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Abstract: Obesity‐related changes in adipose tissue leukocytes, in particular adipose tissue macrophages (ATMs) and dendritic cells (ATDCs), are implicated in metabolic inflammation, insulin resistance, and altered regulation of adipocyte function. We evaluated stromal cell and white adipose tissue (WAT) expansion dynamics with high fat diet (HFD) feeding for 3–56 days, quantifying ATMs, ATDCs, endothelial cells (ECs), and preadipocytes (PAs) in visceral epididymal WAT and subcutaneous inguinal WAT. To better understand mechanisms of the early response to obesity, we evaluated ATM proliferation and lipid accumulation. ATMs, ATDCs, and ECs increased with rapid WAT expansion, with ATMs derived primarily from a CCR2‐independent resident population. WAT expansion stimulated proliferation in resident ATMs and ECs, but not CD11c+ ATMs or ATDCs. ATM proliferation was unperturbed in Csf2‐ and Rag1‐deficient mice with WAT expansion. Additionally, ATM apoptosis decreased with WAT expansion, and proliferation and apoptosis reverted to baseline with weight loss. Adipocytes reached maximal hypertrophy at 28 days of HFD, coinciding with a plateau in resident ATM accumulation and the appearance of lipid‐laden CD11c+ ATMs in visceral epididymal WAT. ATM increases were proportional to tissue expansion and adipocyte hypertrophy, supporting adipocyte‐mediated regulation of resident ATMs. The appearance of lipid‐laden CD11c+ ATMs at peak adipocyte size supports a role in responding to ectopic lipid accumulation within adipose tissue. In contrast, ATDCs increase independently of proliferation and may be derived from circulating precursors. These changes precede and establish the setting in which large‐scale adipose tissue infiltration of CD11c+ ATMs, inflammation, and adipose tissue dysfunction contributes to insulin resistance. [ABSTRACT FROM AUTHOR]

The article defines excellence in staffing, and explains that the American Nurses Credentialing Center considers professional role clarity and role competency as two key elements in describing staff as qualified. It discusses the O'Rourke Model of the Professional RoleTM, and mentions the Professional Role Development GuideTM. The article also explores the need for standardizing nursing practice in improving patient safety and outcomes.

The pesticide methoxychlor (MXC) is a DDT substitute that exhibits estrogenic activities in different animals. To determine whether there is synergism between purified MXC and a natural estrogen, ovariectomized adult mice received 3 daily intraperitoneal doses of either 2.5 or 25 ng estradiol-17β or 0.125, 0.25, or 0.5 mg MXC administered separately or in combination. The mice were sacrificed on d 4. Reproductive tracts were excised, weighed, and one uterine horn was flushed with phosphate-buffered saline, with the fluid electrophoresed on a one-dimensional sodium dodecyl sulfate polyacrylamide gel to determine albumin content. The remaining uterine horn and vagina were prepared for histology and epithelial height measurements. Estradiol significantly increased reproductive-tract weights. Although both the vaginal and uterine epithelial heights increased in mice treated with combined chemicals when compared to controls, the organ histology did not show increased stimulation. Albumin content was significantly elevated only in the estradiol group. The present data do not suggest that either synergism or additive effects occurred between an estrogen and MXC in the reproductive tracts of ovariectomized adult mice. In fact, combining MXC with estradiol suggests inhibitory effects. [ABSTRACT FROM AUTHOR]

Ultrastructural analysis of epitheliocystis organisms from gills of anadromous juvenile steelhead trout, Salmo gairdneri Richardson, revealed the presence of several distinct forms. Two oval infectious organisms resembled previously described agents and had chlamydia-like characteristics. One form had a distinct oval head region from which a tail-like structure projected. These prokaryotic forms have an ultrastructural appearance which has not been described in previous reports of epitheliocystis. Morphological analyses of gill epithelial cells of S. gairdneri suggest that each cyst remains contained within the cytoplasm of a single host cell. [ABSTRACT FROM AUTHOR]