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Sensation is commonly impaired immediately post-stroke but little is known about the long-term changes in cutaneous sensation that have the capacity to adversely impact independence and motor-function. We investigated cutaneous sensory thresholds across the hand in the chronic post-stroke period. Cutaneous sensation was assessed in 42 community-dwelling stroke patients and compared to 36 healthy subjects. Sensation was tested with calibrated monofilaments at 6 sites on the hand that covered the median, ulnar and radial innervation territories and included both glabrous (hairless) and hairy skin. The motor-function of stroke patients was assessed with the Wolf Motor Function Test and the upper-limb motor Fugl-Meyer Assessment. Impaired cutaneous sensation was defined as monofilament thresholds >3 SD above the mean of healthy subjects and good sensation was ≤3 SD. Cutaneous sensation was impaired for 33% of patients and was 40–84% worse on the more-affected side compared to healthy subjects depending on the site (p<0.05). When the stroke patient data were pooled cutaneous sensation fell within the healthy range, although ∼1/3 of patients were classified with impaired sensation. Classification by motor-function revealed low levels of impaired sensation. The magnitude of sensory loss was only apparent when the sensory-function of stroke patients was classified as good or impaired. Sensation was most impaired on the dorsum of the hand where age-related changes in monofilament thresholds are minimal in healthy subjects. Although patients with both high and low motor-function had poor cutaneous sensation, overall patients with low motor-function had poorer cutaneous sensation than those with higher motor-function, and relationships were found between motor impairments and sensation at the fingertip and palm. These results emphasize the importance of identifying the presence and magnitude of cutaneous sensory impairments in the chronic period after stroke.  相似文献   
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Two language revitalization programs in California are described here with a focus on how new words can be developed in a way authentic to a given language which reflects traditional values and thoughts. The importance of combining classroom approaches with community-based programs is also discussed.  相似文献   
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Genetic polymorphisms in the fat mass and obesity-associated (FTO) gene have been strongly associated with obesity in humans. The cellular level of FTO is tightly regulated, with alterations in its expression influencing energy metabolism, food intake and body weight. Although the proteasome system is involved, the cellular mechanism underlying FTO protein turnover remains unknown. Here, we report that FTO undergoes post-translational ubiquitination on Lys-216. Knock-in HeLa cells harboring the ubiquitin-deficient K216R mutation displayed a slower rate of FTO turnover, resulting in an increase in the level of FTO as well as enhanced phosphorylation of the ribosomal S6 kinase. Surprisingly, we also found that K216R mutation reduced the level of nuclear FTO and completely abolished the nuclear translocation of FTO in response to amino acid starvation. Collectively, our results reveal the functional importance of ubiquitination in controlling FTO expression and localization, which may be crucial for determining body mass and composition.  相似文献   
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The survival of captive‐bred individuals from release into the wild to their first breeding season is crucial to assess the success of reintroduction or translocation programmes, and to assess their potential impact of wild populations. However, assessing the survival of captive‐bred individuals following their release is often complicated by immediate dispersal once in the wild. Here, we apply Lindberg's robust design model, a method that incorporates emigration from the study site, to obtain true estimates of survival of captive‐bred Mallards Anas platyrhynchos, a common duck species released on a large scale in Europe since the 1970s. Overall survival rate from release in July until the onset of the next breeding season in April was low (0.18 ± 0.07 se) and equivalent to half the first‐year survival of local wild Mallards. Higher overall detectability and temporary emigration during the hunting period revealed movements in response to hunting pressure. Such low survival of released Mallards during their first year may help prevent large‐scale genetic mixing with the wild population. Nevertheless, by combining our results with regional waterfowl counts, we estimated that a minimum of 34% of the Mallards in the region were of captive origin at the onset of the breeding season. Although most released birds quickly die, restocking for hunting may be of sufficient magnitude to affect the wild population through genetic homogenization or loss of local adaptation. Robust design protocols allow for the estimation of true survival estimates by controlling for permanent and temporary emigration and may require only a moderate increase in fieldwork effort.  相似文献   
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