Management of Difficult Cases of Autoimmune Hepatitis

Autoimmune hepatitis (AIH) is a complex autoimmune disease characterized by immune-mediated destruction of hepatic parenchyma which can result in cirrhosis, liver failure, and death. Current American Association for the Study of Liver Diseases (AASLD) and European Association for the Study of Liver (EASL) guidelines recommend corticosteroids alone or in combination with azathioprine as first-line treatment strategies. However, a significant proportion of patients may not be able to tolerate or achieve complete biochemical response with these options. In this article, we discuss approaches to these patients and other challenging AIH patient groups such as the asymptomatic, pregnant, elderly, and liver transplant recipients

Growth of peach palm (Bactris gasipaes) seedlings transplanted in different seedling stages, substrates and substrate volumes

The Amazonas State Commission of Seeds and Seedlings established norms and standards for the production of certified seedlings, but for peach palm seedlings they are poorly defined due to lack of specific studies. The objective of this study was to investigate the development of seedlings transplanted at different seedling stages (before appearance of leaves, one leaf and two leaves), substrate type (surface soil and surface soil + chicken manure 3: 1 v: v), and substrate volume (0.5, 1 and 2 kg bags), in Manaus, AM, Brazil. The seeds were from spineless Yurimaguas, Peru, plants, collected in March 1997. The experimental design was a randomized blocks, with a 2x3x3 factorial, with four replications. The seedlings fertilized with chicken manure presented better growth in height (19 cm) than those in surface soil (8 cm) at six months. Seedlings with one leaf had greater development (15 cm), followed by seedlings without leaves (14 cm) or with two leaves (12 cm). Seedlings in bags with one (14.5 cm) and two (15 cm) kg capacities presented better growth than these in bags with 0.5 kg (11 cm). Therefore, peach palm seedlings should be transplanted at the one leaf seedling stage into bags with one kg of soil plus chicken manure.A Comissão Estadual de Sementes e Mudas do Estado do Amazonas estabeleceu normas e padrões para a produção de mudas fiscalizadas, mas esses padrões ainda são vagos para a pupunheira (Bactris gasipaes Kunth, Palmae). Visando melhorar esse padrão avaliou-se o desenvolvimento de mudas transplantadas em diferentes estádios de plântula (chifrinhos, uma folha e duas folhas), substrato (sem e com estéreo de galinha31 vv de solo superficialestéreo) e volume de substrato (0,5, 1 e 2 kg), em Manaus, AM. Foram utilizadas sementes de plantas inermes de Yurimaguas, Peru, colhidas em março de 1997. Adotou-se o delineamento de blocos casualizados, em esquema fatorial 2x3x3, com quatro repetições. As plântulas em substrato com estéreo tiveram maior crescimento em altura (19 cm) em relação às sem estéreo (8 cm) aos 6 meses, e as plântulas transplantadas no estádio de uma folha tiveram maior crescimento (15 cm), seguida de chifrinho (14 cm) e de duas folhas (12 cm). Os sacos com capacidade para 1 kg e 2 kg não diferiram no crescimento das plantas (altura 14,5 e 15,0 cm, respectivamente), superando o de 0,5 kg (11 cm). Portanto, para a produção de mudas de boa qualidade, as plântulas de pupunheira devem ser transplantadas no estádio de uma folha aberta, em sacos de um kg contendo substrato com estéreo

Human influences on evolution, and the ecological and societal consequences.

Humans have dramatic, diverse and far-reaching influences on the evolution of other organisms. Numerous examples of this human-induced contemporary evolution have been reported in a number of 'contexts', including hunting, harvesting, fishing, agriculture, medicine, climate change, pollution, eutrophication, urbanization, habitat fragmentation, biological invasions and emerging/disappearing diseases. Although numerous papers, journal special issues and books have addressed each of these contexts individually, the time has come to consider them together and thereby seek important similarities and differences. The goal of this special issue, and this introductory paper, is to promote and expand this nascent integration. We first develop predictions as to which human contexts might cause the strongest and most consistent directional selection, the greatest changes in evolutionary potential, the greatest genetic (as opposed to plastic) changes and the greatest effects on evolutionary diversification We then develop predictions as to the contexts where human-induced evolutionary changes might have the strongest effects on the population dynamics of the focal evolving species, the structure of their communities, the functions of their ecosystems and the benefits and costs for human societies. These qualitative predictions are intended as a rallying point for broader and more detailed future discussions of how human influences shape evolution, and how that evolution then influences species traits, biodiversity, ecosystems and humans.This article is part of the themed issue 'Human influences on evolution, and the ecological and societal consequences'.APH is primarily funded by a Natural Sciences and Engineering Research Council of Canada (NSERC) Discovery Grant. KMG is supported by a Le Fonds Québécois de la Recherche sur la Nature et les Technologies (FQRNT) Postdoctoral Fellowship. EIS is supported by the Swedish Research Council (Vetenskapsrådet; VR) and Erik Philip Sörenssons Stiftelse.This is the author accepted manuscript. The final version is available from The Royal Society via https://doi.org/10.1098/rstb.2016.002

Psychosocial factors and T lymphocyte counts in Brazilian peacekeepers

OBJECTIVE: To investigate the associations between psychosocial factors and peripheral blood CD4 and CD8 T lymphocyte numbers in Brazilian peacekeepers. METHODS: Venous blood was collected from 759 peacekeepers who had just returned from a peace mission in Haiti. Among the 759 soldiers, 642 individuals completed the psychosocial measures. CD4 and CD8 T lymphocyte counts were measured by flow cytometry using a commercially available kit. Psychosocial factors, including military peace force stressors, clinical stress, anxiety and depression, were recorded. As a reference for T lymphocyte numbers, we measured T lymphocyte counts in 75 blood donors from the Instituto de Biologia do Exército, Rio de Janeiro. RESULTS: The median numbers of CD4 and CD8 T lymphocytes in the blood donors were 819 cells/µl and 496 cells/µl, respectively, with a CD4:CD8 ratio of 1.6. Significantly (

コンピュータ断層のための加速化OS－EMアルゴリズムに対応した連続時間系

The maximum-likelihood expectation-maximization (ML-EM) algorithm is used for an iterative image reconstruction (IIR) method and performs well with respect to the inverse problem as cross-entropy minimization in computed tomography. For accelerating the convergence rate of the ML-EM, the ordered-subsets expectation-maximization (OS-EM) with a power factor is effective. In this paper, we propose a continuous analog to the power-based accelerated OS-EM algorithm. The continuous-time image reconstruction (CIR) system is described by nonlinear differential equations with piecewise smooth vector fields by a cyclic switching process. A numerical discretization of the differential equation by using the geometric multiplicative first-order expansion of the nonlinear vector field leads to an exact equivalent iterative formula of the power-based OS-EM. The convergence of nonnegatively constrained solutions to a globally stable equilibrium is guaranteed by the Lyapunov theorem for consistent inverse problems. We illustrate through numerical experiments that the convergence characteristics of the continuous system have the highest quality compared with that of discretization methods. We clarify how important the discretization method approximates the solution of the CIR to design a better IIR method

A new software tool for carbohydrate microarray data storage, processing, presentation, and reporting

Publisher Copyright: © 2022 The Author(s) 2022. Published by Oxford University Press. This project is supported by Wellcome Trust Biomedical Resource grants (WT099197/Z/12/Z, 108430/Z/15/Z and 218304/Z/19/Z); March of Dimes European Prematurity Research Centre grant 22-FY18-82 and NIH Commons Fund 1U01GM125267-01Glycan microarrays are essential tools in glycobiology and are being widely used for assignment of glycan ligands in diverse glycan recognition systems. We have developed a new software, called Carbohydrate microArray Analysis and Reporting Tool (CarbArrayART), to address the need for a distributable application for glycan microarray data management. The main features of CarbArrayART include: (i) Storage of quantified array data from different array layouts with scan data and array-specific metadata, such as lists of arrayed glycans, array geometry, information on glycan-binding samples, and experimental protocols. (ii) Presentation of microarray data as charts, tables, and heatmaps derived from the average fluorescence intensity values that are calculated based on the imaging scan data and array geometry, as well as filtering and sorting functions according to monosaccharide content and glycan sequences. (iii) Data export for reporting in Word, PDF, and Excel formats, together with metadata that are compliant with the guidelines of MIRAGE (Minimum Information Required for A Glycomics Experiment). CarbArrayART is designed for routine use in recording, storage, and management of any slide-based glycan microarray experiment. In conjunction with the MIRAGE guidelines, CarbArrayART addresses issues that are critical for glycobiology, namely, clarity of data for evaluation of reproducibility and validity.publishersversionpublishe

Character Displacement in the Midst of Substantial Background Evolution in Anolis Lizard Island Populations

Negative interactions between species can generate divergent selection that causes character displacement. However, other processes cause similar divergence. We use spatial and temporal replication across island populations of Anolis lizards to assess the importance of negative interactions in driving trait shifts. Previous work showed that the establishment of Anolis sagrei on islands drove resident Anolis carolinensis to perch higher and evolve larger toepads. To further test the interaction\u27s causality and predictability, we resurveyed a subset of islands nine years later. Anolis sagrei had established on one island between surveys. We found that A. carolinensis on this island now perch higher and have larger toepads. However, toepad morphology change on this island was not distinct from shifts on six other islands whose Anolis community composition had not changed. Thus, the presence of A. sagrei only partly explains A. carolinensis trait variation across space and time. We also found that A. carolinensis on islands with previously established A. sagrei now perch higher than a decade ago, and that current A. carolinensis perch height is correlated with A. sagrei density. Our results suggest that character displacement likely interacts with other evolutionary processes in this system, and that temporal data are key to detecting such interactions

A Small Molecule Inhibitor of Redox-Regulated Protein Translocation into Mitochondria

SummaryThe mitochondrial disulfide relay system of Mia40 and Erv1/ALR facilitates import of the small translocase of the inner membrane (Tim) proteins and cysteine-rich proteins. A chemical screen identified small molecules that inhibit Erv1 oxidase activity, thereby facilitating dissection of the disulfide relay system in yeast and vertebrate mitochondria. One molecule, mitochondrial protein import blockers from the Carla Koehler laboratory (MitoBloCK-6), attenuated the import of Erv1 substrates into yeast mitochondria and inhibited oxidation of Tim13 and Cmc1 in in vitro reconstitution assays. In addition, MitoBloCK-6 revealed an unexpected role for Erv1 in the carrier import pathway, namely transferring substrates from the translocase of the outer membrane complex onto the small Tim complexes. Cardiac development was impaired in MitoBloCK-6-exposed zebrafish embryos. Finally, MitoBloCK-6 induced apoptosis via cytochrome c release in human embryonic stem cells (hESCs) but not in differentiated cells, suggesting an important role for ALR in hESC homeostasis