Laserska izravna dvofotonska fotoliza guanina u DNK

Nanosecond laser-induced oxidative lesions at guanines within DNA were investigated using sequencing gel electrophoresis analysis. Strong sequence-specific lesions on guanines were revealed by either Fpg or piperidine treatments and assigned to 8-oxoG and oxazolone, respectively. It was shown that both the biphotonic ionization process and the chemical reactivity of the radical cation (G+) are dependent on the DNA sequence. The former were explained by the occurrence of energy and charge migration phenomena, while the latter in terms of local DNA hydration peculiarities.Istraživali smo lomove DNK izazvane nanosekundnim laserskim impulsima primjenom gel elektroforeze za određivanje nizova. Otkrili smo snažne nizovno specifične lomove kod guanina djelovanjem sa Fpg ili piperidinom i oni se pripisuju 8-oxoG odnosno oxazolonu. Pokazali smo da su i dvofotonski ionizacijski proces i kemijska reaktivnost radikala kationa (G+) nizovno ovisni. Prvi se objašnjava selenjem energije i naboja, a drugi kao posebnosti lokalnog hidriranja DNK

DYNAMIC LANGUAGE UPDATING

With respect to traditional systems, language interpreters are hard to evolve and the adoption of evolved languages is slow. Language evolution is hindered by the fact that their implementations often overlook design principles, especially those related to modularity. Consequently, language implementations and their updates are monolithic. Language evolution often breaks the backward compatibility and requires developers to rewrite their applications. Furthermore, there is little or no support to evolve language interpreters at runtime. This would be useful for systems that cannot be shut down and to support context-aware interpreters. To tackle these issues, we designed the concept of open interpreters which provide support for language evolution through reflection. Open interpreters allow one to partially update a language to maintain the backward compatibility. Furthermore, they allow one to dynamically update a language without stopping the overlying application. Open interpreters can be dynamically tailored on the task to be solved. The peculiarity of this approach is that the evolution code is completely separated from the application or the original interpreter code. In this dissertation we define the concept of open interpreters, we design a possible implementation model, we describe a prototype implantation and provide the proof-of-concept examples applied to various domains

A Provably Correct Compilation of Functional Languages into Scripting Languages

In this paper we consider the problem of translating core F#, a typed functional language including mutable variables and exception handling, into scripting languages such as JavaScript or Python. In previous work, we abstracted the most significant characteristics of scripting languages in an intermediate language (IL for short). IL is a block-structured imperative language in which a definition of a name does not have to statically precede its use. We define a bigstep operational semantics for core F# and for IL and formalise the translation of F# expressions into IL. The main contribution of the paper is the proof of correctness of the given translation, which is done by showing that the evaluation of a well-typed F# program converges to a primitive value if and only if the evaluation of its translation into IL converges to the same value

Učinci UV zračenja visokog intenziteta na izdvojen i s dna interkaliran etidium bromid

High-intensity picosecond laser flash photolysis has been used for investigating ethidium bromide (EtBr). The quantum yield of primary photoproducts as a function of the laser intensity has been obtained. DNA intercalated EtBr and water solutions of EtBr have been investigated. The results have been compared. They show that two-photon processes are predominantly responsible for generation of hydrated electron (eaq-). The primary processes of DNA photosensitization have also been discussed.Istraživali smo etidium bromid (EtBr) pomoću pikosekundne bljeskovne fotolize velikog intenziteta. Određeni su kvantni prinosi fotoprodukata u ovisnosti o intenzitetu laserskog snopa. Istraživao se je EtBr u vodenoj otopini i interkalirani s DNA. Rezultati se uspoređuju i oni pokazuju da pretežno dvofotonski procesi tvore hidrirane elektrone eaq-. Raspravljaju se također primarni procesi fotosenzitiranja DNA

Placenta increta causing hemoperitoneum in the 26th week of pregnancy: a case report

Abstract Introduction Placenta increta is a serious complication of pregnancy. We describe a case leading to uterine rupture associated with massive intra-abdominal hemorrhage. Case presentation A 34-year-old Caucasian Albanian woman, gravida 2, para 1, was admitted to the emergency department of our hospital for acute abdominal pain associated with profound secondary anemia. An anatomopathological diagnosis of placenta increta destruens was made. An urgent hysterectomy was performed after resuscitation procedures, applied due to the severe anemia and the abdominal drama accompanying the case. Intra-operatively, a uterus-saving procedure was found to be impossible, and hysterectomy remained the only surgical option. The uterine structures were sent for further microscopic evaluation. On histological examination, deep trophoblastic infiltration of the uterine wall was observed, justifying the surgeon's decision. Our patient received blood transfusions and antibiotics. Her sutures were removed on the eighth postoperative day and she was discharged the following day in a stable condition. Conclusion This case, describing a patient with uterine rupture and massive hemorrhage, illustrates a serious and potentially fatal complication of placenta previa. In such cases, surgery is essential, and hysterectomy may be the only viable option.</p

Antimicrobial consumption and resistance in adult hospital inpatients in 53 countries:results of an internet-based global point prevalence survey

Summary: Background: The Global Point Prevalence Survey (Global-PPS) established an international network of hospitals to measure antimicrobial prescribing and resistance worldwide. We aimed to assess antimicrobial prescribing and resistance in hospital inpatients. Methods: We used a standardised surveillance method to collect detailed data about antimicrobial prescribing and resistance from hospitals worldwide, which were grouped by UN region. The internet-based survey included all inpatients (adults, children, and neonates) receiving an antimicrobial who were on the ward at 0800 h on one specific day between January and September, 2015. Hospitals were classified as primary, secondary, tertiary (including infectious diseases hospitals), and paediatric hospitals. Five main ward types were defined: medical wards, surgical wards, intensive-care units, haematology oncology wards, and medical transplantation (bone marrow or solid transplants) wards. Data recorded included patient characteristics, antimicrobials received, diagnosis, therapeutic indication according to predefined lists, and markers of prescribing quality (eg, whether a stop or review date were recorded, and whether local prescribing guidelines existed and were adhered to). We report findings for adult inpatients. Findings: The Global-PPS for 2015 included adult data from 303 hospitals in 53 countries, including eight lower-middle-income and 17 upper-middle-income countries. 86 776 inpatients were admitted to 3315 adult wards, of whom 29 891 (34·4%) received at least one antimicrobial. 41 213 antimicrobial prescriptions were issued, of which 36 792 (89·3%) were antibacterial agents for systemic use. The top three antibiotics prescribed worldwide were penicillins with β-lactamase inhibitors, third-generation cephalosporins, and fluoroquinolones. Carbapenems were most frequently prescribed in Latin America and west and central Asia. Of patients who received at least one antimicrobial, 5926 (19·8%) received a targeted antibacterial treatment for systemic use, and 1769 (5·9%) received a treatment targeting at least one multidrug-resistant organism. The frequency of health-care-associated infections was highest in Latin America (1518 [11·9%]) and east and south Asia (5363 [10·1%]). Overall, the reason for treatment was recorded in 31 694 (76·9%) of antimicrobial prescriptions, and a stop or review date in 15 778 (38·3%). Local antibiotic guidelines were missing for 7050 (19·2%) of the 36 792 antibiotic prescriptions, and guideline compliance was 77·4%. Interpretation: The Global-PPS showed that worldwide surveillance can be accomplished with voluntary participation. It provided quantifiable measures to assess and compare the quantity and quality of antibiotic prescribing and resistance in hospital patients worldwide. These data will help to improve the quality of antibiotic prescribing through education and practice changes, particularly in low-income and middle-income countries that have no tools to monitor antibiotic prescribing in hospitals. Funding: bioMérieux

Use of the WHO Access, Watch, and Reserve classification to define patterns of hospital antibiotic use (AWaRe): an analysis of paediatric survey data from 56 countries

BACKGROUND: Improving the quality of hospital antibiotic use is a major goal of WHO's global action plan to combat antimicrobial resistance. The WHO Essential Medicines List Access, Watch, and Reserve (AWaRe) classification could facilitate simple stewardship interventions that are widely applicable globally. We aimed to present data on patterns of paediatric AWaRe antibiotic use that could be used for local and national stewardship interventions. METHODS: 1-day point prevalence survey antibiotic prescription data were combined from two independent global networks: the Global Antimicrobial Resistance, Prescribing, and Efficacy in Neonates and Children and the Global Point Prevalence Survey on Antimicrobial Consumption and Resistance networks. We included hospital inpatients aged younger than 19 years receiving at least one antibiotic on the day of the survey. The WHO AWaRe classification was used to describe overall antibiotic use as assessed by the variation between use of Access, Watch, and Reserve antibiotics, for neonates and children and for the commonest clinical indications. FINDINGS: Of the 23 572 patients included from 56 countries, 18 305 were children (77·7%) and 5267 were neonates (22·3%). Access antibiotic use in children ranged from 7·8% (China) to 61·2% (Slovenia) of all antibiotic prescriptions. The use of Watch antibiotics in children was highest in Iran (77·3%) and lowest in Finland (23·0%). In neonates, Access antibiotic use was highest in Singapore (100·0%) and lowest in China (24·2%). Reserve antibiotic use was low in all countries. Major differences in clinical syndrome-specific patterns of AWaRe antibiotic use in lower respiratory tract infection and neonatal sepsis were observed between WHO regions and countries. INTERPRETATION: There is substantial global variation in the proportion of AWaRe antibiotics used in hospitalised neonates and children. The AWaRe classification could potentially be used as a simple traffic light metric of appropriate antibiotic use. Future efforts should focus on developing and evaluating paediatric antibiotic stewardship programmes on the basis of the AWaRe index. FUNDING: GARPEC was funded by the PENTA Foundation. GARPEC-China data collection was funded by the Sanming Project of Medicine in Shenzhen (SZSM2015120330). bioMérieux provided unrestricted funding support for the Global-PPS