The European Academy laparoscopic “Suturing Training and Testing’’ (SUTT) significantly improves surgeons’ performance

The efficiency of suturing training and testing (SUTT) model by laparoscopy was evaluated, measuring the suturing skill acquisition of trainee gynecologists at the beginning and at the end of a teaching course. During a workshop organized by the European Academy of Gynecological Surgery (EAGS), 25 participants with three different experience levels in laparoscopy (minor, intermediate and major) performed the 4 exercises of the SUTT model (Ex 1: both hands stitching and continuous suturing, Ex 2: right hand stitching and intracorporeal knotting, Ex 3: left hand stitching and intracorporeal knotting, Ex 4: dominant hand stitching, tissue approximation and intracorporeal knotting). The time needed to perform the exercises is recorded for each trainee and group and statistical analysis used to note the differences. Overall, all trainees achieved significant improvement in suturing time (p < 0.005) as measured before and after completion of the training. Similar significantly improved suturing time differences (p < 0.005) were noted among the groups of trainees with different laparoscopic experience. In conclusion a short well-guided training course, using the SUTT model, improves significantly surgeon’s laparoscopic suturing ability, independently of the level of experience in laparoscopic surgery

Transitions of protein traffic from cardiac ER to junctional SR

The junctional sarcoplasmic reticulum (jSR) is an important and unique ER subdomain in the adult myocyte that concentrates resident proteins to regulate Ca(2+) release. To investigate cellular mechanisms for sorting and trafficking proteins to jSR, we overexpressed canine forms of junctin (JCT) or triadin (TRD) in adult rat cardiomyocytes. Protein accumulation over time was visualized by confocal fluorescence microscopy using species-specific antibodies. Newly synthesized JCTdog and TRDdog appeared by 12-24h as bright fluorescent puncta close to the nuclear surface, decreasing in intensity with increasing radial distance. With increasing time (24-48h), fluorescent puncta appeared at further radial distances from the nuclear surface, eventually populating jSR similar to steady-state patterns. CSQ2-DsRed, a form of CSQ that polymerizes ectopically in rough ER, prevented anterograde traffic of newly made TRDdog and JCTdog, demonstrating common pathways of intracellular trafficking as well as in situ binding to CSQ2 in juxtanuclear rough ER. Reversal of CSQ-DsRed interactions occurred when a form of TRDdog was used in which CSQ2-binding sites are removed ((del)TRD). With increasing levels of expression, CSQ2-DsRed revealed a novel smooth ER network that surrounds nuclei and connects the nuclear axis. TRDdog was retained in smooth ER by binding to CSQ2-DsRed, but escaped to populate jSR puncta. TRDdog and (del)TRD were therefore able to elucidate areas of ER-SR transition. High levels of CSQ2-DsRed in the ER led to loss of jSR puncta labeling, suggesting a plasticity of ER-SR transition sites. We propose a model of ER and SR protein traffic along microtubules, with prominent transverse/radial ER trafficking of JCT and TRD along Z-lines to populate jSR, and an abundant longitudinal/axial smooth ER between and encircling myonuclei, from which jSR proteins traffic

Histone Deacetylase Inhibitors and Mithramycin A Impact a Similar Neuroprotective Pathway at a Crossroad between Cancer and Neurodegeneration

Mithramycin A (MTM) and histone deacetylase inhibitors (HDACi) are effective therapeutic agents for cancer and neurodegenerative diseases. MTM is a FDA approved aureolic acid-type antibiotic that binds to GC-rich DNA sequences and interferes with Sp1 transcription factor binding to its target sites (GC box). HDACi, on the other hand, modulate the activity of class I and II histone deacetylases. They mediate their protective function, in part, by regulating the acetylation status of histones or transcription factors, including Sp1, and in turn chromatin accessibility to the transcriptional machinery. Because these two classes of structurally and functionally diverse compounds mediate similar therapeutic functions, we investigated whether they act on redundant or synergistic pathways to protect neurons from oxidative death. Non-protective doses of each of the drugs do not synergize to create resistance to oxidative death suggesting that these distinct agents act via a similar pathway. Accordingly, we found that protection by MTM and HDACi is associated with diminished expression of the oncogene, Myc and enhanced expression of a tumor suppressor, p21waf1/cip1. We also find that neuroprotection by MTM or Myc knockdown is associated with downregulation of class I HDAC levels. Our results support a model in which the established antitumor drug MTM or canonical HDACi act via distinct mechanisms to converge on the downregulation of HDAC levels or activity respectively. These findings support the conclusion that an imbalance in histone acetylase and HDAC activity in favor of HDACs is key not only for oncogenic transformation, but also neurodegeneration

Integrating Deep-Web Information Sources

Deep-web information sources are difficult to integrate into automated business processes if they only provide a search form. A wrapping agent is a piece of software that allows a developer to query such information sources without worrying about the details of interacting with such forms. Our goal is to help soft ware engineers construct wrapping agents that interpret queries written in high-level structured languages. We think that this shall definitely help reduce integration costs because this shall relieve developers from the burden of transforming their queries into low-level interactions in an ad-hoc manner. In this paper, we report on our reference framework, delve into the related work, and highlight current research challenges. This is intended to help guide future research efforts in this area.Ministerio de Educación y Ciencia TIN2007-64119Junta de Andalucía P07-TIC-2602Junta de Andalucía P08-TIC-4100Ministerio de Ciencia e Innovación TIN2008-04718-

Effects of soiling and weathering on the albedo of building envelope materials: Lessons learned from natural exposure in two European cities and tuning of a laboratory simulation practice

Chemical and physical stress, weathering, organic and inorganic matter deposition, and microbial growth over time, or \u201caging\u201d, affect the optical-radiative performance of building envelope materials. Natural exposure helps to quantify these effects, but it usually requires several years. Further, the contribution of the different degradation agents cannot be isolated, and results from different campaigns cannot be easily compared because of the variability in the boundary conditions producing aging. Here we present an adaptation of the protocol implemented by ASTM as D7897-18 \u201cStandard Practice for Laboratory Soiling and Weathering of Roofing Materials to Simulate Effects of Natural Exposure on Solar Reflectance and Thermal Emittance\u201d. The aim is to reproduce in the laboratory the changes in albedo (solar reflectance) and thermal emittance experienced by building envelope materials in European urban areas rather than in the United States. We tuned the spraying duration and weathering cycles, and we compared the UV\u2013vis\u2013NIR reflectances of naturally-aged specimens (48 months in Rome and Milan) of roofing and wall finish materials to those exposed to laboratory weathering and soiling. Excluding those materials that show early physical-chemical degradation, the mean absolute deviation between natural and laboratory exposure of roofing products is equal to 0.027 in albedo. This is a lower value than the differences between two natural exposure campaigns at the same site. We clearly defined the limits of application of the protocol, providing an appraisal of the repeatability of natural aging. Moreover, we identified possible improvements in the methodology to conduct both natural and laboratory exposure