66 research outputs found

    Interannual and interdecadal variability in the predominant Pacific region SST anomaly patterns and their impact on climate in the mid-Mississippi valley region

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    Previous research has demonstrated that Pacific Region SSTs and SST anomalies can be separated into seven general synoptic classifications (“clusters”) (A-G). Clusters B and G (C, D, and F) [A and E] were shown to be generally representative of La Niña (El Niño) [neutral] type SST distributions. Further, an analysis of the SST patterns from 1955 - 1993 demonstrated that clusters A - D were prominent from 1955-1977, while types E and F dominated the later period. Type G clusters were comparatively rare, but occurred during both periods. In retrospect, this shift during 1977 corresponds roughly with a change in phase of the Pacific Decadal Oscillation (PDO). After updating the analysis to include the 1994 to 2005 period, there was a corresponding change in the predominant SSTs associated with a change in phase of the PDO during 1999 and 2000. The results show that SST patterns did evolve from predominantly E and F-type anomalies in 1994 to A, B, D, and G-type anomalies through 2005. Thus, these results suggest that A through D-type (C, E, and F-type) SST clusters are characteristic of the negative (positive) phase of the PDO. Also, using a modified technique for generating phase diagrams, it is shown that there are interannual and interdecadal variations in the mid-Mississippi region monthly mean surface temperature and precipitation records that can be associated with the ENSO and PDO. Additionally, an analysis was performed to see if there was any statistical association between temperature and precipitation anomalies in the mid-Mississippi region and prolonged SST regimes. B, D and G anomalies were associated with warmer-than-normal conditions, while C and E type anomalies tended to be associated with cooler-than-normal conditions across the region. C, D, F, and G anomalies were associated with drier than normal conditions

    Was the last bacterial common ancestor a monoderm after all?

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    The very nature of the last bacterial common ancestor (LBCA), in particular the characteristics of its cell wall, is a critical issue to understand the evolution of life on earth. Although knowledge of the relationships between bacterial phyla has made progress with the advent of phylogenomics, many questions remain, including on the appearance or disappearance of the outer membrane of diderm bacteria (also called Gram-negative bacteria). The phylogenetic transition between monoderm (Gram-positive bacteria) and diderm bacteria, and the associated peptidoglycan expansion or reduction, requires clarification. Herein, using a phylogenomic tree of cultivated and characterized Bacteria as an evolutionary framework and a literature review of their cell-wall characteristics, we used Bayesian ancestral state reconstruction to infer the cell-wall architecture of the LBCA. With the same phylogenomic tree, we further revisited the evolution of the division and cell-wall synthesis (dcw) gene cluster using homology- and model-based methods. Finally, extensive similarity searches were carried out to determine the phylogenetic distribution of the genes involved with the biosynthesis of the outer membrane in diderm bacteria. Quite unexpectedly, our analyses suggest that all cultivated and characterized bacteria might have evolved from a common ancestor with a monoderm cell-wall architecture. If true, this would indicate that the appearance of the outer membrane was not a unique event and that selective forces have led to the repeated adoption of such an architecture. Due to the lack of phenotypic information, our methodology cannot be applied to all extant bacteria. Consequently, our conclusion might change once enough information is made available to allow the use of an even more diverse organism selection

    The Presentation of Temperature Information in Television Broadcasts: What is Normal?

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    In a typical weather broadcast, observed daily temperature information such as maximum and minimum temperatures are shown and compared to the daily average or “normal”. Such information, however, does not accurately describe whether or not that particular day is fairly typical for that time of year or truly an unusual occurrence. Thus it is suggested that the presentation of temperature information can be augmented with elementary statistical information in order to give a more meaningful presentation of temperature information without the need to explain the basis of such statistical information. A study of the climatological maximum and minimum temperatures over a 30-year period for Columbia, Missouri is performed in order to provide the rationale for displaying a "typical" temperature range. This information was incorporated into television weather broadcasts at KOMU TV-8, which is the campus television station and local NBC affiliate

    The Presentation of Precipitation Information in Television Broadcasts: What is Normal?

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    In a typical weather broadcast, observed precipitation information such as the daily amount that fell and the accumulated monthly total are shown and compared to the mean monthly average or “normal” precipitation. Such information, however, may not adequately describe whether or not that particular month is fairly typical for the time of year or truly an unusual occurrence. Here it is shown that monthly average precipitation may not be representative of the typical value for a particular month at all. Thus it is suggested that the presentation of precipitation information can be augmented with elementary statistical information in order to give a more meaningful presentation of precipitation information without the need to explain the basis of such statistical information. A study of the climatological behavior of monthly precipitation values over a 118-year period for Columbia, Missouri is performed in order to provide the rationale for displaying "typical" precipitation ranges

    Pilot testing the EARS-Vet surveillance network for antibiotic resistance in bacterial pathogens from animals in the EU/EEA

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    IntroductionAs part of the EU Joint Action on Antimicrobial Resistance (AMR) and Healthcare-Associated Infections, an initiative has been launched to build the European AMR Surveillance network in veterinary medicine (EARS-Vet). So far, activities included mapping national systems for AMR surveillance in animal bacterial pathogens, and defining the EARS-Vet objectives, scope, and standards. Drawing on these milestones, this study aimed to pilot test EARS-Vet surveillance, namely to (i) assess available data, (ii) perform cross-country analyses, and (iii) identify potential challenges and develop recommendations to improve future data collection and analysis.MethodsEleven partners from nine EU/EEA countries participated and shared available data for the period 2016–2020, representing a total of 140,110 bacterial isolates and 1,302,389 entries (isolate-antibiotic agent combinations).ResultsCollected data were highly diverse and fragmented. Using a standardized approach and interpretation with epidemiological cut-offs, we were able to jointly analyze AMR trends of 53 combinations of animal host-bacteria–antibiotic categories of interest to EARS-Vet. This work demonstrated substantial variations of resistance levels, both among and within countries (e.g., between animal host species).DiscussionKey issues at this stage include the lack of harmonization of antimicrobial susceptibility testing methods used in European surveillance systems and veterinary diagnostic laboratories, the absence of interpretation criteria for many bacteria–antibiotic combinations of interest, and the lack of data from a lot of EU/EEA countries where little or even surveillance currently exists. Still, this pilot study provides a proof-of-concept of what EARS-Vet can achieve. Results form an important basis to shape future systematic data collection and analysis

    Genetic Testing to Inform Epilepsy Treatment Management From an International Study of Clinical Practice

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    IMPORTANCE: It is currently unknown how often and in which ways a genetic diagnosis given to a patient with epilepsy is associated with clinical management and outcomes. OBJECTIVE: To evaluate how genetic diagnoses in patients with epilepsy are associated with clinical management and outcomes. DESIGN, SETTING, AND PARTICIPANTS: This was a retrospective cross-sectional study of patients referred for multigene panel testing between March 18, 2016, and August 3, 2020, with outcomes reported between May and November 2020. The study setting included a commercial genetic testing laboratory and multicenter clinical practices. Patients with epilepsy, regardless of sociodemographic features, who received a pathogenic/likely pathogenic (P/LP) variant were included in the study. Case report forms were completed by all health care professionals. EXPOSURES: Genetic test results. MAIN OUTCOMES AND MEASURES: Clinical management changes after a genetic diagnosis (ie, 1 P/LP variant in autosomal dominant and X-linked diseases; 2 P/LP variants in autosomal recessive diseases) and subsequent patient outcomes as reported by health care professionals on case report forms. RESULTS: Among 418 patients, median (IQR) age at the time of testing was 4 (1-10) years, with an age range of 0 to 52 years, and 53.8% (n = 225) were female individuals. The mean (SD) time from a genetic test order to case report form completion was 595 (368) days (range, 27-1673 days). A genetic diagnosis was associated with changes in clinical management for 208 patients (49.8%) and usually (81.7% of the time) within 3 months of receiving the result. The most common clinical management changes were the addition of a new medication (78 [21.7%]), the initiation of medication (51 [14.2%]), the referral of a patient to a specialist (48 [13.4%]), vigilance for subclinical or extraneurological disease features (46 [12.8%]), and the cessation of a medication (42 [11.7%]). Among 167 patients with follow-up clinical information available (mean [SD] time, 584 [365] days), 125 (74.9%) reported positive outcomes, 108 (64.7%) reported reduction or elimination of seizures, 37 (22.2%) had decreases in the severity of other clinical signs, and 11 (6.6%) had reduced medication adverse effects. A few patients reported worsening of outcomes, including a decline in their condition (20 [12.0%]), increased seizure frequency (6 [3.6%]), and adverse medication effects (3 [1.8%]). No clinical management changes were reported for 178 patients (42.6%). CONCLUSIONS AND RELEVANCE: Results of this cross-sectional study suggest that genetic testing of individuals with epilepsy may be materially associated with clinical decision-making and improved patient outcomes

    Genetic associations at 53 loci highlight cell types and biological pathways relevant for kidney function.

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    Reduced glomerular filtration rate defines chronic kidney disease and is associated with cardiovascular and all-cause mortality. We conducted a meta-analysis of genome-wide association studies for estimated glomerular filtration rate (eGFR), combining data across 133,413 individuals with replication in up to 42,166 individuals. We identify 24 new and confirm 29 previously identified loci. Of these 53 loci, 19 associate with eGFR among individuals with diabetes. Using bioinformatics, we show that identified genes at eGFR loci are enriched for expression in kidney tissues and in pathways relevant for kidney development and transmembrane transporter activity, kidney structure, and regulation of glucose metabolism. Chromatin state mapping and DNase I hypersensitivity analyses across adult tissues demonstrate preferential mapping of associated variants to regulatory regions in kidney but not extra-renal tissues. These findings suggest that genetic determinants of eGFR are mediated largely through direct effects within the kidney and highlight important cell types and biological pathways
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