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The hormone-induced regulation of contact-dependent cell-cell communication by phosphorylation.

Although there is insufficient evidence to propose an elaborate paradigm for the regulation of connexon gating, a simple model emerges from results of studies done to date. Basically, this centers around the most consistent findings: namely, that activation of pkA has an enhancing effect on cell communication while activation of pkC decreases that process. This fits well the reported phenomena associated with gap junctions, particularly those involving growth control. For example growth factors, including tumor promoters which work via pkC, usually reduce cell-cell communication whereas agents that decrease growth often raise cellular cAMP levels, which can lead to increased communication. It can be argued that this model is too simple because it fails to take into account other intracellular agents that are thought to alter junctional gating: cytoplasmic acidification, cellular free Ca2+, tyrosine protein kinases, and tentatively, pkG. Proton and Ca2+ transporting systems are mainly activated by serine/threonine protein kinases such as pkA and pkC. Some ion channels are not regulated by phosphorylation but instead are modulated by other ions. However, at the moment there is no evidence as to which ion-specific channels mediate the changes in cellular pH or Ca2+ that cause a loss in communication. Neither is it known whether pH or Ca2+ levels are in vivo regulators of the junctions. This is especially so as fairly high levels of injected Ca2+ pass through the gap junctions of viable cells. The role of tyrosine protein kinases in connexon gating may involve interaction with the pkA and pkC regulatory cascades. For example, the pkA inhibitor protein (pkI) is 80-90% inactivated when tyrosine-phosphorylated by the EGF receptor or pp50v-src (D. Walsh, personal communication). In this situation, activity of the C subunit of pkA could be enhanced, or the lifetime of its catalytic activity extended. In some systems, pp60v-src is known to activate the pkC pathway. Thus, tyrosine protein kinases may invoke pkA and pkC pathways; however, the amplitude of enzyme activation and the temporal kinetics of this process are unknown. The fact that gap junctions are regulated at the transcription level and probably at the protein level by protein kinases is of major interest. This is especially so as the only known molecular mechanism that gap junctional communication mediates is the activation of cAMP-dependent protein kinases by hormone-induced signals passed from receptor-bearing cells to receptorless partners.

Amino Acid Sequence↗

Factors affecting individuals dissuading sexual partners from using condoms: a comment on McDermott and Noland.

Undergraduate students at an urban, public university were asked if they had ever attempted to dissuade a sexual partner from using condoms. Over 17% of the men and nearly 15% of the women admitted to having done so, and twice as many said that a sexual partner had attempted to dissuade them. Responses to a questionnaire indicated that individuals who had attempted to dissuade use of condoms did not show a greater tendency to engage in nonsexual risk-taking behaviors. Despite their claims that attempts to dissuade partners from using condoms occurred in committed relationships, condom dissuaders did show evidence of engaging in other high-risk sexual behaviors, e.g., greater number of sexual partners, greater number of sexually transmitted diseases.

Adult↗

Adolescents' communication with parents on sexual topics: a study of young people in Taiwan.

Communication between parents and adolescents about adolescents' sexual behavior has been studied. However, the types of issues on which adolescents are willing to communicate with their parents have been scarcely discussed. A survey was conducted among a random sample of 1,204 junior high school students in Taipei. The survey probed into adolescents' communication with their parents as related to sex, including physical development, sexuality, choice of partner, frequency of dating, whom to date, and intimacy during dating. Analysis showed that physical development was the topic most often discussed. Talking about dating was discussed less than the other three topics. Moreover, girls were more likely to communicate with their parents than boys about all six issues.

Adolescent↗

A case study of Jerry: emphasizing team communication through use of the Discipline.

After the chaplain is well acquainted with The Discipline and has begun to implement it in daily pastoral practice, half of the work is done. The further work concerns how and what to communicate to the care team regarding the chaplain's observations. This article begins by offering a pastoral reflection on the chaplain's identity and pastoral practice within a multi-disciplinary care team. The pastoral reflection highlights key theological assertions used by The Discipline. The author then identifies the particular problems facing care teams and their communication that the chaplain can anticipate when using The Discipline. Thirdly, the author suggests workable, theologically based tools for the resolution of these problems. Lastly, through the case study of "Jerry," the author illustrates both the "how" and "what" components of care team communication using the working elements of The Discipline. The "how" component describes the informal and formal relational processes that have contributed to a working partnership. The case study also illustrates the "what" part of care team communication--the structure and delivery of observable and discernible content to physicians and nurses. These materials can ease the transition towards effective pastoral presence on the interdisciplinary care team regarding patient and family/support partner care.

Cardiomyopathies↗

Partner violence and medical encounters: African-American women's perspectives.

OBJECTIVE: To examine the relationship between intimate partner violence (IPV) victimization and patient satisfaction with medical encounters among an African-American population. DESIGN: Cross-sectional, self-administered, anonymous survey. SETTING: Community-based, primary care center. PATIENTS: Consecutive African-American women recruited from an urban health center. A total of 102 women provided sufficient information to reveal whether they were currently experiencing IPV and to allow us to assess their experiences in their most recent primary care encounter. MEASUREMENTS: Patients' perceptions of their most recent encounter using questions adopted from the Medical Interview Satisfaction Scale and Consultation Satisfaction Questionnaire. We used the Conflicts Tactics Scale, supplemented with questions measuring sexual violence and emotional abuse, to assess IPV "in the past year." RESULTS: Women who reported current IPV rated several aspects of the encounter more negatively than did women who did not report current abuse. The IPV victims were less likely to report that they felt respected and accepted during the encounter, and they provided lower ratings of the quality of communication with their providers. CONCLUSIONS: It is unclear why victims of partner violence experience medical encounters as less satisfactory. Researchers need to expand studies of medical encounters as experienced by abused women to determine whether IPV status adversely affects general medical care.

Adolescent↗

Engineered disulfide linking the hinge regions within lactose repressor dimer increases operator affinity, decreases sequence selectivity, and alters allostery.

The hinge domain encompasses amino acids 51-60 of lactose repressor (LacI) and plays an important role in its regulatory interaction with operator DNA. This segment makes both hinge-DNA and hinge-hinge' contacts that are critical to DNA binding. Furthermore, this small region serves as a central element in communicating the allosteric response to inducer. Introducing a disulfide bond between partner hinges within a dimer via the mutation V52C results in a protein that has increased affinity for O(1) operator DNA compared to wild-type LacI and abolishes allosteric response to inducer [Falcon, C. M., Swint-Kruse, L., and Matthews, K. S. (1997) J. Biol. Chem. 272, 26818]. We have established that this high affinity is maintained for the disulfide-linked protein even when symmetry and half-site spacing within the operator region are altered, whereas binding by the reduced protein, as for wild-type LacI, is severely diminished by these alterations. Interestingly, the allosteric response to inducer for V52C-oxidized remains intact for a small group of operator variants. Temperature studies demonstrate that the presence of the disulfide alters the thermodynamics of the protein-DNA interaction, with a DeltaC(p) of significantly smaller magnitude compared to wild-type LacI. The results presented here establish the hinge region as an important element not only for LacI high-affinity operator binding but also for the essential communication between ligand binding domains. Moreover, the results confirm that DNA sequence/conformation can profoundly influence allostery for this prototypic regulatory protein.

Allosteric Regulation↗

Facilitating condom use with clients during commercial sex in Nevada's legal brothels.

OBJECTIVES: This study examined condom use in legal Nevada brothels. METHODS: Forty female prostitutes in two brothels were interviewed about client resistance to condoms and techniques for facilitating condom use. RESULTS: Of 3290 clients in the previous month, 2.7% (95% confidence interval [CI] = 2.2%,3.4%) were reluctant to use condoms. Of these individuals, 72% ultimately used condoms, while 12% chose nonpenetrative sex without condoms. The remaining 16% left the brothels without services. Condom use rates were markedly lower with nonpaying sex partners (lowers) than with clients. CONCLUSIONS: Brothel prostitutes may be at greater risk for acquiring HIV and other sexually transmitted diseases from lovers than from clients.

Adult↗

AAC and community partnerships: the participation path to community inclusion.

The Life Needs Model (LNM) of service delivery emphasizes the importance of community participation in children's development and quality of life. This article is a case illustration of two community partnership programs based on the LNM. StoryTime and Dress Up and Drama provide participation opportunities in the community for children who use Augmentative and Alternative Communication (AAC). The authors describe the development and implementation of both programs. Regardless of level of functioning, each child who participated in the programs did so by communicating, interacting socially, and controlling the environment. Multiple benefits for children, parents/caregivers, community partners, and AAC clinicians are highlighted. The authors hope that this article will assist others in developing partnerships and implementing inclusive practices within their communities.

Child↗

The birth of the empirical turn in bioethics.

Since its origin, bioethics has attracted the collaboration of few social scientists, and social scientific methods of gathering empirical data have remained unfamiliar to ethicists. Recently, however, the clouded relations between the empirical and normative perspectives on bioethics appear to be changing. Three reasons explain why there was no easy and consistent input of empirical evidence in bioethics. Firstly, interdisciplinary dialogue runs the risk of communication problems and divergent objectives. Secondly, the social sciences were absent partners since the beginning of bioethics. Thirdly, the meta-ethical distinction between 'is' and 'ought' created a 'natural' border between the disciplines. Now, bioethics tends to accommodate more empirical research. Three hypotheses explain this emergence. Firstly, dissatisfaction with a foundationalist interpretation of applied ethics created a stimulus to incorporate empirical research in bioethics. Secondly, clinical ethicists became engaged in empirical research due to their strong integration in the medical setting. Thirdly, the rise of the evidence-based paradigm had an influence on the practice of bioethics. However, a problematic relationship cannot simply and easily evolve into a perfect interaction. A new and positive climate for empirical approaches has arisen, but the original difficulties have not disappeared.

Bioethics↗

First sexual partnerships--age differences and their significance: empirical evidence from the 2000 British National Survey of Sexual Attitudes and Lifestyles ('Natsal 2000').

PURPOSE: To describe variations in age differences (ADs) between partners at first heterosexual intercourse and to examine associations between this AD, sociodemographic characteristics, and circumstances of first heterosexual intercourse, by gender. METHODS: A total of 3277 men and 4734 women aged 25-44 years who reported ever having heterosexual intercourse in a probability survey of the British population to obtain an unbiased sample of ADs at first intercourse. Face-to-face interviews collected sociodemographic data and information on first intercourse. Gender-specific cumulative distributions of ADs categorized respondents reporting relatively younger first partners (below fifth percentile) and those reporting relatively older first partners (above 95th percentile). RESULTS: Relatively older first partners were six years older than men and 10 years older than women. Relatively younger first partners were three years younger than men and one year younger than women. Men and women with relatively older first partners were more likely to have just met their partner (odds ratios adjusted for sociodemographic characteristics [AOR] 1.8, 95% confidence interval [CI] 1.2-2.7, and 3.1, 95% CI 2.1-4.6, respectively); had a more willing first partner (AOR 2.1, 95% CI 1.2-3.8, and 1.6, 95% CI 1.2-2.2, respectively); not used condoms at first sex (AOR 1.9, 95% CI 1.2-3.0, and 1.5, 95% CI 1.1-2.0, respectively); and reported a non-autonomous reason for first sex (AOR 1.6, 95% CI 1.1-2.4, women only). Men with relatively younger first partners were more likely to regret the timing of the first occasion (AOR 2.1, 95% CI 1.0-4.5). CONCLUSIONS: First partnerships involving relatively older or younger partners are associated with adverse circumstances of first intercourse. Condoms and other reliable contraception are less likely to be used, and age differences may reflect unequal power relations. Promoting effective communication and negotiation skills may be particularly important for those with relatively older or younger first partners.

Adolescent↗

Designing an AIDS information campaign to reach intravenous drug users and sex partners.

Intravenous drug users are currently the second largest group to have developed the acquired immunodeficiency syndrome in the United States and Europe. Clearly, health communication plays an important role in the development of AIDS prevention programs directed at IV drug users. However, few public information campaigns have been developed to reach IV drug users or their sexual partners. In a recent campaign directed at these groups, the selection of messages to be used was based both on theory and on research into multi-media public information campaigns. The attempt was made to communicate basic facts about AIDS etiology and prevention. This included information that needle sharing and unprotected sex could spread the human immunodeficiency virus (HIV) that causes AIDS, while bleaching needles and using condoms properly could reduce the risk of infection. A step-by-step diagram on how to bleach needles was provided. Posters, pamphlets, billboards, and out-reach workers were used to spread the word in inner-city neighbors, and coverage of the campaign was sought in the news media. Strategies incorporating practical and theory-based suggestions for future campaigns on IV drug use and AIDS are discussed.

Acquired Immunodeficiency Syndrome↗

Kinetics of the inhibition of axonal defasciculation and arborization mediated by carbohydrate markers in the embryonic leech.

We studied carbohydrate interactions that mediate the targeting of sensory afferents in the synaptic neuropil of segmental central nervous system (CNS) ganglia in the embryonic leech. First, we determined the rate of sensory afferent development in vivo, and then we devised a culture system that permits the normal patterning of their projections in the CNS and PNS to proceed at 92% the normal rate. Using this in vitro system, we analyzed the mannose-specific recognition that mediates the defasciculation and arborization of sensory afferents in the CNS neuropil after they have tracked through peripheral nerves as a tight axon bundle. Sensory afferent defasciculation and arborization in the neuropil were inhibited by culturing embryos in Fab fragments directed against the mannose-containing surface epitope of sensory afferents. We demonstrate that the rate at which separately extending axons or their branches are lost from the neuropil can be modeled by a first-order decay process. These kinetic studies indicate that the loss of each separately extending axon or branch is an independent event. This suggests that sensory afferent projections extend autonomously across the target region in the search of their appropriate postsynaptic partners.

Animals↗

The political history of syphilis and its application to the AIDS epidemic.

The history of syphilis control from the mid-19th century through the present time is a strong argument for the need to enhance the public health efforts to find cases of human immunodeficiency virus (HIV) infection and to notify the partners of infected individuals. To do this, public policy must be changed to allow better case-finding (mandatory testing) and partner notification (mandatory reporting). The history of syphilis is such that one person in 22 was infected in this country in 1918. If we are to use this history to control the current HIV epidemic, control measures used for syphilis (before penicillin) are needed; these are equal attention to education, available health care, case-finding, and partner notification.

AIDS Serodiagnosis↗

Examining the relationship between adolescent sexual risk-taking and perceptions of monitoring, communication, and parenting styles.

PURPOSE: To examine the relationship between adolescent sexual risk-taking and perception of parental monitoring, frequency of parent-adolescent communication, and parenting style. The influences of gender, age, and ethnicity are also of interest. METHODS: Data were collected from 7th-12th grade students in six rural, ethnically diverse school located in adjacent counties in a Southeastern state. A 174-item instrument assessed adolescent perceptions, behaviors and attitudes. Youth who had engaged in sexual intercourse (n = 1160) were included in the analyses. Logistic regression analyses were conducted to identify parenting practices that predicted high versus low-risk sex (defined by number of partners and use of condoms). Variables included parental monitoring, parent-adolescent communication, parenting style, parenting process interaction effects and interaction effects among these three parenting processes and gender, age and ethnicity. Analyses included frequencies, cross-tabulations and logistic regression. RESULTS: Parental monitoring, parental monitoring by parent-adolescent communication and parenting style by ethnicity were significant predictors of sexual risk-taking. No gender or age interactions were noted. CONCLUSION: Parental monitoring, parent-adolescent communication and parenting style are all important variables to consider when examining sexual risk-taking among adolescents.

Adolescent↗

Meeting the training challenge of cross-cultural differences.

So if your training and education needs are complicated with a workforce that more and more reflects national origins other than the United States, the following strategies may help: Use a "hands-on" approach. People learn and remember what they do. Use pictures to reinforce and clarify. Be consistent, patient, and respectful. Check regularly for understanding. Promote safety with consistency, careful listening, and a variety of oral, written, and pictorial media. Look for products that are easy to use and that reduce procedural steps. Simplify processes. Use color coding to decrease confusion. The changing demographics of the workforce create both challenges and opportunities. Successfully overcoming challenges such as establishing appropriate systems, training a diverse group of associates, and encouraging safe work habits can increase productivity, reduce costs, and generate a creative work environment. Suppliers and product manufacturers can often be valuable partners in this process.

Communication↗

Building partnerships for the improvement of public health.

The UK has seen an increase in initiatives to encourage partnership working with the aim of improving services to patients and communities. This article looks at inter-organisational and interprofessional relationships for the improvement of public health. It highlights the importance of collaborative working and looks at how to identify possible partners and ensure coordination.

Benchmarking↗

Fear of sexually transmitted infections among women with male migrant partners -- relationship to oscillatory migration pattern and risk-avoidance behaviour.

BACKGROUND: In South Africa, former apartheid laws encouraged rural males seeking employment to migrate to urban areas, moving weekly, monthly or annually between their rural families and urban workplaces. The combination of the migrant labour system and long family separations caused an explosion of serious health consequences, among others sexually transmitted infections (STIs) in the migrant population. OBJECTIVE: To describe some correlates of male migration patterns for the rural women left behind, especially the fear of STIs that this engendered in them and their risk-avoidance behaviour. Setting and subjects. In KwaZulu-Natal, 208 prenatal patients who were partners of oscillating male migrant workers were interviewed to determine their demographic and behavioural characteristics, and their fear of STIs. RESULTS: Thirty-six per cent of the rural women said that they were afraid of contracting STIs from their returning migrant partners. Women who saw their partners infrequently were more fearful of STI transmission, and were less able to have sexual communication. However, almost none of the women protected themselves, while only 8% used condoms, primarily for contraceptive purposes. CONCLUSIONS: These results reflect the gender-based power relationships of South African male migrants and their rural partners, the social and economic dependency of the women on their migrant partners, and the women's social responsibility to bear children. The results point to the need to go beyond interventions that simply seek to modify behaviour without altering the forces that promote risk taking and discourage risk reduction, and the need to develop appropriate interventions to curb STIs and decrease HIV.

Adolescent↗

References to people in the communications of female and male youths with mental retardation.

Gender-related differences have consistently been reported in the language of adults and children with no disabilities. One well-replicated finding is that females discuss people and relationships more often than do males, particularly in conversations with other females. These stylistic variations in language are considered to have implications for the adaptive functioning of language users, most particularly females. Although studied thus far only in nondisabled individuals, such issues of language style use may be of equal or greater concern for those with mental retardation. How does a cognitive impairment intensify or reduce gender-linked language styles and their effects? Language transcripts were obtained from eight male and eight female participants with retardation, interacting separately with one male and one female adult partner. Half of the participants used speech as their primary mode of communication: the others relied on vocalization, gesture, or augmented modes. Participants using speech showed gender-linked language patterns similar to nondisabled individuals, with females discussing people significantly more often than males. Females using nonspeech modes, in contrast, showed a severe reduction in person-referencing that was not accountable by their expressive speech limitations.

Adolescent↗