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Sample records for pseudomyxoma peritonei pmp

  1. Pseudomyxoma peritonei (PMP) – a rare entity

    African Journals Online (AJOL)

    Pseudomyxoma peritonei (PMP) is a rare complication of mucinous tumours of appendiceal or ovarian origin that results in peritoneal and omental implants. In addition to the appendix and the ovary, other rare sites of apparent origin of PMP have been reported. These include the colon, stomach, gallbladder, pancreas, ...

  2. Pseudomyxoma peritonei (PMP - a rare entity

    Directory of Open Access Journals (Sweden)

    Zaeem Ismail Ebrahim

    2011-08-01

    Full Text Available Pseudomyxoma peritonei (PMP is a rare complication of mucinous tumours of appendiceal or ovarian origin that results in peritoneal and omental implants. Clinical morbidity and mortality arise from the fact that copious amounts of extracellular and peritoneal mucin result in distortion and loss of function of visceral organs. Therapeutic paracentesis is not possible because of the nature of the mucin. Currently, new techniques are being used to attempt to debulk the mucin volume; none, however, has lead to superior outcome.

  3. Pseudomyxoma peritonei (PMP) – a rare entity

    African Journals Online (AJOL)

    9. Weissleder R, Wittenberg J, Mukesh GH, John WC. Primer of Diagnostic Imaging. Philadelphia: Mosby. Elsevier, 2007. 10. Gupta S, Gupta RK, Gujral RB, Saxena DAR, Tandon P. Peritoneal mesothelioma simulating pseudo- myxoma peritonei on CT. Gastrointestinal Radiology 1992;17:129-131. SonographyGastrointest ...

  4. Pseudomyxoma peritonei

    African Journals Online (AJOL)

    2014-04-23

    Apr 23, 2014 ... Pseudomyxoma peritonei is a rare complication of mucinous tumours of appendiceal or ovarian origin. Other associations are malignancies of the colon, urachus and biliary tree. Large amounts of extracellular and peritoneal mucin result in distortion and loss of function of visceral organs. Currently ...

  5. Pseudomyxoma peritonei

    African Journals Online (AJOL)

    2014-04-23

    Apr 23, 2014 ... Currently, radiology plays a critical role in diagnosing this rare entity, in follow-up and in predicting the ... The basic pathophysiology in PMP is leakage of mucus containing epithelial cells into the peritoneal cavity from a ... Hospital) was responsible for concept design, literature search and manuscript ...

  6. Pseudomyxoma peritonei in a young male

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    Pavani Marapaka

    2016-01-01

    Full Text Available Pseudomyxoma peritonei (PMP is an uncommon surgical entity, characterized by diffuse deposition of mucin within the peritoneal cavity secondary to mucinous tumors of the ovary or appendix. This gelatinous ascites or "jelly-belly" may result in death from loss of intestinal function and intestinal obstruction. Preoperative diagnosis on cytology is rare. Herein, we report a case of PMP in a young male who presented with intestinal obstruction, diagnosed preoperatively on cytological examination, and confirmed later by histopathological examination.

  7. Pulmonary Metastasis from Pseudomyxoma Peritonei

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    Toshiyuki Kitai

    2012-01-01

    Full Text Available Pseudomyxoma peritonei (PMP is a rare clinical condition, where copious mucinous ascites accumulate in the peritoneal cavity due to dissemination of mucin-producing tumor. Because of this disseminating, yet nonmetastasizing, behavior, PMP attracts much interest from surgical oncologists in that aggressive locoregional therapy can give the opportunity of long survival and even cure. Although extra-abdominal metastasis is exceptionally rare, the lung is the most likely site in such a case. In this paper, the clinical findings and treatment of eleven cases with pulmonary metastasis from PMP were reviewed, including ten cases in the literature and one case which we experienced. The clinical features of PMP cases with pulmonary metastasis were similar to cases without pulmonary metastasis. The histological type was low-grade mucinous neoplasm in most cases. Pulmonary lesions were resected in seven cases in which abdominal lesions were controlled by cytoreductive surgery and hyperthermic intraperitoneal chemotherapy or another therapeutic modality. Disease-free state was maintained in five cases at the end of the follow-up period. However, it should be noted that rapid progression after resection was seen in two cases, suggesting that biological features may have changed by surgical intervention.

  8. PSEUDOMYXOMA PERITONEI AND MUCINOUS OVARIAN TUMORS

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    Ivana Đorđević

    2009-01-01

    Full Text Available Pseudomyxoma peritonei (PMP is a clinical condition characterized by copious amounts of mucinous ascites and mucinous peritoneal implants. Female patients with PMP often have synchronous ovarian and appendiceal tumors. Three pathohistological diagnostic categories of PMP are described as follows: peritoneal mucinous carcinomatosis (PMCA which represents high-grade metastatic adenocarcinoma usually derives from the appendix or colon; peritoneal mucinous carcinomatosis with intermediate or discordant features (PMCA-I/D which is characterized by peritoneal lesions composed of abundant extracellular mucus and epithelium showing focal proliferation and minimal atypia; and disseminated peritoneal adenomucinosis (DPAM which represents an indolent proliferation of benign or minimally atypical neoplastic mucinous cells nearly always derive from a ruptured mucinous neoplasm of the appendix. The term PMP is not sufficiently specific to be used as a histopathological diagnosis.

  9. Palliative Surgery for Pseudomyxoma Peritonei.

    Science.gov (United States)

    Funder, J A; Jepsen, K V; Stribolt, K; Iversen, L H

    2016-06-01

    Pseudomyxoma peritonei is a rare disease causing peritoneal carcinomatosis. In patients with extensive carcinomatosis, curative treatment is unachievable. Palliative debulking therapy is the only treatment in relieving symptoms. We report our results from palliative debulking surgery at a national pseudomyxoma peritonei center in Denmark. From January 2007 to October 2012, we performed 27 palliative operations for pseudomyxoma peritonei with debulking at our institution. All patients were evaluated and found eligible for palliative treatment only. Patients were prospectively registered, while perioperative data were collected retrospectively from patient records. The majority of patients (n = 25) received an omentectomy (93%) as the primary procedure. In total, 17 (63%) received additional surgery. Median operative time was 88 min (range: 33-160 min). Median stay at the recovery ward was 6 h (2-288 h). Median hospital stay was 8 days (4-105 days). In all, 23 (85%) patients had no in-hospital complications, whereas 4 patients experienced complications (15%). Two of the complications were mild (Clavien-Dindo grade II), and two experienced severe complications (grade III and IV). Thirty-day mortality was 0%. Median survival was 3.0 years (0.2-6.2 years). Palliative debulking is a safe procedure with an acceptable morbidity and mortality offering immediate disease control. © The Finnish Surgical Society 2015.

  10. Pseudomyxoma peritonei de origem appendicular Pseudomyxoma peritonei ex processu vermiformi

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    A. Penna de Azevedo

    1937-01-01

    Full Text Available Os autores descrevem um caso de pseudomyxoma do peritoneo, originario do appendice ileo-cecal, em individuo do sexo masculino, de 58 anos de edade. O processo teve evolução lenta, caracterizando-se clinicamente, por symptomas peritoneas (ventre augmentado, encerrando conteúdo gelatinoso e presença de um tumor palpavel ao nivel da região hepatica. O aspecto histologico do tumor corresponde ao do Pseudomyxoma peritonei. Levando em conta a systematização dos casos de pseudomyxoma do peritoneo, proposta por Trotter, o caso presente deve ser enquadrado entre aqueles que constituem o primeiro grupo (distribuição universal do tumor sobre o peritoneo.The present paper deals with a case of Pseudomyxoma peritonei arising from the appendix in a Brazilian, white, 58 years old, male. The growth amply spreads over the peritoneum, giving rise to strong adhesions amongst the peritoneal viscera, particularly on the part of the liver, spleen and pancreas (Ills. 4, 5 and 6. In certain spots, the growth even forms a mass the size of a foetus head, made up of a great number of blisterlike formations, well delimited by septa of connective tissue and full of a substance the appearance and consistency of the white of egg (Ill. 1. On microscopical examination, the majority of the formations present smooth walls; in some of them an epithelial covering is met with, the cells of which are cylindrical and ranged along a single layer (Ills. 2 and 3. The contents of the formations give the positive reactions of mucicarmine. The tumour stroma is infiltrated by mononuclear cellular elements, particularly by lymphocytes (Ill. 7; there are also found giant cells the type of those of foreign body (Ills. 8 and 9. In accordance with the anatomicopathological aspects met with, we consider the case as pseudomyxoma peritonei ex processu vermiformi, the same having to be classified in Group I of Trotter's systematization (dissemination of the tumour all over the peritoneum.

  11. A New Etiology for the Abdominal Compartment Syndrome: Pseudomyxoma Peritonei

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    Charles Sabbagh

    2015-09-01

    Full Text Available Pseudomyxoma peritonei (PMP is a rare diagnosis with an incidence of 1-2 per million. Most cases originate from an appendix which ruptures and releases mucin into the peritoneal cavity. The progression of the disease results in obstruction and cutaneous leak. Abdominal compartment syndrome is an uncommon complication of peritoneal pseudomyxoma. In the present article, we report the case of a patient with PMP and abdominal compartment syndrome. A laparotomy to decrease the abdominal pressure was performed. Three months later, a peritonectomy with hyperthermic intraperitoneal chemotherapy was performed. The patient was still alive 1 year after the procedure without any recurrence. In conclusion, acute abdominal pain and respiratory failure in patients with peritoneal PMP should lead to the measurement of the abdominal pressure but are not a contra indication for curative treatment of PMP.

  12. Pseudomyxoma peritonei | Sureka | SA Journal of Radiology

    African Journals Online (AJOL)

    Pseudomyxoma peritonei is a rare complication of mucinous tumours of appendiceal or ovarian origin. Other associations are malignancies of the colon, urachus and biliary tree. Large amounts of extracellular and peritoneal mucin result in distortion and loss of function of visceral organs. Currently, radiology plays a critical ...

  13. Recurrent Incisional Hernia due to Pseudomyxoma Peritonei

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    Zafer Ergul

    2011-01-01

    Full Text Available Pseudomyxoma peritonei is a rare but challenging neoplastic disease which is characterized with intraperitoneal mucinous-gelatinous fluid accumulation. It rarely presents as a mass mimicking abdominal wall hernias A recurrent incisional hernia due to pseudomyxoma peritonei is presented here. A 60-year-old female patient had been operated on for a left mucinous ovarian cyst 20 cm in diameter in 1998. Mucinous material had disseminated into interloop spaces through the right subdiaphragmatic region. Total abdominal hysterectomy + bilateral salpingooophorectomy and peritoneal toilet had been performed. She was rehospitalized for abdominal distention and a 4 cm defect over the incision and underwent a hernia repair using polypropylene mesh in 2001. Abdominal distention recurred to give a rise to an incisional hernia in 2006. She was reoperated for decompression and repair, but nothing could be done because of sticky adhesions and the incision were simply closed. The patient was referred to our department for operation. A prosthetic hernia repair with 30×30 cm polypropylene mesh was performed. The patient was discharged on the postoperative 5th day following an uneventful recovery. However, she died of disseminated disease after 18 months.

  14. Pseudomyxoma peritonei – a revisit: report of 2 cases and literature review

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    Kanthan SC

    2006-09-01

    Full Text Available Abstract Background Pseudomyxoma peritonei (PMP is a rare, chronic, relapsing, diagnostically challenging and poorly understood disease characterized by disseminated mucinous ascites and peritoneal implants. Case presentation We report two cases of PMP that represent the two biological variants of disseminated peritoneal adenomucinosis (DPAM – the benign variant and the peritoneal mucinous carcinomatosis (PMCA – the malignant variant, both of which were characterized by multiple relapses and progression of the disease despite aggressive management. Conclusion Even with a better understanding and recent advances in the management of these cases, PMP remains an enigmatic disease with a protracted clinical course characterized by multiple recurrences despite surgery and/or chemotherapy. Recognition of PMP as a delayed consequence years later should alert all surgeons to be extremely vigilant when treating mucinous neoplasms of the appendix, with special care being directed towards adequate excision and thorough debridement at the initial diagnosis.

  15. Pseudomyxoma peritonei: a clinical case of this poorly understood condition

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    Oliveira AM

    2014-03-01

    Full Text Available Ana Maria de Oliveira,1 Catarina Graça Rodrigues,1 Alexys Borges,2 Alexandra Martins,1 Sofia Loureiro dos Santos,3 Francisco Rocha Pires,4 João Mascarenhas Araújo,2 João Ramos de Deus1 1Department of Gastroenterology, 2Department of Internal Medicine, 3Department of Pathology and Anatomical Sciences, 4Department of Surgery, Pathology and Anatomical Sciences, Prof. Doutor Fernando Fonseca Hospital, Amadora, Portugal Background: Pseudomyxoma peritonei is an uncommon condition with an estimated incidence of one to two per million (worldwide per year. It is characterized by the peritoneal deposition of mucinous tumors, most commonly of the appendix, and occasionally from the ovary, coupled by mucinous ascites. Case presentation: We report the case of a 76-year-old woman who presented with increased abdominal girth and dyspnea for 2 weeks. She was diagnosed as a case of pseudomyxoma peritonei. She was submitted to right oophorectomy, omentectomy, and pseudomyxoma debulking. The histology was compatible with a mucinous tumor of colorectal/appendicular origin. Chemotherapy was not administered because of her functional status. Two years and 8 months later, she refers with postprandial fullness and has moderate ascites. Keywords: pseudomyxoma peritonei, mucinous tumor, pseudomyxoma debulking

  16. Pseudomyxoma peritonei and mucocele of vermiform appendix simulating right adnexal mass

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    Miłosz Wilczyński

    2010-12-01

    Full Text Available We present a case of a 51-year-old woman who suffered from persistent right lower abdominal pain. Ultrasoundexamination revealed two lesions in the area of right adnexa. A suspicion of right adnexal cyst was made. Laparoscopyshowed that patient was affected by an early stage of pseudomyxoma peritonei (PMP resulting from a rupturedmucocele of the vermiform appendix. This condition is very rare, however, due to its localization and not specificclinical manifestation it should be taken into consideration in the differential diagnosis of adnexal masses.

  17. Multiple components of PKA and TGF-β pathways are mutated in pseudomyxoma peritonei.

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    Lilli Saarinen

    Full Text Available Pseudomyxoma peritonei (PMP is a subtype of mucinous adenocarcinoma mainly restricted to the peritoneal cavity and most commonly originating from the appendix. The genetic background of PMP is poorly understood and no targeted treatments are currently available for this fatal disease. While RAS signaling pathway is affected in most if not all PMP cases and over half of them also have a mutation in the GNAS gene, other genetic alterations and affected pathways are, to a large degree, poorly known. In this study, we sequenced whole coding genome of nine PMP tumors and paired normal tissues in order to identify additional, commonly mutated genes and signaling pathways affected in PMP. These exome sequencing results were validated with an ultra-deep amplicon sequencing method, leading to 14 validated variants. The validated results contain seven genes that contribute to the protein kinase A (PKA pathway. PKA pathway, which also contains GNAS, is a major player of overproduction of mucin, which is the characteristic feature of PMP. In addition to PKA pathway, we identified mutations in six genes that belong to the transforming growth factor beta (TGF-β pathway, which is a key regulator of cell proliferation. Since either GNAS mutation or an alternative mutation in the PKA pathway was identified in 8/9 patients, inhibition of the PKA pathway might reduce mucin production in most of the PMP patients and potentially suppress disease progression.

  18. Palliative parenteral nutrition use in patients with intestinal failure as a consequence of advanced pseudomyxoma peritonei: a case series.

    Science.gov (United States)

    Disney, B R; Karthikeyakurup, A; Ratcliffe, J; Jones, J; Deel-Smith, P; Fairhurst, A; Maleki, K; Cooper, S C

    2015-08-01

    Pseudomyxoma peritonei (PMP) is a rare condition complicated by intra-abdominal spread that can cause multilevel gastrointestinal (GI) obstruction. Parenteral nutrition (PN) use in the context of palliative care and malignancy remains controversial. We describe the use of palliative PN in three patients with progressive PMP causing multilevel GI obstruction and intestinal failure. All patients received > 90 days of PN. PN was safe in this cohort of patients. However, patient selection and the timing of intervention are important factors when considering the initiation of PN.

  19. Urachal mucinous adenocarcinoma with pseudomyxoma peritonei: A case report.

    Science.gov (United States)

    Liang, Lei; Zhou, Nan; Xu, Hongbin; Liu, Damiao; Lu, Yiyan; Li, Fang; Guo, Jun

    2017-09-01

    Pseudomyxoma peritonei is an unusual clinical condition, and the appendix and ovaries are reported as the primary sites. A 44-year-old man who was reported a 3-month history of lower abdominal pain and distention, along with increased abdominal girth, was admitted with a palpable tender mass in the central lower abdomen. Ultrasonography showed a large well-circumscribed cystic-solid mass with lobulated margin, extending from the anterosuperior dome of the urinary bladder to the anterior abdominal wall. A computed tomography (CT) scan revealed a midline heterogeneous, hypodense, irregular polycystic-solid mass adjacent to the anterior wall of the abdomen and anterior to the dome of the urinary bladder. fluorodeoxyglucose positron-emission tomography/CT showed intense fluorodeoxyglucose uptake in the thickened wall of the mass. Intraperitoneal laparoscopic exploration also revealed a midline abdominal mass adjacent to the dome of the urinary bladder. Laparotomy showed that the mass originated from the dome of the urinary bladder and was disconnected with the urinary bladder lumen. The final histopathological diagnosis was urachal mucinous adenocarcinoma associated with high-grade pseudomyxoma peritonei. The patient underwent surgical cytoreductive procedure and the perioperative intraperitoneal chemotherapy. The patient made an uneventful recovery, and 7 months later had no recurrence. The urachus is a tubular structure, which extends medially from the apex of the bladder to the allantoid during fetal development, and it usually obliterates after birth. Urachal remnants can cause urachal carcinoma or bladder cancers. Pseudomyxoma peritonei originating from mucinous neoplasm of the urachus is extremely rare.

  20. Management of appendiceal pseudomyxoma peritonei diagnosed during pregnancy

    Directory of Open Access Journals (Sweden)

    Sugarbaker Paul H

    2009-05-01

    Full Text Available Abstract Background The incidence of cancer during pregnancy is approximately 1 in 1000. The most common types encountered during pregnancy are cervical, breast and ovarian. Epithelial tumors of the appendix on the other hand are rare and account for only approximately 1% of all colorectal neoplasms; the occurrence of this neoplasm during pregnancy is extremely rare. Case Presentation The medical history of a 30 year old woman diagnosed at 17 weeks gestation with an appendiceal mucinous tumor with large volume pseudomyxoma peritonei was presented. Her pregnancy was preserved and she had an early vaginal delivery of a healthy baby at 35 weeks. At 2 1/2 weeks postpartum the patient underwent extensive cytoreductive surgery and intraperitoneal chemotherapy. She remains disease-free 5 years after her initial diagnosis. A literature review of this clinical situation and a discussion of treatment plans were presented. Conclusion The management of an appendiceal tumor with pseudomyxoma peritonei diagnosed during pregnancy requires full knowledge of the natural history of this disease to achieve a balance of concern for maternal survival and fetal health.

  1. Pseudomyxoma peritonei – two novel orthotopic mouse models portray the PMCA-I histopathologic subtype

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    Wiig Johan N

    2007-06-01

    Full Text Available Abstract Background Pseudomyxoma peritonei (PMP is a rare malignant disease, most commonly originating from appendiceal lesions and characterized by accumulation of mucinous tumor tissue in the peritoneal cavity. Since the disease is infrequent, the task of carrying out studies of treatment efficacy and disease biology in the clinical setting is challenging, warranting the development of relevant in vitro and in vivo PMP models. Methods Human tumor tissue was implanted in the peritoneal cavity of nude mice to establish two orthotopic models exhibiting noninvasive intraperitoneal growth without metastasis development. Results Xenograft tissues have retained essential properties of the original human tumors, such as macro- and microscopic growth patterns, mucin production as well as expression of carcinoembryonal antigen, cytokeratins 20 and 7 and the proliferation marker pKi67. Upon microscopic examination, the human tumors were categorized as the PMCA-I (peritoneal mucinous carcinomatosis of intermediate features subtype, which was conserved through 14 examined passages in mice, for the first time modeling this particular histopathologic category. Conclusion In conclusion, two novel orthotopic models of human PMP have been established that consistently portray a distinct histopathologic subtype and reflect essential human tumor properties. Xenografts can easily and reproducibly be transferred to new generations of mice with acceptable passage periods, rendering the models as attractive tools for further studies of PMP biology and treatment.

  2. Aggressive Pseudomyxoma Peritonei: A Case Report with an Unusual Clinical Presentation

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    Zisis Touloumis

    2013-01-01

    Full Text Available Introduction. Pseudomyxoma peritonei (PMP is an uncommon surgical entity. We report a case of aggressive disease with an unusual clinical presentation and we analyze current data on diagnosis and management of PMP. Case Presentation. A 71-year-old male patient presented with intermittent diarrhea and loss of appetite during the last two months, without any other classic symptoms of PMP. The clinical examination was misleading due to patient’s obesity. The radiological evaluation revealed ascites of the abdomen and possible mucocele of the appendix, whereas the laboratory exams showed high values of specific tumour markers. The patient underwent an exploratory laparotomy for definite diagnosis. Biopsies and immunohistochemical examination confirmed the diagnosis of an aggressive and extended peritoneal mucinous carcinomatosis (PMCA. The patient was programmed for adjuvant systematic chemotherapy, which was not completed due to progression of the disease. Conclusions. Progressed PMP can present with unspecific symptoms that mislead diagnosis. Cytoreductive surgery in combination with systematic chemotherapy could be appropriate for aggressive PMCA, even with an unfavourable prognosis.

  3. Recommendations in the management of epithelial appendiceal neoplasms and peritoneal dissemination from mucinous tumours (pseudomyxoma peritonei).

    Science.gov (United States)

    Barrios, P; Losa, F; Gonzalez-Moreno, S; Rojo, A; Gómez-Portilla, A; Bretcha-Boix, P; Ramos, I; Torres-Melero, J; Salazar, R; Benavides, M; Massuti, T; Aranda, E

    2016-05-01

    The epithelial appendiceal neoplasms are uncommon and are usually detected as an unexpected surgical finding. The general surgeon should be aware of the diversity of its clinical manifestations and biological behaviors along with the significance of the surgical treatment on the progression of the illness and the prognosis of the patients. The operative findings and, especially, tumor histology, determine the type of surgery. Intestinal histologic subtype behaves and should be treated similarly to the right colon neoplasms; while mucinous tumors, often discordant between histology and its aggressiveness, can be treated with a simple appendectomy or require complex oncological surgeries. Mucinous tumors are often associated with the presence of mucin or tumor implants in the abdominal cavity, being the clinical syndrome known as pseudomyxoma peritonei (PMP). PMP tends to present an indolent but deadly evolution and requires a multimodal approach as a single treatment with curative potential: complete cytoreductive surgery plus hyperthermic Intra-peritoneal chemotherapy (CCRS + HIPEC) now considered the standard of care in this pathology. The general surgeon should be aware of the governing principles of the treatment of appendiceal neoplasms with or without peritoneal dissemination, know the therapeutic frontiers in every situation (avoiding unnecessary or counterproductive surgeries) and sending early these patients to specialised centres in the radical management of malignant diseases of the peritoneum in the conditions and with the necessary information to facilitate a possible radical treatment.

  4. Experience with adjuvant chemotherapy for pseudomyxoma peritonei secondary to mucinous adenocarcinoma of the appendix with oxaliplatin/fluorouracil/leucovorin (FOLFOX4

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    Huang Che-Jen

    2008-11-01

    Full Text Available Abstract Background Pseudomyxoma peritonei (PMP is a rare condition characterized by mucinous tumors, disseminated intra-peritoneal implants, and mucinous ascites. So far its diagnosis remains challenging to most clinicians. Case presentation A 55-year-old male patient had suffered from acute onset of abdominal pain and abdominal distension for one day prior to his admission. Physical examination revealed tenderness over the right lower quadrant of the abdomen without diffuse muscle guarding. A large amount of ascites was identified by abdominal computed tomography (CT scan. Paracentesis showed the appearance of sticky mucinous ascites. He underwent laparotomy under the impression of pseudomyxoma peritonei. There was a lot of mucinous ascites, one appendiceal tumor and multiple peritoneal implants disseminated from the subphrenic space to the recto-vesicle pouch. Pseudomyxoma Peritonei caused by mucinous adenocarcinoma of appendiceal origin, was confirmed by histopathology. We performed an excision of the appendiceal tumor combined with copious irrigation and debridement. After the operation, he received 10 cycles of systemic chemotherapy with FOLFOX4 regimen, without specific morbidity. Follow-up of abdominal CT and colonoscopy at post-operative 17 months showed excellent response without evidence of local recurrence or distal metastasis. He made an uneventful recovery (up to the present for 21 months after the operation. Conclusion This case report emphasizes the possible new role of systemic chemotherapy in the treatment of patients with this rare clinical syndrome.

  5. A Consensus for Classification and Pathologic Reporting of Pseudomyxoma Peritonei and Associated Appendiceal Neoplasia: The Results of the Peritoneal Surface Oncology Group International (PSOGI) Modified Delphi Process.

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    Carr, Norman J; Cecil, Thomas D; Mohamed, Faheez; Sobin, Leslie H; Sugarbaker, Paul H; González-Moreno, Santiago; Taflampas, Panos; Chapman, Sara; Moran, Brendan J

    2016-01-01

    Pseudomyxoma peritonei (PMP) is a complex disease with unique biological behavior that usually arises from appendiceal mucinous neoplasia. The classification of PMP and its primary appendiceal neoplasia is contentious, and an international modified Delphi consensus process was instigated to address terminology and definitions. A classification of mucinous appendiceal neoplasia was developed, and it was agreed that "mucinous adenocarcinoma" should be reserved for lesions with infiltrative invasion. The term "low-grade appendiceal mucinous neoplasm" was supported and it was agreed that "cystadenoma" should no longer be recommended. A new term of "high-grade appendiceal mucinous neoplasm" was proposed for lesions without infiltrative invasion but with high-grade cytologic atypia. Serrated polyp with or without dysplasia was preferred for tumors with serrated features confined to the mucosa with an intact muscularis mucosae. Consensus was achieved on the pathologic classification of PMP, defined as the intraperitoneal accumulation of mucus due to mucinous neoplasia characterized by the redistribution phenomenon. Three categories of PMP were agreed-low grade, high grade, and high grade with signet ring cells. Acellular mucin should be classified separately. It was agreed that low-grade and high-grade mucinous carcinoma peritonei should be considered synonymous with disseminated peritoneal adenomucinosis and peritoneal mucinous carcinomatosis, respectively. A checklist for the pathologic reporting of PMP and appendiceal mucinous neoplasms was also developed. By adopting the classifications and definitions that were agreed, different centers will be able to use uniform terminology that will allow meaningful comparison of their results.

  6. Pseudomixoma peritonei: relato de caso e revisão da literatura = Pseudomyxoma peritonei: case report and literature review

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    Bochi, Carla C. B.

    2006-01-01

    Conclusões: Pseudomixoma peritonei é uma doença rara e pouco compreendida, caracterizada por ascite mucinosa e implantes mucinosos envolvendo a cavidade peritoneal, resultando em uma “gelatina”. O tumor primário geralmente se origina no apêndice

  7. PMP

    CERN Document Server

    Heldman, Kim

    2011-01-01

    An up-to-date, concentrated study aide aimed at preparing you for PMP certification The Project Management Professional (PMP) certification is the one of the most desired certification in today's IT marketplace. Candidates are required to have thousands of hours of Project Management experience even before taking the PMP exam. As the ideal reading companion to PMP: Project Management Professional Exam Study Guide, 6th Edition, this essential review gives you that extra preparation you need to approach the grueling PMP exam with confidence. More than 120 review questions, two bonus exams, elect

  8. Pseudomyxoma extraperitonei occurring 35 years after appendicectomy: a case report and review of literature

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    Solkar Mamoon H

    2004-06-01

    Full Text Available Abstract Background Pseudomyxoma peritonei is a rare condition consisting of mucinous ascites, most commonly arising from mucinous tumors of the appendix and occasionally from the ovary. Very rarely mucinous implants arise in the retroperitoneum without any intra-peritoneal involvement. This has been termed as pseudomyxoma extraperitonei. Case presentation We report a case of a 57 year old man who developed pseudomyxoma extraperitonei, 35 years after undergoing an appendicectomy for a perforated appendix. Conclusions Pseudomyxoma extraperitonei has been previously reported, however we report the longest incubation period of 35 years for this condition.

  9. Pseudomyxoma retroperitonei: report of 2 cases and review of the literature Pseudomixoma retroperitonal: informe de 2 casos y revisión de la literatura

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    Orestis Ioannidis

    2012-05-01

    Full Text Available Pseudomyxoma peritonei is a rare clinical condition that is characterized by the presence of mucinous ascitis. It is believed to originate predominately from a mucinous neoplasm of the appendix including a heterogeneous group of tumours ranging from indolent to malignant. It was first described in the late 19th century. Pseudomyxoma retroperitonei is extremely rare with only 33 cases having been reported since the first description in the middle of the 20th century. We report two additional cases of pseudomyxoma retroperitonei and present a review of the literature.

  10. PMP exam prep

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    Mulcahy, Rita

    2013-01-01

    This book has been FULLY updated to reflect PMI's changes to the PMP exam, and should be used to prepare for all PMP exams delivered on or after July 30th of 2013. Can you imagine valuing a book so much that you send the author a Thank You letter? Hundreds of thousands of project managers know and understand why PMP Exam Prep is a worldwide best-seller. Years of PMP exam preparation experience, endless hours of ongoing research, interviews with project managers who failed the exam to identify gaps in their knowledge, and a razor-sharp focus on making sure project managers don't waste a single minute of their time studying are THE reasons this book is the best-selling PMP exam preparation guide in the world. PMP Exam Prep, Eighth Edition contains hundreds of updates and improvements from previous editions--including new exercises and sample questions never before in print. Offering hundreds of sample questions, critical time-saving tips plus games and activities available nowhere else, this book will help y...

  11. Inflammatory myofibroblastic tumor appendix with concomitant mucosal dysplasia, simulating pseudomyxoma on preoperative aspiration cytology

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    Kaushik Majumdar

    2012-01-01

    Full Text Available Inflammatory myofibroblastic tumor (IMT has been described as a pseudosarcomatous proliferation of spindled myofibroblasts admixed with lymphoplasmacytic cells. The various terminologies like inflammatory pseudotumor, plasma cell granuloma, and inflammatory myofibrohistiocytic proliferation, used to describe this entity, highlight the controversial etiopathogenesis of this relatively indolent neoplasm. IMT has now been described in different anatomic locations. However, cases occurring in the gastrointestinal tract are rare with very few cases described in the appendix. We present a case of inflammatory myofibroblastic tumor appendix with mucosal dysplasia in a 41-year-old male, presenting with abdominal pain and lump in the right iliac fossa. Aspiration cytology yielded few atypical epithelial cells and spindle cells in a mucinous background, suggesting the possibility of pseudomyxoma peritonei. Awareness of IMT appendix with rare presence of mucosal dysplasia may help in preventing overzealous resection, especially in situations that on preoperative evaluation may suggest malignancy.

  12. Pseudo myxoma peritonei - report of three cases: computed tomography and magnetic resonance imaging findings; Pseudomixoma peritoneal: aspectos tomograficos e na ressonancia magnetica - relato de tres casos

    Energy Technology Data Exchange (ETDEWEB)

    Moreira, Luiza Beatriz Melo; Crespo, Sheila Jandhyra Vianna; Marchiori, Edson [Universidade Federal Fluminense, Niteroi, RJ (Brazil). Dept. de Radiologia; Melo, Alessandro Severo Alves de; Pinheiro, Ricardo Andrade [Hospital Barra D' Or, Rio de Janeiro, RJ (Brazil). Servico de Radiologia]. E-mail: edmarchiori@zipmail.com.br

    2001-06-01

    Pseudomyxoma peritonei is rare tumor that presents insidious evolution and is characterized by mucinous ascites or implants in the peritoneal cavity. The origin of this tumor is frequently the appendix or the ovaries. Diagnosis can be established by fine needle aspiration cytology, ultrasonography, computed tomography or magnetic resonance imaging . The authors report three cases of patients with pseudomyxoma peritonei arising from the ovary that were submitted to computed tomography and magnetic resonance imaging examinations of the abdomen. This paper emphasizes the importance of these imaging methods that permit greater spatial resolution, multiplanar images and different types of sequences (magnetic resonance imaging), and allow better evaluation of these lesions. Computed tomography examinations showed lobulated low-density masses with well defined limits causing 'scalloping' of the hepatic and splenic borders due to extrinsic compression by adjacent peritoneal implants. Invasion of the liver and spleen was not observed. Magnetic resonance imaging examinations revealed expansive peritoneal lesions with low-intensity signal on T 1-weighted images and high-intensity signal on T 2-weighted images, adjacent to the hepatic and splenic borders. (author)

  13. A proposal of Brazilian Society of Surgical Oncology for standardizing cytoreductive surgery plus hypertermic intraperitoneal chemotherapy procedures in Brazil: pseudomixoma peritonei, appendiceal tumors and malignant peritoneal mesothelioma

    Directory of Open Access Journals (Sweden)

    Thales Paulo Batista

    Full Text Available ABSTRACT Cytoreductive surgery plus hypertermic intraperitoneal chemotherapy has emerged as a major comprehensive treatment of peritoneal malignancies and is currently the standard of care for appendiceal epithelial neoplasms and pseudomyxoma peritonei syndrome as well as malignant peritoneal mesothelioma. Unfortunately, there are some worldwide variations of the cytoreductive surgery and hypertermic intraperitoneal chemotherapy techniques since no single technique has so far demonstrated its superiority over the others. Therefore, standardization of practices might enhance better comparisons between outcomes. In these settings, the Brazilian Society of Surgical Oncology considered it important to present a proposal for standardizing cytoreductive surgery plus hypertermic intraperitoneal chemotherapy procedures in Brazil, with a special focus on producing homogeneous data for the developing Brazilian register for peritoneal surface malignancies.

  14. Quality of life after cytoreductive surgery plus early intraperitoneal postoperative chemotherapy for pseudomyxoma peritonei: A prospective study

    DEFF Research Database (Denmark)

    Jess, Per; Iversen, Lene Hjerrild; Nielsen, Mette B

    2008-01-01

    of life was prospectively assessed with the generic quality of life instrument Short Form-36 Questionnaire, together with the two symptom-specific instruments-European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core 30, and Colorectal Cancer Module 38-before surgery...

  15. PMP Project Management Professional Exam Study Guide

    CERN Document Server

    Heldman, Kim

    2011-01-01

    Completely updated for the 2011 version of the PMP exam! If you're preparing for the Project Management Professional (PMP) exam, this thorough book is what you need. Not only does it reflect the very latest version of the exam, it is written by popular project management expert Kim Heldman—author of the five previous editions of this top-selling book—and it also includes a CD with practice exams, exam prep software, electronic flashcards, and over two hours of additional audio review. All exam objectives, as well as essential PMP topics, concepts, and key terms are covered.Prepares

  16. PMP practice makes perfect over 1000 PMP practice questions and answers

    CERN Document Server

    Estrella, John A; Zahran, Sami

    2011-01-01

    A unique learning resource to prepare for the PMP certification exam Without sufficient practice and preparation for taking the Project Management Institute's (PMI's) PMP certification exam, you won't be able to actually put your skills into practice in the real world! To help you achieve your goal of passing the exam, this two-part prep book covers all elements of the brand-new Project Management Professional exam. A team of experts presents you with a solid overview of the exam as well as hundreds of questions, detailed answers, and explanations. In addition, each question is accompa

  17. Progression from an Immature Teratoma with Miliary Gliomatosis Peritonei to Growing Teratoma Syndrome with Nodular Gliomatosis Peritonei

    Directory of Open Access Journals (Sweden)

    Yuh-Lin Hsieh

    2009-04-01

    Full Text Available A 4½-year-old girl presented with an incompletely resected, huge, immature abdominal teratoma, elevated serum alpha-fetoprotein (AFP, and numerous miliary gliomatosis peritonei (GP. Two courses of chemotherapy resulted in normalization of her AFP level and marked tumor shrinkage. Further chemotherapy was interrupted by complications. During treatment for these complications, ascites increased and the tumor enlarged, but serum AFP remained within the normal range. Second-look surgery revealed that the tumor had changed histologically to a mature teratoma, and GP had enlarged to nodular size, causing massive ascites. The still incompletely resected, growing mature teratoma was reduced with inter-feron. Nodular GP and ascites slowly regressed with interferon use, and finally disappeared after several months. One residual mass thought to be GP was reduced by gamma-knife surgery 3 years later.

  18. Karakterisasi Enzim Selulase PMP 0126Y dari Limbah Pengolahan Agar

    Directory of Open Access Journals (Sweden)

    Ekowati Chasanah

    2013-12-01

    Full Text Available Hasil penapisan bakteri penghasil enzim selulase terdahulu mendapatkan isolat PMP 0126 sebagai isolat yang berpotensi yang diisolasi dari limbah pengolahan agar skala UKM di Pamengpeuk, Garut. Isolat tersebut ternyata belum merupakan koloni tunggal, terdiri dari 2 isolat bakteri yaitu PMP 0126Y dan PMP 0126W. Isolat PMP 0126Y memiliki kemampuan mendegradasi selulosa yang lebih besar dibanding PMP 0126W. Tujuan dari penelitian ini adalah untuk memproduksi dan mengkarakterisasi enzim selulase dari isolat PMP 0126Y, serta mengidentifikasi isolat tersebut. Hasil penelitian menunjukkan bahwa enzim selulase diproduksi optimum pada hari ke-3 kultivasi menggunakan medium cair berisi  CMC 1%. Enzim kasar yang diperoleh dapat bekerja optimal pada suhu 30 °C dan pH 5, dapat ditingkatkan aktivitasnya dengan ion logam dalam bentuk garam CaCl2 dan ZnCl2 5 mM.. Pemurnian dengan sistem penukar anion dapat meningkatkan aktivitas enzim 15x dengan perolehan 20%. Dari hasil SDS-PAGE terlihat bahwa ada 3 selulase dengan perkiraan berat molekul 39, 30, dan 14 kDa. Enzim kasar ini memiliki kemampuan menghidrolisis limbah pengolahan agar sebaik ketika memecah substrat CMC,  yang mengindikasikan bahwa enzim dari isolat ini berpotensi sebagai kandidat agen sakarifikasi pada produksi bioetanol. Identifikasi bakteri dengan 16S-rDNA menunjukkan bahwa isolat ini memiliki kemiripan 96% dengan bakteri Chryseobacterium indologenes McR-1.

  19. PMP Certification All-In-One Desk Reference For Dummies

    CERN Document Server

    Stackpole, Cynthia Snyder

    2011-01-01

    Be as prepared as possible to take the PMP certification exam The PMP certification is the most popular project management certification available, but also a very difficult certification to obtain with very demanding requirements. That's where this All-in-One reference comes in. Packed with valuable information for taking the exam, the nine books in one covers everything from the certification process to gathering information for the application and signing up to take the exam, as well as studying for the most pertinent parts of the Project Management Body of Knowledge (PMBOK), and review que

  20. Spontaneous Regression of Thoracic and Extraperitoneal Glial Implants in Child With Gliomatosis Peritonei After Resection of Ovarian Teratoma.

    Science.gov (United States)

    Webman, Rachel; Talishinskiy, Toghrul; Raetz, Elizabeth; Lala, Shailee; Tomita, Sandra

    2015-04-01

    Gliomatosis peritonei is a rare condition associated with ovarian teratomas. Even rarer is extraperitoneal gliomatosis. We present a case of extraperitoneal gliomatosis with pleural implants and implants within the flank muscles, which regressed after resection of the primary tumor.

  1. Aids and Infectious Diseases (aid) Pmp 2013 Report

    Science.gov (United States)

    Buonaguro, Franco M.

    2014-07-01

    The AIDS and Infectious Diseases (AID) PMP of the WFS contributed this year with a session on August 22nd to the Plenary Sessions of the International Seminars on Planetary Emergencies and Associated Meetings--46th Session: The Role of Science in the Third Millennium (Erice, 19-24 August 2013). Furthermore a workshop on August 24th was organized...

  2. PMP22 related neuropathies: Charcot-Marie-Tooth disease type 1A and Hereditary Neuropathy with liability to Pressure Palsies

    NARCIS (Netherlands)

    van Paassen, Barbara W.; van der Kooi, Anneke J.; van Spaendonck-Zwarts, Karin Y.; Verhamme, Camiel; Baas, Frank; de Visser, Marianne

    2014-01-01

    PMP22 related neuropathies comprise (1) PMP22 duplications leading to Charcot-Marie-Tooth disease type 1A (CMT1A), (2) PMP22 deletions, leading to Hereditary Neuropathy with liability to Pressure Palsies (HNPP), and (3) PMP22 point mutations, causing both phenotypes. Overall prevalence of CMT is

  3. Functional and comparative genomics analyses of pmp22 in medaka fish

    Directory of Open Access Journals (Sweden)

    Kawarabayasi Yutaka

    2009-06-01

    Full Text Available Abstract Background Pmp22, a member of the junction protein family Claudin/EMP/PMP22, plays an important role in myelin formation. Increase of pmp22 transcription causes peripheral neuropathy, Charcot-Marie-Tooth disease type1A (CMT1A. The pathophysiological phenotype of CMT1A is aberrant axonal myelination which induces a reduction in nerve conduction velocity (NCV. Several CMT1A model rodents have been established by overexpressing pmp22. Thus, it is thought that pmp22 expression must be tightly regulated for correct myelin formation in mammals. Interestingly, the myelin sheath is also present in other jawed vertebrates. The purpose of this study is to analyze the evolutionary conservation of the association between pmp22 transcription level and vertebrate myelin formation, and to find the conserved non-coding sequences for pmp22 regulation by comparative genomics analyses between jawed fishes and mammals. Results A transgenic pmp22 over-expression medaka fish line was established. The transgenic fish had approximately one fifth the peripheral NCV values of controls, and aberrant myelination of transgenic fish in the peripheral nerve system (PNS was observed. We successfully confirmed that medaka fish pmp22 has the same exon-intron structure as mammals, and identified some known conserved regulatory motifs. Furthermore, we found novel conserved sequences in the first intron and 3'UTR. Conclusion Medaka fish undergo abnormalities in the PNS when pmp22 transcription increases. This result indicates that an adequate pmp22 transcription level is necessary for correct myelination of jawed vertebrates. Comparison of pmp22 orthologs between distantly related species identifies evolutionary conserved sequences that contribute to precise regulation of pmp22 expression.

  4. Hot topics flashcards for passing the PMP and CAPM exams

    CERN Document Server

    Mulcahy, Rita

    2013-01-01

    If you are looking for a way to prepare for the PMP or the CAPM exam that fits into your busy schedule, these flashcards are it. Now you can study at the office, on a plane or even in your car with RMC's portable and extremely valuable Hot Topics Exam Flashcards-in hard copy or audio CD format. Over 300 of the most important and difficult to recall PMP® and CAPM® exam-related terms and concepts are now available for study as you drive, fly or take your lunch break. Order them both!

  5. The Palmitoylation State of PMP22 Modulates Epithelial Cell Morphology and Migration

    Directory of Open Access Journals (Sweden)

    Susie J. Zoltewicz

    2012-11-01

    Full Text Available PMP22 (peripheral myelin protein 22, also known as GAS 3 (growth-arrest-specific protein 3, is a disease-linked tetraspan glycoprotein of peripheral nerve myelin and constituent of intercellular junctions in epithelia. To date, our knowledge of the post-translational modification of PMP22 is limited. Using the CSS-Palm 2.0 software we predicted that C85 (cysteine 85, a highly conserved amino acid located between the second and third transmembrane domains, is a potential site for palmitoylation. To test this, we mutated C85S (C85 to serine and established stable cells lines expressing the WT (wild-type or the C85S-PMP22. In Schwann and MDCK (Madin–Darby canine kidney cells mutating C85 blocked the palmitoylation of PMP22, which we monitored using 17-ODYA (17-octadecynoic acid. While palmitoylation was not necessary for processing the newly synthesized PMP22 through the secretory pathway, overexpression of C85S-PMP22 led to pronounced cell spreading and uneven monolayer thinning. To further investigate the functional significance of palmitoylated PMP22, we evaluated MDCK cell migration in a wound-healing assay. While WT-PMP22 expressing cells were resistant to migration, C85S cells displayed lamellipodial protrusions and migrated at a similar rate to vector control. These findings indicate that palmitoylation of PMP22 at C85 is critical for the role of the protein in modulating epithelial cell shape and motility.

  6. Head First PMP A Brain-Friendly Guide to Passing the Project Management Professional Exam

    CERN Document Server

    Stellman, Andrew

    2008-01-01

    Media Reviews "I have been doing project management for over 30 years and am considered a subject matter expert in the PMBOK(r) Guide -Third Edition primarily because I am the Project Manager who led the team that developed this edition. As a consultant I was hired to review and evaluate eight of the top selling PMP Exam Preparation books for their accuracy in following the PMBOK® Guide - Third Edition. I have developed and taught a PMP Exam Prep course for a leading R.E.P., and taught PMP Exam preparation classes for PMI Chapters. I can honestly say that Head First PMP is by far the best P

  7. Proteolytic cleavage of the Chlamydia pneumoniae major outer membrane protein in the absence of Pmp10

    DEFF Research Database (Denmark)

    Juul, Nicolai Stefan; Timmerman, E; Gevaert, K

    2007-01-01

    that Pmp10 is differentially expressed in the C. pneumoniae CWL029 isolate. To evaluate whether the absence of Pmp10 in the outer membrane causes further changes to the C. pneumoniae protein profile, we subcloned the CWL029 isolate and selected a clone with minimal Pmp10 expression. Subsequently, we......The genome of the obligate intracellular bacteria Chlamydia pneumoniae contains 21 genes encoding polymorphic membrane proteins (Pmp). While no function has yet been attributed to the Pmps, they may be involved in an antigenic variation of the Chlamydia surface. It has previously been demonstrated...

  8. International Registry of Patients Treated With Pressurized IntraPeritoneal Aerosol Chemotherapy (PIPAC)

    Science.gov (United States)

    2017-07-10

    Peritoneum Cancer; Peritoneum Neoplasm; Pleural Cancer; Pleural Effusion; Pleural Mesothelioma; Ovarian Cancer; Gastric Cancer; Appendix Cancer; Pseudomyxoma Peritonei; Colorectal Cancer; Pancreas Cancer; Gallbladder Cancer; Ascites; CUP; Chemotherapeutic Toxicity

  9. Disseminated Coccidioidomycosis Presenting as Carcinomatosis Peritonei and Intestinal Coccidioidomycosis in a Patient with HIV

    Directory of Open Access Journals (Sweden)

    Umer Malik

    2017-03-01

    Full Text Available Coccidioidomycosis (CM is a fungal infection endemic in southwestern regions of the United States, northwestern regions of Mexico, and some areas of Brazil and Argentina. Clinical presentation varies depending on the extent of the infection and the immune status of the host. The most common presentation ranges from flu-like symptoms to self-limiting pneumonia. Extrapulmonary presentations are uncommon and may involve the meninges, skin, and bone. Gastrointestinal and peritoneal involvement is extremely rare. Here we report a case of disseminated CM presenting as carcinomatosis peritonei as an AIDS-defining illness in a young male.

  10. A Mutation in PMP2 Causes Dominant Demyelinating Charcot-Marie-Tooth Neuropathy.

    Directory of Open Access Journals (Sweden)

    Young Bin Hong

    2016-02-01

    Full Text Available Charcot-Marie-Tooth disease (CMT is a heterogeneous group of peripheral neuropathies with diverse genetic causes. In this study, we identified p.I43N mutation in PMP2 from a family exhibiting autosomal dominant demyelinating CMT neuropathy by whole exome sequencing and characterized the clinical features. The age at onset was the first to second decades and muscle atrophy started in the distal portion of the leg. Predominant fatty replacement in the anterior and lateral compartment was similar to that in CMT1A caused by PMP22 duplication. Sural nerve biopsy showed onion bulbs and degenerating fibers with various myelin abnormalities. The relevance of PMP2 mutation as a genetic cause of dominant CMT1 was assessed using transgenic mouse models. Transgenic mice expressing wild type or mutant (p.I43N PMP2 exhibited abnormal motor function. Electrophysiological data revealed that both mice had reduced motor nerve conduction velocities (MNCV. Electron microscopy revealed that demyelinating fibers and internodal lengths were shortened in both transgenic mice. These data imply that overexpression of wild type as well as mutant PMP2 also causes the CMT1 phenotype, which has been documented in the PMP22. This report might expand the genetic and clinical features of CMT and a further mechanism study will enhance our understanding of PMP2-associated peripheral neuropathy.

  11. Head First PMP A Brain-Friendly Guide to Passing the Project Management Professional Exam

    CERN Document Server

    Greene, Jennifer

    2009-01-01

    Learn the latest principles and certification objectives in The PMBOK Guide, Fourth Edition, in a unique and inspiring way with Head First PMP . The second edition of this book helps you prepare for the PMP certification exam using a visually rich format designed for the way your brain works. You'll find a full-length sample exam included inside the book. More than just proof of passing a test, a PMP certification means that you have the knowledge to solve most common project problems. But studying for a difficult four-hour exam on project management isn't easy, even for experienced project

  12. Study on height calibration in the PMP measurement system

    Science.gov (United States)

    Zhang, Ya-feng; Wu, Hua-zhi; Pan, Xuetao; Meng, Fei

    2010-10-01

    Phase modulated object height information is get by phase shift technology or Fourier transformation technology in the PMP measurement system, and then get continuous phase by phase demodulation and phase unwrapping technology, and get object height information based on system height formula. In theory, telecentric beam path projector lens center and CCD incidence diaphragm center are located in the common vertical plane, and their light axis are located in the common horizontal plane, and then exact system parameters are get. But it is impossible to come true this demand in fact. So in this paper, calibrate object height and optimize structure parameters in a general system by the least square interactive method and genetic algorithm, in which selected real-coded Genetic algorithm, right population size, adaptive fitness function, crossover operator and mutation operator, and then realized spatial identification. Compared with the traditional least square interactive method, experimental results show that this method has better calibration precision and improves the 3-D measure precision of the system.

  13. Energy Optimal Control Strategy of PHEV Based on PMP Algorithm

    Directory of Open Access Journals (Sweden)

    Tiezhou Wu

    2017-01-01

    Full Text Available Under the global voice of “energy saving” and the current boom in the development of energy storage technology at home and abroad, energy optimal control of the whole hybrid electric vehicle power system, as one of the core technologies of electric vehicles, is bound to become a hot target of “clean energy” vehicle development and research. This paper considers the constraints to the performance of energy storage system in Parallel Hybrid Electric Vehicle (PHEV, from which lithium-ion battery frequently charges/discharges, PHEV largely consumes energy of fuel, and their are difficulty in energy recovery and other issues in a single cycle; the research uses lithium-ion battery combined with super-capacitor (SC, which is hybrid energy storage system (Li-SC HESS, working together with internal combustion engine (ICE to drive PHEV. Combined with PSO-PI controller and Li-SC HESS internal power limited management approach, the research proposes the PHEV energy optimal control strategy. It is based on revised Pontryagin’s minimum principle (PMP algorithm, which establishes the PHEV vehicle simulation model through ADVISOR software and verifies the effectiveness and feasibility. Finally, the results show that the energy optimization control strategy can improve the instantaneity of tracking PHEV minimum fuel consumption track, implement energy saving, and prolong the life of lithium-ion batteries and thereby can improve hybrid energy storage system performance.

  14. Isolation and characterization of maize PMP3 genes involved in salt stress tolerance.

    Directory of Open Access Journals (Sweden)

    Jing Fu

    Full Text Available Plasma membrane protein 3 (PMP3, a class of small hydrophobic polypeptides with high sequence similarity, is responsible for salt, drought, cold, and abscisic acid. These small hydrophobic ploypeptides play important roles in maintenance of ion homeostasis. In this study, eight ZmPMP3 genes were cloned from maize and responsive to salt, drought, cold and abscisic acid. The eight ZmPMP3s were membrane proteins and their sequences in trans-membrane regions were highly conserved. Phylogenetic analysis showed that they were categorized into three groups. All members of group II were responsive to ABA. Functional complementation showed that with the exception of ZmPMP3-6, all were capable of maintaining membrane potential, which in turn allows for regulation of intracellular ion homeostasis. This process was independent of the presence of Ca(2+. Lastly, over-expression of ZmPMP3-1 enhanced growth of transgenic Arabidopsis under salt condition. Through expression analysis of deduced downstream genes in transgenic plants, expression levels of three ion transporter genes and four important antioxidant genes in ROS scavenging system were increased significantly in transgenic plants during salt stress. This tolerance was likely achieved through diminishing oxidative stress due to the possibility of ZmPMP3-1's involvement in regulation of ion homeostasis, and suggests that the modulation of these conserved small hydrophobic polypeptides could be an effective way to improve salt tolerance in plants.

  15. Low grade peritoneal mucinous carcinomatosis associated with human papilloma virus infection: case report.

    Science.gov (United States)

    Gatalica, Zoran; Foster, Jason M; Loggie, Brian W

    2008-10-01

    Pseudomyxoma peritonei is a clinical syndrome characterized by peritoneal dissemination of a mucinous tumor with mucinous ascites. The vast majority of the pseudomyxoma peritonei are associated with mucinous neoplasms of the appendix. We describe a case of pseudomyxoma peritonei associated with mucinous adenocarcinoma of the cervix in a 60-year-old woman. The patient developed low grade mucinous peritoneal carcinomatosis 8 years after hysterectomy for cervical adenocarcinoma. No other primary mucinous tumor was identified and peritoneal carcinomatosis tested positive for high-risk human papilloma virus (HPV), showing both integrated and episomal pattern. HPV has been previously associated with development of cervical carcinomas (both squamous and mucinous) but neither has cervical adenocarcinoma nor HPV been implicated in development of pseudomyxoma peritonei. To the best of our knowledge, this is the first description of HPV-associated malignancy presenting as pseudomyxoma peritonei.

  16. Construction of Recombinant HVT Expressing PmpD, and Immunological Evaluation against Chlamydia psittaci and Marek's Disease Virus.

    Directory of Open Access Journals (Sweden)

    Shanshan Liu

    Full Text Available Chlamydia psittaci (C. psittaci is an obligate intracellular zoonotic pathogen that can be transmitted to humans from birds. No efficacious commercial vaccine is available for clearing chlamydial infection due to lack of potential vaccine candidates and effective delivery vehicles. Herpesvirus of turkeys (HVT is an efficacious commercially available vaccine against Marek's Disease virus (MDV. In this study, a recombinant HVT-delivered vaccine against C. psittaci and Marek's disease was developed and examined. The 5'-terminus of pmpD gene (pmpD-N encoding the N-terminal fragment of polymorphic membrane protein D of C. psittaci was inserted into a nonessential region of HVT genome using reverse genetics based on an infectious bacterial artificial chromosome (BAC clone of HVT. The recombinant virus (rHVT-pmpD-N was recovered from primary chicken embryo fibroblast (CEF cells by transfection of modified HVT BAC DNA containing the pmpD-N gene. The rHVT-pmpD-N construct was confirmed to express PmpD-N by immunoblot and immunofluorescence. The rHVT-pmpD-N was stable during 20 passages in vitro. The growth kinetics of rHVT-pmpD-N was comparable to that of parental HVT in vitro and in vivo. One-day-old SPF chickens inoculated subcutaneously with rHVT-pmpD-N displayed increased PmpD-specific antibody levels and a vigorous PmpD-specific lymphocyte proliferation response using HVT vector or CEF cells as control. Furthermore, the percentage of CD4+ cells was significantly elevated in rHVT-pmpD-N-immunized birds as compared to the parental HVT. All chickens vaccinated with rHVT-pmpD-N or parental HVT were protected completely against challenge with a very virulent strain of Marek's Disease virus (MDV RB-1B. Post challenge with C. psittaci CB7 strain, a significant decrease in respiratory distress, lesions and Chlamydia load was found in the rHVT-pmpD-N-vaccinated group compared to the parental HVT. In conclusion, our study suggests that the rHVT-pmpD-N live

  17. Investigation of serum response to PMP22, connexin 32 and P(0) in inflammatory neuropathies

    NARCIS (Netherlands)

    Kwa, M. S.; van Schaik, I. N.; Brand, A.; Baas, F.; Vermeulen, M.

    2001-01-01

    We investigated serological immune responses against three major peripheral nerve myelin constituents in patients with immune-mediated neuropathies. Connexin 32 (Cx32), myelin protein zero (MPZ, P(0)) and peripheral myelin protein 22 (PMP22) were produced in Chinese hamster ovary (CHO)-K1 cells.

  18. THE ESTIMATION OF PMP AND PMF ON ALPINE BASINS IN SWITZERLAND

    OpenAIRE

    R. Receanu; J.-A. Hertig; J.-M. Fallot

    2012-01-01

    This paper presents a very fine grid hydrological model based on the spatiotemporal repartition of precipitation and on the topography. The goal is to estimate the flood on a catchment area, using a Probable Maximum Precipitation (PMP) leading to a Probable Maximum Flood (PMF). The spatiotemporal distribution of the precipitation was realized using six clouds modeled by the advection-diffusion equation. The equation shows the movement of the clouds over the terrain and also gives the evolutio...

  19. [Study on Monosaccharide Compositions of Polysaccharide in Dendrobium Stems of Different Resources by PMP-HPCE].

    Science.gov (United States)

    Chen, Nai-dong; Meng, Yun-fei; Yao, Hou-jun; Cao, Cai-yun; Chen, Chen; Li, Jun

    2015-08-01

    To establish a PMP-HPCE method for comparing the monosaccharides of polysaccharide in tissue-cultured and wild Dedrobium huoshanese and Dedrobium moniliforme as well as wild Dedrobium henanese, in order to investigate the similarities of their bioactive components. The PMP-monosaccharides of polysaccharide from the five investigated Dedrobium samples were separated by HPCE on a fused silica capillary column(100 cm x 50 µm) at 25 °C with 350 mmol/L BAS (adjusted to pH 10 with 1.0 mol/L NaOH) as running buffer for 34 min. The applied voltage was 20 kV and the detection wavelength was set at 250 nm. Total six monosaccharides including xylose, glucose, mannose, galactose, galacturonic acid and ribose were detected in the five Dendrobiurms samples and the similarity coefficients between the ten batches of the same Dendrobium species were all above 0. 98,while remarkable dissimilarity were exhibited among species and different resources. PMP-HPCE technique combined with chemometrics is simple, convenient, precise, reproducible and proved to be an effective strategy for identifying the species and origins, especially in the quality assessment of Dendrobium stems.

  20. THE ESTIMATION OF PMP AND PMF ON ALPINE BASINS IN SWITZERLAND

    Directory of Open Access Journals (Sweden)

    R. Receanu

    2012-03-01

    Full Text Available This paper presents a very fine grid hydrological model based on the spatiotemporal repartition of precipitation and on the topography. The goal is to estimate the flood on a catchment area, using a Probable Maximum Precipitation (PMP leading to a Probable Maximum Flood (PMF. The spatiotemporal distribution of the precipitation was realized using six clouds modeled by the advection-diffusion equation. The equation shows the movement of the clouds over the terrain and also gives the evolution of the rain intensity in time. This hydrological modeling is followed by a hydraulic modeling of the surface and subterranean flows, done considering the factors that contribute to the hydrological cycle, such as the infiltration, the exfiltration and the snowmelt. This model was applied to several Swiss basins using measured rain, with results showing a good correlation between the simulated and observed flows. This good correlation proves that the model is valid and gives us the confidence that the results can be extrapolated to phenomena of extreme rainfall of PMP type. In this article we present some results obtained using a PMP rainfall and the developed model.

  1. Costate Estimation of PMP-Based Control Strategy for PHEV Using Legendre Pseudospectral Method

    Directory of Open Access Journals (Sweden)

    Hanbing Wei

    2016-01-01

    Full Text Available Costate value plays a significant role in the application of PMP-based control strategy for PHEV. It is critical for terminal SOC of battery at destination and corresponding equivalent fuel consumption. However, it is not convenient to choose the approximate costate in real driving condition. In the paper, the optimal control problem of PHEV based on PMP has been converted to nonlinear programming problem. By means of KKT condition costate can be approximated as KKT multipliers of NLP divided by the LGL weights. A kind of general costate estimation approach is proposed for predefined driving condition in this way. Dynamic model has been established in Matlab/Simulink in order to prove the effectiveness of the method. Simulation results demonstrate that the method presented in the paper can deduce the closer value of global optimal value than constant initial costate value. This approach can be used for initial costate and jump condition estimation of PMP-based control strategy for PHEV.

  2. Early indication of noise-induced hearing loss from PMP use in adolescents: A cross-sectional analysis.

    Science.gov (United States)

    Colon, Diana C; Verdugo-Raab, Ulla; Alvarez, Carmelo P; Steffens, Thomas; Marcrum, Steven C; Kolb, Stefanie; Herr, Caroline; Twardella, Dorothee

    2016-01-01

    Distortion product otoacoustic emissions (DPOAEs) may indicate preclinical noise-induced hearing loss (NIHL) in adolescents from unsafe personal music player (PMP) use. The objective, therefore, was to observe preclinical signs of NIHL in 9th grade adolescents with clinically normal hearing by comparing DPOAE signals between different levels of A-weighted equivalent PMP exposure. Subjects were recruited from all secondary-level schools located in the city of Regensburg, Germany during two academic years 2009/2010 and 2010/2011. A-weighted equivalent sound pressure levels (SPLs) for a 40-hour work week (LAeq,40h) were estimated from questionnaire responses on output and duration of PMP use of the previous week. Subjects were then categorized into four levels of exposure: 85 to linear regression models adjusting for other leisure noise exposures and with outcome variables DPoutcome and 4 kilo Hertz (kHz) DPOAEs estimated effects between levels. A total of 1468 subjects (56% female, mostly aged 15 or 16 years) were available for analysis. Comparison of DPOAE means by PMP exposure typically showed no greater than 1 dB difference between groups. In fact, comparisons between ≥90 dB(A) and linear regression models presented a weak association with the 4-level PMP exposure variable. An expected dose-response to PMP exposure was not observed in any analyses. DPOAE signal strength alone cannot indicate preclinical NIHL in adolescents.

  3. Project Manager Street Smarts A Real World Guide to PMP Skills

    CERN Document Server

    Zaval, Linda Kretz

    2011-01-01

    The perfect workbook for project managers and PMP exam candidates seeking practical experience New project managers and students pursuing the Project Management Professional certification are looking for practical experience to solidify their skills. The step-by-step tasks presented in this book offer them an opportunity to practice the common tasks project managers face in the real world. The authors, both expert project management trainers and consultants, explore each phase of project management: initiation, planning, execution, monitoring and control, and closing the project, with in-depth

  4. Early indication of noise-induced hearing loss from PMP use in adolescents: A cross-sectional analysis

    Directory of Open Access Journals (Sweden)

    Diana C Colon

    2016-01-01

    Full Text Available Context: Distortion product otoacoustic emissions (DPOAEs may indicate preclinical noise-induced hearing loss (NIHL in adolescents from unsafe personal music player (PMP use. Aims: The objective, therefore, was to observe preclinical signs of NIHL in 9th grade adolescents with clinically normal hearing by comparing DPOAE signals between different levels of A-weighted equivalent PMP exposure. Settings and Design: Subjects were recruited from all secondary-level schools located in the city of Regensburg, Germany during two academic years 2009/2010 and 2010/2011. Subjects and Methods: A-weighted equivalent sound pressure levels (SPLs for a 40-hour work week (LAeq,40h were estimated from questionnaire responses on output and duration of PMP use of the previous week. Subjects were then categorized into four levels of exposure: 85 to <90, and ≥90 A-weighted Decibel [dB(A]. DPOAE signals were collected by trained audiological staff, applying a standard optimized protocol, at the Department of Otorhinolaryngology of the University Hospital Regensburg. Statistical Analysis Used: Mean DPOAE signals were compared between levels by unpaired t test. Novel linear regression models adjusting for other leisure noise exposures and with outcome variables DPoutcome and 4 kilo Hertz (kHz DPOAEs estimated effects between levels. Results: A total of 1468 subjects (56% female, mostly aged 15 or 16 years were available for analysis. Comparison of DPOAE means by PMP exposure typically showed no greater than 1 dB difference between groups. In fact, comparisons between ≥90 dB(A and <80 dB(A presented the least differences in magnitude. Both DPoutcome and 4 kHz linear regression models presented a weak association with the 4-level PMP exposure variable. An expected dose-response to PMP exposure was not observed in any analyses. Conclusions: DPOAE signal strength alone cannot indicate preclinical NIHL in adolescents.

  5. Transgenic rice expressing a cassava (Manihot esculenta Crantz) plasma membrane gene MePMP3-2 exhibits enhanced tolerance to salt and drought stresses.

    Science.gov (United States)

    Yu, Y; Cui, Y C; Ren, C; Rocha, P S C F; Peng, M; Xu, G Y; Wang, M L; Xia, X J

    2016-02-05

    Plasma membrane proteolipid 3 (PMP3) is a class of small hydrophobic proteins found in many organisms including higher plants. Some plant PMP3 genes have been shown to respond to abiotic stresses and to participate in the processes of plant stress tolerance. In this study, we isolated the cassava (Manihot esculenta Crantz) MePMP3-2 gene and functionally characterized its role in tolerance to abiotic stress by expressing it in rice (Oryza sativa L.). MePMP3-2 encodes a 77-amino acid protein belonging to a subgroup of plant PMP3s that have long hydrophylic C-terminal tails of unknown function. In silico analysis and co-localization studies indicated that MePMP3-2 is a plasma membrane protein with two transmembrane domains, similar to other PMP3s. In cassava leaves, MePMP3-2 expression was up-regulated by salt and drought stresses. Heterologous constitutive expression of MePMP3-2 in rice did not alter plant growth and development but increased tolerance to salt and drought stresses. In addition, under stress conditions MePMP3-2 transgenic plants accumulated less malondialdehyde, had increased levels of proline, and exhibited greater up-regulation of the stress-related genes OsProT and OsP5CS, but led to only minor changes in OsDREB2A and OsLEA3 expression. These findings indicate that MePMP3-2 may play an important role in salt and drought stress tolerance in transgenic rice.

  6. Delivery of a Chlamydial Adhesin N-PmpC Subunit Vaccine to the Ocular Mucosa Using Particulate Carriers

    Science.gov (United States)

    Inic-Kanada, Aleksandra; Stojanovic, Marijana; Schlacher, Simone; Stein, Elisabeth; Belij-Rammerstorfer, Sandra; Marinkovic, Emilija; Lukic, Ivana; Montanaro, Jacqueline; Schuerer, Nadine; Bintner, Nora; Kovacevic-Jovanovic, Vesna; Krnjaja, Ognjen; Mayr, Ulrike Beate; Lubitz, Werner; Barisani-Asenbauer, Talin

    2015-01-01

    Trachoma, caused by the intracellular bacterium Chlamydia trachomatis (Ct), remains the world’s leading preventable infectious cause of blindness. Recent attempts to develop effective vaccines rely on modified chlamydial antigen delivery platforms. As the mechanisms engaged in the pathology of the disease are not fully understood, designing a subunit vaccine specific to chlamydial antigens could improve safety for human use. We propose the delivery of chlamydia-specific antigens to the ocular mucosa using particulate carriers, bacterial ghosts (BGs). We therefore characterized humoral and cellular immune responses after conjunctival and subcutaneous immunization with a N-terminal portion (amino acid 1–893) of the chlamydial polymorphic membrane protein C (PmpC) of Ct serovar B, expressed in probiotic Escherichia coli Nissle 1917 bacterial ghosts (EcN BGs) in BALB/c mice. Three immunizations were performed at two-week intervals, and the immune responses were evaluated two weeks after the final immunization in mice. In a guinea pig model of ocular infection animals were immunized in the same manner as the mice, and protection against challenge was assessed two weeks after the last immunization. N-PmpC was successfully expressed within BGs and delivery to the ocular mucosa was well tolerated without signs of inflammation. N-PmpC-specific mucosal IgA levels in tears yielded significantly increased levels in the group immunized via the conjunctiva compared with the subcutaneously immunized mice. Immunization with N-PmpC EcN BGs via both immunization routes prompted the establishment of an N-PmpC-specific IFNγ immune response. Immunization via the conjunctiva resulted in a decrease in intensity of the transitional inflammatory reaction in conjunctiva of challenged guinea pigs compared with subcutaneously and non-immunized animals. The delivery of the chlamydial subunit vaccine to the ocular mucosa using a particulate carrier, such as BGs, induced both humoral and

  7. Delivery of a Chlamydial Adhesin N-PmpC Subunit Vaccine to the Ocular Mucosa Using Particulate Carriers.

    Directory of Open Access Journals (Sweden)

    Aleksandra Inic-Kanada

    Full Text Available Trachoma, caused by the intracellular bacterium Chlamydia trachomatis (Ct, remains the world's leading preventable infectious cause of blindness. Recent attempts to develop effective vaccines rely on modified chlamydial antigen delivery platforms. As the mechanisms engaged in the pathology of the disease are not fully understood, designing a subunit vaccine specific to chlamydial antigens could improve safety for human use. We propose the delivery of chlamydia-specific antigens to the ocular mucosa using particulate carriers, bacterial ghosts (BGs. We therefore characterized humoral and cellular immune responses after conjunctival and subcutaneous immunization with a N-terminal portion (amino acid 1-893 of the chlamydial polymorphic membrane protein C (PmpC of Ct serovar B, expressed in probiotic Escherichia coli Nissle 1917 bacterial ghosts (EcN BGs in BALB/c mice. Three immunizations were performed at two-week intervals, and the immune responses were evaluated two weeks after the final immunization in mice. In a guinea pig model of ocular infection animals were immunized in the same manner as the mice, and protection against challenge was assessed two weeks after the last immunization. N-PmpC was successfully expressed within BGs and delivery to the ocular mucosa was well tolerated without signs of inflammation. N-PmpC-specific mucosal IgA levels in tears yielded significantly increased levels in the group immunized via the conjunctiva compared with the subcutaneously immunized mice. Immunization with N-PmpC EcN BGs via both immunization routes prompted the establishment of an N-PmpC-specific IFNγ immune response. Immunization via the conjunctiva resulted in a decrease in intensity of the transitional inflammatory reaction in conjunctiva of challenged guinea pigs compared with subcutaneously and non-immunized animals. The delivery of the chlamydial subunit vaccine to the ocular mucosa using a particulate carrier, such as BGs, induced both

  8. Unravelling crucial biomechanical resilience of myelinated peripheral nerve fibres provided by the Schwann cell basal lamina and PMP22

    Science.gov (United States)

    Rosso, Gonzalo; Liashkovich, Ivan; Gess, Burkhard; Young, Peter; Kun, Alejandra; Shahin, Victor

    2014-01-01

    There is an urgent need for the research of the close and enigmatic relationship between nerve biomechanics and the development of neuropathies. Here we present a research strategy based on the application atomic force and confocal microscopy for simultaneous nerve biomechanics and integrity investigations. Using wild-type and hereditary neuropathy mouse models, we reveal surprising mechanical protection of peripheral nerves. Myelinated peripheral wild-type fibres promptly and fully recover from acute enormous local mechanical compression while maintaining functional and structural integrity. The basal lamina which enwraps each myelinated fibre separately is identified as the major contributor to the striking fibre's resilience and integrity. In contrast, neuropathic fibres lacking the peripheral myelin protein 22 (PMP22), which is closely connected with several hereditary human neuropathies, fail to recover from light compression. Interestingly, the structural arrangement of the basal lamina of Pmp22−/− fibres is significantly altered compared to wild-type fibres. In conclusion, the basal lamina and PMP22 act in concert to contribute to a resilience and integrity of peripheral nerves at the single fibre level. Our findings and the presented technology set the stage for a comprehensive research of the links between nerve biomechanics and neuropathies. PMID:25446378

  9. CA 19-9 to peritoneal carcinomatosis index (PCI) ratio is prognostic in patients with epithelial appendiceal mucinous neoplasms and peritoneal dissemination undergoing cytoreduction surgery and intraperitoneal chemotherapy: A retrospective cohort study.

    Science.gov (United States)

    Kozman, Mathew A; Fisher, Oliver M; Rebolledo, Bree-Anne J; Valle, Sarah J; Alzahrani, Nayef; Liauw, Winston; Morris, David L

    2017-12-01

    Serum tumour levels have been shown to be prognostic in patients with epithelial appendiceal mucinous neoplasms with peritoneal dissemination (pseudomyxoma peritonei (PMP)). A singular index which incorporates both tumour activity (as depicted by serum tumour marker levels) and tumour volume (as depicted by peritoneal carcinomatosis index (PCI)), may give a more precise surrogate of tumour biological behaviour. The prognostic implication of this index has not yet been reported. A retrospective cohort study of all patients with PMP managed from 1996 to 2016 with cytoreductive surgery (CRS) and intraperitoneal chemotherapy (IPC) was performed by analysing the survival effect of the ratio of preoperative serum CEA, CA19.9 and CA125 to PCI. Three hundred and eighty-six patients were included. In patients with low-grade PMP, elevated CA19-9/PCI ratio resulted in poorer median overall survival times (104 months vs NR, 95%CI 83 - NR, log-rank p < 0.001) and was an independent predictor of reduced overall survival on multivariable analysis (adjusted HR 5.60, 95%CI 1.60-19.68, p = 0.007). In patients with high-grade PMP, no statistically significant difference in survival was recognised. CA19-9/PCI ratio is an independent prognostic factor for overall survival in patients with low-grade PMP undergoing CRS and IPC. By accounting for both tumour activity and tumour volume simultaneously, this novel index behaves as a surrogate of tumour biology and provides a useful adjunct for decisions regarding treatment allocation in this patient group. Copyright © 2017 Elsevier Ltd, BASO ~ The Association for Cancer Surgery, and the European Society of Surgical Oncology. All rights reserved.

  10. Adenocarcinoma of the appendix with extra-appendicular spread: Clinico-surgical and histologic analysis of 27 cases.

    Science.gov (United States)

    Morera Ocón, Francisco J; Camps Vilata, Bruno; Muñoz Forner, Elena; Navarro Campoy, Clara; Gallego Plazas, Javier; Navarro Fos, Samuel

    2017-08-22

    Appendiceal neoplasms with extra-appendiceal spread may show different clinical patterns with pseudomyxoma peritonei (PMP) being one of them. We analyse the results in a series of patients treated in our centre. Retrospective study of patients operated on for appendiceal peritoneal carcinomatosis from January 2012 to May 2015. Twenty-seven consecutive patients were included. Median age 63 years (26-73); 14 were men. Peritoneal carcinomatosis index=16±8 (3-31). The suspected preoperative origins were appendix in 23, ovary in 3 and urothelial in one. Postoperative mortality in 2 patients (7.4%). The remaining 36% presented morbidity. Major morbidity (Clavien-Dindo grades 3 and 4) occurred in 3 patients (12%). Mucinous adenocarcinomas with extra-appendiceal spread may present as PMP with mucinous ascites, jelly-nodular carcinomatosis without ascites, nodular or desmoplasic plates carcinomatosis without jelly mass/nodules. Histology is not correlated to clinical picture. Preoperative diagnosis of mucinous ovarian cancer in peritoneal carcinomatosis scenario may increase the doubt of their ovarian origin and force an appendiceal origin to be ruled out. Copyright © 2017 Elsevier España, S.L.U. All rights reserved.

  11. Identification of a positive regulatory element in the myelin-specific promoter of the PMP22 gene.

    Science.gov (United States)

    Hai, M; Bidichandani, S I; Patel, P I

    2001-09-15

    Over- and under expression of the 22 kDa peripheral myelin protein (PMP22) results in dysmyelinating peripheral neuropathies, such as Charcot-Marie-Tooth disease type 1A (CMT1A) and hereditary neuropathy, with the liability to pressure palsies (HNPP). Expression of the PMP22 gene is driven by two alternative promoters, P1 and P2, with transcripts originating from P1 associated with peripheral nerve myelination by Schwann cells. Transient transfections of constructs containing P1 (3.5 kb) or P2 (2.5 kb) resulted in high levels of reporter gene expression in the RT4-D6P2T schwannoma cell line. Serial deletions of P1 revealed that region P1-A (-105 to -43), situated upstream of the minimal promoter, contained a positive regulatory element. The 62 bp P1-A region conferred in cis a sevenfold increase in expression of luciferase driven by a heterologous promoter in an orientation-dependent manner. Interspecies comparison of the P1-A region revealed a 98% degree of identity between the human, mouse, and rat sequences. A prominent sequence-dependent DNA-protein complex (C-I) was detected in electrophoretic mobility shift assays with P1-A using RT4-D6P2T nuclear extract and was localized to a minimal 21 bp region within P1-A. Site-directed mutagenesis of this region revealed nucleotides at positions -46 to -43 as being necessary for formation of C-I. Functional analysis of the mutated P1-A element indicated that positions -46 and -45 were essential for transactivation mediated by this element. Characterization of the transacting factor(s) interacting with this key regulatory element will shed light on its role in regulating peripheral nerve myelination. Copyright 2001 Wiley-Liss, Inc.

  12. Comparative study of SOS2 and a novel PMP3-1 gene expression in two sunflower (Helianthus annuus L.) lines differing in salt tolerance.

    Science.gov (United States)

    Saadia, Mubshara; Jamil, Amer; Ashraf, Muhammad; Akram, Nudrat Aisha

    2013-06-01

    Gene expression pattern of two important regulatory proteins, salt overly sensitive 2 (SOS2) and plasma membrane protein 3-1 (PMP3-1), involved in ion homeostasis, was analyzed in two salinity-contrasting sunflower (Helianthus annuus L.) lines, Hysun-38 (salt tolerant) and S-278 (moderately salt tolerant). The pattern was studied at selected time intervals (24 h) under 150 mM NaCl treatment. Using reverse transcription PCR, SOS2 gene fragment was obtained from young leaf and root tissues of opposing lines while that for PMP3-1 was obtained only from young root tissues. Both tolerant and moderately tolerant lines showed a gradual increase in SOS2 expression in sunflower root tissues. Leaf tissues showed the gradually increasing pattern of SOS2 expression in tolerant plants as compared to that for moderately tolerant ones that showed a relatively lower level of expression for this gene. We found the highest level of PMP 3-1 expression in the roots of tolerant sunflower line at 6 and 12 h postsalinity treatment. The moderately tolerant line showed higher expression of PMP3-1 at 12 and 24 h after salt treatment. Overall, the expression of genes for both the regulator proteins varied significantly in the two sunflower lines differing in salinity tolerance.

  13. Mutation analysis of PMP22 in Slovak patients with Charcot-Marie-Tooth disease and hereditary neuropathy with liability to pressure palsies.

    Science.gov (United States)

    Resko, Peter; Radvansky, Jan; Odnogova, Zuzana; Baldovic, Marian; Minarik, Gabriel; Polakova, Helena; Palffy, Roland; Kadasi, Ludevit

    2011-12-01

    Charcot-Marie-Tooth disease (CMT) and related peripheral neuropathies are the most commonly inherited neurological disorders in humans, characterized by clinical and genetic heterogeneity. The most prevalent clinical entities belonging to this group of disorders are CMT type 1A (CMT1A) and hereditary neuropathy with liability to pressure palsies (HNPP). CMT1A and HNPP are predominantly caused by a 1.5 Mb duplication and deletion in the chromosomal region 17p11.2, respectively, and less frequently by other mutations in the peripheral myelin protein 22 (PMP22) gene. Despite being relatively common diseases, they haven't been previously studied in the Slovak population. Therefore, the aim of this study was to identify the spectrum and frequency of PMP22 mutations in the Slovak population by screening 119 families with CMT and 2 families with HNPP for causative mutations in this gene. The copy number determination of PMP22 resulted in the detection of CMT1A duplication in 40 families and the detection of HNPP deletion in 7 families, 6 of which were originally diagnosed as CMT. Consequent mutation screening of families without duplication or deletion using dHPLC and sequencing identified 6 single base changes (3 unpublished to date), from which only c.327C>A (Cys109X) present in one family was provably causative. These results confirm the leading role of PMP22 mutation analysis in the differential diagnosis of CMT and show that the spectrum and frequency of PMP22 mutations in the Slovak population is comparable to that seen in the global population.

  14. A formal [3,3]-sigmatropic rearrangement route to quaternary alpha-vinyl amino acids: use of allylic N-PMP trifluoroacetimidates.

    Science.gov (United States)

    Berkowitz, David B; Wu, Bin; Li, Huijie

    2006-03-02

    Pd(II)-mediated rearrangement of allylic N-PMP (p-methoxyphenyl) trifluoroacetimidates provides the first formal sigmatropic route to quaternary, alpha-vinylic amino acids, potential suicide substrates for PLP enzymes. The amino acid side chains enter via transition-metal-mediated C-C bond constructions, including (i) Cu(I)-mediated conjugate addition (Ala); (ii) Pd(0)/AsPh3-mediated Stille coupling (allyl-Gly, Phe, DOPA, m-Tyr); and (iii) Pd(0)/Pt-Bu3-mediated Negishi coupling (Leu). In the synthesis of the DOPA decarboxylase inactivator, alpha-vinyl-m-tyrosine, the new N-PMP trifluoroacetimidate rearranges much more efficiently than the corresponding trichloroacetimidate.

  15. Darcy permeability of hollow fiber membrane bundles made from Membrana® Polymethylpentene (PMP) fibers used in respiratory assist devices

    Science.gov (United States)

    Madhani, Shalv. P.; D’Aloiso, Brandon. D.; Frankowski, Brian.; Federspiel, William. J.

    2016-01-01

    Hollow fiber membranes (HFMs) are used in blood oxygenators for cardiopulmonary bypass or in next generation artificial lungs. Flow analyses of these devices is typically done using computational fluid dynamics (CFD) modeling HFM bundles as porous media, using a Darcy permeability coefficient estimated from the Blake – Kozeny (BK) equation to account for viscous drag from fibers. We recently published how well this approach can predict Darcy permeability for fiber bundles made from polypropylene HFMs, showing the prediction can be significantly improved using an experimentally derived correlation between the BK constant (A) and bundle porosity (ε). In this study, we assessed how well our correlation for A worked for predicting the Darcy permeability of fiber bundles made from Membrana® polymethylpentene (PMP) HFMs, which are increasingly being used clinically. Swatches in the porosity range of 0.4 to 0.8 were assessed in which sheets of fiber were stacked in parallel, perpendicular and angled configurations. Our previously published correlation predicted Darcy within ±8%. A new correlation based on current and past measured permeability was determined: A=497ε-103; using this correlation measured Darcy permeability was within ±6%. This correlation varied from 8% to −3.5% of our prior correlation over the tested porosity range. PMID:26809086

  16. Peritoneal pseudomyxoma associated with synchronic malignant mucinous neoplasias of the cecum, appendix and rectum: case report and review of the literature Pseudomixoma peritoneal associado a neoplasias malignas mucinosas do ceco, apêndice e reto: relato de caso e revisão da literatura

    Directory of Open Access Journals (Sweden)

    Rogério Saad-Hossne

    2007-10-01

    Full Text Available Peritoneal pseudomyxoma is a pathological condition that compromises the peritoneum, characterized by the production of large quantities of mucinous liquid, which progressively fills the peritoneal cavity, originating in general from mucinous appendicular or ovarian tumors. We report a peritonial pseudomyxoma associated with mucinous adenocarcinoma of the appendix synchronic with adenocarcinoma of the rectum in 44 years old patient, where the initial diagnosis was rectal adenocarcinoma. Tumour of the appendix and peritonial pseudomyxoma were incidental and found intraoperativelly. We focus the histological patterns of the lesions, diagnosis and the treatment, with revision of the literature.O pseudomixoma peritoneal é uma condição patológica que acomete o peritoneo, caracterizada pela produção de grandes quantidades de líquido mucinoso, que progressivamente preenche a cavidade peritoneal, tendo em geral como origem tumores mucinosos apendiculares ou de ovário. Relatamos a ocorrência de um pseudomixoma peritoneal associado a adenocarcinoma mucinoso do apêndice sincrônico e adenocarcinoma do reto em paciente de 44 anos, cujo diagnóstico inicial foi de adenocarcinoma do reto. A neoplasia do apêndice e o pseudomixoma peritonial foram achados incidentais, intra-operatórios. Enfocamos as principais características anatomo-patológicas das lesões, o diagnóstico e tratamento, através de ampla revisão da literatura.

  17. Carboplatin, Gemcitabine Hydrochloride, and Stereotactic Body Radiation Therapy in Gynecological Cancer

    Science.gov (United States)

    2015-08-03

    Leydig Cell Tumor; Ovarian Sarcoma; Ovarian Stromal Cancer; Pseudomyxoma Peritonei; Recurrent Cervical Cancer; Recurrent Endometrial Carcinoma; Recurrent Fallopian Tube Cancer; Recurrent Ovarian Epithelial Cancer; Recurrent Ovarian Germ Cell Tumor; Recurrent Primary Peritoneal Cavity Cancer; Recurrent Uterine Sarcoma; Recurrent Vaginal Cancer; Recurrent Vulvar Cancer

  18. Stress Reduction in Improving Quality of Life in Patients With Recurrent Gynecologic or Breast Cancer

    Science.gov (United States)

    2015-10-08

    Anxiety Disorder; Depression; Fatigue; Leydig Cell Tumor; Ovarian Sarcoma; Ovarian Stromal Cancer; Pain; Peritoneal Carcinomatosis; Pseudomyxoma Peritonei; Recurrent Breast Cancer; Recurrent Cervical Cancer; Recurrent Endometrial Carcinoma; Recurrent Fallopian Tube Cancer; Recurrent Gestational Trophoblastic Tumor; Recurrent Ovarian Epithelial Cancer; Recurrent Ovarian Germ Cell Tumor; Recurrent Primary Peritoneal Cavity Cancer; Recurrent Uterine Sarcoma; Recurrent Vaginal Cancer; Recurrent Vulvar Cancer

  19. Subducting continental lower crust and crustal thickness variations in the intermediate seismic zone of Pamir-Hindu Kush inferred from Moho underside reflection pmP

    Science.gov (United States)

    He, Hangqi; Pan, Fa-Bin; Chen, Hanlin; Zhang, Yujia; Zheng, Xin; He, Xiaobo

    2017-10-01

    The Pamir-Hindu Kush region is an orogenic belt which formed as a result of recent continental collision between the Indian and Eurasian Plates. A comprehensive understanding of the tectonic history of this region has been hampered due to limited seismological investigations. In this study, we use the Moho underside reflection pmP phase to constrain crustal thickness variations in the intermediate-depth seismic zone (36-37°N, 69-72°E). The seismic events characterized by focal depth deeper than 100 km and magnitude > 5.8 (Mw) were used. The crustal thickness was determined by identifying the depth phase pP and the Moho underside reflection pmP. The measured thickness varies spatially from 58.1 to 76.2 km, with uncertainties most likely resulting from deviation of the average P-wave velocities ( 6.21 km/s with a deviation of 0.22 km/s) in the crust. The strong Moho depth variations imply a large structural deformation of the crust, which reflects a complex collision-related mountain building history. We also detected two strong reflections from deep interfaces down to 97 km underneath the southernmost Pamir. Based on our direct observations and waveform modeling, we interpret that the two reflections are possibly the manifestations of the underplating subducted Eurasian lower crust in this region. Our observations complement those of other seismic results, including receiver functions from previous studies.

  20. Monitoring of the data processing and simulated production at CMS with a web-based service: the Production Monitoring Platform (pMp)

    Science.gov (United States)

    Franzoni, G.; Norkus, A.; Pol, A. A.; Srimanobhas, N.; Walker, J.

    2017-10-01

    Physics analysis at the Compact Muon Solenoid requires both the production of simulated events and processing of the data collected by the experiment. Since the end of the LHC Run-I in 2012, CMS has produced over 20 billion simulated events, from 75 thousand processing requests organised in one hundred different campaigns. These campaigns emulate different configurations of collision events, the detector, and LHC running conditions. In the same time span, sixteen data processing campaigns have taken place to reconstruct different portions of the Run-I and Run-II data with ever improving algorithms and calibrations. The scale and complexity of the events simulation and processing, and the requirement that multiple campaigns must proceed in parallel, demand that a comprehensive, frequently updated and easily accessible monitoring be made available. The monitoring must serve both the analysts, who want to know which and when datasets will become available, and the central production teams in charge of submitting, prioritizing, and running the requests across the distributed computing infrastructure. The Production Monitoring Platform (pMp) web-based service, has been developed in 2015 to address those needs. It aggregates information from multiple services used to define, organize, and run the processing requests. Information is updated hourly using a dedicated elastic database and the monitoring provides multiple configurable views to assess the status of single datasets as well as entire production campaigns. This contribution will describe the pMp development, the evolution of its functionalities, and one and half year of operational experience.

  1. Chlamydia abortus Pmp18.1 Induces IL-1β Secretion by TLR4 Activation through the MyD88, NF-κB, and Caspase-1 Signaling Pathways.

    Science.gov (United States)

    Pan, Qing; Zhang, Qiang; Chu, Jun; Pais, Roshan; Liu, Shanshan; He, Cheng; Eko, Francis O

    2017-01-01

    The polymorphic membrane protein D (Pmp18D) is a 160-kDa outer membrane protein that is conserved and plays an important role in Chlamydia abortus pathogenesis. We have identified an N-terminal fragment of Pmp18D (designated Pmp18.1) as a possible subunit vaccine antigen. In this study, we evaluated the vaccine potential of Pmp18.1 by investigating its ability to induce innate immune responses in dendritic cells and the signaling pathway(s) involved in rPmp18.1-induced IL-1β secretion. We next investigated the immunomodulatory impact of VCG, in comparison with the more established Th1-promoting adjuvants, CpG and FL, on rPmp18.1-mediated innate immune activation. Finally, the effect of siRNA targeting TLR4, MyD88, NF-κB p50, and Caspase-1 mRNA in DCs on IL-1β cytokine secretion was also investigated. Bone marrow-derived dendritic cells (BMDCs) were stimulated with rPmp18.1 in the presence or absence of VCG or CpG or FL and the magnitude of cytokines produced was assessed using a multiplex cytokine ELISA assay. Expression of costimulatory molecules and Toll-like receptors (TLRs) was analyzed by flow cytometry. Quantitation of intracellular levels of myeloid differentiation factor 88 (MyD88), nuclear factor kappa beta (NF-κB p50/p65), and Caspase-1 was evaluated by Western immunoblotting analysis while NF-κB p65 nuclear translocation was assessed by confocal microscopy. The results showed DC stimulation with rPmp18.1 provoked the secretion of proinflammatory cytokines and upregulated expression of TLRs and co-stimulatory molecules associated with DC maturation. These responses were significantly (p ≤ 0.001) enhanced by VCG but not CpG or FL. In addition, rPmp18.1 activated the expression of MyD88, NF-κB p50, and Caspase-1 as well as the nuclear expression of NF-κB p65 in treated DCs. Furthermore, targeting TLR4, MyD88, NF-κB p50, and Caspase-1 mRNA in BMDCs with siRNA significantly reduced their expression levels, resulting in decreased IL-1β cytokine

  2. Chlamydia abortus Pmp18.1 Induces IL-1β Secretion by TLR4 Activation through the MyD88, NF-κB, and Caspase-1 Signaling Pathways

    Directory of Open Access Journals (Sweden)

    Qing Pan

    2017-12-01

    Full Text Available The polymorphic membrane protein D (Pmp18D is a 160-kDa outer membrane protein that is conserved and plays an important role in Chlamydia abortus pathogenesis. We have identified an N-terminal fragment of Pmp18D (designated Pmp18.1 as a possible subunit vaccine antigen. In this study, we evaluated the vaccine potential of Pmp18.1 by investigating its ability to induce innate immune responses in dendritic cells and the signaling pathway(s involved in rPmp18.1-induced IL-1β secretion. We next investigated the immunomodulatory impact of VCG, in comparison with the more established Th1-promoting adjuvants, CpG and FL, on rPmp18.1-mediated innate immune activation. Finally, the effect of siRNA targeting TLR4, MyD88, NF-κB p50, and Caspase-1 mRNA in DCs on IL-1β cytokine secretion was also investigated. Bone marrow-derived dendritic cells (BMDCs were stimulated with rPmp18.1 in the presence or absence of VCG or CpG or FL and the magnitude of cytokines produced was assessed using a multiplex cytokine ELISA assay. Expression of costimulatory molecules and Toll-like receptors (TLRs was analyzed by flow cytometry. Quantitation of intracellular levels of myeloid differentiation factor 88 (MyD88, nuclear factor kappa beta (NF-κB p50/p65, and Caspase-1 was evaluated by Western immunoblotting analysis while NF-κB p65 nuclear translocation was assessed by confocal microscopy. The results showed DC stimulation with rPmp18.1 provoked the secretion of proinflammatory cytokines and upregulated expression of TLRs and co-stimulatory molecules associated with DC maturation. These responses were significantly (p ≤ 0.001 enhanced by VCG but not CpG or FL. In addition, rPmp18.1 activated the expression of MyD88, NF-κB p50, and Caspase-1 as well as the nuclear expression of NF-κB p65 in treated DCs. Furthermore, targeting TLR4, MyD88, NF-κB p50, and Caspase-1 mRNA in BMDCs with siRNA significantly reduced their expression levels, resulting in decreased IL-1

  3. Estimating crustal thickness using SsPmp in regions covered by low-velocity sediments: Imaging the Moho beneath the Southeastern Suture of the Appalachian Margin Experiment (SESAME) array, SE Atlantic Coastal Plain

    Science.gov (United States)

    Parker, E. Horry, Jr.; Hawman, Robert B.; Fischer, Karen M.; Wagner, Lara S.

    2016-09-01

    Deconvolved waveforms for two earthquakes (Mw: 6.0 and 5.8) show clear postcritical SsPmp arrivals for broadband stations deployed across the coastal plain of Georgia, allowing mapping of crustal thickness in spite of strong reverberations generated by low-velocity sediments. Precritical SsPmp arrivals are also identified. For a basement in which velocity increases linearly with depth, a bootstrapped grid search suggests an average basement velocity of 6.5 ± 0.1 km/s and basement thickness of 29.8 ± 2.0 km. Corresponding normal-incidence Moho two-way times (including sediments) are 10.6 ± 0.6 s, consistent with times for events interpreted as Moho reflections on coincident active-source reflection profiles. Modeling of an underplated mafic layer (Vp = 7.2-7.4 km/s) using travel time constraints from SsPmp data and vertical-incidence Moho reflection times yields a total basement thickness of 30-35 km and average basement velocity of 6.35-6.65 km/s for an underplate thickness of 0-15 km.

  4. Determination of the degree of acetylation and the distribution of acetyl groups in chitosan by HPLC analysis of nitrous acid degraded and PMP labeled products.

    Science.gov (United States)

    Han, Zhangrun; Zeng, Yangyang; Lu, Hong; Zhang, Lijuan

    2015-09-02

    Chitin is one of the most abundant polysaccharides on earth. It consists of repeating β-1,4 linked N-acetylated glucosamine (A) units. Chitosan is an N-deacetylated product of chitin. Chitosan and its derivatives have broad medical applications as drugs, nutraceuticals, or drug delivery agents. However, a reliable analytical method for quality control of medically used chitosans is still lacking. In current study, nitrous acid was used to cleave all glucosamine residues in chitosan into 2,5-anhydromannose (M) or M at the reducing end of di-, tri-, and oligosaccharides. PMP, i.e. 1-phenyl-3-methyl-5-pyrazolone, was used to label all the Ms. Online UV detection allowed quantification of all M-containing UV peaks whereas online MS analysis directly identified 11 different kinds of mono-, di-, tri-, and oligosaccharides that correlated each oligosaccharide with specific UV peak after HPLC separation. The DA (degree of acetylation) for chitosans was calculated based on the A/(A+M) value derived from the UV data. This newly developed method had several advantages for quality control of chitosan: 1. the experimental procedures were extensively optimized; 2. the reliability of the method was confirmed by online LC-MS analysis; 3. the DA value was obtainable based on the UV data after HPLC analysis, which was comparableto that of (1)H NMR and conductometric titration analyses; 4. finally and most importantly, this method could be used to obtain the DA as well as chemical acetylation/deacetylation mechanisms for chitosan by any laboratory equipped with a HPLC and an online UV detector. Copyright © 2015. Published by Elsevier Ltd.

  5. PMP27 PROMOTES PEROXISOMAL PROLIFERATION

    NARCIS (Netherlands)

    MARSHALL, PA; KRIMKEVICH, YI; LARK, RH; DYER, JM; VEENHUIS, M; GOODMAN, JM; Krimkevich, Yelena I.; Lark, Richard H.; Dyer, John M.; Goodman, Joel M.

    Peroxisomes perform many essential functions in eukaryotic cells. The weight of evidence indicates that these organelles divide by budding from preexisting peroxisomes. This process is not understood at the molecular level. Peroxisomal proliferation can be induced in Saccharomyces cerevisiae by

  6. Mucinous neoplasms of the appendix: a current comprehensive clinicopathologic and imaging review

    Science.gov (United States)

    Tirumani, Sree Harsha; Auer, Rebecca; Shabana, Wael; Walsh, Cynthia; Lee, Frank; Ryan, John G.

    2013-01-01

    Abstract Mucinous neoplasms of the appendix are a heterogeneous group of neoplasms ranging from simple mucoceles to complex pseudomyxoma peritonei. Considerable controversy exists on their pathologic classification and nomenclature. Clear understanding of the histopathologic diversity of these neoplasms helps in establishing proper communication between the radiologist, the pathologist and the surgeon. In this article, we present a brief discussion of the current taxonomy and nomenclature of mucinous neoplasms of the appendix followed by a review of their imaging features. Important points including the significance of identifying extra-appendiceal mucin at imaging, the new classification of pseudomyxoma peritonei into low- and high-grade varieties and the significance of simultaneous ovarian and appendiceal neoplasms are highlighted. PMID:23439060

  7. Ileocecal Intussusception Caused by an Appendiceal Neoplasm.

    Science.gov (United States)

    Chua, Terence C; Gill, Preetjote; Gill, Anthony J; Samra, Jaswinder S

    2016-04-01

    Mucinous appendiceal neoplasm occurs in less than 1% of appendicectomies. Majority of what is known in the literature is about pseudomyxoma peritonei, which exists as its disseminated form. Pictorial imagery of its pre-disseminated form is rarely observed. We present in a case report form a case of low-grade mucinous neoplasm of the appendix resulting in focal intussusception including images captured from this unique case that will become a learning case for readers of the journal.

  8. Palliative surgical approach in advanced nonresponsive mucinous ovarian cancer: A rare case report

    Directory of Open Access Journals (Sweden)

    Manika Agarwal

    2016-01-01

    Full Text Available Advanced mucinous ovarian cancer is a separate entity and has different biological behaviour. There is a wide range of therapeutic challenges and dilemmas in the management of these patients. The authors present a case of advanced ovarian mucinous cystadenocarcinoma with pseudomyxoma peritonei who had poor response to standard neoadjuvant chemotherapy. This case is highlighted to emphasize the challenges in the decision making for the management of advanced mucinous ovarian cancer.

  9. Quality of Life and Survivorship Care in Patients Undergoing Hyperthermic Intraperitoneal Chemotherapy (HIPEC)

    Science.gov (United States)

    2017-05-25

    Advanced Malignant Mesothelioma; Carcinoma of the Appendix; Ovarian Sarcoma; Ovarian Stromal Cancer; Pseudomyxoma Peritonei; Recurrent Colon Cancer; Recurrent Malignant Mesothelioma; Recurrent Ovarian Epithelial Cancer; Recurrent Ovarian Germ Cell Tumor; Stage III Colon Cancer; Stage III Ovarian Epithelial Cancer; Stage III Ovarian Germ Cell Tumor; Stage IV Colon Cancer; Stage IV Ovarian Epithelial Cancer; Stage IV Ovarian Germ Cell Tumor; Unspecified Childhood Solid Tumor, Protocol Specific

  10. Immunization of a wild koala population with a recombinant Chlamydia pecorum Major Outer Membrane Protein (MOMP) or Polymorphic Membrane Protein (PMP) based vaccine: New insights into immune response, protection and clearance.

    Science.gov (United States)

    Desclozeaux, Marion; Robbins, Amy; Jelocnik, Martina; Khan, Shahneaz Ali; Hanger, Jon; Gerdts, Volker; Potter, Andrew; Polkinghorne, Adam; Timms, Peter

    2017-01-01

    We assessed the effects of two different single-dose anti-Chlamydia pecorum (C. pecorum) vaccines (containing either Major Outer Membrane Protein (3MOMP) or Polymorphic Membrane Protein (Pmp) as antigens) on the immune response of a group of wild koalas. Both vaccines elicited a systemic humoral response as seen by the production of anti-chlamydial IgG antibodies in more than 90% of vaccinated koalas. A mucosal immune response was also observed, with an increase in Chlamydia-specific mucosal IgG and/or IgA antibodies in some koalas post-vaccination. Both vaccines elicited a cell-mediated immune response as measured by the production of the cytokines IFN-γ and IL-17 post-vaccination. To determine the level of protection provided by the vaccines under natural conditions we assessed C. pecorum infection loads and chlamydial disease status of all vaccinated koalas pre- and post-vaccination, compared to a non-vaccinated cohort from the same habitat. The MOMP vaccinated koalas that were infected on the day of vaccination showed significant clearance of their infection at 6 months post-vaccination. In contrast, the number of new infections in the PMP vaccine was similar to the control group, with some koalas progressing to disease. Genotyping of the ompA gene from the C. pecorum strains infecting the vaccinated animals, identified genetic variants of ompA-F genotype and a new genotype ompA-O. We found that those animals that were the least well protected became infected with strains of C. pecorum not covered by the vaccine. In conclusion, a single dose vaccine formulated with either recombinant PmpG or MOMP can elicit both cell-mediated and humoral (systemic and mucosal) immune responses, with the MOMP vaccine showing clearance of infection in all infected koalas. Although the capability of our vaccines to stimulate an adaptive response and be protective needs to be fully evaluated, this work illustrates the necessity to combine epitopes most relevant to a large panel of

  11. Overinterpretation is common in pathological diagnosis of appendix cancer during patient referral for oncologic care.

    Directory of Open Access Journals (Sweden)

    Mark A Valasek

    Full Text Available Low-grade appendiceal mucinous neoplasm (LAMN and appendiceal adenocarcinoma are known to cause the majority of pseudomyxoma peritonei (PMP, i.e. mucinous ascites; however, recognition and proper classification of these neoplasms can be difficult despite established diagnostic criteria.To determine the pathological diagnostic concordance for appendix neoplasia and related lesions during patient referral to an academic medical center specialized in treating patients with PMP.The anatomic pathology laboratory information system was searched to identify cases over a two-year period containing appendix specimens with mucinous neoplasia evaluated by an outside pathology group and by in-house slide review at a single large academic medical center during patient referral.161 cases containing appendix specimens were identified over this period. Forty-six of 161 cases (28.6% contained appendiceal primary neoplasia or lesions. Of these, the originating pathologist diagnosed 23 cases (50% as adenocarcinoma and 23 cases (50% as LAMN; however, the reference pathologist diagnosed 29 cases (63.0% as LAMN, 13 cases (28.3% as adenocarcinoma, and 4 cases (8.7% as ruptured simple mucocele. Importantly, for cases in which the originating pathologist rendered a diagnosis of adenocarcinoma, the reference pathologist rendered a diagnosis of adenocarcinoma (56.5%, 13 of 23, LAMN (39.1%, 9 of 23, or simple mucocele (4.3%, 1 of 23. The overall diagnostic concordance rate for these major classifications was 71.7% (33 of 46 with an unweighted observed kappa value of 0.48 (95% CI, 0.27-0.69, consistent with moderate interobserver agreement. All of the observed discordance (28.3% for major classifications could be attributed to over-interpretation. In addition, the majority of LAMN cases (65.5% had potential diagnostic deficiencies including over-interpretation as adenocarcinoma and lacking or discordant risk stratification (i.e. documentation of extra-appendiceal neoplastic

  12. Ruptured appendiceal cystadenoma presenting as right inguinal hernia in a patient with left colon cancer: A case report and review of literature

    Science.gov (United States)

    Lee, Yueh-Tsung; Wu, Hurng-Sheng; Hung, Min-Chang; Lin, Shang-Tao; Hwang, Yome-Shine; Huang, Min-Ho

    2006-01-01

    Background Mucoceles resulting from cystadenomas of the appendix are uncommon. Although rare, rupture of the mucoceles can occur with or without causing any abdominal complaint. There are several reports associating colonic malignancy with cystadenomas of the appendix. Herein, we report an unusual and interesting case of right inguinal hernia associated with left colon cancer. Case presentation A case of ruptured mucocele resulting from cystadenoma of the appendix was presented as right inguinal hernia in a 70-year-old male. The patient underwent colonoscopy, x-ray, ultrasound and computed tomography. Localized pseudomyxoma peritonei associated with adenocarcinoma of the descending colon was diagnosed. The patient underwent segmental resection of the colon, appendectomy, debridement of pseudomyxoma and closure of the internal ring of right inguinal canal. He is free of symptoms in one year follow-up. Conclusion Synchronous colon cancer may occur in patients with appendiceal mucoceles. In such patients, the colon should be investigated and colonoscopy can be performed meticulously in cases of ruptured mucoceles and localized pseudomyxoma peritonei. Surgical intervention is the current choice of management. PMID:17074081

  13. A weeping umbilical hernia: bilateral ovarian mucinous cystadenoma with disseminated peritoneal adenomucinosis.

    Science.gov (United States)

    Singh, Varun Kumar; Nishant, Kumar; Sharma, Barun Kumar; Lamichaney, Rachna

    2014-05-22

    A young woman was referred to us for the management of an umbilical hernia with macerated overlying skin through which massive ascites was leaking. On examination we found a jelly-like substance seeping out of the opening. A contrast-enhanced CT scan of the abdomen revealed bilateral ovarian cystadenocarcinoma with pseudomyxoma peritonei. The patient underwent cytoreductive surgery along with hysterectomy and bilateral oophorectomy followed by hyperthermic intraperitoneal chemotherapy with mitomycin C. Histopathological examination showed bilateral borderline cystadenoma with peritoneal adenomucinosis. Follow-up at 1 year showed no signs of recurrence. 2014 BMJ Publishing Group Ltd.

  14. Pseudomixoma peritoneal: abordagem cirúrgica em dois casos

    Directory of Open Access Journals (Sweden)

    Olívio Louro Costa

    Full Text Available The authors report the surgical procedure in two patients with pseudomyxoma peritonei, histologically considered as mucinous adenocarcinoma. In both patients, intestinal loops and other visceras were blocked and it was not possible to localize the tumor's origin. There was, in both cases, a great volume of mucinous ascitis. In the first patient a laparotomy was performed and a drainage by a five centimeters peritoneostomy in the abdominal upper left quadrant. In the second just a peritoneostomy was performed in the same location. The sequential irrigation of the abdominal cavity controlled the ascitis in a few days. Certainly this approach avoided a second procedure to clean the mucinous ascitis.

  15. A Rare Case of Immature Ovarian Teratoma with Gliomatosis Peritonei

    African Journals Online (AJOL)

    tissues derived from all three germ layers regardless of its gross appearance.[1] It spreads on pelvic, abdominal peritoneum and omentum. In patients with extra ovarian spread, the microscopic appearance of the metastasis is of prognostic importance. Some peritoneal implants or lymph node metastasis contain only mature ...

  16. Mucus Containing Cystic Lesions “Mucocele” of the Appendix: The Unresolved Issues

    Directory of Open Access Journals (Sweden)

    Mohammad Ezzedien Rabie

    2015-01-01

    Full Text Available Background. Mucocele of the appendix is a rare condition, the pathological classification and management strategy of which have not been standardized yet. Aim. To report on our management of appendiceal mucocele, highlighting the pitfalls and possible means for avoiding them. Materials and Methods. Our registries were reviewed to retrieve cases of appendiceal mucocele, encountered in the period from July 2008 to May 2013. Results. We had 9 cases, three males and sex females, with a median age of 62 years. Abdominal ultrasound (US and computerized axial tomography scan (CT suspected the diagnosis in only one case each. Open appendectomy was done in two cases of mucinous cystadenoma with no further surgery performed, despite the positive margin in one. Laparoscopic appendectomy was done in three cases: mucinous cystadenoma in one case which needed no further surgery, mucinous cystadenocarcinoma with pseudomyxoma peritonei in another, and low grade mucinous tumour in a third case, and all needed subsequent right hemicolectomy. Exploratory laparotomy was done in three cases: of these, synchronous right hemicolectomy was done in one case of mucinous cystadenoma/?mucinous tumour of uncertain malignant potential; in the other two cases, appendectomy only was done for mucinous hyperplasia with carcinoid tumour of the appendix in one case and mucinous cystadenoma/?mucinous tumour of uncertain malignant potential in another. The 9th case was discovered upon laparoscopy for cholecystectomy; when pseudomyxoma peritonei arising from an appendiceal mucocele was found, laparoscopic appendectomy with peritoneal biopsy was then performed instead. Histopathologic diagnostic uncertainty was present in two cases of mucinous cystadenoma where mucinous tumour of uncertain malignant potential was an alternative possibility. Perioperative colonoscopy was performed in only one case and our follow-up programme was defective, with the longest period being 180 days

  17. Micro Nano PMP (Product-Method-Process) Graduate Course

    DEFF Research Database (Denmark)

    De Grave, Arnaud; Hansen, Hans Nørgaard

    2005-01-01

    This paper describes a framework for teaching in the development (design and manufacture) of products in the micro / nano scale in the Department of Manufacturing Engineering and Management (IPL) at the Technical University of Denmark (DTU). The training of students in this field involves both...

  18. Program Management Plan (PMP) for Rapid Runway Repair (RRR)

    Science.gov (United States)

    1983-04-15

    18 6 PROGRAM OFFICE ORGANIZATION CHART .................. 54 LIST OF TABLES Table Page 1 ESTIMATED RISK TO IMPROVE CAPABILITIES BY 1988...OPCer PROGRAM MANAGER F~ l "t U RPAC Figure 6. Program Office Organization Chart 54 data. The RRR Task Order Contract provides technical support and

  19. College Students' Usage of Personal Music Players (PMP) during Exercise

    Science.gov (United States)

    Barney, David; Gust, Anita; Liguori, Gary

    2012-01-01

    The purpose of this study was to investigate the use of personal music players (PMPs) during exercise, including their purpose(s), how they affect exercise, and the most common music listened to. A representative sample of 184 undergraduate students from two separate university wellness centers completed a 17-item, content validated questionnaire…

  20. Flexible PMP Approach for Large-Size Cell Formation

    NARCIS (Netherlands)

    Goldengorin, Boris; Krushinsky, Dmitry; Slomp, Jannes

    2012-01-01

    Lately, the problem of cell formation (CF) has gained a lot of attention in the industrial engineering literature. Since it was formulated (more than 50 years ago), the problem has incorporated additional industrial factors and constraints while its solution methods have been constantly improving in

  1. Membrane proteins PmpG and PmpH are major constituents of Chlamydia trachomatis L2 outer membrane complex

    DEFF Research Database (Denmark)

    Mygind, Per H; Christiansen, Gunna; Roepstorff, P

    2000-01-01

    The outer membrane complex of Chlamydia is involved in the initial adherence and ingestion of Chlamydia by the host cell. In order to identify novel proteins in the outer membrane of Chlamydia trachomatis L2, proteins were separated by sodium dodecyl sulfate polyacrylamide gel electrophoresis. By...

  2. Preoperatively diagnosed mucocele of the appendix.

    Science.gov (United States)

    Rojnoveanu, Gh; Ghidirim, Gh; Mishin, I; Vozian, M; Mishina, A

    2014-01-01

    Mucocele of the appendix is an infrequent entity, characterized by distension of the lumen due to accumulation of mucoid substance and is rarely diagnosed preoperatively. If untreated, mucocele may rupture producing a potentially fatal entity known as pseudomyxoma peritonei. The type of surgical treatment is related to the dimensions and the histology of the mucocele. Appendectomy is used for simple mucocele or for cystadenoma. Right hemi-colectomy is recommended for cystadeno carcinoma. In this paper, we report a case of an asymptomatic 37-year-old woman in whom mucocele was found on a routine ultrasound examination and preoperative computed tomography scan. Surgery revealed a big appendix measuring 84 mm in length and 40 mm in diameter. The final pathologic diagnosis was simple mucocele. Celsius.

  3. Two Cases of Mucinous Cystadenoma of the Appendix Successfully Treated by Laparoscopy

    Directory of Open Access Journals (Sweden)

    Yuko Yoshida

    2013-01-01

    Full Text Available Two cases of mucinous cystadenoma of the appendix successfully treated by laparoscopy are reported. An 81-year-old woman with lower right back pain was diagnosed with mucinous cystadenoma of the appendix or appendiceal carcinoma and underwent elective laparoscopic surgery. The other case involved a 70-year-old man with hematochezia who was diagnosed with mucinous cystadenoma. He also underwent elective laparoscopic surgery. In these two cases, gauze was folded around the tumors rather than grasping them directly. The postoperative courses were uneventful, and these patients had no recurrent disease at 2-year follow-up. In such cases, surgical excision of the tumor without rupture is of paramount importance because rupture of the lesion can cause pseudomyxoma peritonei. Though appendiceal mucinous cystadenoma has been considered a contraindication of laparoscopic resection, it was possible to achieve this by using a laparoscopic procedure with a gauze technique.

  4. Pharmacokinetics of Hyperthermic Intrathoracic Chemotherapy following Pleurectomy and Decortication

    Directory of Open Access Journals (Sweden)

    Paul H. Sugarbaker

    2012-01-01

    Full Text Available In patients with pseudomyxoma peritonei or peritoneal mesothelioma, direct extension of disease through the hemidiaphragm may result in an isolated progression of tumor within the pleural space. We monitored the intrapleural and plasma levels of mitomycin C and doxorubicin by HPLC assay in order to determine the pharmacokinetic behavior of this intracavitary use of chemotherapy. Our results showed a persistent high concentration of intrapleural drug as compared to plasma concentrations. The increased exposure for mitomycin C was 96, and the increased exposure for doxorubicin was 241. When the clearance of chemotherapy from the thoracic cavity was compared to clearance from the abdomen and pelvis, there was a considerably more rapid clearance from the abdomen as compared to the thorax. The pharmacologic study of intrapleural chemotherapy in these patients provides a strong pharmacologic rationale for regional chemotherapy in this group of patients.

  5. Mucocele of the appendix.

    Science.gov (United States)

    Ruiz-Tovar, J; Teruel, D García; Castiñeiras, V Morales; Dehesa, A Sanjuanbenito; Quindós, P López; Molina, E Martínez

    2007-03-01

    Mucocele of the appendix is an infrequent event, representing 0.3%-0.7% of appendiceal pathology and 8% of appendiceal tumors. It is characterized by a located or diffuse distension of the appendix with a mucus-filled lumen. We describe 35 cases of mucocele of the appendix diagnosed at Ramón y Cajal Hospital between January 1985 and January 2006. A total of 21 males and 14 females with a mean age of 52.7 years are described. Most cases manifested as abdominal pain located in right iliac fossa, but 2 cases were incidental findings at CT-scan and 1 at ultrasonography, performed for other reasons. In 4 cases, mucocele coexisted with colorectal cancer and was an incidental finding during laparotomy performed for tumor resection. Ultrasonography and computed tomography (CT) scan helped to achieve a correct diagnosis. Preoperative diagnosis of mucocele was achieved in 29% of the cases; 88% of patients underwent appendectomy, 2 had ileocecal resection, and 2 others underwent right hemicolectomy. Pathology revealed mucous hyperplasia in 34% of the cases, simple mucocele in 29%, cystadenoma in 31%, and cystadenocarcinoma in 2 patients. Two other patients developed adenocarcinoma of the cecum 12 and 33 months after surgery, and one patient developed pseudomyxoma peritonei after 62 months, causing his death. The pathologist is forced to do an exhaustive study, looking for inadvertent perforations that can change the good prognosis of mucocele. We recommend follow-up of all patients with mucoceles, because sometimes they are associated with colorectal neoplasms and recurrence as pseudomyxoma peritonei.

  6. Mucocele of the appendix. Review of 10 cases; Les mucoceles appendiculaires. Etude retrospective a propos de 10 cas

    Energy Technology Data Exchange (ETDEWEB)

    Souei-Mhiri, M.; Tlili-Graies, K.; Ben Cherita, L.; Jeddi, M.; Derbel, F.; Dahmen, Y. [Hopital Sahloul, Sousse (Tunisia); Hmissa, S. [Hopital F Hached, Sousse (Tunisia)

    2001-04-01

    The purpose of our work was to assess the value of abdominal sonography (US) and computed tomography (CT) in the preoperative diagnosis of appendiceal mucocele. We retrospectively reviewed 10 cases of mucocele of the appendix, 7 cases without pseudo myxoma peritonei, and 3 cases with pseudo-myxoma peritonei. All cases were investigated radiologically by plain film and US, barium enema was performed in 3 cases and CT in 5 cases. Mucoceles of the appendix are rare and their clinical presentation is not specific. US confirms the appendicular involvement, but often poses the differential diagnosis with acute inflammation, abscess or localized appendicular peritonitis. CT appears as a mandatory examination since it allows accurate preoperative diagnosis period. In this series, the diagnosis was made preoperatively in the 5 cases where CT had been performed. US is useful to confirm the abnormal pattern of the appendix but does not allow accurate diagnosis of mucocele. CT is more specific and accurate for diagnosis of mucocele of the appendix. (authors)

  7. Neoplasms of the Appendix: Pictorial Review with Clinical and Pathologic Correlation.

    Science.gov (United States)

    Leonards, Laura M; Pahwa, Anokh; Patel, Maitraya K; Petersen, Jeffrey; Nguyen, Michael J; Jude, Cecilia M

    2017-01-01

    Appendiceal neoplasms are uncommon tumors of the gastrointestinal tract that may manifest with symptoms of appendicitis, right lower quadrant pain, or palpable mass, leading to imaging or surgical intervention. The majority of appendiceal masses consist of primary epithelial neoplasms and neuroendocrine tumors (NETs). Epithelial neoplasms-mucinous and nonmucinous types-are more often detected at imaging than NETs due to their larger size and propensity for peritoneal spread and metastatic disease. Epithelial mucinous neoplasms are defined by the presence of mucin, detected at radiologic and pathologic examination. A mucocele or pseudomyxoma peritonei from epithelial mucinous tumors are the two most common cross-sectional imaging findings of appendiceal mucinous neoplasms. Nonmucinous epithelial tumors are less common and manifest as masses similar to colonic-type malignancies. NETs are often discovered incidentally at appendectomy due to their small size and nonaggressive behavior. Imaging findings of primary appendiceal tumors may overlap with those of acute appendicitis. Additionally, an appendiceal mass may cause acute appendicitis, obscuring the underlying mass. Other neoplasms including lymphoma, sarcoma, mesenchymal and nerve sheath tumors, or secondary malignant involvement of the appendix are rare. Treatment depends on the histologic subtype and extent of disease. Detailed description of organ, nodal, and peritoneal involvement informs surgical management with the goal of complete cytoreduction. Novel treatments such as hyperthermic intraperitoneal chemotherapy have increased survival for patients with mucinous tumors. ©RSNA, 2017.

  8. Diagnosis and Treatment of Mucinous Appendiceal Neoplasm Presented as Acute Appendicitis

    Directory of Open Access Journals (Sweden)

    Ioannis Kehagias

    2016-01-01

    Full Text Available Appendiceal mucocele is a rare cause of acute abdomen. Mucinous appendiceal neoplasms represent 0.2–0.7% of all appendix specimens. The aim of this study is to report a case of a mucinous appendiceal neoplasm presented as acute appendicitis, discussing the clinical and surgical approach in the emergency setting. A 72-year-old female patient was admitted to the emergency department with a clinical examination indicative of acute abdomen. The patient underwent abdominal computed tomography scan which revealed a cystic lesion in the right iliac fossa measuring 8.3 × 5.2 × 4.1 cm, with calcified walls, and a mean density indicative of high protein content. The patient was taken to the operating room and a right hemicolectomy was performed. The postoperative course was unremarkable. The histopathological examination revealed a low-grade mucinous appendiceal neoplasm with negative regional lymph nodes. Ultrasound and CT are useful in diagnosing appendiceal mucocele and synchronous cancers in the emergency setting. The initial operation should include appendectomy and resection of the appendicular mesenteric fat along with any fluid collection for cytologic examination. During urgent appendectomy it is important to consider every mucocele as malignant in order to avoid iatrogenic perforation causing pseudomyxoma peritonei. Although laparotomy is recommended, the laparoscopic approach is not contraindicated.

  9. FTIR Study On The Secondary Structure Of Mucin From Mucinous Cystadenoma Of The Ovary

    Science.gov (United States)

    Shen, Keng; Wu, Paochen; Zhou, Weij in; Liu, Fuan; Guo, Hai; Wu, Jinguang

    1989-12-01

    The mucinous cystadenoma, a common benign neoplasm of the ovary, may sometime bring about a fatal outcome known as pseudomyxoma peritonei which is characterized by massive accumulation of mucinous substance in the peritoneal cavity, resulting in extensive adhesions, chronic progressive intestinal obstruction and finally death of the patient. Surgical approach to this condition proves to be a palliative procedure. Repeated operation can only remove part of the geletinous material and reaccumulation of mucus within 1-2 years after the initial surgery is almost a rule. In view of the benign histologic nature of the disease, chemotherapy, either systemic or intraperitoneal, and radiotherapy are generally ineffective in arresting the progression of the pathologic process and preventing the reaccumulation of mucus. Therefore, the only hope lies on the introduction into the peritoneal cavity some agents which may dissolve the accumulated mucin, relieve the intestinal obstruction, and consequently, prolong and even save the life f the patient. Based on this conception, sporadic articles by a few authors(1,2)ap-peared in the literature reporting their clinical experience with different mucolytic agents. However, some blindness would inevitably be involved in such investigations due to the lack of a comprehensive understanding of the chemical structures of the substance. The purpose of the present paper is to report our preliminary results of study of the secondary structures of mucin secreted by this special type of tumor.

  10. Peritoneal Carcinomatosis: Intraoperative Parameters in Open (Coliseum versus Closed Abdomen Hipec

    Directory of Open Access Journals (Sweden)

    E. Halkia

    2015-01-01

    Full Text Available Background. Peritoneal carcinomatosis (PC is associated with a poor prognosis. Cytoreductive surgery (CRS and HIPEC play an important role in well-selected patients with PC. The aim of the study is to present the differences in the intraoperative parameters in patients who received HIPEC in two different manners, open versus closed abdomen. Patients and Methods. The population includes 105 patients with peritoneal carcinomatosis from colorectal, gastric, and ovarian cancer, sarcoma, mesothelioma, and pseudomyxoma peritonei. Group A (n=60 received HIPEC using the open technique and Group B (n=45 received HIPEC with the closed technique. The main end points were morbidity, mortality, and overall hospital stay. Results. There were two postoperative deaths (3.3% in the open group versus no deaths in the closed group. Twenty-two patients in the open group (55% had grade III-IV complications versus 18 patients in the closed group (40%. There are more stable intraoperative conditions in the closed abdomen HIPEC in CVP, pulse rate, and systolic pressure parameters. Conclusions. Both methods are equal in the HIPEC procedures. Perhaps the closed method is the method of choice for frail patients due to more stable hemodynamic parameters.

  11. Perioperative management of patients undergoing cytoreductive surgery combined with heated intraperitoneal chemotherapy for peritoneal surface malignancy: a multi-institutional experience.

    Science.gov (United States)

    Bell, John C; Rylah, Barnaby G; Chambers, Robert W; Peet, Helen; Mohamed, Faheez; Moran, Brendan J

    2012-12-01

    Cytoreductive surgery (CRS) combined with heated intraperitoneal chemotherapy (HIPEC) is an established treatment for patients with pseudomyxoma peritonei. There is now increasing evidence for the use of CRS and HIPEC in the treatment of other peritoneal surface malignancies. There is currently no consensus on the perioperative management of this patient group. An international survey of practice was conducted using an online survey tool. Centers were identified from the list of delegates attending the Seventh International Workshop on Peritoneal Surface malignancy held in Uppsala, Sweden, in September 2010. Fully completed surveys were received from 29 of 41 identified centers (71 %). The survey covers the combined experience amassed by anesthesiologists caring for 8,467 patients undergoing cytoreductive surgery. Intraoperative fluid management, management of coagulopathy, management of the HIPEC phase of the operation, and postoperative analgesia caused the greatest difficulties for the anesthesia team with variation in management identified between different institutions. The incidence of epidural abscess in this patient group was found to be 1:2,139. Optimal preoperative, intraoperative, and postoperative care is crucial to diminish the complications in this complex treatment strategy. Multicenter collaboration is suggested to gain evidence on the best strategies for perioperative management. Further data collection needs to be undertaken to assess the safety of epidural anesthesia in this patient group.

  12. Evaluation of magnetization transfer ratio in ascites and pelvic cystic masses

    Energy Technology Data Exchange (ETDEWEB)

    Okada, Susumu [Nippon Medical School, Inba, Chiba (Japan). Chiba-Hokuso Hospital; Kato, Tomoyasu; Yamashita, Takashi [and others

    1997-12-01

    To investigate the feasibility of magnetization transfer contrast (MTC) in characterization of pelvic cystic masses and ascites, in vitro studies were performed. Cystic fluids were taken from operative specimens of ten ovarian cystic masses (five mucinous cystadenomas, one cystadenocarcinoma, two serous cystadenocarcinomas, two clear cell carcinomas) and three non-ovarian pelvic cysts (one paraovarian cyst, one pseudomyxoma peritonei, one pelvic abscess). Samples of ascitic flied were drawn by peritoneal puncture in twenty patients (thirteen with peritonitis carcinomatosa, five with liver dysfunction, two with renal dysfunction). Total protein content in ascitic fluids was measured. Magnetization transfer ratio (MTR) was calculated by the signal intensities under the gradient echo sequence with and without the application of off-resonance pulses. The relative signal intensities (RSI) relative to water in T{sub 1} and T{sub 2} weighted images were obtained using spin echo sequence. There was no correlation between histological type of pelvic mass and MTR and RSI. Good correlation (R{sup 2}=0.761) was obtained between MTR and protein content in ascitic fluids, whereas no correlation was noted between RSI and protein content in ascitic fluids. These results suggest that MTC is not useful in the characterization of pelvic masses but is applicable in the differentiation between exudative ascites and transudative ascites. (author)

  13. Charcot-Marie-Tooth disease type 1A: morphological phenotype of the 17p duplication versus PMP22 point mutations

    NARCIS (Netherlands)

    Gabreëls-Festen, A. A.; Bolhuis, P. A.; Hoogendijk, J. E.; Valentijn, L. J.; Eshuis, E. J.; Gabreëls, F. J.

    1995-01-01

    Charcot-Marie-Tooth disease type 1A (CMT1A) or hereditary motor and sensory neuropathy type Ia (HMSN type Ia) is an autosomal dominant demyelinating polyneuropathy, which may result from duplications as large as 1.5 Mb on chromosome 17p 11.2-p12 encompassing the gene for the peripheral myelin

  14. Depletion of mucin in mucin-producing human gastrointestinal carcinoma: Results from in vitro and in vivo studies with bromelain and N-acetylcysteine.

    Science.gov (United States)

    Amini, Afshin; Masoumi-Moghaddam, Samar; Ehteda, Anahid; Liauw, Winston; Morris, David L

    2015-10-20

    Aberrant expression of membrane-associated and secreted mucins, as evident in epithelial tumors, is known to facilitate tumor growth, progression and metastasis, and to provide protection against adverse growth conditions, chemotherapy and immune surveillance. Emerging evidence provides support for the oncogenic role of MUC1 in gastrointestinal carcinomas and relates its expression to an invasive phenotype. Similarly, mucinous differentiation of gastrointestinal tumors, in particular increased or de novo expression of MUC2 and/or MUC5AC, is widely believed to imply an adverse clinicopathological feature. Through formation of viscous gels, too, MUC2 and MUC5AC significantly contribute to the biology and pathogenesis of mucin-secreting gastrointestinal tumors. Here, we investigated the mucin-depleting effects of bromelain (BR) and N-acetylcysteine (NAC), in nine different regimens as single or combination therapy, in in vitro (MKN45, KATOIII and LS174T cell lines) and in vivo (female nude mice bearing intraperitoneal MKN45 and LS174T) settings. The inhibitory effects of the treatment on cancer cell growth and proliferation were also evaluated in vivo. Our results suggest that a combination of BR and NAC with dual effects on growth and mucin products of mucin-expressing tumor cells is a promising candidate towards the development of novel approaches to gastrointestinal malignancies with the involvement of mucin pathology. This capability supports the use of this combination formulation in locoregional approaches for reducing the adverse effects of the aberrantly secreted gel-forming mucins, as in pseudomyxoma peritonei and similar pathologies with ectopic production of mucin.

  15. Laparoscopic approach to mucocele of appendiceal mucinous cystadenoma: feasibility and short-term outcomes in 24 consecutive cases.

    Science.gov (United States)

    Park, Ki-Jae; Choi, Hong-Jo; Kim, Sung-Heun

    2015-11-01

    Mucocele of the appendix is an uncommon condition where luminal distention by mucin is usually attributable to a mucinous cystadenoma. From a surgical standpoint, it is critical that the mucin-filled tumor remains intact during resection. Spillage of mucin into peritoneal cavity may otherwise lead to pseudomyxoma peritonei. Although acute appendicitis is managed successfully by laparoscopic appendectomy, the potential for rupture has fueled concerns over laparoscopic resection of appendiceal mucoceles. Our aim was to evaluate feasibility, safety, and short-term outcomes of laparoscopic resection in patients with a mucocele of appendix secondary to mucinous cystadenoma. Data collected prospectively at the Department of Surgery from October 2005 to December 2013 were reviewed, selecting all instances of preoperatively identified appendiceal mucoceles, which was confirmed as mucinous cystadenomas by histology after elective laparoscopic surgery. Patient demographics, surgical data (operative procedures and times, intraoperative complications), and short-term postoperative outcomes were analyzed retrospectively. Twenty-four consecutive patients (female 14) were studied. Mean age was 60.0 years (range 42-81 years). Surgical procedures included simple appendectomy (1/24, 4.2 %), partial cecectomy (15/24, 62.5 %), and ileocecal resection (8/24, 33.3 %). Mean operative time was 108.5 min (range 40-205 min). No intraoperative spillage of mucin occurred due to inadvertent rupture of tumor. Resection margins uniformly were negative for tumor. Mean maximal length and diameter of tumors were 7.9 cm (range 3.0-20.0 cm) and 3.2 cm (range 1.0-7.5 cm), respectively. One patient (4.2 %) suffered postoperative morbidity (wound infection). A laparoscopic approach proved feasible and safe for surgical management of appendiceal mucocele due to mucinous cystadenoma. However, long-term follow-up is warranted for more conclusive support.

  16. Bilateral blockade of MEK- and PI3K-mediated pathways downstream of mutant KRAS as a treatment approach for peritoneal mucinous malignancies.

    Science.gov (United States)

    Kuracha, Murali R; Thomas, Peter; Loggie, Brian W; Govindarajan, Venkatesh

    2017-01-01

    Mucinous colorectal adenocarcinomas (MCAs) are clinically and morphologically distinct from nonmucinous colorectal cancers (CRCs), show a distinct spectrum of genetic alterations (higher KRAS mutations, lower p53, high MUC2), exhibit more aggressive behavior (more prone to peritoneal dissemination and lymph node involvement) and are associated with poorer response to chemotherapy with limited treatment options. Here, we report the effectiveness of combinatorial targeting of two KRAS-mediated parallel pathways in reducing MUC2 production and mucinous tumor growth in vitro and in vivo. By knockdown of mutant KRAS we show that, mutant KRAS (a) is necessary for MUC2 production in vitro and (b) synergistically engages PI3K/AKT and MEK/ERK pathways to maintain MUC2 expression in MCA cells. These results define a novel and a previously undescribed role for oncogenic KRAS in mucinous cancers. MCA cells were sensitive to MEK inhibition suggesting cellular dependence ('addiction') of KRAS-mutant MCA cells on hyperactivation of the MEK-driven pathway. Interestingly, MCA cells, though initially sensitive, were later resistant to PI3K single agent inhibition. Our studies suggest that this resistance involves dynamic rewiring of signaling circuits mediated through relief of RTK inhibition and MEK-ERK rebound activation. This resistance however, could be overcome by co-targeting of PI3K and MEK. Our studies thus provide a rational basis for MEK- and PI3K-targeted combination therapy for not only KRAS mutant MCA but also for other related mucinous neoplasms that overproduce MUC2 and have a high rate of KRAS mutations such as pseudomyxoma peritonei.

  17. Nivolumab and Ipilimumab in Treating Patients With Rare Tumors

    Science.gov (United States)

    2017-12-08

    Acinar Cell Carcinoma; Adrenal Cortex Carcinoma; Adrenal Gland Pheochromocytoma; Anal Canal Neuroendocrine Carcinoma; Anal Canal Undifferentiated Carcinoma; Appendix Mucinous Adenocarcinoma; Bartholin Gland Transitional Cell Carcinoma; Bladder Adenocarcinoma; Cervical Adenocarcinoma; Cholangiocarcinoma; Chordoma; Colorectal Squamous Cell Carcinoma; Dermoid Cyst; Endometrial Transitional Cell Carcinoma; Endometrioid Adenocarcinoma; Esophageal Neuroendocrine Carcinoma; Esophageal Undifferentiated Carcinoma; Extrahepatic Bile Duct Carcinoma; Fallopian Tube Adenocarcinoma; Fallopian Tube Transitional Cell Carcinoma; Fibromyxoid Tumor; Gastric Neuroendocrine Carcinoma; Gastric Squamous Cell Carcinoma; Giant Cell Carcinoma; Intestinal Neuroendocrine Carcinoma; Intrahepatic Cholangiocarcinoma; Lung Carcinoid Tumor; Lung Sarcomatoid Carcinoma; Major Salivary Gland Carcinoma; Malignant Odontogenic Neoplasm; Malignant Peripheral Nerve Sheath Tumor; Malignant Testicular Sex Cord-Stromal Tumor; Metastatic Malignant Neoplasm of Unknown Primary Origin; Minimally Invasive Lung Adenocarcinoma; Mixed Mesodermal (Mullerian) Tumor; Mucinous Adenocarcinoma; Mucinous Cystadenocarcinoma; Nasal Cavity Adenocarcinoma; Nasal Cavity Carcinoma; Nasopharyngeal Carcinoma; Nasopharyngeal Papillary Adenocarcinoma; Nasopharyngeal Undifferentiated Carcinoma; Oral Cavity Carcinoma; Oropharyngeal Undifferentiated Carcinoma; Ovarian Adenocarcinoma; Ovarian Germ Cell Tumor; Ovarian Mucinous Adenocarcinoma; Ovarian Squamous Cell Carcinoma; Ovarian Transitional Cell Carcinoma; Pancreatic Acinar Cell Carcinoma; Pancreatic Neuroendocrine Carcinoma; Paraganglioma; Paranasal Sinus Adenocarcinoma; Paranasal Sinus Carcinoma; Parathyroid Gland Carcinoma; Pituitary Gland Carcinoma; Placental Choriocarcinoma; Placental-Site Gestational Trophoblastic Tumor; Primary Peritoneal High Grade Serous Adenocarcinoma; Pseudomyxoma Peritonei; Scrotal Squamous Cell Carcinoma; Seminal Vesicle Adenocarcinoma; Seminoma; Serous

  18. Recurrent pulmonary embolism due to hydatid disease of heart. Study of 3 cases, one with intermittent tricuspid valve obstruction (atrial pseudomyxoma).

    Science.gov (United States)

    Gilsanz, V; Campo, C; Cue, R; Estella, J; Estrada, R V; Perez-oteiza, C; Rabago, G; Rebollar, J L; Zarco, P

    1977-01-01

    Three cases of pulmonary hypertension caused by hydatid emboli from the right side of the heart are described; cardiac catheterisation was performed in 2. One case was confirmed at operation and 2 at necropsy. The pulmonary emboli were caused by hydatid vesicles in all 3 cases and in none was there pulmonary thrombosis; free scolices were found in the pulmonary alveoli in 2. In 1 patient with repeated syncopal attacks there was a pedunculated cyst in the right atrium which was though to have intermittently obstructed the tricuspid valve. Gamma radiography, angiocardiography, and necropsy suggested a mechanical cause for the pulmonary hypertenion with no vasoconstrictive element. The surgical patient was alive and well 18 months later. Images PMID:861098

  19. Monitoring of the data processing and simulated production at CMS with a web-based service the Production Monitoring Platform (pMp)

    CERN Document Server

    Norkus, Antanas; Pol, A A; Srimanobhas, N; Walker, J

    2017-01-01

    Physics analysis at the Compact Muon Solenoid requires both the production of simulated events and processing of the data collected by the experiment. Since the end of the LHC Run-I in 2012, CMS has produced over 20 billion simulated events, from 75 thousand processing requests organised in one hundred different campaigns. These campaigns emulate different configurations of collision events, the detector, and LHC running conditions. In the same time span, sixteen data processing campaigns have taken place to reconstruct different portions of the Run-I and Run-II data with ever improving algorithms and calibrations. The scale and complexity of the events simulation and processing, and the requirement that multiple campaigns must proceed in parallel, demand that a comprehensive, frequently updated and easily accessible monitoring be made available. The monitoring must serve both the analysts, who want to know which and when datasets will become available, and the central production teams in charge of submitting...

  20. The Reliability Mandate: Optimizing the Use of Highly Reliable Parts, Materials, and Processes (PM&P) to Maximize System Component Reliability in the Life Cycle

    National Research Council Canada - National Science Library

    Kruse, Darin

    2002-01-01

    .... It has also been ranked as one the top reliability problems by Program Managers. One design technique for maximizing inherent reliability is through the use of highly reliable parts, materials, and processes...

  1. Relações entre a certificação internacional pmp® de gerência de projetos e uma sala de aula

    Directory of Open Access Journals (Sweden)

    Armando Terribili Filho

    2006-01-01

    Full Text Available El objetivo de este ensayo es identificar los puntos que hay en común entre la gerencia profesional de proyectos y la actividad docente en el salón de clase. El análisis se hace con base en las diez disciplinas del PMI (Project Management Institute: gestión de límites, gestión del tiempo; gestión de la calidad; gestión de los recursos humanos; gestión de adquisiciones; gestión de los costos; gestión de la comunicación; gestión de los riesgos; gestión de la integración y ética profesional. ¿Como un profesor (con base en su conocimiento, acciones, decisiones, comportamientos y aptitudes es capaz de manejar estos diversos aspectos en el salón de clase simultáneamente? Por otro lado, la ejecución de un aula es compleja, exigiendo del profesor: conceptos de proyecto, conocimiento técnico, metodológico, didáctico-pedagógico, psicológico y sociológico, y principalmente, vocación.

  2. Carcinoma involving the gallbladder: a retrospective review of 23 cases - pitfalls in diagnosis of gallbladder carcinoma

    Directory of Open Access Journals (Sweden)

    Giang Tran H

    2012-01-01

    Full Text Available Abstract Background Carcinoma of the gallbladder (GBC clinically mimics benign gallbladder diseases and often escapes detection until advanced stage. Despite the frequency of cholecystectomy, diagnosis of GBC remains problematic in many situations. We sought to identify pathologic features that contribute to the difficulty in recognition of GBC. Methods We identified 23 patients (ranged from 45 to 86 years, male to female ratio 1:4.5 with carcinoma involving the gallbladder referred to an academic medical center over a period of 10 years for study. This includes 10 cases of primary GBC, 6 cases of metastatic tumor to gallbladder, 6 cases of directly invasive adenocarcinoma arising elsewhere in the biliary tree, and one case of unidentified origin adenocarcinoma. Primary tumors include adenocarcinoma not otherwise specified (NOS in 6 cases, papillary adenocarcinoma in 2 cases, and single cases of undifferentiated carcinoma and combined adenocarcinoma and neuroendocrine carcinoma (NEC. Metastatic tumors to gallbladder were from a wide range of primary sites, predominantly the gastrointestinal tract. Results These cases illustrate seven potential pitfalls which can be encountered. These include: 1 mistakenly making a diagnosis of adenocarcinoma of gallbladder when only benign lesions such as deeply penetrating Rokitansky-Aschoff sinuses are present (overdiagnosis, 2 misdiagnosing well-differentiated invasive carcinoma with minimal disease as benign disease (underdiagnosis, 3 differentiating between primary NEC of gallbladder and metastasis, 4 confusing primary mucinous adenocarcinoma of gallbladder with pseudomyxoma peritonei from a low grade appendiceal neoplasm disseminated to gallbladder, 5 confusing gangrenous necrosis related to cholecystitis with geographic tumoral necrosis, 6 undersampling early, grossly occult disease, and 7 misinterpreting extracellular mucin pools. Conclusions Clinical history and a high index of suspicion are

  3. Ultrasound-guided biopsy of greater omentum: An effective method to trace the origin of unclear ascites

    Energy Technology Data Exchange (ETDEWEB)

    Que Yanhong [Department of Ultrasound, First Affiliated Hospital of China Medical University, Shenyang, Liaoning 110001 (China)], E-mail: quebaobao@yahoo.com.cn; Wang Xuemei [Department of Ultrasound, First Affiliated Hospital of China Medical University, Shenyang, Liaoning 110001 (China)], E-mail: wxmlmt@yahoo.com.cn; Liu Yanjun [Department of Ultrasound, First Affiliated Hospital of China Medical University, Shenyang, Liaoning 110001 (China)], E-mail: lyj7512@sina.com; Li Ping [Department of Ultrasound, First Affiliated Hospital of China Medical University, Shenyang, Liaoning 110001 (China)], E-mail: liping7213@sina.com; Ou Guocheng [Department of Ultrasound, First Affiliated Hospital of China Medical University, Shenyang, Liaoning 110001 (China)], E-mail: yang9951@126.com; Zhao Wenjing [Department of Ultrasound, First Affiliated Hospital of China Medical University, Shenyang, Liaoning 110001 (China)], E-mail: awk999@163.com

    2009-05-15

    Objectives: Thickened greater omentum is encountered with high frequency in patients with ascites. The purpose of our study was to assess the utility of greater omentum biopsy under the guidance of ultrasound (US) in tracing the origin of unclear ascites and differentiating benign and malignant ascites. Materials and methods: We retrospectively reviewed our institutional database for all records of greater omentum biopsy cases. One hundred and ninety-four patients with unclear ascites and thickened greater omentum were included in the study. The sonograms of greater omentum were evaluated before undergoing the ultrasound-guided biopsy and a biopsy was considered successful if a specific benign or malignant diagnosis was rendered by the pathologist. Results: Successful biopsy was rendered for 182 biopsy procedures (93.8%, 182/194) including tuberculosis (n = 114), chronic inflammation (n = 3), metastases (n = 58), malignant mesothelioma (n = 6) and pseudomyxoma peritonei (n = 1). Twelve biopsies were non-diagnostic. According to the results of biopsy and follow-up, the sensitivity and specificity of biopsy in distinguishing malignant ascites from benign ascities were respectively 95.6% (65/68) and 92.9% (117/126). The greater omentum of 84 cases of tuberculous peritonitis showed 'cerebral fissure' sign and was well seen as an omental cake infiltrated with irregular nodules when involved by carcinomatosis. No 'cerebral fissure' sign was observed in peritoneal carcinomatosis. The sensitivity and specificity of this sign in indicating the existence of tuberculous peritonitis were 73.5% (89/121) and 100% (73/73). Moreover, if the specific 'cerebral fissure' sign was combined with the biopsy results, the specificity of biopsy in distinguishing malignant ascites from benign ascits increased to 96.8% (122/126). Conclusion: Ultrasound-guided biopsy of greater omentum is an important and effective method to diagnose the unclear ascites for

  4. Intra-abdominal adhesions in ultrasound. Part II: The morphology of changes

    Directory of Open Access Journals (Sweden)

    Andrzej Smereczyński

    2013-03-01

    . The immobility of the liver is a permanent symptom of subdiaphragmatic abscess which needs to be included in the differentiation process. 6. In case of doubts, the suspicious liver area may be examined without the consideration of the scar in the abdominal wall. In the differentiation of visceroperitoneal adhesions, firstly, one needs to exclude the peritoneum infiltration in the course of inflammation and neoplastic spreading, which may be very difficult in patients who have undergone a surgery. Pseudomyxoma peritonei constitutes a source of errors much more rarely.

  5. Characterization of dextran sodium sulfate-induced inflammation and colonic tumorigenesis in Smad3(-/- mice with dysregulated TGFβ.

    Directory of Open Access Journals (Sweden)

    Audrey Seamons

    Full Text Available There are few mouse models that adequately mimic large bowel cancer in humans or the gastrointestinal inflammation which frequently precedes it. Dextran sodium sulphate (DSS-induces colitis in many animal models and has been used in combination with the carcinogen azoxymethane (AOM to induce cancer in mice. Smad3(-/- mice are deficient in the transforming growth factor beta (TGFβ signaling molecule, SMAD3, resulting in dysregulation of the cellular pathway most commonly affected in human colorectal cancer, and develop inflammation-associated colon cancer. Previous studies have shown a requirement for a bacterial trigger for the colitis and colon cancer phenotype in Smad3(-/- mice. Studies presented here in Smad3(-/- mice detail disease induction with DSS, without the use of AOM, and show a Smad3(-/- mice develop a spectrum of lesions ranging from acute and chronic colitis, crypt herniation, repair, dysplasia, adenomatous polyps, disseminated peritoneal adenomucinosis, adenocarcinoma, mucinous adenocarcinoma (MAC and squamous metaplasia; b the colon lesions have variable galactin-3 (Mac2 staining c increased DSS concentration and duration of exposure leads to increased severity of colonic lesions; d heterozygosity of SMAD3 does not confer increased susceptibility to DSS-induced disease and e disease is partially controlled by the presence of T and B cells as Smad3(-/- Rag2(-/- double knock out (DKO mice develop a more severe disease phenotype. DSS-induced disease in Smad3(-/- mice may be a useful animal model to study not only inflammation-driven MAC but other human diseases such as colitis cystica profunda (CCP and pseudomyxomatous peritonei (PMP.

  6. Aproximación a la estimación estadística de la precipitación máxima probable (PMP) para La Plata, Buenos Aires, Argentina

    OpenAIRE

    Romanazzi, Pablo Gustavo

    2015-01-01

    En los últimos 40 años se han acumulado evidencias suficientes a escala mundial para constatar un incremento del número de casos de inundaciones provocados por tormentas extremas, en especial, en ámbitos altamente urbanizados. Sin abordar la discusión de los efectos de un cambio climático o de una variabilidad climática, el conteo simple de casos de inundación es muy elevado en varias regiones del planeta, tal cual se puede constatar al revisar las estadísticas de la base mundial que publica ...

  7. Cistoadenoma de apêndice: relato de caso e revisão da literatura sobre tumores mucinosos do apêndice vermiforme Cyst adenoma of appendix: case report and literature review about mucinous vermiform appendix neoplasms

    Directory of Open Access Journals (Sweden)

    Leonardo Maciel da Fonseca

    2008-03-01

    Full Text Available INTRODUÇÃO: Mucocele do apêndice (MA é uma lesão rara, caracterizada pelo acúmulo de secreção mucoíde em sua luz. Diagnóstico precoce é fundamental para evitar o extravasamento de secreção mucoíde na cavidade peritoneal, causando pseudomixoma peritoneal. RELATO DE CASO: Paciente sexo masculino, 62 anos com história de dor abdominal em fossa ilíaca direita há cerca de 6 meses. Realizou uma ultra-sonografia do abdome que evidenciou no flanco direito pequena estrutura cística compatível com MA. Colonoscopia, exames laboratoriais e dosagem do CEA encontravam-se sem alterações. O paciente foi submetido à laparotomia exploradora com ressecção do apêndice e do seu meso em monobloco. O exame histológico mostrou tratar-se de cistoadenoma do apêndice vermiforme. O paciente evoluiu sem intercorrências. DISCUSSÃO: A MA é um achado raro. As principais causas patológicas incluem cisto de retenção, mucocele secundária a epitélio hiperplásico, cistoadenomas e cistoadenocarcinomas. A doença é geralmente assintomática e o diagnóstico pré-operatório é raro. O tratamento para mucocele do apêndice é cirúrgico e a preocupação principal do cirurgião é evitar o extravasamento do conteúdo da mucocele na cavidade abdominal. CONCLUSÃO: A MA é uma entidade incomum e com alto potencial de complicação, usualmente curável com tratamento cirúrgico adequado.INTRODUCTION: Appendiceal mucocele (AM is a rare lesion that is characterized by an appendiceal lumen distended with mucus. Early diagnosis and prompt surgical intervention are mandatory to prevent spillage of the mucinous content into the peritoneal cavity, causing pseudomyxoma peritonei. CASE REPORT: A 62-year-old male was presented with a 6-months history of recurrent right lower quadrant abdominal pain. Ultrasonography showed a lesion in the right lumbar region compatible with AM. Colonoscopy, routine laboratory tests and CEA were normal. The patient underwent an

  8. [Treatment of the peritoneal carcinomatosis by cytoreductive surgery and intraperitoneal hyperthermic chemotherapy (IHPC): postoperative morbidity and mortality and short-term follow-up].

    Science.gov (United States)

    Minicozzi, Annamaria; Borzellino, Giuseppe; Momo, Emmanuel Nguefouet; Segattini, Christian; Pitoni, Federica; Steccanella, Francesca; De Manzoni, Giovanni

    2008-01-01

    In order to treat the peritoneal carcinomatosis from abdominal neoplasms has been recently proposed complete peritonectomy associated with IntraPeritoneal Hyperthermic Chemotherapy (IHPC). Estimate of postoperative morbidity and mortality and short-term outcome. Twenty-four patients with peritoneal carcinomatosis or positive cytology at peritoneal washing were treated in our Department from January 2005 to October 2007. Primary tumor was ovarian carcinoma in ten patients: four cases presented peritoneal surface malignancies (PSM) after any time from hysteroadnexectomy related to primary tumor, six cases synchronous PSM. Primary tumor was gastric cancer in seven patients: the peritoneal washing was positive in four cases and, during follow-up period after gastrectomy, other two cases presented PSM. One patient was previously treated with ovariectomy for ovaric mass that resulted a Krukenberg's tumor of gastric cancer. Primary tumor was pseudomixoma peritonei in four patients; cytoreductive surgery and IHPC was carried as first line therapy in only one patient. Three patients were previously treated for colon carcinoma. IHPC was carried out through abdominopelvic cavity for 60 minutes using a closed abdomen technique. The drugs used were Mitomycin C (3.3 mg/m2/L) and Cisplatin (25 mg/m2/L). The intracavitary mean temperature was 41.8 degrees C. The mean Peritoneal Cancer Index (PCI) was 14. Postoperative major complications occurred in 7 cases (28%), postoperative minor complications occurred in 8 cases (32%). No patients died in the postoperative period. Mean hospital staying was 11.5 days ( 6-35 days). After a median follow-up of 8 months (range 2-34), 14 (58%) patients are alive and 13 are disease free. Our experience is consistent with other studies for the high rate of postoperative morbidity associated with treatment, but we achieved best results on mortality and post-operative staying. CRS associated with IHPC is a good therapeutic option especially in ovaric

  9. Anestesia para peritonectomia com quimioterapia intraperitoneal hipertérmica transoperatória: relato de caso Anestesia para peritonectomía con quimioterapia intraperitoneal hipertérmica transoperatória: relato de caso Anesthesia for peritonectomy with hyperthermic intraoperative peritoneal chemotherapy: case report

    Directory of Open Access Journals (Sweden)

    Giorgio Pretto

    2010-10-01

    procedimiento y de la gran demanda quirúrgica, es fundamental que el anestesista vigile el mantenimiento de los parámetros clínicos, laboratoriales, el reconocimiento y el tratamiento de cualquier alteraciónBACKGROUND AND OBJECTIVES: Pseudomyxoma peritonei is a rare condition related to epithelial neoplasia of the appendix and ovaries. Surgical cytoreduction, peritonectomy, and hyperthermic intraoperative peritoneal chemotherapy (HIPEC is the treatment of choice. Maintenance of normovolemia, normothermia, postoperative pain management and coagulation status are all responsibility of the anesthesiologist. The objective of this report was to describe a case of peritonectomy with HIPEC. CASE REPORT: This is a 37 year-old female, ASA I, with a history of appendectomy 3 months ago with an anatomopathological report of mucinous cystoadenoma. After review of the pathological sample, a pseudomyxoma peritonei was diagnosed with indication of peritonectomy with HIPEC. An epidural catheter (T11-T12 was placed and a test-dose, as well as morphine, was administered. Anesthesia was induced with remifentanil, 0.4 µg.kg-1.min-1, propofol, and rocuronium, besides rapid-sequence orotracheal intubation. Remifentanil, sevoflurane, and rocuronium were used for anesthesia maintenance according to the TOF. Ropivacaine 50 mg, and fentanyl 10 µg. in 10 mL were administered through the epidural catheter 10 minutes before incision. During the surgery, CVP, SpO2, FeCO2, temperature, heart rate, MAP, and urine output maintained stable levels within normal limits, including during HIPEC. Reduction of the hematocrit and SvO2, increased PT, and thrombocytopenia were corrected by administering blood products. After 13 hours of surgery, the patient was admitted to the ICU under controlled ventilation. She was extubated on the 1st postoperative day, being discharged from the hospital on the 17th day of hospitalization. CONCLUSIONS: Surgical cytoreduction and peritonectomy with HIPEC goes back to the decade

  10. 0-6683 : develop a pavement project evaluation index to support the 4-year pavement management plan.

    Science.gov (United States)

    2013-08-01

    A pavement management plan (PMP) identifies : candidate maintenance and rehabilitation (M&R) : projects for a particular roadway network over a : multi-year planning period. The PMP is a living : document because projects are reevaluated and : reprio...

  11. 77 FR 62280 - Self-Regulatory Organizations; International Securities Exchange, LLC; Notice of Filing and...

    Science.gov (United States)

    2012-10-12

    ..., SIN, RND, HHO, PMP, POW, TNY, WMX, IXZ, UKX, and NXTQ. The Exchange has delisted these products and... reasonable to remove DMA, FUM, HSX, OOG, BYT, HVY, RUF, JLO, SIN, RND, HHO, PMP, POW, TNY, WMX, IXZ, UKX, and...

  12. Page 1 Arobable maximum point Painfall estimation 43 ading values ...

    Indian Academy of Sciences (India)

    ading values of X, of the long-period stations in this region. Using lies for each of the stations, PMP values were derived by using (1). ion of a generalized PMP chart ring a generalized PMP chart for the southern half of the Indian he coefficient of variation. ICV = (SIX.) x 100 values for all the. ;tations were plotted on a ...

  13. The 2008 ERA–EDTA Registry Annual Report—a précis

    Science.gov (United States)

    Stel, Vianda S.; van de Luijtgaarden, Moniek W.M.; Wanner, Christoph; Jager, Kitty J.

    2011-01-01

    Background. This study provides a summary of the 2008 ERA–EDTA Registry Report (this report is available at www.era-edta-reg.org). Methods. The data on renal replacement therapy (RRT) were available from 55 national and regional registries in 30 countries in Europe and bordering the Mediterranean Sea. Datasets with individual patient data were received from 36 registries, whereas 19 registries contributed data in aggregated form. We presented incidence and prevalence of RRT, and transplant rates. Survival analysis was solely based on individual patient records. Results. In 2008, the overall incidence rate of RRT for end-stage renal disease (ESRD) among all registries reporting to the ERA–EDTA Registry was 122 per million population (pmp), and the prevalence was 644 pmp. Incidence rates varied from 264 pmp in Turkey to 15 pmp in Ukraine. The mean age of patients starting RRT in 2008 ranged from 69 years in Dutch-speaking Belgium to 44 years in Ukraine. The highest prevalence of RRT for ESRD was reported by Portugal (1408 pmp) and the lowest by Ukraine (89 pmp). The prevalence of haemodialysis on 31 December 2008 ranged from 66 pmp (Ukraine) to 875 pmp (Portugal) and the prevalence of peritoneal dialysis from 8 pmp (Montenegro) to 115 pmp (Denmark). In Norway, 70% of the patients on RRT on 31 December 2008 were living with a functioning graft (572 pmp). In 2008, the number of transplants performed pmp was highest in Spain (Catalonia) (64 pmp), whereas the highest transplant rates with living-donor kidneys were reported from the Netherlands (25 pmp) and Norway (21 pmp). In the cohort 1999–2003, the unadjusted 1-, 2- and 5-year survival of patients on RRT was 80.8% (95% CI: 80.6–81.0), 69.1% (95% CI: 68.9–69.3) and 46.1% (95% CI: 45.9–46.3), respectively. PMID:21245934

  14. Peripheral myelin protein 22 is a constituent of intercellular junctions in epithelia.

    Science.gov (United States)

    Notterpek, L; Roux, K J; Amici, S A; Yazdanpour, A; Rahner, C; Fletcher, B S

    2001-12-04

    Alterations in peripheral myelin protein 22 (PMP22) gene expression are associated with a host of heritable demyelinating peripheral neuropathies, yet the function of the protein remains unknown. PMP22 expression is highest in myelinating Schwann cells of peripheral nerves; however, significant levels of PMP22 mRNAs can be detected in a variety of non-neural tissue, including epithelia. To date, PMP22 protein expression and localization in non-neural tissues have not been studied in detail. In adult rat liver and intestine, and cultured epithelial cells, we detected PMP22-like immunoreactivity associated with markers of the tight junctional complex, including zonula occludens 1 (ZO-1) and occludin. Upon disruption of intercellular contacts, PMP22 was internalized into vesicles that were immunoreactive for both anti-occludin and anti-PMP22 antibodies. Nonionic detergent extraction of cultured epithelial cells did not solubilize PMP22, as the majority of the protein remained in the detergent insoluble fraction, as did ZO-1 and occludin. We also observed the targeting of exogenous myc-tagged PMP22 to apical cell junctions in polarized epithelia and to anti-ZO-1 antibody immunoreactive cell contacts of L fibroblasts. These studies support a role for PMP22 at intercellular junctions of epithelia and may indicate a similar function in myelinating Schwann cells. Furthermore, our findings could provide an explanation for certain phenotypes of PMP22 neuropathy mice that cannot be accounted for by dysmyelination.

  15. An application of Hamiltonian neurodynamics using Pontryagin's Maximum (Minimum) Principle.

    Science.gov (United States)

    Koshizen, T; Fulcher, J

    1995-12-01

    Classical optimal control methods, notably Pontryagin's Maximum (Minimum) Principle (PMP) can be employed, together with Hamiltonians, to determine optimal system weights in Artificial Neural dynamical systems. A new learning rule based on weight equations derived using PMP is shown to be suitable for both discrete- and continuous-time systems, and moreover, can also be applied to feedback networks. Preliminary testing shows that this PMP learning rule compares favorably with Standard BackPropagations (SBP) on the XOR problem.

  16. Tead1 regulates the expression of Peripheral Myelin Protein 22 during Schwann cell development.

    Science.gov (United States)

    Lopez-Anido, Camila; Poitelon, Yannick; Gopinath, Chetna; Moran, John J; Ma, Ki Hwan; Law, William D; Antonellis, Anthony; Feltri, M Laura; Svaren, John

    2016-07-15

    Schwann cells are myelinating glia in the peripheral nervous system that form the myelin sheath. A major cause of peripheral neuropathy is a copy number variant involving the Peripheral Myelin Protein 22 (PMP22) gene, which is located within a 1.4-Mb duplication on chromosome 17 associated with the most common form of Charcot-Marie-Tooth Disease (CMT1A). Rodent models of CMT1A have been used to show that reducing Pmp22 overexpression mitigates several aspects of a CMT1A-related phenotype. Mechanistic studies of Pmp22 regulation identified enhancers regulated by the Sox10 (SRY sex determining region Y-box 10) and Egr2/Krox20 (Early growth response protein 2) transcription factors in myelinated nerves. However, relatively little is known regarding how other transcription factors induce Pmp22 expression during Schwann cell development and myelination. Here, we examined Pmp22 enhancers as a function of cell type-specificity, nerve injury and development. While Pmp22 enhancers marked by active histone modifications were lost or remodeled after injury, we found that these enhancers were permissive in early development prior to Pmp22 upregulation. Pmp22 enhancers contain binding motifs for TEA domain (Tead) transcription factors of the Hippo signaling pathway. We discovered that Tead1 and co-activators Yap and Taz are required for Pmp22 expression, as well as for the expression of Egr2 Tead1 directly binds Pmp22 and Egr2 enhancers early in development and Tead1 binding is induced during myelination, correlating with Pmp22 expression. The data identify Tead1 as a novel regulator of Pmp22 expression during development in concert with Sox10 and Egr2. © The Author 2016. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  17. Hyperthermic intraoperative intraperitoneal chemotherapy for peritoneal carcinomatosis and sarcomatosis using a cardioplegia heat exchanger and a two-pump system: a case report.

    Science.gov (United States)

    Vocelka, C R; Anderson, D L; Crockett, G I

    2000-11-01

    A 34-year-old male diagnosed with pseudomyxoma peritoneii presented for an exploratory laparotomy and hyperthermic intraoperative intraperitoneal chemotherapy. A circuit using two roller pumps and a cardioplegia administration set was assembled to deliver the chemotherapy perfusate at a consistent temperature. The authors discuss a case in which this treatment modality was used, describing the perfusionist's role and the circuit design.

  18. The expression, processing and localization of polymorphic membrane proteins in Chlamydia pneumoniae strain CWL029

    Directory of Open Access Journals (Sweden)

    Vandekerckhove Joël

    2002-11-01

    Full Text Available Abstract Background Chlamydiae are obligate intracellular bacteria, which are important human pathogens. Genome sequences of C. trachomatis and C. pneumoniae have revealed the presence of a Chlamydia specific gene family encoding polymorphic outer membrane proteins, Pmps. In C. pneumoniae the family comprises twenty-one members, which are all transcribed. In the present study, the expression, processing and localisation of the sixteen full-length Pmps in C. pneumoniae strain CWL029 have been further investigated by two-dimensional gel electrophoresis and immunofluorescence microscopy. Results Ten Pmps were identified in elementary bodies (EBs. Eight of these were investigated with respect to time dependent expression and all were found to be up-regulated between 36 and 48 hours post infection. Antibodies against Pmp6, 8, 10, 11 and 21 reacted with chlamydiae when infected cells were formalin fixed. Pmp6, Pmp20 and Pmp21 were found in cleaved forms, and the cleavage sites of Pmp6 and Pmp21 were identified. Conclusions The Pmps are heavily up-regulated at the time of conversion of RB to EB, and at least ten Pmps are present in EBs. Due to their reaction in formalin fixation it is likely that Pmp6, 8, 10, 11 and 21 are surface exposed. The identified cleavage sites of Pmp6 and Pmp21 are in agreement with the theory that the Pmps are autotransporters.

  19. Integrated calibration of multiview phase-measuring profilometry

    Science.gov (United States)

    Lee, Yeong Beum; Kim, Min H.

    2017-11-01

    Phase-measuring profilometry (PMP) measures per-pixel height information of a surface with high accuracy. Height information captured by a camera in PMP relies on its screen coordinates. Therefore, a PMP measurement from a view cannot be integrated directly to other measurements from different views due to the intrinsic difference of the screen coordinates. In order to integrate multiple PMP scans, an auxiliary calibration of each camera's intrinsic and extrinsic properties is required, in addition to principal PMP calibration. This is cumbersome and often requires physical constraints in the system setup, and multiview PMP is consequently rarely practiced. In this work, we present a novel multiview PMP method that yields three-dimensional global coordinates directly so that three-dimensional measurements can be integrated easily. Our PMP calibration parameterizes intrinsic and extrinsic properties of the configuration of both a camera and a projector simultaneously. It also does not require any geometric constraints on the setup. In addition, we propose a novel calibration target that can remain static without requiring any mechanical operation while conducting multiview calibrations, whereas existing calibration methods require manually changing the target's position and orientation. Our results validate the accuracy of measurements and demonstrate the advantages on our multiview PMP.

  20. The 2008 ERA-EDTA Registry Annual Report-a précis.

    Science.gov (United States)

    Stel, Vianda S; van de Luijtgaarden, Moniek W M; Wanner, Christoph; Jager, Kitty J

    2011-02-01

    Background. This study provides a summary of the 2008 ERA-EDTA Registry Report (this report is available at www.era-edta-reg.org).Methods. The data on renal replacement therapy (RRT) were available from 55 national and regional registries in 30 countries in Europe and bordering the Mediterranean Sea. Datasets with individual patient data were received from 36 registries, whereas 19 registries contributed data in aggregated form. We presented incidence and prevalence of RRT, and transplant rates. Survival analysis was solely based on individual patient records.Results. In 2008, the overall incidence rate of RRT for end-stage renal disease (ESRD) among all registries reporting to the ERA-EDTA Registry was 122 per million population (pmp), and the prevalence was 644 pmp. Incidence rates varied from 264 pmp in Turkey to 15 pmp in Ukraine. The mean age of patients starting RRT in 2008 ranged from 69 years in Dutch-speaking Belgium to 44 years in Ukraine. The highest prevalence of RRT for ESRD was reported by Portugal (1408 pmp) and the lowest by Ukraine (89 pmp). The prevalence of haemodialysis on 31 December 2008 ranged from 66 pmp (Ukraine) to 875 pmp (Portugal) and the prevalence of peritoneal dialysis from 8 pmp (Montenegro) to 115 pmp (Denmark). In Norway, 70% of the patients on RRT on 31 December 2008 were living with a functioning graft (572 pmp). In 2008, the number of transplants performed pmp was highest in Spain (Catalonia) (64 pmp), whereas the highest transplant rates with living-donor kidneys were reported from the Netherlands (25 pmp) and Norway (21 pmp). In the cohort 1999-2003, the unadjusted 1-, 2- and 5-year survival of patients on RRT was 80.8% (95% CI: 80.6-81.0), 69.1% (95% CI: 68.9-69.3) and 46.1% (95% CI: 45.9-46.3), respectively.

  1. Phosphorylation-mediated Regulatory Networks in Mycelia of Pyricularia oryzae Revealed by Phosphoproteomic Analyses.

    Science.gov (United States)

    Wang, Rui-Jin; Peng, Junbo; Li, Qing X; Peng, You-Liang

    2017-09-01

    Protein phosphorylation is known to regulate pathogenesis, mycelial growth, conidiation and stress response in Pyricularia oryzae However, phosphorylation mediated regulatory networks in the fungal pathogen remain largely to be uncovered. In this study, we identified 1621 phosphorylation sites of 799 proteins in mycelia of P. oryzae, including 899 new p-sites of 536 proteins and 47 new p-sites of 31 pathogenicity-related proteins. From the sequences flanking the phosphorylation sites, 19 conserved phosphorylation motifs were identified. Notably, phosphorylation was detected in 7 proteins that function upstream of Pmk1, but not in Pmk1 and its downstream Mst12 and Sfl1 that have been known to regulate appressorium formation and infection hyphal growth of P. oryzae Interestingly, phosphorylation was detected at the site Ser(240) of Pmp1, which is a putative protein phosphatase highly conserved in filamentous fungi but not characterized. We thus generated Δpmp1 deletion mutants and dominant allele PMP1(S240D) mutants. Phenotyping analyses indicated that Pmp1 is required for virulence, conidiation and mycelial growth. Further, we observed that phosphorylation level of Pmk1 in mycelia was significantly increased in the Δpmp1 mutant, but decreased in the PMP1(S240D) mutant in comparison with the wild type, demonstrating that Pmp1 phosphorylated at Ser(240) is important for regulating phosphorylation of Pmk1. To our surprise, phosphorylation of Mps1, another MAP kinase required for cell wall integrity and appressorium formation of P. oryzae, was also significantly enhanced in the Δpmp1 mutant, but decreased in the PMP1(S240D) mutant. In addition, we found that Pmp1 directly interacts with Mps1 and the region AA180-230 of Pmp1 is required for the interaction. In summary, this study sheds new lights on the protein phosphorylation mediated regulatory networks in P. oryzae. © 2017 by The American Society for Biochemistry and Molecular Biology, Inc.

  2. Expression and targeting of a 47 kDa integral peroxisomal membrane protein of Candida boidinii in wild type and a peroxisome-deficient mutant of Hansenula polymorpha

    NARCIS (Netherlands)

    Sulter, G.J.; Waterham, H.R.; Vrieling, E.G.; Goodman, J.M.; Harder, W.; Veenhuis, M.

    1993-01-01

    A 47 kDa integral peroxisomal membrane protein (PMP47) of Candida boidinii was expressed in wild type (WT) and a temperature-sensitive (Ts6) peroxisome-deficient (per) mutant of Hansenula polymorpha. The subcellular location of PMP47 appeared to be dependent on the level of expression. At low

  3. Microbial community structure and soil pH correspond to methane production in Arctic Alaska soils.

    Science.gov (United States)

    Wagner, Robert; Zona, Donatella; Oechel, Walter; Lipson, David

    2017-08-01

    While there is no doubt that biogenic methane production in the Arctic is an important aspect of global methane emissions, the relative roles of microbial community characteristics and soil environmental conditions in controlling Arctic methane emissions remains uncertain. Here, relevant methane-cycling microbial groups were investigated at two remote Arctic sites with respect to soil potential methane production (PMP). Percent abundances of methanogens and iron-reducing bacteria correlated with increased PMP, while methanotrophs correlated with decreased PMP. Interestingly, α-diversity of the methanogens was positively correlated with PMP, while β-diversity was unrelated to PMP. The β-diversity of the entire microbial community, however, was related to PMP. Shannon diversity was a better correlate of PMP than Simpson diversity across analyses, while rarefied species richness was a weak correlate of PMP. These results demonstrate the following: first, soil pH and microbial community structure both probably control methane production in Arctic soils. Second, there may be high functional redundancy in the methanogens with regard to methane production. Third, iron-reducing bacteria co-occur with methanogens in Arctic soils, and iron-reduction-mediated effects on methanogenesis may be controlled by α- and β-diversity. And finally, species evenness and rare species abundances may be driving relationships between microbial groups, influencing Arctic methane production. © 2017 Society for Applied Microbiology and John Wiley & Sons Ltd.

  4. Effects of climate change on probable maximum precipitation: A sensitivity study over the Alabama-Coosa-Tallapoosa River Basin

    Science.gov (United States)

    Rastogi, Deeksha; Kao, Shih-Chieh; Ashfaq, Moetasim; Mei, Rui; Kabela, Erik D.; Gangrade, Sudershan; Naz, Bibi S.; Preston, Benjamin L.; Singh, Nagendra; Anantharaj, Valentine G.

    2017-05-01

    Probable maximum precipitation (PMP), defined as the largest rainfall depth that could physically occur under a series of adverse atmospheric conditions, has been an important design criterion for critical infrastructures such as dams and nuclear power plants. To understand how PMP may respond to projected future climate forcings, we used a physics-based numerical weather simulation model to estimate PMP across various durations and areas over the Alabama-Coosa-Tallapoosa (ACT) River Basin in the southeastern United States. Six sets of Weather Research and Forecasting (WRF) model experiments driven by both reanalysis and global climate model projections, with a total of 120 storms, were conducted. The depth-area-duration relationship was derived for each set of WRF simulations and compared with the conventional PMP estimates. Our results showed that PMP driven by projected future climate forcings is higher than 1981-2010 baseline values by around 20% in the 2021-2050 near-future and 44% in the 2071-2100 far-future periods. The additional sensitivity simulations of background air temperature warming also showed an enhancement of PMP, suggesting that atmospheric warming could be one important factor controlling the increase in PMP. In light of the projected increase in precipitation extremes under a warming environment, the reasonableness and role of PMP deserve more in-depth examination.

  5. Estimation of Probable Maximum Precipitation in Korea using a Regional Climate Model

    Directory of Open Access Journals (Sweden)

    Jeonghoon Lee

    2017-03-01

    Full Text Available Extreme precipitation events have been extensively applied to the design of social infra structures. Thus, a method to more scientifically estimate the extreme event is required. This paper suggests a method to estimate the extreme precipitation in Korea using a regional climate model. First, several historical extreme events are identified and the most extreme event of Typhoon Rusa (2002 is selected. Second, the selected event is reconstructed through the Weather Research and Forecasting (WRF model, one of the Regional Climate Models (RCMs. Third, the reconstructed event is maximized by adjusting initial and boundary conditions. Finally, the Probable Maximum Precipitation (PMP is obtained. The WRF could successfully simulate the observed precipitation in terms of spatial and temporal distribution (R2 = 0.81. The combination of the WRF Single-Moment (WSM 6-class graupel scheme (of microphysics, the Betts-Miller-Janjic scheme (of cumulus parameterization and the Mellor-Yamada-Janjic Turbulent Kinetic Energy (TKE scheme (of planetary boundary layer was determined to be the best combination to reconstruct Typhoon Rusa. The estimated PMP (RCM_PMP was compared with the existing PMP. The RCM_PMP was generally in good agreement with the PMP. The suggested methodology is expected to provide assessments of the existing PMP and to provide a new alternative for estimating PMP.

  6. The problem of margin calculation and its reduction via the p-median problem model

    NARCIS (Netherlands)

    Goldengorin, B.; Krushynskyi, D.; Kuzmenko, V.; Mastorakis, NE; Demiralp, M; Mladenov,; Bojkovic, Z

    2009-01-01

    The paper deals with a model for calculation of the regulatory margin on brokerage accounts. The model is based on the p-Median problem (PMP) that is known to be NP-hard. We use a pseudo-Boolean representation of the PMP and propose several problem size reduction and preprocessing techniques. Our

  7. Co-occurrence of Xp21 microduplication encompassing the DMD ...

    African Journals Online (AJOL)

    Defects in the DMD gene (deletion, duplication, or mutation) are associated with Duchenne and Becker muscular dystrophies (DMD and BMD). Combined microduplications of Xp21/DMD with 17p12/PMP22 are extremely rare with only one published report of a male patient with changes in both the DMD and PMP22 genes.

  8. Cold Testing of a Russian Pulsating Mixer Pump at the Oak Ridge National Laboratory, Oak Ridge, Tennessee

    Energy Technology Data Exchange (ETDEWEB)

    Lewis, BE

    2002-01-29

    Russian pulsating mixer pump (PMP) technology was identified in FY 1996 during technical exchanges between the U.S. Department of Energy (DOE) Tanks Focus Area Retrieval and Closure program, the DOE Environmental Management International Programs, and delegates from Russia as a technology that could be implemented in tank waste retrieval operations in the United States. The PMP is basically a jet mixer powered by a pressure/vacuum supply system. A prototype PMP was provided by the Russian Mining and Chemical Combine and evaluated as a potential retrieval tool in FY 1997 at Pacific Northwest National Laboratory (PNNL). Based on this evaluation, Oak Ridge National Laboratory (ORNL) and DOE staff determined that a modified PMP would meet project needs for bulk mobilization of sludge from one or more of the Gunite and Associated Tanks (GAAT) at ORNL. In FY 1998, PMP technology was selected for deployment in one of the GAAT to mobilize settled solids. Deployment of the PMP was expected to reduce operation and maintenance costs required to utilize more expensive retrieval systems. The following series of cold tests and inspections were conducted on one of the three PMP units provided to verify the acceptability and readiness of the mixing system for operation in the GAATs at ORNL: (1) Inspections and measurements designed to evaluate the integrity of the equipment: Fabrication shop inspections, Equipment inspections, Vibration/oscillation measurements, Hydrostatic pressure tests. (2) Functionality of the system components: Tank riser interface functionality, Decontamination spray ring (DSR) functionality, Valves, actuator, sensors, and control system functionality, Support fixture tests; and Contamination control assessment. (3) Mixing and operational performance of the PMP system: DSR performance, PMP debris tolerance, PMP performance with water only, PMP cleaning radius determination, and PMP performance with sludge surrogates. The results from these tests indicate

  9. Needs to Update Probable Maximum Precipitation for Critical Infrastructure

    Science.gov (United States)

    Pathak, C. S.; England, J. F.

    2015-12-01

    Probable Maximum Precipitation (PMP) is theoretically the greatest depth of precipitation for a given duration that is physically possible over a given size storm area at a particular geographical location at a certain time of the year. It is used to develop inflow flood hydrographs, known as Probable Maximum Flood (PMF), as design standard for high-risk flood-hazard structures, such as dams and nuclear power plants. PMP estimation methodology was developed in the 1930s and 40s when many dams were constructed in the US. The procedures to estimate PMP were later standardized by the World Meteorological Organization (WMO) in 1973 and revised in 1986.In the US, PMP estimates were published in a series of Hydrometeorological Reports (e.g., HMR55A, HMR57, and HMR58/59) by the National Weather Service since 1950s. In these reports, storm data up to 1980s were used to establish the current PMP estimates. Since that time, we have acquired additional meteorological data for 30 to 40 years, including newly available radar and satellite based precipitation data. These data sets are expected to have improved data quality and availability in both time and space. In addition, significant numbers of extreme storms have occurred and selected numbers of these events were even close to or exceeding the current PMP estimates, in some cases. In the last 50 years, climate science has progressed and scientists have better and improved understanding of atmospheric physics of extreme storms. However, applied research in estimation of PMP has been lagging behind. Alternative methods, such as atmospheric numerical modeling, should be investigated for estimating PMP and associated uncertainties. It would be highly desirable if regional atmospheric numerical models could be utilized in the estimation of PMP and their uncertainties, in addition to methods used to originally develop PMP index maps in the existing hydrometeorological reports.

  10. Secondary omental infarction related to open and laparoscopic-assisted distal gastrectomy: report of two cases.

    Science.gov (United States)

    Park, Kyung Eun; Chung, Dong Jin; Kim, Wook; Hahn, Seong-Tae; Lee, Jae Moon

    2011-01-01

    Omental infarction occurring after open and laparoscopic-assisted distal gastrectomy with partial omentectomy for gastric cancer was a very rare disease in the past, but its incidence has increased as more partial omentectomies are now being performed. But there are few case reports or radiologic studies on its increasing incidence. It is necessary to differentiate omental infarction from carcinomatosis peritonei, since both have similar imaging findings. In this report, we describe two cases of omental infarction; each occurred after open and laparoscopic-assisted distal gastrectomy in early gastric cancer patients. Partial omentectomy was performed in both cases. Omental infarction following distal gastrectomy with partial omentectomy can be discriminated from carcinomatosis peritonei by comparing with different initial and follow up CT findings.

  11. Usage of personal music players in adolescents and its association with noise-induced hearing loss: A cross-sectional analysis of Ohrkan cohort study data.

    Science.gov (United States)

    Twardella, Dorothee; Raab, Ulla; Perez-Alvarez, Carmelo; Steffens, Thomas; Bolte, Gabriele; Fromme, Hermann

    2017-01-01

    To describe personal music player (PMP) usage among adolescents, sociodemographic determinants and association with audiometric notches. Audiometric evaluation to assess hearing status, and standardized questionnaires to evaluate PMP listening behaviors, leisure noise exposures and self-reported hearing loss symptoms. Sociodemographic information was collected using a parent questionnaire. Noise exposure by PMP usage equivalent for a 40 h week was estimated based on self-reported volume and duration of use. A total of 2143 students (54% females) attending 9th grade in Regensburg, Germany, during 2009 to 2011. Overall, 85% of the students reported using PMPs. Exposure level exceeded 80 dB(A) in approximately one third, and 85 dB(A) in one quarter, of those who used PMP. An audiometric notch was found in 2.3% of participants, but was not significantly associated with higher PMP exposure. PMP exposure above the occupational limits of 80 and 85 dB(A) set by the Directive 2003/10/EC may be a risk factor for developing noise-induced hearing loss. Educational measures to ameliorate high risk behaviors in PMP usage are needed, particularly for socially disadvantaged groups.

  12. Current status of renal replacement therapy in Cuba 2006.

    Science.gov (United States)

    Pérez-Oliva, J F

    2009-01-01

    We present the main structural and organizational features, as well as the human resources and the activities of Cuba in nephrology, dialysis, and transplantation. Access to renal replacement therapy is universal (not restricted). There are 47 hemodialysis services. There are 281 renal physicians (216 serving adult patients and 65 pediatric nephrologists). The incidence of renal replacement rose from 71 per million population (pmp) in 2000 to 98 pmp in 2006. The prevalence of patients on dialysis treatment increased from 100 pmp in 2000 to 194 pmp in 2006. Growth rates for dialysis increased by an average of 10.6% annually in this time. The overall prevalence of patients increased from 156 pmp in 1999 to 275 pmp in 2006. The main cause of endstage renal disease was diabetes mellitus. Main causes of death on dialysis were cardiovascular disease (43.7%) and infectious disease (22.8%). Ninety percent of the organs were retrieved from cadavers. The cadaveric donation rate was 10 pmp. Cuba shares economic limitations with its neighbors but is one of the emerging world's least socially stratified countries, with a universal, free public healthcare system emphasizing primary health care and prevention in nephrology.

  13. A defect of peroxisomal membrane protein 38 causes enlargement of peroxisomes.

    Science.gov (United States)

    Mano, Shoji; Nakamori, Chihiro; Fukao, Yoichiro; Araki, Masami; Matsuda, Azusa; Kondo, Maki; Nishimura, Mikio

    2011-12-01

    Peroxisome proliferation occurs through enlargement, elongation and division of pre-existing peroxisomes. In the Arabidopsis apem mutant, apem3, peroxisomes are dramatically enlarged and reduced in number, revealing a defect in peroxisome proliferation. The APEM3 gene was found to encode peroxisomal membrane protein 38 (PMP38). To examine the relative role of PMP38 during proliferation, a double mutant was constructed consisting of apem3 and the peroxisome division mutant, apem1, in which a defect in dynamin-related protein 3A (DRP3A) results in elongation of peroxisomes. In the double mutant, almost all peroxisomes were predominantly enlarged but not elongated. DRP3A is still able to localize at the peroxisomal membrane on enlarged peroxisomes in the apem3 mutants. PMP38 is revealed to be capable of interacting with itself, but not with DRP3A. These results indicate that PMP38 has a role at a different step that requires APEM1/DRP3A. PMP38 is expressed in various tissues throughout the plant, indicating that PMP38 may participate in multiple unidentified functions in these tissues. PMP38 belongs to a mitochondrial carrier family (MCF) protein. However, unlike Arabidopsis nucleotide carrier protein 1 (AtPNC1) and AtPNC2, two other peroxisome-resident MCF proteins that function as adenine nucleotide transporters, PMP38 has no ATP or ADP transport activity. In addition, unlike AtPNC1 and AtPNC2 knock-down plants, apem3 mutants do not exhibit any gross morphological abnormalities. These results demonstrate that APEM3/PMP38 plays a role distinct from that of AtPNC1 and AtPNC2. We discuss possible mechanism of enlargement of peroxisomes in the apem3 mutants.

  14. Renal replacement therapy in Europe: a summary of the 2011 ERA–EDTA Registry Annual Report

    Science.gov (United States)

    Noordzij, Marlies; Kramer, Anneke; Abad Diez, José M.; Alonso de la Torre, Ramón; Arcos Fuster, Emma; Bikbov, Boris T.; Bonthuis, Marjolein; Bouzas Caamaño, Encarnación; Čala, Svetlana; Caskey, Fergus J.; Castro de la Nuez, Pablo; Cernevskis, Harijs; Collart, Frederic; Díaz Tejeiro, Rafael; Djukanovic, Ljubica; Ferrer-Alamar, Manuel; Finne, Patrik; García Bazaga, María de los Angelos; Garneata, Liliana; Golan, Eliezer; Gonzalez Fernández, Raquel; Heaf, James G.; Hoitsma, Andries; Ioannidis, George A.; Kolesnyk, Mykola; Kramar, Reinhard; Lasalle, Mathilde; Leivestad, Torbjørn; Lopot, Frantisek; van de Luijtgaarden, Moniek W.M.; Macário, Fernando; Magaz, Ángela; Martín Escobar, Eduardo; de Meester, Johan; Metcalfe, Wendy; Ots-Rosenberg, Mai; Palsson, Runolfur; Piñera, Celestino; Pippias, Maria; Prütz, Karl G.; Ratkovic, Marina; Resić, Halima; Rodríguez Hernández, Aurelio; Rutkowski, Boleslaw; Spustová, Viera; Stel, Vianda S.; Stojceva-Taneva, Olivera; Süleymanlar, Gültekin; Wanner, Christoph; Jager, Kitty J.

    2014-01-01

    Background This article provides a summary of the 2011 ERA–EDTA Registry Annual Report (available at www.era-edta-reg.org). Methods Data on renal replacement therapy (RRT) for end-stage renal disease (ESRD) from national and regional renal registries in 30 countries in Europe and bordering the Mediterranean Sea were used. From 27 registries, individual patient data were received, whereas 17 registries contributed data in aggregated form. We present the incidence and prevalence of RRT, and renal transplant rates in 2011. In addition, survival probabilities and expected remaining lifetimes were calculated for those registries providing individual patient data. Results The overall unadjusted incidence rate of RRT in 2011 among all registries reporting to the ERA–EDTA Registry was 117 per million population (pmp) (n = 71.631). Incidence rates varied from 24 pmp in Ukraine to 238 pmp in Turkey. The overall unadjusted prevalence of RRT for ESRD on 31 December 2011 was 692 pmp (n = 425 824). The highest prevalence was reported by Portugal (1662 pmp) and the lowest by Ukraine (131 pmp). Among all registries, a total of 22 814 renal transplantations were performed (37 pmp). The highest overall transplant rate was reported from Spain, Cantabria (81 pmp), whereas the highest rate of living donor transplants was reported from Turkey (39 pmp). For patients who started RRT between 2002 and 2006, the unadjusted 5-year patient survival on RRT was 46.8% [95% confidence interval (CI) 46.6–47.0], and on dialysis 39.3% (95% CI 39.2–39.4). The unadjusted 5-year patient survival after the first renal transplantation performed between 2002 and 2006 was 86.7% (95% CI 86.2–87.2) for kidneys from deceased donors and 94.3% (95% CI 93.6–95.0) for kidneys from living donors. PMID:25852881

  15. Renal replacement therapy in Europe: a summary of the 2011 ERA-EDTA Registry Annual Report.

    Science.gov (United States)

    Noordzij, Marlies; Kramer, Anneke; Abad Diez, José M; Alonso de la Torre, Ramón; Arcos Fuster, Emma; Bikbov, Boris T; Bonthuis, Marjolein; Bouzas Caamaño, Encarnación; Čala, Svetlana; Caskey, Fergus J; Castro de la Nuez, Pablo; Cernevskis, Harijs; Collart, Frederic; Díaz Tejeiro, Rafael; Djukanovic, Ljubica; Ferrer-Alamar, Manuel; Finne, Patrik; García Bazaga, María de Los Angelos; Garneata, Liliana; Golan, Eliezer; Gonzalez Fernández, Raquel; Heaf, James G; Hoitsma, Andries; Ioannidis, George A; Kolesnyk, Mykola; Kramar, Reinhard; Lasalle, Mathilde; Leivestad, Torbjørn; Lopot, Frantisek; van de Luijtgaarden, Moniek W M; Macário, Fernando; Magaz, Ángela; Martín Escobar, Eduardo; de Meester, Johan; Metcalfe, Wendy; Ots-Rosenberg, Mai; Palsson, Runolfur; Piñera, Celestino; Pippias, Maria; Prütz, Karl G; Ratkovic, Marina; Resić, Halima; Rodríguez Hernández, Aurelio; Rutkowski, Boleslaw; Spustová, Viera; Stel, Vianda S; Stojceva-Taneva, Olivera; Süleymanlar, Gültekin; Wanner, Christoph; Jager, Kitty J

    2014-04-01

    This article provides a summary of the 2011 ERA-EDTA Registry Annual Report (available at www.era-edta-reg.org). Data on renal replacement therapy (RRT) for end-stage renal disease (ESRD) from national and regional renal registries in 30 countries in Europe and bordering the Mediterranean Sea were used. From 27 registries, individual patient data were received, whereas 17 registries contributed data in aggregated form. We present the incidence and prevalence of RRT, and renal transplant rates in 2011. In addition, survival probabilities and expected remaining lifetimes were calculated for those registries providing individual patient data. The overall unadjusted incidence rate of RRT in 2011 among all registries reporting to the ERA-EDTA Registry was 117 per million population (pmp) (n = 71.631). Incidence rates varied from 24 pmp in Ukraine to 238 pmp in Turkey. The overall unadjusted prevalence of RRT for ESRD on 31 December 2011 was 692 pmp (n = 425 824). The highest prevalence was reported by Portugal (1662 pmp) and the lowest by Ukraine (131 pmp). Among all registries, a total of 22 814 renal transplantations were performed (37 pmp). The highest overall transplant rate was reported from Spain, Cantabria (81 pmp), whereas the highest rate of living donor transplants was reported from Turkey (39 pmp). For patients who started RRT between 2002 and 2006, the unadjusted 5-year patient survival on RRT was 46.8% [95% confidence interval (CI) 46.6-47.0], and on dialysis 39.3% (95% CI 39.2-39.4). The unadjusted 5-year patient survival after the first renal transplantation performed between 2002 and 2006 was 86.7% (95% CI 86.2-87.2) for kidneys from deceased donors and 94.3% (95% CI 93.6-95.0) for kidneys from living donors.

  16. The European Renal Association – European Dialysis and Transplant Association (ERA-EDTA) Registry Annual Report 2015: a summary

    Science.gov (United States)

    Pippias, Maria; Noordzij, Marlies; Stel, Vianda S; Afentakis, Nikolaos; Ambühl, Patrice M; Andrusev, Anton M; Fuster, Emma Arcos; Arribas Monzón, Federico E; Åsberg, Anders; Barbullushi, Myftar; Bonthuis, Marjolein; Caskey, Fergus J; Castro de la Nuez, Pablo; Cernevskis, Harijs; des Grottes, Jean-Marin; Garneata, Liliana; Golan, Eliezer; Hemmelder, Marc H; Ioannou, Kyriakos; Jarraya, Faical; Kolesnyk, Mykola; Komissarov, Kirill; Lassalle, Mathilde; Macario, Fernando; Mahillo-Duran, Beatriz; Martín de Francisco, Angel L; Palsson, Runolfur; Pechter, Ülle; Resic, Halima; Rutkowski, Boleslaw; Santiuste de Pablos, Carmen; Seyahi, Nurhan; Simic Ogrizovic, Sanja; Slon Roblero, María F; Spustova, Viera; Stojceva-Taneva, Olivera; Massy, Ziad A; Jager, Kitty J

    2018-01-01

    Abstract Background This article summarizes the European Renal Association – European Dialysis and Transplant Association (ERA-EDTA) Registry’s 2015 Annual Report. It describes the epidemiology of renal replacement therapy (RRT) for end-stage renal disease (ESRD) in 2015 within 36 countries. Methods In 2016 and 2017, the ERA-EDTA Registry received data on patients who were undergoing RRT for ESRD in 2015, from 52 national or regional renal registries. Thirty-two registries provided individual patient-level data and 20 provided aggregated-level data. The incidence, prevalence and survival probabilities of these patients were determined. Results In 2015, 81 373 individuals commenced RRT for ESRD, equating to an overall unadjusted incidence rate of 119 per million population (pmp). The incidence ranged by 10-fold, from 24 pmp in Ukraine to 232 pmp in the Czech Republic. Of the patients commencing RRT, almost two-thirds were men, over half were aged ≥65 years and a quarter had diabetes mellitus as their primary renal diagnosis. Treatment modality at the start of RRT was haemodialysis for 85% of the patients, peritoneal dialysis for 11% and a kidney transplant for 4%. By Day 91 of commencing RRT, 82% of patients were receiving haemodialysis, 13% peritoneal dialysis and 5% had a kidney transplant. On 31 December 2015, 546 783 individuals were receiving RRT for ESRD, corresponding to an unadjusted prevalence of 801 pmp. This ranged throughout Europe by more than 10-fold, from 178 pmp in Ukraine to 1824 pmp in Portugal. In 2015, 21 056 kidney transplantations were performed, equating to an overall unadjusted transplant rate of 31 pmp. This varied from 2 pmp in Ukraine to 94 pmp in the Spanish region of Cantabria. For patients commencing RRT during 2006–10, the 5-year unadjusted patient survival probabilities on all RRT modalities combined was 50.0% (95% confidence interval 49.9–50.1). PMID:29423210

  17. The European Renal Association - European Dialysis and Transplant Association (ERA-EDTA) Registry Annual Report 2015: a summary.

    Science.gov (United States)

    Kramer, Anneke; Pippias, Maria; Noordzij, Marlies; Stel, Vianda S; Afentakis, Nikolaos; Ambühl, Patrice M; Andrusev, Anton M; Fuster, Emma Arcos; Arribas Monzón, Federico E; Åsberg, Anders; Barbullushi, Myftar; Bonthuis, Marjolein; Caskey, Fergus J; Castro de la Nuez, Pablo; Cernevskis, Harijs; des Grottes, Jean-Marin; Garneata, Liliana; Golan, Eliezer; Hemmelder, Marc H; Ioannou, Kyriakos; Jarraya, Faical; Kolesnyk, Mykola; Komissarov, Kirill; Lassalle, Mathilde; Macario, Fernando; Mahillo-Duran, Beatriz; Martín de Francisco, Angel L; Palsson, Runolfur; Pechter, Ülle; Resic, Halima; Rutkowski, Boleslaw; Santiuste de Pablos, Carmen; Seyahi, Nurhan; Simic Ogrizovic, Sanja; Slon Roblero, María F; Spustova, Viera; Stojceva-Taneva, Olivera; Traynor, Jamie; Massy, Ziad A; Jager, Kitty J

    2018-02-01

    This article summarizes the European Renal Association - European Dialysis and Transplant Association (ERA-EDTA) Registry's 2015 Annual Report. It describes the epidemiology of renal replacement therapy (RRT) for end-stage renal disease (ESRD) in 2015 within 36 countries. In 2016 and 2017, the ERA-EDTA Registry received data on patients who were undergoing RRT for ESRD in 2015, from 52 national or regional renal registries. Thirty-two registries provided individual patient-level data and 20 provided aggregated-level data. The incidence, prevalence and survival probabilities of these patients were determined. In 2015, 81 373 individuals commenced RRT for ESRD, equating to an overall unadjusted incidence rate of 119 per million population (pmp). The incidence ranged by 10-fold, from 24 pmp in Ukraine to 232 pmp in the Czech Republic. Of the patients commencing RRT, almost two-thirds were men, over half were aged ≥65 years and a quarter had diabetes mellitus as their primary renal diagnosis. Treatment modality at the start of RRT was haemodialysis for 85% of the patients, peritoneal dialysis for 11% and a kidney transplant for 4%. By Day 91 of commencing RRT, 82% of patients were receiving haemodialysis, 13% peritoneal dialysis and 5% had a kidney transplant. On 31 December 2015, 546 783 individuals were receiving RRT for ESRD, corresponding to an unadjusted prevalence of 801 pmp. This ranged throughout Europe by more than 10-fold, from 178 pmp in Ukraine to 1824 pmp in Portugal. In 2015, 21 056 kidney transplantations were performed, equating to an overall unadjusted transplant rate of 31 pmp. This varied from 2 pmp in Ukraine to 94 pmp in the Spanish region of Cantabria. For patients commencing RRT during 2006-10, the 5-year unadjusted patient survival probabilities on all RRT modalities combined was 50.0% (95% confidence interval 49.9-50.1).

  18. I-15 integrated corridor management system : project management plan.

    Science.gov (United States)

    2011-06-01

    The Project Management Plan (PMP) assists the San Diego ICM Team by defining a procedural framework for : management and control of the I-15 Integrated Corridor Management Demonstration Project, and development and : deployment of the ICM System. The...

  19. Determination of 2-isovaleryl-1,3-indandione with 2, 4-dinitro-phenylhydrazine

    Science.gov (United States)

    Menzie, C.M.; Adomaitis, V.A.; Reichel, W.L.

    1962-01-01

    At present, three 2-alkyl-1,3-indandiones (PMP, pival, and diphacinon) are widely used as rodenticides. Because analytical procedures now in use are empirical and do not furnish adequate or positive means for distinguishing among these closely related compounds, studies were undertaken to develop a sensitive and specific method for the determination of PMP. The relation between KCN and the 2,4-dinitrophenylhydrazone of PMP was investigated and shown to be sensitive and specific. A deeply colored solution is produced with an absorption maximum at 540 mu. This solution obeys Beer?s law over a wide range. The molar absorptivity for the developed color was calculated to be 3.0 X 104. This reaction can be used also as a spot test to detect as little as 1 ug. of PMP.

  20. Systeme de fautes et correction phonetique par la methode verbo-tonale des francophones belges qui apprenent l'espagnol (Phonetic Correction and the Verbo-tonal Method for Teaching Spanish to French-speaking Belgians)

    Science.gov (United States)

    Sarmiento Padilla, Jose

    1974-01-01

    Describes experiments in the field of phonetic correction. Several techniques used at the University of Mons for teaching Spanish pronunciation to French-speaking Belgians are explained. (Text is in French.) (PMP)

  1. Disease: H01436 [KEGG MEDICUS

    Lifescience Database Archive (English)

    Full Text Available pathy characterized by progressive motor weakness of limbs with areflexia. This disease is usually triggered...cter jejuni) and human peripheral nerve gangliosides. Nervous system disease PMP2

  2. Plexus muscularis profundus and associated interstitial cells. I. Light microscopical studies of mouse small intestine

    DEFF Research Database (Denmark)

    Rumessen, J J; Thuneberg, L

    1982-01-01

    interstitial cells (ICC-II) in the subserous layer. (2) Auerbach's plexus with an associated extensive plexus of interstitial cells (ICC-I) in close contact with tertiary fasciculi. (3) Nerve fasciculi of the outer division of the circular muscle layer. These formed a nerve plexus in a well-defined plane...... in the outermost cell layers (plexus muscularis superficialis), with few fasciculi located internal to this plexus. A few bipolar interstitial cells (ICC-IV) were associated with nerve fasciculi of this region. (4) A nerve plexus located in the region between the two subdivisions of the circular muscle, plexus...... muscularis profundus (PMP). PMP was revealed throughout the small intestine as a continuous network of elongated, circularly oriented meshes. The pattern of connections between PMP and the other enteric plexuses was studied stereoscopically. Ganglion cells intrinsic to PMP occurred widely scattered...

  3. Solid Waste Information and Tracking System Client Server Conversion Project Management Plan

    Energy Technology Data Exchange (ETDEWEB)

    GLASSCOCK, J.A.

    2000-02-10

    The Project Management Plan governing the conversion of SWITS to a client-server architecture. The PMP describes the background, planning and management of the SWITS conversion. Requirements and specification documentation needed for the SWITS conversion

  4. Fontesel uued omanikud / Enn Salu

    Index Scriptorium Estoniae

    Salu, Enn

    2005-01-01

    Konsultatsiooni- ja personaliotsingufirma Fontese viis juhtivkonsultanti ja pearaamatupidaja ostsid Fontes PMP selle asutajalt Tõnis Arrolt, kes jääb edasi firma nõukokku. Diagramm: Fontes kasvab kiirelt

  5. Sequence Classification: 890106 [

    Lifescience Database Archive (English)

    Full Text Available ration or low temperature, not essential for viability, deletion causes hyperpolarization of the plasma membrane potential; Pmp3p || http://www.ncbi.nlm.nih.gov/protein/6320482 ...

  6. High-speed FPGA-based phase measuring profilometry architecture.

    Science.gov (United States)

    Zhan, Guomin; Tang, Hongwei; Zhong, Kai; Li, Zhongwei; Shi, Yusheng; Wang, Congjun

    2017-05-01

    This paper proposes a high-speed FPGA architecture for the phase measuring profilometry (PMP) algorithm. The whole PMP algorithm is designed and implemented based on the principle of full-pipeline and parallelism. The results show that the accuracy of the FPGA system is comparable with those of current top-performing software implementations. The FPGA system achieves 3D sharp reconstruction using 12 phase-shifting images and completes in 21 ms with 1024 × 768 pixel resolution. To the best of our knowledge, this is the first fully pipelined architecture for PMP systems, and this makes the PMP system very suitable for high-speed embedded 3D shape measurement applications.

  7. Cytocompatibility of Plasma and Thermally Treated Biopolymers

    Directory of Open Access Journals (Sweden)

    Petr Slepička

    2013-01-01

    Full Text Available This paper is focused on the surface characterization of plasma and consequently thermally treated biocompatible polymers. PLLA (poly(L-lactide acid and PMP (poly-4-methyl-1-pentene are studied. The influence of Ar plasma treatment on the surface polarity of substrate measured immediately after treatment and during the polymer surface aging is studied. Surface roughness, morphology, wettability, and surface chemistry were determined. Plasma treatment leads to significant changes in PLLA surface morphology and chemistry, with the PMP being slightly affected. The higher resistance to plasma fluence results in smaller ablation of PMP than that of PLLA. The plasma treatment improves cell adhesion and proliferation on the PMP. Plasma treatment of PLLA influences mostly the homogeneity of adhered and proliferated VSMC.

  8. The placebo and nocebo effects on peak minute power during incremental arm crank ergometry

    OpenAIRE

    Bottoms, Lindsay; Buscombe, Richard; Nicholettos, Andrew

    2013-01-01

    This investigation aimed to explore the effects of inert sugar-free drinks described as either ‘performance enhancing’ (placebo) or ‘fatigue inducing’ (nocebo) on peak minute power (PMP;W) during incremental arm crank ergometry (ACE). Twelve healthy, non-specifically trained individuals volunteered to take part. A single-blind randomised controlled trial with repeated measures was used to assess for differences in PMP;W, oxygen uptake, heart rate (HR), minute ventilation, respiratory exchange...

  9. Development of a Chlamydia suis-specific antibody enzyme-linked immunosorbent assay based on the use of a B-cell epitope of the polymorphic membrane protein C.

    Science.gov (United States)

    De Puysseleyr, K; Kieckens, E; De Puysseleyr, L; Van den Wyngaert, H; Ahmed, B; Van Lent, S; Creasy, H H; Myers, G S A; Vanrompay, D

    2018-01-04

    Chlamydia suis infections lead to economic loss in the pork industry. Chlamydia suis infections could be successfully treated with tetracyclines until the appearance of a tetracycline resistant phenotype, which was acquired via horizontal gene transfer of the tet(C) gene. Given the importance of C. suis as a swine pathogen and as a recently emerged tetracycline resistant pathogen with zoonotic potential, our aim was to develop a sensitive C. suis-specific antibody ELISA based on the polymorphic membrane proteins (Pmps). Chlamydia Pmps are important virulence factors and candidate antigens for serodiagnosis. We identified nine Pmps (PmpA to I) in C. suis strain MD56 using a recently developed Hidden-Markov model. PmpC was the most promising candidate for the development of a C. suis-specific antibody ELISA as the protein was absent in C. abortus, C. pecorum and C. psittaci which also infect pigs and as the protein contained C. suis-specific amino acid regions, absent in C. trachomatis PmpC. We identified an immunodominant B-cell epitope in C. suis PmpC using experimental porcine sera. The sensitivity and specificity of the PmpC ELISA was compared to the complement fixation test (CFT) and to a recombinant MOMP ELISA using experimental sera. The PmpC ELISA detected all positive control sera and was in contrast to CFT and the rMOMP ELISA 100% C. suis specific as positive control sera against other Chlamydia species did not react in the PmpC ELISA. The test was successfully validated using slaughterhouse sera and sera from clinically affected pigs. The PmpC ELISA could assist in diminishing the spread of C. suis infections in the pork industry. © 2018 Blackwell Verlag GmbH.

  10. Association between overactive bladder and peri-menopause syndrome: a cross-sectional study of female physicians in China.

    Science.gov (United States)

    Chen, Yuke; Yu, Wei; Yang, Yang; Duan, Jihong; Xiao, Yunxiang; Zhang, Xun; Wu, Shiliang; Bai, Wenpei

    2015-05-01

    To determine the detailed association between overactive bladder (OAB) and peri-menopause syndrome (PMpS) in Chinese female physicians of peri-menopausal age. Data for this study were collected by administering questionnaires eliciting general information (peri-menopausal symptoms and OAB status) to middle-aged female physicians, from the directly affiliated three hospitals of Peking University in China. We used the overactive bladder symptom score (OABSS) to verify the symptoms of OAB and the modified Kupperman menopausal index (KMI) to assess PMpS. Three hundred fifty-one questionnaires were finally evaluated. The average age was 47.1 ± 5.4 years. Overall, 7.4% of respondents had OAB and 22.6% had PMpS. There was a significant positive correlation between the severity of OAB and prevalence of OAB and PMpS. The prevalence of OAB in women with PMpS (KMI > 15) was significantly increased (18.99 vs. 4.44%; P = 0.000). The average OABSS in women with PMpS was 2.67 ± 2.15, compared with 1.46 ± 1.50 in women without PMpS. The average KMI score in women with OAB was 16.04 ± 10.1, compared with 9.50 ± 8.13 in women without OAB (P = 0.000). Multivariate logistic regression analysis results showed that only BMI and PMpS were independent risk factors for OAB. In China, female physicians with menopausal symptoms tend to have a higher prevalence of OAB and more severe symptoms of OAB.

  11. Comparison of maturity based on steroid and vanadyl porphyrin parameters: A new vanadyl porphyrin maturity parameter for higher maturities

    Science.gov (United States)

    Sundararaman, Padmanabhan; Moldowan, J. Michael

    1993-03-01

    Correlations are demonstrated between steroid maturity parameters and the porphyrin maturity parameter (PMP) which is based on the ratio of specific vanadyl porphyrins C 28E /(C 28E + C 32D) measured by HPLC. Measurements from a global selection of > 100 rock extracts and oils show that PMP parallels changes in the C 29-sterane 20S/(20S + 20R) and tri/(tri + mono) aromatic steroid ratios, and that all three parameters appear to attain their maximum values at similar maturity levels. The triaromatic steroid side chain cracking parameter, TA I/(I + II), reaches approximately 20% of its maximum value when PMP has reached 100%. These results suggest that PMP is effective in the early to peak portion of the oil window. A new parameter, PMP-2, based on changes in the relative concentrations of two peaks in the HPLC fingerprint (vanadyl "etio" porphyrins), appears effective in assessing the maturity of source rocks beyond peak oil generation. In combination with PMP this parameter extends the effective range of vanadyl porphyrins parameters to higher maturities as demonstrated by a suite of oils from the Oriente Basin, Ecuador, South America.

  12. Plasticity-Mediated Persistence in New and Changing Environments

    Directory of Open Access Journals (Sweden)

    Matthew R. J. Morris

    2014-01-01

    Full Text Available Baldwin’s synthesis of the Organicist position, first published in 1896 and elaborated in 1902, sought to rescue environmentally induced phenotypes from disrepute by showing their Darwinian significance. Of particular interest to Baldwin was plasticity’s mediating role during environmental change or colonization—plastic individuals were more likely to successfully survive and reproduce in new environments than were nonplastic individuals. Once a population of plastic individuals had become established, plasticity could further mediate the future course of evolution. The evidence for plasticity-mediated persistence (PMP is reviewed here with a particular focus on evolutionary rescue experiments, studies on invasive success, and the role of learning in survival. Many PMP studies are methodologically limited, showing that preexistent plasticity has utility in new environments (soft PMP rather than directly demonstrating that plasticity is responsible for persistence (hard PMP. An ideal PMP study would be able to demonstrate that (1 plasticity preexisted environmental change, (2 plasticity was fortuitously beneficial in the new environment, (3 plasticity was responsible for individual persistence in the new environment, and (4 plasticity was responsible for population persistence in succeeding generations. Although PMP is not ubiquitous, Baldwin’s hypotheses have been largely vindicated in theoretical and empirical studies, but much work remains.

  13. Estimating Probable Maximum Precipitation by Considering Combined Effect of Typhoon and Southwesterly Air Flow

    Directory of Open Access Journals (Sweden)

    Cheng-Chin Liu

    2016-01-01

    Full Text Available Typhoon Morakot hit southern Taiwan in 2009, bringing 48-hr of heavy rainfall [close to the Probable Maximum Precipitation (PMP] to the Tsengwen Reservoir catchment. This extreme rainfall event resulted from the combined (co-movement effect of two climate systems (i.e., typhoon and southwesterly air flow. Based on the traditional PMP estimation method (i.e., the storm transposition method, STM, two PMP estimation approaches, i.e., Amplification Index (AI and Independent System (IS approaches, which consider the combined effect are proposed in this work. The AI approach assumes that the southwesterly air flow precipitation in a typhoon event could reach its maximum value. The IS approach assumes that the typhoon and southwesterly air flow are independent weather systems. Based on these assumptions, calculation procedures for the two approaches were constructed for a case study on the Tsengwen Reservoir catchment. The results show that the PMP estimates for 6- to 60-hr durations using the two approaches are approximately 30% larger than the PMP estimates using the traditional STM without considering the combined effect. This work is a pioneer PMP estimation method that considers the combined effect of a typhoon and southwesterly air flow. Further studies on this issue are essential and encouraged.

  14. Purification, antioxidant activity and antiglycation of polysaccharides from Polygonum multiflorum Thunb.

    Science.gov (United States)

    Lv, Lishuang; Cheng, Yunhui; Zheng, Tiesong; Li, Xiaoming; Zhai, Rong

    2014-01-01

    Polysaccharides, one of the most important constituents in Polygonum multiflorum Thunb, a famous Chinese medicinal herb, were isolated by DEAE-52, Sepharose 4B and Sephacryl S-300 column chromatography. Two polysaccharides (PMP-1 and PMP-2) were identified as homogeneous in molecular weight with HPLC. The molecular weights were 4.8 × 10(2) and 6.1 × 10(2) kDa, respectively. Antioxidant activity tests were performed with two polysaccharides at concentrations of 0.1-1.5mg/mL. The results indicated that the inhibitory activity on oxidation and glycation exhibited a dose-dependent response. PMP-2 exhibited a much stronger antioxidant capacity against free radical, lipid oxidation and protein glycation. The IC₅₀ values of PMP-2 were 0.47, 0.6 and 0.93 mg/mL for superoxide anion scavenging, hydroxyl radical scavenging, and hydroxyl peroxide scavenging, respectively. The inhibitory ability of PMP-2 on lipid oxidation was most markedly in rat liver, followed by heart and kidney. Meanwhile, PMP-2 also showed satisfactory suppression of AGEs formation. This suggested that the polysaccharides present in PM can contribute to the biological effects. Copyright © 2013 Elsevier Ltd. All rights reserved.

  15. Comparison of maturity based on steroid and vanadyl porphyrin parameters: A new vanadyl porphyrin maturity parameter for higher maturities

    Energy Technology Data Exchange (ETDEWEB)

    Sundararaman, P. (Chevron Oil Field Research Co., La Habra, CA (United States)); Moldowan, J.M. (Chevron Oil Field Research Co., Richmond, CA (United States))

    1993-03-01

    Correlations are demonstrated between steriod maturity parameters and the porphyrin maturity parameter (PMP) which is based on the ratio of specific vanadyl porphyrins C[sub 28]E/(C[sub 28]E + C[sub 32]D) measured by HPLC. Measurements from a global selection of >100 rock extracts and oils show that PMP parallels changes in the C[sub 29]-sterane 20S/(20S + 20R) and tri/(tri + mono) aromatic steroid ratios, and that all three parameters appear to attain their maximum values at similar maturity levels. The triaromatic steroid side chain cracking parameter, TA I/(I + II), reaches approximately 20% of its maximum value when PMP has reached 100%. These results suggest that PMP is effective in the early to peak portion of the oil window. A new parameter, PMP-2, based on changes in the relative concentrations of two peaks in the HPLC fingerprint (vanadyl [open quotes]etio[close quotes] porphyrins), appears effective in assessing the maturity of source rocks beyond peak oil generation. In combination with PMP this parameter extends the effective range of vanadyl porphyrins parameters to higher maturities as demonstrated by a suite of oils from the Oriente Basin, Ecuador, South America. 22 refs., 6 figs., 1 tab.

  16. [Features of vertebral pain syndromes in older women depending on the duration of postmenopausal period and bone mineral density indices].

    Science.gov (United States)

    Orlyk, T V; Grygorieva, N V; Povoroznyuk, V V

    2017-01-01

    We have analyzed the vertebral pain syndrome (VPS) rate in 2 844 women aged 40-89 years, divided into groups according to the period of life (reproductive, perimenopausal and postmenopausal (PMP)) and evaluated the relationship between VPS frequency and indices of bone mineral density (BMD). It was found that the frequency of VPS during different physiological periods of woman life ranges from 84,1 to 94,4 %, with significant increase when the PMP period is more than 20 years compared with women in reproductive and early postmenopausal periods. The significant increase of the VPS frequency in thoracic and lumbar spines starts from 1-3 years of PMP and is retained at higher level for all subsequent periods of PMP. In postmenopausal women, a significant increase of the relative risk of VPS in the thoracic (in 1,3-1,4 times) and the lumbar (1,2-1,3 times) spines was found. In patients with osteoporosis with duration of PMP for 1-3 years, the frequency of VPS in thoracic spine was significantly higher than the indices in women with osteopenia, while patients with duration of PMP of 7-9 years had significantly higher frequency comparing to groups with osteopenia and norms. In patients without vertebral fractures and osteoporosis VPS frequency in the thoracic spine was significantly higher during periods of 4-6 and 7-9 years of PMP compared with women in reproductive period and compared with the women with normal BMD indices. The revealed features of the VPS should be considered while planning therapeutic interventions in women of older age groups.

  17. Development of a kidney transplantation program--inverted funnel approach.

    Science.gov (United States)

    Mahdavi-Mazdeh, Mitra; Rouchi, Alireza Heidary; Khatami, Seyed Mohammadreza

    2015-01-01

    The history of organ shortage has been approached differently by different countries. This review tries to discuss the inverted funnel approach of Iran. The whole history of transplants in the country can be divided in three phases of legally regulated living unrelated kidney donation, legislation of brain death donation and lastly how it has been implemented. In each phase, there have been attempts to clarify the role of each sector: the government, professionals, and the public. Based on more than 20 years of experience, it has been shown that kidney transplants from brain dead donors (BDDs) increased from 0.4 per million population (pmp) in 2000 to 2.9 pmp in 2005, 7.9 in 2010, and 15.1 pmp in 2013 and it could eventually change the rate from living source from 20.1 pmp, 24.5 pmp, 21.8 pmp, and 19.5 pmp in these years, respectively. It has been shown that the government began to take part when it was convinced that an organ procurement program from BDDs is not a luxury program but can lessen the economic burden on the health budget and be supported by legislations and budget allocation. Professionals took the responsibility not only to make decision makers and the public aware of the subject and adapt the national protocols to consider the general population concerns, but also to train as many medical teams as possible nationwide. Persistence and publishing the results can pave the way for the public to accept the program and take their own responsibilities to solve the problem of organ shortage by taking the opportunity to give life to others after the death of a loved one.

  18. Suicide risk factors in the professional military personnel in the Army of Serbia

    Directory of Open Access Journals (Sweden)

    Dedić Gordana

    2010-01-01

    Full Text Available Background/Aim. Recognition of suicide risk factors is important in taking adequate suicide preventive measures, Suicide Prevention Program for Professional Military Personnel (PMP implemented in the Army of Serbia in 2003. The aim of our study was to establish suicide risk factors in PMP of the Army of Serbia. Methods. Analysis of suicide risk factors in PMP was carried out on the basis of data obtained by psychological suicide autopsy. The controls were demographically similar psychiatric outpatients with no history of suicidal behavior. A descriptive statistics method was used for risk factors analysis. The t-test was used for testing statistical hypotheses. Results. A total of 30 PMP, aged 22-49 years (30.53 ± 6.24 on average committed suicide within the period 1998-2007. Distal suicide risk factors in PMP were considered to be not being married, psychiatric heredity, having no outpatient psychiatric treatment, gambling, regular physical practice (bodybuilding, less transfer to a different post, low motivation for military service (p < 0.001, not having children, parental loss in early childhood, alcohol abuse (p < 0.005, low salary (p < 0.01 uncompleted military school, debts in the family (p < 0.05. The commonest proximal suicide risk factors were: actual family problems (36.6%, actual mental problems (13.3%, burnout (13.3%, negative balance of accounts (13.3%, professional problems (6.7%, behavioral model while for 10.0% PMP suicide risk factors could not be established. Conclusion. According to the presence of multiple suicide risk factors, Suicide Prevention Program for PMP in the Army of Serbia is directed to the prevention of both proximal and distal suicide risk factors.

  19. The Spanish Renal Registry: 2013 report and evolution from 2007-2013.

    Science.gov (United States)

    Martín Escobar, Eduardo

    2016-01-01

    The purpose of the study is to show the evolution of renal replacement therapy (RRT) in Spain from 2007 to 2013. Aggregated data and individual patient records were used from participating regional renal disease registries and that National Transplant Organisation registry. The reference population was the official population on January 1st of each year studied. Data on incidence and prevalence were based on aggregated data, while the survival analysis was calculated from individual patient records. The study period was 2007 to 2013 for prevalence, incidence and transplantation, and survival was analysed for 2004-2012. The population covered by the registry was a minimum of 95.3% to 100% of the Spanish population for aggregated data. The EU27 age and gender distributions of the European population for 2005 were used to adjust incidence and prevalence for age and gender. Survival probabilities were calculated for incident patients between the years 2004 and 2013 using the Kaplan-Meier method to calculate unadjusted patient survival probability. The log rank test was applied to compare survival curves according to some risk factors. Cox proportional hazards model was created to study the potential predictors of survival. In 2013, the total number of patients in Spain that started RRT was 5,705 for 95.3% of the total Spanish population, with an unadjusted rate of 127.1pmp. The evolution from 2007 to 2013 showed a gradual decline from 127.4pmp in 2007 to 120.4pmp in 2012, with a small upturn to 127.1 in 2013. The adjusted incidence rate for the year 2013 was 121.5pmp for the total population, 158.7pmp for males and 83.1pmp for females. The most frequent cause of primary renal disease in incident was diabetes mellitus: 20.4% in 2007, which increased to 24.6% in 2013. The percentage of transplant as first RRT increased from 1.7% in 2007 to 4.2% in 2013. The total number of patients in RRT for 95.3% of the population in 2013 was 50,567, with an unadjusted prevalent rate

  20. Renal replacement therapy in Europe—a summary of the 2010 ERA–EDTA Registry Annual Report

    Science.gov (United States)

    Kramer, Anneke; Stel, Vianda S.; Abad Diez, José Maria; Alonso de la Torre, Ramón; Bouzas Caamaño, Encarnación; Čala, Svjetlana; Cao Baduell, Higini; Castro de la Nuez, Pablo; Cernevskis, Harijs; Collart, Frederic; Couchoud, Cécile; de Meester, Johan; Djukanovic, Ljubica; Ferrer-Alamar, Manuel; Finne, Patrik; Fogarty, Damian; de los Ángeles García Bazaga, María; Garneata, Liliana; Golan, Eliezer; Gonzalez Fernández, Raquel; Heaf, James G.; Hoitsma, Andries; Ioannidis, George A.; Kolesnyk, Mykola; Kramar, Reinhard; Leivestad, Torbjørn; Limido, Aurelio; Lopot, Frantisek; Macario, Fernando; Magaz, Ángela; Martín-Escobar, Eduardo; Metcalfe, Wendy; Noordzij, Marlies; Ots-Rosenberg, Mai; Palsson, Runolfur; Piñera, Celestino; Postorino, Maurizio; Prutz, Karl G.; Ratkovic, Marina; Resic, Halima; Rodríguez Hernández, Aurelio; Rutkowski, Boleslaw; Serdengeçti, Kamil; Yebenes, Tomas Sierra; Spustová, Viera; Stojceva-Taneva, Olivera; Tomilina, Natalia A.; van de Luijtgaarden, Moniek W.M.; van Stralen, Karlijn J.; Wanner, Christoph; Jager, Kitty J.

    2013-01-01

    Background This study provides a summary of the 2010 European Renal Association–European Dialysis and Transplant Association (ERA–EDTA) Registry Annual Report (available at www.era-edta-reg.org). Methods This report includes data on renal replacement therapy (RRT) using data from the national and regional renal registries in 29 countries in Europe and bordering the Mediterranean Sea. Individual patient data were received from 27 registries, whereas 18 registries contributed data in aggregated form. We present incidence and prevalence of RRT, transplant rates, survival probabilities and expected remaining lifetimes. The latter two are solely based on individual patient records. Results In 2010, the overall incidence rate of RRT for end-stage renal disease (ESRD) among all registries reporting to the ERA–EDTA Registry was 123 per million population (pmp) (n = 91 798). The highest incidence rate was reported by Turkey (252pmp) and the lowest reported by Montenegro (21 pmp). The overall prevalence of RRT for ESRD at 31 December 2010 among all registries reporting to the ERA–EDTA Registry was 741 pmp (n = 551 005). The prevalence varied from 124 pmp in Ukraine to 1580 pmp in Portugal. The overall number of renal transplantations performed in 2010 among all registries was 29.2 pmp (n = 21 740). The highest overall transplant rate was reported from Spain, Cantabria (73 pmp), whereas the highest transplant rate for living donor kidneys was reported from the Netherlands (28 pmp). For patients who started RRT between 2001 and 2005, the unadjusted 5-year patient survival on RRT was 46.2% [95% confidence interval (CI) 46.0–46.3], and on dialysis 38.6% (95% CI 38.5–38.8). The unadjusted 5-year patient survival after the first renal transplantation performed between 2001 and 2005 was 86.6% (95% CI 86.1–87.1) for deceased donor kidneys and 94.1% (95% CI 93.4–94.8) for living donor kidneys. PMID:27818766

  1. Organ donation in Latin America.

    Science.gov (United States)

    Mizraji, R; Alvarez, I; Palacios, R I; Fajardo, C; Berrios, C; Morales, F; Luna, E; Milanés, C; Andrade, M; Duque, E; Giron, F; Alfonso, J; Herra, S; Soratti, C; Ibar, R; Garcia, V D

    2007-03-01

    Recently in Latin America, there has been a strong influence of the "Spanish model" of organ procurement. In 2001, The "Punta Cana Group" was created by Latin American transplantation coordinators with the objective of registering and improving the system of donation and procurement. In many countries there is no universal financial support from the government for medical treatment, including dialysis and transplantation. In other countries there is complete financial support for all of the population, including immunosuppressive drugs. Practically all countries have transplantation laws that follow ethical concepts, such as brain death diagnosis criteria, forms of consent, criteria of allocation, and inhibition of commerce. The rate of potential donors notified in countries that perform transplantations with deceased donors varied from 6 to 47 per million population yearly (pmp/y); The rate of effective donors varied from 1 to 20 pmp. In 2004, the mean rate of effective donors in Latin America was 5.4 pmp. The family refusal rate for the donation of organs varied from 28% in Uruguay to 70% in Peru. In some countries, such as Puerto Rico, Uruguay, and Cuba, it was more than 15 pmp, whereas in others countries deceased donors were practically not used. The number of patients on the waiting list for solid organ transplants in 12 Latin American countries is 55,000. Although the donation rate has increased by 100% during the last 10 years, it is lower than that in Europe (15 pmm/y) or the United States (20 pmp/y).

  2. Relationship between early and late stages of information processing: an event-related potential study

    Science.gov (United States)

    Portella, Claudio; Machado, Sergio; Arias-Carrión, Oscar; Sack, Alexander T.; Silva, Julio Guilherme; Orsini, Marco; Leite, Marco Antonio Araujo; Silva, Adriana Cardoso; Nardi, Antonio E.; Cagy, Mauricio; Piedade, Roberto; Ribeiro, Pedro

    2012-01-01

    The brain is capable of elaborating and executing different stages of information processing. However, exactly how these stages are processed in the brain remains largely unknown. This study aimed to analyze the possible correlation between early and late stages of information processing by assessing the latency to, and amplitude of, early and late event-related potential (ERP) components, including P200, N200, premotor potential (PMP) and P300, in healthy participants in the context of a visual oddball paradigm. We found a moderate positive correlation among the latency of P200 (electrode O2), N200 (electrode O2), PMP (electrode C3), P300 (electrode PZ) and the reaction time (RT). In addition, moderate negative correlation between the amplitude of P200 and the latencies of N200 (electrode O2), PMP (electrode C3), P300 (electrode PZ) was found. Therefore, we propose that if the secondary processing of visual input (P200 latency) occurs faster, the following will also happen sooner: discrimination and classification process of this input (N200 latency), motor response processing (PMP latency), reorganization of attention and working memory update (P300 latency), and RT. N200, PMP, and P300 latencies are also anticipated when higher activation level of occipital areas involved in the secondary processing of visual input rise (P200 amplitude). PMID:23355929

  3. Pectin microgel particles as high adsorption rate material for methylene blue: Performance, equilibrium, kinetic, mechanism and regeneration studies.

    Science.gov (United States)

    Yu, Li-Li; Jiang, Li-Na; Wang, Shu-Ya; Sun, Man-Man; Li, De-Qiang; Du, Guang-Ming

    2018-01-31

    The pectin gel has been proved to be an effective material for methylene blue (MB) removal, but it presented low adsorption rate. To get over the vice, the pectin microgel particles (PMP) was prepared. No matter high or low initial MB concentration, the PMP presented high adsorption rate with equilibrium time of 20min. The adsorption process based on monolayer adsorption and adsorbance of 284.09mg/g was obtained. What's more, the adsorption process was electrostatic adsorption with mean free energy of 74.223kJ/mol. The pseudo-second-order kinetic model fitted perfectly to the experimental data. The MB uptake was controlled by film diffusion mechanism. Furthermore, the recovery efficiency of regenerated PMP were higher than 80% after three cycles. The present study showed the PMP presented acceptable adsorbance, high adsorption rate and recovery efficiency. Thus, we believe that the PMP was a promising candidate for MB cleanup. Copyright © 2018 Elsevier B.V. All rights reserved.

  4. Thin-Film Coated Plastic Wrap for Food Packaging

    Directory of Open Access Journals (Sweden)

    Hsin-Yu Wu

    2017-07-01

    Full Text Available In this study, the antimicrobial property and food package capability of polymethylpentene (PMP substrate with silicon oxdie (SiOx and organic silicon (SiCxHy stacked layers deposited by an inductively coupled plasma chemical vapor deposition system were investigated. The experimental results show that the stacked pair number of SiOx/SiCxHy on PMP is limited to three pairs, beyond which the films will crack and cause package failure. The three-pair SiOx/SiCxHy on PMP shows a low water vapor transmission rate of 0.57 g/m2/day and a high water contact angle of 102°. Three-pair thin-film coated PMP demonstrates no microbe adhesion and exhibits antibacterial properties within 24 h. Food shelf life testing performed at 28 °C and 80% humidity reports that the three-pair thin-film coated PMP can enhance the food shelf-life to 120 h. The results indicate that the silicon-based thin film may be a promising material for antibacterial food packaging applications to extend the shelf-life of food products.

  5. Relationship between early and late stages of information processing: an event-related potential study

    Directory of Open Access Journals (Sweden)

    Claudio Portella

    2012-11-01

    Full Text Available The brain is capable of elaborating and executing different stages of information processing. However, exactly how these stages are processed in the brain remains largely unknown. This study aimed to analyze the possible correlation between early and late stages of information processing by assessing the latency to, and amplitude of, early and late event-related potential (ERP components, including P200, N200, premotor potential (PMP and P300, in healthy participants in the context of a visual oddball paradigm. We found a moderate positive correlation among the latency of P200 (electrode O2, N200 (electrode O2, PMP (electrode C3, P300 (electrode PZ and the reaction time (RT. In addition, moderate negative correlation between the amplitude of P200 and the latencies of N200 (electrode O2, PMP (electrode C3, P300 (electrode PZ was found. Therefore, we propose that if the secondary processing of visual input (P200 latency occurs faster, the following will also happen sooner: discrimination and classification process of this input (N200 latency, motor response processing (PMP latency, reorganization of attention and working memory update (P300 latency, and RT. N200, PMP, and P300 latencies are also anticipated when higher activation level of occipital areas involved in the secondary processing of visual input rise (P200 amplitude.

  6. Terrorism and Other Threats to Civilization

    Science.gov (United States)

    Garwin, Richard L.

    2014-07-01

    In the Seminars on Planetary Emergencies, we have for more than a decade had a strong focus on terrorism, and, indeed, on megaterrorism. We realized early that there was much that could be achieved to mitigate the consequences of terrorists' acts, and so our original PMP, ably chaired by Kamal, was split into PMP-MTA (Mitigation of Terrorists Acts) and PMP-Motivation of Terrorism. Clearly, terrorism doesn't just happen, but is performed by people, either relatively spontaneously or in an organized fashion. I will not presume to report on the considerations and accomplishments of our colleagues, chaired by John Alderdice, who have studied terrorist motivations and worked hard to eliminate such motivations...

  7. Scandiatransplant report 2009

    DEFF Research Database (Denmark)

    Grunnet, Niels; Bödvarsson, M; Jakobsen, A

    2010-01-01

    Scandiatransplant is the Nordic organ exchange organization that has existed for 41 years by a close collaboration between transplant centers. It has been valuable to ensure the optimal usage of available organs for transplantation. Analyzing the database for the past 15 years (1995-2009) revealed...... than 40 pmp for Sweden and for Denmark; approximately 35 pmp for Finland; and more than 20 pmp for the living donor kidney transplantations in Iceland. The best year ever within Scandiatransplant with respect to total number of organ transplantations from deceased and living donors was 2009....... that the fraction of organ donors in the age category 60 to 90 years has increased considerably. The number of retrieved organs from deceased donors increased for kidney, liver, and lungs but only slightly for hearts. In the last time period, the mean number of organs retrieved per deceased donor counting only...

  8. Positive Mathematical Programming Approaches – Recent Developments in Literature and Applied Modelling

    Directory of Open Access Journals (Sweden)

    Thomas Heckelei

    2012-05-01

    Full Text Available This paper reviews and discusses the more recent literature and application of Positive Mathematical Programming in the context of agricultural supply models. Specifically, advances in the empirical foundation of parameter specifications as well as the economic rationalisation of PMP models – both criticized in earlier reviews – are investigated. Moreover, the paper provides an overview on a larger set of models with regular/repeated policy application that apply variants of PMP. Results show that most applications today avoid arbitrary parameter specifications and rely on exogenous information on supply responses to calibrate model parameters. However, only few approaches use multiple observations to estimate parameters, which is likely due to the still considerable technical challenges associated with it. Equally, we found only limited reflection on the behavioral or technological assumptions that could rationalise the PMP model structure while still keeping the model’s advantages.

  9. On the consideration of scaling properties of extreme rainfall in Madrid (Spain) for developing a generalized intensity-duration-frequency equation and assessing probable maximum precipitation estimates

    Science.gov (United States)

    Casas-Castillo, M. Carmen; Rodríguez-Solà, Raúl; Navarro, Xavier; Russo, Beniamino; Lastra, Antonio; González, Paula; Redaño, Angel

    2018-01-01

    The fractal behavior of extreme rainfall intensities registered between 1940 and 2012 by the Retiro Observatory of Madrid (Spain) has been examined, and a simple scaling regime ranging from 25 min to 3 days of duration has been identified. Thus, an intensity-duration-frequency (IDF) master equation of the location has been constructed in terms of the simple scaling formulation. The scaling behavior of probable maximum precipitation (PMP) for durations between 5 min and 24 h has also been verified. For the statistical estimation of the PMP, an envelope curve of the frequency factor ( k m ) based on a total of 10,194 station-years of annual maximum rainfall from 258 stations in Spain has been developed. This curve could be useful to estimate suitable values of PMP at any point of the Iberian Peninsula from basic statistical parameters (mean and standard deviation) of its rainfall series. [Figure not available: see fulltext.

  10. Prescription Monitoring Program Trends Among Individuals Arrested in Maine for Trafficking Prescription Drugs in 2014.

    Science.gov (United States)

    McCall, Kenneth; Nichols, Stephanie D; Holt, Christina; Ochs, Leslie; Cattabriga, Gary; Tu, Chunhao

    2016-06-01

    To evaluate controlled substance prescribing trends available in the Maine Prescription Monitoring Program (PMP) among individuals arrested for prescription drug "trafficking." The demographic characteristics of the individuals who had matching prescription records in the PMP within 90 days of the arrest were identified. A population-based, retrospective cohort study using data from the Maine Diversion Alert Program (DAP) and the Maine PMP. The study population consisted of persons arrested for trafficking prescription drugs in Maine during the 2014 calendar year from January 1 to December 31. There were 594 trafficking arrests reported by the Maine DAP in 2014. The study population consisted of the 235 persons (40%) with arrests involving controlled prescription medications. The mean age of these persons was 33 years (range 18-77 yrs), and 156 (66%) were male. Arrests involved 154 prescription opioids (65%), seven stimulants (3%), seven benzodiazepines (3%), and 77 unspecified controlled prescription drugs (33%). A minority of individuals (n=57, 24%) had a prescription record in the PMP that matched the substance involved in the arrest. Only one person with matching PMP and arrest records utilized ≥ 5 prescribers, while none used ≥ 5 pharmacies within 90 days before the arrest. Payment methods for matching prescriptions were commercial insurance (n=28, 49%), Medicaid (n=19, 33%), Medicare (n=5, 9%), and cash (n=5, 9%). The majority (76%) of persons arrested for prescription drug trafficking did not have PMP records and did not directly obtain the diverted medication from a licensed pharmacy. Traditional red flags, like cash payment and using multiple prescribers or pharmacies, were uncommon. Therefore, arrest records for diversion and PMPs are distinct and complementary tools for identifying individuals at risk for substance misuse. © 2016 Pharmacotherapy Publications, Inc.

  11. Retention of Ejaculate by Drosophila melanogaster Females Requires the Male-Derived Mating Plug Protein PEBme.

    Science.gov (United States)

    Avila, Frank W; Cohen, Allie B; Ameerudeen, Fatima S; Duneau, David; Suresh, Shruthi; Mattei, Alexandra L; Wolfner, Mariana F

    2015-08-01

    Within the mated reproductive tracts of females of many taxa, seminal fluid proteins (SFPs) coagulate into a structure known as the mating plug (MP). MPs have diverse roles, including preventing female remating, altering female receptivity postmating, and being necessary for mated females to successfully store sperm. The Drosophila melanogaster MP, which is maintained in the mated female for several hours postmating, is comprised of a posterior MP (PMP) that forms quickly after mating begins and an anterior MP (AMP) that forms later. The PMP is composed of seminal proteins from the ejaculatory bulb (EB) of the male reproductive tract. To examine the role of the PMP protein PEBme in D. melanogaster reproduction, we identified an EB GAL4 driver and used it to target PEBme for RNA interference (RNAi) knockdown. PEBme knockdown in males compromised PMP coagulation in their mates and resulted in a significant reduction in female fertility, adversely affecting postmating uterine conformation, sperm storage, mating refractoriness, egg laying, and progeny generation. These defects resulted from the inability of females to retain the ejaculate in their reproductive tracts after mating. The uncoagulated MP impaired uncoupling by the knockdown male, and when he ultimately uncoupled, the ejaculate was often pulled out of the female. Thus, PEBme and MP coagulation are required for optimal fertility in D. melanogaster. Given the importance of the PMP for fertility, we identified additional MP proteins by mass spectrometry and found fertility functions for two of them. Our results highlight the importance of the MP and the proteins that comprise it in reproduction and suggest that in Drosophila the PMP is required to retain the ejaculate within the female reproductive tract, ensuring the storage of sperm by mated females. Copyright © 2015 by the Genetics Society of America.

  12. Appendicular Mucocele Ultrasound Scan and TC: findings indicative of malignant ethiology; Ecografia y TC del mucocele apendicular: hallazgos que sugieren etiologia maligna

    Energy Technology Data Exchange (ETDEWEB)

    Blanc, E.; Ripolles, T.; Martinez, M. J.; Delgado, F.; Agramunt, M.

    2003-07-01

    To describe appendicular mucocele ultrasound scan and computerized tomography (CT) findings, evaluating signs that help in predicting whether or not they are malignant in nature. Clinical and radiological findings of 17 patients in our hospital diagnosed with appendicular mucocele during the last 10 years (six cystadenocarcinomas, eight mucus retention cysts, two cyst adenoma and 1 villus adenoma). The ultrasound scan showed cystic masses in the theoretical location of the appendix, with layered structure in the wall, and with variable internal echogenicity. Seven cases exhibited parietal calcification. The CT showed cystic tumors of low attenuation in the pericecal area with parietal enhancement bands, being nodular in four cases (three cyst adenocarcinomas and a villus adenoma). None of the cyst adenocarcinomas presented calcified walls. In four patients, peritoneal pseudomyxoma was observed (three cyst adenocarcinomas and one mucus retention cyst). Appendicular mucoceles present some characteristic echographic and CT findings. The CT image of a nodular enhancement in the mucocele wall is one finding that suggests a malignant nature. The absence of parietal calcium and existence of associated peritoneal pseudomyxoma also suggest malignancy through both signs can also appear in benign mucoceles. (Author) 11 refs.

  13. African Journal of Neurological Sciences - 2009 Vol. 28 No 1

    African Journals Online (AJOL)

    associée à une duplication (d'une taille de 1,5 mégabases) du bras court du chromosome 17 (17p12) contenant le gène PMP22 [18]. Ce gène a été identifié dans les années 1990 [19-21]. PMP22 est une protéine membranaire de petite taille (22 kDa), et l'un des constituants de la myéline compacte du système nerveux ...

  14. Plexus muscularis profundus and associated interstitial cells. II. Ultrastructural studies of mouse small intestine

    DEFF Research Database (Denmark)

    Rumessen, J J; Thuneberg, L; Mikkelsen, H B

    1982-01-01

    A), synapse-like contacts to interstitial cells of Cajal (ICC-III). Presynaptic densities were frequent in type I endings. A direct innervation of muscle cells via PMP was only very occasionally suggested. ICC-III possessed a basal lamina and numerous caveolae associated with subsurface SER......, and the lack of caveolae and a basal lamina. FLC never participated in synaptic arrangements or gap junctions. Macrophage-like cells were occasionally encountered. It is concluded that possible efferent and afferent nerve terminals in PMP may chiefly, if not exclusively, innervate ICC-III, the ultrastructure...

  15. Instituciones políticas, procesos de diseño de políticas y resultados de políticas en Paraguay, 1954-2003

    OpenAIRE

    Sebastian Saiegh; Marcela Montero; Anibal Pérez-Liñán; José Molinas

    2006-01-01

    (Documento disponible en idioma inglés) En este trabajo se describe la evolución del proceso de diseño de políticas de Paraguay (PMP, por sus siglas en inglés) entre 1954 y 2003. Se presenta una panorámica general del PMP durante el gobierno de Alfredo Stroessner (1954-89) y se analiza el entorno institucional después de 1989. Se trata la manera en que el Partido Colorado se fue dividiendo progresivamente en varias facciones y se describen los patrones que caracterizan el proceso de diseño de...

  16. Extreme flood estimations on a small alpine catchment in Switzerland, the case study of Limmerboden

    Science.gov (United States)

    Zeimetz, F.; García-Hernández, J.; Schleiss, A. J.

    2015-06-01

    In this paper, a case study on the estimations of extreme floods is described. The watershed chosen for the analysis is the catchment of the Limmernboden dam situated in Switzerland. Statistical methods and the simulation based "Probable Maximum Precipitation - Probable maximum Flood" (PMP-PMF) approach are applied for the estimation of the safety flood according to the Swiss flood directives. The results of both approaches are compared in order to determine the discrepancies between them. It can be outlined that the PMP-PMF method does not always overestimate the flood.

  17. Extreme flood estimations on a small alpine catchment in Switzerland, the case study of Limmerboden

    Directory of Open Access Journals (Sweden)

    F. Zeimetz

    2015-06-01

    Full Text Available In this paper, a case study on the estimations of extreme floods is described. The watershed chosen for the analysis is the catchment of the Limmernboden dam situated in Switzerland. Statistical methods and the simulation based "Probable Maximum Precipitation – Probable maximum Flood" (PMP-PMF approach are applied for the estimation of the safety flood according to the Swiss flood directives. The results of both approaches are compared in order to determine the discrepancies between them. It can be outlined that the PMP-PMF method does not always overestimate the flood.

  18. Earth Sciences Data and Information System (ESDIS) program planning and evaluation methodology development

    Science.gov (United States)

    Dickinson, William B.

    1995-01-01

    An Earth Sciences Data and Information System (ESDIS) Project Management Plan (PMP) is prepared. An ESDIS Project Systems Engineering Management Plan (SEMP) consistent with the developed PMP is also prepared. ESDIS and related EOS program requirements developments, management and analysis processes are evaluated. Opportunities to improve the effectiveness of these processes and program/project responsiveness to requirements are identified. Overall ESDIS cost estimation processes are evaluated, and recommendations to improve cost estimating and modeling techniques are developed. ESDIS schedules and scheduling tools are evaluated. Risk assessment, risk mitigation strategies and approaches, and use of risk information in management decision-making are addressed.

  19. Involvement of the gapA- and epd (gapB)-encoded dehydrogenases in pyridoxal 5'-phosphate coenzyme biosynthesis in Escherichia coli K-12.

    Science.gov (United States)

    Yang, Y; Zhao, G; Man, T K; Winkler, M E

    1998-08-01

    We show that epd (gapB) mutants lacking an erythrose 4-phosphate (E4P) dehydrogenase are impaired for growth on some media and contain less pyridoxal 5'-phosphate (PLP) and pyridoxamine 5'-phosphate (PMP) than their epd+ parent. In contrast to a previous report, we found that gapA epd double mutants lacking the glyceraldehyde 3-phosphate and E4P dehydrogenases are auxotrophic for pyridoxine. These results implicate the GapA and Epd dehydrogenases in de novo PLP and PMP coenzyme biosynthesis.

  20. Involvement of the gapA- and epd (gapB)-Encoded Dehydrogenases in Pyridoxal 5′-Phosphate Coenzyme Biosynthesis in Escherichia coli K-12

    Science.gov (United States)

    Yang, Yong; Zhao, Genshi; Man, Tsz-Kwong; Winkler, Malcolm E.

    1998-01-01

    We show that epd (gapB) mutants lacking an erythrose 4-phosphate (E4P) dehydrogenase are impaired for growth on some media and contain less pyridoxal 5′-phosphate (PLP) and pyridoxamine 5′-phosphate (PMP) than their epd+ parent. In contrast to a previous report, we found that gapA epd double mutants lacking the glyceraldehyde 3-phosphate and E4P dehydrogenases are auxotrophic for pyridoxine. These results implicate the GapA and Epd dehydrogenases in de novo PLP and PMP coenzyme biosynthesis. PMID:9696782

  1. Ethnicity, age and incidence rates for renal replacement therapy (RRT) in Birmingham, UK: 1990-2004.

    Science.gov (United States)

    Lambie, Mark; Richards, Nick; Smith, Steve

    2008-12-01

    Birmingham is a densely populated, industrial city with a high social deprivation index and large black (B) and Indo-Asian (I) populations. End stage renal failure is known to be more common in ethnic minorities and urban communities. Workforce planning requires accurate epidemiological data but most studies of the effect of ethnicity in the UK are from the early 1990s. RRT acceptance rates for adults (>16 years) in Birmingham were calculated for the 5-year periods 1990-5 and 1999-2004 using the 1991 and 2001 UK population census datasets and local programmes data. The adult population of Birmingham Health Authority increased slightly (961,041 in 1991 v 977,099 in 2001) but the proportion of W fell (82.7% to 74.3%) while B (5.3% to 7.0%) and I (10.4% to 17.2%) both increased.Median age was lower for I (33.5 1991, 32.9 2001) than B(33.8 1991, 37.4 2001) and W (45.1 1991, 45.9 2001).Numbers of new patients increased by 29% in W, 98% in B and 109% in I. There was also a substantial increase in acceptance rates (W 92 to 129 pmp, I 175 to 243 pmp, B 191 to 278 pmp) but the proportional increase in I (26.9%) was less than in W (41.5%) or B (48.2%). This is because almost all the increase in RRT acceptance rates for all ethnic groups was seen in the over 55 age group (256 pmp 1991, 481 pmp 2001) but 85% of the population growth for I was in the under 55 age group. In all ethnic groups there was a striking increase in acceptance rates for the over 70's (W 177 to 440 pmp, I 536 to 1711 pmp, B 301 to 1858 pmp). All acceptance rates were equivalent to the highest previously described in the UK. This may be due to local factors including social deprivation, availability of care and physicians attitudes. The increase in patient numbers was due to rising ethnic minority populations and increasing acceptance rates, especially in the elderly.The take-on rate is likely to rise disproportionately for I as the population ages over the next 10 years. This indicates that the future

  2. Instituciones políticas, procesos de diseño de políticas y resultados de las políticas en México

    OpenAIRE

    Fabrice Lehoucq; Gabriel Negretto; Francisco Aparicio; Benito Nacif; Allyson Benton

    2005-01-01

    (Disponible en idioma inglés únicamente) En este trabajo se emplea un marco de costos de transacción para vincular el proceso de diseño de políticas (PMP, por sus siglas en inglés) y las características externas de las políticas públicas en México, un país en desarrollo con ingresos medios. Se muestra cómo un PMP altamente secreto y centralizado alrededor de la Presidencia produjo políticas de corte nacionalista que fueron estables, adaptables, coordinadas y consideradas para con el sector pr...

  3. Molecular modeling of the inhibition of enzyme PLA2 from snake venom by dipyrone and 1-phenyl-3-methyl-5-pyrazolone

    Science.gov (United States)

    Silva, S. L. Da; Comar, M., Jr.; Oliveira, K. M. T.; Chaar, J. S.; Bezerra, E. R. M.; Calgarotto, A. K.; Baldasso, P. A.; Veber, C. L.; Villar, J. A. F. P.; Oliveira, A. R. M.; Marangoni, S.

    Phospholipases A2 (PLA2) are enzymes that trigger the degradation cascade of the arachidonic acid, leading to the formation of pro-inflammatory eicosanoids. The selective inhibition of PLA2s is crucial in the search for a more efficient anti-inflammatory drug with fewer side effects than the drugs currently used. Hence, we studied the influences caused by two pyrazolonic inhibitors: dipyrone (DIP) and 1-phenyl-3-methyl-5-pyrazolone (PMP) on the kinetic behavior of PLA2 from Crotalus adamanteus venom. Molecular modeling results, by DFT and MM approaches, showed that DIP is strongly associated to the active site of PLA2 through three hydrogen bonds, whereas PMP is associated to the enzyme just through hydrophobic interactions. In addition, only PMP presents an intramolecular hydrogen bond that make difficult the formation of more efficient interactions with PLA2. These results help in the understanding of the experimental observations. Experimentally, the results showed that PLA2 from C. adamanteus present a typical Michaelian behavior. In addition, the calculated kinetic parameters showed that, in the presence of DIP or PMP, the maximum enzymatic velocity (VMAX) value was kept constant, whereas the Michaelis constant (KM) values increased and the inhibition constant (KI) decreased, indicating competitive inhibition. These results show that the phenyl-pyrazolonic structures might help in the development and design of new drugs able to selectively inhibit PLA2.

  4. Project W-443 cask/transporation project management plan

    Energy Technology Data Exchange (ETDEWEB)

    Byrd, L.C., Westinghouse Hanford

    1996-07-02

    This document has been prepared and is being released for Project W-443 participants to use in the performance of project activities. This PMP establishes the organizational responsibilities and baseline controls to be used to manage Spent Nuclear Fuel Subproject W-443.

  5. Assessing the performance of Clostridium perfringens cooling models for cooked, uncured meat and poultry products

    Science.gov (United States)

    Heat-resistant spores of C. perfringens may germinate and multiply in cooked meat and poultry products if the rate and extent of cooling does not occur in a timely manner. Therefore, six cooling models (PMP 7.0 broth model; PMIP Uncured Beef, Chicken, and Pork Models; Smith-Schaffner (version 3); a...

  6. Quantitative measurement of duplicated DNA as a diagnostic test for Charcot-Marie-Tooth disease type 1a

    NARCIS (Netherlands)

    Hensels, G. W.; Janssen, E. A.; Hoogendijk, J. E.; Valentijn, L. J.; Baas, F.; Bolhuis, P. A.

    1993-01-01

    Charcot-Marie-Tooth disease type 1 (CMT1) is a hereditary motor and sensory neuropathy. The autosomal dominant subtype is often linked with a large duplication on chromosome 17p11.2. The gene encoding the peripheral myelin protein PMP 22 (the critical gene in this subtype of CMT1) is located within

  7. Reductions in neuronal peroxisomes in multiple sclerosis grey matter.

    Science.gov (United States)

    Gray, Elizabeth; Rice, Claire; Hares, Kelly; Redondo, Juliana; Kemp, Kevin; Williams, Marcus; Brown, Ann; Scolding, Neil; Wilkins, Alastair

    2014-05-01

    Peroxisomes are organelles in eukaryotic cells with multiple functions including the detoxification of reactive oxygen species, plasmalogen synthesis and β-oxidation of fatty acids. Recent evidence has implicated peroxisomal dysfunction in models of multiple sclerosis (MS) disease progression. Our aims were to determine whether there are changes in peroxisomes in MS grey matter (GM) compared to control GM. We analysed cases of MS and control GM immunocytochemically to assess peroxisomal membrane protein (PMP70) and neuronal proteins. We examined the expression of ABCD3 (the gene that encodes PMP70) in MS and control GM. Analyses of very long chain fatty acid (VLCFA) levels in GM were performed. PMP70 immunolabelling of neuronal somata was significantly lower in MS GM compared to control. Calibration of ABCD3 gene expression with reference to glyceraldehyde 3-phsophate dehydrogenase (GAPDH) revealed overall decreases in expression in MS compared to controls. Mean PMP70 counts in involved MS GM negatively correlated to disease duration. Elevations in C26:0 (hexacosanoic acid) were found in MS GM. Collectively, these observations provide evidence that there is an overall reduction in peroxisomal gene expression and peroxisomal proteins in GM neurons in MS. Changes in peroxisomal function may contribute to neuronal dysfunction and degeneration in MS.

  8. Anti-diabetic action of the aqueous extract of Ocimum suave in ...

    African Journals Online (AJOL)

    Dell

    2012-04-16

    Apr 16, 2012 ... volatile components in basil (Ocimum basilicum) and thyme leaves. (Thymus vulgaris) and their antioxidant properties. Food Chem. 91: 131-137. Simon JE, Quinn J, Murray RG (1990). Basil: a source of essential oils. Mc Graw-Hill. pp. 484-489. Stanely PMP, Menon VP, Pari L (1998). Hypoglycaemic activity ...

  9. Predominant melliferous plants of the western Sudano Guinean ...

    African Journals Online (AJOL)

    use

    predominant melliferous plants (PMP) in 104 honey samples collected from the Soudano Guinean highlands zone of west Cameroon. ... Pollen composition of honey can be used as an indicator of the foraging behaviour of bees ..... analysis of honeys, propolis and pollen loads of bees, Sci. Agric.,. 61(3): 342 - 350. Dongock ...

  10. First Refresher Course in Materials Preparation and Measurement of ...

    Indian Academy of Sciences (India)

    IAS Admin

    Refresher Courses of two-week duration are also entitled to be considered for promotion. Interested applicants must submit their application ONLINE by clicking on the following link http://web-japps.ias.ac.in:8080/Refreshcourse/PMP.jsp. In the case of teacher applicants, a hard copy of the application should be forwarded to ...

  11. Prevalence of patients receiving renal replacement therapy in El Salvador in 2014

    Directory of Open Access Journals (Sweden)

    Ramón García-Trabanino

    2016-11-01

    Discussion: Despite the increase in RRT services, the prevalence is lower than the Latin American average (660 pmp. Three quarters of HD and PD patients are under-dialysed. Obsolete RRT techniques are still used. The presence of Mesoamerican nephropathy influences the demographic characteristics (many young patients, two-thirds male, high prevalence in lowlands and coastlands.

  12. Mediation Works: An Action Research Study Evaluating the Peer Mediation Program from the Eyes of Mediators and Faculty

    Science.gov (United States)

    Cook, Jacqueline Yvonne; Boes, Susan R.

    2013-01-01

    A literature review was conducted to understand how mediators and faculty view a Peer Mediation Program (PMP). The review identified four subgroups: mediators, teachers, administrators, and school counselors as well as their views on the success or lack of success of PMPs. The research also reflects how to best engage stakeholders in the mediation…

  13. Unit Hydrograph Peaking Analysis for Goose Creek Watershed in Virginia: A Case Study

    Science.gov (United States)

    2017-05-01

    utilized maximum peaking factor value of 1.5. Although by definition the PMP does not have a return period, it is nonetheless a useful exercise. The...Pradhan, N. R, C. W. Downer, and B. E. Johnson. 2014. A physics based hydrologic modeling approach to simulate non-point source pollution for the

  14. Meaning of life, representation of death, and their association with psychological distress.

    Science.gov (United States)

    Testoni, Ines; Sansonetto, Giulia; Ronconi, Lucia; Rodelli, Maddalena; Baracco, Gloria; Grassi, Luigi

    2017-08-09

    This paper presents a two-phase cross-sectional study aimed at examining the possible mitigating role of perceived meaning of life and representation of death on psychological distress, anxiety, and depression. The first phase involved 219 healthy participants, while the second encompassed 30 cancer patients. Each participant completed the Personal Meaning Profile (PMP), the Testoni Death Representation Scale (TDRS), the Hospital Anxiety and Depression Scale (HADS), and the Distress Thermometer (DT). The primary analyses comprised (1) correlation analyses between the overall scores of each of the instruments and (2) path analysis to assess the indirect effect of the PMP on DT score through anxiety and depression as determined by the HADS. The path analysis showed that the PMP was inversely correlated with depression and anxiety, which, in turn, mediated the effect on distress. Inverse correlations were found between several dimensions of the PMP, the DT, and the HADS-Anxiety and HADS-Depression subscales, in both healthy participants and cancer patients. Religious orientation (faith in God) was related to a stronger sense of meaning in life and the ontological representation of death as a passage, rather than annihilation. Our findings support the hypothesis that participants who represent death as a passage and have a strong perception of the meaning of life tend to report lower levels of distress, anxiety, and depression. We recommend that perceived meaning of life and representation of death be more specifically examined in the cancer and palliative care settings.

  15. Evaluation of Probable Maximum Precipitation and Flood under Climate Change in the 21st Century

    Science.gov (United States)

    Gangrade, S.; Kao, S. C.; Rastogi, D.; Ashfaq, M.; Naz, B. S.; Kabela, E.; Anantharaj, V. G.; Singh, N.; Preston, B. L.; Mei, R.

    2016-12-01

    Critical infrastructures are potentially vulnerable to extreme hydro-climatic events. Under a warming environment, the magnitude and frequency of extreme precipitation and flood are likely to increase enhancing the needs to more accurately quantify the risks due to climate change. In this study, we utilized an integrated modeling framework that includes the Weather Research Forecasting (WRF) model and a high resolution distributed hydrology soil vegetation model (DHSVM) to simulate probable maximum precipitation (PMP) and flood (PMF) events over Alabama-Coosa-Tallapoosa River Basin. A total of 120 storms were selected to simulate moisture maximized PMP under different meteorological forcings, including historical storms driven by Climate Forecast System Reanalysis (CFSR) and baseline (1981-2010), near term future (2021-2050) and long term future (2071-2100) storms driven by Community Climate System Model version 4 (CCSM4) under Representative Concentrations Pathway 8.5 emission scenario. We also analyzed the sensitivity of PMF to various antecedent hydrologic conditions such as initial soil moisture conditions and tested different compulsive approaches. Overall, a statistical significant increase is projected for future PMP and PMF, mainly attributed to the increase of background air temperature. The ensemble of simulated PMP and PMF along with their sensitivity allows us to better quantify the potential risks associated with hydro-climatic extreme events on critical energy-water infrastructures such as major hydropower dams and nuclear power plants.

  16. OBS seismic data preliminary results: Manila subduction zone (21°N)

    Science.gov (United States)

    Zhao, M.; Liu, S.; Sun, L.; Sibuet, J. C.; Zhang, J.; Chen, C.; Qiu, X.

    2016-12-01

    A two-dimensional ocean bottom seismometer (OBS) survey was performed in 2015, along an E-W trending line (OBS2015-2) located in front of the Manila subduction zone. The preliminary results show that OBS data are of high quality for the whole experiment. Seismic phases (such as Pg and PmP) are very clear in the OBSs' record sections. They are further identified by forward modeling using the Rayinvr software. The reflective seismic phases from the Moho interface (PmP) are observed in all OBS sections. The identification of these PmP phases used simultaneously with Fast and Tomo2D tomography results shows that the nature of the crust is essentially continental, not oceanic, except perhaps close to the trench. The obvious PmP phases in the incoming plate along the Manila Trench subduction zone, will further provide good constraints concerning the nature and evolution of the incoming plate in the Manila subduction zone. This research was granted by the Natural Science Foundation of China (91428204, 41176053) and the scientific cruise (NORC2015-8) by the R/V Shiyan 2.

  17. Distinguishing between the Partial-Mapping Preparation Hypothesis and the Failure-to-Engage Hypothesis of Residual Switch Costs

    Science.gov (United States)

    Lindsen, Job P.; de Jong, Ritske

    2010-01-01

    Lien, Ruthruff, Remington, & Johnston (2005) reported residual switch cost differences between stimulus-response (S-R) pairs and proposed the partial-mapping preparation (PMP) hypothesis, which states that advance preparation will typically be limited to a subset of S-R pairs because of structural capacity limitations, to account for these…

  18. Distinguishing Between the Partial-Mapping Preparation Hypothesis and the Failure-to-Engage Hypothesis of Residual Switch Costs

    NARCIS (Netherlands)

    Lindsen, Job P.; de Jong, Ritske

    2010-01-01

    Lien, Ruthruff, Remington, & Johnston (2005) reported residual switch cost differences between stimulus response (S-R) pairs and proposed the partial-mapping preparation (PMP) hypothesis, which states that advance preparation will typically be limited to a subset of S-R pairs because of structural

  19. Three-dimensional seismic model of crustal structure in Southern Norway

    DEFF Research Database (Denmark)

    Loidl, B.; Behm, M.; Thybo, Hans

    2014-01-01

    on robust, local 1-D velocity-depth functions derived from CMP-sorted and stacked records. The depth to Moho is determined from reflected waves (PmP) by traditional exploration seismology processing routines (CMP sorting, NMO correction, stacking, depth conversion). We find that this combination of stacking...

  20. 80 FR 13603 - Environmental Impact Statement for a Management Plan for Yellowstone-Area Bison

    Science.gov (United States)

    2015-03-16

    ..., PMP00EI05.YP0000, 15XP103905] Environmental Impact Statement for a Management Plan for Yellowstone-Area... Environmental Impact Statement (EIS) for a plan to manage a wild and migratory population of Yellowstone-area... the park's Administration Building in Mammoth Hot Springs, Yellowstone National Park, WY and by...

  1. Utilization of the Arkansas Prescription Monitoring Program to combat prescription drug abuse

    Directory of Open Access Journals (Sweden)

    Rebecca Rittenhouse

    2015-01-01

    Conclusion: Compelling more users of the AR PMP to be prompted to access the program by the involvement of a CS prescription or by requirements per office/facility policy may increase frequency of use of the program and thereby changes in health care practices to combat prescription drug abuse.

  2. [Pseudomigraine with cerebrospinal fluid pleocytosis or syndrome of headache, temporary neurological deficit and cerebrospinal fluid. A historical review].

    Science.gov (United States)

    Martin-Balbuena, S; Arpa-Gutierrez, F J

    The pseudomigraine syndrome with cerebrospinal fluid (CSF) and pleocytosis (PMP) or headache with neurologic deficits and CSF lymphocytosis (HaNDL) is an entity that they have been realized multiple contributions to their etiophysiopathology in the 25 years of their discovery. The PMP is described in 1980 by Swanson, Bartleson and Whisnant, and parallelly for Marti-Masso, and from then on there have been contributions of new cases, ones some atypical for mild headache, prolonged recurrence, symptomatic intracranial hypertension or infections for citomegalovirus that simulates PMP. They have carried out several approaches diagnoses along the years being established at the moment in the year 2004 by the International Classification of Headache Disorders. They have carried out contributions to their knowledge thanks to the realization of electroencephalograms, single photon emission computed tomography brain imaging, transcranial Doppler, evoked potentials, brain magnetic resonance imaging diffusion... giving place to the existence of numerous theories like the infectious-autoimmune, dysfunction of the blood brain barrier, spread cortical depression, trigeminous-vascular activation. The PMP or HaNDL is a benign entity with even unknown etiophysiopathology and where it is important the differential diagnosis with other entities potentially more dangerous.

  3. Root Cause Analyses of Nunn-McCurdy Breaches. Volume 2: Excalibur Artillery Projectile and the Navy Enterprise Resource Planning Program, with an Approach to Analyzing Program Complexity and Risk

    Science.gov (United States)

    2012-01-01

    extraordinarily helpful discussions about the program. We thank John McNair and Dennis Taitano for their insights regarding the creation and expectations of...Program Deviation Report PEO-AMMO Program Executive Officer for Ammunition PMP parts management program POM Program Objectives Memorandum RCA root cause

  4. Predictive microbiology for food packaging applications

    Science.gov (United States)

    Mathematical modeling has been applied to describe the microbial growth and inactivation in foods for decades and is also known as ‘Predictive microbiology’. When models are developed and validated, their applications may save cost and time. The Pathogen Modeling Program (PMP), a collection of mode...

  5. Unit Hydrograph Peaking Analysis for Goose Creek Watershed in Virginia: A Case Study

    Science.gov (United States)

    2017-05-01

    nautical) 1,852 meters miles (U.S. statute) 1,609.347 meters miles per hour 0.44704 meters per second mils 0.0254 millimeters ounces (U.S. fluid ...nrcs/detail/soils/survey/ geo /?cid=nrcs142p2_053631). The probable maximum precipitation (PMP) estimates was obtained from the Hydrometeorological

  6. 78 FR 23313 - Privacy Act of 1974: New System of Records

    Science.gov (United States)

    2013-04-18

    ... Warehouse (HCDW). SYSTEM LOCATION: Office of Personnel Management, 1900 E Street NW., Washington, DC 20415... MANAGEMENT Privacy Act of 1974: New System of Records AGENCY: U.S. Office of Personnel Management (OPM... mail to the Office of Personnel Management, ATTN: Dennis Hardy, PMP, HCDW Project Manager, U. S. Office...

  7. Liver transplantation in Latin America: the state-of-the-art and future trends.

    Science.gov (United States)

    Salvalaggio, Paolo R; Caicedo, Juan C; de Albuquerque, Luiz Carneiro; Contreras, Alan; Garcia, Valter D; Felga, Guilherme E; Maurette, Rafael J; Medina-Pestana, José O; Niño-Murcia, Alejandro; Pacheco-Moreira, Lucio F; Rocca, Juan; Rodriguez-Davalos, Manuel; Ruf, Andres; Rusca, Luis A Caicedo; Vilatoba, Mario

    2014-08-15

    We reviewed the current status of liver transplantation in Latin America. We used data from the Latin American and Caribbean Transplant Society and national organizations and societies, as well as information obtained from local transplant leaders. Latin America has a population of 589 million (8.5% of world population) and more than 2,500 liver transplantations are performed yearly (17% of world activity), resulting in 4.4 liver transplants per million people (pmp) per year. The number of liver transplantations grows at 6% per year in the region, particularly in Brazil. The top liver transplant rates were found in Argentina (10.4 pmp), Brazil (8.4 pmp), and Uruguay (5.5 pmp). The state of liver transplantation in some countries rivals those in developed countries. Model for End-Stage Liver Disease-based allocation, split, domino, and living-donor adult and pediatric transplantations are now routinely performed with outcomes comparable to those in advanced economies. In contrast, liver transplantation is not performed in 35% of Latin American countries and lags adequate resources in many others. The lack of adequate financial coverage, education, and organization is still the main limiting factor in the development of liver transplantation in Latin America. The liver transplant community in the region should push health care leaders and authorities to comply with the Madrid and Istambul resolutions on organ donation and transplantation. It must pursue fiercely the development of registries to advance the science and quality control of liver transplant activities in Latin America.

  8. Using Different Models of Second-Language Teaching

    Science.gov (United States)

    Papalia, Anthony

    1975-01-01

    The teaching profession is encouraged to retreat from the search for one method of instruction and to recognize that there are many factors which lead to success in modern language learning. Several models offering different approaches for organizing classroom instruction are suggested. (Author/PMP)

  9. Anaesthesia and Charcot-Marie- Tooth Disease

    African Journals Online (AJOL)

    Adele

    family history of peripheral motor and sensory neuropathy that had been diagnosed as Charcot-Marie-Tooth (CMT) disease type 1. He had undergone genetic testing which showed a duplication of the peripheral myelin protein (PMP 22) gene consistent with CMT Type. 1A. The previous anaesthetic for right foot surgery was ...

  10. Identification of a peroxisomal ATP carrier required for medium-chain fatty acid beta-oxidation and normal peroxisome proliferation in Saccharomyces cerevisiae

    NARCIS (Netherlands)

    van Roermund, C. W.; Drissen, R.; van den Berg, M.; IJlst, L.; Hettema, E. H.; Tabak, H. F.; Waterham, H. R.; Wanders, R. J.

    2001-01-01

    We have characterized the role of YPR128cp, the orthologue of human PMP34, in fatty acid metabolism and peroxisomal proliferation in Saccharomyces cerevisiae. YPR128cp belongs to the mitochondrial carrier family (MCF) of solute transporters and is localized in the peroxisomal membrane. Disruption of

  11. Identification and characterization of the RCI2 gene family in maize ...

    Indian Academy of Sciences (India)

    PMP3 (Saccharomyces cerevisiae, X91499), T23F2.3/2.5 (Caenorhabditis elegans, NM_076533, NM_076535) and. WPI6 (Triticum aestivum, AB030210). The transmembrane domains are ..... drought, salt and low temperature, greatly affect plant growth and crop production (Shinozaki et al. 2003), RCI2s should be a focus ...

  12. Co-occurrence of Xp21 microduplication encompassing the DMD ...

    African Journals Online (AJOL)

    Alpa Sidhu

    2014-12-27

    Dec 27, 2014 ... Defects in the DMD gene (deletion, duplication, or mutation) are associated with Duchenne and Becker muscular dystrophies (DMD and BMD). Combined microduplications of Xp21/DMD with 17p12/PMP22 are extremely rare with only one published report of a male patient with changes in both the DMD ...

  13. 78 FR 65751 - Integrated Corridor Management Deployment Planning Grants

    Science.gov (United States)

    2013-11-01

    ... agencies, tolling authorities, and transit authorities, to apply for deployment planning grants. The Moving..., and Simulation Guidance; Model System Engineering documents; and technology transfer activities such... Plan (PMP) and a System Engineering Management Plan (SEMP). These plans should be finalized and...

  14. Job Stress and Organizational Commitment among Mentoring Coordinators

    Science.gov (United States)

    Michael, Orly; Court, Deborah; Petal, Pnina

    2009-01-01

    Purpose: This research aims to examine the impact of job stress on the organizational commitment of a random, representative sample of coordinators in the Israeli educational mentoring organization PMP. Organizational commitment, including affective, continuance and normative commitment, refers to worker relations in the organization, and how…

  15. Hydrophilic Conjugated Polymers with Large Bandgaps and Deep-Lying HOMO Levels as an Efficient Cathode Interlayer in Inverted Polymer Solar Cells.

    Science.gov (United States)

    Kan, Yuanyuan; Zhu, Yongxiang; Liu, Zhulin; Zhang, Lianjie; Chen, Junwu; Cao, Yong

    2015-08-01

    Two hydrophilic conjugated polymers, PmP-NOH and PmP36F-NOH, with polar diethanol-amine on the side chains and main chain structures of poly(meta-phenylene) and poly(meta-phenylene-alt-3,6-fluorene), respectively, are successfully synthesized. The films of PmP-NOH and PmP36F-NOH show absorption edges at 340 and 343 nm, respectively. The calculated optical bandgaps of the two polymers are 3.65 and 3.62 eV, respectively, the largest ones so far reported for hydrophilic conjugated polymers. PmP-NOH and PmP36F-NOH also possess deep-lying highest occupied molecular orbital levels of -6.19 and -6.15 eV, respectively. Inserting PmP-NOH and PmP36F-NOH as a cathode interlayer in inverted polymer solar cells with a PTB7/PC71 BM blend as the active layer, high power conversion efficiencies of 8.58% and 8.33%, respectively, are achieved, demonstrating that the two hydrophilic polymers are excellent interlayers for efficient inverted polymer solar cells. © 2015 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.

  16. A Selected List of Instructional Materials for English as a Second Language: Elementary Level. CAL-ERIC/CLL Series on Languages and Linguistics, No. 19.

    Science.gov (United States)

    Marckwardt, Maybelle

    This is a list of forty-two textbooks, audio-visual aids, puzzles and games, readers, multi-media materials, and workbooks designed for use in teaching English as a second language at the elementary level. The entries are arranged alphabetically by author, and each includes a brief annotation. (PMP)

  17. A Selected List of Instructional Materials for English as a Second Language: Secondary Level. CAL-ERIC/CLL Series on Languages and Linguistics, No. 20.

    Science.gov (United States)

    Marckwardt, Maybelle

    This is a list of forty-five textbooks, vocabulary books, puzzles and games, readers and conversation texts designed for use in teaching English as a second language at the secondary level. The entries are arranged alphabetically by author, and each includes a brief annotation. (PMP)

  18. Probable maximum precipitation 24 hours estimation: A case study of Zanjan province of Iran

    Directory of Open Access Journals (Sweden)

    Azim Shirdeli

    2012-10-01

    Full Text Available One of the primary concerns in designing civil structures such as water storage dams and irrigation and drainage networks is to find economic scale based on possibility of natural incidents such as floods, earthquake, etc. Probable maximum precipitation (PMP is one of well known methods, which helps design a civil structure, properly. In this paper, we study the maximum one-day precipitation using 17 to 50 years of information in 13 stations located in province of Zanjan, Iran. The proposed study of this paper uses two Hershfield methods, where the first one yields 18.17 to 18.48 for precipitation where the PMP24 was between 170.14 mm and 255.28 mm. The second method reports precipitation between 2.29 and 4.95 while PMP24 was between 62.33 mm and 92.08 mm. In addition, when the out of range data were deleted from the study of the second method, precipitation rates were calculated between 2.29 and 4.31 while PMP24 was between 76.08 mm and 117.28 mm. The preliminary results indicate that the second Hershfield method provide more stable results than the first one.

  19. Problem-Solving Management Training Effects on Sales Productivity and Job Satisfaction.

    Science.gov (United States)

    Ross, Paul C.; And Others

    Research suggests that effective organizational change must be led by line personnel rather than by outside consultants. The Performance Management Program (PMP) implemented in two Bell Telephone companies is a line-led, self-help program in which managers participate in problem-solving activities within their own jobs. Marketing and sales…

  20. The European Renal Association – European Dialysis and Transplant Association Registry Annual Report 2014: a summary

    Science.gov (United States)

    Kramer, Anneke; Noordzij, Marlies; Afentakis, Nikolaos; Alonso de la Torre, Ramón; Ambühl, Patrice M.; Aparicio Madre, Manuel I.; Arribas Monzón, Felipe; Åsberg, Anders; Bonthuis, Marjolein; Bouzas Caamaño, Encarnación; Bubic, Ivan; Caskey, Fergus J.; Castro de la Nuez, Pablo; Cernevskis, Harijs; de los Ángeles Garcia Bazaga, Maria; des Grottes, Jean-Marin; Fernández González, Raquel; Ferrer-Alamar, Manuel; Finne, Patrik; Garneata, Liliana; Golan, Eliezer; Heaf, James G.; Hemmelder, Marc H.; Idrizi, Alma; Ioannou, Kyriakos; Jarraya, Faical; Kantaria, Nino; Kolesnyk, Mykola; Kramar, Reinhard; Lassalle, Mathilde; Lezaic, Visnja V.; Lopot, Frantisek; Macario, Fernando; Magaz, Ángela; Martín de Francisco, Angel L.; Martín Escobar, Eduardo; Martínez Castelao, Alberto; Metcalfe, Wendy; Moreno Alia, Inmaculada; Nordio, Maurizio; Ots-Rosenberg, Mai; Palsson, Runolfur; Ratkovic, Marina; Resic, Halima; Rutkowski, Boleslaw; Santiuste de Pablos, Carmen; Seyahi, Nurhan; Fernanda Slon Roblero, María; Spustova, Viera; Stas, Koenraad J.F.; Stendahl, María E.; Stojceva-Taneva, Olivera; Vazelov, Evgueniy; Ziginskiene, Edita; Massy, Ziad; Jager, Kitty J.; Stel, Vianda S.

    2017-01-01

    Abstract Background: This article summarizes the European Renal Association – European Dialysis and Transplant Association Registry’s 2014 annual report. It describes the epidemiology of renal replacement therapy (RRT) for end-stage renal disease (ESRD) in 2014 within 35 countries. Methods: In 2016, the ERA-EDTA Registry received data on patients who in 2014 where undergoing RRT for ESRD, from 51 national or regional renal registries. Thirty-two registries provided individual patient level data and 19 provided aggregated patient level data. The incidence, prevalence and survival probabilities of these patients were determined. Results: In 2014, 70 953 individuals commenced RRT for ESRD, equating to an overall unadjusted incidence rate of 133 per million population (pmp). The incidence ranged by 10-fold; from 23 pmp in the Ukraine to 237 pmp in Portugal. Of the patients commencing RRT, almost two-thirds were men, over half were aged ≥65 years and a quarter had diabetes mellitus as their primary renal diagnosis. By day 91 of commencing RRT, 81% of patients were receiving haemodialysis. On 31 December 2014, 490 743 individuals were receiving RRT for ESRD, equating to an unadjusted prevalence of 924 pmp. This ranged throughout Europe by more than 10-fold, from 157 pmp in the Ukraine to 1794 pmp in Portugal. In 2014, 19 406 kidney transplantations were performed, equating to an overall unadjusted transplant rate of 36 pmp. Again this varied considerably throughout Europe. For patients commencing RRT during 2005–09, the 5-year-adjusted patient survival probabilities on all RRT modalities was 63.3% (95% confidence interval 63.0–63.6). The expected remaining lifetime of a 20- to 24-year-old patient with ESRD receiving dialysis or living with a kidney transplant was 21.9 and 44.0 years, respectively. This was substantially lower than the 61.8 years of expected remaining lifetime of a 20-year-old patient without ESRD. PMID:28584624

  1. Chapter 1 UK RRT incidence in 2010: national and centre-specific analyses.

    Science.gov (United States)

    Gilg, Julie; Castledine, Clare; Fogarty, Damian

    2012-01-01

    This chapter describes the characteristics of adult patients starting renal replacement therapy (RRT) in the UK in 2010 and the incidence rates for RRT in Primary Care Trusts and Health Boards (PCT/HBs) in the UK. The basic demographics and clinical characteristics are reported on patients starting RRT from all UK renal centres. Presentation time, defined as time between first being seen by a nephrologist and start of RRT, was also studied. Age and gender standardised ratios for incidence rates in PCT/HBs were also calculated. In 2010, the incidence rates in the UK and England were similar to 2009 at 107 per million population (pmp). The incidence rate fell in Scotland (from 104 pmp to 95 pmp), increased in Northern Ireland (from 88 pmp to 101 pmp) and Wales (from 120 pmp to 128 pmp). There were wide variations between PCT/HBs in standardised incidence ratios. The median age of all incident patients was 64.9 years (IQR 51.0, 75.2). For transplant centres this was 63.1 years (IQR 49.7, 74.2) and for non-transplanting centres 66.5 years (IQR 52.9, 76.0). The median age for non-Whites was 57.1 years. Diabetic renal disease remained the single most common cause of renal failure (24%). By 90 days, 68.3% of patients were on haemodialysis, 18.1% on peritoneal dialysis, 7.7% had had a transplant and 5.9% had died or stopped treatment. The mean eGFR at the start of RRT was 8.7 ml/ min/1.73 m(2) which was similar to the previous three years. Late presentation (<90 days) fell from 28.2% in 2005 to 20.6% in 2010. There was no relationship between social deprivation and presentation pattern. Incidence rates have plateaued in England over the last five years. They have fallen in Scotland and fallen and then risen again in Northern Ireland and Wales. Wales continued to have the highest incidence rate of the countries making up the UK. Copyright © 2012 S. Karger AG, Basel.

  2. Annual report of groundwater monitoring at Centralia, Kansas, in 2009.

    Energy Technology Data Exchange (ETDEWEB)

    LaFreniere, L. M. (Environmental Science Division)

    2010-10-19

    in the injection test area (Argonne 2009a). The KDHE (2008a) has requested that sitewide monitoring continue at Centralia until a final remedy has been selected (as part of a Corrective Action Study [CAS] evaluation) and implemented for this site. In response to this request, twice-yearly sampling of 10 monitoring wells and 6 piezometers (Figure 1.1) previously approved by the KDHE for monitoring of the groundwater at Centralia (KDHE 2005a,b) was continued in 2008. The sampling events under this extension of the two-year (2005-2007) monitoring program occurred in March and September 2008 (Argonne 2008b, 2009b). Additional piezometers specifically installed to evaluate the progress of the IM pilot test (PMP1-PMP9; Figure 1.2) were also sampled in 2008; the results of these analyses were reported and discussed separately (Argonne 2009a). On the basis of results of the 2005-2008 sitewide monitoring and the 2008 IM pilot test monitoring, the CCC/USDA recommended a revised sampling program to address both of the continuing monitoring objectives until a CAS for Centralia is developed (Section 4.2 in Argonne 2009b). The elements of this interim monitoring plan are as follows: (1) Annual sampling of twelve previously established (before the pilot test) monitoring points (locations identified in Figure 1.3) and the five outlying pilot test monitoring points (PMP4, PMP5, PMP6, PMP7, PMP9; Figure 1.4); and (2) Sampling twice yearly at the five pilot test monitoring points inside the injection area (PMP1-PMP3, PMP8, MW02; Figure 1.4). With the approval of the KDHE (2009), groundwater sampling for analyses of VOCs and selected other geochemical parameters was conducted at Centralia under the interim monitoring program outlined above in April and October 2009. This report documents the findings of the 2009 monitoring events.

  3. Burden of end-stage renal disease (ESRD) in Latin America.

    Science.gov (United States)

    Rosa-Diez, Guillermo; Gonzalez-Bedat, María; Ferreiro, Alejandro; García-García, Guillermo; Fernandez-Cean, Juan; Douthat, Walter

    End-stage renal disease (ESRD) represents a major challenge for Latin America (LA). Epidemiological information needed to assist in the development of ESRD care in the region. The Latin American Dialysis and Renal Transplant Registry (RLADTR), has published several reports and its continuity has implied a sustained effort of the entire LA Nephrology community. This paper summarizes the results corresponding to year 2012. Our methods have been reported previously. Participant countries complete an annual survey collecting data on incident and prevalent patients undergoing renal replacement treatment (RRT) in all modalities. 20 countries participated in the surveys, more than 90% of the Latin America. The prevalence of ESRD under RRT in LA increased from 119 patients Per million population (pmp) in 1991 to 661 pmp in 2012. HD continues to be the treatment of choice in the region (82%). A wide rate variation in incidence is observed: from 472.7 in Jalisco (Mexico) to 14 pmp in Guatemala. Diabetes remained the leading cause of ESRD. The most frequent cause of death was cardiovascular. There is a wide rate variation of nephrologist by country, from 1.8 pmp in Honduras to 45.2 pmp in Cuba. The heterogeneity or even absence of registries in some LA countries is congruent with the inequities in access to RRT in such countries, as well as the availability of qualified personnel. The SLANH is currently running training programs as well as cooperation programs between LA countries to help the least developed start ESRD programs. In this spirit, RLADTR is training personnel to carry out dialysis and transplant registries in LA.

  4. Prevalence of patients receiving renal replacement therapy in El Salvador in 2014.

    Science.gov (United States)

    García-Trabanino, Ramón; Trujillo, Zulma; Colorado, Ana Verónica; Magaña Mercado, Salvador; Henríquez, Carlos Atilio

    El Salvador has the highest renal failure mortality rate in the Americas. Five healthcare providers offer renal replacement therapy (RRT) in the country. The national RRT prevalence has never been reported. To determine the RRT prevalence in El Salvador and some basic characteristics. The association of nephrology coordinated a nationwide cross-sectional survey during the third quarter of 2014. 31 renal centres participated in the survey, covering 99.5% of patients. National RRT prevalence: 595 per million population (pmp), N=3807, average age 50.4 years, 67.5% male. By modality: peritoneal dialysis (PD) 289 pmp, haemodialysis (HD) 233 pmp, with functioning kidney transplantation 74 pmp (living donor only). Social security covers 25% of the population but treats 49.7% of RRT patients. Generally, higher prevalence was observed in municipalities with renal centres or located on the coast or lowlands. Ninety-five percent of HD patients receive fewer than 3 weekly sessions. Of PD patients, 59% do not belong to a continuous outpatient or automated programme, and 25% still use rigid catheter. Aetiology of chronic kidney disease: unavailable/undetermined 50%, hypertension 21.1%, diabetes 18.9%, glomerulonephritis 6.7%, obstructive causes 1.2%, tubulointerstitial 0.9%, polycystic 0.4% and other 0.7%. Despite the increase in RRT services, the prevalence is lower than the Latin American average (660 pmp). Three quarters of HD and PD patients are under-dialysed. Obsolete RRT techniques are still used. The presence of Mesoamerican nephropathy influences the demographic characteristics (many young patients, two-thirds male, high prevalence in lowlands and coastlands). Copyright © 2016 Sociedad Española de Nefrología. Published by Elsevier España, S.L.U. All rights reserved.

  5. Polarizable model potential function for nucleic acid bases.

    Science.gov (United States)

    Nakagawa, Setsuko

    2007-07-15

    A polarizable model potential (PMP) function for adenine (A), cytosine (C), guanine (G), thymine (T), and uracil (U) is developed on the basis of ab initio molecular orbital calculations at the MP2/6-31+G* level. The PMP function consists of Coulomb, van der Waals, and polarization terms. The permanent atomic charges of the Coulomb term are determined by using electrostatic potential (ESP) optimization. The multicenter polarizabilities of the polarization term are determined by using polarized one-electron potential (POP) optimization in which the electron density changes induced by a test charge are target. Isotropic and anisotropic polarizabilities are adopted as the multicenter polarizabilities. In the PMP calculations using the optimized parameters, the interaction energies of Watson-Crick type A-T and C-G base pairs were -15.6 and -29.4 kcal/mol, respectively. The interaction energy of Hoogsteen type A-T base pair was -17.8 kcal/mol. These results reproduce well the quantum chemistry calculations at the MP2/6-311++G(3df,2pd) level within the differences of 0.6 kcal/mol. The stacking energies of A-T and C-G were -9.7 and -10.9 kcal/mol. These reproduce well the calculation results at the MP2/6-311++G (2d,2p) level within the differences of 1.3 kcal/mol. The potential energy surfaces of the system in which a sodium ion or a chloride ion is adjacent to the nucleic acid base are calculated. The interaction energies of the PMP function reproduced well the calculation results at the MP2/6-31+G* or MP2/6-311++G(2d,2p) level. The reason why the PMP function reproduces well the high-level quantum mechanical interaction energies is addressed from the viewpoint of each energy terms. Copyright (c) 2007 Wiley Periodicals, Inc.

  6. O contexto do transplante renal no Brasil e sua disparidade geográfica

    Directory of Open Access Journals (Sweden)

    José O. Medina-Pestana

    2011-12-01

    Full Text Available O Sistema Nacional de Transplantes (SNT Brasileiro coordena e regulamenta o, provavelmente, maior programa de transplantes públicos do mundo. Desde o seu estabelecimento, em 1997, o número de transplantes renais aumentou de 920 (5,8 pmp, em 1988, para 4.630 (24,1 pmp, em 2010. Esse crescimento foi primariamente devido ao aumento no número de doadores efetivos (de 1,8 pmp em 1998 para 9,3 pmp em 2010, com aumento correspondente no número de rins transplantados de doadores falecidos (3,8 pmp em 1999 versus 9,9 pmp em 2010. O número de rins transplantados com órgãos de doadores vivos não aumentou significativamente, 1.065 (6,7 pmp, em 1998, para 1.641 (8,6 pmp, em 2010, tanto em consequência do melhor desempenho do programa de doadores falecidos, como talvez também devido a mais restrita regulamentação, permitindo apenas doação entre doadores vivos relacionados. De 2000 a 2009, a idade média dos doadores vivos aumentou de 40 para 45 anos, e a dos doadores falecidos, de 33 para 41 anos, com eventos cerebrovasculares sendo responsáveis por 50% dos episódios de óbito atualmente. Existem disparidades geográficas evidentes nos desempenhos entre as 5 regiões nacionais. Enquanto o estado de São Paulo ocupa a primeira posição em doação e captação de órgãos (22,5 pmp, alguns estados da região Norte apresentam pequena ou nenhuma atividade de transplante. Essas disparidades estão diretamente relacionadas à densidade populacional regional, ao produto interno bruto e ao número de médicos com treinamento em transplante. A avaliação inicial de desfechos clínicos robustos não indica diferenças nas sobrevidas do enxerto em comparação com as observadas nos EUA e na Europa. A etnia e o tempo em diálise, mas não o tipo de imunossupressão, apresentam influência decisiva nos desfechos medidos. A regulamentação nacional da pesquisa clínica foi implementada a partir de 1996, permitindo a participação de centros brasileiros

  7. Real-time monitoring of changes in plasma membrane potential via imaging of fluorescence resonance energy transfer at individual cell resolution in suspension.

    Science.gov (United States)

    Sabati, Tzachi; Galmidi, Bat-Sheva; Korngreen, Alon; Zurgil, Naomi; Deutsch, Mordechai

    2013-12-01

    A method for monitoring heterogeneity in changes of plasma membrane potential (PMP) at an individual cell resolution while in suspension, utilizing a simple and low-cost wide-field illumination arrangement, is presented. The method is modeled via HEK-293 cell line in suspension, double stained with coumarin and oxonol (donor and acceptor), which were loaded into an array of nanoliter wells, each designed to preserve the individuality of the nontethered cell it holds during vigorous biomanipulation. Depolarization of PMP was induced by high K(+) solution, reducing the proximity between the membrane fluorophores and subsequently reducing the efficiency (E%) of resonance energy transfer between them. Spatial plots of E% were produced from both images of fluorescence intensity and polarization. The spatial resolution of E% plots seem to be higher, and their contrast greater, when calculated from the polarization, rather than from the intensity of the fluorescence.

  8. Determination of vitamin B6 vitamers and pyridoxic acid in plasma: development and evaluation of a high-performance liquid chromatographic assay

    DEFF Research Database (Denmark)

    Bisp, Marianne R; Bor, Mustafa Vakur; Heinsvig, Else-Marie

    2002-01-01

    were eluted with a gradient of acetonitrile (0.5-15%) in a potassium phosphate buffer with 1-octanesulfonic acid and triethylamine, pH 2.16. The concentration of the vitamers was determined with fluorescence detector (328 nm excitation, 393 nm emission) after postcolumn derivatization with phosphate...... vitamers pyridoxal 5'-phosphate (PLP), pyridoxal (PL), pyridoxamine 5'-phosphate (PMP), pyridoxine (PN), and pyridoxamine (PM) and the degradation product 4-pyridoxic acid (4-PA). The separation was accomplished using a C18 (ODS) analytical column and an ion-pair reversed-phase chromatography. B6 vitamers...... buffer containing 1 g/L sodium bisulfite. The performance of the assay was evaluated by analyzing six plasma samples with interrelated concentration and two control samples (unspiked and vitamer spiked) over a 3-months period. The HPLC method was able to identify PLP, 4-PA, PM, PL, PN, and PMP from all...

  9. Textura do solo e a estimativa do teor de água no ponto de murcha permanente com psicrômetro Soil texture and the estimation by Dewpoint Potential Meter of water retention at wilting point

    Directory of Open Access Journals (Sweden)

    Vilson Antonio Klein

    2010-07-01

    Full Text Available A determinação do volume de água disponível às plantas é fundamental para o correto manejo da irrigação e definição quanto ao uso dos solos agrícolas. Os principais fatores que exercem influência na retenção e disponibilidade de água às plantas são a textura e a estrutura do solo. O objetivo deste trabalho foi quantificar a influência da textura na retenção da água, na condição de ponto de murcha permanente (PMP das plantas (-1,5MPa, sendo utilizado um psicrômetro modelo WP4-T. Determinaram-se a textura de 100 amostras de solo e o teor de água no PMP. Os resultados indicaram que, em potenciais maiores que -1,0MPa, o psicrômetro mostrou-se pouco preciso, não se recomendando a sua utilização nessa condição. O PMP aumentou de 0,059 para 0,29g g-1, quando o teor de argila aumentou de 120 para 779g kg-1. Obteve-se um bom ajuste dos resultados do teor de água no PMP em função do teor de argila do solo, e 91% da variação do teor de água no PMP puderam ser atribuídos à variação no teor de argila. Conclui-se que o psicrômetro é um equipamento que pode ser utilizado para determinar o PMP, e a equação PMP (g g-1=0,0003*Argila (g kg-1+0,0118 pode ser utilizada para estimar o PMP.The determination of the available water to plants is essential to right irrigation management and definition regarding the use in agricultural soils. The main factors that exert influence on retention and availability of water to plants are texture and soil structure. The aim of this study was to quantify the influence of the texture on water retention in the condition of permanent wilting point (PWP of plants (-1,5MPa using a WP4-T Dewpoint Potentia Meter. The texture of 100 soil sample and soil moisture at PWP was determined. Results indicated that, in potentials higher than -1,0MPa, WP4-T seemed not very precise, therefore its use is not recommended in this condition. PWP increased from 0,059 to 0,29g g-1, while the clay content

  10. Development profile in a patient with monosomy 10q and Dup(17p) associated with a peripheral neuropathy

    Energy Technology Data Exchange (ETDEWEB)

    Pellegrino, J.E.; Spinner, N.B.; Zackai, E.H. [Childrens Hospital of Philadelphia, PA (United States)] [and others

    1996-02-02

    We report on a patient with dup(17p) and monosomy (10q) resulting from a familial translocation. Manifestations typical of both syndromes were present. The overall development of this patient was better by comparison with similar reported cases of either anomaly. Our evaluation detected severe gross motor delay and signs of a demyelinating peripheral neuropathy. This patient is trisomic for the region of 17p which includes the peripheral myelin protein-22 (PMP-22) gene, known to be duplicated in Charcot-Marie-Tooth neuropathy type 1A (CMT1A). Our analysis in this patient suggests that trisomy for the PMP-22 gene led to the demyelinating neuropathy and contributed to his severe motor development delay. 33 refs., 3 figs., 1 tab.

  11. AcEST: BP916166 [AcEST

    Lifescience Database Archive (English)

    Full Text Available YMU001_000084_A10 482 Adiantum capillus-veneris mRNA. clone: YMU001_000084_A10. BP9...16166 CL642Contig1 Show BP916166 Clone id YMU001_000084_A10 Library YMU01 Length 482 Definition Adiantum cap...illus-veneris mRNA. clone: YMU001_000084_A10. Accession BP916166 Tissue type prothallium Developmental stage...stX Result : Swiss-Prot sp_hit_id Q9Z398 Definition sp|Q9Z398|PMP9_CHLPN Probable... outer membrane protein pmp9 OS=Chlamydia pneumoniae Align length 66 Score (bit) 33.1 E-value 0.68 Report BL

  12. Annual report of groundwater monitoring at Centralia, Kansas, in 2010.

    Energy Technology Data Exchange (ETDEWEB)

    LaFreniere, L. M. (Environmental Science Division)

    2011-03-16

    reductive dechlorination in the injection test area (Argonne 2009a). The KDHE (2008a) requested that sitewide monitoring continue until a final remedy is selected (as part of a Corrective Action Study [CAS] evaluation) and implemented. In response to this request, the established sampling across the site and additional sampling in the IM pilot test area continued in 2008 (Argonne 2008b, 2009a,b). On the basis of results of the 2005-2008 sitewide monitoring and the 2008 IM pilot test monitoring, the CCC/USDA recommended a revised sampling program for both the wider site and the IM pilot test area (Section 4.2 in Argonne 2009b). The elements of this interim monitoring plan are as follows: (1) Annual sampling of twelve monitoring points across the site (Figure 1.1) and five outlying IM pilot test monitoring points (PMP4, PMP5, PMP6, PMP7, PMP9; Figure 1.2); and (2) Twice yearly sampling of five IM pilot test monitoring points inside the injection area (PMP1-PMP3, PMP8, MW02; Figure 1.2). With the approval of the KDHE (2009), the initial groundwater sampling for VOCs and geochemical analyses under the interim monitoring plan outlined above was conducted in 2009 (Argonne 2010). The present report documents the findings of the 2010 monitoring events, conducted on April 5 and September 19-21, 2010.

  13. Characteristics and Outcomes of Granulomatosis With Polyangiitis (Wegener) and Microscopic Polyangiitis Requiring Renal Replacement Therapy

    DEFF Research Database (Denmark)

    Hruskova, Zdenka; Stel, Vianda S; Jayne, David

    2015-01-01

    providing individual RRT patient data to the European Renal Association-European Dialysis and Transplant Association (ERA-EDTA) Registry in 1993-2012 participated. PREDICTOR: Cause of primary kidney disease: AAV (ie, granulomatosis with polyangiitis [Wegener] and microscopic polyangiitis) versus 3 separate......-EDTA primary renal disease codes. RESULTS: 2,511 patients with AAV (1,755, granulomatosis with polyangiitis; 756, microscopic polyangiitis) were identified, representing an incidence of 1.05 per million population (pmp) for granulomatosis with polyangiitis (predominating in Northern Europe) and 0.45 pmp...... manifestations, treatment, and relapses. CONCLUSIONS: Geographical differences in the incidence of RRT for kidney failure due to granulomatosis with polyangiitis and microscopic polyangiitis copied their distribution in the general population. Overall survival on RRT after day 91 for patients with AAV...

  14. A Formal [3,3]-Sigmatropic Rearrangement Route to Quaternary α-Vinyl Amino Acids

    Science.gov (United States)

    Berkowitz, David B.; Wu, Bin; Li, Huijie

    2008-01-01

    Pd(II)-mediated rearrangement of allylic N-PMP (p-methoxyphenyl) trifluoroacetimidates provides the first formal sigmatropic route to quaternary, α-vinylic amino acids, potential suicide substrates for PLP-enzymes. The amino acid side chains enter via transition metal-mediated C-C bond constructions, including (i) Cu(I)-mediated conjugate addition (Ala); (ii) Pd(0)/AsPh3-mediated Stille coupling (Allyl-Gly, Phe, DOPA, m-Tyr) and (iii) Pd(0)/Pt-Bu3-mediated Negishi coupling (Leu). In the synthesis of the DOPA decarboxylase inactivator, α-vinyl-m-tyrosine, the new N-PMP trifluoroacetimidate rearranges much more efficiently than the corresponding trichloroacetimidate. PMID:16494487

  15. First report of [i]Enterocytozoon[/i] bieneusi and [i]Encephalitozoon intestinalis[/i] infection of wild mice in Slovakia

    Directory of Open Access Journals (Sweden)

    Oľga Danišová

    2015-05-01

    Full Text Available Increased risk of zoonotic transmission of the potential human pathogenic species [i]Enterocytozoon bieneusi[/i], [i]Encephalitozoon intestinalis[/i] and [i]Encephalitozoon cuniculi [/i]was detected in wild immunocompetent mice (Mus musculus musculus; n=280. Analysis was conducted with the use of PMP1/PMP2 primers and SYBR Green RT-PCR. Using Real Time PCR and comparing the sequences with sequences in the GenBank, [i]E. bieneusi[/i] was detected in 3 samples (1.07 %, [i]E. cuniculi [/i]in 1 sample (0.35 % and [i]E. intestinalis[/i] in 1 sample (0.35 %. The results of this report document the low host specificity of detected microsporidia species, and imply the importance of synanthropic rodents as a potential source of human microsporidial infection.

  16. Coexistent Charcot-Marie-Tooth type 1A and type 2 diabetes mellitus neuropathies in a Chinese family

    Directory of Open Access Journals (Sweden)

    A-ping Sun

    2015-01-01

    Full Text Available Charcot-Marie-Tooth disease type 1A (CMT1A is caused by duplication of the peripheral myelin protein 22 (PMP22 gene on chromosome 17. It is the most common inherited demyelinating neuropathy. Type 2 diabetes mellitus is a common metabolic disorder that frequently causes predominantly sensory neuropathy. In this study, we report the occurrence of CMT1A in a Chinese family affected by type 2 diabetes mellitus. In this family, seven individuals had duplication of the PMP22 gene, although only four had clinical features of polyneuropathy. All CMT1A patients with a clinical phenotype also presented with type 2 diabetes mellitus. The other three individuals had no signs of CMT1A or type 2 diabetes mellitus. We believe that there may be a genetic link between these two diseases.

  17. Differences in Al distribution and acidic properties between RTH-type zeolites synthesized with OSDAs and without OSDAs.

    Science.gov (United States)

    Liu, Ming; Yokoi, Toshiyuki; Yoshioka, Masato; Imai, Hiroyuki; Kondo, Junko N; Tatsumi, Takashi

    2014-03-07

    In addition to the original preparation route of the RTH-type zeolites using 1,2,2,6,6-pentamethylpiperidine (PMP) as an organic structure directing agent (OSDA), we have found that simpler organic amines such as N-methylpiperidine and pyridine can be used as alternative OSDAs in place of PMP. Furthermore, we have established a synthesis method for preparing the RTH-type zeolites without using any OSDAs. In this study, RTH-type aluminosilicates were synthesized with different types of OSDA or without using any OSDAs. The obtained zeolites synthesized with different preparation methods were characterized by using various techniques, especially high-resolution (27)Al MAS NMR and in situ FT-IR techniques using CO adsorption. The relationship between the preparation method and the catalytic performance in the methanol to olefins (MTO) reaction was discussed. Finally, the distribution of Al species in the RTH-framework was clarified.

  18. Fabrication and topographical analysis of non-covalently imprinted polymer inclusion membranes for the selective sensing of pinacolyl methylphosphonate-A simulant of Soman

    Energy Technology Data Exchange (ETDEWEB)

    Vishnuvardhan, V. [Inorganic and Polymer Materials Group, Regional Research Laboratory (CSIR), Trivandrum 695019 (India); Prathish, K.P. [Inorganic and Polymer Materials Group, Regional Research Laboratory (CSIR), Trivandrum 695019 (India); Naidu, G.R.K. [Inorganic and Polymer Materials Group, Regional Research Laboratory (CSIR), Trivandrum 695019 (India); Prasada Rao, T. [Inorganic and Polymer Materials Group, Regional Research Laboratory (CSIR), Trivandrum 695019 (India)]. E-mail: tprasadarao@rediffmail.com

    2007-08-01

    A novel potentiometric sensor based on imprinted polymer inclusion membrane (IPIM) was developed by dispersing pinacolyl methylphosphonate (PMP) imprinted polymer materials synthesized by employing different polymerization approaches, viz. bulk, precipitation and suspension in polyvinyl chloride. The polymer materials and corresponding membranes were characterized topographically using scanning electron microscope. The effect of membrane composition, sensor performance and selectivity were studied and optimized. Such studies show that, the bulk imprinted polymer material was more selective and sensitive (with a detection limit of 4 x 10{sup -8} M [7.2 ppb]) than suspension and precipitation material based IPIM sensors. The feasibility of the developed potentiometric sensor for trace determination of PMP in ground and tap water samples was demonstrated by both direct and standard addition methods.

  19. Epidemiological Study of RRT-Treated ESRD in Nanjing - A Ten-Year Experience in Nearly Three Million Insurance Covered Population.

    Directory of Open Access Journals (Sweden)

    Yu-Chen Han

    Full Text Available The growing burden of end-stage renal disease (ESRD has been a great challenge to the health care system of China. However, the exact epidemiological data for ESRD in China remain unclear. We aimed to investigate the epidemiology of ESRD treated by renal replacement therapy (RRT in Nanjing based on analysing ten-year data of Nanjing three million insurance covered population.Using the electronic registry system of Urban Employee Basic Medical Insurance (UEBMI, we included all subjects insured by UEBMI in Nanjing from 2005 to 2014 and identified subjects who developed ESRD and started RRT in this cohort.The UEBMI population in Nanjing increased from 1,301,882 in 2005 to 2,921,065 in 2014, among which a total of 5,840 subjects developed ESRD and received RRT. Over the 10-year period, the adjusted incidence rates of RRT in the UEBMI cohort gradually decreased from 289.3pmp in 2005 to 218.8pmp in 2014. However, the adjusted prevalence rate increased steadily from 891.7pmp in 2005 to 1,228.6pmp in 2014. The adjusted annual mortality rate decreased from 138.4 per 1000 patient-years in 2005 to 97.8 per 1000 patient-years in 2014. The long-term survival rate fluctuated over the past decade, with the 1-year survival rate ranging from 85.1% to 91.7%, the 3-year survival rate from 69.9% to 78.3% and the 5-year survival rate from 58% to 65.4%.Nanjing is facing an increasing burden of ESRD with its improvement of medical reform. The ten-year complete registry data on RRT in urban employees in Nanjing provided a unique opportunity to understand the real threat of ESRD confronting China during its process of health care transition.

  20. [Latin-American Dialysis and Kidney Transplantation Registry: data on the treatment of end-stage renal disease in Latin America].

    Science.gov (United States)

    Cusumano, A M; Romao, J E; Poblete Badal, H; Elgueta Miranda, S; Gomez, R; Cerdas Calderon, M; Almaguer Lopez, M; Moscoso, J; Leiva Merino, R; Sánchez Polo, J V; Garcia, G G; Franco Acosta, B V; Saavedra Lopez, A; Mena, E; Gonzalez, C; Milanes, C L

    2008-01-01

    Latin America, a region composed of a series of neighboring countries that share their history, Latin ancestry and language (Spanish or Portuguese), includes Mexico, Central America, the Spanish Caribbean islands, and South America. The Latin-American Dialysis and Kidney Transplantation Registry, which has been operative since 1991, collects data from 20 countries (Argentina, Brazil, Bolivia, Chile, Colombia, Costa Rica, Cuba, Ecuador, El Salvador, Guatemala, Honduras, Mexico, Nicaragua, Panama, Paraguay, Peru, Puerto Rico, Dominican Republic, Venezuela and Uruguay), where 97% of Latin Americans live. The prevalence of renal replacement therapy (RRT) has increased from 119 patients per million (pmp) in 1991 to 478.2 in 2005 (147,158 patients [57%] on chronic hemodialysis, 58,251 [23%] on peritoneal dialysis and 52,565 [20%] living with a functioning kidney graft). The incidence rate also increased from 27.8 pmp in 1992 to 167 in 2005. The increment in prevalence and incidence occurred in all Latin- American countries. The transplantation rate increased from 3,7 pmp in 1987 to 15 pmp in 2005 (7,968 kidney transplants performed this year, the cumulative number being 98,415). Access to RRT was available for every patient diagnosed with end-stage renal disease only in Argentina, Brazil, Chile, Cuba, Puerto Rico, Venezuela and Uruguay. In Latin America, the incidence and prevalence of RRT increased year by year. Only in some countries is access to RRT available to 100% of diagnosed patients. Detection and prevention programs for chronic kidney disease are needed in the region. Meanwhile, access to RRT has to be improved for everybody who needs it.

  1. Parts, Materials, and Processes Control Program for Expendable Launch Vehicles

    Science.gov (United States)

    2015-07-31

    separation of two face skins by a core. The most common sandwich assembly has metallic honeycomb core and graphite - resin or metallic skins. 4.8.1...accordance with the contractor’s approved PMP control plan. A-6 3.1.6 Composite Materials Composite materials containing graphite fibers shall be...treated as graphite in MIL-STD-889. 3.2 Aluminum and Aluminum Alloys 3.2.1 Application In structural applications requiring the selection of

  2. PXA1, a putative S. cerevisiae homolog of the human adrenoleukyodystrophy gene

    Energy Technology Data Exchange (ETDEWEB)

    Shani, N.; Watkins, P.A.; Valle, D. [Johns Hopkins Univ. School of Medicine, Baltimore, MD (United States)

    1994-09-01

    The adrenoleukodystrophy protein (ALDP) and the 70 kD peroxisomal membrane protein (PMP70) are ATP-binding cassette transporters in the peroxisome membrane. The former is defective in X-linked adrenoleukodystrophy (ALD), a neurodegenerative disorder with defective peroxisome oxidation of very long chain fatty acids; the latter is implicated in Zellweger syndrome, a defect in peroxisome biogenesis. The functions and interactions of ALDP and PMP70 in the peroxisomal membrane are not known. To develop a system in which these questions could be addressed, we sought to clone their yeast homologs. Using RT/PCR with degenerate primers and oleic acid (C18:1) induced yeast RNA as template, we amplified a cDNA segment corresponding to a conserved region of ALDP and PMP70. By sequencing amplified products, we found one with homology to both proteins and used it to clone the corresponding full length yeast gene (PXA1). PXA1 encodes a 758 amino acid protein with 28% and 21% overall identity to ALDP and PMP70, respectively which increases to 47% and 39% in a C terminal region of 178 amino acids. The PXA1 protein precipitates with peroxisomes as shown by immunoblot analysis of cell fractionation gradients. Disruption of PXA1 by homologous recombination results in impaired growth on oleic acid and reduced ability to oxidize oleate. The growth phenotype can be corrected by expression of the wild type PXA1 in the mutant strain. Peroxisomes in the PXA1 mutant yeast strain are intact as judged by catalase distribution and electron microscopy. Given the amino acid similarity, fatty acid oxidation defect and lack of an effect on peroxisomal integrity, we hypothesize that PXA1 may be the yeast ortholog of ALDP. Complementation studies to examine this hypothesis are in progress.

  3. 59th Medical Wing Protection of Vulnerable Populations: Ombudsman Program

    Science.gov (United States)

    2018-04-20

    REPORT TYPE 20/04/2018 poster 4. TITLE AND SUBTITLE 59th Medical Wing Protection of Vulnerable Populations: Ombudsman Program 6. AUTHOR(S...CONTRACT NUMBER Sb. GRANT NUMBER Sc. PROGRAM ELEMENT NUMBER Sd. PROJECT NUMBER Se. TASK NUMBER Sf. WORK UNIT NUMBER 8. PERFORMING ORGANIZATION...59th Medical Wing Protection of Vulnerable Populations: Ombudsman Program Wayne DeutschDDS1, MPH, Michele Tavish LYN, PMP, CCRC 1 Brenda

  4. Problem and Preferred Management Practices Identification Workshop

    Energy Technology Data Exchange (ETDEWEB)

    Patchen, Douglas G.

    2003-03-10

    The goals for this workshop were: to introduce key players in the Appalachian basin oil industry to DOE's new Preferred Upstream Management Practices (PUMP) program; to explain the various elements of our two-year project in detail; to transfer technology through a series of short, invited talks; to identify technical problems and best management practices; and to recruit members for our Preferred Management Practices (PMP) Council.

  5. Lipid profile of platelets and platelet-derived microparticles in ovarian cancer

    Directory of Open Access Journals (Sweden)

    Qianghua Hu

    2016-12-01

    General significance: As far as we are aware, our study is the first study on platelet lipidomics in ovarian cancer. The importance of our findings for the future studies are: 1 a similar change in lipid profile of platelets and PMP may be responsible for hypercoagulability in other cancers, and 2 plasma level of high-risk lipids for venous thrombosis may be useful biomarkers.

  6. Science management in the Plant Health Research Institute and its contribution to the environment protection and sustainability of the Cuban agricultural systems

    Directory of Open Access Journals (Sweden)

    Muiño-García Berta Lina

    2016-11-01

    Full Text Available The mission of INISAV is to contribute to the reduction of risks and losses by pests without affecting the environment on a sustainable basis. Its management is based on a science model linked with environment and characterized by 4 phases: the planning of research’s, their implementation, validation and adoption in the agriculture practice. Three main results of research are described: Biological control Program (PBC, Pest Management Programs (PMP and the Elimination of the use of methyl bromide. A national network of 251 Laboratories for reproduction of entomophagues and entomopathogens (CREE was designed and implemented, together with 4 biopesticide production plants. Thirteen (13 biological products and technologies were created. Furthermore, pest management programs (PMP were extended in more than 25 crops for conventional and agro-ecological systems, as well as adoption of PMP to replace methyl bromide. The impacts of the results to the environment, agricultural production, the country's economy, and rural communities, were confirmed by the significant reduction of imports of chemical pesticides, from 40 000 t in 1974 to about 3000 t in 2012. In 1988 the arable area benefited by bioproducts was 300 000 ha while in 2012 amounted to 1 354 000 ha. The elimination of 80 t of methyl bromide in tobacco, 35 t in the other sectors, the reduction of other agrochemicals, the incorporation of biological control applications and some management measures, are considered the main basis for sustainability in crops. At present, 72% of the total area planted is under applications of pesticides in PMP. Of these, 38% with only biological products, 34% the combination of biological and chemical pesticides and in the remaining 28% apply phytosanitary alternatives included in the pest management programs.

  7. Extreme flood estimations on a small alpine catchment in Switzerland, the case study of Limmerboden

    OpenAIRE

    Zeimetz, F.; J. García-Hernández; A. J. Schleiss

    2015-01-01

    In this paper, a case study on the estimations of extreme floods is described. The watershed chosen for the analysis is the catchment of the Limmernboden dam situated in Switzerland. Statistical methods and the simulation based "Probable Maximum Precipitation – Probable maximum Flood" (PMP-PMF) approach are applied for the estimation of the safety flood according to the Swiss flood directives. The results of both approaches are compared in order to determine the discrepancie...

  8. Organocatalytic synthesis of N-Phenylisoxazolidin-5-ones and a one-pot synthesis of beta-amino acid esters.

    Science.gov (United States)

    Seayad, Jayasree; Patra, Pranab Kumar; Zhang, Yugen; Ying, Jackie Y

    2008-03-06

    A novel N-heterocyclic carbene (NHC)-catalyzed C-N bond formation by the reaction of alpha,beta-unsaturated aldehydes and nitrosobenzene to N-phenylisoxazolidin-5-ones, followed by an acid-catalyzed esterification and Bamberger-like rearrangement in a mild one-pot protocol leads to N-p-methoxyphenyl (N-PMP) protected beta-amino acid esters.

  9. Relationship between early and late stages of information processing: an event-related potential study

    OpenAIRE

    Claudio Portella; Sergio Machado; Oscar Arias-Carrión; Sack, Alexander T.; Julio Guilherme Silva; Marco Orsini; Marco Antonio Araujo Leite; Adriana Cardoso Silva; Nardi, Antonio E.; Mauricio Cagy; Roberto Piedade; Pedro Ribeiro

    2012-01-01

    The brain is capable of elaborating and executing different stages of information processing. However, exactly how these stages are processed in the brain remains largely unknown. This study aimed to analyze the possible correlation between early and late stages of information processing by assessing the latency to, and amplitude of, early and late event-related potential (ERP) components, including P200, N200, premotor potential (PMP) and P300, in healthy participants in the context of a vis...

  10. Assessment of Regional Explosion Discriminants Using Data Sets of Unparalleled Spatial Sampling

    Science.gov (United States)

    2012-10-31

    kinematics across the Bighorn Arch each predict distinctly different lower crustal deformation patterns and Moho topography. These different hypotheses...Bighorn Arch. The active-source seismic experiment was specifically designed to constrain Moho depths and geometry across the study region and to...dense instrument spacing of 100 m across within the Arch allowed for interpretation of near-vertical incidence Moho reflections (PmP; red). The

  11. The Thoc1 Ribonucleoprotein as a Novel Biomarker for Prostate Cancer Treatment Assignment

    Science.gov (United States)

    2016-10-01

    stage and Gleason score to distinguish between prostate cancers that can be observed safely from those that require immediate treatment could help...autoantibodies is underway. A three gene panel constituting PMP22, CDKN1A and FGFR1 has been shown to stratify low gleason score prostate cancers into...indolent and aggressive cancer (Irshad et al., 2013). This panel of genes has been shown to have increased expression in low Gleason score prostate cancers

  12. Analysis of the variation of the 0°C isothermal altitude during rainfall events

    Science.gov (United States)

    Zeimetz, Fränz; Garcìa, Javier; Schaefli, Bettina; Schleiss, Anton J.

    2016-04-01

    In numerous countries of the world (USA, Canada, Sweden, Switzerland,…), the dam safety verifications for extreme floods are realized by referring to the so called Probable Maximum Flood (PMF). According to the World Meteorological Organization (WMO), this PMF is determined based on the PMP (Probable Maximum Precipitation). The PMF estimation is performed with a hydrological simulation model by routing the PMP. The PMP-PMF simulation is normally event based; therefore, if no further information is known, the simulation needs assumptions concerning the initial soil conditions such as saturation or snow cover. In addition, temperature series are also of interest for the PMP-PMF simulations. Temperature values can not only be deduced from temperature measurement but also using the temperature gradient method, the 0°C isothermal altitude can lead to temperature estimations on the ground. For practitioners, the usage of the isothermal altitude for referring to temperature is convenient and simpler because one value can give information over a large region under the assumption of a certain temperature gradient. The analysis of the evolution of the 0°C isothermal altitude during rainfall events is aimed here and based on meteorological soundings from the two sounding stations Payerne (CH) and Milan (I). Furthermore, hourly rainfall and temperature data are available from 110 pluviometers spread over the Swiss territory. The analysis of the evolution of the 0°C isothermal altitude is undertaken for different precipitation durations based on the meteorological measurements mentioned above. The results show that on average, the isothermal altitude tends to decrease during the rainfall events and that a correlation between the duration of the altitude loss and the duration of the rainfall exists. A significant difference in altitude loss is appearing when the soundings from Payerne and Milan are compared.

  13. Hemo-De as substitute for ethyl acetate in formalin-ethyl acetate concentration technique.

    OpenAIRE

    Neimeister, R; Logan, A L; Gerber, B; Egleton, J H; Kleger, B

    1987-01-01

    In comparative studies, Hemo-De (PMP Medical Industries, Inc., Irving, Tex.) was found to be a suitable replacement for ethyl acetate in the Formalin-ethyl acetate concentration technique. With essentially equivalent recovery rates for both procedures, the Formalin-Hemo-De concentration technique is considered to be the preferred technique because Hemo-De is less toxic and less flammable and does not present disposal problems, and its cost is approximately one-fourth that of ethyl acetate.

  14. Prevalencia de pacientes con tratamiento sustitutivo renal en El Salvador en 2014

    Directory of Open Access Journals (Sweden)

    Ramón García-Trabanino

    2016-11-01

    Discusión: A pesar del incremento de servicios de TSR, la prevalencia es inferior al promedio latinoamericano (660 pmp. Un 75% de los pacientes en HD y DP están infradializados. Todavía se utilizan técnicas anticuadas. La presencia de la nefropatía mesoamericana influye las características demográficas (muchos jóvenes, 2/3 hombres, alta prevalencia en zonas bajas y costeras.

  15. Evaluation of toxicological test in waste waters of the purification plants in the province of Ancona; Valutazione di test ecotossicologici su effulenti di impianti di depurazione della provincia di Ancona

    Energy Technology Data Exchange (ETDEWEB)

    Tombolesi, P. [S.M.S.P. Area Biotossicologica, Ancona (Italy). Settore Inquinamento delle Acque e del Suolo

    2000-05-01

    According to the law 319/76 and following changes, it has been identified in the PMP the technical organ of security and inspection for dumping going in to superficial waters, to protect them from pollution. During the last years, the bio toxicological area of the PMP in Ancona has controlled waste waters of the provincial purification plants, searching for foreseen parameters by table A in the law 319/76: total coliforms, faecal coliforms and faecal streptococci. In the last years these additional toxicological tests have been made in waste waters: test of acute toxicity with bioluminescent bacteria; test of acute toxicity with Daphnia magna; test of phytoxicity with Lepidium sativum. They have made to evaluate the negative effects of toxicants, not foreseen by table A, in different trophic levels in the ecosystem. In the same time it has been performed an accurate study of micro fauna in the oxidation tanks. [Italian] Con la legge 319/76 e successive modifiche veniva individuato nel PMP l'organo tecnico di vigilanza e controllo degli scarichi diretti in acque superficiali, cio' a tutela delle stesse dall'inquinamento. L'Area Biotossicologica del PMP di Ancona ha effettuato nel corso degli anni regolari controlli sugli effluenti degli impianti di depurazione della provincia, ricercando i paramentri previsti dalla tabella A della legge 319/76: coliformi totali, coliformi fecali e streptococchi fecali. Negli ultimi anni sono stati eseguiti sui reflui, in aggiunta ai precedenti, anche test tossicologici quali: test di tossicita' acuta con batteri bioluminescenti; test di tossicita' acuta con Daphnia magna; test di fitotossicita' con Lepidium sativum; cio' al fine di valutare eventuali effetti negativi di inquinanti, non previsti in tabella A, su differenti livelli della rete trofica. E' stato eseguito contemporaneamente lo studio della microfauna nella vasca di ossidazione. Si riportano di seguito i risultati ottenuti.

  16. 2005 Tri-Service Infrastructure Systems Conference and Exhibition. Volume 13, Tracks 20, 21 and Workshop

    Science.gov (United States)

    2005-08-04

    Control Project, by Ferris W. Chamberlin Helmand Valley Water Management Plan, by Jason Needham A New Approach to Water Management Decision Making, by...Columbia River System, by Arun Mylvahanan Prescriptive Reservoir Modeling and the ROPE, by Jason Needham Missouri River Basin Water Management, by Larry...Construction ReserveAward PMP Charette Select Contractor – Preconstruction services Quality Control More Information? Christine Hendzlik 816-983-3269 US Army

  17. Handbook for Evaluation and Life Cycle Planning for Software. Volume 2. Contract Management.

    Science.gov (United States)

    1983-02-01

    Pights in Technical Data and Computer Software, Direct Licensing or Technical Additional SubjeCt to EQuitable Adjustment in Price" and CLIN YYYY...plus criteria ana schedule for proposal evaluation and co:tractor selection. .nz3ure Ordt complies witn PMP directions regarding source selection...System Engineer3" Are the assistant lead programmers staffed by MA degrees - Copvte. Scince . and !,elated fields with 5 or more years experience? Are the

  18. Epidemiological Study of RRT-Treated ESRD in Nanjing - A Ten-Year Experience in Nearly Three Million Insurance Covered Population.

    Science.gov (United States)

    Han, Yu-Chen; Huang, Han-Ming; Sun, Ling; Tan, Chao-Ming; Gao, Min; Liu, Hong; Tang, Ri-Ning; Wang, Yan-Li; Wang, Bei; Ma, Kun-Ling; Liu, Bi-Cheng

    2016-01-01

    The growing burden of end-stage renal disease (ESRD) has been a great challenge to the health care system of China. However, the exact epidemiological data for ESRD in China remain unclear. We aimed to investigate the epidemiology of ESRD treated by renal replacement therapy (RRT) in Nanjing based on analysing ten-year data of Nanjing three million insurance covered population. Using the electronic registry system of Urban Employee Basic Medical Insurance (UEBMI), we included all subjects insured by UEBMI in Nanjing from 2005 to 2014 and identified subjects who developed ESRD and started RRT in this cohort. The UEBMI population in Nanjing increased from 1,301,882 in 2005 to 2,921,065 in 2014, among which a total of 5,840 subjects developed ESRD and received RRT. Over the 10-year period, the adjusted incidence rates of RRT in the UEBMI cohort gradually decreased from 289.3pmp in 2005 to 218.8pmp in 2014. However, the adjusted prevalence rate increased steadily from 891.7pmp in 2005 to 1,228.6pmp in 2014. The adjusted annual mortality rate decreased from 138.4 per 1000 patient-years in 2005 to 97.8 per 1000 patient-years in 2014. The long-term survival rate fluctuated over the past decade, with the 1-year survival rate ranging from 85.1% to 91.7%, the 3-year survival rate from 69.9% to 78.3% and the 5-year survival rate from 58% to 65.4%. Nanjing is facing an increasing burden of ESRD with its improvement of medical reform. The ten-year complete registry data on RRT in urban employees in Nanjing provided a unique opportunity to understand the real threat of ESRD confronting China during its process of health care transition.

  19. The Norwegian Seismic Array (NORSAR)

    Science.gov (United States)

    1982-07-01

    computed subcritical reflection travel times do not agree with the secondar’ arrivals between 70 km and 110 km. Now, applying the reflectivity method to...however, the relatively early PMp subcritical arrivals (Fig. VI.6.1) must be accounted for. These suggest a thinner crust as compared to the laterally...J. Orcutt and T.H. Jordan , 1982: The Marine Seismic System: signals and noise. DARPA Symposium on seismic detection, analysis, discrimination and

  20. Impact of Artificial Reservoir Size on Probable Maximum Flood (PMF): The case of Folsom Dam on American River

    Science.gov (United States)

    Yigzaw, W. Y.; Hossain, F.

    2011-12-01

    Artificial reservoirs are created with the construction of dams on a given river. The design of these dams usually considers available historical data. However, the impact of future flood extremes that may change due to the local feedback from reservoir is not considered in conventional dam design approach. Recent study using a regional atmospheric model has shown that the size (surface area) of reservoir can physically increase the probable maximum precipitation (PMP). Probable Maximum Flood (PMF), which is the key design parameter for hydraulic features of a dam, is estimated from PMP and the hydrology of the basin. Hence, it is important to understand the impact of reservoir size on PMF. Given the non-linearity of the rainfall-runoff process, a key question that needs to be asked by water managers now is, "what is the dependency of PMF on the size of an artificial reservoir given the strong local atmospheric feedbacks?" Using the American River Watershed (ARW) as a representative example of an impounded watershed with a large artificial reservoir (Folsom Dam), this study sets up the distributed Variable Infiltration Capacity (VIC) model to simulate the PMF from the atmospheric feedbacks for various reservoir sizes. The atmospheric feedbacks were simulated in the form of PMP in a previous study using the Regional Atmospheric Modeling System (RAMS). The RAMS-generated PMP scenarios were propagated through VIC model to simulate the PMFs. The study overcomes several logistic and conceptual hurdles to generating the basin's natural response to PMF given the extensive nature of upstream impoundment on various tributaries and incomplete stream flow record for adequate calibration. The results obtained from this study will be used to show how large artificial reservoirs should be managed and operated for flood control in a changing climate with strong local feedbacks triggered by the dam itself.

  1. Personality Types in Adolescence: Change and stability and Links With Adjustment and Relationships : A Five-Wave Longitudinal Study.

    NARCIS (Netherlands)

    Meeus, W.H.J.; Van de Schoot, R.; Klimstra, T.; Branje, S.J.T.

    2011-01-01

    In the article, the BFs (Bayes factors) as reported for H1.1 in Table 2 should have been BF2,1 5979.90 and BF2,unc 5.97. The PMP (posterior model probability) values of M1, M2, and M3 remain exactly the same as in the published paper: < .001, .99 and < .001, respectively. The conclusions from the

  2. Blood platelet-derived microparticles release and bubble formation after an open-sea air dive.

    Science.gov (United States)

    Pontier, Jean-Michel; Gempp, Emmanuel; Ignatescu, Mihaela

    2012-10-01

    Bubble-induced platelet aggregation offers an index for evaluating decompression severity in humans and in a rat model of decompression sickness. Endothelial cells, blood platelets, or leukocytes shed microparticles (MP) upon activation and during cell apoptosis. The aim was to study blood platelet MP (PMP) release and bubble formation after a scuba-air dive in field conditions. Healthy, experienced divers were assigned to 1 experimental group (n = 10) with an open-sea air dive to 30 msw for 30 min and 1 control group (n = 5) during head-out water immersion for the same period. Bubble grades were monitored with a pulsed doppler according to Kissman Integrated Severity Score (KISS). Blood samples for platelet count (PC) and PMP (annexin V and CD41) were taken 1 h before and after exposure in both groups. The result showed a decrease in post-dive PC compared with pre-dive values in experimental group with no significant change in the control group. We observed a significant increase in PMP values after the dive while no change was revealed in the control group. There was a significant positive correlation between the PMP values after the dive and the KISS bubble score. The present study highlighted a relationship between the post-dive decrease in PC, platelet MP release, and bubble formation. Release of platelet MPs could reflect bubble-induced platelet aggregation and could play a key role in alteration of the coagulation. Further studies must investigate endothelial and leukocyte MP release in the same field conditions.

  3. Effect of oxygen-breathing during a decompression-stop on bubble-induced platelet activation after an open-sea air dive: oxygen-stop decompression.

    Science.gov (United States)

    Pontier, J-M; Lambrechts, K

    2014-06-01

    We highlighted a relationship between decompression-induced bubble formation and platelet micro-particle (PMP) release after a scuba air-dive. It is known that decompression protocol using oxygen-stop accelerates the washout of nitrogen loaded in tissues. The aim was to study the effect of oxygen deco-stop on bubble formation and cell-derived MP release. Healthy experienced divers performed two scuba-air dives to 30 msw for 30 min, one with an air deco-stop and a second with 100% oxygen deco-stop at 3 msw for 9 min. Bubble grades were monitored with ultrasound and converted to the Kisman integrated severity score (KISS). Blood samples for cell-derived micro-particle analysis (AnnexinV for PMP and CD31 for endothelial MP) were taken 1 h before and after each dive. Mean KISS bubble score was significantly lower after the dive with oxygen-decompression stop, compared to the dive with air-decompression stop (4.3 ± 7.3 vs. 32.7 ± 19.9, p < 0.001). After the dive with an air-breathing decompression stop, we observed an increase of the post-dive mean values of PMP (753 ± 245 vs. 381 ± 191 ng/μl, p = 0.003) but no significant change in the oxygen-stop decompression dive (329 ± 215 vs. 381 +/191 ng/μl, p = 0.2). For the post-dive mean values of endothelial MP, there was no significant difference between both the dives. The Oxygen breathing during decompression has a beneficial effect on bubble formation accelerating the washout of nitrogen loaded in tissues. Secondary oxygen-decompression stop could reduce bubble-induced platelet activation and the pro-coagulant activity of PMP release preventing the thrombotic event in the pathogenesis of decompression sickness.

  4. Guidelines for the Development and Implementation of a Logistic Resource. Annex to the Five Year Defense Program. Volume 1. The DoD LRA System

    Science.gov (United States)

    1978-10-01

    Installation (PMP) I. Electronic and Telecommunicatieons Equipment 2., Central Inventory Management Activities (5) Cenversense I otellailon g. Other... Inventory Management Activities (2) Torpedoes and Mines OeramioncaanTainn Facilities 3.: Procuremet Operation, land Contliact Admninstration (3 l te Mntot1...Layaway/Maintenance of Reserve IPE ()Ohrc. Industrial Preparedness Planning 1, Family H~oming It. Terminal Services d. IPE Managemen and Control a. New

  5. Latin American special project: kidney health cooperation project between Uruguay and Bolivia.

    Science.gov (United States)

    Sola, Laura; Plata-Cornejo, Raúl; Fernández-Cean, Juan

    2015-01-01

    Uruguay and Bolivia are two countries that show heterogenicity of the Latin American region, including the national income, the expenditure on health and the services for renal care. In Bolivia, there is manpower shortage for renal care with only 5 nephrologists per million people (pmp) and the prevalence of patients on dialysis is only 200 pmp. This is much lower than the mean prevalence rate of renal replacement therapy for Latin America as a whole. Uruguay on the other hand has more dedicated renal resources with 50 nephrologists pmp, and renal replacement therapy is provided to ~ 1,000 dialysis patients pmp. In November 2012, a collaborative project financed by the Uruguayan International Cooperation Agency was signed by both the Uruguay and Bolivia Ministries of Health, and the goal was to develop a comprehensive program for the prevention and management of all stages of chronic kidney disease (CKD) in Bolivia. The specific objectives were to: a) promote renal healthcare in the primary healthcare setting, b) identify kidney disease in populations at risk, and c) optimize patient care at all stages of CKD, including dialysis and transplantation supported with a national ESRD registry in Bolivia. As a first step, delegates from the Bolivian Health Ministry, visited Uruguay in April 2014, primarily to strengthen the development of tools required for developing and maintaining a national registry. In addition, during this visit, a meeting with the president of the Latin American Society of Nephrology and Hypertension (SLANH) culminated in designing a training program for peritoneal dialysis. This highly cooperative relationship is advancing the prevention and care of CKD in Bolivia and may serve as a model for international approaches to advance system level CKD care in countries with limited healthcare resources.

  6. Investigation of ITO free transparent conducting polymer based electrode

    Science.gov (United States)

    Sharma, Vikas; Sapna, Sachdev, Kanupriya

    2016-05-01

    The last few decades have seen a significant improvement in organic semiconductor technology related to solar cell, light emitting diode and display panels. The material and structure of the transparent electrode is one of the major concerns for superior performance of devices such as OPV, OLED, touch screen and LCD display. Commonly used ITO is now restricted due to scarcity of indium, its poor mechanical properties and rigidity, and mismatch of energy levels with the active layer. Nowadays DMD (dielectric-metal-dielectric) structure is one of the prominent candidates as alternatives to ITO based electrode. We have used solution based spin coated polymer layer as the dielectric layer with silver thin film embedded in between to make a polymer-metal-polymer (PMP) structure for TCE applications. The PMP structure shows low resistivity (2.3 x 10-4Ω-cm), high carrier concentration (2.9 x 1021 cm-3) and moderate transparency. The multilayer PMP structure is characterized with XRD, AFM and Hall measurement to prove its suitability for opto-electronic device applications.

  7. Expanding the donor pool: can the Spanish model work in the United States?

    Science.gov (United States)

    Chang, George J; Mahanty, Harish D; Ascher, Nancy L; Roberts, John P

    2003-10-01

    Since the creation of the Organizacion Nacional de Trasplantes (ONT) in 1989, the organ donation rate in Spain has doubled. Although often attributed to improved donor recruitment efforts, this increase may also represent higher utilization of marginal donors. Therefore, age-related donor recruitment in Spain and the US was evaluated. Data from the ONT, the US Scientific Registry of Transplant Recipients (SRTR), the US Census Bureau, and the Tempus databank of Spain's Instituto Nacional de Estadistica (INE) were analyzed. Between 1989 and 1999, the number of donors in Spain increased from 14.3 to 33.7 per million population (pmp; 136% increase) compared with an increase in the US from 16.2 to 21.5 donors pmp (33%). The largest difference between Spain and the US in the increased number of donors was in the 45-year-old group, representing 30.3% of donors in Spain in 1999 (44 donors pmp). If the US increased its older donor rates to match Spain's, an incremental 1235 donors per year would be realized. The high Spanish organ donation rates are largely attributable to increased use of older donors. Utilizing similar proportions of older donors in the US would increase the donor pool by almost 40%.

  8. Investigation of ITO free transparent conducting polymer based electrode

    Energy Technology Data Exchange (ETDEWEB)

    Sharma, Vikas; Sapna,; Sachdev, Kanupriya [Department of Physics, Malaviya National Institute of Technology Jaipur, JLN Marg, Jaipur-India-302017 (India)

    2016-05-23

    The last few decades have seen a significant improvement in organic semiconductor technology related to solar cell, light emitting diode and display panels. The material and structure of the transparent electrode is one of the major concerns for superior performance of devices such as OPV, OLED, touch screen and LCD display. Commonly used ITO is now restricted due to scarcity of indium, its poor mechanical properties and rigidity, and mismatch of energy levels with the active layer. Nowadays DMD (dielectric-metal-dielectric) structure is one of the prominent candidates as alternatives to ITO based electrode. We have used solution based spin coated polymer layer as the dielectric layer with silver thin film embedded in between to make a polymer-metal-polymer (PMP) structure for TCE applications. The PMP structure shows low resistivity (2.3 x 10{sup −4}Ω-cm), high carrier concentration (2.9 x 10{sup 21} cm{sup −3}) and moderate transparency. The multilayer PMP structure is characterized with XRD, AFM and Hall measurement to prove its suitability for opto-electronic device applications.

  9. Preflight calibration of the Imaging Magnetograph eXperiment polarization modulation package based on liquid-crystal variable retarders.

    Science.gov (United States)

    Uribe-Patarroyo, Néstor; Alvarez-Herrero, Alberto; Martínez Pillet, Valentín

    2012-07-20

    We present the study, characterization, and calibration of the polarization modulation package (PMP) of the Imaging Magnetograph eXperiment (IMaX) instrument, a successful Stokes spectropolarimeter on board the SUNRISE balloon project within the NASA Long Duration Balloon program. IMaX was designed to measure the Stokes parameters of incoming light with a signal-to-noise ratio of at least 103, using as polarization modulators two nematic liquid-crystal variable retarders (LCVRs). An ad hoc calibration system that reproduced the optical and environmental characteristics of IMaX was designed, assembled, and aligned. The system recreates the optical beam that IMaX receives from SUNRISE with known polarization across the image plane, as well as an optical system with the same characteristics of IMaX. The system was used to calibrate the IMaX PMP in vacuum and at different temperatures, with a thermal control resembling the in-flight one. The efficiencies obtained were very high, near theoretical maximum values: the total efficiency in vacuum calibration at nominal temperature was 0.972 (1 being the theoretical maximum). The condition number of the demodulation matrix of the same calibration was 0.522 (0.577 theoretical maximum). Some inhomogeneities of the LCVRs were clear during the pixel-by-pixel calibration of the PMP, but it can be concluded that the mere information of a pixel-per-pixel calibration is sufficient to maintain high efficiencies in spite of inhomogeneities of the LCVRs.

  10. Markers When Feeding Is Restricted to Two Daytime Hours

    Directory of Open Access Journals (Sweden)

    Julieta B. Rivera-Zavala

    2011-01-01

    Full Text Available Restricted feeding (RF during daytime is associated with anticipatory activity before feeding, marked hyperphagia after mealtime, adjustments in hepatic metabolism, and the expression of a food-entrained oscillator (FEO. 24 h rhythmicity of liver PPARα, β, and γ, peroxisomal markers (PMP70, AOX, and catalase, and free fatty acids (FFAs during RF was evaluated. The effect of fasting-refeeding was also studied. Results showed (1 higher levels of FFA before feeding, (2 a shift of PPARα and PPARγ before and of PPARβ peaks after feeding, (3 an increase in peroxisomal markers, (4 a shift of PMP70 and AOX peaks before feeding, and of maximal catalase activity in the dark period, (5 changes in the fasting-refeeding response, and (6 high correlations (>0.9 of serum corticosterone with PPARα and PPARγ and of PMP70 with PPARβ. In conclusion, 24 h rhythmicity of FFA, liver PPARs, and peroxisomal markers are biochemical adaptations associated with daytime RF and FEO expression.

  11. Modeling the Pathogenesis of Charcot-Marie-Tooth Disease Type 1A Using Patient-Specific iPSCs

    Directory of Open Access Journals (Sweden)

    Lei Shi

    2018-01-01

    Full Text Available Charcot-Marie-Tooth disease type 1A (CMT1A, one of the most frequent inherited peripheral neuropathies, is associated with PMP22 gene duplication. Previous studies of CMT1A mainly relied on rodent models, and it is not yet clear how PMP22 overexpression leads to the phenotype in patients. Here, we generated the human induced pluripotent stem cell (hiPSC lines from two CMT1A patients as an in vitro cell model. We found that, unlike the normal control cells, CMT1A hiPSCs rarely generated Schwann cells through neural crest stem cells (NCSCs. Instead, CMT1A NCSCs produced numerous endoneurial fibroblast-like cells in the Schwann cell differentiation system, and similar results were obtained in a PMP22-overexpressing iPSC model. Therefore, despite the demyelination-remyelination and/or dysmyelination theory for CMT1A pathogenesis, developmental disabilities of Schwann cells may be considered as an underlying cause of CMT1A. Our results may have important implications for the uncovering of the underlying mechanism and the development of a promising therapeutic strategy for CMT1A neuropathy.

  12. The efficiency of Arabidopsis thaliana floral dip transformation is determined not only by the Agrobacterium strain used but also by the physiology and the ecotype of the dipped plant.

    Science.gov (United States)

    Ghedira, Rim; De Buck, Sylvie; Nolf, Jonah; Depicker, Ann

    2013-07-01

    To evaluate the chromosomal background of different Agrobacterium strains on floral dip transformation frequency, eight wild-type Agrobacterium strains, provided by Laboratorium voor Microbiologie Gent (LMG) and classified in different genomic groups, were compared with the commonly used Agrobacterium strains C58C1 Rif(r) (pMP90) and LBA4404 in Arabidopsis thaliana Columbia (Col-0) and C24 ecotypes. The C58C1 Rif(r) chromosomal background in combination with the pMP90 virulence plasmid showed high Col-0 floral dip transformation frequencies (0.76 to 1.57%). LMG201, which is genetically close to the Agrobacterium C58 strain, with the same virulence plasmid showed comparable or even higher transformation frequencies (1.22 to 2.28%), whereas the LBA4404 strain displayed reproducibly lower transformation frequencies (Agrobacterium chromosomal backgrounds had transformation frequencies between those of the C58C1 Rif(r) (pMP90) and LBA4404 reference strains. None of the strains could transform the C24 ecotype with a frequency higher than 0.1%. Strikingly, all Arabidopsis Col-0 floral dip transformation experiments showed a high transformation variability from plant to plant (even more than 50-fold) within and across the performed biological repeats for all analyzed Agrobacterium strains. Therefore, the physiology of the plant and, probably, the availability of competent flowers to be transformed determine, to a large extent, floral dip transformation frequencies.

  13. Microbiological outcomes from different periodontal maintenance interventions: a systematic review.

    Science.gov (United States)

    Angst, Patricia Daniela Melchiors; Stadler, Amanda Finger; Oppermann, Rui Vicente; Gomes, Sabrina Carvalho

    2017-05-04

    This study aimed to investigate the differences in the subgingival microbiological outcomes between periodontal patients submitted to a supragingival control (SPG) regimen as compared to subgingival scaling and root planing performed combined with supragingival debridement (SPG + SBG) intervention during the periodontal maintenance period (PMP). A systematic literature search using electronic databases (MEDLINE and EMBASE) was conducted looking for articles published up to August 2016 and independent of language. Two independent reviewers performed the study selection, quality assessment and data collection. Only human randomized or non-randomized clinical trials with at least 6-months-follow-up after periodontal treatment and presenting subgingival microbiological outcomes related to SPG and/or SPG+SBG therapies were included. Search strategy found 2,250 titles. Among these, 148 (after title analysis) and 39 (after abstract analysis) papers were considered to be relevant. Finally, 19 studies were selected after full-text analysis. No article had a direct comparison between the therapies. Five SPG and 14 SPG+SBG studies presented experimental groups with these respective regimens and were descriptively analyzed while most of the results were only presented graphically. The results showed that both SPG and SPG+SBG protocols of PMP determined stability in the microbiological results along time. Nevertheless, new studies comparing these interventions in PMP are needed, especially if the limitations herein discussed could be better controlled.

  14. Microbiological outcomes from different periodontal maintenance interventions: a systematic review

    Directory of Open Access Journals (Sweden)

    Patricia Daniela Melchiors ANGST

    2017-05-01

    Full Text Available Abstract This study aimed to investigate the differences in the subgingival microbiological outcomes between periodontal patients submitted to a supragingival control (SPG regimen as compared to subgingival scaling and root planing performed combined with supragingival debridement (SPG + SBG intervention during the periodontal maintenance period (PMP. A systematic literature search using electronic databases (MEDLINE and EMBASE was conducted looking for articles published up to August 2016 and independent of language. Two independent reviewers performed the study selection, quality assessment and data collection. Only human randomized or non-randomized clinical trials with at least 6-months-follow-up after periodontal treatment and presenting subgingival microbiological outcomes related to SPG and/or SPG+SBG therapies were included. Search strategy found 2,250 titles. Among these, 148 (after title analysis and 39 (after abstract analysis papers were considered to be relevant. Finally, 19 studies were selected after full-text analysis. No article had a direct comparison between the therapies. Five SPG and 14 SPG+SBG studies presented experimental groups with these respective regimens and were descriptively analyzed while most of the results were only presented graphically. The results showed that both SPG and SPG+SBG protocols of PMP determined stability in the microbiological results along time. Nevertheless, new studies comparing these interventions in PMP are needed, especially if the limitations herein discussed could be better controlled.

  15. Peripheral myelin protein 22 gene duplication with atypical presentations: a new example of the wide spectrum of Charcot-Marie-Tooth 1A disease.

    Science.gov (United States)

    Mathis, Stéphane; Corcia, Philippe; Tazir, Meriem; Camu, William; Magdelaine, Corinne; Latour, Philippe; Biberon, Julien; Guennoc, Anne-Marie; Richard, Laurence; Magy, Laurent; Funalot, Benoît; Vallat, Jean-Michel

    2014-06-01

    Charcot-Marie-Tooth type 1A (CMT1A) and hereditary neuropathy with liability to pressure palsies (HNPP) are both autosomal-dominant disorders linked to peripheral myelin anomalies. CMT1A is associated with a Peripheral Myelin Protein 22 (PMP22) duplication, whereas HNPP is due to a PMP22 deletion on chromosome 17. In spite of this crucial difference, we report three observations of patients with the 1.4 megabase CMT1A duplication and atypical presentation (electrophysiological, clinical or pathological): a 10 year-old girl with tomaculous lesions on nerve biopsy; a 26 year-old woman with recurrent paresthesiae and block conduction on the electrophysiological study; a 46 year-old woman with transient recurrent nerve palsies mimicking HNPP. These observations highlight the wide spectrum of CMT1A and the overlap between CMT1A and HNPP (both linked to the PMP22 gene), and finally illustrate the complexity of the genotype-phenotype correlations in Charcot-Marie-Tooth diseases. Copyright © 2014 Elsevier B.V. All rights reserved.

  16. Characterization of acidic polysaccharides from the mollusks through acid hydrolysis.

    Science.gov (United States)

    Cao, Jiuling; Wen, Chengrong; Lu, Jiaojiao; Teng, Nan; Song, Shuang; Zhu, Beiwei

    2015-10-05

    Uronic acid-containing polysaccharides (UACPs) including glycosaminoglycans (GAGs) exist widely in nature. Herein we propose an elegant methodology to identify UACPs by analyzing their disaccharides produced from the acid hydrolysis using HPLC-MS(n) upon 1-phenyl-3-methyl-5-pyrazolone (PMP) derivatization. Based on the optimization of experimental conditions by the single factor experiment and orthogonal test design, the combination of 1.3M TFA at 105°C for 3h is found to be the optimum. Subsequently, these conditions were applied to investigate the distribution of UACPs in 20 selected species of edible Bivalvia and Gastropoda. PMP-disaccharides derived from UACPs in mollusks were identified by comparing the retention time and mass spectra with those of the reference PMP-disaccharides from hyaluronic acid (HA), chondroitin sulfate (CS), heparin (HP), and AGSP with →4)-GlcA(1→2)-Man(1→ repeating units. The analysis reveals the prevalence of CS in the shellfishes as well as the HP, and existence of three non-GAG UACPs in 7 mollusks. Copyright © 2015 Elsevier Ltd. All rights reserved.

  17. Oncogenic Properties of Candidate Oncogenes in Chromosome Region 17p11.2p12 in Human Osteosarcoma.

    Science.gov (United States)

    Both, Joeri; Wu, Thijs; Ten Asbroek, Anneloor L M A; Baas, Frank; Hulsebos, Theo J M

    2016-01-01

    Osteosarcomas are primary tumors of bone that most often develop in adolescents. They are characterized by complex genomic changes including amplifications, deletions, and translocations. The chromosome region 17p11.2p12 is frequently amplified in human high grade osteosarcomas (25% of cases), suggesting the presence of one or more oncogenes. In previous studies, we identified 9 candidate oncogenes in this region (GID4, ARGHAP44, LRRC75A-AS1, TOP3A, COPS3, SHMT1, PRPSAP2, PMP22, and RASD1). The aim of the present study was to determine their oncogenic properties. Therefore, we generated osteosarcoma cell lines overexpressing these genes, except for LRRC75A-AS1 and PRPSAP2, and subjected these to functional oncogenic assays. We found that TOP3A, SHMT1, and RASD1 overexpression provided increased proliferation and that ARGHAP44, COPS3, and PMP22 overexpression had a stimulatory effect on migration and invasion of the cells. COPS3 and PMP22 overexpression additionally improved the ability of the cells to form new colonies. No oncogenic effect could be demonstrated for GID4 overexpression. We conclude that the concerted amplification-mediated overexpression of these genes in 17p11.2p12 may contribute to the oncogenic process in malignant osteosarcoma. © 2016 S. Karger AG, Basel.

  18. The Victoria Project, Sri Lanka. Hydrological analysis for Victoria Dam

    Energy Technology Data Exchange (ETDEWEB)

    Piper, B.S. [GU Projects (United Kingdom); Sutcliffe, J.V. [Gibb (Sir Alexander) and Partners (United Kingdom); Parks, Y.P. [Institute of Hydrology (United Kingdom)

    1994-03-01

    The hydrological analyses described in this paper formed an important part of the studies for the Victoria Project of which the Victoria Dam is the major component. The purpose of the hydrological studies was to provide consistent sets of river flow and climate data at the sites of the major components of the project, and to provide flood estimates for sizing the spillway and river diversion works. This paper outlines the approach used in the overall study, and then concentrates on aspects of specific relevance to the Victoria Dam. The main hydrological characteristics of the upper Mahaweli basin are presented as an introduction to the overall water balance; the humid climate made the appraisal of flow records relatively simple. Time series modelling was used to fill gaps in the observed flow records used for reservoir operation studies. The spillway design flood was based on the probable maximum precipitation (PMP) derived by maximizing a historic storm in which rainfall approaching the PMP covered most of the basin. Construction floods of moderate return period were estimated from a dimensionless analysis of regional flood records. The main lessons to be drawn are that water balance methods are of particular value in these humid monsoon conditions, while the ratio of the PMP to the maximum recorded storm is lower than would be the case in more arid regions. (author)

  19. [Census of the renal and dialysis units by Italian Society of Nephrology: structure and organization for renal patient assistance in Italy (2014-2015)].

    Science.gov (United States)

    Quintaliani, Giuseppe; Di Luca, Marina; Di Napoli, Anteo; Viglino, Giusto; Postorino, Maurizio; Amore, Alessandro; Andrulli, Simeone; Bellasi, Antonio; Brunori, Giuliano; Buongiorno, Erasmo; Castellino, Santina; D'Amelio, Alessandro; De Nicola, Luca; Gesualdo, Loreto; Di Landro, Domenico; Feriozzi, Sandro; Strippoli, Giovanni; Teatini, Ugo; Santoro, Antonio

    2016-01-01

    Given the public health challenge and burden of chronic kidney disease, the Italian Society of Nephrology (SIN) promoted a census of the renal and dialysis units to analyse structural and human resources, organizational aspects, activities and workload referring to the year 2014. An online questionnaire, including 64 items exploring structural and human resources, organization aspects, activities and epidemiological data referred to 2014, was sent to chiefs of any renal or dialysis unit. 615 renal units were identified. From these 615 units, 332 were public renal centres (of which 318 centres answered to the census) and 283 were private dialysis centres (of which 113 centres answered to the census). The results show 6 public renal units pmp. Renal biopsies were 4624 (81 pmp). The nephrology beds are about 41 pmp. There are 7.304 nurses working in HD wards, 1.692 in the nephrology wards and only 613 for outpatients clinics. The benchmark data derived from this census show interesting comparisons between centres, regions and groups of regions. These data realised the clinical management of renal disease in Italy.

  20. Enhanced stability of magnetoelectric gyrators under high power conditions

    Science.gov (United States)

    Leung, Chung Ming; Zhuang, Xin; Gao, Min; Tang, Xiao; Xu, Junran; Li, Jiefang; Zhang, Jitao; Srinivasan, G.; Viehland, D.

    2017-10-01

    In this study, three different coil-based magnetoelectric (ME) gyrators of different geometries, including gyrators with high power output, have been designed and characterized. These included two magnetostrictive/piezoelectric/magnetostrictive (M-P-M) and one piezoelectric/magnetostrictive/piezoelectric (P-M-P) type ME gyrators, which consisted of nickel zinc ferrite (NZFO) and lead zirconate titanate (PZT) ceramic plates. Compared with M-P-M ME gyrators, the P-M-P ones exhibited a higher power efficiency (η) of 85% when operated at resonance under an optimal magnetic bias field (HBias) of 40 Oe at low power conditions. It retained a relatively high efficiency of η = 79% under a high input power density of 2.87 W/cm3. A low reduction in the magnetomechanical coupling and mechanical quality (k33,m and Qm) factors of the NZFO ferrite layer in the ME gyrator explains the resilience of the P-M-P type structure with increasing power drive. The findings open the possibility of using ME gyrators in high power applications.

  1. Behavioral and molecular exploration of the AR-CMT2A mouse model Lmna (R298C/R298C).

    Science.gov (United States)

    Poitelon, Yannick; Kozlov, Serguei; Devaux, Jerôme; Vallat, Jean-Michel; Jamon, Marc; Roubertoux, Pierre; Rabarimeriarijaona, Sitraka; Baudot, Cécile; Hamadouche, Tarik; Stewart, Colin L; Levy, Nicolas; Delague, Valérie

    2012-03-01

    In 2002, we identified LMNA as the first gene responsible for an autosomal recessive axonal form of Charcot-Marie-Tooth disease, AR-CMT2A. All patients were found to be homozygous for the same mutation in the LMNA gene, p.Arg298Cys. In order to investigate the physiopathological mechanisms underlying AR-CMT2A, we have generated a knock-in mouse model for the Lmna p.Arg298Cys mutation. We have explored these mice through an exhaustive series of behavioral tests and histopathological analyses, but were not able to find any peripheral nerve phenotype, even at 18 months of age. Interestingly at the molecular level, however, we detect a downregulation of the Lmna gene in all tissues tested from the homozygous knock-in mouse Lmna (R298C/R298C) (skeletal muscle, heart, peripheral nerve, spinal cord and cerebral trunk). Importantly, we further reveal a significant upregulation of Pmp22, specifically in the sciatic nerves of Lmna (R298C/R298C) mice. These results indicate that, despite the absence of a perceptible phenotype, abnormalities exist in the peripheral nerves of Lmna (R298C/R298C) mice that are absent from other tissues. Although the mechanisms leading to deregulation of Pmp22 in Lmna (R298C/R298C) mice are still unclear, our results support a relation between Lmna and Pmp22 and constitute a first step toward understanding AR-CMT2A physiopathology.

  2. Preferred sound levels of portable music players and listening habits among adults: A field study

    Directory of Open Access Journals (Sweden)

    Kim R Kahari

    2011-01-01

    Full Text Available The main purpose of this descriptive field study was to explore music listening habits and preferred listening levels with portable music players (PMPs. We were also interested in seeing whether any exposure differences could be observed between the sexes. Data were collected during 12 hours at Stockholm Central Station, where people passing by were invited to measure their preferred PMP listening level by using a KEMAR manikin. People were also asked to answer a questionnaire about their listening habits. In all, 60 persons (41 men and 19 women took part in the questionnaire study and 61 preferred PMP levels to be measured. Forty-one of these sound level measurements were valid to be reported after consideration was taken to acceptable measuring conditions. The women (31 years and the men (33 years started to use PMPs on a regular basis in their early 20s. Ear canal headphones/ear buds were the preferred headphone types. Fifty-seven percent of the whole study population used their PMP on a daily basis. The measured LAeq60 sec levels corrected for free field ranged between 73 and 102 dB, with a mean value of 83 dB. Sound levels for different types of headphones are also presented. The results of this study indicate that there are two groups of listeners: people who listen less frequently and at lower, safer sound levels, and people with excessive listening habits that may indeed damage their hearing sensory organ in time.

  3. Identifying opportunities to increase organ donation after brain death. An observational study in Sweden 2009-2014.

    Science.gov (United States)

    Nolin, T; Mårdh, C; Karlström, G; Walther, S M

    2017-01-01

    There is a wide gap between the number of organ donors and patients on waiting lists for transplantation. The purpose of this Swedish nationwide study of the critical pathway for organ donation after brain death (DBD) was to identify missed opportunities for organ donation. We performed a prospective, observational study of all ICU deaths in Sweden from Jan 1, 2009 to Dec 31, 2014. The protocol structure followed the critical pathway for organ donation, which was developed and tested during 2008. We analysed differences in donation incidences between healthcare providers (counties) and patient characteristics using descriptive statistics and logistic regression. The number of DBD per million population (pmp) was 14.9, varying almost 10-fold from 4.3 to 40.6 DBD pmp between counties. Regional variation in DBD decreased when we assigned the donor to the place of residence (from 6.9 to 27.7 DBD pmp). Women were more likely to become donors compared to men [crude odds ratio (OR) 1.60, 95% confidence interval (CI) 1.38-1.85, P organ donors. Regional differences in DBD were considerable, and women were more likely to become donors than men. There is a need for increased awareness of the potential for organ donation as an integral part of end-of-life clinical care. In-depth analysis of these differences may reveal opportunities for action that could lead to increased DBD. © 2016 The Acta Anaesthesiologica Scandinavica Foundation. Published by John Wiley & Sons Ltd.

  4. An update on renal replacement therapy in Europe: ERA-EDTA Registry data from 1997 to 2006

    DEFF Research Database (Denmark)

    Kramer, Anneke; Stel, Vianda; Zoccali, Carmine

    2009-01-01

    BACKGROUND: Recent studies have indicated a stabilization in the incidence rates of renal replacement therapy (RRT) for end-stage renal disease (ESRD) in a number of European countries. The aim of this study was to provide an update on the incidence, prevalence and outcomes of RRT in Europe over......: The total adjusted incidence rate of RRT for ESRD increased from 109.9 per million population (pmp) in 1997 to 119.7 pmp in 2000, i.e. an average annual percentage change (AAPC) of 2.9% (95% CI 2.1-3.8%). Thereafter, the incidence increased at a much lower rate to 125.4 pmp in 2006 [AAPC 0.6% (95% CI 0.......3-0.8%)]. This change in the trend of the incidence of RRT was largely due to a stabilization in the incidence rates of RRT for females aged 65-74 years, males aged 75-84 years and patients receiving RRT for ESRD due to hypertension/renal vascular disease. The overall adjusted prevalence in Europe continued to increase...

  5. Isolation and functional characterization of salt-stress induced RCI2-like genes from Medicago sativa and Medicago truncatula.

    Science.gov (United States)

    Long, Ruicai; Zhang, Fan; Li, Zhenyi; Li, Mingna; Cong, Lili; Kang, Junmei; Zhang, Tiejun; Zhao, Zhongxiang; Sun, Yan; Yang, Qingchuan

    2015-07-01

    Salt stress is one of the most significant adverse abiotic factors, causing crop failure worldwide. So far, a number of salt stress-induced genes, and genes improving salt tolerance have been characterized in a range of plants. Here, we report the isolation and characterization of a salt stress-induced Medicago sativa (alfalfa) gene (MsRCI2A), which showed a high similarity to the yeast plasma membrane protein 3 gene (PMP3) and Arabidopsis RCI2A. The sequence comparisons revealed that five genes of MtRCI2(A-E) showed a high similarity to MsRCI2A in the Medicago truncatula genome. MsRCI2A and MtRCI2(A-E) encode small, highly hydrophobic proteins containing two putative transmembrane domains, predominantly localized in the plasma membrane. The transcript analysis results suggest that MsRCI2A and MtRCI2(A-D) genes are highly induced by salt stress. The expression of MsRCI2A and MtRCI2(A-C) in yeast mutants lacking the PMP3 gene can functionally complement the salt sensitivity phenotype resulting from PMP3 deletion. Overexpression of MsRCI2A in Arabidopsis plants showed improved salt tolerance suggesting the important role of MsRCI2A in salt stress tolerance in alfalfa.

  6. Climate Change Impacts on Probable Maximum Precipitation

    Science.gov (United States)

    Kunkel, K.; Easterling, D. R.

    2011-12-01

    The estimation of the potential impacts of anthropogenic forcing of the climate system on extreme weather events relies heavily on the direct output of global and regional climate models, combined perhaps with extreme value statistical techniques. In this study, we use these tools along with physical and theoretical considerations to examine the potential impacts on Probable Maximum Precipitation estimates. Probable Maximum Precipitation (PMP) is the theoretically greatest depth of precipitation for a given duration that is physically possible over a particular drainage basin at a particular time of year. PMP values are used in the design of long-lived structures with lifetimes of many decades, such as dams. Climate change is an unavoidable consideration on those time scales. Many studies have documented an upward temporal trend in the frequency and intensity of extreme precipitation events. As the globe warms in response to increasing greenhouse gas concentrations, there is the potential for further changes in precipitation extremes. There are reasons why warming could lead to increased PMP values. One, the Clausius-Clapeyron relationship indicates that the saturation water vapor pressure increases with temperature; thus, precipitation-producing systems could have more "fuel" to precipitate. Two, warming may lead to an increase in the length of the convective season, when most of the extreme precipitation events occur. The methodology for estimation of PMP values has changed little over the last 30-40 years. The basic approach is to consider the factors that contribute to heavy precipitation and then consider the potential precipitation rates if all of those factors were simultaneously maximized. Convergence and vertical motion is one factor. Past work has assumed that there no empirical or satisfactory theoretical basis for assigning maximum values to this factor. The approach has been to use observed rainfall in notable storms as an indirect measure of maximum

  7. Tuberculosis treatment managed by providers outside the Public Health Department: lessons for the Affordable Care Act.

    Directory of Open Access Journals (Sweden)

    Melissa Ehman

    Full Text Available INTRODUCTION: Tuberculosis (TB requires at least six months of multidrug treatment and necessitates monitoring for response to treatment. Historically, public health departments (HDs have cared for most TB patients in the United States. The Affordable Care Act (ACA provides coverage for uninsured persons and may increase the proportion of TB patients cared for by private medical providers and other providers outside HDs (PMPs. We sought to determine whether there were differences in care provided by HDs and PMPs to inform public health planning under the ACA. METHODS: We conducted a retrospective, cross-sectional analysis of California TB registry data. We included adult TB patients with culture-positive, pulmonary TB reported in California during 2007-2011. We examined trends, described case characteristics, and created multivariate models measuring two standards of TB care in PMP- and HD-managed patients: documented culture conversion within 60 days, and use of directly observed therapy (DOT. RESULTS: The proportion of PMP-managed TB patients increased during 2007-2011 (p = 0.002. On univariable analysis (N = 4,606, older age, white, black or Asian/Pacific Islander race, and birth in the United States were significantly associated with PMP care (p<0.05. Younger age, Hispanic ethnicity, homelessness, drug or alcohol use, and cavitary and/or smear-positive TB disease, were associated with HD care. Multivariable analysis showed PMP care was associated with lack of documented culture conversion (adjusted relative risk [aRR] = 1.37, confidence interval [CI] 1.25-1.51 and lack of DOT (aRR = 8.56, CI 6.59-11.1. CONCLUSION: While HDs cared for TB cases with more social and clinical complexities, patients under PMP care were less likely to receive DOT and have documented culture conversion. This indicates a need for close collaboration between PMPs and HDs to ensure that optimal care is provided to all TB patients and TB transmission is

  8. Diagnosis of Nasopharyngeal Obstruction by Lateral Cephalometric Radiography

    Directory of Open Access Journals (Sweden)

    H. Ravanmehr

    2005-06-01

    Full Text Available Statement of Problem: Nasopharyngeal obstruction by adenoid enlargement is one of the main causes of mouth breathing. Diagnostic indices of nasopharyngeal obstruction by lateral cephalometric radiography are controversial.Purpose: The purpose of this study was to diagnose the nasopharyngeal obstruction by means of lateral cephalometric radiography.Materials and Methods: In this research two groups, (study and control, of 6 to 15 years old were studied. In the study group, 46 mouth breathers were clinically examined by an orthodontist and an Otolaryngologist to confirm the nasopharyngeal obstruction.Control group was also comprised of 46 nasal breathers within the same age groups. A lateral cephalogram in centric occlusion was obtained for each patient. After tracing,following 7 nasopharyngeal variables were measured: 1- pp (palatopharyngeal depth.2- Ad.Pmp (nasopharyngeal airway depth. 3- Air area (nasopharyngeal airway area. 4-NP area (bony area of nasopharynx. 5- Ba.Pmp (bony depth of nasopharynx. 6- d(bony depth of nasopharynx. 7- h (bony height of nasopharynx.Statistical t-test was conducted following calculating the mean, standard deviation and p-value of parameters. Discriminant function analysis was employed subsequent to thet-test for the significant variables, in order to find a method by which the values for several variables could be used simultaneously to determine whether obstruction exists.Qualitative variables of sex and age groups (6-10, 11-12, and 13-15 years old were alsoused in discriminant analysis.Results: In the study group, mean value of pp, Ad.pmp, air area, Np area and Ba.pmp were significantly decreased, whereas mean of d and h variables were not considerably lessened. After performing analysis stage, the following discriminant function equationwith critical point of 3.88 and correct classification of 94.57% was determined:D=0.345 (pp +0.064 (Ad.pmp-0.001(NP area + 0.03(Air area +0.505(Age1.If a person’s age is

  9. Responses to and Outcomes of Treatment of Autoimmune Cerebellar Ataxia in Adults.

    Science.gov (United States)

    Jones, Amy L; Flanagan, Eoin P; Pittock, Sean J; Mandrekar, Jay N; Eggers, Scott D; Ahlskog, J Eric; McKeon, Andrew

    2015-11-01

    Classic Purkinje cell cytoplasmic antibody type 1 (PCA-1, or anti-Yo) paraneoplastic cerebellar ataxia has a poor prognosis, yet little has been published otherwise regarding treatment responses and outcomes among patients with autoimmune cerebellar ataxia. To investigate treatment responses and outcomes in adults with autoimmune cerebellar ataxia. A cohort study conducted at Mayo Clinic, Rochester, Minnesota, included 118 patients who had ataxia, were 18 years or older, were seropositive for at least 1 neural autoantibody, had received at least 1 immunotherapy or cancer therapy, and had neurologist-reported outcomes documented from January 1, 1989, through December 31, 2013. Data were collected from May 14, 2013, through August 9, 2014, and analyzed from August 9, 2014, through April 27, 2015. Responses to immunotherapy (corticosteroids, intravenous immunoglobulin, plasma exchange, and immunosuppressants) and ambulatory outcomes were compared between different subgroups. Subgroups were classified as paraneoplastic vs nonparaneoplastic disorders; neuronal nuclear and/or cytoplasmic (NNC) antibody positivity vs plasma membrane protein (PMP) antibody positivity; and glutamic acid decarboxylase 65-kDa isoform (GAD65) antibody positivity vs PMP antibody positivity. Response to therapy and ambulatory ability, with univariate logistic regression and Kaplan-Meier analyses. Inclusion criteria were met by 118 patients. Median age at onset of neurologic symptoms was 58 (range, 27-83) years, and 87 patients (73.7%) were women. Median duration from symptom onset to last follow-up was 25 (range, 2-223) months. Sixty-three patients had paraneoplastic and 55 patients had nonparaneoplastic ataxic disorders. Eighty-one patients were seropositive for NNC antibodies (most commonly PCA-1 [anti-Yo], antineuronal nuclear antibody type 1 [anti-Hu], and GAD65 antibody); 22 patients, for neural PMP receptor or ion channel antibodies (most commonly targeting P/Q- or N-type voltage

  10. Antiplatelet Agents Inhibit The Generation Of Platelet-Derived Microparticles

    Directory of Open Access Journals (Sweden)

    Alice Giacomazzi

    2016-09-01

    Full Text Available Platelet microparticles (PMPs contribute to thrombogenesis but the effects of antiplatelet drugs on PMPs generation is undefined. The present study investigated the cellular events regulating PMP shedding, testing in vitro platelet agonists and inhibitors. Platelet-rich plasma from healthy subjects was stimulated with arachidonic acid, U46619, collagen type-I (10 and 1.5 µg/mL, epinephrine, ADP or TRAP-6 and pre-incubated with acetylsalicylic acid (ASA, 100 and 10 µmol/L, SQ-29,548, apyrase, PSB-0739, or eptifibatide. PMPs were detected by flow-cytometry using CD61 and annexin-V as fluorescent markers. Platelet agonists induced annexin V-positive PMP shedding. The strongest response was to high concentration collagen. ADP-triggered PMP shedding was dose-independent. ASA reduced PMPs induced by arachidonic acid- (645, 347-2946 vs 3061, 446-4901 PMPs/µL; median ad range, n=9, P<0.001, collagen 10 µg/mL (5317, 2027-15935 vs 10252, 4187-46316 PMPs/µL; n=13, P<0.001, collagen 1.5 µg/mL (1078, 528-2820 vs 1465, 582-5948 PMPs/µL; n=21, P<0.001 and TRAP-6 (2008, 1621-2495 vs 2840, 2404-3031 PMPs/µL; n=3, P<0.01 but did not affect the response to epinephrine or ADP. The ADP scavenger apyrase reduced PMPs induced by U46619 (1256, 395-2908 vs 3045, 1119-5494 PMPs/µL, n=6, P<0.05, collagen 1.5 µg/mL (1006, 780-1309 vs 2422, 1839-3494 PMPs/µL, n=3, P<0.01 and TRAP-6 (904, 761-1224 vs 2840, 2404-3031 PMPs/µL, n=3, P<0.01. The TP receptor antagonist SQ-29,548 and the P2Y12 receptor antagonist PSB-0739 markedly inhibited PMPs induced by low doses of collagen. Except for high-dose collagen, eptifibatide abolished agonist-induced PMP release. Both TXA2 generation and ADP secretion are required as amplifiers of PMP shedding. The crucial role of the fibrinogen receptor and the collagen receptor in PMPs generation, independently of platelet aggregation, was identified.

  11. Necessary and sufficient conditions for the asymmetric synthesis of chiral amines using ω-aminotransferases.

    Science.gov (United States)

    Seo, Joo-Hyun; Kyung, Dohyun; Joo, Keehyoung; Lee, Jooyoung; Kim, Byung-Gee

    2011-02-01

    The half reactions of ω-aminotransferase (ω-AT) from Vibrio fluvialis JS17 (ω-ATVf) were carried out using purified pyridoxal 5'-phosphate-enzyme (PLP-Enz) and pyridoxamine 5'-phosphate-enzyme (PMP-Enz) complexes to investigate the relative activities of substrates. In the reaction generating PMP-Enz from PLP-Enz using L-alanine as an amine donor, L-alanine showed about 70% of the initial reaction rate of (S)-α-methylbenzylamine ((S)-α-MBA). However, in the subsequent half reaction recycling PLP-Enz from PMP-Enz using acetophenone as an amine acceptor, acetophenone showed nearly negligible reactivity compared to pyruvate. These results indicate that the main bottleneck in the asymmetric synthesis of (S)-α-MBA lies not in the amination of PLP by alanine, but in the amination of acetophenone by PMP-Enz, where conformational restraints of the enzyme structure is likely to be the main reason for limiting the amine group transfer from PMP-Enz to acetophenone. Based upon those half reaction experiments using the two amino acceptors of different activity, it appears that the relative activities of the two amine donors and the two acceptors involved in the ω-AT reactions can roughly determine the asymmetric synthesis yield of the target chiral amine compound. Predicted conversion yields of several target chiral amines were calculated and compared with the experimental conversion yields. Approximately, a positive linear correlation (Pearson's correlation coefficient = 0.92) was observed between the calculated values and the experimental conversion yields. To overcome the low (S)-α-MBA productivity of ω-ATVf caused by the possible disadvantageous structural constraints for acetophenone, new ω-ATs showing higher affinity to benzene ring of acetophenone than ω-ATVf were computationally screened using comparative modeling and protein-ligand docking. ω-ATs from Streptomyces avermitilis MA-4680 (SAV2612) and Agrobacterium tumefaciens str. C58 (Atu4761) were

  12. Renal replacement therapy in Latin American end-stage renal disease.

    Science.gov (United States)

    Rosa-Diez, Guillermo; Gonzalez-Bedat, Maria; Pecoits-Filho, Roberto; Marinovich, Sergio; Fernandez, Sdenka; Lugon, Jocemir; Poblete-Badal, Hugo; Elgueta-Miranda, Susana; Gomez, Rafael; Cerdas-Calderon, Manuel; Almaguer-Lopez, Miguel; Freire, Nelly; Leiva-Merino, Ricardo; Rodriguez, Gaspar; Luna-Guerra, Jorge; Bochicchio, Tomasso; Garcia-Garcia, Guillermo; Cano, Nuria; Iron, Norman; Cuero, Cesar; Cuevas, Dario; Tapia, Carlos; Cangiano, Jose; Rodriguez, Sandra; Gonzalez, Haydee; Duro-Garcia, Valter

    2014-08-01

    The Latin American Dialysis and Renal Transplant Registry (RLADTR) was founded in 1991; it collects data from 20 countries which are members of Sociedad Latinoamericana de Nefrología e Hipertension. This paper presents the results corresponding to the year 2010. This study is an annual survey requesting data on incident and prevalent patients undergoing renal replacement treatment (RRT) in all modalities: hemodialysis (HD), peritoneal dialysis (PD) and living with a functioning graft (LFG), etc. Prevalence and incidence were compared with previous years. The type of renal replacement therapy was analyzed, with special emphasis on PD and transplant (Tx). These variables were correlated with the gross national income (GNI) and the life expectancy at birth. Twenty countries participed in the surveys, covering 99% of the Latin American. The prevalence of end stage renal disease (ESRD) under RRT in Latin America (LA) increased from 119 patients per million population (pmp) in 1991 to 660 pmp in 2010 (HD 413 pmp, PD 135 pmp and LFG 111 pmp). HD proportionally increased more than PD, and Tx HD continues to be the treatment of choice in the region (75%). The kidney Tx rate increased from 3.7 pmp in 1987 to 6.9 pmp in 1991 and to 19.1 in 2010. The total number of Tx's in 2010 was 10 397, with 58% deceased donors. The total RRT prevalence correlated positively with GNI (r2 0.86; P < 0.05) and life expectancy at birth (r2 0.58; P < 0.05). The HD prevalence and the kidney Tx rate correlated significantly with the same indexes, whereas the PD rate showed no correlation with these variables. A tendency to rate stabilization/little growth was reported in the most regional countries. As in previous reports, the global incidence rate correlated significantly only with GNI (r2 0.63; P < 0.05). Diabetes remained the leading cause of ESRD. The most frequent causes of death were cardiovascular (45%) and infections (22%). Neoplasms accounted for 10% of the causes of death. The

  13. Extended Cold Testing of a Russian Pulsating Mixer Pump at the Oak Ridge National Laboratory, Oak Ridge, Tennessee

    Energy Technology Data Exchange (ETDEWEB)

    Lewis, BE

    2002-12-23

    The effectiveness of a mixer is dependent on the size of the tank to be mixed, the characteristics of the waste, and the operating conditions. Waste tanks throughout the U.S. Department of Energy Complex require mixing and mobilization systems capable of (1) breaking up and suspending materials that are difficult to mix and pump, without introducing additional liquids into the tank; (2) complementing and augmenting the performance of other remotely operated and/or robotic waste retrieval systems; and (3) operating in tanks with various quantities of waste. The Oak Ridge Russian pulsating mixer pump (PMP) system was designed with the flexibility to permit deployment in a variety of cylindrical tanks. The PMP was installed at the Tanks Technology Cold Test Facility at the Oak Ridge National Laboratory (ORNL) to assess the performance of the system over an extended range of operating conditions, including supply pressures up to 175 psig. Previously conducted cold tests proved the applicability of the PMP for deployment in ORNL gunite tank TH-4. The previous testing and hot demonstrations had been limited to operating at air supply pressures of <100 psig. The extended cold testing of the Russian PMP system showed that the system was capable of mobilizing waste simulants in tanks in excess of 20-ft diam. The waste simulant used in these tests was medium-grain quartz sand. The system was successfully installed, checked out, and operated for 406 pulse discharge cycles. Only minor problems (i.e., a sticking air distributor valve and a few system lockups) were noted. Some improvements to the design of the air distributor valve may be needed to improve reliability. The air supply requirements of the PMP during the discharge cycle necessitated the operation of the system in single pulse discharge cycles to allow time for the air supply reservoir to recharge to the required pressure. During the test program, the system was operated with sand depths of 2, 4, and 4.5 in.; at

  14. Renal replacement therapy in Latin American end-stage renal disease

    Science.gov (United States)

    Rosa-Diez, Guillermo; Gonzalez-Bedat, Maria; Pecoits-Filho, Roberto; Marinovich, Sergio; Fernandez, Sdenka; Lugon, Jocemir; Poblete-Badal, Hugo; Elgueta-Miranda, Susana; Gomez, Rafael; Cerdas-Calderon, Manuel; Almaguer-Lopez, Miguel; Freire, Nelly; Leiva-Merino, Ricardo; Rodriguez, Gaspar; Luna-Guerra, Jorge; Bochicchio, Tomasso; Garcia-Garcia, Guillermo; Cano, Nuria; Iron, Norman; Cuero, Cesar; Cuevas, Dario; Tapia, Carlos; Cangiano, Jose; Rodriguez, Sandra; Gonzalez, Haydee; Duro-Garcia, Valter

    2014-01-01

    The Latin American Dialysis and Renal Transplant Registry (RLADTR) was founded in 1991; it collects data from 20 countries which are members of Sociedad Latinoamericana de Nefrología e Hipertension. This paper presents the results corresponding to the year 2010. This study is an annual survey requesting data on incident and prevalent patients undergoing renal replacement treatment (RRT) in all modalities: hemodialysis (HD), peritoneal dialysis (PD) and living with a functioning graft (LFG), etc. Prevalence and incidence were compared with previous years. The type of renal replacement therapy was analyzed, with special emphasis on PD and transplant (Tx). These variables were correlated with the gross national income (GNI) and the life expectancy at birth. Twenty countries participed in the surveys, covering 99% of the Latin American. The prevalence of end stage renal disease (ESRD) under RRT in Latin America (LA) increased from 119 patients per million population (pmp) in 1991 to 660 pmp in 2010 (HD 413 pmp, PD 135 pmp and LFG 111 pmp). HD proportionally increased more than PD, and Tx HD continues to be the treatment of choice in the region (75%). The kidney Tx rate increased from 3.7 pmp in 1987 to 6.9 pmp in 1991 and to 19.1 in 2010. The total number of Tx's in 2010 was 10 397, with 58% deceased donors. The total RRT prevalence correlated positively with GNI (r2 0.86; P < 0.05) and life expectancy at birth (r2 0.58; P < 0.05). The HD prevalence and the kidney Tx rate correlated significantly with the same indexes, whereas the PD rate showed no correlation with these variables. A tendency to rate stabilization/little growth was reported in the most regional countries. As in previous reports, the global incidence rate correlated significantly only with GNI (r2 0.63; P < 0.05). Diabetes remained the leading cause of ESRD. The most frequent causes of death were cardiovascular (45%) and infections (22%). Neoplasms accounted for 10% of the causes of death. The

  15. NEW CLASSIFICATION AND DIAGNOSIS OF APPENDICEAL CARCINOID TUMORS

    Directory of Open Access Journals (Sweden)

    Vuka Katić

    2012-03-01

    Full Text Available Carcinoid tumours are rare lesions that belong to the APUDoma category having the capacity of Amine Precursor Uptake and Decarboxylase. Gastrointestinal system comprises 90% of all carcinoids in the body and they are the most common type of primary malignant lesions of the appendix. New WHO classification of gastrointestinal carcinoids, diagnostic dilemmas of some carcinoid variants and, sometimes unpredictable prognosis are the reasons for the following study: clinical, macro- and microscopical as well as cytochemical and immunocytochemical examination of the vermiform appendix carcinoids, surgically removed from 16 patients. The appendectomy was induced by acute appendicitis or tumorous mass, without carcinoid syndrome. After two-day fixation in 10% formaldehyde, routinelly processed and embedded in paraffin, laboratory sections were stained with H&E, Fontana-Masson’s, Grimelius’, FIF and ABPAS methods. ABC method has been used for immunohistochemical examination. The antibodies for Chromogranin A, NSE, Synaptophysin, Cytokeratin 7, S-100 protein, Ki67 and CEA (primary antibodies and ABC (secondary antibody (Dako Kopenhagen were tested. The patients had no carcinoid syndrome. The most frequent was classic appendiceal carcinoid, well differentiated - NETG1 (8 cases, without metastases; goblet cell carcinoids were rare (3 cases, one case with liver metastases. The second case of goblet cell carcinoid was associated with cystadenoma papillare mucinosum, complicated by pseudomixoma peritonei and the third case was limited only to appendiceal wall. The patient with liver metastases died five months after appendectomy. The patient with goblet cell carcinoid associated with papillary mucinous cystadenoma and complicated by pseudomixoma peritonei had re-operation with both partial cecal and right ovarial resection, associated with washing the peritoneal cavity. The patient was feeling well during six years from the second operation. Based on our

  16. Study of Extreme Hydrometeorological Events under Consideration of Climate Change in terms of Flood Protection Design Standard

    Science.gov (United States)

    Lin, B.-Z.

    2012-04-01

    common frequencies to rare frequencies. Probable Maximum Precipitation (PMP) is defined as the greatest depth of precipitation for a given duration meteorologically possible for a design watershed or a given storm area at a particular location at a particular time of year, with no allowance made for long-term climate trends (WMO, 2009). The PMP has been widely used by many hydrologists to determine the probable maximum flood (PMF) critical to the design of a variety of hydrological structures and other high profile infrastructures such as nuclear power-generation station with respect to flood-protection, for which a high level safety is required. What is the impact of climate change on PMP estimation? Actually, in the definition of PMP, there is "no allowance made for long-term climate trends" (WMO, 2009). However, when people are talking about impact of climate change on PMP estimation, two things may be taken into account practically: (1) To affect the precipitable water as a result of increase of SST; (2) Effect on the selection of the transposed storm because more extreme storms would occur due to climate change and more potential candidates to be used for storm transposition. The occurrence of a severe rainfall storm could alter the PMP estimates. A good example is the lashing of the Typhoon Morakot of 8 - 10 Aug. 2009 on Taiwan Island that set up new rainfall picture. What is the effect of topography on rainfall is another big issue in PMP estimation. Many observations of precipitation in mountainous areas show a general increase in precipitation with elevation. Practically, the effect of topography on rainfall should be taken into account in PMP estimation and implemented by the storm separation technique. The Step-Duration-Orographic-Intensification-Factor (SDOIF) Method, which was developed based on statistics analysis of extreme rainfalls in the storm area, can practically be used as storm separation technique to decouple the Morakot storm rainfalls into two

  17. The impact on sleep of a multidisciplinary cognitive behavioural pain management programme: a pilot study

    Directory of Open Access Journals (Sweden)

    Horan Sheila

    2011-01-01

    Full Text Available Abstract Background Reduced sleep quality is a common complaint among patients with chronic pain, with 50-80% of patients reporting sleep disturbance. Improvements in pain and quality of life measures have been achieved using a multidisciplinary cognitive behavioural therapy pain management programme (CBT-PMP that aims to recondition attitudes to pain, and improve patients' self-management of their condition. Despite its high prevalence in patients with chronic pain, there is very limited objective evidence for the effect of this intervention on sleep quality. The primary research objective is to investigate the short-term effect of a multidisciplinary CBT-PMP on subjective (measured by Pittsburg Sleep Quality Index and objective sleep quality (measured by Actigraphy in patients with chronic pain by comparison with a control group. The secondary objectives will investigate changes in function and mood, and then explore the relationship between objective and subjective sleep quality and physical and psychological outcome measures. Methods/Design Patients who fulfil the inclusion criteria for attendance on the multidisciplinary CBT-PMP in the Adelaide and Meath Hospital, Tallaght, Dublin and are currently listed on the PMP waiting list will be invited to participate in this pilot study. Potential patients will be screened for sleep disturbance [determined by the Pittsburgh Sleep Quality Index (PSQI]. Those patients with a sleep disturbance (PSQI >5 will be assigned to either the intervention group (immediate treatment, or control group (deferred treatment, i.e. the PMP they are listed for is more than six months away based on where they appear on the waiting list. Baseline measures of sleep, function, and mood will be obtained using a combination of self-report questionnaires (the Hospital Anxiety and Depression Scale, the Short Form 36 health survey, the Pittsburgh Sleep Quality Index, the Tampa Scale for Kinesiophobia, and functional outcome

  18. Estimation of the Probable Maximum Flood for a Small Lowland River in Poland

    Science.gov (United States)

    Banasik, K.; Hejduk, L.

    2009-04-01

    The planning, designe and use of hydrotechnical structures often requires the assesment of maximu flood potentials. The most common term applied to this upper limit of flooding is the probable maximum flood (PMF). The PMP/UH (probable maximum precipitation/unit hydrograph) method has been used in the study to predict PMF from a small agricultural lowland river basin of Zagozdzonka (left tributary of Vistula river) in Poland. The river basin, located about 100 km south of Warsaw, with an area - upstream the gauge of Plachty - of 82 km2, has been investigated by Department of Water Engineering and Environmenal Restoration of Warsaw University of Life Sciences - SGGW since 1962. Over 40-year flow record was used in previous investigation for predicting T-year flood discharge (Banasik et al., 2003). The objective here was to estimate the PMF using the PMP/UH method and to compare the results with the 100-year flood. A new relation of depth-duration curve of PMP for the local climatic condition has been developed based on Polish maximum observed rainfall data (Ozga-Zielinska & Ozga-Zielinski, 2003). Exponential formula, with the value of exponent of 0.47, i.e. close to the exponent in formula for world PMP and also in the formula of PMP for Great Britain (Wilson, 1993), gives the rainfall depth about 40% lower than the Wilson's one. The effective rainfall (runoff volume) has been estimated from the PMP of various duration using the CN-method (USDA-SCS, 1986). The CN value as well as parameters of the IUH model (Nash, 1957) have been established from the 27 rainfall-runoff events, recorded in the river basin in the period 1980-2004. Varibility of the parameter values with the size of the events will be discussed in the paper. The results of the analyse have shown that the peak discharge of the PMF is 4.5 times larger then 100-year flood, and volume ratio of the respective direct hydrographs caused by rainfall events of critical duration is 4.0. References 1.Banasik K

  19. Diagnostic algorithms in Charcot-Marie-Tooth neuropathies: experiences from a German genetic laboratory on the basis of 1206 index patients.

    Science.gov (United States)

    Rudnik-Schöneborn, S; Tölle, D; Senderek, J; Eggermann, K; Elbracht, M; Kornak, U; von der Hagen, M; Kirschner, J; Leube, B; Müller-Felber, W; Schara, U; von Au, K; Wieczorek, D; Bußmann, C; Zerres, K

    2016-01-01

    We present clinical features and genetic results of 1206 index patients and 124 affected relatives who were referred for genetic testing of Charcot-Marie-Tooth (CMT) neuropathy at the laboratory in Aachen between 2001 and 2012. Genetic detection rates were 56% in demyelinating CMT (71% of autosomal dominant (AD) CMT1/CMTX), and 17% in axonal CMT (24% of AD CMT2/CMTX). Three genetic defects (PMP22 duplication/deletion, GJB1/Cx32 or MPZ/P0 mutation) were responsible for 89.3% of demyelinating CMT index patients in whom a genetic diagnosis was achieved, and the diagnostic yield of the three main genetic defects in axonal CMT (GJB1/Cx32, MFN2, MPZ/P0 mutations) was 84.2%. De novo mutations were detected in 1.3% of PMP22 duplication, 25% of MPZ/P0, and none in GJB1/Cx32. Motor nerve conduction velocity was uniformly 40 m/s in MFN2, and more variable in GJB1/Cx32, MPZ/P0 mutations. Patients with CMT2A showed a broad clinical severity regardless of the type or position of the MFN2 mutation. Out of 75 patients, 8 patients (11%) with PMP22 deletions were categorized as CMT1 or CMT2. Diagnostic algorithms are still useful for cost-efficient mutation detection and for the interpretation of large-scale genetic data made available by next generation sequencing strategies. © 2015 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  20. Prostate extracellular vesicles in patient plasma as a liquid biopsy platform for prostate cancer using nanoscale flow cytometry

    Science.gov (United States)

    Al-Zahrani, Ali A.; Pardhan, Siddika; Brett, Sabine I.; Guo, Qiu Q.; Yang, Jun; Wolf, Philipp; Power, Nicholas E.; Durfee, Paul N.; MacMillan, Connor D.; Townson, Jason L.; Brinker, Jeffrey C.; Fleshner, Neil E.; Izawa, Jonathan I.; Chambers, Ann F.; Chin, Joseph L.; Leong, Hon S.

    2016-01-01

    Background Extracellular vesicles released by prostate cancer present in seminal fluid, urine, and blood may represent a non-invasive means to identify and prioritize patients with intermediate risk and high risk of prostate cancer. We hypothesize that enumeration of circulating prostate microparticles (PMPs), a type of extracellular vesicle (EV), can identify patients with Gleason Score≥4+4 prostate cancer (PCa) in a manner independent of PSA. Patients and Methods Plasmas from healthy volunteers, benign prostatic hyperplasia patients, and PCa patients with various Gleason score patterns were analyzed for PMPs. We used nanoscale flow cytometry to enumerate PMPs which were defined as submicron events (100-1000nm) immunoreactive to anti-PSMA mAb when compared to isotype control labeled samples. Levels of PMPs (counts/μL of plasma) were also compared to CellSearch CTC Subclasses in various PCa metastatic disease subtypes (treatment naïve, castration resistant prostate cancer) and in serially collected plasma sets from patients undergoing radical prostatectomy. Results PMP levels in plasma as enumerated by nanoscale flow cytometry are effective in distinguishing PCa patients with Gleason Score≥8 disease, a high-risk prognostic factor, from patients with Gleason Score≤7 PCa, which carries an intermediate risk of PCa recurrence. PMP levels were independent of PSA and significantly decreased after surgical resection of the prostate, demonstrating its prognostic potential for clinical follow-up. CTC subclasses did not decrease after prostatectomy and were not effective in distinguishing localized PCa patients from metastatic PCa patients. Conclusions PMP enumeration was able to identify patients with Gleason Score ≥8 PCa but not patients with Gleason Score 4+3 PCa, but offers greater confidence than CTC counts in identifying patients with metastatic prostate cancer. CTC Subclass analysis was also not effective for post-prostatectomy follow up and for

  1. An update on renal replacement therapy in Europe: ERA-EDTA Registry data from 1997 to 2006.

    Science.gov (United States)

    Kramer, Anneke; Stel, Vianda; Zoccali, Carmine; Heaf, James; Ansell, David; Grönhagen-Riska, Carola; Leivestad, Torbjørn; Simpson, Keith; Pálsson, Runólfur; Postorino, Maurizio; Jager, Kitty

    2009-12-01

    Recent studies have indicated a stabilization in the incidence rates of renal replacement therapy (RRT) for end-stage renal disease (ESRD) in a number of European countries. The aim of this study was to provide an update on the incidence, prevalence and outcomes of RRT in Europe over the past decade. Nineteen European national or regional renal registries with registry data from 1997 to 2006 participated in the study. Incidence and prevalence trends were analysed with Poisson and Joinpoint regression. Cox regression methods were used to examine patient survival. The total adjusted incidence rate of RRT for ESRD increased from 109.9 per million population (pmp) in 1997 to 119.7 pmp in 2000, i.e. an average annual percentage change (AAPC) of 2.9% (95% CI 2.1-3.8%). Thereafter, the incidence increased at a much lower rate to 125.4 pmp in 2006 [AAPC 0.6% (95% CI 0.3-0.8%)]. This change in the trend of the incidence of RRT was largely due to a stabilization in the incidence rates of RRT for females aged 65-74 years, males aged 75-84 years and patients receiving RRT for ESRD due to hypertension/renal vascular disease. The overall adjusted prevalence in Europe continued to increase linearly at 2.7% per year. Between the periods 1997-2001 and 2002-2006, the risk of death decreased for all treatment modalities, with the most substantial improvement in patients starting peritoneal dialysis [19% (95% CI 15-22%)] and in patients receiving a kidney transplant [17% (95% CI 11-23%)]. This European study shows that the annual rise of the overall incidence rate of RRT for ESRD has diminished and that in several age groups the incidence rates have now stabilized. The survival of dialysis patients and kidney transplant recipients has continued to improve.

  2. Partnership for transplantation: a new initiative to increase deceased organ donation in Poland.

    Science.gov (United States)

    Kosieradzki, M; Czerwinski, J; Jakubowska-Winecka, A; Kubik, T; Zawilinska, E; Kobryn, A; Bohatyrewicz, R; Zieniewicz, K; Nyckowski, P; Becler, R; Snarska, J; Danielewicz, R; Rowinski, W

    2012-09-01

    Despite the long-standing history of transplantation, the shortage of organs has remained its most restrictive factor. In 2010, the number of actual deceased organ donors in Poland was 13.5/million population (pmp). However, a huge difference in organ recovery rates is evident between various regions, eg, 32 pmp, in western Pomerania compared with 1-3 pmp in southern districts. A substantial number of patients who die while awaiting organ transplantations could be saved were effective programs able to overcome barriers in deceased organ donation. Such programs, eg, the European Donor Hospital Education Program, Donor Action, European Training Program on Organ Donation, United States Collaborative in Donation were introduced several years ago, but after transient improvements there has not been real progress. A new comprehensive program-Regional Partnership for Transplantation-was initiated a year ago in 4 districts of southern Poland by the Polish Union for Transplantation Medicine. The letter of intent to activate the donation program was signed by the local administration, the president of the local medical school, president of the Physician's Chamber, transplant centers, the Polish Union for Transplantation, and the Polish Transplant Coordinating Center. The plan of action included training of in-hospital coordinators, visits to all regional hospitals in company of a representative of the hospital founding body, examination of the real donation pool and the need for participation in a donation program training and education of the hospital staff in legal and organizational aspects of donation, brain death recognition, and various aspects of donor care. In addition, the program included communication skills workshops for intensive care unit physicians (with participation of 2 actors, an experienced anesthesiologist, and a psychologist), lectures for high school and university students and for hospital chaplains as well as alumni of higher seminaries. The

  3. Ultra-HPLC method for quality and adulterant assessment of steviol glycosides sweeteners - Stevia rebaudiana and stevia products.

    Science.gov (United States)

    Wang, Yan-Hong; Avula, Bharathi; Tang, Wenzhao; Wang, Mei; Elsohly, Mahmoud A; Khan, Ikhlas A

    2015-01-01

    Stevia products are advertised as a zero-calorie sweetener. Glucose should not be an intrinsic component of this product, but it has been identified from some of stevia products in a preliminary study. An UHPLC-UV method was developed for the quantitative determination of glucose from stevia products. After stevia products reacted with 1-phenyl-3-methyl-5-pyrazolone (PMP), PMP derivatives were analysed and glucose was found in seven out of 35 products in the range 0.3-91.5% (w/w). Two products, SPR-12 and SPR-27, showed remarkable amounts of glucose at 61.6% and 91.5%, respectively. In addition, an UHPLC-UV-evaporative light-scattering detector (ELSD) method was developed for the quantitative determination of rebaudioside A, stevioside, rebaudioside D, dulcoside A and steviolbioside from Stevia rebaudiana and related products. In a 12 min run, five steviol glycosides were baseline-separated. ELSD and ultraviolet (UV) detections showed comparable results. The LC methods were validated for linearity, repeatability, accuracy, limits of detection (LOD) and limits of quantification (LOQ). For steviol glycosides, the LODs and LOQs were found to be less than 10 and 30 μg ml(-1), respectively. The RSD for intra- and inter-day analyses was less than 2.5%, and the recovery was 90-94%. For PMP derivative of glucose, the LOD and LOQ were 0.01 and 0.05 μg ml(-1), respectively. Repeatability (RSD) was less than 2.6%; recovery was 98.6-101.7%. The methods are useful for the identification, quality assurance, and adulterant assessment of S. rebaudiana and steviol glycosides sweeteners (stevia products).

  4. Interspecific plasmid transfer between Streptococcus pneumoniae and Bacillus subtilis

    Energy Technology Data Exchange (ETDEWEB)

    Espinosa, M. (Inst. de Immunologia y Biologia Microbiana, Velazquez, Madrid, Spain); Lopez, P.; Perez-Urena, M.T.; Lacks, S.A.

    1982-01-01

    The streptococcal plasmids pMV158 and pLS1, grown in Streptococcus pneumoniae, were transformed to Bacillus subtilis by DNA-mediated transformation.The plasmids were unchanged in the new host; no deletions were observed in 80 instances of transfer. Hybrid plasmids were produced by recombining the EcoRI fragment of pBD6 that confers Km/sup r/ with EcoRI-cut pLS1, which confers Tc/sup r/. The simple hybrid, pMP2, was transferable to both species and expressed Tc/sup r/ and Km/sup r/ in both. A derivative, pMP5, which contained an insertion in the pBD6 component, expressed a higher level of kanomycin resistance and was more easily selected in S. pneumoniae. Another derivative, pMP3, which contained an additional EcoRI fragment, presumably of pneumococcal chromosomal DNA, could not be transferred to B. subtilis. Previous findings that monomeric plasmid forms could transform S. pneumoniae but not B. subtilis were confirmed using single plasmid preparations. Although plasmids extracted from either species were readily transferred to S. pneumoniae, successive passage in B. subtilis increased the ability of plasmid extracts to transfer the plasmid to a B. subtilis recipient. This adaptation was tentatively ascribed to an enrichment of multimeric forms in extracts of B. subtilis as compared to S. pneumoniae. A review of host ranges exhibited by plasmids of Gram-positive bacteria suggested differences in their ability to use particular host replication functions. (JMT)

  5. 324 Building REC and HLV Tank Closure Plan

    Energy Technology Data Exchange (ETDEWEB)

    Becker-Khaleel, B; Schlick, K. [Scienfific Ecology Group, Inc. Richland, WA (United States)

    1995-12-01

    This closure plan describes the activities necessary to close the 324 Radiochemical Engineering Cells (REC) and High-Level Vault (HLV) in accordance with the Washington State Dangerous Waste regulations. To provide a complete description of the activities required, the closure plan relies on information contained in the 324 Building B-Cell Safety Cleanout Project (BCCP) plans, the 324 Building REC HLV Interim Waste Management Plan (IWMP), the Project Management Plan for Nuclear Facilities Management 300 Area Compliance Program, and the 324 High Level Vault Interim Removal Action Project (project management plan [PMP]). The IWMP addresses the management of mixed waste in accordance with state and federal hazardous waste regulations. It provides a strategy for managing high-activity mixed waste in compliance with Resource Conservation and Recovery Act (RCRA) requirements or provides for an alternative management approach for the waste. The BCCP outlines the past, present, and future activities necessary for removing from B-Cell the solid waste, including mixed waste generated as a result of historical research and development (R&D) activities conducted in the cell. The BCCP also includes all records and project files associated with the B-Cell cleanout. This information is referenced throughout the closure plan. The PMP sets forth the plans, organization, and systems that Pacific Northwest National Laboratory (PNNL) will use to direct and control the 324 High-Level Vault Interim Removal Action Project. This project will develop and implement a treatment strategy that will remove and stabilize the inventory of liquid waste from the 324 HLV tanks. The PMP also provides for flushing and sampling the flush solution.

  6. Passive Motion Paradigm: an alternative to Optimal Control

    Directory of Open Access Journals (Sweden)

    Vishwanathan eMohan

    2011-12-01

    Full Text Available In the last years, optimal control theory (OCT has emerged as the leading approach for investigating neural control of movement and motor cognition for two complementary research lines: behavioural neuroscience and humanoid robotics. In both cases, there are general problems that need to be addressed, such as the ‘degrees of freedom problem’, the common core of production, observation, reasoning, and learning of ‘actions’. OCT, directly derived from engineering design techniques of control systems quantifies task goals as ‘cost functions’ and uses the sophisticated formal tools of optimal control to obtain desired behaviour (and predictions. We propose an alternative ‘softer’ approach (PMP: Passive Motion Paradigm that we believe is closer to the biomechanics and cybernetics of action. The basic idea is that actions (overt and overt are the consequences of an internal simulation process that ‘animates’ the body schema with the attractor dynamics of force fields induced by the goal and task specific constraints. This internal simulation offers the brain a way to dynamically link motor redundancy with task oriented constraints ‘at runtime’, hence solving the ‘degrees of freedom problem’ without explicit kinematic inversion and cost function computation. We argue that the function of such computational machinery is not only to shape motor output during action execution but also to provide the self with information on the feasibility, consequence, understanding and meaning of ‘potential actions’. In this sense, taking into account recent developments in neuroscience (motor imagery, simulation theory, mirror neurons and in embodied robotics, PMP offers a novel framework for understanding motor cognition that goes beyond the engineering control paradigm provided by OCT. Therefore, the paper is at the same time a review of the PMP rationale, as a computational theory, and a perspective presentation of how to develop it

  7. Intramuscular Immunisation with Chlamydial Proteins Induces Chlamydia trachomatis Specific Ocular Antibodies.

    Directory of Open Access Journals (Sweden)

    Alexander Badamchi-Zadeh

    Full Text Available Ocular infection with Chlamydia trachomatis can cause trachoma, which is the leading cause of blindness due to infection worldwide. Despite the large-scale implementation of trachoma control programmes in the majority of countries where trachoma is endemic, there remains a need for a vaccine. Since C. trachomatis infects the conjunctival epithelium and stimulates an immune response in the associated lymphoid tissue, vaccine regimens that enhance local antibody responses could be advantageous. In experimental infections of non-human primates (NHPs, antibody specificity to C. trachomatis antigens was found to change over the course of ocular infection. The appearance of major outer membrane protein (MOMP specific antibodies correlated with a reduction in ocular chlamydial burden, while subsequent generation of antibodies specific for PmpD and Pgp3 correlated with C. trachomatis eradication.We used a range of heterologous prime-boost vaccinations with DNA, Adenovirus, modified vaccinia Ankara (MVA and protein vaccines based on the major outer membrane protein (MOMP as an antigen, and investigated the effect of vaccine route, antigen and regimen on the induction of anti-chlamydial antibodies detectable in the ocular lavage fluid of mice.Three intramuscular vaccinations with recombinant protein adjuvanted with MF59 induced significantly greater levels of anti-MOMP ocular antibodies than the other regimens tested. Intranasal delivery of vaccines induced less IgG antibody in the eye than intramuscular delivery. The inclusion of the antigens PmpD and Pgp3, singly or in combination, induced ocular antigen-specific IgG antibodies, although the anti-PmpD antibody response was consistently lower and attenuated by combination with other antigens.If translatable to NHPs and/or humans, this investigation of the murine C. trachomatis specific ocular antibody response following vaccination provides a potential mouse model for the rapid and high throughput

  8. Coupling of Surface and Internal Gravity Waves: A Hamiltonian Model

    Science.gov (United States)

    1974-04-01

    3063 Project Engineer : Phone i Leonard Strauss 315 330-3055 Approved for public release; distribution unlimited. This research was supported...it will be releasable to the general public, including foreign nations. APPROVED: LEONARD STRAUSS Project Engineer \\Cu •> 5 ■ mmM...second order in S, we finally obtain 71 »-M^MMMH MMM ■■ill I ! *i" i m pmp ’ -^^^ «^BV^V ii tm i mi wmw —m**~^—^u^^mm’^*m^wi~~~’^*mm

  9. Avaliação imunológica de duas sistemáticas de atenção periodontal na fase de manutenção periódica preventiva : análise secundária de uma subamostra de um ensaio clínico randomizado

    OpenAIRE

    Amanda Finger Stadler

    2015-01-01

    Introdução: A necessidade de pacientes serem inseridos em protocolos de manutenção periodontais (PMP) após tratamento periodontal é bem estabelecida na literatura. No entanto, ainda não é bem estabelecido quais procedimentos são necessários para manter a saúde periodontal. O objetivo do presente estudo foi identificar quais os biomarcadores relacionados com a doença periodontal e comparar o efeito de dois PMPs nos níveis destes biomarcadores pró e antiinflamatórios do fluido crevicular gengiv...

  10. Project Management Plan for the Hanford Environmental Dose Reconstruction Project

    Energy Technology Data Exchange (ETDEWEB)

    Shipler, D.B.; McMakin, A.H.; Finch, S.M.

    1992-09-01

    This Project Management Plan (PMP) describes the approach being used to manage the Hanford Environmental Dose Reconstruction (HEDR) Project. The plan describes the management structure and the technical and administrative control systems used to plan and control HEDR Project performance. The plan also describes the relationship among key project participants: Battelle, the Centers for Disease control (CDC), and the Technical Steering Panel (TSP). Battelle's contract with CDC only extends through May 1994 when the key technical work will be completed. There-fore, this plan is focused only on the period during which Battelle is a participant.

  11. Project Management Plan for the Hanford Environmental Dose Reconstruction Project

    Energy Technology Data Exchange (ETDEWEB)

    Shipler, D.B.; McMakin, A.H.; Finch, S.M.

    1992-09-01

    This Project Management Plan (PMP) describes the approach being used to manage the Hanford Environmental Dose Reconstruction (HEDR) Project. The plan describes the management structure and the technical and administrative control systems used to plan and control HEDR Project performance. The plan also describes the relationship among key project participants: Battelle, the Centers for Disease control (CDC), and the Technical Steering Panel (TSP). Battelle`s contract with CDC only extends through May 1994 when the key technical work will be completed. There-fore, this plan is focused only on the period during which Battelle is a participant.

  12. Modeling the U.S. Border Patrol Tucson Sector for the Deployment and Operations of Border Security Forces

    Science.gov (United States)

    2006-03-01

    for the Migrant and Needy (CCAMYN - Centro Comunitario de Atención al Migrante y Necesitado), an amicable place that does not reject or...into nine USBP Sectors: San Diego and El Centro , California; Yuma and Tucson, Arizona; El Paso (New Mexico and two counties in Texas); Marfa, Del...www.sonora.gob.mx/biblioteca/documentos/pmp/seguridad.pdf (accessed August 3, 2005) 59 Centro de Investigaciones Económicas y Política de Acción Comunitaria

  13. Prediction of prevalence of chronic kidney disease in diabetic patients in countries of the European Union up to 2025.

    Science.gov (United States)

    Kainz, Alexander; Hronsky, Milan; Stel, Vianda S; Jager, Kitty J; Geroldinger, Angelika; Dunkler, Daniela; Heinze, Georg; Tripepi, Giovanni; Oberbauer, Rainer

    2015-08-01

    Diabetes and chronic kidney disease (CKD) are a growing burden for health-care systems. The prevalence of diabetes has increased constantly during the last decade, although a slight flattening of end-stage renal disease as a result of diabetes has been observed recently in some European countries. In this study, we project the prevalence of CKD in patients with diabetes in European countries up to the year 2025. We analysed the population with diabetes and development of nephropathy in 12 European countries, which we computed from models published previously and on data from the annual reports of the European Renal Association (1998-2011). The prevalence of CKD stage 5 in patients with diabetes up to the year 2025 was projected by the Lee-Carter algorithm. Those for stage 3 and 4 were then estimated by applying the same ratios of CKD prevalences as estimated in the Austrian population with diabetic nephropathy. The estimated prevalence of CKD in patients with diabetes is expected to increase in all 12 countries up to the year 2025. For CKD stage 3, we estimate for Austria in 2025 a prevalence of 215 000 per million diabetic population (p.m.p.) (95% confidence interval 169 000, 275 000), for CKD4 18 600 p.m.p. (14 500, 23 700) and for CKD5 6900 p.m.p. (5400, 8900). The median prevalence in the considered countries is 132 900 p.m.p. (IQR: 118 500, 195 800), 11 500 (10 200, 16 900) and 4300 (3800, 6300) for CKD stages 3, 4 and 5, respectively. Altogether, these data predict in the years 2012-25 an annual increase of 3.2% in the prevalence of diabetic CKD stage 5. Due to the increase in prevalence of diabetes and CKD5, the costs of renal therapy are expected to rise. We believe that these data may help health-care policy makers to make informed decisions. © The Author 2015. Published by Oxford University Press on behalf of ERA-EDTA. All rights reserved.

  14. Agrobacterium-derived cytokinin influences plastid morphology and starch accumulation in Nicotiana benthamiana during transient assays

    Science.gov (United States)

    2014-01-01

    Background Agrobacterium tumefaciens-based transient assays have become a common tool for answering questions related to protein localization and gene expression in a cellular context. The use of these assays assumes that the transiently transformed cells are observed under relatively authentic physiological conditions and maintain ‘normal’ sub-cellular behaviour. Although this premise is widely accepted, the question of whether cellular organization and organelle morphology is altered in Agrobacterium-infiltrated cells has not been examined in detail. The first indications of an altered sub-cellular environment came from our observation that a common laboratory strain, GV3101(pMP90), caused a drastic increase in stromule frequency. Stromules, or ‘stroma-filled-tubules’ emanate from the surface of plastids and are sensitive to a variety of biotic and abiotic stresses. Starting from this observation, the goal of our experiments was to further characterize the changes to the cell resulting from short-term bacterial infestation, and to identify the factor responsible for eliciting these changes. Results Using a protocol typical of transient assays we evaluated the impact of GV3101(pMP90) infiltration on chloroplast behaviour and morphology in Nicotiana benthamiana. Our experiments confirmed that GV3101(pMP90) consistently induces stromules and alters plastid position relative to the nucleus. These effects were found to be the result of strain-dependant secretion of cytokinin and its accumulation in the plant tissue. Bacterial production of the hormone was found to be dependant on the presence of a trans-zeatin synthase gene (tzs) located on the Ti plasmid of GV3101(pMP90). Bacteria-derived cytokinins were also correlated with changes to both soluble sugar level and starch accumulation. Conclusion Although we have chosen to focus on how transient Agrobacterium infestation alters plastid based parameters, these changes to the morphology and position of a single

  15. The effect of gender, age, and geographical location on the incidence and prevalence of renal replacement therapy in Wales

    Directory of Open Access Journals (Sweden)

    Heaven Martin

    2007-01-01

    Full Text Available Abstract Background This study used a cross sectional survey to examine the effect of gender, age, and geographical location on the population prevalence of renal replacement therapy (RRT provision in Wales. Methods Physicians in renal centres in Wales and in adjacent areas of England were asked to undertake a census of patients on renal replacement therapy on 30 June 2004 using an agreed protocol. Data were collated and analysed in anonymous form. Results 2434 patients were on RRT in Wales at the census date. Median age of patients on RRT was 56 years, peritoneal dialysis 58 years, haemodialysis 66 years and transplantation 50 years. The three treatment modalities had significantly different age-specific peak prevalence rates and distributions. RRT age-specific prevalence rates peaked at around 70 years (1790 pmp, transplantation at around 60 years (924 pmp, haemodialysis at around 80 years (1080 pmp and peritoneal dialysis did not have a clear peak prevalence rate. Age-specific incidence of RRT peaked at a rate of 488 pmp at 79 years, as did incidence rates for haemodialysis, which peaked at the same age. Age had less effect on the initiation of peritoneal dialysis, which had a broad plateau between the early fifties and late seventies. Kidney transplantation rates were highest in the early fifties but were markedly absent in old age. Conclusion Differences in the provision of RRT are evident, particularly in the very elderly, where the gender difference for haemodialysis is particularly marked. The study illustrates that grouping patients over 75 years into a single age-band may mask significant diversity within this age group. Significant numbers of very elderly patients who are currently not receiving RRT may wish to receive RRT as the elderly population increases, and as technology improves survival and quality of life on RRT. The study suggests that if technologies that are more effective were developed, and which had a lower impact on

  16. ORGAN DONATION AND TRANSPLANTATION IN RUSSIAN FEDERATION IN 2015. 8th report of National Register

    Directory of Open Access Journals (Sweden)

    S. V. Gautier

    2016-01-01

    Full Text Available Aim. To carry out monitoring of the organization and development of the organ donation and transplantation in theRussian Federationaccording to 2015.Materials and methods. Questioning of heads of all the centers of transplantation is carried out. The comparative analysis of the obtained data in dynamics by years, between certain regions of theRussian Federation, the transplantation centers is done.Results. According to the register in2015 inthe Russian Federation 36 centers of renal transplantation, 17 centers of liver transplantation and 10 centers of heart transplantation were functioning. The waiting list of kidney transplantation in 2015 included 4167 potential recipients that make 13% of the total number of the patients (31 500 receiving a dialysis. The rate of donor activity in 2015 made 3.0 pmp. Efficiency of donor programs in 2015 continues to increase: the share of multiorgan retrievals made 57.8%, average number of organs, received from one effective donor, made 2.7. In 2015 the rate of kidney transplantation made 6.5 pmp; the rate of liver transplantation made 2.2 pmp; the rate of heart transplantation made 1.2 pmp. The number of transplantations of liver and heart in theRussian Federationcontinues to increase. The number of transplantations of kidney remains approximately at one level in the range of 950–1050.Moscowcapital region continues to be the center of stability and development of the organ donation and transplantation in the country, in which 10 centers of transplantation are functioning and nearly a half from all kidney transplantations and more than 65% of all liver and heart transplantations are carried out.Conclusion. The potential for further development of the transplantation care in theRussian Federationcontinues to persist. In particular, at the expense of increasing efficiency of regional donation programs, expanding practices of multiorgan recuperation and transplantations of extrarenal organs, through

  17. SharePoint 2010 for Project Management

    CERN Document Server

    Sy, Dux

    2012-01-01

    If you were to analyze your team's performance on a typical project, you'd be surprised how much time is wasted on non-productive tasks. This hands-on guide shows you how to work more efficiently by organizing and managing projects with SharePoint 2010. You'll learn how to build a Project Management Information System (PMIS), customized to your project, that can effectively coordinate communication and collaboration among team members. Written by a certified Project Management Professional (PMP) and Microsoft SharePoint MVP with 15 years of IT project management experience, each chapter incl

  18. Using ComBase Predictor and Pathogen Modeling Program as support tools in outbreak investigation: an example from Denmark

    DEFF Research Database (Denmark)

    Møller, Cleide; Hansen, Tina Beck; Andersen, Jens Kirk

    , or even multiplied, during the production of the suspected sausage?” To elucidate this, the ComBase Predictor (CBP) and the Pathogen Modeling Program (PMP) were used as support tools. From information on the company’s website, it was calculated that the water phase salt changed from 4.6% to 8.0% during...... of release of the sausage for sale, 1 Y. enterocolitica could have increased to 106 and the sausage could, therefore, not be ruled out as the source of Y. enterocolitica found in two of the outbreak cases....

  19. Using ComBase Predictor and Pathogen Modeling Program as support tools in outbreak investigation: an example from Denmark

    DEFF Research Database (Denmark)

    Møller, Cleide; Hansen, Tina Beck; Andersen, Jens Kirk

    2009-01-01

    , or even multiplied, during the production of the suspected sausage?” To elucidate this, the ComBase Predictor (CBP) and the Pathogen Modeling Program (PMP) were used as support tools. From information on the company’s website, it was calculated that the water phase salt changed from 4.6% to 8.0% during...... of release of the sausage for sale, 1 Y. enterocolitica could have increased to 106 and the sausage could, therefore, not be ruled out as the source of Y. enterocolitica found in two of the outbreak cases....

  20. Determinación del efecto del hielo líquido en las operaciones de enfriado tras el shock térmico y el tratamiento con antipardeantes

    OpenAIRE

    Manzanos Santibáñez, Álvaro

    2010-01-01

    El objetivo del presente trabajo es encontrar una nueva aplicación en agroalimentación para el hielo líquido, consistente en la utilización del mismo como parte del proceso de elaboración en patata mínimamente procesada (PMP), utilizando una solución con una salmuera y antipardeantes orgánicos (0,2% ácido L-ascórbico y 0,005% 4-hexilresorcinol), con el fin de mantener la calidad del producto original desde el punto de vista sensorial y fisicoquímico, obteniendo un producto apto para el consum...

  1. Systems Engineering Management Plan. Volume 5 of the MRS Project Management Plan

    Energy Technology Data Exchange (ETDEWEB)

    1994-01-01

    The purpose of this Monitored Retrievable Storage (MRS) Project Systems Engineering Management Plan (SEMP) is to define and establish the MRS Project Systems Engineering process that implements the approved policy and requirements of the Office of Civilian Radioactive Waste Management (OCRWM) for the US Department of Energy (DOE). This plan is Volume 5 of the MRS Project Management Plan (PMP). This plan provides the framework for implementation of systems engineering on the MRS Project consistent with DOE Order 4700.1, the OCRWM Program Management System Manual (PMSM), and the OCRWM Systems Engineering Management Plan (SEMP).

  2. Program Management at the National Nuclear Security Administration Office of Defense Nuclear Security: A Review of Program Management Documents and Underlying Processes

    Energy Technology Data Exchange (ETDEWEB)

    Madden, Michael S.

    2010-05-01

    The scope of this paper is to review the National Nuclear Security Administration Office of Defense Nuclear Security (DNS) program management documents and to examine the underlying processes. The purpose is to identify recommendations for improvement and to influence the rewrite of the DNS Program Management Plan (PMP) and the documentation supporting it. As a part of this process, over 40 documents required by DNS or its stakeholders were reviewed. In addition, approximately 12 other documents produced outside of DNS and its stakeholders were reviewed in an effort to identify best practices. The complete list of documents reviewed is provided as an attachment to this paper.

  3. Overview of the PMBOK Guide

    CERN Document Server

    O'Conchuir, Deasun

    2011-01-01

    This book is for everyone who wants a readable introduction to best practice Project Management, as described by the PMBOK(R) Guide 4th Edition of the Project Management Institute (PMI), "the world's leading association for the project management profession." It is particularly useful for applicants for the PMI's PMP(R) (Project Management Professional) and CAPM(R) (Certified Associate of Project Management) examinations, which are based mostly on the PMBOK(R) Guide. This book can also be studied alone by anyone as a general introduction to Project Management. The style and language

  4. Composite films purify the natural gas; Les films composites purifient le gaz naturel

    Energy Technology Data Exchange (ETDEWEB)

    Lepetit, V.

    2002-05-01

    American researchers from different universities have developed an ultra-selective polymer membrane made of poly(4-methyl-2-pentyne) (PMP) which can separate methane from the other hydrocarbons (butane and propane) present in the natural gas. This membrane combines the diffusion and the permeability effects to trap the smallest molecules (methane) and to release the biggest ones. The permeability of the membrane has been enhanced by a factor three thanks to the introduction of silica particulates between the polymer chains. Short paper. (J.S.)

  5. ORGAN DONATION AND TRANSPLANTATION IN THE RUSSIAN FEDERATION IN 2013 6th report of National Register

    Directory of Open Access Journals (Sweden)

    S.V. Gautier

    2014-01-01

    Full Text Available Aim. To carry out monitoring of the state and prospects of the development of organ donation and transplantation in the Russian Federation according to 2013. Materials and methods. Questioning of heads of all the centers of transplantation is carried out. The comparative analysis of the obtained data in dynamics of years, between certain regions of the Russian Federation, the transplantation centers, and also with data of the international registers is made. Results. According to the register in 2013 in the Russian Federation functioned 35 centers of kidney transplantation, 15 centers of liver transplantation and 10 centers of heart transplantation. The waiting list of kidney transplantation included more than 4000 potential recipients that makes 15–16% of total number of the patients receiving dialysis. The rate of donor activity made 2,9 per million population (pmp. Effi ciency of donor programs continues to increase: the share of effective donors after brain death in 2013 increased to 72,4%, the share of multiorgan explantation increased to 52,9%, average number of organs received from one effective donor made 2,6. The rate of kidney transplantation made 6,5 pmp, the rate of liver transplantation made 1,9 pmp; the rate of heart transplantation made 1,1 pmp. In the Russian Federation the number of transplantations of liver and heart continues to increase. The signifi cant contribution to development of the organ donation and transplantation brings the Moscow region in which 11 centers of transplantation function and nearly a half of all kidney transplantations and 70% of all liver and heart transplantations are carried out. In 2013 Ministry of Health of Russia continued development of the new federal law «On donation of human organs and their transplantation». Under the auspices of the Russian Transplant Society 11 clinical guidelines about organ donation and transplantation were developed and approved. Together with earlier approved

  6. ORGAN DONATION AND TRANSPLANTATION IN THE RUSSIAN FEDERATION IN 2014 7th REPORT OF NATIONAL REGISTER

    Directory of Open Access Journals (Sweden)

    S. V. Gautier

    2015-01-01

    Full Text Available Aim. To carry out monitoring of the organization and development of organ donation and transplantation in the Russian Federation according to 2014. Materials and methods. Questioning of heads of all the centers of transplantation is carried out. The comparative analysis of the obtained data in dynamics of years, between certain regions of the Russian Federation, the transplantation centers, and also with data of the international registers is made. Results. According to the Register in 2014 in the Russian Federation functioned 36 centers of kidney transplantation, 14 centers of liver transplantation and 9 centers of heart transplantation. The waiting list of kidney transplantation in 2014 included 4636 potential recipients that makes 16% of total number of the patients 29 000 receiving dialysis. The rate of donor activity in 2014 made 3.2 per million population (pmp. Efficiency of donor programs in 2014 continued to increase: the share of effective donors after brain death in 2014 increased to 77.2%, the share of multiorgan explantation made 50.5%, average number of organs received from one effective donor made 2.6. In 2014 the rate of kidney transplantation made 7.0 pmp, the rate of liver transplantation made 2.1 pmp and the rate of heart transplantation made 1.1 pmp. In the Russian Federation the number of transplantations of liver and heart continues to increase. The significant contribution to development of the organ donation and transplantation brings the Moscow region in which 11 centers of transplantation function and nearly a half from all kidney transplantations and more than 65% of all liver and heart transplantations are carried out. Conclusion. In theRussian Federation the potential for further development of the transplantology remains. In particular, at the expense of increase in the efficiency of regional donation programs, introduction of technologies, expansion of the practices of multiorgan donation and transplantations of

  7. UK Renal Registry 13th Annual Report (December 2010): Chapter 2: UK RRT prevalence in 2009: national and centre-specific analyses.

    Science.gov (United States)

    Steenkamp, Retha; Castledine, Clare; Feest, Terry; Fogarty, Damian

    2011-01-01

    This chapter describes the characteristics of adult patients on renal replacement therapy (RRT) in the UK in 2009. The prevalence rates per million population (pmp) were calculated for Primary Care Trusts in England, Health and Social Care Areas in Northern Ireland, Local Health Boards in Wales and Health Boards in Scotland. These areas will be referred to in this report as 'PCT/HBs'. Data were electronically collected from all 72 renal centres within the UK. A series of cross-sectional and longitudinal analyses were performed to describe the demographics of prevalent RRT patients in 2009 at centre and national level. Age and gender standardised ratios for prevalence rates in PCT/HBs were calculated. There were 49,080 adult patients receiving RRT in the UK on 31st December 2009, equating to a UK prevalence of 794 pmp. This represented an annual increase in prevalent numbers of approximately 3.2% although there was significant variation between centres and PCT/HB areas. The growth rate from 2008 to 2009 for prevalent patients by treatment modality in the UK was 4.2% for haemodialysis (HD), a fall of 7.2% for peritoneal dialysis (PD) and a growth of 4.4% with a functioning transplant. There has been a slow but steady decline in the proportion of PD patients from 2000 onwards. Median RRT vintage was 5.4 years. The median age of prevalent patients was 57.7 years (HD 65.9 years, PD 61.2 years and transplant 50.8 years). For all ages, prevalence rates in males exceeded those in females: peaks for males were in the 75-79 years age group at 2,632 pmp and for females in the 70-74 years age group at 1,445 pmp. The most common identifiable renal diagnosis was biopsy-proven glomerulonephritis (16.0%), followed by diabetes (14.7%). Transplantation was the most common treatment modality (48%), HD in 44% and PD 8%. However, HD was increasingly common with increasing age and transplantation less common. The HD and transplant population continued to expand whilst the PD population

  8. UK Renal Registry 15th annual report: Chapter 2 UK RRT prevalence in 2011: national and centre-specific analyses.

    Science.gov (United States)

    Shaw, Catriona; Pruthi, Rishi; Pitcher, David; Fogarty, Damian

    2013-01-01

    This chapter describes the characteristics of adult patients on renal replacement therapy (RRT) in the UK in 2011. The prevalence rates per million population (pmp) were calculated for Primary Care Trusts in England, Health and Social Care areas in Northern Ireland, Local Health Boards in Wales and Health Boards (HB) in Scotland (PCT/HB areas). Data were electronically collected from all 71 renal centres within the UK. A series of cross-sectional and longitudinal analyses were performed to describe the demographics of prevalent RRT patients in 2011 at centre and national level. Age and gender standardised ratios for prevalence rates in PCT/ HBs were calculated. There were 53,207 adult patients receiving RRT in the UK on 31st December 2011. The UK adult prevalence of RRT was 842 pmp. This represented an annual increase in prevalent numbers of approximately 4%, although there was variation between centres and PCT/HB areas. The growth rate from 2010 to 2011 for prevalent patients by treatment modality in the UK was an increase of 1.7% for haemodialysis (HD), a fall of 2.2% for peritoneal dialysis (PD) and an increase of 4.7% with a functioning transplant. There has been a slow but steady decline in the proportion of dialysis patients receiving PD since 2000. In contrast, the number of patients receiving home HD has increased 16% since 2010. Median RRT vintage for patients on HD was 3.3 years, PD 1.8 years and for those patients with a transplant, 10.3 years. The median age of prevalent patients was 58.2 years (HD 66.5 years, PD 62.7 years, transplant 51.7 years) compared to 55 years in 2000. For all ages the prevalence rate in men exceeded that in women, peaking in age group 75-79 years at 2,918 pmp in males. For females the peak was in age group 65-69 years at 1,460 pmp. The most common recorded renal diagnosis was glomerulonephritis (biopsy proven/not biopsy proven) (19%), followed by uncertain (18%). Transplantation was the most common treatment modality (48

  9. Impact of Artificial Reservoir Size and Land Use Land Cover on Probable Maximum Flood: The case of Folsom Dam on American River

    Science.gov (United States)

    Yigzaw, W. Y.; Hossain, F.

    2012-12-01

    The design of the dams usually considers available historical data for analysis of the flood frequency. The limitation of this approach is the potential shift in flood frequency due to physically plausible factors that cannot be foreseen during design. For example, future flood extremes may change, among other factors, due to strong local atmospheric feedbacks from the reservoir and surrounding land use and land cover (LULC). Probable Maximum Flood (PMF), which is the key design parameter for hydraulic features of a dam, is estimated from Probable Maximum Precipitation (PMP) and the hydrology of the watershed. Given the non-linearity of the rainfall-runoff process, a key question that needs to be answered is "How do reservoir size and/or LULC modify extreme flood patterns, specifically probable maximum flood?" Using the American River Watershed (ARW) as a representative example of an impounded watershed with a large artificial reservoir (i.e., Folsom Dam), this study applied the distributed Variable Infiltration Capacity (VIC) model to simulate the PMF from the atmospheric feedbacks simulated for various LULC scenarios. The atmospheric feedbacks were simulated numerically as PMP using the Regional Atmospheric Modeling System (RAMS). The RAMS-generated PMP scenarios were propagated through the VIC model to simulate the PMFs. Comparison of PMF results for Pre-dam and Current Scenario conditions showed that PMF peak flow can decrease by about 105 m3/s; while comparison of Current Scenario with Non-irrigation PMF results showed that irrigation development has increased the PMF by 125m3/s. On the other hand, the reservoir size had virtually no detectable impact on PMP and consequently on PMF results. Where downstream levee capacity is already under-designed to handle a dam's spillway capacity, such as for the case study, such increases indicate a likely impact on downstream flood risk that any flood management protocol must adapt to. The premise that modern dam design

  10. Graves consecuencias por desconocimiento de la presencia del primer molar permanente en la boca de un niño

    OpenAIRE

    Zubiarrain, C. V.; Vicente, D.; Iriquin, María Soledad

    2015-01-01

    La desinformación de familias y niños sobre la importancia del estado bucal en la dentición temporaria/permanente y la presencia del PMP como iniciador de la dentición mixta, hacen que la caries avance y no sea detectada de manera temprana para controlar el daño. Por ello es de vital importancia practicar la odontología restauradora y una odontología preventiva realizando campañas de concientización de la relevancia del primer molar definitivo y prevención bucal en los colegios, como agentes ...

  11. Intermittent fasting alleviates the neuropathic phenotype in a mouse model of Charcot-Marie-Tooth disease

    Science.gov (United States)

    Madorsky, Irina; Opalach, Katherine; Waber, Amanda; Verrier, Jonathan D.; Solmo, Chelsea; Foster, Thomas; Dunn, William A; Notterpek, Lucia

    2009-01-01

    Charcot-Marie-Tooth type 1A (CMT1A) neuropathies linked to the misexpression of peripheral myelin protein 22 (PMP22) are progressive demyelinating disorders of the peripheral nervous system. In this study we asked whether dietary restriction by intermittent fasting (IF) could alleviate the neuropathic phenotype in the Trembler J (TrJ) mouse model of CMT1A. Our results show that neuropathic mice kept on a five month long IF regimen had improved locomotor performance compared to ad libitum (AL) fed littermates. The functional benefits of this dietary intervention are associated with an increased expression of myelin proteins combined with a thicker myelin sheath, less redundant basal lamina, and a reduction in aberrant Schwann cell proliferation. These morphological improvements are accompanied by a decrease in PMP22 protein aggregates, and enhanced expression of cytosolic chaperones and constituents of the autophagy-lysosomal pathway. These results indicate that dietary restriction is beneficial for peripheral nerve function in TrJ neuropathic mice, as it promotes the maintenance of locomotor performance. PMID:19320048

  12. Attitude of Healthcare Professionals: A Major Limiting Factor in Organ Donation from Brain-Dead Donors

    Directory of Open Access Journals (Sweden)

    Maciej Kosieradzki

    2014-01-01

    Full Text Available Public attitude toward deceased donor organ recovery in Poland is quite positive, with only 15% opposing to donation of their own organs, yet actual donation rate is only 16/pmp. Moreover, donation rate varies greatly (from 5 to 28 pmp in different regions of the country. To identify the barriers of organ donation, we surveyed 587 physicians involved in brain death diagnosis from regions with low (LDR and high donation rates (HDR. Physicians from LDR were twice more reluctant to start diagnostic procedure when clinical signs of brain death were present (14% versus 5.5% physicians from HDR who would not diagnose death, resp.. Twenty-five percent of LDR physicians (as opposed to 12% of physicians from HDR would either continue with intensive therapy or confirm brain death and limit to the so-called minimal therapy. Only 32% of LDR physicians would proceed with brain death diagnosis regardless of organ donation, compared to 67% in HDR. When donation was not an option, mechanical ventilation would be continued more often in LDR regions (43% versus 26.7%; P<0.01. In conclusion, low donation activity seems to be mostly due to medical staff attitude.

  13. Hereditary motor and sensory neuropathy (HMSN) IA, developmental delay and autism related disorder in a boy with duplication (17)(p11.2p12).

    Science.gov (United States)

    Moog, U; Engelen, J J; Weber, B W; Van Gelderen, M; Steyaert, J; Baas, F; Sijstermans, H M; Fryns, J P

    2004-01-01

    We present a 6-year-old boy with moderate developmental delay, gait disturbance, autism related disorder and mild dysmorphic features. He was seen for evaluation of his retardation since the age of 2.8 years. At first sight, a cytogenetic analysis showed a normal 46,XY karyotype. Neurological examination at the age of 5.5 years revealed a motor and sensory polyneuropathy. A quantitative Southern blot with probes PMP22 and VAW409 specific for Charcot-Marie-Tooth type 1 (CMT1) disclosed a duplication which confirmed the diagnosis HMSN Ia. Subsequently, GTG banded metaphases were re-evaluated and a small duplication 17p was seen on retrospect. Additional FISH with probe LSISMS (Vysis) specific for the Smith-Magenis region at 17p11.2 again showed a duplication. Both parents had a normal karyotype and the duplication test for CMT1 showed normal results for both of them. The boy had a de novo 46,XY,dup(17)(p11.2p12) karyotype. The present observation confirms previous findings of mild psychomotor delay, neurobehavioural features and minor craniofacial anomalies as the major phenotypic features of dup(17)(p11.2) and dup(17)(p11.2p12); in cases of duplications comprising the PMP22 locus HMSN1 is associated. A recognizable facial phenotype emerges characterized by a broad forehead, hypertelorism, downslant of palpebral fissures, smooth philtrum, thin upper lip and ear anomalies.

  14. Noise annoyance from different sources in young adults

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    Argalasova Lubica

    2017-01-01

    Full Text Available The aim of the study is to evaluate the adverse effects of community noise on health and the response to noise exposure in residential areas of Bratislava. The study quantifies the exposure to different environmental noise sources as well as the social noise exposure in the sample of university students. The validated methodology according to ICBEN and the Ohrkan study was used. The measurement of ambient noise levels was done using hand-held sound level analyzer. There were 837 university students (256 males, average age 23.09 ± 2.23, enrolled into the study so far; 267 in the housing facility exposed to road traffic noise (LAeq = 67.6 dB and 570 in the control one (LAeq = 53.4 dB. From the total sample 79.2% students reported the use of personal music players (PMP in the last week in the average time of 293 minutes. There was a significant difference between the duration and frequency of listening to PMP between the exposed and the control group. There was not significant difference between the duration of time spent at activities with high noise exposure. The results of the study showed the importance of road traffic noise and the social noise for health as well and the need for a preventive action.

  15. A Case of Apoplexy Attack-Like Neuropathy due to Hereditary Neuropathy with Liability to Pressure Palsies in a Patient Diagnosed with Chronic Cerebral Infarction.

    Science.gov (United States)

    Hachisuka, Akiko; Matsushima, Yasuyuki; Hachisuka, Kenji; Saeki, Satoru

    2016-06-01

    Hereditary neuropathy with liability to pressure palsies is an inherited disease associated with the loss of a copy of the PMP22 gene. The condition leads to mononeuropathy due to compression and easy strangulation during daily life activities, resulting in sudden muscle weakness and sensory disturbance, and displaying symptoms similar to cerebrovascular diseases. We report the case of an 80-year-old man with left paralysis due to chronic cerebral infarction. His medical history indicated remarkable recovery from about 4 months after the onset of left hemiplegia with predominant involvement of the fingers. Despite subsequent recurrent monoplegia of the upper or lower limbs, brain magnetic resonance imaging consistently revealed only previous cerebral infarction in the right corona radiata without new lesions. Medical examination showed reduced deep tendon reflexes in his extremities on both the healthy and hemiplegic sides. Nerve conduction studies showed delayed conduction at the bilateral carpal and cubital tunnels and near the right caput fibulae. Genetic analysis revealed loss of a copy of the PMP22 gene. Thus, he was diagnosed with a cerebral infarction complicated by hereditary neuropathy with liability to pressure palsies. Stroke patients develop sudden muscle weakness and sensory disturbance. However, if such patients have no hyperactive deep tendon reflexes and show atypical recovery of paralysis that does not correspond to findings of imaging modalities, nerve conduction studies and genetic analysis may be necessary, considering the complication of hereditary neuropathy with liability to pressure palsies. Copyright © 2016 The Authors. Published by Elsevier Inc. All rights reserved.

  16. Clinical Pharmacogenetics Implementation

    Science.gov (United States)

    WEITZEL, KRISTIN W.; ELSEY, AMANDA R.; LANGAEE, TAIMOUR Y.; BURKLEY, BENJAMIN; NESSL, DAVID R.; OBENG, ANIWAA OWUSU; STALEY, BENJAMIN J.; DONG, HUI-JIA; ALLAN, ROBERT W.; LIU, J. FELIX; COOPER-DEHOFF, RHONDA M.; ANDERSON, R. DAVID; CONLON, MICHAEL; CLARE-SALZLER, MICHAEL J.; NELSON, DAVID R.; JOHNSON, JULIE A.

    2014-01-01

    Current challenges exist to widespread clinical implementation of genomic medicine and pharmacogenetics. The University of Florida (UF) Health Personalized Medicine Program (PMP) is a pharmacist-led, multidisciplinary initiative created in 2011 within the UF Clinical Translational Science Institute. Initial efforts focused on pharmacogenetics, with long-term goals to include expansion to disease-risk prediction and disease stratification. Herein we describe the processes for development of the program, the challenges that were encountered and the clinical acceptance by clinicians of the genomic medicine implementation. The initial clinical implementation of the UF PMP began in June 2012 and targeted clopidogrel use and the CYP2C19 genotype in patients undergoing left heart catheterization and percutaneous-coronary intervention (PCI). After 1 year, 1,097 patients undergoing left heart catheterization were genotyped preemptively, and 291 of those underwent subsequent PCI. Genotype results were reported to the medical record for 100% of genotyped patients. Eighty patients who underwent PCI had an actionable genotype, with drug therapy changes implemented in 56 individuals. Average turnaround time from blood draw to genotype result entry in the medical record was 3.5 business days. Seven different third party payors, including Medicare, reimbursed for the test during the first month of billing, with an 85% reimbursement rate for outpatient claims that were submitted in the first month. These data highlight multiple levels of success in clinical implementation of genomic medicine. PMID:24616371

  17. Clinical pharmacogenetics implementation: approaches, successes, and challenges.

    Science.gov (United States)

    Weitzel, Kristin W; Elsey, Amanda R; Langaee, Taimour Y; Burkley, Benjamin; Nessl, David R; Obeng, Aniwaa Owusu; Staley, Benjamin J; Dong, Hui-Jia; Allan, Robert W; Liu, J Felix; Cooper-Dehoff, Rhonda M; Anderson, R David; Conlon, Michael; Clare-Salzler, Michael J; Nelson, David R; Johnson, Julie A

    2014-03-01

    Current challenges exist to widespread clinical implementation of genomic medicine and pharmacogenetics. The University of Florida (UF) Health Personalized Medicine Program (PMP) is a pharmacist-led, multidisciplinary initiative created in 2011 within the UF Clinical Translational Science Institute. Initial efforts focused on pharmacogenetics, with long-term goals to include expansion to disease-risk prediction and disease stratification. Herein we describe the processes for development of the program, the challenges that were encountered and the clinical acceptance by clinicians of the genomic medicine implementation. The initial clinical implementation of the UF PMP began in June 2012 and targeted clopidogrel use and the CYP2C19 genotype in patients undergoing left heart catheterization and percutaneous-coronary intervention (PCI). After 1 year, 1,097 patients undergoing left heart catheterization were genotyped preemptively, and 291 of those underwent subsequent PCI. Genotype results were reported to the medical record for 100% of genotyped patients. Eighty patients who underwent PCI had an actionable genotype, with drug therapy changes implemented in 56 individuals. Average turnaround time from blood draw to genotype result entry in the medical record was 3.5 business days. Seven different third party payors, including Medicare, reimbursed for the test during the first month of billing, with an 85% reimbursement rate for outpatient claims that were submitted in the first month. These data highlight multiple levels of success in clinical implementation of genomic medicine. © 2014 Wiley Periodicals, Inc.

  18. Influence of different melt processings upon the microstructure and critical current of textured Y123

    Science.gov (United States)

    Monot, I.; Wang, J.; Delamare, M. P.; Provost, J.; Desgardin, G.

    1996-02-01

    Since directional solidification has been shown to be a successful way for achieving high critical current densities in bulk YBCO, many different ways have been developed for the sample preparation. In this study, the microstructure and superconducting properties of several processing routes (melt powder melt growth, powder melt processing, solid liquid melt growth) have been comparatively investigated. These processings are distinguished essentially from the combination of different starting precursors. It is shown that Y 2BaCuO 5 (Y211) excess in the nominal composition and/or 0.5 wt.% platinum doping strongly influence the shape of the Y211 formed during the high temperature melting stage of the texturing process. Spherical or thin needle-shaped Y211 grains can be obtained and their size controlled. Microstructural correaltions have shown that the nucleation and growth mechanisms of Y211 grains determine the further YBa 2Cu 3O 7-δ (Y123) formation. Thus, MPMG and SLMG processes appear to be governed by the diffusion of yttrium and also the dissolution mechanism of acicular Y211, while PMP process is mainly controlled by the diffusion of yttrium in the liquid phase to the Y123 growth front. However, the best Bean critical current densities between 0 and 1 T are obtained for the MPMG samples, but with improved processing conditions, the PMP process might be promising.

  19. Wetting and adsorption modification in the system

    Directory of Open Access Journals (Sweden)

    Yuliya Bogdanova

    2015-09-01

    Full Text Available Regularities of wetting and adsorption modification of surfaces of continual membranes made from highly permeable glassy polymers poly[1-(trimethylsilyl-1-propyne] (PTMSP and poly(4-methyl-2-pentyn (PMP with aqueous ethanol solutions and alcohol solutions containing organic dyes (Solvent Blue 35 and Remazol Brilliant Blue were investigated. Isotherms of stress wetting of polymer membrane surface by etanol solutions were found out to have maximums in the range of concentrations corresponding to the beginning of liquid sorption into the membrane and polymer swelling. Thus, the principal possibility of optimization of nanofiltration experiments by liquid wetting angle measurements on continuous polymer membrane surfaces was shown. The presence of the dye was shown not to affect PMP wetting. But in the case of PTMSP, it leads to shear of the maximum of stress wetting isotherms to the range of higher concentrations. It was found out the effectiveness of the adsorption surface modification of continuous polymer membrane surfaces by ethanol solutions containing dyes does not dependent on chemical nature of the dye. At the same time, there are different trends in the energy characteristics of the membrane surface.

  20. Forecasting the Incidence and Prevalence of Patients with End-Stage Renal Disease in Malaysia up to the Year 2040.

    Science.gov (United States)

    Bujang, Mohamad Adam; Adnan, Tassha Hilda; Hashim, Nadiah Hanis; Mohan, Kirubashni; Kim Liong, Ang; Ahmad, Ghazali; Bak Leong, Goh; Bavanandan, Sunita; Haniff, Jamaiyah

    2017-01-01

    Background. The incidence of patients with end-stage renal disease (ESRD) requiring dialysis has been growing rapidly in Malaysia from 18 per million population (pmp) in 1993 to 231 pmp in 2013. Objective. To forecast the incidence and prevalence of ESRD patients who will require dialysis treatment in Malaysia until 2040. Methodology. Univariate forecasting models using the number of new and current dialysis patients, by the Malaysian Dialysis and Transplant Registry from 1993 to 2013 were used. Four forecasting models were evaluated, and the model with the smallest error was selected for the prediction. Result. ARIMA (0, 2, 1) modeling with the lowest error was selected to predict both the incidence (RMSE = 135.50, MAPE = 2.85, and MAE = 87.71) and the prevalence (RMSE = 158.79, MAPE = 1.29, and MAE = 117.21) of dialysis patients. The estimated incidences of new dialysis patients in 2020 and 2040 are 10,208 and 19,418 cases, respectively, while the estimated prevalence is 51,269 and 106,249 cases. Conclusion. The growth of ESRD patients on dialysis in Malaysia can be expected to continue at an alarming rate. Effective steps to address and curb further increase in new patients requiring dialysis are urgently needed, in order to mitigate the expected financial and health catastrophes associated with the projected increase of such patients.

  1. Forecasting the Incidence and Prevalence of Patients with End-Stage Renal Disease in Malaysia up to the Year 2040

    Directory of Open Access Journals (Sweden)

    Mohamad Adam Bujang

    2017-01-01

    Full Text Available Background. The incidence of patients with end-stage renal disease (ESRD requiring dialysis has been growing rapidly in Malaysia from 18 per million population (pmp in 1993 to 231 pmp in 2013. Objective. To forecast the incidence and prevalence of ESRD patients who will require dialysis treatment in Malaysia until 2040. Methodology. Univariate forecasting models using the number of new and current dialysis patients, by the Malaysian Dialysis and Transplant Registry from 1993 to 2013 were used. Four forecasting models were evaluated, and the model with the smallest error was selected for the prediction. Result. ARIMA (0, 2, 1 modeling with the lowest error was selected to predict both the incidence (RMSE = 135.50, MAPE = 2.85, and MAE = 87.71 and the prevalence (RMSE = 158.79, MAPE = 1.29, and MAE = 117.21 of dialysis patients. The estimated incidences of new dialysis patients in 2020 and 2040 are 10,208 and 19,418 cases, respectively, while the estimated prevalence is 51,269 and 106,249 cases. Conclusion. The growth of ESRD patients on dialysis in Malaysia can be expected to continue at an alarming rate. Effective steps to address and curb further increase in new patients requiring dialysis are urgently needed, in order to mitigate the expected financial and health catastrophes associated with the projected increase of such patients.

  2. Gerenciamento de Projetos Segundo o Guia PMBOK: Desafios para os Gestores

    Directory of Open Access Journals (Sweden)

    David Ferreira Bomfin

    2013-01-01

    Full Text Available Analisamos, dentre as dificuldades e facilidades mapeadas na literatura, quais e por que as mesmas estão presentes no processo de gerenciamento de projetos com base no guia PMBOK. Verificamos quais os possíveis argumentos que os gestores vivenciam no gerenciamento de projetos no que diz respeito aos sucessos e fracassos apresentados. O estudo se concentrou em profissionais com certificação PMP por apresentarem o conhecimento em Gerenciamento de Projetos com base no guia PMBOK e, por ser uma área de crescimento onde as empresas buscam profissionais com melhores práticas e vantagem competitiva. Valendo-se do questionário estruturado como instrumento de coleta de dados e analisando os resultados, os principais pontos encontrados dizem respeito ao tempo em que os gerentes lidam com gerenciamento de projetos, as dificuldades encontradas pelos gerentes em sua prática profissional, a área do PMBOK com maior dificuldade de ser gerenciada, os itens que geram sucessos e fracassos nos projetos. A entrevista semi-estruturada evidenciou que o gerenciamento de projetos apresenta algumas dificuldades presentes na prática profissional dos gerentes. Sugerimos investigar melhor o impacto que a certificação PMP proporciona aos gerentes de projetos e se a relação maturidade organizacional e experiência em gerenciamento de projetos é fator de sucesso para o projeto.DOI:10.5585/gep.v3i3.78

  3. Driving Performance and User's Evaluation of Self-Balancing Personal Mobility Vehicle with a Pedal Driving Mechanism

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    Seonghee Jeong

    2015-07-01

    Full Text Available In this paper, we propose a self-balancing personal mobility vehicle with a hybrid driving mechanism, called as Wi-PMP, and discuss its features from the perspectives of its power-assist driving performance and a rider's evaluation. The mobility vehicle consists of a wheeled inverted pendulum type mobile platform, and a hybrid driving mechanism that can use human and motor power together for driving. By performing a bump driving, a slope driving, and a outdoor driving experiment, we confirm that the proposed hybrid mechanism is valid for the integration of human and motor power, and is effective to increase the driving power and reduce electrical load on motors and batteries. We conducted several experiments to investigate the rider's evaluation on a sit-riding method compared to a stand-riding one. The questionnaire results showed that a rider felt more comfortable in the case of the sit-riding method when getting on and off, and when driving the mobility vehicle. This implies that riding-type self-balancing vehicles such as Wi-PMP have the potential to become familiar personal mobility vehicles in daily life.

  4. History of nephrology and renal replacement therapy in Korea.

    Science.gov (United States)

    Lee, Hi Bahl

    2011-01-01

    Korea has a long tradition of Eastern (Korean) medicine. Modern nephrology in Korea began in the 20th century after the Second World War. The first nephrology report was presented in 1949 at the third annual meeting of the Korean Society of Internal Medicine. The first hemodialysis was performed in 1952 during the Korean War, the first acute peritoneal dialysis in 1957, the first kidney biopsy in 1959, the first kidney transplantation in 1969 and the first continuous ambulatory peritoneal dialysis in 1981. National Health Insurance was launched in 1976 with a limited coverage, which was gradually expanded to cover all Korean nationals in 1989. The Korean Society of Nephrology (KSN) was inaugurated in 1980. The KSN End-Stage Renal Disease (ESRD) Registry was started in 1985. Brain death legislation was enacted, and the Korean network for organ sharing launched in 2000. During 2009, a total of 8,906 patients or 175.9 patients per million population (PMP) began renal replacement therapy (RRT), and at the end of the year a total of 56,396 patients or 1,113.6 patients PMP were on RRT in Korea. The prevalence of ESRD continues to grow in Korea while its incidence is stable or declining as compared with the previous year.

  5. Usefulness of prescription monitoring programs for surveillance--analysis of Schedule II opioid prescription data in Massachusetts, 1996-2006.

    Science.gov (United States)

    Katz, Nathaniel; Panas, Lee; Kim, Meelee; Audet, Adele D; Bilansky, Arnold; Eadie, John; Kreiner, Peter; Paillard, Florence C; Thomas, Cindy; Carrow, Grant

    2010-02-01

    Electronic prescription monitoring programs (PMPs) have been developed in many states as a public health surveillance tool. We analyze herein 11 years of Massachusetts PMP data to evaluate trends in opioid prescribing, dispensing, and usage. Prescription records from the Massachusetts PMP for Schedule II opioids from fiscal year 1996 to 2006 were analyzed. 'Questionable activity' (potential 'doctor shopping') estimates were based on individual use of multiple prescribers and pharmacies, and early refills. The number of prescriptions, doses prescribed, and individuals receiving Schedule II prescription opioids steadily increased from 1996 to 2006. Most individuals (87.5%) used 1-2 prescribers, 1-2 pharmacies, and had no early refills (2006). The greater the number of prescribers used, the greater the number of pharmacies used. When defined as the use of >or=4 prescribers and >or=4 pharmacies, questionable activity accounted for 2748 individuals, 47 953 prescriptions, and 2 966 056 doses (2006). The Schedule II opioid most highly associated with questionable activity was short-acting oxycodone. PMPs can become a useful public health surveillance tool to monitor the medical and non-medical use of prescription opioids and to inform public health and safety policy. Copyright (c) 2009 John Wiley & Sons, Ltd.

  6. Relevance of the correlation between precipitation and the 0 °C isothermal altitude for extreme flood estimation

    Science.gov (United States)

    Zeimetz, Fraenz; Schaefli, Bettina; Artigue, Guillaume; García Hernández, Javier; Schleiss, Anton J.

    2017-08-01

    Extreme floods are commonly estimated with the help of design storms and hydrological models. In this paper, we propose a new method to take into account the relationship between precipitation intensity (P) and air temperature (T) to account for potential snow accumulation and melt processes during the elaboration of design storms. The proposed method is based on a detailed analysis of this P-T relationship in the Swiss Alps. The region, no upper precipitation intensity limit is detectable for increasing temperature. However, a relationship between the highest measured temperature before a precipitation event and the duration of the subsequent event could be identified. An explanation for this relationship is proposed here based on the temperature gradient measured before the precipitation events. The relevance of these results is discussed for an example of Probable Maximum Precipitation-Probable Maximum Flood (PMP-PMF) estimation for the high mountainous Mattmark dam catchment in the Swiss Alps. The proposed method to associate a critical air temperature to a PMP is easily transposable to similar alpine settings where meteorological soundings as well as ground temperature and precipitation measurements are available. In the future, the analyses presented here might be further refined by distinguishing between precipitation event types (frontal versus orographic).

  7. Flow cytometric assessment of endothelial and platelet microparticles in preeclampsia and their relation to disease severity and Doppler parameters.

    Science.gov (United States)

    Salem, Mahmoud; Kamal, Sahar; El Sherbiny, Walid; Abdel Aal, Asmaa A

    2015-04-01

    Platelet (P) and endothelial (E) microparticle (MP) levels increase in preeclampsia. However, their relation to the severity of the disease needs to be clarified. The objectives of this study were to compare the levels of EMP and PMP in severe and mild preeclampsia to healthy gravidas to find possible correlations to severity of the disease, Doppler changes, and complications. A comparative prospective clinical trial (Canadian Task Force II-1) was conducted on 135 pregnant women divided into three groups: 35 women with severe preeclampsia (group 1), 40 with mild preeclampsia (group 2), and 60 healthy gravids (group 3). Assessment of EMP and PMP was done by flow cytometry using anti-CD31 and anti-CD42b antibodies. Expression of CD31 and CD42b (EMPs) was higher in group 1 compared to groups 2 and 3 with P preeclampsia together with poor neonatal outcome as regards birth weight and percent of neonatal death. So, EMPs assay could be a good predictor of maternal and fetal outcomes and in cases with preeclampsia.

  8. The CRIPTO/FRL-1/CRYPTIC (CFC) domain of human Cripto. Functional and structural insights through disulfide structure analysis.

    Science.gov (United States)

    Foley, Susan F; van Vlijmen, Herman W T; Boynton, Raymond E; Adkins, Heather B; Cheung, Anne E; Singh, Juswinder; Sanicola, Michele; Young, Carmen N; Wen, Dingyi

    2003-09-01

    The disulfide structure of the CRIPTO/FRL-1/CRYPTIC (CFC) domain of human Cripto protein was determined by a combination of enzymatic and chemical fragmentation, followed by chromatographic separation of the fragments, and characterization by mass spectrometry and N-terminal sequencing. These studies showed that Cys115 forms a disulfide bond with Cys133, Cys128 with Cys149, and Cys131 with Cys140. Protein database searching and molecular modeling revealed that the pattern of disulfide linkages in the CFC domain of Cripto is the same as that in PARS intercerebralis major Peptide C (PMP-C), a serine protease inhibitor, and that the EGF-CFC domains of Cripto are predicted to be structurally homologous to the EGF-VWFC domains of the C-terminal extracellular portions of Jagged 1 and Jagged 2. Biochemical studies of the interactions of ALK4 with the CFC domain of Cripto by fluorescence-activated cell sorter analysis indicate that the CFC domain binds to ALK4 independent of the EGF domain. A molecular model of the CFC domain of Cripto was constructed based on the nuclear magnetic resonance structure of PMP-C. This model reveals a hydrophobic patch in the domain opposite to the presumed ALK4 binding site. This hydrophobic patch may be functionally important for the formation of intra or intermolecular complexes.

  9. Peritonectomia com quimioterapia intraperitoneal hipertérmica: relato de caso e considerações anestésicasdoi: 10.20513/2447-6595.2016v56n2p47-50

    Directory of Open Access Journals (Sweden)

    Adahilton Magalhães Maciel

    2016-12-01

    Full Text Available O pseudomixoma peritoneal (PMP é um carcinoma de baixo grau de malignidade, frequentemente relacionado a neoplasias epiteliais de apêndice e ovário. O PMP apresenta melhora da sobrevida em cinco anos quando tratado com cirurgia citorredutora (CCR associada a quimioterapia hipertérmica intraperitoneal (QtHIP, em comparação ao tratamento com quimioterapia sistêmica isolada. Paciente masculino, 35 anos, com dor na fossa ilíaca direita nos últimos 2 anos. Foi submetido a apendicectomia videolaparoscópica cujo anatomopatológico diagnosticou pseudomixoma peritoneal. Foi, então, submetido à cirurgia citorredutora com quimioterapia hipertérmica intraperitoneal. Durante o procedimento, o paciente apresentou variações significativas da temperatura corporal e da glicemia capilar, recebendo o devido manejo clínico. No pós-operatório, evoluiu com quadro infeccioso e foi tratado para coleção abdominal presumida. Recebeu alta hospitalar após 23 dias de internação.

  10. Synthesis, structures, spectral properties and DFT quantum chemical calculations of (E)-4-(((4-propylphenyl)imino)methyl)phenol and (E)-4-((2-tolylimino)methyl)phenol; their corrosion inhibition studies of mild steel in aqueous HCl

    Science.gov (United States)

    Elemike, Elias E.; Nwankwo, Henry U.; Onwudiwe, Damian C.; Hosten, Eric C.

    2017-08-01

    Two Schiff base compounds with similar backbone, but different positions and lengths of alkyl groups, (E)-4-(((4-propylphenyl)imino)methyl)phenol (PMP) and (E)-4-((2-tolylimino)methyl)phenol (TMP) have been synthesized. Their structures were established by spectroscopic techniques which include FTIR, 1H and 13C NMR, relative molecular mass (mass spect.), and single crystal X-ray crystallography. The spectroscopic methods revealed the characteristic imine functional groups and the exact molecular masses of the compounds. Single crystal analysis revealed an orthorhombic crystal system with Pca21 space group for the two compounds; and the structure of PMP reveal that the propyl group is disordered over two positions in 0.79:0.21 ratio. The corrosion inhibition behaviour of the two Schiff bases were studied by electrochemical measurements. The results suggest that the two derivatives adsorbed onto the mild steel surface and formed hydrophobic films, which to an appreciable extent, protected the surface of the mild steel. Potentiodynamic polarization results strongly suggested that the investigated Schiff bases behave as mixed-type inhibitors with a more pronounced cathodic nature, and the adsorption isotherm basically obeys the Langmuir isotherm. Quantum chemical computations were also employed to provide further explanations on the adsorption mode, and the theoretical predictions conformed to the experimental results.

  11. Influence of different palate repair protocols on facial growth in unilateral complete cleft lip and palate.

    Science.gov (United States)

    Xu, Xue; Kwon, Hyuk-Jae; Shi, Bing; Zheng, Qian; Yin, Heng; Li, Chenghao

    2015-01-01

    To address the question of whether one- or two-stage palatal treatment protocol has fewer detrimental effects on craniofacial growth in patients aged 5 years with unilateral complete cleft lip and palate. Forty patients with non-syndromic unilateral complete cleft lip and palate (UCCLPs) who had received primary cleft lip repair at age 6-12 months and cleft palate repair at age 18-30 months were selected in this study. Eighteen UCCLP patients who received two-stage palate repair were selected as group 1, and 22 UCCLP patients who received one-stage palate repair were selected as group 2. The control group consisted of 20 patients with unilateral incomplete cleft lip (UICL patients) whose age and gender matched with UCCLP patients. A one-sample Kolmogorov-Smirnov test was used to analyze the nature of data distribution. Bonferroni test and Kruskal-Wallis H tests were used for multiple comparisons. Both case groups showed reduced maxillary sagittal length (ANS-PMP, A-PM, p palate repair had a reduced posterior maxillary vertical height (R-PMP, p palate repair. Vomer flap repair inhibited maxilla vertical growth. Delayed hard palate repair showed less detrimental effects on maxillary growth compared to early hard palate repair in UCCLP patients aged 5 years. Copyright © 2014 European Association for Cranio-Maxillo-Facial Surgery. Published by Elsevier Ltd. All rights reserved.

  12. Timing of palate repair affecting growth in complete unilateral cleft lip and palate.

    Science.gov (United States)

    Xu, Xue; Zheng, Qian; Lu, Dawei; Huang, Ning; Li, Jingtao; Li, Sheng; Wang, Yan; Shi, Bing

    2012-12-01

    To evaluate the facial morphology characteristics of patients with complete unilateral cleft lip and palate (UCCLPs) who had undergone cleft palate repair at different times. This study included 46 nonsyndromic UCCLPs and 38 age and sex matched non-cleft patients. 35 cephalometric measurements were used to evaluate the facial morphology. Student's t-test, one-way ANOVA and rank sum tests were used for comparison. Significant difference was defined at 95% level. The data showed that UCCLPs who had palatoplasty between 7 and 12 years had greater PMP-A, PMP-ANS, Ba-ANS, Ba-A, Ba-N-ANS than those operated on before 4 years of age, and UCCLPs who had palatoplasty at 4-12 years had smaller Y-axis angle than those operated on before 4 years of age. The maxillary sagittal length increased gradually as von Langenbeck repair was delayed. UCCLPs who underwent palate repair using von Langenbeck technique at 4-12 years had a more protrusive maxilla and less clockwise rotated mandible than those repaired before 4 years. UCCLPs operated using the von Langenbeck technique at 4-12 years had better head-face morphology than those operated on before 4 years. There was no difference in facial morphology among UCCLPs with palate repair at 4-12 years. Copyright © 2012 European Assocation for Cranio-Maxillo-Facial Surgery. Published by Elsevier Ltd. All rights reserved.

  13. Intermittent fasting alleviates the neuropathic phenotype in a mouse model of Charcot-Marie-Tooth disease.

    Science.gov (United States)

    Madorsky, Irina; Opalach, Katherine; Waber, Amanda; Verrier, Jonathan D; Solmo, Chelsea; Foster, Thomas; Dunn, William A; Notterpek, Lucia

    2009-04-01

    Charcot-Marie-Tooth type 1A (CMT1A) neuropathies linked to the misexpression of peripheral myelin protein 22 (PMP22) are progressive demyelinating disorders of the peripheral nervous system. In this study we asked whether dietary restriction by intermittent fasting (IF) could alleviate the neuropathic phenotype in the Trembler J (TrJ) mouse model of CMT1A. Our results show that neuropathic mice kept on a five month long IF regimen had improved locomotor performance compared to ad libitum (AL) fed littermates. The functional benefits of this dietary intervention are associated with an increased expression of myelin proteins combined with a thicker myelin sheath, less redundant basal lamina, and a reduction in aberrant Schwann cell proliferation. These morphological improvements are accompanied by a decrease in PMP22 protein aggregates, and enhanced expression of cytosolic chaperones and constituents of the autophagy-lysosomal pathway. These results indicate that dietary restriction is beneficial for peripheral nerve function in TrJ neuropathic mice, as it promotes the maintenance of locomotor performance.

  14. Platelet-derived microparticles regulates thrombin generation via phophatidylserine in abdominal sepsis.

    Science.gov (United States)

    Wang, Yongzhi; Zhang, Su; Luo, Lingtao; Norström, Eva; Braun, Oscar Ö; Mörgelin, Matthias; Thorlacius, Henrik

    2018-02-01

    Sepsis is associated with dysfunctional coagulation. Recent data suggest that platelets play a role in sepsis by promoting neutrophil accumulation. Herein, we show that cecal ligation and puncture (CLP) triggered systemic inflammation, which is characterized by formation of IL-6 and CXC chemokines as well as neutrophil accumulation in the lung. Platelet depletion decreased neutrophil accumulation, IL-6, and CXC chemokines formation in septic lungs. Depletion of platelets increased peak thrombin formation and total thrombin generation (TG) in plasma from septic animals. CLP elevated circulating levels of platelet-derived microparticles (PMPs). In vitro generated PMPs were a potent inducer of TG. Interestingly, in vitro wild-type recombinant annexin V abolished PMP-induced thrombin formation whereas a mutant annexin V protein, which does not bind to phosphatidylserine (PS), had no effect. Administration of wild-type, but not mutant annexin V, significantly inhibited thrombin formation in septic animals. Moreover, CLP-induced formation of thrombin-antithrombin complexes were reduced in platelet-depleted mice and in animals pretreated with annexin V. PMP-induced TG attenuated in FXII- and FVII-deficient plasma. These findings suggest that sepsis-induced TG is dependent on platelets. Moreover, PMPs formed in sepsis are a potent inducer of TG via PS exposure, and activation of both the intrinsic and extrinsic pathway of coagulation. In conclusion, these observations suggest that PMPs and PS play an important role in dysfunctional coagulation in abdominal sepsis. © 2017 Wiley Periodicals, Inc.

  15. Epidemiology of hemodialysis patients in Aleppo city

    Directory of Open Access Journals (Sweden)

    Moukeh Ghamez

    2009-01-01

    Full Text Available To determine the characteristics of the hemodialysis (HD patients in Aleppo city, we surveyed the hospitals representing the main dialysis centers in the city including private and community facilities during 2006. Personal patients′ interviews and hospitals records were the source of data. The total number of patients in 2006 undergoing HD was 550 patients; 280 (50.9% were males, and the age ranged from 5-82 years with mean and median age 44.7 and 45 years, respectively. The incidence (IR and prevalence rate (PR for hemodialysis were 60 pmp and 226 pmp, respectively. The major primary renal diseases in the end-stage renal disease (ESRD patients included hypertension (HTN, glomerulonephritis (GN, and diabetes mellitus (DM, 21.1%, 20.5 %, and 19.45, respectively. The percent of Anti-HCV, HBV hepatitis and HBV vaccine were 54.4%, 7.8%, and 52.9%, respectively. This study suggests that the IR of hemodialysis was relatively low due to the high cost of treatment, and the PR for hemodialysis was also relatively low may be due to high mortality rate and low kidney transplantation rate in this country. There was an equal percentage of both genders in the hemodialysis population.

  16. What lies behind crop decisions?Coming to terms with revealing farmers' preferences

    Science.gov (United States)

    Gomez, C.; Gutierrez, C.; Pulido-Velazquez, M.; López Nicolás, A.

    2016-12-01

    The paper offers a fully-fledged applied revealed preference methodology to screen and represent farmers' choices as the solution of an optimal program involving trade-offs among the alternative welfare outcomes of crop decisions such as profits, income security and management easiness. The recursive two-stage method is proposed as an alternative to cope with the methodological problems inherent to common practice positive mathematical program methodologies (PMP). Differently from PMP, in the model proposed in this paper, the non-linear costs that are required for both calibration and smooth adjustment are not at odds with the assumptions of linear Leontief technologies and fixed crop prices and input costs. The method frees the model from ad-hoc assumptions about costs and then recovers the potential of economic analysis as a means to understand the rationale behind observed and forecasted farmers' decisions and then to enhance the potential of the model to support policy making in relevant domains such as agricultural policy, water management, risk management and climate change adaptation. After the introduction, where the methodological drawbacks and challenges are set up, section two presents the theoretical model, section three develops its empirical application and presents its implementation to a Spanish irrigation district and finally section four concludes and makes suggestions for further research.

  17. The effect of protein corona composition on the interaction of carbon nanotubes with human blood platelets.

    Science.gov (United States)

    De Paoli, Silvia H; Diduch, Lukas L; Tegegn, Tseday Z; Orecna, Martina; Strader, Michael B; Karnaukhova, Elena; Bonevich, John E; Holada, Karel; Simak, Jan

    2014-08-01

    Carbon nanotubes (CNT) are one of the most promising nanomaterials for use in medicine. The blood biocompatibility of CNT is a critical safety issue. In the bloodstream, proteins bind to CNT through non-covalent interactions to form a protein corona, thereby largely defining the biological properties of the CNT. Here, we characterize the interactions of carboxylated-multiwalled carbon nanotubes (CNTCOOH) with common human proteins and investigate the effect of the different protein coronas on the interaction of CNTCOOH with human blood platelets (PLT). Molecular modeling and different photophysical techniques were employed to characterize the binding of albumin (HSA), fibrinogen (FBG), γ-globulins (IgG) and histone H1 (H1) on CNTCOOH. We found that the identity of protein forming the corona greatly affects the outcome of CNTCOOH's interaction with blood PLT. Bare CNTCOOH-induced PLT aggregation and the release of platelet membrane microparticles (PMP). HSA corona attenuated the PLT aggregating activity of CNTCOOH, while FBG caused the agglomeration of CNTCOOH nanomaterial, thereby diminishing the effect of CNTCOOH on PLT. In contrast, the IgG corona caused PLT fragmentation, and the H1 corona induced a strong PLT aggregation, thus potentiating the release of PMP. Published by Elsevier Ltd.

  18. Mass spectrometric O-glycan analysis after combined O-glycan release by beta-elimination and 1-phenyl-3-methyl-5-pyrazolone labeling.

    Science.gov (United States)

    Zauner, Gerhild; Koeleman, Carolien A M; Deelder, André M; Wuhrer, Manfred

    2012-09-01

    Analysis of protein glycosylation is an important first step towards establishing the functions of glycans in health and disease. In contrast to N-glycans which are generally enzymatically released for analysis, there is no corresponding enzyme for O-glycan liberation. Therefore, O-glycans are generally released by chemical methods involving tedious procedures. Here, a straightforward method for the combined release and labeling of O-linked glycans from glycoproteins is described. Dimethylamine serves as the releasing agent, and 1-phenyl-3-methyl-5-pyrazolone (PMP) is employed for a prompt reaction with the reducing end of the freshly released O-glycan structures via an aldol condensation followed by a Michael-type addition resulting in a 2:1 stoichiometry of PMP per glycan. Samples are analyzed by nanoLC coupled to mass spectrometry. Mucin from bovine submaxillary gland was used as a model protein to evaluate and optimize the approach that was further applied to bile salt stimulated lipase (BSSL) isolated from human milk. Next to previously reported O-glycan structures two additional oligosaccharides could be detected for BSSL. In conclusion, the facile protocol established is suitable for the analysis of complex O-linked oligosaccharides from various biological samples. This article is part of a Special Issue entitled Glycoproteomics. Copyright © 2011 Elsevier B.V. All rights reserved.

  19. A Game Theoretic Approach to Minimize the Completion Time of Network Coded Cooperative Data Exchange

    KAUST Repository

    Douik, Ahmed S.

    2014-05-11

    In this paper, we introduce a game theoretic framework for studying the problem of minimizing the completion time of instantly decodable network coding (IDNC) for cooperative data exchange (CDE) in decentralized wireless network. In this configuration, clients cooperate with each other to recover the erased packets without a central controller. Game theory is employed herein as a tool for improving the distributed solution by overcoming the need for a central controller or additional signaling in the system. We model the session by self-interested players in a non-cooperative potential game. The utility function is designed such that increasing individual payoff results in a collective behavior achieving both a desirable system performance in a shared network environment and the Pareto optimal solution. Through extensive simulations, our approach is compared to the best performance that could be found in the conventional point-to-multipoint (PMP) recovery process. Numerical results show that our formulation largely outperforms the conventional PMP scheme in most practical situations and achieves a lower delay.

  20. An international comparison of the effect of policy shifts to organ donation following cardiocirculatory death (DCD on donation rates after brain death (DBD and transplantation rates.

    Directory of Open Access Journals (Sweden)

    Aric Bendorf

    Full Text Available During the past decade an increasing number of countries have adopted policies that emphasize donation after cardiocirculatory death (DCD in an attempt to address the widening gap between the demand for transplantable organs and the availability of organs from donation after brain death (DBD donors. In order to examine how these policy shifts have affected overall deceased organ donor (DD and DBD rates, we analyzed deceased donation rates from 82 countries from 2000-2010. On average, overall DD, DBD and DCD rates have increased over time, with the proportion of DCD increasing 0.3% per year (p = 0.01. Countries with higher DCD rates have, on average, lower DBD rates. For every one-per million population (pmp increase in the DCD rate, the average DBD rate decreased by 1.02 pmp (95% CI: 0.73, 1.32; p<0.0001. We also found that the number of organs transplanted per donor was significantly lower in DCD when compared to DBD donors with 1.51 less transplants per DCD compared to DBD (95% CI: 1.23, 1.79; p<0.001. Whilst the results do not infer a causal relationship between increased DCD and decreased DBD rates, the significant correlation between higher DCD and lower DBD rates coupled with the reduced number of organs transplanted per DCD donor suggests that a national policy focus on DCD may lead to an overall reduction in the number of transplants performed.

  1. Ultrasensitive Quantitation of Plasma Membrane Proteins via isRTA.

    Science.gov (United States)

    Gao, Tao; Wang, Bei; Shi, Liu; Zhu, Xiaoli; Xiang, Yang; Anzai, Jun-Ichi; Li, Genxi

    2017-10-17

    Quantitation of plasma membrane proteins (PMPs) is fundamental and frequently performed daily in the lab. However, challenged by the inherent/interacting heterostructures and complex surroundings of the PMPs in lipid membrane, quantitative techniques for PMP often require complex treatments (e.g., labeling, isolation, purification, and determination), and the sensitivity is usually not satisfactory. To address this problem, we have proposed a novel method that enables quantitation of PMPs with extremely high sensitivity, in an easier-to-manipulate and more streamlined way. This method is based on the design of an in situ rolling cycling replication-templated amplification strategy (isRTA). In fact, two rounds of DNA cascade isothermal amplifications have been conducted. The first round of amplification can provide templates for the second round of amplification; thus, significant enhancement of quantitative signals can be achieved. In this way, PMPs are quantified with ultrahigh sensitivity; as few as 25 copies of PMPs can be detected per cell. Moreover, the advantages of isRTA have been demonstrated by simultaneous identification of several PMP biomarkers (MUC1, EpCAM, and HER2) that are expressed over a wide distribution range on breast cancer cells. The precise typing of breast cancer cell subsets is thus possible because of the "quantitative-to-qualitative" strategy. Therefore, the unprecedented sensitivity and high usability of the isRTA method may present significant prospects for delving into membrane proteins and their related biofunctions in many research fields.

  2. Incidence and outcome of patients starting renal replacement therapy for end-stage renal disease due to multiple myeloma or light-chain deposit disease: an ERA-EDTA Registry study

    DEFF Research Database (Denmark)

    Tsakiris, D.J.; Stel, V.S.; Finne, P.

    2010-01-01

    Background. Information on demographics and survival of patients starting renal replacement therapy (RRT) for end-stage renal disease (ESRD) due to multiple myeloma (MM) or light-chain deposit disease (LCDD) is scarce. The aim of this study was to describe the incidence, characteristics, causes...... of death and survival rates of RRT for ESRD due to MM or LCDD in the ERA-EDTA Registry. Methods. Thirteen national registries providing data on patients who started RRT from 1986-2005 to the ERA-EDTA Registry participated. Incidence per million population (pmp) of RRT for ESRD due to MM or LCDD and other...... causes (non-MM) was observed overtime. Patient survival on RRT was examined, unadjusted and adjusted for age and gender. Results. Of the 159 637 patients on RRT, 2453 (1.54%) had MM or LCDD. The incidence of RRT for ESRD due to MM or LCDD, adjusted for age and gender, increased from 0.70 pmp in 1986...

  3. Robust production of virus-like particles and monoclonal antibodies with geminiviral replicon vectors in lettuce.

    Science.gov (United States)

    Lai, Huafang; He, Junyun; Engle, Michael; Diamond, Michael S; Chen, Qiang

    2012-01-01

    Pharmaceutical protein production in plants has been greatly promoted by the development of viral-based vectors and transient expression systems. Tobacco and related Nicotiana species are currently the most common host plants for the generation of plant-made pharmaceutical proteins (PMPs). Downstream processing of target PMPs from these plants, however, is hindered by potential technical and regulatory difficulties owing to the presence of high levels of phenolics and toxic alkaloids. Here, we explored the use of lettuce, which grows quickly yet produces low levels of secondary metabolites and viral vector-based transient expression systems to develop a robust PMP production platform. Our results showed that a geminiviral replicon system based on the bean yellow dwarf virus permits high-level expression in lettuce of virus-like particles (VLP) derived from the Norwalk virus capsid protein and therapeutic monoclonal antibodies (mAbs) against Ebola and West Nile viruses. These vaccine and therapeutic candidates can be readily purified from lettuce leaves with scalable processing methods while fully retaining functional activity. Furthermore, this study also demonstrated the feasibility of using commercially produced lettuce for high-level PMP production. This allows our production system to have access to unlimited quantities of inexpensive plant material for large-scale production. These results establish a new production platform for biological pharmaceutical agents that are effective, safe, low cost, and amenable to large-scale manufacturing. © 2011 The Authors. Plant Biotechnology Journal © 2011 Society for Experimental Biology, Association of Applied Biologists and Blackwell Publishing Ltd.

  4. Crystal structure of glutamate-1-semialdehyde-2,1-aminomutase from Arabidopsis thaliana

    Energy Technology Data Exchange (ETDEWEB)

    Song, Yingxian; Pu, Hua; Jiang, Tian; Zhang, Lixin; Ouyang, Min, E-mail: ouyangmin@ibcas.ac.cn [Chinese Academy of Sciences, Beijing 100093, People’s Republic of (China)

    2016-05-23

    A structural study of A. thaliana glutamate-1-semialdehyde-2,1-aminomutase (GSAM) has revealed asymmetry in cofactor binding as well as in the gating-loop orientation, which supports the previously proposed negative cooperativity between monomers of GSAM. Glutamate-1-semialdehyde-2,1-aminomutase (GSAM) catalyzes the isomerization of glutamate-1-semialdehyde (GSA) to 5-aminolevulinate (ALA) and is distributed in archaea, most bacteria and plants. Although structures of GSAM from archaea and bacteria have been resolved, a GSAM structure from a higher plant is not available, preventing further structure–function analysis. Here, the structure of GSAM from Arabidopsis thaliana (AtGSA1) obtained by X-ray crystallography is reported at 1.25 Å resolution. AtGSA1 forms an asymmetric dimer and displays asymmetry in cofactor binding as well as in the gating-loop orientation, which is consistent with previously reported Synechococcus GSAM structures. While one monomer binds PMP with the gating loop fixed in the open state, the other monomer binds either PMP or PLP and the gating loop is ready to close. The data also reveal the mobility of residues Gly163, Ser164 and Gly165, which are important for reorientation of the gating loop. Furthermore, the asymmetry of the AtGSA1 structure supports the previously proposed negative cooperativity between monomers of GSAM.

  5. Design of novel sheet-shaped chitosan hydrogel for wound healing: a hybrid biomaterial consisting of both PEG-grafted chitosan and crosslinkable polymeric micelles acting as drug containers.

    Science.gov (United States)

    Ito, Tomoki; Yoshida, Chikara; Murakami, Yoshihiko

    2013-10-01

    In this study, we successfully prepared a novel "sheet-shaped" chitosan hydrogel for wound healing consisting of both PEG-g-chitosan and a crosslinkable polymeric micelle. The study's findings clarify that the PEG modification percentage (PMP) of PEG-g-chitosan increased proportionally as the weight ratio of PEG/chitosan increased. Furthermore, the positive second virial coefficient of PEG-g-chitosans from a Debye plot strongly suggests that the PEG modification greatly improved the solubility of the water-insoluble chitosan. Finally, the "sheet-shaped" "flexible" hydrogel formed by mixing solutions containing either PEG-g-chitosan with moderate PMP or polymeric micelles exhibited the highest storage modulus. The sheet itself exhibited an attractive feature insofar as polymeric micelles, which can act as drug containers facilitating the incorporation and the gradual release of drugs, are covalently immobilized in the polymeric network of the hydrogel. The results obtained in the present study show that the hybrid PEG-g-chitosan hydrogel containing crosslinkable polymeric micelles has the potential to address the need for novel functional biomaterials. Copyright © 2013 Elsevier B.V. All rights reserved.

  6. Making objective summaries of climate model behavior more accessible

    Science.gov (United States)

    Gleckler, P. J.

    2016-12-01

    For multiple reasons, a more efficient and systematic evaluation of publically available climate model simulations is urgently needed. The IPCC, national assessments, and an assortment of other public and policy-driven needs place taxing demands on researchers. While cutting edge research is essential to meeting these needs, so too are results from well-established analysis, and these should be more efficiently produced, widely accessible, and be highly traceable. Furthermore, the number of simulations used by the research community is already large and expected to dramatically increase with the 6th phase of the Coupled Model Intercomparison Project (CMIP6). To help meet the demands on the research community and synthesize results from the rapidly expanding number and complexity of model simulations, well-established characteristics from all CMIP DECK (Diagnosis, Evaluation and Characterization of Klima) experiments will be routinely produced and made accessible. This presentation highlights the PCMDI Metrics Package (PMP), a capability that is designed to provide a diverse suite of objective summary statistics across spatial and temporal scales, gauging the agreement between models and observations. In addition to the PMP, ESMValTool is being developed to broadly diagnose CMIP simulations, and a variety of other packages target specialized sets of analysis. The challenges and opportunities of working towards coordinating these community-based capabilities will be discussed.

  7. Quantitative profiling of O-glycans by electrospray ionization- and matrix-assisted laser desorption ionization-time-of-flight-mass spectrometry after in-gel derivatization with isotope-coded 1-phenyl-3-methyl-5-pyrazolone

    Energy Technology Data Exchange (ETDEWEB)

    Sić, Siniša; Maier, Norbert M.; Rizzi, Andreas M., E-mail: Andreas.Rizzi@univie.ac.at

    2016-09-07

    The potential and benefits of isotope-coded labeling in the context of MS-based glycan profiling are evaluated focusing on the analysis of O-glycans. For this purpose, a derivatization strategy using d{sub 0}/d{sub 5}-1-phenyl-3-methyl-5-pyrazolone (PMP) is employed, allowing O-glycan release and derivatization to be achieved in one single step. The paper demonstrates that this release and derivatization reaction can be carried out also in-gel with only marginal loss in sensitivity compared to in-solution derivatization. Such an effective in-gel reaction allows one to extend this release/labeling method also to glycoprotein/glycoform samples pre-separated by gel-electrophoresis without the need of extracting the proteins/digested peptides from the gel. With highly O-glycosylated proteins (e.g. mucins) LODs in the range of 0.4 μg glycoprotein (100 fmol) loaded onto the electrophoresis gel can be attained, with minor glycosylated proteins (like IgAs, FVII, FIX) the LODs were in the range of 80–100 μg (250 pmol–1.5 nmol) glycoprotein loaded onto the gel. As second aspect, the potential of isotope coded labeling as internal standardization strategy for the reliable determination of quantitative glycan profiles via MALDI-MS is investigated. Towards this goal, a number of established and emerging MALDI matrices were tested for PMP-glycan quantitation, and their performance is compared with that of ESI-based measurements. The crystalline matrix 2,6-dihydroxyacetophenone (DHAP) and the ionic liquid matrix N,N-diisopropyl-ethyl-ammonium 2,4,6-trihydroxyacetophenone (DIEA-THAP) showed potential for MALDI-based quantitation of PMP-labeled O-glycans. We also provide a comprehensive overview on the performance of MS-based glycan quantitation approaches by comparing sensitivity, LOD, accuracy and repeatability data obtained with RP-HPLC-ESI-MS, stand-alone nano-ESI-MS with a spray-nozzle chip, and MALDI-MS. Finally, the suitability of the isotope-coded PMP labeling

  8. Clinical approved fluorescent dyes coupled to endomicroscopy for in vivo diagnostic of peritoneal carcinomatosis

    Science.gov (United States)

    Abbaci, Muriel; Dartigues, Peggy; Soufan, Ranya; De Leeuw, Frederic; Fabre, Monique; Laplace-Builhé, Corinne

    2015-03-01

    Peritoneal carcinomatosis is metastatic stage aggravating digestive, gynecological or bladder cancer dissemination and the preoperative evaluation of lesions remains difficult. There is therefore a need for minimal invasive innovative techniques to establish a precise preoperative assessment of cancer peritoneal cavity. Probe-based confocal laser endomicroscopy (pCLE) provides dynamic images of the microarchitecture of tissues during an endoscopy. The PERSEE project proposes new developments in robotics and pCLE for the exploration of the peritoneal cavity during laparoscopy. Two fluorescent dyes, Patent blue V and Indocyanine green have been evaluated on human ex vivo samples to improve the contrast of pCLE images. For a future implementation in clinical study, two topically staining protocols operable in vivo have been validated on 70 specimens from 25 patients with a peritoneal carcinomatosis. The specimens were then imaged by pCLE with an optical probe designed for the application. A histo-morphological correlative study was performed on 350 pCLE images and 70 standard histological preparations. All images were interpreted in a random way by two pathologists. Differential histological diagnostics such as normal peritoneum or pseudomyxoma could be recognized on fluorescence images. The statistical analysis of the correlative study is underway. These dyes already approved for human use are interesting for pCLE imaging because some micromorphological criteria look like to conventional histology and are readable by pathologist. Thus pCLE images using both dyes do not require a specific semiology unlike to what is described in the literature, for pCLE associated with fluorescein for the in vivo imaging of pancreatic cysts.

  9. Orthotopic neobladder reconstrution: postoperative CT appearance, complications and potential pitfalls

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Su Lim; Jung, Seung Eun; Im, Yeon Soo; Lee, Jae Mun; Lee, Ji Youl; Yoon, Moon Soo; Hahn, Seong Tai [The Catholic University of Korea College of Medicine, Seoul (Korea, Republic of)

    2003-08-01

    To evaluate the postoperative CT appearance, complications and potential pitfalls of radical cystectomy with orthotopic neobladder reconstruction. We examined 46 patients [43 men and 3 women aged 34-72 (mean, 56.7) years] who had undergone neobladder reconstruction (ileocolic neobladder in 25 patients and ileal-W neobladder in 21). The CT scans were assessed in terms of their depiction of normal anatomy, namely the shape, location and internal architecture of the neobladder, the location of bladder bases, and the ureteral course. Early and late complications were also assessed. The characteristics of ileocolic neobadder were a right-side location, a lobulated outer margin, interal projections due to haustra or plication, a base in the retropubis, and right-side insertion of both ureters. In contrast, the characteristics of an ileal-W neobladder were a central location, an ovoid shape, nodular thickening at the ureteral insertion site, internal projections due to plication, and a retropubic bladder base. Early complications included hematoma with abscess formation (n=2), and postoperative peritonitis (n=1), while late complications were hydronephrosis due to stricture ar the ureteral anastomotic site (n=16), tumor recurrence at this site (n=1), distal ureteral stone (n=1), mucus urinary retention (n=1), incisional hernia (n=2), tumor recurrence in the pelvic side wall (n=1), carcinomatosis peritonei (n=1), and liver metastasis (n=2). A knowledge of normal anatomic changes is essential for the accurate interpretation of CT scans. CT is a useful modality of the evaluation of postoperative change and the complications occurring in patients who have undergone radial cystectomy with othotopic neobladder reconstruction.

  10. Assessing the Performance of Clostridium perfringens Cooling Models for Cooked, Uncured Meat and Poultry Products.

    Science.gov (United States)

    Mohr, T B; Juneja, V K; Thippareddi, H H; Schaffner, D W; Bronstein, P A; Silverman, M; Cook, L V

    2015-08-01

    Heat-resistant spores of Clostridium perfringens may germinate and multiply in cooked meat and poultry products when the rate and extent of cooling does not occur in a timely manner. Therefore, six cooling models (PMP 7.0 broth model; PMIP uncured beef, chicken, and pork models; Smith-Schaffner version 3; and UK IFR ComBase Perfringens Predictor) were evaluated for relative performance in predicting growth of C. perfringens under dynamic temperature conditions encountered during cooling of cooked, uncured meat and poultry products. The predicted growth responses from the models were extensively compared with those observed in food. Data from 188 time-temperature cooling profiles (176 for single-rate exponential cooling and 12 for dual-rate exponential cooling) were collected from 17 independent sources (16 peer-reviewed publications and one report) for model evaluation. Data were obtained for a variety of cooked products, including meat and poultry slurries, ground meat and poultry products with and without added ingredients (e.g., potato starch, sodium triphosphate, and potassium tetrapyrophosphate), and processed products such as ham and roast beef. Performance of the models was evaluated using three sets of criteria, and accuracy was defined within a 1- to 2-log range. The percentages of accurate, fail-safe, or fail-dangerous predictions for each cooling model differed depending on which criterion was used to evaluate the data set. Nevertheless, the combined percentages of accurate and fail-safe predictions based on the three performance criteria were 34.66 to 42.61% for the PMP 7.0 beef broth model, 100% for the PMIP cooling models for uncured beef, uncured pork and uncured chicken, 80.11 to 93.18% for the Smith-Schaffner cooling model, and 74.43 to 85.23% for the UK IFR ComBase Perfringens Predictor model during single-rate exponential chilling. Except for the PMP 7.0 broth model, the other five cooling models (PMIP, Smith-Schaffner, and UK IFR ComBase) are

  11. The effect of micro-architectural structure of cabbage substratum and or background bacterial flora on the growth of Listeria monocytogenes.

    Science.gov (United States)

    Ongeng, Duncan; Ryckeboer, Jaak; Vermeulen, An; Devlieghere, Frank

    2007-11-01

    The effect of micro-architectural structure of cabbage (Brassica oleracea var. capitata L.) substratum and or background bacterial flora on the growth of Listeria monocytogenes as a function of incubation temperature was investigated. A cocktail mixture of Pseudomonas fluorescens, Pantoea agglomerans and Lactobacillus plantarum was constituted to a population density of approximately 5 log CFU/ml in order to pseudo-simulate background bacterial flora of fresh-cut cabbage. This mixture was co-inoculated with L. monocytogenes (approximately 3 log CFU/ml) on fresh-cut cabbage or in autoclaved cabbage juice followed by incubation at different temperatures (4-30 degrees C). Data on growth of L. monocytogenes were fitted to the primary growth model of Baranyi in order to generate the growth kinetic parameters of the pathogen. During storage, microbial ecology was dominated by P. fluorescens and L. plantarum at refrigeration and abuse temperature, respectively. At all temperatures investigated, lag duration (lambda, h), maximum specific growth rate (micro(max), h(-1)) and maximum population density (MPD, log CFU/ml) of L. monocytogenes were only affected by medium micro-architectural structure, except at 4 degrees C where it had no effect on the micro(max) of the pathogen. Comparison of observed values of micro(max) with those obtained from the Pathogen Modelling Program (PMP), showed that PMP overestimated the growth rate of L. monocytogenes on fresh-cut cabbage and in cabbage juice, respectively. Temperature dependency of micro(max) of L. monocytogenes, according to the models of Ratkowsky and Arrhenius, showed linearity for temperature range of 4-15 degrees C, discontinuities and linearity again for temperature range of 20-30 degrees C. The results of this experiment have shown that the constituted background bacterial flora had no effect on the growth of L. monocytogenes and that micro-architectural structure of the vegetable was the primary factor that limited the

  12. Quantification of vitamin B6 vitamers in human cerebrospinal fluid by ultra performance liquid chromatography-tandem mass spectrometry

    Energy Technology Data Exchange (ETDEWEB)

    Ham, M. van der, E-mail: M.vanderHam-3@umcutrecht.nl [Department of Metabolic Diseases and Netherlands Metabolomics Center, University Medical Center (UMC) Utrecht, Huispost KC02.069.1, Lundlaan 6, 3584 EA Utrecht (Netherlands); Albersen, M., E-mail: M.Albersen@umcutrecht.nl [Department of Metabolic Diseases and Netherlands Metabolomics Center, University Medical Center (UMC) Utrecht, Huispost KC02.069.1, Lundlaan 6, 3584 EA Utrecht (Netherlands); Koning, T.J. de, E-mail: T.deKoning@umcutrecht.nl [Department of Pediatric Metabolic Diseases, Wilhelmina Children' s Hospital, University Medical Center (UMC) Utrecht, Huispost KC03.063.0, Lundlaan 6, 3584 EA Utrecht (Netherlands); Visser, G., E-mail: G.Visser-4@umcutrecht.nl [Department of Pediatric Metabolic Diseases, Wilhelmina Children' s Hospital, University Medical Center (UMC) Utrecht, Huispost KC03.063.0, Lundlaan 6, 3584 EA Utrecht (Netherlands); Middendorp, A., E-mail: Alfred_Middendorp@waters.com [Waters Chromatography B.V., Florijnstraat 19, Postbus 379, 4870 AJ Etten-Leur (Netherlands); Bosma, M., E-mail: M.Bosma@umcutrecht.nl [Department of Metabolic Diseases and Netherlands Metabolomics Center, University Medical Center (UMC) Utrecht, Huispost KC02.069.1, Lundlaan 6, 3584 EA Utrecht (Netherlands); Verhoeven-Duif, N.M., E-mail: N.Verhoeven@umcutrecht.nl [Department of Metabolic Diseases and Netherlands Metabolomics Center, University Medical Center (UMC) Utrecht, Huispost KC02.069.1, Lundlaan 6, 3584 EA Utrecht (Netherlands); Sain-van der Velden, M.G.M. de, E-mail: M.G.deSain@umcutrecht.nl [Department of Metabolic Diseases and Netherlands Metabolomics Center, University Medical Center (UMC) Utrecht, Huispost KC02.069.1, Lundlaan 6, 3584 EA Utrecht (Netherlands)

    2012-01-27

    Highlights: Black-Right-Pointing-Pointer We present a sensitive UPLC-MS/MS method for quantification of B6 vitamers in human CSF. Black-Right-Pointing-Pointer Our method is very accurate since stable isotope labeled internal standards are used. Black-Right-Pointing-Pointer We present data on light sensitivity, temperature dependence and rostrocaudal gradient. Black-Right-Pointing-Pointer With PN supplementation, concentrations of PL, PM, PN and PA in CSF are increased. Black-Right-Pointing-Pointer Our fully validated method is suitable for implementation in a diagnostic setting. - Abstract: Since vitamin B6 is essential for normal functioning of the central nervous system, there is growing need for sensitive analysis of B6 vitamers in cerebrospinal fluid (CSF). This manuscript describes the development and validation of a rapid, sensitive and accurate method for quantification of the vitamin B6 vitamers pyridoxal (PL), pyridoxamine (PM), pyridoxine (PN), pyridoxic acid (PA), pyridoxal 5 Prime -phosphate (PLP), pyridoxamine 5 Prime -phosphate (PMP) and pyridoxine 5 Prime -phosphate (PNP) in human CSF. The method is based on ultra performance liquid chromatography-tandem mass spectrometry (UPLC-MS/MS) with a simple sample preparation procedure of protein precipitation using 50 g L{sup -1} trichloroacetic acid containing stable isotope labeled internal standards: PL-D{sub 3} for PL and PM, PN-{sup 13}C{sub 4} for PN, PA-D{sub 2} for PA and PLP-D{sub 3} for the phosphorylated vitamers. B6 vitamers were separated (Acquity HSS-T3 UPLC column) with a buffer containing acetic acid, heptafluorobutyric acid and acetonitrile. Positive electrospray ionization was used to monitor transitions m/z 168.1 {yields} 150.1 (PL), 169.1 {yields} 134.1 (PM), 170.1 {yields} 134.1 (PN), 184.1 {yields} 148.1 (PA), 248.1 {yields} 150.1 (PLP), 249.1 {yields} 232.1 (PMP) and 250.1 {yields} 134.1 (PNP). The method was validated at three concentration levels for each B6 vitamer in CSF

  13. Presentation of Diagnostic Information to Doctors May Change Their Interpretation and Clinical Management: A Web-Based Randomised Controlled Trial.

    Directory of Open Access Journals (Sweden)

    Yoav Ben-Shlomo

    Full Text Available There is little evidence on how best to present diagnostic information to doctors and whether this makes any difference to clinical management. We undertook a randomised controlled trial to see if different data presentations altered clinicians' decision to further investigate or treat a patient with a fictitious disorder ("Green syndrome" and their ability to determine post-test probability.We recruited doctors registered with the United Kingdom's largest online network for medical doctors between 10 July and 6" November 2012. Participants were randomised to one of four arms: (a text summary of sensitivity and specificity, (b Fagan's nomogram, (c probability-modifying plot (PMP, (d natural frequency tree (NFT. The main outcome measure was the decision whether to treat, not treat or undertake a brain biopsy on the hypothetical patient and the correct post-test probability. Secondary outcome measures included knowledge of diagnostic tests.917 participants attempted the survey and complete data were available from 874 (95.3%. Doctors randomized to the PMP and NFT arms were more likely to treat the patient than those randomized to the text-only arm. (ORs 1.49, 95% CI 1.02, 2.16 and 1.43, 95% CI 0.98, 2.08 respectively. More patients randomized to the PMP (87/218-39.9% and NFT (73/207-35.3% arms than the nomogram (50/194-25.8% or text only (30/255-11.8% arms reported the correct post-test probability (p <0.001. Younger age, postgraduate training and higher self-rated confidence all predicted better knowledge performance. Doctors with better knowledge were more likely to view an optional learning tutorial (OR per correct answer 1.18, 95% CI 1.06, 1.31.Presenting diagnostic data using a probability-modifying plot or natural frequency tree influences the threshold for treatment and improves interpretation of tests results compared to text summary of sensitivity and specificity or Fagan's nomogram.

  14. Balancing Energy, Food, Natural Resources and Environment in Nepal

    Energy Technology Data Exchange (ETDEWEB)

    Singh, Dilli Bahadur

    2010-09-15

    Nepal could harness less than 1% of its 83000 MW hydropower potential. Pancheshwar Multipurpose Project (6720 MW) is a bi-national project on Mahakali River bordering between Nepal and India. The earnings from: electricity (NRs. 34.55 billion/year); irrigation (NRs. 5.55 billion/year), fish farming (NRs. 8.65 billion/year), carbon trading (NRs. 4.42 billion/year) and many billions from other sources e.g. eco-tourism, industry, horticulture, herbiculture, floriculture, sericulture, rafting and water sports, educational and vocational training and other industrial/commercial activities can catapult the socioeconomic horizon of Nepal. Hence, PMP should be jointly developed in the earliest and build confidence for the further hydropower development.

  15. Analysis of the monosaccharide composition of fucoidan by precolumn derivation HPLC

    Science.gov (United States)

    Zhang, Jingjing; Zhang, Quanbin; Wang, Jing; Shi, Xuelian; Zhang, Zhongshan

    2009-09-01

    We developed an HPLC method for analysis of the monosaccharide composition of fucoidans. The fucoidan was hydrolyzed into monosaccharides with 2 mol/L trifluoroacetic acid. Using ribose as the internal standard, the monosaccharide derivatives, obtained with 1-Phenyl-3-methyl-5-pyrazolone (PMP), were separated by reverse-phase HPLC using a gradient elution process, and monitored by ultraviolet detection at 245 nm. In the concentration range of 0.1-2.0 mmol/L, the peak area of each monosaccharide had a good linear relationship with its concentration ( r 2>0.998). The average recoveries of mannose, rhamnose, glucuronic acid, glucose, galactose, xylose, and fucose were 86.2%, 95.1%, 62.5%, 102.0%, 94.8%, 66.6%, and 105.1%, respectively. This method was accurate and had good reproducibility and could be used to determine the monosaccharide contents of fucoidans.

  16. Analysis of Flood Hazards for the Materials and Fuels Complex at the Idaho National Laboratory Site

    Energy Technology Data Exchange (ETDEWEB)

    Skaggs, Richard; Breithaupt, Stephen A.; Waichler, Scott R.; Kim, Taeyun; Ward, Duane L.

    2010-11-01

    Researchers at Pacific Northwest National Laboratory conducted a flood hazard analysis for the Materials and Fuels Complex (MFC) site located at the Idaho National Laboratory (INL) site in southeastern Idaho. The general approach for the analysis was to determine the maximum water elevation levels associated with the design-basis flood (DBFL) and compare them to the floor elevations at critical building locations. Two DBFLs for the MFC site were developed using different precipitation inputs: probable maximum precipitation (PMP) and 10,000 year recurrence interval precipitation. Both precipitation inputs were used to drive a watershed runoff model for the surrounding upland basins and the MFC site. Outflows modeled with the Hydrologic Engineering Centers Hydrologic Modeling System were input to the Hydrologic Engineering Centers River Analysis System hydrodynamic flood routing model.

  17. [Catheter-related infection in home-based parenteral nutrition: outcomes from the NADYA group and presentation of a new protocol].

    Science.gov (United States)

    Cuerda, Compés C; Bretón, Lesmes I; Bonada Sanjaume, A; Planas Vila, M

    2006-01-01

    Hom parenteral nutrition (HPN) is a nutritional support modality that allows for the supply of parenteral nutrition bags to the patient's home. Since its first use in the late 60s, this therapy has allowed maintaining patients with intestinal failure alive that previously were doomed to death. In our country, this therapy is used by 2.15 patients pmp. According to the NADYA data, catheter-related infections account for 50% of all HPN-related complications. In larger series, infection rates are 0.5-2 infections/1000 days or 0.3-0.5 infections/patient/year. Most of them are produced by gram-positive organisms that migrate from the skin or from catheter connections to the tip. These infections are diagnosed by means of clinical data and with different microbiological cultures. When treating these infections, it is important to keep the catheter in place, and administering antibiotics through it, conventionally or with the antibioticolade technique.

  18. Solid waste information and tracking system client-server conversion project management plan

    Energy Technology Data Exchange (ETDEWEB)

    May, D.L.

    1998-04-15

    This Project Management Plan is the lead planning document governing the proposed conversion of the Solid Waste Information and Tracking System (SWITS) to a client-server architecture. This plan presents the content specified by American National Standards Institute (ANSI)/Institute of Electrical and Electronics Engineers (IEEE) standards for software development, with additional information categories deemed to be necessary to describe the conversion fully. This plan is a living document that will be reviewed on a periodic basis and revised when necessary to reflect changes in baseline design concepts and schedules. This PMP describes the background, planning and management of the SWITS conversion. It does not constitute a statement of product requirements. Requirements and specification documentation needed for the SWITS conversion will be released as supporting documents.

  19. [Renal transplantations in the Centre for Nephrology in Szombathely, 1976-2016].

    Science.gov (United States)

    Dobos, András; Ruzsa, Erzsébet; Molnár, Erzsébet; Szakács, Gyuláné; Kulcsár, Imre

    2017-06-01

    The organized nephrological care in Szombathely commenced its activities in 1976. Follow-up of our patients who has undergone a kidney transplantation. We used the local and national databases. 213 patients (7 preemptive, 206 dialyzed) had 240 renal transplantations. Only 11 of them were living organ donation. Between 69 transplantations (Tx) were carried out between 1976-1995, and 163 Tx were done in the second 20 years. 122 patients (57%) are still alive (the average survival of these patients in renal replacement therapy - RRT - are 11.4 years), and 7 of them had transplantation between 1976-1995. The longest survival time was 35.1 years. Prevalence of patients on RRT at the end of 2016 was 1367 pmp in our county (32.5% living with functioning graft). Number of transplanted patients has grown in the last decade. Proportion of living organ donation was minimal. Orv Hetil. 2017; 158(25): 984-991.

  20. Biomarker Candidates of Chlamydophila pneumoniae Proteins and Protein Fragments Identified by Affinity-Proteomics Using FTICR-MS and LC-MS/MS

    Science.gov (United States)

    Susnea, Iuliana; Bunk, Sebastian; Wendel, Albrecht; Hermann, Corinna; Przybylski, Michael

    2011-04-01

    We report here an affinity-proteomics approach that combines 2D-gel electrophoresis and immunoblotting with high performance mass spectrometry to the identification of both full length protein antigens and antigenic fragments of Chlamydophila pneumoniae (C. pneumoniae). The present affinity-mass spectrometry approach effectively utilized high resolution FTICR mass spectrometry and LC-tandem-MS for protein identification, and enabled the identification of several new highly antigenic C. pneumoniae proteins that were not hitherto reported or previously detected only in other Chlamydia species, such as Chlamydia trachomatis. Moreover, high resolution affinity-MS provided the identification of several neo-antigenic protein fragments containing N- and C-terminal, and central domains such as fragments of the membrane protein Pmp21 and the secreted chlamydial proteasome-like factor (Cpaf), representing specific biomarker candidates.

  1. Waste Management Program management plan. Revision 1

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1997-02-01

    As the prime contractor to the Department of Energy Idaho Operations Office (DOE-ID), Lockheed Martin Idaho Technologies Company (LMITCO) provides comprehensive waste management services to all contractors at the Idaho National Engineering and Environmental Laboratory (INEEL) through the Waste Management (WM) Program. This Program Management Plan (PMP) provides an overview of the Waste Management Program objectives, organization and management practices, and scope of work. This document will be reviewed at least annually and updated as needed to address revisions to the Waste Management`s objectives, organization and management practices, and scope of work. Waste Management Program is managed by LMITCO Waste Operations Directorate. The Waste Management Program manages transuranic, low-level, mixed low-level, hazardous, special-case, and industrial wastes generated at or transported to the INEEL.

  2. Detection of electroporation-induced membrane permeabilization states in the brain using diffusion-weighted MRI

    DEFF Research Database (Denmark)

    Mahmood, Faisal; Hansen, Rasmus H; Agerholm-Larsen, Birgit

    2015-01-01

    (DW-MRI) as a quantitative method for detecting EP-induced membrane permeabilization of brain tissue using a rat brain model. MATERIAL AND METHODS: Fifty-four anesthetized Sprague-Dawley male rats were electroporated in the right hemisphere, using different voltage levels to induce no permeabilization...... (NP), transient membrane permeabilization (TMP), and permanent membrane permeabilization (PMP), respectively. DW-MRI was acquired 5 minutes, 2 hours, 24 hours and 48 hours after EP. Histology was performed for validation of the permeabilization states. Tissue content of water, Na+, K+, Ca2......+, and extracellular volume were determined. The Kruskal-Wallis test was used to compare the DW-MRI parameters, apparent diffusion coefficient (ADC) and kurtosis, at different voltage levels. The two-sample Mann- Whitney test with Holm's Bonferroni correction was used to identify pairs of significantly different...

  3. Program management plan for the Molten Salt Reactor Experiment Remediation Project at Oak Ridge National Laboratory, Oak Ridge, Tennessee

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1996-09-01

    The primary mission of the Molten Salt Reactor Experiment (MSRE) Remediation Project is to effectively implement the risk-reduction strategies and technical plans to stabilize and prevent further migration of uranium within the MSRE facility, remove the uranium and fuel salts from the system, and dispose of the fuel and flush salts by storage in appropriate depositories to bring the facility to a surveillance and maintenance condition before decontamination and decommissioning. This Project Management Plan (PMP) for the MSRE Remediation Project details project purpose; technical objectives, milestones, and cost objectives; work plan; work breakdown structure (WBS); schedule; management organization and responsibilities; project management performance measurement planning, and control; conduct of operations; configuration management; environmental, safety, and health compliance; quality assurance; operational readiness reviews; and training.

  4. [A Case Report on a Successful Resection after FOLFIRI plus Cetuximab Therapy for Unresectable Colorectal Cancer with Multiple Liver Metastases].

    Science.gov (United States)

    Kanamori, Min; Kurumiya, Yasuhiro; Mizuno, Keisuke; Sekoguchi, Ei; Kobayashi, Satoshi; Fukami, Yasuyuki; Kiriyama, Muneyasu; Aoyama, Hiroki; Oiwa, Takashi; Miyamura, Kei; Jinno, Takanori; Nakashima, Yu; Mori, Makiko

    2017-05-01

    The patient was a 66-year-old woman with a history of right breast cancer 20 years prior. Her chief complaint was hematochezia, and she was diagnosed as having rectal cancer. She underwent laparoscopic high anterior resection. We made a diagnosis of moderately differentiated adenocarcinoma, type 2, 25×20 mm, pMP, pN0, Stage I, KRAS being wild-type. Multiple liver metastases were detected 6 months after the surgery. Tumor contacted with grison. The tumor was not completely resected as evidenced by the small liver remnant volume. Conversion therapy was administered, and the patient received 6 courses of FOLFIRI plus cetuximab therapy. Alopecia and grade 1 eruption were observed as adverse effects of the chemotherapy. The tumor size was reduced, and we resected the tumor by performing right lobectomy and partial hepatectomy. At 1 year 3 months after surgery, no recurrence was observed.

  5. Synthesis of endo,endo-2,5-bis((diphenylphosphino)methyl)bicyclo(2. 2. 1)heptane, a chelating diphosphine with a natural bite angle of 120 degree

    Energy Technology Data Exchange (ETDEWEB)

    Casey, C.P.; Whiteker, G.T. (Univ. of Wisconsin, Madison (United States))

    1990-02-16

    One of the key intermediates in rhodium-catalyzed hydroformylation reactions is a trigonal-bipyramidal rhodium diphosphine species. The two phosphines in (R{sub 3}P){sub 2}(CO){sub 2}RhH have the possibility of occupying two axial, two equatorial, or one axial and one equatorial position. Use of chelating ligands such as DIPHOS, which has a preferred bite angle (P-M-P) of about 90{degree} allows study of locked axial, equatorial diphosphine catalysts. Because of the authors' interest in hydroformylation, they have initiated a program to design and synthesize chelating diphosphines which have a constrained bite angle near 120{degree} for selective diequatorial coordination. Here they describe the synthesis and characterization of the racemic diphosphine.

  6. Using hydro-economic modelling to investigate trade-offs between ecological and economic water management objectives

    DEFF Research Database (Denmark)

    Riegels, Niels

    is that land and water use levels predicted by the two approaches are essentially the same. The prediction that high-value irrigated crops will not replace low-value crops is not unreasonable given behavior observed in the baseline data set and highlights the limitations of using economic models calibrated...... analysis approach. An important conclusion of this study is that water prices would have significant economic impacts on the agriculture sector. These impacts appear to be concentrated on growers of low value crops such as maize, cotton, and fodder crops, which would be unprofitable to grow even at lower...... that the PMP approach predicts that deficit irrigation will be profitable for many high value crops, the approach does not predict that low value crops will be converted to high value crops as prices increase. Because most irrigated areas are allocated to low value crops in the baseline data set, the result...

  7. Renal replacement therapy for autosomal dominant polycystic kidney disease (ADPKD) in Europe

    DEFF Research Database (Denmark)

    Spithoven, Edwin M; Kramer, Anneke; Meijer, Esther

    2014-01-01

    BACKGROUND: Autosomal dominant polycystic kidney disease (ADPKD) is the fourth most common renal disease requiring renal replacement therapy (RRT). Still, there are few epidemiological data on the prevalence of, and survival on RRT for ADPKD. METHODS: This study used data from the ERA-EDTA Registry...... on RRT prevalence and survival on RRT in 12 European countries with 208 million inhabitants. We studied four 5-year periods (1991-2010). Survival analysis was performed by the Kaplan-Meier method and by Cox proportional hazards regression. RESULTS: From the first to the last study period, the prevalence...... of RRT for ADPKD increased from 56.8 to 91.1 per million population (pmp). The percentage of prevalent RRT patients with ADPKD remained fairly stable at 9.8%. Two-year survival of ADPKD patients on RRT (adjusted for age, sex and country) increased significantly from 89.0 to 92.8%, and was higher than...

  8. Upscattering of ultracold neutrons from the polymer [C6H12]n

    Science.gov (United States)

    Sharapov, E. I.; Morris, C. L.; Makela, M.; Saunders, A.; Adamek, Evan R.; Broussard, L. J.; Cude-Woods, C. B.; Fellers, Deion E.; Geltenbort, Peter; Hartl, M.; Hasan, S. I.; Hickerson, K. P.; Hogan, G.; Holley, A. T.; Lavelle, C. M.; Liu, Chen-Yu; Mendenhall, M. P.; Ortiz, J.; Pattie, R. W., Jr.; Phillips, D. G., II; Ramsey, J.; Salvat, D. J.; Seestrom, S. J.; Shaw, E.; Sjue, Sky; Sondheim, W. E.; VornDick, B.; Wang, Z.; Womack, T. L.; Young, A. R.; Zeck, B. A.

    2013-12-01

    It is generally accepted that the main cause of ultracold neutron (UCN) losses in storage traps is upscattering to the thermal energy range by hydrogen adsorbed on the surface of the trap walls. However, the data on which this conclusion is based are poor and contradictory. Here we report a measurement, performed at the Los Alamos National Laboratory UCN source, of the average energy of the flux of upscattered neutrons after the interaction of UCN with hydrogen bound in the semicrystalline polymer PMP (trade name TPX), [C6H12]n. Our analysis, performed with the mcnp code which applies the neutron-scattering law to UCN upscattered by bound hydrogen in semicrystalline polyethylene, [C2H4]n, leads us to a flux average energy value of 26±3 meV, in contradiction to previously reported experimental values of 10 to 13 meV and in agreement with the theoretical models of neutron heating implemented in mcnp.

  9. Ending Aging in Super Glassy Polymer Membranes

    Energy Technology Data Exchange (ETDEWEB)

    Lau, CH; Nguyen, PT; Hill, MR; Thornton, AW; Konstas, K; Doherty, CM; Mulder, RJ; Bourgeois, L; Liu, ACY; Sprouster, DJ; Sullivan, JP; Bastow, TJ; Hill, AJ; Gin, DL; Noble, RD

    2014-04-16

    Aging in super glassy polymers such as poly(trimethylsilylpropyne) (PTMSP), poly(4-methyl-2-pentyne) (PMP), and polymers with intrinsic microporosity (PIM-1) reduces gas permeabilities and limits their application as gas-separation membranes. While super glassy polymers are initially very porous, and ultra-permeable, they quickly pack into a denser phase becoming less porous and permeable. This age-old problem has been solved by adding an ultraporous additive that maintains the low density, porous, initial stage of super glassy polymers through absorbing a portion of the polymer chains within its pores thereby holding the chains in their open position. This result is the first time that aging in super glassy polymers is inhibited whilst maintaining enhanced CO2 permeability for one year and improving CO2/N-2 selectivity. This approach could allow super glassy polymers to be revisited for commercial application in gas separations.

  10. A New UPLC-MS/MS Method for the Characterization and Discrimination of Polysaccharides from Genus Ephedra Based on Enzymatic Digestions

    Directory of Open Access Journals (Sweden)

    Yong-Gang Xia

    2017-11-01

    Full Text Available Ephedra sinica polysaccharides have been reported to possess important activities, so quality evaluation of polysaccharides from the genus Ephedra is urgent. In this study, enzymatic digestions were performed to establish multiple saccharide fingerprints by ultra-performance liquid chromatography with electrospray ionization triple quadrupole linear ion trap mass spectrometry (UPLC-ESI-TQ-MS/MS based on a multiple-reaction monitoring in negative mode. Under optimum UPLC-ESI--TQ-MS/MS conditions, excellent separation and quantification of 21 constituents were achieved within 20 min on a solid core column with a 1.6 μm particle using pre-column derivatization with a PMP reagent. This method, coupled with enzymatic digestions and principal component analysis, has been successfully applied to characterize and discriminate Ephedra polysaccharides attributed to different species and plant parts. The results suggest that the proposed analytical strategy could achieve a quality evaluation of plant polysaccharides from traditional Chinese medicines.

  11. Inquérito Brasileiro de Diálise Crônica 2014

    Directory of Open Access Journals (Sweden)

    Ricardo Cintra Sesso

    2016-03-01

    Full Text Available Resumo Introdução: Dados nacionais sobre diálise crônica têm tido impacto no planejamento do tratamento. Objetivo: Apresentar dados do inquérito da Sociedade Brasileira de Nefrologia sobre os pacientes com doença renal crônica em tratamento dialítico em julho de 2014. Métodos: Levantamento de dados de unidades de diálise do país. A coleta de dados foi feita utilizando questionário preenchido on-line pelas unidades de diálise. Resultados: Trezentas e doze (44% unidades responderam ao censo. Em julho de 2014, o número total estimado de pacientes em diálise foi de 112.004. As estimativas nacionais das taxas de prevalência e de incidência de tratamento dialítico foram de 552 (variação: 364 na região Norte e 672 na Sudeste e 180 pacientes por milhão da população (pmp, respectivamente. A taxa de incidência de nefropatia diabética foi de 77 pmp. A taxa anual de mortalidade bruta foi de 19%. Dos pacientes prevalentes, 91% estavam em hemodiálise e 9% em diálise peritoneal, 32.499 (29% estavam em fila de espera para transplante, 37% tinham sobrepeso/obesidade, 29% tinham diabetes, 16% tinham PTH > 600 pg/ml e 26% hemoglobina < 10 g/dl. Cateter venoso era usado como acesso em 17% dos pacientes em hemodiálise. Conclusão: Entre 2011-1014, as taxas de incidência e prevalência em diálise tenderam a aumentar e a de mortalidade ficou estável. Em 2014, diabetes era a doença de base em 42% dos pacientes novos.

  12. Challenging Near InfraRed Spectroscopy discriminating ability for counterfeit pharmaceuticals detection

    Energy Technology Data Exchange (ETDEWEB)

    Storme-Paris, I. [Groupe de Chimie Analytique de Paris-Sud, EA 4041, IFR 141, School of Pharmacy, Univ Paris-Sud, 5 rue Jean Baptiste Clement, 92296 Chatenay-Malabry (France); Rebiere, H. [Laboratories and Control Department, French Health Products Safety Agency (AFSSAPS), 635 rue de la Garenne, 34740 Vendargues (France); Matoga, M. [Groupe de Chimie Analytique de Paris-Sud, EA 4041, IFR 141, School of Pharmacy, Univ Paris-Sud, 5 rue Jean Baptiste Clement, 92296 Chatenay-Malabry (France); Civade, C.; Bonnet, P.-A.; Tissier, M.H. [Laboratories and Control Department, French Health Products Safety Agency (AFSSAPS), 635 rue de la Garenne, 34740 Vendargues (France); Chaminade, P., E-mail: pierre.chaminade@u-psud.fr [Groupe de Chimie Analytique de Paris-Sud, EA 4041, IFR 141, School of Pharmacy, Univ Paris-Sud, 5 rue Jean Baptiste Clement, 92296 Chatenay-Malabry (France)

    2010-01-25

    This study was initiated by the laboratories and control department of the French Health Products Safety Agency (AFSSAPS) as part of the fight against the public health problem of rising counterfeit and imitation medicines. To test the discriminating ability of Near InfraRed Spectroscopy (NIRS), worse cases scenarios were first considered for the discrimination of various pharmaceutical final products containing the same Active Pharmaceutical Ingredient (API) with different excipients, such as generics of proprietary medicinal products (PMP). Two generic databases were explored: low active strength hard capsules of Fluoxetine and high strength tablets of Ciprofloxacin. Then 4 other cases involving suspicious samples, counterfeits and imitations products were treated. In all these cases, spectral differences between samples were studied, giving access to API or excipient contents information, and eventually allowing manufacturing site identification. A chemometric background is developed to explain the optimisation methodology, consisting in the choices of appropriate pretreatments, algorithms for data exploratory analyses (unsupervised Principal Component Analysis), and data classification (supervised cluster analysis, and Soft Independent Modelling of Class Analogy). Results demonstrate the high performance of NIRS, highlighting slight differences in formulations, such as 2.5% (w/w) in API strength, 1.0% (w/w) in excipient and even coating variations (<1%, w/w) with identical contents, approaching the theoretical limits of NIRS sensitivity. All the different generic formulations were correctly discriminated and foreign PMP, constituted of formulations slightly different from the calibration ones, were also all discriminated. This publication addresses the ability of NIRS to detect counterfeits and imitations and presents the NIRS as an ideal tool to master the global threat of counterfeit drugs.

  13. Synthesis, structural characterization, and antiinflammatory activity of triethylphosphinegold(I) sulfanylpropenoates of the type [(AuPEt3)2xspa] [H2xspa = 3-(aryl)-2-sulfanylpropenoic acid]: an (H2O)6 cluster in the lattice of the complexes [(AuPEt3)2xspa] x 3 H2O.

    Science.gov (United States)

    Barreiro, Elena; Casas, José S; Couce, María D; Gato, Angeles; Sánchez, Agustín; Sordo, José; Varela, José M; Vázquez López, Ezequiel M

    2008-07-21

    Gold complexes of the type [(AuPEt3)2xspa] were prepared by reacting AuPEt3Cl in basic media with the 3-(aryl)-2-sulfanylpropenoic acids H2xspa [x = p, Clp, -o-mp, -p-mp, -o-hp, -p-hp, diBr-o-hp, f, t, -o-py; p = 3-phenyl, Clp = 3-(2-chlorophenyl)-, -o-mp = 3-(2-methoxyphenyl)-, -p-mp = 3-(4-methoxyphenyl)-, -o-hp = 3-(2-hydroxyphenyl)-, -p-hp = 3-(4-hydroxyphenyl)-, diBr-o-hp = 3-(3,5- dibromo-2-hydroxyphenyl)-, f = 3-(2-furyl)-, t = 3-(2-thienyl)-, -o-py = 3-(2-pyridyl); spa = 2-sulfanylpropenoato], and 2-cyclopentylidene-2-sulfanylacetic acid (H2cpa). The complexes were characterized by spectroscopic methods (IR, (1)H, (13)C and (31)P NMR) and mass spectrometry, and the complexes [(AuPEt3)2pspa] x 3 H2O, [(AuPEt3)2-p-hpspa] x 3 H2O, [(AuPEt3)2tspa)] x 3 H2O, and [(AuPEt3)2-o-hpspa] by X-ray diffractometry. The crystals of the first three complexes contain (H2O)6 clusters hydrogen bonded to [(AuPEt3)2xspa]2 dimer units, whereas in the -o-hpspa derivative the hydrogen bonds are between the monomer [(AuPEt3)2-o-hpspa] units. The antiinflammatory activity of the complexes against plantar edema induced by carrageenan in rats is generally significant, with the values for the o-hpspa and tspa derivatives being particularly high.

  14. VALOR AGREGADO DE LAS ESPECIES Brycon erythropterum (SÁBALO, Colossoma macropomum (GAMITANA, Arapaima gigas (PAICHE y Agouti paca (MAJAS

    Directory of Open Access Journals (Sweden)

    Doylith Vásquez Jurafo

    2012-12-01

    Full Text Available El presente trabajo tiene como objetivo  la obtención de  productos mínimamente procesados (PMP de Brycon erythropterum (SÁBALO, Colossoma macropomum (GAMITANA, Arapaima gigas (PAICHE, y Agouti paca (MAJAS congelado y empacado al vacio. Para las especies piscícolas, se ha aplicado un diseño factorial de 32 con dos factores de estudios: concentración de NaCl en la solución osmótica con tres niveles (15, 20 y 25 % y temperatura de proceso  con tres niveles de estudio (5, 10 y 15 °C. Para el Agouti paca (majas se aplico un diseño factorial completamente aleatorizado con tres factores de estudio: tiempo de proceso (30, 60 y 90 minutos, método de ahumado (ahumado líquido y ahumado en caliente y tipo de corte del músculo (partes y filetes. Para trabajar se ha diseñado y montado un deshidratador Osmótico teniendo en cuenta, diámetro de tubería, deshidratador propiamente dicho con doble chaqueta, capacidad del deshidratador en función del volumen de la Salmuera.  Todos los productos se obtuvieron  en procesos con 10 °C y tiempos entre 30 min y  90 min. El tiempo de vida en almacenamiento en las evaluaciones de aroma y color en majas tienen una vida útil de 4 meses de almacenados a -18 °C. Los análisis microbiológicos realizados a los PMP no pasan los límites de la NTS Nº 071 MINSA/DIGESA V01.

  15. VALOR AGREGADO DE LAS ESPECIES Brycon erythropterum (SÁBALO, Colossoma macropomum (GAMITANA, Arapaima gigas (PAICHE y Agouti paca (MAJAS

    Directory of Open Access Journals (Sweden)

    Doylith Vásquez Jurafo

    2012-12-01

    Full Text Available El presente trabajo tiene como objetivo la obtención de productos mínimamente procesados (PMP de Brycon erythropterum (SÁBALO, Colossoma macropomum (GAMITANA, Arapaima gigas (PAICHE, y Agouti paca (MAJAS congelado y empacado al vacio. Para las especies piscícolas, se ha aplicado un diseño factorial de 32 con dos factores de estudios: concentración de NaCl en la solución osmótica con tres niveles (15, 20 y 25 % y temperatura de proceso con tres niveles de estudio (5, 10 y 15 °C. Para el Agouti paca (majas se aplicó un diseño factorial completamente aleatorizado con tres factores de estudio: tiempo de proceso (30, 60 y 90 minutos, método de ahumado (ahumado líquido y ahumado en caliente y tipo de corte del músculo (partes y filetes. Para trabajar se ha diseñado y montado un deshidratador Osmótico teniendo en cuenta, diámetro de tubería, deshidratador propiamente dicho con doble chaqueta, capacidad del deshidratador en función del volumen de la Salmuera.  Todos los productos se obtuvieron en procesos con 10 °C y tiempos entre 30 min y 90 min. El tiempo de vida en almacenamiento en las evaluaciones de aroma y color en majas tienen una vida útil de 4 meses de almacenados a -18 °C. Los análisis microbiológicos realizados a los PMP no pasan los límites de la NTS Nº 071 MINSA/DIGESA V01.

  16. Mutational analysis of adrenoleukodystrophy (ALD) gene in Japanese ALD patients

    Energy Technology Data Exchange (ETDEWEB)

    Koike, R.; Onodera, O.; Tabe, H. [Miigate Univ. (Japan)] [and others

    1994-09-01

    Recently a putative ALD gene containing a striking homology with peroxisomal membrane protein (PMP70) has been identified. Besides childhood ALD, various clinical phenotypes have been identified with the onset in adolescence or adulthood (adrenomyeloneuropathy (AMN), adult cerebral ALD or cerebello-brainstem dominant type). The different clinical phenotypes occasionally coexist even in the same family. To investigate if there is a correlation between the clinical phenotypes and genotypes of the mutations in the ALD gene, we have analyzed 43 Japanese ALD patients. By Southern blot analysis, we identified non-overlapping deletions of 0.5 kb to 10.4 kb involving the ALD gene in 3 patients with adult onset cerebello-brainstem dominant type. By detailed direct sequence analysis, we found 4 patients who had point mutations in the coding region. An AMN patient had a point mutation leading to {sup 266}Gly{r_arrow}Arg change, and another patient with adult cerebral ALD had a 3 bp deletion resulting in the loss of glutamic acid at codon 291, which is a conserved amino acid both in ALD protein and PMP70. Two patients with childhood ALD had point mutations leading to {sup 507}Gly{r_arrow}Val, and {sup 518}Arg{r_arrow}Gln, respectively. Since amino acids from 507 to 520 are highly conserved as ATP-binding cassette transporter proteins, mutations in this region are expected to result in dramatic changes of the function of this protein. Although there is a tendancy for mutation in childhood ALD to be present within the ATP-binding site motif, we found two adult patients who had large deletions involving the region. Taken together, strong correlation between genotypes and clinical phenotypes is unlikely to exist, and some other modifying factors might well play an important role for the clinical manifestations of ALD.

  17. Selection and validation of a set of reliable reference genes for quantitative sod gene expression analysis in C. elegans

    Directory of Open Access Journals (Sweden)

    Vandesompele Jo

    2008-01-01

    Full Text Available Abstract Background In the nematode Caenorhabditis elegans the conserved Ins/IGF-1 signaling pathway regulates many biological processes including life span, stress response, dauer diapause and metabolism. Detection of differentially expressed genes may contribute to a better understanding of the mechanism by which the Ins/IGF-1 signaling pathway regulates these processes. Appropriate normalization is an essential prerequisite for obtaining accurate and reproducible quantification of gene expression levels. The aim of this study was to establish a reliable set of reference genes for gene expression analysis in C. elegans. Results Real-time quantitative PCR was used to evaluate the expression stability of 12 candidate reference genes (act-1, ama-1, cdc-42, csq-1, eif-3.C, mdh-1, gpd-2, pmp-3, tba-1, Y45F10D.4, rgs-6 and unc-16 in wild-type, three Ins/IGF-1 pathway mutants, dauers and L3 stage larvae. After geNorm analysis, cdc-42, pmp-3 and Y45F10D.4 showed the most stable expression pattern and were used to normalize 5 sod expression levels. Significant differences in mRNA levels were observed for sod-1 and sod-3 in daf-2 relative to wild-type animals, whereas in dauers sod-1, sod-3, sod-4 and sod-5 are differentially expressed relative to third stage larvae. Conclusion Our findings emphasize the importance of accurate normalization using stably expressed reference genes. The methodology used in this study is generally applicable to reliably quantify gene expression levels in the nematode C. elegans using quantitative PCR.

  18. Quantification of Carbon Dioxide Removal at Low Sweep Gas and Blood Flows.

    Science.gov (United States)

    de Villiers Hugo, Juan; Sharma, Ajay S; Ahmed, Usaama; Weerwind, Patrick W

    2017-12-01

    Advancement in oxygenator membrane technology has further expanded the boundaries in the clinical application of extracorporeal carbon dioxide removal (ECCO2R). Despite the advent of modern poly-4-methyl-1-pentene (PMP) membranes, limited information exists on the performance of these membranes at low sweep gas and blood flows. Moreover, physiological relationships for CO2 removal at these flows are less explored. Hence, CO2 removal was quantified in an in vitro setting using a PMP membrane oxygenator. ECCO2R was performed using a .8 m2 surface pediatric oxygenator in an in vitro setting with freshly drawn single-source porcine blood. In this setting, low blood flows of either 200 or 350 mL/min were generated, with sweep gas flow rates of 100, 200, and 400 mL/min, respectively. CO2 transfer ranged from 14.05 ± 4.35 mL/min/m2 to 18.76 ± 4.26 mL/min/m2 at a sweep gas to a blood flow ratio of .5:1 to 2:1 (p gas to blood flow ratio, while maintaining a constant gas flow, did not show a significant increase in CO2 extraction (p > .05). At these test parameters, an increase in sweep gas improved the CO2 transfer, whereas an increase in blood flow resulted in a lower CO2 transfer. These results indicate that CO2 removal in low-flow ECCO2R is mainly sweep gas flow driven. Although these settings might not be applicable for clinical use, this study gives tangible information about the important factor involved in ECCO2R.

  19. Dam failure analysis for the Lago de Matrullas Dam, Orocovis, Puerto Rico

    Science.gov (United States)

    Torres-Sierra, Heriberto; Gómez-Fragoso, Julieta

    2015-01-01

    The U.S. Geological Survey, in cooperation with the Puerto Rico Electric Power Authority, completed a hydrologic and hydraulic study to assess the potential hazard to human life and property associated with the hypothetical failure of the Lago de Matrullas Dam, located within the headwaters of the Río Grande de Manatí. The hydrologic study yielded outflow hydrographs and peak discharges for Lago de Matrullas and other subbasins in the Río Grande de Manatí hydrographic basin for three extreme rainfall events: (1) a 6-hour probable maximum precipitation (PMP) event, (2) a 24-hour PMP event, and (3) a 100-year-recurrence, 24-hour rainfall event. The hydraulic study simulated the hypothetical dam failure of Lago de Matrullas using hypothetical flood hydrographs generated from the hydrologic study and selected dam breach parameters. The flood wave resulting from the failure was downstream-routed through the lower reaches of the Río Matrullas, the Río Toro Negro, and the Río Grande de Manatí for determination of water-surface profiles developed from the event-based hydrologic scenarios and “sunny day” (no precipitation) conditions. The Hydrologic Modeling System (HEC–HMS) and the River Analysis System (HEC–RAS) computer programs, developed by the Hydrologic Engineering Center (HEC) of the U.S. Army Corps of Engineers, were used for the hydrologic and hydraulic modeling, respectively. The flow routing in the hydraulic analyses was performed using the unsteady-state flow module available in the HEC–RAS model.

  20. Incidence, mortality, and prevalence of end-stage chronic renal disease in the Bajo Lempa region of El Salvador: A ten-year community registry.

    Science.gov (United States)

    García-Trabanino, Ramón; Hernández, Carolina; Rosa, Adrián; Domínguez Alonso, Jesús

    The Bajo Lempa is an impoverished rural coastal region of El Salvador affected by the chronic kidney disease (CKD) epidemic known as Mesoamerican nephropathy. The local community organisation Fondo Social de Emergencia para la Salud (FSES) (Emergency social fund for health) is helping to fight the epidemic in 42 communities of the region (19,223 inhabitants; average age 26.7 years; 48.5% male; 40.2% <18 years). To report annual rates of end-stage renal disease (ESRD) incidence and patient mortality in these communities during a 10-year period (2004-2013), and the prevalence of patients receiving renal replacement therapy (RRT) as of 31 December 2013. The FSES recorded new ESRD cases, basic patient history, form of RRT if received and patient deaths. We registered 271 new ESRD cases (annual average 27.1; 89% male; average age 55.6 years, four <18 years). Average annual ESRD incidence rate: 1409.8 per million population (pmp). Two-thirds did not report diabetes or hypertension. 94 patients (34.7%) received RRT: 58 in the Ministry of health, 26 in private services, 9 in social security and 1 in the military health system. 246 patients died (annual average 24.6 deaths; 89.4% male; average age 56.1 years; 92.3% at home). Average annual mortality rate: 128/100,000 population. Prevalence of patients receiving RRT in 2013: 1300.5 pmp (N=25; 84% male; average age 51 years). This region has a high incidence of ESRD. Few receive RRT. Patient mortality is high even with RRT. Most patients are male (9:1). Social determinants influence the high mortality. Copyright © 2016 Sociedad Española de Nefrología. Published by Elsevier España, S.L.U. All rights reserved.

  1. Nevada Test Site probable maximum flood study, part of US Geological Survey flood potential and debris hazard study, Yucca Mountain Site for US Department of Energy, Office of Civilian Radioactive Waste Management

    Energy Technology Data Exchange (ETDEWEB)

    Bullard, K.L.

    1994-08-01

    The US Geological Survey (USGS), as part of the Yucca Mountain Project (YMP), is conducting studies at Yucca Mountain, Nevada. The purposes of these studies are to provide hydrologic and geologic information to evaluate the suitability of Yucca Mountain for development as a high-level nuclear waste repository, and to evaluate the ability of the mined geologic disposal system (MGDS) to isolate the waste in compliance with regulatory requirements. In particular, the project is designed to acquire information necessary for the Department of Energy (DOE) to demonstrate in its environmental impact statement (EIS) and license application whether the MGDS will meet the requirements of federal regulations 10 CFR Part 60, 10 CFR Part 960, and 40 CFR Part 191. Complete study plans for this part of the project were prepared by the USGS and approved by the DOE in August and September of 1990. The US Bureau of Reclamation (Reclamation) was selected by the USGS as a contractor to provide probable maximum flood (PMF) magnitudes and associated inundation maps for preliminary engineering design of the surface facilities at Yucca Mountain. These PMF peak flow estimates are necessary for successful waste repository design and construction. The PMF technique was chosen for two reasons: (1) this technique complies with ANSI requirements that PMF technology be used in the design of nuclear related facilities (ANSI/ANS, 1981), and (2) the PMF analysis has become a commonly used technology to predict a ``worst possible case`` flood scenario. For this PMF study, probable maximum precipitation (PMP) values were obtained for a local storm (thunderstorm) PMP event. These values were determined from the National Weather Services`s Hydrometeorological Report No. 49 (HMR 49).

  2. Explaining failure through success: a critical analysis of reduction in road and stroke deaths as an explanation for Australia's low deceased organ donation rates.

    Science.gov (United States)

    Bendorf, A; Kerridge, I H; Kelly, P J; Pussell, B; Guasch, X

    2012-08-01

    During the past two decades, Australian federal and state governments have funded many initiatives to bolster organ donation. Despite large investments of time, effort and money, Australia's deceased donation rate is in the bottom half of the Organisation for Economic Co-operation and Development countries and has only marginally increased from 11.9 donors per million people (pmp) in 1990 to 14.9 donors pmp in 2011. An often-cited explanation for this situation is that Australia's success in increasing levels of public health and safety through reduced traffic and stroke fatalities has reduced its number of potential deceased organ donors. We refer to this as the 'Failure Because of Success' hypothesis. Although commonly accepted, this hypothesis is largely untested. By analysing data from international donation and transplantation organisations and international public health and safety organisations, we compared historical deceased organ donation rates with traffic and stroke fatality rates in Australia and the seven countries with the world's highest deceased organ donation rates (Spain, Portugal, France, USA, Belgium, Austria and Italy). Traffic fatality rates across all countries in the study have fallen dramatically during the time period, with Spain having the lowest traffic fatality rates. Stroke fatality rates demonstrate similar reductions, with France showing the lowest cerebral vascular accident mortality rates. When compared with countries with the world's highest deceased donation rates, Australia's improvements to public health and safety through reductions in traffic and stroke fatalities were neither unique nor exemplary and do not provide an adequate explanation for its low organ donor rates. © 2012 The Authors. Internal Medicine Journal © 2012 Royal Australasian College of Physicians.

  3. Rapid Determination of the Monosaccharide Composition and Contents in Tea Polysaccharides from Yingshuang Green Tea by Pre-Column Derivatization HPLC

    Directory of Open Access Journals (Sweden)

    Yujie Ai

    2016-01-01

    Full Text Available A pre-column derivatization high-performance liquid chromatography (HPLC method was developed and optimized to characterize and quantify the monosaccharides present in tea polysaccharides (TPS isolated from Yingshuang green tea. TPS sample was hydrolyzed with trifluoroacetic acid, subjected to pre-column derivatization using 1-phenyl-3-methyl-5-pyrazolone (PMP, and separated on an Agilent TC-C18 column (4.6 mm × 250 mm, 5 μm with UV detection at 250 nm. A mixture of ten PMP derivatives of standard monosaccharides (mannose, ribose, rhamnose, glucuronic acid, galacturonic acid, glucose, xylose, galactose, arabinose, and fucose could be baseline separated within 20 min. Moreover, quantitative analysis of the component monosaccharides in Yingshuang green tea TPS was achieved, indicating the TPS consisted of mannose, ribose, rhamnose, glucuronic acid, galacturonic acid, glucose, xylose, galactose, and arabinose in the molar contents of 0.72, 0.78, 0.89, 0.13, 0.15, 0.36, 0.39, 0.36, 0.36, and 0.38 μM, respectively. Recovery efficiency for component monosaccharides from TPS ranged from 93.6 to 102.4% with RSD values lower than 2.5%. In conclusion, pre-column derivatization HPLC provides a rapid, reproducible, accurate, and quantitative method for analysis of the monosaccharide composition and contents in TPS, which may help to further explore the relationship between TPS monosaccharides isolated from different tea varieties and their biological activity.

  4. Time optimal trajectories for mobile robots with two independently driven wheels

    Energy Technology Data Exchange (ETDEWEB)

    Reister, D.B.; Pin, F.G.

    1992-03-01

    This paper addresses the problem of time-optional motions for a mobile platform in a planar environment. The platform has two non-steerable independently driven wheels. The overall mission of the robot is expressed in terms of a sequence of via points at which the platform must be at rest in a given configuration (position and orientation). The objective is to plan time-optimal trajectories between these configurations assuming an unobstructed environment. Using Pontryagin`s maximum principle (PMP), we formally demonstrate that all time optimal motions of the platform for this problem occur for bang-bang controls on the wheels (at each instant, the acceleration on each wheel is either at its upper or lower limit). The PMP, however, only provides necessary conditions for time optimality. To find the time optimal robot trajectories, we first parameterize the bang-bang trajectories using the switch times on the wheels (the times at which the wheel accelerations change sign). With this parameterization, we can fully search the robot trajectory space and find the switch times that will produce particular paths to a desired final configuration of the platform. We show numerically that robot trajectories with three switch times (two on one wheel, one on the other) can reach any position, while trajectories with four switch times can reach any configuration. By numerical comparison with other trajectories involving similar or greater numbers of switch times, we then identify the sets of time-optimal trajectories. These are uniquely defined using ranges of the parameters, and consist of subsets of trajectories with three switch times for the problem when the final orientation of the robot is not specified, and four switch times when a full final configuration is specified. We conclude with a description of the use of the method for trajectory planning for one of our robots.

  5. Time optimal trajectories for mobile robots with two independently driven wheels

    Energy Technology Data Exchange (ETDEWEB)

    Reister, D.B.; Pin, F.G.

    1992-03-01

    This paper addresses the problem of time-optional motions for a mobile platform in a planar environment. The platform has two non-steerable independently driven wheels. The overall mission of the robot is expressed in terms of a sequence of via points at which the platform must be at rest in a given configuration (position and orientation). The objective is to plan time-optimal trajectories between these configurations assuming an unobstructed environment. Using Pontryagin's maximum principle (PMP), we formally demonstrate that all time optimal motions of the platform for this problem occur for bang-bang controls on the wheels (at each instant, the acceleration on each wheel is either at its upper or lower limit). The PMP, however, only provides necessary conditions for time optimality. To find the time optimal robot trajectories, we first parameterize the bang-bang trajectories using the switch times on the wheels (the times at which the wheel accelerations change sign). With this parameterization, we can fully search the robot trajectory space and find the switch times that will produce particular paths to a desired final configuration of the platform. We show numerically that robot trajectories with three switch times (two on one wheel, one on the other) can reach any position, while trajectories with four switch times can reach any configuration. By numerical comparison with other trajectories involving similar or greater numbers of switch times, we then identify the sets of time-optimal trajectories. These are uniquely defined using ranges of the parameters, and consist of subsets of trajectories with three switch times for the problem when the final orientation of the robot is not specified, and four switch times when a full final configuration is specified. We conclude with a description of the use of the method for trajectory planning for one of our robots.

  6. Antibody signature of spontaneous clearance of Chlamydia trachomatis ocular infection and partial resistance against re-challenge in a nonhuman primate trachoma model.

    Directory of Open Access Journals (Sweden)

    Laszlo Kari

    Full Text Available Chlamydia trachomatis is the etiological agent of trachoma the world's leading cause of infectious blindness. Here, we investigate whether protracted clearance of a primary infection in nonhuman primates is attributable to antigenic variation or related to the maturation of the anti-chlamydial humoral immune response specific to chlamydial antigens.Genomic sequencing of organisms isolated throughout the protracted primary infection revealed that antigenic variation was not related to the inability of monkeys to efficiently resolve their infection. To explore the maturation of the humoral immune response as a possible reason for delayed clearance, sera were analyzed by radioimmunoprecipitation using intrinsically radio-labeled antigens prepared under non-denaturing conditions. Antibody recognition was restricted to the antigenically variable major outer membrane protein (MOMP and a few antigenically conserved antigens. Recognition of MOMP occurred early post-infection and correlated with reduction in infectious ocular burdens but not with infection eradication. In contrast, antibody recognition of conserved antigens, identified as PmpD, Hsp60, CPAF and Pgp3, appeared late and correlated with infection eradication. Partial immunity to re-challenge was associated with a discernible antibody recall response against all antigens. Antibody recognition of PmpD and CPAF was destroyed by heat treatment while MOMP and Pgp3 were partially affected, indicating that antibody specific to conformational epitopes on these proteins may be important to protective immunity.Our findings suggest that delayed clearance of chlamydial infection in NHP is not the result of antigenic variation but rather a consequence of the gradual maturation of the C. trachomatis antigen-specific humoral immune response. However, we cannot conclude that antibodies specific for these proteins play the primary role in host protective immunity as they could be surrogate markers of T cell

  7. Mechanism of Inactivation of γ-Aminobutyric Acid Aminotransferase by (1 S ,3 S )-3-Amino-4-difluoromethylene-1-cyclopentanoic Acid (CPP-115)

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Hyunbeom [Department; Doud, Emma H. [Department; Department; Wu, Rui [Department; Sanishvili, Ruslan [X-ray; Juncosa, Jose I. [Department; Liu, Dali [Department; Kelleher, Neil L. [Department; Department; Silverman, Richard B. [Department; Department

    2015-02-10

    gamma-Aminobutyric acid aminotransferase (GABA-AT) is a pyridoxal 5'-phosphate (PLP)-dependent enzyme that degrades GABA, the principal inhibitory neurotransmitter in mammalian cells. When the concentration of GABA falls below a threshold level, convulsions can occur. Inhibition of GABA-AT raises GABA levels in the brain, which can terminate seizures as well as have potential therapeutic applications in treating other neurological disorders, including drug addiction. Among the analogues that we previously developed, (1S,3S)-3-amino-4-difluoromethylene-1-cyclopentanoic acid (CPP-115) showed 187 times greater potency than that of vigabatrin, a known inactivator of GABA-AT and approved drug (Sabril) for the treatment of infantile spasms and refractory adult epilepsy. Recently, CPP-115 was shown to have no adverse effects in a Phase I clinical trial. Here we report a novel inactivation mechanism for CPP-115, a mechanism-based inactivator that undergoes GABA-AT-catalyzed hydrolysis of the difluoromethylene group to a carboxylic acid with concomitant loss of two fluoride ions and coenzyme conversion to pyridoxamine 5'-phosphate (PMP). The partition ratio for CPP-115 with GABA-AT is about 2000, releasing cyclopentanone-2,4-dicarboxylate (22) and two other precursors of this compound (20 and 21). Time-dependent inactivation occurs by a conformational change induced by the formation of the aldimine of 4-aminocyclopentane-1,3-dicarboxylic acid and PMP (20), which disrupts an electrostatic interaction between Glu270 and Arg445 to form an electrostatic interaction between Arg445 and the newly formed carboxylate produced by hydrolysis of the difluoromethylene group in CPP-115, resulting in a noncovalent, tightly bound complex. This represents a novel mechanism for inactivation of GABA-AT and a new approach for the design of mechanism-based inactivators in general.

  8. VARIABILIDADE ESPACIAL DE CARACTERÍSTICAS FÍSICO-HÍDRICAS E DE ÁGUA DISPONÍVEL EM UM SOLO ALUVIAL NO SEMI-ÁRIDO PARAIBANO

    Directory of Open Access Journals (Sweden)

    João Rodrigues de Sousa

    1999-08-01

    Full Text Available RESUMO Este trabalho teve como objetivo avaliar a variabilidade espacial de características físico-hídricas e de água disponível de um solo aluvial para fins de manejo adequado da irrigação. Amostras de solo com estrutura deformada foram coletadas (profundidades de 0 - 0,20 e 0,20 - 0,40 m numa área do Projeto Capoeira, Município de São José do Bonfim, Estado da Paraíba, através de uma amostragem sistemática (malha regular de 10 x 15 m, totalizando 90 pontos; foi realizada uma análise descritiva geral e identificada a estrutura espacial de variância das seguintes variáveis: porcentagens de areia, silte e argila, capacidade de campo (CC, ponto de murcha permanente (PMP e porcentagem de água disponível (AD. Constatou-se variabilidade média para as variáveis estudadas, com CV entre 17,43% (% argila de 0,20 - 0,40 m e 46,48% (% areia de 0,20 - 0,40 m. Com base na amplitude interquartílica (Ai observou-se a seguinte ordem decrescente de variabilidade: % areia > % silte > % argila > CC > AD > PMP; observou-se dependência espacial, com alcances variando de 25 m (% silte de 0 - 0,20 m a 60 m (% silte de 0,20 - 0,40 m. O mapa de isolinhas para AD, construído com valores estimados mediante o processo de krigagem, permitiu uma visualização do seu padrão de variabilidade, constituindo uma importante ferramenta para orientação do manejo da irrigação.

  9. Increase in Drug Overdose Deaths Involving Fentanyl-Rhode Island, January 2012-March 2014.

    Science.gov (United States)

    Mercado, Melissa C; Sumner, Steven A; Spelke, M Bridget; Bohm, Michele K; Sugerman, David E; Stanley, Christina

    2017-03-06

     This study identified sociodemographic, substance use, and multiple opioid prescriber and dispenser risk factors among drug overdose decedents in Rhode Island, in response to an increase in overdose deaths (ODs) involving fentanyl.  This cross-sectional investigation comprised all ODs reviewed by Rhode Island's Office of the State Medical Examiners (OSME) during January 2012 to March 2014. Data for 536 decedents were abstracted from OSME's charts, death certificates, toxicology reports, and Prescription Monitoring Program (PMP) databases. Decedents whose cause of death involved illicit fentanyl (N = 69) were compared with decedents whose causes of death did not involve fentanyl (other drug decedents; N = 467). Illicit-fentanyl decedents were younger than other drug decedents ( P  = 0.005). While more other-drug decedents than illicit fentanyl decedents had postmortem toxicological evidence of consuming heroin (31.9% vs 19.8%, P  fentanyl decedents (62.3% vs 45.6%, P  = 0.002). Approximately 35% of decedents filled an opioid prescription within 90 days of death; of these, one-third had a mean daily dosage greater than 100 morphine milligram equivalents (MME/day). Most decedents' opioid prescriptions were filled at one to two dispensers (83.9%) and written by one to two prescribers (75.8%). Notably, 29.2% of illicit fentanyl and 10.5% of other drug decedents filled prescriptions for buprenorphine, which is used to treat opioid use disorders. Illicit-fentanyl deaths frequently involved other illicit drugs (e.g., cocaine, heroin). The proportion of all decedents acquiring greater than 100 MME/day prescription dosages written and/or filled by few prescribers and dispensers is concerning. To protect patients, prescribers and dispensers should review PMP records and substance abuse history prior to providing opioids.

  10. PEX11β induces peroxisomal gene expression and alters peroxisome number during early Xenopus laevis development

    Directory of Open Access Journals (Sweden)

    Damjanovski Sashko

    2011-04-01

    Full Text Available Abstract Background Peroxisomes are organelles whose roles in fatty acid metabolism and reactive oxygen species elimination have contributed much attention in understanding their origin and biogenesis. Many studies have shown that de novo peroxisome biogenesis is an important regulatory process, while yeast studies suggest that total peroxisome numbers are in part regulated by proteins such as Pex11, which can facilitate the division of existing peroxisomes. Although de novo biogenesis and divisions are likely important mechanisms, the regulation of peroxisome numbers during embryonic development is poorly understood. Peroxisome number and function are particularly crucial in oviparous animals such as frogs where large embryonic yolk and fatty acid stores must be quickly metabolized, and resulting reactive oxygen species eliminated. Here we elucidate the role of Pex11β in regulating peroxisomal gene expression and number in Xenopus laevis embryogenesis. Results Microinjecting haemagglutinin (HA tagged Pex11β in early embryos resulted in increased RNA levels for peroxisome related genes PMP70 and catalase at developmental stages 10 and 20, versus uninjected embryos. Catalase and PMP70 proteins were found in punctate structures at stage 20 in control embryos, whereas the injection of ectopic HA-Pex11β induced their earlier localization in punctate structures at stage 10. Furthermore, the peroxisomal marker GFP-SKL, which was found localized as peroxisome-like structures at stage 20, was similarly found at stage 10 when co-microinjected with HA-Pex11β. Conclusions Overexpressed Pex11β altered peroxisomal gene levels and induced the early formation of peroxisomes-like structures during development, both of which demonstrate that Pex11β may be a key regulator of peroxisome number in early Xenopus embryos.

  11. Neuroimaging and clinical predictors of fatigue in Parkinson disease.

    Science.gov (United States)

    Chou, Kelvin L; Kotagal, Vikas; Bohnen, Nicolaas I

    2016-02-01

    Fatigue is disabling in Parkinson disease. It is often associated with other non-motor symptoms, but little is known about its underlying pathophysiology. To investigate neuroimaging (using dopaminergic and cholinergic PET) and clinical factors associated with fatigue severity in PD. 133 PD subjects (96M/37F) completed the Fatigue Severity Scale, Movement Disorders Society-Sponsored Revision of the Unified PD Rating Scale (MDS-UPDRS), Hoehn-Yahr staging, validated scales for depression, anxiety, apathy, sleep, and cognition, and underwent [(11)C]methyl-4-piperidinyl propionate (PMP) acetylcholinesterase (AChE) and [(11)C]dihydrotetrabenazine (DTBZ) monoaminergic PET imaging. We explored contributions to PD fatigue using separate regression models based either on neuroimaging parameters or clinicometric scales. In a neuroimaging regression model, neither striatal DTBZ uptake nor AChE PMP uptake were predictors of fatigue in PD. In a post-hoc neuroimaging regression model, stratifying the total cohort into mild vs. moderate-to-severe PD, striatal DTBZ uptake was a significant predictor of fatigue in mild but not moderate-to-severe PD. In a clinicometric regression model, higher Beck Depression Inventory-somatic subscore, higher levodopa dose equivalents and younger age were all significant predictors of fatigue in PD, but the MDS-UPDRS non-motor experiences of daily living score was the best predictor overall. Cholinergic uptake was not a predictor of fatigue in PD, but nigrostriatal dopaminergic denervation predicted fatigue in mild disease. Total non-motor symptom burden, somatic affective symptoms, levodopa dose equivalents, and younger age were independent clinical predictors of fatigue. Copyright © 2015 Elsevier Ltd. All rights reserved.

  12. DFT modeling of chemistry on the Z machine

    Science.gov (United States)

    Mattsson, Thomas

    2013-06-01

    Density Functional Theory (DFT) has proven remarkably accurate in predicting properties of matter under shock compression for a wide-range of elements and compounds: from hydrogen to xenon via water. Materials where chemistry plays a role are of particular interest for many applications. For example the deep interiors of Neptune, Uranus, and hundreds of similar exoplanets are composed of molecular ices of carbon, hydrogen, oxygen, and nitrogen at pressures of several hundred GPa and temperatures of many thousand Kelvin. High-quality thermophysical experimental data and high-fidelity simulations including chemical reaction are necessary to constrain planetary models over a large range of conditions. As examples of where chemical reactions are important, and demonstration of the high fidelity possible for these both structurally and chemically complex systems, we will discuss shock- and re-shock of liquid carbon dioxide (CO2) in the range 100 to 800 GPa, shock compression of the hydrocarbon polymers polyethylene (PE) and poly(4-methyl-1-pentene) (PMP), and finally simulations of shock compression of glow discharge polymer (GDP) including the effects of doping with germanium. Experimental results from Sandia's Z machine have time and again validated the DFT simulations at extreme conditions and the combination of experiment and DFT provide reliable data for evaluating existing and constructing future wide-range equations of state models for molecular compounds like CO2 and polymers like PE, PMP, and GDP. Sandia National Laboratories is a multi-program laboratory managed and operated by Sandia Corporation, a wholly owned subsidiary of Lockheed Martin Company, for the U.S. Department of Energy's National Nuclear Security Administration under contract DE-AC04-94AL85000.

  13. The novel chlamydial adhesin CPn0473 mediates the lipid raft-dependent uptake of Chlamydia pneumoniae.

    Science.gov (United States)

    Fechtner, Tim; Galle, Jan N; Hegemann, Johannes H

    2016-08-01

    Chlamydiae are Gram-negative, obligate intracellular pathogens that pose a serious threat to public health worldwide. Chlamydial surface molecules are essential for host cell invasion. The first interaction with the host cell is thereby accomplished by the Outer membrane complex protein B (OmcB) binding to heparan sulfate moieties on the host cell surface, followed by the interaction of the chlamydial polymorphic membrane proteins (Pmps) with host cell receptors. Specifically, the interaction of the Pmp21 adhesin and invasin with its human interaction partner, the epidermal growth factor receptor, results in receptor activation, down-stream signalling and finally internalization of the bacteria. Blocking both, the OmcB and Pmp21 adhesion pathways, did not completely abolish infection, suggesting the presence of additional factors relevant for host cell invasion. Here, we show that the novel surface protein CPn0473 of Chlamydia pneumoniae contributes to the binding and invasion of infectious chlamydial particles. CPn0473 is expressed late in the infection cycle and located on the infectious chlamydial cell surface. Soluble recombinant CPn0473 as well as rCPn0473-coupled fluorescent latex beads adhere to human epithelial HEp-2 cells. Interestingly, in classical infection blocking experiments pretreatment of HEp-2 cells with rCPn0473 does not attenuate adhesion but promotes dose-dependently internalization by C. pneumoniae suggesting an unusual mode of action for this adhesin. This CPn0473-dependent promotion of infection by C. pneumoniae depends on two different domains within the protein and requires intact lipid rafts. Thus, inhibition of the interaction of CPn0473 with the host cell could provide a way to reduce the virulence of C. pneumoniae. © 2016 The Authors Cellular Microbiology Publised by John Wiley & Sons Ltd.

  14. A bibliometric analysis of orthopedic publications originating from Turkey.

    Science.gov (United States)

    Gürbüz, Yusuf; Süğün, Tahir Sadık; Özaksar, Kemal

    2015-01-01

    The objective of this study was to analyze the research productivity originating in Turkey using articles published in the top 40 orthopedic journals according to the Journal Citation Reports for 2013. All scientific papers published in English and included in the Science Citation Index Expanded between 1980 and 2013 were analyzed using the "Web of Science". The number of publications per million (PmP) was calculated. All selected journals were analyzed for the numbers of articles, authorships, institutions and 100 most frequently cited papers. From a total of 130,494 articles published worldwide, the United States ranked first according to output. Turkey ranked 14th in the number of orthopedic publications and 26th out of 30 countries in the PmP index. 2012 produced the greatest number of publications worldwide and 2008 for Turkey. Gunal I., Yazici M. and Ozturk C. were the most frequent contributors. Hacettepe University, Istanbul University and Ankara University were the most frequent intuitions among all Turkish publications. The Archives of Orthopaedic and Trauma Surgery was the most frequently published journal in this period with a rate of 16.3%. There was a total of 9,085 (8,765; excluding self-citations) citations of the 1,398 publications published in Turkey until December 2013, with a citation-to-work ratio of 7.47 and an h-index of 34. With the newly established universities, as well as training and research clinics, the approach of increasing number of orthopedics and traumatology clinics and specialists to scientific activities would be more fruitful in the light of these data.

  15. Developing a Peer Mentorship Program to Increase Competence in Clinical Supervision in Clinical Psychology Doctoral Training Programs.

    Science.gov (United States)

    Foxwell, Aleksandra A; Kennard, Beth D; Rodgers, Cynthia; Wolfe, Kristin L; Cassedy, Hannah F; Thomas, Anna

    2017-12-01

    Supervision has recently been recognized as a core competency for clinical psychologists. This recognition of supervision as a distinct competency has evolved in the context of an overall focus on competency-based education and training in health service psychology, and has recently gained momentum. Few clinical psychology doctoral programs offer formal training experiences in providing supervision. A pilot peer mentorship program (PMP) where graduate students were trained in the knowledge and practice of supervision was developed. The focus of the PMP was to develop basic supervision skills in advanced clinical psychology graduate students, as well as to train junior doctoral students in fundamental clinical and practical skills. Advanced doctoral students were matched to junior doctoral students to gain experience in and increase knowledge base in best practices of supervision skills. The 9-month program consisted of monthly mentorship meetings and three training sessions. The results suggested that mentors reported a 30% or more shift from the category of not competent to needs improvement or competent, in the following supervision competencies: theories of supervision, improved skill in supervision modalities, acquired knowledge in supervision, and supervision experience. Furthermore, 50% of the mentors reported that they were not competent in supervision experience at baseline and only 10% reported that they were not competent at the end of the program. Satisfaction data suggested that satisfaction with the program was high, with 75% of participants indicating increased knowledge base in supervision, and 90% indicating that it was a positive addition to their training program. This program was feasible and acceptable and appears to have had a positive impact on the graduate students who participated. Students reported both high satisfaction with the program as well as an increase in knowledge base and experience in supervision skills.

  16. The YebC family protein PA0964 negatively regulates the Pseudomonas aeruginosa quinolone signal system and pyocyanin production.

    Science.gov (United States)

    Liang, Haihua; Li, Lingling; Dong, Zhaolin; Surette, Michael G; Duan, Kangmin

    2008-09-01

    Bacterial pathogenicity is often manifested by the expression of various cell-associated and secreted virulence factors, such as exoenzymes, protease, and toxins. In Pseudomonas aeruginosa, the expression of virulence genes is coordinately controlled by the global regulatory quorum-sensing systems, which includes the las and rhl systems as well as the Pseudomonas quinolone signal (PQS) system. Phenazine compounds are among the virulence factors under the control of both the rhl and PQS systems. In this study, regulation of the phzA1B1C1D1E1 (phzA1) operon, which is involved in phenazine synthesis, was investigated. In an initial study of inducing conditions, we observed that phzA1 was induced by subinhibitory concentrations of tetracycline. Screening of 13,000 mutants revealed 32 genes that altered phzA1 expression in the presence of subinhibitory tetracycline concentrations. Among them, the gene PA0964, designated pmpR (pqsR-mediated PQS regulator), has been identified as a novel regulator of the PQS system. It belongs to a large group of widespread conserved hypothetical proteins with unknown function, the YebC protein family (Pfam family DUF28). It negatively regulates the quorum-sensing response regulator pqsR of the PQS system by binding at its promoter region. Alongside phzA1 expression and phenazine and pyocyanin production, a set of virulence factors genes controlled by both rhl and the PQS were shown to be modulated by PmpR. Swarming motility and biofilm formation were also significantly affected. The results added another layer of regulation in the rather complex quorum-sensing systems in P. aeruginosa and demonstrated a clear functional clue for the YebC family proteins.

  17. Instantly decodable network coding for real-time device-to-device communications

    KAUST Repository

    Douik, Ahmed

    2016-01-04

    This paper studies the delay reduction problem for instantly decodable network coding (IDNC)-based device-to-device (D2D) communication-enabled networks. Unlike conventional point-to-multipoint (PMP) systems in which the wireless base station has the sufficient computation abilities, D2D networks rely on battery-powered operations of the devices. Therefore, a particular emphasis on the computation complexity needs to be addressed in the design of delay reduction algorithms for D2D networks. While most of the existing literature on IDNC directly extend the delay reduction PMP schemes, known to be NP-hard, to the D2D setting, this paper proposes to investigate and minimize the complexity of such algorithms for battery-powered devices. With delay minimization problems in IDNC-based systems being equivalent to a maximum weight clique problems in the IDNC graph, the presented algorithms, in this paper, can be applied to different delay aspects. This paper introduces and focuses on the reduction of the maximum value of the decoding delay as it represents the most general solution. The complexity of the solution is reduced by first proposing efficient methods for the construction, the update, and the dimension reduction of the IDNC graph. The paper, further, shows that, under particular scenarios, the problem boils down to a maximum clique problem. Due to the complexity of discovering such maximum clique, the paper presents a fast selection algorithm. Simulation results illustrate the performance of the proposed schemes and suggest that the proposed fast selection algorithm provides appreciable complexity gain as compared to the optimal selection one, with a negligible degradation in performance. In addition, they indicate that the running time of the proposed solution is close to the random selection algorithm.

  18. Structural and mutational studies on substrate specificity and catalysis of Salmonella typhimurium D-cysteine desulfhydrase.

    Directory of Open Access Journals (Sweden)

    Sakshibeedu R Bharath

    Full Text Available Salmonella typhimurium DCyD (StDCyD is a fold type II pyridoxal 5' phosphate (PLP-dependent enzyme that catalyzes the degradation of D-Cys to H(2S and pyruvate. It also efficiently degrades β-chloro-D-alanine (βCDA. D-Ser is a poor substrate while the enzyme is inactive with respect to L-Ser and 1-amino-1-carboxy cyclopropane (ACC. Here, we report the X-ray crystal structures of StDCyD and of crystals obtained in the presence of D-Cys, βCDA, ACC, D-Ser, L-Ser, D-cycloserine (DCS and L-cycloserine (LCS at resolutions ranging from 1.7 to 2.6 Å. The polypeptide fold of StDCyD consisting of a small domain (residues 48-161 and a large domain (residues 1-47 and 162-328 resembles other fold type II PLP dependent enzymes. The structures obtained in the presence of D-Cys and βCDA show the product, pyruvate, bound at a site 4.0-6.0 Å away from the active site. ACC forms an external aldimine complex while D- and L-Ser bind non-covalently suggesting that the reaction with these ligands is arrested at Cα proton abstraction and transimination steps, respectively. In the active site of StDCyD cocrystallized with DCS or LCS, electron density for a pyridoxamine phosphate (PMP was observed. Crystals soaked in cocktail containing these ligands show density for PLP-cycloserine. Spectroscopic observations also suggest formation of PMP by the hydrolysis of cycloserines. Mutational studies suggest that Ser78 and Gln77 are key determinants of enzyme specificity and the phenolate of Tyr287 is responsible for Cα proton abstraction from D-Cys. Based on these studies, a probable mechanism for the degradation of D-Cys by StDCyD is proposed.

  19. The production, molecular weight and viscosifying power of alginate produced by Azotobacter vinelandii is affected by the carbon source in submerged cultures

    Directory of Open Access Journals (Sweden)

    Mauricio A. Trujillo-Roldán

    2015-01-01

    Full Text Available El alginato es un polímero lineal compuesto por ácidos 1,4 manurónico y su epímero, -L- gulurónico y con frecuencia se extrae de algas marinas, como también de bacterias como Azotobacter y Pseudomonas. En este trabajo, se presenta el impacto de diferentes fuentes de carbono convencionales y no convencionales en el crecimiento de A. vinelandii, producción de alginato, su peso molecular promedio (PMP y su capacidad viscosificante. Todos los experimentos se iniciaron con 20 g/L de azúcares totales, donde la más alta concentración de biomasa se obtuvo utilizando suero de leche hidrolizado y desproteinizado (6.67±0.72 g/L, y jugo de caña de azúcar (6.68±0.45 g/L. Sin embargo, la producción máxima de alginato se logró utilizando sacarosa (5.11±0.37 g/L, así como el más alto rendimiento de alginato y productividad específica. Por otra parte, el mayor PMP de alginato se obtuvo con jugo de caña de azúcar (1203±120 kDa. Además, la capacidad viscosificante más alta se obtuvo utilizando suero de leche desproteinizado e hidrolizado (23.8±2.6 cpsL/galg. Esta información sugiere que es posible manipular la productividad y las características moleculares de alginatos como función de la fuente de carbono utilizada. En conjunto con el conocimiento de los efectos de las condiciones ambientales se lograrían altos rendimientos de biopolímeros de alto valor agregado.

  20. A prospective national study of acute renal failure treated with RRT: incidence, aetiology and outcomes.

    Science.gov (United States)

    Prescott, Gordon J; Metcalfe, Wendy; Baharani, Jyoti; Khan, Izhar H; Simpson, Keith; Smith, W Cairns S; MacLeod, Alison M

    2007-09-01

    Acute renal failure (ARF) is a diverse condition with no standardized definition and is managed in several sub-specialty areas within hospitals. Its incidence and aetiology are unknown and studies show a wide range of incidences. ARF is becoming more common as the population ages leading to the hypothesis that the incidence is much higher than previous estimates. This prospective population study investigated the incidence, aetiology and outcomes of ARF based on a standardized classification of ARF treated by renal replacement therapy (RRT) in all sub-specialty areas within hospitals where such treatment takes place. Data were collected prospectively on all patients starting RRT for ARF within three 12-week periods in 2002. Two hundred eighty-six adults per million population (pmp) per year received RRT for ARF. The incidence increased with age and pre-existing comorbid illness. Two hundred twelve adults pmp per year had no evidence of pre-existing chronic kidney disease (CKD) and the remainder had acute on CKD. The median age was 67 years. Fifty-one percent of the patients received their first RRT treatment in a critical care setting. Sepsis was the most common aetiological insult contributing to ARF in 48% of the patients. Mortality was high with 48% dying within 90 days of starting RRT. Age, comorbidity, sepsis and recent surgery were independent risk factors for death in those with no pre-existing CKD. This is the first national study to describe ARF treated with RRT in all hospital locations. The hypothesis that ARF occurs more frequently than previously thought has been confirmed. This study provides data upon which to base effective decision making for prevention, patient care and resource planning for patients with ARF.

  1. Incidence of end-stage renal disease in the Turkish-Cypriot population of Northern Cyprus: a population based study.

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    Thomas M F Connor

    Full Text Available BACKGROUND: This is the first report of the incidence and causes of end-stage renal disease (ESRD of the Turkish-Cypriot population in Northern Cyprus. METHODS: Data were collected over eight consecutive years (2004-2011 from all those starting renal replacement therapy (RRT in this population. Crude and age-standardised incidence at 90 days was calculated and comparisons made with other national registries. We collected DNA from the entire prevalent population. As an initial experiment we looked for two genetic causes of ESRD that have been reported in Greek Cypriots. RESULTS: Crude and age-standardised incidence at 90 days was 234 and 327 per million population (pmp per year, respectively. The mean age was 63, and 62% were male. The age-adjusted prevalence of RRT in Turkish-Cypriots was 1543 pmp on 01/01/2011. The incidence of RRT is higher than other countries reporting to the European Renal Association - European Dialysis and Transplant Association, with the exception of Turkey. Diabetes is a major cause of ESRD in those under 65, accounting for 36% of incident cases followed by 30% with uncertain aetiology. 18% of the incident population had a family history of ESRD. We identified two families with thin basement membrane nephropathy caused by a mutation in COL4A3, but no new cases of CFHR5 nephropathy. CONCLUSIONS: This study provides the first estimate of RRT incidence in the Turkish-Cypriot population, describes the contribution of different underlying diagnoses to ESRD, and provides a basis for healthcare policy planning.

  2. Contribution to growth and increment analysis on the Italian CONECOFOR Level II Network

    Directory of Open Access Journals (Sweden)

    Emilio AMORINI

    2002-09-01

    Full Text Available The paper deals with the "Estimation of growth and yield" included in the National Programme on Intensive Monitoring of Forest Ecosystems CONECOFOR Aims of the paper are: i to outline the composition and design of Level II PMPs network, also examining the structural characteristics of forest stands; ii to describe the contents of mensurational surveys carried out in winter 1996/97 and 1999/00; iii to analyse the growth rates in progress at each PMP using selected descriptors. Stand origin (11 high forests and 13 stored coppices and transitory crops and the number of forest types tested are focused as the main discriminants of the PMPs network. This composition, together with irregular forestry practice, results in a number of consequences (prevailing age classes, tree densities and related stand structures, growth patterns which cause a high in-and-between variability of all growth parameters. For the purposes of this analysis, the network of the plots was divided into three main sets: broadleaved high forest (i.e. beech stands, 6 PMPs; coniferous forest (i.e. Norway spruce stands, 5 PMPs; coppice forest (i.e. deciduous and evergreen oaks, beech and hardbeam stands, 13 PMPs. The measurement of basic growth variables (dbh and tree height was used to describe the tree populations in each PMP; the calculation of basal area, mean and top dbh, mean and top height, provided the reference dataset at each inventory. The assessment of social class according to Kraft gave information on vertical stand structure and made it possible to analyse growth according to tree layers. Data comparison provided increments in the interval 1997-2000. The occurrence of natural mortality and ingrowth was also assessed to take into account their combined effect on tree population dynamics. No trend was found, due to limited data availability, but it was possible to have a detailed overview of the stand situation and growth rates in PMPs.

  3. Estimating economic value of agricultural water under changing conditions and the effects of spatial aggregation.

    Science.gov (United States)

    Medellín-Azuara, Josué; Harou, Julien J; Howitt, Richard E

    2010-11-01

    Given the high proportion of water used for agriculture in certain regions, the economic value of agricultural water can be an important tool for water management and policy development. This value is quantified using economic demand curves for irrigation water. Such demand functions show the incremental contribution of water to agricultural production. Water demand curves are estimated using econometric or optimisation techniques. Calibrated agricultural optimisation models allow the derivation of demand curves using smaller datasets than econometric models. This paper introduces these subject areas then explores the effect of spatial aggregation (upscaling) on the valuation of water for irrigated agriculture. A case study from the Rio Grande-Rio Bravo Basin in North Mexico investigates differences in valuation at farm and regional aggregated levels under four scenarios: technological change, warm-dry climate change, changes in agricultural commodity prices, and water costs for agriculture. The scenarios consider changes due to external shocks or new policies. Positive mathematical programming (PMP), a calibrated optimisation method, is the deductive valuation method used. An exponential cost function is compared to the quadratic cost functions typically used in PMP. Results indicate that the economic value of water at the farm level and the regionally aggregated level are similar, but that the variability and distributional effects of each scenario are affected by aggregation. Moderately aggregated agricultural production models are effective at capturing average-farm adaptation to policy changes and external shocks. Farm-level models best reveal the distribution of scenario impacts. Copyright © 2009 Elsevier B.V. All rights reserved.

  4. Quantitative O-glycomics based on improvement of the one-pot method for nonreductive O-glycan release and simultaneous stable isotope labeling with 1-(d0/d5)phenyl-3-methyl-5-pyrazolone followed by mass spectrometric analysis.

    Science.gov (United States)

    Wang, Chengjian; Zhang, Ping; Jin, Wanjun; Li, Lingmei; Qiang, Shan; Zhang, Ying; Huang, Linjuan; Wang, Zhongfu

    2017-01-06

    Rapid, simple and versatile methods for quantitative analysis of glycoprotein O-glycans are urgently required for current studies on protein O-glycosylation patterns and the search for disease O-glycan biomarkers. Relative quantitation of O-glycans using stable isotope labeling followed by mass spectrometric analysis represents an ideal and promising technique. However, it is hindered by the shortage of reliable nonreductive O-glycan release methods as well as the too large or too small inconstant mass difference between the light and heavy isotope form derivatives of O-glycans, which results in difficulties during the recognition and quantitative analysis of O-glycans by mass spectrometry. Herein we report a facile and versatile O-glycan relative quantification strategy, based on an improved one-pot method that can quantitatively achieve nonreductive release and in situ chromophoric labeling of intact mucin-type O-glycans in one step. In this study, the one-pot method is optimized and applied for quantitative O-glycan release and tagging with either non-deuterated (d 0 -) or deuterated (d 5 -) 1-phenyl-3-methyl-5-pyrazolone (PMP). The obtained O-glycan derivatives feature a permanent 10-Da mass difference between the d 0 - and d 5 -PMP forms, allowing complete discrimination and comparative quantification of these isotopically labeled O-glycans by mass spectrometric techniques. Moreover, the d 0 - and d 5 -PMP derivatives of O-glycans also have a relatively high hydrophobicity as well as a strong UV adsorption, especially suitable for high-resolution separation and high-sensitivity detection by RP-HPLC-UV. We have refined the conditions for the one-pot reaction as well as the corresponding sample purification approach. The good quantitation feasibility, reliability and linearity of this strategy have been verified using bovine fetuin and porcine stomach mucin as model O-glycoproteins. Additionally, we have also successfully applied this method to the quantitative

  5. Relação entre a pressão muscular perineal no puerpério e o tipo de parto Relationship between perineal muscular force in the puerperal period and the type of delivery

    Directory of Open Access Journals (Sweden)

    Silmara Menta

    2006-09-01

    Full Text Available OBJETIVO: relacionar o tipo de parto e as características do períneo com valores da pressão muscular perineal (PMP mensurada em primíparas nas posições deitada e sentada com a musculatura perineal em repouso e em contração máxima. MÉTODOS: estudo quantitativo do tipo transversal, realizado em maternidade conveniada ao Sistema Único de Saúde (SUS do município de São Paulo. A casuística, obtida por conveniência, foi de 95 primíparas de termo. A avaliação ocorreu entre o 40º e o 45º dia. Realizaram-se entrevista, exame físico e mensuração da PMP por meio do perineômetro de Kegel. A mensuração foi realizada nas posições deitada e sentada, com a musculatura em repouso e em contração máxima, sendo considerada a média de três aferições para cada posição e estado muscular. RESULTADOS: 76,8% (73 das primíparas tiveram parto vaginal e 23,2% (22 cesárea. No pós-parto vaginal, observou-se períneo íntegro em 18,9% (18, com rotura perineal em 24,2% (23 e com episiotomia em 33,7% (32. Os valores obtidos da PMP foram em: posição deitada/musculatura em repouso, 18,9 mmHg; deitada/musculatura em contração máxima, 30,7 mmHg; sentada/musculatura em repouso, 34,5 mmHg; sentada/musculatura em contração máxima, 46,5 mmHg. CONCLUSÃO: não houve associação entre o tipo de parto e as condições perineais e a pressão muscular perineal.PURPOSE: to determine the values of perineal muscular force (PMF in the lying and seated positions and to identify the values of PMF between first pregnancy, according to type and the characteristics of the vaginal delivery and cesarean section. METHODS: study of the transversal type, performed in a maternity of Brazilian Public the Health System (SUS in the city of São Paulo. The sample consisted of 95 primiparae at term. Evaluation occurred between the 40th and 45 th, day with an interview, physical examination and measurement of PMF using a perineometer of the Kegel type. The

  6. End-stage renal disease in sub-Saharan and South Africa.

    Science.gov (United States)

    Naicker, Saraladevi

    2003-02-01

    uropathy. The availability of dialysis and transplantation is quite variable in Africa: treatment rates in North Africa are 30 to 186.5 per million population (pmp) in countries with more established programs: Algeria 78.5; Egypt 129.3; Libya 30; Morocco 55.6; Tunisia 186.5 pmp. In South Africa, treatment rates of 99 pmp were reported; Dialysis and transplant programs in the rest of Africa are dependent on the availability of funding and donors. Services are still predominantly urban and therefore generally inaccessible to the poorer, less educated rural patient. There is not enough money for healthcare in the developing world, particularly for expensive and chronic treatment such as RRT. The goal should be to have a circumscribed chronic dialysis program, with as short a time on dialysis as possible, and to increase the availability of transplantation (both living donor and cadaver). Efforts should be made to optimize therapy of renal disease and renal failure globally and particularly in developing countries. Strategies should be developed to screen for and manage conditions such as hypertension and diabetes mellitus at the primary healthcare level in an effort to decrease the incidence of chronic renal failure. Increasingly, health is influenced by social and economic circumstances. Any improvements in health thus demand integrated, comprehensive action against all the determinants of ill health.

  7. Trends in Renal Replacement Therapy in Bosnia and Herzegovina 2002-2008

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    Halima Resić

    2010-04-01

    Full Text Available Renal Registry (RR of Bosnia and Herzegovina was established in 2002, with aim to follow up the trends of Renal Replacement Therapy in Bosnia and Herzegovina. The prevalence of Renal Replacement Therapy (RRT in Bosnia and Herzegovina is rising steadily. One reason for this is an increasing number of patients starting RRT. The aim is to present the epidemiology and treatment of all aspects of RRT in Bosnia and Herzegovina in period 2002-2008. Centre-related and patient-related questionnaires were sent to all 25 dialysis centres in Bosnia and Herzegovina. The demographic data, prevalence and incidence, type of renal replacement therapy, cause of ESRD, erythropoietin administration, cause of death, and type of vascular access were obtained from the questionnaires. Collected data were analysed using SPSS statistics. The number of patients treated by Renal Replacement Therapy (RRT increased steadily from 1,531 patients in 2002 to the 2,206 at the 2008 (43%. The prevalence has increased from 399 pmp in 2002 to 696 pmp. in 2008. Incidence (new patients in 2002 was 110 pmp and incidence rate in 2008 was 163, and there were 249 new patients (day 1. The mean age for new patients increased from 60 years in 2002 to 63.5 years in 2008 and the population over 75 years rate from 8.79% to 11.3%. Most ESRD patients in Bosnia and Herzegovina are undergoing intermittent hemodialysis (92%, while some patients (8% are treated by peritoneal dialysis and transplantation. The most significant cause of ESRD in 2008 was chronic glomerulonephritis (421 patients, 19.2%, followed by pyelonephritis (414 patients, 18.9%, BEN (14.7% and Diabetes mellitus (12.2%. Hepatitis B and C virus infections had 397 (16.3% patients, out of them 22 had both type of infections and 98 patients had B type infection. Only 10.5% of patients were tested on MRSA and 3 patients were positive on MRSA. There were no HIV-positive patients on RRT. The most common type of vascular access was AV fistula

  8. Effects of JP-8 Jet Fuel on Homeostasis of Clone 9 Rat Liver Cells

    Science.gov (United States)

    Wilson, C. L.; Barhoumi, R.; Burghardt, R.; Miladi, A.; Jung, A.

    2000-01-01

    Chronic exposure to JP-8 and other kerosene-based petroleum distillates has been associated with hepatic, renal, neurologic, pulmonary, and immune toxicity. However, the effects of kerosene-type jet fuels on cellular homeostasis hitherto have not been reported. Fluorescence imaging using a Meridian Ultima laser scanning fluorescence microscope was used to evaluate the effect of JP-8 jet fuel on a communication competent rat liver cell line. Several endpoints of cellular function were measured including gap junctional intercellular communication (GJIC), mitochondrial and plasma membrane potential (MMP and PMP, respectively), intracellular glutathione (GSH) concentration, glutathione-S-transferase (GST) activity, and reactive oxygen species (ROS) generation. Cells were treated with JP-8 (0.01 to 2% in ethanol (EtOH)) for the following time points: 1 h, 24 h, 48 h, and analysis immediately after addition of jet fuel. GJIC analyzed directly after addition of 1% JP-8 was reduced 4.9-fold relative to EtOH-dosed control groups and further reduction (12.6-fold) was observed in cells treated for 1 h. Moreover, GJIC was not recoverable in cells treated with 1% JP-8 for 1 h and subsequently washed and incubated in fresh medium for 1 h. Significant changes in GSH content and GST activity were observed in cells analyzed directly after addition of 1% JP-8. GSH content increased in cells treated for 1 h with less than 2% JP-8 whereas treatment with 2% JP-8 for 1 h resulted in a 50% reduction in intracellular GSH relative to EtOH-dosed controls. Cells treated with 1% JP-8 for 48 h exhibited changes in GSH levels. However, higher JP-8 concentrations exhibited more pronounced changes in GSH and GST, which led to suppression of GSH synthesis. ROS increased in a dose-responsive fashion at JP-8 concentrations up to 1%, but decreased to 80% of control values at 2% and 3% JP-8. A 25% reduction in PMP was observed in cells treated for 1 h with 1% JP-8. In contrast, cells treated for 48 h

  9. Forecast of the incidence, prevalence and burden of end-stage renal disease in Nanjing, China to the Year 2025.

    Science.gov (United States)

    Sun, Ling; Zou, Lu-Xi; Han, Yu-Chen; Huang, Han-Ming; Tan, Zhao-Ming; Gao, Min; Ma, Kun-Ling; Liu, Hong; Liu, Bi-Cheng

    2016-06-13

    There are limited data on the trends of incidence or prevalence of end stage renal disease (ESRD) in China. To assist in future planning for the ESRD program, the trends of incidence, prevalence and health care costs were analyzed and forecasted to the year 2025 by modeling of historical data from 2004 through 2014. Nanjing urban employee basic medical insurance (NJUEBMI) data were obtained from the Nanjing Medical Insurance Information System from 2004 to 2014. The time series forecasting system in SAS 9.4 was used. Each variable was independently forecasted by the fittest model, which was selected automatically or manually. The forecasting models demonstrated mean percent errors of -2.49 to 5.62 %, relative to the observed values. The R-square values for the forecasting models ranged from 0.756 to 0.997. On the basis of trends in the historical data, the models projected that the average annual increase in the NJUEBMI population was 4.77 %, with forecasted values of 5,029,270 in 2025 (95 % CI, 4,960,423-5,098,117). The incidence and prevalence of ESRD were projected to increase by 1.19 and 1.95 % annually and were expected to reach 250.5 pmp (95 % CI, 247.7-253.3) and 1505 pmp(95 % CI, 1450-1560) by 2025. Additionally, the costs associated with ESRD were forecasted to increase at a growth rate of 5.80 % for healthcare costs and 7.25‰ for per capita medical expenses, with forecasted values of ¥600.3 million ($92.4 million) (95 % CI, 541.8-658.9) and ¥99.0 thousand ($15.2 thousand) (95 % CI, 98.6-99.3), respectively, by 2025. The incidence and prevalence of kidney transplantation were projected to decrease by 6.58 and 9.79 % annually. These projections suggest that the incidence, prevalence, healthcare costs, and per capita medical expenses of ESRD would increase in the NJUEBMI population. They provide a basis for discussing the trends of ESRD in China and facing the challenges from the ESRD program.

  10. Microvesicle phenotypes are associated with transfusion requirements and mortality in subjects with severe injuries

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    Nena Matijevic

    2015-12-01

    . 1,880 AVMV/µL, p<0.00004 and 1,245 PMP/µL vs. 1,866 PMP/µL, p=0.003. Conclusion: Severe injury results in endothelial activation and altered MV phenotypes. Significant differences in specific MV phenotypes or changes over time were associated with blood product requirements and the 24 h mortality rate.

  11. Characteristics and Outcomes of Granulomatosis With Polyangiitis (Wegener) and Microscopic Polyangiitis Requiring Renal Replacement Therapy: Results From the European Renal Association-European Dialysis and Transplant Association Registry.

    Science.gov (United States)

    Hruskova, Zdenka; Stel, Vianda S; Jayne, David; Aasarød, Knut; De Meester, Johan; Ekstrand, Agneta; Eller, Kathrin; Heaf, James G; Hoitsma, Andries; Martos Jimenéz, Carmen; Ravani, Pietro; Wanner, Christoph; Tesar, Vladimir; Jager, Kitty J

    2015-10-01

    This study describes the incidence and outcomes of European patients requiring renal replacement therapy (RRT) for kidney failure due to antineutrophil cytoplasmic antibody (ANCA)-associated vasculitis (AAV). Cohort study. 12 renal registries providing individual RRT patient data to the European Renal Association-European Dialysis and Transplant Association (ERA-EDTA) Registry in 1993-2012 participated. Cause of primary kidney disease: AAV (ie, granulomatosis with polyangiitis [Wegener] and microscopic polyangiitis) versus 3 separate matched control groups without AAV: (1) primary glomerulonephritis, (2) diabetes mellitus, and (3) disease other than diabetes mellitus as the cause of primary kidney disease, including glomerulonephritis (termed "nondiabetes"). Incidence, causes of death, and survival. ERA-EDTA primary renal disease codes. 2,511 patients with AAV (1,755, granulomatosis with polyangiitis; 756, microscopic polyangiitis) were identified, representing an incidence of 1.05 per million population (pmp) for granulomatosis with polyangiitis (predominating in Northern Europe) and 0.45 pmp for microscopic polyangiitis (prevailing in Southern Europe). Kidney transplantation was performed in 558 (22.2%) patients with vasculitis. The 10-year probability for survival on RRT after day 91 was 32.5% (95% CI, 29.9%-35.1%) in patients with vasculitis. Survival on RRT after day 91 did not differ between AAV and matched nondiabetes patients. Patient and transplant survival after kidney transplantation, adjusted for time period and country, was better in AAV than in matched nondiabetes patients (HRs of 0.81 [95% CI, 0.67-0.99] and 0.82 [95% CI, 0.69-0.96], respectively). No data for extrarenal manifestations, treatment, and relapses. Geographical differences in the incidence of RRT for kidney failure due to granulomatosis with polyangiitis and microscopic polyangiitis copied their distribution in the general population. Overall survival on RRT after day 91 for patients

  12. From genomes to genotypes: molecular epidemiological analysis of Chlamydia gallinacea reveals a high level of genetic diversity for this newly emerging chlamydial pathogen.

    Science.gov (United States)

    Guo, Weina; Jelocnik, Martina; Li, Jing; Sachse, Konrad; Polkinghorne, Adam; Pannekoek, Yvonne; Kaltenboeck, Bernhard; Gong, Jiansen; You, Jinfeng; Wang, Chengming

    2017-12-06

    Chlamydia (C.) gallinacea is a recently identified bacterium that mainly infects domestic chickens. Demonstration of C. gallinacea in human atypical pneumonia suggests its zoonotic potential. Its prevalence in chickens exceeds that of C. psittaci, but genetic and genomic research on C. gallinacea is still at the beginning. In this study, we conducted whole-genome sequencing of C. gallinacea strain JX-1 isolated from an asymptomatic chicken, and comparative genomic analysis between C. gallinacea strains and related chlamydial species. The genome of C. gallinacea JX-1 was sequenced by single-molecule, real-time technology and is comprised of a 1,059,522-bp circular chromosome with an overall G + C content of 37.93% and sequence similarity of 99.4% to type strain 08-1274/3. In addition, a plasmid designated pJX-1, almost identical to p1274 of the type strain, except for two point mutations, was only found in field strains from chicken, but not in other hosts. In contrast to chlamydial species with notably variable polymorphic membrane protein (pmp) genes and plasticity zone (PZ), these regions were conserved in both C. gallinacea strains. There were 15 predicted pmp genes, but only B, A, E1, H, G1 and G2 were apparently intact in both strains. In comparison to chlamydial species where the PZ may be up to 50 kbp, C. gallinacea strains displayed gene content reduction in the PZ (14 kbp), with strain JX-1 having a premature STOP codon in the cytotoxin (tox) gene, while tox gene is intact in the type strain. In multilocus sequence typing (MLST), 15 C. gallinacea STs were identified among 25 strains based on cognate MLST allelic profiles of the concatenated sequences. The type strain and all Chinese strains belong to two distinct phylogenetic clades. Clade of the Chinese strains separated into 14 genetically distinct lineages, thus revealing considerable genetic diversity of C. gallinacea strains in China. In this first detailed comparative genomic analysis of C

  13. Morfogênese in vitro de variedades brasileiras de cana-de-açúcar In vitro morphogenesis of Brazilian sugarcane varieties

    Directory of Open Access Journals (Sweden)

    Daniela Anhel de Paula Cidade

    2006-03-01

    Full Text Available O objetivo deste trabalho foi estabelecer sistemas de multiplicação de plantas de cana-de-açúcar in vitro e avaliar sua utilização, como material inicial, para a indução de regeneração a partir de ápices caulinares. Três métodos de cultivo foram avaliados: cultura em meio semi-sólido, cultura líquida estacionária e cultura líquida sob agitação. A taxa de multiplicação mais elevada foi alcançada por meio da cultura líquida sob agitação. Ápices caulinares, excisados dessas plantas, apresentaram taxas de regeneração in vitro compatíveis com sua utilização em protocolos de transformação. Calos resistentes a PPT e GUS-positivos foram obtidos de explantes da variedade Chunnee com inoculação de Agrobacterium tumefaciens C58C1 (pMP90 (pDUBarA9. O protocolo estabelecido a partir de cultivo in vitro pode ser utilizado para a produção de plantas transgênicas de cana-de-açúcar, visando à realização de estudos de regulação da expressão gênica, assim como à introdução de características de interesse agronômico.The objective of this work was to establish in vitro systems for sugarcane plant multiplication and for regeneration from shoot apices excised from these plants. Three methods were analyzed: culture on semi-solid medium and liquid culture with or without agitation. The highest regeneration rates were obtained from cultures in liquid-medium with agitation. Shoot tips derived from these plants presented regeneration rates suitable for utilization in transformation protocols. PPT-resistant and GUS positive calluses were obtained from explants of in vitro plants of Chunnee variety inoculated with Agrobacterium tumefaciens C58C1 (pMP90 (pDUBarA9. The established in vitro culture system can be applied for transgenic sugarcane production, aiming at gene regulation studies and introduction of agronomical traits.

  14. Tumor acidity-activatable manganese phosphate nanoplatform for amplification of photodynamic cancer therapy and magnetic resonance imaging.

    Science.gov (United States)

    Hao, Yongwei; Zheng, Cuixia; Wang, Lei; Zhang, Jinjie; Niu, Xiuxiu; Song, Qingling; Feng, Qianhua; Zhao, Hongjuan; Li, Li; Zhang, Hongling; Zhang, Zhenzhong; Zhang, Yun

    2017-10-15

    Amorphous biodegradable metal phosphate nanomaterials are considered to possess great potential in cancer theranostic application due to their promise in providing ultra-sensitive pH-responsive therapeutic benefits and diagnostic functions simultaneously. Here we report the synthesis of photosensitising and acriflavine-carrying amorphous porous manganese phosphate (PMP) nanoparticles with ultra-sensitive pH-responsive degradability and their application for a photoactivable synergistic nanosystem that imparts reactive oxygen species (ROS) induced cytotoxicity in synchrony with hypoxia-inducible factor 1α/vascular endothelial growth factor (HIF1α/VEGF) inhibitor that suppresses tumor growth and treatment escape signalling pathway. Carboxymethyl dextran (CMD) is chemically anchored on the surface of porous manganese phosphate theranostic system through the pH-responsive boronate esters. Upon the stimulus of the tumor acid microenvironment, manganese phosphate disintegrates and releases Mn 2+ ions rapidly, which are responsible for the magnetic resonance imaging (MRI) effect. Meanwhile, the released photosensitizer chlorin e6 (Ce6) produces ROS under irradiation while acriflavine (ACF) inhibits the HIF-1α/VEGF pathway during the burst release of VEGF in tumour induced by photodynamic therapy (PDT), resulting in increased therapeutic efficacy. Considering the strong pH responsivity, MRI signal amplification and drug release profile, the PMP nanoparticles offer new prospects for tumor acidity-activatable theranostic application by amplifying the PDT through inhibiting the HIF-1α /VEGF pathway timely while enhancing the MRI effect. In this study, we report the synthesis of the tumor acidity-activatable amorphous porous manganese phosphate nanoparticles and their application for a photoactivable synergistic nanosystem that imparts reactive oxygen species (ROS) induced cytotoxicity in synchrony with hypoxia-inducible factor 1α/vascular endothelial growth factor (HIF-1

  15. Molecular dynamics simulations of apo, holo, and inactivator bound GABA-at reveal the role of active site residues in PLP dependent enzymes.

    Science.gov (United States)

    Gökcan, Hatice; Monard, Gerald; Sungur Konuklar, F Aylin

    2016-07-01

    The pyridoxal 5-phosphate (PLP) cofactor is a significant organic molecule in medicinal chemistry. It is often found covalently bound to lysine residues in proteins to form PLP dependent enzymes. An example of this family of PLP dependent enzymes is γ-aminobutyric acid aminotransferase (GABA-AT) which is responsible for the degradation of the neurotransmitter GABA. Its inhibition or inactivation can be used to prevent the reduction of GABA concentration in brain which is the source of several neurological disorders. As a test case for PLP dependent enzymes, we have performed molecular dynamics simulations of GABA-AT to reveal the roles of the protein residues and its cofactor. Three different states have been considered: the apoenzyme, the holoenzyme, and the inactive state obtained after the suicide inhibition by vigabatrin. Different protonation states have also been considered for PLP and two key active site residues: Asp298 and His190. Together, 24 independent molecular dynamics trajectories have been simulated for a cumulative total of 2.88 µs. Our results indicate that, unlike in aqueous solution, the PLP pyridine moiety is protonated in GABA-AT. This is a consequence of a pKa shift triggered by a strong charge-charge interaction with an ionic "diad" formed by Asp298 and His190 that would help the activation of the first half-reaction of the catalytic mechanism in GABA-AT: the conversion of PLP to free pyridoxamine phosphate (PMP). In addition, our MD simulations exhibit additional strong hydrogen bond networks between the protein and PLP: the phosphate group is held in place by the donation of at least three hydrogen bonds while the carbonyl oxygen of the pyridine ring interacts with Gln301; Phe181 forms a π-π stacking interaction with the pyridine ring and works as a gate keeper with the assistance of Val300. All these interactions are hypothesized to help maintain free PMP in place inside the protein active site to facilitate the second half

  16. AVALIAÇÃO DA QUALIDADE FÍSICA E QUÍMICA DE CAJUÍ (Anacardium spp. NA REGIÃO MEIO-NORTE: UMA PROSPECÇÃO TECNOLOGICA

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    Sulimary Oliveira Gomes

    2013-09-01

    Full Text Available O cajuizeiro (Anacardium spp. encontra-se entre as espécies de fruteira nativa com potencial para ser explorado na região Nordeste. Essa espécie ainda não é domesticada, deste modo, os estudos devem ser ampliados, principalmente, quanto sua caracterização, cultivo, conservação e beneficiamento, já que se trata de uma atividade potencialmente geradora de renda, sobretudo nas áreas de ocorrência. Diante do exposto, este trabalho teve como objetivo realizar a avaliação da qualidade física e química de cajuís (castanha e pedúnculo obtidos na área da Embrapa Meio-Norte, em Teresina, PI. Coletaram-se frutos maduros no período da safra e analisaram-se as seguintes características: peso médio do pedúnculo (PMP; comprimento do pedúnculo (CP; diâmetro médio do pedúnculo (DMEDP; relação CP/DMEDP; peso médio da castanha (PMC; relação PMC/PMP; sólidos solúveis totais (SST; acidez total titulável (ATT; e relação SST/ATT. Conforme os resultados obtidos no estudo de avaliação da qualidade física e química em cajuís, foi verificado que existe uma vasta variabilidade fenotípica no germoplasma estudado. A grande maioria dos genótipos apresenta PMC < 3,33 g, sendo, portanto, classificada como cajuís de acordo com classificação da indústria de processamento de castanha de caju. Foi verificado também que, os genótipos G-7, G-6, G-1 e G-14 são apropriados para aproveitamento in natura. Por fim, o cajuizeiro apresenta-se como uma fruteira nativa bastante promissora, sobretudo na região Nordeste do país. Palavras-chave: fruteira nativa; recursos genéticos; fitotecnia.

  17. Ascorbic acid for Charcot-Marie-Tooth disease type 1A in children: a randomised, double-blind, placebo-controlled, safety and efficacy trial.

    Science.gov (United States)

    Burns, Joshua; Ouvrier, Robert A; Yiu, Eppie M; Joseph, Pathma D; Kornberg, Andrew J; Fahey, Michael C; Ryan, Monique M

    2009-06-01

    Charcot-Marie-Tooth disease type 1A (CMT1A) is the most common inherited nerve disorder. CMT1A is characterised by peripheral nerve demyelination, weakness, and impaired motor function and is caused by the duplication of PMP22, the gene that encodes peripheral myelin protein 22. High-dose ascorbic acid has been shown to have remyelinating potential and to correct the phenotype of a transgenic mouse model of CMT1A by decreasing expression of PMP22. We tested the efficacy and safety of ascorbic acid supplementation in children with CMT1A. This 12-month, randomised, double-blind, placebo-controlled trial undertaken between June, 2007, and December, 2008, assessed high-dose oral ascorbic acid (about 30 mg/kg/day) in 81 children with CMT1A (2-16 years). Randomisation was done on a 1:1 ratio by a computer-generated algorithm. All investigators and participants were blinded to treatment allocation with the exception of the trial pharmacist. The primary efficacy outcome was median nerve motor conduction velocity (m/s) at 12 months. Secondary outcomes were foot and hand strength, motor function, walking ability, and quality of life. Compliance was measured by plasma ascorbic acid concentration, pill count, and medication diary entries. Analysis was by intention to treat. This trial is registered with the Australian New Zealand Clinical Trials Registry, Number 12606000481572. 81 children were randomly assigned to receive high-dose ascorbic acid (n=42) or placebo (n=39). 80 children completed 12 months of treatment. The ascorbic acid group had a small, non-significant increase in median nerve motor conduction velocity compared with the placebo group (adjusted mean difference 1.7 m/s, 95% CI -0.1 to 3.4; p=0.06). There was no measurable effect of ascorbic acid on neurophysiological, strength, function, or quality of life outcomes. Two children in the ascorbic acid group and four children in the placebo group reported gastrointestinal symptoms. There were no serious adverse

  18. Imaging the Moho and V(p)/V(s) ratio in the western Superior Archean craton with wide angle reflections

    Science.gov (United States)

    Kay, I.; Musacchio, G.; White, D.; Asudeh, I.; Roberts, B.; Forsyth, D.; Hajnal, Z.; Koperwhats, B.; Farrell, D.

    1999-01-01

    A refraction/wide-angle reflection survey in northwestern Ontario investigated the Archean Superior Province of the Canadian Shield. Images of apparent Moho topography were produced from both the PmP and SmS Moho wide angle reflections. The average Moho depth is 41 km, and average P- and S-wave velocities 6.6 and 3.8 (??0.05) km/s respectively. The Moho dips southward from 39.5 to 42 km depth over roughly 400 km. From ratios of S and P travel times to the Moho, profiles of V(p)/V(s) were constructed. The average V(p)/V(s) ratios are 1.74 and 1.76 for on the E-W and N-S lines (Poisson's ratio ?? = 0.253 and 0.262 respectively). V(p)/V(s) profiles show a sharp increase from west to east and a gradual increase from north to south, correlating with the distribution of more felsic continental crust and composite crust in the Western Superior.A refraction/wide-angle reflection survey in northwestern Ontario investigated the Archean Superior Province of the Canadian Shield. Images of apparent Moho topography were produced from both the PmP and SmS Moho wide angle reflections. The average Moho depth is 41 km, and average P- and S-wave velocities 6.6 and 3.8 (?? 0.05) km/s respectively. The Moho dips southward from 39.5 to 42 km depth over roughly 400 km. From ratios of S and P travel times to the Moho, profiles of Vp/Vs were constructed. The average Vp/Vs ratios are 1.74 and 1.76 for on the E-W and N-S lines (Poisson's ratio ?? = 0.253 and 0.262 respectively). Vp/Vs profiles show a sharp increase from west to east and a gradual increase from north to south, correlating with the distribution of more felsic continental crust and composite crust in the Western Superior.

  19. Use of myocardial perfusion imaging and estimation of associated radiation doses in Germany from 2005 to 2012

    Energy Technology Data Exchange (ETDEWEB)

    Lindner, O.; Burchert, W. [University Hospital of the Ruhr University Bochum, Institute of Radiology, Nuclear Medicine and Molecular Imaging, Heart and Diabetes Center North Rhine-Westphalia, Bad Oeynhausen (Germany); Bengel, F.M. [Hanover Medical School, Department of Nuclear Medicine, Hanover (Germany); Hacker, M. [Medical University of Vienna, Department of Biomedical Imaging and Image-guided Therapy, Division of Nuclear Medicine, Vienna (Austria); Schaefer, W. [Kliniken Maria Hilf GmbH, Clinic of Nuclear Medicine, Moenchengladbach (Germany); Collaboration: Working Group Cardiovascular Nuclear Medicine of the German Society of Nuclear Medicine

    2014-05-15

    For several years the Working Group Cardiovascular Nuclear Medicine of the German Society of Nuclear Medicine has been performing a regular survey to obtain information on technique, utilization and development of myocardial perfusion scintigraphy (MPS). Currently, data of six surveys from 2005 to 2012 are available. The aim of this paper is to deliver a general and comprehensive overview of all surveys documenting the course of patient doses over time and the development of the method. A one-page questionnaire with number of MPS patients, number of stress and rest MPS, referral structure and several technical issues was sent to all centres performing MPS in Germany and evaluated. With the data on protocol utilization, effective MPS patient doses were estimated. MPS per million population (pmp) varied between 2,380 and 2,770. In 2012, MPS pmp showed a slight increase for the first time. From 2005 to 2009 the angiography to MPS ratio increased from 3.4 to 4.4, and the revascularization to MPS ratio decreased from 0.66 to 0.53. In 2012, both indices demonstrated an opposite trend for the first time (4.1 and 0.55). A total of 108 centres participated in all surveys. They showed an increase in MPS patients of 4.0 % over the reporting period. In 2012, more than 50 % of the centres experienced no change or an increase in MPS numbers. The leading single competitor was MRI, followed by angiography and stress echocardiography. {sup 201}Tl studies have decreased since 2005 from 20 to 5 %. {sup 99m}Tc MPS studies showed a mild increase in 2-day protocols. In 2012, the average effective dose per patient was estimated at 7.4 mSv. Due to the decreasing use of {sup 201}Tl, a mild decline over the observation period can be documented. Dynamic exercise stress was the most common stress test and adenosine the leading pharmacological stress agent, with a growing percentage. In 2012, the regadenoson percentage was 9 %. Gated single photon emission computed tomography (SPECT) noted an

  20. Myocardial perfusion scintigraphy in Germany in 2009: utilization and state of the practice

    Energy Technology Data Exchange (ETDEWEB)

    Lindner, Oliver; Burchert, Wolfgang [University Hospital of the Ruhr University Bochum, Institute of Radiology, Nuclear Medicine and Molecular Imaging, Heart and Diabetes Centre North Rhine-Westphalia, Bad Oeynhausen (Germany); Bengel, Frank M. [Hanover University School of Medicine, Department of Nuclear Medicine, Hannover (Germany); Zimmermann, Rainer [Klinikum Pforzheim GmbH, Cardiology Department, Pforzheim (Germany); Dahl, Juergen vom [Kliniken Maria Hilf GmbH, Cardiology Department, Moenchengladbach (Germany); Schaefers, Michael [Westfaelische Wilhelms Universitaet Muenster, European Institute of Molecular Imaging, Muenster (Germany)

    2011-08-15

    Since 2006, the working group Cardiovascular Nuclear Medicine of the German Society of Nuclear Medicine, in cooperation with the working group Nuclear Cardiology of the German Cardiac Society, has been surveying the utilization and technical realization of myocardial perfusion scintigraphy (MPS) in Germany. This paper presents the results of the reporting year 2009. A total of 291 centres participated in the inquiry, including 179 private practices (PP), 86 hospitals (HO) and 26 university hospitals (UH). MPS of 98,103 patients were reported. The MPS numbers per million population (pmp) were estimated at 2,360; 76% of the MPS were performed in PP, 17% in HO and 7% in UH. The ratio of MPS to coronary angiography to revascularization was 0.5 to 2.3 to 1. Data from 134 centres which participated in the surveys from 2005 to 2009 showed a decrease in MPS utilization of 2.2%. Nearly half of the MPS were requested by ambulatory care cardiologists. Of all MPS studies, 89% were conducted with {sup 99m}Tc perfusion tracers. Ergometry was the preferred stress test (69%). Adenosine was used in 16%, adenosine + exercise in 7%, dipyridamole in 3%, dipyridamole + exercise in 5% and dobutamine in <1%. Gated single proton emission computed tomography (SPECT) acquisition was performed in 56% of all rest MPS and in 56% of all stress MPS. Both rest and stress MPS were ECG gated in 41%. Only 33% of the centres always performed a quantification of the perfusion studies, whereas 51% did not apply any quantification; 4% of the MPS studies were corrected for attenuation, and 17 centres used transmission sources of 12 CT-based systems. A scan activity of 2,380 MPS pmp is in the upper third of the European range. The ratios to coronary angiography and to revascularization suggest that angiography dominates diagnosis and management of coronary artery disease (CAD). The clinical and technical realizations reveal that the predominant goals of further trainings to optimize MPS are in the field

  1. Novel Anti-Melanogenesis Properties of Polydeoxyribonucleotide, a Popular Wound Healing Booster

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    Tai Kyung Noh

    2016-09-01

    Full Text Available Polydeoxyribonucleotide (PDRN, a deoxyribonucleotide polymer, is popularly used for faster healing of cutaneous wounds and boosting of neocollagenesis of photoaged skin among current dermatologic practitioners. Some patients receiving PDRN injection treatment also reported improvement of photoaging-associated mottled pigmentation (PMP. To investigate the effect of PDRN on cutaneous melanogenesis, we examined the effect of PDRN and an available product (Placentex® containing PDRN on melanogenesis using human melanocytes-keratinocytes cocultures and mouse melanocytes. Melanin content, tyrosinase activity, and levels of microphthalmia-associated transcription factor (MITF, tyrosinase, and tyrosinase-related protein (TRP-1 were determined. Intracellular signaling pathways were assessed by Western blotting. PDRN and Placentex® led to decreases in melanin content, tyrosinase activity, and MITF and TRP-1 expression with concomitant increases in phosphorylated forms of extracellular signal-regulated protein kinase (ERK and AKT in mouse melanocytes. More importantly, both PDRN and Placentex® significantly suppressed the melanin content in human melanocyte–keratinocyte cocultures. Clinical evaluation of six female patients with facial hyperpigmentation after three sessions of intradermal PDRN injections using a 5-point scale revealed that PDRN led to more than noticeable improvements in hyperpigmented lesions. This is the first study to demonstrate that PDRN, which is known for its wound-healing properties, may have novel anti-melanogenesis and potential skin whitening properties.

  2. Charcot-Marie-Tooth disease: genetic and clinical spectrum in a Spanish clinical series.

    Science.gov (United States)

    Sivera, Rafael; Sevilla, Teresa; Vílchez, Juan Jesús; Martínez-Rubio, Dolores; Chumillas, María José; Vázquez, Juan Francisco; Muelas, Nuria; Bataller, Luis; Millán, José María; Palau, Fancesc; Espinós, Carmen

    2013-10-29

    To determine the genetic distribution and the phenotypic correlation of an extensive series of patients with Charcot-Marie-Tooth disease in a geographically well-defined Mediterranean area. A thorough genetic screening, including most of the known genes involved in this disease, was performed and analyzed in this longitudinal descriptive study. Clinical data were analyzed and compared among the genetic subgroups. Molecular diagnosis was accomplished in 365 of 438 patients (83.3%), with a higher success rate in demyelinating forms of the disease. The CMT1A duplication (PMP22 gene) was the most frequent genetic diagnosis (50.4%), followed by mutations in the GJB1 gene (15.3%), and in the GDAP1 gene (11.5%). Mutations in 13 other genes were identified, but were much less frequent. Sixteen novel mutations were detected and characterized phenotypically. The relatively high frequency of GDAP1 mutations, coupled with the scarceness of MFN2 mutations (1.1%) and the high proportion of recessive inheritance (11.6%) in this series exemplify the particularity of the genetic distribution of Charcot-Marie-Tooth disease in this region.

  3. Charcot-Marie-Tooth disease

    Science.gov (United States)

    Sivera, Rafael; Vílchez, Juan Jesús; Martínez-Rubio, Dolores; Chumillas, María José; Vázquez, Juan Francisco; Muelas, Nuria; Bataller, Luis; Millán, José María; Palau, Fancesc; Espinós, Carmen

    2013-01-01

    Objectives: To determine the genetic distribution and the phenotypic correlation of an extensive series of patients with Charcot-Marie-Tooth disease in a geographically well-defined Mediterranean area. Methods: A thorough genetic screening, including most of the known genes involved in this disease, was performed and analyzed in this longitudinal descriptive study. Clinical data were analyzed and compared among the genetic subgroups. Results: Molecular diagnosis was accomplished in 365 of 438 patients (83.3%), with a higher success rate in demyelinating forms of the disease. The CMT1A duplication (PMP22 gene) was the most frequent genetic diagnosis (50.4%), followed by mutations in the GJB1 gene (15.3%), and in the GDAP1 gene (11.5%). Mutations in 13 other genes were identified, but were much less frequent. Sixteen novel mutations were detected and characterized phenotypically. Conclusions: The relatively high frequency of GDAP1 mutations, coupled with the scarceness of MFN2 mutations (1.1%) and the high proportion of recessive inheritance (11.6%) in this series exemplify the particularity of the genetic distribution of Charcot-Marie-Tooth disease in this region. PMID:24078732

  4. Productive performance and industrial quality of wheat genotypes grown in two environments

    Directory of Open Access Journals (Sweden)

    Omar Possatto Junior

    Full Text Available ABSTRACT Wheat flour can be allocated for manufacturing various products, but each purpose requires specificities defined by the industrial quality. The objective of this study was to evaluate the performance of experimental lines and commercial cultivars of wheat, in South and Southeast of Brazil and to identify genotypes with favorable characteristics of industrial quality. Twenty lines in the stage of cultivation and use and three commercial cultivars were evaluated for grain yield components (hectoliter weight and thousand-grain weight and features related to the industrial quality of the flour (protein, flour stability, sedimentation with sodium dodecyl sulfate and color. The genotypes CRX/CD104//ALC, LAJ96010/JSP//ALC and CRX/ALC//ALC showed favorable characteristics for biscuit production, while the genotypes ORL97061/ORL00241//CD104, SUZ6/WEAVER//TUI/3/SUP/4/CD104, ORL99396/ORL97061//SUP, CRX/CD104//ALC, ORL98231/IOR00131//ÔNIX, ORL94346/ALC//AVT/3/ÔNIX, CEP0033/ÔNIX/3/ÔNIX*2//TC14/2*SPEAR, Campo Real/VAN//ÔNIX, ORL97061/CD 104 and PMP/ORL98231//CRX have aptitude for baking. The evaluations were efficient for the classification and selection of genotypes in the wheat breeding program.

  5. A syllabus for fellowship education in palliative medicine.

    Science.gov (United States)

    LeGrand, Susan B; Walsh, Declan; Nelson, Kristine A; Davis, Mellar P

    2003-01-01

    Recent years have seen significant growth in palliative medicine training programs and positions. There are plans to pursue palliative medicine specialty status with the American Board of Medical Specialties and accreditation of fellowship programs with the American College of Graduate Medical Education. A work group of program directors, supported initially by the Cleveland Clinic and then by the American Board of Hospice and Palliative Medicine, has recently published standards for fellowship training. Despite this, fundamental questions remain about defining the field and delineating the knowledge and skills expected following completion of specialty training. In this article, we describe the first fellowship program in palliative medicine (PMP) in the United States, developed and supported by the Cleveland Clinic Foundation. The program has been implemented as part of the Harry R. Horvitz Center for Palliative Medicine, founded in 1987 as the first comprehensive integrated US program in this field. This training program, in existence since 1989, features a traditional rotational structure with an inpatient primary care service, inpatient consult services, and an outpatient consult/hospice service. This article outlines the syllabus developed for this fellowship, given what we believe to be the essential knowledge base for the field of palliative medicine.

  6. Genomic organization of the adrenoleukodystrophy gene

    Energy Technology Data Exchange (ETDEWEB)

    Sarde, C.O.; Mosser, J.; Kretz, C. [Institut de Chimie Biologique, Strasbourg (France)] [and others

    1994-07-01

    Adrenoleukodystrophy (ALD), the most frequent peroxisomal disorder, is a severe neurodegenerative disease associated with an impairment of very long chain fatty acids {beta}-oxidation. The authors have recently identified by positional cloning the gene responsible for ALD, located in Xq28. It encodes a new member of the {open_quotes}ABC{close_quotes} superfamily of membrane-associated transporters that shows, in particular, significant homology to the 70-kDa peroxisomal membrane protein (PMP70). They report here a detailed characterization of the ALD gene structure. It extends over 21 kb and consists of 10 exons. To facilitate the detection of mutations in ALD patients, they have determined the intronic sequences flanking the exons as well as the sequence of the 3{prime} untranslated region and of the immediate 5{prime} promoter region. Sequences present in distal exons cross-hybridize strongly to additional sequences in the human genome. The ALD gene has been positioned on a pulsed-field map between DXS15 and the L1CAM gene, about 650 kb upstream from the color pigment genes. The frequent occurrence of color vision anomalies observed in patients with adrenomyeloneuropathy (the adult onset form of ALD) thus does not represent a contiguous gene syndrome but a secondary manifestation of ALD. 37 refs., 6 figs.

  7. PEX16: a multifaceted regulator of peroxisome biogenesis

    Directory of Open Access Journals (Sweden)

    Peter eKim

    2013-09-01

    Full Text Available Peroxisomes are formed by two distinct pathways: the growth and fission of mature peroxisomes and de novo synthesis at the endoplasmic reticulum (ER. While many of the molecular mechanisms underlying these two pathways remain to be elucidated, it is generally accepted that their relative contribution to peroxisome formation may vary depending on the species, cell type and/or physiological status of the organism. One pertinent example of the apparent differences in the regulation of peroxisome biogenesis among evolutionarily diverse species is the involvement of the peroxin PEX16. In Yarrowia lipolytica, for instance, PEX16 is an intraperoxisomal peripheral membrane protein that participates in peroxisomal fission. By contrast, Human PEX16 is an integral membrane protein that is thought to function at the ER during the early stages of de novo peroxisome formation and also recruits peroxisomal membrane proteins directly to mature peroxisomes. Similarly, PEX16 in the plant Arabidopsis thaliana is speculated to be a PMP receptor at the ER and peroxisomes, and is also required for the formation of other ER-derived organelles, such as oil and protein bodies. Here we briefly review the current knowledge of Y. lipolytica, human and A. thaliana PEX16 in the context of our overall understanding of peroxisome biogenesis and the role of the ER in this process in these three divergent species.

  8. The membrane peroxin PEX3 induces peroxisome-ubiquitination-linked pexophagy

    Science.gov (United States)

    Yamashita, Shun-ichi; Abe, Kakeru; Tatemichi, Yuki; Fujiki, Yukio

    2014-01-01

    Peroxisomes are degraded by a selective type of autophagy known as pexophagy. Several different types of pexophagy have been reported in mammalian cells. However, the mechanisms underlying how peroxisomes are recognized by autophagy-related machinery remain elusive. PEX3 is a peroxisomal membrane protein (PMP) that functions in the import of PMPs into the peroxisomal membrane and has been shown to interact with pexophagic receptor proteins during pexophagy in yeast. Thus, PEX3 is important not only for peroxisome biogenesis, but also for peroxisome degradation. However, whether PEX3 is involved in the degradation of peroxisomes in mammalian cells is unclear. Here, we report that high levels of PEX3 expression induce pexophagy. In PEX3-loaded cells, peroxisomes are ubiquitinated, clustered, and degraded in lysosomes. Peroxisome targeting of PEX3 is essential for the initial step of this degradation pathway. The degradation of peroxisomes is inhibited by treatment with autophagy inhibitors or siRNA against NBR1, which encodes an autophagic receptor protein. These results indicate that ubiquitin- and NBR1-mediated pexophagy is induced by increased expression of PEX3 in mammalian cells. In addition, another autophagic receptor protein, SQSTM1/p62, is required only for the clustering of peroxisomes. Expression of a PEX3 mutant with substitution of all lysine and cysteine residues by arginine and alanine, respectively, also induces peroxisome ubiquitination and degradation, hence suggesting that ubiquitination of PEX3 is dispensable for pexophagy and an endogenous, unidentified peroxisomal protein is ubiquitinated on the peroxisomal membrane. PMID:25007327

  9. Newly born peroxisomes are a hybrid of mitochondrial and ER-derived pre-peroxisomes.

    Science.gov (United States)

    Sugiura, Ayumu; Mattie, Sevan; Prudent, Julien; McBride, Heidi M

    2017-02-09

    Peroxisomes function together with mitochondria in a number of essential biochemical pathways, from bile acid synthesis to fatty acid oxidation. Peroxisomes grow and divide from pre-existing organelles, but can also emerge de novo in the cell. The physiological regulation of de novo peroxisome biogenesis remains unclear, and it is thought that peroxisomes emerge from the endoplasmic reticulum in both mammalian and yeast cells. However, in contrast to the yeast system, a number of integral peroxisomal membrane proteins are imported into mitochondria in mammalian cells in the absence of peroxisomes, including Pex3, Pex12, Pex13, Pex14, Pex26, PMP34 and ALDP. Overall, the mitochondrial localization of peroxisomal membrane proteins in mammalian cells has largely been considered a mis-targeting artefact in which de novo biogenesis occurs exclusively from endoplasmic reticulum-targeted peroxins. Here, in following the generation of new peroxisomes within human patient fibroblasts lacking peroxisomes, we show that the essential import receptors Pex3 and Pex14 target mitochondria, where they are selectively released into vesicular pre-peroxisomal structures. Maturation of pre-peroxisomes containing Pex3 and Pex14 requires fusion with endoplasmic reticulum-derived vesicles carrying Pex16, thereby providing full import competence. These findings demonstrate the hybrid nature of newly born peroxisomes, expanding their functional links to mitochondria.

  10. From ontology selection and semantic web to an integrated information system for food-borne diseases and food safety.

    Science.gov (United States)

    Yan, Xianghe; Peng, Yun; Meng, Jianghong; Ruzante, Juliana; Fratamico, Pina M; Huang, Lihan; Juneja, Vijay; Needleman, David S

    2011-01-01

    Several factors have hindered effective use of information and resources related to food safety due to inconsistency among semantically heterogeneous data resources, lack of knowledge on profiling of food-borne pathogens, and knowledge gaps among research communities, government risk assessors/managers, and end-users of the information. This paper discusses technical aspects in the establishment of a comprehensive food safety information system consisting of the following steps: (a) computational collection and compiling publicly available information, including published pathogen genomic, proteomic, and metabolomic data; (b) development of ontology libraries on food-borne pathogens and design automatic algorithms with formal inference and fuzzy and probabilistic reasoning to address the consistency and accuracy of distributed information resources (e.g., PulseNet, FoodNet, OutbreakNet, PubMed, NCBI, EMBL, and other online genetic databases and information); (c) integration of collected pathogen profiling data, Foodrisk.org ( http://www.foodrisk.org ), PMP, Combase, and other relevant information into a user-friendly, searchable, "homogeneous" information system available to scientists in academia, the food industry, and government agencies; and (d) development of a computational model in semantic web for greater adaptability and robustness.

  11. Reconstruction of transcription control networks in Mollicutes by high-throughput identification of promoters

    Directory of Open Access Journals (Sweden)

    Gleb Y Fisunov

    2016-12-01

    Full Text Available Bacteria of the class Mollicutes have significantly reduced genomes and gene expression control systems. They are also efficient pathogens that can colonize a broad range of hosts including plants and animals. Despite their simplicity, Mollicutes demonstrate complex transcriptional responses to various conditions, which contradicts their reduction in gene expression regulation mechanisms. We analyzed the conservation and distribution of transcription regulators across the 50 Mollicutes species. The majority of the transcription factors regulate transport and metabolism, and there are four transcription factors that demonstrate significant conservation across the analyzed bacteria. These factors include repressors of chaperone HrcA, cell cycle regulator MraZ and two regulators with unclear function from the WhiA and YebC/PmpR families. We then used three representative species of the major clades of Mollicutes (Acholeplasma laidlawii, Spiroplasma melliferum and Mycoplasma gallisepticum to perform promoters mapping and activity quantitation. We revealed that Mollicutes evolved towards a promoter architecture simplification that correlates with a diminishing role of transcription regulation and an increase in transcriptional noise. Using the identified operons structure and a comparative genomics approach, we reconstructed the transcription control networks for these three species. The organization of the networks reflects the adaptation of bacteria to specific conditions and hosts.

  12. Optimal adaptation of equivalent factor of equivalent consumption minimization strategy for fuel cell hybrid electric vehicles under active state inequality constraints

    Science.gov (United States)

    Han, Jihun; Park, Youngjin; Kum, Dongsuk

    2014-12-01

    Among existing energy management strategies (EMSs) for fuel cell hybrid electric vehicles (FCHEV), the equivalent consumption minimization strategy (ECMS) is often considered as a practical approach because it can be implemented in real-time, while achieving near-optimal performance. However, under real-world driving conditions with uncertainties such as hilly roads, both near-optimality and charge-sustenance of ECMS are not guaranteed unless the equivalent factor (EF) is optimally adjusted in real-time. In this paper, a methodology of extracting the globally optimal EF trajectory from dynamic programming (DP) solution is proposed for the design of EF adaptation strategies. In order to illustrate the performance and process of the extraction method, a FCHEV energy management problem under hilly road conditions is investigated as a case study. The main goal is to learn how EF should be adjusted and the impact of EF adaptation on fuel economy under several hilly road cases. Using the extraction method, the DP-based EF is computed, and its performance is compared with those of Pontryagin's minimum principle (PMP) and conventional ECMS. The results show that the optimal EF adaptation significantly improves fuel economy when the battery SoC constraint becomes active, and thus EF must be properly adjusted under severely hilly road conditions.

  13. Evaluation Of The Official Match External Load In Soccer Players With Cerebral Palsy.

    Science.gov (United States)

    Yanci, J; Castillo, D; Iturricastillo, A; Reina, R

    2017-06-22

    The aims of this study were to analyze the official match external loads (i.e. total distance [TD], distance covered at different speeds, accelerations, decelerations, player load [PL], peak metabolic power [PMP] and changes of direction [CODs]) of football players with cerebral palsy (CP), and to determine the external loads according to playing time (i.e. 40 min). The external load of thirty-one international football players with CP (23.0 ± 6.6 years; 69.1 ± 9.0 kg; 174.8 ± 7.3 cm) was analyzed during a World Championship Qualification Tournament (n = 8 matches, 58 individual observations). Results showed that the football players with CP, covered less distance at high intensity running and sprinting, performing a smaller number of moderate and high intensity accelerations and decelerations, had a lower PL and made fewer CODs in official matches compared to conventional football players as reported in other studies. The number of minutes played by the players (i.e. 40 min) could significantly influence the players' match external load (ES = 0.3-5.5, small to extremely large). The impairments presented by football players with CP affect players' match external loads, especially in short-term high-intensity neuromuscular actions.

  14. Hereditary motor and sensory neuropathies or Charcot-Marie-Tooth diseases: an update.

    Science.gov (United States)

    Tazir, Meriem; Hamadouche, Tarik; Nouioua, Sonia; Mathis, Stephane; Vallat, Jean-Michel

    2014-12-15

    Hereditary motor and sensory neuropathies (HMSN) or Charcot-Marie-Tooth (CMT) diseases are the most common degenerative disorders of the peripheral nervous system. However, the frequency of the different subtypes varies within distinct populations. Although more than seventy clinical and genetic forms are known to date, more than 80% of CMT patients in Western countries have genetic abnormalities associated with PMP22, MPZ, MFN2 and GJB1. Given the considerable genetic heterogeneity of CMT, we emphasize the interest of both clinical and pathological specific features such that focused genetic testing could be performed. In this regard, peripheral nerve lesions in GDAP1 mutations (AR CMT1A), such as mitochondrial abnormalities, have been newly demonstrated. Otherwise, while demyelinating autosomal recessive CMT used to be classified as CMT4 (A, B, C …), we propose a simplified classification such as AR CMT1 (A, B, C …), and AR CMT2 for axonal forms. Also, we stress that next generation sequencing techniques, now considered to be the most efficient methods of genetic testing in CMT, will be helpful in molecular diagnosis and research of new genes involved. Finally, while no effective therapy is known to date, ongoing new therapeutic trials such as PXT3003 (a low dose combination of the three already approved drugs baclofen, naltrexone, and D-sorbitol) give hopes for potential curative treatment. Copyright © 2014 Elsevier B.V. All rights reserved.

  15. Structural and Functional Abnormalities of the Neuromuscular Junction in the Trembler-J Homozygote Mouse Model of Congenital Hypomyelinating Neuropathy.

    Science.gov (United States)

    Scurry, Alexandra N; Heredia, Dante J; Feng, Cheng-Yuan; Gephart, Gregory B; Hennig, Grant W; Gould, Thomas W

    2016-04-01

    Mutations in peripheral myelin protein 22 (PMP22) result in the most common form of Charcot-Marie-Tooth (CMT) disease, CMT1A. This hereditary peripheral neuropathy is characterized by dysmyelination of peripheral nerves, reduced nerve conduction velocity, and muscle weakness. APMP22 point mutation in L16P (leucine 16 to proline) underlies a form of human CMT1A as well as the Trembler-J mouse model of CMT1A. Homozygote Trembler-J mice (Tr(J)) die early postnatally, fail to make peripheral myelin, and, therefore, are more similar to patients with congenital hypomyelinating neuropathy than those with CMT1A. Because recent studies of inherited neuropathies in humans and mice have demonstrated that dysfunction and degeneration of neuromuscular synapses or junctions (NMJs) often precede impairments in axonal conduction, we examined the structure and function of NMJs in Tr(J)mice. Although synapses appeared to be normally innervated even in end-stage Tr(J)mice, the growth and maturation of the NMJs were altered. In addition, the amplitudes of nerve-evoked muscle endplate potentials were reduced and there was transmission failure during sustained nerve stimulation. These results suggest that the severe congenital hypomyelinating neuropathy that characterizes Tr(J)mice results in structural and functional deficits of the developing NMJ. © 2016 American Association of Neuropathologists, Inc. All rights reserved.

  16. Profiling antibody responses to infections by Chlamydia abortus enables identification of potential virulence factors and candidates for serodiagnosis.

    Directory of Open Access Journals (Sweden)

    Vera Forsbach-Birk

    Full Text Available Enzootic abortion of ewes (EAE due to infection with the obligate intracellular pathogen Chlamydia (C. abortus is an important zoonosis leading to considerable economic loss to agriculture worldwide. The pathogen can be transmitted to humans and may lead to serious infection in pregnant women. Knowledge about epidemiology, clinical course and transmission to humans is hampered by the lack of reliable diagnostic tools. Immunoreactive proteins, which are expressed in infected animals and humans, may serve as novel candidates for diagnostic marker proteins and represent putative virulence factors. In order to broaden the spectrum of immunogenic C. abortus proteins we applied 2D immunoblot analysis and screening of an expression library using human and animal sera. We have identified 48 immunoreactive proteins representing potential diagnostic markers and also putative virulence factors, such as CAB080 (homologue of the "macrophage infectivity potentiator", MIP, CAB167 (homologue of the "translocated actin recruitment protein", TARP, CAB712 (homologue of the "chlamydial protease-like activity factor", CPAF, CAB776 (homologue of the "Polymorphic membrane protein D", PmpD, and the "hypothetical proteins" CAB063, CAB408 and CAB821, which are predicted to be type III secreted. We selected two putative virulence factors for further characterization, i.e. CAB080 (cMIP and CAB063, and studied their expression profiles at transcript and protein levels. Analysis of the subcellular localization of both proteins throughout the developmental cycle revealed CAB063 being the first C. abortus protein shown to be translocated to the host cell nucleus.

  17. The optimization of saccharification of desulfurated red seaweed-derived polysaccharides and analysis of their composition.

    Science.gov (United States)

    Li, Xiaolin; Li, Yinping; Mou, Haijin; Gao, Yan; Hwang, Hueymin; Wang, Peng

    2014-01-01

    Currently processes of ethanol production from desulfurated red seaweed derived polysaccharides (De-RSDP) are well established. However, the optimization of the enzymatic saccharification process has not been reported. In this study, De-RSDP from Kappaphycus alvarezii was subjected to saccharification by different enzymes, including pectinase, cellobiase, cellulase, and hemicellulase. The best saccharification enzyme was determined as pectinase. In order to obtain more reducing sugar (RS), the single-factor experiment followed by central composite rotatable design (CCD) was used to optimize the parameters for enzymatic hydrolysis. The optimal saccharification parameters of De-RSDP were 4400 U/g pectinase dosage, 96 hr, and 55.5°C, respectively, and the yield of RS reached 81.3%. Subsequently, the saccharification liquids of De-RSDP were isolated and purified with gel permeation chromatography (GPC) to separate saccharides with different molecular weights. Simultaneously, the composition of saccharification liquids was analyzed by 1-phenyl-3-methyl-5-pyrazolone high-pressure liquid chromatography (PMP-HPLC) and mass spectroscopy (MS). The result showed that the content is mainly composed of galactose (65.2%) with the average molecular mass in the fourth peak 181.1 Da. The saccharification liquids of De-RSDP inoculated with Saccharomyces cerevisiae L-4 for ethanol fermentation produced 0.3 g ethanol/g De-RSDP, which corresponded to 71.8% of the theoretical yield (0.38 g ethanol/g).

  18. Optimal control design of preparation pulses for contrast optimization in MRI

    Science.gov (United States)

    Van Reeth, Eric; Ratiney, Hélène; Tesch, Michael; Grenier, Denis; Beuf, Olivier; Glaser, Steffen J.; Sugny, Dominique

    2017-06-01

    This work investigates the use of MRI radio-frequency (RF) pulses designed within the framework of optimal control theory for image contrast optimization. The magnetization evolution is modeled with Bloch equations, which defines a dynamic system that can be controlled via the application of the Pontryagin Maximum Principle (PMP). This framework allows the computation of optimal RF pulses that bring the magnetization to a given state to obtain the desired contrast after acquisition. Creating contrast through the optimal manipulation of Bloch equations is a new way of handling contrast in MRI, which can explore the theoretical limits of the system. Simulation experiments carried out on-resonance quantify the contrast improvement when compared to standard T1 or T2 weighting strategies. The use of optimal pulses is also validated for the first time in both in vitro and in vivo experiments on a small-animal 4.7 T MR system. Results demonstrate their robustness to static field inhomogeneities as well as the fact that they can be embedded in standard imaging sequences without affecting standard parameters such as slice selection or echo type. In vivo results on rat and mouse brains illustrate the ability of optimal contrast pulses to create non-trivial contrasts on well-studied structures (white matter versus gray matter).

  19. To achieve national self-sufficiency: recent progresses in deceased donation in Korea.

    Science.gov (United States)

    Min, Sang-Il; Ahn, Curie; Han, Duck Jong; Kim, Soon Il; Chung, Sang Young; Lee, Suk Koo; Kim, Sung Joo; Kwon, Oh Jung; Cho, Hong Rae; Hwang, Shin; Kim, Myoung Soo; Yang, Chul Woo; Ha, Jongwon; Cho, Won Hyun

    2015-04-01

    The disparity between patients awaiting transplantation and available organs has widened, and resultant organ shortage became a world crisis. The transplantation community has made considerable progress in national organ donation system in Korea, and significant growth in the number of deceased donors has been witnessed. After introduction of the Organ Transplant Act, which was enacted in 2000, transparency was established in organ allocation system in Korea. However, the number of deceased donor dwindled significantly from 162 in 1999 to 36 in 2002. To improve deceased donation, several strategies were pursued, and finally new national organ donation system was established through the amendment of the Organ Transplant Act. Organ incentive system, which was introduced in 2003, failed to increase the number of deceased donors (68 in 2003, 86 in 2004, and 91 in 2005). Monetary incentive to the bereaved family was introduced in 2006 and slightly increased the number of deceased donor (141 in 2006). However, this effect was not long-lasting (148 in 2007). After enforcement of the new Organ Transplant Act, which included nationwide independent organ procurement organization and mandatory report of potential brain death, the number of deceased donors significantly increased, reaching 368 in 2011. The growth continued and the number of deceased donors reached 409 (8.03 pmp) in 2012. There has been a significant growth in the number of deceased donors in Korea since the appropriate deceased organ donation system was launched. A comprehensive national program is required to improve deceased donation and achieve self-sufficiency.

  20. Evaluation of amotosalem treated platelets over 7 days of storage with an automated cytometry assay panel.

    Science.gov (United States)

    Diquattro, M; De Francisci, G; Bonaccorso, R; Tagliavia, A M; Marcatti, M; Palma, B; Agliastro, R

    2013-12-01

    Pathogen Inactivation allows to overcome microbial contamination and growth related to storage of platelets concentrates (PC) at room temperature. The aim of our study was to evaluate the platelet storage lesion extending the storage period of pathogen inactivated platelet concentrates over 7 days using an automated cytometry assay panel. We analyzed 43 concentrates subjected to pathogen inactivation (CPPI) at 3, 5 and 7 days evaluating: platelet count, mean platelet volume, platelets at low optical density, platelets at high density, GPIIb-IIIa glycoprotein, platelet microparticles, lactate dehydrogenase. The collection bags (Fenwal) and the IBS kit made in PL2410/PL2411 are approved for the conservation of PC up to 7 days. Data analysis was performed with anova test. All the parameters except small platelets and PMP were statistically different among day 7 vs. 3 and day 7 vs. 5. Our study showed a progressive modification of pathogen inactivated platelet concentrates observed up to 7 days. The persistence of the secretory pool and the presence of the platelet membrane fibrinogen receptor suggest the persistence of a potential hemostatic efficacy. Clinical studies are necessary to directly correlate this type of analysis to 24 h recovery or survival of transfused platelets in humans. © 2013 John Wiley & Sons Ltd.

  1. Pals1 is a major regulator of the epithelial-like polarization and the extension of the myelin sheath in peripheral nerves.

    Science.gov (United States)

    Ozçelik, Murat; Cotter, Laurent; Jacob, Claire; Pereira, Jorge A; Relvas, João B; Suter, Ueli; Tricaud, Nicolas

    2010-03-17

    Diameter, organization, and length of the myelin sheath are important determinants of the nerve conduction velocity, but the basic molecular mechanisms that control these parameters are only partially understood. Cell polarization is an essential feature of differentiated cells, and relies on a set of evolutionarily conserved cell polarity proteins. We investigated the molecular nature of myelin sheath polarization in connection with the functional role of the cell polarity protein pals1 (Protein Associated with Lin Seven 1) during peripheral nerve myelin sheath extension. We found that, in regard to epithelial polarity, the Schwann cell outer abaxonal domain represents a basolateral-like domain, while the inner adaxonal domain and Schmidt-Lanterman incisures form an apical-like domain. Silencing of pals1 in myelinating Schwann cells in vivo resulted in a severe reduction of myelin sheath thickness and length. Except for some infoldings, the structure of compact myelin was not fundamentally affected, but cells produced less myelin turns. In addition, pals1 is required for the normal polarized localization of the vesicular markers sec8 and syntaxin4, and for the distribution of E-cadherin and myelin proteins PMP22 and MAG at the plasma membrane. Our data show that the polarity protein pals1 plays an essential role in the radial and longitudinal extension of the myelin sheath, likely involving a functional role in membrane protein trafficking. We conclude that regulation of epithelial-like polarization is a critical determinant of myelin sheath structure and function.

  2. A study on the development of the “Taiwan project management competence scale”

    Directory of Open Access Journals (Sweden)

    Kao I-Chan

    2017-01-01

    Full Text Available On the basis of the 46 competence elements in the International Project Management Association (IPMA ICB Version 3.0 and the PMP competence guidelines in PMBOK® Guide -- Fifth Edition by the Project Management Institute, this study formulates a “Preliminary Draft of the Taiwan Project Management Competence Scale”. After expert review, a pretest was developed for the Taiwan Project Management Competence Scale. With adult students in adult education institutions as the respondents, a pretest was conducted in order to collect data. Confirmatory factor analysis, and reliability analysis were then conducted to construct the “Taiwan Project Management Competence Scale”, which covers the four dimensions of project management of cognitive and conceptual competences, behavioral and technical competences, contextual competences, and moral and ethical competences. It is intended that this scale could be used as reference in future investigations into and measurement of project management competence in Taiwan, thus, facilitating the diagnosis, improvement, and refinement of performance in terms of project management competence.

  3. Status and trend of tree growth and mortality rate at the CONECOFOR plots, 1997-2004

    Directory of Open Access Journals (Sweden)

    Gianfranco Fabbio

    2013-11-01

    Full Text Available The circumference of trees in the CONECOFOR permanent monitoring plots (PMPs were measured by three surveys carried out in 1997, 2000 and 2005. Plots were arranged into forest types according to tree species, management system and stand structure: beech (Fagus sylvatica L. and spruce (Picea abies K. high forests, aged coppice forests and transitory crops (deciduous, evergreen oaks and beech. Diameter distribution, basal area, basal area increment, tree mortality rate and in-growth were calculated per layer (dominant, intermediate, dominated within each PMP, to point out relative contributions and changes. A range in relative annual growth was detected both within and between types over the monitored period, but an obvious reduction of annual increment was found in two/thirds of plots over 2000-04 as compared to 1997-99. Current mortality, mostly allocated into the dominated and intermediate layers, can be explained as “regular” due to overstocking and high inter-tree competition in almost all of the observed case-studies. Opposite patterns were found to occur as for stand growth vs. mortality rate between coppice forests and the other types owing to the different dynamics of tree competition in progress. Drought 2003 is the likely large-scale factor determining the reduced annual growth course over the second period.

  4. Darcy Permeability of Hollow Fiber Membrane Bundles Made from Membrana Polymethylpentene Fibers Used in Respiratory Assist Devices.

    Science.gov (United States)

    Madhani, Shalv P; D'Aloiso, Brandon D; Frankowski, Brian; Federspiel, William J

    2016-01-01

    Hollow fiber membranes (HFMs) are used in blood oxygenators for cardiopulmonary bypass or in next generation artificial lungs. Flow analyses of these devices is typically done using computational fluid dynamics (CFD) modeling HFM bundles as porous media, using a Darcy permeability coefficient estimated from the Blake-Kozeny (BK) equation to account for viscous drag from fibers. We recently published how well this approach can predict Darcy permeability for fiber bundles made from polypropylene HFMs, showing the prediction can be significantly improved using an experimentally derived correlation between the BK constant (A) and bundle porosity (ε). In this study, we assessed how well our correlation for A worked for predicting the Darcy permeability of fiber bundles made from Membrana polymethylpentene (PMP) HFMs, which are increasingly being used clinically. Swatches in the porosity range of 0.4 to 0.8 were assessed in which sheets of fiber were stacked in parallel, perpendicular, and angled configurations. Our previously published correlation predicted Darcy within ±8%. A new correlation based on current and past measured permeability was determined: A = 497ε - 103; using this correlation measured Darcy permeability was within ±6%. This correlation varied from 8% to -3.5% of our prior correlation over the tested porosity range.

  5. A Supervisory Control Algorithm of Hybrid Electric Vehicle Based on Adaptive Equivalent Consumption Minimization Strategy with Fuzzy PI

    Directory of Open Access Journals (Sweden)

    Fengqi Zhang

    2016-11-01

    Full Text Available This paper presents a new energy management system based on equivalent consumption minimization strategy (ECMS for hybrid electric vehicles. The aim is to enhance fuel economy and impose state of charge (SoC charge-sustainability. First, the relationship between the equivalent factor (EF of ECMS and the co-state of pontryagin’s minimum principle (PMP is derived. Second, a new method of implementing the adaptation law using fuzzy proportional plus integral (PI controller is developed to adjust EF for ECMS in real-time. This adaptation law is more robust than one with constant EF due to the variation of EF as well as driving cycle. Finally, simulations for two driving cycles using ECMS are conducted as opposed to the commonly used rule-based (RB control strategy, indicating that the proposed adaptation law can provide a promising blend in terms of fuel economy and charge-sustainability. The results confirm that ECMS with Fuzzy PI adaptation law is more robust than ECMS with constant EF as well as PI adaptation law and it achieves significant improvements compared with RB in terms of fuel economy, which is enhanced by 4.44% and 14.7% for china city bus cycle and economic commission of Europe (ECE cycle, respectively.

  6. A Pontryagin Minimum Principle-Based Adaptive Equivalent Consumption Minimum Strategy for a Plug-in Hybrid Electric Bus on a Fixed Route

    Directory of Open Access Journals (Sweden)

    Shaobo Xie

    2017-09-01

    Full Text Available When developing a real-time energy management strategy for a plug-in hybrid electric vehicle, it is still a challenge for the Equivalent Consumption Minimum Strategy to achieve near-optimal energy consumption, because the optimal equivalence factor is not readily available without the trip information. With the help of realistic speeding profiles sampled from a plug-in hybrid electric bus running on a fixed commuting line, this paper proposes a convenient and effective approach of determining the equivalence factor for an adaptive Equivalent Consumption Minimum Strategy. Firstly, with the adaptive law based on the feedback of battery SOC, the equivalence factor is described as a combination of the major component and tuning component. In particular, the major part defined as a constant is applied to the inherent consistency of regular speeding profiles, while the second part including a proportional and integral term can slightly tune the equivalence factor to satisfy the disparity of daily running cycles. Moreover, Pontryagin’s Minimum Principle is employed and solved by using the shooting method to capture the co-state dynamics, in which the Secant method is introduced to adjust the initial co-state value. And then the initial co-state value in last shooting is taken as the optimal stable constant of equivalence factor. Finally, altogether ten successive driving profiles are selected with different initial SOC levels to evaluate the proposed method, and the results demonstrate the excellent fuel economy compared with the dynamic programming and PMP method.

  7. The four-transmembrane protein IP39 of Euglena forms strands by a trimeric unit repeat

    Science.gov (United States)

    Suzuki, Hiroshi; Ito, Yasuyuki; Yamazaki, Yuji; Mineta, Katsuhiko; Uji, Masami; Abe, Kazuhiro; Tani, Kazutoshi; Fujiyoshi, Yoshinori; Tsukita, Sachiko

    2013-01-01

    Euglenoid flagellates have striped surface structures comprising pellicles, which allow the cell shape to vary from rigid to flexible during the characteristic movement of the flagellates. In Euglena gracilis, the pellicular strip membranes are covered with paracrystalline arrays of a major integral membrane protein, IP39, a putative four-membrane-spanning protein with the conserved sequence motif of the PMP-22/EMP/MP20/Claudin superfamily. Here we report the three-dimensional structure of Euglena IP39 determined by electron crystallography. Two-dimensional crystals of IP39 appear to form a striated pattern of antiparallel double-rows in which trimeric IP39 units are longitudinally polymerised, resulting in continuously extending zigzag-shaped lines. Structural analysis revealed an asymmetric molecular arrangement in the trimer, and suggested that at least four different interactions between neighbouring protomers are involved. A combination of such multiple interactions would be important for linear strand formation of membrane proteins in a lipid bilayer. PMID:23612307

  8. Microfluidic bead trap as a visual bar for quantitative detection of oligonucleotides.

    Science.gov (United States)

    Zhao, Zichen; Bao, Yuanye; Chu, Lok Ting; Ho, John Kin Lim; Chieng, Ching-Chang; Chen, Ting-Hsuan

    2017-09-26

    We demonstrate a microfluidic bead trap capable of forming a dipstick-type bar visible to the naked eye for simple and quantitative detection of oligonucleotides. We use magnetic microparticles (MMPs) and polystyrene microparticles (PMPs) that are connected and form MMPs-targets-PMPs when target oligonucleotides are present, leaving free PMPs with a number inversely proportional to the amount of targets. Using a capillary flow-driven microfluidic circuitry consisting of a magnetic separator to remove the MMPs-targets-PMPs, the free PMPs can be trapped at the narrowing nozzle downstream, forming a visual bar quantifiable based on the length of PMP accumulation. Such a power-free and instrument-free platform enables a limit of detection at 13 fmol (0.65 nM in 20 μl, S/N = 3) of oligonucleotides and is compatible with single-nucleotide polymorphisms and operation in a complex bio-fluid. Moreover, using DNAzyme as the target oligonucleotide that catalyzes a specific hydrolytic cleavage in the presence of lead ions, we demonstrate a model application that detects lead ions with a limit of detection of 12.2 nM (2.5 μg l-1), providing quantitative and visual detection of lead contamination at resource-limited sites.

  9. Determination of Histamine in Silages Using Nanomaghemite Core (γ-Fe2O3-Titanium Dioxide Shell Nanoparticles Off-Line Coupled with Ion Exchange Chromatography

    Directory of Open Access Journals (Sweden)

    Natalia Cernei

    2016-09-01

    Full Text Available The presence of biogenic amines is a hallmark of degraded food and its products. Herein, we focused on the utilization of magnetic nanoparticles off-line coupled with ion exchange chromatography with post-column ninhydrin derivatization and Vis detection for histamine (Him separation and detection. Primarily, we described the synthesis of magnetic nanoparticles with nanomaghemite core (γ-Fe2O3 functionalized with titanium dioxide and, then, applied these particles to specific isolation of Him. To obtain further insight into interactions between paramagnetic particles’ (PMP surface and Him, a scanning electron microscope was employed. It was shown that binding of histamine causes an increase of relative current response of deprotonated PMPs, which confirmed formation of Him-PMPs clusters. The recovery of the isolation showed that titanium dioxide-based particles were able to bind and preconcentrate Him with recovery exceeding 90%. Finally, we successfully carried out the analyses of real samples obtained from silage. We can conclude that our modified particles are suitable for Him isolation, and thus may serve as the first isolation step of Him from biological samples, as it is demonstrated on alfalfa seed variety Tereza silage.

  10. Theoretical study on the rate constants for the C2H5 + HBr --> C2H6 + Br reaction.

    Science.gov (United States)

    Sheng, Li; Li, Ze-Sheng; Liu, Jing-Yao; Xiao, Jing-Fa; Sun, Chia-Chung

    2004-02-01

    The reaction C(2)H(5) + HBr --> C(2)H(6) + Br has been theoretically studied over the temperature range from 200 to 1400 K. The electronic structure information is calculated at the BHLYP/6-311+G(d,p) and QCISD/6-31+G(d) levels. With the aid of intrinsic reaction coordinate theory, the minimum energy paths (MEPs) are obtained at the both levels, and the energies along the MEP are further refined by performing the single-point calculations at the PMP4(SDTQ)/6-311+G(3df,2p)//BHLYP and QCISD(T)/6-311++G(2df,2pd)//QCISD levels. The calculated ICVT/SCT rate constants are in good agreement with available experimental values, and the calculate results further indicate that the C(2)H(5) + HBr reaction has negative temperature dependence at T 850 K. The current work predicts that the kinetic isotope effect for the title reaction is inverse in the temperature range from 200 to 482 K, i.e., k(HBr)/k(DBr) < 1. Copyright 2003 Wiley Periodicals, Inc.

  11. Prescription Opioid Abuse: Challenges and Opportunities for Payers

    Science.gov (United States)

    Katz, Nathaniel P.; Birnbaum, Howard; Brennan, Michael J.; Freedman, John D.; Gilmore, Gary P.; Jay, Dennis; Kenna, George A.; Madras, Bertha K.; McElhaney, Lisa; Weiss, Roger D.; White, Alan G.

    2013-01-01

    Objective Prescription opioid abuse and addiction are serious problems with growing societal and medical costs, resulting in billions of dollars of excess costs to private and governmental health insurers annually. Though difficult to accurately assess, prescription opioid abuse also leads to increased insurance costs in the form of property and liability claims, and costs to state and local governments for judicial, emergency, and social services. This manuscript’s objective is to provide payers with strategies to control these costs, while supporting safe use of prescription opioid medications for patients with chronic pain. Method A Tufts Health Care Institute Program on Opioid Risk Management meeting was convened in June 2010 with private and public payer representatives, public health and law enforcement officials, pain specialists, and other stakeholders to present research, and develop recommendations on solutions that payers might implement to combat this problem. Results While protecting access to prescription opioids for patients with pain, private and public payers can implement strategies to mitigate financial risks associated with opioid abuse, using internal strategies, such as formulary controls, claims data surveillance, and claims matching; and external policies and procedures that support and educate physicians on reducing opioid risks among patients with chronic pain. Conclusion Reimbursement policies, incentives, and health technology systems that encourage physicians to use universal precautions, to consult prescription monitoring program (PMP) data, and to implement Screening, Brief Intervention, and Referral to6Treatment protocols, have a high potential to reduce insurer risks while addressing a serious public health problem. PMID:23725361

  12. Prescription opioid abuse: challenges and opportunities for payers.

    Science.gov (United States)

    Katz, Nathaniel P; Birnbaum, Howard; Brennan, Michael J; Freedman, John D; Gilmore, Gary P; Jay, Dennis; Kenna, George A; Madras, Bertha K; McElhaney, Lisa; Weiss, Roger D; White, Alan G

    2013-04-01

    Prescription opioid abuse and addiction are serious problems with growing societal and medical costs, resulting in billions of dollars of excess costs to private and governmental health insurers annually. Although difficult to accurately assess, prescription opioid abuse also leads to increased insurance costs in the form of property and liability claims, and costs to state and local governments for judicial, emergency, and social services. This manuscript's objective is to provide payers with strategies to control these costs, while supporting safe use of prescription opioid medications for patients with chronic pain. A Tufts Health Care Institute Program on Opioid Risk Management meeting was convened in June 2010 with private and public payer representatives, public health and law enforcement officials, pain specialists, and other stakeholders to present research and develop recommendations on solutions that payers might implement to combat this problem. While protecting access to prescription opioids for patients with pain, private and public payers can implement strategies to mitigate financial risks associated with opioid abuse, using internal strategies such as formulary controls, claims data surveillance, and claims matching; and external policies and procedures that support and educate physicians on reducing opioid risks among patients with chronic pain. Reimbursement policies, incentives, and health technology systems that encourage physicians to use universal precautions, to consult prescription monitoring program (PMP) data, and to implement Screening, Brief Intervention, and Referral to Treatment protocols have a high potential to reduce insurer risks while addressing a serious public health problem.

  13. GRAB-ECO for Minimal Fuel Consumption Estimation of Parallel Hybrid Electric Vehicles

    Directory of Open Access Journals (Sweden)

    Zhao Jianning

    2017-11-01

    Full Text Available As a promising solution to the reduction of fuel consumption and CO2 emissions in road transport sector, hybrid electric powertrains are confronted with complex control techniques for the evaluation of the minimal fuel consumption, particularly the excessively long computation time of the design-parameter optimization in the powertrain's early design stage. In this work, a novel and simple GRaphical-Analysis-Based method of fuel Energy Consumption Optimization (GRAB-ECO is developed to estimate the minimal fuel consumption for parallel hybrid electric powertrains in light- and heavy-duty application. Based on the power ratio between powertrain's power demand and the most efficient engine power, GRAB-ECO maximizes the average operating efficiency of the internal combustion engine by shifting operating points to the most efficient conditions, or by eliminating the engine operation from poorly efficient operating points to pure electric vehicle operation. A turning point is found to meet the requirement of the final state of energy of the battery, which is charge-sustaining mode in this study. The GRAB-ECO was tested with both light- and heavy-duty parallel hybrid electric vehicles, and validated in terms of the minimal fuel consumption and the computation time. Results show that GRAB-ECO accurately approximates the minimal fuel consumption with less than 6% of errors for both light- and heavy-duty parallel hybrid electric powertrains. Meanwhile, GRAB-ECO reduces computation time by orders of magnitude compared with PMP-based (Pontryagin's Minimum Principle approaches.

  14. Blink reflex role in algorithmic genetic testing of inherited polyneuropathies.

    Science.gov (United States)

    Wang, Wei; Litchy, William J; Mandrekar, Jay; Dyck, Peter J; Klein, Christopher J

    2017-03-01

    In severely affected inherited polyneuropathy patients, primary demyelination can be difficult to determine by routine extremity limb nerve conduction studies (NCS). Blink reflexes may help classify severe polyneuropathies as either axonal or demyelinating. However, blink reflex studies have not been studied systematically in any genetically confirmed cohort. Patients with a genetic diagnosis who had undergone blink reflex testing and extremity NCS were identified retrospectively. Blink reflex R1 latency, extremity NCS, and severity were compared. We identified 26 demyelinating and 23 axonal, genetically confirmed cases, including 20 with PMP22 duplications. In 12 (25%), the ulnar CMAP amplitude was ≤0.5 mV making electrophysiological classification difficult. However, the R1-latency cutoff of >13 ms (demyelinating) robustly classified all patients regardless of severity. We show that blink reflex studies are reliable for identification of inherited demyelinating polyneuropathy regardless of severity and can facilitate algorithmic decisions in genetic testing. Muscle Nerve 55: 316-322, 2017. © 2016 Wiley Periodicals, Inc.

  15. Modeling the growth rate and lag time of different strains of Salmonella enterica and Listeria monocytogenes in ready-to-eat lettuce.

    Science.gov (United States)

    Sant'Ana, Anderson S; Franco, Bernadette D G M; Schaffner, Donald W

    2012-05-01

    The growth parameters (growth rate, μ and lag time, λ) of three different strains each of Salmonella enterica and Listeria monocytogenes in minimally processed lettuce (MPL) and their changes as a function of temperature were modeled. MPL were packed under modified atmosphere (5% O₂, 15% CO₂ and 80% N₂), stored at 7-30 °C and samples collected at different time intervals were enumerated for S. enterica and L. monocytogenes. Growth curves and equations describing the relationship between μ and λ as a function of temperature were constructed using the DMFit Excel add-in and through linear regression, respectively. The predicted growth parameters for the pathogens observed in this study were compared to ComBase, Pathogen modeling program (PMP) and data from the literature. High R² values (0.97 and 0.93) were observed for average growth curves of different strains of pathogens grown on MPL. Secondary models of μ and λ for both pathogens followed a linear trend with high R² values (>0.90). Root mean square error (RMSE) showed that the models obtained are accurate and suitable for modeling the growth of S. enterica and L. monocytogenes in MP lettuce. The current study provides growth models for these foodborne pathogens that can be used in microbial risk assessment. Copyright © 2011 Elsevier Ltd. All rights reserved.

  16. Application of large capacity air gun in three-dimensional crustal structure exploration of the Pearl River estuary area

    Science.gov (United States)

    Zhang, Xiang; Gong, Xuan; Sun, Jinlong

    2017-06-01

    The air gun source has been widely used as an artificial source in seismic exploration of the sea area because of its simple operation, low risk, automatic continuous operation and almost no influence on the observation environment. In 2015, we carried out the 3-D crustal structural exploration project in the Pearl River estuary, 13 seismic sounding explorations were set up in the sea area, and activated air gun source for more than 12,000 times. Through records of ocean bottom seismograph (OBS) and fixed seismic stations, we found that seismic records of OBS can be clearly identified Pg, PmP, and other phases, the records of the fixed seismic stations can be clearly identified the air gun shot events. The results show that the energy of the air gun shot in this field exploration is quite good, and data can support the study of the three-dimensional structure of the crust in the sea by air gun shot records of seismometers.

  17. Genome sequencing of Chlamydia trachomatis serovars E and F reveals substantial genetic variation.

    Science.gov (United States)

    Eder, Thomas; Kobus, Stefanie; Stallmann, Sonja; Stepanow, Stefanie; Köhrer, Karl; Hegemann, Johannes H; Rattei, Thomas

    2017-12-29

    Chlamydia trachomatis (Ctr) is a bacterial pathogen that causes ocular, urogenital and lymph system infections in humans. It is highly abundant and among its serovars, E, F and D are most prevalent in sexually transmitted disease. However, the number of publicly available genome sequences of the serovars E and F, and thereby our knowledge about the molecular architecture of these serovars, is low. Here we sequenced the genomes of six E and F clinical isolates and one E lab strain, in order to study the genetic variance in these serovars. As observed before, the genomic variation inside the Ctr genomes is very low and the phylogenetic placement in comparison to publicly available genomes is as expected by ompA gene serotyping. However, we observed a large InDel carrying four to five open reading frames in one clinical E sample and in the E lab strain. We have also observed substantial variation on nucleotide and amino acid levels, especially in membrane proteins and secreted proteins. Furthermore, these two groups of proteins are also target for recombination events. One clinical F isolate was genetically heterogeneous and revealed the highest differences on nucleotide level in the pmpE gene. © FEMS 2017.

  18. BOL and EOL Characterization of Azur 3G Lilt Solar Cells for ESA Juice Mission

    Directory of Open Access Journals (Sweden)

    Khorenko Victor

    2017-01-01

    Full Text Available In the present paper, we describe the results of electrical characterization of AZUR SPACE triple-junction solar cells at a sun light intensity of 3.7% AM0 and temperatures down to −150°C. At these conditions, which are relevant for the anticipated ESA JUICE mission, the cell efficiency reaches 33.5 % at BOL. Special attention has been paid to the establishing of an in-situ characterization procedure for defining EOL cell characteristics after electron and proton irradiation at low temperature low intensity condition. It was shown that solar cells irradiated at low temperature exhibit a strong recovery effect within short time after stopping the irradiation whereas the absolute value of the recovery depends on the irradiation fluence and particle type. Further on, it was demonstrated that the degradation of the maximum power, Pmp, is much stronger than the degradation of Isc and Voc values. Experimentally defined remaining factors for electron and proton irradiation and the quantification of the observed recovery effects allow a realistic prediction of the solar cell performance at JUICE mission conditions and are essential for the planned solar cell qualification activities.

  19. Design of conservative simulated particles for validation of a multiphase aseptic process.

    Science.gov (United States)

    Jasrotia, A K S; Simunovic, J; Sandeep, K P; Palazoglu, T K; Swartzel, K R

    2008-06-01

    Simulated food particles with conservative (fast moving and slow heating) properties are required for validation of multiphase aseptic processing for production of shelf-stable low-acid foods. The validation process requires simulated particles to contain residence time tags, thermosensitive implants, and/or bioloads for temperature detection, time-temperature integration, and bactericidal efficacy confirmation. Conservative particle design (CPD) software was used to determine the wall thickness required for conservative behavior of such particles made with polypropylene (PP) and polymethylpentene (PMP) of wall thickness 1 mm (0.0393 inches) and 2 mm (0.0787 inches) containing tube inserts. Thermocouples were inserted in the simulated and real food particles and the particles were heated up to 127 degrees C under pressurized (24 psi) conditions. Based on the heating rates of the real and simulated particles, an appropriate simulated particle was identified for each type of real food particle. This would allow a food processor to use these designed particles with an appropriate tube insert (diameter) to validate an aseptic process for a multiphase food containing any or all the above tested food materials.

  20. Identification of molecular markers for metastasis-related genes in primary breast cancer cells.

    Science.gov (United States)

    Mimori, Koshi; Kataoka, Akemi; Yoshinaga, Keiji; Ohta, Mitsuhiko; Sagara, Yasuaki; Yoshikawa, Yasuji; Ohno, Shinji; Barnard, Graham F; Mori, Masaki

    2005-01-01

    Comparing differential gene expression profiles established by cDNA microarray between normal cells (N), primary carcinoma cells (T), and metastatic carcinoma cells (M) may determine those critical genes directly associated with progression and metastasis of breast cancer. Total RNA was extracted by laser microdissection (LMD) from 20 slices of T, N and M from 6 cases. After amplification by a T7-based system, differentially expressed genes between T, N and M were identified by cDNA microarray. In addition, to clarify the mechanism for altered gene expression, we determined the methylation status by sequencing after bisulfite treatment for intriguing genes. As a result, the expression of motility related protein-1 (MRP-1/CD9), peripheral myelin protein-22 (PMP-22), and caspase 3 (CASP-3) were down-regulated in M compared to T. We focused especially on MRP-1 and found that the expression status of MRP-1 was significantly inversely associated with stage of disease in 56 cases of breast cancer (Pcancer specific methylation was observed only in CASP-3 in a case. In conclusion, the establishment of the present assay allows us to detect genes directly associated with each cell population within tumor tissue and gives us clues to identify metastasis-related genes comprehensively in clinical breast cancer cases.