841 research outputs found

    242 The impact of a referral pathway on management of CFRD

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    Fuzzy Based PC-PUSH in CR-MANETs

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    In cognitive radio (CR), the secondary user (SU) needs to hand off its ongoing communication to an idle channel in order to avoid interference to the primary user (PU). Spectrum hand off issue becomes challenging in CR mobile ad hoc networks (CR-MANETs) because of the uncertainty in spectrum availability, broad range of spectrum bands and lack of central entity. The purpose of this study is to design a unified spectrum handoff (USH) scheme for CR-MANETs that considers the spectrum heterogeneity and its availability over time and space. A local flow hand off is performed when spectrum hand off cannot be carried out due to the SUs mobility. To improve further USH, preemptive unified spectrum handoff (PUSH) algorithm is proposed in which two different preemptive hand off threshold regions are defined. The PUSH algorithm also predicts the cognitive link availability considering the PU interference boundary. Although the PUSH scheme improves the hand off performance, the number of spectrum hand offs due to the PU activity should be reduced in this scheme. Therefore, the PC-PUSH (Power Controller-PUSH) scheme is proposed in which the fuzzy logic is used to improve the PUSH in terms of the number of spectrum handoffs because of the PU activity. The PC-PUSH decreases the interference to the PUs, while reducing the number of spectrum handoffs. The results show that the proposed scheme improves the link maintenance probability, decreases the hand off delay, and reduces the number of spectrum handoffs

    Expression of efflux pumps and fatty acid activator one genes in azole resistant Candida glabrata isolated from immunocompromised patients

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    Acquired azole resistance in opportunistic fungi causes severe clinical problems in immunosuppressed individuals. This study investigated the molecular mechanisms of azole resistance in clinical isolates of Candida glabrata. Six unmatched strains were obtained from an epidemiological survey of candidiasis in immunocompromised hosts that included azole and amphotericin B susceptible and azole resistant clinical isolates. Candida glabrata CBS 138 was used as reference strain. Antifungal susceptibility testing of clinical isolates was evaluated using Clinical and Laboratory Standards Institute (CLSI) methods. Complementary DNA-Amplified Fragment Length Polymorphism (cDNA-AFLP) technology, semiquantitative RT-PCR, and sequencing were employed for identification of potential genes involved in azole resistance. Candida glabrata Candida drug resistance 1 (CgCDR1) and Candida glabrata Candida drug resistance 2 (CgCDR2) genes, which encode for multidrug transporters, were found to be upregulated in azole-resistant isolates (�2-fold). Fatty acid activator 1 (FAA1) gene, belonging to Acyl-CoA synthetases, showed expression in resistant isolates �2-fold that of the susceptible isolates and the reference strain. This study revealed overexpression of the CgCDR1, CgCDR2, and FAA1 genes affecting biological pathways, small hydrophobic compounds transport, and lipid metabolism in the resistant clinical C.glabrata isolates. © 2016 Tehran University of Medical Sciences. All rights reserved

    Quinine effects on gut and pancreatic hormones and antropyloroduodenal pressures in humans-Role of delivery site and sex.

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    Advance access publication 24 March 2022Context: The bitter substance quinine modulates the release of a number of gut and gluco-regulatory hormones and upper gut motility. As the density of bitter receptors may be higher in the duodenum than the stomach, direct delivery to the duodenum may be more potent in stimulating these functions. The gastrointestinal responses to bitter compounds may also be modified by sex. Background: We have characterized the effects of intragastric (IG) versus intraduodenal (ID) administration of quinine hydrochloride (QHCl) on gut and pancreatic hormones and antropyloroduodenal pressures in healthy men and women. Methods: 14 men (26 ± 2 years, BMI: 22.2 ± 0.5 kg/m2) and 14 women (28 ± 2 years, BMI: 22.5 ± 0.5 kg/m2) received 600 mg QHCl on 2 separate occasions, IG or ID as a 10-mL bolus, in randomized, double-blind fashion. Plasma ghrelin, cholecystokinin, peptide YY, glucagon-like peptide-1 (GLP-1), insulin, glucagon, and glucose concentrations and antropyloroduodenal pressures were measured at baseline and for 120 minutes following QHCl. Results: Suppression of ghrelin (P = 0.006), stimulation of cholecystokinin (P = 0.030), peptide YY (P = 0.017), GLP-1 (P = 0.034), insulin (P = 0.024), glucagon (P = 0.030), and pyloric pressures (P = 0.050), and lowering of glucose (P = 0.001) were greater after ID-QHCl than IG-QHCl. Insulin stimulation (P = 0.021) and glucose reduction (P = 0.001) were greater in females than males, while no sex-associated effects were found for cholecystokinin, peptide YY, GLP-1, glucagon, or pyloric pressures. Conclusion: ID quinine has greater effects on plasma gut and pancreatic hormones and pyloric pressures than IG quinine in healthy subjects, consistent with the concept that stimulation of small intestinal bitter receptors is critical to these responses. Both insulin stimulation and glucose lowering were sex-dependent.Peyman Rezaie, Vida Bitarafan, Braden D. Rose, Kylie Lange, Jens F. Rehfeld, Michael Horowitz, and Christine Feinle-Bisse

    Angular clustering properties of the DESI QSO target selection using DR9 Legacy Imaging Surveys

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    The quasar target selection for the upcoming survey of the Dark Energy Spectroscopic Instrument (DESI) will be fixed for the next 5 yr. The aim of this work is to validate the quasar selection by studying the impact of imaging systematics as well as stellar and galactic contaminants, and to develop a procedure to mitigate them. Density fluctuations of quasar targets are found to be related to photometric properties such as seeing and depth of the Data Release 9 of the DESI Legacy Imaging Surveys. To model this complex relation, we explore machine learning algorithms (random forest and multilayer perceptron) as an alternative to the standard linear regression. Splitting the footprint of the Legacy Imaging Surveys into three regions according to photometric properties, we perform an independent analysis in each region, validating our method using extended Baryon Oscillation Spectroscopic Survey (eBOSS) EZ-mocks. The mitigation procedure is tested by comparing the angular correlation of the corrected target selection on each photometric region to the angular correlation function obtained using quasars from the Sloan Digital Sky Survey (SDSS) Data Release 16. With our procedure, we recover a similar level of correlation between DESI quasar targets and SDSS quasars in two-thirds of the total footprint and we show that the excess of correlation in the remaining area is due to a stellar contamination that should be removed with DESI spectroscopic data. We derive the Limber parameters in our three imaging regions and compare them to previous measurements from SDSS and the 2dF QSO Redshift Survey

    Expression of chemokines and their receptors by human brain endothelium: Implications for multiple sclerosis

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    Leukocyte migration into the CNS is mediated by chemokines, expressed on the surface of brain endothelium. This study investigated the production of chemokines and expression of chemokine receptors by human brain endothelial cells (HBEC), in vitro and in situ in multiple sclerosis tissue. Four chemokines (CCL2, CCL5, CXCL8 and CXCL10), were demonstrated in endothelial cells in situ, which was reflected in the chemokine production by primary HBEC and a brain endothelial cell line, hCEMC/D3. CXCL8 and CCL2 were constitutively released and increased in response to TNF and/or IFN . CXCL10 and CCL5 were undetectable in resting cells but were secreted in response to these cytokines. TNF strongly increased the production of CCL2, CCL5 and CXCL8, while IFN up-regulated CXCL10 exclusively. CCL3 was not secreted by HBECs and appeared to be confined to astrocytes in situ. The chemokine receptors CXCR1 and CXCR3 were expressed by HBEC both in vitro and in situ, and CXCR3 was up-regulated in response to cytokine stimulation in vitro. By contrast, CXCR3 expression was reduced in silent MS lesions. Brain endothelium expresses particularly high levels of CXCL10 and CXCL8, which may account for the predominant TH1-type inflammatory reaction seen in chronic conditions such as multiple sclerosis

    Evaluating the drivers of Indo-Pacific biodiversity: speciation and dispersal of sea snakes (Elapidae: Hydrophiinae)

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    Aim: There are several competing hypotheses to explain the high species richness of the Indo-Australian Archipelago (IAA) marine biodiversity hotspot centred within Southeast (SE) Asia. We use phylogenetic methods to provide a novel perspective on this problem using viviparous sea snakes, a group with high species richness in the IAA that is highly distinct from other taxa previously studied, both phylogenetically (Reptilia, Amniota) and biologically (e.g. viviparity and direct development). Location: Indian Ocean and the West Pacific. Methods: We used likelihood and Bayesian methods to reconstruct a multi-locus time-calibrated phylogeny for c. 70% of viviparous sea snake species, many sampled from multiple localities in Australasia, Southeast Asia and the Indian Ocean. We then compared rates and temporal concordance of inferred vicariance and dispersal events between marine basins using several approaches including new Bayesian analyses that allow for clade-specific and event-specific dispersal rates. Results: Phylogenetic analyses and novel Bayesian biogeographical reconstructions indicate that viviparous sea snakes underwent rapid speciation after colonizing SE Asia c. 3 million years ago. Most of the SE Asian sea snake diversity is the result of in situ speciation, most consistent with the ‘centre of origin’ and ‘centre of refuge’ models for biodiversity hotspots. There is also speciation at the periphery, or entirely outside SE Asia; however, contrary to predictions of the ‘accumulation’ and ‘overlap’ models, these new outlying taxa do not preferentially disperse back into SE Asia. Instead, lineages are equally likely to disperse either into or away from SE Asia. Main conclusion: The high diversity of sea snakes in SE Asia (and hence the IAA) is mostly explained by in situ speciation rather than accumulation or overlap. Most speciation events are contemporaneous with sea level changes that generated and dissolved barriers between marine basins during the last 2.5 million years.Kanishka D.B. Ukuwela, Michael S.Y. Lee, Arne R. Rasmussen, Anslem de Silva, Mumpuni, Bryan G. Fry, Parviz Ghezellou, Mohsen Rezaie-Atagholipour, and Kate L. Sander
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