17 research outputs found

    Izomdystrophiák differenciál-diagnosztikai vizsgálata molekuláris genetikai, valamint immunhisztokémiai és immunoblot analízisek segítségével = Differential diagnostic study of muscle dystrophies by molecular genetic, immunohystochemical and Western-blot analyses

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    A DMD/BMD betegségben célul tűzték ki a cDNS próbák alkalmazását a hordozósági státusz vizsgálatára és a deléciók pontos méretének meghatározására. Az újonnan bevezetett MLPA módszer segítségével a teljes dystrophin gén feltérképezésére, bizonyos pont mutációk kiszűrésére, a deléciók és duplikációk pontos analízisére, továbbá a hordozóság gyors szűrésére is vállalkozhattak. Összesen 120 beteg és 89 női hozzátartozó molekuláris analízisét végezték el a pályázat támogatásával. Az FSHD betegségben a komplex genetikai háttér miatt szükséges a molekuláris diagnosztikus kritériumok finomítása. A betegség hátterében álló epigenetikus változások kulcsfontosságúak lehetnek fenotípus kialakulásában. A betegség pathomechanizmusában a D4Z4 szekvenciáktól proximálisan elhelyezkedő gének megváltozott transzkripciójának van szerepe, amelynek vizsgálatára metilációs analízist alkalmaztak. A klinikai diagnózis megerősítésére összesen 90 beteg és 46 tünetmentes hozzátartozó DNS mintáját analizálták. Az LGMD betegségcsoport a betegek differenciál-diagnosztikája jelenleg csak specifikus fehérjedetektálási módszerekkel lehetségesek. Ezeket a módszereket alkalmazták azokban az esetekben, ahol az FSHD és DMD/BMD molekuláris genetikai vizsgálata negatív volt. A vizsgálati periódusban 122 beteg izombiopsziás mintája érkezett, ebből 56 esetben immunhisztokémiai, míg 20 esetben kiegészítő western blot analízis történt. További, DNS szintű analízisek 14 esetben azonosították a patogén mutációt. | The first aim of the study was to introduce cDNA probes for the analysis of DMD/BMD in order to detect carrier status and exact deletion borders. Additionally, the new MLPA technique was first introduced by us in Hungary and enabled the detection of the entire dystrophin gene with highlights on specific pointmutations, exact analysis of the deletions and duplications and moreover, on efficient screening of the carrier status. During the project, 120 affected persons and 89 female relatives were screened. In case of the FSHD molecular genetic criteria have to be improved because of the complexity of the disorder. Epigenetic influences may play a crutial role in modulating phenotype. Altered transcriptional activities of neighbouring genes proximal to the D4Z4 sequences have a key place in the pathomechanism, therefore, this effect was studied by methylation analysis. For confirmation of the clinical diagnosis 90 patients and 46 asymptomatic family members were genetically nalysed. The differential diagnosis of the heterogenous group of LGMD requires at first the specific analysis of the dystrophin-associated glycoproteins. This was used in the case of patients where the establishment of the genetic diagnosis of DMD/BMD or FSHD failed. Muscle biopsies and blood samples of 122 patients were sent to the laboratory; in total 56 immunohistochemical and 20 Western blot analyses have been performed. In 14 patients the exact pathogenic mutation has been identified by DNA sequencing

    Upper Palaeolithic genomes reveal deep roots of modern Eurasians.

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    We extend the scope of European palaeogenomics by sequencing the genomes of Late Upper Palaeolithic (13,300 years old, 1.4-fold coverage) and Mesolithic (9,700 years old, 15.4-fold) males from western Georgia in the Caucasus and a Late Upper Palaeolithic (13,700 years old, 9.5-fold) male from Switzerland. While we detect Late Palaeolithic-Mesolithic genomic continuity in both regions, we find that Caucasus hunter-gatherers (CHG) belong to a distinct ancient clade that split from western hunter-gatherers ∼45 kya, shortly after the expansion of anatomically modern humans into Europe and from the ancestors of Neolithic farmers ∼25 kya, around the Last Glacial Maximum. CHG genomes significantly contributed to the Yamnaya steppe herders who migrated into Europe ∼3,000 BC, supporting a formative Caucasus influence on this important Early Bronze age culture. CHG left their imprint on modern populations from the Caucasus and also central and south Asia possibly marking the arrival of Indo-Aryan languages.This research was supported by the European Research Council (ERC) Starting Grant to R.P. (ERC-2010-StG 263441). D.B., M.H and AM. were also supported by the ERC (295729-CodeX, 310763-GeneFlow and 647787-LocalAdaptation respectively). The National Geographic Global Exploration Fund funded fieldwork in Satsurblia Cave l from April 2013 to February 2014 (grant- GEFNE78–13). V.S. was supported by a scholarship from the Gates Cambridge Trust and M.G.L. by a BBSRC DTP studentship. C.G. was supported by the Irish Research Council for Humanities and Social Sciences (IRCHSS) ERC Support Programme and the Marie-Curie Intra-European Fellowships (FP7-IEF-328024). R.M. was funded by the BEAN project of the Marie Curie ITN (289966) and L.C. by the Irish Research Council (GOIPG/2013/1219). R.L.M. was funded by the ALS Association of America (2284) and Fondation Thierry Latran (ALSIBD). M.C. was supported by Swiss NSF grant 31003A_156853. We acknowledge Shota Rusataveli Georgian National Science Foundation as well as the DJEI/DES/SFI/HEA Irish Centre for High-End Computing (ICHEC) for the provision of computational facilities and Science Foundation Ireland (12/ERC/B2227) for provision of sequencing facilities. We thank Valeria Mattiangeli and Matthew D. Teasdale for their assistance.This is the final version of the article. It was first available from NPG via http://dx.doi.org/10.1038/ncomms991

    Genome-wide data from two early Neolithic East Asian individuals dating to 7700 years ago.

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    Ancient genomes have revolutionized our understanding of Holocene prehistory and, particularly, the Neolithic transition in western Eurasia. In contrast, East Asia has so far received little attention, despite representing a core region at which the Neolithic transition took place independently ~3 millennia after its onset in the Near East. We report genome-wide data from two hunter-gatherers from Devil's Gate, an early Neolithic cave site (dated to ~7.7 thousand years ago) located in East Asia, on the border between Russia and Korea. Both of these individuals are genetically most similar to geographically close modern populations from the Amur Basin, all speaking Tungusic languages, and, in particular, to the Ulchi. The similarity to nearby modern populations and the low levels of additional genetic material in the Ulchi imply a high level of genetic continuity in this region during the Holocene, a pattern that markedly contrasts with that reported for Europe.V.S. was supported by the Gates Cambridge Trust. R.P. was funded by the European Research Council (ERC) starting grant ADNABIOARC (263441) and the Irish Research Council Advanced Research Project Grant from January 2014 to December 2016. M.H. was supported by ERC Consolidator Grant 310763 “GeneFlow.” This work was supported by the Research Fund (1.140113.01) of Ulsan National Institute of Science and Technology to J.B. This work was also supported by the Research Fund (14-BR-SS-03) of Civil-Military Technology Cooperation Program to J.B. and Y.S.C. M.G.-L. was supported by a Biotechnology and Biological Sciences Research Council Doctoral Training Partnerships studentship. A.M. and A.E. were supported by the ERC Consolidator Grant 647787 “LocalAdaptation.” D.G.B. was funded by ERC Investigator grant 295729-CodeX

    PENGARUH CORPORATE SOCIAL RESPONSIBILITY TERHADAP KETERLIBATAN KARYAWAN, MOTIVASI KERJA, DAN KEPUASAN KERJA PADA RUMAH SAKIT UMUM AMANDA BERASTAGI

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    Penelitian ini dilakukan dengan tujuan untuk mengetahui apakah terdapat pengaruh corporate social responsibility terhadap keterlibatan karyawan, motivasi kerja, dan kepuasan kerja. Penelitian ini dilakukan di Rumah Sakit Umum Amanda Berastagi. Pengujian hipotesis dalam penelitian ini dilakukan dengan analisis regresi linier sederhana. Berdasarkan penelitian ini, ditemukan bahwa corporate social responsibility berpengaruh positif terhadap keterlibatan karyawan, corporate social responsibility tidak berpengaruh terhadap motivasi, corporate social responsibility berpengaruh positif terhadap kepuasan kerja

    KEBIJAKAN KESELAMATAN PASIEN SEBAGAI PENGHARGAAN TERHADAP KEMANUSIAAN

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    Abstrak Latar Belakang: Keselamatan pasien bukan hanya sekedar efisiensi pelayanan melainkan lebih besar dari itu. Kebijakan keselamatan merupakan penghargaan terhadap kemanusiaan Tujuan : Untuk mengetahui bagaimana kebijakan keselamatan pasien sebagai suatu penghargaan terhadap kemanusiaan. Metode : Metode kajian ini menggunakan penelusuran buku teks, buku reffeerensi, jurnal dan e.book (10 tahun terahir) dengan system literature review yaitu dengan menganalisis mengeksplorasi, dan kajian bebas dengan menggunakan kata kunci Keselamatan pasien, penghargaan, kemanusiaan. Hasil : kebijakan keselamatan pasien, harus diterapkan di rumah sakit untuk mencegah terjadinya situasi yang berpontensi mengakibatkan cedera yang seharusnya tidak terjadi atau biasa disebut insiden keselamatan pasien. Pembahasan: Keselamatan pasien di definisikan sebagai suatu sistem dimana Rumah Sakit membuat asuhan pasien lebih aman yang meliputi asesmen risiko. Simpulan : Kebijakan keselamatan pasien bertujuan untuk membuat pasien lebih aman . kemampuan melaksanakan patient safety dalam mengidentifikasi pasien. Kata Kunci : Keselamatan pasien, peran perawat, kemanusiaan

    PROSES KEPERAWATAN TERHADAP KEBERHASILAN TINDAKAN YANG DI HARAPKAN

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    Abstrak Latar Belakang: Dalam pelaksanaan asuhan keperawatan terutama di era ini, proses keperawatan di perlukan untuk mencapai hasil yang diharapkan sesuai dengan tahapan proses keperawatan. Tujuan : Untuk mengetahui bagaimana proses keperawatan dapat memberikan hasil yang diharapkan sesuai dengan tindakan yang diberikan. Metode : Metode kajian ini menggunakan penelusuran buku teks, buku reffeerensi, jurnal dan e.book (10 tahun terahir) dengan system literature review yaitu dengan menganalisis mengeksplorasi, dan kajian bebas dengan menggunakan kata kunci Proses keperawatan, hasil yang diharapkan, tindakan keperawatan. Hasil: Pemecahan masalah, menggunakan standar untuk praktik keperawatan , memperoleh metode yang baku , sesuai, logis, sesuai , rasional, dan sistematis, memperoleh metode yang dapat dipakai dalam segala situasi, serta mempunyai hasil asuhan keperawatan yang memiliki kualitas yang tinggi Pembahasan: Rencana keperawatan harus lah disusun berdasarkan masalah yang ada , yang kemudian dilakukan dengan mempertimbangan keadaan klien dimana klien merupakan individu yang holistic dan unik Simpulan : untuk mencapai hasil yang diharapkan sesuai dengan tindakan yang telah direncanakan maka diperlukan proses keperawatan yang terorganisasi untuk memberikan asuhan keperawatan yang berkualitas
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