304 research outputs found
Identification of protein coding genes in genomes with statistical functions based on the circular code
A new statistical approach using functions based on the circular code classifies correctly more than 93 % of bases in protein (coding) genes and non-coding genes of human sequences. Based on this statistical study, a research software called "Analysis of Coding Genes" (ACG) has been developed for identifying protein genes in the genomes and for determining their frame. Furthermore, the software ACG also allows an evaluation of the length of protein genes, their position in the genome, their relative position between themselves, and the prediction of internal frames in protein genes
Patient-perceived progression in multiple system atrophy: natural history of quality of life
Health-related quality of life (Hr-QoL) scales provide crucial information on
neurodegenerative disease progression, help improving patient care, and
constitute a meaningful endpoint for therapeutic research. However, Hr-QoL
progression is usually poorly documented, as for multiple system atrophy (MSA),
a rare and rapidly progressing alpha-synucleinopathy. This work aimed to
describe Hr-QoL progression during the natural course of MSA, explore
disparities between patients, and identify informative items using a four-step
statistical strategy.We leveraged the data of the French MSA cohort comprising
annual assessments with the MSA-QoL questionnaire for more than 500 patients
over up to 11 years. The four-step strategy (1) determined the subdimensions of
Hr-QoL in MSA; (2) modelled the subdimension trajectories over time, accounting
for the risk of death; (3) mapped the sequence of item impairments with disease
stages; and (4) identified the most informative items specific to each disease
stage.Among the 536 patients included, 50% were women and they were aged on
average 65.1 years old at entry. Among them, 63.1% died during the follow-up.
Four dimensions were identified. In addition to the original motor, nonmotor,
and emotional domains, an oropharyngeal component was highlighted. While the
motor and oropharyngeal domains deteriorated rapidly, the nonmotor and
emotional aspects were already slightly to moderately impaired at cohort entry
and deteriorated slowly over the course of the disease. Impairments were
associated with sex, diagnosis subtype, and delay since symptom onset. Except
for the emotional domain, each dimension was driven by key identified
items.Hr-QoL is a multidimensional concept that deteriorates progressively over
the course of MSA and brings essential knowledge for improving patient care. As
exemplified with MSA, the thorough description of Hr-QoL using the 4-step
original analysis can provide new perspectives on neurodegenerative diseases'
management to ultimately deliver better support focused on the patient's
perspective
New insights into orthostatic hypotension in multiple system atrophy: a European multicentre cohort study
Objectives: Orthostatic hypotension (OH) is a key feature of multiple system atrophy (MSA), a fatal progressive neurodegenerative disorder associated with autonomic failure, parkinsonism and ataxia. This study aims (1) to determine the clinical spectrum of OH in a large European cohort of patients with MSA and (2) to investigate whether a prolonged postural challenge increases the sensitivity to detect OH in MSA. Methods: Assessment of OH during a 10â
min orthostatic test in 349 patients with MSA from seven centres of the European MSA-Study Group (age: 63.6±8.8â
years; disease duration: 4.2±2.6â
years). Assessment of a possible relationship between OH and MSA subtype (P with predominant parkinsonism or C with predominant cerebellar ataxia), Unified MSA Rating Scale (UMSARS) scores and drug intake. Results: 187 patients (54%) had moderate (>20â
mmâ
Hg (systolic blood pressure (SBP)) and/or >10â
mmâ
Hg (diastolic blood pressure (DBP)) or severe OH (>30â
mmâ
Hg (SBP) and/or >15â
mmâ
Hg (DBP)) within 3â
min and 250 patients (72%) within 10â
min. OH magnitude was significantly associated with disease severity (UMSARS I, II and IV), orthostatic symptoms (UMSARS I) and supine hypertension. OH severity was not associated with MSA subtype. Drug intake did not differ according to OH magnitude except for antihypertensive drugs being less frequently, and antihypotensive drugs more frequently, prescribed in severe OH. Conclusions: This is the largest study of OH in patients with MSA. Our data suggest that the sensitivity to pick up OH increases substantially by a prolonged 10â
min orthostatic challenge. These results will help to improve OH management and the design of future clinical trials.Fil: Pavy Le Traon, Anne. University Hospital of Toulouse; Francia. Inserm; FranciaFil: Piedvache, A.. UniversitĂ© Paul Sabatier; FranciaFil: PĂ©rez Lloret, Santiago. University Hospital of Toulouse; Francia. Pontificia Universidad CatĂłlica Argentina "Santa MarĂa de los Buenos Aires". Instituto de Investigaciones BiomĂ©dicas. Consejo Nacional de Investigaciones CientĂficas y TĂ©cnicas. Oficina de CoordinaciĂłn Administrativa Houssay. Instituto de Investigaciones BiomĂ©dicas; ArgentinaFil: Calandra Buonara, G.. UniversitĂ di Bologna; Italia. Istituto delle Scienze Neurologiche di Bologna; ItaliaFil: Cochen De Cock, V.. University Hospital of Toulouse; Francia. University of Montpellier; FranciaFil: Colosimo, C.. Sapienza UniversitĂ di Roma; ItaliaFil: Cortelli, P.. UniversitĂ di Bologna; Italia. Istituto delle Scienze Neurologiche di Bologna; ItaliaFil: Debs, R.. University Hospital of Toulouse; FranciaFil: Duerr, S.. Universidad de Innsbruck; AustriaFil: Fanciulli, A.. Universidad de Innsbruck; AustriaFil: Foubert Samier, A.. Centre Hospitalier Universitaire de Bordeaux; Francia. Universite de Bordeaux; FranciaFil: Gerdelat, Angela. University Hospital of Toulouse; FranciaFil: Gurevich, T.. Tel-Aviv University; IsraelFil: Krismer, F.. Universidad de Innsbruck; AustriaFil: Poewe, W.. Universidad de Innsbruck; AustriaFil: Tison, Francois. Universite de Bordeaux; Francia. Centre Hospitalier Universitaire de Bordeaux; FranciaFil: Tranchant, C.. University Hospital Hautepierre; FranciaFil: Wenning, G.. Universidad de Innsbruck; AustriaFil: Meissner, Wassilios G.. Universite de Bordeaux; Francia. Centre Hospitalier Universitaire de Bordeaux; FranciaFil: Rascol, Olivier. University Hospital of Toulouse; Franci
Psychometric properties of a prostate cancer radiation late toxicity questionnaire
<p>Abstract</p> <p>Background</p> <p>To construct a short prostate cancer radiation late toxicity (PCRT) questionnaire with health-related quality-of-life (HRQoL) domains.</p> <p>Methods</p> <p>The PCRT was developed by item generation, questionnaire construction (n = 7 experts, n = 8 focus group patients), pilot testing (n = 37), item reduction (n = 100), reliability testing (n = 237), and validity testing (n = 274).</p> <p>Results</p> <p>Reliability of the three item-reduced subscales demonstrated intraclass correlation coefficients (CC) of 0.811 (GU), 0.842 (GI), and 0.740 (sexual). Discriminant validity demonstrated Pearson CC of 0.449 (GU-GI), 0.200 (sexual-GU), and 0.09 (sexual-GI). Content validity correlations between PCRT-PCQoL were 0.35â0.78, PCRT-FACT-G<sup>© </sup>were 0.19â0.39, and PCRT-SF-36<sup>Âź </sup>were 0.03â0.34.</p> <p>Conclusion</p> <p>We successfully generated a PCRT HRQoL questionnaire including subscales with very good psychometric properties.</p
NectarCAM : a camera for the medium size telescopes of the Cherenkov Telescope Array
NectarCAM is a camera proposed for the medium-sized telescopes of the
Cherenkov Telescope Array (CTA) covering the central energy range of ~100 GeV
to ~30 TeV. It has a modular design and is based on the NECTAr chip, at the
heart of which is a GHz sampling Switched Capacitor Array and a 12-bit Analog
to Digital converter. The camera will be equipped with 265 7-photomultiplier
modules, covering a field of view of 8 degrees. Each module includes the
photomultiplier bases, high voltage supply, pre-amplifier, trigger, readout and
Ethernet transceiver. The recorded events last between a few nanoseconds and
tens of nanoseconds. The camera trigger will be flexible so as to minimize the
read-out dead-time of the NECTAr chips. NectarCAM is designed to sustain a data
rate of more than 4 kHz with less than 5\% dead time. The camera concept, the
design and tests of the various subcomponents and results of thermal and
electrical prototypes are presented. The design includes the mechanical
structure, cooling of the electronics, read-out, clock distribution, slow
control, data-acquisition, triggering, monitoring and services.Comment: In Proceedings of the 34th International Cosmic Ray Conference
(ICRC2015), The Hague, The Netherlands. All CTA contributions at
arXiv:1508.0589
Novel imageânovel location object recognition task sensitive to age-related cognitive decline in nondemented elderly
Traditional tests used in the clinic to identify dementia, such as the mini-mental state examination (MMSE), are useful to identify severe cognitive impairments but might be less sensitive to detect more subtle age-related cognitive changes. Previously, the novel imageânovel location (NINL) object recognition test was shown to be sensitive to detect effects of apolipoprotein E4, a risk factor for developing age-related cognitive decline and Alzheimerâs disease, in nondemented elderly. In the present longitudinal study, performance on the MMSE and the NINL tests were compared over a 4-year period. Individual NINL scores over this period were highly correlated. In addition, while MMSE scores did not change over the 4-year period, NINL scores did. In a final testing session of a subset of the participants, NINL scores correlated with logical memory and word recall lists, cognitive tasks used to detect dementia in the clinic, as well as clinical dementia rating scales. These results support that the NINL might be a valuable tool to assess age-related cognitive decline
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