21-Hy­droxy­pregna-1,4-diene-3,20-dione

The title compound, C21H28O3, is a fungal transformed metabolite of decoxycorticosterone acetate, consisting of four fused rings A, B, C and D. Ring A is nearly planar, with a maximum deviation of 0.010 (3) Å from the least-squares plane, while the trans-fused rings B and C adopt chair conformations. The five-membered ring D is in an envelope conformation. The orientation of the side chain is stabilized by an intramolecular O—H⋯O hydrogen bond. In the crystal, adjecent mol­ecules are linked by C—H⋯O hydrogen bonds into extended zigzag chains along the a axis

{2-[(3-Bromo­benzyl­idene)amino]-5-chloro­phen­yl}(phen­yl)methanone

In the title compound, C20H13BrClNO, the azomethine double bond [C=N = 1.246 (4) Å] adopts an E conformation. The bromo- and chlorophenyl rings are inclined to one another by 13.70 (11)°, and form dihedral angles of 76.68 (10) and 74.24 (7)°, respectively, with the phenyl ring. In the crystal, mol­ecules are linked by C—H⋯O hydrogen bonds to form double stranded chains propagating along the b-axis direction

Evaluating Healthcare Governance Using Knowledge-based System to Enhance Quality Management

YesGovernance perspective plays a vital role in the success of Quality Management in Healthcare Environment (QMHE). In fact QMHE has adopted and applied different quality tools and models in recent times, with some even developing their own quality‐based initiatives. This paper will present an original and novel approach (KB/ES coupled with GAP analysis) to evaluate the effectiveness of governance body in QMHE. The KB system inserts GAP for benchmarking and evaluating the current practices with the desired ones. The KB system will benchmark the current position of governance perspective as part of QMHE with the ideal benchmark one. The results will help healthcare practitioners to improve the governance boy’s gaps and take the correct decisions.Sultan Qaboos University, Oma

Synthesis, spectral characterization and antioxidant activity of a supramolecular copper (II) complex obtained from pyridine-2, 6- dicarboxylic acid and 3,5-diamino - 1, 2, 4-triazole.

A supramolecular copper (II) compound, (HdatrzH)[Cu (Hdipic) (dipic)].3H2O (1) (Hdatrz = 3,5-diamino-1,2,4- triazole, dipic = pyridine- 2,6-dicarboxylic acid) was synthesized and characterized by elemental analysis, Fourier transformed infrared spectroscopy (FT-IR), UV-Visible spectroscopy, mass spectrometry, proton nuclear magnetic resonance (1H-NMR), thermal analysis, and magnetic susceptibility measurement. The room temperature magnetic susceptibility measurement showed a magnetic moment of 1.67 BM for compound 1, deviating slightly from the spin-only magnetic moment value for Cu (II) ion. Thermogravimetric analysis revealed three decomposition stages for compound 1. The compound showed no activity against all the tested microorganisms. Interestingly, compound 1 exhibited a significant radical scavenging activity (RSA)

Contribution of advanced fluorescence nano microscopy towards revealing mitotic chromosome structure

The organization of chromatin into higher-order structures and its condensation process represent one of the key challenges in structural biology. This is important for elucidating several disease states. To address this long-standing problem, development of advanced imaging methods has played an essential role in providing understanding into mitotic chromosome structure and compaction. Amongst these are two fast evolving fluorescence imaging technologies, specifically fluorescence lifetime imaging (FLIM) and super-resolution microscopy (SRM). FLIM in particular has been lacking in the application of chromosome research while SRM has been successfully applied although not widely. Both these techniques are capable of providing fluorescence imaging with nanometer information. SRM or nanoscopy is capable of generating images of DNA with less than 50 nm resolution while FLIM when coupled with energy transfer may provide less than 20 nm information. Here, we discuss the advantages and limitations of both methods followed by their contribution to mitotic chromosome studies. Furthermore, we highlight the future prospects of how advancements in new technologies can contribute in the field of chromosome science

Ultrasound-guided Intralesional Bleomycin Injection (IBI) for Treatment of Cutaneous Hemangiomas and Vascular Malformations

Purpose: To report the therapeutic outcome of ultrasound-guided intralesional injection of bleomycin in the treatment of cutaneous hemangiomas and vascular malformations. Material & Methods: The medical records of patients with cutaneous hemangiomas and vascular malformations treated with the intralesional injection of bleomycin under ultrasound guidance between August 2009 and June 2013 at the Indus Hospital, Karachi were reviewed retrospectively using a computerized medical record information management system. Data were extracted using a pre-coded performa that included patient demographics, type and location of lesion, number of treatments, presenting/pre- and post-treatment clinical symptoms (pain, swelling, heaviness, size, discoloration), ultrasound appearance and vascularity, and post-treatment side effects. The dose range of bleomycin was 0.5-1.0 mg/kg, but not exceeding 15 mg in a single session. A maximum of four treatments were given in any given patient except for one, who presented with recurrence after a year of complete resolution. Therapeutic outcome was determined using review of ultrasound images and recorded clinical assessment. Treatment response was categorized as: (i) complete resolution [more than 90% reduction]; (ii) substantial reduction [more than 50% reduction]; (iii) mild reduction [25% reduction]; or, (iv) no improvement [ \u3c 10% reduction]. Results: A total of 30 patients (16 female, 14 male), ranging in age from 8 months to 48 years (mean age 10.2 years), were treated from 2009 to 2013. There were 23 hemangiomas. Seven were vascular malformations, of which five were lymphatic malformations and two were venous malformations. Twenty-eight lesions were located in the head and neck region, and two were peripheral.. In 24 of the 30 patients (76%), treatment had been completed. In six patients (21%) treatment was ongoing at the time of this report. Seventeen of the 23 hemangiomas (74%) were completely resolved clinically and on ultrasound, five (22%) showed substantial improvement and one (4%) showed mild improvement. In five of the seven vascular malformations (71%) lymphatic malformations resolved completely, and two (29%) venous malformations showed substantial improvement. Of the 13 patients presenting with discoloration, there was complete resolution in one (7.7%), marked reduction in 11 (84.6%) and mild reduction in one (7.7%). Of seven patients presenting with pain, there was complete resolution in two (28.6%), marked reduction in two (28.6%), mild reduction in two (28.6%), and no improvement in one (14.3%). There were no pulmonary complications. Conclusion: Ultrasound-guided intralesional injection of bleomycin is an option to consider for the treatment of certain types of cutaneous hemangiomas and vascular malformations. Prospective studies should be undertaken to understand the various factors contributing to therapeutic success

5,5-Dimethyl-2,2-bis­(pyridin-2-yl)-1,3-diazinane

In the mol­ecule of the title compound, C16H20N4, the 1,3-diazinane ring adopts a chair conformation and the dihedral angle formed by the pyridine rings is 78.64 (8)°. The mol­ecular conformation is stabilized by an intra­molecular C—H⋯N hydrogen bond, forming an S(6) ring motif. In the crystal, centrosymmetrically related mol­ecules are linked into dimers by pairs of N—H⋯N hydrogen bonds, generating rings of R 2 2(10) graph-set motif

Early fate of exogenous promoters in E. coli

Gene gain by horizontal gene transfer is a major pathway of genome innovation in bacteria. The current view posits that acquired genes initially need to be silenced and that a bacterial chromatin protein, H-NS, plays a role in this silencing. However, we lack direct observation of the early fate of a horizontally transferred gene to prove this theory. We combine sequencing, flow cytometry and sorting, followed by microscopy to monitor gene expression and its variability after large-scale random insertions of a reporter gene in a population of Escherichia coli bacteria. We find that inserted promoters have a wide range of gene-expression variability related to their location. We find that high-expression clones carry insertions that are not correlated with H-NS binding. Conversely, binding of H-NS correlates with silencing. Finally, while most promoters show a common level of extrinsic noise, some insertions show higher noise levels. Analysis of these high-noise clones supports a scenario of switching due to transcriptional interference from divergent ribosomal promoters. Altogether, our findings point to evolutionary pathways where newly-acquired genes are not necessarily silenced, but may immediately explore a wide range of expression levels to probe the optimal ones

Gene action studies in early maturing maize (Zea mays L.) inbred lines

The present investigation was aimed to investigate the gene action in early maturing maize (Zea mays L.) inbred lines. The experimental material comprised of 30 crosses generated by crossing six maize inbred lines in a diallel mating design during Kharif 2013. These 30 crosses along with standard checks viz., SMH-2 and VMH-45 were evaluated in randomized block design in three replications during Kharif 2014 and Kharif 2015. Significant variation was observed for all studied traits during both the seasons. Both additive (D) and dominance (H1 and H2) components of genetic variance were found significant under the study. Preponderance of non-additive gene action was observed for all traits under study. Average degree of dominance was in over dominance range for all characters. The gene distribution was asymmetrical for all traits. The value of KD / KR indicated presence of excess of dominant genes for all traits except 100-grain weight and ear girth. Heritability of most of the traits was low to medium