302 research outputs found

    Bacterial microevolution and the Pangenome

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    The comparison of multiple genome sequences sampled from a bacterial population reveals considerable diversity in both the core and the accessory parts of the pangenome. This diversity can be analysed in terms of microevolutionary events that took place since the genomes shared a common ancestor, especially deletion, duplication, and recombination. We review the basic modelling ingredients used implicitly or explicitly when performing such a pangenome analysis. In particular, we describe a basic neutral phylogenetic framework of bacterial pangenome microevolution, which is not incompatible with evaluating the role of natural selection. We survey the different ways in which pangenome data is summarised in order to be included in microevolutionary models, as well as the main methodological approaches that have been proposed to reconstruct pangenome microevolutionary history

    Ensuring competency in end-of-life care: controlling symptoms

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    BACKGROUND: Palliative medicine is assuming an increasingly important role in patient care. The Education for Physicians in End-of-life Care (EPEC) Project is an ambitious program to increase core palliative care skills for all physicians. It is not intended to transmit specialty level competencies in palliative care. METHOD: The EPEC Curriculum was developed to be a comprehensive syllabus including trainer notes, multiple approaches to teaching the material, slides, and videos of clinical encounters to trigger discussion are provided. The content was developed through a combination of expert opinion, participant feedback and selected literature review. Content development was guided by the goal of teaching core competencies not included in the training of generalist and non-palliative medicine specialist physicians. RESULTS: Whole patient assessment forms the basis for good symptom control. Approaches to the medical management of pain, depression, anxiety, breathlessness (dyspnea), nausea/vomiting, constipation, fatigue/weakness and the symptoms common during the last hours of life are described. CONCLUSION: While some physicians will have specialist palliative care services upon which to call, most in the world will need to provide the initial approaches to symptom control at the end-of-life

    Conceptual robustness in simultaneous engineering: An extension of Taguchi's parameter design

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    Simultaneous engineering processes involve multifunctional teams; team members simultaneously make decisions about many parts of the product-production system and aspects of the product life cycle. This paper argues that such simultaneous distributed decisions should be based on communications about sets of possibilities rather than single solutions. By extending Taguchi's parameter design concepts, we develop a robust and distributed decision-making procedure based on such communications. The procedure shows how a member of a design team can make appropriate decisions based on incomplete information from the other members of the team. More specifically, it (1) treats variations among the designs considered by other members of the design team as conceptual noise; (2) shows how to incorporate such noises into decisions that are robust against these variations; (3) describes a method for using the same data to provide preference information back to the other team members; and (4) provides a procedure for determining whether to release the conceptually robust design or to wait for further decisions by others. The method is demonstrated by part of a distributed design process for a rotary CNC milling machine. While Taguchi's approach is used as a starting point because it is widely known, these results can be generalized to use other robust decision techniques.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/45879/1/163_2005_Article_BF01608400.pd

    Clinical validation of cutoff target ranges in newborn screening of metabolic disorders by tandem mass spectrometry: a worldwide collaborative project.

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    INFRARED SPECTRA OF MOLECULAR IONS FORMED FROM SF4SF_{4} AND SF6SF_{6} AND TRAPPED IN A NEON MATRIX

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    Author Institution: Optical Technology Division, National Institute of Standard and Technology; Center for Computational Chemistry, University of GeorgiaWhen SF4SF_{4} or SF6SF_{6} is subjected to Penning ionization and photoionization by excited neon atom and their resonance radiation (16.6-16.8 eV) and the products are rapidly frozen in an excess of solid neon, the resulting solid deposit shows prominent infrared absorptions which can be assigned to cation and anion products. Among the species identified through their infrared absorptions are SF3+,SF5+,SF5+SF_{3}^{+}, SF_{5}^{+}, SF_{5}^{+}, and F2SO+F_{2}SO^{+}. The assignments are aided by consideration of the spectra of related system and by the results of ab initio calculations
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