Enzyme activity below the dynamical transition at 220 K

Enzyme activity requires the activation of anharmonic motions, such as jumps between potential energy wells. However, in general, the forms and time scales of the functionally important anharmonic dynamics coupled to motion along the reaction coordinate remain to be determined. In particular, the question arises whether the temperature-dependent dynamical transition from harmonic to anharmonic motion in proteins, which has been observed experimentally and using molecular dynamics simulation, involves the activation of motions required for enzyme function. Here we present parallel measurements of the activity and dynamics of a cryosolution of glutamate dehydrogenase as a function of temperature. The dynamical atomic fluctuations faster than ~100 ps were determined using neutron scattering. The results show that the enzyme remains active below the dynamical transition observed at ~220 K, i.e., at temperatures where no anharmonic motion is detected. Furthermore, the activity shows no significant deviation from Arrhenius behavior down to 190 K. The results indicate that the observed transition in the enzyme's dynamics is decoupled from the rate-limiting step along the reaction coordinate

Using an electrochemical assay to determine the biofilm elasticity change as a response to toxicant exposure

Elasticity is a trait of biofilm physiognomy which relates to cell clustering and can be measured by means of an electrochemical assay based on rotating disc electrode (RDE). This study aimed at testing the hypothesis according to which exposure of phototrophic biofilm to toxicant could reduce its elasticity. We compared biofilms developed for 21 days, in four sets of 6 replicated experimental units, in absence and presence of isoproturon at two concentrations of the inoculating suspension of biofilm, 103 and 104 diatom cell mL-1. Biofilm thickness and elasticity were measured based on RDE assay, bacterial and diatom density were measured by microscope-based numerations.Very thin biofilms (< 10 µm) were obtained as compared with a previous study. This might be linked with the way we selected the initial biofilm providing the suspension and the way we developed its growth. The biofilm elasticity mean values in the presence of isoproturon was quasi twice lower (60 ± 10 and 60 ± 41 µm rpm0.5) than the treatment without isoproturon (138 ± 93 and 115 ± 104 µm rpm0.5), for initial biofilm concentration of 103 and 104 respectively, but there was no significant difference between the mean values of each treatment. Nevertheless, the present preliminary study demonstrated the feasibility of an experiment dedicated to assessing biofilm elasticity changes as a response to toxicant exposure

Mortality from gastrointestinal congenital anomalies at 264 hospitals in 74 low-income, middle-income, and high-income countries: a multicentre, international, prospective cohort study

Summary Background Congenital anomalies are the fifth leading cause of mortality in children younger than 5 years globally. Many gastrointestinal congenital anomalies are fatal without timely access to neonatal surgical care, but few studies have been done on these conditions in low-income and middle-income countries (LMICs). We compared outcomes of the seven most common gastrointestinal congenital anomalies in low-income, middle-income, and high-income countries globally, and identified factors associated with mortality. Methods We did a multicentre, international prospective cohort study of patients younger than 16 years, presenting to hospital for the first time with oesophageal atresia, congenital diaphragmatic hernia, intestinal atresia, gastroschisis, exomphalos, anorectal malformation, and Hirschsprung’s disease. Recruitment was of consecutive patients for a minimum of 1 month between October, 2018, and April, 2019. We collected data on patient demographics, clinical status, interventions, and outcomes using the REDCap platform. Patients were followed up for 30 days after primary intervention, or 30 days after admission if they did not receive an intervention. The primary outcome was all-cause, in-hospital mortality for all conditions combined and each condition individually, stratified by country income status. We did a complete case analysis. Findings We included 3849 patients with 3975 study conditions (560 with oesophageal atresia, 448 with congenital diaphragmatic hernia, 681 with intestinal atresia, 453 with gastroschisis, 325 with exomphalos, 991 with anorectal malformation, and 517 with Hirschsprung’s disease) from 264 hospitals (89 in high-income countries, 166 in middleincome countries, and nine in low-income countries) in 74 countries. Of the 3849 patients, 2231 (58·0%) were male. Median gestational age at birth was 38 weeks (IQR 36–39) and median bodyweight at presentation was 2·8 kg (2·3–3·3). Mortality among all patients was 37 (39·8%) of 93 in low-income countries, 583 (20·4%) of 2860 in middle-income countries, and 50 (5·6%) of 896 in high-income countries (p<0·0001 between all country income groups). Gastroschisis had the greatest difference in mortality between country income strata (nine [90·0%] of ten in lowincome countries, 97 [31·9%] of 304 in middle-income countries, and two [1·4%] of 139 in high-income countries; p≤0·0001 between all country income groups). Factors significantly associated with higher mortality for all patients combined included country income status (low-income vs high-income countries, risk ratio 2·78 [95% CI 1·88–4·11], p<0·0001; middle-income vs high-income countries, 2·11 [1·59–2·79], p<0·0001), sepsis at presentation (1·20 [1·04–1·40], p=0·016), higher American Society of Anesthesiologists (ASA) score at primary intervention (ASA 4–5 vs ASA 1–2, 1·82 [1·40–2·35], p<0·0001; ASA 3 vs ASA 1–2, 1·58, [1·30–1·92], p<0·0001]), surgical safety checklist not used (1·39 [1·02–1·90], p=0·035), and ventilation or parenteral nutrition unavailable when needed (ventilation 1·96, [1·41–2·71], p=0·0001; parenteral nutrition 1·35, [1·05–1·74], p=0·018). Administration of parenteral nutrition (0·61, [0·47–0·79], p=0·0002) and use of a peripherally inserted central catheter (0·65 [0·50–0·86], p=0·0024) or percutaneous central line (0·69 [0·48–1·00], p=0·049) were associated with lower mortality. Interpretation Unacceptable differences in mortality exist for gastrointestinal congenital anomalies between lowincome, middle-income, and high-income countries. Improving access to quality neonatal surgical care in LMICs will be vital to achieve Sustainable Development Goal 3.2 of ending preventable deaths in neonates and children younger than 5 years by 2030

ANALISIS DAN PERANCANGAN SISTEM INFORMASI HUMAN RESOURCES MANAGEMENT PADA CV KARYA SELARAS

ANALISIS DAN PERANCANGAN SISTEM INFORMASI HUMAN RESOURCES MANAGEMENT PADA CV KARYA SELARAS

Tsunami risk assessment in Indonesia

In the framework of the German Indonesian Tsunami Early Warning System (GITEWS) the assessment of tsunami risk is an essential part of the overall activities. The scientific and technical approach for the tsunami risk assessment has been developed and the results are implemented in the national Indonesian Tsunami Warning Centre and are provided to the national and regional disaster management and spatial planning institutions in Indonesia. The paper explains the underlying concepts and applied methods and shows some of the results achieved in the GITEWS project. The tsunami risk assessment has been performed at an overview scale at sub-national level covering the coastal areas of southern Sumatra, Java and Bali and also on a detailed scale in three pilot areas. The results are provided as thematic maps and GIS information layers for the national and regional planning institutions. From the analyses key parameters of tsunami risk are derived, which are integrated and stored in the decision support system of the national Indonesian Early Warning Centre. Moreover, technical descriptions and guidelines were elaborated to explain the developed approach, to allow future updates of the results and the further development of the methodologies, and to enable the local authorities to conduct tsunami risk assessment by using their own resources

Risk assessment to low frequency - high impact coastal hazard in Indonesia: Integrating tsunami hazard and vulnerability assessment in the context of Early Warning

The development of a risk assessment methodology reflects the different stages of the disaster management cycle (warning chain and response phase). Consequently the risk components hazard, exposure (e.g. how many people are exposed?), susceptibility (e.g. are the people able to receive a warning?), coping capacity (are the people able to evacuate?) and recovery (are the people able to restore their livelihoods?) are addressed and quantified. Thereby, the risk assessment encompasses three steps: (i) identifying the nature, location, intensity and probability of a threat (hazard assessment); (ii) determining the existence and degree of vulnerabilities and exposure to those threats (e.g. the physical and socio-economic spheres) and (iii) identifying the coping capacities and resources available to address or manage threats. The assessment methodology presented follows a people-centered assessment approach to deliver relevant risk and vulnerability information for the purposes of early warning and disaster management considering the entire coastal areas of Sumatra, Java and Bali facing the Sunda trench. Thereby it is demonstrated how to characterise and quantify risk and vulnerability components as hazard intensity, people and critical infrastructure exposed, their susceptibility and coping capacity. Additionally, dedicated products like maps, guidelines and other information products are developed according to end user needs. The currently established risk assessment results cover the entire coast of Sumatra, Java and Bali facing the Sunda trench. This information on the location of high, moderate and low tsunami risk areas is available on different scales (down to 1 : 100 000 map scale) and aggregation levels (e.g. desa / warning segments). Furthermore the assessed risk information and products are integrated in the database of the Early Warning Center to be used for decision support. To link national scale decision making whether to warn or not in case of a tsunami occurence, the risk products can also be provided to local level decision makers to react adequately concerning their local risks