Propylene Glycols

丙二醇
  • 文章类型: Journal Article
    双组分信号转导系统在细菌适应不断变化的环境条件中起着必不可少的作用。其中之一是MnoSR系统,该系统参与了耻垢分枝杆菌中甲基营养代谢的调节。
    耻垢分枝杆菌突变株ΔmnoS,ΔmnoR和缺乏功能性mnos的Δmnos/R,mnoR和两个基因均使用同源重组方法产生。通过亲和柱层析纯化MnoR重组蛋白。本研究采用分子生物学技术:克隆策略,全局RNA测序,qRT-PCR,EMSA,微尺度热泳,和生物信息学分析。
    Δmnos,ΔmnoR,并在存在确定碳源的情况下产生并培养ΔmnoS/R突变菌株。生长曲线分析证实,MnoSR的失活会损害耻垢分枝杆菌细胞使用1,3-丙二醇和乙醇等醇类的能力,但会改善乙二醇上的细菌生长,木糖醇,和甘油。采用总RNA测序方法来了解MnoSR在分枝杆菌对有限的碳访问和富碳条件的全球反应中的重要性。在以葡萄糖或1,3-丙二醇作为唯一碳源培养的分枝杆菌的情况下,MnoSR的损失显着影响碳利用,因为它影响了多种代谢途径的表达。许多转录变化不能与mno操纵子外部基因的启动子区域内明显的MnoRDNA结合位点的存在联系起来。这通过具有突变的MnoR结合共有区的EMSA和微尺度热电泳得到证实。我们的综合分析强调了该系统在代谢适应性中的重要作用,提供对分枝杆菌环境生存的潜在影响的见解。
    UNASSIGNED: The two-component signal transduction systems play an essential role in the adaptation of bacteria to changing environmental conditions. One of them is the MnoSR system involved in the regulation of methylotrophic metabolism in M. smegmatis.
    UNASSIGNED: Mycobacterium smegmatis mutant strains ΔmnoS, ΔmnoR and ΔmnoS/R lacking functional mnoS, mnoR and both genes were generated using a homologous recombination approach. MnoR recombinant protein was purified by affinity column chromatography. The present study employs molecular biology techniques: cloning strategies, global RNA sequencing, qRT-PCR, EMSA, Microscale thermophoresis, and bioinformatics analysis.
    UNASSIGNED: The ∆mnoS, ∆mnoR, and ∆mnoS/R mutant strains were generated and cultured in the presence of defined carbon sources. Growth curve analysis confirmed that inactivation of the MnoSR impairs the ability of M. smegmatis cells to use alcohols such as 1,3-propanediol and ethanol but improves the bacterial growth on ethylene glycol, xylitol, and glycerol. The total RNA sequencing method was employed to understand the importance of MnoSR in the global responses of mycobacteria to limited carbon access and in carbon-rich conditions. The loss of MnoSR significantly affected carbon utilization in the case of mycobacteria cultured on glucose or 1,3-propanediol as sole carbon sources as it influenced the expression of multiple metabolic pathways. The numerous transcriptional changes could not be linked to the presence of evident MnoR DNA-binding sites within the promotor regions for the genes outside of the mno operon. This was confirmed by EMSA and microscale thermophoresis with mutated MnoR binding consensus region. Our comprehensive analysis highlights the system\'s vital role in metabolic adaptability, providing insights into its potential impact on the environmental survival of mycobacteria.
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  • 文章类型: Journal Article
    背景:(R,R)-2,3-丁二醇(BDO)在各种应用中使用,并且由于其独特的物理化学特征而变得越来越突出。在肺炎克雷伯菌中使用甘油作为2,3-BDO生产的碳源受到限制,因为1,3-丙二醇(PDO)是在甘油发酵过程中产生的。
    结果:在这项研究中,肺炎克雷伯菌budC基因的失活增加了(R,R)-2,3-BDO从21.92±2.10降至92.05±1.20%。肺炎克雷伯菌(内消旋-2,3-BDO)的主要异构体形式转移到(R,R)-2,3-BDO。(R,R)-2,3-BDO通过搅拌速度检查,和98.54%的(R,R)-2,3-BD0在500rpm下获得。然而,随着栽培期的延长,(R,R)-2,3-BDO下降。对于这个问题,两步搅拌速度控制策略(24小时后从500调整到400rpm)和涉及的dhaD基因的过表达(R,使用R)-2,3-BDO生物合成。然而,(R,R)-2,3-BDO仍随时间逐渐降低。最后,当用粗甘油代替纯甘油时,89.47g/L的效价(R,R)-2,3-BDO(1.69g/Lmeso-2,3-BDO),生产率为1.24g/L/h,获得0.35g/g消耗的粗甘油的产率,同时保持98%或更高的纯度。
    结论:这项研究很有意义,因为它证明了生产的研究中产量和生产率最高(R,R)-2,3-BDO在克雷伯菌属中具有高纯度。菌株。此外,据我们所知,这是第一个产生(R,R)-2,3-BDO,使用甘油作为唯一碳源。
    BACKGROUND: (R,R)-2,3-butanediol (BDO) is employed in a variety of applications and is gaining prominence due to its unique physicochemical features. The use of glycerol as a carbon source for 2,3-BDO production in Klebsiella pneumoniae has been limited, since 1,3-propanediol (PDO) is generated during glycerol fermentation.
    RESULTS: In this study, the inactivation of the budC gene in K. pneumoniae increased the production rate of (R,R)-2,3-BDO from 21.92 ± 2.10 to 92.05 ± 1.20%. The major isomer form of K. pneumoniae (meso-2,3-BDO) was shifted to (R,R)-2,3-BDO. The purity of (R,R)-2,3-BDO was examined by agitation speed, and 98.54% of (R,R)-2,3-BDO was obtained at 500 rpm. However, as the cultivation period got longer, the purity of (R,R)-2,3-BDO declined. For this problem, a two-step agitation speed control strategy (adjusted from 500 to 400 rpm after 24 h) and over-expression of the dhaD gene involved in (R,R)-2,3-BDO biosynthesis were used. Nevertheless, the purity of (R,R)-2,3-BDO still gradually decreased over time. Finally, when pure glycerol was replaced with crude glycerol, the titer of 89.47 g/L of (R,R)-2,3-BDO (1.69 g/L of meso-2,3-BDO), productivity of 1.24 g/L/h, and yield of 0.35 g/g consumed crude glycerol was achieved while maintaining a purity of 98% or higher.
    CONCLUSIONS: This study is meaningful in that it demonstrated the highest production and productivity among studies in that produced (R,R)-2,3-BDO with a high purity in Klebsiella sp. strains. In addition, to the best of our knowledge, this is the first study to produce (R,R)-2,3-BDO using glycerol as the sole carbon source.
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  • 文章类型: Journal Article
    用硅胶管作为支持培养基的反应器用于甘油发酵。实验设置由三个阶段组成。在P1中,所施加的甘油负载率(gly-LR)在6-10g的范围内。L-1.d-1,进水pH为7.9±0.4。在P2中,gly-LR保持恒定(18.0±1.8g。L-1.d-1)用不同剂量的NaHCO3。最后在P3中,两种不同的gly-LR(9和18g。L-1.D-1)进行了评估,每g-COD甘油加入1g-NaHCO3。甘油消耗接近90%。主要的最终产物是1,3-丙二醇(1,3-PDO)(0.40mol。mol-gly-1),但是乙醇也产生了,特别是在pH高于8和低gly-LR(0.20mol。mol-gly-1)。以甘油为唯一碳源运行1年后,观察到细菌群落的急剧变化。1,3-PDO生产者Lacrimispora和Clostridium成为主导,虽然非甘油降解发酵属,例如,放线菌和真细菌,以细胞分解产物为代价的繁荣。
    A reactor with silicone tubes as support medium was used for glycerol fermentation. The experimental set-up consisted of three phases. In P1, the applied glycerol loading rate (gly-LR) was in the range of 6-10 g.L-1.d-1 at an influent pH of 7.9 ± 0.4. In P2, gly-LR was kept constant (18.0 ± 1.8 g.L-1.d-1) with different doses of NaHCO3. Finally in P3, two different gly-LR (9 and 18 g.L-1.d-1) were evaluated, dosing 1 g-NaHCO3 per g-COD of glycerol. Glycerol consumption was close 90%. The main end-product was 1,3-propanediol (1,3-PDO) (0.40 mol.mol-gly-1), but ethanol was also generated, particularly at pH above 8 and low gly-LR (0.20 mol.mol-gly-1). After 1-year operation with glycerol as the only carbon source, a drastic shift in the bacterial community was observed. The 1,3-PDO producers Lacrimispora and Clostridium became dominant, although non-glycerol-degrading fermentative genera, e.g., Actinomyces and Eubacterium, thrived at the expense of cellular breakdown products.
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  • 文章类型: Journal Article
    免疫功能的抑制可以通过使用药物如环孢菌素A或雷帕霉素的行为调节来引起。然而,对这种现象的潜在机制和普遍性知之甚少。在这种背景下,本研究调查了芬戈莫德(FTY720)的药理特性,一种广泛用于治疗多发性硬化症的免疫抑制药物,可以通过味觉免疫联想学习对大鼠进行调节。为此,使用了条件性的味道回避范式,将新型甜味饮用溶液(糖精或蔗糖)作为条件刺激(CS)与治疗有效剂量的FTY720作为非条件刺激(US)配对。随后在稍后的时间点再次暴露于CS表明,只有当糖精用作CS时,用FTY720调节才会引起温和的条件性味道回避。然而,在免疫学水平上,糖精和蔗糖的再次暴露均不会改变血液免疫细胞亚群或脾细胞因子的产生。尽管可以在已知介导神经免疫相互作用的大脑区域中检测到内给药的FTY720,目前的发现表明,FTY720的生理作用不能仅通过味觉免疫联想学习来诱导。调理是否适用于具有免疫抑制特性的所有小分子药物,仍需要使用可能使用不同的感觉CS进行修改的范例进行研究。此外,这些发现强调有必要进一步研究条件免疫调节的潜在机制,以评估联想学习方案作为临床支持疗法的普遍性和可用性.
    Suppression of immune functions can be elicited by behavioural conditioning using drugs such as cyclosporin A or rapamycin. Nevertheless, little is known about the underlying mechanisms and generalisability of this phenomenon. Against this background, the present study investigated whether the pharmacological properties of fingolimod (FTY720), an immunosuppressive drug widely applied to treat multiple sclerosis, can be conditioned in rats by means of taste-immune associative learning. For this purpose, a conditioned taste avoidance paradigm was used, pairing the presentation of a novel sweet drinking solution (saccharin or sucrose) as conditioned stimulus (CS) with therapeutically effective doses of FTY720 as unconditioned stimulus (US). Subsequent re-exposure to the CS at a later time point revealed that conditioning with FTY720 induced a mild conditioned taste avoidance only when saccharin was employed as CS. However, on an immunological level, neither re-exposure with saccharin nor sucrose altered blood immune cell subsets or splenic cytokine production. Despite the fact that intraperitonally administered FTY720 could be detected in brain regions known to mediate neuro-immune interactions, the present findings show that the physiological action of FTY720 is not inducible by mere taste-immune associative learning. Whether conditioning generalises across all small-molecule drugs with immunosuppressive properties still needs to be investigated with modified paradigms probably using distinct sensory CS. Moreover, these findings emphasize the need to further investigate the underlying mechanisms of conditioned immunomodulation to assess the generalisability and usability of associative learning protocols as supportive therapies in clinical contexts.
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  • 文章类型: Journal Article
    研究溶液相中的手性聚合物对于设计光子或生物医学器件的超分子结构至关重要。这项工作致力于研究聚(环氧丙烷)(PPO)在几种溶剂中的光学活性:苄腈,二硫化碳,氯仿,乙酸乙酯,和p-二恶烷。为了获得这些系统中相互作用的信息,进行了流变测试,显示作为溶剂类型的函数的流变参数的不同变化。这些方面也反映在折射率色散行为,从中提取线性和非线性光学性质。为了确定PPO溶液的圆双折射和比旋度,采用了通道光谱的替代方法。光谱数据与所选溶剂中PPO结构单元的分子模型相关。密度泛函理论(DFT)计算数据表明,与聚合物重复单元的O1-C2-C3-O4二面角相关的扭转势能在具有高极性和通过氢键相互作用的能力的溶剂化环境中受到阻碍。这与样品的光学表征一致,这表明PPO在乙酸乙酯和对二恶烷中的溶液具有较低的圆形双折射和比旋度。此外,与其他溶剂相比,PPO在这些溶剂中的旋光色散曲线的形状略有变化。
    Investigation of chiroptical polymers in the solution phase is paramount for designing supramolecular architectures for photonic or biomedical devices. This work is devoted to the case study of poly(propylene oxide) (PPO) optical activity in several solvents: benzonitrile, carbon disulfide, chloroform, ethyl acetate, and p-dioxane. To attain information on the interactions in these systems, rheological testing was undertaken, showing distinct variations of the rheological parameters as a function of the solvent type. These aspects are also reflected in the refractive index dispersive behavior, from which linear and non-linear optical properties are extracted. To determine the circular birefringence and specific rotation of the PPO solutions, the alternative method of the channeled spectra was employed. The spectral data were correlated with the molecular modeling of the PPO structural unit in the selected solvents. Density functional theory (DFT) computational data indicated that the torsional potential energy-related to the O1-C2-C3-O4 dihedral angle from the polymer repeating unit-was hindered in solvation environments characterized by high polarity and the ability to interact via hydrogen bonding. This was in agreement with the optical characterization of the samples, which indicated a lower circular birefringence and specific rotation for the solutions of PPO in ethyl acetate and p-dioxane. Also, the shape of optical rotatory dispersion curves was slightly modified for PPO in these solvents compared with the other ones.
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  • 文章类型: Journal Article
    聚缩水甘油或聚甘油(PG),一种广泛用于生物医学应用的聚醚,尚未广泛研究其支链环状形式(BCPG),尽管对超支化PG(HPG)进行了广泛的研究。这项研究探索了bcPG的生物医学前景,特别是其穿越血脑屏障(BBB)的能力。我们评估了体外生物相容性,内皮通透性,以及在水的存在下形成作为拓扑杂质的支化线性PG(blPG)。溶液中的小角度X射线散射显示,bcPG和bcblPG混合物的分形维数约为2,暗示随机分支。bcPG之间的细胞毒性和内皮通透性的比较,bc+blPG,和HPG在使用hCMEC/D3细胞的BBB模型中显示不同的生物相容性谱和对HPG的更高的内皮通透性。bcPG显示出在细胞核周围积聚的趋势,与HPG的行为相反。这项研究有助于理解聚合物拓扑结构对生物行为的影响。
    Polyglycidol or polyglycerol (PG), a polyether widely used in biomedical applications, has not been extensively studied in its branched cyclic form (bcPG), despite extensive research on hyperbranched PG (HPG). This study explores the biomedical promise of bcPG, particularly its ability to cross the blood-brain barrier (BBB). We evaluate in vitro biocompatibility, endothelial permeability, and formation of branched linear PG (blPG) as topological impurities in the presence of water. Small angle X-ray scattering in solution revealed a fractal dimension of approximately two for bcPG and the mixture bc+blPG, suggesting random branching. Comparisons of cytotoxicity and endothelial permeability between bcPG, bc+blPG, and HPG in a BBB model using hCMEC/D3 cells showed different biocompatibility profiles and higher endothelial permeability for HPG. bcPG showed a tendency to accumulate around cell nuclei, in contrast to the behavior of HPG. This study contributes to the understanding of the influence of polymer topology on biological behavior.
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  • 文章类型: Journal Article
    克霉唑在水性介质中的溶解性差以及载药栓剂内容物的不受控制的去除限制了其治疗外阴阴道念珠菌病的有效性。我们在这里介绍非牛顿结构流体形式的克霉唑的水性制剂,即,由超支化聚缩水甘油构成的宾汉塑性或假塑性流体,HbPGL,具有带有芳基如苯基或联苯的疏水化核。通过用苯甲酰氯修饰含单羟基的线性单元获得两亲性构建体,苯基异氰酸酯,和联苯异氰酸酯,而壳中的末端1,2-二醇基团在改性步骤中受到保护,随之而来的是他们的保护。使用溶剂蒸发方法将克霉唑封装在内部疏水化的HbPGL中,然后添加水,导致形成结构化的流体。用克霉唑对芳基-HbPGL进行的详细傅里叶变换红外光谱(FTIR)和差示扫描量热法(DSC)分析揭示了聚合物之间药物相容性的差异。克霉唑在富含联苯的HbPGL中,与苯基衍生物不同,分子分布在干燥和水合状态,导致透明的配方。所获得的流体制剂的剪切稀化性质使其可注射并因此适用于阴道内应用。使用Franz扩散池进行的渗透性测试显示,与装载在市售的一次性片剂中的药物相比,克霉唑的渗透性常数增加了5倍,与克霉唑的水性悬浮液相比,渗透性增加了50倍。此外,基于联苯修饰的HbPGL的药物液体对白色念珠菌和光滑念珠菌均显示出增强的抗真菌活性,保留长达7天,与苯基-HbPGL衍生物和片剂相反。用他们简单的公式,方便的克霉唑/联苯-HbPGL配方策略,流变性能,和增强的抗真菌特性,这些系统是妇科应用的潜在抗真菌疗法。这项研究指出了提高水溶性差的富含芳基药物溶解度的合成方向。
    The poor solubility of clotrimazole in the aqueous medium and the uncontrolled removal of the drug-loaded suppository content limit its effectiveness in the treatment of vulvovaginal candidiasis. We present here the aqueous formulations of clotrimazole in the form of non-Newtonian structured fluids, i.e., Bingham plastic or pseudoplastic fluids constructed of hyperbranched polyglycidol, HbPGL, with a hydrophobized core with aryl groups such as phenyl or biphenyl. The amphiphilic constructs were obtained by the modification of linear units containing monohydroxyl groups with benzoyl chloride, phenyl isocyanate, and biphenyl isocyanate, while the terminal 1,2-diol groups in the shell were protected during the modification step, followed by their deprotection. The encapsulation of clotrimazole within internally hydrophobized HbPGLs using a solvent evaporation method followed by water addition resulted in structured fluids formation. Detailed Fourier-transform infrared spectroscopy (FTIR) and differential scanning calorimetry (DSC) analyses performed for aryl-HbPGLs with clotrimazole revealed the difference in drug compatibility among polymers. Clotrimazole in biphenyl-enriched HbPGL, unlike phenyl derivatives, was molecularly distributed in both the dry and the hydrated states, resulting in transparent formulations. The shear-thinning properties of the obtained fluid formulations make them injectable and thus suitable for the intravaginal application. Permeability tests performed with the usage of the Franz diffusion cell showed a 5-fold increase in the permeability constant of clotrimazole compared to drugs loaded in a commercially available disposable tablet and a 50-fold increase of permeability in comparison to the aqueous suspension of clotrimazole. Furthermore, the biphenyl-modified HbPGL-based drug liquid showed enhanced antifungal activity against both Candida albicans and Candida glabrata that was retained for up to 7 days, in contrast to the phenyl-HbPGL derivatives and the tablet. With their simple formulation, convenient clotrimazole/biphenyl-HbPGL formulation strategy, rheological properties, and enhanced antifungal properties, these systems are potential antifungal therapeutics for gynecological applications. This study points in the synthetic direction of improving the solubility of poorly water-soluble aryl-enriched pharmaceuticals.
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  • 文章类型: Journal Article
    背景:1,2-丙二醇(1,2-PDO)在化妆品中被广泛使用,食物,和全球每年消费量超过150万吨的制药工业。尽管已经努力改造微生物宿主,如谷氨酸棒杆菌,以从可再生资源生产1,2-PDO,这些菌株的性能仍然可以改进,以与现有的石化生产路线竞争。
    结果:在这项研究中,我们通过引入先前描述的修饰,在基因组减少的菌株谷氨酸棒杆菌PC2中实现了1,2-PDO的产生.所得菌株显示减少的产物形成,但分泌50±1mMD-乳酸盐作为副产物。谷氨酸棒杆菌PC2缺乏D-乳酸脱氢酶,这指出了与1,2-PDO产生相关的未知途径。进一步分析表明,在谷氨酸棒杆菌甲基乙二醛中,1,2-PDO合成的前体,通过乙二醛酶样系统用抗氧化剂天然真菌硫醇(MSH)解毒为乳酰真菌硫醇,并转化为D-乳酸,后者以丙酮酸水平重新进入中心碳代谢。携带空载体的野生型细胞提取物的代谢组学,一个1,2-PDO生产者及其具有非活性D-乳酸脱氢酶的衍生物确定了乳酰基真菌硫醇及其前体MSH和葡糖胺-肌醇的主要质量峰,而在具有失活MSH合成的生产菌株中不存在各自的质量峰。删除mshA,编码MSH合酶,在生产1,2-PDO的菌株中,谷氨酸棒杆菌ΔhdpAΔldh(pEKEx3-mgsA-yqhD-gldA)将产品产量提高了56%,达到0.53±0.01mM1,2-PDOmMglug-1,这是迄今为止报道的谷氨酸棒杆菌的最高值。
    结论:基因组还原菌株是解开菌株工程代谢限制的有用基础,并且在本研究中公开了代表1,2-PDO生产前体的甲基乙二醛解毒途径。随后的竞争途径的失活显著提高了1,2-PDO产量。
    BACKGROUND: 1,2-propanediol (1,2-PDO) is widely used in the cosmetic, food, and drug industries with a worldwide consumption of over 1.5 million metric tons per year. Although efforts have been made to engineer microbial hosts such as Corynebacterium glutamicum to produce 1,2-PDO from renewable resources, the performance of such strains is still improvable to be competitive with existing petrochemical production routes.
    RESULTS: In this study, we enabled 1,2-PDO production in the genome-reduced strain C. glutamicum PC2 by introducing previously described modifications. The resulting strain showed reduced product formation but secreted 50 ± 1 mM D-lactate as byproduct. C. glutamicum PC2 lacks the D-lactate dehydrogenase which pointed to a yet unknown pathway relevant for 1,2-PDO production. Further analysis indicated that in C. glutamicum methylglyoxal, the precursor for 1,2-PDO synthesis, is detoxified with the antioxidant native mycothiol (MSH) by a glyoxalase-like system to lactoylmycothiol and converted to D-lactate which is rerouted into the central carbon metabolism at the level of pyruvate. Metabolomics of cell extracts of the empty vector-carrying wildtype, a 1,2-PDO producer and its derivative with inactive D-lactate dehydrogenase identified major mass peaks characteristic for lactoylmycothiol and its precursors MSH and glucosaminyl-myo-inositol, whereas the respective mass peaks were absent in a production strain with inactivated MSH synthesis. Deletion of mshA, encoding MSH synthase, in the 1,2-PDO producing strain C. glutamicum ΔhdpAΔldh(pEKEx3-mgsA-yqhD-gldA) improved the product yield by 56% to 0.53 ± 0.01 mM1,2-PDO mMglucose-1 which is the highest value for C. glutamicum reported so far.
    CONCLUSIONS: Genome reduced-strains are a useful basis to unravel metabolic constraints for strain engineering and disclosed in this study the pathway to detoxify methylglyoxal which represents a precursor for 1,2-PDO production. Subsequent inactivation of the competing pathway significantly improved the 1,2-PDO yield.
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  • 文章类型: Journal Article
    教练是一种越来越流行的手段,提供个性化,以学习者为中心,在基于能力的医学教育(CBME)课程中对学员的发展指导。与CBME的核心组件一致,教练可以帮助充分利用这种教育方法的全部潜力。专注于增长和改善,教练帮助学员发展临床敏锐性和自我调节的学习技能。在医学教育背景下开发用于教练的共享心智模型对于促进整合和随后的成功评估至关重要。本文介绍了加拿大皇家内科医生和外科医生学院的教练模式,一个是基于理论的,证据通知,由多学科团队驱动和迭代开发的原则。教练模式是专门设计的,适合研究生医学教育(PGME)背景,并作为设计能力(CBD)的一部分实施,一个新的基于能力的PGME计划。这种教练模式区分了两种教练角色,这反映了研究生学员学习和发展技能的不同背景。RX-OCR流程支持这两个角色:开发关系/融洽关系,设定期望,观察,教练谈话,和记录/反射。CBD教练模型及其相关的RX-OCR教师开发工具支持CBME中教练的实施。当下的教练和随着时间的推移的教练提供了重要的机制,CBD为学员带来价值。为了发生持续的变化,让学习者和教练体验模型的预期好处,需要持续的专业发展努力。提供了实施后的早期思考和经验教训。
    Coaching is an increasingly popular means to provide individualized, learner-centered, developmental guidance to trainees in competency based medical education (CBME) curricula. Aligned with CBME\'s core components, coaching can assist in leveraging the full potential of this educational approach. With its focus on growth and improvement, coaching helps trainees develop clinical acumen and self-regulated learning skills. Developing a shared mental model for coaching in the medical education context is crucial to facilitate integration and subsequent evaluation of success. This paper describes the Royal College of Physicians and Surgeons of Canada\'s coaching model, one that is theory based, evidence informed, principle driven and iteratively and developed by a multidisciplinary team. The coaching model was specifically designed, fit for purpose to the postgraduate medical education (PGME) context and implemented as part of Competence by Design (CBD), a new competency based PGME program. This coaching model differentiates two coaching roles, which reflect different contexts in which postgraduate trainees learn and develop skills. Both roles are supported by the RX-OCR process: developing Relationship/Rapport, setting eXpectations, Observing, a Coaching conversation, and Recording/Reflecting. The CBD Coaching Model and its associated RX-OCR faculty development tool support the implementation of coaching in CBME. Coaching in the moment and coaching over time offer important mechanisms by which CBD brings value to trainees. For sustained change to occur and for learners and coaches to experience the model\'s intended benefits, ongoing professional development efforts are needed. Early post implementation reflections and lessons learned are provided.
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  • 文章类型: Journal Article
    尽管担心他们的安全,电子烟(e-cigs)仍然是一种流行的烟草产品。虽然在电子烟液体(电子液体)中发现的尼古丁和香料会对气道造成伤害,递送载体丙二醇(PG)和植物甘油(VG)在吸入时是否无害仍不清楚。这里,我们研究了仅含PG/VG的e液产生的e-cig气雾剂对原代人支气管上皮细胞(HBEC)和绵羊气道炎症和粘膜纤毛功能的影响。原代HBEC在气液界面(ALI)培养,并暴露于50%/50%v/vPG/VG的e-cig气溶胶。离子通道电导,纤毛搏动频率,和炎症标志物的表达,细胞类型特异性标记,和主要粘蛋白MUC5AC和MUC5B在暴露7天后进行评估。将绵羊暴露于PG/VG的e-cig气雾剂5天,并从气道分泌物中测量粘液浓度和基质金属蛋白酶9(MMP-9)活性。HBEC暴露于PG/VG的e-cig气溶胶的7天导致对粘液水合重要的顶端离子通道的活性显着降低,包括囊性纤维化跨膜电导调节因子(CFTR)和大电导,Ca2+-激活,和电压相关的K+(BK)通道。PG/VG气雾剂显著增加炎症标志物白细胞介素-6(IL6)的mRNA表达,IL8和MMP9,以及MUC5AC。MUC5ACmRNA表达的增加与暴露于PG/VG的HBEC中MUC5AC蛋白的免疫染色增加相关。另一方面,PG/VG气溶胶降低MUC5B表达,导致暴露的HBEC中整体更高的MUC5AC/MUC5B比率。其他细胞类型特异性标记,包括叉头盒蛋白J1(FOXJ1),角蛋白5(KRT5),和分泌珠蛋白家族1A成员1(SCGB1A1)mRNA,以及总体调解,PG/VG暴露显著降低。最后,PG/VG气雾剂增加MMP-9活性并引起体内绵羊粘液高浓度。PG/VG的E-cig气雾剂诱导气道炎症,增加MUC5AC表达,并在体外引起对HBEC粘液水化重要的离子通道功能障碍。此外,PG/VG气雾剂增加绵羊体内MMP-9活性和粘液浓度。总的来说,这些数据表明,含有PG/VG的e-cig气雾剂可能对气道有害。
    Despite concerns over their safety, e-cigarettes (e-cigs) remain a popular tobacco product. Although nicotine and flavors found in e-cig liquids (e-liquids) can cause harm in the airways, whether the delivery vehicles propylene glycol (PG) and vegetable glycerin (VG) are innocuous when inhaled remains unclear. Here, we investigated the effects of e-cig aerosols generated from e-liquid containing only PG/VG on airway inflammation and mucociliary function in primary human bronchial epithelial cells (HBEC) and sheep. Primary HBEC were cultured at the air-liquid interface (ALI) and exposed to e-cig aerosols of 50%/50% v/v PG/VG. Ion channel conductance, ciliary beat frequency, and the expression of inflammatory markers, cell type-specific markers, and the major mucins MUC5AC and MUC5B were evaluated after seven days of exposure. Sheep were exposed to e-cig aerosols of PG/VG for five days and mucus concentration and matrix metalloproteinase-9 (MMP-9) activity were measured from airway secretions. Seven-day exposure of HBEC to e-cig aerosols of PG/VG caused a significant reduction in the activities of apical ion channels important for mucus hydration, including the cystic fibrosis transmembrane conductance regulator (CFTR) and large conductance, Ca2+-activated, and voltage-dependent K+ (BK) channels. PG/VG aerosols significantly increased the mRNA expression of the inflammatory markers interleukin-6 (IL6), IL8, and MMP9, as well as MUC5AC. The increase in MUC5AC mRNA expression correlated with increased immunostaining of MUC5AC protein in PG/VG-exposed HBEC. On the other hand, PG/VG aerosols reduced MUC5B expression leading overall to higher MUC5AC/MUC5B ratios in exposed HBEC. Other cell type-specific markers, including forkhead box protein J1 (FOXJ1), keratin 5 (KRT5), and secretoglobin family 1A member 1 (SCGB1A1) mRNAs, as well as overall ciliation, were significantly reduced by PG/VG exposure. Finally, PG/VG aerosols increased MMP-9 activity and caused mucus hyperconcentration in sheep in vivo. E-cig aerosols of PG/VG induce airway inflammation, increase MUC5AC expression, and cause dysfunction of ion channels important for mucus hydration in HBEC in vitro. Furthermore, PG/VG aerosols increase MMP-9 activity and mucus concentration in sheep in vivo. Collectively, these data show that e-cig aerosols containing PG/VG are likely to be harmful in the airways.
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