A note on the predictions of models with modular flavor symmetries

Models with modular flavor symmetries have been thought to be highly predictive. We point out that these predictions are subject to corrections from non–holomorphic terms in the Lagrangean. Specifically, in the models discussed in the literature, the Kähler potential is not fixed by the symmetries, for instance. The most general Kähler potential consistent with the symmetries of the model contains additional terms with additional parameters, which reduce the predictive power of these constructions. We also comment on potential ways of how one may conceivably retain the predictivity

Do Economic Evaluations in Primary Care Prevention and the Management of Hypertension Conform to Good Practice Guidelines? A Systematic Review

Background: Results of previous research have identified the need for further investigation into the compliance with good practice guidelines for current decision-analytic modeling (DAM). Objective: To identify the extent to which recent model-based economic evaluations of interventions focused on lowering the blood pressure (BP) of patients with hypertension conform to published guidelines for DAM in health care using a five-dimension framework developed to assess compliance to DAM guidelines. Methods: A systematic review of English language articles was undertaken to identify published model-based economic evaluations that examined interventions aimed at lowering BP. The review covered the period January 2000 to March 2015 and included the following electronic bibliographic databases: EMBASE and Medline via Ovid interface and the Centre for Reviews and Dissemination’s (CRD) NHS-EED. Data were extracted based on different components of good practice across five dimensions utilizing a framework to assess compliance to DAM guidelines. Results: Thirteen articles were included in this review. The review found limited compliance to good practice DAM guidelines, which was most frequently justified by the lack of data. Conclusions: The assessment of structural uncertainty cannot yet be considered common practice in primary prevention and management of hypertension, and researchers seem to face difficulties with identifying sources of structural uncertainty and then handling them correctly. Additional guidelines are needed to aid researchers in identifying and managing sources of potential structural uncertainty. Adherence to guidelines is not always possible and it does pose challenges, in particular when there are limitations due to data availability that restrict, for example, a validation process

Relationships Between Vertical Jump Strength Metrics and 5 Meters Sprint Time

The aim of this study was to examine the relationship between short sprint time (5 m) and strength metrics of the countermovement jump (CMJ) using a linear transducer in a group of trained athletes. Twenty-five male, trained subjects volunteered to participate in the study. Each volunteer performed 3 maximal CMJ trials on a Smith machine. Peak instantaneous power was calculated by the product of velocity taken with the linear transducer. For sprint testing, each subject performed three maximum 5 m sprints. Only the best attempt was considered in both tests. Pearson product-moment correlation coefficients between 5 m sprint performance and strength metrics of the CMJ were generally positive and of clear moderate to strong magnitude (r = -0.664 to -0.801). More noticeable was the significant predictive value of bar displacement time (r= ∼0.70) to sprint performance. Nevertheless, a non-significant predictive value of peak bar velocity and rate of force development measurements was found. These results underline the important relationship between 5 m sprint and maximal lower body strength, as assessed by the force, power and bar velocity displacement. It is suggested that sprinting time performance would benefit from training regimens aimed to improve these performance qualities.info:eu-repo/semantics/publishedVersio

Phylogenetic And Molecular Variability Studies Reveal A New Genetic Clade Of Citrus Leprosis Virus C

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)Citrus leprosis virus C (CiLV-C) causes a severe disease affecting citrus orchards in the Western hemisphere. This study reveals the molecular variability of the virus by analyzing four genomic regions (p29, p15, MP and RNA2-intergenic region) distributed over its two RNAs. Nucleotide diversity (pi) values were relatively low but statistically different over the analyzed genes and subpopulations, indicating their distinct evolutionary history. Values of pi(p29) and pi(MP) were higher than those of pi(p15) and pi(RNA2-IR), whereas pi(MP) was increased due to novel discovered isolates phylogenetically clustered in a divergent clade that we called SJP. Isolate BR_SP_SJP_01 RNA1 and RNA2 sequences, clade SJP, showed an identity of 85.6% and 88.4%, respectively, with those corresponding to CiLV-C, the type member of the genus Cilevirus, and its RNA2 5'-proximal region was revealed as a minor donor in a putative inter-clade recombination event. In addition to citrus, BR_SP_SJP_01 naturally infects the weed Commelina benghalensis and is efficiently transmitted by Brevipalpus yothersi mites. Our data demonstrated that negative selection was the major force operating in the evaluated viral coding regions and defined amino acids putatively relevant for the biological function of cilevirus proteins. This work provides molecular tools and sets up a framework for further epidemiological studies.8Conselho Nacional de Desenvolvimento Cientifico e Tecnologico [375843/2012-4, 481771/2013-1, 401564/2012-6]Fundacao de Apoio a Pesquisa no Estado de Sao Paulo [2012/18771-0, 2012/20667-7, 2014/08458-9]Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq

Falências de Orgão em Pediatria

Objectivos: 1) Caracterizar as falências mono (OF) e multiorgão (MOF) numa Unidade de Cuidados Intensivos Pediátricos em relação a; altura do internamento em que ocorrem; associação de orgãos em falência e evolução dos doentes com falência mono e multiorgão. 2) Avaliar a performance de um índice de gravidade, o Pediatric Risk of Mortality (PRISM), para a população total da Unidade e para o grupo das falências multiorgão. 3) Identificar marcadores de risco de mortalidade nos doentes com MOF. Métodos: Revisão de uma base de dados e análise retrospectiva de todos os doentes internados em relação aos critérios de OF e MOF, sugeridos por Wilkinson et al. População: Total de doentes internados na Unidade de Cuidados Intensivos Pediátricos (UCIP) de um Hospital Terciário, durante um período de dois anos (Abril de 1991 a Março de 1993). Resultados Principais / Conclusões: Foram avaliados 1120 doentes, com uma média de idades de 45.9 ± 51.1 meses, sendo 961 (85.8%) médicos e 159 (14.2%) cirúrgicos. Eram previamente saudáveis 695 (62.1%), sendo os restantes 424 (37.9%) portadores de doença crónica. A mortalidade global foi de 5% (56/1120 doentes). Cento e oitenta e sete doentes (16.7%) preencheram critérios de falência mono-orgão (OF), destes, 180 (96.3%) estavam em OF já à entrada e 7 (3.7%) tiveram falência não simultânea de mais de um orgão. A mortalidade dos doentes com falência mono-orgão foi de 3.7% (7 doentes). Cento e um doentes (9.02%) tiveram falência multiorgão (MOF), definida como falência simultânea de dois ou mais orgãos, em qualquer altura do internamento. Existia MOF já à entrada em 90 doentes (89.1%). Houve 47 doentes com falência máxima de 2 orgãos (46.6%), 42 (41.6%) com falência de 3 orgãos. 10 (9.9%) com falência de 4 orgãos e 2 (1.98%) com falência de 5 orgãos. A mortalidade por número de orgãos em falência foi respectivamente de 23.4%; 66.7%; 80% e 100%. A mortalidade global dos doentes com falência multiorgão foi de 48.5% (49/101 doentes). O PRISM revelou um bom valor predictivo quando aplicado na totalidade dos doentes: discriminação (W) (avaliada pela área sob curvas ROC) W = 0.959 SE = 0.00085 e calibração (H) (avaliada pelo Hosmer-Lemesshow goodness-of-fit test) H = 13.217 p = 0.104. Estes valores permitem considerar este índice de gravidade como estando bem aferido para a população da Unidade. Quando aplicado ao grupo das MOF a discriminação foi aceitável (W = 0.732 SE = 0.036) mas a calibração foi má (H = 29.780 p = 0.00026). A análise multivariada mostrou que um score de PRISM % 15 e um número de orgãos em falência % 3, tanto na admissão como em qualquer altura do internamento, têm uma importância significativa na probabilidade de morte

Loss of Connective Tissue Growth Factor Expression Promotes Remodeling of the Extracellular Matrix and Epithelial-to-Mesenchymal Transition in Ovarian Cancer

Background: Ovarian Cancer (OC) is the leading cause of death from gynecologic malignancies in the United States largely due to the advanced stage at the time of diagnosis. Epithelial-to-mesenchymal transition (EMT) is a key biological process implicated in the pathophysiology of the metastatic spread of OC. Discovering the “trigger/s,” its downstream targets, and therapeutic targeting are essential to substantively improve the survival of women with OC. The objective of our study is to evaluate the role of Connective Tissue Growth Factor (CTGF) in EMT in OC. Methods: R182 and R2615 are well-described epithelial OC cell and MR182 and MR2615 are the mesenchymal counterparts. R182/R2615 CTGF knock outs (KO) were derived utilizing a Cas9/CRISPR-Cas9 lentivirus plasmid vector and verified by indel sequencing. Invasion, anoikis resistance, and chemosensitivity assays were performed in wild-type (WT) and KO cells. RNA sequence analysis was performed and analyzed using iPathway guide. Top five upregulated and downregulated genes involved in ECM organization pathway were validated by quantitative PCR (qPCR). Immunofluorescence was performed for F-actin. Results: CTGF was expressed in the epithelial and not in the mesenchymal OC cell lines. Loss of CTGF was associated with anoikis resistance, where KO and WT cells displayed 75% and 10% viability, respectively. KO cells were significantly more invasive than WT cells. Administration of exogeneous CTGF in KO cells decreased invasion in a dose dependent manner. No change was seen in chemosensitivity to Cisplatin in KO cells. RNA seq analysis identified ECM organization as the biologic process most affected by loss of CTGF. Upregulated (FREM2, LAMC2, ITGB4) and downregulated (SPP1, SV2A, RELN, COL6A3, COL4A6) extracellular matrix genes were validated by qPCR. Immunofluorescence staining of F-actin demonstrated increased cytoskeleton expression of F-actin in CTGF KO cells. Conclusion: Our data suggests that CTGF expression maintains the epithelial phenotype in OC. Loss of CTGF may be one of the early triggers of EMT in OC through extracellular matrix remodeling affecting anoikis and adhesion characteristics, thus acquiring a more migratory and invasive phenotype

Lúpus Erythematosus

O Lúpus Eritematoso Sistémico (LES) é uma doença multissistémica, auto-imune, caracterizada por inflamação vascular e do tecido conjuntivo, com anticorpos antinucleares. As manifestações clínicas são variáveis, com uma história natural progressiva e imprevisível. Apresentamos o caso de uma adolescente, com antecedentes de artrite dos joelhos, febre e astenia de etiologia não esclarecida, com um ano de evolução. Internada na Unidade de Cuidados Intensivos Pediátricos por pneumonia bilateral a Streptococcus pneumoniae complicada com derrame pleural, anasarca e hematúria macroscópica. Iniciou antibioticoterapia, com evolução favorável, após o que se verifica agravamento clínico, com reaparecimento do derrame pleural, lesões vesiculares disseminadas sugestivas de etiologia herpética, hipertensão arterial sintomática e convulsão tónico-clónica generalizada. Da investigação, destaca-se estudo imunológico compatível com LES em actividade, poliserosite, proteinúria nefrótica, nefrite lúpica classe IV e anemia grave

Experience and Learning from the COVID-19 Pandemic in Portugal: Perceptions of Community Pharmacy Professionals

Background: During the COVID-19 pandemic, community pharmacy (CP) professionals were among those who experienced the greatest risk of contracting SARS-CoV-2, which forced major adaptations. Objectives: The objectives of the study were to describe the changes implemented in CP professionals during the pandemic, understand the perception of professionals about their experience, and explore changes to remain. Methods: An observational and cross-sectional study was conducted via an online questionnaire (June-September 2020). The target population was CP professionals working in Portugal for >2 years and serving the public during the pandemic. Results: Of a total of 353 participants, 84% were female (mean age of 37.6 years), and 81% were pharmacists (mean professional experience of 12.9 years). In the management and organizational dimensions, the most mentioned changes were adaptation to legislative changes (90%), fluctuations in the treasury (82%), and reduction of working hours (46%). Only 2% resorted to simplified layoff. In the back office, there was a need to adapt stock management (93%) and purchase personal protective equipment (99%). In the front office, there was a change in service policies - wicket or conditional opening (92%), routes of the arrival of user requests (91%), and home delivery (82%). Physical changes occurred in 100% of pharmacies. The most frequently implemented procedures were the use of protection systems and PPE, articulation with hospital pharmacies for dispensing in proximity (75%), and training in this area (55%). Regarding interpersonal climate, improvements in the connection between team members are evident: increase in mutual help (57%), solidarity (54%), and group cohesion (50%); in the relationship with clients, the majority indicated the replacement of the usual user by third parties (71%), and changes in communication channels (increase in use of technological means 68%). Conclusions: Results illustrate the profound impact of the pandemic on CP professionals, both professionally and personally. It also highlights the importance of their roles in proximity and community support. © 2023 S. Karger AG. All rights reserved.This work was funded by 4IE project (0499_4IE_PLUS_4_E) funded by the Interreg V-A España-Portugal (POCTEP) 2017/2022 ( https://4ie.eu/ )

Molecular chaperone genes in the sugarcane expressed sequence database (SUCEST)

Some newly synthesized proteins require the assistance of molecular chaperones for their correct folding. Chaperones are also involved in the dissolution of protein aggregates making their study significant for both biotechnology and medicine and the identification of chaperones and stress-related protein sequences in different organisms is an important task. We used bioinformatic tools to investigate the information generated by the Sugarcane Expressed Sequence Tag (SUCEST) genome project in order to identify and annotate molecular chaperones. We considered that the SUCEST sequences belonged to this category of proteins when their E-values were lower than 1.0e-05. Our annotation shows that 4,164 of the 5' expressed sequence tag (EST) sequences were homologous to molecular chaperones, nearly 1.8% of all the 5' ESTs sequenced during the SUCEST project. About 43% of the chaperones which we found were Hsp70 chaperones and its co-chaperones, 10% were Hsp90 chaperones and 13% were peptidyl-prolyl cis, trans isomerase. Based on the annotation results we predicted 156 different chaperone gene subclasses in the sugarcane genome. Taken together, our results indicate that genes which encode chaperones were diverse and abundantly expressed in sugarcane cells, which emphasizes their biological importance.2441730859