Fusarium graminearum causa la fusariosi della spiga nei cereali a paglia. Il fungo produce sia conidi che ascospore sui residui della coltura precedente, le ascospore sono prodotte in periteci. La produzione e maturazione di periteci e ascospore in risposta a diverse condizioni di temperatura e umidità relativa sono state studiate. Dato che le condizioni atmosferiche influenzano anche l’umidità del substrato su cui l’inoculo è prodotto, la relazione tra i fattori atmosferici e l’umidità dei residui colturali di mais è stata esaminata. I fattori atmosferici influenzano anche il rilascio delle ascospore. L’effetto della temperatura è stato studiato in vitro. Mediante esperimenti in condizioni naturali, sono state definite regole per l’individuazione di condizioni favorevoli al rilascio di ascospore sulla base di pioggia e deficit di pressione di vapore. La distribuzione delle ascospore e dei conidi all’interno della vegetazione del frumento è quindi stata studiata mediante l’uso di captaspore passivi. Le ascospore possono essere rilasciate e depositarsi sulle spighe in condizioni non favorevoli per la germinazione. La germinazione di ascospore sottoposte a periodi asciutti di diversa durata, e a diverse condizioni di temperatura e umidità relativa durante il periodo asciutto, è stata studiata sia in vitro che in planta. / Fusarium graminearum causes Fusarium head blight of small-grain cereals. The fungus produces conidia and ascospores on the previous crop residues, ascospores are formed in perithecia. Production and maturation of perithecia and ascospores at several temperature and relative humidity conditions were studied. As environmental conditions also influence the moisture content of the substrate on which inoculum is produced, the relationship between environmental factors and moisture of maize residues was assessed. Environmental factors also influence ascospore discharge. The effect of temperature was studied in vitro. Experiments in natural condition allowed to define rules for conditions leading to ascospore discharge, based on rain and vapor pressure deficit. Once discharged, the distribution of ascospores and conidia in the wheat canopy was studied using passive spore traps. Ascospores can be discharged and deposit on wheat spikes also in conditions that are unfavorable for germination. Germination of ascospores incubated in dryness for periods of several length, in several condition of temperature and relative humidity during dryness, was studied both in vitro and in planta.

Gibberella zeae (anamorph Fusarium graminearum) is a homothallic ascomycete pathogen that is responsible for causing Fusarium head blight (FHB) of wheat and small grains. In addition to causing a reduction in yield, harvested grain is frequently contaminated with trichothecene mycotoxins that are harmful for human and animal health. Use of wheat varieties with resistance to FHB is an important strategy to lower its impact. In order to produce varieties with durable resistance, we must understand the origin and degree of genetic diversity present in the pathogen population. In my research, I focused my efforts on an investigation of the role of mating and sexual development in the generation of genotypic and phenotypic variability in G. zeae. The goal of one part of my work was to develop new genetic markers that can be used to monitor out-crossing and genetic diversity in the population. I also optimized gene deletion protocols for G. zeae so that I could produce mutant and control strains to address my research hypothesis that MAT genes play a direct role in pathogenicity. Application of novel repetitive RFLP probes to a group of G. zeae isolates originating from and near Kentucky revealed a surprisingly high degree of diversity in these local populations. Diversity between locations was greater than that within locations, suggesting the relative importance of local inoculum sources. The probes were also useful as genetic markers for segregation analysis. I crossed two genetically closely related, and commonly used, laboratory strains of G. zeae and found that this resulted in transgressive segregation for both aggressiveness and toxigenicity. I showed that the very high and very low levels of aggressiveness and toxigenicity in transgressive segregants are heritable. I also showed that selfing produced a higher degree of diversity in these traits among the progeny than was observed among conidial progeny. This suggests the presence of epigenetic factors that impact pathogenicity. Sexual behavior in G. zeae is under the control of MATing type genes. I deleted the complete MAT1 locus, and the MAT1-1-1, and MAT1-2-1 genes separately. Deletion of each of the targeted sequences produced the expected shifts in fertility phenotype. The mat1KO strains became asexual, while mat1-1-1KO and mat1-2-1KO strains shifted to obligate heterothallism. Deletion of the MAT1-1-1 and MAT1-2-1 genes had a negative effect on aggressiveness and mycotoxin production in planta, but deletion of the complete MAT1 locus had no effect. The set of mutant and ectopic control strains that I generated will be a useful asset that will be made available to the research community.

Dementia is increasingly recognized as a major and growing threat to public health worldwide, and there is a critical need for prevention and treatment strategies. However, it is necessary that appropriate methodologies are used in the identification of risk factors. The purpose of this dissertation research was to develop further the body of literature featuring Markov chains as an analytic tool for data derived from longitudinal studies of aging and dementia. Data drawn from 649 participants in the University of Kentucky’s Alzheimer’s Disease Center’s (UK ADC) Biologically Resilient Adults in Neurological Studies (BRAiNS) cohort, which was established in 1989 and follows adults age 60 years and older who are cognitively normal at baseline to death, were used to conduct three studies. The first study, “Mild cognitive impairment: Statistical models of transition using longitudinal clinical data,” shows that mild cognitive impairment is a stable clinical entity when a rigorous definition is applied. The second study, “Self-reported head injury and risk of cognitive impairment and Alzheimer’s-type pathology in a longitudinal study of aging and dementia,” shows that when the competing risk of death is properly accounted for, self-reported head injury is a clear risk factor for late-life dementia and is associated with increased beta-amyloid deposition in the brain. The third study, “Incorporating prior-state dependence among random effects and beta coefficients improves multistate Markov chain model fit,” shows that the effect of risk factors, like age, may not be constant over time and may be altered based on the subject’s cognitive state and that model fit is significantly improved when this is taken into account.

<p>Aim: The overall aim of this thesis was to acquire knowledge about daily life with focus on eating problems during the trajectory of care for patients with head and neck cancer treated with radiotherapy. Method: The data in study I were gained from medical and nursing records of 50 patients. Documented parameters of eating problems, their causes and consequences, and undertaken interventions were collected before treatment, during radiotherapy, and one, six, and twelve months after completion of treatment, using a study-specific audit instrument. Data were analysed with descriptive and inferential non-parametric statistics. In study II eight patients were interviewed during the radiotherapy treatment period with focus on experiences of eating problems. In study III nine patients were interviewed six to twelve weeks after treatment with the focus on experiences of daily life during the trajectory of care having eating problems. In study IV twelve patients were interviewed about their conceptions of the significance of a supportive nursing care clinic during the whole trajectory of care. Data were analysed with interpretative phenomenology (II, III) and phenomenography (IV). Findings: The four studies showed that being a patient in the trajectory of care often meant that life was disturbed and threatened. This was partly due to the eating problems and their consequences, which could occur during the whole trajectory of care (I, III, IV) but was experienced as most intense and severe during radiotherapy (II) and the nearest weeks after completion of radiotherapy (III, IV). The disturbances and threats experienced due to eating problems could affect the whole person as they were physical (I-IV), psychological, social and existential (II, III). The experiences of eating problems due to the tumour and its treatment and the experience of having cancer per se were strongly connected as one phenomenon, which disturbed and threatened the informants’ daily life. The other part that disturbed the patients’ life was the waiting in suspense. A long and trying waiting in uncertainty was experienced due to lack of knowledge and support, practical as well as emotional. This was most pronounced during pauses in radiotherapy (III) and after completion of the treatment when the lack of support from the health care was obvious (I, II, III). The patients were then most often left to their own devices. In order to endure, they needed both inner strength, described as own coping strategies, and strength from outside, described as support from family, friends and health care professionals (II, III). The nurse clinic was found to give a hand to hold during the whole trajectory of care (IV). It could meet these patients’ needs of knowledge, care and support, both concerning practical measures related to the eating problems and other side-effects of the treatment, and concerning their emotional needs. In addition the nurse clinic could support the relatives in their worries and anxiety (IV). Conclusion: This thesis showed the necessity of continuous assessment, treatment and evaluation of patients’ problems, and the patients’ needs of information and support throughout the trajectory of care.</p>

This thesis reports on the findings of an investigation into the dosimetry resulting from the abutment of en face 6 MeV electron and 6 MV photon beams as applied to the clinical challenge of radiation therapy treatments to head and neck cancer sites. Particular concern is given to the use of multi-leaf collimator (MLC) technology for photon beam definition when abutted to extended source-to-surface (SSD) electron beams. We made dosimetric comparison between MLC and Cerrobend® shielding for use in an abutment situation. The effects of extending the SSD of the electron beam were also assessed. We checked the ability of a Pinnacle3 v7.6 treatment planning system (TPS) to correctly model the dosimetry resulting from this extended electron beam SSD. Volumetric simulations of composite dosimetry resulting in water were conducted in MATLAB® for variations of surface abutment gap, and photon beam shielding type and angle. Visualization Toolkit (VTK) script was developed to visualise the resulting dosimetry. The effect of extending the SSD of the electron beam increases the beam penumbra significantly, exacerbating the challenge of matching this field to a photon beam edge. Furthermore, the TPS was shown to inaccurately model the electron beam penumbra for the extended SSD conditions. The employment of MLC shielding provides for some advantages over Cerrobend® in terms of overall composite hotspot volumes and coldspot magnitudes, though introduces detrimental dosimetric inhomogeneities in the underlying volume. Distinctly, no combination of abutment gap and shielding variables resulted in dosimetry in the range of 90% to 110% at the depth of dmax for the beam energies considered here. We provided tabulated data across these variables to outline the trade-offs present, and aid clinical decisions regarding this challenging dosimetric

7 pp. / First in a planned series for each county in the state. / Limited information is available to the County Extension offices to address common concerns of water supply in rural Arizona. In addition, in the more metropolitan areas of the state, little is understood about water resources. This project is proposed to provide a ten to twelve page primer on water resources on a county-by-county basis, beginning with Yavapai County.

No description available.

No description available.

This exploratory study was designed to discover the culture of living with a head injured spouse. Using the ethnographic approach, five spouses of head injured survivors were interviewed. Analysis of data yielded five domains of meaning: concerns as a result of role transition, social isolation, loss, future and coping. Two cultural themes emerged as "no one understands" and a "wish list." Implications for nursing practice include increasing awareness of health care professionals regarding perceptions and needs of spouses of head injured survivors.

Sammanfattning Denna studie syftar till att undersöka hur enhetschefer inom äldreomsorgen resonerar kring begreppet värdighet hos äldre personer som bor på särskilt boende, samt hur de ser till att deras personal omsätter värdighet i det praktiska arbetet. Värdighetsbegreppet diskuteras främst i förhållande till komponenterna bemötande och självbestämmande. Studien genomfördes med en kvalitativ forskningsmetod i form av semisstrukturerade intervjuer med fem enhetschefer inom äldreomsorgen. I analysen användes fyra olika teorier om värdighet, nämligen (I) meritvärdighet, (II) värdighet som moralisk resning, (III) identitetsvärdighet samt (IV) människovärde. Studien visar att begreppet värdighet rymmer en mängd olika beståndsdelar enligt enhetschefer för äldreomsorgen. Bland annat nämns individualitet, god omvårdnad, respektfullhet och gott bemötande som viktiga delar av värdigheten. Enhetschefer inom äldreomsorgen lägger också mycket vikt vid sin personal och huruvida de uppfyller dessa komponenter i sitt praktiska arbete kring äldre. Studien indikerar även att begreppet identitetsvärdighet bör uppmärksammas och lämnas mer utrymme inom verksamheter som rör äldre. / Abstract This study aims to examine how unit managers in eldercare reason about the concept of the dignity of older people living in residential care, and how they ensure that their staff turnover of dignity in the practical work. Dignity concept is discussed mainly in relation to the components of treatment and self-determination. The study was a qualitative research in the form of semi-structured interviews with five heads of units in elderly care. The analysis used four different theories of dignity, namely (I) merit dignity, (II) dignity as moral stature, (III) the identity and dignity and (IV) human dignity. The study shows that the concept of dignity can accommodate a variety of ingredients according to unit managers for their care. Among others mentioned individuality, good care, respectfulness and good treatment as essential elements of dignity. Heads of Unit in elderly care also places much emphasis on their staff and their compliance with these components in the practical work around the elderly. The study also indicates that the concept of dignity as identity should be recognized and given more space in the activities related to the elderly.