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Transdisciplinary research and generalist practice both face the task of integrating and discerning the value of knowledge across disciplinary and sectoral knowledge cultures. Transdisciplinarity and generalism also both offer philosophical and practical insights into the epistemology, ontology, axiology, and logic of seeing the 'whole'. Although generalism is a skill that can be used in many settings from industry to education, the focus of this paper is the literature of the primary care setting (i.e., general practice or family medicine). Generalist philosophy and practice in the family medicine setting highly values whole person care that uses integrative and interpretive wisdom to include both biomedical and biographical forms of knowledge. Generalist researchers are often caught between reductionist (positivist) biomedical measures and social science (post-positivist) constructivist theories of knowing. Neither of these approaches, even when juxtaposed in mixed-methods research, approximate the complenary Generalism - a coherent epistemology for both primary care researchers and generalist clinicians to understand, enact, and research their own sophisticated craft of managing diverse forms of knowledge.Rising temperature associated with climate change may have substantial impacts on forest tree functions. We conducted a 7-year warming experiment in subtropical China by translocating important native forest tree species (Machilas breviflora, Syzygium rehderianum, Schima superba and Itea chinensis) from cooler high-elevation sites (600 m) to 1-2°C warmer low-elevation sites (300 and 30 m) to investigate warming effects on leaf hydraulic and economic traits. Here, we report data from the last 3 years (Years 5-7) of the experiment. Warming increased leaf hydraulic conductance of S. superba to meet the higher evaporative demand. M. breviflora (300 m), S. rehderianum, S. superba and I. chinensis (300 and 30 m) exhibited higher area-based and mass-based maximum photosynthetic rates (Aa and Am , respectively) related to increasing stomatal conductance (gs ) and stomatal density in the wet season, which led to rapid growth; however, we observed decreased growth of M. breviflora at 30 m due to lower stomatal density and decreased Aa in the wet season. Warming increased photosynthetic nitrogen-use efficiency and photosynthetic phosphorus-use efficiency, but reduced leaf dry mass per unit area due to lower leaf thickness, suggesting that these tree species allocated more resources into upregulating photosynthesis rather than into structural investment. Our findings highlight that there was trait variation in the capacity of trees to acclimate to warmer temperatures such that I. chinensis may benefit from warming, but S. superba may be negatively influenced by warming in future climates.
India establishes a geriatric population of about 80 million which is 7.2% of the total population. The geriatric population is often faced by a negative impact on their quality of life due to poor oral health.
To assess the impact of oral disease on daily activities and quality of life among the institutionalized elderly in Kanpur, India.
A total of fifty-six patients were purposively selected from two old age homes through convenience sampling technique. zeomycin molecular weight To assess the oral health status WHO basic oral health survey form (1997) was used. Short version of Oral Health Impact Profile (OHIP - 14) questionnaire was used to assess the Oral Health Related Quality of Life (OHRQoL). Independent t-test and ANOVA test was done to determine the relationship between the groups.
Presence or absence of grossly decayed teeth, chronic periodontitis, based on edentulism and remaining sound teeth status produced no significant differences in any of the domains. In comparison with males, females experienced greater impact of oral diseases with respect to mean OHIP-14 score; however, it was non - significant (p=0.45).
Oral health status of the institutionalized subjects in Kanpur city is poor, with edentulism and periodontitis. The effect of oral diseases on the lives of elderly is comparatively low and is non-significant.
Oral health status of the institutionalized subjects in Kanpur city is poor, with edentulism and periodontitis. The effect of oral diseases on the lives of elderly is comparatively low and is non-significant.
Computer-assisted implant surgery (CAIS) can facilitate accuracy of single implant placement, but little is known with regards to parallelism between multiple implants.
To compare the accuracy of position and parallelism of two implants, using static and dynamic CAIS systems.
Thirty patients received two implants (60 implants) randomly allocated to two different CAIS systems. Optimal implant position and absolute parallelism was planned based on preoperative cone beam CT (CBCT). Patients received implants with a surgical guide (static CAIS, n = 30) or real-time navigation (dynamic CAIS, n = 30). Implant three-dimensional deviation and parallelism was calculated after surgery.
The mean 3D deviation in the static and dynamic CAIS group at implant platform were 1.04 ± 0.67 vs 1.24 ± 0.39 mm, at apex were 1.54 ± 0.79 vs 1.58 ± 0.56 mm and angulation were 4.08° ± 1.69° vs 3.78° ± 1.84°, respectively. The angle deviations between two placed implants (parallelism) in static and dynamic CAIS groups were 4.32° ± 2.44° and 3.55° ± 2.29°, respectively. There were no statistically significant differences in all parameters between groups.
Static and dynamic CAIS provides similar accuracy of the 3D implant position and parallelism between two implants.
Static and dynamic CAIS provides similar accuracy of the 3D implant position and parallelism between two implants.Transfer RNA-derived small RNAs (tsRNAs), a novel type of non-coding RNA derivative, are able to regulate a wide range of biological processes. What role these tsRNAs play in the regulation of human bone marrow mesenchymal stem cell (hMSCs) adipogenic differentiation remains uncertain. We induced the adipogenic differentiation of human bone marrow mesenchymal cells (hMSCs) and then performed small RNA transcriptomic sequencing, leading us to identify tsRNA-06018 as a target of interest based upon resultant the tsRNA expression profiles. When tsRNA-06018 was knocked down, this led to the inhibition of adipogenesis and a decrease in adipogenic marker expression. When STC2 was overexpressed, this impaired the adipogenic differentiation of these cells. We further used luciferase reporter assays to confirm that tsRNA-06018 directly binds the 3'-untranslated region (3'-UTR) of STC2. In addition, we determined that both knocking down tsRNA-06018 and overexpressing STC2 increased extracellular signal-regulated kinase 1/2 (ERK1/2) phosphorylation within cells.
My Website: https://www.selleckchem.com/products/zeocin.html
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