The prognostic value of a normal oral glucose tolerance test in pregnant women who tested positive at screening: a validation study

<p>Abstract</p> <p>Background</p> <p>Controversies surround a diagnosis of gestational diabetes mellitus (GDM). The objective of this study was to evaluate the oral glucose tolerance test (OGTT) for the prediction of adverse gestational and perinatal outcomes in pregnant women with a positive screening test for diabetes mellitus and a negative diagnosis, i.e. a normal 3-hour OGTT.</p> <p>Methods</p> <p>This validation study evaluated 409 pregnant women who tested positive for diabetes mellitus at screening. Perinatal and maternal outcomes were considered. Sensitivity and specificity were calculated for each of the values of the OGTT as a diagnostic test, with the gold standard being perinatal outcome.</p> <p>Results</p> <p>The most frequent risk factors were obesity, arterial hypertension and advanced maternal age. The most common neonatal outcomes were large-for-gestational-age infants, Cesarean delivery and preterm birth. A fasting blood glucose level of 87 mg/dL was the most powerful predictor of adverse perinatal outcome.</p> <p>Conclusions</p> <p>At the cut-off level adopted by the American Diabetes Association, gestational OGTT was able to successfully identify in which pregnant women outcome would be unfavorable.</p

100m and 200m front crawl performance prediction based on anthropometric and physiological measurements

Background: The identification of the variables that are able to predict swimming performance is one of the main purposes of the “swimming science” community. Research question: The aims of the study were: (i) to compare the anthropometric and physiological profiles of 100m and 200m front crawl swimmers and; (ii) to identify anthropometric and physiological variables that account for the prediction of the swimming performance at the 100m and 200m front crawl events. Methods: Twenty-six male swimmers were divided in two groups (12 for 100m group and 14 to 200m group). The swimmers’ personal best performance for the 100m and the 200m front crawl was converted to FINA points. The subjects performed a graded swimming test and an all-out test (100 or 200m maximal swims) in different days, in which physiological measures were evaluated. Forward step-by-step linear regression models were computed to predict swimming performance. The subjects’ performances (season best and all-out test) were taken as dependent variables. The age, physiological and anthropometric measures were selected as independent variables. Results: Anthropometric and physiological profiles of 100 and 200m swimmers are different and the mean oxygen uptake during exercise combined with training experience may explain 200m front crawl best season performance with a high precision (≈2% error). The models computed were able to predict from 44 % (i.e. 200m all-out bout) to 61 % (i.e. 200m season best) swimming performance. Predictive power of the models was less accurate in the 100m event (error > 10%). Conclusions: The authors conclude that the extent to which the physiological and anthropometric variables combine to predict performance probable is group-specific

Effect of particle size distribution and calcium aluminate cement on the rheological behaviour of all-alumina refractory castables

Previous works based on statistical design of experiments (DoE) defined a model all-alumina self-flow refractory castable (SFRC) with optimized particle size distribution for simultaneous high flowability index (FI) and superior post-sintering performance. This work compares the SFRC rheological behaviour and setting time with those of alternative all-alumina castables with different Andreasen aggregate particle size distribution modulus, and of the equivalent castables containing calcium aluminate cement. The model castable showed Bingham behaviour with low yield stress, viscosity and thixotropy, guaranteeing easier casting and less wear in the casting and/or projection equipment. However, as the coarse particle fraction increases, the castable flow tends to be non-linear and changes from Bingham to Herschel–Bulkley. The cement containing castables quickly loose flowability despite the applied shear. This work confirmed previous conclusions based on FI measurements and demonstrates the adequacy of the use of FI values in the calculation of FI response surface by DoE.info:eu-repo/semantics/publishedVersio

A barrier for further approximating Sorting By Transpositions

The Transposition Distance Problem (TDP) is a classical problem in genome rearrangements which seeks to determine the minimum number of transpositions needed to transform a linear chromosome into another represented by the permutations $\pi$ and $\sigma$, respectively. This paper focuses on the equivalent problem of Sorting By Transpositions (SBT), where $\sigma$ is the identity permutation $\iota$. Specifically, we investigate palisades, a family of permutations that are "hard" to sort, as they require numerous transpositions above the celebrated lower bound devised by Bafna and Pevzner. By determining the transposition distance of palisades, we were able to provide the exact transposition diameter for $3$-permutations (TD3), a special subset of the Symmetric Group $S_n$, essential for the study of approximate solutions for SBT using the simplification technique. The exact value for TD3 has remained unknown since Elias and Hartman showed an upper bound for it. Another consequence of determining the transposition distance of palisades is that, using as lower bound the one by Bafna and Pevzner, it is impossible to guarantee approximation ratios lower than $1.375$ when approximating SBT. This finding has significant implications for the study of SBT, as this problem has been subject of intense research efforts for the past 25 years

A combined approach for comparative exoproteome analysis of Corynebacterium pseudotuberculosis

Background: Bacterial exported proteins represent key components of the host-pathogen interplay. Hence, we sought to implement a combined approach for characterizing the entire exoproteome of the pathogenic bacterium Corynebacterium pseudotuberculosis, the etiological agent of caseous lymphadenitis (CLA) in sheep and goats. Results: An optimized protocol of three-phase partitioning (TPP) was used to obtain the C. pseudotuberculosis exoproteins, and a newly introduced method of data-independent MS acquisition (LC-MSE) was employed for protein identification and label-free quantification. Additionally, the recently developed tool SurfG+ was used for in silico prediction of sub-cellular localization of the identified proteins. In total, 93 different extracellular proteins of C. pseudotuberculosis were identified with high confidence by this strategy; 44 proteins were commonly identified in two different strains, isolated from distinct hosts, then composing a core C. pseudotuberculosis exoproteome. Analysis with the SurfG+ tool showed that more than 75% (70/93) of the identified proteins could be predicted as containing signals for active exportation. Moreover, evidence could be found for probable non-classical export of most of the remaining proteins. Conclusions: Comparative analyses of the exoproteomes of two C. pseudotuberculosis strains, in addition to comparison with other experimentally determined corynebacterial exoproteomes, were helpful to gain novel insights into the contribution of the exported proteins in the virulence of this bacterium. The results presented here compose the most comprehensive coverage of the exoproteome of a corynebacterial species so far

Mycetoma em paciente HIV positivo

Os autores relatam um caso de actinomicetoma em pacientes HIV positivo. Apesar das infecções fúngicas oportunistas serem freqüentemente observadas em pacientes infectados pelo HIV, a associação com micetoma nunca foi descrita. O diagnóstico foi confirmado pelo exame micolígico direto de grãos obtidos da secreção e de exame anátomo-patológico. Não foi possível identificar o agente, mas as características sugerem tratar-se de actinomiceto. Os autores acreditam que a localização no membro superior possa estar relacionada com o uso de seringas e agulhas contaminadas para injeção de drogas EV.Although oportunistic fungal infections occur commonly in immunocompromised hosts, mycetoma has never been reported in association with HIV infection. The authors present a case that to their knowledge is the first reported case of mycetoma associated with HIV infection. Diagnosis was confirmed by direct examination of grains and histologic examination. Precise identification of the agent, an actinomycete, was not possible. The unusual site of infection may probably be related to the use of contaminated needless and sirynges for HIV drug injection

Hand Posture Effects on Handedness Recognition as Revealed by the Simon Effect

We investigated the influence of hand posture in handedness recognition, while varying the spatial correspondence between stimulus and response in a modified Simon task. Drawings of the left and right hands were displayed either in a back or palm view while participants discriminated stimulus handedness by pressing either a left or right key with their hands resting either in a prone or supine posture. As a control, subjects performed a regular Simon task using simple geometric shapes as stimuli. Results showed that when hands were in a prone posture, the spatially corresponding trials (i.e., stimulus and response located on the same side) were faster than the non-corresponding trials (i.e., stimulus and response on opposite sides). In contrast, for the supine posture, there was no difference between corresponding and non-corresponding trials. Control experiments with the regular Simon task showed that the posture of the responding hand had no influence on performance. When the stimulus is the drawing of a hand, however, the posture of the responding hand affects the spatial correspondence effect because response location is coded based on multiple reference points, including the body of the hand

Candida auris: a literature review

Background: Emerging pathogen Candida auris has been associated with nosocomial outbreaks demonstrating widespread antifungal resistance. This microorganism is associated with systemic infections with a high mortality rate, and studies that contribute to a better understanding of this agent are important. Objectives: The present article aimed to carry out bibliographic research on Candida auris. Therefore, a literature search was carried out between January 2018 and January 2022, applying the following: C. auris; Candida auris and Infection, in Portuguese, English and Spanish. This review considers the available literature on C. auris and highlights key unknowns, which will provide guidance for future work in this field. Results: The data collected in the present review allowed us to divide the theme into topics on Pathophysiology, Epidemiology/clinical and drug resistance mechanisms, so that the understanding of Candida auris can be better detailed and understood. Conclusion: The predilection of C. auris by the most vulnerable and immunosuppressed patients or with comorbidities and with the potential to cause invasive and bloodstream infections with a propensity to cause outbreaks and concerns regarding resistance to antifungal agents, the fungus Candida auris, is of increasing clinical relevance. The increase in the number of detected cases and the occurrence of strains with multiple drug resistance prove to be worrisome, and applied research is essential to contribute to the knowledge of this strain and effective therapy