An Evidence-Based Asthma Management Plan for the Pediatric Practice Setting

Asthma is the most common chronic disease in childhood. Education directed toward asthma self-management is vital and emphasizes patient participation in symptom monitoring and control. The practice problem addressed in this quality improvement project was the lack of an asthma management plan in the pediatric setting for which the project was developed. The purpose of the project was to develop an evidence-based asthma initiative consisting of a staff education curriculum with a pretest/posttest and a patient self-management component. Using a team approach, Rosswurm and Larrabee\u27s conceptual model served as the practice framework to guide the development of the project. Two content experts evaluated the curriculum plan using a 9-item dichotomous rating. Results of their evaluation showed that the content met the objectives of the curriculum. The content experts also conducted content validation for each of the 17 pretest/posttest items using a 4-point Likert scale ranging from1 (\u27not relevant\u27) to 4 (\u27highly relevant\u27), that resulted in a content validation index of 1.00 revealing that the test items reflected the content of the curriculum and the intent of the objectives. This project promotes positive social change by providing patients and families with the ability to recognize and handle asthma symptoms. This change can prevent exacerbation of symptoms resulting in avoidable emergency department visits ultimately impacting healthcare costs and the well-being of patients and families

The Role of Sculptures of Activities on Deductive Grammar Learning and Retention among Iranian Adult EFL Learners

This paper proposes an effective deductive method inteaching grammar based on sculptures of activities for learning and practicing specific grammar structures such as simple present, present continuous and simple past deductively. The homogenous adult males and females were randomly selectedas experimental and control groups. An English grammar test was designed from American English File Student Book 1, learning English text book by Clive Oxenden with Christina Latham-Koeing and Paul Seligson. Pre-, post-, and delay post- test were used for data collection. However, before using the test for the purpose of data collection, it was piloted on a small group of subjects to estimate its reliability. The purpose of the second delayed test was to see which method of instruction has more impact on the students' grammar retentions and can sustain their grammar learning for longer period of time. The results of the study confirmed the significance of the deductive instructional method of English grammar teaching and foremost it supported the use of sculptures of activities in learning English grammar and retentions among Iranian adult EFL learners

Rapid and Easy Modified Plate-based Screening Methods for Quantitative and Qualitative Detection of Protease Production by Fungi

Proteases constitute a significant part of cell wall-degrading enzymes (CWDEs) produced by fungal biocontrol agents and particularly crucial in mycoparasitism of fungal phytopathogens. Plate-based screening methods are routinely used for screening protease-producing microorganisms including fungi. Skim milk agar (SMA) is one of the most popular media for the detection of protease producing bacteria. However, SMA is not efficient to test fast growing fungi, because it does not give an estimation of the actual amount of secreted protease produced by fungal inocula. In the current study, the efficacy of two modified plate-screening methods, including split-SMA (SSMA) and minimal medium supplemented with skim milk (MSMW) was assessed for detection of protease production by three representative fungal strains including Trichoderma longibrachiatum strain N, Beauveria bassiana strain B and Purpureocillium lilacinum strain PL. Protease production was revealed on the three tested media by the three strains. However, the halo diameter of the fungal strains (a proxy for protease production) was the smallest on SMA. Furthermore, protease production could not be detected for T. longibrachiatum strain N on SMA due to its fast growth; while it showed the highest protease activity on both modified media compared with the other strains. According to the result of this study, the SSMA medium is an easy and more accurate method compared with the two other different methods as it displays the actual amount of protease produced by fungal strains and therefore this method is recommended for quantitative and qualitative detection of protease production by slow and fast growing fungi

Multiplex PCR for specific identification and determination of mating type in Togninia minima (anamorphic Phaeoacremonium aleophilum), a causal agent of esca disease of grapevine

Togninia minima is one of the fungi involved in esca disease of grapevine, worldwide. It has a biallelic heterothallic mating system. A multiplex PCR test was developed that can detect the species as well as the mating type. A T. minima-specific primer set, with expected amplicon size of 500 bp, was designed based on β-tubulin gene sequences. A previously designed degenerate primer set (NcHMG1 and NcHMG2) was successfully used to amplify a fragment of approximately 300 bp from the Mat1-2 gene of T. minima. The obtained sequence showed substantial homology to the Mat1-2 gene sequences of other related ascomycetes. A more specific primer set, with expected amplicon size of 230 bp, was designed based on the same Mat1-2 gene sequence. The specificity of the new primer set was verified on DNA extracted from a set of Phaeoacremonium and other fungal species frequently occurring on grapevine. Both primer sets were combined in a multiplex PCR for the simultaneous identification and determination of mating types of T. minima. A 500 bp amplicon was obtained from all available T. minima isolates and none from the other Phaeoacremonium spp. A 230 bp amplicon confirmed T. minima isolates that have the Mat1-2 allele. The species-specific β-tubulin-based primer set served as an internal control to confirm that the PCR reaction with the mating type primer set had worked properly. The efficacy of the multiplex test was evaluated on 31 isolates of T. minima from different vineyards in the Azarshahr region (East Azerbaijan province, Iran). Isolates of both mating types were found from the sampled areas; however, Mat1-2 isolates were more frequent than Mat1-1 isolates (19:12). This multiplex PCR assay developed can facilitate rapid screening of mating types in populations of T. minima

Macrophomina phaseolina associated with grapevine decline in Iran

Grapevines exhibiting general decline symptoms were observed in July 2012 in Arbatan, a region in Marand county, north-western Iran. Leaf necrosis symptoms were also observed in affected grapevines. Dark brown necrotic lesions and wood discoloration were observed in the vascular tissues of affected cordons. Fungal isolates, all with similar cultural and morphological features, were obtained from symptomatic tissues. Morphological characteristics indicated that the isolates were Macrophomina phaseolina. Sequence analysis of the elongation factor (EF-1α) gene from isolates confirmed this identification, with 100% similarity to the reference M. phaseolina sequences obtained from GenBank. Pathogenicity assays of two M. phaseolina isolates on 2-year-old potted vines (cv. ‘Keshmeshi’) demonstrated that M. phaseolina was pathogenic on grapevine. This study confirmed the association of M. phaseolina with grapevine decline symptoms, and represents the first report of this fungus associated with grapevine trunk diseases in Iran

Melatonin Enhances the Usefulness of Ionizing Radiation: Involving the Regulation of Different Steps of the Angiogenic Process

Radiotherapy is a part of cancer treatment. To improve its efficacy has been combined with radiosensitizers such as antiangiogenic agents. Among the mechanisms of the antitumor action of melatonin are antiangiogenic effects. Our goal was to investigate whether melatonin may modulate the sensitivity of endothelial cells (HUVECs) to ionizing radiation. Melatonin (1 mM) enhanced the inhibition induced by radiation on different steps of the angiogenic process, cell proliferation, migration, and tubular network formation. In relation with the activity and expression of enzymes implicated in estrogen synthesis, in co-cultures HUVECs/MCF-7, radiation down-regulated aromatase mRNA expression, aromatase endothelial-specific promoter I.7, sulfatase activity and expression and 17?-HSD1 activity and expression and melatonin enhanced these effects. Radiation and melatonin induced a significant decrease in VEGF, ANG-1, and ANG-2 mRNA expression. In ANG-2 and VEGF mRNA expression melatonin potentiated the inhibitory effect induced by radiation. In addition, melatonin counteracted the stimulatory effect of radiation on FGFR3, TGF?, JAG1, IGF-1, and KDR mRNA expression and reduced ANPEP expression. In relation with extracellular matrix molecules, radiation increased MMP14 mRNA expression and melatonin counteracted the stimulatory effect of radiation on MMP14 mRNA expression and increased TIMP1 expression, an angiogenesis inhibitor. Melatonin also counteracted the stimulatory effect of radiation on CXCL6, CCL2, ERK1, ERK2, and AKT1 mRNA expression and increased the inhibitory effect of radiation on NOS3 expression. In CAM assay, melatonin enhanced the reduction of the vascular area induced by radiation. Melatonin potentiated the inhibitory effect on the activation of p-AKT and p-ERK exerted by radiation. Antiangiogenic effect of melatonin could be mediated through AKT and ERK pathways, proteins involved in vascular endothelial (VE) cell growth, cell proliferation, survival, migration, and angiogenesis. In addition, radiation increased endothelial cell permeability and melatonin counteracted it by regulating the internalization of VE-cadherin. Radiation has some side effects on angiogenesis that may reduce its effectiveness against tumor growth and melatonin is able to neutralize these negative actions of radiation. Additionally, melatonin potentiated radiation-induced antiangiogenic actions on several steps of the angiogenic process and enhanced its antitumor action. Our findings point to melatonin as a useful molecule as adjuvant to radiotherapy in cancer treatment.FUNDING: This work was supported by grants from the Spanish Economy and Competitiveness Ministry (SAF2016-77103-P) and from the Instituto de Investigación Sanitaria Valdecilla (IDIVAL) (APG/12)

The rate of facultative sex governs the number of expected mating types in isogamous species

It is unclear why sexually reproducing isogamous species frequently contain just two self-incompatible mating types. Deterministic theory suggests that since rare novel mating types experience a selective advantage (by virtue of their many potential partners), the number of mating types should consistently grow. However, in nature, species with thousands of mating types are exceedingly rare. Several competing theories for the predominance of species with two mating types exist, yet they lack an explanation for how many are possible and in which species to expect high numbers. Here, we present a theoretical null model that explains the distribution of mating type numbers using just three biological parameters: mutation rate, population size and the rate of sex. If the number of mating types results from a mutation–extinction balance, the rate of sexual reproduction plays a crucial role. If sex is facultative and rare (a very common combination in isogamous species), mating type diversity will remain low. In this rare sex regime, small fitness differences between the mating types lead to more frequent extinctions, further lowering mating type diversity. We also show that the empirical literature supports the role of drift and facultativeness of sex as a determinant of mating type dynamics

The rate of facultative sex governs the number of expected mating types in isogamous species

It is unclear why sexually reproducing isogamous species frequently contain just two self-incompatible mating types. Deterministic theory suggests that since rare novel mating types experience a selective advantage (by virtue of their many potential partners), the number of mating types should consistently grow. However, in nature, species with thousands of mating types are exceedingly rare. Several competing theories for the predominance of species with two mating types exist, yet they lack an explanation for how many are possible and in which species to expect high numbers. Here, we present a theoretical null model that explains the distribution of mating type numbers using just three biological parameters: mutation rate, population size and the rate of sex. If the number of mating types results from a mutation–extinction balance, the rate of sexual reproduction plays a crucial role. If sex is facultative and rare (a very common combination in isogamous species), mating type diversity will remain low. In this rare sex regime, small fitness differences between the mating types lead to more frequent extinctions, further lowering mating type diversity. We also show that the empirical literature supports the role of drift and facultativeness of sex as a determinant of mating type dynamics

ITS sequence data and morphology differentiate Cytospora chrysosperma associated with trunk disease of grapevine in northern Iran

Trunk diseases are potential threats for the grapevine industry owing to the worldwide incidence and economic impact of the diseases. Several fungal groups are known to be involved in these diseases. In a survey on grapevine trunk diseases in northern Iran, Cytospora isolates were repeatedly recovered from vines showing decline symptoms. The symptoms appeared as pale brown to brown streaks in longitudinal cuts of shoots. The morphological and cultural characteristics of the isolates were in agreement with the description of Cytospora chrysosperma. Sequence data of the ITS-rDNA region was used to further confirm the identity of the species. Phylogenetic analysis based on the sequence data obtained in this study and the sequences from GenBank, confirmed the morphological identification. Our isolates were clustered together with C. chrysosperma isolates known from other woody host plant species. The pathogenicity assay on detached shoots of grapevines induced the same symptoms as was observed in field conditions. Although, C. chrysosperma is known from several woody hosts in Iran, the occurrence of this species on grapevines showing decline symptoms is new. The economic impact, distribution, and degree of involvement of C. chrysosperma in decline of vines in other regions of Iran remains to be studied

Multiplex PCR for specific identification and determination of mating type in <em>Togninia minima</em> (anamorphic <em>Phaeoacremonium aleophilum</em>), a causal agent of esca disease of grapevine

<p><em>Togninia minima</em> is one of the fungi involved in esca disease of grapevine, worldwide. It has a biallelic heterothallic mating system. A multiplex PCR test was developed that can detect the species as well as the mating type. A <em>T. minima</em>-specific primer set, with expected amplicon size of 500 bp, was designed based on <em>β-tubulin</em> gene sequences. A previously designed degenerate primer set (NcHMG1 and NcHMG2) was successfully used to amplify a fragment of approximately 300 bp from the <em>Mat1-2</em> gene of <em>T. minima</em>. The obtained sequence showed substantial homology to the <em>Mat1-2</em> gene sequences of other related ascomycetes. A more specific primer set, with expected amplicon size of 230 bp, was designed based on the same <em>Mat1-2</em> gene sequence. The specificity of the new primer set was verified on DNA extracted from a set of <em>Phaeoacremonium</em> and other fungal species frequently occurring on grapevine. Both primer sets were combined in a multiplex PCR for the simultaneous identification and determination of mating types of <em>T. minima</em>. A 500 bp amplicon was obtained from all available <em>T. minima</em> isolates and none from the other <em>Phaeoacremonium</em> spp. A 230 bp amplicon confirmed <em>T. minima</em> isolates that have the <em>Mat1-2</em> allele. The species-specific β-tubulin-based primer set served as an internal control to confirm that the PCR reaction with the mating type primer set had worked properly. The efficacy of the multiplex test was evaluated on 31 isolates of <em>T. minima</em> from different vineyards in the Azarshahr region (East Azerbaijan province, Iran). Isolates of both mating types were found from the sampled areas; however, Mat1-2 isolates were more frequent than Mat1-1 isolates (19:12). This multiplex PCR assay developed can facilitate rapid screening of mating types in populations of <em>T. minima</em>.</p