125 research outputs found
Critical Power Concept: Males vs. Females and the Impact of Muscle Fiber Composition
International Journal of Exercise Science 12(4): 277-286, 2019. CP describes the highest metabolic rate resulting in complete oxidative energy provision (steady state). Between the heavy and severe domain of exercise, CP will be surpassed, and the finite work capacity known as W\u27 will be used up. The purpose of the study is to test CP and Wโ and its relationship in males and females, while assessing type I and II muscle fiber distribution in the leg. A 3 MT and isokinetic leg dynamometer muscle fiber typing protocol of 25 consecutive leg extensions were completed. W\u27 for the sample (n = 17) was 8381.64 ยฑ 4556.72 joules [males (n = 9): 12086.22 ยฑ 1851.39 joules; females (n = 8): 4214.00 ยฑ 2459.07 joules]. Type II muscle fiber for the sample was 24.48% ยฑ 12.92% (males: 20.83 ยฑ 13.18%; females: 28.59 ยฑ 12.10%). W\u27 was not significantly correlated to type II muscle fibers (r = -0.070, p = 0.790) but was significantly related when controlling for gender (r = 0.579, p = 0.024). Wโ was correlated to Wpeak and BMI in the sample; when controlling for gender, it was correlated to Wpeak, Type I and Type II muscle fiber percentage and CP. Compared to females, males had higher Wโ (p \u3c 0.001) and CP (p = 0.004). Wโ was not correlated to type II muscle fibers but was when controlling for gender. Males were demonstrated to have significantly higher Wโ, CP, Wpeak and BMI compared to females suggesting potential muscle cross sectional area influences Wโ and CP when comparing genders
Lessons Learned from Implementing Service-Oriented Clinical Decision Support at Four Sites: A Qualitative Study
Objective
To identify challenges, lessons learned and best practices for service-oriented clinical decision support, based on the results of the Clinical Decision Support Consortium, a multi-site study which developed, implemented and evaluated clinical decision support services in a diverse range of electronic health records.
Methods
Ethnographic investigation using the rapid assessment process, a procedure for agile qualitative data collection and analysis, including clinical observation, system demonstrations and analysis and 91 interviews.
Results
We identified challenges and lessons learned in eight dimensions: (1) hardware and software computing infrastructure, (2) clinical content, (3) human-computer interface, (4) people, (5) workflow and communication, (6) internal organizational policies, procedures, environment and culture, (7) external rules, regulations, and pressures and (8) system measurement and monitoring. Key challenges included performance issues (particularly related to data retrieval), differences in terminologies used across sites, workflow variability and the need for a legal framework.
Discussion
Based on the challenges and lessons learned, we identified eight best practices for developers and implementers of service-oriented clinical decision support: (1) optimize performance, or make asynchronous calls, (2) be liberal in what you accept (particularly for terminology), (3) foster clinical transparency, (4) develop a legal framework, (5) support a flexible front-end, (6) dedicate human resources, (7) support peer-to-peer communication, (8) improve standards.
Conclusion
The Clinical Decision Support Consortium successfully developed a clinical decision support service and implemented it in four different electronic health records and four diverse clinical sites; however, the process was arduous. The lessons identified by the Consortium may be useful for other developers and implementers of clinical decision support services
Recruitment of young adults into a randomized controlled trial of weight gain prevention: message development, methods, and cost
Abstract Background Young adulthood (age 18 to 35) is a high-risk period for unhealthy weight gain. Few studies have recruited for prevention of weight gain, particularly in young adults. This paper describes the recruitment protocol used in the Study of Novel Approaches to Prevention (SNAP). Methods We conducted extensive formative work to inform recruitment methods and message development. We worked with a professional marketing firm to synthesize major themes and subsequently develop age-appropriate messages for recruitment. A variety of approaches and channels were used across two clinical centers to recruit young adults who were normal or overweight (body mass index (BMI) 21 to 30 kg/m2) for a 3-year intervention designed to prevent weight gain. We tracked recruitment methods, yields, and costs by method. Logistic regression was used to identify recruitment methods that had the highest relative yield for subgroups of interest with covariate adjustments for clinic. Results The final sample of 599 participants (27% minority, 22% male) was recruited over a 19-month period of sustained efforts. About 10% of those who initially expressed interest via a screening website were randomized. The most common reason for ineligibility was already being obese (BMI >30 kg/m2). The top two methods for recruitment were mass mailing followed by email; together they were cited by 62% of those recruited. Television, radio, paid print advertising, flyers and community events each yielded fewer than 10% of study participants. Email was the most cost-effective method per study participant recruited. Conclusions These findings can guide future efforts to recruit young adults and for trials targeting weight gain prevention. Trial registration ClinicalTrials.gov NCT01183689 (registered 13 August 2010)
Report on the 2010 rapid assessment survey of marine species at New England floating docks and rocky shores.
EDS1 complexes are not required for PRR responses and execute TNLโETI from the nucleus in Nicotiana benthamiana
Heterodimeric complexes incorporating the lipase-like proteins EDS1 with PAD4 or SAG101 are central hubs in plant innate immunity. EDS1 functions encompass signal relay from TIR domain-containing intracellular NLR-type immune receptors (TNLs) towards RPW8-type helper NLRs (RNLs) and, in Arabidopsis thaliana, bolstering of signaling and resistance mediated by cell-surface pattern recognition receptors (PRRs). Increasing evidence points to the activation of EDS1 complexes by small molecule binding. We used CRISPR/Cas-generated mutant lines and agroinfiltration-based complementation assays to interrogate functions of EDS1 complexes in Nicotiana benthamiana. We did not detect impaired PRR signaling in N. benthamiana lines deficient in EDS1 complexes or RNLs. Intriguingly, in assays monitoring functions of SlEDS1-NbEDS1 complexes in N. benthamiana, mutations within the SlEDS1 catalytic triad could abolish or enhance TNL immunity. Furthermore, nuclear EDS1 accumulation was sufficient for N. benthamiana TNL (Roq1) immunity. Reinforcing PRR signaling in Arabidopsis might be a derived function of the TNL/EDS1 immune sector. Although Solanaceae EDS1 functionally depends on catalytic triad residues in some contexts, our data do not support binding of a TNL-derived small molecule in the triad environment. Whether and how nuclear EDS1 activity connects to membrane pore-forming RNLs remains unknown
Relative Roles of the Cellular and Humoral Responses in the Drosophila Host Defense against Three Gram-Positive Bacterial Infections
BACKGROUND: Two NF-kappaB signaling pathways, Toll and immune deficiency (imd), are required for survival to bacterial infections in Drosophila. In response to septic injury, these pathways mediate rapid transcriptional activation of distinct sets of effector molecules, including antimicrobial peptides, which are important components of a humoral defense response. However, it is less clear to what extent macrophage-like hemocytes contribute to host defense. METHODOLOGY/PRINCIPAL FINDINGS: In order to dissect the relative importance of humoral and cellular defenses after septic injury with three different gram-positive bacteria (Micrococcus luteus, Enterococcus faecalis, Staphylococcus aureus), we used latex bead pre-injection to ablate macrophage function in flies wildtype or mutant for various Toll and imd pathway components. We found that in all three infection models a compromised phagocytic system impaired fly survival--independently of concomitant Toll or imd pathway activation. Our data failed to confirm a role of the PGRP-SA and GNBP1 Pattern Recognition Receptors for phagocytosis of S. aureus. The Drosophila scavenger receptor Eater mediates the phagocytosis by hemocytes or S2 cells of E. faecalis and S. aureus, but not of M. luteus. In the case of M. luteus and E. faecalis, but not S. aureus, decreased survival due to defective phagocytosis could be compensated for by genetically enhancing the humoral immune response. CONCLUSIONS/SIGNIFICANCE: Our results underscore the fundamental importance of both cellular and humoral mechanisms in Drosophila immunity and shed light on the balance between these two arms of host defense depending on the invading pathogen
SdiA, an N-Acylhomoserine Lactone Receptor, Becomes Active during the Transit of Salmonella enterica through the Gastrointestinal Tract of Turtles
encode a LuxR-type AHL receptor, SdiA, they cannot synthesize AHLs. In vitro, it is known that SdiA can detect AHLs produced by other bacterial species..We conclude that the normal gastrointestinal microbiota of most animal species do not produce AHLs of the correct type, in an appropriate location, or in sufficient quantities to activate SdiA. However, the results obtained with turtles represent the first demonstration of SdiA activity in animals
Tracing Changes in Families Who Participated in the Home-Start Parenting Program: Parental Sense of Competence as Mechanism of Change
The present study aimed to (1) determine the long-term effectiveness of Home-Start, a preventive parenting program, and (2) test the hypothesis that changes in maternal sense of competence mediate the programโs effects. Participants were 124 mothers (nโ=โ66 intervention, nโ=โ58 comparison). Four assessments took place during a 1-year period. Latent growth modeling showed that Home-Start enhanced growth in maternal sense of competence and supportive parenting, and led to a decrease in the use of inept discipline. Results of mediational and cross-lagged analyses were consistent with the hypothesized model: Participation in Home-Start was related to the changes in maternal sense of competence, which in turn predicted changes in parenting. The results affirm the importance of directly targeting parental sense of competence in the context of prevention work with parents
The DOCK Protein Sponge Binds to ELMO and Functions in Drosophila Embryonic CNS Development
Cell morphogenesis, which requires rearrangement of the actin cytoskeleton, is
essential to coordinate the development of tissues such as the musculature and
nervous system during normal embryonic development. One class of signaling
proteins that regulate actin cytoskeletal rearrangement is the evolutionarily
conserved CDM (C. elegans
Ced-5, human DOCK180,
Drosophila
Myoblast city, or Mbc) family of proteins, which function
as unconventional guanine nucleotide exchange factors for the small GTPase Rac.
This CDM-Rac protein complex is sufficient for Rac activation, but is enhanced
upon the association of CDM proteins with the ELMO/Ced-12 family of proteins. We
identified and characterized the role of Drosophila Sponge
(Spg), the vertebrate DOCK3/DOCK4 counterpart as an ELMO-interacting protein.
Our analysis shows Spg mRNA and protein is expressed in the visceral musculature
and developing nervous system, suggesting a role for Spg in later embryogenesis.
As maternal null mutants of spg die early in development, we
utilized genetic interaction analysis to uncover the role of Spg in central
nervous system (CNS) development. Consistent with its role in ELMO-dependent
pathways, we found genetic interactions with spg and
elmo mutants exhibited aberrant axonal defects. In
addition, our data suggests Ncad may be responsible for recruiting Spg to the
membrane, possibly in CNS development. Our findings not only characterize the
role of a new DOCK family member, but help to further understand the role of
signaling downstream of N-cadherin in neuronal development
Experimental annotation of post-translational features and translated coding regions in the pathogen Salmonella Typhimurium
<p>Abstract</p> <p>Background</p> <p>Complete and accurate genome annotation is crucial for comprehensive and systematic studies of biological systems. However, determining protein-coding genes for most new genomes is almost completely performed by inference using computational predictions with significant documented error rates (> 15%). Furthermore, gene prediction programs provide no information on biologically important post-translational processing events critical for protein function.</p> <p>Results</p> <p>We experimentally annotated the bacterial pathogen <it>Salmonella </it>Typhimurium 14028, using "shotgun" proteomics to accurately uncover the translational landscape and post-translational features. The data provide protein-level experimental validation for approximately half of the predicted protein-coding genes in <it>Salmonella </it>and suggest revisions to several genes that appear to have incorrectly assigned translational start sites, including a potential novel alternate start codon. Additionally, we uncovered 12 non-annotated genes missed by gene prediction programs, as well as evidence suggesting a role for one of these novel ORFs in <it>Salmonella </it>pathogenesis. We also characterized post-translational features in the <it>Salmonella </it>genome, including chemical modifications and proteolytic cleavages. We find that bacteria have a much larger and more complex repertoire of chemical modifications than previously thought including several novel modifications. Our <it>in vivo </it>proteolysis data identified more than 130 signal peptide and N-terminal methionine cleavage events critical for protein function.</p> <p>Conclusion</p> <p>This work highlights several ways in which application of proteomics data can improve the quality of genome annotations to facilitate novel biological insights and provides a comprehensive proteome map of <it>Salmonella </it>as a resource for systems analysis.</p
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