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From 1981 until 1987, 52 vascular accesses were created in patients with end stage renal failure; 392 could be studied retrospectively. Of these, 112 were created by using a biological graft: 88 homologous saphenous vein grafts and 24 bovine heterografts.The overall permeability rate was 94% postoperatively, 62% at 1 year, 45% at 2 and 3 years. There was no statistical difference in the permeability between human saphenous vein grafts and bovine heterografts or between grafts implanted as first access or after failure of an anterior fistula.The main complication observed during the followup was secondary throm bosis, which occurred after an average duration of 8 months. Aneurysms, infec tions, and high flow were very rare. Compared with the results observed with fistulas using the native veins, biological grafts results are poor. Compared with those of other authors 1/m especially for homologous saphenous vein grafts 1/m the authors' results are poor at 1 year and quite good at 2 and 3 years,These data should lead to detection of early stenosis before the end of the first year, especially stenosis of venovenous anastomoses, which are probably responsible for late thrombosis in most cases. [ABSTRACT FROM PUBLISHER]

Obesity-induced inflammation causes metabolic dysfunction, but the mechanisms remain elusive. Here we show that the innate immune transcription factor interferon regulatory factor (IRF3) adversely affects glucose homeostasis through induction of the endogenous FAHFA hydrolase androgen induced gene 1 (AIG1) in adipocytes. Adipocyte-specific knockout of IRF3 protects male mice against high-fat diet-induced insulin resistance, whereas overexpression of IRF3 or AIG1 in adipocytes promotes insulin resistance on a high-fat diet. Furthermore, pharmacological inhibition of AIG1 reversed obesity-induced insulin resistance and restored glucose homeostasis in the setting of adipocyte IRF3 overexpression. We, therefore, identify the adipocyte IRF3/AIG1 axis as a crucial link between obesity-induced inflammation and insulin resistance and suggest an approach for limiting the metabolic dysfunction accompanying obesity., (© 2024. The Author(s).)

Most research on mental lexical representations (lemmas) assumes they are discrete and correspond in number to a word's number of distinct meanings. Thus, homophones ( bat ), whose meanings are unrelated, have separate lemmas for each meaning (one for baseball bat , another for flying bat ), whereas polysemes ( paper ), whose senses are related, have shared lemmas (the same lemma for printer paper and term paper ). However, most aspects of cognition are thought to be graded, not discrete; could lemmas be graded too? We conducted a preregistered picture-word interference study with pictures of words whose meanings ranged from unrelated (homophones) to very related (regular polysemes). Whereas semantic competitors to picture names slow picture naming, semantic competitors to non-depicted meanings of homophones facilitate naming, suggesting distinct lemmas for homophones' meanings. We predicted that competitors to non-depicted senses of polysemes would slow naming, as polysemes' depicted and non-depicted senses presumably share a lemma. Crucially, we aimed to examine the transition from facilitation to inhibition: two groupings (where competitors to non-depicted senses led to facilitation for words with two lemmas but inhibition for words with one lemma) would imply that lemmas are indeed discrete. But a transition that varies continuously by sense relatedness would imply that lemmas are graded. Unexpectedly, competitors to non-depicted senses of both homophones and polysemes facilitated naming. Although these results do not indicate whether lemmas are graded or discrete, they do inform a long-standing question on the nature of polysemes, supporting a multiple-lemma (vs. core-lemma) account., Competing Interests: Declaration of conflicting interestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

The "dorsal pons", or "dorsal pontine tegmentum" (dPnTg), is part of the brainstem. It is a complex, densely packed region whose nuclei are involved in regulating many vital functions. Notable among them are the parabrachial nucleus, the Kölliker Fuse, the Barrington nucleus, the locus coeruleus, and the dorsal, laterodorsal, and ventral tegmental nuclei. In this study, we applied single-nucleus RNA-seq (snRNA-seq) to resolve neuronal subtypes based on their unique transcriptional profiles and then used multiplexed error robust fluorescence in situ hybridization (MERFISH) to map them spatially. We sampled ~1 million cells across the dPnTg and defined the spatial distribution of over 120 neuronal subtypes. Our analysis identified an unpredicted high transcriptional diversity in this region and pinpointed the unique marker genes of many neuronal subtypes. We also demonstrated that many neuronal subtypes are transcriptionally similar between humans and mice, enhancing this study's translational value. Finally, we developed a freely accessible, GPU and CPU-powered dashboard ( http://harvard.heavy.ai:6273/ ) that combines interactive visual analytics and hardware-accelerated SQL into a data science framework to allow the scientific community to query and gain insights into the data., (© 2024. The Author(s).)

We test predictions from the language emergent perspective on verbal working memory that lexico-syntactic constraints should support both item and order memory. In natural language, long-term knowledge of lexico-syntactic patterns involving part of speech, verb biases, and noun animacy support language comprehension and production. In three experiments, participants were presented with randomly generated dative-like sentences or lists in which part of speech, verb biases, and animacy of a single word were manipulated. Participants were more likely to recall words in the correct position when presented with a verb over a noun in the verb position, a good dative verb over an intransitive verb in the verb position, and an animate noun over an inanimate noun in the subject noun position. These results demonstrate that interactions between words and their context in the form of lexico-syntactic constraints influence verbal working memory., (© 2023. The Psychonomic Society, Inc.)

An important feature of language production is the flexibility of lexical selection; producers could refer to an animal as chimpanzee, chimp, ape, she, and so on. Thus, a key question for psycholinguistic research is how and why producers make the lexical selections that they do. Information theoretic approaches have argued that producers regulate the uncertainty of the utterance for comprehenders, for example using longer words like chimpanzee if their messages are likely to be misunderstood, and shorter ones like chimp when the message is easy to understand. In this work, we test for the relative contributions of the information theoretic approach and an approach more aligned with psycholinguistic models of language production. We examine the effect on lexical selection of whole utterance-level factors that we take as a proxy for register or style in message-driven production accounts. Using a modern machine learning-oriented approach, we show that for both naturalistic stimuli and real-world corpora, producers prefer words to be longer in systematically different contexts, independent of the specific message they are trying to convey. We do not find evidence for regulation of uncertainty, as in information theoretic approaches. We offer suggestions for modification of the standard psycholinguistic production approach that emphasizes the need for the field to specify how message formulation influences lexical choice in multiword utterances., (Copyright © 2022 Elsevier B.V. All rights reserved.)

Prosody is an important feature of language that conveys a wide range of information. However, prosody is widely considered to be a difficult domain of study within the language sciences. One consequence of this is that existing grammatical theories of prosody fail to explain prosodic choices that seem to arise from nonlinguistic cognitive demands, such as communicative context, top-down expectations, and recent articulatory and acoustic experience. We provide an account of some of these phenomena and argue that linguistic theories that do not incorporate these factors into models of prosody are likely to mischaracterize its role in language. This article is categorized under: Linguistics > Language in Mind and Brain Psychology > Language Linguistics > Linguistic Theory., (© 2019 Wiley Periodicals, Inc.)

Repetition reduces word duration. Explanations of this process have appealed to audience design, internal production mechanisms, and combinations thereof (e.g. Kahn & Arnold, 2015). Jacobs, Yiu, Watson, and Dell (2015) proposed the auditory feedback hypothesis, which states that speakers must hear a word, produced either by themselves or another speaker, in order for duration reduction on a subsequent production. We conducted a strong test of the auditory feedback hypothesis in two experiments, in which we used masked auditory feedback and whispering to prevent speakers from hearing themselves fully. Both experiments showed that despite limiting the sources of normal auditory feedback, repetition reduction was observed to equal extents in masked and unmasked conditions, suggesting that repetition reduction may be supported by multiple sources, such as somatosensory feedback and feedforward signals, depending on their availability.

When people process language, they can use context to predict upcoming information, influencing processing and comprehension as seen in both behavioral and neural measures. Although numerous studies have shown immediate facilitative effects of confirmed predictions, the downstream consequences of prediction have been less explored. In the current study, we examined those consequences by probing participants' recognition memory for words after they read sets of sentences. Participants read strongly and weakly constraining sentences with expected or unexpected endings ("I added my name to the list/basket"), and later were tested on their memory for the sentence endings while EEG was recorded. Critically, the memory test contained words that were predictable ("list") but were never read (participants saw "basket"). Behaviorally, participants showed successful discrimination between old and new items, but false alarmed to the expected-item lures more often than to new items, showing that predicted words or concepts can linger, even when predictions are disconfirmed. Although false alarm rates did not differ by constraint, event-related potentials (ERPs) differed between false alarms to strongly and weakly predictable words. Additionally, previously unexpected (compared to previously expected) endings that appeared on the memory test elicited larger N1 and LPC amplitudes, suggesting greater attention and episodic recollection. In contrast, highly predictable sentence endings that had been read elicited reduced LPC amplitudes during the memory test. Thus, prediction can facilitate processing in the moment, but can also lead to false memory and reduced recollection for predictable information.

Syntactic priming in language production is the increased likelihood of using a recently encountered syntactic structure. In this paper, we examine two theories of why speakers can be primed: error-driven learning accounts (Bock, Dell, Chang, & Onishi, 2007; Chang, Dell, & Bock, 2006) and activation-based accounts (Pickering & Branigan, 1999; Reitter, Keller, & Moore, 2011). Both theories predict that speakers should be primed by the syntactic choices of others, but only activation-based accounts predict that speakers should be able to prime themselves. Here we test whether speakers can be primed by their own productions in three behavioral experiments and find evidence of structural persistence following both comprehension and speakers' own productions. We also find that comprehension-based priming effects are larger for rarer syntactic structures than for more common ones, which is most consistent with error-driven accounts. Because neither error-driven accounts nor activation-based accounts fully explain the data, we propose a hybrid model., (© 2019 Cognitive Science Society, Inc.)

Robust approaches for chemogenetic control of protein function would have many biological applications. We developed stabilizable polypeptide linkages (StaPLs) based on hepatitis C virus protease. StaPLs undergo autoproteolysis to cleave proteins by default, whereas protease inhibitors prevent cleavage and preserve protein function. We created StaPLs responsive to different clinically approved drugs to bidirectionally control transcription with zinc-finger-based effectors, and used StaPLs to create single-chain, drug-stabilizable variants of CRISPR-Cas9 and caspase-9.

Four experiments examined the effects of word and phrase frequency on free recall. Word frequency did not affect word recall, but when participants studied and recalled lists of compositional adjective-noun phrases (e.g. alcoholic beverages ), phrase frequency had a consistently beneficial effect: both words from frequent phrases were more likely to be recalled than for infrequent phrases, providing evidence that long-term memory for phrases can aid in pattern completion, or redintegration. We explain these results and those of a previous study of phrase frequency effects in recognition memory (Jacobs et al., 2016) by assuming that the language processing system provides features that are linked to episodic contexts. Recall tasks map from these contexts to linguistic elements, and recognition maps from linguistic elements to contexts. Word and phrase frequency effects in both memory tasks emerge both within the language processing system and from multiple stored episodes, and the fact that the representations of phrases are tied to knowledge of their component words, rather than being representational islands.

Background: Living kidney donors have donation-related out-of-pocket costs (direct costs) and/or ongoing daily expenses while losing income (indirect costs). Yet there is little information about how much of a subjective burden these constitute for the donors., Methods: From December 2003 through December 2014, we surveyed donors 6 months postdonation to determine their financial burden related to donation (on a scale of 1 to 10) and what resources were used to cover expenses., Results: Of 1136 surveyed, 796 (70%) responded. Among respondents, mean age at donation was 43.6 ± 10.6 years, 64% were women, 96% were white, and 53% were related by blood to their recipient. Overall, 26% scored their financial burden as 5 or higher; 8% scored it as 8 or higher. Increased expenses were associated with a higher reported burden; however, significant burden was reported by some with no out-of-pocket expenses (presumably due to lost wages and continuing expenses). The burden was scored as 5 or higher by 27% of those employed outside the home (n = 660), 15% homemakers, 13% retirees, 40% students; 28% unemployed; and 26% whose occupation was unknown. Over half (51%) of those receiving a local or (means-tested) national grant still reported moderate to severe burden. Besides grants, donors used a variety of sources to help offset expenses: dipped into savings, borrowed from friends or family, took out a loan, and/or had a fundraiser. Those with the highest burden reported using the most additional sources., Conclusions: Donors should not have to incur costs or a financial burden to donate; the transplant community should strive to make donation financially neutral.

Objective: The purpose of the study was to determine the prevalence and factors associated with injury in professional ballet and modern dancers, and assess if dancers are reporting their injuries and explore reasons for not reporting injuries., Design: Cross-sectional study., Setting: Participants were recruited from nine professional ballet and modern dance companies in Canada, Denmark, Israel, and Sweden., Participants: Professional ballet and modern dancers., Independent Variables: Sociodemographic variables included age, sex, height, weight, and before-tax yearly or monthly income. Dance specific characteristics included number of years in present dance company, number of years dancing professionally, number of years dancing total, and rank in the company., Main Outcome Measures: Self-reported injury and Self-Estimated Functional Inability because of Pain., Results: A total of 260 dancers participated in the study with an overall response rate of 81%. The point prevalence of self-reported injury in professional ballet and modern dancers was 54.8% (95% CI, 47.7-62.1) and 46.3% (95% CI, 35.5-57.1), respectively. Number of years dancing professionally (OR = 4.4, 95% CI, 1.6-12.3) and rank (OR = 2.4, 95% CI, 1.2-4.8) were associated with injury in ballet dancers. More than 15% of all injured dancers had not reported their injury and their reasons for not reporting injury varied., Conclusions: The prevalence of injury is high in professional dancers with a significant percentage not reporting their injuries for a variety of reasons. Number of years dancing and rank are associated with injury in professional ballet dancers.

Background Context: In 2008, the Bone and Joint Decade 2000 to 2010 Task Force on Neck Pain and Its Associated Disorders recommended patient education for the management of neck pain. However, the effectiveness of education interventions has recently been challenged., Purpose: To update the findings of the Bone and Joint Decade 2000 to 2010 Task Force on Neck Pain and Its Associated Disorders and evaluate the effectiveness of structured patient education for the management of patients with whiplash-associated disorders (WAD) or neck pain and associated disorders (NAD)., Study Design/setting: Systematic review of the literature and best-evidence synthesis., Patient Sample: Randomized controlled trials that compared structured patient education with other conservative interventions., Outcome Measures: Self-rated recovery, functional recovery (eg, disability, return to activities, work, or school), pain intensity, health-related quality of life, psychological outcomes such as depression or fear, or adverse effects., Methods: We systematically searched eight electronic databases (MEDLINE, EMBASE, CINAHL, PsycINFO, the Cochrane Central Register of Controlled Trials, DARE, PubMed, and ICL) from 2000 to 2012. Randomized controlled trials, cohort studies, and case-control studies meeting our selection criteria were eligible for critical appraisal. Random pairs of independent reviewers critically appraised eligible studies using the Scottish Intercollegiate Guidelines Network criteria. Scientifically admissible studies were summarized in evidence tables and synthesized following best-evidence synthesis principles., Results: We retrieved 4,477 articles. Of those, nine were eligible for critical appraisal and six were scientifically admissible. Four admissible articles investigated patients with WAD and two targeted patients with NAD. All structured patient education interventions included advice on activation or exercises delivered orally combined with written information or as written information alone. Overall, as a therapeutic intervention, structured patient education was equal or less effective than other conservative treatments including massage, supervised exercise, and physiotherapy. However, structured patient education may provide small benefits when combined with physiotherapy. Either mode of delivery (ie, oral or written education) provides similar results in patients with recent WAD., Conclusions: This review adds to the Bone and Joint Decade 2000 to 2010 Task Force on Neck Pain and Its Associated Disorders by defining more specifically the role of structured patient education in the management of WAD and NAD. Results suggest that structured patient education alone cannot be expected to yield large benefits in clinical effectiveness compared with other conservative interventions for patients with WAD or NAD. Moreover, structured patient education may be of benefit during the recovery of patients with WAD when used as an adjunct therapy to physiotherapy or emergency room care. These benefits are small and short lived., (Copyright © 2014 Elsevier Inc. All rights reserved.)

Background Context: In 2008, the Neck Pain Task Force (NPTF) recommended exercise for the management of neck pain and whiplash-associated disorders (WAD). However, no evidence was available on the effectiveness of exercise for Grade III neck pain or WAD. Moreover, limited evidence was available to contrast the effectiveness of various types of exercises., Purpose: To update the findings of the NPTF on the effectiveness of exercise for the management of neck pain and WAD grades I to III., Study Design/setting: Systematic review and best evidence synthesis., Sample: Studies comparing the effectiveness of exercise to other conservative interventions or no intervention., Outcome Measures: Outcomes of interest included self-rated recovery, functional recovery, pain intensity, health-related quality of life, psychological outcomes, and/or adverse events., Methods: We searched eight electronic databases from 2000 to 2013. Eligible studies were critically appraised using the Scottish Intercollegiate Guidelines Network criteria. The results of scientifically admissible studies were synthesized following best-evidence synthesis principles., Results: We retrieved 4,761 articles, and 21 randomized controlled trials (RCTs) were critically appraised. Ten RCTs were scientifically admissible: nine investigated neck pain and one addressed WAD. For the management of recent neck pain Grade I/II, unsupervised range-of-motion exercises, nonsteroidal anti-inflammatory drugs and acetaminophen, or manual therapy lead to similar outcomes. For recent neck pain Grade III, supervised graded strengthening is more effective than advice but leads to similar short-term outcomes as a cervical collar. For persistent neck pain and WAD Grade I/II, supervised qigong and combined strengthening, range-of-motion, and flexibility exercises are more effective than wait list. Additionally, supervised Iyengar yoga is more effective than home exercise. Finally, supervised high-dose strengthening is not superior to home exercises or advice., Conclusions: We found evidence that supervised qigong, Iyengar yoga, and combined programs including strengthening, range of motion, and flexibility are effective for the management of persistent neck pain. We did not find evidence that one supervised exercise program is superior to another. Overall, most studies reported small effect sizes suggesting that a small clinical effect can be expected with the use of exercise alone., (Copyright © 2014 Elsevier Inc. All rights reserved.)

Many genetically encoded biosensors use Förster resonance energy transfer (FRET) to dynamically report biomolecular activities. While pairs of cyan and yellow fluorescent proteins (FPs) are most commonly used as FRET partner fluorophores, respectively, green and red FPs offer distinct advantages for FRET, such as greater spectral separation, less phototoxicity, and lower autofluorescence. We previously developed the green-red FRET pair Clover and mRuby2, which improves responsiveness in intramolecular FRET reporters with different designs. Here we report the engineering of brighter and more photostable variants, mClover3 and mRuby3. mClover3 improves photostability by 60% and mRuby3 by 200% over the previous generation of fluorophores. Notably, mRuby3 is also 35% brighter than mRuby2, making it both the brightest and most photostable monomeric red FP yet characterized. Furthermore, we developed a standardized methodology for assessing FP performance in mammalian cells as stand-alone markers and as FRET partners. We found that mClover3 or mRuby3 expression in mammalian cells provides the highest fluorescence signals of all jellyfish GFP or coral RFP derivatives, respectively. Finally, using mClover3 and mRuby3, we engineered an improved version of the CaMKIIα reporter Camuiα with a larger response amplitude.

Background and Objectives: Most kidney donors view their experience positively, but some may experience psychosocial and financial burdens. We hypothesized that certain donor characteristics, poor outcome of the recipient, negative perceptions of care, and lack of support may be associated with poor psychosocial outcomes for donors., Design, Setting, Participants, & Measurements: The Renal and Lung Living Donors Evaluation Study (RELIVE) examined long-term medical and psychosocial outcomes for kidney donors (at three U.S. transplant centers) who donated between 1963 and 2005. Standardized questionnaires evaluated donor perspectives, recovery time, social support, motivation, financial impact, insurability after donation, and current psychological status. Questionnaires were mailed to 6909 donors., Results: Questionnaires were returned by 2455 donors, who had donated 17 ± 10 years earlier (range, 5-48 years), a response rate of 36%. Most (95%) rated their overall donation experience as good to excellent. Rating the overall donor experience more negatively was associated with donor complications, psychological difficulties, recipient graft failure, and longer time since donation. Nine percent (n=231) reported one or more of the following poor psychosocial outcomes: fair or poor overall donor experience, financial burden, regret or discomfort with decision to donate, or psychological difficulties since donation. Recipient graft failure was the only predictor for reporting one or more of these poor psychosocial outcomes (odds ratio, 1.77; 95% confidence interval, 1.33 to 2.34). Donors with lower educational attainment experienced greater financial burden. One of five employed donors took unpaid leave; 2% reported health and life insurability concerns., Conclusions: Although the majority of donors viewed their overall donation experience positively, almost 1 in 10 donors reported at least one negative consequence related to donation. Recipient graft failure was associated with poor psychosocial outcome, defined as one or more of these negative consequences. Some donors were financially disadvantaged, and some experienced insurance difficulties. Interventions to avoid negative psychosocial and financial consequences are warranted., (Copyright © 2015 by the American Society of Nephrology.)

Acoustic reduction for repeated words could be the result of articulation and motor practice (Lam & Watson, 2014), facilitated production (Kahn & Arnold, 2015; Gahl et al., 2012), or audience design and shared common ground (Galati & Brennan, 2010). We sought to narrow down what kind of facilitation leads to repetition reduction. Repetition could, in principle, facilitate production on a conceptual, lexical, phonological, articulatory, or acoustic level (Kahn & Arnold, 2015). We compared the durations of the second utterance of a target word when the initial production was aloud or silent. The silent presentation either involved unmouthed or mouthed inner speech. Overt production, unmouthed and mouthed inner speech all led to reduction in target word onsets, but target word durations were only shortened when a word was initially said aloud. In an additional experiment, we found that prior naming of a homophone of the target word also led to duration reduction. The results suggest that repetition reduction occurs when there is a recently experienced auditory memory of the item. We propose that duration may be controlled in part by auditory feedback during production, the use of which can be primed by recent auditory experience.

An effective method for direct chemical control over the production of specific proteins would be widely useful. We describe small molecule-assisted shutoff (SMASh), a technique in which proteins are fused to a degron that removes itself in the absence of drug, resulting in the production of an untagged protein. Clinically tested HCV protease inhibitors can then block degron removal, inducing rapid degradation of subsequently synthesized copies of the protein. SMASh allows reversible and dose-dependent shutoff of various proteins in multiple mammalian cell types and in yeast. We also used SMASh to confer drug responsiveness onto an RNA virus for which no licensed inhibitors exist. As SMASh does not require the permanent fusion of a large domain, it should be useful when control over protein production with minimal structural modification is desired. Furthermore, as SMASh involves only a single genetic modification and does not rely on modulating protein-protein interactions, it should be easy to generalize to multiple biological contexts.

Background: Shoulder pain is a common musculoskeletal condition in the general population. Passive physical modalities are commonly used to treat shoulder pain. However, previous systematic reviews reported conflicting results., Purpose: The aim of this study was to evaluate the effectiveness of passive physical modalities for the management of soft tissue injuries of the shoulder., Data Sources: MEDLINE, EMBASE, CINAHL, PsycINFO, and the Cochrane Central Register of Controlled Trials were searched from January 1, 1990, to April 18, 2013., Study Selection: Randomized controlled trials (RCTs) and cohort and case-control studies were eligible. Random pairs of independent reviewers screened 1,470 of 1,760 retrieved articles after removing 290 duplicates. Twenty-two articles were eligible for critical appraisal. Eligible studies were critically appraised using the Scottish Intercollegiate Guidelines Network criteria. Of those, 11 studies had a low risk of bias., Data Extraction: The lead author extracted data from low risk of bias studies and built evidence tables. A second reviewer independently checked the extracted data., Data Synthesis: The findings of studies with a low risk of bias were synthesized according to principles of best evidence synthesis. Pretensioned tape, ultrasound, and interferential current were found to be noneffective for managing shoulder pain. However, diathermy and corticosteroid injections led to similar outcomes. Low-level laser therapy provided short-term pain reduction for subacromial impingement syndrome. Extracorporeal shock-wave therapy was not effective for subacromial impingement syndrome but provided benefits for persistent shoulder calcific tendinitis., Limitations: Non-English studies were excluded., Conclusions: Most passive physical modalities do not benefit patients with subacromial impingement syndrome. However, low-level laser therapy is more effective than placebo or ultrasound for subacromial impingement syndrome. Similarly, shock-wave therapy is more effective than sham therapy for persistent shoulder calcific tendinitis., (© 2015 American Physical Therapy Association.)

Do we say dog when we say hotdog ? In five experiments using the implicit priming paradigm, we assessed whether nominal compounds composed of two free morphemes like sawdust or fishbowl are prepared for production at the segmental level in the same way that two-syllable monomorphemic words (e.g. bandit ) are, or instead as sequences of separable words (e.g. full bowl or grey dust ). The experiments demonstrated that nominal compounds are planned as a single sequence, not as two sequences. Specifically, the onset of the second component of the compound (e.g. /d/ in sawdust ) did not act as a primeable starting point, although comparable onsets did when that component was an independent word ( grey dust ). We conclude that there may be a dog in hotdog at the morpheme level, but not when phonological segments are prepared for production.

At the 2010 Conference on Living Kidney Donor follow-up, a workgroup was convened to comment on the state of the evidence in 4 broad areas: (a) health-related quality of life postdonation; (b) donors' financial and economic concerns; (c) outcomes issues specific to newer areas of donation, namely, kidney exchange and anonymous (directed and nondirected) donation; and (d) the role of informed consent in relation to postdonation psychosocial outcomes. The workgroup sought to offer recommendations regarding research priorities for the next decade and data collection strategies to accomplish the needed research. The workgroup concluded that there has been little consideration of the nature or predictors of any long-term psychosocial outcomes in living donors. In some areas (eg, kidney exchange and anonymous donation), there is limited information on outcomes even in the early aftermath of donation. Across all 4 psychosocial areas, prospective studies are needed that follow donors to examine the course of development and/or resolution of any donation-related difficulties. The formation of a national registry to routinely collect psychosocial follow-up data may be an efficient strategy to monitor donor outcomes in both the short- and long-term years after donation., (Copyright © 2012 National Kidney Foundation, Inc. Published by Elsevier Inc. All rights reserved.)

The objective of this study was to assemble and synthesize the best available literature from 2004 to 2008 on musculoskeletal injury and pain in dancers. MEDLINE and CINAHL were the primary sources of data. Indexed terms such as dance, dancer, dancing, athletic injuries, occupational injuries, sprains and strains, musculoskeletal diseases, bone density, menstruation disturbances, and eating disorders were used to search the databases. Citations were screened for relevance using a priori criteria, and relevant studies were critically reviewed for scientific merit by the best-evidence synthesis method. After screening, 19 articles were found to be scientifically admissible. Data from accepted studies were abstracted into evidence tables relating to: prevalence and associated factors; incidence and risk factors; intervention; and injury characteristics and prognosis of musculoskeletal injury and pain in dancers. Principal findings included: a high prevalence and incidence of lower extremity, hip and back injuries; preliminary evidence that psychosocial and psychological issues such as stress and coping strategies affect injury frequency and duration; history of a previous lateral ankle sprain is associated with an increased risk of ankle sprain in the contralateral ankle in dance students; fatigue may play a role in ACL injury in dancers; acute hamstring strains in dancers affect tendon more than muscle tissue, often resulting in prolonged absence from dance. It is concluded that, while there are positive developments in the literature on the epidemiology, diagnosis, prognosis, treatment, and prevention of MSK injuries and pain in dancers, much room for improvement remains. Suggestions for future research are offered.

In a recent opinion piece, Nancy Scheper-Hughes provides a sweeping indictment of living organ donation, even in cases where the gift is directed to a close family member. She describes the process with caustic powerful phrases such as "sacrificial violence" and a "call to 'self-sacrifice.'" She concludes that living organ donation "should be consigned to a back seat as an exceptional back-up to deceased donation." But her conclusions are based on anecdotes and data that are not representative of donor practice and motivation in the United States and other developed countries. At reputable transplant centers great care is taken to identify genuine volunteers and to protect their interests. Under these circumstances living organ donation remains a generally safe and beneficial procedure for the donor as well as the recipient, and a wonderful example of the goodness of people.

At the University of Minnesota, we have defined 'nondirected donation' as organ donation by a volunteer who offered to donate an organ to anyone on the cadaver waiting list. From October 1, 1997, through October 31, 2003, we have had 360 inquiries about nondirected donation, have completed 42 detailed nondirected donor (NDD) evaluations for kidney donation, and have performed 22 NDD transplants. We herein review our program policies and how they have evolved, describe our evaluation and the motivation of our potential donors, summarize the outcome of NDD transplants, and raise issues requiring further attention and study. Our experience continues to support nondirected donation for kidney transplants.

From October 1, 1997 through November 30, 2003, the University of Minnesota received 362 inquiries from potential NDDs. Of these, 53 (15%) then underwent partial or full donor evaluation at our transplant center. Of these 53 potential NDDs, 24 have been accepted (23 donated, and one donation is pending), 23 were denied (15 for medical reasons, 8 for psychosocial reasons), and 6 chose not to pursue donation. Most of our potential NDDs were motivated by altruistic reasons. Their decision-making process was not impulsive or instantaneous, but rather rational and deliberate. They were self-educated about donation before contacting our transplant center. After donation, all 23 of our NDDs said they were glad they donated and were grateful for the opportunity to help another. Many desired to become involved in the transplant community by promoting donation. All NDDs who heard from their recipient appreciated the contact and the chance to learn how the recipient was doing posttransplant. An NDD program clearly mandates a dedicated donor team and additional time and resources, given the high number of inherent practical, logistical, and ethical issues. Our protocol has been a work in progress and continues to evolve with our ever-growing experience. Transplant centers interested in using NDDs must develop NDD protocols to address specific issues and must examine their available staffing and resources.

Background: The success of kidney transplantation from a genetically unrelated living spouse or friend has influenced transplant physicians to consider the requests of individuals wishing to volunteer to be a kidney donor who have no intended recipient specified. Representatives of the transplant community gathered in Boston, MA, on May 31, 2001, to deliberate on the experience of live kidney donation from such volunteers, currently termed nondirected donors (NDD)., Objective of Conference Participants: The objective of the conference was to recommend ethical and practice guidelines for health care professionals considering the transplantation of a kidney from a live NDD., Conference Participants: This conference was convened under the sponsorship of The National Kidney Foundation, with representation from The American Society of Transplantation and The American Society of Transplant Surgeons, The American Society of Nephrology, The United Resource Networks, The United Network for Organ Sharing, The Association of Organ Procurement Organizations, The National Institutes of Health, and The Division of Transplantation of the Health Resources and Services Administration (see Appendix)., Conference Report: The suggested content of screening interviews, which provide information regarding the donation process, elicits pertinent medical and psychosocial history, and assesses NDD motivation are presented in this report. Approaches to identifying the center that would evaluate the suitability of the NDD, to performing the kidney recovery, and to selecting the NDD recipient are also proposed. Other ethical issues such as the use of prisoners as an NDD, compensation for the NDD, media involvement, and communication between the NDD and recipient are discussed., Conclusion: The willingness of health care professionals to consider NDD volunteers is driven by the compelling need to provide organs for an ever-expanding list of patients awaiting a kidney transplant. However, the psychological impact and emotional reward of donation has yet to be determined for NDD who may not have any relationship to the recipient or knowledge of the recipient's outcome. Transplant centers that accept NDD should document an informed consent process that details donor risks, assures donor safety, and determines that the goals and expectations of the NDD and the recipient can be realized.

Unnatural analogues of sialic acid can be delivered to mammalian cell surfaces through the metabolic transformation of unnatural N-acetylmannosamine (ManNAc) derivatives. In previous studies, mannosamine analogues bearing simple N-acyl groups up to five carbon atoms in length were recognized as substrates by the biosynthetic machinery and transformed into cell surface sialoglycoconjugates [Keppler, O. T., et al. (2001) Glycobiology 11, 11R-18R]. Such structural alterations to cell surface glycans can be used to probe carbohydrate-dependent phenomena. This report describes our investigation into the extent of tolerance of the pathway toward additional structural alterations of the N-acyl substituent of ManNAc. A panel of analogues with ketone-containing N-acyl groups that varied in the length or steric bulk was chemically synthesized and tested for metabolic conversion to cell surface glycans. We found that extension of the N-acyl chain to six, seven, or eight carbon atoms dramatically reduced utilization by the biosynthetic machinery. Likewise, branching from the linear chain reduced metabolic conversion. Quantitation of metabolic intermediates suggested that cellular metabolism is limited by the phosphorylation of the N-acylmannosamines by ManNAc 6-kinase in the first step of the pathway. This was confirmed by enzymatic assay of the partially purified enzyme with unnatural substrates. Identification of ManNAc 6-kinase as a bottleneck for unnatural sialic acid biosynthesis provides a target for expanding the metabolic promiscuity of mammalian cells.

Objective: To recommend practice guidelines for transplant physicians, primary care providers, health care planners, and all those who are concerned about the well-being of the live organ donor., Participants: An executive group representing the National Kidney Foundation, and the American Societies of Transplantation, Transplant Surgeons, and Nephrology formed a steering committee of 12 members to evaluate current practices of living donor transplantation of the kidney, pancreas, liver, intestine, and lung. The steering committee subsequently assembled more than 100 representatives of the transplant community (physicians, nurses, ethicists, psychologists, lawyers, scientists, social workers, transplant recipients, and living donors) at a national conference held June 1-2, 2000, in Kansas City, Mo., Consensus Process: Attendees participated in 7 assigned work groups. Three were organ specific (lung, liver, and kidney) and 4 were focused on social and ethical concerns (informed consent, donor source, psychosocial issues, and live organ donor registry). Work groups' deliberations were structured by a series of questions developed by the steering committee. Each work group presented its deliberations to an open plenary session of all attendees. This information was stored and shaped into a statement circulated electronically to all attendees for their comments, and finally approved by the steering committee for publication. The term consensus is not meant to convey universal agreement of the participants. The statement identifies issues of controversy; however, the wording of the entire statement is a consensus by approval of all attendees., Conclusion: The person who gives consent to be a live organ donor should be competent, willing to donate, free from coercion, medically and psychosocially suitable, fully informed of the risks and benefits as a donor, and fully informed of the risks, benefits, and alternative treatment available to the recipient. The benefits to both donor and recipient must outweigh the risks associated with the donation and transplantation of the living donor organ.