Le medicine complementari ed alternative (CAM): la posizione della Conferenza permanente dei Presidenti dei Corsi di Laurea Magistrale in Medicina e Chirurgia.

Le notevoli perplessità e resistenze alla introduzione delle CAM come insegnamenti nel Corso di Laurea in Medicina e Chirurgia, da parte della Conferenza Permanente dei Presidenti dei Corsi di Laurea Magistrale in Medicina e Chirurgia, non originano affatto da atteggiamenti conservatori o di pregiudiziale chiusura, ma da considerazioni più consistenti sulla natura stessa della formazione universitaria

Insegnare nelle Universit\ue0 la Fitoterapia e l\u2019Agopuntura?

According to National Center for Complementary and Alternative Medicine (CAM) of NIH, the CAM terms are used to mean the array of health care approaches with a history of use or origins outside of mainstream medicine. Numerous surveys document high level of interest in use of CAM among the Western public, hence raising the matter of their study in the medical education. Several scientists have subjected CAM interventions to the same methodological scrutiny responsible for the progress of Western clinical medicine (that is evidence based), i.e. with the standard of randomized controlled trials. So, the purpose of this paper was to review the scientific evidences of two particular CAM, Phytotherapy and Acupuncture, to evaluate their possible involvement in the medical education.

Smoking as a cofactor for causation of chronic pancreatitis: a meta-analysis.

OBJECTIVES: To assess the evidence for tobacco smoking as a risk factor for the causation of chronic pancreatitis. METHODS: We performed a meta-analysis with random-effects models to estimate pooled relative risks (RRs) of chronic pancreatitis for current, former, and ever smokers, in comparison to never smokers. We also performed dose-response, heterogeneity, publication bias, and sensitivity analyses. RESULTS: Ten case-control studies and 2 cohort studies that evaluated, overall, 1705 patients with chronic pancreatitis satisfied the inclusion criteria. When contrasted to never smokers, the pooled risk estimates for current smokers was 2.8 (95% confidence interval [CI], 1.8-4.2) overall and 2.5 (95% CI, 1.3-4.6) when data were adjusted for alcohol consumption. A dose-response effect of tobacco use on the risk was ascertained: the RR for subjects smoking less than 1 pack per day was 2.4 (95% CI, 0.9-6.6) and increased to 3.3 (95% CI, 1.4-7.9) in those smoking 1 or more packs per day. The risk diminished significantly after smoking cessation, as the RR estimate for former smokers dropped to a value of 1.4 (95% CI, 1.1-1.9). CONCLUSIONS: Tobacco smoking may enhance the risk of developing chronic pancreatitis. Recommendation for smoking cessation, besides alcohol abstinence, should be incorporated in the management of patients with chronic pancreatitis

Peak shape clustering reveals biological insights

Background: ChIP-seq experiments are widely used to detect and study DNA-protein interactions, such as transcription factor binding and chromatin modifications. However, downstream analysis of ChIP-seq data is currently restricted to the evaluation of signal intensity and the detection of enriched regions (peaks) in the genome. Other features of peak shape are almost always neglected, despite the remarkable differences shown by ChIP-seq for different proteins, as well as by distinct regions in a single experiment. Results: We hypothesize that statistically significant differences in peak shape might have a functional role and a biological meaning. Thus, we design five indices able to summarize peak shapes and we employ multivariate clustering techniques to divide peaks into groups according to both their complexity and the intensity of their coverage function. In addition, our novel analysis pipeline employs a range of statistical and bioinformatics techniques to relate the obtained peak shapes to several independent genomic datasets, including other genome-wide protein-DNA maps and gene expression experiments. To clarify the meaning of peak shape, we apply our methodology to the study of the erythroid transcription factor GATA-1 in K562 cell line and in megakaryocytes. Conclusions: Our study demonstrates that ChIP-seq profiles include information regarding the binding of other proteins beside the one used for precipitation. In particular, peak shape provides new insights into cooperative transcriptional regulation and is correlated to gene expression

De novo transcriptome assembly of sugarcane leaves submitted to prolonged water-deficit stress.

ABSTRACT. Sugarcane production is strongly influenced by drought, which is a limiting factor for agricultural productivity in the world. In this study, the gene expression profiles obtained by de novo assembly of the leaf transcriptome of two sugarcane cultivars that differ in their physiological response to water deficit were evaluated by the RNA-Seq method: drought-tolerant cultivar (SP81-3250) and drought-sensitive cultivar (RB855453). For this purpose, plants were grown in a greenhouse for 60 days and were then submitted to three treatments: control (-0.01 to -0.015 MPa), moderate water deficit (-0.05 to -0.055 MPa), and severe water deficit (-0.075 to -0.08 MPa). The plants were evaluated 30, 60, and 90 days after the beginning of treatment. Sequencing on an Illumina platform (RNA-Seq) generated more than one billion sequences, resulting in 177,509 and 185,153 transcripts for the tolerant and sensitive cultivar, respectively. These transcripts were aligned with sequences from Saccharum spp, Sorghum bicolor, Miscanthus giganteus, and Arabidopsis thaliana available in public databases. The differentially expressed genes detected during the prolonged period of water deficit permit to increase our understanding of the molecular patterns involved in the physiological response of the two cultivars. The tolerant cultivar differentially expressed a larger number of genes at 90 days, while in the sensitive cultivar the number of differentially expressed genes was higher in 30 days. Both cultivars perceived the lack of water, but the tolerant cultivar responded more slowly than the sensitive cultivar. The latter requires rapid activation of different water-deficit stress response mechanisms for its survival. This rapid activation of metabolic pathways in response to water stress does not appear to be the key mechanism of drought tolerance in sugarcane. There is still much to clarify on the molecular and physiological pattern of plants in response to drought.Article gmr16028845

de novo assembly and transcriptome analysis of sugarcane leaves from contrasting varieties submited to prolonged water stress.

Sugarcane is an important crop, major source of sugar and alcohol, accounting for two-thirds of the world's sugar production. In Brazil, the sugarcane culture has expanded to areas with prolonged drought seasons, which is constraining its production. In order to identify genes and molecular process related to sugarcane drought tolerance, we performed de novo assembly and transcriptome analysis of two sugarcane genotypes, one tolerant and other sensitive to water stress, submitted to three water deficit condition (30, 60 and 90 days). The de novo assembly of leaves transcriptome was performed using short reads from Illumina RNA-Seq platform, which produced more than 1 billion reads, which were assembled into 177,509 and 185,153 transcripts sequences for the tolerant and sensitive cultivars, respectively. These transcripts were aligned with Sorghum bicolor, Miscanthus giganteus, Arabidopsis thaliana sequences and sugarcane sequences available in public databases. This analysis allowed the identification of a set of sugarcane genes shared with other species, as well as led to the identification of novel transcripts not cataloged yet. Differential expression analysis between genotypes and among days of water deficit were performed with EdgeR and DESeq. The differentially expressed genes were annotated and categorized using Blast2GO. The terms "enzyme regulator" and "transcription regulator" were highlighted within the differentially expressed genes between the contrasting cultivars, suggesting the importance of gene regulation during water deficit. This study found new molecular patterns, which provided hypotheses on plant response to drought and provided important information about genes involved in drought tolerance response.PAG 2016. Pôster P0792

Los dobletes etimológicos en español (1611-1739)

OBJECTIVES: Bacterial translocation seems to precede the occurrence of overt bacterial infection in patients with cirrhosis. The presence of bacterial DNA in blood and ascites correlates with bacterial translocation and is frequent in patients with advanced cirrhosis without overt infection. Our aim was to search for bacterial DNA in patients with cirrhosis both with and without ascites, and to study its correlation with abnormal intestinal motility or permeability and the presence of bacterial overgrowth. METHODS: Blood and ascites samples were obtained on day 1, and blood samples were taken twice a day for the following 3 days. Bacterial DNA was assayed by polymerase chain reaction using universal primers for rRNA 16\u2009s. Oro-caecal transit time and bacterial overgrowth were assessed with Lactulose H(2) breath testing. Intestinal permeability was assessed by determining urinary lactulose and mannitol excretion with high performance liquid chromatography. RESULTS: We studied seven patients (six were male, age range was 42-78 years). Aetiology was alcohol in four, HCV in two, HBV in one; ascites was present in four and Child-Pugh grade was A in four and B in three. All patients had increased intestinal permeability, six had decreased transit time and one had bacterial overgrowth. In only one patient (with ascites), polymerase chain reaction was positive for bacterial DNA both in ascites and serum for all 4 days on which samples were taken. CONCLUSION: Increased intestinal permeability and abnormal motility were frequent without evidence of bacterial translocation in cirrhosis even without ascites. They are likely to be facilitators for bacterial translocation and thus precede it