asp.

Objectives Despite the growing number of individuals with dementia, clinicians skilled in caring for people with dementia, especially in rural areas, are lacking. The Program for Advancing Cognitive Disorders Education for Rural Staff (PACERS) was designed to improve clinician competency and comfort when caring for individuals with dementia. Based on an interprofessional needs assessment, six 1-hour training modules were created: (1) Dementia and Delirium, (2) Identifying and Assessing for Dementia, (3) Treating Dementia: Case Studies, (4) Normal Cognitive Aging and Dementia Caregiving, (5) Addressing Decision Making and Safety in Dementia, and (6) Dementia and Driving. Each module is available for free on the Department of Veterans Affairs Talent Management System (TMS) for employees and the free TrainingFinder Real-time Affiliate Integrated Network (TRAIN) platform for clinicians in the community. One continuing education unit is earned upon completion of each module. Design Posttest. Setting Online training at VA TMS and TRAIN. Participants To date, more than 3000 modules have been completed by interprofessional healthcare learners (eg, nurses, physicians, psychologists, and social workers). Measurements Satisfaction, perceived utility of training, knowledge, skills, and attitudes were assessed. Results The learners reported high satisfaction (mean [M] > 4) and ability to apply the knowledge and skills learned from the module to their job (M > 4) on a Likert scale (1 = Strongly disagree to 5 = Strongly agree). Conclusion Learners also reported perceived impact on both direct patient care (eg, ability to provide education and support to individuals with dementia and their caregivers) and system-level care (eg, more appropriate referrals). Given the number of users and their evaluation data, PACERS can serve as a model curriculum for online interprofessional dementia training. J Am Geriatr Soc 68:192-197, 2019.

Abnormal placental development is one of the main etiological factors for intrauterine growth restriction (IUGR). Here, we show that LIN28A and LIN28B are significantly lower and lethal-7 (let-7) microRNAs (miRNAs) significantly higher in term human IUGR vs. normal placentas. We hypothesize that let-7 miRNAs regulate genes with known importance for human placental development [high-mobility group AT-hook 1 (HMGA1), transcriptional regulator Myc-like (c-myc), vascular endothelial growth factor A (VEGF-A), and Wnt family member 1 (WNT1)] by targeting the AT-rich interacting domain (ARID)-3B complex. ACH-3P cells with LIN28A and LIN28B knockout (DKOs) significantly increased let-7 miRNAs, leading to significantly decreased ARID3A, ARID3B, and lysine demethylase 4C (KDM4C). Similarly, Sw.71 cells overexpressing LIN28A and LIN28B (DKIs) significantly decreased let-7 miRNAs, leading to significantly increased ARID3A, ARID3B, and KDM4C. In ACH-3P cells, ARID3A, ARID3B, and KDM4C make a triprotein complex [triprotein complex comprising ARID3A, ARID3B, and KDM4C (ARID3B-complex)] that binds the promoter regions of HMGA1, c-MYC, VEGF-A, and WNT1. ARID3B knockout in ACH-3P cells disrupted the ARID3B-complex, leading to a significant decrease in HMGA1, c-MYC, VEGF-A, and WNT1. DKOs had a significant reduction, whereas DKIs had a significant increase in HMGA1, c-MYC, VEGF-A, and WNT1, potentially due to regulation by the ARID3B-complex. This is the first study showing regulation of let-7 targets in immortalized human trophoblast cells by the ARID3B-complex.-Ali, A., Anthony, R. V., Bouma, G. J., Winger, Q. A. LIN28-let-7 axis regulates genes in immortalized human trophoblast cells by targeting the ARID3B-complex.

LIN28B is an RNA-binding protein necessary for maintaining pluripotency in stem cells and plays an important role in trophoblast cell differentiation. LIN28B action on target gene function often involves the Let-7 miRNA family. Previous work in cancer cells revealed that LIN28 through Let-7 miRNA regulates expression of androgen receptor (AR). Considering the similarities between cancer and trophoblast cells, we hypothesize that LIN28B also is necessary for the presence of AR in human trophoblast cells. The human first-trimester trophoblast cell line, ACH-3P was used to evaluate the regulation of AR by LIN28B, and a LIN28B knockdown cell line was constructed using lentiviral-based vectors. LIN28B knockdown in ACH-3P cells resulted in significantly decreased levels of AR and increased levels of Let-7 miRNAs. Moreover, treatment of ACH-3P cells with Let-7c mimic, but not Let-7e or Let-7f, resulted in a significant reduction in LIN28B and AR. Finally, forskolin-induced syncytialization and Let-7c treatment both resulted in increased expression of syncytiotrophoblast marker ERVW-1 and a significant decrease in AR in ACH-3P. These data reveal that LIN28B regulates AR levels in trophoblast cells likely through its inhibitory actions on let-7c, which may be necessary for trophoblast cell differentiation into the syncytiotrophoblast.

BACKGROUND Broilers are vulnerable to various types of microorganisms, including Salmonella, Escherichia coli and Staphylococcus aureus, resulting in multiple infections. Broad-spectrum antibacterial drugs such as florfenicol (FF) are widely used in the treatment of such infections. Suspected residues of these drugs in body tissues of treated birds can be passed to humans through meat consumption and thus lead to serious ill effects on human health. The present study was designed to estimate the presence of FF residues in broiler meat and liver samples. RESULTS The mean residual concentrations of FF in broiler meat and liver samples were 311.42 ± 186.56 and 2585.44 ± 1759.71 µg kg−1 respectively, which are higher than their respective maximum residual limits (MRLs). The results showed that 126 and 24 samples were FF-positive and FF-negative respectively. Of the positive samples, 84 and 42 samples were above and below the MRL respectively. CONCLUSION The results indicate the presence of FF residues in broiler meat and liver samples. Usage of this contaminated meat causes resistance in consumers and poses a public health threat. Thus there is a need to educate farmers about the ill effects of residual drugs on human health and their withdrawal times in poultry. © 2015 Society of Chemical Industry

BACKGROUND There is growing interest in improving the production and meat quality of farm animals through dietary supplementation with phytochemical (e.g. flavonoids)-rich plants and/or their extracts. This study was conducted to analyse the supplemental effects of two purified flavonoids (genistein and hesperidin) individually and in combination on the oxidative status, sensory score and quality of breast meat in meat-type broiler chickens. RESULTS A significant increase (P < 0.05) in meat colour (L* score) and pH was observed for the group supplemented with 20 mg kg−1 genistein and hesperidin. Water-holding capacity was also improved significantly (P < 0.01) for all genistein- and hesperidin-treated groups, while the sensory quality of breast meat remained unaffected. Lipid oxidation of breast meat was reduced significantly (P < 0.01) at 0 and 15 days of refrigeration in a dose-dependent manner for all supplemented groups. Meanwhile, some treated groups showed improved (P < 0.05) body weight, feed/gain ratio and hot carcass weight. CONCLUSION Genistein and hesperidin supplementation to broilers improved meat quality in a dose-dependent fashion, with pronounced effects of combined treatment. The results indicated that purified flavonoids such as genistein and hesperidin could potentially be used as feed additives in broiler production to promote meat quality. © 2013 Society of Chemical Industry

Constraints from P-T pseudosections (MnNCKFMASH system), foliation intersection/inflection axes preserved in porphyroblasts (FIAs), mineral assemblages and textural relationships for rocks containing all three Al2SiO5 polymorphs indicate a kyanite→ andalusite→ sillimanite sequential formation at different times rather than stable coexistence at the Al2SiO5 triple point. All three Al2SiO5 polymorphs grew in the Chl, Bt, Ms, Grt, St, Pl and Crd bearing Ordovician Clayhole Schist in Balcooma, northeastern Australia separately along a looped P-T-t-D path that swaps from clockwise to anticlockwise in the tectono-metamorphic history of the region. Kyanite grew during crustal thickening in an Early Silurian Orogenic event followed by decompression/heating, andalusite and fibrolitic sillimanite growth during Early Devonian exhumation.

Successions of FIAs (foliation inflection/intersection axes preserved within porphyroblasts) provide a relative time scale for deformation and metamorphism. In-situ dating of monazite grains preserved as inclusions within garnet and staurolite porphyroblasts within the foliations defining each FIA from such successions provides a rigorous approach to grouping ages that formed over extended periods of deformation and metamorphism. Matching age and FIA progressions confirms the suitability of this approach plus provides access to lengthy histories that cannot otherwise be determined. Tectonism in the Big Thompson region of the Colorado Rocky Mountains, USA began about a SW-NE trending axis defined by FIA set 1 at around 1761 ± 13 Ma. Subsequent periods of tectonism occurred around 1712 ± 25 and 1672 ± 21 Ma about W-E and NW-SE trending FIAs 2 and 3, respectively. Tectonism in the Balcooma Metamorphic Group NW of Greenvale in NE Queensland, Australia began around 470 Ma with the growth of garnet porphyroblasts about a W-E trending axis defined by FIA set 1. No monazite grains were preserved as inclusions in this mineral phase but they were in subsequently grown staurolite. Tectonism then occurred around 443.2±3.8, 424 ± 4 and 408.9 ± 8.9 Ma about NNW-SSE, SSW-NNE and W-E trending FIAs 2, 3 and 4, respectively. This test of a FIA based approach to monazite dating in tectonic regimes in different parts of the world and with dramatically different ages suggests it can be used in all orogens containing porphyroblasts preserving inclusion trails.

Background Echocardiographic imaging using a handheld transducer in conjunction with treadmill exercise testing is commonly used for the diagnosis of coronary artery disease. Motion of the hand and the transducer during peak exercise preclude optimal imaging. To circumvent the limitations of handheld transducers, we developed a low profile transducer (CONTISON) which can be attached to the chest wall for continuous cardiac imaging. Methods and results This feasibility study was performed in 10 normal male subjects (28 to 36 years). The ultrasound transducer was placed in the third or fourth intercostal space at the left sternal border to permit imaging of the left ventricle in its short axis. The transducer was interfaced with a commercially available ultrasound machine. The left ventricle was imaged at rest and while subjects exercised according to a standard Bruce protocol. All segments of the left ventricular short axis were seen at rest and peak exercise. Increased left ventricular wall thickening and wall motion were seen at peak exercise. There were no complications from the procedure. Conclusion We demonstrated the feasibility of hands-free left ventricular imaging during treadmill exercise using the CONTISON transducer. Further evaluation of the technique to detect stress-induced wall motion abnormalities, as a means of diagnosing myocardial ischemia, appears warranted. (ECHOCARDIOGRAPHY 2010;27:563-566).

Protecting groups play a pivotal role in carbohydrate chemistry. This review describes a selection of protecting groups and protecting group strategies that have been introduced since the beginning of this century.

In the very large areas of arid highlands in West Asia, of which land over 1000 m in Balochistan is typical, as a result of rapidly increasing numbers of small ruminants and subsequent overgrazing of natural rangelands, severe shortages in animal feed are being experienced. To address this problem the And Zone Research Institute (AZRI) have been evaluating annual forage legume germplasm for adaptability to the harsh climatic conditions of highland Balochistan. Due to the marginality of the environment for sustained crop production an unconventional germplasm evaluation strategy has been adopted which emphasizes the introduction of landraces, particularly of the genus Vicia. The substantial risk of crop failure from either cold or drought, in any year, makes continuity of seed supply of selected lines a major problem. Support from ICARDA in Syria for re-supply of seed is a major advantage to the AZRI program. In the last three years some tangible progress has been made in selection. V. villosa ssp. dasycarpa Ace. 683 has with autumn sowing shown sufficient cold tolerance and is highly productive in wet years. V. ervilia Ace. 2542 has shown some potential for drought tolerance which could be exploited for spring sowing.

Inverse polynomial response surfaces have been very useful as models for data when responses are not symmetrical about their optimum value or when they approach an asymptote. But a special computing routine is required, and the parameter estimates do not have exactly known distributions. An alternative family of models having the same flexibility of shape is the family of log-linear response functions, which may be fitted using standard multiple regression routines. They provide parameter estimates with very good statistical properties and have been used to explain several sets of data. Examples are given of their fit to data from an experiment on the nutrition of black currants grown under controlled conditions. From contour diagrams, it is easy to propose the best levels of fertilisers to be applied so as to obtain maximum crop and healthy growth.