Tolerance and upregulation of acetylcholine receptors follow chronic infusion of d-tubocurarine.

The hypothesis that chronic competitive antagonism of nicotinic acetylcholine receptors (nAChR), even in the absence of immobilization or paralysis, induces proliferation of the receptor and tolerance to the competitive antagonist was tested. Chronic antagonism of the nAChR was achieved in rats by an infusion of d-tubocurarine (dTC) via subcutaneously placed osmotic pumps. After 2 wk of dTC or saline, the neuromuscular pharmacodynamics and nAChR number were examined. No differences in weight gain or mobility were observed between groups. Chronic dTC infusion at 2 wk resulted in a baseline concentration of 0.41 +/- 0.07 (SE) micrograms/ml, which, if achieved acutely, would cause a depression of the twitch tension to 60% of control twitch height. Moreover the experimental group was able to develop a baseline twitch tension of 50 g, similar to that of controls. Despite the baseline dTC concentration in the experimental group, the effective doses of dTC for twitch depression were similar to those of controls. The plasma dTC concentration required for steady-state twitch inhibition was significantly (P less than 0.05) higher in the experimental group (0.83 +/- 0.04 vs. 0.50 +/- 0.15 micrograms/ml) as were the extrajunctional nAChR (19.76 +/- 1.77 vs. 13.37 +/- 1.82 fmol/mg protein). The diaphragmatic nAChR were unaltered. This study confirms that chronic doses of dTC cause tolerance to its effects and proliferation of nAChR even in the absence of immobilization. The absence of nAChR changes in the diaphragm may be due to the higher margin of safety of the diaphragm for muscle relaxants than for peripheral muscles. Intensive Care Unit patients receiving chronic infusions of dTC to facilitate mechanical ventilation will require increased doses with time.     

Clarifying the factors affecting the implementation of the “early to bed,early to rise,and don’t forget your breakfast” campaign aimed at adolescents in Japan

Sleep and Biological Rhythms - This study aimed to assess the success of the Japanese government’s “Early to bed, early to rise, and don’t forget your breakfast” (EB, ER,...     

SNUAGE: an efficient platform-as-a-service security framework for the cloud

In this paper we present SNUAGE, a platform-as-a-service security framework for building secure and scalable multi-layered services based on the cloud computing model. SNUAGE ensures the authenticity, integrity, and confidentiality of data communication over the network links by creating a set of security associations between the data-bound components on the presentation layer and their respective data sources on the data persistence layer. SNUAGE encapsulates the security procedures, policies, and mechanisms in these security associations at the service development stage to form a collection of isolated and protected security domains. The secure communication among the entities in one security domain is governed and controlled by a standalone security processor and policy attached to this domain. This results into: (1) a safer data delivery mechanism that prevents security vulnerabilities in one domain from spreading to the other domains and controls the inter-domain information flow to protect the privacy of network data, (2) a reusable security framework that can be employed in existing platform-as-a-service environments and across diverse cloud computing service models, and (3) an increase in productivity and delivery of reliable and secure cloud computing services supported by a transparent programming model that relieves application developers from the intricate details of security programming. Last but not least, SNUAGE contributes to a major enhancement in the energy consumption and performance of supported cloud services by providing a suitable execution container in its protected security domains for a wide suite of energy- and performance-efficient cryptographic constructs such as those adopted by policy-driven and content-based security protocols. An energy analysis of the system shows, via real energy measurements, major savings in energy consumption on the consumer devices as well as on the cloud servers. Moreover, a sample implementation of the presented security framework is developed using Java and deployed and tested in a real cloud computing infrastructure using the Google App Engine service platform. Performance benchmarks show that the proposed framework provides a significant throughput enhancement compared to traditional network security protocols such as the Secure Sockets Layer and the Transport Layer Security protocols.     

Effectiveness of Mechanisms and Models of Coordination between Organizations,Agencies and Bodies Providing or Financing Health Services in Humanitarian Crises: A Systematic Review

Background

Effective coordination between organizations, agencies and bodies providing or financing health services in humanitarian crises is required to ensure efficiency of services, avoid duplication, and improve equity. The objective of this review was to assess how, during and after humanitarian crises, different mechanisms and models of coordination between organizations, agencies and bodies providing or financing health services compare in terms of access to health services and health outcomes.

Methods

We registered a protocol for this review in PROSPERO International prospective register of systematic reviews under number PROSPERO2014:CRD42014009267. Eligible studies included randomized and nonrandomized designs, process evaluations and qualitative methods. We electronically searched Medline, PubMed, EMBASE, Cochrane Central Register of Controlled Trials, CINAHL, PsycINFO, and the WHO Global Health Library and websites of relevant organizations. We followed standard systematic review methodology for the selection, data abstraction, and risk of bias assessment. We assessed the quality of evidence using the GRADE approach.

Results

Of 14,309 identified citations from databases and organizations'' websites, we identified four eligible studies. Two studies used mixed-methods, one used quantitative methods, and one used qualitative methods. The available evidence suggests that information coordination between bodies providing health services in humanitarian crises settings may be effective in improving health systems inputs. There is additional evidence suggesting that management/directive coordination such as the cluster model may improve health system inputs in addition to access to health services. None of the included studies assessed coordination through common representation and framework coordination. The evidence was judged to be of very low quality.

Conclusion

This systematic review provides evidence of possible effectiveness of information coordination and management/directive coordination between organizations, agencies and bodies providing or financing health services in humanitarian crises. Our findings can inform the research agenda and highlight the need for improving conduct and reporting of research in this field.     

A case of chondrosarcoma in a free-flying Great Egret

A free-flying Great Egret (Ardea alba) captured in Gifu, central Japan, in May 2006 had a large mass on the right carpal joint. The tumor was diagnosed as chondrosarcoma by histopathologic examination.     

Sleep-related factors associated with industrial accidents among factory workers and sleep hygiene education intervention

Sleep and Biological Rhythms - This study was conducted to investigate the association between industrial accidents and sleep-related parameters in factory workers, and to examine the effectiveness...     

Field survey and resin casting of <Emphasis Type="Italic">Gymnogobius macrognathos</Emphasis> spawning nests in the Tatara River,Fukuoka Prefecture,Japan

We investigated the spawning nests of Gymnogobius macrognathos on a tidal flat in the Tatara River, Fukuoka Prefecture, Japan. Digging uncovered 19 spawning nests. The number of eggs and the standard length of the guarding male were positively correlated. Nine spawning nests were examined using in situ resin casting. All casts had structures characteristic of callianassid shrimp burrows and were most likely those of Nihonotrypaea japonica. Spawning nests had significantly greater average diameters than shrimp burrow openings and may have been widened by G. macrognathos.     

Novel potent antagonists of human neuropeptide Y Y5 receptors. Part 2: substituted benzo[a]cycloheptene derivatives

Novel benzo[a]cycloheptene derivatives were prepared for the purpose of searching new neuropeptide Y-Y5 (NPY-Y5) receptor antagonists. The structure-activity relationships are described and compound 2o (FR226928) showed the most potent affinity for Y5 receptor of all we prepared and was found to have higher potency and better selectivity for Y5 over Y1 receptor affinities when compared with the known lead compound 1.