12 research outputs found
Heterodimers as the Structural Unit of the T=1 Capsid of the Fungal Double-Stranded RNA Rosellinia Necatrix Quadrivirus 1
Most double-stranded RNA (dsRNA) viruses are transcribed and replicated in a specialized icosahedral capsid with a T=1 lattice consisting of 60 asymmetric capsid protein (CP) dimers. These capsids help to organize the viral genome and replicative complex(es). They also act as molecular sieves that isolate the virus genome from host defense mechanisms and allow the passage of nucleotides and viral transcripts. Rosellinia necatrix quadrivirus 1 (RnQV1), the type species of the family Quadriviridae, is a dsRNA fungal virus with a multipartite genome consisting of four monocistronic segments (segments 1 to 4). dsRNA-2 and dsRNA-4 encode two CPs (P2 and P4, respectively), which coassemble into ∼450-Å-diameter capsids. We used three-dimensional cryo-electron microscopy combined with complementary biophysical techniques to determine the structures of RnQV1 virion strains W1075 and W1118. RnQV1 has a quadripartite genome, and the capsid is based on a single-shelled T=1 lattice built of P2-P4 dimers. Whereas the RnQV1-W1118 capsid is built of full-length CP, P2 and P4 of RnQV1-W1075 are cleaved into several polypeptides, maintaining the capsid structural organization. RnQV1 heterodimers have a quaternary organization similar to that of homodimers of reoviruses and other dsRNA mycoviruses. The RnQV1 capsid is the first T=1 capsid with a heterodimer as an asymmetric unit reported to date and follows the architectural principle for dsRNA viruses that a 120-subunit capsid is a conserved assembly that supports dsRNA replication and organization
A mixed methods pilot study with a cluster randomized control trial to evaluate the impact of a leadership intervention on guideline implementation in home care nursing
Abstract
Background
Foot ulcers are a significant problem for people with diabetes. Comprehensive assessments of risk factors associated with diabetic foot ulcer are recommended in clinical guidelines to decrease complications such as prolonged healing, gangrene and amputations, and to promote effective management. However, the translation of clinical guidelines into nursing practice remains fragmented and inconsistent, and a recent homecare chart audit showed less than half the recommended risk factors for diabetic foot ulcers were assessed, and peripheral neuropathy (the most significant predictor of complications) was not assessed at all.
Strong leadership is consistently described as significant to successfully transfer guidelines into practice. Limited research exists however regarding which leadership behaviours facilitate and support implementation in nursing.
The purpose of this pilot study is to evaluate the impact of a leadership intervention in community nursing on implementing recommendations from a clinical guideline on the nursing assessment and management of diabetic foot ulcers.
Methods
Two phase mixed methods design is proposed (ISRCTN 12345678). Phase I: Descriptive qualitative to understand barriers to implementing the guideline recommendations, and to inform the intervention. Phase II: Matched pair cluster randomized controlled trial (n = 4 centers) will evaluate differences in outcomes between two implementation strategies. Primary outcome: Nursing assessments of client risk factors, a composite score of 8 items based on Diabetes/Foot Ulcer guideline recommendations.
Intervention: In addition to the organization's 'usual' implementation strategy, a 12 week leadership strategy will be offered to managerial and clinical leaders consisting of: a) printed materials, b) one day interactive workshop to develop a leadership action plan tailored to barriers to support implementation; c) three post-workshop teleconferences.
Discussion
This study will provide vital information on which leadership strategies are well received to facilitate and support guideline implementation. The anticipated outcomes will provide information to assist with effective management of foot ulcers for people with diabetes.
By tracking clinical outcomes associated with guideline implementation, health care administrators will be better informed to influence organizational and policy decision-making to support evidence-based quality care. Findings will be useful to inform the design of future multi-centered trials on various clinical topics to enhance knowledge translation for positive outcomes.
Trial Registration
Current Control Trials ISRCTN0691089
Cryphonectria nitschkei virus 1 structure shows that the capsid protein of chrysoviruses is a duplicated helix-rich fold conserved in fungal double-stranded RNA viruses
5 p.-3 fig.Cryoelectron microscopy reconstruction of Cryphonectria nitschkei virus 1, a double-stranded RNA (dsRNA) virus, shows that the capsid protein (60 copies/particle) is formed by a repeated helical core, indicative of gene duplication. This unusual organization is common to chrysoviruses. The arrangement of many of these putative α-helices is conserved in the totivirus L-A capsid protein, suggesting a shared motif. Our results indicate that a 120-subunit T=1 capsid is a conserved architecture that optimizes dsRNA replication and organization. © 2012, American Society for MicrobiologyThis work was supported by grants from the Spanish Ministry of Science and Innovation (BFU2011-25902 to J.R.C. and BFU2011-29038 to J.L.C.), the NIH Intramural Research Program with support from the Center for Information Technology (to B.T.), and the Kentucky Science& Engineering Foundation (to S.A.G.)Peer reviewe
La seguridad jurídica como principio estructural del Derecho
Tercera sessió de les 'Jornades sobre Seguretat Jurídica', organitzades per la Càtedra de Cultura Jurídica de la Universitat de Girona, a càrrec del Dr.Humberto Ávila de la Universidade do Rio Grande do Sul sobre seguretat jurídic
Never giving up: Outcomes and presentation of emergency general surgery in geriatric octogenarian and nonagenarian patients
Background: Aging of the population necessitates consideration of the increasing number of older adults requiring emergency care. The objective of this study was to compare outcomes and presentation of octogenarian and/or nonagenarian emergency general surgery (EGS) patients with younger adults.Methods: Based on a standardized definition of EGS, patients in the 2007 to 2011 Healthcare Cost and Utilization Project-Nationwide Inpatient Sample were queried for primary EGS diagnoses. Included patients were categorized into older (≥80 years) vs younger (\u3c80 \u3eyears) adults based on a marked increase in mortality around aged 80 years. Using propensity scores, risk-adjusted differences in major morbidity, mortality, length of stay (LOS), and cost were compared.Results: Of 3,707,465 included patients, 17.2% (n = 637,588) were ≥80 years. Relative to younger adults, older patients most frequently presented for gastrointestinal-bleeding (odds ratio [95% confidence intervals]: 2.81 [2.79 to 2.82]) and gastrostomy care (2.46 [2.39 to 2.53]). Despite higher odds of mortality (1.67 [1.63 to 1.69]), older adults exhibited lower risk-adjusted odds of morbidity (.87 [.86 to .88]), shorter LOS (4.50 vs 5.14 days), and lower total hospital costs (12,500).Conclusions: Octogenarian and/or nonagenarian patients present differently than younger adults. Reductions in complications, LOS, and cost among surviving older adults allude to a survivorship tendency to never give up, despite collectively higher mortality risk
Not Available
Not AvailablePlant diseases inflict heavy losses on soybean yield, necessitating
an understanding of the molecular mechanisms underlying biotic/
abiotic stress responses. Ca2+ is an important universal messenger,
and protein sensors, prominently calmodulins (CaMs), recognize
cellular changes in Ca2+ in response to diverse signals. Because the
development of stable transgenic soybeans is laborious and time
consuming, we used the Bean pod mottle virus (BPMV)-based
vector for rapid and efficient protein expression and gene silencing.
The present study focuses on the functional roles of the gene
encoding the soybean CaM isoform GmCaM4. Overexpression of
GmCaM4 in soybean resulted in enhanced resistance to three
plant pathogens and increased tolerance to high salt conditions.
To gain an understanding of the underlying mechanisms, we
examined the potential defence pathways involved. Our studies
revealed activation/increased expression levels of pathogenesisrelated
(PR) genes in GmCaM4-overexpressing plants and the
accumulation of jasmonic acid (JA). Silencing of GmCaM4,
however, markedly repressed the expression of PR genes.We confirmed
the in vivo interaction between GmCaM4 and the CaM
binding transcription factor Myb2, which regulates the expression
of salt-responsive genes, using the yeast two-hybrid (Y2H) system
and bimolecular fluorescence complementation assays. GmCaM4
and Glycine max CaM binding receptor-like kinase (GmCBRLK) did
not interact in the Y2H assays, but the interaction between
GmCaM2 and GmCBRLK was confirmed. Thus, a GmCaM2–
GmCBRLK-mediated salt tolerance mechanism, similar to that
reported in Glycine soja, may also be functional in soybean. Confocal
microscopy showed subcellular localization of the green
fluorescent protein (GFP)-GmCaM4 fusion protein in the nucleus
and cytoplasm.Not Availabl
The Use of Copyright in Digital Times: A Study of How Artists Exercise Their Rights in Norway
Backbone Trace of Partitivirus Capsid Protein from Electron Cryomicroscopy and Homology Modeling
Most dsRNA viruses have a genome-enclosing capsid that comprises 120 copies of a single coat protein (CP). These 120 CP subunits are arranged as asymmetrical dimers that surround the icosahedral fivefold axes, forming pentamers of dimers that are thought to be assembly intermediates. This scheme is violated, however, in recent structures of two dsRNA viruses, a fungal virus from family Partitiviridae and a rabbit virus from family Picobirnaviridae, both of which have 120 CP subunits organized as dimers of quasisymmetrical dimers. In this study, we report the CP backbone trace of a second fungal partitivirus, determined in this case by electron cryomicroscopy and homology modeling. This virus also exhibits quasisymmetrical CP dimers that are connected by prominent surface arches and stabilized by domain swapping between the two CP subunits. The CP fold is dominated by α-helices, although β-strands mediate several important contacts. A dimer-of-dimers assembly intermediate is again implicated. The disordered N-terminal tail of each CP subunit protrudes into the particle interior and likely interacts with the genome during packaging and/or transcription. These results broaden our understanding of conserved and variable aspects of partitivirus structure and reflect the growing use of electron cryomicroscopy for atomic modeling of protein folds