520 research outputs found

    First Latin American clinical practice guidelines for the treatment of systemic lupus erythematosus : Latin American Group for the Study of Lupus (GLADEL, Grupo Latino Americano de Estudio del Lupus)–Pan-American League of Associations of Rheumatology (PANLAR)

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    Systemic lupus erythematosus (SLE), a complex and heterogeneous autoimmune disease, represents a significant challenge for both diagnosis and treatment. Patients with SLE in Latin America face special problems that should be considered when therapeutic guidelines are developed. The objective of the study is to develop clinical practice guidelines for Latin American patients with lupus. Two independent teams (rheumatologists with experience in lupus management and methodologists) had an initial meeting in Panama City, Panama, in April 2016. They selected a list of questions for the clinical problems most commonly seen in Latin American patients with SLE. These were addressed with the best available evidence and summarised in a standardised format following the Grading of Recommendations Assessment, Development and Evaluation approach. All preliminary findings were discussed in a second face-to-face meeting in Washington, DC, in November 2016. As a result, nine organ/system sections are presented with the main findings; an ’overarching’ treatment approach was added. Special emphasis was made on regional implementation issues. Best pharmacologic options were examined for musculoskeletal, mucocutaneous, kidney, cardiac, pulmonary, neuropsychiatric, haematological manifestations and the antiphospholipid syndrome. The roles of main therapeutic options (ie, glucocorticoids, antimalarials, immunosuppressant agents, therapeutic plasma exchange, belimumab, rituximab, abatacept, low-dose aspirin and anticoagulants) were summarised in each section. In all cases, benefits and harms, certainty of the evidence, values and preferences, feasibility, acceptability and equity issues were considered to produce a recommendation with special focus on ethnic and socioeconomic aspects. Guidelines for Latin American patients with lupus have been developed and could be used in similar settings

    Spatial variation in determinants of agricultural land abandonment in Europe

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    © 2018 Elsevier B.V. Agricultural abandonment is widespread and growing in many regions worldwide, often because of agricultural intensification on productive lands, conservation policies, or the spatial decoupling of agricultural production from consumption. Abandonment has major environmental and social impacts, which differ starkly depending on the geographical context, as does its potential to serve as a land reservoir for recultivation. Understanding determinants of abandonment patterns, and especially how their influence varies across broad geographic extents, is therefore important. Using a pan-European map of agricultural abandonment derived from MODIS NDVI time series between 2001 and 2012, we quantified the importance of farm management, climatic, environmental, and socio-economic variables in explaining abandonment patterns. We chose a machine learning modelling framework that accounts for spatial variation in the relationship between abandonment and its determinants. We predicted abandonment probability as well as determinant coefficients for the entire study area and summarised them for regions under selected EU support schemes. Our results highlight that agricultural abandonment was mainly explained by climate conditions suboptimal for agriculture (i.e., low/high growing degrees days). Determinants related to farm management (smaller field size, lower yields) and socio-economic conditions (high unemployment, negative migration balance) also contributed to describing agricultural abandonment patterns in Europe. Several determinants influenced abandonment in strongly non-linear ways and we found substantial spatial non-stationarity effects, although abandonment patterns were equally well-explained by predictors specified with spatially constant and varying effects. Predicted abandonment probability was similar inside and outside EU support or conservation zones, whereas observed MODIS-based abandonment was generally higher outside these zones, suggesting that schemes such as Natura 2000 or High Nature Value Farmland likely influence abandonment patterns. Our work highlights the potential value of spatial boosting for gaining insights into land-use change processes and their outcomes, which should increase the ability of such models to inform context-specific, regionalised decision making

    Roadmap for the use of base editors to decipher drug mechanism of action

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    CRISPR base editors are powerful tools for large-scale mutagenesis studies. This kind of approach can elucidate the mechanism of action of compounds, a key process in drug discovery. Here, we explore the utility of base editors in an early drug discovery context focusing on G-protein coupled receptors. A pooled mutagenesis screening framework was set up based on a modified version of the CRISPR-X base editor system. We determine optimized experimental conditions for mutagenesis where sgRNAs are delivered by cell transfection or viral infection over extended time periods (>14 days), resulting in high mutagenesis produced in a short region located at -4/+8 nucleotides with respect to the sgRNA match. The β2 Adrenergic Receptor (B2AR) was targeted in this way employing a 6xCRE-mCherry reporter system to monitor its response to isoproterenol. The results of our screening indicate that residue 184 of B2AR is crucial for its activation. Based on our experience, we outline the crucial points to consider when designing and performing CRISPR-based pooled mutagenesis screening, including the typical technical hurdles encountered when studying compound pharmacolog

    GNSS Remote Sensing:Overview and selected recent developments

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    Ponencia expuesta online en el 8th International Radio Occultation Working Group Meeting (2021) celebrado del 7 al 9 de abrilGround and satellite based GNSS Remote Sensing (GNSS-RS) developed during the recent two decades into a very powerful and versatile tool for Earth System Research. A highlight of these developments is the operational use of spaceborne GNSS Radio Occultation (RO) data from several satellite missions to improve day-by-day global weather predictions. GNSS Remote Sensing is briefly introduced with selected applications. One prominent example is the improvement of regional and global weather forecasts. GNSS signals, reflected from water, ice and land surfaces (GNSS-Reflectometry, GNSS-R) can usefully complement the observation capabilities of GNSS-RO mission and enable versatile additional geophysical applications such as observation of wind speed and precipitation over oceans, which are illustrated. Finally, selected aspects for a comprehensive GNSS based Earth Observation with small satellite constellations are presented

    Challenges and opportunities in mapping land use intensity globally

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    Future increases in land-based production will need to focus more on sustainably intensifying existing production systems. Unfortunately, our understanding of the global patterns of land use intensity is weak, partly because land use intensity is a complex, multidimensional term, and partly because we lack appropriate datasets to assess land use intensity across broad geographic extents. Here, we review the state of the art regarding approaches for mapping land use intensity and provide a comprehensive overview of available global-scale datasets on land use intensity. We also outline major challenges and opportunities for mappinglanduseintensityfor cropland, grazing, and forestry systems, and identify key issues for future research.Peer Reviewe

    Current status of the IAG working group 4.3.7 on geodetic GNSS-R

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    Presentación realizada online en el Scientific Assembly of the International Association of Geodesy (2021) celebrado del 28 de junio al 2 de julio en Beijing
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